Transcript Highlights:

• ’re learning, they’re building confidence, they’re not stressed out at school, leading to chronic disease
• 00:56:43.160><c> leading</c><00:56:43.480><c> to</c><00:56:43.640><c> chronic</c><00:56:43.960><c> disease
• </c> out at school leading to chronic disease out at school leading to chronic disease so<00:56:45.119

Keywords: 910, house, all

Summary: The committee heard several education-related bills, with testimony largely in support. SB 1388 and SB 1393, both concerning the School Facilities Authority and Department of Education representation and land conveyances, received support from DOE and the School Facilities Authority, with no questions or action taken. SB 423, which would add Head Start representation to the Early Learning Board, was supported by the Early Learning Board and the Executive Office on Early Learning, which explained the bill would realign the board with federal Head Start Act requirements after the board was restructured in Act 170; EEL also requested an effective-date amendment. SB 422, allowing DOE to award diplomas to students whose education was disrupted by war, drew support from DOE, the Chamber of Commerce, the Military Council, and the Special Education Advisory Council, but also significant opposition from the Hawaii Patriot Republicans and many individuals; members asked questions about the bill, and DOE explained the measure’s purpose, but no vote was taken. The committee also took testimony on SB 532, which would expand who may administer certain medications in schools. DOE, the Department of Health, and the University of Hawaii supported the bill. Members asked detailed questions about oral, nasal, and topical medications and the process for prescription review and administration; DOE explained that parents request the medication, a school form is completed, a nurse reviews it, and either a trained school health assistant or a contracted nurse administers the medication. DOE said the measure could improve attendance and learning, especially for students with ADHD, asthma, and other chronic conditions. The committee then heard SB 659 on locally sourced food products and school meals, where DOE’s procurement office opposed the higher small-purchase threshold and DOE exemption from procurement rules, while Ulupono Initiative, Hawaii Farm Bureau, Hawaii Public Health Institute, and others supported the bill as a way to advance farm-to-school goals and the 30% local food target by 2030. Testimony and questioning focused on the proposed threshold increase, transparency, and whether an online bidding system would be preferable. Finally, the committee heard SB 1300 on subsidies for ALICE families’ school meals. DOE supported the bill but requested amendments: defining eligibility at 250% of the federal poverty level, delaying implementation until the 2026-2027 school year, and covering reduced-price lunch students in full for 2025-2026. HSTA, Hawaii Appleseed, Catholic Charities Hawaii, Pride at Work Hawaii, Hawaii Youth Services Network, and others supported the measure, emphasizing food insecurity, the burden of meal paperwork, and the educational importance of free meals. Hawaii Appleseed suggested replacing ALICE with a federal poverty level standard and removing a rulemaking requirement that could delay implementation. No votes or final committee actions were reported in the transcript.

Transcript Highlights:

• My husband has been disabled with chronic Lyme disease for 10 years, with untreatable depression, anxiety
• 00:23:00.520><c> with</c><00:23:00.720><c> chronic</c><00:23:01.080><c> lyme</c><00:23:01.440><c> disease
• </c> been disabled with chronic lyme disease been disabled with chronic lyme disease for<00:23:02.000

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

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

Transcript Highlights:

• for Texans under the age of 85 and kills more Texas children and adolescents than any other state. disease
• would urge you to consider. that to go up because childhood cancer, like I said, is the deadliest disease
• CPRT is also working to increase the quality of life. for everybody who's been affected by that disease
• And you've heard those stories, that metastatic disease. We lose them every day.

Committee: House Appropriations - S/C on Articles I, IV, & V

Keywords: 1184, house, all

Transcript Highlights:

• access screening device that provides early and affordable detection of Alzheimer's, a devastating disease
• 49:37.520><c> a</c><00:49:37.680><c> dear</c><00:49:37.920><c> friend</c><00:49:38.800><c> to</c> disease
• ALS um and lost a dear friend to disease ALS um and lost a dear friend to cancer<00:49:39.760><c> who
• </c><00:58:39.440><c> The</c><00:58:39.680><c> person</c> their disease or condition.
• The person their disease or condition.

Keywords: 1191, senate, all

Transcript Highlights:

• to make sure that we have effective services to deal with syringes and to prevent HIV and other diseases
• They'll contract other diseases because of dirty syringes. So, it's a rock and a hard place.
• They'll<01:11:55.480><c> contract</c><01:11:56.560><c> other</c><01:11:56.800><c> diseases</c><01:11:
• 57.480><c> because</c> They'll contract other diseases because They'll contract other diseases because
• who are you are part of Vermont disease who are you are part of the<01:38:19.120><c> program.

Keywords: 927, senate, all

Transcript Highlights:

• experiencing something that's a little different, especially in the middle to later stages of the disease
• c><00:57:24.240><c> And</c><00:57:24.400><c> we</c><00:57:24.559><c> want</c> later stages of the disease
• And we want later stages of the disease.
• of therapeutic benefit of smoked tobacco for those who are terminally ill or living with chronic diseases
• Uh in short, we believe that diseases.

Keywords: 910, house, all

Summary: The joint hearing opened with House Bill 1969, which would provide state funding for colorectal cancer screenings for uninsured and underinsured residents. The Department of Human Services said it supports the goal of early screening but would need new administrative capacity, including a program manager and claim pre-screening, to run the program. The Department of Health supported the measure and cited low screening rates in Hawaii, noting an educational campaign to encourage screening. The Insurance Division raised concerns about reliance on federal FAQs, warning that guidance can change and may create state cost exposure. Supporters including the American Cancer Society Cancer Action Network and the Hawaii Medical Association argued the bill would close a preventive-care gap, reduce late-stage diagnoses, and save long-term costs; the committee also discussed implementation costs, estimated by DHS at roughly $1.4 million to $2 million annually plus administrative expenses, and a 6-month to 1-year timeline to establish the program. The committee then took up House Bill 1965, which would require health carriers to spend at least 6% of total medical expenditures on primary care providers. The Insurance Division said several provisions raise technical and legal concerns, including the premium freeze, the medical loss ratio language, the lack of an existing external review process for downcoding claims, and a new mandate for medically necessary inter-island transportation that could trigger an ACA defrayal. The Department of Human Services supported the intent but suggested broader language to include primary care supports and services, and noted that QUEST integration plans already invested at least 9% of total medical expenditures in primary care in 2024, with additional spending on supports and low-value care reductions. State health planning officials strongly supported the bill as an investment in primary care, saying it could improve outcomes and lower long-term costs, though they acknowledged a possible temporary premium increase during the transition. Testimony in support emphasized Hawaii’s physician shortage, especially on Maui, the Big Island, and other neighbor islands, and warned that clinics are under financial strain and may close without higher primary care reimbursement. The Hawaii Healthcare Task Force, AARP Hawaii, and other supporters said the bill would help retain providers, improve access for Medicare and Medicaid patients, and prevent downstream costs from emergency room use and avoidable hospitalizations. No votes or final committee action were taken in the portion of the hearing provided.

Transcript Highlights:

• weight gain is a primary variable in increasing risk of complications of diabetes, such as heart disease
• <00:31:52.600><c> the</c><00:31:52.919><c> newer</c><00:31:53.840><c> non-insulin</c> disease the newer
• There are people who have Parkinson’s disease or other causes of tremors, and they literally physically
• one for years is quite invasive, and it actually adds to the work burden of managing the chronic disease
• the chronic disease of diabetes so<00:41:32.760><c> we</c><00:41:32.920><c> know</c><00:41:33.119><c

Keywords: 928, house, all

Summary: The subcommittee first reviewed its schedule, noting that 13 bills were being executed the next day and that additional subcommittee work would be scheduled around Town Meeting Day and the following session days. The chair explained that the committee would not meet on Town Meeting Day, would handle the remaining bills on the next available subcommittee day, and would continue any unfinished items later in the month. The committee then took up House Bill 774, which concerned Medicare-related coverage issues. Members discussed the bill’s purpose and the differences between Medicare standard and Medicare Advantage, with one member saying the proposal was informative but did not offer a workable solution. The committee also moved to inexpedient to legislate on House Bill 185, and the motion passed on a 6-0 vote. House Bill 241, relating to alternatives to opioids, was retained for further work. Members said the bill raised concerns about insurers effectively practicing medicine and about the lack of evidence on the efficacy of some alternative treatments, while also noting that chiropractic coverage mandates already exist in statute. The committee voted to retain the bill, with the motion passing 6-0. The most extended discussion was on House Bill 648, which would expand insurance coverage for glucose monitoring. Testimony and committee comments focused on whether coverage should be tied to insulin use or instead to a physician’s medical judgment, the role of continuous glucose monitoring for people with type 2 diabetes who are not on insulin, and the potential cost impact. An insurance department fiscal analyst said the original $22-per-member estimate was based on the unamended bill and that the amended version would require updated analysis; members agreed to retain the bill to narrow the eligible population and revisit the language later.

Transcript Highlights:

• ><03:07:48.560><c> the</c><03:07:48.800><c> Centers</c><03:07:49.120><c> for</c><03:07:49.279><c> Disease
• </c> to data from the Centers for Disease to data from the Centers for Disease Control<03:07:50.160><
• She battled that chronic disease and its byproducts for over 30 years.
• </c><07:47:10.240><c> for</c><07:47:10.558><c> over</c><07:47:11.040><c> 30</c> disease and its byproducts
• for over 30 disease and its byproducts for over 30 years.<07:47:13.680><c> I</c><07:47:13.920><c> know

Keywords: U.S. House of Representatives Floor Proceedings on Monday, April 28, 2025, 1012, house, all

Transcript Highlights:

• Both my parents died of Alzheimer's disease.
• I was the primary caregiver for my mother when she developed Alzheimer's disease.
• I was the primary caregiver for my mother when she developed Alzheimer's disease at 72.
• They respond to issues such as dangerous animals, neglect, and disease risk.
• The Centers for Disease Control and Prevention and the U.S.

Committee: House Public Safety

Keywords: 988, house, all

Transcript Highlights:

• 00:16:33.079><c> or</c><00:16:33.720><c> another</c> That the child has asthma or another chronic disease
• People are working to get treatment to people, but what we're not doing is treating the actual disease
• :43:37.240><c> treating</c><00:43:37.760><c> the</c><00:43:38.000><c> actual</c><00:43:38.599><c> disease
• </c><00:43:39.599><c> of</c> doing is treating the actual disease of doing is treating the actual disease
• It's actually treating the disease of addiction.

Keywords: 00:00:00 Call to Order/Roll Call 00:01:19 Discussion of 25RS HB 785 00:30:25 Roll Call Vote on 25RS HB 785 00:32:15 Discussion of 25RS HB 61 00:36:42 Roll Call Vote on 25RS HB 61 00:38:07 Discussion of 25RS HB 788 00:51:01 Discussion of 25RS SB 14 01:11:09 Discussion of 25RS HB 685 01:44:57 Adjournment, 958, all

Summary: The House Standing Committee on Health Services met with a quorum and took up House Bill 785, as amended by a committee substitute that combined language from HB 785 and HB 787. The bill was described as addressing Medicaid managed care organization (MCO) audits, provider contract notice and amendment procedures, mental health parity compliance, and related transparency requirements. Supporters said the measure would tighten notice to providers, limit repeated contract amendments and rate reductions, require more standardized audit procedures, and add reporting on Medicaid claims, appeals, and grievances. It also includes a provision requiring coverage of at least two evaluation-and-management billable services per physician per recipient per date of service, and a section addressing narcotic/opioid treatment program licensing and reimbursement language. Testimony in support came from Representative Kim Moore, John Inman of BrightView Health, Michelle Sandborne of the Children’s Alliance, and Kelly Cormic of RYSE. They argued that MCOs often use audits and recoupments in ways that are burdensome, opaque, and financially damaging to providers, especially smaller and rural ones. They cited examples of multiple audit requests in short timeframes, large record requests with short deadlines, delayed or absent feedback, and recoupments taken before appeals are resolved. They also said parity laws are not being consistently enforced and that the bill would give the Department of Insurance authority to suspend or revoke an MCO certificate of authority for willful or repeated parity violations. Committee members generally expressed support for provider protections and transparency, while asking for clarification on the narcotic treatment and E/M billing provisions. Tom Stevens of the Kentucky Association of Health Plans testified in opposition, saying the bill is complex to implement and should be handled through the broader Medicaid oversight work of House Bill 9, the MOAB. He said the issues raised were better suited for that bipartisan stakeholder process and noted the committee substitute had not yet been fully reviewed by his group. After discussion, the committee adopted the committee substitute and then moved to a vote on the bill; the roll call began, with several members recorded as voting yes, but the transcript cuts off before the final vote result is shown.

Transcript Highlights:

• I have a special interest in rare disease policy and advocating for the patients in our state who aren't

Summary: The House received communications from the Senate announcing passage of several bills and resolutions and requesting concurrence on a number of measures, including Senate Bills 287, 326, 337, 264, 294, 217, 319, and House bills such as HB 131, 299, 291, 380, 323, 296, 339, and 308, along with House Concurrent Resolution 140. The chamber briefly adjourned and then reconvened, established a quorum, approved the previous day’s minutes, and heard a prayer focused on guidance, justice, Juneteenth, and voting rights. A major item of business was House Concurrent Resolution 155, recognizing the young men from across Delaware participating in the 2026 session of Delaware’s Boy State. Several Boy State delegates were introduced and spoke about their experiences and future plans. The resolution was read by title, a voice vote was taken, and HCR 155 passed the House. Members also used privilege of the floor to introduce guests, including local officials, constituents, and a job-shadowing student. Announcements included a staff birthday, a reminder about illegal fireworks and House Bill 63, and notice that Doggy Day would return to Legislative Hall the next day. The House then passed consent calendar number 26, consisting of SCR 200, 206, 207, 209, 210, 211, and 212, and recessed to the call of the Speaker until the next day.

Transcript Highlights:

• surrounded by her loving family at the Brugnick Center after a courageous battle with Parkinson's disease

Summary: The Senate took up several bills on final passage and enacted measures including retirement benefits for a former Attleboro firefighter, maintenance of private roads in Gloucester, expansion of a local board of health, and amendments to the Middleton town charter. It also adopted a series of Eagle Scout congratulatory resolutions and advanced a bill allowing Somerset to prohibit water fluoridation, a Fairhaven charter bill amended on the floor, a Boston easements/takings measure consolidated with a Senate bill, and local bills for Lancaster and Orange. The Senate additionally ordered to third reading and engrossment a bill concerning Dedham-Westwood Water District employees. The chamber approved extensions of reporting deadlines for the Committee on Labor and Workforce Development and the Committee on Transportation, after members asked how many bills were covered and the deadlines involved. The Labor extension covered 13 bills until July 30, and the Transportation extension covered 11 bills until July 31, 2026. The Senate also suspended rules to advance two public service committee reports establishing sick leave banks for Greg Pinkerton of the Department of Correction and Stephanie Rivera of the Worcester County Sheriff’s Office. A motion was adopted for the Senate to adjourn in memory of Dorothy Bonfante, with a brief tribute read into the record describing her family, community involvement, and ties to Peabody and Salem. Later, the Committee on Ways and Means reported that House No. 5316, a bill titled to promote rule of law, oversight, trust, and equal constitutional treatment, ought to pass with a new text amendment. The Senate adopted a special order setting the bill for second reading on May 7, 2026, with filing deadlines and procedures for amendments, then suspended the rules and adopted the order by standing vote. The Senate finally adopted an order to meet again on Monday at 11 a.m. and adjourned.

Transcript Highlights:

• Just real quick, you know, early identification and treatment of these kinds of diseases saves lives.

Bills: HB3976 , HB3000 , HB3001 , HB3003 , HB3004 , HB3066 , HB3904 , HB3644 , HB1687 , HB3920

Committee: Senate Health and Human Services

Keywords: rural hospitals, small hospitals, grant program, healthcare funding, Oklahoma health department, cosmetology, barbering, massage therapy, State Board of Cosmetology and Barbering, Service Oklahoma, license renewal, license reinstatement, licensing fees, sunset extension, board membership, human trafficking, victim services, beauty school, barber school, esthetics

Summary: The Senate Health and Human Services Committee met to consider several House bills, beginning with a series of sunset extensions for professional licensing and review boards. House Bill 3000 extended the State Board of Cosmetology and Barbering to 2031 after brief questions about prior executive-branch efforts to improve board transparency; House Bill 3001 extended the Child Death Review Board to 2031; House Bill 3003 extended the Board of Chiropractic Examiners to 2031; and House Bill 3004 extended the Board of Examiners in Optometry to 2031. Each of these bills advanced on unanimous 9-0 votes. The committee also advanced House Bill 366, which creates a revolving fund at the Health Care Workforce Training Commission to receive rural health transformation funds. Members asked about the timing and distribution of the funds, but no timeline was available. House Bill 3904 changed prenatal delivery and postpartum services from a global payment model to individualized payments, with supporters saying it would improve access to local and rural prenatal care and could help hospitals qualify for birth-friendly designations and related funding. That bill also passed 9-0. Two health-related policy bills were amended in committee and advanced. House Bill 3644, the Blake Burgess Act, requires certain hospitals to adopt policies to prevent venous thromboembolism; members asked whether the required report would be public, and the author said that was the intent. House Bill 1687, the Uniform Health Care Decisions Act, replaces older advance directive and health care agent laws with a single framework for end-of-life decision-making, with committee substitute changes adding safeguards and clarifying surrogate authority. House Bill 3920 created a sales tax exemption for LifeShare Network, matching an exemption already given to the Oklahoma Blood Institute, and it also passed after supportive testimony. All measures considered were reported out favorably, and the committee adjourned after announcing it would meet again the following week.

Transcript Highlights:

• House Bill 227 limits the post-retirement qualifying period for benefits for certain occupational diseases

Bills: HB227 , HB556 , HB543 , HB542 , HB482 , HB483 , HB484

Committee: House Ways and Means General Fund

Keywords: firefighter benefits, occupational disease, line of duty, disability pension, death benefits, retirement benefits, hypertension, heart disease, respiratory disease, cancer presumption, HIV, hepatitis, municipal firefighters, state firefighters, fire districts, workers' compensation, public safety employees, post-retirement benefits, benefit eligibility cutoff, occupational illness

Transcript Highlights:

• By the time she came to Planned Parenthood, she had developed a cervical cancer, a disease that can be

Keywords: Texas, healthcare, reproductive health, Care No Matter What Act, Planned Parenthood, maternal mortality, teen pregnancy, funding cuts, community health

Summary: The meeting addressed critical health care concerns in Texas, highlighting the consequences of funding cuts on access to reproductive health services. Key speakers emphasized the urgent need for the Care No Matter What Act, which aims to restore funding to healthcare providers like Planned Parenthood. They underscored the alarming statistics of maternal mortality and the rising rates of teen pregnancies, particularly in Black and Latina communities. Testimonies shared during the meeting illustrated the real-life impacts of healthcare access issues on individuals and families across the state, illustrating the necessity for legislative action to ensure comprehensive reproductive health services.

Transcript Highlights:

• Permanent Standing Subcommittee on Disease Prevention and Women's and Children's Health.

Keywords: 1184, house, all

Transcript Highlights:

• government organizations including the National Black Gay Men's Advocacy Coalition, the Centers for Disease

Keywords: 1184, house, all

Transcript Highlights:

• Anyone suffering kidney disease should never drink fluoridated water.
• </c><05:00:31.840><c> should</c><05:00:32.040><c> never</c><05:00:32.280><c> drink</c> kidney disease
• should never drink kidney disease should never drink fluoridated fluoridated fluoridated water<05:00
• Dental caries are pretty much one of the most important chronic diseases among children in New Hampshire
• among children in New Hampshire diseases among children in New Hampshire uh<05:15:29.760><c> around<

Keywords: 928, house, all

Summary: The committee took up several bills in executive session, beginning with HB 568 on subdivision regulations concerning water supply. Representative Donnelly moved ITL, arguing the bill would create costly studies, that towns already have jurisdiction over needed studies, and that the issue was not widespread. The committee voted ITL 9-7. HB 582, dealing with safety requirements for personal watercraft, was also moved ITL on the grounds that existing law already covers the issue and the bill was unnecessary after recent action on personal flotation devices. Representative Derby opposed the ITL, saying the bill was a common-sense safety measure and would restore a misdemeanor penalty, but the committee voted ITL 9-7. The committee then retained HB 595, relative to coastal resilience zones, after members said the bill was important but needed more work and time because of its complexity. Members noted it should be revisited later, and the motion to retain passed 16-0. HB 607, funding the Hampton Beach Area Commission and making appropriations, received an ought-to-pass recommendation 15-1, with support from members who described Hampton Beach as an important economic driver and one dissenting member saying the state should not bear the full cost. The committee also adopted Amendment 2025-3 on HB 624, establishing a local river management advisory committee grant program, by a 16-0 vote; the amendment shifted funding decisions to the Department of Environmental Services based on demonstrated need and a first-come, first-served process. The bill as amended then received an ought-to-pass recommendation 16-0 and was placed on consent. Later, the committee retained HB 629, funding the operation, maintenance, and repair of state dams, after members said the dams need attention but the bill required more work because suggested amendments had just been received. That motion passed 16-0. HB 644, concerning drones in state parks, was ITL’d because the Department of Parks and Recreation is already working through rulemaking on UAS use in remote areas, and the committee voted 16-0 for ITL. HB 657, the short notice booking act access for New Hampshire residents to state parks, was also ITL’d at the request of the prime sponsor, passing 16-0. The committee then adjourned and announced a later hearing on HB 663, which would allow the Division of Historical Resources to use a portion of Moose plate funds for administering its grant program; testimony from the sponsor and the division supported the bill as clarifying existing authority, and no final vote on HB 663 was included in the transcript excerpt.

Transcript Highlights:

• Women are dealing with diseases that our former practitioners, midwives, do not have to deal with.
• Women are dealing with diseases that our former practitioners, midwives, do not have to deal with.
• Women are dealing with diseases that our former practitioners, midwives, do not have to deal with.
• Women are dealing with diseases that our former practitioners, midwives, do not have to deal with.
• Women are dealing with diseases that our former practitioners, midwives, do not have to deal with.

Keywords: 910, house, all

Summary: The joint House Committee on Health and Committee on Consumer Protection and Commerce heard two midwifery bills, with testimony focused primarily on HB 1194. Committee chairs opened the hearing with rules for Zoom testimony and noted the bills relate to midwives. The Department of Commerce and Consumer Affairs said it supported the intent of HB 1194 and offered comments. Supporters of the bill, including the Midwives Alliance of Hawaii, argued that midwifery should remain subject to mandatory licensure to protect consumer safety, citing the state’s regulatory licensing standards and a 2025 state auditor sunset analysis. They said the bill would strengthen educational standards and public protection, and some offered clarifying amendments. Opponents argued HB 1194 would restrict access to care and fail to protect traditional, cultural, and community-based birth practices. Testifiers from the Hawaii Home Birth Task Force, the Hawaii Home Birth Collective, the Libertarian Party of Hawaii, the Center for Reproductive Rights, Pacific Birth Collective, and Papa Ola Lōkahi said the bill would limit licensure pathways, reduce access in rural and underserved areas, and burden Native Hawaiian and traditional practitioners. Several speakers said the measure could worsen Hawaii’s maternal health shortages, especially on Maui, and urged lawmakers to defer HB 1194 or instead advance HB 1328, which they said better protects practitioner access and cultural practices. The Hawaii affiliate of the American College of Nurse-Midwives said it opposed HB 1194 because it did not align with national or state standards for certified midwives and could create conflicts with Medicaid reimbursement and prescriptive authority. The ACLU also opposed the measure, emphasizing reproductive rights, privacy, and the need to preserve apprenticeship pathways to licensure. No vote or final committee action was taken during the portion of the hearing reflected in the transcript.

Transcript Highlights:

• That is a major, major contributor to poor health outcomes, chronic disease for Americans, very, very
• They will follow up and treat that disease on an ongoing basis and provide the medications and care needed
• to take care of that patient through the course of that disease and keep them healthy.
• are currently in the pipeline are targeted or personalized and can attack the exact condition or disease
• The committee is reviewing the scientific evidence to assess the impacts on chronic disease and other

Committee: Senate Health & Human Services

Keywords: 1185, senate, all