Transcript Highlights:

• number of residents with insurance, but it turns out that simply having health insurance does not guarantee
• Whether you're talking about equitable dental access, fair reimbursement for safety net hospitals, or guaranteed
• We understand that the state is going to face significant challenges, partially and in large part as
• This is historically a very guaranteed and reliable source of funding.
• Specifically, this is historically a very guaranteed and reliable source of funding, and yet, while those

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on a large docket of bills focused on MassHealth benefits and reimbursement, health equity, behavioral health, public health, dental access, 340B drug pricing, tobacco cessation, and coverage for children. The chairs emphasized rising health care costs, provider shortages, administrative burdens, and persistent inequities by income, race, geography, and immigration status. Much of the testimony centered on H.1416/S.901, an act to advance health equity, with legislators and members of the Health Equity Compact arguing for statewide benchmarks, stronger health equity leadership, reimbursement for interpreter services, community health workers and patient navigation, Medicaid graduate medical education support, and a health equity zone trust fund. Witnesses described disparities in life expectancy, maternal mortality, access to primary care, and the impact of federal Medicaid and social service cuts, and urged the committee to report the bill favorably. The committee also heard strong support for H.1368/S.847 on rapid whole genome sequencing for critically ill MassHealth children. Testifiers from industry, academia, hospitals, and families said early sequencing can end long diagnostic odysseys, improve treatment decisions, shorten hospital stays, and save money, while also providing emotional relief and information for families. The hearing then moved to H.1407 on MassHealth rate parity for inpatient behavioral health providers, where Rep. Scanlan and the Massachusetts Association of Behavioral Health Systems said the bill would codify existing administrative parity so managed care plans cannot pay less than the MassHealth fee-for-service rate. On H.1392/S.853 to preserve and protect public health, witnesses supported higher vaccine administration fees to improve provider participation and immunization rates. The committee also heard testimony on H.770/845 to protect 340B providers in MassHealth, and on S.848 to require reporting and transparency around 340B revenues and outside administrative costs. Additional bills drew testimony on tobacco cessation coverage for MassHealth members, with advocates supporting broader access to counseling and medications through medical, behavioral health, and dental providers. On H.1409, a nursing home operator asked for more flexibility in a MassHealth staffing-related penalty tied to patient days per resident. On H.1401/S.888, supporters of the “Take 10” dental access proposal said adult MassHealth dental coverage is underused because too few dentists accept MassHealth, leading to long travel times and avoidable emergency room visits; they urged incentive payments for dentists serving new adult MassHealth patients. Finally, on H.1403/S.855, “Cover All Kids,” advocates and immigrant community members urged removal of immigration status as a barrier to full MassHealth coverage for children, while also backing a related bill to ensure 12 months of continuous coverage for children. No votes were taken during the hearing; the committee primarily received testimony and asked questions on costs, reimbursement levels, and implementation details.

Transcript Highlights:

• Is spread across several line items, like the base FEF PD, the ESC, the guarantee money, means the educational
• GUARANTEED ALLOCATION, THAT'S ONE TIME.
• STUDENTS THAT ARE NOT ACCOUNTED FOR AS WELL AS THE STUDENTS THAT ARE THERE, ARE WE USING THE ESP GUARANTEED
• TO GO AHEAD AND GUARANTEE THEMSELVES TO BE THAT PRE-JUNE 1, 2011. SO I APPRECIATE IT, THANK YOU.
• This will protect... ...the partial home address and telephone numbers of elected officials and their

Bills: SJR4, SJR40, SJR81, SCR37, SCR39, SB22, SB32, SB33, SB36, SB38, SB95, SB209, SB249, SB311, SB326, SB365, SB458, SB609, SB660, SB664, SB693, SB732, SB745, SB760, SB762, SB779, SB783, SB785, SB868, SB871, SB883, SB921, SB955, SB993, SB996, SB1008, SB1057, SB1067, SB1151, SB1171, SB1210, SB1255, SB1265, SB1267, SB1271, SB1307, SB1313, SB1316, SB1318, SB1321, SB1332, SB1365, SB1426, SB1470, SB1484, SB1494, SB1559, SB1592, SB1596, SB1598, SB1637, SB1677, SB1706, SB1758, SB1762, SB1786, SB1809, SB1818, SB1822, SB1841, SB1871, SB1967, SB2064, SB2077, SB2112, SB2148, SB2320, SB2406, SB2407, SJR36, SJR81, SJR50, SJR4, SJR40, SJR27, SCR22, SCR12, SCR39, SCR38, SCR37, SB921, SB609, SB660, SB765, SB62, SB666, SB888, SB687, SB847, SB1248, SB504, SB305, SB296, SB284, SB304, SB1023, SB204, SB670, SB850, SB854, SB413, SB1346, SB1033, SB1220, SB1073, SB810, SB1539, SB447, SB1119, SB1505, SB1215, SB1302, SB583, SB673, SB681, SB1172, SB955, SB957, SB541, SB266, SB1415, SB53, SB1352, SB785, SB1450, SB1502, SB1566, SB1062, SB711, SB746, SB1404, SB1448, SB507, SB1026, SB1349, SB1355, SB1433, SB1434, SB1596, SB1403, SB667, SB1059, SB1567, SB310, SB311, SB505, SB1210, SB1470, SB264, SB1358, SB1364, SB1569, SB1376, SB1228, SB519, SB1350, SB462, SB827, SB1585, SB1484, SB1273, SB927, SB1227, SB1229, SB1353, SB1464, SB1709, SB1729, SB1733, SB1744, SB1772, SB1841, SB1008, SB2016, SB1173, SB1163, SB996, SB1370, SB1321, SB1101, SB860, SB993, SB693, SB1537, SB1332, SB1307, SB963, SB493, SB984, SB619, SB1122, SB455, SB522, SB1057, SB1239, SB1254, SB1255, SB1259, SB1341, SB1877, SB1277, SB32, SB732, SB731, SB268, SB1822, SB1589, SB397, SB1058, SB1267, SB2112, SB1930, SB532, SB508, SB292, SB291, SB901, SB1333, SB1436, SB1494, SB964, SB779, SB1378, SB2312, SB1719, SB287, SB2143, SB1245, SB261, SB1247, SB2406, SB2407, SB1882, SB618, SB38, SB393, SB1371, SB1365, SB2243, SB2226, SB2039, SB1919, SB1895, SB1598, SB1493, SB1810, SB1791, SB1706, SB1644, SB1238, SB783, SB458, SB22, SB651, SB897, SB1809, SB1080, SB745, SB826, SB989, SB1320, SB1437, SB2320, SB2289, SB1171, SB664, SB1637, SB2064, SB868, SB1079, SB1243, SB1504, SB1851, SB1879, SB2237, SB1257, SB2034, SB1522, SB883, SB249, SB1318, SB1151, SB596, SB1191, SB226, SB570, SB870, SB991, SB60, SB365, SB1067, SB1786, SB326, SB1401, SB1592, SB1728, SB1265, SB586, SB529, SB217, SB209, SB1923, SB1559, SB1839, SB387, SB1874, SB1872, SB1873, SB1921, SB1883, SB1677, SB95, SB1620, SB1838, SB2024, SB2429, SB1999, SB511, SB2309, SB2166, SB871, SB510, SB33, SB2420, SB1860, SB1541, SB1316, SB1314, SB1313, SB1426, SB1398, SB1869, SB1750, SB1871, SB36, SB855, SB1233, SB760, SB2425, SB2037, SB1758, SB1759, SB2365, SB1924, SB762, SB1271, SB1818, SB605, SB1405, SB1762, SB1968, SB1977, SB2077, SB2148, SB2321, SB1967, SB1662, SB1663, SB2124, SB2204, SB1855, SB863, SB37, SJR39, SCR1, SCR27, SCR32, SCR42, SCR6, SB2232, SB819, SB2078, SB2252, SB1962, SB2253, SB825, SB1577, SB1184, SB2018, SB2206, SB1901, SB1030, SB2368, SB1963, SB1960, SB1643, SB1625, SB1299, SB841, SB668, SB584, SB231, SB2411, SB1085, SB2431, SB2231, SB1490, SB530, SB34, SB1261, SJR81, SB32, SB458, SB664, SB693, SB868, SB1008, SB1267, SB1307, SB1321, SB1484, SB1637, SB1809, SB1822, SB2064, SB2112, SB2320, SB2406, SB2407, SB609, SB660, SB921, SB779, SB1470, SR388, SB3042, SB440, SB2876, SB3042, SB440, SB2876

Keywords: economic stabilization fund, state finance, constitutional amendment, budget management, financial security, emergency powers, legislative authority, governor powers, disaster management, tax exemption, ad valorem, tangible personal property, income production, SCR 37, Senate Concurrent Resolution, Panama Canal, Texas ports, port infrastructure, maritime trade, shipping lanes

Transcript Highlights:

• but I'm glad you went there, because one of the questions I was going to ask you that you at least partially
• Under the FSP formula, school districts are guaranteed a certain amount. out of state and local revenue
• that is primarily dependent on their student body. of that guaranteed amount of revenue, referred to
• This means Proposition 7 funds may also pay that service on Proposition 12, which are guaranteed by the
• I want to note that you do that the UTP is neither a budget nor guarantee that projects will be built

Keywords: infrastructure, water supply, flood mitigation, Texas Water Fund, community projects, funding allocations

Summary: During this committee meeting, the focus was on discussing critical infrastructure funding, especially related to water supply and flood mitigation projects. Chairwoman Stepney and the Water Development Board presented extensive details regarding the Texas Water Fund, which included $1 billion appropriated to assist various financial programs and tackle pressing water and wastewater issues. Additionally, funding allocations aimed at compromising the state's flood risk and improving water conservation were hotly debated, emphasizing collaboration among committee members and the necessity of addressing community needs in such projects.

Transcript Highlights:

• We want to be able to pay those partial payments.
• This does say any undisputed partial payments would be paid in 30 days.
• > on so partial payments partial payments on so partial payments partial payments on invoices<
• <00:09:09.360> payments<00:09:10.360> so able to pay those partial payments so able
• partial this does say any Undisputed partial payments<00:09:14.079> would<00:09:14.279> be

Keywords: Meeting start 00:00:00 Roll Call 00:00:02 HJR 53 Discussion 00:00:35 HJR 53 Vote 00:03:52 HB 622 Discussion 00:06:52 HB 622 Vote 00:12:55 HB 775 Discussion 00:13:50 HB 775 Vote 00:22:15, 958, all

Summary: The committee first reconsidered House Joint Resolution 53, which concerns releasing previously appropriated funds for Kentucky State University. Kentucky State University President Kofi Aapo testified in support, describing significant enrollment growth, a balanced budget, and a $5 million fund balance since his arrival, and asking for continued support. Members praised his leadership while noting the institution still has work to do. The motion to reconsider passed, and the resolution then received favorable expression by a 9-2 vote. The committee next took up House Bill 622, a compromise bill involving the Kentucky Nonprofit Network and the Finance and Administration Cabinet. Testimony explained that the bill is intended to improve prompt payment practices for grants and contracts, including partial payments on undisputed invoice items within 30 days and a process for disputed items. The bill also included several appropriation-related corrections and adjustments, including a fix to an allocation for Elizabethtown water and sewer projects, a change in an economic development recipient, revisions to school resource officer language, and additional contingency authority for the Capitol renovation. The committee adopted a title amendment and passed the bill with favorable expression by a 10-1 vote. House Bill 775 was then discussed as a broad tax and economic development measure. The bill covers TIF districts, electronic filing for craft brewers, pipeline property tax treatment, bourbon barrel tax cleanup, staged income tax reductions, extension of the Metropolitan College incentive, tourism and lodging incentives, reauthorization of an expired TIF, taxation and licensing of cannabis-infused beverages, alternative fuels and jet fuel tax credit review, entertainment event incentives, the selling farmer tax credit, IRC conformity, data center incentives, the first audit of the Kentucky Horse Racing and Gaming Corporation, and limits on additional electronic charity gaming locations until regulations are adopted. Members raised questions about the beverage tax structure, TIF impacts, and the income tax reduction provisions; some expressed concern about making future tax cuts easier, while others supported the bill’s TIF and agriculture provisions. The bill passed with favorable expression by a 7-2 vote with two pass votes, and the committee then adjourned.

Transcript Highlights:

• I urge you to support this legislation to guarantee early identification and, most importantly, effective
• To guarantee early identification and, most importantly, effective treatment, ensuring that every child
• Ashley's support resulted in his acceptance to Tufts for a master's in engineering management, with a partial
• This legislation would guarantee that all young people in the custody of the DYS would receive medical

Keywords: 995, all

Summary: The committee held a hybrid hearing on a range of bills affecting children, families, disability rights, homelessness, and social services. Early testimony focused on H.215, which would support children experiencing homelessness by speeding access to child care vouchers and early intervention screenings. Boston officials, Horizons for Homeless Children, Head Start, pediatric and early education advocates, and families described delays in child care and early intervention, the developmental risks of homelessness, and the need for automatic referrals and faster access to services. Testimony also supported H.216, which would improve emergency housing assistance by restoring presumptive eligibility, reducing documentation barriers, extending shelter stays from six to nine months, and creating an ombudsperson; providers and legal advocates said current rules leave families sleeping in cars or outside and create unnecessary administrative hurdles. The committee also heard strong support for H.210, which would repeal the “Learn Fair” school attendance sanction that cuts cash assistance to families when children miss school. Advocates from legal aid, education, and anti-poverty organizations argued the policy is punitive, burdensome, and ineffective, disproportionately affecting low-income, disabled, and Hispanic/Latino families. Several speakers said chronic absenteeism should be addressed through supports such as family outreach, wraparound services, and school engagement rather than benefit cuts. Legislators and school officials from Salem also testified that their districts reduced absenteeism through supportive strategies, not sanctions. Additional testimony addressed children’s vision bills H.202 and H.166, with optometrists and researchers urging better screening, data systems, and treatment access to close achievement gaps caused by untreated vision problems. Senator Lovely also presented S.2714, proposing a study of discrimination in public accommodations for people with service animals. Later, testimony on H.279 supported changing social work licensure rules to remove exam requirements that speakers said disproportionately exclude multilingual candidates and candidates of color. The hearing also included testimony on bills related to the Judge Rotenberg Center and electric shock devices, with disability rights advocates opposing continued use of the devices and urging the committee to reject licensing or authorization for them. No votes or committee actions were taken during the hearing.

Transcript Highlights:

• regards to all of these tax breaks you're giving to, like, tennis sales, guns, like, how can we guarantee
• students than actually attended, we're able to use some of those dollars to make the school district partially
• So if for some reason $1.5 billion is not enough, it's guaranteed that there'll be immediate funding
• Public defenders guarantee that constitutional right to counsel. State attorneys are overwhelmed.

Summary: The House convened with prayer, a moment of silence for former Senator Don Childers, the Pledge of Allegiance, and recognition of Officer Antonio Richardson as law enforcement officer of the day. The chamber announced it would take up 11 budget conference committee reports, with no third-reading bills or special-order calendar items. Members were reminded that conference reports were subject to debate but not amendment, and that the required review periods had been satisfied. The first major action was on HB 7031E, the tax package. Representative Duggan explained that the conference report included a mix of retained, modified, and new tax provisions, including sales tax holidays, property tax and homestead-related changes, reductions in certain gaming and carbon-related taxes, changes to child care and documentary stamp tax credits, a new refund process for public works construction tax paid by universities and colleges, and other tax administration changes. Debate focused on the bill’s consumer impact, the reduction of the child tax credit from three years to one, the inclusion of firearm accessories in a sales tax holiday, the absence of gas tax relief and combined reporting, and the homestead exemption provision for certain deployed diplomatic and foreign service personnel. Critics argued the package favored niche or corporate interests over broad affordability relief, while supporters said it provided targeted tax relief and reflected conference negotiations. The House adopted the conference report and passed HB 7031E by a vote of 88-11. The House then began presenting the conference report for HB 501E, the state budget, which totaled $114.5 billion for fiscal year 2026-27 and was described as below the prior year’s spending level while maintaining reserves. Subcommittee chairs outlined major budget areas: pre-K-12 funding included an increase in FEFP, salary increases for veteran teachers, stabilization funding, and support for declining enrollment; higher education included full Bright Futures funding, workforce programs, college operating support, university initiatives, and school guardian expansion; IT funding focused on Palm, ACCESS, APD’s I-Connect replacement, corrections systems, emergency management systems, and cybersecurity grants; health care funding covered Medicaid, nursing home rates, waiver provider increases, ADAP funding and restructuring, child welfare, and behavioral health; transportation and economic development included housing, cultural grants, jobs and rural infrastructure, Visit Florida, Space Florida, highway patrol equipment, and local transportation projects; justice funding included correctional construction, juvenile justice facilities, law enforcement grants, and clerk and due process reimbursements; state administration included fire stations, constrained counties, building maintenance, and Safe Florida Home; and agriculture/natural resources funding emphasized Everglades restoration, water quality, land acquisition, Florida Forever, state parks, and citrus research. Members then began questioning the budget details, including school voucher accountability, school funding formulas, public defender parity, prison technology, wastewater monitoring in prisons, ADAP policy, SNAP fraud controls and AI-assisted verification, Florida Forever funding, school lunch funding, and coral reef restoration. No final vote on HB 501E appears in the transcript excerpt.

Transcript Highlights:

• We get partial credit for the nearing proficient kids.
• I can guarantee you that Unischools is 100% on board with that and absolutely wants that.
• Pick a subject and there's like five buzzwords that if they say, you guarantee that that was written
• the amounts, but to Superintendent Strickland's point, If you just put it in the SEG, there's no guarantee

Transcript Highlights:

• that we'll hear today demonstrate that access to these medications under the current ban is not guaranteed
• The distinction that's being made in the federal case is whether the claim is partially granted or if
• providers, defunded education, doesn't provide free school lunches, provide free daycare, and doesn't guarantee
• children are born, the labor laws here ensure that working-class people forced into parenthood cannot guarantee

Bills: SB10, SB16, SB6, SB 6, SB 10, SB 16

Keywords: trafficking, prostitution, affirmative defense, victims, criminal justice reform, victim rights, criminal justice, judicial reform, court procedures, mental health services, criminal penalties, court security, SB 6, Woman and Child Protection Act, abortion, abortion-inducing drugs, medication abortion, mifepristone, misoprostol, pro-life

Transcript Highlights:

• I guarantee you that the public libraries and the communities you serve are some of the best things..
• Chapelle syndrome, congenital adrenal hypoplasia, mixed gonads, metal dysgenesis—dysgenesis, pardon me—partial
• Title IX is basically erasing women's rights guaranteed by that law.
• I can guarantee there will be 100% confusion and a threat to women's spaces if we do not have HB 229.

Bills: HB186, HB201, HB229, HB796, HB1506, HB2702, HB2885, HB3225, HB3909, HB4285, HB5138

Keywords: social media, children, account verification, data privacy, parental control, financial crime, card fraud, motor fuel theft, law enforcement, criminal activity, skimmers, prevention, training, biological sex, government information, definitions, sex-based distinctions, public health, federal directives, state authority

Transcript Highlights:

• Despite this guaranteed protection, insurance companies have found a loophole in Section 544.002.
• Not a hundred, you know, that isn't guaranteed to be. Is that correct? Yeah.
• Everyone has a slip every once in a while, and so we can't guarantee that someone wouldn't do that.
• I would partially argue that the reason that the health plan who owns that PBM has been able to negotiate

Bills: HB712, HB722, HB946, HB1687, HB1809, HB1899, HB2528, HB2583, HB2741, HB2750, HB3021, HB3150, HB3265, HB3658, HB3812, HB3960, HB4392, HB4432

Keywords: prostate cancer, health benefit plans, insurance coverage, cost sharing, preventive health care, auto insurance, total loss evaluation, disclosure, insurance materials, vehicle appraisal, HB 946, Texas Insurance Code, automobile insurance claims, oral release, written release, settlement agreement, claim release, property damage, bodily injury, psychological injury

Transcript Highlights:

• HB 741 changes current law to guarantee that relative and other designated caregivers receive monetary
• And my first thought was, I can guarantee you that was not.
• And that's partially due to the fact that Texas law does not have a provision. that requires the removal
• place that's that's mainly what it is this what this bill is right during an emergency everyone is guaranteed

Bills: HB741, HB 1199, HB2070, HB2402, HB2542, HB2665, HB2789, HB3096, HB3396, HB3595, HB3747, HB4116, HB4127

Keywords: child welfare, relative caregiver, monetary assistance, Department of Family and Protective Services, child custody, family law, emergency power, nursing facilities, assisted living, generator requirements, health and safety, emergency generators, power outage, emergency generator, assisted living facilities, power source, child abuse, neglect registry, court findings, Medicaid

Transcript Highlights:

• that out of 34 major area hospitals' emergency rooms in Central Texas, only 18 had bollards, 9 had partial
• Senate Bill 95 is a simple measure that guarantees that parents will have informed consent when faced
• our freedom of belief versus using that belief as a means to cause harm, and does not, in fact, guarantee
• bill can't be used, To deny care to someone in the event of a medical emergency, it still fails to guarantee

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

Transcript Highlights:

• This is the partial public financing program proposed by the Campaign Spending Commission.
• Um, this increases the expenditure limit and the amount of partial public campaign financing available
• <00:03:03.440> public I'm sorry this is the partial public I'm sorry this is the partial public
• Again, only 25% of our student body pays that partial tuition.
• partial tuition. partial tuition. those<00:20:35.520> who<00:20:35.840> are<00:20:

Bills: SB3123

Keywords: conditional gifts, private education, scholarships, donor conditions, Hawaii education law, 912, senate, all

Summary: The Judiciary Committee took up three measures in decision-making. SB 2678, which would create a Judiciary working group to improve family court processes and youth access to legal representation in the child welfare system, was recommended for passage with amendments. The amendments would clarify that members with lived experience are those who have navigated the state child welfare system, replace an actively serving guardian ad litem with a former GAL, allow co-chairs to invite additional experts, and provide compensation for lived-experience members. The committee report would also recommend a $20,000 appropriation, and the motion passed without objection. SB 2528, a Campaign Spending Commission proposal to expand the partial public financing program and raise expenditure limits, was also recommended for passage with amendments and adopted without objection. The committee’s changes would increase the public-funds match to 4:1, raise the maximum public funding available to 20% for statewide executive offices and 25% for legislative and certain county offices, blank out the appropriation in the bill, and instead recommend $7.2 million in the committee report. Technical amendments would also rename the program for consistency and set the bill’s effective date to March 22, 2075. In a joint Judiciary/Education hearing, SB 3123 drew extensive testimony in support from the Governor’s office, Office of Hawaiian Affairs, the Hawaii Association of Independent Schools, Hawaiian Council, Kamehameha Schools, and many private-school and community representatives. Supporters said the bill would clarify that donor-funded scholarships, grants, and tuition-free educational programs are charitable gifts rather than contractual obligations, giving donors and schools greater certainty and preserving educational access. Some members questioned whether the bill could affect Kamehameha Schools’ admissions practices or allow schools to avoid donor conditions; witnesses responded that the measure is intended to clarify donor intent, not change admissions, and that an opt-out clause would preserve the ability to create contractual agreements if the parties choose. The discussion ended with the bill still under consideration, with no final vote reflected in the transcript excerpt.

Transcript Highlights:

• Uh, it is going to become partially operational this year after many years of development.
• Uh, it is going to become partially operational this year after many years of development.
• insurers are required to cover a product, suppliers may increase prices, knowing that reimbursement is guaranteed
• insurers are required to cover a product, suppliers may increase prices, knowing that reimbursement is guaranteed
• insurers are required to cover a product, suppliers may increase prices, knowing that reimbursement is guaranteed

Bills: HB1853, HB1591, HB1961, HB1854, HB1965, HB1962, HB1959, HB2505, HB2576, HB1801, HB1804, HB1864, HB2319, HB2314, HB2115

Keywords: HB1853, dementia, Alzheimer's disease, cognitive impairment, memory care, memory clinic, Hanai Memory Network, Executive Office on Aging, aging services, kupuna, caregiver support, long-term care, elder care, geriatrics, public health, dementia screening, care coordination, referral network, neighbor islands, rural health

Summary: The committee heard testimony on SB 2047, relating to pharmacy benefit managers. The Insurance Division said the bill would require new enforcement resources and estimated an appropriation of about $1.5 million and five positions. Kaiser Permanente asked for an amendment to exclude HMOs from the definition of third-party PBMs, saying the bill should not interfere with integrated care models. PCMA and the Hawaii Pharmacist Association supported narrowing amendments, with pharmacists objecting to section 3 and warning the bill as amended could create major operational burdens and a significant general fund cost. No vote was taken in the portion provided, and the chair moved on to the next measure after questions. The committee then took up SB 2080, which would allow Hawaii to join the psychology interjurisdictional compact. Supporters, including DCR, the Hawaii Association of Health Plans, the Hawaii State Association of Counties, the Grassroot Institute, and others, said the compact would expand access to psychology services, especially for people in rural areas or those needing continuity of care while traveling. Opponents, including the Board of Psychology and a Shamanad University psychology professor, raised concerns about client safety, crisis-response procedures, enforcement costs, FBI background checks, and possible loss of state control over training and specialization standards. The board said Hawaii’s current 1,900-hour internship/postdoc requirement is higher than the compact’s standard and that the state is still implementing a separate provisional licensing law that may address some access issues. The discussion focused on whether the compact would meaningfully reduce shortages and whether Hawaii should instead pursue changes within its existing licensing system. Finally, the committee heard SB 2277 on hospital price transparency. The Office of Consumer Protection initially noted the bill could require significant staffing, but later testimony from SHIP suggested the measure could be handled more simply by working with the Healthcare Association of Hawaii and publicly posting violations. The Healthcare Association of Hawaii opposed the bill, arguing hospitals already must comply with federal CMS transparency rules and that adding state requirements would increase costs and legal exposure, especially if violations were treated as unfair or deceptive trade practices. Steve Fenberg testified in support, saying the bill would simply codify existing federal requirements in state law and that he was open to amendments removing state enforcement and the unfair trade practice language. No final action was taken in the excerpt provided.

Transcript Highlights:

• They developed a plan to partially capture carbon from their plants and ship it to North Dakota to be
• They developed a plan to partially capture carbon from their plants and ship it to North Dakota to be
• So, are you saying that you're guaranteeing that if we were to lift this nuclear moratorium, nuclear
• 33.640> if<01:10:33.760> we<01:10:33.840> were<01:10:33.960> to you're guaranteeing
• that if we were to you're guaranteeing that if we were to lift<01:10:34.280> this<01:10:34.440

Keywords: 1183, house

Transcript Highlights:

• For example, the rail trail that goes over the marsh is in partially, you know, for design and right
• For example, the rail trail that goes over the marsh is in partially, you know, for design and right-of-way
• You would hope that they were, but certainly there's no guarantee that they are. >> Representative Brown
• um but certainly there's no guarantee um but certainly there's no guarantee that<03:35:01.120>
• <03:36:23.279> that daily use, but there's no guarantee that daily use, but there's no guarantee

Keywords: 1189, house, all

Transcript Highlights:

• But even in their definitions, it says there is no guarantee of flooding—just a watch.
• Regardless, we need to put a procedure in place that tries to eliminate human error. ...can't guarantee
• That doesn't mean we have any way of guaranteeing that the... ...responsible adults, local officials,
• The cold case request that we had last time was partially funded, but a big portion of that has to do
• And as far as supercomputing goes, anything we can do faster, better is a guarantee.

Keywords: flooding, emergency response, communication systems, first responders, disaster management, Texas Water Development Board, regional planning, public safety

Summary: The meeting primarily focused on discussions around the recent floods in Texas, specifically addressing emergency preparedness, response coordination, and recovery efforts. Officials from various agencies provided testimonies on the challenges faced during the emergency, including issues with communication systems among first responders. Notably, the need for improved inter-agency communication and technology integration was emphasized, with recommendations for establishing regional communications units for better coordination during disasters. The audience included local government representatives and emergency management partners, who shared insights and experiences from the recent flooding events.

Transcript Highlights:

• And so with this committee, I think that is partially our intent, is gearing up for next year when we're
• I can bring that bill back up, but I can't guarantee it's going to pass.
• residential services over the past five years, as well as the number who received either outpatient or partial

Keywords: 908, all

Transcript Highlights:

• And so with this committee, I think that is partially our intent, is gearing up for next year when we're
• But I can't guarantee it's going to pass. On the truck, yeah, I'll meet a motor vehicle tax.
• residential services over the past five years, as well as the number who received either outpatient or partial

Summary: The committee met at Spirit Lake Tribe and first heard welcoming remarks and introductions from tribal leaders and program directors. Chairwoman Street and other tribal representatives outlined a range of concerns and requests for state action, including taxation of reservation lands, support for non-beneficiary students at the tribal school, homelessness funding, Indian-managed health care, gaming and e-tabs, Feather Alert improvements, industrial farming near waterways, tourism, and better state-tribal consultation. Committee members responded that the meeting was intended to improve understanding and communication, and several members suggested future legislation or resolutions could be used to advance some of the issues. The tribe also offered to provide training on treaties, IHS 638, and compact services to legislators and staff. A major portion of the discussion focused on Spirit Lake fish and wildlife jurisdiction and the lake boundary. Tribal representatives asked for an MOU or co-stewardship agreement with the state to clarify hunting and fishing rights, recognize tribal licenses, and reduce recurring disputes over “gray areas” on the reservation and lake. Committee members discussed whether to draft a bill or resolution directing the executive branch and state agencies to negotiate such an agreement, and asked that North Dakota Game and Fish be invited to a future meeting. Related concerns included aquatic nuisance species prevention, with both sides agreeing that more aggressive boat inspection and cleaning measures would be beneficial. The committee also discussed taxation and county relations. Tribal leaders raised concerns about county resistance to fee-to-trust transfers and about property and vehicle taxation affecting members living on or near reservation lands. Committee members and tribal counsel reviewed federal treaty principles and court cases, and one member noted that the committee had previously taken no formal action on similar issues. Later, Benson County’s tax equalization director explained how the county values taxable land, handles inundated land applications, and tracks land coming off the tax rolls when the tribe repurchases acreage. The discussion ended with a presentation from the president of Sisseton Wahpeton College, who described the college’s programs, economic impact, and funding needs, followed by an HHS presentation on 1115 Medicaid waivers and the IMD exclusion as the committee moved to its next topic.

Transcript Highlights:

• And so with this committee, I think that is partially our intent, is gearing up for next year when we're
• I can bring that bill back up, but I can't guarantee it's going to pass.
• residential services over the past five years, as well as the number who received either outpatient or partial

Summary: The committee met at Spirit Lake Tribe and heard an extended discussion with Spirit Lake tribal leaders and program directors about government-to-government relations with the state. Chairwoman Street and others outlined a number of concerns and requests, including taxation of tribal and trust lands, state school support for non-beneficiary students, homelessness services, Indian-managed health care, gaming/e-tabs, the Feather Alert system, industrial farming near waterways, tourism and cultural issues, and the need for more consistent tribal consultation. Committee members responded that many of these issues had previously been passed along without direct action, and several members emphasized the committee’s role in education, communication, and preparing possible legislation or resolutions for the next session. Tribal representatives also offered to provide training on treaties, IHS 638, and compact services to help legislators better understand tribal jurisdiction and billing issues. A major portion of the meeting focused on Spirit Lake Fish and Wildlife concerns, especially jurisdictional “gray areas” around hunting and fishing on the reservation, recognition of tribal licenses, and the boundary of the reservation around Spirit Lake/Devils Lake. Tribal officials said they wanted a co-stewardship agreement or MOU with the state to clarify jurisdiction, improve cooperation, and address invasive species and aquatic nuisance species. Committee members discussed whether to draft legislation or a resolution directing the executive branch and state agencies to negotiate such an agreement, and they asked for further input from the North Dakota Game and Fish Department at a future meeting. The committee also discussed county involvement in land status changes and trust land issues, with Spirit Lake leaders describing a past Benson County resolution that tried to block fee-to-trust transfers and saying it was later rescinded. The committee then heard from Benson County tax equalization director Randy Thompson, who explained how the county values land and handles tax-exempt, inundated, and fee-to-trust parcels. Members asked about the impact of tax-exempt lands on county services and discussed prior legislation that helped counties with large tax-exempt bases. The committee also received a presentation from Dr. Steven Smith of Sisseton Wahpeton College, who described the college’s programs, economic impact, and funding needs, including support for non-beneficiary students and workforce training. Members asked about expanding tribal college education into correctional settings, and Smith said the idea was worth exploring through the tribal college system. Finally, HHS interim medical services director Christoph Framing presented remotely on 1115 Medicaid waivers and the IMD exclusion, explaining current state funding mechanisms for inpatient and residential behavioral health services and the bill draft directing HHS to pursue a waiver for IMD payments.