Transcript Highlights:

• Hawaii State Commission on the Status of Women.
• Hawaii State Commission on the Status of Women.
• Hawaii State Commission on >> Thank you.
• Hawaii State Commission on the<00:26:41.600> Status<00:26:41.919> of<00:26:42.080> Women
• Hawaii State Commission on the Status of Women in support. Dr.

Bills: SB2421, SB2690, SB3103, SB3137, SB3164, SB3206, SB2933, SB3133, SB3315

Keywords: cannabis, marijuana, Hawaii Cannabis Law, legalization, decriminalization, adult use, hemp, taxation, social equity, public health, primary care, health insurance, health carrier, insurance commissioner, Med-QUEST, Medicaid managed care, provider reimbursement, downcoding, prior authorization, utilization review

Summary: The committee heard testimony on several health-related bills. HB 1864, which would require health insurance coverage for standard fertility preservation services for people undergoing medically necessary treatment, drew broad support from SHIPA, the Department of Health, HMSA, the Hawaii Association of Health Plans, and others. Testifiers emphasized that fertility preservation is routine coverage on the mainland and important for patients facing infertility from cancer or other treatment; one patient described incurring more than $20,000 in costs. The Insurance Division flagged possible Affordable Care Act issues, a potential conflict in the bill’s language about using patient history to determine limits, and a mismatch with state medical-necessity standards. Committee discussion also focused on whether the bill should apply to all women of childbearing age rather than a narrower age-based category. HB 2305 would require nutrition and metabolic education as part of physicians’ continuing medical education. The Hawaii Medical Board opposed the measure, arguing that CME should remain flexible and tailored to each physician’s specialty and warning that topic-specific mandates can expand over time. The Office of the Governor supported the bill, saying it would help the state’s rural health transformation application and could improve federal funding prospects, though the exact impact was unclear. Members questioned whether nutrition is already covered in medical training and whether the requirement should be limited to primary care physicians; the board said Hawaii currently has no topic-specific CME mandates and that physicians can already choose relevant courses. The committee also heard strong support for HB 1597, which would establish an Alzheimer’s disease research center at the University of Hawaii. Supporters from the university, the Alzheimer’s Association, AARP, and others said the center could attract federal research dollars, expand clinical trials, and help address the state’s high Alzheimer’s-related health costs. HB 2159, which appropriates funds for health care workforce development, also received broad support from the University of Hawaii, health systems, and advocacy groups, with no opposition noted. Finally, HB 2121, which would prohibit the sale and distribution of disposable electronic smoking devices, drew support from the Department of Health, youth advocates, and public health groups citing youth addiction, environmental waste, and fire hazards; the department said a separate bill, HB 1573, would be more comprehensive and better defined for enforcement and penalties. The committee ended with HB 1913, creating a veteran services mental health coordinator position at Tripler Army Medical Center, which was supported by veteran services officials and others who said veterans need better navigation and coordination for behavioral health care.

Transcript Highlights:

• I'm a utility analyst at the Public Utilities Commission.
• I'm here on behalf of Chair Imora and the commission.

Bills: HB1688, HB2386, HB1691, HB1680, HB2516, HB1993, HB2442, HB1510, HB1958, HB1915, HB1692, HB1524, HB1884, HB1523, HB2213, HB2186, HB2163, HB1908, HB1910

Keywords: general excise tax, aircraft maintenance, tax exemption, aviation industry, economic competitiveness, water carriers, automatic adjustment mechanism, regulatory compliance, rate adjustments, public utilities commission, Hawaii Revised Statutes, biosecurity, community outreach, transportation rates, vehicle ownership, salvaged vehicles, insurance settlement, electronic signatures, administrative efficiency, vehicle transfer

Summary: The committee first took up SB 2699, which would create a youth transit program within DOT and a special fund tied to the environmental response/energy/food security tax fund. The chair described support from several agencies but also noted Attorney General concerns about whether the special fund met statutory criteria, DOE comments requesting a July 1, 2026 effective date, and broader funding concerns because the bill would draw from general fund resources. The chair recommended deferral, saying the measure involved significant long-term costs and needed more work on a funding mechanism. The committee deferred the bill. The committee then heard SB 3182, relating to administrative license revocation procedures. HDOT supported the measure, while the Judiciary opposed the bill as written, citing operational, staffing, fiscal, and mailing burdens from requiring ADLRO to mail all case documents to every respondent within five days. Judiciary said it handles about 3,000 to 4,000 DUI cases annually and would need additional staff and certified-mail costs. Prosecutors from the state and county supported a proposed SD1 version, saying it would address backlog concerns and help DUI enforcement by creating a presumption of revocation. The committee ultimately recommended support and passage of SD1. The committee also heard SB 3313 on interisland air service stability and transformation. The Attorney General warned the bill could be preempted by the federal Airline Deregulation Act and raised constitutional concerns about a local-hire provision. DOTAX said the program would be complicated to administer and suggested third-party certification. No action was taken in the excerpt. The committee then heard SB 3337, which would eliminate state taxes on gasoline and diesel fuel for motor vehicles; HDOT opposed it, while DOTAX provided comments and the Hawaii Transportation Association supported it. The transcript then moved to SB 2896, lowering the minimum age for commercial driving from 19 to 18. HDOT supported the bill, the Hawaii Transportation Association strongly supported it and suggested added training requirements, and an Operating Engineers representative supported the concept but urged that young drivers be tied to apprenticeship or other structured training programs. No vote was shown in the excerpt. Finally, the committee heard SB 2400, which would exempt wing-in-ground craft from the Hawaii Waters Act and define those craft in law. The PUC supported the bill’s intent, and Regent Craft testified in strong support, describing sea gliders as all-electric vessels that could improve interisland access, resiliency, and decarbonization while using existing harbor infrastructure. HTDC and several other groups also supported the measure. Members asked about infrastructure, ports, weather operations, and Coast Guard jurisdiction, and the witness said operators would decide harbor locations and that the company had identified multiple possible ports. No final committee action was included in the excerpt.

Transcript Highlights:

• 10:46.320> various<00:10:46.720> boards<00:10:47.040> and<00:10:47.200> commissions
• to various boards and commissions. to various boards and commissions.

Bills: SB2042, SB2892, SB1163, SB2076, SB2116, SB2122, SB99, SB2088, SB2114, SB2117, SB2118, SB2245, SB2386, SB2079, SB2043, SB2155, SB2268, SB2932, SB3240

Keywords: feral chickens, chickens, animal control, humane disposition, wildlife management, Honolulu, City and County of Honolulu, appropriation, general funds, fiscal year 2026-2027, urban wildlife, poultry, nuisance animals, Act 169, Hawaii, privacy, geolocation, abortion, data protection, internet browser

Bills: SB2042, SB2892, SB1163, SB2076, SB2116, SB2122, SB99, SB2088, SB2114, SB2117, SB2118, SB2245, SB2386, SB2079, SB2043, SB2155, SB2268, SB2932, SB3240

Keywords: feral chickens, chickens, animal control, humane disposition, wildlife management, Honolulu, City and County of Honolulu, appropriation, general funds, fiscal year 2026-2027, urban wildlife, poultry, nuisance animals, Act 169, Hawaii, privacy, geolocation, abortion, data protection, internet browser

Transcript Highlights:

• pages 1 and 2, Governor's message numbers 677 to 679 transmit nominations to various boards and commissions
• c><00:15:10.480> and nominations to various boards and nominations to various boards and commissions
• . commissions. commissions.

Bills: SB874, SB2098, SB2110, SB2126, SB2154, SB2160, HB818, SB2047, SB2116, SB2246, SB2250, SB2334, SB2505, SB2520, SB2561, SB2721, SB2820, SB2971, SB3019

Keywords: veterinary medicine, prescription, consumer rights, transparency, pet medication, agriculture, clean plant program, disease-free plants, Hawaii agriculture, plant propagation, conservation, soil health, climate change, food security, small farmers, technical assistance, Hawaii, grant program, small farms, midsize farms

Transcript Highlights:

• We've also met with the county commission association and others on that.
• This simply, in a simplistic way, mirrors that, where county commissions and municipalities would have
• We've also met with the county commission association and others on that.
• And so, going back when the Small Business Commission was first established, I served on that commission
• If you want to discuss the amendment first. commission, they might have um commission, they might have

Bills: SB23, SB71, SB105, SB109, SB115, SB131, SB148, SB165

Keywords: law enforcement, taser, restrained individuals, police procedures, civil rights, income tax, tax exemption, Alabama tax code, Section 40-18-3, civilian employees, Department of Defense, DoD, Armed Forces, military pay, combat zone, deployment, National Guard, Reserve components, emergency response, federal employees

Bills: HB33, HB45, HB48, HB1261, HB1465, HB1778, HB2596, HB5238, SB2969, HB45, HB48

Keywords: HB 48, oilfield theft, organized theft, petroleum products, oil and gas equipment, DPS, Department of Public Safety, Texas, Railroad Commission, criminal justice, energy resources, theft prevention, organized crime, border region, El Paso, law enforcement task force, asset recovery, pipeline theft, drilling equipment, equipment theft

Transcript Highlights:

• Uh, when they went to the ethics commission, no complaint had ever been filed and so what the, Uh, Court
• of Criminal Appeals held was that, uh, the, uh, ethics commission has exclusive jurisdiction over these
• Uh, if you file with the Texas Ethics Commission and they go through their exhaustive procedures, uh,
• In terms of the course of dealings my office has had with the Texas Ethics Commission, they have been
• This rule, uh, uh, the Shard opinion declared that the Texas Ethics Commission had exclusive jurisdiction

Bills: SB 231, SB 667, SB 689, SB 825, SB 965, SB 992, SB 1059, SB 1220, SB 2368, SB 2601

Keywords: temporary emergency electric energy facility, temporary generation, emergency power, backup generation, mobile generator, portable generator, grid resilience, power outage restoration, transmission and distribution utility, TDU, Public Utility Commission of Texas, PUCT, Utilities Code Section 39.918, competitive bidding, lease authorization, emergency procurement, bulk power system, locational marginal pricing, reliability model, black start

Transcript Highlights:

• Appeals held was that the... ...The Ethics Commission has exclusive jurisdiction over these cases, and
• If you file with the Texas Ethics Commission and they go through their exhaustive procedures, you would
• In terms of the course of dealings, my office has had with the Texas Ethics Commission, they have been
• This rule, the Charrette opinion, declared that the Texas Ethics Commission had exclusive jurisdiction
• So the Ethics Commission encroached upon your jurisdiction? That's the way I see it. Thank you.

Bills: SB231, SB667, SB689, SB825, SB965, SB992, SB1059, SB1220, SB2368, SB2601

Keywords: temporary emergency electric energy facility, temporary generation, emergency power, backup generation, mobile generator, portable generator, grid resilience, power outage restoration, transmission and distribution utility, TDU, Public Utility Commission of Texas, PUCT, Utilities Code Section 39.918, competitive bidding, lease authorization, emergency procurement, bulk power system, locational marginal pricing, reliability model, black start

Transcript Highlights:

• port's success, our county has disproportionately limited voting representation on its governing commission
• If he has an issue to bring up to the port commission, he doesn't have anybody else on that port commission
• bicycles are allowed, including natural surface trails, unless restricted by Parks and Wildlife Commission
• restrict Class 2 and Class 3 e-bikes on sensitive single track trails if needed and allows the commission
• Class 3 e-bikes are very appropriate and they mix well, but this bill does allow for the Parks commission

Bills: HB 535, HB 2120, HB 2822, HB 3243, HB 3457, HB 3544, HB 4089, HB 4192, HB 4669, HB 4868, HB 4955, HB 5253, HB 5669, SB 1371, SB 1919, SB 2001

Keywords: motor vehicle, pedestrian, bicycle, traffic safety, municipality, criminal offense, pedestrian safety, traffic regulations, municipal law, bicycle regulations, motor vehicle passing, traffic law, municipalities, bicycle operation, traffic laws, municipal regulations, port commission, Corpus Christi, Nueces County, San Patricio County

Transcript Highlights:

• ...are precious, and the citizens of San Patricio County just want a greater voice on that Port Commission
• While we support responsible growth, the lack of representation within the county on the Port Commission
• If he has an issue to bring up to the Port Commission, he doesn't have anyone else on that Port Commission
• We just wish we could have two more people on the Port Commission to represent us. when some of these
• But this bill does allow for the Parks Commission to remove them from trails. if they deem it necessary

Bills: HB535, HB2120, HB2822, HB3243, HB3457, HB3544, HB4089, HB4192, HB4669, HB4868, HB4955, HB5253, HB5669, SB1371, SB1919, SB2001

Keywords: motor vehicle, pedestrian, bicycle, traffic safety, municipality, criminal offense, pedestrian safety, traffic regulations, municipal law, bicycle regulations, motor vehicle passing, traffic law, municipalities, bicycle operation, traffic laws, municipal regulations, port commission, Corpus Christi, Nueces County, San Patricio County

Transcript Highlights:

• It had been recommended by the Sunset Advisory Commission in 1996 because, and I quote, one barrier to
• My name is Lee Spiller with the Citizens Commission on Human Rights, Texas, for the bill.

Bills: HB18, HB37, HB 116, HB388, HB879, HB913, HB 1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388

Summary: The committee first reopened testimony on House Bill 2216, which would strengthen child welfare requirements by expanding “active efforts” to help families avoid removal and support reunification, while also raising standards related to removals and terminations. Supporters from child welfare and family defense groups said the bill would better protect families and align Texas more closely with ICWA-style principles, but several warned it would require significant new funding, staffing, and community services such as mental health care, housing, child care, and substance use treatment. The committee then left HB 2216 pending. The committee next heard Senate Bill 1782, aimed at boarding and group homes. Senator Miles said the bill closes enforcement gaps left by prior law by requiring retention of background-check records and creating misdemeanor penalties for failing to conduct or keep them, or for knowingly hiring people with serious convictions. Harris County sheriff’s investigators testified in support, describing illegal boarding homes, operators who evade permits and background checks, and exploitation of vulnerable residents; the bill was left pending. The committee also took up Senate Bill 481 on emergency preparedness for nursing facilities and assisted living facilities, adopted a new committee substitute that softened some requirements and removed the fiscal note, and left the bill pending. The committee then heard House Bill 388, which would require the Texas Department of Insurance to create a single standardized coordination-of-benefits form for dual health plans to reduce errors and surprise bills; it was left pending. Senate Bill 1590 would move paternity registry searches for adoptions to an electronic process with a 10-day target, and House Bill 2809 would track child suicide attempts in managing conservatorship and require related reporting and parental notice; both were left pending. The committee also heard Senate Bill 1887, which would prohibit administering mRNA-containing products for immunization for 10 years, with exceptions for cancer and genetic disorders. Supporters argued the bill was needed for safety, informed consent, and medical freedom, while opponents from the medical, research, and public health communities said mRNA vaccines are well-studied, save lives, and that the bill would harm access, research, and Texas’s biotech economy. The bill remained under discussion as testimony concluded.

Transcript Highlights:

• Representative Candy Noble, relates to training required or offered by the Health and Human Services Commission
• Members, this is a cleanup bill requested by the Texas Health and Human Services Commission.
• I'm the Director of Provider Finance for the Health and Human Services Commission, and I'm here as a
• I'm with the Citizens Commission on Human Rights, Texas, and we're for the bill.
• Lee Spiller, with the Citizens Commission on Human Rights, Texas, is for the bill.

Bills: HB18, HB37, HB 116, HB388, HB879, HB913, HB 1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388

Summary: The Senate Committee on Health and Human Services met with a quorum and took up several House and Senate bills, with public testimony limited to two minutes per witness. The committee first heard HB 2358, a cleanup bill requested by HHSC that would repeal outdated training and conference requirements for long-term care facility surveyors and certain providers; there were no witnesses, and the bill was left pending. The committee then heard HB 18, the rural hospital stabilization bill, which would create financial assessment tools, a rural hospital finance office at HHSC, an academy for rural hospital officers, multiple grant programs, enhanced Medicaid reimbursement tied to average cost, OB/GYN add-on payments, expanded pediatric telehealth connectivity, and a rural pediatric mental health program. Senator Perry and witnesses from TORCH, a rural hospital, AARP Texas, and ARCHI strongly supported the bill as a way to stabilize rural hospitals, improve OB access, and address workforce and financial pressures. Committee members discussed rural hospital closures, low-volume quality metrics, system affiliation, and the need for predictable monthly reimbursement; the bill was left pending after testimony and questions. The committee next heard HB 37, which would create a perinatal bereavement care initiative for families experiencing stillbirth, neonatal death, or intrauterine fetal demise, including counseling, staff training, and access to cooling devices, with possible grants and a recognition program for hospitals. Senator Huffman explained the bill, and several witnesses testified in support, sharing personal stories about infant loss and the importance of time with the baby, trained staff, and cuddle cots or similar devices. A neonatologist also supported the bill while suggesting clarification that hospitals should not be penalized if state funding is unavailable and recommending use of regional advisory councils to help implement training. Public testimony was then closed and the bill left pending. The committee also heard HB 879, which would create a streamlined licensing pathway for veterans with medical or nursing experience to practice in Texas, and HB 913, which would add new state hospitals to statute and split the North Texas State Hospital into two separate hospitals with their own superintendents; both bills had no opposition testimony and were left pending. Later, the committee heard SB 2744, a heart disease screening bill that would update the 2009 Texas Heart Attack Prevention Act to require insurance coverage for coronary CT angiography with plaque analysis, including soft plaque detection, as a preventive screening tool. The author and invited witnesses argued the technology is more effective than calcium scoring alone, can identify patients before symptoms appear, and could save lives at a cost comparable to or lower than colonoscopy. An insurance industry witness opposed the bill, arguing the technology has not been recommended by the U.S. Preventive Services Task Force for universal screening and that the mandated coverage and payment level would raise costs; the bill was left pending after testimony. Finally, the committee heard HB 1151, a parental rights bill clarifying that refusing psychotropic medication or psychiatric treatment is not neglect unless the child is harmed. Supporters, including parent advocates and attorneys, said the bill would protect parents from CPS overreach and preserve medical decision-making authority, while one witness urged broader attention to physical causes of behavioral issues. Public testimony was closed and HB 1151 was left pending.

Transcript Highlights:

• The Texas Workforce Commission will be tasked with developing rules and submitting a report to the U.S
• We show you registered as Reagan Miller, testifying on behalf of the Texas Workforce Commission, and
• The legislature appropriates Texas taxpayer money to the Texas Veterans Commission for claims officers
• Commission and you are neutral on the bill, is that correct? That is correct.
• We assure you registered as Reagan Miller testifying on behalf of the Texas Workforce Commission.

Bills: HB 1087, HB2504, HB4113, HB5144, HB5146, HB5377, HB5543, SB140, SB264, SB1244, SB1343, SB2121, HR868

Keywords: property owners, board vacancy, special election, association governance, community management, property owners' association, resale certificate, fees, real estate regulation, homeowners, HB 4113, Texas Rising Star Program, child care, child-care providers, Texas Workforce Commission, TWC, safety barriers, crash-rated bollards, bollards, playground safety

Transcript Highlights:

• living facilities conducted by the University of Texas at Austin and Health and Human Services Commission

Bills: HB 660, HB 4845, HB 3902, HB 5396, HB 4615, HB 1825, HB 1403, HB 4336, HB 4585, HB 4371, HB 863, SB 1589, HB 5223, HB 3195, HB 2734

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation

Transcript Highlights:

• living facilities conducted by the University of Texas at Austin and the Health and Human Services Commission

Bills: HB660, HB4845, HB3902, HB5396, HB4615, HB1825, HB1403, HB4336, HB4585, HB4371, HB863, SB1589, HB5223, HB3195, HB2734

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation

Transcript Highlights:

• encountered significant issues with the revalidation process with the Health and Human Services Commission
• With the Health and Human Services Commission on the bill, is that correct? That's correct.
• They also enter a success allowance and meet the requirements determined by the commission.
• The frustrating thing about this issue has been we're not asking the commission to do anything other
• What we've been told from the commission is they need legislative instruction.

Bills: HB660, HB4845, HB3902, HB5396, HB4615, HB1825, HB1403, HB4336, HB4585, HB4371, HB863, SB1589, HB5223, HB3195, HB2734

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation

Bills: HB 1531, HB 2667, HB 2809, HB 2865, HB 3589, HB 3151, HB 3748, HB 3750, HB 4419, HB 4643, HB 3597, HB 4129, HB 4130, HB 4131

Keywords: workplace violence prevention, health and safety code, Chapter 331, facility definition, home and community support services agency, home health agency, home health care, nursing staff, registered nurses, health care workplace safety, hospital, nursing facility, ambulatory surgical center, freestanding emergency medical care facility, mental hospital, Texas health care regulation, provider compliance, occupational safety, senior living, referral agencies

Bills: HB1531, HB2667, HB2809, HB2865, HB3589, HB3151, HB3748, HB3750, HB4419, HB4643, HB3597, HB4129, HB4130, HB4131

Keywords: workplace violence prevention, health and safety code, Chapter 331, facility definition, home and community support services agency, home health agency, home health care, nursing staff, registered nurses, health care workplace safety, hospital, nursing facility, ambulatory surgical center, freestanding emergency medical care facility, mental hospital, Texas health care regulation, provider compliance, occupational safety, senior living, referral agencies

Transcript Highlights:

• The HHSC Office of Inspector General employs 37 Commissioned Peace Officers. ...officers, most of whom
• changing references in section 42.0461, section A of the Human Resource Code from dependent to commission
• The record shows, again, Rachel Ashworth-Mazerolle with the Health and Human Services Commission, and
• For Child Care Regulation within the Health and Human Services Commission, so I'm here to answer any
• For example, you can verify the applicant's income with the Texas Workforce Commission.

Bills: HB1531, HB2667, HB2809, HB2865, HB3589, HB3151, HB3748, HB3750, HB4419, HB4643, HB3597, HB4129, HB4130, HB4131

Keywords: workplace violence prevention, health and safety code, Chapter 331, facility definition, home and community support services agency, home health agency, home health care, nursing staff, registered nurses, health care workplace safety, hospital, nursing facility, ambulatory surgical center, freestanding emergency medical care facility, mental hospital, Texas health care regulation, provider compliance, occupational safety, senior living, referral agencies