Transcript Highlights:

• used it to offset other programs or other costs in association with that when they go into foster care
• So next on the agenda, we have docket number 16-602-2-250-2501, foster care licensing, temporary rule
• One is House Bill 245, which was the extended foster care from 21 to 23.
• than those placed in general foster care.
• And we talk about the types of children they're interested in caring for.

Committee: House Health and Welfare

Transcript Highlights:

• This bill requires DCF to create a treatment foster care pilot program that will increase family-like
• Treatment foster care, also known as professional foster care, places the child in a family-like setting
• However, unlike traditional foster homes, treatment foster parents receive specialized training to care
• It touches on so many areas from health care, education, transportation.
• It touches on so many areas from health care, education, transportation.

Committee: Senate Fiscal Policy

Summary: The Committee on Fiscal Policy met and first considered CS/SB 7012 on child welfare, presented by Senator Graal. The bill addressed three areas: child welfare workforce shortages, higher-acuity children in out-of-home care, and services/data for commercially sexually exploited children. It would create a CPI and case manager recruitment program aimed at former public safety and service workers, convene a workforce work group, establish a four-year treatment foster care pilot in two judicial circuits identified by DCF based on removal and placement data, and require more detailed, extractable child-level data on commercially sexually exploited children along with a bed capacity study and service gap analysis. Two amendments were adopted: one clarified record retention for redacted assessments, and another attached the appropriation. The committee then heard CS/SB 110 on rural communities from Senator Simon. The bill proposed a broad rural development package, including a state office of rural prosperity, a Renaissance grant program for counties with declining populations, increased housing support, major rural road funding, school consortium funding, and additional health care resources for rural facilities and training. A delete-all amendment was adopted that expanded and refined several provisions, including local sales tax trust fund distributions, county connectivity projects, agritourism marketing support, disaster-impacted rural infrastructure eligibility, insurance and provider eligibility changes, and increased funding for critical access hospitals and rural medical education reimbursement. Both bills drew broad support from local government, education, health care, housing, and rural advocacy representatives. Supporters said the rural bill was especially comprehensive and would help small counties, schools, roads, housing, and health care, while one witness cautioned that road expansion should be balanced with protection of agricultural and natural lands. Senator Bradley and Senator Simon emphasized local control and the importance of strengthening rural Florida without imposing mandates. CS/SB 7012 and CS/SB 110 were both reported favorably, and the committee then adjourned.

Transcript Highlights:

• to regulate and discipline licensees and follows a proven model that's already used across health care
• to regulate and discipline licensees and to follow a proven model that's already used across health care
• And those are the health care ones.
• Patients and athletes through improved access to timely care, rural and health care shortage areas by
• in today's contemporary health care practice.

Committee: House Professional Registration and Licensing

Transcript Highlights:

• left the word care.
• When questioned about that, Chair Leeling, um, stated that care could be palliative care, comfort care
• and just left the word care.
• When questioned about that, Chair Leeling, um, stated that care could be palliative care, comfort care
• </c><00:04:41.240><c> for</c> providing medically necessary care for providing medically necessary care

Transcript Highlights:

• </c><00:00:40.440><c> system</c> health care system health care system are<00:00:42.000><c> all</c><00
• </c> um on the health care um on the health care hospitals hospitals hospitals in<00:05:18.920><c> uh
• , care, care, and<00:05:28.600><c> um</c> And North Memorial, which is a Level 1 Trauma Center for adult
• health care.
• It comes after care by cutting Medicaid.

Summary: Senate Tax Committee members presented a tax omnibus bill they said was a bipartisan effort aimed at making life more affordable and responding to federal policy changes they argued are increasing costs and harming Minnesota families, communities, farmers, and businesses. Chair Rest and other senators described the bill as a response to federal cuts to health care and food support, and said it also complements other Senate action on health and human services. Key provisions highlighted included a 12% increase in property tax refunds for homeowners, described as more than $100 million in direct relief; a $2 million provision related to Operation Metro Transit; a new health care sales tax in Hennepin County to replace an expiring local sales tax and help stabilize hospitals such as HCMC and North Memorial, with funds for uncompensated care and facility upkeep; and a social media tax on the largest platforms, which supporters said would raise revenue without affecting Minnesota residents. Senators also emphasized a sustainable aviation fuel credit, framed as a climate and economic development measure that could support in-state production and agricultural feedstocks. Members also discussed agricultural provisions, including lifting the cap on the beginning farmer tax credit extension and updating homestead-related rules, saying these changes would help farm transitions and reflect current conditions. Another property tax change would increase the market value exclusion for disabled veterans. No formal vote was taken in the transcript, but senators said the bill had been passed to the floor and they were waiting for leadership to schedule it, while noting the House had not yet taken similar action.

Transcript Highlights:

• Senator Yick, would you care to close? Thank you, Mr.
• Senator Yekwood, do you care to close? I would. Mr.
• Senator Burdock, would you care to close?
• Senator Peterson, would you care to close? See, no debate.
• Senator Frickson, you care, close. Thank you, Mr. Chairman.

Bills: SB683 , SB1579 , SB1389 , SB1387 , SB1390 , SB1391 , SB2063 , SB1829 , SB2060 , SB1842 , SB1398 , SB1212 , SB2158 , SB102

Committee: Senate Revenue and Taxation

Summary: The Revenue and Taxation Committee considered a long series of bills, many dealing with tax credits, property taxes, and tax administration. Early action included Senate Bill 1579, which creates a taxpayer bill of rights for ad valorem tax assessments by sending taxpayers a plain-language notice of existing rights; it passed 12-0. Senate Bill 683, as amended, expanded the parental choice tax credit to cover certain supplemental educational services for private-school students, including tutoring and summer learning programs, but drew concerns about broad language and unequal treatment of public-school students; it passed 8-3 with one member not voting. Senate Bill 1389 proposed a $25 million increase in the parental choice tax credit cap; supporters said the program is nearing its limit and should grow gradually, while opponents cited lack of outcomes data and benefits flowing disproportionately to higher-income families and metro counties. It passed 10-2. The committee also advanced several tax and property-related measures. Senate Bill 1387 would allow a sales tax refund when a vehicle is sold within six months of a purchase, even without a trade-in, and passed 10-2. Senate Bill 1390 extended and removed a cap on funding for the Oklahoma Water Resources Board and related agencies, passing unanimously. Senate Bill 2063 would require the State Treasurer to publish more information about unclaimed property online; the Treasurer’s office opposed it over privacy and burden concerns, but the bill passed 7-3. Senate Bill 1829 reduced the motor vehicle excise tax on manufactured homes to align more closely with the tax burden on traditional homes, and passed 8-2. Senate Bill 1842 would let county treasurers offer a 12-month installment prepayment plan for ad valorem taxes; it passed 9-1. Several other bills were debated on policy and accountability grounds. Senate Bill 1391 would require private schools participating in the parental choice tax credit to administer state tests and report results; supporters framed it as accountability for public tax dollars, while opponents argued it would undermine private-school autonomy and school-choice goals. It failed 5-7. Senate Bill 1398 created a capped tax credit for donations to certain nonprofits serving foster care, pregnancy resource centers, therapeutic care, and anti-trafficking efforts; members asked for clearer outcome measures, but it passed 8-2. Senate Bill 1212, addressing selective property appraisals in some counties, passed 9-1. Senate Bill 2158 would extend favorable tax treatment to health care sharing ministry contributions, and passed 8-2. Senate Bill 102 clarified when remote workers and certain short-term workers owe Oklahoma income tax, with discussion focused on athletes, entertainers, public figures, and contract workers; it passed 10-0. Finally, Senate Bill 2060, a governor-requested housing infrastructure bill creating master development districts, was still being refined but passed 6-4 to keep it moving forward.

Transcript Highlights:

• He will require continued medical and full-time home care.
• If we have extra left over, if we're flush, I don't, I really don't care if, if, I really don't care.
• I don't care. Here's what I care about. I got to sit there and beg.
• I don't care what you spend the money on, as long as you take care and raise your own children first.
• about, but you're not caring about my district.

Transcript Highlights:

• Hawaii Primary Care Association in support. Aloha Care on Zoom not present. Not present.
• :13:18.399><c> in</c> Hawaii Primary Care Association in Hawaii Primary Care Association in support.<
• Aloha Care on Zoom not present. support. Aloha Care on Zoom not present.
• I have uh providing testimony care.
• Thank you, Chair. care. Uh this one members care.

Committee: House Health

Summary: The Committee on Health met on April 11, 2025, and heard testimony on a series of Senate concurrent and Senate resolution measures focused on health system oversight, workforce standards, and access to care. Topics included an auditor study on mandated insurance coverage for intravenous ketamine therapy for depression (SCR 8 SD1), a working group on prior authorization reform (STR 10 SD2), a task force on minimum professional standards for community health worker training (STR 16 SD1), a pharmacy benefit manager reform working group (SCR 69 SD1), a pharmacy reimbursement working group (STR 70 SD1), an aeromedical services working group (STR 86 SD1), a catchment-water feasibility study for business use (STR 118 SD1), an auditor study on mandatory coverage for continuous glucose monitors (STR 120 SD1), and a resolution encouraging reduced use of disposable surgical equipment and more sustainable health care practices (STR 194 SD1). Testimony was generally supportive across the measures, with several agencies and organizations noting the need to address complex health policy issues and improve access, transparency, and sustainability. For STR 16 SD1, community health worker advocates strongly supported the resolution but asked for amendments to include the Hawaii Community Health Worker Association on the task force and to require that at least half of the task force members be community health workers. For the PBM-related measures, SHPDA said it was willing to convene the work group and described the issue as complex, while the Pharmaceutical Care Management Association asked that PBMs be included in the working group. For STR 10 SD2, SHPDA supported the effort to reduce prior authorization burdens and said the process is a "black box" that needs reform; the chair later noted the administration’s commitment to the issue. For STR 86 SD1, the Department of Health supported the aeromed working group, and the chair proposed a House Draft 1 with technical changes and added representation from independent provider operators. In decision making, the committee adopted the chair’s recommendations on all measures considered. SCR 8 SD1 was passed as is. STR 10 SD2 was deferred. STR 16 SD1, STR 70 SD1, STR 118 SD1, STR 120 SD1, and STR 194 SD1 were passed as is. SCR 69 SD1 was passed with amendments, and STR 86 SD1 was passed with amendments. The meeting concluded with adjournment after all votes were taken.

Transcript Highlights:

• Care for your people.
• Care for your people.
• Care for your people.
• Care for your people.
• They do not show care. show respect. They do not show care.

Transcript Highlights:

• and the health care industries.
• It also improves access to care by allowing health care systems to credential and hire genetic counselors
• It also improves access to care by allowing health care systems to credential and hire genetic counselors
• ADHS licenses everything from health care facilities and child care centers to funeral establishments
• care, we must do what's right.

Bills: HB2072 , HB2251 , HB2279 , HB2308 , HB2323 , HB2342 , HB2400 , HB2408 , HB2456 , HB2660 , HB2697 , HB2868 , HB2873 , HB2877 , HB2910 , HB2946 , HB2955 , HB2991 , HB4001 , HB4010

Committee: Senate Regulatory Affairs and Government Efficiency

Keywords: Cesar Chavez, public holiday, state law, holiday repeal, Arizona Revised Statutes, dental practice, business registration, registration fees, ownership interests, dental insurers, dental record management, motor vehicle warranty, warranty law, leased vehicles, lease-end buyout, lessee, lessor, used motor vehicle dealer, consumer protection, A.R.S. 44-1261

Transcript Highlights:

• And look at health care.
• How this impacts every single one of our health care systems, decimating our ability to provide care
• that they need, whether that be abortion care or basic health care, that is the world that this majority
• Oh, what about the health care?
• Over children that are going to lose health care and food.

Summary: The Assembly met after a quorum call, recess, prayer, and the Pledge of Allegiance, then moved into a highly procedural and contentious floor session centered on redistricting measures. Members debated a point of order raised by Assembly Member DeMaio challenging the constitutionality of SB 280, ACA 8, and AB 604; the Speaker ruled the point not well taken, and the Assembly sustained that ruling on appeal. The body also took up consent-calendar and procedural motions, including suspending rules to adopt late amendments on ACA 8 and to bring the measure up without reference to file. Several motions to re-refer or suspend rules on related measures failed, while the motion to adopt the late amendments on ACA 8 carried. The main substantive item was ACA 8, the Assembly Constitutional Amendment related to redistricting, presented by Assembly Member Berman as a response to mid-decade redistricting efforts in other states, especially Texas. Supporters argued the measure was a temporary, voter-driven response to protect democracy, counter partisan gerrymandering, and address broader threats tied to the Trump administration, including immigration enforcement and health care cuts. Opponents argued ACA 8 would undermine California’s independent citizens redistricting commission, violate the state Constitution, and amount to partisan gerrymandering or a power grab. Members on both sides framed the issue as a defense of democracy, but disagreed sharply over whether the Legislature should act or leave redistricting to voters and the existing commission. No final vote on ACA 8 is shown in the transcript excerpt, but the Assembly did vote on several procedural matters: the appeal of the Speaker’s ruling was sustained 58-18; the motion to adopt late amendments on ACA 8 passed 58-19; a motion to re-refer ACA 8 and SB 280 to Judiciary failed 19-58; and a motion to take up A.J.R. 21 without reference to file failed 19-58. The session remained focused on ACA 8 and related redistricting questions, with extensive floor speeches from both supporters and opponents.

Transcript Highlights:

• provider can provide care to their patient and simply uh we have worked with the insurers.
• Um I need more coffee and uh ensuring that u providers patient care. heard before.
• </c><00:04:15.200><c> to</c> health care provider can provide care to health care provider can provide
• </c> &gt;&gt; patient care. &gt;&gt; patient care.
• Speech-language pathologists and audiologists are critical health care providers.

Summary: The committee met with a quorum and heard four House bills, adjusting the order to accommodate members’ schedules. House Bill 510, on organ donation procedures, would require health care providers involved in organ procurement to pause the process if any signs of life are observed and restart the process if needed. The bill was presented as a consensus measure, received no opposition, and passed with favorable expression by unanimous vote and consent. House Bill 176 would create a framework for insurers to implement a waiver program reducing prior authorization requirements before care is provided. The sponsor said the language had been worked out with insurers to cut red tape and improve transparency. The committee approved the bill unanimously with favorable expression and then consent. House Bill 266 would add audiology and speech-language pathology to the Kentucky Healthcare Workforce Investment Fund eligibility list. Testimony emphasized that these professions are essential to patient care across the lifespan and meet the fund’s training and licensure standards. The bill passed unanimously with favorable expression and consent. House Bill 393 concerned Alzheimer’s-related statutory cleanup, adding a caregiver council seat and requiring the council to develop and distribute an early detection and diagnosis toolkit for health care providers. The bill was supported as a way to improve Alzheimer’s awareness and care, with one senator explaining a yes vote in memory of a parent who had Alzheimer’s. It also passed unanimously with favorable expression and consent. The chair announced the next committee meeting would be Wednesday, March 25 at 8:00 a.m.

Transcript Highlights:

• We care deeply about our environment and addressing climate change.
• </c> know, access to affordable health care. know, access to affordable health care.
• </c><00:04:29.000><c> And</c><00:04:29.200><c> then</c> care of our drinking water.
• And then care of our drinking water.
• ><c> child</c><00:05:06.480><c> care</c><00:05:06.640><c> more</c> making sure we get child care more

Transcript Highlights:

• other forms of bias in medical education, health care systems, and care delivery.
• systems, and care delivery.
• These are individuals going into the health care system to do the best care they can for others.
• These are individuals going into the health care system to do the best care they can for others.
• Health care organizations are employers.

Summary: The meeting was a special commission hearing on antisemitism held off-site at Kerem Shalom Synagogue in Concord, with commissioners approving prior minutes and noting a quorum, a rescheduled October 27 meeting, and the addition of a new commissioner. The co-chairs and host speakers emphasized the personal and communal significance of holding the hearing in a synagogue and the importance of confronting antisemitism while protecting free speech, academic freedom, and civil discourse. The commission heard from former SJC Justice and current UMass General Counsel David Lowy, who discussed the IHRA definition of antisemitism, said its use as nonbinding guidance does not raise First Amendment concerns, and described UMass’s response to a discriminatory academic conference policy. Commissioners also asked about campus speaker vetting, protest rights, and university practices for addressing antisemitism and protecting students’ access to education. District Attorney Marian Ryan testified about restorative justice as a tool for addressing hate incidents, saying it can help victims be heard, reduce reoffending, and be used in criminal, school, and community settings. She described local programs, online reporting forms, and the need for better statutory tools, including changes to restitution and education requirements in hate-crime cases. Commissioners asked whether restorative justice affects charging decisions, and Ryan said it should not alter whether a hate crime is investigated or charged. She also identified model programs and said the commission’s work aligns with the national strategy it is charged with implementing. Three rabbis then described the rise in antisemitic incidents in schools and communities, the emotional toll on Jewish families, and the need for stronger school responses, clearer language in incident communications, and better training for educators. Rabbi Brad David recounted repeated incidents in Acton-Boxborough and praised the district’s improved partnership and response, while Rabbi Tom Shah described parental anxiety, concerns about classroom materials lacking context, and the need for balanced instruction. The rabbis also discussed synagogue security costs and measures, including volunteer security teams, police support, grants, and physical protections. Commissioners said the testimony would inform forthcoming recommendations, and DESE staff noted they are developing instructional-materials guidance and a rubric for educators. The final witness, Professor Christina Miller, outlined hate-crime prosecution issues in Massachusetts, including mixed-motive cases, the need for clearer statutes and jury instructions, better training for police and clerk magistrates, guidance on sentencing and diversity-awareness programs, and the use of community impact statements.

Transcript Highlights:

• And this targets that care based on who is seeking it, not based on the care itself.
• So doctors already follow a standard of care. Why are we interfering with a standard of care?
• We need to make health care accessible.
• I don't care to. Okay. Well, thank you.
• You're depriving that child of psychological care. You may be killing that child without the care.

Summary: The Senate met in multiple Committee of the Whole sessions and later took third-reading votes on several measures, with the day dominated by election administration bills, immigration-related bills, public safety measures, and a series of bills affecting transgender youth and health care. The chamber also heard ceremonial remarks recognizing Lutheran Day at the Capitol, introduced the Doctor of the Day, and handled routine appointments, messages, and committee reports. Several bills were retained on the calendar, including SB 1431 and SCR 1005. Among the major policy items, senators debated and advanced SB 1049 on spousal maintenance, SB 1053 on concealed weapons permits, SB 1415 on insurance adjuster license eligibility, SB 1015 on health care actions related to gender transition procedures and provider liability, SB 1095 on gender transition care for minors, and SCR 1006 on school-related sex and privacy requirements. Members opposing the transgender-related bills argued they were discriminatory, harmful to youth, and an intrusion into family and medical decisions; supporters said the measures protected children, parental rights, privacy, and medical judgment. The chamber also considered election and campaign finance measures including SB 1003, SB 1006, SB 1037, SB 1040, SB 1057, SB 1168, SB 1237, SCR 1002, SCR 1010, SCR 1013, and SCR 1014, with debate centering on transparency, ballot procedures, voter registration, and disclosure thresholds. Additional bills addressed immigration enforcement and foreign influence concerns, including SB 1055, SB 1058, SB 1093, SB 1152, SB 1289, and SB 1308. Supporters framed these as public safety, election integrity, or enforcement measures, while opponents warned they would chill reporting to police, harm asylum seekers and immigrants, or expand punitive government power. The Senate adopted Committee of the Whole reports and assigned bills accordingly throughout the day, and several measures later received third-reading passage votes, including SB 1049, SB 1053, SB 1415, SB 1015, and SB 1095, with recorded roll-call outcomes and transmission of passed bills to the House.

Transcript Highlights:

• Schools, child care providers, health care professionals, and families are currently facing confusion
• </c> child care, and higher education. child care, and higher education.
• We all want the best health care we can get. We all want the best health care we can get.
• </c> direct care or clinical staff. direct care or clinical staff.
• </c> Addiction Medicine ASAM levels of care. Addiction Medicine ASAM levels of care.

Committee: Senate Health and Human Services

Transcript Highlights:

• It strengthens access to health care.
• Uh accessing the care that they need.
• </c><00:30:28.720><c> as</c> um and those folks need that care as um and those folks need that care as
• </c> kind of care and that makes me nervous. kind of care and that makes me nervous.
• </c> but I think for me that access to care but I think for me that access to care is<00:31:07.360><c

Committee: Senate Health and Human Services

Transcript Highlights:

• I don't care. and you can use Tylenol. I don't care.
• Care is managed and costs managed care.
• That's why I mean managed care.
• . of care.
• </c><06:00:08.638><c> Um</c> can only speak for school care. Um can only speak for school care.

Summary: The committee first heard Senate Bill 47, sponsored by Senator Regina Birdsell at the request of the Insurance Department. The bill would clarify that a birth mother’s health insurance is the primary policy for a newborn’s care unless the mother has no coverage or no employer-sponsored coverage. Birdsell and Insurance Commissioner DJ Benton Court said the measure simply codifies the department’s long-standing interpretation of existing law. Representative Miles asked whether the coverage would extend to a grandchild if a young woman on her parents’ plan had a baby, and Birdsell said it would. The hearing on SB 47 was then closed. The committee next heard Senate Bill 121, introduced by Grant Bosi for Senator Kevin Avard. The bill requires insurers to notify the Insurance Department when they stop writing an entire line of business or, in some cases, when they change Medicare Advantage offerings. Benton Court said the bill was prompted by disruption in the Medicare Advantage market, where consumers and the department were confused by carriers exiting, changing plans, or narrowing offerings. He said the department does not regulate Medicare Advantage itself, but does license the carriers, and the notice requirement would help the department advise consumers; he also said noncompliance could affect a carrier’s license and could lead to fines. Members discussed the notice period, and the department and AHIP indicated support for changing it from 120 days to 90 days to align with federal timing. The hearing was closed with plans to work on an amendment in subcommittee. Finally, the committee heard Senate Bill 247, introduced by Representative Brian Cole, which would prohibit network exclusion for pharmacies that refuse to dispense prescriptions when PBM reimbursement is below acquisition cost. Cole said the bill is meant to stop pharmacies from being forced to sell at a loss. Members questioned whether pharmacies voluntarily enter PBM contracts, whether the bill would raise consumer prices, and whether it would mainly affect independent pharmacies. Cole and others said the issue has changed over time because PBMs now control a much larger share of the market, and that the bill would let pharmacies refuse loss-making fills and direct patients to mail order instead. The discussion also noted that the bill excludes Medicare and Medicaid and that the current proposal does not create a middle-ground option for patients to pay a premium at the counter.

Transcript Highlights:

• care, and housing.
• </c><00:03:36.120><c> more</c> goes hungry making child care more goes hungry making child care more
• </c><00:04:38.000><c> including</c> to expand mental health care including to expand mental health care
• will have the freedom to get the care they need, to take care of their kids, and to get the housing
• they need to freedom uh to get the care they need to take<00:09:18.959><c> care</c><00:09:19.079><c>

Transcript Highlights:

• </c><00:51:49.680><c> is</c> provider that delivered the care is provider that delivered the care is
• </c> control over medical decisions and care control over medical decisions and care guidelines.<01:02
• </c><01:06:48.640><c> um</c> care, preventive medicine. um care, preventive medicine. um disregarding
• </c><01:24:02.800><c> and</c> strengthen the continuity of care and strengthen the continuity of care
• So it's time that we've figured care.

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

Committee: House Health

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