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Transcript Highlights:

• , to conduct a feasibility study on establishing a rural health clinic or comparable rural health access
• , to conduct a feasibility study on establishing a rural health clinic or comparable rural health access
• Kathleen, please proceed. or comparable rural health access point or comparable rural health access point
• step towards improving healthcare access step towards improving healthcare access to<00:11:41.960
• mental health and that facility finds mental health and that facility finds out<00:37:36.040>

Bills: HCR18, HCR32, HCR35, HCR105, HCR173

Keywords: hospice, health care, aging population, regulations, Medicare, working group, fraud prevention, quality of care, mental health, recidivism, civil commitment, Hawaii State Hospital, justice system, shelter, treatment pathways, biomarker testing, health insurance, precision medicine, healthcare access, medical necessity

Summary: The committee heard testimony on SCR 21 SD1, which asks Hawaii Health Systems Corporation’s East Hawaii Regional Health Care System to study the feasibility of a rural health clinic or similar access point for the Volcano community. Testimony in strong support came from HHSC representatives, Volcano residents, the Volcano Health Collaborative, the Rotary Club of Volcano, and others, who said the area has a clear need and that local primary and urgent care would align with regional plans. HHSC said it had already looked at the area, found no suitable temporary buildings, and would need a longer-term, capital-intensive solution, but that the study could help accelerate next steps. The committee then took up SCR 50 SD1, proposing a Hawaii Health Plan Working Group to design a basic affordable health plan for residents. Dr. Jack Lewin of SHIPTA said the state faces a growing uninsured population and argued for a short-term, lower-cost plan focused on preventive and primary care, drawing on the old State Health Insurance Plan as a possible model. Members asked about whether that prior program still exists and whether the working group should include the Hawaii Medical Association and Hawaii Primary Care Association; Dr. Lewin said the statute still exists but is unfunded, and that the group should be inclusive. The Department of Labor and other organizations also provided comments. For SCR 75 SD1, which urges a coordinated interdepartmental effort to reduce fetal alcohol spectrum disorder, Dr. Lewin and others said prevention, prenatal screening, and early intervention are needed because FASD is often hidden until later problems appear. Amanda from Hawaii FASD Action Group said current implementation under Act 192 is still largely a landscape analysis and that Hawaii lacks the infrastructure and specialists for a full system. Darlene Chance Govor urged adding the judiciary as a partner so juvenile justice and probation staff can be trained and referral pathways improved, while the Department of Health said it supports prevention but prefers a broader, systems-based approach focused on child needs and upstream care. The Disability Rights Center supported the resolution and asked for an earlier reporting date. The committee also heard SCR 149 SD1, which seeks an informal working group to address complex patients with multiple diagnoses involving substance use, mental health, or chronic physical illness. The Hawaii Substance Abuse Coalition and Ke Nui Malo strongly supported the measure, saying current siloed systems leave people bouncing between medical, mental health, and substance use providers without coordinated care, often ending up in crisis, emergency rooms, or the justice system. They said integrated residential care and a coordinated working group could improve outcomes and align with federal funding opportunities. The transcript ended before any final vote or action on the measures was announced, and SCR 109 was noted as withdrawn from the agenda.

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Keywords: New York State Senate (YouTube), https://www.youtube.com/watch?v=7FCQJVaRCtY, 2026-07-05T07:47:17+00:00, 2.2.24, Data collected via generic collector engine, Let New York State Senators hear your voice! Create a nysenate.gov user profile and set custom alerts for issues you care about, comment and vote 'yea' or 'nay' on bills, and access live streaming and archived Senate videos., 993, senate, all, 2.2.43, 2.1.47

Keywords: New York State Senate (YouTube), https://www.youtube.com/watch?v=zWTSEqE77ZA, 2026-07-05T07:47:17+00:00, 2.2.24, Data collected via generic collector engine, Let New York State Senators hear your voice! Create a nysenate.gov user profile and set custom alerts for issues you care about, comment and vote 'yea' or 'nay' on bills, and access live streaming and archived Senate videos., 993, senate, all, 2.2.43, 2.1.47

Keywords: New York State Senate (YouTube), https://www.youtube.com/watch?v=Tt5LgIbQdtY, 2026-07-05T07:47:17+00:00, 2.2.24, Data collected via generic collector engine, Let New York State Senators hear your voice! Create a nysenate.gov user profile and set custom alerts for issues you care about, comment and vote 'yea' or 'nay' on bills, and access live streaming and archived Senate videos., 993, senate, all, 2.2.43, 2.1.47

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Keywords: New York State Senate (YouTube), https://www.youtube.com/watch?v=TkyRiyYtXyM, 2026-07-05T07:47:16+00:00, 2.2.24, Data collected via generic collector engine, Let New York State Senators hear your voice! Create a nysenate.gov user profile and set custom alerts for issues you care about, comment and vote 'yea' or 'nay' on bills, and access live streaming and archived Senate videos., 993, senate, all, 2.2.43, 2.1.47

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