Transcript Highlights:

• funding in this This is a small step funding in this This is a small step forward<00:03:51.720><
• And so, this is step one.
• And so, this is step one.
• And so, this is step one.
• do you do comprehensive family therapy? do you do comprehensive family therapy?

Keywords: 1183, house

Transcript Highlights:

• Some of the new steps include early engagement with the CCOs. 2027 rates.
• And I'm bringing up ABA therapy in particular not because... Thanks, Chair.
• And I'm bringing up ABA therapy in particular not because I know it works.
• Is that the same with ABA therapy or even with mental health counseling?
• And we have an idea about how much therapy makes sense right now.

Keywords: 907, all

Summary: The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits. CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs. The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.

Transcript Highlights:

• So this is our first step, or a step, is that what I'm saying? No, I agree.
• So this is our first step, or a step, is that what I'm saying? No, I agree.
• am<00:37:52.400> I is our first step or a step is am I is our first step or a step is am
• the in the process of therapy. the in the process of therapy.
• Marriage and Family Therapy. Marriage and Family Therapy.

Keywords: 1189, house, all

Transcript Highlights:

• to keep constituents and children safe, and this bill will help allow us to do that and take us one step
• And this bill will take us one step closer to being able to combat that.
• keep constituents 81 and children safe and this bill will help allow us to do that 82 and take us one step
• And this bill will take us one step closer to being able to combat that.
• I do therapy, both faith-based therapy and non-faith-based therapy, depending on what the client need

Summary: The Health and Human Services Committee heard and advanced four member bills. CS/HB 303 would require nurses to complete the existing two-hour human trafficking prevention course before initial licensure, rather than waiting until renewal; the sponsor said this closes a gap for new nurses, and supporters from the Florida Nurses Association and other groups said it would improve early identification and reporting of trafficking victims. Members asked whether the bill changed reporting duties, and the sponsor said it did not. The bill passed unanimously, 24-0. PCS/HB 1069 would treat independent sanctioning authorities as qualified entities for background screening purposes and allow an unscreened athletic coach to work only if directly supervised by a screened coach. The sponsor said the measure is intended to help families and youth sports organizations while keeping children safe, and members discussed how it would apply to Little League and whether disqualifying offenses would still bar work with children. The bill received support from several organizations and passed 25-0. HB 491 would allow batterers intervention programs to offer voluntary faith-based content alongside required cognitive behavioral therapy, without mandating participation. Supporters argued the bill restores options for clients seeking faith-based counseling and said it does not use taxpayer funds or impose religion; members emphasized the voluntary nature of the program. The bill passed 24-0. HB 569 would change how the Agency for Persons with Disabilities organizes forensic client services by grouping clients based on clinical needs rather than legal charges, which the sponsor said would improve efficiency and reduce duplication. The agency and Florida Smart Justice Alliance supported the bill, and it also passed unanimously, 24-0. The committee then adjourned.

Transcript Highlights:

• The agency has to step up. The fifth one, DHS said that liens share will protect the children.
• The agency has to step up. The fifth one, DHS said that liens share will protect the children.
• <00:40:39.800> forward proposed $6 million is a step forward proposed $6 million is a step
• would like Minnesota to be the stepping would like Minnesota to be the stepping stone<00:48:39.240
• Rolling back this progress through a 2% rate cap would be a step in the wrong direction.

Keywords: 1187, senate, all

Transcript Highlights:

• I brought and also discuss what issues there are in our next steps.
• So it's good to know that communities are seeing the need and stepping up.
• So it's good to know that communities are seeing the need in stepping up.
• We've also seen great success with therapy dogs and our seniors that run the therapy dog programs.
• Would anyone like to step up and make a public comment? You have a minute.

Summary: The Select Committee on Youth Mental Health and Treatment Access held its third hearing to review the state of youth mental health, progress under the Children and Youth Behavioral Health Initiative (CYBHI), and remaining implementation and funding challenges. The chair emphasized that schools are often the main point where education, health care, and social services intersect for students, and that the committee’s goal is to ensure public investments translate into better access and outcomes. The hearing featured testimony from researchers, a youth advocate, state officials, and local practitioners. PPIC researcher Shalini Mostala reported that teen mental health remains a serious concern, with high rates of chronic sadness, hopelessness, and suicidal thoughts, though recent California data show some improvement since the pandemic. She noted persistent disparities by gender, race, and rural status, and said school-based health centers, wellness centers, and community schools are associated with lower suicidal thoughts. Youth advocate Ella Cruz, speaking for NAMI California, described her own mental health struggles and argued that youth voice, peer-to-peer support, and reducing stigma are essential; she also said technology and AI cannot replace trusted adults or trained professionals. Committee members asked about phone use, stigma, cultural barriers, and how to make supports more accessible and relatable to students. Dr. Sohill Sood of the California Health and Human Services Agency said statewide survey data show declining stigma, increased counseling use, and lower suicide ideation among students, and he highlighted CYBHI’s certified wellness coaches, digital tools, awareness campaigns, and the first-in-the-nation fee schedule that allows schools and colleges to bill health plans for behavioral health services. He said the program is growing quickly, with more than 230,000 claims and over $11 million in new revenue to date, while acknowledging that billing systems and coordination are still being built. Trina Frazier of Fresno County described a multi-tiered system of care supported by CYBHI, CalAIM, and other grants, serving thousands of students through school-based services, wellness centers, and mobile therapy units; she said ongoing funding and flexibility are critical. Rachel Kroberniski of El Segundo High School’s James Morehouse Project described a long-running wellness center and peer mentorship model that supports students in multiple languages, and said peer programs help students feel seen, connected, and more willing to seek help. Members broadly praised the flexibility, collaboration, and peer-based approaches described by the witnesses. Questions focused on sustaining funding after one-time grants expire, improving coordination among schools, counties, and providers, expanding the fee schedule to higher education, and ensuring continuity of care for students after high school. Officials said county offices of education, DHCS, and other partners are using communities of practice and technical assistance to spread best practices, and that CYBHI services can follow some young adults through age 25, with additional supports through community-based programs and digital platforms.

Transcript Highlights:

• Um, so Text Protect has long advocated for, uh, better supporting kinship caregivers who step into care
• It sounds like it's there's a lot of steps in the bureaucracy to get this uh this money to the kinship
• So we have kinship placements, people who are willing to step up and provide their family members.
• And that's why the medical nutrition therapy component is essential.
• So that's our Texas Health Steps program.

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

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

Transcript Highlights:

• Senator Miles: Well, you would need more, and that's why I'm thinking adding more steps...
• CAR T-cell therapy is a treatment that uses a patient's own immune system to fight cancer.
• To health benefit plan coverage for chimeric antigen receptor T-cell therapy.
• I think that's a good step.
• I think that's a good step.

Summary: The Senate first adopted a motion by Senator Zaffirini to suspend Senate Rule 5.14 and move the intent calendar deadline to 8:00 p.m. that day, also allowing the Secretary to make the calendar available as soon as practicable. The chamber then took up and passed several House bills, often by suspending the regular order and the constitutional three-day rule. HB 2128, relating to a study of rural firefighting and technical rescue capabilities, passed unanimously. HB 4157, on liability protections for commercial spaceflight and exploration, passed 28-3. HB 2240, concerning certain void marriages, passed after adoption of a Birdwell amendment extending filing deadlines to 90 days for certain active-duty service members and Foreign Service officers. HB 367, on verification of excused absences for students with severe or life-threatening illnesses, passed unanimously after clarifying school district forms and TEA model forms. HB 1506, expanding expedited handgun license eligibility to certain retired county court judges, passed 29-2. HB 4449, on alcohol sales in annexed municipal areas, passed 29-2. HB 3812, on health plan prior authorization requirements, passed 30-1. The Senate also announced a long list of bills and resolutions signed in the presence of the Senate. A major portion of the meeting centered on HB 521, a voting-related bill on curbside voting for voters with disabilities. Senator Paxton described it as an anti-misuse measure requiring a signed eligibility form for curbside voting, creating a 20-foot electioneering buffer, limiting election officer assistance in marking ballots unless a second officer is present, and adding reporting requirements for people who assist seven or more curbside voters. Senators Miles, Menendez, Johnson, Campbell, Cook, and others questioned whether the bill would burden disabled voters, create a de facto registry of volunteers, and impose a harsh Class A misdemeanor penalty for failing to complete the form. Paxton said the bill was intended to protect legitimate curbside voters and curb abuse, and the chamber adopted Paxton Floor Amendment No. 1 after a recorded vote. Zaffirini’s Floor Amendment No. 2, allowing an escorting voter to receive his or her own ballot at the curbside or entrance, was adopted. Menendez’s Floor Amendment No. 3 to reduce the penalty failed. The bill was then passed to third reading on a 20-11 vote, with a motion by Senator Miles to have the exchanges reduced to writing and placed in the journal adopted. The Senate also passed HB 3000, creating a grant program for rural ambulance service providers, after a comptroller-related amendment; HB 5616, establishing the Texas Presidential Library Promotion Program and funding for traveling exhibits, after narrowing the bill to mobile exhibits only; HB 4211, addressing certain residential property interests controlled by entities, which passed 30-1; HB 1178, creating temporary educator certificates for out-of-state certified educators and military spouses, which passed unanimously; HB 2243, creating the Texas Commission on Teacher Job Satisfaction and Retention, which passed after debate over the need to streamline education mandates; and HB 42, increasing and reallocating the constitutional Higher Education Fund appropriation by 50% to $1.18 billion, which passed 31-0. Finally, HB 2512, a Fort Worth-specific bill limiting ETJ release for land subject to active development agreements, passed after debate over broader ETJ and de-annexation policy, with a local-only clarifying amendment adopted and a proposed broader amendment withdrawn. The meeting ended with the Senate beginning consideration of HB 3372, which would bar school district administrators from receiving financial benefits tied to outside consulting or contracting with education entities, though the transcript cuts off during questions on that bill.

Transcript Highlights:

• Dental therapy is a mid-level role focused on prevention and fillings.
• I testify today in strong support of S1569 H2410, establishing the dental therapy model.
• Dental therapy expands access, lowers costs and brings care to our most vulnerable patients.
• That brings us to dental therapy, a proven cost-effective solution. Patients last year.
• That brings us to dental therapy, a proven cost-effective solution.

Keywords: 995, all

Summary: The Joint Committee on Public Health held a lengthy hearing to take testimony on a wide range of bills related to environmental health, PFAS, medical device chemicals, food access, lead poisoning, air quality, oral health, and school food additives. Chair Driscoll and Chair Decker emphasized that the hearing was for testimony only, no decisions would be made that day, and that written testimony could still be submitted. They also noted the high volume of speakers and asked witnesses to keep remarks brief. A major portion of the hearing focused on PFAS-related legislation, including bills to restrict PFAS in products and food packaging and to create a PFAS remediation trust fund. Municipal officials and advocates described the high costs of PFAS cleanup, especially for drinking water systems, citing Easton’s multimillion-dollar treatment investments and rate increases. Testimony from legislators and advocates argued that Massachusetts should act despite federal uncertainty, and that the state should stop PFAS at the source rather than leaving municipalities and residents to pay for remediation. The committee also heard strong support for a bill banning DEHP in medical devices, with physicians, nurses, and a bill sponsor saying the chemical can leach from IV bags and tubing and that safer alternatives already exist. The committee also heard testimony on bills to establish statewide food truck permitting, with food truck owners and a senator describing the current system as costly, duplicative, and inconsistent across municipalities. Another set of witnesses supported the “Bean New Deal,” which would expand plant-based food options in public institutions, senior nutrition programs, and WIC, citing health, equity, and cost savings. On lead poisoning, housing advocates and a representative backed bills to expand lead-safe housing requirements to all rental units, arguing the current law contributes to discrimination against families with children and leaves too much pre-1978 housing uncertified. The committee also heard support for an outdoor air pollution bill that would create an advisory committee, identify pollution hotspots, expand monitoring, and set reduction targets, with testimony from environmental justice groups, pediatricians, and legislators describing disproportionate asthma and other health harms in overburdened communities. Later testimony addressed oral health bills to create dental therapists and allow dental hygienists to administer nitrous oxide, with supporters saying the measures would expand access, reduce costs, and help underserved patients. The committee also heard testimony on a bill to prohibit harmful food dyes in competitive school foods, with parents describing behavioral and health concerns tied to synthetic dyes. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• We are going to have a place where children can go and get therapy.
• The FDA has approved five therapies for Duchenne, including four therapies approved for the use from
• gene therapies. in clinical trials.
• therapy.
• More than 40 potential therapies are also in development.

Bills: SB437, SB528, SB626, SB636, SB884, SB968, SB1044, SB1608, SB2336

Keywords: healthcare, training, abuse, neglect, penalties, chemical dependency, safety, regulation, inpatient competency restoration, competency restoration, forensic mental health, mental health law, criminal competency, incompetent to stand trial, Chapter 46B, HHSC, Health and Human Services Commission, state hospital, behavioral health, local mental health authority

Transcript Highlights:

• And if I may, I'll step outside a little bit as a former provider.
• This was to increase access to physical therapy services per the bill.
• In that bill, it increased access to physical therapy services in a clinic-based setting.
• The bill only limited it to physical therapy. Clinic-based setting.
• These rules are the rules for massage therapy in Arkansas.

Keywords: 1204, all

Transcript Highlights:

• But it seems to me we've got to make maybe a first step.
• What's next steps on those?
• therapy, no PA.
• therapy, no PA.
• I think all the five are, you know, important action steps.

Summary: The committee first approved the previous meeting minutes and then heard a detailed annual report from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and policy issues. He explained the committee’s review process, confidentiality protections, and national and North Dakota data showing that most maternal deaths are preventable and that mental health conditions, substance use, cardiovascular issues, infection, hemorrhage, and embolism are the leading causes. Members asked about suicide, domestic violence, midwife training, home births, and whether pregnancy testing at death scenes should be expanded; Dr. Arnold said better coroner education, more investigation of unexplained deaths, and possible post-mortem pregnancy testing could improve case identification, especially in rural areas. He also noted that deaths often occur well after 42 days postpartum and that mental health-related deaths remain a major concern. The committee then heard from State Fire Marshal Dr. Matthew Clark on cigarette reduced-ignition-propensity standards and related fire prevention issues. He recommended updating the state’s cigarette propensity law to current national standards and also raised a separate recommendation to require fast-breakaway oxygen tubing for home oxygen users, citing fatal fires linked to smoking around oxygen. Members asked about implementation, cost, insurance coverage, and whether the standards apply in tribal communities; Dr. Clark said he would provide follow-up information and was willing to help with any legislation, but no agency bill had yet been planned. Next, Christine Greff of the Department of Health and Human Services reported on the North Dakota Stroke System of Care. She described the statewide network of stroke-ready hospitals, registry-based quality improvement, and performance data showing continued improvement in stroke recognition, imaging, thrombolytic treatment, transfers, and EMS pre-notification. She highlighted new quality measures for inter-facility transfers and intracerebral hemorrhage care, and said the system remains strong but depends on continued legislative and hospital support. Committee members asked about participation by the VA hospital and were encouraged to consider outreach to include it more fully in the stroke system. Finally, the committee began a presentation on prior authorization and non-opioid pain treatment from Taha Khan of Vertex Pharmaceuticals. He argued that prior authorization can delay access to non-opioid acute pain medications, especially in the 24- to 72-hour post-discharge window when pain is most severe, and said delays can push patients toward opioids. He emphasized that prior authorization has a role in utilization management but should not create barriers in acute pain care, and he noted that current use of the company’s non-opioid product remains very low. The discussion was still underway when the transcript ended.

Transcript Highlights:

• And so that brought in the occupational therapy board, gives us the opportunity to fix this.
• , physical therapy, psychological, inter-jurisdictional, and social work compacts.
• It covers a lot of different categories of, per se, therapies.
• by step?
• Like, if we do Clearer for our taxpayers by showing the math step by step, like if we do the gross tax

Keywords: 908, all

Summary: The committee first took up Senate Bill 2401, which would require physicians to complete continuing education on nutrition and metabolic health as part of the state’s rural health transformation effort. HHS supported the bill, saying it would help physicians better address chronic disease and preserve federal grant points tied to the state’s application. A member of the public also testified in favor, arguing that better nutrition education could improve diabetes outcomes and reduce costs. The committee then adopted an amendment to add the Board of Occupational Therapy Practice to the background-check statute so the occupational therapy compact could proceed, and it passed the bill as amended on a roll call vote. The committee next heard House Bill 1621, which would require the Presidential Fitness Physical Fitness Test in elementary, middle, and high school physical education courses. HHS said the bill was part of the rural health transformation application and could help preserve federal funding, but members raised many questions about the test’s criteria, adaptive options for students with disabilities, equipment needs, and whether the bill should apply to non-public schools. Senator Clemens offered an amendment to limit the requirement to public schools, but it failed. Senator Hogan then offered an amendment to clarify exemptions and allow DPI to align implementation with federal guidance; that amendment passed. A further amendment adding language allowing DPI to establish criteria for and exceptions to the test also passed. The committee then approved the bill as amended on a roll call vote. The committee also considered House Bill 1622, which joins North Dakota to the physician assistant licensure compact. HHS said the compact would improve access to care, especially in rural areas, support military families, and help preserve rural health transformation funding. Members noted the compact had been discussed in a prior session and that many earlier concerns had been resolved. After brief discussion about the compact process and its consistency with other interstate compacts, the committee voted to do pass the bill. Finally, the committee began Senate Bill 2402, which expands pharmacists’ prescriptive authority and therapeutic substitution powers. HHS and the Board of Pharmacy supported the bill as a way to improve access to care and maintain rural health transformation funding. Senator Roers introduced a detailed amendment negotiated with the Board of Medicine and Board of Pharmacy to narrow and clarify the bill, including notification requirements, limits on certain drug categories, and patient-protection language for therapeutic substitution. The Board of Pharmacy then testified in support of the broader bill and explained the CLIA-waived testing provisions and the repeal of the older, narrower pharmacist-testing language. The hearing and amendment discussion were still underway when the transcript ended.

Transcript Highlights:

• therapy animals or service dogs. therapy animals or service dogs.
• Therapy dogs have their therapy dogs. Therapy dogs have their own<00:15:13.519> certification.
• What's a therapy What's a comfort dog? What's a therapy dog?
• therapy dog.
• A therapy dog is therapy dog.

Keywords: 1189, house, all

Transcript Highlights:

• disability and elderly waivers, home health agency services, which includes home health aide, rehab therapy
• the workforce, we must do all we can to offer strong wages and benefits to the individuals who do step
• Home health agency services include home health aide, rehab therapy, skilled nursing visit services,
• the workforce, we must do all we can to offer strong wages and benefits to the individuals who do step
• the workforce, we must do all we can to offer strong wages and benefits to the individuals who do step

Keywords: 1183, house

Transcript Highlights:

• Okay, Asmey, we see that you're on Teams, but you may have stepped away.
• And these are useful steps. More is needed. More is needed.
• What added steps could you take? One, identify all needed hospitals and services.
• We are very confident that one will step forward soon.
• or even psychedelic-adjacent therapies can take years to uncover, if ever.

Keywords: 995, all

Summary: The committee hearing covered a wide range of public health bills, with much of the testimony focused on two major themes: expanding access to care and stabilizing health-related workforces and services. On House 2364, an act relative to medical health and fitness facilities, representatives from Dedham Health and Athletic Club argued for a pilot program recognizing supervised exercise as medicine, saying it could improve outcomes for chronic disease, fall prevention, and mental health while reducing costs. On House/Senate bills concerning community health workers (H. 359/S. 251), multiple witnesses from MACHW, Health Care for All, MHA, Cambridge Health Alliance, Mass General Brigham, Boston Children’s Hospital, Asian Women for Health, and the City of Somerville described CHWs as essential for navigation, trust-building, language access, and addressing social needs, and urged reimbursement by MassHealth, the GIC, and private insurers, along with workforce development measures. One pediatric neurologist also told the committee that losing grant-funded CHW support led to more avoidable ER visits and threatened clinic operations. The committee also heard extensive testimony on hospital closures and essential services. Witnesses including Dr. Alan Sager, MNA President Katie Murphy, nurses from Brockton Hospital and Providence Behavioral Health, and local officials and legislators from Norwood described the loss of hospitals and service lines, especially maternity, pediatric, and behavioral health care, and argued current closure processes are too weak to protect communities. They supported bills such as H. 2460/S. 1503 and H. 2534/S. 1574, which would require earlier notice, community input, stronger state oversight, possible receivership, and limits on reopening or expanding after closures. Testimony emphasized the impact of Steward’s bankruptcy, the closures of Carney and Neshoba Valley, and the need to preserve access to essential services in underserved areas. Several end-of-life and professional regulation bills were also discussed. On H. 2436, Representative Omar Gomez and funeral industry witnesses supported eliminating Office of the Chief Medical Examiner fees for the removal of a child’s body in cases involving children five and under, describing the bill as a small but important relief for grieving families. On H. 2444 and related Senate bills, cemetery and consumer advocates supported legalizing alkaline hydrolysis and natural organic reduction as environmentally friendly after-death options, while cemetery representatives opposed H. 2360, which would allow funeral establishments to operate crematories, arguing cemeteries should retain that role. The committee also heard support for H. 2382, which would exempt dentists and oral surgeons from a new office-based surgical center framework, and for H. 2461, which would create hospital efficiency standards; employers and retailers backed that bill as a way to address rising health care costs. Finally, the committee heard testimony on autism services and hospital governance. On S. 1414, behavior analysts and school representatives said Massachusetts already licenses assistant-level ABA providers but MassHealth does not reimburse them, causing long waitlists and limiting school and family access; an actuary testified that a three-tier ABA reimbursement model could reduce MassHealth costs by up to 6% per child served. Senator Lovely also testified in support of S. 1572, which would require at least one registered nurse on each acute care hospital governing board, arguing nurses’ frontline perspective would improve quality and retention. No votes were taken in the hearing excerpt, but many witnesses urged favorable reports on their respective bills.

Transcript Highlights:

• How do we see this as a stepping stone into those long-term careers?
• in your pocket, or even claim to specialize in cognitive behavioral therapy.
• by ensuring that AI chatbots cannot be advertised as therapy.
• Practicing therapy without a license is already illegal.
• This bill takes an important step in an important space to do that.

Keywords: 988, house, all

Transcript Highlights:

• and and I think that this is a good step and and I think that this is a good step in<00:47:25.040
• The services, such as speech-language therapies or occupational therapy, etc., have to be referred and
• Etc therapies or occupational therapy Etc therapies or occupational therapy Etc they<01:11:40.840
• <01:17:35.840> so whether or not you need therapy so whether or not you need therapy so they're
• Moving on to HB 629 HD1 relating to therapy services.

Keywords: 910, house, all

Summary: The committee on Commerce and Consumer Protection met on February 20, 2025, and heard testimony on several measures. HB 850, relating to condominiums, drew support from the Community Associations Institute and the Hawaii State Association of Parliamentarians, who said it would improve owner participation, clarify voting rules, and preserve the use of proxies as a personal choice. A Zoom testifier supported the bill’s intent but warned that special meetings can be abused and suggested further amendments to address board president authority. Members asked about proxies versus electronic voting and whether the bill would reduce proxy use; no vote was taken. The committee also heard HB 48 on coffee labeling, with the Department of Agriculture in support, and HB 1370 on taxation, where a local brewery representative supported equal tax treatment for beer served from 5-gallon kegs and larger kegs when dispensed from a faucet, arguing the bill would clarify draft beer treatment and encourage sustainability. HB 1422 on motor carriers received comments from the Public Utilities Commission and the Department of State Parks, while representatives from a community-based shuttle initiative supported the bill and said nonprofit, community-led transportation solutions should not be regulated like traditional carriers. HB 874, relating to child performers, received support from SAG-AFTRA, IATSE, and individual performers, who emphasized protecting minors’ earnings, safety, and schooling. Testimony also discussed whether to include social media influencers and whether to add annual income limits or trust-account protections; the Department of Labor and Industrial Relations said the issue was outside its wheelhouse. Later, HB 799 on healthcare drew support from health plans and HMSA, with the Department of Health requesting amendments such as a sunset date, a Maui-only pilot, and a report back before changing its position. HB 1379 on health received support from Hawaii Pacific Health, but the Hawaii Medical Board raised concerns about vague language and public-safety implications for internationally trained physicians, asking for more time to study national licensing recommendations. Finally, HB 439 on education was heard, with the Hawaii Teacher Standards Board opposing the bill as drafted and warning about licensing standards and predatory third-party loans affecting J-1 teachers; the transcript ends before any action or vote on these measures.

Transcript Highlights:

• What it does, it extends the Early Steps option.
• earlier you get children into various services and therapies, ABA services and therapy, the better the
• Of the Early Steps extended option. Thank you very much for that question.
• Steps extended option?
• And this is a step in the right direction. It's only a step. This is the first step.

Summary: The Committee on Fiscal Policy met to consider CS for SB 1121, a bill on children with developmental disabilities, especially autism. Senator Harrell said the bill would expand early screening and referrals, extend Early Steps services, designate the University of Florida Center for Autism and Neurodevelopment as a statewide hub, create grants for autism-focused charter schools and summer programs, and establish an autism microcredential for instructional personnel. Supporters, including Florida Goodwill Association, Florida DD Council, Florida for Florida’s Future, and Autism Speaks, said the measure would improve workforce training, early intervention, and educational outcomes for children with autism. The committee adopted two amendments. One expanded the Early Steps extended option so services continue until a child enters school, rather than ending at age four. The second addressed fiscal impacts, with discussion indicating no immediate cost this year but projected impacts of about $8.5 million in 2026-27 and about $15 million in 2027-28 as the program fully ramps up. Members also asked about Medicaid coverage, provider shortages, training, and whether private schools could receive charter-school grants; Senator Harrell said Medicaid-covered children would remain covered, the microcredential would be online and free, no provider reimbursement increases were built into the bill, and private schools would not be eligible for the charter-school grants. After debate, including supportive remarks from President Passidomo emphasizing early detection and research into autism causes, the committee voted to report CS for SB 1121 favorably. The motion passed by roll call, and the meeting adjourned.

Transcript Highlights:

• consideration thank you next please step consideration thank you next please step up<00:18:19.320
• I am Nina Guerrero, the clinical director at Sounding Joy Music Therapy, the only nonprofit music therapy
• Please help us have these people... telea Health speech therapy services telea Health speech therapy
• , including CT cell therapy treatment.
• , including CT cell therapy treatment.

Keywords: 912, senate, all

Summary: The joint Ways and Means and Finance informational briefing on grants and aids was held February 14 and was organized as a high-volume public testimony session with strict procedures: no Q&A, one representative per applicant, one minute per testimony, in-person testimony first, and then Zoom participants. The chairs also announced a recess at 11:00 a.m. for floor sessions and a reconvening at 1:00 p.m. Testimony was heard first from neighbor island applicants, then Oʻahu applicants, with members repeatedly directing speakers to line up and keep remarks brief. Neighbor island testimony focused on a wide range of capital and operating requests. Health and community projects included Hawaii Island Community Health Center’s workforce housing in Kau, Wuli Hawaiian Homestead Association’s learning center and predevelopment work, Rescue Tube Foundation’s beach rescue tube expansion, Puna Community Medical Center’s planned hospital/ER campus, Maui Humane Society’s free veterinary care after the wildfires, Hawaiʻi Care Choices’ palliative care readiness, and the Lyman Museum’s HVAC replacement. Other requests included the Maui Advanced Manufacturing Alliance’s Pāʻia Mill redevelopment, Laua 2020’s preschool and learning lab, Mālama Aina’s USDA-compliant meat processing facility, the Hawaiian Lifeguard Association’s water safety programs, Kaha P Organization’s agriculture education support, Ohana Arts’ youth performance project, Friends of the Children’s Justice Center’s emergency closet, EOA Pacific’s Marshall Islands teacher training, and the Central Pacific Youth Athletic Club’s new facility. Oʻahu testimony included the YWCA Oʻahu/Pythink Center’s renovation of Juliet M. Atherton Hall and its community kitchen, West Oʻahu Community Health Center’s wildfire protection and security needs, the Early School’s playground improvements, Surfing the Nations’ food distribution center expansion, and Sounding Joy Music Therapy’s weekly services for people with disabilities. Speakers generally emphasized community benefit, workforce development, health access, food security, disaster recovery, and support for children, seniors, and underserved populations. No votes or formal committee actions were taken during the briefing.