Transcript Highlights:

• One, several persons, myself included in health care, have several medical degrees that do not necessarily
• care credential during patient care encounters.
• If a health care provider forgets their badge, this legislation would compel the person to cancel appointments
• If a health care provider forgets their badge, this legislation would compel the person to cancel appointments
• services, may discriminate or retaliate against a nursing assistant or home care aide because the person

Summary: The committee held public hearings on House Bill 2261, which would require health care providers to wear badges showing name, credential, and relevant degrees, require similar disclosure in advertising, and restrict use of the title “physician surgeon” to certain physicians and osteopathic physicians. Supporters, including the Washington State Medical Association and patient advocates, said the bill would improve transparency and informed consent. Opponents from nurse, naturopathic, and adult family home groups argued it was overly broad, burdensome, confusing, and could harm access to care or residential home settings; several also said existing disciplinary laws already address misrepresentation. No vote was taken on HB 2261 during the hearing. The committee also heard House Bill 2283, which would raise the medical loss ratio for fully insured individual, small group, and large group health plans to 90 percent. Supporters, including small business, patient, and physician groups, said the bill would push more premium dollars toward patient care and lower costs or increase rebates. Insurers and the Office of the Insurance Commissioner warned it could destabilize the market, reduce flexibility for administrative services, and lead to carrier exits, though OIC said it was working on amendments. The bill was not voted on in the hearing. House Bill 2425, an agency-request bill on nurse delegation, would broaden what tasks registered nurses may delegate, remove some setting and training restrictions, expand emergency medication authority, and adjust liability and retaliation protections. The Board of Nursing, long-term care providers, and skilled nursing/assisted living representatives supported the bill as a modernization that could ease workforce shortages and improve care access, while the Washington State Association for Justice opposed the immunity provisions and raised patient safety concerns. The hearing ended without a vote on HB 2425. In executive session, the committee advanced several bills. HB 2110, with an amendment clarifying ambulance staffing and RN scope, passed 18-0 with one excused. HB 2113 passed 18-0 with one excused. HB 2122, as amended to require hospitals to offer flu vaccines with several flexibility and critical-access-hospital exemptions, passed 15-3 with one excused. HB 2152, as amended to require certain facilities to allow medical cannabis use for qualifying terminal patients and to add related exemptions and protections, passed 17-1 with one excused. The meeting then adjourned.

Transcript Highlights:

• Palliative care is long-term care.
• start their care, and then take that established relationship into an in-person setting.
• I remember taking great care with House Bill 500 about the in-person relationship, you know, having that
• I remember taking great care with House Bill 500 about the in-person relationship, you know, having that
• However, care providers are limited in their ability to provide in-person services, and access to these

Committee: House Health, Human Services & Elderly Affairs

Transcript Highlights:

• The first person is in person: Mark Alonzi, the operations manager from NORA New England. Welcome.
• me, such care.
• Our coverage for menopause care includes things like primary care and gynecological care, but also things
• Rooley also leads our reproductive health care team, which hosts in-person and virtual sessions with
• health care.

Bills: H4796 , H4838

Committee: Joint Joint Committee on Public Health

Keywords: organ transplant, emergency vehicle, transportation, medical personnel, regulation, organs, menopause, perimenopause, healthcare access, female health, public health, medical education, workplace policies, discrimination, accommodation

Transcript Highlights:

• That is the only in-person testifier.
• </c> time we may put a pause on their care time we may put a pause on their care and<00:14:07.920><c>
• ><c> free</c><00:42:32.280><c> to</c> person is because the person is free to person is because the person
• Next we have support in person. Do we have Doe here? No, not in person, but in support.
• Oh, in person even better.

Summary: The hearing began with HB 1113, which would create an intensive mobile team pilot program in the Department of Health for chronically houseless individuals with serious brain disorders such as schizophrenia. The Department of Health Adult Mental Health Division strongly supported the bill, and written support was also submitted by several health and harm-reduction organizations. Members asked about the program’s size and coordination with existing services; the testifier said the team would use a low-caseload, 24/7 mobile model, coordinate with police, ERs, hospitals, housing, dual-diagnosis treatment, and other case-management resources, and continue serving participants even if they cycle through jail or hospital. The committee amended the bill to change the participant language from a maximum of 40 to “at least 40,” blanked out the appropriations section, deferred the effective date to July 1, 3000, and then adopted the chair’s recommendation to pass with amendments by unanimous vote in both committees. The next measure, HB 1140, would appropriate funds for DLNR to clean up homeless encampments on department lands. DLNR testified in support, saying it conducts about 22 to 24 cleanups per year and the bill would help it address homelessness statewide. Members asked whether the funds would be used to sweep people out of areas; DLNR said its practice is to give notice, allow time to leave, and then clean up what remains, with storage procedures for personal property. The department also said people still present are told to move to the county area across the road. DLNR confirmed the bill is not in the governor’s budget, though it is in the governor’s legislative package. The committee then heard HB 1486, which would make it disorderly conduct to remain or loiter within 20 feet of a bus stop without intent to use bus services. The Office of the Public Defender opposed the bill, arguing that criminal enforcement is not the right tool, could lead to arrests of people who are simply tired or unhoused, and could create a cycle of repeated low-level cases and constitutional issues around questioning and intent. HPD supported the bill, saying officers would generally try to get people to move first, but could also use field questioning, citations, or arrests depending on the circumstances; HPD said such incidents can be documented and later used in ACT or other mental-health interventions. A private resident testified in support, describing bus stops near her home as occupied overnight and burdening nearby residents and small businesses. Written support came from the City and County of Honolulu Mayor’s Office, and one individual opposed the bill. Members also asked about neighbor-island impacts, property handling, and whether the bill could help connect people to services; HPD said it had not consulted other counties and would follow up. Finally, the committee began hearing HB 877, which would prohibit encampments within 100 feet of the property line of a K-12 public or private school or school facility. DLNR stood on its written testimony, and the Department of the Attorney General raised concerns that the bill did not specify how violators would be removed, what would happen to property or the encampment, or whether the buffer zone applies only to public spaces. The AG suggested making violations petty misdemeanors and adding clearer definitions and due-process guidance. Members asked whether charter schools are included and whether private-property situations within the buffer zone should be clarified; the AG said public schools include charter schools and indicated the bill may need more specificity about private property and trespass situations.

Transcript Highlights:

• We're finding that personal care aides and homemakers are providing skilled nursing services like catheter
• </c><00:59:29.040><c> are</c> personal care aids and homemakers are personal care aids and homemakers
• </c> duty nursing and not home care agencies. duty nursing and not home care agencies.
• </c> health care provider. health care provider. Thank<01:36:40.880><c> you.
• </c> that person. Okay. Thank you very much. that person. Okay. Thank you very much.

Summary: The joint hearing opened with SB 1442, which would update the statute governing the Child and Adolescent Mental Health Division and clarify its role as the state Medicaid provider of intensive mental health services for children and adolescents with serious emotional disturbance. The Department of Health testified in strong support, saying the current statute is outdated and warning against any unfunded mandate because the division relies on federal funding and faces uncertainty about future resources. Written testimony from several organizations also supported the bill. The committees took no immediate action and said they would hold decision-making until later. The hearing then moved to SB 479 on ABLE savings accounts. The Hawaii State Council on Developmental Disabilities and the Hawaii Disability Rights Center supported the measure, arguing that ABLE accounts help people with disabilities save money without losing benefits and that the state needs more outreach and staffing to expand participation. A testifier with a disability said the bill would help people keep Social Security and housing stability. The chair indicated an intention to move the bill forward, and asked about funding; the discussion settled on a requested appropriation of about $75,000 for incentives. Next, SB 1245 on reimbursement of pharmacists drew broad support from the Hawaii Pharmacists Association, rural pharmacies, the Hawaii Primary Care Association, and others, who said the bill would improve access to care, especially on neighbor islands and in rural communities, and help pharmacies participate in 340B-related services. The Insurance Division and HMSA raised concerns about bill language, saying it could be read to cover pharmacists outside an insurer’s network and that the scope of reimbursable services needed clarification; the pharmacists’ association said the bill is intended to apply only to in-network pharmacists and should continue to reference existing scope-of-practice law. The hearing also took up SB 1279, which would allow pharmacists to authorize medications via telehealth under certain circumstances. The State Board of Pharmacy opposed the bill, citing patient safety, a pilot project with reported errors, concerns about controlled substances and unregulated technicians, and the view that in-person pharmacist services are safer and already available on the affected islands. Several pharmacies and health care groups supported the measure as a way to preserve 340B access and improve service on Lānaʻi and Molokaʻi, while some local pharmacies said they already provide in-person service and opposed remote dispensing. No votes were taken in the portion of the hearing provided.

Transcript Highlights:

• So this would be a different agency dealing with child care subsidies or child care.
• So this would be a different agency dealing with child care subsidies or child care.
• Work is a lack of child care.
• This is not just a personal issue. This is not just a personal issue. It is a workplace issue.
• I personally know multiple female officers who have left the profession entirely due to child care barriers

Summary: The committee heard Senate Bill 6192, which would expand structured literacy and numeracy requirements, add a third-grade math intervention process similar to the existing reading “gate,” create annual STAR teacher bonuses for selected math and ELA teachers, and require updated teacher endorsement standards. The sponsor, Sen. Braun, said the bill is meant to refocus districts on core academics and use research-based instruction while still allowing local flexibility, especially in math. OSPI said it supports the bill’s goals but raised concerns about the teacher award structure and access to student-level data. ESD representatives also flagged implementation issues with the award program. Testimony was split: some parents, students, and reading advocates opposed the bill as too prescriptive or too reliant on phonics and standardized testing, while others supported stronger academic intervention and accountability. No vote was taken. The committee then heard Senate Bill 6206, a pilot program to incentivize child care providers to serve children of first responders through grants administered by the Department of Commerce, with local matching funds and a report on recruitment and retention outcomes. Sen. Dhingra said the bill addresses a major barrier for police, firefighters, EMTs, and crisis workers, especially women leaving the field because of child care challenges. Testimony from law enforcement officers, union representatives, and a national law enforcement child care foundation strongly supported the bill, describing unpredictable schedules, last-minute overtime, and the need for nontraditional and sick-child care. Senator Wilson asked about existing non-standard-hours child care bonuses and whether the proposal should instead be housed at DCYF; staff explained the current subsidy program and that this bill would create a separate Commerce pilot. No vote was taken. Finally, the committee heard Senate Bill 5346 on student mobile device use in public schools. The bill would add mobile devices to digital citizenship instruction, direct OSPI to compile research and best practices, and require reports on school policies limiting phone use during instructional hours, with final recommendations due in 2028. Sen. Leas argued that phones are distracting, harm learning and mental health, and should be restricted in schools while still teaching responsible use. Testimony was largely supportive from students, parents, educators, and researchers who described improved engagement, fewer disruptions, and better school climate under phone restrictions; several urged a stronger bell-to-bell statewide policy. Opponents raised concerns about emergency communication, student safety, and local control. The hearing on the bill was closed without a vote.

Transcript Highlights:

• that person.
• by a health care... by a health care provider.
• Again, health care provider.
• The person has to have a serious health condition. The person may be pregnant.
• Family and Medical Leave Act, that person has to establish a need—medical need, or another health care

Committee: House House Health & Human Services

Transcript Highlights:

• I'm here because I personally cared for patients who were harmed when an unqualified provider attempted
• </c><00:41:20.599><c> were</c> personally cared for patients who were personally cared for patients who
• It is a global person that takes care.
• it is a global person that takes care<00:50:18.240><c> we</c><00:50:18.359><c> see</c><00:50:18.599>
• In light of, like I think I heard another person say, holding that birth with more love and care than

Summary: The joint House Committee on Health and Committee on Consumer Protection and Commerce heard two midwifery bills, with testimony focused primarily on HB 1194. Committee chairs opened the hearing with rules for Zoom testimony and noted the bills relate to midwives. The Department of Commerce and Consumer Affairs said it supported the intent of HB 1194 and offered comments. Supporters of the bill, including the Midwives Alliance of Hawaii, argued that midwifery should remain subject to mandatory licensure to protect consumer safety, citing the state’s regulatory licensing standards and a 2025 state auditor sunset analysis. They said the bill would strengthen educational standards and public protection, and some offered clarifying amendments. Opponents argued HB 1194 would restrict access to care and fail to protect traditional, cultural, and community-based birth practices. Testifiers from the Hawaii Home Birth Task Force, the Hawaii Home Birth Collective, the Libertarian Party of Hawaii, the Center for Reproductive Rights, Pacific Birth Collective, and Papa Ola Lōkahi said the bill would limit licensure pathways, reduce access in rural and underserved areas, and burden Native Hawaiian and traditional practitioners. Several speakers said the measure could worsen Hawaii’s maternal health shortages, especially on Maui, and urged lawmakers to defer HB 1194 or instead advance HB 1328, which they said better protects practitioner access and cultural practices. The Hawaii affiliate of the American College of Nurse-Midwives said it opposed HB 1194 because it did not align with national or state standards for certified midwives and could create conflicts with Medicaid reimbursement and prescriptive authority. The ACLU also opposed the measure, emphasizing reproductive rights, privacy, and the need to preserve apprenticeship pathways to licensure. No vote or final committee action was taken during the portion of the hearing reflected in the transcript.

Transcript Highlights:

• I care about them.
• A time when health care decisions are more complex and personal than ever.
• So if an insurance agent was promoting one of these health care ministry plans, then the person on the
• So if an insurance agent was promoting one of these health care ministry plans, then the person, on the
• including one of these health care ministry plans, then the person on the other end of that will feel

Committee: Senate Judiciary

Transcript Highlights:

• And I'm going to appeal to every single person in this chamber right now. I don't care who it is.
• When we discuss this, ultimately, this one's hit very personally to me and my family and people I care
• When we discuss this, ultimately, this one's hit very personally to me and my family and people I care
• You're getting a little personal. Personal? Personal? Okay. Let's stick with the bill. Okay, sure.
• I heard you talking about if a person voluntarily chooses to go over into the managed care plan, they

Summary: The Senate opened with prayer, the Pledge of Allegiance, and several recognitions, including interns, Denim Day awareness, a resolution honoring Vietnam veterans exposed to Agent Orange, and a remembrance of former Senator Karen Johnson Gendron. The chamber then moved to special order bills. CS/HB 687 on transportation offenses involving death was substituted for SB 138, amended to add warnings and penalties for refusal of breath or urine tests, and passed 37-0. CS/SB 306 on Medicaid providers, requiring broader after-hours access and network availability for Medicaid enrollees, also passed 37-0. The Senate then took up CS/CS/HB 913 on condominium associations, a major post-Surfside reform bill. Senator Bradley explained that the measure was intended to provide financial relief and flexibility while preserving safety and accountability. The bill was substituted for SB 1742, amended several times to limit milestone inspections and structural integrity reserve studies to buildings three habitable stories or more, and then passed 37-0 after extensive debate. Senators from both parties praised Bradley, Pizzo, Garcia, and staff for years of work on condo safety and affordability, with several members describing the bill as a balance between protecting residents and avoiding financial hardship. The final major item was CS/HB 1205, the bill on amendments to the state constitution and citizen petition drives. Sponsors Gates and Grohl argued the bill was needed to combat fraud, identity theft, and misuse in the petition process, citing a lengthy Office of Election Crimes and Security report. The House bill was substituted for SB 7016, and the chamber considered a long series of amendments and substitute amendments addressing petition circulator registration, volunteer participation, submission deadlines, invalid-signature thresholds, voter notification, and fiscal impact statements. Several amendments were adopted, while others were debated over whether they would protect access to the citizen initiative process or strengthen election integrity. The transcript ends during debate on the main substitute amendment, before final disposition on the bill is shown.

Transcript Highlights:

• And I'm going to appeal to every single person in this chamber right now. I don't care who it is.
• When we discuss this, ultimately, this one has hit very personally to me and my family and people I care
• another person to take care of this for them, there should not be a different set of records provided
• I heard you talking about if a person voluntarily chooses to go over into the managed care plan, they
• We take care of it. I've personally witnessed the detrimental effects of plastic pollution.

Summary: The Senate opened with prayer, the Pledge of Allegiance, and several recognitions, including interns, Denim Day awareness, and a resolution honoring Vietnam veterans exposed to Agent Orange. Senators also paid tribute to former Senator Karen Johnson Gendron with a moment of silence. The chamber then moved to special-order bills after routine announcements that no committee reports, governor’s messages, or House messages were on the desk. The first major bill, SB 138/HB 687 on transportation offenses involving death, increased penalties for repeat DUI/BUI manslaughter and vehicular homicide offenses and added warnings and misdemeanor penalties for refusing lawful breath or urine tests. After a brief amendment and questions about attorney rights and prior impairing-substance language, the bill passed 37-0. SB 306 on Medicaid providers followed, requiring broader provider access, including after-hours availability and more primary care access for Medicaid enrollees; it also passed 37-0. The chamber then took up the major condominium reform bill, SB 1742/HB 913, addressing post-Surfside safety, reserve funding, milestone inspections, budgeting, reserve flexibility, manager regulation, conflicts of interest, and condo sale rescission periods. Senators from both parties praised the sponsors for extensive stakeholder work and the bill passed 37-0 after multiple amendments. The final major item was SB 7016/HB 1205 on constitutional amendments and petition-gathering rules, with sponsors arguing the bill was needed to combat fraud in the 2024 petition process and opponents warning it would burden citizen initiatives. The Senate adopted the House bill and then considered numerous amendments on petition circulator rules, submission deadlines, invalid-signature thresholds, voter notification, and related enforcement provisions; several amendments were adopted, and the substitute was later withdrawn, leaving the chamber to continue on the underlying bill and remaining amendments.

Transcript Highlights:

• And I'm going to appeal to every single person in this chamber right now. I don't care who it is.
• When we discuss this, ultimately, this one's hit very personally to me and my family and people I care
• You're getting a little personal. Personal? Personal? Okay. Let's stick with the bill. Okay. Sure.
• another person to take care of this for them, there should not be a different set of records provided
• I heard you talking about if a person voluntarily chooses to go over into the managed care plan, they

Summary: The Florida Senate opened with prayer, the Pledge of Allegiance, and several recognitions, including interns, Denim Day awareness for sexual assault survivors, a resolution honoring Vietnam veterans exposed to Agent Orange, and a memorial proclamation for former Senator Karen Johnson Gendron. The chamber then moved to special-order bills, with senators also briefly discussing the session’s pace and thanking staff and colleagues for their work. The first major bill, on driving and boating offenses, was amended and passed 37-0. As amended, it increases penalties for repeat DUI/BUI manslaughter and vehicular homicide/vessel homicide offenses, and adds notice requirements and misdemeanor penalties for refusing lawful breath or urine tests. Senators also passed SB 306 on Medicaid providers 37-0, requiring Medicaid managed care plans to offer more after-hours and holiday access and ensuring more primary care appointment availability outside regular business hours. The Senate then passed a major condominium and cooperative associations bill, also 37-0, after extensive debate and multiple amendments. The measure extends deadlines for structural integrity reserve studies, adds flexibility for reserve funding and budgeting, tightens rules for managers and inspectors, limits certain requirements to buildings of three or more habitable stories, and extends the rescission period for condo purchases. Senators from both parties praised the bill’s sponsors for years of work responding to post-Surfside safety and affordability concerns. The longest and most contentious item was SB 7016/HB 1205 on constitutional amendment petition procedures. Sponsors said the bill responds to fraud and abuse in the citizen initiative process by tightening circulator rules, requiring faster submission of signed petitions, adding voter notification, increasing penalties, and shifting costs to sponsors. Opponents argued it would burden volunteers and make it harder for citizens to qualify initiatives. The chamber adopted a series of amendments, including changes to the petition-circulator threshold, volunteer protections, submission timing, invalid-signature investigation thresholds, and notice/cure provisions, while debate continued over whether the overall package would protect election integrity or suppress citizen-led amendments.

Transcript Highlights:

• Medi-Cal is the primary funder for home and community-based services ranging from personal care aides
• When I was first navigating care as a person living with HIV, I found myself moving between different
• The Medi-Cal waiver program provides comprehensive case management and direct care services to persons
• Does it have to be a person that's in care? Can it be a witness? Can it be another worker?
• Does it have to be a person that's in a care? Can it be a witness? Can it be another worker?

Transcript Highlights:

• care.
• and take care of more uninsured and unreimbursed care than 340B hospitals.
• , environmental care, and community care.
• care at their facility operated by one of those entities when that person is acting within the scope
• We're in favor of this bill because it puts the care back into health care.

Summary: The Ways and Means Committee held a public hearing on multiple bills, beginning with a motion to suspend the five-day notice rule for a long list of Senate bills, which passed on a voice vote. The committee first heard Substitute Senate Bill 6026, a governor-request housing bill that would require cities and counties over 30,000 population to allow residential uses in commercial and mixed-use zones, limit mixed-use/ground-floor commercial requirements in some areas, and allow added height where such requirements are imposed. The lieutenant governor testified strongly in support, arguing the bill would add needed housing capacity without requiring ground-floor retail burdens. The hearing on SB 6026 was then suspended so the committee could move through the agenda. The committee then heard Senate Bill 6294, a broad local government finance measure with eight parts, including expanded uses for certain REET revenues, a new county public utility tax, a new local sales tax for children and family services, expanded housing-related tax uses, changes to county levy structure, longer lid lift periods, and expanded use of rental car tax revenue. Local government, housing, and public health witnesses largely supported the bill, emphasizing flexibility for affordable housing, rental assistance, children’s services, and county fiscal stability. Opponents, including wireless industry, water/sewer district, auto dealer, realtors, energy, and cannabis representatives, objected to specific tax provisions as regressive, costly, or likely to raise consumer prices. Several witnesses requested amendments, including adding public health clinic funding and flood recovery language from House bills. The committee also heard Substitute Senate Bill 5400 on local news sustainability, which would create a state grant program funded by a surcharge on large search engines and social media platforms to support journalism jobs and the Murrow Fellowship program. News organizations, the League of Women Voters, open government advocates, and local journalism supporters testified in favor, saying local news is essential to civic life and that the bill would help sustain reporting without using general fund dollars. Technology industry representatives opposed the bill, arguing it unfairly singles out tech companies and could face legal challenges. The committee then heard Senate Bill 6211, which would let opt-in GMA jurisdictions impose REET-2 without voter approval; cities and counties supported it as a parity and infrastructure funding measure, while Realtors opposed the loss of voter approval. Senate Bill 5650, authorizing local cannabis excise taxes, drew support from some local officials but strong opposition from cannabis businesses, which argued Washington’s cannabis taxes are already too high and drive sales to the illicit market. Senate Bill 6033, waiving penalties and interest for taxpayers who failed to collect new sales tax on certain services, was supported by NFIB as a compliance and fairness measure. Senate Bill 6297, exempting temporary staffing services for nonprofit behavioral health providers from sales tax, drew strong support from behavioral health organizations citing workforce shortages and unsustainable costs. Finally, Senate Bill 6343, extending and expanding tax relief for disaster-damaged property and repairs, was presented as aid for flood recovery; local officials testified in support. No final committee votes on the bills were taken in the portion of the meeting provided.

Transcript Highlights:

• I don't care.
• medical health care.
• And as a person of faith, I don't think we can deny God's creation that kind of care.
• of such care.
• and the person I allowed access to my son's medical care.

Committees: House Emerging Issues , House Emerging Issues and Professional Registration

Transcript Highlights:

• , to a population of individuals in our care that require hospital-level care.
• care, substance use treatment.
• We have a variety of needs of persons who have come into our custody who have not had preventative care
• I mean, we're a health care provider, right? That's bottom line. We're a health care provider.
• That’s—no, no, that would be under the health care. So this is distinct from the health care.

Summary: The commission met with a new member from Prisoners’ Legal Services and approved the July 11 minutes. The main presentation came from Department of Correction Commissioner Sean Jenkins and Deputy Commissioner Mitzie Peterson, who gave an overview of DOC facilities, population trends, and the department’s broad mission, including sentenced prisoners, pretrial detainees, civil commitments, Bridgewater State Hospital, and the Section 35 program. They noted the custody population has fallen from about 10,000 in 2016 to roughly 6,000–6,600, while the share serving first- or second-degree sentences has increased. They also reviewed the department’s facility footprint, including Souza-Baranowski, MCI Norfolk, MCI Framingham, Bridgewater, and the planned transfer of the Section 35 program to Health and Human Services by the end of 2026. A large portion of the discussion focused on programming, education, health care, and reentry. DOC described tablet access for all incarcerated people, free phone calls, email, and more than 330,000 hours of educational, vocational, and reentry use. They highlighted partnerships with colleges and universities such as Tufts, Boston College, Emerson, and others, along with HiSET completion, vocational training, and programs like The Last Mile and Persevere. Health care spending was discussed in detail, including a total annual health-related contract cost of about $300 million, with separate contracts for prison health care, Bridgewater State Hospital, MassAQC, and MAT services. DOC said it has nearly eradicated Hep C and MRSA and now offers all three FDA-approved MAT medications, including long-acting injectables when clinically indicated. Commissioners also asked about specialized programming, language and disability access on tablets, and how programming is distributed across facilities. DOC explained that nothing is mandatory, but program participation is encouraged and can affect parole consideration. Staff described assessments using COMPAS, criminal thinking interventions, trauma-related treatment, and specialized units for emerging adults, mental health, and substance use. The department said programming costs were about $101 million in fiscal year 2025, or roughly 12% of the operating budget, excluding health care. Members praised the elimination of restrictive housing and the rollout of body-worn cameras, while DOC said the cameras required new policy and union negotiations but are now used for training, accountability, and de-escalation. The meeting ended with a plan for DOC to return in September with more detailed information on SAUs, programming statistics, and facility structure, and the commission voted to adjourn.

Transcript Highlights:

• care.
• care.
• They removed any content related to gender... ...care just out of their own fear of their personal safety
• I can personally attest that gender-affirming care saves lives and saved mine.
• Gender-affirming care is... ...care.

Transcript Highlights:

• a covered person.
• Any disclosed CDTA must redact the personal information of a person who is not the person subject to
• Any disclosed CDTA must redact the personal information of a person who is not the person subject to
• A person who opposed abortion care and who lived in another state had requested all documents related
• I offer evidence-based, life-saving medical care with gender-affirming care.

Summary: The committee heard testimony on several bills, beginning with House Bill 2333, which would expand protections for elected officials, candidates, executive state officers, election officials, and criminal justice participants by allowing address confidentiality, redacting campaign and property records, increasing some penalties for threats, and authorizing security assessments and reimbursement for personal security measures. The prime sponsor and supporters described rising political violence and personal threats, while opponents and agency staff raised concerns about implementation, constitutional issues, public-records transparency, costs, and whether the bill would actually prevent determined actors from finding addresses through other sources. The Secretary of State’s office, county officials, and the Public Disclosure Commission said the bill would create major logistical and fiscal challenges, while prosecutors, judges, and advocacy groups testified that the protections were needed for safety and retention in public service. House Bill 2176 would make collaborative drug therapy agreements confidential under the Public Records Act except when the agreement is the basis for a disciplinary action, in which case only relevant information would be disclosed with personal information redacted. The sponsor and supporters, including pharmacists, physicians, and reproductive-health advocates, said the bill would protect clinicians from harassment and out-of-state targeting while preserving accountability for misconduct. News media representatives and open-government advocates said the underlying agreements should remain accessible only in limited circumstances and emphasized the balance between privacy and transparency. Committee members also discussed how the bill would affect access to the agreements and the scope of disclosure. House Bill 2120 would eliminate two JLARC reporting requirements: the biennial report on municipal lodging-tax revenues and the periodic evaluation of the training benefits program. The bill’s sponsor and JLARC leadership described it as a cost-saving measure that would free staff for other audits, while the hospitality industry supported tourism funding but warned that the lodging-tax report provides useful oversight and accountability. The committee also received staff briefings on House Bill 2244, which would implement multiple Public Records Exemptions Accountability Committee recommendations by changing confidentiality rules in 13 areas, including grand jury reports, accident reports, driver case records, certain health and social-service records, corporate interrogatories, family court files, and other records.

Transcript Highlights:

• Are there any other persons in the room here to testify on this measure? Any persons on Zoom?
• Any persons on Zoom? this measure? Any persons on Zoom?
• Any other persons here to &gt;&gt; Thank you. Any other persons here to testify?
• health care.
• health care.

Bills: SB2141 , SB2593 , SB2824 , SB2135 , SB2115

Committee: House Labor

Transcript Highlights:

• When a young person is in a group home or a young person is in a secure facility, they literally have
• , as well as persons applying for a child care license, must complete a DCYF-provided orientation for
• And I will say personally, I am a family child care provider that was in the process of starting a center
• Agencies include child care businesses, child placing agencies, foster homes, group care facilities,
• care that the agency is authorized to render and the age and number of persons.

Summary: The committee first took up House Bill 1544, which would require DCYF to study and improve the risk assessment tool used in child abuse and neglect investigations, including better identifying family strengths and needs, substance use-related risk, and service needs, and to certify the tool every three years. Staff explained the bill and noted it had passed the committee unanimously in substitute form last year. The prime sponsor, Representative Rule, said the tool would help reduce bias and support better decisions about child safety. Members raised questions about whether the bill would require new data systems or create a fiscal impact, and DCYF testified that the recertification process would focus on evidence-based literature and fidelity to the tool, though the agency acknowledged limitations in its data system. Support testimony from Partners for Our Children and DCYF emphasized that the current tool is not evidence-based and that the department is piloting the North Carolina Family Assessment Scale. The hearing on HB 1544 was then closed. The committee then received a lengthy work session from DCYF on juvenile rehabilitation. Juvenile Rehabilitation Assistant Secretary Jennifer Redman and security classification administrator Jeff Endermark described a growing JR population that is older, serving more adult-sentence youth, and projected to rise to about 481 by 2031. They said Green Hill School remains crowded, Harbor Heights is being brought online as a short-term option, and Echo Glen is near safe operational capacity. They explained JR’s classification system, behavior management process, and the role of multidisciplinary teams in placement decisions, as well as the expansion of community transition services (CTS), which uses electronic home monitoring for eligible youth. Staff described CTS eligibility, supervision expectations, and examples of successful placements, but also said the program needs more after-hours staffing and community supports. Members questioned the validity and equity of the risk tools, the availability of community resources, the impact of behavior policies and escapes, the use of single bunking, and broader concerns about lawsuits and sexual abuse in the system. JR reported an escape rate increase from 1.78 per 100 youth in 2001 to 3.92 in 2025 and said additional capacity and staffing are still needed. The committee then heard House Bill 2219, which would allow child care centers more flexibility in mixed-age grouping during parts of the day and waive repeated DCYF pre-service orientation for people who have already completed it. The prime sponsor, Representative Ortiz-Self, said the bill is meant to ease burdens on small providers. Testifiers from SEIU 925, a family child care provider, the Washington Child Care Centers Association, a child care center director, and the Children’s Campaign Fund supported the bill as a practical way to improve staffing flexibility and reduce duplicative licensing requirements, though one association asked that the bill’s daily time caps on mixed-age grouping be revised or removed. The committee then heard House Bill 2253, an agency-request technical corrections bill for DCYF licensing. Staff said it would allow child-specific licenses for certain relatives under interstate placements, exempt kinship caregivers from blood-borne pathogen training, remove licensing exemptions for physicians and lawyers, allow termination of inactive licenses, revise crisis residential center staffing ratios, and eliminate state monitoring requirements for the Washington School for the Deaf residential program. Members asked about how inactivity would be defined and whether the School for the Deaf inspections had historically produced savings. DCYF said the bill would help right-size licensing workloads after budget cuts and would let the agency work with stakeholders to define inactivity in rule. Testimony from DCYF, Community Youth Services, and Partners for Our Children supported the bill, especially the staffing ratio fix for crisis residential centers and the child-specific licensing changes for relatives.