Transcript Highlights:

• get to work, or these individuals go see a primary care these individuals go see a primary care physician
• which under this there's no physician which under this there's no call<00:27:16.640><c> sharing</c><
• And we need to get people away from going to the emergency room, meeting with a primary care physician
• </c><01:18:53.760><c> every</c><01:18:54.080><c> time</c> primary care physician every time primary care
• physician every time possible.<01:18:55.040><c> But,</c><01:18:56.000><c> uh,</c><01:18:56.239><c> the

Transcript Highlights:

• Department of Labor and Industrial Relations, written support from the Hawaii Academy of Family Physicians
• ,</c><00:42:32.720><c> Hawaii</c> Academy of Family Physicians, Hawaii Academy of Family Physicians,
• c> Family</c> um of Honolulu, Hawaii Academy of Family um of Honolulu, Hawaii Academy of Family Physicians
• 48.480><c> Get</c><01:44:48.800><c> Fit</c><01:44:49.119><c> Hawaii,</c><01:44:50.560><c> MA</c> Physicians
• , Lupono, Get Fit Hawaii, MA Physicians, Lupono, Get Fit Hawaii, MA Maui<01:44:51.360><c> Food</c><01

Bills: HB2488 , HB2456

Committee: House Human Services & Homelessness

Summary: The committee heard testimony on HP 1972, which would create a nonrefundable family caregiver tax credit, and on a related tax measure to increase the existing dependent care tax credit. Supporters of HP 1972, including AARP, the Executive Office on Aging, the Hawaii Public Health Institute, Hawaii Children’s Action Network, and others, said unpaid caregivers are essential to keeping kūpuna and other loved ones at home and described significant out-of-pocket costs. The Department of Taxation and the Tax Foundation raised technical concerns, including the need to avoid overlap with existing credits and to prevent double-dipping. The department said taxpayers can claim credits to the extent allowed, but recommended explicit language barring the same costs from being claimed under more than one credit. No vote was taken in the excerpt, and the chair moved the bill along after questions. The committee then heard HP 1975, which would repeal the sunset on the state rent supplement program for kūpuna. AARP, Catholic Charities Hawaii, the Executive Office on Aging, and others supported making the program permanent, saying it helps low-income older adults avoid eviction and homelessness and allows them to remain in affordable housing. Catholic Charities described clients who were paying unsustainable shares of income for rent before receiving the supplement. Members also shared a constituent example of an elderly retiree who needed the subsidy to stay housed. Written support was noted from additional organizations and individuals. Next, the committee took up HB 1706, which would expand Medicaid prospective payment reimbursement to include mental health services furnished in federally qualified health centers and rural health clinics by mental health professionals under supervision. The Office of Hawaiian Affairs supported the bill, and DHS said it appreciated the intent to address workforce shortages and expand training, but cautioned that unlicensed professionals cannot currently bill Medicaid and that a state plan amendment would be needed, with limited precedent for approval. Members asked about the likelihood and timing of federal approval and whether the bill could help rural areas; DHS said approval is uncertain and the process can take time, though it saw possible alignment with the state’s rural health transformation efforts. The committee also discussed HB 546, a three-year health coverage continuity pilot program for people losing Medicaid coverage. DHS, the Attorney General’s office, DCCA, Catholic Charities, the University of Hawaii, and others testified, with DHS warning that federal changes could increase uninsured rates and that the state may need to act quickly. Catholic Charities and others emphasized the risk to Medicaid recipients, including homeless and near-elderly residents, while DHS explained the state’s existing premium assistance program for certain immigrants and compared it to the proposed pilot. The excerpt ends during discussion of that comparison, with no vote shown.

Transcript Highlights:

• medical disorders could we not say something on the order of medical issues as certified by a licensed physician
• Issues as certified by a licensed physician.
• All right, well... issues as certified by a licensed issues as certified by a licensed physician<00:33
• <00:33:29.360><c> or</c><00:33:29.519><c> or</c><00:33:29.639><c> do</c><00:33:29.760><c> we</c> physician
• all right I so so or or do we physician all right I so so or or do we want<00:33:30.000><c> to</c><00

Summary: The subcommittee work session of the Education Policy and Administration Committee focused on House Bill 131 and House Bill 781, which were described as nearly identical bills addressing student cell phone use in schools. Members noted that HB 781 is an early bill and therefore needed committee action by Wednesday, while HB 131 did not face that deadline. The chair and members discussed the bills’ shared goal of requiring school boards to develop and adopt policies on student personal device use, with debate over whether the state should set minimum standards or leave more to local control. A major topic was funding. One member urged the committee to avoid creating an unfunded mandate and asked for some funding support, while others argued it was too early to commit money and that the committee should first establish the policy framework. The governor’s proposed funding was discussed, including a $1 million figure in the budget and a separate $250,000 amount referenced in the bill, but several members said the money would likely be insufficient to cover all students or pouch systems statewide. The committee also reviewed a handout reflecting proposed budget language that would require school boards to adopt policies on personal device use during the school day, with schoolwide implementation and exceptions for medical disability or language proficiency needs, and a DOE-administered grant program. Members spent considerable time on drafting details, especially deadlines and exceptions. They debated whether the bills should require school boards to “develop,” “adopt,” or also “implement” policies, and whether the effective date of the act should also serve as the deadline for school boards. They also discussed whether exceptions for classroom instructional use should be mandatory or merely encouraged, and whether the bills should explicitly include or exclude charter schools. Additional proposed exceptions included IEPs, 504 plans, English learners, and medical needs such as glucose sensors or insulin pumps, with some members suggesting medical issues be certified by a physician. No final vote or formal action was taken in the work session.

Transcript Highlights:

• In committee, we did hear from four physicians, long-practicing physicians, by the way, about the science
• ><c> four</c> males in committee we did hear from four males in committee we did hear from four Physicians
• <02:07:53.079><c> long</c><02:07:53.480><c> practicing</c><02:07:54.000><c> Physicians</c><02:07:54.599
• ><c> by</c> Physicians long practicing Physicians by Physicians long practicing Physicians by the<02:

Transcript Highlights:

• He's an anesthesiologist and a pain management physician from Little Rock, guest today of Representative

Summary: The House opened with prayer and the Pledge of Allegiance, established a quorum, and granted several leave requests for absent members. The chamber then dispensed with the previous day’s journal and reported no committee reports, unfinished business, or executive communications before moving to the red calendar. House Resolution 1002, authorizing recesses of the House or Senate for four consecutive days or longer, was explained by Representative Walker. No one spoke against it, and the resolution passed by voice vote and was adopted. The House also recognized visiting law enforcement officers, Dr. James Hunt, and Nurse Lee Fasio. On the budget calendar, House Bill 1002, the general appropriation bill, was presented by Representative Johnson as the constitutionally required first appropriation measure. The bill was read for the third time and passed with the emergency clause by a vote of 93 ayes, 0 nays, and 1 present. The House then adopted a motion to adjourn until 1 p.m. Tuesday, and several committee meeting announcements were made for Tuesday and later that day.

Transcript Highlights:

• He currently serves as an internal medicine hospitalist physician at Integris Health Baptist Medical

Bills: HB3840 , HB3431 , HB4422 , HB4117 , HB4300 , HB4298 , HB2984 , HB3344 , HB2979 , HB2980 , HB3662 , HB4107 , HB3082 , HB2997 , HB3083 , HB3055 , HB2951 , HB3469 , HB3173 , HB3287 , HB2947 , HB3784 , HB3901 , HB4275 , HR1031 , HB4359 , HB4115 , HB3467 , HB2978 , HB3026 , HB3032

Transcript Highlights:

• Liu reflects this in her practice every day as a family medicine physician for Ascension Seton.

Bills: SR1 , SR2

Transcript Highlights:

• The current law requires health carriers to credential primary care physicians within 30 days of receiving
• carriers to credential<00:43:48.720><c> primary</c><00:43:49.280><c> care</c><00:43:49.599><c> physicians
• </c> credential primary care physicians credential primary care physicians within<00:43:50.560><c> 30
• standards for credentialing mental health care providers as they currently are for primary care physicians
• and I viewed it as retired physician and I viewed it as good<02:12:08.480><c> patient</c><02:12:09.079

Committee: Senate Executive Departments and Administration

Transcript Highlights:

• It also extends the deadline for applicants for the licensed physicians from Mexico pilot program under
• First, SB 1088 changes the name physician orders for life-sustaining treatment to portable orders for
• Second, it allows physician assistants and nurse practitioners to sign a pre-hospital DNR.

Summary: The Senate convened with prayer, the Pledge of Allegiance, guest recognitions, and several ceremonial presentations. Members welcomed Jack and Jill of America’s Far West Region and a large education bus trip from Senate District 15. The body also adopted SCR 151 designating May 2026 as ACL Injury Awareness Month, SR 105 declaring May as National Tennis Month, SCR 175 recognizing Behavioral Health Awareness Month, SCR 176 designating May as Small Business Month, and SCR 178 recognizing Jewish American Heritage Month. These resolutions drew broad support, with many senators speaking to the health, civic, economic, and cultural themes in the measures, as well as concerns about anti-Semitism, Islamophobia, and solidarity across communities. The Senate also confirmed three gubernatorial appointees unanimously: Siva Gunda to the California Energy Commission, Tony Sertich as Executive Director of the California Housing and Finance Agency, and Craig Snellings to the Workers’ Compensation Appeals Board. In addition, the chamber approved a motion to suspend Joint Rule 62(a) so the Committee on Local Government could hear AB 1768, after debate over the procedure and a roll call vote. On legislation, the Senate passed a series of bills on unanimous or near-unanimous votes, including SB 922 on local cost recovery for street damage from public service operations, SB 932 on litigation transparency, SB 1311 on updates to consumer affairs boards and licensing rules, SB 1143 on access to forensic interview recordings in child abuse cases, SB 1307 on clearing forged real estate documents, SB 1177 on high-speed rail reporting, SB 971 on community networks for older adults, SB 1400 on Alameda Health System governance, SB 1228 on existing outdoor advertising displays in former redevelopment areas, SB 997 on lien authority for a groundwater sustainability agency, SB 1115 on public cemetery district governance, SB 1088 on advance care planning forms, SB 1242 on family participation in CARE Court, SB 1364 on parental rights in rape-related custody cases, SB 993 on protecting mental health professionals’ identifying information, SB 1094 on prescription drug biosimilar use, SB 1117 on ADU fee calculations, SB 1244 on broker compensation disclosures for public agency health plans, SB 1315 on automated driving system software update reporting, and SB 1398 on recognizing Green Globes as an equivalent state building certification. Earlier, a motion by Senator Strickland to withdraw SB 1035 from committee failed on a 22-22 vote.

Transcript Highlights:

• It also extends the deadline for applicants for the licensed physicians from Mexico pilot program under
• First, SB 1088 changes the name physician orders for life-sustaining treatment to portable orders for
• Second, it allows physician assistants and nurse practitioners to sign a pre-hospital DNR.

Transcript Highlights:

• To my son's physician or my spouse's physician or mine, whoever an individual can do this.
• A physician will sign off on that form that this individual may in fact have problems communicating with

Summary: The House first established a quorum, then heard a presentation from Debbie Huang of the Taipei Economic and Cultural Office in Denver. Huang thanked Missouri lawmakers for their annual Taiwan resolutions and described Taiwan as a democratic and economic partner of the United States, emphasizing cooperation with Missouri in agriculture, manufacturing, logistics, semiconductors, and AI, while also warning about pressure from China and the need for stronger Taiwan-U.S. ties. The chamber then took up House Bill 311, which would move oversight of bail bondsmen under the existing board for private investigators and fire investigators, add bail bondsmen to that board, and increase training and oversight. Members said the bill was industry-requested, had unanimous committee support, and carried no fiscal note. The House adopted the committee substitute and perfected and printed the bill. Lawmakers also debated and adopted a committee substitute for House Bill 3009, a pharmacy bill aimed at clarifying rules for pharmacies serving low-income and underserved patients, emergency medication dispensing, and out-of-state pharmacy accreditation. Amendments were adopted to update the title and align Missouri law with national pharmacy board accreditation standards. The bill was described as a response to access problems during the 2025 St. Louis tornado and was said to have no state cost. A large block of floor action followed on a combined package of bills and amendments covering public safety, criminal law, health, and licensing. Measures discussed and adopted included changes to the sex offender registry and related corrections, an offense for impeding first responders, Mason’s Law to flag drivers with disabilities in law enforcement databases, a hands-free cell phone law update, Highway Patrol equipment purchasing authority, psilocybin language for first responders and veterans, AI-generated explicit material and child pornography provisions, gift card fraud penalties, stronger fentanyl trafficking penalties, Melanie’s Law on ignition interlock/DUI penalties, a domestic violence registry, boiler inspection and Missouri fire/life safety standards, Kansas City police retirement age corrections, and a commercial driver English proficiency bill with stronger penalties for drivers and carriers. One amendment on the sex offender registry was withdrawn after debate, and the House ultimately adopted the remaining amendments and referred the combined House Bills 368 and 3049 substitute to the Committee on Legislative Review.

Transcript Highlights:

• After his hospital release, he was to be seen by a physician we thought was a psychiatrist.
• So we changed the word pediatrician to physician or nurse practitioner.
• Upon placement, or where there might not be easy access to a qualified physician to provide that assessment

Committee: House Health and Mental Health

Transcript Highlights:

• :24:45.840><c> Academy</c><00:24:46.320><c> of</c><00:24:46.559><c> Family</c><00:24:46.960><c> Physicians
• </c> American Academy of Family Physicians American Academy of Family Physicians and<00:24:47.840><c>

Transcript Highlights:

• that it had recently been determined that a longstanding practice, about 20 years, which allowed physician
• had been digging into the law and had seen that the Othello Hospital was not constantly having physicians
• with dozens of people in person, over a dozen hospitals, as well as radiologists and RAD-TECs and physician

Bills: HB1160 , HB1289 , HB1339 , HB1798 , HB1065 , HB2113 , HB2124 , HB2125 , HB2134 , HB2140 , HB2185 , HB2191 , HB2205 , HB2219 , HB2245 , HB2283 , HB2343 , HB2406 , HB2501 , HB2574 , HB1544 , HB1834 , HB2156 , HB2188 , HB2206 , HB2478 , HJM4012 , HB1104 , HB1152 , HB1254 , HB1443 , HB1982 , HB2006 , HB2179 , HB2203 , HB2297 , HB2322 , HB2329 , HB2379 , HB2388 , HB2399 , HB2462 , HB2464 , HB2495 , HB2544 , HB2551 , HB2636 , HB2192 , HB2251 , HB2262 , HB2266 , HB2298 , HB2320 , HB2323 , HB2351 , HB2401 , HB2405 , HB2442 , HB2523 , HB2593 , HB2632 , HB2661 , HB1496 , HB1898 , HB2095 , HB2157 , HB2225 , HB2274 , HB2311 , HB2325 , HB2333 , HB2476 , HB2508 , HB2552 , HB1343 , HB1634 , HB1707 , HB1906 , HB1909 , HB2196 , HB2244 , HB2339 , HB2361 , HB2384 , HB2389 , HB2410 , HB2468 , HB2475 , HB2521 , HB2548 , HB2619 , HB2637 , HB2720

Keywords: design review, local government, land use, zoning, project permits, housing density, middle housing, affordable housing, parking minimums, single-family zoning, infill development, growth management, comprehensive plan, permit streamlining, objective development regulations, architectural review, administrative review, transit-oriented development, accessory dwelling units, ADU

Summary: The House first considered House Bill 2156, which would authorize investigators in the Attorney General’s Office to serve electronic search warrants in limited economic and financial crime investigations, especially organized retail crime. Members debated a series of amendments on training standards, scope, background checks, warrant service, and definitions of covered crimes. Some amendments were adopted, including changes clarifying training and decertification standards, narrowing the scope of economic and financial crimes, and refining warrant-service language; others were rejected or ruled out of scope. The amended striking amendment passed 52-39, and the bill then passed final reading 54-43. The House then moved through several other measures. House Bill 2219, dealing with child care operational efficiency and licensing, was amended to strengthen safety language around opioids in licensed child care settings and passed 95-1. House Bill 2124, which raises the threshold for lump-sum retirement allowance payments, passed 96-0. House Bill 2266, concerning permanent supportive housing, traditional housing, and indoor emergency housing, was amended to add local-government notice, transparency, community-meeting, and siting provisions, then passed 56-40. Engrossed Second Substitute House Bill 1784, on certified medical assistants and telemedicine-related practice, received a cleanup amendment and passed 96-0. The House also passed House Bill 2523, which codifies the Community Reinvestment Program, after rejecting an amendment that would have redirected some funds to economic development; the bill passed 88-9. House Bill 2113, allowing certain medical supervision of diagnostic radiologic procedures in emergency settings, passed 97-0. House Bill 2632, updating state law terminology from “alien” to “non-citizen,” passed 58-39 after debate over precision versus respectful language. Engrossed Substitute House Bill 2476, expanding seating limits for theaters serving alcohol, passed 81-50. Finally, House Bill 2320, addressing firearms manufacturing involving 3D printers and CNC machines, was heavily amended to narrow and clarify language around code and additive manufacturing before the striker passed. The bill’s supporters framed it as a response to ghost-gun risks and recent incidents involving 3D-printed firearms, while opponents raised constitutional concerns about speech and gun rights. The transcript cuts off before the final vote on HB 2320 is recorded.

Transcript Highlights:

• Physicians are trained and ethically obligated to provide treatment to any newborn showing signs of life
• Physicians are trained and ethically obligated to provide treatment to any newborn showing signs of life
• We are talking about a procedure where a physician was contracted and hired to intentionally terminate

Summary: The House convened with prayer, the Pledge of Allegiance, approval of the prior day’s journal, and a long series of special guest introductions recognizing interns, community leaders, FFA officers, library advocates, park and recreation professionals, and others. Members also used points of personal privilege to honor Black History Month and the legacy of William Clay Sr. The chamber then moved into first reading of several bills, including measures on University of Missouri curators, personal property assessment lists, and state department spending. The main floor action centered on House Bill 1757, which would require universal screening of third-graders for gifted education using flexible screening methods and would help ensure students who qualify are identified regardless of zip code or family resources. Supporters argued the bill would close gaps in gifted identification and expand access, while questions focused on funding, screening methods, and whether the bill would create an unfunded mandate. The House adopted the committee substitute and ordered the bill perfected and printed. Members then debated the Born Alive Abortion Survivors Protection Act, presented as House Committee Substitute for House Bills 1667 and 2294. Supporters said the bill would require medical care for infants who survive an abortion attempt and impose civil and criminal penalties for knowingly harming such a child. Opponents argued the bill was duplicative of existing law, could criminalize medical providers, and would worsen Missouri’s maternal care shortages. The debate included extended questioning about the bill’s standards, scope, and enforcement, but no final vote on the born-alive measure was taken in the excerpt.

Transcript Highlights:

• I'm speaking on behalf of Washington Physicians for Social Responsibility and our 7,000 health professional
• do is it modifies eligibility and authorizes an EMP for a person that has been assessed by two physicians
• One is it requires physicians to be responsible for diagnosing an incarcerated individual’s illness,

Bills: SB5439 , SB6109 , SB6304

Committee: Senate Ways & Means

Keywords: investment, thermal coal, divestment, state investment board, fossil fuels, environmental impact, renewable energy, detention facilities, state funds, privatization, criminal justice reform, Washington State Investment Board, responsible investment, sustainability, corporate governance

Transcript Highlights:

• I'm representing the New Mexico Academy of Family Physicians. We strongly support this.
• vaccines, supporting them in being able to use our recommendations, the American Academy of Family Physicians
• Those are recommendations, the American Academy of Family Physicians recommendations, the American College

Committee: House House Consumer & Public Affairs

Transcript Highlights:

• In the packet I did provide through parent testimonies, three physician statements.
• THREE PHYSICIAN STATEMENT.
• You are recognized. >> I'm an adolescent medicine physician, only one in the area, unfortunately, and

Summary: The committee first heard HB 245, which would replace references in Florida law to “child pornography” with “child sexual abuse material.” The sponsor said the change was overdue and more accurately reflects the criminal nature of the material. There was brief supportive public testimony, no debate, and the bill was reported favorably on a unanimous vote. The committee then took up HB 237 on the use of professional nursing titles. The sponsor said advanced practice registered nurses should be able to use earned academic titles such as DNP or PhD. Supporters testified in favor, there was no opposition or debate, and the bill passed unanimously and was reported favorably. The longest discussion centered on HB 173, which would expand parental consent and access requirements for minors’ medical care, medical records, certain school surveys, and biomedical devices. Supporters argued it restores parental rights and keeps parents involved in children’s health decisions, while opponents—many from medical, mental health, LGBTQ, and youth advocacy groups—warned it could block access to STI treatment, mental health care, crisis hotlines, and confidential services for vulnerable youth, including those in abusive homes. After extensive testimony and debate, the bill was reported favorably on a 19-7 vote. Finally, the committee began HB 327 on uterine fibroid research. The sponsor explained the bill would require health care providers to submit identified data so the Department of Health can build a usable de-identified research database, after prior implementation problems with duplicate or unverified data. A supportive local official testified, and members indicated support as the meeting moved toward a vote.

Transcript Highlights:

• Station MD does not have any, do not have any physicians working for them at this time from New Mexico
• Um, 61% of Americans don't know that primary care physicians can prescribe addiction treatment.
• from internal medicine practitioners. 1,338 came from nurse practitioners and 851 were from other physicians

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• Margaret Chung, the first American-born Chinese female physician, not only established one of San Francisco
• Chinatown's earliest medical female physician, not only established one of San Francisco Chinatown's
• doctor-patient privilege is designed to foster open and honest communication between a patient and their physician

Summary: The Assembly met in session, established a quorum, and opened with an Asian American and Pacific Islander Heritage Month ceremony. Members adopted House Resolution 35 recognizing May as AAPI Heritage Month, with extensive floor remarks from caucus leaders and members highlighting AAPI history, contributions, and solidarity with other communities. The chamber then honored 14 AAPI honorees from across the state, including public servants, advocates, artists, health professionals, and community leaders, before moving to the regular file. On the floor, the Assembly passed a series of bills on social media harms to minors, labor privilege, foster care family-finding, low-impact camping areas, student body association governance, drink-spiking prevention at music festivals, behavioral health access, greenhouse gas recapture, physical therapy access, housing enforcement, insurance licensing, density bonus clarification, water district proxy voting, park district updates, secured transactions, and property tax relief during emergencies. Most measures passed with broad or unanimous support; notable votes included AB 2 on social media platform accountability passing 59-0, AB 1109 on union communications privilege passing 45-4, AB 409 on student body association open meetings passing 55-6, AB 518 on low-impact camping passing 55-0, AB 668 on drink-spiking protections passing 72-0, AB 348 on behavioral health access passing 69-0, AB 663 on HFC recapture passing 71-0, AB 574 on physical therapy access passing 68-0, AB 712 on housing enforcement passing 57-1, AB 943 on insurance pre-licensing reform passing 63-0, AB 87 on density bonus law clarification passing 63-0, AB 523 on Metropolitan Water District proxy voting passing 62-1, AB 769 on park district code cleanup passing 68-0, AB 771 on secured transactions passing 69-0, and AB 1416 on property tax installment deferrals passing 66-0. The Assembly also took up AB 446, the Surveillance Pricing Protection Act, which would prohibit businesses from using personal data to charge different prices for the same product or service. Supporters described the practice as predatory and discriminatory, while noting ongoing concerns about preserving legitimate discounts and loyalty programs. The bill was presented as a consumer protection measure aimed at preventing hidden price discrimination and reducing cost-of-living pressures. The transcript ends amid repeated and partially duplicated readings of AB 446, without a final vote shown for that item.