Video & Transcript Research : 'algorithmic decision making'
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ND
North Dakota 2025-2026 Regular Session
House Appropriations - Human Resources Division Apr 10th, 2025 at 02:30 pm
Appropriations - Human Resources Division
Transcript Highlights:
- I just want to make sure I have it understood. Mr.
- decisions have the full authority on those financial issues to make a budget.
- But I'm still trying to process some of that and trying to make hard decisions and moving forward for
- I'll make sure I'm ready. Okay.
- That makes sense. And that's what we're looking at.
Summary:
The committee reconvened to work through the amended version of Senate Bill 2025, beginning with a clarification from the Department of Veterans Affairs on the source of funds used to cover the commissioner’s salary equity increase. Commissioner Lonnie Wong explained that the money came from federal highly rural transportation grant administrative/salary funds, within the allowable 10% administrative cap, and that the department had not exceeded that limit. The committee then reviewed the major House changes to the veterans budget, including funding for a veterans benefits specialist FTE, salary equity increases for veterans service officers, additional operating funds, one-time funding for homeless veteran services and the Veterans Post-War Trust Fund, carryover authority for Fisher House and veterans transportation projects, accrued leave, and a document scanning project. Members also discussed a section changing governance authority for veterans affairs and the veterans home, with questions about the ACOVA board and the governor’s appointment authority.
The committee debated the appropriateness of using federal grant administrative funds for salary adjustments and the broader shift in authority over veterans affairs, with some members emphasizing legislative control over salaries and budget decisions and others supporting the reorganization as a way to improve administration. After discussion, Amendment 25.092.0203 was moved, seconded, and adopted on an 8-0 roll call. The committee then moved SB 2025 as amended, and that motion also passed 8-0.
The meeting then shifted to Department of Corrections and Rehabilitation budget issues, where members reviewed FTE reductions, salary equity funding for correctional officers and parole/probation officers, and the status of federal ARPA dollars that had previously been used to backfill salaries and bonuses. DOCR officials described pay levels for correctional officers and compared them with county jail wages, arguing that the proposed equity funding was needed for retention and competitiveness. Members also discussed transitional facility costs, women’s treatment unit funding, and county jail overflow housing, including new or planned bed capacity in Grand Forks, Burleigh-Morton, Rugby, and other facilities. The committee agreed to continue refining the budget through a new long sheet and planned to request amendments for consideration in the following days before adjourning.
MN
Minnesota 2025-2026 Regular Session
Committee on Judiciary and Public Safety - 03/04/26
Judiciary and Public Safety
Transcript Highlights:
- make any final decisions before we can make any final decisions as<00:47:23.040>
a <00:47:23.200 - based on that data that they refuse to share with the counties who are making the decision.
- c> on<02:11:29.199>
that right to make uh decisions based on that right to make uh decisions - <02:11:39.920>
decisions who are making the decision. decisions who are making the decision - <02:38:56.240>
those certainly not going to make those certainly not going to make those decisions
HI
Hawaii 2026 Regular Session
CPC Public Hearing - Thu Apr 9, 2026 @ 2:00 PM HST
Consumer Protection & Commerce
Transcript Highlights:
- provision to make to make the project provision to make to make the project work.<00:16:33.120><
- Did you guys figure it out for sure before we break for decision making?
- before we break for decision making? before we break for decision making?
- bad or good decisions. bad or good decisions.
- All right, reconvening for decision making.
Keywords:
SB3302, homemade food products, farm kitchens, home kitchens, Department of Health, DOH, food safety, food labeling, value-added agriculture, small farms, agricultural land, commercial food establishment permit, cottage food, direct-to-consumer sales, local food systems, Hawaii Revised Statutes, chapter 91, farm-to-table, food processing, public health regulation
Summary:
The committee on Consumer Protection and Commerce met on April 9, 2026, and heard testimony on several measures. SB 3302 SD1 HD1, dealing with homemade food products, would require the Department of Health to adopt rules for farm kitchens producing homemade food products that are no more stringent than rules for home kitchens. The Department of Health said it supported the bill with technical amendments, and the Hawaii Food Industry Association and Grassroot Institute of Hawaii also supported it. No opposition was heard.
A lengthy discussion focused on SB 2061 SD2 HD1, which concerns a 99-year leasehold residential condominium project and HCDA’s rules for sales, income restrictions, and buyback pricing. HCDA supported the bill and said the House draft clarified unclear provisions and would help move the project to pre-sales. Testimony and committee questions centered on whether the project should remain owner-occupied in perpetuity or allow investor purchases after an initial sales period. HCDA explained that the bill was revised to make the project feasible in the market, that 60% of units would be income-restricted for buyers at or below 140% of area median income, and that the remaining units could be sold without owner-occupancy restrictions. Some members and testifiers expressed concern that the bill had shifted away from the original owner-occupancy vision and could become an investment property model, while others argued the changes were necessary for the project to pencil out and compete with fee-simple developments. No vote was taken during the discussion shown.
The committee also heard SB 2050 SD1 HD1, which would allow chiropractic students in accredited programs to engage in clinical practice beginning July 1, 2028. The Hawaii Board of Chiropractic and the Hawaii State Chiropractic Association supported the measure, and one testifier described personal experience with student chiropractic care in California. Members questioned why the board requested delaying implementation until 2030, and the board said it needed more time to develop rules because it meets only a few times a year and rulemaking is lengthy. Finally, SB 2102 SD2 HD1, on industrial hemp in commercial feed, was introduced; the Department of Agriculture and Biosecurity offered comments, the Department of Health raised concerns about regulating pet food and possible jurisdictional conflict, and a farmer testifying in support suggested narrowing the bill to federally approved livestock feed rather than pet food.
MN
Transcript Highlights:
- Did led to that decision back in 2024.
- it work with the staffing and make it work with the staffing and decisions<01:09:20.880>
that - Those around me had various hypotheses such as the former superintendent didn't make good decisions or
- the former superintendent didn't make the former superintendent didn't make good<01:24:58.239>
- >
board <01:24:59.679>was good decisions or the school board was good decisions or the - >
Keywords:
education finance, lease levy authority, graduation ceremonies, school districts, Minnesota Statutes, local revenue, funding increase, education, state appropriation, local control, HF3371, local optional revenue, school finance, general education aid, school district funding, referendum revenue, referendum market value, equalization aid, state aid, property tax levy
HI
Transcript Highlights:
- We have four agendas today, and all four of them are decision-making only agendas for this Judiciary
- decision-making on it at the time. decision-making on it at the time.
- We delayed decision-making on earlier.
- > decision-making<00:14:27.440>
agenda. - an uh earlier decision-making agenda. an uh earlier decision-making agenda.
Bills:
SB2057
Keywords:
immigration enforcement, sanctuary policy, detainer, ICE, federal immigration authorities, 8 U.S.C. 1357(g), 8 U.S.C. 1373, 8 U.S.C. 1644, deportation, undocumented immigrants, noncitizen, migrant rights, local police cooperation, law enforcement cooperation, hold request, judicial warrant, probable cause, civil immigration enforcement, county police, state police
Summary:
The Judiciary Committee met on Thursday, March 5, for a series of decision-making agendas and considered a long list of Senate bills. Early measures included SB 2151, which clarifies state and local authority during emergencies and revises the definition of “emergency”; the committee agreed to restore the broader, long-used definition and add a sunset date, then passed the bill with amendments. SB 3055, concerning false impersonation of an employee organization representative, was amended to remove liquidated damages and passed. Several technical or conforming bills also advanced, including SB 3067, SB 3077, SB 3131, SB 3134, SB 3144, SB 3152, SB 3154, and SB 3249, with most passed with technical amendments or unamended; some members noted reservations on SB 3249.
The committee also took up bills affecting public safety, health, and education. SB 3083 was amended to narrow notice requirements for protective orders involving military-affiliated individuals to a designated military security force, and SB 3118 on the Interstate Compact on Educational Opportunity for Military Children passed as is. SB 3134 modernized emergency medical services statutes, while another SB 3134 item addressed dangerous intoxication and civil protective custody. SB 3262, requiring the Hawaii State Teachers Board to submit nominees to the Board of Education, was amended to include a defective effective date. SB 3315, allowing a one-time medical cannabis purchase while registration is pending, was also amended to a delayed effective date and passed.
A substantial portion of the meeting focused on law enforcement and immigration-related proposals. SB 3322, which restricts facial coverings by law enforcement, requires visible identification, and sets agency policies on cooperation with federal immigration enforcement, was amended to remove an affirmative defense, make the penalty a misdemeanor, and incorporate exceptions for undercover work and related preparation; it passed with one no vote. SB 3251, barring certain former ICE and Border Patrol personnel from employment in specified state agencies, was narrowed to apply to those with more than 90 cumulative days of such work during a defined period and passed with reservations. SB 2057, a reconsideration measure limiting use of state personnel and funds to assist federal immigration agents beyond their authority, was further amended to clarify definitions, protect First Amendment activity, and preserve cooperation required by federal law; it then passed without objection. The committee adjourned after adopting each measure considered.
NM
New Mexico 2025 Regular Session
IC - Legislative Education Study May 29th, 2025
Transcript Highlights:
- But who ultimately makes the decision on where these grant blocks will be distributed?
- What decisions you all want to make about protecting those students that are federally protected currently
- Uh I don't know that we were necessarily trying to imply that you had to make any sort of uh formal decision
- Particularly when making difficult budgetary decisions that need to survive political and economic shifts
- Um, I think that's part of the decision that the PED would have to make, and that the ideally the outside
HI
Hawaii 2025 Regular Session
HHS-HOU, HHS-LBT, HHS-CPN, TCA-HHS, AEN-HHS Public Hearings 02-07-2025
Health and Human Services
Transcript Highlights:
- Can we go on to decision making?
- Can we go on to decision making?
- The chair's recommendation will be to defer decision making.
- <01:11:01.000>
making <01:11:01.320>we will be to defer decision making we will be - <01:12:32.280>
making as well so we will defer decision making as well so we will defer decision
Summary:
The joint Housing and Health and Human Services hearing began with Senate Bill 878, which would extend the sunset date for the state rent supplement program for kupuna to June 30, 2028. Testimony was uniformly supportive, including from the Statewide Office on Homelessness and Housing Solutions, Hawaii Public Housing Authority, Executive Office on Aging, Catholic Charities Hawaii, and others. Catholic Charities described a waitlist of seniors at imminent risk of homelessness and said the program helps seniors retain housing or secure units with landlord support. Members asked whether the bill would expand the number of households served; staff said the contract allows up to 127 households and that additional pending households could be funded, but applicants must still go through the program process. Both committees voted to pass SB 878 unamended.
The committees then heard Senate Bill 1610 on Ohana Zones. The Statewide Office on Homelessness and Housing Solutions supported the measure so long as it did not supplant existing funding, and described the funding as supporting homelessness services and wraparound supports. The Department of Human Services and Department of Land and Natural Resources offered comments, with DHS suggesting a definition of “kali” be added for clarity. The committee chair said the bill would receive technical amendments for clarity and consistency and accepted proposed amendments related to including “tales” in the program; the measure was advanced with amendments, with members voting in favor in both committees.
In the joint Health and Human Services and Labor and Technology hearing, Senate Bill 1496 on civil rights and website accessibility drew support from disability advocates and organizations, including the Hawaii State Council on Developmental Disabilities, the National Federation of the Blind, the Deaf and Blind Task Force, and the Disability and Communication Access Board. Testimony emphasized the need for stronger state protections amid concerns about federal enforcement, while one testifier raised concerns about jurisdiction, minimum contacts, the use of WCAG 2.1 standards, and the bill’s immediate effective date. The committees decided to pass SB 1496 with technical amendments, including adding a defective date to allow further work before conference, and the recommendation was adopted in both committees.
Later, the joint Health, Human Services, and Commerce and Consumer Protection hearing took up Senate Bill 404 on service animals. The Attorney General’s office raised a possible constitutional issue and the lack of an enforcement mechanism, while DHS deferred to other agencies. DCAB supported the bill but recommended amendments to identify an enforcement agency and require notices from professionals and sellers of service-animal or emotional-support-animal paraphernalia. Several advocacy and real estate-related groups testified in support. After discussion, the chair recommended deferring SB 404 for further work because of the Attorney General’s concerns, and the hearing adjourned without a vote on the measure. The final joint Transportation, Culture and the Arts, and Health and Human Services agenda heard SB 1526 on a drug and alcohol toxicology testing laboratory and SB 1492 on mobility management; both measures were advanced with amendments or as-is, with SB 1526 sent forward with technical amendments and SB 1492 moved ahead after members noted blank dollar amounts and requested the Department of Transportation provide figures.
MN
Minnesota 2025-2026 Regular Session
House Fraud Prevention and State Agency Oversight Policy Committee 3/9/26
Fraud Prevention and State Agency Oversight Policy
Transcript Highlights:
- Data analytics to support informed decision-making. Use of GPS cameras and biometrics.
- threatening to do harm to leadership, were that I was found to have questioned the competency in the decision-making
- The result of all of that was that I was found to have questioned the competency in the decision-making
- prepared to thoroughly investigate that, gather accurate information and make informed decisions.
- This is not my decision, Father. This is your decision.
TX
Texas 89th Regular
Senate Committee on Health and Human Services (Part I) Apr 9th, 2025
Health & Human Services
Transcript Highlights:
- The physician's decision-making and the trust of their patients should dictate the next steps. steps
- They are making prescription drug costs go 12%. Now employers have a decision.
- That's a decision that employer makes.
- And yes, there are certain rules, but there are decisions that we can make because of our education.
- Independent reviews can only inform sound decision-making, and from the TMA, we support that.
Bills:
SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069
Keywords:
school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity
FL
Transcript Highlights:
- How is that decision made?
- that decision on return to play.
- That decision on return to play.
- Even though we've got great coaches, they can't make the decision.
- And the last thing I'll say is this: whoever makes the decision on how a player returns, and one of the
Summary:
The Health Policy Committee heard and advanced several health-related bills. SB 1546 on background screening for athletic coaches was explained as another extension of the deadline for coaches to be added to the background screening clearinghouse; it passed favorably with support from athletic and youth sports organizations. SB 958 on type 1 diabetes early detection was amended to match the House version, requiring the Department of Health to provide school districts, school boards, and charter schools with informational materials for parents; it was reported favorably as a committee substitute. CS/SB 1070 on electrocardiograms for student athletes drew extensive discussion about sudden cardiac arrest prevention, implementation timelines, costs, funding through private and public sources, and whether insurance, KidCare, or Medicaid should cover screenings; after supportive testimony from school and athletic groups, it was reported favorably as a committee substitute.
The committee also heard SB 1060, which would create a joint legislative oversight committee for Medicaid managed care to review encounter data, financials, audits, and rebate calculations with assistance from an actuary and the Auditor General. The sponsor and several senators framed it as a transparency and verification measure in response to large mid-year Medicaid funding increases and concerns about network adequacy and vertical integration; it passed favorably. CS/SB 944, which shortens the insurer overpayment recovery look-back period for claims involving psychologists from 30 months to 12 months, also passed favorably with support from the Florida Psychological Association. SB 1370, moving ambulatory surgical centers into their own statute rather than under hospital licensure provisions, was supported by surgery center representatives and reported favorably.
The committee approved SB 768, as amended, to narrow the foreign-country-of-concern licensure attestation for health care entities to direct controlling interests and clarify the “reasonable efforts” standard; it passed after questions about how the standard would work in practice. SB 1544 on opticianry prompted significant debate over whether the bill would limit nonlicensed staff in ophthalmology and optometry settings; after a proposed amendment was withdrawn and multiple witnesses spoke both for and against, the bill was temporarily postponed. Finally, the committee adopted a strike-all amendment to SB 1808 requiring health care practitioners and facilities to refund patient overpayments within 30 days, with enforcement through AHCA fines or professional discipline, and then reported the bill favorably.
HI
Transcript Highlights:
- So, with that, decision-making agenda.
- So, um, um, um, do some decision-making now on the two measures on SB 2094.
- So, um, um, um, do some decision-making now on the two measures on SB 2094.
- So, um, um, um, do some decision-making now on the two measures on SB 2094.
- Decision-making on Tuesday, February 17th at 3 p.m. here in Room 225.
Bills:
SB2064, SB2662, SB2862, SB2343, SB2075, SB2781, SB2927, SB3068, SB3015, SB2929, SB2938, SB3230, SB3249, SB3332, SB3216
Keywords:
state architect, construction projects, design approvals, building codes, state agency oversight, government accountability, external consultants, procurement reform, cost efficiency, in-house expertise, gubernatorial appointments, senate confirmation, executive branch, accountability, civil service, SB2343, Hawaii Legislature, regular session, lengthened session, continuous legislature
Summary:
The committee met on February 12, 2026, to take decision-making on measures previously heard earlier in the month. Several bills were deferred indefinitely or set for later discussion, including SB 2064 on the Office of the State Architect, SB 3068 on procurement, and SB 3216 after its contents were moved into another measure. SB 2862 on gubernatorial appointments, SB 2781, and SB 315 were all deferred to Tuesday, February 17 at 3 p.m. in Room 225 for further work. The committee also noted that if technical problems interrupted the meeting, it would reconvene later for outstanding decision-making.
The committee passed SB 2343 on the Legislature with amendments incorporating language from SB 3216, technical changes, and a defective date of 2525. SB 2075 was advanced as a Senate draft 1 after amendments responding to constitutional concerns raised by the attorney general and SPO. SB 2927 on procurement was also passed with amendments clarifying debriefing requirements and adding technical changes, and SB 2938 on search and rescue was amended to place the position in Hima rather than the Governor’s office before being adopted. SB 3249 on procurement protests was amended to remove the term "frivolous," reduce the forfeiture to half the bond amount, and note unresolved issues, then adopted.
The committee also took up SB 3332 on state-funded travel, amending it to remove certain lines, report travel by position number to protect confidentiality, remove subsection G, and add a defective date of 2525; it was adopted. SB 2929 on public notice was amended into a pilot project for counties with populations between 100,000 and 175,000, with a year-end report to the Legislature, and was adopted. Later, the committee returned to SB 2094 on environmental action levels, heard testimony from the Department of Health in support of its current scientific process and from an environmental caucus witness in strong support of the bill’s transparency and petition provisions, and then deferred decision-making to February 17 at 3 p.m. in Room 225.
In the joint hearing portion, SB 3233 on agricultural workforce housing drew generally supportive testimony from ADC, the Farm Bureau, the Chamber of Commerce, the Hawaii Farmers Union, and the State Procurement Office, with concerns focused on clarity, flexibility for smaller farms, and avoiding concentration of benefits in one large operation. The committee ultimately recommended passing SB 3233 with the State Procurement Office’s clarifying amendments and the Hawaii Farmers Union’s amendment to ensure workforce housing incentives benefit multiple farmers, and the measure was adopted.
MN
Transcript Highlights:
- I humbly come before you seeking your wisdom and guidance for these that will make weighty decisions
- I humbly come before you seeking your wisdom and guidance for these that will make weighty decisions
- We can, as people, have informed consent, know the risk, and then make that decision if we are to go
- some decisions differently, he had to make decisions in an atmosphere of great uncertainty and a lot
- some decisions differently, he had to make decisions in an atmosphere of great uncertainty and a lot
NM
New Mexico 2026 Regular Session
House - Consumer and Public Affairs Feb 5th, 2026 at 02:49 pm
House Consumer & Public Affairs
Transcript Highlights:
- But that is something that's kind of bothering me now, so I'll make a decision here in just a minute.
- So I'll make a decision here in just a minute. Thank you. Madam Chair, can I just? Yes, go ahead.
- that decision.
- Take a case up, and let's let the court make that decision.
- And then different DAs would make the choice: Are we going to wait for this decision to come down and
TX
Transcript Highlights:
- decisions regarding things.
- All of these decisions that those of us who are parents make every single day for our children to presumes
- that parents will make the best decision for their child without the need for. a court to come in and
- second-guess those decisions or micromanage that decision-making.
- other decisions for non-parents?
Keywords:
judicial bond, guardianship, probate law, county judge, statutory county court, attorney general, criminal prosecution, public order, law enforcement, jurisdiction, attorney ad litem, parent-child relationship, compensation, legal representation, government entity, probate, court proceedings, record delivery, wills, legal documentation
MN
Minnesota 2025-2026 Regular Session
Judiciary Committee Meeting - 2026-04-14
Judiciary Finance and Civil Law
Transcript Highlights:
- If an adult needs help making financial decisions, the court typically appoints a conservator.
- and an expansion of supported decision-making as a state and legislature.
- ability to make a lot of the decisions ability to make a lot of the decisions that<00:39:35.520>
- - um they mentioned supported decision- um they mentioned supported decision- making<00:39:44.079
- Some requests, including those related to the decision-making of DCYF, remain unfilled.
Keywords:
foster care, ombudsperson, investigative powers, children's rights, complaint process, HF4428, Medical Assistance, Medicaid, community engagement, work requirement, work mandate, employment requirement, community service, 80 hours, half-time student, income threshold, federal minimum wage, eligibility verification, benefit suspension, benefit termination
KY
Transcript Highlights:
- And what this bill does is it lines out and it specifically says when it comes to making decisions based
- The language clarifies that not only do they make those decisions, but they can use any professionals
- <00:07:33.680>
those <00:07:33.919>decisions, not only do they make those decisions - , not only do they make those decisions, but<00:07:34.560>
they <00:07:34.800>can <00:07 - help and aid in those decisions. help and aid in those decisions.
MN
Transcript Highlights:
- Your motions to make all of this happen.
- Lastly, We know the decisions around reductions are not easy, and while I know it was a difficult decision
- It shows what those who are making the budget value.
- This committee had to make incredibly difficult decisions due to predicted future deficits.
- They do make a huge difference in our children's lives.
Bills:
HF1388
Keywords:
BARR Center, Building Assets, Reducing Risks, education finance, school funding, grant appropriation, evidence-based program, student achievement, social and emotional learning, school climate, teacher effectiveness, high school graduation, students in poverty, students of color, BIPOC, equity in education, Minnesota Department of Education, urban schools, suburban schools, rural schools, school coaching
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 4 on Climate Crisis, Resources, Energy, and Transportation Apr 30th, 2025
Transcript Highlights:
- She's getting ready to make.
- these decisions.
- We have some factors that we think are really important to consider as you're making these decisions.
- The timing for you doing that review is really incompatible with the timing where we are making decisions
- decisions about this program.
Summary:
The Budget Subcommittee No. 4 hearing focused on the Greenhouse Gas Reduction Fund (GGRF) and cap-and-trade reauthorization, with members and panelists discussing how to balance climate goals, affordability, and legislative oversight. The chair emphasized the hearing as a broad review of past GGRF spending and future options, while the LAO outlined how GGRF revenues are generated, how variable they have been, and the tradeoffs between continuous appropriations and annual budget control. Two academic panelists, Dr. Kyle Meng and Danny Cullen Ward, argued that cap-and-trade remains an effective climate policy, but stressed that future revenue will depend heavily on market design, allowance allocation, and price levels. They also raised the idea that GGRF could be used more directly for affordability, especially by lowering electricity costs, and for targeted investments in technologies that the market would not otherwise support.
Committee members pressed the panelists on where revenues come from, how much has actually been spent, and whether continuous appropriations reduce oversight. CARB staff said more than $33 billion has been generated to date and a little over $11–12 billion has been spent, with the rest committed or in process, and noted that project timelines can be lengthy. Members also asked about ways to lower electricity rates, reduce wildfire-related utility liabilities, and support electrification. The panelists said transportation fuels are the largest source of GGRF revenue, that industrial emitters receive a smaller share of free allowances, and that reducing wildfire liability and investing in grid-scale batteries could help lower costs and speed decarbonization.
Public commenters largely urged the Legislature to preserve or expand continuous appropriations for specific climate programs. Speakers supported funding for nature-based solutions, natural and working lands, urban greening, agricultural climate solutions, waste and composting programs, clean transportation, AB 617 community air protection, clean cars, transit, affordable housing near transit, and dairy digesters. Several groups argued these programs are cost-effective, provide public health and affordability benefits, and should receive dedicated shares of GGRF. Others urged reducing free allowances and using more GGRF revenue to directly lower energy costs for households. No votes were taken during the hearing.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Financial Services Jun 21st, 2026 at 10:30 am
Joint Committee on Financial Services
Transcript Highlights:
- And I think that we can make that happen together.
- So we know that this doesn't make sense.
- decisions around what to do.
- They establish a duty of care, making sure decisions are based on what's right for the patient, not financial
- Every decision is colored by my disability.
Summary:
The committee held a lengthy hearing on a large docket of pharmacy and drug-pricing bills, with most testimony focused on PBM reform, 340B drug discount program protections, specialty medication access, and medication adherence. Chair James Murphy and Senator Paul Feeney opened the hearing and took testimony from legislators, patient advocates, pharmacists, health center leaders, industry representatives, and policy groups. Several speakers described delays, denials, high out-of-pocket costs, and pharmacy closures tied to PBM practices, while others emphasized the importance of community health centers and independent pharmacies in serving patients.
On the 340B program, supporters including Senator Eldridge, Senator Payano, Community Care Cooperative, Fenway Health, the Massachusetts League of Community Health Centers, and several community health center leaders argued that bills such as H. 1107 and S. 819 would stop discriminatory PBM and manufacturer practices, preserve contract pharmacy access, and protect safety-net providers that say they reinvest savings into care, pharmacy expansion, interpreter services, behavioral health, and other services. Opponents including PhRMA, the Community Liver Alliance, and a public policy analyst argued the program lacks transparency and accountability, has grown beyond its original purpose, and may benefit large hospitals and for-profit entities more than low-income patients. They urged more reporting and oversight rather than expanding protections.
On PBM reform, testimony supported bills including H. 1157, H. 1234, S. 724, S. 831, and related measures that would require rebate pass-through, ban spread pricing, limit steering to PBM-owned pharmacies, and improve reimbursement for community pharmacies. Independent pharmacists and patients said current PBM practices raise costs, create administrative burdens, and threaten access to local pharmacies. PCMA, representing PBMs, opposed the reforms, arguing PBMs lower costs, that plan sponsors choose to contract with them, and that the Health Policy Commission and CHIA should complete their ongoing study before new mandates are adopted. The committee also heard support for H. 1322 and S. 734 on specialty medications, and for H. 781 and H. 1305 on medication synchronization to improve adherence. No votes or formal actions were taken during the hearing.
HI
Hawaii 2025 Regular Session
EIG, EIG DEFER Public Hearings 03-20-2025
Transcript Highlights:
- But I guess maybe the Supreme Court would have the ultimate decision.
- Court would have the ultimate decision Court would have the ultimate decision Mahalo<00:20:04.200
- <00:31:50.440>
certain at the end of the article make certain at the end of the article make - We are reconvening the Committee on Energy and Intergovernmental Affairs for decision making on our 3
- This is just decision making on a bill we heard last week for the discussion, uh, you members...
Summary:
The committee heard testimony on House Bill 1295 HD2, relating to clean energy, and then on Senate Concurrent Resolution 140 and Senate Resolution 158, which seek an Article V Convention of States application. HB 1295 drew brief supportive testimony from listed supporters and one witness who said the bill would help future generations and address pollution, runoff, watershed planning, and cleaner energy alternatives. No committee action or vote was taken on the clean energy bill during the portion provided.
Most of the hearing focused on SCR 140 and SR 158. Supporters argued the resolutions would let states, including Hawaii, propose constitutional amendments to address federal overreach, fiscal responsibility, deficit spending, term limits, and the balance of power between Washington and the states. Several supporters said state legislators are closer to the people and that Article V gives states a legitimate role in proposing amendments; some also cited debt, executive orders, and the need for long-term reforms. One witness from Convention of States Action said the movement is active nationwide and that the convention process would still require ratification by 38 states.
Opponents, including representatives of Hawaii Children’s Action Network, Common Cause, Americans for Democratic Action Hawaii, and individual testifiers, warned there are no real guardrails on a convention and that it could open the door to broader constitutional changes. They said the effort is unnecessary, risky, and potentially harmful to environmental protections, social safety net programs, and civil rights, and argued that federal action is sometimes needed during recessions and emergencies. Committee members asked questions about whether the proposal was merely procedural and whether the states should act without Congress; the discussion ended with continued questioning, and no vote or final committee action is shown in the excerpt.