Transcript Highlights:

• There are four or five subrecipients that run targeted aspects of the training and outreach programs,
• The law required DAS and NHES to provide marketing and outreach for paid family medical leave.
• for paid family marketing and Outreach for paid family medical<01:55:06.920><c> leave</c><01:55:07.920
• So the outreach is a lot of it. Yeah, okay, thanks. All right, thank you.
• is a lot of is actually so the Outreach is a lot of it<02:08:54.520><c> yeah</c><02:08:54.960><c> okay

Keywords: 928, house, all

Summary: The committee held a work session on the Department of Business and Economic Affairs’ budget, with testimony from division leadership on staffing, funding sources, and program changes. Early discussion focused on vacant positions in the agency, including a senior planner tied to FEMA requirements, a federally funded program assistant, a program specialist to be reclassified during a planning reorganization, and two Housing Champions positions that were authorized but not funded in the current biennium and are requested for 2026-27. The witnesses also explained that temporary welcome center positions are filled as funds allow, and that the agency’s requested general fund increase is driven largely by the Division of Travel and Tourism Development and its formula-based funding. Members then reviewed rest areas, welcome centers, outdoor recreation, economic development, procurement, and workforce opportunity lines. The department said there are 12 rest areas, with 5.8 million foot counts in FY 24, and that welcome centers are generally open year-round, though Sutton is currently closed and staffing relies on a mix of full-time and temporary employees. The outdoor recreation position is federally funded through USDA and supports business outreach, trade shows, and industry promotion. In economic development, the agency said increased dues reflect participation in the Northern Borders Regional Commission, and that a marketing line item is intended to support recruitment and promotion of growth industries such as advanced manufacturing and life sciences. The Apex Accelerator Program was described as a state-federal partnership requiring a state match and providing government contracting assistance to businesses, while the Office of Workforce Opportunity was explained as a federally funded WIOA-related effort administered through multiple agencies and subrecipients. A major point of discussion was the proposed reduction to the Small Business Development Center, which members said had generated significant public concern. The department described SBDC as a highly effective technical assistance program for new and small businesses, but said the cut was one of the few places it felt it had room to reduce funding. Members asked about federal support and matching requirements for various programs, and the department said less than half of its overall budget is generally funded by the state and that some programs require state match. The committee also discussed travel and tourism marketing and the Joint Promotional Program, with the department saying those funds support broader advertising campaigns and grants to chambers and trade associations for events such as Bike Week, Restaurant Week, and the Seafood Festival. No votes were taken during the work session.

Transcript Highlights:

• And then we want to automate the system so that if that individual is not responsive to that outreach
• So again, we just wanted to automate the outreach to the household based on the fact that we got that
• new hire report and then automate the case action if there was no response to our outreach... ...the
• case action if there was no response to our outreach for information.

Summary: The Senate Finance Committee met to hear interim charges on higher education transparency and on preventing fraud, waste, and abuse in state government. The chair emphasized accountability for taxpayer dollars and asked witnesses to address financial reporting, audit practices, and whether more frequent or comprehensive audits would improve oversight. Legislative Budget Board staff described how public university systems and most community colleges respond to requests about internal audit practices, noting that university systems generally follow a similar annual audit timeline and that community colleges use a more varied mix of internal and external audit arrangements. Members focused on gaps in reporting, especially Texas Southern University’s missing submissions for several years and Collin County Community College’s nonresponse to the LBB survey. The State Auditor’s Office then outlined its higher education audit work, including mandatory statewide single audits, DEI compliance audits, HUB and State Use Program audits, benefits proportional audits, and discretionary audits based on risk. The auditor said the office has released 43 higher-ed audit reports since fiscal year 2021 and has two audits in progress, and explained that internal audit reports from institutions help guide future audit selection. Senators pressed the office on the lack of enforcement authority, the value of internal auditors at each institution, and whether community colleges should have more standardized reporting and audit requirements. The auditor and general counsel said the SAO can refer suspected fraud to law enforcement but cannot itself enforce findings, while several senators suggested stronger clawback authority and more robust internal audit structures. The Texas Higher Education Coordinating Board explained that it collects annual financial reports, sources-and-uses data, and community college finance reports, and uses them for funding formulas and other reporting. It also trains governing board members and said it has limited regulatory authority, though community colleges must certify compliance annually and can lose eligibility for state funds if they do not. Members questioned the reliability of self-attested data, the adequacy of board training, and whether a single reporting structure would be more efficient. During public testimony, a ScholarShot representative argued for clearer, student-facing financial transparency so students can see total cost of attendance and the gap they must cover before enrolling.

Transcript Highlights:

• to contact someone, the department will take technical assistance with our case aid team by doing outreach
• protective service team members to determine whether there's alternate contact information. team by doing outreach
• to facilities to team by doing outreach to facilities to determine<00:49:01.640><c> if</c><00:49:01.760
• They'll do outreach to homeless shelters within regions to determine if a person has become homeless

Keywords: 1189, house, all

Summary: The committee first handled routine business, approving the minutes and consent calendar, then moved to the regular calendar of administrative rules. Department of Energy rule 25-220 was postponed until June at the sponsor’s request so stakeholders would have more time to review revised language. Several Department of Health and Human Services Medicaid-related rules were then considered, including 25-240, 25-265, and 26-33, each of which drew staff comments mainly about expired rule provisions and the agencies’ reliance on federal law, the Medicaid state plan, or other manuals. The committee approved those rules after brief questions, with the agencies stating they were already operating under the relevant federal or state-plan authority and, in one case, that rulemaking was underway to update an expired citation. The most extended discussion was on HHS Bureau of Aging rule 25-304, which had an amended conditional approval request. Staff explained the amendments clarified how case management agencies accept or deny cases, how telehealth participation is evaluated, and that the department sets the timing for accepting or denying cases under its existing authority. Staff also noted a separate issue about whether reimbursement rates must be in rule, but said the agency had long interpreted the statute to allow its approach and that any change would likely require legislation rather than committee objection. A provider representative testified against parts of the rule, arguing the case management agencies should not be required to accept referrals before contacting the participant, that telehealth decisions for other providers should remain with those providers, and that the quality-management section was duplicative and burdensome. Committee members questioned whether the telehealth language merely allowed case managers to say a service fit the client’s plan or instead gave them authority over another provider’s delivery method. The agency responded that case managers may determine what services an individual needs, but should not control how another licensed provider delivers those services. The discussion continued with no final action shown in the excerpt.

Transcript Highlights:

• Chairman, so we have a responsible gaming liaison that does a lot of our responsible gaming outreach,
• liaison does a lot of our responsible liaison does a lot of our responsible gaming<01:29:31.240><c> outreach
• c> that's</c><01:29:32.920><c> not</c><01:29:33.160><c> a</c><01:29:33.200><c> health</c> gaming outreach
• but that's not a health gaming outreach but that's not a health care<01:29:33.680><c> professional</

Keywords: 916, all

Transcript Highlights:

• I think too, it will make groups be really mindful of how they do outreach to encourage people to engage
• they</c><00:54:18.320><c> do</c> be really mindful of how they do be really mindful of how they do outreach
• c> encourage</c><00:54:20.520><c> people</c><00:54:20.920><c> to</c><00:54:21.400><c> engage</c> outreach
• to encourage people to engage outreach to encourage people to engage in<00:54:22.840><c> this</c><00

Bills: HF4338

Keywords: human services, medical assistance, Medicaid, provider enrollment, provider revalidation, fraud prevention, program integrity, background study, background check, fingerprinting, licensing, license revocation, payment withholding, payment suspension, prepayment review, postpayment review, surety bond, compliance training, case management, targeted case management

Transcript Highlights:

• 54.320><c> providing</c><00:26:54.880><c> educational</c><00:26:55.600><c> and</c><00:26:55.919><c> outreach
• </c> them, providing educational and outreach them, providing educational and outreach programs,<00:26
• recent conversations with Minnesota counties and others, the DOC has decided to conduct follow-up outreach

Bills: HF3700, HF3982, HF3927, HF3933, HF3949, HF4238, HF4275, HF4476, HF4504

Keywords: Duluth, Lake Superior Zoo, capital improvements, funding, bonds, appropriations, capital investment, port development, grant caps, state assistance, navigation facilities, Dakota County, state bonds, park improvements, infrastructure, transportation, safety, congestion, water infrastructure, bond issuance

Transcript Highlights:

• That's why I'm bringing this forward, and I appreciate the outreach from the commissioner and the team
• 01:19:17.360><c> I</c><01:19:17.840><c> appreciate</c><01:19:18.320><c> the</c><01:19:18.480><c> outreach
• </c> forward and I appreciate the outreach forward and I appreciate the outreach from<01:19:19.199><c

Bills: HF4362, HF4252, HF4440

Keywords: firearms, guns, gun rights, gun control, campus safety, public college, university, postsecondary institution, higher education, visitor carry, concealed carry, open carry, campus policy, Minnesota Statutes 624.714, petty misdemeanor, parking lot carry, firearm possession, public safety, college campus, student carry

Transcript Highlights:

• And that to me is how we deal with both the work we need to do here and the outreach we should have,
• both the work we need to do here<00:57:02.280><c> and</c><00:57:02.400><c> the</c><00:57:02.600><c> outreach
• we</c><00:57:03.320><c> should</c><00:57:03.560><c> have</c><00:57:04.480><c> as</c> here and the outreach
• we should have as here and the outreach we should have as opposed<00:57:05.040><c> to</c><00:57:05.160

Keywords: 1183, house

Transcript Highlights:

• We also do outreach to seniors with mental illness that experience loneliness.
• We also do outreach<00:54:03.680><c> to</c><00:54:03.800><c> seniors</c><00:54:04.480><c> with</c><00
• :54:04.640><c> mental</c><00:54:04.920><c> illness</c> outreach to seniors with mental illness outreach

Keywords: 1187, senate, all

Transcript Highlights:

• Through these programs and our consumer outreach efforts, our office works to promote fairness and confidence
• So if you can speak a little bit to that and, you know, your outreach to that group of, again, contractors
• We also continue to provide consistent outreach and support through our Office of Municipal and School
• And then we've also been able to increase our outreach and our educational offerings and resources through

Summary: The hearing in Barnstable opened with remarks from the House and Senate co-chairs about the importance of holding Ways and Means budget hearings on the Cape, especially given the region’s seasonal economy and infrastructure needs. The committee then heard testimony from Labor and Workforce Development Secretary Lauren Jones on the governor’s FY27 budget proposal. She highlighted funding for workforce programs including the Workforce Competitiveness Trust Fund, Career Technical Initiative, registered apprenticeship, YouthWorks, reentry workforce programs, and services for young adults with disabilities. She also discussed MassHire career centers, the MassHire Innovation Project, and the Department of Unemployment Assistance modernization effort, noting improved call wait times and claims processing, but acknowledging continued challenges and federal funding uncertainty. Members asked about job-seeker barriers such as child care, housing, and transportation; domestic outmigration of young workers; youth work permits; unemployment insurance costs and the COVID assessment on employers; and the state’s unemployment rate and UI trust fund solvency. Jones and Undersecretary Josh Cutler explained the difference between workforce training funds and the unemployment trust fund, described the statewide trigger that extends unemployment benefits from 26 to 30 weeks when regional unemployment averages 5.2 percent, and said the administration is reviewing the trust fund with labor and business stakeholders. They also said the administration is trying to preserve front-line DUA staffing while shifting resources to customer service and adjudication, including a Friday adjudication pilot and seasonal hires. Senators and representatives also pressed the administration on regional equity in workforce funding, especially for Hampshire Franklin MassHire, which was described as serving a large rural area with fewer resources than other regions. Administration officials said they are reviewing MassHire funding formulas and modernizing the system with a policy committee and state workforce board input, but did not offer an immediate fix. The committee also heard that early childhood education apprenticeships are expanding quickly, with state funding leveraged to secure federal grants and support new Grow Awards. The hearing then moved to the Executive Office of Economic Development, where Secretary Eric Paley outlined House 2 proposals for economic development, including support for the Community One Stop for Growth, rural economic development, workforce partnerships, life sciences, advanced manufacturing, AI, small business assistance, tourism, and tax incentives. Undersecretary Leila D’Amilia followed with testimony on consumer affairs and business regulation, describing funding for consumer protection, banking oversight, occupational licensure, and public safety inspections.

Transcript Highlights:

• Through these programs and our consumer outreach efforts, our office works to promote fairness and confidence
• So if you can speak a little bit to that and your outreach to that group of contractors and developers
• We also continue to provide consistent outreach and support through our Office of Municipal and School
• And then we’ve also been able to increase our outreach and our educational offerings and resources through

Keywords: 1212, all

Transcript Highlights:

• really important to us that our landowners can continue to do that type of recreation and, you know, outreach
• c><00:25:17.360><c> and</c><00:25:17.800><c> you</c><00:25:17.880><c> know,</c><00:25:18.040><c> outreach
• </c><00:25:18.600><c> on</c> of recreation and you know, outreach on of recreation and you know, outreach

Keywords: 1189, house, all

Summary: The meeting began with introductions and approval of the previous minutes, including a small amendment clarifying a note about “leakage” in a prior presentation. The committee then heard a presentation from Sarah Hall of the American Forest Foundation on the Family Forest Carbon Program, which she described as a voluntary carbon and forest management program for smaller landowners. She said the program provides annual payments and technical assistance, requires a forest management plan within two years, and is designed to support improved forest management while still allowing compatible uses such as recreation, hunting, and some harvesting. Hall emphasized that the program is intended as one tool among many and is not a fit for every property. She said most enrolled landowners did not previously have a forest management plan or work with a forester, and that the program helps bring “unengaged” landowners into active management. She also said the program is compatible with current use and other commitments on a case-by-case basis, and that landowners retain ownership of their land and timber rights while AFF holds the carbon rights for the contract term. She highlighted examples of landowners using the program to support taxes, family ownership, wildlife habitat, timber stand improvement, and continued recreational or business uses. Committee members asked about registry compliance in New Hampshire and the relationship between carbon markets and the program. Hall responded that AFF handles registry administration for landowners and would follow up on the specific registry count raised by a member. She explained that the program is funded through a mix of carbon market revenue, philanthropy, and grants, and that carbon credits are generated through landscape-level methodology and monitored using randomly selected plots compared with FIA data. She also noted that consulting foresters are key partners in the program and that AFF has paid more than $3 million to consultants nationwide.

Transcript Highlights:

• And we are conducting proactive outreach as advisors connect with students the moment faculty report
• 12.280><c> are</c><00:59:12.400><c> conducting</c><00:59:12.880><c> proactive</c><00:59:13.440><c> outreach
• </c> And we are conducting proactive outreach And we are conducting proactive outreach as<00:59:14.120

Keywords: 1183, house

Summary: The committee adopted the minutes from its February 24, 2026 meeting after a motion by Vice Chair Coulter. The hearing then focused on the impact of federal immigration enforcement, referred to throughout as Operation Metro Surge, on Minnesota college campuses. The chair said the purpose was to document alleged abuses, campus fear, and racial discrimination, and to hear from testifiers about effects on students, faculty, and staff. Representative Novotny briefly objected to the framing, saying the committee should be finding facts rather than making a predetermined presentation, and the chair responded that members should remain respectful and that questions would be held until after all presenters testified. Augsburg University President Paul Pribbenow described what he called relentless and unprecedented disruption, including student stops and interrogations, family separations, and an ICE operation on campus in which armed masked agents allegedly detained a student without a warrant and pointed weapons at students and staff. He said the campus received bomb threats afterward, increased virtual learning options, and saw spikes in student support needs, housing assistance, and leaves of absence. Jenna Chernega of the Inter Faculty Organization said faculty across Minnesota State universities reported widespread student and colleague stress, increased workload, disappearing students, and a need for clearer sensitive-location protections and academic freedom guidance. Mark Grant of Minnesota State College Faculty said community conditions inevitably affect classrooms, that campuses have not yet had an ICE incident but are bracing for one, and that faculty want to support students and may need financial help if enrollment declines. Jennifer Irwin of AFSCME said fear from ICE activity extends beyond campus boundaries and is affecting attendance, work, and daily life for staff and students; she cited a member detained in St. Paul while trying to prove legal status. Student testifiers Brendan Frazier of Concordia University, St. Paul, Jonathan Fitzgerald of Minnesota State Mankato, Sudi Adow of Lead MN, and Will Luther of the University of Minnesota Twin Cities described panic, reduced attendance, food insecurity, disrupted classes, and fear of leaving home or commuting to campus. They urged stronger student privacy protections, support for international and immigrant students, emergency aid, and policies to keep campuses safe. No further committee action or votes were taken after the minutes approval.

Transcript Highlights:

• operating in there, which in effect is for any kind of contractual agreements necessary, program outreach
• necessary kind of contractual agreements necessary uh<00:49:17.680><c> program</c><00:49:18.400><c> outreach
• c> Uh</c><00:49:19.680><c> and</c><00:49:19.839><c> then</c><00:49:20.240><c> the</c> uh program outreach
• Uh and then the uh program outreach.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:07 Chair Comments 00:00:36 Approval of Minutes 00:04:01 Volunteers of America 00:04:21 Soil and Water Conservation/Energy and Environment Cabinet 00:14:52 Kentucky Office of Drug Control Policy/Justice & Public Safety Cabinet 00:21:05 Kentucky Department of Agriculture 00:26:01 Early Childhood Advisory Council 00:45:18, 958, all

Summary: The Tobacco Settlement Agreement Fund Oversight Committee met to review how tobacco settlement dollars are being used and to press recipients for detailed information on total funding, administrative versus program spending, and measurable outcomes. The chair emphasized that the committee was not there for general program overviews, but to assess return on investment and whether each program should continue to receive tobacco settlement support. The committee approved the minutes from its December 22, 2025 meeting and then heard presentations from several agencies and organizations. Volunteers of America Mid-States described its southeastern Kentucky restorative justice program, which uses an evidence-based New Zealand model for juvenile cases in nine counties. The group reported tobacco settlement funding of $516,000 in FY24 and $233,500 in FY25, representing about 17% and then about 5% of the program budget, respectively. It said the funding helped expand the program from 13 cases in 2021 to 180 youth served, and cited an independent evaluation showing recidivism of 24.5% compared with 40.4% in AOC data, along with a cost of a little under $20 per day versus detention and other placements. Some members questioned whether the program fit the tobacco settlement funding categories and suggested it might be better supported through other justice-related funding sources. The Energy and Environment Cabinet’s Division of Conservation explained that tobacco funds support $1 million in direct aid to conservation districts and $2 million in cost-share projects for farmers, with 5% of the cost-share appropriation allowed for administration, or about $100,000 in FY26. Officials said the direct-aid line was moved into tobacco funding in 2019, reducing money available for farmer cost-share, and described a multi-year project approval and reallocation process. Senator Webb asked for a more specific breakdown of the $850,000 direct-aid amount, and the cabinet said it would provide that information. The Kentucky Office of Drug Control Policy reported that in FY24 it expended just under $30 million across tobacco funds, general funds, restricted funds, and a one-time federal grant, with less than 2% used for administration. Officials said most tobacco settlement money goes to Kentucky ASAP local boards in all 120 counties, supporting prevention, treatment, and some law enforcement work. The Department of Agriculture then began its presentation, describing strategic investments, loan programs, county funding, administrative costs, and a reported return of about $2.30 for every dollar spent, but the transcript cuts off before that presentation was completed.

Transcript Highlights:

• I mean, has there been any kind of outreach?
• </c><00:51:46.160><c> any</c><00:51:46.559><c> kind</c><00:51:46.720><c> of</c><00:51:47.119><c> outreach
• </c> has there been any any kind of outreach? has there been any any kind of outreach?

Keywords: 958, all

Summary: The committee approved the minutes unanimously and then heard extended testimony from Senator Jimmy Higdon, who reflected on Kentucky’s 2011 childhood obesity task force and said the state’s childhood obesity problem has worsened since then. He described prior recommendations from that task force, including more physical education, nutrition education, classroom-based physical activity, complete streets, bike lanes, sidewalks, and safe routes to school. Higdon also argued that government programs have contributed to obesity and drug abuse, focusing especially on SNAP and Medicaid, and said he has long advocated for a waiver to distribute SNAP benefits twice a month rather than once a month. Higdon said SNAP fraud and abuse are significant, claiming some recipients sell benefits and some retailers bend the rules on eligible purchases. He also said spreading benefits through the month could help families keep fresh food in the home and stabilize grocery store business, especially in food deserts and rural areas. In response to questions, he said he would not support allowing hot prepared foods under SNAP, though he said a grocery-store produce incentive similar to the farmers market match could be beneficial if structured separately. He also said the WIC program is a model for how SNAP could be better administered. Members thanked Higdon for his service and discussed whether the issue is food insecurity or poor nutrition. Senator Douglas emphasized adding stronger guardrails to nutrition-related programs, and Representative Proctor asked about the challenges of operating grocery stores in rural areas and food deserts. Higdon said independent grocers face thin margins, competition, and cyclical market pressures, and that SNAP distribution patterns can worsen those challenges. After Higdon’s testimony, the committee heard from Ann Cressilious, a registered dietitian with the Kentucky Academy of Nutrition and Dietetics, who began a presentation on the profession and on efforts to improve nutrition and access to nutrition information in Kentucky.

Transcript Highlights:

• There was an existing contract with Feeding Kentucky for SNAP outreach, and that's paid for 50/50 with
• banks very quickly. contract with Feeding Kentucky for SNAP contract with Feeding Kentucky for SNAP outreach
• :23.199><c> paid</c><01:37:23.520><c> for</c><01:37:23.920><c> 5050</c><01:37:25.280><c> uh,</c> outreach
• and that's paid for 5050 uh, outreach and that's paid for 5050 uh, USDA<01:37:26.560><c> funds</c><01

Keywords: 958, all

Summary: The committee first established a quorum, approved the minutes from the November 10 meeting, and then approved a large agenda of contracts and related items, with the total agenda amount stated as $359,638,393.88. Most items were approved without objection, but two contracts were pulled for discussion: attorney general panel counsel contingency fee contracts and a Kentucky Legislative Ethics Commission personal services contract. For the attorney general’s office, Chris Lewis explained that the contracts were panel counsel contingency fee agreements, with 14 qualified awards from 16 applicants. He said the contracts were contingency-based, so no money would be paid unless cases were successful, and that the fee structure worked out to roughly 5% under the statutory waterfall. Senators asked about the size of the contracts, whether the terms were uniform, why no Kentucky firms were among the awardees, and how the public should understand the large dollar figures. Lewis said one Kentucky firm applied but was disqualified for a late submission, other Kentucky firms had inquired but did not apply, and local firms could still work with national firms on cases. The committee then approved the contracts. The Kentucky Legislative Ethics Commission contract drew more extensive questioning. Commission representatives said they had previously had a contract disapproved because the proper process was not followed, so they used an RFI process posted on the state and commission websites for at least three weeks. They received one applicant, a Kentucky firm, and set the rate at $125 per hour. Members questioned whether the commission was acting beyond its ethics mission, whether staff were helping draft complaints against legislators, and whether the commission was taking on a prosecutorial or human-resources role. The commission said its role is limited to enforcing the legislative code of ethics, providing advisory guidance, and following the formal complaint process; it does not pursue matters outside that code. Members also raised concerns about the earlier procurement misstep and the commission’s credibility, and the commission apologized, said it had corrected the process, and pledged to comply going forward. The committee then approved the contract.

Transcript Highlights:

• They have member outreach campaigns that come from the MCOs out, an analysis of the grievance and appeal
• They have<00:35:47.200><c> member</c><00:35:47.640><c> outreach</c><00:35:48.040><c> campaigns</c><00
• :35:49.000><c> that</c><00:35:49.160><c> come</c> have member outreach campaigns that come have member
• outreach campaigns that come from<00:35:49.520><c> the</c><00:35:49.640><c> MCOs</c><00:35:50.280><c

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board received a presentation from Dr. Stack and Commissioner Langfeld on Kentucky’s application for a federal Medicaid-related funding opportunity tied to House Resolution 1. They described a compressed six-week stakeholder process that produced more than 50 responses and letters of support, and said the application was organized around five broad priorities: maternal health, behavioral health and substance use disorder, oral health, EMS/trauma response, and chronic disease. They emphasized that the proposal was designed to align with CMS goals, use allowable funding categories, and focus on sustainability rather than a short-term grant. Commissioner Langfeld outlined five core initiatives: rural community hubs for chronic care innovation, beginning with obesity and diabetes; a maternal and infant health effort called POWER; a behavioral health and substance use model called IMPATH; an oral health initiative called Rooted in Health; and an integrated crisis-to-care EMS and trauma response effort. He said the chronic disease work would include prevention, food-as-medicine concepts, and technology tools, while the maternal health effort would expand team-based care around mothers and infants using community health workers and doulas. The behavioral health proposal would build on existing crisis intervention models, oral health would address workforce and access gaps through training, mobile vans, and telehealth, and the EMS proposal would better connect emergency response with home-based and community care. Several senators questioned whether the proposal would meaningfully address rural hospital closures or the broader rural health care crisis. Senator Meredith said the plan was not transformational and would not save rural hospitals, while Senator Berg asked how success would be measured. In response, the presenters said they would use both lagging and leading indicators, with an emphasis on rapid-cycle feedback and data use that is more actionable in real time. They also said the work could help existing models that already show promise, such as behavioral health units and dental workforce expansion, even if it would not solve the larger funding gap created by HR1. Senator Douglas asked how the proposals would motivate patients to participate in their own health care. The presenters responded that the chronic disease prevention work would focus on obesity, diabetes prevention, nutrition, and consumer-facing technology tools to help people engage in their own care, and that EMS-community health worker partnerships could identify unmet needs in the home and reduce preventable problems. The board then moved on to its next agenda item, Medicaid managed care delivery models, with Tom Stevens, Katherine North, and Dr. Patel scheduled to present.

Transcript Highlights:

• able to expand our advocacy efforts through communitywide calls, legislative alerts, and public outreach
• able to expand our advocacy efforts through communitywide calls, legislative alerts, and public outreach
• invitation goes wider than that, but one of the goals that we have at the alliance is to do greater outreach
• we have at the alliance is to do that we have at the alliance is to do greater<01:30:59.040><c> outreach

Keywords: 910, house, all

Summary: The Committee on Culture and the Arts held an informational briefing on May 22 with the Hawaii Arts Alliance, the State Foundation on Culture and the Arts (SFCA), and the King Kamehameha Celebration Commission. Chair Capella said the purpose was to better understand the organizations’ work and strengthen relationships ahead of the interim and next session. The Hawaii Arts Alliance, led by Executive Director Gay Humphrey, described its mission to enrich Hawaii’s cultural fabric through arts education, advocacy, and community engagement, and highlighted its history tied to Alfred Price, including the creation of Hawaii’s 1% for art law and the alliance’s 45 years of service. The alliance outlined its current work, including administering SFCA-funded statewide programs such as Artist in the Schools and the new folk and traditional arts program, with 34 teaching partners serving more than 100 public and charter schools and Kumu Hawaii as the single grantee for traditional weaving instruction. It also discussed Arts First Partners, the incubation of Arts at Mark’s Garage, expanded advocacy efforts supported by Creative West grants, and new multi-year philanthropic support from the Hawaii Community Foundation and Atherton Family Foundation. The alliance said it is launching statewide listening sessions and an arts advocacy training program, and noted that most SFCA funds pass through the alliance to program partners, with the organization retaining 10 to 14 percent for administration. SFCA Executive Director Karen Ewald then described the agency’s role as the state arts agency, its strategic planning process, and its main programs, including Art in Public Places, the Capital Modern museum, Artist in the Schools, apprentice mentoring grants, community arts grants, the Hawaii State Poet Laureate program, a statewide cultural extension program, and the Hawaii Open Arts Program. She said SFCA has 21 staff with one vacancy, is awaiting a federal NEA partnership agreement, and is considering new revenue streams such as a cultural trust. She also noted that the King Kamehameha Celebration Commission was recently attached to SFCA, which has improved coordination and allows SFCA to provide funding for conservation and upkeep of the King Kamehameha statues statewide. No votes were taken; the meeting was informational only, with questions deferred until after the presentations.

Transcript Highlights:

• Some of those on page 23: Fatal Choices, mobile outreach, buyer beware.
• <00:19:19.280><c> mobile</c> on page 23, fatal choices, mobile on page 23, fatal choices, mobile outreach
• ,<00:19:20.320><c> buyer</c> outreach, buyer outreach, buyer beware.<00:19:22.240><c> Those</c><00:19

Keywords: 1191, senate, all

Transcript Highlights:

• I co-founded an organization working on homelessness and doing outreach into encampments, and, you know
• , I shared the story with you when you were in my office, but one of the folks that I did outreach to
• I co-founded an organization working on homelessness and doing outreach into encampments, and, you know
• , I shared the story with you when you were in my office, but one of the folks that I did outreach to

Summary: The Assembly Health Committee met on April 22 and took up a special order of bills focused largely on prior authorization and utilization management in health care. The chair framed the discussion as part of a broader legislative effort to reduce delays and barriers to care, especially in behavioral health, chronic disease management, cancer treatment, and rehabilitation services. AB 384 by Assembly Member Connolly would prohibit prior authorization for inpatient mental health or substance use emergency admissions and related physician care; supporters said it would prevent dangerous delays in crisis care, while insurers and health plans warned about fraud, abuse, and ambiguity around residential treatment facilities. The bill was moved on a due pass as amended motion and passed the committee on a party-line style vote, with Republicans largely absent or not voting. The committee then heard AB 510 by Assembly Member Addis, which would require health plans, upon request, to provide a peer reviewer of the same or similar specialty when a treating provider appeals a prior authorization denial or modification. Supporters argued that specialty-matched review would make appeals fairer and more clinically informed; opponents said the requirement was too rigid and that timelines and electronic submission rules needed changes. After discussion about the need for timely, specialty-specific review, the bill was approved on a due pass as amended motion and placed on call. AB 539 by Assembly Member Schiavo would extend prior authorization approvals to one year or the duration of the physician’s prescribed treatment for chronic conditions; supporters cited repeated denials and treatment interruptions, while opponents raised concerns about overbreadth, fraud, and the need for shorter validity periods. The bill was also passed as amended and placed on call. The committee next considered AB 669 by Assembly Member Haney, which would bar concurrent and retrospective review for the first 28 days of medically necessary substance use disorder treatment and limit prior authorization for related outpatient medications. The bill was presented with a powerful personal story from Ryan Matlock’s mother about her son’s death after an insurer cut off treatment early; supporters said the measure would keep patients in care long enough to stabilize, while opponents argued it would reduce oversight and could allow lower-quality or non-evidence-based care. The bill was moved on a due pass as amended motion and placed on call. Finally, AB 512 by Assembly Member Harabedian would shorten prior authorization response times to 24 hours for urgent requests and 48 hours for non-urgent requests; supporters said delays can worsen outcomes, while opponents warned the timelines were unrealistic and could increase administrative burdens and safety issues. The bill was approved as amended and placed on call. AB 574 by Assembly Member Mark Gonzalez was then heard; it would allow up to 12 medically necessary physical therapy sessions for a new episode of care without prior authorization, with supporters emphasizing stroke and neurological recovery and opponents warning of reduced oversight and unnecessary care. The transcript ends during testimony on AB 574, before final action is shown.