Video & Transcript : 'patient preferences' :

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MA

Massachusetts 2025-2026 Regular Session

Senate Committee on Post Audit and Oversight Jun 21st, 2026 at 01:00 pm

Senate Committee on Post Audit and Oversight

Transcript Highlights:
  • But I would have preferred it not be the politics of Donald Trump.
  • Do you feel, over the years, it should be more acute, but you may be more patient than I?
  • I mean, this is something that most of the time I prefer to be driven by who's going to...
  • This is something that, most of the time, I prefer to be driven by who's going to pay you for your permit
Summary: The joint hearing focused on the Massachusetts sea scallop fishery, especially the economic importance of the industry, federal scallop management, and two policy questions: reopening the Northern Edge area on Georges Bank and allowing permit stacking/permit consolidation. Chairing senators emphasized their interest in hearing both sides, their frustration with federal bureaucracy, and their view that the issue should be guided by science while protecting the long-term resource and local communities. Dr. Kate O’Keefe of the New England Fishery Management Council and Kevin Stokesbury of UMass Dartmouth described the Magnuson-Stevens framework, annual catch limits, rotational area management, and the role of industry-funded surveys and the research set-aside program. They said scallops remain the most lucrative council-managed commercial fishery on the East Coast, but recent changes include more small scallops, lower biomass in some areas, higher natural mortality, and shifting abundance toward Georges Bank. On the Northern Edge, they explained that the council previously considered opening the area through a framework/joint action with habitat management, but discontinued the action in 2024 because of conflicting objectives involving scallop yield, habitat protection, and other species. They said the issue could be revisited through future council priority-setting. Representatives of the Sustainable Scalloping Fund argued that the fishery needs modernization to remain economically viable. They supported reopening the Northern Edge and strongly backed permit stacking, saying it would allow two permits on one vessel while keeping ownership caps in place, reducing costs, improving safety, and helping family-owned fleets avoid financial distress and outside investment. Port of New Bedford representative John Regan stressed the port’s central role in the state economy, the need to protect working waterfront infrastructure, and the importance of any permit changes preserving local ownership and participation. No votes were taken; the hearing was informational, and members asked that the witnesses keep the committee informed as the council and federal agencies consider next steps.
CT
Transcript Highlights:
  • Have you also talked to the EMTs because they're, you know, they transport a lot of our patients and
  • I have it up if you prefer. I share. Sure, that would be great. Thank you. Sorry about that.
  • And so based on the young person's preferences in terms of who they might be assigned to for a peer support
  • program manager at the time of the initial outreach, and they'll do their best to accommodate those preferences
Summary: The meeting opened with approval of the April minutes and brief administrative updates, including notice that House Bill 5447 had passed both chambers of the General Assembly. Speakers reflected on the bill’s key provisions, which include eating-disorder working groups, an evidence-based screening requirement for school-based health centers beginning July 1, 2027, and a DSS-led feasibility process to explore an inpatient psychiatric facility for young adults ages 14 to 21. New staff introductions were also made for the Behavioral Health Advocate’s office and the TCB team. A major portion of the meeting focused on marketing and outreach for urgent crisis centers (UCCs) and the broader youth crisis continuum. Daydream Communications presented research showing low public awareness of UCCs but strong interest once families learn about them, with parents wanting specialized, compassionate care, clear expectations, insurance clarity, and bilingual support. United Way described its parallel work on a statewide crisis continuum marketing toolkit, using the SAMHSA framework of “someone to talk to, someone to respond, and somewhere safe to go,” and outlined plans to distribute consistent messaging through websites, social media, flyers, and community venues. Members emphasized coordinating with existing platforms and ensuring the marketing reflects the actual experience at UCC sites. DCF then presented on adolescent substance use services, citing data showing high need and low treatment access among Connecticut youth. The department reviewed its ASAM-based continuum, SBIRT efforts in outpatient psychiatric clinics, medication-assisted treatment access, and statewide services such as MST, MST emerging adults, STRIDE, multidimensional family therapy, youth recovery supports, and the AIM matching tool. A new young people peer support program was highlighted, with referrals accepted from families, hospitals, community providers, DCF, youth diversion, and the judicial branch. Questions addressed parent consent, peer matching, and whether the AIM tool could be linked through 211. The meeting concluded with an update from the Connecticut Suicide Advisory Board and its regional boards and grant-funded initiatives. Presenters reviewed the state suicide prevention plan, regional coalition work, postvention response, lethal means safety efforts, and the 988 capacity improvement grant that supports Connecticut’s centralized 988 contact center at United Way. They also shared youth suicide risk data from the Connecticut Youth Risk Behavior Survey, noting recent declines in reported suicidal ideation and attempts, and provided resources for training and materials. No formal votes were taken beyond the approval of the April minutes.
WA

Washington 2025-2026 Regular Session

Senate Housing Jan 23rd, 2026 at 10:30 am

Housing

Transcript Highlights:
  • We have, obviously, we would have a preference that the unit that gets installed receives the most efficient
  • Crossing has a large population of veterans as well and a number of units for children's hospital patients
  • I would have much preferred to go the task force route because it's a little...
  • I would have much preferred to go the task force route because it's so much of this is unknown that we
Bills: SB6091 , SB6096 , SB6153 , SB6200
Committee: Senate Housing
AZ
Transcript Highlights:
  • And we call this patient brokering.
  • The county attorney would oversee patient brokering for the entire state. Any questions? Thank you.
  • Finally, Amy, thank you for being so patient. Thank you, Mr. Chair, members.
  • Situations like that, we prefer to have signage.
  • Thank you for patiently waiting all this time. Any questions for our guest?
Summary: The committee first took up SB 1114, which would appropriate $1 million to the Maricopa County Attorney’s Office to investigate patient brokering in behavioral health and substance abuse treatment. Sponsor Sen. Werner described patient brokering as a continuing abuse tied to the state’s Medicaid fraud crisis, especially affecting Native Americans, and said the county attorney had the capacity to handle statewide oversight. The bill was moved and received a do pass recommendation on a 9-0-1 vote. The committee then considered SB 1111, as amended by a strike-everything amendment, to create statewide rules for automated license plate readers. Supporters from law enforcement said ALPRs are important for investigations, missing persons, stolen vehicles, and violent crimes, and argued the bill adds needed guardrails and training requirements. Opponents, including the ACLU, Institute for Justice, and private citizens, warned the systems enable mass surveillance, can be inaccurate, and raise Fourth Amendment and privacy concerns; they also objected to broad terms like “legitimate” law enforcement purposes and the lack of a clear retention limit. The committee adopted the amendment and then gave SB 1111, as amended, a do pass recommendation by a 7-2-1 vote. Next, SB 1116, as amended, was heard to require behavioral health claim denials and appeals at AHCCCS to be reviewed by someone with relevant clinical experience. Sen. Werner said the bill responds to improper denials and appeals handled by staff without behavioral health expertise; AHCCCS was neutral but said the bill could create compliance and staffing issues because “relevant clinical experience” is not well defined. The committee adopted the amendment and passed the bill 10-0. SB 1122, also as amended, would bar AHCCCS from requiring prior authorization or 100% prepayment review for certain behavioral health services under the American Indian Health Plan unless a provider is on a corrective action plan; Werner said it was aimed at ensuring providers are paid and reducing patient brokering. The committee adopted the amendment and passed SB 1122 10-0. Finally, the committee heard SB 1072, which would appropriate ongoing state and Medicaid funds to DES for rate increases for home- and community-based services and room-and-board services for individuals with intellectual and developmental disabilities, with reporting on workforce outcomes. Supporters from APAD and providers said the direct care workforce is in crisis, with large numbers of vacancies, overtime costs, and unassigned authorizations, and argued the funding is needed to retain staff and maintain care. Members discussed wage disparities, whether funds would reach caregivers, and the limits of legislative control over private provider pay, but no vote on SB 1072 was reached before the transcript ended.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Transportation May 28th, 2026

Joint Committee on Transportation

Transcript Highlights:
  • In the past week alone, three pediatric patients were admitted to Mass General Hospital, including a
  • In the past week alone, three pediatric patients were admitted to Mass General Hospital, including a
  • The injury severity score is an anatomical scoring system that we use for our trauma patients, and it
  • We found that 92% of our injured admitted patients were under the legal driving age, so less than 16
  • Fifty percent of those admissions involved patients not wearing a helmet.
Summary: The Joint Committee on Transportation held a hearing on the governor’s Ride Safe Act (S 3077), a micromobility bill based on recommendations from last year’s Special Commission on Micromobility. Administration witnesses from MassDOT and the MBTA said the bill is needed because current laws are outdated and inconsistent, and they emphasized a new speed-based framework that would classify devices by maximum speed rather than by device name. They said the bill would set statewide rules, clarify enforcement, require safety equipment and age limits, restrict unsafe modifications, improve crash-data collection, and create a working group to address future issues such as registration, licensure, insurance, and emerging technologies. Committee members asked about crash reporting, battery safety, enforcement on shared-use paths, commuter rail access, and how the bill would apply to off-road vehicles. Several witnesses and legislators supported the bill’s general approach but raised concerns about whether the speed tiers should be tied more directly to actual operating speed on paths, whether higher-speed devices should be registered, and how police would distinguish between similar-looking devices. Representative and commission witnesses also urged more funding for Complete Streets and Shared Streets and Spaces, and some suggested adding default speed limits on shared-use paths and automated enforcement tools. Public testimony was mixed. Pediatric emergency physicians strongly supported the bill but urged amendments for a minimum age to operate powered devices and a universal helmet requirement, citing rising severe injuries and deaths among children. A police chief and other safety advocates backed clearer rules and better data collection, while some moped riders objected that the bill would treat low-speed gas mopeds too harshly and should better account for mopeds as vulnerable road users. UL Standards and AAA supported the bill’s safety and clarity goals, with UL recommending tighter language on battery certification and equivalent standards. No vote was taken at the hearing.
CA
Transcript Highlights:
  • And person-centered programming honors these needs and preferences and values of those who are being
  • Protecting patient safety by oversight of health care settings and quality standards.
  • convey that, as your state public health officer, I consider the whole state of California as my patient
  • These decreases follow significant state and federal investments for public health to meet patients where
  • So I mentioned that the state is my patient and we're trying to listen more, and also listening by using
Summary: The committee heard a series of budget and oversight presentations from CalHHS-related departments and agencies. CalHHS opened with a broad overview of its 2026-27 budget and priorities, including behavioral health, housing and human services integration, children and youth services, and aging/disability supports. OICR then presented its budget and its SB 823 realignment report on youth formerly committed to DJJ, saying county implementation varies widely but that the state has not seen evidence of net widening in the available data. OICR recommended climate surveys, youth advisory councils, stronger behavioral health and education programming in secure youth treatment facilities, better transitional planning, and improved longitudinal data systems. The agency also described a Title II federal grant transition problem, saying it cannot yet pay some subrecipients for prior work and is awaiting federal action on retroactive spending authority and an administrative funding adjustment. The Ombudsperson division requested two additional positions to address a growing complaint workload and access issues with counties over youth meetings, records, and grievance files; LAO raised no policy objection but noted the ongoing General Fund cost. The State Council on Developmental Disabilities requested $730,000 General Fund ongoing to cover the gap between federal limits on administrative overhead and the actual cost of an interagency agreement with the Department of Social Services. EMSA presented its department overview and several proposals, including a delayed AB 716 ambulance rate report, a $2.6 million request to replace aging disaster-response vehicles, a $250,000 security architecture assessment, and four positions plus ongoing General Fund for HR, enforcement, and legal workload. Members questioned the delay in the AB 716 report, the optics and timing of the vehicle replacement request, and whether EMSA was doing enough to prevent future staffing and enforcement problems. LAO repeatedly noted the ongoing General Fund implications of EMSA’s requests. The Department of Community Services and Development sought reappropriation of unspent Greenhouse Gas Reduction Fund money for the Low-Income Weatherization Program and described a Proposition 4-funded continuation of the farmworker housing component, which would require a new statewide administrator and program design process. The Department of Rehabilitation requested authority to draw an additional $60 million in federal funds annually and add 54 positions to meet sharply increased Vocational Rehabilitation caseloads; LAO had no concerns. Child Support Services proposed restoring a prior reduction to local child support agency funding and reported higher federal performance incentives, while also presenting a supplemental report on full pass-through of child support collections to CalWORKs families, estimating about $150 million annually for full pass-through or about $80 million for a state/county-only approach, plus automation costs. Members questioned why funding should rise when caseloads are declining, and whether the policy could be made cost-neutral. CDPH closed the hearing with an overview of its $5.1 billion budget and its state of public health report, highlighting record-low mortality and higher life expectancy, but also rising overdose deaths among ages 25-44, persistent maternal and infant mortality disparities, and the need for stable public health and emergency-response capacity; no votes were taken during the hearing.
KY
Transcript Highlights:
  • </c> provider must also submit the patient provider must also submit the patient patients<00:15:29.839
  • That's what patient for weight loss.
  • </c> ability to maintain patient access. ability to maintain patient access.
  • </c> benefits are strong and many patients benefits are strong and many patients have<01:11:49.199><c
  • </c> patients rely upon. patients rely upon.
Summary: The Medicaid Oversight and Advisory Board met on February 23, 2026, approved the January 12 minutes, and then focused primarily on Kentucky Medicaid’s coverage and potential expansion of GLP-1 drugs, especially for weight loss. Department for Medicaid Services Commissioner Lisa Lee explained that Medicaid currently does not cover drugs for weight loss, anorexia, or weight gain, but the department had filed a regulation to remove that blanket exclusion so GLP-1s could be covered when used for an underlying health condition. She said the administrative regulation review subcommittee found the regulation deficient, and the co-chairs wanted the board to discuss the policy and financing implications before any change. DMS also said it would be open to adding caveats to ensure coverage would not extend to cosmetic weight loss alone. The department provided several data points on current utilization and spending. In 2025, Kentucky Medicaid paid for appetite-stimulating drugs such as Megestrol, Dronabinol, and Marinol, but did not pay for weight-loss drugs. For GLP-1s, DMS said coverage began in 2025 and is limited to FDA-approved medical conditions, with prior authorization requiring a type 2 diabetes diagnosis code and A1C documentation. DMS reported $234.6 million in GLP-1 spending in 2025 before rebates, about 240,931 prescriptions, and said GLP-1s accounted for 7.3% of pharmacy spend in 2024 and 8.3% in 2025. It also said there were 24,844 expansion members and 13,638 non-expansion members using GLP-1s, with spending of about $156 million and $78.5 million respectively, and that 10 pediatric weight-loss prescriptions were covered under EPSDT. The department said outcome analyses, including whether GLP-1 use reduces insulin or other diabetes treatment, are underway and should be completed in a couple of months. Members asked about cost, rebates, and whether the state should wait for more outcomes data before expanding coverage. DMS said average reimbursement to pharmacies was $975 per prescription and the average dispensing fee was $109; it also said 2025 rebate invoices totaled $90.8 million, with $7.6 million collected so far. Several members expressed concern about the high cost and the need to evaluate whether the drugs improve health outcomes before expanding access, while others noted the potential benefits for obesity and diabetes treatment. Some members also discussed whether GLP-1s are effectively being used for weight loss in diabetic patients and whether broader data collection should be used to assess long-term value. After the Medicaid discussion, Eli Lilly executive Tracy Sims presented on obesity as a chronic disease and the economic burden it creates in Kentucky. She said Kentucky’s adult obesity rate is a little over 37%, that obesity is linked to about 200 diseases, and that untreated obesity costs the state billions in GDP and hundreds of millions in state budget impact. She highlighted recent federal access programs for GLP-1s, including a Medicaid-related program that she said could lower the state share of a Zepbound prescription to about $71 per month after federal matching. No votes were taken on the GLP-1 policy question during the meeting, and the main action was the receipt of testimony and discussion of the department’s proposed regulatory change.
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:
  • Patients may experience periods of stability followed by recurrence.
  • The result is the patient is not questioned out of reality.
  • And it was almost always when the patient came off their medication.
  • My colleague, who was going to speak on real patient examples of how this negatively impacts patients
  • My young patients who don't... girl, those little girls.
Summary: The Joint Committee on the Judiciary held a lengthy hearing on several juvenile justice and parole-related bills, with much of the testimony focused on H. 2051/S. 1087 to end lifetime parole for juveniles and emerging adults, and H. 1923 to raise the age of juvenile court jurisdiction to include 18-, 19-, and 20-year-olds. Chairs Brandy Fluker-Reid and Lydia Edwards opened the hearing by noting the large number of bills and witnesses, the need to keep testimony moving, and special procedures for incarcerated witnesses and sensitive testimony. They also acknowledged the historic nature of the hearing being chaired by two Black women attorneys. No votes were taken during the hearing itself. Many incarcerated speakers and advocates supported ending lifetime parole, arguing that young people can change, that lifetime supervision creates constant fear of technical violations, and that it undermines rehabilitation, family stability, employment, and reintegration. Several testified about their own trauma, youth, and growth in prison programs, while others emphasized the costs of decades of supervision and the racial disparities in the system. Support also came from elected officials, UTEC, the Transformational Prison Project, United Way, CPCS’s Youth Advocacy Division, the Massachusetts Coalition to Prevent Gun Violence, and others, who said juvenile systems are better suited to developmentally appropriate treatment and that the bills would improve public safety and reduce recidivism. There was also opposition, including testimony from family members of a murder victim who argued that lifetime parole should remain for serious violent crimes and that some offenders are not sufficiently rehabilitated. One virtual witness described a family tragedy involving the kidnapping and murder of her infant nephew and warned that ending lifetime parole could remove needed long-term supervision for dangerous offenders. In addition to the juvenile justice bills, the committee heard testimony on H. 1867, a bill related to continuing care for severe mental illness, and H. 2063, which would increase penalties for assaults on correction officers and other prison staff; the correction officers’ union supported H. 2063 and related safety bills. The hearing continued with many more witnesses and bill topics, but no final committee action was announced in the portion provided.
MN

Minnesota 2025-2026 Regular Session

House State Government Finance and Policy Committee 4/3/25

State Government Finance and Policy

Transcript Highlights:
  • I would prefer that this bill be re-referred to Ways and Means.
  • <01:03:25.520><c> form</c> preferred form preferred form is<01:03:26.480><c> there</c><01:03:26.640><
  • New patients can only get prescriptions under clinical trial research.
  • New patients can only get prescriptions under clinical trial research.
  • can only get prescriptions patients can only get prescriptions under<01:22:20.719><c> clinical</c><01
NH

New Hampshire 2025 Regular Session

House Finance (03/12/2025)

Transcript Highlights:
  • Imagine the savings when you consider the thousands of patients in similar situations.
  • patients on hospice services.
  • </c> 8,039 Home Care patients 8,039 Home Care patients 45,2<02:48:40.040><c> 188</c><02:48:40.720><c>
  • </c><02:48:43.640><c> on</c><02:48:43.880><c> Hospice</c> 1,250 patients on Hospice 1,250 patients on
  • </c> is thear largest source of their patient is thear largest source of their patient Revenue<03:19:
Summary: The House Finance Committee opened a public hearing on House Bills 1 and 2, which concern the governor’s proposed FY 2026-2027 budget. The chair explained that the committee must fit the budget to House Ways and Means revenue, which is about $800 million below the governor’s estimate in an almost $16 billion budget. He also noted a projected current-budget overspend, the impact of recently passed legislation, possible fee updates, no new tax proposals at that time, and the importance of federal funding and Medicaid stability. Testimony was limited to three minutes, with the chair asking speakers to avoid duplication. Much of the testimony focused on Medicaid, disability services, and home- and community-based care. Speakers urged the committee to restore or protect funding for transportation, Medicaid, day programs, in-home supports, and behavioral health services. Several individuals and providers described how cuts would affect people with disabilities, medically fragile children, and families who rely on services to remain employed and avoid institutional care. A home care provider argued that a proposed 3% Medicaid cut would increase hospitalizations and costs, while a behavioral health representative asked for sustainable Medicaid rates, uncompensated care support, housing resources, and continued funding for community behavioral health clinics. Another major topic was the Group II retirement provisions in HB 2 for public safety workers. Representatives from police, fire, corrections, probation/parole, and related associations testified in support, saying prior pension changes hurt recruitment and retention, pushed experienced workers to neighboring states, and should be reversed to restore promised benefits. They argued the provisions would help keep public safety careers viable and honor commitments made to first responders. An executive counselor also warned that when the state shifts costs away from itself, local property taxpayers bear the burden, and she opposed cost shifts such as Medicaid premiums and universal vouchers. A separate speaker urged funding public schools rather than universal vouchers, arguing vouchers can leave other students behind as resources are diverted.
TX
Transcript Highlights:
  • to 6,532 patients who are on the waitlist.
  • . obstetrical patients.
  • I'd love to take care of more patients if they can get to us alive.
  • When those patients are treated properly and...
  • Five hundred years ago, the first ambulance took a patient off the battlefield.
Bills: SB1 , SB 1
Committee: Senate Finance
MD

Maryland 2026 Regular Session

Senate Floor Session, 4/7/2026 #1

Maryland Senate Floor Meeting

Transcript Highlights:
  • first comprehensive stroke program, earning approval from MIMS to use helicopters to fly stroke patients
  • </c><00:04:33.120><c> for</c><00:04:33.360><c> immediate</c> fly stroke patients for immediate fly stroke
  • patients for immediate treatment.<00:04:34.560><c> And</c><00:04:34.720><c> she</c><00:04:34.960><c>
  • </c><00:37:09.359><c> with</c> weight management in patients with weight management in patients with
  • to any religious orientations preference to any religious orientations for<01:01:07.680><c> any</c><
Summary: The Senate convened with an invocation by Rabbi Ari Goldstein, whose remarks were journalized at the request of the senator from District 33. The chamber then recognized the doctor of the day, Dr. Maryann Lamont, for her 50 years in medicine and her work in neurology and stroke care, and also thanked a legislative aide, Samantha Briggs, who is leaving for law school. The presiding officer noted a quorum was present and moved into the day’s floor work. The Senate handled several messages and committee reports, including a conference committee appointment on Senate Bill 18, which concerns provisional social work licensure. In Finance, the chamber advanced Senate Bill 246 on Health Services Cost Review Commission member terms, Senate Bill 370 on acupuncture board revisions, Senate Bill 564 creating a Division of Data Protection in the Attorney General’s office and a related work group, Senate Bill 782 on telecommunications infrastructure protections, Senate Bill 808 on health insurance provider panel requirements, Senate Bill 849 on agricultural equipment warranties, Senate Bill 867 on the Maryland Aerospace and Technology Commission, and Senate Bill 982 on mutual insurance holding companies converting back to mutual insurers. Most of these bills were reported favorably with technical or conforming amendments, which were adopted without objection, and each was ordered printed for third reading. The committee also considered several House bills with Senate cross-files or identical measures. These included House Bill 118 on money transmitter licensing, House Bills 339 and 512 on Anne Arundel County Board of License Commissioners compensation, House Bill 1100 on telecommunications infrastructure protections, House Bill 1395 on agricultural equipment warranties, House Bill 1473 creating Maryland’s Future Board, House Bill 226 on Department of Disabilities housing programs, House Bill 278 codifying the Longevity Ready Maryland plan, and House Bill 746 on collaborative care model coverage and cost-sharing limits. In each case, the committee reports were adopted, amendments were approved where offered, and the bills were advanced to third reading or passed for third reading, with no recorded opposition on the floor.
NH

New Hampshire 2026 Regular Session

Senate Executive Departments and Administration (04/15/2026)

Executive Departments and Administration

Transcript Highlights:
  • They said they would leave that to the committee’s discretion as to which one it preferred.
  • /c><00:19:39.200><c> which</c><00:19:39.360><c> one</c><00:19:39.520><c> you</c><00:19:39.760><c> prefer
  • </c><00:19:40.240><c> I</c> discretion as to which one you prefer.
  • I discretion as to which one you prefer.
  • As you know, when they are taking care of their patients, whether it's the emergency department or outpatient
FL

Florida 2026 Regular Session

FL House Floor Session - 2026-03-10 (11:00AM Session)

Florida House Floor Meeting

Transcript Highlights:
  • Representative, I've heard from a lot of NICA families that really prefer the House version.
  • The NICA families do prefer the House version, and this amendment preserves all the material components
  • questions, long hours, and tight deadlines and professionalism with patience and lots and lots of patients
  • And again, we're not mandating quotas or preferences, but local government should have responsibility
  • It's also about promoting the speech that is preferred.
MN

Minnesota 2025-2026 Regular Session

House Commerce Finance and Policy Committee 3/4/25

Commerce Finance and Policy

Transcript Highlights:
  • My preference at the time that we were doing this, when we had the five-year waiver, was to fund reinsurance
  • accepted on<00:55:57.000><c> the</c> on the on the ACA<00:55:58.640><c> my</c><00:55:58.880><c> preferences
  • ><c> the</c><00:55:59.760><c> time</c><00:56:00.079><c> that</c><00:56:00.200><c> we</c> ACA my preferences
  • at the time that we ACA my preferences at the time that we were<00:56:00.520><c> doing</c><00:56:00.839
  • effectively, what it does is that it picks up a piece of the cost of serving the most expensive patients
Bills: HF837
MN
Transcript Highlights:
  • Preferably around two minutes? Yes, sir. Uh, my name is Alicia Lisa.
  • </c><00:05:29.240><c> around</c><00:05:29.840><c> two</c> thank you Mr chair preferable around two thank
  • you Mr chair preferable around two minutes<00:05:30.880><c> yes</c><00:05:31.039><c> sir</c><00:05:31.800
  • that parents are currently excluded from their child's health care records and parent or, sorry, patient
  • healthare records and parent<00:10:07.720><c> or</c><00:10:07.880><c> sorry</c><00:10:08.200><c> patient
HI

Hawaii 2025 Regular Session

CPN-AEN, CPN-EDT, CPN-HOU, CPN-EIG Public Hearings 01-29-2025

Commerce and Consumer Protection

Transcript Highlights:
  • know, if we're not going to be doing, uh, continuing it as a program as it currently is, we would prefer
  • </c><00:27:23.760><c> doing</c> currently is we would prefer doing currently is we would prefer doing
  • But, he said, customers choosing to seek out direct beer shipping are willing to be patient, wait for
  • ><01:16:07.639><c> be</c> beer shipping who are willing to be beer shipping who are willing to be patient
  • and wait for the product willing patient and wait for the product willing to<01:16:09.920><c> pay</c
Summary: The committee first heard SB 252 on invasive species, which would broaden the Department of Agriculture’s authority to inspect items moved into or within Hawaii, prohibit the sale of pest-infested merchandise, and allow quarantine, treatment, or destruction of affected materials with clarified penalties. Testifiers from the Hawaii Invasive Species Council, the Coordinating Group on Alien Pest Species, the Farmers Union, and many others strongly supported the bill, emphasizing gaps in current inspection authority and the need to address high-risk non-agricultural commodities such as outdoor furniture and other cargo that can carry pests like red imported fire ants. Members raised concerns about staffing, inspection capacity, commerce impacts, and whether better manifest descriptions or scanners could help target higher-risk shipments. The chairs recommended passage with Department of Agriculture and technical amendments, and the committees adopted the recommendation. The joint CPN/EDT hearing then took up SB 148 on combat sports, which would create a Hawaii Combat Sports Commission and regulate combat sports while prohibiting no-rules contests. The Department of Commerce and Consumer Affairs offered comments on effective dates and later said other jurisdictions generally use a single commission for boxing and MMA. Supporters, including a professional fighter and a longtime advocate, argued the bill would help revive the sport in Hawaii, improve local opportunities, and reduce costs associated with separate commissions; one testifier initially appeared opposed but clarified he was actually in support. Committee members asked about safety, medical coverage, staffing, vacancies, and whether separate commissions could share staff. The committees ultimately recommended passage with amendments, including an Attorney General effective-date amendment, amendments from the Hawaii Association of Professional Nurses to increase health-care coverage at fights, and DCCA’s recommendation to unify boxing and MMA under one commission; the effective date was deferred to July 1, 2050, and the recommendation was adopted. A later joint CPN/Housing agenda began with SB 69 on deposits of public funds, which would require the Director of Finance to consider the benefits of using in-state depositories, including favorable lending terms for affordable housing. The Department of Budget and Finance and the Hawaii Bankers Association offered comments, and no other testimony or questions were noted before the discussion moved on. The next measure introduced was SB 24 on limited profit housing associations, which would create a regulatory framework and a limited profit housing council; the transcript cuts off as testimony on that bill was beginning.
CA
Transcript Highlights:
  • And person-centered programming honors these needs and preferences and values of those who are being
  • of convey that as your State Public Health Officer, I consider the whole state of California as my patient
  • of convey that as your state public health officer, I consider the whole state of California as my patient
  • .. ...these decreases follow significant state and federal investments for public health to meet patients
  • So I mentioned that the state is my patient and we're trying to listen more, and also listening by using
AZ

Arizona 2026 Regular Session

02/04/2026 - House Transportation & Infrastructure

Transportation & Infrastructure

Transcript Highlights:
  • and rely on an orange symbol indicated on the patient's license. ...identify the patient and rely on
  • Chair, for a pre-hospital medical care directive, like an organ donor or heart patient... ...or heart
  • patient?
  • So I know that your bill mentions a good-faith effort to identify the patient for medical personnel,
  • I would prefer a fully staffed department to be able to effectively enforce the traffic laws, but the
HI

Hawaii 2025 Regular Session

CPN-AEN, HHS-CPN, TCA-CPN, CPN DEFER, CPN, CPN Public Hearings 04-01-2025

Commerce and Consumer Protection

Transcript Highlights:
  • measure will strike subsection B, which would have required a written transfer agreement to transfer a patient
  • measure will strike subsection B, which would have required a written transfer agreement to transfer a patient
  • /c><00:33:32.880><c> to</c><00:33:33.120><c> transfer</c><00:33:33.519><c> a</c><00:33:33.760><c> patient
  • </c> transfer agreement to transfer a patient transfer agreement to transfer a patient from<00:33:34.240
  • Um, I would, because we're in ongoing negotiations with them, I would prefer not to do that.
Summary: At a joint Senate hearing on SCR 198 and SR 178, the committees considered resolutions urging Hawaii insurers and the Hawaii Property Insurance Association to seek subrogation claims against polluters linked to worsening climate impacts and higher insurance costs. Testimony was overwhelmingly supportive, with 47 written testimonies in support and additional oral support from former Honolulu chief resilience officer Josh Tamro. The committees recommended passage with amendments, narrowing the language to refer specifically to polluters who knowingly engaged in misleading and deceptive practices about the connection between their products and climate change, along with technical non-substantive edits. Both committees adopted the amended resolutions by vote. At a separate joint hearing on STR 226 and SR 201, which urged changes to Medicaid 1915 home and community-based services waiver eligibility criteria, supporters argued the current rules and administrative guidance were inconsistent and left some people with intellectual and developmental disabilities, including those with mental health dual diagnoses, without proper access. The Hawaii State Council on Developmental Disabilities and Hawaii Disability Rights Center supported the intent but noted factual issues and said a memo from the department addressed only part of the problem, not the mental health-related concerns. After discussion, the chair concluded the resolution was not the best vehicle and deferred it, suggesting a more comprehensive bill would be needed. The Commerce and Consumer Protection committee also took up HB 799 HD2 SD1 on healthcare and recommended passage with amendments, including striking a written transfer-agreement requirement, shortening the sunset to June 30, 2028, removing a related timeline, and making technical corrections. In another joint hearing, SCR 222 and SR 197, which would have urged towing companies to have on-site ATMs for vehicle owners, drew opposition from the Office of Consumer Protection, which said Act 60 already requires credit and debit card acceptance and that ATMs could let companies evade the law. Members noted ongoing complaints and weak enforcement, and the chair recommended turning the issue into a task force for further study, with decision-making deferred because of quorum issues. The committee also heard several other resolutions: STR 57 and SR 41, urging Congress to create a national reinsurance program, received only supportive testimony; STR 70 and SR 54, calling for a pharmacy reimbursement working group, also drew support; and STR 123, proposing an attorney general-led landlord-tenant working group, received comments from the Attorney General’s Office suggesting a more appropriate lead agency and noting the Legislative Reference Bureau may be better suited to assist. No final adverse action was taken on those measures during the hearing segment described.