Transcript Highlights:

• claims and provider and member data to support program operations, decision-making, and oversight; program
• The program remains intact. It preserves AIA. The program remains intact.
• They have HCBS programs which allow Medicaid-funded long-term care programs for SMI, and I'm happy to
• Colorado and Iowa have HCBS programs which allow Medicaid-funded long-term care programs for SMI, and
• Waivers are needed for these capped programs, pilot programs, but that does mean that this year's bill

Bills: SB1086, SB1193, SB1318, SB1345, SB1346, SB1451, SB1496, SB1611, SB1630, SB1631, SB1632, SB1672

Keywords: reimbursement, healthcare, laboratory services, noncontracting providers, Arizona health care cost containment, personal identifying information, PII, privacy, confidential records, public records exemption, commercial disclosure, data privacy, licensure, certification, health professions, health care licensing, Arizona Department of Health Services, ADHS, emergency medical care technician, EMCT

Transcript Highlights:

• Some education requirements.
• So we're really talking about educating older adults, if you're able to educate older adults, about very
• I have a PhD in education.
• So as an educator, I recognize that we need education, but we're losing lives. To give that.
• So as an educator, I recognize that we need education, but we're losing lives because, not because the

Bills: HB946, HB1093, SB26, SB29, SB30, SB195, SB219, SB222, SB255, SB314, SCR2, SCR22

Keywords: healthcare transparency, hospital pricing, consumer protection, collection actions, fines, naturopathic medicine, Louisiana Board of Naturopathic Medicine, licensing, healthcare, prescriptive authority, natural therapies, opioid treatment, regulation, addiction recovery, state law, SB 29, Act 732, coroner, autopsy, child death

Summary: The committee first heard and favorably reported SB 255, which expands the educational qualifications for psychosocial rehabilitation services to include health sciences and therapeutic recreation degrees, and SB 314, which cleans up prior language on community psychiatric support and treatment services so a limited scope certified social worker license can still be issued even if the applicant is slightly late renewing. Members and witnesses said both bills were intended to improve access to behavioral health services, especially in rural areas, and there was no opposition on either measure. The committee then advanced SB 26, which repeals facility need review for opioid treatment programs to make it easier to open more OTPs in Louisiana, and SB 29, which requires child autopsy reports to include immunization records and access to the LINKS vaccine database. SB 29 drew some concern about whether singling out immunizations could imply causation, but the author and supporters said the bill is only about adding data and that the records would be part of broader medical information. Both bills were reported favorably. Members also reported favorably SB 30, as amended, to allow telehealth for obesity/weight-management treatment with synchronous interaction and other safeguards, though some providers warned the language should not unduly limit future board authority. SB 219 was approved to create an Office of Health and Nutrition within LDH, with testimony from the department, the Alzheimer’s Association, and Pennington Biomedical supporting the focus on nutrition, physical activity, and brain health. SB 222 was reported favorably with amendments to reduce duplicative behavioral health administrative requirements, streamline supervision rules, and expand telehealth for psychosocial rehabilitation. The committee also approved SB 195, the “Danny’s Dose” EMS bill, allowing EMS personnel to administer a patient’s own prescribed time-critical medication in emergencies; testimony from families with rare conditions described life-threatening delays under current rules. Finally, SCR 2 was adopted to update hospital construction standards to the most recent Facility Guidelines Institute edition, and SCR 22 was reported favorably to request a more detailed legislative auditor report on opioid settlement spending and outcomes. The committee then began hearing HB 1093 on naturopathic medicine, with the author proposing a licensing framework under the State Board of Medical Examiners and a large amendment set; members raised questions about scope, prescriptive authority, training, and whether the profession should have its own board, but no final action on the bill was taken in the portion provided.

Transcript Highlights:

• A profile is rarely ever deleted from that program.
• I knew the CODIS program was being very effective across the nation.
• “Or Ph.D. program.
• And so education is one of the most important things.
• Following up on that, yeah, so we've got the CODIS program.

Summary: The committee met with representatives from the Arkansas State Crime Lab for an update on operations, staffing, technology, and major projects. Crime lab officials said the new facility is on schedule and under budget, with completion expected at the end of July next year and phased move-in beginning around August 1. They described the current building as overcrowded and outdated, and said the new lab will expand workspace, improve workflow, double morgue autopsy tables, and allow new technologies such as 3D firearms microscopy, improved drug testing for emerging synthetic drugs, and enhanced fingerprint visualization. Officials also said the lab has been able to hire positions tied to the 2023 overdose-autopsy law and that recruitment for medical examiners and fellows has improved, including two new medical examiners starting in August and a successful new fellowship program. Members asked about rapid DNA, CODIS, forensic genealogy, sexual assault kit backlogs, and staffing. The lab said rapid DNA is in final testing with Faulkner and Saline counties and could go live by the end of July, which would make Arkansas one of the first states to do so. Officials explained that CODIS is used routinely, with DNA profiles from qualifying cases uploaded automatically and audited regularly, and cited it as a key investigative tool. On forensic genealogy, they said Arkansas currently relies on private labs such as Othram, Bode, and DNA Labs International, and is exploring whether to bring that capability in-house in the future. They reported that the sexual assault kit backlog from around 2016 has been cleared and that the lab is now meeting the statutory 60-day turnaround time, with kits tracked through a barcode-based system for transparency. The committee also discussed overdose data and confidentiality. The lab said a new overdose dashboard is being developed with the Office of State Technology and should go live by the end of the year, using newly available reporting data to help public health and law enforcement target prevention efforts. Members praised a recent law allowing toxicology information to be shared with the state drug director and another law protecting coroner records and toxicology reports from public release during criminal investigations; lab officials said both changes have been very helpful. The meeting ended with no votes or formal actions on the crime lab items, and the chair announced an August site visit to the Lake Conway dam project.

Transcript Highlights:

• The Senate Standing Committee on Education will come to order. Please call the roll.
• KDE will develop a training program KDE will develop a training program that<00:20:18.360> all
• An act relating to education assessment and accountability system.
• Robbie Fletcher, Commissioner of Education. Floor is yours.
• Robbie Fletcher, Commissioner of Education. Education. Education.

Keywords: 958, all

Transcript Highlights:

• It left our body here and went into Senate Education, had a wild ride that Senate Education had a wild
• So, the data broker and education...
• and education transformation.
• This is the incentive that will drive consolidation for efficiencies in education.
• I want to sincerely thank the education committee.

Keywords: 926, house, all

Transcript Highlights:

• This program would stand up an affordability program subsidizing monthly rates for low-income households
• So we are directly supporting both our program and the Navajo Nation's program for those last mile customers
• Chair, Representative Dow, are you referring to the New Mexico Care Program or a different program?
• Because there's a huge uptake in that program.
• funded through the Public Education Reform Fund for Innovative Programs.

Bills: HB2, SB152

Keywords: general appropriation, budget, Medicaid, education funding, public safety, telecommunications, low-income assistance, lifeline, broadband, rural broadband, universal service fund, public regulation commission, PRC, 911 surcharge, telecommunications relay service, VoIP, mobile service, internet affordability, digital equity, digital inclusion

Transcript Highlights:

• had been misplaced um or we can program had been misplaced um or we can program it<00:10:07.399>
• Do you program, like, how does the programming happen so that the operator not being there still means
• Do you program, like, how does the programming happen so that the operator not being there still means
• Do you program, like, how does the programming happen so that the operator not being there still means
• The ignition interlock device program is a large and extensive program.

Keywords: 1187, senate, all

Summary: The committee first heard Senate File 75, a pilot project to test autonomous or semi-autonomous mowing and vegetation management along state highways. Senator Jasinski said the bill is intended to reduce traffic delays caused by ditch mowing and improve worker safety by moving crews out of active traffic. An A1 amendment was adopted to shift the funding source from the general fund to trunk highway funds. Testifiers from Bot Crew described robotic mowing technology, including remote piloting, autonomous navigation using LiDAR, cameras, GIS data, and obstacle detection, and said the machines could work at night and potentially reduce labor needs while improving safety. Members asked about mowing around guardrails, bridge features, and sensitive plants; the company said the system could be programmed to identify and avoid certain vegetation and could also be used for seeding. The committee then approved the bill, as amended, and re-referred it to finance. The committee next received the Department of Public Safety’s presentation on the governor’s budget request. Commissioner Bob Jacobson outlined an operating adjustment for DPS divisions, a request for grant administration authority to allow a portion of grant funds to cover oversight costs, and then turned to division-specific items. State Patrol Colonel Christina Bovich presented a request for $48.5 million in each of fiscal years 2026 and 2027 for a new metro headquarters, plus a recruitment proposal that would provide $1 million in each of 2026 and 2027 and $10 million in later years to expand recruiting, advertising, and academy capacity. She also proposed a change to the excessive-speed penalty so that driving more than 35 miles per hour over the limit would trigger a six-month license revocation, regardless of the posted speed zone. Members questioned the headquarters funding source, the cost of recruitment efforts, and academy expenses; Bovich said the academy costs about $350,000 per person and that the recruitment request would support broader outreach, including nationwide recruiting. Office of Traffic Safety Director Mike Hansen then presented a request for an additional $485,000 per year in trunk highway funds for planning and administration. He said the money is needed to cover rising operating costs, maintain the federal match for traffic safety grants, and support new federal public participation and engagement requirements tied to traffic safety funding. No votes were taken on the DPS budget items during the portion of the meeting provided.

Transcript Highlights:

• But we've, I think this is one where we need to spend more educational time.
• I think it's, again, we're going to have to educate our colleagues on that.
• And it is also an educational process.
• So I think the education piece is where we need to go with this.
• So having a robust consultation program... ...would be great.

Keywords: Commission on Updating Virginia Law to Reflect Federal Recognition of Virginia Tribes, 976, house, all

Transcript Highlights:

• programs, etc.
• The down payment assistance program is one way to do that.
• <00:23:45.360> The program is one way to do that. The program is one way to do that.
• payment assistance program. payment assistance program.
• This program will build that workforce for those small meat lockers, for the large meat lockers.

Keywords: 1187, senate, all

Transcript Highlights:

• As an early childhood educator, I'm just going to tell the truth.
• With our education. But we have to think about what is the basic.
• I don't want to undermine the five programs that they funded last year.
• I don't want to undermine the five programs that they funded last year.
• So the projects are identified along I-40 here on out that we're programmed, that we're programming in

Keywords: 996, all

Summary: The committee first heard TRIP’s annual New Mexico transportation report from Carolyn Boniface Kelly, which described deteriorating roads and bridges, congestion, safety concerns, and a large transportation funding gap. The report said more than half of major roads statewide are in poor or mediocre condition, over 170 bridges are rated poor, congestion costs drivers significant time and money, and traffic crashes and road conditions impose billions in annual costs. Members broadly agreed the report underscored the need for more stable transportation funding, with several noting the state’s recurring underinvestment and the safety risks to motorists, pedestrians, and bicyclists. The committee then took up Senate Bill 2, a transportation bonding and revenue package. Senator Gonzales and Governor’s office and NMDOT representatives said the bill would authorize about $1.5 billion in additional bond debt for ready-to-go highway projects, while also increasing certain motor vehicle excise, registration, weight-distance, and EV-related fees to help support debt service and transportation funding. Supporters, including contractors, the Greater Albuquerque Chamber, the Department of Finance and Administration, and transportation officials, argued the bill would improve safety, economic development, project delivery, and funding stability, and help preserve federal dollars. Opponents, including the Rio Grande Foundation and some committee members, objected to the tax and fee increases, argued the state should use existing surpluses or other funds instead, and raised concerns about impacts on families, businesses, and local governments. Committee members questioned how projects would be selected, how the new fees were calculated, how EV surcharges would work, and whether local government distributions would be affected. NMDOT said the projects would be reported to the legislature annually, selected using crash data, asset management, and project readiness, but bond approval would remain with the State Transportation Commission. After debate, Representative Romero moved do pass on SB 2 as amended, Representative Hochman-Vigil seconded, and the committee approved the bill 7-2, with Representatives Brown and Dow voting no and several members expressing reservations despite supporting the need for transportation investment.

Transcript Highlights:

• They are not just health workers, but also advocates, educators, and trusted messengers.
• This is an Education Committee bill dealing with the definition of migrant education programs.
• , and require students to complete the program within a set timeframe.
• program within a set timeframe.
• Now, I bring that up because many of you support similar programs.

Summary: The Assembly convened after a quorum call, prayer, and pledge, then handled a long consent and concurrence calendar. Early procedural actions included moving several bills to the inactive file, waiving the floor amendment deadline for certain measures, rescinding prior action on SB 733, and approving a motion to withdraw AB 710 from committee to the third reading file by a 42-12 vote. The chamber also re-referred AB 406 to Labor and Employment and later AB 754 to Housing, while taking up numerous Senate and Assembly measures out of order to accommodate authors and guests. The body adopted several resolutions recognizing October 2025 as California Promotoras Month (HR 58), National Fried Rice Day and National Rice Month (HR 71), Direct Support Professional Recognition Week (HR 70), and All California Day (HR 67). Members also concurred in Senate amendments on a wide range of bills covering insurance, horses, emergency vehicles, health facilities, restitution, education, tribal regalia at graduation, behavioral health, air pollution, energy, dams, greenhouse gases, foster youth, court interpreters, tenancy language access, patient privacy notices, discrimination in school facility rentals, hospital visitation rights, diversion, agriculture, insurance studies, electricity, and environmental stewardship. Most of these measures passed with little or no opposition, though a few drew recorded noes. Several higher-profile policy bills drew debate. SB 694 on veteran claim assistance generated the most extensive discussion, with supporters arguing it would stop predatory, unaccredited companies from charging veterans for VA claims help, and opponents warning it could reduce veterans’ choices and should be paired with broader fixes to county VSO access; the bill ultimately passed 46-0. Other notable actions included concurrence on SB 576 limiting loud streaming ads, SB 512 on transportation tax initiatives, and SB 785 creating a tax credit for durable medical equipment for children with complex medical needs. The Assembly also concurred in SB 250 on Medi-Cal provider directories, SB 831 on the Geological Survey, SB 788 on CPA regulation, SB 456 on muralist licensing, SB 72 on the California Water Plan, SB 76 on used-car fee protections, SB 246 on rural health workforce support, SB 484 on coastal affordable housing, SB 680 on sex offender registration, SB 695 on climate-resilient highway projects, and SB 783 on outdoor advertising. Votes were overwhelmingly favorable across the board, with the chamber repeatedly adopting Senate amendments and resolutions by voice vote or recorded roll call.

Transcript Highlights:

• run by EOPs and other programs, and that takes us into the emergency response section.
• Our understanding of emergency response and how trainings and educational materials can be built out
• And I think that training and education focused on oxygenation and ventilation is excellent.
• All right, so the education and training.
• So really clarifying, you know, outreach focused on educational and awareness efforts.

Keywords: 995, all

Summary: The Special Commission on the Public Health Effects of Xylazine held its fifth and final public meeting to review and approve the final draft of its report before submission to the House and Senate clerks. Chair Mindy Domb opened the meeting, noted Senator John Keenan’s absence due to National Guard deployment, approved the prior meeting minutes, and explained the process for incorporating final edits and late votes into appendices. Commissioners then voted to allow staff to make agreed-upon language changes after the meeting, and later voted on the final report itself. Staff walked commissioners through the report’s redlines and substantive updates. Changes included clarifying that xylazine is an active adulterant rather than simply a bulking agent, replacing “non-clinician” with “non-clinical staff,” removing or revising references to “hotspots” in favor of more accurate language about local trends, and refining language on wound care to refer to medical consequences and financial costs. The report also added or strengthened discussion of harm reduction measures such as drug checking, mobile health services, overdose prevention centers, oxygenation and airway support during overdose response, and the importance of naloxone remaining available while recognizing its limits for xylazine exposure. Commissioners also discussed data collection, legal protections for drug checking, and the role of the Attorney General in guidance and coordination on emerging drug threats. The commission then took a final vote, with the members present voting to approve the report. A letter from Senator Velis, who was also absent due to active duty orders, was read into the record expressing support for the report and its recommendations. In closing comments, commissioners and staff thanked one another for the collaborative work and described the report as a useful public health resource. Chair Domb adjourned the meeting at 11:11 a.m., noting that the final report would be submitted and posted online for public access.

Transcript Highlights:

• to help educate the public and the next generation of North Dakota citizens through the Energy Hawk program
• , oil and gas research program, and renewable energy programs.
• That's typically what the lignite research program, oil and gas research program, renewable energy program
• Typically, what the lignite research program, oil and gas research program, and renewable energy program
• Okay, the third thing here is education and outreach. So, this is education and outreach.

Summary: The committee met in Grand Forks, approved the February 26 minutes by voice vote, and recessed for a tour of Minnkota Power Cooperative before hearing presentations on large energy consumers and related infrastructure issues. The first presentation, from the North Dakota Transmission Authority, focused on the need for better local decision-making tools for counties, townships, and planning and zoning boards facing major projects such as transmission lines, pipelines, data centers, wind, solar, and large-scale agriculture. The speaker urged more objective, data-driven analysis, noted that local officials often have limited time and resources, and said the state should support training and tools through groups like the League of Cities and the Association of Counties. Members asked about proactive outreach, data center ordinances, and how to avoid subsidizing large loads or causing reliability problems. The Division of Air Quality then discussed environmental oversight of data centers, emphasizing that North Dakota’s air remains among the cleanest in the country and that the agency’s role is limited to air, water discharge, stormwater, and waste—not zoning or water use. The presentation explained that data centers generally have low direct emissions but may rely on diesel backup generators when the grid is unavailable, which creates air-quality concerns; the department said it is requiring air monitors at some projects to collect real-world data and guide future decisions. Members asked about generator emissions, misinformation, monitoring costs, and staffing succession, and the agency said permit applicants pay for the monitors while the state handles some QA work. The Department of Water Resources followed with an overview of North Dakota water law and data center water use. The director explained the state’s prior-appropriation system, the public-interest review for permits, and the large overall water supply available from groundwater and the Missouri River. He said most proposed data centers use closed-loop cooling systems and generally request relatively small amounts of water compared with other uses such as power plants, irrigation, and oilfield operations, and that even a worst-case data center scenario would use only a tiny fraction of Missouri River flow. Questions focused on downstream impacts and comparisons to fracking water use, and the director said the state’s use is too small to materially affect downstream users. Later, McLean County State’s Attorney Ladd-Erickson testified online about data center zoning and permitting. He asked the committee to have Legislative Council gather information on how other states handle data center permitting and to keep the topic on the interim agenda. He argued that local zoning should remain local, but said counties lack the technical and legal resources to manage complex reclamation or bonding requirements and that state-level enabling legislation may be more appropriate. He also recommended eliminating tax incentives for data centers. The committee chair said staff would prepare a document on other states’ zoning and permitting approaches. After a lunch recess, the committee reconvened at the EERC, where CEO Charles Gorecki gave an overview of the center’s 75 years of work and its role in oil and gas, carbon management, and other energy technologies, highlighting enhanced oil recovery and carbon dioxide utilization as major opportunities for future production and tax revenue.

Transcript Highlights:

• And if so, does Maricopa and Pima County have similar programs?
• We can develop cultural awareness through education, through training, through awareness.
• That's where so many people get adult education.
• That's where so many people get adult education.
• So my question kind of started with this: this is an accredited program for inmates, right?

Bills: HB2207, HB2225, HB2602, HB2641

Keywords: braille, disability access, education funding, state corrections, inclusion, HB 2225, Yavapai County, northern Arizona regional training academy, training academy, public safety training, law enforcement training, police academy, first responder training, capital appropriation, state general fund, state treasurer, lapsing appropriation, section 35-190, capital costs, regional training facility

Transcript Highlights:

• neighborhoods programs. neighborhoods programs. 2178<00:01:05.000> is<00:01:05.160> being
• title, update the KRS trustee education title, update the KRS trustee education program,<00:08:30.400
• Update language breakfast program.
• <00:11:54.760> Delete sponsor to program operator. Delete sponsor to program operator.
• new older CDO program to the new PDS<00:15:29.240> program<00:15:29.840> that<00:15:30.000

Keywords: • 0:00 - Roll Call • 0:19 - Approval of June 2026 meeting minutes • 0:36 - Fish & Wildlife (301 KAR 1:201 and 301 KAR 2:178) • 1:35 - Board of Veterinary Examiners (201 KAR 16:767) • 4:10 - State Board of Elections (31 KAR 4:240 Emergency) • 4:50 - Office of the Attorney General, Regulatory Relief (40 KAR 12:300, 12:610, 12:400, 12:420 and 12:600) • 7:03 - Department of Revenue (103 KAR 43:341 Emergency) • 8:05 - Kentucky Public Pensions Authority (105 KAR 1:001 and 1:440) • 9:19 - Finance and Administration Cabinet, Office of the Controller (200 KAR 38:080) • 10:10 - Board of Physical Therapy (201 KAR 22:010 and 22:070) • 11:06 - Kentucky Department of Education (702 KAR 3:220 and 6:110) • 12:43 - Cabinet for Health and Family Services, Department for Public Health (902 KAR 1:400) • 13:47 - Cabinet for Health and Family Services, Department for Medicaid Services (907 KAR 2:720 and 2:725) • 28:11 - Next meeting and adjournment, 958, all

Summary: The subcommittee met with a quorum present, approved the minutes without objection, and then reviewed a series of administrative regulations from multiple agencies. Most of the regulations received staff-suggested amendments and were approved without objection, including fish and wildlife rules on fishing limits and deer hunting on local government property, veterinary board changes to responsible party and veterinary manager requirements, election procedures for safe-at-home voters, attorney general regulatory relief rules, emergency gasoline tax pricing, public pensions updates, controller fraud-prevention policies, physical therapy licensure and English proficiency standards, school nutrition and fee-waiver rules, public health conference procedures, and Medicaid waiver regulations. Several agencies briefly identified themselves and answered procedural questions, but most items drew no substantive opposition. The Board of Veterinary Examiners regulation included an agency amendment that removed a proposed limit on the number of facilities a veterinary manager could oversee. The Department of Education regulations updated fee waiver and meal program procedures, while the Department of Public Health regulation clarified notification and conference-request procedures. The Department of Revenue and Kentucky Public Pensions Authority items were largely technical or conforming changes, including a special-needs trust definition added for consistency with Senate Bill 85. The most extensive discussion involved the Department for Medicaid Services’ 1915C child waiver regulations. Kentucky Protection and Advocacy testified in opposition to the waiver’s lack of participant-directed services, arguing that consumer-driven services such as respite and community living support are required and especially important in rural areas and for higher-acuity children. Cabinet representatives responded that the waiver is intended to provide wraparound services to keep children in homes and communities, that it has CMS approval, and that the program is limited to 100 slots with about 21 participants already enrolled. Members did not move a deficiency motion, and the chair indicated the regulations would continue through the process. The meeting adjourned after setting the next meeting for Tuesday, August 11 at 1:00 p.m.

Transcript Highlights:

• I've spent about half my career in industry and half my career in higher education.
• In higher education, I'm an educator and an administrator.
• Most of my experience has been around the visualization program.
• We specifically state the Texas Moving Imaging Incentive Program. program because of the really remarkable
• Back in 2015, Representative Shaheen filed legislation to abolish the program.

Bills: HB4568, HB5458, HB4543, HB2703, HB3728, HCR113, HCR126

Keywords: film industry, incentives, grants, Texas, moving image, economic development, production companies, content standards, HB 5458, Texas Parks and Wildlife Department, TPWD, chronic wasting disease, CWD, cervids, deer, elk, moose, wildlife management, game animals, disease management

Transcript Highlights:

• The program is designed that Georgia by the use of this program.
• It's a pilot program.
• Tell me under this program, is it program technician?
• It's not necessarily higher education. Arkansas. It's not necessarily higher education.
• Man for program integrity.

Keywords: 1204, all

Transcript Highlights:

• make sure that the responsible employer is notified so they have the opportunity to, number one, educate
• . education.
• This is why we recommend improvements and investments in the Secretary of State Voter Education Program
• installation programs at TDLR.
• So for over 25 years, each of these programs has acted independently, without a common goal.

Bills: HB842, HB1907, HB2844, HB2892, HB3439, HB4211, HB4536, HB5111, HB5138, HB5182, HB5247, HB5269, HB5323, HB5435, HJR201, SB871, HB3896, SJR40

Keywords: power lines, Gulf Coast, weather-related outages, Public Utility Commission, infrastructure, government contracts, Chinese companies, information technology, cybersecurity, state regulations, food safety, mobile vendors, licensing, permitting exemptions, health inspections, nonprofit organizations, personal information, government disclosure, privacy, criminal penalties

Transcript Highlights:

• So, is this program or in this resolution really called for if that program still exists, which could
• program program it<00:20:21.880> potentially<00:20:22.440> could<00:20:22.640> interfere
• So, you higher than this program costs.
• <00:44:41.760> that like to see the previous program that like to see the previous program
• <00:46:23.040> to provide information and education to provide information and education to

Bills: HCR18, HCR32, HCR35, HCR105, HCR173

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

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

Transcript Highlights:

• The Gutierrez amendment didn't have anything related to education.
• Education. He'll have a chance to vote on it in committee.
• Chairman, we have a State Board of Education. We have a Department of Education.
• We have a Department of Education. We have a Department of ...have a State Board of Education.
• They provide education on firearm safety.

Summary: The House convened, opened with prayer and the Pledge of Allegiance, approved the journal, and heard introductions of guests. Members then adopted several procedural motions, including extending the second regular session, suspending the seven-bill limit for Representative Livingston on budget-related measures, and requesting the Senate return SB 1786 on artificial intelligence content verification for reconsideration. The House also moved into Committee of the Whole to consider calendar items. In Committee of the Whole, the House recommended do pass on SB 1057, SB 1171, SB 1424, and SB 1515, while retaining SB 1178 on the calendar. SB 1171, dealing with fingerprinting and fraud prevention in health and human services, was amended and received supportive comments about accountability and Medicaid fraud. SB 1424, concerning firearm safety instruction in schools, drew extensive debate: a proposed Gutierrez amendment modeled on “Christian’s Law” to require secure firearm storage measures was defeated by division vote 23-31, and the bill itself was defended as age-appropriate firearm safety education while opponents argued it was an unfunded mandate, a parents’ rights issue, and an improper burden on schools. SB 1515, creating a public safety parity fund for DPS and corrections bonuses from rainy-day fund interest, was amended and recommended do pass. The House then considered an additional Committee of the Whole for SB 1552, adopted a floor amendment, and recommended the bill do pass as amended. In third reading, SB 1021 failed 22-35, while SB 1215, SB 1345, SB 1456, and SB 1493 all passed, with SB 1345 drawing a floor explanation about an added regulatory requirement for health care facilities. The House also received first readings of several appropriations bills and announced a special Joint Appropriations Committee hearing on the budget the next morning before adjourning until Tuesday, April 28, 2026.