Bills: HB2198, HB2021, HB1881, HB1964, HB1990, HB2151, HB2599, HB2414

Keywords: gambling, prediction markets, Hawaii gambling laws, financial contracts, ethical concerns, electric bicycles, micro-mobility devices, safety regulations, traffic laws, insurance exemption, high-speed electric devices, land use, ropeway, transportation, state regulation, government exemption, building code, permitting process, training, state council

Transcript Highlights:

• And when you are a behavioral health provider or a substance abuse provider and have an Access ID, you
• So even when somebody has maybe had a history of substance abuse or SMI previously and they've committed
• abuse facility.
• abuse facility.
• I was a desperate woman with a substance abuse disorder who just wanted to live.

Bills: SB1052, SB1115, SB1118, SB1120, SB1121, SB1124, SB1171, SB1172, SB1174, SB1175, SB1214, SB1233, SB1235, SB1316, SB1345, SB1372, SB1399, SB1458, SB1494, SB1496, SB1564, SB1602, SB1621, SB1628, SB1630, SB1631, SB1668, SB1672, SB1814, SB1821

Keywords: assisted living, health care, hyperbaric oxygen therapy, physician orders, informed consent, AHCCCS, remote work, state agency, employment, public health, housing, zoning, middle housing, urban development, duplexes, triplexes, fourplexes, townhomes, historic preservation, radiation protection

Bills: HB267, HB271, HB267, HB271

Keywords: HB267, Alabama, minor consent, medical consent, mental health, school counseling, parental rights, parental consent, parental access to records, health information, health records, vaccine consent, school mental health services, student counseling, youth healthcare, adolescent health, emancipated minor, pregnancy care, sexually transmitted infections, STI treatment

Transcript Highlights:

• criminal law, creating the crime of unlawful carrying of a firearm while trafficking a controlled substance
• Department of Environment provide a report on the implementation of the Per- and Polyfluoroalkyl Substances
• Protection Act and recommendations to improve consumer protections from per- and polyfluoroalkyl substances

Bills: HM3, HM11, HM14, HM15, HM21

Keywords: nurses, health care workers, healthcare workers, frontline workers, hospital staff, clinicians, allied health professionals, support staff, public health, workforce shortage, nursing shortage, safe staffing, patient safety, rural health care, frontier communities, behavioral health, mental health, substance use disorder, substance abuse, health care memorial

Transcript Highlights:

• appointed to the DOJ committee, I started working on a few ideas for identifying fraud, waste, and abuse
• of something Governor Perry did. ask universities to start like a hotline to report fraud, waste, abuse
• , but One of the problems with that is if you're actually reporting that fraud, waste, and abuse to the
• so do I don't know this I'm just asking do other state agencies that are looking at fraud, wasting abuse
• After doing the hard work and therapy to address the abuse and neglect she had suffered at home and on

Bills: HB1784, HB2088, HB3062, HB3475, HB3741, HB4279, HB4763, HB5154, HB5294, HB5508, SB1401, HB232, HB232

Keywords: students, homeless, foster care, higher education, liaison officer, housing assistance, transition support, law school, Rio Grande Valley, legal education, public university, accreditation, fentanyl prevention, drug poisoning awareness, mental health resources, substance abuse education, El Paso, university system, funding, public education

Transcript Highlights:

• I graduated the next day, and the abuse continued into my early college years.
• </c><00:07:15.599><c> continued</c> the next day and the abuse continued the next day and the abuse continued
• </c><00:07:22.560><c> and</c> an active participant in my abuse and an active participant in my abuse
• , whether or not the physical abuse actually occurs.
• abuse.

Bills: HF3489, HF3550

Keywords: grooming, child protection, student safety, sexual exploitation, educator licensing, teacher discipline, mandatory reporting, mandated reporter training, school misconduct, predatory offender, child abuse, sexual abuse, sex trafficking, child sexual abuse material, child pornography, position of authority, school employee, school administrator, license revocation, license suspension

Transcript Highlights:

• I have over 30 years' experience in substance use disorder providing treatment and training for staff
• 62Q.72 subdivision 4 to limit the 12-month over one-year exemption to only the purposes of fraud or abuse
• I have over 30 years' experience in substance use disorder providing treatment and training for staff
• It also helps ensure the people facing mental health and substance use disorder challenges can get the
• use disorder who are faced substance use disorder who are faced with<00:41:14.880><c> challenges</c>

Bills: HF729

Keywords: human services, provider enrollment, medical assistance, healthcare, housing stabilization, substance use disorder, vulnerable adults, fraud prevention, 1183, house

Transcript Highlights:

• I would just offer that the A1 amendment updates the statute to accurately reflect DOC's current substance
• Abusers win when domestic violence and sex trafficking survivors are afraid to reach out and get the
• think that ICE will show up at the think that ICE will show up at the doorstep.<00:46:49.520><c> Abusers
• Abusers win when domestic doorstep.
• Abusers win when domestic violence<00:46:52.000><c> and</c><00:46:52.240><c> sex</c><00:46:52.480><c>

Bills: HF3405, HF3413, HF3769, HF3768, HF3771, HF3465

Keywords: Bureau of Criminal Apprehension, BCA, Use of Force Investigations Unit, federal agents, Department of Homeland Security, DHS, Immigration and Customs Enforcement, ICE, Customs and Border Protection, CBP, U.S. Citizenship and Immigration Services, USCIS, officer-involved death, use of force, law enforcement accountability, police oversight, independent investigation, criminal sexual conduct, sexual assault, peace officers

Bills: HB322, HB126, HB3062, HB1481, HB2310, HB2674, HB121, HB2243, HB3627, HB1178, HB367, HB5515

Keywords: JET Grant Program, career education, technical education, community colleges, technology solutions, high demand jobs, student athletes, name image likeness, compensation, intercollegiate athletics, representation, fentanyl prevention, drug poisoning awareness, higher education, mental health resources, substance abuse education, student policy, communication devices, school regulations, disciplinary measures

Transcript Highlights:

• Since hemp was legalized, it has become harder and harder for officers to tell whether a substance is
• Agencies that receive funding must report each year on the number and the weight of substances tested
• , how many tested over the legal THC limit... ...the weight of substances tested, how many tested over
• the legal THC limit, the types of substances tested, the average cost per test, any resulting cases,
• Real lived experiences, stories of assault, abuse, and survival.

Bills: HB1455, HB1777, HB2101, HB2136, HB2609, HB3142, HB3552, HB3846, HB4155, HB4514, HB4879, HB4995, HB5014, HB5139, HB5228, HB5436, HCR40

Keywords: mental health, jail diversion, law enforcement, reporting requirements, criminal justice, data collection, criminal justice reform, intellectual disability, mental illness, data reporting, public safety, reporting, substance abuse, sex offender, driver's license, identification, gunshot detection, unreported gunshots, municipal police, crime investigation

Summary: The committee met with a quorum and heard several bills, generally leaving them pending after testimony. HB 4995 would create a training/certification program allowing licensed physicians and certain EMS personnel assigned to tactical units to carry firearms during high-risk deployments, with supporters saying it would protect tactical medical staff and improve emergency care; the committee substitute was withdrawn and the bill left pending. HB 2609 would repeal the OmniBase/failure-to-appear-or-pay license hold program; the author and supporters argued it unfairly compounds debt and traps drivers in noncompliance, while judges and municipal court representatives said it is an effective, voluntary tool that prompts court appearances and reduces warrants. HB 4879 would create a grant program to help local law enforcement pay for lab testing of suspected hemp/THC substances, and HB 5436 would allow licensed auto recyclers to purchase certain untitled vehicles for scrap or parts to curb illegal sales, VIN cloning, and chop shop activity; both bills drew supportive testimony and were left pending. The committee also heard HB 1777, which would place a discrete sex-offender designation on driver’s licenses and state IDs for registrants under Chapter 62. The author said the marker would help law enforcement and businesses quickly identify potentially dangerous offenders and cited other states and research in support, while opponents argued it would function as a scarlet letter, increase harassment, and punish people who are already complying with the law. HB 4155 would create a Family Violence Criminal Homicide Prevention Task Force in the Governor’s Office to study risk factors, coordinate agencies, and recommend policy changes; the author, HHSC, TCFV, and a survivor testified in support, emphasizing the number of family violence homicides and the need for coordinated, data-driven prevention, and the bill was left pending. Finally, HB 4514 would authorize DPS to use facial image verification, with consent and confidentiality protections, to help businesses verify identities and combat fraud. Supporters from the lumber and identity-verification industries said it would reduce losses from fake IDs and organized theft, while the author stressed privacy safeguards and limited, consent-based use. The committee substitute was withdrawn and the bill was left pending.

Transcript Highlights:

• Bill 4879 creates a grant program to help local law enforcement agencies pay for lab testing of substances
• Since hemp became legal, it has been harder for officers to tell whether a substance is legal or not
• to pay third-party laboratory testing. ...to pay for third-party laboratories to test suspected substances
• Agencies that receive funding must report each year on the number and types of substances tested, how
• many tested over the legal THC limit, and the types of substances. tested, the average cost per test

Bills: HB1455, HB1777, HB2101, HB2136, HB2609, HB3142, HB3552, HB3846, HB4155, HB4514, HB4879, HB4995, HB5014, HB5139, HB5228, HB5436, HCR40

Keywords: mental health, jail diversion, law enforcement, reporting requirements, criminal justice, data collection, criminal justice reform, intellectual disability, mental illness, data reporting, public safety, reporting, substance abuse, sex offender, driver's license, identification, gunshot detection, unreported gunshots, municipal police, crime investigation

Bills: SB206, SB640, SB667, SB1344, SB1380, SB1423, SB1425, SB1436, SB1484, SB1500, SB1502, SB1503, SB1557, SB1562, SB1572, SB1644, SB1645, SB1794, SB1796, SB1806, SB1849, SB1984, SB2007, SB2074

Keywords: SB206, emergency medical services, EMS, ambulance, 911 response, emergency response, essential services, federal funding, grant funding, public health, health care facility, municipality, county, ambulance service district, tribal entity, public entity, contract ambulance service, Oklahoma, 63 O.S. 2021 Section 1-2502, emergency clause

Bills: SB206, SB640, SB667, SB1344, SB1380, SB1423, SB1425, SB1436, SB1484, SB1500, SB1502, SB1503, SB1557, SB1562, SB1572, SB1644, SB1645, SB1794, SB1796, SB1806, SB1849, SB1984, SB2007, SB2074

Keywords: SB206, emergency medical services, EMS, ambulance, 911 response, emergency response, essential services, federal funding, grant funding, public health, health care facility, municipality, county, ambulance service district, tribal entity, public entity, contract ambulance service, Oklahoma, 63 O.S. 2021 Section 1-2502, emergency clause

Summary: The committee opened with prayer and then took up a series of health and human services bills, most of them moving forward on do-pass motions. Senate Bill 1645 would set audit procedures for Medicaid providers, with discussion focused on protecting providers from penalties for scrivener’s or typographical errors while still holding them accountable for fraud or failure to provide services. Senate Bills 1796 and 1806 addressed foster care, including a 72-hour cap on informal care and extending foster care to age 21 for youth continuing their education. Senate Bills 1423, 1425, and 1502 all repealed outdated advisory councils or programs that were no longer active or needed. SB 206, as amended, expanded licensed ambulance services as essential services to help them access more federal funding, and SB 500 sought to prevent pharmacy benefit managers from delaying payments to pharmacists. These measures were reported out with unanimous or near-unanimous votes. The committee also heard Senate Bill 1503, which would allow certain nonprofit pregnancy-support organizations without an Oklahoma physical address to apply for Choosing Childbirth grants. Members questioned whether state dollars could go to out-of-state personnel and how telehealth and reporting requirements would work. The bill was laid over for further amendment work. Senate Bill 1557 would place certified behavioral analysts under the State Board of Examiners of Psychology, and members raised questions about how it might interact with a separate bill affecting board authority; it passed after discussion. Senate Bill 1894 gave the podiatry board authority over continuing education, and SB 1984 was a cleanup bill for the Board of Osteopathic Medicine, including authority over certain licensure and telemedicine-related review issues; both passed after questions about scope and reciprocity. Later, the committee considered several pharmacy and insurance-related bills. SB 1344 created an insulin access and affordability program to partner with manufacturers of low-cost biosimilar insulin, and SB 1380 required Medicaid eligibility checks against death records, with an amendment discussed to protect long-term care facilities from retroactive nonpayment when eligibility is delayed. SB 1572 would commission a feasibility study on dissolving the Department of Mental Health and temporarily allow the Health Care Authority commissioner to oversee both agencies. SB 2007 required PBMs to reimburse pharmacists at actual acquisition cost when reimbursement falls below cost, with escalating fines for noncompliance. SB 2074 would impose a mandatory dispensing fee tied to the Medicaid rate; it drew extensive debate over whether costs would be shifted to employers, employees, or the state, and over the impact on pharmacy closures and rural access. The committee ultimately reported the bills out, with SB 2074 passing after lengthy discussion and a final vote.

Bills: SB1290, SB1332, SB1369, SB1379, SB1381, SB1386, SB1390, SB1428, SB1584, SB1696, SB175, SB1778, SB1794, SB1806, SB1836, SB201

Keywords: 2-1-1 services, revolving fund, Department of Human Services, crisis pregnancy, abortion, legal funding, housing, infrastructure, water projects, Oklahoma Water Resources Board, economic development, zero-interest loans, clawback provision, local contractors, mental health, crisis services, 988 Lifeline, suicide prevention, behavioral health, human trafficking

Bills: SB1290, SB1332, SB1369, SB1379, SB1381, SB1386, SB1390, SB1428, SB1584, SB1696, SB175, SB1778, SB1794, SB1806, SB1836, SB201

Keywords: 2-1-1 services, revolving fund, Department of Human Services, crisis pregnancy, abortion, legal funding, housing, infrastructure, water projects, Oklahoma Water Resources Board, economic development, zero-interest loans, clawback provision, local contractors, mental health, crisis services, 988 Lifeline, suicide prevention, behavioral health, human trafficking

Summary: The committee heard and advanced a long series of Senate bills covering criminal justice, courts, education, health, water infrastructure, economic development, and social services. Early measures included SB 1584, which shortens the timeline for submitting sexual assault evidence kits for forensic testing, and SB 1386, a courtroom transparency bill creating a pilot program for audio/video recording in certain courtrooms; SB 1386 drew the most extended debate, with concerns raised about privacy, selective editing, political use of footage, and impacts on victims, witnesses, jurors, and attorneys. The author said the bill was intended to improve the accuracy and context of the record, not to add live streaming or AI transcripts, and both bills advanced. Several education and justice-related bills also moved forward. SB 1381 would require arrested persons to be brought before a judge within 48 to 72 hours and establishes a pilot in Oklahoma County; SB 201 raises each step of the minimum teacher salary schedule by $2,500; and SB 1778 revises the Strong Readers Act by directing a single state-paid screening instrument, adding early intervention and transitional/pull-out reading support, and phasing in changes beginning in 2027. SB 1836, requiring a board-approved mental health screener in routine primary care visits, passed after debate over its costs and implementation. SB 1806, allowing some young adults to remain in or re-enter DHS care until age 21, and SB 1428, creating an Alzheimer’s and dementia coordination office at the Health Department with private funding, also advanced. The committee approved multiple public health and human services funding and coordination measures, including SB 1369 creating a revolving fund for the 988 crisis line, SB 1290 creating a 2-1-1 hotline revolving fund, SB 1794 establishing a statewide real-time behavioral health bed/capacity registry, and SB 1379 creating a two-year private grant program for certified human trafficking service providers. Members questioned fiscal impacts, administrative overhead, and service continuity, but the bills moved on. Other bills passed included SB 1696 to fund local recruitment incentives for new residents in rural and mid-sized communities, SB 1332 creating zero-interest water infrastructure loans for housing-related projects, SB 175 creating a reimbursement fund for abandoned uninsured commercial vehicles, and SB 1390 extending the gross production tax sunset to July 1, 2032.

Transcript Highlights:

• discharge or conditional release, it also adds a drug screening requirement if the court orders substance
• Is there someone from the Department of Mental Health and Substance Abuse available to come to the podium
• For example, if a child is being abused either sexually or physically by that parent, the parent would

Bills: SB1328, SB1380, SB1436, SB1558, SB1572, SB1651, SB1805, SB1831, SB1836, SB2014, SB2023, SB2044, SB2179, SB933

Keywords: parents' rights, healthcare consent, minors, medical records, protection, legal guardianship, Medicaid, Oklahoma Health Care Authority, eligibility verification, death records, Death Master File, vital statistics, disenrollment, recoupment, improper payments, benefits integrity, public assistance, income verification, residency verification, incarceration status

Transcript Highlights:

• It also adds a drug screening requirement if the court orders substance use monitoring as a condition
• Is there somebody from the Department of Mental Health and Substance Abuse available to come to the podium
• Is there somebody from the Department of Mental Health and Substance Abuse available to come to the podium
• For example, if a child is being abused, either sexually or physically, by that parent, the parent would

Bills: SB1328, SB1380, SB1436, SB1558, SB1572, SB1651, SB1805, SB1831, SB1836, SB2014, SB2023, SB2044, SB2179, SB933

Keywords: parents' rights, healthcare consent, minors, medical records, protection, legal guardianship, Medicaid, Oklahoma Health Care Authority, eligibility verification, death records, Death Master File, vital statistics, disenrollment, recoupment, improper payments, benefits integrity, public assistance, income verification, residency verification, incarceration status

Summary: The Health and Human Services Committee met to consider a series of Senate bills, beginning with SB 2014, which would allow ivermectin to be sold over the counter with FDA approval. After questions about whether a prescription would still be required and how FDA guidance would affect the law, the bill passed 9-3. SB 1805, as amended, barred detention and youth facilities from using temporary agencies or contracting organizations for staffing; the author said the change was intended to address transparency and records issues in a related lawsuit. That bill passed 12-0. SB 2044, also amended, clarified chiropractic-related language regarding serum and multiple vitamins; members discussed whether the bill changed scope of practice, and it passed 10-2. The committee then approved SB 1836, which requires a board-approved mental health screener during routine annual primary care visits. The author said it was meant to normalize mental health screening and noted an updated fiscal impact estimate of $284,000 to $560,000; some members raised concerns about mandates and cost, but the bill passed 8-4. SB 1380 would require the Oklahoma Health Care Authority to verify Medicaid eligibility against death records and conduct monthly death-record checks for enrollees; after questions about current practice, costs, and recoupment from deceased enrollees, the author requested title be stricken, and the bill passed 10-2. SB 2179, dealing with not-guilty-by-reason-of-mental-illness cases, adds staff accompaniment for therapeutic visits, requires structured violence-risk assessments before discharge or conditional release, and adds drug screening when substance-use monitoring is ordered; Department of Mental Health staff testified about treatment planning and monitoring, and the bill passed 11-1. Later, the committee passed SB 1436, which requires families to be informed of their right to certification after fetal death or miscarriage, and SB 1558, which clarifies that older youth in OJA custody may be placed in Level E group homes. SB 933, the “Right to Try for Individualized Treatment Act,” passed 11-0 and would allow certain terminally ill patients to seek individualized investigational treatments after informed consent. SB 1651, an Oklahoma Medical Board cleanup bill covering several licensed professions, also passed 11-0. Finally, SB 1328 modernizes parental access to minor medical records with safeguards for abuse situations, and SB 1572 removes the DHS and OJA directors from the OCCY board; both passed 11-0. The committee adjourned after noting a possible interim meeting for a Tier 1 nomination.

Transcript Highlights:

• it really looks to give DCF another tool in its toolbox to try to deal with situations of claimed abuse
• the child to determine whether the medical condition was likely to have caused symptoms of suspected abuse
• I believe that a child had it, or at least was prone to a genetic condition that showed signs of abuse
• For other survivors, they have already been forced to retell their story of trauma and abuse to police
• For other survivors, they have already been forced to retell their story of trauma and abuse to police

Bills: H5085, H5286

Keywords: poverty alleviation, family support, economic mobility, youth transition, financial education, matched savings, community programs, Department of Children and Families, DCF, child abuse investigation, child neglect, pediatrician, advanced practice registered nurse, medical misdiagnosis, rickets, Ehlers-Danlos syndrome, osteogenesis imperfecta, vitamin D deficiency, bone fragility, child welfare

Summary: The Joint Committee on Children, Families, and Persons with Disabilities held a hybrid hearing on miscellaneous bills, including H. 5286, which would require DCF to consult a medical professional when a parent presents evidence of a pre-existing diagnosis that could explain symptoms mistaken for abuse or neglect. Representative Brian Mario said the bill would give DCF another tool in difficult cases. Jennifer Fernandes testified about her family’s experience with her grandson being removed after doctors initially suspected a skull fracture that later proved unfounded, saying the bill could help prevent similar outcomes. Committee members expressed sympathy and indicated interest in further discussion. The committee then heard extensive testimony on H. 5085/S. 3095, the omnibus “An Act Significantly Alleviating Poverty.” Supporters described the bill as a comprehensive anti-poverty package built from the Poverty Commission’s work, combining higher cash assistance grants, matched savings, baby bonds, a guaranteed stipend for youth aging out of foster care, expanded tax credits, language access, clean slate record sealing, and worker protections. Senator Eldridge, Senator Miranda, Representative Decker, and many advocates argued that poverty is tied to housing instability, child welfare involvement, health harms, and racial and gender inequities, and that the bill would help families meet basic needs, build wealth, and reduce the benefits cliff. Witnesses from social service, legal aid, labor, immigrant advocacy, and public health groups strongly supported the bill’s provisions. Several focused on specific sections: child support pass-through and a broader good-cause exception for TAFDC recipients; extending the state EITC to ITIN filers; creating baby bonds and matched savings programs; automating criminal record sealing; improving language access at state agencies; and ending the subminimum wage for farm workers. Former foster youth and service providers said the guaranteed stipend would help young adults avoid homelessness and transition more safely into adulthood. No votes were taken during the hearing, and the chairs repeatedly noted the limited time and encouraged written testimony and follow-up conversations.

Bills: HB85, HB94, HB276, HB323, HB374, HB586, HB656, HB998, HB1204, SB42, SB46, SB51, SB87, SB110, SB154

Keywords: animal abuse, registry, law enforcement, felony offenses, public notification, firearms, due process, confiscation, law-abiding citizen, government funding, self-defense, bail, contradictory bail hearing, Gwen's Law, pretrial detention, criminal procedure, child sexual abuse, child rape, sexual battery, oral sexual battery

Transcript Highlights:

• </c> substance use treatment here at home. substance use treatment here at home.
• </c> impossible to access in the substance impossible to access in the substance use<00:51:25.200><c>
• It's limited to OKA-licensed residential and detoxification substance use disorder providers.
• It's limited to OKA-licensed residential and detoxification substance use disorder providers.
• </c><00:57:08.160><c> use</c> specific carbal with substance use specific carbal with substance use disorder

Bills: HB1853, HB1591, HB1961, HB1854, HB1965, HB1962, HB1959, HB2505, HB2576, HB1801, HB1804, HB1864, HB2319, HB2314, HB2115

Keywords: HB1853, dementia, Alzheimer's disease, cognitive impairment, memory care, memory clinic, Hanai Memory Network, Executive Office on Aging, aging services, kupuna, caregiver support, long-term care, elder care, geriatrics, public health, dementia screening, care coordination, referral network, neighbor islands, rural health

Summary: The committee heard testimony on SB 2047, relating to pharmacy benefit managers. The Insurance Division said the bill would require new enforcement resources and estimated an appropriation of about $1.5 million and five positions. Kaiser Permanente asked for an amendment to exclude HMOs from the definition of third-party PBMs, saying the bill should not interfere with integrated care models. PCMA and the Hawaii Pharmacist Association supported narrowing amendments, with pharmacists objecting to section 3 and warning the bill as amended could create major operational burdens and a significant general fund cost. No vote was taken in the portion provided, and the chair moved on to the next measure after questions. The committee then took up SB 2080, which would allow Hawaii to join the psychology interjurisdictional compact. Supporters, including DCR, the Hawaii Association of Health Plans, the Hawaii State Association of Counties, the Grassroot Institute, and others, said the compact would expand access to psychology services, especially for people in rural areas or those needing continuity of care while traveling. Opponents, including the Board of Psychology and a Shamanad University psychology professor, raised concerns about client safety, crisis-response procedures, enforcement costs, FBI background checks, and possible loss of state control over training and specialization standards. The board said Hawaii’s current 1,900-hour internship/postdoc requirement is higher than the compact’s standard and that the state is still implementing a separate provisional licensing law that may address some access issues. The discussion focused on whether the compact would meaningfully reduce shortages and whether Hawaii should instead pursue changes within its existing licensing system. Finally, the committee heard SB 2277 on hospital price transparency. The Office of Consumer Protection initially noted the bill could require significant staffing, but later testimony from SHIP suggested the measure could be handled more simply by working with the Healthcare Association of Hawaii and publicly posting violations. The Healthcare Association of Hawaii opposed the bill, arguing hospitals already must comply with federal CMS transparency rules and that adding state requirements would increase costs and legal exposure, especially if violations were treated as unfair or deceptive trade practices. Steve Fenberg testified in support, saying the bill would simply codify existing federal requirements in state law and that he was open to amendments removing state enforcement and the unfair trade practice language. No final action was taken in the excerpt provided.