Transcript Highlights:

• The first bill on our agenda today is House File 2434, the Human Services Finance Bill.
• look at the the increases in the human look at the the increases in the human service<00:05:07.759
• from the Department of Human Services. from the Department of Human Services.
• services for my uh health and human services for my entire<00:19:41.600> time<00:19:41.760>
• So I think I'll let Christy Grman with the Department of Human Services explain.

Bills: HF2433, HF2434

Keywords: education funding, children with disabilities, transition aid, special education, school district consolidation, healthcare, personal care assistance, worker retention, disability services, state funding, 1183, house

Transcript Highlights:

• Services.
• their services.
• fluff services, they're critical fluff services, they're critical services.<00:13:43.000> And
• child welfare service child welfare services. services. services.
• health services. health services.

Bills: HB1573, HB1645, HB1875, HB1898, HB2121

Keywords: electronic smoking devices, e-liquids, certification, FDA, state law, penalties, compliance, directory, public health, nonprofit, child welfare, liability, insurance, legal protections, Hawaii, health care, reproductive rights, gender-affirming care, privacy, civil liability

Summary: The committee heard testimony on HB 1573, which would create state enforcement authority over unauthorized e-cigarette products and related tobacco enforcement. Supporters including SHPDA, the Department of Health, the Attorney General’s office, Hawaii Public Health Institute, and others said the bill would help protect youth from unauthorized vaping products, give the state tools to enforce an FDA-authorized product list, and add penalties and inspection authority. A committee member asked whether enforcement staff were available and what penalties would apply; the response was that existing tobacco investigators would take on the work, and the bill includes civil penalties, seizure authority, and possible license revocation referrals. The measure drew both support and opposition testimony, but no vote was taken in the portion provided. The committee then took up HB 1645, relating to liability for child welfare service providers. The Insurance Division said it was aware of the insurance-cost problem, had raised the issue with the NAIC, and was exploring a captive insurance option, while suggesting the legislature consider additional appropriations to DHS to cover higher contract costs. Supporters, including Parents and Children Together and Hawaii Insurance Council, argued the bill would help child welfare providers obtain insurance and continue critical services. Opponents, including the Hawaii Association for Justice, warned that removing joint and several liability could leave victims undercompensated and might not actually lower premiums. The insurance commissioner said other states have done tort reform in this area, but the committee was told it is not clear the bill would reduce insurance costs. Finally, the committee heard extensive testimony on HB 1875, which would protect access to gender-affirming care in Hawaii and shield patients and providers from out-of-state legal actions. Support came from the Hawaii State Youth Commission, LGBTQ+ and public health groups, medical professionals, ACLU Hawaii, Planned Parenthood, and others, who said gender-affirming care is evidence-based, medically necessary, and important for patient privacy, provider stability, and continuity of care. Several witnesses asked for amendments to the bill’s definition language. Opposition testimony came from individuals and groups including Hawaii Christian Coalition, Leeward Republican Women’s Club, and others, who argued the bill could expose children to irreversible decisions and that more research is needed. The chair noted roughly 176 supporters and about 40 opponents testified. No final action or vote was reported in the excerpt.

Transcript Highlights:

• Board of Emergency Medical Services 202 K7501, 545, and 565.
• transportation within another service transportation within another service area<00:09:01.120>
• area when agencies within the service area when agencies within the service area<00:09:03.040>
• , classifications of ambulance services, classifications of ambulance services, mobile<00:09:27.440
• medical services? medical services?

Keywords: :54 – Board of Pharmacy 2:00 – Board of Social Work 3:44 – Board of Licensure for Occupational Therapy 4:43 – Board of Registration for Professional Geologists 7:27 – Board of Imaging and Radiation Therapy 8:33 – Board of Emergency Medical Services 10:38 – Department of Fish & Wildlife Resources 17:37 – Transportation Cabinet 18:37 – Department of Education 25:00 – Department of Workplace Standards 27:06 – Cabinet for Health & Family Services, 958, all

Summary: The Administrative Regulation Review Subcommittee met with a quorum, approved the minutes, and then reviewed a series of agency regulations, most of which had staff-suggested amendments. The Board of Pharmacy regulation on remote prescription processing was amended to make grammatical and KRS Chapter 13A compliance corrections, and the Board of Social Work regulation on continuing education, telehealth training, waivers, and related fees was deferred at the agency’s request. The Occupational Therapy Compact rule update and the Professional Geologists fee increase regulation both received staff amendments and were approved, with the geologists’ board explaining the increases were driven by rising oversight costs and declining revenue. The committee also reviewed emergency regulations from the Board of Medical Imaging and Radiation Therapy, the Board of Emergency Medical Services, the Transportation Cabinet, and the Department of Workplace Standards. The EMS package covered licensing classifications, compliance audits, ambulance service rules, and electronic forms; the Transportation Cabinet’s emergency rule established procedures for street-legal special purpose vehicles; and Workplace Standards’ emergency rules updated Kentucky requirements to align with federal standards and House Bill 398, including shortening the discrimination complaint filing deadline from 120 days to 30 days and adjusting appeal procedures. Staff amendments were approved where offered, and members asked several clarifying questions about the rationale and effect of the workplace and EMS changes. The Department of Fish and Wildlife Resources explained rules on aircraft and drone use in taking wildlife and on reciprocal hunting and fishing agreements with neighboring states. The agency said the drone restriction was intended to align with federal law and address hunter complaints, while the reciprocal agreement rule was a cleanup of older agreements that had lapsed or been overlooked; the committee deferred the wildlife regulation 301 KAR 2:031 at the agency’s request. The Department of Education also presented multiple KHSAA-related and standards updates, including academic eligibility, sports timing, health and physical education standards, and career studies/financial literacy standards; staff amendments were approved, and members questioned the athletic forms and the designation of KHSAA as the state’s athletic agent. Finally, the Cabinet for Health and Family Services presented emergency regulations to support a pediatric teaching hospital expansion and related certificate-of-need changes, which the agency said were aimed at improving pediatric and neonatal access to care; staff amendments were approved, and the committee concluded by setting its next meeting for October 13 at 1:00 p.m.

Transcript Highlights:

• said, they did ask for $250,000 that would go to the AG’s office to provide the informational data service
• might be listening, that HR division will come back at 9:30 to begin conversations about medical services

Bills: SB2271, HB1216

Keywords: adult residential facilities, care services, Medicaid, payment rates, elderly care, health services, North Dakota, prescription drugs, drug affordability, copay assistance, copayment accumulator, deductible accumulator, out-of-pocket maximum, health insurance, health benefit plan, self-insured health plan, self-funded plan, third-party payment, manufacturer assistance, patient assistance program

Summary: The Appropriations Committee met with a quorum and took up three bills. House Bill 1216, dealing with prescription drug expense co-pay accumulators in health plans, was presented by Rep. Karen Carl’s, who explained it would prevent insurers from refusing to count third-party assistance toward deductibles for patients using high-cost, non-generic drugs. An amendment was offered to clarify effective dates, including a delayed January 1, 2026 start for PERS coverage. PERS testified that the amendment would align with its calendar-year benefit structure and likely reduce the fiscal note. The amendment was adopted 16-0, and the bill was set aside for further discussion later. House Bill 1199, creating a criminal justice data-sharing system and missing persons/missing Indigenous people task force, was introduced with a committee amendment changing the Attorney General reference to the Attorney General or designee. The committee noted the bill includes a $250,000 general fund appropriation for ongoing costs. The amendment passed 16-0, and the amended bill received a do pass recommendation by a 15-1 vote, with one no vote from Senator Magrum. House Bill 1531, appropriating $75,000 for an irrigation expansion study by the Agriculture Commissioner, was supported as a way to update older economic-impact studies on irrigation and assess opportunities for expansion. Members discussed its relationship to broader study pauses and the history of irrigation development in the state, including Garrison Diversion and remaining authorized acres. The bill passed 16-0. The committee then discussed scheduling for the coming week, noting a heavy bill load and plans for daily morning meetings before adjourning.

Transcript Highlights:

• durable injuries on consumers, who pay higher prices and are deprived of higher-quality goods and services
• durable injuries on consumers, who pay higher prices and are deprived of higher-quality goods and services
• provider customer employee and service provider um<00:43:37.200> and<00:43:37.520> and
• He said that some operators do this service quite well, with decent training, etc., but some do nothing
• issue it's a human issue and I<01:04:24.160> believe<01:04:24.680> all<01:04:24.839>

Bills: HF1355, HF1469, HF1768

Keywords: commercial diving, scuba diving safety, aquatic plant management, workplace safety, environmental regulations, HF1469, Minnesota, workforce development, job training, job skills training, reentry, reentry services, formerly incarcerated, ex-offenders, inmates, recently released inmates, felony conviction, felony-level offense, corrections, prison release

Bills: HCR14, HB201, HB218, HB352, HB626, HB636, HB738, HB749

Keywords: Department of Education, federal overreach, education policy, Tenth Amendment, local control, fine arts, high school diploma, arts education, capstone project, academic achievement, student recognition, Louisiana education, food insecurity, hunger, student hunger, school meals, free lunch, community eligibility provision, McKinney-Vento, homeless students

Transcript Highlights:

• Nearly half of those years have been spent primarily investigating all types of human deaths.
• I want to thank you for your service. I appreciate it.
• Thank you for being with us this morning, and thank you again for your service.
• Likewise, and thank you for your service and for making the trek to your statehouse. Thank you.
• My name is Fedora Galasso, and I'm the CEO for the Texas Network of Youth Services. of Youth Services

Bills: HB669, HB 1306, HB3173, HB3807

Keywords: healthcare, Medicare, insurance, financial assistance, families, wage theft, employers, penalties, Texas Workforce Commission, employee rights, employer database, worker rights, death investigation, emergency services, medical benefits, exposure claims, public safety, workforce development, TWC, youth workforce

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=aNg2fNu_Rg0, 2026-06-21T07:17:02+00:00, 2.2.24, Data collected via generic collector engine, MEETING START 00:00 ROLL CALL 00:27 APPROVAL OF MINUTES 01:02 DISCUSSION WITH COMMUNITY BASED SERVICES, LESLIE HOFFMAN, DEPUTY COMMISSIONER, PAM SMITH, DIRECTOR FOR MEDICAID SERVICES. WAIVER ENROLLMENT NUMBERS, AND RATE & STUDY FINDINGS. 2:06 DISCUSSION WITH CEO, KY ASSOCIATION OF PRIVATE PROVIDERS, AMY STAYED ON THE IMPLANTATION OF THE INCREASE FOR WAIVER PROVIDERS THAT IS LISTED IN HOUSE BILL 1 24:18 DISCUSSION WITH LESA DENNIS, ACTING COMMISSIONER WITH DEPT. OF COMMUNITY BASED SERVICES &SHANNON HALL, CHIEF OF STAFF ABOUT SOCIAL WORK RECRUITMENT & RETENTION IN THE FIELD AND OFFICES. 32:16, 958, all, 2.2.42, 2.1.47

Bills: HB 1106, HB 3284, HB 541, HB 713, HB 1403, HB 1586, HB 1942, HB 2070, HB 2844, HB 2851, HB 3151, HB 3749, HB 3940, HB 3963, HB 4454, HB 4466, HB 4795, HB 5154, HB 5394, SB 1357, HB 1052, HB 4099, HB 4638, HB 5147

Keywords: child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health

Bills: HB 1106, HB 3284, HB 541, HB 713, HB 1403, HB 1586, HB 1942, HB 2070, HB 2844, HB 2851, HB 3151, HB 3749, HB 3940, HB 3963, HB 4454, HB 4466, HB 4795, HB 5154, HB 5394, SB 1357, HB 1052, HB 4099, HB 4638, HB 5147

Keywords: child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health

Transcript Highlights:

• replace existing assistance, but rather are set aside for post-secondary education or aftercare services
• There are no amendments, sir. ...set aside for post-secondary education or aftercare services when the
• Family support services. Thank you, Victoria. All right. Family support services.
• just thank you too, but to you, Senator Burgess and Senator Truenow, first thank you all for your service
• But to you, Senator Burgess and Senator Truenow, first thank you all for your service in our military

Bills: S1182, S1594

Keywords: veterans, military spouses, business incentives, tax exemptions, economic development, veteran benefits, minor clients, financial assistance, education services, Department of Children and Families, Department of Health

Summary: The Senate Committee on Military, Veterans Affairs, Space, and Domestic Security met with a quorum present and took up two bills. SB 1594, by Senator Gates, would change how veterans’ benefits received on behalf of foster youth are handled so the funds are not used to offset foster care costs, but instead are preserved for post-secondary education or aftercare services when the youth leaves foster care. The bill drew one supportive appearance from Victoria Zep of Family Support Services, had no debate, and was reported favorably by a unanimous roll call vote. Senator Sharief later asked to be recorded as a yes vote on the bill. The committee then considered SB 1182, by Senator Jones, which creates the Florida Veterans and Military Spouses Business Development Act to provide fee relief and tax incentives for veteran-owned and military spouse-owned businesses. The committee adopted Jones’s strike-all amendment, which added information-sharing and verification provisions, refined the tax exemptions, and broadened eligibility for fee waivers and sales tax relief. After no questions or debate, the amended bill was reported favorably by unanimous vote. The committee also held a confirmation hearing for three appointees—Matthew Bacchano, Tim Thomas, and Belinda Kaiser—and recommended confirmation on all three in one vote. The meeting concluded with several members offering remarks praising Chair Wright’s long service and leadership on veterans’ issues, followed by adjournment.

Transcript Highlights:

• This includes looking at early intervention services for youth that need services more upstream, that
• should get access to services prior to any system involvement, as well as more intensive services for
• This includes looking at early intervention services for youth that need services more upstream, that
• We also noted a lot of gaps in service types, particularly evidence-based services for kids that have
• So that would be services, a mix of services and the building. Okay.

Bills: SB5, SB6, SB8

Keywords: physician residency, healthcare, rural communities, medical education, appropriation, education, medical school, New Mexico, construction, behavioral health, funding, mental health services, general fund transfer, 996, all

Transcript Highlights:

• Trooper, thank you for your service and welcome to the Florida House.
• By Health and Human Services Committee, Health Professions and Program Subcommittee and Representative
• Does your bill outline what noninstructional services would be categorized as? **Rep.
• Human Services Committee, Representative Griffis and Representative Abbott and others, CS for House Bill
• This amendment does not include the service with the insurance.

Bills: HJR 138, HB 42, HB 104, HB 129, HB 677, HB 426, HB 668, HB 1699, HB 2017, HB 2128, HB 2038, HB 3783, HB 3717, HB 2316, HB 3686, HB 2563, HB 3883, HB 4021, HB 2788, HB 2663, HB 3305, HB 3173, HB 3474, HB 1105, HB 3531, HB 3490, HB 3597, HB 1295, HB 3512, HB 3010, HB 3112, HB 4215, HB 3223, HB 3464, HB 3120, HB 4214, HB 4511, HB 3704, HB 4081, HB 4783, HB 4063, HB 2783, HB 4937, HB 5085, HB 2510, HB 3426, HB 4361, HB 1169, HB 2516, HB 2347, HB 4034, HB 4700, HB 3560, HB 5150, HB 3860, HB 3146, HB 3924, HCR 98, HCR 92, HB 1520, HB 1545, HB 5265, HB 1887, HB 1914, HB 2402, HB 2306, HB 2350, HB 3000, HB 3237, HB 3326, HB 3211, HB 1056, HB 2081, HB 2187, HB 3092, HB 3308, HB 3526, HB 3750, HB 4219, HB 4230, HB 4290, HB 5238, HB 4804, HB 4749, HB 245, HB 1465, HB 294, HB 793, HB 809, HB 3928, HB 334, HB 2037, HB 1973, HB 285, HB 4341, HB 1043, HB 1234, HB 1193, HB 1729, HB 2498, HB 1314, HB 1353, HB 3960, HB 3923, HB 2221, HB 2517, HB 2518, HB 2213, HB 5092, HB 3748, HB 5246, HB 4344, HB 1482, HB 4044, HB 2702, HB 4264, HB 2807, HB 2898, HB 3181, HB 3250, HB 2091, HB 2115, HB 2542, HB 2768, HB 3349, HB 4406, HB 1593, HB 1899, HB 3133, HB 3133, HB 4960, HB 3214, HB 2145, HB 1201, HB 5061, SB 29, SB 879, SB 65, SB 1745, SB 412, SB 412, SB 1746, SB 1238, SB 1341, SB 522, SB 1532, SB 1378, SB 1062, SB 2066, SB 1963, SB 2204, SB 1366, SB 2077, SB 1967, SB 1151, HB 1618, HB 2156, HB 2615, HB 2615, HB 2349, HB 1926, HB 569, HB 1762, HB 38, HJR 138, HB 42, HB 104, HB 104, HB 129, HB 677, HB 426, HB 668, HB 1699, HB 2017, HB 2128, HB 2038, HB 3783, HB 3717, HB 2316, HB 3686, HB 2563, HB 3883, HB 4021, HB 2788, HB 2663, HB 2663, HB 3305, HB 3173, HB 3474, HB 1105, HB 3531, HB 3531, HB 3490, HB 3490, HB 3597, HB 1295, HB 3512, HB 3010, HB 3112, HB 4215, HB 3223, HB 3223, HB 3464, HB 3120, HB 4214, HB 4511, HB 3704, HB 4081, HB 4783, HB 4063, HB 2783, HB 4937, HB 5085, HB 2510, HB 3426, HB 4361, HB 1169, HB 2516, HB 2347, HB 4034, HB 4700, HB 3560, HB 5150, HB 3860, HB 3146, HB 3924, HCR 98, HCR 92

Keywords: carbon tax, carbon emissions, greenhouse gas, climate policy, fuel tax, emissions tax, Texas Constitution, Article VIII, tax limitation, environmental tax, fossil fuels, energy policy, legislative taxing authority, ballot proposition, constitutional amendment, higher education, funding, financial allocation, state budget, Texas A&M University

Transcript Highlights:

• Services.
• Per the Committee on Human Services.
• Services.
• Services.
• Per the Committee on Human Services, SB 529 by Sparks, willing to address the entitlement of certain

Bills: HJR138, HB42, HB 104, HB 129, HB677, HB426, HB668, HB1699, HB2017, HB2128, HB2038, HB3783, HB3717, HB2316, HB3686, HB2563, HB3883, HB4021, HB2788, HB2663, HB3305, HB3173, HB3474, HB 1105, HB3531, HB3490, HB3597, HB 1295, HB3512, HB3010, HB3112, HB4215, HB3223, HB3464, HB3120, HB4214, HB4511, HB3704, HB4081, HB4783, HB4063, HB2783, HB4937, HB5085, HB2510, HB3426, HB4361, HB 1169, HB2516, HB2347, HB4034, HB4700, HB3560, HB5150, HB3860, HB3146, HB3924, HCR98, HCR92, HB1520, HB1545, HB5265, HB1887, HB1914, HB2402, HB2306, HB2350, HB3000, HB3237, HB3326, HB3211, HB 1056, HB2081, HB2187, HB3092, HB3308, HB3526, HB3750, HB4219, HB4230, HB4290, HB5238, HB4804, HB4749, HB245, HB1465, HB294, HB793, HB809, HB3928, HB334, HB2037, HB1973, HB285, HB4341, HB 1043, HB 1234, HB 1193, HB1729, HB2498, HB1314, HB1353, HB3960, HB3923, HB2221, HB2517, HB2518, HB2213, HB5092, HB3748, HB5246, HB4344, HB1482, HB4044, HB2702, HB4264, HB2807, HB2898, HB3181, HB3250, HB2091, HB2115, HB2542, HB2768, HB3349, HB4406, HB1593, HB1899, HB3133, HB3133, HB4960, HB3214, HB2145, HB 1201, HB5061, SB29, SB879, SB65, SB1745, SB412, SB412, SB1746, SB1238, SB1341, SB522, SB1532, SB1378, SB1062, SB2066, SB1963, SB2204, SB1366, SB2077, SB1967, SB1151, HB1618, HB2156, HB2615, HB2615, HB2349, HB1926, HB569, HB1762, HB38, HJR138, HB42, HB 104, HB 104, HB 129, HB677, HB426, HB668, HB1699, HB2017, HB2128, HB2038, HB3783, HB3717, HB2316, HB3686, HB2563, HB3883, HB4021, HB2788, HB2663, HB2663, HB3305, HB3173, HB3474, HB 1105, HB3531, HB3531, HB3490, HB3490, HB3597, HB 1295, HB3512, HB3010, HB3112, HB4215, HB3223, HB3223, HB3464, HB3120, HB4214, HB4511, HB3704, HB4081, HB4783, HB4063, HB2783, HB4937, HB5085, HB2510, HB3426, HB4361, HB 1169, HB2516, HB2347, HB4034, HB4700, HB3560, HB5150, HB3860, HB3146, HB3924, HCR98, HCR92

Keywords: carbon tax, carbon emissions, greenhouse gas, climate policy, fuel tax, emissions tax, Texas Constitution, Article VIII, tax limitation, environmental tax, fossil fuels, energy policy, legislative taxing authority, ballot proposition, constitutional amendment, higher education, funding, financial allocation, state budget, Texas A&M University

Transcript Highlights:

• Department of Health and Human Services Finding and prohibiting discriminatory bullying requires schools
• Any behavior exhibited by a human is human behavior, even if it makes someone uncomfortable.
• When I stim or flat my hands to regulate, it's a human behavior. creative article of clothing, it's human
• We also commend HB 4's efforts to the Department of Health and Human Services for their continued support
• We also commend HB 4's efforts to the Department of Health and Human Services for their continued the

Bills: HB4, HB54, SB 10, SB 24, HB4, HB54, HB775, HB850, HB 1122, HB 1249, HB1405, HB2336, HB2757, HB3372, HB3622, HB4442, HB4687, HB4893, HB5089, HB5515, HB5606, SB10, SB24, HB1573, HB3369

Keywords: district composition, congressional election, Texas, legislature, voting districts, citizenship, U.S. citizen, non-citizen, public office, advisory board, task force, state government, local government, political subdivision, commission board, appointment eligibility, officeholder qualifications, public service, naturalization, Texas Government Code

Bills: HB4, HB54, HB775, HB850, HB 1122, HB 1249, HB1405, HB2336, HB2757, HB3372, HB3622, HB4442, HB4687, HB4893, HB5089, HB5515, HB5606, SB10, SB24, HB1573, HB3369, HB4, HB54, SB 10, SB 24

Keywords: non-human behaviors, education, Texas schools, policy, regulation, funding, teacher salaries, school districts, state budget, non-enrolled students, University Interscholastic League, participation, eligibility standards, school participation, academic standards, Texas education, interscholastic league, extracurricular activities, academic proficiency, AED

Transcript Highlights:

• So the issue was that they were servicing students. Can you give me the problem in a nutshell, Mr.
• bill that would have impacted them at $49 million would have meant that they would have had to cut services
• equivalent in early childhood education and three-year-old students receiving special education services
• equivalent in early childhood education and three-year-old students receiving special education services

Bills: HB253, HB153, HB255, HB287, HB371, SB151, HB8, SB177

Keywords: distance learning, virtual instruction, public education, student enrollment, school funding, education standards, pandemic education response, low-carbon construction, construction materials, rebate, environmental product declaration, EPD, embodied carbon, carbon intensity, greenhouse gas emissions, decarbonization, industrial incentives, clean manufacturing, cement, concrete

Transcript Highlights:

• As a result, we have relied heavily on public buses and ride share services, which can quickly become
• Some cannot afford ride share services or are unable to drive their children to school, and some students
• The City and County of Honolulu Department of Customer Services have comments as well.
• They're always, no matter the deterrence, this is just human nature.
• nature. they're always going to be human nature. they're always going to be maybe<01:05:49.359> on

Bills: HB2392, HB2462, HB2423, HB1771, HB2081, HB2334, HB2336, HB1666, HB2375, HB2415, HB2451, HB2373, HB1641, HB1694, HB1695, HB1986, HB1797, HB1879, HB2034

Keywords: transportation, tax credit, employer incentives, commuting, environmental impact, flexible work arrangements, carpooling, bicycling, public transportation, consumer protection, subscription services, motor vehicles, ownership expectations, transparency, biodiesel, renewable diesel, diesel blend, B5, blending mandate, clean energy

Summary: The committees heard testimony on several transportation-related measures. SB 2356, relating to parking, drew support from the Office of Planning, the Climate Change Mitigation and Adaptation Commission, Appleseed Center, Realtors, and the Hawaii Bicycling League. Members discussed the bill in the context of the planned stadium-area mixed-use development, with questions about whether parking would be built in structures rather than as large surface lots. Senators expressed support and noted the measure’s broader housing and parking-reduction goals, but no vote was taken during the hearing. The bulk of the hearing focused on SB 2699, which would create a fare-free youth transit program, a special fund, annual evaluations, and appropriations tied to the environmental, energy, and food security tax. The Attorney General’s office raised technical concerns about whether the special fund met statutory requirements. The Department of Education and Department of Health supported the bill, as did the City and County of Honolulu DOT, Appleseed Center, Hawaii Youth Transportation Council, Public Health Institute, Hawaii Children’s Action Network, Hawaii Bicycling League, Our Children’s Trust, and numerous youth testifiers. Supporters emphasized reduced family transportation costs, better school attendance, improved health and mobility, and environmental benefits. One senator raised emergency-planning concerns about how children using free transit would be handled during events like tsunamis; DOT and DOE responded that emergency procedures are being developed. The chair said the committee would work on language changes, including a delayed effective date to July 2027, and defer decision-making until the 12th. The final measure discussed was SB 2470, which would require leading pedestrian intervals, accessible pedestrian signals, and other safety improvements at state-controlled intersections, and create a process for community requests for accessible pedestrian signals. Appleseed Center, the Hawaii Association of the Blind, and the Disability Rights Center supported the bill, citing pedestrian safety, reduced collisions, and the need for audible cues for blind and low-vision pedestrians. Testifiers urged a phased-in approach that prioritizes high-traffic intersections. The hearing ended with the bill still under consideration and no final vote announced.

Transcript Highlights:

• Members, House Bill 2188 is Representative Howard's bill which would direct the Health and Human Services
• Sub to Chapter A, Chapter 1001 of the Health Safety Code to require health and Human Services Commission
• That attorney is then. and fighting against the Department of Health and Human Services, who is represented
• So with the district attorney, health and human services, our county commissioners, opiate abatement
• Thank you. of the Office of Mental Health, Health and Human Services Commission, resource witness.

Bills: HB 3772, HB 1656, HB 4504, HB 1896, HB 4420, HB 4421, HB 4076, HB 3708, HB 2806, HB 3540, HB 1586, HB 5459, HB 4553, HB 4535, HB 3811, HB 3749, HB 4255, HB 4051, HB 5098, HB 3554, HB 4539, HB 5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Transcript Highlights:

• So our model is a shared services model.
• So our model is a shared services model.
• The the data remains with the services.
• <00:09:22.480> but without any loss of um of service but without any loss of um of service
• for Health and Family Services. for Health and Family Services.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:20 CRISP Shared Services 00:01:39 Rural Health Transformation Plan 00:30:55, 958, all

Summary: The Budget Review Subcommittee on Health and Family Services opened its first meeting of the 2026 interim session, took roll, and moved directly into presentations. The main presentation was from Ryan Bramble of Crisp Shared Services, who described the organization’s health information exchange and health data utility model in Kentucky and other states. He emphasized that Crisp is a nonprofit, that data ownership remains with providers, and that governance is local. He also outlined the technical infrastructure, including a master patient index, cloud-based data lake, support for modern standards like FHIR and USCDI as well as older formats, and data quality tools used to normalize and standardize information. Bramble said the model is intended to reduce duplication, lower costs, and support rural providers and future use cases such as reporting, analytics, and AI-enabled decision support. Members asked how the state can ensure the data is actually used and who should drive priorities for health care improvement. Bramble said Crisp can provide tools, expertise, and examples from other states, but local teams such as KHI and state stakeholders must tailor and lead utilization efforts. In response to questions about ownership and coordination, he stressed that successful HIE governance requires a multistakeholder body that includes hospitals, health plans, government, and other interests, with a unified approach rather than multiple competing directives. He also said the Commonwealth has an opportunity to convene those stakeholders and set clear priorities. A senator raised concerns that responsibility for Medicaid and broader health policy has become fragmented and suggested a stronger central role for the state, possibly through the Department of Public Health, to coordinate health priorities. Bramble agreed that a single convening authority and multistakeholder governance are important, and noted that local governance should determine what data is shared and how it is used. No votes or formal actions were taken during this portion of the meeting. After Bramble’s presentation and questions, the committee was told that Secretary Stack from the cabinet would testify next on the rural health transformation plan.