Transcript Highlights:

• One, just starting, is MAP optional, or can it be court mandated?
• How often do you have to go and get coverage under Medicaid? And how acute are you?
• Slide 7: Insurance coverage for GLP-1s in general...
• Only 16% of them provide health insurance coverage for GLP-1s for weight loss.
• Sometimes we don't like to mandate, but sometimes we have to because the intent is good.

Transcript Highlights:

• WE DO NOT WANT THEM TO LOSE THEIR MEDICAID COVERAGE BECAUSE THEY ARE ACTUALLY DOING THE NURSING CARE
• THIS ALSO PROBLEM THAT WE HAVE WITH NOT HAVING ADEQUATE COVERAGE FOR THESE MEDICALLY FRAGILE CHILDREN
• WHAT IT THAT'S WHAT THIS MANDATES IS THAT EACH THIRD PARTY HAVE ACCESS TO THE PATIENT PORTAL CURRENTLY
• THE BILL REQUIRES INDIVIDUALS WHO PERMANENTLY DISABLED AND NOT REGULARLY RECEIVING MEDICAID COVERAGE
• WHEN WE HAD INDIVIDUALS WHO WERE NOT ABLE TO GET THEIR MEDICAID COVERAGE BECAUSE OF TECHNICALITIES OR

Keywords: 999, senate, all

Transcript Highlights:

• This is mandated by two different acts.
• Additionally, certain survivors of crime are also mandated to receive legal services.
• At the same time... ...that Congress mandates those services be provided.
• They do provide coverage.
• So if for some reason we didn't have coverage.

Transcript Highlights:

• 80 hours per month of education, volunteer, or employment to maintain health coverage.
• 80 hours per month of education, volunteer, or employment to maintain health coverage.
• 80 hours per month of education, volunteer, or employment to maintain health coverage.
• 80 hours per month of education, volunteer, or employment to maintain health coverage.
• as more families face coverage loss. as more families face coverage loss.

Keywords: 910, house, all

Summary: This joint informational briefing on Act 310 grants and aid focused on organizations describing how federal funding cuts, Medicaid/SNAP changes, and related policy shifts are affecting their services and budgets. Committee members explained there would be no Q&A, testimony would be limited to one minute, and in-person participants would be heard before Zoom callers. Members repeatedly asked testifiers to identify the amount of federal funding lost or at risk. Testimony came from a wide range of nonprofits and community providers, including Aloha Care, Hawaii Bicycling League, Hawaii Literacy, Hawaii Youth Symphony, Healthy Mothers Healthy Babies Coalition of Hawaii, the Tsunami Museum, The Kohala Center, West Hawaii Community Health Center, West Hawaii Region Hospital Foundation, Sounding Joy Music Therapy, Big Brothers Big Sisters Hawaii, Dynamic Community Solutions, Feeding Hawaii Together, Girl Scouts of Hawaii, Hawaii Disability Rights Center, Hawaii Youth Services Network, Hawaiian Lending and Investments, Homana, Honolulu Theatre for the Youth, Kids Hurt Too Hawaii, and Kokua Kalihi Valley. Most described reduced or threatened federal support and requested state funding to maintain services such as health care access, food security, disaster preparedness, literacy and digital inclusion, youth mentoring, arts education, housing, and climate or agricultural resilience. Several speakers emphasized direct impacts on vulnerable populations, including kūpuna, low-income families, immigrants, homeless youth, and people with disabilities. Requests ranged from relatively small planning or program grants to multi-million-dollar stabilization asks, with some organizations citing specific losses such as reduced Medicaid or USDA funding, canceled EPA or FEMA support, or expiring federal grants. No votes or formal committee actions were taken during the briefing.

Transcript Highlights:

• existing mandates.
• We don't want to meet those mandates.
• I mean, you know, mandates for the last...
• That's a new mandate.
• These mandates just didn't happen, okay?

Bills: HB24, HB45, HB15, HB35, HB38, HB47, HB318, HB349, HB554, HB1359, HB1373, HB1647, HB2254, HB2259, HB2853, HB3073, HB3088, HB353, HB355, HB786, HB762, HB705, HB932, HB849, HB 1160, HB 1119, HB1612, HB3041, HB713, HB3104, HB3970, HB3962, HB5061, HB4042, HB4115, HB4490, HB1731, HB1705, HB2607, HB3556, HB138, HB3689, HB1788, HB1887, HB1914, HB2402, HB2306, HB1809, HB2350, HB3000, HB3237, HB3326, HB3211, HB 1056, HB2081, HB2187, HB3092, HB3308, HB3526, HB3750, HB3527, HB4219, HB4230, HB4290, HB5238, HB4804, HB4749, HCR6, HCR12, HCR34, HCR50, HCR55, HCR58, HCR70, HCR71, HCR72, HCR74, HCR75, HCR78, HCR80, HCR93, HCR100, HCR107, HCR116, HCR117, HCR90, SB1806, SB783, SB1271, SB326, SB1637, SB769, SB897, SB1035, SB1706, SB1185, SB1194, SB384, SB1426, SB1468, SB1215, SB1066, SB599, SB1930, SB2065, SB767, SB1619, SB1738, HB1500, HB718, HB23, HB34, HB 119, HB 128, HB 130, HB132, HB2756, HB166, HB406, HB186, HB331, HB380, HB1583, HB1584, HB621, HB303, HB552, HB366, HB463, HB 1211, HB1327, HB1461, HB923, HB1760, HB2467, HB5333, HB1592, HB1576, HB1552, HB2018, HB3511, HB1781, HB2013, HB2340, HB2508, HB2970, HB865, HB2851, HB3385, HB3336, HB3309, HB 1127, HB 1232, HB1397, HB4236, HB4041, HB1965, HB2730, HB3698, HB3699, HB163, HB201, HB272, HB405, HB519, HB654, HB694, HB791, HB 1136, HB 1240, HB 1266, HB 1275, HB1437, HB1532, HB1675, HB1842, HB1868, HB1894, HB1943, HB1990, HB2029, HB2061, HB2286, HB2523, HB2622, HB2652, HB2692, HB2842, HB2885, HB3016, HB3096, HB3248, HB3255, HB3479, HB3611, HB3623, HB3803, HB3804, HB3805, HB3806, HB3810, HB3816, HB4129, HB4163, HB4187, HB4238, HB4454, HB4588, HB4643, HB4738, HB4739, HB4945, HB5015, HB5616, HB1749, HB1775, HB 118, HB1762, HB2520, HB24, HB45, HB15, HB35, HB38, HB47, HB318, HB349, HB554, HB1359, HB1373, HB1647, HB2254, HB2259, HB2853, HB3073, HB3088, HB353, HB355, HB786, HB762, HB705, HB932, HB849, HB 1160, HB 1119, HB1612, HB3041, HB713, HB3104, HB3970, HB3962, HB5061, HB4042, HB4115, HB4490, HB1731, HB1705, HB2607, HB3556, HB138, HB3689, HB1788, HB1887, HB1914, HB2402, HB2306, HB1809, HB2350, HB3000, HB3237, HB3326, HB3211, HB 1056, HB2081, HB2187, HB3092, HB3308, HB3526, HB3750, HB3527, HB4219, HB4230, HB4290, HB5238, HB4804, HB4749, HCR6, HCR12, HCR34, HCR50, HCR55, HCR58, HCR70, HCR71, HCR72, HCR74, HCR75, HCR78, HCR80, HCR93, HCR100, HCR107, HCR116, HCR117, HCR90

Keywords: zoning, public notice, local government, residential development, protests, peer support, first responders, mental health, confidentiality, emergency services, information network, health services, client referral, data privacy, disaster preparedness, accreditation, community services, sexual assault, victim rights, forensic examination

Transcript Highlights:

• <04:47:20.080> under question about minimum coverage under question about minimum coverage
• And so the the minimum coverage And so the the minimum coverage requirements<04:47:28.480> under
• coverage? coverage?
• they've got their predominant coverage they've got their predominant coverage through<05:43:14.718
• coverage through the individual market. coverage through the individual market.

Keywords: 928, house, all

Summary: The committee began with procedural announcements about report turnaround, amendment submission methods during split operations, a possible January 29 session, the governor’s State of the State on February 5, parking, cafeteria opening, and the plan to finish work by February 10. It then moved into executive session on HB 1123, which would require certain companies to post salary ranges on public job listings. Representative Granger moved ITL, arguing the bill would interfere with negotiations, especially for higher-level jobs, and raise compelled-speech concerns. Supporters, including Representatives Schultz, Sullivan, Cahill, Staub, and others, said salary ranges help applicants avoid wasted time and travel, improve transparency, and are already a common workplace disclosure. The committee voted 10-9 to ITL HB 1123. The committee next took up HB 177, concerning a definition of remote work in labor law. Representative Murphy moved ITL, saying the bill could burden employers, create vague obligations, duplicate existing protections, and potentially require intrusive compliance measures. Representative Sullivan described a proposed amendment that would narrow the bill to a definition of remote work and remove broader requirements, but the committee ultimately voted 11-9 to ITL HB 177. Members also noted that the amendment had not been fully circulated in time and that the issue might merit further review. Finally, the committee opened HB 1352, a workers’ compensation bill focused on repricing and payment practices. The sponsor withdrew an initial ITL motion and moved OTP after amendment review. Members discussed concerns raised at the hearing about delayed payments, third-party administrators, and the need for better accountability. Representative McKenzie’s amendment would define good faith, create a voluntary three-year dispute-resolution pilot, restore fines to prior levels, and add reporting/accountability requirements for carriers that miss the 30-day payment deadline. Several members supported the amendment as a way to help small businesses and providers, while others said repricing needed broader study through the workers’ compensation advisory council. The Department of Labor explained that the amendment would require carriers and related payers to report missed determinations to the department and would increase oversight of payment timeliness.

Transcript Highlights:

• It requires health insurance coverage of medically necessary treatment for persons with acquired brain
• Secondly, there was a provision in Obamacare when it was passed that any coverage mandated by law in
• Mandating insurance coverage for cognitive rehabilitation would give so many others the same chance not
• To clarify, health care insurers are not required to provide coverage for routine preventative dental
• The lack of coverage for these dental evaluations slows access to care.

Summary: The House Insurance Committee met on May 19 and first took up Senate Bill 509 on bank-owned life insurance. The bill would clarify that banks retain an insurable interest in former employees for purposes of exchanging underperforming bank-owned life insurance policies for better-performing ones. Members adopted a revised amendment set after withdrawing a prior version. Testimony focused heavily on whether consent from the insured former employee is required for any transfer or exchange, with supporters saying the bill is needed to address underperforming policies and opponents warning about unclear consent standards, data-transfer concerns, litigation risk, and possible federal tax issues. After debate, the committee reported SB 509 as amended by a 7-4 vote. The committee then heard Senate Bill 295, which requires health insurance coverage for medically necessary treatment for persons with acquired brain injuries, including cognitive rehabilitation and related services. Supporters from the Brain Injury Association of Louisiana and NeuroRestorative described gaps in post-acute care, high rates of discharge to unsafe home settings or nursing homes, and improved return-to-work outcomes when patients receive appropriate rehabilitation. An amendment was adopted to clarify federal essential health benefit limits and remove certain language, reducing the fiscal note to zero. The bill was then reported as amended without objection. Next, the committee considered Senate Bill 155, which requires coverage for medically necessary dental procedures needed for cancer treatment clearance, such as exams, imaging, and extractions. Cancer advocates, oncologists, and dental representatives said untreated dental problems can delay chemotherapy or radiation and lead to worse outcomes and higher costs. Cleanup amendments were adopted, and the bill was reported as amended. The committee also advanced Senate Bill 465, which tightens prompt-payment deadlines for health insurers, adds pharmacy payment provisions, and creates a recoupment timeline for dental claims; after technical and substantive amendments, it was reported as amended. Finally, the committee approved Senate Bill 276, creating a pre-appointment affidavit process for bail bond producers to ensure prior premiums, shortages, and forfeitures are resolved before a new insurer appointment, and House Resolution 260, which urges the Department of Insurance to study how out-of-network medical billing affects auto insurance rates. Both measures were reported favorably or as amended, and the committee adjourned after a motion to do so.

Transcript Highlights:

• We have endeavored to expand our coverage into eastern Kentucky, where there are very few podiatrists
• <00:10:44.160> into endeavored to expand our coverage into endeavored to expand our coverage
• our specialty is to be able to expand into areas that are difficult to provide direct physician coverage
• <00:13:34.720> uh<00:13:34.800> the<00:13:35.040> surgical<00:13:35.519> coverage
• under the uh uh the surgical coverage? under the uh uh the surgical coverage?

Keywords: 958, all

Summary: The Senate Standing Committee on Health Services heard Senate Bill 18, a bill described by the sponsor and podiatry witnesses as a modernization of Kentucky’s podiatry laws. The bill would recognize and regulate podiatric assistants, podiatric residents, and supervising podiatrists; allow podiatrists to supervise physician assistants in podiatry practices with approval from the relevant licensing boards; require new podiatrists licensed after January 1, 2027 to complete at least two years of residency; and extend disciplinary authority to the new categories. Witnesses said the measure would improve access to foot and ankle care, especially in rural areas, without expanding scope of practice. The Kentucky Medical Association was said to be neutral after working on the language with the sponsors. Committee members raised concerns about the meaning of “supervision,” whether it required direct or indirect oversight, and whether the bill could broaden billing or coding privileges. Dr. Roberts said supervision could mean direct supervision or indirect supervision, including being available by telephone, and noted the bill mirrors language used in allopathic PA supervision. He also said the bill would not change office staff billing roles and that podiatric assistants would not bill separately. Several senators said they supported moving the bill forward but remained concerned about workforce, cost, and scope creep. The committee adopted a committee substitute, then voted on the bill. The motion passed unanimously with favorable expression. After the vote, the committee moved on to a presentation on outpatient pediatric therapies, where providers described Medicaid reimbursement pressures, workforce turnover, and long waiting lists for children’s therapy services, but no action was taken on that presentation in the portion provided.

Transcript Highlights:

• Chair lays out SB 1307 by Cook as pending business relating to the biennial health coverage reference
• Chair lays out SB 527 by Schwertner as pending business relating to health coverage, specifically health
• benefit coverage for general anesthesia in connection with certain pediatric dental services.
• I can talk about some of the other people and mandates that cause that, but I won't rediscuss 139 at
• And it removes provisions mandating the selection of the lowest model PML.

Summary: The committee first took up several bills and voted them out favorably without amendment: SB 2857, relating to prescription drug purchasing proof for certain health benefit plan issuers and employers; SB 1307, relating to the biennial health coverage reference guide; and SB 527, relating to health benefit coverage for general anesthesia for certain pediatric dental services. Each of those motions passed on a 7-0 roll call. The main discussion centered on SB 1643, which would require prior approval from the Texas Department of Insurance for property and casualty rate changes above 10% from a previously filed rate. The chair framed it as a response to rate volatility and rising homeowners and auto premiums, while several members questioned whether it would slow a market that is already stabilizing and could encourage insurers to file repeated increases just under the threshold. Witnesses from consumer groups supported tighter oversight and argued for a lower threshold, while insurance industry representatives opposed the bill, saying Texas’s file-and-use system and competitive market work better and that the proposal could increase costs or create uncertainty. After testimony, SB 1643 was left pending. The committee then heard SB 1642, which would replace the single Texas Department of Insurance commissioner with a three-commissioner structure and an executive director. Supporters said it could improve accountability and transparency, while opponents argued the current single-commissioner model is more efficient and avoids confusion and added cost. Witnesses also raised concerns about open meetings issues, administrative expense, and the lack of a clear model from other states. SB 1642 was also left pending. Finally, the committee heard SB 2530, the Texas Windstorm Insurance Association omnibus bill. The bill would make a number of changes to TWIA’s governance and finances, including exempting TWIA from certain taxes, moving its headquarters to a coastal county, changing board composition and voting rules, and lowering the probable maximum loss standard from 1-in-100 to 1-in-50. Supporters said the bill would strengthen TWIA’s reserve funding and improve local relevance, while opponents warned it could increase assessments, reduce reinsurance protection, and create operational risks by relocating the headquarters to the coast. The bill was left pending, and the committee then adjourned.

Transcript Highlights:

• <00:04:55.360> that mean another day of rental coverage that mean another day of rental coverage
• An extra delay can mean another day of rental coverage that they may be paying.
• <00:20:55.600> costs policies that drive coverage costs policies that drive coverage costs
• > was The 340B manufacturer mandate was The 340B manufacturer mandate was enacted<01:47:10.480
• A manufacturer mandate is clearly not without a cost to Minnesotans.

Keywords: 1187, senate, all

Transcript Highlights:

• This one-size-fits-all<00:23:06.720> mandates one-size-fits-all mandates one-size-fits-all mandates
• um or these one-size-fits-all mandates um or these one-size-fits-all mandates are<00:23:09.600><
• Requiring companies to top-down mandate.
• Senate File 2904 mandates that every district pay 95% for single, 85% for family coverage, including
• keep coverage affordable for employees. keep coverage affordable for employees.

Keywords: 1187, senate, all

Transcript Highlights:

• Our son, Elijah, his wife, Kimberly, and his firstborn son, and many other families were mandated into
• Nurses, midwives, and hospitals have been afforded unheard-of no-fault coverage for themselves since
• to purchase health care coverage or go into Medicaid.
• soil percolation... ...sediment control protections, mandates soil percolation testing, and it also
• And to be quite frank, this is an unfunded mandate.

Bills: S0598, S0934, S1260, S1300, S1452, S1510, S1566, S1580, S1668, S7034

Keywords: funeral homes, cemetery law, cremation, embalmer, funeral director, preneed contract, preneed funeral, human remains, unclaimed cremated remains, disposition of remains, hospice, palliative care, end-of-life care, direct disposal, mortuary science, funeral service arts, licensure by endorsement, cemetery license, contiguous acres, consumer services

Summary: The committee first took up appointments, recommending confirmation of James Patrick Grambling and Brian J. Aungst on a single favorable vote. It then heard and approved several committee bills, including CS/CS/SB 1260 on building code inspections, which directs the Department of Management Services to contract with private providers for plan review and inspections; CS/SB 1668 on NICA, which updates benefits, oversight, funding, and immunity language; SB 1300 on a workforce/CDL training program for selected nonviolent inmates; CS/CS/SB 598 on funeral and cemetery services; CS/SB 1580 on illegal gaming enforcement; CS/SB 934 on Florida Keys affordable housing tax exemptions; and CS/CS/SB 1452, an agency bill updating DFS programs and licensing rules. Each of those bills was reported favorably after committee debate and, in several cases, amendments were adopted. The committee spent substantial time on CS/CS/SB 1510, the DEP package, which reorganizes environmental rulemaking and land acquisition authority, expands septic-to-sewer and nutrient-reduction requirements in sensitive areas, updates stormwater and resilience provisions, and revises related permitting and grant programs. Two amendments were adopted, including one adding solar-energy and stormwater-related provisions and another removing septic disclosure reporting language. Testimony included support from DEP and concerns from environmental advocates about septic timelines and implementation. The bill was ultimately reported favorably. The committee also considered CS/CS/SB 1566 on local government budget transparency, requiring counties and municipalities to post budgets and related materials online for extended periods in a standardized format. The League of Cities opposed the bill as an unfunded mandate, while the sponsor argued it would improve taxpayer access and accountability; the bill was reported favorably. Finally, the committee heard SB 7034, a rule ratification for minimum flows and levels for the lower Santa Fe and Ichetucknee rivers and priority springs, with testimony focused on the proposed Water First restoration strategy, conservation measures, and concerns about water quality, funding, and local opposition. The transcript ends during closing remarks on that ratification bill, before a final vote is shown.

Transcript Highlights:

• The next subdivision is aesthetic mandates.
• Um and this is getting at removing those mandates that we see put on some housing.
• Um and this is getting at mandates.
• <00:38:34.480> being just another unfunded mandate being just another unfunded mandate being
• > size<00:53:05.400> would A state-mandated minimum lot size would A state-mandated minimum

Keywords: 1183, house

Transcript Highlights:

• facilities and some mandated reports. facilities and some mandated reports.
• <00:09:35.360> facility mandated self-report that a facility mandated self-report that a facility
• can afford to buy local tennis coverage can afford to buy local tennis coverage shouldn't<00:25:
• <00:35:51.680> mandated added to perform those mandate mandated added to perform those mandate
• mandated core<00:35:52.800> work.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Human Services met to review budget items carved out in the prior session budget, including long-term care surveyor contracts, funding for local health departments, and expansion of the central laboratory. The committee approved the June 4 minutes and then heard an update from the Office of Inspector General’s Division of Health Care on long-term care certification surveys and complaint investigations. Officials said the $1 million annual appropriation for contracted survey work, along with salary increases and other resources, helped the state reduce its backlog. They reported that Kentucky completed 101 long-term care certification surveys in fiscal year 2024, up from 28 in fiscal year 2023, and had completed 186 surveys by July 7, 2025, with a goal of 40 to 50 more before the end of fiscal year 2025. Outstanding complaints fell from 1,565 at the end of fiscal year 2024 to 695 by July 7, 2025, and outstanding priority-one or immediate-jeopardy complaints were reduced to zero. Members asked about the definition of priority-one cases, survey timing, the number of facilities still overdue, vacancy rates, federal funding reliance, and the use of contract surveyors. Officials said priority-one cases involve serious harm or high risk of harm, that surveys are required within a 12- to 15.7-month window, and that the agency now has 40 contract surveyors and an outside team option. Several members praised the progress but warned that delays in surveys can endanger residents and urged continued funding and monitoring. The committee then began hearing from Mike Tuggle of the Department of Public Health on the Public Health Transformation Initiative, with Tuggle noting the legislation’s importance to public health financing. The transcript cuts off as he began his remarks.

Transcript Highlights:

• And so if we mandate it, do we get the same level of transparency from agencies?
• There were some gaps in coverage in the Medora area.
• So that was a temporary mobile wireless coverage unit that was deployed.
• Well, unfortunately, it's a non-funded federal mandate.
• Well, unfortunately, a non-funded federal mandate.

Summary: The committee approved the March 26 minutes and then received a quarterly update on major IT projects from NDIT. Staff reported the portfolio included 116 major projects totaling about $546 million, with the overall portfolio under budget but slightly behind schedule. They reviewed projects over the 20% variance threshold, including an Industrial Commission grants management system and DOT’s roadway pre-construction replacement, and then heard startup and closeout reports from HHS, OMB, DPI, and DOT. Several previously troubled projects were closed, including HHS bed management, vital records modernization, and DOT roadway capital planning; some projects finished under budget and ahead of schedule, while others were significantly behind schedule or over budget but were now closed or being remediated. The committee also reviewed NDIT’s annual report, including service-fund financials, peer-state rate comparisons, records management, and customer satisfaction efforts. Members asked about how service-fund revenue and grant administrative charges are accounted for, how chargebacks work, and whether NDIT tracks customer satisfaction scores. NDIT said it does track CSAT-type measures in some service areas and has survey data, but it is not planning another customer survey this summer. Members encouraged more regular reporting of customer satisfaction, service-level metrics, and performance data to help guide future improvements. A major portion of the meeting focused on the state’s mainframe modernization effort. NDIT said the overall effort is still targeting about 2030, with multiple HHS and DOT projects underway and a $15 million tech-debt appropriation already removing some components. Staff described the main obstacles as data cleanup, complex integrations, limited staff capacity, retirements, and vendor constraints, and said they are seeking a vendor with modernization support in the next contract cycle. Members pressed for clearer accountability and faster progress, and NDIT and HHS emphasized that they are working jointly but need continued support and better tools. The committee then heard a cybersecurity update on NDIT’s statewide services and maturity assessments. NDIT explained that it provides vulnerability scanning, endpoint protection, security awareness training, threat briefings, and penetration testing, and that these services are tied to a cybersecurity maturity assessment based on CIS controls. Members questioned the sharp drop in participation since 2020 and whether the self-assessment should be mandatory or tied more strongly to StageNet access or insurance incentives. NDIT said participation is voluntary, but Enderf is now requiring annual assessments to keep a 4% insurance discount, and members discussed whether stronger requirements or audit authority may be needed. The meeting ended as the committee began a follow-up discussion on BEAD broadband connection costs and why some locations are much more expensive to connect than others.

Transcript Highlights:

• The compromise with the Senate expands coverage for remote patient monitoring for high-risk pregnant
• It also directs DMAS to assess coverage for pregnant individuals age 35 and older through the full postpartum
• November 1, 2026, with the goal of informing potential future expansion of remote patient monitoring coverage
• Sure, no new taxes, but just three new cost mandates on every employee.
• But just three new cost mandates on every employer and every employee in Virginia in perpetuity.

Keywords: March 13, 2026 - Regular Session Part 2, 976, house, all

Transcript Highlights:

• It does not mandate that we implement an advanced EMT program in the state.
• It does not mandate<01:02:58.000> that<01:02:58.240> we<01:02:58.480> implement<
• 01:02:59.200> an<01:02:59.520> advanced mandate that we implement an advanced mandate that
• to these important preventive coverage to these important preventive services. services. services.
• > that<01:55:02.560> go the state mandates benefits that go the state mandates benefits

Bills: SB2936, SB2850, SB2851, SB2521

Keywords: accessible parking, disability, kupuna, public accommodations, small business exemptions, Hawaii Revised Statutes, parking permit, blind, deaf, accessibility, deafness, traffic safety, law enforcement, vehicle registration, communication, emergency services, commercial driver's license, first responders, public safety, authorized emergency vehicle

Summary: The committee heard testimony on several health-related bills. HB 1871, establishing a maternal health monitoring pilot program, drew support from the Department of Health, the Hawaii State Commission on Status of Women, and the Hawaii affiliate of the American College of Nurse Midwives, with testimony urging provider-neutral language so midwives and other qualified providers would not be excluded. HB 1977, requiring a maternal and infant health information mobile app, received support from ACNM and Philips, which said similar apps in other states improved awareness of services and helped families navigate care; a member asked the Department of Health about implementation time. HB 1858, relating to certificates of fetal deaths, was supported by the Department of Health and clinicians, who said the current statute is outdated and inconsistent with CDC guidance; the department and a physician testified that the bill should shift documentation responsibilities to physicians and APRNs, and members discussed optional versus mandatory issuance language and whether the bill would improve data on home births and transfers. The committee also heard HB 1591, expanding definitions for preceptor and volunteer-based clinical training to improve income tax credits. The Department of Health supported the measure but preferred a similar, broader bill; Taxation suggested clarifying terms; the University of Hawaii and the State Center for Nursing supported it. ACNM asked that midwifery preceptors and Hawaii-based students enrolled in mainland programs be included, while the Hawaii Public Health Institute supported expansion of the program as a workforce solution. HB 1574, on the health care education loan repayment program, also drew broad support, including from the governor, SHPDA, OHA, and health organizations, but ACNM raised concerns that the bill’s 30% Medicaid-client threshold could exclude many providers and limit participation. For HB 1575, creating a feasibility committee on Parkinson’s patient air transport, the Department of Health supported the intent but said transportation is more likely an insurance or benefit issue and suggested redirecting funds to Parkinson’s research; the Michael J. Fox Foundation and the Hawaii Parkinson Association supported the bill, citing inter-island travel barriers and high costs for patients and caregivers. HB 1854, establishing certification of community behavioral health clinics, was supported by the Department of Health and DHS, which said certification would help clinics qualify for enhanced Medicaid reimbursement and expand access; the Attorney General’s office raised a legal concern about the special fund language and recommended a purpose section, and the committee discussed whether the fund would be self-sustaining and noted a possible amendment to change membership language and reduce the board size if the amendment moved forward.

Transcript Highlights:

• It mandates that licensed importers, manufacturers, and dealers cannot sell, transfer, or deliver a firearm
• All of those dealers are mandated to keep and securely store these notices for at least three years as
• An Act to amend Titles 18, 29, and 31 of the Delaware Code relating to insurance coverage for treatment
• An Act to amend Title 18, Title 29, and Title 31 of the Delaware Code relating to insurance coverage
• Next, it supports municipalities without creating new mandates.

Summary: The Senate received a large number of House communications and committee reports, including several nominations and many bills and resolutions returned from House committees or passed by the House. Committee reports covered a wide range of topics, including education, health, judiciary, finance, housing, transportation, emergency management, and business/technology. The Senate also assigned several measures to committees for further consideration and noted upcoming committee meetings. The chamber confirmed three nominations by roll call: Michael T. Scuse to the Delaware Thoroughbred Racing Commission, J. Eric Firewold to the University of Delaware Board of Trustees, and Joan F. Coker to the University of Delaware Board of Trustees. The Senate also passed Consent Calendar 66, which included Senate Concurrent Resolution 223 on DIA broadcast access for playoff and championship games and House Concurrent Resolution 149 designating June 12, 2026, as Loving Day in Delaware. Members discussed Loving Day and the importance of recognizing interracial marriage rights, with Senator Huxstable, Senator Buckson, and Senator Townsend offering remarks. On the floor, the Senate passed House Bill 141, requiring a firearm responsibilities notice for gun purchasers, after debate over gun safety and industry burden; House Substitute 1 for House Bill 200, as amended, expanding insurance coverage for HIV prevention medications PrEP and PEP; House Bill 426, modernizing municipal street-aid reporting; and Senate Resolution 21, directing a study of portable solar generation devices and related safety and utility issues. The Senate also passed Consent Agenda O, a large package of bills covering topics such as money transmission and stablecoins, nursing advancement, pilot licenses, commerce and trade, subaqueous lands, driver’s license loss due to medical issues, residential speed limits, electronic bidding, family court jurisdiction, agency regulations, technical corrections to multiple local charters, and other measures. The Senate then recessed until June 25, 2026.

Transcript Highlights:

• We're streamlining the 62J mandate evaluation process to allow freshman legislators to introduce mandates
• Uh we're ensuring introduce mandates.
• the health committee as these mandates the health committee as these mandates are<00:49:29.200><
• to buy the coverage.
• needed the coverage to buy the<01:00:03.799> coverage.

Keywords: 1187, senate, all

Transcript Highlights:

• AB 2640, Hadwick, state mandates, do pass out on an A roll call.
• AB 1629, Haney, dental coverage, do pass out with Republicans not voting.
• AB 1682, Hart, coverage for scalp cooling. Sorry, I'll say that again: coverage for scalp cooling.
• AB 1570, Wilson, coverage of diagnostic imaging, held in committee.
• AB 1887, Zbur, drug coverage for rare diseases, do pass. That's out on an A roll call.

Summary: The Assembly Appropriations Committee held a suspense-file hearing on May 14, 2026, reviewing hundreds of Assembly bills and a few committee bills. The chair opened by explaining the committee’s budget constraints and the factors used in suspense decisions, including fiscal impact, return on investment, effects on constituents, and protection of the state’s social safety net. The agenda was organized alphabetically by author, and the committee noted that results would be posted later that day online. The committee then acted on a very large number of measures, sending many bills to the Assembly floor on do pass or do pass as amended motions, while holding many others in committee. Topics covered a broad range of policy areas, including housing, health care, education, labor, public safety, wildfire mitigation, water, energy, transportation, cannabis, immigration, and state governance. Many bills were amended to narrow scope, make implementation contingent on appropriations or existing resources, remove provisions, or clarify agency responsibilities; several bills were held without further action. Among the notable actions, the committee advanced bills on items such as Medi-Cal services, child care, wildfire-related programs, housing financing, school and college issues, public safety and criminal justice, environmental and energy policy, and various consumer and business regulations. Some measures were sent out on A or B roll calls, with Republicans often not voting on amended bills. The hearing concluded after the committee reported that a large number of bills had been moved to the Assembly floor, either as do pass or do pass with amendments, and the committee adjourned.