Transcript Highlights:

• That instability affects staffing, limits access to care, and ultimately impacts patients.
• It is fraudulent and it harms patients.
• For patients, these delays are not just inconvenient.
• Madam President, again, you can't talk about... ...preferable.
• If in the future you could focus on the specifics of the bill, that would be preferable.

Summary: The Senate began with a roll call, a moment of silence for the shooting at the Islamic Center of San Diego, prayer, and the Pledge of Allegiance. The body then moved through gubernatorial appointments, confirming Julia Montgomery as General Counsel for the Agricultural Labor Relations Board and reappointing Dr. Cynthia Glover Woods, Dr. Brenda Lewis, and Gabriela Orozco Gonzalez to the State Board of Education, and George Cardona as Chief Trial Counsel for the State Bar. The Senate also heard a guest introduction welcoming Cal Lutheran University students, faculty, and staff to the gallery. The chamber then took up several resolutions, including SR 111 recognizing the International Day Against Homophobia, Biphobia, Intersex Phobia, and Transphobia; SCR 129 designating part of Highway 152 as the Rusty Arraes Highway; SCR 169 proclaiming October 2026 as Women's Small Business Month; and SCR 173 designating May 2026 as California Fairgrounds Appreciation Month. All of these resolutions passed, with members speaking in support of Arraes, women-owned businesses, and the public safety and community roles of fairgrounds. The Senate also passed a series of policy bills. These included SB 1154 on best-value procurement for community college public works, SB 1369 on judicial recall safeguards, SB 1106 shortening the data broker deletion timeline under the Delete Act, SB 1417 increasing transparency for mutual water companies, SB 1408 authorizing a future Contra Costa transportation sales tax measure, SB 1172 adding guardrails to local tax sharing agreements, SB 1383 protecting locally adopted labor standards in density bonus projects, SB 1371 barring waste haulers from suspending service during lawful labor disputes, SB 908 streamlining residential window replacement permits, SB 1361 limiting actions taken solely to avoid transit-oriented housing standards, SB 1014 requiring early fee and improvement estimates for housing projects, SB 1272 giving homeowners more time to fix preexisting code violations, SB 1406 targeting the Montana tax loophole, SB 1238 increasing HOA transparency and oversight, and SB 868 creating a plug-in solar framework. Most passed on largely party-line votes, with some Republican members objecting to labor-related or regulatory measures. Later in the day, the Senate approved additional health, education, privacy, and AI measures, including SB 950 on early-onset Alzheimer’s treatment coverage, SB 874 on Medi-Cal behavioral health treatment oversight, SB 1049 on correcting health plan claims, SB 1067 on early math screening, SB 1202 on Medi-Cal outreach amid federal changes, SB 944 on acupuncture coverage, SB 957 on notice for federal subpoenas to social media companies, SB 998 on discrimination prevention coordinators, and SB 1000 on AI content transparency. The final item shown, SB 1056 on protective orders for sexually explicit material involving adult victims, was introduced with the author noting ongoing work on amendments, but the transcript cuts off before final action is shown.

Transcript Highlights:

• No patient or anyone else ever complained of harm. And there were no malpractice claims against me.
• So they offered to let me keep my license if I agreed to violate patients’ rights under the U.S.
• They wanted me to turn over 120 chart notes of future patients.
• the law, did not harm a patient, and I found the same thing that Representative Fink had.
• I just have Tim Kovochik, and thank you, sir, for being patient.

Summary: The House Committee on Government heard and advanced several bills, beginning with HB 2842 on deed fraud prevention. The bill would create an early alert system so escrow agents notify the Arizona Department of Real Estate when a property transaction is opened, allowing property owners to be alerted before a fraudulent sale is completed. Representative Contreras, a victim, and other witnesses described serious deed fraud cases and said the bill would provide proactive protection; the Department of Real Estate commissioner said most tracked fraud cases would have gone through escrow and outlined a simple registration and alert process. The committee adopted a Blackman amendment changing the receiving agency from DIFI to the State Real Estate Department and then passed HB 2842 with a do pass recommendation. The committee also passed HB 2667, which tightens eligibility for state first-time homebuyer and down payment assistance programs by requiring two years of Arizona residency and two years of owner occupancy, and barring out-of-state investors from using the homes as vacation or short-term rentals. The sponsor said the bill was intended to ensure the programs benefit Arizonans who are invested in the state, but committee members and representatives from local housing entities warned it could conflict with federal FHA rules, reduce lender participation, and create unintended consequences for local IDA programs. Despite those concerns, the bill received a do pass recommendation. HB 2020, which reduces certain school disruption offenses involving minors to a class one misdemeanor and narrows the definition of interference with an educational institution, also passed after testimony from a parent describing a student being charged with a felony for a school altercation and a nonprofit witness urging more trauma-informed treatment of children. Other measures advanced included HB 2793, which streamlines annexation procedures for single-owner annexations and modernizes notice requirements, with amendments clarifying treatment of municipally owned adjacent territory and allowing electronic newspaper publication; HB 2327, which allows eligible individuals to request suppression of identifying information held by county recorders, assessors, and treasurers to protect privacy while preserving title plant access; and HB 2858, which gives Arizona bidders a preference in state procurement tie situations, supported by local business groups as a way to keep public money in-state. The committee also passed HB 2660, which sets procedures and due process protections for health profession board licensing actions and adds JLAC to the list of entities receiving investigative reports, with the sponsor and a naturopathic physician arguing that board actions can chill speech and lack adequate oversight. Finally, the committee approved HB 2063 to appropriate $1.5 million for the Independent Correctional Oversight Office, HB 2681 to change civil service appeal deadlines from calendar days to business days, and HB 2812 to raise the sick-leave payout cap for retiring state employees from $30,000 to $57,000; members discussed possible future amendments to let retirees direct those funds into health savings arrangements. Most bills were reported out with do pass recommendations, and the committee adjourned after the final vote.

Transcript Highlights:

• But we do have concerns about the patient safety aspects of prior authorization.
• As noted in the committee sub, there are clinical patient safety aspects of prior authorization.
• me if there were very many circumstances where it wouldn't change, as the prescriber manages that patient
• if there were very many circumstances or it wouldn't change every as the prescriber manages that patient
• There is not a specific preference in the bill for New Mexico residents. That's residency, not...

Summary: The committee first took up Senate Bill 20, a prior-authorization and step-therapy measure, on a committee substitute that had already incorporated many stakeholder changes. The sponsor and agency witnesses described revisions to definitions of chronic health condition and serious mental illness, shorter prior-authorization periods, and limits on reporting requirements. Supporters, including a nurse practitioner and disability advocates, said the bill would reduce barriers to needed medications and urged broader protections for chronic and behavioral health conditions. Health insurance and pharmacy benefit management representatives remained opposed, arguing prior authorization is an important patient-safety tool and objecting to the bill’s limits on its use. Senator Hickey offered two amendments: one to conform electronic prior-authorization response times to existing law by changing seven days to three, and one to restore the prior-authorization period from 12 months to three years. The first amendment was accepted; the second passed on a 5-4 vote. The committee then approved the amended substitute 6-3. The committee next heard Senate Bill 111, which would expand the confidentiality of personal information held by the Motor Vehicle Division to include sex, gender identity, national origin, and immigration status. Tax and Revenue officials explained that the bill would not change what documents MVD collects, but would limit disclosure of sensitive information contained in scanned records unless a statutory exception applies. Members asked about what appears on licenses, what is stored in MVD’s system, and whether law enforcement access would change; officials said criminal law enforcement exceptions would remain in place and that the bill mainly affects public disclosure requests. The committee voted 8-1 to give the bill a do-pass recommendation. Senate Bill 218, funding a Los Alamos Emergency Operations Center, was presented as a regional disaster-response and training facility for northern New Mexico. Los Alamos County witnesses said the project would support emergency management training and coordination across the region and requested $5 million. Several senators questioned whether the county had explored bonding, intergovernmental agreements, or regional cost-sharing, and raised concerns about Los Alamos’s debt capacity and whether the project was truly regional. Supporters said the county has a long capital backlog and that the center would serve communities from Santa Fe north. The committee ultimately voted 9-1 to advance the bill. Finally, the committee heard Senate Bill 14, a major health professional loan-repayment proposal. Senator Hickey described it as an effort to recruit and retain physicians, nurses, and other allied health professionals by increasing repayment amounts, prioritizing physicians and doctors of osteopathic medicine for 50% of the fund, and allowing service commitments with some flexibility, including part-time work. Supporters from medical, nursing, and behavioral health groups said the bill would help address workforce shortages and make New Mexico more competitive. Committee members asked about the inclusion of physician assistants, the 90-day start requirement, anti-donation concerns, tax treatment, tribal and IHS providers, and whether the 50% physician set-aside would leave enough for other professions. After discussion, the committee voted 10-0 to send the bill forward with a do-pass recommendation.

Transcript Highlights:

• So when you're trying to figure out what is going on with a patient or a patient is trying to figure
• So when you're trying to figure out what is going on with a patient or a patient is trying to figure
• And to clarify too, patients aren't receiving...
• The overall spend in Michigan per patient for the complex patient population is lower.
• There shouldn't be step therapy for these chronically ill patients.

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

Committee: Senate Health and Human Services

Transcript Highlights:

• Bill SB 796 is a threat to patient safety, the veterinary workforce, and the careers of students like
• So the charge to the actual patient, or, well, obviously the client of the patient or the partner or
• the patient or owner, however you want to describe how you're going to own your pet.
• If somebody—if I am misinterpreting and you would prefer to speak, let me know.
• If somebody, if I am misinterpreting and you would prefer to speak, let me know.

Bills: S0302 , S0394 , S0480 , S0546 , S0636 , S0774 , S0796 , S1028 , S1050 , S1066 , S1120 , S1230 , S1288 , S1682

Committee: Senate Appropriations Committee on Agriculture, Environment, and General Government

Summary: The committee heard and advanced several bills, beginning with CS/SB 796, which would create Veterinary Professional Associates as a new supervised veterinary role, expand telehealth prescription timeframes, and set training and scope limits. Supporters said it would improve access to care, lower costs, and create a career path, while opponents argued the proposal lacked a clear regulatory framework, could create liability and federal-law conflicts, and would not address the real shortage in rural large-animal practice. After debate, the committee reported the bill favorably. Members also heard and favorably reported SB 1682 on local authority over derelict and abandoned vessels, CS/SB 1028 on a commercial Citizens clearinghouse for property insurance, SB 394 on exempting certain reinsurance underwriting managers from licensing, SB 636 on beach management and erosion designations, CS/SB 546 on public notice for conservation land sales or exchanges, CS/SB 302 on Biscayne Bay nature-based solutions and related coastal resiliency provisions, SB 1050 on pharmacy choice for pet medications, and SB 774 extending workers’ compensation benefits to 911 public safety telecommunicators for mental and nervous injuries. Testimony on these bills generally focused on access, regulatory clarity, environmental protection, or workforce support, with some concerns raised on insurance consumer protections and beach-management language. Senator Harrell’s bills were also taken up and reported favorably: CS/SB 480, a major overhaul of state IT governance creating DIGIT and new procurement, reporting, and workforce structures; CS/SB 1230, restricting PFAS-containing firefighting foam and adding testing, inventory, and disposal requirements; and CS/SB 1288, a naming bill designating the Andrew Red Harris Shoal and requiring markers. Finally, the committee heard extensive testimony on SB 1066 regarding restoration of the Oklawaha/Rodman system, with supporters emphasizing ecological restoration, flood-risk reduction, and economic benefits, and opponents warning about local impacts, water quality, and the loss of a world-class fishery. The transcript ends during testimony on that bill, before final action is shown.

Transcript Highlights:

• </c> need to disclose that to patients. need to disclose that to patients.
• and not to patients of other providers.
• and not to patients of other providers.
• and not to patients of other providers.
• </c> separating out from the patient separating out from the patient individualized<00:31:21.120><c>

Committee: Senate Health and Human Services

Summary: The joint HHS and LBT meeting opened with accessibility concerns, as several blind attendees arrived after the general public had already been seated. The chair apologized and said future hearings would try to seat blind members earlier. The committee also announced the hearing was being streamed on YouTube, testimony would be limited to one minute, and written testimony was available online. The first bill heard was SB 2281, relating to the use of artificial intelligence in healthcare. The Department of Health supported transparency for patients but preferred disclosure through provider websites and office signage rather than a new regulatory program. The Hawaii Medical Association and Healthcare Association of Hawaii generally supported the bill’s intent but raised concerns about administrative burden and suggested a working group or model policies. Hawaii Pacific Health said it already uses AI for note-taking and patient portal functions and worried that written notice requirements could create too much consumer information. In response, the chair emphasized that patients should be informed when AI is used, especially if it affects diagnosis or consequential decisions, and said AI should not be making medical decisions. The committee later voted to recommend SB 2281 pass with amendments, including narrowing the definition of consequential decisions, removing certain language requested by DOH, adding a two-year implementation period, and setting a far-future defective date for further discussion; both committees adopted the recommendation, with the chair voting aye and the vice chair voting with reservations. The second major bill was SB 2852, a civil rights measure focused on digital access for people with disabilities. The Hawaii State Council on Developmental Disabilities, Hawaii Civil Rights Commission, Hawaii Disability Rights Center, and the National Federation of the Blind of Hawaii all supported the bill, arguing that existing law clearly protects physical access but should also make digital access explicit. Blind testifiers described how accessible technology, such as VoiceOver on iPhones, allows them to participate independently in public processes and warned that inaccessible digital systems can create barriers for thousands of blind residents. One testifier, an attorney with disability-law experience, supported the bill’s intent but said the draft had flaws, including no exceptions for archived materials, no distinction between small and large businesses, and concerns about the timing and choice of accessibility standards; he suggested delegating regulatory authority to the Hawaii Civil Rights Commission. The bill’s sponsor said he supported DAB’s proposed amendments, and the committee indicated those amendments would address many of the concerns raised. No final vote on SB 2852 was taken in the portion provided. The committee then took up SB 2751, which defines compounded prescription drugs for workers’ compensation purposes. The Department of Labor and Industrial Relations supported the bill but requested clarifying amendments to keep pharmacists as the primary professionals authorized to compound in licensed pharmacies and to limit any physician compounding authority to the physician’s own patient. Supporters included the Work Injury Medical Association of Hawaii, while Solera Integrated Medical Solutions opposed the measure, arguing the current definition was already broad enough and warning about cost inflation, especially with 503B bulk compounding facilities and physician dispensing. In questioning, members asked about rural access, reimbursement for 503B products, and late testimony suggesting definitions for 503A and 503B facilities, limits on physician dispensing to 30 days post-injury, and pre-approval for non-FDA-approved drugs. DLIR said not every rural community has licensed pharmacists available, that products with a national drug code are reimbursed at 140%, and that 503B facilities raise concerns because they are bulk manufacturers rather than patient-specific compounding operations. The meeting then moved into decision-making on SB 2281; the chair’s pass-with-amendments recommendation was adopted by both committees, with the vice chair voting with reservations.

Transcript Highlights:

• satisfaction and actual patient reimbursement.
• There was a 1% decline in CMS patients—Medicare and Medicaid patients—in short-term private equity hospitals
• patients' access to care or fair compensation.
• Patients who may be the object of a medical malpractice act.
• We have patients that need access to justice.

Bills: HB99 , HB49 , HB164 , SB30 , SB43 , SB50 , SB136

Committee: House House Judiciary

Summary: The committee first took up House Bill 99, which would make changes to the Medical Malpractice Act, especially around punitive damages. The chair and sponsor said the bill would not be voted on that day and that public comment would wait until Monday, when a fuller presentation and any recommended substitute would be considered. Dr. Brooke Baker, a physician-lawyer, gave a long presentation on physician wellness, malpractice stress, and the effect of litigation on staffing and burnout, while also discussing hospital ownership structures, private equity, and rural hospital vulnerability. She argued that punitive damages are often pled too broadly in New Mexico, that the amendment language was unclear about which entities would be capped, and that better oversight and internal quality systems—not punitive damages—are the better tools for addressing bad actors and unsafe care. Committee members from both sides asked extensive questions about the patient compensation fund, indemnification, corporate structures, the effect of caps on insurance and recruitment, and whether the bill would protect physicians’ personal assets. No vote was taken on HB 99, and the committee recessed before moving to the next bill. The committee then returned to House Bill 49, a public safety measure increasing penalties for felons who possess firearms. The sponsors and law enforcement witnesses said the bill is aimed narrowly at serious violent felons who are already prohibited from having guns, and that it would align state sentencing with federal law and give police and prosecutors a stronger tool against repeat violent offenders. An amendment was offered to narrow the bill further, add destructive devices, and make the offense a second-degree felony rather than escalating to first degree on repeat offenses. The amendment was adopted without opposition. Public testimony on HB 49 was largely opposed. The Law Office of the Public Defender argued the bill criminalizes possession without a new act of violence, that current law already punishes felon-in-possession conduct, and that New Mexico has repeatedly increased penalties without evidence of reduced gun crime. The ACLU of New Mexico also opposed the bill, saying increased penalties are not a proven deterrent. The transcript cuts off as additional online opposition testimony was beginning.

Transcript Highlights:

• It is a patient safety measure, and I ask your support. Madam Chair, I would support the amendment.
• It is a patient safety measure HHS bill.
• </c> behalf of tens of thousands of patients behalf of tens of thousands of patients that<01:11:57.040
• Different patients and they receive the difference as revenue that they are able to draw in.
• I would say that this provision was brought to us as a patient impact.

Committee: Senate Taxes

Transcript Highlights:

• </c><00:48:49.680><c> I</c><00:48:49.920><c> think</c> patients. Number one, right?
• I think patients. Number one, right?
• <00:58:21.920><c> and</c><00:58:22.240><c> who</c> patients and who patients and who patients<00:58:25.119
• And I have had a patient who said they paid $1,000 for two pens.
• who said they paid $1,000 for a patient who said they paid $1,000 for two<01:12:30.640><c> pens.

Bills: HB0003 , HB0117 , HB0041

Committee: House Labor, Health & Social Services

Transcript Highlights:

• to patients outside of Minnesota.<00:03:53.920><c> This</c><00:03:54.080><c> is</c><00:03:54.319><c>
• Um they were a little more... their preference was to be in an omnibus bill.
• Um, they were a little more... their preference was to be in an omnibus bill.
• </c><00:45:03.200><c> place</c> risk and undermine trust patients place risk and undermine trust patients
• We should always be trying to make health care encounters safer for people, for patients.

Committee: Senate Health and Human Services

Transcript Highlights:

• </c> coverage for insurance or the patient coverage for insurance or the patient don't<00:10:49.279><
• Well, okay, then I would prefer to just defer it, frankly, because there needs to be a way for a patient
• Well, okay, then I would prefer to just defer it, frankly, because there needs to be a way for a patient
• Well, okay, then I would prefer to just defer it, frankly, because there needs to be a way for a patient
• </c><00:41:13.680><c> go</c> treatment we have had patients go treatment we have had patients go through

Committee: Senate Health and Human Services

Summary: The Health and Human Services Committee heard testimony on several health-related measures, with most of the discussion focused on SB 1419, SB 1494, and SB 1495, which were taken out of order to accommodate ASL/Death Blind Task Force testimony. SB 1419, relating to Act 253 (Session Laws of Hawaii 2023), drew support from the Department of Human Services and the National Federation of the Blind of Hawaii, with testimony emphasizing use of the term “low vision” and support for the program timeline. The committee later recommended passage with amendments, including technical changes and updated appropriation fiscal years, and the motion was adopted unanimously by the members present. SB 1494, concerning hearing aids, drew broad support from disability advocates and others who argued that hearing aids improve health, reduce accidents, and may help reduce dementia risk. Testifiers also urged that the bill define hearing aids as prescription hearing aids rather than including over-the-counter devices, and the Department of the Auditor and Insurance Division raised cost and coverage questions. The committee recommended passage with amendments, changing the coverage approach to optional coverage similar to vision and dental and requesting a sunrise analysis for prescription hearing aids; that recommendation was adopted. SB 1495, which exempts hearing aids from the general excise tax, also received support, while the Attorney General flagged a possible single-subject issue and the Tax Department estimated a potential $1.1 million revenue impact. The committee recommended passage with amendments, including deletion of the challenged language, technical fixes, and noting the revenue estimate; that recommendation was adopted. The committee then moved through additional measures with mostly supportive testimony. SB 1421 on medical records prompted questions about what happens when a solo practitioner dies or closes practice, and the discussion centered on ensuring patients can obtain records, including a proposed amendment requiring a successor provider to send records to the patient’s last known address. SB 1422, dealing with a special fund and vital statistics funding, was supported by the Department of Health, which said the special fund did not meet criteria and that deposits should instead go to the Vital Statistics Improvement Special Fund. SB 1423 on certificate of need exemptions for Department of Health facilities drew support, with discussion of possibly extending exemptions to dialysis and behavioral health/psychiatric services; the Department indicated it would not oppose that change. SB 1424 on credentialing of health care providers also received support, and SB 1425 on the State Emergency Medical Services Committee focused on reducing quorum requirements because many members are active first responders and cannot always attend meetings. The committee also heard support for SB 1426 on emergency medical services, SB 1431 on viral hepatitis, and SB 1433 on harm reduction, with testimony on hepatitis outreach funding and syringe access best practices; for SB 1433, the Department of Health identified a blank in the bill and recommended a six-month period for the syringe-possession exception.

Transcript Highlights:

• So whichever way you prefer to look at those materials, that information is there for you.
• ><c> look</c><00:03:28.080><c> at</c><00:03:28.239><c> those</c> way you prefer to look at those way
• you prefer to look at those materials,<00:03:29.040><c> that</c><00:03:29.280><c> information</c><00:
• safety and uh living meet patient safety and uh living standards.
• Uh I would prefer it good way to do it.

Summary: The meeting was the first of the year for the Capital Planning Advisory Board. Members were called, a quorum was confirmed, new co-chairs and members were welcomed, and the board approved the prior year’s meeting minutes. The chair also reviewed the capital planning timeline, packet organization, and the list of agencies that submitted plans but would not testify. The Cabinet for Health and Family Services presented first, outlining priorities centered on public safety, protecting existing infrastructure, preventive maintenance, and improving service delivery. Its major requests included a $21 million maintenance pool for 14 campuses and 175 buildings, phase 2 construction funding for a new public health laboratory, an 18-bed psychiatric hospital for children and adolescents with severe mental health needs, and several projects at Western State Hospital, Western State Nursing Facility, Hazlewood, and Oakwood. Members asked about the youth facility’s relationship to a separate DJJ project, vacant buildings, the high per-bed cost of the children’s hospital, and how the cabinet determined the need for the youth facility. CHFS said the youth project would be a separate facility serving high-acuity youth, the cost reflected the specialized nature of the unit and an 18-bed cap, and the broader youth plan also includes prevention, in-home services, and coordination across agencies. The Kentucky Department of Education then described projects for its three state-operated facilities: the Kentucky School for the Deaf, the Kentucky School for the Blind, and the FFA leadership training center. It requested additional funding for the FFA classroom and activity building after bids came in higher than expected, plus funding for a new education finance application system to support SEEK budgeting. Other priorities included a maintenance pool, FFA pool renovation, electrical upgrades, campus education enhancements, lighting improvements, safety and security work, door and window replacements, and HVAC maintenance. Members asked about student outcomes, the size of the FFA pool, and construction cost assumptions; the department said it tracks students through the schools and short-course programs, the pool size figure may have been a typo, and current construction estimates are being adjusted upward because of inflation and supply-chain pressures. The Education and Labor Cabinet began its presentation with 12 priority projects, including a state labor exchange system to connect job seekers and employers, renovation of the McDow Vocational Rehabilitation Center, and a new adult education and family literacy management information system. The cabinet said the labor exchange would help match workers with employers at no cost, while the McDow renovation was needed because the 30-year-old facility has safety and code concerns. The adult education system was described as outdated and lacking adequate case-management and tracking capabilities.

Transcript Highlights:

• It's a primary access point for patients and staff and ambulances, and today it lacks signal control
• It is shovel-ready, and it protects patients, families, and health care workers.
• It protects patients, families, and health care workers.
• I want to acknowledge the effort of your staff in this committee working with us and being patient as
• Vicki Giles-Ferberry said that, based on the preference expressed by a majority of the association's

Summary: The Senate Transportation Committee held public hearings on three bills: SB 6225, a proposed substitute bond bill authorizing transportation funding bonds; SB 6005, the proposed substitute supplemental transportation budget; and SB 6354, a bill to expand access to electric vehicles through limited direct sales by qualifying EV-only manufacturers and changes to the documentary service fee. Staff explained that SB 6225 would authorize $1.1 billion in general obligation bonds, an additional $400 million for selected Move Ahead Washington highway projects, a $500 million increase in SR 520 bond authority, and the expiration of some older unused bond authorizations. For SB 6005, staff described a $17.5 billion supplemental budget with $1.5 billion in new funding, including reappropriations, preservation and maintenance spending, ferry investments, Climate Commitment Act-related adjustments, and a six-year balanced plan through 2031. For SB 6354, staff outlined the direct-sales framework for qualifying EV manufacturers, dealer licensing requirements, penalties for violations, and a fee increase that would direct revenue to EV rebates and multimodal transportation. Testimony on the budget and bond bills was broadly supportive from transit, local government, labor, construction, ports, and climate advocates, who praised preservation funding, ferry investments, safety programs, EV charging, rail electrification, and flood-response or local project funding. Several witnesses asked for specific project or account changes, including support for Skagit Transit, Day Road and Poplar Way bridge-related funding, Spokane TMC operating support, Kent corridor funding, and additional rail capital projects. Some speakers also urged more Climate Commitment Act funding for EV rebates, charging, and rail electrification, while others warned against deeper cuts to local programs and stressed the need for long-term preservation and bonding to stabilize the system. Testimony on SB 6354 was sharply divided. Rivian, Lucid, and several Washington auto dealers supported the bill as a compromise that would allow limited direct sales for EV-only manufacturers while preserving franchise protections and generating revenue for EV rebates. Climate advocates supported the bill as a way to accelerate EV adoption and asked that more of the fee revenue go to instant rebates for low-income buyers. In opposition, the Alliance for Automotive Innovation and Honda argued the bill creates unequal rules, weakens the franchise system, and was not the product of a true compromise. The committee announced that SB 6225 and SB 6005 would be in executive session Thursday at 8 a.m., with amendments due by noon the prior day, while SB 6354 would be scheduled for executive action later.

Transcript Highlights:

• That means fewer paying patients, more bad debt, and more charity care.
• That means fewer paying patients, care.
• S.190 is pro-patient and it is pro-hospital. I did want to describe something else that happens.
• </c><01:59:21.520><c> So,</c> uh we preferred to have those taken.
• So, uh we preferred to have those taken.

Transcript Highlights:

• Why are we not contemplating taking that $5 billion, or actually I would prefer $4... more.
• These are patient investments, and they've quietly outperformed public stocks and bonds. and cash for
• a new tool—one that complements those grant programs with something just as important. powerful: patient
• funds. ...and it's based on the size and the number of trauma runs as well as the number of trauma patients
• So if you're having to be transported and drive for six... an hour, that puts that patient at great risk

Bills: HB 104 , HB2054 , HB3459 , HB3745 , HB4486 , HB4488 , HB4601 , HB104

Committee: House Appropriations

Transcript Highlights:

• </c> micromanage the doctor patient micromanage the doctor patient relationship<00:25:09.520><c> so</
• </c> that are administered when a patient that are administered when a patient comes<01:27:12.480><c>
• </c><01:29:54.880><c> def</c> big farmers in industry preferred def big farmers in industry preferred
• patients patients patients and<01:30:10.880><c> again</c><01:30:11.360><c> I'd</c><01:30:11.560><c>
• </c> Medicare um percentage in their patient Medicare um percentage in their patient mix<01:55:34.159

Committee: Senate Health and Human Services

Transcript Highlights:

• What do the service providers, the patients, the advocates, the people, the boots on the ground, what
• On them, how many patients they serve, what kind of services they provide, get us all that.
• I would shoot, I'm tempted to shoot from the hip and say yes or no, but I would prefer to really lean
• I'm just saying that would be my preference, but I understand where it's coming from.
• But that would just be my preference, my suggestions. Thanks, Mr. Chairman.

Committee: Senate Senate Finance

Transcript Highlights:

• I mean, that is the preferred way.
• I mean, that is the preferred way.
• I mean, that is the preferred way.
• </c> impetus behind what all of these patient impetus behind what all of these patient in<03:54:14.600
• </c><04:08:45.960><c> from</c> but we know there preferences from but we know there preferences from

Committee: House Health, Human Services & Elderly Affairs

Transcript Highlights:

• But we hear from patients across the state often.
• But clinicians now can give patients hope, which is something they didn't have before.
• But clinicians now can give patients hope, which is something they didn't have before.
• The patient load is so high. And it's not a knock against the docs. They've got so many patients.
• , then they can see the new patients or the new concerns, but... ...follow the patients, then they can

Committee: All ALZHEIMER'S DISEASE AND DEMENTIA ADVISORY COUNCIL

Transcript Highlights:

• So, I hope you will all be patient.
• Patients may miss life-saving options.
• Patients may miss life-saving options.
• </c> That's for long-term care patients. That's for long-term care patients.
• </c> prefer standing up. prefer standing up. &gt;&gt; That's<01:23:42.480><c> fine.

Bills: SB3263 , SB3261

Committee: Senate Education

Summary: The joint Senate Committee on Education and Committee on Health and Human Services heard testimony on several bills related to student health and safety, University of Hawaii programs, and workforce development. For SB 2969, which would appropriate funds for the University of Hawaii to expand and sustain the Maui Wildfire Exposure Study and Maui Health Registry, testimony was overwhelmingly supportive. Witnesses described the ongoing physical and mental health impacts of the August 2023 Maui fires, said the study has identified serious untreated conditions and connected participants to care, and emphasized its role in serving survivors and training students. The committee also heard support from the Department of Health, the Alzheimer’s Association, the American Lung Association, Maui residents, and study staff. No vote was taken during the hearing. The committee then heard SB 2657, which would establish an Alzheimer disease and related dementia research center at the University of Hawaii John A. Burns School of Medicine. University of Hawaii and Alzheimer’s Association representatives supported the bill, saying a local center would improve coordination of existing research, build state capacity, and help Hawaii compete for future NIH designation and federal funding. A family member affected by Alzheimer’s also testified in support, citing the disease’s impact in Hawaii. In response to questions, the university said the proposal would follow a five-year phased plan, with the first year funding used to recruit a senior neuroscientist and staff person, at an estimated cost of about $375,000, and that the effort would still strengthen Hawaii’s research infrastructure even if federal funding is not secured. For SB 2612, which clarifies immunity for Department of Education employees and agents who assist students with medication administration under certain conditions, the Department of Education said the bill is intended to protect volunteers and help ensure students can participate in school activities even when staffing is limited. The committee discussed how volunteers would be selected and whether every school would have someone available, and DOE said schools currently rely on health attendants, nurses, and trained volunteers. The committee also briefly discussed liability language and gross negligence exceptions. The hearing then moved to SB 2412, which would fund a bachelor’s degree program in sign language and sign language interpretation at UH Mānoa with a future master’s pathway. Testimony from interpreters, educators, and university officials emphasized the shortage of interpreters, the need to retain local talent, and the program’s role in building a pipeline; university representatives said the initial request would fund a faculty/staff position as a first step, with additional funding needed later. No final committee action or votes were announced in the transcript.