Transcript Highlights:

• Access to care not only ensures that serious disease ...and for protecting the Apple Health expansion
• Access to care not only ensures that serious diseases like cancer can be detected and treated earlier

Bills: HB2289

Committee: House Appropriations

Keywords: appropriations, budget, fiscal matters, state spending, general fund, supplemental budget, biennial budget, substitute bill, public defense, civil legal aid, courts, judicial branch, homelessness, supportive housing, affordable housing, behavioral health, juvenile rehabilitation, youth services, child welfare, foster care

Transcript Highlights:

• that the importation of any item or material infested or infected with an insect or other animal disease
• 17.640><c> animal</c> infected with an insect or other animal infected with an insect or other animal disease

Summary: The committee first heard several measures and took testimony without questions on SB 2431 relating to health savings accounts and SB 2797 relating to consumer protection. For SB 2797, the DCCA Office of Consumer Protection offered comments, Retail Merchants of Hawaii opposed the bill over gift card fraud compliance costs and legal risk, and AARP Hawaii supported it. The committee also heard SB 2946 on foreclosures, where the Hawaii State Bar Association’s Collection Law Section and several lenders, associations, and individuals opposed the measure, while the Hawaii Bankers Association and others offered comments. SB 2961 on insurance drew comments from the Insurance Division and Hawaii Insurance Council, with NAMIC opposing and some individuals supporting. SB 2948 on insurance fraud received comments from the Insurance Division and support from the American Property Casualty Insurance Association, with NAMIC and the Alliance for Responsible Consumer Legal Funding also commenting. No votes were taken during the hearing portion, and the committee recessed after testimony. The committee then reconvened for decision-making on the 9:30 agenda. SB 2431 was passed with amendments, including DOTAX-requested changes, a five-year limit on credit carryforwards, removal of an aggregate cap, a rural definition, transparent reporting, technical amendments, and a deferred effective date of July 1, 2050. SB 2797 was also passed with DCCA-requested amendments, technical changes, and the same deferred effective date. SB 2946 was deferred because there was no testimony in support. SB 2961 was passed with amendments, but after Senator McKelvey raised concern that policy-limit language could undermine the bill, the committee removed two policy-limit amendments before adopting the recommendation. SB 2948 was passed with amendments deleting certain definitions, aligning penalties and public-records provisions, adding coordination and disclosure clarifications, and making technical changes; one no vote by Senator Awana was recorded, with the rest in favor. The committee also considered SB 3000 from a prior hearing and recommended passage with amendments clarifying the Attorney General’s authority, creating a special fund, and addressing concurrent actions, again with a deferred effective date and one no vote by Senator Awana. In a joint CPN/GVO agenda, SB 2258 relating to school agriculture procurement targets was passed with amendments after the Department of Education said it would need to follow up on whether changing the target period from calendar year to school year would create procurement or scheduling issues; the committee added technical changes, a deferred effective date, and routed the bill to Ways and Means, with a note that Education should also have received it. In a later joint CPN/AEN hearing, SB 2452 relating to climate-friendly insurers drew strong opposition from the Insurance Division and several insurance groups, who warned it could push insurers out of the authorized market and into the surplus lines market, raising costs; Senator Dela questioned whether the bill would worsen an already strained market, while the division said the legislature could make the policy choice but warned of market disruption. The hearing then moved to SB 2760 on invasive species, where DLNR, DAB, CGAPS, and the Oahu Invasive Species Committee generally supported broader inspection and quarantine authority, civil penalties, and longer interim-rule authority, while committee members asked about staffing, treatment capacity, and implementation for non-agricultural commodities such as building materials and vehicles.

Transcript Highlights:

• We went from a pandemic of disease to a pandemic of conflicting information.
• A disease that was eliminated from the United States 26 years ago is now back.

Summary: The subcommittee first took up HB 339, which would create liability for vaccine manufacturers that advertise in Florida and require them to stand behind their products if consumers are harmed. The sponsor argued the bill is meant to restore trust in vaccines, improve informed consent, and address inadequate federal vaccine-injury compensation systems; he said he was open to amendments and noted the bill was modeled on Texas law. Opponents, including a former vaccine-court official, a Florida Justice Reform Institute representative, and a physician, argued the bill is preempted by federal law, raises First Amendment concerns, is vague, and is unnecessary because existing federal compensation programs already provide a remedy. After an amendment delaying the effective date by three months was adopted, the committee heard extensive public testimony, mostly opposed, and then approved HB 339 as amended by a 12-4 vote. The committee then began HB 1001, a strike-all on official actions of local governments that would bar counties and municipalities from official DEI-related actions and spending, define DEI and related terms, add enforcement provisions, and include broad exceptions for holidays, observances, and certain content-neutral civic events. The sponsor said the measure is intended to curb what he described as divisive and wasteful DEI activity in local government while preserving compliance with anti-discrimination laws and other listed exceptions. Members questioned the lack of definitions for terms like “preferential treatment” and the bill’s possible effects on local festivals, language-access services, Pride events, memorials, and community programs; the sponsor said some concerns were addressed by exceptions and that he was open to further changes. Public testimony was overwhelmingly opposed, with speakers warning of overbreadth, preemption, frivolous lawsuits, harm to local autonomy, and impacts on marginalized communities, while supporters said the bill would restore neutrality, accountability, and merit-based governance. The amendment to HB 1001 was adopted, and the committee continued hearing testimony and debate on the bill as amended.

Transcript Highlights:

• amendments that you are proposing that cover not only natural disasters but hazardous material accidents, disease
• amendments that you are proposing that cover not only natural disasters but hazardous material accidents, disease

Committee: Senate Public Safety and Military Affairs

Summary: The committee heard testimony on Senate Bill 2145, which would establish a statutory right for the public to record law enforcement activities in public. Supporters, including the Libertarian Party of Hawaii and the ACLU of Hawaii, said the bill would clarify First Amendment protections, reduce confusion, and provide a private right of action if the right is violated. Most written testimony was in support, while the Maui Police Department and Honolulu Police Department submitted opposition. A senator asked about existing court cases, and the ACLU witness said courts have consistently recognized a right to record officers in public so long as recording does not obstruct police activity. The committee then took up Senate Bill 2151 on emergency management. Testimony from the Office of Information Practices and HEMA focused on proposed changes to Chapter 127A, including limits on emergency powers and a two-thirds legislative override. Earthjustice and other supporters argued the bill was needed after the Hawaii Supreme Court’s Nakoa decision, which they said read emergency powers too broadly and could allow suspension of laws for long-term policy issues rather than true emergencies. HEMA opposed the restrictions, saying emergency managers need flexibility to respond to unknown, statewide crises such as tsunamis, hurricanes, war-related threats, and large disasters, and objected especially to limits on the governor’s ability to suspend public records requirements during emergencies. Several witnesses, including the Public First Law Center, said the bill was a step in the right direction but suggested amendments to better define emergencies and make clear the changes respond to the Nakoa decision. Committee members questioned whether the proposed limits would hinder disaster response and whether the legislature already has tools to override emergency proclamations. No votes or final actions were taken during the hearing.

Transcript Highlights:

• They also contribute directly to asthma, cardiovascular disease, and premature death, and make it harder
• They also contribute directly to asthma, cardiovascular disease, and premature death, and make it harder

Summary: The joint informational hearing of the Assembly Committees on Utilities and Energy and Privacy and Consumer Protection focused on the energy impacts of AI and the rapid growth of data centers in California. Chairs and members emphasized that the state wants to support innovation and data center development, but only under terms that protect ratepayers, preserve reliability, and avoid stranded grid costs. Testimony from Lawrence Livermore National Laboratory, the California Energy Commission, the CPUC, CAISO, PG&E, Silicon Valley Power, and the Data Center Coalition described the scale of projected load growth, the uncertainty in forecasting, and the need for coordinated planning across agencies. Dr. Nate Gleason of Lawrence Livermore said data centers are a major and fast-growing share of electricity demand, with planning challenges driven by short construction timelines for data centers versus long lead times for transmission and generation. He urged stochastic planning, co-optimization of generation, storage, and transmission, and greater use of flexible load and demand response. CEC Director Alicia Gutierrez described the CEC’s bottom-up forecasting approach, based on utility energization requests and load profiles, and said California has over 23,000 megawatts of data center capacity requests in the CAISO footprint. CPUC Deputy Executive Director Luan Tesfai outlined recent actions on energization timelines, flexible service connections, PG&E’s Rule 30 tariff, and the commission’s resource planning and transmission permitting work. CAISO’s Neil Miller stressed that large loads affect transmission planning, interconnection, and reliability standards, and said the agency is preparing additional stakeholder work on technical issues. Utility and industry witnesses said California is already seeing substantial data center interest and is building out infrastructure accordingly. PG&E’s Mike Medeiros said the utility has more than 10 gigawatts of data center interest in its territory, has shifted to cluster studies, and is using flexible interconnection tools such as FlexConnect to speed service while protecting reliability. Silicon Valley Power’s Nico Prokos said data centers account for about 55% of its power use and that the city is investing heavily in transmission and local system upgrades to support projected load growth. He also warned that AI loads may be more variable than traditional cloud loads and that backup generation and air quality constraints complicate curtailment strategies. The Data Center Coalition’s Karabonder argued that data centers are also driving efficiency gains and support critical digital services, while urging better forecasting methods, more transparency, and regular backcasting. Members asked about statutory authority, data availability, flexible load, and whether current forecasts are sufficient for long-lead infrastructure planning. Witnesses said California already has authority to pursue flexible service and rate design, and that the CEC and CPUC have access to utility data, though out-year demand remains highly uncertain. CPUC representatives noted an advanced rate design rulemaking and said the commission is opening additional work on ratepayer impacts. No votes were taken during the informational hearing, and the discussion ended with continued questions about how California should structure planning, pricing, and reliability rules as AI-related load grows.

Transcript Highlights:

• To me, diabetes A1c, that is an outcome measure; that is controlled disease.
• That is an outcome measure; that is controlled disease.

Transcript Highlights:

• I am a nurse specializing in health promotion and disease prevention for both populations and systems
• I am a nurse specializing in health promotion and disease prevention for both populations and systems

Transcript Highlights:

• So, for a whole list of things, certainly for something like cancer, or dementia, or heart disease.
• Say they get a disease, and they want to see a physician who's not in network. Can't do it.

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• The unintended consequences that this bill solves for is what happens when those with Alzheimer's disease
• And I do this in the name of almost every family I know that has been touched by this disease, including

Summary: The House convened with prayer, a moment of silence for Walton County Deputy Will May, the Pledge of Allegiance, and a quorum present. The Rules and Ethics Committee’s special order report for April 3, 2025 was adopted, and CS/HB 947 was recommitted to the Judiciary Committee. The chamber then moved through a series of bills, mostly reviser and technical measures, with several companion Senate bills substituted and passed: SB 36 (Florida statutes adoption act), SB 42 (general reviser’s bill), SB 40 (deleting inoperative statutory provisions), and SB 38 (renaming references from the Division of Investigative and Forensic Services to the Division of Criminal Investigations). All of those passed unanimously or near-unanimously. The House also passed HB 513 on electronic transmittal of court orders, requiring clerks to electronically send certain petitions, notices, summonses, and orders within six hours, including Baker Act, Marchman Act, and risk protection order documents. Members discussed whether judges needed to direct transmission and whether there were fail-safes if clerks did not comply. HB 615, on electronic delivery of notices between landlords and tenants, was amended to strengthen tenant protections and passed 108-0. HB 655 establishing a regulatory framework for pet insurance, HB 299 on elevator accessibility requirements, and HB 1145 on workforce education also passed, with HB 1145 receiving 100 yeas and 4 nays. HB 649, removing the paper supervised protocol for certified registered nurse anesthetists, passed 77-30 after structured debate. A major portion of the meeting focused on CS/HB 1205, which would significantly revise Florida’s citizen initiative process. The bill adds a $1 million bond requirement after 25% of required signatures are collected, requires petition handlers to be Florida residents and U.S. citizens, imposes background checks and training for paid circulators, shortens petition turn-in deadlines to 10 days, increases penalties, adds signature revocation notices, and creates additional criminal penalties and enforcement provisions. Supporters argued the changes were needed to address fraud and protect petition integrity; opponents said the bill would burden First Amendment activity and make citizen-led amendments much harder to qualify. Numerous amendments were offered, including proposals to remove sensitive personal information from petition forms, soften deadlines and penalties, change validation thresholds, and alter the estimating conference process; most failed, though one amendment clarifying who pays for background checks was adopted. The transcript ends during continued debate on an amendment to strike most of the bill and prohibit public funds from being used to advocate for or against constitutional amendments.

Transcript Highlights:

• passed the Right to Try Act, which provides a means for patients diagnosed with life-threatening diseases
• We get a lot of liver disease and everything from Tylenol.

Bills: SB331 , SB883 , SB926 , SB1137 , SB1138 , SB1144 , SB1151 , SB1236 , SB1270 , SB1522 , SB1869 , SB2207 , SB2422

Committee: Senate Health & Human Services

Summary: The committee heard testimony on Senate Bill 883, which would protect physicians’ ability to prescribe off-label medications and treatments, framed by the author as a “Right to Treat” measure tied to COVID-19 care. Supporters, including physicians and patient-choice advocates, said the bill would safeguard the doctor-patient relationship and prevent interference by boards, pharmacies, or hospitals. Several witnesses described using hydroxychloroquine, ivermectin, budesonide, antibiotics, steroids, and monoclonal antibodies during the pandemic, and said they faced complaints, board scrutiny, or pharmacy refusals for those prescriptions. The bill was left pending after public testimony closed. The committee then took up Senate Bill 331, which would extend hospital price-transparency requirements to additional health care facilities such as freestanding ERs, urgent care and retail clinics, ambulatory surgical centers, outpatient clinics, and birthing centers. Proponents argued that broader disclosure of prices for shoppable services would help consumers compare costs and reduce surprise billing, while opponents from ambulatory surgery centers said the bill would impose costly compliance burdens on small providers and that insurers or the state already have much of the needed data. The bill was also left pending. Senate Bill 2422 would expunge Texas Medical Board records and impose reparations for disciplinary actions tied to COVID-era treatment decisions, including references to ivermectin, hydroxychloroquine, budesonide, and masks. The author and supporters argued that doctors were unfairly targeted for trying to save patients and should be made whole; the Texas Medical Board representative said most pandemic complaints were dismissed, that actions generally involved broader issues such as privileges, documentation, or informed consent, and that no physician was disciplined solely for prescribing off-label COVID medications. The bill was left pending. Finally, the committee heard Senate Bill 2207, which would loosen Texas Medical Board rules on physicians advertising themselves as board certified, especially by reducing barriers tied to maintenance of certification requirements. Supporters said the current rule is overly restrictive, inconsistent, and costly, and that it drives physicians out of practice; they also said Texas is one of only a few states with such a rule. Witnesses described hospitals using the rule against physicians and said the change would improve transparency and competition. The bill remained pending after testimony.

Transcript Highlights:

• Limited access to nutritious food is linked to higher rates of obesity, diabetes, heart disease, and
• Staff suffered workplace injuries and exposure to zoonotic diseases.
• flexibility to work proactively with bird owners to manage flocks humanely and help prevent the spread of disease

Committee: Senate Judiciary

Transcript Highlights:

• So if it is heavily infested with a shipment or with an insect or, you know, a disease that is known
• So if it is heavily infested with a shipment or with an insect or, you know, a disease that is known
• If it is heavily infested with a shipment or with an insect or, you know, a disease that is known to

Bills: HB389 , HB1166 , HB1510 , HB1541 , HB1605 , HB1661 , HB1663 , HB1678 , HB1769 , HB1785 , HB1801 , HB1802 , HB1815 , HB1824 , HB1838 , HB1840 , HB1853 , HB1860 , HB1891 , HB1952 , HB1960 , HB1969 , HB1970 , HB1972 , HB1976 , HB2050 , HB2094 , HB2104 , HB2158 , HB2165 , HB2171 , HB2208 , HB2246 , HB2271 , HB2300 , HB2310 , HB2315 , HB2319 , HB2338 , HB2339 , HB2343 , HB2443 , HB2498 , HB2551 , HB2599 , HB2606 , SB17 , SB83 , SB99 , SB148 , SB411 , SB709 , SB847 , SB874 , SB888 , SB1032 , SB1166 , SB2001 , SB2014 , SB2031 , SB2041 , SB2050 , SB2057 , SB2061 , SB2074 , SB2075 , SB2089 , SB2095 , SB2101 , SB2102 , SB2108 , SB2109 , SB2110 , SB2125 , SB2135 , SB2138 , SB2140 , SB2146 , SB2151 , SB2152 , SB2175 , SB2203 , SB2239 , SB2246 , SB2247 , SB2253 , SB2261 , SB2268 , SB2271 , SB2272 , SB2320 , SB2340 , SB2347 , SB2353 , SB2363 , SB2367 , SB2372 , SB2376 , SB2386

Transcript Highlights:

• Hawaii winter growout, which is where we ship potatoes to Hawaii, plant them, and then look for diseases
• also got a diagnostic lab in the facility as well, which allows us to evaluate potatoes for any diseases
• also got a diagnostic lab in the facility as well, which allows us to evaluate potatoes for any diseases

Committee: House Capital Investment

Transcript Highlights:

• They respond to issues such as dangerous animals, neglect, and disease risk.

Summary: The Senate Committee on Local Government heard several bills focused on housing, utility billing, permitting, oversight, disaster recovery, and traffic safety. AB 2058, by Assemblymember Harropetian, would streamline inspections and fees for factory-built housing by reducing duplicative local review and allowing third-party inspections; supporters said it would cut costs and delays, while the author noted local land-use authority would remain intact. AB 1945, by Assemblymember Hodgwick, would let Lassen Municipal Utility District offer voluntary prepaid electricity accounts without deposits or start-service fees, with consumer protections and electronic notices; municipal utility and power agency representatives supported it. AB 2418, by Assemblymember Mark Gonzalez, would set timelines for commercial plan review and allow third-party plan checkers for delayed tenant improvement projects; business and property groups supported it, and the bill was narrowed by amendments. AB 2433, by Assemblymember Alvarez, would expand density bonus incentives for for-sale affordable housing; supporters said it could help produce more homeownership opportunities, while labor and local government concerns led to amendments removing ministerial/by-right provisions. AB 2760, by Assemblymember Sharpe Collins, would allow counties with an Office of Inspector General to extend oversight to probation and animal control in San Diego County; the author and county supervisors supported it, but probation officials opposed it as duplicative. AB 2385, by Assemblymember Petrie-Norris, would clarify local authority to plan for disaster recovery and create local reconstruction agencies; cities and other supporters said it would improve post-disaster rebuilding. AB 1976, by Assemblymember Hitt, would limit late-stage public process for pedestrian, bicycle, and traffic calming projects and exempt pedestrian malls from CEQA; supporters framed it as a safety streamlining measure, while local government groups raised concerns about reduced community engagement. The committee also adopted the consent calendar for AB 2118 and AB 2728. Final votes were taken after quorum was established: AB 1945 passed 6-0 to the Senate floor; AB 1976 passed 5-1 to the Committee on Transportation; AB 2058 passed 7-0 to Appropriations; AB 2385 passed 6-1 to Emergency Management; AB 2418 passed 7-0 to Judiciary; AB 2433 passed 7-0 to Housing; AB 2760 passed 5-2 to the Senate floor; and the consent calendar was adopted 7-0.

Transcript Highlights:

• residents sustain acquired brain injuries, which include a wide range of neurological disorders and diseases

Committee: Joint Joint Committee on Children, Families and Persons with Disabilities

Summary: The Joint Committee on Children, Families and Persons with Disabilities held a hearing on a broad slate of disability-related bills. Topics included creating a permanent Acquired Brain Injury Advisory Board (H. 231/S. 134), establishing a system for compensating guardians who serve incapacitated, unbefriended individuals through MassHealth (H. 253/S. 154), expanding Nikki’s Law to require MassHealth day habilitation programs to use the abuse registry (S. 165 and related bills), modernizing and streamlining the Disabled Persons Protection Commission’s statute and procedures (H. 243/S. 139), updating the definition of developmental disability to align more closely with federal law and include people such as those with fetal alcohol spectrum disorder (H. 276/S. 150), removing outdated and offensive terminology from the General Laws (H. 232/S. 137), and an autism education reform bill (H. 286). Several bills had no sign-ups, and the committee also noted related measures on cueing and prompting in PCA programs (H. 277/S. 157).

Transcript Highlights:

• helpful in accessing prior notes and labs to add to a patient's history or better understand their disease

Committee: Senate Senate Committee on Steering and Policy

Summary: The Senate Committee on Steering and Policy held a public hearing on potential updates to Massachusetts’ 2022 Shield Law to strengthen protections for reproductive and gender-affirming health care. Chair Cindy Friedman said the hearing was prompted by escalating federal and out-of-state threats, and testimony was sought on loopholes and clarifications involving emergency abortion care, limits on cooperation with outside investigations, protection of patient data, and safeguarding licenses of providers and attorneys involved in this care. The Attorney General’s Office, ACLU of Massachusetts, GLBTQ Legal Advocates and Defenders, Reproductive Equity Now, the Massachusetts Medical Society, TransHealth, and Health Imperatives all supported strengthening the law. Witnesses urged broader bans on sharing health data with hostile states, explicit AG enforcement authority, exclusion of reproductive and gender-affirming prescriptions from the prescription monitoring program, protections for electronic medical records, and allowing clinicians to use practice names on prescription labels. Several speakers also called for protections for parents of transgender youth, attorneys, and nonprofit organizations, and some raised related concerns about insurance discrimination and the burden of post-24-week abortion restrictions. Committee members asked questions about enforcement mechanisms, data privacy, patient consent, and how to balance interoperability with privacy protections in electronic records. Witnesses said the goal was to prevent immediate harm while preserving patient control and access to care. No votes were taken during the hearing, and the chair closed by inviting written testimony and then moved to adjourn the hearing.

Transcript Highlights:

• epidemic, I don't see anything in this bill that prohibits discussion of sex or sexual transmission of disease

Summary: The Senate Labor, Public Employment and Retirement Committee heard and advanced several bills covering workers’ compensation transparency, public pensions, prevailing wage, workplace harassment training, and employee benefits. AB 1048 would require disclosure of the contract justifying reduced workers’ compensation payments to medical providers; supporters said it would improve transparency without changing reimbursement rates, while opponents argued the problem was overstated and existing dispute remedies were sufficient. AB 1601 would give Sonoma County flexibility to target a cost-of-living adjustment for retirees rather than requiring an all-or-nothing COLA; county and union witnesses said retirees have gone without a COLA since 2008 and have lost purchasing power, and the bill passed unanimously. AB 1439 would commission a UC Berkeley study on labor standards in pension-funded real estate and infrastructure projects; labor groups supported it, while local governments, housing, and industry groups opposed it, and it passed on a 4-1 vote after one senator voted no in committee. The committee also heard AB 1697, which would delay implementation of a prior law restricting certain employment debt and pay-to-quit arrangements until 2027; the author said the delay would give employers, including professional sports leagues, time to adjust, while a financial services group sought a further delay to 2028. AB 1803 would require anti-hate speech content in existing workplace harassment training for employers with five or more employees; supporters cited rising antisemitic and other hate incidents and said the bill would help workers recognize and report hate, while opponents raised First Amendment concerns and argued existing harassment law already covers hostile conduct. AB 2120 would extend Los Angeles Unified’s selective certification hiring authority and allow retention of specialized employees in layoffs, and AB 2292 would bar providers from charging administrative fees for disability insurance and paid family leave certification forms; both drew support and were advanced without opposition testimony. AB 1198, the Fair Pay for Construction Workers Act, would require prevailing wage to be based on the time work is performed rather than the date a project is advertised for bid. Labor and contractor supporters said the current rule can lock in outdated wages and underpay workers on long projects and change orders, while cities, counties, and contractor groups warned it would create uncertainty, raise costs, and jeopardize projects funded by fixed grants or bonds. After testimony and questions, the committee voted to send all of the bills forward, with final recorded votes later showing unanimous or near-unanimous approval and several measures placed on call before the committee adjourned.

Transcript Highlights:

• epidemic, I don't see anything in this bill that prohibits discussion of sex or sexual transmission of disease

Committee: Senate Labor, Public Employment and Retirement

Transcript Highlights:

• number of opportunities around behavioral health services for adults and youth, and then chronic disease

Summary: The Rural Health Transformation Committee met with a quorum and approved the April 22 minutes. The main presentation came from Kate Sapra of CMS, who outlined the federal Rural Health Transformation Program, a $50 billion, five-year cooperative agreement for all 50 states. She emphasized CMS oversight, annual rescoring based first on implementation progress and later on outcomes, strict deadlines for obligating and spending funds, and the possibility of clawbacks if funds are not used on time or for approved purposes. She also described CMS’s Idaho site visit and the broader federal-state collaboration, including reporting requirements and technical assistance. Director Juliet Sharon of the Idaho Department of Health and Welfare then reviewed the state’s first round of planned sub-awards and solicitations. She explained the distinction between full RFPs, cooperative agreements, and smaller sub-grants, and said the first year will focus on building program structure, hiring support staff, data analysis, third-party administration, needs assessments, and initial service and infrastructure investments such as EMS, maternal and child health, behavioral health, chronic disease prevention, transportation, and technology. Committee members asked for more detail on KPIs, scoring metrics, and access to the actual RFP documents, and Sharon said those materials could be shared through SharePoint with confidentiality protections. Members also raised questions about reimbursement versus upfront funding, especially for tribes and other rural providers that may not have capital to start projects. CMS said upfront funding is allowable if consistent with state procurement rules and that RHTP funds cannot supplant existing funds or pay for projects already underway without a strong new-project rationale. Questions were also raised about multi-year construction or renovation projects, minor renovation definitions, and whether funds could be shifted between categories; CMS said budget revisions are possible but time-consuming, and year one changes would be difficult. The committee agreed to submit feedback on the first batch of opportunities by May 29 and scheduled the next meeting for July 15.

Transcript Highlights:

• AB 1887, Zbur, drug coverage for rare diseases, do pass. That's out on an A roll call.

Summary: The Assembly Appropriations Committee held a suspense-file hearing on May 14, 2026, reviewing hundreds of Assembly bills and a few committee bills. The chair opened by explaining the committee’s budget constraints and the factors used in suspense decisions, including fiscal impact, return on investment, effects on constituents, and protection of the state’s social safety net. The agenda was organized alphabetically by author, and the committee noted that results would be posted later that day online. The committee then acted on a very large number of measures, sending many bills to the Assembly floor on do pass or do pass as amended motions, while holding many others in committee. Topics covered a broad range of policy areas, including housing, health care, education, labor, public safety, wildfire mitigation, water, energy, transportation, cannabis, immigration, and state governance. Many bills were amended to narrow scope, make implementation contingent on appropriations or existing resources, remove provisions, or clarify agency responsibilities; several bills were held without further action. Among the notable actions, the committee advanced bills on items such as Medi-Cal services, child care, wildfire-related programs, housing financing, school and college issues, public safety and criminal justice, environmental and energy policy, and various consumer and business regulations. Some measures were sent out on A or B roll calls, with Republicans often not voting on amended bills. The hearing concluded after the committee reported that a large number of bills had been moved to the Assembly floor, either as do pass or do pass with amendments, and the committee adjourned.