Transcript Highlights:

• <00:16:24.240> the part-time teachers shall practice the part-time teachers shall practice
• How do we they have to practice this.
• It says that educational professionals need to practice it.
• Okay. part-time teacher,<00:47:55.520> so<00:47:55.680> I'll<00:47:55.920> practice<
• We practice zip code discrimination when it comes to public schools that children can attend.

Keywords: 1191, senate, all

Transcript Highlights:

• So, it's logistically and practically just really challenging.
• practically just really uh challenging. practically just really uh challenging.
• It could be private practice.
• I've been practicing in first time ever.
• how to do it and they wanted to practice how to do it and they wanted to practice the<03:09:39.479

Keywords: 928, house, all

Summary: The committee heard testimony on Senate Bill 34, which would require parental consent for each new service provided to a student through the Medicaid to Schools program and require reports to legislative policy committees. Senator Ruth Ward said the bill was intended to increase transparency, protect parental involvement, and ensure continuity of care, especially for students with disabilities. She also noted a proposed amendment she received shortly before the hearing that would change the bill’s focus from a “new service” to a “new care plan.” Representatives from the New Hampshire Primary Care Association and Amoscake Health testified that they opposed the bill as written but would support it with the amendment. They explained that tying consent to individual diagnosis codes or services could be burdensome, could delay care, and could create compliance problems if a diagnosis changes during a visit. They said the amendment would better align consent with the overall care plan and avoid interrupting treatment mid-appointment. Committee members raised questions about how the bill would interact with IEPs, individualized health plans, homebound services, telehealth, billing, and whether the amendment would still require parental involvement after a care plan changes. The deputy Medicaid director from the Department of Health and Human Services testified that the amendment was more operationally feasible because Medicaid billing involves many ICD-10 codes that can change or overlap, and consent should be tied to the care plan rather than to each code. He said the current law already requires parental consent for participation in the Medicaid to Schools program and annual consent for billing, but the bill would make explicit consent for care-plan changes. No vote was taken during the portion of the hearing provided, and the committee appeared to continue discussion with DHHS after the testimony.

Transcript Highlights:

• ,<00:38:24.520> with<00:38:24.760> our<00:38:24.880> bill Our OJP practices,
• our policy and practice with the science<00:49:05.280> of<00:49:05.400> reading,<00:49
• I don't think it's practical, but I think that there should be a target.
• This bill addresses a practical This bill addresses a practical regulatory<01:09:24.359> issues
• <01:13:12.080> solution We believe this is a practical solution We believe this is a practical

Keywords: 1187, senate, all

Transcript Highlights:

• across municipal and state practices across municipal and state courts.
• Given that years later, what we heard in committee was, frankly, practices vary.
• But I think we also heard that practices are varying and not in a good way.
• Um I think some practices vary.
• <02:10:06.639> with reminder to appear uh practices with reminder to appear uh practices with

Keywords: 981, all

Transcript Highlights:

• <00:41:28.400> that<00:41:28.560> we well what are the best practices that we well
• what are the best practices that we can<00:41:28.800> implement<00:41:29.119> at<00:41:
• in that we are part indigenous practices in that we are part of<00:58:58.559> this<00:58:58.799
• You build resilience when you practice things.
• You build resilience when you practice things.

Keywords: 910, house, all

Summary: The House Committee on Public Safety held an informational briefing on the second anniversary of the Maui wildfires, with Chair Dela Alani framing the discussion around emergency preparedness, recovery, and lessons for future disasters. The main presentation came from researchers involved in the Maui Wildfire Exposure Study, who described the project as a grassroots academic-community partnership that has enrolled more than 2,000 adults and children for health screenings, social assessments, and biomonitoring. They said the study has documented elevated mental and physical health conditions, housing instability, unemployment, barriers to care, and exposure to heavy metals and other toxicants, while also noting some modest improvement in adult mental health and self-rated health compared with the prior year. The presenters emphasized that wildfire impacts remain severe two years later. They reported that about half of adult participants had worsening health since the fires, roughly 40% had direct or frequent fire exposure, and many adults showed chronic disease burdens such as hypertension, diabetes, and respiratory impairment. They also said about half of adult survivors reported depressive symptoms, about a quarter had moderate to severe anxiety, more than 4% had considered suicide in the prior month, and nearly one in four had PTSD. A clinician from the Lahaina Certified Community Behavioral Health Center described the clinic’s no-turn-away model, with case management, therapy, psychiatric evaluation, and medication management for anyone who needs it, and urged lawmakers to fund and expand that approach. The researchers also highlighted environmental findings, saying urine testing of more than 1,200 adults found heavy metal signatures that differed between burn-zone residents and those on the perimeter, with higher levels associated with displacement and ash re-exposure. They said about 20% of participants had higher-than-expected heavy metal levels 6 to 12 months after the fires, and cited a negative association between nickel levels and lung function. They argued for long-term monitoring, better cleanup methods, and a centralized health surveillance system tied to community outreach. No vote or formal committee action was taken during the briefing; the chair said the presentation materials and related reports would be posted for public access, and members were invited to ask questions after the presentation.

Transcript Highlights:

• practices program and the restorative practices grants<00:07:58.639> are<00:07:58.759> funding
• I think it's good business practice.
• The attorneys active in this area of practice identified this after bringing cases forward.
• The attorneys active in this area of practice identified this after bringing cases forward.
• The attorneys active in this area of practice identified this after bringing cases forward.

Bills: HF2436, HF470, HF2643, HF2456, HF102, HF1367

Keywords: child welfare, economic assistance, child care, grant program, video security cameras, early education, scholarships, funding, children, families, Minnesota education, child care licensing, family child care, child care center, Minnesota Department of Children, Youth, and Families, correction order, conditional license, fix-it ticket, documented technical assistance, license suspension

Transcript Highlights:

• She went, practiced for a few years, and we're excited to have her back.
• But that provision already exists in our civil practices and remedies code.
• The act that it's actually found in, and the Civil Practices and Remedies Code, is also known as the
• May I suggest restorative justice practices? You can say...
• May I suggest restorative justice practices?

Summary: The Senate Committee on Education K-16 convened with a quorum, adopted its committee rules, and heard opening remarks from members introducing staff and outlining priorities for the session. Members from both parties emphasized education as a major issue, while several Republicans framed the committee’s work around school choice and parent empowerment. Senator West and other Democrats stressed protecting public schools, listening to Texans, and considering the effects of vouchers or education savings accounts on school districts and communities. Chairman Creighton laid out Senate Bill 2, the Texas Education Freedom Act, describing it as a universal education savings account program modeled on similar programs in other states. He said the bill would provide about $200 million for a universal eligibility pool and additional funding for students with disabilities and lower-income families, with priority weighting for former public school students. He also highlighted anti-fraud measures, vendor pre-approval, criminal background checks, cybersecurity protections, annual testing requirements for participating students, and the use of the Comptroller rather than TEA to administer the program. Creighton repeatedly said the bill is not a voucher and argued it would not take money from public schools, which he said would receive separate historic funding increases. Members questioned Creighton about the 500% of federal poverty line definition, the adequacy of the $10,000 ESA amount, whether the program would favor students already in private school, how microschools and homeschool pods would fit, and whether the bill protects religious liberty and private-school autonomy. Democrats raised concerns about disability protections, 504 students, foster children, public-school funding, open records, and the historical context of vouchers. Republicans generally supported the bill as a way to expand options for parents and students, while also asking about administration, fraud prevention, and data security. After member questions, the committee began invited testimony, with EdChoice President Robert Inlow presenting in support of SB 2 and citing the growth and reported success of school choice programs nationwide.

Transcript Highlights:

• I don't think it does, but I think all things considered, this is just practical. It makes sense.
• And so all we're doing in this very simple bill is implementing some practical guidelines.
• But we would say that it is a common practice that I believe that was brought to the But we would say
• And it's not how we've done it in practice. It's not how anyone has done here.
• Okay, so really there's no change to the practice we've been having.

Bills: HR320, HR321, SCR55, SCR69, SCR75, SCR77, SCR78, SCR79, SB259, SB295, SB312, SB348, SB444, SB485, HR73, HR118, HR144, HR196, HR237, HR249, HR260, HR267, HR272, HR278, HCR85, HCR100, HCR105, HCR107, HCR114, HR245, SCR5, SCR29, SCR33, SCR37, SCR63, SCR30, SCR40, HB62, HB193, HB210, HB220, HB246, HB364, HB420, HB475, HB584, HB622, HB772, HB784, HB949, HB953, HB1043, HB1070, HB1092, HB1134, HB1162, HB1176, HB1196, HB1214, HB119, HB129, HB233, HB283, HB538, HB789, HB850, HB870, HB1236, HB1241, HB54, HB137, HB321, HB368, HB386, HB414, HB431, HB552, HB555, HB578, HB590, HB593, HB618, HB638, HB670, HB692, HB707, HB708, HB715, HB718, HB732, HB741, HB748, HB776, HB796, HB807, HB822, HB848, HB856, HB887, HB888, HB917, HB921, HB1082, HB1243, HB1246, HB378, HB509, HB1090, HB1259, SB80, SB131, SB143, SB251, SB254, SB279, SB367, SB384, SB388, SB389, SB398, SB408, SB431, SB468, SB469, SB496, SB4, SB52, SB57, SB83, SB145, SB152, SB194, SB276, SB319, SB333, SB448, SB450, SB465, SB484, SB501, SB509, SB149, HR168, HB463, HB998, SB123, SB353, SB479, SB495, SB82, SB97, SB283, SB326, SB518, SB197, SB268, HB901, HR20, HR74, HCR65, HCR71, HCR98, HB284, HB306, HB341, HB366, HB393, HB458, HB577, HB603, HB605, HB614, HB625, HB646, HB733, HB752, HB773, HB798, HB911, HB955, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1191, HB1240, HB1255, SB89, HB74, HB134, HB258, HB359, HB468, HB956, HB1117, SB29, SB42, SB43, SB78, SB208, SB217, SB274, SB300, SB341, SB379, SB382, SB387, SB401, SB441, SB449, SB487

Keywords: Arsenal, Arsenal F.C., Premier League, English football, soccer, football club, Mikel Arteta, Emirates Stadium, North London, Tottenham Hotspur, Gunners, sports resolution, commendation, celebration, championship, silverware, Louisiana House Resolution, ceremonial resolution, domestic violence, forensic medical examinations

Summary: The House was called to order, a quorum was established, and the meeting opened with prayer and the Pledge of Allegiance. Members also observed several personal privileges and recognitions, including International Preeclampsia Awareness Month, the Hudson Cup award presentation to Rep. John Illg Jr., recognition of the Delcambre Shrimp Festival Queen, and a visit from U.S. Sen. John Kennedy. The chamber also received Senate messages, conference committee appointments, enrolled reports, and a conference report on SB 483 dealing with psychedelic-assisted therapy, which was laid over. The House then moved through a long series of concurrence and rejection votes on Senate amendments to House bills. Among the measures concurred in were bills affecting the Louisiana Women’s Policy Research Commission, the Louisiana Sickle Cell Commission, child exploitation reporting on covered platforms, the Children’s Cabinet Advisory Board, DCFS background checks, AI disclosure in health care, foster care placement and related terminology, criminal history record confidentiality, parish court jurisdiction, court costs, developmental disability office renaming, insurance claims and contractor licensing, Medicare Advantage coverage, colorectal cancer screening, health facilities, highway memorial designations, jury compensation, school employee protections, juvenile court fees, off-road vehicle seizure, residential property insurance cancellation, child support enforcement, and several others. The House rejected Senate amendments on bills including ethics retroactivity, sex offender registration notification, plumbers licensing, and health insurance formulary placement, sending some to conference. Several bills were finally passed, including measures on obstructing public passages with motorized vehicles, class six injection well hearings, arson of religious buildings, wearing masks while committing felonies, professional board attorney fees, bulletproof vests for peace officers, critical infrastructure protection from foreign adversaries, debit card surcharges, electronic stock certificates, watershed restoration funding, and innovation economic development pilot hubs. The innovation hub bill drew extensive debate over no-bid contracting, transparency, and the role of elected versus unelected bodies; an amendment to limit contracting authority to parish governing authorities was withdrawn, and the bill later proceeded to final passage after extended floor discussion. The House also took up and passed or concurred in multiple other bills and resolutions, with recorded votes ranging from unanimous to divided on a few measures.

Transcript Highlights:

• <00:13:03.800> around<00:13:04.160> 30<00:13:04.560> cases, the best practices
• around 30 cases, the best practices around 30 cases, Chicago's<00:13:05.839> even<00:13:06.000
• overnight it seems it's just practically overnight it seems it's just exploded<00:43:38.640> and<
• ,<00:57:18.040> the<00:57:18.520> this comply with best practices, the this comply
• with best practices, the this bill<00:57:19.280> would<00:57:19.440> reduce<00:57:19.880

Keywords: 1187, senate, all

Transcript Highlights:

• In practice, this is a good thing.
• In practice, this is a good thing.
• In practice, this is a good thing.
• My remarks highlight just a brief overview of how youth are being exploited by unfair trade practices
• , and the legislature trade practices, and the legislature should<01:02:03.480> require<01:02:

Keywords: 1183, house

Transcript Highlights:

• I've been asked to share the board subcommittee's preliminary analysis and other state and system practices
• Again, the board was looking for best practices, barriers to evaluation of low-enrollment programs and
• What are your best practices? What do you want us to know?
• And then the doctoral, the graduates in professional practice, excluding MD, and also excluding the kind
• So this is just the professional practice degrees that I had listed earlier in those health care fields

Summary: The Higher Ed Funding Committee met to review how North Dakota might identify and address low-producing academic programs and to discuss draft funding formulas for the university system. Lisa Johnson of the NDUS explained that the State Board of Higher Education is already developing a system-wide policy, using models from other states such as Texas, Virginia, North Carolina, Colorado, Kentucky, Ohio, and Connecticut. She described how low-producing programs are typically flagged by multi-year enrollment or completion thresholds, then reviewed for workforce demand, mission fit, cost, accreditation, and regional need before any action is taken. Committee members asked about what counts as a program, how costs are analyzed, whether certificates are included, how exemptions work for mission-critical or high-demand fields, and whether the board or legislature should set the rules. Johnson said the board is the appropriate body to lead the process, but legislators could use funding leverage if they wanted to encourage action; the chair asked the board to bring a detailed proposal to the June meeting. The committee then heard a Legislative Council presentation on a draft formula for UND and NDSU. The proposal uses fall census FTE enrollment, with a placeholder undergraduate rate of $7,000 per FTE and a graduate/professional rate of $10,500, plus incentives for completions in in-demand fields and research productivity. Alex from Legislative Council walked through the projected funding effects, noting that the model would increase funding for NDSU and reduce it for UND in the current biennium, with different results in the next biennium as enrollment changes are recognized. Members questioned the use of the placeholder rates, the definition of in-demand programs, the treatment of research funding, and the exclusion of state-appropriated dollars from the external grants calculation. The chair emphasized that the numbers were illustrative and that appropriators would set the actual dollar amounts later. A second draft formula for the other nine institutions was also reviewed. That model uses fall census FTE without a weighted economic factor, applies a higher undergraduate rate, and adds completion incentives for in-demand credentials and all other completions. Members noted that the formula would benefit some institutions, such as Bismarck State College, while reducing funding for others, such as Mayville State, and discussed whether the nine institutions should be treated more uniformly or split into smaller groups because of their different missions and sizes. Committee members and staff repeatedly stressed that the formulas are still being refined and that some institutions would likely need hold-harmless adjustments or other transition measures. The meeting ended with the chair directing the committee to continue the discussion later and to expect further work on both the low-producing program policy and the funding formulas.

Transcript Highlights:

• It requires the court to consider and rule on all motions for summary judgment as soon as practicable
• It requires the court to consider and rule on all motions for summary judgment as soon as practicable
• This amendment came as due to the retaliatory practices from Access, DHS, and DES.
• So this came from working with Access and providers who were recipients of the retaliatory practices.
• And rewriting these laws to continue to have put in place authoritarian laws and practices of control

Keywords: 1182, all

Transcript Highlights:

• And so we're restoring a practice that was used when I was a CASA several years ago.
• The current bill language does not really reflect modern practices.
• We're just kind of modernizing practices.
• SB 1012 aligns the statute with existing practice rather than changing it.
• I'll give you a practical example.

Bills: SB1012, SB1099, SB1234, SB1392, SB1489, SB1535, SB1570, SB1609, SB1627, SB1634, SB1661, SB1709, SB1723, SB1725, SB1743, SB1829, SCR1027, SCR1040, SCR1048

Keywords: concealed carry, firearms, restaurants, liquor licensing, public safety, defamation, private figure, public concern, statute of limitations, internet defamation, juvenile court, legal representation, appointed attorney, guardian ad litem, child welfare, election canvass, canvassing board, governing body, election inspection, election access

Transcript Highlights:

• Senator, I just wanted to say uh I support your bill and you know the 32 years that I practiced medicine
• Senator, I just wanted to say uh I support your bill and you know the 32 years that I practiced medicine
• Senator, I just wanted to say uh I support your bill and you know the 32 years that I practiced medicine
• <00:25:42.159> And changes you saw in your practice?
• And changes you saw in your practice?

Bills: SB57, SB155, HB39, HB77, HB104, SB57, SB155, HB39, HB77, HB104

Keywords: property, acknowledgment, conveyance, business entities, limited liability companies, state employees, payroll deduction, salary deduction, comptroller, membership association, membership dues, voluntary contributions, insurance premiums, financial instruments, deferred compensation, state payroll, employee benefits, association dues, withholding, Alabama Code 36-1-4.3

Transcript Highlights:

• Undergraduate research is a proven high-impact, evidence-based practice that deepens learning and drives
• Optional practical training, and then on to an H-1B, you know, the likelihood of being able to continue
• The practical impacts are immediate and measurable, as you've heard today.
• The practical impacts are immediate and measurable, as you've heard today.
• The practical impacts are immediate and measurable, as you've heard today.

Summary: The Assembly Higher Education Committee held an oversight hearing on how federal actions are affecting California higher education, with opening remarks from the chair and members emphasizing the importance of state-federal shared governance and the need to protect access, affordability, and campus diversity. The first panel included leaders from the CSU, University of the Pacific, California Community Colleges, and UC, who described broad impacts from federal grant terminations, changes to student aid, loan limits, visa and immigration policy, and proposed reductions to research support. Testimony focused on the elimination of Grad PLUS loans, caps on Parent PLUS and Pell-related changes, the loss or suspension of hundreds of grants, and the resulting harm to student support services, research, workforce pipelines, food assistance, and health care training. UC and CSU representatives warned of major losses in research funding, indirect cost reimbursement, and student opportunities, while community college leaders highlighted uncertainty around federal grants and the need to maintain services for low-income, first-generation, undocumented, and other vulnerable students. Committee members asked how the state could respond, including through intersegmental partnerships, dual enrollment, transfer pathways, and support for basic needs and nutrition programs. Witnesses said California could help by sustaining financial aid, protecting minority-serving institution programs, and investing in research, housing, and workforce development. Several speakers stressed that federal changes were creating instability for students and campuses, and that the effects would likely be long-lasting, especially in health care, teaching, STEM, and social work pipelines. A second panel then focused on equitable access. The California Student Aid Commission described state efforts such as the $3.9 billion investment in aid programs, the Cal Grant system, the Dream Act, and possible reforms to better serve adult learners, foster youth, undocumented students, and students with dependents. The Los Angeles Community College District reported that federal cuts and policy shifts are discouraging students from applying for aid, threatening TRIO and MSI/HSI-funded services, and reducing support for basic needs, counseling, and workforce programs. The Association of Independent California Colleges and Universities and the CSU Academic Senate echoed concerns about FAFSA confusion, international student restrictions, grant losses, and the erosion of equity-focused programs. No formal votes or legislative actions were taken during the hearing; the committee primarily received testimony and discussed possible state responses.

Transcript Highlights:

• He gave up his private practice, which was considerable and of top quality.
• He gave up his private practice, which was considerable and of top quality.
• <00:37:25.160> uh he gave up uh his private practice uh he gave up uh his private practice
• <01:05:05.440> labor<01:05:05.760> lawyer<01:05:06.359> making as a practicing
• labor lawyer making as a practicing labor lawyer making uniquely<01:05:07.279> qualified<01:05

Keywords: 912, senate, all

Summary: The committee heard a series of Governor’s messages for confirmation to several boards and councils, with the chair noting the meeting would continue on Monday and that testimony would be limited due to the large volume of submissions. For Governor’s Message 660, Kelly Oka was nominated to the Hawaii Technology Development Corporation. Oka described her work in workforce development and technology, emphasizing equitable access to tech jobs for local residents, keeping young talent in Hawaii, and using HTDC to attract major technology firms and support cybersecurity and startup growth. Testimony from multiple individuals and organizations was strongly supportive, and members asked about HTDC’s challenges, federal funding, and how to attract more tech investment; no vote was taken in the excerpt. The committee then considered Governor’s Message 529, nominating Fono Cafi Mei to the Hoisting Machine Operators Advisory Board. Mei said he had 20 years of crane-operating experience, including work on rail projects, and union representatives and labor organizations testified in support. Next, Governor’s Message 502 nominated Ken Louie to the Workforce Development Council. Louie highlighted his four years on the council, including two as chair, his family business, and his goal of expanding opportunities for younger and adult workers. DBEDT, council members, and labor representatives supported him, and members questioned him about the council’s priorities, staffing, federal funding uncertainty, apprenticeships, and military-to-private-sector transition programs. The committee also took up Governor’s Messages 581 and 690 together, both relating to Jared Gashi’s nomination to the Workforce Development Council for different terms. Gashi, from the Hawaii Lodging and Tourism Association, said he would bring the tourism industry’s perspective to workforce development, citing workforce shortages, internships, scholarships, and the need for a broader tourism voice on the council. Support testimony came from state officials and community members, who praised his reliability and leadership; a member asked how he would broaden the council beyond tourism, and Gashi said HLTA represents a wide range of tourism-related sectors and partners. The committee then heard Governor’s Message 571 for Eric Noi to the Deferred Compensation Plan Board, with Noi citing his fiscal and budgeting background; DHS, the board chair, and others supported him. Finally, Governor’s Message 667 nominated Ty Noara to the same board, and Keith Regan testified in strong support, citing her public service, intelligence, and ability to handle difficult situations. The excerpt ends as the committee begins Governor’s Message 560, nominating David Louie to the Employees’ Retirement System Board, with Louie, the ERS executive director, the finance director, and former Governor Abercrombie offering strong support.

Transcript Highlights:

• 00:32:04.840> um traditional and customary rights um traditional and customary rights um practicing
• you<00:32:05.840> know<00:32:06.039> subsistence<00:32:06.559> fishing practicing
• you know subsistence fishing practicing you know subsistence fishing and<00:32:07.000> farming
• in hazardous fire areas to maintain effective fire breaks within 30 feet of the property and to practice
• in hazardous fire areas to maintain effective fire breaks within 30 feet of the property and to practice

Keywords: 912, senate, all

Summary: The committee first took up SB 534, a measure concerning development in Kakaʻako Makai involving the Hawaii Community Development Authority and the Office of Hawaiian Affairs. The chairs explained that the hearing was decision-making only and no testimony would be accepted, though members could ask clarifying questions. The chair outlined amendments to clarify HCDA’s approval process, require an environmental impact statement before residential development proposals are submitted, require Department of Health documentation on hazardous substances, and specify that only OHA-owned parcels would be eligible for certain residential development with a 400-foot height limit and maximum floor area ratio of 10.0. The amendments also addressed affordability, owner-occupancy, association fees, and a special fund, while noting Attorney General concerns that the fee could be construed as a tax and suggesting further review by Judiciary and Ways and Means. Members discussed the affordability threshold, with one senator suggesting 160% AMI instead of 140% due to high housing costs and concern that essential workers could be priced out. Others raised concerns about Native Hawaiian affordability, the long-term effect of perpetuity restrictions, and whether the process would protect OHA’s interests. An HCDA representative said 140% AMI was used in existing reserve housing rules and that lower thresholds could make development economically infeasible. OHA and other supporters said the proposal was still early in planning and emphasized the need for public hearings, community input, and compliance with environmental and remediation standards. The committees voted to pass SB 534 with amendments: Water and Land approved it 4-1, and Hawaiian Affairs also adopted the chair’s recommendation, with one member excused and one voting no. The meeting then moved to SB 3, relating to water resource management. The bill would authorize the Commission on Water Resource Management to retain independent legal counsel, create an executive director position, allow challenges to emergency orders under certain conditions, establish fines for water use offenses, and revise emergency and shortage declaration procedures; Red Hill-related provisions were noted as removed from this version. Testimony was largely supportive, including from DLNR, the Board of Water Supply, OHA, and Sierra Club, with OHA stressing the measure’s importance to Native Hawaiian water rights and past litigation. A Department of Hawaiian Home Lands representative supported the bill with amendments and recommended explicit language directing the commission chair or designee to advocate for water rights and reservations for homelands. The chair indicated the committees would use the prior Senate-passed version as the basis for further action, and the discussion then moved on to SB 130, a search-and-rescue reimbursement bill.

Transcript Highlights:

• on<00:15:10.399> issues<00:15:10.800> of<00:15:11.000> individuals and practice
• on issues of individuals and practice on issues of individuals with<00:15:12.240> disabilities
• It's a new practice that we are bringing in to have professionals be able to talk amongst each other
• so so far we have accomplished practices so so far we have accomplished and<00:20:04.440> continued
• that we are bringing in to new practice that we are bringing in to uh<00:20:16.679> have<00:20

Keywords: 912, senate, all

Summary: The Committee on Health and Human Services held an informational briefing on the Developmental Disabilities Council and related agencies. The Hawaii State Council on Developmental Disabilities outlined its 2025 legislative priorities, including a pilot project for guardian ad litem and capacity evaluations in guardianship/conservatorship cases, a supported decision-making bill, a health disparities study for people with disabilities, an ABLE savings outreach/staffing measure, a Medicaid buy-in proposal, an adult changing tables equity bill, and a resolution on fetal alcohol spectrum disorder. Council representatives emphasized that supported decision-making would complement tools like powers of attorney and medical releases, and that the health disparities study would help identify unmet needs by ZIP code and improve state data on the intellectual and developmental disability population. The Center on Disability Studies at the University of Hawaii described its role as the research and training arm within the DD system, working with the DD Council and the Hawaii Disability Rights Center. It reported activities such as interdisciplinary training, community education, technical assistance, research collaborations, the Pacific Rim International Conference on Disability and Diversity, publications, telehealth, ECHO Autism, and counseling for Maui fire survivors. The center said it leveraged about $16 million in outside funding last year and highlighted goals focused on workforce development, community capacity, research with direct participation from people with disabilities, and accessible dissemination of information. The Hawaii Disability Rights Center, the state’s protection and advocacy agency, supported the Council’s priorities, especially supported decision-making, which it said could help some people avoid guardianship while preserving liberty and reducing state resource use. The center also raised concerns about the DD system budget and urged legislators to review whether the Developmental Disabilities Division is requesting enough funding, noting possible backsliding in services and eligibility. The Developmental Disabilities Division of the Department of Health then outlined its statewide waiver program serving just over 3,500 people, its service array, and its budget request for increased waiver funding, a federal initiatives coordinator, and IT upgrades to comply with the new HCBS access rule; no votes or formal actions were taken during the briefing.

Transcript Highlights:

• So the actuaries are built to the actuarial practice, and work is to look at what the cost of the program
• So this is a comment that I just want you to understand: Oregon didn't change the practice. claims we're
• So this is a comment that I just want you to understand, Oregon didn't change the practice.
• So what does that mean in practice? Okay. Oh, over the past 10 years.
• So what does that mean in practice? Okay. Oh, over the past 10 years.

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:

• This idea may not work in practice as we're thinking.
• So I think it's been helpful to have someone that has an understanding of agricultural practices.
• That's where I think I've been able to offer practical solutions and help bring agriculture along.
• I wanted to share our very strong support for Didi Adamo, who stands out to us for how practical and
• Tribes are unable to perform safe cultural practices.

Keywords: 987, senate, all