Transcript Highlights:

• both school-based and work-based learning opportunities, such as job shadow, call-ups, internships, clinical
• In my program, healthcare technology, students participate in clinical placements.
• Some of my workplace learning includes my clinical placement, where I'm right now placed at Bernazzani
• And the real-world experience I got was through my clinicals.

Committee: Joint Joint Committee on Education

Summary: The Joint Committee on Education held an informational hearing at Quincy Public Schools focused on career and technical education (CTE) and related legislation. Committee members said the visit was intended to gather input for ongoing statewide efforts to expand awareness and access to CTE, especially in middle school, improve equipment and facilities, and strengthen coordination with workforce partners. Quincy administrators described the district’s CTE system, including 15 Chapter 74 programs at Quincy High School and four at North Quincy High School, enrollment of about 1,360 students, updated DESE-aligned frameworks, safety practices, business electives, and funding supported by the district budget plus state, federal, and local grants. Presenters highlighted work-based learning, industry credentials, and partnerships with employers, unions, Quincy College, MassHire, and advisory committees. Examples included co-op placements, internships, clinical placements, Military Mondays, Credit for Life, Skills Capital and Perkins-funded equipment upgrades, and a planned engineering Chapter 74 application at North Quincy. Assistant Superintendent Aaron Perkins also outlined the district’s MyCAP college-and-career planning initiative and its goal of creating a vertically aligned readiness model beginning in the middle grades. Students Ellie Crump, Emily Infantino, and Alexander Liu testified about their pathways in welding, early education and care, and healthcare technology, describing hands-on learning, certifications, clinical or shop experiences, and postsecondary plans. Committee members praised Quincy as a model for integrating CTE with general education and said the testimony would inform future legislation. No votes were taken; the hearing concluded with a motion to adjourn and unanimous agreement.

Transcript Highlights:

• school-based and work-based learning opportunities, such as job shadowing, call-ups, internships, clinical
• In our program, my program, healthcare technology, students participate in clinical placements.
• Some of my workplace learning includes my clinical placement, where I'm currently placed at Bernazzani
• The real-world experience I got was through my clinicals.

Committee: Joint Joint Committee on Education

Transcript Highlights:

• Uh she is clinical faculty at William Carey College of Osteopathic Medicine.
• </c><00:13:18.080><c> Uh</c><00:13:18.240><c> she</c><00:13:18.520><c> is</c><00:13:18.760><c> clinical
• Uh she is clinical in Hattiesburg.
• Uh she is clinical faculty<00:13:19.560><c> at</c><00:13:19.680><c> William</c><00:13:20.240><c> Carey

Transcript Highlights:

• I'm a faculty at the School of Medicine and I'm the director of the Clinical.
• The students can learn how to do clinical encounters in Spanish.
• I've done it for my parents in hospital settings in clinics. It's Very complicated.
• And my concern is because on the back of the FIR it says the UNM School of Medicine has offered clinical

Bills: SB106 , SB171 , SB179 , SB106 , SB171 , SB179

Committees: Senate Senate Education , Senate House Education

Keywords: graduate scholarship, higher education funding, New Mexico, appropriation, financial aid, education, documentary, historical figure, Padre Antonio Jose Martinez, Northern New Mexico State School, SB179, Senate Bill 179, UNM, University of New Mexico, medical Spanish, Spanish-language curriculum, health sciences, health professions education, language access, bilingual healthcare

Transcript Highlights:

• And for Pierce County resident Monica Bernison, the length of time that it took her to get her clinical
• And for Pierce County resident Monica Bernison, the length of time that it took her to get her clinical
• reduction in time for agency-affiliated counselors, and a 12% reduction in time for independent clinical
• reduction in time for agency-affiliated counselors, and a 12% reduction in time for independent clinical

Bills: SCR8406 , SB5825 , SB5842 , SB5863 , SB5840 , SB5827 , SB5968

Committee: Senate State Government, Tribal Affairs & Elections

Keywords: civic health, community engagement, committee reestablishment, public participation, governance, Washington State Leadership Board, WSLB, gift acceptance, grants, endowments, private funding, public funding, fundraising, state board, youth leadership, civic engagement, leadership development, Washington World Fellows, sports mentoring, Boundless Washington

Transcript Highlights:

• Carter did not experience depression or clinical anxiety.
• Carter did not experience<00:01:42.479><c> depression</c><00:01:42.960><c> or</c><00:01:43.280><c> clinical
• </c> experience depression or clinical experience depression or clinical anxiety.<00:01:44.640><c> He

Summary: The Public Safety and Judiciary Conference Committee met on May 13, 2025, with a quorum present and heard emotional testimony on Senate File 281, the coercion crime bill. Jamie Bumth testified about her son Carter’s death by suicide after being targeted in an online sextortion scheme, describing how the perpetrator groomed, shamed, and extorted him and urging lawmakers to hold offenders accountable and better protect children online. Members thanked her for sharing her story, and the committee then moved on without further discussion of that item. The committee next adopted several agreed-upon policy items. It approved Article 4, R17 House language, which extends consecutive sentencing to local jail inmates who assault a sheriff’s correctional officer, mirroring existing law for state correctional inmates and limiting the scope to first- through fourth-degree assault. The motion passed unanimously. Members also adopted Article 5, R1 Senate language with changes: replacing “preserve and protect” with “document,” removing a disputed provision related to fleeing individuals for future work, and inserting “active” so the language refers to facilitating the active search for a missing person. The committee then adopted the A3 amendment concerning felony murder resentencing, clarifying that when eligible individuals are resentenced, the predicate felony or lesser-included offense is redesignated for the felony murder charge while preserving the original conviction date, and applying the clarification to resentencings from August 1, 2023. All motions passed, and the committee adjourned after concluding its formal agenda.

Transcript Highlights:

• The Mayo Clinic is certainly very involved in this, as well as the Rochester Community and Technical
• communities great help from our medical communities the<00:02:18.879><c> Mayo</c><00:02:19.239><c> Clinic
• </c><00:02:20.040><c> is</c><00:02:20.200><c> certainly</c><00:02:20.640><c> very</c> the Mayo Clinic
• is certainly very the Mayo Clinic is certainly very involved<00:02:21.400><c> in</c><00:02:21.599><c

Transcript Highlights:

• I visited the Indian Health Services clinic in Durant, Oklahoma for what I thought and was assured was
• That's a clinical experience, and that is compared to 17,000. 280 hours of training, uh, and clinical
• Judiciary Committee, Jake Smith, Sandoval, Governor of Change Project, former teen compliance graduate clinical

Committee: Senate Senate Judiciary

Transcript Highlights:

• The clinical documentation is crucial because in many cases it ensures that children receive essential
• staff at the Department of Education feels they have the right to alter, restrict, or remove my clinical
• staff at the Department of Education feels they have the right to alter, restrict, or remove my clinical
• consultation is how midwifery... ...of practice at San Francisco General Hospital, an associate clinical
• I have a clinical foundation to be trained beyond that, but current law prohibits it.

Committee: Senate Business, Professions and Economic Development

Transcript Highlights:

• I am a registered nurse, and I am also the assistant clinic manager for David Raines School-Based Health
• Again, my name is Yolanda Green, and as I said, I serve as the assistant clinic manager.
• I operate 10 clinics, full-service FQHC sites in the East Feliciana, Livingston, Tangipahoa, West Baton
• Of the 10, I have four school-based clinics that we have been operating almost for two decades in East
• Of the 10, I have four school-based clinics that we have been operating almost for two decades in East

Bills: SR119 , SCR65 , HCR47 , HB196 , HB218 , HB256 , HB325 , HB352 , HB434 , HB448 , HB476 , HB608 , HB624 , HB626 , HB632 , HB749 , HB818 , HB1059 , HB1112 , HB1242 , HB1249

Committee: Senate Education

Summary: The Senate Education Committee met with four members present and took up a long agenda of education-related bills. Early items included SCR 65, which would create a K-12 student success task force to study statewide career and academic pathway advising; the committee adopted a substantive amendment adding designees and then reported the resolution favorably. The committee also reported favorably on SCR 119, honoring Coach D.D. Breaux, after brief remarks about her LSU gymnastics legacy and the request that LSU study naming its gymnastics training facility in her honor. Several bills affecting school operations and student support were heard and reported favorably, including HB 434 on probationary school bus driver employment and superintendent authority over dismissal; HB 484 expanding scholarship benefits for children and spouses of fallen or disabled firefighters and police officers; HB 749 and HB 1059 on savings accounts and TOPS math eligibility alignment; HB 218 adding food insecurity questions to student questionnaires, which was amended and reported favorably; HB 325 expanding TOPS Tech eligibility through dual enrollment and part-time use; HB 476 requiring Safe Haven law postings in middle and high school restrooms; HB 1249 clarifying access to school-based health centers, with an amendment adopted; HB 1242 allowing more than one early learning center license at the same location under certain circumstances; HB 632 improving data protections and functionality for LA First; and HB 352 on behavioral health services for public school students, which was amended to address IEP and dispute-process concerns before being reported favorably. Two bills drew extended debate over transparency, privacy, and school autonomy. HB 608 would create confidentiality for intercollegiate athletics revenue-sharing documents; LSU representatives argued the bill was needed to protect student-athletes and competitive information, while PAR and the Louisiana Press Association opposed it as an improper secrecy carve-out for state-generated revenue. Despite the opposition, the committee reported HB 608 favorably. HB 1112, which would exempt BESE-approved non-public pre-K programs from certain licensure and safety requirements and adjust related definitions, was amended and then heard with testimony from the Pelican Institute in support, arguing it corrects overreach from prior law and protects private school autonomy and parental choice.

Transcript Highlights:

• It could be support from a licensed clinical social worker.
• It could be a licensed clinical therapist.
• Since then, I've worked as a BCBA at the district level and for private company Touchstone at our clinical
• And without the classroom, ABA oftentimes, like in the clinical setting, lacks the real-world context
• When students transition from clinical settings to schools, they need that moment, not the restriction

Committee: House Education

Summary: The House Education Committee met on March 25, 2026, with a quorum present and heard a series of education-related bills and one resolution. The committee first took up HB 636 on hazing at public post-secondary institutions. Representative LaFleur presented the bill as a response to Caleb Wilson’s death, and family members, former Rep. Jason Hughes, and other supporters urged stronger prevention, reporting, and penalties. The committee adopted amendments adding implementation details and a lifetime ban on re-chartering an organization if hazing results in death, then reported the bill as amended as the “Caleb Wilson Hazing Prevention Act.” The committee then heard HB 218 on food insecurity screenings in public schools. LaFleur said the bill would formalize a process to identify hungry students and connect families to resources, with amendments tying the screening to existing McKinney-Vento forms and adding food-insecurity questions. Support came from charter school representatives, the Department of Education, and others, while Dr. Will Hall suggested involving caregivers and faith-based groups. The bill was reported with amendments. The committee also approved HB 626, which would require colleges and universities to provide suicide-prevention information, hotline access, and aggregated non-identifiable reporting on suicide risk. Rep. Jordan described it as a response to an uptick in suicides among college-age students, and the Board of Regents said most institutions already use telehealth or 988 resources. The bill was reported favorably. Next, the committee heard HB 749 on the administration of START, START K-12, and ABLE savings accounts. Rep. Carver said the bill would modernize and secure the program by allowing a third-party manager and online platform, while Treasury and Board of Regents staff explained that oversight would remain in place and that ABLE accounts would not be charged fees. The bill was reported favorably. The committee then considered HB 352 on behavioral health services for public school students. Rep. Mack and advocates from the Arc and ABA providers said the bill would ensure medically necessary services can be delivered in classrooms or other school settings, while the Louisiana Federation of Teachers asked for clearer pre-conference expectations to avoid classroom disruption. After testimony from parents, providers, and school stakeholders, the bill was reported with amendments. Finally, the committee approved HB 201 creating a state seal of fine arts for high school graduates, and HB 738 revising student disciplinary proceedings at colleges and universities to ensure evidence and fairness in disciplinary actions. Both bills were reported favorably. The committee also began hearing HCR 14, which expresses support for federal efforts to eliminate the U.S. Department of Education, but the transcript cuts off before any final action on the resolution is shown.

Transcript Highlights:

• We think that prior authorization has an important role to ensure that clinical guidelines are met, and
• If you look on, I believe it's pages two and three, you'll see the list of clinical professionals that
• Well, I'm Madam Chair and committee members, my name is Logan Howard, licensed clinical social worker
• They really wanted to keep this in the clinical arena, per se, and so that we didn't dilute too much
• The reality is there is no halftime in clinical care.

Summary: The committee first heard Senate Bill 21, as amended, which would create an annual birthday-based open enrollment period for Medicare supplement policyholders age 65 and older, allowing them to switch to equal or lesser coverage without medical underwriting. The Aging and Long-Term Services Department and the Office of Superintendent of Insurance supported the bill as a consumer protection measure for seniors who are locked into rising premiums, while AHIP opposed it, warning it could raise premiums for existing policyholders. The League of Women Voters and AARP supported the measure. After debate over premium impacts and market stability, the committee voted 6-4 to give SB 21 a due pass. The committee then considered Senate Bill 20, dealing with prior authorization for medications used to treat serious mental illness. An amendment to change the bill from limiting prior authorization to once every three years to once every 12 months was debated; insurers supported the annual review, while nursing, disability, and mental health advocates argued that more frequent prior authorization would add burden and delay care. The committee tabled the amendment 5-4, then passed the unamended bill on a do pass vote. Testimony emphasized that the bill would not change how often patients see their doctors, only how often insurers can require prior authorization. Next, Senate Bill 101 was heard, which repeals the delayed sunset of the Health Care Delivery and Access Act so the hospital provider tax can continue. Sponsors and the Health Care Authority said the program has generated substantial federal matching funds and supports hospitals, especially rural facilities. AARP, Health Action New Mexico, the Greater Albuquerque Chamber of Commerce, and the New Mexico Hospital Association supported the bill. Committee members asked about how funds are distributed and reported; the agency said distributions are based on Medicaid discharges and hospitals must report on spending. The bill received a do pass. The committee also approved House Memorial 52, which requests a study group on health insurance premium affordability for working families and small employers. Supporters from Blue Cross and Blue Shield and AHIP said the memorial would help identify cost drivers and improve transparency. The committee then passed House Bill 132, as amended, creating a workers’ compensation presumption for certain occupational conditions affecting police officers. Supporters from labor, state police, OSI, and business groups said it would help recruitment, retention, and recovery, while members discussed the removal of back pain from the presumption and the reinstatement of PTSD. Finally, the committee began hearing Senate Bill 14, which expands the state’s health professional loan repayment program and creates a broader advisory structure to address workforce shortages. The bill would cover physicians and many other health professions, with a large appropriation and special provisions for part-time service and loan repayment terms. The sponsor described it as a competitive recruitment tool, and numerous health care, labor, and consumer groups testified in support. The sponsor also described a proposed amendment to reallocate physician funds to other eligible health professionals if there are not enough qualified physician applicants, but the committee was preparing to move on when the transcript ended.

Transcript Highlights:

• Recent reductions would be the closing of the student health clinic and the closing of the PACER program
• for adults with mental disabilities, ...would be the closing of the student health clinic, closing of
• These funds maintain current patient care, including same-day in-clinic abortion care, provide sedation
• higher out-of-pocket costs, fewer pain management options, and less secure health centers, and even clinic
• One would be reducing funding for off-site clinics, which are largely specialty clinics in this state

Bills: HB2289

Committee: House Appropriations

Keywords: appropriations, budget, fiscal matters, state spending, general fund, supplemental budget, biennial budget, substitute bill, public defense, civil legal aid, courts, judicial branch, homelessness, supportive housing, affordable housing, behavioral health, juvenile rehabilitation, youth services, child welfare, foster care

Transcript Highlights:

• They're also required to complete 50 hours of experiential public service work through clinics, externships
• Eleven of our 13 clinics are dedicated and focused on public service and Washington state policy, and
• 84% of the clinical participants are engaged in one of those 11 clinics.
• talk courses, provides access to study spaces, provides alumni connections, local externship and clinical
• I volunteered at KCBA family law clinics for over 10 years. Upward of 75% of my cases...

Summary: The work session began with a discussion of expanding opportunities in the legal profession, especially in response to shortages of lawyers in rural Washington and in public service roles. Washington State Bar Executive Director Tara Nevitt described a slowly growing but aging attorney population, noted that younger attorneys have declined, and outlined efforts such as supervised practice pathways to bar admission, reduced admission-by-motion experience requirements, expanded law clerk capacity, rural job fairs and grants, and a pilot program allowing innovative legal service delivery models. Members asked about bar passage score changes, loan repayment assistance, and the former Limited License Legal Technician program; Nevitt said the bar is monitoring other states and remains in dialogue with the court about paraprofessional licensing. Law school representatives from UW, Seattle University, and Gonzaga emphasized public service pipelines, financial barriers, and rural legal deserts, citing LRAPs, scholarships, stipends, clinics, and hybrid or regional programs designed to recruit and retain students in Washington. Seattle U highlighted its FlexJD and hybrid hub partnerships in underserved areas, while Gonzaga and UW reported substantial shares of graduates entering public service, though most still cluster in urban regions. The committee also heard from the Washington Association of Prosecuting Attorneys and the Office of Public Defense, both of which described severe recruitment and retention problems in rural counties, with vacancies, low applicant pools, and the need for higher salaries, housing help, internships, and loan support. The Office of Public Defense said its internship and fellowship program, created by SB 5780, has already placed interns in rural counties and produced some commitments to return after graduation. The Washington State Bar’s law clerk program was also presented as a pathway that helps people train locally and remain in their communities, including by supporting succession for aging solo practitioners. The committee then shifted to family law and guardianship issues. On Title 26 guardian ad litem practice, presenters from Northwest Justice Project and private family law practice said GALs can play an important role but that training, oversight, and consistency remain major concerns, especially in domestic violence cases. They described problems such as inadequate training, bias, inconsistent recommendations, high fees, and lack of accountability, and suggested stronger, standardized training, more use of mental health professionals for custody evaluations, and better oversight mechanisms. Members asked about county practices, including rotation systems for GAL appointments and whether King County’s family court assessors provide a useful model. The discussion then moved to minor guardianships under the Uniform Guardianship Act. A Superior Court judge said the 2021 changes increased the need for court visitors and appointed counsel, but courts are struggling to find qualified attorneys and visitors, especially in rural areas. A former commissioner said most of the bill under discussion was technical cleanup to align prior amendments, though it would add some fiscal burdens. Administrative Office of the Courts staff reported that the statewide reimbursement program for UGA implementation has repeatedly run out of money earlier each year, with minor guardianship costs making up most of the expense. The Office of Public Guardianship then described rapid growth in demand for adult guardianship and less restrictive alternatives, noting that referrals and caseloads have risen sharply, but that the office is constrained by a shortage of certified professional guardians and low compensation levels. Finally, the committee began an update on Blake implementation from the Office of Civil Legal Aid, which funds civil legal services related to the decision, before the transcript cut off.

Transcript Highlights:

• Medi-Cal budget solutions, provides restoration of nearly all funds that would have been cut from clinics
• It delays harmful dental cuts and cuts to our clinics.
• It delays harmful dental cuts and cuts to our clinics.
• Tatiar, I'm the CEO of Cardia Health, a nonprofit that provides clinical services to people experiencing
• In particular, we really want to express appreciation for the PPS protection for UCS patients at clinics

Summary: The Assembly Budget Committee met to consider the 2026 Budget Act, which leaders said was the negotiated compromise with the Senate and was expected to move to the floor that evening. Opening remarks emphasized that the plan balances the budget over two years, reduces the structural deficit, and builds reserves, while also protecting core services in the face of federal cuts. Jason Sisney outlined the legislative budget framework and the likely floor bills, including AB 109, SB 110, SB 122, and SB 125. Department of Finance representative Eric Khali said the administration appreciated the two-year balanced approach and supported the modification in SB 122, while noting the package uses additional revenues and new spending to soften or reject some proposed cuts. Most of the discussion focused on major spending areas. Members and subcommittee chairs highlighted protections and additions for health care and human services, including rejecting the proposed Medi-Cal asset limit change, delaying premium increases, restoring clinic and dental funding, supporting distressed hospitals and county indigent care, and expanding county eligibility staffing to handle H.R. 1-related workload. Education members described record or expanded support for TK-12 schools, child care, special education, community colleges, teacher recruitment, and higher education, including a change to extend Cal Grant eligibility to age 30 for some community college students. Housing and homelessness funding was increased for HAP, multifamily housing, and the low-income housing tax credit, while public safety members pointed to investments in victims’ services, restorative justice, and prison closure savings. Several members also raised concerns or priorities tied to the budget deal. Some praised the package as a moral document that protects vulnerable Californians, immigrant communities, LGBTQ residents, seniors, and people with disabilities. Others noted unresolved issues, including the MCO tax’s impact on districts, the need for more support for local journalism, arts, biotech R&D incentives, transit and GGRF-related concerns, and the need for continued work on Prop. 98 and long-term fiscal resilience. The vice chair cautioned that despite the current progress, the state remains vulnerable to revenue volatility and warned that the budget should build more resilience against a possible downturn. No formal vote was taken in the portion provided, but the committee was preparing the budget package for floor action and final negotiations.

Transcript Highlights:

• Looking at some of the performance metrics that show how the hospital admissions, clinic visits, and
• Number of clinic visits are down. Number of emergency department visits are down. Why?
• health clinics that were added in fiscal year 26.
• Yeah, yeah, clinic, FQHC, you know, et cetera.
• Yeah, yeah, clinic, yeah, could be, yeah. Clinic, FQC, you know, et cetera.

Committee: House Appropriations

Transcript Highlights:

• clinic, a teaching clinic, to help create accessible dental services for the community.
• The Secretary will read... clinics who requested that across the nation who wasn't to the abortion of
• But I tell you, these clinics, like Maddie's Place, help not only the infant due to his drug addiction
• At the same time, their clinical...
• At the same time, their clinical Largely because they were having a hard time getting faculty to teach

Bills: SB6061 , SB6234 , SB6170 , SB6176 , SB6182 , SB6335 , SB5647 , SB6047 , HB2367 , HB2606 , SB5998 , SB6005 , SB6003 , SB6129 , SB6225 , SB6228 , SB6231

Summary: The Senate convened with roll call, prayer, and approval of the previous day’s journal, then moved to a resolution honoring piano teachers. Senate Resolution 8698 was adopted after remarks from Senator Conway and others describing the role of piano teachers in music education, family life, and community service. Members of the Washington State Music Teachers Association and the National Guild of Piano Teachers were recognized in the gallery. The chamber then took up the operating budget and considered a long series of amendments. Several amendments focused on housing costs and local planning, utility and energy policy, ballot measure costs, state spending growth, tort liability, and paid family and medical leave. Some amendments were adopted, including a study of utility cost impacts from climate laws, a grid-related funding amendment, a tort liability oversight/reporting amendment, and a workgroup on services for people with intellectual and developmental disabilities. Others were rejected, including proposals to create a housing task force, cap state spending growth, fund ballot initiative costs, restore local planning grants, and change paid family and medical leave usage rules. Debate on the budget amendments was often partisan and detailed, with supporters arguing for fiscal restraint, cost transparency, and relief for taxpayers and local governments, while opponents emphasized existing work, program solvency, and the need to preserve services. The Senate also heard amendments on zero-based budgeting, federal education tax credit opt-in language, reproductive health funding, food assistance work requirements, and support for the Pediatric Interim Care Center; some were defeated and some were adopted. Roll-call votes were taken on certain amendments, and the transcript ends during consideration of Amendment 0787, which would restore funding for the Pediatric Interim Care Center.

Transcript Highlights:

• For physicians, prior authorization has been and remains a major source of dissatisfaction in clinical
• For physicians, prior authorization has been and remains a major source of dissatisfaction in clinical
• committee, the author, the sponsors, and other stakeholders to improve SB 306 in ways that preserve clinical
• So when I evaluate my patients in the clinic, I'm considering not just their diagnosis, their disorder
• As a clinical researcher in the field who has worked with these drugs, I have seen that these pills may

Summary: The Assembly Health Committee heard several bills focused on health care access, oversight, and affordability. The first major item was SB 306 by Senator Becker, a prior authorization reform bill. Becker and supporters, including the California Medical Association and California Hospital Association, argued that prior authorization delays care, adds administrative burden, and can lead to serious patient harm. The bill was substantially amended late in the process to have DMHC and CDI identify services and drugs to exempt from prior authorization based on utilization data, with safeguards for fraud, waste, abuse, and patient safety. Health plans and insurers opposed the measure as written, saying prior authorization remains an important utilization-management tool and raising concerns about the 90% threshold, drug inclusion, and how modifications are counted. The committee also heard SB 35 by Senator Umberg, which would let cities or counties inspect unlicensed sober living homes if DHCS does not act promptly on complaints. Supporters said the bill would address weak enforcement and protect residents, while one behavioral health directors group opposed it unless amended. Members generally supported the measure, citing problems with unlicensed facilities and the need for local enforcement backup. The committee then heard SB 62, which would codify California’s updated essential health benefits benchmark if approved by the federal government. Senator Wiener said the package would add hearing aids, durable medical equipment, and infertility treatment including IVF, acknowledging that premiums could rise but arguing the benefits were worth it. Health Access California and other advocates supported the bill, while the California Family Council opposed it. The committee also took up SB 596 by Senator Menjivar, which would tighten the rules for hospitals claiming an on-call list as a defense to nurse staffing ratio penalties. Supporters, including nurses and SEIU, said hospitals have used vague or ineffective on-call practices to avoid accountability and that the bill would improve enforcement and patient safety. Hospital groups opposed it, arguing that staffing is highly dynamic, that hospitals need flexibility to manage acuity and emergencies, and that the bill could increase costs and interfere with collective bargaining arrangements. Finally, the committee heard SB 40 by Senator Wiener, the Insulin Affordability Act, which would cap insulin copays at $35 for a 30-day supply and restrict step therapy unless a plan covers at least one insulin in each drug type. Supporters, including physicians, diabetes advocates, nurses, students, and patient groups, said insulin is life-saving and too often unaffordable, forcing patients to ration or choose between medication and basic needs. There was no formal opposition testimony, though one member questioned why insulin remains so expensive. The committee also began discussion of SB 363, but the transcript cuts off before that bill’s full presentation or any action on the measures. No votes are recorded in the portion provided, and several bills were noted as consent items earlier in the hearing.

Transcript Highlights:

• ><c> testifying</c><00:18:31.679><c> on</c> Clinic, Christina Sablan, testifying on Clinic, Christina
• I'm Anna Flores, representing the Legal Clinic.
• </c><00:48:03.998><c> [laughter]</c> the Legal Clinic representing [laughter] the Legal Clinic representing
• Next we have Christina Saplan, Legal Clinic.
• Next we have Christina Saplan, Legal Clinic.

Committee: Senate Public Safety and Military Affairs

Summary: The joint hearing covered HB 1976, relating to dementia training for law enforcement, and HB 2443, relating to disaster services for people with disabilities and access or functional needs. For HB 1976, the Hawaii Law Enforcement Standards Board opposed the bill’s process and cost, arguing there was no documented training gap because existing CALEA accreditation already includes mental illness response training that covers dementia. Supporters, including the Alzheimer’s Association, AARP, disability advocates, caregivers, and several individuals, said dementia-specific training would help first responders better handle real-world encounters and avoid harmful misunderstandings. The committee later recommended passage with amendments, including changing mandatory language to permissive language in several places and removing a deadline for the first annual training cycle; the recommendation was adopted unanimously. For HB 2443, testimony was strongly supportive. The Disability Communication Access Board, the State Council on Developmental Disabilities, the Office of Wellness and Resilience, Hawaii Emergency Management Agency, and individual testifiers said the bill would strengthen emergency planning and response by adding a Disability Integration Specialist and better integrating people with disabilities and others with access and functional needs into disaster preparedness, sheltering, and FEMA coordination. Several speakers emphasized recent storms and rescues as evidence of the need. The committee recommended passage with amendments, including changes based on Attorney General comments and adding specialized communications and comprehensive communications planning provisions previously contained in another bill; that recommendation was also adopted unanimously. The transcript then moved to a separate mini hearing on HB 1768, relating to immigration enforcement. Supporters, including the ACLU of Hawaii, the Legal Clinic, the Hawaii Coalition for Immigrant Rights, and the Office of Hawaiian Affairs, argued the bill would prevent local law enforcement from entering 287(g)-type agreements or otherwise participating in federal immigration enforcement, citing civil rights concerns, community trust, and the need for police to focus on local public safety. One testifier raised concerns that local cooperation could help avoid mistakes in enforcement, while supporters responded that immigration enforcement is a federal responsibility and that local agencies should not be deputized for civil immigration arrests. The excerpt ends amid extended member questions and discussion, without showing a final vote on HB 1768.