Transcript Highlights:

• or operate that services. or operate that services.
• providing the services. providing the services.
• . service. service.
• For them, service based services.
• Um cuz I was I was getting all my services, services, services, you<01:30:09.199> know,<01:30:

Bills: HF3174, HF3800

Keywords: background study, disqualification, set-aside, permanent disqualification, Office of Administrative Hearings, chief judge, human services licensing, substance use disorder treatment, SUD treatment, chemical dependency, recovery, rehabilitation, abstinence, foster care, child foster care, vulnerable adults, caregiver background check, license holder, direct contact, risk of harm

Bills: HB816, HB1535, HB1537, HB1541, HB1562, HB1574, HB1591, HB1853, HB1854, HB1871, HB1965, HB1966, HB1969, HB1973, HB1974, HB2315, HB2343, HB2501, HB2505, HB1577, HB2443, HB2498, HB2581, HB2622

Keywords: HB816, Hawaii, opioid overdose, opioid crisis, buprenorphine, naloxone, Narcan, paramedics, emergency medical services, EMS, first responders, substance use disorder, addiction treatment, withdrawal management, overdose reversal, pilot program, Department of Health, DOH, county population under 100,000, rural health

Transcript Highlights:

• . services. services.
• We have to cut services, leave positions vacant, or operate at a deficit just to keep our programs running
• We have to cut services, leave positions vacant, or operate at a deficit just to keep our programs running
• We have to cut services, leave positions vacant, or operate at a deficit just to keep our programs running
• Services. Services.

Bills: HB1518, HB1699, HB1747, HB1705, HB1565, HB1801, HB1645, HB2115, HB2114

Keywords: HB1518, Hawaii SNAP, Supplemental Nutrition Assistance Program, food stamps, Department of Human Services, DHS, pre-release SNAP, pre-release application process, incarcerated individuals, prisoner reentry, reentry services, formerly incarcerated, jail release, prison release, recidivism, food security, benefits eligibility, controlled substance felony, drug felony, drug conviction

Summary: The committee opened its first meeting of the 2020 session and heard testimony on several measures, beginning with HB 1518, which would allow people incarcerated and nearing release to apply for SNAP benefits before release. The Department of Corrections and Rehabilitation and the Department of Human Services said they support the bill and are already piloting a pre-release application process at two facilities, with plans to expand it. The Attorney General’s Office supported the intent but noted a technical issue: one section of the bill appears to affect TANF as well as SNAP, while the title refers only to SNAP. A wide range of advocates, including Catholic Charities, the Hawaii Public Health Institute, Hawaii Hunger Action Network, Drug Policy Forum of Hawaii, Hawaii Children’s Action Network, ACLU of Hawaii, and others, testified in strong support, emphasizing food insecurity after release, reentry stability, and reduced recidivism. The committee did not take a vote during the hearing. The committee then heard HB 1747, which would direct the Department of Human Services to seek federal waivers or extensions related to restricting certain SNAP purchases, including sugary drinks. DHS said it had already been approved for a narrow demonstration waiver and was working with retailers on implementation, with a target date of August 1. Supporters of the measure argued it would promote healthier choices, while opponents, including Hawaii Appleseed, the Hawaii Public Health Institute, Hawaii Children’s Action Network, and the Hawaii Food Industry Association, said such restrictions are ineffective, stigmatize low-income residents, create burdens for retailers and DHS, and may be difficult to implement. Members asked DHS to clarify the scope of the waiver and confirmed it applies to sugary drinks and beverages containing more than 10 grams of sugar. Finally, the committee took up HB 1705, which would allow licensed mental health counselors to serve as child custody evaluators, but there was no testimony from the relevant agencies and the item was quickly set aside. The committee also heard HB 1565, which would establish a judiciary working group to improve family court processes and legal representation for youth in the child welfare system. The Attorney General’s Office offered minor technical amendments, and supporters from the Office of Wellness and Resilience, High Hopes Hawaii, Hawaii Children’s Action Network, and a social work student described the need for legal representation, citing better reunification and stability outcomes and the importance of youth voice in court proceedings. No votes or final actions were taken in the portion of the meeting provided.

Transcript Highlights:

• and with our other emergency services and with our other emergency services partners.<00:32:33.919
• support from the Wyoming fire service support from the Wyoming fire service for<00:33:36.159>
• to such services.
• across the state. accessible to such services. you know, accessible to such services. you know, obviously
• service service by<00:47:04.480> increasing<00:47:05.040> their<00:47:05.280> income

Bills: HB0111, HB0112, HB0122

Keywords: capital construction, state funding, Wyoming, major maintenance, community colleges, task force, legislative services, budget appropriation, unexpended funds, sunset clause, healthcare, rural health, transformation program, funding, incentives, training, access, perpetuity fund, 916, all

Bills: HB0111, HB0112, HB0122

Keywords: capital construction, state funding, Wyoming, major maintenance, community colleges, task force, legislative services, budget appropriation, unexpended funds, sunset clause, healthcare, rural health, transformation program, funding, incentives, training, access, perpetuity fund, 916, all

Transcript Highlights:

• line four under D, no merchant service line four under D, no merchant service shall<00:50:58.720
• service service and<01:33:03.199> or<01:33:03.600> even<01:33:04.159> intellectual<
• And employees to provide the service.
• So, service that I'm going to provide."
• This is targeted mitigation program.

Bills: HB0111, HB0112, HB0122

Keywords: capital construction, state funding, Wyoming, major maintenance, community colleges, task force, legislative services, budget appropriation, unexpended funds, sunset clause, healthcare, rural health, transformation program, funding, incentives, training, access, perpetuity fund, 916, all

Transcript Highlights:

• Um so there are in CTE programs.
• So the proposed amendment, again for your consideration, would be after program insert 'make it programs
• 53:02.720> programs<00:53:03.520> and<00:53:03.839> say insert make it programs
• Chairman, we both with maternity care, critical access hospital services, EMS or ambulance services,
• <00:58:08.240> In guarantee that service provision. In guarantee that service provision.

Bills: HB0111, HB0112, HB0122

Keywords: capital construction, state funding, Wyoming, major maintenance, community colleges, task force, legislative services, budget appropriation, unexpended funds, sunset clause, healthcare, rural health, transformation program, funding, incentives, training, access, perpetuity fund, 916, all

Bills: HB 109, HB 136, HB 694, HB 1201, HB 1716, HB 2071, HB 2216, HB 2358, HB 2807, HB 2886, HCR 78

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, child welfare, notification, Department of Family and Protective Services, conservatorship, parental rights, legal representation, child placement, doula services, pilot program, medical assistance, mortality rates, child protection, healthcare procedures

Bills: HB 109, HB 136, HB 694, HB 1201, HB 1716, HB 2071, HB 2216, HB 2358, HB 2807, HB 2886, HCR 78

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, child welfare, notification, Department of Family and Protective Services, conservatorship, parental rights, legal representation, child placement, doula services, pilot program, medical assistance, mortality rates, child protection, healthcare procedures

Bills: HB 109, HB 136, HB 694, HB 1201, HB 1716, HB 2071, HB 2216, HB 2358, HB 2807, HB 2886, HCR 78

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, child welfare, notification, Department of Family and Protective Services, conservatorship, parental rights, legal representation, child placement, doula services, pilot program, medical assistance, mortality rates, child protection, healthcare procedures

Transcript Highlights:

• I strongly believe if my parents' workplace had access to these free dementia training programs, they
• I am okay with that language, and I'd also like to point out that the dementia training programs can
• The dementia training programs can be offered online and actually through the Alzheimer's Association
• as well, where I've actually taken a variety of the dementia training programs.
• So, it is offered virtually, and all the dementia training programs that I've taken are free.

Bills: SB2580, SB2578, SB2259, SB3084, SB2816, SB2928, SB2075, SB3322, SB2377, SB2436, SB2835, SB3248

Keywords: SB2580, Hawaii film tax credit, motion picture tax credit, digital media credit, film production incentive, income tax credit, general excise tax exemption, DBEDT, DOTAX, local hires, local workforce, film industry, movie production, television production, streaming platform, streaming series, loan-out companies, motion picture project employer, qualified production, qualified production costs

Summary: The committee opened by reviewing hearing procedures and then took up SB 2580, which concerns Hawaii’s film production tax credit and related incentives. Testimony was strongly supportive overall, with witnesses saying the measure would help attract productions, extend the sunset date, include streaming platforms, and strengthen the state’s competitiveness. Several supporters asked for cleanup language on grant administration, tax credit management, local-hire uplifts, and limits on third-party audit requirements for smaller productions. The state film office said the bill was generally strong but suggested clarifying language and noted that DBEDT and DOTAX already provide oversight of the current credit. No vote was taken in the transcript, but the bill drew broad support with a few comments and one opposition noted later in the hearing. The committee then heard SB 2578 SD1, a measure to create a film commission and related grant structure. Testifiers said the proposal would formalize industry input, improve accountability, and help the state compete globally, but they also raised concerns about how a new grant program would interact with the existing tax credit system. The film office said the grant program and tax credit should be separated operationally, that the advisory structure should include industry voices and possibly union representation, and that county film commissioner language may need technical adjustment. A testifier also suggested a Hawaii film museum and related tourism opportunities. The measure was described as having 42 supporters, one opposition, and five comments, with no final action shown. The committee next considered SB 2259, a dementia training measure. Supporters, including the bill’s drafter and the Alzheimer’s Association, described personal caregiving experiences and said free dementia training could help workers and families. Suggested amendments focused on clarifying the relationship between EOA and DBED and allowing retraining every two years because of workforce turnover. DBED said the bill is worthwhile but is not really an economic development initiative, and it should align with existing dementia programs and be easy for businesses to use, preferably online. The committee then moved to SB 3084 SD1, which HTDC said would expand its R&D matching program beyond SBIR to other federal research grants because of uncertainty at the federal level; the transcript ends as testimony begins, with no vote or final action recorded.

Transcript Highlights:

• in any service. in any service.
• . service. service.
• to deliver those services. to deliver those services.
• >> uh services in a setting. >> uh services in a setting.
• In human services, if you're around long enough, say a generation, all the programs go from a cost-based

Bills: HF4338

Keywords: human services, medical assistance, Medicaid, provider enrollment, provider revalidation, fraud prevention, program integrity, background study, background check, fingerprinting, licensing, license revocation, payment withholding, payment suspension, prepayment review, postpayment review, surety bond, compliance training, case management, targeted case management

Transcript Highlights:

• I'm also the program director of the SD program at Shamanad.
• I'm also the program director of the SD program at Shamanad.
• I'm also the program director of the SD program at Shamanad.
• 21.359> service,<00:35:22.079> which the the service, which the the service, which >
• We're not human services. >> Oh, wait. We're not human services.

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

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

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

Transcript Highlights:

• So TOPS Tech is restricted to specific programs, and so only those programs would be eligible.
• Some of the programs maybe you have to.
• If they decide the program is a larger program, they can come back to this body for funding to do that
• a local program to Orleans Parish.
• Now the bill got added two other service lines, ENT and one other service line.

Bills: HB198, HB325, HB488, HB719, HB749, HB755, HB797, HB823, HB1028, HB1194, HB1222

Keywords: Medicaid, reimbursement, ambulatory surgical centers, gastroenterology, ophthalmology, otolaryngology, healthcare funding, Louisiana Department of Health, surgical procedures, TOPS-Tech, scholarship, education, eligibility, college credit, dual enrollment, state funding, HB 488, Belle Chasse Bridge, Belle Chasse Bridge Merit-Based Special Fund, Plaquemines Parish

Transcript Highlights:

• Committee on Human Services will come to order. The clerk will call the roll. Chair hole.
• cuts program eligibility or benefits.
• which is a special program for when a hurricane hits.
• School Health and Related Services, better known as SHARRS, is a federally funded program that provides
• not permitted under the SARS program.

Bills: SB 596, SB 961, SB 1398, SB 1183, SB 1952

Keywords: DFPS, Department of Family and Protective Services, child protective services, foster care, child welfare, Family Code, conservatorship, managing conservator, parental child safety placement, authorization agreement, temporary authorization order, child abuse, child neglect, placement reporting, court-ordered removal, investigation, family preservation, transparency, public reporting, data reporting

Transcript Highlights:

• We provide a wide range of services including free counseling, parental skill building, fatherhood programs
• , family resource centers, navigation services, and we also do foster care adoption and residential services
• In addition to placement and case management services, TFI also provides family preservation services
• Our services for prevention and our reunification services have really made an impact.
• extended foster care services.

Bills: SB596, SB961, SB1398, SB1183, SB1952

Keywords: DFPS, Department of Family and Protective Services, child protective services, foster care, child welfare, Family Code, conservatorship, managing conservator, parental child safety placement, authorization agreement, temporary authorization order, child abuse, child neglect, placement reporting, court-ordered removal, investigation, family preservation, transparency, public reporting, data reporting

Transcript Highlights:

• The Committee on Human Services will come to order. The clerk will call the roll. Chair Hull. Here.
• cuts program eligibility or benefits.
• About natural disasters, there's a program called D-SNAP, Disaster SNAP, which is a special program for
• Members, School Health and Related Services, better known as SHARS, is a federally funded... program
• under the SHARS program.

Bills: SB596, SB961, SB1398, SB1183, SB1952

Keywords: DFPS, Department of Family and Protective Services, child protective services, foster care, child welfare, Family Code, conservatorship, managing conservator, parental child safety placement, authorization agreement, temporary authorization order, child abuse, child neglect, placement reporting, court-ordered removal, investigation, family preservation, transparency, public reporting, data reporting

Bills: HB256, HB272, HB350, HB363, HB386, HB434, HB445, HB690

Keywords: mandatory reporting, school employees, child protection, training requirements, Department of Children and Family Services, education, reading program, student eligibility, literacy, school performance, R.E.A.D. program, book distribution, École Pointe-au-Chien, French immersion, public school, Terrebonne Parish, grade levels, independent school, virtual school, extracurricular activities

Transcript Highlights:

• What do you think is the issue between students not using that program and students using that program
• In the event of economic downturn, would you prefer to pay for this program with loss of services or
• There's no reason to switch to a whole new program now where this would continue on that program.
• We have a program in place.
• We have a program in place.

Bills: HB1623

Keywords: HB 1623, North Dakota, rural health, rural health transformation program, medical facility infrastructure loan fund, medical facility infrastructure loan program, rural health loan program, Bank of North Dakota, Department of Health and Human Services, HHS, federal grant, health care infrastructure, rural hospitals, critical access hospitals, nonprofit health care providers, gap financing, loan fund, public health funding, healthcare financing, Medicaid

Summary: The committee first heard House Bill 1624, the “Universal Lunch Bill,” from Rep. Mike Nathie. He argued the proposal should be placed in Century Code rather than the Constitution so future legislatures can adjust it if state finances tighten, and said the bill would start the program a year earlier with a $65 million appropriation for one school year. DPI testified that the estimate did not include nonpublic schools that do not participate, and members questioned the impact on Title I, free-and-reduced applications, private-school accountability, breakfast mandates for schools that do not currently serve breakfast, and whether the funding could come from the DPI budget or other sources. Supporters, including North Dakota United, the North Dakota Catholic Conference, a pediatrician, and the American Heart Association, said universal meals improve student health and learning, reduce family costs, and are better handled in statute than by constitutional amendment. No opposition testimony was offered, and the chair closed the hearing for later work-session action. The committee then took up House Bill 1627, introduced by Rep. Tye Dressler, which would raise the income threshold for the state-funded school lunch program from 225% to 300% of poverty, with an estimated cost of about $7 million for 2026-27. Dressler said the bill is intended as a targeted, budget-friendly alternative to the ballot measure and emphasized that the state should maximize federal meal dollars while improving participation in the current program. Members questioned whether raising the threshold would actually increase utilization, whether a dollar amount would be clearer than a percentage, and how the change would affect federal reimbursements and application rates. DPI said it could quickly calculate additional percentage levels, and the chair closed the hearing, directing DPI to prepare more numbers for the work session. Finally, the committee opened Senate Bill 2403, presented by Sen. Schiable, to create a short-term bridge-loan program for financially distressed hospitals, centered on Jacobson Memorial Hospital in Elgin. The bill would authorize up to $5 million per loan, with a $10 million appropriation available on a first-come, first-served basis, and would run only through June 30, 2027. Schiable said the hospital’s debt and operating problems threaten local health care, ambulance service, and the community’s economy, and that the proposal was designed narrowly with Bank of North Dakota review to avoid creating a broad precedent. Committee members asked whether the appropriation could be reduced and whether the bank would still apply commercial feasibility and repayment standards; Schiable said yes, the bank would still evaluate the loan and could reject it if it was not sound.

Transcript Highlights:

• year of that program.
• year of that program.
• And to have programs then that takes me to Make North Dakota Healthy Again, to have actual programs in
• I serve on a board in Williston that provides residential addiction services, treatment services for
• Multiple service lines. We serve 65,000 square miles, right? Multiple service lines.

Bills: HB1623

Keywords: HB 1623, North Dakota, rural health, rural health transformation program, medical facility infrastructure loan fund, medical facility infrastructure loan program, rural health loan program, Bank of North Dakota, Department of Health and Human Services, HHS, federal grant, health care infrastructure, rural hospitals, critical access hospitals, nonprofit health care providers, gap financing, loan fund, public health funding, healthcare financing, Medicaid

Summary: The committee heard House Bill 1623, the appropriations bill tied to North Dakota’s Rural Health Transformation Program, which is funded through a new federal rural health care grant. Senator Bekkedahl explained the bill’s background, the interim committee process that developed it, and the federal conditions attached to the award, including spending deadlines, administrative cost limits, and restrictions on uses such as new construction, supplanting existing funding, and certain other costs. Legislative staff then walked through the seven sections of the bill, including appropriation authority, transfer authority, contingent appropriations for pass-through grants, procurement and public improvement exemptions, recipient reporting, legislative reporting, and immediate effective date. Commissioner Traynor and HHS staff described how the department plans to implement the program, emphasizing that the funding is intended to improve rural access, workforce recruitment and retention, technology and data connectivity, and community health initiatives. They said the department will rely on local applications, technical assistance, templates, listening sessions, and partnerships with providers, schools, public health units, tribal entities, and other community groups. Members asked about reimbursement timing, upfront costs, administrative expenses, sustainability after the five-year grant period, and whether CTE centers, public health units, gyms, grocery stores, and other community partners could participate; the department said yes, within program rules and with a focus on measurable outcomes and sustainability. Several supporters testified in favor. Mental Health America of North Dakota and the Mental Health Advocacy Network supported the bill and urged investment in community-based mental health, crisis response, children’s services, peer support, and mobile crisis teams. HIA Health described the grant as a chance to expand home-based and hospice care, noting that rural providers already have workable models but need funding to scale them. A cybersecurity representative also supported the bill, warning that the large amount of health data and AI-related tools will require strong data protection and professional support. The hearing was closed with no opposition testimony, and the committee announced it would return later in the day for further work on the bill and other measures.