Transcript Highlights:

• I thought that was high, so I checked to see what the cash price would be. The cash price was $23.
• And so if I don't know that, if I'm really good at pricing, I'm really sensitive to what the price of
• Cash price versus the other price, the PBM markup for processing and market share.
• So cash price is better for y'all, and cash price is better for the patient.
• Cash pricing? No, no. The cash price is a win-win for both. So y'all have that ability internally.

Bills: SB95, SB268, SB493, SB619, SB660, SB922, SB984, SB1098, SB1188, SB1307, SB1332, SB1822

Keywords: immunization, written informed consent, civil liability, health care provider, vaccine compensation, administrative penalty, health care, licensing, complaint procedure, disciplinary action, law enforcement, pharmacy benefit manager, PBM, gag clause, prescription drug pricing, out-of-pocket cost, cash price, pharmacist, pharmacy, prescription drug benefit

Bills: SB2088, SB2925, SB3263, SB2047, SB2087, SB2100, SB2268, SB2353, SB2781, SB2902

Keywords: coconut trees, tax credit, natural management, Hawaii, agriculture, biosecurity, environment, coconut rhinoceros beetle, student-athletes, name image likeness, NIL, compensation, transparency, University of Hawaii, Title IX, funding, protections, pharmacy benefit managers, maximum allowable cost, drug pricing

Summary: The joint committee on Ways and Means and Consumer Protection met for decision-making only on two agendas and took action on a large number of Senate bills, with no oral testimony heard. On the 1016 agenda, the committee recommended passage of measures including SB 2088, SB 2925, SB 2781, and several others, and passed a number of bills with amendments. Notable amendments included SB 3263, which adopted AG amendments related to the name, image, and likeness endowment trust fund; SB 2047 on pharmacy benefit managers, which incorporated Hawaii Pharmacist Association changes; SB 2087 on health insurance, which added Insurance Division clarifications; SB 2100 on pesticides, which added a blank appropriation; SB 2353 on outdoor signage, which removed provisions related to the Wiki special district; and SB 2902 on renewable energy, which clarified certification standards for portable solar devices and exempted them from certain disclosure requirements. Most recommendations were adopted without objection, though a few members noted reservations on selected bills. The committee also deferred one bill on the agenda, SB 3327. The committee then moved to the 1015 agenda and acted on additional measures. SB 2003 was passed with amendments tied to Act 255, including a repeal trigger if deadlines are missed; SB 2497 on utility-related transparency drew the most discussion, with one member warning about litigation and costs while another argued it was simply about electricity-rate transparency, and it ultimately passed with PUC-related amendments and an exemption for utility cooperatives. Other measures were passed unamended or with technical or fiscal amendments, including bills affecting land planning, tax credits, conveyance tax language, shoreline maintenance, and community improvement projects. Several bills had appropriations blanked or effective dates deferred to 2050, and many were adopted with members noting reservations rather than opposition. On the 1017 agenda, the committee continued approving measures, including SB 709 on crisis intervention officers and assisted community treatment, SB 2153 on defining bona fide farmer/agriculture activity, SB 2694 on water rate adjustments, SB 3025 on income eligibility limits, and SB 3085 on the Hawaii film studio, which included a five-year repeal provision if the studio has not relocated. The committee also passed numerous other bills unamended or with technical amendments, often deferring effective dates or blanking appropriations. Across both agendas, the committee’s actions were largely consistent: bills were advanced with amendments tailored to agency requests, technical corrections, or fiscal adjustments, and votes were generally unanimous or near-unanimous with occasional reservations recorded.

Transcript Highlights:

• A bundled pricing program is important for several reasons.
• What part of your bill talks about where there's going to be transparency in terms of the pricing?
• This would be a set price, and that is it. There are no other costs added to it.
• All that would be in that price. Okay. Thank you, sir. Yes.
• I have worked on healthcare pricing since I've been here, but...

Bills: HCR141, SB438, SB1495, SB1964, HB 1225

Keywords: HCR 141, House Concurrent Resolution, NASA, Houston, Space City, Johnson Space Center, Mission Control, Apollo 11, moon landing, aerospace, commercial space, space exploration, Texas Space Commission, space policy, federal resolution, memorial resolution, Congress, Washington D.C., headquarters relocation, space industry

Bills: HB3043, HB3044, HB3078, HB3940, HB4117, HB3428, HB4275, HB3257, HB3901, HB4298

Keywords: HB3043, Oklahoma Department of Veterans Affairs, ODVA, seasonal employees, project labor, pro rata jobs, unclassified service, state personnel law, state employee benefits, paid leave, paid holidays, retirement benefits, health insurance, dental insurance, life insurance, temporary workers, veterans affairs, Title 72, Oklahoma Personnel Act, budget reporting

Transcript Highlights:

• When consumers seek differentiated prices, a valuable signal is sent to the market about the worth of
• differentiated prices a valuable signal differentiated prices a valuable signal is<01:09:54.679>
• > and pricing including grocery pricing and pricing including grocery pricing and covered<01:14
• board drives the price price across the board drives the price price across the board house<01:15
• <01:25:35.280> is<01:25:35.719> pricing volume based pricing is pricing volume based

Bills: HF2228, HF46, HF856, HF2149, HF2215

Keywords: homeowners insurance, property insurance, commercial property insurance, insurance affordability, insurance market stabilization, reinsurance, catastrophic reinsurance fund, self-insured pool, premium costs, coverage notice, liability reform, climate risk, climate change, housing affordability, multifamily housing, rental housing, common interest communities, cooperatives, small business insurance, Minnesota Commerce Department

Transcript Highlights:

• moderate-income households who often fall above the income limits for federal programs like HOME, yet remain priced
• It also adds reference-based pricing to control hospital costs.

Bills: HB63, HB64, HB184, HB200, HB47, HB48, HB2, HB9

Keywords: water project fund, New Mexico Finance Authority, NMFA, Water Trust Board, water infrastructure, wastewater, drinking water, flood prevention, watershed restoration, water storage, conveyance, delivery, water treatment, recycling, reuse, municipal infrastructure, local government finance, capital outlay, grants, loans

Bills: SB115, SB131, SB93, HB319, HB163, HB268, SB115, SB131, SB93, HB319, HB163, HB268, HB181, HB153, SB132, SB26, SB189, SB196, HB140, SB197, HB117

Keywords: SB115, Alabama, impersonating a peace officer, peace officer, law enforcement impersonation, police impersonation, unauthorized police officer, fake cop, certification revoked, certification suspended, Alabama Peace Officers' Standards and Training Commission, APOSTC, Class C felony, law enforcement hiring, appointment of officers, federal law enforcement, arrest authority, public order, criminal offenses, Judiciary Committee

Transcript Highlights:

• Price increases drove this. The amount of care delivered went up by less than 1%. Spending up 15%.
• This rise in prices is due, in large part, to a decades-long trend of consolidation across hospitals,
• Consolidations like these lead to higher prices and do not improve quality of care.
• communities: higher mortality rates, hospitals and nursing homes driven into the ground and shuttered, prices
• A Brown University study reviewed Medicare claims, which documented increased referrals to higher-priced

Bills: HF2779, HF1645, HF1885, HF1289, HF1534, HF2707, HF1675, HF3046

Keywords: health care transparency, ownership disclosure, control reporting, health care consolidation, private equity, management services organization, MSO, provider organization, health insurer, pharmacy benefit manager, hospital system, affiliate reporting, financial disclosure, public reporting, market concentration, horizontal consolidation, vertical consolidation, health care ownership, corporate practice, health care regulation

Transcript Highlights:

• Price increases drove this. The amount of care delivered went up by less than 1%.
• Prices hyped and claims denials increased at the same time.
• Prices hyped the ground and shuttered.
• c> Consolidation fed high-priced, high-cost Consolidation fed high-priced, high-cost referrals<00:09:
• increased referrals to higher price increased referrals to higher price facilities<00:10:05.839>

Bills: HF2779, HF1645, HF1885, HF1289, HF1534, HF2707, HF1675, HF3046

Keywords: health care transparency, ownership disclosure, control reporting, health care consolidation, private equity, management services organization, MSO, provider organization, health insurer, pharmacy benefit manager, hospital system, affiliate reporting, financial disclosure, public reporting, market concentration, horizontal consolidation, vertical consolidation, health care ownership, corporate practice, health care regulation

Bills: HB4358, HB2398, HB3557, HB3129, HB3312, HB2210, HB1937, HB3021, HB4246, HB4230, HB3617, HB3657, HB2976, HB3391, HB4459, HB4128, HB3989, HB2989, HB4060, HB3145, HB2992, HB3464, HB3552, HB2984, HB4124, HB3934, HB3448, HB3131, HB4200, HB4201, HB3011, HB1912, HB3380, HB3881, HB3538, HB3851, HB3907, HB4430, HB4431, HB4457, HB2947, HB2951, HB2980, HB3082, HB3519, HB3644, HB3882, HB3661, HB3996, HB4335

Keywords: screen time, education, public schools, child development, digital learning, youth health, academic performance, credential of value, workforce development, labor market, government reporting, Oklahoma Agricultural Extension, local funding, financial institutions, county extension services, state funds, free expression, colleges, security fees, public forums

Bills: SCR48, SCR28, SCR74, SCR62, SCR60, SCR89, SCR147, SCR179, SCR182, SCR59, SCR54, SCR180

Keywords: affordable housing, housing credits, perpetual credits, development, Hawaii Housing Finance, Vietnam veterans, commemorative medal, recognition, working group, Hawaii, no-bid contracts, emergency procurement, audit, state agencies, public funds, accountability, emergency response, disability access, 911 systems, life-saving measures

Bills: SCR48, SCR28, SCR74, SCR62, SCR60, SCR89, SCR147, SCR179, SCR182, SCR59, SCR54, SCR180

Keywords: affordable housing, housing credits, perpetual credits, development, Hawaii Housing Finance, Vietnam veterans, commemorative medal, recognition, working group, Hawaii, no-bid contracts, emergency procurement, audit, state agencies, public funds, accountability, emergency response, disability access, 911 systems, life-saving measures

Transcript Highlights:

• It means higher prices for PAR when world oil prices are lower, but considerably lower prices.
• It means higher prices for PAR when world oil prices are lower, but considerably lower prices.
• It means higher prices for PAR when world oil prices are lower, but considerably lower prices.
• It means higher prices for PAR when world oil prices are lower, but considerably lower prices.
• prices are high, LG prices also get fuel prices are high, LG prices also get high.<01:00:21.599>

Bills: SCR48, SCR28, SCR74, SCR62, SCR60, SCR89, SCR147, SCR179, SCR182, SCR59, SCR54, SCR180

Keywords: affordable housing, housing credits, perpetual credits, development, Hawaii Housing Finance, Vietnam veterans, commemorative medal, recognition, working group, Hawaii, no-bid contracts, emergency procurement, audit, state agencies, public funds, accountability, emergency response, disability access, 911 systems, life-saving measures

Transcript Highlights:

• :16.680> existing<00:12:17.160> pricing state agencies' existing pricing state agencies
• ' existing pricing formulas. formulas. formulas.
• So, that can help lower the price for buyers.
• So, that can help lower the price for buyers.
• is still going to happen, so the prices is still going to happen, so the prices are<01:24:16.320

Bills: SB3302, SB2061, SB2050, SB2102, SB2694, SB2089, SB847

Keywords: SB3302, homemade food products, farm kitchens, home kitchens, Department of Health, DOH, food safety, food labeling, value-added agriculture, small farms, agricultural land, commercial food establishment permit, cottage food, direct-to-consumer sales, local food systems, Hawaii Revised Statutes, chapter 91, farm-to-table, food processing, public health regulation

Summary: The committee on Consumer Protection and Commerce met on April 9, 2026, and heard testimony on several measures. SB 3302 SD1 HD1, dealing with homemade food products, would require the Department of Health to adopt rules for farm kitchens producing homemade food products that are no more stringent than rules for home kitchens. The Department of Health said it supported the bill with technical amendments, and the Hawaii Food Industry Association and Grassroot Institute of Hawaii also supported it. No opposition was heard. A lengthy discussion focused on SB 2061 SD2 HD1, which concerns a 99-year leasehold residential condominium project and HCDA’s rules for sales, income restrictions, and buyback pricing. HCDA supported the bill and said the House draft clarified unclear provisions and would help move the project to pre-sales. Testimony and committee questions centered on whether the project should remain owner-occupied in perpetuity or allow investor purchases after an initial sales period. HCDA explained that the bill was revised to make the project feasible in the market, that 60% of units would be income-restricted for buyers at or below 140% of area median income, and that the remaining units could be sold without owner-occupancy restrictions. Some members and testifiers expressed concern that the bill had shifted away from the original owner-occupancy vision and could become an investment property model, while others argued the changes were necessary for the project to pencil out and compete with fee-simple developments. No vote was taken during the discussion shown. The committee also heard SB 2050 SD1 HD1, which would allow chiropractic students in accredited programs to engage in clinical practice beginning July 1, 2028. The Hawaii Board of Chiropractic and the Hawaii State Chiropractic Association supported the measure, and one testifier described personal experience with student chiropractic care in California. Members questioned why the board requested delaying implementation until 2030, and the board said it needed more time to develop rules because it meets only a few times a year and rulemaking is lengthy. Finally, SB 2102 SD2 HD1, on industrial hemp in commercial feed, was introduced; the Department of Agriculture and Biosecurity offered comments, the Department of Health raised concerns about regulating pet food and possible jurisdictional conflict, and a farmer testifying in support suggested narrowing the bill to federally approved livestock feed rather than pet food.

Transcript Highlights:

• It's what the pharmaceutical industry negotiates their prices on.
• The companies will lower the price of their drug in order to get covered.
• The companies will lower the price of their drug in order to get covered.
• That's kind of the long-term risk of differentiating those two markets.
• I'm just saying if you're of differentiating those two markets.

Bills: HB591, HB765, HB826, HB870, HB938, HB1151, HB1162, HB1176, HB1196, HB1236, HB1241

Keywords: family leave, insurance, paid leave, employment benefits, caregiver support, liability insurance, coverage defenses, direct action, judgment enforcement, legal procedures, insurance referrals, compensation, non-licensed agents, consumer protection, insurance products, HB 870, Act 907, Louisiana insurance, health insurance, prescription drugs

Transcript Highlights:

• And like I said, you would be price shopping, or they would try to make it so that you could price shop
• And like I said, you would be price shopping, or they would try to make it so you could price shop, again
• We had a desire to be the price leader.
• Price transparency.
• No problem with the price transparency.

Bills: HB946, HB1093, SB26, SB29, SB30, SB195, SB219, SB222, SB255, SB314, SCR2, SCR22

Keywords: healthcare transparency, hospital pricing, consumer protection, collection actions, fines, naturopathic medicine, Louisiana Board of Naturopathic Medicine, licensing, healthcare, prescriptive authority, natural therapies, opioid treatment, regulation, addiction recovery, state law, SB 29, Act 732, coroner, autopsy, child death

Summary: The committee first heard and favorably reported SB 255, which expands the educational qualifications for psychosocial rehabilitation services to include health sciences and therapeutic recreation degrees, and SB 314, which cleans up prior language on community psychiatric support and treatment services so a limited scope certified social worker license can still be issued even if the applicant is slightly late renewing. Members and witnesses said both bills were intended to improve access to behavioral health services, especially in rural areas, and there was no opposition on either measure. The committee then advanced SB 26, which repeals facility need review for opioid treatment programs to make it easier to open more OTPs in Louisiana, and SB 29, which requires child autopsy reports to include immunization records and access to the LINKS vaccine database. SB 29 drew some concern about whether singling out immunizations could imply causation, but the author and supporters said the bill is only about adding data and that the records would be part of broader medical information. Both bills were reported favorably. Members also reported favorably SB 30, as amended, to allow telehealth for obesity/weight-management treatment with synchronous interaction and other safeguards, though some providers warned the language should not unduly limit future board authority. SB 219 was approved to create an Office of Health and Nutrition within LDH, with testimony from the department, the Alzheimer’s Association, and Pennington Biomedical supporting the focus on nutrition, physical activity, and brain health. SB 222 was reported favorably with amendments to reduce duplicative behavioral health administrative requirements, streamline supervision rules, and expand telehealth for psychosocial rehabilitation. The committee also approved SB 195, the “Danny’s Dose” EMS bill, allowing EMS personnel to administer a patient’s own prescribed time-critical medication in emergencies; testimony from families with rare conditions described life-threatening delays under current rules. Finally, SCR 2 was adopted to update hospital construction standards to the most recent Facility Guidelines Institute edition, and SCR 22 was reported favorably to request a more detailed legislative auditor report on opioid settlement spending and outcomes. The committee then began hearing HB 1093 on naturopathic medicine, with the author proposing a licensing framework under the State Board of Medical Examiners and a large amendment set; members raised questions about scope, prescriptive authority, training, and whether the profession should have its own board, but no final action on the bill was taken in the portion provided.

Transcript Highlights:

• They control pricing, reimbursement, and access. They do it behind a curtain.
• What we have today is a system where the middleman can charge one price, pay another, and keep the difference
• That's pro-market, because real market requires real prices.
• So I do think that's an excellent question, and I'm committed 100% to the consumer by providing price

Bills: HB689, HB742, HB926, HB946, HB948, HB1028, HB1095, HB1114, HB1121, HB1155, HB1185, HB1217, HB1220, HB1227, HCR76

Keywords: public assistance, child welfare, benefit adjustment, DCFS, LDH, fraud detection, household reporting, Medicaid, immunization, healthcare eligibility, Family Independence Temporary Assistance Program, health policy, vaccination requirements, vaccination status, vaccine mandate, medical freedom, medical autonomy, public buildings, public access, government services

Summary: The House Committee on Health and Welfare met on April 23 with a quorum and first deferred or did not hear several bills, including HB 1093, HB 1145, and HB 946. The committee then quickly advanced HB 1095, which would allow nursing facilities to use alternative power generation sources in addition to fuel-powered backup systems; supporters said it would give nursing homes more flexibility while maintaining existing safety and backup-power requirements. The bill was reported favorably without objection. The committee then took up HB 926, a bill concerning vaccination status and admission to public buildings and related medical-freedom provisions. After adopting a set of amendments, including exclusions for licensed health care providers and facilities and clarifications regarding masks and school-related provisions, the committee heard testimony both for and against the measure. Supporters framed it as a privacy and bodily-autonomy bill, while opponents warned it could interfere with public health measures and school immunization rules. After extended debate, HB 926 was reported favorably with amendments by an 8-4 vote. HB 1220, a cleanup bill concerning the Louisiana State Board of Medical Examiners, was amended and then reported favorably. HB 1227, which would require physician peer review before certain disciplinary actions against doctors, drew testimony from the sponsor, a physician supporting the bill, and the board’s executive director, who described the board’s current complaint and review process and raised concerns about practicality and staffing; the sponsor asked for more time to work with the board, and the bill was voluntarily deferred. The committee also reported favorably HB 1217 on pharmacy benefit manager transparency after technical and substantive amendments, and HB 1028 on non-emergency medical transportation reimbursement rates, which was sent to Appropriations. Finally, the committee advanced HB 1185 on rural hospital payment methodologies and HCR 76, which would continue the rural health inequities task force for another year; both were reported favorably.

Transcript Highlights:

• No more surprise pricing at the end of the checkout experience online.
• . pricing. pricing.
• <00:22:26.400> of That means that all of the the price of That means that all of the the price
• additional protections for price additional protections for price transparency<00:40:28.400>
• In those years, inflation for building prices or building materials will have gone up.

Bills: SB2607, SB2031, SB2043, SB2623, SB2876, SB2396, SB2964, SB2089

Keywords: landscape architecture, licensure, educational requirements, examination, professional standards, consumer protection, junk fees, live-event tickets, short-term lodging, transparency, pricing disclosure, deceptive practices, insurance, captives, regulations, policyholders, SB2623, Hawaii pharmacy law, Board of Pharmacy, registered pharmacy technician

Summary: The committee first heard HCR 168 and HR 158, which would create a temporary working group to study utility capacity, coastline infrastructure lifespan, and the costs of needed expansions. Public Utilities Commission staff said the commission was not the right entity to direct all of the work because it lacks authority over many affected agencies. Members discussed whether the study should be limited to a coastal area or broadened to the whole island, and in decision-making the committee amended the measure to focus on the County of Honolulu, correct references to the Public Utilities Commission, and revise the working group membership to include the PUC chair, legislative designees, and directors or designees from DLNR, DOT, HIEMA, and DCCA Consumer Advocacy. The committee then passed both resolutions with amendments; the vote was adopted unanimously, with some members excused. The committee next considered HCR 145 and HR 137, which would convene a working group on climate change impacts on insurance availability and affordability. The Insurance Division stood on its written comments, the Climate Change Mitigation and Adaptation Commission supported the intent, and the Attorney General opposed the measure, warning that a working group could create discoverable materials that might complicate the state’s climate litigation and noting a technical ambiguity in the reference to the Hawaii Hurricane Relief Fund administrator. After questions about discovery and the lawsuit, the committee amended the resolutions to replace the administrator reference with the chair of the Hawaii Hurricane Relief Fund Board of Directors, remove the Attorney General as convener while keeping the office as a member, and have the working group share findings and recommendations with the House CPC and Senate CPN committees instead of issuing a report. The committee passed the measures with amendments, with Rep. Martin voting with reservations. In the later agenda, the committee heard SB 2607, SD 1 on landscape architect licensure. The Board of Professional Engineers, Architects, Surveyors, and Landscape Architects supported the bill, explaining it modernizes licensure requirements to align with national standards and clarifies the profession’s design-focused role. The bill was discussed as distinguishing landscape architecture from groundskeeping and from civil engineering drainage work. No opposition was heard. The committee also heard SB 2031, SD 2 on consumer protection and price transparency for live ticket events and short-term lodging. The Office of Consumer Protection supported the bill, saying it largely mirrors an FTC rule requiring all-in pricing and would give the state enforcement authority and remedies. The Hawaii Financial Services Association opposed the bill as drafted and sought a limited exemption for credit card issuers relying on third-party hotel information, while the Hawaii Hotel Alliance supported the measure but asked for language deeming compliance with the federal rule sufficient for short-term lodging. Committee members questioned whether those proposed exemptions would conflict with federal law or weaken state enforcement, and the discussion focused on preemption, liability, and the value of state remedies such as restitution.

Transcript Highlights:

• Their own pharmacies, $7.3 billion just in the specialty drug price supply.
• In order to leverage an even greater price negotiating base, HB 1464 would allow non-negotiable prices
• The price of a wheelchair is $25,000.
• And by doing that, they're lowering the price.
• Warden that are very... ...familiar with those, and there's price competition.

Bills: HB1464, HB1635, HB2516, HB3317, HB3502, HB4012, HB4268, HB4386, HB4877, SB916

Keywords: prescription drugs, drug pricing, pharmacy benefits, health insurance, health benefit plan, insurer, HMO, self-insured employer, public employer, school district, county, municipality, university system, higher education, retirees, dependent coverage, stop-loss coverage, bulk purchasing, group purchasing, purchasing pool

Transcript Highlights:

• And when you speak on negative pricing or low pricing, zero pricing, the biggest...
• Say that if that subsidy is cut off, the market price is going to go up?
• So, yes, if that goes away, power prices will go up.
• And the bill will raise power prices on all consumers.
• Some of that, what I'm handing out there, will talk about the current price, the past price, and the

Bills: SB458, SB819, SB1238, SB1642, SB1643, SB1644, SB1791, SB1810, SB1824, SB1825, SB758, SB1455, SB1706

Keywords: insurance appraisal, property insurance, auto insurance, homeowners insurance, residential property, disputed loss, loss valuation, appraisal clause, appraiser, umpire, Texas Department of Insurance, TDI, insurance dispute resolution, claims adjustment, total loss, windstorm insurance, FAIR Plan, surplus lines insurance, policyholder, insurer