Transcript Highlights:

• We do not operate on a one-time engagement model. We do not operate on a one-time engagement model.
• CVSOs operate.
• Using local resources, we work with the VA, County Medical Examiner, Public Health, Mental Health, and
• Percent of our operating budget.
• It costs about $1.7 million to keep open and operate, and they've been operating...

Summary: The joint informational hearing focused on the role of County Veterans Service Officers (CVSOs), CalVet’s support for them, and the growing problem of for-profit, unaccredited claims companies. Committee leaders and witnesses emphasized that CVSOs are often the first point of contact for veterans and their families, helping with disability claims, education benefits, survivor benefits, housing, health care, and other wraparound services. Testimony highlighted the return on investment from CVSO work, with witnesses citing hundreds of millions in new federal benefits secured for California veterans and arguing that current state funding is too low relative to the workload and need. County representatives from Nevada, Los Angeles, and San Luis Obispo described local models of service. Los Angeles County highlighted a “no wrong door” approach, peer navigators, suicide review work, justice-involved veteran services, and homelessness coordination, while San Luis Obispo described rural outreach, mental health partnerships, and high suicide rates in its county. Nevada County stressed that smaller counties can be disadvantaged by workload-based formulas and that additional funding would expand access, especially in rural areas. Several witnesses said veterans often need more than claims help and should be connected to mental health, employment, food, and family supports. Much of the discussion centered on predatory claims consultants, which witnesses said charge veterans for services that accredited CVSOs provide free. Members and witnesses described cases involving requests for VA and banking logins, misleading advertising, and contracts that can take a percentage of veterans’ benefits. Committee members expressed support for legislation to curb these practices and for increased funding for CVSOs, including the Legislature’s intent to fund 50% of county veterans’ services operations. A CalVet deputy secretary also testified that California’s accreditation and training system improves claim quality and appeal outcomes, and that CalVet works with CVSOs through training, district offices, and appeals representation.

Transcript Highlights:

• and non-operating expenses.
• </c><00:04:36.759><c> and</c><00:04:36.880><c> non-operating</c> total operating and non-operating total
• operating and non-operating expenses<00:04:38.400><c> so</c><00:04:38.680><c> but</c><00:04:38.880><
• I think right now the main partners are Queen's Health System, Pacific Health... Pacific Health.
• So the Public Health Nursing Division offices, the public health nurses are in offices all across the

Keywords: 912, senate, all

Summary: The joint Ways and Means and Health and Human Services committees heard Hawaii Health Systems Corporation’s biennium budget request, with testimony from HHSC leadership on the Hilo/Big Island region (HTH 212) and the Oahu region (HTH 215), plus discussion of capital improvement projects and systemwide partnerships. HHSC described its role as the rural healthcare safety net, serving a high share of Medicare, Medicaid/Quest, and uninsured patients, and said its costs are elevated by state employee fringe benefits, which it said are about 64% compared with roughly 30% in the private sector. HHSC also said pandemic-era federal aid, including relief funds and PPP loans totaling about $100 million, reduced the need for general fund support in prior years. For HTH 212, HHSC said its general fund request for fiscal years 2026 and 2027 was higher than the governor’s recommendation because of rising insurance, pharmaceutical, and contractor labor costs, and because it includes $13.2 million in FY 2026 and $2.3 million in FY 2027 for Epic electronic medical record implementation in East Hawaii. For HTH 215, HHSC said the requested general funds were aligned with the governor’s recommendation, in part because of increased Medicaid reimbursement rates for long-term care facilities under prior legislation. HHSC also said it was restoring a special fund ceiling so the region could spend its cash collections on operations. Members asked about the 64% fringe rate, and HHSC explained the difference was mainly due to defined-benefit pension and retiree health insurance costs, which private hospitals generally do not bear at the same level. Members also asked about the Daniel K. Akaka State Veterans Home, and HHSC said operations would be funded through the general fund corporation for the home when it opens, with management by Ohana Pacific, but no additional legislative operating funds were being requested at that time. Other questions focused on staffing and vacancies, including an abolished procurement position and an ongoing IT help desk recruitment need. HHSC highlighted several capital and partnership projects, including a $25 million state CIP request matched by $25 million from the Benioff family for the Benioff Health Center, an ER expansion and reconfiguration at Corner Community Hospital, and $7.5 million in each fiscal year for Kauai EMR capital funds to join the Epic platform. Testimony also described collaborations with Queen’s, the University of California San Francisco, Hawaii Pacific Health, the Hawaii Cancer Consortium, the Department of Health, and the state hospital to improve specialty access, clinical trials, behavioral health, and patient placement across the system.

Transcript Highlights:

• These facilities are being operated in inhumane conditions, and they're operated by these private detention
• Abortion care is health care. Gender-affirming care is health care.
• And health care decisions involve patients, their parents, and health care providers. That's it.
• Operate at a deficit.
• Between federal health care cuts and the state’s budget deficit, California’s health care system cannot

Keywords: 988, house, all

Transcript Highlights:

• by insurers and health care providers, to Health and Human Services.
• benefit plans, to Health and Human Services.
• benefit plans to Health and Human Services.
• plan issuers, to Health and Human Services.
• by certain health benefit plan issuers to Health and Human Services.

Summary: The Senate met briefly and referred a large number of first-reading bills and resolutions to standing committees. The measures covered a wide range of topics, including hemp regulation, dementia research funding, parental rights and public education, municipal library funding, tax and local government issues, criminal justice, health care, education, transportation, natural resources, and election law. Several constitutional resolutions were also referred, including proposals related to the Dementia Prevention and Research Institute of Texas and a severance tax revenue fund. Most of the transcript consists of the reading of bill captions and committee referrals, with no substantive debate or testimony recorded. The listed measures included proposals on school uniforms, charter schools, Medicaid fraud remedies, insurance practices, occupational licensing for people with criminal convictions, water and sewer utility cybersecurity, agricultural protections, public meeting broadcasting, and various local and state governance matters. No votes were taken on the bills in this segment. The only formal action reflected was referral of the bills and resolutions to the appropriate committees, followed by adjournment of the Senate until the next scheduled meeting.

Transcript Highlights:

• The Office of Rural Health is moving from the Office of Public Health into the Office of the Secretary
• Next is the Office of Public Health. Next is the Office of Public Health.
• coordination across areas such as behavioral health, public health, and Medicaid.
• We're working to improve health outcomes across the state, reduce premature deaths, address rising health
• need 24-hour services, 24-hour care for any behavioral health services, physical health services.

Committee: House Appropriations

Summary: The committee first heard a budget presentation on LSU Health Care Services Division and Lallie Kemp Medical Center. Staff reviewed HCSD’s roughly $74.7 million budget, much of it tied to legacy obligations for former LSU hospital systems and support for Lallie Kemp. Committee members asked about prisoner care, risk management costs, declining admissions and emergency visits, and the hospital’s 340B drug program. Lallie Kemp officials explained that prisoner care serves multiple state and local facilities, that lower admissions largely reflect more patients being placed in observation status, and that the in-house 340B program provides major savings to patients and the prison system. Members also asked about care for unhoused patients and the hospital’s discharge practices, and the hospital said social services works to find placement when possible. The committee then moved to the Louisiana Department of Health budget, which was presented as just under $23.5 billion, with Medicaid making up more than 90 percent of the total. The presentation covered the Office of the Secretary, Office of Public Health, Office of Behavioral Health, Office for Citizens with Developmental Disabilities, and Medicaid. Major items included the new Rural Health Transformation Program, the transfer of several functions from DCFS to LDH under the One Door initiative, changes to SNAP administration, and large Medicaid adjustments driven by enrollment, utilization, and federal policy changes. Testimony also highlighted the statewide crisis hub and 988, the commodity food program for seniors, women’s health and maternal outcomes, and the department’s efforts to modernize technology and reorganize services. Members questioned LDH officials on a wide range of budget and policy issues, including the rural health grant, crisis services, Medicaid redeterminations, provider taxes, physician and hospital supplemental payments, nursing home rates, HCBS funding, and the impact of the federal One Big Beautiful Bill Act. LDH said the rural health grant would support workforce, technology, and care-delivery improvements; that the crisis hub and mobile crisis units are being expanded to improve access and reduce emergency room use; and that the department is working to keep the SNAP error rate below 6 percent to avoid a projected state cost increase. Officials also said they expect to return next year with additional funding requests for HCBS and other programs, while emphasizing that current budget changes are largely meant to realign funding with actual expenditures and new federal requirements. No votes or formal actions were taken in the portion provided.

Transcript Highlights:

• Senate Bill 39 by Birdwell relating to civil liability of a commercial motor vehicle owner or operator
• programs in this state to Health and Human Services.
• Senate Bill 1952 by Paxton and Springer relating to the administration and operation of the School Health
• and Related Services Program to Health and Human Services.
• , and genetic testing to Health and Human Services.

Transcript Highlights:

• </c> Black Maternal Health Week in Vermont. Black Maternal Health Week in Vermont.
• Promotions Division of and Health Promotions Division of Reproductive<00:09:36.960><c> Health</c><00
• </c><00:09:58.400><c> Statistics</c> National Center for Health Statistics National Center for Health
• </c> maternal health maternal health introduce<00:10:38.720><c> and</c><00:10:38.840><c> enhance</c><
• </c> conversation on black maternal health conversation on black maternal health and<00:10:46.280><c>

Keywords: 926, house, all

Transcript Highlights:

• And then we have state-operated programs as well for mental health, substance use, and ID. state um totaling
• There is a $6.3 million increase for operational shortfalls at the state-operated 247 program locations
• </c><00:09:22.800><c> that</c> programs that the state operates that programs that the state operates
• But 988 can dispatch out a mobile crisis team that's operated by the community health centers when needed
• </c> the communal health centers when needed. the communal health centers when needed.

Committee: Joint Appropriations

Keywords: Appropriations - Room 210; 29 January, 2026: 8:00 AM, 925, all

Transcript Highlights:

• of sustaining core operations to $780 million.
• Expanding the UC Health Professional programs with an emphasis on the state's health professional programs
• Most federal funding supports three major areas of UC operations: health care delivery and training,
• centers that operate 20 hospital licenses.
• In addition to our extensive health care services, UC operates one of the largest health care professional

Keywords: 988, house, all

Transcript Highlights:

• Committee of public health.
• committee on public health.
• Health, HB 4639, by Leilani and Grayling, the Development and Implementation of Veterans Health.
• health authorities and the composition of the governing bodies of local mental health authorities. health
• the Committee on Public Health.

Bills: HB9 , HB22 , HB908 , HB1392

Keywords: property tax, ad valorem tax, tangible personal property, income-producing property, business personal property, tax exemption, local government finance, appraisal district, chief appraiser, rendition statement, property tax relief, small business, commercial property, leased property, related business entity, unified business enterprise, tax situs, Texas Tax Code, local taxing unit, constitutional amendment

Transcript Highlights:

• This bill extends the operations of the board until January 1, 2031.
• I'm Yvonne Chung with the California Association of Health Facilities.
• working in a non-health care facility...
• This bill extends the operations of the board until, The bill extends the operations of the board until
• The government is not here to promote independent musical operations.

Committee: Senate Business, Professions and Economic Development

Summary: The Senate Committee on Business, Professions and Economic Development met as a subcommittee due to the lack of a quorum, then later established quorum and took up a series of bills, mostly sunset extensions for licensing boards. SB 1302, SB 1303, SB 1304, SB 1363, and SB 1368 all dealt with extending board operations to January 1, 2031 and making related technical or policy changes. SB 1303 for the Board of Naturopathic Medicine added a fictitious name permit program and other administrative changes, while SB 1304 for the Respiratory Care Board drew significant testimony over whether licensed vocational nurses should be allowed to perform basic respiratory tasks in skilled nursing facilities and hospitals. SB 1363 updated barbering and cosmetology apprenticeship and licensing rules, and SB 1368 added a retired license category and strengthened continuing education oversight for speech-language pathology, audiology, and hearing aid dispensers. The committee also heard SB 865, which would create a California Music Festival Preservation Grant Program to support large independent multi-day music festivals. Supporters, including Visit Sacramento and festival promoters, said the bill would protect jobs, tourism, hotel nights, and local tax revenue; opponents raised concerns about using state funds during a deficit year and questioned whether profitable events should receive subsidies. The committee also heard SB 1297, which would create regional public-private partnerships and financing tools for wildfire mitigation projects; the author and supporters said it would help address the state’s large wildfire prevention funding gap by leveraging local and private investment, while members asked how the bonds would be repaid and whether the state would bear costs. SB 993, presented on behalf of Senator Ochoa-Bogue, would restore privacy protections for mental health professionals working in correctional and state hospital settings by limiting routine disclosure of identifying information while preserving a complaint process. Supporters described safety threats, stalking, and staffing concerns, and the bill passed unanimously. SB 1304 also passed after committee discussion, with members and the author noting ongoing negotiations over LVN scope and training in higher-acuity settings. SB 865 passed on a 9-1 vote, SB 1297 passed 10-0, and the sunset bills SB 1302, SB 1303, SB 1363, and SB 1368 all advanced unanimously to the Senate Appropriations Committee. SB 1333 was not heard, and SB 1445 was on the consent calendar.

Transcript Highlights:

• Our industry does work to provide health care, which is why our association created a health trust so
• to affordable health care.
• care services and health coverage.
• care services and health coverage.
• access to health care through Apple Health can continue to be the difference between health and well-being

Summary: The Ways and Means Committee met on January 20, 2026, hearing several bills related to retirement systems, school employee health coverage, port district pensions, environmental fee accounts, developmental disability services, legislative budget transparency, and a new Apple Health employer assessment. Early in the meeting, the committee heard SB 5834, which would make permanent a temporary expansion allowing certain retirement trust fund earnings to pay broader administrative expenses, and SB 5835, which would raise the lump-sum retirement allowance threshold for Plan 2 members from $50 to $250. Both bills were presented by Department of Retirement Systems staff and supported by the department, with questions focused on the scope of the administrative-expense language in SB 5834 and the technical nature of SB 5835. The committee then entered executive session and moved three bills without recommendation to the Rules Committee: Substitute SB 5249, allowing kit homes as emergency housing; Substitute SB 5053, allowing certain counties to include school district boundaries when forming a public facilities district; and Substitute SB 5203, directing state agencies to develop a wildlife habitat connectivity strategy and creating related accounts. After returning to public hearing, members heard SB 5883 on SEBB eligibility for school employees in their second school year of employment. Supporters, including labor representatives and individual school workers, said the bill would reduce coverage gaps and improve recruitment and retention, while school district officials and administrators argued it would create an unfunded mandate, increase costs, and add administrative burden. No action was taken on the bill. The committee also heard SB 5905, which would exclude certain port district employees from PERS if they are covered by the federal Railroad Retirement Plan or a collectively bargained defined benefit pension plan. Port representatives, labor stakeholders, and the Department of Retirement Systems described it as a narrow technical fix to avoid duplicate pension coverage and retroactive liabilities, and the bill drew support. SB 6151 would create dedicated accounts for Ecology fee revenue tied to laboratory accreditation and landfill methane work; Ecology and county representatives supported the measure as a way to reinvest fees in the programs that generate them. SB 6163 would require the Individual and Family Services waiver for developmental disability services to be budgeted at maintenance level; advocates said it would stabilize services and prevent waitlists, and no opposition was heard. The final two bills were SB 6177, which would require LEAP’s budget website to display additional budget detail such as carry-forward data, program and subprogram expenditures, and balance sheets for all public accounts, and SB 6173, which would create an Apple Health employer assessment on larger private employers with workers enrolled in Medicaid expansion coverage. SB 6177 was framed as a transparency measure, while SB 6173 drew extensive testimony both in support and opposition: supporters said it would help offset expected Medicaid losses after federal work requirements take effect and stabilize the health safety net, while opponents argued it would be an unfunded tax, create administrative and legal complications, and could discourage hiring or reduce hours. The committee heard no final votes on the public hearing bills, and staff reminded members that signature sheets would be held for 24 hours under Senate rules.

Transcript Highlights:

• From excess balances in the operating reserve, as I said earlier, if the operating reserve hits 8%, any
• You said the operating budget?
• No, to Behavioral Health. Sorry. Behavioral Health. Behavioral Health.
• Safety of the Health, if you will.
• Operations of the program.

Committee: House Investments & Pensions Oversight Committee

Transcript Highlights:

• now responsible for the operation of Haku Health Center, formerly known as the Acoma-Canoncito Laguna
• Access to health care became limited. limited, and the cost of operations escalated.
• the operations of the ACL health clinic.
• They assessed the operations of the existing Pueblo contracts with the Indian Health Service and evaluated
• other health care systems operated by other tribal governments. governments, and private organizations

Committee: House House Government, Elections & Indian Affairs

Transcript Highlights:

• the health care access fund.
• health access to health insurance and health<01:20:41.920><c> care</c><01:20:42.239><c> for</c><01:20
• </c> Society of Health System Pharmacists. Society of Health System Pharmacists.
• </c> local health public health partners. local health public health partners.
• programs, mental health mental health programs, mental health centers,<02:03:13.360><c> and</c><02:03

Committee: Senate Health and Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• Public Health.
• certain public health initiatives part of the Committee on Public Health.
• health benefit plan information for the Committee on Public Health.
• governing bodies of local mental health authorities are for the Committee of Public Health.
• for the Committee on Public Health.

Transcript Highlights:

• This bill extends the operations of the board until January 1, 2031.
• I'm Yvonne Chung with the California Association of Health Facilities.
• working in a non-health care facility...
• This bill extends the operations of the board until...
• This bill extends the operations of the board until January 1, 2031.

Summary: The Senate Committee on Business, Professions and Economic Development heard several sunset and policy bills affecting state boards and professional practice. SB 1302 would extend the Board of Registered Nursing for four years and make operational changes such as streamlining renewals, updating simulation and school-approval standards, and allowing certain out-of-state nurse practitioner experience to count toward California recognition; nursing groups supported it, while the California Medical Association raised a concern about the out-of-state NP provision. SB 1303 would extend the Board of Naturopathic Medicine to 2031 and add a fictitious name permit program, term staggering, and other technical changes; it drew support from the board and naturopathic doctors, but the California Naturopathic Association opposed it unless amended to clarify the board’s jurisdiction. SB 1304 would extend the Respiratory Care Board to 2031 and revise respiratory care rules, including LVN practice in certain settings; it was supported by some providers and respiratory therapists, but hospitals, skilled nursing facilities, and other groups opposed it unless amended to allow LVNs to perform basic respiratory tasks in more health care settings. SB 1363 would extend the Board of Barbering and Cosmetology and update apprenticeship, licensure, and tribal exemption provisions, and SB 1368 would extend the speech-language pathology, audiology, and hearing aid dispensers board while adding a retired license category and continuing-education oversight changes; both were supported and had no opposition. All of these bills were voted out of committee, generally on a 10-0 basis after the committee later established quorum and took recorded votes. The committee also heard SB 865, which would create a California Music Festival Preservation Grant Program within the Office of Small Business Advocate to support large independent multi-day music festivals. The author and supporters argued that festivals like Aftershock and GoldenSky generate substantial tourism, hotel nights, jobs, and tax revenue, and that state support would help keep events in California rather than other states. Opposition focused on the use of public funds during a deficit year and questioned whether profitable festivals should receive a grant subsidy. The bill passed on a 9-1 vote, with Senator Choi opposed. Members also heard SB 1297, which would create regional wildfire public-private partnerships and a financing structure using local commitments, a revolving fund, and state-backed revenue bonds coordinated with iBank to fund wildfire mitigation projects. Supporters said the bill would help address the state’s large wildfire mitigation funding gap by leveraging public and private capital for home hardening, vegetation management, and other prevention work; questions centered on where bond repayment funds would come from, and the author said the bill was still a work in progress and not intended to cost the state. The bill passed unanimously. Finally, SB 993, presented on behalf of Senator Ochoa-Bogue, would restore privacy protections for mental health professionals in correctional and state hospital settings by limiting routine disclosure of identifying information while preserving a complaint process; testimony described safety concerns and staffing impacts, and the bill passed unanimously.

Transcript Highlights:

• of Public Health Services.
• And finally, health care policy initiatives, which administer the state's health care innovation plan
• I move for FY 2027 for the Department of Health and Welfare, Division of Public Health Services, $19,100
• FY 2027 for the Department of Health and Welfare, Division of Public Health Services: $19,100 from the
• We have seven public health districts in the state, In each health district, we have seven public health

Summary: The committee began with a general fund update from Legislative Services, which reviewed the latest green sheet, explained where to find budget information and hearing schedules online, and noted that JFAC actions had updated the FY 2026 and FY 2027 ending balance estimates. Members asked about tracking workgroup progress and were told to consult analysts and workgroup members rather than circulate a public daily summary. The update also noted several bills moving between chambers, including House bills 503, 556, 684, 737, and 759, and Senate Bill 1226. The committee then considered and approved several agency budgets and supplemental requests. The Idaho State Tax Commission budget was reconsidered and approved with a revised FY 2027 motion that removed funding for the chief operating officer salary and set aside funding for property tax education, tax automation, fast tax collection services, seasonal employees, replacement items, and OITS hardware; accompanying language restricted the fast tax collection money to that purpose and required any unused amount to revert to the general fund. The Office of Information Technology Services received approval for FY 2026 supplemental funding for Chinden campus furnishings and the E-CORE grant, and FY 2027 enhancements for enterprise security, the E-CORE continuation, and the final IT modernization transfer of 58 positions from Health and Welfare, along with cash-transfer language tied to SWICAP costs. The Military Division’s request for indirect cost recovery funds passed, but a proposed add-on for the state education assistance program failed. The Industrial Commission and Public Utilities Commission budgets also passed with dedicated-fund increases for IRIS maintenance, training, disability fund costs, and replacement hardware. The Department of Fish and Game budget was approved with a large package of dedicated and federal fund enhancements for fishery habitat work, Good Neighbor Authority projects, hatchery and lab inflation, temporary employees, wolf depredation response, communications, and equipment replacement, along with reappropriation authority. The Department of Health and Welfare’s Division of Public Health Services drew the most debate: one motion would have funded home visiting, immunization assessment restoration, lab testing, ARPA grants, HIV and hepatitis prevention, and related items, while a substitute motion sought to keep some funding but move the home visiting program to Early Learning and Development and restore additional public health items. Both motions failed, leaving that budget unresolved in committee. The meeting ended with new language for the State Controller and State Treasurer requiring monthly cash reconciliations between Luma and TATERS, reporting to JFAC and LSO, and retention of supporting documentation for audit purposes. The committee adjourned after being reminded that budget setting would continue through the week and that Monday’s agenda would include education, administration, building fund, and lottery budgets.

Transcript Highlights:

• of individuals receiving group health and transfer program. On page 1539, health care authority.
• health.
• For behavioral health services in Medicaid behavioral health.
• And operations, we moved $5 million from there and then put $3 million into Medicaid behavioral health
• Health Care Affordability Fund.

Committee: House House Appropriations & Finance

Keywords: 996, all

Transcript Highlights:

• c> usually</c> health health insurance plans usually health health insurance plans usually provide<00
• Hoy Department of Health the Department of<00:26:42.760><c> Health</c><00:26:42.960><c> stands</c><00
• the department has serious safety concerns about sending health inspectors into criminal operations.
• Health.
• </c><01:27:54.239><c> will</c> Health Services via tah health will Health Services via tah health will

Committee: House Health

Keywords: 910, house, all

Summary: The committee first took up SB 1494 on hearing aids. Testimony was generally supportive of expanding hearing-aid coverage, with the Insurance Division raising concern about possible federal defrayment issues, SHPDA supporting the goal of hearing augmentation, DCAB strongly supporting the bill as an important access issue, and health plans and insurers asking for amendments. Kaiser Permanente and the Hawaii Association of Health Plans requested changes to add a medical-necessity standard and clarify annual notice language, while HMSA suggested the proposal should be studied by the auditor. The chair noted concerns about federal preemption and the lack of an audit, and deferred the bill in favor of a related resolution calling for a study. The committee then heard SB 1448, an emergency appropriation for the Hawaii State Hospital. DAGS and the Department of Health supported the measure, with the hospital administrator saying the funding would improve the environment of care, support cleaning, and allow a third-party review of the building. Committee members questioned the size of the request and the status of litigation against the design-builder. Administration witnesses said they were pursuing a comprehensive study involving destructive testing, had made a demand on the design-builder to fund the study, and were using different processes than before. They also said the roof work would be handled through a separate CIP request. No final action was taken in the portion provided. The committee next heard SB 1432, relating to the future responsibilities of the Department of Health and land issues at Kalaupapa after the last patient dies. DOH supported the bill in part but said its long-term role would be limited mainly to environmental cleanup, with operations expected to continue under the National Park Service and land-use decisions left to DHHL and beneficiary consultation. DHHL asked that the measure reflect that any land-use or zoning changes on homeland lands require commission approval and beneficiary consultation. Testifiers from Kalaupapa and Maui County, including Degra Vanderbilt-Papa and Council Member Keani Rollins-Fernandez, supported deferring the bill, saying there had been no meaningful community discussion about provisions affecting Kalaupapa’s future management and possible transfer of responsibilities to Maui County. The committee also read into the record written testimony from Gloria Marks emphasizing that Kalaupapa stakeholders must be included in future discussions. Finally, the committee heard SB 955 on fitness-to-proceed examinations. The Judiciary and the Public Defender’s Office both supported raising pay and standardizing expectations for private examiners, but opposed reducing felony fitness evaluations from three examiners to one and opposed expanding use of expedited reports. They argued that a single examiner would reduce reliability, create a more adversarial process, and likely increase costs and contested hearings, while expedited reports do not contain enough information for a proper fitness determination. The Department of Health also supported the bill’s intent but asked to preserve a three-examiner framework and said the goal was to reduce the number of people sent to the State Hospital, where admissions have reportedly risen about 20% year over year since Act 26. The bill remained under discussion in the excerpt, with no final vote shown.