Transcript Highlights:

• The other part is the non-claims data: prescription drug spending, net costs of private health insurance
• Is it prescription costs that are driving things, or is it a certain area?
• Or we read about one example, and maybe Susan has some more here, where, say, prescription costs were
• For example, you can get, for the prescription drug spending, that might be from the prescription benefit

Transcript Highlights:

• and there is no single prescriptive and there is no single prescriptive path. path. path.
• So, section 9 concerns prescription drug maximum out-of-pocket limits and increased flexibility in plan
• Currently in statute, Vermont mandates that the prescription drug out-of-pocket be capped at an amount
• This results in a lower out-of-pocket for prescription drugs than for the medical out-of-pocket.
• that the prescription drug out-of-pocket be<01:26:58.840> capped<01:26:59.320> at<01:26

Keywords: 926, house, all

Summary: The House resumed consideration of H.606 on firearm procedures and first took up Section 3 and its effective dates. A member from Northfield spoke at length in support, arguing the provision is narrowly tailored, based on actual dangerousness rather than mental illness alone, and is more limited than federal law because it applies only to specific court findings and is temporary, with rights restorable upon recovery. The House then approved Section 3 and its effective dates, approved the remainder of the Judiciary Committee report, and ordered third reading. The chamber then moved through third readings and passed H.385 on remedies and protections for victims of coerced debt, H.556 on exceptions to the state minimum wage, H.559 on the parole board, H.723 on posting of land, and H.757 on manufactured homes and limited equity cooperatives. On H.814, relating to neurological rights and AI in health and human services, the House adopted an amendment offered by the member from Burlington that required the advisory council to include proposed definitions for neurotechnology, artificial intelligence, and related terms in its report; the House Health Care Committee reported the amendment favorable 11-0-0, and the bill then passed. H.816, regulating the use of artificial intelligence in the provision of mental health services, also passed, as did H.927, technical corrections for the 2026 session. The House then took up H.930 on chronic absenteeism. The committee member from Manchester described the bill as an AOE proposal responding to high post-pandemic absenteeism rates and their impact on learning, and outlined provisions adding definitions, updating compulsory attendance language, requiring a state model policy, strengthening notification and truancy procedures, and preserving existing penalties. The member said the Education Committee heard from a wide range of education and child welfare witnesses and passed the bill 11-0. After a brief clarification on the absences section, the House proceeded toward third reading of H.930.

Transcript Highlights:

• being in the event that the cannabis is being used<00:40:34.800> under<00:40:35.119> prescription
• from a licensed used under prescription from a licensed physician<00:40:38.240> that<00:40:38.400
• that is acceptable on as a prescription that is acceptable on the<00:45:23.920> fed<00:45:24.240
• <00:47:57.680> that<00:47:58.000> that<00:47:58.400> would doctor's prescription
• that that would doctor's prescription that that would not<00:47:59.040> make<00:47:59.280>

Keywords: 1191, senate, all

Transcript Highlights:

• Section three authorizes data sharing between MDH and Commerce related to prescription drug pricing data
• Section three authorizes data sharing between MDH and Commerce related to prescription drug pricing data
• Section three authorizes data sharing between MDH and Commerce related to prescription drug pricing data
• Section three authorizes data sharing between MDH and Commerce related to prescription drug pricing data
• Section three authorizes data sharing between MDH and Commerce related to prescription drug pricing data

Keywords: 1187, senate, all

Transcript Highlights:

• SB 1188, approved medication scheduling prescription authority, Health and Human Services.
• SB 1188, approved medication scheduling prescription authority, Health and Human Services.

Keywords: 1182, all

Summary: The Senate convened with prayer and the Pledge of Allegiance, recorded attendance, approved the journal, and welcomed several guests, including the Doctor of the Day, Dr. Tammy Penhollow, as well as visitors from Republic Services, Copper Valley Energy, and a young guest shadowing Senator Bolick. The President also announced deadline extensions for opening Senate folders and bill introduction preparation, and the chamber received communications from the Governor without reading them aloud. The main floor business was the reading and reference of a large number of Senate bills and resolutions to committees, covering topics such as education, taxation, water and natural resources, health care, behavioral health, public safety, elections, family law, immigration, transportation, and appropriations. The Senate also completed second reading of another extensive set of bills on issues including concealed weapons, nicotine products, rental housing, mental health, behavioral health, radiation protection, school safety, family courts, elections, and various appropriations and regulatory measures. No bills were debated or voted on during this transcript. Standing committee reports were waived from reading, and committee announcements were made for upcoming meetings of Government, Health and Human Services, Regulatory Affairs and Government Efficiency, Education, Judiciary and Elections, and Public Safety. The Senate then adjourned until Wednesday, January 21, 2026, at 1:15 p.m.

Transcript Highlights:

• You'll recall in many of the conversations this is not a prescription.
• This is our prescription drug monitoring program.
• No general funds in the prescription drug monitoring.
• drug General funds in the prescription drug General funds in the prescription drug monitoring<04
• memory for memory lane um prescription memory for memory lane um prescription drug<04:12:30.000>

Keywords: 928, house, all

Summary: The Finance Division III work session focused on the Department of Health and Human Services’ Division of Public Health Services budget. Department staff said Public Health has a relatively small budget compared with other DHHS divisions, is supported mostly by federal and other non-General funds, and contains nearly 100 accounting units and more than 50 federal grants. They emphasized that the governor’s budget did not include significant cuts, but that federal funding uncertainty and the winding down of pandemic-era resources were major factors affecting the division. The division also explained that some apparent budget growth reflects reorganizations, including moving the Bureau of Emergency Preparedness, Response, and Recovery and some programs from other DHHS divisions into Public Health. The presentation described Public Health’s mission as serving the entire state through food and water safety, disease surveillance, emergency response, maternal and child health, chronic disease prevention, WIC, community health center support, and public health data collection. Members asked about bird flu, and staff explained that human-health response would involve Public Health’s lab, infectious disease, and emergency preparedness units, while animal-health issues are handled with the Department of Agriculture; they also noted ongoing milk testing requested by FDA and USDA. The division said its organizational structure includes bureaus for Family Health and Nutrition, Infectious Disease Control, Public Health Protection, Emergency Preparedness, Prevention and Wellness, Statistics and Informatics, and Public Health Laboratories, with about a 15% vacancy rate. Committee members questioned whether the division’s budget and staffing had really grown since pre-COVID, and staff responded that full-time authorized staffing is about the same as in 2018, with the increase largely due to federal pandemic funding that has since receded and to program transfers between divisions. They said Public Health’s General Fund share is about $24 million out of roughly $1.1 billion in DHHS General Fund spending, or about 2.2% of the department total. Members also asked about the 3,000-position cap and unfunded positions; staff explained that the cap remains in chapter law through June 30, 2025, that 394 positions were unfunded in the governor’s budget, and that the division expects flexibility to move money from personnel lines and fill unfunded positions to manage changing needs. No votes or formal actions were taken in this portion of the work session.

Transcript Highlights:

• I prescription drug affordability board.
• <03:17:00.640> drug was that the prescription drug was that the prescription drug affordability
• <03:18:39.279> drug offset the prescription drug offset the prescription drug affordability
• That's the prescription drug affordability board.
• That's the prescription drug affordability board.

Keywords: 928, house, all

Summary: The committee first considered House Bill 66, a right-to-know measure that would broaden access from “citizen” to “person,” including out-of-state requesters. Members also adopted an amendment removing the current no-filing-fee provision for appeals of unfavorable right-to-know ombudsman rulings, citing budget concerns. The bill was then reported ought to pass as amended on a 16-9 vote, with a minority report requested. House Bill 187, which would let a parent or guardian seek a protective order on behalf of a minor alleging abuse by someone outside the family or household, was described as a narrow fix with little fiscal impact. It passed unanimously, 25-0, and was placed on the consent calendar. House Bill 215, requiring landfill permit applicants to submit a report on potential harms and benefits, was retained because its policy had been folded into House Bill 2; the committee voted 25-0 to retain it. House Bill 219, dealing with renewable portfolio standard changes and lower renewable energy certificate values, drew opposition from members who said it would weaken renewable energy development and raise concerns about energy costs, but the motion to retain was adopted 14-11, allowing the bill to be moved into House Bill 2. The committee then retained House Bills 365, 552, 566, 572, 607, 611, and 624, all by unanimous or near-unanimous votes, generally because the relevant policy or funding had been incorporated into House Bill 2 or because the bills were viewed as technical or low-impact. HB 566 was described as a landfill leach-management bill with a fiscal note under $10,000 annually and was sent to consent. HB 572 and HB 607 were retained because their money components were moved into HB 2, though one member objected that HB 607 represented an unfunded mandate for the Hampton Beach Area Commission. House Bill 511, concerning ICE detainers and county detention practices, generated the most debate. Supporters said the amendment clarified how long counties may hold detainees without a federal contract and compared the detention period to existing bail rules; opponents argued the bill could sanction detention of people not charged with crimes and raised due-process concerns. The committee adopted the amendment 14-11 and then reported the bill ought to pass as amended on another 14-11 vote, with a minority report requested. House Bill 639, involving securities and digital currency issues, was also reported ought to pass after members noted unresolved concerns but said the Secretary of State’s Securities Division was willing to continue working on it in the other body; the vote was 16-10.

Transcript Highlights:

• If I know that for the past several years prescription drugs have continued to become more unaffordable
• Board's 2024 annual report was written to educate buyers of prescription drugs on how the prescription
• The prescription drug market is genuinely not a free market.
• Currently reviewing in Connecticut a prescription drug discount card, which does not incur any cost to
• The Prescription Drug Affordability Board, um, and I think that this needs to be considered and have

Keywords: 1189, house, all

Transcript Highlights:

• the issue that that's trying to seek to solve is an issue where you... ...the pharmacy fills a prescription
• And so they're going to have to predict in advance how many prescriptions that client is going to need
• able to, they look at their pharmacy almost more than they look at their doctor, you know, for prescriptions

Summary: The Senate Finance Committee met with eight members present and deferred HB 127. It then considered a series of bills, most of which were reported favorably without opposition. HB 22 revised COLA rules for the clerks of court retirement system, allowing more frequent COLAs when the system is better funded; HB 324 made judicial stipends permanent and added future COLAs subject to available funding; HB 233 increased jury mileage reimbursement; HB 47 reorganized assessor retirement COLA statutes; HB 533 allowed St. Tammany Parish to transfer unused witness-fee account balances to the 22nd Judicial District Court; HB 980 adjusted eligibility for the Firemen’s Supplemental Pay Board; HCR 45 urged Congress to clarify ARPA deadlines for water projects; HB 559 increased court costs in the 4th Judicial District; HB 290 recreated the Department of Treasury and related entities in statute; and HB 382 addressed Joint Legislative Committee on the Budget review authority over Group Benefits plans. The committee also reported HB 1157 favorably, creating a financing bank mechanism for infrastructure projects, and HB 575 favorably, giving youth aging out of foster care preferred access to surplus state vehicles through the Louisiana Property Assistance Agency. Several measures drew more discussion. HB 1236, dealing with pharmacy benefit managers and professional dispensing fees, prompted extensive testimony from the sponsor, the Legislative Fiscal Office, the Department of Insurance, independent pharmacies, and PBM representatives. Supporters said it clarifies and strengthens enforcement of existing PBM law and protects independent pharmacies; opponents argued the bill’s requirement that PBMs bear dispensing-fee costs would be difficult to implement and could raise premiums. The sponsor said he would work on amendments, including clarifying language and a delayed effective date, and the bill was nevertheless moved favorably. SB 25, on registrar of voters compensation, was amended to a revised pay structure and then reported favorably. HB 47 and HB 533 were also presented as funding and administrative cleanups for retirement and court-related accounts, with local support noted. The committee also heard HB 233 on jury duty mileage reimbursement, which the sponsor said updates a 1961 rate and would be funded locally at an estimated average increase of about $4,000 per judicial district. HB 324 on judicial salaries was described as self-funded by the judiciary and subject to available funding, with no budget impact. HB 575 on foster youth transportation was presented as a non-appropriation measure aimed at helping youth aging out of foster care by giving them preferred access to surplus vehicles. HB 382, which concerns the Joint Legislative Committee on the Budget’s role in approving Group Benefits plans, was reported favorably with little discussion. The meeting ended after a motion to adjourn.

Transcript Highlights:

• This bill, again, is permissive, not prescriptive.
• So when we initially filed these bills in the past, we had a very prescriptive bill.
• And again, in order to get it over the line, we're trying not to be too prescriptive.

Keywords: 1184, house, all

Transcript Highlights:

• SB 1286, veterinarian visits, electronic means prescriptions.
• SB 1309, pharmacist care standard prescriptions. SB 1340, public records digital media copies.

Keywords: 1182, all

Summary: The Senate convened with prayer and the Pledge of Allegiance, then confirmed a quorum of 30 present and approved the Journal from January 27, 2026. Several senators used points of personal privilege to welcome guests, including Aliento students visiting for an education day, gun safety advocacy groups, constituents, a legal studies shadowing guest, a scientist from Tempe, and aging-services advocates. Senators also spoke in support of student walkouts protesting ICE activity and praised the students’ activism. The chamber then moved through the second reading calendar, listing a large number of bills and resolutions covering topics such as water policy, health care, public records, education, insurance, elections, housing, utilities, criminal justice, and appropriations. No floor debate or votes on those measures were recorded in the transcript, and committee reports were placed on the journal without being read. After a recess, the Senate took up first-reading introductions and referred additional bills to committees, including measures on public benefits eligibility, public safety counseling, missing kidnapped children reporting, solar energy, elections, firearms instruction in schools, HOA and condominium issues, housing restrictions, water quality testing, and cargo theft. The Health and Human Services Committee was announced to meet Thursday at 10:30 a.m. in Senate Hearing Room 2, and the Senate adjourned until Thursday, January 29, 2026, at 10 a.m.

Transcript Highlights:

• For SB 2933, um, noting that Department of Health does not want to have the prescription drug affordability
• c><01:27:19.520> to<01:27:19.679> have<01:27:19.840> the<01:27:20.400> prescription
• <01:27:20.960> drug not want to have the prescription drug not want to have the prescription
• <01:27:48.639> drug place for the prescription drug place for the prescription drug affordability
• needed to have medical cannabis for a terminal relative of ours, where we tried every possible prescriptive

Bills: SB3275, SB3105

Keywords: cannabis, low-dose, personal use, cultivation, cannabis accessories, Hawaii cannabis law, medical cannabis, physician assistant, licensure compact, medical services, interstate practice, healthcare portability, military families, licensing authority, 912, senate, all

Summary: The Senate Committee on Commerce and Consumer Protection reconsidered two condominium bills and adopted recommendations to pass both with amendments. For SB 2433, members approved amendments clarifying that condominium unit owners’ interests are to be recognized and protected in educational and related programs by the Real Estate Commission and DCCA, while making technical changes and changing the effective date. For SB 2838, the committee replaced the bill’s broader substantive language with a narrower requirement that associations provide electronic copies of specified documents, including master leases, reserve studies, audited financial statements, contracts, leases, and other agreements, along with technical changes and an amended effective date. Both measures were adopted unanimously by the members present, with Senator McKelvey excused. The committee then heard SB 2710 on animal issues, which would define and regulate dog breeders, set care standards, create county licensing authority, require records, and establish an animal abuser registry and related penalties. Testimony was mixed: the Public Defender and the American Kennel Club opposed the bill, arguing for stronger enforcement of existing laws rather than harsher penalties and warning that the bill would burden responsible breeders; the Hawaiian Humane Society supported the bill’s breeder regulation and registry provisions but urged removal of the hoarding section; and the committee noted 26 written testimonies in support, 14 in opposition, and four comments. In decision-making, the committee passed SB 2710 with amendments that blanked the license fee, deleted the animal abuser registry and shelter/pet store/breeder compliance checks, struck the hoarding provisions and proposed criminal penalty changes, and made technical changes with a deferred effective date. The committee also heard SB 2209 on rental discrimination, which would allow attorney’s fees to a prevailing party in source-of-income discrimination cases, and SB 2884, which would create a nonrefundable income tax credit for wind-resistant retrofits or hurricane shelters. The Hawaii Civil Rights Commission supported SB 2209, and the committee later passed it with a deferred effective date. SB 2884 drew support from DCCA’s Insurance Division, the Department of Taxation, HEMA, the Climate Change Mitigation and Adaptation Commission, and a public witness who urged hurricane preparedness; it was passed with the Department of Taxation’s proposed amendments and a deferred effective date. Finally, the committee heard SB 2922 on cooperative associations, which would create a general cooperative associations framework. DCCA offered comments, while the Hawaii Co-op Hui, Purple Maya Foundation, Enliven Cooperative, and Hawaii Farmers Union supported the measure and argued that current law is too limited for worker, producer, and multi-stakeholder co-ops. After discussion about using the existing chapter 421C structure rather than creating a new regulatory scheme, the committee passed SB 2922 with amendments adopting changes proposed in testimony from the Hawaii Farmers Union and deferred the effective date.

Transcript Highlights:

• I could use any of the different types of people that can go get a prescription, but I'm a veteran.
• So veterans will still have access to THC through getting a prescription, is that correct?
• And after they prescribe it, I take my prescription. Where?
• But in these products, we are taking away a natural, non-addictive alternative to these prescription
• We’re giving prescription narcotics, prescription opioids, prescription psychotropic medications that

Bills: SB31, SB33, SB20, SB217, SB264, SB269, SB650, SB681, SB528, SB502, SB740, SB916, SB995, SB10, SB2581, SB2570, SB3031, SB24, SB379, SB1171, SB1121, SB1120, SB1061, SB1036, SB1019, SB890, SB11, SB868, SB1188, SB1254, SB2778, SB2543, SB2443, SB1333, SB1259, SB1401, SB1404, SB2139, SB2165, SB2237, SB2268, SB1202, SB1198, SB1212, SB1451, SB1470, SB1498, SB965, SB1547, SB1667, SB1818, SB1902, SB2129, SB2078, SB2069, SB1737, SB1589, SB1318, SB387, SB1150, SB1574, SB2127, SB3034, SB860, SB1278, SCR5, SCR32, SB4, SB23, SB1762, SB34, SB60, SB706, SB1814, SB1220, SB523, SB565, SB1253, SB840, SB764, SB2383, SB2155, SB1535, SB1423, SB1566, SB1804, SB1728, SB1816, SB1952, SB75, SB2068, SB1455, SB213, SB627, SB2037, SB670, SB896, SB917, SB1184, SB971, SB1255, SB1261, SB1283, SB991, SB1733, SB21, SB231, SB739, SB1252, SB1371, SB646, SB3, SCR27, SB552, SB1405, SB1948, SB243, SJR1, SB31, SB33, SB20, SB217, SB264, SB269, SB650, SB681, SB528, SB502, SB740, SB916, SB995, SB10, SB2581, SB2570, SB3031, SB24, SB379, SB1171, SB1121, SB1120, SB1061, SB1036, SB1019, SB890, SB11, SB868, SB1188, SB1254, SB2778, SB2543, SB2443, SB1333, SB1259, SB1401, SB1404, SB2139, SB2165, SB2237, SB2268, SB1202, SB1198, SB1212, SB1451, SB1470, SB1498, SB965, SB1547, SB1667, SB1818, SB1902, SB2129, SB2078, SB2069, SB1737, SB1589, SB1318, SB387, SB1150, SB1574, SB2127, SB3034, SB860, SB1278, SCR5, SCR32, SB546, SB647, SB648, SB1493, SB1709, SB2001, HB5669, HB3115, HB5655, HB5675, HB5689, HB5690, HB5653, HB3228, HB2802, HB45, HB1318, HB5560, HB2894, HB4344, HB2775, HB33, HB 12, HB148

Keywords: SB 31, Life of the Mother Act, Texas abortion law, medical emergency, reasonable medical judgment, pregnancy complications, maternal health, life-threatening condition, ectopic pregnancy, spontaneous abortion, miscarriage, unborn child, abortion exception, abortion ban, physician liability, health care liability claim, aiding and abetting, Texas Medical Board, State Bar of Texas, continuing medical education

Transcript Highlights:

• I had to find an online pharmacy that would honor my doctor's prescription.
• And manufactured and controlled, typically by prescription.
• Prescriptions that are all adulterated, all unnatural, just to cover up an issue.
• After my service, chronic pain became my enemy, and prescription drugs, opioids, became a problem.
• opioids like fentanyl, which has killed so many veterans who get hooked on deadly prescriptions after

Bills: SB31, SB33, SB510, SB871, SB1868, SB2024, SB2166, SB2309, SB2880, SJR27, SJR39, SJR40, SB 31, SB 33

Keywords: SB 31, Life of the Mother Act, Texas abortion law, medical emergency, reasonable medical judgment, pregnancy complications, maternal health, life-threatening condition, ectopic pregnancy, spontaneous abortion, miscarriage, unborn child, abortion exception, abortion ban, physician liability, health care liability claim, aiding and abetting, Texas Medical Board, State Bar of Texas, continuing medical education

Transcript Highlights:

• want to be sure that the nursing board got the intent right, that an APRN can write a different prescription
• treating the same illness or whatever. ...the same illness or whatever, but a different prescription
• So as long as they're treating the same ADHD or whatever it is, they can write a different prescription
• They felt like that was too prescriptive and wanted to leave that open, and we felt like, for public
• Just to make sure we're on the same page and understand: if someone wrote a prescription for, say, Focalin

Summary: The Administrative Rules Subcommittee reviewed a long agenda of agency rules, with most items approved without objection after brief presentations and no public comment. Early items included Department of Energy and Environment rules on landfill post-closure trust fund spending thresholds and liquefied petroleum gas standards, DFA’s electronic odometer disclosure rule, and several Department of Health rules covering ionizing radiation, mobile home and RV parks, lead-based paint, counseling board revisions, hearing instrument dispensers, athletic training, dental examiners, nursing, pharmacy, medical board, speech-language pathology and audiology, radiologic technology, massage therapy, community health workers, doula certification, and cosmetology/body art. Most of these changes were described as updates to match recent acts, federal standards, compact participation, fee adjustments, or cleanup/clarification, and the committee repeatedly approved them without objection. A substantial portion of the meeting focused on the Arkansas State Board of Nursing’s broad set of rule changes implementing multiple 2025 acts. Those changes included creating a dialysis patient care technician registry, updating contact information requirements, expanding APRN authority to delegate certain tasks, clarifying death certificate and pronouncement authority, allowing substitution of therapeutically equivalent medications, permitting purchase of compounded products, and updating certified medication assistant rules and training standards. Members asked detailed questions about the meaning of therapeutically equivalent substitutions, delegation limits, compounded products, and how often medication lists would be updated; the board said it would review rules annually and use future rulemaking as needed. The committee also approved new nursing rules for declaratory orders and the new dialysis registry. The Department of Education’s rules drew the most discussion, especially the Arkansas Children’s Educational Freedom Account Program. The department said the revisions, based on Act 920 of 2025, were intended to add guardrails, clarify eligible expenses, and streamline approvals. Changes included defining core educational expenses, limiting sports-related spending, adding an intentional misuse standard, restricting certain technology purchases and requiring extra justification over $1,000, capping carryover funds at $8,500, and creating a reconsideration process for denied expenses. Members raised concerns about oversight, appeal timelines, sports equipment, provider credentialing, and whether the rules were too restrictive; department officials said the rules were meant to protect taxpayer funds while preserving flexibility, and they noted the program had received extensive public comment. The committee also approved Education rules for scholarships, residency classification, teacher programs, accelerated learning, and graduate medical education, as well as Labor and Licensing rules on wage and hour standards, boiler rules, motor vehicle commission requirements, professional wrestling regulation, appraiser qualifications, and military recruiting incentives.

Transcript Highlights:

• want to be sure that the Nursing Board got the intent right—that an APRN can write a different prescription
• treating the same illness or whatever, but a different prescription than what was originally written
• So it can't act differently than the original prescription, but as long as it's therapeutically equivalent
• So as long as they're treating the same ADHD or whatever it is, they can write a different prescription
• So just to make sure we're on the same page and understand, if someone wrote a prescription for, say,

Keywords: 1204, all

Transcript Highlights:

• So, the bill already requires medical necessity and a prescription.
• So, the bill already requires medical necessity and a prescription.
• medically necessary and<00:38:41.040> provided<00:38:41.359> a<00:38:41.400> prescription
• <00:38:41.880> for<00:38:42.080> it, and provided a prescription for it, and provided
• a prescription for it, would<00:38:42.359> HMSA<00:38:42.760> cover<00:38:43.040> it

Bills: SB2433, SB2047, SB2425, SB3045, SB2761, SB3001, SB2852, SB2471

Keywords: condominium governance, education trust fund, unit owners, real estate, dispute resolution, financial obligations, community representation, pharmacy benefit managers, maximum allowable cost, transparency, drug pricing, insurance commissioner, contracting pharmacies, healthcare, substance use disorder, SUD, addiction treatment, behavioral health, mental health, rehabilitation

Summary: The committee heard testimony on SB 2433 SD1 relating to condominiums, which would direct the condominium education trust fund toward educational resources for unit owners and require the Real Estate Commission to ensure owners’ interests are represented in funded activities and related rulemaking. Supporters, including the Hawaii Real Estate Commission and a condominium owner advocate, said owners need a seat at the table in condo governance and education efforts. Committee discussion focused on whether the bill was necessary, with the Real Estate Commission indicating it could already use the trust fund for owner education and that owners are already considered stakeholders, though not through a specific commission seat. No vote was taken during the excerpted discussion. The committee then took up SB 2047 SD2 HD1 on pharmacy benefit managers, which would set requirements for maximum allowable cost reimbursement, allow reverse-and-rebill claims after successful appeals, and authorize fines for violations. The Insurance Division offered comments, the Hawaii Pharmacists Association supported the measure with amendments and suggested future PBM reform funding, and Kaiser Permanente requested a technical amendment. A committee question raised whether the staffing and resource request for implementation was too large for a bill focused only on MAC pricing, and the witness said he would provide more data to the next committee. No final action was shown. Next was SB 2425 SD2 HD1 on health insurance and substance use disorder treatment, requiring insurers to honor written assignments of benefits to SUD providers and prohibiting anti-assignment clauses. Supporters described patients being unable to access treatment because of high out-of-pocket costs and said direct payment would reduce harm for people in recovery. HMSA opposed the bill but said it would begin direct payments to non-participating SUD facilities effective March 27, while continuing to object to the assignment-of-benefits portion because of fraud and balance-billing concerns; the Hawaii Association of Health Plans also opposed. Members questioned HMSA about reimbursement mechanics and why the bill was needed if coverage policies were already changing. Finally, the committee heard SB 3045 SD1 HD1, which would require coverage of continuous glucose monitors and related supplies, including for Medicaid managed care, under certain conditions. DHS and the Insurance Division offered comments, while SHPDA, Hilo Benioff Medical Center Foundation, and others supported the bill, citing inconsistent access and a case in which a woman allegedly died after being denied a CGM. HMSA said it already covers medically necessary CGMs and had updated its policy in 2025 for type 1 and insulin-dependent patients, but it raised concerns about expanding mandated coverage to type 2 and gestational diabetes and about supply impacts. The committee also discussed whether the bill duplicated existing coverage standards and why it had been introduced repeatedly. No votes or final dispositions were included in the excerpt.

Transcript Highlights:

• to address excessive charges the measure to address excessive charges for<00:19:01.440> non-prescription
• <00:19:02.160> and for non-prescription and for non-prescription and over-the-counter<00:19
• That is to clarify the reimbursement for certain types of compounded prescription drugs.
• That is to clarify the reimbursement for certain types of compounded prescription drugs.
• That is to clarify the reimbursement for certain types of compounded prescription drugs.

Bills: SB3082, SB3110, SB3251

Keywords: military families, family leave, qualifying military exigency, Hawaii Revised Statutes, financial support, Hawaii National Guard, civil-military program, education, collective bargaining, exemption, SB3251, Hawaii public safety, ICE, Immigration and Customs Enforcement, Border Patrol, law enforcement hiring, state employment ban, police powers, Department of Law Enforcement, DLNR

Transcript Highlights:

• And you actually currently in the energy code, there's a performance path, there's a prescriptive path
• Builders who want to use spray foam already can, but this is trying to define within the prescriptive
• path what counts to meet that prescriptive path, and we think that's a bad idea to put that in statute
• This bill establishes an optional prescriptive compliance pathway for unvented attics within Texas.
• That's another thing that we're getting into; we're getting into the prescriptive, we're getting into

Bills: HB45, HB755, HB 1232, HB1555, HB2460, HB2702, HB2973, HB3120, HB3225, HB3314, HB3356, HB3371, HB3634, HB3638, HB4247, HB4283, HB4290, HB4302, HB4503, HB4511, HB4565, HB4581, HB4627, HB4632, HB4660, HB4668, HB4960, HB5042, HB45

Keywords: housing, affordable housing, rent control, landlord-tenant laws, housing rights, lobbying, public entities, expenditures, government code, transparency, Texas Ethics Commission, government regulation, lobbying restrictions, government accountability, taxpayer money, HB 1232, whistleblower, whistleblower protection, public employee, retaliation

Transcript Highlights:

• the<00:22:17.840> the Okay, and so how would this be administered, if from like the prescription
• If you could quickly explain the entire process from prescription to application. explain like the the
• entire process from explain like the the entire process from prescription<00:22:34.480> to<00
• it begins prescription to application it begins with<00:22:36.640> a<00:22:36.919> parent<
• /c><00:22:50.760> uh<00:22:50.880> to<00:22:51.080> the Would provide the prescription

Keywords: 910, house, all

Summary: The committee heard several education-related bills, with testimony largely in support. SB 1388 and SB 1393, both concerning the School Facilities Authority and Department of Education representation and land conveyances, received support from DOE and the School Facilities Authority, with no questions or action taken. SB 423, which would add Head Start representation to the Early Learning Board, was supported by the Early Learning Board and the Executive Office on Early Learning, which explained the bill would realign the board with federal Head Start Act requirements after the board was restructured in Act 170; EEL also requested an effective-date amendment. SB 422, allowing DOE to award diplomas to students whose education was disrupted by war, drew support from DOE, the Chamber of Commerce, the Military Council, and the Special Education Advisory Council, but also significant opposition from the Hawaii Patriot Republicans and many individuals; members asked questions about the bill, and DOE explained the measure’s purpose, but no vote was taken. The committee also took testimony on SB 532, which would expand who may administer certain medications in schools. DOE, the Department of Health, and the University of Hawaii supported the bill. Members asked detailed questions about oral, nasal, and topical medications and the process for prescription review and administration; DOE explained that parents request the medication, a school form is completed, a nurse reviews it, and either a trained school health assistant or a contracted nurse administers the medication. DOE said the measure could improve attendance and learning, especially for students with ADHD, asthma, and other chronic conditions. The committee then heard SB 659 on locally sourced food products and school meals, where DOE’s procurement office opposed the higher small-purchase threshold and DOE exemption from procurement rules, while Ulupono Initiative, Hawaii Farm Bureau, Hawaii Public Health Institute, and others supported the bill as a way to advance farm-to-school goals and the 30% local food target by 2030. Testimony and questioning focused on the proposed threshold increase, transparency, and whether an online bidding system would be preferable. Finally, the committee heard SB 1300 on subsidies for ALICE families’ school meals. DOE supported the bill but requested amendments: defining eligibility at 250% of the federal poverty level, delaying implementation until the 2026-2027 school year, and covering reduced-price lunch students in full for 2025-2026. HSTA, Hawaii Appleseed, Catholic Charities Hawaii, Pride at Work Hawaii, Hawaii Youth Services Network, and others supported the measure, emphasizing food insecurity, the burden of meal paperwork, and the educational importance of free meals. Hawaii Appleseed suggested replacing ALICE with a federal poverty level standard and removing a rulemaking requirement that could delay implementation. No votes or final committee actions were reported in the transcript.