Transcript Highlights:

• I am not an expert on the STARS program.
• , and those are the only payees into the program.
• is an EMS program, not a hospital program.
• So the community kind of knows that.
• For adult daycare programs, we don't know if our customers are a participant in the adult daycare program

Keywords: 959, house, all

Summary: The Committee on Health and Mental Health met with a quorum and first voted in executive session to give House Bills 2370, 3278, and 1638 due pass, with recorded votes of 13-9, 15-0, and 17-0 respectively. The committee then moved to public testimony on Senate Bill 1015, which would create a court process for assisted outpatient treatment for adults with serious mental illness who cannot voluntarily engage in care and are at risk of deterioration, hospitalization, or harm. Senator Maggie Nuremberg and supporters from the Missouri Behavioral Health Council and the Missouri Association of Public Administrators said the bill would help people stay stable in the community, reduce hospitalization and incarceration, and save costs; there was no opposition testimony. The committee also heard a presentation on the STARS program from SSM Health, which was described as a Missouri-based emergency planning system for medically complex children. Witnesses explained that STARS provides physician-approved, electronic emergency care plans for EMS and emergency departments, with education and quality improvement components, and that it is funded by participating children’s hospitals rather than families or EMS agencies. Members asked about costs, access, and how the program differs from the bill previously discussed by Representative Burns; the witness emphasized that STARS is an EMS program and not the same as the proposed hospital-flagging requirement. House Bill 2903, sponsored by Representative Don Mayhew, would change rules for county and district hospitals to make them more competitive with private hospitals by narrowing Sunshine Law exposure for sensitive business information, adjusting board qualifications, and aligning financial reporting deadlines. Supporters from Phelps Health said the bill would reduce administrative burdens and protect proprietary information, while still preserving public transparency for core financial information. Finally, House Bill 3379, sponsored by Representative David Dolan, would expand and strengthen the employee disqualification list and mandated reporting rules for abuse, neglect, and financial exploitation of vulnerable adults, including adding certain bank personnel and first responders as reporters and creating penalties for failure to report. DHSS supported the bill, while the Missouri Bankers Association supported the goal but raised concerns about mandatory reporting obligations for bank staff when customer participation in adult day programs may be unknown; the committee took no final action on the public testimony bills before adjournment.

Transcript Highlights:

• , sports programs, and educational programs that we wanted to send our daughters to.
• And again, most of these camps, as someone who utilizes them every day, are community programs.
• And again, most of these camps, as someone who utilizes them every day, are community programs.
• on the rest of our community.
• the program.

Keywords: 987, senate, all

Transcript Highlights:

• We also have an organized care model called the PASS program.
• So the UPL program, or the upper payment limit program, was established by federal statute to be used
• The upper payment limit program, or access payment program, is limited to the private hospitals currently
• The upper payment limit program, or access payment program, is limited to the private hospitals currently
• Our PAST program is a 1915(c) waiver. We have 1115 waivers for the expansion program.

Summary: The subcommittee met to review Arkansas DHS hospital spending and reimbursement methods, with Secretary Janet Mann and Deputy Secretary Misty Eubanks explaining Medicaid hospital payments. They described fee-for-service per diem payments, cost settlements, and the upper payment limit (UPL) program, noting that SFY 2025 hospital payments included $688 million in inpatient/outpatient claims, $473 million in UPL payments, $248 million in cost settlements, and about $47 million in other payments such as graduate medical education and disproportionate share hospital funds. Members asked about why per diem rates vary, how cost settlements work, why UPL applies mainly to private hospitals, and how assessment fees are structured and funded. DHS said the hospital assessment fee is broad-based and uniform, used as the state share to draw federal funds, and that supplemental hospital payments after federal match totaled $548 million with no general revenue used. The Arkansas Hospital Association’s Jody Ann Tritt then gave a broader overview of the hospital landscape, explaining the different hospital types in the state, including critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals. She said Arkansas hospitals face financial strain, citing a negative 5.18% patient service margin statewide and lower reimbursement than surrounding states. She argued that Arkansas hospitals are paid less than hospitals in neighboring states for similar services, that commercial payer rates and administrative burdens are a major problem, and that Medicaid and Medicare rates remain below cost even with UPL support. She also said hospitals are the backbone of community care, provide emergency and public health functions, and are looking for ways to invest in technology and telehealth but often lack the revenue to do so. Members pressed for clearer data on hospital finances, reimbursement adequacy, and the impact of commercial insurers. Tritt said the association had just authorized a statewide survey to gather updated financial information from hospitals, which she said would take about a year to complete. She also explained that Medicaid pays weekly, Medicare and commercial plans can involve delays and denials, and that hospitals often spend significant resources on revenue cycle work. The discussion ended with a brief update on assisted living reimbursement: DHS said one facility, The Pillars of the Community in Crossett, had announced closure, nine Living Choices waiver clients were being transitioned, and the updated rate study would be available after cost reports are collected, likely before the end of the fiscal year. The meeting then adjourned.

Transcript Highlights:

• emergency communication. emergency communication.
• <00:30:36.720> Um, these programs. Um, these programs.
• and provide programming. and provide programming.
• > in<01:05:56.400> terms program programming they want in terms program programming they want
• broadcast communications. broadcast communications.

Keywords: 916, all

Transcript Highlights:

• <00:04:15.400> this across all Minnesota communities this across all Minnesota communities
• Our work improves both our communities here in the metro area as well as communities across our entire
• such as a Head Start program or licensed child care program.
• those Learning Program programs most of those Learning Program programs most of those projects<00
• Here's the history of the program.

Bills: HF919, HF1192, HF212, HF214

Keywords: wastewater, infrastructure, funding, Litchfield, economic development, environmental compliance, Hastings, water treatment, PFAS, nitrates, bonds, capital investment, public health, HF212, Round Lake-Brewster, Independent School District No. 2907, school construction, school building, sales tax exemption, use tax exemption

Transcript Highlights:

• Can you really say that you're able to live in a safe community or that you can build a community support
• The non-for-profit security grant program, which — has been instrumental in helping at-risk communities
• Jewish community institutions are often the sources of Jewish life in a community including synagogues
• The Holocaust Survivor Assistance Program is a critically important program.
• There too is the opportunity for the rest of the community to stand with the Jewish community to push

Transcript Highlights:

• She said they will be filing amendments and communicating with the community and the committee.
• My people need these programs.
• And Riverside Boat Club is a community boat club.
• Catholic Charities has served the Brockton community since 1920, and we currently operate programs at
• We have communicated with UMass numerous letters. We have communicated with UMass numerous letters.

Keywords: 995, all

Summary: The committee opened by explaining new attendance and public-testimony procedures, including that testimony would be recorded, livestreamed, and generally made public, with possible redactions for sensitive material. The chairs also noted that no committee rules were being formally adopted yet and that no votes would be taken during the hearing. Senator Collins briefly emphasized the committee’s oversight role on land takings and Article 97 issues, including concerns about proposed regulatory changes and the legislature’s constitutional role. The first major bill discussed was H. 3324, concerning the former Christos site on Crescent Street in Brockton and a proposed transfer of state-owned land from DCAM. Representative Michelle DuBois, Representative Rita Mendes, Mayor Sullivan, the Metro South Chamber’s Chris Cooney, Catholic Charities’ Larry Mayne, and Brockton planning director Rob May all supported the bill, describing the parcel as long vacant and arguing it should be reused for a mixed-use project with Catholic Charities, including affordable/workforce housing, an early education center, food pantry, workforce development, and language classes. Several speakers said the project would help retain Catholic Charities in Brockton and bring tax revenue and community services. DuBois outlined expected amendments, including moving one parcel into a municipal sale partnership and changing a “shall” to “may” regarding a right-turn lane. Some members raised questions about whether a deed transfer to a nonprofit was preferable to a long-term lease and about affordability definitions, but the bill was generally supported. Representative Connolly then testified on two Cambridge bills: H. 3308, relating to the Riverside Boat Club and a reconfigured DCR parcel boundary to support a lease with no loss of public space, and H. 3309, which would facilitate access to justice by preserving consideration of a vacant former probate court site for future court use. Senator DiDomenico supported the Riverside Boat Club measure and the broader goal of restoring court access in Cambridge. Members discussed accessibility, possible future court configurations, and the site’s prior use as an emergency shelter. The committee then heard testimony on S. 2217/H. 2108 concerning Columbia Point and access around the UMass/Bayside area. Harbor Point residents, including Orlando Perrella, Michael Corcoran, Richard Fulham, and Miles Byrne, described severe traffic congestion, emergency-access concerns, and frustration with the UMass Building Authority’s handling of the site and prior community commitments. Senator Collins said the committee should consider seeking an SJC opinion, and possibly an Attorney General opinion, on Article 97 and public-access rights. After the in-person testimony concluded, the committee attempted to reach remaining virtual witnesses on S. 2217 but did not receive testimony. With no further witnesses, the committee adjourned without taking any votes.

Transcript Highlights:

• We were able to keep going thanks to the nourishment of Holyoke Community College Culinary Arts Program
• We were able to keep going thanks to the nourishment of Holyoke Community College Culinary Arts Program
• We were able to keep going thanks to the nourishment of Holyoke Community College Culinary Arts Program
• The Secure Rural Schools program, or SRS, is a lifeline for rural Utah communities.
• The Secure Rural Schools program, or SRS, is a lifeline for rural Utah communities.

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, December 9, 2025, 1012, house, all

Transcript Highlights:

• Health programs.
• the program.
• These programs.
• Oftentimes, that programming is in an inpatient setting, either inside the facility or in the community
• Program, which includes SNAP and TANF and other programs.

Transcript Highlights:

• net to preserve and continue programs net to preserve and continue programs that<00:03:19.200>
• Community Clinic of Maui, 750,000. Community Clinic of Maui, 750,000.
• Honolulu Community Action Program, $350,000. Honolulu Theater for Youth, $300,000.
• Waha Center for Community Health, $1,250,000.
• >> West Hawaii Community Health Center 1.4 >> West Hawaii Community Health Center 1.4 million

Keywords: 912, senate, all

Summary: The hearing was an informational briefing on Act 310, which set aside $50 million for nonprofit and community organizations facing uncertainty, especially amid federal funding disruptions. Speakers thanked Aloha United Way for handling applications, as well as the governor, lieutenant governor, House and Senate leadership, and legislative staff for helping craft the measure and review more than 200 applications totaling over $150 million in requests. They noted the funding was intended as a safety net for organizations serving at-risk populations and those that had lost federal support, with priority given to healthcare, human services, education, the arts, and food distribution. The co-chair then presented the recommended award list, describing it as aimed at programs with broad reach and high impact. The list included a large number of nonprofits and community providers across the state, such as food banks, health centers, youth and family services, domestic violence and legal aid organizations, cultural and educational groups, and hospitals. Several of the larger awards mentioned included Hui Food Bank, Boys and Girls Club of the Big Island, West Hawaii Community Health Center, The Food Basket, and multiple Maui and Oahu service organizations. After the full list was read, the chair asked for discussion or objections. Hearing none, the committee adopted the list of nonprofit awards as read. The briefing then adjourned.

Transcript Highlights:

• Administrator of our community programs that oversees the Youth Challenge and the Job Challenge academies
• baros administrator of our community baros administrator of our community programs<00:09:30.640>
• mixed-school program in Emeryville, which blends the needs of the school and the community together.
• award-winning Community mixed school program<01:06:40.480> in<01:06:40.640> Emy<01:06:
• Access community uh shared Community Access community uh shared Community Access component<01:06:

Keywords: 910, house, all

Summary: The Committee on Finance held informational briefings first with the Department of Defense on its FY 2026 budget request, then with the Hawaii School Facilities Authority. Major General Steve Logan outlined the Department of Defense request for $40.5 million in state funds, which he said would leverage about $74 million in federal matching funds and support 411 open projects that could attract up to $2.3 billion in additional federal grant money. He said the budget focuses on sustainment, safety, and reorganization in light of lessons from the Maui wildfires. Key requests included $1.3 million to sustain IT systems, $2.7 million for 32 HEMA emergency management positions, three new Hawaii Army National Guard positions plus four upgrades, and $1.9 million for the Youth Challenge Program to cover state-mandated fringe costs and staffing needs. He also reviewed capital improvement projects, including Youth Challenge facility upgrades, siren modernization, ADA improvements, building retrofits for disaster resilience, Army facility upgrades, a third state veterans home on Maui, HEMA EOC improvements, and a maintenance/fuel building at Diamond Head. Members asked about the siren modernization timeline, and HEMA said roughly 26 to 31 sirens would be modernized this year, with 15 on Maui, eight on Oahu, and eight on the Big Island. Questions also focused on Youth Challenge and Job Challenge enrollment and vacancies, with the department saying the Hilo Job Challenge Academy is growing and that combining Youth Challenge recruiting statewide into one Kilauea program has helped enrollment. Logan also answered questions about the New Year’s Eve medical transport mission, explaining the Hawaii Air National Guard’s relationship with active-duty Air Force assets and saying the flight cost is about $20,000 per flight hour, though the final bill had not yet been determined. On the Maui veterans home, staff said the University of Hawaii site was no longer viable after faculty senate opposition, so the department is now focused on a 10-acre Puna District site; the project remains tied to a certified $35 million state match and August 2025 and August 2026 federal suspense dates. Logan said the veterans home remains one of the department’s highest priorities, but it could not be moved higher in the submitted CIP ranking. The department also discussed a Governor’s add-on for a fire marshal/Office of Recovery and Resiliency proposal. Logan said the fire marshal position was reestablished last session but has not yet been filled, and that if the function is transferred to the Department of Defense, the department wants funding ready to move quickly. Staff later said the request would include about $1.1 million for seven positions and about $2.2 million for operating costs, though details were still preliminary. The committee then reconvened for the School Facilities Authority briefing, where Executive Director Ricky Fujitani described the agency as a startup created in 2020 to improve school and workforce housing development through standardized designs, prefabrication, best-value procurement, and public-private partnerships. He said Hawaii’s single school district still functions like 15 different districts because of its 264 schools across 15 complex areas, and that the authority’s goal is to create more efficient, maintainable, and cost-effective facilities.

Transcript Highlights:

• Many of our programs support the needs of mothers, children, and families in Texas. programs like Medicaid
• On this slide, you will also see the Children's Health Insurance Program, that's a program for children
• So we do have people on both that program as well as our programs.
• organizations. organizations, through our community partner and SNAP outreach programs.
• . program.

Keywords: 1184, house, all

Transcript Highlights:

• This program, I think, is a win-win for our communities and our local farmers. children including fresh
• I think is a win-win for for our program I think is a win-win for for our communities<00:31:35.080><
• We raise produce and bedding plants for a community-supported agriculture program, local food co-ops,
• for a community supported agriculture program<00:34:08.040> local<00:34:08.320> food<00
• She said that has created a stigma, especially among rural communities, and frames the programs as overly

Bills: HF2446, HF2878, HF2667, HF1795, HF2683, HF2916

Keywords: agriculture finance, broadband development, Department of Agriculture, Board of Animal Health, Agricultural Utilization Research Institute, Office of Broadband Development, food safety, food handler license, cottage food, home processed food, livestock dealer, meat packing company, milk marketer, milk marketing license, grain buyer, grain storage, beginning farmer, emerging farmer, farm down payment assistance, livestock investment grant

Transcript Highlights:

• You have, so you have community.
• Is that she's part of our community?
• like outside in the community.
• They provide purpose and community.
• They developed this day program where they keep them active in the community, like Deborah was talking

Keywords: 914, all

Transcript Highlights:

• I really enjoyed last time looking at the different community colleges and programs, and I hope we continue
• to do that. ...community colleges and programs, and I hope we continue to do that, because I felt like
• Those communities need. Why?
• So we're working hard to communicate what's coming next.
• That's important to the sustainability of the program.

Keywords: House Select Committee on Advancing Rural and Small Town Health Care, 976, house, all

Transcript Highlights:

• In 2024 we began winding down some of the CARES Act programs, with the exception of our CBG program;
• .2024 we began winding down some of the CARS Act programs with the exception of ourcBG program that cares
• We received increases to several of our pass-through programs for the Enna senior nutrition program,
• And we've also made awards to 32 communities for a marketing partnership program, a total of $750,000
• Marshall Oates, director of community development, and a significant portion of what we call community

Summary: The committee first heard a presentation from the Oklahoma Department of Commerce on its FY26 priorities, recent performance, and budget requests. Commerce said it had helped announce about 8,000 direct jobs and nearly $14 billion in investment year-to-date, while noting challenges such as tariffs, workforce recruitment, staffing/FTE management, and the condition of its 100-year-old office building. The agency highlighted projects and initiatives including a new Taiwan trade office, Route 66 Centennial planning, the National Main Street conference in Tulsa, Olympic-related coordination, census outreach, and continued improvements to its grants and CRM systems. Requested funding included $8.3 million for building repairs or relocation planning, census support, $300,000 for EDGE, $135,000 for IT/cybersecurity upgrades, $250,000 for the Taiwan office, and additional support for Head Start, senior nutrition, and the Strategic Air and Space Commission. Members asked about the meaning of the investment totals, the building condition, delays in senior nutrition distributions, and staffing vacancies; Commerce said the investment figures reflected formal company capital announcements, the building had significant facade and roof damage, delays were due to multiple contracting layers, and several open positions were expected to be filled soon. The Oklahoma Tourism and Recreation Department then presented its FY26 budget and goals. New director Amy Blackburn and special advisor Sterling Zearley said the department oversees 38 state parks, six lodges, seven golf courses, and nine travel information centers, and emphasized tourism’s economic importance. They reported savings from bringing marketing and tracking functions in-house and from shared services, but said the department faces more than $271 million in deferred maintenance needs, staffing shortages, and connectivity problems at parks. Their goals include increasing park visitation to 10.2 million, raising occupancy to 36%, and growing travel to Oklahoma, with major marketing tied to the Route 66 Centennial, America 250, the FIFA World Cup, the Olympics, and other events. The department also discussed a request to raise its purchasing exemption cap from $25,000 to $75,000, a possible TravelOK.com redesign, and efforts to improve restaurant operations at lodges through a new RFP structure. Members questioned the apportionment cap, the size and timing of deferred maintenance requests, park revenue, and the use of parking pass funds; tourism said annual park-related revenue is about $32 million to $34 million and parking pass revenue is about $2.5 million. Finally, the OSU Veterinary Medicine Authority presented its budget request and program updates. The authority said it supports the veterinary teaching hospital and related student training, and that its FY26 budget is entirely state-appropriated. It requested continued support for hospital operations, the large animal scholarship program, and a new $12.5 million annual payment tied to the $250 million Legacy Capital Fund authorization for the veterinary teaching hospital, along with additional funding to expand in-state enrollment. Officials said in-state enrollment had increased from 58 to 69 students after prior funding, with a goal of reaching 90 of 106 total seats, and that there were 195 in-state applicants this year. Members asked whether standards would be lowered; the authority said academic standards would not change and noted strong board-pass rates and retention outcomes. It also said accreditation concerns tied to faculty shortages and off-site teaching had been addressed by bringing students back to the main campus and improving staffing. The committee ended by thanking the presenters and announcing its next meeting date.

Transcript Highlights:

• Not everyone does like the community.
• <00:05:44.920> for<00:05:45.160> those maintain communication for those maintain communication
• to support the program.
• they can maintain this program on a permanent basis.
• <00:09:23.480> for state rent supplement program for state rent supplement program for Kupuna

Bills: HB1700

Keywords: housing, expedited permits, disabilities, access, functional needs, local government, affordable housing, reporting requirements, 912, senate, all

Summary: The joint committees on Housing and Health and Human Services, along with related committees, heard and later took action on three housing bills. HB 1700 HD1, relating to housing and expedited permitting, received support from disability advocates, including the Hawaii State Council on Developmental Disabilities and a self-advocate who said faster permitting would help people with disabilities access more independent living options. The chairs said they would add amendments to ensure expedited permitting would not compromise ADA or Fair Housing Act protections and to require reporting on the number, type, and geographic distribution of projects so the program could be evaluated over time. The measure was recommended and adopted with amendments by the participating committees. HB 1777 HD2, which would require tenant protections for residents displaced by HHFDC-supported redevelopment projects, drew support from HHFDC, the Office of Hawaiian Affairs, Parents and Children Together, and numerous other organizations. Testimony emphasized the need for a right of first offer, replacement housing payments, relocation information, and tracking procedures to reduce displacement harms, especially for Native Hawaiian and public housing residents. In decision-making, the committees amended the bill to incorporate the Senate companion measure, rename the working group as the tenant protection working group, broaden its duties, and include a $75,000 appropriation for working group expenses. The committees also noted concerns about unequal treatment between tenants in publicly supported projects and private redevelopments, and referenced the KPT low-rise redevelopment as an example where required relocation assistance still did not proceed smoothly. The bill was recommended and adopted with amendments. HB 1975 HD1, relating to kupuna housing, would repeal the sunset on the state rent supplement program for kupuna, appropriate funds to HPHA, and add positions to support the program. HPHA, the Executive Office on Aging, OHA, Catholic Charities Hawaii, AARP Hawaii, Aloha Independent Living Hawaii, and others testified in support, with Catholic Charities describing how the subsidy helped a senior remain housed through major medical issues. The committees later recommended passage with amendments, including a technical correction to the number of positions and a date fix, and the recommendation was adopted.

Transcript Highlights:

• many of the named programs.
• /c><00:15:52.600> programs.
• On line 326 is a grant program for emergency grants for community identity and heritage emergency grants
• Um many of the programs programs programs uh<00:19:55.280> starting<00:19:55.520> at<00
• . programs. programs.

Keywords: 1187, senate, all

Transcript Highlights:

• programs because without that awareness, those programs don't matter a whole lot.
• The FARM program.
• And they lived in the community.
• I do in my community.
• I do in my community.

Summary: The Senate opened with prayers, the Pledge of Allegiance, and several introductions recognizing FSU Day at the Capitol, the Red Mass, visiting students, school board members, veterans, and other guests. The chamber then moved to the special order calendar and took up a series of bills, with several measures temporarily postponed before and during the day’s proceedings. Committee and executive reports were largely absent, and the Senate proceeded directly to floor action on the listed bills. The Senate passed a number of mostly unanimous bills, including SB 36, SB 38, SB 40, and SB 42 on Florida Statutes revision; CS/SB 50 on nature-based coastal resilience, amended to strengthen the Florida Flood Hub and related research; CS/SB 116 on veterans, expanding benefits coordination, mental health training, adult day health care, and other veterans services; SB 126 on mailing prescription hearing aids to adults; SB 150 on abandoning restrained dogs during natural disasters, amended to conform to the House; SB 294 limiting collaborative pharmacy practice for certain serious cardiac conditions; SB 322 creating a nonjudicial process for removing unauthorized persons from commercial property; SB 348 on ethics, including false military rank claims and collection of delinquent ethics fines; and CS/SB 7012 on child welfare workforce recruitment, treatment foster care pilots, and data collection for commercially sexually exploited children. Senate Memorial 314 urging Congress to increase Florida National Guard force structure was also adopted by voice vote. Two bills drew more extended debate. SB 118 on presidential libraries passed 36-3 after questions about local zoning, traffic, and whether the bill’s express preemption would limit county and municipal authority; supporters argued it would prevent local obstruction and help Florida attract a presidential library, while one senator said she would vote no because of concerns about local safety and planning issues. CS/SB 160 on public accountancy passed 39-0 after an amendment clarifying contracted services; supporters said it would broaden pathways into the CPA profession and address workforce shortages. CS/SB 108 on administrative procedures and CS/SB 110 on rural communities were temporarily postponed, then later taken up and passed after extensive debate, with SB 110 amended to prioritize certain rural transportation projects, expand housing, health care, broadband, and economic development support, and draw strong bipartisan praise for its focus on rural Florida. At the end of the session, the Senate waived rules to immediately certify all bills passed that day to the House, observed a moment of silence for former Surfside Chief John Healy, and made several closing announcements and recognitions.

Transcript Highlights:

• >> I'm Karen Ber, the dean for the health academic programs at Capio Lani Community College on behalf
• I'm Karen Ber, the dean for the health academic programs at Capio Lani Community College on behalf of
• Capio Lani academic programs at Capio Lani Community<01:06:37.520> College<01:06:38.000> on
• community treatment order. community treatment order.
• health monitoring pilot program. health monitoring pilot program.

Bills: SB2936, SB2850, SB2851, SB2521

Keywords: accessible parking, disability, kupuna, public accommodations, small business exemptions, Hawaii Revised Statutes, parking permit, blind, deaf, accessibility, deafness, traffic safety, law enforcement, vehicle registration, communication, emergency services, commercial driver's license, first responders, public safety, authorized emergency vehicle

Summary: The committee heard testimony on several health-related bills. HB 1871, establishing a maternal health monitoring pilot program, drew support from the Department of Health, the Hawaii State Commission on Status of Women, and the Hawaii affiliate of the American College of Nurse Midwives, with testimony urging provider-neutral language so midwives and other qualified providers would not be excluded. HB 1977, requiring a maternal and infant health information mobile app, received support from ACNM and Philips, which said similar apps in other states improved awareness of services and helped families navigate care; a member asked the Department of Health about implementation time. HB 1858, relating to certificates of fetal deaths, was supported by the Department of Health and clinicians, who said the current statute is outdated and inconsistent with CDC guidance; the department and a physician testified that the bill should shift documentation responsibilities to physicians and APRNs, and members discussed optional versus mandatory issuance language and whether the bill would improve data on home births and transfers. The committee also heard HB 1591, expanding definitions for preceptor and volunteer-based clinical training to improve income tax credits. The Department of Health supported the measure but preferred a similar, broader bill; Taxation suggested clarifying terms; the University of Hawaii and the State Center for Nursing supported it. ACNM asked that midwifery preceptors and Hawaii-based students enrolled in mainland programs be included, while the Hawaii Public Health Institute supported expansion of the program as a workforce solution. HB 1574, on the health care education loan repayment program, also drew broad support, including from the governor, SHPDA, OHA, and health organizations, but ACNM raised concerns that the bill’s 30% Medicaid-client threshold could exclude many providers and limit participation. For HB 1575, creating a feasibility committee on Parkinson’s patient air transport, the Department of Health supported the intent but said transportation is more likely an insurance or benefit issue and suggested redirecting funds to Parkinson’s research; the Michael J. Fox Foundation and the Hawaii Parkinson Association supported the bill, citing inter-island travel barriers and high costs for patients and caregivers. HB 1854, establishing certification of community behavioral health clinics, was supported by the Department of Health and DHS, which said certification would help clinics qualify for enhanced Medicaid reimbursement and expand access; the Attorney General’s office raised a legal concern about the special fund language and recommended a purpose section, and the committee discussed whether the fund would be self-sustaining and noted a possible amendment to change membership language and reduce the board size if the amendment moved forward.