HI HB221

Requires University of Hawaii John A. Burns School of Medicine graduates who paid in-state tuition to serve as a physician in Hawaii for at least 2 consecutive years after completing their residency or fellowship

Graduates must begin their Hawaii service commitment within 5 years of completing residency or fellowship, with the requirement applying to those graduating after January 1, 2029

Graduates who fail to meet the service requirement must reimburse the state for the difference between resident tuition ($36,372) and non-resident tuition ($71,328) for each year they paid resident tuition

The dean of the medical school may grant exemptions or extensions for extenuating circumstances

University of Hawaii must submit annual reports to the legislature starting in 2036 on compliance, reimbursements collected, and exemptions granted