Transcript Highlights:

• The bill is about limiting access to food and grocery help for able-bodied adults without dependents,
• So I think this bill really is more about ensuring able-bodied adults on SNAP have access to resources
• So the amendment requires coordination between ADHS and Access.
• For the record, I am Damien Carpenter with Access. We are neutral on the bill.
• With Access, we are neutral on the bill.

Bills: SB1017, SB1149, SB1162, SB1192, SB1249, SB1253, SB1331, SB1333, SB1334

Keywords: informed consent, surgical procedures, healthcare professionals, patient rights, regulatory compliance, child welfare, dependency hearings, foster care, court procedures, parental rights, healthcare compliance, behavioral health technicians, licensing, monitoring, administrative burdens, basic first aid, good samaritan, medical licensing exemption, Arizona medical board, A.R.S. 32-1421

Transcript Highlights:

• I'm pleased to present AB 524, the Farmland Access and Conservation for Thriving Communities Act.
• This bill would create a new land access program at the Department of Conservation to address one of
• Today, land access has never been more...
• Today, land access has never been more... ...conservation practices.
• Unless you've gained access to land from your family or have several million dollars available, access

Summary: The Assembly Committee on Agriculture met as a subcommittee and heard several bills, with extensive discussion focused on balancing agricultural land preservation, water scarcity, renewable energy, and farm equity. AB 1156 by Assembly Member Wicks would update the solar use easement program to allow certain Williamson Act lands facing water constraints to be used for solar projects through a suspension rather than cancellation of contracts. Supporters said the bill could help landowners and local governments adapt to falling water supplies and meet clean energy goals, while opponents, including the Farm Bureau, warned it could weaken Williamson Act protections, expand solar development onto prime farmland, and eliminate cancellation fees that help preserve agricultural land. RCRC said its concerns had largely been addressed through amendments and moved from opposition to support once changes are in print, though committee members continued to raise concerns about prime farmland, community benefits, and definitions of commercial viability and water constraints. The bill passed the committee on a due-pass-as-amended motion, with a later roll call recording six votes in favor and one absent member voting aye. AB 524 by Assembly Member Wilson would create a new state land access program for beginning and socially disadvantaged farmers and ranchers, using Proposition 4 funding to provide financial and technical assistance for land acquisition, protection, and long-term leases. Testimony emphasized the lack of secure land tenure for small and underserved farmers, the loss of farmland statewide, and the difficulty of investing in sustainable practices without stable access to land. Committee members strongly supported the measure, with several noting the importance of land access for family farms and equity in agriculture. The bill passed unanimously on an 8-0 vote. The committee also approved AB 675 by Majority Leader Aguiar-Curry, which would codify California’s Farm to School program in statute. Supporters said the program connects students to healthy local food, creates stable markets for farmers, and supports agricultural and nutrition education, while helping direct school meal dollars to California producers. Witnesses from the Center for Ecoliteracy and CAFF described the program’s statewide reach and benefits for small farms and high-need schools. The bill passed on an 8-0 vote. The committee also adopted the consent calendar, approving AB 1322 and AB 1505 on an 8-0 vote.

Transcript Highlights:

• Do we have a sense of what recourse they will have in terms of their access to care?
• And that’s all available online, where the people can have access to what hospital gets what.
• That is so important for people to access our state parks in California.
• Christine Smith, Health Access California.
• Immigrant Policy Center regarding continued access to the CFAP program.

Keywords: 987, senate, all

Transcript Highlights:

• So improving access and improving access to care really where I see this bill and where it's going to
• :45.240> access<02:38:45.640> to improving access and improving access to improving access
• <02:53:18.520> to that we're increasing the access to that we're increasing the access to
• <03:06:05.000> to is is access to is is access to um<03:06:06.520> treatment<03:06:
• important to improving access to care. important to improving access to care.

Keywords: 1189, house, all

Transcript Highlights:

• We also have the network access report that is a deeper dive.
• What's going on in their lives that is making access hard?
• So the appointment availability metric is a far better guide to actual access than geographic accessibility
• And the member portal, when you access your secure...
• And I just coverage is different than access. So access is what you're talking about, right? Yeah.

Keywords: 962, all

Summary: The Care Management Meeting opened with a DSS update on the PCMH program. Staff reported the program remained steady at 124 practices, 553 sites, and 2,548 providers, with some month-to-month fluctuation driven by practice consolidation, retirements, and a few practices leaving the program because NCQA requirements were burdensome. Members asked about declining provider and site counts, member attribution trends, and whether PCMH practices overlap with behavioral health homes; DSS said attribution changes are largely due to members becoming ineligible, moving, or getting other insurance, and that PCMH and behavioral health homes are separate programs that coordinate informally. The committee also discussed why some smaller practices leave the program and whether the requirements could be made easier to support retention. The committee then resumed a detailed presentation on the Husky Dental program. The presenter described the dental benefit’s history, the importance of preventive oral health, workforce and consolidation pressures in dentistry, and the lack of interoperability between dental and medical records. Network data showed year-over-year declines in enrolled dental practitioners and service locations, with access gaps concentrated in rural and eastern parts of the state. Appointment availability surveys showed average waits of 38 days for adults and 23 days for children, but much longer waits at FQHCs than private fee-for-service practices. The presenter said Connecticut remains above the national median on CMS pediatric dental quality measures, though sealant rates remain a concern, and noted that preventive care is associated with lower per-member costs. Members raised concerns about provider participation, large practices dropping Medicaid, mobile dental care, and whether the public directory accurately reflects which dentists are actually accepting new patients. The presenter said the plan uses secret-shopper calls, tracks appointment availability, and has begun using place-of-service coding to better identify school-based dental care. She also noted a new MOU with 20 Head Start programs to share data and provide oral health literacy and navigation support. The final major topic was implementation planning for HR1. DSS said CMS guidance was expected in early June and proposed using upcoming meetings to cover medical frailty, communication strategy, and data integration/ex parte verification. Committee members urged the department to create a dashboard to track disenrollments and other impacts of HR1, to build a process for complaints and problem resolution, and to think through cost-sharing, caregiver verification, exemptions, and notices. Members also asked about using existing eligibility structures such as the working-disabled program as a model. The committee agreed to move the next meeting to June 10 by Zoom, with the agenda to be circulated in advance and any PCMH Plus quality data shared if available.

Transcript Highlights:

• Many of these owners bought property near or next to public beach accesses.
• Most beachgoers set up within 50 yards of their access point.
• , private... ...or Watersound, where I live, it's private beach access, private beach access as sacrosanct
• , and public beach access should be sacrosanct as well.
• and securing sufficient public access for the need.

Summary: The Natural Resources and Disaster Subcommittee took up eight bills focused on water policy, coastal resilience, environmental regulation, beaches, wildlife funding, and carbon sequestration. HB 7001 preserved the public-record exemption for site-specific location information on endangered and threatened species before its scheduled repeal, and it was reported favorably 16-0. H.R. 661, expressing support for a “one-water” approach to the state water supply, drew discussion about whether it implied centralized control; an amendment aligning the resolution with Senate language was adopted, and the resolution passed 16-0 with a committee substitute. The committee also advanced HB 1345 on infrastructure and resiliency, which after a strike-all amendment authorized DEP to procure coastal resiliency projects through public-private partnerships and use incentives such as revenue-sharing, expedited permitting, public engagement, and workforce training; it passed 16-0. HB 477 on weather modification was substantially amended to return to current statute and add a $10,000 fine for failing to obtain a permit; the bill drew extensive public testimony both for and against weather modification and cloud seeding, and it passed as amended with a committee substitute. HB 6043, repealing the 2018 customary-use beach statute affecting Walton County, prompted testimony about beach access, tourism losses, and private property rights; it passed 17-0. The committee then approved CS for HB 843, making clarifying changes to Fish and Wildlife Conservation Commission trust funds and allowing use of the non-game wildlife trust fund for law enforcement and coordination with related agencies and landowners; it passed 17-0. HB 1169 revised water management district planning, budgeting, reporting, and procurement practices, including restrictions on lobbyist funds and updated project preference rules; two amendments were adopted and the bill passed 16-0. Finally, HB 1063 created a task force to study carbon sequestration and related ecosystem services in Florida’s natural and agricultural lands and waters; after amendments removing a fiscal component and clarifying voluntary participation and property-rights protections, it passed 15-2. The meeting adjourned after all bills were reported favorably.

Transcript Highlights:

• I wish I didn't have to say this in 20125, but access to education and housing are gut, and concentration
• :56.399> to<00:00:56.760> housing<00:00:57.760> are<00:00:58.039> gut access
• <00:01:40.079> Healthcare responsive and accessible Healthcare responsive and accessible Healthcare
• All Minnesotans should have access to safe and affordable housing.
• All Minnesotans should have access to safe and affordable housing.

Keywords: 1187, senate, all

Summary: Senate POCI caucus members held a press event outlining their priorities for the session and framing them as a response to federal actions and rhetoric they described as harmful to Black, Brown, Indigenous, immigrant, and other marginalized communities. Senator Zaynab Mohamed said the caucus would not be silent and emphasized goals including culturally responsive and accessible health care, protection from discrimination, fully funded education from cradle to college, an equitable bonding bill, and safe, dignified housing. Senator Erin Maye Quade said the caucus would fight efforts to “resegregate” society and highlighted support for strengthening the READ Act and advancing the Minnesota Building Families Act to cover infertility care through insurance. Senator Clare Oumou Verbeten pointed to recent DFL accomplishments such as the CROWN Act, restoring the vote, and the African-American Family Preservation Act, and urged colleagues to consider how legislation and budgets affect communities of color. She also said she would champion Minnesota Connecting Families, a proposal to make communication free for incarcerated people, along with a ban on legacy admissions and legislation preventing housing discrimination against Section 8 voucher holders. Senator Mary Kunesh reviewed education investments made over the past two years, including increased school funding, free lunches, library funding, pre-K expansion, the READ Act, and the Teachers of Color and Indigenous Act, and said her top priority is advancing an Equal Rights Amendment and protecting tribal sovereignty and treaty rights. Senator Susan Pha said the caucus remains necessary because people of color and immigrants still face discrimination, including her own family, and said the group would continue fighting for equality and opportunity. In response to questions, caucus members said they hoped for bipartisan support on some proposals but were prepared to use their majority if needed. They said they were not intimidated by the new federal administration or Republican control in Washington, argued that Minnesota should protect residents from federal harm, and criticized GOP efforts they characterized as attacks on DEI and racial equity. No votes or formal committee actions were taken in the meeting.

Transcript Highlights:

• <00:10:05.000> to population and the limited access to population and the limited access to
• Mahalo for your time. of schools don't have access to funds of schools don't have access to funds for
• Mahalo. access for a resilient Kawaii and we are access for a resilient Kawaii and we are seeking<02:
• will provide low interest accessible will provide low interest accessible loans<02:50:13.359>
• <03:50:09.600> in<03:50:09.840> 14 access in 14 access in 14 languages<03:50:12.439>

Keywords: 912, senate, all

Summary: The joint Ways and Means and Finance informational briefing on grants and aids was held February 14 and was organized as a high-volume public testimony session with strict procedures: no Q&A, one representative per applicant, one minute per testimony, in-person testimony first, and then Zoom participants. The chairs also announced a recess at 11:00 a.m. for floor sessions and a reconvening at 1:00 p.m. Testimony was heard first from neighbor island applicants, then Oʻahu applicants, with members repeatedly directing speakers to line up and keep remarks brief. Neighbor island testimony focused on a wide range of capital and operating requests. Health and community projects included Hawaii Island Community Health Center’s workforce housing in Kau, Wuli Hawaiian Homestead Association’s learning center and predevelopment work, Rescue Tube Foundation’s beach rescue tube expansion, Puna Community Medical Center’s planned hospital/ER campus, Maui Humane Society’s free veterinary care after the wildfires, Hawaiʻi Care Choices’ palliative care readiness, and the Lyman Museum’s HVAC replacement. Other requests included the Maui Advanced Manufacturing Alliance’s Pāʻia Mill redevelopment, Laua 2020’s preschool and learning lab, Mālama Aina’s USDA-compliant meat processing facility, the Hawaiian Lifeguard Association’s water safety programs, Kaha P Organization’s agriculture education support, Ohana Arts’ youth performance project, Friends of the Children’s Justice Center’s emergency closet, EOA Pacific’s Marshall Islands teacher training, and the Central Pacific Youth Athletic Club’s new facility. Oʻahu testimony included the YWCA Oʻahu/Pythink Center’s renovation of Juliet M. Atherton Hall and its community kitchen, West Oʻahu Community Health Center’s wildfire protection and security needs, the Early School’s playground improvements, Surfing the Nations’ food distribution center expansion, and Sounding Joy Music Therapy’s weekly services for people with disabilities. Speakers generally emphasized community benefit, workforce development, health access, food security, disaster recovery, and support for children, seniors, and underserved populations. No votes or formal committee actions were taken during the briefing.

Transcript Highlights:

• Together we're honored to represent New Mexico Crisis and Access Line.
• How do I access that? What do I do?
• Just that private access to mental health care anytime, right?
• accessing our needed services.
• This training... is accessible and available.

Transcript Highlights:

• The LFC and even Mercer and Medicaid have access to it, but unless you get access to the data and have
• Some examples of reasons for higher rates can be rural access...
• it is all individuals accessing services across the board.
• I will say that, certainly, access to care is the first line of ensuring a Medical care requires access
• We need to find ways to encourage frontline access and early access for our constituents.

Transcript Highlights:

• This mismatch further cuts into providers' pay, making it even harder to expand access.
• We know that access to child care benefits both employees and employers. The U.S.
• And we know access, it doesn't matter.
• In rural communities, the word access is our number one word.
• We get more access to subsidized care.

Summary: The California State Assembly Select Committee on Child Care Costs held its first hearing to examine the state of child care access, affordability, and provider compensation. Chair Cecilia Aguiar-Curry and other members described child care as essential infrastructure for working families and the economy, noting that costs are unaffordable for many households and that providers are underpaid. Early testimony came from a San Francisco parent, Quinn Chung, who described the difficulty of finding safe care and the financial and career sacrifices caused by lack of child care, and from Tuolumne County provider Anita Viscini, who detailed her monthly costs, low margins, and the need to work weekends and teach CPR classes to make ends meet. Assemblymembers also emphasized the crisis in rural communities and the need for a long-term strategy. The first policy panel featured Jennifer Troia of the California Department of Social Services, Laura Pryor of the California Budget and Policy Center, and Alexa Frankenberg of Child Care Providers United. Troia said the state has nearly doubled child care funding in five years, expanded subsidy slots, and reached a new tentative three-year agreement with providers that includes cost-of-living adjustments, stabilization payments, and continued work on an alternative rate methodology and single rate structure. Pryor argued that despite funding gains, child care remains too expensive, only a fraction of eligible children receive subsidies, and provider wages remain far below comparable jobs, worsening racial and gender inequities. Frankenberg said the tentative agreement is progress but not enough, calling for a true cost-of-care system, fair wages, paid time off, better support for emergency and nontraditional care, and stronger integration of family child care into the mixed-delivery system. Members asked about why the crisis persists, how the alternative methodology will work, how family fees and sliding-scale help are being used, and why middle-income families still struggle. The panel said the problem reflects long-term underinvestment, a broken market, and a system that still leaves many families without access. The committee also heard an economic panel from Ashley Hoffman of the California Chamber of Commerce and Sarah Bone of the Public Policy Institute of California. Hoffman described employer child care benefits and public-private partnership models in other states, including shared-cost programs and local chamber efforts. Bone said child care costs reduce family financial security and labor force participation, especially for mothers of young children, and estimated that if mothers of young children worked at the same rate as mothers of older children, more than 80,000 additional women could be in the workforce each year. In the final panel, parent and provider advocates, including Jennifer Greppie and Black Californians United for Early Care and Education co-founder Keisha Doyle, argued for fully funding child care, ending waiting lists, protecting culturally affirming care, and addressing racial inequities and private equity’s role in the sector.

Transcript Highlights:

• <00:29:06.080> healthcare Minnesotans from accessing healthcare Minnesotans from accessing
• including the health care access fund. including the health care access fund.
• So, I have the ability to access them.
• <01:29:48.680> to kids having access to kids having access to natural<01:29:50.200> play
• They're accessible and accountable to the people they serve.

Keywords: 1187, senate, all

Transcript Highlights:

• Those are access, affordability, attainment, and accountability.
• We want them to access our state financial aid programs.
• We want them to access our state financial aid programs.
• Can they access any of those funds?
• <01:28:55.520> this DREAM Act is and how you access this DREAM Act is and how you access this

Keywords: 1183, house

Transcript Highlights:

• But we've heard a lot already today about MVP access for rural communities.
• We especially appreciate the inclusion of accessibility and accessible trails, a first for an environmental
• The intent of Chapter 91 is to protect public access to waterways.
• What I've discovered is that accessible paths are rare and precious.
• And as an ally once said, almost accessible is not accessible.

Keywords: 995, all

Summary: The hearing focused on the Healey-Driscoll administration’s Mass Ready Act, a $3 billion environmental bond bill. Administration officials said the bill would fund climate resilience, clean water, land conservation, parks, PFAS remediation, food security infrastructure, and coastal and inland flood protection, while also streamlining permitting for housing, restoration, and other resilience projects. They emphasized that the bond authorizes spending but does not itself obligate it, and said the proposal includes deauthorizations as housekeeping. Committee members asked about the new Resilience Revolving Fund, flood and drought management, MVP funding, land acquisition, Chapter 61 right-of-first-refusal changes, salt marsh carbon sequestration, and how the bill would help smaller municipalities and offset expected federal funding losses. Officials said the revolving fund would be managed through EEA and the Clean Water Trust, with criteria aimed at directing aid to communities most in need, and noted that drought issues would continue to be handled through existing DEP and drought commission tools. Several committee members and witnesses discussed specific policy provisions, including flood disclosure requirements for homebuyers and renters, expanded authority for regional planning and small-town access to grants, and permitting reforms that would exempt or expedite certain environmental restoration and priority housing projects from more time-consuming review processes. Administration witnesses defended the reforms as a way to achieve the same environmental outcomes faster and with more certainty, while some advocates argued the bill should go further, especially on Chapter 91 and restoration permitting. The administration also described investments in DCR facilities, water and wastewater systems, open space, agricultural easements, and a new focus on blue carbon and salt marsh restoration. Public testimony largely supported the bill. Mass Audubon, the Trustees of Reservations, the Environmental League of Massachusetts, The Nature Conservancy, MAPC, the Massachusetts Municipal Association, municipal officials, and others praised the bill’s resilience, conservation, and water infrastructure investments. Some witnesses urged additional funding for land protection, coastal resilience, buyouts, and restoration, and several called for stronger or simpler permitting reforms. Municipal witnesses from Boston, Beckett, Beverly, Conway, and regional planning organizations stressed the need for flexible financing, especially for small and rural communities facing costly infrastructure and climate adaptation projects. No votes were taken during the portion of the hearing provided; the committee heard testimony and asked questions before moving on to additional panels.

Transcript Highlights:

• And imagine that you've worked tirelessly to make this house accessible.
• You have made this home safe and accessible.
• And imagine that you've worked tirelessly to make this house accessible.
• You have made this home safe and accessible.
• Your previously accessible home is now inaccessible.

Keywords: 995, all

Summary: The committee heard testimony on a range of energy, utility, broadband, and municipal infrastructure bills. Representative Powell supported H 3466, which would create a task force to study public ownership of utilities and alternatives to investor-owned electric and gas systems. Representative Therber supported H 3574, which would use RGGI funds to reimburse cities and towns affected by power plant decommissioning, citing lost jobs, tax revenue, and service cuts in communities such as Somerset, Plymouth, Salem, and Everett. Several witnesses from municipal light plants and related organizations testified in support of mutual aid bills, including H 3486/S 2252 and H 3330/S 2277, saying the measures would clarify protections and liability coverage for MLP workers assisting in emergencies and non-emergency work. Jim Leiden of EMWIC opposed H 3514/S 2295, saying the proposed board and governance changes would reduce local control, add burdens, and weaken confidentiality protections. A committee member asked whether the mutual aid bills had been reviewed for municipal impacts, and the witnesses said they had done due diligence. The committee also heard extensive testimony on H 3551/S 2306, the smart meter opt-out bills. Supporters argued that smart meters emit harmful wireless radiation, that some residents have developed health problems or electromagnetic sensitivity, and that opt-outs should be available without fees or penalties; several witnesses urged notification, consent, and non-transmitting analog meter options. The committee also heard testimony from municipal officials and the Massachusetts Municipal Association in support of H 3462/S 2250, which would strengthen municipal authority to enforce timely removal of double utility poles, citing safety, accessibility, and construction-delay concerns. Derek Leffert of Gateway Fiber opposed H 3450, saying it would improperly shift broadband deployment costs to competitors. At the end of testimony, the chair closed the hearing by motion and vote, with members voting aye and no opposition recorded.

Transcript Highlights:

• To preserve the safety of everyone here and ensure the public's access.
• And that should be, public universities are supposed to be the accessible option, the economic option
• programs, and better access to career sources in schools.
• Expand access.
• Access to funding alone is not enough.

Keywords: 988, house, all

Transcript Highlights:

• <00:03:03.360> to training and providers and access to training and providers and access to
• <00:21:27.520> board, disability communication accesses board, disability communication accesses
• <00:31:24.480> is need to help ensure that access is need to help ensure that access is always
• <00:32:29.440> conference access conference access conference this<00:32:31.919> year<00
• Chair's recommendation is access board.

Keywords: 912, senate, all

Summary: The Committee on Health and Human Services heard testimony on a series of gubernatorial nominations to health, disability, aging, and advisory boards. Early nominees included Pria Tay for the Kauaʻi Service Area Board on Mental Health and Substance Abuse, who emphasized her 25 years in the mental health field and commitment to community access to training and resources, and Ashley Mishihara for the Fuel Tank Advisory Committee, who described her involvement in the Red Hill response and ongoing concern about protecting the sole-source aquifer and ensuring remediation. Christopher Luthie, nominated to the State LGBTQ+ Commission, said he wanted to advocate for LGBTQ+ residents statewide and help improve programs so people are not overlooked, and he received support from commission member Michael Galuyo Jr., who said the commission had lacked a Hawaii County representative since December. The committee also heard from nominees to the Radiologic Technology Board, including David Wodsworth and Reena Shimata. Wodsworth said the board should modernize rules and regulations, while the Department of Health supported him and clarified that the board focuses on policy and procedures rather than direct licensing decisions. Shimata said she wanted to help protect patients, technologists, and the public from radiation exposure, and the Department of Health and several medical professionals supported her, with one witness noting that modern technology reduces dose but competent technologists remain essential to avoid unnecessary exposure. The committee deferred GM712, a nomination not present at the hearing, until Monday, March 9. Additional nominations included Judy Pike for the disability communications/access board, who cited her prior DECAP staff experience and long involvement in disability access work, with strong support from a current board member; Rick Taber for the Policy Advisory Board for Elderly Affairs, who sought a second term and highlighted his committee leadership and long mental health career; Amy Healey Austin for the Statewide Health Coordinating Council, who said she wanted to represent rural health needs and described her leadership roles in West Hawaiʻi health care; and Ed Chevy for DECAB, who stressed the importance of interpreter access and communication access, with support from Christine Pagano. The committee took no final votes in the portion of the hearing provided, and several nominees were told their decisions would be taken up later in the meeting or at the end of the calendar.

Transcript Highlights:

• Have public access to support.
• And then we have uh Free Access And then we have uh Free Access Coalition<00:40:18.240> in
• access solar.
• access solar.
• access solar.

Bills: HB2245, HB1618, HB1985, HB2079, HB1921, HB2232, HB1567, HB1984, HB2608, HB2435, HB1623, HB1774

Keywords: wastewater systems, denitrification, environment, pollution, coral reefs, nearshore waters, public health, shoreline regulations, cesspool conversion, cesspool replacement, wastewater, sewer connection, sewerage systems, septic system, pollution control, water pollution control revolving fund, Hawaii Green Infrastructure Authority, HGIA, low-interest loans, forgivable loans

Summary: The committee heard testimony on several bills related to cesspools, wastewater, and clean water protections. On HB 2245, which would require additional denitrification capacity in wastewater systems near shorelines, the Department of Health offered comments, DLNR supported the bill, and multiple environmental and ocean groups testified in strong support, emphasizing nitrogen pollution from cesspools, reef damage, and the need to prioritize shoreline systems. Testifiers said the bill should move forward, with technical issues such as GIS mapping to be worked out later. No member questions or votes were taken on this measure. On HB 1985, concerning the Hawaii Green Infrastructure Authority and accessible conversion loans for cesspool homeowners, HGI supported the bill and suggested making the program a revolving loan fund; DLNR and the Public Utilities Commission also supported it, while the Department of Health supported the concept. Committee discussion focused on program design, possible forgivable loans for low-income homeowners, and whether the program should be administered through existing infrastructure rather than a new procurement process. The committee then moved to HB 1985’s companion discussion on cesspool conversion outreach and deadline extensions, where DLNR and DOH supported outreach but DLNR and ocean advocates expressed reservations about extending deadlines, especially for financial hardship, saying that issue would need careful work. The committee also heard testimony on HB 2079, which would reestablish the accessible upgrades inversion or connection income tax credit. The Department of Taxation raised administrative and fraud concerns about refundable credits, explaining that nonrefundable credits reduce tax debt while refundable credits can function like cash payments and require more oversight. DOH, DLNR, OPSD, counties, Hawaii Realtors, and environmental groups supported the bill, with one ocean coalition witness saying tax credits could help homeowners but grants would be preferable. Members asked about the difference between refundable credits and grants and about whether the credit would cover sewer connections versus individual wastewater systems. The committee then heard brief testimony on HB 1921, allowing certain priority-three cesspools to add a bedroom, with support from Hawaii Realtors and some other groups and no opposition discussion. HB 2232, preserving state water-quality protections at least as strong as the federal Clean Water Act, drew support from DOH and ocean advocates, with no questions. The committee also began hearing energy-related bills, including HB 1567 on energy equity and HB 1984 on self-certification for distributed energy resources, with a mix of support and some opposition or requested amendments, but no votes were taken in the portion provided.

Transcript Highlights:

• Beth has given you access to all these slides and to this information.
• Beth has given you access to all these to the slides and to this information.
• And I Point of the PA, it's really appropriate access not to become a barrier.
• And I think, you know, that's fair because that's supported by data, open access, open appropriate access
• I mean, you think about that not only in access, but the importance of prevention.

Summary: The committee first approved the previous meeting minutes and then heard a detailed annual report from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and policy issues. He explained the committee’s review process, confidentiality protections, and national and North Dakota data showing that most maternal deaths are preventable and that mental health conditions, substance use, cardiovascular issues, infection, hemorrhage, and embolism are the leading causes. Members asked about suicide, domestic violence, midwife training, home births, and whether pregnancy testing at death scenes should be expanded; Dr. Arnold said better coroner education, more investigation of unexplained deaths, and possible post-mortem pregnancy testing could improve case identification, especially in rural areas. He also noted that deaths often occur well after 42 days postpartum and that mental health-related deaths remain a major concern. The committee then heard from State Fire Marshal Dr. Matthew Clark on cigarette reduced-ignition-propensity standards and related fire prevention issues. He recommended updating the state’s cigarette propensity law to current national standards and also raised a separate recommendation to require fast-breakaway oxygen tubing for home oxygen users, citing fatal fires linked to smoking around oxygen. Members asked about implementation, cost, insurance coverage, and whether the standards apply in tribal communities; Dr. Clark said he would provide follow-up information and was willing to help with any legislation, but no agency bill had yet been planned. Next, Christine Greff of the Department of Health and Human Services reported on the North Dakota Stroke System of Care. She described the statewide network of stroke-ready hospitals, registry-based quality improvement, and performance data showing continued improvement in stroke recognition, imaging, thrombolytic treatment, transfers, and EMS pre-notification. She highlighted new quality measures for inter-facility transfers and intracerebral hemorrhage care, and said the system remains strong but depends on continued legislative and hospital support. Committee members asked about participation by the VA hospital and were encouraged to consider outreach to include it more fully in the stroke system. Finally, the committee began a presentation on prior authorization and non-opioid pain treatment from Taha Khan of Vertex Pharmaceuticals. He argued that prior authorization can delay access to non-opioid acute pain medications, especially in the 24- to 72-hour post-discharge window when pain is most severe, and said delays can push patients toward opioids. He emphasized that prior authorization has a role in utilization management but should not create barriers in acute pain care, and he noted that current use of the company’s non-opioid product remains very low. The discussion was still underway when the transcript ended.

Transcript Highlights:

• It means access to counsel in eviction proceedings.
• Legal help and access to the right resources at the right time can prevent homelessness and access to
• Emergency access shelters are now out of reach for many families in need.
• Emergency access shelters are now out of reach for many families in need.
• We also see it's really hard to access RAFT if you already live in subsidized housing.

Keywords: 995, all

Summary: The Joint Committee on Housing opened its second hearing of the session with remarks from Chairs Haggerty and Cyr emphasizing that the hearing was a broad look at Massachusetts’ housing crisis rather than a single bill. They highlighted topics including zoning, permitting, rental assistance, public housing, homelessness prevention, and housing production. The first witness, Housing and Livable Communities Secretary Augustus, reviewed implementation of the Affordable Homes Act and the state’s new housing plan, citing a 1.6% vacancy rate, a projected need for 222,000 new homes over 10 years, and ongoing efforts such as ADUs by right, fair housing enforcement, eviction record sealing, seasonal communities planning, and new funding for affordable housing, public housing, and the Momentum Fund. He also discussed infrastructure support for municipalities, technical assistance for ADUs, and concerns about possible federal funding cuts. Committee members questioned the secretary about ADU financing and technical assistance, the likely unit yield from the Affordable Homes Act, infrastructure barriers in suburban and rural communities, public housing waitlist management, supportive housing, and federal budget risks. MassNAHRO then testified that public housing authorities are facing rising operating and capital costs, a statewide waitlist nearing 300,000, and uncertainty over federal Section 8 and HUD funding. Witnesses described recent state support for operating subsidies, capital improvements, vacancy turnover teams, and resident service coordinators, while warning that proposed federal cuts could sharply affect voucher issuance and agency operations. CDAC’s executive director Roger Herzog described the agency’s role as a quasi-public source of early-stage financing and technical assistance for nonprofit housing developers, noting its loan capital, supportive housing bond programs, home modification loans, and preservation work under Chapter 40T. He said CDAC has helped produce or preserve more than 55,000 units and stressed the importance of patient capital and preservation tools. CHAPA CEO Rachel Heller urged the committee to focus on production, preservation, planning, and political will, supporting goals for affordability, supportive housing, and homeownership, and endorsing policy changes such as YIGBY, clearer site plan review rules, stronger fair housing funding, and more support for vouchers and public housing. MassHousing then outlined its financing role, including mortgage lending, down payment assistance, the Community Climate Bank, and the Momentum Fund, while noting that permitting delays, capital gaps, and possible federal changes could affect production. Members also asked about transparency, prevailing wage compliance, and a recent internal restructuring related to diversity and business engagement.