Bills: SB6084 , SB6044 , SB5950 , SB6046 , SB5763 , SB6215 , SB6160 , SB6123 , SB6049 , SB6164 , SB6313 , SB5784 , SB5046 , SB5489

Committee: Senate State Government, Tribal Affairs & Elections

Keywords: elections, double voting, voting twice, multiple voting, same-day election, primary election, general election, special election, cross-state voting, ballot fraud, election fraud, voter misconduct, RCW 29A.84.660, State v. Padilla, civil infraction, class C felony, Secretary of State, Washington elections, election law, voter eligibility

Transcript Highlights:

• four-year reauthorization cycle creates funding uncertainty that can impact project development and delivery
• the needed... and critical protection to our taxpayers to ensure that things are not re-put on the ballot

Bills: SB1277 , SB1531 , SB2452 , SB2520 , SB2521 , SB2529 , SB2538 , SB2539 , SB2541 , SB2873

Committee: House Ways & Means

Keywords: municipal sales tax, street maintenance, local option tax, Tax Code Chapter 327, sales and use tax, street repair, sidewalk maintenance, water infrastructure, wastewater system, stormwater system, local election, ballot language, reauthorization, municipal finance, infrastructure funding, Texas municipalities, street and sidewalk tax, special district tax, public works, property tax

Transcript Highlights:

• I'm Senior Vice President and General Counsel at Encore Electric Delivery Company.

Bills: HB 1239 , HB1990 , HB1748 , HB1749 , HB2578 , HB2986 , HB1970 , HB3163 , HB2733 , HB1922 , HB 113 , HB 1088 , HB1938 , HB3004 , HB2637 , HB2960 , HB113

Committee: House Judiciary & Civil Jurisprudence

Keywords: public health, access to healthcare, insurance reforms, medical expenses, healthcare providers, mental health, protective custody, preliminary examination, detention period, emergency circumstances, emergency detention, legal framework, detention, healthcare, liability, landowners, nonagricultural land, trespassing, public safety, interpreters

Transcript Highlights:

• They're not certified interpreters, but they can translate from what the ballot says, and Hindi is very

Bills: HB 1239 , HB1990 , HB1748 , HB1749 , HB2578 , HB2986 , HB1970 , HB3163 , HB2733 , HB1922 , HB 113 , HB 1088 , HB1938 , HB3004 , HB2637 , HB2960 , HB113

Committee: House Judiciary & Civil Jurisprudence

Keywords: public health, access to healthcare, insurance reforms, medical expenses, healthcare providers, mental health, protective custody, preliminary examination, detention period, emergency circumstances, emergency detention, legal framework, detention, healthcare, liability, landowners, nonagricultural land, trespassing, public safety, interpreters

Bills: HB 109 , HB136 , HB694 , HB 1201 , HB1716 , HB2071 , HB2216 , HB2358 , HB2807 , HB2886 , HCR78 , HB109 , HB136

Committee: House Human Services

Keywords: mental health, inpatient psychiatric facility, juvenile treatment, residential treatment facility, emotionally disturbed juveniles, Department of State Health Services, Health and Human Services Commission, state grant, facility construction, facility expansion, facility operations, Waco Center for Youth, education services, school district, Texas Health and Safety Code, youth residential care, behavioral health, state appropriations, Medicaid, lactation

Transcript Highlights:

• Senator, the Secretary will call the conduct of balloting.
• The balloting shows 33 in favor with two absent and excused.
• The balloting shows 33 in favor with two absent and excused. The motion is passed. Mr. President.
• for domestic purposes, to revise the provision regarding the applicability of law related to water delivery

Keywords: 989, all

Transcript Highlights:

• Speaker, I move to suspend the five-day posting rule to permit the Committee on Delivery of Government
• I can't get over the fact that I was number five on the ballot. I was number five on the ballot.
• I was number five on the ballot. OK.
• Were they on the ballot during those races as well? Yes, he was. So you beat him?
• House Bill 766 by Cortez relating to the ballot application.

Bills: HJR34 , HB 113 , HB184 , HB198 , HB247 , HB367 , HB449 , HB1778 , HB514 , HB576 , HB632 , HB1395 , HB2225 , HB2582 , HB2494 , HB766 , HB2715 , HB2712 , HB3069 , HB3505 , HB 1269 , HB4224 , HB3609 , HB5032 , HB2240 , HB5180 , HB3348 , HB4668 , HB4909 , HB4665 , HB4895 , HB3395 , HB3157 , HB4762 , HB4395 , HB4325 , HB4952 , HB4386 , HB4273 , HB2760 , HB2697 , HB2820 , HB1828 , HB1768 , HB1579 , HB1773 , HB1871 , HB2035 , HB2448 , HB2492 , HB1411 , HB4753 , HB4666 , HB4529 , HB1499 , HB1610 , HB2028 , HB1506 , HB886 , HB3546 , HB796 , HB223 , HB1475 , HB3556 , HB4638 , HCR126 , HB38 , HB 104 , SB1008 , SB1106 , SB1172 , SB2629 , SB2964 , SB616 , HB2214 , SB552 , HB3181 , HB3628 , HB589 , HB3529 , HB3354 , HB333 , HB2914 , HB4130 , HB4131 , HB24 , HB 1160 , HB3962 , HB4115 , HB2295 , HB5398 , HB1407 , HB3800 , HB2613 , HJR138 , HB42 , HJR34 , 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 , HB 113 , HB184 , HB198 , HB247 , HB367 , HB449 , HB1778 , HB514 , HB576 , HB632 , HB1395 , HB2225 , HB2582 , HB2494 , HB766 , HB2715 , HB2712 , HB3069 , HB3505 , HB 1269 , HB4224 , HB3609 , HB5032 , HB2240 , HB5180 , HB3348 , HB4668 , HB4909 , HB4665 , HB4895 , HB3395 , HB3157 , HB4762 , HB4395 , HB4325 , HB4952 , HB4386 , HB4273 , HB2760 , HB2697 , HB2820 , HB1828 , HB1768 , HB1579 , HB1773 , HB1871 , HB2035 , HB2448 , HB2492 , HB1411 , HB4753 , HB4666 , HB4529 , HB1499 , HB1610 , HB2028 , HB1506 , HB886 , HB3546 , HB796 , HB223 , HB1475 , HB3556 , HB4638 , HCR98 , HCR92 , HCR126

Keywords: HJR 34, constitutional amendment, Texas Constitution, ad valorem tax, property tax exemption, real property, border counties, U.S.-Mexico border, United Mexican States, border security, border security infrastructure, landowner, county tax base, local government, tax relief, property value increase, infrastructure improvements, voter approval, November 2025 ballot, statutory construction

Transcript Highlights:

• about the experience in the city of Berkeley, this will, I think, ensure better outreach, better delivery
• This way, when California voters cast their ballots, they can be confident their votes will count.
• Supreme Court said that Colorado could not keep Donald Trump off the ballot on the grounds that he had
• because we will have a state law that says you can't appear on the ballot.
• I'm an RN, a retired labor and delivery RN, and I support this bill. Thank you.

Summary: The committee heard and acted on several bills. SB 479 by Senator Arreguín would allow Berkeley, Long Beach, and Pasadena, as local health jurisdictions, to use multidisciplinary homeless response teams and share specified information across departments; supporters said it would improve coordination and services for unsheltered residents, and the bill passed 9-0 to Appropriations. SB 46 by Senator Umberg would direct the Secretary of State to keep constitutionally ineligible presidential candidates off the California ballot, including anyone who has already served two terms; supporters argued it was a constitutional enforcement measure, while Senator Niello questioned whether it was needed, and it passed 6-1 to Appropriations. SB 99 by Senator Blakespear would improve coordination between military and civilian systems by requiring courts and law enforcement to account for military protective orders and notify military authorities of possible violations; the Department of Defense supported it, while the ACLU raised due process concerns, and it passed 6-0 to Appropriations. SB 719 by Senator Cabaldon would extend the sunset on state reporting about high-risk automated decision systems from 2029 to 2032, and it passed 6-0 to Appropriations. SB 300 by Senator Padilla would strengthen California’s new AI chatbot law by requiring operators to prevent minors from being exposed to sexually explicit material; supporters said the existing law was insufficient, while industry groups warned against expanding a brand-new regime before it had been tested, and it passed 9-0 to Appropriations. SB 381 by Senator Wahab would allow adult adoptees, and descendants of adoptees, to obtain original birth certificates and create a nonbinding contact preference form for birth parents; supporters described health, identity, and dignity concerns, while some members raised privacy concerns, and it passed 13-0 to the Senate Health Committee. SB 33 by Senator Cortese would eliminate the sunset on the public works contractor claim-resolution process, with supporters saying it reduces litigation and speeds payment, and it passed 10-0 to Appropriations.

Transcript Highlights:

• While there are names on the ballot paper, the names on the ballot do not cast the ballot.
• This would ban delivery of ballots by third parties, otherwise known as ballot harvesting.
• This would ban delivery of ballots by third parties, otherwise known as ballot harvesting.
• ><c> of</c><00:10:19.760><c> ballots</c><00:10:20.160><c> by</c> This would ban delivery of ballots by
• This would ban delivery of ballots by third<00:10:20.640><c> parties,</c><00:10:21.120><c> otherwise

Committee: Joint Corporations, Elections & Political Subdivisions

Keywords: 916, all

Transcript Highlights:

• It requires nearly 1 million signatures just to get on the ballot.
• This Isn't about ballot integrity; it is about ballot control.
• It takes 80% of the electorate to get a constitutional amendment on the ballot.
• Make no mistake, 1205 is a death knell for our citizen-led ballot initiatives in Florida.
• Citizen-led ballot initiatives in Florida.

Bills: HB 9 , HB 22 , HB 908 , HB 1392

Keywords: property tax, ad valorem tax, tangible personal property, income-producing property, business personal property, tax exemption, local government finance, appraisal district, chief appraiser, rendition statement, property tax relief, small business, commercial property, leased property, related business entity, unified business enterprise, tax situs, Texas Tax Code, local taxing unit, constitutional amendment

Transcript Highlights:

• Speaker, we are already using electronic ballot curing and electronic voting in a few cases in this state
• There was a ballot right there. In that person's name, they were not a U.S. citizen.
• There was a ballot right there. In that person's name, they were not a U.S. citizen.
• House Bill 2230, clerk will read: An act relating to improving the efficient delivery of services to
• An act relating to improving the efficient delivery of services to persons with death. Last line.

Bills: HB1160 , HB1289 , HB1339 , HB1798 , HB1002 , HB1065 , HB1155 , HB1916 , HB2264 , HB1078 , HB1687 , HB1701 , HB1717 , HB1795 , HB1859 , HB2088 , HB2091 , HB2107 , HB2109 , HB2110 , HB2113 , HB2124 , HB2125 , HB2133 , HB2134 , HB2140 , HB2151 , HB2152 , HB2155 , HB2165 , HB2185 , HB2191 , HB2205 , HB2211 , HB2219 , HB2228 , HB2229 , HB2230 , HB2235 , HB2238 , HB2242 , HB2245 , HB2249 , HB2253 , HB2254 , HB2269 , HB2272 , HB2283 , HB2304 , HB2317 , HB2340 , HB2343 , HB2385 , HB2406 , HB2417 , HB2426 , HB2445 , HB2452 , HB2472 , HB2492 , HB2501 , HB2531 , HB2574 , HB2606 , HB2664

Keywords: design review, local government, land use, zoning, project permits, housing density, middle housing, affordable housing, parking minimums, single-family zoning, infill development, growth management, comprehensive plan, permit streamlining, objective development regulations, architectural review, administrative review, transit-oriented development, accessory dwelling units, ADU

Summary: The House considered and passed a series of bills on topics including public employee bargaining communication, condominium and middle-housing development, building code changes for scissor stairs, substance use disorder monitoring for nursing assistants, pet insurance continuity, liquor licensing flexibility, voter registration challenges, concealed pistol license records exemptions, social housing public development authorities, services for people with developmental disabilities, rent increase notices, and unlawful detainer notices. Members repeatedly described the housing bills as efforts to increase supply, improve affordability, and fix prior statutory problems, while the health-related bills were framed as improving patient comfort, provider flexibility, or workforce consistency. Several measures were advanced without amendment, while others were substituted with committee recommendations before final passage. The most debated item was Engrossed Substitute House Bill 1916 on voter registration challenges. Supporters said it would curb mass or frivolous challenges, protect voters, and give election officials clearer standards and more accountability. Opponents argued it would make legitimate voter challenges harder, reduce citizen oversight of voter rolls, and weaken election integrity. Multiple amendments were offered to reduce penalties from felony to gross misdemeanor, allow electronic challenges, remove county-residency limits, and strike sections of the bill; most were rejected, though one amendment removing the same-county requirement was adopted. The bill ultimately passed after a divided vote. Other notable debate included House Bill 2152, which would allow terminally ill patients in hospitals and similar facilities to use medical cannabis; supporters emphasized dignity and comfort at end of life, while one opponent worried about added burdens on rural hospitals. House Bill 2235, concerning Public Records Act exemptions tied to concealed pistol license records and a permit-to-purchase framework, passed with strong support. House Bill 1687 on social housing public development authorities passed after an amendment restored city council involvement in housing cooperation decisions, while House Bill 2249, relating to Washington Technical employees and civil service treatment, passed with a larger number of nays. The House then placed additional bills on second reading and adjourned until the next legislative day.

Transcript Highlights:

• There are 37 active ballot measures, but in no way would all of those ballot measures get to the ballot
• There are 37 active ballot measures, but in no way would all of those ballot measures get to the ballot
• And so let's not make the excuse that it's too many ballot initiatives for the ballot and this kind of
• It's a dangerous ballot referral.
• It's a dangerous ballot referral.

Bills: HB2015 , HB2060 , HB2062 , HB2100 , HB2118 , HB2165 , HB2258 , HB2327 , HB2397 , HB2445 , HB2460 , HB2641 , HB2745 , HB2876 , HB2917 , HB4011 , HB4049 , HB4056 , HB4087 , HCR2013 , HCR2016 , HCR2040 , HCR2044 , HCR2048 , HCR2056

Committee: Senate Government

Keywords: budget procedures, late filing penalty, accounting standards, financial reporting, state appropriations, abortion, educational institutions, health education, state aid, public schools, Buffalo Soldiers, monument, commemoration, Arizona, public funding, Wesley Bolin Plaza, military history, historical memorial, small land subdivision, land use

Bills: HB410 , HR310 , HR314 , HR316 , HR317 , HR321 , HR275 , HR276 , HR279 , HR282 , HR286 , HR289 , HR292 , HR295 , HR302 , HR319 , HR307 , HR273 , SCR59 , SCR61 , SCR62 , SCR68 , SCR69 , SCR70 , SCR54 , SCR55 , SCR64 , SCR75 , HCR32 , HB776 , HB42 , HB119 , HB159 , HB302 , HB1017 , HB1028 , SB217 , SB283 , HB953 , SB208 , HR74 , HB998 , HB901 , HR20 , HCR65 , HCR71 , HCR98 , HB284 , HB306 , HB341 , HB366 , HB393 , HB458 , HB577 , HB603 , HB605 , HB614 , HB625 , HB646 , HB733 , HB752 , HB773 , HB798 , HB911 , HB955 , HB996 , HB1035 , HB1069 , HB1113 , HB1140 , HB1180 , HB1191 , HB1240 , HB1255 , SB82 , SB89 , SB97 , SB123 , SB237 , HB36 , HB74 , HB75 , HB258 , HB259 , HB414 , HB459 , HB784 , HB848 , HB956 , HB1095 , HB1220 , HB1252 , SB469 , SB479

Keywords: recording, privacy, notification, direct conversation, law enforcement, first responder, penalties, oil and gas, orphan wells, inactive wells, shut-in wells, marginal wells, plugging and abandonment, well decommissioning, site remediation, site restoration, Oilfield Site Restoration, OSR program, financial security, bonding

Summary: The House convened with a quorum, opened with prayer, the pledge, and a national anthem performance, then moved through several personal privileges and recognitions. Members welcomed a student cancer survivor and entrepreneur, Bella of Brave Bella Bead Company, and also recognized a new legislative assistant, a page leaving for college, and a resolution honoring National Mississippi River Day. The chamber also received conference committee reports and enrollment reports, and returned some previously failed measures to the calendar, including H.R. 119 and H.B. 410. The main floor action centered on a series of Senate concurrent resolutions, most of which were adopted overwhelmingly. These included SCR 59 on re-evaluating flood maps and insurance rates tied to the Comite River Diversion Canal, SCR 61 urging higher reimbursement for behavioral health crisis centers, SCR 62 calling for review of school-zone safety and speed limits, SCR 68 creating a blockchain and digital innovation task force, SCR 69 encouraging continued research to reduce sugarcane burning, SCR 70 supporting the Major Richard Star Act for medically retired combat-wounded veterans, SCR 54 supporting the Mississippi River Basin Fishery Commission Act, SCR 55 designating the Peggy Martin Rose as the official state rose, SCR 64 creating a construction manager-at-risk task force, SCR 75 studying a Louisiana maneuvers museum and trail, and SCR 80 creating a task force on the minimum foundation program and long-term teacher pay funding. Most passed with little or no opposition, with SCR 84 on earthquake seismic activity in several parishes amended to adjust task force membership before final adoption. The House also heard a personal privilege statement honoring the late Ponder P.C. Clinton Jr., a noted Black farmer, cattleman, and community leader in Shreveport’s Cedar Grove neighborhood, and expressed condolences to his family. Later, members received a hurricane-season reminder from Rep. Jay Galle about disaster response procedures and the need to work through parish emergency offices. The transcript ends as the House moves into additional concurrent resolutions returned from the Senate with amendments.

Bills: HB410 , HR310 , HR314 , HR316 , HR317 , HR321 , HR275 , HR276 , HR279 , HR282 , HR286 , HR289 , HR292 , HR295 , HR302 , HR319 , HR307 , HR273 , SCR59 , SCR61 , SCR62 , SCR68 , SCR69 , SCR70 , SCR54 , SCR55 , SCR64 , SCR75 , HCR32 , HB776 , HB42 , HB119 , HB159 , HB302 , HB1017 , HB1028 , SB217 , SB283 , HB953 , SB208 , HR74 , HB998 , HB901 , HR20 , HCR65 , HCR71 , HCR98 , HB284 , HB306 , HB341 , HB366 , HB393 , HB458 , HB577 , HB603 , HB605 , HB614 , HB625 , HB646 , HB733 , HB752 , HB773 , HB798 , HB911 , HB955 , HB996 , HB1035 , HB1069 , HB1113 , HB1140 , HB1180 , HB1191 , HB1240 , HB1255 , SB82 , SB89 , SB97 , SB123 , SB237 , HB36 , HB74 , HB75 , HB258 , HB259 , HB414 , HB459 , HB784 , HB848 , HB956 , HB1095 , HB1220 , HB1252 , SB469 , SB479

Keywords: recording, privacy, notification, direct conversation, law enforcement, first responder, penalties, oil and gas, orphan wells, inactive wells, shut-in wells, marginal wells, plugging and abandonment, well decommissioning, site remediation, site restoration, Oilfield Site Restoration, OSR program, financial security, bonding

Transcript Highlights:

• I said no delivery statements.
• Furthermore, such notice may be given by delivery personnel or such notice if intended for the state.
• Furthermore, such notice may be given by delivery personnel or such notice if intended for the state.
• I hope you'll join me with this, supporting this question, get it to the ballot in November, and we'll
• But I'm moving it straight to the ballot because I want it to be independent of all of it.

Committee: House House Government Committee of Reference

Summary: The committee first heard HB 2825, which would replace criminal enforcement for unpaid court fines, fees, restitution, and incarceration costs with a civil collection framework and end arrest warrants and contempt proceedings for nonpayment. Representative Chris Lopez said the bill would let people keep working and repay debts through wage garnishment and other civil tools, while a Justice Action Network representative testified in support. The committee adopted the Blackman amendment limiting challenges to a second default judgment entered within one year of a prior one, then passed HB 2825 with a 7-0 due pass recommendation. The committee then took up HB 2070, an emergency appropriation of $25 million for Gila County flood relief. Gila County supervisors, mayors from Globe and Miami, the county emergency manager, and public works staff described severe flooding, deaths, major debris and sediment removal, damaged roads and utilities, and the county’s inability to meet matching-fund requirements for federal or state grants. Members discussed FEMA denials, federal review, and the need to act before monsoon season. HB 2070 passed unanimously with a due pass recommendation. Next, HB 2129, which moves the deadline for municipal library trustees’ annual report from the first Monday in July to the second Monday, was supported by the Arizona Library Association as a simple timing fix for smaller and rural libraries. It passed 6-1. HB 2439, exempting public and semi-public cold plunges from ADEQ water pollution rules, was presented as a way to reduce regulatory confusion and costs for small businesses; it also passed 6-0 with one member absent. The committee then approved HB 2773, barring Arizona and its entities from assisting the International Criminal Court, after debate over sovereignty and constitutional authority, by a 4-3 vote.

Transcript Highlights:

• Speaker Montenegro, this extends the applicability of a statute that already regulates statewide ballot
• So residents knew who is pushing these things at the ballot. I'm happy to answer any questions.
• HCR 2051 was the ballot measure, the circulator...
• Arizonans, you know, when we were founded as a state, as Representative Calden explained, care about ballot
• biggest things that will this will do with help will help speed up efforts regarding provisional ballots

Bills: HB2775 , HB2874 , HB2940 , HB4014 , HB4067 , HB4115 , HCM2010 , HCR2051

Committee: House Federalism, Military Affairs & Elections

Keywords: international organizations, government resources, public institutions, Arizona Board of Regents, foreign adversaries, campaign finance, contributions, termination statements, reporting, penalties, electoral processes, healthcare, public benefits, eligibility verification, fraud prevention, Medicaid, SNAP, transparency, accountability, state land

Transcript Highlights:

• in here to clarify ballot language?
• </c><01:16:33.679><c> initiative</c> about clarity in the ballot initiative about clarity in the ballot
• ,</c><01:17:25.040><c> then</c> proposition through the ballot, then proposition through the ballot,
• </c> in here to provide clarity to ballot in here to provide clarity to ballot language.<01:19:13.360
• /c> bills in here to clarify ballot bills in here to clarify ballot language.<01:19:39.280><c> So</c>

Keywords: 981, all

Transcript Highlights:

• One lady was pregnant and had agreed to take the vaccine after delivery.

Bills: HB414 , HB786 , HB1041 , HB1052 , HB1118 , HB1139 , HB1182 , HB1185 , HB1214 , HB1217 , HB1231 , SR63 , SCR27 , SB5 , SB194 , SB415 , SB433 , SB451 , SB462 , SB516

Committee: House Health and Welfare

Keywords: healthcare, criminal convictions, employment, background checks, prohibited offenses, Medicaid, claim payments, extrapolation, provider audits, medical freedom, discrimination, access, medical intervention, child protection, confidentiality, multidisciplinary teams, child advocacy centers, public records, investigations, hospital

Transcript Highlights:

• Originally, when we put this on the ballot before 2020, actually it was one of my first times voting
• a couple of weeks ago I was at an event and I was actually trying to get signatures to get on the ballot

Bills: SB1206 , SB1254 , SB1290 , SB1421 , SB1432 , SB1515 , SB1563 , SB1641 , SB1649 , SB1670 , SB1671 , SB1747

Committee: House Commerce

Keywords: storm damage, catastrophic storm, hail damage, wind damage, roof repair, roof replacement, post-storm repairs, insurance claim, property and casualty insurance, adjuster, public adjuster, contractor licensing, homeowner protections, deductible waiver, insurance fraud prevention, storm chaser, residential construction contract, workers' compensation, joint check, claim solicitation

Transcript Highlights:

• strategies with JABSOM and others to ensure that there is appropriate access in the health care delivery

Bills: HB1626 , HB1643 , HB1668 , HB1550 , HB1974 , HB1858 , HB1871 , HB1966 , HB1972 , HB1973

Committee: House Health

Keywords: youth penalties, juvenile justice, community service, fees and fines, Native Hawaiian, Pacific Islander, reform, court costs, cultural connection, pharmacy, pharmacist, pharmacy audit, audit reform, pharmacy benefit manager, PBM, recoupment, extrapolation, claims audit, pharmacy reimbursement, dispensing fee

Summary: The committee heard testimony on SB 847, which would create a Kauai pilot program allowing qualified psychologists limited authority to prescribe psychotropic medications. The Board of Psychology supported the bill’s intent but asked for amendments to delay the effective date or extend the pilot so rules could be written first, and to clarify the education/training language. Supporters, including the Hawaii Psychological Association, Hawaii Mental Health Coalition, and several psychologists, argued that prescribing psychologists have long safety records in other jurisdictions and that the pilot could improve access to care on Kauai, especially amid ongoing mental health needs and storm-related stress. They cited studies and examples from New Mexico, Louisiana, the Department of Defense, and other places. Opponents, including the Hawaii Medical Association, American Academy of Pediatrics, Queen’s Medical Center, and a Department of Health representative, said the bill needed substantial work, raised concerns about training, liability, and workforce impacts, and urged a team-based model with psychiatrist oversight rather than independent prescribing. Some testimony also referenced a GAO report, with witnesses disagreeing over its meaning and cost-effectiveness. No vote was taken during the discussion, and members asked questions about how the bill would address the workforce shortage and whether a psychiatrist on Kauai could already meet the need. The committee then moved to SB 2271 on hospital licensing and SB 2272 on home health care licensing. The Department of Health, the Healthcare Association of Hawaii, and the Hawaii State Council on Developmental Disabilities supported both measures, which were described as streamlining and clarifying licensing oversight by relying on accreditation or certification reports. A member asked whether the bill language on hospital accreditation reports was duplicative, and the response was that the second provision was intended to strengthen enforcement by requiring hospitals to provide the actual report to DOH. The committee did not take final action in the portion of the hearing provided, and the chair noted that all bills on the agenda would later be considered for decision-making.