Transcript Highlights:

• HEALTH AFFAIRS ANALYSIS THIS BROKEN PROCESS IS ADDED FIVE BUILDING IN WASTEFUL SPENDING TO THE HEALTHCARE
• I'M SORRY, I WOULD NEED MORE INFORMATION. >> Chair Michaels: OKAY. THANK YOU VERY MUCH.
• THE AMENDMENT NEEDS MORE CLARITY REGARDING WHO MUST GET THE NEW LICENSE AND THE ORIGINAL LANGUAGE IT
• THE DEFINITIONS ARE CRITICAL SO SENIORS AND THEIR FAMILIES CAN BE ASSURED SENIOR NEEDS SPECIALIZED SERVICES
• WE DO NOT BELIEVE, IT'S NOT THE INTENTION EVERY ALF WOULD NEED TO APPLY FOR A MEMORY CARE LICENSE AND

Transcript Highlights:

• need longer and more flexibility.
• But we need to have, but we need to throw that out the window, and we just need to remember that we need
• So you need rental assistance.
• Like, no, you don't need this help. We need to help you in other ways.
• Their needs are different.

Keywords: 908, all

Summary: The Human Services Committee met in interim session and first approved the previous meeting minutes before receiving a series of presentations on homelessness and housing stability. Jennifer Henderson of the North Dakota Housing Finance Agency updated members on the new Interagency Council on Homelessness, describing its executive-order mandate to review resources, gather input from stakeholders, identify gaps, and develop recommendations. She said the council’s first work is building a statewide program matrix of existing homeless services and funding sources, with attention to youth, tribal communities, and other vulnerable populations. Members raised concerns about youth homelessness, homeless veterans, and how the council will stay focused on a practical framework rather than getting lost in details. The committee also discussed possible connections to the rural health transformation grant and agreed to continue the topic later in the spring. Beth Olson of Presentation Partners in Housing described the organization’s housing-first model in Cass County and Clay County, including homeless prevention/diversion, housing navigation, and Cooper House, a 42-unit permanent supportive housing building in Fargo. She said the organization focuses on people with long-term and chronic homelessness, many with mental health, addiction, health, domestic violence, and Indigenous identity-related barriers, and reported strong outcomes: 85 of 86 people housed in 2025, 91% still housed after one year, and major reductions in emergency room use, ambulance rides, jail stays, detox days, and shelter use. She also explained that state funding has grown from a small share of the budget to about $1.1 million in state-connected funding for fiscal 2026, largely through contracts tied to supportive services. Members asked about vouchers, rent contributions at Cooper House, length of stay, and whether similar projects could be expanded elsewhere. Andrea Olson of the Community Action Partnership of North Dakota outlined statewide homeless and housing-related services delivered through six community action agencies in all 53 counties. She explained the Community Services Block Grant structure, said housing was identified as the top need in the most recent statewide needs assessment, and described programs including Supportive Services for Veteran Families, North Dakota Homeless Grant services, and Home ARP supportive services. She emphasized that the end of North Dakota Rent Help has increased pressure on the system, that the current $2 million annual homeless grant is far smaller than prior rent-help assistance, and that community action is using case management and financial assistance to move households toward self-sufficiency. Members asked about funding formulas, rural service delivery, and coordination with Presentation Partners to avoid duplication. YouthWorks then began a presentation on youth homelessness, describing services for ages 12 to 24, the special needs of youth and former foster youth, and the organization’s use of federal and state funds to support transitional housing, emergency shelter, maternity housing, and diversion services.

Transcript Highlights:

• We just need more funding. We need more funding.
• We need to fix it and we need to fund it.
• I think there needs to be an area of analysis in that as well, and an investment in that, because we
• So that's another space that also needs policy analysis on how we can free up those homes and the financing
• So that's another space that also needs policy analysis on on how we can free up those home and the financing

Summary: The Assembly Select Committee on Housing Finance and Affordability held its first hearing of 2025 to examine California’s housing finance system, with opening remarks emphasizing the state’s severe housing shortage, high costs, and the need for practical recommendations to the Legislature and Governor. Co-chairs described the committee as an educational and problem-solving forum focused on financing housing production, first-time homeownership, mixed-income developments, and affordability across the income spectrum. Witnesses from state agencies and the development sector were invited to explain how housing is financed and where the system is breaking down. Panelists from the California Housing Partnership, the Business, Consumer Services and Housing Agency, the Tax Credit Allocation Committee/State Treasurer’s Office, CalHFA, and Related outlined the “capital stack” used to finance affordable housing, stressing that projects typically rely on multiple public and private sources, including federal and state low-income housing tax credits, tax-exempt bonds, state subsidies, local funds, and rental income. Speakers noted that affordable housing rents generally cannot support full project costs without public subsidy, and that recent federal changes—especially the expansion of the 4% and 9% tax credit programs and the reduction of the bond financing threshold for 4% credits—should allow California to finance substantially more units. CalHFA also described its homeownership programs, including My Home, Dream For All, and disaster-related mortgage assistance, as well as its multifamily lending and bond issuance programs. Several witnesses and committee members emphasized that the system remains too complex, too slow, and underfunded. They pointed to the need for more state funding, a housing bond, a permanent funding source, and better coordination among agencies, while also citing recent streamlining efforts such as AB 434’s SuperNOFA, AB 519’s one-stop-shop working group, and the planned California Housing and Homeless Agency reorganization. Members raised concerns about equity, access, missing-middle housing, gender and racial disparities, and whether current programs adequately serve extremely low-income households and those at risk of homelessness. No formal votes or actions were taken during the hearing; the discussion ended with committee members and witnesses agreeing that both funding and administrative reform are needed to increase production and improve affordability.

Transcript Highlights:

• I think we need to feel like we need to have a better sense of what exactly it could be.
• versus capital needs.
• versus capital needs.
• need to educate our children.
• People need to get to where they need to go. We also would...

Keywords: 995, all

Summary: The hearing focused on House Bill 55, the governor’s FY25 supplemental budget proposal to spend about $1.3 billion in surplus Fair Share revenue. House and Senate chairs framed the bill as a one-time opportunity to invest fairly in education and transportation, while also noting the need to protect the state’s long-term fiscal balance. Administration officials said the proposal should be considered alongside the FY26 budget and related bills, since the governor’s broader Fair Share plan aims for roughly an even split between education and transportation over time. Secretary of Administration and Finance Matthew Gorzkowicz, Transportation Secretary Monica Tibbits-Nutt, and Education Secretary Patrick Tutwiler outlined the administration’s priorities. Transportation funding would go mainly to the MBTA and related reserves, including money for the Federal Transit Administration reserve, MBTA stabilization reserve, low-income fares, winter resilience, RTA workforce support, MassDOT workforce and project delivery, and micro-transit grants. Education funding would support universal preschool expansion, early education and care capacity, early literacy tutoring, adult basic education and ESOL, early college and career technical education, MyCAP expansion, and special education circuit breaker funding. The administration emphasized that many of these investments are one-time or multi-year measures designed to address current needs without creating unsustainable recurring costs. Committee members raised concerns about regional equity, especially the large share of transportation money going to the MBTA versus regional transit authorities and rural areas. Several members asked for more detail on how the proposal would benefit Western Massachusetts and other non-MBTA regions, and whether micro-transit and Chapter 90-related investments would be sufficient. Education questions focused on special education reimbursement shortfalls, federal funding cuts to school districts, and how CTE and vocational investments would align students with workforce needs. The administration said it would provide additional data on MBTA versus RTA investment and explained that the special education circuit breaker and transportation reimbursement changes were intended to improve predictability and relief for districts. After the administration panel, Jessica Tang of AFT Massachusetts testified in support of using Fair Share funds to protect public education amid federal uncertainty and cuts. She argued that schools are facing a fiscal cliff, that vulnerable students would be hit hardest by funding losses, and that the Fair Share revenue should be used to preserve services and support students’ needs.

Transcript Highlights:

• Also needs to be addressed.
• Do you need more time than that? She needs more time than that.
• Because one child may need a lot of OT, PT, and other services that somebody else doesn't need.
• or not needed, right?
• Where the funds are needed or not needed, right?

Keywords: 908, all

Transcript Highlights:

• Also needs to be addressed.
• Do you need more time than that? She needs more time than that?
• Because one child may need a lot of OT, PT, and other services that somebody else doesn't need.
• or not needed, right?
• Where the funds are needed or not needed, right?

Summary: The committee met with a quorum, approved the March 4, 2026 minutes, and received a lengthy Department of Public Instruction presentation from Stanley Schauer Jr. on North Dakota student performance data in math and ELA, with comparisons between students with disabilities and students without disabilities. Schauer explained the assessment systems used, the 1% alternate assessment cap for students with the most significant cognitive disabilities, the absence of 2019-20 data due to the pandemic, and how state standards are set by North Dakota educators. Members asked about cohort trends, the role of alternate assessments, grade-level patterns, and whether the state should focus more on reducing the novice category than on moving students from approaching to proficient. Schauer also discussed the new NDA Plus assessment, the state’s planned growth model, and the possibility of future breakdowns by disability category or by schools using science-of-math approaches. Special education educators testified that students with disabilities continued to receive services during COVID because of FAPE obligations, which likely helped limit learning loss, and emphasized that IEP teams focus on individual growth rather than only proficiency buckets. Committee members then shifted to special education funding and possible funding models. Brandon Bombach of Grand Forks Public Schools presented on the state aid formula, focusing on the special education weighting factor and arguing that the current formula does not adequately respond to growing student needs because it counts enrollment but does not adjust when the number of students with IEPs rises. He used examples to show that a district can have the same enrollment and receive the same weighting even if the number of students needing services increases. Members discussed whether the formula should be tied more closely to actual need and accountability, and the chair indicated that the committee would continue gathering data and ideas for a later meeting.

Transcript Highlights:

• Also needs to be addressed.
• Do you need more time than that? She needs more time than that.
• Because one child may need a lot of OT, PT, and other services that somebody else doesn't need.
• or not needed, right?
• Where the funds are needed or not needed, right?

Summary: The committee first approved the minutes and then received a lengthy DPI presentation from Stanley Schauer on statewide reading and math assessment data for students with and without disabilities. He explained the assessment systems used over time, the absence of 2019-20 data, and how North Dakota’s standards are set by educators. Members asked about alternate assessments, cohort trends, the apparent drop in proficiency in higher grades, and the new NDA+ assessment. Schauer emphasized that the biggest pattern in the data was the relative stability of students with disabilities, the post-pandemic drop and partial recovery, and the need to focus on reducing the novice category. He also said the state plans to revisit high school standard setting and that future data could be broken out by program, disability category, and schools using science-of-math or other initiatives. Public testimony from special education staff suggested that the flat performance of students with disabilities during COVID likely reflected continued services and intensive supports, and committee members discussed whether the current disparity goal is realistic and whether growth measures would be more useful than simple proficiency buckets. After the presentation, the committee took a short break and then moved into discussion of special education funding models. Chair Richter said members should contact Schauer directly with ideas for additional data views and noted that the committee would continue its work on funding and possible model changes. Brandon Bomback of Grand Forks Public Schools began a presentation arguing that the special education funding formula, especially the weighting factor, should be reconsidered if the committee wants a system that better reflects accountability and student needs. He said his comments were based on the perspective of a larger district and focused on the special education weighting factor rather than other parts of the formula. The remainder of his presentation was not included in the excerpt.

Transcript Highlights:

• , the training that they need, the pay that they need. ...have the skills that they need, the training
• I will note that not all people need skilled nursing facility care, but when they need it, they truly
• When they need it, they truly need it. 59% of skilled nursing facility patients have moderate to high
• of economic needs.
• Is there something I need to do on my end? Is there something I need to do on my end? Is it Stacey?

Summary: The committee met for what was described as its final meeting, with members and staff reflecting on the work of the Joint Legislative Executive Committee on Aging and Long-Term Care and noting that future work would likely shift to standing health and wellness committees. The meeting began with introductions and then moved into updates on major initiatives that originated from the committee, including Washington Cares, the Dementia Action Collaborative, and Medicaid long-term care programs. Presenters emphasized that these efforts were developed through long-term legislative-executive collaboration and were intended to help Washington prepare for the state’s aging population. On Washington Cares, DSHS described the program’s development from a 2014 research effort to its 2019 enactment, premium collection beginning in 2023, portability improvements in 2024, and 2025 changes including a grandfathered opt-out fix and a framework for supplemental private long-term care insurance. The agency said benefits are expected to go fully live next summer, with a pilot of up to 400 applicants planned for next January. On dementia policy, the Dementia Action Collaborative reported on the state dementia plan, Project ECHO training for providers, and pilot dementia-capable community programs at area agencies on aging, citing preliminary results that about 85% of family caregivers said services helped people remain at home. DSHS also reviewed Medicaid Transformation Project initiatives, including Medicaid Alternative Care, Tailored Supports for Older Adults, presumptive eligibility, and health-related social needs benefits such as rental assistance, nutrition support, and home modifications. The committee then heard an emerging issues panel from ombuds and disability advocates. Patricia Hunter of the long-term care ombuds program raised concerns about staffing shortages, resident rights, surveillance technology, private equity ownership of facilities, and illegal discharges or evictions. Betty Sweeterman of the Developmental Disabilities Ombuds discussed people stuck in hospitals without medical need, gaps in behavioral health services for people with developmental disabilities, and the need for better workforce training. Todd Carlyle of Disability Rights Washington urged expansion and bundling of community supports such as PACT, GOSH, and peer bridgers to reduce repeated institutionalization and support discharge from inpatient psychiatric settings. Provider and labor panels followed, with nursing home, assisted living, supported living, and union representatives all emphasizing workforce shortages, low wages, Medicaid rate inadequacy, case management bottlenecks, behavioral health complexity, and the need for more flexible care models and stronger accountability for rate increases. No formal votes were taken; the meeting ended with public comment on manufactured housing and closing remarks thanking staff and participants for the committee’s work.

Transcript Highlights:

• , the help that they need.
• We need to look at that. We need to be wise on how we implement programs like this. Absolutely.
• And if I need to, I need to close, yeah. Members, are there any questions for last? Mr.
• They have needs.
• So everything that they said is so true and so important and it needs to be done, it needs to be done

Bills: HB741, HB 1199, HB2070, HB2402, HB2542, HB2665, HB2789, HB3096, HB3396, HB3595, HB3747, HB4116, HB4127

Keywords: child welfare, relative caregiver, monetary assistance, Department of Family and Protective Services, child custody, family law, emergency power, nursing facilities, assisted living, generator requirements, health and safety, emergency generators, power outage, emergency generator, assisted living facilities, power source, child abuse, neglect registry, court findings, Medicaid

Transcript Highlights:

• So why do we need this bill? ...Right of Passage-operated facilities. So why do we need this bill?
• This one needs a motion, too, right?
• And that IPCANS is the data element that truly also represents the needs: how are we seeing the needs
• If needed, a review of the child's child and adolescent needs and strengths assessment can be utilized
• A need for further clarification.

Keywords: 988, house, all

Transcript Highlights:

• You need to know that.
• So now she needs that service.
• And I'll be the first to say that everyday Floridians need a break. They absolutely need a break.
• Floridians need relief. They need it now. They don't need it with this. Please vote no.
• And so we need to tax the rich.

Summary: The House met in special session, opened with prayer and the Pledge of Allegiance, approved the journal, and adopted the special order report setting the day’s calendar. The chamber then took up CS/House Joint Resolution 1F, the Governor’s property tax proposal, which would raise the homestead exemption for non-school taxes, lower the annual assessment cap on non-homestead property from 10% to 5%, and restrict county and municipal ad valorem revenue to public safety and certain other uses. Sponsor Rep. Overdorf said the measure would return money to homeowners and give local governments flexibility, while opponents repeatedly argued the ballot language was misleading and that the proposal could create large local revenue shortfalls, shift costs to other taxpayers, and threaten local services and debt obligations. Members debated a series of amendments aimed at protecting specific programs from the bill’s effects. Rep. Bartleman’s amendment to exempt Children’s Services Councils and Children’s Trusts was defeated 25-74 after supporters said those entities fund child care, mental health, aftercare, and family support, while opponents said local governments could still choose to fund them. Rep. Cross’s amendment to include water management districts in allowable uses of ad valorem taxes was also defeated, despite testimony that the districts are essential for flood control, water supply, Everglades restoration, and drought response. Rep. Eskamani’s amendment to require the Legislature to backfill public safety funding failed 25-71 after debate over whether the proposal could reduce police and fire budgets and response times. The House then rejected Rep. Woodson’s amendment to require state backfill for senior services, with supporters citing Meals on Wheels, transportation, adult day care, and other aging services, and opponents saying the state already funds senior programs. Finally, Rep. Gant’s amendment to protect veteran services was introduced and debated, with members emphasizing housing, mental health, transition assistance, and homelessness concerns for veterans; the transcript cuts off before the vote on that amendment. Throughout the debate, sponsors and supporters of the main resolution maintained that local governments would retain spending discretion and could use other revenue sources, while critics argued the measure lacked clear backfill provisions and could force cuts or tax shifts at the local level.

Transcript Highlights:

• We do need urgent care, and we do need to tell and explain to our constituents what are the levels of
• Assembly Member Brown-May felt that she needed urgent care, and it turned out she needed emergency care
• As Southern Nevada's population continues to grow, so does the need for health care, and so is the need
• And I think we need to do better in that space.
• As we all know, we need providers, we need folks, we need to build our own.

Bills: AB568, SB90, SB133, SB147, SB229, SB233, SB240, SB245, SB280, SB378, SB393, SB417, SB434, SB494, SB495

Keywords: higher education, Nevada System of Higher Education, operational expenses, instructional expenses, public funding, education funding, teacher grants, classroom supplies, instructional support, specialized personnel, civics education, Nevada Center for Civic Engagement, funding, youth programs, civic involvement, Southern Nevada, Clark County, Las Vegas Valley, regional planning, economic resiliency

Transcript Highlights:

• So why do we need this bill?
• How are we seeing the needs? And then how are we responding to those needs?
• A need for further clarification.
• Tend to need more placement changes or have more placement changes because we might need to put them
• We need to adjust, but I think Assemblymember Pellerin brings up a lot of points about how we need to

Summary: The hearing covered several child welfare, human services, tribal housing, child care, and long-term care bills. SB 1099 would clarify local governments’ authority to provide state or local public benefits to all residents under PRWORA; SB 1190 would regulate private youth transport services by requiring permits, background checks, training, and bans on blindfolds, hoods, restraints, and overnight pickups; SB 1322 would streamline tribal access to Community Care Expansion housing grants and better align the process with tribal sovereignty; SB 1109 would require an annual license renewal review for STRTPs with five or more Type A citations in a year; SB 1234 would require fentanyl testing in juvenile dependency cases when a court finds a risk of fentanyl use; SB 991 would require DSS to identify the specific type of abuse on its public licensing database; SB 1200 would redefine “infant” for family child care ratio purposes as under 18 months; and SB 1345 would strengthen foster youth rights regarding access to and dignified transport of personal belongings. The committee also approved a consent calendar including SB 534, SB 1410, and SB 1421. Testimony was largely in support of the measures, often from authors, advocates, county officials, and people with lived experience. Supporters of SB 1190 described traumatic youth transport practices and argued for basic safety standards. SB 1322 supporters said tribal grantees face unnecessary delays and collateral demands that conflict with sovereignty. SB 1109 drew support from county probation officers who cited repeated serious violations and public safety concerns at STRTPs, while the chair ultimately opposed the bill as duplicative of existing CDSS authority. SB 1234 drew emotional support from a grandparent who lost a child to fentanyl, but also opposition from the Drug Policy Alliance and a dependency attorney, who argued the bill was redundant, vague, and could create biased or unnecessary testing; amendments were accepted to narrow the standard. SB 991 supporters said the public needs more specific information about abuse findings, SB 1200 supporters said the change would expand infant care capacity and help working families, and SB 1345 supporters said foster youth deserve dignity rather than having belongings packed in trash bags. Votes were taken after quorum was established. SB 991, SB 1200, SB 1345, SB 1190, SB 1234, SB 1322, and SB 1099 were all reported out of committee, most on unanimous or near-unanimous votes; SB 1234 passed 6-0 as amended to Appropriations, and SB 1099 later had a vote change recorded, ending 5-1. SB 1109 did not advance after the motion failed for lack of a second, and it was held in committee. The committee then adjourned and transitioned into an oversight hearing reviewing the outcomes of AB 2247 (placement stability and notice protections for foster youth) and AB 2496, with presenters discussing how the earlier foster youth placement law has changed practice and the importance of dignity, notice, and youth voice in placement decisions.

Transcript Highlights:

• And when you look at the need, the need is great. Public safety, the rule of law.
• Maybe some need more, maybe some need less.
• I also want to acknowledge a name that, if there was that secondary analysis, it needs to be done so
• If we need to scale and we need to scale beyond Lange, And security.
• If we need to scale and we need to scale beyond Lange, it's a contract solution.

Bills: HCR11, HB153, HB278, HB424, HB454, HB455, HB687, HB816, HB833, HB942, HB1053, HB1097, HB1147, HB1148, HB1190, SB75, SB85, SB197, SB200, SB217

Keywords: Camp Beauregard, Louisiana National Guard, Youth Challenge Program, military affairs, Pineville, National Guard training, emergency response, youth development, alternative education, high school equivalency, GED, at-risk youth, leadership training, job skills, citizenship, veterans, state military operations, mobilization, logistics staging area, public service

Summary: The committee first adopted a three-minute rule for the rest of the meeting by a 9-3 vote. It then took up SB 217, which would reorganize Orleans Parish courts by reducing judgeships in criminal, juvenile, traffic, and municipal courts and, through an adopted amendment, creating one civil district court with 13 judges and allowing hearing officers. Senator Morris argued the changes were based on caseload comparisons and population data; opponents from the Urban League and ACLU said the bill was driven by power rather than efficiency, relied on incomplete or inconsistent data, would strain the courts, and would reduce minority representation on the bench. The committee reported the bill favorably as amended by an 11-4 vote. The committee next considered SB 197, which would reduce the number of judges on the Fourth Circuit Court of Appeal by two. Senator Morris again cited filings and caseload comparisons, while opponents argued the bill ignored the intensity and complexity of appellate work, could increase backlog and costs, and would disproportionately affect Black women judges. The bill was reported favorably by an 11-4 vote. The committee also adopted HCR 11, expressing support for the Louisiana National Guard at Camp Beauregard and the Youth Challenge Program, and reported favorably SB 85, creating an insurance fund for retired St. Charles Parish sheriff’s employees. Several other measures were advanced with little or no opposition. HB 833 created the Sexual Assault Survivor Empowerment Task Force and was amended to add representatives from the coroners’ association, a survivor appointed by STAR, and a licensed clinical social worker; it was reported favorably. HB 816, with a technical correction, prohibited foreign adversaries from acquiring property near military installations and was reported favorably. HB 1053, dealing with definitions for dealers and retail dealers and allowing certain businesses to serve complimentary alcoholic beverages under agreed-upon floor amendments, was reported favorably. HB 153, as amended, removed the Office of Debt Recovery from the bill and limited it to prohibiting reporting certain criminal fines and fees to credit bureaus; it was reported favorably. SB 75, on cybersecurity reimbursement and baseline standards for local governments after cyber incidents, was reported favorably after testimony from GOSEP and others. SB 200, allowing expropriation of land near military bases owned by foreign adversaries when a court finds a threat to public health and safety, was also reported favorably after extensive testimony and discussion. Finally, HB 454, the Gracie Claire Rushing Act on chain of custody for human remains and internal organs, was converted into a substitute bill, adopted, and then introduced for further discussion, with the sponsor describing it as a transparency and accountability measure for grieving families.

Transcript Highlights:

• need our help.
• And I'm not saying that there aren't people in need more for political needs than financial needs.
• And I'm not saying that there aren't people in need more for political needs than financial needs.
• And I'm not saying that there aren't people in need more for political needs than financial needs.
• And I'm not saying that there aren't people in need more for political needs than financial needs.

Keywords: 1187, senate, all

Transcript Highlights:

• So I need to acknowledge them.
• This is why we need H. 1258. This is why we need H. 1258.
• So we need more staff, too.
• So we need more staff, too.
• You need to have it for my life now. I need to have it for my life now.

Keywords: 995, all

Summary: The hearing opened with the Senate and House chairs of the Joint Committee on Financial Services explaining that the day’s agenda would focus on health insurance and other insurance matters, with a large number of witnesses and a request for brief testimony. Legislators were taken out of order to accommodate their schedules, and the committee heard testimony on several bills, including coverage for hair prostheses for alopecia (H. 1223/S. 832), medically necessary oral and dental care for head and neck cancer survivors (H. 1258), modernizing fertility and family-building coverage (H. 715/H. 1190 and related bills), coverage for prosthetic devices to support physical activity for people with limb loss (the “So Everybody Can Move” bill), remediation coverage for home heating oil releases (S. 813/H. 1302), and expanded access to physical therapy for Ehlers-Danlos syndrome (H. 1170). A separate bill on sickle cell care and registry development (S. 788) was also discussed by Senator Liz Miranda. Witnesses largely offered personal stories and expert testimony in support of the bills. Advocates for alopecia coverage described the medical and emotional impact of hair loss, the high cost of quality wigs, and the argument that scalp and facial hair prostheses should be treated like other medically necessary prosthetics. Cancer survivors and supporters of H. 1258 said oral and dental care after head and neck cancer treatment is a quality-of-life issue and often not covered despite major out-of-pocket costs. Fertility specialists, LGBTQ+ advocates, and legislators supporting the modern family-building bills said the current infertility definition is outdated and discriminatory, excluding same-sex couples, people needing donors or gestational carriers, and others with medical barriers to conception. For the limb-loss bill, parents and adults with prosthetic needs stressed that activity-specific prostheses are essential for children and adults to run, swim, play sports, and stay healthy, but are often excluded from coverage. The home heating oil testimony focused on the financial devastation caused by residential oil spills and the need to make spill coverage automatic in homeowners policies. Environmental professionals and homeowners described cleanup costs ranging from tens of thousands to hundreds of thousands of dollars, the strict liability homeowners face, and the fact that many policyholders do not know the rider exists. The insurance industry testified in opposition to the mandatory-coverage approach, arguing for clearer distinctions between first- and third-party coverage, risk-mitigation standards, a delayed effective date, and more emphasis on education and notification rather than mandates. Committee members pressed the industry witness on why agents do not routinely tell customers about the rider and suggested that the issue may require broader disclosure by insurers, agents, and fuel dealers. No votes were taken during the hearing; the committee heard testimony and discussed possible compromise language and future action.

Transcript Highlights:

• to do to accommodate our needs, our, our needs on the ground for wildfire activity and what have you
• Call when needed, you know, they, they literally call us when they need us.
• You know, uh, short notice necessarily, but if, if the need, if the need exists, then, then those agreements
• The call when needed could be, you just call them when you need it. Uh, that's great for operators.
• And I see no fiber going into the part of the state that truly needs real needs broadband, but yet there's

Transcript Highlights:

• , that we need to look at this holistically on individual institution needs, uh, especially on the divert
• We conducted a market analysis to understand the needs in the Rio Grande Valley from an industry standpoint
• Allow me to highlight a very urgent facilities need.
• Labor market needs that our industry and corporations and communities need. Thank you.
• at the times that they, they need them.

Transcript Highlights:

• <00:13:42.280> to and the Veterans Affairs needs to and the Veterans Affairs needs to provide
• to continue to do the gap analysis to continue to do the gap analysis um<00:25:09.760> and
• that matches the level of your needs. that matches the level of your needs.
• assessments for level of clinical need. assessments for level of clinical need.
• travel expenses, you probably don't need travel expenses, you probably don't need >> Okay.

Keywords: 910, house, all

Summary: The committee heard a series of resolutions and a few bills, with testimony largely in support across the agenda. Early measures included HCR 15/HR 17 supporting Kamehameha Schools’ admissions policy, and HCR 22/HR 22 urging Congress to pass federal kidney disease legislation; both drew support and no opposition. The committee also heard HCR 146 HD1/HR 138 HD1 on “excited delirium,” with testimony from advocates urging the resolutions be broadened to include related terms such as hyperactive delirium and agitated delirium, and from family members and disability-rights advocates describing the issue as harmful pseudoscience tied to police-custody deaths and calling for a ban on the term and better mental-health responses. The committee then took up HCR 123/HR 115 on creating a coordinated support and stabilization task force for Native Hawaiians experiencing homelessness or extreme low income. Department of Hawaiian Home Lands testified in support, describing its transitional housing work and saying collaboration and data-sharing with the state homelessness office would help beneficiaries and others; members questioned whether existing entities already do similar work and whether the proposal would extend beyond beneficiaries. HCR 32/HR 32, which asks the governor’s senior advisor on mental health and the justice system to develop a plan to increase access to Hawaii State Hospital for certain criminal defendants, drew support from the Department of Health, the governor’s office, and disability-rights advocates, who emphasized coordinated planning, diversion from arrest when appropriate, and matching people to the right level of care. Additional resolutions addressed a range of policy issues: renaming Leeward Community College to Puloulou Community College (with no testimony), creating an ʻōlelo Hawaiʻi pathway under the Niʻihau dialect at UH (UH noted existing courses already cover the dialect but not a degree pathway), moving to a demerit-point driver licensing system (support only), and coordinating transportation infrastructure planning for Hawaiian home lands (DHHL supported the measure and said an expired DOT memorandum of understanding had covered related collaboration). The committee also heard support for expanding DHHL financial literacy and homeownership-preparedness programs, a resolution asking the Hawaii Civil Rights Commission to examine algorithmic discrimination, and a resolution urging the Oahu Metropolitan Planning Advisory Committee to follow its rules, comply with the Sunshine Law, review its executive director, and strengthen accountability; the last measure drew 11 written supports and no opposition. No final votes or decisions were taken in the portion provided, as the hearing focused on testimony and questions.

Transcript Highlights:

• We need to make changes.
• We need to make changes.
• But it's how we meet the needs of all of those that need the service.
• But it's how we meet the needs of all of those that need the services.
• I need not mention that.

Keywords: 998, house, all