Bill > HB221

This bill addresses physician shortages in Hawaii by requiring graduates of the University of Hawaii John A. Burns School of Medicine (JABSOM) who paid in-state tuition to serve as physicians in the state for at least two consecutive years after completing their medical residency or fellowship. Starting with the class of 2029, medical graduates who benefited from lower resident tuition rates will be required to practice in Hawaii within five years of completing their residency or fellowship. If a graduate fails to meet this service requirement, they must reimburse the state for the difference between resident and non-resident tuition for each year they paid the reduced rate. The dean of JABSOM can grant exemptions for extenuating circumstances and may extend the five-year period to commence service. The university will be responsible for monitoring compliance, may contract with entities to enforce the requirements, and must submit annual reports to the legislature detailing the status of graduates' service commitments. This legislation aims to ensure that state-subsidized medical education (which costs tens of millions in general funds) directly benefits Hawaii's healthcare system by encouraging graduates to work in the state and help address the current shortage of nearly 800 physicians.

Education

https://www.capitol.hawaii.gov/session/measure_indiv.aspx?billtype=HB&billnumber=221&year=2026