Transcript Highlights:

• The author, want to go back to the table?
• I think the bigger... ...not complying with the prior authorization timelines.
• But there's a serious, serious issue going on with this prior authorization.
• All right, members, is there any amendments or any questions for the author?
• I think there's still a lot of questions, and we work with the author.

Bills: HB288, HB403, HB420, HB783, HB815, HB915, HB927, HB933, HB944, HB962, HB971, HR74, SCR3, SCR20, SB5, SB34, SB37, SB190, SB255, SB270, SB273, SB314, SB415

Keywords: medical terminology, documentation, miscarriage, spontaneous abortion, healthcare, medical records, billing, homemade food, food safety, small business, exemption, regulation, Department of Children and Family Services, background checks, child welfare, employee screening, safety regulations, criminal history, non-lactational dairy, labeling requirements

Transcript Highlights:

• concurrently in the military side, I'm also the behavioral health officer for the Hawaii Army National Guard
• concurrently in the military side, I'm also the behavioral health officer for the Hawaii Army National Guard
• c> health officer for the Hawaii Army health officer for the Hawaii Army National<00:44:14.560><c> Guard
• <c> know</c><00:44:15.920><c> very</c><00:44:16.240><c> well</c><00:44:16.480><c> how</c> National Guard
• So we know very well how National Guard.

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

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

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

Transcript Highlights:

• If we've given a business statutory authority to do something, whatever, I mean, we've given them rules
• It just sets up an advisory council to help the Oklahoma Health Care Authority on dental care for those
• Authority on dental care for those in that population. I'm open for question. Move for adoption.

Bills: HB4336, HB1818, HB3194, HB3538, HB3682, HB3762, HB3793, HB3930, HB3931, HB3934, HB4124, HB4200, HB4410, HB4457, HB4473, HB3884, HB1912

Keywords: interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation, spinal cord stimulator, intrathecal infusion pump, endoscopic diskectomy, fluoroscopy, physician supervision, allopathic physician, osteopathic physician, CRNA, certified registered nurse anesthetist, nurse anesthetist, freestanding pain management facility, medical licensure

Transcript Highlights:

• A health care authority, or? Health care authority. Okay.
• People that are medically licensed there stay in their lane, and so they are still under the authority
• of whatever medical authority they're under.
• So she has that authority under her license to read them.
• Chiropractors don't have RX authority.

Bills: HB4336, HB1818, HB3194, HB3538, HB3682, HB3762, HB3793, HB3930, HB3931, HB3934, HB4124, HB4200, HB4410, HB4457, HB4473, HB3884, HB1912

Keywords: interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation, spinal cord stimulator, intrathecal infusion pump, endoscopic diskectomy, fluoroscopy, physician supervision, allopathic physician, osteopathic physician, CRNA, certified registered nurse anesthetist, nurse anesthetist, freestanding pain management facility, medical licensure

Transcript Highlights:

• The author yields with the question. Of the author, I've got a question.
• He waves any more questions of the author. Any more questions of the author?
• Author yields. Will there be questions of the author? Er, ak, you recognized, Mr. Chairman.
• More questions of the author. More questions of the author.
• Any more questions of the author? Any more questions of the author? We have a new pass in a second.

Bills: SB1226, SB1456, SB1462, SB1463, SB1980, SB1479, SB1608, SB1923, HB2979, HB2980, HB3662, HB4107, HB3082, HB2997, HB3083, HB3055, HB2951

Keywords: motor vehicle, accident, notification, liability, civil action, gender neutral, SB1456, Board of Tests for Alcohol and Drug Influence, sunset extension, sunset law, breath alcohol testing, DUI, DWI, drunk driving, drug testing, chemical testing, field sobriety, roadside screening, blood test, saliva test

Transcript Highlights:

• The flags will be escorted to the rostrum by the Washington National Guard Color Guard: Master Sergeant
• And the National Guard of Washington State. Amen.
• House Resolution 4675, honoring the Washington National Guard, the clerk will read.
• Honoring the Washington National Guard, the clerk will read.
• So today on National Guard Day, I want to say directly to every member of the Washington National Guard

Bills: HB1160, HB1289, HB1339, HB1604, HB1798, HB1002, HB1065, HB1155, HB1269, HB1916, HB2120, HB2123, HB2158, HB2178, HB2264, HB2309, HB2411, HJM4004

Keywords: design review, local government, land use, zoning, project permits, housing density, middle housing, affordable housing, parking minimums, single-family zoning, infill development, growth management, comprehensive plan, permit streamlining, objective development regulations, architectural review, administrative review, transit-oriented development, accessory dwelling units, ADU

Transcript Highlights:

• premium tax of 2% on the premium for certain carrier lines, and the Washington Healthcare Facilities Authority
• We now have some taxing authority at Harborview thanks to the bill that the Legislature passed two years
• Chair Cleveland, members of the committee, Evan Klein with the Health Care Authority for the record.
• from a provider. ...preferred drug that can still be accessed usually through a prior authorization
• She didn't have time to wait for a specialist or navigate prior authorization.

Bills: SB5845, SB5916, SB6102, SB6071, SB6103, SB6159, SB5877, SB5967, SB5904, SB5915, SB6025

Keywords: health insurance, health carrier, insurance carrier, prompt pay, timely payment, claims processing, clean claim, remittance advice, provider reimbursement, hospital billing, medical billing, prior authorization, claims denial, interest on late claims, administrative penalty, Washington insurance commissioner, RCW 48, public employees benefits board, school employees benefits board, Medicaid managed care

Transcript Highlights:

• I don't, I don't read it that way, but maybe we should ask the author because.
• And so the author can be prepared to answer whether we could still celebrate Black Heritage Month, etc
• Um, that kind of, uh, problem would then extend down to say, local public health authorities, again,
• And then similarly, a lot of our cities have housing authorities, uh, and, you know, they have.
• In Texas, home rule municipalities have brought authority through their charters, yet they must remain

Bills: SB 231, SB 667, SB 689, SB 825, SB 965, SB 992, SB 1059, SB 1220, SB 2368, SB 2601

Keywords: temporary emergency electric energy facility, temporary generation, emergency power, backup generation, mobile generator, portable generator, grid resilience, power outage restoration, transmission and distribution utility, TDU, Public Utility Commission of Texas, PUCT, Utilities Code Section 39.918, competitive bidding, lease authorization, emergency procurement, bulk power system, locational marginal pricing, reliability model, black start

Transcript Highlights:

• We could ask the author, and so the author can be prepared to answer whether we could still celebrate
• That kind of problem would then extend... down to, say, local public health authorities, again, looking
• Cities have housing authorities and, you know, they have a broad portfolio of objectives, but one of
• Affecting a lot of our major housing authorities with respect to that.
• In Texas, home rule municipalities have broad authority through their charters, yet they must remain

Bills: SB231, SB667, SB689, SB825, SB965, SB992, SB1059, SB1220, SB2368, SB2601

Keywords: temporary emergency electric energy facility, temporary generation, emergency power, backup generation, mobile generator, portable generator, grid resilience, power outage restoration, transmission and distribution utility, TDU, Public Utility Commission of Texas, PUCT, Utilities Code Section 39.918, competitive bidding, lease authorization, emergency procurement, bulk power system, locational marginal pricing, reliability model, black start

Bills: HB 660, HB 4845, HB 3902, HB 5396, HB 4615, HB 1825, HB 1403, HB 4336, HB 4585, HB 4371, HB 863, SB 1589, HB 5223, HB 3195, HB 2734

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation

Bills: HB660, HB4845, HB3902, HB5396, HB4615, HB1825, HB1403, HB4336, HB4585, HB4371, HB863, SB1589, HB5223, HB3195, HB2734

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation

Transcript Highlights:

• Due to the short nature of... rehabilitation stays, we limited the ombudsman's authority to that of cases

Bills: HB660, HB4845, HB3902, HB5396, HB4615, HB1825, HB1403, HB4336, HB4585, HB4371, HB863, SB1589, HB5223, HB3195, HB2734

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation

Transcript Highlights:

• House Bill 1393 would authorize the observation of daylight savings time year-round.
• Currently, states are only authorized to observe standard time year-round without federal approval.
• Clearly, if, if the state gets that authority, uh, there's going to be some due, due process, um.
• Oh, I was just going to trying to include the author of.
• Questions for the author. Seeing none, we'll move on to public testimony. Gary Zimmerman.

Bills: HB 14, HB 106, HB 146, HB 267, HB 274, HB 1127, HB 1359, HB 1393, HB 1584, HB 1640, HB 1710, HB 2152, HCR 101, HJR 8, HR 51

Keywords: nuclear energy, advanced reactors, energy security, grant programs, Texas Advanced Nuclear Energy Office, HB 106, oil and gas, Railroad Commission of Texas, overhead electrical lines, electrical distribution system, power line maintenance, administrative penalty, Natural Resources Code, oil and gas lease, well operator, energy safety, utility infrastructure, regulatory compliance, cleanup fund, oil and gas regulation and cleanup fund

Transcript Highlights:

• The author of this book laid out seven years of research and laying all this out as to how they socially
• It gives legal justification to employ, authorize, or induce a child to engage. and sexual conduct knowing
• companion bill to Representative Vandiver's bill, also a consumer protection bill that has been authored
• Thompson does I just want to remind the author the bill that the session has started I couldn't hear
• rule, the PUC has suggested that we codify this definition. and remove the need for rule-making authority

Bills: HB14, HB 106, HB146, HB267, HB274, HB 1127, HB1359, HB1393, HB1584, HB1640, HB1710, HB2152, HCR101, HJR8, HR51

Keywords: nuclear energy, advanced reactors, energy security, grant programs, Texas Advanced Nuclear Energy Office, HB 106, oil and gas, Railroad Commission of Texas, overhead electrical lines, electrical distribution system, power line maintenance, administrative penalty, Natural Resources Code, oil and gas lease, well operator, energy safety, utility infrastructure, regulatory compliance, cleanup fund, oil and gas regulation and cleanup fund

Transcript Highlights:

• When we were deploying in my National Guard unit, we got smallpox vaccines.

Bills: HB2, HB43, HB49, HB94, HB137, HB156, HB200, HB250, HB3, HB42

Keywords: vaccination, parental consent, minors, medical consent, guardian approval, criminal procedure, split sentencing, probation, Class A felony, Class B felony, minimum confinement, HB49, Alabama criminal code, capital offense, capital punishment, death penalty, rape in the first degree, sodomy in the first degree, sexual torture, child sexual abuse

Transcript Highlights:

• Open the machine for co-authors. Co-authors, members, co-authors. It's a condolence resolution.
• Madam Clerk, open machine for co-authors. Members voting. We have 16 co-authors. Next bill.
• Madam Clerk, open the machine for co-authors. Members, vote your machines for co-authors.
• Coast Guard captain's license, remove a requirement of the Department of Wildlife and Fisheries providing
• Coast Guard captain’s license, and remove a requirement of the Department of Wildlife and Fisheries providing

Bills: HR84, HR85, HR86, HR87, HR88, HR89, HR90, HCR42, HCR43, HB1087, HB1088, HB1089, HB1090, HB1091, HB1092, HB1093, HB1094, HB1095, HB1096, HB1097, HB1098, HB1099, HB1100, HB1101, HB1102, HB1103, HB1104, HB1105, HB1106, HB1107, HB1108, HB1109, HB1110, HB1111, HB1112, HB1113, HB1114, HB1115, HB1116, HB1117, HB1118, HB1119, HB1120, HB1121, HB1122, HB1123, HB1124, HB1125, HB1126, HB1127, HB1128, HB1129, HB1130, HB1131, HB1132, HB1133, HB1134, HB1135, HB1136, HB1137, HB1138, HB1139, HB1140, HB1141, HB1142, HB1143, HB1144, HB1145, HB1146, HB1147, HB1148, HB1149, HB1150, HB1151, HB1153, HB1154, HB1155, HB1156, HB1157, HB1158, HB1159, HB1160, HB1161, HB1162, HB1163, HB1164, HB1165, HB1166, HB1167, HB1169, HB1170, HB1171, HB1172, HB1173, HB1174, HB1175, HB1176, HB1177, HB1178, HB1179, HB1180, HB1181, HB1182, HB1183, HB1184, HB1185, HB1186, HB1187, HB1188, HB1189, HB1190, HB1192, HB1193, HB1194, HB1195, HB1196, HB1197, HB1198, HB1199, HB1200, HB1201, HB1202, HB1203, HB1204, HB1205, HB1206, HB1207, HB1208, HB1209, HB1210, HB1211, HB1212, HB1213, HB1214, HB1215, HB1216, HB1217, HB1218, HB1219, HB1220, HB1221, HB1222, HB1223, HB1224, HB1225, HB1226, HB1227, HB1228, HB1229, HB1230, HB1231, HR73, HR74, HR75, HR77, HR78, HR79, HR80, HR81, HR83, HCR36, HCR37, HCR38, HCR39, HCR40, HCR41, HB368, HB433, HB1017, HB1018, HB1019, HB1020, HB1021, HB1022, HB1023, HB1024, HB1025, HB1026, HB1027, HB1028, HB1029, HB1030, HB1031, HB1032, HB1033, HB1034, HB1035, HB1036, HB1037, HB1038, HB1039, HB1040, HB1041, HB1042, HB1043, HB1044, HB1045, HB1046, HB1047, HB1048, HB1049, HB1050, HB1051, HB1052, HB1053, HB1054, HB1055, HB1056, HB1057, HB1058, HB1059, HB1060, HB1061, HB1062, HB1063, HB1064, HB1065, HB1066, HB1067, HB1068, HB1069, HB1070, HB1071, HB1072, HB1073, HB1074, HB1075, HB1076, HB1077, HB1078, HB1079, HB1080, HB1081, HB1082, HB1083, HB1084, SB111, SB122, SB195, SB221, SB404, HR1, HCR6, HCR19, HB27, HB81, HB134, HB154, HB163, HB170, HB194, HB214, HB217, HB220, HB254, HB259, HB290, HB308, HB311, HB360, HB382, HB401, HB410, HB417, HB463, HB514, HB575, HB592, HB718, HB723, HB750, HB755, HB776, HB812, HB830, HB838, HB844, HB882, HB885, HB888, HB950, HB961, HB966, HB980, HR15, HR20, HCR14, HB58, HB69, HB93, HB166, HB199, HB201, HB202, HB218, HB223, HB224, HB231, HB235, HB246, HB338, HB349, HB352, HB379, HB405, HB429, HB535, HB547, HB577, HB588, HB626, HB636, HB652, HB653, HB669, HB688, HB691, HB721, HB738, HB806, HB851, HB857, HB861, HB889, HB904, HB907, HB908, HB929, HB1009, HB13, HB23, HB25, HB32, HB41, HB90, HB120, HB121, HB122, HB127, HB138, HB139, HB141, HB179, HB187, HB213, HB247, HB286, HB332, HB344, HB357

Keywords: physical therapy, healthcare, prevention, wellness, education, Louisiana, landscape architecture, environment, public health, economic development, infrastructure, condolences, memorial resolution, tribute, Roger D. Boudreaux, Church Point, mayor, Louisiana House of Representatives, community service, local government

Transcript Highlights:

• </c> National Guard and the Veteran Services. National Guard and the Veteran Services.
• </c> Do you think there need to be guard Do you think there need to be guard drills?
• Should guard rails like a a maximum cap?
• For 4 days, my mom had coast of Vietnam.
• If you look that authorize use of nicks.

Keywords: 1191, senate, all

Transcript Highlights:

• The average authorized hours change based on that.
• We are waiting on authority.
• So when we talk about service authorization, the authorization is there.
• So when we talk about service authorization, the authorization is there.
• of Redwood Coast.

Summary: The subcommittee heard an overview of the governor’s IHSS budget proposals and extensive testimony from the Department of Social Services, Department of Finance, the Legislative Analyst’s Office, county representatives, labor, consumer advocates, and advocates for older adults and people with disabilities. The administration described IHSS as a large and growing program serving more than 900,000 recipients, and outlined three proposals: shifting the cost of growth in authorized hours per case to counties, eliminating the backup provider system, and aligning IHSS terminations with Medi-Cal terminations. The LAO said the overall budget estimates appeared reasonable but raised concerns about the hours-per-case proposal, including the lack of a comprehensive root-cause analysis, the limited control counties have over statewide cost growth, and uncertainty about how the baseline and savings would work. CWDA, SEIU, and consumer advocates strongly opposed the hours cost shift, arguing that counties use state-designed tools, that demographic changes and rising need explain much of the growth, and that the proposal would pressure counties to cut services and destabilize care. The chair and members repeatedly questioned the administration about the proposed baseline, the claimed savings, and whether the measure effectively circumvents the county maintenance-of-effort agreement. On the backup provider system, the administration said the statewide program is underutilized and administratively expensive, and proposed eliminating it to save about $3.5 million. The LAO suggested the Legislature consider whether administrative costs could be reduced while preserving some version of the program. County and consumer advocates opposed the cut, saying the system is a critical safety net when regular providers are unavailable, especially in rural areas and for people with complex needs. They argued that low utilization reflects the difficulty of finding emergency backup care, not lack of need, and that many counties already rely on local backup systems or other models. Committee members also pressed for better data on requests, fulfillment, and administrative costs, and discussed whether the state could support local alternatives instead of eliminating the program. The final topic was the proposal to align IHSS terminations with Medi-Cal terminations by automating the process when recipients fail to complete Medi-Cal redeterminations. The administration said this would reduce General Fund costs by about $86 million by preventing payment of IHSS in the residual program when recipients are no longer eligible for Medi-Cal, while also automating reinstatement when Medi-Cal is restored. The LAO noted the proposal has been rejected in prior years and suggested improved notice and communication to recipients as an alternative. CWDA and advocates warned that the change could create gaps in care, especially for people who lose Medi-Cal for procedural reasons, and urged additional safeguards such as better notices, faster reprocessing, and automatic reinstatement. Members questioned how many people would be affected, how the residual program currently works, and whether providers could go unpaid during the gap; the department said the automation is already built and would be activated if the proposal is approved. No votes were taken during the discussion, and the committee moved through public comment and questioning without final action on the proposals in the excerpt provided.

Transcript Highlights:

• Guard approved life jacket before entering a pool.
• Guard approved life jackets.
• We thank the bill author. She mentioned a culture of safety.
• Your doctors had authority to do that. It was FDA approved.
• That's, that's part of our prescriptive authority.

Bills: HB 265, HB25

Keywords: youth camp, safety regulations, advisory committee, child welfare, health standards, summer camp, camp safety, child abuse reporting, child neglect, mandatory reporting, background check, criminal history check, sex offender registry, CPR training, first aid, public health, child protection, camp operator, camp counselor, Health and Safety Code

Transcript Highlights:

• </c><02:17:04.800><c> Savings</c> career as the CEO of East Coast Savings career as the CEO of East Coast
• When there are no guard rails in place, who watches the watchmen?
• When there are no guard rails in place, who watches the watchmen?
• When there are no guard rails in place, who watches the watchmen?
• When there are no guard rails in place, who watches the watchmen?

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, May 7, 2025, 1012, house, all