Transcript Highlights:

• for the Pension Review Board.
• program.
• So, we have some content programs, data content programs.
• We have some content programs, data content programs.
• Tom Palladino: ...as well as separate educational programs available, which are reviewed to ensure veterans

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• to implement the program.
• The program says that the program served 150,000 unduplicated clients.
• When we start, we change the program from an outpatient program to an inpatient program.
• There�s 20�you know, training one program, 20 programs, stay housed.
• Program. for non-Medicare Part D.

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• , maternal death review, maternal mortality review.
• c><00:42:01.880> maternal<00:42:02.520> death review um Ki death review maternal death
• review um Ki death review maternal death maternal<00:42:03.920> mortality<00:42:04.680> review
• Can we afford another program to be added to our existing programs that we still have to fund?
• Who is funding these programs?

Keywords: 910, house, all

Summary: The Committee on Health heard testimony on several bills. On SB 1441, which would repeal the transfer of the Oahu Regional Health Care System from HHSC to the Department of Health, the Department of Health said it strongly supports the measure and requested clarifying amendments. HHSC/Oahu Region also supported the bill and said it had no objection to the department’s amendments. In response to questions, witnesses said the agencies have been working on an MOU to support transfers of long-term care patients to Leahi, with the current goal being about 10 to 15 patients, but transfers would occur only as space and staffing allow; one patient was reportedly being admitted at the time, and the process was described as slow and case-by-case. The committee then heard SB 1443 on payment rates for state hospital patients and related Department of Health services. The hospital administrator said the bill would allow rates above Medicaid for community or foster-home placements if patients cannot be placed at Leahi or elsewhere, and would set Medicaid-level reimbursement for outside medical services used by state hospital patients. He said at least one provider was interested in offering services at that rate and that the population involved is largely non-ambulatory long-term care patients. Members asked about availability and training, and the witness said special training could be provided. SB 1322, a broad mental health bill, drew mixed testimony. The Department of Law Enforcement supported giving crisis-intervention-trained officers more discretion to transport people to medical care instead of arresting them. The Attorney General supported the bill but recommended revisions to emergency-transport language and restoring liability protections. HHSC and Queens Hospital supported the overall goal but sought amendments to preserve the mental health emergency worker role in decision-making and to avoid negative impacts on emergency departments. The Disability Rights Center and ACLU opposed parts of the bill, arguing that it weakens due process, reduces protections in involuntary treatment and transport, and should retain a three-person treatment panel rather than reduce it to one. A Queens representative said the current program works well and reported that more than 90% of MH1 cases once went to hospitals, but that figure has dropped to about 60-70%, with about 20% now diverted to community settings or the behavioral health crisis center. No votes or final committee actions were taken in the portion provided.

Transcript Highlights:

• program which the state participates in. program which the state participates in.
• grant program. grant program.
• incorporated into existing programs. incorporated into existing programs.
• >> This is under what FEMA program? >> This is under what FEMA program?
• It's a nationwide FEMA program. So, it's a nationwide program. >> Okay.

Keywords: 910, house, all

Summary: The House Committee on Public Safety held an informational briefing on hazard mitigation planning and recent tsunami and wildfire threats. Chair Dela Buladi opened by framing the meeting around the need for iterative disaster planning and lessons learned from events such as the Lahaina wildfires, the Puna Coast earthquake/tsunami, and recent wildfire activity. The committee heard first from Hawaii County Civil Defense Administrator Tomage Magno, who explained the federal and local hazard mitigation planning process, including the requirement for an active five-year mitigation plan to qualify for federal disaster funds. He described the plan as a living document built from prior plans, public and agency outreach, risk and capability assessments, and ongoing updates, with county departments, state agencies, and subject matter experts participating in the process. Magno outlined several FEMA-related mitigation funding programs, including flood mitigation assistance, post-fire assistance, pre-disaster mitigation, revolving loan funds, and dam safety grants. He emphasized that the Hawaii County plan was recently approved by FEMA, that the county council approves the plan, and that the county reviews it annually with a formal revision process beginning in the fourth year. Members asked about how the plan tracks project status, how priorities and funding changes are handled, and whether federal funding programs might be affected by HR1; Magno said the county is proceeding on the assumption that funding will remain available and noted some sources have been reestablished. He also said the county encourages council participation in meetings and planning. Department of Transportation Director Ed Sniffen then addressed the committee on DOT’s response to a recent tsunami threat, saying the agency had about four hours to prepare before the first wave arrival and was focused on its own operational response rather than the broader statewide planning process. In response to questions, he stated that FHWA funds cannot be used for evacuation routes, which is why prior legislative funding was important. Members also discussed specific mitigation projects such as fire breaks, bridge retrofits, and the Singing Bridge, with DOT noting that work is underway and that a replacement bridge upstream is being planned to carry traffic during repairs. No votes or formal committee actions were taken during the informational briefing.

Transcript Highlights:

• SB 4, Cervantes, Indigenous Justice Program, holding committee.
• SB 69, McNerney, DOJ AI program, held in committee.
• SB 69, McNerney, DOJ AI program, held in committee.
• SB 439, Weber-Pierson, California health benefit review program, do pass out on a roll call.
• SB 363, Wiener, independent medical review, to your bill.

Summary: The Assembly Appropriations Committee held its August 29, 2025 suspense hearing on Senate bills, with the chair emphasizing the state’s ongoing budget constraints and the need to make difficult choices among 261 bills on the suspense file. After establishing a quorum, the committee began taking action bill by bill, with many measures receiving do pass or do pass with amendments recommendations, while others were held in committee or designated as two-year bills. The chair noted the agenda was organized alphabetically by author and that results would be posted later on the committee website. The hearing covered a wide range of topics, including insurance and claims data, wildfire relief and prevention, water planning, energy and utility regulation, housing and land use, health care, labor and employment, criminal justice, education, environmental policy, and election-related measures. Several bills were amended before passage, often to narrow scope, remove sections, adjust definitions, delay implementation, or clarify funding and enforcement provisions. Some notable actions included moving bills on AI regulation, transit-oriented housing, paid family leave, wildfire mapping, chemical hair relaxers, and pharmacy benefit managers, while other bills on subjects such as controlled substances, high-speed rail, and certain education or housing proposals were held. The committee also took formal roll-call votes on selected bills, with some passing on A roll calls and others on B roll calls; a number of measures were advanced with Republicans not voting. One highlighted vote was SB 79 by Senator Wiener, which passed after amendments and a recorded roll call. At the end of the hearing, the committee reported that 190 bills were moved to the Assembly Floor, either as do pass or do pass with amendments, concluding the suspense hearing for the session.

Transcript Highlights:

• incorporate how HEMA will utilize funding sources, if granted, to support emergency preparedness programs
• support emergency preparedness programs support emergency preparedness programs and<00:02:14.959
• centers program the report should<00:02:25.360> be<00:02:25.480> due<00:02:25.760>
• , and that program already covers hate crime-type data.
• ners program and that program<00:13:17.240> already<00:13:18.079> covers<00:13:18.560>

Keywords: 912, senate, all

Summary: The Senate Committee on Public Safety and Military Affairs met on its 3:15 p.m. reconsideration and hearing agenda. The committee first reconsidered SB 1379 on emergency preparedness and voted to pass it with amendments. The amendments would require HEMA to submit a report to the Legislature on a community readiness centers plan, including public and private sites, funding sources, partnerships, stakeholder coordination, and projected annual funding, due 20 days before the 2026 Legislature convenes. The committee also made technical and fiscal-related changes, including blanking out certain amounts in the bill and committee report while retaining recommended amounts there, and changing the effective date language. The committee then voted unanimously to adopt the amended recommendation. The committee heard SB 1364, which makes emergency appropriations for law enforcement personnel costs. The Department of Budget and Finance supported the bill but said the figures in oral testimony would be slightly higher than those in written testimony and that updated numbers would be emailed later in the week. Because the exact figures were not yet available, the chair deferred decision-making to February 7, 2025. The committee also heard SB 1451 on critical infrastructure, SB 1452 on the Uniform Controlled Substances Act, SB 1149 on hate crimes reporting, SB 1321 on the Hawaii Correctional System Oversight Commission, and SB 1341 on energy industry information reporting. For SB 1451, testimony was split, with support from state law enforcement and opposition from the Public First Law Center, which argued the information was already protected under existing law; the committee later adopted a motion to pass the bill with amendments, including a narrower definition of critical infrastructure information and a revised effective date. SB 1452 received support from law enforcement and prosecutors, with a requested cleanup amendment to correct a federal drug-name spelling issue; decision-making was postponed to allow the department to provide language. SB 1149 drew substantial testimony both for and against; supporters emphasized better hate-crime data collection and transparency, while opponents raised concerns about definitions and free speech. The committee adopted amendments and passed the bill, with the chair summarizing the move from the older UCR system to NIBRS and noting a public dashboard expected by September 30, 2025. SB 1321 was passed with amendments shortening the oversight coordinator term from four years to three years, though one senator voted with reservations in favor of a longer term. SB 1341 was passed as is after brief support testimony, and the committee adjourned after completing the agenda.

Transcript Highlights:

• We need to review the reviewer-to-doer ratio, so get the doers doing, align them with the operational
• One, we've got to review the reviewer-to-doer ratio.
• So, I think anywhere we can create authorities, if it's small programs, if it's programs that we know
• It didn't come from the program offices. It actually came despite the program offices.
• For very specific programs, programs I'll get back to that help homeless vets, nutrition programs for

Transcript Highlights:

• <01:04:41.599> An review comes into play. An review comes into play.
• And so if they make the review.
• longer file for administrative review. longer file for administrative review.
• will be required to be on the program. will be required to be on the program.
• grant programs that are included here. grant programs that are included here.

Keywords: 1187, senate, all

Transcript Highlights:

• process in the medical assistance review process in the medical assistance program,<00:21:25.600>
• So, DHS contracted with a third party for this review and has established an ongoing prepayment review
• is flagged for further review, it goes to DHS staff who reviews it and determines whether to approve
• <00:26:13.360> process, the prepayment review process, the prepayment review process, DHS<
• supporting these programs. supporting these programs.

Keywords: 1187, senate, all

Transcript Highlights:

• Now, there's 3 million peer-reviewed articles printed a year.
• Because I know that the guy I'm going to call for review is using it two or three times a day on review
• You're talking about a million peer reviews in every body part.
• You're talking about a million peer reviews in every body part.
• The bill does not create a new program.

Summary: The House Labor and Industrial Relations Committee met on May 7, 2026, and first deferred several measures, including House Bill 460, Senate Bill 322, Senate Bill 32, Senate Bill 22, and House Bill 561. The committee then took up House Bill 819 by Chairman Cruz, which would replace Louisiana’s current workers’ compensation medical treatment schedule with the Official Disability Guidelines (ODG) by MCG as the primary guideline, while keeping the existing variance and appeal process. Cruz and MCG representative Troy Prevo argued that ODG is more comprehensive, updated more frequently, and used in many states, and said it could reduce delays, disability duration, and costs. Dr. Jason Picard, the state medical director, testified that Louisiana already uses ODG as a secondary reference in many cases because the state schedule lacks coverage for some body parts and treatments, and said the bill would not otherwise change the appeals process or care delivery. Committee members focused heavily on whether the bill would delay care or improve it. Several members questioned the private-company nature of ODG, the $400 annual subscription cost, and whether Louisiana doctors would be forced to rely on an out-of-state guideline. Rep. Glorioso and others raised concerns about preauthorization delays and proposed amendments to create tacit approval when treatment follows the schedule, require payment within 30 days, and make the carrier prove by clear and convincing evidence that care was not medically necessary to challenge it. Chairman Cruz said he was willing to work with those ideas, and the committee also discussed adding an on-ramp or legacy language so current patients would not be disrupted. Opposition testimony came from injured-worker advocates and representatives of medical and labor groups, including Joseph Jola St. and Robin Krumholt. They argued that Louisiana’s current guidelines are already working, that rates have fallen over time, and that the real problem is delay in approval rather than the content of the schedule. They said ODG is overly rigid, cost-driven, and can lead to denials that shift costs to workers, Medicaid, or private health insurance. They urged the committee to keep Louisiana’s existing system and instead adopt tacit approval under current law. The bill was still under discussion at the close of the transcript, with amendments being read and no final vote shown.

Transcript Highlights:

• > one establishment date of the program by one establishment date of the program by one year<00
• <00:09:36.240> in these ideas for collection programs in these ideas for collection programs
• the challenges to the existing program the challenges to the existing program thank<00:31:25.559
• in Minnesota to fund the program.
• contract uh with the stewardship program contract uh with the stewardship program or<01:03:05.520

Keywords: 1187, senate, all

Transcript Highlights:

• Uh we've reviewed doctoral programs.
• doctoral program for review by CPE. doctoral program for review by CPE.
• So once that program is approved, then it's on a three-year review cycle where we can review and see
• So once that program is approved, then it's on a three-year review cycle where we can review and see
• So once that program is approved, then it's on a three-year review cycle where we can review and see

Keywords: 958, all

Summary: The committee first took up Senate Bill 77, which would allow comprehensive universities to pursue doctoral programs under a new approval process and, in the original bill, would also change who may serve on the EPSB board for small colleges and universities. The sponsor and Council on Postsecondary Education representative explained that the committee substitute removed the current statutory prohibition on comprehensive universities offering certain doctoral degrees, but added eligibility guardrails: a 77% first-to-second-year retention rate, a 56% six-year graduation rate, and three months of unrestricted cash reserves. They said the thresholds were based on national data placing institutions in roughly the top quartile, and that CPE would still review proposals for mission fit, workforce need, fiscal impact, and, where applicable, programmatic accreditation and legislative appropriations. EKU President David McFaden supported creating a pathway for comprehensive universities, said Kentucky is unusual in having an explicit statutory prohibition, and urged the committee to keep the standards attainable and durable. The committee approved the bill and adopted a title amendment, with the motion passing unanimously. The committee then heard Senate Joint Resolution 55, which addresses antisemitism on postsecondary campuses. Senator Tichenor said the resolution responds to a rise in antisemitic incidents after October 7, 2023, and would require campuses to notify students each semester of Title VI rights, complaint procedures, existing harassment policies, and available Jewish student resources. It would also direct campuses to disband student organizations found to provide material support to known terrorist organizations, report such matters to law enforcement, and collect and report antisemitism data to CPE for posting on its website. A guest speaker from the Kentucky Jewish Council described a sharp increase in reported incidents, including harassment, threats, vandalism, and hostile campus activity, and argued that schools have often done too little to respond. He said the resolution was amended to protect free speech while ensuring Jewish students receive the same protections as other protected groups. The transcript ends while testimony on the resolution was still underway, before any committee vote on SJR 55.

Transcript Highlights:

• There's this BA to MD program at UNM.
• And then once we're in, it's a four-year program.
• So, to train physicians, we think let's strengthen our training programs.
• The Medical Review Commission was established in 1976, and the old premise is to review the malpractice
• So, we believe that we need to reform and strengthen the Medical Review.

Keywords: 996, all

Transcript Highlights:

• So, I mean, we're looking at this AI reviewing some of our oil and gas leases, oil and I reviewing contract
• Review enhancements will be done.
• We will implement new programs to review the framework, emphasizing science and Of course, literacy is
• They were very supportive of the program, loved the program, and asked us to please continue that.
• the teacher prep programs.

Keywords: 914, all

Transcript Highlights:

• 1500 hour program. 1500 hour program.
• the CTE programs face. the CTE programs face.
• <02:22:56.720> into<02:22:57.120> a program or high school program into a program or
• high school program into a post-secary<02:22:58.160> program.
• These programs have offered CT programs.

Keywords: 928, house, all

Summary: The committee opened a hearing on Senate Bill 185, which would add timelines to Office of Professional Licensure and Certification (OPLC) investigations. Senator Howard Pearl said the bill was prompted by concerns from the New Hampshire Association of Realtors about delays at the Real Estate Commission, and he explained that the proposal would require OPLC staff to make an initial determination within 30 days and, if misconduct is found, complete an investigation within 60 days. He said the goal is to improve transparency and give consumers and licensees more timely information, while preserving the board’s adjudicatory role. He also noted that the bill had been amended to delay implementation to give OPLC time to work through its backlog. Committee members questioned how the bill would work when an investigation is incomplete and whether the board could send a case back to OPLC without a firm deadline. Pearl said the board would have discretion to continue the investigation or make a final determination, and that the bill was intended to streamline OPLC’s process rather than impose a hard cap on complex cases. OPLC Executive Director Deanna Durus and General Counsel Nicholas Fry then testified that the agency has already changed its procedures under prior legislation, including a facial review of complaints and monthly board review of dismissal memos. They said the bill would substantially alter the current structure, could conflict with existing limitation periods and board duties, and would be difficult to implement without additional staff and funding. Durus said the agency’s backlog is large, that new complaints are being triaged and prioritized, and that some urgent matters are moved ahead based on risk and statutory deadlines. She said OPLC had completed a review of about 500 backlog cases that would now be dismissed under current screening standards, and that those cases are being turned into memos for board review. Board of Medicine public member Nina Gardner testified in favor of the bill but said the backlog is significant and that the agency needs more resources to make the process work effectively. She said the board is seeing progress, but not fast enough, and suggested the bill may not go far enough without additional staffing and funding. No vote was taken during the hearing.

Transcript Highlights:

• Pilot program just like 9 throughout the state to just test this program out to see if it's successful
• Within the master's program.
• programs per year that would qualify.
• This is a pilot program right to be reviewed again at at a certain time.
• So that's why it's a pilot program.

Bills: HB3287, HB2947, HB3784, HB3901, HB4275

Keywords: public health, domestic violence, human trafficking, healthcare facilities, hospital protocols, behavioral health, Medicaid expansion, clinical interns, mental health services, licensing requirements, micropigmentation, medical procedure, physician oversight, nursing certification, state regulations, psychological autopsy, mental health, suicide prevention, state health department, investigation

Transcript Highlights:

• TDI does oversee the Texas Independent Dispute Resolution Program.
• and so we are also reviewing those forms and rates.
• The COPA program we were designated by the governor in last summer as the agency to run the COPA program
• We do a fairly extensive consumer education program, like TDI.
• We had the help insure program, which we work on with TDI and Mr.

Keywords: 1184, house, all

Transcript Highlights:

• For example, were the positions associated with efforts to reform a program, enhance a program, or improve
• program outcomes?
• I did not review that personally.
• Program.
• is a $35 million program.

Keywords: 987, senate, all

Summary: The subcommittee heard an extensive discussion on the Governor’s proposal to eliminate vacant positions across several environmental and natural resources departments, including Fish and Wildlife, Parks, the Coastal Commission/BCDC, DPR, DTSC, CalRecycle, and the State Water Resources Control Board. The Legislative Analyst’s Office explained that the JLBC had already not concurred with 650 of roughly 1,000 positions under review, citing concerns that many of the vacancies support core functions such as law enforcement, permitting, public safety, sea-level rise planning, and implementation of recently enacted laws. The Department of Finance defended the vacancy reduction exercise as a way to capture savings from a statewide pool of about 40,000 vacancies, arguing that departments need flexibility to manage operations and that some vacancies are used to cover operating costs or hard-to-fill roles. Several department representatives testified that the cuts would reduce capacity and could slow permitting or enforcement, though they said they would try to reclassify positions and prioritize the highest-need work. No vote was taken and all items were held open for a future hearing. Members focused heavily on the practical effects of the cuts. Senators questioned whether vacant positions should be treated as a budget savings tool, whether special-fund positions should be eliminated when they do not affect the General Fund, and whether long-vacant positions should simply be removed if they have not been filled for years. Fish and Wildlife and Parks described impacts to permitting, wildlife conflict response, and law enforcement; Parks said its academy can train only about 50 rangers a year, leaving many vacancies even after the proposed reductions. The Coastal Commission said the affected positions support SB 272 sea-level rise planning with local governments. DPR said the proposed cuts would affect multiple branches involved in pesticide registration, enforcement, and safety review, while DTSC said it was still hiring from a large 2022 reform package and had reduced its vacancy rate from about 30 percent to 15 percent before the drill. The State Water Board said its proposed reductions would be spread across programs and could lead to slower permitting and backlogs, though it would protect drinking water functions as much as possible. The committee then moved to a State Water Resources Control Board overview and a new budget proposal tied to the U.S. Supreme Court’s Sackett decision. Chair Esquivel described the board’s responsibilities for water quality, water rights, drinking water, and financial assistance, and said the board is updating the Bay-Delta Plan while also pursuing voluntary agreements and broader water-rights administration. He said federal workforce reductions and the Sackett ruling have increased pressure on state programs. The board requested $2.6 million and 12 permanent positions from the Waste Discharge Permit Fund to address permitting and enforcement gaps created by the narrowing of federal Clean Water Act jurisdiction. The LAO said the request met its high bar for new proposals because it was supported by the board’s data and would help maintain water-quality protections, though it noted that state processes are less efficient than the federal framework they are now partially replacing.

Transcript Highlights:

• It will ensure that all U.S. security assistance programs are expeditiously reviewed, transparent to
• I think some of them are really great programs.
• being reviewed right now.
• But I do want to note that, as the President and the Secretary have said, the review of these programs
• programs.

Keywords: Senator Flinstone, HB22, SB4, amendments, public testimony, legislation, environmental impact, economic implications

Summary: The meeting featured a thorough examination of various bills, including substantial discussions on HB22 and SB4. Key points included amendments proposed by committee members, particularly from Senator Flinstone, who emphasized the need for clarifications on certain provisions. The committee actively engaged with several witnesses providing public testimony, some in favor of the proposed legislation while others highlighted concerns and potential implications. The discussions were vibrant, showcasing different perspectives, especially on the environmental and economic impacts of the bills in question. The meeting concluded with a consensus to reconvene after a recess to further address the outstanding issues related to the bills.

Transcript Highlights:

• We review cases. Cases only come for review about two years after they occur because of...
• Our review committee meets to discuss and discern the maternal mortality review cases, see whether they're
• I will also say there is a patient savings program or co-pay assistance program, those kinds of things
• that program has gone in a second.
• lunch program.

Summary: The committee first approved the previous meeting minutes and then heard a detailed annual report from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and policy issues. He explained the committee’s review process, confidentiality protections, and national and North Dakota data showing that most maternal deaths are preventable and that mental health conditions, substance use, cardiovascular issues, infection, hemorrhage, and embolism are the leading causes. Members asked about suicide, domestic violence, midwife training, home births, and whether pregnancy testing at death scenes should be expanded; Dr. Arnold said better coroner education, more investigation of unexplained deaths, and possible post-mortem pregnancy testing could improve case identification, especially in rural areas. He also noted that deaths often occur well after 42 days postpartum and that mental health-related deaths remain a major concern. The committee then heard from State Fire Marshal Dr. Matthew Clark on cigarette reduced-ignition-propensity standards and related fire prevention issues. He recommended updating the state’s cigarette propensity law to current national standards and also raised a separate recommendation to require fast-breakaway oxygen tubing for home oxygen users, citing fatal fires linked to smoking around oxygen. Members asked about implementation, cost, insurance coverage, and whether the standards apply in tribal communities; Dr. Clark said he would provide follow-up information and was willing to help with any legislation, but no agency bill had yet been planned. Next, Christine Greff of the Department of Health and Human Services reported on the North Dakota Stroke System of Care. She described the statewide network of stroke-ready hospitals, registry-based quality improvement, and performance data showing continued improvement in stroke recognition, imaging, thrombolytic treatment, transfers, and EMS pre-notification. She highlighted new quality measures for inter-facility transfers and intracerebral hemorrhage care, and said the system remains strong but depends on continued legislative and hospital support. Committee members asked about participation by the VA hospital and were encouraged to consider outreach to include it more fully in the stroke system. Finally, the committee began a presentation on prior authorization and non-opioid pain treatment from Taha Khan of Vertex Pharmaceuticals. He argued that prior authorization can delay access to non-opioid acute pain medications, especially in the 24- to 72-hour post-discharge window when pain is most severe, and said delays can push patients toward opioids. He emphasized that prior authorization has a role in utilization management but should not create barriers in acute pain care, and he noted that current use of the company’s non-opioid product remains very low. The discussion was still underway when the transcript ended.