Transcript Highlights:

• North Dakota for both aspects, where AI-generated images have been put out to the population for purchase
• And when we followed it, it actually brought us to a site where CSAM was available for purchase when
• think they're just entering into a business arrangement when, in fact, the person that they're purchasing
• healthy relationships, but we realize there's so many other reasons why someone might choose to purchase
• Well, some buyers experience positive emotions after purchasing someone for a sexual act.

Summary: The committee met to approve prior minutes and then heard a presentation from Dr. Ramona Danielson on adverse childhood experiences (ACEs), focusing on the economic and public-system impacts in North Dakota. She explained that ACEs are a population-level measure, not a diagnostic tool for individuals, and said higher ACE exposure is consistently associated with more chronic illness, mental health challenges, child welfare involvement, justice-system contact, and reduced workforce participation. She emphasized that precise dollar estimates are difficult because of the many interacting factors across a person’s life course, but said the direction of the impact is clear and that evidence-based prevention and protective factors can reduce harm. Members asked about definitions of a “healthy family,” same-sex couples, divorce, substance abuse, historical trends in ACEs, and the role of positive childhood experiences and home visiting. The committee then heard from Allison Mahoney and Missy Barranco about evidence-based home visiting programs in North Dakota, including Healthy Families, Early Head Start, Nurse-Family Partnership, and Parents as Teachers. They described home visiting as voluntary, relationship-based, and tailored to family needs, with referrals coming from hospitals, WIC, human service zones, pregnancy navigators, self-referrals, and other community sources. A parent, Abby, shared that home visiting helped her family after premature births and NICU stays by providing support with postpartum mental health, breastfeeding, developmental screenings, referrals, and parenting guidance. The presenters said the programs are funded through a mix of federal MIECHV/Title IV-E dollars, Medicaid targeted case management, state and tribal funds, philanthropy, charitable gaming, and grants, and they noted that current funding is fragmented and insufficient to serve all eligible families statewide. Members discussed whether the state should expand or better fund these services and how to improve outreach and referrals. Later, the committee received a memorandum on artificial intelligence and sexual exploitation, followed by a presentation from a BCI special agent on how AI is already affecting child exploitation investigations in North Dakota. The memo and testimony described AI-generated child sexual abuse material, deepfakes, sextortion, and risks posed by chatbots, along with relevant federal and state law and recent executive orders. The agent said North Dakota saw 2,698 cyber tips in 2025, the highest on record, and that investigators are increasingly encountering AI-assisted exploitation that is harder to detect and verify. Members discussed the need for child-safety protections, the limits of executive orders, and broader concerns about AI undermining critical thinking and spreading misinformation. No votes were taken on the AI materials during the portion provided, and the committee recessed briefly after the report.

Transcript Highlights:

• Anyone who makes a taxable purchase, anyone who has a car and pays tab fees, and buys gasoline.
• As a sales tax, the cost will be borne by the purchasers of these advertising services in Minnesota,
• At its core, this bill imposes a sales tax on business input, not final consumer purchases.
• Tax on business input, not final consumer purchases.
• People purchase fewer things and more services.

Keywords: 1187, senate, all

Transcript Highlights:

• there are differences of opinion when it comes to gun rights, what people should be eligible to purchase
• to be an underground black market of high-capacity magazines that will be provided by criminals, purchased
• need to deal with gun crimes, actually deal with gun crimes, making repeat gun offenders and straw purchasers
• making repeat gun offenders and crimes, making repeat gun offenders and straw<01:32:36.960> purchasers
• straw purchasers straw purchasers accountable.

Keywords: 1183, house

Transcript Highlights:

• <00:23:55.919> for<00:23:56.080> per<00:23:56.640> for<00:23:56.880> purchase
• <00:23:57.679> by will be offered for per for purchase by will be offered for per for purchase
• of House Bill 516 would allow employees who served in a probationary position up to 12 months to purchase
• /c><01:34:16.320> 12<01:34:16.639> months<01:34:16.880> to<01:34:17.199> purchase
• position up to 12 months to purchase position up to 12 months to purchase service<01:34:17.920><

Keywords: 958, all

Summary: The House convened with an invocation and the Pledge of Allegiance, then established a quorum with 96 members present. The chamber excused absent members, suspended rules to allow bill and resolution co-sponsorship and vote modifications, approved the previous day’s journal, and received Senate messages announcing passage of Senate Bills 101, 129, 162, and 170. The clerk then reported second-reading bills and favorable committee reports, which were ordered to first reading and placed on the calendar. The House then took up several bills on third reading. House Bill 521, relating to stalking, was presented as a modernization of Kentucky’s stalking laws and passed 95-0 after debate; a motion to reconsider was tabled. House Bill 220, relating to pension spiking in the Kentucky Public Pensions Authority systems, was amended by House floor amendment 1 to move the effective date back to July 1, 2021 to capture additional employees, then passed 95-0 and the clincher was applied. House Bill 510, relating to organ donation safety, passed 97-0 after explanation that it would require a pause and restart if anyone in the process believed there were indications of life. House Bill 467, relating to real property, passed 96-0 after adoption of a committee substitute; it creates a process for local governments to identify abandoned or underutilized state-owned property and sets procedures for review, notice, and disposal. House Bill 190, relating to licensed child care centers, passed 96-0 after a committee substitute that adjusts square-footage calculations for certain school-aged child care areas and excludes infants and toddlers. House Bill 141, relating to type 1 diabetes, passed 96-0 after a committee substitute removed an annual distribution requirement and instead made informational materials available in school offices; members spoke in support, including one describing a family experience with the disease. House Bill 518, relating to collection of local business taxes and fees, passed 91-3 after a committee substitute that allows electronic filing while preserving local control, creates an advisory committee, and phases in implementation through July 2029. House Bill 497, relating to post-secondary tuition waivers, was explained as addressing waiver costs to universities and was amended with House floor amendment 3 to expand and clarify eligibility, including up to 128 hours for eligible students and additional provisions for certain groups; discussion was underway when the transcript ended. The meeting also included committee reports on bills covering wildlife depredation, light pollution, limited commercial driver’s licenses, prison educational programs, civil rights, respiratory care, dietitians, temporary structures, controlled substances prescribing authority, the Athletic Trainer Compact, children of military families, local boards of education, youth health services, and class sizes for exceptional children and youth.

Transcript Highlights:

• Thanks to the 2021 Minnesota Legislature, we received $2 million for phase 1 to help fund the land purchase
• Thanks to the 2021 Minnesota Legislature, we received $2 million for phase 1 to help fund the land purchase
• the million for phase 1 to help fund the million for phase 1 to help fund the land land land purchase
• counties<00:42:03.040> are<00:42:03.200> committed<00:42:03.520> to purchase
• The counties are committed to purchase.

Bills: HF474, HF218, HF210, HF441, HF691, HF720, HF1068, HF1314, HF1465, HF1860, HF2046, HF1389, HF2404, HF2854, HF2985, HF3128, HF3103, HF778, HF3125

Keywords: HF474, Hubert H. Humphrey, Henry Mower Rice, Statuary Hall, United States Capitol, statue replacement, capital investment, general fund appropriation, Minnesota State Capitol, Minnesota State Historical Society, public art, commemorative statue, National Statuary Hall Collection, commissioner of administration, cultural heritage, monument, Washington D.C., HF218, Minnesota, Department of Public Safety

Transcript Highlights:

• context that they do receive preventative care at least, whereas if they go uninsured, if they stop purchasing
• The commissioner urged quick action to protect Minnesota consumers who have purchased their own health
• protect Minnesota consumers<00:48:32.599> who<00:48:32.720> have<00:48:32.839> purchased
• <00:48:33.160> their<00:48:33.319> own consumers who have purchased their own consumers
• who have purchased their own health<00:48:33.680> insurance<00:48:34.000> and<00:48:34.119

Bills: HF837

Keywords: health insurance, premium security plan, federal funding, state innovation waiver, Minnesota, 1183, house

Transcript Highlights:

• The grant helped me invest in purchasing inclusive makeup shades and airbrush makeup to be a vendor for
• 14.080> in a business the grant helped me invest in a business the grant helped me invest in purchasing
• inclusive<00:08:15.520> makeup<00:08:15.800> shades<00:08:16.120> and purchasing
• inclusive makeup shades and purchasing inclusive makeup shades and airbrush<00:08:16.800> makeup<
• business, I was fortunate enough to work with Tyler and MCCD business adviser to develop a plan to purchase

Keywords: 1187, senate, all

Transcript Highlights:

• I have purchased and used some of these products myself, so I can tell you firsthand that not only are
• <01:20:46.440> have intentionally added posos I have intentionally added posos I have purchased
• 47.159> used<01:20:47.440> some<01:20:47.560> of<01:20:47.679> these purchased
• and used some of these purchased and used some of these products<01:20:48.280> myself<01:20:48.880
• I have purchased and used some of these products myself, so I can tell you firsthand that not only are

Keywords: 1183, house

Transcript Highlights:

• Tormy ran the store for over 30 years before it was purchased by Steven and Mildred Casadoro, who would
• by Steven and Mildred Ca purchased by Steven and Mildred Ca Casadoro<00:28:00.720> who<00:28:
• brave decision, maybe even a divine decision, to resurrect the proud tradition of education and purchased
• <00:32:14.960> the<00:32:15.120> former education and purchased the former education
• and purchased the former campus<00:32:15.679> of<00:32:15.840> Simmons<00:32:16.320>

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, June 3, 2026, 1012, house, all

Transcript Highlights:

• California Democrats to decide what vehicles my constituents in central Pennsylvania are allowed to purchase
• <00:06:48.639> I Pennsylvania are allowed to purchase.
• I Pennsylvania are allowed to purchase.
• sodium nitrite at such high purchase sodium nitrite at such high concentrations.<03:08:13.920> So
• Americans purchase are produced domestically and American-made.

Keywords: U.S. House of Representatives Floor Proceedings on Monday, April 28, 2025, 1012, house, all

Transcript Highlights:

• 2709, an appropriation to the Department of Public Safety for a grant to the fencing consortium to purchase
• Two, it creates a true opportunity for residents to purchase their park if it were to go up for sale
• their park if it residents to purchase their park if it were<02:38:11.439> to<02:38:11.520>
• Uh, the bill eliminates a fundamental property right to extend the first option to purchase, resulting
• <02:53:08.000> these coming in and and purchasing these coming in and and purchasing these

Keywords: 1187, senate, all

Transcript Highlights:

• We are not involved in the purchasing of the devices.
• Each individual town or city purchases the devices themselves from the two vendors in the state.
• Currently, we have three devices that can be purchased.
• the equipment from or city has purchased the equipment from we<00:19:37.760> are<00:19:37.960
• <00:19:40.000> uh we are not involved in the purchasing uh we are not involved in the purchasing

Keywords: 1189, house, all

Transcript Highlights:

• I've already purchased the land and cleared it and got permits ready to go on the building part, and
• This master plan that was part of this purchase included a hub for Hawaiian education.
• This master plan that was part of this purchase included a hub for Hawaiian education.
• Our center in Moiliili was purchased with the support of the state, and our current request this year
• Our CIP request is to support the purchase of a permanent home in the mentoring center.

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.

Bills: HB11, HB12, HB21, HB26, HB30, HB33, HB37, HB45, HB210, HB303, HB630, HB879, HB1041, HB1188, HB1261, HB1318, HB1465, HB1535, HB1593, HB1778, HB2559, HB2596, HB2692, HB2703, HB2712, HB2742, HB2809, HB2890, HB3012, HB3526, HB5061, HB5092, HB5238, HCR92, SB203, SB317, SB393, SB397, SB644, SB731, SB801, SB867, SB913, SB1071, SB1073, SB1086, SB1087, SB1250, SB1310, SB1359, SB1444, SB1483, SB1705, SB1782, SB1861, SB1897, SB1944, SB2023, SB2043, SB2082, SB2133, SB2215, SB2309, SB2497, SB2532, SB2549, SB2566, SB2617, SB2639, SB2696, SB2717, SB2747, SB2751, SB2790, SB2797, SB2799, SB2841, SB2850, SB2857, SB2891, SB2919, SB2928, SB2994, SB3051, SJR34, SB529, SB541, SB693, SB963, SB1968, SB2308, SB2544, SB1173, SB1646, SB1734, SB1833, SB1, SB17, SB260, SB509, SB1506, SB1637, HB1393, HB2559, HB26, HB3012, HB1593, HB2607, HB3526, HB3810, HB388, HB879, HB12, HB2703, HB30, HB2712, HB2692, HB1633, HB1318, HB685, HB630, HB4753, HB2742, HB303, HB198, HB1535, HB762, HB148, HB1520, HB5061, HB2286, HB1606, HB1041, HB132, HB11, HB45, HB48, HB1261, HB1465, HB1778, HB2596, HB5238, HB33, HB1188, HB210, HB1022, HB1458, HB5560, HB1240, HB1950, HB2027, HB2768, HB2788, HB2791, HB3146, HB3698, HB3699, HB1893, HB3700, HB4850, HB4187, HB1397, HB4885, HB4804, HB3751, HB3611, HB2775, HB2061, HB2003, HB1729, HB1242, HB791, HB2029, HB647, HB2522, HB4738, HB3033, HB3594, HB3474, HB2563, HB2802, HCR90, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB128, SB2043, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB511, SB2309, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1234, SB2926, SB2841, SB1528, SB2891, SB1854, SB317, SB1250, SB2082, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB867, SB640, SB1698, SB2680, SB2994, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1861, SB1367, SB2044, SB2363, SB2565, SB1888, SB3036, SB3057, SB3043, SB3063, SB3035, SB203, SB2799, SB2688, SB2522, SB2639, SB2459, SB2655, SB2251, SB1884, SB2617, SB2928, SB2566, SB1897, SB1749, SB2549, SB2553, SB2919, SB1782, SB1705, SB2696, SB1944, SB2215, SB1232, SB2850, SB2969, SB2497, SB1798, SB2603, SB2607, SB781, HB34, HB128, HB130, HB581, HB668, HB677, HB766, HB2259, HB2960, HB2358, HB2894, HB4384, HB2663, HB748, HB793, HB1193, HB1734, HB2340, HB2350, HB3104, HB5180, HB4739, HB1584, HB4344, HB4238, HB4219, HB3806, HB3805, HB3804, HB3803, HB3229, HB3228, HB1922, HB1522, HB431, HB3597, HB1612, HB4224, HB754, HB1314, HB2254, HB2789, HB3560, HB4643, HB1237, HCR98, SB3070, SB835, SB524, SB2233, SB2683

Keywords: licensing, reciprocity, regulation, Texas Department of Licensing and Regulation, interstate agreements, housing finance, multifamily residential, low income, tax exemption, audit requirements, affordable housing, local government, development bonds, Medicaid, nutrition support, maternal health, chronic conditions, pilot program, disaster relief, tax rates

Transcript Highlights:

• We just heard of a case of significant fraud where a certain individual used COVID funding for purchases
• 54:41.119> funding<00:54:41.680> for used COVID funding for used COVID funding for purchases
• 45.040> nothing<00:54:45.359> to<00:54:45.680> do<00:54:46.319> with purchases
• that had nothing to do with purchases that had nothing to do with protecting<00:54:47.280> people

Keywords: 928, house, all

Summary: The committee met to review its mission and to discuss recent work on a letter sent to the governor and legislative leaders regarding COVID vaccine safety and related scientific references. Members said the letter, which included 31 cited sources, had been delivered to the governor’s office, the Speaker’s office, and the Senate President’s office, and a press release had been issued. Several members defended the letter’s sourcing and urged the public to read the materials and evaluate the evidence themselves, while also acknowledging questions about the trustworthiness of some cited articles. A major portion of the meeting focused on a research assistant’s effort to use AI tools to help reconstruct and verify the committee’s 2024 COVID report with citations. She reported mixed results from Copilot and Gemini, noting that the tools often produced broad or incomplete outputs and that she would need to break the report into smaller sections and ask for more specific source types. Members advised using more precise prompts and emphasized that any AI output would still need human verification. The committee said it hoped to produce a revised, fully footnoted 2024 report by early September. The chair then outlined the committee’s fall agenda, saying it would examine long COVID treatment, the patient bill of rights as it relates to COVID vaccinations and death reporting, standards of care and professional judgment by New Hampshire health care providers, and oversight of federal COVID-related funding such as CARES Act education relief dollars. He also referenced a recent fraud case involving misuse of COVID funds and suggested the committee may ask the DOJ for information. The committee will not meet in July or August and plans to resume in September and October, with a final report targeted for the end of October. The chair also introduced a recent DNI/Tulsi Gabbard press release about U.S.-funded biolabs overseas, which members discussed as a possible transparency issue relevant to future pandemic policy.

Transcript Highlights:

• Right now, there are 40 FDA-authorized reusable vapes available for purchase that are refillable and
• Right now, there are 40 FDA-authorized reusable vapes available for purchase that are refillable and
• enforcement mechanisms to deter the sale of disposable vapes before consumers have the chance to purchase
• enforcement mechanisms to deter the sale of disposable vapes before consumers have the chance to purchase

Keywords: 987, senate, all

Transcript Highlights:

• Jeff went and purchased a new doorbell and went over and replaced it for the homeowner.
• component in regard to how someone can afford, or perhaps not afford, a payment when they wish to purchase
• Perhaps someone has the scale, we'll have some purchasing power, have some impact on supply chain issues
• Someone has the scale, will have some purchasing power, have some impact on supply chain issues, but

Summary: The House convened with a quorum, accepted the prior day’s minutes, and read several committee reports and communications into the record. Members also observed moments of silence for two young people who had recently died, and the prayer and pledge were offered before the chamber moved into business. Consent calendar number 28, consisting of several resolutions, passed by voice vote. A large portion of the meeting was devoted to tributes and retirement remarks for Representative Jeff Holowski, who was praised by colleagues for his work on financial literacy, veterans’ issues, health care, diabetes policy, and constituent service, as well as for his military service and community involvement. Holowski thanked staff, colleagues, and his family, and said he was retiring to spend more time with his wife, children, and grandchildren. The chamber also recognized former Representative Harvey Kenton as a guest. The House then acted on several measures. Senate Bill 286, as amended by House Amendment 1, passed 40-0 and extends consumer protections and dealer equity standards to ATVs, side-by-sides, and vessels. Senate Bill 179, which updates the Delaware Sentencing Accountability Commission and its bench book/data analysis process, passed 27-14. Senate Substitute 2 for Senate Bill 23, the housing supply and affordability bill, was presented with extensive explanation and questions about local control, zoning, and implementation, but the transcript ends before a final vote on that measure. Senate Joint Resolution 18, designating August 31, 2026 as International Overdose Awareness Day and directing flags at half-staff, was also discussed in emotional remarks about overdose losses and the state’s ongoing response. The House later recessed for party caucuses.

Transcript Highlights:

• licensee wants to work in another active compact state, known as the remote state, that individual must purchase
• charged by the Compact Commission, each state is authorized to charge an additional state fee for the purchase
• And this compact privilege becomes the legal authorization for the purchase of a compact privilege.
• staffing for the state licensure board, yet still allows for the collection of fees associated with the purchase

Keywords: 995, all

Summary: The Joint Committee on Public Health held a hearing to take testimony on a wide range of bills involving professional licensure, clinical practice, and public health-related workforce issues. The chair explained that no votes would be taken at the hearing and that the purpose was to gather public input. Early testimony focused on Marnie’s Law, with supporters describing the bill as a no-cost, preventive measure to require nursing education on inflammatory breast cancer after a family tragedy and arguing it could reduce misdiagnosis and save lives. A major portion of the hearing centered on bills affecting clinical decision-making and licensure compacts. Supporters of the physician ownership/clinical autonomy bills argued they would protect independent practices from corporate interference after the Steward collapse, while supporters of EMS, dental, psychology, physical therapy, and physician assistant compacts said the measures would improve workforce mobility, reduce delays, and expand access to care, especially for rural patients, military families, and telehealth users. Several witnesses emphasized that the compacts would not reduce standards and would strengthen public protection through shared disciplinary databases and streamlined credentialing. There was also testimony on bills to ensure safe medication administration and to protect the independence of complementary and alternative health care practitioners. Nursing representatives urged that only licensed professionals administer medications in hospitals, hospices, and home care settings, warning that delegation to unlicensed staff could endanger patients and nurses’ licenses. A complementary and alternative care witness supported consumer access with mandatory disclosures and limits on reserved medical acts. On the dental compact, witnesses were split: some supported portability and workforce flexibility, while others warned the compact lacked a hands-on skills exam and could weaken Massachusetts’ regulatory authority and patient safety. The hearing concluded with continued testimony on the psychology compact, physical therapy compact, and physician assistant bills, with most speakers favoring expanded interstate practice and reduced administrative barriers.

Transcript Highlights:

• And the reason they wanted to do it is because they could, having the vaccines purchased through the
• :48.600> getting<00:28:48.920> the<00:28:49.000> vaccines<00:28:49.440> purchasing
• having getting the vaccines purchasing having getting the vaccines purchasing the<00:28:50.000><

Keywords: 1189, house, all

Transcript Highlights:

• We ask for that same flexibility so that we can continue to purchase emergency equipment in times like
• Lives matter, and it takes time to purchase things.
• We ask for that same flexibility so that we can continue to purchase emergency equipment in times like
• Lives matter, and it takes time to purchase things.

Keywords: 912, senate, all

Summary: The Health and Human Services committee hearing opened with notice that the meeting was being streamed and could reconvene later if technical problems forced an abrupt end. The chair also announced a one-minute testimony limit and proceeded through several bills, taking mostly written and oral support testimony and asking limited questions. No votes were taken in the portion provided. HB 1626, relating to youth penalties, drew strong support from the Office of Hawaiian Affairs, youth advocates, the ACLU, the Department of Education, and others. Testifiers said financial sanctions on youth are ineffective, disproportionately burden Native Hawaiian youth, and function as poverty penalties; they urged replacing fines with community service, restorative practices, and ʻāina-based programs, and eliminating uncollectible legacy debt. The chair moved on after no member questions. HB 1643, relating to pharmacy, was discussed with support from the Hawaii Pharmacists Association, Kaiser, the Board of Pharmacy, independent pharmacies, and PBM representatives. Testimony focused on amendment language, audit procedures, HIPAA concerns, and the need for flexibility for small island pharmacies. HB 1668, relating to Medicaid, received broad support from disability advocates and the Department of Human Services; witnesses said CMS had already approved the underlying state plan amendment removing income and asset limits for certain workers with disabilities, but they wanted the protection codified in law to preserve it long term. The chair asked whether codification was necessary and was told it would not be harmful and would help ensure continuity if federal policy changed. The committee then heard HB 1550 on drug paraphernalia and syringe access, with support from Shipta and the Department of Health; testimony emphasized preserving flexibility for the statewide syringe access program to respond to emerging drugs like xylazine. HB 1974, relating to health, was presented as a planning measure for hearing loss; testifiers said Hawaii lacks a comprehensive hearing-loss plan and that the bill would fund a state planning process, not direct services. HB 1858 on vital statistics drew support from clinicians and medical organizations, who said better data on spontaneous fetal deaths is needed and that the term used in the bill is standard medical and CDC terminology. HB 1871 and HB 1966 also received support, with HB 1966’s EMS special fund prompting discussion about the cigarette-tax revenue source; the chair questioned the nexus to EMS, and the Department of Health said the revenue currently funds the special fund and there is no alternative funding stream.