Transcript Highlights:

• </c> students IEP and we say you provided students IEP and we say you provided them<00:45:33.079><c>
• F... said, has to figure out how to provide those services, where to provide them, etc.
• </c> person for example that is providing person for example that is providing whatever<01:00:37.039>
• </c> I there are lots of different providers I there are lots of different providers currently<01:01:
• They're currently providing that.

Keywords: 928, house, all

Summary: The work session focused on special education, especially the differentiated aid component and special education aid, which members noted is still often called “catastrophic aid.” The chair said the committee was trying to better understand how special education costs are growing, how districts are delivering services through SAUs or internally, and how reimbursement formulas affect local costs. Members also discussed the need for better data before making decisions on several education funding bills, and Representative Brown was tasked with capturing questions for follow-up information from the department or elsewhere. Testimony from the state special education director, Becky Fad, centered on why student counts in various disability categories have shifted over time. She said the categories themselves have not changed much, but autism has increased because of greater understanding and identification, developmental delay has grown because it applies to children under age 10 who may not yet have a clear diagnosis, and some students previously classified under speech/language or other health impairment are now identified in more specific categories such as autism. She emphasized that the IEP is based on a child’s individual needs, so a change in category would not necessarily change services, though it may help educators support the student differently. Members asked about whether the shifts reflect better diagnostic capability, whether the department should gather more data on the reasons for the changes, and whether autism-spectrum data could be broken down further. Fad said the department does not currently have data on the causes of the shifts or on where students fall within the autism spectrum, but that collecting and analyzing such data is on its list of priorities and a new data manager had recently been hired. She also explained that each child is counted only once on the chart by primary disability, that the IEP or eligibility team determines the primary category based on evaluations, and that any child can be referred for special education by a parent, teacher, or doctor, after which the district must meet within 15 days to decide whether to evaluate. No votes or formal actions were taken in the portion provided.

Transcript Highlights:

• </c> quo with the number of providers quo with the number of providers throughout<00:04:30.320><c> the
• Um, and it would provide incentives for them to prepare their kids, and again we would provide materials
• ,</c> involve child care providers, involve child care providers, kindergarten<00:09:40.720><c> teachers
• ><c> parents</c><00:10:10.080><c> for</c> family home providers and parents for family home providers
• </c> would be given latitude to provide would be given latitude to provide different<00:13:46.160><c>

Keywords: 958, all

Transcript Highlights:

• had been unable to provide the necessary support.
• But the expectation now is that OITS is at least three years away from providing from providing the necessary
• They're still a ways away from being able to provide that service.
• And again, the stakeholders are interested in having us provide more in-person trainings.
• Provided to produce and distribute the Idaho Blue Book and Constitution as required by law.

Keywords: 989, all

Summary: The committee met with a quorum present and first reviewed the Industrial Commission’s base budget and FY 2027 requests. The analyst and agency staff described the commission’s dedicated-fund structure, the IRIS technology modernization project, and several requested adjustments: ongoing support for IRIS maintenance, additional funding for the annual seminar and CWICS training, an increase for the Peace Officer Temporary Disability Fund due to rising claims, and replacement IT hardware. Members asked about the IRIS contract, seminar fees, and the crime victims compensation fund and general fund support. Agency staff said IRIS is still being supported by an outside vendor because OITS lacks the needed expertise, that seminar and training fees are already competitive and the plan is to expand services rather than lower fees, and that crime victims compensation could be covered temporarily by dedicated or federal funds if needed. No votes were taken on the Industrial Commission budget during the meeting. The committee then heard the Public Utilities Commission budget review. The analyst explained the commission’s dedicated funds, staffing, and the FY 2026 trailer appropriation tied to the Wildfire Standard of Care Act, along with a FY 2027 request for IT hardware only. Questions focused on a large variance in the indirect cost recovery fund, which staff attributed to timing of federal reimbursements and rent not being charged to that fund at the time. Commissioners and staff also received positive comments about the implementation of the wildfire-related duties. No action was taken on the PUC budget. Next, the Secretary of State’s budget was presented. The analyst outlined the office’s election, business, and commission functions, noted the prior $10 million election system upgrade, and described FY 2027 requests for a voter pamphlet and guide, overtime for the post-election audit team, and replacement technology. Secretary of State Phil McGrane and staff emphasized the rapid growth in business filings, the office’s revenue generation, and the need to maintain service levels, arguing against ongoing cuts. He said the voter pamphlet request is tied to statutory election-year mailings, the overtime reflects cyclical election workload, and the office is considering AI cautiously due to sensitive voter data. Members asked about business filing growth, the difference between a pamphlet and a voter guide, and the possible impact of hand-counting ballots; McGrane said hand-counting would mainly affect counties, not the state office. The meeting ended with scheduling remarks for the next day’s budget work and a note that the FY 2026 rescission bill was still being processed.

Transcript Highlights:

• payments so that the managed care plans can pass those provider rate increases on to the providers who
• ><c> are</c><00:24:35.279><c> paid</c> um on to the providers who um are paid um on to the providers
• </c> point if he can provide that number. point if he can provide that number.
• We have been able to provide system.
• </c> the proposed increase of the provider the proposed increase of the provider tax.<01:48:19.840><c

Keywords: 1187, senate, all

Transcript Highlights:

• providers</c> hospitals or ambulance providers hospitals or ambulance providers enhanced<00:04:06.280
• So, what we did here was provide<00:09:00.800><c> you</c> provide you provide you the<00:09:02.720><c
• going in and scoring the a provider going in and scoring the provider<00:15:43.520><c> provider.
• provider.
• So, if you could provider provider.

Keywords: 958, all

Summary: The Budget Review Subcommittee for Health and Family Services met for its first meeting, established quorum, and heard a presentation from Department for Medicaid Services Commissioner Lisa Lee and CFO Steve Becktold. The department reviewed its compliance with House Bill 695, which requires legislative approval before certain Medicaid eligibility, service, benefit, or waiver changes, along with fiscal impact reporting to the Legislative Research Commission. They described current waivers, including home and community-based waivers, managed care and transportation waivers, and the 1115 re-entry waiver, and said the community engagement waiver is in public comment and on track for submission to CMS. They also said required reports and other HB 695 tasks, including a pharmacy rebate fund, budget analyses, expenditure reports, and a behavioral health scorecard, are underway or completed as required. The CFO outlined Medicaid’s budget, saying the department has two appropriation units and projecting near-full use of state funds while leaving some federal funds unspent because of matching-rate differences. They reported roughly 211 filled positions and 11 vacancies. Members asked about the vacancy makeup, the behavioral health scorecard, and whether a provider involved in quality metrics could have a conflict if used in the scorecard process; the department said it would follow up. Members also asked about the community engagement waiver and its interaction with federal policy, and the department said CMS guidance is still pending and that it will proceed under HB 695. A substantial portion of the discussion focused on federal Medicaid policy changes under a reconciliation bill, including possible limits on provider taxes, directed payments, cost-sharing, and community engagement requirements. Department officials said the final federal impact is still uncertain because the Senate bill is not finalized, but they have modeled several scenarios and warned that any reduction in federal support or benefits would be harmful, especially for hospitals and rural hospitals. They estimated Medicaid benefits are funded about 80% federal and 20% state overall, with expansion populations closer to 90% federal funding, and said administrative costs would also rise if federal requirements change. Members also asked about work requirements and eligibility. The department said the community engagement waiver would mainly affect the expansion population, which they estimated at about 450,000 people out of roughly 1.5 million total Medicaid enrollees, and that many groups are exempt, including children, the aged, blind, disabled, and people in substance use disorder treatment. Officials said they can provide data on how many enrollees are working or work-ready and explained that their eligibility system is designed to prevent duplication by automatically placing people in the correct category and correcting errors quickly. They also noted a federal proposal to require expansion eligibility reviews every six months, compared with current annual renewals.

Transcript Highlights:

• </c> energy Justice Network providing energy Justice Network providing comments<00:33:39.360><c> um</
• Attorney General providing comments.
• </c><00:41:42.160><c> written</c> general um we've provided written general um we've provided written
• </c> therapies for their ability to provide therapies for their ability to provide robust<00:44:28.599
• </c> other private clinics um we provide other private clinics um we provide ketamine<00:54:51.799><c

Keywords: 912, senate, all

Summary: The Health and Human Services Committee heard testimony on several measures related to child welfare, health care access, overdose response, disability services, and waste management. For SB 710 on child welfare, the Department of Human Services, the Office of Wellness and Resilience, the Attorney General’s office, and multiple advocacy groups testified in support, with the Governor’s office noting support but deferring to the Attorney General on implementation because of separation-of-powers concerns. For SB 952 on child welfare services, DHS, the Governor’s office, and child- and trauma-informed care advocates supported the bill, saying it would help families access services, provide basic material support, and reduce strain on the child welfare system. SB 954 on a home health services rate study also drew support, including from DHS, the Hawaii Healthcare Association, and a public testifier who said the study would help ensure funds reach low-income, disabled, and kupuna recipients. SB 957 on overdose prevention received support from the Department of Health and the Attorney General, who said overdose prevention centers are evidence-based but raised federal-law concerns and recommended amendments; the Hawaii Health and Harm Reduction Center and others also testified in support. The committee then moved to the 1:00 regular calendar and heard SB 850 on disability health disparity, which was supported by the Executive Office on Aging, the Hawaii State Council on Developmental Disabilities, the Hawaii Disability Rights Center, self-advocates, and others. Testimony emphasized that a disparity study could improve workforce development, training, and services for people with disabilities. SB 838 on continuous glucose monitoring drew support from health agencies and advocates, with testimony stressing that monitors can be critical for some diabetes patients. SB 829 on health care was supported by the Department of Health and health care stakeholders, who said it would help rotating physicians serve neighbor islands without local hospital privileges and align with CMS rules. SB 446 on waste management drew mixed testimony: the Department of Health and several public entities provided comments, the County of Maui opposed, and environmental advocates urged stronger aquifer protections and limits on ash reuse. During decision making, the committee adopted recommendations to pass SB 298, SB 322, SB 299, SB 450, SB 451, SB 949, SB 710, SB 957, SB 69, and SD 952 with various amendments, including technical changes, blank appropriations, and defective dates. SB 323, SB 324, SB 712, SB 950, SB 954, and SB 959 were deferred, largely because companion House measures were moving or similar Senate measures had already passed. The chair also announced recesses to find quorum and noted that some bills from the earlier Monday calendar were being deferred to avoid duplication.

Transcript Highlights:

• That's our premise and mission in life, not in providing all the reports.
• Providers from across the state testified to severe.
• I have 30 providers that travel to family homes in this region.”
• Enforcement of the bill would be provided by the Civil Rights Division.
• child care provider, home care worker, personal care provider, housekeeper, cleaner, cook, gardener,

Bills: HB2675, HB2681, HB2714, HB2688, HB2481, HB2116, HB1408

Keywords: accounts, finance, business regulation, transparency, audits, cannabis, license fees, regulatory framework, revenue generation, legalization, HB 2714, caseload forecasting, food assistance, SNAP, Supplemental Nutrition Assistance Program, state food assistance, budget forecasting, caseload forecast council, caseload forecast supervisor, Washington State

Transcript Highlights:

• We provide health and housing to 25,000 people annually.
• As the state’s leading nonprofit provider of licensed child care, ...
• The Public Works Board provides funding to cities, counties, and special purpose districts to provide
• And what it does is it provides resources and support ...program.
• Without a stable provider network, the state would lose essential capacity.

Bills: HB2289

Keywords: appropriations, budget, fiscal matters, state spending, general fund, supplemental budget, biennial budget, substitute bill, public defense, civil legal aid, courts, judicial branch, homelessness, supportive housing, affordable housing, behavioral health, juvenile rehabilitation, youth services, child welfare, foster care

Transcript Highlights:

• We provide health and housing to 25,000 people annually.
• As the state's leading nonprofit provider of licensed child care, ...
• The Public Works Board provides funding to cities, counties, and special purpose districts to provide
• And what it does is it provides resources and support Program.
• Without a stable provider network, the state would lose essential capacity.

Summary: The House Appropriations Committee continued its public hearing on House Bill 2289, the fiscal biennial supplemental operating budget appropriations bill. The chair and vice chair explained the hearing process, limited testimony to one minute per person, and then heard extensive public comment from a wide range of advocates, local officials, service providers, and residents. No committee vote was taken during the hearing. Much of the testimony focused on opposition to proposed budget shifts involving Climate Commitment Act revenue, especially the proposed diversion of $569 million to other uses, including the Working Families Tax Credit. Environmental, public health, and local government witnesses argued those funds should remain dedicated to climate pollution reduction, wildfire resilience, clean transportation, natural climate solutions, and affordability programs. Several speakers also urged full funding for wildfire response and forest health, including the HB 1168 commitment, and opposed transfers from the Public Works Assistance Account. Other major topics included Medicaid and long-term care rates, with nursing home and assisted living providers warning that freezing or delaying rate rebasing would worsen staffing shortages and threaten access to care. Public health and health care advocates opposed cuts to foundational public health services, Apple Health expansion, and pharmacy benefit changes, while oral health advocates asked to preserve Medicaid dental funding and support Dentist Link. Testimony also supported or opposed funding for K-12 programs such as special education, the Ninth Grade Success Initiative, and homeless student stability; early learning and child care subsidies; disability services; public defense; housing and homelessness prevention; food assistance; higher education; and immigrant legal services. The committee concluded the hearing and adjourned after public testimony ended.

Transcript Highlights:

• But the actual services provided could technically be provided on an outpatient level and in the community
• So at a very minimum, providers must have the tools to be able to provide services via telehealth, and
• Fish and wildlife lands are—there's taxes provided in lieu, or money provided in lieu of taxes, for that
• provide?
• ...of what does Rolette County provide? What does Ramsey County provide?

Summary: The meeting focused on Turtle Mountain’s public health and behavioral health priorities, especially access to rural health transformation funding and a long-running data use agreement with the state. Tribal public health leaders described how, during COVID, a temporary data-sharing arrangement allowed them to do their own contact tracing and case management, and they argued that a similar agreement is now needed to respond more quickly to very high syphilis rates and other infectious disease concerns. Committee members generally expressed support and said they would follow up with state officials, while tribal representatives emphasized that they already have the staff and infrastructure to use timely data effectively. A major portion of the meeting was devoted to the Turtle Mountain Recovery Center and the broader issue of the IMD exclusion and residential treatment capacity. Tribal leaders described the center’s opening, its five levels of care, its 16-bed limit, and its efforts to become financially sustainable through billing, grants, and partnerships. They shared success stories and argued for an IMD waiver or similar flexibility so the center could expand to 32 beds and better meet local need. Committee members discussed the policy barriers to expanding residential treatment, including federal approval timelines, state funding choices, and the need to preserve a continuum of care that includes outpatient and community-based services. The committee then heard a detailed presentation from Hector Hernandez-Dogato of the National Health Law Program on the history and mechanics of the IMD exclusion and Section 1115 waivers. He explained that the exclusion limits Medicaid payment for services in facilities with more than 16 beds, but noted existing exceptions and alternatives such as state plan options, managed care arrangements, telehealth, and community-based services. He also reviewed mixed results from states that have used IMD waivers, warning that they do not automatically improve overdose deaths, emergency room use, or access to community care, and may risk reinforcing institutionalization if not paired with strong upstream services. The committee discussed a draft bill to appropriate $49,000 and one FTE for HHS to pursue an IMD waiver, with members suggesting the bill may need to explicitly include serious mental illness as well as substance use disorder and asking for department input at a future meeting.

Transcript Highlights:

• Some of those same providers to do those two things are the same providers, so us being able to evaluate
• Provider contracts with the various providers, including Lifelink.
• Providing testimony, specifically providing that they have the right to have testimony by an independent
• F provides not finally, but F provides that once the court has made the findings set forth in that prior
• Any hearing provided pursuant to subsection H tells us that Any hearing provided pursuant to subsection

Transcript Highlights:

• So if the drug companies were providing the rebates to the state so that the state could provide the
• So in terms of the exact dollar amounts, we can provide those to you because I don't want to provide
• So in terms of the exact dollar amounts, we can provide those to you because I don't want to provide
• And so we are actively working on the provider services module, which is focused on provider enrollment
• Provider services module, which is focused on provider enrollment, as well as the unified operation center

Summary: The Appropriations Committee on Health and Human Services heard a presentation on the governor’s proposed fiscal year 2026-27 budget for the health and human services silo, which totals $48.5 billion. Agency leaders outlined major requests for AHCA, APD, DCF, DOEA, DOH, and the Department of Veterans’ Affairs, including behavioral health redesign, Medicaid rate changes, developmental disability services, child welfare and opioid programs, senior services, cancer research, public health initiatives, and veterans’ facility and technology needs. The committee also received an overview of the overall state budget, which was described as $117.4 billion, up 1.1% from the current year. AHCA’s presentation focused on $71.6 million for a Medicaid behavioral health redesign, including funding for residential treatment, a serious mental illness waiver, and higher inpatient psychiatric rates for youth, plus $7.1 million to raise private duty nursing reimbursement in fee-for-service Medicaid, $2.5 million for the background screening clearinghouse, and $124.4 million for the Health Care Connection System (FX). APD requested funding to continue moving people off the pre-enrollment list and to support developmental disability centers, a new forensic facility, an electronic health record system, and higher operating costs. DCF highlighted $81.9 million for eligibility and system integrity, $187.5 million for opioid prevention and treatment, $35.5 million for community-based care lead agencies, and $72.7 million to expand behavioral health bed capacity, including 474 new beds at state hospitals. DOEA sought additional funding for Alzheimer’s services, home care, and community care for the elderly. DOH emphasized $278 million for cancer research and innovation, $5 million for food and product safety testing, $5 million for the Florida FIRST blood-on-ambulance initiative, and $5.7 million for a public lab feasibility study. Veterans Affairs requested funds for facility improvements, cybersecurity, and medication management equipment. Members asked detailed questions about several items, especially the proposed changes to the AIDS Drug Assistance Program (ADAP), which would reduce eligibility and the number of people served. Senators and public witnesses criticized the lack of transparency and urged the department to pause the changes and work with stakeholders; the Surgeon General said the issue was driven by funding constraints and federal changes, not a legal barrier, and that the agency was exploring alternatives. Questions also addressed the Office of Minority Health and Health Equity, the Kids Care/CHIP expansion implementation, the cancer research funding structure, and the timeline and cost of the FX system. Public testimony focused heavily on ADAP, with speakers warning that thousands could lose medication access and calling for community involvement and a review of the program’s finances. The committee adjourned after the presentations and questions, with no votes taken on the budget items during this meeting.

Transcript Highlights:

• </c> provided grant-related services. provided grant-related services.
• , provided, provided, what<00:48:50.280><c> happens?
• </c> provide it after the fact, what happens? provide it after the fact, what happens?
• </c> or referrals to health care providers. or referrals to health care providers.
• </c> provider misconduct. provider misconduct.

Keywords: 1183, house

Transcript Highlights:

• </c> 31st at our offices uh they all provided 31st at our offices uh they all provided valuable<00:15
• </c> families so we're here today to provide families so we're here today to provide an<01:18:53.800>
• </c> we have new staff that will provide we have new staff that will provide technical<01:32:26.920><
• Those are our certified child care providers and our licensed child care providers.
• I think on the provider hub, certainly Mr. Jorgenson talked about the provider hub.

Keywords: 1187, senate, all

Transcript Highlights:

• And then we have a community provider voice, and so many others.
• direction for schools, provide, again, a system for And behavioral health to provide direction for schools
• , provide, again, a system for schools that connect to.
• state agencies to who's providing direct delivery in 295 school districts?
• That plan is supposed to be provided to staff annually.

Bills: HB1634

Keywords: mental health, behavioral support, education, school districts, student assistance, 904, all

Transcript Highlights:

• Provider taxes. Big, big money for our systems. Provider taxes. Big, big money for our systems.
• We’ve made commitments to our rural providers to maximize the amount of dollars in the grant to provide
• We’ll have a fund, as Drew mentioned, to be able to provide reimbursement to rural providers that hire
• Any information that we can provide, we would provide.
• So we can provide that to you.

Summary: The committee first heard a budget presentation on LSU Health Care Services Division and Lallie Kemp Medical Center. Staff reviewed HCSD’s roughly $74.7 million budget, much of it tied to legacy obligations for former LSU hospital systems and support for Lallie Kemp. Committee members asked about prisoner care, risk management costs, declining admissions and emergency visits, and the hospital’s 340B drug program. Lallie Kemp officials explained that prisoner care serves multiple state and local facilities, that lower admissions largely reflect more patients being placed in observation status, and that the in-house 340B program provides major savings to patients and the prison system. Members also asked about care for unhoused patients and the hospital’s discharge practices, and the hospital said social services works to find placement when possible. The committee then moved to the Louisiana Department of Health budget, which was presented as just under $23.5 billion, with Medicaid making up more than 90 percent of the total. The presentation covered the Office of the Secretary, Office of Public Health, Office of Behavioral Health, Office for Citizens with Developmental Disabilities, and Medicaid. Major items included the new Rural Health Transformation Program, the transfer of several functions from DCFS to LDH under the One Door initiative, changes to SNAP administration, and large Medicaid adjustments driven by enrollment, utilization, and federal policy changes. Testimony also highlighted the statewide crisis hub and 988, the commodity food program for seniors, women’s health and maternal outcomes, and the department’s efforts to modernize technology and reorganize services. Members questioned LDH officials on a wide range of budget and policy issues, including the rural health grant, crisis services, Medicaid redeterminations, provider taxes, physician and hospital supplemental payments, nursing home rates, HCBS funding, and the impact of the federal One Big Beautiful Bill Act. LDH said the rural health grant would support workforce, technology, and care-delivery improvements; that the crisis hub and mobile crisis units are being expanded to improve access and reduce emergency room use; and that the department is working to keep the SNAP error rate below 6 percent to avoid a projected state cost increase. Officials also said they expect to return next year with additional funding requests for HCBS and other programs, while emphasizing that current budget changes are largely meant to realign funding with actual expenditures and new federal requirements. No votes or formal actions were taken in the portion provided.

Transcript Highlights:

• for legislative intent and purpose and to provide for definitions.
• for legislative intent and purpose and to provide for definitions.
• compensation fund and provide for certificates of merit.
• for employer participation and to provide relative to certain exemptions.
• It provides a supervised step-down for women who are already nearing release.

Keywords: 974, senate, all

Transcript Highlights:

• State law defines an online provider as any provider of an online course or program, including multi-district
• online provider and must rescind the approval of any such providers by August of this year.
• State law defines an online provider as any provider of an online course or program, including multi-district
• First, this bill revises the definition of online providers and multi-district online providers so that
• not approve a private or for-profit entity as an online provider or multi-district online provider and

Summary: The committee began by waiving the five-day notice rule for Senate Bill 6320, then heard Senate Bill 6222, which would let school districts and educational service districts sell or grant surplus technology hardware such as laptops and tablets to public school students and recent graduates, with priority for low-income students. The sponsor and supporters said the bill would help students keep access to devices they need for homework, college, and work, while preserving existing surplus procedures. Testimony was generally supportive, including from district technology staff and students, though one question raised whether tribal compact schools would be included. The committee then heard Senate Bill 6263, which raises school district public bid thresholds to reflect inflation and reduce procurement costs. The sponsor said the limits had not been updated in about 20 years and should be aligned with other local governments. Supporters from school employees, finance officers, and school coalitions said the change would save time and money and reduce delays in maintenance and purchasing. Testimony on Senate Bill 6261, which would require parents of six- and seven-year-olds not enrolled in school to file annual declarations of intent about their child’s education, was overwhelmingly opposed by homeschool families and advocates. Opponents argued it would add bureaucracy, create privacy concerns, and burden families, while the superintendent of public instruction supported the bill as a way to improve enrollment data and planning. The sponsor said it was about knowing where children are and right-sizing school systems. The committee also heard Senate Bill 6118, requiring cardiac emergency response plans in schools and athletic facilities. The sponsor, who spoke about losing her brother to heart failure, said schools need faster, better-prepared responses to cardiac emergencies. Supporters, including parents, students, and community advocates, described personal experiences with sudden cardiac events and said the bill could save lives by ensuring AEDs, CPR training, and practiced response plans. Finally, the committee heard Senate Bill 6320 on alternative learning experiences. The bill would restrict online and remote ALE providers to public or nonprofit entities and reduce levy equalization funding for remote/online ALE, with limited exceptions for medically fragile or severely bullied students. Supporters argued it would keep public education public and encourage in-person learning, while opponents—including superintendents, online program operators, students, and homeschool advocates—warned it would displace thousands of students, harm successful programs, and reduce family choice. No final votes were taken on the bills in the portion provided.

Transcript Highlights:

• provide that base level of cognitive assessments.
• First, we have Calbert Young providing comments.
• Up next, Attorney General providing comments.
• Up next, Attorney General providing comments.
• Up next, Attorney General providing comments.

Keywords: 910, house, all

Summary: The House Committee on Higher Education met on March 14, 2025, and heard five University of Hawaii-related bills. SB 741 would create an external audit committee for the UH system and Board of Regents; UH and UHPA opposed it, saying existing internal and external audits already provide robust oversight, and the committee later recommended deferring the bill indefinitely as duplicative. SB 1252 SD2 would create a dementia training program for health care providers; the Alzheimer’s Association and other supporters said broader training is needed across the care workforce, while the university discussed using JABSOM as a coordinator. The committee deferred the bill to March 19 for an HD1 reflecting JABSOM’s suggestions and removing the appropriations/FTE language. SB 1502 SD1 would fund faculty positions, student programs, and facilities at UH Manoa and West Oahu for defense-sector workforce development. UH and Chamber of Commerce Hawaii supported the measure, describing a pipeline for students into intelligence, cybersecurity, and related fields, while one individual opposed it as too closely tied to military contracting and urged investment in other sectors instead. The committee amended the bill to remove FTE references and advanced it; the vote to pass with amendments was adopted, with several members voting aye and some excused. SB 1530 would require performance-based allocation of UH general funds and efficiency reporting. UH and the Attorney General’s office raised concerns, saying the bill’s metrics would apply across the entire general fund budget and were not practical as drafted; the committee also noted opposition from the Budget and Finance Department and individuals. SB 1624 SD1 would restrict RIM funds to renewing, improving, or modernizing existing facilities and require annual reports. UH opposed the bill and explained that RIM is a lump-sum approach used to address deferred maintenance and capital needs, with Board of Regents approval and quarterly reporting already in place; the Attorney General suggested constitutional amendments. The transcript ends during discussion of SB 1624, with no final action shown in the excerpt.

Transcript Highlights:

• Establishing provider networks with clinical providers, telemedicine, which is extremely important and
• Certified evidence housing can provide Certified evidence housing can provide nearly<00:11:18.160><c>
• </c> as well in providers as well in providers providers<00:11:54.640><c> that</c><00:11:55.440><c> are
• provider networks with Establishing provider networks with clinical<00:15:39.600><c> providers,</c><
• Additionally, with coordination providers providers providers uh<00:19:00.000><c> providing</c><00:19

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board met with a quorum, approved the November 12 minutes by voice vote, and then heard a presentation from former Governor Ernie Fletcher and Dave Johnson on Medicaid reimbursement for substance use disorder (SUD) treatment. Fletcher argued that addiction should be treated as a chronic disease requiring a longer continuum of care, not just short residential stays, and said recovery should combine clinical treatment with social supports such as housing, transportation, employment, peer coaching, and recovery housing. He cited data on overdose trends, low treatment rates, and high costs for people with SUD, and said current reimbursement models create poor incentives and do not adequately support long-term recovery or measure outcomes well. Fletcher proposed a “carve through” model administered at the MCO level with standardized metrics, data sharing, and an independent recovery coordinator that would assess patients, coordinate care, and connect them to clinical and social recovery services. He suggested using bundled payments, shared savings, and partial risk arrangements, with recovery housing reimbursed on a PMPM or weekly basis and funded in part through existing Medicaid spending and other sources such as opioid abatement funds. He also emphasized peer support, telemedicine, criminal justice coordination, workforce and education supports, and the use of technology, including text messaging and possibly AI, to maintain long-term follow-up and identify relapse risk. Members questioned how the model would work in practice, especially the education and staffing requirements for recovery coordinators, reimbursement levels, and how many patients each coordinator or peer would serve. Fletcher said peers could be certified and would need additional training in assessments such as ASAM and recovery residence standards, but he did not give a precise salary figure, saying the market and bundled rates would determine that. He also said follow-up should continue for years, noting relapse risk over the first 18 to 24 months and that meaningful employment and ongoing peer contact help sustain recovery. No formal vote or action was taken on the substance use presentation.