Transcript Highlights:

• The law applies to health care providers who are hired, and to unlicensed health care workers.
• Pretty basic bill. And making sure they have additional backup power available. Pretty basic bill.
• So basically that’s what this is.
• In the health care field.
• In the health care field.

Keywords: 974, senate, all

Summary: The Senate Committee on Health and Welfare met on May 13 with a quorum present and approved the prior meeting minutes. The committee first heard HB 971, which would equalize Medicaid reimbursement rates between independent clinics and hospital-owned rural health clinics; supporters said independent clinics are disadvantaged by a large payment disparity, and the bill was reported favorable without objection. The committee also recognized visiting Alpha Phi Alpha members and other guests during personal privilege remarks. Members then considered HB 414, which would bar hiring certain health care workers and direct support professionals with serious disqualifying convictions from other states and address background-check issues for therapeutic group homes. After adopting three amendment sets, the bill was reported as amended. HB 740, creating an independent review process for Medicaid behavioral health claim disputes in the coordinated system of care, was amended to clarify applicability and CSOC definitions and then reported as amended. HB 288, which would place the term “miscarriage” alongside “spontaneous abortion” in medical documentation, drew emotional testimony from affected parents and advocates; the committee reported it favorable. The committee also advanced several more bills: HB 405, updating the name of the national acupuncture certifying body, was reported favorable; HB 786, prohibiting extrapolation in certain managed-care claims recoupments, was reported favorable; HB 1095, allowing alternative backup power sources for nursing homes, was reported favorable; HB 403, raising the cottage food gross-sales cap, was amended from $50,000 to $150,000 and then reported favorable; HB 930, modernizing cosmetic-product regulation and creating a small-producer exemption, was reported favorable; HB 557, defining long-term pharmacies for policy purposes, was reported favorable; HB 779, on expedited partner therapy for sexually transmitted diseases, was reported favorable; HB 915, setting utilization-management timelines and standards, was reported favorable; HB 546, expanding criteria for peace officers to take someone into protective custody during a mental health crisis, was reported favorable; HB 796, creating a chiropractic preceptorship program, was reported favorable; and HB 933, authorizing commemorative birth certificates, was reported favorable. The final major item was HB 1041, a “no-mandate” bill barring discrimination based on medical intervention status. The sponsor and Surgeon General said it was aimed at healthy, asymptomatic individuals and not at public health quarantine powers, but Senator Boudreaux objected to exemptions for schools and hospitals and offered an amendment to restore broader coverage. That amendment failed on a roll-call vote, and the bill remained under discussion as the transcript ended, with no final committee disposition shown in the excerpt.

Transcript Highlights:

• Um, first up we have to primary care.
• general testified to will then basically general testified to will then basically put<00:36:42.240
• shutdown at that time that basically shutdown at that time that basically remove<00:37:33.760>
• it's basically just CBD, right?
• Mike Wen of Aloha Care in support.

Keywords: 912, senate, all

Summary: The committee first heard SB 888, which would bar operators of smart household security devices from sharing user data with law enforcement unless the user consents or police obtain a warrant. DCCA’s Office of Consumer Protection offered comments and Judiciary submitted written support. Several individuals also submitted written support. The committee recommended passage with amendments clarifying that the Office of Consumer Protection may enforce violations and adopting Judiciary’s recommended changes, while also deferring the effective date to July 1, 2050. The motion passed unanimously among members present, with one senator excused. The committee then took up SB 2777 on insurance disclosures. The bill would require authorized insurers to disclose claim-handling data to consumers, including claims open at the start of a period, closed with payment, closed without payment, and open at the end of the period. The committee described amendments to clarify the bill, remove a requirement for the DCCA insurance division to handle publication, and defer the effective date to July 1, 2050. The measure was passed with amendments and the recommendation was adopted, with one member voting no and another excused. In a joint Commerce and Consumer Protection/Judiciary hearing on SP2738 relating to tax haven abuse, the Department of Taxation offered comments and the Tax Foundation testified in opposition, arguing the state should rely on IRS audits and existing worldwide reporting rules rather than create a separate state approach. Other written testimony was noted in both support and opposition. The committees recommended passage with amendments adopting Taxation’s technical changes and deferring the effective date to July 1, 2050; the recommendation was adopted, with one senator noting reservations. The joint hearing then moved to health-related bills, including SB 2690 on primary care spending, SB 3103 on energy assistance, SB 3137 on Department of Health authority over food, drugs, and cosmetics, SB 3164 on child welfare service organizations, and SB 3206 on cannabinoids. SB 2690 drew strong support from physicians and advocates who said it would address primary care shortages, especially on neighbor islands, while HMSA and others warned a fixed spending percentage could raise costs and suggested a working group. SB 3164 drew support from child welfare providers and opposition from the Attorney General over indemnification language, and SB 3206 drew mixed testimony: state agencies raised federal-law and vagueness concerns, while hemp and cannabis advocates and some farmers supported the measure and urged broader legalization or amendments.

Transcript Highlights:

• Basically, we tried to incorporate, and I had a lot of different people help me with this.
• Whenever you're describing maintenance, is that just basically for the basic needs and cares, everyday
• Or does that also include, like, health care?
• Because if you remove me, my kid gets health care until they're 26.
• And she's caring for her grandchildren, Bentley and Mason.

Keywords: 959, house, all

Summary: The Committee on Children and Families held a public hearing on Senate Bill 1135, known as Bentley and Mason’s Law, with nine members present. Senator Henderson presented the bill as a child-support-style restitution measure for children who lose a parent or parents because of a drunk or drug-impaired driver. He said the amount would be determined through the clerk and court process based on the offender’s finances and the children’s prior standard of living, and noted the bill includes a delay in payments if the offender is incarcerated. He also explained that if a family pursues a civil recovery from insurance, they would not also receive the maintenance order, to avoid double recovery. Committee members asked about how the payments would be calculated, whether health care or other needs could be included, whether the bill would affect FAFSA or survivor benefits, and whether there would be penalties for nonpayment. Several members praised the concept but raised concerns about enforceability, possible bankruptcy discharge, and the civil-suit limitation. Senator Henderson said he was open to further discussion on strengthening the bill, but noted some provisions were compromises made to keep the bill moving. Public testimony was strongly in favor. Brooke Stewart described how her husband was killed by a drunk driver in Tennessee and said a court award under Bentley’s Law would help support her daughters’ future needs, including college. Heather Elder of Mothers Against Drunk Driving supported the bill, said similar laws have passed in other states and territories, and urged the committee not to amend or delay it further. She also described the original Missouri family behind the bill and said the measure would provide accountability and relief for children left behind by impaired-driving deaths. No one testified in opposition, and the committee adjourned after closing the hearing on SB 1135.

Transcript Highlights:

• Um if of care, that level of provider.
• committed to psychiatric level of care committed to psychiatric level of care generally<00:21:16.720
• You know, we have long-term care facilities attached to hospitals.
• care facilities attached<00:50:57.839> to<00:50:58.160> hospitals.
• We're going to go in and trim the meniscus because you got meniscus care.'

Bills: SF0023, SF0057

Keywords: mental health, involuntary hospitalization, examiners, public safety, Wyoming legislature, hospital pricing, healthcare transparency, public health, civil penalties, shoppable services, 916, all

Transcript Highlights:

• and how that segment of our society is not well cared for.
• and how that segment of our society is not well cared for.
• So basically the um introducing plans.
• <00:54:17.520> helps can go through and just basically helps can go through and just basically
• > at<01:21:54.159> the Basically, as I indicated at the Basically, as I indicated at the

Keywords: 1189, house, all

Transcript Highlights:

• needs other than their HIV care.
• Thank you. insurance would, you know, conceivably have other health care needs other than their HIV care
• But y'all don't care about that. We know.
• , and child care.
• , and child care.

Summary: The House convened with prayer, a moment of silence for former Senator Don Childers, the Pledge of Allegiance, and recognition of Officer Antonio Richardson as law enforcement officer of the day. The chamber announced it would take up 11 budget conference committee reports, with no third-reading bills or special-order calendar items. Members were reminded that conference reports were subject to debate but not amendment, and that the required review periods had been satisfied. The first major action was on HB 7031E, the tax package. Representative Duggan explained that the conference report included a mix of retained, modified, and new tax provisions, including sales tax holidays, property tax and homestead-related changes, reductions in certain gaming and carbon-related taxes, changes to child care and documentary stamp tax credits, a new refund process for public works construction tax paid by universities and colleges, and other tax administration changes. Debate focused on the bill’s consumer impact, the reduction of the child tax credit from three years to one, the inclusion of firearm accessories in a sales tax holiday, the absence of gas tax relief and combined reporting, and the homestead exemption provision for certain deployed diplomatic and foreign service personnel. Critics argued the package favored niche or corporate interests over broad affordability relief, while supporters said it provided targeted tax relief and reflected conference negotiations. The House adopted the conference report and passed HB 7031E by a vote of 88-11. The House then began presenting the conference report for HB 501E, the state budget, which totaled $114.5 billion for fiscal year 2026-27 and was described as below the prior year’s spending level while maintaining reserves. Subcommittee chairs outlined major budget areas: pre-K-12 funding included an increase in FEFP, salary increases for veteran teachers, stabilization funding, and support for declining enrollment; higher education included full Bright Futures funding, workforce programs, college operating support, university initiatives, and school guardian expansion; IT funding focused on Palm, ACCESS, APD’s I-Connect replacement, corrections systems, emergency management systems, and cybersecurity grants; health care funding covered Medicaid, nursing home rates, waiver provider increases, ADAP funding and restructuring, child welfare, and behavioral health; transportation and economic development included housing, cultural grants, jobs and rural infrastructure, Visit Florida, Space Florida, highway patrol equipment, and local transportation projects; justice funding included correctional construction, juvenile justice facilities, law enforcement grants, and clerk and due process reimbursements; state administration included fire stations, constrained counties, building maintenance, and Safe Florida Home; and agriculture/natural resources funding emphasized Everglades restoration, water quality, land acquisition, Florida Forever, state parks, and citrus research. Members then began questioning the budget details, including school voucher accountability, school funding formulas, public defender parity, prison technology, wastewater monitoring in prisons, ADAP policy, SNAP fraud controls and AI-assisted verification, Florida Forever funding, school lunch funding, and coral reef restoration. No final vote on HB 501E appears in the transcript excerpt.

Transcript Highlights:

• The one that says, like, if, uh, whoever has possession of it basically keeps it.
• I mean in the transcript just tells you I thought if I ruled on this it took care of it.
• I just want to be really careful.
• Yeah, yeah, basically, yeah.
• Kate Murphy, we have you as Director of child protection policy, Texans Care for Children.

Bills: HB116

Keywords: film industry, incentives, economic development, state funding, media production

Transcript Highlights:

• , affordable health care.
• This administration wants to take that health care away.
• care care company<00:13:22.720> could<00:13:22.959> go<00:13:23.120> to<00:13:23.279
• Meanwhile, take that health care away.
• Working people are paying more for basic goods.

Keywords: 1183, house

Transcript Highlights:

• The basic allotment being one of them, the basic allotment when it flows to school districts has total
• So, um, that comes if there's a basic allotment increase, you get the increase of the basic allotment
• So, there's basically just a...
• They didn't know basic geography, basic math, basic technology.
• Basic geography, basic math, basic technology.

Keywords: 1184, house, all

Transcript Highlights:

• So and then I just realized, okay, I need to open my own take care, my family, take care.
• couldn't find child care.
• We also know that child care... Child care access directly impacts the economy.
• care for children.
• Child care is essential. Child care is what got California the fourth spot.

Summary: The hearing focused first on how wildfires and other disasters affect child care providers, families, and early education infrastructure. State officials from the Department of Social Services and Department of Education described disaster response and preparedness efforts, including shelter coordination, licensing outreach, emergency waivers, distribution of supplies, and the statewide child care disaster plan. Testimony from providers and advocates emphasized major gaps in recovery funding, insurance coverage, rebuilding support, mental health services, and coordination with local rebuild plans. Several witnesses urged more dedicated disaster-recovery funding for child care facilities and suggested statutory changes, including allowing greater flexibility for rebuilding costs and requiring early childhood programs to be included in local disaster planning. The second panel addressed immigration enforcement and its impact on child care. Advocates from the Children's Partnership, Every Child California, and CHIRLA said enforcement activity is causing families to keep children home, disrupting continuity of care, reducing enrollment, and creating fear and trauma for children and providers. They argued that immigrant and mixed-status families need clearer protections, privacy safeguards, legal support, trauma-informed guidance, and safe-haven policies for child care settings. Speakers also stressed that the child care workforce is heavily immigrant and that recent state laws such as AB 49 and AB 495 will require funding, training, and technical assistance to implement effectively. Public commenters, including child care providers, described personal experiences with fire damage, displacement, permit delays, lost income, and the emotional toll of serving families during crises. Others described how immigration enforcement has made parents afraid to attend events, drop off children, or remain connected to providers. Committee members repeatedly noted that child care is often overlooked in emergencies and asked state officials how child care systems are being integrated into disaster planning and how local and state agencies can better coordinate. No formal votes were taken during the hearing.

Transcript Highlights:

• Refusing contracts does not care.
• ,<00:03:53.040> support would expand access to care, support would expand access to care,
• And without access to basic levels of care like therapy and medications, we risk people falling into
• And without access to basic years.
• And without access to basic levels<00:13:08.480> of<00:13:08.639> care<00:13:08.880>

Keywords: 1187, senate, all

Transcript Highlights:

• Yeah, be careful. Just don't hang yourself. Yeah, be careful, Chris. Any better there? Yes.
• So that was actually an inherently basic reason that we did this.
• As you all know, the access to care within our prison system As you all know, the access to care within
• This bill is really pretty basic and simple. It's a due process bill.
• I think about the basically tragic loss of life I often see.

Bills: HB2134, HB2253, HB2270, HB2402, HB2404, HB2673, HB2941

Keywords: critical infrastructure, foreign adversaries, China, communications, security, law enforcement, disciplinary action, administrative appeals, investigative files, due process, retaliation, county seal, law enforcement authority, sheriff's posse, public safety, county governance, ambulance services, certificate of necessity, emergency medical services, state regulations

Transcript Highlights:

• we care for each other in a society.
• This really is a fun committee. um for the basics of their lives and the um for the basics of their lives
• The budget is set up to basically be balanced, correct?
• The budget is set up to basically be balanced, correct?
• <01:40:40.880> be budget is set up to basically be budget is set up to basically be balanced

Keywords: 1183, house

Transcript Highlights:

• This is not a feature that is imposed on any other sector of the health care universe, which basically
• through Care Court.
• mental health care.
• a higher level of care.
• She did not fail Care Court. Care Court failed to recognize her needs.

Summary: The Assembly Health Committee heard several measures, beginning with SB 331 by Sen. Menjivar, which would require large-group health plans to cover hearing aids for children. The author and supporters described the bill as a long-running effort to address a developmental emergency and reduce out-of-pocket costs for families, while opponents were absent. Testimony from parents, advocates, medical experts, and organizations emphasized the importance of early access to hearing aids; committee members voiced strong support, and the bill was moved on a do-pass basis to Appropriations, with several members requesting to be added as coauthors. The committee then heard SB 608, also by Sen. Menjivar, to expand access to condoms in school-based health centers and related settings and to prevent barriers such as ID checks. Supporters, including students and school health advocates, argued the bill would improve sexual health and reduce stigma, while opponents from family and faith groups argued it would undermine parental authority and normalize early sexual activity. The bill was supported by committee members and moved forward on a do-pass basis to Appropriations. Next, SB 971 by Sen. Choi proposed community-based healthy aging partnerships for older adults, with testimony from the California Senior Legislature and supporters from aging and dementia organizations. The measure was described as voluntary and focused on connection, independence, and local collaboration; there was no opposition, and the committee moved it on a do-pass basis to Appropriations. The committee also heard SB 869 by Sen. Weber Pierson, which would require warning icons and statements on chain restaurant menus for beverages with very high added sugar content. Supporters framed it as a transparency and public health measure, while restaurant and beverage industry representatives opposed it unless amended, citing cost and menu-space concerns; the bill was nevertheless moved on a do-pass basis to Appropriations after a roll call vote, with some members voting no and the measure placed on call. The committee also considered SB 950 by Sen. Weber Pierson, aimed at ensuring timely coverage of FDA-approved, medically necessary treatments for early-onset Alzheimer’s disease on commercial plans. Supporters, including the Alzheimer’s Association and a patient advocate, said the bill would reduce delays and barriers to care, while health plan representatives opposed it over step therapy and utilization-management concerns. Members discussed the limited treatment window and the need for early access, and the bill was moved on a do-pass basis to Appropriations. In addition, SB 490 by Sen. Umberg would set timelines for DHCS investigations of unlicensed sober living homes and allow counties to assist if the department cannot act in time; supporters from Anaheim and a patient-brokering survivor described serious abuse and oversight gaps, while county behavioral health representatives opposed the county role as an unfunded and potentially liability-creating burden. After discussion, the bill was also moved on a do-pass basis to Appropriations. Finally, the committee began hearing SB 1037 by Sen. Weber Pierson on health insurance affordability and rate review, with supporters arguing it would tie premium increases more closely to affordability targets and public reporting; the transcript cuts off before the committee completed action on that measure.

Transcript Highlights:

• And they're going to talk to us a little bit about child care—childhood, not child care, childhood.
• and child care providers.
• and child care providers.
• Now, we know we have waiting lists everywhere for child care.
• as well. child care sustainable for the providers as well across the board.

Summary: The meeting began with approval of the previous minutes and then focused on an update from the Department of Education on early childhood programs, especially the state-funded Arkansas Better Chance (ABC) program. Secretary Jacob Oliva and Deputy Commissioner Stacey Smith said Arkansas had received a federal Preschool Development Grant and described ongoing work to review ABC slots, which have been flat for years at about 23,800 slots and roughly $114 million. They said about 1,000 slots statewide are currently unfilled despite a waiting list of more than 2,000 families, and the department is shifting toward paying based on enrollment rather than guaranteed slots. Members asked about school choice, income eligibility, year-round access, curriculum flexibility, transportation, and whether funding should be increased or rebalanced; the department said it is collecting data, may survey providers more formally, and is considering whether to modernize income thresholds, daily rates, and other program rules. The committee agreed to form an early childhood subcommittee and asked the Bureau of Legislative Research to help gather historical information on income limits and other program details. The second major portion of the meeting was a legal presentation on the framework for Arkansas school adequacy by BLR education attorney Taylor Lloyd. She reviewed the constitutional basis for a “general, suitable, and efficient” public school system, the Dupree and Lake View cases, and the principle that adequacy and equity are different but related: adequacy asks what resources are needed, while equity asks whether those resources are distributed fairly. She explained that the General Assembly must define adequacy, study it, and react to evidence over time, and that the current adequacy definition includes curriculum and career/technical frameworks, the 38 mandatory Carnegie units, state testing standards, and sufficient funding. She also described the matrix as a funding tool, not a spending mandate, and noted that categorical funds are separate from the matrix. BLR’s Elizabeth Bynum then gave the historical framework, tracing legislative responses from Dupree through Lake View and into the present. She highlighted major changes such as the creation of equalization funding, fiscal distress and academic distress laws, the adequacy study process, the Educational Adequacy Fund, facilities and transportation changes, declining enrollment and student growth funding, and later adjustments to teacher salaries, isolated funding, and categorical programs. She explained that the adequacy study has evolved through committee hearings, surveys, site visits, and outside consultants, and that recent changes include updates to accountability references and the addition or removal of certain funding categories. Members asked follow-up questions about how the matrix is used, whether homeschool or private-school funding raises comparable issues, whether stakeholders include private and homeschool participants, whether school board members should be surveyed, and whether the state should revisit average daily membership versus attendance-based funding. No votes were taken on the adequacy presentations, but the committee did agree to continue the early childhood discussion in a future subcommittee meeting.

Transcript Highlights:

• I don't like putting unfunded mandates on anybody, basically, and especially not local governments.
• I don't like putting unfunded mandates on anybody, basically, and especially not local governments.
• <00:35:30.200> and<00:35:30.599> economic Care and economic Care and economic development
• We know that this is due to disparities in access to gender-affirming care, mental health care, access
• <01:04:42.839> access<01:04:43.119> to Care Mental Health Care um access to Care Mental

Keywords: 1187, senate, all

Summary: The committee heard Senate File 59, authored by Senator Green, which would require counties to locate and restore original public land survey monuments and related boundary markers. Green argued that newer GIS/GPS-based surveys have sometimes shifted long-established property lines, creating disputes for landowners, counties, and state agencies. He described examples involving his own property and constituents, including a case where a neighbor allegedly lost access to a well and septic system after a new survey and another where a landowner was told he was farming school trust land based on a newer plat reference. Testimony in support came from Allan Roger Olen, who said a newer survey changed his family’s property lines and created a dispute over land, a building permit, and ownership of well and septic systems. Senator Green also said county plat books are not legally binding and that the bill is intended to force counties to find original monuments before more disputes arise. Committee members raised concerns from the Association of Minnesota Counties about the bill’s timeline, funding, and requirement that counties employ a land surveyor. Green responded that counties had already been told to hire surveyors in some disputes, acknowledged the funding concerns, and said he would look for funding sources while emphasizing protection of property rights. A committee member who teaches surveying explained that adverse possession is a real legal doctrine in Minnesota and noted that restoring all monuments would cost far more than the $10 million already appropriated, estimating the total need at about $300 million. Phil Reigns of the Minnesota Society of Professional Surveyors testified that the Public Land Survey System underlies Minnesota’s land tenure system, that the original monuments were set mostly between 1850 and 1908, and that surveyors aim to restore them as accurately as possible using historical records and modern tools. He said the work is expensive because many counties lack staff surveyors and must hire consultants. Members discussed whether the bill would create boundary conflicts or authorize counties to alter lines, and Green said his intent was to restore original monuments and avoid litigation. Co-Chair Lang moved that Senate File 59, as amended, be recommended to pass and re-referred to the Committee on Judiciary. The motion prevailed on a voice vote. Afterward, the committee began receiving an overview from the Minnesota Council on Latino Affairs.

Transcript Highlights:

• wider course approved complete a basic wider course approved by<00:05:28.840> Dot by Dot by Dot
• Angela Melody Young testifying on behalf of CARES in strong support.
• <00:06:55.960> in<00:06:56.360> strong behalf of cares in strong behalf of cares in
• engineering study which is basically engineering study which is basically like<00:07:43.199>
• I think that is the best vehicle and decision-making for taking care of our kids.

Keywords: 912, senate, all

Summary: The Committee on Transportation and Culture heard testimony on several transportation-related bills. HB 1422, which would exempt certain community-based organizations providing transportation services from motor carrier law, drew support from the Department of Transportation, PUC, DLNR, Kauaʻi County, the Hōnaunau Initiative, and others; members asked about narrowing amendments to prevent unintended use, and the bill later advanced with amendments, including a three-year sunset. HB 1162, requiring motorcycle instruction permit applicants to complete a DOT-approved basic rider course, received support from DOT and Honolulu Customer Services; it advanced with amendments to address city and county concerns and to allow more implementation time. HB 1259, which would remove the need for an engineering study when reducing speed limits by up to 10 mph, had mixed testimony and was deferred for further discussion. HB 1260, establishing summer streets pilot programs for counties other than Oʻahu, drew support from DOT, DOH, UH, Hawaiʻi Appleseed, bicycling and public health groups, and individuals; DOH and others asked that Oʻahu be included, but the measure was deferred for later decision-making. HB 177, making civil ID cards free, had opposition from DOT and Honolulu Customer Services and support from health advocates; DOT said the program costs about $1.3 million annually and would need replacement funding, and the bill was deferred. HB 862, authorizing motor coaches, small buses, and vans for school bus services under certain conditions, received broad support from disability advocates, DOE-related entities, neighborhood boards, and private providers, with testimony emphasizing flexibility and accessibility; it was deferred. HB 667, requiring microchip scanning and reporting when deceased cats or dogs are removed from roadways, was supported by DOT, the Hawaiian Humane Society, and many animal groups and individuals, and was passed unamended. HB 960, increasing the cap on certain DOT capital investment contracts, and HB 228, authorizing electronic license plates and banning plate-obscuring devices and flipping devices, were both heard and then deferred. HB 1156, increasing the amount of special facility revenue bonds available for harbor improvements, received support from DOT, the Island Chamber of Commerce, Alakaʻi Energy, and the Harbor Users Group, and was passed unamended to Ways and Means.

Transcript Highlights:

• <00:48:55.319> of procedural methods we can take care of procedural methods we can take care
• or do not need mental health care; they could be handled in a lower level of care in the community,
• patients are getting better quality Care patients are getting better quality Care in<01:05:34.839
• Hawaii Primary Care Association. Eric Obby. Hi, Eric Obby for the Hawaii Primary Care Association.
• National Labor Alliance of healthc care National Labor Alliance of healthc care coalitions<01:44

Keywords: 910, house, all

Summary: The committee first took up SB 1494 on hearing aids. Testimony was generally supportive of expanding hearing-aid coverage, with the Insurance Division raising concern about possible federal defrayment issues, SHPDA supporting the goal of hearing augmentation, DCAB strongly supporting the bill as an important access issue, and health plans and insurers asking for amendments. Kaiser Permanente and the Hawaii Association of Health Plans requested changes to add a medical-necessity standard and clarify annual notice language, while HMSA suggested the proposal should be studied by the auditor. The chair noted concerns about federal preemption and the lack of an audit, and deferred the bill in favor of a related resolution calling for a study. The committee then heard SB 1448, an emergency appropriation for the Hawaii State Hospital. DAGS and the Department of Health supported the measure, with the hospital administrator saying the funding would improve the environment of care, support cleaning, and allow a third-party review of the building. Committee members questioned the size of the request and the status of litigation against the design-builder. Administration witnesses said they were pursuing a comprehensive study involving destructive testing, had made a demand on the design-builder to fund the study, and were using different processes than before. They also said the roof work would be handled through a separate CIP request. No final action was taken in the portion provided. The committee next heard SB 1432, relating to the future responsibilities of the Department of Health and land issues at Kalaupapa after the last patient dies. DOH supported the bill in part but said its long-term role would be limited mainly to environmental cleanup, with operations expected to continue under the National Park Service and land-use decisions left to DHHL and beneficiary consultation. DHHL asked that the measure reflect that any land-use or zoning changes on homeland lands require commission approval and beneficiary consultation. Testifiers from Kalaupapa and Maui County, including Degra Vanderbilt-Papa and Council Member Keani Rollins-Fernandez, supported deferring the bill, saying there had been no meaningful community discussion about provisions affecting Kalaupapa’s future management and possible transfer of responsibilities to Maui County. The committee also read into the record written testimony from Gloria Marks emphasizing that Kalaupapa stakeholders must be included in future discussions. Finally, the committee heard SB 955 on fitness-to-proceed examinations. The Judiciary and the Public Defender’s Office both supported raising pay and standardizing expectations for private examiners, but opposed reducing felony fitness evaluations from three examiners to one and opposed expanding use of expedited reports. They argued that a single examiner would reduce reliability, create a more adversarial process, and likely increase costs and contested hearings, while expedited reports do not contain enough information for a proper fitness determination. The Department of Health also supported the bill’s intent but asked to preserve a three-examiner framework and said the goal was to reduce the number of people sent to the State Hospital, where admissions have reportedly risen about 20% year over year since Act 26. The bill remained under discussion in the excerpt, with no final vote shown.

Transcript Highlights:

• cost of care.
• My general view is that that basically kept us whole.
• issues, family care issues, et cetera.
• So again, these family care issues, etc.
• Some of that is preventative care.

Summary: The Employee Benefits Committee met to hear presentations on state employee health insurance, compensation, leave policies, labor market conditions, and prevailing wage issues, then later took up committee rules and bill-draft jurisdiction. PERS reviewed the history and structure of the state health plan, noting the state has paid the full family premium since 1979, described cost-control and benefit-enhancement changes over time, and explained current plan options, wellness incentives, employer wellness discounts, and the upcoming bid process for the 2027-29 contract. HRMS then presented compensation comparisons showing state classified pay generally trails private and regional markets, with larger gaps at higher-level jobs, and reviewed benefits and leave policies, including the new enhanced annual leave and new-hire leave, the state’s unpaid family leave structure, and varying tuition reimbursement practices. Job Service reported on labor force trends, low unemployment, high labor force participation, job openings, and wage growth, and OMB said there are no state prevailing-wage requirements beyond federal Davis-Bacon rules for federally funded projects. The committee then considered a proposed amendment to Joint Rule 211 to better align the health insurance mandate review process with recent statutory changes. Members discussed how the rule should reference both the committee’s required actuarial reports and the Legislative Council cost-benefit analysis, and the amendment was adopted on a roll call vote. The committee also discussed how its jurisdiction decisions affect whether a bill draft receives actuarial analysis, with staff explaining that a decision not to take jurisdiction means the bill is not treated as impacting the relevant retirement or health plans for purposes of that analysis. After that, the committee began reviewing bill drafts for jurisdiction. The first draft, bill draft 33, would automatically renew pre-tax elections for dental and vision coverage during open enrollment instead of requiring annual re-election. Members debated whether it had any actuarial impact, noting the state does not pay those premiums directly, and the discussion was still underway when the transcript ended.

Transcript Highlights:

• We know how to care for trans people. It is giving them life-saving medical care.
• Please, I want you to do what Jesus said to do and to care for those of us who need care the most.
• We don't care about your feelings.
• care programs.
• They don't care less.

Bills: SB7, SB14, SB 7, SB 14

Keywords: gender designation, civil penalties, private civil rights, multiple-occupancy spaces, Texas Women's Privacy Act, law enforcement, confidentiality, personnel files, employee records, misconduct, abortion, civil liability, abortion-inducing drugs, qui tam actions, Texas Citizens Participation Act, Religious Freedom Restoration Act, healthcare regulations, impact fees, water conservation, reuse projects