Transcript Highlights:

• I do think when looking at necessary medical care, we're looking at truly necessary medical care.
• I do think when looking at necessary medical care, we're looking at truly necessary medical care.
• I do think when looking at necessary medical care, we're looking at truly necessary medical care.
• </c> truly necessary medical care I think truly necessary medical care I think what<01:07:17.799><c>
• /c><01:07:40.440><c> a</c> medically necessary and so as a medically necessary and so as a prosecutor

Committee: House Criminal Justice and Public Safety

Transcript Highlights:

• necessary treatment may cause iatrogenic infertility.
• Supporting SB 1347 ensures that when doctors say fertility preservation is medically necessary because
• SB 1165 eliminates cost-sharing or co-pays for medically necessary diagnostic breast examinations and
• necessary diagnostic testing and secondary screenings.
• Chairman, Senator Epstein, it applies to those—again, it has to be medically necessary, so it's either

Committee: Senate Senate Finance Committee of Reference

Summary: The Senate Finance Committee considered a lengthy agenda of bills covering consumer lending, insurance coverage, professional scope of practice, property tax administration, digital assets, and aviation tax policy. The committee first approved prior committee amendments, then heard SB 1689 on consumer loan thresholds and rates. After sponsor testimony that the bill modernizes outdated lending caps and lowers rates on larger loans, the committee adopted an amendment but the bill failed on a 3-1 vote, with Senator Epstein arguing the structure would shift costs onto smaller borrowers. The committee then passed several health-related measures. SB 1347, requiring insurance coverage for fertility preservation services for cancer patients, was amended and passed 4-2 after testimony from the sponsor and cancer survivors; Senator Epstein opposed the religious-employer definition. SB 1165, eliminating cost-sharing for diagnostic and supplemental breast exams, passed 5-1 after testimony from Senator Angus and Susan G. Komen, with supporters saying it would reduce barriers to follow-up screening. SB 1212, barring insurers from reimbursing providers differently based on vaccination status, also passed 4-2 despite concerns that it could undermine vaccination incentive programs. Other bills advanced or failed after similar debate. SB 1206, addressing contractor and public adjuster conduct after property losses, passed 5-1 with an amendment and support from State Farm. SB 1291, limiting county reassessment and inspections of agricultural property for four years after a successful appeal, passed 5-1 over assessor opposition and farm group support. SB 1649, creating a digital assets strategic reserve fund, passed 4-2 after debate over civil asset forfeiture and whether crypto should be treated as a strategic reserve. SB 1516, expanding an aviation-related tax exemption to aircraft maintenance and repair property, passed 4-1 amid sharp disagreement over whether it was economic development or a tax break for private jets. SB 1554, changing chiropractic statutory language from x-rays to diagnostic imaging, initially failed 3-3 but was reconsidered and later passed 3-2 after additional discussion about its practical effect.

Transcript Highlights:

• 38.960><c> from</c> Medical assistance fraud steals from Medical assistance fraud steals from hardworking
• 08.559><c> fraud</c> it brings medical assistance fraud it brings medical assistance fraud prison<00:
• </c> limitations and including medical limitations and including medical assistance<00:19:20.160><c>
• </c> catching people who steal from medical catching people who steal from medical assistance<00:20:10.480
• </c> bit uh over the top really not necessary bit uh over the top really not necessary uh<00:23:19.440

Committee: House Ways and Means

Transcript Highlights:

• Certain medical conditions would be automatically presumed to be job-related for police officers.
• It creates important and necessary presumptions under the act for our police officers.
• employer to contest issues when it is absolutely necessary.
• Hazen to address the medical and hearing portions. Madam Chair, up... Dr.
• Hazen to address the medical and hearing portions.

Summary: The committee met with a quorum and took up its only bill, House Bill 132, which would create workers’ compensation presumptions for police officers for certain conditions, including noise-induced hearing loss/tinnitus, PTSD, and heart injury or stroke occurring within 24 hours of responding to or returning from a call or emergency. The sponsor described the bill as a bipartisan effort developed with input from workers’ compensation officials, PERA, and the Albuquerque Police Department, aimed at easing the burden on officers to prove causation while still allowing employers to rebut claims. An amendment was adopted first, refining definitions and adding language that preserves an officer’s ability to prove causation even when the presumption does not apply, and tying the heart/stroke presumption to the existence of a physical training program and medical screening requirements. Supporters included representatives of the Albuquerque Police Officers Association, the Workers’ Compensation Administration, New Mexico State Police, AFSCME/NMFL, and a workers’ compensation attorney. They argued the bill recognizes the cumulative physical and psychological toll of law enforcement, could improve treatment and retention, and would reduce disputes over causation while remaining balanced. One supporter asked the sponsor to consider changing the 20-year requirement tied to PTSD coverage so officers in smaller departments could access benefits earlier. Committee discussion focused on the amendment’s physical training and medical screening condition for the heart/stroke presumption, with questions about whether all departments have such programs and whether the language could limit coverage. Workers’ compensation staff testified that, from 2016 through 2025, there were 75 statewide claims potentially covered by the bill’s provisions before amendment, including about 20 hearing-loss claims, 11 heart-related claims, and about 44 mental-injury claims. A medical witness said research supports a correlation between law enforcement work and these conditions, though no New Mexico-specific study was available yet. After discussion, the committee voted to give House Bill 132, as amended, a do-pass recommendation, with no opposition recorded.

Transcript Highlights:

• And there are circumstances where that's medically necessary.
• And there are circumstances where that's medically necessary.
• </c> circumstances where that's medically circumstances where that's medically necessary<04:32:39.399
• </c><04:32:46.520><c> necessary</c> been because it's medically necessary been because it's medically
• </c><04:46:13.920><c> do</c> medically necessary go ahead and do medically necessary go ahead and do

Summary: The committee heard testimony on HB 153, which would require two or more law enforcement officers in each county to receive animal cruelty training through the police standards system. Representative Barbara Coma, the sponsor, said the bill was prompted by problems in animal cruelty cases, especially in rural areas without animal control officers, and she described it as a limited training measure. She said an amendment was forthcoming that would add an eight-hour approved course and a two-hour refresher every three years, and she emphasized that the trained officers would serve as resources rather than being required to take action themselves. Members asked about cost, due process, overlap with animal control officers, how trained officers would be identified and notified, and whether veterinarians could fill the role. Coma responded that the bill would not be a heavy financial lift, would not interfere with animal control officers, would apply to livestock as well as companion animals, and would still require law enforcement involvement because veterinarians cannot lawfully remove animals from property. She also said the training could improve due process by helping officers better understand when animal removal is appropriate and how cases should proceed. Sheriff William Wright, speaking for the New Hampshire Sheriffs Association, testified in opposition. He said training itself was acceptable, but the bill went beyond training by creating an obligation for sheriffs and state police to respond to and potentially investigate animal cruelty cases, which he argued would be ambiguous, unfunded, and burdensome for staffing and resources. He said some sheriff’s offices do not have investigative deputies and that the bill could create liability and uncertainty about who would lead investigations. In response to questions, he said the association would likely have no objection if the bill were limited to training, but it opposed the assistance/investigation mandate as written.

Transcript Highlights:

• necessary ones based upon a medical assessment that then DO takes over. what we need to do with the
• necessary ones based upon a medical assessment that then DO takes over.
• necessary ones based upon a medical assessment that then DO takes over.
• necessary ones based upon a medical assessment that then DO takes over.
• necessary ones based upon a medical assessment that then DO takes over. >> Okay.

Summary: The working group on restrictive housing met with a quorum present, approved the August 21, 2025 minutes, and adopted a procedure to take public testimony on each agenda item with a two-minute limit per testifier, with some flexibility for follow-up questions. The main presentation came from the Department of Corrections and Rehabilitation on restrictive housing policies and a recent outside assessment of mental health care practices at HSCF and OOTC. DCR said the assessment found strengths such as consistent medication administration and staff commitment, but also identified major problems including outdated workflows, staffing shortages, inadequate physical plant conditions, overuse of suicide/safety watch for personal safety issues, and a need for more individualized treatment plans. DCR described several corrective steps already underway: filling a long-vacant high-level mental health administrator position, adjusting evening medication passes, working with DOH on transfer and referral workflows, planning a new electronic medical records system and revised screening tools, and pursuing additional training for ACOs and mental health staff. For OOTC, DCR said the facility is overcrowded and decrepit, needs a better screening tool, and requires more mental health-specific training and staffing. For HCF, DCR said the layout limits confidential assessments and provider access, and that the proposed consolidated healthcare unit would add 43 beds, private exam rooms, and a de-escalation room. DCR also said the new unit could serve acute and chronic suicide/safety watch needs and possibly some inmates with dementia, Alzheimer’s, or significant cognitive impairment. The discussion then focused on Act 292, which DCR said is difficult to implement as written. DCR said the bill aligns with DOJ, NCCHC, and ACA guidance in defining restrictive housing, limiting duration, requiring reviews, identifying vulnerable populations, and using step-down units, but raised two major concerns: a requirement to refer vulnerable people to DOH for confinement, and a requirement for clinical assessments every 12 hours by a provider. Members responded that the law should be matched with funding and staffing, and asked what resources are needed. DCR said it submitted a request for 35 positions at a cost of about $8.6 million, and also said funding may be needed for community-based beds and contracted medical services. Members also asked about the current MOA/MOU between DOH and DCR, the working group membership, and the timeline for revisions. DCR said the group includes DCR, DOH, and governor’s office medical advisors, that a first draft is complete, and that the revised agreement should be in place by the end of the year. On staffing, DCR said ACO recruitment classes increased from five to eight, vacancy rates dropped from 34% to 24%, but OOTC still faces a projected $7.1 million shortfall and heavy overtime costs, forcing post closures and program reductions. The meeting ended with continued discussion of screening tools, including DCR’s explanation that current broad questions may over-identify people with substance-use-related symptoms as having serious mental illness, and that a more discrete tool is needed to better identify those with acute needs.

Transcript Highlights:

• This will ensure that medical professionals retain the important ability to make necessary health-based
• The med spa director was not a medical professional, and her lack of necessary knowledge and experience
• So, typically, at a medical spa, a medical spa should be treated as any other medical facility.
• Medical spas, as everyone has said. That are medical practices.
• The medical board, as Dr.

Bills: HB3772 , HB1656 , HB4504 , HB1896 , HB4420 , HB4421 , HB4076 , HB3708 , HB2806 , HB3540 , HB1586 , HB5459 , HB4553 , HB4535 , HB3811 , HB3749 , HB4255 , HB4051 , HB5098 , HB3554 , HB4539 , HB5274

Committee: House Public Health

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Transcript Highlights:

• Since newborn hearing screening was adopted in 1998, only 9% of plans cover medically necessary hearing
• necessary.
• When making a determination about whether menopause care is medically necessary, health plans are required
• necessary by the treating provider.
• Since the launch of CalAIM, specifically the medically tailored meals and medically supportive food,

Summary: The hearing began with testimony from Let California Kids Hear and supporters urging action on pediatric hearing aid coverage. Advocates said California has repeatedly failed to enact a workable solution over the past eight years and argued that children need early access to sound to support development. The proposal discussed would limit the coverage mandate to the large-group market, which advocates said would cover roughly 70% to 80% of affected children and avoid the exchange-related cost issue that contributed to prior vetoes. Supporters, including parents, audiologists, and children’s health groups, backed the proposal, and the chair expressed sympathy and support while noting hope for a federal solution for exchange plans. The Department of Finance then gave opening remarks about the state’s structural deficit and the need to balance new investments against projected out-year shortfalls. HCAI followed with a broad overview of its programs, including CalRx insulin and naloxone initiatives, reproductive health grants, the Office of Health Care Affordability, hospital seismic compliance, workforce programs, and the diaper access initiative. Members asked about geographic targeting of workforce funds, the behavioral health workforce pipeline, and the status of the 21st Century Nursing Initiative, which HCAI said had reverted funds. The committee also discussed a proposed transfer of the Data Exchange Framework and Office of the Patient Advocate to HCAI, new reporting on long-term care staffing and health coverage waiting periods, and a Behavioral Health Services Act workforce proposal that would use BHSA funds to support training, stipends, and technical assistance while offsetting $100 million in General Fund spending; members and LAO questioned the offset and asked for more detail, and the item was held open. HCAI also presented the Rural Health Transformation Program, explaining that California received $233.6 million in federal funds for the first year and had to revise its proposal so that $35 million in provider payments would be tied to specific transformative activities rather than general financial relief. The program will fund rural care model redesign, workforce development, and technology/infrastructure improvements, with grants to be rolled out on a tight timeline and subject to CMS approval. Members asked about the size of California’s award, the use of funds for maternity care, labor and delivery access, dialysis, tribal set-asides, and the role of a technical assistance contractor. The department said the program will use supply-and-demand workforce modeling to target funding and that all funds must be obligated by October 30. Finally, the Department of Managed Health Care outlined its budget and two major bill-related proposals: SB 41 on PBM reform and SB 306 on prior authorization transparency. DMHC said SB 41 would require PBM licensure, ban spread pricing, require rebate pass-through, and regulate pharmacy network practices, while SB 306 would require reporting on prior authorization and create a list of services exempt from prior authorization. DMHC requested additional positions and funding to implement both measures.

Transcript Highlights:

• medical director has to agree with the doctor that it is medically necessary, which puts patients' fate
• medical director has to agree with the doctor that it is medically necessary, which puts patients' fate
• medical director has to agree with the doctor that it is medically necessary, which puts patients' fate
• medical director has to agree with the doctor that it is medically necessary, which puts patients' fate
• medical director has to agree with the doctor that it is medically necessary, which puts patients' fate

Committee: House Consumer Protection & Commerce

Summary: The committees heard testimony on several transportation and consumer-related bills. HB 496, relating to mamaki tea labeling, drew support from the Department of Agriculture, the Department of Weights and Measures, and the Hawaii Farm Bureau, which said the bill would help protect a culturally important crop and the Hawaii brand. Members questioned Agriculture about staffing and whether the bill was being used to reopen a package-labeling inspection branch; the department said it currently has no Oahu inspectors for that function but has a place for an additional inspector. No opposition was registered on the measure. HB 978, relating to electric utilities, and HB 1316, relating to DLNR/park reservations, were also heard. HB 1316 received support from State Parks, and members discussed where reservation fees would go and whether the statewide reservation system for three parks would cover its costs; the committee indicated a change would be made so fees go to the special fund. HB 914, relating to water carriers, drew support or comments from the PUC, Department of Agriculture, Department of Transportation, Young Brothers, and the Hawaii Harbor Users Group. The main discussion focused on the proposed automatic rate-adjustment mechanism tied to the GDP price index, with members asking for alternative index ideas and questioning whether the PUC already had authority to adopt such a mechanism. Young Brothers said the measure would provide clarity and help recover inflationary costs, while the chair raised concerns about repeated rate increases and asked for further testimony on possible alternative indices. HB 1161, relating to transportation and road usage charges, received support from the Insurance Division, DOT, and the State Energy Office, with comments from the Tax Foundation of Hawaii and the Hawaii Food Industry Association. Members asked whether counties need state authorization to adopt mileage-based charges and why the bill included funding for implementation; DOT said it is helping counties build the data collection and billing system and that Honolulu is handling much of the collection work. A question was also raised about whether plug-in hybrids would be covered, and DOT said vehicles under the federal electric-vehicle definition would be included. HB 1301, relating to transportation network companies, drew opposition from the Hawaii Association for Justice, Lyft, and Uber, all arguing that classifying TNCs as common carriers and changing liability rules would raise costs, reduce access, and disrupt the current statewide framework. No votes or final committee actions were taken in the portion of the meeting provided.

Transcript Highlights:

• We went through months of specialist visits, MRIs, EEGs, just, you know, medical visit after medical
• Currently, MassHealth members may only access tobacco cessation medication by having their medical primary
• necessary to avoid disruptions.
• Have you ever heard a valid reason why insurer A covers something as medically necessary and insurer
• Access to medical equipment and medication would have saved the Commonwealth the cost of unnecessary

Committee: Joint Joint Committee on Health Care Financing

Summary: The Joint Committee on Health Care Financing held a public hearing on a large docket of bills focused on MassHealth benefits and reimbursement, health equity, behavioral health, public health, dental access, 340B drug pricing, tobacco cessation, and coverage for children. The chairs emphasized rising health care costs, provider shortages, administrative burdens, and persistent inequities by income, race, geography, and immigration status. Much of the testimony centered on H.1416/S.901, an act to advance health equity, with legislators and members of the Health Equity Compact arguing for statewide benchmarks, stronger health equity leadership, reimbursement for interpreter services, community health workers and patient navigation, Medicaid graduate medical education support, and a health equity zone trust fund. Witnesses described disparities in life expectancy, maternal mortality, access to primary care, and the impact of federal Medicaid and social service cuts, and urged the committee to report the bill favorably. The committee also heard strong support for H.1368/S.847 on rapid whole genome sequencing for critically ill MassHealth children. Testifiers from industry, academia, hospitals, and families said early sequencing can end long diagnostic odysseys, improve treatment decisions, shorten hospital stays, and save money, while also providing emotional relief and information for families. The hearing then moved to H.1407 on MassHealth rate parity for inpatient behavioral health providers, where Rep. Scanlan and the Massachusetts Association of Behavioral Health Systems said the bill would codify existing administrative parity so managed care plans cannot pay less than the MassHealth fee-for-service rate. On H.1392/S.853 to preserve and protect public health, witnesses supported higher vaccine administration fees to improve provider participation and immunization rates. The committee also heard testimony on H.770/845 to protect 340B providers in MassHealth, and on S.848 to require reporting and transparency around 340B revenues and outside administrative costs. Additional bills drew testimony on tobacco cessation coverage for MassHealth members, with advocates supporting broader access to counseling and medications through medical, behavioral health, and dental providers. On H.1409, a nursing home operator asked for more flexibility in a MassHealth staffing-related penalty tied to patient days per resident. On H.1401/S.888, supporters of the “Take 10” dental access proposal said adult MassHealth dental coverage is underused because too few dentists accept MassHealth, leading to long travel times and avoidable emergency room visits; they urged incentive payments for dentists serving new adult MassHealth patients. Finally, on H.1403/S.855, “Cover All Kids,” advocates and immigrant community members urged removal of immigration status as a barrier to full MassHealth coverage for children, while also backing a related bill to ensure 12 months of continuous coverage for children. No votes were taken during the hearing; the committee primarily received testimony and asked questions on costs, reimbursement levels, and implementation details.

Transcript Highlights:

• Others rely on caregivers for transportation, medication, or daily support.
• Kevin Roosevelt with the California Medical Association, in support.
• necessary care here in our state.
• necessary care here in our state.
• But you continue to advance the world's biggest medical scandal, offering protection for medical providers

Summary: The committee heard a long agenda of public safety bills, with several measures pulled off calendar and one consent calendar adopted. AB 2419 by Assembly Member Quirk-Silva would extend body-worn cameras to Los Angeles County juvenile probation officers. Supporters said cameras would improve accountability, youth and officer safety, and public trust; opponents argued the bill would not solve deeper problems in juvenile halls and raised concerns about officer discretion, privacy, and labor issues. The bill passed to Appropriations on a roll call vote. AB 1902 by Assembly Member Pellerin, co-sponsored by Santa Cruz County, would revise the juvenile detention extension hearing process in response to the Madison Middleton case. Supporters, including the victim’s mother and county officials, said the bill would clarify jurisdiction, allow continuances, permit hearsay at the probable cause stage, extend the maximum detention period, and better protect the public and victims from repeated trauma. Opponents from public defender, youth justice, and civil liberties groups argued the bill expands civil commitment, reduces review frequency, and could lead to inappropriate adult placement. The committee approved the bill to Appropriations, with some members noting remaining concerns. AB 2052 by Assembly Member Stephanie would allow continuity in prosecution for elder and dependent adult abuse cases, including a limited continuance so the same prosecutor can stay with a case. Supporters said older victims and those with dementia or other impairments benefit from a single point of contact and less repeated trauma; opponents said the bill could undermine speedy-trial rights and was broader than necessary. The bill passed to Judiciary. AB 1588, also by Assembly Member Stephanie, would strengthen sideshow and street takeover enforcement by adding motorcycles and dirt bikes to the law and increasing penalties. Supporters framed it as a public safety and accountability measure, while opponents warned it would expand punishment, surveillance, and fines without addressing root causes; the bill was sent to Transportation on a roll call vote. AB 1753, another Stephanie bill, would tighten firearm relinquishment and protective-order enforcement, expand remote hearing access, and align firearm prohibitions across protective order categories; it passed to Judiciary. The committee also heard AB 1739 by Assembly Member Ward, which would criminalize clergy sexual exploitation when clergy provide therapeutic services, with survivors and advocates testifying in support.

Transcript Highlights:

• </c><00:32:31.039><c> for</c> increasing access to medications for increasing access to medications for
• </c><00:37:45.640><c> is</c> dispensing dispensing medication is dispensing dispensing medication is
• </c> their cash payment model medications their cash payment model medications free<00:43:50.440><c>
• </c><01:09:16.560><c> assistance</c> step in stabilizing medical assistance step in stabilizing medical
• </c><01:43:09.040><c> um</c> for our hospitals and our medical um for our hospitals and our medical um

Committee: House Health Finance and Policy

Transcript Highlights:

• SB 1309 addresses this gap by removing out-of-pocket costs for lung cancer screening and medically necessary
• Senate Bill 1309 addresses this problem by eliminating cost sharing for medically necessary follow-up
• Medical study after medical study shows that when we make the switch to daylight saving time, heart..
• All of these medical reasons are why the California Medical Association, the California Sleep Society
• denied safe food and water, as well as critical medications, and basic medical care for her chronic

Summary: The Assembly Health Committee heard several bills focused on mental health access, preventive care, health care costs, detention oversight, and daylight saving time. SB 989 would streamline Care Court referrals by allowing first responders to ask county behavioral health agencies to review and file petitions; supporters, especially firefighters and families, said the current process is too burdensome, while Disability Rights California and other opponents argued Care Court is coercive and unproven. SB 1089, as amended, would direct CalRx/HHS to help distribute GLP-1 medications more broadly and more affordably; the author described her own experience with the drugs, and the bill drew support from medical and life sciences groups with no opposition. SB 1309 would eliminate out-of-pocket costs for medically appropriate lung cancer screening follow-up care; cancer advocates and survivors strongly supported it, while health plans and insurers opposed it as costly and said the bigger problem is low initial screening rates. The committee also heard SB 1284, which would require DHCS to report large employers whose workers are enrolled in Medi-Cal and estimate taxpayer costs, framed by supporters as a transparency measure about corporate reliance on public coverage. SCR 7, urging permanent standard time for health reasons, passed with support from medical groups and no opposition. SB 995, the Masuma Khan Justice Act, would create statewide inspection and enforcement standards for large involuntary residential facilities, including private immigration detention centers and certain youth facilities; supporters cited unsafe and inhumane conditions, while county probation officials objected to duplicative oversight for secure youth treatment facilities. The committee took votes on each measure, and the bills and resolution advanced, with SB 1309 and SB 1284 moving on amended and the others also reported out; the consent calendar was approved as well.

Transcript Highlights:

• </c> who knows today, uh might be necessary who knows today, uh might be necessary to<00:10:49.920><c
• </c> highly specialized FDA regulated medical highly specialized FDA regulated medical devices.<00:13
• If you're not familiar medical risks.
• We can work that's necessary for people.
• </c> trust, loss of trust in medical trust, loss of trust in medical professions<00:41:44.079><c> and

Bills: HB1849 , HB2000 , HB1753 , HB1511 , HB276 , HB1513 , HB2188 , HB1876

Committee: House Consumer Protection & Commerce

Summary: The committee on Consumer Protection and Commerce met on February 10, 2026, and heard testimony on several bills. HB 1849 relating to licensing drew comments from DCCA’s Professional and Vocational Licensing Division and the Hawaii Real Estate Commission, both of which stood on written testimony. The Hawaii Coalition for Immigrant Rights testified in strong support, emphasizing that some immigrants, including DACA recipients, are already contributing in Hawaii and that the state should help create pathways for them to remain and advance professionally. No vote or final action was taken on HB 1849 during the portion shown. The committee then heard HB 2000, the wheelchair right-to-repair bill. Encart opposed the measure, arguing that repair delays are largely driven by insurance prior authorization and that wheelchair repairs involve FDA-regulated medical devices where improper repairs could create health risks. Peter Fritz testified in support, saying the bill was modeled on similar laws in other states and that he had personal experience through his sister’s use of a wheelchair. Members questioned whether repairs done outside insurer networks might not be reimbursed, and Fritz said that was a concern but that the need for timely repair outweighed it. The committee also discussed HB 1753 on social media, where DCCA’s Office of Consumer Protection supported the bill but suggested an amendment to the definition of personal information. On HB 1511 relating to consumer protection, DCCA’s Insurance Division supported the bill, while the Alliance for Automotive Innovation and the Hawaii Automobile Dealers Association offered comments seeking to preserve legitimate manufacturer and dealer communications about vehicles, warranties, recalls, and related services. The committee also took up HB 276 HD1 and HB 1513 on condominiums. The Hawaii Real Estate Commission offered comments on HB 276 HD1. For HB 1513, the Hawaii Green Infrastructure Authority supported the bill, but DCCA’s Insurance Division opposed it, warning that diverting HHRF funds could weaken reinsurance arrangements and raise premiums for consumers who rely on the fund. Members questioned whether the proposed condo loan program would need HHRF money and whether the amounts in the bill were necessary, and the division said it opposed using HHRF for that purpose. The committee also heard HB 2188 on housing, where OCP supported the measure and the Hawaii Association of Realtors raised concerns about conflicts with the Fair Credit Reporting Act and the use of tenant screening reports, noting that a working group is already addressing landlord-tenant issues. Members asked OCP to research how other states handle similar laws and whether additional language is needed to avoid federal conflict. Finally, on HB 1876 relating to mental health, the Department of Health’s Adult Mental Health Division supported the bill but said it remains opposed to harmful, non-evidence-based treatment modalities; Pride at Work Hawaii also testified in strong support. No final votes or committee decisions were reported in the excerpt.

Transcript Highlights:

• Necessary, and if they are necessary perhaps they are overfunded, and if they are not overfunded perhaps
• This was, if necessary, apparently someone thinks she's necessary. Hi, Diane. Good morning, Mr.
• court-ordered medications.
• Access covers all medically necessary, FDA-approved, federally reimbursable medications as part of our
• Access covers all medically necessary, FDA-approved, federally reimbursable medications as part of our

Summary: The committee first heard Senate Bill 1630, which would direct AHCCCS to seek federal approval for a home- and community-based services program for adults determined to be seriously mentally ill, with quarterly implementation updates, a stakeholder work group, and a cap on enrollment. The sponsor and advocates from Arizona Mad Moms argued the bill would create a Medicaid-funded long-term care option for the most disabled SMI patients, reduce costly hospital and state-only care, and improve continuity of care. A committee amendment narrowed eligibility to individuals needing a long-term SMI level of care, changed reporting to semiannual, reduced the initial cap to 250 members with possible growth tied to savings, and required AHCCCS to keep pursuing approval if CMS denies it. The amendment was adopted, and SB 1630 as amended passed 10-0. The committee then considered Senate Bill 1131, which originally required every school district and charter school to adopt a cardiac emergency response plan and appropriated $1 million for implementation. A Warner amendment replaced the mandate with a reporting requirement on AED counts, CPR/AED-trained staff, and whether a plan exists, while shifting the appropriation toward AED grants and limiting school spending to purchasing and maintaining AEDs. The American Heart Association supported the amendment as a way to gather baseline data and target resources, while some members questioned the funding split and the rural-school priority. The amendment was adopted, and SB 1131 as amended passed 9-1. Next, the committee took up Senate Bill 1582, dealing with the school safety interoperability fund. The amendment changed the appropriation from ADE to ADOA and allocated funds to specific county sheriff’s offices to continue existing interoperable communication systems linking schools and first responders; supporters said the systems had been used in drills and some real incidents, and were important for school safety. One member raised concerns about the auditor general’s report and whether the program should continue, but sheriffs and school officials described it as a useful communication tool. The amendment was adopted, and SB 1582 as amended passed 6-4. Finally, the committee began hearing Senate Bill 1504, which would change retirement rules for Tier 2 and Tier 3 public safety personnel and reduce the waiting period for cost-of-living adjustments. The sponsor, police and fire representatives, and pension consultants argued the bill would improve recruitment and retention and align benefits more closely with what employees were promised, while cities, counties, and taxpayer groups warned it would add substantial unfunded liabilities and undermine the 2016 pension reforms. The committee spent extensive time on actuarial costs, funding status, and the effect of the amendment exempting the bill from statutory pre-funding requirements; the transcript ends during that discussion before a final vote on SB 1504 is shown.

Transcript Highlights:

• This bill takes a balanced and humane approach by preserving medically necessary care while protecting
• Veterinary Medical Association.
• It is no longer medically necessary.
• , decrease the medication, increase the medication, increase the... ...animal needs to change their medication
• , decrease the medication, increase the medication, run to CVS and get a new medication, and I'm unable

Summary: The committee heard public hearings on several health-related bills. House Bill 1904 would prohibit cat declawing except for therapeutic purposes, with staff explaining definitions, fines, recordkeeping, and reporting requirements. The prime sponsor and animal welfare advocates described declawing as cruel and linked it to pain and behavior problems, while the Washington State Veterinary Medical Association supported the substance of the bill but asked to remove the added reporting and disciplinary provisions as redundant and burdensome. House Bill 2211 would provide guidance for medically tailored meals under existing Medicaid-related nutrition supports, including standards for Washington-based nonprofit providers where possible, menu review, and nutrition requirements. The sponsor said it would clarify implementation without expanding the program, and supporters from meal providers, food distributors, and local farms said it would improve health outcomes, keep dollars local, and support Washington jobs and agriculture. House Bill 2329 would allow licensed midwives to delegate certain tasks to medical assistants and to supervise medical assistants, with the sponsor and birth center operators saying it would fix an omission in current law and help rural and under-resourced birth centers operate more efficiently. Supporters said it would improve staffing and financial stability, while the sponsor indicated the lactation consultant language would likely be removed because those consultants are not regulated by the Department of Health. The committee then returned to House Bill 1904 for additional testimony from humane organizations, veterinarians, shelter leaders, and local officials, all supporting a ban on declawing and emphasizing animal pain, shelter impacts, and available alternatives. House Bill 2247 would expand and clarify veterinary telehealth and veterinarian-client-patient relationship rules, allowing a VCPR to be established in certain telehealth circumstances and setting guardrails for consent, practice standards, and when in-person exams are still required. Supporters from shelters, animal welfare groups, mobile clinics, and veterinarians said telehealth would improve access in rural and underserved areas, reduce shelter intake, and help animals receive care sooner; the veterinary association supported the bill with amendments to clarify recordkeeping and access-to-care findings. House Bill 2339 would update nursing license terminology and processes for advanced registered nurse practitioners, including title changes, controlled substance rules for CRNAs, transcript submission, and interim permits. Nursing board and ARNP representatives supported the technical updates, while the hospital association and medical association raised concerns about title language for clinical nurse specialists and the deletion of a reference to the medical profession. Finally, House Bill 2106 would require health carriers to give 90 days’ notice of significant mid-contract payer modifications and provide the actual modification language, with the sponsor and hospital and provider representatives saying insurers are increasingly making unilateral changes that affect payment, services, and patient access. UW Medicine and a rural hospital district described examples where insurers changed imaging or preventive service coverage mid-contract, causing financial losses and forcing difficult choices about network participation. Carriers were noted as opposing the bill, while providers and facilities argued it would improve transparency and prevent one-sided contract changes that disrupt care.

Transcript Highlights:

• necessary dental procedures.
• create the Louisiana Medical Debt Protection Act.
• life-saving necessary medical procedures.
• , to acquire Medicaid coverage of FDA-approved weight-loss medication.
• for a secondary medical exam.

Bills: SCR12 , HB221 , HB509 , HCR58 , SB78 , SB25 , SB80 , SB132 , SB155 , SB157 , SB202 , SB228 , SB250 , SB414 , SB433 , SB479 , SB513 , SCR9 , SCR58 , SB65 , SB215 , SB249 , SB269 , SB282 , SB296 , SB323 , SB363 , SB369 , SB474 , SB490 , SB492 , SB500 , SB514 , HCR32 , HB17 , HB41 , HB73 , HB223 , HB244 , HB759 , HB906 , HB966 , HB1006 , HB1009 , HB1086 , HB1107 , HB1112 , HB1215 , HB1242 , SB217 , SB283 , SB469 , HB36 , HB42 , HB74 , HB119 , HB159 , HB259 , HB302 , HB414 , HB459 , HB776 , HB848 , HB956 , HB1017 , HB1028 , HB1095 , SB208 , SB312 , SB382 , SB389 , HB210 , HB258 , HB359 , HB368 , HB468 , HB552 , HB732 , HB784 , HB870 , HB953 , HB1117 , HB1236

Summary: The Senate met with 29 members present, heard a prayer and national anthem presentation, and approved the journal without objection. The chamber then received multiple messages from the House on conference committee reports and concurrence actions, and took up a long calendar of Senate resolutions and House/Senate bills returned from the House with amendments. Several resolutions were adopted without objection, including commendations and requests for reports or studies, while others were left over or returned to the calendar. The Senate concurred in or adopted amendments on a series of bills covering registrar compensation (SB 25), broadband administration and reimbursement (SB 80), school safety master key boxes (SB 132), dental coverage for cancer treatment (SB 155), paid parental leave for educators (SB 157), election supervisor compensation days (SB 202), water utility service line replacement funding (SB 228), weight management services through the Office of Group Benefits (SB 250), medical debt protection (SB 414), Medicaid coverage of weight-loss medication (SB 443), and design-build authority for vertiport facilities (SB 513). It also adopted a House concurrent resolution urging backup motors for the St. Claude Avenue Bridge (HCR 32). One bill, SB 479 on removal of certain judges, had its amendments rejected and was sent to conference. The chamber then considered conference committee reports on several measures. Reports were adopted on SB 312 (labor organization dues and fees), SB 208 (veterans services and VA-related restrictions), SB 382 (workers’ compensation advisory council and reimbursement schedule timing), SB 389 (agent and athlete registration and fee review), and multiple House bills including HB 359 (party primary qualifying rules), HB 368 (New Orleans historic preservation lien procedures), HB 468 (wholesale residential real estate definitions), HB 552 (DWI-related responsive verdict language), HB 732 (motor vehicle fines/fees and hybrids), HB 870 and HB 1236 (pharmacy benefit manager and insurance provisions), and HB 1117 (prescription period issues). HB 210 on retroactivity was also adopted after debate. Several conference reports were temporarily passed over or returned to the calendar, including HB 953, and the Senate adjourned to reconvene the next morning for final work.

Transcript Highlights:

• House Bill 245 by Representative Fontenot, medical parole and medical treatment furlough, provides relative
• to giving notice for certain individuals before a hearing on medical parole or medical treatment furlough
• give the district attorney an opportunity to respond, and also add medical parole and medical treatment
• Representative Fontenot continued: It adds medical parole and medical treatment furlough as explicit
• necessary.

Bills: HR112 , HR113 , HR114 , HCR51 , HCR52 , HR94 , HR95 , HR96 , HR97 , HR98 , HR99 , HR100 , HR103 , HR104 , HR105 , HR106 , HR107 , HR108 , HR109 , HR110 , HR111 , HCR46 , HCR47 , HCR48 , HCR49 , HCR50 , SCR25 , SB17 , SB300 , HCR35 , HB51 , HB82 , HB143 , HB145 , HB160 , HB180 , HB192 , HB393 , HB430 , HB445 , HB506 , HB515 , HB521 , HB565 , HB590 , HB614 , HB638 , HB647 , HB670 , HB672 , HB685 , HB692 , HB752 , HB773 , HB781 , HB799 , HB839 , HB860 , HB873 , HB874 , HB887 , HB917 , HB937 , HB956 , HB965 , HB972 , HB977 , HB982 , HB1006 , HB1010 , HB1044 , HB1072 , HB1088 , HB1157 , HB1179 , HB1200 , HR15 , HR20 , HCR14 , HCR6 , HCR19 , HCR10 , HR74 , HCR26 , HCR45 , HB54 , HB67 , HB73 , HB125 , HB133 , HB158 , HB168 , HB169 , HB191 , HB195 , HB245 , HB280 , HB283 , HB296 , HB319 , HB339 , HB399 , HB407 , HB448 , HB550 , HB591 , HB826 , HB995 , HB1085 , HB1086 , HB98 , HB108 , HB131 , HB151 , HB161 , HB288 , HB294 , HB305 , HB310 , HB320 , HB336 , HB380 , HB392 , HB403 , HB420 , HB459 , HB476 , HB540 , HB615 , HB631 , HB637 , HB648 , HB665 , HB682 , HB789 , HB813 , HB815 , HB835 , HB870 , HB905 , HB915 , HB933 , HB938 , HB987 , HB1040 , HB827 , HB953 , HB796 , HB352 , HB463 , HB735 , HB780 , HB882 , HB81 , HB400 , HB140 , HB750 , HB911 , HB961 , HB401 , HB901 , HB9 , HB52 , HB58 , HB154 , HB193 , HB284 , HB410 , HB570 , HB577 , HB582 , HB605 , HB733 , HB868 , HB952

Keywords: commendation, community service, religious leadership, New Orleans, anniversary, Martha's Vineyard, African-American Film Festival, Black excellence, cinema, cultural celebration, Black voices, film industry, Hannuh Ray, Louisiana, youth development, pageant, leadership, community, recognition, compensation

Transcript Highlights:

• And just to level medically necessary.
• ><c> and</c><02:03:33.280><c> it</c> medically necessary treatments and it medically necessary treatments
• </c> maintains medical medical necessary maintains medical medical necessary review<02:03:37.119><c>
• </c><02:10:05.760><c> National</c> medically necessary care. National medically necessary care.
• It says for not if medically necessary.

Committee: House Commerce and Consumer Affairs

Transcript Highlights:

• State law requires health plans to provide enrollees with medically necessary care within timely access
• medical conditions.
• allows for and mandates medically necessary care for all mental health and addiction care.
• and allows for and mandates medically necessary care for all mental health. and allows for and mandates
• medically necessary care for all mental health and addiction and that's really important because I think

Committee: House Health

Summary: The Assembly Health Committee held an informational hearing on Kaiser Permanente’s behavioral health care system, focusing on Department of Managed Health Care (DMHC) enforcement actions, Kaiser’s corrective action work plan, and member access to timely behavioral health services. DMHC officials reviewed a long history of deficiencies and enforcement, including a 2012 survey and fine, a 2017 settlement, a 2022 non-routine survey that found multiple deficiencies in Northern and Southern California, and a 2023 settlement that included a $50 million penalty and $150 million in required community investments over five years. Officials said Kaiser’s corrective action work plan was initially too vague, was revised after extensive meetings, and will be monitored through quarterly reports, ongoing surveys, complaint review, and possible additional enforcement if Kaiser fails to comply. Committee members pressed DMHC on what “timely access” means, how continuity of care should work in behavioral health, and how the department evaluates whether treatment is clinically appropriate. DMHC explained that appointments generally should be available within about two weeks for initial care, within days for urgent needs, and within 10 days for follow-up, with out-of-network care required when in-network access is unavailable. Officials also said the department looks at complaints, medical records, surveys, and annual timely-access reporting, and that the help center can assist enrollees in real time. Members raised concerns that the corrective action plan lacked specific dates and metrics, and DMHC said the quarterly reporting process is intended to provide more detail and flexibility as implementation continues. In the second panel, a Kaiser enrollee described delayed and inadequate care for his daughter after a suicide attempt, including long waits for follow-up, intensive outpatient treatment, and dialectical behavior therapy. A Kennedy Forum representative argued that stronger transparency, standardized reporting, and more aggressive corrective enforcement are needed, including out-of-network reimbursement when networks are inadequate. A Kaiser therapist and NUHW member testified that short appointment times, heavy caseloads, inappropriate referrals, and pressure to use group therapy or webinars undermine clinical care, while NUHW’s president said Kaiser systematically undervalues behavioral health compared with medical-surgical care, especially in Southern California, and urged legislative action. Several lawmakers echoed concerns about Kaiser’s absence from the hearing and asked about workforce shortages, regional disparities, and whether the state’s remedies are arriving too slowly to protect patients in real time.