Transcript Highlights:

• And so HHS, we use a cost allocation system.
• So it's these three components that kind of feed into the HHS budget.
• 15:32.759> and<00:15:33.240> and<00:15:33.319> the<00:15:33.440> saying HH
• budget so complex and and the saying HH budget so complex and and the saying that<00:15:33.880> I
• on the right cost allocation and so HHS on the right cost allocation and so HHS we<00:16:46.839>

Keywords: 928, house, all

Summary: The committee convened an informational Division 3 Finance hearing focused on DHHS programmatic issues rather than budget line items. The chair emphasized that members should avoid questions requiring dollar figures and noted that the coming budget cycle would likely be difficult because revenues are expected to be tighter. Commissioner Lori Weaver said the department wanted to use the session to explain its functions at a high level, with more detailed presentations to follow, and to collect questions for later responses. Weaver outlined DHHS’s mission of supporting optimal health for state residents and described the department’s three main responsibilities: protection and prevention, client service delivery, and regulatory oversight. She said DHHS has eight divisions, a $3.6 billion total budget, about $1.217 billion in general funds, roughly a quarter of state positions, and personnel costs that are less than 11% of the budget. She also noted a recent hiring freeze, explained that the department did not request new positions except where required by law, and said vacancy rates had improved from 22% to 14% over the last two years but could rise again because of attrition and the hiring freeze. Weaver and CFO Nathan White then discussed why the DHHS budget is complex, explaining that it is built from multiple funding sources and is shaped by assumptions made months before the fiscal year begins, actual service demand, and cost allocation rules used to draw down federal funds. White highlighted maintenance-of-effort requirements, including TANF, where state spending is needed to secure federal matching funds and shortfalls can trigger penalties. At the committee’s request, DHHS agreed to provide a simplified historical accounting of TANF contributions to show how the match is assembled across positions, contracts, and other factors. The department also reviewed its roadmap, which Weaver described as a framework developed with staff and stakeholders around three themes: culture, community, and customer service. She highlighted priorities such as Mission Zero to end emergency department boarding, expanding access to community-based and residential behavioral health services, reducing reliance on institutional care, improving contract management with nonprofit and provider partners, using data dashboards to guide decisions, and investing in workforce stability and culture. No votes were taken; the main action was DHHS’s commitment to provide additional follow-up materials, including the TANF contribution breakdown.

Transcript Highlights:

• opposition<00:32:21.600> to<00:32:22.120> HB<00:32:23.480> 137<00:32:24.480> HH
• uh opposition to HB 137 HH uh opposition to HB 137 HH HD1.<00:32:26.880> Um<00:32:27.600>

Keywords: 912, senate, all

Transcript Highlights:

• Um, A&S recommendation, which HHS agrees with, is to pass with amendments to include the University of
• A&S recommendation, which HHS agrees with, is to pass with amendments to include the University of Hawaiʻi

Keywords: 912, senate, all

Summary: The committee met for decision-making only on HCR 33, which concerns the Pūpūkea sewage project. The resolution recognizes ongoing collaboration among Hawaiʻi County, the Pūpūkea community, the Department of Health, and other stakeholders to complete the project. The A&S recommendation, which the Health and Human Services committee supported, was to amend the resolution to add the University of Hawaiʻi at Hilo as a stakeholder and resource for research, environmental monitoring, and technical assistance in planning and implementation. There was no discussion or opposition raised before the vote. The committee voted to pass the resolution with amendments, with the chair, acting vice chair, and Senator Fevella voting aye; the vice chair and Senator Keohokalole were excused. The chair’s recommendations were adopted, and the meeting adjourned.

Transcript Highlights:

• All right, there's a Warner floor amendment to the HHS amendment.
• All right, there's a Warner floor amendment to the HHS amendment. Warner floor amendment.
• We're on the HHS Committee amendment as amended. Mr.
• Chairman, I move that the HHS amendment as amended be adopted.
• All right, there is a HHS committee amendment. Mr.

Keywords: 1182, all

Summary: The meeting opened with prayer, the Pledge of Allegiance, attendance, and several guest introductions, including the Doctor of the Day, realtors visiting for Realtor Day, and a representative from Home of Hope. The Senate then handled a large number of bill referrals and second-reading items before moving into Committee of the Whole on multiple calendars. Several bills were advanced with committee and floor amendments, including SB 1494, SB 1497, SB 1503, SB 1535, SB 1544, SB 1580, SB 1582, SB 1584, SB 1585, SB 1602, SB 1632, SB 1723, and SB 1798. Many of the amendments were described as technical cleanups, but some made substantive changes, such as SB 1535’s provisions on sealing records for sex-trafficking victims and SB 1723’s domestic-violence release and monitoring provisions. The Committee of the Whole also adopted a report recommending several bills do pass as amended. The chamber adopted House Concurrent Resolution 264 honoring former Senator Barbara Leff, followed by a moment of silence and remarks from her family. The Senate then returned to Committee of the Whole for Calendar 1, where it retained SB 1332 and advanced SB 1654, SB 1711, SB 1743, SCR 1047, and HB 2993. HB 2993 drew the most debate: opponents argued it had a single-subject problem, relied on funding from the Attorney General’s Consumer Protection Fraud Fund, and could create unnecessary outside-counsel costs for DPS, while supporters cited the need for the supplemental and defended the funding approach. The motion to report HB 2993 do pass carried by division, 16-13. In third reading, the Senate passed HB 4115 and a series of Senate bills, including SB 1012, SB 1213, SB 1416, SB 1474, SB 1511, SB 1549, SB 1573, SB 1634, SB 1647, and SB 1649, with several passing on close 16-13 votes. Debate centered heavily on immigration enforcement, concealed carry in businesses serving alcohol, CDL and driver-license issues, campaign finance disclosure, and a digital asset reserve fund. Members on both sides repeatedly explained votes on constitutional, public safety, fiscal, and civil-rights grounds. The session ended with bills transmitted to the House after passage.

Transcript Highlights:

• Uh, item one on page 10 was an HHS request.
• been working with Senator Roford to strip it down further, and I asked him to take what came out of HHS
• been working with Senator Roford to strip it down further, and I asked him to take what came out of HHS
• <01:03:55.119> out<01:03:55.359> of to take what came out of to take what came out of HHS
• HHS HHS and<01:03:58.960> put<01:03:59.200> him<01:03:59.440> in<01:03:59.680><

Keywords: 1191, senate, all

Transcript Highlights:

• For the record, John Williams, the legislative director for HHS.
• For the record, John Williams, the legislative director for HHS.
• So, that would fall under HHS.
• It's good to be back in Senate<01:25:30.880> HHS.
• I'm Bob Dunn, the director Senate HHS.

Keywords: 1191, senate, all

Transcript Highlights:

• in a year that comes in in addition to what we put in the budget and all these extra grants, mostly HHS
• ><00:26:00.240> the<00:26:00.640> uh<00:26:00.960> especially<00:26:01.600> HHS
• Corrections. extra grants mostly HHS and also um to extra grants mostly HHS and also um to uh<00:26:19.760
• to convene a the commissioner of HHS to convene a working<01:20:33.040> group<01:20:33.360>
• <01:22:23.199> appropriation million within the HHS appropriation million within the HHS appropriation

Keywords: 1189, house, all

Transcript Highlights:

• c> be Staffing this committee as well as be Staffing this committee as well as the<00:04:09.680> HHS
• <00:04:10.720> committee the HHS committee the HHS committee um<00:04:13.640> piggybacking
• Same thing happens over in HHS for DHS. will pay a portion of the cost usually will pay a portion of
• Now, that's very different from those who might be familiar with the HHS committee, what we call FMAP
• committee what we call fmap that the HHS committee what we call fmap that is<00:15:15.519> a<

Keywords: 1183, house

Summary: The committee met for an introductory overview of its jurisdiction and budget, with the chair emphasizing the committee’s role over a large portfolio of children, youth, and family programs and the new Department of Children, Youth, and Families (DCYF). House Research and House Fiscal staff explained their roles and described the 2023-24 reorganization that transferred many programs from DHS, DPS, MDH, and MDE to DCYF, along with a statute recodification and a crosswalk resource for members. Doug Berg then walked through the committee’s budget structure, explaining the difference between all-funds and general fund views, the major funding sources, and how forecasted programs and grant bases roll forward. He highlighted that the committee’s general fund base is a little over $2.1 billion for the biennium, with large federal components such as SNAP and TANF, and noted smaller accounts including child protection-related opioid funds and federal reimbursement offsets (FFP) for administrative costs. Members asked several questions about federal financial participation, TANF, and the effect of the repeal of the Diversionary Work Program (DWP). Staff explained that FFP generally applies to administrative costs for federally related programs and usually does not change much unless program activity changes, while TANF is a block grant that has been stable for years. On DWP, staff said the program was sunsetted effective March 1, 2026, and that the associated funding and administrative costs were being reworked rather than simply removed. A member also asked about federal funding fluctuations; staff said no changes were currently factored in, though SNAP or other federal policy changes could alter future numbers. Danielle Penelli then presented on economic assistance and employment supports transferred to DCYF, focusing first on MFIP, Minnesota’s state-supervised, county-administered welfare program jointly funded by state and federal dollars. She explained that MFIP provides cash and food assistance, employment and training services, and related supports, with a 60-month time limit and certain exemptions for illness, incapacity, or other barriers to employment. She also described the program’s income and asset standards, including a $10,000 asset limit with exclusions for homesteads and one vehicle per assistance unit member age 16 or older. Members asked clarifying questions about how the time limit applies and what assets count, and staff responded that the limit applies to the caregiver and does not restart with additional children. Penelli also introduced support services grants, which fund employment services for MFIP, DWP, and SNAP participants through workforce centers, counties, tribes, and community agencies, and help cover some county and tribal administrative costs. She began outlining nutrition programs under DCYF, including SNAP, the Minnesota Food Assistance Program, the Minnesota Food Shelf Program, the Emergency Food Assistance Program, and the American Indian Food Sovereignty Program. No formal votes or bill actions were taken during this meeting; it was primarily an informational staff briefing and question-and-answer session.

Transcript Highlights:

• Next, we'll go to HHS. Chair Trumbull, you're recognized to highlight your budget.
• Overall, the HHS budget has increased by more than $2.1 billion, or 4.6%.
• There are other key highlights of the HHS budget: $209.9 million to initiate the rural health transformation
• President, concludes the highlights of the HHS budget. Thank you, Chair Trumbull.
• President, concludes the highlights of the HHS budget. Thank you, Chair Trumbull.

Summary: The Senate began with prayer and the Pledge of Allegiance, then moved into floor consideration of the 2026-2027 budget. Appropriations Chair Hooper presented Senate Bill 2500, describing a $115 billion budget that reduces overall spending from the prior year, maintains reserves, and includes a 3% pay raise for state employees and 5% raises for state law enforcement, firefighters, correctional officers, and park rangers. Committee chairs then outlined major spending in their areas, including K-12 education, higher education, health and human services, criminal and civil justice, transportation/tourism/economic development, and environmental and agricultural programs. Highlights included increased funding for school scholarships and safety, workforce and university programs, Medicaid and child welfare, corrections operations, affordable housing, rural communities, Everglades and water quality projects, and infrastructure. Members then asked detailed questions about several budget items. Senators sought clarification on the Emergency Management Trust Fund, arts and cultural grants, Florida Forever land acquisition versus conservation easements, teacher salaries, charter school capital outlay funding, EASE grants, New College funding, DOC inmate counts and reimbursement, lottery staffing, concealed weapons licensing positions, election security funding, iBudget waiver support, ADAP funding, Medicaid hospital rate reductions, and scholarship and enrollment supplements in K-12 education. Chairs explained that some reductions reflected technical shifts or right-sizing, that some funds were being moved below the line for better tracking, and that several items—such as ADAP and corrections operations—would likely remain conference issues with the House. After questions, the Senate substituted House bills for the budget and implementing measures and adopted amendments placing the Senate language onto the House vehicles to prepare for conference. The chamber passed the budget-related bills and several conforming measures, including bills on retirement, fuel taxes, the state agency law enforcement radio system, court trust funds, judgeships, and K-12 and higher education conforming changes. Votes on the major bills were overwhelmingly unanimous or near-unanimous, and the Senate repeatedly voted to accede to the House’s request for conference on the substituted bills.

Transcript Highlights:

• Department of HHS, each state has one federally designated domestic violence coalition.
• Yes, so the HHS U.S. HHS designates a coalition in every state.
• We did invite HHS to Florida as we were growing and developing.
• We did invite HHS to Florida as we were growing and developing.

Summary: The committee held a panel discussion on Florida’s domestic violence system, focusing on the roles of the state, the federally designated coalition, direct-service providers, and law enforcement. Members reviewed the history of the system after the dissolution of the former coalition in 2020, the creation of the Florida Partnership to End Domestic Violence, DCF’s Office of Domestic Violence, and the current contract structure involving Women in Distress and its subcontractors for hotline and legal services. Panelists also discussed the 2024 lethality assessment law, the workgroup’s conclusion that the evidence-based Maryland tool could not be used because of copyright and cost issues, and the state’s current use of statutory questions instead. DCF and FDLE described the statewide certification and funding framework, including more than $60 million in domestic violence funding for fiscal year 2025-26 and the requirement that law enforcement complete lethality-assessment training by October 1, 2026. Testimony highlighted both collaboration and conflict. Florida Partnership to End Domestic Violence and Women in Distress described overlapping training and technical-assistance roles, but disagreed sharply about the quality of their relationship with DCF and whether the current structure is duplicative. DCF said it maintains communication with both the coalition and the centers and emphasized that the coalition is federally required, while the coalition argued that the department has obstructed its work. Women in Distress and Hope Villages stressed direct services, prevention, and the need for more housing, staffing, and funding, especially in rural areas. They also described programs in schools, hospitals, and child welfare settings, and noted that children exposed to domestic violence often need specialized services. Members asked about funding flows, certification, rural coverage, the number of centers, and the lethality assessment rollout. DCF said the 41 certified centers serve all 67 counties and that no new applications have been received in about 15 years. FDLE reported that 46 of roughly 400 law enforcement agencies had completed the lethality-assessment training and attestation, with the statutory deadline still ahead. Panelists said domestic violence appears to be increasing, citing higher hotline demand, shelter occupancy, and local case numbers, while also noting that statewide crime data remains outdated. The discussion ended with calls for better coordination, clearer implementation of statutes, more funding, and possible legislative fixes to improve data collection, training, and service delivery.

Transcript Highlights:

• The first slide represents HHS progress. These are projects that recently completed.
• The first slide represents HHS progress.
• You can see some DOT projects as well as some HHS products extending out into 2030 as well for OASIS
• The team is making really good progress, I would say, as well, across both us and HHS.
• I mean, but I would also say there is true partnership between us and HHS and working through this.

Summary: The Information Technology Committee approved the March 26 minutes and received a series of reports from NDIT on major IT projects, the annual report, mainframe modernization, and cybersecurity services. The project portfolio was reported at 116 major projects with a baseline cost of $546 million, overall under budget but modestly behind schedule. Several projects that had been in variance status last quarter were said to have closed, including HHS bed management, vital records modernization, and DOT roadway capital planning. New startup reports were mostly HHS efforts tied to refugee data management, technical debt cleanup, and legacy application decommissioning, while closeouts included HHS, OMB, DPI, and DOT projects with mixed budget and schedule results. In the annual report discussion, NDIT described its service-fund financials, peer-state rate comparisons, records management reporting, and customer satisfaction efforts. Members asked about how revenues and grants flow through the service fund, how NDIT charges agencies for services, and whether customer satisfaction or CSAT scores are tracked and could be reported more regularly. NDIT said it does track service-team CSAT and survey data, and committee members encouraged more regular reporting of those metrics. The committee also discussed application portfolio management, statewide IT planning, and whether agencies should slow new system replacements while the state pursues an ERP system. The mainframe update focused on the state’s ongoing effort to retire legacy systems by about 2030. NDIT and HHS said the work is being managed as a tech-debt program, but progress is slowed by data cleanup, integration complexity, staff retirements, vendor capacity, and federal requirements. Members asked whether there is a coordinated commitment and whether additional vendor support or consultants are needed; NDIT said it is working jointly with HHS and is seeking an RFP to help accelerate modernization. The cybersecurity presentation then shifted to statewide maturity assessments and services. NDIT said it provides endpoint protection, vulnerability scanning, security awareness training, threat briefings, and penetration testing, and that assessments are based on CIS controls. Members raised concerns about low participation in the self-assessment process, the lack of mandatory reporting or audit authority, and whether insurance incentives through Enderf or possible State Auditor involvement could improve compliance. No formal votes were taken beyond approval of the minutes.

Transcript Highlights:

• Calling the 1:00 HHS LBT joint calendar.
• We have Chair Elante present, as well as myself, and we have Senator Pavlla as a member of HHS.
• Chair recommendation is adopted. >> So for HHS, same recommendation. Vice Chair for the vote.
• We're going to go directly into the HHS hearing.
• going to go directly into the HHS going to go directly into the HHS hearing.<00:40:14.240> Ajourned

Keywords: 912, senate, all

Summary: The joint HHS and LBT meeting opened with accessibility concerns, as several blind attendees arrived after the general public had already been seated. The chair apologized and said future hearings would try to seat blind members earlier. The committee also announced the hearing was being streamed on YouTube, testimony would be limited to one minute, and written testimony was available online. The first bill heard was SB 2281, relating to the use of artificial intelligence in healthcare. The Department of Health supported transparency for patients but preferred disclosure through provider websites and office signage rather than a new regulatory program. The Hawaii Medical Association and Healthcare Association of Hawaii generally supported the bill’s intent but raised concerns about administrative burden and suggested a working group or model policies. Hawaii Pacific Health said it already uses AI for note-taking and patient portal functions and worried that written notice requirements could create too much consumer information. In response, the chair emphasized that patients should be informed when AI is used, especially if it affects diagnosis or consequential decisions, and said AI should not be making medical decisions. The committee later voted to recommend SB 2281 pass with amendments, including narrowing the definition of consequential decisions, removing certain language requested by DOH, adding a two-year implementation period, and setting a far-future defective date for further discussion; both committees adopted the recommendation, with the chair voting aye and the vice chair voting with reservations. The second major bill was SB 2852, a civil rights measure focused on digital access for people with disabilities. The Hawaii State Council on Developmental Disabilities, Hawaii Civil Rights Commission, Hawaii Disability Rights Center, and the National Federation of the Blind of Hawaii all supported the bill, arguing that existing law clearly protects physical access but should also make digital access explicit. Blind testifiers described how accessible technology, such as VoiceOver on iPhones, allows them to participate independently in public processes and warned that inaccessible digital systems can create barriers for thousands of blind residents. One testifier, an attorney with disability-law experience, supported the bill’s intent but said the draft had flaws, including no exceptions for archived materials, no distinction between small and large businesses, and concerns about the timing and choice of accessibility standards; he suggested delegating regulatory authority to the Hawaii Civil Rights Commission. The bill’s sponsor said he supported DAB’s proposed amendments, and the committee indicated those amendments would address many of the concerns raised. No final vote on SB 2852 was taken in the portion provided. The committee then took up SB 2751, which defines compounded prescription drugs for workers’ compensation purposes. The Department of Labor and Industrial Relations supported the bill but requested clarifying amendments to keep pharmacists as the primary professionals authorized to compound in licensed pharmacies and to limit any physician compounding authority to the physician’s own patient. Supporters included the Work Injury Medical Association of Hawaii, while Solera Integrated Medical Solutions opposed the measure, arguing the current definition was already broad enough and warning about cost inflation, especially with 503B bulk compounding facilities and physician dispensing. In questioning, members asked about rural access, reimbursement for 503B products, and late testimony suggesting definitions for 503A and 503B facilities, limits on physician dispensing to 30 days post-injury, and pre-approval for non-FDA-approved drugs. DLIR said not every rural community has licensed pharmacists available, that products with a national drug code are reimbursed at 140%, and that 503B facilities raise concerns because they are bulk manufacturers rather than patient-specific compounding operations. The meeting then moved into decision-making on SB 2281; the chair’s pass-with-amendments recommendation was adopted by both committees, with the vice chair voting with reservations.

Transcript Highlights:

• Mahalo for joining the AEN HHS hearing. It's Friday, April 17th, and we're in Room 224.
• Okay.<00:08:24.320> So,<00:08:24.560> for<00:08:24.920> HHS, Okay.
• So, for HHS, Okay.
• So, for HHS, um<00:08:27.280> we<00:08:27.560> are<00:08:27.880> awaiting<00:08:

Bills: HCR206

Keywords: data centers, electric utilities, Hawaii State Energy Office, renewable energy, environmental impact, regulatory safeguards, ratepayers, grid reliability, 912, senate, all

Summary: The committees met on several concurrent resolutions focused on energy, agriculture, water, and food security. Testimony on HCR 206 HD1 concerned the Hawaii State Energy Office and data centers, with comments submitted by the PUC, the Energy Office, and others; the measure was recommended for passage without amendment, though one committee deferred formal action until a later meeting because of quorum issues. HCR 31, recognizing 2026 as the International Year of Rangelands and Pastoralists in Hawaii, received strong support from the Hawaii Cattlemen’s Council, which emphasized managed grazing, groundwater infiltration, and food production; it was recommended and adopted as passed unamended. HCR 33, on the Pua Kōloa sewage project, was amended to add UH Hilo as a stakeholder and resource for research, monitoring, and technical assistance, then recommended for passage with amendments. The committees also heard and advanced a series of resolutions on environmental and land-use issues. HCR 36 establishing a sister-state relationship with Okayama, HCR 19 designating March as March for Water Month, HCR 162 creating an arts and data mapping task force, HCR 61 on reforestation investment, HCR 106 endorsing Waikiki as a world surfing reserve, and HCR 178 urging a Maui water set-aside were all recommended for passage as is and adopted. HCR 14, authorizing a perpetual non-exclusive easement for drainage purposes, was recommended for passage with technical, non-substantive amendments. HCR 179, addressing the Aha Moku Advisory Committee, was amended to create a working group with legislative, Aha Moku, DLNR, and OHA representation to report back for the 2027 session, and was recommended for passage with amendments. In the agriculture and environment hearing, HCR 117 on statewide food security drew testimony from a high school student and others stressing Hawaii’s vulnerability to supply disruptions and the need for local food resilience; it was passed as is. HCR 103, supporting expanded tree canopy and shade trees to reduce urban heat islands, also passed as is after a member noted storm damage concerns and suggested careful plant selection. HCR 180, urging the Department of Agriculture and Biosecurity to explore co-locating renewable energy projects with agricultural reservoirs and irrigation infrastructure, received strong support from Molokai Clean Energy Hui and others describing the Kalaupapa Reservoir floating solar project and its community planning process; it was passed as is. HCR 144 HD2, calling for a comprehensive statewide food security strategy, was also recommended and adopted without amendment.

Transcript Highlights:

• It may not be something HHS would like. I don't know. We have Ms.
• It may not be something HHS would like. I don't know. We have Ms.
• simply offering it as a kind of an interim fix until rates or things get determined internally with HHS
• And so HHS just went through this upgrade this biennium, or they're getting ready to go through it.

Keywords: 908, all

Summary: The committee first took up Senate Bill 2399, concerning therapeutic leave days for psychiatric residential treatment facilities (PRTFs). Sarah Aker from the Department of Health and Human Services explained the current Medicaid rate-setting methodology, how occupancy affects rates, and why paying the full rate for leave days would create additional fiscal impact. Members debated whether the bill should pay the full Medicaid rate, a flat reduced rate, or a tiered rate, and discussed whether a cap or department authorization should be used to control use of leave days. The department said it was not supporting the change as it was not in the governor’s budget, though it supported family engagement in care. After discussion, the committee settled on a compromise motion to set therapeutic leave days at a $500 daily rate and require department authorization of the number of leave days. The motion passed 6-2, with Representative Anderson voting no and the rest of the recorded members voting yes. The committee then moved on to Department of Corrections and Rehabilitation budget materials, where Michelle Zander walked through detailed population and rate calculations for women’s and men’s facilities, county holds, deferred admissions, transitional facilities, work release, and proposed reentry, man camp, and Grand Forks-related costs. Members asked about the county jail reimbursement rates and the overall pool of funds, and Zander explained the calculations and noted the proposal was roughly break-even depending on assumptions. The committee also heard an overview of DOCR IT requests from Amy and NDIT staff, including data processing, medical modules, a new client management system, body scanners, data management tools, facility management software, medical software upgrades, college solutions, and body cameras/tasers. Staff explained that the new client management system would likely be a multi-phase project with a wide cost range based on vendor selection and scope, and that the current request was for phase one. Members emphasized the importance of better data tracking, staff safety tools, and information that could help explain programming and release outcomes to the public. The committee planned to continue with Veterans Affairs the next day and then return to Senate Bill 2015.

Transcript Highlights:

• in<00:12:14.959> the<00:12:15.120> case<00:12:15.320> of<00:12:15.839> HHS
• <00:12:16.839> uh<00:12:16.959> but necessarily in the case of HHS uh but necessarily
• in the case of HHS uh but other<00:12:17.680> agencies<00:12:18.680> um<00:12:19.000><
• <03:26:02.319> works care providers um that that HHS works care providers um that that HHS
• and we're trying to make sure that HHS and we're trying to make sure that HHS is<03:55:04.880>

Keywords: 928, house, all

Summary: Finance Division 3 met for a work session on House Bill 519, which concerns funding for Waypoint. The chair noted general support for the organization but said the bill would likely need to be suspended and folded into the budget process because the committee did not yet know available revenues or what amount, if any, could be committed. Kya Fox, director of the Division for Behavioral Health, testified that the department supports the bill and the program, explaining that it had been funded with other available funds, including $100,000 for 2024 and $400,000 for 2025, under a contract running through June 30 of this year. She said the shelter serves a unique population of young adults and is part of the department’s children’s system of care and Mission Zero efforts to reduce barriers to psychiatric discharge and emergency department use. Members questioned Fox and Waypoint representatives about the budget placement of the request, the difference between the efficiency budget and prioritized needs, and whether state budget documents would show any internal Waypoint revenues. Fox said the request appears as a general fund item and that the state would not see Waypoint’s internal financial operations in the budget. A legislative member explained that prioritized needs are critical services already in place but not necessarily included in the efficiency budget, and another member said the distinction is not strictly applied. The committee also raised a separate question about how DHHS would handle any future state or federal restrictions on DEI practices; Fox said that was a question for department leadership and legal staff, but that the department follows state law and contract requirements. Waypoint CEO Bor Alvare and Director Mandy Lancaster then described the shelter and related services. They said the shelter serves ages 18 to 24, is a 14-bed open-room facility with half walls, and is staffed overnight by two full-time workers. They said admission is first come, first served, with some vulnerability factors considered, and that they do not discriminate by race, gender, or sexual orientation. They reported no known incidents of sexual violence, though some youth are turned away each night because the shelter is full. They also explained that Waypoint provides broader services beyond the shelter, including outreach, drop-in centers, housing support, rental assistance, and family mediation, and said they serve about 400 youth and young adults in Manchester alone. The discussion ended with questions about whether lowering the upper age limit would affect the program; Waypoint said most residents are already in the 18-to-23 range, but that housing shortages make the current age span important for helping young adults avoid chronic homelessness.

Transcript Highlights:

• The follow-up is: have you had any discussions with HHS regarding rural health transformation money and
• Chairman Devere, no crime lab, but it is a joint laboratory with Public Health or HHS and the Department
• That should be an arrow over to the HHS, send specific specifications of issue to OAH.
• I mean, somebody's denied, the Office of Administrative Hearings says we side with HHS.
• one representative from the governor's office, two representatives from OMB, two representatives from HHS

Summary: The committee met with a quorum, approved the March 18 minutes, and then received a series of updates on health-related projects and Department of Health and Human Services budget matters. Representatives from CHI St. Alexius in Bismarck and Williston, and Altru in Grand Forks, reported progress on behavioral health expansion projects, including demolition and construction milestones, updated timelines, funding status, staffing plans, and barriers such as an unbudgeted air handler replacement in Williston. Members asked about original completion dates, use of telehealth, recruitment of psychiatrists and other staff, and whether the new beds might reduce the need for patients to travel to Jamestown State Hospital. The projects were described as on track overall, with completion expected in 2027 for the larger builds and earlier openings for some phases in Williston. The committee then heard from HHS leadership on technical line-item transfers and the Salaries and Wages Block Grant. Donna Ockland explained that recent transfers were administrative corrections to place spending in the proper budget lines and did not involve new spending, and she reviewed FTE counts and vacancies across the department. Questions focused on behavioral health staffing changes and the use of consultants in the Rural Health Transformation Program. Pat Rainer outlined the rural health program’s first-year grants and priorities, including workforce retention, rural rotations and housing, community wellness initiatives, behavioral health promotion, safety net services, hospital equipment, suicide prevention training, technology, and EMS support. He said North Dakota’s plan was drawing positive national attention, but the department still needed to obligate roughly $199 million by September and was working with CMS on timing and compliance. The committee also received an update on certified community behavioral health clinics from Elena Zeller. She said North Dakota had been accepted as a demonstration state, with certification efforts underway in Williston, North Central, Fargo, and Dickinson. Members asked about care coordination, service growth, staffing, and whether certification would expand to all clinics; the department said it was still collecting baseline data and evaluating impacts before making future recommendations. Finally, Rebecca Askins reviewed SNAP payment error rates, explaining that the 2025 rate was finalized at 9.89 percent and that the department is working on training, system changes, and quality assurance steps to get below 6 percent. Members pressed on the causes of monthly variability, the performance of the SPACES system, and accountability for ongoing errors, and the department said it expects improvement over the next 6 to 12 months.

Transcript Highlights:

• Uh, with the prior concurrence of the HHS chair, we'll be making the following changes.
• Uh, with the prior concurrence of the HHS chair, we'll be making the following changes.
• After receiving the prior concurrence of the HHS Chair, the recommendation is to pass with amendments
• <01:04:44.000> concurrence<01:04:44.400> of<01:04:44.559> the<01:04:44.640> HHS
• concurrence of the HHS chair, the recommendation<01:04:46.319> is<01:04:46.559> to<01:

Keywords: 912, senate, all

Summary: At a joint Senate hearing on SCR 198 and SR 178, the committees considered resolutions urging Hawaii insurers and the Hawaii Property Insurance Association to seek subrogation claims against polluters linked to worsening climate impacts and higher insurance costs. Testimony was overwhelmingly supportive, with 47 written testimonies in support and additional oral support from former Honolulu chief resilience officer Josh Tamro. The committees recommended passage with amendments, narrowing the language to refer specifically to polluters who knowingly engaged in misleading and deceptive practices about the connection between their products and climate change, along with technical non-substantive edits. Both committees adopted the amended resolutions by vote. At a separate joint hearing on STR 226 and SR 201, which urged changes to Medicaid 1915 home and community-based services waiver eligibility criteria, supporters argued the current rules and administrative guidance were inconsistent and left some people with intellectual and developmental disabilities, including those with mental health dual diagnoses, without proper access. The Hawaii State Council on Developmental Disabilities and Hawaii Disability Rights Center supported the intent but noted factual issues and said a memo from the department addressed only part of the problem, not the mental health-related concerns. After discussion, the chair concluded the resolution was not the best vehicle and deferred it, suggesting a more comprehensive bill would be needed. The Commerce and Consumer Protection committee also took up HB 799 HD2 SD1 on healthcare and recommended passage with amendments, including striking a written transfer-agreement requirement, shortening the sunset to June 30, 2028, removing a related timeline, and making technical corrections. In another joint hearing, SCR 222 and SR 197, which would have urged towing companies to have on-site ATMs for vehicle owners, drew opposition from the Office of Consumer Protection, which said Act 60 already requires credit and debit card acceptance and that ATMs could let companies evade the law. Members noted ongoing complaints and weak enforcement, and the chair recommended turning the issue into a task force for further study, with decision-making deferred because of quorum issues. The committee also heard several other resolutions: STR 57 and SR 41, urging Congress to create a national reinsurance program, received only supportive testimony; STR 70 and SR 54, calling for a pharmacy reimbursement working group, also drew support; and STR 123, proposing an attorney general-led landlord-tenant working group, received comments from the Attorney General’s Office suggesting a more appropriate lead agency and noting the Legislative Reference Bureau may be better suited to assist. No final adverse action was taken on those measures during the hearing segment described.

Transcript Highlights:

• HHS says 720 to zero.
• HHS says 720 to zero. >> Higher percentage. >> Higher percentage on HHS 8 to 1, Madam Chair.
• Chair, seven yays and two nos. >> HHS. Seven yays and zero nos. >> No. >> No.
• >> HHS. Seven yays and zero nos. >> HHS. Seven yays and zero nos. >> Okay.
• No, [laughter] HHS, we have one yes and five no votes. So, it does not move forward. >> no.

Keywords: 918, senate, all

Summary: The committees resumed discussion of amendments to a bill dealing with licensing moratoria, change-of-ownership rules, and related provider oversight issues. Amendment A8 would prevent a licensing moratorium for certain intermediate care service settings from blocking a new license when the change is due to a change of ownership, including temporary licenses and transitional licenses. Department of Human Services staff said they were still reviewing the language but explained the department’s concern was maintaining program integrity and ensuring owners go through full change-of-ownership review so the agency can see who owns a provider and check compliance history. Senators supporting the amendment argued it would keep legitimate businesses from being harmed by a moratorium and could help preserve providers when ownership changes or family members take over after a death. A8 was adopted on a roll call, with both committees voting in support. Amendment A9, also on the moratorium topic, would exempt a change of ownership from the moratorium so long as it does not increase license capacity or service scope. The department said it needed more analysis to avoid unintended consequences, but the amendment was added to the working bill. Amendment A10 proposed a more detailed, data-driven framework for the moratorium and included a provision about refunds after implementation; department staff said the language would add cost and would require technical assistance, while senators emphasized the need to address licensure backlogs and avoid making provider delays worse. A10 was approved by the committees, though not unanimously. Amendment A11 would have set standards for how the commissioner designates provider types or program areas as moderate or high risk, with added transparency criteria. The department said the commissioner already has that authority and raised concerns about federal requirements and the state’s corrective action plan, and Senator Hoffman withdrew the amendment. Amendment A12, offered by Senator Fateh, would preserve remote supports by removing bill language that repealed the service and would add safeguards for remote overnight supervision, including staffing ratios to ensure emergency response times can be met. Several senators supported keeping remote services as an important, cost-effective option amid workforce shortages, while the department said it had program integrity concerns and supported the governor’s proposal to remove the service. The committee nevertheless advanced A12, with members noting the need to balance safety and integrity with access to services.

Transcript Highlights:

• You said something about HHS. Those are the transfers to HHS for the two transfer laws.
• c><01:06:20.440> the<01:06:20.839> transfers<01:06:21.440> to<01:06:21.640> HHS
• <01:06:22.400> for HHS those are the transfers to HHS for HHS those are the transfers to HHS
• for the changes in for transfers to HHS for the changes in the<01:19:04.800> eligibility<01:19
• that will and that impact your HHS that will and that impact your budget<01:19:21.960> in<01:

Keywords: 928, house, all

Summary: The committee first reviewed House Bill 1, focusing on the legislative branch budget, especially the Senate and House lines. Members discussed that the Senate’s fiscal year 2025 adjusted authorized amount was higher than 2024 actual spending, largely due to personnel, benefits, and travel, and one member proposed a $500,000 annual cut. Staff explained that any reduction would need to be allocated across specific line items such as personnel, benefits, and travel, and noted that the Senate budget is entirely General Funds. After discussion of how the adjusted authorized figures were calculated and why the branch no longer staffs some joint committees as it once did, the committee moved on without taking a vote on that section. The committee then heard a detailed presentation from the New Hampshire Retirement System. NHRS officials described their statutory administrative budget, which is funded through the retirement trust rather than the General Fund, and said the FY 2026-2027 increase is driven by IT modernization, cybersecurity, a new strategic plan, and additional staff positions. They also reviewed the system’s funding progress, clean audit opinions, investment performance, and changes to asset allocation, while noting that several recent pension-related laws required major database changes. Members questioned the large increase in salaries and benefits, the need for new employees versus contractors, the purpose of training costs, and the source of the Group Two benefit funding. NHRS said the governor’s budget includes General Funds for Group Two benefit changes, with $5 million in FY 2026 and $27.9 million in FY 2027, and that the figures reflect the governor’s recommendation and related HB 2 provisions. Committee members also asked about employer and employee contribution rates for Group Two police and fire members, which NHRS said were not included in the budget document but were about 31.2% for police and 30.35% for fire, with employee shares around 11.55% and 11.8%. The committee did not make a decision on the NHRS budget during this exchange and indicated it would review the details further before returning to it later. The committee then heard from the Community Development Finance Authority on the State Treasury Department budget line for the required state match to administer the federal Community Development Block Grant program. CDFA explained that its $280,000 annual request for FY 2026 and FY 2027, totaling $560,000, supports administration, technical assistance, contracting, and monitoring of roughly $19 million in annual federal CDBG funds. Members asked about the leverage of the state match, oversight of projects, staffing, and grant prioritization. CDFA said it has 18 employees, uses public hearings and a scoring system to prioritize awards, and conducts both desk and on-site monitoring, with annual audits to ensure compliance. No vote was taken on the CDFA item in the portion provided.

Transcript Highlights:

• Seeing none, the question before you is adoption of the HHS amendment to House Bill 2048.
• Chairman, I move that the Warner floor amendment to the HHS amendment be adopted.
• The HHS amendment—I don't even have a date of, oh, date of 5/29—well, is that the right?
• Seeing none, the question before you is adoption of the Werner floor amendment to the HHS amendment to

Keywords: 1182, all