Transcript Highlights:

• patterns across counties and barriers to engagement, the ombudsperson can highlight opportunities for intervention
• patterns across counties and barriers to engagement, the ombudsperson can highlight opportunities for intervention
• include applied behavior analysis, commonly referred to as ABA treatment, and other behavioral interventions

Summary: The Assembly Health Committee heard a series of bills focused on behavioral health, cancer screening, provider reimbursement, research funding, workforce licensing, and tobacco regulation. SB 16 would require counties to maintain procedures for designating and training professionals authorized to perform 5150 evaluations and initiate involuntary holds; supporters said it would expand the pool of qualified clinicians and reduce reliance on law enforcement, while opponents raised concerns about local control and implementation. SB 1124 would require CDPH to create and post lung cancer screening eligibility signage at tobacco point-of-sale locations; supporters emphasized low screening awareness and early detection, and the bill was advanced with amendments. SB 28, a CARE Court cleanup bill, proposed an ombudsperson, reporting, electronic petitions, remote participation, and other changes to improve accountability and access; it drew both strong support and significant opposition over concerns about coercion, scope, and whether the program is working as intended, but it passed the committee as amended to Judiciary. The committee also heard SB 874, which would strengthen oversight of Medi-Cal behavioral health treatment services, including background checks for providers and a stakeholder workgroup to develop standards; it passed to Public Safety. SB 1049 would let providers resubmit corrected claims within 90 days after a plan’s denial or recoupment action when the original claim had a correctable technical defect; supporters described delayed and withheld payments harming practices, while insurers argued the bill could duplicate existing dispute processes. The bill passed to Appropriations on call. SB 1224 would create a state framework to compete for federal ARPA-H funding for emerging therapies research, with testimony from a UC Davis psychiatrist and veterans’ advocates supporting expanded research into treatments for PTSD, depression, and other conditions; it passed to Military and Veterans Affairs. Later, SB 1057 would change how the Department of Public Health evaluates conviction history for certified nurse assistants and home health aides, shifting from automatic denial toward individualized assessment based on the offense, time elapsed, and rehabilitation; it passed to Appropriations with some no votes. Finally, SB 1314, a tobacco-related bill, sought to create a 600-foot buffer around schools and day care centers for certain tobacco retailers and address related issues such as cigar lounge definitions and nitrous oxide sales; several local government and public safety groups supported it, while health organizations and business groups opposed it unless amended. The chair announced that committee amendments were being set aside for now and the bill would move forward to Business and Professions with a commitment to continue working on the language; it passed out of committee.

Transcript Highlights:

• stuff, but children who have sexually assaulted another child are now in the law as requiring not intervention
• This targeted fiscal support will save lives and prevent far more costly emergency medical interventions
• Will save lives and prevent far more costly emergency medical interventions down the road.

Summary: The House Appropriations Committee met on May 26, 2026, and first took up Senate Bill 433, which would provide Medicaid coverage for certain weight-loss medications. After adopting a House amendment adding customary subject-to-appropriation language, the committee heard from LDH Secretary Bruce Greenstein, who said the state currently spends about $240 million a year on GLP-1 drugs for Medicaid patients with obesity and certain other conditions, and that the bill would let the department expand coverage gradually while controlling costs and negotiating better pricing. Members spoke in strong support, and SB 433 was reported favorable as amended. The committee then considered Senate Bill 157, which creates paid parental leave for eligible public K-12 educators and staff. An amendment was adopted to adjust fund language and make the bill proper for Appropriations. Senator Jenkins and supporters, including the Louisiana Federation of Teachers, described the bill as providing six weeks of paid leave for birth, adoption, fostering, and related family-building events, while members discussed whether medical leave should also be included and confirmed the leave applies to fathers as well. The bill drew broad support and was reported favorable as amended. Senate Bill 250, requiring the Office of Group Benefits to offer a comprehensive weight management plan with employees paying the full premium and medication costs, was briefly discussed and reported favorable without objection. The committee then spent considerable time on Senate Bill 237, a child welfare measure from Senator Barrow that would expand notification, access, and investigative procedures for the Child Ombudsman and DCFS, including child-on-child sexual abuse cases and multidisciplinary fatality reviews. Members and agency officials debated the fiscal note, with estimates ranging from about $525,000 to $3.2 million and disagreement over whether some costs were already covered or could be absorbed; after a roll call, the bill passed 10-9 and was reported favorable as amended. Finally, the committee began Senate Bill 155, which requires insurance coverage for medically necessary dental care tied to cancer treatment. Senator Talbot and medical and cancer advocacy witnesses said the bill would remove a barrier to timely chemotherapy or radiation and could prevent more expensive complications later. Members expressed support and discussed a relatively small fiscal note, but the transcript cuts off before final action on the bill.

Transcript Highlights:

• What this bill will do is help with the early detection and intervention for children who are deaf or
• the Bureau of Family Health, Office of Public Health, along with the Early Hearing Detection and Intervention
• also strengthen the EHDI process of ensuring that assessment, diagnosis, and then follow-up with intervention

Summary: The House Committee on Health and Welfare met on May 12 and considered a wide range of health, social services, and licensing measures. Early in the meeting, the committee reported favorably HCR 98, which asks the Louisiana Department of Health to study whether SNAP recipients should be allowed to use benefits for grocery delivery fees. The author said the proposal would not change SNAP rules directly, but would examine access issues for elderly, disabled, rural, and transportation-limited residents. The committee also advanced SB 273, a hospice patient-protection bill requiring documentation of hydration, nutrition, and care decisions in inpatient licensed facilities where hospice is provided, with LDH oversight and enforcement authority; members discussed how responsibility is shared between facilities and outside hospice providers, and adopted technical amendments. The committee then approved SB 415, creating the Empower Louisiana Food Purchase Program, a privately funded charitable food-card program intended to let nonprofits distribute food-only cards to people in need. Members and the author discussed whether the cards would be reloadable, which retailers could accept them, and whether prepared foods could be included; LDH said the program could use all SNAP-authorized retailers, and the bill was reported favorably with amendments. SB 437, a cleanup bill for judicially referred residential substance abuse treatment facilities, was also reported favorably with amendments after LDH clarified that facilities providing treatment must be licensed, while residences only housing individuals would not be. SB 451, updating newborn hearing screening terminology and reporting requirements, was reported favorably after testimony that the bill would strengthen early detection and follow-up for deaf or hard-of-hearing children. Later, the committee advanced SB 426, which modernizes the addictive disorder regulatory authority and creates a formal peer support specialist licensing pathway. Supporters said the bill would strengthen the behavioral health workforce, improve accountability, and create a progression from peer support to higher credentials; the committee adopted technical and transition amendments and reported the bill favorably with amendments. SB 236, requiring LDH annual reviews and reports on kidney disease treatment services in Medicaid, was also reported favorably with amendments. Additional measures approved included SB 39, allowing provisional licenses for massage therapy graduates; SB 190, which tightens oversight of poor-performing nursing facilities in the CMS Special Focus Facility Program and sets an 18-month improvement timeline; SB 124, allowing hospitals within the same health system to share peer review records without waiving privilege; HR 174, urging study of fenbendazole as a possible cancer treatment; SB 270, allowing terminally ill patients to use medical marijuana in health care facilities; SB 359, changing terms for certain Morehouse Parish hospital district commissioners; and HR 194, requesting de-identified school visual acuity screening data for research. The committee adjourned after reporting all measures favorably, several with amendments.

Transcript Highlights:

• Early intervention, there's something called PACE, which is sort of an all-inclusive or sort of one-stop
• we eliminated support for staffing positions in HIV prevention, HIV surveillance, and disease intervention
• for staffing positions in HIV prevention, HIV surveillance, and disease intervention specialists.

Keywords: House Room C, General Assembly Building, 976, house, all

Transcript Highlights:

• of Sexual Assault Programs, the statewide organization supporting sexual assault prevention and intervention
• of Sexual Assault Programs, the stateway organization supporting sexual assault prevention and intervention
• But I think that it's not to punish the child more, but it's to get quicker intervention to the child

Keywords: 996, all

Transcript Highlights:

• They are attempting to better stabilize placements struggling with acute behavior needs. crisis intervention
• don't want to misspeak, but a substantial amount in addition to that for prevention and early intervention
• model, are helping families reunite, kinship guardianship care, and families getting their crisis intervention

Keywords: 996, all

Transcript Highlights:

• It's a more workable standard for early lawful intervention for people experiencing severe mental illness
• This bill creates a balanced framework that allows earlier intervention, prevents avoidable harm, and
• Earlier and more appropriate interventions help reduce crisis-driven responses and support better outcomes

Bills: SB1, SB3

Keywords: interstate medical licensure compact, physician licensure, medical license reciprocity, expedited licensure, medical practice act, New Mexico medical board, compact commission, physician mobility, telemedicine, license portability, background check, disciplinary action, joint investigation, reproductive health care, gender-affirming care, scope of practice, medical board transparency, multistate compact, licensure renewal, health care workforce

Transcript Highlights:

• It's a more workable standard for early lawful intervention of people experiencing severe mental illness
• This bill creates a balanced framework that allows earlier intervention, prevents avoidable harm, and
• Earlier and more appropriate interventions help reduce crisis-driven responses and support better outcomes

Bills: SB1, SB3

Keywords: interstate medical licensure compact, physician licensure, medical license reciprocity, expedited licensure, medical practice act, New Mexico medical board, compact commission, physician mobility, telemedicine, license portability, background check, disciplinary action, joint investigation, reproductive health care, gender-affirming care, scope of practice, medical board transparency, multistate compact, licensure renewal, health care workforce

Transcript Highlights:

• to include gender identity, this bill conflates medically necessary treatment with irreversible interventions
• Even as under increased scrutiny, the claimed evidence for such interventions shimmers away like a mirage
• already been sued by at least three detransitioners as awareness grows that sex-trait modification interventions

Summary: The committee heard several health-related bills, with extensive testimony on maternal health, prenatal safety, privacy, valley fever, Medi-Cal contracting, anti-discrimination protections, and health data sharing. SB 32 would require time-and-distance standards for labor and delivery units in health plan networks; the author and supporters said it would address maternity care deserts and improve access, while health plans opposed. SB 646 would require testing and public disclosure for toxic elements in prenatal vitamins; supporters emphasized fetal and maternal safety and transparency, while industry opponents warned it could confuse consumers or lead to reduced nutrient content. Both bills drew broad support from medical and public health groups, and both were advanced on party-line or near-unanimous votes after committee discussion. The committee also approved SB 313, which moves a parent’s birthplace on birth certificates into the confidential section to protect privacy, and SB 297, which directs CDPH to identify high-incidence valley fever regions and publish them for screening and awareness; valley fever experts and supporters stressed rising cases and the need for earlier diagnosis, while local health jurisdictions raised concerns about mandates. SB 324, dealing with Medi-Cal enhanced care management and community supports, would prioritize local community-based organizations and clarify contracting and data practices; it received strong support from nonprofits and community health advocates, with children’s hospitals and health plans seeking amendments, and it was sent forward after amendments were discussed. The committee then considered SB 418, which would codify ACA nondiscrimination protections in state law and allow up to a 12-month prescription supply for hormone therapy when medically necessary. Supporters framed it as protecting continuity of care for transgender patients and others using hormone therapy, including IVF and menopause patients, while opponents argued it would conflict with federal policy and promote harmful treatments. The bill passed to the next committee. Finally, SB 660 would strengthen the California Health and Human Services data exchange framework by creating governance and accountability for data sharing across health and social service entities; supporters said it would reduce duplication and improve care coordination, while some providers and hospital groups raised concerns. It was approved and sent to the Privacy and Consumer Protection Committee. The consent calendar and the other measures were also voted out, with the committee recording the required roll-call votes and sending the bills onward.

Transcript Highlights:

• and for considering your support of AB 29, a bill that has the potential to facilitate timely interventions
• unable to function. ...disabled to the point that they are unable to function without a medical intervention
• patients I am able to safely treat and stabilize and send home after some medication adjustments or interventions

Summary: The Assembly Health Committee heard a long series of health-related bills, with most measures focused on access to care, administrative simplification, and behavioral health. Early items included AB 583, allowing nurse practitioners to sign death certificates; AB 492, requiring DHCS to notify local governments when new alcohol or drug recovery facilities are licensed; and AB 280, which would tighten provider directory accuracy requirements, add enforcement benchmarks, and allow use of a centralized database. Testimony on AB 280 highlighted the harms of “ghost networks,” while insurers and some provider groups opposed the bill as written, arguing it placed too much responsibility on plans and did not fully address provider-side data problems. AB 280 passed on a roll call vote, and several other bills were placed on consent and approved. The committee also advanced AB 636, expanding Medi-Cal coverage for medically necessary diapers for children up to age 21 and lowering the age threshold for access; AB 1041, streamlining physician credentialing with a uniform form and 90-day review deadline; and AB 787, requiring health plans to help enrollees find in-network providers quickly when directories fail. Supporters of these bills emphasized family financial strain, delays in care, and the burden of administrative red tape, while opponents of AB 1041 and AB 280 raised concerns about provider participation, accuracy, and liability. All three measures were approved and sent to Appropriations. The committee then took up AB 4 and AB 29. AB 4 would allow income-eligible Californians to buy Covered California coverage regardless of immigration status, and AB 29 would authorize Medi-Cal reimbursement for community health workers and doulas conducting ACE screenings. Both bills drew strong support from immigrant-rights, health access, and community-based organizations, and both passed on roll call votes, with AB 4 receiving some no votes. The committee also approved AB 416, which would allow emergency physicians to place 5150 holds in certain circumstances; supporters said it would reduce delays and overcrowding in emergency departments, while Disability Rights California and others warned it could increase unnecessary involuntary hospitalization and transfers to locked facilities. Despite those concerns, the bill passed and was sent onward for further consideration.

Transcript Highlights:

• The training program must implement crisis intervention team training to equip law enforcement officers
• mental illnesses, to de-escalate interactions with children in crisis, to facilitate appropriate interventions
• Clarity is provided for truancy intervention processes at the school, district, and truancy court levels

Summary: The committee took up a full agenda of criminal justice and related bills, beginning with SB 1180 on AI-generated sexual images. Senator Gates explained the bill was prompted by an Escambia County case involving deepfake pornography created from images of teenage girls, and a student victim testified in support. The committee adopted the amendment and reported the bill favorably. Members then approved SB 500, creating a Spectrum Alert system and related training for missing children with autism; SB 726, making swatting offenders liable for prosecution, investigation, and restitution costs; and SB 494, which would create a statewide animal abuse database, after extensive support testimony from shelters, law enforcement, and animal welfare advocates. SB 964, revising objective parole guidelines to account for rehabilitation and program participation, also passed after testimony from supporters of parole reform and compassionate release. The committee next approved SB 1344, a juvenile justice cleanup bill with a delete-all amendment that updated truancy, CINS, detention risk assessment, and other juvenile justice provisions. SB 468, increasing penalties for fleeing or eluding and allowing impoundment of involved vehicles, was reported favorably after limited opposition and support from law enforcement-related groups. SB 1136, increasing penalties for offenses involving minors and clarifying that ignorance of a victim’s age is not a defense, also passed after testimony from law enforcement supporters and two speakers opposed. SB 1660, on prostitution, drew the most extensive public comment: the sponsor said it was intended to distinguish trafficking victims from willing participants and shift penalties toward buyers and facilitators, while survivors, prosecutors, and advocates debated whether the substitute amendment would improperly criminalize prostituted persons; the committee ultimately adopted the substitute and reported the bill favorably. The committee then approved SB 1828, making trespass at large ticketed events and certain secured locations a felony, with discussion focused on crowd control and public safety at major events. SB 1386, increasing penalties for assault and battery on utility workers and adding propane workers through an amendment, passed with broad support. SB 612, closing a loophole so minors who distribute deadly drugs like fentanyl can be charged with murder in certain cases, was reported favorably after testimony from the Hillsborough County Sheriff’s Office and opposition from civil liberties groups. SB 814, which would allow firearms on college campuses and at school-sponsored events, drew strong opposition from students and faculty and was reported unfavorably. Finally, the committee began SB 1604 on corrections with a delete-all amendment that addressed filing deadlines for DOC-related claims, execution-method language, tracking devices, involuntary treatment, and parole-related statutory cleanup; the transcript cuts off before final action on that bill.

Transcript Highlights:

• That's pretty easy math in my head.
• Agriculture is to focus on conditions that pose a threat to public health, whether require regulatory interventions
• Agriculture is to focus on conditions that pose a threat to public health, whether require regulatory interventions
• Agriculture is to focus on conditions that pose a threat to public health, whether require regulatory interventions

Keywords: 1191, senate, all

Transcript Highlights:

• Denying timely access leads to worsened health conditions, more costly interventions down the line, and
• research and tentative. speaks to research, intended to develop knowledge and practice and prevention intervention
• reducing the gap between population needs and the availability of effective treatments and other interventions
• The House Bill 67, my understanding, if I'm doing the math right, it was about like 1.3% voted no.

Summary: The Senate began with opening prayer, the Pledge of Allegiance, and several recognitions, including interns, Denim Day awareness, and a resolution honoring Vietnam veterans exposed to Agent Orange on the 50th anniversary of the fall of Saigon. The chamber also observed a moment of silence for former Senator Karen Johnson Gendron. After routine business, the Senate took up several special-order bills. The first major bill, transportation offenses involving death, increased penalties for repeat DUI/BUI manslaughter and vehicular homicide offenses. An amendment added penalties for refusal to submit to breath or urine testing and required law enforcement to notify suspects of those penalties. The bill passed 37-0. The Senate then passed SB 306 on Medicaid providers, requiring broader after-hours and holiday access to care and setting network standards for Medicaid managed care plans, also by a 37-0 vote. The chamber next considered a major condominium and cooperative associations bill responding to post-Surfside safety and financial concerns. Senators described the measure as balancing building safety with financial relief, extending reserve-study deadlines, allowing temporary reserve relief after inspections, tightening oversight of managers and inspectors, and adjusting voting, resale, and reserve rules. After extensive debate and praise from members for the bill’s sponsors and staff, the bill passed 37-0. The longest discussion centered on a constitutional amendments/petition process bill aimed at curbing fraud in citizen initiative petitions. Sponsors argued that the 2024 petition process was plagued by fraud and identity theft and proposed tighter rules for circulators, faster submission deadlines, voter notification, penalties, and limits on petition handling. Senators offered and adopted multiple amendments, including changes to petition-circulator definitions, invalid-signature thresholds, and voter notification procedures. After a substitute amendment was withdrawn, the Senate continued debating the underlying amended bill, with members split between concerns about election integrity and worries that the bill would burden volunteers and make it harder for citizen initiatives to qualify.

Transcript Highlights:

• On page 9, Senate Bill 74 by Senator Chestine regarding the math and science teacher education program
• On page nine of the calendar, Senate Bill 74 by Senator Chain regarding the math and science teacher
• I, I, this is the school I see: Alabama Math and Science Teacher Education Program. Okay. Okay.
• science<03:00:51.200> teacher Alabama math and science teacher Alabama math and science
• <03:01:08.560> or school to get a degree in math or school to get a degree in math or something

Keywords: 920, all

Summary: The Alabama Senate convened with prayer and the Pledge of Allegiance, confirmed a quorum, excused absent senators, and adopted the previous day’s journal. The chamber also recognized guests, including members of Alpha Kappa Alpha Sorority and employees of the Central Alabama Electric Cooperative. A senator then delivered a Black History Month-style presentation highlighting James Weldon Johnson, A. Philip Randolph, Jan E. Matzeliger, and Percy Lavon Julian for their contributions to civil rights, labor, industry, and science. The Senate received House messages referring two Archives and History board appointments to the Committee on Confirmations, then took up numerous committee reports. Several bills from Finance and Taxation, Judiciary, Education Policy, Agriculture, Fiscal Responsibility and Economic Development, Healthcare, Tourism, Veterans and Military Affairs, State Government Affairs, and Local Legislation received favorable reports, some with amendments or substitutes, and were advanced to second reading and placement on the next legislative day’s calendar. The chamber also recommitted Senate Bill 266 to the Tourism Committee. The Senate confirmed multiple appointments, including Llaya McNair to the Alabama Trust Fund Board, several members to the Credit Union Administration Board, and Elizabeth Smithart, Leslie Sanders, and Wayne Sers to the Alabama State Board of Human Resources. It then adopted several resolutions, including commendations and memorials, such as resolutions honoring Mary Francis Holland, the Stanhope Elmore boys bowling team, and Alicia Cannon for more than 50 years of service to the Alabama judicial system. The Senate also adopted a resolution creating the Study Commission on Artificial Intelligence and Children’s Internet Safety, after discussion about its purpose, membership, and duties; an amendment to the commission resolution was adopted before the resolution itself was adopted.

Transcript Highlights:

• And I will tell you, if you want an education in different math, look at the VA disability claims process
• Mind you, 200,000 people exit service every year, so do the math. What we have is not good enough.
• they are and all that they can be, well, then we owe them, at a very minimum, the opportunity to get math

Summary: The Military and Veterans, Space, and Domestic Security Committee met with a quorum and heard several bills focused on veterans, military families, and aerospace. SB 684 by Sen. Avila would let certain Florida Retirement System members buy military wartime service credit under updated eligibility dates and expand the definition of wartime service to include recent operations such as New Dawn, Inherent Resolve, Freedom Sentinel, and Enduring Sentinel. Veterans and first responders testified in support, and senators said the bill corrects an outdated gap. The committee voted the bill favorably. The committee then took up SB 1528 by Sen. Collins on educational opportunities for military children. The bill strengthens coordination between school districts and military installations and requires DOE training modules for school staff working with military families. An amendment removing a sunset provision was adopted, and three Hillsborough County students who helped develop the idea testified in support, describing research on military-family school transitions and the need for staff training on the Interstate Compact on Educational Opportunity for Military Children. The committee reported the bill favorably as amended. SB 910 by Sen. Collins, on veterans benefit assistance, was amended and reported favorably. As amended, it allows veterans to work with professional claims advisors while adding consumer protections, including fee caps, bans on initial/nonrefundable and referral fees, required disclosures, and limits on use of veterans’ login credentials. Sen. Collins and others argued the federal VA claims process is too slow and confusing and that veterans need both help and safeguards. The committee also approved SB 1464 by Sen. Wright, which expands FDVA outreach through digital, print, social media, and in-person efforts and requires public events and annual reporting, and SB 1516 by Sen. Wright, which creates an international aerospace innovation fund administered by Space Florida to support partnerships with international aerospace companies. All measures were reported favorably, and the committee adjourned at the end of the meeting.

Transcript Highlights:

• Um, and so it's just a math question of needing a higher ceiling as we've done more over time.
• Um, and so it's<00:11:27.920> just<00:11:28.399> a<00:11:28.640> math<00:11:29.040
• question<00:11:29.360> of<00:11:29.600> needing<00:11:30.320> a it's just a math
• question of needing a it's just a math question of needing a higher<00:11:30.880> ceiling<00:

Keywords: 1191, senate, all

Transcript Highlights:

• . >> Oh, now he's mad because I got the math wrong.
• because<00:21:11.280> I<00:21:11.440> got<00:21:11.600> the<00:21:11.760> math
• >> Oh, now he's mad because I got the math >> Oh, now he's mad because I got the math

Keywords: House streaming session for Friday, January 23, 2026, 957, house, all

Summary: The House convened with 118 members present, opened with prayer, and proceeded through the day’s desk work. The clerk read introductory House bills 445 through 488, which were first read and referred to the appropriate committees, along with introductory House joint resolutions and several bond initiatives referred to Appropriations. A letter reassigning House Bill 149 to Economic Matters was also journalized. Committee announcements noted that several standing committees would not meet that day, while the House Rules and Executive Nominations Committee would meet virtually on Monday at 1:00 p.m. because of the snowstorm; the fiscal briefing was moved to 4:00 p.m. on Zoom. A substantial portion of the meeting focused on questions about the Rules Committee hearing process for House Bill 488, the congressional redistricting bill. Members asked about witness sign-up timing, whether the weekend extension was allowed, and whether there were conflicts of interest in the process. The parliamentarian and Speaker responded that the chair has discretion, that testimony sign-up had been extended through Friday, Saturday, and Sunday due to weather, and that if there were no electricity on Monday the hearing would be rescheduled. The Speaker also said the fiscal note for HB 488 would be available before the hearing. The rest of the session consisted largely of caucus, delegation, and guest announcements. Members announced upcoming meetings for the Waterman’s Caucus, Legislative Jewish Caucus, Women’s Caucus, LGBTQ+ Caucus, and a fire/EMS coalition, and noted the cancellation of an in-person Holocaust Remembrance event in favor of a virtual format. Guests and interns were recognized in the gallery, including representatives from the National Coalition of 100 Black Women, 100 Black Men of Charles County, Howard University students, and several student interns. The House also recognized the pages for their service and celebrated Delegate Marlon Amprey’s upcoming birthday. The chamber then adjourned until Monday, January 26 at 8:00 p.m., with the public again invited to submit testimony over the weekend.

Transcript Highlights:

• Reading, writing, math, knowing history.
• all of these bills, remember that the focus of our children's classrooms should be reading, writing, math
• Helper or or teacher or a coach um that in the classroom it's reading, writing, math and history and
• Look, we want our kids to focus on academics such as math, science, and reading.

Bills: HB6, HB27, HB123, HB210, HB213, HB222

Keywords: hemp, consumable hemp products, hemp-derived cannabinoids, CBD, cannabidiol, CBG, cannabigerol, Texas hemp law, hemp regulation, cannabinoid products, delta-9 THC, intoxicating hemp, hemp gummies, hemp vape, retail registration, product registration, QR code labeling, child-resistant packaging, youth access, minor sales

Transcript Highlights:

• And to us, we say this over and over again: is locally led, state-coordinated interventions.
• We'll know when a woman is due and that, in fact, she needs some kind of intervention.
• like right now if you told interventions like right now if you told me<00:42:37.599> what<00:
• ><00:43:33.200> some<00:43:33.440> kind<00:43:33.599> of<00:43:33.760> intervention
• She needs some kind of intervention.

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:

• recommends that the scope of the working group's efforts be expanded to include prevention and intervention
• 00:07:30.200> and expanded to include prevention and expanded to include prevention and intervention
• > strategies<00:07:32.000> in<00:07:32.160> addition<00:07:32.720> to intervention
• strategies in addition to intervention strategies in addition to survivor<00:07:33.480> protections
• folks, we need to be looking at prevention efforts, and we also need to be discussing reporting, intervention

Keywords: 910, house, all

Summary: The committee began with resolutions HCR 93 and HR 85, which ask the Hawaii State Commission on the Status of Women, in collaboration with the Department of the Attorney General, to form a working group and report on ways to strengthen protections for survivors of image-based sexual abuse. The Attorney General’s office said it could support the effort as legal counsel to the commission but preferred not to be an active working-group member, and suggested the Legislative Reference Bureau could instead conduct a nationwide study for stakeholders. The Commission on the Status of Women supported the resolutions but urged broader scope to include prevention and intervention, expanded stakeholder membership, keeping the Attorney General involved, and adjusting the report deadline. Testimony in support also came from the Emoa Alliance, which emphasized the prevalence and harms of image-based abuse and the need for stronger protections. Members asked questions about current criminal and civil remedies, reporting barriers, and whether the commission could administer the effort without the Attorney General; no votes were taken on the resolutions during the excerpted discussion. The committee then heard HCR 113 and HR 106, supporting the Native Hawaiian Intellectual Property Working Group’s request for more resources and a timeline extension to fiscal year 2026-2027. The Office of Hawaiian Affairs testified in support, saying Native Hawaiian culture, traditional knowledge, and cultural expressions are increasingly being commercialized and exploited without adequate protection, and that the working group needs more time, resources, and community consultation to complete its work. The committee noted six supporters and no opposition or comments. The hearing also covered HCR 193 and HR 183, which would establish a court security and Department of Law Enforcement capacity working group to address staffing shortages and the use of private security at state courts. The Judiciary supported the intent, asked that the working group supplement rather than replace its budget request, and proposed allowing the chair to add members with relevant experience. In response to questions, Judiciary said it has requested $3.25 million for armed private security, which it said would cover about 18 contracted individuals, though with significant company overhead. The committee then moved through several bills: SB 2667, which restricts certain commercial vehicles and trailers from the far-left lane on multi-lane roads, received support from the Department of Transportation; SB 2851, which allows deaf vehicle owners to register a deafness designation for law enforcement access, drew testimony in support; SB 2521, which updates emergency vehicle rules and exempts EMS personnel from CDL requirements, received testimony from Honolulu Emergency Services; and SB 2466, which would make the Chief Elections Officer terminable only for cause, drew support from the League of Women Voters and opposition from Hawaiian Islands Republican Women, who argued the change could reduce accountability and create election disruptions if litigation over termination occurs.