Transcript Highlights:

• I'm sure you're working on this.
• Further, the department is working on agreements with the fiscal administrator and has been working closely
• Well, so they're working through the requirements, the applications that we're seeing, and working through
• But we've actually worked...
• We can pull the string and work back from that.

Summary: The Senate Health Policy Committee received updates from the Agency for Health Care Administration and the Department of Health on implementation of 2024 health care laws. AHCA reviewed progress on workforce and reimbursement measures in Senate Bill 7016 and related bills, including FRAME and TEACH funding, graduate medical education reporting, behavioral health teaching hospitals, acute hospital care at home, advanced birth centers, non-emergent care access plans, and rural emergency hospitals. Agency officials said several programs are already operational or have begun payments, while others are still in rulemaking, federal approval, or report-preparation stages. Senators asked about timing, funding reversion concerns, and whether appropriated dollars would be spent on schedule, especially for behavioral health teaching hospitals and the new birth center category. The Department of Health then reported on practitioner licensure and public health programs. MQA described implementation of the Interstate Medical Licensure Compact, the Mobile Act licensure pathway, massage therapy enforcement changes, background screening expansion, liposuction safety requirements, pharmacist HIV post-exposure prophylaxis authority, and chiropractic dry needling. Public health staff updated the committee on FRAME and dental loan repayment, the Sinati screening grant program, the cancer research and innovation changes, the health care innovation council and loan program, the pediatric rare disease grant program, telehealth maternity care expansion, newborn screening for congenital CMV, the sickle cell registry and grants, and the swimming lesson voucher program. Members focused questions on how practitioners were being recruited to underserved areas, the pace of licensure approvals, and whether new programs were on track to use appropriated funds. The committee also heard a lengthy update from the Office of Medical Marijuana Use. The director reported more than 900,000 qualified patients, real-time seed-to-sale tracking now integrated across most dispensaries and labs, and ongoing compliance work on product testing, advertising, diversion, and patient safety. Senators questioned the decline in qualified physicians, how THC potency is labeled and verified, and what the agency can do about diversion to non-patients. The director said the office relies on complaints, inspections, lab audits, and coordination with law enforcement, and that patients can be suspended if violations are confirmed.

Transcript Highlights:

• relating to water carriers authorizes relating to water carriers authorizes the<00:17:49.520>
• <00:18:04.080> the adjustment mechanism authorizes the adjustment mechanism authorizes the
• :50.799> that<00:18:51.039> the of the working group that the of the working group that
• general counsel. and work on regulatory general counsel. and work on regulatory and<00:20:14.960
• worked with the introducer on this one. worked with the introducer on this one.

Keywords: 910, house, all

Summary: The committee heard testimony on several transportation-related bills. HB 1688, which would provide a general excise tax exemption for certain aircraft maintenance materials, parts, tools, and facility construction, received comments from the Department of Taxation and support from Alaska Airlines, Hawaiian Airlines, Kohala Coast Resort, the Activities and Attractions Association of Hawaii, and the Tax Foundation of Hawaii. Testimony indicated the measure was intended to clarify an existing exemption rather than create a new one. The bulk of the hearing focused on HB 2386, which would authorize the Public Utilities Commission to establish automatic adjustment mechanisms and a water carrier inflationary cost index. The Department of Transportation said it would change its testimony to support the bill, citing a 2020 working group recommendation, while the PUC and DCCA offered comments. Matson, the Maritime Group, Hawaii Harbors Users Group, and Young Brothers supported the measure, arguing it would modernize regulation, improve predictability, and help maintain reliable interisland shipping. Hawaii Farm Bureau offered comments, while Hawaii Food Industry Association, Maui Brewing Company, Lani Kai Brewing Company, and the Japanese Chamber of Commerce and Industry of Hawaii opposed it, arguing automatic rate increases were not the solution and that underlying costs and efficiencies should be addressed first. The chair noted the bill was essentially the same as one previously considered, and asked questions about how Hawaii’s water carrier regulation compares with other states. The committee also heard HB 1691, which would allow electronic signatures for certain motor vehicle title transfers after total-loss insurance settlements and remove the notary requirement for that narrow transaction. The City and County of Honolulu Department of Customer Services, Hawaii Insurers Council, Copart, American Property Casualty Insurance Association, and one individual supported it, with Copart saying the change would reduce delays and could allow a faster, largely electronic settlement process. Members asked about county impacts, and Copart said counties would only see a different form with no added cost or electronic integration. HB 1680, requiring county finance directors to notify agencies through a centralized system for vehicle transfers, drew opposition from the City and County of Honolulu Department of Customer Services and one individual in support. HB 2516, raising helmet requirements for electric foot scooters and bicycles and requiring helmets for high-speed or Class 3 electric bicycles, received support from DOT, DOH, AAA Hawaii, and the Hawaii Bicycling League. HB 193, allowing deaf vehicle owners to register a deafness designation visible to law enforcement, drew support from the City and County of Honolulu Department of Customer Services, the Hawaii Disabilities Rights Center, and an individual who suggested amendments to broaden the bill to deaf and hard of hearing individuals and adjust the proof standard. HB 2442, increasing required accessible and van-accessible parking spaces in larger parking lots, was supported by the Disability and Communication Access Board, the Council on Developmental Disabilities, and the Disability Rights Center, which said the bill would address shortages of accessible parking and may need technical amendments to align terminology with the ADA.

Transcript Highlights:

• scheduled to conclude and the need to start other statutory work already authorized by the legislature
• It’s not working.
• I appreciate the work of the author, and I appreciate his passion, which was evidenced by this.
• What are they truly working on?
• those work plans.

Summary: The committee heard several audit requests and related testimony. The first major item was an audit of Coachella Valley Unified School District’s contract and fiscal management. The author and supporters described long-standing fiscal mismanagement, large budget shortfalls, layoffs, contracting concerns, and questions about the district’s foundation and use of public funds. District representatives and the Riverside County Office of Education said the district is already under fiscal oversight, has a stabilization plan, and is working to reduce deficits and improve student outcomes. After extensive debate and public comment, the motion to approve the audit was put on call because the committee did not have the required votes from both houses at that moment. The committee then approved an audit of East Bay transit agencies in Alameda and Contra Costa counties. Senator Wahab argued the region’s many overlapping transit agencies create fragmentation, duplication, and inefficiency, especially amid a fiscal cliff and possible future tax increases. Transit agencies and labor representatives opposed the audit, saying the agencies already undergo multiple audits, serve distinct local needs, and are implementing regional coordination efforts. After testimony from agency leaders and public commenters, the committee voted to approve the audit. The next item was an audit of California Community Colleges’ unrestricted reserves. Senator Archuleta and supporting faculty representatives said reserves have grown substantially and may be diverting resources from student services, instruction, and workforce programs. They argued there is little oversight when reserves become too high. The Chancellor’s Office and Calbright College were invited to respond, and the audit objectives focused on reserve growth, reasons for high balances, oversight by the Chancellor’s Office, and effects on students and staff. The transcript cuts off during the Chancellor’s Office response, so the final committee action on this item is not shown.

Transcript Highlights:

• At the request of the author...
• I want to thank our colleague from San Diego for his hard work.
• Thank you for your work. Thank you.
• Thank you for the work that you did. Thank you. Thank you.
• Today I rise as a proud principal co-author for AB 35.

Keywords: 988, house, all

Transcript Highlights:

• As a reminder, primary witnesses in support are those designated by the author.
• And we have an author present. Thank you, Senator, for being here on time.
• important bill and for the work of this committee.
• And for the work of this committee, again.
• Our co-sponsor, the League of Women Voters, has been working on making a democracy that works for all

Keywords: 988, house, all

Transcript Highlights:

• Authorizes FDOT if to utility work in the right said it works when it works.
• I said it works when it works.
• works great.