Transcript Highlights:

• Rural communities, single-parent households, and fixed-income seniors and students are more likely to
• This will impact Californians all over our state.
• This will disproportionately impact seniors, youth, working families, and our farmers will also be impacted
• as well, because it's going to impact the supply chain as well.
• It is especially impactful for families with children, who are the most impacted by this food affordability

Summary: The Assembly Committee on Human Services heard two measures after announcing that SB 792 had been pulled from the agenda. The first bill, AB 412, would require affiliated home care aides to receive training on Alzheimer’s disease and dementia care. The author and supporters, including the Alzheimer’s Association, AARP, and the Home Care Association of America, said the bill would help ensure more consistent and compassionate care for people living with dementia. A witness described difficult personal experiences finding aides who understood her husband’s needs. There was no opposition, and the committee members expressed support and personal appreciation for the issue. AB 412 was moved on a do-pass-as-amended motion to the Assembly Appropriations Committee and passed 7-0. The committee accepted the author’s committee amendments. The committee also heard SJR 3, a resolution urging Congress to avoid cuts to SNAP, known in California as CalFresh. The author and supporters from the California Association of Food Banks and End Child Poverty California argued that the program is essential to reducing hunger, supporting children and families, and sustaining the food economy, and that food banks could not replace lost benefits. Public testimony was overwhelmingly in support, with no opposition. Members from both parties spoke in favor, including one member who shared personal experience relying on SNAP. SJR 3 was adopted 7-0 and sent forward.

Transcript Highlights:

• Uh unfortunately, the a deficit impact.
• Madam Speaker, in in this impacted.
• And what all of them rural, suburban.
• impact the entire<00:16:03.600><c> system.
• in our rural areas.

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, September 2, 2025, 1012, house, all

Transcript Highlights:

• that CEQA cannot treat as significant environmental impacts.
• The biggest reason is because liquid sugar has a unique impact on the human body.
• SB 1323 has a minimal fiscal impact.
• In jurisdictions where impact fees are more than $10,000, impact fees are more than $750 square feet.
• In jurisdictions where impact fees are more than $10,000, impact fees are more than $750 square feet.

Summary: The Assembly Appropriations Committee met on August 5, 2026, and first approved a large consent calendar of bills, then heard and voted on a long series of measures covering health care, housing, energy, labor, public safety, insurance, and immigration-related issues. Several bills were moved on roll call with no or limited opposition, including SB 999 on delaying the Health Minimum Essential Coverage report deadline, SB 931 on Diablo Canyon’s mitigation fund, SB 952 on State Water Project clean energy procurement, SB 1288 on nonprobate asset beneficiary notification, SB 1371 on solid waste labor-dispute contract clauses, SB 1014 on housing development fee estimates, SB 1283 on EV charging station permitting, SB 1209 and SB 1244 on insurance enforcement and broker compensation disclosure, SB 1359 on gas utility infrastructure oversight, SB 677 and SB 908 on housing streamlining, SB 1323 on medical facility procedures for people in immigration custody, SB 938 on peace officer training waivers for former federal immigration officers, SB 1272 on code-violation enforcement timelines for new homeowners, SB 1117 on ADU impact fees, SB 1196 on utility hookups for small energy projects, SB 1299 on sprinkler fitter certification, and AB 2597 appropriating funds for state legal settlements. The committee also approved its suspense calendar and later lifted SB 1359 from call with an added aye vote. Testimony generally followed the bills’ themes. Supporters argued that the measures would improve transparency, reduce costs, streamline housing and energy projects, protect consumers, and strengthen public safety or worker protections. Opponents or “opposed unless amended” witnesses raised concerns about implementation burdens, disclosure mandates, labor and compliance issues, local government costs, and the scope of some proposals. Notable points of contention included SB 869, where restaurant groups objected to the on-menu sugar warning approach and urged more flexible disclosure methods, and SB 1244, where insurance industry representatives argued the bill would impose unworkable disclosure obligations on brokers and agents. SB 1272 drew opposition from code enforcement and county groups who warned it could delay health-and-safety enforcement, while SB 1117 drew opposition from special districts, counties, and fire-related groups concerned about reduced fee revenue for infrastructure. The committee also heard public comment on several bills not presented that day, including opposition to wildfire mitigation/CEQA-related legislation, staffing regulation fees, and education and demographic-data bills. Overall, the hearing was dominated by fiscal and policy debates over housing affordability, energy infrastructure, consumer transparency, and the balance between regulatory streamlining and local or industry compliance costs.

Transcript Highlights:

• It's a great program, mostly in the rural areas.
• Tiana and the Reed division to really get the data for you so you can see the impacts, because we are
• </c><00:59:04.640><c> because</c><00:59:04.960><c> we</c> so you can see the impacts because we so you
• </c> neighbor Islands especially in rural neighbor Islands especially in rural areas<01:00:13.839><c>
• areas and and getting um on the rural areas and and getting um applications<01:00:23.640><c> from</c

Committee: Senate Economic Development and Tourism

Keywords: 912, senate, all

Summary: The Senate Committee on Economic Development and Tourism heard testimony on several bills, with much of the discussion focused on Enterprise Zones and related economic development measures. On SB 125, the committee heard support from DBEDT, the Department of Taxation, the Tax Foundation of Hawaiʻi, the Hawaiʻi Farm Bureau, and the Farmers Union. Members questioned how the bill would affect job-creation requirements and learned that existing companies and new companies are treated differently under the program, with existing companies generally subject to a 15% annual employment increase and new companies to a 10% increase, while the bill would extend the program period from seven to nine years. DBEDT also said the program has been effective, citing 1,162 jobs created or maintained at a cost of about $1.2 million, and noted that agriculture, manufacturing, and wholesaling are the main sectors involved. The committee then took up SB 729, also relating to Enterprise Zones, which would expand eligibility to better accommodate local manufacturers and value-added businesses that sell directly to retail rather than only wholesale. Testifiers from the Holua Collaborative and Hawaiʻi Farm Bureau supported the measure, saying it would help small manufacturers and agricultural producers add value and adapt to internet-era sales patterns. A committee discussion clarified that the bill would add value-added processing as an allowable activity within the zones, and DBEDT explained that the current rules were written for a wholesale-dominated market. The Attorney General’s office also testified, raising a supremacy clause concern and recommending language changes to avoid conflict with federal law. On SB 129, relating to labeling requirements for fish, the Attorney General and the Department of Agriculture both raised concerns about federal preemption and enforcement. The AG explained that federal law governs fish labeling but includes an exception for processed fish, and recommended narrowing the bill to processed fish and defining that term to fit the federal carve-out. The Hawaii Longline Association supported the bill but suggested excluding canned tuna while including products such as poke, sashimi, and sushi. The Department of Agriculture said it does not currently enforce this kind of labeling requirement and would need to determine whether another agency should handle enforcement. The committee also heard SB 581, which would establish an aerospace and aeronautics development program within DBEDT. Testimony was generally supportive, but members pressed for a fiscal estimate, and the bill’s sponsor said a prior version of the office had operated on about $400,000 annually with a small staff. No votes or final committee actions were taken during the portion of the hearing provided.

Transcript Highlights:

• Catalina Sanchez with the California Rural Legal Assistance Foundation, in support.
• And these are huge, massive cuts that will have incredible impacts on the delivery of care.
• We're already seeing the first wave of impact in the first few months of 2026.
• It establishes the AI worker impact data assessment project within EDD to study these industry impact
• It's impacting safety and it's impacting productivity. So we strongly support this bill.

Summary: The committee heard several labor-related bills, with testimony largely focused on worker protections, AI, workplace safety, and employment access. AB 1697 would delay implementation of AB 692 on employer debt traps by one year to allow more time to address collective bargaining concerns; it drew support from the NFL and no opposition. AB 2495 would expand prohibitions on immigration-related threats used by employers to intimidate workers, with strong support from immigrant-rights, labor, and legal aid groups describing coercion and fear among undocumented and new-arrival workers; it advanced on a divided roll with some members voting no or not voting. AB 2511 would require DIR to study pay disparities between behavioral health and medical-surgical providers, with supporters arguing low reimbursement drives provider shortages and opponents warning of duplicative reporting, proprietary-data concerns, and added administrative burden; it was moved forward to the Health Committee. AB 2157 would make permanent the Displaced Oil and Gas Workers Fund Pilot Program, with displaced refinery workers and labor/environmental groups supporting the bill as a needed transition tool; it passed to Appropriations. AB 2530 would require 60-day notice for public-employer layoffs, relocations, and closures, narrowed by amendment to public agencies; supporters said public workers deserve the same notice protections as private-sector workers, while some opposition sought clarification, and the bill passed to Judiciary. The committee also heard AB 2488, which would direct DIR and UC to study Cal/OSHA inspector vacancies and recruitment pathways. Supporters, including a laid-off refinery worker and WorkSafe, said chronic understaffing has weakened enforcement and that experienced workers could fill the gap; the bill passed to Appropriations. AB 2545 would create an EDD study of AI-related workforce displacement and safety-net impacts, with labor and tech-policy supporters warning of large-scale job loss and the need for data to plan for unemployment and other public programs; business groups opposed the reporting and task-force structure but acknowledged the issue, and the bill passed to Privacy and Consumer Protection. AB 2027 would restrict employers and vendors from using worker data to train or deploy AI systems that replace workers, while limiting collection to what is necessary for employment administration; supporters framed it as a privacy and anti-displacement measure, and opponents argued the definitions were too broad and could hinder useful workplace technologies. The bill advanced to Privacy and Consumer Protection. Later, AB 2095, the Fair Chance Act bill, was presented to clarify and strengthen rules limiting conviction-history screening in hiring, including written explanations and protections for applicants seeking promotions or new roles with current employers. Supporters described ongoing discrimination against people with records and the need for a real second chance, while opponents said the bill was too broad, added burdens, and could conflict with existing statewide rules. The transcript cuts off before the final vote on AB 2095, but the discussion centered on balancing reentry opportunities with employer concerns about individualized assessments and safety-based hiring decisions.

Transcript Highlights:

• I just want to establish that I believe that one of the main purposes was rural.
• However, total enrollment-wise, it's about half urban and half rural.
• impacted.
• Courses not offered locally are more prevalent in our rural schools.
• Superintendent Simmons, coming from a rural district, certainly IDLA was crucial to us.

Committee: House Education

Keywords: 989, all

Transcript Highlights:

• So in my mind, that money would be very much available for even rural projects.
• So, I think there's just a disagreement about the impact of this legislation.
• And we do believe this would impact their ability to, ...the federal law does apply to Missouri.
• And we do believe this would impact their ability to, age of 21.
• Things in the news, and they saw the impact and wanted to be able to have some more to do there.

Committee: House Commerce

Keywords: 959, house, all

Transcript Highlights:

• Roper began with economic development in 2011 and has quickly risen to the community business and rural
• It's going to bring 250 jobs, but a billion-dollar overall capital impact, economic impact over the next
• communities, rural communities in particular.
• And so as we're looking at that, how is that impact? How are those tariffs on the federal side?
• And the broader economic impact of those three projects is $2.159 billion.

Summary: The committee first recognized Mark Roper of the Economic Development Department for his long service and retirement, with members and the secretary praising his work on economic development across the state. Secretary Rob Black then presented EDD’s budget and special appropriation requests, describing strong recent job and income growth and outlining the department’s strategy around science and technology, site readiness, workforce development, foreign direct investment, and rural/community programs. He highlighted wins in advanced energy, quantum, space and defense, and biosciences, and asked for funding for quantum/DARPA matching funds, additional site readiness work, LIDA closing funds, JTIP training support, New Mexico Partnership, and healthy foods and other community programs. Members asked detailed questions about the quantum proposal, site readiness, the new mapping tool for industrial sites, workforce participation, trade missions, foreign investment, tariffs, water and produced water, tribal site evaluation, and public engagement on major projects. Black said the quantum request was intended to match federal dollars and build a workforce pipeline, that the site-readiness software would be a set enterprise license, and that the department was working with tribes and local partners on future site evaluations. He also said tariffs have created uncertainty but New Mexico’s infrastructure and foreign trade zones could help attract manufacturing, and he acknowledged concerns about transparency and community input while noting that some projects, such as Pacific Fusion, had gone through extensive public processes. The committee also discussed specific projects and funding balances, including Mantis Space’s move to Albuquerque, the status of Virgin Galactic’s spaceport lease, and the current LIDA fund balance and encumbrances. Black and Deputy Secretary Isaac Romero said the department was trying to use State Investment Council-backed venture funds to attract companies and that the new investments were already producing deals and jobs. Members generally supported the department’s direction but pressed for more targeted expertise, faster deployment, and stronger community involvement in future economic development decisions. Later, Secretary de Blassie of the Department of Health presented the department’s budget request and progress report. He said DOH had improved revenue cycle management, reduced old Medicaid-pending cases, increased census at facilities, improved budget and contract timeliness, and responded effectively to the measles outbreak. The department requested additional base funding for epidemiology and response, the DOH helpline, the Vital Records Virtual Vault, state labs, and the veterans home, along with special requests for respiratory vaccinations and marketing and lab equipment replacement. He also noted progress on MOUD and the medical psilocybin program, and said the department was not seeking to launch new programs given the limited time left in the administration.

Transcript Highlights:

• So when you think rural healthcare, I hope you think about my providers.
• Again, that has downstream impacts on our healthcare delivery system.
• It was not impacted by the changes in the One Big Beautiful Bill.
• We believe there is no direct impact; it's the indirect impacts that are currently unknown.
• They will not include any impacts on providers from the expiring ACA credits.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• But this only impacts public entity buildings. Is that correct? Absolutely.
• There's zero private sector impact.
• But this only impacts public entity buildings. Is that correct? Absolutely.
• There's zero private sector impact.
• HB 2115 by Ashby, relating to the rural sheriff's office, rural constables office, and rural prosecutor's

Summary: The House convened with a quorum, offered an invocation, led the pledges, and approved a series of routine motions, including excusing absent members and granting permission for several committees to meet while the House was in session. Members also adopted several memorial and recognition resolutions, including H.R. 1023 honoring Christian Beerbill, H.R. 1033 recognizing International Bereaved Mother’s Day, and H.R. 877 recognizing Urban League Advocates Day. The House also recommitted SB 17 and HB 4211 to committee and postponed SCR 27 and HB 2145 for later consideration. The chamber then took up a long third-reading calendar of bills covering a wide range of topics, including Sunset review measures, health care workforce and pricing, child custody and family law, Medicaid, rural ambulance grants, energy reporting, public information requests, trail development, virtual meeting disruptions, occupational licensing, protective orders, county leave pools, animal cruelty, infrastructure, and higher education. Most bills were explained briefly by their authors and passed with broad support, though several drew notable opposition, including HB 5265, HB 2402, HB 3000, HB 3237, HB 3326, HB 1056, HB 281, HB 3308, HB 1043, HB 1234, HB 1193, HB 294, HB 809, HB 334, HB 2037, HB 285, HB 1353, HB 3960, HB 4044, HB 4264, HB 2807, HB 3349, HB 4406, HB 1593, HB 1899, HB 1201, and others. Several bills prompted extended debate or amendments. HB 3237, extending public energy-use reporting for state and higher-education buildings, passed after questions about its public-sector-only scope and energy savings. HB 3326, addressing public service loan forgiveness credit for adjunct professors, initially failed on a 69-70 vote but later passed after verification and machine corrections. HB 3211, concerning optometrists in managed care plans, adopted a Buckley amendment before passing. HB 2213 on Texas Windstorm Insurance Association board composition adopted a Metcalf amendment requiring certain board members to be Texas residents. HB 412, dealing with harmful materials and sexual performance of a child, generated extensive questioning about its scope, existing legal standards, and effects on educators and medical professionals; the excerpt ends during that debate.

Transcript Highlights:

• Senator, um, and I just want to make sure, like, that I'm understanding the total impact of this.
• </c><00:19:18.039><c> of</c> have in the forecast is um any impact of have in the forecast is um any
• This waiver reimagine is going to impact our lives very, very, very significantly.
• </c><01:31:26.520><c> and</c> majority of them being small Rural and majority of them being small Rural
• </c> these services are it's from a rural these services are it's from a rural client<01:32:00.320><c

Committee: Senate Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• But this data shows that it's happening in our rural communities and communities across the state of
• As Representative Spell mentioned, you all had a huge impact at the Women's Caucus retreat.
• So this can be an issue that really impacts families.
• So this is a map from the March of Dimes showcasing some of our rural disparities.
• And then additionally, only 0.4 of maternity care providers practice in our rural parishes currently.

Summary: The committee held its inaugural meeting and heard opening remarks from the chair and vice chair about the committee’s purpose: studying issues affecting women and children in Louisiana, including health, education, economic opportunity, safety, and criminal justice. After roll call, the committee proceeded with informational presentations rather than taking any formal votes. Members emphasized the committee’s role in gathering testimony and identifying policy solutions. The first major presentation came from the Governor’s Office of Human Trafficking Prevention. The director reviewed 2025 data showing 2,963 identified victims, 15,437 service instances, and trafficking reports in 62 of 64 parishes. She explained Louisiana’s coordinated response system, including screening tools, child advocacy center referrals, and the DCFS hotline option for trafficking reports. She also described familial trafficking, new victim outreach and identification tools, and two priority bills: HB 321, which would create immunity from prostitution offenses for child victims under Safe Harbor principles, and SB 83, which would require school board trafficking policies and expand victim advocacy services to labor trafficking victims and survivors up to age 21. Committee members asked about reporting procedures, school use of the tools, service gaps, and whether the data showed increases due to better identification. The committee then heard from the Attorney General’s office on online child exploitation and child sexual abuse material. The presenter said the Louisiana ICAC Task Force received 31,203 tips in 2025, made 545 arrests, identified or rescued more than 80 child victims, and executed over 1,500 search warrants. He described rapid tip-to-arrest responses in recent cases, the expansion of partner agencies statewide, and the creation of an Orleans Metro ICAC task force. Members asked about community presentations, the role of social media in exploitation, the use of geolocation, the prosecution of out-of-state offenders, and the need for more analysts and outreach staff. The discussion also covered sadistic online enticement, sextortion, live-streamed abuse, and the need for parents and schools to monitor children’s online activity. At the end of the meeting, the committee began receiving a legislative auditor’s presentation on the treatment and care of incarcerated women, focusing on jail policies, health care, restraint use, and reentry, but the transcript cuts off before that presentation is completed. No committee votes or formal actions were recorded in the portion provided.

Transcript Highlights:

• Finally, this bill has a fiscal impact that's not in the governor's budget. Thank you.
• It matters because it’s reliable, low-impact, clean energy.
• Finally, this bill has a fiscal impact that's not included in the governor's budget.
• We're also concerned about general supply chain and market and consumer impacts.
• So we're already having impacts right now.

Summary: The committee heard testimony on several bills. House Bill 2272 would update state park inspection language for ski lifts and related equipment to better match current equipment and federal standards; the sponsor and State Parks said it was a simple modernization bill, and there was no opposition. House Bill 2245 would expand Clean Energy Transformation Act coverage to port districts that distribute electricity, utilities with a single customer, and certain affected market customers such as data centers; supporters said it closes loopholes and applies clean-energy rules more fairly, while ports, business groups, and some utilities warned of unintended consequences, added reporting burdens, and impacts on cogeneration and rural economic development. Ecology and Commerce supported the goal but raised concerns about allowance allocation, fiscal impacts, and possible double counting, and WAPUDA asked that existing single-customer PUDs be grandfathered. House Bill 2215 would lower Climate Commitment Act thresholds for gasoline, diesel, biodiesel, and propane suppliers and extend coverage to some purchasers; supporters said it would prevent entities from gaming the system and cover significant emissions now below the threshold, while Ecology, fuel distributors, propane suppliers, grocers, and business groups warned of compliance costs, supply-chain impacts, possible linkage issues, and the need to preserve existing reporting authority for natural gas. Ecology estimated about 50 additional covered entities could be brought in, and several opponents argued the bill would sweep in small family-owned businesses not intended to be regulated. House Bill 2090 would direct Commerce to develop a nuclear strategic framework for inclusion in the state energy strategy, contingent on outside funding. The sponsor and supporters argued the bill is only a planning measure to ensure Washington considers advanced nuclear as a firm, low-carbon, small-footprint resource amid rising demand, grid constraints, and land-use concerns; supporters included Energy Northwest, local governments, labor/environmental Democrats, and pro-nuclear groups. Opponents, including the Sierra Club, Columbia Riverkeeper, tribal representatives from the Confederated Tribes of the Umatilla Indian Reservation, and several environmental advocates, said the bill gives nuclear special treatment, relies on private funding that could bias the study, and risks advancing projects at Hanford without early, meaningful tribal consultation. Tribes requested explicit consultation, independent and publicly funded analysis, and attention to treaty rights and historic nuclear impacts. Testimony also sharply divided over cost, waste, and land use, with supporters emphasizing reliability and footprint and opponents citing high costs, unresolved waste disposal, and the immaturity of small modular reactors. No votes or final actions were taken in the hearing.

Transcript Highlights:

• So it had previously been an area more rural. Um-hum.
• What I want to emphasize is how I think that this bill will protect rural groundwater supplies and in
• cities, according to the state demographer, where groundwater is the sole source of water for many rural
• Texans. 99% of the drinking water for rural Texans actually comes from groundwater.
• construction, um, it doesn't, it's not as, uh, as you said a minute ago that, uh, it's not just an impact

Bills: HB24

Committee: House Land & Resource Management

Keywords: groundwater, conservation, water permits, sustainability, resource management

Transcript Highlights:

• We actually have an ecosystem called the Rural Biotech Ecosystem, which focuses on the rural areas since
• I want to know how you're going to economically develop those smaller rural areas, even the larger rural
• Chair, I understand that, but this bill right here, how is it going to help those rural areas?
• Chair, last question, so That being said, is that a way we can get it to these rural areas, maybe through
• Chair, Senator, the Middle Rio Grande represents urban and rural areas, and I don't know if Marla is

Committee: Senate Senate Finance

Transcript Highlights:

• </c> the way the counties are impacted. the way the counties are impacted.
• </c> state at what costs and how it impacts state at what costs and how it impacts health<01:31:46.800
• </c><01:31:56.600><c> of</c> better understand the health impacts of better understand the health impacts
• So, negative outcomes or impacts on us.
• We have many very large rural state.

Committee: Senate Health and Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• That is not a timeline that impacts voters.
• She speaks of noticeable legal deserts in Arizona's small towns and rural areas. 30 seconds.
• She notes that the dearth of legal professionals negatively impacts not only access to justice and the
• So wouldn't that disproportionately impact people who are less income or have no income, having just
• I grew up on a farm in rural Iowa.

Bills: SB1285 , SB1289 , SB1326 , SB1328 , SB1329 , SB1330 , SB1392 , SB1402 , SB1425 , SCR1013 , SCR1014

Committee: Senate Judiciary and Elections

Keywords: sentencing, correctional facilities, multiple sentences, death penalty, aggravating circumstances, juvenile offenses, class 2 felony, foreign donations, election administration, certification, Arizona Revised Statutes, transparency, public disclosure, victims' rights, attorney fees, government accountability, right to counsel, legal representation, parents' rights, family law

Transcript Highlights:

• local fiscal impacts, and more details can be found in the fiscal note.
• A fiscal note is available and shows no fiscal impact.
• A fiscal note is available and shows no fiscal impact.
• Just be mindful of those impacts and those things. We'd appreciate it. Thank you, Michael.
• Just be mindful of those impacts and those things. We'd appreciate it. Thank you, Michael.

Bills: HB2304 , SGA9280 , SGA9281

Committee: Senate Housing

Keywords: condominium, housing, warranty, property rights, construction, 904, all

Transcript Highlights:

• My district contains both urban and rural conditions, with downtown Seattle and the entirety of Vashon
• Could you sing those a few bars about the proportionality of the impact of your policy on rural versus
• This would require substantial renovations, which would have a significant impact specifically on our
• The young people we serve are disproportionately BIPOC and/or LGBTQIA+ and often system-impacted.
• The young people we serve are disproportionately BIPOC and/or LGBTQIA+ and often system-impacted.

Bills: HB1974 , HB2265 , HB2452

Committee: House Housing

Keywords: land bank, land banking authority, affordable housing, housing crisis, housing supply, public corporation, public housing authority, nonprofit housing, tax-foreclosed property, blight remediation, redevelopment, anti-displacement, equity, redlining, racial segregation, deed restriction, affordability covenant, property tax exemption, excise tax exemption, predevelopment

Transcript Highlights:

• They disproportionately impact low-income and less educated adults.
• </c> Health these included patients in rural Health these included patients in rural communities<00:35
• </c> get with tella health patients in Rural get with tella health patients in Rural and<00:43:00.960
• Island communities or rural is pretty Island communities or rural is pretty consistent<00:49:32.599><
• </c> it Innovation and research serving Rural it Innovation and research serving Rural and<00:57:01.319

Committee: House Health

Keywords: 910, house, all

Summary: The House Health Committee held its first hearing of 2025, with Chair Greg Takayama and Vice Chair Representative Leoy opening the meeting and outlining housekeeping rules, including a two-minute limit for testifiers and Zoom etiquette. The committee first heard HB 303 on health care preceptors. The Department of Health, Department of Taxation, University of Hawaiʻi, Hawaii State Center for Nursing, and several health care organizations supported the bill, saying the existing preceptor tax credit program has been successful and that expanding eligibility to additional professions and students would help address workforce shortages. In response to questions, the Department of Health said the annual tax credit cap is $1.5 million, about 650 to 670 credits are currently used each year, and the bill applies only to unpaid preceptors. The committee then moved on to HB 441, which would raise cigarette taxes. The Attorney General, Department of Health, University of Hawaiʻi Cancer Center, Hawaii Public Health Institute, American Cancer Society Cancer Action Network, and others supported the measure as a way to reduce smoking, especially among youth, and to support tobacco control and cancer-related programs. Opponents, including the Taxpayers Protection Alliance and the Cigar Association of Hawaii, argued the tax is regressive and unreliable as a revenue source. The Department of Health noted the last cigarette tax increase was in 2011, and one witness urged a larger increase than proposed. No vote was taken on either bill in the portion of the hearing provided. The committee also heard HB 557 on telehealth. The Department of Health supported the bill so long as it did not displace executive budget priorities, and the Hawaii State Health Planning and Development Agency and Hawaii Primary Care Association supported it. HPCA said the bill would conform state insurance law to recent Medicare changes expanding audio-only telehealth coverage beyond mental health services, and it emphasized access for rural residents, kupuna, and people with disabilities. HMSA opposed the bill as written, saying it strayed from the intent of Act 107 and that audio-only telehealth should remain limited because of quality-of-care concerns, though it supported continued access and asked for a different amendment approach. A telehealth provider also testified that payment disparities limit provider expansion and that audio-only access remains important for patients with serious illness. The hearing ended in the excerpt before any committee action or vote on HB 557.