Transcript Highlights:

• And I think the dates are almost all the same. These are just state mandates.
• We want things to be the most up-to-date and nimble for our members. Thank you.
• If these are out of date, why don't we come forward sooner? Fair question.
• That December date is difficult.
• Effective January 1, 2024... ...could only be billed by an outpatient hospital.

Keywords: 908, all

Summary: The committee met to review the history and current treatment of North Dakota health insurance mandates, with presentations from Blue Cross Blue Shield of North Dakota, Sanford Health Plan, the Public Employees Retirement System (PERS), and the Insurance Department. The discussion focused on how mandates apply differently to fully insured, self-funded, ACA, Medicaid, and PERS plans; how the state’s benchmark plan and federal essential health benefits affect coverage; and how the existing process requires cost-benefit analysis and, for certain measures, a PERS pilot period before broader application. Presenters also reviewed the long list of existing state mandates, including provider, beneficiary, and coverage requirements, and noted that many were enacted decades ago and have not been revisited despite changes in medical evidence and treatment options. Witnesses from the carriers argued that mandates should be reviewed periodically because some are outdated, can create unintended costs, and may not align with current medical guidance. Examples cited included PSA screening, off-label drug coverage, prior authorization rules, step therapy, and cost-sharing provisions for mental health and substance use treatment. They emphasized that carriers often cover services without a mandate when supported by clinical evidence, and that mandates can shift costs to employers and employees, especially in the fully insured small-group market. They also suggested possible policy improvements such as clearer mandate definitions, better transparency around cost-benefit analyses, a regular 10-year review of mandates, and more timely submission of proposals through the interim process. PERS and the Insurance Department highlighted a recurring tension over what counts as a mandate and when a measure triggers the state’s defrayal obligation under federal law. PERS described its interim committee process, the April 1 deadline for fiscal-impact proposals, and the limited pilot program used for certain measures, noting that only a few bills have gone through the full pilot process. The Insurance Department explained that it views new benefit mandates through the lens of the ACA benchmark plan and essential health benefits, distinguishing true new benefits, such as infertility coverage, from changes to existing benefits, such as telehealth or insulin cost-sharing caps. No votes were taken on policy changes; the meeting was informational, with members asking questions about costs, applicability, transparency, and whether a periodic mandate review should be established.

Transcript Highlights:

• Two, governance effectiveness and clarity.
• The law became effective in 1972.
• There's $546 million total under contract to date.
• Oh, could you just date?
• Oh, could you just date?

Keywords: 908, all

Transcript Highlights:

• One of the reasons that it's made me twice as efficient is because I want to... ...effectively.
• They can effectively implement this as they see fit.
• Chairman, I move that the five-page Wilm. amendment dated February 10th at 8:36 a.m. be adopted.
• Chairman, I move that the two-page Wilm. amendment dated February 10th at 8:44 a.m. be adopted.
• Chairman, I move that the two-page Wilm. amendment dated February 10th at 8:44 a.m. be adopted.

Bills: HB2311, HB2371, HB2409, HB2410, HB2456, HB2457, HB4005

Keywords: artificial intelligence, disclosure requirements, data privacy, minor protection, online safety, HB2371, Arizona divorce, family law, dissolution of marriage, AI arbitration, AI-assisted arbitration, automated dispute resolution, online arbitration, binding determination, recommendation, superior court appeal, de novo review, marital dissolution, spousal consent, minor children

Summary: The committee met in a special morning session and first heard HB 2371, a pilot proposal to allow consenting divorcing parties without minor children to use AI-assisted arbitration in simple divorce cases. Rep. Martinez described it as a voluntary, fairness-focused tool for people who cannot afford lawyers, with the judge retaining final authority. Members raised concerns about the bill’s binding-language, privacy, and the need for clearer guardrails on assets and support, but the sponsor said amendments were welcome. The committee voted 7-0 to give HB 2371 a do pass recommendation. The committee then took up HB 2311, which requires conversational AI systems to notify minors they are interacting with AI, restrict sexual content, prohibit deceptive human impersonation, and require self-harm response protocols. Google testified in support, saying its Gemini product already uses similar safeguards and that the bill would set an industry-wide floor; a speaker also noted similar measures are being considered in several other states. After adopting a committee amendment clarifying customer-service AI and limiting developer liability, the committee voted 7-0 to recommend HB 2311 do pass as amended. Next, the committee heard HB 2409, creating a voluntary statewide summer AI education program focused on digital hygiene, civic integrity, privacy, media literacy, critical thinking, and algorithmic bias. Supporters argued Arizona needs to prepare residents for AI-driven job disruption and help people use the technology to become more self-sufficient, while opponents objected to the program’s funding and potential unfunded mandate to the education department. The bill passed 4-3. HB 2410, which would treat communications with AI as privileged like communications with human professionals, also passed after testimony from the sponsor and a criminal defense advocate who argued the measure would protect sensitive legal and personal conversations; the vote was 6-0 with one member present. The committee then approved HB 4005, requiring school districts and charter schools to provide instruction on ethical, moral, and educational uses of AI, by a 4-2-1 vote after some members said schools lacked resources and should not be mandated to add curriculum without funding. Finally, the committee considered HB 2456 and HB 2457, both related to small modular nuclear reactors and utility siting/streamlining for energy development tied to large power users. Supporters framed them as necessary for future energy demand, data centers, and economic growth, while opponents raised concerns about local zoning authority and environmental oversight. Both bills were amended and advanced on 4-3 votes, and the meeting adjourned after the final roll calls.

Transcript Highlights:

• announced with a $74,000 wage, and we've had a record-breaking year of investment announced year-to-date
• This is something I think we've been moderately effective in in the past, but we need to use this tool
• And we've awarded out to date around $21 million, but expenditures are a little over $6 million.
• This would give us a better capacity to keep this up to date in between the census.
• We're supposed to have this money by this date, and it's like it never arrives.

Summary: The committee first heard a presentation from the Oklahoma Department of Commerce on its FY26 priorities, recent performance, and budget requests. Commerce said it had helped announce about 8,000 direct jobs and nearly $14 billion in investment year-to-date, while noting challenges such as tariffs, workforce recruitment, staffing/FTE management, and the condition of its 100-year-old office building. The agency highlighted projects and initiatives including a new Taiwan trade office, Route 66 Centennial planning, the National Main Street conference in Tulsa, Olympic-related coordination, census outreach, and continued improvements to its grants and CRM systems. Requested funding included $8.3 million for building repairs or relocation planning, census support, $300,000 for EDGE, $135,000 for IT/cybersecurity upgrades, $250,000 for the Taiwan office, and additional support for Head Start, senior nutrition, and the Strategic Air and Space Commission. Members asked about the meaning of the investment totals, the building condition, delays in senior nutrition distributions, and staffing vacancies; Commerce said the investment figures reflected formal company capital announcements, the building had significant facade and roof damage, delays were due to multiple contracting layers, and several open positions were expected to be filled soon. The Oklahoma Tourism and Recreation Department then presented its FY26 budget and goals. New director Amy Blackburn and special advisor Sterling Zearley said the department oversees 38 state parks, six lodges, seven golf courses, and nine travel information centers, and emphasized tourism’s economic importance. They reported savings from bringing marketing and tracking functions in-house and from shared services, but said the department faces more than $271 million in deferred maintenance needs, staffing shortages, and connectivity problems at parks. Their goals include increasing park visitation to 10.2 million, raising occupancy to 36%, and growing travel to Oklahoma, with major marketing tied to the Route 66 Centennial, America 250, the FIFA World Cup, the Olympics, and other events. The department also discussed a request to raise its purchasing exemption cap from $25,000 to $75,000, a possible TravelOK.com redesign, and efforts to improve restaurant operations at lodges through a new RFP structure. Members questioned the apportionment cap, the size and timing of deferred maintenance requests, park revenue, and the use of parking pass funds; tourism said annual park-related revenue is about $32 million to $34 million and parking pass revenue is about $2.5 million. Finally, the OSU Veterinary Medicine Authority presented its budget request and program updates. The authority said it supports the veterinary teaching hospital and related student training, and that its FY26 budget is entirely state-appropriated. It requested continued support for hospital operations, the large animal scholarship program, and a new $12.5 million annual payment tied to the $250 million Legacy Capital Fund authorization for the veterinary teaching hospital, along with additional funding to expand in-state enrollment. Officials said in-state enrollment had increased from 58 to 69 students after prior funding, with a goal of reaching 90 of 106 total seats, and that there were 195 in-state applicants this year. Members asked whether standards would be lowered; the authority said academic standards would not change and noted strong board-pass rates and retention outcomes. It also said accreditation concerns tied to faculty shortages and off-site teaching had been addressed by bringing students back to the main campus and improving staffing. The committee ended by thanking the presenters and announcing its next meeting date.

Transcript Highlights:

• PRIORITIZE THE -- AND PROSECUTION AND EFFORTS DATING VERY FAR BACK.
• HOW CAN WE EXPAND THE MODELS THAT ARE SO EFFECTIVE WORKING WITH THE SURVIVORS.
• WHICH CAME EFFECTIVE IN 2024.
• IT'S AIMED AT PROFESSIONALIZING WITH CLEAR EFFECTIVE OUTREACH.
• ENSURING THEY HAVE THE TOOLS TO MARKET THEMSELVES EFFECTIVELY.

Keywords: 999, senate, all

Transcript Highlights:

• She did not remember the date that day. She did not remember the date that day.
• that became effective January 1, 2025. that became effective January 1, 2025.
• I would also just flag the effective date 60 days after passage, very difficult for us to implement things
• But how many other companies, because we know it's not... flag the effective date 60 days after flag
• the effective date 60 days after passage<01:35:26.000> very<01:35:26.400> difficult<01:

Keywords: 1191, senate, all

Transcript Highlights:

• Chairman, members, the strike-everything amendment to Senate Bill 1112 dated March 20th at 8:19 a.m.
• To date, no request has been made that has not been funded out of the fund.
• Chair, I moved that the Livingston Amendment dated March 19th, 2026, at 2:19 p.m. be adopted.
• Chair, I move that the Livingston Amendment dated March 19, 2026, at 12:24 p.m. be adopted.
• Tucson did a very effective job with it.

Bills: SB1112, SB1517, SB1537, SB1584, SB1673, SB1776

Keywords: mental health, hearings, acquaintance witnesses, patient rights, treatment evaluation, barbering, cosmetology, appropriation, funding, licensing, board operations, peace officer, training, public safety, traffic offenses, judicial system, corrections, recruitment, state budget, crime victims

Summary: The Appropriations Committee met on March 25 for what was described as its last regular meeting, with a possible special meeting tentatively planned for the following Tuesday. The committee first took up Senate Bill 1112, as amended by a strike-everything amendment that would appropriate $1 million from the Special Services Fund in FY2027 to the Arizona Department of Corrections for holistic, studio-based rehabilitative programming, with a required report due by June 30, 2028 on spending and outcomes such as self-harm, discipline, and recidivism. Testimony from the founder of Art of Our Soul and a formerly incarcerated peer facilitator emphasized trauma-informed art and music therapy, reductions in disciplinary violations and self-harm, and benefits for both incarcerated people and staff. The committee adopted the amendment and then gave SB 1112 a do-pass recommendation. The committee then heard Senate Bill 1776, which would allow urban Indian organizations to provide traditional healing services reimbursable through AHCCCS or the Arizona Long-Term Care System. The sponsor said the bill was intended to align Arizona with federal approval and other states’ models. AHCCCS testified neutral but said the bill would require a waiver change, likely at standard FMAP rather than 100%, and estimated a $1.3 million general fund impact; the chair said a COW amendment and fiscal note were needed. Members raised concerns about cost and access, and the sponsor clarified the bill was meant for American Indians and family members served through IHS-related facilities. The committee ultimately passed the bill out with a do-pass recommendation, though several members voted no or present over funding concerns. Senate Bill 1537, which would rename the Peace Officer Training Equipment Fund as the Public Safety De-escalation and Life Safety Fund and repeal an inactive advisory commission, failed after testimony from a legislative liaison explaining the fund’s history and use for equipment and de-escalation tools. Some members supported the cleanup, but others objected after the Arizona Police Association opposed the change and argued the commission should be reformed rather than repealed. The committee then considered Senate Bill 1584, as amended, which would provide $1 million for Department of Corrections recruitment and training, funded instead from the Peace Officer Training Equipment Fund. Testimony supported the need to address DOC staffing shortages, but some members objected that the fund was restricted to peace officer equipment; the committee adopted the amendment and passed the bill out. Finally, the committee heard Senate Bill 1673, which would fund the law enforcement crime victim notification system. A chair amendment shifted the source from the general fund to the victim compensation fund and reduced the amount to about $2.5 million. Testimony from the Arizona Sheriffs Association, a vendor, and the City of Phoenix described the notification system as constitutionally required, widely used, and important for victim safety and communication, but several members argued the amendment would take money from victim compensation and “rob Peter to pay Paul.” The committee adopted the amendment and then gave SB 1673, as amended, a do-pass recommendation. The chair closed by noting the committee was adjourned and that a special meeting might be posted for the following week.

Transcript Highlights:

• 04:48.720> name, Specifically, we're identifying name, Specifically, we're identifying name, date
• of birth, and social security num date of birth, and social security num number<00:04:52.000> uh<
• Third, the bill does include the emergency clause that would cause it to take effect immediately upon
• immediately upon becoming take effect immediately upon becoming law.<00:14:50.399> This<00:14
• So, I'm very open to consideration on the Possibility of just setting an implementation date that is

Keywords: HB 534 (only one on the agenda) – 00:02:08, 958, all

Summary: The House Elections, Constitutional Amendments, and Intergovernmental Affairs Committee met to consider House Bill 534, sponsored by Rep. DJ Johnson, with a committee substitute. Johnson said the bill was the product of interim work with the Secretary of State’s office, the State Board of Elections, county clerks, KREF, and other stakeholders, and that the committee substitute folded in several election-administration changes. He highlighted provisions clarifying the timeline for felony voter-roll removals, allowing the Board of Elections to work with federal agencies to identify non-citizens on the voter rolls, creating a process for those individuals to prove citizenship and vote provisionally, and changing some KREF board appointments. He also described technical campaign-finance changes and said some provisions might still be adjusted through floor amendments. Members raised concerns about fiscal impact, timing, and voter privacy. Rep. Bivens questioned the cost and whether the bill could affect voter records; Johnson responded that the bill itself did not require new equipment or broad new spending, though a special election in a local government failure scenario could create costs. Rep. Hancock and Rep. Marzian argued the bill could create unnecessary burdens on county clerks and questioned whether there was a demonstrated problem to justify the changes. The county clerks’ association, through Rockcastle County Clerk Danetta Ford Allen, opposed the bill as introduced, warning that citizenship checks could wrongly remove eligible voters, that online ballot images or cast vote records could threaten voter privacy and facilitate vote buying, and that the emergency clause would force major changes too close to the May primary. Johnson defended the bill as a targeted response to a real local election failure and said the citizenship data sharing would be limited to name, date of birth, and Social Security number. He also explained that the ballot-image language was permissive and intended to let counties explore emerging technology, but he was open to removing that section or changing the effective date in a floor amendment. He further said he would consider preserving gubernatorial appointments to KREF with Senate oversight instead of shifting appointments to legislative leaders. After discussion, the committee voted 9-2 with one pass to report the bill out, with several members explaining yes votes as support for moving the bill forward while expecting further cleanup, and no votes citing cost, timing, and voter-access concerns.

Transcript Highlights:

• The letting date is August of '27.
• According to the dates, they're prioritized that way.
• So there's another one, and that's what, it says the bond sale date, June of '26, letting date, 11 of
• So there's another one, and that's what, it says the bond sale date, June of 26, letting date, 11 of
• 20. bond sale date June of 26, letting date 11 of 26, and then another project in Doniana, which is in

Keywords: 996, all

Summary: The committee first heard TRIP’s annual New Mexico transportation report from Carolyn Boniface Kelly, which described deteriorating roads and bridges, congestion, safety concerns, and a large transportation funding gap. The report said more than half of major roads statewide are in poor or mediocre condition, over 170 bridges are rated poor, congestion costs drivers significant time and money, and traffic crashes and road conditions impose billions in annual costs. Members broadly agreed the report underscored the need for more stable transportation funding, with several noting the state’s recurring underinvestment and the safety risks to motorists, pedestrians, and bicyclists. The committee then took up Senate Bill 2, a transportation bonding and revenue package. Senator Gonzales and Governor’s office and NMDOT representatives said the bill would authorize about $1.5 billion in additional bond debt for ready-to-go highway projects, while also increasing certain motor vehicle excise, registration, weight-distance, and EV-related fees to help support debt service and transportation funding. Supporters, including contractors, the Greater Albuquerque Chamber, the Department of Finance and Administration, and transportation officials, argued the bill would improve safety, economic development, project delivery, and funding stability, and help preserve federal dollars. Opponents, including the Rio Grande Foundation and some committee members, objected to the tax and fee increases, argued the state should use existing surpluses or other funds instead, and raised concerns about impacts on families, businesses, and local governments. Committee members questioned how projects would be selected, how the new fees were calculated, how EV surcharges would work, and whether local government distributions would be affected. NMDOT said the projects would be reported to the legislature annually, selected using crash data, asset management, and project readiness, but bond approval would remain with the State Transportation Commission. After debate, Representative Romero moved do pass on SB 2 as amended, Representative Hochman-Vigil seconded, and the committee approved the bill 7-2, with Representatives Brown and Dow voting no and several members expressing reservations despite supporting the need for transportation investment.

Transcript Highlights:

• The A1 amendment would just change the effective date.
• CLA's roots date back more than 70 years in Minnesota, to our founding in 1953.
• CLA's roots date back more than 70 years in Minnesota, to our founding in 1953.
• In addition, the bill repeals some dated and obsolete sections from the chapter. Mr.
• In addition, the bill repeals some dated and obsolete sections from the chapter. Mr.

Keywords: 1187, senate, all

Transcript Highlights:

• <00:15:51.360> 2025, at year-to- date November 2025, at year-to- date November 2025, we're
• <00:16:22.560> the Um so if I look at it year-to date the Um so if I look at it year-to date
• <00:21:57.520> have<00:21:57.760> been the effects have been the effects have been
• Um so I'll how effective they are.
• >> So the starting date. >> So the starting date.

Keywords: 912, senate, all

Transcript Highlights:

• We have the first communication from the Secretary of State as dated January 21, 2026.
• hand and affix the great seal of the State of North Dakota at the capital city of Bismarck on this date
• date, which would be the closure of the special session.
• 40th legislative day to the 34th legislative day, and moving the crossover date for resolutions from
• So this would allow for alignment with crossover dates for four bills.

Bills: HB1621, HB1624, HB1623, HB1622, HB1625, HB1626, HB1627, HCR3038

Keywords: presidential physical fitness test, physical education, fitness assessment, student fitness, school curriculum, graduation requirements, elementary school, middle school, high school, public schools, nonpublic schools, superintendent of public instruction, exceptions, disability accommodations, North Dakota studies, computer science, cybersecurity, health education, concept-based fitness class, school standards

Summary: The North Dakota House convened in special session with prayer, the Pledge of Allegiance, and the reading of communications from the Secretary of State and Governor Kelly Armstrong certifying the special session call. The governor’s executive order said the session was called to act on funding for the Rural Health Transformation Program so the state could accept and appropriate federal funds and avoid interruptions to government services. Three new members, Representatives McNally, Scraw, and Timmons, were sworn in, and the roll showed 91 members present, establishing a quorum. The main business was a Rules Committee report outlining temporary special-session rules. The changes were designed to speed up floor action, including allowing second reading the same day a bill is reported from committee, final passage one day after first reading, and immediate transmission to the other chamber unless reconsideration is noticed. The report also replaced the regular standing committee structure with two joint committees: Joint Appropriations and Joint Policy, allowed remote testimony and remote member participation with approval, and limited bill introduction to Legislative Management-approved bills or bills approved by a two-thirds vote. Several deadline changes for resolutions and bill filing were also described, with some provisions delayed until the special session ends. The House adopted the Rules Committee report after a motion by Representative Bosch and no opposition. During announcements, the clerk listed the membership of the Joint Appropriations and Joint Policy committees, and the Highway Patrol announced safety sessions for legislators in the Rough Rider Room at 11 a.m. that day and the next day. The House then recessed until the joint session scheduled for 10 a.m. the following day.

Transcript Highlights:

• Just a concern on the effective date.
• All right, the effective date changed to July 1, 2026.
• I did just see there was some issues with the effective date.
• I did just see there was some issues with the effective date.
• The effective date I was wondering if the prime sponsor would be willing to effective date instead of

Keywords: 1191, senate, all

Transcript Highlights:

• So, if we were to change the effective date to the date after the November election, you could still
• Obviously, the effective date is 60 days after passage. >> So, if we do it 60 days after passage, then
• <01:16:30.800> date<01:16:31.120> if effective date if effective date if >> I'll<
• > so<05:22:35.920> that the effective date upon passage so that the effective date upon passage
• sure there's enough timing that if it has an immediate effective date, it's not going to come into effect

Keywords: 1191, senate, all

Transcript Highlights:

• >> We are still finalizing the date.
• result of Senate Bill 10 effective result of Senate Bill 10 effective 712026.<00:32:32.960> I
• This is effective with the bill that moves to 50, not cumulative.
• This is effective with the bill that moves to 50, not cumulative.
• "Uh, the enhancement takes effect in January." "January?

Keywords: Meeting Start: 00:07 Attendance Roll Call: 00:13 Approval of Minutes: 02:28 2025 RS SB 9: TRS Leave Audit Requirements & Process: 03:05 2025 RS SB 10: Overview of Enacted Legislation & Discussion: 28:38 Adjournment: 42:13, 958, all

Summary: The meeting opened with roll call, a quorum was confirmed, and the minutes were approved. The committee then heard testimony on Senate Bill 9, which concerns TRS sick leave audit requirements and process. Auditor Allison Ball’s staff said the audit is an information-gathering review of how teacher sick leave is accumulated, current balances, how many employers use the sick leave function, and the policies and procedures governing sick leave. Members discussed how unused sick leave affects retirement calculations, the distinction between the state’s financial responsibility and school districts’ responsibility, and whether the audit would also examine related leave categories such as personal leave, annual leave, and leave of absence. Committee members emphasized that Senate Bill 9 was intended to add accountability and standardize reporting, including preventing annual leave from being rolled into sick leave. Several members asked for clarification on how sick leave is factored into retirement benefits. Witnesses and members explained that, under the system described, accumulated sick leave can be converted into retirement credit based on a teacher’s daily rate and then multiplied by a percentage, with the school district often bearing the cost. Members also noted nuances in the law, including different accumulation limits by hire date and tier, and that the audit may help the public better understand why some educators retire relatively young. The auditor’s office said it is still early in the process, has met with TRS leadership, and will report back once the audit progresses. The committee also asked whether maternity leave would be included; the auditor’s office said it was not specifically mandated but could be examined if the body requests it. The committee then received an overview of Senate Bill 10 from KPA representatives Ryan Barrow and Rebecca Atkins. They explained that the bill enhances retiree health insurance benefits for certain CRS members who are non-Medicare participants and meet specified career thresholds, with different rules for hazardous and non-hazardous service. They described the benefit as $40 per month per year of service for non-hazardous service and $50 per month per year for hazardous service, both inflated annually, and clarified that these amounts are not cumulative with prior benefit formulas. Members asked about the interaction between the new amounts and existing benefits, and the presenters explained that the bill also changes current employee health insurance contribution rates effective July 1, 2026, with different impacts by tier and hazardous status. The committee discussed the need for clear communication to affected employees and reviewed example calculations showing how the new contribution structure would work.

Transcript Highlights:

• And this effect shall take effect upon approval. With that, I'd like to adopt a CD1.
• And this effect shall take effect<00:09:44.959> upon<00:09:45.279> approval.
• There will be a July 1, 2025 effective date.
• <00:34:09.839> date.
• will be a July 1st, 2025 effective date. will be a July 1st, 2025 effective date.

Keywords: 912, senate, all

Summary: The conference committee first took up HB 496 HD2 SD1 on mamaki tea. Members described the agreed conference draft as prohibiting misleading use of Hawaiian words, imagery, place names, and motifs on tea packaging unless all tea or dried leaves were grown, harvested, and dried in Hawaii. The bill also included an appropriation for a measurement standards inspector position at the Hawaii Department of Agriculture, with $65,000 in each of FY 2026 and FY 2027. The House and Senate managers recommended passage with amendments, and the measure was adopted by unanimous votes from the members present, with some members excused. The committee then recessed and reconvened several times to manage a larger agenda of conference bills, moving some items to later times and rooms. Among the measures adopted were HB 862, addressing school transportation shortages by allowing certain nontraditional vehicles under safety conditions; HB 667, retitled the Microchip Identification Act, requiring DOT and counties to scan deceased cats and dogs for microchips and notify animal services; HB 958, regulating electric bicycles and other micromobility devices with safety, labeling, registration, and age requirements; HB 934, relating to broadband and the digital equity office, with appropriations and positions; HB 960, raising DOT capital advancement contract thresholds and annual caps; HB 697, updating automated speed enforcement rules and appropriating $2 million; and SB 26, creating an affordable housing land inventory task force with a $250,000 appropriation. Each of these measures was adopted with amendments by conference vote, with some members excused and several brief recesses taken for quorum or agenda management. Not all bills were resolved. HB 732, relating to the film industry tax credit cap, was deferred after conferees said they had not reached agreement, despite comments supporting the industry and local workers. HB 437, concerning an office in the Philippines under DBED, was also deferred for lack of agreement. The committee adjourned after stating that the remaining measures on the agenda would be deferred indefinitely.

Transcript Highlights:

• So that's effectively a total of $9,000 of a credit for that.
• And effectively, how this works is... ...employers that have under 150 employees.
• The new amendment says that within six months of the general effective date, a governmental entity must
• investigate all possible violations that occurred before the effective date.
• It includes a repeal date of July 31, 2027.

Keywords: 1182, all

Transcript Highlights:

• <00:39:14.320> like physical and mental health effects like physical and mental health effects
• So the idea of effective coordination and navigation is essential.
• So the idea of effective coordination and navigation is essential.
• So the idea of effective for veterans.
• And finally, add a defective date as well as any necessary technical amendments.

Bills: SB2421, SB2690, SB3103, SB3137, SB3164, SB3206, SB2933, SB3133, SB3315

Keywords: cannabis, marijuana, Hawaii Cannabis Law, legalization, decriminalization, adult use, hemp, taxation, social equity, public health, primary care, health insurance, health carrier, insurance commissioner, Med-QUEST, Medicaid managed care, provider reimbursement, downcoding, prior authorization, utilization review

Summary: The committee heard testimony on several health-related bills. HB 1864, which would require health insurance coverage for standard fertility preservation services for people undergoing medically necessary treatment, drew broad support from SHIPA, the Department of Health, HMSA, the Hawaii Association of Health Plans, and others. Testifiers emphasized that fertility preservation is routine coverage on the mainland and important for patients facing infertility from cancer or other treatment; one patient described incurring more than $20,000 in costs. The Insurance Division flagged possible Affordable Care Act issues, a potential conflict in the bill’s language about using patient history to determine limits, and a mismatch with state medical-necessity standards. Committee discussion also focused on whether the bill should apply to all women of childbearing age rather than a narrower age-based category. HB 2305 would require nutrition and metabolic education as part of physicians’ continuing medical education. The Hawaii Medical Board opposed the measure, arguing that CME should remain flexible and tailored to each physician’s specialty and warning that topic-specific mandates can expand over time. The Office of the Governor supported the bill, saying it would help the state’s rural health transformation application and could improve federal funding prospects, though the exact impact was unclear. Members questioned whether nutrition is already covered in medical training and whether the requirement should be limited to primary care physicians; the board said Hawaii currently has no topic-specific CME mandates and that physicians can already choose relevant courses. The committee also heard strong support for HB 1597, which would establish an Alzheimer’s disease research center at the University of Hawaii. Supporters from the university, the Alzheimer’s Association, AARP, and others said the center could attract federal research dollars, expand clinical trials, and help address the state’s high Alzheimer’s-related health costs. HB 2159, which appropriates funds for health care workforce development, also received broad support from the University of Hawaii, health systems, and advocacy groups, with no opposition noted. Finally, HB 2121, which would prohibit the sale and distribution of disposable electronic smoking devices, drew support from the Department of Health, youth advocates, and public health groups citing youth addiction, environmental waste, and fire hazards; the department said a separate bill, HB 1573, would be more comprehensive and better defined for enforcement and penalties. The committee ended with HB 1913, creating a veteran services mental health coordinator position at Tripler Army Medical Center, which was supported by veteran services officials and others who said veterans need better navigation and coordination for behavioral health care.

Transcript Highlights:

• That witness is named, date of birth, and Social Security number. That information is what you are?
• Their name, date of birth, Social Security number, anything.
• Their name, date of birth, Social Security number, anything.
• To redact the Social Security number, their address, and date of birth.
• provision saying it's going to be effective July 1, 2027.

Summary: The committee first deferred Senate Bill 49, which would remove the State Board of Elementary and Secondary Education from the list of offices subject to closed party primary elections, after the sponsor said additional amendments were being prepared. It then took up House Bill 1247, which creates a statewide sexual assault nurse examiner coordinator within the Department of Justice to improve access, evidence collection, and coordination for sexual assault survivors. Members adopted a committee amendment package that clarified the coordinating structure, geographic response considerations, reimbursement language, and related public records issues, and the bill was reported favorably as amended with support from health care and law enforcement-related groups. House Bill 1245, also dealing with public records, was amended to protect certain personal identifying information in criminal history records of criminal justice agency employees who serve as witnesses in criminal proceedings. The discussion focused on limiting release of Social Security numbers, home addresses, and dates of birth while preserving disclosure required for court proceedings and impeachment-related purposes. The committee adopted a further amendment narrowing the protection to those PII items in records held by the clerk of court, and the bill was reported favorably as amended. House Bill 1011, allowing jurors to donate per diem compensation to CASA, and House Bill 1186, which standardizes construction code and inspector licensing records while protecting inspectors’ personal information, were also reported favorably. Senate Bill 425, which implements the constitutional mandate for removal by suit of certain elected officials for felony conviction, malfeasance, or gross misconduct, drew the most extended debate. Supporters said it creates a civil process to address serious misconduct when criminal prosecution is unavailable or incomplete, while opponents warned it could be abused for political targeting, duplicate existing remedies, and rely on vague standards. After amendments clarifying the process and standards, the committee voted 10-5 to report the bill favorably as amended. The committee also adopted amendments and reported favorably House Bill 1057, extending absentee-by-mail eligibility for overseas service members from one year to two years, and began discussion of House Bill 709, which would create a rulemaking notification system, a 10-year sunset for certain rules, and an Office of Information and Regulatory Affairs in the governor’s office.

Transcript Highlights:

• Amendment eight maintains the effective date of the governor's signature.
• date of the governor's signature.
• To date, Capital Rx is an organization that is just over eight years old, and we have about 5 million
• I'm sure you're up to date on what's been announced with Optum in the last several days. Yeah.
• Given such, this model offers a pathway for patients to gain services in a way that is cost-effective

Summary: The Senate Insurance Committee met on May 13, 2026, adopted the May 6 minutes, and then took up several bills dealing with pharmacy benefit managers, prescription access, behavioral health coverage, and Citizens Property Insurance. HB 938, as amended, was the main PBM reform measure. After the committee adopted a large amendment set that narrowed the bill, members heard extensive testimony in support from Mark Bloom, Justin Joseph of Capital Rx, and Kathy Ue of Pontchartrain Cancer Center, all emphasizing transparency, pass-through pricing, reverse auctions, and patient access. Supporters described savings from reverse auctions and administrative models, while the cancer center testified that PBM-owned specialty pharmacy requirements can delay cancer medications and create financial hardship. The committee reported HB 938 favorably with amendments. The committee also heard HB 1154, which prohibits prior authorization for certain generic medications prescribed by qualified physicians, with a $250 cap discussed as a safeguard against higher-cost generics. The bill was supported by representatives from Ochsner Health and the Louisiana State Medical Society and was reported favorably. HB 909, which requires commercial coverage for behavioral health crisis services, was amended to clarify the insurers covered and then reported favorably with support from the Office of Behavioral Health and several outside groups. Testimony on HB 909 focused on reducing emergency room and law enforcement burdens and expanding crisis response capacity across the state. HB 1187, dealing with excess emergency assessment funds from Louisiana Citizens Property Insurance Corporation, was explained by the Insurance Commissioner as a way to transfer remaining Katrina-era assessment funds to the Fortified Roof Program. The committee reported the bill favorably. Finally, SB 511 and SB 512 were deferred and converted into a study resolution approach because there was not yet consensus on the underlying issue. The meeting then adjourned.