Transcript Highlights:

• Representative Markey, you mentioned that they often hide behind proprietary information, and what, in
• essence, is their proprietary information?
• What, in essence, is their proprietary information? Is it their data processing?
• What do they consider to be their proprietary information? Well, just to explain...
• And the PBMs call that part of their business proprietary. Their software is proprietary.

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on a broad set of health care bills focused on cost, market oversight, pharmaceutical access, transparency, hospital closures, and pharmacy access. Chairs John Lawn and Cindy Friedman opened by emphasizing recent health care reforms and the need for further action on the drug supply chain, PBMs, private equity, and affordability. The committee heard testimony on several measures, including a Betsy Lehman Center bill to make technical changes and create a permanent trust account for federal and private funding, and bills on hospital profits and fairness, hospital closures and health planning, pharmacy deserts, and health care market oversight and pharmaceutical access. No votes were taken during the hearing. On the hospital profits bill, physicians and labor advocates strongly supported capping hospital CEO compensation at 50 times the lowest-paid worker, requiring greater financial transparency, and directing penalties from high-margin public hospitals into a Medicaid reimbursement fund. Testifiers argued that executive pay is excessive while frontline staff and safety-net services are under strain. Committee members raised concerns about unintended consequences, including whether hospitals might shift workers to contract status or lose executive talent, and whether the bill would actually direct money to the safety net. Supporters responded that the measure is one piece of a larger effort and that the bill’s Medicaid reimbursement provisions would help underserved hospitals. Testimony on market oversight and pharmaceutical access centered on rising health care and drug costs, PBM practices, and the proposal to give the Health Policy Commission authority to set upper payment limits for certain drugs. Consumer advocates, disability advocates, an independent pharmacist, the Attorney General’s office, and others supported stronger oversight, citing premium increases, affordability problems, and the impact of high drug prices on patients and community pharmacies. Pharma and some industry witnesses opposed parts of the bill, warning that upper payment limits could disrupt access, create legal issues, and fail to address the broader supply chain. The committee also heard support for stronger hospital closure notice and public hearing requirements, and for a pharmacy deserts bill aimed at identifying and addressing closures like the one in Roxbury that affected thousands of patients.

Transcript Highlights:

• Appreciate the wealth of information that you've provided.
• The work group, crucially, was informed by an actuarial...
• Appreciate the information you help share with us today.
• It requires hospitals to post pricing information online.
• And even if that information is out... We measure that.

Summary: The committee began with an extended work session on the long-term care workforce. DSHS Assistant Secretary B. Rector described the new Home and Community Living Administration and outlined major workforce pressures: Washington had about 126,000 long-term care workers in 2022, with demand expected to outpace supply as the 85-plus population and dementia prevalence rise sharply. She emphasized that direct care workers are largely women, people of color, and immigrants, and that family caregivers are also a major part of the system. She highlighted recruitment and retention efforts funded through federal Money Follows the Person dollars, including high school training partnerships, a retention toolkit, transportation support, caregiver newsletters, tribal workforce navigators, and a remote caregiving pilot. Committee members asked about career pathways, technology use, and turnover drivers; Rector said wages, benefits, unstable hours, and workplace support are key issues and promised follow-up data. Aidan Swain of the Washington Health Care Association said skilled nursing and assisted living facilities face acute RN vacancies, wage pressures, and Medicaid reimbursement that does not cover costs, and urged modernization of training, better reimbursement, and continued support for facility-based care. Maddie Fouch of SEIU 775, representing about 55,000 caregivers, said low wages, weak benefits, lack of voice, and certification delays are driving turnover and shortages, and argued for higher compensation, better worker protections, and more transparent reimbursement. Catherine Smith of Behavioral Health Solutions described growing behavioral health needs in nursing homes, the role of expanded behavioral supports programs, and credentialing delays that slow hiring. No votes were taken; the panel was informational only. The second agenda item was an overview of the palliative care benefit work group report required by 2024 legislation. Nico Jansen of the Office of the Insurance Commissioner explained that the work group, convened with the Health Care Authority, studied a potential palliative care benefit for fully insured commercial plans and also Medicaid, PEBB, and SEBB. He said palliative care is a philosophy of care focused on symptom management, coordination, and support for serious illness, and is distinct from hospice because it can be provided alongside curative treatment. The actuarial analysis concluded that creating a new benefit would likely increase costs, estimating about a 28-cent per member per month increase overall and roughly $2.6 million to $4.5 million in annual state Medicaid costs if implemented in 2027. Jansen said the consultants did not find sufficient evidence to assume savings from avoided hospitalizations or long-term care, though several work group members disagreed and submitted response letters. Senators asked about other states, Medicare, health homes, and whether more research could clarify cost savings; OIC said some states, including Hawaii, are moving ahead with Medicaid palliative care benefits, Medicare covers some related services but not in the same way, and further evidence may emerge over time. OIC did not take a position on whether the Legislature should create the benefit. The final presentation covered health care price transparency tools in Washington and federally. Evan Klein and HCA Chief Data Officer Vishal Chaudry reviewed federal hospital and health plan transparency rules, the state all-payer claims database, prescription drug price transparency, the Health Care Cost Transparency Board, the Prescription Drug Affordability Board, and other reporting systems. They explained that the APCD contains claims from fully insured commercial plans, Medicaid, and public employee programs, but not self-insured employer data except for limited voluntary submissions. They also described how machine-readable files, consumer price tools, and aggregated dashboards are used, and noted that data limitations, delays, and complexity remain significant. Senators asked about voluntary self-insured participation, the role of AI in making data more usable, and whether transparency can really help consumers given access barriers and medical debt. HCA said AI is increasingly used by private entities to mine large transparency datasets, but state agencies still face limits in data access and analytic capacity. The committee did not take action; the session was informational and ended with a discussion of how transparency data might better inform policy and purchasing decisions in the future.

Transcript Highlights:

• And when there is proprietary business information that we agree should be confidential and protected
• , even correspondence that might contain proprietary business information, those will be shielded under
• <00:25:20.920> business<00:25:21.280> information,<00:25:22.120> those proprietary
• business information, those proprietary business information, those will<00:25:22.400> be<00:
• It's just that the work papers, the proprietary information that is going to be shared with that we are

Keywords: Meeting Start 00:00 Attendance Roll Call 02:25 SB 100 Discussion 02:59 SB 100 Roll Call Vote 31:10 SJR 134 Discussion 32:41 SJR 134 Roll Call Vote 33:43 SB 222 Discussion 34:43 SB 222 Roll Call Vote 39:55, 958, all

Bills: HCR74, HCR95, HB705, HB1048, SCR23, SCR31, SCR38, SB49, SB233, SB307, SB326, SB387, SB401, SB435, SB495

Keywords: trade commission, international relations, Louisiana, United Kingdom, economic exchange, cultural exchange, infrastructure investment, sales tax, exemptions, credits, rebates, uniformity, legislative rules, fiscal report, contempt, legislature, disorderly conduct, bribery, arrest, legislative privilege

Summary: The House and Governmental Affairs Committee met on May 12 with a quorum present and took up several measures. It first heard HCR 74, which would establish a Louisiana-United Kingdom Trade Commission modeled after the existing Louisiana-Ireland commission. The author said the commission would serve as an umbrella group to promote exchanges in trade, academics, financial services, economic development, and the arts, with no compensation for members. After brief questions and supportive testimony from a member familiar with the Ireland commission, the committee reported HCR 74 favorably. The committee then considered SCR 38, which repeals Joint Rule No. 7 related to the Atchafalaya Basin Program Oversight Committee. The author explained that the repeal was tied to a separate study commission on Atchafalaya Basin water quality, aimed at addressing sediment buildup, stagnant hypoxia, and harm to the fishing industry. Members discussed sediment management and water quality concerns, and the committee adopted a technical amendment to the title before reporting the resolution favorably, as amended. Finally, the committee began hearing Senate Bill 495 on campaign finance disclosures. The author described a series of changes, including raising the threshold for unitemized individual contributions to $200, adjusting when a PAC is considered to be participating in an election, extending the annual report deadline from February 28 to March 15, and allowing leadership PAC funds to cover replacement or repair of items damaged in connection with public office. The transcript cuts off during the bill presentation, so no final action on SB 495 is shown.

Transcript Highlights:

• We had all the information we had and we could have called to pursuit and was getting close to doing

Bills: HB348, HB106, HB347, HB54, SB118, SB167, SB195, HB260, HB263, HB328, HB348, HB106, HB347, HB54, SB118, SB167, SB195, HB260, HB263, HB328

Keywords: bail reform, illegal aliens, violent offenses, pretrial detention, flight risk, court hearings, doxing, personal identifying information, harassment, online safety, law enforcement, public servants, penalties, consumer protection, illicit material, private rights, digital privacy, nonconsensual distribution, incarceration, pregnancy

Transcript Highlights:

• House Bill 1590 created the task force to develop a survivor-centered, trauma-informed response to sexual
• Moreover, the order to enter the child's information into both state and national databases facilitates
• HB 2637 will ensure that voter registrars are not sent unnecessary information.
• Examples of misuse of official information include civil insider trading, leaking confidential information
• And I can't imagine providing information to a bidder, you know, who's a little bit.

Bills: HB47, HB171, HB285, HB305, HB449, HB908, HB1024, HB1306, HB1443, HB1445, HB1741, HB1866, HB1902, HB2001, HB2282, HB2355, HB2492, HB2637, HB2697, HB3464, HB4263, HB4996, HB5667, HB47, HB171, HB285, HB305

Keywords: sexual assault, victim rights, forensic examination, medical care, trauma-informed care, crime victims compensation, evidence retention, chemical dependency, court-ordered treatment, mental health, health care, treatment facility, juvenile justice, criminal justice reform, animal cruelty, nonlivestock, prosecution, veterinary defense, animal welfare, pretrial hearings

Transcript Highlights:

• That only those who receive the information must sign the confidential agreement, which would be the
• Legislators would be entitled to information from executive agencies concerning information that we need
• Well, it's apparently not that difficult to find your information because not too many years ago when
• There is so much, as Chair King mentioned, other ways to get that information.
• I know he and I worked on a personal privacy bill to help shut down some of those flows of information

Bills: HB12, HB149, HB12, HB149, SB229, SB1361, SB1749, SB1897, SB2113, SB2566, SB2677, SB1652, SB2327, SB2344, SB2696

Keywords: election law, attorney general, prosecution, criminal offenses, law enforcement, jurisdiction, voter fraud, local prosecuting attorney, public safety, communication, governor approval, interoperability, political subdivision, radio systems, artificial intelligence, regulation, biometric data, ethical AI, consumer protection, AI governance

Transcript Highlights:

• The original bill imposed a monetary penalty for failure to post the required information.
• to anyone other than the person who is the subject of the information.
• Record information specifically about an entity's employees and contractors.
• Public information to carry out effective oversight is pretty important.
• Requesting information from governmental entities? So, Senator, this is a...

Bills: HB12, HB149, SB229, SB1361, SB1749, SB1897, SB2113, SB2566, SB2677, SB1652, SB2327, SB2344, SB2696, HB12, HB149

Keywords: artificial intelligence, regulation, biometric data, ethical AI, consumer protection, AI governance, automobile sales, finance, retail seller, motor vehicle purchase, motor vehicle sales, pricing restrictions, third-party financing, education, funding, student assessment, accountability, standards, motor vehicle, financing

Bills: SJR 12, SCR 39, SB 27, SB 29, SB 241, SB 406, SB 414, SB 464, SB 568, SB 578, SB 609, SB 660, SB 689, SB 693, SB 785, SB 857, SB 879, SB 921, SB 922, SB 955, SB 985, SB 993, SB 996, SB 1008, SB 1035, SB 1036, SB 1059, SB 1098, SB 1120, SB 1122, SB 1147, SB 1188, SB 1197, SB 1209, SB 1227, SB 1245, SB 1267, SB 1307, SB 1321, SB 1332, SB 1386, SB 1396, SB 1453, SB 1484, SB 1494, SB 1536, SB 1537, SB 1596, SB 1610, SB 1664, SB 1741, SB 1814, SB 1822, SB 1841, SB 1948, SB 2065, SB 2155, SB 2188, SB 2230, SB 2406, SB 2407

Keywords: parental rights, education, constitutional amendment, school choice, child education, business organization, internal management, corporate governance, partnerships, liability reduction, public camping, homelessness, local governance, enforcement, state authority, local entity, complaints, housing, public safety, birth certificate

Transcript Highlights:

• their family members information from being released under open record. requests.
• You know, I've heard people talk about, like, we need more information to avoid buyer's remorse, but.
• Having one clearinghouse for that information is going to be really important.
• It also makes sense to have information for the public about solar and what are some of the questions
• Corrie Thompson, Director of Information. for the Texas Department of Motor Vehicles here to serve as

Bills: SB264, SB542, SB924, SB1008, SB1029, SB1036, SB1057, SB1058, SB1185, SB1202, SB1358, SB1364, SB1376, SB1569, SB1664, SB1697, SJR50

Keywords: SB 264, Texas Workers' Compensation Act, group self-insurance, self-insured groups, workers' compensation, Texas Department of Insurance, commissioner of insurance, certificate of approval, guaranty fund, trust fund, wind down, dissolution, labor code, insurance regulation, employer coverage, risk pool, business and commerce, trade workforce economic development, property owners' association, water conservation

Bills: HR213, SB2607, SB2043, SB2396, SB2835

Keywords: Hawaiian Council, Council for Native Hawaiian Advancement, Native Hawaiian, Native Hawaiian community, Native Hawaiian advocacy, recognition resolution, ceremonial resolution, nonprofit, community development, economic development, cultural preservation, self-sufficiency, housing counseling, community development financial institution, CDFI, small business accelerator, trades academy, tourism, regenerative tourism, iwi kūpuna

Bills: HR213, SB2607, SB2043, SB2396, SB2835

Keywords: Hawaiian Council, Council for Native Hawaiian Advancement, Native Hawaiian, Native Hawaiian community, Native Hawaiian advocacy, recognition resolution, ceremonial resolution, nonprofit, community development, economic development, cultural preservation, self-sufficiency, housing counseling, community development financial institution, CDFI, small business accelerator, trades academy, tourism, regenerative tourism, iwi kūpuna

Bills: HR9, HR15, HB202, HB206, HB338, HB379, HB547, HB691, HB843, HB861, HB908

Keywords: human rights, individual liberties, Magna Carta, constitutionalism, free speech, voter identification, election integrity, federal elections, public confidence, election security, SAVE America Act, Louisiana, election fraud, job advertisement, salary transparency, civil service, employment notification, applicant rights, legislative attendance, task force

Transcript Highlights:

• The bill also modifies the list of information that is included on a demand for notice and establishes
• This may lead to unnecessary confusion, possible anxiety, and information fatigue at the exact moment
• Instead, this bill aims to ensure patients receive the most current, scientifically vetted information
• That's an incredible amount of valuable information that vendors wanted to buy.
• It's like anybody who's working with DHS shouldn't have their information sold or, you know, so I thank

Bills: SB1113, SB1115, SB1122, SB1123, SB1125, SB1165, SB1188, SB1193, SB1243, SB1318, SB1477

Keywords: mental health, involuntary evaluation, service of process, court-ordered treatment, evaluation agencies, AHCCCS, remote work, state agency, employment, public health, healthcare, behavioral health, prior authorization, American Indian health program, medicaid, medical examiner, death investigation, body disposal, autopsy, veteran burial

Transcript Highlights:

• So, if the victim is this mandatory on the victim that they give their information to whoever's monitoring
• I don't want you to have any of my information. Does the victim have that right too?
• I recently received information. Have you worked with ODOT on this?
• So I sent an email last night to all of you just you know with a little one pager and information on
• So, I didn't receive any of that information before until probably 2 to 5 minutes before the meeting

Bills: HB2650, HB3277, HB3386, HB3419, HB3430, HB3742, HB3791, HB3835, HB3905, HB3968, HB4119, HB4153, HB4408

Keywords: probate, estate administration, summary administration, decedent, inheritance, vehicle inspection, title registration, salvage vehicles, ownership, Oklahoma Statutes, evictions, forcible entry, mediation, residency proof, children, housing law, corruption, nonpublic information, government accountability, criminal law

Transcript Highlights:

• No one else should be completing any information in this form, because some... ...be completing any information
• Someone else interjects any information onto that form.
• Would we be able to get that information from the State Election Board?
• I mean, would we be able to get that information?
• If we do gather that information, we would get it from all possible places, yes. Thank you.

Bills: HB1268, HB3041, HB3075, HB3378, HB3463, HB3619, HB3620, HB3624, HB3722, HB4335

Keywords: retirement, public employees, deferred option plan, service credit, contributions, distributions, credit card transactions, payment methods, service charge, consumer rights, financial regulation, rounding, cash payments, public finance, Oklahoma Common Cents Act, political subdivision, science and technology, research, board appointments, emergency legislation

Transcript Highlights:

• But I've tried to the information that they have brought to me is your bill still does not meet some
• But uh I've tried to the<00:15:11.199> information<00:15:11.760> that<00:15:12.000>
• they<00:15:12.240> have<00:15:12.399> brought the information that they have brought
• the information that they have brought to<00:15:12.880> me<00:15:13.920> is<00:15:14.399

Bills: SB125, SB123, SB124, HB38, SB125, SB123, SB124, HB38

Keywords: oyster shell, tax credit, recycling, restaurant, state revenue, environmental benefit, sales tax exemption, seafood, fishing industry, local government, municipal exemption, seagrass restoration, environmental policy, water quality, marine ecosystems, conservation efforts, marine conservation, environmental remediation, coastal ecosystems, state waters

Bills: HB277, SB89, HB135, HB277, SB89, HB135

Keywords: HB277, 2A Sales Tax Holiday, firearms tax exemption, ammunition, hunting supplies, sales tax holiday, Memorial Day, Fourth of July, Second Amendment, gun tax holiday, gun rights, outdoor gear, hunting equipment, state sales tax, use tax, local option tax exemption, county opt-in, municipal opt-in, Department of Revenue, Alabama

Transcript Highlights:

• Informal kinship care.
• This was very informative. What would you suggest at this point?
• They lack access to the right information and resources.
• It's not all quality research and so what we, or quality information.
• Yes, thank you so much for the information.

Bills: HB 26, HB 140, HB 141, HB 142, HB 215

Keywords: Medicaid, nutrition support, maternal health, chronic conditions, pilot program, DFPS, Department of Family and Protective Services, child protective services, child abuse investigations, child neglect, child exploitation, advisory committee, Family and Protective Services Council, council abolition, foster care, due process, investigative procedures, child welfare, parental rights, family preservation services

Keywords: HI Senate YouTube, https://www.youtube.com/watch?v=ZPUShzPUs6Q, 2026-07-02T01:22:43+00:00, 2.2.24, Data collected via generic collector engine, Meeting of the Special Committee Senate State of Hawaii COVID-19 Wednesday, March 25, 2020 Agenda: The special committee will convene to assess and advise the Senate regarding the State of Hawaii's COVID-19 plans and procedures to include, but not limited to: 1) Confirm the development of the state departmental plans and procedures; 2) Review and assess current state departmental plans and procedures; 3) Review and assess whether state departmental plans and procedures are properly and timely implemented to safeguard public health and safety; and 4) To communicate and disseminate information obtained therefrom. The special committee will be meeting with the following: 12:30 p.m. Department of Health Dr. Bruce Anderson, Director 1:30 p.m. Department of Defense General Kenneth Hara, Adjutant General, 912, senate, all, 2.2.42, 2.1.47