Transcript Highlights:

• <00:42:26.920> to<00:42:27.040> this should have access to this should have access
• included stronger language alternatives included stronger language alternatives at<00:58:50.880>
• <01:15:58.520> notwithstanding going to add language notwithstanding going to add language
• establishing the accessibility establishing the accessibility requirements<01:17:05.440> in
• :01.200> many<01:18:01.719> existing this language would put many existing this language

Bills: SB2433, SB2047, SB2425, SB3045, SB2761, SB3001, SB2852, SB2471

Keywords: condominium governance, education trust fund, unit owners, real estate, dispute resolution, financial obligations, community representation, pharmacy benefit managers, maximum allowable cost, transparency, drug pricing, insurance commissioner, contracting pharmacies, healthcare, substance use disorder, SUD, addiction treatment, behavioral health, mental health, rehabilitation

Summary: The committee heard testimony on SB 2433 SD1 relating to condominiums, which would direct the condominium education trust fund toward educational resources for unit owners and require the Real Estate Commission to ensure owners’ interests are represented in funded activities and related rulemaking. Supporters, including the Hawaii Real Estate Commission and a condominium owner advocate, said owners need a seat at the table in condo governance and education efforts. Committee discussion focused on whether the bill was necessary, with the Real Estate Commission indicating it could already use the trust fund for owner education and that owners are already considered stakeholders, though not through a specific commission seat. No vote was taken during the excerpted discussion. The committee then took up SB 2047 SD2 HD1 on pharmacy benefit managers, which would set requirements for maximum allowable cost reimbursement, allow reverse-and-rebill claims after successful appeals, and authorize fines for violations. The Insurance Division offered comments, the Hawaii Pharmacists Association supported the measure with amendments and suggested future PBM reform funding, and Kaiser Permanente requested a technical amendment. A committee question raised whether the staffing and resource request for implementation was too large for a bill focused only on MAC pricing, and the witness said he would provide more data to the next committee. No final action was shown. Next was SB 2425 SD2 HD1 on health insurance and substance use disorder treatment, requiring insurers to honor written assignments of benefits to SUD providers and prohibiting anti-assignment clauses. Supporters described patients being unable to access treatment because of high out-of-pocket costs and said direct payment would reduce harm for people in recovery. HMSA opposed the bill but said it would begin direct payments to non-participating SUD facilities effective March 27, while continuing to object to the assignment-of-benefits portion because of fraud and balance-billing concerns; the Hawaii Association of Health Plans also opposed. Members questioned HMSA about reimbursement mechanics and why the bill was needed if coverage policies were already changing. Finally, the committee heard SB 3045 SD1 HD1, which would require coverage of continuous glucose monitors and related supplies, including for Medicaid managed care, under certain conditions. DHS and the Insurance Division offered comments, while SHPDA, Hilo Benioff Medical Center Foundation, and others supported the bill, citing inconsistent access and a case in which a woman allegedly died after being denied a CGM. HMSA said it already covers medically necessary CGMs and had updated its policy in 2025 for type 1 and insulin-dependent patients, but it raised concerns about expanding mandated coverage to type 2 and gestational diabetes and about supply impacts. The committee also discussed whether the bill duplicated existing coverage standards and why it had been introduced repeatedly. No votes or final dispositions were included in the excerpt.

Transcript Highlights:

• We have an amendment that ensures the language includes informed consent.
• and this amendment requires informed consent for access to the Maxis database.
• judicial foreclosures uh the language judicial foreclosures uh the language before<00:14:28.800>
• <00:26:17.520> indicated because the statutory language indicated because the statutory language
• clarifying language clarifying language um<01:09:57.080> and<01:09:57.760> I<01:09

Bills: HF1662, HF1224, HF1836, HF1367, HF1168, HF1999, HF1792, HF102, HF2127, HF104

Keywords: veterans, veterans affairs, State Soldiers Assistance Program, Veterans Stable Housing Initiative, MAXIS, human services data, data sharing, eligibility verification, informed consent, private data, benefits coordination, veteran housing, veteran assistance, Department of Human Services, Children Youth and Families, state benefits, federal benefits, privacy, public assistance, foreclosure

Transcript Highlights:

• This is a critical piece of legislation designed to enhance access to essential health care services
• Engelbaum, I appreciate the VA's support for the ACCESS Act. Thank you, Mr.
• The VFW seems especially strong in its support for the Access Act. Again, I'm pleased by that.
• Finally, in this regard, the VFW recommends that Access Act be a to prohibit barriers to accessing community
• We've heard from veterans who have tried to access, not just my wife, but others who have tried to access

Bills: SB124, SB201, SB275, SB410, SB478, SB607, SB610, SB611, SB654, SB702, SB787, SB831, SB892

Keywords: Department of Veterans Affairs, disciplinary procedures, accountability, personnel actions, whistleblower protection, cancer, military, aircrew, veterans, health study, toxins, morbidity, mortality, service members, mental health, community care, accessibility, treatment programs, substance abuse, appointments

Summary: During the meeting, various members engaged in extensive discussions surrounding 15 proposed bills related to veterans' affairs. Notably, concerns regarding recent VA workforce changes sparked debates, particularly about potential cuts and their implications for veterans' care and benefits. Chairman Moran emphasized the need for thoughtful reforms and coordination with stakeholders, urging responsible measures to prevent negatively impacting service delivery. The meeting highlighted a significant bipartisan effort to enhance veterans' access to essential health services, particularly in light of recent challenges faced by the VA workforce. Senator Blumenthal's assertions about the urgent plight of veterans due to cuts in personnel drew strong reactions, showcasing the deep concern among committee members regarding the current state of veteran services.

Transcript Highlights:

• This amendment just changes the fund language.
• our standard fund language, constitutional language that's required regarding the bond security redemption
• “The language did change to ‘may.’ So—” The language did change to “may.”
• language.
• The language that is in the bill with the House's standard language. All right. What is it?

Bills: SB25, SB132, SB155, SB157, SB202, SB237, SB250, SB433

Keywords: registrar of voters, parish registrar, chief deputy registrar, confidential assistant, election administration, elections, salary schedule, compensation, merit evaluation, population-based pay, census-based pay, Department of State, Secretary of State, State Board of Election Supervisors, redistricting, senate districts, Senate District 33, Senate District 34, Senate District 35, precincts

Transcript Highlights:

• House Bill 4430 is just some cleanup language from the PA bill that was passed last legislative session
• organization called the Ksec Scho343 fund and we, as veterans, thousands of veterans across America, have accessed

Bills: HB4423, HB3342, HB3645, HB3647, HB3887, HB4430, HB4431, HB2964, HB3834

Keywords: Oklahoma Health Care Authority, Medicaid, immigration verification, healthcare access, federal reporting, health care providers, auditing, patient rights, claims, protection from fraud, audit process, error correction, hospice care, physician determination, healthcare standards, symptom management, health information exchange, all-payer claims database, health care transparency, health care costs

Transcript Highlights:

• This will work against the intention of making voting more accessible.
• Actually, more accessible to those who need to use that option rather than imposing additional burdens
• It’s to allow people who cannot physically enter the polling place to access their legitimate right to
• So the language is confusing; you have two different deadlines on the same night.
• Approximately 30% were related to disability access issues.

Bills: HB2139, HB2253, HB3632, HB4171, HB4309, HB4508, SB760, SB1470

Keywords: voting access, polling place, disability, caretaker provisions, ballot delivery, election code, HB 2253, Texas Election Code, bond election, bond issuance, local government, election cancellation, disaster declaration, natural disaster, emergency election, county election officer, polling place notice, open meeting, election workers, voter safety

Transcript Highlights:

• to ask you a little bit more about how this bill will allow... file for more equitable political access

Bills: HB2139, HB2253, HB3632, HB4171, HB4309, HB4508, SB760, SB1470

Keywords: voting access, polling place, disability, caretaker provisions, ballot delivery, election code, HB 2253, Texas Election Code, bond election, bond issuance, local government, election cancellation, disaster declaration, natural disaster, emergency election, county election officer, polling place notice, open meeting, election workers, voter safety

Transcript Highlights:

• The Texas Public Information Act guarantees the public's access to government records.
• The accessibility this bill would support.
• And I appreciate the language that's in the bill. I just think it could be stronger.
• So there's no more 51% language, but it has changed a bit, so how do we get out of it?
• We want that information to be accessible.

Bills: HB 111, HB1545, HB2145, HB2467, HB2520, HB4136, HB4181, HB4214, HB4218, HB4219, HB4359, HB4437, HB4822, HB111

Keywords: Texas Public Information Act, open records, public records, government transparency, confidentiality, attorney-client privilege, governmental body, Chapter 552, public information law, nonprofit association, quasi-governmental entity, economic development, trade secrets, proprietary information, commercial financial information, Alamo restoration, local workforce board, TDCJ contract facility, civil commitment facility, water supply corporation

Transcript Highlights:

• Members, this bill relates to student access to certain academic records, authorizing a fee.
• There is a method for them to gain access, but it... It is around one test.
• Every student doesn't have the same access to resources, but when you do have access to those resources
• Have access to. Thank you so much. I close. Great. Thank you very much, ma'am.
• So learn about credentials and careers that you can access with those credentials.

Bills: HB42, HB 125, HB 1233, HB2853, HB3148, HB3326, HB3701, HB4066, HB4361, HB4762, HB4909, HB4912, HB42, HB125

Keywords: higher education, funding, financial allocation, state budget, Texas A&M University, University of Houston, education funding, medical education, osteopathic medicine, healthcare workforce, Tarleton State University, industry-recognized credentials, workforce development, career opportunities, feasibility study, student fees, university funding, student union, education, UT El Paso

Transcript Highlights:

• , modern student union facility that strengthens the student experience at a university known for access
• on behalf of the well-being of these communities, if we make decisions to make health care more accessible
• Access to health care, particularly access to a primary care physician, should not be aspirational.
• Tarleton is really a public access university that serves rural Texas.
• our conversations, I believe I remember you telling me that you guys were not going to attempt to access

Bills: HB42, HB 125, HB 1233, HB2853, HB3148, HB3326, HB3701, HB4066, HB4361, HB4762, HB4909, HB4912, HB42, HB125

Keywords: higher education, funding, financial allocation, state budget, Texas A&M University, University of Houston, education funding, medical education, osteopathic medicine, healthcare workforce, Tarleton State University, industry-recognized credentials, workforce development, career opportunities, feasibility study, student fees, university funding, student union, education, UT El Paso

Bills: HB25, HB38, HB997, HB 1119, HB25, HB38

Keywords: HB 25, Texas nutrition, nutrition education, healthy living, public health, school physical activity, recess, physical education, nutrition and wellness course, health curriculum, State Board of Education, Texas Nutrition Advisory Committee, ultra-processed foods, artificial colors, food additives, chronic disease, metabolic health, culinary medicine, functional medicine, dietary guidelines

Bills: HB25, HB38, HB997, HB 1119, HB25, HB38

Keywords: HB 25, Texas nutrition, nutrition education, healthy living, public health, school physical activity, recess, physical education, nutrition and wellness course, health curriculum, State Board of Education, Texas Nutrition Advisory Committee, ultra-processed foods, artificial colors, food additives, chronic disease, metabolic health, culinary medicine, functional medicine, dietary guidelines

Transcript Highlights:

• That's because some language related to them got inadvertently struck in the drafting of the bill, so
• At companies with fewer than 10 employees, 78% of staffers lack access to a retirement plan, according
• I told you, not even half of employers have access to a retirement plan.
• People do not have access. Crisis. People do not have access.

Bills: SB163, SB173, SB155, HB93, SB163, SB173, SB155, HB93

Keywords: State Auditor, property investigations, negligence, loss report, civil actions, Alabama Retirement Savings Program, state-facilitated retirement savings, auto-IRA, automatic enrollment, payroll deduction IRA, retirement savings access gap, private sector workers, small business retirement plan, portable retirement account, Roth IRA, traditional IRA, life-cycle fund, capital preservation fund, financial literacy, Department of Workforce

Transcript Highlights:

• , reduce access, reduce access, undermine<00:40:03.960> the<00:40:04.040> rights<00
• it will reduce rather than expand access it will reduce rather than expand access to<00:40:26.640
• > State accessible education material State accessible education material State Services<00:42:55.400
• ... ...provision of accessible education materials, accessible education materials, uh E A E E A M in
• > will<01:12:26.960> be means they their access will be means they their access will be

Bills: HF4456, HF4544, HF3698

Keywords: data broker, data brokerage, consumer privacy, personal data, data privacy, Minnesota attorney general, registration, public registry, civil penalties, enforcement, special revenue fund, privacy rights, data sales, data collection, consumer protection, chapter 325M, controller, processor, data broker registry, transparency

Transcript Highlights:

• The amendment passes to the author. to access these um meetings in you know to access these um meetings
• <00:15:46.240> being right 100% about the language being right 100% about the language being
• So it's not language in general.
• <00:38:36.640> watershed permissive language allowing watershed permissive language allowing
• So the language is then it can be done. So the language is on<01:43:28.960> 412413.

Bills: HF4319, HF3295, HF3589, HF3587, HF3588, HF4295, HF3571, HF3895

Keywords: public utilities commission, Lake City, port authority, Red Wing, terms of appointment, local government, elections, open meeting law, transparency, public engagement, social media, government accountability, voter access, polling place, ballot, unexpected needs, election judge, public information, political parties, HF4295

Transcript Highlights:

• Uh, I mean, it's said we're talking 3,000 acres of land that they have basically no access to.
• Uh, I mean, it's said we're talking 3,000 acres of land that they have basically no access to.
• Uh, I mean, it's said we're talking 3,000 acres of land that they have basically no access to.
• <00:10:50.240> It's<00:10:50.560> been have basically no access to.
• It's been have basically no access to.

Bills: SB337, HB520, HB75, SB337, HB520, HB75

Keywords: SB337, Montgomery County, probate judge, judge of probate, county officer compensation, salary increase, circuit judge parity, local legislation, county commission, general fund, public official pay, judicial compensation, Montgomery County Legislation, discrimination, immunization, facial coverings, healthcare rights, religious convictions, civil rights, Attorney General

Transcript Highlights:

• Uh, just a few questions on the new language.
• <00:52:10.120> to has the right under the new language to has the right under the new language
• And so there is um language in this bill. Thank you.
• This does not require DHS to use this language, although it is very similar.
• This does not require DHS to use this language, although it is very similar.

Bills: HF2354, HF3621, HF3429, HF3483

Keywords: medical assistance, fraud prevention, subpoena authority, criminal penalties, consumer protection, fraud, payment withholding, withheld payments, program integrity, public funds, state agency, program participant, credible allegation of fraud, administrative reconsideration, contested case, chapter 14, data practices, confidential data, protected nonpublic data, anti-fraud

Summary: The committee approved the minutes from March 5 by voice vote and welcomed new member Representative Van Binsbergen. It then took up House File 2354, which Chair Liebling moved to re-refer to the Public Safety Finance and Policy Committee. Representative Norris presented the bill as an updated version of the Medical Assistance Protection Act, aimed at strengthening the Attorney General’s Medicaid Fraud Control Unit, closing loopholes, equalizing fraud penalties, and increasing penalties for large-scale Medicaid fraud. Attorney General Ellison said the bill would add 18 specialized staff to the unit, moving it from 32 to 50 positions, and argued the federal-state matching structure makes the Attorney General’s office the proper home for the funding because the unit is dedicated to Medicaid fraud work. Nick Wonka, director of the Medicaid Fraud Control Unit, explained the bill’s provisions affecting committee jurisdiction: expanded subpoena authority to obtain financial account contents in provider-fraud investigations, conforming legal representation language to preserve the unit’s authority, venue changes to allow charging in counties where parts of the offense occurred, and a restitution change to let courts order restitution for related conduct in the same scheme. He said the subpoena change would speed investigations and align the Attorney General’s authority with other agencies, and that the restitution change would help recover more fraudulently obtained Medicaid funds. No public testimony was offered. Members questioned why the funding should go to the Attorney General’s office rather than the BCA, whether the new records authority was federally required, how the venue language would work across state lines, and whether the added FTEs indicated the fraud problem was larger than expected. Ellison and Wonka responded that the federal grant requires the work to stay within the Medicaid Fraud Control Unit, that the unit’s investigators are specialized and work with, but separate from, law enforcement, and that the venue provision applies only within Minnesota while out-of-state matters would be referred to the appropriate authorities. The amendment that had been posted was withdrawn and not offered.

Transcript Highlights:

• We think this is something that could improve access to care services, help families meet basic needs
• Uh if we were to to adopt language this.
• Um what kind of language would clarity.
• you might need um that kind of language you might need um that kind of language so<00:35:08.079>
• to localarmacies and prohibit access to localarmacies and small<00:44:08.000> places.

Bills: HB1877, HB2006, HB2167, HB2224, HB1626, HB1690, HB2012

Keywords: LGBTQ+ rights, commission membership, representation, youth involvement, Hawaii legislation, child well-being, financial support, expectant mothers, Hawaii Rx kids program, economic stability, youth homelessness, financial assistance, housing instability, emergency services, transitioning youth, Medicaid, pharmaceutical benefits, human services, healthcare access, public funds

Summary: The committee heard testimony on HB 1877, which would expand the membership of the Hawaii State LGBTQ+ Commission and add a youth seat. The commission’s vice chair supported the bill, saying the commission started with eight members, has growing interest, and would benefit from an odd-numbered board and youth representation. Members asked about quorum, and the commission said it has generally met monthly with only one quorum issue in the past 18–19 months and would work with legislative leaders to have appointments ready if the bill passes. Written testimony included support from Kokopac and one individual in opposition. The committee then took up HB 2006, which would create a cash assistance program for pregnant women and mothers of babies. The Department of Human Services explained current TANF rules, including eligibility requirements, child support cooperation, and work-program participation, and said the state has recently raised benefit levels to the maximum allowed, with a family of three or four receiving a little over $900 per month. Supporters from the Hawaii Public Health Institute, Hawaii Children’s Action Network Speaks, and others argued the bill could reduce child poverty and improve maternal and child health, citing evidence from Michigan’s Rx Kids program and the temporary federal child tax credit expansion. A mother and Oahu Youth Action Board member testified from personal experience about the need for direct support during pregnancy. The committee also noted support from several organizations and about 26 individuals. The committee next heard HB 2167, which would direct the Office of Youth Services to run a pilot program providing financial assistance to homeless youth. The Office of the Public Defender, youth advocates, and several organizations supported the measure, saying even small amounts of help can prevent homelessness and help youth transition safely to adulthood. The Office of Youth Services said it supports the intent of the bill but requested clarification, and committee members discussed whether the program should be run directly or through contracted community agencies, how to set performance metrics, and how to structure the RFP and contract process. The chair indicated the committee wanted to work with the vice chair and OYS offline to refine the bill before moving forward. The committee then began discussion of HB 2224, relating to Medicaid pharmacy benefit management, with testimony generally supporting giving DHS flexibility to negotiate with PBMs.

Transcript Highlights:

• /c> sector, the potential uh damage of sector, the potential uh damage of losing<00:05:02.320> access
• /c><00:05:02.880> those<00:05:03.120> federal<00:05:03.440> resources losing access
• to those federal resources losing access to those federal resources shouldn't<00:05:04.639> be
• Develop a market access strategy, align and harmonize state branding initiatives, and report certain
• Um, our priority is to ensure that those who have access to the most hazardous products, which is the

Bills: SB2350, SB2349, SB2407, SB3320

Keywords: agriculture, aquaculture, livestock, agribusiness, Department of Agriculture, regulatory functions, employee benefits, restorative practices, sustainability, environmental stewardship, local food systems, Native Hawaiian, workforce development, agricultural development, Hawaii Island, property manager, state employment, SB3320, Hawaii, Agribusiness Development Corporation

Summary: The committee heard testimony on SP 2350, which would transfer oversight of the Department of Agriculture’s Agricultural Development Division and the aquaculture and livestock support services branch to the Agribusiness Development Corporation. The Department of Agriculture and ADC both testified, with ADC opposing the bill as written while supporting the goal of strengthening agriculture. ADC said the transfer could create federal operational and coordination risks, jeopardize federal funding and program continuity, and was unnecessary because ADC is a business development entity, not a regulatory agency. The Hawaii Farmers Union also expressed concern that moving the programs could weaken the department’s ability to access federal resources, while the Hawaii Farm Bureau submitted written testimony and the Hawaii Aquaculture and Aquaponics Association and H-Plan were noted as supporting the measure; the Hawaii Cattlemen’s Council was noted as opposing it. Much of the discussion focused on aquaculture’s economic potential and the role of regulation, permitting, and funding. Committee members questioned why aquaculture had not grown faster, citing current gross revenues of about $66 million last year, a prior high of $82 million, and a possible long-term target of $500 million. Testimony identified permitting and feed costs as major barriers, along with market conditions and water quality issues affecting producers. ADC described ongoing efforts on feed development, permitting streamlining, coastal-state collaboration on seaweed and restorative aquaculture, and national advocacy for more parity in seafood import standards. Members also pressed the Department of Agriculture on its leadership and priorities, criticizing the lack of bills and resources dedicated to aquaculture and asking whether the department should have more authority to pursue land purchases and development opportunities. The department said it relies on divisions and industry feedback for bill ideas, noted it funds an annual aquaculture survey, and said it was pursuing congressional earmarks and other funding for aquaculture parks, research, and export/import issues. ADC said it would work with the department if the bill passed, but that its current statute does not give it regulatory authority and any such change would require a statutory amendment.

Transcript Highlights:

• appropriates funds out of the ADL loan revolving fund to increase its expenditure ceiling and thereby expand access
• Uh, so we do believe that land access continues to be a barrier, especially for beginning farmers and
• Um, so we would like to see some effort move forward to support land access, whether that's this measure
• Uh, so we do believe that land access continues to be a barrier, especially for beginning farmers and
• Um, so we would like to see some effort move forward to support land access, whether that's this measure

Bills: SB2309, SB2317, SB2318, SB2319, SB2321, SB2323, SB2332, SB2405, SB2485

Keywords: agricultural loans, financial support, Hawaii agriculture, food security, revolving fund, agriculture, insurance, small producers, state support, biosecurity, farm coverage, public-private partnerships, agricultural policy, agricultural statistics, data collection, Department of Agriculture and Biosecurity, economic analysis, market development, grant funding, climate resiliency

Summary: The committee heard testimony on several agriculture-related measures, beginning with SB 2309, which would require the agricultural loan division to sell portions of its loan portfolio and use the proceeds to expand the agriculture loan revolving fund. The Department of Agriculture and Biosecurity and the Hawaii Farm Bureau supported the bill, along with several other organizations and individuals. A committee question focused on the risk of not finding a qualified buyer for the loan portfolio; DAB said a mandatory sale of the full amount could force a less favorable rate, while flexibility to sell different amounts could produce a more equitable return. The measure drew eight supporters and no opposition. The committee then took up SB 2317, which directs DAB to study insurance coverage for small producers and report back to the Legislature. DAB and multiple farm groups supported the bill. In response to a question about cost, DAB estimated about $250,000 would be needed, with the study likely covering crop, health, and liability insurance. The next measure, SB 2318, would establish an agriculture statistics program in statute. DAB said it strongly supported the bill and could ramp up quickly if positions were provided; the committee discussed whether a first report could be completed by year’s end if the bill became law midyear, and DAB said yes. SB 2319, which would fund and make permanent a full-time grant writer position at DAB, also drew strong support from DAB, the Hawaii Farm Bureau, Ulupono Initiative, the Hawaii Cattlemen’s Council, the local food coalition, and others, with testifiers emphasizing the position’s return on investment and success in bringing in federal funds. The committee also heard SB 2321, establishing a two-year pilot program to respond to the twoline spittlebug. DAB, ranching groups, and many others supported the bill, citing the pest’s spread and the need to act before it becomes unmanageable. A DAB pest control manager said he would need to research past response details and provide them later. Members emphasized the importance of early intervention. For SB 2323, which creates a farmland transition commission to study barriers to farmland access and recommend solutions, DAB offered comments and support for the intent, while farm groups generally supported the concept but raised concerns about the proposed age range and whether a separate commission was necessary. DAB said the Board of Agriculture likely would not have the capacity to perform the commission’s duties and estimated there would be costs to establish it, though no figure was available at the hearing. Finally, the committee heard SB 2332, which reestablishes the agriculture and food security special fund, creates a carbon emissions tax and dividend fund, gradually raises carbon-related tax rates, and provides a refundable carbon cashback credit. DAB supported the measure and deferred to Taxation on details; the Department of Taxation said it would stand on its comments, and the Attorney General’s office offered comments and recommendations. Carbon Cashback Hawaii and the County of Hawaii Department of Research and Development supported the bill, arguing it would reduce emissions, protect lower-income households, and be relatively simple to administer.