Transcript Highlights:

• So whether it be Medicaid or roads and bridges, it will be a question that everyone will have to grapple

Bills: HF3379

Keywords: housing stabilization, disability services, predatory funding, provider requirements, housing accessibility, 1183, house

Transcript Highlights:

• A lot of the work that's been done, it probably heard it farm to food bank, uh, bridges on Hawaii Island

Bills: HB2488, HB2456

Keywords: disability, communication access, deaf, hard-of-hearing, deaf-blind, healthcare, sign language interpreters, auxiliary aids, weight loss, GLP-1 drugs, obesity, Medicaid, healthcare costs, 910, house, all

Summary: The committee heard testimony on HP 1972, which would create a nonrefundable family caregiver tax credit, and on a related tax measure to increase the existing dependent care tax credit. Supporters of HP 1972, including AARP, the Executive Office on Aging, the Hawaii Public Health Institute, Hawaii Children’s Action Network, and others, said unpaid caregivers are essential to keeping kūpuna and other loved ones at home and described significant out-of-pocket costs. The Department of Taxation and the Tax Foundation raised technical concerns, including the need to avoid overlap with existing credits and to prevent double-dipping. The department said taxpayers can claim credits to the extent allowed, but recommended explicit language barring the same costs from being claimed under more than one credit. No vote was taken in the excerpt, and the chair moved the bill along after questions. The committee then heard HP 1975, which would repeal the sunset on the state rent supplement program for kūpuna. AARP, Catholic Charities Hawaii, the Executive Office on Aging, and others supported making the program permanent, saying it helps low-income older adults avoid eviction and homelessness and allows them to remain in affordable housing. Catholic Charities described clients who were paying unsustainable shares of income for rent before receiving the supplement. Members also shared a constituent example of an elderly retiree who needed the subsidy to stay housed. Written support was noted from additional organizations and individuals. Next, the committee took up HB 1706, which would expand Medicaid prospective payment reimbursement to include mental health services furnished in federally qualified health centers and rural health clinics by mental health professionals under supervision. The Office of Hawaiian Affairs supported the bill, and DHS said it appreciated the intent to address workforce shortages and expand training, but cautioned that unlicensed professionals cannot currently bill Medicaid and that a state plan amendment would be needed, with limited precedent for approval. Members asked about the likelihood and timing of federal approval and whether the bill could help rural areas; DHS said approval is uncertain and the process can take time, though it saw possible alignment with the state’s rural health transformation efforts. The committee also discussed HB 546, a three-year health coverage continuity pilot program for people losing Medicaid coverage. DHS, the Attorney General’s office, DCCA, Catholic Charities, the University of Hawaii, and others testified, with DHS warning that federal changes could increase uninsured rates and that the state may need to act quickly. Catholic Charities and others emphasized the risk to Medicaid recipients, including homeless and near-elderly residents, while DHS explained the state’s existing premium assistance program for certain immigrants and compared it to the proposed pilot. The excerpt ends during discussion of that comparison, with no vote shown.

Transcript Highlights:

• — the port had some record-breaking tonnage, or container ships, that came in this year after the bridge

Keywords: Senate streaming session for Tuesday, February 3, 2026, 960, senate, all

Summary: The Senate opened with an invocation by Reverend Dr. Patrick Claybourne of Bethl AM Church in Baltimore, introduced by the senator from the 40th district, who highlighted the church’s long history, community work, scholarships, food pantry, school partnerships, and a planned rise center. The Senate journalized the invocation and then recognized several guests, including the Bethesda Roosters U16 rugby team, which was congratulated for winning the Maryland state title and the 2025 National U16 Championship, and members of the Joint Veterans Committee of Maryland. The chamber also welcomed a Johns Hopkins Police Accountability Board appointment letter, which was referred to the Executive Nominations Committee, and later a delegation from the Ghana Parliament legislative staff visiting with the Department of Legislative Services and NCSL representatives. The main floor business centered on Senate Bill 1, which would prohibit law enforcement officers from wearing face coverings. The minority whip argued against the bill, saying it was unenforceable, an improper use of legislative time amid other state crises, and could create a system where local officers detain federal officers for a civil violation; he also said officers mask themselves because of threats and doxxing. Senators in support argued the bill was needed to address masked ICE agents, protect public safety, and respond to concerns about civil rights abuses and intimidation. After debate and vote explanations from senators, including one emphasizing immigrant heritage and another supporting the bill as a protection measure, SB 1 passed with 31 affirmative votes. The Senate then passed Senate Bill 17, an emergency bill on alcoholic beverages related event promoters permits, by unanimous affirmative vote. It next took up Senate Bill 245, an emergency bill prohibiting immigration enforcement agreements. The minority leader questioned whether the bill would eliminate formalized 287(g) agreements and replace them with county-by-county policies, arguing that this could reduce uniformity, weaken safety, and create a patchwork of local practices. The bill’s sponsor responded that counties would still be bound by constitutional and legal limits, that the agreements provide minimal training and resources, and that the state should stop formally cooperating with federal immigration enforcement. The sponsor also said the bill would not increase profiling and that public safety would remain intact. The debate continued with concerns about Montgomery County’s evolving policy and the impact on smaller counties, but the transcript ends before final action on SB 245.

Transcript Highlights:

• Sam Bridges. >> Good afternoon, members of the committee. My name is Sam Burgess.

Keywords: 1191, senate, all

Transcript Highlights:

• city of Austin that impacts the flow. ...of traffic on Congress Avenue between the Capitol and the bridge

Bills: HB46, HJR35, HJR47, HJR182, HB 113, HB983, HB4847, HB1449, HB3833, HB5151, HB265, HB1845, HB782, HB 108, HB1960, HB158, HB1954, HB1955, HB2512, HB605, HB2581, HB2803, HB627, HB2667, HB1738, HB636, HB3679, HB2638, HB2655, HB871, HB2438, HB 1107, HB1765, HB1822, HB2153, HB4099, HB3732, HB3171, HB3178, HB3182, HB3749, HB2814, HB3977, HB4204, HB4207, HB4449, HB1820, HB1876, HB1939, HB1347, HB2593, HB2136, HB2132, HB2658, HB2413, HB2757, HB2080, HB3154, HB3063, HB3009, HB3448, HB3006, HB2844, HB3241, HB3680, HB3169, HB2078, HB2507, HB4559, HB3946, HB3460, HB3405, HB475, HB3463, HB3441, HB3520, HB2060, HB4731, HB4991, HB1991, HB5596, HB2014, HB2142, HB2673, HB2731, HB2417, HB2399, HB2301, HB3335, HB3234, HB3320, HB5573, HB4848, HB4748, HB4769, HB4795, HB2086, HB2234, HB2203, HB4916, HB5624, HB4505, HB139, HB5093, HB5302, HB5402, HB5606, HB2333, HB4630, HB4701, HB2583, HB2983, HB4924, HB3339, HB3793, HB3631, HB4882, HB5509, HB5499, HB5430, HB5561, HB5611, HB5043, HB5064, HB3733, HB3781, HB3219, HB32, HB4515, HB5348, HR559, HB4506, HB1646, HB3185, HB3388, HB2761, HB3233, HB1534, HB5129, HB5394, HB3619, HB2867, HB3672, HB2434, HB4903, HB3687, HB3675, HB4609, HB4582, HB3866, HB4534, HB2446, HB3984, HB700, HB4088, HB229, SB2419, SB842, SB1257, SB2550, SB996, HB 1186, HB4327, HB3221, HB2588, SB552, HB4870, HB2494, HB3940, HB4838, HB3177, HB1441, SB1841, HB3962, HB2225, HJR112, HB897, HB2695, HB4670, HB3602, HB3317, HB3717, HB3138, HB3704, HB1403, HJR218, HB4921, SJR37, HJR138, HJR144, HB3892, HB4, HB46, HJR35, HJR47, HJR182, HB4234, HB722, HB4136, HB4105, HB4413, HB170, HB551, HB2858, HB3053, HB3142, HB3180, HB3722, HB2200, HB1794, HB1784, HB1581, HB2530, HB4308, HB1896, HB2974, HB3359, HB4580, HB2458, HB2215, HB3332, HB2278, HB3015, HB3151, HB1368, HB40, HB 101, HB 112, HB146, HB168, HB214, HB413, HB1523, HB493, HB521, HB594, HB557, HB305, HB549, HB854, HB 1057, HB 1052, HB842, HB3174, HB3311, HB2486, HB3196, HB824, HB 1039, HB2529, HB2713, HB4936, HB4995, HB4830, HB4864, HB5219, HB5263, HB5154, HB2674, HB5525, HB5623, HB2545, HB2587, HB2625, HB5520, HB5436, HB4926, HB1573, HB5165, HB4811, HB5081, HB4755, HB3179, HB4310, HB4611, HB2159, HB4626, HB3637, HB3153, HB3066, HB2786, HB2966, HB638, HB640, HB876, HB497, HB5539, HB4809, HB5308, HB4687, HB4070, HB4421, HB4412, HB3284, HB3369, HB3420, HB3449, HB4098, HB4281, HB4120, HB4504, HB4370, HB 1106, HB2370, HB2404, HB3863, HB2407, HB2253, HB2273, HB2040, HB1586, HB3788, HB3993, HB4690, HB4309, HB4696, HB2308, HB 1142, HB1533, HB1621, HB2242, HB2012, HB2193, HB2442, HB2464, HB2348, HB2313, HB2289, HB1942, HB2011, HB1629, HB2993, HB3592, HB3824, HB4076, HB4535, HB4623, HB4773, HB 1091, HB5115, HB5515, HB3372, HB5659, HB 127, HB386, HB 115, HB2868, HB 1249, HB4766, HB3720, HB4656, HB4879, HB 105, HB5383, HB4621, HB5431, HB5678, HB5534, HB4174, HB4212, HB3954, HB3966, HB3636, HB3918, HB1422, HB4765, HB4732, HB4742, HB5122, HB4518, HB5084, HB3986, HB4045, HB4144, HB3911, HB3976, HB4473, HB3425, HB3641, HB3642, HB3475, HB3509, HB3424, HB3383, HB4744, HB4531, HB4539, HB3159, HB5228, HB5370, HB4359, HB4398, HB4443, HB4466, HB3861, HB3849, HB4240, HB4706, HB4685, HB5354, HB5141, HB5686, HB3629, HB3554, HB3567, HB2015, HB3575, HB5381, HB1431, HB3514, HB4614, HB4546, HB4683, HB5681, HB5673, HB5663, HB4271, HB4350, HB4035, HB3807, HB3812, HB3552, HB3540, HB3715, HB3710, HB3664, HB4196, HB4233, HB4173, HB1998, HB3333, HB3510, HB4222, HB2070, HB2854, HB2347, HB 113, HB983, HB4847, HB1449, HB3833, HB5151, HB265, HB1845, HB782, HB 108, HB1960, HB158, HB1954, HB1955, HB2512, HB605, HB2581, HB2803, HB627, HB2667, HB1738, HB636, HB3679, HB2638, HB2655, HB871, HB2438, HB 1107, HB1765, HB1822, HB2153, HB4099, HB3732, HB3171, HB3178, HB3182, HB3749, HB2814, HB3977, HB4204, HB4207, HB4449, HB1820, HB1876, HB1939, HB1347, HB2593, HB2136, HB2132, HB2658, HB2413, HB2757, HB2080, HB3154, HB3063, HB3009, HB3448, HB3006, HB2844, HB3241, HB3680, HB3169, HB2078, HB2507, HB4559, HB3946, HB3460, HB3405, HB475, HB3463, HB3441, HB3520, HB2060, HB4731, HB4991, HB1991, HB5596, HB2014, HB2142, HB2673, HB2731, HB2417, HB2399, HB2301, HB3335, HB3234, HB3320, HB5573, HB4848, HB4748, HB4769, HB4795, HB2086, HB2234, HB2203, HB4916, HB5624, HB4505, HB139, HB5093, HB5302, HB5402, HB5606, HB2333, HB4630, HB4701, HB2583, HB2983, HB4924, HB3339, HB3793, HB3631, HB4882, HB5509, HB5499, HB5430, HB5561, HB5611, HB5043, HB5064, HB3733, HB3781, HB3219, HB32, HB4515, HB5348, HCR76, HCR127, HCR9, HCR40, HCR118, HR559

Keywords: low-THC cannabis, dispensing organization, Texas Compassionate-Use Program, medical use, patient access, registration, healthcare, legislation, Grow Texas fund, economic stabilization, infrastructure, oil and gas, constitutional amendment, severance tax, Texas STRONG defense fund, funding, public health, workforce development, revenue transfer, Veterans' Land Board

Transcript Highlights:

• Some counties use the unit road system in which the county judge is able to hire a road and bridge person

Bills: HJR175, HJR88, HB21, HB49, HB216, HB346, HB573, HB565, HB954, HB1953, HB2686, HB1441, HB2734, HB1650, HB3161, HB2876, HB3185, HB3388, HB2761, HB3233, HB 1186, HB1534, HB5506, HB5129, HB3619, HB778, HB2867, HB3221, HB3672, HB2434, HB4903, HB3687, HB3675, HB4609, HB4582, HB4921, HB3866, HB3901, HB4534, HB2446, HB3984, HB700, HB4012, HB4491, HB4088, HB229, HB4234, HB722, HB4136, HB4105, HB4413, HB170, HB551, HB2858, HB3053, HB3142, HB3180, HB3722, HB2200, HB1794, HB1784, HB1581, HB2530, HB4308, HB1896, HB2974, HB3359, HB4580, HB2458, HB2215, HB3332, HB2278, HB3015, HB3151, HB1368, HCR9, HCR40, HB5138, SB17, HB4944, HB2284, HB3421, SB1569, SB2420, SB1968, SB2351, SB2544, SB1490, SB1349, SB1568, SB2776, HB3531, HB2149, HB4327, HB3158, HB3717, HB4520, SB888, SB552, HB3138, HB3704, HB2921, HB4853, HB4506, HB3892, HJR161, HJR175, HJR88, HB1937, HB3334, HB5444, HB5137, HB361, HB321, HB5447, HB464, HB678, HB2294, HB4172, HB3225, HB1769, HB5394, HB1837, HB1787, HB2271, HB2440, HB5134, HB5149, HB2151, HB2073, HB2186, HB2025, HB1936, HB1777, HB1663, HB 1306, HB 1290, HB1527, HB4802, HB3462, HB2963, HB2462, HB2560, HB644, HB2725, HB2621, HB2588, HB1443, HB1403, HB3032, HB1557, HB1664, HB2811, HB2088, HB2598, HB3062, HB3134, HB3940, HB4027, HB4097, HB4862, HB4170, HB4157, HB4205, HB4279, HB4377, HB4838, HB5424, HB5294, HB4870, HB4763, HB5639, HB4112, HB2275, HB1677, HB5014, HB3848, HB3797, HB3727, HB3709, HB3177, HB3057, HB4176, HB4202, HB2180, HB3528, HB3658, HB21, HB49, HB216, HB346, HB573, HB565, HB954, HB1953, HB2686, HB1441, HB2734, HB1650, HB3161, HB2876, HB3185, HB3388, HB2761, HB3233, HB 1186, HB1534, HB5506, HB5129, HB3619, HB778, HB2867, HB3221, HB3672, HB2434, HB4903, HB3687, HB3675, HB4609, HB4582, HB4921, HB3866, HB3901, HB4534, HB2446, HB3984, HB700, HB4012, HB4491, HB4088, HB229, HB4234, HB722, HB4136, HB4105, HB4413, HB170, HB551, HB2858, HB3053, HB3142, HB3180, HB3722, HB2200, HB1794, HB1784, HB1581, HB2530, HB4308, HB1896, HB2974, HB3359, HB4580, HB2458, HB2215, HB3332, HB2278, HB3015, HB3151, HB1368, HCR76, HCR127, HCR9, HCR40

Keywords: constitutional amendment, medium of exchange, currency rights, digital currency, financial autonomy, tax exemption, rainwater harvesting, graywater system, local government, ad valorem taxation, housing finance, multifamily residential, low income, audit requirements, affordable housing, development bonds, oil waste, gas waste, liability, treatment processes

Transcript Highlights:

• the directed dispensing payment for pharmacies, in that the directed payment is intended to be a bridge

Bills: HF2435

Keywords: healthcare, dementia services, public health funding, opioid prevention, women's health, community health boards, mental health, 1183, house

Transcript Highlights:

• So you're just bridging that gap. Yes, exactly. Okay.

Summary: The committee heard testimony on several bills related to reproductive access, child safety online, immigration enforcement in schools, health privacy, location data, digital provenance, reparations, and age assurance. AB 54 would protect the medication abortion supply chain and shield providers and others from liability; AB 1137 would strengthen reporting and enforcement tools for child sexual abuse material on social media; AB 49 would limit ICE activity at California public schools; AB 82 would expand privacy and safety protections for gender-affirming care patients and providers; AB 1355 would restrict the collection, use, and sale of precise location data; AB 853 would expand provenance requirements for AI-generated and authentic content; AB 62 would create a pathway for restitution for racially biased eminent domain takings; and AB 1043 would create a device-based age assurance framework for online services. Supporters generally framed the bills as necessary responses to current harms: reproductive rights advocates emphasized California’s role as a safe haven; child safety witnesses described the persistence and re-victimization caused by CSAM online; immigrant rights and education advocates said schools should remain safe from immigration enforcement; health and LGBTQ+ advocates stressed privacy and safety risks tied to tracking and harassment; privacy and consumer groups backed limits on location data and stronger provenance tools; and reparations advocates said AB 62 would help address historic injustices. Opposition came from family policy, tech, business, law enforcement, and industry groups, who raised concerns about safety claims, constitutional issues, implementation burdens, transparency, law enforcement access, and the need to preserve existing privacy frameworks and voluntary standards. The committee members largely expressed support for the policy goals while noting implementation concerns on some measures. Several members asked for or were offered coauthor status on bills. AB 1137, AB 54, AB 49, AB 82, AB 1355, AB 853, and AB 62 all received do-pass votes to Appropriations, with some members voting no or not voting on certain bills. AB 1355 and AB 853 were advanced with amendments or ongoing work promised with opponents, and AB 1043 was presented with discussion of possible amendments on parental consent and age assurance details, though the transcript cuts off before final action on that bill.

Transcript Highlights:

• We need more bridges.

Bills: HB3772, HB1656, HB4504, HB1896, HB4420, HB4421, HB4076, HB3708, HB2806, HB3540, HB1586, HB5459, HB4553, HB4535, HB3811, HB3749, HB4255, HB4051, HB5098, HB3554, HB4539, HB5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Transcript Highlights:

• HB 2264 is a really sensible approach to bridging that gap and providing better outcomes for our patients

Bills: HB216

Keywords: HB216, Texas abortion law, abortion-inducing drug, medication abortion, mifepristone, misoprostol, telemedicine, in-person exam, physician presence, out-of-state physician, reproductive healthcare, abortion regulation, Health and Safety Code, Occupations Code, consultation services, remote prescribing, pro-life, pro-choice

Summary: The Committee on Public Health met with a quorum and heard public testimony on a long agenda, with members repeatedly reminded of a two-minute limit for witnesses. Several bills were voted out favorably, including HB 2588 on cottage food, HB 1639 on cancer incidence and female firefighters, HB 2581 on a reporting form for contracted services for pregnant women, and SB 922 on electronic disclosure of certain sensitive medical information. Those measures generally passed on party-line or near-unanimous votes, while HB 216 on itemized medical statements was left pending after the committee substitute was withdrawn. The committee also left pending HB 5141, HB 4638, HB 2035, HB 4813, HB 2264, HB 4014, and HB 3829 after hearing testimony and questions. The final item introduced in the excerpt was HB 4408 on health care market transparency and corporate consolidation, but the discussion was cut off before testimony or action was completed. A major theme of the hearing was mental health diversion and access to treatment. HB 5141, by Rep. Howard, would allow Travis County to use vacated Austin State Hospital property for a local mental health jail diversion center; law enforcement, the Travis County sheriff, county judge, and urban counties group all testified in support, describing the lack of alternatives for people in crisis and the burden on jails and emergency rooms. Members asked about eligible offenses, bed capacity, and whether the facility would serve only Travis County, and the bill was left pending. HB 2264, by Rep. Schoolcraft, would create a friends-and-family form for loved ones to provide information to providers during emergency mental health treatment; NAMI and hospital groups supported it, while one neutral witness and several members raised concerns about patient control, credibility of information, and liability protections. The bill was also left pending. The committee also heard multiple psychedelic-therapy and drug-policy bills. HB 4813 would speed Texas rescheduling of Schedule I substances if the FDA reclassifies them, with testimony focused on psilocybin and MDMA and their potential use for PTSD and depression; members questioned whether the bill was too broad and how state rescheduling works, and it was left pending. HB 4014 would direct HHSC to study psychedelic therapies, building on prior state research, and witnesses said Texas should prepare regulatory and clinical infrastructure before FDA approval; it too was left pending. HB 2035 would require parents to be informed that they may seek substance-use treatment for a child even if one facility turns them away, prompted by a constituent’s account of a fatal fentanyl overdose after receiving incorrect advice; it was left pending. HB 4638 would extend and expand the Texas Pharmaceutical Initiative board and timeline, with the author saying the program is still in early implementation and needs more time, and it was left pending as well. Other bills addressed public health administration and animal welfare. HB 3829 would require a study of the animal-friendly account and its grant process for spay/neuter funding, with the author arguing that the current application and reimbursement process is too burdensome for shelters and nonprofits; no opposition was heard and the bill was left pending. HB 2581 and HB 1639 were reported favorably, while HB 216 drew discussion about enforcement of itemized medical billing and was held after the committee substitute was withdrawn. Throughout the hearing, members also discussed broader concerns about homelessness, competency restoration waitlists, jail overcrowding, and the need for more treatment options outside the criminal justice system.

Transcript Highlights:

• HB 2984 will bridge the gap between the time of driving and when the breath or blood sample is collected

Summary: The committee first took up House Bill 2777 by Representative Rose, which would bar the death penalty for defendants who can prove by clear and convincing evidence that they had schizophrenia or schizoaffective disorder and active psychotic symptoms at the time of the offense. Rose said the bill would still hold defendants accountable through life without parole, would save money by avoiding lengthy capital litigation, and would address cases where severe mental illness was not adequately considered. Supporters from NAMI Texas, the Catholic bishops, and a forensic psychologist said the bill is narrowly tailored, consistent with neuroscience and moral principles, and would prevent executions of people whose psychosis substantially impaired reality testing. Committee members questioned how the bill interacts with existing competency and insanity law, whether the diagnosis is sufficiently defined, and whether the statute requires active psychosis at the time of the offense. An opponent argued the death penalty should remain available for juries to decide in all cases. The bill was left pending. The committee then heard House Bill 1221 by Representative Lozano, which would raise the cap on pretrial intervention program fees from $500 to $1,200. Lozano and a district attorney witness said the increase is needed because program costs have risen and the fees help make diversion programs self-sustaining, allowing first-time or low-level offenders to complete rehabilitation and potentially obtain expunction. Opponents from the Texas Fair Defense Project argued the higher fee could make diversion unaffordable for indigent defendants and undermine an important alternative to incarceration, especially where related supervision and monitoring costs already add up. Members discussed whether the fee applies only to PTI participants, how payment plans and waivers work, and whether ability to pay should be addressed more explicitly. The bill was left pending. Finally, the committee heard House Bill 1738 by Representative Jones, which would repeal Penal Code Section 21.06 and related Health and Safety Code references concerning homosexual conduct. Jones said the law is unconstitutional under Lawrence v. Texas, remains harmful on the books, and has led to confusion and unnecessary costs even though it is unenforceable. Supporters said the bill simply removes outdated language and protects civil liberties, while opponents from Texas Values argued the statute still serves as a statement that homosexual conduct is unacceptable and should remain as a warning, even if unenforceable. Members debated whether the law’s remaining language is merely symbolic or still harmful, and whether other criminal statutes already cover conduct such as prostitution, incest, and offenses involving minors. The bill was left pending after testimony.

Transcript Highlights:

• parent-to-caregiver relationships, increase the focus on child development and decision-making, and bridge

Bills: HF1367, HF2732, HF1897, HF1424, HF1383, HF2728, HF2863, HF1685, HF2929

Keywords: child maltreatment, child abuse, neglect, physical abuse, sexual abuse, sex trafficking, labor trafficking, human trafficking, child protection, local welfare agency, county social services, Minnesota Department of Human Services, judicial review, district court appeal, venue, out-of-state abuse, cross-border investigation, Minnesota child welfare, family assessment, maltreatment determination

Transcript Highlights:

• Minnesota's healthcare interpreting community plays an important role in bridging language barriers between

Keywords: 1183, house

Transcript Highlights:

• Amanda Lily Bridge, in strong support. Thank you. Vicky Farmer. Aloha, my name is Vicky Farmer.

Keywords: 910, house, all

Summary: The Committee on Health heard testimony on several bills. On SB 1441, which would repeal the transfer of the Oahu Regional Health Care System from HHSC to the Department of Health, the Department of Health said it strongly supports the measure and requested clarifying amendments. HHSC/Oahu Region also supported the bill and said it had no objection to the department’s amendments. In response to questions, witnesses said the agencies have been working on an MOU to support transfers of long-term care patients to Leahi, with the current goal being about 10 to 15 patients, but transfers would occur only as space and staffing allow; one patient was reportedly being admitted at the time, and the process was described as slow and case-by-case. The committee then heard SB 1443 on payment rates for state hospital patients and related Department of Health services. The hospital administrator said the bill would allow rates above Medicaid for community or foster-home placements if patients cannot be placed at Leahi or elsewhere, and would set Medicaid-level reimbursement for outside medical services used by state hospital patients. He said at least one provider was interested in offering services at that rate and that the population involved is largely non-ambulatory long-term care patients. Members asked about availability and training, and the witness said special training could be provided. SB 1322, a broad mental health bill, drew mixed testimony. The Department of Law Enforcement supported giving crisis-intervention-trained officers more discretion to transport people to medical care instead of arresting them. The Attorney General supported the bill but recommended revisions to emergency-transport language and restoring liability protections. HHSC and Queens Hospital supported the overall goal but sought amendments to preserve the mental health emergency worker role in decision-making and to avoid negative impacts on emergency departments. The Disability Rights Center and ACLU opposed parts of the bill, arguing that it weakens due process, reduces protections in involuntary treatment and transport, and should retain a three-person treatment panel rather than reduce it to one. A Queens representative said the current program works well and reported that more than 90% of MH1 cases once went to hospitals, but that figure has dropped to about 60-70%, with about 20% now diverted to community settings or the behavioral health crisis center. No votes or final committee actions were taken in the portion provided.

Transcript Highlights:

• to look at increasing or developing new academic programs, but that $50 million was some valuable bridge

Keywords: 1183, house

Transcript Highlights:

• I think the answer to that is we cross that bridge when we get there.

Keywords: 1187, senate, all

Transcript Highlights:

• And this bill is attempting to bridge that gap rather than put kids further at risk, who would, as we've

Keywords: 1183, house

Transcript Highlights:

• State governments are building public-private partnerships to bridge the gap between health care and

Keywords: 1187, senate, all

Transcript Highlights:

• especially from communities of color, seek support from doulas and/or midwives specifically to help bridge

Keywords: 1187, senate, all

Transcript Highlights:

• So, please identify yourself for the record and give us your sort of bridge to today. Thank you.

Keywords: 1183, house