Transcript Highlights:

• . care. care.
• We would not leave for medical care.
• It was a day that I could not be made.
• <00:32:33.519><c> for</c><00:32:33.760><c> staffing,</c><00:32:34.240><c> just</c><00:32:35.039><c> day-to-day
• </c> that for staffing, just day-to-day that for staffing, just day-to-day operations.<00:32:36.960><

Committee: Senate Judiciary

Transcript Highlights:

• We don't have those numbers, but at the end of the day, I think these are in good... ...of the day, I
• Grasp it even after a long day.
• Now, we all care about our firefighters. We... We all care about our firefighters.
• We all care deeply.
• Please don't do it again for 30 days. Please don't do it again for 30 days.

Transcript Highlights:

• The Health Care Facilities and System Subcommittee will come to order. Anola, please call the roll.
• The Agency for Health Care Administration is the regulatory agency for our health care facilities, nursing
• homes, assisted living facilities, labs, and health care providers.
• the Agency for Health Care Administration.
• A little rusty on the first day of school. It is your second bill today.

Summary: The Health Care Facilities and System Subcommittee met and heard three bills, all of which passed favorably. HB 229 by Rep. Oliver would update the Health Facilities Authority Act to reflect modern health system structures, allowing not-for-profit LLCs and not-for-profit parent corporations of health systems to use the financing authority, and clarifying that authorities may use loan agreements as well as lease financing. An amendment narrowing and clarifying the not-for-profit definition was adopted without objection. AdventHealth testified in support, and the bill passed 17-0. The committee then heard HB 527 by Rep. Trabulsi, which creates a public records exemption for current and former AHCA personnel who investigate complaints, Medicaid fraud, abuse, waste, or inspect licensed health facilities. The sponsor said the exemption is intended to protect investigators and their families from retaliation. There was no public testimony, and members discussed balancing transparency with safety. The bill passed 17-0. Finally, the committee heard HB 431 by Rep. Trabulsi, which extends by one year the requirement for athletic coaches and similar youth sports volunteers to complete Level 2 background screening through AHCA’s clearinghouse, with the sponsor saying the delay would give the system time to expand and reduce costs over time. Public testimony from youth sports organizations supported the goal of screening but raised concerns about cost, implementation details, and age thresholds for screening. Members generally supported the bill as a child-safety measure, and it also passed 17-0. The meeting then adjourned.

Transcript Highlights:

• It was good, but it was... ...a day, but it was good.
• Health care, health care support is, again, short term and long term... ...health care, health care support
• Some of our, you know, TANF programs, child care.
• Right now we're closer to 1.1 million barrels per day.
• to 1.1 million barrels per day during the second year.

Summary: The Leadership Division of the Budget Section approved the prior meeting minutes and then received an update from Senator Jonathan Sickler on the Cash Management Board’s interim work under House Bill 1278. He said the board has reviewed state cash, investments, and liquidity across agencies and concluded the state’s overall mix of long-term and short-term assets is appropriate, with about $35 billion in total liquid assets and investments and roughly 89% in longer-term investments. He highlighted process improvements already underway, including replacing more than 500 six-month CDs with a special-rate savings account to reduce administrative work, and said the board sees opportunities to improve forecasting, automation, and statewide coordination. Members asked about whether the CD change would increase returns, how the Legacy Fund transfer for the homestead tax relief bill affected earnings, and whether more state cash could be consolidated or better managed through BND; Sickler and BND staff said those issues are being studied and may lead to legislation for the 2027 session. Representative Nathan Toman then updated the committee on the Task Force on Government Efficiency. He said the group has focused less on cutting dollars and more on defining metrics and asking how the legislature knows whether programs are working. The task force is pushing a standard set of questions for new or expanding programs—who is affected, expected outcomes, alternatives, how success will be measured, and full funding—and OMB has agreed to require those answers in future budget requests. Members discussed possible use of dashboards, program evaluators, AI tools, and possible rule or statutory changes to require performance measurement. Toman said the task force will continue meeting with agencies such as the courts, university system, auditor, HHS, Commerce, and ITD to identify workflow bottlenecks and potential efficiencies. Phil Davis of Job Service North Dakota gave a workforce update, reporting that North Dakota’s unemployment rate is 2.5% and labor force participation is about 68.7%, both well above national performance. He described Job Service’s 15 workforce programs, including H-2A housing inspections for foreign agricultural workers, the job placement partnership program with DOCR, WOTC, and other federal and state workforce efforts. Davis said the agency served more than 11,000 individuals in 2025, operates nine workforce centers, and tracks outcomes through quarterly and annual reporting. In response to questions, he said job openings data reflect only positions in the system and may understate actual hiring needs, that child care and other assistance programs could be better tied to employment outcomes, and that the DOCR partnership has shown strong results with lower recidivism and higher earnings. He also said the H-2A inspection workload is growing quickly and additional staffing or less frequent federal inspection requirements could help. Allen Knutson then presented S&P Global’s updated revenue forecast. He said oil prices have risen sharply since the prior month’s outlook, improving the state’s near-term revenue picture, though the economy remains volatile and agriculture is facing weaker commodity prices. Based on the updated forecast, total major tax revenues for the current biennium are projected to be about $89 million above the legislative forecast, and the next biennium could be about $500 million higher, though that estimate is preliminary and may change. He also walked through an alternate oil-price scenario showing significantly higher oil and gas collections and a larger Strategic Investment Fund balance if prices remain elevated. Members asked whether another forecast should be requested once oil markets stabilize and about tribal allocation changes in the alternative scenario; Knutson said additional updates are possible through OMB and future forecast cycles.

Transcript Highlights:

• </c> is how close your bids are on bid day. is how close your bids are on bid day.
• </c> on bid day to get the project awarded. on bid day to get the project awarded.
• </c><00:47:19.200><c> I</c> appropriately take care of people. I appropriately take care of people.
• </c> team and the people that provided care team and the people that provided care to<00:48:08.560><c
• </c> be a day that I may need a bed, right? be a day that I may need a bed, right?

Summary: The meeting opened with the pledge and prayer, a roll call established quorum, and members announced a Veterans Caucus meeting to follow the session. The committee also recognized distinguished veteran Joe Mash Masterson of Bardstown, who was praised for his Army service, long-time advocacy for veterans, and leadership in the American Legion and local veteran organizations. Masterson thanked his family, the American Legion Post 121, and the VA staff, and several members offered remarks honoring his service and the committee’s practice of recognizing veterans. The committee then briefly addressed a referred administrative regulation, 017 KAR 001 030, which leadership described as technical updates to existing policy; no vote was taken. After that, members heard testimony from KDVA and Finance and Administration officials on the ongoing HVAC replacement project at the Radcliffe Veteran Center. Officials said the system had been problematic for years, that design work began early to accelerate the project, and that the work was complicated by the need to replace the system in an operating nursing facility. They explained that the project was bid in March, awarded to Less Mechanical, and that protective measures, shop drawings, and equipment orders were underway. Committee members pressed officials on why the problem had taken so long to resolve, why the original system had been installed, whether the issue had been communicated regularly, and whether the state should be paying for a replacement in a relatively new facility. Officials said the original system’s components and warranties had failed, that they had tried to replace parts before moving to a full replacement, and that the system’s manufacturer and quality differed from a similar facility in Glasgow that had not had the same issues. They said the current phase one contract was about $6 million, with the remaining funds held for phase two to restore full occupancy; phase two design was nearly complete and could be bid later if funding is approved. Officials estimated phase one completion around January 2026 and full completion around March 2027, depending on funding and scheduling.

Transcript Highlights:

• So I'm happy that we have a meeting today on this wonderful day. Do you have any remarks?
• professionals, and improving education and health care in Arkansas.
• What will they do with their days? Will they be inspired by their environment?
• So the CES, while I was taking care of that, what would I wish for?
• So. system for people with more complex care needs.

Committee: All TASK FORCE ON AUTISM

Summary: The committee heard presentations on three Arkansas programs serving students and adults with autism and other developmental disabilities. University of Arkansas representatives described the Empower Program, a non-degree, four-year inclusive postsecondary program for young adults with mild intellectual disabilities, and the Autism Support Program, which provides intensive academic, peer, and career coaching for degree-seeking students with autism. They explained the programs’ person-centered planning, residential and employment supports, fee structure of $5,000 per semester for each program, and scholarship/fundraising efforts to offset costs. Members asked about dorm arrangements, mentoring, individualized plans, and how students move in and out of support services, and the presenters emphasized independence, integrated campus life, and transition planning. Pulaski Technical College staff then presented the 3D program, a three-year transition program in culinary, baking, and hospitality for students with intellectual and developmental disabilities. They outlined integrated classes, internships, job placement outcomes, and data showing strong completion and employment retention rates. Questions focused on how success is measured, tuition and financial aid, and the challenge of securing community partners for practicum and employment sites. The presenters said the program uses rubrics that include technical and professional skills, charges $5,700 per semester, and is pursuing accreditation through the Inclusive Higher Education Accreditation Council. The final presentation was from SLS Community, a Fayetteville nonprofit serving neurodivergent adults through residential supports, supported employment, and community initiatives. Leaders described their vision for a future mixed-use “live-work-play” development at Cato Springs, current residential and vocational services, and community events such as a 5K and a neurodiversity health care conference. Family members testified about the need for adult services, trained direct support professionals, and better reimbursement and behavioral health supports after age 21. No formal votes were taken beyond approving the prior meeting minutes, and members also announced upcoming autism-related events and requested future discussion on task force appointments and ABA-related issues.

Transcript Highlights:

• Assembly Bill 789 by Assembly Member Bonta, an act related to health care coverage.
• The Affordable Care Act expands access to quality, affordable insurance and health care for millions
• Abortion is health care, plain and simple. It's not political.
• So including abortion care, making sure that it's clear that this is part of emergency care and essential
• Seeing and hearing none, the clerk will read the second-day consent calendar.

Summary: The Assembly convened after a quorum call, observed a moment of silence for Pope Francis, and later held a separate remembrance ceremony for the 110th anniversary of the Armenian Genocide. Members and guests heard extensive remarks in support of HR 25, which was adopted by voice vote after 70 co-authors were added. Speakers from both parties and several caucuses emphasized historical truth, remembrance, and solidarity with Armenian Californians, and the chamber also observed a moment of silence for the genocide victims. On the floor, members also passed AB 789 on health insurance rate oversight, ACR 56 recognizing Parkinson’s Disease Awareness Month, AB 652 on San Diego County Air Pollution Control District alternates despite opposition from one member over regional balance concerns, AB 1414 protecting renters from mandatory internet provider subscriptions, AB 931 regulating litigation finance agreements, AB 890 easing residency rules for foster youth moving counties, AB 40 clarifying emergency reproductive health care coverage with urgency, AB 322 encouraging school-based health and mental health reimbursement programs, and AB 639 narrowing the definition of dams for certain weir operators. Most measures passed by wide margins, including several unanimous votes. The consent calendar, including AB 1149, AB 484, AB 859, AB 1105, and AB 1384, was adopted without objection. The Assembly also handled procedural motions, committee notices, and bill re-referrals earlier in the day. The house then announced upcoming committee meetings and adjourned until Thursday, April 24 at 9 a.m.

Transcript Highlights:

• protects Florida's seniors, and this is dealing with everyone's personal favorite, the 72 Continuing Care
• Bennett Napier, speaking for New York, and you were with Florida Life Care Residents Association?
• The average age of residents in continuing care retirement communities is around 85 years old.
• Over 63% of the licensed CCRCs in the state of Florida have a management company that manages their day-to-day
• It's been a long, long day.

Summary: The committee heard and advanced several insurance, financial regulation, and public safety bills. SB 1656, a large Office of Insurance Regulation bill, was taken up with a delete-all amendment and extensive discussion. The bill would increase transparency in insurance rates and mitigation data, update reciprocal insurer rules, limit use-and-file rate filings, expand cybersecurity breach notification, and strengthen oversight of continuing care retirement communities (CCRCs). Residents and senior advocates generally supported stronger oversight to prevent bankruptcies like the Unison case, while CCRC operators and industry groups warned that lien authority, reserve requirements, and other provisions could raise borrowing costs and burden well-run communities. The committee adopted the delete-all amendment and then reported the bill favorably after debate and public testimony. The committee also passed SB 1658 on the public records database for uniform mitigation verification forms, with a clarifying amendment protecting policyholders’ personal information. SB 1612 on financial institutions was reported favorably after an amendment and substitute amendment dealing with credit union investment limits and reimbursement rules for board members. SB 1740, an insurance bill aimed at reducing premiums and insolvency risk, was amended to prioritize rate-decrease filings and prohibit AI as the sole basis for claim denials; it was then reported favorably. SB 1212 on firefighter health and safety was amended to add occupational disease language and other firefighter protections, including safer gear, cancer prevention, and possible telehealth mental health services, and was also reported favorably. Finally, SB 1184 on residual market insurers was amended to preserve existing excess-and-surplus line standards, strengthen consumer disclosures, and clarify Citizens-related appointment rules before being reported favorably. Throughout the meeting, committee members repeatedly noted that several bills were still being refined with stakeholders, and multiple public witnesses testified in support of or opposition to the CCRC and insurance provisions, focusing on resident protection, financial stability, and unintended cost impacts.

Transcript Highlights:

• </c> child care employers. child care employers.
• </c> on weight list for child care spaces. on weight list for child care spaces.
• </c> in child care workforce. in child care workforce.
• Take care. to pass this bill. Thank you. Take care.
• </c> closing and families losing care. closing and families losing care.

Committee: House Finance

Transcript Highlights:

• I’m a concerned New Mexican who cares about health care affordability.
• to raise premiums on health care plans?
• for income on our child care.
• They could give them 30 days in jail.
• And so I got a better perspective of what the day-to-day life was in there.”

Committee: House House Consumer & Public Affairs

Transcript Highlights:

• They didn't go to school all day.
• So this woman is working in health care.
• And then would not need to have her child care subsidized.
• That usually comes in June, so it could be any day now.
• And their job is to review cases all day, every day.

Committee: All ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE

Summary: The meeting focused on Arkansas’s workforce development reorganization and a set of federal waiver requests intended to consolidate and streamline the state’s WIOA system. Commerce officials said the department has already centralized shared services, split the old workforce agency into reemployment and Arkansas Workforce Connections, and submitted a combined WIOA/Perkins state plan. They described nine waiver requests, including replacing local workforce boards with a single statewide board, creating one planning and accountability structure, allowing more flexible movement of funds across regions, easing the “last-dollar” requirement for training and supportive services, reducing required youth program elements, and allowing affiliate sites instead of mandatory comprehensive centers. Officials said the goal is to reduce administrative costs and redirect more money to training, supportive services, and employer-driven programs. Legislators raised concerns about rural representation, local employer relationships, and whether local offices would close. Commerce officials said local offices would remain open, some current staff could be rehired, and regional business councils would preserve local employer input. They said the current system is fragmented and expensive, with roughly $14 million in federal workforce funds flowing through local boards but only about $1.9 million spent on training and supportive services last year; they argued the reorganization could raise training spending to about $6 million to $7 million annually. Questions also addressed board composition, performance accountability, and how funds could be shifted between regions when needs change. The State Board of Workforce Development had approved the waiver package 11-3 before it was submitted to the U.S. Department of Labor. Members also discussed workforce access for people with disabilities, child care and transportation supports, and the role of Arkansas Launch, apprenticeships, and career and technical education. Officials said vocational rehabilitation now has better access to the state job board and that referrals and data-sharing with DHS and other partners still need improvement. Several legislators emphasized the need for training to align more closely with employer demand, especially in manufacturing, technology, health care, and rural areas. The committee also heard a brief overview of Workforce Pell, with staff explaining that the new federal short-term Pell option has narrow eligibility rules and may not fit many existing programs, including some CDL and CNA programs.

Transcript Highlights:

• The Health Care Budget Subcommittee will come to order. Conner, please call the roll.
• We know that health care is the largest budget in... ...health care is the largest budget in the House
• There are 245 FTE positions that have been vacant for over 365 days.
• The CARES program was put into an act and is a statute.
• I probably answer half the questions I get asked in any given day.

Summary: The Health Care Budget Subcommittee met to review agency budgets, vacant positions, and possible efficiencies across several health and human services agencies. Members were asked to identify savings and potential areas for increased funding, and the discussion repeatedly focused on whether long-vacant FTEs, reversion of funds, and staffing shortages reflect true operational needs or broader budgeting and recruitment problems. The chair and members emphasized that the exercise was intended to help the committee make more informed budget decisions and to identify structural issues that may require legislative action. For the Agency for Persons with Disabilities, members highlighted a large waiting list, including individuals in crisis and children, and discussed whether vacant positions and unspent funds could be redirected to services. Several members raised concerns about delays in crisis applications, the use of paper applications, and whether the issue is staffing, process, or both. For the Department of Children and Families, the presenters discussed vacant positions, the use of staff augmentation in state hospitals, support for expanding behavioral qualified residential treatment program beds, and concerns raised by audits of the managing entities, which showed procurement and financial management problems. They recommended continued oversight, reporting requirements on Medicaid enrollees receiving mental health services through managing entities, and support for the governor’s proposed funding items. Other agencies reviewed included Elder Affairs, where members questioned the need for multiple divisions, CARES assessments, and supervisory overhead; the Department of Health, where vacancies, turnover, pay gaps, and units of rate were discussed as barriers to recruitment and retention; and the Department of Veterans’ Affairs, where the presenters said vacancies were tied to new nursing homes and recommended shifting a major priority into general revenue rather than trust funds. Throughout the meeting, members generally agreed that the vacancy review was eye-opening and suggested deeper, possibly separate, reviews of agency staffing, pay parity, and fund reversion practices. No formal votes were taken during the transcript.

Transcript Highlights:

• </c> Representative Sullivan, you must care Representative Sullivan, you must care about<00:08:21.520
• </c><00:22:20.640><c> So</c> supposed to keep for 60 days. Right? So supposed to keep for 60 days.
• </c> care there is no more balance billing. care there is no more balance billing.
• And there was a day closed their doors.
• I'm also um a healthc care reimbursement I'm also um a healthc care reimbursement consultant<03:28:21.680

Summary: The committee first took up several liquor-related bills. Senate Bill 24, allowing students under 21 to taste wine in educational settings, drew no opposition or amendment and was reported out 6-0. Senate Bill 79, authorizing self-pour automated systems under the liquor commission, also faced no opposition and was voted ought to pass 6-0. Senate Bill 80, shifting licensing, auditing, and enforcement for wholesale and retail e-cigarette sales to the liquor commission, prompted discussion about whether the change would add cost; members heard that the liquor commission already handles similar enforcement and that the change was meant to address nonreporting. It was voted ought to pass 6-0. The committee then discussed Senate Bill 87, concerning alcohol service in salons, barbershops, and spas. Members and staff focused on how to limit the amount served, whether to require recordkeeping, and privacy concerns about tracking what patrons drank. The discussion settled on removing references to alcohol type and quantity and keeping only patron records, with the understanding that the agency would set the details by rule. The bill was not formally amended at the meeting, but members agreed an amendment would be drafted for the following week; the bill itself was reported ought to pass with that amendment to be determined. Finally, the committee heard testimony on Senate Bill 245, the EMS No Surprises Act and System Stabilization Act. The sponsor, Senator Suprena, said the bill would prohibit balance billing for emergency ambulance calls and unscheduled transfers, while setting reimbursement at either locally set public rates or 325% of Medicare. She explained that the proposal was based on national work on ground ambulance billing and was intended to stabilize struggling EMS providers. Committee members sought clarification that the bill did not eliminate balance billing for non-emergency transfers, and the sponsor confirmed it did not. A second witness, Jerry Stringham, testified in support, citing his reimbursement background.

Transcript Highlights:

• day health care, home-delivered meals, hospital care, and really a broad package of services.
• The Senator, to answer your question, our adult day health care is something we're very interested in
• And that's adult day health care.
• health care there.
• This is going to be part of your proposed budget to have additional resources to do adult day care?

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The Appropriations Committee on Health and Human Services heard a base budget overview for the 2025-26 fiscal year, which was presented as a $46.8 billion starting point for the silo. Staff explained that HHS accounts for about half of the state base budget and roughly 36% of general revenue, with AHCA and Medicaid making up the largest share. The committee then reviewed the PACE program for the elderly, including its eligibility, service model, growth in applications, slot funding and reversions, and the agency’s plan to move from the federal three-way agreement to a more detailed two-party contract to improve accountability, transparency, and reporting. Members raised concerns about unfilled slots, reversions, rural access, and the need for clearer return-on-investment data; the agency said it would follow up on some of those questions. The committee also heard from the Agency for Persons with Disabilities on its statewide dental program. APD described its history of appropriations, the failed January 2024 solicitation, and a new up-to-$11.5 million solicitation focused on preventive care, community partnerships, teledentistry, and coordination with other services. Members questioned overlap with Medicaid dental coverage, the effect of Medicaid unwinding on APD clients, and whether state dollars were duplicating federally supported services; APD said it tries to act as payer of last resort and that services would continue during procurement. Public testimony from an APD stakeholder and the Florida Dental Association emphasized Medicaid eligibility problems for waiver recipients, low reimbursement rates, limited access to anesthesia and hospital-based dental care, and concerns that proposed Medicaid changes could reduce access for special-needs patients. The Department of Veterans’ Affairs then presented on state veterans service officers and benefits assistance. FDVA highlighted its role in helping veterans access federal benefits, reporting about $27.9 billion in federal dollars flowing into Florida and a high return on state investment. The department said it has increased outreach, claims processing, and services, and has trained staff to identify mental health concerns through its Overwatch program. In response to questions, FDVA discussed plans to expand adult day health care at a new veterans nursing home and possibly at existing locations with additional state funding. At the end of the meeting, the committee completed its presentations and adjourned without objection.

Transcript Highlights:

• House Speaker. >> Senator Polsky, thank you. >> And what role does this large board play with kind of a day-to-day
• They're not test with the day-to-day operations there.
• So the day-to-day functions are performed by the actual employees in the office.
• They're not involved with the day-to-day activities of what the office is actually doing.
• If we're interested, the director and chief of staff runs day-to-day operations overseas and provide

Transcript Highlights:

• </c> hospitalization, advanced cancer care. hospitalization, advanced cancer care.
• ><00:36:38.960><c> care.
• </c> primary care spend. primary care spend.
• </c> rates for primary care services. rates for primary care services.
• health care in primary care now and health care costs<00:46:36.960><c> are</c><00:46:37.119><c> saved

Summary: The joint hearing opened with House Bill 1969, which would provide state funding for colorectal cancer screenings for uninsured and underinsured residents. The Department of Human Services said it supports the goal of early screening but would need new administrative capacity, including a program manager and claim pre-screening, to run the program. The Department of Health supported the measure and cited low screening rates in Hawaii, noting an educational campaign to encourage screening. The Insurance Division raised concerns about reliance on federal FAQs, warning that guidance can change and may create state cost exposure. Supporters including the American Cancer Society Cancer Action Network and the Hawaii Medical Association argued the bill would close a preventive-care gap, reduce late-stage diagnoses, and save long-term costs; the committee also discussed implementation costs, estimated by DHS at roughly $1.4 million to $2 million annually plus administrative expenses, and a 6-month to 1-year timeline to establish the program. The committee then took up House Bill 1965, which would require health carriers to spend at least 6% of total medical expenditures on primary care providers. The Insurance Division said several provisions raise technical and legal concerns, including the premium freeze, the medical loss ratio language, the lack of an existing external review process for downcoding claims, and a new mandate for medically necessary inter-island transportation that could trigger an ACA defrayal. The Department of Human Services supported the intent but suggested broader language to include primary care supports and services, and noted that QUEST integration plans already invested at least 9% of total medical expenditures in primary care in 2024, with additional spending on supports and low-value care reductions. State health planning officials strongly supported the bill as an investment in primary care, saying it could improve outcomes and lower long-term costs, though they acknowledged a possible temporary premium increase during the transition. Testimony in support emphasized Hawaii’s physician shortage, especially on Maui, the Big Island, and other neighbor islands, and warned that clinics are under financial strain and may close without higher primary care reimbursement. The Hawaii Healthcare Task Force, AARP Hawaii, and other supporters said the bill would help retain providers, improve access for Medicare and Medicaid patients, and prevent downstream costs from emergency room use and avoidable hospitalizations. No votes or final committee action were taken in the portion of the hearing provided.

Transcript Highlights:

• So, having a child in our care 24 hours a day is much better for the child because they're not going
• So, having a child in our care 24 hours a day is much better for the child because they're not going
• So, having a child in our care 24 hours a day is much better for the child because they're not going
• :47.040><c> much</c> in our care 24 hours a day is much in our care 24 hours a day is much better<01:
• We have to take care of the students during the day.

Summary: The commission on the costing of special education met to review several documents and updates, including draft materials on residential placements, an LBA dispute resolution report, prior minutes, rate-setting rules, and a letter involving Senator Hassan. The minutes from March 16 were approved by motion, second, and one abstention. Members also received an update that the LBA special education performance audit is still pending; the report is expected to be very large, NHED and the Board of Education must review and comment before release, and it likely will not be available until late summer or early fall. The separate EFA audit was also noted as still unreleased, and members said they may return later to issues involving EFA costing and differentiated aid. A major focus was HB 1099, which would create a committee to study the cost and liability of providing educational services to students placed in residential facilities. The chair explained that the House version had passed unanimously and the bill was headed to a committee of conference. Members discussed a proposed amendment to add the phrase “including but not limited to” so the study would cover not only court-ordered or treatment-related placements but also other residential placements, including those tied to school district decisions. Some members said this was a substantial expansion, while others said it would simply give the committee broader latitude. Jason Stock of the Winnisquam Regional School Board described how the issue arose during budget work at Winnisquam, where the district was trying to determine who should pay for educational services for students living at Spaulding Youth Center in Northfield. He said the district had 10 students attending Winnisquam, including three foster students and seven students connected to Spaulding, and that Spaulding-specific invoicing for 2024-2025 totaled $141,417.05 for eight students. Members also discussed rising private placement tuition costs and the difficulty of determining residency and fiscal responsibility for students placed in residential settings. Department counsel explained that under RSA 193:27 and 193:28, children placed in a home for children may attend the local district school, and that special education cost responsibility depends on whether the student is identified as disabled and on the nature of the placement. Spaulding representatives had not yet presented by the end of the excerpt, and the committee was still working through the residency and funding questions.

Transcript Highlights:

• </c><00:04:37.080><c> and</c> access to our professional care and access to our professional care and
• </c><00:08:39.240><c> is</c> acknowledge that Western birth care is acknowledge that Western birth care
• This reduces care options.
• Midwifery care is the solution.
• Midwifery care is the solution.

Committee: Senate Health and Human Services

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.

Transcript Highlights:

• </c> released again just a couple more days released again just a couple more days later.<00:14:16.639
• </c><00:32:19.440><c> So</c> assistance and Minnesota care. So assistance and Minnesota care.
• </c> early days, there was a lot of activity. early days, there was a lot of activity.
• to day.
• So, pivoting now to potential day.

Committee: House Ways and Means

Transcript Highlights:

• They just prevented people from getting care.
• or care if you need it, right?
• Look, but at the same time, pharmacists or health care providers, they care about their patients, they
• Look, but at the same time, pharmacists or health care providers, they care about their patients, they
• care about their communities, many of which Representative Peters, they will providers, they care about

Committee: House Health and Mental Health