Video & Transcript : 'federal poverty guidelines' :
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US
US Federal 2025-2026 Regular Session
Business meeting to consider S.28, to require the disclosure of a camera or recording capability in certain internet-connected devices, S.97, to require SelectUSA to coordinate with State-level economic development organizations to increase foreign d Mar 12th, 2025 at 08:30 am
Commerce, Science, and Transportation Committee
Transcript Highlights:
- This is a win for the federal taxpayers and for airline passengers who thought their money was going
- to lead the Office of Science and Technology Policy, and Mark Meador to be a Commissioner on the Federal
- This bill standardized digitizes and maps fishing restrictions in federal waters.
- It's modeled after the successful map land act which required the federal government to digitize maps
- for hunting and fishing on federal lands.
Bills:
SB244 , SB28 , SB289 , SB323 , SB389 , SB414 , SB428 , SB433 , SB582 , SB613 , SB759 , SB792 , SB841 , SB843 , SB97
Keywords:
national security, cybersecurity, consumer technology, routers, modems, study, communication, consumer protection, smart devices, transparency, internet-connected devices, FTC enforcement, broadband, infrastructure, federal programs, internet access, accessibility, affordability, deployment, government coordination
Summary:
The Senate Committee on Commerce, Science, and Transportation held an important meeting where they discussed various bills aimed at addressing pressing issues like consumer protection, technology, and environmental management. Chairman Cruz opened the meeting by emphasizing the role of subpoenas in ensuring accountability and oversight, highlighting a recent compliance from several parties following such threats. The meeting progressed to consider several bills, including the Romance Scam Prevention Act championed by Senator Blackburn, which seeks to protect vulnerable populations from online dating scams that have resulted in enormous financial losses, particularly among seniors. The committee also nominated Michael Kratios for the Office of Science and Technology Policy and Mark Medder for the Federal Trade Commission, underscoring the significance of leadership in fostering innovation and consumer protection in technology sectors.
HI
Hawaii 2026 Regular Session
EEP Public Hearing - Tue Mar 24, 2026 @ 9:00 AM HST
Energy & Environmental Protection
Transcript Highlights:
- 51.760><c> scientific</c> ...act in light of evolving scientific understanding of PFAS and recent federal
- funding sources, and we hope that this helps advance the project so we can use the safe-harbored federal
- tax credit before it the federal tax credit before it expires.<01:02:00.400><c> Is</c><01:02:00.559>
- so we can um use the uh<01:02:11.440><c> safe</c><01:02:11.680><c> harbored</c><01:02:12.640><c> federal
- </c><01:02:12.960><c> tax</c><01:02:13.280><c> credits</c> uh safe harbored federal tax credits uh safe
Committee:
House Energy & Environmental Protection
Keywords:
conservation, endangered species, wildlife preservation, native birds, biodiversity, sanctuary, nonprofit, DLNR, agricultural district, land use, chapter 195D, chapter 205, chapter 42F, state funding, public purpose, habitat restoration, predator-free sanctuary, ecosystem restoration, Zealandia, wildlife refuge
Summary:
The committee on Energy and Environmental Protection heard a long series of resolutions focused largely on waste reduction, energy planning, and environmental protection. Early measures included HR 12/HCR 10 on a permanent landfill host benefits program for Honolulu, HCR 148/HCR 157 on a demolition waste reduction working group, and HR 184/HCR 194 on a mattress stewardship program working group. Testimony on these waste-related measures was generally supportive from environmental groups and some individuals, while the Department of Health supported the mattress stewardship proposal. The Department of Health also commented that a proposed study on recyclable/biodegradable/compostable labeling was very broad and would require additional resources to carry out effectively.
The committee then took up several energy-related resolutions. HR 192/HCR 202 would create a task force on Hawaii’s future energy pathways, and HR 194/HCR 204 would ask the Public Utilities Commission to conduct a comprehensive analysis of cost reductions and financial risk. The Department of Commerce and Consumer Affairs, the Hawaii State Energy Office, and the PUC offered support or comments on these measures, with environmental and industry groups also submitting testimony. Members questioned the Energy Office and PUC at length about errors in prior analyses, competitive bidding, and whether utility proposals could proceed through waiver processes; the PUC said any proposal would still be reviewed and that it generally prefers competitive bidding, while the Energy Office said some issues were being characterized differently and would follow up on waiver standards.
Additional measures addressed data centers, liquefied natural gas, and utility oversight. HR 196/HCR 206 would convene a working group on the impacts of large data centers, and HR 197/HCR 207 would require conditions before the PUC approves LNG-related costs; testimony on LNG was split, with supporters urging caution and opponents arguing LNG should not be pursued. HR 193/HCR 2003 sought a written status update on implementation of the Hawaii Electric Reliability Administrator, and HR 191/HCR 201 and HR 33/HCR 33 dealt with sewage and wastewater issues, both drawing support from environmental and community groups. The committee also heard strong support for HR 141/HCR 149 on Red Hill remediation meetings and HR 190/HCR 200 on reassessing military PFAS cleanup decisions; the Board of Water Supply testified in support and described ongoing PFAS testing and concerns beyond Red Hill. The transcript ends as the committee moved into decision-making, with the chair indicating a recommendation to pass HR 12/HCR 10.
TX
Texas 89th Regular
S/C on County & Regional Government Apr 14th, 2025
S/C on County & Regional Government
Transcript Highlights:
- I'm asking them to cooperate with the federal government regarding the enforcement of federal immigration
- All they have to do is check the federal database.
- Whether federal or state, you are going to be spending taxpayer dollars.
- There is not going to be any federal reimbursement for salary costs here.
- Concerns are strengthened by recent developments at the federal level.
Committee:
House S/C on County & Regional Government
Keywords:
transportation, infrastructure, funding, state budget, public safety, child welfare, county boards, membership, local governance, public welfare, government service, social services, Texas Family Code, regulation, vendors, solicitors, roadside sales, county authority, Sweeny Hospital District, board of directors
TX
Texas 89th Regular
S/C on County and Regional Government Apr 14th, 2025
S/C on County & Regional Government
Transcript Highlights:
- Earlier, it opens the door for state lawmakers to override federal protections.
- How can we ask them to overextend themselves to federal duties?
- Enforcing federal duties on top of their local responsibilities, issues that federal agency carries,
- These agreements are not federally funded.
- law, a responsibility that should remain with the federal government.
Committee:
House S/C on County & Regional Government
Keywords:
transportation, infrastructure, funding, state budget, public safety, child welfare, county boards, membership, local governance, public welfare, government service, social services, Texas Family Code, regulation, vendors, solicitors, roadside sales, county authority, Sweeny Hospital District, board of directors
HI
Hawaii 2026 Regular Session
HSH Public Hearing - Tue Mar 24, 2026 @ 10:00 AM HST
Human Services & Homelessness
Transcript Highlights:
- So the point-in-time count is required by the federal government on an annual basis, every other year
- And we wanted to add safeguards for federal compliance. I'm here for any available questions.
- And we wanted to add safeguards for federal compliance. I'm here for any available questions.
- I'm here for any federal compliance. I'm here for any available<00:22:43.400><c> questions.
- Sure, so this program actually leverages a good federal match, about 60%.
Committee:
House Human Services & Homelessness
Keywords:
criminal procedure, family violence, dating violence, child abuse, evidence admissibility, reduced sentencing, homelessness, reporting requirements, statewide office, housing solutions, kauhale projects, public oversight, SB2861, Hawaii, Office of Wellness and Resilience, OWR, Department of Human Services, DHS, Kakou Pilot Program, Kakou
Summary:
The committee heard testimony on several measures related to criminal procedure, homelessness, family resilience, Medicaid-funded services, and school Medicaid reimbursement. On SB 2479 SD2, the Judiciary testified in neutral opposition with concerns that the bill could require imprisonment even for probation-eligible defendants, expand sentence reconsideration in ways that could undermine finality for victims, conflict with existing sentencing statutes, and require additional judicial resources. The Office of the Public Defender supported the bill’s intent but asked for language changes so people serving sentences could raise the new evidence in Rule 40 petitions and so probation would remain available in appropriate felony cases. Written testimony also included opposition from several county prosecutors and police, and support from the Office of Hawaiian Affairs. The chair later deferred SB 2479 SD2, citing unintended consequences and problems with the bill.
For SB 2557 SD1, which would require annual reporting by the State Office on Homelessness and Housing Solutions, the office said it supported the intent but noted it already produces annual and quarterly reports, that some requested data is already available, and that staffing and cost constraints could make the new reporting burdensome. The State Council on Mental Health supported the measure and suggested narrowing the reporting language to data on individuals with serious mental illness or co-occurring behavioral health conditions, to the extent practicable and in collaboration with relevant agencies. A committee member asked about the availability of point-in-time count data, and the office explained that some figures may not be available every year and may need to be generated through HMIS. Dr. Jack Lewin testified in support, saying the data would be useful for understanding health care costs. The committee passed SB 2557 SD1 with amendments, including a deferral of the effective date.
The committee also heard SB 2861 SD2 and SB 3204 SD1, both family resilience pilot program measures. For SB 2861 SD2, the Office of Wellness and Resilience and DHS supported the bill but requested amendments to clarify that the office’s role is planning and advisory, that DHS is a key partner, and that federal compliance safeguards are included. The chair raised concerns about overlap with DHS’s existing Ka Ohana program and asked for language to avoid redundancy while allowing the bill to cover other at-risk children; decision-making was deferred to the next hearing. For SB 3204 SD1, which would create a peer-navigator-based family resilience pilot, the Office of Wellness and Resilience and DHS supported the measure, with the office requesting a two-year pilot period, and both agencies and several advocacy groups submitted support. The committee discussed funding, the proposed five peer navigators, and whether the pilot should be limited to one or two geographic areas; no final action was taken in the portion provided. The committee also heard and supported SB 3324 SD1 on Medicaid home and community-based services, with the Department of Health emphasizing caregiver shortages and the cost-effectiveness of community care, and SB 3325 SD1 HD1 on public school Medicaid reimbursement, where DOE and the Attorney General requested clarifying amendments to reporting language and position titles.
WY
Wyoming 2026 Regular Session
House Minerals, Business & Economic Development Committee, February 20, 2026
Minerals, Business & Economic Development
Keywords:
pari-mutuel wagering, simulcasting, historic horse racing, HHR terminals, horse racing, gaming commission, Wyoming Gaming Commission, local control, city approval, county approval, municipal approval, permit renewal, gaming permit, wagering regulation, racetrack, live pari-mutuel event, district court appeal, public notice, land use, public safety
NM
Transcript Highlights:
- This calls for a study and for clear research-based guidelines developed in collaboration with families
- Guidelines developed in collaboration with families and educators.
- We have one of eight Federal Aviation Administration test sites for unmanned aerial systems, which is
Committee:
House House Education
Keywords:
appropriation, higher education, sports facilities, community college, Luna Community College, KANW, educational radio, rural news, public education, funding, education, documentary, historical figure, Padre Antonio Jose Martinez, cultural heritage, research funding, federal funding, New Mexico, University of New Mexico, New Mexico State University
Summary:
The committee first announced that House Bill 161 would be rolled over until Monday so the sponsor could work out unintended errors and bring back a clean amendment. The committee then heard House Memorial 2, which calls for a Legislative Education Study Committee study of screen time in elementary classrooms, including instruction, assessment, and general use. The sponsor and supporters said the memorial is intended to examine the effects of screen use on young children’s learning, attention, literacy, social-emotional development, and physical well-being, and to develop research-based guidance rather than rely on anecdotes.
Testimony in support came from educators and school leaders, including AFT New Mexico, NEA New Mexico, and the superintendent of Carlsbad Municipal Schools, who argued that screens are being used too heavily in elementary settings and that hands-on learning and direct interaction are being displaced. Committee members raised questions about whether the study should extend beyond elementary grades to secondary education, online books, and AI-related assessment issues such as voice recording and accessibility. The sponsor and legislative staff said the memorial is currently limited to elementary classrooms but could potentially be expanded; they also noted that assessment-related AI concerns would fall within the study. The committee then approved HM2 on a do-pass motion with no opposition.
The committee next heard House Memorial 16, recognizing the New Mexico State University Physical Science Laboratory for 80 years of service and contributions to research, innovation, national security, workforce development, and economic prosperity. Support testimony highlighted the laboratory’s role in southern New Mexico and its status as one of eight FAA test sites for unmanned aerial systems. A member of the public also testified in support as an NMSU alum and STEM advocate. The committee approved HM16 on a do-pass motion with no opposition. The meeting also included introductions from visiting high school students and a reminder that Monday is NMSU Day at the Capitol.
NM
Transcript Highlights:
- We are working with our institution, and we're also working with one of our federal grants workforce
- Those dollars, as an example, last year were used particularly when at the federal level... ...last year
- were used particularly when, at the federal level, we found that through NPR and, if you will, public
- So, Senator, if I understand what you just said, this radio station was part of the federal cuts to NPR
- We were included in the clawback of the federal funds. There are a couple of things.
Committee:
Senate House Education
Keywords:
appropriation, higher education, sports facilities, community college, Luna Community College, KANW, educational radio, rural news, public education, funding, education, documentary, historical figure, Padre Antonio Jose Martinez, cultural heritage, research funding, federal funding, New Mexico, University of New Mexico, New Mexico State University
Summary:
The committee began with announcements about an upcoming Friday breakfast and presentation with the School Board Association in El Dorado, then moved through a series of education appropriation and capital-style bills. The first major item was Senate Bill 194 for Luna Community College baseball and softball fields. Senator Campos and Luna officials described the project as part of a larger athletic and community complex, emphasizing the college’s NJCAA compliance turnaround, 100% athlete graduation rate, 3.44 average GPA, and the fact that 94% of athletes are New Mexico residents. Supporters said the fields would improve recruiting, reduce annual rental costs, and add community amenities such as a walking path, soccer pitch, and wildfire resiliency training space. Several senators raised concerns that the project should go through the normal capital outlay process and questioned funding sources, ongoing operating costs, bathrooms, electricity, parking, audits, and whether the $5 million request was sufficient. Despite those concerns, the committee voted 5-3 to give the bill a due pass.
The committee then heard a request for KANW educational radio funding. KANW’s general manager and staff said the station is celebrating 75 years, serves much of the state with news, cultural programming, Spanish music, and emergency alert services, and is one of the state’s primary radio stations. Supporters praised its public service and statewide reach. However, several senators objected to the funding mechanism, arguing that the request was being routed through growth funding rather than the usual capital or appropriations process and that other legislators lacked equal access to those funds. After discussion about federal funding cuts, translator opportunities, and the station’s educational mission, the committee voted 3-5 and the bill failed.
Senate Bill 203, a duplicate of a previously heard Northern New Mexico State School documentary bill, was quickly tabled on motion. The committee then took up Senate Joint Resolution 3, which would ask voters to replace the current appointed Secretary of Education model with an appointed State Board of Education that would hire a state superintendent. Senator Soles argued the change would create more stability and reduce political whiplash, while supporters from the school board and superintendent associations backed the idea but noted concerns about appointment clarity. Opponents from PED, KIDS CAN, the Chamber of Commerce, charter schools, and others argued the proposal would add bureaucracy, reduce accountability, sideline the governor and voters, and repeat a failed pre-2003 system. Committee members were split along similar lines, with supporters emphasizing continuity and critics stressing accountability and local control; the transcript ends before a final vote on SJR 3 is shown.
WA
Washington 2025-2026 Regular Session
House Agriculture & Natural Resources Feb 3rd, 2026 at 10:30 am
Agriculture & Natural Resources
Transcript Highlights:
- The bill lists commission membership to include elected chairs of federally recognized tribes by invitation
- question for the chair, or I mean the prime sponsor, but it says each elected tribal chair from federally
- You do not have one statewide salmon recovery plan that is signed by the federal government, the tribes
- Settles all the claims by those federal and tribal entities. Thank you.
- So asking help from our federal partners who own most of the land in Washington.
Committee:
House Agriculture & Natural Resources
Keywords:
anadromous fish, environmental conservation, state coordination, wildlife recovery, fisheries management, forest management, natural resources, collaboration, forest practices, sustainability, aviation, wildland fires, funding, disaster relief, emergency response, timber sales, land sales, process efficiency, legislation, department language
NM
Committee:
Senate Senate Judiciary
Keywords:
Immigrant Safety Act, immigration detention, civil immigration violations, ICE, federal immigration enforcement, sanctuary policy, public bodies, local government, sheriff's department, school district, higher education, deputization, 287(g), 8 U.S.C. 1357(g), 8 C.F.R. 287.7, intergovernmental services agreement, detainer, immigration cooperation, public property, attorney general enforcement
NM
Transcript Highlights:
- The FBI took the case and we prosecuted it federally.
- I've never seen a state prosecute a crime against a federal officer.
- So they're a little more strict federally not on a state level.
- That's all federal. That's happening on a federal level.
- And you know, I know there are many that are very honorable at the Federal and the local level.
Committee:
House House Judiciary
Keywords:
Immigrant Safety Act, immigration detention, civil immigration violations, ICE, federal immigration enforcement, sanctuary policy, public bodies, local government, sheriff's department, school district, higher education, deputization, 287(g), 8 U.S.C. 1357(g), 8 C.F.R. 287.7, intergovernmental services agreement, detainer, immigration cooperation, public property, attorney general enforcement
AL
Transcript Highlights:
- So currently, under Alabama law—and used to be also under federal law until— Used to be also under federal
- the guidelines, but also the sunshine part of this so the public is involved and knows what the guidelines
- Guidelines, we are not stepping in and adjusting or updating the guidelines.
- I want a copy of the guidelines. Thus, the problem. Well, it Guidelines. Thus, the problem.
- Conforming to the guidelines, not the parole rate, but conforming to the guidelines.
Committee:
House Judiciary
Keywords:
law enforcement, immunity, civil liability, use of force, recruitment, bail reform, cash deposit, judicial discretion, criminal justice, Alabama law, youthful offender, capital murder, public safety, victims' rights, juvenile offenders, delinquent acts, juvenile court, nonfelony offenses, water safety offenses, illegal immigration
LA
Transcript Highlights:
- Louisiana Medicaid programs simply have lagged behind this important federal reform.
- And then there's a reclamation from a federal entity or agency.
- What about the federal regulation asking what that? It references the federal regulation.
- What about the federal regulation asking what that? It references the federal regulation.
- Does the federal law prohibit it?
Bills:
HB288 , HB403 , HB420 , HB783 , HB815 , HB915 , HB927 , HB933 , HB944 , HB962 , HB971 , HR74 , SCR3 , SCR20 , SB5 , SB34 , SB37 , SB190 , SB255 , SB270 , SB273 , SB314 , SB415
Committee:
House Health and Welfare
Keywords:
medical terminology, documentation, miscarriage, spontaneous abortion, healthcare, medical records, billing, homemade food, food safety, small business, exemption, regulation, Department of Children and Family Services, background checks, child welfare, employee screening, safety regulations, criminal history, non-lactational dairy, labeling requirements
WA
Washington 2025-2026 Regular Session
Senate Health & Long-Term Care Jan 20th, 2026 at 10:30 am
Health & Long-Term Care
Transcript Highlights:
- And unfortunately, we've had federal actions that have ended up resulting in dramatic cuts to Medicaid
- so this is about making sure that we can support public hospitals that are struggling due to these federal
- While federal CMS guidelines support this transition, Washington state law currently lacks the framework
- While federal CMS guidelines support this transition, Washington state law currently lacks the framework
- Twenty-four months is the longstanding federal standard for overpayment recovery.
Bills:
SB5845 , SB5916 , SB6102 , SB6071 , SB6103 , SB6159 , SB5877 , SB5967 , SB5904 , SB5915 , SB6025
Committee:
Senate Health & Long-Term Care
Keywords:
health insurance, health carrier, insurance carrier, prompt pay, timely payment, claims processing, clean claim, remittance advice, provider reimbursement, hospital billing, medical billing, prior authorization, claims denial, interest on late claims, administrative penalty, Washington insurance commissioner, RCW 48, public employees benefits board, school employees benefits board, Medicaid managed care
WA
Washington 2025-2026 Regular Session
House Community Safety Jan 29th, 2026 at 08:00 am
Community Safety
Transcript Highlights:
- The bill also provides guidelines for revocation.
- That includes both federal and state law enforcement, period.
- of the federal courts and the federal law enforcement agencies.
- of the federal courts. immigration, and federal law enforcement duties are under the jurisdiction of
- the federal courts and the federal law enforcement agencies.
Committee:
House Community Safety
Keywords:
rehabilitation, felony offenses, criminal justice reform, first-time offenders, pathways to rehabilitation, mental health, sentencing alternative, criminal justice, diversion programs, HB 2641, ICE out act, law enforcement hiring, immigration and customs enforcement, ICE officers, former federal employees, sworn officer, police staffing, general authority law enforcement agency, limited authority law enforcement agency, immigration enforcement
WA
Washington 2025-2026 Regular Session
House Technology, Economic Development, & Veterans Jan 23rd, 2026 at 10:30 am
Technology, Economic Development, & Veterans
Transcript Highlights:
- And the last bill we will consider is House Bill 2186, supporting the acquisition of federal funds to
- The National Guard serves the governor under state law and the President under federal law.
- The National Guard serves the governor under state law and the President under federal law.
- The right only applies to victims under the federal Uniform Code of Military Justice.
- The Uniform Code of Military Justice, that federal law, only applies.
Keywords:
fire services, reimbursement, state agencies, local jurisdictions, mobilization plan, military justice, victims' rights, militia, Washington code, legal protections, artificial intelligence, AI regulation, algorithmic discrimination, high-risk AI, machine learning, generative AI, synthetic content, impact assessment, risk management policy, consumer protection
AL
Alabama 2025 Regular Session
Alabama Senate Finance and Taxation General Fund Committee Apr 2nd, 2025
Finance and Taxation General Fund
Transcript Highlights:
- In Alabama's case, food... ...under federal law.
- , while the benefit cost is 100% federal.
- So we're... ...the benefit cost is 100% federal, so we're going to be spending dollars to save federal
- poverty, and it harms those who need SNAP the most.
- poverty program.
Committee:
Senate Finance and Taxation General Fund
Keywords:
SB245, public assistance, Medicaid, SNAP, food assistance, Alabama Medicaid Agency, Department of Human Resources, eligibility verification, self-attestation, data matching, fraud prevention, improper payments, program integrity, benefit eligibility, income verification, residency verification, asset verification, electronic benefit transfer, EBT, cross-checks
TX
Transcript Highlights:
- Very similar bills targeting drag that were ruled unconstitutional in 2023... ...by a federal judge.
- Programs are being threatened by the federal funding freeze.
- This action not only stifled free speech, but weaponized federal resources against law-abiding citizens
Committee:
Senate State Affairs
Keywords:
Texas Water Code, TCEQ, Texas Commission on Environmental Quality, water permit, water appropriation, dam permit exemption, reservoir, flood control, floodwater control, erosion control, sediment control, watershed protection, flood prevention, Natural Resources Conservation Service, NRCS, USDA, local sponsor, district, authority, water infrastructure
TX
Transcript Highlights:
- And And Attorney General Paxman has filed over 100 lawsuits challenging this federal overreach.
- Senate Bill 707 seeks to provide another way for the state to challenge federal overreach.
- Of course, the federal government, power is spread over the three.
- But it's also the concept of federalism that spreads power between the states and the federal government
- limits of the power of the federal government is crazy.
Committee:
Senate State Affairs
Keywords:
municipal libraries, state funding, gender identity, public events, children's literature, SB 19, Texas, political subdivision, local government, county, city, municipality, taxpayer-funded lobbying, lobbying ban, public funds, registered lobbyist, Chapter 305, Government Code, Local Government Code, county association dues
HI
Transcript Highlights:
- So, that didn't work because the federal government required every benefit in the universe.
- So, that didn't work because the federal government required every benefit in the universe.
- So the federal government is saying to help this end, they will offer grants to those states who start
- Other states are already moving in this direction and federal resources and funding are following.
- resources and funding are federal resources and funding are following.<00:39:05.000><c> You</c><00:39
Committee:
House Health
Keywords:
hospice, health care, aging population, regulations, Medicare, working group, fraud prevention, quality of care, mental health, recidivism, civil commitment, Hawaii State Hospital, justice system, shelter, treatment pathways, biomarker testing, health insurance, precision medicine, healthcare access, medical necessity
Summary:
The committee heard testimony on SCR 21 SD1, which asks Hawaii Health Systems Corporation’s East Hawaii Regional Health Care System to study the feasibility of a rural health clinic or similar access point for the Volcano community. Testimony in strong support came from HHSC representatives, Volcano residents, the Volcano Health Collaborative, the Rotary Club of Volcano, and others, who said the area has a clear need and that local primary and urgent care would align with regional plans. HHSC said it had already looked at the area, found no suitable temporary buildings, and would need a longer-term, capital-intensive solution, but that the study could help accelerate next steps.
The committee then took up SCR 50 SD1, proposing a Hawaii Health Plan Working Group to design a basic affordable health plan for residents. Dr. Jack Lewin of SHIPTA said the state faces a growing uninsured population and argued for a short-term, lower-cost plan focused on preventive and primary care, drawing on the old State Health Insurance Plan as a possible model. Members asked about whether that prior program still exists and whether the working group should include the Hawaii Medical Association and Hawaii Primary Care Association; Dr. Lewin said the statute still exists but is unfunded, and that the group should be inclusive. The Department of Labor and other organizations also provided comments.
For SCR 75 SD1, which urges a coordinated interdepartmental effort to reduce fetal alcohol spectrum disorder, Dr. Lewin and others said prevention, prenatal screening, and early intervention are needed because FASD is often hidden until later problems appear. Amanda from Hawaii FASD Action Group said current implementation under Act 192 is still largely a landscape analysis and that Hawaii lacks the infrastructure and specialists for a full system. Darlene Chance Govor urged adding the judiciary as a partner so juvenile justice and probation staff can be trained and referral pathways improved, while the Department of Health said it supports prevention but prefers a broader, systems-based approach focused on child needs and upstream care. The Disability Rights Center supported the resolution and asked for an earlier reporting date.
The committee also heard SCR 149 SD1, which seeks an informal working group to address complex patients with multiple diagnoses involving substance use, mental health, or chronic physical illness. The Hawaii Substance Abuse Coalition and Ke Nui Malo strongly supported the measure, saying current siloed systems leave people bouncing between medical, mental health, and substance use providers without coordinated care, often ending up in crisis, emergency rooms, or the justice system. They said integrated residential care and a coordinated working group could improve outcomes and align with federal funding opportunities. The transcript ended before any final vote or action on the measures was announced, and SCR 109 was noted as withdrawn from the agenda.