Video & Transcript Research : 'reciprocal licensure'
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TX
Keywords:
dentistry, botulinum toxin, aesthetic treatments, dental regulation, training, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges, SB 672, Texas hospital emergency operations plan, hospital diversion, emergency department, cyberattack, cyber security, power outage, electrical outage, patient diversion, hospital preparedness
TX
Bills:
HB18, HB742, HB754, HB1644, HB2187, HB1887, HB 1275, HB37, HB1503, HB1699, HB1700, HB2735, HB1741, HB1731, HB1675, HB18, HB37
Keywords:
rural health, hospital funding, healthcare access, mental health services, financial stability, human trafficking, first responders, health care, training, reporting, protection, trafficking prevention, medical assistant training, health care facilities, hospital compliance, clinic compliance, anti-retaliation, whistleblower protection, employee reporting, good faith report
WA
Washington 2025-2026 Regular Session
Senate Floor Session Feb 6th, 2026
Washington Senate Floor Meeting
Transcript Highlights:
- Secretary will read: An act relating to establishing a pilot program that creates a pathway to physician licensure
- And now what we have before us is a new pilot that would create a pathway to permanent licensure so that
- they... ...create a pathway to permanent licensure so that these doctors are now working already in
Bills:
SB5223, SB5993, SB5831, SB5928, SB6183, SB6071, SB5995, SB5966, SB5841, SB5840, SB6061, SB6058, SB5931, SB5944, SB5520, SB6011, SB6087, SB6076, SB5916, SB6016, SB5936, SB6137, SB5185, SB5956, SB6025, SB6009, SB5833, SB6161, SB6188, SB5890, SB5917, SB5820, SB5973, SJM8015, SB5816, SB6136, SB6091, SB6024
Keywords:
criminal offense, fingerprinting, law enforcement, state regulations, public safety, medical debt, interest charges, consumer protection, healthcare, financial burden, mortgage modification, uniform regulations, homeowners, financial stability, foreclosure prevention, wildfire risk, disclosure, safety, environmental policy, risk assessment
Summary:
The Senate opened with routine proceedings, including the roll call, approval of the previous day’s journal, referral of committee reports and gubernatorial appointments, and the removal of Senate Joint Memorial 8003 from the consent calendar to the regular calendar. The chamber also received and referred Engrossed Substitute House Bill 1604 to the Committee on Human Services, and later took up several gubernatorial confirmations.
The Senate adopted Senate Resolution 8682 recognizing the YMCA’s 150th anniversary in Washington. Senators spoke in support, describing the YMCA’s role in child care, swim lessons, youth programs, civic engagement, camps, and community health, and guests from YMCA organizations were recognized on the floor. The Senate then confirmed Jeffrey P. Fairchild to the Whatcom Community College Board of Trustees, Randall V. Scott to the Lake Washington Institute of Technology Board of Trustees, and Anna M. Franklin to the Community Colleges of Spokane Board of Trustees, each by unanimous or near-unanimous roll call votes.
The chamber also observed a moment of silence for the family of Representative Tom Dent after his wife suffered a stroke. After caucuses, the Senate returned to floor action on two major bills. Substitute Senate Bill 5185, creating a pilot pathway to physician licensure for international medical graduates, was advanced to final passage and approved 39-1. Engrossed Substitute Senate Bill 5993, lowering the interest rate on medical debt, drew extensive debate about affordability, charity care, and the impact on rural hospitals; amendments were considered, including one to make the bill prospective rather than retroactive, which was adopted, while a rural-hospital differential-rate amendment failed. The bill ultimately passed 29-19. The Senate then adjourned until Monday, February 9, 2026.
TX
TX
Transcript Highlights:
- Committee sub allows reciprocity of permits amongst counties subject to the bill.
CA
California 2025-2026 Regular Session
Senate Local Government Committee Jun 23rd, 2026
Transcript Highlights:
- out-of-state inspectors and our state inspectors, so what the quality differences will be with the reciprocal
- I don't think we have that type of reciprocity. It would be actually great if we could.
Summary:
The Senate Committee on Local Government heard several bills focused on housing, utility billing, permitting, oversight, disaster recovery, and traffic safety. AB 2058, by Assemblymember Harropetian, would streamline inspections and fees for factory-built housing by reducing duplicative local review and allowing third-party inspections; supporters said it would cut costs and delays, while the author noted local land-use authority would remain intact. AB 1945, by Assemblymember Hodgwick, would let Lassen Municipal Utility District offer voluntary prepaid electricity accounts without deposits or start-service fees, with consumer protections and electronic notices; municipal utility and power agency representatives supported it. AB 2418, by Assemblymember Mark Gonzalez, would set timelines for commercial plan review and allow third-party plan checkers for delayed tenant improvement projects; business and property groups supported it, and the bill was narrowed by amendments. AB 2433, by Assemblymember Alvarez, would expand density bonus incentives for for-sale affordable housing; supporters said it could help produce more homeownership opportunities, while labor and local government concerns led to amendments removing ministerial/by-right provisions. AB 2760, by Assemblymember Sharpe Collins, would allow counties with an Office of Inspector General to extend oversight to probation and animal control in San Diego County; the author and county supervisors supported it, but probation officials opposed it as duplicative. AB 2385, by Assemblymember Petrie-Norris, would clarify local authority to plan for disaster recovery and create local reconstruction agencies; cities and other supporters said it would improve post-disaster rebuilding. AB 1976, by Assemblymember Hitt, would limit late-stage public process for pedestrian, bicycle, and traffic calming projects and exempt pedestrian malls from CEQA; supporters framed it as a safety streamlining measure, while local government groups raised concerns about reduced community engagement. The committee also adopted the consent calendar for AB 2118 and AB 2728. Final votes were taken after quorum was established: AB 1945 passed 6-0 to the Senate floor; AB 1976 passed 5-1 to the Committee on Transportation; AB 2058 passed 7-0 to Appropriations; AB 2385 passed 6-1 to Emergency Management; AB 2418 passed 7-0 to Judiciary; AB 2433 passed 7-0 to Housing; AB 2760 passed 5-2 to the Senate floor; and the consent calendar was adopted 7-0.
US
US Federal 2025-2026 Regular Session
Business meeting to consider the nominations of Warren Stephens, of Arkansas, to be Ambassador to the United Kingdom of Great Britain and Northern Ireland, Thomas Barrack, of Colorado, to be Ambassador to the Republic of Turkey, Tilman Fertitta, of Apr 9th, 2025 at 08:30 am
Foreign Relations Committee
Transcript Highlights:
- just one tool in our economic and our trade toolbox, but they are aimed at making our trade more reciprocal
- borders, our southern border, is done and that our trade relationship is balanced and even and made reciprocal
Keywords:
Senator Flinstone, HB22, SB4, amendments, public testimony, legislation, environmental impact, economic implications
Summary:
The meeting featured a thorough examination of various bills, including substantial discussions on HB22 and SB4. Key points included amendments proposed by committee members, particularly from Senator Flinstone, who emphasized the need for clarifications on certain provisions. The committee actively engaged with several witnesses providing public testimony, some in favor of the proposed legislation while others highlighted concerns and potential implications. The discussions were vibrant, showcasing different perspectives, especially on the environmental and economic impacts of the bills in question. The meeting concluded with a consensus to reconvene after a recess to further address the outstanding issues related to the bills.
CA
California 2025-2026 Regular Session
Senate Privacy, Digital Technologies, and Consumer Protection Committee Jun 29th, 2026
Transcript Highlights:
- You're also over, but within one bill we try to provide reciprocal.
- There are licensure for facilities, there are professional licensures and professional organizations
Summary:
The Senate Committee on Privacy, Digital Technologies, and Consumer Protection heard several bills focused on privacy, AI, surveillance, and consumer protections. AB 302 would bar schools from excluding students from extracurricular activities because they do not use social media and would require schools to use at least one non-addictive means of contacting students and parents; it drew support from Common Sense Media and no opposition. AB 1705, the Reclaim Act, would require websites hosting non-consensual pornography to verify consent before upload; district attorneys and the Commission on the Status of Women supported it, while TechNet and CCIA opposed or raised concerns. AB 2007 would separate parental consent for a child’s image/likeness from general program enrollment forms in youth programs; educators supported it, while local government and parks groups raised implementation and penalty concerns. AB 2212 would update higher education sexual harassment definitions to include tech-facilitated harassment such as cyberbullying, doxing, and nudification-related abuse; students and advocacy groups strongly supported it, with no opposition. AB 1837 would extend transit agencies’ authority to use camera enforcement in bus-only lanes and at transit stops, with privacy retention limits and human review; transit agencies supported it, while some senators expressed concern about automated enforcement and surveillance, and the bill was placed on call after a split vote. AB 2392 would create an intersegmental higher education working group on generative AI training and procurement standards; it passed 5-0 after amendments removed prerequisites tying AI deployment to completion of the report. The consent calendar was also approved on call. Later, AB 1798 would prohibit life and disability insurers from using non-diagnostic genetic information in underwriting; supporters argued it protects privacy and encourages testing, while insurers opposed the bill as undermining risk-based underwriting, and it advanced on a 3-0 vote on call. Finally, AB 1883 would restrict workplace use of emotion-recognition and neural-data surveillance tools; labor and privacy advocates supported it, employers and local agencies raised safety and litigation concerns, and it passed 3-0 to Labor after narrowing amendments.
TX
Transcript Highlights:
- of administering the emergency manager certification for TDEM, as well as allowing certification reciprocity
- of administering the emergency manager certification for TDEM, as well as allowing certification reciprocity
- time, they're responsible for the online training facility audits and record reviews to determine reciprocity
- RAPBAC, the system where we can now easily see when someone is not qualified or is not eligible for licensure
- who is currently working, even if it's been for a matter of years, that they're not eligible for licensure
Bills:
SB1
Keywords:
campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards
Summary:
The committee heard a Legislative Budget Board presentation and then testimony from the Department of Public Safety on the Article 5 public safety budget. LBB said DPS’s 2026-27 recommendation totals $3.7 billion, down from the prior base, while FTEs rise by 856.7. Major items included increased funding for driver license services and customer support, new trooper funding and recruit schools, crime lab operations, border security, and reductions tied to one-time facility, vehicle, and aircraft spending. The committee also discussed new riders, including one to lapse unused trooper funds and require reporting after recruit schools.
Members focused heavily on driver license operations, questioning why prior staffing increases and a prior efficiency study had not solved long wait times, high call abandonment, and appointment delays. DPS and LBB said the agency receives about 22,000 calls per day, answers only about 9 percent, and is seeking more staff plus technology upgrades such as automation, kiosks, and better online processing. Senators also raised concerns about rural access, REAL ID document requirements, and whether the department should rethink its processes rather than simply add employees.
DPS leadership then described needs for the Williamson County training academy, additional troopers, Capitol and Alamo security, border operations, aircraft and vehicle replacement, and regional headquarters in El Paso and San Antonio. Members asked about Operation Lone Star costs, overtime, pursuit safety, border crime, oilfield theft, and sexual assault kit and toxicology backlogs. DPS said border deployments remain focused on criminal threats, that overtime is partly driven by deployments and staffing shortages, and that the sexual assault kit backlog is down to 118 cases with a goal of zero by April. The committee later recessed and began the Texas Alcoholic Beverage Commission budget presentation, where LBB outlined a $115.1 million recommendation and noted ongoing costs for the AIMS technology project.
MN
Minnesota 2025-2026 Regular Session
House Higher Education Finance and Policy Committee 3/6/25
Higher Education Finance and Policy
Transcript Highlights:
- It would sort of sit alongside some of the other reciprocity, state-to-state reciprocity programs that
- some of that would sort of sit alongside some of the<00:08:01.879><c> other</c><00:08:02.120><c> reciprocity
- </c><00:08:02.759><c> state-to-state</c> the other reciprocity state-to-state the other reciprocity state-to-state
- reciprocity<00:08:04.199><c> programs</c><00:08:04.840><c> that</c><00:08:04.919><c> you're</c> reciprocity
- programs that you're reciprocity programs that you're familiar<00:08:05.639><c> with</c><00:08:06.240
LA
Louisiana 2026 Regular Session
Labor and Industrial Relations May 7th, 2026
Transcript Highlights:
- between strangers, I mean, that's an incredible gift to give someone, and we would want that same reciprocity
- between strangers, I mean, that's an incredible gift to give someone, and we would want that same reciprocity
- 30 days of leave for a state employee while someone in another state benefits if there isn't any reciprocity
Summary:
The House Labor and Industrial Relations Committee met on May 7, 2026, and first deferred several measures, including House Bill 460, Senate Bill 322, Senate Bill 32, Senate Bill 22, and House Bill 561. The committee then took up House Bill 819 by Chairman Cruz, which would replace Louisiana’s current workers’ compensation medical treatment schedule with the Official Disability Guidelines (ODG) by MCG as the primary guideline, while keeping the existing variance and appeal process. Cruz and MCG representative Troy Prevo argued that ODG is more comprehensive, updated more frequently, and used in many states, and said it could reduce delays, disability duration, and costs. Dr. Jason Picard, the state medical director, testified that Louisiana already uses ODG as a secondary reference in many cases because the state schedule lacks coverage for some body parts and treatments, and said the bill would not otherwise change the appeals process or care delivery.
Committee members focused heavily on whether the bill would delay care or improve it. Several members questioned the private-company nature of ODG, the $400 annual subscription cost, and whether Louisiana doctors would be forced to rely on an out-of-state guideline. Rep. Glorioso and others raised concerns about preauthorization delays and proposed amendments to create tacit approval when treatment follows the schedule, require payment within 30 days, and make the carrier prove by clear and convincing evidence that care was not medically necessary to challenge it. Chairman Cruz said he was willing to work with those ideas, and the committee also discussed adding an on-ramp or legacy language so current patients would not be disrupted.
Opposition testimony came from injured-worker advocates and representatives of medical and labor groups, including Joseph Jola St. and Robin Krumholt. They argued that Louisiana’s current guidelines are already working, that rates have fallen over time, and that the real problem is delay in approval rather than the content of the schedule. They said ODG is overly rigid, cost-driven, and can lead to denials that shift costs to workers, Medicaid, or private health insurance. They urged the committee to keep Louisiana’s existing system and instead adopt tacit approval under current law. The bill was still under discussion at the close of the transcript, with amendments being read and no final vote shown.
US
US Federal 2025-2026 Regular Session
Hearings to examine the nomination of Elbridge Colby, of the District of Columbia, to be Under Secretary of Defense for Policy. Mar 4th, 2025 at 08:30 am
Senate Armed Services Subcommittee on Personnel
Transcript Highlights:
- we should give up what he calls, quote, belligerent policies toward China and see if they will reciprocate
- I couldn't comment about what's going on but generally I think these reciprocal steps in the in this
- sort of logic of arms control excuse me steps should be reciprocated credibly.
Keywords:
defense, geopolitical tensions, military readiness, China, Russia, U.S. military, Indo-Pacific, alliance, procurement
Summary:
The meeting focused on critical defense and security matters, particularly concerning the ongoing geopolitical tensions involving China and Russia. There were discussions surrounding U.S. military readiness, with significant emphasis on the potential threats posed by China in the Indo-Pacific region. Members expressed concerns about America's military capabilities in relation to the growing Chinese fleet and the importance of maintaining strong alliances with nations like Japan, South Korea, and Taiwan. Additionally, the notion of prioritizing the defense industrial base was highlighted, emphasizing the need for effective procurement and modernization efforts to counter adversarial threats. Furthermore, notable commentary included a reference to President Zelensky's remarks regarding peace negotiations with Ukraine, expressing a willingness for further cooperation with the U.S.
NY
New York 2025-2026 Regular Session
Senate Standing Committee on Procurement and Contracts - 05/18/2026
Procurement And Contracts
Transcript Highlights:
- Senate Bill 267, from Senator Sanders, an act on the Executive Law in relation to reciprocal minority
Summary:
The Senate Committee on Procurement and Contracts met for its second meeting of the 2026 session, with Chair Jeremy Zellner noting a quorum and welcoming members. The committee took up a series of procurement- and contracting-related bills, including measures on reciprocal MWBE certification, liability and design professionals, minority and women participation in state contracts, waste diversion planning by state agencies, breaking public contracts into smaller sizes to increase small business participation, expanded construction mentorship opportunities, service-disabled veteran-owned business participation goals, and contract fee/requirements for agreements between state agencies and nonprofit organizations.
The discussion in the transcript was brief, with no substantive debate recorded. Members generally moved each bill and seconded the motions, and the chair called for votes. Most bills were reported out of committee either to the calendar or to finance, with members voting in favor and a few recorded as “without rec” or individual ayes noted. No bills were defeated.
At the end of the meeting, the chair reminded members to complete their voting sheets and then entertained a motion to adjourn. The committee approved adjournment and the meeting concluded.
CA
California 2025-2026 Regular Session
Senate Local Government Committee Jun 23rd, 2026
Local Government
US
US Federal 2025-2026 Regular Session
Hearings to examine certain pending nominations. May 1st, 2025 at 09:30 am
Foreign Relations Committee
Transcript Highlights:
- -France alliance through pragmatic defense collaboration and fair and reciprocal trade negotiations.
- However, President Trump has made clear the importance of having fair and reciprocal trade.
Keywords:
diplomatic nominations, foreign policy, ambassadors, U.S.-European relations, Bilateral relationships, security, trade
Summary:
The meeting focused primarily on diplomatic nominations, featuring discussions about the implications of these roles on U.S. foreign policy. Notable was the introduction of nominees for key ambassadorial positions, including ambassadors to the Dominican Republic, France, and the Netherlands. Senator Shaheen emphasized the importance of U.S.-European relations, particularly in light of current global challenges, while other members voiced their concerns regarding the nominees’ qualifications and the impact on bilateral relationships. Public support for these nominations was evident, as was the committee's commitment to fostering stronger connections with allied nations, particularly in addressing security and trade issues.
FL
Transcript Highlights:
- support a bill that did exactly as the proponents ask you to do today, except that it did include a reciprocal
- This bill, unfortunately, does not have that same reciprocal protection.
Summary:
The Senate Judiciary Committee heard three bills. SB 514, by Senator Harrell, clarified that medical quality review committees used by managing entities are treated like other medical review committees for purposes of civil liability and public records protections. The committee adopted a Harrell amendment removing the word “malpractice” from the title, heard support from the Florida Hospital Association, Florida Association of Managing Entities, and Florida Smart Justice Alliance, and then voted 11-0 to report the bill favorably.
The committee then took up SB 734, by Senator Yarborough, which would repeal the current wrongful death exception that bars certain parents and adult children from recovering non-economic damages in medical negligence cases. The bill drew extensive testimony from families describing deaths they said were caused by medical negligence and from supporters including AARP and the Florida Justice Association, while opponents from the health care, insurance, and business sectors argued it would raise malpractice premiums, increase litigation, worsen physician shortages, and reduce access to care. After debate, the committee voted 9-2 to report the bill favorably.
Finally, SB 538, by Senator Bradley, was presented as the state courts legislative package. It updates court operations by clarifying duty judge requirements, removing a location limit on duty hearings, repealing a cap on arbitrator compensation in court-ordered non-binding arbitration, and allowing alternative judicial authentication of oaths and acknowledgments when a court seal is unavailable. The bill received supportive waiver forms from the Florida Bar ADR section and several judges, and was reported favorably on an 11-0 vote. The committee then adjourned.
KY
Kentucky 2026 Regular Session
Senate Legislative Session Day 51 (3-20-26)
Kentucky Senate Floor Meeting
Transcript Highlights:
- The key difference is that it is valid in Kentucky only, while a standard license includes reciprocity
- :06:04.559><c> includes</c> while a standard license includes while a standard license includes reciprocity
- </c><01:06:08.720><c> Now,</c> reciprocity with many other states.
- Now, reciprocity with many other states.
MN
Minnesota 2025-2026 Regular Session
Committee on Agriculture, Veterans, Broadband and Rural Development - 03/11/26
Agriculture, Veterans, Broadband, and Rural Development
Transcript Highlights:
- modernization updates the applications and credentials and requirements for veterinary technicians, revises reciprocity
- for and credentials and requirements for vettees<00:24:51.760><c> revises</c><00:24:52.320><c> reciprocity
- </c><00:24:52.960><c> with</c> vettees revises reciprocity with vettees revises reciprocity with reinstatement
KY
Kentucky 2025 Regular Session
Interim Joint Committee on Natural Resources and Energy (7-24-25) - Reupload
Transcript Highlights:
- And so, I think we need to look at this and we need to consider reciprocal agreements.
- 00:48:56.640><c> need</c><00:48:56.840><c> to</c><00:48:56.880><c> consider</c><00:48:58.000><c> reciprocal
- </c> and we need to consider reciprocal and we need to consider reciprocal agreements. agreements. agreements
Keywords:
Meeting Start 00:00:00
Attendance Roll Call 00:00:26
Approval of Minutes 00:02:27
LIHEAP Presentation and Public Hearing 00:02:42
Conservation Opportunities in Kentucky 00:29:52, 958, all
Summary:
The committee first took up a public hearing and presentation on the Low Income Home Energy Assistance Program (LIHEAP). Shannon Hall of the Department for Community Based Services and Rick Baker of Community Action Kentucky explained that LIHEAP is a 100% federally funded block grant that helps low-income households pay heating and cooling bills, avoid utility disconnects, and support weatherization. They outlined the program’s components, eligibility limits, seasonal application periods, and recent participation figures, including tens of thousands of households served through the summer cooling, fall subsidy, winter crisis, and spring subsidy components. They also described weatherization priorities, the partnership with Kentucky Housing Corporation, and the role of Community Action agencies in administering the program statewide.
Members asked about Assurance 16, the balance between need and available funding, summer cooling assistance, weatherization measurement, renter versus homeowner participation, and whether federal changes could affect LIHEAP. Hall and Baker said Assurance 16 supports energy-burden reduction through education, case management, and conservation strategies; that funding has generally been sufficient in recent years but crisis funds have sometimes been exhausted quickly in the past; and that summer assistance is primarily electric utility support. They also said weatherization uses return-on-investment testing and that Kentucky still has a large backlog of homes needing service. On federal funding, they said the recently passed federal bill did not directly cut LIHEAP, but future appropriations could still affect it, and any major reduction could leave a gap the state might need to consider filling. The committee approved the minutes and later approved the LIHEAP finding of fact; no members of the public signed up to testify.
After concluding LIHEAP, the committee heard a presentation from Heather Jeff of The Nature Conservancy on conservation opportunities in Kentucky. She described the organization’s voluntary land-protection work and highlighted the Cumberland Forest project, a conservation easement on about 55,000 acres in Bell, Knox, and Leslie counties supported in part by a $3.875 million state appropriation. She also reported on mine-land reforestation, elk habitat work, and the rapid allocation of a $2 million appropriation for the Kentucky Heritage Land Conservation Fund. Jeff emphasized the economic value of conservation for tourism, hunting and fishing, agriculture, forestry, bourbon, and flood protection, and said the group is finalizing a Kentucky conservation needs assessment and related feasibility research.
HI
Hawaii 2025 Regular Session
HRE-AEN, AEN, AEN DEFER Public Hearings 03-17-2025
Transcript Highlights:
- We believe in the reciprocal relationship between people and the aa kanaka.
- Um, we believe<00:50:27.119><c> in</c><00:50:27.359><c> the</c><00:50:27.520><c> reciprocal</c><00:50
- :28.240><c> relationship</c> believe in the reciprocal relationship believe in the reciprocal relationship
Summary:
The joint committees heard House Bill 643, House Draft 2, which would create short-term management initiatives and appropriate funds for the coconut rhinoceros beetle response program. Testimony was overwhelmingly supportive. Committee discussion focused on biocontrol efforts, including fungus and virus-based treatments, the need for a biosecure facility, and the timeline for testing and range studies. Department of Agriculture officials said initial testing is underway at the University of Hawaii, but full testing requires a higher-biosafety facility that is not yet available on island. Members also discussed funding levels, the possibility of a mobile facility, and whether the work could be accelerated. The committees later voted to pass HB 643 unamended.
The committees also heard House Bill 736, House Draft 1, which would establish a three-year wastewater system and individual wastewater technology testing pilot program at the University of Hawaii Water Resources Research Center. Supporters said the bill could help certify new, lower-cost decentralized wastewater technologies and reduce the cost of cesspool upgrades while improving water quality. University of Hawaii witnesses explained that the center would test technologies, collect samples, analyze results, and provide reports to the Department of Health for certification. Members raised concerns about whether the program would help communities facing immediate wastewater issues, the length of the testing timeline, and whether technologies like the Genki ball could be included. The committee was told the pilot would likely test one technology at a time over about nine months each, though multiple tests could run in parallel later. The committees voted to pass HB 736 unamended.
After those measures, the joint committee moved to an AEN-only agenda and began hearing STR 111 / SR 92, which declares a public health emergency relating to climate change and calls for statewide coordination on cross-sector solutions. Testimony in support came from the Department of Agriculture, Hawaii Public Health Institute, and others. Supporters said climate change affects public health through heat, wildfire risk, invasive mosquitoes, and other impacts, and argued that the response should involve agriculture, planning, transportation, and emergency management, not just the Department of Health.