Transcript Highlights:

• Median home price in... Median home price in Chatham routinely tops $1.5 million.
• or selling a home.
• There were not a lot of options in terms of affordable homes, and even once we found a home, it was an
• was 2% of my home price.
• construction of these homes?

Committee: Joint Joint Committee on Revenue

Keywords: 995, all

Summary: The Joint Committee on Revenue held a public hearing on a series of bills focused largely on local-option real estate transfer fees and housing funding tools for communities facing severe affordability pressures. Testimony strongly favored bills for Somerville, Concord, Martha’s Vineyard, Nantucket, Chatham, and a statewide local-option transfer fee, with speakers arguing that high-end real estate transactions should help fund affordable housing, anti-displacement efforts, workforce housing, and related capital improvements. Elected officials and local housing leaders described rising rents and home prices, investor activity, shrinking year-round housing stock, and difficulty recruiting or retaining teachers, police, health care workers, and other essential employees. Several witnesses emphasized that the proposals would be optional for municipalities, could include exemptions for first-time homebuyers or seniors, and would direct revenue into local affordable housing trust funds or housing banks. Committee members asked questions about who would pay the fee and whether it could make housing less affordable, and supporters responded that the fees would be targeted at higher-value transactions and designed with local flexibility. For Somerville, the delegation and Mayor Katjana Ballantyne backed both a local home rule petition and statewide enabling legislation, saying the city has already used zoning reform, inclusionary zoning, and local housing funds but still needs a new revenue source to address displacement and investor-driven purchases. For Concord, Representative Carmine Gentile and Concord housing advocates supported a home rule petition and the statewide bill, arguing that a modest fee on sales above $1 million could generate predictable revenue for affordable housing production and preservation. One committee exchange focused on whether the fee would affect most Concord sales and whether it would be passed on to buyers; supporters said the policy was intended to shift costs toward higher-value properties and help leverage other funding sources. The committee also heard testimony on House 4105, which would redirect a casino-related revenue stream to the Healthy Incentives Program. Farmers, advocates, and residents said the current funding was originally intended to support horse racing but has not met that goal, and that the money would be better used to support Massachusetts farmers and food-insecure residents through HIP. In a separate bill, Senator Becca Rausch testified in support of Senate 268, which would create a state-level hostile learning environment complaint process for higher education institutions and potentially strip tax exemptions from colleges or universities found to have such environments; she cited anti-Semitic and transphobic incidents on campuses and argued that existing federal protections should be mirrored in state law. The hearing also included testimony on college tuition debt reduction legislation from Senator Michael Moore, who said the bill would allow a deduction for tuition and fees paid to Massachusetts public colleges and universities to ease student debt and support the state’s workforce. A major portion of the hearing focused on Martha’s Vineyard and Nantucket housing bank proposals. Hospital, school, housing, planning, and municipal officials from Martha’s Vineyard said the island’s year-round housing shortage is harming health care, schools, and the local workforce, and urged approval of a housing bank funded by a local-option transfer fee. Nantucket witnesses made similar arguments, pointing to a very high median home price, a large seasonal housing stock, and the need for a dedicated revenue stream to preserve and create year-round housing. Supporters repeatedly cited the long-running success of the islands’ land banks as evidence that transfer fees can work without harming real estate markets. Senator Julian Cyr and Representative Thomas Moakley Luddy also backed the Cape and Islands transfer-fee bills, saying the region needs bold action and a sustainable local funding source to address its housing crisis.

Transcript Highlights:

• </c> invaluable to the board. invaluable to the board.
• We did revamp this board uh in board. We did revamp this board uh in past<01:43:11.040><c> years.
• How can you help the board accomplish this in the financing and workforce capacity?
• Maybe for the early board learning um<02:17:41.120><c> board.</c> um board. um board.
• We have medical students when they come through, particularly for our nursing home, or what we call a

Committee: Senate Education

Keywords: 912, senate, all

Transcript Highlights:

• It's a, a nursing home that has multiple sites across the state.
• So for that nursing home, he created his own 501c3 as a separate nonprofit organization.
• To act as a sponsor for and handle all the administrative processes for all of his nursing homes across
• So, they handle the administration and the nursing home actually hosts the apprentice.
• The nursing home ultimately gets paid by the state for the apprentice. There's a fee for that.

Committee: House S/C on Workforce

Transcript Highlights:

• When looking at how oversight commissions choose their executive directors across the board, the standard
• </c><02:06:17.119><c> is</c> cause and I think the best standard is cause and I think the best standard
• They have a board, and then they have the staff above, so they have the board, the executive director
• New York City Board of Corrections had a board, an executive director, and then staff, right?
• We have it for our nurses.

Committee: House Public Safety

Keywords: 910, house, all

Summary: The Committee on Public Safety met on January 31, 2025, and first heard House Bill 1062, a housekeeping measure relating to the Hawaii Air National Guard. Testimony in support came from representatives of the Adjutant General and other National Guard witnesses. A member raised a technical question about language allowing the Guard to hold the rank authorized by the Department of the Air Force, and the response was that the bill should not require additional HR language; no vote was taken. The committee then heard House Bill 674, which would authorize allowances for TRICARE dental and vision coverage for Hawaii National Guard personnel ordered to active duty for more than 30 days. The Department of Defense supported the bill through Brigadier General Ross, Director of Joint Staff, and Terry Heiti also testified in support. There were no questions or action taken on the measure. House Bill 652, relating to veterans’ rights and benefits and regulating compensation for advice or assistance on veterans’ benefits, drew the most discussion. The Veterans of Foreign Wars Department of Hawaii supported the bill, arguing it would protect veterans from illegal or exploitative practices and noting its own service to more than 2,000 veterans in fiscal year 2024. Opposition came from the National Association for Veterans Rights and Veteran Benefits Guide, which argued the bill would restrict access to needed services and that some for-profit providers operate legally and should not be barred. Committee members questioned the scope of the bill, accreditation requirements, and whether nonprofit or pro bono services would be affected. A Department of Defense veteran services official said veterans can be vulnerable to exploitation and that some legal fee arrangements can be abusive, while also noting pro bono options exist. The committee did not reach a decision on the bill during the excerpt. The committee also began hearing House Bill 1058, which would create a veteran cemetery board within the Office of Veteran Services to help state veteran cemeteries comply with federal standards. The Office of Veteran Services and Terry Heiti testified in support. Members asked about the board’s membership, timeline, and consultant selection, and were told the working group was still in an organizational stage and no construction timeline had been set. The final measure discussed was House Bill 503, which would appropriate funds for a consultant to evaluate locations and designs for a Hawaii First Responders Memorial. The Department of Accounting and General Services supported the bill, and testimony in support was received from county and city officials, UPW Hawaii, and individuals. Members asked about the working group, timeline, and budget, and were told the project was still in early planning; no final action was taken in the portion provided.

Transcript Highlights:

• These will be conducted in the following order: State Board of Pharmacy, State Board of Nursing, Arizona
• Board of Occupational Therapy, Department of Pharmacy, State Board of Nursing, Arizona Board of Occupational
• Unregistered practitioners include those licensed by the medical board, nursing board, and dental board—boards
• I am Joey Riedenow, the executive director of the Board of Nursing.
• The board has the same regulatory responsibilities as the nursing board: issuing licenses, investigating

Committee: House House Health & Human Services Committee of Reference

Keywords: 1182, all

Transcript Highlights:

• Gloria Dordy, a nurse practitioner that's PhD prepared, here representing the New Mexico Nursing Association
• I'm at home doing some step therapy on a cold.
• Board of Airplane.
• I am a PhD nurse practitioner here on behalf of the New Mexico Nursing Association and the New Mexico
• Nurse Practitioner Council.

Summary: The committee first took up Senate Bill 20, a prior-authorization and step-therapy measure, on a committee substitute that had already incorporated many stakeholder changes. The sponsor and agency witnesses described revisions to definitions of chronic health condition and serious mental illness, shorter prior-authorization periods, and limits on reporting requirements. Supporters, including a nurse practitioner and disability advocates, said the bill would reduce barriers to needed medications and urged broader protections for chronic and behavioral health conditions. Health insurance and pharmacy benefit management representatives remained opposed, arguing prior authorization is an important patient-safety tool and objecting to the bill’s limits on its use. Senator Hickey offered two amendments: one to conform electronic prior-authorization response times to existing law by changing seven days to three, and one to restore the prior-authorization period from 12 months to three years. The first amendment was accepted; the second passed on a 5-4 vote. The committee then approved the amended substitute 6-3. The committee next heard Senate Bill 111, which would expand the confidentiality of personal information held by the Motor Vehicle Division to include sex, gender identity, national origin, and immigration status. Tax and Revenue officials explained that the bill would not change what documents MVD collects, but would limit disclosure of sensitive information contained in scanned records unless a statutory exception applies. Members asked about what appears on licenses, what is stored in MVD’s system, and whether law enforcement access would change; officials said criminal law enforcement exceptions would remain in place and that the bill mainly affects public disclosure requests. The committee voted 8-1 to give the bill a do-pass recommendation. Senate Bill 218, funding a Los Alamos Emergency Operations Center, was presented as a regional disaster-response and training facility for northern New Mexico. Los Alamos County witnesses said the project would support emergency management training and coordination across the region and requested $5 million. Several senators questioned whether the county had explored bonding, intergovernmental agreements, or regional cost-sharing, and raised concerns about Los Alamos’s debt capacity and whether the project was truly regional. Supporters said the county has a long capital backlog and that the center would serve communities from Santa Fe north. The committee ultimately voted 9-1 to advance the bill. Finally, the committee heard Senate Bill 14, a major health professional loan-repayment proposal. Senator Hickey described it as an effort to recruit and retain physicians, nurses, and other allied health professionals by increasing repayment amounts, prioritizing physicians and doctors of osteopathic medicine for 50% of the fund, and allowing service commitments with some flexibility, including part-time work. Supporters from medical, nursing, and behavioral health groups said the bill would help address workforce shortages and make New Mexico more competitive. Committee members asked about the inclusion of physician assistants, the 90-day start requirement, anti-donation concerns, tax treatment, tribal and IHS providers, and whether the 50% physician set-aside would leave enough for other professions. After discussion, the committee voted 10-0 to send the bill forward with a do-pass recommendation.

Transcript Highlights:

• Following the board, she held various staff positions in the U.S.
• The bill modernizes the certification process for certified nurse assistants and home health aides.
• The bill modernizes the certification process for certified nurse assistants and home health aides.
• Although they're called mobile homes, mobile homes are not typically able to be moved, and many mobile
• The Pew Charitable Trust, the inability to classify homes as real property causes manufactured home

Keywords: 987, senate, all

Transcript Highlights:

• workforce.
• In addition, we focus the majority of our efforts on developing the workforce among home and community-based
• So the Commonwealth remains committed to supporting the expansion of the home and community-based workforce
• aides and home health aides.
• , human sector workforce.

Keywords: 995, all

Summary: The subcommittee met to approve the April and May minutes, welcome a new member, and hear an update from Gina Frey of EOHHS on statewide health and human services workforce development efforts. Frey described cross-secretariat initiatives under the Workforce Skills Cabinet, including MA Repay loan repayment awards, expanded community college and tuition supports, ESOL/work-readiness programming for immigrants, and efforts to build career pathways and reduce attrition in nursing, behavioral health, direct care, and primary care. She also reviewed a $46 million ARPA-funded home and community-based services grant program that supported 82 grantees, led to hiring 8,752 new staff, over 1,000 interns, 2,000 new certifications, and a drop in vacancy rates from 22% to 12%. Members raised concerns about the impact of immigration policy changes on the direct care workforce, including losses of trained workers in provider agencies, and asked whether any exemption or other relief efforts were underway. Frey said EOHHS is tracking the issue closely but did not identify a specific exemption effort. The discussion also touched on Medicaid and related program changes, with Frey noting the administration is focused on understanding potential impacts to eligibility and work requirements. Rep. Howard asked about initiatives for direct support professionals and wraparound supports, and Frey said those efforts are often led by individual agencies such as MassAbility and DDS, with EOHHS coordinating across them. The latter part of the meeting shifted to planning FY26 subcommittee goals and possible events. Members discussed using the Health Policy Commission’s Behavioral Health Workforce Center and possibly asking for a study comparing compensation in DDS and related direct care roles against health care and education jobs. They also discussed a possible cross-state public event on immigration’s impact on the workforce, especially for people with disabilities and direct support services, and agreed to continue refining goals and event ideas by email and at the next meeting. Frey provided a website link and contact information for Amy Doyle at the Health Policy Commission to facilitate future presentations.

Transcript Highlights:

• The board is also assessing market consolidation.
• So the board has set a spending target of 15 percent.
• Now, we standardize our benefit designs.
• , and particularly looking at the low-wage workforce.
• My mother was a nurse, my sister's a nurse, so I'm steeped in health care information and have a great

Summary: The joint informational hearing of the Senate and Assembly Health Committees focused on the cost of federal instability for California health coverage, access, and affordability. Opening remarks from members of both houses emphasized that California’s coverage gains under the Affordable Care Act are now threatened by federal policy changes, including the expiration of enhanced premium tax credits, H.R. 1, and new federal regulatory actions. Members repeatedly cited rising premiums, skipped care, medical debt, and the risk that low-income, immigrant, and working Californians could lose coverage or be pushed into less comprehensive plans. The first panel reviewed the federal landscape and state response. Don Joyce described the ACA’s coverage expansions and warned that H.R. 1, regulatory changes, and broader federal retrenchment could reduce coverage and weaken meaningful benefits. Covered California Executive Director Jessica Altman said the loss of enhanced premium tax credits is driving major affordability problems, with average monthly premiums projected to rise sharply and enrollment already down, especially among middle-income consumers. HCAI’s Elizabeth Lansberg explained the Office of Health Care Affordability’s role in slowing spending growth, monitoring consolidation, and setting spending targets, including lower targets for high-cost hospitals and new primary care investment goals. Members asked about bronze plans, high-cost hospitals, administrative burdens, provider taxes, and whether federal advisory changes could affect required benefits such as immunizations. The second panel examined population impacts and cost drivers. UC Berkeley Labor Center’s Miranda Dietz said most Californians get coverage through employers, Medi-Cal, or Covered California, and that affordability problems are widespread across all groups. She projected that California could have up to 2 million more uninsured residents by 2030, largely from Medi-Cal losses, and said higher premiums reduce wages and increase medical debt. Christoph Stremakis of the California Health Care Foundation highlighted survey data showing widespread concern about medical bills, skipped care, and medical debt, and argued that a large share of spending is wasted through administrative complexity, inflated prices, and underinvestment in prevention. Committee members pressed the panel on whether California can sustain coverage without new revenue, how cost-growth targets affect workers and families, how medical debt relief programs like Los Angeles County’s could be expanded, and how OCA can address uncompensated care, consolidation, and prior authorization burdens.

Transcript Highlights:

• I think we are feeling it at home. Room could refute that.
• So it's a laudable goal, but again, this is the stance that the entire board of CTRA takes.
• I am the administrative lobbyist, contract lobbyist for the larger board.
• Retaining veterans would also serve to bolster our struggling workforce.
• Retaining veterans would also serve to bolster our struggling workforce.

Committee: Senate Revenue and Taxation

Keywords: 987, senate, all

Transcript Highlights:

• Is that something in particular, just as that board does?
• Is that something in particular just that board does?
• So you have a higher take-home, essentially.
• So Plan 3 and Plan 2 were actually designed for different workforces and intended to meet different workforce
• Plan 2 and Plan 3 were designed for different workforces.

Committee: Joint Select Committee on Pension Policy

Keywords: 904, all

Transcript Highlights:

• </c><01:48:38.239><c> and</c> Institute Institute of standard and Institute Institute of standard and
• Courtney Tanner: Well, Daisy is a certified nurse midwife. She also has a doctorate in nursing.
• She has a master's in public health, and she's a board-certified nurse practitioner.
• </c> board-certified um uh nurse practitioner board-certified um uh nurse practitioner thank<02:41:34.640
• standard and go along.

Committee: House Health, Human Services & Elderly Affairs

Keywords: 1189, house, all

Transcript Highlights:

• Children's Home Society of Florida, Children's Advocacy Center, Bartow.
• In Florida, CACs work closely with local partners to meet these standards.
• Prior to becoming a nurse practitioner, I was a registered nurse for nearly eight years at a local children's
• I work closely with two other nurse practitioners on my team.
• or to get that child back home with the family.

Summary: The Children, Families, and Elder Affairs Committee held a panel discussion on Florida’s child protection teams (CPTs), child advocacy centers (CACs), and related state systems. Testimony came from the Department of Children and Families, the Department of Health, a local CAC director, the Florida Network of Children’s Advocacy Centers, a CPT medical lead, and a Jacksonville sheriff’s sergeant. Witnesses described how DCF investigations, CPT medical and forensic services, CAC multidisciplinary coordination, and law enforcement work together to assess abuse allegations, provide interviews and exams, and connect children and families to services. Several speakers highlighted telemedicine, co-location, and Jacksonville’s specialized investigative model as examples of stronger coordination. Committee members focused heavily on communication gaps, staffing shortages, and delays in forensic interviews and medical evaluations. Senators asked about implementation of Jordan’s Law, the timing of DCF and law enforcement notifications, whether law enforcement is always included in decisions about forensic interviews, and how quickly children are seen after a report. DCF and DOH representatives said referrals are generally made within 24 hours and that multidisciplinary staffings are used to share information, but law enforcement described cases where interviews were scheduled weeks out or reports arrived late, creating problems for probable cause and safety decisions. Members also raised concerns about turnover among CPIs and CPT staff, caseloads, and the need for more specialty providers. CAC representatives said the model reduces trauma by bringing services together in one place, but noted uneven access across the state, especially in rural areas and in counties without CACs. They said sustainable funding and workforce development are needed to maintain and expand services, and one speaker noted that some CACs have closed due to funding challenges. DCF said there are about 1,500 CPIs statewide and an average active caseload of about 12 per investigator, while CPTs serve roughly 22,000 to 23,000 children annually. The committee did not take any formal vote or action, but members requested follow-up information on staffing numbers, communication practices, CAC locations, and recommendations for statutory or budget changes. The meeting ended with adjournment.

Transcript Highlights:

• of Education board chairperson's designate, who is also a current board member?
• Board of Education board chairperson's designate, who is also a current board member, so tying the designate
• of Education board chairperson's designate, who is also a current board member?
• Board of Education board chairperson's designate, who is also a current board member, so tying the designate
• I should be speaking on behalf of the Board of Education. ahead for the Board of ahead for the Board

Keywords: 910, house, all

Summary: The House Committee on Education met on February 6 at 2:00 p.m. and heard testimony on a series of education-related bills. HB 1200, which would codify teacher ratios in statute, drew support from the Department of Education, the Democratic Party of the Education Caucus, and 11 individuals; no opposition was noted and the committee moved on without questions. HB 1344, concerning mandatory FAFSA completion, received testimony from the Department of Education, Hawaii P20, and a University of Hawaiʻi student who cited unclaimed Pell Grant funds and low FAFSA completion rates as reasons to support the bill. Committee members asked about current outreach efforts, and DOE and P20 described FAFSA tracking data, hotlines, email support, school-based FAFSA nights, and coordination with counselors; members also raised concerns about federal education funding and Pell Grants. The committee then heard HB 1499, which would authorize staff and volunteers to administer certain medications. The Department of Education, Department of Health, University of Hawaiʻi nursing leadership, and the Hawaii State Center for Nursing all testified in support, along with several individuals and the Democratic Party Environmental Caucus. The next measure, HB 902 on the Public Safety Power Shutoff program, was supported by DOE, the Public Utilities Commission, and Hawaiian Electric, but it prompted extensive questioning from the Vice Chair about whether taxpayers should fund a study to help schools remain open during shutoffs. Hawaiian Electric said the bill would help DOE assess impacts in wildfire-risk areas and noted its wildfire safety strategy, outreach efforts, and potential community resource centers, while the Vice Chair argued the utility should bear more of the cost. The committee also heard HB 961, a bill on school libraries and a CASS pilot program, with DOE offering comments and HSTA and the Hawaii Library Association strongly supporting it. HSTA argued certified librarians are important for literacy, research, and digital literacy, and said many schools lack them because of cost; the association and 14 individuals testified in support. HB 962, a related bill on DOE libraries and the system, also drew support from DOE, HSTA, and the Hawaii Library Association, with 15 individuals in support. Finally, HB 730, concerning the Civil Rights Compliance Branch, received support from DOE, White Children’s Action Network, AAW of Hawaiʻi, and many individuals. Testifiers said the branch needs more resources and training and handles more than Title IX, including Title VI, Title VII, and ADA matters. A student plaintiff in a Title IX lawsuit described unequal treatment in athletics and facilities, and another supporter said the bill would help ensure compliance with federal civil rights laws. No votes were taken during the portion of the meeting provided.

Transcript Highlights:

• Evidence from California suggested that changing the default standardized prescription from one to 12
• homes, mental health providers.
• But this is for individuals who may not already be part of a nursing home care program.
• home facility if they're receiving care in the home.
• The ombudsman is already out there supporting them, but only in nursing facilities and veterans homes

Committee: House Health and Mental Health

Summary: The House Committee on Health and Mental Health met in executive session and first adopted a substitute for House Bill 3401, Representative Phelps’s workplace violence bill, then voted the House Committee Substitute do pass. The substitute broadened language by removing a specific reference to bodily fluids, based on testimony from hospital security personnel that broader wording would be easier to prosecute. The roll call showed the substitute adopted and the bill passed out of committee. The committee then heard House Bill 2370, sponsored by Representative Peters, which would require private insurance to cover a one-year supply of self-administered hormonal contraceptives at one time, similar to Missouri HealthNet. Supporters included ACOG, the Missouri State Medical Association, Beacon Reproductive Health Network, and the Missouri Nurses Association, who argued the bill would improve access, reduce missed doses and unintended pregnancies, and save costs by reducing barriers such as transportation, work schedules, and pharmacy refill gaps. The Missouri Insurance Coalition opposed the bill, arguing it would impose a mandate on private plans, increase costs—especially for brand-name products—and raised questions about whether the bill would require bulk dispensing and how it would interact with existing refill rules. The committee also heard informational testimony from MoSPI noting rural access barriers, higher adherence with 12-month supplies, and that Missouri HealthNet already covers an annual supply. Finally, the committee heard House Bill 3278, sponsored by Representative Lobbinger, which would create a multidisciplinary adult protection team framework for adults 60 and older and adults 18 and older with cognitive impairments or disabilities. The bill is intended to improve coordination among agencies handling abuse, neglect, and exploitation cases by allowing limited information sharing and reducing duplicated investigations while preserving confidentiality and guardianship protections. DHSS testified in support, saying the bill would provide a clearer framework for existing multidisciplinary teams, streamline coordination, and help protect vulnerable adults without creating new positions or infrastructure. Committee members asked about membership, meeting frequency, conflicts of interest, and how the bill differs from the ombudsman system; the sponsor and DHSS explained that the teams would be case-specific, generally meet as needed or quarterly, and apply to community cases rather than facility residents. The sponsor also submitted letters of support from existing multidisciplinary teams and related organizations.

Transcript Highlights:

• relating to certain water infrastructure matters under the jurisdiction of the Texas Water Development Board
• Senate Bill 1908 by Zafarini relating to a study by the Texas Higher Education Coordinating Board on
• districts to decrease the number of trustees on the board to Education K through 16.
• Senate Bill 2058 by Parker relating to certain duties of the Texas Board of Nursing and the Texas Higher
• Education Coordinating Board to Health and Human Services.

Transcript Highlights:

• Chairman, committee members, HB 1095 provides for alternative power sources at nursing homes.
• This bill was brought to me by some nursing home operators that expressed the need to have flexibility
• This bill is a carbon copy of previous legislation related to backup power for nursing homes.
• And they came from Calcasieu, Tangipahoa, Lafayette, ... ...nursing homes are regulated and can only
• Under federal rules, pharmacies that serve nursing home and assisted living facilities, must deliver

Committee: Senate Health and Welfare

Summary: The Senate Committee on Health and Welfare met on May 13 and approved the minutes from the prior week before taking up a series of House bills, many of them with testimony from sponsors, agency officials, and stakeholders. Early action included HB 971, which would direct LDH to equalize Medicaid reimbursement rates between independent rural health clinics and hospital-owned rural health clinics; the sponsor described a significant payment disparity and the committee reported the bill favorably. The committee also deferred HB 1030 and HB 796 until the following week before moving to other items on the agenda. Several bills dealing with Medicaid and provider regulation were advanced. HB 414, as amended, closes a loophole so health care providers cannot hire unlicensed workers with certain serious out-of-state convictions; amendments addressed effective dates, FBI background-check issues for therapeutic group homes, and delays for direct support professional applicants caused by minor record issues. HB 740, as amended, creates an independent review process for Medicaid claims disputes in the coordinated system of care for behavioral health providers, with amendments clarifying applicability dates and program definitions. HB 786, which prohibits extrapolation in managed care claims recoupments and requires recovery to be based on actual overpayments or underpayments, was also reported favorably. HB 915 set timelines and accountability standards for prior authorization and utilization management in Medicaid managed care and was reported favorably after testimony about delays in care. The committee also heard and passed several bills affecting health professions and facilities. HB 405 simply updates the name of the national acupuncture certification body. HB 1095 allows nursing homes to use alternative power sources while keeping existing generator and fuel requirements. HB 557 defines long-term care pharmacies for policy purposes. HB 779 authorizes expedited partner therapy prescriptions for certain sexually transmitted diseases. HB 933 creates an optional commemorative birth certificate, with part of the fee going to the Office of Women’s Health. HB 796, carried by another representative for the author, establishes a chiropractic preceptorship program with on-site supervision requirements and was reported favorably after questions about student training and patient safety. The committee also heard emotionally charged testimony on HB 288, which would place the term “miscarriage” alongside “spontaneous abortion” in medical documentation and patient communication. Several witnesses described the distress caused by current coding language, and supporters said the change would make records more compassionate and understandable; the bill was reported favorably. HB 403 increased the cottage food gross-sales cap, and after testimony from small producers and the committee’s discussion of other states’ higher limits, an amendment raised the cap to $150,000 before the bill was reported favorably. HB 930 modernizes cosmetic-product regulation and creates a small home-based producer exemption under a wholesale-sales threshold; it was also reported favorably. Finally, HB 1041, a no-mandate bill restricting discrimination based on medical intervention status, prompted extended debate over exemptions for schools, hospitals, and other entities, with one amendment failing on a roll-call vote and the discussion continuing over the scope of the bill and federal funding concerns.

Transcript Highlights:

• homes, mental health providers.
• But this is for individuals who may not already be part of a nursing home care program.
• home facility if they're receiving care in the home.
• home facility if they're receiving care in the home.
• veterans' homes.

Committee: House Health and Mental Health

Keywords: 959, house, all

Transcript Highlights:

• She earned her RN degree and she is now a nurse in Nashua. Her family owns a home.
• She earned her RN degree and she is now a nurse in Nashua. Her family owns a home.
• She earned her RN degree and she is now a nurse in Nashua. Her family owns a home.
• She earned her RN degree and she is now a nurse in Nashua. Her family owns a home.
• “Her RN degree and she is now a nurse in Nashua. Her family owns a home. They’re paying taxes.

Committee: Senate Executive Departments and Administration

Keywords: 1191, senate, all

Transcript Highlights:

• I have seen firsthand over and over how home birth outcomes exceed standards because not only are the
• I have seen firsthand over and over how home birth outcomes exceed standards because not only are the
• I have seen firsthand over and over how home birth outcomes exceed standards because not only are the
• I have seen firsthand over and over how home birth outcomes exceed standards because not only are the
• I have seen firsthand over and over how home birth outcomes exceed standards because not only are the

Committee: Senate Health and Human Services

Keywords: 912, senate, all

Summary: The Health and Human Services committee heard extensive testimony on HB 1194 HD2, a bill to regulate midwifery and require accredited education for licensed midwives. Supporters, including the Midwives Alliance of Hawaii, ACOG, a pediatrician, and several licensed midwives, argued the bill would improve maternal and newborn safety, clarify the definition of midwife, strengthen accountability, and align Hawaii with national education standards. They said accredited training is necessary to avoid gaps in knowledge and to support safe transfers and collaboration with hospitals. Opponents, including many midwives, parents, cultural practitioners, and community groups, argued the bill would restrict access to care, criminalize traditional and apprenticeship-based midwifery, and undermine reproductive autonomy and Native Hawaiian and other cultural birthing practices. Several asked for amendments to preserve a birth attendant exemption, the PET/portfolio pathway, and cultural and religious protections. Others said the bill would disproportionately harm rural, Indigenous, and low-income families by making training and licensure less accessible. The committee also heard testimony from state and county entities and professional organizations, with some standing on written testimony and others offering brief comments. The chair repeatedly reminded testifiers of the one-minute limit and the possibility that final decision-making would be deferred if quorum was lost. The transcript does not show a final vote or action taken during this segment.