Video & Transcript Research : 'impasse procedures'
Page 39 of 377
HI
Transcript Highlights:
- procedures for handling complaints. procedures for handling complaints.
- And we have established procedures, statutory and rule-based procedures, for all of these functions.
- <00:12:56.800>
and established procedures uh statutory and established procedures uh statutory - 12:58.480>
of <00:12:58.560>these rule-based procedures for all of these rule-based procedures - procedures<00:14:03.839>
to <00:14:04.079>the policies and procedures to the policies
AR
Arkansas 2026 1st Special Session
PUBLIC HEALTH WELFARE AND LABOR COMMITTEE-SENATE AND HOUSE Jun 3rd, 2026
Transcript Highlights:
- So we do surgery procedures.
- Association, 2026, pages 65 through 78, it lists procedures from D7,000 to D7,999.
- So there are quite a few procedures. I did a considerable number of those procedures.
- Terry Fiddler continued: I did a considerable number of those procedures.
- We're going to do it whether the procedure is paid at a certain level or not.
Summary:
The committee reviewed a series of Medicaid and health-related administrative rules, most of them tied to 2025 acts. Early items covered presumptive eligibility end dates, adding a definition of fictive kin for foster children, and updating ABLE account disability onset age. The committee also reviewed rules on continuous glucose monitors, RSV vaccine administration fees, ET3 telemedicine exemptions for ambulance services, dental rate increases, physical and occupational therapy access, and the Healthy Moms Healthy Babies and lactation consultant provisions. Most rules were reviewed without objection, though several members asked for fiscal and implementation details, especially on the CGM rule and the dental rate rule.
The most extended discussion centered on the dental rate increase under Act 1025. DHS said the rule applies only to oral surgeons’ dental services as written, while the Arkansas State Dental Association and legislative sponsors argued the intent was to raise rates for a broader set of dentists performing the same procedures, especially for adults with special needs. Members discussed the statutory language, CMS constraints, bifurcated rates, and the estimated additional cost of about $1.5 million annually if general dentists were included. The committee ultimately reviewed the rule, but the chair noted the testimony and lawmakers indicated they would work on a fix next session.
Another major exchange involved the CGM rule. Members questioned the reported $3 million two-year fiscal impact, the prior authorization process, and whether DME providers would be forced into a pharmacy-based system. DHS explained that the same vendor would handle prior authorizations and that the billing system changes were already live, but one member moved to expunge the earlier review vote and then said he would hold the rule pending further clarification. The committee also reviewed rules on adverse decisions appeals, CNA training, substance abuse and mental health network-status disclosures, new certification rules for doulas and community health workers, cosmetology/body art, massage therapy, lead-based paint, radiation control, radiologic technology licensure, and mobile home/RV park standards. The meeting ended with all remaining items reviewed and the committee adjourned.
NM
Transcript Highlights:
- So we have a legal health procedure, no different from all kinds of other legal procedures.
- This is a health care procedure as a statutory right.
- We're not tracking the whole string of other similar procedures, medical procedures.
- And you might say, well, all procedures should be. Well, Mr.
- are elective procedures and some are not.
Keywords:
SB30, induced abortion, abortion reporting, vital statistics, public health reporting, medical records, health care providers, repeal, New Mexico, pregnancy termination, abortion data, state reporting requirements, confidentiality, reproductive health, parole, life imprisonment, rehabilitation, criminal justice, victim rights, law enforcement
MS
Mississippi 2026 Regular Session
Medicaid - Room 216, 3 February, 2026; 10:30 AM
Transcript Highlights:
- and fairness in how Mississippi's Medicaid program pays for outpatient services for the surgical procedure
- Mississippi Medicaid's outpatient reimbursement for VNS procedures is significantly below Medicare and
- the surgical procedure for VNS therapy. the surgical procedure for VNS therapy.
- <00:01:15.200>
is reimbursement for VNS procedures is reimbursement for VNS procedures is - codes for both VNS surgical procedure codes and<00:02:15.040>
bringing <00:02:15.520>the
Summary:
The Senate Medicaid Committee heard testimony on Senate Bill 2674, which would increase Mississippi Medicaid reimbursement for outpatient vagus nerve stimulation (VNS) procedures used to treat drug-resistant epilepsy. Dave Weinberger of LivaNova said current Medicaid rates are far below Medicare and most neighboring southern states, creating financial pressure on hospitals and causing some to stop offering the procedure. He argued the therapy provides durable clinical benefits and long-term savings for Medicaid, and said the bill would align Mississippi’s rates with Medicare’s 2026 outpatient rates and with other states.
Weinberger said the bill would set reimbursement at $45,000 for CPT 64568 and $35,000 for CPT 61885, and framed the measure as improving access, hospital stability, and fairness for vulnerable patients. Committee members did not ask questions during this hearing, though the chair noted the bill had been double referred and would go to appropriations, with a more detailed hearing scheduled for the next day.
After discussion, a motion was made that the title was sufficient and the bill do pass. The committee approved the motion, and the bill was reported out of committee.
MN
Minnesota 2025-2026 Regular Session
Seclusion Working Group - 01/28/26
Minnesota Senate Floor Meeting
Transcript Highlights:
- <00:03:28.000>
was <00:03:28.239>never as a disciplinary procedure. was never as a - disciplinary procedure. was never allowed<00:03:29.760>
under <00:03:30.080>circumstances - translation of the notice for procedural translation of the notice for procedural safeguards<00:
- <00:11:02.000>
to seclusion as a restrictive procedure to seclusion as a restrictive procedure - <00:22:14.400>
safeguards to enhance procedural safeguards to enhance procedural safeguards
Summary:
The Seclusion Working Group met for its final meeting on January 28 and first approved the prior meeting minutes after correcting two roll-call vote errors involving Miss Woodward. The chair then gave an extended recap of the history of seclusion policy, including the pre-2023 emergency-only framework, the 2023 ban on seclusion for children birth through grade 3, the 2025 introduction of SF 1830 to restore prior law, and the compromise amendment that allowed limited seclusion in grades 1 through 3 with added safeguards. The chair also reviewed the working group’s timeline, noting it had met from August 2025 through January 2026 and was required to submit findings by January 30, 2026.
The main substantive discussion focused on the chair’s proposed timeline for eliminating seclusion and an alternative proposal from Mace. Several members criticized a Minnesota Department of Education letter that opposed parts of the working group’s recommendations, arguing it mischaracterized district practices, questioned informed consent and mental health professional provisions, and did not reflect the realities faced by schools. Members supporting the current use of seclusion said districts already use MTSS, PBIS, Ukeru, and other interventions, but still need seclusion in limited emergency situations. They also said the department’s comments felt inflammatory or unsupportive.
On the timeline issue, Mace proposed allowing limited seclusion for students in grades 1 through 12 receiving certain special education services until July 1, 2036, with data collection on outcomes and related interventions. Some members supported a “runway” toward elimination, saying it would allow time to build alternatives and avoid an abrupt ban, while others said they could not support including grades 1 through 3 in any extended timeline and preferred elimination sooner. Members also questioned whether MDE currently collects enough data on law enforcement interventions and related outcomes. The meeting ended with continued discussion of the timeline proposal, but no final vote or report approval was recorded in the transcript excerpt.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Consumer Protection and Professional Licensure Jun 21st, 2026 at 10:00 am
Joint Committee on Consumer Protection and Professional Licensure
Transcript Highlights:
- These procedures are medical procedures.
- So these are just other potential complications that can happen with these procedures.
- Dermal fillers and botulinum toxins are medical procedures.
- It's easy to obtain an appointment for these procedures.
- are delegated to non-physicians, cosmetic procedures and medical procedures, the incidence of complications
Summary:
The committee opened a hearing of the Joint Committee on Consumer Protection and Professional Licensure focused on health care and human services, reviewed testimony logistics, and then heard a long series of witnesses on several bills. Much of the testimony centered on interstate licensure compacts for dentistry, social work, and occupational therapy, with supporters arguing these compacts would improve workforce mobility, continuity of care, and access while preserving state oversight and public protection. Dental witnesses were split on H.455/S.257, with supporters backing the AADB dental compact for its hands-on exam, background checks, and disciplinary safeguards, while opponents argued a competing compact would better promote portability and avoid conflicts tied to proprietary testing and outside commissions. Social work witnesses strongly supported H.380/S.252, emphasizing continuity of care for clients who move across state lines, reduced costs and delays for practitioners, and the compact’s public-protection features; occupational therapy witnesses similarly supported H.427/S.256, citing access, telehealth, military families, and maintained standards.
The committee also heard testimony on S.242, which would expand licensure for lactation care providers. Supporters, including lactation counselors and health center staff, said adding certified lactation counselors and related credentials would expand access, improve breastfeeding support, and allow reimbursement for services now often provided without billing. They described the training required and said the bill would help families, especially in underserved communities. Representative James O’Day also testified in support of the social work compact, and a Council of State Governments witness provided background on compact mechanics and state participation.
Another major topic was H.419/S.214 on medical debt. Physicians and researchers testified that cancer patients experience long-lasting medical debt and collections burdens, and they supported limits on the sale and collection of medical debt, bans on reporting it to credit bureaus, and related consumer protections. The hearing also included H.465 on a pathway to special licensure for certain long-term limited-registration dentists serving MassHealth patients, which Representative Senna supported as a way to allow immigrant dentists to practice independently. Finally, the committee heard sharply divided testimony on H.444/S.284, which would allow trained dental hygienists to administer Botox and dermal fillers: supporters framed it as a safe, preventive, and access-expanding tool for TMJ, bruxism, and pain management, while dermatologists opposed it as outside hygienists’ training and a patient-safety risk. No votes or formal actions were taken during the hearing.
TX
Transcript Highlights:
- HB 1745 by Bell of Kaufman relating to the procedures for protest for the appraisal review boards or
- Refer to the Committee on Licensing Administrative Procedures.
- Refer to the Committee on Licensing and Administrative Procedures.
- HB 1937 by Craddock relating to the certain tax and fee collection procedure.
- HB 31 by Thompson relating to procedures related to the juvenile justice.
NH
New Hampshire 2025 Regular Session
House Environment and Agriculture (01/21/2025)
Transcript Highlights:
- Bixby so um a new This Modern procedure Bixby so um a new This Modern procedure has<03:56:23.720
- Procedures we did 20 years ago have improved, and if we ban a procedure now and our knowledge changes
- like to do the procedure.
- of our client to do medical procedures of our client to do medical procedures we<04:05:09.239>
<04:19:53.040>in <04:19:53.199>our into the procedures in our into the procedures
Summary:
The committee heard testimony on HB 153, which would require two or more law enforcement officers in each county to receive animal cruelty training through the police standards system. Representative Barbara Coma, the sponsor, said the bill was prompted by problems in animal cruelty cases, especially in rural areas without animal control officers, and she described it as a limited training measure. She said an amendment was forthcoming that would add an eight-hour approved course and a two-hour refresher every three years, and she emphasized that the trained officers would serve as resources rather than being required to take action themselves.
Members asked about cost, due process, overlap with animal control officers, how trained officers would be identified and notified, and whether veterinarians could fill the role. Coma responded that the bill would not be a heavy financial lift, would not interfere with animal control officers, would apply to livestock as well as companion animals, and would still require law enforcement involvement because veterinarians cannot lawfully remove animals from property. She also said the training could improve due process by helping officers better understand when animal removal is appropriate and how cases should proceed.
Sheriff William Wright, speaking for the New Hampshire Sheriffs Association, testified in opposition. He said training itself was acceptable, but the bill went beyond training by creating an obligation for sheriffs and state police to respond to and potentially investigate animal cruelty cases, which he argued would be ambiguous, unfunded, and burdensome for staffing and resources. He said some sheriff’s offices do not have investigative deputies and that the bill could create liability and uncertainty about who would lead investigations. In response to questions, he said the association would likely have no objection if the bill were limited to training, but it opposed the assistance/investigation mandate as written.
AR
Arkansas 2026 Regular Session
PUBLIC HEALTH WELFARE AND LABOR COMMITTEE-SENATE AND HOUSE Jun 3rd, 2026
Transcript Highlights:
- So we do surgery procedures.
- I am not a surgeon; I am a Doctor of Dental Surgery, and so I perform many of these procedures.
- pages 65 through 78, it lists procedures from D7,000 to D7,99.
- Fiddler: There are quite a few procedures. I did a considerable number of those procedures.
- different people performing the same procedure.
Summary:
The committee reviewed a series of Arkansas DHS and Department of Health rules, most tied to 2025 legislation. Early items covered Medicaid changes including presumptive eligibility application timing, adding a fictive kin definition for foster child eligibility, raising the able account disability onset age to 46, allowing continuous glucose monitors to be billed by both pharmacy and DME providers, increasing the RSV vaccine administration fee for children, a telemedicine exemption for ET3 ambulance services, and a physical therapy access rule that also included occupational therapy. Members generally asked limited questions and most rules were reviewed without objection.
A major portion of the meeting focused on the dental rate increase rule under Act 1025. DHS said it implemented rate increases for certain pediatric, special-needs, and oral surgeon services, but not orthodontics, and it interpreted the act as applying only to oral and maxillofacial surgeons, not general dentists. The Arkansas State Dental Association and legislative sponsors testified that the intent was to cover general dentists performing oral surgery procedures for special-needs patients, estimating the broader interpretation would add about $1.5 million annually. Committee members debated the plain language of the act versus legislative intent, and the rule was reviewed, but with testimony noting the issue should be fixed in future legislation.
Later items included the Healthy Moms, Healthy Babies rule adding doula and lactation consultant billing and remote monitoring benefits; an adverse decisions rule extending provider appeal time from 35 to 65 days; CNA training program updates; PASSE network-status disclosure rules; certification rules for community-based doulas and community health workers; cosmetology, massage therapy, lead-based paint, radiation, radiologic technology, and RV park rule updates. Most of these were described as technical, statutory, or federally driven changes and were reviewed without objection. The committee briefly reopened the CGM rule after a motion to expunge the prior vote, and Representative Wardlaw said he would hold the rule for further review because he believed the billing changes did not match the law’s intent. The meeting ended with no further business and adjournment.
AR
Arkansas 2026 1st Special Session
PUBLIC HEALTH WELFARE AND LABOR COMMITTEE-SENATE AND HOUSE Jun 3rd, 2026
Transcript Highlights:
- procedures procedures Dr.
- So we do surgery procedures. We understood this bill...”
- He began referencing the CDT group of procedures.
- pages 65 through 78, it lists procedures from D7,000 to D7,99.
- So there are quite a few procedures. I did a considerable number of those procedures.
Summary:
The committee reviewed a series of Arkansas Medicaid and Department of Health rules, many implementing 2025 acts. Early items covered presumptive eligibility and Medicaid policy updates, including adding a definition of fictive kin for foster children and changing the disability onset age for ABLE accounts from 26 to 46. Another rule clarified that continuous glucose monitors may be billed by both pharmacies and durable medical equipment providers, with committee members questioning prior authorization timing, system lag, and a fiscal impact estimate of about $3 million over two years; the rule was reviewed, but members requested additional cost breakdowns. Other Medicaid-related rules addressed an RSV vaccine administration fee increase, an ET3 telemedicine exemption for ambulance treat-triage-transport services, a dental rate increase under Act 1025, expanded physical therapy access, and the Healthy Moms, Healthy Babies package covering doulas, lactation consultants, remote monitoring, and expanded prenatal testing. Most were reviewed without objection after brief discussion or no questions.
TX
Transcript Highlights:
- So, like, to hormone procedures, for example.
- It'll always be trans because you can't undo these procedures.
- At the very end, which procedure?
- All medical procedures come with some risk of regret, but we don't address other medical procedures with
- transition procedure or not. treatment.
Bills:
HB778, HB 1266, HB1576, HB2213, HB2517, HB2518, HB2841, HB3306, HB3320, HB3388, HB3508, HB3520, HB3689
Keywords:
credentialing, healthcare, physician assistants, advanced practice nurses, managed care, hurricane, windstorm, loss mitigation, grants, insurance discounts, property retrofitting, insurance, Texas Windstorm Insurance Association, board composition, coastal counties, property insurance, taxation, Texas FAIR Plan Association, premium taxes, maintenance taxes
OK
Transcript Highlights:
- Once again, with the stance on these type of procedures on minors, I believe that this will absolutely
- But this is saying that we're not gonna allocate any state dollars to these types of procedures, and
- Any Time that we're encouraging and doing these types of procedures in mass without proper oversight,
- Can you point to where currently we are spending state dollars on these procedures?
- So these types of procedures are absolutely still being done at some level.
Keywords:
2030 census, complete count committee, census outreach, decennial census, enumeration, population count, hard-to-count populations, hard-to-enumerate areas, State Data Center, Oklahoma Census, multilingual campaign, public outreach, school-based outreach, community organizations, minority groups, ethnic minorities, language minorities, self-response rate, census awareness, federal census
HI
Transcript Highlights:
- errors, which increases the chances of litigation on procedural errors.
- errors, which increases the chances of litigation on procedural errors.
- errors, which increases the chances of litigation on procedural errors.
- errors, which increases the chances of litigation on procedural errors.
- errors, which increases the chances of litigation on procedural errors.
Summary:
The Senate Committee on Public Safety and Military Affairs heard testimony on several public safety and criminal justice measures. HB 433 HD1 would appropriate funds for Department of Corrections and Rehabilitation re-entry services; DCR Director Tommy Johnson said the department supports the bill’s intent but noted the same $4 million request is in the governor’s executive budget, and the Correctional System Oversight Commission, Public Defender, ACLU, OHA, Chamber of Commerce, and other groups testified in support. Members asked whether the funding was already in the governor’s budget, and Johnson confirmed it was requested there for the next two fiscal years.
HB 1045 would make emergency appropriations for law enforcement personnel costs, and the Department of Law Enforcement, DAGS, Budget and Finance, and the Judiciary testified in support, with DLE saying the amounts match what Budget and Finance will present. HB 1296 would require timely notice and reporting to the Legislature when the governor transfers money to the major disaster fund; Budget and Finance and the Governor’s office offered comments, and no opposition was noted. HB 1002 would extend the Hawaii Correctional System Oversight Commission coordinator’s term and clarify inspection authority; DCR and the commission supported it, with the commission saying a longer term would help the coordinator do the job effectively and allow inspections without notice.
HB 596 would clarify what events qualify as disasters and emergencies for emergency management purposes. Hawaii Emergency Management Agency opposed the bill, while maritime and Grassroot Institute representatives supported it. Members asked whether the bill’s 21-day limit should be extended to 30 days, and HEMA said it opposed any change that would limit the governor’s flexibility in the response phase. The committee also heard HB 1128 HD1, which would set factors for warrantless arrests for petty misdemeanors and violations and require officers to record the justification. The Office of the Public Defender, ACLU, and some reform advocates supported it as a check on police discretion and a way to encourage citations, while the Attorney General, Honolulu Police Department, prosecutors, DLE, county police chiefs, SHOPO, and others opposed it as too restrictive and likely to create litigation and court delays. No votes or final committee actions were taken during the hearing.
NE
Nebraska 2025-2026 Regular Session
Legislative Afternoon Session Apr 9th, 2026
Nebraska Unicameral Floor Meeting
Transcript Highlights:
- All provisions of law relative to procedure having been complied with, the question is: Shall LB 834
- All provisions of law relative to procedure having been complied with, the question is: Shall LB 835
- All provisions of law relative to procedure having been complied with, the question is: Shall LB 883
- All provisions of law relative to procedure having been complied with.
- of law relative to procedure having been complied with, the question is, shall LB 1240 pass?
Bills:
LB737, LB753, LB788, LB913, LB1055, LB1195, LB1216, LB1256, LB429, LB721, LB722, LB727, LB743, LB745, LB749, LB778, LB787, LB365A, LB823, LB900, LB903, LB940, LB954, LB1127, LB1127A, LB1205, LB1240, LR293, LR296, LR422, LR505, LR507
Keywords:
LB737, Olmstead, developmental disabilities, disability services, community-based services, integrated settings, DHHS, Department of Health and Human Services, stakeholder advisory committee, independent consultant, public hearing, legislative oversight, disability rights, community integration, housing, employment, education, transportation, community supports, self-advocacy
MN
Minnesota 2025-2026 Regular Session
Rules and Administration - Subcommittee on Ethical Conduct - Part 2 - 03/13/25
Rules and Administration - Subcommittee on Ethical Conduct
Transcript Highlights:
- Members have an undeniable right to vote on procedural issues.
- procedural procedural question<00:14:03.920>
really <00:14:04.240>important <00:14:04.639 - right to vote on procedural right to vote on procedural issues<00:15:49.279>
as <00:15:49.480 - The issue is it was a procedural vote. It was to uphold the decision of the president.
- The issue is it was a procedural vote. It was to uphold the decision of the president.
AR
Arkansas 2026 1st Special Session
LEGISLATIVE JOINT AUDITING Mar 13th, 2026
LEGISLATIVE JOINT AUDITING
Transcript Highlights:
- with these codes and other proper accounting procedures as noted on the screen.
- with these codes and other proper accounting procedures as noted on the screen.
- with these codes and other proper accounting procedures as noted on the screen.
- with these codes and other proper accounting procedures as noted on the screen.
- with these codes and other proper accounting procedures as noted on the screen.
Summary:
The Legislative Joint Auditing Committee approved the February 13 minutes and then heard several committee reports. The executive committee report noted that audit and special reports were scheduled for presentation, one requested report remained outstanding, and staff was asked to review selected Benton County circuit court case transfers. The committee also received and adopted reports from the counties and municipalities committee, the education committee, and the state agencies committee. Those reports covered delinquent private water and sewer audits, education audit reports, and state agency findings such as duplicate vendor payments, collateral issues, record-keeping problems, and vehicle log deficiencies. In each case, the committee voted to file or adopt the reports, with some reports deferred for follow-up or for officials to appear at a later meeting.
A major portion of the meeting focused on the City of Pine Bluff’s 2024 financial audit. Auditors said the city received a clean opinion overall, but management letter findings identified serious issues in the mayor’s office, Parks and Recreation, and the finance department. The Parks and Recreation finding involved $179,629 in manual receipts that could not be traced to city deposits, missing receipts from several facilities, $48,415 in unallowable purchases, $13,000 in questionable purchases, altered invoices, unapproved vendors, and missing equipment; those matters were referred to the prosecuting attorney, attorney general, Governmental Bonding Board, and Arkansas State Police. The finance finding cited weak cash-receipting and bank-reconciliation procedures and late or missing deposits.
City officials, including the mayor, finance director, and parks director, testified that the problems predated the current administration and said they had taken corrective steps. They described hiring a forensic audit firm, creating or updating standard operating procedures, improving receipting and deposit processes, adding procurement oversight, and moving Parks and Recreation to electronic or system-based receipting. Committee members questioned the officials about oversight, nonprofit relationships, and whether theft or system failures were to blame. After discussion, the committee voted to file the Pine Bluff report. The next meeting was announced for June 4-5, 2026.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Financial Services Jun 21st, 2026 at 10:30 am
Joint Committee on Financial Services
Transcript Highlights:
- Today I'm asking for the committee members to take the next logical step in medically necessary procedures
- suffering from gender dysphoria. ...with Governor Healey's executive order in 2025 directing the procedures
- are faced with seemingly insurmountable medical bills, and insurance companies declare that the procedures
- Unfortunately, insurance does not always cover this procedure.
- With this comes a growing need for insurance coverage of detransition-related procedures.
Summary:
The committee heard testimony on a wide range of health insurance and public health bills, with most speakers focused on expanding coverage for specific treatments and services. Bills discussed included H. 1187/S. 792 on rehabilitation counselors, H. 1173/S. 692 on patient navigation, S. 2600 on scalp cooling for chemotherapy patients, S. 2599 on medically necessary treatment for port wine birthmarks, H. 1164 on licensed educational psychologists for child and adolescent mental health services, S. 754/H. 1254 on autism diagnosis and treatment by nurse practitioners and psychiatric nurse mental health clinical specialists, S. 714/H. 1137 on infectious disease response and coverage, and S. 791 on making nature a prescriptive therapeutic intervention. Speakers generally argued these bills would improve access, reduce out-of-pocket costs, and address gaps in current insurance reimbursement rules.
Testimony in support emphasized personal stories and clinical evidence. Cancer patients and providers described the benefits of patient navigation and scalp cooling for dignity and quality of life during treatment. Boston Children’s Hospital staff and families said port wine birthmark treatment is medically necessary, can prevent complications, and should not be denied as cosmetic. Rehabilitation counselors and school psychologists argued their services are effective, cost-saving, and underused because they cannot bill insurance. Autism advocates said current insurance statutes are outdated because nurse practitioners and psychiatric nurse mental health clinical specialists already provide evaluations and should be recognized for reimbursement to avoid delays in early intervention. Public health and GLAD Law testimony supported stronger infectious disease coverage to remove barriers to testing, treatment, and PrEP access.
The hearing also included extensive testimony on H. 1172, a bill requiring insurance coverage for detransition-related care. Supporters said it would ensure coverage for medically necessary care for people who regret or reverse gender transition, while opponents argued it would legitimize anti-trans narratives or, conversely, that detransition care is needed because transition procedures can cause harm. The committee also heard strong support for S. 791 from advocates who described nature access as a health intervention that could help with trauma, anxiety, substance use recovery, and environmental justice, with claims that insurance coverage and reduced park fees would improve access. No votes were taken during the transcript, and the chair repeatedly thanked speakers and moved through the long list of public testimony.
HI
Hawaii 2026 Regular Session
House Chamber - Wed Apr 22, 2026, 12:00PM HST - Day 49
Hawaii House Floor Meeting
Transcript Highlights:
- The public deserves proper procedures. We deserve it.
- The public deserves proper procedures.
- And so, because of all those procedural And so, because of all those procedural reasons,<00:30:57.360
- And number two, what are the procedures And number two, what are the procedures and<00:32:17.040
- So, that's why I agree it is appropriate procedurally for us to file it at this time. Thank you.
Bills:
HB389, HB469, HB1510, HB1573, HB1705, HB1858, HB1875, HB1946, HB1961, HB1962, HB2001, HB2093, HB2096, HB2097
Keywords:
HB389, uncrewed aircraft, drone, drones, UAS, unmanned aerial vehicle, misuse of uncrewed aircraft, criminal offense, felony enhancement, drone crime, public safety, police, deputy sheriff, fire department, intoxicated operation, registration number tampering, property damage, bodily injury, Honolulu Prosecuting Attorney Package, Hawaii Revised Statutes
AR
Arkansas 2026 1st Special Session
LEGISLATIVE JOINT AUDITING-COUNTIES AND MUNICIPALITIES Jun 4th, 2026
LEGISLATIVE JOINT AUDITING-COUNTIES AND MUNICIPALITIES
Transcript Highlights:
- Procedural question, if I could. Yes.
- So my question is, do you have a procedure to call an emergency meeting?
- So my question is, do you have a procedure to call an emergency meeting?
- A audit agreed-upon procedures report for the water and sewer system was...
- An annual audit and agreed-upon procedures report has not been completed.
Summary:
The committee approved the prior minutes and then received a series of audit and compliance updates. Staff reported on delinquent private water and sewer reports, delinquent 2013-2023 water reports, and several municipal accounting code noncompliance cases. Denning and Gum Springs were recommended to be removed from the 60-day clock after staff visits showed improved records, while Fargo, Lead Hill, Almy, Jericho, Haynes, Biggers, Gilmore, and Holly Grove were discussed for repeat findings involving missing audits, poor bookkeeping, unpaid or misapplied street funds, deficit balances, and other accounting deficiencies. Several of these entities were given additional time or had reports filed without objection, while others were deferred for later review.
Fargo’s mayor said the town had been understaffed and was working to improve its accounting systems; the committee voted to defer the matter to the August meeting. Lead Hill’s mayor described efforts to complete overdue water audits and improve office procedures, and the committee also postponed action for 60 days. Almy’s mayor and recorder-treasurer were present, and the committee placed the town on the 60-day clock for repeat accounting issues. Biggers and Gilmore both acknowledged long-running audit problems and said they were working with auditors and the IRS; their reports were filed. Holly Grove’s treasurer said she had only recently taken the position, and that report was filed as well.
The committee spent considerable time on the street-fund misuse cases for Jericho and Haynes. Jericho was found to have exceeded the statutory threshold tied to fines and costs, with staff noting the town had since become current on its repayment plan; the committee deferred the report to September. Haynes was also behind on its repayment plan for street funds, with staff saying the town had recently made up the shortfall and was current as of the meeting, but the committee still deferred the report to September. Members and staff also discussed how the speed-trap law is applied, whether certain fines and costs count toward the threshold, and the role of the prosecuting attorney in deciding whether to take further action.
The committee then reviewed a special report on the Pulaski County Regional Solid Waste Management District, which had six findings involving board approval of payroll and contracts, credit card documentation, vehicle and cell phone use, competitive bidding, electronic funds controls, and unusually high advertising spending. District Director Craig Douglas said the board had delegated some authority, that receipts were missing during a temporary staffing gap, and that advertising was needed to educate the public; he also defended the sale of trailers and other equipment as a way to exit the trailer business. Several members questioned the explanations and the low resale value of equipment, but the committee ultimately deferred the report to September. The meeting also included a recognition of accounting students interning with audit staff and a final set of actions on deferred water and sewer reports: 11 were filed, seven were deferred for lack of proper responses, and a private report on Shannon Hills Water, Sewer, and Fire Department was noted as involving misappropriation by an office manager and inadequate internal controls.
AR
Transcript Highlights:
- Endoscopy Procedure Room Renovation, this increases an existing MOF to modernize this procedure room
- to accommodate advanced procedures.
- I don't feel warm and fuzzy about your procedure.
- It's always a lack of procedure is what causes it.
- I don't feel warm and fuzzy about your procedure. I don't think you still have a good procedure.
Summary:
The committee met to review a supplemental agenda item, procurement rule revisions, methods of finance, discretionary grants, contracts, reports, and a member disclosure. The supplemental agenda was accepted, and the Office of State Procurement’s rule revisions were approved after Jessica Patterson explained they were driven by 2025 legislative changes, including Act 782, CASO Consulting recommendations, and updates to sole source, bid, protest, and debarment provisions. The methods of finance and discretionary grants were also approved, covering a range of university capital projects, health and human services grants, historic preservation awards, and tobacco prevention and cessation programs.
The committee then reviewed RFQs and six ratifications. The ratifications included a Workforce Connections payment to ACT WorkKeys for services provided during a contract gap, a Department of Health ratification for water-leak repairs, a large Department of Public Safety ratification for Motorola’s Arkansas Wireless Information Network upgrade, a Veterans Affairs HVAC ratification, an ADFA medical services ratification, and a UA Little Rock painting contract ratification. Members questioned the Public Safety ratification at length about why the expired Motorola contract was not caught sooner and why it took months after discovery to come forward; agency officials said the work was tied to bond funding and was not tracked in ASIS, and the chair urged agencies to develop better monitoring procedures.
The committee approved a large slate of construction, intergovernmental, out-of-state, and in-state contracts, including many recurring service agreements for DHS, higher education institutions, corrections, health agencies, and state support functions. Several members asked about specific contracts, including aerial application services for correctional farms and a Southern Arkansas University custodial contract, and staff or agency representatives provided brief explanations. The meeting concluded with review of reports and approval of a member disclosure involving Representative Andrew Collins’ investment interest in a company leasing property to Arkansas Rehabilitation Services.