Bills: HB40, HB1916, HB1973, HB2524, HB2530, HB3180, HB3421, HB3783, HB4170, HB4213

Keywords: business court, civil procedure, litigation, jurisdiction, arbitration, divorce, property division, family law, court jurisdiction, marital assets, parent-child relationship, birth certificate, identity proof, Family Code, court process, attorney fees, court costs, legal expenses, dispute resolution, child support

Summary: The committee considered several House bills dealing with family law and civil procedure. House Bill 1916, concerning a court’s jurisdiction in suits to divide property not divided on dissolution of marriage, was reported favorably on a 4-0 vote and recommended for the local and uncontested calendar. House Bill 1973, addressing proof of the identity of a child’s parents in a suit affecting the parent-child relationship, was also adopted with a committee substitute, reported favorably 4-0, and sent to the local and uncontested calendar. House Bill 2524, on recovery of fees, court costs, and expenses in family law proceedings, and House Bill 2530, on special appointments in suits affecting the parent-child relationship, each received favorable 4-0 votes and were likewise recommended for the local and uncontested calendar. The committee then took up House Bill 3180, which was reported favorably 4-0 and recommended for the local and uncontested calendar. The most detailed discussion centered on House Bill 40, relating to updates to business courts. Senator Hughes explained a committee amendment that made conforming changes requested by the Finance Committee and removed language creating two new judgeships, replacing it with a different judge allocation. The amendment was adopted, the amended committee substitute was adopted, and the bill was reported favorably on a 4-0 vote and sent to the local and uncontested calendar. At the end of the meeting, members briefly clarified procedural details about the House Bill 40 amendment and then closed out the agenda. The committee also noted a correction to an earlier reference to Bartleby the Scrivener, and the Chair recessed the Committee on Jurisprudence subject to the call of the chair.

Transcript Highlights:

• Members, under current Texas law, there is no requirement for a certified copy of a birth certificate
• be filed with Members, under current Texas law, there is no requirement for a certified copy of a birth
• another party or accept alternative proof of parentage if the petitioner does not have access to the birth
• certificate, and ensure the birth certificate or other does not have access to the birth certificate
• and ensure the birth certificate or other proof submitted to the court remains confidential.

Bills: HB40, HB1916, HB1973, HB2524, HB2530, HB3180, HB3421, HB3783, HB4170, HB4213

Keywords: business court, civil procedure, litigation, jurisdiction, arbitration, divorce, property division, family law, court jurisdiction, marital assets, parent-child relationship, birth certificate, identity proof, Family Code, court process, attorney fees, court costs, legal expenses, dispute resolution, child support

Summary: The committee heard several House bills, most of them relating to family law and court procedure, and left each bill pending after testimony. House Bill 1916 would clarify that the court that issued a final divorce decree retains exclusive jurisdiction over later actions involving undivided property. House Bill 1973 would require a certified birth certificate, if reasonably available, to be filed with a SAPCR petition or allow alternative proof of parentage while keeping the information confidential. House Bill 2530 would add qualifications and procedural safeguards for appointing amicus attorneys in SAPCR cases, including notice and hearing requirements, minimum qualifications, conflict rules, and limits on what amicus attorneys may do. House Bill 2524 would make Family Code references to attorney’s fees consistent by using “reasonable and necessary” language. House Bill 3180 would correct a scrivener’s error in the civil discovery rules by changing “settlement” to “statement.” The committee also heard House Bill 4213, which would change the interest rate on overdue child support from the current 6 percent simple interest to a fixed 5 percent and require the Attorney General to report on the impact of the change. Testimony was sharply divided: supporters argued lower interest could improve collections and help low-income obligors catch up, citing research and the size of child-support arrearages; opponents said lowering the rate would reduce incentives to pay and harm custodial parents and children. The Attorney General’s office raised implementation concerns about a House version that would have created a variable rate, while the committee substitute was described as restoring a simple fixed rate. After testimony, the bill was left pending. The committee also discussed House Bill 40, updating business court provisions and supplemental jurisdiction; House Bill 3421, streamlining probate procedures for original wills and copies; and House Bill 417, clarifying venue for lawsuits involving private transfer fees on real property. Each drew limited testimony and was left pending. Finally, House Bill 3783 drew extensive testimony on court-ordered counseling and reunification therapy in family cases. The sponsor and supporters said the bill would protect children and abuse victims from coercive, unregulated reunification practices, while opponents argued it was too broad, could interfere with legitimate therapy and judicial discretion, and might affect military families and other high-conflict cases. The committee heard testimony from judges, therapists, parents, survivors, and advocates, but took no final action and left the bill pending.

Bills: HB461, HB465, HB469, HB473, SB94, SB303, HB461, HB465, HB469, HB473, SB94, SB303

Keywords: fundraising, Alabama Educational Television, state authority, public broadcasting, legislation influence, emergency management, public funds, educational materials, promotional materials, state agency, ambulance services, balance billing, health insurance, emergency transportation, reimbursement rates, water recreation, public access, water bodies, recreational use, water commissions

Transcript Highlights:

• any employee, contractor, or volunteer at a medical facility who has direct knowledge that a partial-birth
• And on this bill, partial-birth abortion is illegal.
• we would want to protect children from abuse in a school setting, let's say, in the case of partial-birth
• abortion, we need to have some additional... ...in the case of partial-birth abortion, we need to have
• In a partial-birth abortion, the cervix is dilated.

Bills: HB2043, HB2045, HB2046, HB2048, HB2064, HB2074, HB2126, HB2133, HB2144

Keywords: felony murder, unborn child, homicide, Arizona Revised Statutes, life imprisonment, death penalty, drive-by shooting, gun violence, firearms, felony, vehicle forfeiture, driver license revocation, drive by shooting, public safety, criminal penalties, education, funding, school districts, state aid, education reform

Summary: The Judiciary Committee heard a series of bills dealing largely with sexual exploitation, homicide, reproductive issues, child support, venue changes, domestic violence service of process, probation notice, and traffic offenses. HB 2133 would require websites distributing sexual material to verify age and consent for each depicted person, including AI-generated or altered images; it drew opposition from Arizona Attorneys for Criminal Justice over added complexity, and support from survivors and trafficking advocates, and passed 7-1. HB 2043 would expand felony murder to include the death of an unborn child; reproductive rights groups and defense attorneys raised personhood and abortion-related concerns, while prosecutors and victims’ advocates supported it, and it passed 6-2. HB 2144 would allow child support calculations to begin during pregnancy and limit pregnancy-related orders to medical and related expenses; supporters framed it as responsibility and support for pregnant women, while opponents warned about fetal personhood and abortion-related implications, and it passed 6-2.

Bills: HB40, HB40, HB1916, HB1973, HB2524, HB2530, HB3180, HB3421, HB3783, HB4170, HB4213

Keywords: law enforcement, sheriffs, constables, contracts, county authority, business court, civil procedure, litigation, jurisdiction, arbitration, divorce, property division, family law, court jurisdiction, marital assets, parent-child relationship, birth certificate, identity proof, Family Code, court process

Transcript Highlights:

• Members, under current Texas law, there is no requirement for a certified copy of a birth certificate
• That a certified copy of the child's birth certificate be submitted with the petition if it is reasonably
• another party or accept alternative proof of parentage if the petitioner does not have access to the birth
• certificate, ensuring the birth certificate or other proofs of motherhood.
• It would require the birth certificate or other proof of parentage to be filed separately to ensure it

Bills: HB40, HB1916, HB1973, HB2524, HB2530, HB3180, HB3421, HB3783, HB4170, HB4213, HB40

Keywords: business court, civil procedure, litigation, jurisdiction, arbitration, divorce, property division, family law, court jurisdiction, marital assets, parent-child relationship, birth certificate, identity proof, Family Code, court process, attorney fees, court costs, legal expenses, dispute resolution, child support

Transcript Highlights:

• top of the child tax credit that would be available to families in the taxable year of their baby's birth
• works with both life's extremes plus everyone in the middle, and often say we're there with you from birth
• works with both life's extremes plus everyone in the middle and often say we're there with you from birth

Bills: HF2254, HF2302, HF2502, HF2315, HF2475, HF2086

Keywords: HF2254, Minnesota child credit, baby bonus, child tax credit, income tax, individual income tax, tax relief, newborn, birth credit, family tax credit, tax refund, advance payment, Department of Revenue, taxable year, parenting, families with children, child credit, state regulations, families, taxation

Transcript Highlights:

• bathing practices to postpartum education currently being provided to new parents by hospitals, birthing
• centers, at-home birth providers, and childbirth educators.
• Prevention and safe bathing in this bill are new, but hospitals, birthing centers, and at-home birth
• Senator Smith's amendment barcode 236920 simply removes the requirement for hospitals and birthing centers
• to maintain... ...simply removes the requirement for hospitals and birthing centers to maintain proof

Bills: S0032, S0068, S0210, S0246, S0340, S0418, S0428, S0606, S0628, S1028, S1734

Keywords: injunctions, protection orders, domestic violence, serious violence, court procedures, enforcement, risk protection, statewide communication system, pediatric care, emergency departments, hospital regulations, patient safety, health care standards, public records, violence protection, confidentiality, defamation, specialty license plate, specialty plates, motor vehicle registration

Summary: The Committee on Fiscal Policy met and reported a series of bills favorably, covering health care, public safety, insurance, coastal resilience, juvenile justice, drowning prevention, transportation designations, and beach management. Senator Harrell presented CS/SB 68, requiring hospitals with emergency departments to adopt pediatric emergency care policies, training, designated pediatric readiness personnel, and participation in a national readiness assessment; it passed. Harrell also presented CS/SB 340, requiring nursing students to complete two hours of human trafficking identification training before licensure; it also passed. Senator Sharif’s CS/SB 32 and SB 210, creating a new injunction for protection against serious violence by a known person and the related public records bill, were both reported favorably. Senator Garcia’s CS/CS/SB 302 on nature-based coastal resiliency, Senator Jones’s SB 418 on law enforcement interaction with individuals with autism and the Blue Envelope Program, and Senator Martin’s CS/SB 1734 updating juvenile probation and detention officer definitions and related cost-share language were also approved. The committee then took up several drowning-prevention measures. CS/SB 606 by Senator Smith would add drowning prevention and safe bathing education to postpartum materials and direct the Department of Health to create standardized materials; an amendment removed a records-retention requirement, and the bill passed. SB 428 by Senator Yarborough would expand the state swim lesson voucher program from children ages 0-4 to ages 1-7; it received strong support from advocates, including a young swim instructor and autism advocates, and passed. The committee also approved CS/SB 246, a specialty license plate bill that was amended to include the UFC plate and a First Responders’ Resiliency Foundation plate, and CS/SB 1028, which revises Citizens Property Insurance and clearinghouse procedures to prioritize admitted carriers and prohibit public funds for the clearinghouse; that bill drew discussion about market competition, Citizens’ exposure, and potential impacts on policyholders. Additional measures reported favorably included SB 628, designating a portion of South Navy Boulevard in Pensacola as Warrior Sacrifice Way to honor the sailors killed in the 2019 Naval Air Station Pensacola attack, and CS/SB 636 on beach management, which would create a proactive pathway for coastal communities to obtain erosion-related designations and align with federal programs. Beach industry testimony supported the bill’s intent but raised concerns about perpetual easements and funding shortfalls. At the end of the meeting, members recorded additional votes on selected bills, and the committee adjourned.

Bills: SB801, SB1200, SB1410, SB1717, SB1862, SB1863, SB2216, SB2681, SB506, SB2626, SJR63

Keywords: SB 801, birth certificate, birth record, certified copy, homeless, homelessness, unhoused, vital records, state registrar, local registrar, county clerk, fee waiver, identity documents, ID access, housing insecurity, shelter, transitional housing, Health and Safety Code, HHSC, Health and Human Services Commission

Summary: The Senate Committee on State Affairs met with a quorum present and considered several pending measures. On Senate Bill 1868, Senator Perry explained a committee substitute that would keep kratom in its natural state legal while continuing to ban 7-OH and other synthetic derivatives, and would also add three synthetic opioids from another bill. The substitute was adopted, and SB 1868 was reported favorably to the full Senate and certified for the local and uncontested calendar. The committee also adopted a committee substitute for Senate Joint Resolution 39, Senator Birdwell’s proposed constitutional amendment related to veto overrides after a regular session, and reported it favorably to the full Senate; members noted a floor amendment would also be offered later. The committee then considered Senate Bill 1184, relating to the age of wine authorized to be sold by a wine collection seller, and reported it favorably to the full Senate. After some procedural discussion and a revote to clarify members’ positions, SB 1184 was also certified for the local and uncontested calendar. Senate Bill 1194 was likewise certified for the local and uncontested calendar without objection, though the transcript does not include its substantive discussion. Senate Bill 1577, relating to the temporary sale of alcoholic beverages at certain racing facilities, was reported favorably to the full Senate and then certified for the local and uncontested calendar. Finally, Senate Concurrent Resolution 42, by Chairman Hughes, was reported favorably to the full Senate on an 8-1 vote. The committee then recessed until called back by the chair.

Transcript Highlights:

• And what we need to realize is this bill on its face is about accessing birth records at no cost.
• Its face is about accessing birth records at no cost.
• Currently it's about $22 for a certified copy of your birth record.
• Requesting a birth certificate also requires a physical address where the copy can be mailed.
• copies of their birth certificates and their IDs.

Bills: SB801, SB1200, SB1410, SB1717, SB1862, SB1863, SB2216, SB2681, SB506, SB2626, SJR63

Keywords: SB 801, birth certificate, birth record, certified copy, homeless, homelessness, unhoused, vital records, state registrar, local registrar, county clerk, fee waiver, identity documents, ID access, housing insecurity, shelter, transitional housing, Health and Safety Code, HHSC, Health and Human Services Commission

Summary: The Senate Committee on State Affairs heard testimony on several bills, with most measures left pending after public testimony closed. SB 801, by Sen. Menéndez, would require DSHS and local clerks to issue birth certificates at no cost to people experiencing homelessness. The author and Maria Benavides of SA Youth said the fee and mailing requirements are major barriers to obtaining ID, housing, and work, and Benavides described clients who were able to secure housing and employment after getting birth records and IDs through her program. The bill was left pending. The committee also heard a set of bills related to the Gulf of Mexico/Gulf of America naming issue: SB 1410 would require state agencies to use “Gulf of Mexico” in official documents, SB 1717 would conform state law to the federal renaming to “Gulf of America,” and SJR 63 would amend the Texas Constitution to match that change. Support testimony for the latter two emphasized alignment with federal action and the use of different geographic names by different countries. All three measures were left pending. Members then heard SB 1200, which would require plaintiffs suing defense contractors to disclose in discovery whether they are receiving litigation funding from adversarial nations such as China, Russia, or Cuba. The author and Texans for Lawsuit Reform said the bill targets third-party litigation funding and foreign influence on lawsuits, especially those affecting defense contractors; the committee substitute narrowed the definition of defense contractor and expanded applicability to actions involving defense contractors’ activities. SB 2626, which requires continuing medical education on pregnancy-related emergencies for OB-GYN physicians and nurses, drew support from witnesses who said it would reduce confusion about Texas abortion law and improve care in emergencies. SB 506, SB 2681, SB 1862, SB 1863, and SB 2216 all focused on elections, including ballot language standards, voter registration challenges, interstate voter-roll cleanup, procedural audits, and election equipment security; testimony split between supporters who said the bills improve transparency and integrity and opponents who warned of vague standards, added costs, and possible voter disenfranchisement. Each of those bills was left pending after testimony.

Transcript Highlights:

• What we need to realize is this bill, on its face, is about access — accessing birth records at no cost
• Currently, it is about $22 for a certified copy of your birth record.
• certificate. birth certificate.
• In that process, we helped her get her birth certificate and her ID.
• Of those 200, we have helped 125 of them get copies of their birth certificates and their IDs.

Bills: SB801, SB1200, SB1410, SB1717, SB1862, SB1863, SB2216, SB2681, SB506, SB2626, SJR63, SB 3

Keywords: SB 801, birth certificate, birth record, certified copy, homeless, homelessness, unhoused, vital records, state registrar, local registrar, county clerk, fee waiver, identity documents, ID access, housing insecurity, shelter, transitional housing, Health and Safety Code, HHSC, Health and Human Services Commission

Bills: SB801, SB1200, SB1410, SB1717, SB1862, SB1863, SB2216, SB2681, SB506, SB2626, SJR63, SB 3

Keywords: SB 801, birth certificate, birth record, certified copy, homeless, homelessness, unhoused, vital records, state registrar, local registrar, county clerk, fee waiver, identity documents, ID access, housing insecurity, shelter, transitional housing, Health and Safety Code, HHSC, Health and Human Services Commission

Bills: HB322, HB346, HB336, HB384, SB237

Keywords: postpartum depression, postnatal care, maternal mental health, perinatal depression, postpartum screening, new mother, birth mother, newborn discharge, hospital discharge materials, public health education, maternal health, depression screening, health care providers, physicians, nurses, Alabama Department of Public Health, medical liability, standard of care, retired physicians, volunteer medical care

Transcript Highlights:

• need, a certified birth certificate. need, a certified birth certificate.
• The costs associated with issuing birth records has increased, and the costs of birth records has increased
• ><01:34:07.520> increased the costs of birth records has increased the costs of birth records
• birth certificate. birth certificate.
• one birth certificate um and so forth. one birth certificate um and so forth.

Bills: HF4712, HF4801, HF3756, HF4860, HF4931, HF4289, HF4460

Keywords: residential pools, swimming classes, certification, private business, health safety, health care, prior authorization, managed care, medical assistance, mental health, substance use treatment, chronic conditions, health insurance, insulin, healthcare access, pharmacy regulations, patient assistance, affordable medication, healthcare, pharmacy

Summary: The committee met at 1:00 p.m., confirmed a quorum, and approved the April 8, 2026 minutes. The first bill heard was House File 4712, which was laid over after the committee adopted a DE2 amendment. Representative Schultz said the bill would create a narrow additional exception to public pool limitations so highly certified swimming instructors could use certain pools for specialized infant, youth, and developmental-disability swim instruction. The only testifier, Tessa Seppelt, described ISR instruction as water-safety and drowning-prevention training for very young children and children with developmental delays, and said access to appropriate facilities is the main barrier. Members raised questions about emergency egress, public safety, and insurance coverage, and the author said he would follow up on those concerns. The committee then took up House File 4801, a bill by Representative Nadeau aimed at health care program integrity. He said it would align commercial and Medicaid partners to reduce waste, fraud, and abuse by changing prior authorization and retrospective review processes, improving data sharing on suspected fraud, addressing conflicting or duplicative services, allowing managed care organizations to verify provider credentials, and making risk corridors in MCO contracts permanent. The Minnesota Council of Health Plans supported the bill, saying it would help detect fraud and improve coordination, while the Minnesota chapter of the American Academy of Pediatrics opposed it, arguing that expanded prior authorization would delay care, increase physician burden, and harm children with chronic conditions. Members debated patient safety, fraud detection, and whether the bill would undermine recent prior-authorization reforms. The bill was laid over. House File 3756, a technical update to the insulin safety net program, was also laid over. Representative Backer said the bill clarifies that a hospital-use intravenous insulin product is not part of the program because it is sold only to health care institutions and infused by practitioners, not dispensed to patients for self-use. The Board of Pharmacy testified that the language was drafted to avoid affecting future legitimate uses, and members asked whether the definition could limit new uses if treatments change. The committee then began House File 4860, but the transcript cuts off before the bill’s presentation is completed.

Transcript Highlights:

• patient to be present at a birth patient to be present at a birth occurring<00:30:30.559> out
• chapter and we also change the defective chapter and we also change the defective date<00:30:44.320
• date but it still will have a defective date but it still will have a defective date.<00:30:47.039
• position for a very long time, was that basically if you attend a birth outside of a birth facility,
• that basically if you attend a birth that basically if you attend a birth outside<00:33:10.960><

Keywords: 912, senate, all

Summary: The joint Senate Commerce and Consumer Protection and Judiciary decision-making meeting on April 1, 2025 considered several measures previously heard in committee and took action on each. HB 228 HD1 SD1, relating to license plates, was recommended to pass with amendments defining the terms “cover” and “shield”; it was adopted with votes of aye from the chair, vice chair, Senator McKelvie, and Senator Richards, and a no from Senator Awa. HB 125 HD1, relating to firearms and secure storage notice requirements, was recommended to pass unamended and was adopted, though Senator McKelvie noted reservations and Senator OA did not vote. The committees also noted they would wait for a full complement on some JDC votes before finalizing all actions. HB 1194 HD2 SD1, relating to midwives, drew the most discussion and testimony. The recommendation was to pass with amendments, including DCCA-proposed changes and a revised effective date; members discussed concerns about regulation, the role of unlicensed birth attendants, and whether the bill could criminalize people present at births. The chair explained the intent was not to criminalize invited, uncompensated birth attendants who do not use the title “midwife,” while also clarifying limits on practicing midwifery without a license. The measure passed with reservations from Senator McKelvie and a no vote from Senator Awa. HB 348 HD1 SD1, relating to single-use plastics, was recommended to pass unamended and was adopted without objection. HB 874 SD1, concerning trust accounts for minors in theatrical employment, was recommended to pass with amendments accepting the Attorney General’s suggestion to remove rulemaking authority; it passed in both committees without opposition. After the CPN portion adjourned, JDC also took up HB 125 and HB 1194, adopting the same recommendations and passing both measures, with the midwifery bill again reflecting the committee’s intent to preserve invited, unpaid attendance at births while restricting unlicensed practice.

Transcript Highlights:

• <00:40:49.000> defects birth defects birth defects program<00:40:51.160> uh<00:40:51.400
• fetal<00:41:58.880> death just birth defects but it's fetal death just birth defects but
• Birth defects fund, correct.
• <00:44:43.200> defect meant specifically the birth defect meant specifically the birth defect
• between marriage and birth defects.

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:

• The time of birth?
• Oh, and also add a defective date. Um, we are going to adopt a defective date of July 1, 3000.
• And also add a defective date.
• defecting the date. defecting the date.
• Questions come up, and, uh, defecting the defective date. Uh, questions, comments, defective date.

Bills: SB2211, SB2025, SB2038, SB2050, SB2051, SB2090

Keywords: emergency funding, food assistance, healthcare, federal shutdown, Hawaii, DHS, jury duty, advanced practice registered nurses, physician assistants, exemption, patient care, financial hardship, medication abortion, anonymous prescription, pregnancy rights, healthcare privacy, pharmacy regulations, chiropractic education, clinical training, student supervision

Summary: The House Committee on Health held its first hearing of the session and opened with housekeeping notes, introductions of members, and an explanation that the agenda would be taken out of order to accommodate a sign language interpreter. The committee first heard HB 469, relating to parking for disabled persons. Testimony from the Disability and Communications Access Board and the State Council on Developmental Disabilities supported the bill, explaining that a travel placard would help people with disabilities who must travel interisland or to the mainland for medical care. Members asked about emergency travel, misuse prevention, and how to distinguish the travel placard from existing disabled parking placards; witnesses said the bill would need to be tied to administrative rules, and agreed the placard should clearly show an expiration date and likely be a different color. No vote was taken. The committee then heard HB 218, relating to hospital surgical smoke. The Department of Health supported the measure, and the Healthcare Association of Hawaii supported it with amendments, saying hospitals already follow existing standards but that any new policy should account for different procedures and provider safety. A committee member questioned the proposed amendment language and whether it was too flexible; the witness explained the intent was to allow case-by-case application because some procedures generate only brief exposure. Members also asked what surgical smoke is, and the witness explained it is produced when electrical or cauterizing tools are used on tissue and creates vapor or fumes. The bill remained under discussion with no final action reported. The committee next took up HB 814, which would fund a public information campaign and related services on cannabis use among youth. The Department of the Attorney General said the bill should be amended to clarify whether the funding would be used for contracts or grants and to include proper grant standards if grants are intended. The Department of Health supported the bill and said the funds would expand prevention, treatment, recovery, and public education efforts, including social media outreach, PSAs, and school-based youth services. Multiple organizations and individuals testified in support, emphasizing the harms of youth cannabis use and the need for prevention and treatment resources. Members asked what the department currently does, whether it is fulfilling existing law on science-based cannabis information, and what kinds of treatment would be provided; the department said services would mainly be intensive outpatient, outpatient, counseling, and related youth-focused supports. No vote was taken during the hearing.

Transcript Highlights:

• I have fully completed my trainings in full spectrum birth work, and I'm an active member of the Birth
• wine and Pacific birthing people native wine and Pacific birthing people have<01:24:19.480> nearly
• necessary or helpful to protect birthing necessary or helpful to protect birthing families<01:25
• I'd like to move this forward with a defective date.
• forward with a houseal draft defecting forward with a houseal draft defecting the<01:32:15.280><

Keywords: 910, house, all

Summary: The House Health Committee held its first hearing of 2025, with Chair Greg Takayama and Vice Chair Representative Leoy opening the meeting and outlining housekeeping rules, including a two-minute limit for testifiers and Zoom etiquette. The committee first heard HB 303 on health care preceptors. The Department of Health, Department of Taxation, University of Hawaiʻi, Hawaii State Center for Nursing, and several health care organizations supported the bill, saying the existing preceptor tax credit program has been successful and that expanding eligibility to additional professions and students would help address workforce shortages. In response to questions, the Department of Health said the annual tax credit cap is $1.5 million, about 650 to 670 credits are currently used each year, and the bill applies only to unpaid preceptors. The committee then moved on to HB 441, which would raise cigarette taxes. The Attorney General, Department of Health, University of Hawaiʻi Cancer Center, Hawaii Public Health Institute, American Cancer Society Cancer Action Network, and others supported the measure as a way to reduce smoking, especially among youth, and to support tobacco control and cancer-related programs. Opponents, including the Taxpayers Protection Alliance and the Cigar Association of Hawaii, argued the tax is regressive and unreliable as a revenue source. The Department of Health noted the last cigarette tax increase was in 2011, and one witness urged a larger increase than proposed. No vote was taken on either bill in the portion of the hearing provided. The committee also heard HB 557 on telehealth. The Department of Health supported the bill so long as it did not displace executive budget priorities, and the Hawaii State Health Planning and Development Agency and Hawaii Primary Care Association supported it. HPCA said the bill would conform state insurance law to recent Medicare changes expanding audio-only telehealth coverage beyond mental health services, and it emphasized access for rural residents, kupuna, and people with disabilities. HMSA opposed the bill as written, saying it strayed from the intent of Act 107 and that audio-only telehealth should remain limited because of quality-of-care concerns, though it supported continued access and asked for a different amendment approach. A telehealth provider also testified that payment disparities limit provider expansion and that audio-only access remains important for patients with serious illness. The hearing ended in the excerpt before any committee action or vote on HB 557.

Transcript Highlights:

• <00:25:41.320> to3 Workforce that serves our Ki birth to3 Workforce that serves our Ki birth
• <00:26:12.919> to don't meet the needs of our K birth to don't meet the needs of our K birth
• We'll also be adding a defective date of July 1, 3000.
• We'll just be passing this out with a defective date. Members, any comments?
• We'll just be passing this out with a defective date.

Keywords: 910, house, all

Transcript Highlights:

• Monitoring of birth defects and related health...
• Every state in the country performs some type of birth defect reporting, as does California.
• Birth defects report... ...of potential exposures harmful to the general population.
• Increasingly, birth defects and perinatal conditions are early warning signs... ...services.
• . ...monitor those birth defects, about spina bifida and anencephaly, going forward.

Summary: The Assembly Health Committee heard a long agenda of health bills focused on access to preventive care, behavioral health, hospital services, and patient safety. Early items included AB 554, which would expand and protect access to HIV prevention drugs like PrEP, including injectable forms and coverage protections; supporters said it would shore up access amid federal threats, while insurers opposed it as a costly benefit mandate. AB 577 would limit insurer and PBM practices that steer medications away from physician offices and require more transparency and patient consent; doctors and patient advocates supported it, while health plans and insurers warned it could raise drug costs and disrupt specialty pharmacy networks. AB 546 would require coverage for portable HEPA purifiers for vulnerable enrollees during declared emergencies, especially wildfire smoke events, with support from air quality and public health groups and opposition from insurers concerned about benefit expansion and cost. The committee also heard AB 224, which would codify California’s updated essential health benefits benchmark plan after a public review process, adding infertility treatment, hearing aids, and durable medical equipment if approved by CMS for the 2027 plan year. DMHC said the state had completed the review and needed legislation to meet federal timing, and the measure drew broad support. AB 1032 would require plans and insurers to reimburse up to 12 additional behavioral health visits for enrollees in wildfire-affected counties for a limited period after an emergency; supporters argued it would fill gaps in trauma care after disasters, while insurers said existing parity and continuity-of-care rules already address the issue and that the bill could create inequities. AB 849 would require trained chaperones for sensitive ultrasound exams and training on how to observe and intervene; it was backed by a survivor and patient advocates, with hospitals and health districts raising staffing concerns. Later, AB 1196 would direct the Department of Public Health to update outdated rules requiring three surgeons for certain heart surgeries using cardiopulmonary bypass; supporters said the rule no longer reflects modern practice and strains staffing, while cardiology representatives had no formal opposition but wanted to review amendments. AB 1113 would codify a right to wear a mask for health reasons in public spaces, with support from disability and public health groups. AB 1386 sought to add perinatal care to the list of basic hospital services, prompting testimony about maternity ward closures, workforce shortages, and rural access; the author said the bill would be amended further and that the committee would need to revisit timelines and implementation details. The committee also heard AB 1429, which would address Kaiser’s repeated mental health parity violations and improve access to behavioral health care, though the transcript cuts off before any action on that bill is shown. Several bills were moved with motions and seconds, but many were held for quorum; AB 1196, AB 1113, and AB 1386 were among the measures advanced to a roll call or held on call, and the committee repeatedly noted that final votes would occur when quorum was available.