Transcript Highlights:

• Our joint hearing is also going to examine the community-based adult services, formerly known as adult
• In recent years, California has examined the feasibility of long-term services financing options.
• And finally, we agreed to a work group with various departments and stakeholders to examine the shift

Summary: The joint Assembly Budget Subcommittee hearing focused first on long-term services and supports for older adults, especially the “forgotten/overlooked middle” who earn too much for Medi-Cal but cannot afford private long-term care. Administration witnesses from DHCS, the Department of Aging, and Social Services described Medicare’s limited long-term care coverage, Medi-Cal’s role, the elimination of the Medi-Cal asset test, and ongoing state studies and listening sessions on financing options. Testimony from advocates and researchers emphasized rising homelessness among older adults, the need for better navigation and coordination across health, aging, housing, and social service systems, and short-term policy steps such as share-of-cost reform, housing stability supports, and protecting home- and community-based services. Members highlighted the need for a coordinated, no-wrong-door approach and asked for the most impactful budget investments to address affordability and homelessness risk. The second major topic was the Community-Based Adult Services (CBAS) program. CDA reported that CBAS helps participants remain in the community, that 304 centers operate statewide serving about 42,000 people, and that demand is stable but access gaps remain in some regions. DHCS explained that a 2024 rate increase authorized by SB 159 became inoperative after Proposition 35, and that a separate 10% rate change on the fee schedule was the result of a DHCS system error; the department said it would not require recoupment, though managed care plans may act under their contracts. CBAS providers and advocates warned that reimbursement rates have not kept pace with costs, that several centers have closed, and that clawbacks could trigger more closures. They requested $74.8 million ongoing General Fund to close part of the rate gap and preserve the program, while members expressed concern about closures and the cost savings of keeping people out of more expensive institutional care. The hearing then moved to In-Home Supportive Services (IHSS) and statewide collective bargaining. CDSS reviewed provider recruitment and retention efforts, including electronic timesheets, direct deposit, and the now-completed IHSS Career Pathways program, which trained more than 59,000 providers. CDSS also summarized its AB 102 workgroup report on statewide versus regional bargaining, saying the final report would be sent to the Legislature soon and that statewide bargaining appeared more viable than regional bargaining, though it would require clear statutory scope and major fiscal changes. The department estimated that each $1 per hour statewide wage increase would cost at least $1.3 billion to $1.5 billion annually. Labor advocates argued that IHSS wages, benefits, and training are too inconsistent across counties and called for statewide bargaining, consumer participation, and ongoing state funding. County representatives supported stronger wages but cautioned that counties need protection from new costs and administrative burdens, and consumer advocates warned that moving bargaining to the state could weaken local consumer control and the program’s consumer-driven structure.

Transcript Highlights:

• To further support workforce expansion, we are evaluating the adoption of the AMFTRB National Examines
• aspects of the licensure process, including degree requirements, supervision requirements, and examination
• In addition to ...licensure requirements and examination preparation.

Summary: The joint sunset oversight hearing reviewed five regulatory entities: the Board of Behavioral Sciences, the Board of Psychology, the Physician Assistant Board, the Podiatric Medical Board, and the California Massage Therapy Council. Across the hearing, each entity described recent accomplishments, licensing and enforcement workload, workforce shortages, and efforts to modernize processes. Common themes included streamlining licensure, expanding access to care, addressing telehealth or emerging technology, and balancing consumer protection with workforce needs. For the Board of Behavioral Sciences, members discussed workforce shortages in mental health, supervision barriers, telehealth confidentiality, AI in therapy, interstate compacts, school-based services, and military spouse licensure. The board said it has expanded outreach, improved licensing processes, and created temporary practice authority tracking, while also expressing concern about counseling compacts and emphasizing California-specific law, ethics, and cultural competency. Public commenters supported the board’s work and the possible move to a national MFT exam, while also urging more resources. The Board of Psychology highlighted fee adjustments, streamlined licensure pathways, enforcement process improvements, new CPD requirements, and proposed changes including a psychotherapist-client privilege exception for investigations. Committee members and public witnesses focused heavily on that privilege proposal, with some members opposing it as too broad and privacy-invasive, while the board argued it is needed to obtain records in bias and sexual misconduct cases. The board also discussed workforce shortages, processing improvements, and the use of inactive status for psychological associates. The Physician Assistant Board reported growth in the PA workforce and education programs, SB 697 implementation, and financial pressure from rising enforcement costs. The main policy debate centered on physician-to-PA ratios and practice agreements, with board representatives and many public commenters arguing that current restrictions limit access to care, especially in rural areas, while the California Medical Association defended the need for explicit ratios and agreements. The board also discussed AI, fee increases, and tracking temporary practice authority. The Podiatric Medical Board described licensing and renewal reforms, residency expansion, enforcement support, and budget constraints, while public testimony raised concerns about a proposed fee increase and about reimbursement parity and practice recognition for podiatrists. Finally, the California Massage Therapy Council defended the certification model over licensure, citing lower costs, local government collaboration, anti-trafficking work, and its role in vetting applications and disciplining bad actors; no formal votes or final actions were taken during this portion of the hearing.

Transcript Highlights:

• One, it allows for unlimited examinations for all cosmetology license applicants.
• One, it allows for unlimited examinations for all cosmetology license applicants.
• One, it allows for unlimited examinations for all cosmetology license applicants.

Keywords: Call to Order 00:00 SB 100 Discussion 00:05 SB 100 Vote 06:42 SB 202 Discussion 08:35 SB 202 Vote 43:17 SB 17 Discussion 47:37 SB 17 Vote 48:08 SB 22 Discussion 49:22 SB 22 Vote 52:55 SB 133 Discussion 53:55 SB 133 Vote 55:15 SB 190 Discussion 56:00 SB 190 Vote 56:38 Adjournment 57:19, 958, all

Summary: The committee first took up Senate Bill 100, which would place cigarettes, vapes, and related nicotine products under the Alcoholic Beverage Control (ABC) system, add enforcement tools against bad actors, and regulate nitrous oxide/laughing gas sales to those under 21. Supporters, including youth advocates Mallerie Jones and Griffin Kian Neth, argued the bill would reduce youth access to nicotine products through retail licensing, compliance checks, and escalating penalties. Higdon said the bill targets illegal sales rather than most retailers, and noted the measure also updates House Bill 11 from the prior year and raises the retail license fee from $250 to $500. The committee adopted the committee substitute and then passed the bill on a roll call vote, with members voting yes and no opposition recorded in the transcript. The committee then considered Senate Bill 202, focused on cannabis-infused beverages. Senator Julie Raque Adams said the bill was intended to create common-sense public health guardrails for a rapidly growing product category sold in gas stations, liquor stores, and vape shops, and to address enforcement gaps. She explained the committee substitute would define cannabis-infused beverages at a 5-milligram limit per 12-ounce can, place enforcement under ABC while keeping CHFS manufacturing and testing rules in place, require a University of Kentucky report back to the General Assembly, allow existing higher-dose inventory to be sold through June 1, exempt festivals and fairs until January 1, 2026, and allow stores to obtain licenses to continue selling the product. The committee adopted the substitute and then heard testimony from hemp-industry representatives and a consumer. Opponents of SB 202/SB 22, including Dee Taylor of the Kentucky Hemp Association, Cornbread Hemp co-founder Jim Higdon, Annie Rouse of Cannabuzz Barn, and consumer Nancy Roberts, argued the bill would hurt a legal Kentucky hemp industry, reduce consumer access, and force sales into liquor stores. They said the 100-milligram beverage referenced in debate is actually 10 servings with a resealable top, that hemp retailers educate customers, and that the industry already operates under 2024 regulations and needs better enforcement rather than new restrictions. Higdon and Rouse objected to the 5-milligram cap, the on-premise sales ban, the move to ABC enforcement, and the taxation approach, warning the bill could wipe out a large share of business and jobs. No final vote on SB 202 was taken in the portion of the transcript provided.

Transcript Highlights:

• not currently possess a Class 3 license, they will just have to pass the general driver knowledge examination
• not currently possess a Class 3 license, they will just have to pass the general driver knowledge examination
• not currently possess a Class 3 license, they will just have to pass the general driver knowledge examination

Keywords: 910, house, all

Summary: The House Committee on Transportation heard a 10 a.m. agenda covering a range of transportation, liability, harbor, and bicycle-related bills. Testimony was mixed on several measures: HB 263, which would exempt full-time college students from vehicle weight tax, drew opposition from the Department of Transportation and others; HB 135, authorizing general obligation bonds to purchase property on the North Shore of Oʻahu, had support; HB 860, granting immunity to the state or county for repairs on roads with disputed jurisdiction, drew support from DOT, DLNR, and the City and County of Honolulu but opposition from the Hawaii Association for Justice; and HB 996, which would abolish joint and several liability for government entities in highway-related civil actions, also drew strong opposition from the Hawaii Association for Justice and support from the Attorney General’s office and DOT. The committee also heard HB 1167, an emergency appropriation for motor carrier enforcement, and HB 1259, which would remove the need for an engineering study before reducing speed limits within 10 mph of the current limit; both had support from DOT and related groups. HB 1156 and HB 960, both related to harbor financing and capital advancement contracts, were supported by DOT, with DOT explaining that higher bond and contract ceilings were needed because project costs have increased since the limits were set decades ago. HB 142, exempting certain nonprofit community-based transportation providers from motor carrier regulation, and HB 914, creating a water carrier inflationary cost index mechanism and allowing PUC exemptions, also received support from multiple stakeholders, with the Consumer Advocacy Division noting that the inflationary adjustment issue was already active in a rate case. The committee also took testimony on several electric bicycle and micromobility bills. HB 486 would restrict where electric bicycles may operate, prohibit unsafe operation and removal of speed-limiting devices, and fund a safety education campaign; it drew opposition from the Hawaii Bicycling League and several individuals, with one supporter. HB 435 would redefine and classify electric bicycles, raise the minimum operating age, and add registration and use rules; it was supported by DOT and the Hawaii Bicycling League, with one individual opposing. HB 958 would regulate motorized bicycles and electric micromobility devices, require helmets for minors, and fund a coordinated education campaign; it drew support from the City and County of Honolulu, Council Member Tyler Dos Santos-Tam, and the Hawaii Bicycling League, but opposition from Moped Doctors and others, who argued the bill could harm the moped industry and that more study was needed. After testimony, the committee recessed and then reconvened for decision-making. In decision-making, the committee deferred HB 263 and HB 996. It passed HB 135, HB 860, HB 1167, HB 1259, HB 1156, and HB 960 with amendments, generally adopting HD1 versions, making technical changes, and setting effective dates to July 1, 3000 for the amended measures. The chair explained that HB 263 was deferred because a blanket tax exemption for one class could create inequities and a tax credit might be a better approach. HB 996 was deferred because the chair said the state’s long-standing policy of ensuring safe roads and maintaining accountability for highway design and maintenance remained important. For HB 960, the chair said the current contract caps were too low for modern harbor projects and that higher limits would improve flexibility and efficiency. The committee also noted Representative Cochran was excused for the remaining votes.

Transcript Highlights:

• of Schedule II controlled dangerous substances via telemedicine and telehealth without in-person examination
• Denmark, Norway, Finland, and the United Kingdom after the Cass Review, one of the most thorough examinations
• public of New Jersey, not the public of specific districts, the public of the state, we need to re-examine
• how we do this and be a little bit more Of the state, we need to re-examine how we do this and be a

Keywords: 1146, all

Transcript Highlights:

• hearing, the AB 988 Policy Advisory Group, and most recently the Assembly's May oversight hearing examining
• a self-funded purchaser using novel payment structures, including capitation, allowing for the examination
• While examining my husband, she saw his right leg was still very swollen and that he had an open wound
• While examining my husband, she saw his right leg was still very swollen and that he had an open wound

Keywords: 987, senate, all

Transcript Highlights:

• I was having a wisdom tooth examined for surgery, so don't wish it on my worst enemy.
• Has any consideration been given to temporarily suspending the program while we examine kind of the impact
• ... ...temporarily suspending the program while we examine kind of the impact of federal administration
• obviously, deferring to the schools to, you know, and— temporarily suspending the program while we examine

Keywords: 995, all

Summary: The hearing was a FY27 budget session on Health and Human Services held in Mattapan, hosted by the Joint Committee on Ways and Means. Opening remarks from Senator Lydia Edwards, Representative Brandy Fluker-Reed, Representative Russell Holmes, and Boston Public Library President David Leonard emphasized the significance of holding the first Ways and Means hearing in Mattapan, the importance of community access, and the role of libraries as human services institutions. Committee members and attendees introduced themselves before agency testimony began. MassAbility testified first, describing its mission to support people with disabilities through employment, independent living, and disability determination services. The agency highlighted federal funding uncertainty, a modest FY27 budget reduction, and a proposed reworking of its home care program, which it said is outdated and should better target those most in need. Members questioned the home care cut, staffing reductions, and federal coordination. MassAbility also shared a participant story about recovery and community support to illustrate the impact of its services. The Massachusetts Commission for the Deaf and Hard of Hearing then presented its FY27 request, focusing on interpreter and captioning access, workforce development, emergency communication, aging-related hearing loss, and transition services for deaf and hard-of-hearing youth. Members asked about interpreter shortages, after-hours emergency coverage, ASL education, and community training; the commission said it is expanding mentorship and referral systems but still faces staffing and vendor challenges. The Massachusetts Commission for the Blind followed with a $30.8 million request, describing services for nearly 9,000 consumers, peer support groups, vocational rehabilitation, and Turning 22 services, while noting federal funding uncertainty and a 7% budget cut. Members raised concerns about maintaining services with fewer resources, and the commissioner said the agency had trimmed overhead and could manage the proposal. The Office for Refugees and Immigrants closed the segment, outlining expanded legal, housing, workforce, citizenship, and financial literacy supports for immigrants and refugees, including Know Your Rights trainings, legal defense initiatives, and the Massachusetts Access to Counsel Initiative. Members discussed the effects of federal policy changes, the loss of refugee resettlement funding, and the need for state support to fill gaps. No votes were taken in the portion provided; the hearing consisted of agency presentations and committee questioning.

Transcript Highlights:

• 8398, Senator Oberacker, an act in relation to authorizing Daniel Motalto to take a civil service examination
• Borrello, an act in relation to authorizing Joseph Fredericks to take a competitive civil service examination
• Assembly Member Mayer, an act in relation to authorizing Daniel Montalto to take the civil service examination
• 9983, Senator Borrello, in relation to Joseph Fredericks to take the competitive civil service examination

Keywords: 993, senate, all

Summary: The Senate convened, approved the prior journal, and then processed a series of motions to discharge bills from committees and substitute identical Senate bills, which were so ordered. Several bills were also recalled from the Assembly, had reconsideration votes taken, and were restored to the third reading calendar after receiving 58 ayes. Amendments were received on a number of bills, and those measures retained their place on the calendar. The main business of the day was Privileged Resolution 2318, sponsored by Leader Stewart-Cousins, honoring Senator Michael Gianaris with the President Pro Tempore and Senate Majority Leader’s Legislative Legacy Award. The resolution and floor remarks reviewed his long career in the Assembly and Senate, his role as Deputy Majority Leader and floor leader, and his work on housing, criminal justice, voting rights, labor, environmental, consumer, transit, animal welfare, and other major legislation. Members from both parties spoke at length, praising his strategic skill, mentorship, humor, and influence, while also noting his support for younger members and his commitment to family. Several senators described personal experiences showing Gianaris’s mentorship and political guidance, and many referenced his Greek American identity, Queens roots, and interests such as Star Wars and the Mets. Senators also emphasized that he was leaving on his own terms to spend more time with his wife and daughters. The resolution was adopted with broad support, and Gianaris then spoke in response, reflecting on nearly 30 years in state government, the major laws passed during his tenure, and the relationships he built in the chamber.

Transcript Highlights:

• It is something that we are examining. Our legal counsel is looking into that.
• I'm sorry. >> It is something that we are examining, and our legal counsel is actually looking at that
• >> It is something that we are examining >> It is something that we are examining and<00:

Keywords: 928, house, all

Summary: The committee first approved the minutes and consent calendar, then moved through several Department of Health and Human Services Medicaid-related rules. Rule 25-220 from the Department of Energy was postponed until June so stakeholders would have more time to review revised language. Rule 25-240, involving Medicaid income verification and deductible provisions for medically needy applicants, was adopted after staff noted the cited sections had expired but the agency said it had continued operating under federal law and the state plan; the agency also said it had begun rulemaking on the cited provision. Rules 25-265 and 2633 were also adopted, with staff explaining that although parts of the rules had expired, the agency had continued implementing the policies through the Medicaid state plan, billing manuals, and related rules. The most extended discussion centered on rule 25-304 from the Bureau of Aging and Adult Services, which covers case management services for the CFI program. Staff and the agency explained that the amended conditional approval request clarified how case management agencies indicate staffing capacity, how telehealth decisions are evaluated, and that the department—not the case management agencies—sets the timeline for accepting or denying cases. The agency said the rule is intended to ensure participants are not pushed into telehealth when they do not want it or cannot use it, while leaving technical and clinical telehealth decisions to the provider. A case management provider testified in opposition to parts of the rule, arguing that the committee should not require agencies to admit unverified patients, that reimbursement-rate issues belong in legislation, that the quality-management section duplicates existing licensure oversight, and that the telehealth language improperly gives case managers authority over how other licensed providers deliver services. Committee members questioned whether the telehealth language was simply allowing case managers to determine whether telehealth fits a person’s care plan, and agency representatives responded that this was the intent. No final vote on rule 25-304 is shown in the transcript excerpt.

Transcript Highlights:

• I asked him to examine the literature about the economic impacts of ACEs.
• I am a certified computer forensic examiner with over 15 years of experience in digital forensics and
• I am a certified computer forensic examiner with over 15 years of experience in digital forensics.
• I am a certified computer forensic examiner with over 15 years of experience in digital forensics and

Keywords: 908, all

Transcript Highlights:

• We examined a third of our fees every year and determined if they were covering the cost of the service
• <00:44:33.040> We<00:44:33.200> examined<00:44:34.560> a<00:44:34.680> third
• We examined a third of 3-year schedule.
• We examined a third of our<00:44:35.240> fees<00:44:35.640> every<00:44:36.000> year

Keywords: 927, senate, all

Transcript Highlights:

• Chair Baker that would ask the Governor's Workforce Development Board to establish a subcommittee to examine
• > to,<00:07:59.840> um, subcommittee to, um, subcommittee to, um, uh,<00:08:01.080> examine
• <00:08:01.680> direct<00:08:01.960> appropriations<00:08:02.560> and uh, examine
• direct appropriations and uh, examine direct appropriations and make<00:08:02.760> a<00:08:02.800

Keywords: 1183, house

Transcript Highlights:

• We respect him as a person, and we respect what he's trying to do, and we try to examine the points and
• and<01:30:44.159> we<01:30:44.400> try<01:30:44.560> to<01:30:44.719> examine
• and we make our and we try to examine and we make our and we try to examine the<01:30:45.360>

Keywords: 919, house, all

Summary: The committee took up House File 4466, the sub health supplemental budget bill, and moved it to the Ways and Means Committee after a walkthrough of the fiscal spreadsheet and the DE1 amendment. Nonpartisan staff explained that the bill produces general fund savings of about $2.4 million in FY27 for the 2026-27 biennium and about $97.7 million in the next biennium, with most savings tied to HR1-related Medical Assistance changes affecting adults without children. The Department of Health provisions were described as largely cost-neutral, with some increases for implementation, data, and IT work. Staff then reviewed the DE1, which combines several bills into four articles. The bill includes health licensing board changes, Department of Health provisions such as all-payer claims database fees, newborn screening fee exceptions, loan forgiveness and scholarship program extensions, workforce shortage grant changes, and reciprocal licensure and mortuary science provisions. The federal conformity article makes changes related to MA work and community engagement requirements, six-month renewals, retroactive eligibility limits, contact information updates, cost sharing for MA expansion enrollees, and related provider tax and disability-notice provisions. Article 4 and Article 5 were described as forecast adjustments for DHS and the Department of Children, Youth, and Families. Public testimony focused largely on the federal conformity and eligibility provisions. Legal aid testified that the work requirements and retroactive eligibility changes would be confusing, could expand requirements beyond intended groups, and would increase uncompensated care. The Minnesota Hospital Association said shortening retroactive eligibility would increase uncompensated care and strain hospital finances, and Unidos Minnesota criticized the immigrant eligibility changes as harmful to lawfully present immigrants and Native communities. Blood Cancer United supported the all-payer claims database provisions and urged attention to fertility coverage. Representative Elkins offered an amendment to add $55,000 for the Department of Health to include denied-claims data in the all-payer claims database; Department of Health staff said the idea was useful and provided a one-time setup cost, but the amendment was not acted on in the portion of the transcript provided.

Transcript Highlights:

• individual as an employee, and the taxpayer must also cooperate fully with reasonable requests from the examiner
• 19.800> the fully with reasonable requests from the fully with reasonable requests from the examiner
• . examiner. examiner.

Bills: HF4234, HF3697, HF1183, HF4738

Keywords: HF4234, Minnesota private activity bonds, tax-exempt bonds, bond cap, aggregate bond limitation, residential rental projects, multifamily housing, affordable housing finance, housing bonds, public finance, bond allocation, private activity bond cap, Minnesota Statutes 474A.02, tax committee, tax refund, Minnesota Statutes, time limit, claims, tax overpayment, taxation

Summary: The committee first adopted the April 14, 2026 minutes as amended, correcting a misspelling in the reference to Chair Davids. It then heard House File 4234, a tax-exempt bonding/affordable housing bill from Representative Rey Rower, and adopted a technical A1 amendment before laying the bill over for possible inclusion in the 2026 tax bill. The bill would conform Minnesota law to recent federal changes to low-income housing tax credit rules by lowering the amount of tax-exempt bonds needed for projects to qualify, with the stated goal of spreading bond allocations across more projects and increasing affordable housing production without additional state funds. Testimony in support came from the bill author, the Greater Minnesota Housing Fund, and Mary Tingerthal, who said the change would increase efficiency in the use of federal bond authority and could raise the number of funded housing projects from about 16 to 25 per year, bringing in roughly $120 million more annually for housing. Members discussed where the benefits would be felt statewide, including greater Minnesota and larger metro areas, and the author said the bill would help address shortages in affordable and senior housing. The committee took no final vote on the bill, instead laying it over. The committee next heard House File 3697 from Vice Chair Norris, which would change Minnesota’s tax refund claim timelines to better align with federal law and most other states. The author and a tax attorney testifier said the bill would reduce confusion and help taxpayers, especially vulnerable individuals who may overpay or be overassessed and then miss the current deadline to seek refunds. The Department of Revenue said it had no concerns with the language and did not oppose the bill, and the committee laid the bill over for possible inclusion in the 2026 tax bill. Finally, the committee began hearing House File 4738 from Representative Keeler, a Safe Harbor funding proposal for victims of sex trafficking and sexually exploited youth. The author described Safe Harbor as a statewide program serving youth across Minnesota and said the committee should consider creative funding options, but Chair Davids stated the proposed funding source would not work because it would take money from women’s sports scholarships. Testifiers from Lake House in Duluth and a former Safe Harbor youth described the program’s impact on homeless and trafficked youth, including shelter, mental health services, education, and transition to adulthood. The hearing continued with testimony, but no action was taken in the portion provided.

Transcript Highlights:

• And, um, examining the possibilities for the future of aviation, where as much as within the next 10
• And um um um and and and examining examining examining the<00:47:01.800> possibilities<00:47:02.720

Keywords: 1187, senate, all

Transcript Highlights:

• For the governance and financing study, it examines the longer-term governance and financing models for
• recently in the last two years, created an Arizona — I don't know what they call it — a commission to examine
• in the last two years, created an Arizona, I don't know what they call them, it's a commission to examine
• I don't know what they call them, is a commission to examine how to bring water into Arizona.

Keywords: 908, all

Transcript Highlights:

• care providers has been successful, and so that concept is a good one to bring forward for us to examine
• forward um<00:19:33.960> for<00:19:34.120> us<00:19:34.280> to<00:19:34.360> examine
• <00:19:36.000> So,<00:19:36.159> I um for us to examine um as well.
• So, I um for us to examine um as well.

Keywords: 1187, senate, all

Transcript Highlights:

• Philip Hughes examined over 300,000 patients and found that prescribing psychologists had lower rates
• Philip Hughes<00:20:45.560> examined<00:20:46.000> over<00:20:46.200> 300,000<00
• :20:47.120> patients Hughes examined over 300,000 patients Hughes examined over 300,000 patients

Bills: HB1626, HB1643, HB1668, HB1550, HB1974, HB1858, HB1871, HB1966, HB1972, HB1973

Keywords: youth penalties, juvenile justice, community service, fees and fines, Native Hawaiian, Pacific Islander, reform, court costs, cultural connection, pharmacy, pharmacist, pharmacy audit, audit reform, pharmacy benefit manager, PBM, recoupment, extrapolation, claims audit, pharmacy reimbursement, dispensing fee

Summary: The committee heard testimony on SB 847, which would create a Kauai pilot program allowing qualified psychologists limited authority to prescribe psychotropic medications. The Board of Psychology supported the bill’s intent but asked for amendments to delay the effective date or extend the pilot so rules could be written first, and to clarify the education/training language. Supporters, including the Hawaii Psychological Association, Hawaii Mental Health Coalition, and several psychologists, argued that prescribing psychologists have long safety records in other jurisdictions and that the pilot could improve access to care on Kauai, especially amid ongoing mental health needs and storm-related stress. They cited studies and examples from New Mexico, Louisiana, the Department of Defense, and other places. Opponents, including the Hawaii Medical Association, American Academy of Pediatrics, Queen’s Medical Center, and a Department of Health representative, said the bill needed substantial work, raised concerns about training, liability, and workforce impacts, and urged a team-based model with psychiatrist oversight rather than independent prescribing. Some testimony also referenced a GAO report, with witnesses disagreeing over its meaning and cost-effectiveness. No vote was taken during the discussion, and members asked questions about how the bill would address the workforce shortage and whether a psychiatrist on Kauai could already meet the need. The committee then moved to SB 2271 on hospital licensing and SB 2272 on home health care licensing. The Department of Health, the Healthcare Association of Hawaii, and the Hawaii State Council on Developmental Disabilities supported both measures, which were described as streamlining and clarifying licensing oversight by relying on accreditation or certification reports. A member asked whether the bill language on hospital accreditation reports was duplicative, and the response was that the second provision was intended to strengthen enforcement by requiring hospitals to provide the actual report to DOH. The committee did not take final action in the portion of the hearing provided, and the chair noted that all bills on the agenda would later be considered for decision-making.

Transcript Highlights:

• The consultant was also expected to examine the school systems involved, particularly services available
• The consultant was also expected<00:26:36.400> to<00:26:36.559> examine<00:26:36.960>
• > the<00:26:37.200> school<00:26:37.440> systems expected to examine the school systems
• expected to examine the school systems involved,<00:26:38.640> particularly<00:26:39.440>

Bills: HF3560, HF3295, HF2937, HF3540

Keywords: electronic signatures, estate planning, uniform law, legal documents, Minnesota statutes, open meeting law, transparency, public engagement, social media, government accountability, parenting consultant, parenting time, custody, family court, family law, neutral third party, alternative dispute resolution, child custody, visitation, parenting coordinator

Transcript Highlights:

• There are legislators across this country that are reviewing their policies and examining this very same
• reviewing their country that are reviewing their policies<01:23:03.520> and<01:23:03.840> examining
• <01:23:04.480> this<01:23:04.719> very<01:23:05.040> same policies and examining
• this very same policies and examining this very same instance.<01:23:06.159> So<01:23:06.320>

Bills: HB2117, HB2155, HB1832, HB1601, HB2297, HB2397, HB1893, HB2533, HB1890, HB2004, HB1810, HB2323, HB1691, HB1671, HB2619, HB1481, HB2314, HB2319, HB2214, HB2488, HB2009, HB2007, HB1964, HB2218, HB1535, HB1977, HB2054, HB2046, HB146, HB2094, HB2181, HB2515, HB2444, HB2385, HB1724, HB1733, HB2416, HB2001, HB1603, HB1753, HB2140, HB1962, HB1963, HB2096, HB1959, HB1960, HB2293, HB2288, HB1752, HB1573, HB469, HB2091, HB1851, HB1688, HB1696, HB2417, HB2375, HB2333, HB2152, HB1881, HB2395, HB1721, HB1921, HB1730, HB1697, HB1824, HB2282, HB2078, HB2321, HB2279, HB1522, HB2097, HB2433, HB2106, HB2274, HB2452, HB1764, HB2438, HB1860, HB2604, HB2118, HB2017, HB2216, HB1934, HB2454, HB2427, HB2207, HB1840, HB1644, HB1645, HB1946, HB1648, HB2324, HB1509, HB1514, HB1515, HB2164, HB2165, HB2283, HB2386

Keywords: arts education, data mapping, task force, creative economy, cultural preservation, workforce development, geographic information systems, agriculture, data collection, statistical program, sustainable practices, Hawaii, aquaculture, biosecurity, food security, sustainable seafood, regulatory framework, interagency coordination, environmental stewardship, invasive species