Transcript Highlights:

• IX referral or civil rights<00:57:31.360> referral,<00:57:32.400> or<00:57:33.040>
• through this process. through this process.
• So she went through the process and by the process they determined, you know what?
• through the through the process and by through the process<01:16:52.400> they<01:16:52.560>
• process they determined, you know what? process they determined, you know what?

Keywords: 1191, senate, all

Transcript Highlights:

• Guerin moves to defer the reading. referral of bills until the end of today's calendar.
• committees and subcommittees scheduled me to reconvene today on final German recess or during bill referral
• And I wanted to take a minute to bring his memory to this floor, because he loved The legislative process

Keywords: 1184, house, all

Transcript Highlights:

• These Texas heat maps show hospital referral regions.
• It's an educational process. Trying to manage health care costs.
• It's an educational process, basically from what we're used to doing.
• We based our surprise billing dispute resolution process on billed charges.
• Does TDI's policies and processes identify patterns that may show systematic problems?

Keywords: 1184, house, all

Transcript Highlights:

• And if there is a referral—which, after reading some of the documentation I have already, if there's
• be happy to make that referral.
• Well, I was just going through the divorce through that process, and then the court...
• Then the process of liquidation begins.
• citizen has to due process.

Keywords: 1182, all

Transcript Highlights:

• Representative Lawrence, would you like to move House File 3493 before the committee for re-referral
• <00:14:46.880> is LRE, and through the IEP process is LRE, and through the IEP process is
• Placement and service IEP process.
• That student had been identified as needing support and was awaiting referral to me, and the referral
• So, with that, I legislative process.

Bills: HF3493, HF4114

Keywords: safe schools, charter schools, nonpublic schools, Tribal education, funding increase, special education, funding, education finance, appropriations, budget, cross subsidy

Transcript Highlights:

• The bill also establishes an appeal process for unhired candidates who believe the process was not appropriately
• It's important we streamline the process in the court-ordered treatment. Any further discussion?
• and members, as amended by the Health and Human Services Committee, Senate Bill 1477 requires a referral
• Additionally, a referral agency must procure commercial general liability insurance and professional
• without disturbing our national monuments or antiquities. ...an easier process without disturbing our

Keywords: 1182, all

Summary: The Republican caucus reviewed a long list of Senate bills and one House concurrent memorial, most of them described as third-read consent items. Topics included claims against the state, CPA licensing, creditor assignments, insurance adjuster licensing, school equivalency instruction, extending a credit enhancement board, firearm safety instruction in schools, student eligibility restrictions for school activities, Celebrate Freedom Week, release-time courses, voter registration roll access, campaign and disclosure mailing addresses, federal land designation tracking, public records review standards, workers’ compensation burial and death benefits, condominium flag displays, restrictions on sexually explicit material in schools and libraries, agency guidance posting, standardized state hiring, mental health court-ordered treatment procedures, autopsy supervision, tribal MOUs, controlled substance scheduling, emergency medical technician data privacy, dense breast tissue notice repeal, assisted living referral agency requirements, attorney disciplinary claims, fentanyl penalties, campus firearms rules, suppressors, defamation standards, mandatory reporting, attorney licensing, emergency service fee limits, forcible detainer changes, utility worker assault penalties, water basin reporting, small modular nuclear reactors, water recovery assumptions, ICE notification after arrests, military police certification pathways, and scholarship organization tax credits. Most bills were presented without debate and were noted as available for questions, with no votes taken in the caucus itself. A few items drew discussion. On SB 1040, members asked what information would be redacted from voter registration rolls; staff said existing statutory redactions such as voter registration numbers, ID numbers, Social Security numbers, and other personal identifying information would remain. SB 1193 prompted comments that EMT data being open source was surprising and that the issue might be expanded to paramedics. SB 1243 was described as strengthening guardian notification rights in court-ordered treatment, and SB 1318 was characterized as a cleanup measure to remove redundant state notice requirements for dense breast tissue. The most extended exchange came on SB 1148, which would require the Arizona Supreme Court to directly license attorneys rather than delegate that function to another organization; members asked whether the bill was shifting responsibility away from the State Bar, and staff explained that the court already has the duty but currently staffs part of the process out. SB 1418, which limits county regulation of certain small modular nuclear reactor projects, drew criticism from one member who argued it would reduce local control. The caucus also heard a sponsor presentation on H.C.M. 2009 urging Congress and the President to amend the Antiquities Act, compensate states for subsurface minerals, and streamline mining permits, with the sponsor emphasizing Arizona’s mining history and the need to access mineral resources more easily.

Transcript Highlights:

• The clerk moves to defer the reading and the referral of bills until the end of today's business.
• Groundwater planning process. I move passage.
• They didn't talk... ...about how people could participate in this process.
• I've gotten over the fact that we don't have the decorum and the commitment to this process and this
• Gehan moves that the House adjourn pending the reading and referral of bills. ...until 10 a.m.

Bills: HB2293, HB2694, HB2999, HB3694, HB3254, HB4662, HB5629, HB5632, HB5675, HB5664, HB5671, HB5680, HB5682, HB5693, HB4158, HB5695, HB4669, HB5696, HB5698, HB5677, HB5699, HB5694, HCR81, HCR83, HCR84, HCR89, HCR111, HCR142, HR868, SB682, SB1351, SB1895, SB1931, SB2141, SB3044, SCR1, SCR6, SCR37, SB458, SB482, SB927, SB984, SB651, SB1620, SB2124, SB2448, SB841, SB843, SB402, SB2662, SB2053, SB2332, SB2112, SB745, SB1247, SB1789, HB75, HB5354, HB4683, HB4847, HB1449, HB3833, HB265, HB1845, HB 108, HB1960, HB1955, HB2512, HB2581, HB2803, HB1738, HB636, HB2638, HB2655, HB871, HB 1107, HB1765, HB1822, HB3679, HB4099, HB3732, HB3171, HB3749, HB2814, HB3977, HB4204, HB4207, HB4449, HB1820, HB1876, HB1939, HB1347, HB2593, HB2136, HB2658, HB2757, HB2080, HB3063, HB3006, HB2844, HB3241, HB3680, HB3169, HB2078, HB2507, HB4559, HB3405, HB475, HB3463, HB3441, HB3520, HB3178, HB158, HB2060, HB4991, HB1991, HB5596, HB2014, HB2731, HB2417, HB2399, HB2301, HB3335, HB3234, HB3320, HB4848, HB4748, HB4769, HB4795, HB2086, HB2234, HB4916, HB5624, HB4505, HB5093, HB5302, HB5402, HB5606, HB4630, HB4924, HB3339, HB3793, HB3631, HB4882, HB5509, HB5499, HB5520, SB1177, SB1559, SB746, SB434, SB1383, SB1214, SB1079, SB3031, SB2141, SB2185, SB1895, SB1241, SB901, SB1883, SB552, HB 1249, HJR218, HB5623, SB687, SB1332, SB458, SB482, SB927, SB984, SB651, SB1620, SB2124, SB2448, SB841, SB843, SB402, SB2662, SB2053, SB2332, SB2112, SB745, SB1247, SB1789, HCR76, HCR127, HCR9, HCR40, HCR118, HR559, HCR59, HCR135, HCR141, HCR46, HCR109, HCR10, SB3037

Keywords: Sweeny Hospital District, board of directors, local governance, elections, healthcare administration, Brazoria Drainage District, commissioners, vacancies, resignation, hydrogen vehicles, weight limitations, transportation, environmental impact, clean energy, deep fake, intimate depictions, consent, digital media, criminal penalties, State Board of Education

Transcript Highlights:

• It would affect the same program, so it would be through a contingency revenue rider process.
• So this is on liquefied natural gas permit process. The committee substitute for Senate Bill 2037.
• To process, and so that is a drain on whatever revenue source.
• It would affect the same program, so it would be through a contingency revenue rider process.
• Can you explain this surcharge and the process that would occur?

Bills: SB2122, SB2050, HB16

Keywords: oil and gas waste, application fees, permit amendments, environmental regulation, Texas natural resources, battery recycling, battery disposal, consumer batteries, energy storage modules, electrochemical devices, lithium-ion battery, household hazardous waste, solid waste, municipal recycling, waste management, battery stewardship, producer responsibility, TCEQ, Texas Commission on Environmental Quality, recycling program

Transcript Highlights:

• So it's just an inefficient process.
• Does this have any impact on referrals and then getting money for said referral?
• <00:29:17.279> and this have any impact on referrals and this have any impact on referrals
• kind of interact with that process? kind of interact with that process?
• the regulation modernization uh process. the regulation modernization uh process.

Bills: HF1918, HF2305, HF897, HF2191, HF2617, HF2551, HF2137

Keywords: HF1918, Department of Children Youth and Families, DCYF, child welfare, foster care, out-of-home placement, permanency planning, relative search, noncustodial parent, kinship care, family preservation, African American Child and Family Well-Being, racial disproportionality, maltreatment reporting, educational neglect, truancy, school attendance, Great Start compensation, child care provider payments, TEACH early childhood program

Transcript Highlights:

• Appreciate all the hard work that you have put into this bill but into the process itself.
• Is that there's a that it's eliminating a process that's provided by the federal.
• Going back to the referral discussion.
• Referrals are are managed to an 8.37, process, which is all electronic systematic.
• So it's going to be a streamlined process that set up and it's already in and work.

Transcript Highlights:

• <00:21:27.720> to that triggers the automatic referral to that triggers the automatic referral
• Okay, but there is a process to go through if you're notified.
• Okay, but there is a process to go through if you're notified.
• Okay, but there is a process to go through if you're notified.
• Okay, but there is a process to go through if you're notified.

Keywords: MS Senate Floor - 23 March, 2026; 4:00 PM, 925, all

Summary: The Senate opened with a quorum, an invocation by Brother Marvin Curtis, and the Pledge of Allegiance. Routine business followed, including dispensing with the reading of the journal and committee reports, and several items on the calendar were passed and retained without debate. The chamber then moved to nominations and concurrence items. The main debate centered on Senate Bill 2588, the “Safeguard Honesty, Integrity and Elections for Lasting Democracy Shield Act.” Senator England moved to concur with House changes, explaining the bill would require voter-registration checks against DPS records and the federal SAVE database to verify citizenship, with the House amendment triggering SAVE review when no driver’s license or DPS information is available. Senator Blount opposed concurrence and moved to invite conference, arguing the bill could wrongly flag or burden lawful voters—especially elderly or inactive voters without current DPS records—and that the SAVE database was not designed to verify all state voter rolls. Senators Sparks and Dupree questioned Blount about whether the database would help prevent illegal voting and whether the bill’s process was similar to existing voter-roll maintenance procedures. England responded that the bill was narrowly tailored, not intended to disenfranchise anyone, and that even one non-citizen vote could undermine election integrity. The Senate rejected Blount’s motion to invite conference and then adopted England’s motion to concur, passing the bill by a recorded vote of 20-31-16 as reported in the transcript. Earlier, the Senate also considered a nomination for the Emergency Communications Authority Advisory Board, with McClendon speaking against the nominee and Williams defending the appointment before the motion to table reconsideration prevailed. In other action, Senate Bill 2477, concerning Rural Health Transformation Fund monies and competitive bidding requirements, was explained by Senator Bryan as adding guardrails and prioritizing rural providers; it passed by use of the afternoon roll call. At the end of the session, senators made announcements about upcoming committee meetings, including Judiciary, Forestry, Public Health and Welfare, and Gaming, and several members offered adjournments in memory of local residents and public figures. Senator England also thanked Elections Committee staff and noted that the committee’s work for the year was complete.

Transcript Highlights:

• The process out.
• Well, that's the on-boarding process. That's the on-boarding process. So that's current. Correct.
• And I just want to make sure I... and I've gone through this process before, the I-9 process, making
• Do they also have the two-layer process? What do you mean about the two-layer process?
• And so there's that process.

Keywords: 994, senate, all

Summary: The committee first took up House Bill 4198, which would require employers to use E-Verify to confirm new hires’ work authorization and impose escalating penalties for violations, including warnings, debarment from state contracts, loss of business licenses, and other sanctions. Counsel and senators raised extensive drafting concerns, including circular language, conflicts with existing record-retention provisions, unclear references to “seeks to employ,” possible application to babysitters, lawn care, and other casual or household arrangements, and uncertainty about how the bill would work for employers who never actually complete a hire. The bill sponsor defended the measure as a way to strengthen compliance with existing law, protect employers who use E-Verify in good faith, and deter illegal hiring. After debate, a motion to table the bill failed on a roll call vote, 6 in favor and 10 opposed, and the chair then announced the bill would be sent to a subcommittee to be cleaned up, with instructions to resolve the drafting conflicts and other ambiguities. The committee then turned to House Bill 4710, with an amendment, which would require a person to be registered with a political party or as an independent 210 days before filing a certificate of candidacy. Counsel explained that the change would lengthen the current 60-day requirement and would affect both party-switching and independent candidacies, making it harder for candidates to change affiliation shortly before an election. Senators asked about how the 210-day period would work relative to the primary and general election filing deadlines, and counsel clarified that it would be measured backward from the relevant filing dates. The discussion focused on the practical effect of the bill as a “sore loser” measure and on the timing rules for candidacy filings.

Transcript Highlights:

• counts as as we go through the process counts as as we go through the process for<00:22:58.799><
• <00:47:58.079> from<00:47:58.240> a changing it to a referral from a changing it to
• a referral from a licensed<00:47:58.960> mental<00:47:59.280> health<00:47:59.800>
• the doc proposes Distributing process the doc proposes Distributing These<00:50:02.160> funds
• with counties to streamline the process with counties to streamline the process and<00:50:06.760

Keywords: 1187, senate, all

Summary: The committee heard testimony on several bills and a Department of Corrections budget overview. On Senate File 9, Senator Rest explained a bipartisan campaign finance refund bill that had previously moved through the Elections Committee and the tax bill process. Members asked about the $10 minimum contribution threshold for reporting and refund eligibility, and Rest said it was a reasonable number suggested by Senator Karan to make the system more efficient. The bill also included data practices language classifying certain refund-related information as private data, with a separate nonpublic classification noted for receipt validation reports. The committee voted to recommend the bill to pass and re-refer it to the Taxes Committee. The committee then took up Senate File 11, a sales tax exemption for firearm safety devices such as trigger locks and gun safes. Rest described the bill as an extension of prior tax exemptions and clarified that it does not apply to the firearm itself. An A1 clarifying amendment defining “government entity” by reference to statute was adopted. Members discussed the bill’s scope and data privacy language, including a provision making purchase or transfer information private if collected by a government entity. The committee then voted to recommend the amended bill to pass and re-refer it to the Taxes Committee. Next, the committee heard Senate File 456, a bill to update Minnesota’s drug statutes to address fentanyl more directly. Anoka County Assistant County Attorney Sebastian Mesa and Senator Oumou Verbeten testified in support, arguing that fentanyl has become more dangerous than methamphetamine and that the law needs to be updated to give prosecutors a better tool. Members discussed overdose trends and whether more recent statistics were available; one member noted 2023 fentanyl deaths exceeded 1,000, while another said national fatal overdoses had declined since mid-2023. The bill was laid over, with the committee noting it would wait for fiscal analysis before further action. Finally, Commissioner Paul Schnell gave an overview of the Department of Corrections, describing its mission, staffing, prison population, community supervision responsibilities, and budget context. He emphasized rehabilitation, evidence-based practices, reentry support, and the public safety benefits of reducing recidivism. No vote was taken on the department presentation.

Transcript Highlights:

• There was a human error in the process.
• There was a human error in the process.
• emission is by referral only most referrals<00:02:39.879> come<00:02:40.200> from<00:02
• This is the finalist process.
• What happens to the process?

Keywords: 1183, house

Transcript Highlights:

• including the administration, and took a series of amendments on the floor, which triggered the re-referral
• to the Series of amendments on the floor, which triggered the re-referral to this committee.
• CalCompute received nearly universal support during the legislative process.
• CalCompute received nearly universal support during the legislative process both last year and this year

Summary: The Assembly Privacy and Consumer Protection Committee heard SB 53 by Senator Wiener after the bill was substantially amended on the floor and referred back under Assembly Rule 77.2. The author explained that the bill, focused on AI safety and frontier models, now applies its main requirements to models trained above 10^26 FLOPs, includes broader whistleblower protections, sets different disclosure obligations based on company revenue, removes Attorney General rulemaking authority in favor of an annual Department of Technology report, and keeps a $1 million-per-violation penalty. He also highlighted CalCompute, a proposed public cloud intended to expand access to compute and support innovation. Supporters, including Encode AI and Economic Security California Action, argued the bill would hold AI developers accountable to their public safety commitments, improve transparency, protect whistleblowers, and help democratize access to AI infrastructure. They said the measure reflects extensive negotiation with the administration and stakeholders and aligns with recommendations from the governor’s frontier-model working group. Opponents, including CalChamber, TechNet, CCIA, and Chamber of Progress, remained opposed unless amended, saying they appreciated the author’s work but still had concerns outlined in their letters. Committee members questioned whether the bill could stifle innovation, how it would address worst-case AI harms, and whether it could reach actors outside California. The author responded that the bill is intended as a light-touch transparency measure, that it applies to entities doing business in California, and that California can still lead in the absence of federal action. Members also emphasized the importance of whistleblower protections and CalCompute. The committee voted 12-1 to pass the bill, with DeMaio voting no and Patterson not voting, and the bill was sent back to the floor.

Transcript Highlights:

• As I said last year, I want this hearing to be an annual opportunity to check in on the process toward
• I started the process to transition my case so we could find full-time work in child care closer to home
• For parents like me who have to move for their own safety and the safety of their children, this process
• We're in the process of getting data from CDE and CTC to look at the TK teacher data.
• The resource and referral network supports the local resource and referrals by providing trainer-of-trainer

Summary: The joint hearing focused on California’s child care, preschool, and transitional kindergarten oversight, with chairs emphasizing the state’s Master Plan for Early Learning and Care and the need to break down silos between programs. CDSS and CDE reported progress toward the plan’s goals, including universal access to TK for all four-year-olds next school year, expanded access for low-income three-year-olds, and more children with disabilities being served in state preschool. They also noted ongoing work on quality rating/review reform, funding structure changes, and the need to address rates, workforce shortages, and federal uncertainty around Head Start. Testimony from advocacy groups and providers largely supported expanding access while simplifying the system. Children Now, Every Child California, and the California Budget and Policy Center argued that California still has uneven access, especially for infants, toddlers, and three-year-olds, and urged investments in mixed delivery, inclusion, full-day options, and a cost-of-care rate methodology. Every Child California recommended consolidating part-day and full-day contracts, streamlining eligibility priorities, making the two-year-old option permanent, and funding staffing incentives. Parent testimony highlighted how child care gaps and county-to-county transfer delays can disrupt work, safety, and children’s stability, and providers described low reimbursement rates, the need for health and retirement benefits, and support for delinking subsidy rates from private pay. The second panel addressed universal transitional kindergarten. The Learning Policy Institute reported rapid TK expansion, with most districts now offering TK, but said access still depends on facilities, staffing, and whether programs are available at all school sites. The Department of Finance said the governor’s budget would fully implement TK by adding funding for all eligible four-year-olds and lowering the adult-to-child ratio from 12:1 to 10:1. The Legislative Analyst’s Office said the administration’s enrollment and cost assumptions were optimistic and estimated lower TK enrollment growth and lower costs for the ratio change. CDE supported the expansion and urged continued funding for UPK coordinators, teacher development, and mixed-delivery planning grants. Members questioned facilities shortages, staffing competition, and how to ensure TK expansion does not displace CSPP or Head Start classrooms. No formal votes or actions were taken in the hearing.

Transcript Highlights:

• Um, at my office we get dozens of referrals every week and even though we have several psychiatrists
• Um, at my office we get dozens<00:05:04.080> of<00:05:04.240> referrals<00:05:04.800>
• every<00:05:05.199> week<00:05:05.680> and<00:05:05.919> even dozens of referrals
• every week and even dozens of referrals every week and even though<00:05:06.240> we<00:05:06.400
• You've got to create some incentive before we start the education process.

Keywords: 00:00 - Call to Order/Roll Call 02:05 - Discussion of 26RS HB 178 14:05 - Roll Call Vote on 26RS HB 178 15:05 - Discussion of 26RS HB 280 20:00 - Roll Call Vote on 26RS HB 280 22:00 - Discussion of 26RS HJR 24 24:30 - Roll Call Vote on 26RS HJR 24 26:00 - Adjournment, 958, all

Summary: The Health Services Committee met for the first time in the 2026 session and established a quorum before taking up three measures. House Bill 178, sponsored by Rep. Kim Moser with support from the Kentucky Psychiatric Medical Association, was presented as a budget-neutral collaborative care model to improve access to mental health treatment in primary care settings. Testimony emphasized workforce shortages, long wait times, stigma, and the potential for the model to reduce costs and improve outcomes by having primary care providers work with behavioral health care managers and psychiatric consultants. The bill received a favorable recommendation by roll call vote. The committee then considered House Bill 280, also sponsored by Rep. Moser. The bill and committee amendment were described as cleanup and policy updates affecting Kentucky Board of Nursing licensure standards, including restoring language related to abuse, neglect, and exploitation in the central registry, preserving the board’s ability to investigate out-of-state applicants, and adding an emergency provision. The bill also updated school medication provisions to allow certain prescribed rescue medications, including bronchodilator inhalers, nebulizers, glucagon, Solu-Cortef, and updated epinephrine delivery. The committee adopted the amendment, approved the bill with favorable expression, and then approved a motion to roll the committee amendment into the House committee substitute. Finally, the committee took up House Joint Resolution 24, sponsored by Rep. Ken Fleming, with a committee substitute adopted first. The resolution was explained as a request for the cabinet to withdraw a previously submitted Medicaid-related waiver application so it could be resubmitted under new requirements tied to House Resolution 1. The committee approved the resolution with favorable expression and also adopted a title amendment. The meeting concluded with notice that the next committee meeting would be Thursday, January 22nd at noon.

Transcript Highlights:

• Osborne, so where are we in that process?
• We are currently in the process of developing curriculum.
• and adapt it into a five-day process while simultaneously eliminating the due process protections afforded
• that is not currently part of the COE process.
• can have the due process to die, apparently.”

Keywords: 1182, all

Summary: The committee heard House Bill 2433, which would require insurers offering Medicare supplement policies to people 65 and older to also offer them to Medicare beneficiaries under 65 with ALS or end-stage renal disease, with enrollment periods and premium protections tied to 65-year-old rates. Supporters, including dialysis and ALS advocates, said the bill would help a small population facing high out-of-pocket costs and could improve access to transplants and care; opponents argued it would shift costs onto older seniors and raise Medigap premiums. The committee recommended the bill do pass on a 12-0 vote. The committee also heard House Bill 2593, appropriating $1.5 million to the University of Arizona for the Arizona Perinatal Psychiatry Access Line. The sponsor and physicians testified that the line helps obstetric and pediatric providers quickly consult on perinatal depression, postpartum psychosis, suicidality, and other mental health crises, improving outcomes for mothers, children, and families and reducing costly emergency and crisis care. The bill received a do pass recommendation on a 10-1 vote. House Concurrent Resolution 2013, proclaiming June 2026 as Celebrate Life Month, drew emotional testimony from a young woman with spina bifida and another speaker supporting the sanctity of life. Some members objected that the state should focus on practical supports such as paid leave, child care, and health care access, while others supported the resolution as a statement of human dignity. The resolution passed the committee 7-5. The committee then approved House Bill 4010, creating a Board of Genetic Counselors and licensure standards, after testimony from genetic counselors and a patient advocate about the need for qualified counseling and better access; it passed 11-1. Later, the committee approved House Bill 2196, which would require pharmacy benefit managers to reimburse non-affiliated pharmacies at least their acquisition cost and pay a dispensing fee, and establish an appeals process. Independent pharmacists and their coalition said PBM practices are driving closures and unfairly favor affiliated pharmacies, while PBM and employer representatives warned of major cost increases and said the bill would interfere with private contracts; the bill passed 11-1. The committee also adopted a strike-everything amendment to House Bill 2182 requiring insurers and health plans to report claims denial and prior authorization data to DIFI, and then gave the amended bill a 12-0 do pass recommendation. Finally, the committee approved House Bill 2189, directing the Board of Nursing to update rules for licensed health aides and collect annual data, with the sponsor and board staff saying it would help implement routine ventilator care in the home; it passed 12-0. The committee then began hearing House Bill 2404, a strike-everything amendment on inter-facility transports for behavioral health patients, but the transcript cuts off before action on that bill.

Transcript Highlights:

• <01:00:51.280> for um which is ongoing is a process for um which is ongoing is a process for
• <01:00:55.040> so speeding up the examination process so speeding up the examination process
• They u if restoration process.
• >> So is that part of the ACT process? >> So is that part of the ACT process?
• <01:13:34.880> uh of states that do this DUCC process uh of states that do this DUCC process

Keywords: 912, senate, all

Summary: The briefing focused on the Hawaii State Hospital’s overcrowding, construction defects in the new addition, and how Act 26 and related court-ordered processes are affecting admissions and discharges. The chair said the hospital has become increasingly forensic-focused, has lost beds after the closure of Kahimohala, and may face further costs and possible litigation over the defective addition. Hospital and Department of Health officials said they are working with the attorney general and contractors on repairs, and that the hospital is currently using all 292 licensed beds, including 13 waiver beds, while average daily census last fiscal year was 376. Officials explained that the high census is driven by both increased admissions and discharge barriers. They said the loss of Kahimohala returned patients to the state hospital, and that Act 26-related petty misdemeanor cases are contributing to admissions. They also said limited lower-level placement options delay discharges. Hospital staff reported that many patients are repeat admissions, about 22% were unhoused before admission, and a significant share are in categories such as fitness-to-proceed evaluations and conditional-release violations. They said these groups could potentially be reduced if evaluations were done elsewhere and if more community or supportive housing were available. The chair and senators questioned whether some fitness-to-proceed detainees need to be held at the state hospital at all, and whether the Clark consent order requires transfer to the hospital. The attorney general’s office said the Clark injunction does not govern unfitness-to-proceed cases; instead, the requirement comes from state statute, and the statute could be changed. Director Johnson said DCR cannot keep such detainees because the court orders them into the custody of the Department of Health, and the department cannot provide the needed therapeutic level of care in a correctional setting. The discussion also emphasized co-occurring substance use and mental illness, especially among petty misdemeanor defendants, and the need for supportive housing and a decompression plan to reduce readmissions and free beds for civil commitments.

Transcript Highlights:

• Guerin moves to defer the reading and referral of bills until the end of today's business.
• Garron moves the House adjourn until pending the reading and referral of bills until 10 a.m.
• The House stands adjourned pending the reading and referral of bills.
• The following bills and resolutions are on first reading and referral to the Senate Committee.
• HB5607 by Meijer relates to establishing a procedure for certain processes in education.

Keywords: 1184, house, all