Transcript Highlights:

• trained caregiver who provides specialized in-home support to medically fragile children, those with chronic
• , life-limiting or technology-dependent conditions.
• However, when you have a child with a medically fragile condition, they can be receiving a lot of hours
• He told me about the the advanced directives thing that if no matter what condition they were found in
• There are more and more chronically ill residents are residing in these places.

Bills: HB 660 , HB 4845 , HB 3902 , HB 5396 , HB 4615 , HB 1825 , HB 1403 , HB 4336 , HB 4585 , HB 4371 , HB 863 , SB 1589 , HB 5223 , HB 3195 , HB 2734

Committee: House Human Services

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation

Transcript Highlights:

• In-home support to medically fragile children, those with chronic, life-limiting, or technology-dependent
• conditions.
• However, when you have a child with... ... condition, they can be receiving a lot of hours of private
• A landlord cannot treat a resident with health care... conditions or a disability any differently than
• Residents are more frail and chronically ill. ...are residing in these places.

Bills: HB660 , HB4845 , HB3902 , HB5396 , HB4615 , HB1825 , HB1403 , HB4336 , HB4585 , HB4371 , HB863 , SB1589 , HB5223 , HB3195 , HB2734

Committee: House Human Services

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation

Transcript Highlights:

• These conditions are beginning to compromise public safety response times.
• Policing is a profession marked by chronic stress and repeated exposure to trauma.
• Policing is a profession marked by chronic stress and repeated exposure to trauma.
• Policing is a profession marked by chronic stress and repeated exposure to trauma.
• Policing is a profession marked by chronic stress and repeated exposure to trauma.

Bills: SB1001 , SB1035 , SB1056 , SB1065 , SB1138 , SB1161 , SB1204 , SB1207 , SB1248 , SB1274 , SB1284 , SCM1002 , SCM1006 , SCR1020

Committee: Senate Appropriations, Transportation and Technology

Keywords: appropriation, economic security, blind individuals, older adults, state funding, Arizona Department of Corrections, ADC, corrections, prison, jail, correctional officers, prison guards, staffing, retention, salary increase, pay raise, wage increase, general fund, state budget, private prisons

Transcript Highlights:

• —residential, state hospital—we are focusing on those that are chronically ill with a chronic condition
• , which means with that chronic illness... ...there's a lot of things that we look at in terms of how
• In clinical health, we have 100 physician offices in seven states, and we focus on identifying conditions
• and treating those conditions and then preventing them going forward.
• that may be in this trait up front so that we can treat those conditions before they become a crisis

Summary: The Health Care Budget Subcommittee held a panel discussion on Florida’s mental health and substance abuse system, with representatives from DCF, AHCA, two managing entities, and two providers describing how the state’s behavioral health network is funded and operated. Members focused on the implementation of prior legislative investments, especially the $50 million in recurring funding from Representative Maney’s bill and the earlier $126 million community behavioral health appropriation. Witnesses said the newer funds were used mainly for crisis beds, discharge planning, outpatient services, regional collaboratives, and a USF Marchman Act report, while the larger behavioral health appropriation supported CAT, FACT, FIT, forensic teams, residential and outpatient services, and crisis care, with most dollars going directly to services and only a small share to administration. A major theme was access to crisis care and the role of mobile response teams, 988, and central receiving facilities in diverting people from Baker Act admissions and reducing readmissions. DCF and providers said mobile response teams have expanded, are being used to de-escalate crises and connect people to care, and have shown strong diversion results and reductions in Baker Acts in some regions. Members also asked about waitlists, children in crisis, and how to handle people without housing or support; providers said discharge planning is individualized but often constrained by homelessness, transportation, and a lack of safe placements, and several witnesses identified housing as one of the biggest barriers to recovery and stability. The committee also examined provider sustainability, reimbursement, and funding gaps. Witnesses described delays caused by contract timing, cost allocation rules, and Medicaid reimbursement rates that do not always keep pace with labor and operating costs, especially for smaller providers and rural networks. DCF and AHCA said managing entities can provide advances, retroactive rate adjustments, and technical assistance, and that Medicaid managed care plans have network standards and complaint/dispute processes. Members raised concerns about a reported $7 million loss in federal non-sustainable funds, provider closures, and whether there is a formal ombudsman process for disputes; DCF said the federal reductions were known and tied to one-time funds, and that the department generally handles provider issues informally while working with managing entities to preserve continuity of care.

Transcript Highlights:

• illness, cancer, and conditions associated with aging, while reducing the financial burden for both
• I worry about covering the cost of electricity, heating, air conditioning, and paying my assistants on
• Too many children and families in Massachusetts are suffering from preventable chronic diseases such
• Sugary drinks are empty calories with proven links to chronic illness. Thank you.
• Sugary drinks are empty calories with proven links to chronic illness.

Committee: Joint Joint Committee on Revenue

Keywords: 995, all

Summary: The Joint Committee on Revenue held a public hearing focused largely on tax-credit proposals tied to children, families, caregivers, child care, health care workforce development, and public health. A major portion of the hearing concerned bills to expand the state earned income tax credit and child and family tax credit, including H. 3073/S. 1957 and S. 1975. Testimony from advocacy groups, legal services, tax assistance organizations, and health providers supported increasing the EITC match from 40% to 50% of the federal credit, expanding eligibility to immigrant and mixed-status ITIN filers, larger families, younger and older workers, and SSI recipients, and raising the child and family tax credit to $600 per child with inflation adjustments and possible advance payments. Witnesses said these changes would reduce poverty, improve health and educational outcomes, and help families meet basic expenses; committee members asked questions about ITIN filers and expressed support for the policy goals. The committee also heard extensive testimony on S. 1938/H. 3159, An Act Supporting Family Caregivers. Speakers described the scale of unpaid caregiving in Massachusetts and supported a package that would create a refundable tax credit, respite vouchers, workplace and housing protections, unemployment insurance access for those who leave work to care for relatives, a permanent advisory council, and a provision allowing spouses to be paid caregivers under MassHealth. Several witnesses shared personal caregiving experiences, and committee members responded favorably, noting the emotional and financial strain on caregivers and the importance of supporting them as Medicaid and long-term care systems face pressure. Additional bills discussed included H. 3174 on a child and dependent care tax credit, which was presented as a way to offset the high cost of child care; H. 3197/S. 2019 to improve the financial security of family child care providers through a tax credit; H. 3218/S. 1960 to create tax credits for health care preceptors to address workforce shortages; S. 2064 to establish a living organ donor tax credit; S. 2034 to promote healthy alternatives to sugary drinks through a tiered tax; H. 3015 to create a tax-return checkoff for the YMCA Youth and Government Program; and several public testimony ideas including vaccination, literacy, and grade-improvement tax credits. No votes or formal committee actions were taken during the hearing, which ended after all testimony was heard.

Transcript Highlights:

• homeless, um, as well as 47% have chronic health conditions affecting their ability to work and secure
• homeless, um, as well as 47% have chronic health conditions affecting their ability to work and secure
• homeless, um, as well as 47% have chronic health conditions affecting their ability to work and secure
• homeless, um, as well as 47% have chronic health conditions affecting their ability to work and secure
• Representative Kozlowski: Um, as well as 47% have chronic health conditions affecting their ability to

Bills: HF4561 , HF4343

Committee: House Taxes

Keywords: homeless prevention aid, homelessness, housing stability, rental assistance, family homelessness, unaccompanied youth, housing navigation, legal representation, family outreach, county aid, Tribal governments, local government aid, general fund appropriation, unspent funds, aid redistribution, sunset repeal, Minnesota property tax aid, services for persons experiencing homelessness, sales tax, use tax

Transcript Highlights:

• Substitute Senate Bill 5249 allows the use of kit homes as emergency housing under certain conditions
• State law provides that the SEBB board determines eligibility, subject to the condition that employees
• We're not funding education completely, so I'm looking at school districts in binding conditions beyond
• It is important to recognize that many qualify for Medicaid because of disabilities or chronic health
• conditions, not simply because of income.

Bills: SB5834 , SB5835 , SB5883 , SB5905 , SB6151 , SB6163 , SB6177 , SB6173

Committee: Senate Ways & Means

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

Transcript Highlights:

• Substitute Senate Bill 5249 allows the use of kit homes as emergency housing under certain conditions
• State law provides that the SEBB board determines eligibility, subject to the condition that employees
• We're not funding education completely, so I'm looking at school districts in binding conditions beyond
• They start in childhood, are severe and chronic.
• conditions, not simply because of income.

Summary: The Ways and Means Committee met on January 20, 2026, hearing several bills related to retirement systems, school employee health coverage, port district pensions, environmental fee accounts, developmental disability services, legislative budget transparency, and a new Apple Health employer assessment. Early in the meeting, the committee heard SB 5834, which would make permanent a temporary expansion allowing certain retirement trust fund earnings to pay broader administrative expenses, and SB 5835, which would raise the lump-sum retirement allowance threshold for Plan 2 members from $50 to $250. Both bills were presented by Department of Retirement Systems staff and supported by the department, with questions focused on the scope of the administrative-expense language in SB 5834 and the technical nature of SB 5835. The committee then entered executive session and moved three bills without recommendation to the Rules Committee: Substitute SB 5249, allowing kit homes as emergency housing; Substitute SB 5053, allowing certain counties to include school district boundaries when forming a public facilities district; and Substitute SB 5203, directing state agencies to develop a wildlife habitat connectivity strategy and creating related accounts. After returning to public hearing, members heard SB 5883 on SEBB eligibility for school employees in their second school year of employment. Supporters, including labor representatives and individual school workers, said the bill would reduce coverage gaps and improve recruitment and retention, while school district officials and administrators argued it would create an unfunded mandate, increase costs, and add administrative burden. No action was taken on the bill. The committee also heard SB 5905, which would exclude certain port district employees from PERS if they are covered by the federal Railroad Retirement Plan or a collectively bargained defined benefit pension plan. Port representatives, labor stakeholders, and the Department of Retirement Systems described it as a narrow technical fix to avoid duplicate pension coverage and retroactive liabilities, and the bill drew support. SB 6151 would create dedicated accounts for Ecology fee revenue tied to laboratory accreditation and landfill methane work; Ecology and county representatives supported the measure as a way to reinvest fees in the programs that generate them. SB 6163 would require the Individual and Family Services waiver for developmental disability services to be budgeted at maintenance level; advocates said it would stabilize services and prevent waitlists, and no opposition was heard. The final two bills were SB 6177, which would require LEAP’s budget website to display additional budget detail such as carry-forward data, program and subprogram expenditures, and balance sheets for all public accounts, and SB 6173, which would create an Apple Health employer assessment on larger private employers with workers enrolled in Medicaid expansion coverage. SB 6177 was framed as a transparency measure, while SB 6173 drew extensive testimony both in support and opposition: supporters said it would help offset expected Medicaid losses after federal work requirements take effect and stabilize the health safety net, while opponents argued it would be an unfunded tax, create administrative and legal complications, and could discourage hiring or reduce hours. The committee heard no final votes on the public hearing bills, and staff reminded members that signature sheets would be held for 24 hours under Senate rules.

Transcript Highlights:

• We know chronic disease, tobacco, and air pollution, and of course, climate change contributes to some
• People with chronic conditions have lots of interactions, both in terms of medications, as well as...
• Community members such as elders or individuals with chronic health conditions, especially cardiopulmonary
• Again, the effect of cooling and air conditioning, but also other communities may want to do.
• So the concern is the impact of extreme weather conditions on land, air, and human life.

Committee: House House Government, Elections & Indian Affairs

Transcript Highlights:

• There was also a pretty heavy burden of chronic disease conditions already emerging.
• About 12% reported receiving a new diagnosis or emerging worsening conditions of their chronic pre-existing
• There was also a pretty heavy burden of chronic disease conditions already emerging.
• About 12% reported receiving a new diagnosis or emerging worsening conditions of their chronic pre-existing
• About 12% reported receiving a new diagnosis or emerging worsening conditions of their chronic pre-existing

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.

Transcript Highlights:

• And I the management of chronic pain.
• </c><00:34:10.800><c> pain,</c> Americans who suffer from chronic pain, Americans who suffer from chronic
• And so all of their actual condition.
• >> I believe we have 33 in poor condition. So 33 out of the 64.
• </c> those those poor dams in poor condition those those poor dams in poor condition into<01:19:49.440

Keywords: 928, house, all

Summary: The committee first heard testimony on House Bill 1042, which would increase the BFA contingent credit limit. State Treasurer Monica Misipelli explained that under RSA 66, state debt capacity is tied to unrestricted revenue and that guaranteed debt counts in the calculation even though it is contingent rather than direct debt. She said the state currently has about 4.2% to 4.3% debt-to-revenue ratio, about $120 million in additional capacity, and that approving the bill’s proposed increase would reduce available capacity for future state borrowing, including capital budgets. She noted the BFA has a long history of using guarantees without a state payout, but said the legislature should consider whether the full additional $250 million is needed and whether unused guarantee authorizations, such as one for the Pease Development Authority, should be reviewed in the future. Committee members asked whether guarantees have the same effect as actual debt for bonding capacity, and the treasurer confirmed that they do for purposes of the formula. Members also asked about the usual level of debt relative to the statutory 10% cap, and she said the state generally stays well below that limit. BFA Executive Director James Key Wallace then testified that the request was driven by rising project costs, inflation, and the need for more runway so the agency does not have to return to the legislature in an emergency. He said the BFA is self-supported, has never had a guarantee paid out by the state, requires collateral and reserves, and believes the appropriate range is closer to $400 million to $450 million; he also said a Senate bill would raise the limit to $400 million. He added that the BFA’s pipeline includes projects from about $15 million to $100 million and that housing availability is an important factor in business location decisions. After closing the work session on House Bill 1042, the committee opened House Bill 241, a bill on health insurance coverage for pain management services for chronic pain. Representative Dave Nagel, the prime sponsor, gave extensive background on his long career in pain medicine and said the bill is intended to improve access to non-opioid therapies and evidence-based pain management. He described the broad population affected by chronic pain and opioid use disorder, and said the proposal has long had bipartisan and stakeholder support. No vote or final action was taken on House Bill 241 in the portion of the meeting provided.

Transcript Highlights:

• As you all know, palliative care is for individuals with chronic illness.
• </c> care is for individuals with chronic care is for individuals with chronic illness<01:12:20.920><
• I like that, because brain injury is a lifelong chronic condition.
• <01:14:51.040><c> condition</c><01:14:51.400><c> nearly</c><01:14:51.880><c> all</c><01:14:52.159><c>
• survivors</c> chronic condition nearly all survivors chronic condition nearly all survivors of<01:14

Committee: Senate Health and Human Services

Keywords: 1191, senate, all

Transcript Highlights:

• We're adding the word 'conditions' to clarify certain things in the pilot program, and we're adding the
• Let's go to Tab 12, SB 294 on collaborative pharmacy practice for chronic health care conditions.
• And in that situation, we listed some conditions that would be appropriate for a collaborative practice
• , including arthritis, asthma, chronic obstructive pulmonary disease, type 2 diabetes, HIV, and obesity
• With complex conditions such as heart failure, coronary artery disease, whatever, we need to have the

Committee: Senate Rules

Summary: The Senate Committee on Rules met with a quorum present and took up a series of bills, beginning with SB 108 on administrative procedures. That bill, as amended, would require agencies to review all rules on a five-year cycle, submit regulatory plans and annual reports, publish intended agency action within 90 days of new rulemaking authority, improve public access to incorporated materials, and streamline rule publication and correction procedures. After brief testimony from the Florida Bar’s Administrative Law Section and support from Americans for Prosperity and the James Madison Institute, the committee adopted two amendments and reported CS for SB 108 favorably. The committee then approved several other measures, including the Senate veterans package (CS for CS for SB 116), which made technical changes and was supported by veterans and advocacy groups; SB 118 on presidential libraries, which preempts local barriers while preserving state and federal law and building codes; CS for SB 126 allowing mail distribution of prescription hearing aids after a Florida-licensed professional examination; CS for SB 150, “Trooper’s Law,” making it a third-degree felony to abandon restrained animals during declared disasters; SB 294 limiting collaborative pharmacy practice expansion for complex cardiac conditions; SM 314 urging Congress to increase Florida National Guard force structure; CS for SB 322 creating a nonjudicial process to remove unauthorized persons from commercial property; CS for SB 348 on ethics, addressing false military rank claims and delinquent ethics fines; SB 356 designating January 27 as Holocaust Remembrance Day; CS for SB 160 expanding CPA licensure pathways and clarifying administrative outsourcing; and CS for SB 50 promoting nature-based coastal resilience measures. Most of these bills received supportive testimony and were reported favorably. The committee also considered and reported favorably the annual reviser bills SB 36, SB 38, SB 40, and SB 42, which adopt the 2025 Florida Statutes, conform statutory names, remove expired provisions, and clean up obsolete language and cross-references. Throughout the meeting, members asked questions on a few bills, but no roll-call votes were recorded as opposed; each measure was approved and reported favorably. At the end of the meeting, senators requested that a few missed affirmative votes be recorded, and the committee adjourned without objection.

Transcript Highlights:

• ,<00:43:09.280><c> provide</c><00:43:09.760><c> stabilization</c><00:43:10.560><c> and</c> conditions
• , provide stabilization and conditions, provide stabilization and fiscal<00:43:11.280><c> support</c>
• I know this committee has made significant investments in literacy and battling chronic absenteeism,
• </c> learners now chronically absent. learners now chronically absent.
• </c><01:30:49.199><c> of</c> students the most basic condition of students the most basic condition of

Committee: House Education Finance

Keywords: 1183, house

Transcript Highlights:

• We know what it costs to treat long-term chronic conditions.
• </c><00:15:15.360><c> We</c> treat long-term chronic conditions.
• We treat long-term chronic conditions.
• </c><00:15:17.920><c> conditions</c><00:15:18.480><c> by</c> long-term chronic conditions by long-term
• chronic conditions by addressing<00:15:19.120><c> this.

Committee: Senate Health and Human Services

Keywords: 1191, senate, all

Transcript Highlights:

• For people living with chronic medical conditions or disabilities, for many who cycle through emergency
• <00:27:27.440><c> conditions</c> living with chronic medical conditions living with chronic medical conditions
• That really has an impact on health conditions.
• Uh but there's still living conditions.
• And so we know that health conditions.

Bills: HF3425 , HF3424 , HF1385

Committee: House Housing Finance and Policy

Keywords: supportive housing, grants, housing assistance, funding, Minnesota Statutes, eviction, rent, nonpayment of rent, landlord-tenant, residential tenant, notice to quit, unlawful detainer, housing, lease violation, late fees, rental assistance, legal aid, tenant rights, Minnesota Statutes 504B.321, pre-eviction notice

Transcript Highlights:

• is why the Turtle Mountain Public Health Department is setting up all of these response efforts to chronic
• rate of American Indians in our tribal community, and we want to do the same for other diseases, chronic
• CMS subsequently expanded the availability of these waivers to include serious mental conditions.
• In fact, if there's no proper investment in upstream services and preventing worsening of conditions
• , should not be isolated from the rest of society in order to receive the... ...conditions should not

Summary: The meeting focused heavily on behavioral health and substance use treatment, especially the IMD exclusion and whether North Dakota should pursue a Section 1115 waiver to allow Medicaid reimbursement for services in institutions for mental diseases for adults ages 21 to 64. Turtle Mountain representatives described major local needs, including limited access to care, high syphilis rates, and the importance of timely public health data. They also discussed the tribe’s recovery center, which opened the prior year, now operating five levels of care with 16 beds, and the desire to expand capacity, possibly through an IMD waiver or related policy changes. Committee members also raised related issues such as rural health transformation funding, telehealth, workforce retention, and the need for better coordination between tribal and state public health systems. A central issue was Turtle Mountain Public Health’s long-running effort to secure a data use agreement with the state so it can receive surveillance data and respond directly to infectious disease cases among tribal members. Speakers said the tribe had a successful COVID-era agreement that allowed faster contact tracing and case management, but that agreement ended with the pandemic. They argued that current delays in sharing data, especially for sexually transmitted infections, leave the tribe unable to respond quickly, while the state and county epidemiology workload is too distant and stretched to be effective. Committee members expressed support and said they would look into the issue, noting that other tribes have secured similar agreements. The committee also heard a detailed presentation from the National Health Law Program on the IMD exclusion. The presenter explained that federal Medicaid law generally bars payment for care in facilities with more than 16 beds, but that states can use other tools such as state plan amendments, managed care arrangements, telehealth, and community-based services. He said IMD waivers are administratively complex, time-limited, and have shown mixed results in other states, with some gains in residential treatment access but limited evidence of improved overdose outcomes or stronger community-based care. He urged the committee to consider broader continuum-of-care solutions and cautioned that waivers alone are not a cure-all. No final vote was taken on the bill draft during the portion shown, but the committee discussed the proposal to appropriate $49,000 and one FTE to HHS to pursue an IMD waiver and report back in the next interim. Members also debated the policy rationale for the 16-bed limit, the role of the state versus tribal sovereignty, and whether the bill should move through the Health Care or Human Services committee in the future.

Transcript Highlights:

• department stands in support of this measure, which would safely help prevent kids with health conditions
• Many children with chronic conditions that don't have access to their medication tend to perform less
• </c> learning um many children with chronic learning um many children with chronic conditions<00:24:01.919
• that don't have access to conditions that don't have access to their<00:24:03.480><c> medication</c>
• </c><00:56:43.960><c> disease</c> out at school leading to chronic disease out at school leading to chronic

Keywords: 910, house, all

Summary: The committee heard several education-related bills, with testimony largely in support. SB 1388 and SB 1393, both concerning the School Facilities Authority and Department of Education representation and land conveyances, received support from DOE and the School Facilities Authority, with no questions or action taken. SB 423, which would add Head Start representation to the Early Learning Board, was supported by the Early Learning Board and the Executive Office on Early Learning, which explained the bill would realign the board with federal Head Start Act requirements after the board was restructured in Act 170; EEL also requested an effective-date amendment. SB 422, allowing DOE to award diplomas to students whose education was disrupted by war, drew support from DOE, the Chamber of Commerce, the Military Council, and the Special Education Advisory Council, but also significant opposition from the Hawaii Patriot Republicans and many individuals; members asked questions about the bill, and DOE explained the measure’s purpose, but no vote was taken. The committee also took testimony on SB 532, which would expand who may administer certain medications in schools. DOE, the Department of Health, and the University of Hawaii supported the bill. Members asked detailed questions about oral, nasal, and topical medications and the process for prescription review and administration; DOE explained that parents request the medication, a school form is completed, a nurse reviews it, and either a trained school health assistant or a contracted nurse administers the medication. DOE said the measure could improve attendance and learning, especially for students with ADHD, asthma, and other chronic conditions. The committee then heard SB 659 on locally sourced food products and school meals, where DOE’s procurement office opposed the higher small-purchase threshold and DOE exemption from procurement rules, while Ulupono Initiative, Hawaii Farm Bureau, Hawaii Public Health Institute, and others supported the bill as a way to advance farm-to-school goals and the 30% local food target by 2030. Testimony and questioning focused on the proposed threshold increase, transparency, and whether an online bidding system would be preferable. Finally, the committee heard SB 1300 on subsidies for ALICE families’ school meals. DOE supported the bill but requested amendments: defining eligibility at 250% of the federal poverty level, delaying implementation until the 2026-2027 school year, and covering reduced-price lunch students in full for 2025-2026. HSTA, Hawaii Appleseed, Catholic Charities Hawaii, Pride at Work Hawaii, Hawaii Youth Services Network, and others supported the measure, emphasizing food insecurity, the burden of meal paperwork, and the educational importance of free meals. Hawaii Appleseed suggested replacing ALICE with a federal poverty level standard and removing a rulemaking requirement that could delay implementation. No votes or final committee actions were reported in the transcript.

Transcript Highlights:

• require expensive conditions that require expensive emergency<00:46:25.079><c> care</c><00:46:25.400
• mental health and medical conditions.
• , but one of those mental health conditions is the experience of trauma.
• </c><00:58:58.760><c> mental</c> people people to avoid chronic mental people people to avoid chronic
• health conditions is the those mental health conditions is the experience<00:59:24.400><c> of</c><00

Committee: Senate Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• So responsible agencies need to be able to act early rather than react to chronic conflict.
• Agencies need to be able to act early rather than react to chronic conflict.
• And above all, it's going to have to be adaptive, tailored to local ecological and social conditions
• Fear of people and communities living under constant disruption and chronic stress.
• Education helps reduce habituation, food conditioning, and risky animal behavior.

Committees: House Water, Parks and Wildlife , House Water, Parks, and Wildlife

Keywords: 988, house, all