Transcript Highlights:

• the ones that I think are most effective, where we've taken patients and put them on combination therapy
• These are the most expensive ones, but also the most effective in terms of compliance and viral load therapy
• So if somebody could please get back to me... and viral load therapy.

Summary: The Appropriations Committee on Health and Human Services heard presentations on the governor’s proposed fiscal year 2026-2027 budget for the health and human services agencies. Kendall Kelly outlined the overall HHS budget at $48.5 billion, with AHCA accounting for the largest share, and agency heads then highlighted major proposals for Medicaid behavioral health redesign, APD waiver enrollment and facility needs, DCF child welfare, opioid, and mental health investments, DOEA funding for Alzheimer’s, home care, and community services, DOH funding for cancer research, public health initiatives, and lab capacity, and VA funding for facility improvements, cybersecurity, and medication management. Several members praised specific proposals, including increased reimbursement for private duty nursing, Alzheimer’s supports, and the Florida FIRST blood-in-ambulance initiative. Senators also questioned the proposed changes to the AIDS Drug Assistance Program (ADAP), with the Surgeon General explaining that the department expects a reduction in covered patients from about 30,000 to about 20,000 because of funding pressures tied to rebates, federal changes, and premium tax credit issues. Public testimony strongly criticized the ADAP changes, citing lack of transparency and warning that many patients could lose access to medications. Other questions focused on the Office of Minority Health and Health Equity, DCF’s substance abuse and mental health data dashboard, Kids Care/CHIP expansion implementation, APD bed and facility planning, and the FX Medicaid technology project. DCF said about $7 million is set aside for the dashboard system, and AHCA said the governor’s budget includes $124.4 million for FX maintenance and continued module development, with $13.5 million to begin claims processing work. The committee did not take a substantive vote on the budget presentations and adjourned after questions and public testimony.

Transcript Highlights:

• Additionally, although Florida passed legislation to join the physical therapy compact, the commission
• The analysis from the source that presented the information in this map excluded the physical therapy
• committee The analysis from the source that presented the information in this map excluded the physical therapy

Summary: The committee heard and approved several health care bills. Senate Bill 68, by Senator Harrell, would require all hospital emergency departments to be prepared to treat children by maintaining pediatric equipment, staff training, written policies, a pediatric care coordinator, and completion/public posting of the National Pediatric Readiness Assessment. Senator Harrell said the bill is intended to improve pediatric emergency care in general hospitals, and the bill was supported by the Florida College of Emergency Physicians and the Florida Chapter of the American Academy of Pediatrics. It passed favorably. The committee also approved Senate Bill 154, which corrects the Mobile Act for dentists and dental hygienists by requiring graduates of out-of-state dental schools seeking licensure by endorsement to have attended a CODA-accredited school. The bill drew support from dental and dental hygienist groups and passed favorably. Senate Bill 40, by Senator Sharif, would require Medicaid managed care networks to ensure at least half of primary care providers offer appointments outside regular business hours, including evenings and weekends, to improve access and reduce emergency room use; it also passed favorably. A lengthy discussion centered on Senate Bill 254, also by Senator Harrell, which would tighten oversight of nursing education programs, create a temporary provisional license and preceptorship for new graduates awaiting NCLEX results, require remediation for low-performing programs, add standardized admission and exit-exam requirements, and allow the Department of Health to inspect programs unannounced. Supporters said the bill would improve quality and help students gain experience, while opponents warned it could reduce the number of nursing programs and worsen shortages, especially among private schools. After debate and testimony from nursing and school representatives, the bill passed favorably, with Senator Davis voting no. The committee then received an OPPAGA presentation on interstate health care licensure compacts. OPPAGA reviewed how Florida uses licensure by endorsement, telehealth registration, and compacts for nurses, psychologists, and physicians, and explained the potential benefits and drawbacks of joining additional compacts, including portability, data sharing, and emergency staffing versus costs, administrative burdens, and possible conflicts with Florida scope-of-practice laws. No action was taken on the presentation, and the meeting adjourned after Senator Davis requested to be recorded in support of SB 68 and SB 154.

Transcript Highlights:

• Hyperbaric chamber therapy. We've given them that. Travel authority. Mr. Chairman. Section 3.
• Chamber therapy we've given them that travel authority section 31.
• system office has requested one slight change be made to that hyperbaric chamber section, hyperbaric therapy

Bills: SB2003

Keywords: higher education, student loans, scholarships, capital projects, workforce development, funding, North Dakota university system, 908, all

Summary: The committee met to work through the higher education budget, beginning with a conflict-of-interest request from Representative Martinson, who was excused from voting because of a partnership that leases office space to Bismarck State College. Members then reviewed the higher education institution budget sheets, covering ongoing and one-time funding items for campuses and system projects such as BSC housing, Lake Region roof repairs, UND’s STEM and National Security Crossroads projects, the UND allied health facility, NDSU projects including New Horizons, DSU deferred maintenance and campus security, Mayville’s Old Main, Minot projects, and the regional health institutes. Members also discussed student financial assistance, the professional student exchange program, IT security funding, and workforce/education innovation grants. Several amendments and policy questions were debated. The committee adopted an amendment to make workforce education innovation grants competitive rather than automatically distributed, and then voted to remove language prohibiting those funds from being used to duplicate academic programs. Members also removed similar anti-duplication language from the New Horizons section. They agreed to extend the UND hyperbaric chamber transfer authority to 2027 and clarified language around UND land-sale proceeds. A proposed amendment to add $5.6 million for the Wahpeton State School of Science building purchase failed for lack of a second, and a proposal to restore fetal alcohol spectrum disorder funding to UND was left for conference. The committee also discussed, but did not add, a tuition cap change, a study on the Praxis exam, and several governance-related provisions. The committee spent significant time on broader higher education policy items, including a $3 million enterprise resource planning request for the university system, a $2 million grant program for students who are pregnant, recently gave birth, or are caring for young children, and a $1.1 million request for library age-verification software tied to the Odin system. Members also discussed dual-credit authority for UND and NDSU, a goal for the UND medical school to increase North Dakota resident enrollment, and intent language regarding the commissioner/chancellor model and presidential search authority. At the end of the meeting, the committee approved the amendments and then gave the higher education budget a do-pass recommendation as amended, with Representative Sanford designated as the carrier. The Forest Service budget was also approved, including two additional FTEs, and the committee adjourned after noting it would continue with other budgets the next day.

Transcript Highlights:

• allow a 10-week time frame for non-residential opioid treatment programs, treatment plan review, and therapy
• specifies services an individual with a temporary permit from the Board of Behavioral Health and Therapy
• street outreach workers, shelter beds, housing, and supportive services, which includes mental health therapy

Bills: HF2115, HF2276, HF1644, HF99, HF2068, HF2707, HF2704, HF2406, HF1674, HF1579

Keywords: human services, aging services, disability services, behavioral health, long-term care, nursing home, nursing facility, assisted living, waiver services, medical assistance, Medicaid, case mix reimbursement, PDPM, RUG, direct care and treatment, developmental disabilities, day services, positive support, guardian, conservator

Transcript Highlights:

• This IEP requires her to have not only educational interventions but other occupational therapies, physical
• therapies, etc.
• You're trying to get them to therapies.

Summary: The Student Academic Success Subcommittee met with a quorum and heard four bills, all of which were reported favorably by unanimous votes. The chair opened with remarks about student performance and assessment, then the committee took up House Bill 1111 by Rep. Valdes, which would eliminate the certificate of completion for students who do not meet standard high school graduation requirements. Supporters argued the certificate is a meaningless “participation trophy” that can mislead students and families, while the sponsor said students would instead be pushed toward additional support, concordance testing, or other pathways to a standard diploma. Members raised questions about effects on ESE students, timing, and alternative pathways; the bill passed 17-0. The committee next approved House Bill 921 by Rep. Overdorf, which adds cursive writing instruction for grades 2 through 5 and defines cursive proficiency. The sponsor and supporters said cursive has historical, cognitive, and fine-motor benefits and helps students read signatures and historical documents. The bill also passed 17-0. After a brief recognition of visiting students, the committee heard House Bill 423 by Rep. Bartleman, which requires private schools participating in the Family Empowerment Scholarship Program to give parents written notice about which services in an IEP, 504 plan, ELL plan, or similar plan will be honored. Supporters framed it as a transparency and consumer-protection measure for families, especially those with children with disabilities; the sponsor emphasized it does not require private schools to provide specific services, only to disclose them. The bill passed 17-0. Finally, the committee heard House Bill 251 by Rep. Tendrich, which would recognize January 27 as International Holocaust Remembrance Day in Florida. The sponsor and public witnesses described rising antisemitism, the importance of remembrance, and the need for education about the Holocaust. Members from both parties shared personal reflections and support, and a survivor’s letter was read into the record. The bill passed 16-0. At the end of the meeting, the chair noted the committee had gone four-for-four on unanimous support and adjourned.

Transcript Highlights:

• mainly with blood cancers, Cleveland Clinic, Florida, the Delray Medical Center, South Florida Proton Therapy
• mainly with blood cancers, Cleveland Clinic, Florida, the Delray Medical Center, South Florida Protein Therapy
• Now, in Prokine Therapy Institute and Broward Health.

Summary: The Education Postsecondary Committee held its first meeting and focused on state university centers and institutes, with an overview from the Board of Governors on how the more than 500 centers and institutes across Florida’s public universities are categorized, overseen, and reported. The Board described three categories: state-level centers, legislatively established centers, and university-established centers. Members were told universities must maintain policies, notify the Board of changes, publish public inventories, and submit annual reports and compliance certifications. Senator Harrell asked about funding sources and whether underperforming centers are reviewed for elimination; the response was that funding varies by center and that universities decide whether to maintain or disband centers under their own policies, with annual reporting and audit findings shared with the Board. Four university presentations followed. Florida Atlantic University highlighted its Center of Excellence in Biomedical and Marine Biotechnology, describing research in marine-derived drug discovery, genomics, imaging, cancer, neurodegenerative disease, and ocean sustainability, along with spin-off institutes and partnerships that have generated significant grant and contract support. FIU presented its Center of Excellence for Hurricane Damage Mitigation and Product Development, emphasizing the Wall of Wind facility, hurricane and water intrusion testing, code and product innovation, insurance modeling, and future expansion toward higher wind speeds and flood simulation. Florida State University’s High-Performance Materials Institute described work in advanced materials, aerospace composites, sensors, nanocomposites, and AI-enabled materials development, along with patents, industry partnerships, and new facilities tied to economic development. The University of Florida’s Lastinger Center for Learning outlined its work on teacher professional learning, literacy, New Worlds Reading, tutoring, and mathematics supports, including microcredentials, statewide book distribution, and early results showing improved reading confidence and growth. Members generally praised the centers for their research, commercialization, workforce development, and education impacts. Senator Jones and Senator Harrell commended the Lastinger Center’s literacy work and the broader return on investment from these programs, while Senator Berman noted the value of the synergies across institutions. The chair emphasized that future funding requests should clearly show measurable success, commercialization, and statewide impact. The committee then adjourned without any formal votes on legislation.

Transcript Highlights:

• And in their IEP, the school is required to have certain counseling hours, speech therapy, occupational
• therapy for my guy who has muscle weakness in his hands.
• And in their IEP, the school is required to have certain counseling hours, speech therapy, occupational
• therapy for my guy who has muscle weakness in his hands.
• that they need. in the public school system the way that it is now because they get all these therapies

Keywords: 1182, all

Transcript Highlights:

• at tomorrow's hearing to show my support of the bills in person, but I will instead be at my kids' therapy
• sessions regarding the PTSD they therapy sessions regarding the PTSD they suffer<00:42:17.600> from
• I think of the vote to prohibit conversion therapy, which was a bipartisan vote.
• ,<01:42:27.400> which<01:42:27.600> was<01:42:27.720> a conversion therapy,
• which was a conversion therapy, which was a bipartisan<01:42:28.320> vote.

Keywords: 1183, house

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:

• FC 1350, outdoor therapy programs grants. SB 351, energy measuring reporter repeal. SB 1350.
• SB 1350, outdoor therapy programs grants. SB 351, energy measuring portable repeal.

Keywords: 1182, all

Summary: The Senate convened with prayer, the Pledge of Allegiance, and an electronic roll call showing 30 members present. The body approved the previous journal and then paused for several memorial and guest recognitions, including a moment of silence for former Representative Noel Campbell, who died in a motorcycle accident. The chamber also welcomed visiting school district leaders, Grand Canyon University Government and History Club students, and Food Bank Day at the Capitol participants. Members then adopted a proclamation recognizing International Holocaust Remembrance Day, with remarks emphasizing the history of the Holocaust, the rise in antisemitism, and the importance of education and remembrance. A guest shared a personal family story about escaping Germany in 1938. Senator Bolick also read a proclamation for National School Choice Week, highlighting Arizona’s public, charter, private, homeschool, and microschool options and urging members to engage with schools in their districts. The Senate received numerous governor communications and introduced a long list of first- and second-reading bills covering topics such as education, water, energy, public safety, elections, health care, taxes, housing, and border issues. The chamber also received House Concurrent Resolution 2045 honoring the late Congressman Raul Grijalva; it was adopted unanimously, and the Senate observed a moment of silence. The session ended with committee announcements for the next day and adjournment until Wednesday, January 28, 2026 at 1:15 p.m.

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:

• In this region, that program provides short-term counseling and therapy services to LGBTQIA individuals
• continue piloting an LGBTQIA mental health connections program, as I noted, that provides counseling and therapy
• . health connections program, and in this region, that program provides short-term counseling and therapy
• continue piloting an LGBTQIA mental health connections program, as I noted, that provides counseling and therapy

Summary: The committee held an inaugural hearing on the health care and support needs of older LGBTQ Californians, with members and witnesses emphasizing that this population has made major gains in rights and longevity but still faces discrimination, isolation, economic insecurity, and gaps in services. Opening remarks highlighted concerns about older LGBTQ people entering nursing homes and feeling forced back into the closet, as well as the growing number of Californians aging with HIV. The hearing was structured into three panels, with public testimony considered if time allowed. The first panel focused on the overall health and support landscape. Justice in Aging described survey findings showing discrimination, poor health, difficulty with errands, and economic insecurity among older LGBTQ Californians, and warned that federal Medicaid cuts and broader federal actions could worsen access to home- and community-based services and culturally competent care. CalHHS and the Department of Aging described the Master Plan for Aging, the first statewide LGBTQIA older adult survey, and efforts to support gender-affirming care, PACE, care management, and community supports. Witnesses stressed the need for better outreach, data collection, and a “no wrong door” approach so people can more easily find and access services. The chair and senators pressed the departments on how survey findings are being translated into concrete action and how state agencies are coordinating across silos. The second panel addressed health care for seniors living with HIV. A longtime survivor described severe financial and benefits consequences from a federal clawback and argued that California needs stronger legal, navigation, and housing supports, including HIV-specific housing funding. The Department of Aging reported on implementation of SB 258, saying it has educated area agencies on aging, added HIV data to planning tools, and found that 20 of 33 area agencies identified HIV as a target population, with 16 including specific strategies. The Office of AIDS outlined Project Cornerstone, Ryan White, ADAP, HOPWA, a Medi-Cal waiver, and PrEP-AP, noting these programs serve thousands of older clients and that local case managers are expected to coordinate whole-person care. Case managers and advocates said housing, food, transportation, mental health, and premium assistance remain major needs, and senators asked whether future ADAP rebate funds could support navigation, housing, and other gap-filling services. The final panel turned to transgender, gender nonconforming, and intersex seniors. The Department of Social Services described protections under SB 219, including nondiscrimination notices, resident rights postings, required records for preferred names and pronouns, and annual inspections of licensed facilities. The Department of Public Health and a TransLatin Coalition leader were introduced to discuss additional supports for TGI seniors. Across the hearing, members repeatedly returned to the themes of visibility, coordination, and implementation, asking departments to follow up on how they will better connect services, improve outreach, and ensure that existing laws and programs are actually reaching the people they are meant to serve.

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.