Transcript Highlights:

• Services Coverage Provisions and Requirements; 907 KAR 008:040, Coverage for Occupational Therapy, Physical
• Therapy, and Speech-Language Pathology Services; 907 KAR 010:016, Coverage Provisions and Requirements
• Coverage for occupational therapy, Coverage for occupational therapy, physical<01:16:45.240> therapy
• ,<01:16:45.880> and<01:16:46.080> speech<01:16:46.400> language physical therapy
• , and speech language physical therapy, and speech language pathology<01:16:47.360> services.

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board first approved the September 24 minutes and then heard a presentation from four certified community behavioral health clinic providers: Pathways, NorthKey, Seven Counties Services, and NewVista. The presenters explained the difference between traditional community mental health centers and CCBHCs, describing CCBHCs as an enhanced model that integrates behavioral health, primary care, wraparound services, and crisis response. They reviewed the federal history of the model, Kentucky’s entry into the Medicaid demonstration in 2022, and the scheduled end of the enhanced federal match on December 31, 2027. They also emphasized required services such as 24-hour mobile crisis, care coordination, and services for veterans, and described care coordination as a key feature that helps patients follow up after hospital or emergency discharge, manage medications, and connect to transportation and other supports. The presenters gave examples of improved outcomes, including a patient who was able to remain living independently because of coordinated home-based and telehealth support, and they argued that CCBHCs are helping Kentucky build a more responsive crisis system through 988, mobile crisis teams, and crisis stabilization units. They said the model is data-driven, uses performance metrics, and has led to stronger collaboration among community partners. One speaker said more than 100 agencies participated in a Jefferson County community health needs assessment and continued meeting afterward to reduce redundancies and barriers to care. They also said crisis call hub compliance and mobile crisis outreach compliance improved significantly over the past year. Members asked about how navigators and connectors fit into the model, how CCBHCs work with managed care organizations, and how the program could expand statewide. The presenters said navigators are not built into the CCBHC model but may be used through referrals, while the CCBHCs continue to bill MCOs the same way and receive a Medicaid wrap payment for the enhanced rate. They said the goal would be for all community mental health centers to become CCBHCs, but that a state plan amendment would be needed and could not be limited only to CMHCs if submitted to CMS. They estimated about $28 million would be needed statewide to continue the program in the next biennium, combining the loss of enhanced federal match and the state share of enhanced service costs. The board also discussed transportation, with one presenter explaining that their program arranges Medicaid transportation for eligible appointments, and members raised concerns about mental inquest warrant transport and whether sheriffs should remain involved. No votes were taken on the CCBHC or transportation items during the discussion.

Transcript Highlights:

• HB3057 by Landgraf, relating to network standards for the Chimeric Antigen Receptor T-Cell Therapy.
• Finally, to provide coverage for any procedures, treatments, or therapies to manage, reconstruct, or
• it costs a few hundred thousand dollars for them to have a detransition procedure or treatment or therapy
• Hormone therapies, it can include medical interventions, and it includes surgeries, which I don't think
• They happen over a period of years and years and years of therapy, family planning, making sure you're

Bills: HJR144, HJR218, HB40, HB 101, HB 112, HB146, HB168, HB214, HB413, HB1523, HB493, HB521, HB594, HB557, HB305, HB549, HB854, HB 1057, HB 1052, HB842, HB3174, HB3311, HB2486, HB3196, HB824, HB 1039, HB2529, HB2713, HB4936, HB4995, HB4830, HB4864, HB5219, HB5263, HB5154, HB2674, HB5525, HB5623, HB2545, HB2587, HB2625, HB5520, HB5436, HB4926, HB1573, HB5165, HB4811, HB5081, HB4755, HB3179, HB4310, HB4611, HB2159, HB4626, HB3637, HB3153, HB3066, HB2786, HB2966, HB638, HB640, HB876, HB497, HB5539, HB4809, HB5308, HB4687, HB4070, HB4421, HB4412, HB3284, HB3369, HB3420, HB3449, HB4098, HB4281, HB4120, HB4504, HB4370, HB 1106, HB2370, HB2404, HB3863, HB2407, HB2253, HB2273, HB2040, HB1586, HB3788, HB3993, HB4690, HB4309, HB4696, HB2308, HB 1142, HB1533, HB1621, HB2242, HB2012, HB2193, HB2442, HB2464, HB2348, HB2313, HB2289, HB1942, HB2011, HB1629, HB2993, HB3592, HB3824, HB4076, HB4535, HB4623, HB4773, HB 1091, HB5115, HB5515, HB3372, HB5659, HCR118, HB 1233, HB2239, HB2379, HB2863, HB3368, HB3787, HB3815, HB3898, HB4023, HB4285, HB4329, HB4331, HB4429, HB4646, HB4904, HB5200, HB5320, HB5651, HB5662, HB5668, HB5670, HB5672, HB5674, HB5676, HB5679, HB5688, HCR108

Keywords: regional mobility, transportation authority, local law, constitutional amendment, public projects, Texas energy fund, energy efficiency, retail electric customers, electric generating facilities, business court, civil procedure, litigation, jurisdiction, arbitration, Texas State Guard, task force, professionalization, state missions, critical infrastructure, science park district

Transcript Highlights:

• Loss of work, the need for unexpected child care, costs associated with medical expenses and therapy
• 08:23.680> medical<00:08:24.000> expenses<00:08:24.479> and<00:08:24.720> therapy
• expenses and therapy due to the<00:08:25.599> incident,<00:08:26.000> and<00:08:26.160
• The Federation of State Massage Therapy Boards recognized that human trafficking was pervasive within
• The Federation of State Massage Therapy The Federation of State Massage Therapy Boards<01:40:23.280

Keywords: 1191, senate, all

Transcript Highlights:

• located in Wright County, provides skilled nursing home services, short-term rehabilitation and therapies
• , outpatient therapies, respite care, home-delivered meals to people in our community, and we also serve
• Services short-term Rehabilitation Home Services short-term Rehabilitation and<00:54:40.960> therapies
• <00:54:41.960> outpatient<00:54:42.680> therapies and therapies outpatient therapies
• and therapies outpatient therapies respit<00:54:44.359> care<00:54:45.200> hom<00:54:45.520

Bills: HF1419, HF500

Keywords: nursing facilities, reimbursement rates, elderly care, minimum wage, healthcare funding, nursing home, employment standards, worker rights, Minnesota Statutes, labor compensation, 1183, house

Transcript Highlights:

• A number of those had nexus to other cities throughout Minnesota, and while many massage therapy places
• <00:15:27.079> places<00:15:27.519> are many uh massage therapy places are many uh
• massage therapy places are legitimate<00:15:28.759> we<00:15:29.000> we<00:15:29.120>
• :37.720> advertising<00:15:38.360> as<00:15:38.600> massage<00:15:39.319> therapy
• <00:15:40.319> um were advertising as massage therapy um were advertising as massage therapy

Keywords: 1183, house

Transcript Highlights:

• He's been released, but now he needs physical therapy, right? Well, you could use that example.
• I would say that after the therapy, after the MRI, all the steroid injections, now they're requesting
• I would say that after the therapy, after the MRI, all the steroid injections, now they're requesting
• If you can either get physical therapy or if you need surgery, do it quickly, you get better results.

Summary: The House Labor and Industrial Relations Committee met on May 7, 2026, and first deferred several measures, including House Bill 460, Senate Bill 322, Senate Bill 32, Senate Bill 22, and House Bill 561. The committee then took up House Bill 819 by Chairman Cruz, which would replace Louisiana’s current workers’ compensation medical treatment schedule with the Official Disability Guidelines (ODG) by MCG as the primary guideline, while keeping the existing variance and appeal process. Cruz and MCG representative Troy Prevo argued that ODG is more comprehensive, updated more frequently, and used in many states, and said it could reduce delays, disability duration, and costs. Dr. Jason Picard, the state medical director, testified that Louisiana already uses ODG as a secondary reference in many cases because the state schedule lacks coverage for some body parts and treatments, and said the bill would not otherwise change the appeals process or care delivery. Committee members focused heavily on whether the bill would delay care or improve it. Several members questioned the private-company nature of ODG, the $400 annual subscription cost, and whether Louisiana doctors would be forced to rely on an out-of-state guideline. Rep. Glorioso and others raised concerns about preauthorization delays and proposed amendments to create tacit approval when treatment follows the schedule, require payment within 30 days, and make the carrier prove by clear and convincing evidence that care was not medically necessary to challenge it. Chairman Cruz said he was willing to work with those ideas, and the committee also discussed adding an on-ramp or legacy language so current patients would not be disrupted. Opposition testimony came from injured-worker advocates and representatives of medical and labor groups, including Joseph Jola St. and Robin Krumholt. They argued that Louisiana’s current guidelines are already working, that rates have fallen over time, and that the real problem is delay in approval rather than the content of the schedule. They said ODG is overly rigid, cost-driven, and can lead to denials that shift costs to workers, Medicaid, or private health insurance. They urged the committee to keep Louisiana’s existing system and instead adopt tacit approval under current law. The bill was still under discussion at the close of the transcript, with amendments being read and no final vote shown.

Transcript Highlights:

• First responder status helps provide specialized training and critical support services, including therapies
• and critical support services, training and critical support services, including<00:09:45.120> therapies
• <00:09:45.680> and<00:09:45.840> resources including therapies and resources including
• therapies and resources designed<00:09:47.120> to<00:09:47.280> address<00:09:47.760><

Bills: SCR56, SCR25, SCR79, SCR179, SCR181, SCR182, SR54, SR22, SR81, SR174, SR176, SR177

Keywords: lifeguards, first responders, public safety, ocean safety, emergency response, community wellbeing, Pohakuloa, condemnation, federal government, land sovereignty, Hawaii, native Hawaiians, public trust land, invasive species, octocoral, Pearl Harbor, environment, Navy responsibility, marine ecosystem, ecosystem preservation

Summary: The committee first heard SCR 56 and SR 54, which recognize open water lifeguards as first responders and acknowledge their role in emergency response and public safety. Testifiers from the Hawaiian Lifeguard Association, Hawaii Water Safety Coalition, Honolulu and Kauai Ocean Safety, and a junior guard all strongly supported the resolutions, describing lifeguards as often first on scene for drownings, cardiac arrest, spinal injuries, flooding rescues, and other emergencies. Several speakers said formal recognition would better reflect the work lifeguards already do and could improve training, support services, pay equity, and access to benefits such as retirement and trauma resources. Members asked about what legal or administrative changes would follow, and the discussion suggested the resolutions were a first step toward broader recognition and related policy changes. The committee then took up SCR 25 and SR 22, opposing federal condemnation or threats of condemnation to take control of Pohakuloa and other state land. The Office of Hawaiian Affairs supported the resolutions, saying Pohakuloa has deep historical, cultural, genealogical, and ecological significance and that any future decisions should go through existing state legal processes with meaningful consultation with Native Hawaiians. Members discussed the role of the governor’s advisory process, the need to follow DLNR/BLNR procedures, and concerns about environmental and health violations at the site. The committee also noted 14 written testimonies in support. Next, the committee heard SCR 79 and SR 81, urging the U.S. Navy to take responsibility for eradicating octocoral and other invasive species in Pearl Harbor waters, including West, Middle, and East Loch. DLNR supported the resolutions, and testimony focused on the spread of invasive coral, the difficulty of eradication, and the limited access state agencies have inside Pearl Harbor. Members raised concerns about contamination, responsibility for the problem, and whether the Navy should fund or carry out the cleanup; DLNR said it could not speak to broader contamination issues but supported the resolution as a way to encourage action. The committee then began discussion of SCR 179 and SR 174, which urge Maui County to enforce fire code provisions on brush clearance, fuel breaks, roadside vegetation clearing, and emergency access, with written support noted from Aloha Independent Living Hawaii.

Transcript Highlights:

• responder status would help provide essential training, critical supporting services, including therapies
• responder status would help provide essential training, critical supporting services, including therapies
• responder status would help provide essential training, critical supporting services, including therapies
• Provide essential training, critical supporting services, including therapies and resources designed

Bills: HCR92, HCR46, HCR172, HCR147, HCR112, HCR100, HR84, HR42, HR139, HR104, HR92

Keywords: automated external defibrillator, AED, cardiac arrest, state buildings, health education, public health, lifeguards, first responders, public safety, ocean safety, emergency response, Hawaii, workers' compensation, auditor, procurement audit, compliance, Department of Human Resources Development, transparency, accountability, medical care

Transcript Highlights:

• So you continue on with a mental health therapy in order to provide a little more solid foundation for
• 52.800> health So you continue on with a mental health So you continue on with a mental health therapy
• 54.160> to<00:11:54.480> provide<00:11:55.200> a<00:11:55.440> little therapy
• in order to provide a little therapy in order to provide a little more<00:11:55.920> solid<00

Keywords: Convene 00:00 Senate Message 04:18 Report of Committees 05:09 Orders of the Day 06:40 HB 169 06:50 HB 393 13:08 HB 194 15:43 Motions, Petitions, and Communications 24:38 Introduction of New Bills and Resolutions 35:23 Recess for ConC/Rules Meeting 38:09 ConC/Rules Report 40:57 Floor Amendments 42:04 Adjournment 42:20, 958, all

Summary: The House convened, opened with prayer and the Pledge of Allegiance, recorded 95 members present, approved the prior journal, and received notice from the Senate that Senate Bills 1 and 3 had passed and were sent over for concurrence. Committee reports advanced a number of bills on housing, local purchasing, health care credentials, postsecondary education, school bus safety, special license plates, milk transportation, veteran PTSD treatment, and the Kentucky Fire Commission, with several reported with committee substitutes. The chamber then considered House Bill 169 on coverage for feeding or eating disorders. The sponsor explained that the bill addresses insurance coverage decisions tied to body mass index by requiring BMI to be considered alongside another factor, such as depression, anxiety, or family circumstances, and said the committee substitute clarified that one factor alone could not control the decision. The substitute was adopted, and the bill passed 95-0. House Bill 393, which updates the Alzheimer’s and related dementias council, adds a caregiver seat, and requires an annual action project including an early detection toolkit, also passed unanimously, 95-0. House Bill 194, relating to cigar bars, drew the most discussion. The sponsor said the bill does not repeal existing smoke-free ordinances, but creates a narrow exemption for tightly defined cigar bars, with a 25% gross revenue threshold from cigar-related sales, age restrictions, local permitting options, smoke containment requirements, and signage. Members asked about local authority, other tobacco products, and whether the bill could affect smoking bans; supporters emphasized the narrow scope and personal choice, while opponents said their districts’ smoking bans and constituent concerns led them to vote no. The bill passed 69-24. The House then applied the clincher and moved to announcements, including committee schedule notices, a Small Business Day event, receptions, and citations recognizing National School Counseling Week, the KBLC Black History Celebration, and memorializing Brandy Engles.

Transcript Highlights:

• you're going to see more stressors on the healthcare system, especially at the PA, nurse, and physical therapy
• I mean, if the child needs speech and language pathology or physical therapy or anything like that?
• So, Madam Chair, if it was physical therapy, I would say I would probably... from the Metropolitan Behavioral
• For speech therapy, we would work with the school district and they would provide it.

Transcript Highlights:

• I'm spending all my money in therapy. I'm spending all my money at my therapist.
• Currently, she's not going to therapy. She's been in the past. She's been in inpatient...
• On October 29th, 2024, I arrived to pick up Caleb early for an occupational therapy appointment.
• All I asked for was a third-party investigation into their hiring practices as well as trauma and therapy

Keywords: 1185, senate, all

Transcript Highlights:

• That is devices only; that does not include visits to the audiologists, speech therapy, or other medical
• 00:13:08.920> not<00:13:09.079> include<00:13:09.440> speech<00:13:09.839> therapy
• <00:13:10.720> that does not include speech therapy that does not include speech therapy that

Keywords: 958, all

Summary: The committee first took up Senate Bill 27, as amended by committee substitute, which would create a Kentucky Parkinson’s disease research registry. The sponsor said the substitute was developed with UK, U of L, the Michael J. Fox Foundation, and Parkinson’s in Motion to better define a movement disorder center, add Parkinson’s experts from both universities to the advisory committee, require automated reporting, and delay implementation until 2027. Testimony emphasized the need to track diagnoses and testing while protecting confidentiality and allowing people to opt out. The committee adopted the substitute and then voted unanimously to pass SB 27 with a favorable expression. The committee then heard Senate Bill 93, dealing with hearing aid coverage for children. A parent described the high cost of hearing aids for her son and the financial burden created by insurance limits, while a pediatric audiologist explained that early identification and treatment improve language outcomes and that families can spend about $30,000 on hearing aids from birth to age 18. The committee substitute removed adults from the bill and added an in-network requirement for pediatric audiologists, along with a replacement interval consistent with Medicaid guidelines and repair/loss coverage provisions. After questions about costs, replacement timing, and insurer practices, the committee voted unanimously to pass SB 93 with a favorable expression. Finally, the committee considered Senate Bill 153, a transparency and due-process bill concerning Medicaid prepayment review. The sponsor and witnesses from Addiction Recovery Care and Frontier Behavioral Health said prepayment reviews can be imposed with little notice or explanation, disrupt cash flow, and burden rural and smaller providers; they argued the bill would require clearer notice, reasons, and timelines without stopping legitimate reviews. Members asked about managed care organizations, contract issues, and whether the bill would conflict with existing agreements, and the sponsor said it would not. After discussion and an explanation of vote from Senator Douglas, the committee voted to pass SB 153 with a favorable expression.

Transcript Highlights:

• She said the bill does not ask schools to become therapy centers; it asks the people who spend six hours
• The bill doesn't ask schools to become therapy centers.
• And then once they identify it, then they're not therapy... Experiencing in a classroom.
• Placing education with political therapy? No, I don't know.
• Placing education with political therapy?

Bills: HR249, HR251, HB395, HB902, SB83, SB132, SB157, SB338, SB450, SB484, SB501, SB507

Keywords: artificial intelligence, AI, BESE, State Board of Elementary and Secondary Education, content standards, K-12 education, public schools, curriculum, digital literacy, computer science, STEM, technology education, student privacy, ethical AI, workforce development, future-ready workforce, instructional resources, education policy, school standards, Louisiana education

Transcript Highlights:

• know that many students do need specialized facilities to receive education and other appropriate therapies
• pediatric hospital and an outpatient setting serving Medicaid patients and providing medical nutrition therapy
• I myself have worked in health care over 30 years, providing medical nutrition therapy to patients and
• services by building on the existing children's benefit, including services such as medical nutrition therapy
• Recognizing and including services like medical nutrition therapy in the adult benefit is critical to

Bills: HB136, HB451, SB425, SB466, SB905, SB1986, SB2311, SB2450, SB2805, SB2826, SB2919, SB3001

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening

Summary: The committee met with a quorum and announced it would vote on pending bills at 10:30, with public testimony limited to two minutes. It first took up Senate Bill 905, a TDLR cleanup bill on licensing regulation of speech-language pathologists and audiologists. Senator Zafferini said the committee substitute would streamline advisory board consultation, remove obsolete provisional licenses, and allow any licensed physician to authorize hearing instruments for minors; the substitute was adopted and the bill left pending. The committee then heard House Bill 451, which would require universal screening for commercial sexual exploitation risk for children in DFPS conservatorship and youth under TJJD jurisdiction. The author and witnesses from Children at Risk, the Fort Bend Anti-Trafficking Collective, and Texas CASA supported the bill as a prevention tool with existing infrastructure and training; the committee adopted the substitute and left the bill pending. The committee next considered Senate Bill 466, which would clarify that families may request a fetal death certificate at any gestational age, while keeping existing filing requirements for physicians. A constituent father testified about losing his 11-week-old daughter and being told he could not obtain a certificate, which he said prevented funeral arrangements; the substitute was adopted and the bill left pending. Senate Bill 2311 followed, requiring residential treatment centers to have a written agreement with the school that will educate resident children before becoming operational. The author cited a local dispute where an RTC and school district lacked communication, and witnesses from Texas CASA and Disability Rights Texas supported clearer educational planning while suggesting the Education Code may need conforming changes; the bill was left pending. The committee then heard Senate Bill 2826, known as Alyssa’s Law, which would create a statewide education program on medical child abuse for medical students, health care professionals, and CPS caseworkers. The author and Sheriff Bill Weyburn described Alyssa’s case as involving repeated unnecessary surgeries and argued the bill would improve awareness and early identification, while several witnesses and members raised concerns about false accusations, impacts on medically fragile children, and the need for scientific, peer-reviewed training and safeguards. After extensive discussion, the chair left the bill pending. The committee also heard House Bill 136, which would add certified lactation consultants as Medicaid providers to expand breastfeeding support; witnesses from lactation and nutrition fields said the bill would improve access, maternal and infant health, and long-term savings, and the bill was left pending. Finally, the committee took up Senate Bill 2805, a surprise-billing/arbitration measure that would clarify provider identifiers and shift arbitration costs to the losing party. The author said the substitute was a legislative counsel draft with no substantive difference, and witnesses from the Texas Medical Association, Texas Society of Anesthesiologists, and U.S. Anesthesia Partners supported the bill as a modest improvement that would reduce administrative confusion and make arbitration fairer without weakening patient protections. Members discussed how arbitration costs affect settlement behavior and how to define the “winner” in close cases. The bill was heard but not voted out during this segment.

Transcript Highlights:

• Next up we have the Board of Physical Therapy in support.
• Next up, Board of Massage Therapy here again. Thank you, committee.
• support thank you uh next up Board of support thank you uh next up Board of Massage<00:22:51.840> Therapy
• > here<00:22:53.039> again<00:22:53.600> thank<00:22:53.720> you Massage Therapy
• here again thank you Massage Therapy here again thank you committee<00:22:54.640> um<00:22:54.760

Keywords: 910, house, all

Summary: The Committee on Consumer Protection and Commerce met on March 12, 2025, and heard testimony on several bills, with most measures drawing support from state boards, agencies, and industry groups. SB 102 (restaurants) had one supportive testifier and no questions. SB 1367 SD1 (installment loans) drew support from DCCA and other boards, but the chair raised concerns about a proposed $5 debit-card convenience fee, saying it seemed high and suggesting it might be amended downward; DCCA said it would check with industry on the likely impact. SB 1373 SD2 (administrative licensure action against sex offenders) received broad support from DCCA and multiple professional licensing boards, including psychology, physical therapy, naturopathic medicine, chiropractic, dentistry, massage therapy, nursing, optometry, barbering and cosmetology, the Hawaii Medical Board, and HPD. The committee then heard SB 1142 SD1 (insurance proceeds), which was supported by DCCA, the Council for Native Hawaiian Advancement, AARP, Hawaiʻi Realtors, and the Hawaiʻi Insurers Council, while State Farm offered comments and the Hawaii Bankers Association opposed. Testimony focused on insurance access after the Lahaina wildfires and the need to address underinsured homeowners. The committee also discussed SB 144 SD2 (stabilization of property insurance), with support from the Hawaii Green Infrastructure Authority, AARP, Hawaiʻi Realtors, and the Hawaiʻi Insurers Council, and comments from the Attorney General and DCCA Insurance Division about revising the financing structure and correcting bill language. Opponents and reservationed supporters argued the bill may not help if applicants can still obtain coverage at very high prices, while supporters said it would expand market capacity and provide a safety net as climate-related losses continue. Finally, SB 253 SD2 (condominium reserves) received support from Hawaiʻi Realtors, CI, and several individual testifiers. Supporters said it would enforce existing disclosure requirements under Act 199 and improve reserve funding transparency, while one individual argued stronger enforcement and an ombudsman-style office would be more effective. The chair reminded testifiers to stay on the bill at hand. No votes or final committee actions were taken during the portion of the meeting reflected in the transcript.

Transcript Highlights:

• Another area of excellence is healthcare with nationally ranked programs in nursing, physical therapy
• , occupational therapy, and many more.
• Alicia Becker, as a 26 year old first-generation student in our occupational therapy program.
• We're also proud to have the number one occupational therapy program in Texas, but what we're most proud
• where the Health Science Center set up a pathway program, which will, uh, expand our physical, uh, therapy

Bills: HB4319, HB4317, HB1225, HB3076, HB3081, HB4226, SCR17, HB4432, HB3304, HB3411, HB3435, HB4339, HB4331, HB4341, HB4342, HB1770, HB1016, HB4113, HB2950, HB4141, HB3277, HB2988, HB3029, HB3338, HB1889, HB3834, HB3831, HB2939, HB3045, HB3657, HB1739, HB3759, HB3755, HB4484, HB4486, HB4108, HB1250, HB2961, HB1219, HB3025, HB1782, HB1907, HB3718, HB4459, HB2976, HB3548, HB3545, HB2952, HB2929, HB2956, HB2973, HB3055, HB3086, HB3040, HB3794, HB4336, HB3151, HB1590, HB3581, HB3313, HB3429, HB3448, HB1752, HB2650, HB3584, HB4202, HB3586, HB4321, HB4280, HB3650, HCR1020, HB2116, HB2206, HB4301, HB3625, HB3147, HB3403, HB3498, HB3970, HB3975, HB3976, HB3980, HB4265, HB4266, HB3638, HB3880, HB3930, HB3942, HB3944, HB4191, HB3242, HB3678

Keywords: administrative procedures, rulemaking authority, specific authority, legislative review, agency rules, accounting, CPA, licensure, educational requirements, reciprocity, professional conduct, vital records, birth certificate, birth registration, biological sex, sex designation, male, female, nonbinary, gender identity

Bills: HB4319, HB4317, HB1225, HB3076, HB3081, HB4226, SCR17, HB4432, HB3304, HB3411, HB3435, HB4339, HB4331, HB4341, HB4342, HB1770, HB1016, HB4113, HB2950, HB4141, HB3277, HB2988, HB3029, HB3338, HB1889, HB3834, HB3831, HB2939, HB3045, HB3657, HB1739, HB3759, HB3755, HB4484, HB4486, HB4108, HB1250, HB2961, HB1219, HB3025, HB1782, HB1907, HB3718, HB4459, HB2976, HB3548, HB3545, HB2952, HB2929, HB2956, HB2973, HB3055, HB3086, HB3040, HB3794, HB4336, HB3151, HB1590, HB3581, HB3313, HB3429, HB3448, HB1752, HB2650, HB3584, HB4202, HB3586, HB4321, HB4280, HB3650, HCR1020, HB2116, HB2206, HB4301, HB3625, HB3147, HB3403, HB3498, HB3970, HB3975, HB3976, HB3980, HB4265, HB4266, HB3638, HB3880, HB3930, HB3942, HB3944, HB4191, HB3242, HB3678

Keywords: administrative procedures, rulemaking authority, specific authority, legislative review, agency rules, accounting, CPA, licensure, educational requirements, reciprocity, professional conduct, vital records, birth certificate, birth registration, biological sex, sex designation, male, female, nonbinary, gender identity

Transcript Highlights:

• And I am grateful that alternative therapies are starting to emerge to address this very real problem
• Medication and psychotherapy, talk therapy, do not always provide the answer to folks with depression
• I know I am encouraged by ketamine therapy. We've seen great results there.
• We were trying to get this bill amended to include the therapy.
• Um so that that include the therapy.

Keywords: 1187, senate, all

Transcript Highlights:

• These are long-term therapies that people depend on every day, often for life.
• and reliable refill process provided through mail order supports better adherence, reduces gaps in therapy
• These are long-term therapies that people depend on every day, often for life.
• and reliable refill process provided through mail order supports better adherence, reduces gaps in therapy
• think, um, if we’re going to be consistent with what carriers on the mainland, people on insulin therapy

Keywords: 912, senate, all

Summary: The committee heard testimony on a large number of health-related measures, with the most extensive discussion on SB 2283, which would expand mail-order pharmacy access for prescription drugs. Supporters including HMSA, the Board of Pharmacy, and health plan groups said mail order could lower costs, improve adherence, and reduce hospitalizations, while independent pharmacies and rural neighbor-island providers warned it could harm local pharmacies, reduce access for patients who rely on face-to-face service, and create delivery and storage problems for medications. No vote was taken on SB 2283 during the excerpt, and the chair moved on after hearing testimony. The committee also heard SB 2855 on opioid antagonists, with the Insurance Division and HMSA noting that medically necessary opioid antagonists are already covered and suggesting the issue may be addressed through education or administrative fixes. Fentanyl and substance abuse groups supported the measure. SB 3045 on health insurance coverage for continuous glucose monitors drew broad support from diabetes and health organizations; HMSA said it had already expanded coverage for members on injectable insulin but raised concerns about supply constraints and said it had not yet seen an auditor study referenced in discussion. Members asked whether the bill would extend coverage beyond current policy. SB 2843 on domestic violence received support from the Public Defender’s Office, prosecutors, and victim-related organizations, who said the pilot program for misdemeanor domestic violence cases had reduced backlogs and improved court efficiency. A prosecutor also supported retaining coercive control as a petty misdemeanor tool in larger domestic violence cases. SB 2845 on healthcare facility access drew strong support from many health, legal, and advocacy groups, who said it would protect patients and staff from disruptive interference at healthcare facilities; one opponent argued it would chill lawful speech and protest and unfairly exempt labor demonstrations. The committee then heard SB 2854 and SB 3202, both healthcare-related measures, with testimony largely in support. SB 2854 drew comments from health and dental groups, and SB 3202 focused on workforce and licensing issues, including support for retired physicians volunteering, preceptor tax credits, and adding advanced midwifery and physician assistant-related provisions. The chair repeatedly enforced a one-minute testimony limit and moved through the agenda without recorded votes in the excerpt.