Transcript Highlights:

• Naturalized citizens are particularly vulnerable because outdated immigration records can incorrectly
• c> particularly</c> Naturalized citizens are particularly Naturalized citizens are particularly vulnerable
• <00:25:52.360><c> because</c><00:25:52.800><c> outdated</c><00:25:53.360><c> immigration</c> vulnerable
• because outdated immigration vulnerable because outdated immigration records<00:25:54.360><c> can</c

Keywords: 1187, senate, all

Transcript Highlights:

• our health care infrastructure, and supports the providers who care for some of Kentucky's most vulnerable
• providers who care for some of Kucky's providers who care for some of Kucky's most<00:04:23.600><c> vulnerable
• </c><00:04:25.680><c> At</c><00:04:25.919><c> this</c><00:04:26.080><c> time,</c> most vulnerable citizens
• At this time, most vulnerable citizens.

Keywords: 00:00:00 - Call to Order/Roll Call 00:01:25 - Discussion of 26RS HB 689 00:15:15 - Roll Call Vote on 26RS HB 689 00:17:02 - Discussion of 26RS HB 407 00:45:40 - Roll Call Vote on 26RS HB 407 00:49:25 - Discussion of 26RS HB 713 00:55:50 - Roll Call Vote on 26RS HB 713 00:56:54 - Discussion of 26RS HB 676 01:06:42 - Roll Call Vote on 26RS HB 676 01:08:43 - Adjournment, 958, all

Transcript Highlights:

• This is a difficult bill for me to talk about because we are talking about our most vulnerable folks
• Maricopa County, the most populous county in the state, and they are limited to... ...the most vulnerable
• But right now, if we don't do something, those vulnerable are on the street, and they'll stay on the
• the members in this body to agree to this so that we can move forward to start helping those most vulnerable

Summary: The Senate convened with prayer, the Pledge of Allegiance, roll call, journal approval, guest introductions, and recognition of doctors and other visitors. The chamber then moved through multiple Committee of the Whole calendars, considering a large number of bills on topics including public schools and curricula, transportation, health care, child welfare, municipal and county governance, homeowners’ associations, speech, and election-related matters. Several measures were retained on the calendar, while many others were advanced with committee or floor amendments. Among the more notable debates, senators discussed SB 1094, which would impose civil liability related to gender reassignment surgery on minors; supporters said it would compensate minors harmed by such procedures, while opponents argued it would discriminate against transgender youth, raise malpractice costs, and chill access to care. SB 1813, concerning the state hospital governing board and Maricopa County bed limits, drew concern about litigation and the need to expand capacity for people with serious mental illness, while supporters said the bill would remove a legal cap and allow more beds to be used. SB 1496 on Department of Child Safety procedures was amended to clarify representative payee requirements and received generally favorable comments, though some members raised concerns about child safety and DCS discretion. The Senate also advanced SCR 1004, a photo radar ballot referral, after an amendment requiring voter approval in jurisdictions that use photo radar; Senator Leach thanked the sponsor for the change. Other bills moved forward included measures on school firearm safety instruction, civics instruction, chiropractic claims, behavioral health prior authorization, psychiatric evaluations, DCS procedures, AHCCCS procurement contracting, county recorder and HOA-related issues, and legislative qualifications. The chamber adopted the Committee of the Whole reports and properly assigned the bills after each calendar was completed.

Transcript Highlights:

• that there's plenty of other jurisdictions throughout this country that recognize that kids are vulnerable
• ><00:47:56.560><c> that</c><00:47:56.720><c> kids</c><00:47:56.960><c> are</c><00:47:57.119><c> vulnerable
• </c> that recognize that kids are vulnerable that recognize that kids are vulnerable to<00:47:57.920>

Keywords: 916, all

Transcript Highlights:

• legislation that reduces carbon emissions and strengthens Hawaii's energy independence while protecting vulnerable
• 46.720><c> protecting</c> energy independence while protecting energy independence while protecting vulnerable
• </c> vulnerable Kamina families. vulnerable Kamina families.

Bills: SB2309, SB2317, SB2318, SB2319, SB2321, SB2323, SB2332, SB2405, SB2485

Keywords: agricultural loans, financial support, Hawaii agriculture, food security, revolving fund, agriculture, insurance, small producers, state support, biosecurity, farm coverage, public-private partnerships, agricultural policy, agricultural statistics, data collection, Department of Agriculture and Biosecurity, economic analysis, market development, grant funding, climate resiliency

Summary: The committee heard testimony on several agriculture-related measures, beginning with SB 2309, which would require the agricultural loan division to sell portions of its loan portfolio and use the proceeds to expand the agriculture loan revolving fund. The Department of Agriculture and Biosecurity and the Hawaii Farm Bureau supported the bill, along with several other organizations and individuals. A committee question focused on the risk of not finding a qualified buyer for the loan portfolio; DAB said a mandatory sale of the full amount could force a less favorable rate, while flexibility to sell different amounts could produce a more equitable return. The measure drew eight supporters and no opposition. The committee then took up SB 2317, which directs DAB to study insurance coverage for small producers and report back to the Legislature. DAB and multiple farm groups supported the bill. In response to a question about cost, DAB estimated about $250,000 would be needed, with the study likely covering crop, health, and liability insurance. The next measure, SB 2318, would establish an agriculture statistics program in statute. DAB said it strongly supported the bill and could ramp up quickly if positions were provided; the committee discussed whether a first report could be completed by year’s end if the bill became law midyear, and DAB said yes. SB 2319, which would fund and make permanent a full-time grant writer position at DAB, also drew strong support from DAB, the Hawaii Farm Bureau, Ulupono Initiative, the Hawaii Cattlemen’s Council, the local food coalition, and others, with testifiers emphasizing the position’s return on investment and success in bringing in federal funds. The committee also heard SB 2321, establishing a two-year pilot program to respond to the twoline spittlebug. DAB, ranching groups, and many others supported the bill, citing the pest’s spread and the need to act before it becomes unmanageable. A DAB pest control manager said he would need to research past response details and provide them later. Members emphasized the importance of early intervention. For SB 2323, which creates a farmland transition commission to study barriers to farmland access and recommend solutions, DAB offered comments and support for the intent, while farm groups generally supported the concept but raised concerns about the proposed age range and whether a separate commission was necessary. DAB said the Board of Agriculture likely would not have the capacity to perform the commission’s duties and estimated there would be costs to establish it, though no figure was available at the hearing. Finally, the committee heard SB 2332, which reestablishes the agriculture and food security special fund, creates a carbon emissions tax and dividend fund, gradually raises carbon-related tax rates, and provides a refundable carbon cashback credit. DAB supported the measure and deferred to Taxation on details; the Department of Taxation said it would stand on its comments, and the Attorney General’s office offered comments and recommendations. Carbon Cashback Hawaii and the County of Hawaii Department of Research and Development supported the bill, arguing it would reduce emissions, protect lower-income households, and be relatively simple to administer.

Transcript Highlights:

• Hampshire live free or die spirit, and protect the rights, dignity, and safety of our state's most vulnerable
• 54.960><c> most</c> dignity, and safety of our state's most dignity, and safety of our state's most vulnerable
• </c> vulnerable citizens. Thank you, Mr. vulnerable citizens. Thank you, Mr. Speaker.

Keywords: 1189, house, all

Transcript Highlights:

• While all undocumented students are at risk, those with DACA face even greater vulnerability.
• While all undocumented students are at risk, those with DACA face even greater vulnerability.
• Unfortunately, right now, in California, our laws fall short in protecting our schools and other vulnerable
• The January 2025 wildfires devastated Los Angeles County, and many residents were left vulnerable to

Summary: The Assembly convened, established a quorum after a roll call, observed a moment of silence for John Burton, and proceeded with the Pledge of Allegiance and routine procedural motions. Members approved a rule suspension to allow floor amendments on SB 271 and SB 67, and several committee notices and bill referrals were handled. The chamber then moved through a long third-reading file, with many bills passed and a number of items temporarily passed or retained on file. Among the major measures approved were bills on civil rights and public safety (SB 477, SB 19, SB 36, SB 571, SB 580), health care and coverage (SB 257 on pregnancy as a qualifying life event, SB 530 on Medi-Cal access standards, SB 660 on health data exchange, SB 754 on menstrual product contaminant disclosure), housing and disaster recovery (SB 610, SB 655), transportation and climate (SB 533 on EV charging payments, SB 30 on diesel locomotives, SB 71 on CEQA exemptions for transit, SB 263 on tariff impacts), and natural resources/energy (SB 283 on battery storage safety, SB 88 on biomass emissions, SB 427 extending the Habitat Conservation Fund). The Assembly also passed urgency measures including SB 864 on tribal gaming compacts, SB 663 on wildfire-related property tax relief, SB 471 expanding DDS ombudsman authority, and SB 497 on privacy protections for legally protected health services. Several bills drew notable debate. SB 41 on pharmacy benefit managers saw opposition over concerns about moving ahead before broader PBM data and licensing reforms take effect, but it still passed. AB 1340, a concurrence item on gig worker collective bargaining rights, prompted extended debate over labor rights, consumer costs, and union influence. Other concurrence items included AB 671 on restaurant permitting, which passed without opposition. The Assembly also took up SB 640 on direct admission to CSU, SB 702 on demographic reporting for appointees, SB 710 preserving a solar property tax exclusion, and SB 793 on counterfeit lighter safety, all of which passed. The session ended with the Assembly continuing through the file, including concurrence votes and additional bill actions, with most measures approved by substantial margins.

Transcript Highlights:

• three, proactive planning to make sure that this crisis does not impact our local communities, vulnerable
• But we do want to be mindful that sometimes it is some of our most vulnerable residents who have difficulty
• and each family that moves from an inefficient old gasoline car to a new or used EV is no longer vulnerable
• Don't leave our coast and our inland communities vulnerable to the Trump administration's push to revive

Summary: The joint informational hearing of the Assembly Committees on Utilities and Energy, Transportation, and Natural Resources focused on California’s transportation fuels sector, especially the state’s response to refinery closures and the broader transition away from fossil fuels. Opening remarks emphasized the tension between climate and air-quality goals, fuel affordability, refinery jobs and local tax bases, and the need to avoid crisis-driven responses as Phillips 66 and Valero consider shutting refineries in Wilmington and Benicia. Professor Emily Grubert framed the issue as a long-term managed transition in which the public already bears much of the risk and should also capture benefits from a well-planned shift. CARB Chair Leanne Randolph reviewed the state’s emissions and fuel policies, including AB 32, the low-carbon fuel standard, clean vehicle programs, and the at-berth regulation for ocean-going vessels. She said California’s transportation sector remains the largest source of greenhouse gases and a major source of smog-forming pollution, but that the state has made substantial progress and still needs to reduce demand for fossil fuels while maintaining compliance with federal air-quality standards. Randolph also said CARB’s recent LCFS amendments had not caused the predicted spike in gas prices and explained that compliance pathways for the at-berth rule include emissions-reduction technologies or payments into a remediation fund. CEC Vice Chair Gunda described declining gasoline demand, shrinking in-state refining capacity, and growing dependence on imports, arguing that the state is in a “mid-transition” period that requires both support for legacy infrastructure and continued investment in cleaner alternatives. He outlined the administration’s petroleum market stabilization proposal, which aims to return California crude production to 125 million barrels a year through four components: codifying the ban on fracking, validating the Kern County oil-and-gas permitting ordinance, creating a temporary CEQA exemption paired with a two-for-one plug-and-drill framework, and strengthening pipeline and spill-safety requirements. Department of Conservation Director Jennifer Lucasey said the proposal is intended to stabilize crude supply and pipeline throughput while preserving health and environmental protections, and noted that CalGEM would still review permits and enforce other requirements. Mayor Steve Young of Benicia testified that a Valero closure would significantly reduce city revenue and leave the community facing years of cleanup and redevelopment challenges. He said the city supports environmental protection but is worried about the economic hit, the possibility that Benicia becomes a fuel-import terminal, and the lack of local influence over refinery decisions. Members pressed the panel on the CEQA exemption, tribal and habitat review, disclosure of closure liabilities, fuel-demand projections, and whether the proposal should include more demand-side measures. No formal votes were taken; the hearing was informational, and officials said some proposals, including a margin-cap pause and further transition planning, would be taken up later in the process.

Transcript Highlights:

• So, our very large integrated delivery system serves a very vulnerable population.
• 00:09:02.880><c> very</c> delivery system that serves a very delivery system that serves a very vulnerable
• </c><00:09:04.480><c> We</c><00:09:04.720><c> employ</c><00:09:04.959><c> about</c> vulnerable population
• We employ about vulnerable population.

Keywords: Call to Order and Roll Call – 00:00:00 Introduction of Board Members – 00:02:04 Overview of the Purpose and Goals of the Medicaid Oversight and Advisory Board – 00:12:46 Medicaid Legislative Update - 00:20:26 Discussion of Next Steps and Future Meeting Dates – 01:04:06 Adjournment – 01:06:37, 958, all

Summary: The first meeting of the Medicaid Oversight Advisory Board opened with Chair Ken Fleming and Co-Chair Rocky Adams welcoming members, explaining the board’s purpose, and introducing the diverse membership of legislators, providers, advocates, and state officials. Fleming said the board would meet monthly, allow public comment at the end of meetings, and operate transparently with materials posted online and distributed in advance. Both chairs emphasized that the board’s work would focus on improving Medicaid outcomes, efficiency, and oversight, while preparing for possible federal changes and avoiding premature assumptions about what Congress may do. Members then gave brief introductions describing their backgrounds in medicine, nursing, hospital administration, behavioral health, insurance, budgeting, pharmacy, and Medicaid administration. Several noted direct experience with Medicaid populations or managed care, including the Department for Medicaid Services commissioner, health plan representatives, hospital and clinic leaders, and legislators with health care backgrounds. The board also heard from Stephanie Bates of the LRC Office of Health Data Analytics, who said her office supports the General Assembly with health-related data, policy, and research and would serve as a resource to the board. Bates then began a presentation on Medicaid basics, explaining that House Bill 695 created the board and that the presentation would cover eligibility, enrollment, covered benefits, waivers, managed care, the budget, and the federal reconciliation bill. She described Medicaid eligibility as complex, noted that Kentucky had more than 1.4 million enrollees, and explained enrollment churn and the unwinding of pandemic-era continuous coverage. She also outlined mandatory and optional Medicaid benefits, the requirement that services be medically necessary and provided by enrolled providers, and the main waiver types used in Kentucky, including 1115, 1915(b), and 1915(c) waivers. No votes or formal actions were taken at this meeting beyond organizational setup and receiving the initial informational presentation.

Transcript Highlights:

• It worsens health disparities, knowing that vulnerable populations would suffer the most as they often
• Senator Martin, CS for Senate Bill 106, a bill to be entitled An Act Relating to Exploitation of Vulnerable
• Exploitation of Vulnerable Adults. Are there any amendments? None on the desk, Mr. Speaker.
• We are reinforcing our collective responsibility to protect and empower our most vulnerable, our youth

Bills: HB 1500, HJR 7, HJR 112, HB 34, HB 133, HB 112, HB 119, HB 128, HB 130, HB 132, HB 2756, HB 166, HB 406, HB 186, HB 271, HB 331, HB 380, HB 1583, HB 1584, HB 1819, HB 621, HB 303, HB 552, HB 366, HB 463, HB 1211, HB 1327, HB 1461, HB 923, HB 1760, HB 2043, HB 2467, HB 5333, HB 5265, HB 1592, HB 1576, HB 1552, HB 2018, HB 3511, HB 1781, HB 2013, HB 2340, HB 2349, HB 2508, HB 2970, HB 2520, HB 865, HB 2851, HB 3385, HB 3336, HB 3529, HB 3309, HB 1127, HB 1232, HB 1397, HB 4236, HB 1804, HB 1926, HB 4041, HB 1965, HB 1964, HB 2679, HB 2730, HB 3698, HB 3699, HCR 77, HB 3354, HB 163, HB 201, HB 272, HB 333, HB 405, HB 519, HB 569, HB 654, HB 694, HB 791, HB 1006, HB 1136, HB 1240, HB 1266, HB 1275, HB 1437, HB 1532, HB 1675, HB 1842, HB 1868, HB 1888, HB 1894, HB 1943, HB 1990, HB 2029, HB 2061, HB 2286, HB 2523, HB 2622, HB 2626, HB 2652, HB 2692, HB 2842, HB 2885, HB 2914, HB 3016, HB 3096, HB 3129, HB 3248, HB 3251, HB 3255, HB 3479, HB 3611, HB 3623, HB 3701, HB 3724, HB 3803, HB 3804, HB 3805, HB 3806, HB 3810, HB 3816, HB 3832, HB 3887, HB 4127, HB 4129, HB 4130, HB 4131, HB 4163, HB 4187, HB 4229, HB 4238, HB 4454, HB 4588, HB 4643, HB 4736, HB 4738, HB 4739, HB 4945, HB 5015, HB 5616, SB 767, SB 1619, SB 1738, HJR 5, HJR 2, HB 1399, HB 388, HB 114, HB 205, HB 2789, HB 2791, HB 499, HB 2960, HB 3163, HB 3135, HB 2427, HB 1672, HB 1722, HB 2618, HB 879, HB 1126, HB 4134, HB 3513, HB 1445, HB 1893, HB 1734, HB 3229, HB 3306, HB 1276, HB 3516, HB 4145, HB 1585, HB 4810, HB 2558, HB 2742, HB 1695, HB 33, HB 144, HB 109, HB 103, HB 148, HB 3809, HB 2217, HB 220, HB 2421, HB 2363, HB 421, HB 2455, HB 3711, HB 2559, HB 2775, HB 3126, HB 3666, HB 3595, HB 3260, HB 3376, HB 3826, HB 3770, HB 1831, HB 2614, HB 3113, HB 322, HB 431, HB 869, HB 1203, HB 1244, HB 1875, HB 1950, HB 2152, HB 2341, HB 2809, HB 2856, HB 3012, SB 1415, SB 1058, SB 487, SB 1499, SB 513, SB 1697, SB 1197, SB 1437, SB 1809, SB 836, SB 1879, SB 1145, SB 963, SB 1038, SB 1147, SB 914, SB 711, SB 1409, HB 3707, HB 589, HB 1360, HB 2337, HB 2391, HB 718, HB 23, HB 2436, HB 1500, HJR 7, HJR 112, HB 34, HB 133, HB 112, HB 119, HB 128, HB 130, HB 132, HB 2756, HB 166, HB 406, HB 186, HB 271, HB 331, HB 380, HB 1583, HB 1584, HB 1819, HB 621, HB 303, HB 552, HB 366, HB 463, HB 1211, HB 1327, HB 1461, HB 923, HB 1760, HB 2043, HB 2467, HB 5333, HB 5265, HB 1592, HB 1576, HB 1552, HB 2018, HB 3511, HB 1781, HB 2013, HB 2340, HB 2349, HB 2508, HB 2970, HB 2520, HB 865, HB 2851, HB 3385, HB 3336, HB 3529, HB 3309, HB 1127, HB 1232, HB 1397, HB 4236, HB 1804, HB 1926, HB 4041, HB 1965, HB 1964, HB 2679, HB 2730, HB 3698, HB 3699, HB 3354, HB 163, HB 201, HB 272, HB 333, HB 405, HB 519, HB 569, HB 654, HB 694, HB 791, HB 1006, HB 1136, HB 1240, HB 1266, HB 1275, HB 1437, HB 1532, HB 1675, HB 1842, HB 1868, HB 1888, HB 1894, HB 1943, HB 1990, HB 2029, HB 2061, HB 2286, HB 2523, HB 2622, HB 2626, HB 2652, HB 2692, HB 2842, HB 2885, HB 2914, HB 3016, HB 3096, HB 3129, HB 3248, HB 3251, HB 3255, HB 3479, HB 3611, HB 3623, HB 3701, HB 3724, HB 3803, HB 3804, HB 3805, HB 3806, HB 3810, HB 3816, HB 3832, HB 3887, HB 4127, HB 4129, HB 4130, HB 4131, HB 4163, HB 4187, HB 4229, HB 4238, HB 4454, HB 4588, HB 4643, HB 4736, HB 4738, HB 4739, HB 4945, HB 5015, HB 5616, SB 767, SB 1619, SB 1738, HCR 77

Keywords: Information Resources, Department governance, cybersecurity, state assistance, procurement training, technology resources, advisory committees, water fund, Texas water supply, constitutional amendment, state revenue, infrastructure, parental rights, child upbringing, government interference, Texas legislation, science park district, economic development, technology innovation, higher education collaboration

Transcript Highlights:

• puts me in a position where I have to pick between taking that on or having my mom in a kind of a vulnerable
• c><00:18:56.000><c> a</c> or or having my mom in a kind of a or or having my mom in a kind of a vulnerable
• </c> vulnerable position, you know. vulnerable position, you know.

Keywords: 1187, senate, all

Transcript Highlights:

• Chapter 576.7 of the Health and Safety Code provide essential mental health care to some of our most vulnerable
• We want to make sure that those persons cannot work in those healthcare settings with vulnerable individuals
• . who are most vulnerable.
• House Bill 3560 is a straightforward and common-sense measure to safeguard some of Texas' most vulnerable

Bills: HB 44, HB 2200, HB 1612, HB 2747, HB 2038, HB 3717, HB 1431, HB 3800, HB 3801, HB 3560, HB 3246

Keywords: HB 44, Life of the Mother Act, abortion exceptions, medical emergency, reasonable medical judgment, pregnancy complications, maternal health, life-threatening condition, ectopic pregnancy, miscarriage, spontaneous abortion, fetal survival, Texas abortion law, abortion ban, physician liability, health care provider, disciplinary action, aiding and abetting, emergency abortion, obstetric care

Summary: The meeting of the public health committee focused on the pressing issue of opioid addiction in Texas, with a particular emphasis on House Bill 3717. Chairman Harris detailed the bill's intent to fund a grant program for Ibogaine clinical trials, framing it as a critical response to the ongoing opioid crisis. He shared poignant testimonies highlighting the struggles of families and veterans battling addiction and mental health issues. The conversation underscored the necessity of innovative treatments, like Ibogaine, which showed promising results in studies for reducing symptoms of withdrawal and PTSD.

Transcript Highlights:

• Affordable housing providers constitute one of the largest private sources of housing for poor and vulnerable
• Empowering faith-based and other non-profit institutions to use our resources responsibly to serve more vulnerable
• outcomes in our communities. to ensure the housing needs of all are met, especially the poor and vulnerable
• Faith communities already play a vital role in providing shelter to the vulnerable.

Bills: HB24, HB2015, HB2149, HB2559, HB2701, HB2797, HB3172, HB24

Keywords: zoning, public notice, local government, residential development, protests, water conservation, municipal utility districts, Texas Commission on Environmental Quality, environmental regulation, groundwater management, nonconforming uses, zoning regulations, land use, property rights, municipal authority, municipal moratorium, development moratorium, property development, subdivision, site plan

Transcript Highlights:

• disproportionately impact marginalized communities, worsening existing health care disparities for vulnerable
• disproportionately impact marginalized communities, worsening existing health care disparities for vulnerable
• cannot properly assess and intervene in escalating situations, leaving both staff and patients vulnerable
• ><00:33:44.080><c> patients</c> leaving both staff and patients leaving both staff and patients vulnerable

Keywords: 1187, senate, all

Transcript Highlights:

• universal program that gives access that's prioritized in a way that meets the needs of the most vulnerable
• I think the bill is prioritized to make sure that those kids that we can all agree are the most vulnerable
• religious liberty and private school autonomy protection and the prioritization of the poor and vulnerable
• The prioritization of applications in HB3 if there is insufficient funding ensures that the more vulnerable

Bills: HB 3

Keywords: emergency communication, public safety, interoperability, Texas Interoperability Council, grant program, emergency communications, public safety radio, first responders, radio system, dispatch, 911, emergency management, Texas Division of Emergency Management, public safety infrastructure, Project 25, P25, broadband emergency alerting, outdoor warning sirens, homeland security, disaster response

Transcript Highlights:

• Many of the nonprofits within our coalition are extremely vulnerable to not being able to do the good
• our within our Coalition<00:43:32.240><c> are</c><00:43:32.480><c> extremely</c><00:43:33.000><c> vulnerable
• </c><00:43:33.599><c> to</c> Coalition are extremely vulnerable to Coalition are extremely vulnerable

Keywords: 910, house, all

Transcript Highlights:

• We do look at waiver providers because they are taking care of our most vulnerable population, and we
• /c><00:15:35.279><c> of</c><00:15:35.360><c> our</c><00:15:35.519><c> most</c><00:15:35.720><c> vulnerable
• </c> are taking care of our most vulnerable are taking care of our most vulnerable population<00:15:37.480

Keywords: 958, all

Summary: The subcommittee met to review the Department for Medicaid Services’ program integrity work. Commissioner Lisa Lee and Program Integrity Director Jennifer Dudinsky outlined Kentucky Medicaid’s structure, funding, enrollment, and spending, including FMAP rates, the size of the Medicaid and KCHIP populations, the number of providers, and 2024 expenditures. They also described the managed care and fee-for-service populations, noting that managed care serves most members while fee-for-service is concentrated in long-term care and waiver populations. Most of the discussion focused on fraud, waste, abuse prevention, and provider oversight. The department described its provider enrollment and certification checks, revalidation requirements, site reviews, fingerprinting for some high-risk providers, and termination grounds such as false application information, Medicare actions, unreported ownership changes, and abandonment of a provider number. Members asked about nonprofit ownership reporting, MCO fraud oversight, and how the department tracks unusual CPT code utilization, especially in behavioral health. The department said it uses data analytics, audits, policy review, and collaboration with behavioral health staff to monitor those trends. Dudinsky explained the division’s four branches: provider licensing and certification, audits and compliance, recovery, and third-party liability/estate recovery. She described prepayment and postpayment audits, referrals of credible fraud allegations to the Attorney General, monthly meetings with the AG’s office, and coordination with the Office of Inspector General, CMS, HHS OIG, MCOs, and other partners. She also explained payment suspensions, stand-downs during law enforcement investigations, and recovery efforts for overpayments, provider/member fraud, and third-party liability. The department said its recovery and avoidance efforts produced more than $251 million in savings so far in 2025. No votes or formal actions beyond approving the minutes were taken.

Transcript Highlights:

• codes, and the Department of Health surveys, and will enable MDVA to provide a safe environment for vulnerable
• St safe enable mdva to provide a St safe environment<00:05:41.600><c> for</c><00:05:41.759><c> vulnerable
• </c><00:05:42.199><c> adults</c><00:05:43.160><c> with</c> environment for vulnerable adults with environment
• for vulnerable adults with this<00:05:43.479><c> funding</c><00:05:43.759><c> for</c><00:05:43.919><

Keywords: 1183, house

Transcript Highlights:

• all of the member organizations in the Hawaii Waiver Providers Association provide to these very vulnerable
• all of the member organizations in the Hawaii Waiver Providers Association provide to these very vulnerable
• all of the member organizations in the Hawaii Waiver Providers Association provide to these very vulnerable
• all of the member organizations in the Hawaii Waiver Providers Association provide to these very vulnerable

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:

• And Actually, I'm somewhat concerned about the care we give our vulnerable population and those most

Keywords: 914, all