Transcript Highlights:

• And this budget bill junior process is, and, and, you know...
• And this budget bill junior process is an extraordinary one.
• Is that part of your process? Are you guys even discussing that?
• It's, again, part of the process, part of the deliberative process.
• It is truly embedded in the existing process.

Summary: The committee heard AB 108, a budget bill junior that would amend the 2025 Budget Act to create a one-time $25 million General Fund grant program at HCAI for hospitals in immediate and significant financial distress. The bill also included a technical change related to property tax deferments for eligible low-income seniors. Finance explained that eligible hospitals would have to be not-for-profit, have less than 10 days cash on hand, show best efforts to exhaust other financing, and have a payer mix of more than 50% government payers and uninsured patients; the bill also gives HCAI expedited contracting and rulemaking authority. Members and the LAO noted the proposal is intended as a short-term bridge until July 1, while broader hospital support is expected in the May Revision and next year’s budget. Much of the discussion focused on whether $25 million is enough, how many hospitals would qualify, and whether the 10-day cash threshold is too narrow. Several senators argued the administration had not provided enough data or a clear methodology, and raised concerns about fairness compared with the earlier Distressed Hospital Loan Program, which used broader criteria and provided loans rather than grants. Members also raised broader policy issues affecting hospital finances, including Medi-Cal reimbursement rates, seismic retrofit costs, federal funding changes, and the need for better data and more immediate assessment of hospital distress. The LAO said the current proposal is narrower than the prior loan program and emphasized the need for better reporting and analysis going forward. Public commenters, including the California Hospital Association, district hospital representatives, Children’s Hospital Los Angeles, and county officials, supported the bill and urged additional longer-term funding for distressed hospitals. The chair and several members said the bill is a short-term emergency measure for a small number of hospitals at risk of imminent closure, while broader solutions will be addressed later in the budget process. AB 108 was then moved and passed out of committee on an 18-0 vote, with the roll held open briefly to secure remaining votes.

Transcript Highlights:

• And then lastly, on the application process, Process: and how this is going to work.
• This is all Part of the existing underwriting process.
• So that's a fairly straightforward process.
• So our process is laid out, as you mentioned earlier, to review this month.
• NMFA is only concerned about the lending portion of this. process.

Transcript Highlights:

• The portal will remain available throughout the redistricting process.
• of the special session process.
• It's part of the process.
• That is really not a part of the process that we hold dear in democracy.
• It is not about the process of democracy.

Keywords: 1185, senate, all

Transcript Highlights:

• Such as due process or equal protection.
• Is there a process? To conduct audits? Is there a process for doing that?
• They do not approve a process or safeguard.
• So the audit standards require you to do a planning process.
• The peer review process, who are the peers? Who are the peers?

Keywords: 995, all

Summary: The subcommittee hearing focused on whether the Office of the State Auditor may constitutionally audit the Massachusetts Legislature under Chapter 250 of the Acts of 2024 and what such an audit could include under generally accepted government auditing standards. Chair Cindy Friedman opened by explaining the background: voters approved Ballot Question 1 in November 2024, the law took effect in January 2025, and the Auditor then initiated audits of both chambers. The chair said the subcommittee was seeking expert testimony because the proposed audit scope, constitutionality, and possible bias concerns remained unresolved. Public testimony was invited, but no members of the public pre-registered; written testimony remained open for a short period after the hearing. The hearing then proceeded with invited experts on constitutional law/state government and auditing-related issues. Professor Lawrence Friedman testified that the ballot initiative’s approval by the Attorney General and by voters did not resolve constitutional questions, and he argued Chapter 250 violates the Massachusetts Constitution. He said the Legislature has constitutional authority to set its own rules and manage its proceedings, and that an executive-branch audit would intrude on legislative deliberation, speech and debate protections, and separation of powers. He also warned that even audits of supposedly administrative matters could become a vehicle for repeated document demands and litigation that would indirectly burden legislative functioning. In questioning, senators pressed him on the line between administrative and deliberative functions, the role of the Attorney General versus the courts, the possibility of retroactive audit scope, and whether prior legislative consent to audits mattered; he said prior consent would not bind future legislatures and that constitutionality is ultimately for the courts. Professor Ray La Raja also opposed the audit, framing it as a threat to institutional independence and representative democracy. He argued that allowing an executive-branch official to audit the Legislature without consent would upset separation of powers, chill internal debate, and create a precedent for broader executive intrusion. He said voters often support “transparency” reforms without fully appreciating institutional consequences, and that legislatures should defend their autonomy, especially amid what he described as broader executive overreach nationally. Senators asked about chilling effects, the practical distinction between administrative and core legislative functions, and whether the courts or the Legislature should resolve the issue; he said the courts would ultimately adjudicate disputes, but the Legislature should not waive its constitutional authority lightly. Jean Kempthorne took the opposite view, arguing the audit is permissible and should proceed. She said the state auditor is a constitutional officer accountable directly to the people, that the audit power can be expanded by statute, and that separation of powers does not require watertight compartments. She contended the audit would not displace core legislative powers because the auditor can only evaluate operations, report findings, and make recommendations. She also argued the Legislature itself already conducts audits of other branches, so it is inconsistent to claim an audit of the Legislature is unconstitutional. In response to senators’ questions, she said there are guardrails against truly intrusive requests, but that the administrative-versus-legislative distinction is not a workable bright line; she suggested disputes should be handled case by case, with objections, negotiation, or litigation if specific requests go too far. No votes or formal actions were taken at the hearing.

Transcript Highlights:

• They are in process.
• "Why aren't we using this process?" "We are using the process. That's what I'm telling you.
• They are in process.
• "Why aren't we using this process?" "We are using the process. That's what I'm telling you.
• "Why aren't we using this process? We are using the process. That's what I'm telling you.

Keywords: 974, senate, all

Summary: The Senate Committee on Health and Welfare met on May 20, 2026, with eight members present and approved the prior meeting minutes. The committee first advanced SB 1224, which requires DCFS to look into cases where a child under 17 is involved in a pregnancy, with added oversight for children under 12; it was reported favorably. The committee also favorably reported SB 1100, described as repealing an outdated statute. White Coat Day remarks welcomed physicians to the Capitol and thanked them for their service, including efforts to improve Medicaid reimbursement. Several health-related bills were then heard and advanced. HB 1220, a continuation of prior work to codify provisions related to the Louisiana State Board of Medical Examiners and physician licensure, was reported favorably. HB 1231 clarified that Medicaid coverage for continuous glucose monitoring applies to insulin-dependent patients, including those with gestational diabetes, and was also reported favorably. HB 198, which sets reimbursement rates for ambulatory surgery centers for certain Medicaid procedures such as colonoscopies, eye, ENT, and gastroenterology services, passed favorably. HB 1160, creating a streamlined restricted license pathway for qualified international medical graduates, prompted a lengthy exchange about delayed rulemaking and whether the board had added requirements beyond statute; despite concerns, it was reported favorably. The committee also advanced several resolutions and oversight measures. HCR 67, prompted by a personal family experience with a special-needs child’s acute care needs, creates a task force to study gaps in acute care for special-needs adults and children; it was amended and reported favorably. HCR 27, calling for a statewide evaluation of autism services by LDH and the Department of Education, was reported favorably. HB 223, which recreates DCFS, was amended to shorten the sunset date and require law enforcement reporting through a secure web platform, then reported favorably. HCR 28, creating a task force on school nurse orientation and training for new graduates, was reported favorably after testimony from school nurses about the lack of standardized orientation and the risks of placing inexperienced nurses alone in schools. The committee also took up HB 469, which would allow pharmacy license renewal applicants to designate a portion of fees to eligible schools including Xavier University’s College of Pharmacy; after opposition from Senator Cloud and a roll call, the bill was deferred. HB 1182, a cleanup bill changing the occupational therapy certifying entity and adjusting fees, and HB 1076, eliminating one of two sunset provisions for the Louisiana Behavior Analyst Board, were both reported favorably. HB 1216, a major rewrite of clinical laboratory personnel rules, was deferred after concerns that it would restrict existing phlebotomy and lab functions in ways that could conflict with recent law. Finally, HB 457 and HB 616, both by Representative Knox and focused on homelessness, drew extensive testimony: HB 457 established minimum standards for shelters and similar facilities and was reported favorably as amended, while HB 616 would allow audits of homelessness-related funding and databases; after debate over privacy, federal funding oversight, and accountability, the committee adopted an amendment changing enforcement language from "may" to "shall" and continued hearing testimony from opponents and supporters.

Transcript Highlights:

• 07.760> impacted process, claims for the impacted process, claims for the impacted benefits<00
• process process the<00:42:47.440> the<00:42:47.839> sort<00:42:48.000> of<00:42
• >> That’s right. >> All right. prepayment review process. and that prepayment review process. and that
• Um the 4% the prepayment review process.
• prepayment review process in 2026? prepayment review process in 2026?

Keywords: 1183, house

Summary: Minnesota Management and Budget officials presented the February 2026 budget and economic forecast, saying the state remains in a strong financial position but faces continued structural imbalance and significant uncertainty. Commissioner Aaron Campbell said the FY 2026-27 balance is now projected at more than $3.7 billion, up about $1.3 billion from November, and the FY 2028-29 planning period is projected to end with a $377 million positive balance. He emphasized that the improvement comes largely from higher projected revenues, especially individual income and corporate franchise taxes, but warned that the state is increasingly reliant on more volatile sources such as capital gains, interest income, and corporate profits. State Economist Dr. Anthony Becker said the national outlook improved slightly, with stronger projected GDP, consumer spending, and investment, but weaker payroll growth and ongoing trade-policy uncertainty. He noted that the forecast was complicated by missing federal data because of the federal shutdown, and that tariffs, immigration policy, equity markets, and possible AI-related shifts all present risks. Revenue projections were raised for the current biennium, including individual income tax receipts, sales tax revenue, corporate franchise tax revenue, and other revenues, while Becker stressed that federal funding threats, especially involving Medicaid and other entitlement programs, could materially alter the outlook. State Budget Director Anna Mingi said general fund spending in the current biennium is projected to be $68 million lower than previously estimated, but planning-year spending is up $152 million. The biggest spending changes came from education, where special education costs rose sharply after updated local spending data, and from human services, where a new prepayment review process for certain Medicaid benefits reduced projected spending by $133 million this biennium and $105 million in the next. She also said discretionary inflation is now estimated at $1.04 billion, up $104 million from November. Campbell closed by saying the state’s reserve remains at a record $3.8 billion and that Minnesota’s AAA bond rating and reserve policy help protect against downturns. He cautioned, however, that the long-term structural imbalance remains about $3.4 billion in the planning years, or $2.3 billion excluding discretionary inflation, and urged policymakers to offset any new spending with reductions. No votes or formal actions were taken; the meeting was a presentation and question-and-answer session on the forecast.

Transcript Highlights:

• I'm learning a lot about the death process.
• so i understand ...their application processed.
• It shifts from resolving claims to arguing about the process.
• And it's an ongoing process.
• And it's an ongoing process.

Bills: HB2180, HB2184, HB2188, HB2194, HB2206, HB2321, HB2322, HB2438, HB2442, HB2448, HB2727, HB2797

Keywords: appropriation, funding, University of Arizona, education, state budget, fetal death, funeral homes, informed consent, abortion, women's rights, medical assistance, emotional support, language acquisition, early intervention, hearing impairment, grant program, deaf education, health care, insurance claims, prior authorization

Transcript Highlights:

• An outline specific requirements for the process, including a clear and conspicuous notice the process
• It's not a matter of due process or not to process your.
• We appreciate efforts to modernize the process.
• When you first retire, it takes a long grueling process.
• We have work with all people through that process.

Keywords: 999, senate, all

Transcript Highlights:

• It makes it easier to process everything. And then.
• And then obviously y'all have to give somebody some due process.
• We still have a process for them to get licensed in Texas at that level.
• For, against, obviously to protect the agency or to give somebody due process.
• At the same time, they processed over 100. thousand renewals, and also process licenses for non-physicians

Keywords: 1184, house, all

Transcript Highlights:

• So we did engage in a process to... ...which didn't previously exist.
• So we'll be waiving items number 18... ...the budget process as well.
• This is the federal grievance process.
• This is the federal grievance process.
• We would plan to have a lot of stakeholder feedback in this process.

Summary: The Assembly Budget Subcommittee on Human Services held a hearing on the Governor’s May Revision, with no votes taken. The first major topic was child care and early education, where the Department of Social Services and Department of Finance outlined proposed changes to absorb federal Child Care and Development Fund and Proposition 64 revenue reductions, shift some funding between child care programs, end funding for prospective pay implementation now that the federal requirement has been rescinded, adjust the alternative payment administration structure, and fund child care infrastructure grants and a Low-Income Investment Fund contract closeout. The Legislative Analyst’s Office said the budget makes progress on the structural deficit but recommended maintaining the administration’s solution level, making reserve deposits, and avoiding new ongoing commitments; it also raised concerns about shifting reductions to the California Alternative Payment Program and about the proposed administrative-rate change. Committee members strongly criticized the proposed loss of child care slots and said they would oppose eliminating those slots, while also expressing support for child care as essential infrastructure. The committee then reviewed California State Preschool Program proposals. Finance and CDE described reductions to the preschool COLA from 2.41% to 2.01%, removal of prospective pay funding, and increases for the QRIS block grant, audit support, and rate reform implementation. Trailer bill language would codify age-based rate categories, inclusion-rate documentation, family fee collection rules, portability, and excused absences. CDE supported the QRIS increase and some attendance and family-fee changes, but warned that aligning three- and four-year-old rates could reduce support for three-year-olds and that the budget does not fully cover enrollment growth. Members also questioned whether the preschool and child care slot reductions should be reallocated rather than terminated, and the administration said the reductions were intended to reflect current utilization and avoid harm to currently enrolled families. The hearing then moved to CalFresh and nutrition programs. CDSS said the May Revision includes a one-time CalFood augmentation, funding to cover federal SNAP administrative cost-share pressures, and additional staffing and technical assistance to implement HR 1 changes, including the able-bodied adults without dependents time limit and new non-citizen eligibility rules. The department estimated HR 1 could cut CalFresh funding by $2.3 billion to $3.7 billion annually and affect about 500,000 people, with roughly 806,000 adults potentially subject to the time limit and about 34,000 non-citizens expected to lose eligibility once fully implemented. Members pressed for stronger harm mitigation, including a $98 million backfill to protect families from losing food benefits, and raised concerns about county workload and the “chilling effect” on immigrant participation. The final portion of the transcript began the IHSS presentation, noting a revised budget of $33.7 billion total funds and $12.8 billion General Fund, with proposed reductions tied to Medi-Cal asset-limit changes and other federal conformity items.

Transcript Highlights:

• What about the argument for due process?
• What about the argument for due process?
• You know, it's been he will get process?
• He will get his due his due process.
• Thank you. legislative process. Uh we have uh a legislative process.

Keywords: 1187, senate, all

Transcript Highlights:

• participate in the process participate in the process uh<00:12:37.120> there<00:12:37.279
• So when people go to the Republican, Democrat, they know what they're— >> Process.
• Democracy works best when the rules are fair and the process is honest.
• Closed primaries the process is honest.
• This is already a limited process.

Bills: HB541, SB194

Keywords: PFAS, drinking water, public health, environmental management, liability, agriculture authority, eminent domain, property rights, tax exemption, agriculture center, 1136, house, all

Transcript Highlights:

• The approval process, the special permit process, all those conditions of approval are pretty much taken
• Chair. through the land use commission process. through the land use commission process.
• >> No, we're in the process of that right now.
• >> Um, primarily, it's the procurement process.
• >> That's not a procurement process issue.

Bills: SB2706, SB2320

Keywords: workforce development, agriculture, biosecurity, pilot program, Department of Agriculture and Biosecurity, University of Hawaii, Leeward Community College, DHRD, training, apprenticeship, career pathways, credentialing, job training, internship, hands-on experience, state employment, workforce pipeline, agricultural jobs, biosecurity jobs, general fund appropriation

Summary: The committees first heard SB 2371, which would prioritize lease offers on agrivoltaics parcels for beginning farmers, require annual compliance reports to DAB, authorize penalties for noncompliance, and allow solar facilities on certain agricultural lands. DAB, the State Energy Office, PUC, and Hawaii Farm Bureau generally supported the intent, while OPPSD recommended amendments to preserve agricultural lease affordability and strengthen food-production language. Members questioned whether the bill would meaningfully encourage solar on ag lands, whether beginning farmers would have enough information to use such parcels, and how the bill would interact with Land Use Commission review. The Farm Bureau said agrivoltaics remains challenging and largely in pilot form, and noted the Mililani project as a promising example of dual use. The committees voted to pass SB 2371 with amendments, with one member expressing a preference that it be opened to all farmers rather than only beginning farmers. The next measure, SB 2800, appropriates funds to DAB, DLNR, and ADC for acquisition, repair, and maintenance of irrigation systems. All testifying agencies and the Farm Bureau supported the bill, and members pressed them for estimates of needed funding and the condition of existing systems. DAB cited major repair needs, including Waimea, Molokai, Kahuku, and Kawailoa, and said its backlog could total roughly $65 million; ADC estimated about $35 million for several systems; and DLNR said its current needs for three systems were about $35 million, with the largest cost tied to piping in Kekaha. The committees amended the bill to defer its effective date to July 1, 2050 and to blank out the appropriation amounts in the bill text, with the agencies’ requested amounts to be included in the committee report for consideration. SB 2800 then passed in AEN, Water and Land, and EIG. The final measure discussed was SB 2718, a food hub pilot program beginning in 2028 that would require state departments and UH to source 30% of certain food purchases from local agricultural products, create a nutrition- and ʻāina-based school program, and have DAT partner with a regional aggregator for Native Hawaiian staple crops. DAT, DOH, the Farm Bureau, Food Plus Policy Group, HAPA, and others supported the bill’s intent, while the Department of Corrections and Rehabilitation opposed it, saying it is already struggling to meet the current local procurement percentage and faces procurement and quantity barriers, especially for staple items used daily. The testimony focused on whether agencies could realistically meet the higher local purchasing target and whether smaller farms could supply the needed volumes.

Transcript Highlights:

• The bill is filed, allowed a bypass. of the ERCOT P-U-C-T reliability review process. when an existing
• Two provisions were added to streamline the process.
• So, as you are going through, review process, one thing we added again for expedition of the process
• There were several loopholes I mentioned. polls that were identified throughout the review process that
• And so I think we're putting in place a process.

Keywords: 1185, senate, all

Transcript Highlights:

• <00:32:45.760> will on July 1st and then this process will on July 1st and then this process
• It's already a process that's in law.
• It's already a process that's in law.
• see in the application process see in the application process and<00:38:08.560> in<00:38:
• <01:30:36.600> and it's just a continuing process and it's just a continuing process and you

Keywords: Public Health and Welfare - Room 216, 3 March, 2026; 3:00 PM, 925, all

Summary: The committee first took up House Bill 1622, a strike-all amendment to create a pilot program for certain small-community hospitals to receive limited certificate-of-need exemptions. The bill would allow qualifying hospitals to open a geriatric psychiatric unit without a CON, permit each hospital one additional CON exemption for a service otherwise requiring one, cap dialysis-unit exemptions at eight hospitals, continue existing moratoriums with periodic Department of Health review, allow facilities in Issaquena or Humphreys Counties under limited conditions, and add a loser-pays rule for unsuccessful CON court challenges. Technical corrections were made, the strike-all amendment was adopted, and the bill was reported do pass as amended by voice vote. The committee then moved to House Bill 942, where Senator McMahan offered an amendment to allow a Lee County chiropractor to advertise as a neurologic chiropractor and list related credentials. Members questioned whether chiropractic neurology is recognized in Mississippi and raised concerns about the practitioner’s prior discipline by the board, but the chair ruled the amendment germane. The amendment failed on voice vote, and the bill itself then passed and was reported to the floor. The committee next considered House Bill 1034, but no amendment was offered. It then took House Bill 479 off the table. That bill extends the temporary licensing period for psychology and marriage-and-family-therapy boards from 30 to 60 days to allow more time for criminal background checks. Senator Blackwell offered a clarifying amendment to make clear that temporary licenses must be revoked if required background checks or other licensure requirements are insufficient, and that the temporary license does not replace the underlying education, training, and examination requirements. The amendment was adopted and the bill was reported do pass as amended. Finally, the committee heard House Bill 1067, the Rural Health Transformation Program. Senator Hickman explained that the bill would require procurement procedures and reporting for the state’s rural health transformation funds, prioritize projects tied to the original application, and direct funds toward rural and underserved areas such as health professional shortage areas, low-income counties, and places without hospitals. Senators questioned whether the added state rules would layer on top of existing federal requirements and whether the bill could slow distribution or invite litigation, but supporters said it was meant to add transparency and guardrails rather than change the federal program. The bill was discussed at length, but the transcript ends before a final vote on HB 1067.

Transcript Highlights:

• We do this through a... ...process.
• So we bring them through this five-phase process. We have tools every step of the way.
• And so we work with those school leaders in a process there.
• And so we work with those school leaders in a process there.
• You have to implement the process. That takes a little while.

Keywords: 908, all

Summary: The meeting began with a student performance from Horizon Middle School Show Choir, including songs from an eighth grade concert and the show choir piece “The Body Electric.” After the performance, Deputy Superintendent Donna Fishbeck spoke on behalf of State Superintendent Kirsten Baesler in support of music education, emphasizing its benefits for creativity, collaboration, school climate, and student development, and noting the department’s support for music grants and professional development. She also highlighted the North Dakota Music Educators Association’s role in expanding access and quality in music education. The committee then heard a presentation from Vital Network, introduced as a DPI-funded effort focused on teacher retention. Nate Eklund and Dr. Aaron Rob described the organization’s work with schools and districts to reduce educator burnout by improving workplace conditions, especially around time management, voice in decision-making, and care/support. They said the program uses surveys, dashboards, advisory support, and facilitated school and district processes to identify local friction points and help educators and leaders solve them, with examples ranging from simplifying material requests to improving PLC time and communication. They stressed that retention is driven more by workplace conditions than pay alone, and that solutions must be local rather than one-size-fits-all. Members asked about rural teacher overload, sustainability after grant funding ends, and whether the model could inform broader policy or continuing education reforms. Vital representatives said the work is designed to be embedded in district systems and strategic plans so it can continue beyond their direct involvement, and that the approach aligns with the state’s teacher retention and recruitment task force recommendations. They reported serving about half of North Dakota educators across roughly 50 districts, with partnerships through regional education associations to reach rural areas. No formal votes or legislative actions were taken during the discussion.

Transcript Highlights:

• Senate Bill 522 is about CPA processes between states.
• The bill addresses duplicative parts of the current process in statute.
• And at the same time, all processes can be improved.
• The outcome of the process is very expensive.
• Adopt these standards after public notice and input and stakeholder process.

Bills: SB483, SB522, SB783, SB1239, SB1254, SB1255, SB1259, SB1341, SB1664, SB1762, SB1856, SB1877, SB1977

Keywords: utility, proprietary information, customer data, data protection, electric service, customer information, emergency communication, electric utility, privacy, certification, public accountants, interstate licensing, accounting, regulatory amendment, energy efficiency, construction regulations, building codes, Texas, sustainability, cost-effectiveness

Transcript Highlights:

• it would be a hybrid process.
• And it's a competitive bidding process, or what's that process look like? It was.
• There should be a scoring process.
• And we felt it made the process better.
• There's a challenge process for that.

Keywords: 1185, senate, all

Transcript Highlights:

• <01:18:42.400> the this is a court-ordered process. the this is a court-ordered process. the
• um get medication through the process um get medication through the process that<01:25:06.080>
• those values and ensure fair processes those values and ensure fair processes in<01:36:02.639>
• > even<01:38:27.760> provide procurement process doesn't even provide procurement process
• we are proposing have a mandated process we are proposing have a statebased<01:51:43.280> process

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.

Transcript Highlights:

• The last concern I'll highlight is around the accreditation process.
• To develop the accreditation process.
• How does that process work?
• process to begin in 2033-34.
• So as you can see, it's a very organic process.

Keywords: 987, senate, all