Transcript Highlights:

• And I will not malign school districts.
• ><00:49:03.359><c> budgets</c> school budgets impacted, police budgets school budgets impacted, police
• And neither are the impacts to schools and the extra effort that school districts are having to implement
• that school districts are having effort that school districts are having to<00:56:52.559><c> implement
• </c> to come to school. That is a real thing. to come to school. That is a real thing.

Keywords: 1187, senate, all

Transcript Highlights:

• She added that other factors include mandatory pricing changes for pharmacy benefits and changes in the
• As he read it, it was limited to disability services, behavioral health services, pharmacy, dental, and
• about what the primary drivers of spend are, And across the program, we do see consistently that pharmacy
• And across the program, we do see consistently that pharmacy spend is a higher rinker.
• But we have found that some pharmacies will plug in a diagnosis that we do pay for, get a denial, and

Keywords: 989, all

Summary: The committee heard a budget presentation on the Division of Medicaid within the Department of Health and Welfare, including an overview of the division’s five programs, staffing, spending trends, and the large share of the budget that goes to trust and benefit payments. Ms. Williamson explained the difference between ongoing and one-time enhancements, the role of population forecast adjustments, and why the fiscal year 2026 and 2027 numbers change significantly. Members asked about the growth in the budget, the FMAP match rate, the impact of provider rate changes, and the shift of some positions into Medicaid from other divisions after last year’s reorganization. A major topic was House Bill 345 and related budget changes, including the hospital assessment fund alignment, the 4% provider rate reduction, and the effect on Medicaid expansion and other populations. The committee discussed the decline in expansion enrollment, rising costs in traditional Medicaid populations, and the governor’s recommendation to offset part of the 2027 increase with additional reductions. Members raised concerns about access to care, especially for dental, behavioral health, developmental disability, and home- and community-based services, while the deputy director said the department is trying to contain costs through prior authorization, fraud and abuse work, and policy changes. The committee also focused on the MMIS replacement project, which is in year four of a five-year procurement and is funded through dedicated and federal dollars tied to milestones. Another significant item was estate recovery, where the department requested funding to replace an outdated case management system and add contractor support to address a backlog of roughly 20,000 cases; members questioned the return on investment and asked for more detail on the software and staffing split. The deputy director also explained the federally qualified health center reconciliation issue, saying the state had not been properly paying change-in-scope amounts and is now using a new process with interim payments and later reconciliation. In addition, lawmakers asked about program integrity staffing, the use of AI, and whether the department could better target fraud, waste, and abuse investigations. The deputy director said the department is reviewing AI use cautiously and sees opportunities for it in claims review and anomaly detection, but emphasized that the current request is for dedicated receipt authority rather than general funds. No formal votes were taken in the excerpt, but the committee received the presentation, asked extensive questions, and was told that some follow-up information would be provided later.

Transcript Highlights:

• that it is also not intended to create any extra regulations or barriers surrounding enrollment in schools
• that it is also not intended to create any extra regulations or barriers surrounding enrollment in schools

Bills: HB1160, HB1289, HB1339, HB1798, HB1002, HB1065, HB1155, HB1916, HB2264, HB1078, HB1687, HB1701, HB1717, HB1795, HB1859, HB2088, HB2091, HB2107, HB2109, HB2110, HB2113, HB2124, HB2125, HB2133, HB2134, HB2140, HB2151, HB2152, HB2155, HB2165, HB2185, HB2191, HB2205, HB2211, HB2219, HB2228, HB2229, HB2230, HB2235, HB2238, HB2242, HB2245, HB2249, HB2253, HB2254, HB2269, HB2272, HB2283, HB2304, HB2317, HB2340, HB2343, HB2385, HB2406, HB2417, HB2426, HB2445, HB2452, HB2472, HB2492, HB2501, HB2531, HB2574, HB2606, HB2664, HB1160, HB1289, HB1339, HB1798, HB1065, HB1717, HB1795, HB1859, HB2107, HB2113, HB2124, HB2125, HB2133, HB2134, HB2140, HB2151, HB2155, HB2165, HB2185, HB2191, HB2205, HB2211, HB2219, HB2242, HB2245, HB2253, HB2283, HB2317, HB2343, HB2385, HB2406, HB2417, HB2426, HB2501, HB2531, HB2574, HB2606, HB1170, HB1544, HB1834, HB2111, HB2156, HB2188, HB2199, HB2206, HB2296, HB2360, HB2436, HB2471, HB2478, HB2510, HB2525, HB2532, HB2543, HB2605, HB2624, HJM4012, HB1759

Keywords: design review, local government, land use, zoning, project permits, housing density, middle housing, affordable housing, parking minimums, single-family zoning, infill development, growth management, comprehensive plan, permit streamlining, objective development regulations, architectural review, administrative review, transit-oriented development, accessory dwelling units, ADU

Transcript Highlights:

• dropped by half since the year 2000, these organizations remain land-rich, often near transit and schools
• programs operated at a community or technical college and refers to programs operating on public school
• rather than public school property.
• and being run by the schools.
• and being ran by the schools.

Bills: HB1160, HB1289, HB1339, HB1798, HB1002, HB1065, HB1155, HB1916, HB2264, HB1078, HB1687, HB1701, HB1717, HB1795, HB1859, HB2088, HB2091, HB2107, HB2109, HB2110, HB2113, HB2124, HB2125, HB2133, HB2134, HB2140, HB2151, HB2152, HB2155, HB2165, HB2185, HB2191, HB2205, HB2211, HB2219, HB2228, HB2229, HB2230, HB2235, HB2238, HB2242, HB2245, HB2249, HB2253, HB2254, HB2269, HB2272, HB2283, HB2304, HB2317, HB2340, HB2343, HB2385, HB2406, HB2417, HB2426, HB2445, HB2452, HB2472, HB2492, HB2501, HB2531, HB2574, HB2606, HB2664, HB1160, HB1289, HB1339, HB1798, HB1065, HB1717, HB1795, HB1859, HB2107, HB2113, HB2124, HB2125, HB2133, HB2134, HB2140, HB2151, HB2155, HB2165, HB2185, HB2191, HB2205, HB2211, HB2219, HB2242, HB2245, HB2253, HB2283, HB2317, HB2343, HB2385, HB2406, HB2417, HB2426, HB2501, HB2531, HB2574, HB2606, HB1170, HB1544, HB1834, HB2111, HB2156, HB2188, HB2199, HB2206, HB2296, HB2360, HB2436, HB2471, HB2478, HB2510, HB2525, HB2532, HB2543, HB2605, HB2624, HJM4012, HB1759

Keywords: design review, local government, land use, zoning, project permits, housing density, middle housing, affordable housing, parking minimums, single-family zoning, infill development, growth management, comprehensive plan, permit streamlining, objective development regulations, architectural review, administrative review, transit-oriented development, accessory dwelling units, ADU

Transcript Highlights:

• Uh, Board of Pharmacy in support.
• Uh, Board of Pharmacy in support.
• Governor's Message 760, Brandon Rabang, to the Board of Pharmacy.
• Governor's Message 760, Brandon Rabang, to the Board of Pharmacy.
• </c> Rabang to the Board of Pharmacy. Rabang to the Board of Pharmacy.

Keywords: 912, senate, all

Summary: The Senate Commerce and Consumer Protection Committee heard and considered a long list of Governor’s messages for appointments to state boards and commissions, including the Board of Dentistry, Barbering and Cosmetology, Speech Pathology and Audiology, Motor Vehicle Industry Licensing Board, Elevator Mechanics Licensing Board, Real Estate Commission, Board of Naturopathic Medicine, State Boxing Commission, Board of Professional Engineers, Architects, Surveyors and Landscape Architects, Hawaii Medical Board, Board of Physical Therapy, Board of Pharmacy, and the Public Utilities Commission. Most nominees and supporting agencies testified in support, and many nominees simply stood on their written testimony. Several nominees also answered questions about their experience and the issues facing their boards, including dental insurance and Medicaid concerns, condo and real estate disputes, pharmacy regulation and telepharmacy, boxing and MMA rule updates, and medical board service in rural areas. The committee discussed some contested or notable nominations in more detail. Richard Emery’s nomination to the Real Estate Commission drew opposition testimony tied to a condo management dispute, and he responded by emphasizing the need for factual evidence, mediation and complaint data, and better consumer education. Trinette Kahui and Andrea Ushijima were also nominated to the Real Estate Commission, with broad support. For the Boxing Commission, Robin Jumawan described ongoing statutory updates, MMA-related work, and delegation of amateur boxing rules. For the Hawaii Medical Board, Elizabeth Ignacio was strongly endorsed by state and industry witnesses as highly qualified and familiar with rural health issues, while Rebecca Sawai also received support from the board and Kaiser Permanente. In the decision-making portion, the committee moved to advise and consent to nearly all nominees on the agenda. Senator McKelvey stated reservations about Richard Emery due to opposition and possible conflicts, and also about nominees who were not present at the hearing, specifically Corrine Muldrow Soto and Stacie Kealoha Inouye; Senator Lamasao also noted reservations on those absent nominees. The chair disclosed personal acquaintance with Dr. Sawai and Andrea Ushijima. The committee then voted to adopt the recommendations, with the noted reservations and one no vote on GM 697 reflected in the record, and later reconvened to take up Governor’s Message 514/515 for John Etemura as chairperson of the Public Utilities Commission, where additional support testimony was heard from the Governor’s office, DCCA, and former consumer advocacy staff.

Transcript Highlights:

• There are a lot of kids going to school.
• We know that violence has come to our colleges but also to our high schools and that it's asking a state
• agencies to look at our behavioral response are are U.S. mental health response to schools also for
• Yeah, I think it's ironic that we don't have, you know, religious based in school, but we provide Bibles
• There were only like 2 pharmacies that even did that because it was a compound.

Transcript Highlights:

• school year.
• year, the 26-27 school year.
• The pharmacy cost trend increased 12.8% in 2000.
• And it clearly benefits the educational message primarily. of school-age and high-school children.
• Now, let's talk about the The Rosen Law Schools. Yep.

Keywords: 1184, house, all

Transcript Highlights:

• The public schools and the accredited schools are not covered by this.
• schools.
• private school—three times as many at the public schools.
• Do not apply to any public school or any accredited school. It only applies to the private schools.
• Our schools, public schools included, 90%.

Summary: The committee met with a quorum and took up a series of health and human services bills, beginning with CS/SB 1602, which would require hospital emergency departments to have evidence-based pediatric care protocols, staff training, child-sized equipment and medications, a pediatric care coordinator, and participation in a national pediatric readiness assessment. The bill was reported favorably after no public opposition. CS/SB 1224, aligning Florida law with federal requirements for paramedics to administer controlled substances under physician or nurse practitioner direction, also drew supportive testimony from the Florida Fire Chiefs Association and was reported favorably. CS/SB 1182, requiring coverage of continuous glucose monitors under both pharmacy and durable medical equipment benefits, was likewise reported favorably after brief support from AARP. The committee then considered CS/SB 890, the Emily Adkins Family Protection Act, which addresses venous thromboembolism by defining certain conditions as chronic diseases, creating a statewide registry, and requiring screening and training in hospitals, surgical centers, nursing homes, and assisted living facilities. Family members and blood clot advocates strongly supported the bill, but assisted living representatives objected to being included, arguing the bill would impose unrealistic medical expectations and liability on residential care facilities. Senators also raised concerns about the assisted living provisions, but the bill was reported favorably after the sponsor said more changes were likely later. CS/CS/SB 954, dealing with recovery residences and treatment centers, was amended to reduce the number of active patients from 500 to 300 and then reported favorably after extensive debate over zoning, clustering, neighborhood impacts, and access to recovery housing. CS/SB 1050, which expands the developmental disabilities pilot program and creates an adult pathways waiver option, generated the most extensive testimony. Supporters said it would help reduce the long APD waitlist and expand services, while many families and advocates warned against managed care, citing provider shortages, weak oversight, and the importance of consumer-directed care. Committee members emphasized that participation is voluntary and that people can disenroll, and the bill was reported favorably. CS/SB 614, requiring a public educational webpage about background screening and level-two screening requirements, and CS/SB 1578, expanding breast cancer screening coverage, were both reported favorably with little opposition. CS/SB 1060 created a joint legislative oversight committee for Medicaid financing and operations; after an amendment expanding the committee from three to five members, it was reported favorably. CS/CS/SB 1240, updating DCF substance abuse and mental health procedures including 988, methadone assessment, forensic evaluators, and Baker Act transfer timing, was amended and reported favorably after debate over transfer deadlines and facility responsibilities. Finally, the committee began hearing CS/SB 526, a major nursing education bill aimed at improving Florida’s low NCLEX passage rates by tightening program standards, requiring exit exams and remediation, mandating reporting and inspections, and limiting accreditation extensions. A strike-all amendment was introduced that would also require certain low-performing programs to offer a three-month graduate preceptorship. The transcript cuts off before the bill’s full debate and final action are completed.

Transcript Highlights:

• It targets very specifically graduates of our own schools here in New Mexico who have graduated within
• Let's say even if they didn't graduate from any... ...school of medicine or nursing, I actually think
• Representative, I can tell you at the high school level we're...
• do have medical simulators, different medical occupations, to be able to engage some of your high school
• students, middle school students, to get them excited about that occupation.

Keywords: 996, all

Transcript Highlights:

• ,</c> senior from New Newcastle High School, senior from New Newcastle High School, as<00:07:11.800><
• House Enrolled Act Number 12. to school buildings and facilities. to school buildings and facilities.
• </c> Pharmacy Board Andrew Cannon. Pharmacy Board Andrew Cannon.
• :53.800><c> Jack</c> School Facilities Commission John Jack School Facilities Commission John Jack Tarter
• [applause] Pine Bluff High School, and the Pine Pine Bluff High School, and the Pine Bluff<00:56:43.920

Keywords: 916, all

Transcript Highlights:

• We did an amazing thing in our budget by putting in money to help establish a medical school for the
• And also, how can the community colleges and technical schools kind of pair up with our high schools?
• It's a county of four stoplights, four schools.
• So not a state fiscal year, not a federal fiscal year, not a calendar year, not a school year.
• So not a state fiscal year, not a federal fiscal year, not a calendar year, not a school year.

Keywords: House Select Committee on Advancing Rural and Small Town Health Care, 976, house, all

Transcript Highlights:

• We need statewide action so communities like ours aren't left fighting, school by school, home by home
• We need statewide action so communities like ours aren't left fighting, school by school, home by home
• Hi, school nurse of 23 years, Lawrence Public Schools, and currently Medford Public Schools.
• is not a required school policy.
• In just a few months, we've completed nearly 80 product requests from schools, after-school programs,

Keywords: 995, all

Summary: The Joint Committee on Public Health heard testimony on a wide range of bills focused on environmental health, disease prevention, and access to care. Major topics included restricting polystyrene use, creating a pancreatic cancer awareness and early-detection initiative, improving indoor air quality through a task force and new regulations, expanding access to epinephrine in public places, improving access to health care for people with long COVID, creating an OBGYN loan repayment program for underserved areas, expanding access to hygiene products, modernizing licensure for dietitians and nutritionists, updating school postural screening requirements, and restricting harmful diet pills and muscle-building supplements. Several legislators also testified in support of their own bills, including measures on menstrual product access and ingredient disclosure, and surgical smoke protections. Testimony on the polystyrene bill emphasized local municipal bans and the need to reduce plastic pollution. Pancreatic cancer advocates and patients described the disease’s low survival rate, the difficulty of early diagnosis, and the need for an awareness campaign and implementation of commission recommendations. Indoor air quality supporters from environmental justice groups, public health organizations, and residents described asthma, mold, pollution, and the need for a task force with technical expertise; some witnesses urged adding remediation professionals to the task force. On epinephrine access, family members of a man who died after a bee sting and an allergy organization stressed that anaphylaxis can be sudden and fatal and that stock epinephrine in public venues could save lives. Long COVID advocates said the condition affects hundreds of thousands of residents and called for better surveillance and access to care, with a request to include MECFS in the bills’ scope. Other testimony focused on workforce and equity issues. Supporters of the OBGYN loan repayment bill said it would help address maternal health disparities and provider shortages, especially in rural and underserved communities. Hope and Comfort described widespread hygiene insecurity and a long waiting list for basic products, urging a task force to study statewide solutions. Dietitians and nutritionists supported modernization of licensure to clarify standards for medical nutrition therapy while allowing broader wellness counseling. School nurses backed reducing mandatory postural screenings, arguing the current law is not evidence-based, is not reimbursed by MassHealth, and takes time from other student health needs. On the supplement bill, the industry trade group opposed restrictions as overbroad and burdensome, while a public health expert cited research linking weight-loss and muscle-building supplements to serious harms and urged passage. The committee also heard support for menstrual product access and surgical smoke protections, with legislators and advocates describing those bills as longstanding priorities.

Transcript Highlights:

• ago, she took another job as well as the one she's been doing, and she's the dean of the nursing school
• healthcare to these rural areas and, and it's been a labor of love for her that she's built that nursing school
• We see patients in the jails, we see patients at schools, and, um, as well as we take care of our veterans
• In the pharmacy benefit managers system, so there's actually employees bringing civil litigation against
• their employers for being failed fiduciaries for their pharmacy drug plans.

Bills: HB139

Keywords: ad valorem tax, tax rates, voter-approval, taxing unit, property tax, local government

Transcript Highlights:

• Pharmacy benefits and preferred-tier medications vary between plans as people are shuffled from plan
• In addition, some medicines vary if they are on the pharmacy benefit or the medical benefit depending
• Pharmacy benefits and preferred-tier medications vary between plans as people are shuffled from plan
• Pharmacy benefits and preferred-tier medications vary between plans as people are shuffled from plan
• In addition, some medicines vary if they are on the pharmacy benefit or the medical benefit depending

Keywords: 1187, senate, all

Transcript Highlights:

• that allowed charter schools, and if districts wanted to participate, they could, but charter schools
• Schools are for academic studies.
• Charter schools, by the way, and many schools, if they want to do elective instruction in any topic or
• So not taking away the school lunches, I do appreciate that as a school board member.
• Think of all the kids you know in your high school.

Keywords: 1182, all

Transcript Highlights:

• When school lets out, the Boys and Girls Club of Hawaii offers keiki a fun, educational, safe place to
• After-school programs like the Boys and Girls Club help provide structure and meaningful activities to
• <c> nominees</c><00:20:45.720><c> for</c><00:20:45.840><c> the</c><00:20:45.920><c> Boys</c> When school
• After-school programs like the Boys and Girls Club help provide structure and meaningful activities to
• He's a senior at Leilehua High School and an active participant in programs such as Keystone.

Bills: HR209, SB3131, SB2494, SB2447, SB2727, SB2145, SB2143, HR22, HCR22, HR97, HCR105, HR138, HCR146, HCR16, HCR35, HCR40, HR3, HCR4, HR161, HCR171, HR109, HCR117, HR33, HCR33, HR141, HCR149, HR190, HCR200, HR193, HCR203, HR194, HCR204, HR196, HCR206, HR197, HCR207, HR191, HCR201, HR12, HCR10, HR148, HCR157, HR184, HCR194, HR195, HCR205, HR192, HCR202, HR173, HCR183, HR179, HCR189, HR181, HCR191, HR21, HCR21, HR23, HCR24, HR60, HCR66, HR113, HCR121, HR145, HCR153, HR74, HCR82, HR77, HCR85, HR90, HCR98, HR27, HCR36, HR165, HCR175, HR187, HCR197, HR5, HCR6, SB2054

Keywords: entertainment, comedy, youth wellness, cultural identity, Hawaiian culture, mental health, public service, job title, administrative assistant, executive assistant, state personnel, civil service, modernization, employment standards, bribery, corruption, statute of limitations, public servant, criminal justice, campaign finance

Transcript Highlights:

• I'd like to introduce here in the House all the way from Lahaina, Maui, we have Sacred Heart School and
• </c><00:18:49.600><c> football</c> years has been high school football years has been high school football
• </c> levels kind of heading into high school levels kind of heading into high school and<00:19:16.799
• We have Sane from Eva Makai Middle School and Kapper from Honolulu Middle.
• </c> School and Kapper from Honolulu Middle. School and Kapper from Honolulu Middle.

Bills: HB2391, HB2294, HB2374, HB1997, HB2147, HB2185, HB1641, HB2195, HB2023, HB2031, HB2033, HB1937, HB2586, HB2575, HB2030, HB2115, HB2233, HB1801, HB1546, HB2132, HB2102, HB2356, HB2457, HB2292, HB2554, HB676, HB1528, HB2061, HB2094, HB2095, HB2181, HB2369, HB2578, HB2493, HB1642, HB1991, HB1652, HB2104, HB2593, HB1553, HB1823, HB1918, HB1860, HB2604, HB2605, HB2001, HB2437, HB1947, HB2384, HB2473, HB2140, HB1458, HB2603, HB2411, HB1611, HB2138, HB2141, HB2284, HB1568, HB1924, HB1928, HB2570

Keywords: tax holiday, school supplies, general excise tax, Hawaii, consumer savings, education, land transfer, public schools, Department of Education, property conveyance, Act 307, Kauai, Maui, shade trees, fruit trees, educational program, climate change, tree canopy, environmental education, native plants

Transcript Highlights:

• I've also been honored to work with Victoria's Voice to help get Naloxone... into more schools and help
• them partner with school districts so these parents can come in and talk directly to students about
• His home where his pets live, where his school is, where his friends are.
• who are on this journey are actually going into an environment, whether they're going to a public school
• One of the top school systems in the entire state.

Keywords: opioid crisis, overdose, naloxone, drug trafficking, law enforcement, treatment, prevention, older adults, Medicaid expansion

Summary: The meeting convened to address the dire opioid crisis affecting communities nationwide, with a particular focus on the alarming rise of opioid use disorder among older adults. Key testimonies highlighted the critical need for a comprehensive approach that encompasses prevention, treatment, and strict law enforcement actions against drug traffickers. Sheriff Dennis Lima from Seminole County outlined successful strategies implemented in Florida, including increased access to naloxone and legislative changes to hold drug dealers accountable for overdoses. Various members expressed a united front on tackling this multifaceted issue, advocating for the expansion of Medicaid and better access to treatment as essential steps to curbing the epidemic.

Transcript Highlights:

• SB 1166: schools, high school equivalency. Education.
• SB 1143: public school safety reporting requirements. Education.
• Public school safety reporting requirements. Education.
• SB 2025: pharmacy cost sharing requirements, rebates. Finance.
• SB 1126: DCS case workers schools requirements disclosures.

Summary: The Senate opened with prayer and the Pledge of Allegiance, then established attendance, approved the prior journal, and welcomed several guests, including the Doctor of the Day, a student shadowing a senator, representatives from Republic Services, and visitors from Copper Valley Energy. Senators also announced administrative deadlines, including extensions for opening Senate folders and for Senate bill introduction preparation, with the bill introduction deadline set for February 2. The main floor business was the reading and reference of a large number of Senate bills and resolutions across many subject areas, including education, government, appropriations, natural resources, health and human services, finance, judiciary and elections, and military affairs and border security. The calendar also included second-reading placement for another large group of bills covering topics such as firearms, behavioral health, family courts, insurance, water, taxation, public safety, and elections. No substantive debate or votes on the merits of the measures occurred during this portion beyond the procedural reading and referral of the bills. Standing committee reports were accepted without being read, and committee announcements were made for upcoming meetings of Government, Health and Human Services, Regulatory Affairs and Government Efficiency, Education, Judiciary and Elections, and Public Safety. The Senate then adjourned on motion until Wednesday, January 21, 2026, at 1:15 p.m.

Transcript Highlights:

• SB 1166, Schools, high school equivalency, Education.
• SB 1143, public school safety reporting requirements, Education.
• Public school safety reporting requirements, Education.
• SB 2025, pharmacy cost-sharing requirements rebates, Finance.
• SB 1126, DCS case workers schools requirements disclosures.

Keywords: 1182, all