Video & Transcript : 'dependency' :
Page 30 of 500
TX
Transcript Highlights:
- I think we depending upon all the questions we might be able to get this done.
- I think it just depends on the nature of your questions.
- So depending on the nature of our programs, a lot of our programmatic requirements, you know, have different
- very clear the answer to those may be no. know, but we know we have over 200 different programs and depending
- think based on again some of the originating statute for either at the state level the federal level depending
Bills:
SB825
TX
Texas 89th 2nd C.S.
Pensions, Investments & Financial Services Mar 17th, 2025
Pensions, Investments & Financial Services
Transcript Highlights:
- Uh, the cost is variable, uh, depending on the reason you're having it.
- Uh, but, uh, I think it can range from $12,000 to 30,000 to $35,000 per cycle depending on the specific
- Um, it depends.
- I, I think the contract, it depends on the carrier, but I think South Korea is not in there. OK.
- Um, well, it depends on what company you use, what, what, um, shipping company you use.
Keywords:
disabled veteran, partially disabled veteran, veterans property tax exemption, homestead exemption, ad valorem tax, property tax relief, surviving spouse, appraisal district, Tax Code, local government revenue, homestead portability, service-connected disability, veteran benefits, Texas property tax, residence homestead, disability rating, disaster response, financial assistance, helicopter, municipalities
TX
Texas 89th Regular
Pensions, Investments & Financial Services Mar 17th, 2025
Pensions, Investments & Financial Services
Transcript Highlights:
- Depending on the reason you're having it.
- It depends, they range anywhere between $4.95 and $5.95, which covers. you anywhere even outside the
- I think the contract, it depends on the carrier, but I think South Korea is not in there.
- Well, it depends on what company you use, what shipping company. There's a lot out there.
- The funeral home, again, just depends on how the funeral home chooses to do that.
Keywords:
financial crime, card fraud, motor fuel theft, law enforcement, criminal activity, skimmers, prevention, training, credit card fraud, debit card fraud, prosecution, illegal possession, state law, HB 618, Texas insurance code, IVF, in vitro fertilization, fertility treatment, infertility coverage, government employee health benefits
CA
California 2025-2026 Regular Session
Joint Hearing Budget Subcommittee No. 2 on Human Services and Budget Subcommittee No. 1 on Health Mar 25th, 2026
Transcript Highlights:
- H.R. 1... ...classified as able-bodied adults without dependents.
- So, kind of different points in time, depending on the processing. Okay. Okay. Thank you.
- And then, depending on the category, we're also talking about who may have extra...
- They have higher assets than others depending on what programs they like.
- Families like mine already struggle in poverty, depend on these programs.
LA
Louisiana 2026 Regular Session
House and Governmental Affairs Apr 14th, 2026
House and Governmental Affairs
Transcript Highlights:
- Now, it just depends on any gambler that choose to go and gamble.
- And I'm not sure it's exactly 10, but I think it was 8 and they were increasing it depending upon the
- And it kept varying depending upon the population. This is cool.
- And it kept very depending upon the population. This is cool.
- It kept vary depending upon the population. This is cool.
Summary:
The House and Governmental Affairs Committee met on April 14 with a quorum and heard several recommitted public-records and government-transparency bills, along with one local audit bill and one campaign-solicitation bill. HB 55 by Rep. Villio would prohibit intentional public disclosure of juror identifying information and create a public records exception; after adopting technical amendments, the committee reported it favorably as amended. HB 608 by Rep. Chassion would make documents tied to intercollegiate athletics revenue-sharing programs confidential; supporters said it protects student-athletes and institutional competitiveness, while the Louisiana Press Association argued it would shield public money and reduce transparency. The bill was reported favorably after a roll call vote of 9-3.
HB 1045 by Rep. LaCombe would raise the audit threshold for certain local auditees in a limited parish-specific application, with an amendment tying annual audits to entities in Pointe Coupee Parish above a revised revenue level and indexing the threshold to CPI. Committee members and local-government groups said the change would reduce unnecessary audit costs for small water and special districts while preserving oversight; it was reported favorably as amended. HB 1035 by Rep. Beham would add penalties for exploitative campaign fundraising aimed at elderly people; supporters described scam-like tactics and recurring withdrawals, while some members questioned how it would be enforced and whether existing fraud laws already covered the conduct. The committee ultimately reported the bill favorably by a 7-5 vote.
HB 1049 by Rep. Owen would tighten open-meetings requirements by improving notice posting, minutes, and training expectations for those presiding over public bodies. Supporters said it would help volunteers and small boards comply with the law, while the Police Jury Association raised cost and staffing concerns for thousands of local entities; the bill was reported favorably. HB 1177 by Rep. Zerang would create a public-records exemption for personal information related to hunting and fishing lottery licenses, prompted by concerns that lottery winners could be harassed by animal-rights activists; it was reported favorably. At the end of the meeting, two other bills were deferred at the sponsors’ request, and the committee adjourned.
CA
California 2025-2026 Regular Session
Assembly Insurance Committee Feb 18th, 2026
Transcript Highlights:
- strengthening consumer protections, and restoring stability to a market that millions of families depend
- Well, there's, it all depends on the amount of the damage.
- But again, it depends on the bills that we pass, depends on how we react.
- Again, it depends on what we passed this year. We did build in a couple months to understand that.
- Again, it depends on what we passed this year. We did build in a couple months to understand that.
Summary:
The Assembly Insurance Committee held an oversight hearing on the Department of Insurance’s Sustainable Insurance Strategy (SIS), with Insurance Commissioner Ricardo Lara providing a detailed update on implementation after the January 2025 Los Angeles wildfires. Lara said the strategy has helped stabilize the market, speed claims payments, and keep insurers in California, citing $22.4 billion paid to wildfire survivors, 94% of 4,121 claims paid fully or partially, $210 million returned through department investigations, and a 27% reduction in claim closure time. He said major insurers, including Mercury, CSAA, USAA companies, Pacific Specialty, and California Casualty, have filed under SIS, with several more filings pending, and that approvals have generally been completed within 100 days of public notice. He also discussed modernization of rate review, a new data reconciliation tool, a planned regulation to require rate reviews within 60 days plus a possible 30-day extension, and ongoing work on Fair Plan oversight, wildfire risk modeling, and mitigation standards such as Zone Zero.
Committee members focused on wildfire survivor non-renewals, Fair Plan growth, claim handling timelines, and whether new legislative proposals could help or hinder market stability. Lara said visible consumer relief should begin in 12 to 24 months, with broader market stabilization expected over three to five years, and emphasized that mitigation, faster rate review, and insurer participation are key to reducing reliance on the Fair Plan. He also highlighted his 22-bill package, including SB 876 on disaster claims handling, AB 1795 on smoke damage standards, AB 1680 on Fair Plan accountability, and reforms to the intervener process. Members raised concerns about balancing consumer protections with insurer participation, and Lara said the Legislature should weigh those tradeoffs through the committee process.
Public commenters were divided but generally acknowledged the importance of the issue. Consumer and survivor advocates argued that insurers still delay or underpay claims and that more protections are needed, while industry representatives praised the department’s work and urged caution so the new system is not undermined. Several speakers stressed the need for mitigation, Zone Zero rules, and adequate rates, while others warned that wildfire and liability insurance problems are affecting foster care providers, commercial coverage, and utility wildfire costs. The hearing concluded with the committee adjourned after public comment.
NM
New Mexico 2026 Regular Session
House - Government, Elections And Indian Affairs Feb 13th, 2026
Transcript Highlights:
- Energy efficiency is one of the most dependable ways to lower and to support this bill.
- Energy efficiency is one of the most dependable ways to lower monthly bills, and it helps avoid higher
- It may be more than 30 days, dependent upon the nature of the concerns, and through this Nature of the
- That's not to say that each case will be 30 days; it could be more, depending upon the nature and or
- , depending upon where it falls into the person's term.
Summary:
The committee first took up House Bill 254, which would allow investor-owned electric utilities to include avoided greenhouse gas emissions in evaluating the cost effectiveness of energy efficiency resources. The sponsor explained an amendment making the emissions calculation optional for utilities, while requiring the Public Regulation Commission to consider it if a utility elects to use it. Utilities, energy efficiency advocates, and environmental groups supported the bill, saying it would help expand energy efficiency programs, lower bills, and better reflect emissions benefits. After brief questions about prior concerns, the committee adopted the amendment and advanced the bill on a unanimous due pass vote.
The committee then heard House Bill 185, which would change the process for suspending school board members so the Secretary of Education could suspend individual members rather than only an entire board. The sponsors and supporters argued the bill would improve accountability, protect good board members from being punished for others’ misconduct, and create a clearer process with notice, remedial action, and appeal rights. School superintendents and some current and former school board members supported the bill, but the New Mexico School Boards Association and several board members opposed it, saying it was vague, threatened local control, and gave too much power to an appointed official. After extensive debate, the committee voted 4-5 against the do pass motion, and the bill failed in committee.
The committee next considered House Memorial 29, condemning the U.S. invasion of Venezuela. The memorial sponsor said it was intended to oppose the administration’s actions and affirm democratic norms. A supporter from Lutheran Advocacy Ministry backed the memorial on moral and legal grounds. Representative Block raised multiple factual objections, arguing the memorial mischaracterized Nicolás Maduro’s status and the events in Venezuela. The committee amended the memorial to add the President of the United States, the Secretary of State, and the New Mexico congressional delegation as recipients, then passed it on a 6-3 vote after debate and vote explanations.
Finally, the committee heard House Bill 93, which would raise the state income tax standard deduction to 205% of the federal standard deduction. The sponsor said the bill was intended to reduce tax burdens for New Mexicans and noted that staff and the tax department had determined nonresidents would only receive a prorated benefit under existing rules, so no amendment was needed. With no public testimony and no opposition, the committee moved the bill forward on a do pass vote.
KY
Kentucky 2026 Regular Session
House Budget Review Sub. on Personnel, Public Retirement, and Finance (2-11-26)
Transcript Highlights:
- I guess it depends on the capacity, and it depends on, again, it's about run hours a lot of times.
- But again, it really depends on the run hours.
- But again, it really depends on the run hours.
- It is totally dependent upon the courts.
- </c> totally dependent upon the courts. totally dependent upon the courts.
Keywords:
Call to Order: 00;15
Approval of Minutes: 01:22
Update on Generator replacement: 01:52
Update on Sheriff Fees: 13:28
Adjournment: 25:22, 958, all
Summary:
The committee met for its fourth budget subreview session focused on personnel, public retirements, and finance. Members approved the minutes from the prior meeting and then heard from Finance Cabinet staff on two main items: a $7.5 million request related to generator systems and a sheriff’s fees budget request. The generator request was described as a preventive, life-cycle replacement and capacity-enhancement effort for 26 generators serving Frankfort-area state buildings, intended to protect continuity of government and expand beyond basic emergency power to support continuity of services.
Members asked detailed questions about how many generators would be replaced, the cost per unit, the scope of the study, and whether the work could be phased. Staff said the $7.5 million would cover a full evaluation and any resulting engineering/replacement work, but the exact number of replacements was not yet known. They estimated the initial study would cost about $500,000 to $750,000, would take six to nine months once funded, and would produce building-by-building recommendations. Staff also said typical generator life cycles vary widely, often around 15 to 20 years but sometimes longer depending on run hours and usage.
The committee then reviewed sheriff’s fees, with the Division of Local Government explaining that the state reimburses counties for several statutory sheriff-related costs, especially court security, which accounts for more than 90% of the claims. Staff said the current budget base is about $20 million, while actual spending has been running above $23 million, leading to a $3.5 million growth request to align the base with projected spending and reduce the need for non-general fund expenditure (NGE) adjustments. Members asked about claim volume, county participation, reimbursement controls, and whether the request reflected growth or underfunding; staff said all 120 counties submit claims, volumes have been fairly steady, and reimbursements are governed by statute and signed monthly certifications. No votes were taken on the requests, and the meeting adjourned after questions concluded.
WA
Washington 2025-2026 Regular Session
Senate Human Services Feb 3rd, 2026
Transcript Highlights:
- This bill has to do with when a child is under the age of five, at the time a dependency petition is
- possessed Just. filing the dependency petition and there are unlawfully possessed controlled substances
- If at any time dangerous drugs or unsafe conditions are suspected, DCYF must file a dependency petition
- And then we have a third that really looks at intensive in-home dependencies, and between the three of
- them as a Third, that really looks at intensive in-home dependencies.
Summary:
The Senate Human Services Committee first held a public hearing on the gubernatorial appointment of Angela Ramirez to serve as Secretary of the Department of Social and Health Services. Ramirez described her background in public service and said her priorities would include improving technology, addressing workforce shortages, strengthening relationships with labor, tribes, and community organizations, and protecting DSHS programs and clients during uncertain budget and federal conditions. Lieutenant Governor Denny Heck also spoke in support of her confirmation, and members raised questions about needed improvements at DSHS.
The committee then moved into executive session on six bills. On SB 6062, dealing with juvenile rehabilitation, midpoint reviews, bed capacity, and transfers between DCYF and DOC facilities, all six proposed Christian amendments failed and the committee advanced the Wilson substitute to Ways and Means. On SB 6308, concerning shelter care conditions for children under five in dependency cases, the committee rejected four Christian amendments and adopted a Wilson amendment clarifying that the bill does not supersede the Washington Indian Child Welfare Act; the bill then advanced to Ways and Means. On SB 6319, addressing community-based referrals for high-risk families with children under four and parental opioid use, the committee rejected three Christian amendments and adopted a technical Wilson amendment; the substitute then advanced to Ways and Means.
The committee also considered SB 6286, which would authorize Department of Health inspections of private detention facilities and create a repair account funded by fines for inspection violations. All Christian amendments and one Warnick amendment failed, and the proposed substitute was advanced to Ways and Means. On SB 6080, regarding contracts and conditions for jails holding people in federal custody, all Christian amendments failed and the substitute was advanced to Rules. Finally, on SB 6184, an agency-request bill making technical and program updates, the committee adopted the bill with one amendment and sent it forward subject to signatures. The committee recessed partway through the agenda, returned to vote on the first six bills, and announced that remaining bills and the gubernatorial appointment would be taken up the next day.
WA
Transcript Highlights:
- But again, there will be quite a bit of variation depending on how many people end up working over that
- That's what the report was in 2021: to have different rates depending on whether people elect medical
- Our port depends on it.
- Employees would also be required to make retroactive payments back to September 23, 2023, depending on
- September 23, 2023, depending on the length of service.
Keywords:
Washington retirement systems, retirement trust funds, interest earnings, public employee retirement system, teachers retirement system, state patrol retirement system, judicial retirement system, judges retirement system, school employees retirement system, public safety employees retirement system, law enforcement officers and firefighters retirement system, PERS, TRS, LERS, legal expenses, medical expenses, administrative expenses, fraud prevention, overpayment recovery, trust fund protection
TX
Transcript Highlights:
- It would just depend on the college.
- So what are the options for the students who are dependent on these funds if we take it away, what are
- I, I just, I, it, it depends on how you look at it, what, what you think is right and wrong.
- And it depends. What is your soil type? What are you trying to do on your farm?
- So regenerative agriculture is climate and context dependent.
TX
Transcript Highlights:
- It would just depend on the college. is on the recipients of the tuition assistance for a minute.
- So what are the options for the students who are dependent?
- So, it depends on how you look at it, what you think is right. wrong. Thank you.
- It depends, what is your soil type? What are you trying to do on your farm?
- So regenerative agriculture is climate and. context dependent.
Keywords:
nursing education, clinical sites, health facilities, Texas Higher Education Coordinating Board, legislative study, healthcare training, tuition, financial assistance, higher education, public institutions, student support, nonresident students, Texas Education Code, resident tuition, scholarships, regenerative agriculture, grants, sustainable farming, soil health, bioremediation
FL
Florida 2026 5th Special Session
Appropriations Committee on Higher Education Mar 11th, 2025
Transcript Highlights:
- On the whole, fairly consistent, you know, very consistent across the board, depending on your mission
- I think it would depend on what ranking you’re looking at. But as an example, for U.S.
- It would depend on the ranking. I can’t tell you that answer off the top of my head. I think U.S.
- So, you know, trying to do budgeting on non-recurring funds, depending on the year and your mission,
- It also fluctuates depending on the age of infrastructure and the size of your plant.
Summary:
The Appropriations Committee on Higher Education met to examine how Florida’s state universities are funded and to begin discussing a possible university funding model. The panel included the State University System chancellor and CFOs from FSU, UF, FAMU, FAU, UNF, and UCF. Members first reviewed major cost drivers, which the universities said are broadly similar across institutions: wages and benefits, equipment and supplies, financial aid, professional services, utilities, IT, and maintenance. Several institutions noted unique pressures from geography, growth, research intensity, and mission, such as UCF’s size and engineering focus, UF’s land-grant and research enterprise, FAMU’s need to recruit top talent while serving a high-Pell student population, and FSU’s large facilities and research obligations. The chancellor also summarized systemwide cost growth since 2012-13, including higher health insurance, retirement, and salary costs, while noting tuition had been held flat.
The committee then discussed other revenue sources, including auxiliaries, restricted funds, capital projects, and component units such as foundations and health systems. University leaders explained that many of these funds are restricted to specific purposes, and some, like UF Health, account for a large share of operating expenses. Members also discussed the current performance-based funding process. University representatives generally praised it for transparency, accountability, and its focus on student success, but said the heavy use of one-time funds, nonrecurring appropriations, and unfunded mandates makes long-term planning difficult. FSU and others argued that rising employee costs, waivers, and facilities expenses are not fully covered, while FAMU said performance funding has improved outcomes but can disadvantage institutions serving more low-income students.
In response to questions about improvements, the universities suggested more recurring and predictable funding, better coverage of mandated costs, more flexibility in fees, and continued investment in research and strategic priorities. The chancellor said the Board of Governors is considering a version 3.0 of performance funding that would benchmark institutions against peers and Carnegie classifications. The committee also explored whether universities should have more flexibility to set out-of-state tuition and professional school tuition. Most university leaders favored giving boards of trustees more authority, while the chancellor cautioned that increasing out-of-state enrollment or tuition too much could affect legislative support. No votes were taken; the meeting ended with the chair thanking the panel and adjourning the committee.
FL
Florida 2025 Regular Session
February 20, 2025 - 01:00 PM
Transcript Highlights:
- Puerto Rico is dependent upon JaxPort services.
- If you're flying out of an airport, you're dependent upon fuel coming into either one of those ports.
- /Long Beach, that might have been dependent upon trains and the rest of it coming through there, some
- Again, depending on the TPO, in our case, we meet monthly.
- And for the most part, that seems to be successful depending on the local community.
Summary:
The Transportation and Economic Development Budget Subcommittee heard an overview from FDOT Secretary Jared Perdue on the state’s transportation work program, with emphasis on the Moving Florida Forward initiative, major roadway projects, workforce needs, seaports, airports, spaceport infrastructure, and the role of MPOs/TPOs in planning. He said the $4 billion general revenue investment in Moving Florida Forward has been leveraged into a roughly $7 billion-plus program, with 20 projects underway and about 70% of the initiative expected to be under construction by year’s end. He highlighted I-4 as the centerpiece, describing a new procurement approach, phased delivery, and added lanes intended to provide congestion relief during construction. He also discussed a projected 38% growth in transportation workforce needs and proposed a Florida Transportation Academy and a research institute to support training and innovation.
Tiffany King of the Florida Airports Council said Florida’s 128 public-use airports have about $5.7 billion in unfunded projects through 2029, and stressed that airport priorities include not only terminals and passenger capacity but also safety, security, gates, and environmental work. Michael Rubin of the Florida Ports Council said Florida’s 16 deepwater seaports now have a $195.9 billion economic impact, support about 1.2 million jobs, and generate $7.4 billion in state and local taxes; he noted that ports still have about $4 billion in project needs, including dredging and intermodal connections. Jeff Sheffield of the North Florida TPO described the value of regional, community-based planning and said his four-county TPO has helped align local priorities with FDOT funding.
Members asked about whether the state is planning for advanced air mobility and “flying cars,” whether Moving Florida Forward bypassed MPOs, how long major projects take, cost escalation, regionalization of MPOs, port governance, airport governance, and the contractor qualification system. FDOT and the witnesses said the state is working on policy and planning for advanced air mobility, that Moving Florida Forward did not bypass MPOs because the projects were already locally prioritized, and that the main delay is funding rather than the planning process. They said long-range plans are updated regularly and can be amended when priorities change, and that regional MPO structures can improve coordination. The committee took no formal vote; the meeting concluded after questions and comments, including discussion of workforce training opportunities for incarcerated individuals and a motion to adjourn by the ranking member.
WA
Washington 2025-2026 Regular Session
Joint Legislative-Executive Committee on Budget Transparency and Fiscal Sustainability Jul 20th, 2026 at 09:00 am
Joint Legislative-Executive Committee on Budget Transparency and Fiscal Sustainability
Transcript Highlights:
- So this is our projection period, where there are a variety of techniques employed, depending on the
- So this is our projection period, where there are a variety of techniques employed, depending on the
- So this is our projection period, where there are a variety of techniques employed, depending on the
- And so widespread AI usage could have positive or negative effects depending on your perspective and
- how AI plays out. or negative effects, depending on your perspective and how AI plays out.
WA
Washington 2025-2026 Regular Session
Joint Transportation Committee Jun 23rd, 2026 at 09:00 am
Transportation
Transcript Highlights:
- on the geography, it depends on the width of the sidewalk.
- The answer's really varied, and it really depends on the standards that the local government is using
- So certain path dependencies do exist.
- Program setup can look quite different depending on what their starting point is.
- And this is important: does this program depend heavily on another program's infrastructure?
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 5 on State Administration Apr 28th, 2026
Transcript Highlights:
- The VLF funds support the critical services our residents depend on every day.
- Our residents depend on every day.
- I would say, yeah, those leases, obviously depending... ...on duration, can last anywhere from eight
- DGS is a curious mix of service provider and control agency depending on the topic, and we are also..
- Our director... and so that provides, you know, and workload goes like this depending on what happens
Summary:
The hearing began with a vote-only agenda and then focused first on San Mateo County’s request to restore in-lieu vehicle license fee (VLF) funding. County officials, city leaders, labor representatives, nonprofits, and public safety advocates argued that the loss of roughly $157 million would force major cuts to homelessness services, housing assistance, mental health programs, libraries, parks, fire and police staffing, and other local services. They described the current formula as outdated and unfair, tied to school funding and basic-aid dynamics that no longer work for San Mateo County, and urged both an immediate budget restoration and a permanent legislative fix. The Department of Finance said the payments are discretionary, not statutorily required, and noted the administration does not view the expenditure as sustainable in the current fiscal climate. Committee members expressed sympathy, questioned the formula, and said they would keep the issue under consideration; the committee later voted to move the two vote-only items on the agenda.
The committee then received an update from the Department of General Services on state property redevelopment, including the Hillcrest DMV site in San Diego, the Fell Street DMV site in San Francisco, and other state-owned properties. DGS explained that Hillcrest is not currently an active project, while the Fell Street project shifted from an integrated DMV-housing plan to a more feasible relocation of the DMV into leased commercial space, with a budget change proposal pending. Members pressed DGS on the slow pace of redevelopment, the potential for housing on state sites, and the costs and feasibility of adaptive reuse. DGS said many state buildings are aging and that adaptive reuse depends heavily on building design, floorplate depth, light, and risk from unknown conditions behind walls.
The Government Operations portion then turned to the California Education Learning Lab, which supports intersegmental higher education innovation grants. The Lab asked for permanent restoration of $4 million in ongoing funding and a move of its home agency from the Office of Land Use and Climate Innovation to GovOps, along with technical trailer bill changes. Supporters said the program has funded more than 120 projects reaching thousands of faculty and hundreds of thousands of students, including work on generative AI in higher education. The Legislative Analyst’s Office recommended rejecting the restoration and continuing the wind-down, citing the state’s projected deficit and suggesting the California Education Interagency Council could pursue non-state-funded grant opportunities instead. The committee held the item open.
Finally, GovOps presented the new California Education Interagency Council staffing request, seeking four ongoing positions to support the council, with funding already included in last year’s budget. The department said the governor has appointed Debbie Cochran as executive officer and that the remaining positions are being recruited. Finance and LAO had no objections, and the committee began questions about how the council will be staffed and organized.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 5 on State Administration Apr 28th, 2026
Transcript Highlights:
- The VLF funds support the critical services our residents depend on every day.
- Without these funds, we risk losing important services... ...our residents depend on every day.
- I would say, yeah, those leases, obviously depending... ...obligation is much smaller.
- So it always depends what the scope is and what the ultimate program and goal are.
- And depending on how that shakes out in the budget, on the learning lab, and depending on how that shakes
HI
Transcript Highlights:
- this forward as a House Draft, making it clear that the intention of the measure is to include dependents
- </c> of the measure is to include dependents of the measure is to include dependents over<00:48:37.680
- </c><00:48:51.920><c> of</c><00:48:52.079><c> the</c> policy holder or any dependent of the policy holder
- or any dependent of the policyholder<00:48:53.359><c> who</c><00:48:53.599><c> is</c><00:48:53.839><
- </c><00:49:04.480><c> of</c><00:49:04.720><c> the</c> member of any dependent of the member of any dependent
Keywords:
cannabis, marijuana, Hawaii Cannabis Law, legalization, decriminalization, adult use, hemp, taxation, social equity, public health, primary care, health insurance, health carrier, insurance commissioner, Med-QUEST, Medicaid managed care, provider reimbursement, downcoding, prior authorization, utilization review
Summary:
The committee heard testimony on several health-related bills. HB 1864, which would require health insurance coverage for standard fertility preservation services for people undergoing medically necessary treatment, drew broad support from SHIPA, the Department of Health, HMSA, the Hawaii Association of Health Plans, and others. Testifiers emphasized that fertility preservation is routine coverage on the mainland and important for patients facing infertility from cancer or other treatment; one patient described incurring more than $20,000 in costs. The Insurance Division flagged possible Affordable Care Act issues, a potential conflict in the bill’s language about using patient history to determine limits, and a mismatch with state medical-necessity standards. Committee discussion also focused on whether the bill should apply to all women of childbearing age rather than a narrower age-based category.
HB 2305 would require nutrition and metabolic education as part of physicians’ continuing medical education. The Hawaii Medical Board opposed the measure, arguing that CME should remain flexible and tailored to each physician’s specialty and warning that topic-specific mandates can expand over time. The Office of the Governor supported the bill, saying it would help the state’s rural health transformation application and could improve federal funding prospects, though the exact impact was unclear. Members questioned whether nutrition is already covered in medical training and whether the requirement should be limited to primary care physicians; the board said Hawaii currently has no topic-specific CME mandates and that physicians can already choose relevant courses.
The committee also heard strong support for HB 1597, which would establish an Alzheimer’s disease research center at the University of Hawaii. Supporters from the university, the Alzheimer’s Association, AARP, and others said the center could attract federal research dollars, expand clinical trials, and help address the state’s high Alzheimer’s-related health costs. HB 2159, which appropriates funds for health care workforce development, also received broad support from the University of Hawaii, health systems, and advocacy groups, with no opposition noted. Finally, HB 2121, which would prohibit the sale and distribution of disposable electronic smoking devices, drew support from the Department of Health, youth advocates, and public health groups citing youth addiction, environmental waste, and fire hazards; the department said a separate bill, HB 1573, would be more comprehensive and better defined for enforcement and penalties. The committee ended with HB 1913, creating a veteran services mental health coordinator position at Tripler Army Medical Center, which was supported by veteran services officials and others who said veterans need better navigation and coordination for behavioral health care.
CA
Transcript Highlights:
- People can develop tolerance and dependence, meaning they actually will need much higher doses to get
- But how similar is mitragynine and 7-OH to the classical opioid receptor activity as far as their dependence
- how similar is metrogenin and 70H to the classical opioid receptors activity as far as like their dependence
- And we have even seen patients who require methadone treatment for their dependence.
- It's associated with a higher risk of dependency and a higher tolerance.
Summary:
The committee held an informational hearing on kratom and 7-hydroxymitragynine (7-OH), focusing on public health risks, overdose deaths, and regulatory gaps in California. The chair opened by noting that FDA and CDPH consider kratom and 7-OH products unlawful for consumption, yet they remain widely sold in smoke shops, vape stores, gas stations, and convenience stores. The hearing was framed as part of ongoing legislative work, including a future review of AB 1088, and members emphasized the need to weigh potential benefits against risks and consider whether stronger safeguards are needed.
Expert testimony from a toxicology professor and several public health and medical officials described kratom as a plant with multiple alkaloids, with 7-OH identified as the more potent opioid-like compound associated with tolerance, dependence, withdrawal, and respiratory depression. CDPH reported 362 kratom-related overdose deaths in California from 2019 to 2023 and 15 deaths involving 7-OH, while Los Angeles County officials described unexplained deaths in young adults that led them to expand toxicology testing and identify 7-OH as a common factor. County and state public health representatives said they have issued advisories, contacted retailers, removed products from shelves, and taken enforcement actions, but they stressed that local enforcement is patchy, under-resourced, and limited by unclear jurisdiction and lack of testing capacity.
Medical witnesses said patients are presenting with 7-OH dependence and withdrawal in ways similar to fentanyl-related cases, sometimes requiring buprenorphine, methadone, or repeated naloxone. They argued that unregulated retail sales and misleading marketing make the products especially risky, and that a statewide framework would be more effective than a patchwork of local ordinances. Some officials said the safest current policy is to keep kratom and 7-OH unlawful for consumption, while others said any new regulation would need resources, packaging rules, and clearer authority for enforcement.
Industry and consumer advocates urged the committee to distinguish natural kratom leaf from concentrated or synthetic 7-OH products. They argued that kratom leaf has long-standing use, that 7-OH should be targeted rather than the whole plant, and that regulation should focus on age limits, labeling, testing, serving-size caps, and restrictions on adulterated products rather than prohibition. Several speakers warned that bans could push demand to the black market and reduce access for people using the products for pain relief or harm reduction, while critics of the industry said the products are being marketed deceptively and that more comprehensive regulation is needed.