Transcript Highlights:

• um Training Services Services I guess um Training Services Services I guess um which<00:23:38.360
• the growth in these case Services the growth in these case Services expenditures<00:26:25.120>
• unit costs have grown for case Services unit costs have grown for case Services as as as well<00
• <00:56:22.119> which of individual placement Services which of individual placement Services
• good thing it is a proactive service good thing it is a proactive service that<01:12:26.400>

Bills: HF1538, HF1965, HF2251, HF2838

Keywords: teacher apprenticeship, registered apprenticeship, teacher licensure, teacher shortage, workforce development, education finance, K-12 education, higher education, Professional Educator Licensing and Standards Board, PELSB, Tier 3 license, teacher preparation, mentor teacher, school district, cooperative unit, teacher pipeline, alternative licensure, apprenticeship program, labor and industry, union representation

Transcript Highlights:

• Department of Health and Human Services issued a memorandum suggesting that every state should adopt
• Department of Health and Human Services issued a memorandum suggesting that every state should adopt
• a Human Service sures issued a Human Service sures issued a memorandum<00:10:32.519> suggesting
• Grom with the Department of Human Services, I think Chair Beerman did a good job in describing this bill
• Grom with the Department of Human Services, I think Chair Beerman did a good job in describing this bill

Bills: HF2371, HF2147, HF2557, HF1165, HF2466, HF2465, HF2482

Keywords: informed consent, sensitive examinations, healthcare, patient rights, anesthesia, hot water pools, rental properties, public health, safety regulations, Minnesota Statutes, health care access, hospital surcharge, fund allocation, medical assistance, health funding, health care, education, bonding capacity, financing, Minnesota Higher Education Facilities Authority

Transcript Highlights:

• Madam Chair, members, it looks like this bill is dealing with anesthesia services.

Bills: SB1684, SB1443, SB1447, SB378, SB1920

Keywords: SB1684, Oklahoma Highway Remediation and Cleanup Services Act, highway cleanup, roadway remediation, tow truck, wrecker service, liability insurance, DEQ, Department of Environmental Quality, motor vehicles, licensing, public safety, cleanup operators, roadside services, commercial towing, insurance requirement, license fee, revocation, suspension, Turnpike Authority

Transcript Highlights:

• To support recruitment and retention for Guard personnel, recognize the service and readiness requirements

Bills: HB187, HB341, HB4, HB175, HB326

Keywords: HB187, court fees, docket fee, sheriff's fund, sheriff's office, jail operations, law enforcement, county sheriff, court filing fees, Alabama Code 12-19-312, solicitor's fund, clerk's fund, forensic services trust fund, budget flexibility, public safety, municipal court, district court, circuit court, cosmetology, makeup application

Bills: SB 1113, SB 1117, SB 1206, SB 1460, SB 1802, SB 1906, SB 1917, SB 2340, SB 2455, SB 2680, SB 2690, SB 705, SB 748

Keywords: dentistry, botulinum toxin, aesthetic treatments, dental regulation, training, electricity, transmission services, municipal consent, utility regulations, construction, state highways, ethics, compliance, licensing, government, transparency, landlord, tenant rights, repair obligations, housing conditions

Transcript Highlights:

• That creates the new transmission service provider forecast.
• Existing law requires that they have a different license from TCEQ.
• transmission license holder.
• This is a license to do professional displays. Yes, sir. Okay.
• But a professional display license goes for a much larger class.

Bills: SB 438, SB 512, SB 647, SB 648, SB 1495, SB 2121, SB 2145, SB 2154, SB 2167, SB 2184, SB 2211, SB 2268, SB 2349, SB 2443, SB 2629, SB 2702, SB 2902

Keywords: SB 438, Texas, State Office of Administrative Hearings, SOAH, administrative law judge, ALJ, public information act, open records, confidentiality, privacy, home address, home telephone number, emergency contact information, social security number, family members, Government Code 552.117, Government Code 552.1175, Tax Code 25.025, public records, government transparency

Summary: The meeting of the committee commenced with the establishment of a quorum, where members discussed and voted on five significant bills related to energy efficiency, insurance regulation, and public utility governance. Notably, Senate Bill 2717 was presented, incorporating feedback to foster collaboration among various state agencies for improved energy efficiency performance. This was followed by a detailed discussion on Senate Bill 1642, which proposed changes to the Texas Department of Insurance's executive structure to optimize management and consumer focus. Each bill saw active participation from senators who moved to adopt committee substitutes for clarity and responsiveness to stakeholder concerns, indicating a proactive approach to legislative issues.

Transcript Highlights:

• That creates the new transmission service provider forecast.
• As a licensed plumber and representative of IAPMO, As a licensed plumber and representative of IAPMO,
• TCEQ has a license for those who work on backflow assemblies.
• transmission license holder.
• But you're not dealing with a license to sell fireworks.

Bills: SB438, SB512, SB647, SB648, SB1495, SB2121, SB2145, SB2154, SB2167, SB2184, SB2211, SB2268, SB2349, SB2443, SB2629, SB2702, SB2902

Keywords: SB 438, Texas, State Office of Administrative Hearings, SOAH, administrative law judge, ALJ, public information act, open records, confidentiality, privacy, home address, home telephone number, emergency contact information, social security number, family members, Government Code 552.117, Government Code 552.1175, Tax Code 25.025, public records, government transparency

Summary: The Senate Committee on Business and Commerce met with a quorum and took up several pending bills, voting favorably on SB 1612, SB 2717, SB 1468, SB 1642, and SB 1789. SB 1612 was reported favorably with objections to the local and contested calendar, while SB 2717, SB 1468, SB 1642, and SB 1789 were reported favorably, with SB 1642 and SB 1789 sent to the floor. SB 2717 would create the Texas Energy Efficiency Council; SB 1642 would add an executive director to the Texas Department of Insurance structure; and SB 1789 would establish pole standards and clarify PUC authority and remedies. The committee also heard an ERCOT update from CEO Pablo Vegas on the updated long-term load forecast, which showed a much higher unadjusted growth projection driven largely by data centers. ERCOT described an adjusted forecast using historical delays and lower realized build rates, and members discussed reliability, generation timelines, and the importance of SB 6 for demand response and flexibility. The committee then heard and left pending SB 2629, which would allow condominium and property owners’ association meetings and voting by electronic means; SB 2702, which would let nationally certified professionals test backflow prevention assemblies without a separate TCEQ license; SB 2167, which would let TDLR pause new license applications tied to human trafficking emergency orders or pending SOAH cases; SB 2349, which would exempt short-term leases and certain leasebacks from flood disclosure requirements; SB 2121, which would tighten the data broker registry law; and SB 2443, which would authorize TDLR electronic delivery of notices and other documents. Testimony generally supported these bills as cleanup, modernization, or workforce-streamlining measures, with some members expressing caution about electronic meetings and emphasizing in-person accountability. The committee also heard SB 2902 on coerced debt and identity theft, with testimony from a law professor and family violence advocates supporting stronger protections for survivors and suggesting a police report as an additional proof option. SB 512, a refiled bill restricting money transmission license holders from fining users for terms-of-service violations, also received supportive testimony and was left pending. Later, the committee heard SB 2145 on allowing certain TIF boards to meet virtually in narrow circumstances, SB 2268 on extending Texas Energy Fund loan deadlines in some cases, SB 1495 creating an EV supply equipment advisory board, SB 2154 regulating delivery network companies under a statewide framework, SB 2184 lowering the age for pyrotechnic operator and fireworks display permits from 21 to 18, SB 2211 on combining data centers, power generation, and produced-water desalination projects, and SB 647 on title theft protections and clerk authority to refuse fraudulent filings. Most of these bills were left pending after brief testimony and questions, with members focusing on reliability, regulation, and safeguards against fraud.

Transcript Highlights:

• So that creates the new transmission service provider forecast.
• As a licensed plumber and representative of IAPMO, As a licensed plumber and representative of IAPMO,
• TCEQ has a license for those who work on backflow assemblies.
• transmission license holder.
• But you're not dealing with a license to sell fireworks.

Bills: SB438, SB512, SB647, SB648, SB1495, SB2121, SB2145, SB2154, SB2167, SB2184, SB2211, SB2268, SB2349, SB2443, SB2629, SB2702, SB2902

Keywords: SB 438, Texas, State Office of Administrative Hearings, SOAH, administrative law judge, ALJ, public information act, open records, confidentiality, privacy, home address, home telephone number, emergency contact information, social security number, family members, Government Code 552.117, Government Code 552.1175, Tax Code 25.025, public records, government transparency

Summary: The Senate Committee on Business and Commerce met with a quorum and first voted out several pending bills. Senate Bill 1612 was reported favorably to the full Senate with objections sent to the local and contested calendar. The committee then adopted committee substitutes and favorably reported Senate Bills 2717, 1468, 1642, and 1789, with 1642 and 1789 sent to the floor. SB 2717 would create the Texas Energy Efficiency Council and add agencies to it; SB 1468 and SB 1642 were discussed as changes affecting utility and insurance-related structures; and SB 1789 would establish pole standards, with the author saying it would clarify PUC authority and create more practical statewide standards. The committee also heard an ERCOT update from Pablo Vegas, who said Texas load growth remains strong but ERCOT is adjusting its large-load forecast downward using historical delays and realization rates for data centers and other large loads. He said the adjusted forecast is still very high, but more realistic for planning, and members discussed reliability, generation timelines, demand response, and the role of Senate Bill 6 in helping model large data centers as flexible load. The committee then took testimony on a series of bills and left most pending after public comment. SB 2629 would allow condominium and property owners associations to hold meetings and vote electronically; testimony supported it as a way to improve access, though some members expressed concern about overuse of virtual meetings. SB 2702 would let nationally certified professionals test backflow prevention assemblies instead of requiring a separate TCEQ license, and was supported as a workforce and public health measure. SB 2167 would let TDLR pause new massage-establishment license applications when an applicant is subject to a human trafficking emergency order or pending SOAH case. SB 2349 would exempt short-term residential leases and certain leasebacks from floodplain disclosure requirements while allowing the notice to be included in the lease packet. SB 2121 would tighten the data broker registry law from the prior session, and SB 2443 would allow TDLR to use electronic delivery for notices and contested-case documents. Additional bills focused on consumer protection, housing, and regulatory administration. SB 2902 would help victims of coerced debt and identity theft stop collection efforts by requiring proof such as a court order or FTC report; advocates said it would protect survivors while still preventing fraud. SB 512 would bar money transmission license holders from fining users for terms-of-service violations in a way that forfeits account funds, and supporters framed it as a protection against private financial penalties. SB 2145 would allow public improvement districts and tax increment finance districts to meet virtually with at least one member physically present, while SB 2268 would give the PUC flexibility to extend Texas Energy Fund loan deadlines in certain cases. SB 1495 would create an advisory board for electric vehicle supply equipment standards, SB 2154 would extend statewide regulation to delivery network companies, SB 2184 would lower the age for pyrotechnic operator and fireworks display licenses from 21 to 18, SB 438 would expand confidentiality protections for SOAH administrative law judges, SB 2211 would treat digital products and desalinated water as industrial products to support combined energy-water projects, and SB 647 would strengthen title-theft protections by improving notice and clerk authority to reject fraudulent filings. Most of these bills were left pending after testimony, and several drew support from industry, consumer, or advocacy witnesses along with some member concerns about electronic meetings, licensing, and data accuracy.

Transcript Highlights:

• The OKFRW has demonstrated a strong commitment to service through its extensive volunteer efforts, supporting
• OKFRW have been recognized with numerous Diamond Awards from the NFRW in honor of their exceptional service
• Their commitment to this service and their leadership continues to make a meaningful impact in the communities
• And whereas the Cherokee Nation provides critical services to its citizens and surrounding communities
• All of that is in service of doing things that we all have to care about, which is building a healthcare

Bills: HB3976, HB3000, HB3001, HB3003, HB3004, HB3066, HB3904, HB3644, HB1687, HB3920, SR40

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

Transcript Highlights:

• Welcome everyone to Senate Health and Human Services as we start hearing house bills again.
• House Bill 3904 simply changes prenatal delivery and postpartum services from being a global payment
• I'm just curious to get a better understanding by unbundling the payments for labor and delivery services
• to me in this bill is for rural Oklahoma, a lot of times you know you're a provider for prenatal services
• Well, a lot of times there's things like getting a blood test or some of those smaller services that

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

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

Transcript Highlights:

• People with disabilities die without services.
• Commit is not another service provider; it's not another bureaucracy.
• I appreciate that full funding for DDD services is so important.
• House Bill 4162 and Senate Bill 1855 are the human services budget, which contain provisions needed to
• It says the debt service, 80%, whatever's left, so your debt service could be less than 20%.

Bills: HB4154, HB4155, HB4156, HB4157, HB4158, HB4159, HB4160, HB4161, HB4162, HB4163, HB4164, HB4165, HB4166, HB4167, HB4168, HB4169, SB1847, SB1848, SB1849, SB1850, SB1851, SB1852, SB1853, SB1854, SB1855, SB1856, SB1857, SB1858, SB1859, SB1860, SB1861, SB1862

Keywords: general appropriations act, state budget, biennial budget, appropriations, fiscal year 2026, fiscal year 2027, budget bill, spending authority, state spending, agency funding, public funds, executive budget, education funding, health and human services, public safety, transportation funding, legislative appropriations, budget resolution, state finance, government operations

Transcript Highlights:

• . >> SB 107, Senator Figures, Alabama Board of Funeral Services. >> Good afternoon to the distinguished

Bills: HB586, SB107, HB619, HB586, SB107, HB619

Keywords: HB586, Cullman, Cullman County, City of Cullman, annexation, municipal boundaries, corporate limits, local legislation, boundary adjustment, city limits, municipal expansion, zoning, municipal services, property tax, land use, metes and bounds, Alabama Highway 157, Judge of Probate, SSUT, simplified sellers use tax

Transcript Highlights:

• The original one required a license; this one requires a certificate, no license.
• in the nation, requiring those who already hold licenses from other states with comparable licensing
• Texas Department of Licensing and Regulation (TDLR) to maximize licensing reciprocity agreements with
• The number of people with licenses that you all handle includes about 962,000 licenses or renewals at
• into separate licensing groups.

Bills: HB 11, HB 14, HB 132, HB 1584, HB 1606, HB 5061, HB 1041, HB 2286

Keywords: licensing, reciprocity, regulation, Texas Department of Licensing and Regulation, interstate agreements, nuclear energy, advanced reactors, energy security, grant programs, Texas Advanced Nuclear Energy Office, HB 132, Texas Government Code Chapter 418, Public Information Act, confidential records, homeland security, foreign adversary, terrorism, critical infrastructure, emergency response, law enforcement

Summary: The meeting was a thorough exploration of multiple bills, most notably focused on innovative energy solutions and public safety enhancements. Key discussions centered around HB14, which aims to bolster the state's nuclear energy capabilities through the establishment of a Texas Advanced Nuclear Energy Office. Senators and expert witnesses discussed the potential of nuclear power as a clean energy source and a strategic necessity for Texas's growth. There was strong support for the bill, with various stakeholders highlighting its importance for the future energy landscape. Additionally, other bills like HB132 addressed the need for enhanced confidentiality protections regarding sensitive information, while HB1584 sought improvements in power restoration procedures during emergencies. Overall, the committee engaged with multiple viewpoints, balancing innovation with safety and ethical considerations.

Transcript Highlights:

• The original one required a license; this one requires a certificate, not a license.
• The original one required a license; this one requires a certificate, not a license.
• Texas Department of Licensing and Regulation, TDLR, to maximize licensing reciprocity agreements with
• Texas Department of Licensing and Regulation, TDLR, to maximize licensing reciprocity agreements with
• There's about six or seven different types of licenses that we formed, and we let the Department of Licensing

Bills: HB132, HB 11, HB14, HB132, HB1584, HB1606, HB5061, HB 1041, HB2286

Keywords: nuclear energy, Texas Advanced Nuclear Energy Office, energy policy, regulation repeal, state energy strategy, licensing, reciprocity, regulation, Texas Department of Licensing and Regulation, interstate agreements, advanced reactors, energy security, grant programs, HB 132, Texas Government Code Chapter 418, Public Information Act, confidential records, homeland security, foreign adversary, terrorism

Summary: The committee first took up pending business and quickly reported several measures favorably, including HB 12, SB 1361, SB 1705, SB 1749, SB 1897, SB 2344, SB 2566, HB 3809, and HB 4215, with most sent to the Local and Uncontested Calendar. HB 12’s substitute clarified a limited midterm review of regulatory agencies tied to Sunset Commission recommendations. SB 2696’s substitute changed med spa regulation from a license to a certificate, with training instead of an exam, plus background checks, continuing education, and two-year renewals. HB 3809 dealt with battery energy storage decommissioning and recycling, and HB 4215 was reported without a substitute. SB 1978, concerning interconnection of electric facilities in ERCOT and federal jurisdiction concerns, was reported out on a 5-3 vote after debate, but then the chair later announced the bill was withdrawn and left pending subject to the call of the chair. HB 1899 was also reported favorably, with one nay. A major portion of the meeting focused on HB 14, the advanced nuclear energy bill. Senator Schwertner described it as creating a Texas Advanced Nuclear Energy Office, a nuclear permitting coordinator, a development fund, a completion grant program, and a workforce development program. Testimony was sharply divided. Supporters, including representatives from Fermi America, Dow/X-energy, CPS Energy, Paragon Energy Solutions, Bridge to Nuclear, Aalo Atomics, and the Texas Association of Business, argued that Texas should lead in advanced nuclear, citing future baseload demand, data centers, industrial power needs, supply-chain development, and long-term energy diversification. Opponents, including Public Citizen, Texas Nuclear Watchdogs, Sierra Club, and individual citizens, argued the bill would subsidize unproven, expensive technology, create grants rather than loans, and expose taxpayers to major risk while doing little to meet near-term energy needs. Several members questioned whether the state should fund projects that may not produce grid power for years, and whether the bill’s grant structure and new office were justified. The committee also heard HB 5061, which Senator Schwertner said would prohibit unethical surveillance and misuse of confidential information by state contractors, create a confidential reporting system through the State Auditor’s Office, authorize Texas Rangers investigations, protect whistleblowers, and impose penalties including contract termination, fines, and contracting bans. No public testimony was offered, and the bill was left pending. HB 132, sponsored by Senator Hughes, would extend confidentiality protections for sensitive information to hostile acts by foreign adversaries; it was also left pending after no testimony. HB 1584 was then laid out, with Senator Schwertner explaining it would require utilities to maintain and update priority restoration lists for critical facilities after Hurricane Beryl exposed communication failures, but the transcript cuts off before any action on that bill.

Transcript Highlights:

• Meredith Nichols, representing the Department of Human Services.
• Human Services to submit Department of Human Services to submit submit<01:33:39.600> a<01:33:39.640
• c> Services<01:34:20.120> stands The Department of Human Services stands The Department of
• <01:39:13.080> Services for uh Department of Human Services for uh Department of Human Services
• requiring the Department of Human requiring the Department of Human Services<01:58:35.760> to

Bills: SB709, SB2089, SB2090, SB2108, SB2211, SB2250, SB2325, SB2803, SB2866, SB3245

Keywords: mental health, crisis intervention, assisted community treatment, treatment orders, law enforcement training, public safety, court-ordered treatment, Medicaid, healthcare access, unlicensed professionals, supervised services, workforce development, mental health equity, child custody, evaluations, licensed counselors, family court, juvenile justice, waiver of jurisdiction, transfer to adult court

Summary: The committee heard SB 709 SD2, which would require the Department of Health to respond to reports involving persons with severe mental illness, assess eligibility for assisted community treatment, and coordinate treatment when appropriate. Testimony from the Department of Human Services and the Department of Health supported the measure, with DOH saying it generally supported the bill but had comments on one section it viewed as unnecessary. The Department of Law Enforcement later explained that the bill would shift certification and standards for crisis intervention officer training from DOH to DLE, while still involving DOH in the training process. Opposition came from the Hawaii Disability Rights Center and an individual testifier, both of whom argued the bill expands state authority over people with mental illness and could worsen forced treatment practices. The Disability Rights Center also raised procedural concerns, saying the bill was effectively moved from a prior administration measure that had not been heard this session, and questioned whether the bill’s changes to assisted community treatment, blood tests, urinalysis, and living arrangements went beyond current law. The individual testifier argued the bill would further entrench harmful psychiatric drugging and urged the committee to defer it. Committee members questioned the administration about the bill’s process, the role of the Attorney General in treatment-over-objection proceedings, and the practical effects of moving CIT certification to DLE. The Attorney General’s office said the bill was intended to fill a gap by allowing it to assist with treatment proceedings, while public defenders would continue to represent respondents and due process protections would remain in place. DLE and DOH said the change would better align certification with law enforcement training needs, improve speed in crisis response, and still keep DOH involved; members also discussed whether WAM counted as a hearing and whether the bill should more explicitly preserve DOH’s role. No vote or final action was taken in the portion provided.

Transcript Highlights:

• Martindale is a licensed psychologist living in Stillwater with his wife and two daughters aged 1 and

Bills: SB1423, SB1426, SB1502, SB1377, SB1983, SB1466, SB1645, SB1647, SB1847, SB1565, SB1562, SB1329, SB1383, SB1833, SB1555, SB1344, SB1839, SB1280, SB1832, SB2001, SB1405, SB2143, SB1989, SB1393, SB1392, SB1395, SB1400, SB1220, SB1516, SB1239, SB1531, SB1349, SB1221, SB1538, SB1309, SB1434, SB2108, SB2121, SB2171, SB2061, SB2112, SB2138

Keywords: Oklahoma Hospital Advisory Council, hospital licensure, public health, State Department of Health, State Board of Health, hospital regulations, healthcare regulation, hospital standards, hospital construction, hospital operations, stroke care, stroke system, emergency medical services, EMS transport, psychiatric treatment, chemical dependency treatment, substance use disorder, drug storage, pharmacy, quality indicators

Transcript Highlights:

• First responder status would help provide essential training, critical supporting services, including
• First responder status would help provide essential training, critical supporting services, including
• Services, Hawaii State Department<00:35:27.760> of<00:35:27.840> Defense.
• , Services, Services, our<00:35:52.200> engineering<00:35:53.200> division<00:35:53.840
• audit of the Department of Human audit of the Department of Human Resources<00:48:53.760> Development

Bills: HCR92, HCR46, HCR172, HCR147, HCR112, HCR100, HR84, HR42, HR139, HR104, HR92

Keywords: automated external defibrillator, AED, cardiac arrest, state buildings, health education, public health, lifeguards, first responders, public safety, ocean safety, emergency response, Hawaii, workers' compensation, auditor, procurement audit, compliance, Department of Human Resources Development, transparency, accountability, medical care

Transcript Highlights:

• Representative, so all you're asking is that a licensed commercial breeder put their license number on
• So this is talking about licensed commercial breeders.
• What if it's a non-licensed commercial breeder?
• Operating in a way that a licensed commercial breeder would be, but they don't have a license, then they
• Don't have to get a license.

Bills: HB3056, HB3391, HB3657, HB3617, HB4055, HB3720, HB3902

Keywords: raw milk, unpasteurized, farm sales, Oklahoma Milk and Milk Products Act, local producers, advertising, animal welfare, commercial pet breeders, licensing, animal cruelty, labor, employment definitions, agricultural services, Oklahoma Workforce Commission, confidentiality, data access, right to repair, agriculture, OEM, repair providers

Transcript Highlights:

• I'm Meredith Nichols, uh, representing Department of Human Services and we stand on our testimony in
• Department of Human Services on Zoom. Department of Human Services on Zoom.
• uh representing Department of Human uh representing Department of Human Services<01:30:42.560>
• We're not human services. >> Oh, wait. We're not human services.
• >> On behalf of the Committee on Human >> On behalf of the Committee on Human Services

Bills: HB1853, HB1591, HB1961, HB1854, HB1965, HB1962, HB1959, HB2505, HB2576, HB1801, HB1804, HB1864, HB2319, HB2314, HB2115

Keywords: HB1853, dementia, Alzheimer's disease, cognitive impairment, memory care, memory clinic, Hanai Memory Network, Executive Office on Aging, aging services, kupuna, caregiver support, long-term care, elder care, geriatrics, public health, dementia screening, care coordination, referral network, neighbor islands, rural health

Summary: The committee heard testimony on SB 2047, relating to pharmacy benefit managers. The Insurance Division said the bill would require new enforcement resources and estimated an appropriation of about $1.5 million and five positions. Kaiser Permanente asked for an amendment to exclude HMOs from the definition of third-party PBMs, saying the bill should not interfere with integrated care models. PCMA and the Hawaii Pharmacist Association supported narrowing amendments, with pharmacists objecting to section 3 and warning the bill as amended could create major operational burdens and a significant general fund cost. No vote was taken in the portion provided, and the chair moved on to the next measure after questions. The committee then took up SB 2080, which would allow Hawaii to join the psychology interjurisdictional compact. Supporters, including DCR, the Hawaii Association of Health Plans, the Hawaii State Association of Counties, the Grassroot Institute, and others, said the compact would expand access to psychology services, especially for people in rural areas or those needing continuity of care while traveling. Opponents, including the Board of Psychology and a Shamanad University psychology professor, raised concerns about client safety, crisis-response procedures, enforcement costs, FBI background checks, and possible loss of state control over training and specialization standards. The board said Hawaii’s current 1,900-hour internship/postdoc requirement is higher than the compact’s standard and that the state is still implementing a separate provisional licensing law that may address some access issues. The discussion focused on whether the compact would meaningfully reduce shortages and whether Hawaii should instead pursue changes within its existing licensing system. Finally, the committee heard SB 2277 on hospital price transparency. The Office of Consumer Protection initially noted the bill could require significant staffing, but later testimony from SHIP suggested the measure could be handled more simply by working with the Healthcare Association of Hawaii and publicly posting violations. The Healthcare Association of Hawaii opposed the bill, arguing hospitals already must comply with federal CMS transparency rules and that adding state requirements would increase costs and legal exposure, especially if violations were treated as unfair or deceptive trade practices. Steve Fenberg testified in support, saying the bill would simply codify existing federal requirements in state law and that he was open to amendments removing state enforcement and the unfair trade practice language. No final action was taken in the excerpt provided.

Transcript Highlights:

• For some of us, there were many memories from our childhood that came rushing back because we, as human
• Senator Doctor Kayleigh Greg is an Oklahoma native born and raised in Beaver, Oklahoma, and she's a licensed
• school, I plan to do four years in the United States Air Force and then pursue a career in the fire service
• Health and Human Services will meet exactly 30 minutes after session adjournment in room 535.

Bills: HB3767, HB3934, HB4199, HB4336, HB2947, HB3834, HB4302, HB4095, HB3287, HB3649, HB4430, HB4431, HB2059, HB3647, HB3986, HB3548, HB3661, HB4346, HB3075, HB4273, HB3391, HB4128, HB3557, HB3239, HB3982, HB2123, HB2979, HB2997, HB3148, HB4108, HB4143, HB4266, HB2053, HB4058, SR30

Keywords: dentistry, licensing, dental hygiene, foreign-trained dentists, temporary license, public health, emergency response, child care, workforce, pilot program, affordable care, income eligibility, interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation