Transcript Highlights:

• I support this bill. Thank you. Security officer, I support this bill. Thank you.
• Chatbots for mental health support.
• Action, in support. Thank you.
• Association in support. Thank you.
• But I do think I respect peer support.

Keywords: 988, house, all

Transcript Highlights:

• support and they're online it's 153 support three<00:07:59.000><c> opposed</c> three opposed three opposed
• Family support specialists work with families after the forensic interview to provide advocacy and support
• Family support specialists work with families after the forensic interview to provide advocacy and support
• Family support specialists work with families after the forensic interview to provide advocacy and support
• </c> before uh the online was 153 in support before uh the online was 153 in support and<00:22:45.400

Keywords: 1191, senate, all

Transcript Highlights:

• Uh<00:18:51.040><c> OPSD</c> Support? Support? Support?
• . support. support.
• Ignacio, in support. David King in support. Nathan Dang in support. Chair Alice Lee in support.
• Nathan Dang in support. Chair Alice Lee in support. Garrett Hall in support.
• support. Garrett Hall in support. support. Garrett Hall in support.

Bills: HB1730, HB1985, HB1749, HB1921

Keywords: cesspool, wastewater systems, public health, environmental protection, affordable upgrades, coral reefs, water quality, Hawaii legislation, cesspools, wastewater, environment, pollution, Hawaii, sustainable development, sewerage system, real estate, disclosure, environmental impact, wastewater management, housing

Summary: The committee heard testimony on several cesspool-related measures. HB 1730 HD2 would create a cesspool conversion implementation working group to help the Department of Health review rules and practices and develop changes to make conversions more affordable. DOH and DLNR stood on written testimony, while environmental and wastewater advocates strongly supported the bill, emphasizing the need for dedicated staffing, technical expertise, and smaller, more focused advisory groups. Members discussed the high cost of upgrades and the need for new technologies that reduce excavation and leach field costs. The bill was passed with amendments, including clarifying the DOH director’s discretion over the size of the working group, and the committee noted DOH’s appropriation request for consideration. HB 1985 HD1 would extend certain cesspool conversion deadlines and authorize funding for consultants, while also advancing outreach and education. Testimony split sharply: advocates supported the education component but opposed deadline extensions as premature, arguing the state still has many years before the 2050 mandate and should not weaken the conversion timeline. The committee agreed to amend the bill to delete the deadline-extension portion, keep technical changes, and note DOH’s position request. HB 1749 HD2 would require sellers to disclose cesspools to buyers before a real estate purchase contract is executed and direct DOH and the Real Estate Commission to create a standardized form. Realtors supported the intent but asked to avoid duplicative statutory form requirements, and advocates stressed that disclosure should be prominent and not buried in paperwork. The committee adopted amendments removing the standardized-form mandate and passed the bill. HB 1921 HD2 would allow certain existing cesspools in priority level three areas to continue serving dwellings with additional bedrooms under conditions. DOH brought the measure, and supporters from the real estate and environmental sectors discussed innovative wastewater technologies, retrofits, and composting toilets as ways to reduce costs while improving treatment. The committee amended the bill to require DOH director-approved wastewater technology using solid waste separation for bedroom-count increases and to clarify priority-level determinations using block-level data from the Hawaii cesspool prioritization tool, then passed it. The committee also heard HB 2310, an emergency appropriation for the Department of Human Services to restore funding used to keep SNAP benefits flowing during the federal shutdown; DHS, public health, children’s advocates, and others supported it, and members questioned why it was not handled through the budget. The discussion clarified that the bill sought new money to move quickly for ACA-related premium support. No final vote on HB 2310 was shown in the excerpt.

Transcript Highlights:

• Any individuals wishing to testify in support of SB 970?
• Any individuals wishing to testify in support of SB 970?
• Any individuals wishing to testify in support of SB 972?
• Any individuals wishing to testify in support of SB 978?
• Any individuals wishing to testify in support of SB 991?

Summary: The Senate Committee on Appropriations met in quorum and heard a large suspense-file agenda, with authors on most bills waiving presentation and the Department of Finance declining comment. The committee repeatedly took brief public testimony limited to fiscal impacts, then moved most measures to suspense without objection. Bills sent to suspense included SB 867, 868, 869 (with opposition from the California Restaurant Association), 934, 1202, 907, 1262, 923, 1057, 955, 1046, 1237, 970, 972, 978, 1105, 991, 1015, 1021, 1222, 1023, 1261, 1030, 1039, 1042, 1052, 1077, 1114, 1149, 1160, 1342, 1399, 1422, 1161, 1166, 1330, 1191, 1378, 1197, 1220, 1255, 1394, and 1420. The committee also heard SB 1106 by Senator Cabaldon, which would shorten the deadline for data brokers to comply with deletion requests from 45 days to 30 days. Senator Cabaldon said the change would not create new costs beyond routine regulatory updates, and no opposition was presented. The committee approved SB 1106 on a 5-0 vote and placed it on call before the final vote was completed. Several suspense-file bills drew limited support testimony from advocacy groups, including SB 1052 from The Arc and United Cerebral Palsy California Collaboration and LARC, SB 1422 from the California Undocumented Higher Education Coalition, and SB 1255 from the Campaign for College Opportunity. After completing the agenda, the committee finalized SB 1106 with a 5-0 do pass vote to the Senate floor and then adjourned.

Transcript Highlights:

• your support on the measure.
• This is an easy bill to support.
• I'm here to support this bill.
• I'm here to support this bill.
• We support. Hello.

Keywords: 987, senate, all

Transcript Highlights:

• We are in support.
• We are in full support.
• urge you to support this bill.
• Hi, I'm Nathan Prevost, strong support. Magda Molina, Los Angeles homeowner, in strong support.
• Smith Corporation, in support.

Summary: The committee heard several housing-related bills, beginning with SB 1003, which would create pro-housing enhanced infrastructure financing districts to help local governments fund infrastructure needed for housing developments. The author and supporters argued that infrastructure costs often prevent projects from penciling out, while the chair expressed support and said the bill would be taken up later when quorum was available. SB 1014 followed, proposing new disclosure requirements for local jurisdictions to provide good-faith estimates of on-site and off-site improvements within 30 days of application, with supporters saying it would reduce late surprises and opposition from several cities citing implementation concerns with the 30-day timelines. The committee then took up SB 802, a Sacramento-region bill requiring a joint powers authority to coordinate housing and homelessness services. Senator Ashby and former Mayor Darrell Steinberg argued that Sacramento’s fragmented system has failed for years and that a JPA would improve accountability, coordination, and use of state funds. The bill drew broad support from local officials, service providers, business groups, and advocates, while some county and city representatives registered opposition or neutral concerns about state-mandated local governance. Several committee members said they were persuaded by the need for regional coordination, though some raised concerns about local control; the chair noted the bill would be moved when quorum allowed. The committee also heard SB 1092 and SB 1093, both focused on mobile home park residents after disasters or park sales. SB 1092 would give residents a right of first opportunity to match a sale offer for a park, with supporters saying it protects vulnerable seniors and preserves affordable housing, while park owners and their representatives argued it would devalue property and raise constitutional and financing concerns. SB 1093 would require more transparent communication, access to property, and consideration of rebuilding or closure after a disaster; supporters cited the long uncertainty faced by Palisades residents, while opponents warned about liability, safety, and burdensome review requirements. Members split along similar lines, with some emphasizing property rights and market impacts and others stressing the need to protect residents and preserve scarce affordable housing.

Transcript Highlights:

• support? support?
• Support. Support.
• . support. support.
• . support. support.
• . support. support.

Keywords: 912, senate, all

Summary: The Committee on Housing, meeting jointly with the Committee on Health and Human Services, heard testimony on Senate Bill 2787, which would expand use of the rental housing revolving fund to provide loans or grants for purchasing rental units, and Senate Bill 2957, which addresses tenant displacement and relocation protections, as well as Senate Bill 2866, which would make the state rent supplement program for kupuna permanent and appropriate funds for it. Testimony on SB 2787 included support from DHHL, HHFDC, AARP Hawaii, and others, while the Attorney General recommended clarifying language and standards for grants, and the Tax Foundation questioned whether grants fit the revolving-fund structure. On SB 2957, supporters including OHA, PACT, medical-legal advocates, and tenant representatives emphasized relocation hardships from the KPT redevelopment, language access, and the need for clearer minimum safeguards; the Attorney General suggested defining “comparable units” and correcting a drafting error. On SB 2866, HPHA, Catholic Charities, AARP, the Executive Office on Aging, and others supported making the kupuna rent supplement program permanent to prevent homelessness among low-income seniors. During discussion on SB 2957, members questioned HPHA and tenant counsel about the KPT low-rise relocation process and what “comparable housing” meant in practice. HPHA said all tenants were relocated, but counsel described disputes over comparability, disability and family-size issues, and at least one offered unit that was not livable. For SB 2787, members questioned DHHL about why it sought funding from the rental housing revolving fund rather than other sources; DHHL said it was still exploring options and had mostly used its funds for infrastructure, with only a small portion used as revolving funds. The chair expressed concern about relying on scarce housing funds and urged more efficient use of DHHL’s existing resources. In decision-making, the committees voted to pass SB 2957 with amendments and SB 2866 with amendments. For SB 2957, the amendments would replace the bill with a working group on tenant displacement and relocation, include a blank appropriation and defective date, and request $75,000 for the working group; the motion was adopted unanimously by the members present, with Senator Favela excused. For SB 2866, the amended version would include a blank appropriation, defective date, and committee report language noting requests for $110,160 for two HPHA public housing specialist positions and $2.16 million for the state rent supplement program; this motion was also adopted, with Senator Favela excused. After the joint hearing adjourned, the committee returned to the housing-only agenda and continued discussion of SB 2787 before moving on to SB 3089, which would amend the down payment loan assistance program for low- and moderate-income first-time homebuyers; testimony on SB 3089 was beginning when the transcript ended.

Transcript Highlights:

• Katherine Frier in support. Fred Hoffer in support. Robert Colbertson in support.
• Tamar Hayden in support. Michelle Mitsumori in support. Ruda Jordans in support.
• Tina Marie Kura in support. Arlene Velasco in support.
• </c> in support. Fred Hoffer in support. in support. Fred Hoffer in support.
• </c><00:18:39.679><c> Tina</c> support. Ruda Jordans in support. Tina support.

Keywords: 912, senate, all

Summary: The Joint Committee on Health, Human Services, and Agriculture and Environment heard testimony on SR 85, which requests the Department of Health to form a working group on solid waste management, and on SCR 19, which asks the Tax Review Commission to identify ways to implement Hawaii’s long-term care financing program. SR 85 drew broad support from the Department of Health, the Board of Water Supply, environmental groups, and numerous individuals, with one commenter asking that a military representative be added to address possible landfill use of military lands. For SCR 19, testimony came in support from the Executive Office on Aging and another supporter. For SR 85, the chair recommended passage with amendments. The amendments revised landfill-location language, removed certain lines, expanded the report’s scope to include materials management policies, environmental protections, and alternative technologies for waste that cannot be recycled or composted, and changed the working group membership language to include representatives from specified sectors. The committee also agreed to add invited participants such as Zero Waste USA, the reuse and deconstruction industries, a landfill leachate expert, a unit-based pricing expert, and a military representative, and to require the governor or designee to convene the initial meeting. The committee adopted the recommendation by vote, with members voting aye and one member excused. For SCR 19, the chair recommended passage with an amendment adding reference to findings in a 1991 report on financing long-term care. The committee approved the measure with amendments by vote, again with members voting aye and one member excused. The joint session then adjourned.

Transcript Highlights:

• Do we have additional witnesses in support? Do we have additional witnesses in support?
• Seeing no other witnesses in support, do we have any main witnesses in opposition? in support?
• Do we have additional witnesses in support? Thank you. Witnesses in support.
• And so we urge your support for this bill. Do we have additional witnesses in support?
• We'd like to ask for your support. Thank you. Do we have additional witnesses in support?

Keywords: 988, house, all

Transcript Highlights:

• We also support the 8% that goes for Supportive Housing.
• We also support the 8% that goes for Supportive Housing.
• We also support the 8% that goes for Supportive Housing.
• And Hawaii Climate Advisory Team in support. Thank you. HHFDC in support.
• ><c> measure</c> support uh yes HC supports this measure support uh yes HC supports this measure um<03

Keywords: 910, house, all

Transcript Highlights:

• With the support of the legislature, with the support of—I don't know...
• With the support of the legislature, with the support of the PFAS fund, which our legislature created
• We specifically support sections 3, 5, 6, and 7. We specifically support sections 3, 5, 6, and 7.
• We strongly support section 7.
• Bill H. 121 would support...

Keywords: 995, all

Summary: The Joint Committee on Agriculture and Fisheries held a public hearing on 19 legislative proposals, with testimony limited to three minutes per speaker and seven minutes per panel. The hearing opened with testimony on bills promoting urban agriculture and vacant-lot conversion, including H.121/S.61, which Green Roots staff and community members supported as a way to turn vacant lots in environmental justice communities into urban farms and gardens that improve food access, health, community cohesion, and climate resilience. Rep. James Arena-DeRosa also spoke in support of H.109/S.56, the PFAS bill, describing it as a measure to protect soil and farms from contamination and to create relief for affected farmers. A major portion of the hearing focused on H.109/S.56, which would ban land application of sewage sludge/biosolids, provide liability protection and relief funds for farmers, and address PFAS contamination in soil, water, crops, and animals. Testimony came from environmental groups, farm organizations, and individual farmers, including the Mass Food System Collaborative, Conservation Law Foundation, Clean Water Action, CEMAP, NOFA, Sierra Club, and several farmers who described contamination in Maine and Massachusetts and urged the committee to act. Witnesses emphasized that PFAS poses serious health risks, that farmers should not bear responsibility for legacy contamination, and that the bill should be paired with funding for testing, remediation, and assistance. Committee members asked questions about farm liability, the scope of the bill, contamination in different ownership situations, and the costs and timelines of remediation, with Senator Comerford and others clarifying that the bill is intended to protect farms and farmers rather than non-agricultural landholders. The committee also heard strong support for H.416, a farm-to-institution pilot program, from Rep. Lee Davis, Berkshire Agricultural Ventures, and Berkshire Bounty. They said the pilot would connect Massachusetts farms to schools, hospitals, correctional facilities, and other institutions, creating new markets, strengthening local supply chains, and supporting food-is-medicine efforts. Members discussed whether the model could be statewide and referenced existing programs such as Island Grown Initiative and local hospital and insurance partnerships. Another agricultural bill, H.1058, was supported by Rep. Mark Sylvia and the Cape Cod Cranberry Growers’ Association as a way to allow unused cranberry water rights to be transferred within the same watershed for municipal mitigation while helping growers retire or consolidate bogs. The hearing also included testimony on the broader farm omnibus bill H.112/S.55 and related measures, with the Massachusetts Farm Bureau and others praising the committee’s work on agricultural resilience, food security, agritourism, workforce development, and farmland access, while suggesting additional transportation-related fixes for farmers. No votes were taken during the hearing.

Transcript Highlights:

• There's $6,000 to support... ...providing additional funds for them to be able to support that work.
• language for multi-tiered systems of support.
• ongoing support is key to local sustainability.
• We also support... ...access this benefit without sacrificing dollars earmarked for student support.
• We urge your support. Thank you.

Keywords: 987, senate, all

Transcript Highlights:

• In support. Israel Via, with YCJ, in support. Good morning, Chair and members.
• Thank you for your support.
• I strongly support it.
• I support SB 1373.
• I'm supporting your bill.

Summary: The committee met without a quorum and operated as a subcommittee while hearing several bills, with members repeatedly noting that votes would be taken later once a quorum was established. Early in the meeting, the committee heard SB 1446 on parole en banc review and SB 1278 on elderly parole eligibility for certain sex offenses. SB 1446’s author said the bill would give commissioners more discretion in en banc review, make votes public, and allow referral for sexually violent predator evaluation in certain cases; supporters included the California District Attorneys Association, while opponents from Uncommon Law, the Ella Baker Center, and public defender groups argued it would add confusion, create constitutional and litigation concerns, and duplicate existing safeguards. SB 1278 would exclude certain rape, child sexual abuse, and habitual/serial sex offense convictions from elderly parole eligibility; district attorneys and police chiefs supported it as a victim-safety measure, while civil rights and defense organizations opposed it as unnecessary, costly, and inconsistent with evidence on aging and recidivism. Both bills were discussed but not voted on due to the lack of quorum. The committee then heard SB 1354, which would bar out-of-state military or law enforcement personnel from entering California to perform such functions without the Governor’s permission. The author and supporters framed it as protecting state sovereignty and limiting unauthorized armed incursions; the committee accepted an amendment removing a criminal penalty and leaving enforcement to the Attorney General. No opposition testimony was offered, and members expressed support, but no vote was taken because quorum was still lacking. The committee also heard SB 926, a bill to fund implementation of Proposition 36. Supporters, including sheriffs, district attorneys, probation officials, and the League of California Cities, said local agencies need funding for treatment, supervision, and administration; opponents argued the proposal was fiscally reckless, lacked accountability, and overemphasized incarceration. Amendments removed a specific appropriation and shifted funding decisions to the budget process, but the bill was also held pending quorum. Later, the committee heard SB 874, which would require background checks for unlicensed providers of Medi-Cal behavioral health treatment services, create a stakeholder workgroup, and direct DHCS to issue guidance and report on program integrity. Support came from local health plans and behavior analysis providers, who said the bill would improve safety and consistency; there was no opposition testimony. The committee then heard SB 1210, which would extend CalGang oversight and due process protections to local gang databases as well as shared ones. Supporters described privacy abuses, racial disparities, and personal harm from inaccurate gang labels; law enforcement opposition argued the bill would impose CalGang standards on informal investigative files and would significantly change the gang definition. The author said the bill closes a loophole and preserves prior reforms, but no vote was taken. The committee also began hearing SB 1019 on creating a California Cargo Thief Task Force, with strong support from BNSF, trucking, shipping, port, and supply-chain representatives who described organized, multi-jurisdictional cargo theft and rail sabotage; no opposition was heard, and members indicated support, but action was deferred pending quorum. The meeting then moved to SB 1217 on a non-consensual intimate image clearinghouse, with the chair and author describing privacy-related amendments and the bill’s focus on helping survivors remove exploitative images; the transcript cuts off as that presentation began.

Transcript Highlights:

• Hawaii Roter in support. We stand on our testimony in support. Grassroot Institute in support.
• Hawaii Roter in support. We stand on our testimony in support. Grassroot Institute in support.
• Ulupono Initiative, in support. Hawaiian Electric, in support. Hawaii Energy, in support. Aloha.
• in support. 350 Hawaii, in support. Citizens Climate Lobby, in support.
• Tesla, in support. Green Party of Hawaii, in support.

Keywords: 910, house, all

Summary: The House Committee on Housing held a public hearing on several bills. HB 576, relating to restrictions on the transfer of real property under chapter 201H, drew support from HHFDC and the Department of Hawaiian Home Lands, which said the bill would waive transfer restrictions that conflict with DHHL’s program implementation. HB 421, relating to contractors, drew opposition from the Contractors License Board and DCCA/RICO, who said the measure would weaken owner-builder restrictions meant to prevent circumvention of contractor licensing laws; Hawaii Roter and the Grassroot Institute supported it. Members questioned whether the bill would still bar resale within a year and whether subcontractors would still need licenses. HB 367, relating to building permits, received support from the Hawaii Farm Bureau and Grassroot Institute, with comments from DLNR; testimony urged the bill to be expanded to include zoning permits as well as building permits to avoid confusion, especially on Kauaʻi. HB 826, relating to housing, received mixed testimony. HHFDC and several local and advocacy groups supported it, while the Sierra Club raised concerns about converting agricultural lands to residential use, possible impacts on food security, property values, taxes, and the need to account for public trust and traditional practices. HB 525 also drew support from HHFDC and three individuals, with no opposition noted. HB 252, relating to managing agents, was supported by the Hawaiʻi Council of Community Associations and opposed by the Community Associations Institute and several individuals, who argued that commercial management experience is not the same as condominium management and preferred language tied to industry certifications and a later effective date. HB 709, relating to trespassing, was opposed by the Honolulu Police Department, which said officers would have difficulty verifying ownership or tenancy in the field, that the bill could require a separate enforcement team, and that the sheriff’s division is better suited to handle evictions. Hawaiʻi Realtors and the Grassroot Institute supported the measure. Finally, HB 431 HD1, relating to housing, received broad support from the Hawaiʻi State Council on Developmental Disabilities, HHFDC, DHS, the Statewide Office on Homelessness and Housing Solutions, OHA, county housing offices, and multiple nonprofit and political groups. Supporters emphasized the bill’s funding for housing and supportive services, with the homelessness office describing the measure as unprecedented and saying it could help the state cut homelessness in half over the next few years.

Transcript Highlights:

• He's in support.
• we also have others Zoom he's in support we also have others in support but let's bring in in support
• She's in support.
• She's in support. In person, we have Amy Agani in support. Amy Agani, in support.
• for</c> agani in support in support boyfs for agani in support in support boyfs for civil<00:29:51.600

Keywords: 910, house, all

Summary: The committee on Economic Development and Technology heard testimony on several bills, beginning with HB 22, which would limit state and local cooperation with federal immigration detainers. Supporters, including the Legal Clinic, the Office of the Public Defender, and the ACLU of Hawaiʻi, argued the bill would protect due process and constitutional rights regardless of immigration status. Some supporters requested amendments, including removing a probable-cause terrorism provision, adding enforcement language, and preserving warrant requirements. Public testimony was heavily in favor, with the chair announcing 91 testimonies in support and 52 in opposition. The committee then heard HB 73, which would prohibit setting aside public lands for immigration detention facilities. Testifiers in support said public land should serve local needs, not detention centers, and cited housing, food security, and community trust concerns. The Office of the Public Defender and others also supported the measure, and the chair reported 85 testimonies in support and 40 in opposition. The committee next took up HB 438, which would fund legal representation for people in immigration proceedings. Supporters, including the Public Defender, the University of Hawaiʻi Law School Refugee and Immigration Clinic, the Hawaiʻi Coalition for Immigrant Rights, the Legal Clinic, and the ACLU, emphasized the civil nature of immigration court, the severe consequences of removal, and the need for more pro bono and trained attorneys. Several suggested amendments focused on training and building a legal-services pipeline; the chair reported 83 testimonies in support and 51 in opposition. The committee also heard HB 457, aimed at requiring notice to detained individuals about their rights when ICE seeks to interview them or has a detainer request. Supporters said the bill would ensure people understand their right to remain silent and to refuse interviews, and the Legal Clinic suggested the warning be given orally, potentially via recorded messages, rather than only in writing. The Office of the Public Defender noted the bill aligns with existing due-process warnings in criminal court and suggested referencing current law. Finally, HB 476, which would raise the capital gains tax rate, drew support from Hawaiʻi Appleseed on fairness grounds; the Department of Taxation said it would review revenue questions but had no estimate available. After recess, the committee returned to decision-making and moved HB 22 forward on the chair’s recommendation of HD1, with the chair noting that the bill already contained language allowing counties to adopt stronger standards and protections.

Transcript Highlights:

• support... ...to support the intent of the 2021 Act and would modernize Massachusetts law to support
• I have supported many families.
• I have supported many families, and I wish many, many more will get this service and support.
• I have supported many families.
• I have supported many families, and I wish many, many more will get this service and support.

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a lengthy public hearing with testimony on a wide range of health insurance and access-to-care bills. Early testimony focused on prescription drug pricing and pharmacy reimbursement, with supporters of H. 1326 arguing that pharmacy benefit managers and MassHealth managed care arrangements reimburse independent pharmacies too little, contributing to pharmacy closures and “pharmacy deserts.” The committee also heard repeated support for H. 1151/S. 742 on cognitive rehabilitation for acquired brain injury, H. 1288/S. 716 on telehealth parity for nutrition counseling, H. 1309/S. 761 on full-spectrum pregnancy care without cost-sharing, H. 1312 on insurance coverage for doula services, H. 309 on prompt access to health care by removing deductibles for certain services, H. 809/H. 1227 on biomarker testing, H. 1162/S. 810 on reducing inequities in access to medical procedures by limiting insurer cuts tied to Modifier 25, and S. 726 on insurance coverage for mobile integrated health. Testifiers included legislators, physicians, pharmacists, dietitians, emergency and rehabilitation clinicians, and patients and family members. Supporters of the brain injury bill said cognitive rehabilitation is medically necessary, improves long-term outcomes, and can reduce institutional care and public costs; they noted the bill has been heard repeatedly and has support from the Brain Injury Commission and prior favorable committee action. Supporters of the pregnancy care and doula bills described out-of-pocket costs as a barrier to maternal health and shared personal stories of high bills and unmet support needs. Biomarker testing advocates and cancer patients said coverage gaps deny patients access to precision treatment, can lead to avoidable suffering, and should be standardized across insurers; several speakers said insurers often deny claims despite clinical benefit. Dermatology witnesses said insurers’ use of Modifier 25 cuts reimbursement for same-day evaluation and procedure visits, forcing separate appointments and increasing patient burden. Mobile integrated health supporters described home-based care as a way to reduce emergency department use and hospital readmissions, especially for patients with transportation or mobility barriers. No votes or formal committee actions were taken during the hearing itself.

Transcript Highlights:

• , and this is support only.
• I'm Janira Alanda Verde, supporting PACT in San Jose. I support AB 2465. Thank you.
• Strong support. Thank you.
• Thank you. ...have signed on in support of AB 1633, and I urge you to also support it. Thank you.
• , and this is support.

Keywords: 988, house, all

Transcript Highlights:

• The Democratic Party of Hawaii in support. Indivisible Hawaii in support.
• HGA in support. Hawaii State AFL-CIO in support. Um, SHRM Hawaii with comments.
• </c> support. The AMU Alliance in support. support. The AMU Alliance in support.
• . support. support.
• </c> individuals in support. individuals in support.

Keywords: 910, house, all

Transcript Highlights:

• So, through the long-term services and supports financing initiative and with the support of the Urban
• provide the critical hands-on support.
• Anything which supports the providers also supports the consumers.
• , but there isn't enough supportive housing.
• CCE has supportive housing but there isn't enough supportive housing.

Summary: The joint Assembly Budget Subcommittee hearing focused first on long-term services and supports for older adults, especially the “forgotten/overlooked middle” who earn too much for Medi-Cal but cannot afford private long-term care. Administration witnesses from DHCS, the Department of Aging, and Social Services described Medicare’s limited long-term care coverage, Medi-Cal’s role, the elimination of the Medi-Cal asset test, and ongoing state studies and listening sessions on financing options. Testimony from advocates and researchers emphasized rising homelessness among older adults, the need for better navigation and coordination across health, aging, housing, and social service systems, and short-term policy steps such as share-of-cost reform, housing stability supports, and protecting home- and community-based services. Members highlighted the need for a coordinated, no-wrong-door approach and asked for the most impactful budget investments to address affordability and homelessness risk. The second major topic was the Community-Based Adult Services (CBAS) program. CDA reported that CBAS helps participants remain in the community, that 304 centers operate statewide serving about 42,000 people, and that demand is stable but access gaps remain in some regions. DHCS explained that a 2024 rate increase authorized by SB 159 became inoperative after Proposition 35, and that a separate 10% rate change on the fee schedule was the result of a DHCS system error; the department said it would not require recoupment, though managed care plans may act under their contracts. CBAS providers and advocates warned that reimbursement rates have not kept pace with costs, that several centers have closed, and that clawbacks could trigger more closures. They requested $74.8 million ongoing General Fund to close part of the rate gap and preserve the program, while members expressed concern about closures and the cost savings of keeping people out of more expensive institutional care. The hearing then moved to In-Home Supportive Services (IHSS) and statewide collective bargaining. CDSS reviewed provider recruitment and retention efforts, including electronic timesheets, direct deposit, and the now-completed IHSS Career Pathways program, which trained more than 59,000 providers. CDSS also summarized its AB 102 workgroup report on statewide versus regional bargaining, saying the final report would be sent to the Legislature soon and that statewide bargaining appeared more viable than regional bargaining, though it would require clear statutory scope and major fiscal changes. The department estimated that each $1 per hour statewide wage increase would cost at least $1.3 billion to $1.5 billion annually. Labor advocates argued that IHSS wages, benefits, and training are too inconsistent across counties and called for statewide bargaining, consumer participation, and ongoing state funding. County representatives supported stronger wages but cautioned that counties need protection from new costs and administrative burdens, and consumer advocates warned that moving bargaining to the state could weaken local consumer control and the program’s consumer-driven structure.

Transcript Highlights:

• In support, I'm Aaron Chijewski with Food Lifeline.
• Your support will have lasting impact.
• and the Governor's support.
• All four of these projects have broad-based support, including tribal support.
• similar expressions of support from a tribe.

Summary: The committee first heard a briefing on the proposed Senate capital budget, Substitute Senate Bill 6003, which would spend about $723 million total using debt-limit bonds, Climate Commitment Act funds, and other cash resources. Staff described major investments in housing and homelessness, human services, local infrastructure, flood response, water conservation and clean energy, K-12 school modernization and seismic work, and higher education projects. Members then took public testimony from a wide range of advocates and project sponsors, most of whom urged the Senate to preserve or increase funding for specific projects in the final budget, including affordable housing, permanent supportive housing, child care facilities, food banks, behavioral health and substance use treatment centers, tribal courthouse relocation, school modernization, community colleges, university projects, floodplain restoration, community forests, and local civic or cultural facilities. Several witnesses also asked the Senate to match or approach House funding levels on items such as the Housing Trust Fund, permanent supportive housing, the Community Forest Program, Floodplains by Design, and CCA-supported clean energy and water projects. The chair noted that amendments to the capital budget were due the next day at noon. The committee then received a briefing on Engrossed Second Substitute House Bill 2251, which would restructure Climate Commitment Act accounts by repealing three existing accounts and replacing them with two new accounts: a CCA operating account and a CCA capital account. Staff explained that the bill would preserve most existing uses while changing revenue distribution formulas, capping Ecology administrative costs, expanding allowable uses for EV-related costs, housing, and carbon capture/sequestration, and changing reporting and tribal consultation provisions. The bill also shifts some reporting from annual to biannual and modifies the thresholds for tribal-supported and overburdened-community investments. The fiscal note was described as relatively small, with the main impact being the revised revenue allocation structure. Public testimony on the CCA bill was mixed. Supporters, including the League of Women Voters, said the restructuring better aligns spending with the intent of the CCA and could improve investments for tribes and overburdened communities. Critics, including the Washington Policy Center, argued the bill still lacks strong requirements to ensure CCA spending is effective and objected to reducing the frequency of the state’s climate-spending report. No votes were taken during the portion of the meeting provided.