Video & Transcript : 'provider credentialing' :

Page 271 of 500
NV
Transcript Highlights:
  • There are no callers to provide neutral testimony at this time.
  • I'm going to cover sections two and three briefly and happy to provide answers to questions and provide
  • Chair, Jonathan Norman, Nevada Coalition of Legal Service Providers.
  • “There are no callers to provide opposition testimony at this time.
  • There are no callers to provide opposition testimony at this time.
Bills: AB49 , AB169 , AB188 , AB284 , AB296 , AB306 , AB356 , AB366 , AB467 , AB499 , AB515 , AB540 , AB542 , AB595
Committee: Senate Finance
CA
Transcript Highlights:
  • , even if the state does not provide funding for community schools annually.
  • And that may be more labor intensive than the funding provides.
  • These are in the materials being provided to you in the colorful folders.
  • These are in the materials being provided to you in the colorful folders.
  • We provided detailed recommendations in the packets that were provided to you this morning, and we would
Summary: The Assembly Budget Subcommittee on Education Finance held a hearing on the Governor’s proposal to convert the California Community Schools Partnership Program from a one-time grant model into an ongoing $1 billion Proposition 98 program. Finance and CDE described the expansion as a way to sustain existing community schools and add thousands more, with county offices, regional/state technical assistance centers, annual self-certification, and a future accreditation process intended to support fidelity to the state framework. The LAO opposed shifting to an ongoing categorical program and recommended continuing one-time grants, while suggesting longer-term funding for technical assistance and, if ongoing funding is adopted, stronger planning, reporting, phased expansion, and clearer accreditation timelines. Committee members pressed the administration on how the new proposal could fund far more schools with less money than the original $4.1 billion program, how much of the funding would go to existing cohorts versus new schools, and whether the proposal sufficiently requires planning and implementation before funds are received. Testimony from practitioners and advocates largely supported ongoing funding but emphasized that money alone is not enough. Speakers from LPI, CTA, San Diego Unified, Fresno County, the Partnership for the Future of Learning, and Sacramento County urged stronger requirements for shared governance, explicit commitment to the community schools framework, annual reporting beginning in year one, and continued or expanded support for coordinators and technical assistance. Several witnesses said the proposal should better protect county office coordination roles, maintain preferences for partnerships in the technical assistance structure, and ensure the system can support more than 6,000 schools. Others highlighted the need for specialized supports for middle and high schools, better integration with other state programs such as ELOP, universal meals, TK, and the LCFF equity multiplier, and more detailed accountability and accreditation processes. No formal vote was taken during the portion of the hearing reflected in the transcript. The chair indicated that the committee wanted additional information on the funding breakdown, the use of reverted funds, and the proposed support structure before taking action, and administration witnesses said a more detailed proposal would be brought forward in the May Revise.
CA
Transcript Highlights:
  • , even if the state does not provide funding for community schools annually.
  • And that may be more labor intensive than the funding provides.
  • These are in the materials being provided to you in the colorful folders.
  • You all provided.
  • We provided detailed recommendations in the packets that were provided to you this morning, and we would
Keywords: 988, house, all
CA
Transcript Highlights:
  • choice aggregators and direct access providers.
  • This will provide ratepayer relief for the long term.
  • This will provide near-term relief.
  • That provides us a huge cushion.
  • Are they providing the benefits that other resources are providing, and are they going through this process
Summary: The Assembly Committee on Utilities and Energy held an oversight hearing with leaders from the CPUC, Public Advocates Office, CAISO, the Office of Energy Infrastructure Safety, and the Energy Commission. Chair Petrie-Norris framed the hearing around high utility bills, wildfire risk, grid reliability, clean energy buildout, and the state’s long-term decarbonization goals, and also noted it was CPUC President Alice Reynolds’ final week at the commission. Each agency gave an update on its role: the CPUC described efforts to reduce rate increases while maintaining reliability and clean energy procurement; the Public Advocates Office focused on affordability and the need to control underlying utility costs; CAISO discussed transmission planning, market operations, and the upcoming extended day-ahead market; Energy Safety reviewed wildfire mitigation oversight and inspections; and the Energy Commission highlighted clean energy growth, EV adoption, storage, efficiency, and gasoline price monitoring. A major theme was affordability versus the costs of the clean energy transition. Reynolds said the CPUC has lowered utility revenue requests, reduced utility returns, adopted a base services charge, and reworked net metering, while also continuing to manage wildfire-related costs and support resource adequacy and demand flexibility. Sarazawa argued that recent rate decreases may not be durable because billions of dollars in wildfire and other utility costs are still pending or unbilled, and she urged tighter use of general rate cases, lower-cost financing, program reform, and more equitable rate design. Members pressed the agencies on whether state policy is sufficiently accounting for labor, local economic development, and the cost impacts of transmission and procurement decisions, especially where out-of-state resources are being considered. CAISO and the Energy Commission emphasized that the state’s planning and market reforms are helping lower costs and improve reliability. CAISO said the Western Energy Imbalance Market has produced billions in benefits, the extended day-ahead market is on track to launch, and transmission planning is being aligned with long-term resource needs while reducing queue delays. The Energy Commission said California is now getting roughly two-thirds of its power from clean sources, has added massive amounts of storage and renewables, and is seeing strong EV and charger growth that can help spread fixed grid costs. Energy Safety reported thousands of inspections, hundreds of notices of non-performance, and a decline in reportable ignitions, while noting that major fires show more work is needed. Members also raised concerns about the SB 100 report delay, memo and balancing accounts, the future of battery storage, and whether decarbonization zone pilots will affect residential and commercial customers.
CA

California 2025-2026 Regular Session

Assembly Utilities and Energy Committee Feb 25th, 2026

Utilities and Energy

Transcript Highlights:
  • choice aggregators and direct access providers.
  • choice aggregators and direct access providers.
  • This will provide near-term relief.
  • That provides us a huge cushion.
  • Are they providing the benefits that other resources are providing, and are they going through this process
Keywords: 988, house, all
MS

Mississippi 2026 Regular Session

Public Health and Welfare - Room 216, 21 January, 2026; 3:30 PM

Public Health and Welfare

Transcript Highlights:
  • We have about 1,500 child care providers across the state.
  • </c><00:21:05.120><c> that</c> about 1,500 is that right providers that about 1,500 is that right providers
  • </c> have about 1,500 child care providers have about 1,500 child care providers across<00:21:13.039>
  • Uh although I'm legislature provided us.
  • It goes directly to the child care provider.
MN

Minnesota 2025-2026 Regular Session

House Human Services Finance and Policy Committee 3/11/25

Human Services Finance and Policy

Transcript Highlights:
  • I think the services can be provided by a provider outside the state, but they have to be residents of
  • I think the services can be provided by a provider outside the state, but they have to be residents of
  • ><c> providers</c><01:10:45.520><c> with</c><01:10:45.640><c> more</c> imds residential providers with
  • services are provided by a tribal provider.
  • </c> you know making sure that the provider you know making sure that the provider and<01:23:17.000><
Keywords: 1183, house
CA

California 2025-2026 Regular Session

Assembly Housing and Community Development Committee Apr 15th, 2026

Housing and Community Development

Transcript Highlights:
  • So could you provide a real-life example?
  • to—you'd be providing the plug-in, right?
  • and it also provides a ramp-up of six years for them to get there.
  • AB 1556 provides a balanced, common-sense solution.
  • And right now we're not providing those options. We haven't provided the funding.
Keywords: 988, house, all
LA

Louisiana 2026 Regular Session

Judiciary Apr 9th, 2026

Judiciary

Transcript Highlights:
  • So the funds to provide that will come from where?
  • We've been able to provide a streamlined set of services.
  • So we provide bus passes to get the above items.
  • I'm a policy... of service providers working on this.
  • The support that is needed is provided.”
Committee: House Judiciary
LA

Louisiana 2026 Regular Session

Transportation, Highways and Public Works Mar 30th, 2026

Transportation, Highways & Public Works

Transcript Highlights:
  • for inspections required by federal law, to provide for windshield requirements, to provide for the
  • for inspections required by federal law, to provide for windshield requirements, to provide for the
  • effectiveness, to provide for severability, and to provide for related matters.
  • for effectiveness, to provide for severability, and to provide for related matters.
  • for civil immunity, to provide for effectiveness, to provide for severability, to direct the Louisiana
Bills: HR1 , HB96 , HB345 , HB360 , HB401 , HB592 , HB703 , HB723 , HB729 , HB776 , HB838 , HB844 , HB882 , HB885 , HB888 , HB966
Summary: The committee first heard House Resolution 1, which approves the Coastal Protection and Restoration Authority’s annual State Integrated Coastal Protection Plan for fiscal years 2026-2027. CPRA officials described the plan as about $1.54 billion, with roughly 93% directed to project implementation and construction, funded through state mineral revenue, GOMESA, BP spill dollars, surplus funds, and newly available coastal sediment funds. They outlined projects across the coast, including marsh creation, barrier island restoration, levees, pump stations, freshwater diversions, and nonstructural flood protection, and said the plan had been unanimously approved by the CPRA board after public hearings. Members asked about specific coastal and basin issues, including the Sabine River, the Chafalaya Basin, Bayou Sorrel, and tidal flooding in interior parishes. HR 1 was reported favorably without objection. The committee then considered House Bill 838, as substituted, dealing with vehicle inspection stickers and related OMV modernization. The substitute would repeal inspection requirements for assembled vehicles, keep periodic inspections for commercial and student transportation vehicles, address federal inspection requirements, allow out-of-state inspections in some cases, and create a Louisiana Vehicle Identification Program using QR codes. Members focused on privacy and enforcement questions, and OMV and state IT officials explained that the QR code would contain only the VIN and that the system would support police ticketing applications. The bill also ties implementation to the OMV modernization effort and takes effect January 1, 2027. HB 838 was reported by substitute. The committee next advanced House Bill 888 on temporary dealer plates, adopting a set of amendments that added security features, clarified timing for the new electronic issuance system, and adjusted rules for temporary tags and dealer plates. Testimony from the auto dealers’ association said the bill was intended to reduce fraud, resolve confusion over five-day versus 60-day tags, and extend certain temporary loaner tag periods from five to ten days. HB 888 was reported with amendments. The committee also heard House Bill 885 on electronic titles and lien recordation, which would allow electronic signatures, electronic lien notifications, and electronic titling/recordation for participating commercial entities, with civil immunity for good-faith actions and a severability clause. Members raised questions about fraud prevention and consumer participation, and supporters said the bill would modernize the process and align Louisiana with current industry practice. HB 885 was reported by substitute. Finally, the committee advanced House Bill 723, which allows certain two- and three-wheeled motorcycles and mopeds to proceed through a red light under specified circumstances when sensors fail to detect them. The sponsor said the measure is a safety fix for riders stuck at malfunctioning signals, and the bill was amended to clarify the vehicle types covered. The committee also considered House Bill 882 on outdoor advertising, which would increase billboard spacing on state highways from 150 feet to 1,000 feet and allow certain signs damaged by an act of God after January 1, 2010, to be rebuilt. Supporters said the bill would reduce billboard density and improve aesthetics, while opponents argued it would harm smaller operators and impose a one-size-fits-all rule. After testimony, HB 882 was amended and reported.
NM

New Mexico 2025 Regular Session

IC - Indian Affairs Nov 13th, 2025

House Government, Elections & Indian Affairs

Transcript Highlights:
  • We meet with the county manager on an ongoing basis and have provided...
  • provide the space and the building.
  • It is essential to provide or address housing for staff to have the necessary funding to provide basic
  • We provide services to all who come in.
  • It doesn't matter; it's providing the services.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Advanced Information Technology, the Internet and Cybersecurity Jun 21st, 2026 at 01:00 pm

Joint Committee on Advanced Information Technology, the Internet and Cybersecurity

Transcript Highlights:
  • This personal information can provide insight into our health care providers, religious affiliation,
  • those updates or not provide product recommendations for those consumers.
  • authority and provide individuals with a private right of action.
  • And so I think that H 103 provides a simple, common-sense solution to this, providing robust protections
  • Companies don't need to track our every move to provide services.
Keywords: 995, all
Summary: The committee hearing focused on a package of Massachusetts privacy and technology bills, especially measures to ban the sale of location data, establish a comprehensive consumer data privacy law, and regulate biometric recognition and surveillance pricing. Chairs and sponsors argued that self-regulation has failed, that data brokers and large tech companies routinely collect and monetize sensitive information, and that state action is needed because federal protections are weak or absent. Several speakers tied the bills to reproductive health, gender-affirming care, domestic violence, children’s data, and other sensitive uses of location and biometric information. Supporters included legislators and advocates who backed H. 86/S. 197 (Location Shield), H. 78/S. 45/H. 104/S. 29 (comprehensive privacy bills), H. 99/S. 47 (surveillance pricing in grocery stores), and H. 36/S. 36 (biometric recognition accountability). They emphasized data minimization, bans on selling sensitive data, consumer rights to access, delete, and opt out, and in some cases a private right of action. Several witnesses said Massachusetts should lead or align with other states, while others argued that stronger protections are needed because data can be weaponized by stalkers, anti-abortion actors, abusive partners, insurers, or law enforcement. Industry and coalition witnesses urged the committee to favor a more standardized, interoperable framework modeled on laws already adopted in other states, warning that novel definitions, data-minimization rules, and private rights of action could create compliance burdens, confusion, and costs for businesses, including small businesses. They argued that entity-level exemptions for sectors already covered by federal laws like HIPAA or GLBA promote consistency, and that Attorney General enforcement is preferable to private lawsuits. Committee members questioned witnesses on patchwork concerns, the scope of exemptions, and whether the proposed bills would harm or help consumers and small businesses. No votes or final actions were taken during the hearing; written testimony was noted as due later, and the committee continued taking testimony from multiple panels and virtual witnesses.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Children, Families and Persons with Disabilities Jun 21st, 2026 at 01:00 pm

Joint Committee on Children, Families and Persons with Disabilities

Transcript Highlights:
  • We're going to start in person, and Bill Yelenek, the Providers Council...
  • they provide care.
  • across the Commonwealth, except for Boston, where my colleague Craig provides services.
  • It would provide a greater understanding of an individual's cognitive strengths and weaknesses.
  • This legislation provides a tangible solution for that problem.
Keywords: 995, all
Summary: The Joint Committee on Children, Families, and Persons with Disabilities held a hearing focused on accessibility-related legislation, with the chairs emphasizing ASL and CART accessibility and asking testifiers to speak slowly and clearly. The committee heard testimony first on H.223/S.130, a bill to establish a livable wage for community-based human service workers by reducing the pay gap with state employees. Providers’ Council, Communities for People, the Key Program, and BAMSI all supported the bill, describing persistent wage disparities, high vacancy and turnover rates, and the impact on continuity of care for children, youth, and families. Witnesses said the bill would help recruitment and retention and stabilize services across the Commonwealth. The committee then heard extensive testimony on H.224/S.160, the ACE Act, which would create a dedicated funding source to improve accessibility in the creative economy. Arts organizations and advocates, including Community Access to the Arts, Abilities Dance Boston, Jacob’s Pillow, the Multicultural Arts Center, Northampton Community Music Center, Mass Creative, Open Door Arts, and Monkey House, described barriers such as inaccessible buildings, lack of ASL interpretation and captioning, inadequate lifts and backstage access, and the high cost of renovations. Testifiers said the bill would help smaller and historic institutions make physical and programmatic improvements and allow people with disabilities to participate as artists, workers, and audiences. The committee also heard testimony on H.4180, which would require DDS to consider neuropsychological evaluations when determining eligibility for intellectual disability services. Parents and advocates argued that IQ cutoffs alone can miss significant functional needs, especially for autistic adults and others with complex developmental profiles, and urged broader access to DDS supports. Additional testimony supported S.101 on closed captioning and telecommunications in public areas, and S.158 on requiring restaurants to have some chairs with arms to better accommodate physically disabled and older patrons. No votes were taken during the hearing, and the chair adjourned after hearing from the scheduled witnesses and noting a few signups that were not present.
VT

Vermont 2025-2026 Regular Session

House Session - 2026-05-26 - 4:20PM

Vermont House Floor Meeting

Transcript Highlights:
  • Section 2415E provides the duties required of controllers.
  • Section 2415I provides the construction of duties in this bill, which provides clarifications that some
  • Section 2415J provides that the bill will be enforced through the Consumer Protection Act.
  • and resources be provided to the Attorney General's office for enforcement of the act.
  • </c> office is explicitly directed to provide office is explicitly directed to provide guidance<00:21
Keywords: 926, house, all
MO

Missouri 2026 Regular Session

Crime and Public Safety Mar 24th, 2026

Crime and Public Safety

Transcript Highlights:
  • Companies would then be able to provide these supports.
  • Of the 60 providers I mentioned that provide sexual assault services, only 28 are actually listed on
  • And so they tend not to provide shelter.
  • They provide all of the wraparound services around rape crisis.
  • agency because they saw a need to provide housing.
Keywords: 959, house, all
WA

Washington 2025-2026 Regular Session

House Civil Rights & Judiciary Feb 20th, 2026

Transcript Highlights:
  • Are you willing to provide that?
  • Are you willing to provide that to me? Oh, yes, of course.
  • creating model policies will provide that clarity.
  • And creating model policies will provide that clarity.
  • I appreciate all those who came down to provide testimony.
Summary: The Civil Rights and Judiciary Committee heard testimony on several bills. On SB 5906, the SAFE Act, staff and Sen. Hansen described protections limiting immigration enforcement access to non-public areas in schools, early learning settings, higher education, health care facilities, adult family homes, and ballot-processing areas, and restricting collection of immigration-status information. Supporters said the bill would clarify and strengthen existing Keep Washington Working policies, while some witnesses requested amendments to better define health care facilities, clarify adult family home and election-related provisions, and keep Section 6 on ballot security. Some members questioned the factual basis for reported ICE activity near schools and daycares and the distinction between judicial and administrative warrants. The committee also heard SB 5886 on personality rights and forged digital likenesses. Staff explained that the bill would add digitally created or modified likenesses to the Personality Rights Act, raise civil penalties, and allow recovery of actual and non-economic damages in forged-digital-likeness cases. The sponsor and supporters said the bill is intended to address AI deepfakes and identity misuse while preserving satire and fair use; student and advocacy witnesses supported the measure as a way to protect students and victims of digital impersonation. The committee then heard SB 5169, which expands child hearsay and closed-circuit testimony rules to older children and additional offenses. Prosecutors and forensic interviewers supported the bill as necessary in trafficking and child abuse cases, while defense advocates opposed it as an overbroad expansion that could raise confrontation-clause issues and create legal challenges. Additional hearings included SB 5865, which would move garnishment form updates from statute to the Washington Pattern Forms Committee; judges supported it as a way to fix a wage-withholding calculation error and allow future updates without legislation. SB 5912 would reinstate the Indigent Defense Task Force to study statewide public defense delivery and recommend sustainable reforms; counties, the Office of Public Defense, and defense groups supported it. SB 6009 would make permanent the current process for direct review of administrative decisions by the Court of Appeals and retain land-use transfer provisions; a Court of Appeals judge supported the bill. SB 6087 would extend limited liability for donations of children’s items to religious organizations and add strollers and car seats, with support from Zero Waste Washington. The committee did not take final votes on these bills during the hearing.
MO

Missouri 2026 Regular Session

Economic Development Feb 10th, 2026

Joint Committee on Rural Economic Development

Transcript Highlights:
  • tax credit, and a child care provider tax credit.
  • Last is a child care provider tax credit.
  • This goes directly to our providers in the state who are providing the child care, and it's a 30% tax
  • And then so who would pay the child care provider?
  • The provider signs up.
Summary: The Committee on Economic Development met with a quorum and first heard House Bill 2409 from Rep. Brenda Shields, which would create three child care-related tax credit programs to help address Missouri’s workforce and child care shortages. Shields said the bill is aimed at expanding affordable, reliable child care through community partnerships involving businesses, nonprofits, and providers, with credits for contributions to child care facilities, employer-provided child care assistance, and provider facility improvements. She and supporters cited child care deserts, high costs, and lost economic output, arguing the bill would help parents work and businesses recruit and retain employees. Witnesses in support included the Missouri Chamber, Kids Win Missouri, Associated Industries of Missouri, local chambers, economic development groups, and child care-related organizations; there was no opposition testimony. The committee then moved into executive session and approved House Committee Substitute for House Bill 2508 and House Committee Substitute for House Bill 2517, both by unanimous 12-0 roll call votes and both sent do pass on consent. The 2508 substitute dealt with series LLC language, including searchable records and stand-alone certificates of good standing. The 2517 substitute addressed wholesaling, adding a 14-day disclosure period and changing Attorney General enforcement language from “shall” to “may.” Finally, the committee heard House Bill 2654 from Rep. Knight, which would create a Missouri Works capital investment track for projects with at least $50 million in investment, offering a 2.5% tax credit without requiring new job creation. The sponsor and Department of Economic Development said the proposal is modeled on programs in other states and is intended to help Missouri compete for large investments, especially in manufacturing and automation. Many business and economic development groups testified in support, emphasizing retention, expansion, and regional competition; several members asked whether the $50 million threshold could be lowered, and the sponsor said he was open to discussion. No opposition testimony was offered, and the committee adjourned after the hearing.
WA

Washington 2025-2026 Regular Session

House Consumer Protection & Business Jan 13th, 2026 at 01:30 pm

Consumer Protection & Business

Transcript Highlights:
  • And that's for the six largest providers.
  • Providers have consumer loan lending licenses with us.
  • They have to provide an email address and a mobile telephone number.
  • It's once the referral to the buy now, pay later provider is done.
  • Consumers interact directly with these financing buy now, pay later providers.
Keywords: 904, all
FL

Florida 2026 Regular Session

Banking and Insurance Mar 25th, 2025

Banking and Insurance

Transcript Highlights:
  • The bill emphasizes the need for human oversight in the decision-making process by providing that an
  • that insurers provide in the state of Florida.
  • I would love to have the conversation about that today and provide my insights on that.
  • to provide the state of Florida citizens with choices over what products that they want.
  • to come in and provide those benefits.
Summary: The committee first took up SB 794, as amended by a late-filed strike-all, which would require a human being to make insurance claim denial decisions and prohibit artificial intelligence from being the sole basis for a denial. The sponsor said the bill was intended to preserve human oversight while allowing innovation in claims processing. Public testimony included support from the Florida Insurance Consumer Advocate and the Florida Medical Association, along with one speaker urging additional protections for homeowners. The committee adopted the strike-all and reported SB 794 favorably with committee substitutes. Members then heard SB 134, which removes the $500 threshold on the sales tax exemption for bullion, making sales of gold, silver, and platinum bullion fully exempt and eliminating certain dealer documentation requirements. Supporters argued the change would reduce a regressive tax and help consumers preserve savings; the sponsor estimated a revenue impact of about $300,000. The bill was reported favorably. The committee also adopted a strike-all on SB 888, which directs the Office of Insurance Regulation to create a more consumer-friendly homeowners insurance website with premium comparison information, market data, rate filing access, and educational resources. The sponsor and Leader Boyd said the goal was to improve transparency and help consumers navigate a stabilizing market. SB 888 was reported favorably with committee substitutes. The final bill heard was SB 1578, covering mammograms and supplemental breast cancer screenings. The sponsor said it would expand coverage requirements in ACA plans and private insurance policies, including annual mammograms for women ages 40 to 50 and supplemental screening coverage, while noting Medicaid already provides these services. The Florida Insurance Consumer Advocate waived in support, and the bill was reported favorably. After the bills, the committee held a lengthy panel discussion on gold and silver as legal tender and transactional money, with testimony from officials from Utah and Florida, industry representatives, and advocacy groups. Panelists discussed constitutional authority, consumer protections, depository oversight, taxation issues, and possible transactional platforms for precious metals. No further action was taken after the discussion, and the committee adjourned.
HI
Transcript Highlights:
  • ><c> their</c> then the parties each can provide their then the parties each can provide their own<00
  • </c> the suggestions and amendments provided the suggestions and amendments provided by<01:27:17.000>
  • they provide.
  • </c><02:15:54.679><c> this</c> as a state in terms of providing this as a state in terms of providing
  • </c> which means I dovetail and provide which means I dovetail and provide technical<02:20:23.359><c>
Committee: House Health
Keywords: 910, house, all
Summary: The committee first took up SB 1494 on hearing aids. Testimony was generally supportive of expanding hearing-aid coverage, with the Insurance Division raising concern about possible federal defrayment issues, SHPDA supporting the goal of hearing augmentation, DCAB strongly supporting the bill as an important access issue, and health plans and insurers asking for amendments. Kaiser Permanente and the Hawaii Association of Health Plans requested changes to add a medical-necessity standard and clarify annual notice language, while HMSA suggested the proposal should be studied by the auditor. The chair noted concerns about federal preemption and the lack of an audit, and deferred the bill in favor of a related resolution calling for a study. The committee then heard SB 1448, an emergency appropriation for the Hawaii State Hospital. DAGS and the Department of Health supported the measure, with the hospital administrator saying the funding would improve the environment of care, support cleaning, and allow a third-party review of the building. Committee members questioned the size of the request and the status of litigation against the design-builder. Administration witnesses said they were pursuing a comprehensive study involving destructive testing, had made a demand on the design-builder to fund the study, and were using different processes than before. They also said the roof work would be handled through a separate CIP request. No final action was taken in the portion provided. The committee next heard SB 1432, relating to the future responsibilities of the Department of Health and land issues at Kalaupapa after the last patient dies. DOH supported the bill in part but said its long-term role would be limited mainly to environmental cleanup, with operations expected to continue under the National Park Service and land-use decisions left to DHHL and beneficiary consultation. DHHL asked that the measure reflect that any land-use or zoning changes on homeland lands require commission approval and beneficiary consultation. Testifiers from Kalaupapa and Maui County, including Degra Vanderbilt-Papa and Council Member Keani Rollins-Fernandez, supported deferring the bill, saying there had been no meaningful community discussion about provisions affecting Kalaupapa’s future management and possible transfer of responsibilities to Maui County. The committee also read into the record written testimony from Gloria Marks emphasizing that Kalaupapa stakeholders must be included in future discussions. Finally, the committee heard SB 955 on fitness-to-proceed examinations. The Judiciary and the Public Defender’s Office both supported raising pay and standardizing expectations for private examiners, but opposed reducing felony fitness evaluations from three examiners to one and opposed expanding use of expedited reports. They argued that a single examiner would reduce reliability, create a more adversarial process, and likely increase costs and contested hearings, while expedited reports do not contain enough information for a proper fitness determination. The Department of Health also supported the bill’s intent but asked to preserve a three-examiner framework and said the goal was to reduce the number of people sent to the State Hospital, where admissions have reportedly risen about 20% year over year since Act 26. The bill remained under discussion in the excerpt, with no final vote shown.