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:

• So part of the proposal talks about pilot projects.
• I'm not sure that this is going to work, but you know that's why it's a pilot project.
• I'm not sure that this is going to work, but you know that's why it's a pilot project.
• >> So, we are contracting our bus services right now.
• Uh, this is a pilot project and it will go before Ways and Means members.

Bills: HB2185, HB2621, HB2179, HB2534, HB2168, HB2427, HB2560, HB2565, HB2172, HB2298, HB2304

Keywords: sports officials, referees, umpires, athletic directors, school administrators, league administrators, coaches, assault, first-degree assault, substantial bodily injury, temporary restraining order, TRO, private counsel, Department of Education, DOE, sports safety, school sports, amateur athletics, professional sports, public schools

Transcript Highlights:

• increase mental health services increase mental health services statewide. statewide. statewide.
• 21.359> service,<00:35:22.079> which the the service, which the the service, which >
• They have to have a lot of services.
• Department of Human Services on Zoom. Department of Human Services on Zoom.
• 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:

• Cher, welcome to Senate Health and Human Services again to the people in the room.
• So in order to make their services available to women in Oklahoma, particularly I believe in Oklahoma
• So, but for this one thing, they met the requirements of the RFP to provide services.
• So is this only for digital services?
• So, I'm a big proponent of ABA services. So, I just want to leave you with that.

Bills: SB1421, SB1427, SB1484, SB1503, SB1553, SB1557, SB1564, SB1566, SB1567, SB1591, SB1642, SB1794, SB1837, SB2044

Keywords: mental health, nonphysical intervention, training, youth care, conflict resolution, staff training, pediatric screenings, type 1 diabetes, health care providers, parental consent, reimbursement, state funding, public health, medicolegal investigation, medical examiner, coroner, sudden infant death syndrome, SIDS, sudden unexpected infant death, SUID

Transcript Highlights:

• public entities, such as municipal, county, tribal, or other public entities, consider essential services

Bills: SB206, SB904, SB933, SB1436, SB1500, SB1553, SB1557, SB1567, SB1644, SB1645, SB1651, SB1794, SB1833, SB1849, SB1984

Keywords: SB206, emergency medical services, EMS, ambulance, 911 response, emergency response, essential services, federal funding, grant funding, public health, health care facility, municipality, county, ambulance service district, tribal entity, public entity, contract ambulance service, Oklahoma, 63 O.S. 2021 Section 1-2502, emergency clause

Transcript Highlights:

• in each truck during the pilot project. in each truck during the pilot project.
• technology for our potential pilot technology for our potential pilot project.<00:07:52.160>
• service and were wondering what the new service would look like from a safety standpoint and whether
• Our service is also transit community. Our service is also completely<00:40:21.760> accessible.
• their own vehicle, will use our service their own vehicle, will use our service in<00:42:43.280>

Bills: HF3553, HF3513, HF3576

Keywords: vehicle platooning, transportation, public safety, pilot project, Wilkin County, Grant County, autonomous vehicles, transportation regulations, driverless cars, safety standards, first responder interaction, school bus, third-party testing, driver certification, transportation regulation, 1183, house

Transcript Highlights:

• So, instead different with this pilot?
• this bill, no matter how small the pilot this bill, no matter how small the pilot is,<00:26:34.800
• Health, Environmental Health Services Health, Environmental Health Services Division.
• , ensuring access to health care services, ensuring access to health care services, as<01:29:28.800
• <01:38:04.160> project keep this as a 3-year pilot project keep this as a 3-year pilot project

Bills: HB1626, HB1643, HB1668, HB1550, HB1974, HB1858, HB1871, HB1966, HB1972, HB1973

Keywords: youth penalties, juvenile justice, community service, fees and fines, Native Hawaiian, Pacific Islander, reform, court costs, cultural connection, pharmacy, pharmacist, pharmacy audit, audit reform, pharmacy benefit manager, PBM, recoupment, extrapolation, claims audit, pharmacy reimbursement, dispensing fee

Summary: The committee heard testimony on SB 847, which would create a Kauai pilot program allowing qualified psychologists limited authority to prescribe psychotropic medications. The Board of Psychology supported the bill’s intent but asked for amendments to delay the effective date or extend the pilot so rules could be written first, and to clarify the education/training language. Supporters, including the Hawaii Psychological Association, Hawaii Mental Health Coalition, and several psychologists, argued that prescribing psychologists have long safety records in other jurisdictions and that the pilot could improve access to care on Kauai, especially amid ongoing mental health needs and storm-related stress. They cited studies and examples from New Mexico, Louisiana, the Department of Defense, and other places. Opponents, including the Hawaii Medical Association, American Academy of Pediatrics, Queen’s Medical Center, and a Department of Health representative, said the bill needed substantial work, raised concerns about training, liability, and workforce impacts, and urged a team-based model with psychiatrist oversight rather than independent prescribing. Some testimony also referenced a GAO report, with witnesses disagreeing over its meaning and cost-effectiveness. No vote was taken during the discussion, and members asked questions about how the bill would address the workforce shortage and whether a psychiatrist on Kauai could already meet the need. The committee then moved to SB 2271 on hospital licensing and SB 2272 on home health care licensing. The Department of Health, the Healthcare Association of Hawaii, and the Hawaii State Council on Developmental Disabilities supported both measures, which were described as streamlining and clarifying licensing oversight by relying on accreditation or certification reports. A member asked whether the bill language on hospital accreditation reports was duplicative, and the response was that the second provision was intended to strengthen enforcement by requiring hospitals to provide the actual report to DOH. The committee did not take final action in the portion of the hearing provided, and the chair noted that all bills on the agenda would later be considered for decision-making.

Transcript Highlights:

• How many pilots do you have? We have 16. You have how many? 16 pilots, ma'am. 16 pilots.
• Three-to-one ships, but seven-to-one pilots? Do their pilots not? Not do as much as your pilots do?
• So, all the pilots, Houston pilots, Galveston, Texas City pilots, regardless of... No, no, hold on.
• I think you said it has 100 pilots? 82 full pilots, yes.
• You're always under the supervision of a pilot that's been piloting for 20 years.

Bills: HB2007, HB2863, HB2921, HB3331, HB3332, HJR144, HB3514, HB3528, HB3720, HB3751, HB3859, HB3947, HB4148, HB4346, HB4880, HB5603, HB4337

Keywords: commercial signs, county approval, transportation code, regulations, road signage, vehicle title, revocation, hearing process, Transportation Code, county assessor-collector, confidentiality, personal information, local government, airport data, public records, vehicle regulation, transportation, steel industry, state fees, safety standards

Transcript Highlights:

• We're going to be removing the repeal of the pilot program and extending the sunset from 2028 to 2030
• > program<00:03:04.640> and<00:03:04.879> extending<00:03:05.280> the the pilot
• program and extending the the pilot program and extending the sunset<00:03:06.000> from<00:03
• We also then, sorry, Joseph Compost, Deputy Director, Department of Human Services.
• Um we also department of human services.

Bills: SB99, SB585, SB2060, SB2069, SB2110, SB2115, SB2152, SB2211, SB2259, SB2315, SB2342, SB2382, SB2442, SB2446, SB2485, SB2544, SB2577, SB2580, SB2861, SB2919, SB3326

Keywords: SB99, Hawaii, Employees' Retirement System, ERS, retirant, retiree rehiring, reemployment after retirement, retirement benefits, benefit suspension, school resource officer, SRO, public school safety, Department of Law Enforcement, DLE, labor shortage, difficult-to-fill position, teacher shortage, charter school, mentor teacher, vacancy rate

Summary: The Committee on Ways and Means met for decision-making only and adopted recommendations on a long list of Senate bills, with no oral testimony taken. Early actions included SB 99 to pass unamended, SB 585 to pass with a date correction to 2015, SB 2060 to pass with amendments involving public project lists, legislative approval for fund transfers, and removal of certain appropriations, and SB 2069 to pass with amendments extending a sunset date and requiring transit-oriented development zoning. The committee also advanced several other measures, including SB 2110, SB 215, SB 2259, SB 2382, SB 2442, and SB 2485 unamended, while SB 2152, SB 2315, SB 2446, SB 2919, SB 2577, SB 2580, and SB 2861 were moved with various amendments, mostly date changes, appropriation blanks, or technical clarifications. A substantial portion of the meeting focused on SB 2211, where Department of Human Services officials explained how the department was covering costs by using restricted funds and shifting Med-QUEST funding, and noted a need for $14 million plus support for $16.5 million in ACA enhanced tax credit subsidies. The chair indicated the bill would move forward with amendments, including blanking the appropriation pending more information on lapses, and the recommendation was adopted. SB 2544 was also amended to remove a specific appropriation and replace it with a blank cap on funds from DUR, and SB 2342 was amended to require projects to be in transit-oriented development zones and to reflect prior committee concurrence. The most extended debate was on SB 3326, which would address utility restructuring. One senator opposed the bill, arguing it could raise rates, worsen reliability issues, and disrupt an existing utility without a clear plan, especially given island-specific conditions. Supporters argued the bill would separate generation from transmission and distribution, create competition, protect union jobs, and respond to aging infrastructure and financial weakness in the utility sector. After recesses and discussion of the Public Utilities Commission’s role, the chair changed the recommendation from pass unamended to pass with amendments requiring the PUC to conduct a study, provide an interim report before the next session, and a final report the following session. That amended recommendation was adopted, and the meeting then adjourned with no further business.

Transcript Highlights:

• public service agencies.
• support services. support services. uh<00:07:58.000> through<00:07:58.160> a<00:07
• service response. service response.
• <00:19:06.240> Um, service. It's it's a safety element. Um, service.
• those services. those services.

Bills: HF3738, HF2295, HF3520, HF3666

Keywords: pediatric care, hospital discharge, home care, healthcare accessibility, nursing services, family support, mental health, crisis services, Dakota County, mobile crisis response, public safety, treatment services, rehabilitation, behavioral health fund, client eligibility, home and community-based services, case management, waiver services, county services, disability advocacy

Transcript Highlights:

• uh option with emergency services. uh option with emergency services.
• far would $4 million go for this pilot far would $4 million go for this pilot project?
• Um, this is a pilot project.
• c> is<00:36:59.520> looks what a pilot pilot project does is looks what a pilot pilot project
• also provide good delivery of service. also provide good delivery of service.

Bills: HF3753, HF4299, HF4700, HF4282, HF4139, HF3530, HF4031

Keywords: school safety, threat assessment, pilot project, education, real-time monitoring, public safety, HF4299, school safety specialists, Minnesota School Safety Center, appropriation, general fund, fiscal year 2026, school security, school violence prevention, student safety, Department of Public Safety, school resource support, education funding, peace officer, training reimbursement

Transcript Highlights:

• Senate Bill 1353 creates a regulatory framework for towing vessel pilots in the Port of Brownsville.
• Currently, these pilots operate under the General Transportation Code.
• I'm Captain Chris Urbanoski, presiding officer of the Brazos Santiago Pilots.
• Unlike other local pilot branches with specific governing codes, we have operated under general statutes
• Uh, a friend and employee of mine is a disabled veteran and he's very proud of his service.

Bills: SB 35, SB 249, SB 546, SB 1353, SB 1493, SB 2246, SB 1902, SB 1029

Keywords: transportation, TxDOT, Texas Department of Transportation, road projects, highways, infrastructure, bridge construction, interchanges, corridor improvements, road widening, railroad grade separation, sound barrier, unified transportation program, legislative notice, project prioritization, capital projects, state highway system, Farm-to-Market Roads, San Antonio, Harris County

Transcript Highlights:

• Senate Bill 1353 creates a regulatory framework for towing vessel pilots in the...
• Currently, these pilots operate under the General Transportation Code.
• Chris Urbanoski, presiding officer of the Brazos Santiago Pilots.
• State Pilots Association, and I respectfully ask for your support of Senate Bill 1353.
• A friend, an employee of mine, is a disabled veteran and he's very proud of his service.

Bills: SB35, SB249, SB546, SB1353, SB1493, SB2246, SB1902, SB1029

Keywords: transportation, TxDOT, Texas Department of Transportation, road projects, highways, infrastructure, bridge construction, interchanges, corridor improvements, road widening, railroad grade separation, sound barrier, unified transportation program, legislative notice, project prioritization, capital projects, state highway system, Farm-to-Market Roads, San Antonio, Harris County

Bills: SB3123, HB1853, HB1961, HB1965, HB1962, HB1959, HB2505, HB2576, HB1801, HB1804, HB1864, HB2319, HB2314, HB2115, HB1854, HB2062, HB1511, HB1535, HB2614, HB2282, HB1870, HB1695, HB1626, HB1643, HB1972, HB1550, HB1974, HB1966, HB1973, HB2545, HB1946, HB1939, HB1721, HB1741, HB1700

Keywords: conditional gifts, private education, scholarships, donor conditions, Hawaii education law, 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

Transcript Highlights:

• President, throughout his service to the people of Hawaii, Bob has been a highly respected attorney,
• I thought it was a critical service to the community that really you have not been given enough credit
• I thought it was<00:09:59.640> a<00:09:59.680> critical<00:10:00.640> service<00
• :10:01.000> to<00:10:01.120> the<00:10:01.200> community was a critical service
• to the community was a critical service to the community that<00:10:02.600> really<00:10:03.360

Bills: SB3123, HB1853, HB1961, HB1965, HB1962, HB1959, HB2505, HB2576, HB1801, HB1804, HB1864, HB2319, HB2314, HB2115, HB1854, HB2062, HB1511, HB1535, HB2614, HB2282, HB1870, HB1695, HB1626, HB1643, HB1972, HB1550, HB1974, HB1966, HB1973, HB2545, HB1946, HB1939, HB1721, HB1741, HB1700

Keywords: conditional gifts, private education, scholarships, donor conditions, Hawaii education law, 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

Transcript Highlights:

• So they'll provide that type of service.
• There is one more small, I think, clarifying thing: housing services are currently one of the services
• There are dozens of Catholic service providers currently providing holistic case management services
• In addition to these supplies, the services also encompass: - **Educational Services** - Providing information
• the Department of State Health Services.

Bills: SB670, SB1388, SB627, SB912, SB269, SB528, HB2711, HB4819, HB5248, HB4175

Keywords: SB 670, investigational sun protection products, sun protection, sunscreen, FDA approval, clinical trial, phase one trial, patient access, informed consent, physician prescription, Texas Health and Safety Code, Texas Medical Board, compassionate use, experimental treatment, medical freedom, patient autonomy, healthcare regulation, dietitian, dietitians, licensed dietitian

Transcript Highlights:

• people who are getting services are getting services.
• traditional services.
• traditional services.
• services, um terminating their service services, um terminating their service agreements,<00:57:
• of services. of services.

Bills: HF3797, HF3780, HF4068, HF3935

Keywords: long-term care, insurance policy, healthcare, partnership policy, Minnesota, human services, wage increase, support workers, shared services, community first services, medical assistance, sanctions, healthcare services, monetary recovery, government accountability, assisted living, training, unlicensed personnel, resident rights, safety regulations

Transcript Highlights:

• This is for the EMT services. We have a motion and a second. Any questions?
• And then there's $750,000 for the Youth Services Reimbursement Fund for the Department... $150,000 for
• the Youth Services Reimbursement Fund for the Department of Youth Services for diversion programs for
• youth services.
• Senior Services, on that page 17, we've got a $100,000 increase, and that's reflected in the RSVP program

Bills: SB143, SB144, SB145, SB152, SB153, SB154, SB162, SB226, SB146, SB143, SB144, SB145, SB152, SB153, SB154, SB162, SB226, SB146

Keywords: SB143, solid waste, garbage collection, trash fees, refuse collection, municipal fees, county fees, fee exemption, veterans benefits, veteran household, disabled veteran, VA benefits, Social Security exemption, low-income households, poverty level, county commission, municipal governing body, Alabama solid waste law, certificate of exception, public health

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.
• which type of service you're getting. which type of service you're getting.

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

Bills: HB85, HB94, HB276, HB323, HB374, HB586, HB656, HB998, HB1204, SB42, SB46, SB51, SB87, SB110, SB154

Keywords: animal abuse, registry, law enforcement, felony offenses, public notification, firearms, due process, confiscation, law-abiding citizen, government funding, self-defense, bail, contradictory bail hearing, Gwen's Law, pretrial detention, criminal procedure, child sexual abuse, child rape, sexual battery, oral sexual battery