Video & Transcript Research : 'Hawaii Trauma System'

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HI

Hawaii 2026 Regular Session

HHS-AEN-EIG, HHS, HHS Public Hearings 02-02-2026

Health and Human Services

Transcript Highlights:
  • Clayton Mcan, West Hawaii Region of Hawaii Health Systems Corporation, in support.
  • My name is Clayton Mcan, CEO of the West Region, Hawaii Health Systems Corporation, and I'm testifying
  • <01:10:31.920> Health<01:10:32.159> Systems West Region, Hawaii Health Systems Corporation
  • Hawaii Health Systems Corporation in support. Edward Chu, please proceed.
  • Edward Chu, President and CEO for Hawaii Health Systems Corporation.
Keywords: 912, senate, all
Summary: The joint HHS, Agriculture, Environment, Energy, and Intergovernmental Affairs hearing focused first on SB 2262, a pollution and illegal dumping measure. The Department of Health said it stood on its written testimony, and public testimony included support from CARES with suggested amendments to involve the counties in standardized response planning and to address pollution caused by individuals. Members questioned the bill’s fines, where they would go, and how the department would handle carcasses and illegal dumping enforcement. DOH said administrative fines go to the general fund, criminal fines are collected by the Attorney General, carcasses are generally buried by the landowner under existing rules, and DOH mainly regulates solid waste and coordinates with counties and other agencies when violations arise. After discussion, the chair recommended SB 2262 be passed with substantial amendments. The proposed amendments would add DLNR to the task force, deposit all fines into a special fund to support enforcement, allow fines below $5,000 for littering and higher fines for excessive or chronic illegal dumping, and include a January 30, 2050 effective date. The committee adopted the recommendation, with members voting aye. The hearing then moved to the HHS calendar. On SB 2087, relating to health insurance, agencies including DHS, DCCA, the Attorney General, and Labor stood on written testimony, while several advocacy and medical groups testified in support. One Medicaid recipient opposed the bill, arguing the coverage should be immediate rather than phased in over three years. Angela Melody Young supported the bill but urged amendments to prioritize people with disabilities, kupuna, and mothers. Members questioned whether the rural health transformation program could support the bill’s deductible structure; the Department of Human Services said it was unlikely CMS would allow that level of coverage, though rural funds might help in other ways. The committee then moved on to SB 2089, which would expand services eligible for Medicaid prospective payment system reimbursement, hearing support from OHA, DHS, and others, along with testimony about mental health access and training. The transcript also began SB 2106, relating to health and eating disorder prevention, with a student testifying in support and citing youth eating disorder harms, but the discussion was cut off before any action on that bill.
HI

Hawaii 2025 Regular Session

JDC Public Hearing 04-23-2025

Judiciary

Transcript Highlights:
  • Regardless of this, Judge Hawaii bar.
  • one comment which is from the Hawaii one comment which is from the Hawaii State<00:34:28.159>
  • of Hawaii. Maloito, thank you very much. of Hawaii. Maloito, thank you very much.
  • We came together to Hawaii and mom.
  • out<01:21:53.440> into<01:21:53.679> the system, our prison system, out into the system
Keywords: 912, senate, all
Summary: The committee hearing covered three judicial confirmations for the First Circuit family court. The first nominee, Maria F. Penn, was introduced for confirmation to a six-year term as a district family court judge. Testimony from family law attorneys and the Hawaii State Bar Association was strongly supportive, emphasizing her courtroom demeanor, preparation, knowledge of family law, respect for litigants and counsel, and ability to manage emotionally difficult family court matters. Judge Penn also spoke about her background, including her legal career, prior service as a PDM family court judge, and her view that family court requires both legal judgment and empathy. The chair noted that the committee would not vote that day and would take up votes the next morning. The second nomination was Wilson Aunga for a district family court judgeship. Supporters described his character, community involvement, and suitability for family court, including testimony from the Honolulu prosecutor, longtime friends, classmates, community members, and others. Speakers highlighted his work with youth, his leadership in the prosecutor’s office, his calm and impartial temperament, and his commitment to education and public service. The chair reported 105 supporters, no opposition, and one comment from the Hawaii State Bar Association. Additional testimony continued from members of the public, including a speaker discussing mental health and personal support for Aunga. Throughout the hearing, the chair enforced a two-minute limit on oral testimony and explained that the committee was short on time and would recess as needed. No votes were taken during the hearing; the chair announced that voting would occur the following day in the same room.
TX

Texas 89th Regular

Homeland Security, Public Safety & Veterans' Affairs Apr 30th, 2025

Homeland Security, Public Safety & Veterans' Affairs

Transcript Highlights:
  • Forensic Science is really essential to the effectiveness of our criminal justice system, but we have
  • heard previously relating to... ...to the use of the Department of Public Safety image verification system
  • This chronic exposure to trauma is often dangerous for the mental health of firefighters.
  • Firefighters experience more trauma than police officers and telecommunicators.
TX

Texas 89th Regular

Homeland Security, Public Safety & Veterans' Affairs Apr 30th, 2025

Homeland Security, Public Safety & Veterans' Affairs

Transcript Highlights:
  • and health integration platform, directs the Texas Military Department to build a modern digital system
  • the 2005-2006 timeframe, following substantial cuts that were made to the community mental health system
  • Effective programs that reduce reliance on more costly systems ease the burden on local law enforcement
  • been made there, but we've also got to look at outpatient treatment capacity and the crisis response system
  • Most of the people end up going to the public library to use the computer systems that are there during
HI

Hawaii 2025 Regular Session

WAM/FIN Joint Info Briefing - Fri Feb 14, 2025 @ 9:30 AM HST

Hawaii House Floor Meeting

Transcript Highlights:
  • Every day, patients across Hawaii, kūpuna, trauma victims, and cancer patients depend on a stable blood
  • Hawaii Food Bank? Oh, Hawaii Food Bank. Oh, did you say Hawaii or Kawai? I'm sorry. Kawai? Not yet.
  • Food Bank oh Hawaii food Hawaii Food Food Bank oh Hawaii food Hawaii Food Bank<04:33:28.000> oh
  • <05:02:56.400> let in Hawaii County on on East Hawaii let in Hawaii County on on East Hawaii
  • Next, we have Hawaii Senator AI Hawaii Agricultural Foundation.
Keywords: 910, house, all
HI
Transcript Highlights:
  • In Hawaii.
  • Uh we have the University of Hawaii Uh we have the University of Hawaii system<01:49:59.440>
  • Uh, we also received testimony with comments from the University of Hawaii system and DEBED.
  • <01:52:22.400> system<01:52:22.960> and the University of Hawaii system and the University
  • of Hawaii system and DEBED.<01:52:24.320> Is<01:52:24.480> there<01:52:24.639> anybody
Keywords: 910, house, all
HI

Hawaii 2025 Regular Session

PBS Info Briefing - Mon Aug 18, 2025 @ 2:00 PM HST

Hawaii House Floor Meeting

Transcript Highlights:
  • study ever done in the state of Hawaii. study ever done in the state of Hawaii.
  • Um I uh personally have in Hawaii.
  • redesign disaster preparedness systems redesign disaster preparedness systems to<00:48:35.680>
  • ,<00:53:54.720> gender-based criminal justice system, gender-based criminal justice system
  • to become, you know, to have a Hawaii to become, you know, to have a Hawaii effect<00:58:29.040>
Keywords: 910, house, all
Summary: The House Committee on Public Safety held an informational briefing on the second anniversary of the Maui wildfires, with Chair Dela Alani framing the discussion around emergency preparedness, recovery, and lessons for future disasters. The main presentation came from researchers involved in the Maui Wildfire Exposure Study, who described the project as a grassroots academic-community partnership that has enrolled more than 2,000 adults and children for health screenings, social assessments, and biomonitoring. They said the study has documented elevated mental and physical health conditions, housing instability, unemployment, barriers to care, and exposure to heavy metals and other toxicants, while also noting some modest improvement in adult mental health and self-rated health compared with the prior year. The presenters emphasized that wildfire impacts remain severe two years later. They reported that about half of adult participants had worsening health since the fires, roughly 40% had direct or frequent fire exposure, and many adults showed chronic disease burdens such as hypertension, diabetes, and respiratory impairment. They also said about half of adult survivors reported depressive symptoms, about a quarter had moderate to severe anxiety, more than 4% had considered suicide in the prior month, and nearly one in four had PTSD. A clinician from the Lahaina Certified Community Behavioral Health Center described the clinic’s no-turn-away model, with case management, therapy, psychiatric evaluation, and medication management for anyone who needs it, and urged lawmakers to fund and expand that approach. The researchers also highlighted environmental findings, saying urine testing of more than 1,200 adults found heavy metal signatures that differed between burn-zone residents and those on the perimeter, with higher levels associated with displacement and ash re-exposure. They said about 20% of participants had higher-than-expected heavy metal levels 6 to 12 months after the fires, and cited a negative association between nickel levels and lung function. They argued for long-term monitoring, better cleanup methods, and a centralized health surveillance system tied to community outreach. No vote or formal committee action was taken during the briefing; the chair said the presentation materials and related reports would be posted for public access, and members were invited to ask questions after the presentation.
HI
Transcript Highlights:
  • in Hawaii.
  • in Hawaii.
  • in Hawaii.
  • We are requesting $1.52 million to sustain Hawaii community food system work after the termination of
  • Hawaii. Hawaii.
Keywords: 910, house, all
Summary: This joint informational briefing on Act 310 grants and aid focused on organizations describing how federal funding cuts, Medicaid/SNAP changes, and related policy shifts are affecting their services and budgets. Committee members explained there would be no Q&A, testimony would be limited to one minute, and in-person participants would be heard before Zoom callers. Members repeatedly asked testifiers to identify the amount of federal funding lost or at risk. Testimony came from a wide range of nonprofits and community providers, including Aloha Care, Hawaii Bicycling League, Hawaii Literacy, Hawaii Youth Symphony, Healthy Mothers Healthy Babies Coalition of Hawaii, the Tsunami Museum, The Kohala Center, West Hawaii Community Health Center, West Hawaii Region Hospital Foundation, Sounding Joy Music Therapy, Big Brothers Big Sisters Hawaii, Dynamic Community Solutions, Feeding Hawaii Together, Girl Scouts of Hawaii, Hawaii Disability Rights Center, Hawaii Youth Services Network, Hawaiian Lending and Investments, Homana, Honolulu Theatre for the Youth, Kids Hurt Too Hawaii, and Kokua Kalihi Valley. Most described reduced or threatened federal support and requested state funding to maintain services such as health care access, food security, disaster preparedness, literacy and digital inclusion, youth mentoring, arts education, housing, and climate or agricultural resilience. Several speakers emphasized direct impacts on vulnerable populations, including kūpuna, low-income families, immigrants, homeless youth, and people with disabilities. Requests ranged from relatively small planning or program grants to multi-million-dollar stabilization asks, with some organizations citing specific losses such as reduced Medicaid or USDA funding, canceled EPA or FEMA support, or expiring federal grants. No votes or formal committee actions were taken during the briefing.
HI

Hawaii 2025 Regular Session

HHS Public Hearing 03-14-2025

Health and Human Services

Transcript Highlights:
  • Come on up. as as an individual providing comments as as an individual providing comments Hawaii Hawaii
  • <00:05:26.960> We practice on the island of Hawaii We practice on the island of Hawaii We
  • much next we have Dr ignasia Hawaii much next we have Dr ignasia Hawaii Medical<00:09:18.440>
  • dwarte are you present um for Hawaii dwarte are you present um for Hawaii home<00:09:23.519>
  • <00:09:31.320> home I'm the president of the Hawaii home I'm the president of the Hawaii home
Keywords: 912, senate, all
Summary: The Health and Human Services committee heard extensive testimony on HB 1194 HD2, a bill to regulate midwifery and require accredited education for licensed midwives. Supporters, including the Midwives Alliance of Hawaii, ACOG, a pediatrician, and several licensed midwives, argued the bill would improve maternal and newborn safety, clarify the definition of midwife, strengthen accountability, and align Hawaii with national education standards. They said accredited training is necessary to avoid gaps in knowledge and to support safe transfers and collaboration with hospitals. Opponents, including many midwives, parents, cultural practitioners, and community groups, argued the bill would restrict access to care, criminalize traditional and apprenticeship-based midwifery, and undermine reproductive autonomy and Native Hawaiian and other cultural birthing practices. Several asked for amendments to preserve a birth attendant exemption, the PET/portfolio pathway, and cultural and religious protections. Others said the bill would disproportionately harm rural, Indigenous, and low-income families by making training and licensure less accessible. The committee also heard testimony from state and county entities and professional organizations, with some standing on written testimony and others offering brief comments. The chair repeatedly reminded testifiers of the one-minute limit and the possibility that final decision-making would be deferred if quorum was lost. The transcript does not show a final vote or action taken during this segment.
HI

Hawaii 2026 Regular Session

JHA Public Hearing - Fri Feb 13, 2026 @ 2:00 PM HST

Judiciary & Hawaiian Affairs

Transcript Highlights:
  • Next, Leilani Stacy, ACLU of Hawaii Hawaii Hawaii or<00:31:02.640> her<00:31:02.880> representative
  • certification across Hawaii. certification across Hawaii.
  • here in Hawaii or no? here in Hawaii or no?
  • However, many Native Hawaiian keiki in the child welfare system have experienced significant trauma resulting
  • , Hawaii, Hawaii, not<02:06:52.960> present.
Keywords: 910, house, all
Summary: The committee heard testimony on House Bill 1768, which would prohibit state and county law enforcement agencies and officials from entering into federal immigration-enforcement agreements under 8 U.S.C. 1357(g) and from assisting in certain immigration enforcement actions except in limited circumstances. The Office of the Public Defender, Hawaii Coalition for Immigrant Rights, the Legal Clinic, and the ACLU of Hawaiʻi all testified in strong support, arguing the bill would protect due process, reduce fear in immigrant communities, preserve trust in local police, and keep local resources focused on public safety. Testifiers said cooperation with immigration enforcement can chill court attendance, crime reporting, and cooperation with police, and they emphasized that the bill would not stop federal enforcement or affect other deputization agreements for environmental or other criminal matters. Committee members asked whether any 287(g) agreements currently exist in Hawaiʻi; testifiers said they were unaware of any and believed the bill would maintain the status quo. No vote was taken in the portion provided. The committee then took up House Bill 1548, which would reduce the maximum sentence for misdemeanors from one year to 364 days and allow people previously sentenced to one year to seek sentence modification. The Office of the Public Defender, Office of Hawaiian Affairs, the Legal Clinic, the Hawaii Coalition for Immigrant Rights, the ACLU of Hawaiʻi, and the William S. Richardson School of Law immigration clinic all supported the measure, saying the one-day change could prevent severe immigration consequences such as detention, removal, and bars to relief that can be triggered by a sentence of 365 days or more. Testifiers stressed that the bill would not change criminal liability or public safety, but would align Hawaiʻi law with similar reforms adopted in other states. Members questioned whether the change would affect citizens or create an automatic immigration process; witnesses responded that the issue is the federal immigration consequence tied to the maximum sentence, not actual time served, and that citizens would not face that consequence. The transcript ends during continued discussion of HB 1548, with no final vote shown.
HI

Hawaii 2025 Regular Session

HSH Public Hearing - Thu Mar 20, 2025 @ 10:15 AM HST

Human Services & Homelessness

Transcript Highlights:
  • Um, Oya is a Action Hawaii.
  • We also had the Hawaii State today. We also had the Hawaii State Commission.
  • public policy chair for AAW of Hawaii. public policy chair for AAW of Hawaii.
  • but not just to Hawaii, to every state. but not just to Hawaii, to every state.
  • say everybody will be covered in Hawaii. say everybody will be covered in Hawaii.
Keywords: 910, house, all
Summary: The committee met on March 20, 2025, to hear a series of Human Services and Health resolutions. HCR 146, which asks the Department of Human Services to apply for and implement the Elderly Simplified Application Project, drew strong support from disability, public health, and hunger advocates. Testifiers emphasized that the measure could create a more uniform benefits application, reduce repeated paperwork, extend certification periods from one year to three years, and ease burdens on both applicants and DHS staff. DHS said it stood on its written testimony and was available for questions. The committee also heard that a universal application could help people with disabilities avoid delays and denials caused by complex or duplicative forms. The committee then heard HR 170/HCR 174, which requests review of Aloha-based learning programs for youth in the juvenile legal system. Supporters from Opportunity for Youth Action Hawaii and DebtFree Justice Hawaii said the resolution would help advance restorative justice, community service, and culturally grounded rehabilitation, especially if youth fees and fines are reduced or eliminated. Testimony also supported HR 133/HCR 139, which asks the Office of Wellness and Resilience to report on the developmental needs of children born during the COVID-19 pandemic. Witnesses from the developmental disabilities council, the Office of Wellness and Resilience, the Hawaii Community Foundation, and others said the pandemic’s trauma and behavioral impacts justify a multidisciplinary, evidence-based report, and the office requested more time to complete its findings, suggesting a deadline at the end of 2026. The committee also heard HR 88/HCR 92, proposing a two-year homelessness sanctuary pilot program in Honolulu. One testifier described sleeping in a car and said the pilot could provide a safer option, while the Statewide Office on Homelessness and Housing Solutions said it supported the intent but stressed that a sanctuary is still an unsheltered situation and should lead people toward permanent housing. HCR 180, calling for collaboration among homelessness and law enforcement agencies, received comments that many of the issues are already being addressed locally. HR 103/HCR 107, which would convene a working group to strengthen Title 9 protections, received support from education, women’s, and LGBTQ advocates, who asked for student and queer representation on the working group and said federal Title 9 changes make state action important. No votes were taken during the portion of the meeting provided, and the committee moved from one resolution to the next after testimony and questions.
HI

Hawaii 2025 Regular Session

ACT 310, SLH 2025 Nonprofit Grants Program Informational Briefing 10-30-2025

Hawaii Senate Floor Meeting

Transcript Highlights:
  • We have Girl Scouts of Hawaii. leaving tens of thousands of Hawaii leaving tens of thousands of Hawaii
  • We are requesting $1.52 million to sustain Hawaii community food system work after the termination of
  • The Hawaii Kiki Museum is a hands-on learning center in West Hawaii.
  • We are a program of Hawaii International Child Serving Hawaii since 1975.
  • Teach for America Hawaii. >> Thank you. Teach for America Hawaii.
Keywords: 912, senate, all
Summary: This joint informational briefing focused on Act 310 grants and aid, with committee members hearing one-minute testimony from organizations first in person and then by Zoom. At the outset, the chairs explained there would be no Q&A during the briefing and asked testifiers to focus on how federal cuts were affecting their work. The meeting was organized by registration number and included both neighbor island and Oʻahu applicants. Testimony centered on organizations seeking state support to offset federal funding losses or anticipated reductions. Health and social service providers described impacts from Medicaid, SNAP, ACA subsidy, Title X, and other federal changes, including Aloha Care, Community Clinic of Maui, Healthy Mothers Healthy Babies, West Hawaiʻi Community Health Center, Hawaiʻi Disability Rights Center, Hawaiʻi Youth Services Network, Alcoholic Rehabilitation Services of Hawaiʻi, and Kokua Kalihi Valley. Other groups highlighted losses affecting food security, housing, disaster preparedness, and climate resilience, including the Kohala Center, Feeding Hawaiʻi Together, Hawaiian Lending and Investments, Dynamic Community Solutions, and the Pacific Tsunami Museum. Several arts, youth, and education organizations also testified, including Hawaiʻi Literacy, Hawaiʻi Youth Symphony, Honolulu Theatre for the Youth, Sounding Joy Music Therapy, Big Brothers Big Sisters Hawaiʻi, Girl Scouts of Hawaiʻi, Kids Hurt Too Hawaiʻi, and US Vets, each requesting funding to preserve programs and staffing. No votes or formal committee actions were taken during the briefing. The only action was procedural: the chairs moved through the applicant list, limited testimony time, and then transitioned from neighbor island in-person testimony to Oʻahu and later Zoom participants.
AZ

Arizona 2026 Regular Session

02/18/2026 - House Ways & Means

Ways & Means

Transcript Highlights:
  • And we're one of the only few systems in the country that has this cap.
  • It is a number of systems.
  • in the other systems?
  • Chairman, Representative Sandoval, yes, because the PSPRS system is an umbrella system.
  • Chairman, Representative Sandoval, our PSPRS system is, Mr.
Summary: The House Ways and Means Committee first set aside House Bill 2794 at the sponsor’s request and then took up House Bill 2290, which would clarify Arizona transaction privilege tax sourcing rules for tangible personal property by specifying that an order is received at a seller’s business location and that server location does not control sourcing. The sponsor said the bill codifies existing, historic treatment and would provide certainty for taxpayers, while the League of Arizona Cities and Towns opposed it, arguing it would be a major departure from current practice, could shift revenue away from rural communities, and could create multiple tax rates for a single transaction. The Department of Revenue said it was neutral, acknowledged ongoing ambiguity and administrative complexity, and explained that a 2023 draft ruling had been based on a legal analysis but was never finalized. Several business and association witnesses supported the bill as necessary to prevent inconsistent audits and to preserve origin-based sourcing for in-state sellers. After extended debate, the committee passed HB 2290 on a 5-3 vote, with one member absent. The committee then heard House Bill 2373, which would add a space on the individual income tax return for taxpayers to voluntarily direct part of a refund to the Veterans Donations Fund or a veterans service organization fund. The sponsor and a representative of veterans advocacy groups described it as a simple, voluntary way to support veterans organizations and local projects. No opposition was raised, and the bill was approved unanimously by the members present, 8-0, with one absent. Finally, the committee considered House Bill 2143, a technical change to Public Safety Personnel Retirement System law that would limit the 5% ownership cap to publicly traded corporations. PSPRS representatives said the change would reduce compliance costs and avoid unnecessary workarounds while maintaining existing investment safeguards and diversification rules. Members discussed that ASRS does not have the same cap and that PSPRS already has broader limits on concentration risk. The bill was presented as an administrative cleanup measure, and discussion focused on clarifying that it would not increase investment risk.
KY
Transcript Highlights:
  • <00:04:47.280> at for us, and move it into the system at for us, and move it into the system
  • <00:08:35.919> Um for our current system in 2030. Um for our current system in 2030.
  • But a SAP our current system.
  • Got the current system up there.
  • Um got the current system um since 2009. Um got the current system um up<00:26:54.000> there.
Summary: The House Budget Review Subcommittee on Personnel, Public Retirement, and Finance held its first meeting and heard a presentation from personnel cabinet officials on a major request to replace the Kentucky Human Resources Information System, known as CHRIS, which currently handles HR, payroll, tax compliance, and health plan administration for state government and several local offices. Officials said the system supports payroll for about 48,000 employees, covers all three branches of government and 24 sheriff and county clerk offices, and stores records for nearly 475,000 current and former users. They explained that SAP has said the system will reach end of life and lose support by 2030, creating risks around security, maintenance, and tax compliance if it is not replaced. Commissioners and staff emphasized that the replacement is needed not just as an upgrade but as a full system replacement, especially because the current platform no longer receives meaningful HR enhancements and will eventually lose security updates and tax tables. They also described the Kentucky Employees Health Plan as a major driver of the project, noting it serves nearly 300,000 covered lives, many school boards, pre-65 retirees, and more than 700 entities, with significant complexity in billing, premium collection, and regulatory compliance. Officials said the new system would help address current manual workarounds, support changing insurance rules, and better protect personally identifiable and health information. Members asked detailed questions about the $151 million request, including why the estimate had risen by more than $50 million, what would happen if the project missed the 2030 deadline, how progress would be tracked, how vendor costs were estimated, and what the largest cost components would cover. Officials said the increase was mainly due to inflation and changing requirements, and that there was no real backup plan if the replacement was not completed before support ends. They said the project would be managed through an RFP process expected in July 2026, with kickoff in January 2027 and go-live by July 2030, and that oversight would include an enterprise steering committee, monthly updates, and existing quarterly COT reporting to LRC. They also explained that the largest share of the request is for implementation and integrator services, with additional amounts for software licensing and hosting, independent verification and validation, dependent verification, FSA administration, and limited contract support, and that payments would be tied to deliverables and acceptance testing.