Transcript Highlights:

• I'm upset that this data discrepancy.
• </c> primary ways that we break out the data primary ways that we break out the data for<00:37:50.320
• data.
• And so that data is not coming.
• As CEO, I look back at data. Data tells a story.

Keywords: During the committee meeting live stream, portion of the video was lost due to network issues. There were also some technical difficulties with content and the incorrect background image being used. The lost footage was recovered from backup, and the other issues corrected in post production editing. 1. 00:00:41 Call to Order 2. 00:01:02 Roll Call 3. 00:02:54 Approval of Minutes 4. 00:05:06 Statutory Reports and Data Requests 5. 00:35:14 2025 and 2026 Session Update 6. 01:03:10 Board Structure Updates and Subcommittees 7. 01:05:20 Public Comment 8. 02:23:14 Adjournment, 958, all

Summary: The Medicaid Oversight Board meeting opened with quorum, approval of the March 9 and March 16, 2026 minutes, and a welcome to new member Representative Willner. The board then heard a presentation from the Department of Medicaid Services on several statutory reports: the quarterly budget analysis (LRC) report, the quarterly MCO report, the provider tax and assessment report, the enrollee demographic report, the annual behavioral health/substance use disorder utilization report, and the Medicaid pharmaceutical rebate fund. Commissioner Lisa Lee and CFO Steve Bechal explained the reports and answered questions. On spending, DMS said the quarterly budget analysis report should be read using the summary tabs because the first tab reflects only traditional Medicaid and does not include all populations. Lee said the first three quarters of fiscal year 2026 showed about $191 million more in waiver spending than the same period last year, about $250 million more in other categories such as nursing facilities, CCBHCs, and FQHCs, and roughly $450 million more in total fee-for-service spending. She also noted that Medicare Part D premiums are 100% state funds and estimated the state-fund increase at about $140 million. For managed care, DMS said pharmacy, inpatient hospital, and outpatient hospital spending made up about 66% of MCO payments so far this fiscal year. Members asked about administrative costs, provider tax impacts, citizenship-status categories, medical loss ratio, and whether the reports could be expanded to show recoupments and citizenship-based spending. DMS clarified that the spending figures discussed were benefit costs only, not administrative costs, and said administrative match rates vary. On the provider tax and directed payments report, Lee said the new CMS proposed rule would allow separate payment terms to continue through the grandfathering period, but that the impact would be substantial for providers even if the administrative effect was minimal. She also said DMS was still reviewing unusual citizenship categories such as “other” and “unspecified,” and would provide more information on medical loss ratio and recoupments if available. Auditor Ball raised concerns about alleged waste, duplicate Social Security numbers, ineligible enrollees, and high error rates in other programs. Lee responded that Medicaid focuses on fraud, waste, and abuse, but said the cited $800 million figure was not factual because it did not account for people enrolled in more than one Medicaid program at the same time. She said DMS is reviewing eligibility systems, including changes tied to community engagement requirements, and is working with the cabinet’s eligibility staff and ombudsman division on error rates. No additional votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• making subtle but critical changes to law enforcement, as we heard earlier, public safety, workplace regulation

Bills: HCR7 , HB76 , HB84 , HB132 , HB265 , HB275 , HB322 , HB635 , HB808 , HB883 , HB1054

Committee: House Administration of Criminal Justice

Keywords: juvenile justice, electronic monitoring, annual report, supervision outcomes, data transparency, inmate release, notification, law enforcement, victims, public safety, hit-and-run, crime of violence, felony, sentencing, battery, sound, intentional harm, physical pain, hearing impairment, video voyeurism

Keywords: HI Senate YouTube, https://www.youtube.com/watch?v=pGjGiTP_ajM, 2026-07-02T01:23:36+00:00, 2.2.24, Data collected via generic collector engine, 00:00 - Start 01:32 - HB 1800, HD1 47:54 - DM WAM 10:00 AM 48:42 - WAM 10:01 AM 48:48 - DM WAM 10:01 AM 49:19 - WAM 10:03 AM 49:23 - DM WAM 10:03 AM Hearing Notices: WAM 10:00 AM https://www.capitol.hawaii.gov/sessions/session2026/hearingnotices/HEARING_WAM_04-01-26_.PDF WAM 10:01 AM https://www.capitol.hawaii.gov/sessions/session2026/hearingnotices/HEARING_WAM_04-01-26-1_.PDF WAM 10:03 AM https://www.capitol.hawaii.gov/sessions/session2026/hearingnotices/HEARING_WAM_04-01-26-2_.PDF, 912, senate, all, 2.2.42, 2.1.47

Keywords: HI Senate YouTube, https://www.youtube.com/watch?v=A1P3PeddAKk, 2026-07-02T01:23:35+00:00, 2.2.24, Data collected via generic collector engine, 00:00 - Start 00:39 - SCR 83 / SR 73 04:11 - SCR 95 / SR 90 07:55 - DM EIG-AEN 3:00 PM 11:06 - AEN 3:06 PM 11:44 - SCR 71 / SR 66 12:42 - SCR 120 13:35 - SCR 129 / SR 121 19:54 - DM AEN 3:05 PM Hearing Notices: EIG-AEN 3:00 PM https://www.capitol.hawaii.gov/sessions/session2026/hearingnotices/HEARING_EIG-AEN_03-27-26_.PDF AEN 3:05 PM https://www.capitol.hawaii.gov/sessions/session2026/hearingnotices/HEARING_AEN_03-27-26_.PDF, 912, senate, all, 2.2.42, 2.1.47

Keywords: HI Senate YouTube, https://www.youtube.com/watch?v=WhM8D2KL2-8, 2026-07-02T01:23:35+00:00, 2.2.24, Data collected via generic collector engine, 00:00 - Start 01:04 - GM 759 04:00 - GM 672 08:16 - DM LBT 3:00 PM 11:00 - SCR 5 12:58 - SCR 85/75 14:02 - SCR 146/138 15:05 - SCR 76 29:38 - SCR 139/131 41:36 - DM LBT 3:01 PM Hearing Notices: LBT 3:00 PM https://www.capitol.hawaii.gov/sessions/session2026/hearingnotices/HEARING_LBT_03-27-26_.PDF LBT 3:01 PM https://www.capitol.hawaii.gov/sessions/session2026/hearingnotices/HEARING_LBT_03-27-26-1_.PDF, 912, senate, all, 2.2.42, 2.1.47

Keywords: HI House YouTube, https://www.youtube.com/watch?v=FjPN_zYtqjA, 2026-07-02T01:23:06+00:00, 2.2.24, Data collected via generic collector engine, House Agenda: https://www.capitol.hawaii.gov/Session2026/hearingnotices/HEARING_HLT-HSH_03-25-26_.PDF Timestamps: 4:24 - Introduction 5:02 - SB2408, SD1 8:04 - SB3302, SD1 9:32 - SB2934, SD1 12:16 - SB2175, SD2 25:12 - SB2418, SD1 31:43 - SB3203 32:53 - SB2095, SD1, HD1 37:19 - SB2340, SD2 44:30 - HCR16 48:32 - HCR23 49:55 - HCR22/HR22 52:33 - HCR6/HR5 53:41 - HCR35 56:07 - HCR105/HR97 1:07:15 - HCR146/HR138 1:20:09 - Decision Making, 910, house, all, 2.2.42, 2.1.47

Transcript Highlights:

• Registry data has shown that in Hawaii more and more people and younger people are getting colorectal
• cancer incidence and diagnosis, and this is also reflected in the national data, too.
• Registry data has shown that in Month.
• Registry data has shown that in Hawaii<01:00:15.280><c> that</c><01:00:15.840><c> uh</c> Hawaii that
• ,</c> also reflected in the national data, also reflected in the national data, too.<01:00:27.000><c>

Bills: HB1890 , HB1888 , HB1676

Committee: Senate Education

Keywords: teacher pay, teacher salaries, salary step increase, annual increment, longevity step, public school teachers, public charter school teachers, collective bargaining, Hawaii Department of Education, teacher retention, teacher recruitment, cost of living, educator compensation, public employee bargaining, appropriation, salary schedule, school staffing, teacher shortage, HB1888, Hawaii

Summary: The committees heard three measures, beginning with HB 1890 HD3, which would provide automatic step increases and a COVID-era retention bonus for teachers. Supporters included HSTA, the Democratic Party’s Education Caucus, and a student who said higher pay and predictable salary growth would help retain teachers in Hawaii. The Department of Education supported the intent but asked that the bill be expanded to cover all department employees. The Attorney General’s office said the draft needed clarification to avoid conflict with Chapter 89 and to make clear any funding was subject to legislative appropriation. The Office of the Public Defender and B&F testified in opposition, and committee members questioned whether the step increases were already in the current contract and whether the bill was needed. HSTA said the current contract includes automatic step increases subject to funding, but argued the bill was still needed because funding is not guaranteed and the measure would codify the policy. HSTA also said the COVID bonus would apply only to active teachers who worked during the pandemic and estimated the total cost at roughly $150 million to $200 million over four years. No vote was taken in the portion provided. The committee then took up HB 1888 HD3, which would require DOE and charter schools to report harassment incidents and strengthen penalties for harassment of educational workers from a petty misdemeanor to a misdemeanor. DOE supported the bill and suggested narrowing language about assisting workers with temporary restraining orders, saying that function would be better handled through the Attorney General’s pilot program. The Office of the Public Defender opposed the bill, arguing the harassment language was overly broad, vague, and potentially unconstitutional, and that existing assault and terroristic threatening statutes already protect educational workers. HSTA, the State Commission on the Status of Women, and several individual testifiers supported the measure, describing increased intimidation and harassment of teachers and other school staff, especially since COVID. The Special Education Advisory Council opposed the bill’s language on “disrupting and interfering” with school functions, saying it could chill parents of students with IEPs from advocating for their children. Testimony was split, with the chair noting 20 in support and 16 in opposition in the portion shown. A final witness, Michelle Pestana, testified in opposition based on her family’s experience with special education services, describing alleged seclusion and restraint of her daughter and expressing concern that DOE testimony in prior hearings had targeted special education parents. Her remarks were cut off as time expired. The transcript ends before any committee action or vote on HB 1888 was taken.

Keywords: HI Senate YouTube, https://www.youtube.com/watch?v=dO-jjweilWM, 2026-07-02T01:23:34+00:00, 2.2.24, Data collected via generic collector engine, 00:00 - Start 01:00 - HB 1980, HD1 24:36 - HB 1984, HD2 32:42 - DM GVO-EIG 3:00 PM 36:05 - HB 812, HD1 36:50 - HB 1414, HD1 45:57 - HB 2388, HD2 46:44 - HB 322, HD2 50:42 - HB 2469, HD1 51:28 - DM GVO 3:05 PM Hearing Notices: GVO-EIG 3:00 PM http://www.capitol.hawaii.gov/session2026/hearingnotices/HEARING_GVO-EIG_03-17-26_.PDF GVO 3:05 PM http://www.capitol.hawaii.gov/session2026/hearingnotices/HEARING_GVO_03-17-26_.PDF, 912, senate, all, 2.2.42, 2.1.47

Committee: Senate Education

Keywords: HI Senate YouTube, https://www.youtube.com/watch?v=FkfLIEgVHQ8, 2026-07-02T01:23:34+00:00, 2.2.24, Data collected via generic collector engine, 00:00 - Start 01:27 - HB 1605, HD1 27:12 - HB 2171, HD1 32:09 - HB 1873, HD2 01:01:18 - HB 1952, HD1 01:04:35 - HB 2005, HD2 01:13:08 - HB 2139, HD1 01:38:03 - HB 2158, HD1 01:50:43 - HB 2338, HD1 02:07:59 - HB 2339, HD1 02:09:42 - HB 2416, HD1 02:13:19 - DM EDU 1:00PM Hearing Notice: EDU 1:00 PM https://www.capitol.hawaii.gov/sessions/session2026/hearingnotices/HEARING_EDU_03-16-26_.PDF, 912, senate, all, 2.2.42, 2.1.47

Keywords: HI Senate YouTube, https://www.youtube.com/watch?v=UM4xJB6d3yk, 2026-07-02T01:23:33+00:00, 2.2.24, Data collected via generic collector engine, 00:00 - Start 01:18 - GM 533 08:14 - GM 569 09:32 - GM 551 15:01 - GM 711 17:33 - GM 557 21:22 - GM 529 27:57 - GM 538 31:52 - GM 702 37:33 - GM 548 43:29 - GM 549 47:27 - GM 560 47:58 - GM 563 49:08 - GM 706 49:34 - GM 546 51:13 - DM HHS 1:00 PM Hearing Notice: HHS 1:00 PM https://www.capitol.hawaii.gov/sessions/session2026/hearingnotices/HEARING_HHS_03-02-26_.PDF, 912, senate, all, 2.2.42, 2.1.47

Transcript Highlights:

• House Bill 4335 aims to establish a framework to regulate pet shops and municipalities and counties.
• It grants these entities the authority to regulate pet shops within their jurisdiction but prohibits
• There's nothing in this bill that would prevent a municipality from passing rules and regulations to
• But if we look over into 3418, we have our purchasing regulations that we put in here.

Bills: HB3985 , HB3883 , HB4335 , HB3416 , HB3417 , HB3418 , HB3619 , HB3624 , HB3463

Committee: House County and Municipal Government

Keywords: property rights, public nuisance, compensation claims, government enforcement, Oklahoma Safe Neighborhoods Act, public utility, municipal water, wastewater services, liability protection, third-party contractors, infrastructure maintenance, emergency response, regulatory compliance, animal welfare, pet shops, commercial breeders, county regulations, animal shelter licensing, county purchasing, procurement practices

Transcript Highlights:

• also appreciate additional funding in the highway safety account, including resources for improved data

Bills: SB6005

Committee: Senate Transportation

Keywords: transportation budget, transportation appropriations, capital budget, supplemental budget, Washington State Department of Transportation, WSDOT, Washington State Patrol, Department of Licensing, ferries, Puget Sound ferries, tolling, express toll lanes, highway safety, traffic safety, impaired driving, ignition interlock, speed cameras, transit funding, public transit, multimodal transportation

Transcript Highlights:

• , which has helped produce critical data-driven preventions.
• However, our state's anti-trafficking data remains fragmented.
• We're just pulling the data together. So, the Attorney General.
• The CIT portion, no, but the collection of the data, yes.
• regulation by the state.

Bills: HB1583 , HB1775 , HB1832 , HB1836 , HB1837 , HB1866 , HB1983 , HB2029 , HB2217 , HB2318 , HB2363 , HB2486

Committee: House Homeland Security, Public Safety & Veterans' Affairs

Keywords: mental health, emergency detention, peace officer, mental illness, prevention of harm, border security, private landowners, study and report, General Land Office, participation, controlled substances, opioid antagonists, law enforcement training, substance abuse prevention, Texas-Mexico border, criminal justice, public safety, law enforcement, National Park Service, arrest powers

Keywords: HI House YouTube, https://www.youtube.com/watch?v=peachLwlOZE, 2026-07-02T01:22:58+00:00, 2.2.24, Data collected via generic collector engine, House Agenda: https://www.capitol.hawaii.gov/Session2025/hearingnotices/HEARING_JHA_03-18-25_.PDF 1:13:01 - Introduction 1:14:27 - SB1257 SD1 HD1 1:37:21 - SB1249 SD1 HD1 2:04:47 - SB1657 SD2 HD1 2:11:10 - SB562 SD2 HD1 2:20:00 - SB252 SD2 HD1 2:27:57 - SB1221 SD2 HD1 2:33:44 - SB353 SD2 HD1 2:34:51 - SB224 SD1 2:39:40 - SB816 SD2 HD1 3:03:58 - SB307 SD2 HD1 3:09:20 - Decision Making, 910, house, all, 2.2.42, 2.1.47

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=r7rPobN_iVk, 2026-06-21T07:17:10+00:00, 2.2.24, Data collected via generic collector engine, Start of Concurrent Meeting 00:00:02 Roll Call 00:00:20 Discussion 2025 Community Development and Block Grant Program guidelines and updates 00:02:35 Voice Vote (S) 00:12:35 Voice Vote (H) 00:13:10 Adjournment of Concurrent Meeting 00:13:44 Start of House Local Government Meeting 00:19:59 Roll Call 00:20:07 HB 194 Discussion 00:23:52 HB 194 Vote 00:29:30 HB 490 Discussion 00:31:02 Adjournment 01:06:54, 958, all, 2.2.42, 2.1.47

Keywords: HI House YouTube, https://www.youtube.com/watch?v=qLxM5b9hjzU, 2026-07-02T01:22:57+00:00, 2.2.24, Data collected via generic collector engine, House Agenda: https://www.capitol.hawaii.gov/Session2025/hearingnotices/HEARING_EDN-ECD_02-13-25_.PDF 8:53 - Introduction 9:11 - HB 714, HD1 22:12 - Decision Making on HB 714, HD1 24:56 - HB 133, HD1 39:53 - HB 1234 1:15:32 - HB 1210 1:32:20 - HB 622 1:32:59 - HB 864, HD1 1:34:09 - HB 1065 1:35:18 - HB 1066 1:37:33 - HB 867, HD1 1:44:46 - HB 89, HD1 1:47:08 - HB 1437 1:56:03 - Decision Making, 910, house, all, 2.2.42, 2.1.47

Keywords: HI Senate YouTube, https://www.youtube.com/watch?v=F9ZyVj56704, 2026-07-02T01:23:23+00:00, 2.2.24, Data collected via generic collector engine, 00:00 - Start 00:25 - SB 781 02:53 - DM JDC-HWN 9:15 AM 05:02 - SB 1320 07:09 - SB 1514 08:03 - SB 544 12:57 - SB 691 22:10 - SB 1028 31:18 - SB 1310 35:00 - SB 1319 45:24 - SB 1545 53:55 - DM JDC 9:25 AM Hearing Notices: JDC-HWN 9:15 AM http://www.capitol.hawaii.gov/session2025/hearingnotices/HEARING_JDC-HWN_02-07-25_.PDF JDC 9:25 AM http://www.capitol.hawaii.gov/session2025/hearingnotices/HEARING_JDC_02-07-25_.PDF, 912, senate, all, 2.2.42, 2.1.47

Keywords: HI House YouTube, https://www.youtube.com/watch?v=__ydf959P9s, 2026-07-02T01:22:53+00:00, 2.2.24, Data collected via generic collector engine, House Agenda: https://www.capitol.hawaii.gov/Session2024/hearingnotices/HEARING_WAL_04-11-24_.PDF 10:37 - Introduction 11:10 - SCR3 SD1 11:42 - SCR6 SD1 12:18 - SCR46 SD1 12:47 - SC67 13:28 - SCR70 SD1 14:05 - SCR99 16:04 - SCR104 SD1 16:52 - SC122 SD1 17:21 - SCR123 SD1 36:06 - SCR131 SD1 44:54 - SCR181 SD1 45:31 - SCR182 SD1 46:00 - SCR186 46:34 - SCR203 SD1 47:28 - SCR215 SD1 48:10 - SCR219 SD1 48:58 - HR 77 Proposed HD1 52:02 - Decision Making, 910, house, all, 2.2.42, 2.1.47

Keywords: HI Senate YouTube, https://www.youtube.com/watch?v=bWqQIFNm6as, 2026-07-02T01:23:18+00:00, 2.2.24, Data collected via generic collector engine, 00:00 - start 00:11 - DM WAM 9:59 AM 03:17 - DM WAM DEFER 10:00 AM 24:11 - HB 679, HD1, SD1 26:21 - HB 2610, HD1, SD1 27:22 - DM WAM 10:01 AM Hearing Notices: WAM 9:59 AM http://www.capitol.hawaii.gov/session2024/hearingnotices/HEARING_WAM_03-27-24_.PDF WAM DEFER 10:00 AM http://www.capitol.hawaii.gov/session2024/hearingnotices/HEARING_WAM_03-27-24_DEFER_.PDF WAM 10:01 AM http://www.capitol.hawaii.gov/session2024/hearingnotices/HEARING_WAM_03-27-24-1_.PDF, 912, senate, all, 2.2.42, 2.1.47

Keywords: HI Senate YouTube, https://www.youtube.com/watch?v=uecKrO7B9Vg, 2026-07-02T01:23:18+00:00, 2.2.24, Data collected via generic collector engine, 00:00 - start 01:01 - SCR 73 / SR 61 02:23 - SCR 117 / SR 100 03:16 - SCR 119 / SR 102 04:30 - SCR 122 / SR 104 06:31 - SCR 176 / SR 152 10:33 - DM WTL 1:00 PM 15:19 - SCR 55 / SR 44 29:09 - DM WTL-HOU 1:30 PM Hearing Notices: WTL 1:00 PM http://www.capitol.hawaii.gov/session2024/hearingnotices/HEARING_WTL_03-25-24_.PDF WTL-HOU 1:30 PM http://www.capitol.hawaii.gov/session2024/hearingnotices/HEARING_WTL-HOU_03-25-24_.PDF, 912, senate, all, 2.2.42, 2.1.47