Transcript Highlights:

• With the consent of the House, the Health Care and Wellness Committee amendments will be adopted.
• This bill helps to address a critical shortage in our state of primary care physicians.
• I think this does go a long way to help address the shortages in primary care.
• I think this does go a long way to help address the shortages in primary care.
• Twenty years should more than take care of that time.

Bills: HB2720, HB2073, SB5467, SB5820, SCR8406, HB2487, SB5816, SB5919, SB5995, SB6278, SB5831, SB5915, SB5963, SB6025, SB6046, SB6084, SB6134, SB6136, SB6137, SB6188, SB6291, HB2689, SB5922, SB5944, SB5957, SB5988, SB5994, SB6011, SB6065, SB6103, SB6151, SB6244

Keywords: behavioral health, emergency services, health insurance, provider access, mental health funding, premium assistance, funding, healthcare, subsidies, SB 5467, water-sewer district, water sewer district, surplus property, public property sale, local government, RCW 57, real property disposal, personal property, notice of intent to sell, public auction

Transcript Highlights:

• school system, once we have safe, clean streets, once we have solid infrastructure, once our health care
• we're doing is layering more and more and more regulations on them for things that people can take care
• We have to be very careful when we co-opt military assets here at the state level, and this is a little
• With the consent of the House, the Health Care and Wellness Committee amendments will be adopted.
• As a health care provider, this is very, very clear.

Bills: HB2720, HB2073, SB5467, SB5820, SCR8406, HB2487, SB5816, SB5919, SB5995, SB6278, SB5831, SB5915, SB5963, SB6025, SB6046, SB6084, SB6134, SB6136, SB6137, SB6188, SB6291, HB2689, SB5922, SB5944, SB5957, SB5988, SB5994, SB6011, SB6065, SB6103, SB6151, SB6244

Keywords: behavioral health, emergency services, health insurance, provider access, mental health funding, premium assistance, funding, healthcare, subsidies, SB 5467, water-sewer district, water sewer district, surplus property, public property sale, local government, RCW 57, real property disposal, personal property, notice of intent to sell, public auction

Summary: The House received several messages from the Senate announcing passage of engrossed or substitute versions of House Bill 2294, House Bill 2472, Senate Bill 606, Senate Bill 6335, engrossed substitute Senate Bill 6266, and engrossed substitute House Bill 3. The chamber then moved through second and third reading on a series of measures, often suspending the rules to advance bills to final passage. A major floor debate centered on Senate Concurrent Resolution 8406, which would reestablish the Joint Select Committee on Civic Health and expand its membership. Amendment 2131, offered to keep the committee at its current size rather than expanding it, was rejected after debate over fiscal restraint, committee scope, and whether the body functioned like a “proxy legislature.” The resolution then passed 83-10. The House also passed engrossed substitute Senate Bill 6200 on portable cooling devices for renters and mobile home occupants, Senate Bill 6084 on clarifying the prohibition on voting in more than one election, second engrossed substitute Senate Bill 5105 on sexually explicit depictions involving minors, and Senate Bill 6046 authorizing the Civil Air Patrol to be used by the governor in emergencies; each drew debate over policy scope, enforcement, and state-federal authority, but all ultimately passed. The House next passed substitute Senate Bill 6054, limiting HOA and common-interest community restrictions that conflict with wildfire-hardening measures; substitute Senate Bill 6091, requiring greater transparency in real estate broker practices; Senate Bill 6291, giving more time to train and certify on-site wastewater inspectors; substitute Senate Bill 6081, creating a Public Records Act exemption for sex designation information to protect transgender people from doxxing and harassment; Senate Bill 5963, automatically enrolling certain vulnerable students in the Washington College Grant; and substitute Senate Bill 6226, addressing audiology scope-of-practice and telemedicine concerns. Most of these bills passed with broad bipartisan support, though some drew dissent over added regulation, privacy, or scope-of-practice issues. The final portion of the transcript focused on Senate Bill 6106, which the Speaker ruled had an out-of-scope amendment related to agricultural seasonal workers; the bill itself passed 75-18 after debate over layoff notices and tribal sovereignty. Substitute Senate Bill 6014, dealing with pregnancy accommodations and related public records issues, saw a failed amendment to replace gender-neutral language with “pregnant woman” and then passed 68-25. The House also debated Senate Bill 5820, with multiple amendments concerning freight rail, greenhouse gas calculations, county planning, property rights, and rail safety; the excerpt ends amid that amendment debate before final action on the bill is shown.

Bills: HB2720, HB2073, SB5467, SB5820, SCR8406, HB2487, SB5816, SB5919, SB5995, SB6278, SB5831, SB5915, SB5963, SB6025, SB6046, SB6084, SB6134, SB6136, SB6137, SB6188, SB6291, HB2689, SB5922, SB5944, SB5957, SB5988, SB5994, SB6011, SB6065, SB6103, SB6151, SB6244

Keywords: behavioral health, emergency services, health insurance, provider access, mental health funding, premium assistance, funding, healthcare, subsidies, SB 5467, water-sewer district, water sewer district, surplus property, public property sale, local government, RCW 57, real property disposal, personal property, notice of intent to sell, public auction

Transcript Highlights:

• (CBC) model of foster care.
• As we continue to look at child care, child care quality, and the hurdles by which we've seen those spots
• Is the birth parent going to care?
• Who is caring for the child?
• : emergency care intervention, necessary care, outpatient mental health care, or outpatient substance

Bills: HB163, HB216, HB721, HB2035, HB2038, HB3057, HB3153, HB3233, HB3595, HB3801, HB3812, HB4076, HB4129, HB4377, HB4535, HB4666, HB4730, HB4743, HB4903, HB5149, HB5155, HB1534, HB163, HB216

Keywords: epinephrine, healthcare, emergency response, administration, medical policy, health care, itemized billing, patient rights, provider regulations, Texas Health and Safety Code, cost disclosure, insurance, benefit plan, administrators, chemical dependency, treatment facilities, minor admissions, parental notice, mental health, medical licensing

Transcript Highlights:

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

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

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

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

Transcript Highlights:

• Some may be the- The sheriff takes care of that in the county.
• Without intervention, these gaps will limit access to care for the community.
• Care and strain local health care systems.
• It is not our intent to take away from the indigent care in our community.
• He is now the house. house manager at the very home, caring for disabled veterans.

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

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

Transcript Highlights:

• and whereas in the aftermath of the Oklahoma City bombing, Doctor Craig selflessly provided nightly care
• we not only remember; we recommit ourselves to that standard to live with the greater kindness to care
• Senator Paxton, would you care to close debate? He weighs clerk, please open the roll.
• Senator Green, would you care to close debate? Thank you, Mr. President.
• And so we have to be very careful in the ways in which we implement this specific policy.

Bills: HB1675, HB3242, HB1739, HB3320, HB3047, HB4434, HJR1089, HB4432, HB3718, HB3705, SR43, HB1933, HB4248, SB1847, SB1778, HJR1086, HB3001, HB3002, HB3003, HB3004, HB3005, HB3007, HB3008, HB1590, HB1242, HB3818, HB4305, HB1979, HB1225, HB3931, HB4454, HB3849, HB1746, HB3720, HB4275, HB4300, HB3586, HB2268, HB3755, HB4117, HB4294, HB3650, HB4298, HB3270, HB3145, HB3056

Keywords: emergency management, severe weather, youth camp, summer camp, overnight camp, day camp, outdoor education, adventure camp, wilderness program, campground safety, tornado preparedness, flooding, flash flood, high winds, hail, lightning, extreme heat, extreme cold, wildfire smoke, evacuation plan

Transcript Highlights:

• Craig selflessly provided nightly care to first responders and recovery personnel, exemplifying extraordinary
• .. ...not only remember, we recommit ourselves to that standard, to live with greater kindness, to care
• Senator Paxton, would you care to close debate? He waves. Clerk, please open the roll.
• Senator Green, would you care to close debate? Thank you, Mr. President.
• And so we have to be very careful in the ways in which we implement this specific policy.

Bills: HB1675, HB3242, HB1739, HB3320, HB3047, HB4434, HJR1089, HB4432, HB3718, HB3705, SR43, HB1933, HB4248, SB1847, SB1778, HJR1086, HB3001, HB3002, HB3003, HB3004, HB3005, HB3007, HB3008, HB1590, HB1242, HB3818, HB4305, HB1979, HB1225, HB3931, HB4454, HB3849, HB1746, HB3720, HB4275, HB4300, HB3586, HB2268, HB3755, HB4117, HB4294, HB3650, HB4298, HB3270, HB3145, HB3056

Keywords: emergency management, severe weather, youth camp, summer camp, overnight camp, day camp, outdoor education, adventure camp, wilderness program, campground safety, tornado preparedness, flooding, flash flood, high winds, hail, lightning, extreme heat, extreme cold, wildfire smoke, evacuation plan

Summary: The Senate convened with a quorum, opened with prayer and pledges, and recognized several visiting groups and honorees, including students from Wesleyan Christian School, Claremore Day participants, and a tribute to Dr. J. Craig for his Marine Corps service, chiropractic career, and aid to first responders after the Oklahoma City bombing. The chamber also welcomed a Cricket Oak High School AFJROTC unit and the Lincoln Christian wrestling team, both recognized for recent achievements. The Senate then adopted Senate Resolution 43 commemorating the 31st anniversary of the Oklahoma City bombing and honoring victims, survivors, and first responders. The Senate took up House Bill 1933, first rescinding prior action and then adopting a floor amendment to correct a drafting error and shift a penalty provision; the bill then passed 47-0. House Bill 4248, which would require purchasers of hemp beverages to be 21 and treat them similarly to beer for age purposes, passed 45-0 after brief discussion about whether it had medical implications. The Senate also adopted House amendments to Senate Bill 1847, described as a compassion bill that would have saved the state money, and passed it 35-11 before later approving it as an emergency measure with 43 ayes. The chamber next adopted House amendments to Senate Bill 1778, a major literacy bill adding early intervention, teacher training, and optional early ELA testing for second graders, along with good-cause exemptions; it passed 43-2 and then as an emergency measure. The Senate also passed House Joint Resolution 1086, approving rules from several agencies, by 42-4. Finally, the Senate advanced and passed a series of sunset-extension bills for boards and councils, including the Child Death Review Board, county government training commission, Board of Chiropractic Examiners, Board of Examiners in Optometry, Oklahoma Climatological Survey, several environmental advisory councils, and the Board of Tests for Alcohol and Drug Influence, with most later receiving emergency passage. The Senate concluded with announcements of upcoming committee meetings and adjourned until April 25, 2026 at 1:30 p.m.

Transcript Highlights:

• This is a request bill from the Oklahoma Hospice and Palliative Care Association.
• Member of Senate Bill 1983 directs the Department of Human Services to provide foster care data to resource
• We'll take care of business in room 230. Senator Rader, you're recognized for an announcement.

Bills: SB1323, SB1863, SB1932, SB1950, SB1956, SB1970, SB1599, SB1312, SB1776, SB1858, SB1985, SB1302, SB1809, SB1401, SB2053, SB1503, SB1553, SB1427, SB1642, SB1421, SB1837, SB1566, SB1567, SB1794, SB1484, SB1557, SB1564, SB1591, SB1395, SB1456, SB1562, SB1613, SB1983, SB1550, SB2065, SB2152, SB2159, SB2172, SB2110, SB2111, SB2114

Keywords: memorial designation, highway, Sheriff Marty Grisham, transportation, Oklahoma Statutes, memorial highway, road designation, John Skelley, motor carrier, administrative hearing, legal representation, corporate liability, aviation, aircraft, surveillance, regulations, fees, Oklahoma statutes, memorial, highway designation

Transcript Highlights:

• She has served in the Saint Francis Health Care System as an ICU registered nurse, community volunteer
• board member, and advocates for patients, nurses, and equitable access to high-quality rural health care
• This is a request bill from the Oklahoma Hospice and Palliative Care Association.
• Members, Senate Bill 1983 directs the Department of Human Services to provide foster care data to resource
• We'll take care of business in Room 230. Senator Raider, you're recognized for an announcement.

Bills: SB1323, SB1863, SB1932, SB1950, SB1956, SB1970, SB1599, SB1312, SB1776, SB1858, SB1985, SB1302, SB1809, SB1401, SB2053, SB1503, SB1553, SB1427, SB1642, SB1421, SB1837, SB1566, SB1567, SB1794, SB1484, SB1557, SB1564, SB1591, SB1395, SB1456, SB1562, SB1613, SB1983, SB1550, SB2065, SB2152, SB2159, SB2172, SB2110, SB2111, SB2114

Keywords: memorial designation, highway, Sheriff Marty Grisham, transportation, Oklahoma Statutes, memorial highway, road designation, John Skelley, motor carrier, administrative hearing, legal representation, corporate liability, aviation, aircraft, surveillance, regulations, fees, Oklahoma statutes, memorial, highway designation

Summary: The Senate convened with a quorum, opened with prayer and pledges, and recognized several guests and Senate family members, including the psychologist and nurse of the day. Members then moved to the agenda, laying over items 1 and 4 before taking up several bills. Senate Bill 1395, a recommendation from the Incentive Evaluation Commission, would eliminate the tax credit portion of the investment and new jobs tax credit incentive and limit carry-forward of the investment portion to seven years; it passed 48-0. Senate Bill 1456, as amended, extended the sunset of the Board of Tests for Alcohol and Drug Influence, with the amendment changing the sunset date to 2031; it passed 48-0 and was also approved as an emergency measure. Senate Bill 1562, requested by the Oklahoma Hospice and Palliative Care Association, was described as protecting terminally ill patients and families from aggressive hospice marketing practices; it passed 48-0. Senate Bill 1613, requested by the Oklahoma Liquefied Gas Association, was revised to remove language the governor had previously objected to regarding vehicle ownership and leasing outside OMES; it passed 48-0. Senate Bill 1983 directed the Department of Human Services to provide de-identified foster care data to resource family partners, including information on children without placement, demographic and geographic trends, areas of high need and low availability, placement disruptions, sibling separations, and distance from original homes. After a question from Senator Deevers about the scope of the data, the bill advanced and passed 48-0. The Senate then heard announcements about committee meeting times and adopted a motion to adjourn until Tuesday, February 17, 2026, at 1:30 p.m.

Transcript Highlights:

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

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

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

Transcript Highlights:

• People that steal these materials don't really care about the collateral damage that occurs when they're
• You think about health care workers. In particular, larceny itself, right? Larceny of livestock.

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

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

Summary: The committee first heard SB 264, which would create state criminal and civil penalties for election interference, including stationing armed personnel at polling places or drop boxes, changing voter qualifications or election procedures contrary to state law, and obstructing or intimidating voters, poll workers, or election administrators. The sponsor and Secretary of State staff said the bill was a response to concerns about possible federal interference in New Mexico elections and was modeled largely on existing federal law, while also adding emergency-related provisions for counties affected by disasters. Support came from Common Cause, the League of Women Voters, and the Center for Public Policy; there was no opposition testimony. After questions about enforcement, federal conflict, and the role of local law enforcement, the committee passed SB 264 on a due-pass motion. The committee then took up SB 261, a related bill revising firearm restrictions at polling places. The sponsor said the bill would remove most exemptions that had allowed firearms in or around polling locations, while preserving limited exceptions for election administrators to request law enforcement assistance and for certain rural or co-located law enforcement offices. Supporters, including the League of Women Voters, Common Cause, and the Center for Public Policy, argued that firearms at polls can intimidate voters and poll workers and that the bill would create clearer, safer rules. Opponents, including representatives of a rifle and pistol club, a county sheriff’s office, and the New Mexico Business Coalition, argued that concealed carry holders and officers should not be treated as threats, that the bill could create confusion or criminalize lawful conduct, and that law enforcement needs to remain armed to respond to emergencies and protect polling sites. Committee members debated constitutional tailoring, rural enforcement issues, and how the bill would interact with the earlier election-interference bill. The committee ultimately passed the Judiciary Committee substitute for SB 261 on a due-pass vote. Finally, the committee heard SB 221, which would add a new crime and racketeering predicate for theft and misappropriation of petroleum products and oil and gas equipment. The sponsor, the Attorney General’s office, and industry and law enforcement witnesses said oilfield theft has become more organized and dangerous, causing environmental damage, safety hazards, lost production, and revenue losses, and that existing laws are not sufficient to address the conduct. An opponent questioned whether the conduct was already illegal and argued that the bill singled out one industry and could overcriminalize conduct already covered by other laws and regulations. After discussion about proportionality and whether the bill was necessary, the committee voted on the Judiciary Committee substitute and the motion failed on a tie vote, so SB 221 did not advance.

Transcript Highlights:

• ...or reproductive health care.
• care and for the providers who make that care possible.
• So one, we're talking about not releasing an individual's health care information that the health care
• health care clinics.
• Medically unnecessary state surveillance of abortion care communicates that abortion care is somehow

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

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

Summary: The committee first took up House Bill 195, which would protect the personal assets of certain health care providers from collection in medical malpractice judgments. Supporters said the bill would help recruit and retain physicians, especially in high-liability fields like obstetrics, while opponents argued broader malpractice reform should focus on insurance and legal representation. Members discussed whether the bill’s definition of “independent provider” matched existing law, and the committee adopted a friendly amendment to add osteopathic physician. HB 195 then passed on a 9-0 vote. The committee then heard House Bill 279, a health care privacy and safety measure for reproductive and gender-affirming care. The sponsor said it would strengthen protections for sensitive health information, limit geofencing around clinics, allow providers to keep personal addresses confidential, and remove provider names from medication abortion packaging. Supporters framed it as a privacy and safety bill; opponents said it would weaken parental access, create confusion for emergency physicians, and shield abortion access. After extensive questions about HIPAA, emergency care, and data collection, the bill passed 6-3. Senate Bill 30, which would repeal the requirement that induced abortions be reported to the state registrar, drew similar testimony. The sponsor and supporters argued the reporting requirement is outdated, medically unnecessary, and exposes providers to surveillance and possible out-of-state targeting; opponents said the data supports transparency and public health oversight. Members questioned what data would be lost and how the state currently uses the reports. SB 30 passed 6-3. The committee also heard House Bill 234 on fentanyl definitions, with law enforcement and business groups supporting clearer criminal penalties; members and the sponsor worked through possible amendment language to better align the bill with existing controlled-substance definitions, and the discussion was continued for a revised draft. Finally, House Bill 292, the New Mexico Prison Rape Elimination Act, received broad support from advocacy groups and passed the committee substitute 7-0.

Transcript Highlights:

• care.
• “Make sure that when a patient is receiving care, that they know who’s caring for them.
• The amendment replaces current memory care provisions in the bill and creates a new memory care services
• An ALF must obtain a memory care services license if the ALF serves one or more memory care residents
• We like that it defines memory care resident and memory care services.

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

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

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

Transcript Highlights:

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

Bills: HCR67, HCR102, HR61, HR94

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

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

Transcript Highlights:

• </c> to take care of the uh enforcement. to take care of the uh enforcement.
• Yes. that we care get plenty pet lovers Yes. that we care deeply<00:35:45.359><c> for</c><00:35:45.560
• We're going out there, uh we don't care.
• Careful. Careful. Careful. &gt;&gt; No.<01:04:09.680><c> Senator</c><01:04:09.960><c> Richards.
• </c><01:26:06.280><c> So,</c> that they need to take care of. So, that they need to take care of.

Bills: HB1736, HB1620, HB1695

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

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

Transcript Highlights:

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Bills: SF0122, SJ0006, SF0121, SF0106

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

Bills: SF0122, SJ0006, SF0121, SF0106

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

Transcript Highlights:

• . >> Uh, this is a bill working with our Department of Finance, striving to take better care of those
• Department of Finance, striving to take better care of those that are required to have public official
• So this would allow us to get a reimbursement rate, and then the most expensive cost to care is taking
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• </c> and then the most expensive cost to care and then the most expensive cost to care is<00:24:41.679

Bills: SB294, HB296, HB300, SB269

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

Transcript Highlights:

• Health Care Authority, come on up.
• A true system of care coordinates across different programs and areas of the care continuum.
• A true system of care coordinates across different programs and areas of the care continuum, offers help
• But as a parent, we struggle for those dental care, and I would not want my daughter to have dental care
• dental clinics for their care.

Bills: HB2429, HB2171, HB2314, HB2364, HB2415

Keywords: behavioral health, youth support, mental health services, children's health, support services, foster youth, child welfare, education, mental health, dental care, habilitation centers, residential services, healthcare access, patient rights, poverty, task force, legislative, executive, social programs, fatalities

Summary: The committee began with a work session on the Children and Youth Behavioral Health Work Group and the Washington Thriving Strategic Plan. Tisha Kirshbaum of the Health Care Authority described the work group’s recommendations, including making Washington Thriving a state initiative, restoring and funding behavioral health access points, strengthening school behavioral health guidance, supporting 988 operations, and improving coordination across agencies. Members asked about fragmentation among the seven agencies involved, duplication of effort, and examples of upstream prevention; Kirshbaum and Rep. Lisa Callan emphasized a system-of-care model, early intervention, community health workers, school-based services, and better coordination rather than adding more layers. The committee then heard House Bill 2429, which would direct the governor and state agencies to align with the strategic plan, create an executive coordination officer and leadership council, extend the work group, and require alignment by state, tribal, local, and nonprofit partners. Testimony was overwhelmingly supportive from the governor’s office, parents, youth, providers, hospitals, and advocacy groups, though one witness opposed the bill on government-overreach grounds and another urged adding youth mentoring representation. No vote was taken. The committee next heard House Bill 2364, which renames and expands the Legislative Executive Work First Poverty Reduction Oversight Task Force into the Economic Justice and Well-Being Task Force, adds state agencies to the voting membership, and aligns the body with the state’s 10-year plan to dismantle poverty. Rep. Mia Gregerson and DSHS testified that the bill updates the statute to match the evolved poverty-reduction alliance and has no fiscal impact. Support testimony from the Statewide Poverty Action Network emphasized bipartisan collaboration and the need for the law to reflect current work. No action was taken. Finally, the committee heard House Bill 2171 on supporting foster youth. The bill would create an endangered foster youth alert system, require county rapid-response protocols, establish a foster youth empowerment account, create an oversight board, and expand training for foster parents and workers. The prime sponsor, Rep. Mike Steele, was represented by Rep. Brian Burnett, who described the bill as a response to a survivor’s experience of going missing from foster care. DCYF supported the intent but raised legal and cost concerns, noting it already has missing-from-care locators and coordination procedures. Child welfare advocates and the Mockingbird Society supported stronger protections but warned that public alerts could increase risk or trauma for some youth and urged guardrails. The hearing then moved to House Bill 2314 on dental care services at residential habilitation centers, with staff explaining a pilot allowing certain community-based developmental disabilities clients to access RHC dental clinics. Rep. Josh Penner said the bill would use existing, underused state dental capacity for people who cannot access community dentistry, while disability advocates argued it would pull people back into institutional settings and that community-based dental capacity should be strengthened instead. The hearing continued with testimony and no final vote reported.