Transcript Highlights:

• Some maybe the sheriff takes care of that in the county.
• They have no veterinary care. They come from backyard breeders, as I said. People stop.
• rely on impulse buying without any guidance on care, breed traits, or health issues.
• Without intervention, these gaps will limit access to care and strain local health care systems.
• He's now the house manager at that very home, caring for disabled veterans.

Bills: HB240, HB2097, HB2731, HB3087, HB3234, HB3319, HB3394, HB3687, HB4105, HB4205, HB4350, HB4462, HB4642, HB4801, HB5403

Keywords: quorum, tax levy, county governance, local government, population regulations, quorum requirement, Texas counties, population threshold, deputy sheriff, civil service, law enforcement, appeals process, sheriff's department, HB 2731, roadside vendors, solicitors, county regulation, border counties, Mexico border, Transportation Code

Summary: The subcommittee on county and regional government heard a long agenda of county-related bills, with most measures left pending after testimony. HB 2097, by Rep. Martinez, would let counties that opt in use an independent hearing examiner instead of a civil service commission for certain deputy sheriff discipline appeals; the bill drew support from CLEET’s Robert Leonard, who said it would be fairer and faster, and it was left pending. HB 4642, by Rep. Gonzalez, would require counties that contract with out-of-state jail facilities to include Texas jail-standard protections and oversight; Gonzalez, detainee Jess Hampton, his wife, Texas Jail Project’s Krish Kundu, and TCJS director Brandon Wood all discussed deaths and poor conditions in Louisiana facilities, staffing shortages, and the need for guardrails and data collection. The bill was left pending. The committee also heard HB 4350, by Rep. Capriglione, allowing peace officers to request redaction of personal information from online real property records. Supporters said officers face targeted threats and should have protections similar to judges; a title industry witness warned about preserving the integrity of land records. The bill was left pending. HB 3687, by Rep. Harless, would require county fire marshals in counties over 100,000 to meet training and certification standards within set timeframes; Harris County Fire Marshal Laurie Christensen supported professionalization, and the bill was left pending. HB 4105 would let very large counties give a local-bid preference for construction and infrastructure contracts, and HB 4205 would require pay parity for similar law enforcement ranks within large counties; both were supported by Harris County officials and constables and left pending. Later, the committee heard HB 5403, which would repeal a special rule limiting Dallas and Tarrant county sheriffs’ control over commissary funds; the author said it would remove an outdated population bracket, and the bill was left pending. HB 4462 would require large counties to allow elected officials named in civil suits to seek outside counsel and have a role in settlement decisions; supporters argued county attorneys and commissioners court can have conflicts of interest, while questions focused on who qualifies and whether the bill could complicate settlements. The bill was left pending. Finally, HB 240, by Rep. Swanson, would restore a five-member quorum requirement for Harris County tax levies, effectively preventing tax action without all commissioners present and defaulting to the no-new-revenue rate if quorum is not met; urban counties opposed it as a potential budget obstruction, while supporters said it protects taxpayers and representation. That bill was also left pending. The transcript ends as the committee begins HB 3319, which would create a civil service system for constable department employees in large counties, but the discussion is cut off before testimony or action.

Transcript Highlights:

• Some may be the- The sheriff takes care of that in the county.
• We also manage hundreds of county properties.
• Care and strain local health care systems.
• It is not our intent to take away from the indigent care in our community.
• He is now the house. house manager at the very home, caring for disabled veterans.

Bills: HB240, HB2097, HB2731, HB3087, HB3234, HB3319, HB3394, HB3687, HB4105, HB4205, HB4350, HB4462, HB4642, HB4801, HB5403, HB240

Keywords: quorum, tax levy, county governance, local government, population regulations, quorum requirement, Texas counties, population threshold, deputy sheriff, civil service, law enforcement, appeals process, sheriff's department, HB 2731, roadside vendors, solicitors, county regulation, border counties, Mexico border, Transportation Code

Transcript Highlights:

• Health care they require.
• So one, we're talking about not releasing an individual's health care information that the health care
• health care clinics.
• Medically unnecessary state surveillance of abortion care communicates that abortion care is somehow
• It protects those individuals providing essential health care, and it ensures that private health care

Bills: HB195, HB279, SB30, HB234, HB292, SB100, SB23, SB221, SB261, SB264

Keywords: medical malpractice, judgments, independent providers, insurance, personal assets, settlements, healthcare, healthcare privacy, electronic medical records, reproductive health, gender-affirming care, data protection, location tracking, confidentiality, SB30, induced abortion, abortion reporting, vital statistics, public health reporting, medical records

Transcript Highlights:

• care.
• Senators, we will now move to tab 4, Senate Bill 844 by Senator Jones: sickle cell disease care management
• Individuals with sickle cell disease routinely report delayed care, inadequate pain management, and provider
• We like that it defines memory care resident and memory care services.
• It doesn't deal with commercial insurance or with managed care plans.

Bills: S0036, S0864, S0268, S0844, S0514, S1404, S0914, S1758

Keywords: nursing title, advanced practice registered nurse, advertising, professional standards, disciplinary action, uterine fibroids, public records, health privacy, epidemiology, medical information, emergency department, physicians, privacy, personal information, sickle cell disease, sickle cell anemia, pain management, controlled substances, prescribing education, continuing medical education

Summary: The committee first considered SB 268, a public records exemption for emergency physicians. Senator Rodriguez’s strike-all amendment narrowed and clarified the exemption, and testimony from an emergency physician described threats, harassment, and safety concerns tied to mandatory reporting and patient encounters. The committee adopted the amendment and reported the bill favorably as a committee substitute. Members then heard SB 514, creating the Dula Support for Healthy Births Pilot Program in Broward, Miami-Dade, and Palm Beach counties for pregnant and postpartum women affected by substance use disorder. Senator Osgood explained the pilot would provide non-medical doula support and data collection, and an amendment changed the funding source to specific appropriations in the General Appropriations Act. Supporters said doula care can improve maternal and infant outcomes and complement medical providers. The committee adopted the amendment and reported the bill favorably as a committee substitute. The committee also approved SB 36 on use of professional nursing titles after extensive debate over whether nurses with doctoral degrees should be allowed to use “doctor” in clinical settings, with concerns raised about patient confusion and the need for clearer identification. The bill was amended to align with the House version and then reported favorably as a committee substitute. The committee next approved SB 864, a public records exemption for uterine fibroid research data, after a technical amendment setting a July 1, 2026 effective date; Senator Sharif said the exemption is needed so the Department of Health can collect sensitive data for the related research bill. SB 844, requiring continuing education on sickle cell disease care management for certain licensed physicians and nurses, was also reported favorably after emotional testimony from patients and advocates describing delayed care and bias. Later, the committee approved SB 1404 on memory care, after a strike-all amendment creating a new memory care specialty license for assisted living facilities that advertise or provide specialized memory care services, while allowing optional supportive services without the new license. Supporters from the senior living industry backed the clarification. The committee then passed SB 914, which clarifies that licensed occupational therapists may perform dry needling, after an amendment adjusting supervision and continuing education language. Finally, the committee took up SB 1758, a broad Medicaid and SNAP reform bill that would strengthen fraud enforcement, impose Medicaid work requirements for certain able-bodied adults, expand behavioral health services, modernize drug purchasing and prior authorization, and require SNAP fraud-reduction measures. Several amendments were adopted, and members questioned the work requirement, implementation costs, EBT card photo identification, and due process concerns; debate continued as the transcript ended.

Transcript Highlights:

• have HCR 67 and HR 61 requesting the Disability and Communication Access Board to study the health care
• have HCR 67 and HR 61 requesting the Disability and Communication Access Board to study the health care
• program for the peer counselors that teaches active listening, ethical boundaries, trauma-informed care
• teaches active listening, ethical boundaries,<00:13:20.800> trauma-informed<00:13:21.640> care
• ,<00:13:21.960> and boundaries, trauma-informed care, and boundaries, trauma-informed care

Bills: HCR67, HCR102, HR61, HR94

Keywords: disability, communication access, healthcare, sign language interpreters, deaf, hard of hearing, deaf-blind, auxiliary aids, effective communication, peer counselor, youth mental health, social disconnection, Hawaii schools, wellness program, student support, cultural responsiveness, trauma-informed care, disability rights, peer counseling, education

Summary: The joint Committee on Human Services and Homelessness and Committee on Health heard two measures on April 7, 2026. HCR 67/HR 61 would request the Disability and Communication Access Board to study communication needs in health care settings for people who are deaf, hard of hearing, or deaf-blind and develop guidelines. Written testimony supported the measure from the State Health Planning and Development Agency, DCAB, Local Independent Living Hawaii, and one individual. A DCAB representative noted the proposal could serve as a backup if related measures do not move forward. No one testified in opposition, and both committees voted to pass the measure unamended. The second measure, HCR 102/HR 94, urged the Department of Education, in collaboration with the Department of Health and the Office of Wellness and Resilience, to establish a statewide peer counselor program to address youth loneliness and social disconnection in schools. Support came from the Department of Education, the Office of Wellness and Resilience, and individual testifiers Katie Smith and Ray Ward. Smith said peer support can reduce stigma, increase belonging, and improve school climate. Ward, speaking from lived experience, described the harms of loneliness and trauma and said a peer counselor program could provide culturally grounded support and safer pathways to help. No opposition was offered, and both committees voted to pass the measure unamended.

Transcript Highlights:

• help make the wastewater management help make the wastewater management septic<00:16:16.600>
• to take care of the uh enforcement. to take care of the uh enforcement.
• Yes. that we care get plenty pet lovers Yes. that we care deeply<00:35:45.359> for<00:35:45.560
• Careful. Careful. Careful. >> No.<01:04:09.680> Senator<01:04:09.960> Richards.
• <01:26:06.280> So, that they need to take care of. So, that they need to take care of.

Bills: HB1736, HB1620, HB1695

Keywords: animal control, spay and neuter, pet overpopulation, sterilization, counties funding, tax designation, veterinary care, electric vehicles, charging infrastructure, energy policy, rebate program, environmental impact, renewable fuels, sustainable aviation fuel, tax credit, greenhouse gas emissions, local production, energy resilience, agricultural innovation, job creation

Summary: The committee heard testimony on HB 1737, which clarifies allowable uses in agricultural districts for farm dwellings and farm employee housing, and HB 1604 HD2, which creates an agricultural workforce housing working group within the Department of Agriculture and Biosecurity. Testimony on HB 1737 was overwhelmingly supportive, with county agriculture officials, the Hawaii Farm Bureau, and Hawaii Farmers Union backing the measure; one witness asked for a definition of “affordable” to guard against misuse of farm housing. For HB 1604, the Department of Agriculture, Hawaii Farm Bureau, Housing Hawaii’s Future, Hawaii Farmers Union, and the Office of Hawaiian Affairs supported the bill, with OHA requesting disaggregated data and a seat on the working group. Committee discussion focused on housing shortages, possible misuse, affordability, and whether innovative housing models such as modular, tiny, and container homes should be considered. The committee then took action on both measures. HB 1737 HD3 was recommended to pass with amendments that would limit farm employee housing to agricultural employees and their immediate family members actively engaged in the farm operation, add a grandfathering provision for existing permitted housing, preserve county zoning authority, clarify that ag tourism must be secondary and not occur in employee housing, delete a square-footage-per-acre ratio, and defer the effective date to July 1, 2050. HB 1604 HD2 was also recommended to pass with amendments adding OHA and a housing-shortage organization to the working group, expanding its scope to include modular, tiny, and container homes and permitting/zoning streamlining, and deferring the effective date to July 1, 2050. Both motions were adopted unanimously by the members present. The joint hearing then moved to HB 1736, which would establish a spay and neuter special fund and require sterilization and declaration provisions for cats, with some discussion of dogs. DLNR and the Hawaiian Humane Society supported the bill, while Pacific Pet Alliance objected to the broader requirements and the inclusion of dogs; the Hawaiian Humane Society and American Bird Conservancy supported cat-focused sterilization and the special fund, while some testifiers opposed mandatory sterilization as too costly or intrusive. Members raised questions about toxoplasmosis, trap-neuter-release, enforcement, neighbor-island access, and funding needs, and DLNR indicated additional funding and third-party contracting would likely be needed. The transcript then began HB 1620 HD2 on energy, which would increase the environmental response energy and food security tax and shift funds from the hydrogen fueling subaccount to EV charging infrastructure; state agencies generally stood on written testimony in support, while the Tax Foundation objected to special fund earmarks and noted the bill raises only one part of the barrel tax structure.

Bills: SF0122, SJ0006, SF0121, SF0106

Keywords: medical necessity, insurance, healthcare policy, independent review, claim processing, shared parenting, family law, joint custody, child well-being, parental rights, pharmacy, collaborative care, healthcare, prescriptions, patient safety, Wyoming Pharmacy Act, welfare, Medicaid, employment, eligibility verification

Transcript Highlights:

• And fourth, it enhances chronic disease management and preventative care.
• specific medications and devices improves diabetic management, preventive care, early treatment, reducing
• , they're taken care of.
• , they're taken care of.
• skilled nursing care. skilled nursing care.

Bills: SF0122, SJ0006, SF0121, SF0106

Keywords: medical necessity, insurance, healthcare policy, independent review, claim processing, shared parenting, family law, joint custody, child well-being, parental rights, pharmacy, collaborative care, healthcare, prescriptions, patient safety, Wyoming Pharmacy Act, welfare, Medicaid, employment, eligibility verification

Transcript Highlights:

• <00:08:47.360> company there is the property management company there is the property management
• , the local property management person, the merchant of record.
• The property management company shall be the merchant of record for the transaction.
• The property management company shall be the merchant of record for the transaction.
• and then the most expensive cost to care and then the most expensive cost to care is<00:24:41.679

Bills: SB294, HB296, HB300, SB269

Keywords: public officers, bonding, risk management, notification, delinquency, consumer protection, rental home, marketplace guarantees, insurance, commissioner of insurance, healthcare, breast cancer screening, insurance coverage, deductible, copayment, emergency medical services, ambulance reimbursement, health care insurers, balance billing, provider networks

Bills: HB 11, HB 14, HB 132, HB 1584, HB 1606, HB 5061, HB 1041, HB 2286

Keywords: licensing, reciprocity, regulation, Texas Department of Licensing and Regulation, interstate agreements, nuclear energy, advanced reactors, energy security, grant programs, Texas Advanced Nuclear Energy Office, electric utilities, priority facilities, public safety, disaster response, emergency management, insurable interest, individuals with disabilities, life insurance, care providers, insurance regulations

Transcript Highlights:

• Direct Primary Care, or DPC.
• insurance middleman, no billing games, just quality care.
• Direct medical care. This is an excellent bill.
• Excuse me, primary and urgent care, because people don't think they can go to primary care to get urgent
• care.

Bills: HB3015, HB3521, HB5632, HJR182, SJR57

Keywords: healthcare, direct primary care, insurance deductibles, Texas Health Benefit Plans, telemedicine, police retirement, disability pension, municipalities, law enforcement, retirement benefits, retirement, beneficiary, Employees Retirement System of Texas, divorce decree, beneficiary designation, Veterans' Land Board, general obligation bonds, constitutional amendment, veterans, housing assistance

Transcript Highlights:

• Doctor Azi provides expert inpatient care for acutely ill and medically complex patients, many of whom
• His commitment to advancing hospital performance, clinical education, and patient-centered care continues
• support the state's medical community and remains actively engaged in initiatives that enhance patient care

Bills: HB3840, HB3431, HB4422, HB4117, HB4300, HB4298, HB2984, HB3344, HB2979, HB2980, HB3662, HB4107, HB3082, HB2997, HB3083, HB3055, HB2951, HB3469, HB3173, HB3287, HB2947, HB3784, HB3901, HB4275, HR1031, HB4359, HB4115, HB3467, HB2978, HB3026, HB3032

Keywords: foreign ownership, land acquisition, military installation, critical infrastructure, affidavit requirements, state law, penalties, Attorney General, foreign ownership of land, foreign adversary, foreign government adversary, foreign government enterprise, foreign government entity, foreign terrorist organization, specially designated national, SDN, FTO, critical minerals, land ownership, real property

Transcript Highlights:

• Care appointments, travel long distances for basic services, or seek care in emergency departments for
• patients, chronic disease management, and higher-risk care.
• It allows providers to focus on patient care rather than constant financial crisis management.
• They offer great quality care.
• They've turned over their management. They've downsized their management.

Bills: HB1621, HB1624, HB1623, HB1622, HB1625, HB1626, HB1627, HCR3038

Keywords: presidential physical fitness test, physical education, fitness assessment, student fitness, school curriculum, graduation requirements, elementary school, middle school, high school, public schools, nonpublic schools, superintendent of public instruction, exceptions, disability accommodations, North Dakota studies, computer science, cybersecurity, health education, concept-based fitness class, school standards

Summary: The North Dakota House convened in special session with prayer, roll call, and a quorum present, then took up several rural health-related bills. Senate Bill 2401, as amended, required physicians to complete one hour of continuing education in nutrition and metabolic health each renewal cycle and also added language allowing criminal history background checks for the Board of Occupational Therapy Practice. Supporters emphasized the role of nutrition in reducing chronic disease, and the bill passed 92-0. The House then considered Senate Bill 2402, which expanded pharmacists’ limited prescriptive and therapeutic substitution authority for certain low-acuity conditions and clarified related lab-test and communication requirements. Members discussed examples such as motion sickness, cold sores, lice, hypoglycemia, COVID and flu testing, emergency access to medications and supplies, and limits excluding certain drug classes; the bill passed 91-1. Senate Bill 2403 created a temporary medical facility emergency operating loan option through the Bank of North Dakota for qualifying rural hospitals facing severe financial distress, with extensive debate over the targeted nature of the aid, anti-gifting concerns, repayment terms, and the hospital’s turnaround plan; it passed 80-12. Senate Bill 2404 appropriated funds for NDIT to address federal digital accessibility requirements and for the Public Service Commission’s litigation efforts related to transmission costs, with a backup loan authorization available if needed; it passed 92-0. At the close of the session, leaders thanked members and staff for their work on the rural health transformation package, a committee notified the Governor and the Senate that the House had completed its business, absent members were excused, and the House adjourned sine die.

Transcript Highlights:

• Community of care. Like Cass County has, what do they call it, community of care?
• So we need to be careful about this.
• And that's not to mention child care.
• And for a lot of families, child care is more than the cost of a mortgage.
• They want to take care of their children. This bill is too big for a special session.

Bills: SB2401, SB2402, SB2403, SB2404

Keywords: SB 2401, North Dakota, Century Code, occupational therapy, occupational therapy board, criminal history record check, background check, licensee investigation, physician continuing education, medical license renewal, nutrition education, metabolic health, chronic disease prevention, health occupation boards, medical board, licensure fee, audit response, disciplinary action, Title 43, board of medicine

Summary: The Senate convened with prayer, roll call, and a quorum present, then took up second reading and final passage of several House bills related to the Rural Health Transformation Program and other matters. House Bill 1621, requiring the presidential fitness test in school physical education with exceptions and a delayed effective date, passed 43-3. House Bill 1623, appropriating federal rural health transformation grant funds and creating a related loan program and reporting structure, passed 46-0 after extensive debate about using the federal money for community health, infrastructure, and sustainability. House Bill 1622, joining the physician assistant licensure compact, also passed unanimously 46-0. House Bill 1625, authorizing the Ray Richards Golf Course land sale to support a Grand Forks transportation project and golf course improvements, passed 46-0. House Bill 1626, clarifying that the primary residence credit is applied after the early payment discount so taxpayers receive the full $1,600 benefit, passed 40-6.

Transcript Highlights:

• I think, Madam President, we've seen a little bit of change in health care in this new administration
• The expanded scope maintains patient safety through clear protocols and standards of care.
• They have better management on their board. They've hired a new CEO.
• I don't think there's abuse, probably mismanagement and not appropriate management. I don't know.
• There's abuse, probably mismanagement and not appropriate management.

Bills: SB2401, SB2402, SB2403, SB2404

Keywords: SB 2401, North Dakota, Century Code, occupational therapy, occupational therapy board, criminal history record check, background check, licensee investigation, physician continuing education, medical license renewal, nutrition education, metabolic health, chronic disease prevention, health occupation boards, medical board, licensure fee, audit response, disciplinary action, Title 43, board of medicine

Summary: The Senate convened with prayer, the Pledge of Allegiance, and a quorum present. It adopted the procedural employment committee report naming Senate staff for the special session. The chamber then took up several health-care and appropriations measures, first adopting amendments to Senate Bills 2401, 2402, and 2403 before moving them to final passage. Senate Bill 2401 passed 44-2 and requires physicians to complete at least one hour of continuing education in nutrition and metabolic health, part of a broader rural health care package. Senate Bill 2402 passed 46-0 after major amendments negotiated between the medical and pharmacy boards; as amended, it expands pharmacists’ prescriptive authority and therapeutic substitution in limited areas while excluding categories such as antidepressants, antipsychotics, chemotherapy agents, Schedule II drugs, biological products, and narrow therapeutic index drugs. Supporters said it would improve rural access and help secure rural health transformation funding, while questions focused on how pharmacist competence would be measured and enforced. Senate Bill 2403, also passed 46-0, creates a short-term medical facility emergency operating loan program through the Bank of North Dakota, reduced by amendment from $10 million to $5 million, to help a financially distressed rural hospital. Senators discussed the hospital’s mismanagement, the need for a bridge loan, and safeguards including a limited application window and expiration in 2027. Senate Bill 2404 passed 46-0 and provides supplemental appropriations to the Information Technology Department for ADA-related website accessibility compliance and to the Public Service Commission for additional legal costs in federal energy-rate litigation. The Senate then made announcements about a Highway Patrol safety presentation and filing deadlines, excused an absent member, and adjourned until the next morning.

Transcript Highlights:

• The first is bills introduced with the approval of Legislative Management, and the second is bills approved
• This rule was presented to Legislative Procedures and Arrangements and Legislative Management, and we

Bills: HB1621, HB1624, HB1623, HB1622, HB1625, HB1626, HB1627, HCR3038

Keywords: presidential physical fitness test, physical education, fitness assessment, student fitness, school curriculum, graduation requirements, elementary school, middle school, high school, public schools, nonpublic schools, superintendent of public instruction, exceptions, disability accommodations, North Dakota studies, computer science, cybersecurity, health education, concept-based fitness class, school standards

Summary: The North Dakota House convened in special session with prayer, the Pledge of Allegiance, and the reading of communications from the Secretary of State and Governor Kelly Armstrong certifying the special session call. The governor’s executive order said the session was called to act on funding for the Rural Health Transformation Program so the state could accept and appropriate federal funds and avoid interruptions to government services. Three new members, Representatives McNally, Scraw, and Timmons, were sworn in, and the roll showed 91 members present, establishing a quorum. The main business was a Rules Committee report outlining temporary special-session rules. The changes were designed to speed up floor action, including allowing second reading the same day a bill is reported from committee, final passage one day after first reading, and immediate transmission to the other chamber unless reconsideration is noticed. The report also replaced the regular standing committee structure with two joint committees: Joint Appropriations and Joint Policy, allowed remote testimony and remote member participation with approval, and limited bill introduction to Legislative Management-approved bills or bills approved by a two-thirds vote. Several deadline changes for resolutions and bill filing were also described, with some provisions delayed until the special session ends. The House adopted the Rules Committee report after a motion by Representative Bosch and no opposition. During announcements, the clerk listed the membership of the Joint Appropriations and Joint Policy committees, and the Highway Patrol announced safety sessions for legislators in the Rough Rider Room at 11 a.m. that day and the next day. The House then recessed until the joint session scheduled for 10 a.m. the following day.

Transcript Highlights:

• introduction of bills or resolutions during this special session to the approval of the Legislative Management

Bills: SB2401, SB2402, SB2403, SB2404

Keywords: SB 2401, North Dakota, Century Code, occupational therapy, occupational therapy board, criminal history record check, background check, licensee investigation, physician continuing education, medical license renewal, nutrition education, metabolic health, chronic disease prevention, health occupation boards, medical board, licensure fee, audit response, disciplinary action, Title 43, board of medicine

Summary: The Senate convened in special session with prayer, the Pledge of Allegiance, and roll call establishing a quorum of 45 members present and two absent. The chamber received certification from the Secretary of State and the governor’s executive order calling the special session to address funding for the Rural Health Transformation Program and to act quickly to accept and appropriate federal funds. The main action was adoption of the procedural rules for the extraordinary session. Senator Klein explained the proposed rule changes, which were designed to speed up consideration of bills during the short session, including limits on bill introduction, same-day second reading and final passage, elimination of standing committees for the session, creation of a Joint Policy Committee and Joint Appropriations Committee, and authorization for remote testimony and limited remote participation. The procedural committee’s report on these rules was adopted without opposition. The Senate also adopted reports naming members to the Joint Policy Committee and Joint Appropriations Committee. Announcements noted that the Senate Employment Committee, Joint Policy Committee, and Joint Appropriations Committee would meet later that morning, that the Senate would not reconvene at 4 p.m., and that a Highway Patrol presentation on legislator safety would be held. The Senate then moved through the listed orders of business and recessed, planning to meet in joint session with the House before adjourning until Thursday, January 22, 2026.

Bills: HB245, HB138, HB151, HB152, HB245, HB138, HB151, HB152

Keywords: inhalants, controlled substances, butyl nitrite, nitrous oxide, amyl nitrite, health, public safety, pregnancy, pregnant defendant, incarceration, jail intake, pregnancy test, bail, pre-incarceration probation, supervised probation, electronic monitoring, electronic supervision, perinatal care, prenatal care, maternal health

Transcript Highlights:

• And the pharmacy that alleviated and pretty much took care of his... reaction. Very good.
• care they receive in the home environment.
• Mental health care is health care, just as we excuse students for physical illnesses. and routine medical
• appointments, we should treat mental health with the same urgency and care.
• of, that everyone has to take care of.

Bills: SB207, SB611, SB920, SB1174, SB1207, SB1325, SB1396, SB1551, SB1619

Keywords: SB 207, Texas Education Code, public school attendance, excused absence, mental health appointment, mental health care, behavioral health, school district, student absenteeism, same-day return, health care professionals, physician certification, religious holy days, court appearance, DFPS, foster care, education policy, student wellness, school mental health, attendance policy

Transcript Highlights:

• Moving on to SB 2047 SD2 HD1 relating to pharmacy benefit managers. a a property management company a
• It ensures quality of care.
• It also It ensures quality of care.
• <00:32:48.520> care including Medicaid managed care including Medicaid managed care programs
• Uh Chair's recommendation is managers.

Bills: SB2433, SB2047, SB2425, SB3045, SB2761, SB3001, SB2852, SB2471

Keywords: condominium governance, education trust fund, unit owners, real estate, dispute resolution, financial obligations, community representation, pharmacy benefit managers, maximum allowable cost, transparency, drug pricing, insurance commissioner, contracting pharmacies, healthcare, substance use disorder, SUD, addiction treatment, behavioral health, mental health, rehabilitation

Summary: The committee heard testimony on SB 2433 SD1 relating to condominiums, which would direct the condominium education trust fund toward educational resources for unit owners and require the Real Estate Commission to ensure owners’ interests are represented in funded activities and related rulemaking. Supporters, including the Hawaii Real Estate Commission and a condominium owner advocate, said owners need a seat at the table in condo governance and education efforts. Committee discussion focused on whether the bill was necessary, with the Real Estate Commission indicating it could already use the trust fund for owner education and that owners are already considered stakeholders, though not through a specific commission seat. No vote was taken during the excerpted discussion. The committee then took up SB 2047 SD2 HD1 on pharmacy benefit managers, which would set requirements for maximum allowable cost reimbursement, allow reverse-and-rebill claims after successful appeals, and authorize fines for violations. The Insurance Division offered comments, the Hawaii Pharmacists Association supported the measure with amendments and suggested future PBM reform funding, and Kaiser Permanente requested a technical amendment. A committee question raised whether the staffing and resource request for implementation was too large for a bill focused only on MAC pricing, and the witness said he would provide more data to the next committee. No final action was shown. Next was SB 2425 SD2 HD1 on health insurance and substance use disorder treatment, requiring insurers to honor written assignments of benefits to SUD providers and prohibiting anti-assignment clauses. Supporters described patients being unable to access treatment because of high out-of-pocket costs and said direct payment would reduce harm for people in recovery. HMSA opposed the bill but said it would begin direct payments to non-participating SUD facilities effective March 27, while continuing to object to the assignment-of-benefits portion because of fraud and balance-billing concerns; the Hawaii Association of Health Plans also opposed. Members questioned HMSA about reimbursement mechanics and why the bill was needed if coverage policies were already changing. Finally, the committee heard SB 3045 SD1 HD1, which would require coverage of continuous glucose monitors and related supplies, including for Medicaid managed care, under certain conditions. DHS and the Insurance Division offered comments, while SHPDA, Hilo Benioff Medical Center Foundation, and others supported the bill, citing inconsistent access and a case in which a woman allegedly died after being denied a CGM. HMSA said it already covers medically necessary CGMs and had updated its policy in 2025 for type 1 and insulin-dependent patients, but it raised concerns about expanding mandated coverage to type 2 and gestational diabetes and about supply impacts. The committee also discussed whether the bill duplicated existing coverage standards and why it had been introduced repeatedly. No votes or final dispositions were included in the excerpt.