Transcript Highlights:

• The language that they gave me would more fit into a statewide license program and be less confusing,
• I'm a licensed professional engineer in the discipline of fire protection engineering.
• The design of these systems that utilize the design require licensed engineers and licensed architects
• The design of these systems that utilize the design require licensed engineers and licensed architects
• As engineers and architects, if we fail to do our job, we lose our license.

Committee: House Local Government

Keywords: 959, house, all

Transcript Highlights:

• House bill authorizing municipalities to opt in to a temporary pilot to extend the hours of liquor licenses
• : An act authorizing municipalities to opt in to a temporary pilot to extend the hours of liquor licenses
• House bill authorizing municipalities to opt in to a temporary pilot to extend the hours of liquor licenses
• amended, an act authorizing municipalities to opt into a temporary pilot to extend the hours of liquor licenses
• , an act authorizing municipalities to opt in to a temporary pilot to extend the hours of liquor licenses

Keywords: 995, all

Summary: The Senate began with the Pledge of Allegiance and adopted a resolution congratulating Douglas Fire Chief John J. Perna on his retirement. It then took up several local and personnel matters, including sick leave bank bills for Shannon Manning of the trial court and Stephanie Rivera of the Worcester County Sheriff’s Office; both were amended to add emergency preambles and passed to be engrossed. The chamber also advanced local legislation on special meetings of the Holyoke City Council, the Reading home rule charter, a parkland exchange in Lexington, and a means-tested senior citizen property tax exemption for North Attleboro, along with a House bill concerning land conveyance in Fall River, which was ordered to a third reading. The Senate also received a committee report on a Newton pension obligation bonds bill, referred it to the municipalities and regional government committees, and adopted an order to meet again in formal session on Thursday at 11 a.m. A major policy item was a House bill creating a temporary summer 2026 pilot program allowing municipalities to opt in to extended liquor license hours and public consumption in designated districts. Senator Todd offered an amendment requiring an interagency report on the pilot’s effects on behavior, public safety, and transportation; the amendment was adopted, as was the bill as amended, and the Senate later concurred in a further House amendment. The bill then received the required emergency preamble by standing vote and was passed to be enacted, to be signed by the President and sent to the Governor. The Senate also paused for a personal privilege recognition honoring three Canton High School state championship teams: the boys golf team, boys hockey team, and girls track and field team. The remarks highlighted their state titles, individual achievements, coaches and school leaders, and included special recognition for boys hockey coach Brian Schumann on his retirement after 23 seasons. The teams were welcomed to the chamber and told citations would be issued and the recognition entered into the journal.

Transcript Highlights:

• learned through that process was that bad actors would come in and they would get behavioral health licenses
• Behavioral health licenses through DHS and access, and then they would buy white lands and go pick up
• Madam Chair, Representative, there is no licensing point to this as of right now.
• Does that affect the RN's license?
• So yes, we would love to potentially look at. licensing functions.

Committee: House House Health & Human Services Committee of Reference

Summary: The committee heard several bills related largely to Arizona’s behavioral health and Access system, plus a fertility coverage mandate, a state hospital admissions bill, and a naturopathic scope-of-practice bill. SB 1114 would appropriate $1 million to the Maricopa County Attorney’s Office for investigations into behavioral health patient brokering; the sponsor described ongoing fraud involving vulnerable Native American patients, while some members questioned why the Attorney General was not handling the work. The bill passed 10-1 with one present. SB 1116 would require claim denials and appeal determinations for American Indian Health Program behavioral health services to be reviewed by someone with at least two years of relevant clinical experience; Access said it was neutral but raised concerns about vague language and added staffing needs, and the bill passed 7-4 with one present. SB 1346 would require Access to notify providers of claim deficiencies within 72 hours and approve or deny corrected claims within 10 business days; supporters said it would reduce long delays and unpaid claims, while Access said it would need more staff and system changes. The bill passed 7-5. The committee also approved SB 1347, which requires insurance coverage for fertility preservation services for cancer patients of reproductive age whose treatment is likely to cause infertility, with a religious-employer exemption. Supporters, including cancer survivors and an advocacy representative, said the bill protects patients who must make rapid decisions before treatment begins; insurers were neutral. The bill passed unanimously 12-0. SB 1813 would require the Arizona State Hospital to admit patients based on clinical need rather than county of residence, effectively ending the Maricopa County cap tied to the Arnold v. Sarn settlement. Supporters argued the cap leaves seriously ill patients waiting in other facilities for long periods, while ADHS warned of possible litigation and rural access concerns; the bill passed 9-2 with one present. Finally, the committee began hearing SB 1178, which would allow naturopathic physicians to administer certain antibiotics, antivirals, and antifungals intravenously. The sponsor argued naturopaths should be able to practice to the full scope of their training amid physician shortages, while the Arizona Medical Association and osteopathic representatives opposed the bill, saying IV antimicrobials are high-risk therapies that require hospital-level training, monitoring, and stewardship. Testimony focused on patient safety, appropriate setting, and whether the bill should be narrowed or amended; no vote on SB 1178 was taken in the portion provided.

Transcript Highlights:

• We would look to have the bill have three skins tethered and increase the untethered licenses.
• And increase the untethered licenses.
• We all know that developers are simply seeking sports wagering licenses, using horse racing as their.
• .. ...developers are simply seeking sports wagering licenses, using horse racing as their entrance fee
• to get the right for those licenses.

Committee: Joint Joint Committee on Consumer Protection and Professional Licensure

Keywords: 995, all

Summary: The Joint Committee on Consumer Protection and Professional Licensure held a hearing on a range of gaming, racing, horse protection, problem gambling, and lottery bills. A major focus was H. 356 and related horse-racing legislation, which drew strong support from residents and animal-welfare advocates who argued that proposed racetrack and simulcast developments should require upfront traffic, environmental, public health, and economic studies, plus stronger local approval and transparency. They said past proposals in several communities had lacked adequate information and had imposed costs on towns. Opponents, including the New England Horsemen’s Benevolent and Protective Association, argued that the bills would harm racing, breeding, farms, and related jobs, and said horse racing is already heavily regulated and that claims about slaughter and safety were overstated. Several speakers also supported S. 280, which would protect horses and phase out or restrict horse racing, citing animal cruelty, injuries, and deaths. The committee also heard extensive testimony on SB 235 and HB 332 to authorize regulated online casino gaming (iGaming). DraftKings, FanDuel, IDEA, and the Sports Betting Alliance supported the bills, saying iGaming is already occurring illegally in Massachusetts and should be brought into a regulated, taxed market with age verification, responsible gaming tools, and consumer protections. They projected substantial annual tax revenue and argued legal iGaming would not cannibalize brick-and-mortar casinos, instead creating a “rising tide” effect. Opponents, including Local 26, the National Association Against iGaming, and problem-gambling advocates, warned of job losses, casino cannibalization, increased addiction, and greater harm to vulnerable players, citing experiences in other states and rising helpline calls. The committee asked for follow-up information on revenue and market-size estimates. Later, Rep. Scanlon testified in support of S. 240 and S. 241, which would standardize gambling disclaimers and require annual reporting on problem-gambling treatment funded through the Public Health Trust Fund. He said the bills would make it easier for people to find help and improve oversight of treatment programs. Rep. Garcia testified in support of H. 434, which would change the formula for distributing lottery revenues, arguing that gateway and lower-income communities such as Chelsea contribute heavily to lottery sales but receive too little back in local aid. After hearing additional testimony and reading into the record bills that received no testimony, the committee recessed briefly, then closed the hearing by motion and vote.

Transcript Highlights:

• to build a pool and you have to dig that pool out, so you're going to have to have an excavation license
• So there's very clear licensing differences.
• There's different licensing if you're going to build a residential pool versus a commercial public pool
• There's different licensing if you're going to build a residential pool versus a commercial public pool
• Distributors also act as a checkpoint to ensure that vendors are properly licensed.

Summary: The committee met with a quorum and heard seven measures, including four bills and three proposed committee substitutes. HB 6033, repealing the Labor Pool Act, was presented as a cleanup measure to remove duplicative regulation; supporters argued workers would still be covered by OSHA, wage laws, workers’ compensation, and liability insurance, while opponents raised concerns about losing specific protections for day laborers. The bill was reported favorably on a 4-? vote, with several members voting no over concerns about worker protections. HB 453, dealing with pool and spa contractors, was described as a technical update to Chapter 489 that would better align licensing scopes with current industry practice and allow contractors to perform related work without stopping for additional licensed trades. An amendment making only drafting changes was adopted, and the bill passed unanimously. CS/HB 277 on veteran benefits assistance was also reported favorably unanimously after testimony focused on protecting veterans from predatory claims-assistance practices while preserving choice and requiring disclosures, fee limits, and data-security safeguards. The committee then approved PCS for HB 291, which would require personal mobility device batteries sold in Florida to meet an IPX-7 certification standard, after the sponsor cited fire risks from lithium-ion batteries; the measure passed unanimously. PCS for HB 709, allowing valid pari-mutuel permit holders to lease facilities to nearby high-li permit holders, was amended to require a minimum of 59 live performances and then passed unanimously. CS/HB 4011, expanding who may serve as a building official on Palm Beach County’s Building Code Advisory Board, passed unanimously as a good-government fix to fill vacancies. Finally, PCS for HB 499, allowing small craft breweries under 31,000 gallons to self-distribute, drew extensive testimony from brewers and distributors about small-business growth versus the three-tier alcohol system; despite concerns about weakening distribution safeguards, the bill was reported favorably by a 13-2 vote. The meeting then adjourned with no further business.

Transcript Highlights:

• This is SB 1174, would basically it's simple. 5, the foster home license transfer process, ensuring foster
• This amendment clarifies that SB 1174, allows foster parents to transfer their license when moving within
• Prioritizing amended licenses, reducing delays for relocating families while maintaining proper oversight
• This bill updates the licensing requirements for small residential group homes by not requiring them
• One of the challenges that we have across the state related to license scene of childcare facilities

Keywords: 999, senate, all

Transcript Highlights:

• I'm mainly here to answer questions, but I can't. about the licensed versus unlicensed issue. Elio?
• the years as licensing standards change, but not all of them.
• And if we were to close any... beds right now that are currently licensed, then they could never be re-licensed
• They would never be able to meet the modern first-time licensing standard.
• That's wonderful news to get. more licensed beds on board, more licensed beds on board.

Keywords: 988, house, all

Transcript Highlights:

• . >> Um, the last portion is related to our licensing and registration department, which licenses the
• Um the last portion is related to<00:25:47.360><c> our</c><00:25:47.600><c> licensing</c><00:25:48.080
• ><c> and</c><00:25:48.320><c> registration</c> to our licensing and registration to our licensing and
• registration department<00:25:50.240><c> which</c><00:25:50.480><c> licenses</c><00:25:51.279><c> the
• </c><00:25:51.600><c> private</c> department which licenses the private department which licenses the

Committee: Senate Higher Education

Keywords: 1187, senate, all

Transcript Highlights:

• Driving without a license is the most common charge in the State of Hawaii.
• You don’t want to say driving without a license. Thank you.
• </c><00:19:04.760><c> it</c> charges of driving without a license it charges of driving without a license
• </c><00:19:30.600><c> uh</c> people to get their driver's license uh people to get their driver's license
• </c><00:19:40.000><c> thank</c> without a license thank without a license thank you<00:19:41.880><c>

Keywords: 912, senate, all

Summary: The committee heard testimony on SB 540, which would make the most recent state building codes supersede county codes beginning in 2028 and limit county changes without State Building Code Council approval. Grassroot Institute testified in support, while IBEW Local 1260 strongly opposed the bill as written, warning it could let counties weaken state minimum standards and create problems for fire code and sprinkler requirements. Members discussed the need for consistency in building codes and the impact of the State Building Code Council’s status, and the chair said the measure would be deferred indefinitely. The committee also heard SB 626 on disaster preparedness, which would prohibit planting large trees along evacuation routes and require HEMA to identify and remove obstructive trees. Testimony included comments from DLNR, HEMA, and others, with HEMA opposing the measure. The chair said more coordination was needed between DLNR and HEMA and deferred the bill. SB 692, regulating retail and wholesale spray paint sales and assigning jurisdiction to the Department of Law Enforcement, drew opposition from the Retail Merchants of Hawaiʻi, which said the bill would impose costly storage and reporting burdens on small retailers and raise identity-theft concerns. The committee deferred that measure as well. In a separate decision-making segment, the committee considered SB 9 on fireworks and recommended passage with amendments. The amendments narrowed or removed several sections, increased certain penalties from $500 to $1,000, adjusted forfeiture allocations, accepted an Attorney General amendment, added an appropriation for community safety education programs, and changed the effective date to July 1, 2077. The motion to pass with amendments was adopted by a vote of 2-1. Later, in a joint hearing, SB 1102 on the aircraft rescue firefighting unit drew support from DOT but opposition from the Hawaiʻi Firefighters Association, which asked that the bill be held. SB 41, establishing Hawaiʻi Disaster Drill Day on August 8, received support from HEMA and a public testifier. SB 1570, addressing Molokaʻi air service disruptions and a possible runway expansion, drew strong public support from Molokaʻi residents and service providers, while the Attorney General raised separation-of-powers concerns about the emergency declaration language and DOT noted the high cost and feasibility issues of runway expansion.

Transcript Highlights:

• It simply ensures fair participation for licensed providers. And I did also... She's ready.
• If health care providers is licensed in Missouri and working within their scope of practice, patients
• It simply ensures fair participation for licensed providers.
• And I did also It simply ensures fair participation for licensed providers.
• Our board members are member companies, insurance companies licensed to do business in the state.

Committee: House Insurance

Keywords: 959, house, all

Transcript Highlights:

• This is a letter from the Department of Labor and Licensing.
• This is to pay administrative costs for their interposed licensing platform and supported by license
• , consolidating IT tools and assessing executive branch applications in an effort to consolidate licenses
• consolidating IT tools, and assessing executive branch applications in an effort to consolidate licenses
• The first one, F1, is a letter from the Department of Labor and Licensing, Division of Labor, Wage and

Committee: All ALC-PEER

Summary: The committee met with a quorum, opened with a prayer recognizing the death of Reverend Jesse Jackson, and then worked through a series of appropriation and transfer requests. In Section B, it approved a $273,000 temporary appropriation for the Department of Labor and Licensing. In Section C, it approved two Infrastructure Investment and Jobs Act requests: $280 million for the Department of Transportation and $195 million for the State Broadband Office to support Arkansas BEAD broadband grants, including an extra help position. Members questioned the broadband awards, provider amendments, buildout timelines, accountability, and the status of unawarded locations; the broadband director said no provider had requested speed changes, awards would be monitored with milestone-based payments, and remaining locations would be addressed later as federal guidance is received. The committee also approved transfers in Section D, including $458,000 for the Department of Correction, $25 million for Department of Education programs such as declining enrollment and teacher incentive funding, and $229,000 for Shared Administrative Services project management support. In Section E, the committee considered a $4.7 million budget stabilization trust fund loan for the Office of State Technology to implement ServiceNow and related IT modernization, cybersecurity, and governance tools. Members pressed agency officials on repayment, cost savings, and whether the loan would simply roll over existing costs; officials said repayment would come through agency rates over a five-year period and that the new payment would be lower than the current loan being retired. The committee voted to give favorable advice to the Governor on the loan request. In Section F, the committee reviewed cash fund requests for wage and hour claims, unclaimed property, and a heritage grant; in Section G, it reviewed a $1.1 million federal grant to expand college and career coaching in rural districts; in Section H, it reviewed pay plan and performance fund requests totaling millions across multiple agencies; and in Section I, it reviewed budget manual formatting changes. The latter part of the meeting focused on reports, especially the Medicaid trust fund. DHS and DFA officials reported the fund balance had declined from prior years and was down to about $394 million after seven months, with further decline expected by year-end. Senators and representatives asked about the appropriate reserve level, the impact of pending Medicaid rules and legislation, FMAP changes, and whether additional funding would be needed in the upcoming budget. Officials said projections are updated regularly, more than 10 rule packages remain pending with CMS, and the governor and legislative leaders will discuss additional capital needs during budget development. Members also discussed the importance of balancing Medicaid spending with new federal funding and maintaining flexibility for critical areas such as labor and delivery. The committee then adjourned without further action on the reports.

Transcript Highlights:

• We have a 211 hotline that also serves as the 988 hotline with licensed clinical social workers or people
• the first part of my question about duplicative services, that you're not calling someone with a licensed
• fees, or other extraordinary collection actions, and the debt buyer will return the debt to the licensed
• just for their workforce, for their employees' children or grandchildren to go, that they can be licensed
• License-exempt providers: the teachers still have to be level two background screened.

Summary: The Health and Human Services Committee heard and passed several bills. HB 293 would codify the Office of Faith and Community in the Executive Office of the Governor, create a liaison and advisory council, and was supported by faith-based and nonprofit groups; some members questioned possible duplication with existing services and the source of any future funding, but the bill passed 24-0. CS/HB 547 would create an exception to the 30-day notice requirement before hospitals and ambulatory surgical centers sell medical debt when the debt buyer agrees not to use interest, fees, or extraordinary collection actions and must return charity-care-eligible debt; it passed unanimously after brief support testimony. CS/HB 1553 would require reporting of uterine fibroid data to the Department of Health to create a de-identified public database and reauthorize funding for implementation; it also passed 24-0, with members noting the earlier database mandate had not been carried out. The committee then took up CS/HB 1195, “Gage’s Law,” which would require hospitals and hospital-based emergency departments to test for fentanyl in urine drug screens for suspected overdose or poisoning cases. The bill was presented as a response to overdose deaths and the need to better detect fentanyl, and emotional testimony from a parent described a son’s death after a hospital did not test for fentanyl. Members from both parties spoke in strong support, emphasizing stigma, the need for better treatment and data, and the potential to save lives; the bill passed 24-0. CS/HB 47 on child care and early learning providers would streamline inspections, speed background screening, offer free online training/testing, update definitions, protect certain family child care homes from insurance issues, and create a license-exempt category for employer-provided child care; after questions about parent notice, database listing, background checks, and insurance, an amendment was adopted and the bill passed 24-0 as amended. Finally, CS/HB 647 would allow advanced practice registered nurses to sign death certificates in hospice settings, addressing delays that can leave families waiting to complete burial arrangements. Support testimony came from advocacy and hospice groups, and members cited the bill’s importance for families and religious burial timelines. The bill passed 23-0. The committee then adjourned.

Transcript Highlights:

• The commission provides enforcement of forensic analyst licensing.
• GRD 5173 is funded by revenues generated from forensic analyst licensing. testing fees, which occurs
• The Texas Forensic Science Commission, they're using a new license renewal fee collection model.
• attached to OCA, the Judicial Branch Certification Commission oversees certification. registration, and licensing
• of court reporters, guardians, process servers, and licensed court interpreters.

Committee: House Appropriations - S/C on Articles I, IV, & V

Keywords: 1184, house, all

Transcript Highlights:

• </c> Senate Bill 93 FN relative to licensed Senate Bill 93 FN relative to licensed nurse<00:23:48.880
• additional state licensing was duplicative and burdensome.
• additional state licensing was duplicative and burdensome.
• </c> Bill 548FN and act relative to license Bill 548FN and act relative to license requirements<02:08
• </c> facilities from certain licensing facilities from certain licensing requirements<02:08:33.040><c

Keywords: 1191, senate, all

Transcript Highlights:

• Number one, transfers the regulatory oversight of licensed midwives from the Department of Health Services
• Number two, adds one licensed midwife who is appointed by the governor as a member of the board.
• and regulation to be used only for licensing and regulating naturopathic physicians.
• Number four requires, beginning July 1, 2027, all monies deposited in the board fund for midwife licensing
• and regulation to be used only for licensing and regulating midwives.

Summary: The Senate opened with prayer and the Pledge of Allegiance, recorded attendance, welcomed former Senator Limpancrazi, and recognized page Owen Washburn and his family. The chamber then moved through messages and second-reading listings, and the Committee of the Whole considered several House bills. HB 2398, dealing with watercraft operation and peer-to-peer watercraft sharing insurance, received a floor amendment clarifying the types of insurers that may provide primary commercial boat liability coverage and was reported do pass as amended. HB 2477, relating to the Arizona Education Savings Plan, was amended to add investment guardrails, conflict-of-interest protections, an advisory team, limits on land investments, and statutory treatment of the local government investment pool, then reported do pass as amended. The Committee of the Whole also considered HB 2251 on midwifery, which was amended to transfer oversight of licensed midwives from the Department of Health Services to the Naturopathic Physicians Medical Board, add a licensed midwife to the board, separate midwife and naturopathic funds, apply investigative and disciplinary procedures, and make conforming changes; it was reported do pass as amended. HB 2991, concerning minors’ access to technology content and social media, drew extensive debate. A floor amendment revised age-signal and parental-consent procedures, changed default settings language, removed a private right of action, and made other technical changes. Senators Tise, Epstein, and others argued the bill still raised serious First Amendment and censorship concerns, while Senator Bullock defended it as a child-safety measure that did not require uploading ID. The bill was ultimately reported do pass as amended. In third reading, the Senate adopted the Committee of the Whole report, retained HB 2397 on the calendar, and voted on several bills. HB 2104, HB 2105, HB 2763, HB 2786, HB 2771, HB 2782, and HB 4117 passed; HB 2457, HB 2494, and HB 2696 failed. HB 2457 and HB 2494 drew opposition over local control and land-use concerns, while HB 2696, aimed at fuel and gas prices, drew criticism that the Commerce Authority was not the right vehicle and that the issue was driven by federal policy. HB 4117, relating to offenses against public order and religious services, passed after sharp debate over whether it would protect worship or chill protest and free speech, with opponents warning of vague language and potential political prosecutions. The Senate also voted to reconsider its prior action on HB 2311 and HB 2601, requested the House return HB 2995 for reconsideration, and adjourned until Thursday, June 11, at 10:00 a.m.

Transcript Highlights:

• or the transfer of 51% or more of the ownership, shares, membership, or controlling interest of a licensed
• Requires DCF to issue a regular license within the provider."
• "Requires DCF to issue a regular license within 30 days to an existing licensed service provider that
• entity or transfer of responsibilities under the license to another entity.
• So any ACCA-licensed facility, you go to Florida HealthFinder, you put in a town or a ZIP code, and it

Summary: The Committee on Children, Families, and Elder Affairs heard and advanced several bills and confirmations. SB 1016, on medical assistance eligibility for working persons with disabilities, was amended to remove automatic enrollment and to improve information sharing between AHCA and DCF; supporters said the bill codifies an existing program that helps developmentally disabled adults work without losing Medicaid coverage, and the committee reported the bill favorably. SB 1002, on temporary custody of minor children, was amended to focus on substance abuse as a pathway for court intervention when parental drug abuse creates ongoing risk to a child, and it was also reported favorably. SB 1594, on veteran benefit payments for minor clients in foster care, would ensure military benefits accessed for foster youth are preserved for post-secondary education or aftercare rather than used as reimbursement to agencies; it passed favorably without amendment. The committee also considered SB 1630 on aging and disability services, a broad modernization bill covering long-term care screening, emergency continuity of care, area agency oversight, Alzheimer’s services, home care, and guardianship reforms. Two amendments were adopted, including one on competitive procurement and another allowing area agencies on aging to directly provide core services during emergencies with department approval. Supporters emphasized caregiver navigation, dementia training, and service continuity, and the bill was reported favorably. SB 1030 on substance abuse services/recovery residences was taken up with a substitute amendment that narrowed transfer definitions, required faster licensure action for existing providers adding levels of care, and limited credentialing entities’ access to resident medical records; stakeholders said further work was needed, but the committee still reported the bill favorably. The committee also heard the nomination of Robert Astellos to lead the Agency for Persons with Disabilities. He outlined priorities including reducing the pre-enrollment list, improving transparency and family involvement, strengthening customer service, and streamlining agency processes. Several disability and provider organizations appeared in support, and the committee voted to recommend his confirmation. The committee then recommended confirmation of the appointees on tabs 7 through 10 by a single favorable vote, and adjourned at the end of the meeting.

Transcript Highlights:

• the end product does not allow the board to actually request a BCI background check for a compact license
• I believe that all of the licensing and background check requirements are done by the state in which
• the physician assistant is licensed.
• The physician assistant wouldn't be licensed here in North Dakota if the physician assistant is licensed
• We would be able to report those to the state in which they are licensed, and that state is to give,

Keywords: 908, all

Summary: The committee reviewed four bill drafts for the Rural Health Transformation effort. The first required the presidential physical fitness test in PE classes; members asked about DPI and school support, then moved and approved the draft. The second required physicians to complete one hour of continuing education on nutrition and metabolic health each renewal cycle and included legislative intent encouraging other health boards to consider nutrition-related CE; it was approved after brief discussion. The third bill adopted the Physician Assistant Licensure Compact. Members discussed a separate issue involving occupational therapy compact background checks and whether that fix could be added now or would need to wait until later; the committee also discussed Board of Medicine input and the compact’s workforce benefits. The draft was moved forward to the full committee. The fourth bill expanded pharmacists’ prescriptive authority and therapeutic substitution. Legislative Council explained the draft, and Senator Roars proposed substantial amendments to narrow motion sickness, UTI, diabetes supply, and substitution provisions. Members debated whether to vote on amendments now or wait for the special session public hearing; concerns were raised about transparency, stakeholder input, and avoiding premature action. No amendment vote was taken, and the bill was left for later consideration. The committee then recessed until the next day.

Transcript Highlights:

• There's also them going through the proper permitting process and licensing, if necessary, along with
• There's also them going through the proper permitting process and licensing, if necessary, along with
• an active license, including those that were displaced or have relocated to a new location.
• And, as we referenced, those that had reported to Community Care Licensing that they were impacted by
• The last proposal on the agenda is licensing during emergencies and disasters for SB 582.

Keywords: 988, house, all

Transcript Highlights:

• Regarding cultivator licenses, he said the bill would create an unknown number of cultivator licenses
• </c> to trade Association for the licensed to trade Association for the licensed medical<01:03:18.319
• , licenses that are not just the dispensaries.
• SB 1365, Interstate Medical Licensing. Hawaii Medical Board.
• </c><01:31:14.199><c> and</c> they already have a compact license and they already have a compact license

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.

Transcript Highlights:

• by the Department of Health or hold a valid multi-state license.
• A person can be licensed by DOH as a registered nurse, advanced registered nurse practitioner, or licensed
• In Washington, it is unlawful for an individual to use the title of nurse, registered nurse, licensed
• by the state or does not hold a valid multi-state license.
• I am a licensed naturopathic physician here in Washington. I am Dr. Angela Ross.

Bills: SB5904 , SB5915 , SB6025 , SB5933 , SB5990 , SB5981

Committee: Senate Health & Long-Term Care

Keywords: nursing titles, licensure, healthcare professionals, patient safety, professional standards, SB 5915, health technology assessment, HTA, clinical committee, medical technology review, coverage determination, state-purchased health care, Washington health care, RCW, evidence-based medicine, cost-effectiveness, safety and efficacy, Medicare coverage, national coverage determination, clinical guidelines