Video & Transcript Research : 'practical knowledge'

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FL

Florida 2025 Regular Session

December 3, 2025 - 08:30 AM

Transcript Highlights:
  • requires the department to contract for independent audits every two years that review business practices
  • Some of the commendable practices across the managing entities were noted by the auditors.
  • To my knowledge, we haven't received this yet.
  • However, in practice, when this was implemented, the requirement was not able to be fully implemented
  • We wanted to make sure that the assessments were both rooted in the evaluation of statute and practice
Summary: The subcommittee heard two Department of Children and Families implementation updates on measures passed in prior sessions. First, DCF reviewed House Bill 633, which increased oversight of behavioral health managing entities through biennial independent audits, standardized claims-based reporting, and new monthly outcome dashboards. The department said it had awarded the inaugural audit to Ernst & Young, found no significant waste, fraud, or abuse, but identified process risks involving financial controls, claims validation, data access, and system access controls. DCF also described its transition to standardized behavioral health coding and said the new public dashboard of 11 measures is posted on its website, though members asked for easier access and for hard copies of the audit report. Members asked about how the department distinguishes Medicaid-covered services from department-funded services, how duplicate payment risks are being addressed, and whether the new reporting and audit requirements would improve oversight without disrupting services. DCF said it is the payer of last resort for uninsured or underinsured individuals, that some overlap with Medicaid is expected because Medicaid does not cover all behavioral health services, and that new claims edits and cross-checks are being built into the system. The department also said it had not found significant negative feedback from providers and that the new requirements are intended to improve transparency and accountability. DCF then updated the committee on Senate Bill 7012, covering human trafficking data collection, domestic violence center certification, limited background-screening exemptions, expanded recruitment for child welfare staff, subcontractor liability protections, a four-year treatment foster care pilot, case management efficiency recommendations, and a statewide study of residential bed capacity for child victims of commercial sexual exploitation. The department said several items are already complete or underway, including limited exemptions in the screening clearinghouse, while others are in procurement or rulemaking. It identified Circuits 4 and 12 as the treatment foster care pilot sites and said the pilot will launch in January 2026. Members questioned recruitment metrics, pilot timing, and report deadlines; the department said final reports are expected by January and that some dates were flexible because of procurement and implementation timelines. The meeting ended after the presentations and questions, and the subcommittee adjourned.
TX

Texas 89th Regular

Judiciary & Civil Jurisprudence Apr 23rd, 2025

Judiciary & Civil Jurisprudence

Transcript Highlights:
  • The committee substitute for House Bill 5624 adds Chapter 75E to the Texas Civil Practice and Remedies
  • It's only for any practice days we choose to have, but we are not covered outside of that.
  • And so what we're seeking to do with this bill is to address the fact that somebody who's practicing
  • House Bill 4202 corrects this inconsistency by changing the Civil Practices and Remedies Code to allow
  • The underlying statute, Texas Civil Practice and Remedies Code section... 1.02 was enacted in 1979.
FL

Florida 2025 Regular Session

March 25, 2025 - 04:00 PM

Transcript Highlights:
  • I started my career working for the guardian ad litem office, and I now have my own statewide practice
  • later deposition, after presenting damaging testimony against the parents, to having virtually no knowledge
  • After presenting damaging testimony against the parents, to having virtually no knowledge about Ehlers-Danlos
  • intentions may be positive, but without looking at current data and putting into place just common sense practices
  • There are best practices about using trauma-informed care and language when dealing with people.
Summary: The Human Services Subcommittee considered three bills and reported all of them favorably. HB 1013, relating to crisis care coordination, would create a pilot program in Polk and Volusia counties to connect people who have had Baker Act-related crises with follow-up counseling, assessments, and outpatient services through partnerships between law enforcement and community providers. The sponsor said the program has reduced repeat Baker Act commitments in Polk County, and the committee adopted a strike-all amendment moving the pilot to a different statute, formalizing partnerships, and requiring an independent DCF evaluation due in January 2029. The bill drew support from mental health and justice advocates and passed unanimously. The committee then heard PCS for HB 511, which addresses child protective investigations involving specific medical diagnoses. Sponsors and several parents, attorneys, and advocates described cases in which children were removed after injuries were initially treated as abuse but later linked to conditions such as Ehlers-Danlos syndrome, metabolic bone disease, or other medical fragility. They argued the bill would require notice of the right to a second medical opinion, better consideration of preexisting conditions and medical records, and more coordination before reports are sent to law enforcement, while still preserving protections for abused children. Members expressed sympathy for the families and emphasized the need for fairness and accurate medical review; the bill passed 17-0. Finally, HB 1439, based on recommendations from the 2025 Commission on Mental Health and Substance Use Disorder, was presented as a broader mental health and substance use disorder measure focused on crisis response, access to care, and workforce development. An amendment aligned the bill more closely with commission recommendations, including assessment tools, trauma-informed practices, school-based behavioral health access, telehealth, discharge planning, and long-acting injectable treatment access. The commission chair testified that the bill reflected a vetted set of recommendations from subject matter experts and commissioners, and the committee adopted the amendment and then reported the bill favorably by unanimous vote. The meeting then adjourned.
NH

New Hampshire 2025 Regular Session

House Finance Division III (02/19/2025)

Transcript Highlights:
  • Yeah, the question I have is around the hiring practices.
  • So this is an instance of poor billing practices at a provider.
  • unit here to the best of my knowledge unit here to the best of my knowledge and<01:55:40.079>
  • We have not made a policy for it, but it is general practice. Okay.
  • <04:12:45.560> so person that has the most knowledge so person that has the most knowledge
Keywords: 1189, house, all
Summary: House Finance Division III convened a work session on the DHHS budget, with the chair noting there would be no votes and that the committee would spend the day hearing from the commissioner’s office. Nathan White, DHHS Chief Financial Officer, opened with the Division of Finance/Office of Business Operations, explaining that the unit supports the department through daily financial management, AP/AR, audit work, expense projections, transfers, and procurement functions such as contracts, amendments, RFPs/RFAs, and grants management. He also described the division’s revenue and reporting work, including federal draws, CMS-64 reporting, and the public assistance cost allocation plan, and said the department had centralized rate-setting work and a small team handling Medicaid rate analysis and nursing facility rebase work. Members asked about vacancies, turnover, and budget changes. White said the division had 18 positions unfunded in the governor’s budget, reducing personal services from about $10.8 million to $9.9 million, and estimated the division’s vacancy rate at about 11 percent, below the department average. He said turnover was relatively low, with one retirement at the manager level and higher turnover mainly at lower AP-level positions. He also explained that some budget lines reflected reallocations rather than new spending, including fringe benefits centralized elsewhere and an EBT card contract moved into this unit because the staff member overseeing it works in Finance. When asked about a rent/lease increase, he said it was due to higher copier leasing costs under a statewide DAS contract. White highlighted several management and technology improvements. He said a business intelligence tool procured in 2022, using Salesforce and Excel-based data, helped DHHS better track federal revenue and maintenance-of-effort spending, reducing FY24 General Fund lapse by about 70 percent and federal/other revenue lapse by 88 percent compared with FY23; he warned that the tool is not funded in the current budget. He also described Lean Six Sigma efforts in the contracts team, training for vendors and nonprofits on procurement and indirect cost rules, and a Finance Academy to standardize policies and procedures. On the contracts side, he said the department uses Smartsheet for project management and DocuSign for electronic signatures, which cut contract execution time dramatically, but noted DocuSign is also not funded in the governor’s budget. The session ended as the committee prepared to move on to the Employee Assistance Program presentation.
NH

New Hampshire 2025 Regular Session

House Municipal and County Government (02/19/2025)

Municipal and County Government

Transcript Highlights:
  • and for Community interests practices and for Community interests but<00:48:07.079> we<00:48:
  • I'm not entirely sure about the relevance of this to my knowledge, and I'm not a zoning expert.
  • It doesn't do that for any other type of housing, to my knowledge, and I don't believe it would apply
  • the relevance of this to my knowledge the relevance of this to my knowledge and<02:02:44.280>
  • and I don't housing to my knowledge and I don't believe<02:02:54.840> it<02:02:55.079> it<
Keywords: 1189, house, all
TX
Transcript Highlights:
  • Sharing information, best practices. and how to address the threat. As Dr.
  • We've heard a lot about him, but yet I can't get my... my arms around how practical these things are
  • So I'm going to have no inside knowledge that I know. what's happening inside USDA, but they do have
  • My second-hand knowledge of other high containment facilities.
  • We continue to actively communicate best management practices, including including sample collection
Keywords: 1184, house, all
TX

Texas 89th Regular

Public Health Apr 7th, 2025

Public Health

Transcript Highlights:
  • I practice in- San Antonio.
  • I'm a practicing obstetrician and gynecologist. in private practice in Dallas, Texas.
  • We practice in this state. We love this state. We are citizens of this state.
  • I practiced before that. I am an officer of the court.
  • I want to practice my speciality and I want to start my family.
TX

Texas 89th Regular

Senate Session Apr 7th, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • He is a family physician with over 20 years of practice in rural Texas. Dr.
  • He's proud to be a fellow of the American Academy of Family Practice and has been recognized with the
  • So that's what's going to be difficult about putting your bill into practice.
  • So that's what's going to be difficult about putting your bill into practice.
  • And so that's the thing that's hard. ...practice is almost impossible.
Summary: The Senate opened with a quorum call, invocation, approval of routine motions, and the reading of gubernatorial nominations and several honorary resolutions. The chamber adopted resolutions recognizing Jack and Jill of America Day and DJ Daniel Day at the Capitol, with multiple senators offering remarks praising youth leadership, perseverance, and public service. The Senate also introduced the Doctor of the Day and then proceeded to a long series of floor actions on bills. A major focus was Committee Substitute for Senate Bill 568, which overhauls special education funding and services in public schools by moving from a placement-based model to an intensity-based system tied to student needs and IEPs. Senators Bettencourt, Creighton, and Menendez emphasized transparency, parent input, evaluation funding, dyslexia services, and better alignment of funding with actual services; Senator Hinojosa shared a personal story about dyslexia and the importance of early intervention. The bill was advanced on second and third reading and finally passed 30-0. The Senate also passed SB 1396 to prohibit national sex education standards in public schools, SB 2065 on the Texas Emergency Services Retirement System, SB 1664 requiring clearer public disclosure of transmission and distribution utility rate changes, SB 1029 on advertising certain used motor vehicles, SB 1120 expanding rights for family violence victims, SB 1036 regulating residential solar retail transactions, SB 464 creating school-proximity restrictions and penalties for tobacco and vaping sales, SB 1035 giving farmers and ranchers equitable relief from certain local agricultural regulations, SB 1610 addressing civil commitment facility safety and prosecution issues, SB 1197 extending drone restrictions to spaceports, and SB 1386 changing legislative witness immunity from transactional to testimonial immunity. Another major bill was Committee Substitute for Senate Bill 1188, which updates electronic health record requirements. Senator Kolkhorst said the bill builds on Texas medical privacy law by requiring U.S.-based storage of EMR data, prohibiting recording of voter registration status and credit score information, requiring provider verification and disclosure for AI-assisted diagnosis or treatment recommendations, preserving parental access to minors’ records until age 18, and ensuring EMRs can capture metabolic health and biological sex information. A floor amendment clarified the bill’s scope and enforcement, and the bill passed 23-7. Several measures drew debate, especially SB 414 on bond ballot transparency, where Senators Eckhardt and Menendez questioned whether requiring estimated interest and total debt cost on ballots could be misleading or difficult to implement because interest rates and financing terms can change before issuance or over time. The transcript ends during that discussion, with no final action shown on SB 414.
FL

Florida 2025 Regular Session

Health Policy Mar 25th, 2025

Transcript Highlights:
  • Is that someone who would be grandfathered in if you don't have electronic records and they're practicing
  • I have been a medical practice. I know how complicated this is.
  • It is violating the bill's requirements about unlawfully practicing medicine, Rossi, a path of medicine
  • But if I am a practicing optometrists and and I was patient comes to make an IRA for might to myself
  • Thank you, Madam chair, to my knowledge, been twice. It could be more to my knowledge is twice.
Keywords: 999, senate, all
TX

Texas 89th 2nd C.S.

Public Health Aug 22nd, 2025

Public Health

Transcript Highlights:
  • So the practical, practical experience from a water safety professional would impart that information
  • Again, it's about knowledge.
  • Many of us practice in academic centers.
  • That's defined in the occupation codes of the Medical Practice Act.
  • I was administered rimdesivir without my knowledge.
Bills: HB 265, HB25
MN
Transcript Highlights:
  • All of these experiences provided me the knowledge and confidence to build and operate my own center
  • and confidence to build me the knowledge and confidence to build and<00:03:40.959> operate<00
  • human error in and avoid best practices human error in this<00:04:55.479> field<00:04:56.039>
  • That kind of goes beyond my top-of-the-head knowledge here.
  • work hard to figure out some practical work hard to figure out some practical solutions<00:56:36.359
Keywords: 1183, house
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Higher Education Jun 21st, 2026 at 01:00 pm

Joint Committee on Higher Education

Transcript Highlights:
  • As a courtesy to our House and Senate colleagues, it's a practice to take representatives and senators
  • As a courtesy to our House and Senate colleagues, it's a practice to take representatives and senators
  • Today I'd like to focus on the sordid history of this practice.
  • Legacy admissions still stand as an overwhelmingly racist practice.
  • As an overwhelmingly racist practice.
Keywords: 995, all
Summary: The Joint Committee on Higher Education held its first hearing and heard testimony on a wide range of bills, including hunger-free campuses, FAFSA completion, early college/college-in-high-school programs, banning legacy preferences, AP credit consistency, and tuition equity for the Stockbridge School of Agriculture. Committee leaders opened by outlining the hearing process and noting the three-minute testimony limit. Legislators and advocates generally framed the bills as equity and access measures aimed at improving college affordability, student success, and workforce development. Representative Vargas testified for H. 1466 and H. 1467, arguing that hunger-free campus should be codified because many public college and community college students face food insecurity, and that FAFSA completion should be improved through individualized outreach and an opt-out or completion requirement. Senator Lovely, the Greater Boston Food Bank, and other advocates supported the hunger-free campus bill, citing data that 44% of public university and community college students experienced food insecurity in 2023 and that food insecurity harms graduation rates. Femi Stoltz and Shanti Lopez Toro backed the FAFSA bill, saying many students miss out on Pell grants and need direct support; they pointed to state examples such as Louisiana and to recent state action requiring FAFSA awareness. Committee members asked about the federal FAFSA rollout, regional equity in food access, and the need for long-term funding and data collection. A large panel supported H. 1455 on college and high school/early college, including former Chair Roy, the Massachusetts Alliance for Early College, a student graduate, MBAE, and Tripp Jones. They described early college as a proven model that helps low-income and first-generation students, improves degree attainment, and supports workforce needs; witnesses said the goal is to scale from about 9,000 students and 55 partnerships toward 22,000 to 25,000 students by 2030, with possible future growth beyond that. Members raised questions about funding, public-private partnerships, parental involvement, faculty development, and whether the bill should include data review and more standardized policies across institutions. Representative Garcia also testified for H. 1432 on AP credit, saying students should receive consistent credit for AP scores of 3, 4, or 5. Senator Edwards and James Murphy testified for the legacy preference ban, arguing it is unfair and rooted in exclusionary history; they said some states have already banned legacy preferences in public and private institutions. Finally, UMass Dean Michael Fox, alumnus Dan Mayer, and student Jake Rasmussen supported S. 920 to include Stockbridge associate degree programs in MassEducate, saying tuition equity would help enrollment and support Massachusetts agriculture and green-industry jobs.
WY

Wyoming 2026 Regular Session

Joint Appropriations Committee, June 22, 2026 - AM

Appropriations

Transcript Highlights:
  • To my knowledge, that phrase is not specifically defined. >> Thank you, Director.
  • And I think what we're saying is, in practical terms, we can help communities thrive.
  • But to my knowledge, there has been no ...
  • So, um, I appreciate the ideology, but however, the practicality says this is a great uh...
  • Is that common practice?
Keywords: 916, all
LA

Louisiana 2026 Regular Session

Administration of Criminal Justice May 6th, 2026

Administration of Criminal Justice

Transcript Highlights:
  • “Not to my knowledge.”
  • “Not to my knowledge, Sheriff.”
  • “Not to my knowledge.” “Evidence of a sheriff, it’s in the ankle monitoring business.
  • Not to my knowledge, I was sheriff.” “Yeah, but a record. Okay. Okay, thank you.
  • He practices in Leesville and Alexandria. So I would like Mr.
Summary: The Criminal Justice Committee met on May 6, 2026, and considered a series of juvenile justice, criminal procedure, public corruption, domestic violence, sentencing, and victim-notification measures. Early in the meeting, SB 396 was amended and reported favorably to allow children in Office of Juvenile Justice custody to attend review hearings by secure video conference, with OJJ staff also participating virtually. SB 181 was amended and reported favorably to create a limited raffle license for nonprofit health care organizations within a single health system. SB 81, a bill requiring prosecutorial consent before a defendant may waive a jury trial in a non-capital felony case, drew extensive debate; supporters said it would align Louisiana with federal practice and other states, while opponents argued it would give the state more power and reduce defendants’ control over their own trial rights. After testimony from district attorneys, defense lawyers, and advocacy groups, the committee reported SB 81 favorably by a 7-3 vote. The committee then took up SB 207, which extends the prescriptive period for prosecuting certain corruption offenses committed by elected officials and public employees to 10 years after they leave office. Supporters said it would help prevent officials from using their influence to avoid prosecution; opponents raised concerns about optics and scope. The bill was reported favorably by an 8-3 vote. SB 92, requiring district attorneys to submit sexual assault kits to the statewide tracking system, was also reported favorably without objection. SB 156, which increases the maximum penalty for negligent homicide and includes special treatment for cases involving children under 13, was reported favorably after sponsors said they would make a technical fix before floor debate. SB 58, imposing a mandatory minimum sentence for aggravated flight from a law enforcement officer and dedicating fine revenue to pursuit training and technology, was reported favorably after supporters cited fatal high-speed pursuits and law enforcement backing. Later, the committee approved SB 97, the constitutional amendment companion to SB 81, after similar testimony for and against the proposal; it was reported favorably by a 7-3 vote. SB 141, moving the Integrated Criminal Justice Information System Policy Board’s functions to the Louisiana Supreme Court, was reported favorably without objection. SB 410, increasing penalties for accessories after the fact to sex offenses, was also reported favorably. The committee then considered HB 251, which requires notice to victims or their families in resentencing proceedings; after amendments and testimony about post-conviction procedure and possible unintended consequences, it was reported favorably as amended. Finally, the committee heard HCR 50, a resolution calling for reports on opioid abatement and treatment programs in correctional facilities and guidance on available funding; the sponsor described it as a study effort to improve access to treatment and recovery, and the resolution was moved favorably.
KY

Kentucky 2026 Regular Session

House Legislative Session Day 52 (3-24-26)

Kentucky House Floor Meeting

Transcript Highlights:
  • change that terminology to oral health instead of dental services and establish what the scope of practice
  • <00:41:08.200> the<00:41:08.320> school<00:41:08.560> nurses scope of practice
  • the school nurses scope of practice the school nurses could<00:41:09.240> use.
  • that are already going on the practices that are already going on today<00:45:48.200> and<00:
  • ,<01:04:31.840> but helped build not just knowledge, but helped build not just knowledge,
Keywords: 958, all
TX

Texas 89th Regular

State Affairs Apr 28th, 2025

State Affairs

Transcript Highlights:
  • In my law practice, I have encountered a lot of money laundering through Russian entities and ownership
  • And do you practice immigration law at all? I do. Is there a backlog in the immigration courts?
  • Clinics help teach students how to practice law.
  • While some people may decide to practice immigration after law school. Many do not.
  • This is a practical change because, as written, good cause is not well defined.
HI

Hawaii 2026 Regular Session

WAL Public Hearing - Thu Mar 19, 2026 @ 9:00 AM HST

Water & Land

Transcript Highlights:
  • That's managed relocation in practice.
  • That's managed relocation in practice.
  • That's managed relocation in practice.
  • That's managed relocation in practice.
  • Those three organizations could provide a tremendous amount of institutional knowledge and knowledge
Summary: The Committee on Water and Land heard testimony on SB 5253 SD2 relating to conservation and SB 2401 relating to regional shoreline mitigation district, with the chair emphasizing short testimony limits and the need to finish before session. On SB 5253, DLNR said it stood on its written testimony and answered questions about the bill’s proposed nonprofit endangered species sanctuary. Members asked whether existing entities or agreements, such as land trusts, private landowners, and DLNR safe harbor agreements, could accomplish similar conservation goals without creating a new entity. DLNR said similar work already exists, but it was not aware of a comparable sanctuary model in the state. A member also questioned language suggesting for-profit businesses in the sanctuary, and DLNR said the intent appeared to be sales of outreach or similar materials, though it agreed that such activities could be handled by a nonprofit. The bulk of the hearing focused on SB 2401, which would create a regional shoreline adaptation/mitigation framework. The Department of the Attorney General said it had concerns about inconsistent use of the terms “mitigation” and “adaptation,” warning of possible title-subject issues. DLNR said it was neutral on the terminology and more concerned with the substance, and noted that the bill would not waive permits; any plan would still require environmental review and applicable state and county permits. DLNR also supported OHA’s recommendation to consider impacts on Native Hawaiian traditional and customary practices during regional planning, and said the bill’s language on temporary shoreline protection measures could help address the gap between emergency permits and longer-term planning while avoiding a hardening-only approach. The Office of Planning supported the regional planning concept but noted it is not a regulatory agency and would need to work with DLNR and the Land Board. OHA supported the bill’s planning-based approach but recommended amendments to require assessment of impacts on Native Hawaiian traditional and customary practices during plan development and to clarify that environmental review would still apply at the project level. Testifiers from the Ka‘anapali Steering Committee strongly supported the bill, saying it would provide a regional framework for ongoing erosion problems while preserving full regulatory authority and normal permitting, and they proposed amendments to standardize terminology, create a limited pathway for temporary shoreline protection, and address ownership and maintenance responsibilities. Members discussed the meaning of “mitigation” versus “adaptation,” the scope of shoreline hardening, and whether the bill would help the legislature take a broader, more holistic view of shoreline decisions. No votes or final actions were taken in the portion of the hearing provided.
AL

Alabama 2026 Regular Session

Alabama Senate Feb 12th, 2026

Alabama Senate Floor Meeting

Transcript Highlights:
  • <01:29:30.400> with<01:29:30.719> professionalism, practices with professionalism, practices
  • , and practical wisdom with generations of employees.
  • quiet leadership, decades of practical quiet leadership, decades of practical wisdom,<01:29:55.520
  • So, you have certain knowledges<02:53:50.479> and<02:53:50.720> skills.
  • knowledges and skills. knowledges and skills.
Keywords: 920, all
Summary: The Alabama Senate convened with prayer and the Pledge of Allegiance, confirmed a quorum, excused absent senators, and adopted the previous day’s journal. The chamber also recognized guests, including members of Alpha Kappa Alpha Sorority and employees of the Central Alabama Electric Cooperative. A senator then delivered a Black History Month-style presentation highlighting James Weldon Johnson, A. Philip Randolph, Jan E. Matzeliger, and Percy Lavon Julian for their contributions to civil rights, labor, industry, and science. The Senate received House messages referring two Archives and History board appointments to the Committee on Confirmations, then took up numerous committee reports. Several bills from Finance and Taxation, Judiciary, Education Policy, Agriculture, Fiscal Responsibility and Economic Development, Healthcare, Tourism, Veterans and Military Affairs, State Government Affairs, and Local Legislation received favorable reports, some with amendments or substitutes, and were advanced to second reading and placement on the next legislative day’s calendar. The chamber also recommitted Senate Bill 266 to the Tourism Committee. The Senate confirmed multiple appointments, including Llaya McNair to the Alabama Trust Fund Board, several members to the Credit Union Administration Board, and Elizabeth Smithart, Leslie Sanders, and Wayne Sers to the Alabama State Board of Human Resources. It then adopted several resolutions, including commendations and memorials, such as resolutions honoring Mary Francis Holland, the Stanhope Elmore boys bowling team, and Alicia Cannon for more than 50 years of service to the Alabama judicial system. The Senate also adopted a resolution creating the Study Commission on Artificial Intelligence and Children’s Internet Safety, after discussion about its purpose, membership, and duties; an amendment to the commission resolution was adopted before the resolution itself was adopted.
AZ

Arizona 2026 Regular Session

01/28/2026 - Senate Government

Government

Transcript Highlights:
  • How many different practices in medicine were once deemed great that we now know are extremely horrific
  • Our job, and particularly mine as a nurse, is evidence-based practice and research, and making sure that
  • Number two, practically speaking, I don't know anyone who carries a letter on him or her saying, 'I'm
  • Can you just walk us through how this would really work in practice?
  • Now, how many cities and towns have gone out of business to your knowledge in Arizona in the last 20
Summary: The committee first handled Senate Bill 1045, which would bar cities, towns, and counties from taxing or charging fees on the use of blockchain technology in residences, with limited exceptions. The sponsor said the bill was a repeat of a measure vetoed the prior year and framed it as a tax-preemption issue. There was no testimony, and the bill was moved and passed out of committee on a 4-3 vote. The committee then heard Senate Bill 1019, which would prohibit the addition of fluoride to public water systems. Senator Shamp argued the bill was about health freedom, informed consent, and emerging research she said raised concerns about fluoride’s benefits and possible neurodevelopmental risks. Opponents, including representatives of Arizona dental and public health groups, testified that community water fluoridation is safe, effective, and especially important for low-income and rural communities with limited dental access. After extended debate, the bill received a do pass recommendation on a 4-3 vote. Senate Bill 1050 would provide free lifetime state park passes to Arizona veterans. State Parks testified neutrally but warned the measure could reduce revenue used to support park operations and rural economies; the sponsor said the bill was prompted by a park visit where veterans were charged admission. The committee also approved SB 1050 on a 4-3 vote. Later, SB 1078, dealing with de novo review in public records denial cases, passed unanimously after support from the Goldwater Institute, and SB 1083, which would prevent HOAs and condo associations from banning certain lighted home address devices for emergency response, also passed after testimony from the sponsor and a homeowners coalition.
HI

Hawaii 2026 Regular Session

CPC Public Hearing - Tue Mar 24, 2026 @ 2:00 PM HST

Consumer Protection & Commerce

Transcript Highlights:
  • So, I'm saying this with experience and knowledge.
  • And providers have been asking HMSA to change this practice for more than 5 years.
  • Moreover, the bill's knowledge standard allows operators to avoid obligations by claiming ignorance of
  • Moreover, the bill's knowledge standard allows operators to avoid obligations by claiming ignorance of
  • > standard Moreover, the bill's knowledge standard Moreover, the bill's knowledge standard allows
Summary: The committee heard testimony on SB 2433 SD1 relating to condominiums, which would direct the condominium education trust fund toward educational resources for unit owners and require the Real Estate Commission to ensure owners’ interests are represented in funded activities and related rulemaking. Supporters, including the Hawaii Real Estate Commission and a condominium owner advocate, said owners need a seat at the table in condo governance and education efforts. Committee discussion focused on whether the bill was necessary, with the Real Estate Commission indicating it could already use the trust fund for owner education and that owners are already considered stakeholders, though not through a specific commission seat. No vote was taken during the excerpted discussion. The committee then took up SB 2047 SD2 HD1 on pharmacy benefit managers, which would set requirements for maximum allowable cost reimbursement, allow reverse-and-rebill claims after successful appeals, and authorize fines for violations. The Insurance Division offered comments, the Hawaii Pharmacists Association supported the measure with amendments and suggested future PBM reform funding, and Kaiser Permanente requested a technical amendment. A committee question raised whether the staffing and resource request for implementation was too large for a bill focused only on MAC pricing, and the witness said he would provide more data to the next committee. No final action was shown. Next was SB 2425 SD2 HD1 on health insurance and substance use disorder treatment, requiring insurers to honor written assignments of benefits to SUD providers and prohibiting anti-assignment clauses. Supporters described patients being unable to access treatment because of high out-of-pocket costs and said direct payment would reduce harm for people in recovery. HMSA opposed the bill but said it would begin direct payments to non-participating SUD facilities effective March 27, while continuing to object to the assignment-of-benefits portion because of fraud and balance-billing concerns; the Hawaii Association of Health Plans also opposed. Members questioned HMSA about reimbursement mechanics and why the bill was needed if coverage policies were already changing. Finally, the committee heard SB 3045 SD1 HD1, which would require coverage of continuous glucose monitors and related supplies, including for Medicaid managed care, under certain conditions. DHS and the Insurance Division offered comments, while SHPDA, Hilo Benioff Medical Center Foundation, and others supported the bill, citing inconsistent access and a case in which a woman allegedly died after being denied a CGM. HMSA said it already covers medically necessary CGMs and had updated its policy in 2025 for type 1 and insulin-dependent patients, but it raised concerns about expanding mandated coverage to type 2 and gestational diabetes and about supply impacts. The committee also discussed whether the bill duplicated existing coverage standards and why it had been introduced repeatedly. No votes or final dispositions were included in the excerpt.