Video & Transcript : 'ABA services' :
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MA
Massachusetts 2025-2026 Regular Session
Status of Persons with Disabilities Jun 21st, 2026 at 11:00 am
Transcript Highlights:
- Thank you for your public service.
- I think, you know, human services is one of those areas.
- and disability services especially, right?
- and disability services especially, right?
- So, um... ...partnership program and pathways into human services.
Summary:
The subcommittee opened with roll call and approved the January minutes. Members then heard from Undersecretary of Labor and Workforce Development Josh Cutler, who gave an update on the Healey-Driscoll administration’s apprenticeship efforts and emphasized apprenticeship as an earn-while-you-learn model that can help address workforce shortages while including people with disabilities. He described growth in apprenticeships across sectors such as banking, bio, early education, health care, and human services, and noted recent milestones including the state’s 10,000th registered apprenticeship, expanded tax credits, reduced program fees, added apprenticeship liaisons, and Grow grants to support program development.
Committee members focused on how apprenticeship could be adapted for human services and disability-related jobs, including early education, direct care, PCA work, sterile processing, and related health occupations. They asked about funding structures, employer participation, community college involvement, and how to make programs accessible to people with disabilities. Cutler explained that apprenticeship programs are employer-designed but must meet core requirements such as paid employment, at least 2,000 hours of on-the-job learning, related technical instruction, mentorship, and progressive wages. He said the state can support programs through the registered apprenticeship tax credit, which he said is $4,800 per apprentice and can be stacked with the disability employment tax credit, and through Grow grants, which were most recently awarded at about $2.1 million statewide.
Members and Cutler discussed using intermediaries such as trade associations, nonprofits, and disability organizations to help employers set up programs and navigate incentives. He said the commission could be useful as a convener and suggested a targeted panel or information session with apprenticeship liaisons, employers, and existing sponsors to identify a few specific occupations and build a proof of concept. The meeting ended with agreement to follow up offline on potential partner employers, including Eastern Bank, and on possible next steps for a focused panel or pilot opportunities.
ID
Transcript Highlights:
- They truly become a neighborhood hub with essential services.
- My favorite part is Hub with essential services.
- Now we're talking about integrated health and social services. I think...
- Now we're talking about integrated health and social services, I think, is a little concerning.
- It is not the school itself providing all of the services.
MO
Transcript Highlights:
- This bill does not require insurance to cover new services.
- This bill does not require insurances to cover new services.
- History shows us they use X amount of these types of services.
- If we're providing services and we have X number of counties in our service area and we are intentionally
- , as long as such service is within the provider’s scope of practice.”
MA
Massachusetts 2025-2026 Regular Session
Status of Persons with Disabilities Feb 26th, 2026
Transcript Highlights:
- Thank you for your public service.
- I think, you know, human services is one of those areas.
- and disability services especially, right?
- and disability services especially, right?
- So, um... ...partnership program and pathways into human services.
Summary:
The subcommittee met to approve the January minutes and then heard an update from Undersecretary of Labor and Workforce Development Josh Cutler on apprenticeship expansion in Massachusetts. Cutler described the Healey-Driscoll administration’s efforts to grow apprenticeships beyond the building trades into sectors such as banking, bio, early education, health care, and human services, emphasizing that apprenticeship is an earn-while-you-learn model with strong retention and career advancement. He noted recent milestones and supports, including the 10,000th registered apprenticeship, expanded tax credits, reduced program fees, added apprenticeship liaisons, and Grow grants to help employers launch programs. He also said the administration is open to using grants, incentives, and convening power to encourage more human services and disability-focused apprenticeships.
Members focused on how these models could work for disability and human services providers, especially in lower-wage fields like early education and direct care. They raised examples such as sterile processing, PCA services, mental health, brain injury, independent living centers, and programs involving community colleges, Bridgewater State, and vocational schools. Cutler explained that apprentices are W-2 employees, programs must include at least 2,000 hours of on-the-job learning, 150 hours of related instruction, a mentor relationship, and progressive wages, but employers largely design the program themselves. He said intermediaries such as the Massachusetts Bankers Association or disability organizations can help employers navigate the process and that the state can support these efforts through grants and tax credits.
The discussion also covered employer outreach, the role of community colleges, and how to make careers in disability services more visible and valued. Cutler said the registered apprenticeship tax credit is $4,800 per apprentice, can be claimed twice for longer apprenticeships, and is stackable with the disability employment tax credit. Members suggested hosting a targeted virtual panel with apprenticeship liaisons, employers, and intermediaries to identify a few priority occupations and develop concrete next steps. The meeting ended with agreement to follow up offline on specific opportunities and potential partners, including Eastern Bank and existing apprenticeship programs in health care and related fields.
NM
Transcript Highlights:
- It ensures stability and consistency of service for students with disabilities and provides for the study
- To improve our special education services. The changes that the federal government are worrisome.
- It also allows our educator prep programs to prepare our pre-service teachers by training them on the
- So we’ve been trying to ensure that special education services are just well monitored.
- And now that we have... ...education services for many years.
Keywords:
teacher residency, Teacher Residency Act, public schools, teacher preparation, educator pipeline, teacher recruitment, teacher retention, student teachers, apprenticeship, co-teaching, mentor teachers, residency stipend, teacher salary, level one teacher, charter schools, school districts, New Mexico education, teacher workforce, principal stipend, cohort model
NM
New Mexico 2026 Regular Session
House - Government, Elections And Indian Affairs Feb 9th, 2026 at 08:35 am
House Government, Elections & Indian Affairs
Transcript Highlights:
- A uniform statewide IEP template ensures immediate continuity of service.
- This office will help close gaps in services and outcomes.
- This office will help close gaps in services and outcomes.
- They are in the Health and Human Services Department. So, thank you.
- Health and Human Services Department, so they talked to them about issues.
NV
Nevada 2025 Regular Session
Senate Floor Session May 31st, 2025 at 11:30 am
Nevada Senate Floor Meeting
Transcript Highlights:
- Assembly Bill 514, by the Assembly Committee on Health and Human Services, makes revisions relating to
- mental health care, referred to Health and Human Services.
- Assembly Bill 515, by the Assembly Committee on Health and Human Services, revises provisions relating
- relating to emergency medical services.
- Assembly Bill 102 provides provisions relating to emergency medical services. Any further remarks?
TX
Transcript Highlights:
- As a result, retired fire service personnel lack a formal means of recognition for their service.
- But you did serve with them, and Senator Johnson, commend your service.
- Officer Candenosa dedicated his life to service.
- Then, in Tyler, after his military service, he served in fire service and was our fire marshal starting
- And then And Tyler, after his military service, served in fire service was our fire marshal starting
Summary:
The Senate Committee on Transportation heard a series of memorial and honorary designation bills, including SB 876 naming the Crescent Bypass the Bob Cornett Parkway, HB 2523 renaming part of State Highway 48 for Deputy Constable Ruben Garcia, HB 2457 naming a portion of US 287 the Molly Mullins Mile, HB 2763 naming a TxDOT facility for Eduardo Eddie Garcia Jr., HB 3135 creating specialty license plates for retired firefighters, HB 2415 naming part of FM 969 for Senior Police Officer Louis Andy Taylor, HB 2143 naming part of FM 1097 for Army Specialist Joey Lynn, HB 767 naming part of SH 249 for Colonel Paul P. Mendez, HB 2198 naming part of Highway 34 for Officer Jacob Candenosa, SB 1230 naming part of FM 10 for Deputy Sheriff Chris Dickerson, SB 2515 naming part of Loop 323 for fire chief Jimmy Wayne Seaton, SB 2688 naming part of US 281 for the McIlroy family, and SB 2790 naming part of US 67 for Congresswoman Eddie Bernice Johnson. Most of these bills were presented by senators on behalf of House authors and were supported by family members, local officials, or law enforcement groups, with testimony emphasizing public service, sacrifice, and roadway safety. The committee also heard SB 2799, which would create new criminal penalties for reckless driving that causes bodily injury or serious bodily injury; the sponsor and a Montgomery County prosecutor said the bill would fill a gap between misdemeanor reckless driving and aggravated assault and give prosecutors more proportional charging options. A separate policy bill, HB 1672, was described as removing an administrative delay in DPS motor carrier enforcement, and HB 3012 would eliminate a $3 administration fee for driving courses. After public testimony, the committee voted to report each listed bill favorably to the full Senate, generally by a 6-0 roll call, and recommended them for the local and uncontested calendar; all bills were left pending until the final vote, then reported out and the committee recessed.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 3 on Education Finance May 19th, 2026
Transcript Highlights:
- , the Disabled Student Programs and Services, the apprenticeship programs, CalWORKs student services,
- We're excited to be of service.
- We're excited to be of service.
- It's called an ITS2 in state service.
- In addition, student support services would be reduced, including advising, tutoring, financial aid services
Summary:
The committee heard an overview of the May Revision’s Proposition 98 changes for K-12 and community colleges. The Department of Finance said the minimum guarantee rises by $6.4 billion over the Governor’s Budget across the three-year window, with higher guarantees in each year, full payment of the prior settle-up, and larger deposits into the school rainy-day fund. The LAO said the revenue and LCFF updates were reasonable, but urged caution about the settle-up approach and recommended using more of the available funding to protect ongoing programs and build budget resilience. Members focused heavily on the size of the proposed $3.9 billion settle-up, the $10.3 billion reserve deposit, declining K-12 enrollment, and how much of the new funding should be ongoing versus one-time.
The committee then reviewed the community colleges portion of the budget. Finance described the May Revision’s higher SCFF COLA, additional funding for enrollment growth, a student support block grant, apprenticeship adjustments, and continued funding for deferred maintenance, Calbright, Common Cloud, and credit for prior learning. The Chancellor’s Office supported the core investments but asked for more funding for enrollment growth, changes to the growth formula, and a COLA for Student Equity and Achievement. The LAO recommended prioritizing the statutory COLA increase, noted that more than half of districts are already above current-year growth targets, and said the new adult learner demonstration project should be rejected because districts already have tools to support similar services. Members also discussed a $52 million current-year apportionment shortfall, which Finance said was discovered too late for the May Revision and would need to be addressed later.
Finally, the committee took up the proposed implementation of the federal Workforce Pell program. Finance proposed one-time funding for the California Student Aid Commission and Cradle to Career to build eligibility and data systems, along with trailer bill changes to set up state approval processes. CSAC said the program is promising but highly complex, that California lacks the needed infrastructure, and that the state will need emergency regulations, data linkages, and ongoing funding beyond the one-time proposal. The LAO agreed that some initial funding is needed but warned that the amounts and ongoing costs remain uncertain and that the Legislature should carefully draft the trailer bill language. Members asked about timing, other states’ actions, and how the state would ensure the program is ready for students and institutions.
NH
Transcript Highlights:
- </c><00:19:55.640><c> of</c> oh sorry honor the life and service of oh sorry honor the life and service
- </c><00:21:03.880><c> we</c> Jesse in his extraordinary service we Jesse in his extraordinary service
- </c> session in Health and Human Services session in Health and Human Services Senate<00:25:43.360><c
- </c> the special education the IEP services the special education the IEP services in<00:55:53.640><c
- at the onset of service not new service at the onset of the<00:56:48.000><c> plan</c><00:56:48.280><
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 1 on Education Apr 30th, 2026
Transcript Highlights:
- Kim Brunzel, Department of Education and Nutrition Services.
- However, given infrastructure, staffing, and training for food service workers.
- To provide integrated services and expanded learning to students in the community.
- engine that makes those services translate into better academic and behavioral outcomes.
- County overseeing 500 youth service providers.
Summary:
The Senate Budget Subcommittee on Education heard the Governor’s proposals for universal school meals, the Expanded Learning Opportunities Program (ELOP), and community schools. On universal meals, the Department of Education supported continued funding for the Universal School Meals Program and a fourth round of Kitchen Infrastructure and Training Grants, citing meal-count growth, improved meal service, and the need to offset federal uncertainty, inflation, and reduced direct certification tied to immigration-related policy changes. The LAO recommended rejecting another kitchen grant round, arguing prior rounds are still being spent and the state has not clearly defined unmet need. Members also raised concerns about the state’s ability to backfill federal meal funding and about how federal requirements affect programs like Summer EBT/SUN Bucks. Public commenters largely supported school meals and kitchen investments, with some urging support for plant-based milk options and continued infrastructure funding.
For ELOP, the Department of Finance proposed $4.7 billion ongoing Proposition 98 funding, including $62.4 million to set a minimum Tier 2 rate of $1,800 per pupil. The LAO recommended going further and fully fixing the Tier 2 rate, saying rate uncertainty complicates district planning. CDE supported the proposal and said the program has improved attendance and academic outcomes, while noting new CalPADS reporting will provide more data soon. Senators discussed whether ELOP should remain a standalone program or be folded into LCFF, and whether the state should require stronger outcome reporting. Public testimony generally backed stabilizing Tier 2 funding, but some speakers urged more support for older youth and more timely, user-friendly reporting.
On community schools, the administration proposed $1 billion ongoing Proposition 98 funding to expand the model to thousands more schools and to support existing grantees, along with stronger technical assistance, statewide alignment, and an accreditation/self-certification framework. The LAO recommended continuing the current one-time grant approach instead of creating a new ongoing categorical program, warning about reduced flexibility, administrative burden, and the state’s capacity to support a much larger cohort. CDE supported the ongoing investment but asked for additional county office and technical assistance funding. Senators and public commenters were broadly supportive of community schools, emphasizing improved attendance, graduation, and student engagement, while also debating accountability, accreditation, and whether non-classroom-based charter schools should be eligible. Public testimony strongly favored ongoing funding and highlighted community schools’ role in mental health, family engagement, and wraparound supports.
CA
California 2025-2026 Regular Session
Assembly Revenue and Taxation Committee Apr 27th, 2026
Revenue and Taxation
FL
Transcript Highlights:
- when the service member has federal military service of 90 consecutive days or more on a single order
- or people that were turned away for services.
- Forest Service land. This is the Ocala National Forest.
- Forest Service land without a permit.
- Forest Service land without a permit.
ID
Idaho 2026 Regular Session
Agenda Feb 2nd, 2026
Transcript Highlights:
- We doubt that the state would be able to provide services.
- Medicaid is the primary payer for mental health services in Idaho.
- Health services in Idaho.
- school-based services in order to be where he is today.
- youth, senior services, and services for victims of domestic violence.
Summary:
The House Revenue and Taxation Committee heard House Bill 559, which would conform Idaho tax law to portions of the federal “One Big Beautiful Bill,” including changes affecting individual tax cuts, senior deductions, overtime and tips, and business research and experimentation expensing. Representative Jeff Ehlers, the sponsor, argued the bill is primarily a tax cut for Idahoans, said the fiscal note of about $155 million was reasonable, and emphasized that the bill does not conform to bonus depreciation. He also said the bill spreads some corporate impacts over time and that the measure is about tax conformity rather than budgeting.
Committee members questioned the sponsor closely about the research and experimentation provisions, the timing of deductions, and whether the bill would affect the current budget year or require cuts elsewhere. Ehlers said some business tax effects would “wash out” because of timing, that some taxpayers may have underpaid in anticipation of conformity, and that any budget decisions would be handled by JFAC rather than this committee. He also said interest and penalties would apply to underpayments like any other tax liability. During closing, he reiterated that the bill’s revenue impact was already reflected in the fiscal note and that the measure benefits individuals more than businesses overall.
Public testimony was sharply divided. Supporters such as Ron Nate, Ken McClure, Mark Wynn, and Miguel Legoretta urged conformity for simplicity, filing clarity, and tax competitiveness, though some of them criticized the bill for not fully conforming on the business side or for eliminating the state R&D credit. Opponents, including seniors, taxpayers, disability advocates, mental health advocates, and faith-based speakers, argued the bill’s cost was uncertain, could worsen budget pressures, and could lead to cuts to Medicaid, education, and other services. After testimony and debate, Representative Monks moved HB 559 to the floor with a due pass recommendation; the motion was debated by several members, with concerns raised about uncertain fiscal impacts and possible service cuts.
KY
Kentucky 2025 Regular Session
Capitol Projects and Bond Oversight Committee (1-22-25)
Transcript Highlights:
- </c><00:05:13.600><c> reported</c> tax levy to pay debt service reported tax levy to pay debt service
- The first three are for the Cabinet for Health and Family Services, Department for Community Based Services
- or that their service doesn't go up 300% on cost.
- or that their service doesn't go up 300% on cost.
- or that their service doesn't go up 300% on cost.
Keywords:
00:13 Call to Order and Roll Call
01:00 Election of Co-Chairs
03:38 Approval of Minutes
04:09 Information Items
05:55 Project Rpt from Finance and Admin Cab
12:13 Lease Rpt from Finance and Admin Cab
17:48 Ky Infrastructure Authority
28:50 Economic Development - EDF Grants
32:50 Ofc of Financial Mgmt
36:30 SFCC Debt Issues
40:50 Adjournment, 958, all
Summary:
The committee first reorganized by electing new co-chairs for the Capital Projects and Bond Oversight Committee: Senator Fanny Fromom? as Senate co-chair and Representative McPherson as House co-chair, both by acclamation. The committee then approved the minutes from the prior meeting and received quarterly capital project status reports from the Administrative Office of the Courts, Finance and Administration Cabinet, and postsecondary institutions. Those reports noted University of Kentucky equipment purchases, several school districts planning general obligation and revenue bond issues, a notification of non-approval for PR 3567, and Kentucky Community and Technical College System asset preservation projects.
Kevin Cardwell of the Finance and Administration Cabinet reported two action items: a $5,100 federal-funded Transportation Cabinet renovation of the Rowan County east and westbound rest areas, and a $1 million federal fund increase for the Capitol City Airport terminal building project, bringing the total federal support to $10 million and reducing the need for restricted funds. The committee also received a no-action report on a $1,363,000 Kentucky State University exterior repairs project funded through the 2024 asset preservation pool. Both action items were approved unanimously after roll call votes.
The committee approved four lease renewals presented by Natalie Bronner for Cabinet for Health and Family Services locations in Bell, Lee, and Clay counties, plus a parking lease for the Department of Corrections in Jefferson County. Members asked about lease pricing and were told renewals must remain at existing terms and conditions. The committee then approved a $57,000 Kentucky WATS emergency grant for Wood Creek Water District to cover part of arrears tied to the City of Livingston; members discussed the city’s audit delinquency, possible regional water/sewer solutions, and concerns about rates and private involvement, but the grant was approved.
Finally, the committee approved a $1 million line-item water grant to the City of Williamsburg with no action required, three Economic Development Fund grants for Bell, Franklin, and Shelby counties totaling $8 million in state support for site acquisition and infrastructure work, and five SFCC-supported school debt issues for Elizabethtown Independent, Erlanger Independent, Boyd County, Henderson County, and Union County. The school projects included middle school, high school, and vocational school renovations or new construction, and members requested a breakdown of the space funded by the debt. All action items were approved, and the meeting adjourned.
AZ
Arizona 2026 Regular Session
03/31/2026 - Senate Appropriations, Transportation and Technology
Transcript Highlights:
- Thank you for your service, and I appreciate what you bring to the legislature.
- , addiction services. ...additional resources for health services, addiction services, and all, so the
- His VA health care and GI Bill were reestablished, and he is now 80% service connected.
- so i also realize though on the other hand that there are ...and human services.
- I hope we can all... ...for Access EPD home and community-based services.
Summary:
The committee heard House Bill 2615, as amended by a strike-everything amendment creating an Independent Oversight Committee on the Department of Child Safety with 15 members, authority to review DCS data and practices, request briefings and audits, conduct site visits, and receive confidential complaints, with a $2.2 million FY 2027 appropriation. The sponsor and several parents and foster/adoptive caregivers testified in support, describing child safety failures and arguing for independent accountability, while some members questioned whether the Ombudsman’s office was the right home for the committee and suggested other oversight structures. The amendment was adopted, but the bill itself failed on a 5-5 vote.
House Bill 2620, which would appropriate $300,000 annually from FY 2027 through FY 2031 to the Arizona Department of Veterans Services for grants to emergency shelters serving veterans, received strong support from the sponsor and shelter advocates who said the funding would help move homeless veterans toward stable housing and connect them with VA services. Members emphasized veterans’ service and the need for trauma-informed case management, and the bill passed with a 10-0 do-pass recommendation. House Bill 2321, requiring DCS to place and later remove a credit freeze for children in care to prevent identity theft, also passed unanimously after the sponsor and members discussed the administrative process and protections for foster youth.
The committee then considered House Bill 2601, directing ADOT to seek federal segmentation for the Interstate 11 project between Casa Grande and Wickenburg so environmental review could proceed separately from litigation affecting the southern portion. Supporters framed the bill as a bipartisan way to keep the project moving, while opponents from environmental groups and several members argued it would encourage sprawl, harm desert habitat, and add cost and delay; the bill passed 6-4. House Bill 2992, a pilot program for child sexual abuse and grooming awareness education in six public schools, drew testimony from a trafficking survivor and others who supported prevention efforts, but some members argued the topic should be handled through broader sex education or parent education; it passed 6-4. Later bills also advanced: HB 2156, appropriating $250,000 to the Livestock Compensation Fund, passed 7-3; HB 2165, exempting certain veterans and National Guard members from state park admission fees, passed 6-4 after amendment narrowing the exemption; HB 2960, creating a veterans specialty court grant program and related data-sharing requirements, passed 8-0; HB 2014, directing studies on gasoline blends and fuel feasibility amid EPA waiver concerns, passed 6-2; and HB 2957, preserving non-Real ID licenses and limiting biometric/data retention with a Kavanaugh amendment, passed 5-4-1.
MN
Minnesota 2025-2026 Regular Session
Committee on Commerce and Consumer Protection - 03/20/25
Commerce and Consumer Protection
Transcript Highlights:
- for traditional landline service but some of traditional landline service but some of the<00:18:38.480
- </c><00:33:09.919><c> is</c> access this essential service is access this essential service is changing
- This includes many elderly services.
- , customer service And finally, customer service requirements.<00:34:45.760><c> We</c><00:34:46.000><
- </c><00:50:03.200><c> charge</c> state's 1% single service charge state's 1% single service charge cap
MN
Minnesota 2025-2026 Regular Session
House Higher Education Finance and Policy Committee 2/18/25
Higher Education Finance and Policy
Transcript Highlights:
- </c><00:09:11.760><c> uh</c> a grant to Lutheran Social Services uh a grant to Lutheran Social Services
- </c><00:09:20.640><c> uh</c> counseling internet Based Services uh counseling internet Based Services
- </c><00:18:06.120><c> career</c> reintegration Services career reintegration Services career exploration
- to low-cost or for low-cost services to low-income clients seeking those services across the state.
- </c><00:32:02.840><c> to</c> attorneys that provide um services to attorneys that provide um services
AZ
Transcript Highlights:
- Author and advocate dedicated to service, faith, and purpose-driven impact.
- And needed services that regular Arizonans need.
- Service and forest firefighting needs.
- Thank you. ...infrastructure needs and expand academic services.
- We are cutting basic needed health and welfare services.
Summary:
The Senate convened with prayer, the Pledge of Allegiance, roll call, and several guest recognitions, including a student honored for a national Mandarin speech contest, a Ms. Black Arizona candidate, and a Madison Elementary School reusable-tray pilot program. The body also recognized interns and approved the prior journal. The chamber then moved through Committee of the Whole calendars and adopted committee reports recommending passage of a series of budget-related bills.
The main legislative business centered on the 2026-27 budget package and related omnibus measures, including appropriations, budget implementation, capital outlay, commerce, criminal justice, environment, health care, higher education, human services, K-12 education, state property, revenue/taxation, and transportation bills. Most of these measures were advanced with do-pass recommendations, with repeated debate focused on the tax omnibus and the overall budget’s policy choices. Supporters argued the package provided affordability, tax relief, conformity with federal tax changes, reduced government spending, and reforms to entitlement and other programs; opponents argued it favored corporations and wealthy taxpayers, cut health care, food assistance, housing, tourism, wildfire response, and education, and would forfeit federal matching funds.
Several members specifically criticized the failure to close the data center tax exemption and to raise sports betting taxes, while supporters defended those provisions as pro-business and pro-growth. There was also discussion of fund sweeps, including university research funds, housing trust funds, and other agency balances, with opponents saying the sweeps targeted encumbered or already-committed money. After debate, the Senate adopted Committee of the Whole reports and advanced the bills, and later took up House bills introduced and placed on third reading, with members explaining their votes on HB 4138, the General Appropriations Act, largely along party lines.
At the end of the session, the Senate processed messages from the House requesting the return of SB 1160 and SB 1786 for reconsideration, and the Senate requested the House return HB 2415 for reconsideration. The chamber also introduced and placed several House budget bills on third reading, including HB 4138 through HB 4153, continuing the budget process.
HI
Transcript Highlights:
- ,</c><00:15:16.079><c> comprehensive</c> preventive services, comprehensive preventive services, comprehensive
- </c> will pay for that service. will pay for that service.
- When I did my uh interviews, I services.
- The most chronic would need our services, the residential services.
- </c> Family Services. Family Services.
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.