Transcript Highlights:

• To align with state population needs and county needs, um, we are continuing to try to build capacity
• What do we need to do?
• What is your need?
• Now we need to get to market.
• They need to know the rules.

Transcript Highlights:

• So I'm not saying that it's... but we need to, I think we as a legislature believe we need to be doing
• But we need to, I think we as a legislature believe we need to be doing better as it relates to women
• The second thing we need is data.
• Obviously, we need...
• Obviously, we need strong regulation around AI, and we need governments' help in determining what the

Summary: The joint informational hearing of the Assembly Health and Privacy Committees focused on generative AI in health care, with opening remarks emphasizing both its potential to improve care and its risks around privacy, bias, liability, workforce impacts, and unequal access. Chair Bauer-Kahan and Chair Bonta framed the discussion around how California can encourage beneficial innovation while protecting patients, especially given the sensitivity of health data and the possibility that AI could worsen existing disparities if not carefully governed. The first panel featured representatives from Cedars-Sinai, Kaiser Permanente, Penguin AI, and Google, who described current uses of AI such as ambient clinical scribes, nursing documentation tools, imaging triage, maternal-fetal risk prediction, and administrative automation. Speakers said these tools can reduce clinician burden, improve patient experience, speed treatment, and in some cases improve outcomes, including a reported mortality benefit from a Kaiser predictive model and faster thrombectomy times at Cedars-Sinai. Members raised concerns about accuracy with accents and multilingual visits, whether predictive tools could reinforce bias or lead to more interventions such as C-sections, and how to ensure a human remains in the loop for important decisions. The second panel, including representatives from the California Health Care Foundation, UC Berkeley, and Stanford, focused on policy and governance challenges. Testimony highlighted examples of AI supporting homelessness outreach and community health work, but also warned that biased algorithms can encode inequities, especially when trained on data that reflect under-treatment of Black, rural, or low-income patients. Witnesses urged clearer standards for trustworthy AI, stronger monitoring and governance structures, better data access for accountability, and attention to the safety net’s limited resources. Several speakers argued that states should require health systems to have AI governance processes, clarify liability between developers and deployers, and regulate downstream uses of AI while preserving access to data for lifesaving research and oversight.

Transcript Highlights:

• We say you need a larger facility via adequacy standards.
• Training on any of these functions is available.
• We need a ladder. We need keys to your facilities.
• But it is a platform that needs to be managed.
• Infrastructure for public schools needs to be there as well.

Transcript Highlights:

• Maybe in debate, somebody could say, why do we need to change it now?
• needs, then we must do something about that.
• And as far as folks that need... ...a variable wherever you're at.
• I mean, you talk about people that need this material.
• I think that we need a framework for them to work with.

Summary: The Senate opened with a prayer, the Pledge of Allegiance, doctor and gallery introductions, and several recognitions, including USF Day at the Capitol and visitors from Miami Gardens, Teach For America Florida, and Pathways to Prosperity. The chamber then moved to the special order calendar and considered a series of bills, with several measures temporarily postponed and others passed after debate and roll call votes. The Senate unanimously passed several Open Government Sunset Review bills, including SB 7010 and SB 7008, which preserve public records exemptions related to insolvent insurance company receiverships and financial technology sandbox applications. It also passed SB 1430 on post-judgment execution proceedings for terrorism victims, SB 910 on veterans benefits assistance, SB 796 on general permits for distributed wastewater treatment systems, SB 28 and SB 22 as claims bills involving South Broward Hospital District, SB 8 for relief related to a Pasco County School Board accident, SB 1718 preserving a public records exemption for minors seeking abortions without parental consent, and SB 994 on driver’s license education requirements. SB 832 on former phosphate mining lands also passed, but with two amendments and some opposition. A major portion of the meeting focused on SB 700, the Department of Agriculture and Consumer Services bill, which included technical updates, restrictions on certain additives in public water systems, limits on ESG practices in farm lending, drone-related penalties, truth-in-labeling provisions for meat, milk, poultry, and eggs, charity registration requirements, agricultural worker housing, and support for FFA and 4-H. The most contentious debate centered on fluoride provisions in the bill: multiple amendments by Senators Berman and Polsky to remove the fluoride language, require targeted fluoride assistance, or order an OPAGA study were all defeated, while a technical amendment by Senator Truenow was adopted. The bill remained on the calendar for third reading after extensive debate and questioning. At the end of the session, the Senate adopted motions to certify passed bills to the House, retain postponed bills on the special order calendar, and return CS for SB 7016 to second reading, then adjourned until April 16.

Transcript Highlights:

• Find every way to find a way to not create the housing we need.
• But we, of course, need to accelerate production at all levels.
• California needs a more effective agency.
• Any sort of policy changes that need to be made or funding that needs to be provided with the legislature's
• We need these dollars.

Keywords: 988, house, all

Transcript Highlights:

• In the what it's in that they need money. They need funding phase.
• So that's a new function. It's going to be a new port.
• You need a cup of coffee or something this morning.
• Text camera recordings need to be part of the available evidence.
• Let's give our law enforcement the tools they need.

Bills: HB 2065, HB 2462, HB 2621, HB 3187, HB 3539, HB 3563, HB 3726, HB 4164, HB 4207, HB 4368, HB 4706, HB 4916, HB 4950, HB 4967, HB 5177, HB 4429, HB 5597

Keywords: commercial vehicles, parking regulations, residential areas, local governance, land use, traffic safety, high occupancy vehicle lane, pregnant operators, transportation, parental rights, motor vehicle regulations, live video feed, state agency, transparency, public safety, regional transportation, mobility program, sales tax, public infrastructure, local government

Transcript Highlights:

• needs as they define them.
• needs as they define them.
• What kind of supports do you need? You know, what's your... be standard. You need.
• and your family's needs.
• need, right?

Summary: The Assembly Budget Subcommittee on Human Services held a hearing on developmental services, rehabilitation, and related supports, with no votes taken. The first major topic was the Master Plan for Developmental Services. Administration officials described a year-long, community-driven process that included a steering committee, work groups, and statewide engagement sessions, and said the final draft would be released that Friday with about 170 recommendations. The Department of Developmental Services said the plan would inform future work, but did not offer a detailed implementation roadmap. The LAO said the plan contains significant policy and budget implications, may require statutory changes, and needs further analysis to turn recommendations into actionable proposals. Advocates and regional center representatives urged the Legislature and administration to avoid letting the plan sit on a shelf, called for prioritization and ongoing stakeholder oversight, and emphasized the need to address equity, workforce, service coordination, and cross-system collaboration. The chair said he wanted to work with the LAO on trailer bill language and future reporting to create a clearer path forward. The second topic was the Office of Employment First and competitive integrated employment. Administration witnesses said California has ended subminimum wage under SB 639, but that moving people into competitive integrated employment remains a major priority. They described existing efforts such as DDS’s coordinated career pathways pilot, paid internships, job development services, benefits counseling, and DOR’s career counseling and referral services, along with pilot projects in San Diego and Orange County. The State Council on Developmental Disabilities and advocates argued that employment outcomes have remained stuck at roughly 15% and that a dedicated Employment First Office is needed to coordinate across agencies, align goals, and improve outcomes. The LAO recommended regular legislative oversight on people transitioning out of subminimum wage and asked for technical assistance on coordinated career pathways. The chair criticized the administration’s decision to effectively eliminate funding for the office, requested a detailed implementation timeline and quarterly transition reports, and said the committee would continue pressing for the office to be implemented. The final issue was respite services, utilization trends, and access. DDS reported that in-home respite use and spending have risen sharply over several years, with about 150,000 people using respite in 2023-24 and expenditures reaching about $1 billion. Officials said access depends on families knowing the service exists, service coordinators identifying need, and having enough providers, especially in rural and linguistically diverse communities. The San Diego Regional Center said utilization generally mirrors statewide trends, but access is stronger in some areas, such as Imperial County, where families often prefer family-directed or agency-supported models that allow them to hire trusted workers. Committee members emphasized the importance of respite for family health and caregiver well-being, asked whether service coordinators are asking practical questions about sleep and stress, and discussed the need for better identification of complex behavioral and medical needs. DDS said a standardized family support tool and updated IPP process are intended to improve consistency, transparency, and person-centered assessment for respite and related services.

Transcript Highlights:

• So looking at those components to see what would be needed if additional work is needed.
• These positions are needed to address the need for the development of a new program and the need for
• to meet those needs.
• That need is incredible.
• They do need more staff. They do need to deal with produced water.

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• If accommodation is needed, communicate with the sergeant's staff.
• They need transparency to ensure that the law is applied uniformly across the state.
• to cover our budgetary needs.
• We need to identify risk factors that may arise during these calls.
• We need to reevaluate.

Transcript Highlights:

• And services to meet their needs.
• But most people don't realize that they have what they need, but it is not enough of what they need.
• or operational needs resulting from an increase in workloads.
• Just 12 months ago, the only online function was renewals.
• to fix that calculation so it better fits the needs of what states need to actually administer the program

Keywords: 959, house, all

Transcript Highlights:

• Um, if you are on Zoom and you're having issues with the Zoom functions, the chat function is only for
• the Zoom functions, the chat function is the Zoom functions, the chat function is only<00:16:28.800><
• <00:18:49.919> an in your testimony, you know, needing an in your testimony, you know, needing
• Johnson concluded by saying he would make sure the flag continues to fly as needed, where needed, by
• <01:01:18.640> to that SFCA and OHA will both need to that SFCA and OHA will both need to

Bills: HB2436, HB2438, HB2532, HB2566

Keywords: arts integration, fine arts education, public schools, cultural education, student engagement, school coordinators, Hawaii education, Hawaii Cultural Trust, income tax credit, arts funding, cultural preservation, charitable contributions, HB2532, Hawaiian flag, Ka Hae Hawaiʻi, flag display, condominium, condo association, planned community association, cooperative housing corporation

Summary: The committee on Culture and the Arts heard several measures related to arts funding, administration, and access. Testimony was largely supportive across the agenda. For HB 2218 and HB 1815, the State Foundation on Culture and the Arts supported the bills, and members discussed transition timing and administrative support, including the need for an additional year in one measure and a temporary administrative position to help with the transfer. HB 1764, the music accessibility pilot program, drew broad support from the Retail Merchants of Hawaii, Hawaii Symphony Orchestra, Hawaii Public Library System, Hawaii Youth Symphony, and others, with testimony emphasizing library-based music programming, community access, and economic benefits. HB 2117, which would create an arts data mapping task force, also received extensive support, though witnesses suggested narrowing the initial scope, adding representatives from independent and charter schools and neighbor island arts programs, and ensuring adequate funding and a realistic timeline for the work. The committee also heard HB 2436 on arts integration in public schools, HB 2438 on the Hawaii Cultural Trust, and HB 2532 on the Hawaiian flag. HB 2436 and HB 2438 received support from SFCA, while the Cultural Trust bill prompted a lengthy explanation from the chair about how the proposed tax credit would work and amendments to clarify that donations to the trust and to qualifying cultural nonprofits must be made in tandem, with eligible organizations listed and updated annually by SFCA and OHA. HB 2532 drew testimony from Dr. Adam Jansen in support of protecting the Hawaiian flag as a historical and cultural symbol; he said the flag should continue to be used for solidarity, protest, inclusion, and identity. At the decision-making portion, the committee adopted the chair’s recommendations on the measures considered. HB 2118, HB 764, HB 1815, and HB 2117 were passed with amendments, including date deferrals and technical changes; HB 764 also had its appropriation blanked out. HB 2436 was passed with amendments, and HB 2438 was advanced with substantial clarifying amendments to the cultural trust structure. The chair indicated that HB 2117 would include an interim report due in 2027 focused on music and dance, with a final report due in 2029 on arts education more broadly.

Transcript Highlights:

• Second, we need stability over time.
• We need both voices.
• Like, we need to pause here.
• So I really think you need...
• It does not need to become a regulatory agency, but we ought to be paying attention. ...does not need

Summary: The joint hearing focused on coherence in California’s education planning and reporting systems, especially the Local Control and Accountability Plan (LCAP) and related grant plans. Committee chairs and members described widespread frustration with duplicative, lengthy, and sometimes conflicting reporting requirements, while emphasizing that the goal was not to reduce accountability but to make planning more useful, stable, and student-centered. State Superintendent Tony Thurmond also previewed the Governor’s education budget priorities, including expanded learning, community schools, universal transitional kindergarten, literacy supports, and concerns about the proposed Prop. 98 deferral. Panelists from the State Board of Education, Fresno County Superintendent of Schools, and the Legislative Analyst’s Office said the LCAP was intended to balance local flexibility with statewide transparency, but has become overloaded by repeated revisions and additional requirements. They argued for fewer core reporting elements, more stability over time, better alignment of planning cycles, and integrated systems that reduce duplication. Fresno County staff described a multi-year calendar and support tools that help districts manage timelines, but said these tools only ease the burden rather than solve the underlying problem. The LAO noted that some newer plans, such as expanded learning and transportation plans, are narrative-heavy and often less informative than separate reporting requirements. Local district leaders and county officials described the practical effects of the current system: staff time diverted from instruction, multiple portals and forms, audit risk aversion, and planning documents that can exceed 100 pages. Several superintendents said coherent systems work best when districts have clear priorities, stable governance, and aligned budgets, and when state requirements are predictable and tied to outcomes like literacy, attendance, and student achievement. The California Federation of Teachers added that coherence also depends on meaningful collaboration with educators, classified staff, parents, and communities. Committee members repeatedly asked whether the state should streamline reporting, create a uniform portal, or develop a more unified grant-reporting structure, and Thurmond said the department was piloting a simplified common form and was willing to work with the Legislature and districts on broader solutions.

Transcript Highlights:

• Then we could use an MOU to execute the network as needed. So this peer support program.
• I'm not sure that we need a resource witness. So is there anyone else wishing to testify?
• Patients need to be able to shop.
• You all need to make educated decisions; this is a bill that allows you to do that.
• And if needed, members, we have a resource witness.

Bills: HB35, HB138, HB754, HB1314, HB1612, HB2254, HB2510, HB2789, HB3560, HB3597, HB4224, HB4273, HB4643, HB4783, HB138

Keywords: peer support, first responders, mental health, confidentiality, emergency services, health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, human trafficking, trafficking prevention, medical assistant training, health care facilities, hospital compliance, clinic compliance, anti-retaliation, whistleblower protection, employee reporting

Transcript Highlights:

• <00:47:19.920> to those data that we absolutely need to those data that we absolutely need
• agencies and um to do that we need agencies and um to do that we need to<00:54:59.640> have
• So you said, why do we need this again?
• state any real need.
• <01:17:05.679> survey components a community needs survey components a community needs survey

Bills: HF1867, HF1240

Keywords: lottery, retailer contracts, Minnesota Statutes, contract qualifications, public integrity, criminal background, legislative auditor, public funds, state government, compliance, transparency, 1183, house

Transcript Highlights:

• We can't put a thousand we need.
• But we can functionally it doesn't work.
• I don't know that we need 1,000-acre farms. Right.
• The reason that we need to do this say.
• a need and they like our product. a need and they like our product.

Keywords: Reuploaded to restore full meeting, 958, all

Summary: The Senate Standing Committee on Agriculture met with a quorum and adopted a committee substitute for Senate Bill 28, which would create a framework for the $5 million in agricultural economic development funding included in the 2024 budget. Commissioner of Agriculture Jonathan Shell testified that the bill is intended to support agriculture-focused economic development, especially processing and further processing projects, by giving the Department of Agriculture tools to identify opportunities, convene partners, and offer incentives. He emphasized the role of the new economic development division in the department and said the effort is meant to complement, not replace, the work of the state Economic Development Cabinet. Shell and several senators described the bill as a rural development tool aimed at helping smaller communities attract projects that fit their scale. He cited examples such as poultry processing, grain and elevator operations, milling, and specialty crop ventures, arguing that local processing can create jobs, strengthen markets for farmers, and keep more value in Kentucky. Senators discussed the need for return-on-investment metrics and clawback provisions for unsuccessful projects, and Shell said the framework includes those concepts. He also said the department is working on opportunities in sustainable aviation fuel, biofuels, and other markets that could bring more acres into production. Members also raised questions about small-farm innovation, raw milk, and direct-to-consumer opportunities. Shell said raw milk testing and related consumer protection issues are more closely tied to the University of Kentucky and the department’s consumer/environmental protection functions than to the bill’s economic development focus, but he said the department can help expand small-farm programs such as Kentucky Proud, Buy Local, KOAP, CAP, food-as-medicine efforts, LFPA, and farm-to-school initiatives. The discussion also turned to beef processing and feedlot development, with Shell saying Kentucky wants a beef processor but first needs to prove it can feed cattle at scale; he said changing conditions in western states could create an opening for Kentucky if it can build the necessary supply chain.

Transcript Highlights:

• I'm sure there would be a need. I'm sure there would be a robust need.
• I'm sure there would be a need. youth. I'm sure there would be a need.
• I'm sure there would be a robust need. I'm sure there would be a robust need.
• So they'll provide us both goods, medical equipment that we need, and a management function related to
• uh and a medical equipment that we need uh and a management<00:45:55.760> function<00:45:56.160

Keywords: The original version of this live stream dropped before the meeting was technically finished. This is the complete copy pulled from back up sources., 958, all

Summary: The committee met to hear updates from the Department of Juvenile Justice and the Department of Corrections on two related issues: a proposed high-acuity juvenile mental health treatment facility and medical services contracts, including the impact of Wellpath’s bankruptcy proceedings. At the start, the chair agreed to hear the Department of Corrections first so members could get context on the medical contract before turning to DJJ’s proposal. DOC officials said Wellpath, the department’s comprehensive medical and mental health provider since 2013, was awarded its current contract through a 2021 procurement process. They reported that Wellpath’s Chapter 11 reorganization plan had been confirmed and that the company had transitioned ownership to lenders, but had not yet fully completed the bankruptcy process. DOC said there had been no service lapses, no reduction in care, and no known impact on Kentucky vendors or hospitals, and that DOC staff meet with Wellpath almost weekly. Members asked whether the committee had been kept informed and whether the bankruptcy could affect future services or subcontractors. DJJ then presented its concept for a high-acuity facility, explaining that the project is still in the preliminary programming and conceptual stage and has not yet entered the formal design phase with DECA. Officials said the proposal in the capital plan would create a 24-bed facility, with 16 clinical beds and 8 assessment/stabilization beds, to serve justice-involved youth with serious mental health needs. They said the facility would need to separate males and females and high- and low-risk youth, and that current placements often require sending youth out of state to places such as Pennsylvania, Michigan, Georgia, Arkansas, and Texas. Staff said the goal is to centralize treatment, improve safety, and reduce the need for fragmented or out-of-state placements. Committee members questioned the cost estimates, staffing needs, and whether the facility was justified given the small number of youth currently placed out of state. DJJ said the operational estimate includes an unknown medical-contract component and that the number of youth needing the facility can fluctuate because of surges in the juvenile population. Officials also said they had consulted with South Carolina, which is developing a similar facility, and noted that renovating existing facilities was considered but could be more expensive or impractical than building a separate site. No votes or formal actions were taken during the discussion.

Transcript Highlights:

• There's no reason to divide things that don't need to be divided.
• If the products need to be segregated, they will be segregated.
• If they don't need to, we should allow the businesses to operate.
• Patients who need it.
• We just need the okay and also to let the lottery happen.

Bills: HF1545, HF2426, HF1615, HF2403

Keywords: medical cannabis, cultivation, cannabinoid products, plant canopy, Minnesota statutes, cannabis, hemp, lower-potency, edibles, regulations, licensing, local control, consumer safety, age restrictions, commerce policy, financial institutions, insurance regulation, limited long-term care insurance, Medicare supplement, health insurance

Transcript Highlights:

• This is just giving an option for Sunset to say, "I need to put this board administrative functions somewhere
• ><00:25:18.960> functions this board administrative functions this board administrative functions
• need that help. help. help.
• They don't need a full-time person. They don't need a half-time person.
• trying to say, "Okay, do we really need trying to say, "Okay, do we really need this?"

Bills: HB163, HB344, SB11, SB92, SB164, HB22, HB89, SB227, SB6

Keywords: income tax, research expenditures, economic development, tax deductions, Tax Cuts and Jobs Act, Alabama tax law, educational intervention, State Superintendent, local boards of education, subpoena, accountability, state control, electric vehicles, registrations, license tax, public transportation, funding infrastructure, K-12 education, wireless communication devices, digital safety

Transcript Highlights:

• You know, to me, this bill is a lot, and we need to do a lot, right? And we need to tackle this...
• We need a second, and we have a second, but we need a—We have a first, but we need a second.
• We then need less of that gap money.
• We then need less of that gap money.
• to be able to get to functional zero?

Summary: The committee heard several housing bills, with the longest discussion focused on SB 79, which would allow more housing near high-capacity transit stops and on transit agency-owned land. The author and supporters argued it would address California’s housing shortage, reduce vehicle miles traveled, and strengthen transit systems by putting more residents near rail and rapid transit. Supporters included housing advocates, local officials, environmental groups, and transit-oriented development organizations. Opponents, including many cities, the League of California Cities, and some tenant and legal advocacy groups, raised concerns about affordability requirements, displacement, demolition protections, local control, and the bill’s interaction with existing local planning efforts. The committee discussed amendments to strengthen anti-displacement protections, minimum density, affordability standards, and a local flexibility alternative, and SB 79 was moved out on a due-pass-as-amended vote of 8-1, with one member not voting. The committee then took up SB 21, which would amend the Housing Crisis Act to allow limited unit reductions when converting deed-restricted SRO buildings into larger, more livable affordable units with private bathrooms, kitchens, and supportive services. The author and nonprofit housing providers said many SRO buildings are financially unsustainable and that the bill would preserve deeply affordable housing while improving conditions for residents. There was no organized opposition testimony at the hearing, though one business property group registered opposition. Members expressed support for the preservation-focused approach, and SB 21 was approved on an 8-0 vote and sent to the Assembly Committee on Local Government. Next, SB 92 was heard, a measure to close a density bonus loophole by limiting how much additional commercial floor area a project can receive and preventing the law from being used to justify very large nonresidential projects with only minimal affordable housing. The author cited a San Diego project as an example of the problem, and the City of San Diego supported the bill as a reasonable fix. Several labor and housing groups also supported it, while no formal opposition witnesses testified. The committee accepted amendments, members praised the effort to curb abuse while preserving feasibility, and SB 92 passed on a 7-0 vote. Finally, the committee began hearing SB 522, which would extend just-cause eviction protections to units rebuilt after disaster if they had previously been covered by the Tenant Protection Act. The author and the Los Angeles City Attorney said the bill would help preserve rental housing in disaster-affected communities, especially after the Pacific Palisades fires, and would not create new rent control. Opponents, including apartment, realtor, and property owner groups, argued it would add burdens to rebuilding and could discourage reconstruction. Members raised questions about whether existing law already protects returning tenants and whether the bill was necessary, and the hearing continued into committee discussion.

Transcript Highlights:

• . >> Do you need this bill in order to accomplish what this bill is trying to do?
• Uh, do you have thoughts on whether that level of uh resource is needed?
• for MAC pricing if needed. for MAC pricing if needed.
• It's not a function. Thank you.
• <00:44:04.040> to someone's age, platforms would need to someone's age, platforms would need

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.