Transcript Highlights:

• House File 4013 provides a modest but important $170,000 investment to modernize the system.
• House File 4013 provides a modest but important $170,000 investment to modernize the system.
• House File 4013 provides a modest but important $170,000 investment to modernize the system.
• House File 4013 provides a modest but important $170,000 investment to modernize the system.
• House File 4013 provides a modest but important $170,000 investment to modernize the system.

Bills: HF4680 , HF4047 , HF4590 , HF3757 , HF3569 , HF4507 , HF4426 , HF4927 , HF4788 , HF4757 , HF4747 , HF3561 , HF4014 , HF4013 , HF4689 , HF4766 , HF4589

Committee: House Capital Investment

Keywords: wastewater treatment, improvements, capital investment, Greenfield, bonds, water treatment, infrastructure, municipal funding, state bonds, public utilities, HF4590, Tamarack, municipal infrastructure, bonding bill, general obligation bonds, Public Facilities Authority, sewer system, collection system, street reconstruction, local infrastructure

Transcript Highlights:

• Not every household can afford the access that we are building to provide.
• "And Madam Chair, you guys provide that now, or you're providing carpenters for flat work?
• Throw down next year between the House and the Senate.
• We can provide that list for you. Okay. It's a fair amount of states.
• All we're wanting to do is— That those states are providing their skiers.

Bills: SB190 , SB152 , SB77 , SB150 , SB151 , SB156 , SB172 , SB182 , SB185 , SB212 , SB170 , SB133 , SB174 , SB163

Committee: Senate Senate Tax, Business & Transportation

Keywords: cancer treatment, revenue bonds, Gila Regional Medical Center, Nor-Lea General Hospital, healthcare funding, telecommunications, low-income assistance, lifeline, broadband, rural broadband, universal service fund, public regulation commission, PRC, 911 surcharge, telecommunications relay service, VoIP, mobile service, internet affordability, digital equity, digital inclusion

Transcript Highlights:

• requires one House member to be elected from each of the 90 House districts.
• We had had 80 in the House... ...two House members at large within the House side.
• Once you subdivide the House, right now the House has 30 districts.
• However, that's when you subdivide the House. Right now the House is not subdivided.
• However, that's when you subdivide the House. Right now the House is not subdivided.

Bills: HB2070 , HB2129 , HB2227 , HB2439 , HB2667 , HB2745 , HB2773 , HB2825 , HB2873 , HB2876 , HCR2005 , HCR2044 , SB1002 , SB1036 , SB1054 , SB1271 , SB1432 , SB1435 , SB1437 , SB1439 , SCR1022 , SCR1031 , SCR1033

Committee: Senate Government

Keywords: flood relief, Gila County, emergency funding, public safety, environmental cleanup, municipal libraries, annual reporting, state legislation, transparency, government accountability, chiropractic, chiropractor, chiropractic board, state board of chiropractic examiners, license discipline, unprofessional conduct, patient records, record retention, HIPAA, conflict of interest

Bills: SB801 , SB1200 , SB1410 , SB1717 , SB1862 , SB1863 , SB2216 , SB2681 , SB506 , SB2626 , SJR63

Committee: Senate State Affairs

Keywords: SB 801, birth certificate, birth record, certified copy, homeless, homelessness, unhoused, vital records, state registrar, local registrar, county clerk, fee waiver, identity documents, ID access, housing insecurity, shelter, transitional housing, Health and Safety Code, HHSC, Health and Human Services Commission

Summary: The Senate Committee on State Affairs met with a quorum present and considered several pending measures. On Senate Bill 1868, Senator Perry explained a committee substitute that would keep kratom in its natural state legal while continuing to ban 7-OH and other synthetic derivatives, and would also add three synthetic opioids from another bill. The substitute was adopted, and SB 1868 was reported favorably to the full Senate and certified for the local and uncontested calendar. The committee also adopted a committee substitute for Senate Joint Resolution 39, Senator Birdwell’s proposed constitutional amendment related to veto overrides after a regular session, and reported it favorably to the full Senate; members noted a floor amendment would also be offered later. The committee then considered Senate Bill 1184, relating to the age of wine authorized to be sold by a wine collection seller, and reported it favorably to the full Senate. After some procedural discussion and a revote to clarify members’ positions, SB 1184 was also certified for the local and uncontested calendar. Senate Bill 1194 was likewise certified for the local and uncontested calendar without objection, though the transcript does not include its substantive discussion. Senate Bill 1577, relating to the temporary sale of alcoholic beverages at certain racing facilities, was reported favorably to the full Senate and then certified for the local and uncontested calendar. Finally, Senate Concurrent Resolution 42, by Chairman Hughes, was reported favorably to the full Senate on an 8-1 vote. The committee then recessed until called back by the chair.

Transcript Highlights:

• We don't want people living permanently in government and subsidized housing.
• So the company that provides coffee or administrative services, So the company that provides coffee or
• I'll be happy to provide it to you, but the International Traffic in Arms...
• Does using the standard for judicial notice provide some protection?
• The committee substitute will require the voter registrar to provide monthly reports.

Bills: SB801 , SB1200 , SB1410 , SB1717 , SB1862 , SB1863 , SB2216 , SB2681 , SB506 , SB2626 , SJR63

Committee: Senate State Affairs

Keywords: SB 801, birth certificate, birth record, certified copy, homeless, homelessness, unhoused, vital records, state registrar, local registrar, county clerk, fee waiver, identity documents, ID access, housing insecurity, shelter, transitional housing, Health and Safety Code, HHSC, Health and Human Services Commission

Summary: The Senate Committee on State Affairs heard testimony on several bills, with most measures left pending after public testimony closed. SB 801, by Sen. Menéndez, would require DSHS and local clerks to issue birth certificates at no cost to people experiencing homelessness. The author and Maria Benavides of SA Youth said the fee and mailing requirements are major barriers to obtaining ID, housing, and work, and Benavides described clients who were able to secure housing and employment after getting birth records and IDs through her program. The bill was left pending. The committee also heard a set of bills related to the Gulf of Mexico/Gulf of America naming issue: SB 1410 would require state agencies to use “Gulf of Mexico” in official documents, SB 1717 would conform state law to the federal renaming to “Gulf of America,” and SJR 63 would amend the Texas Constitution to match that change. Support testimony for the latter two emphasized alignment with federal action and the use of different geographic names by different countries. All three measures were left pending. Members then heard SB 1200, which would require plaintiffs suing defense contractors to disclose in discovery whether they are receiving litigation funding from adversarial nations such as China, Russia, or Cuba. The author and Texans for Lawsuit Reform said the bill targets third-party litigation funding and foreign influence on lawsuits, especially those affecting defense contractors; the committee substitute narrowed the definition of defense contractor and expanded applicability to actions involving defense contractors’ activities. SB 2626, which requires continuing medical education on pregnancy-related emergencies for OB-GYN physicians and nurses, drew support from witnesses who said it would reduce confusion about Texas abortion law and improve care in emergencies. SB 506, SB 2681, SB 1862, SB 1863, and SB 2216 all focused on elections, including ballot language standards, voter registration challenges, interstate voter-roll cleanup, procedural audits, and election equipment security; testimony split between supporters who said the bills improve transparency and integrity and opponents who warned of vague standards, added costs, and possible voter disenfranchisement. Each of those bills was left pending after testimony.

Transcript Highlights:

• Members, the House Ways and Means Committee is called to order.
• The but-for argument is used in every instance where state or local governments decide to provide a targeted
• Thank you for the opportunity to provide testimony today for Senate Bill 1293.
• just want to answer some questions or make some comments based on some of the commentary that was provided
• But once they saw that the area could bring that draw, that kind of housing and that kind of property

Bills: SB1221 , SB1293 , SB1294 , SB1430

Committee: House Ways & Means

Keywords: taxpayer protection, law interpretation, transparency, public hearings, tax policies, GPLET, abatement, tax incentives, local government, property improvement, central business district, property tax, assessment, destruction, proration, Arizona Revised Statutes, Arizona tax corrections act, transaction privilege tax, sales tax, use tax

Transcript Highlights:

• </c><00:03:22.560><c> GOP</c> and we worked with our House GOP and we worked with our House GOP constituent
• File</c><00:30:54.960><c> 3683,</c> With respect to House File 3683, With respect to House File 3683
• And House File 3683 is laid not prevail. And House File 3683 is laid over.
• </c><01:18:18.800><c> program</c> housing stabilization services program housing stabilization services
• </c><01:26:53.600><c> the</c> Agency central offices often house the Agency central offices often house

Bills: HF3676 , HF3683 , HF3395

Committee: House State Government Finance and Policy

Keywords: Safe at Home, address confidentiality, domestic violence, sexual assault, stalking, harassment, victim privacy, survivor protection, confidential address, protected address, secret address, identity protection, residential confidentiality, program participant, nondiscrimination, court disclosure, protective order, service of process, driver's license, state ID

Transcript Highlights:

• It provides information to families. It provides broader transparency.
• House Bill 2386 removes this... ...be provided in the answer.
• House Bill 2386 removes the statutory answer forms for the writ of continuing lien on earnings and provides
• The purpose of LECs is to provide affordable ownership housing options, and in some cases, these requirements
• So House Bill 2453 provides that board-certified psychiatric pharmacists may provide that concurring

Bills: HB2453 , HB2590 , HB2445 , HB2386 , HB2585

Committee: House Civil Rights & Judiciary

Keywords: psychiatric pharmacists, mental health, pharmacy regulations, healthcare, pharmacological treatments, limited equity cooperatives, common interest ownership, housing, exemption, community ownership, probate, estate administration, inheritance, heir finder, heir locator, beneficiary interest, transfer of inheritance rights, probate for profit, personal representative, executor

Transcript Highlights:

• When I was in the House, this was a discussion.
• We'll provide information if requested.
• And what we know is this: we provide a really good opportunity with acute care to... ...that we provide
• Basically, it's providing for public... Mr.
• Okay, anybody got any questions on House Bill 1070?

Bills: SB83 , SB135 , SB143 , SB155 , SB157 , SB202 , SB237 , SB261 , SB276 , SB295 , SB450 , SB465 , SB506 , HB1070

Committee: Senate Finance

Keywords: human trafficking, trafficking prevention, school safety, public schools, elementary and secondary education, charter schools, mandatory reporting, victim identification, victim services, child trafficking, sex trafficking, labor trafficking, commercial sexual activity, DCFS, Department of Children and Family Services, Louisiana State Police, governor's office of human trafficking prevention, counselor training, mental health professional, administrator training

Transcript Highlights:

• services that they might or might not have been provided.
• Senate Bill 1377 directs DHS to provide a duffel bag to children in foster care who like a suitcase or
• Senate Bill 1329 requires Medicaid providers who conduct a visit with a woman within one year of the
• Provide the funds.
• So why not just provide financial.

Bills: SB1423 , SB1426 , SB1502 , SB1377 , SB1983 , SB1466 , SB1645 , SB1647 , SB1847 , SB1565 , SB1562 , SB1329 , SB1383 , SB1833 , SB1555 , SB1344

Committee: Senate Health and Human Services

Keywords: Oklahoma Hospital Advisory Council, hospital licensure, public health, State Department of Health, State Board of Health, hospital regulations, healthcare regulation, hospital standards, hospital construction, hospital operations, stroke care, stroke system, emergency medical services, EMS transport, psychiatric treatment, chemical dependency treatment, substance use disorder, drug storage, pharmacy, quality indicators

Transcript Highlights:

• services that they might or might not have been providing.
• we formed this board to work with the commissioner to develop the forms that would make anybody providing
• memory care, Alzheimer care, dementia care, to make sure that they are accountable and actually providing
• Senate Bill 1377 directs DHS to provide a duffel bag to children in foster care who lack a suitcase or
• Senate Bill 1329 requires Medicaid providers who conduct a visit with a woman within one year of the

Bills: SB1423 , SB1426 , SB1502 , SB1377 , SB1983 , SB1466 , SB1645 , SB1647 , SB1847 , SB1565 , SB1562 , SB1329 , SB1383 , SB1833 , SB1555 , SB1344

Committee: Senate Health and Human Services

Keywords: Oklahoma Hospital Advisory Council, hospital licensure, public health, State Department of Health, State Board of Health, hospital regulations, healthcare regulation, hospital standards, hospital construction, hospital operations, stroke care, stroke system, emergency medical services, EMS transport, psychiatric treatment, chemical dependency treatment, substance use disorder, drug storage, pharmacy, quality indicators

Summary: The Health and Human Services committee met and advanced a series of Senate bills, beginning with SB 1423, which repeals the Hospital Advisory Council because of repeated quorum and appointment problems; members discussed whether the council could instead be restructured, but the bill passed 9-1. SB 1426 changed vulnerable adult abuse reporting so only substantiated findings are reported, and SB 1502 repealed the Long-Term Care Advisory Council after it completed its original task; both passed unanimously. The committee also approved SB 1377 to provide duffel bags for children entering foster care and SB 1983 to support resource family partners and improve foster care/adoption outcomes, both by unanimous votes. Members then passed SB 1466, which extends the sunset on the advisory committee on midwifery after adopting an amendment changing the extension date; SB 1645, which sets rules and best practices for OHCA audits of medical providers; SB 1647, which allows up to $1 million from the County Community Safety Investment Fund to support evidence-based pretrial diversion programs through the Indigent Defense System; and SB 1847, which lets certain Advantage Waiver Medicaid recipients with cognitive impairment remain in assisted living and age in place. The committee also approved SB 1565, establishing the framework for Oklahoma to receive federal Transforming Maternal Health Model grant funds, after adding a reporting amendment requiring a final report to state leaders. Additional bills passed included SB 1562, described as an anti-poaching measure for hospice patients that holds hospices responsible for contractor conduct; SB 1329, requiring postpartum mental health screening during Medicaid-covered visits within a year after birth; SB 1383, a technical cleanup to the diabetes self-management education program; SB 1833, directing DHS to apply for a SNAP waiver to restrict certain purchases such as candy and soft drinks; and SB 1555, updating the statutory definition of intellectual disability to align with federal and Social Security standards. The final measure, SB 1344, created an insulin access and affordability program at the State Department of Health to expand low-cost insulin access and competition; it drew discussion about funding, pricing, and the nonprofit partner involved, and passed 9-2. The committee adjourned after the chair noted more double-assigned bills would be heard the following week.

Transcript Highlights:

• In the House and the Senate, but basically the governor was upset at the House sponsor and vetoed all
• of the House sponsor's bills, and so this one went with it.
• It is a companion to House Bill 1597.
• Now, I want to point to two pieces of evidence that I've provided to you.
• The bill provides an affirmative defense for a contractor.

Bills: SB324 , SB1978 , SB2139 , SB2401 , SB2587 , SB2610 , SB2858 , SB3016

Committee: Senate Business & Commerce

Keywords: E-verify, employment verification, state contracts, immigration, labor compliance, ERCOT, Texas electric grid, interconnection, Public Utility Commission, PUC, Public convenience and necessity, electric cooperative, municipally owned utility, electric utility, transmission, generation facilities, grid reliability, Federal Energy Regulatory Commission, FERC, SERC

Transcript Highlights:

• There are more important issues, like the flooding victims, like housing, like.
• But most of you helped a like one into our White House. Let me remind you that...
• Yeah, the rules provide a mechanism to suspend the rule, and it's pretty common.
• The records provide... They provide vital information that they can't get anywhere else.
• That's not controversial in the House and Senate representation for that county.

Bills: SB6 , SB7 , SB8 , SB11 , SB12 , SB13 , SB15 , SB 6 , SB 7 , SB 8 , SB 11 , SB 12 , SB 13 , SB 15 , SB 17

Committee: Senate State Affairs

Keywords: SB 6, Woman and Child Protection Act, abortion, abortion-inducing drugs, medication abortion, mifepristone, misoprostol, pro-life, pro-choice, Texas abortion law, civil liability, qui tam, private enforcement, bounty hunter law, attorney general, parens patriae, abortion litigation, anti-SLAPP, Texas Citizens Participation Act, fee shifting

Transcript Highlights:

• on House Bill 2011.
• I call up House Bill. House Bill 5246 with Senate amendments.
• Housing costs.
• , housing, do it.
• We have historical neighborhoods where it's just little house after little house after little house,

Bills: SB15 , SB35 , SB290 , SB1365 , SB2568 , SB18 , SB427 , SB1860 , SB1864 , SB2675 , SB596 , SB2858 , SB3058 , SB816 , SB1163 , SB1484 , SB1898 , SB1777 , SB1802 , SB2692 , SB315 , SB1585 , SB1626 , SB2058 , SB2050 , SB2105 , SB2245 , SB2764 , SB2611 , SB2497 , SB2452 , SB2243 , SB1705 , SB1244 , SB1361 , SB438 , SB578 , SB584 , SB2690 , SB2521 , SB2487 , SB2342 , SB2063 , SB125 , SB2041 , SB1962 , SB1413 , SB6 , SB2878 , SB13 , SB30 , SJR87 , SB7 , SB127 , SB293 , SB441 , SB3059 , SB57 , SB512 , SB1718 , SB140 , SB2055 , SB2075 , SB2018 , SB1534 , SB1567 , SB785 , SB1233 , SB1580 , SB1663 , SB413 , SB447 , SB519 , SB467 , SB1579 , SB1191 , SB1021 , SB1838 , SB2807 , SB2835 , SB546 , SB2121 , SB2167 , SB2024 , SB1032 , SB1049 , SB1266 , SB1400 , SB1302 , SB401 , SB1596 , SB1281 , SB1242 , SB1343 , SB1346 , SB2753 , SB2221 , SB1719 , SB2177 , SB552 , SB646 , SJR1 , SB15 , SB800 , SB790 , SB748 , SB571 , SB1957 , SB1923 , SB1896 , SB1760 , SB1335 , SB2368 , SB2477 , SB2587 , SB2972 , SB2986 , SB2965 , SB1563 , SB1467 , SB1164 , SB1137 , SB614 , SB705 , SB961 , SB918 , SB955 , SB869 , SB850 , SB863 , SB1610 , SB1055 , SB2206 , SB457 , SB2337 , SB1362 , SB926 , SB1494 , SB251 , SB456 , SB500 , SB1307 , SB2615 , SB2995 , SB2321 , SB973 , SB974 , SB865 , SB506 , SB781 , SB1522 , SB1558 , SB510 , SB667 , SB763 , SB2073 , SB1858 , SB1660 , SB505 , SB2900 , SB1433 , SB1540 , SB1964 , SB1300 , SB1644 , SB2217 , SB2373 , SB2431 , SB1758 , SB2480 , SB3039 , SB3047 , SB3073 , SB2920 , SB2781 , SB826 , SB766 , SB2460 , SB527 , SB1946 , SB2885 , SB1243 , SB2610 , SB2595 , SB857 , SB2501 , SB66 , SB268 , SB331 , SB618 , SB414 , SB1394 , SB2425 , SB898 , SB993 , SB442 , SB735 , SB784 , SB2538 , SB1919 , SB1013 , SB2215 , SB2322 , SB626 , SB570 , SB747 , SB2183 , SB673 , SB1015 , SB1447 , SB1370 , SB1784 , SB1897 , SB2873 , SB2891 , SB2933 , SB2540 , SB2681 , SB2695 , SB1965 , SB2203 , SB872 , SB875 , SB1030 , SB1277 , SB1730 , SB1681 , SB1152 , SB2969 , SB2747 , SB2705 , SB2541 , SB1708 , SB2080 , SB2721 , SB1986 , SB2392 , SB2539 , SB2857 , SB2799 , SB2785 , SB2782 , SB1531 , SB1927 , SB1263 , SB1098 , SB35 , SB290 , SB1365 , SB2568 , SB18 , SB427 , SB1860 , SB1864 , SB2675 , SB596 , SB2858 , SB3058 , SB816 , SB1163 , SB1484 , SB1898 , SB1777 , SB1802 , SB2692 , SB315 , SB1585 , SB1626 , SB2058 , SB2050 , SB2105 , SB2245 , SB2764 , SB2611 , SB2497 , SB2452 , SB2243 , SB1705 , SB1244 , SB1361 , SB438 , SB578 , SB584 , SB2690 , SB2521 , SB2487 , SB2342 , SB2063 , SB125 , SB2041 , SB1962 , SB1413 , SCR9 , SB21 , SB1198 , SB1405 , SB2601 , SB2778 , HB5560 , HB762 , HB1584 , HB 107 , HB 114 , HB138 , HB4386 , HB2495 , HB581 , HB3348 , HB5323 , HB4341 , HB6 , HB171 , HB143 , HB449 , HB3486 , HB4263 , HB5246 , HB2 , HB2011 , SB17

Keywords: SB 15, Texas Local Government Code, zoning preemption, housing affordability, small lots, lot size, lot density, single-family zoning, residential subdivision, municipal land use, local control, state preemption, parking requirements, setbacks, infill development, missing middle housing, lot width, lot depth, homebuilders, housing supply

Transcript Highlights:

• The House is under call.
• Senator Luskin, the House is under call. Please return to the chamber. The House is under call.
• There's been a request to place the House under call. Request to place the House under call.
• Call the House and call in the House a regular order.
• To place the House under call. The House is under call. Senators, please record your presence.

Bills: LB878 , LB958 , LB958A , LB762 , LB1187 , LB966 , LB929 , LB962 , LB1209 , LB937A , LB962A , LB1050 , LB1050A , LB965 , LB1022 , LB753 , LB788 , LB913 , LB1055 , LB1195 , LB429 , LB721 , LB722 , LB727 , LB745 , LB749 , LB778 , LR293 , LR296 , LR422 , LR495 , LR496 , LR497 , LR498 , LR499 , LR500 , LR501 , LR502 , LR503 , LR504

Keywords: paid parental leave, state employees, workplace benefits, family support, economic impact, Medicaid, Medical Assistance Act, home and community-based services waiver, HCBS waiver, waiver participant, assessment tool, clinical interviewing, service tier, retroactive coverage, doula, doula reimbursement, maternal health, prenatal care, pregnancy, birth outcomes

Transcript Highlights:

• This bill provides for the state plan amendment with HHS.
• However, we also provided an ability for the brand renewal.
• There's been a request to place the House under call.
• The question is, shall the House go under call?
• Clerk. 27 ayes, no nays; place the House under call. The House is under call.

Bills: LB878 , LB958 , LB958A , LB762 , LB1187 , LB966 , LB929 , LB962 , LB1209 , LB937A , LB962A , LB1050 , LB1050A , LB965 , LB1022 , LB753 , LB788 , LB913 , LB1055 , LB1195 , LB429 , LB721 , LB722 , LB727 , LB745 , LB749 , LB778 , LR293 , LR296 , LR422 , LR495 , LR496 , LR497 , LR498 , LR499 , LR500 , LR501 , LR502 , LR503 , LR504

Keywords: paid parental leave, state employees, workplace benefits, family support, economic impact, Medicaid, Medical Assistance Act, home and community-based services waiver, HCBS waiver, waiver participant, assessment tool, clinical interviewing, service tier, retroactive coverage, doula, doula reimbursement, maternal health, prenatal care, pregnancy, birth outcomes

Transcript Highlights:

• This is House Bill 321 by Vice Chair Will Forr, provides relative to victims of human trafficking and
• Amendment 4 clarifies that the documentation provided pursuant to proposed law is for inmates housed
• that the documentation provided pursuance of proposed law is for inmates housed in state correctional
• Members, this is House Bill 969 by Representative Wiley, which provides relative to compensation for
• This is House Bill 969 by Representative Wiley, who provides relative to compensation for victims of

Bills: HB91 , HB123 , HB167 , HB255 , HB264 , HB321 , HB884 , HB955 , HB967 , HB968 , HB969 , HB978 , HB985 , HB994 , HB1005 , HB1104 , HB1107 , HB1109 , SCR3

Committee: House Administration of Criminal Justice

Keywords: criminal procedure, disclosure, criminal records, witness protection, trial rights, electronic monitoring, GPS ankle monitor, ankle bracelet, pretrial release, post-conviction supervision, bail monitoring, house arrest, corrections, criminal justice, law enforcement, prosecuting authority, court reporting, provider registration, LCLE, Louisiana Commission on Law Enforcement and Administration of Criminal Justice

Transcript Highlights:

• Members, this is House Bill 1214 by Representative Miller. It provides relative to...
• House Bill 1041 by Representative Ghali, relative to medical interventions, to provide for a short title
• House Bill 1182 by Representative Egan provides relative to occupational therapists and occupational
• House Bill 1052 fixes that. It provides clear... House Bill 1052 fixes that.
• House Bill 1118 provides relative to certain agreement disclosures between hospitals and real estate

Bills: HB414 , HB786 , HB1041 , HB1052 , HB1118 , HB1139 , HB1182 , HB1185 , HB1214 , HB1217 , HB1231 , SR63 , SCR27 , SB5 , SB194 , SB415 , SB433 , SB451 , SB462 , SB516

Committee: House Health and Welfare

Keywords: healthcare, criminal convictions, employment, background checks, prohibited offenses, Medicaid, claim payments, extrapolation, provider audits, medical freedom, discrimination, access, medical intervention, child protection, confidentiality, multidisciplinary teams, child advocacy centers, public records, investigations, hospital

Transcript Highlights:

• /c><00:22:18.200><c> large-scale</c> providers is having a large-scale providers is having a large-scale
• <00:24:38.880><c> where</c> providers where providers where um<00:24:41.120><c> the</c><00:24:42.160>
• </c> one which requires hospitals to provide one which requires hospitals to provide DOH<00:40:35.600
• </c><01:03:28.880><c> reasonable</c> legislation and provide reasonable legislation and provide reasonable
• </c> helpful if the AGs could provide helpful if the AGs could provide testimony<01:49:26.160><c> um<

Bills: HB1626 , HB1643 , HB1668 , HB1550 , HB1974 , HB1858 , HB1871 , HB1966 , HB1972 , HB1973

Committee: House Health

Keywords: youth penalties, juvenile justice, community service, fees and fines, Native Hawaiian, Pacific Islander, reform, court costs, cultural connection, pharmacy, pharmacist, pharmacy audit, audit reform, pharmacy benefit manager, PBM, recoupment, extrapolation, claims audit, pharmacy reimbursement, dispensing fee

Summary: The committee heard testimony on SB 847, which would create a Kauai pilot program allowing qualified psychologists limited authority to prescribe psychotropic medications. The Board of Psychology supported the bill’s intent but asked for amendments to delay the effective date or extend the pilot so rules could be written first, and to clarify the education/training language. Supporters, including the Hawaii Psychological Association, Hawaii Mental Health Coalition, and several psychologists, argued that prescribing psychologists have long safety records in other jurisdictions and that the pilot could improve access to care on Kauai, especially amid ongoing mental health needs and storm-related stress. They cited studies and examples from New Mexico, Louisiana, the Department of Defense, and other places. Opponents, including the Hawaii Medical Association, American Academy of Pediatrics, Queen’s Medical Center, and a Department of Health representative, said the bill needed substantial work, raised concerns about training, liability, and workforce impacts, and urged a team-based model with psychiatrist oversight rather than independent prescribing. Some testimony also referenced a GAO report, with witnesses disagreeing over its meaning and cost-effectiveness. No vote was taken during the discussion, and members asked questions about how the bill would address the workforce shortage and whether a psychiatrist on Kauai could already meet the need. The committee then moved to SB 2271 on hospital licensing and SB 2272 on home health care licensing. The Department of Health, the Healthcare Association of Hawaii, and the Hawaii State Council on Developmental Disabilities supported both measures, which were described as streamlining and clarifying licensing oversight by relying on accreditation or certification reports. A member asked whether the bill language on hospital accreditation reports was duplicative, and the response was that the second provision was intended to strengthen enforcement by requiring hospitals to provide the actual report to DOH. The committee did not take final action in the portion of the hearing provided, and the chair noted that all bills on the agenda would later be considered for decision-making.

Transcript Highlights:

• We'll start off with the first bill, which is House Bill 1864, providing health insurance coverage for
• Bill 1573, House Draft 1.
• bill which is House Bill 1573, House<00:40:45.359><c> draft</c><00:40:45.760><c> 1.
• Members, House Bill 2159, House Draft 1.
• Members, House Bill 1913, House Draft 1.

Bills: SB2421 , SB2690 , SB3103 , SB3137 , SB3164 , SB3206 , SB2933 , SB3133 , SB3315

Committee: House Health

Keywords: cannabis, marijuana, Hawaii Cannabis Law, legalization, decriminalization, adult use, hemp, taxation, social equity, public health, primary care, health insurance, health carrier, insurance commissioner, Med-QUEST, Medicaid managed care, provider reimbursement, downcoding, prior authorization, utilization review

Summary: The committee heard testimony on several health-related bills. HB 1864, which would require health insurance coverage for standard fertility preservation services for people undergoing medically necessary treatment, drew broad support from SHIPA, the Department of Health, HMSA, the Hawaii Association of Health Plans, and others. Testifiers emphasized that fertility preservation is routine coverage on the mainland and important for patients facing infertility from cancer or other treatment; one patient described incurring more than $20,000 in costs. The Insurance Division flagged possible Affordable Care Act issues, a potential conflict in the bill’s language about using patient history to determine limits, and a mismatch with state medical-necessity standards. Committee discussion also focused on whether the bill should apply to all women of childbearing age rather than a narrower age-based category. HB 2305 would require nutrition and metabolic education as part of physicians’ continuing medical education. The Hawaii Medical Board opposed the measure, arguing that CME should remain flexible and tailored to each physician’s specialty and warning that topic-specific mandates can expand over time. The Office of the Governor supported the bill, saying it would help the state’s rural health transformation application and could improve federal funding prospects, though the exact impact was unclear. Members questioned whether nutrition is already covered in medical training and whether the requirement should be limited to primary care physicians; the board said Hawaii currently has no topic-specific CME mandates and that physicians can already choose relevant courses. The committee also heard strong support for HB 1597, which would establish an Alzheimer’s disease research center at the University of Hawaii. Supporters from the university, the Alzheimer’s Association, AARP, and others said the center could attract federal research dollars, expand clinical trials, and help address the state’s high Alzheimer’s-related health costs. HB 2159, which appropriates funds for health care workforce development, also received broad support from the University of Hawaii, health systems, and advocacy groups, with no opposition noted. Finally, HB 2121, which would prohibit the sale and distribution of disposable electronic smoking devices, drew support from the Department of Health, youth advocates, and public health groups citing youth addiction, environmental waste, and fire hazards; the department said a separate bill, HB 1573, would be more comprehensive and better defined for enforcement and penalties. The committee ended with HB 1913, creating a veteran services mental health coordinator position at Tripler Army Medical Center, which was supported by veteran services officials and others who said veterans need better navigation and coordination for behavioral health care.