Transcript Highlights:

• That mismatch has created serious gaps in coverage, governance, and consumer protection.
• Two neighbors with identical coverage from the same fire could end up with two different protections
• Underwriting is the process insurers use to assess risk and price that coverage accordingly.
• It leads to our ability to provide the best coverage to the most people at the lowest cost.
• available, including access to additional coverage where applicable.

Keywords: 987, senate, all

Transcript Highlights:

• So Medicaid is only a partial coverage. So that rate group is much lower.
• But benefits and coverage is not my main expertise.
• Also, coverage losses increase uncompensated care and place further strain on provider systems.
• So you don't actually realize those benefits as a plan for providing coverage of that.
• So you don't actually realize those benefits as a plan for providing coverage of that.

Keywords: 907, all

Summary: The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits. CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs. The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.

Transcript Highlights:

• Currently, 22 other states have some form of infertility coverage. Nevada should be next.
• Secondly, this bill establishes clearly... ...who often face coverage gaps.
• It's also bad because mandates insurance coverage for IVF is a very expensive procedure.
• a Just on the costs of it with respect to adding coverage, I would turn it over to her.
• I also heard the commentary around Medicaid and why should we be adding coverage for Medicaid?

Bills: AB52, AB76, AB163, AB388, AB483

Keywords: health insurance, claims process, insurance regulation, admin penalties, healthcare access, cannabis, cannabis establishment, medical cannabis, adult-use cannabis, advertising regulations, packaging requirements, unlicensed cannabis activities, state prosecution, confidentiality, Cannabis Compliance Board, disciplinary proceedings, mental health, counseling, interstate practice, telehealth

Transcript Highlights:

• The guardrails, as we call them, are to say you can't drop your group coverage, your small group coverage
• The guardrails, as we call them, are to say you can't drop your group coverage, your small group coverage
• But if you use it for insurance premiums, it has to be for minimal essential coverage.
• But if you use it for insurance premiums, it has to be for minimal essential coverage.
• it's just drop small group coverage it's just drop small group coverage because<00:20:47.600>

Keywords: 1191, senate, all

Transcript Highlights:

• credit in order to prevent that coverage credit in order to prevent that coverage from<00:42:03.040
• I asked him if he understood that meant none of us would get insurance coverage.
• other cou cover coverage or faculty had other cou cover coverage or didn't<00:55:48.799> need
• So there's 50% coverage at nine credits, and then they need to reach 12 credits.
• kicks in so there's 50% coverage kicks in so there's 50% coverage<01:04:17.200> at<01:04:17.920

Keywords: 1183, house

Transcript Highlights:

• <01:25:14.960> uh sharing um under insurance coverage uh sharing um under insurance coverage
• It might very well be that patients who are losing insurance coverage or electing to not maintain coverage
• It might very well be that patients who are losing insurance coverage or electing to not maintain coverage
• or se electing to not insurance coverage or se electing to not maintain<01:29:45.760> coverage
• I'm just going dropped off of coverage.

Transcript Highlights:

• And you know, just to give you a sense of for people who may not otherwise want their coverage or may
• And you know, just to give you a sense of for people who may not otherwise want their coverage or may
• And you know, just to give you a sense of for people who may not otherwise want their coverage or may
• And you know, just to give you a sense of for people who may not otherwise want their coverage or may
• And you know, just to give you a sense of for people who may not otherwise want their coverage or may

Keywords: 928, house, all

Summary: The Fiscal Committee met on May 16, 2025, and first adopted a rules-and-procedures change extending online audit approval timelines for American Rescue Plan items through December 2026 and bipartisan infrastructure law items through June 30, 2027. The committee then approved the April 18 minutes and adopted the consent calendar with several items removed for separate discussion, including items from Tabs 4, 6, and 7. On Tab 4 item 2511, members questioned why the state was paying utility costs for the Laconia property while it is being sold. Commissioner Charlie Arlinghaus explained the budget line covered utilities generally, not just heat, that some buildings still require minimal heating, and that the main increase was tied to the Winnipesaukee River Basin Project wastewater charges. He said the charges had risen sharply, the property sale would eventually trigger a utility true-up at closing, and he would provide additional analysis. The committee then adopted the item. On Tab 4 item 25115, the Department of Justice said funding for a temporary fourth pathologist was removed from the 2026-2027 budget because it was no longer needed, and the committee adopted the item. On Tab 6 item 25126, Department of Health and Human Services officials explained the Medicaid managed care “withhold” as a performance incentive: about 2% of capitation payments are held back, then redistributed based on quality and operational metrics, with unearned amounts staying with the state until the end of the program and subject to actuarial requirements. They said the approach has improved performance and helped with Medicaid unwinding outreach, reducing enrollment by about 11,000 people in the past year. The committee adopted the item. On Tab 7 item 25139, the Department of Energy said it no longer needed an additional position because existing staff could handle the work, and the item was adopted. The committee also adopted regular-calendar items 25114 and 25131, noted that one regular-calendar item had been withdrawn, set the next meeting for June 20 at 11:00 a.m. in Room 100 of the State House, and adjourned after a motion and second.

Transcript Highlights:

• You are probably well aware from your work of RSA 999D that deals with indemnification and also coverage
• actors, and they've always been very, very cautious of extending what that immunity or liability coverage
• <00:33:24.799> However,<00:33:25.360> I liability coverage would be.
• However, I liability coverage would be.
• standard that does trigger the coverage standard that does trigger the coverage of<00:34:07.279>

Keywords: 928, house, all

Summary: The Legislative Administration Committee met to consider SB 197, which concerns medical supervision for the licensed registered nurse employed by the Legislative Facilities Committee. The main discussion focused on an amendment, 2025188H, that adds language about the chief medical officer’s authority to issue standing orders and includes immunity language for civil or criminal liability when acting in good faith and with reasonable care. John Williams of Health and Human Services explained that the language was modeled on similar provisions used for standing orders such as Narcan and epinephrine, and that it was vetted with the Attorney General’s office. Members raised questions about whether the immunity could shield mistakes or apply beyond the State House nurse; the chair clarified that the provision applies to the chief medical officer’s issuance of standing orders under this section, while the nurse’s practice remains governed by RSA 326. Representative Wade moved the amendment, which was seconded and adopted on a roll call vote of 10-0. The committee then voted on SB 197 as amended and recommended it ought to pass as amended, again by a 10-0 roll call vote. The bill was placed on consent, and the chair noted that a written committee report would be prepared. After the vote, the chair briefly updated members on other upcoming matters, including a Senate message on the Gold Star flag bill, the status of an enroll bills issue, and a Senate amendment to HB 248 on ethics. The committee also discussed scheduling for a joint historic committee meeting and a proposed Wentworth Cheswell portrait item, and members offered closing thanks to the chair, clerk, and staff for their work.

Transcript Highlights:

• Coverage remains mandatory.
• <00:08:46.480> By plans, and workers comp coverage. By plans, and workers comp coverage.
• bill does not do is make coverage bill does not do is make coverage optional,<00:10:08.720> sort
• <00:48:24.079> The compensation insurance coverage. The compensation insurance coverage.
• So this insurance coverage policy.

Keywords: 928, house, all

Summary: The committee opened its labor hearing on SB 655 and outlined the day’s schedule, including a later working session on SB 416 and an executive session planned for 2:30 p.m. Senator Dan Innis introduced SB 655, describing it as a technical bill affecting employee leasing companies/professional employer organizations (PEOs), workers’ compensation coverage, and a Senate-added minimum wage exemption for minor league baseball players covered by a collective bargaining agreement. He said the PEO change would let either the PEO or the client business hold workers’ comp coverage, while still requiring coverage, and argued it would align New Hampshire with most other states and reduce barriers for small businesses and multi-state employers. He also said the baseball provision would clarify wage treatment for minor league players and support the Manchester team. Justin Warell of Insperity testified in support of the PEO portion, explaining that PEOs provide HR, payroll, benefits administration, and workers’ compensation administration through a co-employment model. He said the bill would preserve mandatory coverage while allowing flexibility for the client or PEO to maintain the policy, which could help clients who already have preferred coverage or who face cost or administrative issues in multiple states. He noted that most clients would still remain under the PEO’s policy and said Insperity would submit written comments. Committee members asked about how the arrangement would work, whether the client or PEO would pay, and whether the bill would affect liability insurance packaging; Warell said the employer still bears the cost and that the bill mainly gives larger clients an option. One member asked him to remain available for possible follow-up after hearing from the labor department. Stephen Gonzalez of Major League Baseball testified in support of the minor league baseball exemption. He said MLB and the MLB Players Association negotiated a collective bargaining agreement that already provides players with salary, housing, meals, per diems, health and retirement benefits, disability continuation, tuition assistance, and signing bonuses. He argued that treating players as hourly workers creates impractical time-tracking problems because players do work-related activities on their own time, and said the bill would recognize them as salaried workers and avoid litigation over what counts as hours worked. Committee members questioned why the exemption was needed if players are already salaried and whether MLB could simply amend its CBA; Gonzalez said the bill would help prevent wage-and-hour lawsuits and noted that similar exemptions have been enacted in other states. No vote was taken during the hearing, and the chair indicated the bill would be considered for executive action later that afternoon.

Transcript Highlights:

• If if the young woman is under coverage.
• , or potentially the same coverage.
• members and and have comparable coverage members and and have comparable coverage or<04:54:47.920
• <04:54:49.520> I or potentially the same coverage. I or potentially the same coverage.
• <05:27:23.760> choices this bill would limit coverage choices this bill would limit coverage

Keywords: 928, house, all

Summary: The committee first heard Senate Bill 47, sponsored by Senator Regina Birdsell at the request of the Insurance Department. The bill would clarify that a birth mother’s health insurance is the primary policy for a newborn’s care unless the mother has no coverage or no employer-sponsored coverage. Birdsell and Insurance Commissioner DJ Benton Court said the measure simply codifies the department’s long-standing interpretation of existing law. Representative Miles asked whether the coverage would extend to a grandchild if a young woman on her parents’ plan had a baby, and Birdsell said it would. The hearing on SB 47 was then closed. The committee next heard Senate Bill 121, introduced by Grant Bosi for Senator Kevin Avard. The bill requires insurers to notify the Insurance Department when they stop writing an entire line of business or, in some cases, when they change Medicare Advantage offerings. Benton Court said the bill was prompted by disruption in the Medicare Advantage market, where consumers and the department were confused by carriers exiting, changing plans, or narrowing offerings. He said the department does not regulate Medicare Advantage itself, but does license the carriers, and the notice requirement would help the department advise consumers; he also said noncompliance could affect a carrier’s license and could lead to fines. Members discussed the notice period, and the department and AHIP indicated support for changing it from 120 days to 90 days to align with federal timing. The hearing was closed with plans to work on an amendment in subcommittee. Finally, the committee heard Senate Bill 247, introduced by Representative Brian Cole, which would prohibit network exclusion for pharmacies that refuse to dispense prescriptions when PBM reimbursement is below acquisition cost. Cole said the bill is meant to stop pharmacies from being forced to sell at a loss. Members questioned whether pharmacies voluntarily enter PBM contracts, whether the bill would raise consumer prices, and whether it would mainly affect independent pharmacies. Cole and others said the issue has changed over time because PBMs now control a much larger share of the market, and that the bill would let pharmacies refuse loss-making fills and direct patients to mail order instead. The discussion also noted that the bill excludes Medicare and Medicaid and that the current proposal does not create a middle-ground option for patients to pay a premium at the counter.

Transcript Highlights:

• I believe the parents' coverage.
• , or potentially the same coverage.
• <04:54:49.520> I or potentially the same coverage. I or potentially the same coverage.
• <05:27:23.760> choices this bill would limit coverage choices this bill would limit coverage
• <05:53:23.600> directly chooses to access coverage directly chooses to access coverage directly

Keywords: 928, house, all

Summary: The committee first heard Senate Bill 47, sponsored by Sen. Regina Birdsell at the request of the Insurance Department. The bill would codify the department’s interpretation that a birth mother’s health insurance is the primary coverage for a newborn, unless the mother has no insurance or coverage under an employer-sponsored plan. Birdsell and Insurance Commissioner DJ Benton Court said the measure is a clarification of existing practice and intended to protect vulnerable newborns; a question from Rep. Miles clarified that if a young woman is on her parents’ policy, the newborn would generally be covered under that family coverage. The hearing on SB 47 was then closed. The committee then took up Senate Bill 121, introduced by Grant Bosi for Sen. Kevin Avard, which would require insurers to notify the Insurance Department when they stop writing an entire line of business or, in some cases, Medicare Advantage plans. Commissioner Benton Court said the bill arose from disruption in the Medicare Advantage market, where consumers, brokers, and the department were confused by carriers changing or ending offerings; he said the department wanted a simple notification requirement so it could better advise consumers. Members discussed network adequacy, county-based service areas, and the fact that the bill would make notice a condition of licensure, with possible fines or license action for noncompliance. Witness Paula Rogers of AHIP said her group supported the bill if amended, and the department indicated it would support a change from a 120-day notice period to 90 days to align with state rules; the committee planned to work on an amendment in subcommittee. Finally, the committee heard Senate Bill 247, introduced by Rep. Brian Cole, which would prohibit network exclusion of pharmacies that refuse to dispense prescriptions when PBM reimbursement is below acquisition cost. Cole argued the bill is meant to stop pharmacies from being forced to sell drugs at a loss, describing PBMs as middlemen and saying the measure is a compromise that protects local pharmacies. Members questioned whether consumers would pay more and whether pharmacies voluntarily enter PBM contracts; Cole responded that the bill would let pharmacies refuse unprofitable fills while consumers could still obtain the drug through mail order or other channels. He also said the issue has changed over time because the practice now affects a much larger share of generics and is concentrated among a few PBMs. The hearing remained open as questions continued, with no vote taken in the excerpt.

Transcript Highlights:

• programs and different tiers of coverage programs and different tiers of coverage based<00:50:26.480
• <04:41:19.798> uh about 18,000 people lost coverage uh about 18,000 people lost coverage uh
• pursuing coverage pursuing coverage altogether<04:44:26.878> uh<04:44:27.200> now<
• safeguards intended to protect coverage safeguards intended to protect coverage they<04:44:46.240
• barriers to people retaining coverage barriers to people retaining coverage and<04:44:59.200>

Keywords: 1191, senate, all

Transcript Highlights:

• We have people who have need, and we do want them to get treatment, but they may not have coverage or
• And also the doula coverage, which we're working on as well.
• for children is also now—kids under 18 and under receive 12 months of continuous coverage.
• for children is also now—kids under 18 and under receive 12 months of continuous coverage.
• -day period to ensure that there's coverage.

Keywords: 1191, senate, all

Transcript Highlights:

• I do think it probably would be appropriate to add the term 'liability coverage' ahead of there.
• So this would put that minimum amount of insurance coverage into statute.
• That they have at minimum amount of insurance coverage.
• So this is a somewhat Of a lower bar, but making sure that there is coverage available because they are
• This is simply adding clarifying that this would be liability insurance coverage. Urge adoption.

Bills: SB1772, SB1958, SB2010, SB1595, SB1687, SB1684, SB2049, SB1966

Keywords: motor vehicle safety, headlamps, headlights, fog lights, daytime running lights, auxiliary driving lamps, spot lamps, off-road lamps, bicycle lights, bicycle reflectors, vehicle lighting, roadway visibility, low visibility, rain, snow, wipers, night driving, traffic safety, Oklahoma Title 47, vehicle code

Transcript Highlights:

• It also adds a lot of opportunities for loss of coverage. People will lose their coverage.
• For many of these coverages, there's no premiums, there's no deductibles, and the coverage is virtually
• For many of these coverages, good.
• generous taxpayer paid coverage generous taxpayer paid coverage to<02:53:12.960> actually
• mandating coverage um in this bill. mandating coverage um in this bill.

Keywords: 1187, senate, all

Transcript Highlights:

• We employ staff whose sole responsibility is to verify coverage and expected patient responsibility so
• He said municipalities know what they need for coverage and should be responsible for determining what
• Yet when those genetic disorders affect teeth, insurers deny coverage.
• Coverage for this treatment that is medically necessary for me.
• That is what no coverage really means. It means no care.

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a lengthy public hearing with more than 70 people signed up to testify, focusing mainly on health insurance and health care access bills. Early testimony centered on H.1257/S.712, which would require insurance coverage for medically necessary treatment of genetic craniofacial conditions. Supporters included legislators, dentists, and medical experts who said these conditions are not cosmetic, can severely affect eating, speech, pain, and social functioning, and often create major financial hardship because insurers deny coverage. A related dental bill, H.1262/S.676, drew technical testimony from the Life Insurance Association of Massachusetts about implementation issues with the 2022 dental loss-ratio law, while the Massachusetts Dental Society supported H.1306/S.696 on transparency in dental network leasing and opposed H.1262. Representative Gentile also testified for H.4013, which would ban for-profit acute care hospitals and for-profit health insurers in Massachusetts, arguing that profit incentives undermine patient care. A major portion of the hearing was devoted to H.1261/S.799, a bill to protect patients from surprise ambulance bills. Municipal fire chiefs, Boston EMS, nonprofit ambulance providers, and the bill’s Senate sponsor said the measure would require insurers to pay ambulance providers directly and promptly, cap patient out-of-pocket costs, and reduce confusion caused by out-of-network billing. Witnesses described ambulance services as essential public health infrastructure and said current billing practices can discourage people from calling 911 or leave municipalities and nonprofits unable to recover costs. Committee members asked about unpaid debt, municipal billing burdens, and how the bill would affect rates and reimbursement. No votes were taken during the hearing. The committee also heard extensive testimony on H.1249/S.805, which would require screening for PANS/PANDAS in medical and clinical settings. Legislators, clinicians, parents, a teen with the condition, and educators described PANS/PANDAS as an infection-triggered inflammatory illness that can present as sudden psychiatric symptoms and is often misdiagnosed as a mental health disorder. Supporters said routine screening at well visits, emergency rooms, and other clinical settings would help identify children earlier, reduce unnecessary psychiatric treatment and hospitalizations, and improve outcomes. Testifiers repeatedly urged favorable action, emphasizing the personal and financial toll on families and the potential for early treatment to prevent long-term harm. The hearing concluded with continued testimony on these bills; no committee action or votes were announced.

Transcript Highlights:

• It protects plans already providing comprehensive behavioral health coverage.
• And it ensures both providers coverage.
• It adds behavioral health coverage.
• It protects the plans that are already providing adequate coverage.
• are already providing adequate coverage. are already providing adequate coverage.

Keywords: 1189, house, all

Transcript Highlights:

• This bill would address the insurance coverage problem for Arizonans.
• This bill would address the insurance coverage problem for Arizonans.
• This bill does not mandate coverage or regulate rates. It requires transparency.
• This bill does not mandate coverage or regulate rates. It requires transparency.
• Madam Chair, members, I'm Gibson McKay here on behalf of Arizona for Affordable Health Coverage.

Bills: SB1014, SB1094, SB1146, SB1177, SB1192, SB1194, SB1214, SB1372, SB1390, SB1398, SB1399, SB1494, SB1557, SB1561, SB1564, SB1602, SB1603, SB1621, SB1628, SB1629, SB1713, SB1752, SB1776, SB1813, SB1814, SB1821

Keywords: gender transition, gender detransition, health insurance, medical procedures, insurance claims, official documents, Arizona law, gender reassignment, civil liability, minors, medical consent, detransition, dependent children, foster care, periodic review, court hearings, child welfare, public funds, prohibition, Arizona legislation

Summary: The committee heard and acted on several health-related bills, with the longest discussion centered on SB 1214, the Arizona Stem Cell Therapy Act. The bill would regulate stem cell and birth tissue therapies, bar use of tissues derived from aborted fetuses or embryos, require informed consent and disclosure for non-FDA-approved therapies, and create civil and criminal penalties for violations. Supporters framed it as a patient-safety and bioscience-innovation measure, while opponents objected to the abortion-related language and felony penalties. The committee approved SB 1214 on a 4-3 vote. The committee also advanced SB 1194, which would prohibit health professionals and institutions from denying care or reducing care quality based on vaccination status, and SB 1814, which creates a study committee on substance use disorder treatment standards and oversight. SB 1602, increasing monthly stipends for kinship foster care parents, and SB 1603, expanding child-only cash assistance eligibility for certain foster and relative placements, were both amended and passed unanimously. SB 1177, barring public funds from being used for gender transition procedures, and SB 1014, requiring insurance coverage for detransition care and related reporting, both drew strong support and opposition and were each approved on 4-3 votes. Later, the committee unanimously passed SB 1628, requiring insurers and health plans to report claims-denial and prior-authorization data to DIFI for public reporting, and SB 1629, requiring AHCCCS managed care organizations to give advance notice and network-adequacy documentation before terminating high-volume providers without cause. Supporters of both bills emphasized transparency and patient access, while opponents argued the measures duplicated existing federal or state oversight. The committee then heard SB 1752, which would criminalize commercial harvesting or sale of mescaline while preserving a religious-use defense; the sponsor said it was intended to address improper sales of peyote-derived substances, but no final action on that bill was taken in the portion provided.

Transcript Highlights:

• . coverage. coverage.
• That's $5,000 minimum per coverage. That's $5,000 minimum per person. person. person.
• Is that coverage still in effect today?
• Is that coverage still get them covered.
• So, we might want to pull back a little bit on what we can afford for drug coverage and hospital coverage

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:

• You may have seen some of the coverage.
• Our goal in our news is to provide unbiased coverage, to provide coverage in a range of views that everyone
• I want to talk a little bit about the loss of news coverage.
• That means they have no local coverage whatsoever. 1,500 counties in the U.S. have limited coverage.
• We don't need all these local news organizations and coverage.

Summary: The hearing focused on the impact of the federal rescission of Corporation for Public Broadcasting funding on California public media, with Assemblymember Chris Ward and Senator Akilah Weber Pierson framing public media as essential civic infrastructure for education, local news, arts, emergency alerts, and underserved communities. Local officials from San Diego and La Mesa voiced support, emphasizing public media’s role in trusted information, children’s programming, and community arts access. Panelists from PBS SoCal, KCRW, Rebuild Local News, NPR, KPBS, Radio Bilingüe, and KVPR described significant budget losses, layoffs, reduced programming, and threats to rural and specialized services. They highlighted impacts on children’s educational content, local journalism, arts coverage, science and documentary production, and emergency alert systems. Several speakers noted that smaller stations in rural or low-broadband areas are especially vulnerable, while larger stations are also cutting staff and delaying projects. They also discussed possible responses such as shared services, cost reductions, philanthropy, and state support, while warning that one-time bridge funding is not a long-term fix. Committee members asked about operational changes, alternative revenue sources, the role of state programs, and whether public pressure could restore federal funding. Witnesses said the loss is already being felt, that restoration appears unlikely in the near term, and that any state support should be structured to protect editorial independence and provide stable, timely funding. The hearing concluded with a shift to labor and production testimony and then to station-specific testimony from KPBS, Radio Bilingüe, and KVPR, followed by public comment.