Transcript Highlights:

• We have a advisory team as well as the water development commission and the select water committee consider
• We have a advisory team as well as the water development commission and the select water committee consider
• We have a advisory team as well as the water development commission and the select water committee consider
• We have a advisory team as well as the water development commission and the select water committee consider
• We have a advisory team as well as the water development commission and the select water committee consider

Bills: SF0050, SF0068, SF0084, HB0087, HB0029, HB0061, HB0090

Keywords: groundwater, water resource management, state engineer, aquifer study, corrective controls, monitoring wells, public reporting, irrigation, water management, funding, maintenance projects, tax assessments, state law, water conservation, Colorado River, drought, water rights, voluntary program, interstate agreements, water development

Transcript Highlights:

• They included the results of the Gulf Coast Advisory Council's scoring and recommendations.
• What it says is to vet the projects and make a recommendation and give us the projects after the advisory
• uh make give us the projects<00:31:55.440> after<00:31:55.760> the<00:31:56.000> advisory
• <00:31:56.559> committee projects after the advisory committee projects after the advisory

Keywords: Appropriations - Room 216, 28 January, 2026; 8:15 AM, 925, all

Summary: The committee heard a budget presentation from the Mississippi Development Authority (MDA), including its consolidated tourism and agency request. MDA said it has had strong recent results, citing about $65 billion in capital investment since 2020, roughly 25,000 jobs, record tourism, clean audits, and oversubscribed incentive programs. For FY27, the agency requested $26.4 million in general funds, level special-fund operating support, restoration of eight pins reduced in the LBR process, and several general-fund increases for a career ladder, a new HR system, training, and operating costs. MDA also discussed a $1.25 million request for America 250 activities, including a Mississippi event and participation in the National Mall “Great America State Fair,” plus an energy accelerator program tied to the governor’s energy initiative and a broader three-tier energy preparedness strategy. MDA also explained its incentive refill requests, saying it was not seeking additional funding for the ACE grant program this year and had shifted that support toward the governor’s port/rail/road investment fund and energy-ready sites. The agency highlighted a renewed request to restart funding for the small municipal and limited population counties grant program, which it said had previously helped smaller communities with water, sewer, downtown, and other projects. On tourism, MDA presented a breakout showing what the budget would look like if tourism were separated into its own department; officials said the current tourism budget within MDA is about $5.7 million in general funds and $7.9 million total, and estimated about $1.3 million in additional cost would be needed to stand up a separate tourism agency. A significant portion of the discussion focused on criticism from Senator Wiggins that MDA has not delivered enough economic development for the Mississippi Gulf Coast. He argued that constituents believe MDA does little for the coast and objected to the agency’s role in the GCRF and coastal projects, saying the coast has not seen meaningful results in years. MDA officials responded that complaints about uneven distribution are common across the state, that MDA works with local economic development partners rather than dictating project locations, and that it has helped support major coastal projects such as Relativity Space, Lockheed Martin expansions, PCC Gulf Chem, BWC Terminals, and AWS. The exchange also touched on the Port of Pascagoula and local leadership disputes, with both sides disagreeing over whether the port and the coast have been adequately supported. No votes or formal actions were taken in the excerpt.

Transcript Highlights:

• Duhigg, an act relating to health care professional loan repayment, creating the Health Professions Advisory

Keywords: 996, all

Transcript Highlights:

• Creating the Health Professions Advisory Committee to select recipients of loan repayment awards.

Transcript Highlights:

• I also serve on the Rules Advisory Committee convened by the Commissioner of Transportation to support
• The Rules Advisory Committee is steadily making progress and is on track to provide recommendations for
• The<01:13:55.200> Rules<01:13:55.480> Advisory<01:13:55.960> Committee<01:13:56.320
• > is<01:13:56.480> steadily The Rules Advisory Committee is steadily The Rules Advisory
• I've attended almost all the public meetings, community engagement programs, and policy advisory committee

Keywords: 1187, senate, all

Transcript Highlights:

• As the commissioner said too, we're creating an advisory panel with advocates and provider organizations
• 00:47:05.680> we're<00:47:05.839> creating<00:47:06.079> an<00:47:06.319> advisory
• <00:47:06.720> panel too, we're creating an advisory panel too, we're creating an advisory
• So we are committed to again<00:47:32.079> with<00:47:32.240> that<00:47:32.480> advisory
• <00:47:32.960> committee again with that advisory committee again with that advisory committee

Keywords: 1187, senate, all

Transcript Highlights:

• I've also worked specifically on debt settlement as an appointed member. of the CFPB's Consumer Advisory

Keywords: 988, house, all

Transcript Highlights:

• with the Dean of the UF College of Medicine, will now have the authority to appoint members of the Advisory

Summary: The Committee on Education Postsecondary heard two bills. First, it considered Senate Bill 312 relating to the Florida Institute for Human and Machine Cognition. The committee took up a strike-all amendment and then a secondary amendment offered by Senator Fine to clarify that the current University of West Florida Board of Trustees chair would have no role in the organization. Members described the changes as friendly, and both amendments were adopted. The bill, as amended, was then reported favorably by roll call vote. The committee then heard Senate Bill 1624 on higher education, which was presented as a broad higher-education package. The bill would set market-rate out-of-state fees for nonresident online students, revise financial aid and support program language, provide tuition and fee waivers for Florida State Guard members, change rules for adult and career education programs, redirect certain workforce-related funds, rename Hillsborough Community College as Hillsborough State College, rename the Florida Educational Equity Act as the Florida Educational Equality Act, adjust appointments to certain boards and councils, update admissions and scholarship references to include the classical learning test, broaden the definition of opioid antagonist, repeal a grandparent-based out-of-state fee waiver, and strengthen FIU’s Office of Ocean Economy. There was no public testimony or debate, and the bill was reported favorably by roll call vote. The meeting concluded after both measures were approved and no further business was raised.

Transcript Highlights:

• Whether as chairwoman of the Women's Advisory Committee to the Westchester County Board of Legislators
• chairwoman of the Women's Advisory chairwoman of the Women's Advisory Committee<00:08:19.919>
• <03:28:43.439> councils<03:28:43.920> that than the 27 other advisory councils that
• than the 27 other advisory councils that the<03:28:44.560> Department<03:28:44.880> of
• Unfortunately, this long-standing federal advisory committee was shuttered by the Biden administration

Keywords: U.S. House of Representatives Floor Proceedings on Thursday, September 18, 2025, 1012, house, all

Transcript Highlights:

• She serves on the advisory board of Foster America, so we will get that video circulated and we'll try
• She serves on the advisory board of Foster America, so we will get that video circulated and we'll try
• 14:03.599> parent Center has leadership from a parent Center has leadership from a parent advisory
• I am also a member of the Statewide Community Resource Center Advisory Council as a parent representative
• She said she is also a member of the Statewide Community Resource Center Advisory Council as a parent

Keywords: 1187, senate, all

Transcript Highlights:

• The second is to eliminate reference to the advisory council on page nine.
• currently other... ...notes that there are currently other legislative liaisons to the Broadband Advisory
• having two legislative liaisons, not knowing what will happen with that bill or with that specific advisory

Keywords: 916, all

Transcript Highlights:

• transparency perspective, as well as, as Chair Finn had mentioned, within this commission specifically, an advisory
• Also, it would establish a pedestrian safety design advisory group to investigate best practices.
• The pedestrian safety design advisory group would investigate best practices.

Keywords: 995, all

Summary: The Joint Committee on Municipalities and Regional Government held a hybrid hearing on bills related to land use, zoning, permitting, municipal governance, and homelessness. Early testimony focused on a home rule petition for Ipswich to remove a residency requirement for a town manager, with supporters saying it would broaden the applicant pool and help fill a vacant permanent manager position. Another panel backed legislation to change the Springfield Water and Sewer Commission’s governance so ratepayers in surrounding communities would have representation, arguing the current board structure leaves many users without a voice in rate-setting and capital decisions. Several housing and zoning bills drew testimony. Senator Keenan and the Home Builders and Remodelers Association supported a bill to toll the one-year period for acting on a variance while an appeal is pending, saying appeals should not consume the time needed to implement approved projects. Representative Murray and the Real Estate Bar Association also testified on broader zoning reforms, including changes to undersized lots, merger rules, hearing deadlines, appeals, and variance standards; they argued the proposals would reduce delay and uncertainty and help housing production. Committee members questioned whether shifting zoning appeals from de novo to closed-record review would limit new evidence, and the witnesses said the change would speed cases while preserving limited opportunities to supplement the record. The committee also heard testimony on bills to end the criminalization of homelessness. Representatives, advocates, and shelter organizations said local camping bans and fines are counterproductive, especially after the U.S. Supreme Court’s Grants Pass decision, and urged a statewide response centered on housing and public health rather than punishment. Other municipal bills included remote participation in open town meetings for Wayland and a statewide local option, Fairhaven and Mattapoisett charter changes, and Cambridge’s request to use automated parking enforcement and mail parking tickets. The hearing also included testimony supporting fairground zoning flexibility, a Shrewsbury solar siting bill, and an Inspector General bill clarifying county land disposition procedures by requiring written notice to DCAM and a defined response period. No votes were taken during the hearing.

Transcript Highlights:

• It also keeps the stroke advisory involved in identifying and addressing any gaps.
• It also keeps the stroke advisory involved in identifying and addressing any gaps.
• This bill also requires the Department of Public Health to post advisory information about the risks

Keywords: 995, all

Summary: The committee heard testimony on a wide range of public health and emergency services bills, with many speakers focusing on EMS system failures, hospital service closures, trauma preparedness, epilepsy awareness, drink-spiking response, sudden cardiac arrest, and survivor financial assistance. Several legislators and advocates described the EMS system as underfunded and overstretched, citing long ambulance waits, staffing shortages, and the need for statewide oversight, a special commission, and clearer recognition of EMS as an essential service. A number of speakers also supported bills to preserve essential hospital services after closures such as Nashoba Valley Medical Center and birthing services in Leominster, arguing that current closure rules lack enforcement and leave communities without critical care. Multiple panels testified in support of bills requiring trauma kits in public buildings, public education on SUDEP and epilepsy mortality, and improved cardiac arrest response. Supporters of the trauma-kit bill said public buildings should have bleeding-control kits and trained staff, comparing them to AEDs and first aid supplies. Epilepsy advocates, clinicians, and grieving parents urged a public health campaign on SUDEP, saying families are often not warned about the risk and that awareness could improve medication adherence, reduce guilt, and save lives. On cardiac arrest, EMS professionals and the American Heart Association backed measures to improve telecommunicator CPR, create an AED registry, and strengthen dispatch and training standards. The committee also heard extensive testimony on a bill addressing illicit drink spiking. Senators, city officials, victims, physicians, and an international anti-spiking advocate described cases in which hospitals refused toxicology testing unless a sexual assault was reported, and argued for standardized testing protocols, better data collection, and coordination with law enforcement and licensed venues. Another bill drew a sharp exchange over local public health control and the SAFE 2.0 law, with one senator arguing for more local approval and voluntary participation, while committee members defended the earlier law as a response to inequities in local public health capacity. Finally, advocates from Jane Doe, Inc. supported legislation to provide flexible financial assistance to survivors of domestic and sexual violence, saying unrestricted cash helps survivors meet basic needs, escape abuse, and rebuild stability.

Transcript Highlights:

• Thompson speaks to the nuclear decommissioning citizens advisory panel and talks about weapons on the
• For the past 15 years, I've served on the OHV advisory committee appointed by the secretary.
• The current OHV advisory committee, two weeks ago, offered to do an improved safety training online course

Keywords: 995, all

Summary: The committee held a public hearing on several public safety bills, with testimony first on S.2681, Colby’s Law, which would establish safety standards for BMX and motocross tracks. Supporters, including the family of a child killed at a track, argued the bill is needed because some tracks lack basic protections such as barriers, emergency plans, on-site medical staff, and adequate track maintenance. A motocross track representative opposed the bill as overregulation that could impose major costs and argued existing safety efforts and voluntary safety committees are preferable. No vote was taken during the hearing. The committee also heard testimony on S.2680, which would expand emergency preparedness requirements around aging nuclear power plants and nuclear waste sites from a 10-mile to a 50-mile radius. Supporters from Cape Cod Downwinders, Massachusetts Peace Action, physicians, and other advocates said current law is outdated and insufficient, citing risks from radioactive waste storage, limited federal oversight, and the need for broader evacuation and emergency planning. Testifiers urged the bill’s passage, and no action was taken. A major portion of the hearing focused on the Protect Act, H.5158, dealing with limits on cooperation between state/local agencies and federal civil immigration enforcement. Sheriffs testified about how ICE detainers and notification requests work in practice, emphasizing discretion, public safety, and the difference between sentenced prisoners and pretrial detainees. Supporters from labor, education, and health care groups said immigrant communities are living in fear and asked for stronger protections, including bans on 287(g) agreements and clearer limits on ICE activity in schools, hospitals, and other sensitive locations. The hearing also included testimony on H.4697 regarding training and certification of constables and civil deputy sheriffs, with the Hampshire County sheriff saying sheriffs are already working with POST and MPTC on training standards and that the bill may be duplicative.

Transcript Highlights:

• I've served on the State Trauma Advisory Board, the Newborn Screening Advisory Committee, the State Health
• post-inspection survey that will allow us to gather some data, and at the same time we'll convene a technical advisory

Keywords: 1182, all

Transcript Highlights:

• I've served on the State Trauma Advisory Board, the Newborn Screening Advisory Committee, the State Health
• post-inspection survey that will allow us to gather some data, and at the same time we'll convene a technical advisory

Summary: The Committee on Director Nominations met with four members present and approved the prior minutes without objection. Chair Jay Kaufman outlined the committee’s role in reviewing executive nominations and explained the hearing process for three nominees: Mary Foote for the Office of Economic Opportunity, Debbie Johnston for the Department of Health Services, and Chuck Bassett. Foote did not appear for her hearing, and members discussed her absence and alleged omissions in her disclosure materials, including prior service with Planned Parenthood-related organizations. The committee then moved to reject her nomination, and the motion passed 3-2, recommending that the full Senate reject Mary Foote. Debbie Johnston, nominee to lead the Department of Health Services, appeared and gave an opening statement describing her Arizona background, prior Senate staff work, and more than 20 years with the Arizona Hospital and Health Care Association. She said her priorities at ADHS include rebuilding trust in public health licensing, improving stakeholder engagement, standardizing rulemaking communication, addressing alleged religious discrimination and retaliation concerns in licensing, and using technology and AI to improve efficiency. In questioning, senators pressed her on her management style, conflict-of-interest safeguards given her prior industry role, enforcement priorities, budget pressures, behavioral health and assisted living oversight, and the department’s response to COVID-19. Johnston said she would follow statutes, recuse herself from enforcement matters involving former contacts, and resign if directed to carry out an unlawful policy. She also said the department does not regulate therapy itself, only facilities, and that it would rely on legal counsel regarding the governor’s conversion-therapy executive order and related federal civil-rights allegations. Several senators focused on public health trust and the department’s pandemic response, with Johnston acknowledging concerns about closures, data collection, and communication during COVID-19 while saying she would review past after-action materials and be better prepared in the future. Public testimony from stakeholders in aging services and health care strongly supported her confirmation, praising her accessibility, responsiveness, and collaborative approach. After testimony, the vice chair moved to recommend Johnston’s confirmation to the full Senate. The roll call was underway when the transcript ended, with several members voting aye and one member expressing reservations about her not reviewing the pandemic after-action report before another crisis occurs.

Transcript Highlights:

• Bill 537 by Representative Cruz, an act in Titles 23 and 36 relative to the Workers' Compensation Advisory
• Council, to repeal the Workers' Compensation Advisory Council.
• Members, all this bill does is eliminate the Workers' Compensation Advisory Council.

Bills: SB524, SR108, SR109, SCR56, SCR57, SCR12, HB227, HB398, HB689, HB897, HB1029, HB1107, HB1217, HB221, HCR58, HB136, SB162, SB382, SCR33, SCR30, SB112, SB194, SB307, SB341, SB346, SB363, SB495, SB503, SB507, SB509, SB513, SB408, SB131, SB145, SB333, SB464, SB466, SB500, SB283, SB338, SB488, SB35, SB65, SB215, SB228, SB246, SB249, SB268, SB269, SB282, SB296, SB312, SB319, SB323, SB369, SB431, SB474, SB484, SB490, SB492, SB501, HCR14, HB537, HB652, HB653, HB661, HB726, HB756, HB851, HB964, HB966, HB34, HB35, HB48, HB474, HB553, HB758, HB852, HB10, HB16, HB36, HB44, HB46, HB52, HB61, HB78, HB98, HB102, HB124, HB126, HB131, HB135, HB141, HB142, HB164, HB170, HB171, HB179, HB194, HB231, HB245, HB280, HB292, HB294, HB297, HB305, HB336, HB337, HB351, HB436, HB594, HB789, HB956, HB957, HB995, HB1040, HB50, HB117, HB120, HB122, HB139, HB148, HB149, HB185, HB199, HB247, HB271, HB286, HB301, HB358, HB359, HB384, HB413, HB428, HB450, HB462, HB547, HB613, HB631, HB657, HB669, HB675, HB680, HB691, HB712, HB716, HB720, HB723, HB727, HB728, HB735, HB747, HB759, HB825, HB842, HB845, HB846, HB903, HB904, HB907, HB923, HB929, HB941, HB962, HB965, HB1036, HB287, HB370, HB515, HB521, HB570, HB1200, HB29, HB39, HB58, HB67, HB73, HB76, HB77, HB82, HB112, HB121, HB125, HB132, HB134, HB151, HB154, HB155, HB161, HB166, HB187, HB191, HB207, HB211, HB224, HB238, HB241, HB242, HB250, HB260, HB265, HB275, HB300, HB320, HB338, HB339, HB349, HB379, HB399, HB427, HB463, HB464, HB468, HB545, HB550, HB551, HB565, HB588, HB639, HB725, HB782, HB805, HB808, HB834, HB847, HB853, HB858, HB861, HB883, HB916, HB937, HB977, HB1012, HB1027, HB1044, HB1054, HB1071, HB1091, HB1117, HB119, HB129, HB677, HB850, SB68, SB149

Keywords: Jump Start, career and technical education, CTE, career diploma, career pathways, workforce development, high school diploma, career major, individual career and academic plan, ICAP, individual graduation plan, IGP, work-based learning, apprenticeship, internship, dual enrollment, articulation agreement, transfer credit, rural schools, rural LEA

Transcript Highlights:

• bill places oversight under the Louisiana State Board of Medical Examiners, creates a naturopathic advisory
• second, places oversight under the Louisiana State Board of Medical Examiners, creates a naturopathic advisory
• It modifies the naturopathic physician board into an advisory council that provides recommendations to

Bills: HB946, HB1093, SB26, SB29, SB30, SB195, SB219, SB222, SB255, SB314, SCR2, SCR22

Keywords: healthcare transparency, hospital pricing, consumer protection, collection actions, fines, naturopathic medicine, Louisiana Board of Naturopathic Medicine, licensing, healthcare, prescriptive authority, natural therapies, opioid treatment, regulation, addiction recovery, state law, SB 29, Act 732, coroner, autopsy, child death

Summary: The committee first heard and favorably reported SB 255, which expands the educational qualifications for psychosocial rehabilitation services to include health sciences and therapeutic recreation degrees, and SB 314, which cleans up prior language on community psychiatric support and treatment services so a limited scope certified social worker license can still be issued even if the applicant is slightly late renewing. Members and witnesses said both bills were intended to improve access to behavioral health services, especially in rural areas, and there was no opposition on either measure. The committee then advanced SB 26, which repeals facility need review for opioid treatment programs to make it easier to open more OTPs in Louisiana, and SB 29, which requires child autopsy reports to include immunization records and access to the LINKS vaccine database. SB 29 drew some concern about whether singling out immunizations could imply causation, but the author and supporters said the bill is only about adding data and that the records would be part of broader medical information. Both bills were reported favorably. Members also reported favorably SB 30, as amended, to allow telehealth for obesity/weight-management treatment with synchronous interaction and other safeguards, though some providers warned the language should not unduly limit future board authority. SB 219 was approved to create an Office of Health and Nutrition within LDH, with testimony from the department, the Alzheimer’s Association, and Pennington Biomedical supporting the focus on nutrition, physical activity, and brain health. SB 222 was reported favorably with amendments to reduce duplicative behavioral health administrative requirements, streamline supervision rules, and expand telehealth for psychosocial rehabilitation. The committee also approved SB 195, the “Danny’s Dose” EMS bill, allowing EMS personnel to administer a patient’s own prescribed time-critical medication in emergencies; testimony from families with rare conditions described life-threatening delays under current rules. Finally, SCR 2 was adopted to update hospital construction standards to the most recent Facility Guidelines Institute edition, and SCR 22 was reported favorably to request a more detailed legislative auditor report on opioid settlement spending and outcomes. The committee then began hearing HB 1093 on naturopathic medicine, with the author proposing a licensing framework under the State Board of Medical Examiners and a large amendment set; members raised questions about scope, prescriptive authority, training, and whether the profession should have its own board, but no final action on the bill was taken in the portion provided.

Transcript Highlights:

• second—places oversight under the Louisiana State Board of Medical Examiners, creates a naturopathic advisory
• second, places oversight under the Louisiana State Board of Medical Examiners, creates a naturopathic advisory
• It modifies the naturopathic physician board into an advisory council that provides recommendations to

Summary: The committee first heard and favorably reported SB 255, which expands eligibility for psychosocial rehabilitation services by adding health sciences and therapeutic recreation degrees to the list of acceptable educational backgrounds. Supporters said the change would help address workforce shortages and improve access in rural areas. SB 314 was then reported favorably; it cleans up prior law so a limited scope certified social worker license can still be used for community psychiatric support and treatment services even if the application is filed after the CSW license has expired, rather than being barred by a timing restriction. The committee next took up several bills by Chairman McMath. SB 26, which repeals facility need review requirements for opioid treatment programs, was reported favorably after members and witnesses said Louisiana has too few OTPs and that removing the review would improve access, especially in rural areas. SB 29, requiring review and reporting of a child’s immunization records in certain unexpected death autopsies, was reported favorably despite questions about whether the bill should refer more broadly to medical records; supporters said the data could help evaluate vaccine-related concerns, while opponents raised concerns about singling out immunizations. SB 30, dealing with telehealth for obesity/weight management, was amended and reported favorably; the committee adopted technical amendments and a conceptual amendment replacing “metabolic condition” with “weight management services,” while witnesses debated patient safety, board authority, and whether the bill should limit agencies’ ability to restrict telehealth in the future. The committee also reported favorably SB 219, which creates an Office of Health and Nutrition within LDH. Supporters from the department, the Alzheimer’s Association, and Pennington Biomedical said the office would strengthen coordination on nutrition, physical activity, and brain health, and cited high Alzheimer’s costs and prevalence in Louisiana. SB 222, which streamlines Medicaid behavioral health administrative requirements and expands telehealth for psychosocial rehabilitation, was reported favorably with amendments after supporters described workforce and rural access barriers. SB 195, the “Danny’s Dose EMS Treatment Act,” was reported favorably; it would allow EMS personnel to administer a patient’s own prescribed time-critical medication in emergencies, and testimony from a parent and physician described life-threatening delays under current practice. The committee also adopted SCR 2, updating hospital architectural standards to the most recent Facility Guidelines Institute edition, and SCR 22, requesting a more detailed legislative auditor report on opioid settlement expenditures; members said they wanted clearer outcome data and planned to refine the language before floor debate. Finally, HB 1093 on naturopathic medicine was introduced and heavily amended, with the bill shifted under LSBME oversight and a large set of changes discussed, but no final action was taken in the portion provided.

Transcript Highlights:

• We also have Hawaii Self-Advocacy Advisory Council in support, James Kilgore of Full Life in support,
• to the administration, like federally or DHS Med-Quest, but if CMS has the full control, and it's Advisory
• Council in support, James Advisory Council in support, James Kilgore<00:13:39.760> of<00:13:39.880

Keywords: 912, senate, all

Summary: The Health and Human Services committee hearing opened with notice that the meeting was being streamed and could reconvene later if technical problems forced an abrupt end. The chair also announced a one-minute testimony limit and proceeded through several bills, taking mostly written and oral support testimony and asking limited questions. No votes were taken in the portion provided. HB 1626, relating to youth penalties, drew strong support from the Office of Hawaiian Affairs, youth advocates, the ACLU, the Department of Education, and others. Testifiers said financial sanctions on youth are ineffective, disproportionately burden Native Hawaiian youth, and function as poverty penalties; they urged replacing fines with community service, restorative practices, and ʻāina-based programs, and eliminating uncollectible legacy debt. The chair moved on after no member questions. HB 1643, relating to pharmacy, was discussed with support from the Hawaii Pharmacists Association, Kaiser, the Board of Pharmacy, independent pharmacies, and PBM representatives. Testimony focused on amendment language, audit procedures, HIPAA concerns, and the need for flexibility for small island pharmacies. HB 1668, relating to Medicaid, received broad support from disability advocates and the Department of Human Services; witnesses said CMS had already approved the underlying state plan amendment removing income and asset limits for certain workers with disabilities, but they wanted the protection codified in law to preserve it long term. The chair asked whether codification was necessary and was told it would not be harmful and would help ensure continuity if federal policy changed. The committee then heard HB 1550 on drug paraphernalia and syringe access, with support from Shipta and the Department of Health; testimony emphasized preserving flexibility for the statewide syringe access program to respond to emerging drugs like xylazine. HB 1974, relating to health, was presented as a planning measure for hearing loss; testifiers said Hawaii lacks a comprehensive hearing-loss plan and that the bill would fund a state planning process, not direct services. HB 1858 on vital statistics drew support from clinicians and medical organizations, who said better data on spontaneous fetal deaths is needed and that the term used in the bill is standard medical and CDC terminology. HB 1871 and HB 1966 also received support, with HB 1966’s EMS special fund prompting discussion about the cigarette-tax revenue source; the chair questioned the nexus to EMS, and the Department of Health said the revenue currently funds the special fund and there is no alternative funding stream.