Transcript Highlights:

• But 522 of them have bought into this program.
• We run the leanest emergency management program in the entire U.S.
• I'm the emergency management director, the public information officer.
• We can get you an emergency management director to come in and help you.
• Again, we are a very lean emergency management agency.

Summary: The Economic Development Budget Subcommittee received a lengthy presentation from Kevin Guthrie, Executive Director of the Florida Division of Emergency Management, on disaster costs, recovery operations, sheltering, and major capital projects. He reviewed the 2024 hurricane season impacts from Debby, Helene, and Milton, explaining how FEMA public assistance and state reimbursement work, how cost shares can shift from 75/25 to 90/10 after a federal threshold is reached, and how Florida uses prior storm data and inflation to estimate recovery costs. He also described the state’s faster reimbursement timelines, crediting legislative investments in technology and digital field documentation, and said the division is working to reduce disaster closeout timelines from decades to about seven years. Members asked about debris removal, FEMA de-obligations, local preparedness, and whether regional shelters or co-located emergency operations centers could be used more efficiently. Guthrie said debris assistance is complicated and should generally remain tied to local contracts and planning, though the state will help fiscally constrained communities when needed. He explained de-obligations as FEMA clawing back previously approved funds after later review, and said Florida’s FROC program is helping local governments reduce those risks through standardized documentation, procurement review, and training. He also urged more mandatory emergency-management training for local and state officials and cautioned against weakening the FEMA 50% rule for rebuilding damaged structures. Guthrie provided updates on the new central Florida warehouse in Auburndale and the new State Emergency Operations Center in Tallahassee. He said the warehouse will improve logistics, include cold and ultra-cold storage, and be run by a private vendor with virtual inventory tracking, while the new EOC is designed for Category 5 conditions and expanded partner capacity. He acknowledged budget pressures that reduced the size of the EOC project and said an additional IT request was needed because those costs were not originally included. The meeting ended with praise for FDEM’s work and no votes or formal actions beyond adjournment.

Transcript Highlights:

• However, more than 82% of children who need emergency care are treated in general hospital emergency
• Third, it requires all emergency departments... Simulate emergency situations.
• assistant to serve as the pediatric emergency care coordinator in the emergency department.
• So yes, hospitals or emergency... Question.
• So it is important that other programs, such as the kid care expansion, and That other programs, such

Summary: The Health Care Facilities and Systems Subcommittee met with a quorum present and took up five bills. The first, CS/HB 1119 on pediatric readiness in hospital emergency departments, would require hospitals with ERs to adopt evidence-based pediatric care policies, train staff, designate a pediatric emergency care coordinator, complete the National Pediatric Readiness Assessment, and meet minimum equipment and planning standards. Members discussed transport to the closest appropriate facility and implementation concerns, but the bill passed 16-0. The committee then approved HB 677, which would add standard fertility preservation services to the state group insurance program for employees undergoing chemotherapy, and CSHB 497, which would authorize nonprofit agricultural organization medical benefit plans for Florida Farm Bureau members, aimed at improving affordable coverage for farmers and ranchers. HB 677 passed 16-0, and CSHB 497 passed 18-0 after questions about membership, regulation, disclosures, and how the plan would compare with ACA coverage. The subcommittee also approved PCS/HB 791 on surrendered newborn infants, allowing infant safety devices at hospitals, EMS stations, and fire stations as an alternative safe-haven option. Members discussed alarms, unmanned stations, and whether churches should be included; the bill passed 18-0. Finally, HB 1529 on home health aides for medically fragile children was amended and passed 18-0. The bill seeks a federal waiver so compensation for parents serving as home health aides does not count against Medicaid eligibility, and the amendments added reporting of adverse incidents, set work-hour limits, and protected certain other benefits. The chair closed by emphasizing the committee’s role in implementation oversight and fixing problems after enactment.

Transcript Highlights:

• It establishes a one-time emergency rental assistance aid program for counties and tribal governments
• fraud within this program? fraud within this program?
• This program that we're looking at right now is just to go through our regular existing emergency rental
• This is through our existing state programs. different program built specifically for different program
• What is the emergency? What are the events that brought the emergency?

Keywords: 1187, senate, all

Transcript Highlights:

• People in those programs.
• program.
• For example, Haven's acute care team is a powerful emergency department diversion program.
• This program also has reduced unnecessary emergency transports... Emergencies across our residents.
• This program also has reduced unnecessary emergency transports and associated visits to our local ERs

Keywords: 1185, senate, all

Transcript Highlights:

• medical technician training program.
• Just jumping to the emerging technologies unit... ...emerging technologies unit: AI-driven productivity
• But because we've had to reduce programs, we've cut programs by 45% over the last few years.
• There's other programs such as a local partnership program and the State Transportation Improvement Program
• its maintenance program funds.

Keywords: 987, senate, all

Transcript Highlights:

• I know a lot of work went into it. regarding emergency transport of regarding emergency transport of
• liability protections for emergency liability protections for emergency workers<00:24:33.559>
• I am the original Mental Health Emergency Worker at Queens and the one who brought the program to Queens
• Can we afford another program to be added to our existing programs that we still have to fund?
• Who is funding these programs?

Keywords: 910, house, all

Summary: The Committee on Health heard testimony on several bills. On SB 1441, which would repeal the transfer of the Oahu Regional Health Care System from HHSC to the Department of Health, the Department of Health said it strongly supports the measure and requested clarifying amendments. HHSC/Oahu Region also supported the bill and said it had no objection to the department’s amendments. In response to questions, witnesses said the agencies have been working on an MOU to support transfers of long-term care patients to Leahi, with the current goal being about 10 to 15 patients, but transfers would occur only as space and staffing allow; one patient was reportedly being admitted at the time, and the process was described as slow and case-by-case. The committee then heard SB 1443 on payment rates for state hospital patients and related Department of Health services. The hospital administrator said the bill would allow rates above Medicaid for community or foster-home placements if patients cannot be placed at Leahi or elsewhere, and would set Medicaid-level reimbursement for outside medical services used by state hospital patients. He said at least one provider was interested in offering services at that rate and that the population involved is largely non-ambulatory long-term care patients. Members asked about availability and training, and the witness said special training could be provided. SB 1322, a broad mental health bill, drew mixed testimony. The Department of Law Enforcement supported giving crisis-intervention-trained officers more discretion to transport people to medical care instead of arresting them. The Attorney General supported the bill but recommended revisions to emergency-transport language and restoring liability protections. HHSC and Queens Hospital supported the overall goal but sought amendments to preserve the mental health emergency worker role in decision-making and to avoid negative impacts on emergency departments. The Disability Rights Center and ACLU opposed parts of the bill, arguing that it weakens due process, reduces protections in involuntary treatment and transport, and should retain a three-person treatment panel rather than reduce it to one. A Queens representative said the current program works well and reported that more than 90% of MH1 cases once went to hospitals, but that figure has dropped to about 60-70%, with about 20% now diverted to community settings or the behavioral health crisis center. No votes or final committee actions were taken in the portion provided.

Transcript Highlights:

• here to benefit from our public programs here to benefit from our public programs pay<00:03:35.799
• <00:05:01.160> to hospitals but using public programs to hospitals but using public programs
• attestation can qualify for this program attestation can qualify for this program and<00:10:10.959
• charity care in the hospital emergency charity care in the hospital emergency rooms<00:15:07.279
• consider how we can make the program consider how we can make the program work<00:18:51.679>

Bills: HF10, HF27

Keywords: undocumented immigrants, state funding, MinnesotaCare, scholarship ineligibility, state assistance, permit to carry, concealed carry, handgun permit, firearm permit, pistol training, sheriff, application process, electronic filing, mail application, fax submission, certified mail, certified delivery, gun rights, Second Amendment, firearms regulation

Transcript Highlights:

• disaster and emergency preparedness community...
• Resource Connection programs to offer disaster and emergency preparedness community education tailored
• One such program that CFILC is a holder on is the Disability Disaster Access and Resources Program, which
• We'll get there, and we need this program.
• This bill does not create a new program.

Summary: The Assembly Committee on Aging and Long-Term Care met without an initial quorum and heard four Senate bills focused on older adults and people with disabilities. SB 837 by Senator Reyes would require Aging and Disability Resource Connection programs to provide disaster and emergency preparedness education tailored to older adults and people with disabilities. Supporters, including the California Foundation for Independent Living Centers and the California Commission on Aging, cited recent wildfire deaths and the need for better evacuation planning and preparedness. The bill passed on a due pass motion and was re-referred to the Committee on Emergency Management. SB 971 by Senator Choi would create a Healthy Aging Community Partnerships Program to encourage voluntary local partnerships, including with community colleges and other entities, to support social connection, technology help, caregiver resources, and other healthy aging activities. Supporters said it would promote independence and prevent isolation at no mandated cost, while one member questioned whether the bill addressed a current legal gap and whether public health departments should be involved. The committee approved the bill on a due pass motion and re-referred it to the Committee on Health. SB 1261 by Senator Laird would allow Aging and Disability Resource Connections to continue operating for one to two years during transitions when an area agency on aging or independent living center operator changes, preventing service disruptions. Testimony from Access Central Coast and the California Association of Area Agencies on Aging emphasized the importance of continuity for thousands of clients. The committee passed the bill and re-referred it to the Committee on Appropriations. SB 991 by Senator Menjivar, presented by Assemblymember Gonzalez, would require the Department of Social Services to classify substantiated abuse in residential care facilities for the elderly by specific abuse type rather than a broad residents’ rights category. Ombudsman advocates argued this would improve transparency and accountability; members also discussed whether similar protections should extend to younger adults in other licensed settings. The bill passed on a due pass motion and was re-referred to the Committee on Human Services.

Transcript Highlights:

• program.
• , our licensing and certification program, and of course our Women, Infants, and Children program.
• And then finally, for the WIC program, it's a $1.25 billion program for 2025-26. years.
• licensure program.
• What we do is our CalMet program, which essentially emergency hires them, and they become staff of EMSA

Keywords: 988, house, all

Transcript Highlights:

• of Emergency Management.
• Poor boy emergency center.
• There's really only about 180 emergency management programs for those 1,400 jurisdictions because so
• We support wildlife services through water conservation programs. programs.
• Additionally, TEEX will develop an emergency preparedness exercise program. program for community leaders

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• HB 355 amends the existing Florida statutes to enhance the ability of emergency...
• Third, it requires emergency departments to designate a pediatric emergency care coordinator in the emergency
• You should take that child to an emergency department.
• The Sunshine Genetics program is not just the right thing to do for families.
• , $40 million of which would be direct savings to our state Medicaid program.

Summary: The Health and Human Services Committee heard a lengthy agenda of health care and public health bills. The first major item was HB 649, which would remove the paper supervision protocol for certified registered nurse anesthetists (CRNAs) and allow autonomous practice. The sponsor and supporters argued it would improve access, especially in rural areas, address workforce shortages, and reduce costs, while opponents from the medical community raised patient safety concerns and argued it would weaken physician oversight. After extensive testimony and debate, the committee reported the bill favorably by a vote of 18-7. The committee then unanimously advanced several other measures. HB 259, creating a special observance for fentanyl awareness and education, passed 23-0. HB 791, which codifies infant safety devices as an option for surrendering newborns and amends safe-haven law, passed as amended 25-0. HB 355, allowing schools to use FDA-approved emergency opioid antagonists rather than only naloxone, passed 26-0. HB 1119, requiring hospitals with emergency departments to adopt pediatric readiness policies, training, coordination, and assessment requirements, also passed 26-0 after two amendments. HB 431, changing the date for level-two background screening of athletic coaches to July 1, 2026, passed 26-0. Later, the committee approved CS for HB 907, the Florida Institute for Pediatric Rare Diseases or “Sunshine Genetics Act,” which would establish an opt-in newborn genome sequencing program at FSU and a statewide consortium for rare disease research; supporters emphasized earlier diagnosis and cost savings, and the bill passed 25-0. CS for HB 519, aligning state law with federal law on controlled substances for paramedics, passed 25-0. Finally, CS for HB 723, requiring the Department of Health to provide early-detection materials for type 1 diabetes to families of young schoolchildren, passed as amended 26-0. The meeting adjourned after all bills were reported favorably.

Transcript Highlights:

• Identified population health programs support mental health and substance use prevention programs for
• Proposition 1 to identify programs that again provide population health programming, being provided
• , the advocacy grant program as well as the Innovation Partnership Grant Program—would you categorize
• Right, the first $300 million is a grant program—pardon me, is a loan, a no-interest loan program.
• That's a very large component of both emergency medical and indigent care programs, and so that will

Summary: The Assembly Budget Subcommittee on Health held a May Revision hearing covering several health-related budget proposals and broader concerns about the state’s budget structure. The Chair opened by praising some May Revision changes, such as added health IT funding, county administration support tied to Medi-Cal changes, a delay in Medi-Cal cuts for some lawfully present immigrants, and additional support for Covered California subsidies, while criticizing proposed increases in Medi-Cal premiums, changes to senior eligibility, the lack of a Medi-Cal dental solution, and other reductions affecting counties, mobile crisis units, workforce incentives, and physician shortages. The Legislative Analyst’s Office said the state’s budget condition remains weak despite progress on the structural deficit, and the Department of Finance said the May Revision uses a mix of reductions, reforms, revenue proposals, and fund shifts to cut out-year deficits. The committee first heard Department of State Hospitals proposals, including adjustments to county bed billing authority, contract exemption language for online clinical/pharmacy subscriptions, reversion of unspent funds, a revised Metro Central Utility Plant replacement project, electronic health record implementation, and workforce development funded partly through Behavioral Health Services Act resources. DSH also described savings and realignments in incompetent-to-stand-trial and conditional release programs, including extending the independent placement panel program and shifting funds to support additional bed capacity and a mental health rehab center. Members asked about the use of BHSA funds for workforce programs, and the department said the proposal would replace General Fund support with BHSA reimbursements. The Emergency Medical Services Authority proposed funding for statewide behavioral health crisis response guidance and for enterprise system development, and the Department of Managed Health Care proposed modernization of its complaint system and claims-settlement data system to improve oversight and comply with AB 3275. The largest discussion centered on the administration’s BHSA spending plan under Proposition 1, including state-directed prevention, workforce, and other uses, plus General Fund offsets for existing programs. The LAO questioned whether some proposed offsets fit Proposition 1’s non-supplant and eligible-use requirements, while the administration argued the uses were consistent with the measure and that the state-directed share can be adjusted annually. The Commission for Behavioral Health’s proposals drew the most public and member concern. The administration proposed cutting the commission’s Innovation Partnership Fund from $20 million to $10 million and reducing the Community Advocacy Program by $6.7 million, while redirecting BHSA dollars to other state purposes and direct services. Commissioners, advocates, and several members argued the cuts would weaken community voice, reduce support for underserved populations, and disrupt grants already in process; they also objected to using BHSA funds to backfill General Fund commitments. Public commenters, including youth, disability, behavioral health, LGBTQ, tribal, veteran, immigrant, and community-based organization representatives, overwhelmingly opposed the cuts and urged preservation of prevention, advocacy, mobile crisis, and innovation funding. No votes or final actions were taken during the hearing.

Transcript Highlights:

• Provision number four reduces the Medicaid expansion federal match rate for the emergency Medicaid program
• Protecting the program integrity.
• But this program is very simple.
• Is this a government program? Ms.
• Since the federal government now is not going to have the emergency Medicaid program anymore for people

Bills: HB2190, HB2202, HB2233, HB2251, HB2252, HB2396, HB2437, HB2689, HB2796

Keywords: physician assistants, licensure compact, medical services, multistate practice, patient care access, healthcare workforce, military families, adverse actions, dementia care, telementoring, healthcare education, rural communities, grant funding, HB 2233, rural health transformation, rural health transformation program, AHCCCS, Arizona Health Care Cost Containment System, Joint Legislative Budget Committee, JLBC

Transcript Highlights:

• the Vet Hub program.
• by a so-called emergency regulation.
• The HUB program helped level the playing field. The HUB program didn't hand me anything.
• I want you to look at this program and you'll see it's a good-faith program to make certain people that
• It's not a quota program. George Bush would have never signed a quota program.

Keywords: 1185, senate, all

Transcript Highlights:

• Our program is a little bit different than what Tammy had stated as her program.
• program is a little bit different.
• In emergency departments, okay, they are really, really fast-paced, and Emergency departments are really
• So we, our programs, both are 24-7, 365 days a year crisis programs.
• programs, family medicine, because they're also in our EDs across rural Louisiana, also NP and PA programs

Summary: The first meeting of the Human Trafficking and Emergency Department Task Force focused on implementing Act 267, which created the body to develop a statewide human trafficking protocol to be incorporated into Louisiana’s sexual assault response plans. Chair Rep. Kelly Hennessy Dickerson and Office of Human Trafficking Prevention Director Mary Kate Andropont emphasized that the goal is a practical, transferable, survivor-centered protocol that can be adapted across regions and health systems. The task force also noted its timeline: use today’s presentations and member feedback to draft a protocol before the next meeting, then refine it into a final version. Presenters from hospitals, SANE programs, and advocacy organizations described current practices and gaps. Ochsner LSU Health Shreveport’s Operation Rahab and FMOLHS’s human trafficking policies highlighted staff education, badge buddies, anonymous admissions, hotline and law enforcement reporting, and coordination with community partners. SANE and forensic nursing presenters described red-dot privacy alerts, trauma-informed interviewing, and the need to train all hospital staff, not just ED clinicians, because trafficking victims may present repeatedly or in non-ED settings. LaFASA described statewide advocacy and legal support, while Unbound Now and BCFS/Common Thread explained Louisiana’s juvenile trafficking response under Act 662, including 24/7 crisis response, relational advocacy, and care coordination for minors. Members repeatedly raised the lack of safe housing, transportation, and placement options after identification, especially for adults, male survivors, and adults with special needs. Several presenters said that identifying victims is only the first step and that Louisiana still lacks enough resources for discharge and long-term stabilization. The task force also discussed the need for broader training across emergency departments, residency programs, nursing, housekeeping, maintenance, student health, mental health, and law enforcement, with members stressing that protocols should be clear, trauma-informed, and usable statewide. No votes were taken; the main action was to gather testimony, identify gaps, and begin drafting the statewide protocol.

Transcript Highlights:

• order and a state of emergency?
• <00:12:02.800> declared we have a state of emergency declared we have a state of emergency
• dangers and emergencies for purposes of emergency management.
• Through our HARRP program that Mr.
• have emergency water we have emergency have emergency water we have emergency food<00:26:31.279>

Keywords: 910, house, all

Summary: The committee held its first hearing of the 2025 session and began with housekeeping on testimony deadlines, hybrid participation rules, time management, and expectations for civility. The chair said testimony posted at least 24 hours in advance would be available to members and the public at the same time, late testimony would still be processed, and decision-making would generally be deferred to later in the day so morning hearings could adjourn before the noon floor session. The first bill heard was HB 673 on emergency management. Hawaii Emergency Management Agency administrator James Barros testified in opposition, saying the bill could undermine the executive’s unity of command during emergencies and objecting to provisions allowing the legislature to terminate a state of emergency by a two-thirds vote. Members asked about the difference between an emergency order and a state of emergency, whether other states use legislative checks and balances, and whether long-running emergencies such as COVID-19 or homelessness should have clearer end conditions. Barros said the agency, along with the Attorney General’s office and the governor’s office, would review the language and that the issue is setting conditions for when an emergency ends. The committee then heard HB 596, also on emergency management, which would clarify types of events that count as dangers and emergencies. Barros opposed the bill, saying the current list covers known hazards but should remain open-ended for future threats; he cited COVID-19 as an example of an unforeseen event and said the bill could limit flexibility. Members asked whether the list could be expanded, and Barros said the agency would look at that possibility. Testimony included support from the Grassroots Institute of Hawaii and concerns from the Tax Foundation of Hawaii about the bill’s special fund provisions; the committee also corrected testimony that had been submitted for the wrong bill. The final measure discussed was HB 1060 on emergency preparedness and the Community Readiness Center Program. Barros explained the proposal as part of HEMA’s effort to build local readiness centers and community hubs, with an initial target of 10 communities through a federal grant and a longer-term concept of roughly 100 statewide. The Climate Advisory Team supported the bill’s intent but urged that centers be developed with strong community and nonprofit involvement through the HARRP program. The Department of Taxation offered comments on the special fund, and members raised questions about cost, size, use of existing school facilities, public messaging, and equity across communities. Barros said the centers would provide backup communications, power, water, and food for a community group, would not function as general shelters, and would be designed to help communities hunker down and recover after a disaster.

Transcript Highlights:

• We put $30 million a year into the Oklahoma film rebate program.
• Could it be a part of this program?
• program.
• The House emergency has passed. Mr. Floor Leader, thank you. Mr.
• Representative, is this a pilot program? No, sir. This is not a pilot program.

Bills: SB1290, SB1530, SB1847, HR1050, SB169, SB1377, SB1990, SB1991, SB1778, SB1579, SB1992, SB3, SB2028, SB1928, SB2127, SB2117, SB1439, SB1930, SB330, SB1191, SB2110, SB2134, SB2069, SB2095, SB1613, SB1246, SB1976, SB1346, SB1509, SB2071, SB259, SB1314

Keywords: 2-1-1 services, revolving fund, Department of Human Services, crisis pregnancy, abortion, legal funding, research funding, development rebate, Oklahoma Department of Commerce, tax incentives, higher education partnerships, Medicaid, ADvantage Waiver, home-based services, eligibility criteria, healthcare, senior services, Taiwan, Oklahoma, sister-state relationship

Transcript Highlights:

• Special session to deal with emergency needs. Funding through Fiscal Year 27 is not emergency.
• Now, that will begin next June 1st, but it's for pilot programs and health pilot programs.
• Chairman, the emergency food... Assistance Program? I don't...
• Food Assistance Program around the Commodity Credit Program, the Food and Nutrition Program.
• There's no emergency here. There's a need, but there's no emergency.

Transcript Highlights:

• One thing we find is it is very inconsistent across the state whether an emergency management program
• The Hazard Mitigation Grant Program, we believe that between the Hazard Mitigation Grant Program and
• The Hazard Mitigation Grant Program, we believe that between the Hazard Mitigation Grant Program and
• The public assistance program...
• So that loan program helps shorten that.

Keywords: 914, all

Summary: The committee held a budget hearing for the Oklahoma Office of Emergency Management, with Director Annie Verst presenting the agency’s FY26/FY27 request and explaining the agency’s role in disaster response, recovery, preparedness, and mitigation. She said OEM remains a lean agency focused on coordinating resources for local governments, supporting recovery after disasters, and helping communities build resilience. She highlighted recent activity including wildfire response, multiple fire management assistance declarations, $83 million in public assistance payouts, use of the new state disaster revolving fund, and implementation of an Oklahoma resilient recovery strategy and ARPA-funded rural public safety grants. Verst emphasized uncertainty in federal funding and FEMA operations, saying hazard mitigation assistance has been canceled for the first time since 1988, some obligations were delayed under DHS’s “Defend the Spend” review, and the emergency management performance grant period was shortened before later being resolved. She said OEM has restructured by eliminating obsolete administrative work, repurposing positions to regional coordinators, ending warehouse leases, and assigning fleet vehicles more efficiently. Her budget request included $3.7 million to cover a possible loss of federal operating support, $1 million for a required state hazard mitigation plan update, $3.8 million for the state emergency fund to cover anticipated 12.5% state shares and replenish prior expenditures, and $800,000 for anticipated other-needs/temporary sheltering cost share. Members questioned her about Oklahoma Task Force One, the revolving fund, and whether OEM is shifting toward a response-focused agency. Verst said response remains local and OEM’s role is coordination, recovery, and mitigation, not replacing local emergency management. She explained Task Force One is used when local capacity is exceeded, is not currently funded by OEM for routine operations, and the revolving fund helps bridge reimbursement delays. She also said the hazard mitigation plan update would likely be done by an outside contractor or university partner. No votes were taken; the hearing ended after questions and thanks from the chair.

Transcript Highlights:

• Uh information about the state programs Uh information about the state programs was<00:18:21.120
• social workers included in this program. social workers included in this program.
• emergency room or hospital. emergency room or hospital.
• Thank you. should be taken to an emergency room. should be taken to an emergency room.
• health monitoring pilot program. health monitoring pilot program.

Bills: SB2936, SB2850, SB2851, SB2521

Keywords: accessible parking, disability, kupuna, public accommodations, small business exemptions, Hawaii Revised Statutes, parking permit, blind, deaf, accessibility, deafness, traffic safety, law enforcement, vehicle registration, communication, emergency services, commercial driver's license, first responders, public safety, authorized emergency vehicle

Summary: The committee heard testimony on several health-related bills. HB 1871, establishing a maternal health monitoring pilot program, drew support from the Department of Health, the Hawaii State Commission on Status of Women, and the Hawaii affiliate of the American College of Nurse Midwives, with testimony urging provider-neutral language so midwives and other qualified providers would not be excluded. HB 1977, requiring a maternal and infant health information mobile app, received support from ACNM and Philips, which said similar apps in other states improved awareness of services and helped families navigate care; a member asked the Department of Health about implementation time. HB 1858, relating to certificates of fetal deaths, was supported by the Department of Health and clinicians, who said the current statute is outdated and inconsistent with CDC guidance; the department and a physician testified that the bill should shift documentation responsibilities to physicians and APRNs, and members discussed optional versus mandatory issuance language and whether the bill would improve data on home births and transfers. The committee also heard HB 1591, expanding definitions for preceptor and volunteer-based clinical training to improve income tax credits. The Department of Health supported the measure but preferred a similar, broader bill; Taxation suggested clarifying terms; the University of Hawaii and the State Center for Nursing supported it. ACNM asked that midwifery preceptors and Hawaii-based students enrolled in mainland programs be included, while the Hawaii Public Health Institute supported expansion of the program as a workforce solution. HB 1574, on the health care education loan repayment program, also drew broad support, including from the governor, SHPDA, OHA, and health organizations, but ACNM raised concerns that the bill’s 30% Medicaid-client threshold could exclude many providers and limit participation. For HB 1575, creating a feasibility committee on Parkinson’s patient air transport, the Department of Health supported the intent but said transportation is more likely an insurance or benefit issue and suggested redirecting funds to Parkinson’s research; the Michael J. Fox Foundation and the Hawaii Parkinson Association supported the bill, citing inter-island travel barriers and high costs for patients and caregivers. HB 1854, establishing certification of community behavioral health clinics, was supported by the Department of Health and DHS, which said certification would help clinics qualify for enhanced Medicaid reimbursement and expand access; the Attorney General’s office raised a legal concern about the special fund language and recommended a purpose section, and the committee discussed whether the fund would be self-sustaining and noted a possible amendment to change membership language and reduce the board size if the amendment moved forward.