Transcript Highlights:

• Senator Bergstrom, you care to vote. Senator Howard, you care to vote.
• Senator Curtin, Hicks, you care to vote. Senator Pugh, you care to vote.
• Senator Murdock, you care to vote. Senator Murdock, you care to vote.
• Senator Stewart, you care to vote. Those wishing to vote? Senator Stewart, you care to vote.
• Burdock, do you care to vote? Senator Peterson, Senator Weaver, you care to vote.

Bills: SR28, SB201, SB1379, SB1525, SB1966, SB2112, SB2170, HB2749, HB3262, HB3265, HB3673, HB3781, HB3040, HB3076, HB3369, HB3982, HB3462, HB3465, HB3521, HB3796, HB3800, HB4095, HB4298, HB4316, HB4338, HB4408, HB4454

Keywords: alpha-gal syndrome, alpha gal, tick-borne illness, tick bite allergy, red meat allergy, meat allergy, dairy allergy, anaphylaxis, Lyme disease, public health, tick prevention, vector-borne disease, allergy awareness, May awareness month, Oklahoma Department of Health, outdoor safety, health education, research funding, minimum salary, education funding

Summary: The Senate convened with prayer, the Pledge of Allegiance, and a special family recitation of the Declaration of Independence by Senator Hamilton’s children. The chamber then adopted SR 28, recognizing May as Alpha-Gal Awareness and Prevention Month in Oklahoma and encouraging awareness, prevention, and research on alpha-gal syndrome, a tick-borne allergic condition. Senator Seifried also introduced constituents affected by alpha-gal. Later, the Senate heard a gallery introduction from advocates for victims of impaired driving, highlighting the toll of DUI-related crashes in Oklahoma. The Senate then took up several House amendments and final-passage votes on bills. SB 201, clarifying that a teacher pay raise applies to certified classroom teachers, passed 47-0 and was advanced as an emergency. SB 1379, SB 1525, SB 1966, SB 2112, and SB 2170 also passed after adoption of House amendments, with SB 1525 and SB 1379 advanced as emergency measures. SB 1525 raised the threshold for contracting to host a conference from $25,000 to $75,000, and SB 1966 served as the annual omnibus highway, memorial highway, and bridge designation bill. Among the House bills considered, HB 3262 increased the sheriff fee for service of process from $50 to $100 and passed 37-8. HB 3265 allowed a psychologist to make PTSD determinations for the Oklahoma Police Pension and Retirement System and passed 47-0. HB 3781, a major insurance modernization bill changing rate-filing procedures for homeowners insurance and expanding the insurance commissioner’s review authority, passed 39-6 after extended debate over transparency, regulation, and market impact. HB 3040 expanded sex-offender loitering restrictions around businesses serving minors and passed 40-4, while HB 3076 authorized alternative teacher certification providers under OEQA oversight and passed 38-6 as an emergency measure. The chamber also passed HB 3369, a deregulation and efficiency bill affecting fire suppression and LP gas inspections, HB 2749, which shifted an intergenerational education program toward a Medicaid state plan amendment, HB 3982 on fleet vehicle titling, HB 3462 creating a shorter residential-only plumbing licensure pathway, HB 3465 extending the Oklahoma Emission Reduction Technology Rebate Program to 2029, HB 3521 modernizing money transmission law, HB 3796 as an Oklahoma Insurance Department omnibus bill, HB 3800 as a roofing-industry cleanup bill, and HB 4095 modernizing the 211 hotline advisory council. Several of these measures drew debate over regulation, workforce needs, public safety, or fiscal and policy impacts, but all of the listed bills ultimately passed by recorded vote.

Transcript Highlights:

• I don't care who it is.
• I don't care who they need to do this. I don't care who it<00:37:16.840><c> is.
• </c> access to care. access to care.
• This bill takes care of that.
• that we take care of them.

Bills: HF4338

Keywords: human services, medical assistance, Medicaid, provider enrollment, provider revalidation, fraud prevention, program integrity, background study, background check, fingerprinting, licensing, license revocation, payment withholding, payment suspension, prepayment review, postpayment review, surety bond, compliance training, case management, targeted case management

Transcript Highlights:

• agreements between the Attorney General, Department of Health, Insurance Commissioner, and Health Care
• Well, as you all probably know, for many years, health care mergers have been impacting the quality of
• health care and the availability and access to health care.
• committee over the past several years, and this is a scaled-back version to step us in the right direction
• the intended effect in the marketplace by chilling transactions that could help deliver more health care

Bills: HB2548, HB2453, HB2640, HB2095, HB2386, HB2239

Keywords: health care market standards, hospital consolidation, merger review, health care transaction notice, attorney general review, antitrust, provider organizations, hospital systems, contracting affiliation, material change, nonprofit conversion, for-profit conversion, health care acquisition, asset sale, Washington RCW, health care competition, price transparency, market oversight, premerger notification, antitrust revolving fund

Summary: The Civil Rights and Judiciary Committee heard staff briefings on several bills, including House Bill 2548 on hospital and provider material change transactions, House Bill 2453 on psychiatric pharmacists’ role in certain involuntary treatment petitions, House Bill 2640 on unauthorized UCC filings, House Bill 2095 on vulnerable users of public ways, House Bill 2386 on garnishment forms, and House Bill 2239 on family burial grounds on private land. The committee also discussed proposed substitutes and amendments, especially on HB 2095, where members debated liability standards, attorney fees, emergency vehicle exemptions, and reporting requirements. For HB 2548, members discussed transparency and disclosure in health care transactions, including notice requirements, filing fees, and Attorney General publication of pending and completed transactions. The committee adopted some amendments and rejected others. On HB 2095, it adopted amendments exempting emergency vehicles and clarifying collision report data, but rejected amendments that would have removed attorney fees, restricted liability further, or replaced the rebuttable presumption with a different civil cause of action. On HB 2239, the proposed substitute added setbacks from wells and springs, local remediation procedures, burial reporting to the Department of Archaeology and Historic Preservation, relocation procedures for remains, and disclosure requirements when property is sold. Members also noted that HB 2640 would give the Department of Licensing a process to refuse or terminate unauthorized filings submitted to harass or defraud debtors. At executive session, the committee voted all five bills out with due pass recommendations: Substitute House Bill 2548 passed 7-6, House Bill 2453 passed 8-5, House Bill 2640 passed 8-5, Substitute House Bill 2095 passed 8-5, House Bill 2386 passed 12-1, and Substitute House Bill 2239 passed unanimously 13-0.

Transcript Highlights:

• My name is Daniel Garcia, and I'm a legislative analyst at the State Health Care Authority, testifying
• From 2020 to 2024, our psychiatrists provided over 4,000 consultations with 1,600 unique health care
• provider payment initiatives under Medicaid managed care organization, or MCO, contracts.
• The federal HR1 law limits state-directed payments and restricts the imposition of new health care-related
• House Bill 23... limits state directive payments and restricts the imposition of new health care related

Bills: HB2251, HB2254, HB2385

Keywords: climate change, commitment act, emission reductions, sustainability, environmental policy, HB 2254, Washington, Health Care Authority, partnership access line, psychiatric consultation line, first approach skills training, behavioral health, mental health, assessment, administrative costs, health insurance, health carriers, self-funded plans, multiple employer welfare arrangement, MEWA

Summary: The House Appropriations Committee held a public hearing on three bills. For House Bill 2251, staff explained that the bill would restructure Climate Commitment Act revenue accounts by repealing the Climate Investment Account, Natural Climate Solutions Account, and Climate Commitment Account and replacing them with new operating and capital accounts, while changing revenue distribution formulas, adding some allowable uses, capping Ecology administrative costs, broadening tribal support language, and moving some reporting from annual to every two years. Representative Fitzgibbon said the goal was to simplify budgeting and provide more clarity and predictability, especially if auction revenues decline. Testimony was mixed: Clean & Prosperous Washington, Washington Conservation Action, and The Nature Conservancy supported the bill as a streamlining measure, while a citizen witness and Todd Myers of the Washington Policy Center criticized the reduced reporting frequency and said the bill would weaken accountability and evaluation of CCA spending. House Bill 2254 would adjust the funding model for the Partnership Access Line programs by allowing the cost of the third-party administrator that calculates and administers the carrier assessment to be included in the assessment itself rather than paid from general funds. Staff said this would shift most of the administrative cost to the telebehavioral health access account and produce general fund savings over four years. Representative Callan and agency and stakeholder witnesses from the Health Care Authority, UW Medicine, and Seattle Children’s supported the bill as a small technical fix that would stabilize the programs and save money. House Bill 2385 would extend deadlines and dates in the Medicaid access program law after federal HR1 prevented implementation of the provider-tax-based financing structure created last session. Staff said the bill would push out CMS submission deadlines, update the rate formula reference date, and extend the act’s expiration date, with no net general fund impact. Representative Macri and the Washington State Medical Association supported the bill as necessary to preserve the option of revisiting the program in the future. No votes were taken on any of the bills, and the committee adjourned after the hearings.

Transcript Highlights:

• any additional comments, although Senator Dwyer, I might visit with the leader and see if he still cares

Bills: HB1015

Keywords: Office of Management and Budget, OMB appropriation, state budget, biennial appropriation, North Dakota Century Code, state facility maintenance fund, capital improvements, Capitol building fund, governor's residence, state hospital, mental health hospital, Bank of North Dakota, line of credit, strategic investment and improvements fund, SIIF, new and vacant FTE pool, state employee pay raise, performance-based compensation, guardianship grants, community corrections

Summary: The Government Operations Division met to review proposed amendments to the Office of Management and Budget (OMB) budget, with the chair noting the bill would not be voted out that day and would likely be held until the following week for any technical corrections. Members discussed a series of amendments, generally without objection: a $1.5 million appropriation for a pro-life education committee; a $40,000–$45,000 deficiency appropriation for Uniform Laws travel costs; creation of a state deferred maintenance fund with $40 million for deferred maintenance projects; adding the state hospital project to the OMB budget with $200 million from the Strategic Investment and Improvements Fund (SIF) and $85 million from a line of credit, plus construction management oversight; $110,114 for custodial equity increases; $1 million for a retirement incentive pool; $3 million to cover a shortfall in the new and vacant FTE funding pool; and $4 million for space reconfiguration and rent/moving costs. Prairie Public Broadcasting was also discussed, with a suggestion to change the purpose from local programming to infrastructure and set the amount at $850,000, likely as one-time SIF funding. The committee also heard a heads-up about a possible $180,000 federal reimbursement issue tied to an education grant, but no action was taken on that item. The committee further discussed a broader amendment to reduce the transfer from the social services fund to the human services fund from $250 million to $232 million, based on DHS needs and available carryover funding. Members also agreed to add emergency clauses to the capital assets, deferred maintenance, and moving/space reconfiguration items. The chair indicated Brady could begin incorporating the discussed changes into a consolidated amendment, while noting there could still be additional items next week. Staff also reported the SIF balance was about $280 million positive, though some removed agency items, including airport grants, would need to be considered. The committee then reconsidered its earlier action on House Bill 1581 and restored it to its original form at $100,000 after hearing that the funding would support tribal tourism-related events tied to upcoming 2026 celebrations and the Theodore Roosevelt Library opening. A motion for do pass on the bill as originally introduced passed unanimously by roll call. Finally, the committee postponed action on another bill until later that day, directing that revised materials be distributed and that the item be taken up in the afternoon session.

Transcript Highlights:

• What it is doing is providing clear direction.
• to access to veterinary care.
• their own health care conditions.
• This bill does not replace in-person care.
• Due to lack of accessible veterinary care.

Bills: HB1904, HB2106, HB2211, HB2247, HB2329, HB2339

Keywords: animal welfare, cats, declawing, animal rights, pet care, healthcare, contract modifications, provider notifications, insurance carriers, health facilities, HB 2211, medically tailored meals, medical nutrition therapy, medical assistance, Medicaid, Health Care Authority, Department of Social and Health Services, nutrition support, chronic disease, dietary accommodations

Summary: The committee heard public hearings on several health-related bills. HB 1904 would prohibit cat declawing except for therapeutic purposes, with staff describing fines, recordkeeping, and reporting requirements; the prime sponsor and animal welfare and veterinary witnesses argued declawing is cruel and causes pain and behavior problems, while the Washington State Veterinary Medical Association supported the ban but asked to remove the added reporting and disciplinary provisions. HB 2211 would direct implementation standards for medically tailored meals under Medicaid-related nutrition supports; the sponsor said it clarifies an existing program and prioritizes Washington-based nonprofits, and supporters from Meals on Wheels, food coalitions, distributors, farms, and nonprofits said local sourcing improves health outcomes, keeps dollars in-state, and builds capacity, while questions were raised about whether the local provider requirement could limit current vendors. HB 2329 would allow licensed midwives to delegate certain tasks to medical assistants and supervise medical assistants, with the sponsor and birth center/midwife witnesses saying it would fix an omission and reduce staffing barriers, especially in rural areas; they also indicated the lactation consultant provision would likely be removed. The committee also heard extensive testimony on HB 2247, which would expand and clarify veterinary telehealth and the veterinarian-client-patient relationship. Supporters, including animal shelter leaders, nonprofit outreach providers, veterinarians, and an attorney, said telehealth would improve access in rural and underserved areas, help triage cases, reduce shelter intake, and allow care when transportation, cost, or mobility barriers prevent in-person visits; opponents or cautionary testimony from the veterinary association said they were working on amendments to preserve guardrails and clarify when access-to-care exceptions are documented. HB 2339 would modernize nursing licensure language for ARNPs, clarify titles for the four ARNP roles, adjust rules for CRNAs’ controlled substance administration, remove transcript submission requirements, and let the Board of Nursing issue interim permits directly; nursing witnesses and the Board supported the bill as technical cleanup, while hospitals and physicians raised concerns about title language and the deletion of a reference to the medical profession. Finally, HB 2106 would restrict health carriers from making significant mid-contract changes to provider agreements without notice and acceptance, requiring 90 days’ notice and voiding noncompliant changes; the sponsor and provider groups said carriers are unilaterally changing payment and service terms mid-contract, while UW Medicine described repeated insurer policy changes that can reduce reimbursement and disrupt patient care.

Transcript Highlights:

• House Bill 2303 pertains to employer-directed microchip implants in employees.
• Very briefly, the bill before you prohibits an employer... ...directed microchip implants in employees
• I book other jobs around the time needed, arrange child care, and plan to travel.
• I book other jobs around the time needed, arrange child care, and plan to travel.
• Again, we want to be very careful about proposed legislation that increases the cost of housing.

Bills: HB2144, HB2190, HB2191, HB2303, HB2345

Keywords: employee monitoring, workplace privacy, performance evaluations, notification, transparency, language access, collective bargaining, providers, healthcare, interpreters, social services, construction, wage theft, misclassification, independent contractor, employee classification, fringe benefits, prevailing wages, subcontractor liability, joint and several liability

Summary: The Labor and Workplace Standards Committee heard testimony on several bills. House Bill 2303 would prohibit employers from requesting or coercing employees to receive microchip implants, with enforcement through L&I complaints, civil penalties, and private lawsuits; Rep. Thomas said it would prevent a practice not currently used in Washington. House Bill 2144 would require employers to give written notice before using electronic monitoring for employee performance evaluations, with L&I penalties and a private right of action; supporters said workers should know how they are monitored, while business, local government, trucking, retail, banking, and law enforcement representatives raised concerns about broad definitions, safety/security uses, and litigation exposure. House Bill 2190 would allow language access providers to bargain over compensation for missed or canceled appointments; interpreters and labor supporters said the bill would make bargaining fairer and help retain interpreters, while no opposition testimony was recorded in the excerpt. The committee also heard House Bill 2345, a proposed substitute adjusting the employer/employee premium split for the state paid family and medical leave program to comply with IRS guidance and avoid federal tax treatment of benefits. The sponsor and supporters said the change is technical, intended to keep workers and employers harmless and avoid about $30 million in federal taxes, while some business and school district witnesses supported the goal but worried about preserving the current balance and the impact on employer costs. The hearing on 2345 was then closed. House Bill 2191, concerning liability for unpaid wages in the construction industry, drew extensive testimony. Supporters, including workers, unions, some contractors, the Attorney General’s office, and minority builders, said wage theft is real, that upstream liability would improve accountability and help workers get paid, and that responsible contractors should not be undercut by bad actors. Opponents from contractor, business, city, trucking, and minority contractor groups argued the bill is too broad, could raise costs, discourage small subcontractors, create double liability for general contractors and property owners, and should be narrowed with safe harbors or right-to-cure provisions. Members asked about enforcement, alternative remedies, and comparisons to Oregon law; L&I said it has some existing tools but limited ability when firms go out of business. The committee closed the hearing on HB 2191 and adjourned.

Transcript Highlights:

• That's really care facility is located.
• And upon request by an care facility.
• </c> within 1,000 ft of a child care within 1,000 ft of a child care facility.<00:03:11.599><c> Um</c
• </c> was in what what we mean by a child care was in what what we mean by a child care facility.<00:03
• </c> thousand feet of a um child care thousand feet of a um child care facility<00:13:14.720><c> and<

Bills: SF0071, SF0088, SF0056

Keywords: homeland security, search and rescue, grants, emergency response, Wyoming, sex offender, child care facility, residency restrictions, public safety, criminal law, sex offenders, child care facilities, legislation, kratom, regulation, healthcare, age restrictions, manufacturing standards, 916, all

Bills: SF0071, SF0088, SF0056

Keywords: homeland security, search and rescue, grants, emergency response, Wyoming, sex offender, child care facility, residency restrictions, public safety, criminal law, sex offenders, child care facilities, legislation, kratom, regulation, healthcare, age restrictions, manufacturing standards, 916, all

Transcript Highlights:

• responsible investment that helps keep Oklahomans at home while avoiding far more costly long-term care
• The bill maintains all existing safeguards from our Caring for Caregiver Act that we passed a couple

Bills: HB4329, HB3016, HB4118, HB3066, HB3649, HB3650

Keywords: dental insurance, claims, medical necessity, appeal procedures, dentist reimbursement, education, vision screening, binocular vision, kindergarten, elementary education, health, family caregiver, tax credit, activities of daily living, elderly care, Oklahoma tax law, HB3066, Health Care Workforce Training Commission, workforce recruitment, health care workforce

Bills: HB1845, HB2192, HB2438, HB2529, HB2607, HB2658, HB3348, HB3505, HB3305

Keywords: rural prosecution, salary assistance, staffing grant, legal support, criminal justice, fireworks, permit requirements, sale, county regulations, public safety, hospital district, administration, elections, director qualifications, public contracts, salary supplement, county judges, judicial functions, state law, government compensation

Transcript Highlights:

• At your discretion. offenders, residents near childc care offenders, residents near childc care facilities
• And I don't to a child care facility.
• </c> already have a definition of child care already have a definition of child care facility,<00:04:
• And in that 144102 care licensing.
• . direction. direction.

Bills: SF0087, SF0088, SF0092

Keywords: felony, law enforcement, police officer, criminal penalties, public safety, sex offender, child care facility, residency restrictions, criminal law, sex offenders, child care facilities, legislation, false claims, civil penalties, state accountability, whistleblower protection, fraud prevention, 916, all

Transcript Highlights:

• Her leadership style emphasized teamwork, communication, and exceptional surgical care for all patients
• I don't know if you ever get tired of being used as a puppet by people who I don't think genuinely care
• Maybe they just actually care about their community and are using grandma's apple pie while I'm tasty

Bills: SB378, SB985, SB1246, HB3720, SB1500, SB1984, HB4118, SB1644, SB1546, SB483

Keywords: bail bondsman, bondsman license, multicounty agent bondsman, surety bondsman, Insurance Commissioner, bail bond regulation, bond deposit, forfeiture, deposit ratio, writing capacity, license transfer, power of attorney, surety bond, bail industry, Oklahoma insurance law, financial solvency, administrative action, Oklahoma Local Food for Schools, school meals, local food procurement

Transcript Highlights:

• Her leadership style emphasized teamwork, communication, and exceptional surgical care for all patients
• Representative Patzkowsky, care to vote. Representative Schreiber, care to vote.
• I think, thank you for all of your encouragement and the love and the care and help up managing me.
• And she was on his care team in the hospital to help take care of her.
• But she literally took care of me, and I thank you. Thank you, thank you, thank you for that.

Bills: SB378, SB985, SB1246, HB3720, SB1500, SB1984, HB4118, SB1644, SB1546, SB483

Keywords: bail bondsman, bondsman license, multicounty agent bondsman, surety bondsman, Insurance Commissioner, bail bond regulation, bond deposit, forfeiture, deposit ratio, writing capacity, license transfer, power of attorney, surety bond, bail industry, Oklahoma insurance law, financial solvency, administrative action, Oklahoma Local Food for Schools, school meals, local food procurement

Summary: The House convened, called the roll, and heard an invocation focused on “leading with the farewell,” followed by the Pledge of Allegiance and a series of floor recognitions honoring guests and student groups. Presentations included the nurse of the day, Susan Hollingsworth, and multiple student champions and visitors, including the Clinton High School 4A hip hop state champions, Pryor High School’s Life Smarts state champions, the Elgin High School wrestling team, the Fort Gibson FFA livestock judging team, Putnam City North’s girls basketball champions, visiting students from Douglas, OSU environmental science graduate students, and Oklahoma Energy Resource Board teachers of the year. The chamber then took up several Senate bills. SB 378, updating bail bondsman regulations, passed 77-3. SB 985, codifying the local food for school program in statute, passed 79-0. SB 1246, which would update and speed up DEQ permitting while preserving transparency, drew questions about agency outreach and environmental impacts; after a division vote on advancing the bill passed 30-28, the bill itself passed 81-0. Later, SB 1500 on pharmacy benefit managers passed 81-0, SB 1984 on osteopathic medicine passed 74-0, and SB 1644 creating a reporting mechanism for suspected alpha-gal syndrome passed 82-0. The House also adopted Senate amendments to HB 3720, the local food freedom bill, and passed it 81-0. HB 4118, the family caregiver credit, also passed 81-0 after the Senate amendment restored the title “Caring for Caregivers Act.” A motion was made to reject Senate amendments to HB 2992 and request conference. House Joint Resolution 1100, relating to OMES proposed major rule changes, was read on second reading and referred to administrative rules. A lengthy debate centered on an amendment to SB 1546, a teacher-related bill, which would expand the Oklahoma Equal Opportunity Scholarship Fund tax credit to support the Strong Readers Act, the Oklahoma Math Proficiency Act, and certain capital projects for scholarship-granting organizations. Supporters said it would encourage private investment in education and add instructional capacity; opponents argued it would favor wealthy private schools, do little for rural or high-poverty districts, and divert scholarship resources. The amendment was adopted unanimously, and the bill was advanced to final passage, with debate continuing at the end of the transcript.

Transcript Highlights:

• The HD1 authorizes them for pet specialty pets and horses, and directs the Department of Agriculture
• The HD1 authorizes them for pet specialty pets and horses, and directs the Department of Agriculture
• ><00:51:21.360><c> and</c><00:51:21.440><c> horses,</c><00:51:21.920><c> and</c><00:51:22.040><c> directs
• </c> specialty pets and horses, and directs specialty pets and horses, and directs the<00:51:22.480><
• I think it's a step in the right direction, but I'm still a no. Members, any other comments?

Bills: SB3302, SB2061, SB2050, SB2102, SB2694, SB2089, SB847

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.

Transcript Highlights:

• Directions on how to submit public comments on the portal can be found in today's hearing.
• We have to get this taken care of. I will say that.
• Doesn't want to go to college, super creative, but doesn't really know what direction to go.
• She was a social worker. and also the foster care liaison on campus.
• So she wasn't receiving services from their foster care liaison.

Bills: HB1784, HB2088, HB3062, HB3475, HB3741, HB4279, HB4763, HB5154, HB5294, HB5508, SB1401, HB232, HB232

Keywords: students, homeless, foster care, higher education, liaison officer, housing assistance, transition support, law school, Rio Grande Valley, legal education, public university, accreditation, fentanyl prevention, drug poisoning awareness, mental health resources, substance abuse education, El Paso, university system, funding, public education

Transcript Highlights:

• , necessary intervention care, and primary care. provided by a physician, outpatient mental health care
• Care, allowing doctors to take the best care possible of these patients.
• The biggest one, of course, is just medical care in general, both primary care and emergency care.
• We had horrible access to emergency care, as well as primary care.
• Christian and a physician, I understand personally the challenge in balancing directives to health care

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

Transcript Highlights:

• Necessary to safely care for a child until the dental care is deferred long enough to create an acute
• This also increases the number of visits to the emergency room, purely relating to deferred care.
• This bill is needed so we can provide timely care to patients.
• All the residents coming out of the schools now are taught, and it's our national standard. care.
• We appreciate this careful approach adopted by the committee.

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

Transcript Highlights:

• However, some medical health insurers do not want to cover the anesthesia necessary to safely care for
• A child until the dental care is deferred long enough to create an acute, potentially life threatening
• Purely relating to deferred care.
• Uh, this bill's needed to ensure we can provide timely care to patients.
• We appreciate this careful approach adopted by the committee set for 1283.

Bills: SB 227, SB 269, SB 407, SB 463, SB 527, SB 547, SB 1283, SB 1380, SB 1383, SB 1511, SB 1640, SB 1784, SB 2069

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

Transcript Highlights:

• TMA on this list: emergency care, interventional necessary care, and primary care provided by a physician
• care.
• Because there is urgent care out there. Exactly, there is urgent care.
• Because there is urgent care out there. Exactly, there is urgent care.
• urgent care.

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

Summary: The Senate Committee on Health and Human Services met with several members initially absent, then later established a quorum. The committee heard multiple bills, with most testimony focusing on access to care, insurance practices, senior safety, and health care worker protections. Several bills were laid out with committee substitutes, and public testimony was limited to two minutes per witness. Most bills were left pending after testimony, with no final votes taken in the portion provided. Senate Bill 2069 would create a work group to study the feasibility of a statewide acute psychiatric bed registry; the substitute shifts appointment authority to the Health and Human Services Commissioner and extends reporting and sunset dates. Senate Bill 463 would expand workplace violence protections to additional hospice, home and community support, intermediate care, and state-supported living center settings. Senate Bill 1283 would require background checks and transparency measures for senior retirement communities after testimony about the Dallas-area serial killings of elderly residents. Senate Bill 1784 would require 60 days’ written notice before medical debt is sent to collections. Senate Bill 527 would require medical insurance coverage for general anesthesia for medically necessary pediatric dental procedures for children under 13 with qualifying conditions; pediatric dentists testified that denials delay needed care. A major portion of the meeting centered on prior authorization. Senate Bill 1380 would eliminate prior authorization for a broad list of services, including emergency, primary, mental health, substance use, chemotherapy, preventive, pediatric hospice, and certain chronic-condition care. Physicians and hospice advocates supported the bill, describing delays, administrative burden, and patient harm, while health plans opposed blanket exemptions and argued prior authorization helps prevent unnecessary care and control costs. Relatedly, Senate Bill 547 would require insurers to report gold-card prior authorization exemptions to TDI and create a centralized database and annual report; TMA supported better tracking, while health plans warned of duplicative reporting and administrative cost. Senate Bill 407 would require health care facilities to honor conscience- and religion-based vaccine exemptions for employees, with testimony from a physician and vaccine-choice advocate supporting the bill. The committee also heard Senate Bill 1383, which would regulate senior living referral agencies, allow more flexible compensation structures, and add disclosure and consumer protections; an out-of-state referral company and A Place for Mom supported it. Senate Bill 1511 would allow freestanding emergency centers to provide outpatient services in addition to emergency care, with consumer protections such as estimates, limits on facility fees, and restrictions on balance billing. The chair repeatedly announced that bills were being left pending after testimony, and no final committee action or recorded votes were taken in the transcript provided.