Transcript Highlights:

• We maintain a nurse-to-five-patients ratio.
• a classic example of early education.
• Specific to bureau or program.
• programs.
• program.

Transcript Highlights:

• <00:19:13.080> And educational and workforce program.
• And educational and workforce program.
• SNAP education and training program.<00:23:39.440> So,<00:23:39.640> it<00:23:39.800><
• We have several universities in the state that offer ABA programs, BCBA programs, several educational
• We have the educational programs here.

Keywords: Roll Call - 00:10 Discussion on SCR 61 – 01:46 Vote on SCR 61 – 11:33 Discussion on SR 18 – 12:30 Vote on SR 18 - 30:01 Discussion on Ky Residential Autism Services – 32:34 Questions & Comments – 56:56, 958, all

Summary: The committee met with a quorum and first considered Senate Concurrent Resolution 61, sponsored by Senator Shelley Funke Frommeyer and Representative Matt Lockett. The resolution, as amended by committee substitute, would create a legislative task force tied to the MAHA (Make America Healthy Again) framework to study Kentucky health policy, including Medicaid drug approvals, preventive and alternative therapies, holistic health education, oversight and transparency in health care, and research into integrative approaches. Supporters said the goal was to address chronic disease and reduce over-medication, while emphasizing the effort was not intended as an attack on agriculture or the pharmaceutical industry. The resolution received favorable expression and passed the committee 9-0. The committee then heard Senate Resolution 18 from Senator Neal, urging Kentucky to maximize participation in the federal SNAP Employment and Training (SNAP E&T) program. Testimony from Jessica Klein of the Kentucky Center for Economic Policy and Secretary Eric Friedlander explained that SNAP E&T provides job training, education, and support services for SNAP participants, and that the program is federally matched and does not require additional General Assembly funding in the normal course. Members discussed how the program works, whether it could create new state costs, and how it fits with efforts to connect food assistance, workforce development, and local agriculture. Questions also focused on whether SNAP spending can be steered toward healthier foods and farmers markets, including Kentucky’s Double Dollars program, which was described as helping participants buy produce, meat, and dairy at participating markets and some retailers. Several members expressed support for the workforce goals but asked for more information on fiscal impacts and purchasing data. Secretary Friedlander said the SNAP E&T funds are separate from nutrition benefits, and that the state match generally comes from employer, university, or workforce partner contributions rather than new state appropriations. Senator Herron explained her vote in favor by saying the program could help people gain education and employment and reduce reliance on SNAP over time. Senate Resolution 18 was then adopted by the committee.

Transcript Highlights:

• AB 583 will authorize nurse practitioners to sign death certificates.
• I know I am only one nurse practitioner out of thousands.
• It gives nurse practitioners the ability to sign death certificates.
• I am a community health worker and certified Black lactation educator.
• programs.

Summary: The Assembly Health Committee heard a long series of health-related bills, with most measures focused on access to care, administrative simplification, and behavioral health. Early items included AB 583, allowing nurse practitioners to sign death certificates; AB 492, requiring DHCS to notify local governments when new alcohol or drug recovery facilities are licensed; and AB 280, which would tighten provider directory accuracy requirements, add enforcement benchmarks, and allow use of a centralized database. Testimony on AB 280 highlighted the harms of “ghost networks,” while insurers and some provider groups opposed the bill as written, arguing it placed too much responsibility on plans and did not fully address provider-side data problems. AB 280 passed on a roll call vote, and several other bills were placed on consent and approved. The committee also advanced AB 636, expanding Medi-Cal coverage for medically necessary diapers for children up to age 21 and lowering the age threshold for access; AB 1041, streamlining physician credentialing with a uniform form and 90-day review deadline; and AB 787, requiring health plans to help enrollees find in-network providers quickly when directories fail. Supporters of these bills emphasized family financial strain, delays in care, and the burden of administrative red tape, while opponents of AB 1041 and AB 280 raised concerns about provider participation, accuracy, and liability. All three measures were approved and sent to Appropriations. The committee then took up AB 4 and AB 29. AB 4 would allow income-eligible Californians to buy Covered California coverage regardless of immigration status, and AB 29 would authorize Medi-Cal reimbursement for community health workers and doulas conducting ACE screenings. Both bills drew strong support from immigrant-rights, health access, and community-based organizations, and both passed on roll call votes, with AB 4 receiving some no votes. The committee also approved AB 416, which would allow emergency physicians to place 5150 holds in certain circumstances; supporters said it would reduce delays and overcrowding in emergency departments, while Disability Rights California and others warned it could increase unnecessary involuntary hospitalization and transfers to locked facilities. Despite those concerns, the bill passed and was sent onward for further consideration.

Transcript Highlights:

• These nurses understand that we get the best outcomes for our kids when we begin before they are born
• These nurses understand that we get the best outcomes for our kids when we begin before they are born
• Nurse-Family Partnership is a voluntary evidence-based program that pairs registered nurses with low-income
• These nurses provide trusted guidance on child development and long-term family stability during one
• So I had some community members who would like me to talk about it to help educate some people.

Keywords: 1182, all

Transcript Highlights:

• Steve Appleby, Department of Education.
• The code of conduct has a definition for educator, and educator means any professional employee of any
• conduct has a definition for educator. conduct has a definition for educator.
• of Education. Those numbers are skewed. of Education. Those numbers are skewed.
• The nurses have to watch them.

Keywords: 1191, senate, all

Transcript Highlights:

• IT IS ACTUALLY PAYING FOR THE DEBT FROM NOT THIS CAPITAL PROGRAM BUT THE 2020-2024 CAPITAL PROGRAM.
• >> Vital Access Program.
• It is a big program. An important program, and it helps people with their health.
• THAT PROGRAM.
• We needed to stand up a program.

Keywords: 993, senate, all

Summary: The Senate opened with the Pledge of Allegiance and an invocation, then approved the prior day’s Journal and moved into motions, resolutions, and budget-related business. Senator Gianaris called up Senate Print 5898A for reconsideration; the Senate voted 59 ayes to restore the bill to the third reading calendar. Several amendments were also received on third-reading bills, and the Finance Committee was called into session while the chamber proceeded with resolutions. The Senate adopted Resolution J.2106 recognizing Second Chance Month and the mental health impacts of incarceration, with Senator Brisport speaking in support and a guest from the community recognized in the chamber. The body also adopted Resolution J.1492 designating May 27, 2026, as Taiwan Heritage Day, with remarks from Senators Sepúlveda, Stavisky, and Liu highlighting Taiwanese contributions to New York and expressing support for Taiwan amid current geopolitical tensions. The Finance Committee then reported several budget bills, including Senate Prints 9003D, 9004D, 9007C, and 9009C, which were moved to third reading. The remainder of the session focused on the supplemental and controversial budget calendars, especially tax and spending provisions. Senators debated the “Protecting Our Wallets” energy rebate, with supporters describing it as a one-time check for eligible taxpayers and critics arguing it was too small and not tied directly to utility bills; the chamber accepted the message of necessity and laid the bills aside. Members also debated extensions and changes to tax provisions affecting corporations, alternative fuel exemptions, Broadway and theatrical production tax credits, charitable deductions for certain 501(c)(3)s, nicotine pouch taxes, a new New York City pied-à-terre tax, and a standardbred horse-racing testing fee. Several senators criticized the budget as raising costs or favoring certain industries, while supporters defended the measures as revenue-raising, affordability, or public-health policies. No final votes on the controversial budget bills are shown in the excerpt beyond procedural rulings, adoption of the resolution calendar, and acceptance of committee reports.

Transcript Highlights:

• Program.
• See that there's a graph from the Physicians Educational Loan Repayment Program, which deals with medical
• . alongside that clinical program.
• The second is education. And education, again, I'll talk about a number of aspects of it.
• And so I accepted the program thinking this was a two-year program.

Keywords: 1184, house, all

Transcript Highlights:

• This is a program where we.
• Development Program.
• program, our Destination Forward program, and our Clean and Beautiful program.
• : the Events Program, the Destination Forward Program, and Clean and Beautiful.
• The Higher Education Trust Fund is also coming in to start supplementing those scholarship programs,

Transcript Highlights:

• Similar programs to this exist program.
• program through end of season program program through end of season program evaluations. evaluations
• Thank you for... programs? programs?
• program.
• . program. program.

Keywords: 1189, house, all

Transcript Highlights:

• integrity of the UI program. integrity of the UI program.
• fishing safety education statewide. fishing safety education statewide.
• education and community outreach. education and community outreach.
• very specific cultural education very specific cultural education opportunities. opportunities.
• the elimination of nurse practitioners the elimination of nurse practitioners from<01:05:02.600>

Bills: HB2323, HB2324, HB1509, HB2164, HB2165, HB2367, HB2619, HB1765, HB2187, HB1864, HB1452, HB2314, HB1898, HB2558, HB2319, HB1643, HB2121

Keywords: workers' compensation, treatment plans, vocational rehabilitation, electronic submission, reporting requirements, occupational safety, hoisting machines, discrimination protection, Department of Labor, safety standards, treatment plan, injured worker, medical treatment authorization, employer response deadline, secure electronic transmission, facsimile, fax, mail submission, denial of care, medical necessity

Summary: The committee heard several administration bills related largely to workers’ compensation and unemployment insurance. On HB 2323 HD1, which would modernize workers’ compensation notice and filing procedures, DLIR and other agencies testified in support of the original bill language but said HD1 removed key components and weakened the bill’s clarity and continuity. HB 2324 HD1, which would repeal state hoisting-machine certification requirements and the separate crane operator certificate, drew support from DLIR; members asked about whether the change would affect safety or local operators, and DLIR said OSHA-compliant certifications already exist and the union supported the change. HB 1509 HD1, which would require faster employer responses to treatment plans and impose penalties for nonresponse, received support from DLIR and others, while DHRD said it wanted an amendment. The committee also took up HB 2164 HD1 on compounded prescription drugs in workers’ compensation. DLIR supported the bill as a way to define compounded drugs and curb inflated pricing, but DHRD and a medical provider opposed it and asked for amendments. Testimony focused heavily on whether the definition should include 503B compounding facilities and whether physician dispensing should be limited to the first 30 days after injury. HB 2165 HD1, dealing with unemployment insurance eligibility and removing the two-year limit on recouping overpayments, was supported by DLIR but opposed by Unite Here Local 5, which argued it would make it harder for striking workers and other claimants. Members questioned the impact of changing reporting deadlines from calendar days to business days and raised concerns about future benefit offsets; DLIR said the bill was needed for federal conformity and that the committee would revisit the offset percentage and effective date. Later, the committee heard HB 2367 on pay transparency, requiring salary ranges in job postings and removing the small-employer exemption. The Hawaii Civil Rights Commission, AAUW, Hawaii Women Lawyers, and an individual testifier supported the bill, saying pay transparency promotes fairness, trust, and pay equity; one testifier described being underpaid compared with a predecessor and said posting ranges would save applicants’ time. HB 2619 HD1, concerning homemade food products and farm kitchens, received generally supportive comments from the Department of Health, which requested an amendment to preserve flexibility in future rulemaking. HB 1765 HD1, on spear-fishing safety warnings, drew support from a safety educator and comments from DLNR; supporters said warning labels would help prevent hypoxic blackout deaths and were low-cost and easy to implement. No votes or final committee actions were taken in the portion of the meeting provided.

Transcript Highlights:

• <00:04:11.120> committees and Senate higher education committees and Senate higher education
• program program still<01:18:55.560> continues<01:18:56.040> to still continues to still
• But education funding has not kept pace with inflation.
• <01:48:09.880> homes<01:48:10.320> and<01:48:10.480> our nursing homes and our nursing
• <02:03:35.520> home long-term care and nursing home long-term care and nursing home facilities

Keywords: 1183, house

Transcript Highlights:

• Is the nurse paying the tax, or...? >> The nurse?
• nurse?
• It depends on the >> the nurse nurse?
• I'm on the board at Rivier University and they have an early childhood education program, and so I'll
• childhood education program and so I'll childhood education program and so I'll speak<01:39:54.880

Keywords: 1189, house, all

Transcript Highlights:

• the education and research mission. the education and research mission.
• :13.840> techs, Fairview nurses, pharmacists, lab techs, Fairview nurses, pharmacists, lab techs
• 57.359> pharmacists, physicians, our nurses, pharmacists, physicians, our nurses, pharmacists,
• clinical care and and medical education. clinical care and and medical education.
• All the research and education care.

Keywords: 1183, house

Transcript Highlights:

• May maybe if you nurses with her, too.
• And is you of implementing this program?
• <00:05:16.720> is detailed, you know, what the program is detailed, you know, what the program
• <00:17:06.319> I'm programs. So, thank you. I'm programs. So, thank you.
• program to this working group.

Keywords: 910, house, all

Summary: The Committee on Higher Education held a resolutions hearing on March 19 and heard testimony on a series of University of Hawaii-related measures. Topics included exploring an Alzheimer’s disease research center and federal funding requirements, establishing a BSN program at UH Maui, expanding student mental health services, supporting Hawaiian language resources at the Kawaihuani Center, creating a homeless student stability and housing resource program, forming a veterinary medicine expansion working group, and compiling a list of bachelor’s programs aligned with regional job needs. Testimony was generally supportive, with UH representatives often noting that several initiatives were already underway or that systemwide assessments and planning processes were in progress. For the veterinary medicine measure, UH said Windward Community College would not be the ideal location for a doctoral program, but the system would be willing to study the issue systemwide. For the Maui nursing program, UH said it had already received authorization to plan and was working through the curriculum approval process, with a goal of offering the program in fall 2026. For the student basic needs resolution, UH said a systemwide assessment covered all campuses and islands, with a report expected in summer or fall. In decision making, the committee recommended passage of HCR 31/HR 30, HCR 73/HR 66, HCR 96/HR 92, and HCR 97/HR 93 as is, and all were adopted without objection. HCR 124/HR 120 and HCR 125/HR 121 were passed with amendments, including a technical amendment and a request to send a certified copy to the Kawaihuani Center director. HCR 195/HR 188 was passed with amendments to add a UH Hilo representative to the veterinary working group, and HCR 196/HR 189 was passed with amendments to include UH and HMC in the list of schools developing job-aligned bachelor’s program lists and to incorporate HMSO style changes. The committee then adjourned.

Transcript Highlights:

• It will generate $3 billion annually to support public programs.
• The Washington State Office of Financial Management has identified cash assistance programs, higher education
• A recent Department of Education ruling eliminated both nursing and public health student loans and eligibility
• And over the past few years, our health programs have lost nearly half their faculty.
• So when we have very, very well-funded public programs, when we have well-funded higher education, when

Summary: The meeting was a press conference and Q&A led by Rep. Shaun Scott to promote the proposed Well Washington Fund, a new dedicated account intended to raise about $3 billion annually through a corporate payroll tax on wages above $125,000. Scott said the bill would help offset expected federal cuts under Trump-era policies and support programs most at risk, including cash assistance, higher education, health care, housing, and wildfire mitigation. He also referenced two related proposals: restoring wildfire mitigation funding by ending a tax break for large banks, and allowing counties to raise corporate taxes. Several advocates and affected residents testified in support of progressive revenue. Michelle Thomas of the Washington Low Income Housing Alliance warned that federal homelessness policy changes and state underinvestment could worsen homelessness and evictions. Christina Savitsky, a disabled veteran, described how Medicaid, food assistance, and work requirements would affect her family. Representatives from the University of Washington AAUP said federal cuts and Medicaid changes threaten teaching, research, workforce training, and hospital finances. Fatima Boxwala of Tech for Taxes and Mikey Stramskis of the Washington Federation of State Employees argued that large corporations and the wealthy should pay more to sustain public services and address understaffing, burnout, and service backlogs. In the Q&A, Scott said the bill may need an emergency clause to make it referendum-proof and argued that the legislature has a mandate to act, citing the 2024 capital gains tax referendum and the state’s regressive tax system. He acknowledged concerns about businesses leaving but said he was more concerned about working people being displaced by unaffordable housing, child care, and health care. No vote or formal committee action occurred; the event was a call for a hearing in the House Finance Committee in 2026 and for legislative passage in both chambers.

Transcript Highlights:

• Identified population health programs support mental health and substance use prevention programs for
• programs as needed, but in general, these programs were assessed within the intentions and context of
• Proposition 1 to identify programs that again provide population health programming, being provided
• , the advocacy grant program as well as the Innovation Partnership Grant Program—would you categorize
• Right, the first $300 million is a grant program—pardon me, is a loan, a no-interest loan program.

Summary: The Assembly Budget Subcommittee on Health held a May Revision hearing covering several health-related budget proposals and broader concerns about the state’s budget structure. The Chair opened by praising some May Revision changes, such as added health IT funding, county administration support tied to Medi-Cal changes, a delay in Medi-Cal cuts for some lawfully present immigrants, and additional support for Covered California subsidies, while criticizing proposed increases in Medi-Cal premiums, changes to senior eligibility, the lack of a Medi-Cal dental solution, and other reductions affecting counties, mobile crisis units, workforce incentives, and physician shortages. The Legislative Analyst’s Office said the state’s budget condition remains weak despite progress on the structural deficit, and the Department of Finance said the May Revision uses a mix of reductions, reforms, revenue proposals, and fund shifts to cut out-year deficits. The committee first heard Department of State Hospitals proposals, including adjustments to county bed billing authority, contract exemption language for online clinical/pharmacy subscriptions, reversion of unspent funds, a revised Metro Central Utility Plant replacement project, electronic health record implementation, and workforce development funded partly through Behavioral Health Services Act resources. DSH also described savings and realignments in incompetent-to-stand-trial and conditional release programs, including extending the independent placement panel program and shifting funds to support additional bed capacity and a mental health rehab center. Members asked about the use of BHSA funds for workforce programs, and the department said the proposal would replace General Fund support with BHSA reimbursements. The Emergency Medical Services Authority proposed funding for statewide behavioral health crisis response guidance and for enterprise system development, and the Department of Managed Health Care proposed modernization of its complaint system and claims-settlement data system to improve oversight and comply with AB 3275. The largest discussion centered on the administration’s BHSA spending plan under Proposition 1, including state-directed prevention, workforce, and other uses, plus General Fund offsets for existing programs. The LAO questioned whether some proposed offsets fit Proposition 1’s non-supplant and eligible-use requirements, while the administration argued the uses were consistent with the measure and that the state-directed share can be adjusted annually. The Commission for Behavioral Health’s proposals drew the most public and member concern. The administration proposed cutting the commission’s Innovation Partnership Fund from $20 million to $10 million and reducing the Community Advocacy Program by $6.7 million, while redirecting BHSA dollars to other state purposes and direct services. Commissioners, advocates, and several members argued the cuts would weaken community voice, reduce support for underserved populations, and disrupt grants already in process; they also objected to using BHSA funds to backfill General Fund commitments. Public commenters, including youth, disability, behavioral health, LGBTQ, tribal, veteran, immigrant, and community-based organization representatives, overwhelmingly opposed the cuts and urged preservation of prevention, advocacy, mobile crisis, and innovation funding. No votes or final actions were taken during the hearing.

Transcript Highlights:

• And that ballot measure said it can expend city money to educate other cities and counties.
• Nurses, doctors, and home health care... Most likely mothers.
• Nurses, doctors, and home health care aides... ...of the state's effective climate action.
• I'm also a nurse practitioner. I'm here today in strong support of SB 675.
• I'm also a nurse practitioner. I'm here today in strong support of SB 675.

Summary: The committee considered several coastal, climate, and air quality measures. Senator Laird presented SCR 136 marking the 50th anniversary of the Coastal Act and Coastal Conservancy Act, and SJR 12 opposing the federal offshore oil and gas leasing program; both drew broad support from environmental groups, local governments, and other advocates, with no opposition heard. Senator Padilla presented SB 10, requiring state climate plans to include gender impact assessments, with supporters arguing climate harms fall disproportionately on women and LGBTQ+ people; the bill also drew no opposition in the hearing. Senator Padilla also presented SB 675 to restructure the Imperial County Air Pollution Control District board and expand public transparency, while supporters cited severe air quality problems and opponents raised concerns about unfunded mandates, consultation, and impacts on local permitting and economic development. Senator Allen presented SB 1229 to limit disaster-rebuild coastal permit exemptions when replacement structures would newly impede coastal access or sensitive protections, with supporters saying it would prevent investor abuse of post-disaster rebuilding rules. After testimony, the committee took up the measures and recorded votes. SCR 136, SJR 12, SB 10, SB 675, and SB 1229 all advanced on party-line or near-party-line votes, with some members voting no on the more regulatory measures. The consent calendar was also approved, including ACR 157, SB 899, SB 949, SB 963, SB 1008, SB 1207, SB 1428, and SJR 5. All of the listed measures were sent onward, generally to Appropriations, and the committee concluded its hearing after the roll calls.

Transcript Highlights:

• <01:11:31.600> right the veteran medicine um program right the veteran medicine um program
• now so Winward has a vet tech program now so Winward has a vet tech program and<01:11:34.440>
• , but no vet-specific program?
• program on Maui campus.
• program on Maui campus.

Keywords: 912, senate, all

Summary: The meeting covered several Senate resolutions related to the University of Hawaiʻi system, the East-West Center, and related education and workforce issues. On SCR 178 and SR 48, testifiers strongly supported the East-West Center, describing it as an important Hawaii asset that promotes cultural exchange, global citizenship, diplomacy, and ties to the University of Hawaiʻi. Speakers said the Center has helped train leaders and bring international connections and investment to Hawaii, and they urged continued funding despite federal cuts. The chairs then recommended passage with technical amendments, and both resolutions were adopted by the committees. The committee also heard testimony on resolutions calling for audits of University of Hawaiʻi operations. On SR 32 and SCR 50, the University of Hawaiʻi said it supported the resolution and had already begun work on establishing a Bachelor of Science in nursing at the UH Maui campus, with additional staff available on Zoom to answer questions. On SR 160 and SCR 142, which sought a financial and performance audit of UH Mānoa facilities, UH Athletics said it already undergoes annual financial audits required by NCAA bylaws but not performance audits, and discussed its internal evaluations, contingency planning, and efforts to address concerns raised by student athletes and staff. The committee then took up SCR 138 and SR 55, requesting a management and performance audit of the UH Office of the Vice President for Academic Strategy. Vice President Deborah Halbert and P20 Director Steve Shotz said they did not oppose the audit and believed it could provide clarity, while explaining that the office is relatively new and works collaboratively across campuses on articulation, transfer, grants, and workforce alignment. They described grant programs including Perkins, GEAR UP, preschool development, and data-sharing efforts, and said they are focusing more resources on teaching, health care, and skilled trades. The discussion also touched on SR 54, a proposed performance audit of the UH Foundation, where foundation representatives said they already undergo annual financial audits, acknowledged some donor communication issues, but emphasized improved stewardship and growth in fundraising over recent years.

Transcript Highlights:

• programs.
• programs.
• programs.
• programs.
• beneficiaries of this program do receive a lot of information and education on healthy eating and healthy

Keywords: 1182, all

Transcript Highlights:

• So, to clarify, they just stated that at a minimum complete an education and training program in clinical
• in education and training program in education and training program in clinical<00:08:47.600>
• I'm happy to program was a success.
• supporter of the food safety program. supporter of the food safety program.
• At a minimum, completed an education and training program in clinical At a minimum, completed an education

Bills: HB1626, HB1643, HB1668, HB1550, HB1974, HB1858, HB1871, HB1966, HB1972, HB1973

Keywords: youth penalties, juvenile justice, community service, fees and fines, Native Hawaiian, Pacific Islander, reform, court costs, cultural connection, pharmacy, pharmacist, pharmacy audit, audit reform, pharmacy benefit manager, PBM, recoupment, extrapolation, claims audit, pharmacy reimbursement, dispensing fee

Summary: The committee heard testimony on SB 847, which would create a Kauai pilot program allowing qualified psychologists limited authority to prescribe psychotropic medications. The Board of Psychology supported the bill’s intent but asked for amendments to delay the effective date or extend the pilot so rules could be written first, and to clarify the education/training language. Supporters, including the Hawaii Psychological Association, Hawaii Mental Health Coalition, and several psychologists, argued that prescribing psychologists have long safety records in other jurisdictions and that the pilot could improve access to care on Kauai, especially amid ongoing mental health needs and storm-related stress. They cited studies and examples from New Mexico, Louisiana, the Department of Defense, and other places. Opponents, including the Hawaii Medical Association, American Academy of Pediatrics, Queen’s Medical Center, and a Department of Health representative, said the bill needed substantial work, raised concerns about training, liability, and workforce impacts, and urged a team-based model with psychiatrist oversight rather than independent prescribing. Some testimony also referenced a GAO report, with witnesses disagreeing over its meaning and cost-effectiveness. No vote was taken during the discussion, and members asked questions about how the bill would address the workforce shortage and whether a psychiatrist on Kauai could already meet the need. The committee then moved to SB 2271 on hospital licensing and SB 2272 on home health care licensing. The Department of Health, the Healthcare Association of Hawaii, and the Hawaii State Council on Developmental Disabilities supported both measures, which were described as streamlining and clarifying licensing oversight by relying on accreditation or certification reports. A member asked whether the bill language on hospital accreditation reports was duplicative, and the response was that the second provision was intended to strengthen enforcement by requiring hospitals to provide the actual report to DOH. The committee did not take final action in the portion of the hearing provided, and the chair noted that all bills on the agenda would later be considered for decision-making.