Video & Transcript : 'nursing program' :

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ID

Idaho 2026 Regular Session

Agenda Mar 9th, 2026

Judiciary, Rules and Administration

Transcript Highlights:
  • My name is Melissa Webb, and I'm here as a parent and a longtime Idaho nurse from Boise.
  • I'm here as a parent and a longtime Idaho nurse from Boise.
Keywords: 989, all
ID

Idaho 2026 Regular Session

Agenda Feb 9th, 2026

Judiciary and Rules

Transcript Highlights:
  • And so they need to go into an assisted living or a nursing home or a rehab center to allow the antibiotics
  • And so they need to go into an assisted living or a nursing home or a rehab center to allow the antibiotics
Keywords: 989, all
LA
Transcript Highlights:
  • And so the majority of our programs or the majority of our investments that we are evaluating within
  • I am a registered nurse by trade. I’ve always worked around surgery.
  • I can—” “I am a registered nurse by trade. I’ve always worked around surgery.
  • So I ended up going to Lake Charles and joining the Navy into the nuclear power program.
  • Navy into the nuclear power program. So that's where I would have been.
Summary: The House Natural Resources Committee met on House Bill 7 by Speaker Pro Tem Johnson, the Louisiana Landowners Protection Act, which would remove eminent domain authority for carbon capture and geological sequestration projects. After housekeeping and roll call, the committee adopted a set of technical amendments that cleaned up definitions, removed a stray statutory reference, and changed “commissioner” to “secretary.” The author then gave an extended presentation arguing the bill was needed to align Louisiana law with the state constitution’s property-rights protections and recent court rulings, and to ensure carbon capture projects proceed only through voluntary agreements rather than forced takings. Several members questioned the author and supportive witnesses about whether the bill would stop carbon capture, affect oil and gas pipelines, or disrupt investment. The author and supporters said it would not stop projects, only prevent taking land without consent, and argued that landowners—especially small and rural owners—should not face the threat of expropriation. Supportive testimony also emphasized family land, inheritance, and constitutional limits on takings. Some members raised concerns about changing the rules after prior legislative action and about the economic importance of carbon capture, but the author responded that the legislature had made a mistake in 2020 and should correct it now. Opposition testimony came from representatives of the Louisiana Mid-Continent Oil and Gas Association, the Louisiana Chemistry Association, and attorneys who handle right-of-way matters. They argued that eminent domain is a rare last resort, that existing law and the Landowner Bill of Rights already protect owners, and that the Constitution’s provisions for private-entity expropriation are different from the provisions discussed by the bill’s supporters. They warned that removing the tool for carbon capture would chill investment, threaten jobs and revenue, and could spill over into other energy infrastructure. The committee did not reach a final vote on the bill in the portion of the meeting provided.
LA

Louisiana 2026 Regular Session

Natural Resources and Environment Mar 31st, 2026

Natural Resources & Environment

Transcript Highlights:
  • And so the majority of our programs or the ...majority of our investments that we are evaluating within
  • I am a registered nurse by trade. I've always worked around surgery. I can...
  • I am a registered nurse by trade. I've always worked around surgery.
  • So I ended up going to Lake Charles and joining the Navy into the nuclear power program.
  • Navy into the nuclear power program. So that's where I would have been.
Keywords: 965, house, all
OR
Transcript Highlights:
  • What under-enrolled programs are you looking at eliminating?
  • The Vitality Plan, as proposed, recommends the elimination of three programs.
  • It was basically stumbled upon by folks who were doing the recovery program.
  • expansion for anything that would be beyond an existing program.
  • The modernization program is a large-scale, multi-bania, information, The modernization program is a
Summary: The Emergency Board approved a series of consent federal grant applications from the Natural Resources and Public Safety subcommittees, along with several budget and position requests. The board approved grant applications for parks, transportation, judicial, emergency management, higher education, school nutrition, and other programs, including retroactive approvals where deadlines had passed. One member objected to the Natural Resources consent grants over concerns about future funding needs, but the motion still passed. The board also approved a one-time increase for Judicial Department court security, including digital privacy protections, circuit court security, and a statewide facilities assessment. A major discussion centered on Southern Oregon University’s financial stability. The Higher Education Coordinating Commission reported on SOU’s structural deficits, declining enrollment, and projected cash shortfall. The subcommittee recommended, and the board approved, allocating $7.5 million from the special appropriation for short-term stability, with a required update at the September 2026 Emergency Board meeting and a future request for the remaining funds. Members debated the broader crisis in higher education, with several saying SOU’s situation reflects systemwide enrollment and funding pressures and that long-term restructuring will be needed. The board also approved an AmeriCorps volunteer generation grant, an apprenticeship expansion grant, and a Department of Education nutrition equipment grant. In public safety, it approved funding for Oregon Military Department readiness facilities, a statewide evacuation planning tool, and a juvenile justice information system modernization report, while requiring a follow-up viability report. The Department of Justice received approval for additional antitrust positions and expenditure limitation, though several members raised concerns about the funding structure and incentives tied to settlement revenues; the motion passed despite objections. In natural resources, the board approved funding for the Water Resources Department’s well abandonment, repair and replacement grants, an assistant water master position in Washington County, groundwater data collection in the Lower Umatilla Basin, a wetlands remote sensing pilot, and parks-related grant applications for operations, maintenance, and capital improvements. Members generally supported the requests but raised concerns about geographic equity, long-term sustainability, and whether some county responsibilities were being shifted to the state. The meeting also included discussion of a Department of Emergency Management evacuation tool as an urgent wildfire preparedness measure, with members emphasizing its potential to save lives.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on State Administration and Regulatory Oversight Jun 21st, 2026 at 10:30 am

Joint Committee on State Administration and Regulatory Oversight

Transcript Highlights:
  • Although the program has more...
  • I'm a program manager at the Midas Collaborative.
  • We know that this economic mobility program works.
  • in our summer programs, to work with our students, or we have extended day programs that run until seven
  • or their evening programs.
Keywords: 995, all
Summary: The committee first heard testimony on a proposed Massachusetts baby bonds program, including H. 3429, S. 2146, and the Treasurer’s related bill H. 48. Treasurer Goldberg and a broad coalition of advocates, researchers, health professionals, and people with lived experience said the program would create trust accounts for children born into low-income families or in DCF custody, with funds available at age 18 for education, homeownership, business startup, or other long-term asset-building uses. Supporters argued the program would help close the racial wealth gap, improve economic mobility, and not affect eligibility for financial aid or public benefits. Committee members asked about administration, investment returns, eligibility, and withdrawal rules; the Treasurer said the accounts would be held in trust and managed by her office with an advisory board, with funds accessible at 18 and usable through age 35 if the beneficiary remains a Massachusetts resident. No vote was taken during the testimony shown. The committee also heard testimony on legislation establishing Lobular Breast Cancer Awareness Day, including S. 2666 and H. 4625. Senator Ross, Representative Badger, physicians, survivors, and advocates described invasive lobular carcinoma as difficult to detect because it often grows in lines rather than forming a lump, can be missed on mammography, and is underfunded and underrepresented in research and clinical trials. Witnesses said the bill would codify an annual October 15 proclamation to raise awareness, improve diagnosis, and encourage more targeted research and treatment. Committee members asked why the disease is so hard to detect, and medical witnesses explained the imaging challenges and the lack of lobular-specific protocols. The witnesses urged favorable reports. The committee then took testimony on H. 4648, a bill concerning the purchase or lease of Fenn Farm in Stockbridge by the Stockbridge-Munsee community. Representative Davis, the Stockbridge Land Trust president, and the tribal president testified that the bill would remove a conservation restriction tied to a state MVP grant so the tribe could manage the land without a restriction that they said would conflict with tribal sovereignty and Indigenous stewardship practices. They said the parcel is a sacred site connected to Monument Mountain and that the restriction is unnecessary because the land is already surrounded by conserved property. The witnesses asked for favorable action on the bill. Finally, the committee heard testimony on H. 3416, a resolution urging Congress to create a national infrastructure bank. Representative Senna and several advocates argued that an off-budget infrastructure bank could finance major repairs and upgrades to roads, bridges, rail, water systems, broadband, and housing without adding to the state budget, while creating jobs and supporting economic growth. Witnesses cited historical precedents for national infrastructure banks and said Massachusetts could benefit substantially from such a program. The transcript shown does not include a committee vote or final action on the resolution.
AZ

Arizona 2026 Regular Session

06/01/2026 - House Floor Session

Arizona House Floor Meeting

Transcript Highlights:
  • We're already doing that right now with the finite resources we have in the school safety grant program
  • on how the diversion program is structured, it may be that it's a diversion from conviction.
  • on how the diversion program is structured, it may be that it's a diversion from conviction.
  • House Bill 2189, requiring the Arizona State Board of Nursing to adopt rules relating to licensed health
  • House Bill 2440, amending Section 31-281, A.R.S., relating to the transition program.
Summary: The House convened with prayer, the Pledge of Allegiance, approval of the journal, guest introductions, and routine communications from the governor and Senate. Members then moved into multiple Committee of the Whole sessions to consider a large number of Senate bills and later House bills on final reading. Several measures were retained on the calendar, while many others advanced with or without amendments. The House also adopted a group concurrence motion on numerous Senate amendments to House bills and later took up third-reading votes on a series of House bills. Among the main committee actions, SB 1049, SB 1315, SB 1401, SB 1418, and SB 1540 were amended and recommended do pass; SB 1332 and SB 1538 also advanced, while SB 1016, SB 1519, SB 1624, SB 1627, SB 1723, and SB 1725 were retained. Debate centered on school safety and interoperability equipment in SB 1315, housing and zoning issues in SB 1118, and school discipline/bullying transparency in SB 1684. Members also discussed SB 1074 on student discipline notifications, SB 1275 on diversion program wording, and SB 1684 on bullying reporting and school liability, with supporters emphasizing safety, accountability, and clarity and opponents warning about unfunded mandates, litigation, and impacts on public schools. On final reading, the House passed a long list of bills, including HB 2032, HB 2035, HB 2109, HB 2120, HB 2176, HB 2189, HB 2195, HB 2203, HB 2342, HB 2383, HB 2423, HB 2428, HB 2439, HB 2440, HB 2573, HB 2594, HB 2621, HB 2641, HB 2673, HB 2693, HB 2752, HB 2756, HB 2875, HB 2895, HB 2916, HB 2923, HB 2946, and HB 2999, with recorded votes ranging from narrow to unanimous. HB 1118, dealing with municipal zoning and historic properties, failed on the floor after debate over housing policy and charter/public school issues, though a motion to reconsider was later made. The session ended with personal announcements, including recognition of Child Help, a memorial reading for Major General W. Bill Van Dyke, caucus meeting notices, a retirement reception reminder, an anniversary acknowledgment, and a Pride Month statement.
WA

Washington 2025-2026 Regular Session

Senate Labor & Commerce Jan 20th, 2026 at 10:30 am

Labor & Commerce

Transcript Highlights:
  • We have a fantastic program, robust benefits, and all that.
  • the intention of the program.
  • The H-2A law is removing local farmers, which is against the intention of the program.
  • I mean, that's our Worship program has always had more stringent rules often than the feds.
  • I'm a registered nurse, a volunteer at Casa Latina, and a lifelong Washington resident.
Bills: SB6045 , SB6188 , SB6053 , SB5852
WA

Washington 2025-2026 Regular Session

Senate Human Services Jan 13th, 2026 at 01:30 pm

Human Services

Transcript Highlights:
  • , two additional programs are pending, and three existing Second Chance Pell programs are transitioning
  • That will be conducted for each program during the second year of a program.
  • program.
  • And then, second, you've all heard of peer-led programming.
  • And I think the Acadia program in Spokane, at one of the reentry centers, is a really cool program.
Bills: SB5873 , SB5895 , SB5945
WA

Washington 2025-2026 Regular Session

Senate Human Services Jan 13th, 2026

Transcript Highlights:
  • , two additional programs are pending, and three existing Second Chance Pell programs are transitioning
  • That will be conducted for each program during the second year of a program.
  • program.
  • And I think the Acadia program in Spokane at one of the reentry centers is a really cool program.
  • And I think the Acadia program in Spokane at one of the reentry centers is a really cool program.
Summary: The committee began with a Department of Corrections update focused on agency culture, staff safety, reentry, and health services. Secretary Tim Lang highlighted DOC’s “Washington Way” approach, expanded visitation reforms, safety summits, community-corrections sanction changes, education and transportation improvements, partial confinement expansion, and efforts to increase volunteer and peer-led programming. Assistant Secretaries Danielle Armbruster and David Flynn described progress on Pell Grant implementation, reentry transportation, partial confinement, behavioral health standards, HIPAA compliance, the 1115 Medicaid waiver, telehealth expansion, and budget requests for opioid use disorder treatment, close-custody capacity, and staffing relief. Members asked about veterans’ units, telehealth for substance use treatment, women’s placement on the east side, correctional industries, and firefighting training. The new Office of Correction Ombuds director, Jeremiah Bourgeois, then outlined the office’s mission and limited resources, saying he would focus on the most serious complaints and continue building accountability with DOC. He described recent OCO reports, including findings of excessive force at the women’s prison, and said DOC had agreed to implement all recommendations. He also noted a new process for referring possible criminal misconduct to DOC leadership and law enforcement. Committee members praised the DOC-OCO partnership and Bourgeois’s appointment. The committee then heard Senate Bill 5895, which would add a new basis for extraordinary medical placement when DOC cannot meet an incarcerated person’s basic medical care needs. Senator Saldana said the bill is intended to provide a compassionate, workable path for people with serious or end-of-life medical needs while maintaining public safety. Testifiers in support included family members, Disability Rights Washington, and the League of Women Voters, who said the current EMP process is too restrictive and rarely results in release. DOC testified that it supports the EMP framework but has concerns about the bill’s definition of “basic medical care.” A former DOC physician suggested extending the qualifying time period and adding “approximately” to the language. The committee also heard Senate Bill 5873, which would expand escorted leaves of absence to include reentry-focused outings and broaden the family definition for funeral or bedside visits. Senator Wilson said the bill is meant to support a “slow release” and better prepare people for community reentry. DOC supported the concept, and witnesses from public defense, DOC reentry, and Amend said escorted reentry outings are consistent with evidence-based and international correctional practices. Finally, the committee heard Senate Bill 5945, which would limit persistent offender sentencing to convictions occurring after age 18 and require resentencing for affected people. Supporters argued the bill aligns with youth brain-development research and would address racial disparities; opponents, including prosecutors, victim advocates, and sheriffs’ representatives, said it would reopen painful cases, undermine finality, and impose costs. The hearing on that bill was still underway when the transcript ended.
MD

Maryland 2026 Regular Session

House Floor Session, 4/10/2026 #2

Maryland House Floor Meeting

Transcript Highlights:
  • House Bill 1599, Choptank River Enhancement Program and Maryland Seafood Industry Financial Assistance
  • House Bill 107, Motor Vehicles Intelligent Speed Assistance System Pilot Program Establishment, Amendment
  • Senate Bill 742, Maryland Medical Assistance Program and Developmental Disabilities Administration Home
  • I really don't think it needs to be said, but doctors, nurses, and those in the hospital really don't
  • Koch completed the NASA Academy program at the Goddard Space Flight Center in Greenbelt.
MA

Massachusetts 2025-2026 Regular Session

Informal House Session 104 Jun 21st, 2026 at 11:00 am

Massachusetts House Floor Meeting

Transcript Highlights:
  • congratulating Joan Smith on the occasion of her retirement from the Abington Public Schools as school nurse
Keywords: 995, all
Summary: The House opened with the Pledge of Allegiance and then took up several committee reports and procedural motions. It adopted congratulatory resolutions for Fire Chief Michael Sullivan of Wakefield and Joan Smith of Abington, and approved an extension until December 7, 2025 for the Committee on Public Health to report on current House documents. The House also concurred with a Senate referral of a petition on assisted living billing practices to the Committee on Housing, and suspended Joint Rule 12 to send two additional petitions to committee: one on penalties for reckless or negligent vehicle operation and another designating May 2 as Veterinary Youth Day. The Committee on Steering, Policy and Scheduling recommended six House bills for consideration, and the House suspended Rule 7A to take them up on second reading. Those bills concerned the Great Barrington Fire District, a technical change to the George L. Dairy Inland Fisheries and Game Fund, teacher strikes, an Arlington town manager act amendment, payment of an unpaid bill by the town of Ludlow, and additional liquor licenses for Scituate. The House ordered all six bills to a third reading. The chamber also observed silent tributes to Anthony Dugnan of Hamilton and Boston police Detective Bruce Higgins. On third reading, the House passed to be engrossed Senate Bill 23 on alternate members for the Swampscott Conservation Commission, House Bill 2879 on continued employment of a Lancaster firefighter, House Bill 3977 on alternate members for the Beckett Conservation Commission, and House Bill 4529 designating the Wider Park tennis courts as the Kim O'Connell tennis courts. The House then adopted an order to adjourn to meet the following Monday at 11 a.m. in informal session and adjourned.
ID

Idaho 2026 Regular Session

Agenda Jan 19th, 2026

Health and Welfare

Transcript Highlights:
  • I also serve as the executive officer for the Idaho Board of Pharmacy, the Idaho Board of Nursing, and
Keywords: 989, all
NM

New Mexico 2026 Regular Session

Senate - Conservation Jan 31st, 2026 at 09:07 am

Senate Conservation

Transcript Highlights:
  • I've helped hospitals set up composting programs, zero-waste initiatives, including food donation programs
  • I've helped hospitals set up composting programs, zero-waste initiatives, including food donation programs
  • and help getting the programs going.
  • But composting programs and food donation programs, they're very, very doable to implement, but the community
  • The $10 million is the amount that could be raised to the grant program, the RAID grant program.
Bills: SB47 , SB110 , SB122 , SB143 , SB168
LA

Louisiana 2026 Regular Session

Education Apr 14th, 2026

Education

Transcript Highlights:
  • It's part of their Louisiana First program.
  • scholarship programs.
  • determined by qualified programs.
  • In a community technical school, in a high-wage, high-demand program determined by qualified programs
  • The Taylor Foundation created 22 programs around the country, in 22 states, and their similar programs
Bills: HR17 , HB385 , HB406 , HB787 , HB1021 , HB1058 , HB1059
Committee: House Education
LA

Louisiana 2026 Regular Session

Education Apr 14th, 2026

Education

Transcript Highlights:
  • It's part of their Louisiana First program.
  • scholarship programs.
  • determined by qualified programs.
  • In a community technical school, in a high-wage, high-demand program determined by qualified programs
  • The Taylor Foundation created 22 programs around the country, in 22 states, and their similar programs
Committee: House Education
Summary: The committee heard several higher education and K-12 bills centered on TOPS, school accountability, and curriculum alignment. It first welcomed University of Louisiana at Lafayette’s new president, Ramesh Kuluru, who spoke about student success, workforce alignment, and the university’s financial recovery. The committee then adopted amendments and reported HR 17 favorably, directing a study of TOPS return on investment with the Board of Regents, Louisiana Works, LED, and the Blanco Public Policy Center. Testimony from business and policy groups supported the study as a way to assess whether state financial aid is producing workforce and retention outcomes. Members then considered HB 385 by Rep. Bamberg, which would require repayment of TOPS awards under certain circumstances when students lose eligibility, with exemptions for hardship and a pathway into LCTCS or career-technical programs. The bill drew strong debate over whether merit scholarships should ever be repaid; opponents argued TOPS is earned for the semester and should only be lost going forward, while supporters emphasized taxpayer accountability. After amendments, the committee narrowly approved the bill by roll call vote, with Chair Schlegel casting the deciding yes to report it favorably as amended. The committee also unanimously reported HB 1058 favorably, which requires the Board of Regents to maintain a uniform data system for state financial assistance; independent colleges and business groups supported the measure as a way to improve accountability and analysis. The committee next heard HB 406 by Speaker Pro Tem Johnson, which asks the Department of Education to study the feasibility of moving oversight of interscholastic athletics to a more accountable model after a legislative study found widespread complaints about the private LHSAA’s transparency and consistency. Supporters said the bill is a cautious step toward reform and a possible 2028–2029 transition, while an LHSAA representative defended current audits and governance and opposed the premise of the bill. Despite objections, the committee reported HB 406 favorably. It then heard HB 787 by Rep. McMakin, as substituted, which would exempt non-public high school students from the TOPS computer science requirement; BESE and the Department of Education opposed the bill, saying it would separate diploma and TOPS requirements and create scheduling confusion, while Catholic school representatives said the requirement conflicts with their theology curriculum. McMakin asked to defer the bill for two weeks. Finally, the committee unanimously reported HB 1059 favorably, which aligns TOPS math requirements with BESE’s integrated math pathways, and began hearing HB 1021 by Rep. Egan on repayment of certain TOPS awards, though the transcript cuts off before that bill was completed.
WA

Washington 2025-2026 Regular Session

House Finance Feb 24th, 2026 at 08:00 am

Finance

Transcript Highlights:
  • If they're paying what they should, we wouldn't have so many cuts in programs.
  • District in a rural county, we've never had after-school programs.
  • Child care programs run on narrow margins.
  • Child care programs run on narrow margins.
  • Staffing, materials, and food for the program, as well as for our own families.
Committee: House Finance
Keywords: 904, all
MN

Minnesota 2025-2026 Regular Session

Motor vehicle registration tax calculation change 3/25/26

Minnesota House Floor Meeting

Transcript Highlights:
  • It comes from places like money for nursing homes.
  • So, um you can say it maybe it's not future increases somewhere, future dollars spent on programs, whatever
  • There is a structural problem with continuing new programs that are overspending in the out years.
  • This would change the numbers assuming all other spending and all other programs remains the same.
  • But, I can tell you Representative Tabke and others, there is so much fraud in some of these state programs
Keywords: 1183, house
WA

Washington 2025-2026 Regular Session

Senate Housing Feb 4th, 2026

Transcript Highlights:
  • And I worked with migrant farm workers trying to develop housing programs that would support them.
  • makes sure that those cities, like some in my district, who have created and established existing programs
  • for utility connection delayed fees are allowed to continue those programs.
  • This bill provides a clear path for counties to institute rural ADU programs and does so in a way that
  • out of single-family housing, and part-time or temporary workers such as caregivers and traveling nurses
Summary: The Senate Housing Committee met on cutoff day and first considered two gubernatorial appointments to the Housing Finance Commission. Aaron T. McGrath and Ann T. Malone each testified about their housing finance and affordable housing backgrounds, their prior commission or sector experience, and their interest in improving housing affordability and equity. Senators asked brief questions and offered supportive comments, and both appointments were heard without objection. The committee then heard and later acted on a series of housing-related bills. ESHB 1500 would expand resale certificate requirements for common interest communities by adding reserve studies, audits, and governing documents, limiting certain fees, allowing rush service fees, and creating enforcement rights; testimony was split between Realtors, who supported the consumer-protection goals but sought clarifications and more time for rescission, and HOA/management representatives, who warned against limiting third-party processing tools and sought more flexibility. EHB 1501 would require associations to answer certified written inquiries from owners within 30 days, subject to reasonable association rules; the sponsor framed it as a basic right to a response, while HOA representatives supported the intent but asked for clearer limits and coordination with existing law. EHB 1345 would allow detached ADUs outside urban growth areas under detailed guardrails; builders, Realtors, counties, and housing advocates supported it as a rural housing tool, and the committee heard that it had been the product of years of negotiation. In executive session, the committee adopted amendments and advanced several bills. It approved a metering requirement for water use in SB 5470 on detached ADUs outside UGAs, narrowed SB 5729 to permit-review provisions, adopted a substitute for SB 6015 on permit-ready factory-built housing plans, and moved forward SB 6069 on transitional, supportive, and emergency housing with zoning and local process changes. It also advanced SB 1686 on deferred utility connection fees, SB 6200 on portable cooling devices for renters and mobile home occupants after rejecting an amendment to remove window units, SB 6201 creating tax exemptions for social housing agencies, SB 6214 establishing land bank authorities, and SB 6237 requiring flood-risk disclosures in rental housing. The committee then returned to public testimony on ESHB 1500, EHB 1501, and EHB 1345, hearing additional support and concerns, and adjourned after thanking staff for their work on cutoff day.
HI

Hawaii 2025 Regular Session

HHS Informational Briefing 10-20-2025

Hawaii Senate Floor Meeting

Transcript Highlights:
  • LEAD is a pre-booking diversion program.
  • </c> and the pre-booking diversion programs and the pre-booking diversion programs and<01:16:50.159><
  • . programs. programs.
  • , we need to see results of those program, we need to see results of those pilot<01:17:37.520><c> programs
  • </c><01:21:45.280><c> to</c> to go into it's a voluntary program to to go into it's a voluntary program
Keywords: 912, senate, all
Summary: The briefing focused on the Hawaii State Hospital’s overcrowding, construction defects in the new addition, and how Act 26 and related court-ordered processes are affecting admissions and discharges. The chair said the hospital has become increasingly forensic-focused, has lost beds after the closure of Kahimohala, and may face further costs and possible litigation over the defective addition. Hospital and Department of Health officials said they are working with the attorney general and contractors on repairs, and that the hospital is currently using all 292 licensed beds, including 13 waiver beds, while average daily census last fiscal year was 376. Officials explained that the high census is driven by both increased admissions and discharge barriers. They said the loss of Kahimohala returned patients to the state hospital, and that Act 26-related petty misdemeanor cases are contributing to admissions. They also said limited lower-level placement options delay discharges. Hospital staff reported that many patients are repeat admissions, about 22% were unhoused before admission, and a significant share are in categories such as fitness-to-proceed evaluations and conditional-release violations. They said these groups could potentially be reduced if evaluations were done elsewhere and if more community or supportive housing were available. The chair and senators questioned whether some fitness-to-proceed detainees need to be held at the state hospital at all, and whether the Clark consent order requires transfer to the hospital. The attorney general’s office said the Clark injunction does not govern unfitness-to-proceed cases; instead, the requirement comes from state statute, and the statute could be changed. Director Johnson said DCR cannot keep such detainees because the court orders them into the custody of the Department of Health, and the department cannot provide the needed therapeutic level of care in a correctional setting. The discussion also emphasized co-occurring substance use and mental illness, especially among petty misdemeanor defendants, and the need for supportive housing and a decompression plan to reduce readmissions and free beds for civil commitments.