Transcript Highlights:

• What we call step therapy on metastatic cancer.
• And many times it would be required that step therapy is that the insurer would require that step number
• Many times it would be required that step therapy is that the insurer would require that step number

Keywords: Insurance - Room 216, 3 February, 2026; 9:00 AM, 925, all

Summary: The committee took up several insurance and health-related bills. Earlier discussion focused on metastatic cancer step therapy and biomarker testing, with the sponsor explaining that the bills would prevent insurers from requiring patients to try less effective treatments first and would require coverage for biomarker testing to better target treatment. The biomarker bill was described as a product of a summer study committee and was reported favorably. The committee also advanced a bill setting standards tied to the National Association of Insurance Commissioners, and a private residence elevator bill requiring licensing, inspection, and permitting for elevator installers, with an amendment exempting those elevators from annual inspections after the initial inspection. Members then considered a mitigation program for retrofitting homes, with the sponsor saying the Department of Insurance and industry were close to a workable statewide program. The bill would be funded by increasing a fee paid by insurance companies, not policyholders, and would allow use of a third-party administrator capped at 5% of program funds. The committee also reported bills extending the state health plan repealer, extending the LOSAP volunteer firefighter program repealer, and creating a fraud detection trust fund at the Insurance Department to address AI- and cyber-related fraud. The fraud fund bill drew questions about whether it would raise premiums and how it would help investigators; supporters said the fund would support staffing and equipment and that the existing fund had been dormant. Additional bills included a transparency measure for dental insurance spending, which would require reporting on the share of premiums spent on dental services beginning in 2027, and a bill expanding access to self-funded group health plans for members of legitimate professional and trade associations. The committee also heard a Mississippi Patient Protection Act aimed at strengthening willing-provider protections and limiting insurer discrimination against qualified providers; an amendment was proposed to clarify that vision benefit managers would not be treated as pharmacy benefit managers. Most measures were moved by title sufficient due pass and reported without opposition.

Transcript Highlights:

• Therapy has helped me. In my own story, therapy has helped me.
• So I go to therapy once a week.

Summary: The Assembly met in session, established a quorum, and opened with a prayer and the Pledge of Allegiance. Members then moved through guest introductions, including students and fellows from California Lutheran University, UC Merced’s CAPE program, the Maddy Institute, and Madera High School’s Madtown Robotics Team 1323, which was recognized for multiple robotics world championships. The chamber also adopted an adjournment in memory and took up the daily file. Several bills and resolutions were considered and passed, including AB 1390 on school board compensation thresholds, AB 1338 on air district cost recovery for fence-line air monitoring, AB 648 on community college housing, AB 1207 on cap-and-trade price ceilings, ACR 66 recognizing Skin Cancer Awareness Month, AB 49 on keeping ICE out of public schools, AB 317 on a CEQA exemption for certain single-family homes, AB 527 on geothermal exploratory wells, AB 665 on the Department of Financial Protection and Innovation ombudsman report, AB 940 creating quantum innovation zones, AB 1021 on workforce housing for education agencies, AB 1112 on property tax apportionment in Rancho Mirage, AB 1318 on nonprofit eligibility for public funding, and AB 1470 on using student housing loan funds for affordable housing in downtowns and commercial districts. Most measures passed with broad support; AB 49 and AB 1318 were urgency bills and passed with the required higher vote threshold. The floor also adopted H.R. 40, declaring May 25 as Rosenda’s Day to honor a teen killed by a drunk driver, and H.R. 42, recognizing May as Behavioral Health Awareness Month. Both drew extensive personal testimony from members about mental health, suicide, substance use, and the need to reduce stigma and expand access to care. Additional health-related bills passed, including AB 408 creating a physician health and wellness program, AB 546 requiring coverage for HEPA purifiers for certain enrollees after wildfire disasters, AB 967 expediting licenses for out-of-state physicians, and AB 968 expanding pharmacist authority to provide non-hormonal contraception. The Assembly also debated AB 1056 on phasing out gill net fishing and AB 1376 on limiting juvenile probation terms, with supporters framing both as conservation or rehabilitation measures and opponents warning about economic harm or public safety concerns. Both bills ultimately passed. Throughout the session, members repeatedly emphasized public safety, education, housing, climate, health care access, and support for immigrant and youth communities, with recorded roll-call votes and voice votes taken on each measure.

Transcript Highlights:

• Can you confirm for me that there is nothing in regard to dental therapy in the new amendment?
• By rule, innermost provisions relating to dental therapy, out-of-network providers, and dental hygienists
• The service with the insurance, the dental therapy, this amendment does not include the out-of-network

Bills: HJR 138, HB 42, HB 104, HB 129, HB 677, HB 426, HB 668, HB 1699, HB 2017, HB 2128, HB 2038, HB 3783, HB 3717, HB 2316, HB 3686, HB 2563, HB 3883, HB 4021, HB 2788, HB 2663, HB 3305, HB 3173, HB 3474, HB 1105, HB 3531, HB 3490, HB 3597, HB 1295, HB 3512, HB 3010, HB 3112, HB 4215, HB 3223, HB 3464, HB 3120, HB 4214, HB 4511, HB 3704, HB 4081, HB 4783, HB 4063, HB 2783, HB 4937, HB 5085, HB 2510, HB 3426, HB 4361, HB 1169, HB 2516, HB 2347, HB 4034, HB 4700, HB 3560, HB 5150, HB 3860, HB 3146, HB 3924, HCR 98, HCR 92, HB 1520, HB 1545, HB 5265, HB 1887, HB 1914, HB 2402, HB 2306, HB 2350, HB 3000, HB 3237, HB 3326, HB 3211, HB 1056, HB 2081, HB 2187, HB 3092, HB 3308, HB 3526, HB 3750, HB 4219, HB 4230, HB 4290, HB 5238, HB 4804, HB 4749, HB 245, HB 1465, HB 294, HB 793, HB 809, HB 3928, HB 334, HB 2037, HB 1973, HB 285, HB 4341, HB 1043, HB 1234, HB 1193, HB 1729, HB 2498, HB 1314, HB 1353, HB 3960, HB 3923, HB 2221, HB 2517, HB 2518, HB 2213, HB 5092, HB 3748, HB 5246, HB 4344, HB 1482, HB 4044, HB 2702, HB 4264, HB 2807, HB 2898, HB 3181, HB 3250, HB 2091, HB 2115, HB 2542, HB 2768, HB 3349, HB 4406, HB 1593, HB 1899, HB 3133, HB 3133, HB 4960, HB 3214, HB 2145, HB 1201, HB 5061, SB 29, SB 879, SB 65, SB 1745, SB 412, SB 412, SB 1746, SB 1238, SB 1341, SB 522, SB 1532, SB 1378, SB 1062, SB 2066, SB 1963, SB 2204, SB 1366, SB 2077, SB 1967, SB 1151, HB 1618, HB 2156, HB 2615, HB 2615, HB 2349, HB 1926, HB 569, HB 1762, HB 38, HJR 138, HB 42, HB 104, HB 104, HB 129, HB 677, HB 426, HB 668, HB 1699, HB 2017, HB 2128, HB 2038, HB 3783, HB 3717, HB 2316, HB 3686, HB 2563, HB 3883, HB 4021, HB 2788, HB 2663, HB 2663, HB 3305, HB 3173, HB 3474, HB 1105, HB 3531, HB 3531, HB 3490, HB 3490, HB 3597, HB 1295, HB 3512, HB 3010, HB 3112, HB 4215, HB 3223, HB 3223, HB 3464, HB 3120, HB 4214, HB 4511, HB 3704, HB 4081, HB 4783, HB 4063, HB 2783, HB 4937, HB 5085, HB 2510, HB 3426, HB 4361, HB 1169, HB 2516, HB 2347, HB 4034, HB 4700, HB 3560, HB 5150, HB 3860, HB 3146, HB 3924, HCR 98, HCR 92

Keywords: carbon tax, carbon emissions, greenhouse gas, climate policy, fuel tax, emissions tax, Texas Constitution, Article VIII, tax limitation, environmental tax, fossil fuels, energy policy, legislative taxing authority, ballot proposition, constitutional amendment, higher education, funding, financial allocation, state budget, Texas A&M University

Transcript Highlights:

• Rather, the hemp market was intended to be a wellness market based on non-intoxicating therapies.
• Many of which were trained in an era of fear and misinformation surrounding hormone therapy, due in part
• business that would be hurt here, a reputable small business here in California that matches trained therapy

Keywords: 988, house, all

Transcript Highlights:

• you have tasked with regulating the psychology, social work, counseling, and marriage and family therapy
• Same thing for marriage and family therapy.
• Respite care, employment assistance services, certain therapies, medical supplies, and other things.

Transcript Highlights:

• you have tasked with regulating the psychology, social work, counseling, and marriage and family therapy
• Same thing for marriage and family therapy.
• for adults, which is not a regular benefit. respite care, employment assistance services, certain therapies

Keywords: 1184, house, all

Transcript Highlights:

• So if there were some mechanism to afford parents, financial support to get the therapies that now require
• You can asset access, occupational and speech language therapy. You can access early steps.
• boost their capacity to to support their child in the home and to provide and augment some of the therapies

Keywords: 999, senate, all

Transcript Highlights:

• services such as targeted case management, psychological services, speech-language pathology, physical therapy
• , and occupational therapy.

Summary: The committee reviewed a large slate of appropriation, transfer, and continuation requests across multiple sections. In Section B, members considered temporary FY27 appropriations for agencies including Health, DHS, Education, Treasury, Public Safety, State Police, Emergency Management, Aeronautics, Military, Economic Development, Game and Fish, and others, covering items such as maternal health outreach, LIHEAP overpayment returns, Wynne High School tornado rebuilding, senior food services, cybersecurity, crime victim claims, airport grants, conservation incentives, and emergency tower maintenance. Questions focused on the DHS senior services carry-forward and Treasury custodial banking fees tied to lower balances after COVID funds were spent down. All Section B items were approved. The committee then approved continuation requests, ARPA reallocations, and federal grant-related items in Sections B2, C1A, D1, D2, D3, E1, E2, E3, F1A, G1, H1A, I1A, J1/J2, K1/K2/K3, L1/L2, M1/M2, N1/N2, O1A, and P1A. These included university nursing and workforce programs, environmental and recycling grants, highway safety and emergency management grants, a transfer to the Merit Teacher Incentive Program, restricted reserve transfers for military, agriculture, UAPB, Game and Fish, and AETN, and various cash-fund and budget classification transfers. Several members asked for more detail on the State Police highway safety grant, VOCA victim compensation funding, the NSGP nonprofit security grant, and the Office of State Technology’s E-Rate-related transfer; agency officials explained the uses and noted that some funding levels depend on federal awards and collections. A notable discussion occurred on the Department of Commerce reallocation, which shifts 68 positions and $3 million among divisions to support an organizational realignment and avoid shortfalls. The committee also reviewed a state central services deduction request to keep the rate at 2%, a DHS overtime request for child protection caseloads, and a year-end adjustments request authorizing up to $1 million in temporary actions to close FY26 books without disrupting payroll or vendor payments. Most items were approved or, in some sections, simply reviewed without objection. The meeting adjourned after completing the agenda.

Transcript Highlights:

• services such as targeted case management, psychological services, speech-language pathology, physical therapy
• , and occupational therapy.

Summary: The committee met to review a large slate of fiscal year 2026 and 2027 appropriation, transfer, and continuation requests across multiple sections. Early items included temporary appropriations for agencies such as Health, DHS, Education, Public Safety, State Police, Emergency Management, Aeronautics, Military, Economic Development, and Game and Fish, covering items like maternal health outreach, energy assistance repayments, Wynne High School tornado rebuilding, senior food services, cybersecurity, crime victim reparations, aviation grants, conservation incentives, and emergency tower maintenance. Members asked questions on several items, including DHS aging carry-forward funds and Treasury custodial banking fees tied to COVID-era balances; the committee also approved a disclosure by the chair on the Game and Fish-related item before voting to approve the section. The committee then approved continuation requests, CARES Act and ARPA reallocations, and federal grant appropriations. Notable discussion included the Boonville developmental disability project, ALIGN program reallocations at several universities, a small business technical assistance grant at UA Little Rock, and a Department of Public Safety highway safety grant, for which members requested more detail on operating expenses and professional fees. Additional approvals covered a transfer to the Merit Teacher Incentive program, restricted reserve fund transfers for military medical command and university projects, and a state central services deduction held at 2%. The Department of Commerce also received approval for a reallocation of positions and spending authority tied to its organizational realignment. Later sections included shared technology and higher education transfers, cash fund appropriations for school Medicaid reimbursements, corrections, youth mental health, narcotics detection canines, bike safety equipment, a state motor pool pilot, and law enforcement safety costs. The committee also reviewed budget classification transfers, including a Governor’s Office legal fee transfer related to a California lawsuit, and heard explanations about E-Rate reimbursements affecting the Office of State Technology. Members asked about VOCA funding levels for crime victim services and about the National Security Grant Program for nonprofits and faith-based organizations; officials said federal funding had declined from prior highs but appeared to have stabilized, and that the nonprofit security grant is an annual federal program. The meeting concluded with review of pay plan requests, DHS overtime funding for child protection caseloads, and a year-end adjustment request allowing DFA to make up to $1 million in transfers to close the books, after which the committee adjourned.

Transcript Highlights:

• And so providing the treatments and therapies that are needed in order to correct this disorder will
• And so providing the treatments and therapies that are needed in order to correct this disorder will

Bills: HB3327, HB3711, HB4104, HJR1077, HB3329, HB4322, HB4202, HB4203, HB4457, HB3983, HB3660, HB3802, HB2933, HB2955, HB2956, HB3781, HB3521, HB3794, HB3796, HB3800, HB3183, HB4316, HB4484, HB3469, HB3464, HB3173, HB3989, HB3016, HB2979, HB2988, HB2288, HB3062, HB3315, HB3372, HB3530, HB3622, HB3755, HB4266

Keywords: State Board of Education, Oklahoma education board, board appointments, school governance, education reform, governor appointments, legislative appointments, speaker of the house, president pro tempore, senate confirmation, board vacancies, removal for cause, public education, state superintendent, school board training, board member qualifications, emergency clause, Oklahoma statutes 70 O.S. 3-101, school funding, transparency

Summary: The Senate convened with a quorum, opened with prayer, and recognized several guests and groups, including the nurse of the day, Donna Reynolds; the Tuttle High School wrestling team; auctioneer and ringman honorees; the Bristow Chamber of Commerce; Deer Creek cross country; Guthrie High School AP U.S. government students; and family members of Senator Reinhardt. The chamber also held a live auction demonstration on the floor, with Brandon Mendoza and Logan Snyder participating, and the winning bid was announced as $675. The Senate later recognized Millwood High School boys basketball and Isaiah Wilkes, the Gatorade Oklahoma Boys Basketball Player of the Year. The body then considered and passed several House bills. HB 3016 created a two-year pilot vision screening program for kindergarten through third grade to identify convergence insufficiency disorders; it passed 34-10 and was declared an emergency. HB 2979 authorized the Department of Transportation to establish school zones on portions of state highways at local request and passed 41-0. HB 2288, a teacher return-to-work bill removing the earnings cap and allowing return after six months, passed 45-0 as an emergency. HB 2988 expanded the definition of harmful woody species and broadened the Terry Peach Water Restoration Act statewide; it passed 43-1. HB 362, defining retired municipal judges for firearm-carry authority, passed 40-4. HB 3315 directed the state regents to study whether some graduate programs could be 90 credit hours and report to the governor; it passed 38-6 as an emergency. Additional bills passed included HB 3372, creating a $5 million revolving loan fund for charter school capital expenditures, after extended debate over public funds being used for improvements to privately owned facilities; it passed 39-6. HB 3530 required ABLE Commission records to be provided within 10 days when requested and passed 44-0. HB 3622 created a U.S. decennial census revolving fund in the Department of Commerce and passed 32-11. HB 3755 established a financial mechanism for juvenile detention centers to provide medication to youth in their care and passed 43-0. HB 4266, the omnibus specialty license plate bill, passed 25-19 after questions about out-of-state university plates. The Senate then made announcements about upcoming committee meetings, birthdays, and schedule changes, and adjourned until Monday, April 27 at 1:30 p.m.

Transcript Highlights:

• to require professional medical care, including examinations, tests, and treatments like physical therapy
• You cannot get physical therapy at 9 p.m. or on a Sunday morning.

Summary: The Assembly Insurance Committee met as a subcommittee at first because a quorum was not initially present, then later established a quorum and heard several bills. The main special-order item was AB 1795 (Gibson), which would create statewide standards for testing, inspection, and remediation of wildfire smoke damage in homes, with CalEPA and public health agencies developing science-based standards and insurers required to follow new claims-handling timelines. Supporters, including Insurance Commissioner Ricardo Lara and wildfire survivors, said the bill would bring consistency and safety; insurers and consumer groups generally supported the concept but sought further amendments on scope, standards, and claim handling. The committee voted do pass as amended and refer AB 1795 to Appropriations, with the roll held open for later additions. The committee also considered AB 1576 (Ortega) on the Subsequent Injury Benefit Trust Fund, which would make changes intended to reduce litigation and employer assessments while preserving the program’s purpose of encouraging hiring of workers with prior disabilities. Labor-side witnesses supported the bill as a reform step, while business, public entity, and insurance groups opposed it, arguing it did not address the core structural problems and that a trailer bill was a better vehicle for broader reform. AB 1576 was voted do pass to Appropriations, with the roll held open. AB 1931 (Papan) would create an optional limited-lines license for utilities to offer home protection products for repairs to appliances and utility service lines. Support came from HomeServe, utilities, and industry groups, who said the bill would clarify current law and add consumer protections such as training, disclosures, and a free-look period; there was no opposition in the room. The committee passed AB 1931 to Appropriations. AB 2361 (Pacheco) would limit vicarious liability for peer-to-peer vehicle-sharing platforms like Turo while preserving insurance coverage requirements; supporters said it would align California with other states, while consumer attorneys opposed it as reducing accountability and consumer recovery. The committee passed AB 2361 as amended to Appropriations. AB 2098 (Kalra), heard later, would require employers to allow leave for workers to attend treatment for occupational injuries during work hours, subject to notice and business-necessity limits; labor groups supported it and business and insurance groups sought narrower standards. It was also voted do pass to Appropriations. The committee then completed roll-call add-ons and adjourned.

Transcript Highlights:

• For example, sedated dentistry, therapy, sleep studies, and other behavioral mental health services,
• ...sedated dentistry, therapy, sleep studies, and other behavioral mental health services, with contraction

Summary: The committee met with a quorum present and heard six bills, all of which were reported favorably. HB 1567, relating to insulin administration by direct support professionals, was amended to clarify the type of insulin that may be administered and to allow supervision of self-administration of an insulin pen. Supporters described the bill as a way to keep people with developmental disabilities in group homes rather than forcing institutional placement; the amendment and bill both passed unanimously, 17-0. PCS for HB 1103, on services for persons with disabilities, would expand the APD managed care pilot statewide in phases, require more transparency on waitlist data, create a statewide family care council, and address transition services for young adults leaving foster care. Testimony was mixed: supporters emphasized the long APD waitlist and the need for a voluntary option, while some witnesses and members raised concerns about the accelerated rollout, limited data, and preserving consumer-directed care. The committee adopted the bill 17-0. CS for HB 127, on exceptional student education, would create micro-credentials and coordinate with the Florida Center for Students with Unique Abilities and OSHA to support students with disabilities transitioning to work; it passed 17-0 after testimony from a parent and advocates. HB 989, concerning licensure of family foster homes, was amended to streamline license transfers for foster parents moving within Florida while maintaining oversight and directing DCF rulemaking. A teacher and other supporters said the bill would reduce bureaucracy and help children remain in stable homes; it passed 17-0. PCS for HB 1091, on substance abuse and mental health care, updates processes related to the 988 crisis line, methadone treatment needs assessments, and forensic evaluators, and adds data/reporting requirements for DCF managing entities. After one amendment and testimony from supporters and one opponent, it passed 16-0. Finally, HB 633, on behavioral health managing entities, was amended and then approved 17-0; it requires more structured data and reporting from managing entities to increase accountability and transparency in the behavioral health system.

Transcript Highlights:

• granted excused absences for attending mental health-related appointments. appointments, including therapy
• first diagnosed at the age of 10, I thought I could handle it all on my own and I resisted going to therapy

Bills: SB207, SB611, SB920, SB1174, SB1207, SB1325, SB1396, SB1551, SB1619

Keywords: SB 207, Texas Education Code, public school attendance, excused absence, mental health appointment, mental health care, behavioral health, school district, student absenteeism, same-day return, health care professionals, physician certification, religious holy days, court appearance, DFPS, foster care, education policy, student wellness, school mental health, attendance policy

Transcript Highlights:

• , family therapy work that can be done that supports the identity of the child while also educating the
• ,<01:46:56.719> family<01:46:57.040> therapy<01:46:57.600> work such as therapy
• , family therapy work such as therapy, family therapy work that<01:46:58.159> can<01:46:58.400
• instance particularly a a family therapy instance particularly a a family therapy to<01:47:17.600
• notes, then we're going to want therapy notes, then we're going to want to<03:05:42.319> make

Keywords: 1191, senate, all

Keywords: 981, all

Summary: The House convened with a quorum, approved the previous day’s journal, and heard several announcements, including recognition of the University of Denver men’s hockey championship and a sesquicentennial flag presentation for Colorado’s 150th anniversary. Members also received committee meeting notices and a reminder about open enrollment benefits. Committee reports were then read, advancing several bills from Appropriations, Judiciary, and Transportation, Housing, and Local Government to the Committee of the Whole or to Appropriations with favorable recommendations. The chamber adopted the majority leader’s motion to add a slate of bills to the special orders calendar for May 6, including Senate Bill 5 and several House and Senate bills. The House also adopted a motion limiting debate on Senate Bill 5 to one hour, with the vote recorded at 36 aye, 24 no, and five excused. The House then resolved into committee of the whole and took up Senate Bill 5, which creates a state-court civil remedy for constitutional violations committed during civil immigration enforcement and includes an appropriation. Supporters of Senate Bill 5 argued that the bill is needed to provide a meaningful remedy when federal immigration enforcement violates Fourth Amendment and other constitutional rights, citing alleged abuses, surveillance practices, and court decisions narrowing federal remedies. Opponents argued the bill is likely unconstitutional, duplicates existing federal remedies, and would be struck down in court; they also criticized the use of Rule 14 to limit debate and said Colorado should wait for litigation in other states. The transcript ends during continued debate on the bill, with no final vote shown.

Transcript Highlights:

• Those range from benefit management and utilization, so things like step therapy and prior authorization
• cost per day relative to another therapy?
• We come up with things like step therapy, formularies, narrow networks, prior authorization, and all
• Prior authorizations and step therapies are a huge part of this administrative burden.
• Prior authorizations and step therapies are a huge part of this administrative burden.

Keywords: 1185, senate, all

Transcript Highlights:

• And for example, I work for Booth Therapy Services, and one of our employees has been fingerprinted in
• And for example, I work for<01:10:34.560> Booth<01:10:35.040> Therapy<01:10:35.440>
• Services<01:10:36.159> and<01:10:36.640> one<01:10:36.880> of for Booth Therapy
• I am currently serving as the president of the New Hampshire chapter of the American Physical Therapy
• of the American Physical Therapy of the American Physical Therapy Associations.<01:15:48.400>

Keywords: 1191, senate, all

Transcript Highlights:

• only have to inform that they have a new diagnosis of malignancy and need to proceed urgently to therapy
• , but then you also have to delay that therapy while they figure out if a very expensive but clinically
• but<00:32:27.240> then<00:32:27.360> you<00:32:27.519> also urgently to therapy
• but then you also urgently to therapy but then you also have<00:32:28.039> to<00:32:28.120>
• > they have to delay that therapy while they have to delay that therapy while they figure<00:32

Keywords: 1187, senate, all

Transcript Highlights:

• 01:27:52.480> yours<01:27:53.000> yeah Next up, we have House Bill 629, relating to therapy
• 42.760> physical you um next we have Board of physical you um next we have Board of physical therapy
• Next, we have the Board of Physical Therapy providing comments.
• My name is Rash Araki, executive officer for the Board of Physical Therapy.
• have American Physical Therapy have American Physical Therapy Association<01:30:33.840> of

Keywords: 910, house, all

Summary: The committee heard testimony on HB 627, which concerns Department of Education school safety funding and staffing. DOE said the bill would restore two positions and related funding that had been removed from the governor’s budget: a targeted violence prevention and threat assessment program manager and a security technology manager. DOE described ongoing work on school vulnerability assessments, fire suppression measures, security camera research, panic buttons, and active shooter prevention training. Testifiers from DOE, the Department of Law Enforcement, fire services, HSTA, and an individual witness all supported the bill, with the individual citing a past school shooting experience as a reason to increase school resource officers and safety measures. Members asked about the positions’ duties, how the request differed from existing security funding, and the status of active shooter training; DOE said it would provide more information on training statistics. The committee then took up HB 249, relating to Executive Office on Early Learning family child interaction learning programs. The Early Learning Board, EOEL, Commit to Kids, Early Childhood Action Strategies, Partners in Development Foundation, and others testified in support. EOEL said it currently spends about $800,000 annually on FCI program contracts and supports expanding state funding for FCIL programs, including infant and early childhood mental health, if the appropriation covers the broader scope. Testifiers emphasized that FCIL programs are trauma-informed, evidence-based, and help families and children, with one provider sharing a long-term example of a parent and child benefiting from the program. Members asked how many programs are supported, whether FCIL exists on all islands, and whether the request was in the governor’s budget; EOEL said the expansion was requested by the office but not included in the governor’s budget. HB 429, concerning pre-K expansion, drew broad support from the Lieutenant Governor, EOEL, HSTA, and community groups. Supporters said the Ready Keiki initiative has already opened more than 50 classrooms and would add another 50 over the next two years, including Hawaiian immersion classrooms. EOEL said it currently administers 72 public pre-K classrooms across 74 campuses and that the bill’s funding was included in the governor’s budget request. Testimony stressed kindergarten readiness, affordability for working families, equity across islands, and inclusion classrooms. Members asked about national quality benchmarks, with EOEL stating Hawaii meets 10 of 10 benchmarks and that only five states had done so at the time referenced. The Lieutenant Governor also described construction and delivery efforts, including refurbishing existing classrooms, modular options, possible use of state buildings, and even collaboration with libraries to expand child care access. Finally, the committee heard HB 439 on J-1 teacher licensure. DOE supported the bill, while the Hawaii Teacher Standards Board opposed it, arguing licensure standards are not place-based and should remain rigorous and uniform for all educators. The Attorney General’s office offered technical comments, including replacing “educators” with “teacher” and clarifying the bill’s language on issuance and renewal conditions. Several organizations and individuals testified in support, including school, cultural, business, and educator groups. One witness, a teacher from the Philippines, said J-1 educators are highly qualified and described the rigor of teacher preparation in the Philippines. No votes were taken in the portion of the meeting provided.

Transcript Highlights:

• Next we have the Board of Behavioral Health and Therapy. Welcome to the committee, Samantha Sto.
• I am the executive director of the Minnesota Board of Behavioral Health and Therapy.
• The executive director of the Minnesota Board of Behavioral Health and Therapy.
• Members, do you have any questions about the Board of Behavioral Health and Therapy?
• Members, do you have any questions about the Board of Behavioral Health and Therapy?

Keywords: 1187, senate, all

Summary: The Senate Health and Human Services Committee met on January 28, 2025, to review Governor’s budget proposals for several health-related licensing boards. The chair said no formal action would be taken and noted that final budget language was not yet available. The committee began with an overview from Bridget Anderson of the health-related licensing boards, who explained that the boards are fee-funded, operate as independent executive agencies, and handle licensing, complaints, rulemaking, and disciplinary matters. She also noted that the Board of Dentistry’s budget includes the Administrative Services Unit and criminal background check program, which can make the budget graphs appear larger than the dentistry board’s own operations. The Board of Dentistry requested funding for a new administrative staff position, estimating about $100,000 in salary, insurance, and fringe costs, to replace support lost when an administrative position was reclassified. Anderson said the board handled more than 300 complaints last year, with cases becoming more complex, especially involving surgical and implant procedures and imaging. Members asked about dental Medicaid access, but Anderson said that issue would be better directed to DHS’s Medicaid oral health division. The Board of Behavioral Health and Therapy requested a full-time position due to rapid growth in the number of regulated professionals, from about 4,000 in 2014 to nearly 10,000 now, and also sought authority to set a fee for out-of-state applicants under the Counseling Compact, with a cap of up to $100 though the board expects to charge much less. The Board of Podiatric Medicine asked to raise its fee ceiling, saying fees had not been increased since 1999 and that the board now faces a structural deficit of about $40,000 per year and declining reserves. Several senators expressed concern about “not-to-exceed” fee authority, calling it too open-ended and suggesting the legislature should scrutinize specific fee needs rather than approve broad ceilings. Similar concerns were raised during the Board of Chiropractic Examiners presentation, where the board sought $100,000 in additional spending authority and a fee increase after 32 years without an adjustment; members questioned the proposed ceiling approach and asked for more historical information before deciding. The Board of Dietetics and Nutrition Practice also discussed fee-setting authority, with the executive director explaining that the board had previously lowered fees without clear authority and later faced audit questions; she requested funding for a vacant administrative position, saying applications and revenues have increased sharply and no fee increase would be needed. The final presentation began with the Board of Pharmacy, which said it serves more than 26,000 licensees and oversees the Prescription Monitoring Program and opioid product registration. The board requested an extension of previously appropriated general fund dollars through fiscal year 2027 to continue paying legal costs tied to the insulin safety net lawsuit, emphasizing that this was not a new funding request but an extension of existing authority. No votes or formal actions were taken during the meeting.