Video & Transcript : 'isolation' :
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AZ
Arizona 2026 Regular Session
01/22/2026 - Joint Legislative Audit Committee
Joint Legislative Audit Committee
Transcript Highlights:
- I'm tired of this sole source, and it's not just isolated to this program.
- I'm tired of this sole source, and it's not just isolated to this program.
Summary:
The committee began with opening remarks about moving to a monthly, two-hour schedule for more timely and focused oversight of Auditor General findings. Members also recognized Melanie Chesney for 32 years of service to the Office of the Auditor General, with several speakers praising her work and her role in strengthening the relationship between the Auditor General’s office and J-LAC.
The main agenda item was the Auditor General’s December 2025 special audit on the school safety interoperability fund and interoperable communication systems. Staff reported that about $26 million had been allocated to 14 law enforcement agencies for systems intended to improve real-time communication between schools and first responders. The audit found that all 14 agencies used the money for interoperable systems, but four agencies allowed private or tribal schools to participate contrary to statute, and several agencies failed to submit required annual expenditure reports. It also found that none of the three systems reviewed met every statutory requirement as written, in part because some requirements were vague or interpreted differently by vendors and agencies. The audit recommended that agencies recover and report any improper benefit to non-public schools, avoid using fund money for ongoing costs tied to non-public school participation, submit missing reports, and improve cost planning and contract monitoring; it also recommended that the legislature clarify eligibility for private and tribal schools and revisit unclear system requirements.
The audit further found procurement and contracting problems at nine of 14 agencies, including weak or missing sole-source justifications, contracts that lacked accountability and termination provisions, and poor documentation of pricing and deliverables. Several agencies had not planned for ongoing annual costs, which the audit estimated could range from about $16,000 to $382,000 per rural county depending on the system. In the discussion, members expressed frustration with sole-source contracting and lack of documentation, and some said they would oppose future vendor bills without competitive bidding and stronger payment controls. The auditor also described mixed system performance: some agencies reported useful features such as panic alerts, camera access, and map sharing, but other systems were not fully functional or had never been implemented. The committee then heard from the Arizona Sheriffs’ Association, whose president said sheriffs support the goal of improving school safety, described county implementation challenges, and defended the use of local staff to manage the projects, while acknowledging that smaller counties face staffing and connectivity limits.
NH
New Hampshire 2025 Regular Session
Joint Legislative Performance Audit Oversight Committee (10/03/2025)
Transcript Highlights:
- We are finding it challenging right now to isolate and capture the financial activity for the Doorway
- deal with substance use and opioid use disorders, and we're trying to exclude those so that we can isolate
Summary:
The committee opened by approving the September 5, 2025 minutes, with one member asking that future minutes use honorifics such as Mr. or Ms. The agenda was then adjusted so Police Standards and Training could present first. Director John Skipa reported on the 2019 performance audit, saying 12 of 16 findings were fully resolved and the remaining items were substantially or partially resolved. He highlighted work on a job task analysis to update curriculum and develop a more realistic physical aptitude test, including possible replacement of the long-used Cooper test and a shift away from mandatory baton training toward electronic weapons training. He said stakeholder work groups would meet in October and November, with a goal of completing the work by the first quarter of 2026.
On the strategic planning and performance measurement finding, Skipa said the agency had relied on the 2019 audit and the LEAC report as guides while also implementing a digital records system. He acknowledged that a formal forward-looking strategic plan with the council had not yet been completed, but said he and the council chair wanted to do so, possibly through a retreat-style planning session. Members asked how many LEAC recommendations had been fully implemented; Skipa said he did not know the exact number but believed nearly all of the 22 items assigned to his agency were complete. On the administrative rules finding, he said a part-time former director had been brought back to help revise outdated rules, the council subcommittee had finished its work, and proposed changes would be sent to the full council, then to stakeholders and the public, with a public hearing expected and implementation targeted for 2026.
For the Corrections Advisory Committee finding, Skipa said the committee had been reconvened in 2020 and 2021 but had limited usefulness because the statutorily named members were mostly high-level administrators rather than line supervisors or newer corrections staff. He said some positions later went unfilled because of budget and staffing issues, and the committee had not been called back, but he was open to either informal adjustments or possible legislative changes to make the committee more useful. Committee members suggested that the statute may need to be amended to allow more appropriate designees or supervisors to participate. After Police Standards and Training concluded, the committee moved on to the Office of Professional Licensure and Certification, where the executive director said he would focus on the partially resolved items in the dental examiner audit and the National Path audit, noting that many changes were tied to recent statutory revisions.
NM
New Mexico 2025 Regular Session
IC - Indian Affairs Sep 25th, 2025
House Government, Elections & Indian Affairs
Transcript Highlights:
- And then social isolation and loneliness, I think, are one of the great protective factors.
- People who are socially isolated are at greatest risk from all kinds of climate-related harms, as well
CA
California 2025-2026 Regular Session
Assembly Transportation Committee Jul 14th, 2025
Transcript Highlights:
- which speak to the necessity for the state to properly plan mitigation measures, as these are not isolated
- These incidents, as mentioned, are not isolated. They are ongoing. They are devastating.
Summary:
The committee first took up SB 712, which would expand California’s smog-check exemption for classic vehicles by adding model years 1976 through 1986 in phases, with a sunset in 2032. The author and supporters, including lowrider advocates and the Specialty Equipment Market Association, argued the bill would preserve car culture, support a small class of rarely driven collector vehicles, and reduce burdens on owners who struggle to find equipment for older smog tests. Opponents, including air district officials, the American Lung Association, and other environmental groups, warned the bill would weaken an important emissions-control program and increase pollution. After discussion, the committee adopted the motion to do pass as amended to Appropriations on a roll call vote of 10-0, with the roll held open for additional votes.
The committee then heard SB 800, which requires Caltrans, working with local governments, to assess mitigation measures for suicide prevention on locally owned overpasses crossing state highways. The bill was presented as a response to recent tragedies in Rancho Cucamonga and was supported by local officials, health organizations, and suicide-prevention advocates, who said the measure would help identify high-risk locations and lead to life-saving interventions. There was no registered opposition. The committee members expressed support, and SB 800 was passed to Appropriations on a unanimous roll call vote, with the roll held open.
Next, the committee considered SB 30, which would prohibit California public entities from selling, donating, or transferring decommissioned diesel locomotives and railroad equipment with Tier 1 or older engines unless the engine is removed, while allowing Tier 2 and newer transfers under certain conditions. The author and supporters framed the bill as a climate and public-health measure to prevent older, dirtier locomotives from continuing to pollute elsewhere, while transit agencies opposed it, arguing it could limit useful transfers of equipment that still supports passenger service and could be better handled through case-by-case air-quality review. After debate, the committee voted 6-4 to pass SB 30 as amended to Appropriations, with the roll held open for later additions. The committee also heard SB 791, which replaces the flat dealer document processing charge cap with a 1% fee capped at $350, along with new disclosure requirements. Dealers and industry groups supported the bill as a way to recover costs and improve transparency, while consumer advocates opposed it as an unjustified increase that would burden buyers. The committee approved SB 791 on a 8-? roll call vote and held the roll open. The meeting then moved on to SB 34, a port-air-quality bill presented by Senator Richardson, but the transcript ends during testimony and debate on that measure.
NM
New Mexico 2025 Regular Session
IC - Legislative Finance Jun 24th, 2025
Transcript Highlights:
- The basic idea is that you use cement to isolate each underground water or hydrocarbon formation from
- faster and it'll help you contain your costs, but it does not result in the sort of predictable isolation
CA
California 2025-2026 Regular Session
Joint Legislative Audit Committee Jun 18th, 2025
Transcript Highlights:
- These problems were not isolated incidents.
- And so this is not an isolated incident on how districts are trying to adjust to these fiscal realities
Summary:
The committee heard several audit requests and related testimony. The first major item was an audit of Coachella Valley Unified School District’s contract and fiscal management. The author and supporters described long-standing fiscal mismanagement, large budget shortfalls, layoffs, contracting concerns, and questions about the district’s foundation and use of public funds. District representatives and the Riverside County Office of Education said the district is already under fiscal oversight, has a stabilization plan, and is working to reduce deficits and improve student outcomes. After extensive debate and public comment, the motion to approve the audit was put on call because the committee did not have the required votes from both houses at that moment.
The committee then approved an audit of East Bay transit agencies in Alameda and Contra Costa counties. Senator Wahab argued the region’s many overlapping transit agencies create fragmentation, duplication, and inefficiency, especially amid a fiscal cliff and possible future tax increases. Transit agencies and labor representatives opposed the audit, saying the agencies already undergo multiple audits, serve distinct local needs, and are implementing regional coordination efforts. After testimony from agency leaders and public commenters, the committee voted to approve the audit.
The next item was an audit of California Community Colleges’ unrestricted reserves. Senator Archuleta and supporting faculty representatives said reserves have grown substantially and may be diverting resources from student services, instruction, and workforce programs. They argued there is little oversight when reserves become too high. The Chancellor’s Office and Calbright College were invited to respond, and the audit objectives focused on reserve growth, reasons for high balances, oversight by the Chancellor’s Office, and effects on students and staff. The transcript cuts off during the Chancellor’s Office response, so the final committee action on this item is not shown.
TX
Transcript Highlights:
- May each representative understand their role not in isolation but in relation to each other for the
- These are not isolated incidents; they're happening across Texas.
Bills:
HB200, HB541, HB1803, HB30, HB175, HB249, HB721, HB851, HB897, HB 1128, HB1904, HB1916, HB5560, HB3071, HB5627, HB5435, HB3913, HB2921, HB2695, HB2688, HB3045, HB3483, HB3673, HB4213, HB4226, HB783, HB4373, HB4735, HB5155, HB5057, HB4984, HB4944, HB4813, HB5339, HB5196, HB5033, HB4853, HB3486, HB4211, HB74, HB4670, HB4730, HB4743, HB4603, HB4463, HB3892, HB4139, HB4752, HB4520, HB4517, HB4486, HB4437, HB4426, HB4396, HB4263, HB3487, HB3418, HB2284, HB2266, HB2229, HB4912, HB2189, HB4506, HB5269, HB5224, HB5195, HB3317, HB4166, HB3947, HB3358, HB3370, HB4438, HB3745, HB3602, HB3697, HB2001, HB1968, HB3371, HB3909, HCR7, SB1744, SB1364, SB1316, HB2026, HB3302, HB3368, HB1639, HB5652, HB4655, HB5654, HB5658, HB5656, HB4894, HB4996, HB5088, HB5650, HB4464, HB3751, HB5665, HB5661, HB 1237, HB2802, HB5437, HB2703, HB5666, HB5667, HCR113, HCR86, SB2196, SB463, SB856, SB1245, SB1169, SB509, SB985, SB305, SB552, HB1535, HB 123, HB1804, HB426, HB1773, HB1871, HB2035, HB2492, HB1411, HB4753, HB4666, HB4529, HB1499, HB1610, HB2028, HB1506, HB886, HB3546, HB796, HB223, HB3556, HB2448, HB4638, HB 111, HB180, HB 1027, HB 1178, HB610, HB 1277, HB1615, HB1620, HB5342, HB4885, HB4751, HB4530, HB4488, HB2149, HB2071, HB2282, HB2248, HB2243, HB2522, HB2310, HB2513, HB2300, HB1902, HB1813, HB3719, HB4284, HB3743, HB3778, HB5153, HB5147, HB4877, HB4850, HB3261, HB3005, HB3033, HB2849, HB2967, HB3531, HB1768, HB333, HB2914, HB2613, HB3717, HB3704, HB2697, HB3801, HB3099, HB3488, HB3477, HB3466, HB3396, HB3469, HB2594, HB2776, HB2564, HB2298, HB5331, HB5646, HB5247, HB5323, HB4384, HB3896, HB4014, HB3627, HB3594, HB2524, HB510, HB561, HB5111, HB5446, HB 1181, HB3963, HB2785, HB1661, HB2460, HB200, HB541, HB1803, HB30, HB175, HB249, HB721, HB851, HB897, HB 1128, HB1904, HB1916, HB5560, HB3071, HB5627, HB5435, HB3913, HB2921, HB2695, HB2688, HB3045, HB3483, HB3673, HB4213, HB4226, HB783, HB4373, HB4735, HB5155, HB5057, HB4984, HB4944, HB4813, HB5339, HB5196, HB5033, HB4853, HB3486, HB4211, HB74, HB4670, HB4730, HB4743, HB4603, HB4463, HB3892, HB4139, HB4752, HB4520, HB4517, HB4486, HB4437, HB4426, HB4396, HB4263, HB3487, HB3418, HB2284, HB2266, HB2229, HB4912, HB2189, HB4506, HB5269, HB5224, HB5195, HB3317, HB4166, HB3947, HB3358, HB3370, HB4438, HB3745, HB3602, HB3697, HB2001, HB1968, HB3371, HB3909, HCR98, HCR92, HCR126, HCR7
Keywords:
juvenile offenders, parole eligibility, youth justice, criminal justice reform, inmate rehabilitation, direct patient care, healthcare, physicians, medical services, insurance regulation, dentist, dental hygienist, interstate practice, licensure, compact privilege, public health, military members, disaster relief, tax rates, local government
TX
Transcript Highlights:
- Uh, we utilize those when we do have a, uh, an isolated problem in response to emergency response or,
- Everybody needs to come, come together and share that rather than having isolated smaller Um, groups
Bills:
HB 1520, HB 1525, HB 1530, HB 1535, HB 2068, HB 2091, HB 2347, HB 2372, HB 2805, HB 2815, HB 2867, HB 3154, HB 3482, HB 3483, HB 3663, HB 3781, HB 3901, HB 3915, HB 4135, HB 4153, HB 4158, HB 4329, HB 4331
Keywords:
Angelina and Neches River Authority, river authority, Sunset Advisory Commission, Texas Sunset Act, Special District Local Laws Code, local government, natural resources, board of directors, director training, board governance, public testimony, open meetings, public information, conflict of interest, ethics, complaint system, general manager, board president, staggered terms, removal of director
CA
California 2025-2026 Regular Session
Joint Hearing Budget Subcommittee No. 2 on Human Services and Budget Subcommittee No. 1 on Health Apr 9th, 2025
Transcript Highlights:
- The rates of loneliness and isolation are absolutely alarming.
- made accessible for an individual with an oxygen concentrator so that she would be moved from an isolated
Summary:
The joint Assembly Budget Subcommittee hearing focused first on long-term services and supports for older adults, especially the “forgotten/overlooked middle” who earn too much for Medi-Cal but cannot afford private long-term care. Administration witnesses from DHCS, the Department of Aging, and Social Services described Medicare’s limited long-term care coverage, Medi-Cal’s role, the elimination of the Medi-Cal asset test, and ongoing state studies and listening sessions on financing options. Testimony from advocates and researchers emphasized rising homelessness among older adults, the need for better navigation and coordination across health, aging, housing, and social service systems, and short-term policy steps such as share-of-cost reform, housing stability supports, and protecting home- and community-based services. Members highlighted the need for a coordinated, no-wrong-door approach and asked for the most impactful budget investments to address affordability and homelessness risk.
The second major topic was the Community-Based Adult Services (CBAS) program. CDA reported that CBAS helps participants remain in the community, that 304 centers operate statewide serving about 42,000 people, and that demand is stable but access gaps remain in some regions. DHCS explained that a 2024 rate increase authorized by SB 159 became inoperative after Proposition 35, and that a separate 10% rate change on the fee schedule was the result of a DHCS system error; the department said it would not require recoupment, though managed care plans may act under their contracts. CBAS providers and advocates warned that reimbursement rates have not kept pace with costs, that several centers have closed, and that clawbacks could trigger more closures. They requested $74.8 million ongoing General Fund to close part of the rate gap and preserve the program, while members expressed concern about closures and the cost savings of keeping people out of more expensive institutional care.
The hearing then moved to In-Home Supportive Services (IHSS) and statewide collective bargaining. CDSS reviewed provider recruitment and retention efforts, including electronic timesheets, direct deposit, and the now-completed IHSS Career Pathways program, which trained more than 59,000 providers. CDSS also summarized its AB 102 workgroup report on statewide versus regional bargaining, saying the final report would be sent to the Legislature soon and that statewide bargaining appeared more viable than regional bargaining, though it would require clear statutory scope and major fiscal changes. The department estimated that each $1 per hour statewide wage increase would cost at least $1.3 billion to $1.5 billion annually. Labor advocates argued that IHSS wages, benefits, and training are too inconsistent across counties and called for statewide bargaining, consumer participation, and ongoing state funding. County representatives supported stronger wages but cautioned that counties need protection from new costs and administrative burdens, and consumer advocates warned that moving bargaining to the state could weaken local consumer control and the program’s consumer-driven structure.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on the Judiciary Jun 21st, 2026 at 01:00 pm
Joint Committee on the Judiciary
Transcript Highlights:
- there are so many different provisions scattered all over the code and somebody looking at one in isolation
- Research shows the stigma of a record, real or anticipated, fuels isolation, discouragement, and barriers
- Abusers use coercive control, a deliberate set of tactics that isolate, intimidate, manipulate, abuse
Summary:
The committee heard extensive testimony on several Judiciary bills, with the largest portion focused on S. 1178/H. 2052 to reduce mass incarceration and end life without parole. People incarcerated at MCI Framingham, MCI Norfolk, and NCCI Gardner described personal growth, rehabilitation, restorative justice work, family separation, and the belief that parole eligibility after long sentences would better reflect public safety and human development. Speakers emphasized that life without parole removes hope and can undermine rehabilitation, while supporters argued that many lifers are older, less likely to reoffend, and could contribute positively if given a chance at parole review. Committee members did not take votes during the hearing.
The committee also heard testimony on S. 1139 to restore the statute of limitations for wrongful death claims involving tobacco use, with Sen. Keenan explaining that a recent SJC decision had cut off claims where the injured person did not sue within three years before death. He said the bill would restore families’ ability to seek redress in cases involving long-latency tobacco harms like COPD. Another major topic was S. 1205, which would add abusive litigation to the definition of coercive control in domestic violence law; Sen. Michael Moore said the bill would stop abusers from using repeated court filings to harass and financially burden survivors.
The committee also took up S. 1114 on automatic record sealing, with Sen. Friedman and others arguing that the current petition-based process is slow, burdensome, and disproportionately harms people with criminal records, especially Black and Latino residents. Testimony also supported H. 1965/S. 1132 on compensation for wrongful conviction, with advocates and sponsors describing a faster administrative claims process, transitional support, and higher compensation without the current cap. Sen. Payano testified for S. 1241 to expand educational programming for incarcerated emerging adults, saying education reduces recidivism and improves reentry outcomes.
A substantial portion of the hearing focused on S. 2522, an update to Massachusetts’ shield law for reproductive and gender-affirming care. Sen. Friedman, the Attorney General’s office, and DPH Commissioner Robbie Goldstein said the bill is needed to strengthen protections against out-of-state legal attacks, protect patient and provider data, clarify enforcement authority, and add a state-level EMTALA-style emergency care requirement. Committee members asked detailed questions about prescription labeling, the prescription monitoring program, attorney discipline, custody and full faith and credit issues, and whether the bill’s enforcement language could create unintended limits or conflicts. The Attorney General’s office said it would provide follow-up written testimony on several technical questions.
MN
Transcript Highlights:
- that fostered collaborative threat detection, assessment, and reporting, so her observations remain isolated
- that fostered collaborative threat detection, assessment, and reporting, so her observations remain isolated
- that fostered collaborative threat detection, assessment, and reporting, so her observations remain isolated
Keywords:
immigration status, undocumented students, immigrant rights, K-12 education, public school enrollment, Plyler v. Doe, school district, charter school, cooperative unit, law enforcement access, ICE, immigration enforcement, civil lawsuit, private right of action, injunctive relief, mandamus, student records, directory information, parental engagement, equal access to education
KY
Kentucky 2025 Regular Session
Disaster Prevention and Resiliency Task Force (8-20-25)
Transcript Highlights:
- needed for the health care system to perform under stress, ensuring that hospitals don't operate in isolation
- needed for the health care system to perform under stress, ensuring that hospitals don't operate in isolation
- needed for the health care system to perform under stress, ensuring that hospitals don't operate in isolation
Summary:
The committee met to adopt the minutes of the second meeting by voice vote, then heard an update focused on disaster preparedness, resiliency, response, and coordination among state agencies and partners. The chair emphasized avoiding duplication of resources and highlighted the importance of agriculture-related response issues, including animal evacuation, feed distribution, and the role of extension services during disasters. The Department for Public Health was invited to explain its role in emergency planning and response.
Public Health described its Emergency Preparedness and Response Branch as the lead coordinating agency for Emergency Support Function 8, covering health and medical services under Kentucky’s emergency operations framework. Testimony outlined its broad responsibilities, including support for hospitals, morgues, local health departments, behavioral health, crisis counseling, suspicious package testing, disease outbreaks, and coordination with emergency management, EMS, transportation, and nonprofit and private partners. Officials also described the agency’s risk-assessment process, training and exercise programs, and deployed assets such as PPE caches, deployable communications, a federal medical station, a mobile treatment center, and alternate care support used in events like the eastern Kentucky floods and COVID-19.
The agency also discussed funding through federal cooperative agreements for public health emergency preparedness and hospital preparedness, noting that these programs have evolved since 9/11 and have been shaped by major disasters and emerging threats. Officials said Kentucky’s funding has declined over time and that current awards are partially funded for the first time in the program’s history. They expressed support for efficiency if federal programs are consolidated, but cautioned that combining programs could risk further funding losses.
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 3/26/25
Human Services Finance and Policy
Transcript Highlights:
- confined, we can see similar positive results with rehabilitation if people in treatment feel less isolated
- confined, we can see similar positive results with rehabilitation if people in treatment feel less isolated
- confined, we can see similar positive results with rehabilitation if people in treatment feel less isolated
AL
MN
Transcript Highlights:
- is a holdover from an unjust moment in the early 20th century when people with disabilities were isolated
- is a holdover from an unjust moment in the early 20th century when people with disabilities were isolated
- is a holdover from an unjust moment in the early 20th century when people with disabilities were isolated
MN
Minnesota 2025-2026 Regular Session
Committee on Environment, Climate and Legacy - 03/04/25
Environment, Climate, and Legacy
Transcript Highlights:
- It's combating isolation and mental health challenges.
- The arts are bringing people together and strengthening social connections and reducing isolation and
- I have something to do with my neighbors and friends so that I don't feel isolated where I live.
AL
MN
Transcript Highlights:
- I raced back to their school, heart pounding, unsure if this was an isolated horror or the beginning
- I raced back to their school, heart pounding, unsure if this was an isolated horror or the beginning
- </c><02:25:05.920><c> this</c><02:25:06.080><c> was</c><02:25:06.240><c> an</c><02:25:06.479><c> isolated
- </c><02:25:07.200><c> horror</c><02:25:07.600><c> or</c> unsure if this was an isolated horror or unsure
- if this was an isolated horror or the<02:25:08.000><c> beginning</c><02:25:08.319><c> of</c><02:25:08.640
NH
New Hampshire 2025 Regular Session
House Finance Division III (02/26/2025)
Transcript Highlights:
- The witness said it is difficult to look at one accounting unit in isolation and suggested providing
- That would likely answer the question more clearly than an isolated conversation about one accounting
- :07:34.599><c> accounting</c><01:07:35.000><c> unit</c><01:07:35.279><c> in</c><01:07:35.680><c> isolation
- </c><01:07:36.680><c> so</c><01:07:36.880><c> I</c> one accounting unit in isolation so I one accounting
- unit in isolation so I think<01:07:37.200><c> what</c><01:07:37.319><c> may</c><01:07:37.480><c> be<
Summary:
The Division 3 House Finance Committee opened a work session and announced scheduling updates, including a second Medicaid work session on March 5 at 9:00 a.m. and a reminder that recommendations or budget amendments must be moved to the full finance committee by the end of March. Members were told no motions, roll calls, or votes would be taken, and the chair also reviewed upcoming meeting dates and weather-related cancellation procedures. The day’s presentation was a budget work session on the Division for Children, Youth and Families (DCYF), with officials Marie Nunan and Nathan White introducing the agency’s budget materials and mission.
DCYF’s presentation focused on its core mandates and recent operational changes. Officials described child protective services, juvenile justice services, and the Sununu Youth Services Center, then highlighted workforce improvements, including reduced vacancy rates for assessment caseworkers, juvenile justice officers, and youth counselors. They attributed the staffing gains to legislative pay raises, mass recruitment posting changes, a more stable and trauma-informed model at SYC, and broader flexibility after prior budget cuts and hiring freezes. Members asked about full-time versus part-time staffing, and DCYF said most positions discussed were full-time, with some harder-to-fill part-time youth counselor roles at SYC.
The committee also discussed DCYF’s emphasis on serving families earlier through its Community Navigator hotline referrals and community-based voluntary services, which are intended to connect families to supports before abuse or neglect escalates. Officials said the Community Navigator program had received 807 referrals since August 2023. On juvenile justice, DCYF described its assessment and diversion process and said it had reduced juvenile probation involvement by 30% from 2019 to 2023; members were directed to slide 17 for 2024 data, and officials said the trend continued toward fewer in-home juvenile justice cases. The agency also reported progress in kinship care, saying initial out-of-home placements with kin now occur 74% of the time and that kinship placements are associated with more reunification. Officials said kinship caregivers are being licensed and paid similarly to foster parents, and that the legislature’s kinship law has helped. Finally, DCYF outlined transition-age youth supports, including the HOPE program, Youth Villages LifeSet, and housing vouchers. No votes or formal actions were taken.
HI
Transcript Highlights:
- Hona is a very tight, isolated community.
- the folks retire, you know, they're not staying, so it's a challenge, especially in that kind of isolated
- /c><00:52:51.920><c> that</c><00:52:52.440><c> kind</c><00:52:52.559><c> of</c><00:52:52.720><c> isolated
- </c> especially in that kind of isolated especially in that kind of isolated Community<00:52:53.640><
Summary:
The joint Ways and Means and Health and Human Services committees heard Hawaii Health Systems Corporation’s biennium budget request, with testimony from HHSC leadership on the Hilo/Big Island region (HTH 212) and the Oahu region (HTH 215), plus discussion of capital improvement projects and systemwide partnerships. HHSC described its role as the rural healthcare safety net, serving a high share of Medicare, Medicaid/Quest, and uninsured patients, and said its costs are elevated by state employee fringe benefits, which it said are about 64% compared with roughly 30% in the private sector. HHSC also said pandemic-era federal aid, including relief funds and PPP loans totaling about $100 million, reduced the need for general fund support in prior years.
For HTH 212, HHSC said its general fund request for fiscal years 2026 and 2027 was higher than the governor’s recommendation because of rising insurance, pharmaceutical, and contractor labor costs, and because it includes $13.2 million in FY 2026 and $2.3 million in FY 2027 for Epic electronic medical record implementation in East Hawaii. For HTH 215, HHSC said the requested general funds were aligned with the governor’s recommendation, in part because of increased Medicaid reimbursement rates for long-term care facilities under prior legislation. HHSC also said it was restoring a special fund ceiling so the region could spend its cash collections on operations.
Members asked about the 64% fringe rate, and HHSC explained the difference was mainly due to defined-benefit pension and retiree health insurance costs, which private hospitals generally do not bear at the same level. Members also asked about the Daniel K. Akaka State Veterans Home, and HHSC said operations would be funded through the general fund corporation for the home when it opens, with management by Ohana Pacific, but no additional legislative operating funds were being requested at that time. Other questions focused on staffing and vacancies, including an abolished procurement position and an ongoing IT help desk recruitment need.
HHSC highlighted several capital and partnership projects, including a $25 million state CIP request matched by $25 million from the Benioff family for the Benioff Health Center, an ER expansion and reconfiguration at Corner Community Hospital, and $7.5 million in each fiscal year for Kauai EMR capital funds to join the Epic platform. Testimony also described collaborations with Queen’s, the University of California San Francisco, Hawaii Pacific Health, the Hawaii Cancer Consortium, the Department of Health, and the state hospital to improve specialty access, clinical trials, behavioral health, and patient placement across the system.