This bill seeks to establish a universal, single-payer health care system called Malama Care in Hawaii, replacing all existing health care coverage, including Medicare, Medicaid, and the Prepaid Health Care Act. The legislation requires the Hawaii Health Authority to develop a comprehensive plan for this new system, which would provide comprehensive health care benefits to all state residents without regard to race, income, age, or pre-existing conditions. The bill mandates coverage for a wide range of health services, including hospital care, dental and vision benefits, mental health services, prescription drugs, and preventive care, with no cost-sharing for residents. Key provisions include establishing a Malama Care Special Fund, creating global budgets for hospitals, implementing fee-for-service payments for independent healthcare providers, and allowing residents to maintain supplemental insurance for additional coverage. The bill also establishes an Office of the Patient Advocate to investigate complaints and requires the development of community-based programs for specialized care. To implement the system, the bill appropriates $350,000 for fiscal years 2025-2026 and 2026-2027 and mandates that the state seek necessary federal waivers, with the goal of improving healthcare accessibility, reducing administrative costs, and ensuring equitable healthcare for all Hawaii residents.