Transcript Highlights:

• I don't need to lay out that picture for you.
• We need all of it.
• We need all of the members to come back because literally we are going to need to vote on everything
• We do need a motion for this item also. We do need a motion for this item also.
• I do need to move the bill. I do need to move the bill. Do I have a second? Thank you.

Summary: The committee heard several housing-related bills, beginning with SB 1003, which would create pro-housing enhanced infrastructure financing districts to help local governments fund infrastructure needed for housing developments. The author and supporters argued that infrastructure costs often prevent projects from penciling out, while the chair expressed support and said the bill would be taken up later when quorum was available. SB 1014 followed, proposing new disclosure requirements for local jurisdictions to provide good-faith estimates of on-site and off-site improvements within 30 days of application, with supporters saying it would reduce late surprises and opposition from several cities citing implementation concerns with the 30-day timelines. The committee then took up SB 802, a Sacramento-region bill requiring a joint powers authority to coordinate housing and homelessness services. Senator Ashby and former Mayor Darrell Steinberg argued that Sacramento’s fragmented system has failed for years and that a JPA would improve accountability, coordination, and use of state funds. The bill drew broad support from local officials, service providers, business groups, and advocates, while some county and city representatives registered opposition or neutral concerns about state-mandated local governance. Several committee members said they were persuaded by the need for regional coordination, though some raised concerns about local control; the chair noted the bill would be moved when quorum allowed. The committee also heard SB 1092 and SB 1093, both focused on mobile home park residents after disasters or park sales. SB 1092 would give residents a right of first opportunity to match a sale offer for a park, with supporters saying it protects vulnerable seniors and preserves affordable housing, while park owners and their representatives argued it would devalue property and raise constitutional and financing concerns. SB 1093 would require more transparent communication, access to property, and consideration of rebuilding or closure after a disaster; supporters cited the long uncertainty faced by Palisades residents, while opponents warned about liability, safety, and burdensome review requirements. Members split along similar lines, with some emphasizing property rights and market impacts and others stressing the need to protect residents and preserve scarce affordable housing.

Transcript Highlights:

• No. staff covers all inpatient needs. um staff covers all inpatient needs. um coordinates<00:08:03.599
• Those discussions are based on kind of what DJJ's needs are as far as number of youth that would need
• I'm sure there would be a need. I'm sure there would be a robust need.
• I'm sure there would be a need. youth. I'm sure there would be a need.
• I'm sure there would be a robust need. I'm sure there would be a robust need.

Keywords: The original version of this live stream dropped before the meeting was technically finished. This is the complete copy pulled from back up sources., 958, all

Summary: The committee met to hear updates from the Department of Juvenile Justice and the Department of Corrections on two related issues: a proposed high-acuity juvenile mental health treatment facility and medical services contracts, including the impact of Wellpath’s bankruptcy proceedings. At the start, the chair agreed to hear the Department of Corrections first so members could get context on the medical contract before turning to DJJ’s proposal. DOC officials said Wellpath, the department’s comprehensive medical and mental health provider since 2013, was awarded its current contract through a 2021 procurement process. They reported that Wellpath’s Chapter 11 reorganization plan had been confirmed and that the company had transitioned ownership to lenders, but had not yet fully completed the bankruptcy process. DOC said there had been no service lapses, no reduction in care, and no known impact on Kentucky vendors or hospitals, and that DOC staff meet with Wellpath almost weekly. Members asked whether the committee had been kept informed and whether the bankruptcy could affect future services or subcontractors. DJJ then presented its concept for a high-acuity facility, explaining that the project is still in the preliminary programming and conceptual stage and has not yet entered the formal design phase with DECA. Officials said the proposal in the capital plan would create a 24-bed facility, with 16 clinical beds and 8 assessment/stabilization beds, to serve justice-involved youth with serious mental health needs. They said the facility would need to separate males and females and high- and low-risk youth, and that current placements often require sending youth out of state to places such as Pennsylvania, Michigan, Georgia, Arkansas, and Texas. Staff said the goal is to centralize treatment, improve safety, and reduce the need for fragmented or out-of-state placements. Committee members questioned the cost estimates, staffing needs, and whether the facility was justified given the small number of youth currently placed out of state. DJJ said the operational estimate includes an unknown medical-contract component and that the number of youth needing the facility can fluctuate because of surges in the juvenile population. Officials also said they had consulted with South Carolina, which is developing a similar facility, and noted that renovating existing facilities was considered but could be more expensive or impractical than building a separate site. No votes or formal actions were taken during the discussion.

Transcript Highlights:

• <00:05:01.479> extra those operations that need extra those operations that need extra attention
• Why can we speak a little bit more to why that change is needed?
• And when I say that, we would need training. We need proper training. We're not nurses.
• And when I say that, we would need training. We need proper training. We're not nurses.
• And, like, you know, you need a waiver, so... ...and children with really high needs in my home all the

Keywords: 1183, house

Transcript Highlights:

• it comes to special education in Minnesota, the numbers are going up, from the number of students needing
• have testified that the number of students in Minnesota is going down, but the number of students needing
• have testified that the number of students in Minnesota is going down, but the number of students needing
• relief from some of the things that need relief from some of the things that need to<00:04:55.759
• that they had the resources they needed that they had the resources they needed um<00:08:46.040>

Keywords: 1187, senate, all

Transcript Highlights:

• And the need for treatment and the need for services in our state is great.
• The six-month inpatient programs, we need more. We need more beds.
• We need more family resources.
• The six-month inpatient programs, we need more. We need more beds.
• We need more family resources.

Summary: The Senate Human Services Committee held a work session on child welfare dependency, focusing on implementation of HB 1227 (Keeping Families Together) and SB 6109 (the fentanyl response bill), along with related data and system updates. DCYF first reviewed the dependency process, explaining intake, shelter care, fact-finding, disposition, and review hearings, and emphasized that removal standards are separate from service provision and that children may be in-home or out-of-home at different stages. DCYF said 1227 raised the removal threshold to imminent physical harm and strengthened kin placement, with nearly 60% of children now placed with relatives or suitable others. The department also said 6109 directs courts to give great weight to fentanyl’s lethality and added legal liaisons to support staff in court preparation. DCYF presented data showing that entries into out-of-home care declined after 1227 but rose again after 6109, returning close to pre-1227 levels. The agency also reported a sharp increase in reviewable critical incidents in 2022-2025, especially near-fatalities, which it linked to the opioid and fentanyl crisis, parental stress, and system complexity. DCYF said it has responded with statewide Safe Child Councils, staff consultations, hotspot monitoring, and additional training, and noted that some contracted services authorized under 6109 were not implemented because of fiscal constraints. Senators asked about where children are in the process, who participates in court, the timing of data releases, age breakdowns, and geographic hotspots. Advocates and lived-experience witnesses from LCYC and a family intervention clinic argued that 1227 has not prevented courts from removing children when necessary and said the law appropriately requires the state to show a causal link between home conditions and risk. They said 6109 appropriately highlights fentanyl’s danger, but stressed that the larger issue is lack of prevention and treatment resources, inconsistent county-by-county practice, and insufficient supports such as inpatient beds, family treatment, housing, transportation, and third-party safety plan participants. A parent ally described how early support, peer guidance, and kin placement helped her achieve recovery and stability after losing parental rights in an earlier case. The committee also heard an update on SB 6068 from the Administrative Office of the Courts and K Implementation and Evaluation. The report identified 15 dimensions of relational permanency and child well-being, found that some data already exist while other measures need development, and recommended a phased data collection plan, a restored data-sharing agreement between AOC and DCYF, and a standing cross-agency work group. AOC said its dependency data system lapsed when the prior agreement expired in June 2025 and needs to be rebuilt. The meeting also included a brief update on bridge housing for youth exiting inpatient treatment, with presenters saying two programs are now open, one in King County and one in Spokane, and a short introduction to juvenile rehabilitation capacity updates before the transcript ended.

Transcript Highlights:

• Somebody who needs propane may need a little bit more than somebody who just needs to get their electric
• Kentucky has the need. Kentucky has the need.
• What Kentucky needs now is investment. What Kentucky needs now is investment.
• around water needs on the ground. around water needs on the ground.
• Was it based upon anticipated need<01:23:44.800> versus need versus need versus capabilities<01

Bills: SB8

Keywords: utilities, public service commission, energy regulation, appointment, emergency declaration, tax increases, consumer protection, The first couple minutes of the livestream was cut off. This recording restored the beginning of the meeting Meeting Start 00:00:00 Attendance Roll Call 00:00:51 Approval of Minutes 00:02:07 Legislator Comments 00:02:18 LIHEAP Public Hearing 00:04:19 PSC Update on RS 26 SB 8 00:32:18 WaterStep Presentation 01:04:08, 958, all

Transcript Highlights:

• And the supports that our Martinez Yazi student groups deserve and need, and the capacity that is needed
• But I don't need to dig down into anything.
• to meet the needs of their students.
• I think those are different needs that need to be identified and have specific goals into Different levels
• I think that's something that we need to start addressing.

Transcript Highlights:

• So they needed extra evidence somebody else might not need, but they needed the opportunity to earn that
• They do need people need extra help. They do need extra<00:55:34.200> assistance.
• It is really needed.
• It is really needed.
• We need to remove the exemption needed.

Keywords: 1183, house

Transcript Highlights:

• we need so that if future legislators do decide to ...need so that if future legislators do decide to
• I'll need to check with my colleagues.
• It highlights the neighborhoods that need it.
• L.A.O., I need your help.
• We need tools like ROI, and we need transparency in how benefits are being taken away so we can step

Summary: The Assembly Budget Subcommittee on Human Services held an informational hearing focused on the impacts of federal HR1 on CalFresh and Medi-Cal, along with related state mitigation efforts. CDSS, DHCS, DDS, county representatives, LAO, and Finance discussed automatic exemptions, data-sharing between departments, county workload, and the timing of implementation. CDSS said about two-thirds of adults ages 18 to 64 are already known to be exempt in CalFresh, and that administrative data matches could newly exempt about 200,000 of the roughly 955,000 adults potentially at risk. DHCS said Medi-Cal work requirements would begin in 2027 and the department is working to automate exemptions, including for IHSS recipients and some caregivers, while DDS said its population is expected to be covered by auto-exemptions. County welfare directors emphasized that individualized worker contact is critical, that counties need more staffing and stable funding, and that without it they expect delays, higher error rates, and reduced exemption screening capacity. Members pressed for written timelines, county-by-county impact data, and clearer guidance; the administration said it would provide follow-up materials and technical assistance. No votes were taken. The committee then heard a separate discussion on a proposed CFAP expansion or “CFAP Plus” concept to provide state-funded benefits to additional populations affected by HR1, including lawfully present non-citizens and ABODs. CDSS said implementation could not occur before October 1, 2027 because of policy and system-design constraints, and that adding unique eligibility rules would increase complexity and cost. Finance cautioned that any expansion would have General Fund impacts likely in the hundreds of millions to multiple billions. Members asked for cost estimates and technical feedback on trailer bill language, and CDSS said it would review the proposal and respond. The hearing also covered CDSS’s CalFresh strategic plan and mandated reporter training updates. CDSS said it is hiring a strategic plan lead to develop a long-term, data-informed CalFresh plan, and that the revised mandated reporter training is on track for launch in fall/winter 2026, ahead of the July 1, 2027 statutory deadline. The training will include updated content on structural racism, ICWA protections, implicit bias, and the distinction between reporting and supporting families. Members praised the work and asked for continued updates. Later panels focused on Promise Neighborhoods, Stop the Hate, and housing programs. Promise Neighborhood advocates and CDSS described the state’s prior $12 million investment, a positive evaluation showing roughly a 4-to-1 return, and a new proposal to support place-based partnerships and community schools through AB 1969. Stop the Hate grantees and CDSS reported that the program has provided direct services, prevention, and statewide coordination to millions of Californians, and urged reauthorization before funding expires; members asked for best-practice language and discussed focusing future funding on solidarity work, harm reduction, legal services, and education. Finally, CDSS presented on the CalWORKs Housing Support Program and Housing and Disability Advocacy Program, saying proposed General Fund investments of $105 million and $55 million would prevent funding cliffs and allow the programs to continue through 2026-27, while the absence of new funding would force reductions in housing assistance, subsidies, and enrollments.

Transcript Highlights:

• we need so that if future legislators do decide to... ...need so that if future legislators do decide
• It highlights the neighborhoods that need it.
• L.A.O., I need your help.
• We need tools like ROI, and we need transparency in how benefits are being taken away so we can step
• We need to continue it during...

Keywords: 988, house, all

Summary: The Assembly Budget Subcommittee on Human Services held an informational hearing focused largely on the implementation of federal HR1 changes and their effects on CalFresh, Medi-Cal, and related county workloads. CDSS, DHCS, DDS, CWDA, LAO, and Finance discussed the CalFresh able-bodied adult without dependents time limit, with CDSS saying about two-thirds of affected adults are already known to be exempt in the system and that roughly 200,000 more could be auto-exempt through new data matches with DHCS and DDS. Officials said those exemptions should be in place by mid-August, before the first possible discontinuance in October, and that counties would receive policy guidance, handbook updates, and client-facing materials. DHCS said Medi-Cal work requirements would be implemented later, with rules and testing completed ahead of a January 2027 rollout, and noted automatic exemptions for some IHSS-related cases. CWDA urged more county staffing and funding, citing examples where high-touch outreach improved exemptions, reduced churn, and increased participation, while warning that without additional resources counties expect delays, higher error risk, and reduced engagement. The committee also discussed a possible CFAP Plus expansion to provide state-funded food benefits to people losing CalFresh eligibility under HR1. CDSS said implementation could not occur before the planned October 1, 2027 CFAP expansion timeline and would depend on final policy choices, system design, and the complexity of adding new eligibility groups. Finance cautioned that any benefit expansion would carry significant General Fund costs, potentially in the hundreds of millions or more. Members asked for written timelines, county-by-county impact data, and feedback on trailer bill language, and CDSS agreed to provide follow-up materials and technical assistance. A separate item reviewed the CalFresh strategic plan and the revision of CDSS’s online mandated reporter training. CDSS said the strategic plan lead position should be posted in May and that the plan would be data-driven and collaborative. For mandated reporter training, CDSS reported that the revised curriculum is being developed with lived experts and stakeholders, will include content on structural racism, ICWA protections, implicit bias, and the distinction between reporting and supporting, and is on track to launch in fall/winter 2026 ahead of the statutory deadline. The committee also heard updates on Promise Neighborhoods, where advocates described strong outcomes and argued for continued and expanded state support, including AB 1969 to deepen partnerships with community schools; members emphasized the need for more stable braided funding and institution-building rather than short-term program funding. The hearing concluded with updates on the Stop the Hate program and housing assistance programs. CDSS said Stop the Hate has provided direct services, prevention and intervention programming, and statewide coordination, reaching millions through outreach and serving more than 11,200 people through transformative grants; advocates urged reauthorization and more targeted funding for solidarity, harm reduction, legal services, and education. Finally, CDSS said proposed one-time investments of $55 million for H-DAP and $105 million for HSP would help avoid funding cliffs and maintain homelessness prevention and housing stabilization services through 2026-27, while the absence of new funding would force reductions in emergency housing assistance, rental subsidies, and enrollments. No votes were taken during the hearing.

Transcript Highlights:

• Do we even need this resolution?
• So, do we even need this resolution?
• Do we even need this resolution?
• So, do we even need this resolution?
• So, do we even need this resolution?

Keywords: 912, senate, all

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

Transcript Highlights:

• if we don't need it.
• , we need to adopt executive rec on this.”
• needs.
• Well, are we going to have $4 million needed? Do we need that?
• to fill it based on needs and on budget.

Summary: The committee heard a series of Arkansas Department of Human Services budget presentations and questions, beginning with the Secretary’s Office and then the Division of Aging, Adult and Behavioral Health Services. Staff described the divisions’ appropriations, funding sources, and major programs, including senior centers, Meals on Wheels, mental health grants, substance abuse treatment, community alcohol safety, the Medicaid tobacco settlement program, and crisis stabilization units. Members raised concerns about flat or limited funding for senior services, the use and tracing of federal block grants, the lack of a funding source for the veterans’ mental health grant, and the mechanics of the community alcohol safety and treatment programs. The committee also discussed patient benefits funds at state facilities, transportation for senior center clients, and whether some special-language appropriations or fund balances should be revisited. Executive recommendations were adopted for the divisions considered. The committee then reviewed the Division of Children and Family Services and the Division of County Operations. Questions focused on foster care growth, adoption subsidies, professional fees tied to staff training and onboarding, vacancies, the Children’s Trust Fund, and TANF subgrants. Members asked about the reduction or elimination of TANF funding to child advocacy centers and other subgrantees, and DHS explained that prior reserves had been spent down and that the department was now trying to live within the annual TANF block grant and rebuild reserves. County operations questions also covered summer EBT, SNAP employment and training, the farmers’ market program, and the expected impact of a federal SNAP administrative match change, which DHS estimated would increase state costs by about $24 million annually, with roughly $18 million affecting the current year because the change begins October 1. Executive recommendations were again adopted. Finally, the committee heard from the Division of Developmental Disability Services and the Division of Medical Services. DDS testimony covered vacancies, staffing shortages, human development center construction and repairs, the reopening of the Boonville work training program, and funding for infant infirmary and child/family life programs. Medical Services testimony covered the Medicaid program, the current FMAP rate, the Our Kids B CHIP program, Medicaid payments to schools, nursing home distress funding, and large appropriation lines used to provide flexibility for claims and potential facility closures. Members asked for more detail on school Medicaid payments, reserve balances, and why some appropriations were much larger than actual spending. In each division, the committee moved and adopted Executive REC after questions concluded.

Transcript Highlights:

• We need more education in schools. We need more education with our parents.
• We need more education in schools. We need more education with our parents.
• Schools are seeing the need.
• Parents need to be involved with it. Best way. Parents need to be involved with it.
• I need. I need.

Summary: The committee first approved the December 16 minutes and then heard a presentation from Dr. Ramona Danielson on adverse childhood experiences (ACEs) and their economic and public-system impacts. She explained that ACEs are population-level risk indicators, not individual diagnostic tools, and said higher ACE exposure is associated with more chronic illness, mental health challenges, child welfare and justice involvement, and lower workforce participation. She cautioned that precise dollar estimates are difficult because of the many interacting factors across the life course, but said the direction of the impact is clear and that evidence-based interventions and protective factors can reduce harm. Members asked about definitions of a “healthy family,” same-sex couples, divorce, substance abuse, trends in ACEs, and home visiting; she emphasized supportive relationships, protective factors, and the importance of positive childhood experiences. The committee then heard from Allison Mahoney and Missy Barranco, along with a recorded family story from Abby, about evidence-based home visiting programs in North Dakota. Abby described how Healthy Families North Dakota supported her family after a premature birth and NICU stay by providing weekly in-home coaching, developmental screenings, postpartum mental health check-ins, referrals, and parenting support. The presenters explained that home visiting is voluntary, relationship-based, and usually begins prenatally or shortly after birth, with referrals coming from hospitals, WIC, pregnancy navigators, human service zones, self-referrals, and other community partners. They said North Dakota currently has four main evidence-based models operating through 12 organizations, with Healthy Families available in all 53 counties, though only a fraction of eligible families are served. Funding was described as a patchwork of federal MIECHV/Title IV-E, Medicaid, state and tribal funds, philanthropy, charitable gaming, and other grants; members discussed whether the Legislature or agencies should expand support and how to improve outreach and sustainability. Finally, the committee received a memorandum on artificial intelligence and sexual exploitation, focusing on AI-generated child sexual abuse material, deepfakes, sextortion, and chatbot-related risks. The report summarized federal and state law, including North Dakota’s existing computer-generated image provisions, the federal PROTECT Act, the Take It Down Act, and recent federal executive orders on AI policy. Members discussed the need for child-safety protections, the limits of executive orders, and broader concerns about AI’s effect on critical thinking and misinformation. The committee then heard from BCI Special Agent Cassidy Halsef, who said AI is already driving a sharp rise in child exploitation cases in North Dakota, including AI-generated explicit images of real minors and school-based incidents involving mass-shared manipulated images. She said investigators are seeing more cyber tips, more difficult forensic work, and lasting harm to victims and families, and urged stronger legal penalties, specialized training, victim services, and prevention education in schools and communities.

Transcript Highlights:

• So we have been using small amounts of it when we need natural gas to come on to meet our peak needs
• So we have been using small amounts of it when we need natural gas to come on to meet our peak needs
• a critical role in meeting Peak needs a critical role in meeting Peak needs and<00:24:26.480>
• or the things they need.
• or the things they need.

Keywords: 1187, senate, all

Transcript Highlights:

• But we also need then...
• <00:38:12.599> to that reason I think we still need to that reason I think we still need to
• He said when you or your loved ones need an ambulance, we need to get the rig out of the door.
• He said when you or your loved ones need an ambulance, we need to get the rig out of the door.
• He said when you or your loved ones need an ambulance, we need to get the rig out of the door.

Keywords: 1183, house

Transcript Highlights:

• We need to act.
• We need to act.
• We need to act.
• We need to act.
• We need to act.

Keywords: 1183, house

Transcript Highlights:

• I think what we need to see from DCF is what information they believe they need.
• I'm going to let her go ahead, but I just need to point out that, again, I think you and I need to sit
• They need to read the articles.
• But we need compassion and quality, and we don't need private equity going in to make a buck.
• The Certificate of Need is also very short-sighted.

Transcript Highlights:

• We need everything we can do to address equity.
• She just received a They actually need care.
• Perfect timing, and no need to be nervous. You did great.
• No need. So thank you. I don't know why. No need.
• We don't need to change the Teams link, correct?

Keywords: 995, all

Summary: The committee held a public hearing with testimony on several health care bills, with most of the discussion focused on primary care access, community health center reimbursement, midwifery and birth centers, telehealth, hospital-at-home, direct primary care, and trans-inclusive health care access. Chair Feeney and Chair Murphy opened by noting the large number of signups and asking testifiers to keep remarks brief because of time constraints. Legislators and witnesses repeatedly emphasized that Massachusetts’ primary care system is under strain and that federal policy changes and reimbursement gaps are worsening financial pressure on providers. On community health centers, Representative Blay, Senator Lovely, Michael Curry, Bethany Keeley, Jag Deep Trevetti, Sean Cahill, and Christina Severin all supported H. 1096/S. 711, which would require commercial insurers to pay federally qualified health centers at least the MassHealth prospective payment system rate. They argued that commercial plans currently reimburse health centers below Medicaid rates, threatening sustainability, staffing, and access, especially as federal cuts and coverage losses could increase uncompensated care. Testifiers said the bill would stabilize health centers, protect primary care access, and not cost the state money. A second major topic was H. 1117/S. 784 on sustaining birth centers and the midwifery workforce. Senator Lovely, Senator Miranda, Emily Anesta, Rebecca Orden, Catherine Rushworth, Nishira Burrill, Joel Sutherland, Rachel Blessington, Joelle Ward, and others described the 2024 maternal health omnibus as an important first step, but said birth centers and midwives still face low reimbursement, workforce shortages, and financial instability. They urged reimbursement parity, a workforce development fund, and support for freestanding birth centers, citing improved outcomes, lower C-section rates, better patient experience, and racial equity in maternal health. Several speakers shared personal birth stories and said the bill would help preserve and expand birth options in communities like Roxbury, Worcester, and the North Shore. The committee also heard support for H. 1343 on direct primary care from Dr. Garofalo, Dr. Altman, Dr. Nair, Stephanie Cameron, Dr. Haley Moke-Blessed, and others, who said current insurance rules force patients to use a separate in-network primary care doctor for referrals and sometimes prevent physicians from dispensing medications. They argued the bill would reduce delays, administrative burden, and costs while improving continuity of care. In addition, Dr. Miklides and Sue Stempeck supported H. 1141 on hospital-at-home parity, saying the model has strong outcomes and should be reimbursed at the same rate as brick-and-mortar hospital care. Heather Myers and Katrina Cook testified on telehealth and digital health equity, urging broader coverage for asynchronous care, remote monitoring, interpreter services, and digital literacy supports. SEIU Local 509 supported H. 1188/S. 681 on trans-inclusive health care access, saying it would remove arbitrary insurance barriers to gender-affirming care. No votes or committee actions were taken during the hearing.

Transcript Highlights:

• That's the thing you need<01:12:24.320> to<01:12:24.560> do. need to do. need to do.
• time of need. time of need.
• <02:50:04.880> to what they need to do, how they need to what they need to do, how they need
• . needed. needed.
• I need money for this. I need money for that.

Keywords: 916, all

Transcript Highlights:

• want to ask for more than what we need want to ask for more than what we need basically<00:03:46.400
• they that they badly need they that they badly need so<00:11:00.360> that's<00:11:00.600>
• That function still needs to be done. We still need nurses at the bedside.
• It doesn't need to come up to me.
• They need the money.

Keywords: 912, senate, all

Summary: The joint Ways and Means and Health and Human Services committees heard Hawaii Health Systems Corporation’s biennium budget request, with testimony from HHSC leadership on the Hilo/Big Island region (HTH 212) and the Oahu region (HTH 215), plus discussion of capital improvement projects and systemwide partnerships. HHSC described its role as the rural healthcare safety net, serving a high share of Medicare, Medicaid/Quest, and uninsured patients, and said its costs are elevated by state employee fringe benefits, which it said are about 64% compared with roughly 30% in the private sector. HHSC also said pandemic-era federal aid, including relief funds and PPP loans totaling about $100 million, reduced the need for general fund support in prior years. For HTH 212, HHSC said its general fund request for fiscal years 2026 and 2027 was higher than the governor’s recommendation because of rising insurance, pharmaceutical, and contractor labor costs, and because it includes $13.2 million in FY 2026 and $2.3 million in FY 2027 for Epic electronic medical record implementation in East Hawaii. For HTH 215, HHSC said the requested general funds were aligned with the governor’s recommendation, in part because of increased Medicaid reimbursement rates for long-term care facilities under prior legislation. HHSC also said it was restoring a special fund ceiling so the region could spend its cash collections on operations. Members asked about the 64% fringe rate, and HHSC explained the difference was mainly due to defined-benefit pension and retiree health insurance costs, which private hospitals generally do not bear at the same level. Members also asked about the Daniel K. Akaka State Veterans Home, and HHSC said operations would be funded through the general fund corporation for the home when it opens, with management by Ohana Pacific, but no additional legislative operating funds were being requested at that time. Other questions focused on staffing and vacancies, including an abolished procurement position and an ongoing IT help desk recruitment need. HHSC highlighted several capital and partnership projects, including a $25 million state CIP request matched by $25 million from the Benioff family for the Benioff Health Center, an ER expansion and reconfiguration at Corner Community Hospital, and $7.5 million in each fiscal year for Kauai EMR capital funds to join the Epic platform. Testimony also described collaborations with Queen’s, the University of California San Francisco, Hawaii Pacific Health, the Hawaii Cancer Consortium, the Department of Health, and the state hospital to improve specialty access, clinical trials, behavioral health, and patient placement across the system.