From the article - “The agency said Rapp and a fellow bicyclist were riding on a local road when Medina passed them in his car, stopped, and drove his vehicle in reverse. Medina then hit Rapp, and she was pronounced dead after emergency responders brought her to a hospital.”
Saying you intended to hit someone with a motor vehicle is saying to intended to kill them, unless you’re provably insane and don’t understand that hitting someone is likely to kill.
Even a legally “insane” defendant would most often be found to have met the “knowing” criteria; the bar is that of foresight or knowledge (including constructed knowledge in some jurisdictions) of “merely” physical harm that is likely to cause grievous injury or death. No metaphysics required.
For example, acting to cause the stoppage of breath (that “happened” to result in death) is an automatic pass for murder in many common law countries.
I expect to see them say bike riding is a form of protest, and he was afraid. 😆