Transcript Highlights:

• If you have longer statements to make, we are happy to take those via written testimony, and we ask that
• Now, with your indulgence, I'm going to be making an opening statement before we start testimony.
• So with that, I want to be able to turn it over to my co-chair for his opening statements, and then we'll
• Hello, thank you for hearing my statement on this very critical topic. My name is Chris Weeks.
• Only a licensed physician or a qualified health care professional may determine medical necessity.

Keywords: 995, all

Summary: The committee held a hearing on several artificial intelligence bills, opening with remarks about the 9/11 anniversary and then broad statements from the co-chairs about AI’s promise and risks. Chair Farley-Bouvier and Senator Moore emphasized the need for guardrails, transparency, and worker and consumer protections, while Senator Finegold described Senate Bill 37, which would create a framework for AI model training with safety assessments, audits, incident reporting, Attorney General oversight, and workforce reporting. Members also discussed Massachusetts’ position relative to other states and the need for state action in the absence of federal regulation. A large portion of the hearing focused on the Fair Act, House 77 and Senate 35, which would limit workplace surveillance, restrict collection of biometric and location data, require notice and human review for automated employment decisions, and protect workers from retaliation. Labor leaders, including AFL-CIO, AFSCME, AFT, SEIU, building trades, and other worker representatives, testified in support, describing harms from bossware, automated benefits denials, hiring and promotion screening, scheduling, and monitoring in workplaces ranging from health care and education to manufacturing and construction. They argued that AI systems are already affecting wages, benefits, safety, and job security, and that Massachusetts should act now to set clear rules. The committee also heard testimony on House Bill 74, which would require informed consent and clear contract terms for digital replicas of voices and likenesses, with SAG-AFTRA representatives supporting the bill as a protection for performers and creators. Another major topic was Senate Bill 51 on social media algorithm accountability and transparency; child safety advocates, researchers, and a public health expert described harms from engagement-based algorithms, including exposure to harmful content, eating disorders, and youth mental health impacts, and supported independent audits and public reporting. A few industry and civil liberties witnesses supported regulation but urged balance, warning against overly burdensome rules while acknowledging the need for privacy, transparency, and accountability. No votes or final committee actions were taken in the hearing excerpt.

Transcript Highlights:

• will be coming to you to commend you for the work that you're doing, and I'll just read a whereas statement
• Mandy Landry: victims' rights, contradictory hearings, motion to vacate, resentence, victim impact statements
• House Bill 11155 by Representative Robby Carter, provides relative to physicians' use of nitrous oxide
• Members, I want to remind you if you have a statement on the bill, please press your floor button.
• Speaker, members, this bill is a statement... Mr.

Bills: HR252, HR253, HR254, HR255, HR256, HCR103, HCR104, HR244, HR245, HR246, HR247, HR248, HR249, HR250, HR251, HCR101, HCR102, SCR40, SCR60, SB112, SB131, SB145, SB194, SB268, SB307, SB312, SB319, SB333, SB341, SB346, SB464, SB466, SB488, SB495, SB503, SB507, SB509, HR9, HR196, HCR27, HCR28, HCR50, HCR62, HCR67, HCR71, HCR78, HCR81, SCR20, HB123, HB251, HB625, HB662, HB709, HB769, HB775, HB783, HB895, HB1011, HB1057, HB1155, HB1186, HB1224, HB1245, HB1247, HB1253, HB1254, HB1255, HB1256, SB8, SB10, SB11, SB12, SB13, SB14, SB16, SB17, SB18, SB20, SB21, SB22, SB40, SB48, SB55, SB69, SB75, SB77, SB78, SB85, SB102, SB115, SB133, SB140, SB148, SB151, SB165, SB169, SB170, SB185, SB197, SB200, SB217, SB235, SB278, SB280, SB291, SB300, SB303, SB315, SB324, SB330, SB411, SB416, SB420, SB436, SB438, SB449, SB455, SB456, SB477, SB489, SB521, SB97, SB105, HR171, HCR49, HCR65, HCR72, HR37, HCR64, HR170, HR191, HR206, HR207, HR208, HR217, HCR11, HCR53, HCR60, HCR66, HCR68, SCR19, SCR3, SCR6, SCR18, SCR11, SCR22, SCR2, HCR6, HB64, HB68, HB92, HB130, HB258, HB633, HB801, HB61, HB98, HB102, HB139, HB142, HB170, HB185, HB194, HB199, HB231, HB247, HB294, HB336, HB474, HB661, HB842, HB852, HB66, HB153, HB165, HB326, HB387, HB455, HB513, HB603, HB660, HB719, HB762, HB766, HB802, HB816, HB833, HB940, HB950, HB975, HB1028, HB1039, HB1051, HB1053, HB1080, HB1201, HB1215, HB1228, HB1251, HB1252, SB1, SB23, SB32, SB42, SB43, SB46, SB51, SB110, SB113, SB150, SB154, SB161, SB218, SB220, SB221, SB253, SB289, SB310, SB351, SB399, SB404, SB502, SB26, SB28, SB29, SB30, SB41, SB44, SB64, SB84, SB87, SB93, SB98, SB107, SB118, SB142, SB192, SB195, SB199, SB219, SB222, SB234, SB241, SB255, SB275, SB277, SB292, SB294, SB306, SB314, SB482, HCR32, HB798, HB998, HB1084, HB1223, HB59, HB955, HB1191, HB1234, HB646, HB824, HB341, SB397, SB442, HB901, HB79, HR20, HR74, HB284, HB306, HB366, HB393, HB458, HB577, HB582, HB605, HB614, HB682, HB733, HB752, HB773, HB911, HB926, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1240, SB47, SB82, SB89, SB149, SB382

Keywords: consumer protection, credit card fees, cash transactions, rounding practices, transparency, low-income, economic impact, residential construction, building codes, inspection practices, housing costs, task force, HR254, House Resolution 254, Ty Hebert, Acadiana Legislative Delegation, Louisiana State University, LSU, graduation, commendation

Transcript Highlights:

• These are physician anesthesiologists in residency training who are here at the Capitol to learn how
• They represent the next generation of physician leaders who keep patients safe before, during, and after
• has more than 600 anesthesia residents training at institutions throughout the state, growing the physician
• Please join me in welcoming these talented young physicians to their state capital. Welcome.

Summary: The Assembly convened after a quorum call, offered prayer and the Pledge of Allegiance, and then handled a series of procedural motions, including re-referrals of several bills and permission for committee notice changes. Members also made guest introductions, including anesthesia residents, family members, and a legislative intern. The body then took up House Resolution 118 by Assembly Member Garcia, welcoming the 2026 FIFA World Cup to California and highlighting the state’s host cities, economic benefits, and international goodwill. Several members spoke in support, emphasizing local hosting roles, cultural connections, and anticipated tourism and revenue. The resolution received 64 co-authors and was adopted by voice vote. On the daily file, the Assembly passed and retained or continued a number of items, then considered Assembly Concurrent Resolution 193 by Majority Leader Aguiar-Curry proclaiming 2026 the International Year of the Woman Farmer. Supporters described the role of women in California agriculture and the barriers they face; the resolution received 69 co-authors and was adopted. The Assembly also adopted Assembly Concurrent Resolution 210 by Assembly Member Jackson, establishing a sister-state relationship with Gauteng province in South Africa, with members speaking to economic, educational, and cultural ties; it received 65 co-authors and was adopted by voice vote. The second-day consent calendar was then taken up. House Resolution 113 by Assembly Member Jeff Gonzalez, on focal segmental glomerulosclerosis, was added to by 68 co-authors and the consent calendar passed 73-0. The remaining consent items were listed, and the Assembly proceeded to adjournment in memory statements for Norman L. Ford, Jr. and James McCain, Sr., followed by a moment of silence for each. The desk was ordered to remain open for budget-related business, and the House adjourned until Monday, June 15, upon the call of the Speaker.

Transcript Highlights:

• I think that those kinds of things people can get through their family physicians, the health care centers
• things people can get through their things people can get through their family<00:01:18.520> physicians
• <00:01:19.080> the<00:01:19.280> health<00:01:19.600> care family physicians
• the health care family physicians the health care centers<00:01:20.640> and<00:01:20.799>

Keywords: 1191, senate, all

Summary: The committee discussed a bill directing the Department of Education to develop or identify informational materials about type 1 diabetes and make them available to school districts and on school websites. One member objected that the bill was too narrow and effectively created a policy focused on one disease, arguing that other illnesses also deserve attention and that parents can obtain such information from physicians and health centers. Others responded that type 1 diabetes was chosen because it can be hard to detect, can progress quickly, and early warning signs in children may be missed by school staff and parents. Supporters emphasized testimony from young people and families about the importance of early detection, noting that type 1 diabetes is different from type 2 and can lead to serious complications if not recognized quickly. Several members said the bill would help teachers, nurses, and parents identify symptoms and seek prompt medical care, and that adding every disease would overcrowd the materials. One senator said the bill was a prevention measure and that similar treatment could be considered for other illnesses in the future if they met the same criteria. The committee then voted on the bill and advanced it on a 4-1 vote. Afterward, there was brief procedural discussion about whether to place another item on consent and whether to move out of executive session, but no additional substantive action was taken.

Transcript Highlights:

• I am proud to welcome physicians and residents from the Fort Worth Department of Health. and the Medical
• I also want to honor and recognize physicians from Harris County Medical Society, Dr. Pandya, Dr.
• These physicians are on the front lines of medicine and their voice is critical in shaping policies that
• for being here today to ensure that their voices are heard. to ensure that the voices of Texas physicians

Keywords: 1184, house, all

Transcript Highlights:

• Next, the Senate added a portion dealing with physician licensure requirements.
• This act requires a candidate applying for licensure as a physician to submit to a criminal background
• of Registration for the Healing Arts to require applicants to list all licenses to practice as a physician

Keywords: 959, house, all

Summary: The Committee on Professional Registration and Licensing held a public hearing and then executive session on Senate Substitute for Senate Bill 1083. The bill, as explained by the sponsor, would require respiratory therapists in Missouri to hold an active RRT credential rather than a CRT, while grandfathering current CRT licensees, and would also add random renewal audits to confirm licensees maintain active credentials. The Senate substitute also included provisions affecting interior designers, physician licensure background checks and disclosure requirements, social worker supervision experience, and speech-language pathologist clinical fellowship supervision requirements. Testimony was generally supportive of the respiratory therapy, speech-language pathology, and social work provisions, with witnesses saying the changes would improve patient care, reduce barriers to licensure, and help address workforce shortages, especially in rural areas. The interior design portion drew the most discussion, with Representative Nolte disputing the sponsor’s claim that the relevant board was in full agreement and saying the board had concerns; the interior designers’ witness responded that they had negotiated changes with board representatives and made additional revisions. One witness also asked the committee to consider adding language from House Bill 2300 and Senate Bill 895. In executive session, the committee adopted an amendment that added or clarified language on residential care and assisted living facility accreditations, a three-year work-experience requirement for temporary licensure language, cleanup language regarding an osteopathic college, and a speech-language pathology fix clarifying supervision could be from any state. The committee then rolled the amendment into the substitute and voted do pass on House Committee Substitute for Senate Substitute for Senate Bill 1083 by a vote of 21-1, with Representative Nolte voting no.

Transcript Highlights:

• Next, the Senate added a portion dealing with physician licensure requirements.
• This act requires a candidate applying for licensure as a physician to submit to a criminal background
• of Registration for the Healing Arts to require applicants to list all licenses to practice as a physician

Summary: The Committee on Professional Registration and Licensing heard Senate Substitute for Senate Bill 1083, which combines several professional licensing changes. The senator presenting the bill explained that the respiratory therapy section would require an active RRT credential to practice in Missouri, while preserving a grandfather clause for current CRT licensees, and would add random renewal audits to confirm active credentials. The Senate-added provisions also addressed interior designers, physician licensure background checks and disclosure of out-of-state discipline, reduced the required experience for social worker supervisors from five years to three, and allowed speech-language pathologists to complete clinical fellowships under supervision of licensed SLPs in good standing from any state. During questioning, Representative Nolte disputed the claim that the interior design board was in full agreement with the bill, while the sponsor and an industry witness said the profession had negotiated changes through board-related channels. Testimony in support came from representatives of the Missouri Society for Respiratory Care, the Interior Designers Association, the Missouri Speech-Language and Hearing Association, the National Association of Social Workers–Missouri Chapter, Burrell Behavioral Health, and FGA Action. Supporters described the respiratory therapy language as a patient-safety measure, the interior design language as a scope-of-practice and business-cost reduction measure, the speech-language pathologist provision as a technical fix to ease licensure and compact participation, and the social work change as a needed response to supervisor shortages, especially in rural areas. No opposition testimony was offered. The committee then went into executive session on SB 1083, adopted an amendment that included additional cleanup and related licensing changes, rolled the amendment into the committee substitute, and voted the House Committee Substitute for Senate Substitute for Senate Bill 1083 do pass. The roll call passed 21-1, with Representative Nolte voting no. The chair announced there were no further bills before the committee and adjourned.

Transcript Highlights:

• organized medicine since her first year at medical school at USCSD and is passionate about uniting physicians
• At 9:50 a.m. in Hearing Room 4: House Bill 2874, Campaign Committees, Termination Statements, Contributions

Summary: The Senate opened with prayer, the Pledge of Allegiance, attendance, and a series of guest introductions recognizing Maricopa County Community Colleges Day at the Capitol, the Doctor of the Day, Glendale Community College leadership, and other visitors. The chamber also received a gubernatorial communication withdrawing Holly Prangman’s nomination to the State Board of Psychologist Examiners. The body then considered multiple bills in Committee of the Whole. Measures advanced included HB 2342 on planned communities/HOA-related provisions, HB 2456 on small modular reactors and energy siting, HB 2457 on power plant and transmission line siting, HB 2752 on Commerce Authority trade offices, and HB 2923 on mental health court-ordered treatment, with several floor amendments adopted. Additional bills were also advanced from later calendars, including HB 2249 on parents’ bill of rights remedies, HB 2482 on school facilities and building renewal grants, HB 2895 on Native American language instruction certification, HB 2661 and HB 2662 on family law/parenting issues, HB 2793 on annexation procedures, HB 2805 on electronic signatures and nomination petitions, HB 467 on voter registration status, HCM 2005 on foreign government property ownership, HCM 2006 on Endangered Species Act reform, HB 2641 on PFAS firefighting foam prohibition, HB 2673 on incarcerated persons and mental illness treatment, HB 2745 on legislative subpoena/contempt, HB 2763 on shooting range closure conditions, and HCM 2011 on Mexican wolf delisting. The Senate then took up third-reading votes on several measures. HB 2035 on child welfare and placement passed 17-10, with senators citing concerns about kinship care definitions and LGBTQ exclusions. HB 2109, HB 2189, HB 2244, HB 2440, HB 2594, and HB 2932 all passed by varying margins, and HCM 2007 on renaming State Route 69 also passed. HCR 2059, supporting county sheriffs, passed after debate over the “supreme constitutional authority” language, with some senators objecting to what they described as a conspiratorial framing and others defending sheriffs’ constitutional role. SB 1503 on first responders’ state death benefits passed with the required emergency and supermajority votes, and HB 2342 and HB 2456 later passed on third reading. The Senate also agreed to a free conference committee on HB 2000 and adjourned until April 16, 2026, after announcing several conference committee meetings.

Transcript Highlights:

• THESE BOOKS ARE NOT ABSTRACT MEDICAL STATEMENTS, THEY ARE MIRRORS OF OUR CHILDREN.
• , THE LEGISLATURE INVESTED 10 MILLION IN THE DIABETES INSTITUTE AND THAT INVESTMENT IS EXPANDING PHYSICIAN

Transcript Highlights:

• Members, any questions or statements to Ms. Hernandez? Representative Isaac. Thank you, Chairman.
• I graduated from West Point in 1989 and served 26 years in the Army as an emergency medicine physician

Bills: HCR7, HB1557, HB1608, HB2061, HB2201, HB2210, HB2426, HB2754, HJR165, HB2513, HCR7

Keywords: Veterans of Foreign Wars, veterans, commemoration, military service, recognition, September 29, waiver programs, toll roads, discount programs, transportation, affordable housing, land bank program, low-income households, Texas State Affordable Housing Corporation, HB 2061, Texas Transportation Code, Chapter 225, State Highway 242, Interstate Highway 69, Montgomery County

Transcript Highlights:

• When an individual suffers an overdose, I believe it is rarely in the presence of a physician, a firefighter
• No statement needed.

Transcript Highlights:

• As background, current federal and state tax Statement of Settlement claims, absent a specific legislative
• Issue 5, AB 518, the data sharing for CalFresh is requesting $161,000. permanent physician for the FTB

Keywords: 988, house, all

Transcript Highlights:

• Chairman, you know, as a physician, I can't think of anything worse than having to talk to my patient
• I'm going to skip the statement of emergency.

Keywords: Roll Call 00:13 Approval of Minutes 00:44 SB 99 Discussion 03:30 SB 99 Vote 12:45 Administrative Regs 17:56, 958, all

Summary: The committee met with a quorum, approved the minutes, and heard a personal privilege statement praising Transportation Cabinet staff for helping a constituent obtain a Kentucky Uniform ID in time to board a cruise. The chair also recognized special guests and noted a page for the day. The main bill taken up was Senate Bill 99, with a committee substitute adopted before discussion. Senate Bill 99, sponsored by Senator Douglas, would strengthen Kentucky’s distracted-driving laws by prohibiting the use of personal communication devices to write, send, or read texts while operating a motor vehicle, with exceptions for emergency or public safety use and certain reporting or medical situations. The committee substitute clarified that GPS use remains allowed, including for younger drivers, and the bill also bars anyone under 18 from using a device in any manner while driving, sets a $100 fine with no points, and imposes a 90-day license revocation for minors. Supportive testimony and comments emphasized pedestrian and roadway safety, the dangers of distracted driving, and the bill’s alignment with existing CDL-related restrictions. After discussion, the committee voted on Senate Bill 99 by roll call and reported it favorably with the committee substitute attached. Members explaining their votes said the measure would save lives, reflected practices already used in trucking and bus operations, and was a reasonable enforcement approach similar to prior seat belt laws. The committee then received an informational update on five Transportation Cabinet administrative regulations, which were described as updates for federal compliance, signage standards, truck weight-limit renumbering, an OHV pilot program extension, and expanded electronic review of title applications; no substantive objections were raised. The meeting concluded with discussion of adjournment.

Transcript Highlights:

• And they individually had statements.
• And I thought I was curious there wasn't a name attached to those statements.
• that there's language in statute, as you mentioned, that prohibits some manufacturer, supplier, physician

Bills: HB2244, HB2364, HB2573, HB2749, HB2862, HB2870, HB4117, HCR2004

Keywords: evictions, judgment satisfaction, tenant rights, landlord obligations, court procedures, abortion-inducing drugs, medical abortion, pharmaceutical regulation, felonies, state law, DUI, ignition interlock, substance abuse treatment, driving privileges, alcohol education, felony conviction, misdemeanor designation, court judgment, criminal justice reform, rehabilitation

Transcript Highlights:

• So the statements on this slide are in no way an endorsement of any specific product, nor is it in any
• So the statements on this slide are in no way an endorsement of any specific product, nor is it, you
• For example, in the Health Care Subcommittee, the Hospital Association and Physician Association discussed

Summary: The committee held a work session focused on technology in government, AI, broadband, and digital equity. Seattle CTO Rob Lloyd described the city’s AI strategy, emphasizing responsible use, privacy, security, community input, and data strategy. He said Seattle is using small pilots and partnerships to test AI for tasks such as public records processing, infrastructure inspection, and permitting, while keeping humans as the final decision-makers. Members asked about bias, liability, training on best practices, labor involvement, and public records; Lloyd said AI should remain an assistant tool, not a replacement for human judgment, and that Seattle is still testing solutions for records requests and permitting. WATech CTO Nick Stow and Deputy Director Mark Quimby discussed the state’s broader AI policy, the generative AI executive order, a sandbox with more than 15 agencies, and use cases including a resident portal, cybersecurity, and wildfire detection. They stressed consent, closed systems, human-centered design, and the need to govern all forms of AI, not just generative AI. Committee members raised concerns about federal data access, labor issues, and wildfire detection effectiveness. Spokane County IT staff described a more restrictive approach to AI, citing privacy, bias, and cyber risks. The county standardized on Microsoft Copilot as its only approved chat-style AI tool, blocked other AI chat platforms, and requires human review of all AI-generated content. They said AI is also being used by criminals for phishing and deepfakes, underscoring the need for strong policy and security controls. The committee also received an update from the Attorney General’s AI Task Force. Yuki Ishizuka said the task force has 19 members and eight subcommittees covering ethics, consumer protection, labor, health care, public safety, education, government efficiency, cybersecurity, and industry/energy. The task force is working toward an interim report due December 1, 2025 and a final report due July 1, 2026, and is reviewing recommendations through public forums and advisory committees. Ishizuka warned that a federal budget reconciliation provision could bar states from enforcing AI regulations for 10 years, and several members voiced support for state authority and asked about possible 2026 legislation. The committee then heard updates on broadband and digital equity. Commerce’s Dave Pringle said the BEAD broadband program is being reshaped by new NTIA guidance, which removed or reduced emphasis on several prior priorities, and Washington is now working under an expedited process to submit its state application by September 4. He noted that no projects have been built yet, that four counties did not receive applications in round two, and that the state is trying to keep applicants engaged through office hours and a shortened review window. The Office of Equity and the Digital Equity Forum reported increased participation, new members, and ongoing outreach to tribal, rural, and underserved communities, while previewing recommendations such as creating an interdepartmental digital equity team and improving data use. Finally, Lumen’s Robert Thoms described private-sector broadband deployment challenges, including permitting, regulation, and the economics of extending fiber, while noting continued investment in overbuild projects, a $30 low-cost service option tied to the former ACP, and work with the state, tribes, and libraries. No votes were taken; the meeting consisted of presentations and member questions.

Transcript Highlights:

• Almost 50 years ago, back in 1976, we first recognized physician assistants for humans, allowing PAs
• Commission will give them the tools they need to cut through the, shall we say, the fog of an income statement
• or the spreadsheets or the supporting documentation... ...of an income statement or the spreadsheets

Summary: The committee met with a quorum and considered several bills, reporting each favorably after hearing sponsor presentations, public testimony, and member questions. SB 578 would allow wine to be sold in recyclable containers, aligning wine with beer container rules; it received support from Americans for Prosperity and passed without debate. SB 606 clarified when guests in public lodging or food service establishments may be removed for nonpayment, updated notice and checkout provisions, and removed a mandatory arrest requirement, with support from hotel and restaurant industry groups; it also passed favorably. Members then heard SB 202, which addresses a municipal water utility surcharge issue affecting Miami Gardens and North Miami Beach by requiring the utility to charge residents where the plant sits the same rate it charges its own residents. The sponsor and supporters described it as a fairness issue, while North Miami Beach argued it would shift costs and threaten utility finances; the bill was reported favorably. SB 570 modernized and clarified the scope of work for swimming pool and spa contractors, and SB 928, as amended, regulated non-approved disposable nicotine devices by restricting advertising and display, increasing inspections and penalties, and adding a school-buffer provision; both were reported favorably. The committee also approved SB 346, which repeals state preemption over local regulation of hoisting equipment and cranes, prompted by concerns after Hurricane Milton and a crane collapse in St. Petersburg. Supporters said local governments need authority to address storm-related crane safety, while industry representatives warned against patchwork regulation and said local oversight already exists in some areas. Finally, the committee took up SB 652, creating Veterinary Professional Associates to perform certain tasks, including limited surgeries under veterinarian supervision; animal welfare groups supported it as a way to expand access, while some veterinarians opposed the surgery provisions. The bill was reported favorably after amendment. The committee then began SB 354, a major overhaul of Public Service Commission oversight, including expanding the commission, adding financial expertise, tightening rate-setting and storm-hardening review, and increasing transparency for nonprofit water and wastewater utilities; the substitute amendment was adopted and public testimony was heard from consumer advocates and utility-related groups, but the transcript ends before final action on the bill.

Transcript Highlights:

• The statement, ...that from various entities.
• The statement question is about the student loan incentive idea.
• Schultz Foundation, and even our two big hospitals, both Physicians Regional and NCH.

Summary: The Appropriations Committee on Higher Education met to focus on nursing education funding, workforce supply, and Florida’s low NCLEX pass rates. The chair emphasized that Florida ranks last nationally in nursing exam pass rates and said the committee wants to use budget decisions and a forthcoming nursing bill to improve outcomes. The Florida Center for Nursing at USF presented preliminary workforce and education data showing RN supply is moving toward equilibrium with demand through 2037, while LPN shortages are projected to worsen, especially in some regions. The center also reported on enrollment, retention, faculty vacancies, and NCLEX trends, noting Florida still underperforms the national average but has shown some recent improvement, including higher RN pass rates in 2024 despite fewer test takers. The center highlighted that students who test sooner after graduation tend to pass at higher rates. A panel of nursing education leaders from public universities, state colleges, technical colleges, and private institutions described how prior state pipeline and line-item funding helped expand enrollment, simulation labs, faculty hiring, student support services, and partnerships with hospitals. UNF, Galen College, College of Central Florida, Keiser University, and Lorenzo Walker Technical College each reported strategies such as expanded simulation, mental health and social work support, test-prep and remediation, and efforts to grow faculty pipelines. Several speakers said faculty recruitment and retention remain major barriers because of salary competition with hospitals, faculty debt, and aging faculty. Technical college representatives also stressed the need to strengthen LPN pathways, English-language support, and LPN-to-RN bridge programs. Members asked for ideas to improve NCLEX outcomes and discussed possible policy options, including student loan forgiveness, critical shortage supplements for faculty, incentives for students to test soon after graduation, and possible changes to timing or regulation around NCLEX eligibility. Several witnesses supported more flexible or recurring funding, while noting that one-time line funding has been useful for simulation, scholarships, and faculty support but is harder to sustain. The committee adjourned after the discussion, with the chair saying the ideas would be considered in future funding and policy decisions.

Transcript Highlights:

• if you identify there's a problem there and maybe that's linked back to the lack of primary care physicians
• or providers in that physicians or providers in that community,<00:27:07.039> then<00:27:07.279
• um 17% of our primary care physicians um 17% of our primary care physicians are<01:05:56.960>
• Like earlier I mentioned that we were going to do injections for physicians, and now we're going to do
• and now injections for uh physicians and now we're<01:07:23.920> going<01:07:24.000> to

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:20 CRISP Shared Services 00:01:39 Rural Health Transformation Plan 00:30:55, 958, all

Summary: The Budget Review Subcommittee on Health and Family Services opened its first meeting of the 2026 interim session, took roll, and moved directly into presentations. The main presentation was from Ryan Bramble of Crisp Shared Services, who described the organization’s health information exchange and health data utility model in Kentucky and other states. He emphasized that Crisp is a nonprofit, that data ownership remains with providers, and that governance is local. He also outlined the technical infrastructure, including a master patient index, cloud-based data lake, support for modern standards like FHIR and USCDI as well as older formats, and data quality tools used to normalize and standardize information. Bramble said the model is intended to reduce duplication, lower costs, and support rural providers and future use cases such as reporting, analytics, and AI-enabled decision support. Members asked how the state can ensure the data is actually used and who should drive priorities for health care improvement. Bramble said Crisp can provide tools, expertise, and examples from other states, but local teams such as KHI and state stakeholders must tailor and lead utilization efforts. In response to questions about ownership and coordination, he stressed that successful HIE governance requires a multistakeholder body that includes hospitals, health plans, government, and other interests, with a unified approach rather than multiple competing directives. He also said the Commonwealth has an opportunity to convene those stakeholders and set clear priorities. A senator raised concerns that responsibility for Medicaid and broader health policy has become fragmented and suggested a stronger central role for the state, possibly through the Department of Public Health, to coordinate health priorities. Bramble agreed that a single convening authority and multistakeholder governance are important, and noted that local governance should determine what data is shared and how it is used. No votes or formal actions were taken during this portion of the meeting. After Bramble’s presentation and questions, the committee was told that Secretary Stack from the cabinet would testify next on the rural health transformation plan.

Transcript Highlights:

• <00:53:15.000> letters which quote says and Physicians letters which quote says and Physicians
• We so often hear statements about restorative justice being casually thrown around.
• We so often hear statements about restorative justice being casually thrown around.
• We so often hear statements about restorative justice being casually thrown around.
• <01:48:33.760> cases environmental impact statement cases environmental impact statement cases

Keywords: 910, house, all

Summary: The committee met on February 12 at 2 p.m. and heard several measures related to corrections, re-entry, law enforcement, retirement benefits, and gun violence prevention. On HB 10002, which would extend the Hawaii Correctional System Oversight Commission coordinator’s term and clarify unannounced inspection authority, the Department of Corrections and Rehabilitation said it had no objection to the term length or to 24/7 unannounced access. The commission’s chair, Commissioner Mark Patterson, asked for a longer term, saying the commission needs more time and stability to manage reform efforts after years without staff during COVID. Community Alliance on Prisons and Carolyn Eaton also supported a longer term, with both suggesting six years would better insulate the position from politics. The chair noted he had asked Chair Bot for background on the prior committee’s changes and said that could be discussed during decision-making. The committee then heard HB 67, which would require DCR to help inmates obtain civil identification documents such as IDs, birth certificates, and Social Security cards as soon as practicable, including for people in furlough or community placement programs. DCR said it supported the bill and described ongoing work with the city and county on ID machines and with agencies on certificates and Social Security cards. The Office of Hawaiian Affairs, the Oversight Commission, Community Alliance on Prisons, and the Office of Public Defense all supported the measure, emphasizing that identification is essential for housing, employment, and successful re-entry and noting the disproportionate impact of incarceration on Native Hawaiians. On HB 1183, which would classify certain law enforcement administrators and Department of Law Enforcement employees as Class A members for retirement purposes, the Department of Human Resources Development, the Employees’ Retirement System, and the Department of Law Enforcement all supported the bill. DHRD said it would help recruitment and retention, ERS said it had technical amendments to suggest, and DLE said the change would help with succession planning and allow the governor to appoint the most qualified leader. The committee also heard HB 1045, an emergency appropriation bill to cover payroll fringe benefits for Department of Law Enforcement personnel after salary funding had been shifted to other departments; Budget and Finance and DLE explained the need for the supplemental funding, and no opposition was noted. Finally, the committee took up HB 664, which would create an Office of Gun Violence Prevention, a grant program, a resource bank, and a special fund. The Attorney General recommended adding standards for grant awards and warned of overlap with the existing Gun Violence and Violent Crimes Commission, suggesting consolidation and repeal of the older commission to avoid duplication. Supporters included the Brady Campaign, Everytown for Gun Safety, Moms Demand Action Hawaii, a physician, and an Army veteran, who argued the office would centralize data, coordinate prevention efforts, and help secure outside funding. Testimony was mixed, with the chair noting 37 supporters, nine opponents, and three commenters, but no vote was taken during the hearing.

Transcript Highlights:

• Andrew Carroll celebrates his 30th year as a physician this year.
• He's a family physician, and his practice has been in the Phoenix area since 1999. This year.
• He's a family physician.

Keywords: 1182, all