Transcript Highlights:

• bringing in the legislative body on a couple of issues where the legislative branch has been sort of isolated

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board reconvened and heard a presentation from the Attorney General’s Office Medicaid Fraud and Abuse Control unit. AG staff described the unit’s structure and work: it investigates and prosecutes Medicaid provider fraud, and also handles abuse, neglect, and exploitation cases involving vulnerable adults in facility settings when asked to assist. They said the office has prosecutors, detectives, auditors, and support staff, works with federal partners, Commonwealth’s attorneys, CHFS, DMS, OIG, and MCOs, and uses a hotline and referral line for complaints. They also explained the MCO referral process, including monthly meetings, stand-down lists, and review of referrals for a “credible allegation of fraud” before the AG office decides whether to open a criminal or civil investigation. The presentation focused heavily on current fraud trends. Staff said behavioral health is a major concern, along with participant-directed waiver services, medically assisted treatment, cash billing for services, controlled-substance billing, and vision and dental fraud. They gave examples such as duplicate time sheets for family caregivers, questionable Suboxone counseling and urine drug screening practices, and a prior optometry case involving false claims for children’s glasses. They also discussed CMS’s estimate that about 5% of Medicaid payments are improper, noted that most improper payments are at the fee-for-service level, and said there is no reliable overall fraud-rate estimate. They highlighted a sharp shift in behavioral health billing after the cabinet’s November 1, 2024 policy changes, saying individual psychotherapy spending dropped while group billing increased, suggesting providers may have moved billing to different codes. Members asked about the scale and timing of cases, how MCO referrals are screened, and whether the data reflected more people being served or just higher spending. The AG office said investigations can take years, with some federal cases still awaiting sentencing from 2018 and 2019 matters, and that they currently had nine individuals awaiting sentencing in federal court. They also reported 58 hotline reports during the referenced period, six cases opened from MCO referrals, and four additional MCO referrals not accepted for active cases. Several members raised concerns about home-based services and the risk of abuse or fraud when family members are reimbursed, and asked whether the process could be streamlined; the AG office said it had no immediate recommendations but would be willing to return with suggestions after further review.

Transcript Highlights:

• So the fact that we can isolate or geolocate those messages and send out the needed information is what

Keywords: 910, house, all

Summary: The House Committee on Public Safety held an informational briefing with the City and County of Honolulu Department of Emergency Management on its hazard mitigation plan and recent emergency events on Oahu. Chair Dela Botti opened the meeting by explaining that the briefing was intended to review the mitigation planning process, the city’s hazard mitigation plan, and lessons learned from recent tsunami and wildfire threats, building on earlier briefings with state emergency management and transportation officials. Director Collins and hazard mitigation staff officer Ian Kio presented the plan, describing it as a five-year FEMA-required document focused on reducing long-term risk to people and property, not an operations plan for active disasters. Kio outlined how the plan was developed over roughly 18 months with a core team, steering committee, consultant support, and public input, and said it was formally adopted by the mayor’s office and approved by FEMA in July 2025. He said the updated plan was aligned more closely with the state hazard mitigation plan, expanded to cover 15 hazards including climate change and sea level rise, and organized around hazard risk rankings and mitigation strategies. He identified the highest-risk hazards as climate change and sea level rise, floods, health risks, hurricanes, tsunamis, and wildfires, and said the plan includes short-, medium-, and long-term actions such as education, Firewise community planning, flood mapping, and major infrastructure projects like tsunami walls and street elevation work. He also emphasized that the plan will be maintained with yearly updates and ongoing public feedback. Collins then discussed after-action findings from the July 6 Meli fire and the recent tsunami response, noting that reviews are still ongoing. He said the fire response showed strong initiative and teamwork, including police officers helping with fire suppression support and door-to-door evacuation efforts before firefighters arrived, and a staff duty officer who initiated a wireless emergency alert without waiting for higher-level direction. He said these actions reflected a culture of rapid decision-making when lives are at stake. Collins also urged residents to prepare by making family plans, gathering supplies, checking flood and tsunami risk maps, retrofitting homes, and obtaining insurance before disasters occur. No votes or formal committee actions were taken during the informational briefing.

Transcript Highlights:

• You're giving an opportunity to a class of people that we all know has been isolated.

Bills: HB2242, HB2446, HB2799, HB4502, HB2920, HB2790, HB5620, HB5060, HB5076, HB5080, HB5081, HB5128, HB5130, HB3847, HB5116, HB2969, HB4546, HB4202, HB5624, HB3964, HB4803, HB872, HB4775, HB4777, HB4961, HB5570, HB2988, HB4260, HB1375, HB5009, HB5411, HB5134, HB4388, HB3095, HB1387

Keywords: constables, civil rights, local government, law enforcement, policy-making authority, affidavit, medical bills, civil actions, reasonable charges, healthcare services, judicial statistics, court performance, family law, civil cases, efficiency reporting, court security, emergency management, harassment penalties, judicial safety, court committee

Summary: The committee heard testimony on several bills affecting civil practice, judicial conduct, and attorney regulation. HB 4961 and the similar HB 3095 would bar uninsured motorists from recovering non-economic damages after a collision, with HB 3095 also addressing certain exceptions and limiting economic damages in some cases. Supporters said the measures would encourage insurance coverage and fairness for insured drivers, while opponents argued they would unfairly punish injured people who were not responsible for the lack of insurance, including pedestrians, passengers, children, and others. HB 3095 drew constitutional concerns from witnesses, and the committee later withdrew the committee substitute and left the bill pending; HB 4961 was also left pending after questions about its scope, including passengers. HB 5570 would expand a continuing legal education exemption to attorneys appointed by the governor and confirmed by the Senate who serve on boards or commissions. The author and witness said the bill would free up time for public service while still requiring ethics training. A committee member raised a discrepancy in the number of attorneys covered, and the bill was left pending. HB 2969 would prohibit the State Bar from adopting rules or penalties that unreasonably burden attorneys’ religious exercise or free speech, especially in relation to sincerely held religious beliefs. Supporters framed it as a protection for lawyers of faith against an ABA-style speech code, while no one testified in opposition; the bill was left pending. HB 4260 would prohibit county judges and county commissioners from practicing law in courts over which they have jurisdiction. The author described it as an ethics measure to avoid conflicts of interest, but county officials and the County Judges and Commissioners Association opposed it, saying existing ethics rules already address conflicts and that the bill would impose hardships, especially in rural counties. The bill was left pending. HB 4388 would require all judges, including those who serve only in administrative roles, to remain subject to the Code of Judicial Conduct; supporters said some judges avoid discipline by relinquishing judicial functions, while opponents said the bill was unnecessary and could burden county judges who serve as administrators. It was also left pending. The committee also heard HB 5134, which would limit Rule 202 pre-suit depositions to people who have suffered or reasonably expect to suffer actual damages and allow attorney’s fees against abusive petitioners. The author said the bill would curb harassment and fishing expeditions, but members questioned how the standard would work in practice; the bill was left pending. Finally, HB 3964 would narrow common-law public nuisance claims by barring suits over lawful conduct, conduct already addressed by other remedies, and products, while preserving other causes of action. Supporters said the bill would prevent regulation through litigation and protect legislative authority; opponents said it would eliminate important remedies and that no Texas abuse had been shown. The author indicated he would revise the bill, and it was left pending.

Transcript Highlights:

• These are not isolated incidents; they are systemic failures.

Bills: HB4011, HB2680, HB4325, HB4327, HB4944, HB1761, HB4688, HB3453, HB40, HB1707, HB4749, HB2322, HB3647, HB4139, HB4081, HB2203, HB2100, HB4170, HB3104, HB4623, HB40

Keywords: partition, heirs' property, real estate, co-ownership, family property, non-heir cotenant, right of first refusal, pilot services, liability limitation, maritime commerce, Matagorda Bay, Lavaca Bay, transportation code, maritime industry, civil liability, barratry, penalties, legal actions, damages, wrongful death

Transcript Highlights:

• And the other thing is working in relative isolation, when larger groups can come together with their

Bills: HF2335, HF2400, HF2401, HF2522

Keywords: Medicare, health insurance, supplement policies, preexisting conditions, medical assistance, premium classification, real estate, appraisers, disciplinary actions, sanction matrix, Minnesota Statutes, continuing education, out-of-state, licensing, commerce, fraud prevention, automobile theft, law enforcement, insurance crimes, 1183

Transcript Highlights:

• /c><00:23:04.559><c> um</c><00:23:04.679><c> self-</c> Exploitation and a lot of self-neglect or isolation

Keywords: 928, house, all

Summary: The Division of Long-Term Supports and Services presented its budget and program overview as part of the Department of Health and Human Services operating budget review. Leadership described the division’s three bureaus—Aging and Adult Services, Developmental Services, and Family-Centered Services—and explained that the division provides guidance, technical assistance, quality monitoring, and contracted provider oversight across the lifespan. Members also discussed staffing, with reported vacancy rates of 4% in Aging and Adult Services, 15% in Developmental Services, and 6% in Family-Centered Services; the division said the higher BDS vacancy rate is partly due to the small number of authorized positions. The governor’s budget had left eight positions unfunded in the division, including three in Aging and Adult Services and five in BDS. A major topic was the division’s roadmap initiatives, especially building a system of care for healthy aging and strengthening developmental disabilities systems through a new reimbursement rate structure. The division said it contracted with an actuary to study DD service costs and found rates had not been reviewed since 2017 and were significantly below actual costs and other states’ rates, contributing to provider shortages even when services are authorized. Members asked about the impact on service delivery and whether rates would need to rise overall; the division said its strategy is to focus on lower-cost services that help people remain in the community. The division also reported waiver enrollment figures, including about 4,161 people on the Choices for Independence waiver, 3,688 average nursing facility residents, 5,061 people on the DD waiver, 228 on the acquired brain disorder waiver, and 488 children on the in-home support waiver, while noting there is no funding waitlist but provider availability remains a constraint. The division highlighted IT modernization as a major accomplishment, especially moving Adult Protective Services and Developmental Services into the New Heights system. Officials said these changes improve case-note access, data retrieval, service authorization tracking, and transparency for providers, and they asked for future oversight discussion focused on IT leverage. Members noted that New Heights maintenance is budgeted in the Office of the Commissioner under class 27 and suggested better transparency on system costs and benefits. The division also reported that it closed out a long-running CMS corrective action plan for BDS on July 1, 2023, and said it is now focused on strengthening the system rather than compliance alone. Other discussion covered the Aging and Adult Services bureau’s name change from Elderly and Adult Services to Adult and Aging Services, intended to avoid negative connotations and better reflect preventative services. The bureau described Adult Protective Services trends involving scams, financial exploitation, self-neglect, and isolation, and explained that it administers the CFI waiver, determines medical eligibility for nursing facility level of care, and braids funding from Medicaid, state funds, Older Americans Act money, Social Service Block Grants, and other grants. Members asked about waiver growth targets and federal consequences if enrollment remains below projections; the division said it would explain the shortfall in a future waiver amendment and did not anticipate a federal penalty. The meeting ended without any votes or formal actions taken.

Transcript Highlights:

• This stress, compounded by the often isolating nature of farm work, has led to alarming rates of mental

Bills: HF47, HF434, HF1503, HF1702

Keywords: telecommunications, installation, certification, safety, underground utilities, HF434, cervidae, deer, elk, moose, chronic wasting disease, CWD, wildlife importation, animal health, biosecurity, zoo, Association of Zoos and Aquariums, AZA, USDA exhibitor, species survival plan

Transcript Highlights:

• She said Lighthouse's closure is not an isolated case and that the capacity for children's mental health

Bills: HF1005

Keywords: health insurance, medical assistance, behavioral health, reimbursement rates, primary care services, physician fee schedule, managed care, residential services, 1183, house

Transcript Highlights:

• These are not isolated incidents.

Keywords: 1183, house

Transcript Highlights:

• And that's fine, but this has not been an isolated case. the county of Fremont County and the the county
• </c><01:47:52.480><c> not</c><01:47:52.639><c> been</c><01:47:52.800><c> an</c><01:47:53.040><c> isolated

Keywords: 916, all

Transcript Highlights:

• They want the law to back them up when they isolate, manipulate, and silence a child.
• These are not isolated incidents, often modeled by angry adults, especially those on social media.

Keywords: 1189, house, all

Transcript Highlights:

• That's available, but some areas are also isolated.

Keywords: 928, house, all

Summary: The committee first approved the draft minutes from its May 29 meeting and then received an informational update from the Commission for the Deaf and Hard of Hearing about the state’s ASL interpreter pipeline. Representative Woods and Associate Commissioner Ann Landry explained that the American Sign Language program at UNH Manchester, the nation’s first fully accredited program, is facing viability concerns because high tuition has left only two of a potential 20 students committed so far. They warned that if enrollment does not recover, the program could face a teachout and eventually be lost, which they said would be detrimental because many state services and legal proceedings require qualified interpreters. Members discussed possible alternatives, including whether community colleges could help, and asked for follow-up research and contact information for UNH officials. The committee also heard that interpreter demand across DHHS continues to rise and that the department must ensure compliance with civil rights and service-access requirements. The committee then turned to Medicaid policy changes tied to Senate Bill 134 and a new federal interim final rule on Medicaid community engagement, or work, requirements. DHHS officials Olivia May and Ann Landry explained that the state law and federal rule align in many areas, but the committee still needed to decide how to implement several remaining policy choices. The department recommended adopting all four short-term hardship exceptions because the federal rule requires states to take them all or none: inpatient or institutional care, federally declared emergencies, high-unemployment areas, and extensive out-of-state travel for serious medical care. Members generally supported the exceptions but raised concerns about how they would be defined and applied, especially the emergency and medical-travel categories. Several legislators asked for more clarity on terms like “extensively” and “serious or complex medical care,” and DHHS said the federal rule does not rigidly define them, though the state could refine implementation through rulemaking if authorized. The department also said the emergency exception would apply only to federally declared emergencies, not state declarations, and would be tied to the emergency event itself. No final vote on the Medicaid policy was recorded in the portion provided, but the discussion indicated the committee was reviewing the remaining decisions needed to implement Senate Bill 134 under the new federal framework.

Transcript Highlights:

• So what we can do is take the week that you've referenced, bring the stakeholders back together, isolate

Keywords: 1189, house, all

Transcript Highlights:

• bill doing nothing to hurt people, and certainly it is never my intention to hurt, segregate, or isolate

Keywords: 916, all

Transcript Highlights:

• Our brain drain is exponentially greater due to our isolated location.

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

Transcript Highlights:

• So many of the factors are, you know, isolation, access to health care, um, having increased stigma when

Keywords: 928, house, all

Summary: The committee met with DHS Chief Financial Officer Nathan White to receive an update on the department’s budget lapse and vacancy rates. White explained the difference between the “back-of-the-budget” reduction and lapse assumptions, saying DHS is facing a current biennium reduction of about $23 million and estimating roughly a $60 million general fund lapse in state fiscal year 2025, compared with about $13.5 million the prior year. He said DHS’s lapse is driven largely by program utilization, labor market conditions, contract spending, and statutory carry-forwards in areas such as Medicaid and developmental disabilities, which tend to produce a smaller lapse in the first year of the biennium and a larger one in the second year. He also noted that the House and Senate budgets differ on some operating items, including Medicaid rates, with the Senate having struck a House proposal to reduce rates by 3%. Members questioned White about whether DHS ever spends down lapse money on last-minute purchases. He said the department does not engage in that practice, though it does retain some flexibility in its facilities budget for emergencies. He also described the process for transferring funds within and between class lines, including the need for fiscal committee approval above statutory thresholds, and gave examples such as moving funds to cover overtime in the SYSC budget and to ensure Medicaid payments for nursing facilities. White said such transfers are public and transparent and are reviewed by the governor and Executive Council. The committee then discussed DHS staffing. White said the department has a little over 3,200 authorized positions, with a vacancy rate around 14.5%, and that a hiring freeze had been imposed a few months earlier while exempting direct care positions. He said DHS is planning for about a $30 million general fund reduction to personnel, equivalent to just under 400 positions, and is managing postings centrally to stay within budget by July 1. In response to questions about the loss of about $80 million in federal funds, White and Associate Commissioner Patricia Tilly said DHS avoided layoffs by shifting staff into vacant positions, but that the cuts affected community contracts, public health workers, laboratory work, and some IT/data projects. Tilly said roughly 20 positions were affected, most were reassigned, a few staff left voluntarily, and the department has less flexibility going forward if more federal funding ends.

Transcript Highlights:

• DCF does not work in isolation with children, but we require that collaboration to ensure that family

Keywords: 928, house, all

Summary: The committee opened with a brief update and prayer for Oscar, a person known to members, noting he was making slow but encouraging progress and awaiting transfer to rehab. The hearing then began on House Bill 518, which would require the commissioner of DHS to provide a detailed annual report of DCYF costs. Representative Erica Leyon, the sponsor, said the bill was intended to improve transparency, clarify how DCYF resources and shared services are used, and help future discussions about staffing, funding, and whether DCYF should remain within DHHS or become a separate department. She said the department could likely comply without additional cost and was open to adjusting the reporting date, with the department preferring December 31 instead of September 1. Committee members and the DCYF director, Marie Nunan, discussed whether the bill was duplicative of existing reporting and whether it should also include federal funding mandates. Nunan said DCYF already has many policies and reports, but does not currently produce one consolidated DCYF-specific report in this form; she also said the department believed it had the capacity to file the report and was not taking a position on the bill. Several members questioned whether the measure was necessary, while others supported transparency but suggested the information was already available or could be obtained without legislation. In executive session, the committee voted 15-1 to retain HB 518, meaning it will not advance to the calendar at this time. The committee then opened House Bill 775, sponsored by Representative Jod Nelson, concerning supervised visitation centers. Nelson introduced Dr. Scott Hampton, who testified that supervised visitation is important for child safety, domestic violence prevention, and family preservation. Hampton described the history of visitation centers in New Hampshire, saying funding cuts had reduced the number of centers over time and that prior legislation had failed due to budget reductions. He argued that supervised exchanges can reduce risks such as abuse, abduction, and homicide, and said the service can prevent harm without adding cost by avoiding more serious incidents. The hearing on HB 775 was still underway at the end of the transcript, with no vote or final action shown.

Transcript Highlights:

• This is not an isolated incident. There's a saying that goes, nothing changes, nothing changes.

Bills: HB36, HB75, HB76, HB166, HB799, HB 1135, HJR15, HJR16, HB36, HB75, HB76, HB166, HJR15, HJR16

Keywords: family violence, global positioning monitoring system, victim resources, electronic monitoring, protective orders, magistrate, criminal procedure, probable cause, written findings, law enforcement, bail bonds, bail fund, charitable bail fund, nonprofit bail organization, public funds, local government spending, political subdivision, county, city, taxpayer lawsuit

Transcript Highlights:

• 02:21:32.640><c> this</c><02:21:33.479><c> uh</c> There is a potential that there are some virus isolates

Keywords: 910, house, all

Summary: The joint House and Senate agriculture committees met on January 17, 2025, for an informational briefing on biosecurity and invasive species; Chair Kahaloa opened by noting there would be no public testimony. Members introduced themselves, and the Hawaiʻi Invasive Species Council (HISC) program manager Chelsea Arnot outlined the purpose of the briefing and the statewide impacts of invasive species, citing examples such as coconut rhinoceros beetle, little fire ant, coquí frogs, albizia, and mosquito-borne disease. She emphasized that biosecurity requires coordinated action across state departments, counties, federal agencies, universities, and communities, and highlighted HISC’s role in funding interagency projects, island invasive species committees, research, outreach, and early detection efforts. Arnot and HISC representatives described major funding and program needs, including a requested $4.25 million increase to HISC to raise its baseline budget to $10 million, support island committee operations, research, biocontrol, marine biosecurity, surveillance, and staffing. They also requested $500,000 for the Hawaiʻi Ant Lab, saying it is critical to invasive ant research and little fire ant response. The briefing also noted HISC’s leverage of federal dollars, including a $4.6 million REPI award with HISC providing the match, and cited successful collaborative eradications and responses, including veiled chameleons on Maui, axis deer on Hawaiʻi Island, and a 2023 coconut rhinoceros beetle response on Maui that prevented further spread. Hawaiʻi Department of Agriculture officials then discussed implementation of updated administrative rules effective January 20, 2025, which permanently restrict movement of coconut rhinoceros beetle host material and give the department stronger authority to stop movement of infested material. They reported 2024 import activity of about 50,000 ship and aircraft arrivals, inspection/clearance of 20 million pieces, and 16,000 interceptions, with additional staffing from Act 231 expected to increase interceptions. They also described Act 231 funding and current spending status: about 65% obligated and 52% encumbered, with some funds tied to contracts for CRB and little fire ant response, plus an $800,000 green-waste hauling RFP that had to be reissued because of a flaw. The department said 580 Oʻahu homes and 290 Hawaiʻi Island homes are slated for little fire ant treatment, while Maui and Kauaʻi will focus on survey and outreach. Members questioned how homes are selected for subsidized treatment, whether HISC and the island invasive species committees received Act 231 support, and whether the state should direct how contracted funds are prioritized. Representative Martin raised concerns that the RFP limited eligibility to private pest control companies and excluded more experienced entities such as the Hawaiʻi Ant Lab. Department officials said they would follow up on prioritization and funding details, and noted that emergency proclamations and procurement flexibility could help with rapid response and hiring during invasive species emergencies.

Transcript Highlights:

• Her behaviors became so severe that I was isolating myself throughout the day in a room with only my

Keywords: During the committee meeting live stream, portion of the video was lost due to network issues. There were also some technical difficulties with content and the incorrect background image being used. The lost footage was recovered from backup, and the other issues corrected in post production editing. 1. 00:00:41 Call to Order 2. 00:01:02 Roll Call 3. 00:02:54 Approval of Minutes 4. 00:05:06 Statutory Reports and Data Requests 5. 00:35:14 2025 and 2026 Session Update 6. 01:03:10 Board Structure Updates and Subcommittees 7. 01:05:20 Public Comment 8. 02:23:14 Adjournment, 958, all

Summary: The Medicaid Oversight Board meeting opened with quorum, approval of the March 9 and March 16, 2026 minutes, and a welcome to new member Representative Willner. The board then heard a presentation from the Department of Medicaid Services on several statutory reports: the quarterly budget analysis (LRC) report, the quarterly MCO report, the provider tax and assessment report, the enrollee demographic report, the annual behavioral health/substance use disorder utilization report, and the Medicaid pharmaceutical rebate fund. Commissioner Lisa Lee and CFO Steve Bechal explained the reports and answered questions. On spending, DMS said the quarterly budget analysis report should be read using the summary tabs because the first tab reflects only traditional Medicaid and does not include all populations. Lee said the first three quarters of fiscal year 2026 showed about $191 million more in waiver spending than the same period last year, about $250 million more in other categories such as nursing facilities, CCBHCs, and FQHCs, and roughly $450 million more in total fee-for-service spending. She also noted that Medicare Part D premiums are 100% state funds and estimated the state-fund increase at about $140 million. For managed care, DMS said pharmacy, inpatient hospital, and outpatient hospital spending made up about 66% of MCO payments so far this fiscal year. Members asked about administrative costs, provider tax impacts, citizenship-status categories, medical loss ratio, and whether the reports could be expanded to show recoupments and citizenship-based spending. DMS clarified that the spending figures discussed were benefit costs only, not administrative costs, and said administrative match rates vary. On the provider tax and directed payments report, Lee said the new CMS proposed rule would allow separate payment terms to continue through the grandfathering period, but that the impact would be substantial for providers even if the administrative effect was minimal. She also said DMS was still reviewing unusual citizenship categories such as “other” and “unspecified,” and would provide more information on medical loss ratio and recoupments if available. Auditor Ball raised concerns about alleged waste, duplicate Social Security numbers, ineligible enrollees, and high error rates in other programs. Lee responded that Medicaid focuses on fraud, waste, and abuse, but said the cited $800 million figure was not factual because it did not account for people enrolled in more than one Medicaid program at the same time. She said DMS is reviewing eligibility systems, including changes tied to community engagement requirements, and is working with the cabinet’s eligibility staff and ombudsman division on error rates. No additional votes or formal actions were taken beyond approving the minutes.