Transcript Highlights:

• I think it lasted around eight years and it was terminated in the Kayatano... premium the state made
• lasted around eight years and it was um lasted around eight years and it was um um<00:50:07.359> terminated
• <00:50:08.240> in<00:50:08.480> the<00:50:09.200> Kayatano Um, terminated in

Keywords: 912, senate, all

Summary: The joint informational briefing by the Health and Human Services and Commerce and Consumer Protection committees focused on projected impacts to Hawaii consumers from federal changes affecting Med-QUEST and the ACA marketplace, including the loss of ACA premium tax credits, OBVA/HR1-related Medicaid changes, immigrant eligibility restrictions, and new Medicaid work/community engagement requirements. Committee members noted the meeting was being streamed live and emphasized the need to explain potential coverage losses affecting a significant share of the state population. Med-QUEST administrators reported current enrollment at 390,766, about 27% of Hawaii’s population, and broke that down into major groups including roughly 128,000 ACA expansion adults and about 52,000 parent/caretaker relatives. They said the expansion adult population would be most affected by the new federal requirements, which will shorten renewal periods from 12 months to 6 months and impose community engagement rules beginning in late 2026 and 2027. They described the work requirement as 80 hours per month of work, community service, work program participation, or half-time education, with an income-based pathway tied to $580 per month at the federal minimum wage; they also noted a long list of exemptions, but said many details are still awaiting federal guidance and rulemaking. The administrators said federal changes to immigrant eligibility would eliminate Medicaid coverage for certain noncitizen categories, with an estimated 1,200 to 2,400 people affected, though about 200 may remain covered through a state-funded program for otherwise eligible individuals. They also said marketplace subsidies would no longer be available for some immigrants under 100% of the federal poverty level starting January 1, 2026, with further restrictions expected in 2027. For Hawaii overall, they estimated the new Medicaid work and renewal rules could push an additional 19,000 to 38,000 people into uninsured status, with another estimated 6,000 at risk from the six-month renewal process alone. Members asked about how exemptions would be determined, especially for medically frail and seriously mentally ill individuals, and administrators said they were still awaiting detailed federal rules and were working on data-matching and verification processes to reduce coverage losses.

Transcript Highlights:

• Gemini, and so it's going to be used for summarizing and, you know, I think we all think of the Terminator
• Terminator and and building this you Terminator and and building this you know<01:07:15.440> indestructible

Keywords: 1183, house

Transcript Highlights:

• 200% and on snap um then you<00:16:43.160> would<00:16:43.319> be<00:16:43.440> termined
• <00:16:43.920> uh<00:16:44.040> fnr you would be termined uh fnr you would be termined

Keywords: 928, house, all

Summary: The Department of Education’s Bureau of School Finance provided an adequacy-funding training for Division II, led by Mark Mello. He walked the committee through the adequacy formula using Albany, Allenstown, and Alton as examples, explaining average daily membership, base adequacy aid, and differential aid for free/reduced-price meals, special education, and English language learners. He also noted a recent change requiring home-education differential aid and emphasized that these aid streams are generally unrestricted district funding rather than money tied to specific students or programs. A major focus was the ongoing litigation over the adequacy base amount and the statewide education property tax, or SWEPT. Mello explained the historical basis of the current base amount, the 2008 legislative report that set the original methodology, and the later court ruling that the adequacy amount should be $7,356, which is now before the Supreme Court. He also described how SWEPT currently raises a fixed statewide amount of $363 million and how that revenue is used to offset the state’s adequacy obligation. For the example towns, Albany and Allenstown receive state adequacy grants because their SWEPT revenue is below their calculated adequacy cost, while Alton is an excess SWEPT community because its local SWEPT revenue exceeds the cost of adequate education. The discussion then turned to the pending “excess SWEPT” issue in the Supreme Court and what would happen if excess collections had to be remitted to the state. Mello said the Department is preparing a hypothetical walkthrough and explained that, if the court upholds the Superior Court ruling, DRA would likely be directed to collect excess SWEPT. Members raised concerns about whether SWEPT must be used for educational purposes and about the cash-flow burden on towns if money had to move from municipalities to the state and then back to districts. Mello and members discussed possible administrative workarounds, such as credits against other state aid distributions, and noted that the committee would continue reviewing the mechanics if the court decision comes down during budget work.

Transcript Highlights:

• Why wouldn't you just create two new employees and terminate two employees in the corrections department
• employee<00:15:55.360> and<00:15:55.519> and<00:15:55.519> and<00:15:56.480> terminate
• <00:15:57.120> two employee and and and terminate two employee and and and terminate two employees

Keywords: 916, all

Transcript Highlights:

• House Bill 14909, FN, an act modifying the deposit of revenues collected from the video lottery terminals
• 1409. revenues collected from the video revenues collected from the video lottery<03:20:28.479> terminals
• /c><03:20:28.880> Having<03:20:29.279> considered<03:20:29.600> the lottery terminals
• Having considered the lottery terminals.

Keywords: 1189, house, all

Transcript Highlights:

• . >> I think it depends what the terminal schedule is. I see some at Terminal 1.
• I think it depends what the terminal schedule is. I see some at Terminal 1.

Keywords: 912, senate, all

Transcript Highlights:

• At which time they uh, the uh entity can apply to terminate and transfer uh long-term care and maintenance
• they uh the uh uh entity can<01:10:50.480> apply<01:10:51.679> to<01:10:52.400> terminate
• <01:10:53.360> and<01:10:53.840> transfer<01:10:55.120> uh can apply to terminate
• and transfer uh can apply to terminate and transfer uh long-term<01:10:55.840> care<01:10:56.000

Keywords: 916, all

Transcript Highlights:

• Now, wasn't this association terminated or something? immunization agents for uh children.
• association Now, wasn't this association Now, wasn't this association Yes.<01:51:17.600> terminated
• Terminated or something? >> No, they're trying to terminate it.

Keywords: 928, house, all

Summary: The Joint Committee on Dedicated Funds met to review inactive and dedicated accounts, note prior legislation that had passed, and begin its annual review of agency funds. Members discussed several inactive funds, including some HHS-related accounts, a law enforcement memorial fund, and possible cleanup of accounting references where funds had been reorganized or merged. Staff noted that some newer funds may simply not have started receiving revenue yet, and the committee agreed to follow up on specific accounts later rather than address everything immediately. The committee then heard from Fish and Game on its dedicated funds. Topics included the statewide public boat access account, which is used for boat ramp and access-site maintenance and is supported by boat registration fees and federal funds; the ORV education, training, and enforcement account, which has declined over time and may need attention because revenue depends heavily on weather and snowmobile use; and the search and rescue account, which is funded by Hike Safe cards, a $1 fee from boat and OHRV registrations, and court-ordered fees. Fish and Game also explained that the conservation license plate fund had been merged into the non-game species management account, which is supported by donations, federal funds, and a statutory general fund transfer, and that pheasants are treated as game species under a separate program. The committee spent considerable time on the lifetime license account, an off-book Treasury-held account that collects lifetime license sales and returns funds to Fish and Game based on annual sales plus 9% of the fund balance. Members questioned why the account’s presentation did not clearly show the transfer as a revenue reduction and suggested the reporting format needed cleanup so the flow of money would be easier to understand. Fish and Game said the account is operating properly and that the transfer to the unrestricted Fish and Game fund exceeded $400,000 in the most recent year. The committee also reviewed the publications and fundraising revolving fund, which keeps a $100,000 balance for inventory purchases and transfers excess year-end funds to the unrestricted Fish and Game fund; members again raised concerns that the reporting format did not clearly show the transfer, and staff said they could add a note or other clarification.

Transcript Highlights:

• That means there's kind of two planned terminal ends.
• kind<01:15:37.679> of<01:15:37.840> two<01:15:38.239> planned<01:15:38.719> terminal
• <01:15:39.679> There kind of two planned terminal ends.
• There kind of two planned terminal ends.

Keywords: 1183, house

Transcript Highlights:

• rights to determine education because if they're in foster care and unless parental rights have been terminated
• 00:07:06.880> rights<00:07:07.199> have<00:07:07.360> been<00:07:07.520> terminated
• parental rights have been terminated. parental rights have been terminated. uh<00:07:10.280>

Keywords: 1191, senate, all

Transcript Highlights:

• Lastly, we'd like to thank you for the work on the termination reform and assisted living settings, an
• we'd like to thank you for the work on we'd like to thank you for the work on the<01:25:21.360> termination
• <01:25:22.000> reform<01:25:22.400> and<01:25:22.480> assisted the termination
• reform and assisted the termination reform and assisted living<01:25:23.120> settings,<01:25:

Keywords: 1187, senate, all

Transcript Highlights:

• I know recently there was a H.R. 899, which wants to terminate the DOE.
• 899 which know recently there was a HR 899 which wants<02:23:21.000> to<02:23:21.120> terminate
• the<02:23:21.600> doe<02:23:22.000> we're<02:23:22.160> we're wants to terminate
• the doe we're we're wants to terminate the doe we're we're really<02:23:22.520> concerned<02:

Keywords: 928, house, all

Summary: The House Education Policy and Administration Committee heard testimony on HB 222, which would repeal the requirement that a chartered public school and the resident school district sign a memorandum of understanding on how students with disabilities will receive special education services. The prime sponsor, Rep. Peggy Balboni, said the bill was requested by the New Hampshire Association of Special Education Administrators and the New Hampshire Alliance for Public Charter Schools. She argued that federal and state law already require districts to provide FAPE and that the MOU requirement has created extra work, legal costs, and delays without improving services. She said many MOUs remain unsigned, but students are still receiving services and complaint numbers have not changed. Rep. Mooney also supported repeal, calling the MOU duplicative and impractical because IEPs and 504 plans already govern services. Testimony from Jane B. Brulu of the special education administrators’ association and Beth McLure of the charter schools alliance echoed that view, saying the MOU has not helped students, has added hours of work and legal fees, and has mostly been a source of disputes over funding and service costs. McLure said her school has worked with more than 15 districts and has always been able to reach agreements, though the first year of the requirement took substantial time and money. Committee members asked about the original purpose of the law, unsigned MOUs, and whether disputes could be resolved without the requirement. A representative from the Department of Education said the MOU was originally proposed to address reports that some students were not getting services on time and to provide some oversight, but the department has no authority to order charter schools or districts to agree and no appeal process if they cannot. The department also said it does not currently audit charter school special education services because it lacks authority to monitor charter schools directly, and it urged the committee to consider some alternative oversight if the MOU requirement is repealed. The hearing on HB 222 was then closed, and the committee announced it would begin the hearing on HB 699 after a short break.

Transcript Highlights:

• section 202(d) of the National Emergencies Act, 50 U.S.C. 1622(d), which provides for the automatic termination
• 53:20.280> automatic 1622 D provides for the automatic 1622 D provides for the automatic termination
• > of<06:53:21.478> a<06:53:21.638> national<06:53:21.958> emergency termination
• of a national emergency termination of a national emergency unless<06:53:23.280> within<06:53

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, January 15, 2025, 1012, house, all

Transcript Highlights:

• Section 202D of the National Emergencies Act, 50 United States Code 1622D, provides for the automatic termination
• to ponder these two amendments, the one we just had about offshore wind and the administration's termination
• about offshore wind and the administration's administration's administration's uh<05:44:11.840> termination
• > a<05:44:13.280> project<05:44:13.680> that's<05:44:14.240> 80% uh termination
• of a project that's 80% uh termination of a project that's 80% complete<05:44:16.160> uh<05:44

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, September 9, 2025, 1012, house, all

Transcript Highlights:

• If there is a denial or termination or even a suspension or reduction in services, there will be a notice

Keywords: 908, all

Summary: The committee was called to order, the roll was taken, and the March 18 minutes were approved. Members then received several project and program updates, beginning with CHI St. Alexius’s behavioral health buildouts in Bismarck, Williston, and Grand Forks. St. Alexius reported that the Bismarck project remains on track for June 2027 completion, with demolition underway and final design work nearing completion. Williston reported construction is progressing, staffing recruitment is underway for psychiatrists and other staff, and an air handler replacement is creating a roughly $750,000 unbudgeted barrier that will slightly delay the timeline. Grand Forks reported its expansion is about 30% complete, with no major barriers beyond weather, and leaders said the project should be substantially complete in the first quarter of 2027. The Department of Health and Human Services then presented a series of budget and program updates. Donna Ockland explained several recent line-item transfers as technical corrections that net to zero and do not require new spending, then reviewed salaries, wages, and FTE counts, noting the department remains within its authorized staffing levels. Pat Rainer followed with an update on the Rural Health Transformation Program, saying 12 opportunities have been posted, 422 applications received, and $8.4 million obligated so far, with a goal of obligating the full $199 million by September. He described grants for workforce retention, rural rotations and housing, community gardens, school wellness, behavioral health promotion, safety net services, equipment, technology, EMS, and other initiatives, emphasizing that the program is intended to be transformational and tied to metrics. Members asked extensive questions about how rural eligibility is defined, how grants will support both rural facilities and hub hospitals, and how future years of funding will build on current awards. The committee also heard an update on certified community behavioral health clinics from Elena Zeller, who said North Dakota has been accepted as a demonstration state, implementation is underway in Williston, North Central/Minot, Fargo, and Dickinson, and care coordination and service counts are increasing. Rebecca Askins then reviewed SNAP payment error rates, saying the 2025 rate was finalized at 9.89%, with the state aiming to get below 6% through policy updates, training, data tools, and a quality assurance team. Members pressed her on the causes of the error rate, the role of the SPACES software system, and the need for accountability and improvements. Finally, Dirk Wilkie reported the state laboratory project reached substantial completion on June 12 and is on budget at about $69.95 million, though a service elevator had to be redesigned because it was too small for equipment.

Transcript Highlights:

• They had been sent to stay overnight at the South Station bus terminal.

Keywords: 995, all

Summary: The Joint Committee on Children, Families, and Persons with Disabilities heard testimony on a wide range of bills affecting foster youth, child welfare oversight, homelessness services, juvenile justice, social work licensure, and human services workforce supports. Committee co-chairs Senator Robyn Kennedy and Representative Jay Livingstone opened the hybrid hearing by outlining testimony procedures and accessibility measures. Several members and legislators participated throughout the day, and many witnesses were invited to submit additional written testimony after speaking. A major portion of the hearing focused on House 227/Senate 105, which would protect federal benefits owed to children in foster care. Supporters, including advocates from Hopewell, the Disability Law Center, CPCS, the Children’s Law Center, More Than Words, Friends of Children, and youth witness Onyx Rosario, said DCF had already ended the practice of taking most Social Security and SSI benefits and now conserves them in accounts for youth, but argued the policy should be codified to prevent future reversals. Witnesses described how conserved benefits help with basic needs, housing, education, transportation, and transition to adulthood, and several noted the bill also adds financial literacy and transparency requirements. Senator Joan Comerford and others said the change would protect vulnerable youth, especially children of color, LGBTQ youth, and youth with disabilities. The committee also heard testimony on House 225, which would expand the grandparents-raising-grandchildren commission by adding appointments and helping with quorum and representation. The committee also took testimony on Senate 136, which would improve emergency housing assistance for families experiencing homelessness by easing documentation requirements, allowing use of existing state data to verify eligibility, requiring notice before benefit reductions, and creating an ombudsperson. Senator Adam Gomez and other supporters said the bill would reduce barriers for families in crisis. On House 262/Senate 148, an omnibus child welfare bill, witnesses supported provisions on data reporting, education coordination, and Office of the Child Advocate reforms, while CPCS raised concerns about expanded access to sensitive records and the OCA’s role in certain proceedings. The Office of the Child Advocate supported codifying current practices and also backed child fatality review changes in House 234/Senate 133. The committee additionally heard support for Senate 108, which would require attorneys and audio/video recording during juvenile custodial interrogations, and for House 247/Senate 116, which would update the Juvenile Justice Policy and Data Board to add supported lived-experience seats. Finally, the committee heard competing testimony on Senate 135, a bill to ensure parity in social work licensure. SEIU Local 509 and supporters argued the current exam requirement disproportionately harms Black, Latino, multilingual, and multicultural applicants and worsens workforce shortages, while the Association of Social Work Boards opposed the bill, saying the exam is a necessary public-protection measure and that removing it would conflict with interstate compact efforts. The hearing also included testimony in support of a loan repayment program for human service workers, with providers and workers describing low wages, high student debt, and the need to retain staff in essential services. No votes or final committee actions were taken during the hearing itself.

Transcript Highlights:

• utility filings with the Department of Public Utilities and I've taken part in the Everett Marine Terminal

Keywords: 995, all

Summary: The hearing focused on several climate and utility-related bills, especially H. 3449/S. 2292 to expand the municipal fossil fuel-free building demonstration program from 10 to 20 communities and related home rule petitions for Somerville and other municipalities. Witnesses from Somerville, Salem, Worcester, Cambridge, Newton, Arlington, Wellesley, Watertown, and the Massachusetts Municipal Association argued that local governments should be allowed to opt into fossil fuel-free or net-zero building standards, citing climate goals, environmental justice concerns, housing production, and data showing all-electric construction can cost about the same as or less than mixed-fuel construction. Committee members repeatedly pressed witnesses for cost data and asked for written follow-up, while also discussing whether strong environmental standards affect housing supply; witnesses responded that the main housing constraints are financing and that they would provide more data from local projects and state studies. A second major topic was H. 3564, which would require gas companies to provide municipalities with detailed multi-year pipe replacement plans, allow local review and objections, and limit reimbursement for projects not previously disclosed except in emergencies. Municipal leaders and advocates said the bill would improve coordination of street work, reduce disruption and costs, and help cities plan for electrification, network geothermal, and non-pipeline alternatives. Testimony from Wellesley, Cambridge, Arlington, Newton, and others emphasized repeated problems with last-minute gas main work, the need for advance notice, and the value of municipal participation in planning gas system retirement and alternatives. The committee also heard testimony on the “tactical transition” bills, S. 2249/H. 3539, aimed at managing the gas-to-clean-energy transition. Supporters from Gas Transition Allies, Rewiring America, and 350 Mass said the bills would require joint gas-electric planning, create an advisory council, eliminate subsidies for new gas hookups, shift investment toward repairs and clean alternatives, protect workers through retraining, and make utility plans more transparent. They argued these changes would reduce ratepayer costs, avoid stranded gas assets, and support orderly decarbonization. In addition, HEET testified on H. 3541, which would update greenhouse gas accounting to better reflect methane’s short-term climate impact, and H. 3543, which would establish a framework for managing shared thermal resources and thermal energy networks; committee members asked several questions about the meaning, ownership, and consumer-cost implications of the proposed “thermal commons.” No votes were taken during the hearing.

Transcript Highlights:

• Simultaneously, we're having to review the progress together attained and transition with goodbyes and termination

Keywords: 995, all

Summary: The committee opened a hearing of the Joint Committee on Consumer Protection and Professional Licensure focused on health care and human services, reviewed testimony logistics, and then heard a long series of witnesses on several bills. Much of the testimony centered on interstate licensure compacts for dentistry, social work, and occupational therapy, with supporters arguing these compacts would improve workforce mobility, continuity of care, and access while preserving state oversight and public protection. Dental witnesses were split on H.455/S.257, with supporters backing the AADB dental compact for its hands-on exam, background checks, and disciplinary safeguards, while opponents argued a competing compact would better promote portability and avoid conflicts tied to proprietary testing and outside commissions. Social work witnesses strongly supported H.380/S.252, emphasizing continuity of care for clients who move across state lines, reduced costs and delays for practitioners, and the compact’s public-protection features; occupational therapy witnesses similarly supported H.427/S.256, citing access, telehealth, military families, and maintained standards. The committee also heard testimony on S.242, which would expand licensure for lactation care providers. Supporters, including lactation counselors and health center staff, said adding certified lactation counselors and related credentials would expand access, improve breastfeeding support, and allow reimbursement for services now often provided without billing. They described the training required and said the bill would help families, especially in underserved communities. Representative James O’Day also testified in support of the social work compact, and a Council of State Governments witness provided background on compact mechanics and state participation. Another major topic was H.419/S.214 on medical debt. Physicians and researchers testified that cancer patients experience long-lasting medical debt and collections burdens, and they supported limits on the sale and collection of medical debt, bans on reporting it to credit bureaus, and related consumer protections. The hearing also included H.465 on a pathway to special licensure for certain long-term limited-registration dentists serving MassHealth patients, which Representative Senna supported as a way to allow immigrant dentists to practice independently. Finally, the committee heard sharply divided testimony on H.444/S.284, which would allow trained dental hygienists to administer Botox and dermal fillers: supporters framed it as a safe, preventive, and access-expanding tool for TMJ, bruxism, and pain management, while dermatologists opposed it as outside hygienists’ training and a patient-safety risk. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• Current law discourages trucking from locating or expanding terminals in Massachusetts and also discourages

Keywords: 995, all

Summary: The hearing opened with remarks from the co-chairs explaining committee procedures, testimony limits, submission instructions, and the new deadlines for acting on House and Senate bills. The committee then heard testimony on several bills related to agriculture, land use, environment, housing, transportation, and taxation, with legislators often taken out of turn. No votes were taken during the hearing. The first major topic was H. 3206, a bill to allow fossil fuel-free 529 college savings plans to qualify for the state tax deduction if MEFA does not offer a comparable option. Representative Steve Owens said the bill would not force MEFA or Fidelity to change existing plans, but would create a definition for fossil fuel-free funds and extend the deduction to qualifying out-of-state plans. The committee also heard strong local testimony on a Belmont home-rule petition, H. 3970, to change tax treatment for the Belmont Country Club under Chapter 61B. Belmont residents and officials argued the private golf course receives an unfair tax break that shifts costs to other taxpayers, while Senator Brownsberger and Representative Rogers supported the measure as a way to help the town recover revenue. Committee members asked about town meeting support, the club’s lack of payment in lieu of taxes, and the size of the tax savings. The committee next heard testimony on a vehicle miles traveled tax proposal, S. 1925, from Senator Barrett and economists Gilbert Metcalf and Christopher Knittel. They argued that declining gas-tax revenue and rising fuel efficiency, especially with electric vehicles, require a more stable transportation funding source; they also said a VMT tax could be designed to be revenue-neutral and mildly progressive, though members raised concerns about administration, fairness, EV disincentives, and the possibility of annual tax shocks. The largest block of testimony focused on the Ahead Act, H. 3194/S. 1973, which would double the deed excise fee and dedicate the new revenue to affordable housing and climate adaptation. Supporters from MACDC, MAPC, FICC, Boston Climate Action Network, CLF, 350 Mass, CHAPA, and a tenant advocate said the bill could generate about $300 million annually for housing production, vouchers, weatherization, resilience, and environmental justice communities, and that it links two urgent crises with a stable funding stream. The committee also heard testimony on the Conservation Land Tax Credit bills, H. 3147/S. 2083, which would raise the annual cap on the credit from $2 million to $5 million for three years and then sunset back down. Conservation groups and a landowner said the program has conserved thousands of acres and that the higher cap would reduce delays and help meet state conservation goals. Finally, the committee took testimony on the Fairness for Farm Workers bills, S. 2011/H. 3107 and S. 2012, which would extend overtime, minimum wage, breaks, and paid time off protections to farm workers and include a refundable tax credit to help farmers offset overtime costs. Senator Gomez and advocates described the bills as overdue civil rights and public health measures, citing low wages, long hours, dangerous conditions, and the racial history behind farm labor exclusions. The hearing also included testimony on H. 3240, a bill to give municipalities a local option vacancy tax on chronically vacant shopping malls, with the sponsor arguing it would help towns address blight, encourage redevelopment, and potentially create housing and tax revenue.

Transcript Highlights:

• With Demos, terminally ill patients can discuss their care options with their providers while they still

Bills: SB274, SB301, SB249

Keywords: healthcare, life-sustaining treatment, patient preferences, POLST, advance directive, medical orders, hospital discharge, pregnancy, patient care, discharge planning, healthcare policy, substance use, harm reduction, syringe services, needle exchange, overdose prevention, naloxone, opioid antagonist, drug paraphernalia, syringe

Summary: The committee heard and advanced several measures related to health care, public health, and patient protections. House Concurrent Resolution 148, urging a statewide educational strategy on menopause, was presented as a workplace awareness measure and received supportive comments from members before being released. Senate Bill 274, updating Delaware’s MOST program to POLST and clarifying capacity determinations and documentation for end-of-life orders, also drew supportive testimony from medical and nursing groups and was released. House Bill 458, limiting local backflow preventer requirements for certain low-hazard buildings, was presented as a cost-relief measure for homeowners and small businesses; DHSS expressed concerns but said it was willing to work on amendments and a sunset provision, and the bill was released. Senate Joint Resolution 18, designating August 31, 2026 as International Overdose Awareness Day and ordering flags at half-staff, was released after brief supportive remarks. The committee then considered Senate Bill 339, a technical correction to the advance health care directive form clarifying that an agent’s authority for voluntary mental health admission cannot exceed 72 hours, consistent with existing law. Members asked detailed questions about how the 72-hour limit works and whether it applies to voluntary directives; the sponsor and a Disability Rights Delaware witness explained that the bill only aligns the form with current statute and does not expand authority. The bill was released. House Bill 301, requiring hospitals to create discharge plans for pregnant patients discharged while showing signs of labor, prompted extensive discussion. The sponsor and supporters said it would improve safety, transportation planning, and aftercare, while some members noted Delaware hospitals already do much of this work and questioned whether codifying it was necessary; supporters emphasized maternal mortality disparities and the need for guardrails. The bill was released. Senate Bill 196, creating ownership disclosure requirements for long-term care facilities and resident notice rules after ownership transfers, was presented as a transparency measure for seniors and families and was released after supportive testimony from the Delaware Nurses Association and elder-care advocates. Senate Bill 320, expanding pharmacists’ independent prescriptive authority for certain non-controlled medications and allowing opioid use disorder medications under standing order, with added malpractice reporting requirements in Senate Amendment 2, was supported by pharmacists and nurse practitioners as an access-to-care measure and was released. Senate Substitute 1 for Senate Bill 161, establishing a unified licensing and oversight framework for adult behavioral health providers under DSAM, was presented as a patient-protection measure; providers supported the goal but cautioned that regulations must be workable, and the substitute was released. Senate Joint Resolution 19, directing DHSS to study strategies to reduce health care costs, was released with a note reflecting concerns about broadening the analysis to include additional cost drivers and alternatives. Finally, Senate Bill 249 with Senate Amendment 2, modernizing harm-reduction programs and paraphernalia laws, generated the most extended debate: supporters framed it as life-saving public health policy, while opponents raised concerns about needle litter, community impacts, and whether the approach facilitates addiction. Despite the objections, the bill was released.