Transcript Highlights:

• as well. ...go through that system, legal system as well.
• Um, but how do we reduce that burden on our health care system?
• And I think, unfortunately, the whole health care system itself has morphed. ...health care system itself
• Or we have electronic health records.
• That was a robust vote. Thank you for...

Keywords: 916, all

Transcript Highlights:

• Okay, I am in the system. I register.
• I want to change my position as on it, because when I'm in the system, I'm in the system.
• Victoria College to the Texas A&M University. system.
• We will now vote on this bill.
• For many of them, TRAC is the only support system. system they have.

Bills: SB604, SB843, SB1636, SB2395, SB571, SB1224, SB1832, SB2392, SB747, SB2623, SB2624, SB2185

Keywords: bonds, education funding, Texas Permanent School Fund, financial transparency, speculative rating, school funding, deferred maintenance, tax revenue, education budget, school districts, education, finance, Texas Education Code, misconduct, child abuse, educators, investigation, criminal offense, education law, suspension

Transcript Highlights:

• The first electronic votes will be conducted as a 15-minute vote pursuant to clause 9 of rule 20.
• > will<06:34:44.240> be The first electronic votes will be The first electronic votes will
• Members will record their votes by electronic device.
• This is a five-minute vote. electronic device. This is a fiveminute electronic device.
• The systemic dismantling of the Voting Rights Act of 1965.

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, May 12, 2026, 1012, house, all

Transcript Highlights:

• Any votes or reservations? No reservations. No votes. The measure passes. Thanks.
• Are there any other no votes or reservations? No. And no vote for Senator A. The measure passes.
• reservations no and no vote for votes or reservations no and no vote for Senator Senator Senator a<01
• Are there any no votes or reservations? No. A no vote for Senator A. The measure passes.
• Are there any no votes or reservations? No, noting a no vote for Senator A. The measure is adopted.

Keywords: 912, senate, all

Summary: The committee heard testimony on several Judiciary-related measures. SB 94 would increase the mandatory minimum jail term for a first knowing or intentional violation of a temporary restraining order from 48 to 72 hours. The Office of the Public Defender and the Hawaii State Coalition Against Domestic Violence opposed the bill, arguing the current penalty is effective, the measure treats very different conduct the same, and the mental health assessment language is unclear and could be harmful or misapplied. Some other testifiers were listed in support or opposition, but no vote was taken. SB 15 would raise the real property exemption amount for attachment or execution. The Hawaiʻi Financial Services Association offered comments rather than opposition, suggesting the bill should be clarified as applying to creditor claims rather than property taxes and possibly limited to a primary residence, with restrictions on frequency of use. Committee discussion focused on how the exemption would affect unsecured creditors, the role of recorded mortgages and judgment liens, and whether the bill should instead establish a clearer homestead-style exemption. The bill drew both support and comments, with no action taken during the hearing. The committee also took testimony on SB 117, which would protect people making sexual misconduct claims from defamation suits unless made with malice; SB 121, a constitutional amendment to give the Senate more time to confirm judicial appointments; SB 14, a reapportionment amendment tied to the decennial census and resident population; SB 175, which would raise the mandatory retirement age for judges and justices from 70 to 75; SB 173, creating a three-year pilot program for free child care for minor children of parties and witnesses attending First Circuit court hearings; and SB 261, increasing juror pay from $30 to $50 per day. Testimony on these measures was generally supportive in the case of SB 175, SB 173, and SB 261, with some opposition on SB 14 and SB 117. On SB 173 and SB 261, committee members asked questions about practical implementation, and on SB 261 the State Bar Association said the increase was overdue and intended to encourage jury participation.

Transcript Highlights:

• And I explained this in my vote yesterday, but what a disastrous mistake for this governor to walk away
• For young adults who age out of the foster care system, we provide coaches to them that can help them
• It's the same system, and they're automating all of that, so they really don't need any more people.
• They should have the staffing and the computer systems to do this as is, and that's what we've been telling
• Senate members house bill 41 51 extends the end date for the department of revenues integrated tax system

Keywords: 1182, all

Transcript Highlights:

• We went through the court system. We had fundraisers. We went through the court system.
• The Blue Bayou system is completely silted in.
• So you cannot you cannot like fully dredge a river system.
• , around 98% of tires that are in the system are actually reprocessed.
• That's my understanding of the system and how it works.

Keywords: 965, house, all

Summary: The committee took up a series of natural resources, wildlife, environmental, and infrastructure measures. HCR 79 by Chairman Butler, which memorializes Congress and the U.S. Forest Service to allow dog hunting in Kisatchie National Forest, drew testimony in support from hunters and a former NRCS official describing it as a rural Louisiana tradition, and opposition from the Louisiana Wildlife Federation, which said it supported hunting with dogs generally but opposed the deer/hog hunting portions while favoring the recovery-of-wounded-deer component. The committee reported HCR 79 favorable. It also reported favorable on SB 419, allowing pre-charged pneumatic devices for deer during primitive firearms season, and on SCR 29, creating a study committee on Atchafalaya Basin water quality and sediment impacts, and SB 111, setting black bass and crappie bag and size limits in the basin, with Wildlife and Fisheries saying it would monitor the effects through sampling and creel data. Several resolutions and bills focused on environmental management and state property. SB 174 authorized transfer of certain state property in Caddo Parish from Louisiana Tech University to the Caddo Parish School Board and was reported favorable. SB 189, a preemptive ban on intentional release or dispersion of fuels or chemicals to affect temperatures, was also reported favorable after discussion of geoengineering-related additives. SB 99, which updates DEQ communications to allow optional electronic notices for permits and public notifications, was supported by DEQ and reported favorable. HCR 104, from Rep. Coates, asked the Department of Conservation and Energy and the Louisiana Geological Survey to study and recommend improvements to subsurface data collection and access; testimony described efforts to modernize core and well-log records and build a statewide 3D subsurface model, and the resolution was reported favorable. The committee also considered river, boating, and wildlife-related measures. SB 331 would temporarily remove portions of the Louisiana Scenic Rivers Act for five years to allow work on the lower Pearl River, including dredging and channel realignment, while prohibiting commercial development and reservoir construction; environmental groups opposed it as a bad precedent and urged a shorter sunset, but the bill was reported favorable. HCR 54 urged a federal study of flooded corn and migratory waterfowl behavior and was reported favorable after support from the Flyway Federation and Louisiana Wildlife Federation. HCR 94 would require annual Wildlife and Fisheries reports on boating safety data, and HCR 87 expressed support for a U.S. senator’s correspondence on migratory flyways; both were reported favorable. SB 505, dealing with the Motor Fuels Underground Storage Tank Trust Dedicated Fund, was reported favorable after testimony that it would expand grant capacity, create a two-cycle application process, and address LLC-related issues. The committee also advanced several measures on public policy and cleanup issues. HCR 85 created a task force on illegal dumping; after amendments added Keep Louisiana Beautiful and the Louisiana Police Jury Association, members discussed statewide tire dumping problems, DEQ staffing, and cleanup funding, and the resolution was reported favorable as amended. HR 216, as substituted, was changed from a repudiation of the Louisiana Climate Action Plan to a resolution authorizing the committee to hold a hearing and receive input from agencies and stakeholders on the plan; after reconsideration and adoption of the substitute amendment, it was reported favorable. One item, SB 243, was voluntarily deferred.

Transcript Highlights:

• We went through the court system. We had fundraisers. We could to fight back.
• The Blue Bayou system is completely silted in.
• the system are actually reprocessed.
• the system are actually reprocessed and used and don't go to the landfill.
• That's my understanding of the system and how it works.

Summary: The House Natural Resources Committee met with a quorum and took up a series of hunting, wildlife, environmental, and property measures. It reported favorably HCR 79, which urges Congress and the U.S. Forest Service to allow deer hunting with dogs in Kisatchie National Forest, after testimony emphasizing the cultural importance of dog hunting and opposition from the Louisiana Wildlife Federation, which supported only the wounded-deer recovery component. The committee also reported favorably SB 419 on using pre-charged pneumatic devices during primitive firearms season, SCR 29 creating a study committee on Atchafalaya Basin water quality, and SB 111 setting black bass and crappie bag and size limits in the basin, with the Department of Wildlife and Fisheries saying it would continue sampling and monitor impacts. Members then approved SB 174 transferring state property in Caddo Parish from Louisiana Tech University to the Caddo Parish School Board, SB 189 prohibiting intentional release of fuels or chemicals for temperature-affecting purposes, and SB 99 modernizing DEQ communications to allow optional electronic notices. They also reported favorably HCR 54 requesting a federal study of flooded corn and migratory waterfowl behavior, and HCR 94 requiring annual boating safety reports from Wildlife and Fisheries; witnesses supported the reporting idea and suggested adding a 10-year average for context. The committee next approved HCR 104, which asks the Department of Conservation and Energy and the Louisiana Geological Survey to study collection and access to subsurface data, with LSU’s Greg Upton describing ongoing modernization of core samples, well logs, and 3D subsurface mapping. It also passed SB 331, which temporarily removes a section of the Louisiana Scenic Rivers Act for five years to allow work on the lower Pearl River; conservation groups opposed the bill, warning about precedent, flooding, erosion, and habitat impacts, while the author said the measure was narrowly tailored to address severe silting and channel problems. Finally, the committee created a task force on illegal dumping in HCR 85 after amending its membership, adopted a substitute for HR 216 to authorize a committee hearing on the 2022 Louisiana Climate Action Plan, and reported favorably HCR 87 supporting a U.S. senator’s migratory flyway correspondence and SB 505 revising the Motor Fuels Underground Storage Tank Trust Fund grant process and related tank requirements.

Transcript Highlights:

• The first electronic vote will be conducted as a 15-minute vote pursuant to clause 9 of rule 20.
• Remaining electronic votes will be conducted as five-minute votes.
• > will<06:05:51.360> be The first electronic vote will be The first electronic vote will
• Members will record their votes by electronic device. This is a 15-minute vote. Heat. Heat.
• Members will record their votes by electronic device. This is a five-minute vote. Heat. Heat. Heat.

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, December 3, 2025, 1012, house, all

Transcript Highlights:

• systems and other technical information. systems and other technical information.
• finish the system would actually be. finish the system would actually be.
• the electronic services division. the electronic services division.
• centralized uh financial system in Ebar. centralized uh financial system in Ebar.
• I Get a vote.

Keywords: Call to Order and Roll Call- 00:00:01 Staff Report on Statewide Emergency Responder Voice System- 00:01:09 Kentucky State Police and Finance and Administration Cabinet Response to Staff Report- 00:48:37 Adjournment-01:34:512, 958, all

Summary: The committee heard a staff report on Kentucky’s statewide emergency responder voice system (SERVS), a multi-phase project intended to improve interoperable radio communications for first responders. Staff said Kentucky State Police did not appear to have violated statutes or regulations, but the project lacked an overall master plan, clear milestones, and consistent documentation, which contributed to delays, spending issues, and deployment problems. The report recommended updating the Kentucky Field Operations Guide to reflect SERVS and noted that the project has been funded in phases since 2018, with appropriations totaling roughly $216 million across 2018, 2020, 2022, and 2024, while about $109 million had been spent by the end of fiscal year 2025. The report raised concerns about project sequencing and oversight. Staff said most spending was concentrated in special mobile equipment, with Motorola accounting for about two-thirds of all SERVS expenditures and the top four vendors making up 81 percent of spending. They also said a sample of Motorola payments suggested possible late payments, though they could not confirm whether interest was paid. Staff criticized the use of master agreements for a project of this size, the lack of a centralized ledger, and the absence of a documented timeline or risk mitigation plan. They recommended stronger procurement and planning requirements, including possible legislative changes requiring approved master plans for large capital projects and additional funding conditions tied to SERVS master agreements. Land acquisition and deployment progress were identified as major bottlenecks, especially in Eastern Kentucky. Staff said the project began in western Kentucky using existing tower sites, but the remaining work is concentrated in harder-to-acquire areas, with more than 95 percent of new towers still incomplete. They said the Division of Real Properties did not begin formal contract work on acquisition until October 2024, despite earlier coordination, and recommended earlier consultation on future projects. Staff also noted that the Kentucky Wireless Interoperability Executive Committee had not been active in oversight, and survey results showed limited awareness and involvement among first responders. Committee members agreed that the lack of an initial implementation plan and the continuing need for funding reflected broader planning problems, and they discussed the need for a clearer end-to-end game plan rather than continuing to fund the project without a defined completion path.

Transcript Highlights:

• Our current voting system remains secure.
• Well, that system can hear that and immediately pull up the information on how to register to vote, so
• Be the second installment toward the upgrade of the statewide voting system.
• Yeah, oh, and I would also mention that a new voting system we would anticipate that it.
• Well, the new voting system still maintains the paper ballot trail or will it be all electronic?

Keywords: 914, all

Transcript Highlights:

• In general, when we look at our health care systems, the more restraints we put on those systems, the
• <01:06:07.000> representative follow-up system representative follow-up system representative
• <01:39:03.440> in verification uh and it was voted in verification uh and it was voted in
• respectfully ask that you vote respectfully ask that you vote inexpedient<03:07:54.760> to
• that um with within uh the court system that um with within uh the court system you<03:31:34.120

Keywords: 928, house, all

Summary: The committee heard testimony on House Bill 232, which would protect health care workers’ conscience rights in connection with certain procedures, especially abortion and sterilization, and also referenced contraception. The prime sponsor, Rep. Mark Pearson, said the bill is meant to prevent medical professionals from being forced to participate in procedures that violate their beliefs, while still prohibiting discrimination against patients based on protected characteristics. He said the measure was intended to help retain health care workers in New Hampshire and noted he had added an amendment to address concerns about people taking jobs only to later refuse duties, as well as emergency situations where a provider is the only one available. Committee members raised concerns about how broadly the bill and amendment were written. Questions focused on whether the protections could apply to non-physician staff such as schedulers, receptionists, or pharmacy employees; whether a provider could refuse to schedule, refer, or otherwise assist with services; and how “emergency” would be determined in practice. Several members also questioned whether the bill could affect access to contraception, including pharmacy sales and procedures such as tubal ligation, and whether the language was clear enough to prevent confusion or unintended refusals of care. Pearson said the bill was not intended to allow refusal of emergency care or general patient discrimination, and he acknowledged some language could be tweaked. Rep. Paige Boerman, a maternal-child health nurse, testified in opposition, saying she had seen pharmacists question prescriptions related to miscarriage care and that the bill could create barriers to contraception and other reproductive health services. She warned that the lack of a disclosure requirement and the broad definitions could create risks, especially in rural areas with limited providers. She also pointed to problems she said had occurred in other states, arguing the bill could lead to delayed care in emergencies. The hearing ended after questions and discussion; no vote or final action was taken in the portion provided.

Transcript Highlights:

• This is electronic witness registration.
• Well, we're going to take a vote here and then we'll take a vote on the floor on this matter, correct
• We're going to take a vote here and we'll also take a vote on the floor on this matter.
• and our teacher benefit systems in ERS and TRS.
• Be voting tomorrow. You'll get the vote list. So we'll be voting sometime in the morning.

Bills: HB35, HB138, HB754, HB1314, HB1612, HB2254, HB2510, HB2789, HB3560, HB3597, HB4224, HB4273, HB4643, HB4783, HB138

Keywords: peer support, first responders, mental health, confidentiality, emergency services, health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, human trafficking, trafficking prevention, medical assistant training, health care facilities, hospital compliance, clinic compliance, anti-retaliation, whistleblower protection, employee reporting

Transcript Highlights:

• , a system that will save hundreds of millions of dollars, but a truly integrated system of affordable
• health care record system.
• What will this system do?
• This system is going to replace about 13 legacy systems within the State Controller’s Office.
• What is the name of the system? California State Payroll System Project is the name of the project.

Summary: The subcommittee first heard an informational presentation on the May Revision’s proposed reorganization of the Business, Consumer Services and Housing Agency into separate housing-focused and consumer/business-focused entities. Administration officials said the split would improve oversight, streamline decision-making, and create a dedicated California Housing and Homelessness Agency with a new housing development and finance committee. The Department of Finance said funding was needed in 2025-26 to begin implementation, while the LAO recommended rejecting the proposal without prejudice because the Little Hoover Commission review was still pending and the plan would require ongoing General Fund costs. Members raised concerns about the timing, the lack of alignment with the budget process, and whether the reorganization would improve accountability for homelessness spending; several public witnesses supported the concept but stressed it could not substitute for new housing and homelessness dollars. The committee then took up the Department of Veterans Affairs. CalVet requested funding for phase three of its electronic health care record project and a trailer bill to preserve authority for federal background checks, but the May Revision withdrew requests for deferred maintenance and additional administrative support. The LAO noted deferred maintenance can prevent larger future costs, and the chair criticized the withdrawal of less than $1 million for veterans’ homes as short-sighted given existing repair needs. No vote was taken. Next, the Department of Housing and Community Development presented its budget. HCD said the May Revision provides no new affordable housing or homelessness funding, but does retain existing rounds of funding and proposes a $31.7 million reversion from undersubscribed housing programs. Members from both parties expressed concern about zeroing out ongoing housing and homelessness investments, especially for LIHTC, the Multifamily Housing Program, and HAP. HCD also defended its homelessness accountability and compliance work, saying the unit includes about 30 program staff and six attorneys, with three additional attorneys requested mainly to handle public records and litigation workload. Public commenters largely opposed the lack of new funding and urged continued support for housing and homelessness programs, while some supported the reorganization and accountability efforts. Finally, the committee heard Go-Biz proposals. The administration requested authority to increase funding for a federal trade program match if needed, plus reappropriations for administrative funds tied to the Containerized Ports Interoperability Grant Program, zero-emission vehicle operations, and the Women’s Business Center Enhancement Program. It also proposed withdrawing the Cal Competes grant request and reverting remaining funds from the Performing Arts Equitable Payroll Fund. The LAO said Cal Competes is generally effective but could be cut as a budget solution, while warning that the performing arts fund was close to awards and should be considered carefully. Members objected to pulling back committed funds for performing arts organizations and questioned why the state would withdraw support after applications had already been submitted.

Transcript Highlights:

• This is for electronic meetings, electronic voting, and cumulative voting measures.
• for electronic meetings, electronic for electronic meetings, electronic voting,<00:04:48.240>
• <00:04:49.840> Uh voting, cumulative voting measures.
• Uh voting, cumulative voting measures.
• effective date for just the electronic effective date for just the electronic voting<00:05:20.720

Keywords: 912, senate, all

Transcript Highlights:

• . >> Please remember to silence any and all electronic devices.
• Getting back to the one of the GOP's that we we found in the electrical system.
• So we found a software system that you funded.
• Department of Education, download it all their school information into our system.
• critical infrastructure components to get information that we dump into the system.

Keywords: 999, senate, all

Transcript Highlights:

• In March of 2025, we had an electronic travel reimbursement system implemented.
• We had an electronic travel reimbursement system implemented.
• Prior to this electronic system, we had to audit travel reimbursements through Outlook, through an email
• system called S/4HANA.
• So the systems updates.

Keywords: 977, all

Summary: The committee met to receive a detailed financial operations presentation from the South Carolina Vocational Rehabilitation (VR) agency, with staff walking members through funding sources, budgeting, accounts receivable, accounts payable, and grants management. Sabrina Walker explained VR’s blended funding structure, including federal grants, state appropriations, program income, and interagency contracts, and emphasized that state funds are essential to meeting the federal match and maintenance-of-effort requirements. Members asked repeatedly about transparency, audit controls, and the risk that state cuts could reduce federal drawdowns; staff responded that all reports reconcile back to the SCEIS accounting system, are subject to state audits and internal reviews, and that even modest state reductions could significantly reduce total available funding. The committee also discussed pre-employment transition services for students with disabilities, with staff confirming services are offered through school districts, charters, and private schools, and that contracts are monitored for performance and compliance. The presentation then shifted to budgeting and internal controls. Walker described a zero-based departmental budgeting process, monthly monitoring reports, contingency reserves for unexpected expenses, and a formal annual cycle that culminates in board approval. Members asked about facilities tracking, culture, and how the agency maintains accountability; staff said facilities staff inspect buildings and equipment, supervisors justify line-item requests, and the process has become smoother over time as departments learned the system. Cynthia Johnson followed with an accounts receivable overview, describing invoicing, receipting, aging, customer verification, year-end reporting, and the use of cross-training, shared email inboxes, and spreadsheets as checks and balances. She also explained work training center billing, interdepartmental transfers, and the revolving fund used to issue consumer checks more quickly than standard vendor payments. Olivia Perez presented accounts payable operations, including invoice processing through SCEIS and OnBase, the three-way match, travel reimbursements, revolving fund checks, State Treasury Office interactions, and handling of reversals, rejections, and levy notices. She reported that AP processed 67,723 SCEIS payments, 13,670 case management system invoices, 3,379 travel reimbursements, and 15,693 revolving fund checks in fiscal year 2025, with only 70 payment rejections. The final portion of the meeting covered Grants and Funds Management, where Walker explained federal reporting, drawdowns, payroll allocation, asset tracking, lease and IT contract reviews, cost allocation, and closing packages. She noted upcoming system changes such as S/4HANA, Workiva, and SC Pro, but said the agency is receiving training and feedback opportunities. No formal votes or legislative actions were taken during the presentation portion beyond approval of the prior minutes and a brief recess.

Transcript Highlights:

• The first electronic vote will be conducted as a 15-minute vote.
• Members will record their votes by electronic device. This is a five-minute vote.
• Members will record their vote by electronic device. This is a five-minute vote.
• Remaining electronic votes will be conducted as five-minute votes.
• Members will record their vote by electronic device. This is a five-minute vote.

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, May 14, 2025, 1012, house, all

Transcript Highlights:

• Any members wishing to vote or change your vote? Close the cue. Declare the vote.
• vote.
• Members, wish to vote or change your vote, close to cue, declare the vote 51 nay, the vote of five yay
• Any members wishing to vote or change your vote? Close the queue to clear the vote.
• Any members wishing to vote or change your vote? Close the cue, declare the vote.

Bills: SB667, SB904, SB1344, SB1380, SB1423, SB1425, SB1484, SB1500, SB1502, SB1503, SB1555, SB1561, SB1562, SB1565, SB1572, SB1644, SB1749, SB1833, SB2007, SB2044, SB2074

Keywords: chiropractic, licensure, animal chiropractic, Board of Chiropractic Examiners, licensing requirements, gender transition, gender-affirming care, transgender, puberty blockers, cross-sex hormones, hormone therapy, sex reassignment, transition surgery, Medicaid, public funds, state facilities, state hospital, Oklahoma, intersex, DSD

Transcript Highlights:

• If not, vice chair for the vote. vote. vote.
• Member Amato votes I. Member Hartsfield absent, excused. Member Marten votes I.
• Member Takayama votes I. Member Olds votes I.
• If not, vice chair for the vote. vote. vote.
• Any members voting? No. reservations? Any members voting? No.

Bills: HB1853, HB1591, HB1961, HB1854, HB1965, HB1962, HB1959, HB2505, HB2576, HB1801, HB1804, HB1864, HB2319, HB2314, HB2115

Keywords: HB1853, dementia, Alzheimer's disease, cognitive impairment, memory care, memory clinic, Hanai Memory Network, Executive Office on Aging, aging services, kupuna, caregiver support, long-term care, elder care, geriatrics, public health, dementia screening, care coordination, referral network, neighbor islands, rural health

Summary: The committee heard testimony on SB 2047, relating to pharmacy benefit managers. The Insurance Division said the bill would require new enforcement resources and estimated an appropriation of about $1.5 million and five positions. Kaiser Permanente asked for an amendment to exclude HMOs from the definition of third-party PBMs, saying the bill should not interfere with integrated care models. PCMA and the Hawaii Pharmacist Association supported narrowing amendments, with pharmacists objecting to section 3 and warning the bill as amended could create major operational burdens and a significant general fund cost. No vote was taken in the portion provided, and the chair moved on to the next measure after questions. The committee then took up SB 2080, which would allow Hawaii to join the psychology interjurisdictional compact. Supporters, including DCR, the Hawaii Association of Health Plans, the Hawaii State Association of Counties, the Grassroot Institute, and others, said the compact would expand access to psychology services, especially for people in rural areas or those needing continuity of care while traveling. Opponents, including the Board of Psychology and a Shamanad University psychology professor, raised concerns about client safety, crisis-response procedures, enforcement costs, FBI background checks, and possible loss of state control over training and specialization standards. The board said Hawaii’s current 1,900-hour internship/postdoc requirement is higher than the compact’s standard and that the state is still implementing a separate provisional licensing law that may address some access issues. The discussion focused on whether the compact would meaningfully reduce shortages and whether Hawaii should instead pursue changes within its existing licensing system. Finally, the committee heard SB 2277 on hospital price transparency. The Office of Consumer Protection initially noted the bill could require significant staffing, but later testimony from SHIP suggested the measure could be handled more simply by working with the Healthcare Association of Hawaii and publicly posting violations. The Healthcare Association of Hawaii opposed the bill, arguing hospitals already must comply with federal CMS transparency rules and that adding state requirements would increase costs and legal exposure, especially if violations were treated as unfair or deceptive trade practices. Steve Fenberg testified in support, saying the bill would simply codify existing federal requirements in state law and that he was open to amendments removing state enforcement and the unfair trade practice language. No final action was taken in the excerpt provided.

Transcript Highlights:

• Chair votes aye. Vice Chair votes aye. Representative Amato votes aye. Representative Amato, aye.
• Voting on House Bill 441.
• Vice Chair, for the vote. Voting on House Bill 557.
• Seeing none, Vice Chair, for the vote. Voting on House Bill 716.
• Voting on House Bill 302.

Keywords: 910, house, all

Summary: The House Health Committee held its first hearing of 2025, with Chair Greg Takayama and Vice Chair Representative Leoy opening the meeting and outlining housekeeping rules, including a two-minute limit for testifiers and Zoom etiquette. The committee first heard HB 303 on health care preceptors. The Department of Health, Department of Taxation, University of Hawaiʻi, Hawaii State Center for Nursing, and several health care organizations supported the bill, saying the existing preceptor tax credit program has been successful and that expanding eligibility to additional professions and students would help address workforce shortages. In response to questions, the Department of Health said the annual tax credit cap is $1.5 million, about 650 to 670 credits are currently used each year, and the bill applies only to unpaid preceptors. The committee then moved on to HB 441, which would raise cigarette taxes. The Attorney General, Department of Health, University of Hawaiʻi Cancer Center, Hawaii Public Health Institute, American Cancer Society Cancer Action Network, and others supported the measure as a way to reduce smoking, especially among youth, and to support tobacco control and cancer-related programs. Opponents, including the Taxpayers Protection Alliance and the Cigar Association of Hawaii, argued the tax is regressive and unreliable as a revenue source. The Department of Health noted the last cigarette tax increase was in 2011, and one witness urged a larger increase than proposed. No vote was taken on either bill in the portion of the hearing provided. The committee also heard HB 557 on telehealth. The Department of Health supported the bill so long as it did not displace executive budget priorities, and the Hawaii State Health Planning and Development Agency and Hawaii Primary Care Association supported it. HPCA said the bill would conform state insurance law to recent Medicare changes expanding audio-only telehealth coverage beyond mental health services, and it emphasized access for rural residents, kupuna, and people with disabilities. HMSA opposed the bill as written, saying it strayed from the intent of Act 107 and that audio-only telehealth should remain limited because of quality-of-care concerns, though it supported continued access and asked for a different amendment approach. A telehealth provider also testified that payment disparities limit provider expansion and that audio-only access remains important for patients with serious illness. The hearing ended in the excerpt before any committee action or vote on HB 557.