Transcript Highlights:

• <01:16:19.800> so composition of their board change so composition of their board change so
• The change conforms to similar language relating to snowmobiles. changes on here to do with um changes
• <01:26:24.800> will DNR this year's proposed changes will DNR this year's proposed changes
• <01:27:18.800> conforms<01:27:19.360> to off-road vehicles the change conforms to off-road
• vehicles the change conforms to similar<01:27:20.040> language<01:27:20.480> relating<

Keywords: 1187, senate, all

Transcript Highlights:

• Any changes there? You're okay with that one? All right.
• F has been changed to a... F has been changed to a parent representative, one parent.
• If that ever changes, they'll change the title of it in the scheduling orders.
• you offered those changes.
• Thank you. ...what we want them to change.

Keywords: 908, all

Transcript Highlights:

• entertain change. entertain change.
• services as well as license change services as well as license change license<00:30:36.559> changes
• changes.
• <00:38:19.760> That<00:38:20.000> concludes<00:38:20.400> our conforming changes
• That concludes our conforming changes. That concludes our presentation.<00:38:21.200> Mr.

Keywords: 918, senate, all

Summary: The joint hearing opened with chairs explaining that the program integrity omnibus bill is a combined draft assembled from individual member bills and governor proposals, many of which had already been heard in committee. Members emphasized the compressed end-of-session timeline, said the language was not yet ready for enactment, and invited continued revisions as the bill moves next to judiciary and finance. Several speakers stressed the need for bipartisan collaboration, while also warning that the Legislature must act this session on program integrity rather than defer reforms. The fiscal staff then walked through a spreadsheet showing the bill’s overall budget effects and major provisions. The package includes DHS proposals on transforming human services, market- and receipt-based rate reform, enhanced program and payment integrity, uniform service standards, nursing facility rate changes, ICS reforms, and a repeal/redesign of housing stabilization, along with child care assistance integrity and human services redesign items in DCYF. Staff highlighted that the bill combines multiple sources, including governor proposals and member bills, and noted several items that are also in the supplemental human services budget. Committee discussion focused heavily on prepayment review, remote supports, ICS, and provider accountability. Chairs said the bill would codify prepayment review with a 60-day notice requirement after providers were caught off guard by prior rollout, and that remote supports and ICS language were placeholders or under active debate. One member argued the system needs stronger standards but cautioned against harming compliant providers, while another urged the committee to learn from good providers and warned against repeating failed implementations. Staff also reviewed thematic indexes covering billing and service delivery oversight, EVV, administrative reform, licensing and background studies, provider enrollment, sanctions, and child care provider compliance training. No formal votes were taken in the portion provided. The hearing ended with staff beginning the index walkthrough and members indicating that posted amendments would be considered as the bill advances through the remaining committees.

Transcript Highlights:

• His efforts took him here to the state capitol, where he championed meaningful change that would help
• His efforts took him here to the state capitol, where he championed meaningful change that would help
• grants, and apply a $1 million cap separately to the total outstanding loan amount per person, with changes
• understanding for the remaining six of 30 agencies for which it was already eliminated and make conforming
• changes to relevant codes.

Bills: HB2, HB6, HB18, HB43, HB138, HB180, HB300, HB581, HB647, HB748, HB762, HB1240, HB1393, HB1397, HB1584, HB1734, HB2011, HB2254, HB2286, HB2434, HB2467, HB2468, HB2495, HB2516, HB2518, HB2529, HB2564, HB2712, HB2713, HB2715, HB2765, HB2898, HB3146, HB3161, HB3348, HB3800, HB4044, HB4341, HB4370, HB4384, HB4386, HB4396, HB4490, HB4809, HB5057, HB5323, HB5534, HB5668, SB203, SB317, SB719, SB731, SB801, SB867, SB1071, SB1232, SB1798, SB2082, SB2363, SB2603, SB2607, SB2717, SB2797, SB2841, SB2919, SB3038, SJR5, SB4, SB9, SB21, SB23, SB27, SB34, SB40, SB75, SB213, SB458, SB482, SB493, SB647, SB648, SB840, SB841, SB843, SB912, SB1241, SB1253, SB1350, SB1388, SB1423, SB1535, SB1559, SB1709, SB1789, SB1951, SB2037, SB2143, SB2155, SB2544, SB1, SB17, SB260, SB509, SB1506, SB1637, SB1833, SB2308, HB2525, HJR133, HB1393, HB26, HB388, HB2712, HB1633, HB685, HB2286, HB1606, HB1458, HB1240, HB2791, HB3146, HB1397, HB2061, HB647, HB4738, HB2563, HB128, HB581, HB766, HB2259, HB2358, HB4384, HB748, HB1734, HB5180, HB3806, HB3804, HB3803, HB1522, HB3597, HB1612, HB4224, HB1314, HB1237, HB3126, HB2856, HB3114, HB3505, HB5652, HB2025, HB3395, HB2495, HB18, HB2516, HB2713, HB24, HB519, HB609, HB1592, HB3348, HB120, HB6, HB1533, HB2421, HB2273, HB2464, HB2011, HB5057, HB5084, HB5534, HB5668, HB3424, HB2715, HB2564, HB2765, HB2898, HB3800, HB4396, HB4341, HB43, HB5686, HB2467, HB2468, HB2518, HB4310, HB4386, HB4490, HB180, HB5323, HB2, HB149, HB4945, HB2434, HB2529, HB3161, HB3745, HB4044, HB5155, HB5667, HB4996, HB2697, HB2492, HB2355, HB2282, HB2001, HB1902, HB1866, HB1445, HB1443, HB1306, HB1024, HB908, HB305, HB285, HB449, HB171, HB47, HB3464, HB2637, HB4263, HB5436, HB4429, HB3986, HB3966, HB3510, HB2560, HB2026, HB2688, HB4076, HB5246, HB3487, HB3486, HB4226, HB216, HB742, HB2402, HB143, HB5033, HB4413, HB4042, HB2440, HB4426, HB49, HB4112, HB3233, HB2310, HB5515, HB3627, HB2674, HB322, HB1481, HB126, HB3062, HB3421, HB3180, HB2530, HB2524, HB1916, HB3153, HB5650, HB4894, HB3120, HB1629, HB103, HB3234, HB3680, HB5698, HB3171, HB5693, HB2694, HB5664, HB3732, HB2508, HB2293, HB1991, HB2014, HB5331, HB5247, HB4751, HB4690, HB4668, HB4464, HB4395, HB4063, HB3833, HB3623, HB3214, HB3512, HB3250, HB3016, HB2520, HB2221, HB2213, HB3824, HB2067, HB1732, HB1562, HB700, HB1545, HB252, HB146, HB5596, HB1851, HB3619, HB3071, HB3556, HB851, HB4230, HB5320, HB5651, HB5670, HB5665, HB5437, HB5679, HB5699, HB5661, HB5662, HB5654, HB5672, HB5656, HCR141, HCR118, HCR127, HCR40, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1234, SB2926, SB2841, SB1528, SB1854, SB317, SB1250, SB2082, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB867, SB640, SB1698, SB2680, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1367, SB2044, SB2363, SB2565, SB1888, SB3036, SB3057, SB3043, SB3063, SB3035, SB203, SB2688, SB2522, SB2459, SB2655, SB2251, SB1884, SB2928, SB2566, SB1749, SB2549, SB2553, SB2919, SB1944, SB1232, SB1798, SB2603, SB2607, SB2683, SB1319, SB3038, SB3045, SB1538, SB3071, SB3065, SB823, SB3062, SB3074, SB1380, HB6, HB581, HB1393, HB1734, HB2286, HB2467, HB2468, HB2495, HB2529, HB2564, HB2765, HB2898, HB3146, HB3348, HB3800, HB4341, HB4386, HB4490, HB5057, HB5323, HB5534, HB5668, HB2, HB2715, SR530, SR552, SB482, SB493, SB841, SB912, SB1241, SB1350, SB1388, SB1559, SB1951, SB2143, SB2155, HB205, HB220, HB561, HB2078, HB2300, HB2652, HB3335, HB3441, HB4212, HB4879, HB5228, HB5616, HB205, HB220, HB561, HB2078, HB2300, HB2652, HB3335, HB3441, HB4212, HB4879, HB5228, HB5616

Keywords: public education, teacher compensation, certification, funding, school finance, educator rights, education funding, charter schools, staff compensation, state aid, retention allotment, mental health, telehealth, public schools, discipline management, behavioral interventions, rural health, hospital funding, healthcare access, mental health services

Transcript Highlights:

• Gottlieb: A TECHNICAL AMENDMENT TO CONFORM TO THE SENATE. >> Chair: OTHER QUESTIONS?
• THIS IS AN AMENDMENT THAT WOULD EFFECTIVELY CHANGE A SHOUT TO A MAY AND ALLOW THE LOCAL GOVERNMENTS THE
• SO, THIS AMENDMENT EFFECTIVELY WOULD ALLOW THE TAX PACKAGE TO STAY IN PLACE WITH A COUPLE OF CHANGES.
• I'M SURE NO ONE WANTS TO CHANGE THAT NOT EVEN THE SENATE. I WANTED TO CLARIFY THAT.
• Busatta: IT CHANGES THE FUNDS TO BE PAID OUT OF THE FDA ASKED EMERGENCY RATIFICATION TRUST FUND INSTEAD

Transcript Highlights:

• Now, the amendment that was just passed changes some language there, and that's to fine-tune the Act
• It only changes a couple of words—"private" and "returning" I think are the two primary words there—which
• Um, look, our methods of digesting news have certainly changed over the years.
• And so it's really fixing a technical issue and correcting language to conform to current law and handling
• You can't go back and change that—it's gone and lost. So, we have several major concerns around...

Bills: SB36, SB39, SB40, SB12, SB29, SB121, SB131, SB12

Keywords: competitive bidding, procurement, disclosure statements, state contracts, contract protest, board governance, occupational licensing, Sunset Law, public accountability, training requirements, SB40, Houston/Hunter Act, firearm hold agreement, gun storage, temporary firearm storage, firearms dealer, federal firearms licensee, FFL, civil immunity, gun owner

Transcript Highlights:

• The bill also makes some construction code policy changes that we will perhaps hear more about from the
• I will say this does put us a little more in conformity with what the federal requirements are.
• I will say this does put us a little more in conformity with what the federal requirements are.
• <00:42:59.839> alterations know you can't make changes alterations know you can't make changes
• <00:52:41.000> since many of these fees haven't changed since many of these fees haven't changed

Keywords: 1187, senate, all

Transcript Highlights:

• more time to appeal a formulary change more time to appeal a formulary change and<00:13:54.240><
• So these are two fundamental changes.
• One has to do with fundamental changes.
• Will they see a change in their status and ability to operate?
• changing or repealing and and rewriting. changing or repealing and and rewriting.

Keywords: 1191, senate, all

Transcript Highlights:

• doesn't change that. not guarantee them anything.
• changes.
• There's non-conforming uses brought up a couple of times.
• So, is this only for those types of changes, or is this for all types of zoning changes?
• use of the property to a non-conforming use.

Bills: SB17, SB1569, SB2420, HB5138, HJR161, HB1937, HB3334, HB5444, HB5137, HB361, HB321, HB5447, HB464, HB678, HB2294, HB4172, HB3225, HB1769, HB5394, HB1837, HB1787, HB2271, HB2440, HB5134, HB5149, HB2151, HB2073, HB2186, HB2025, HB1936, HB1777, HB1663, HB 1306, HB 1290, HB1527, HB4802, HB3462, HB2963, HB2462, HB2560, HB644, HB2725, HB2621, HB2588, HB1443, HB1403, HB3032, HB1557, HB1664, HB2811, HB2088, HB2598, HB3062, HB3134, HB3940, HB4027, HB4097, HB4862, HB4170, HB4157, HB4205, HB4279, HB4377, HB4838, HB5424, HB5294, HB4870, HB4763, HB5639, HB4112, HB2275, HB1677, HB5014, HB3848, HB3797, HB3727, HB3709, HB3177, HB3057, HB4176, HB4202, HB2180, HB3528, HB3658, HCR76, HCR127, SB906, SB1229, SB855, SB703, SB1025, SB888, SB1119, SB1080, SB929, SB1355, SB2231, SB1877, SB1998, SB552, SB17, SB1569, SB2420, HB2697, HB3801, HB3488, HB3477, HB3466, HB3469, HB2594, HB2564, HB2298, HB5331, HB5646, HB5247, HB5323, HB4384, HB3896, HB4014, HB3627, HB3594, HB2524, HB510, HB561, HB 1181, HB3963, HB5111, HB2785, HB1661, HB200, HB1803, HB249, HB721, HB851, HB 1128, HB1904, HB30, HB1916, HB541, HB5560, HB3071, HB5627, HB5435, HB2688, HB3045, HB3483, HB4213, HB4226, HB783, HB175, HB4735, HB5155, HB5057, HB4813, HB5339, HB5196, HB5033, HB3486, HB4211, HB74, HB4730, HB4743, HB4463, HB4139, HB4752, HB4486, HB4437, HB4426, HB4396, HB4263, HB3487, HB3418, HB2266, HB2229, HB2189, HB5224, HB5195, HB3947, HB3358, HB3370, HB3745, HB3697, HB2001, HB1968, HB3371, HB3909, HB4944, HB2284, HB4506, HB3317, HB4166, HB3913, HB1768, HB4603, HB2494, HB3099, HJR138, HB133, HB3832, HB1988, HCR34, HB3421, HB3892, HB5138, HJR161, HB1937, HB3334, HB5444, HB5137, HB361, HB321, HB5447, HB464, HB678, HB2294, HB4172, HB3225, HB1769, HB5394, HB1837, HB1787, HB2271, HB2440, HB5134, HB5149, HB2151, HB2073, HB2186, HB2025, HB1936, HB1777, HB1663, HB 1306, HB 1290, HB1527, HB4802, HB3462, HB2963, HB2462, HB2560, HB644, HB2725, HB2621, HB2588, HB1443, HB1403, HB3032, HB1557, HB1664, HB2811, HB2088, HB2598, HB3062, HB3134, HB3940, HB4027, HB4097, HB4862, HB4170, HB4157, HB4205, HB4279, HB4377, HB4838, HB5424, HB5294, HB4870, HB4763, HB5639, HB4112, HB2275, HB1677, HB5014, HB3848, HB3797, HB3727, HB3709, HB3177, HB3057, HB4176, HB4202, HB2180, HB3528, HB3658, HCR76, HCR127

Keywords: foreign ownership, real property, national security, criminal penalties, civil penalties, personal information, higher education, privacy protection, governing board, institutional security, software applications, mobile devices, age verification, parental consent, data protection, app store regulation, HJR 161, Texas constitutional amendment, voting rights, non-citizen voting

Transcript Highlights:

• , but the Constitution has not changed.'
• a very controversial aspect of the change in this bill?
• This moment today is about changing that.
• I believe mental health treatment changes lives.
• I'm here in support of SB 1330 because something needs to change.

Keywords: 988, house, all

Transcript Highlights:

• Changes to the Texas Accountancy Act surrounding mobility are.
• Now that line has changed.
• However, the behavior of buyers has changed with technology.
• They said no, and then they changed, they moved the goalpost and changed the requirements to get a waiver
• So the tow is determined by municipality, so it could, it can change.

Transcript Highlights:

• And knowing that we are going to make a change at some point...
• On line 36 is a change to the classification of egg homestead property.
• On line 36 is a change to the classification of egg homestead property.
• Again, this is a technical change to conform with the repeal of the assignability in a later section
• Section four is a technical change to conform with the repeal of the assignability in a later section

Keywords: 1187, senate, all

Transcript Highlights:

• This bill makes changes to our CalWORKs program to improve early engagement and help families find pathway
• And in order to be deserving, you have to conform to what we believe you should live your life as.

Keywords: 988, house, all

Transcript Highlights:

• 1227, by Gates, relating to the dissolution and petition of municipal management districts, making conforming
• changes related to the Ship Channel Security District.

Summary: The House met to read a large slate of newly filed bills and resolutions and refer them to committees. The measures covered a wide range of topics, including health care and insurance, public education, elections, criminal justice, public safety, taxes, transportation, agriculture, environmental regulation, higher education, housing, and local government. Several proposals focused on abortion and reproductive health, firearms, voter registration and ballot access, school curriculum and accountability, property tax and homestead issues, and state contracting and agency oversight. A number of constitutional amendments were also filed, including proposals on initiative and referendum, veto override authority, vaccination refusal, parental rights in education, gun rights, Medicaid expansion, and various tax exemptions. No substantive debate, testimony, or votes occurred during this portion of the meeting; the clerk simply read the bills and resolutions and announced their committee referrals. The list included both general legislation and joint resolutions, with many items sent to standing committees and several to subcommittees. The House then adjourned without objection until 2 p.m. on Tuesday.

Transcript Highlights:

• The purpose and need had not changed.
• Changes in routes or destination could include diverting to I-205.
• We've had a change in the bridge design.
• That 70th percentile probability conforms to FHWA requirements. Next slide.
• Changes to that would be a delay in meeting that construction timeline.

Summary: The Joint Committee on Interstate 5 Bridge met remotely with Washington legislative members to receive updates on the Interstate Bridge Replacement Program, including environmental review, cost and funding, tolling, and procurement for construction. Program staff said the final supplemental environmental impact statement was published in April 2026, with a federal record of decision expected in early summer. They described the recommended design as a single-level fixed-span bridge, centered I-5 alignment, C Street ramps, one auxiliary lane in each direction, and dispersed park-and-ride parking. Members raised concerns about transparency, the closed chat function, and the decision not to include two auxiliary lanes; staff said the one-lane option was recommended through consultation with partner agencies and analysis, but the final decision would come with the record of decision. Staff also said the diversion analysis projected less than 3% traffic diversion to I-205 in 2045, though members from Oregon and Washington expressed concern about impacts to their communities and asked for more detail on mitigation and decision-making. The committee also reviewed a major cost update. Staff said the full five-mile program is now estimated at $13.5 billion to $15.2 billion, with a likely cost of $14.4 billion, up from a 2022 estimate of $5 billion to $7.5 billion, citing inflation, schedule delays, scope changes, and more detailed risk modeling. They said the first funded phase has been reduced to a $5.68 billion package focused on the Columbia River bridge replacement, connections to I-5, Hayden Island and SR-14, bridge demolition, tolling infrastructure, and advancing light rail design. Funding for that phase was described as $5.69 billion, including $2.1 billion federal funds, $1 billion from each state, and $1.5 billion in projected toll revenue. Members asked what would happen if costs rise further; staff said the estimate includes substantial contingency, the project will use progressive design-build to manage risk, and the team will continue updating the finance plan annually. A separate tolling and traffic-revenue presentation explained that four toll scenarios were analyzed using regional travel demand modeling, a toll diversion model, and a post-processing review. All scenarios assume pre-completion tolling beginning July 1, 2028, a 50% low-income discount for eligible users, and exemptions for tribal preemptions, emergency vehicles, maintenance vehicles, and organized militia. Staff said the low-income discount would affect about 4% to 6% of annual transactions and reduce annual revenues by roughly 2% to 3%. They said Scenario 2 was used for the financial analysis and is sufficient to support the $1.5 billion toll contribution in the funded phase. Members asked about toll collection costs, revenue impacts of the discount, and how the scenarios differed; staff said collection costs are expected to be in line with other WSDOT toll facilities, but exact costs are not yet set because toll rates are not final. Finally, WSDOT staff outlined procurement and delivery steps for construction. They said WSDOT will be the lead contracting agency, using progressive design-build, with a request for qualifications targeted for early July 2026, a request for proposals in October, contractor selection in April 2027, construction starting in 2028, and tolling beginning in 2028. Staff said the approach is intended to consolidate scope, reduce interface risk, and allow transparent negotiation with an independent cost estimator, while preserving an off-ramp if a fair price cannot be reached. Members asked for more detail on timing, cost allocation, and the share of the first phase funded by tolls; staff estimated tolls account for about 26% of the first phase cost.

Transcript Highlights:

• , but the Constitution has not changed.'
• a very controversial aspect of the change in this bill?
• This moment today is about changing that.
• I believe mental health treatment changes lives.
• I'm here in support of SB 1330 because something needs to change.

Summary: The committee heard several bills, though no final votes were taken because a quorum had not yet been established. SB 493 by Senator Becker would add war or armed conflict to California’s price-gouging emergency triggers, with the author and supporters arguing it would protect consumers from gas-price spikes tied to international conflict. Opponents, including business and housing groups, warned the bill could over-trigger emergency powers and create broad, ongoing price controls. The chair indicated support for an aye-as-amended recommendation once quorum was reached. SB 1056 by Senator Grayson would require protective orders for disclosure of sexually explicit material involving adult victims in specified criminal cases. Denise Huskins-Quinn and Aaron Quinn testified in support, describing how sensitive evidence in their case was copied and handled without adequate safeguards; supporters said the bill would extend privacy protections similar to those already used for child sexual abuse material. Criminal defense attorneys supported the goal but raised concerns about notice procedures and how the bill would apply when material is in the public domain. The chair said the bill filled a gap in existing law and would receive an aye recommendation. SB 1208 by Senator Grayson would let law enforcement seize and return crypto assets used in scams and fraud to victims. The Attorney General’s office and law enforcement groups supported the bill as a tool to recover losses from transnational crypto fraud, while the ACLU and public defenders argued it lowered the burden of proof, raised constitutional concerns, and could be misused against unbanked or low-level defendants. The chair nevertheless said the bill aligned with existing law for stolen property and would be recommended aye. SB 874 by Senator Weber-Pearson would strengthen oversight of Medi-Cal behavioral health treatment services, including requiring background checks for employees of providers and convening a stakeholder workgroup; it drew support from the California Association for Behavior Analysis and no opposition was heard. Later, SB 1266 by Senator Stern would change how the value of stolen copper and related infrastructure damage is calculated, aiming to address copper theft and its costs to cities and utilities. Supporters said the bill would better capture the real harm from thefts that disrupt streetlights, telecom, and emergency services, while opponents argued it would inflate charges, turn many misdemeanors into felonies, and increase court and incarceration costs. The author said he would continue discussions and accept the amendments. Senator Cervantes presented SB 1379, which would separate the Riverside County sheriff and coroner offices and create an independent medical examiner; supporters cited in-custody death concerns and conflicts of interest, while opponents said the problem was not unique to Riverside and that the bill would override local control. Cervantes also presented SB 1418 to extend ballot-custody protections to other election records and equipment after a Riverside County ballot seizure, with support from the Attorney General’s office. Finally, Senator Blakespear began presenting SB 936 on nitrous oxide misuse, describing public health, impaired-driving, and disposal concerns, but the transcript cuts off before the bill’s testimony concluded.

Transcript Highlights:

• <00:03:04.000> to bit more brief HF 1662 makes changes to bit more brief HF 1662 makes changes
• to technical changes to the prior authorization changes that were made last session, I believe, just
• be at the same time every year, so there is a conforming change in here to make sure that that is consistent
• be at the same time every year, so there is a conforming change in here to make sure that that is consistent
• be at the same time every year, so there is a conforming change in here to make sure that that is consistent

Bills: HF1662, HF2115, HF2159, HF1095, HF2160

Keywords: veterans, veterans affairs, State Soldiers Assistance Program, Veterans Stable Housing Initiative, MAXIS, human services data, data sharing, eligibility verification, informed consent, private data, benefits coordination, veteran housing, veteran assistance, Department of Human Services, Children Youth and Families, state benefits, federal benefits, privacy, public assistance, human services

Transcript Highlights:

• At Elhagar, we know FSP can be life-changing.
• I don't know how things have changed.
• Real people with real care helped me change everything.
• to take minor conforming and technical changes.
• to take minor conforming and technical changes.

Summary: The Assembly Health Committee met on April 22 and took up a special order of bills focused largely on prior authorization and utilization management in health care. The chair framed the discussion as part of a broader legislative effort to reduce delays and barriers to care, especially in behavioral health, chronic disease management, cancer treatment, and rehabilitation services. AB 384 by Assembly Member Connolly would prohibit prior authorization for inpatient mental health or substance use emergency admissions and related physician care; supporters said it would prevent dangerous delays in crisis care, while insurers and health plans warned about fraud, abuse, and ambiguity around residential treatment facilities. The bill was moved on a due pass as amended motion and passed the committee on a party-line style vote, with Republicans largely absent or not voting. The committee then heard AB 510 by Assembly Member Addis, which would require health plans, upon request, to provide a peer reviewer of the same or similar specialty when a treating provider appeals a prior authorization denial or modification. Supporters argued that specialty-matched review would make appeals fairer and more clinically informed; opponents said the requirement was too rigid and that timelines and electronic submission rules needed changes. After discussion about the need for timely, specialty-specific review, the bill was approved on a due pass as amended motion and placed on call. AB 539 by Assembly Member Schiavo would extend prior authorization approvals to one year or the duration of the physician’s prescribed treatment for chronic conditions; supporters cited repeated denials and treatment interruptions, while opponents raised concerns about overbreadth, fraud, and the need for shorter validity periods. The bill was also passed as amended and placed on call. The committee next considered AB 669 by Assembly Member Haney, which would bar concurrent and retrospective review for the first 28 days of medically necessary substance use disorder treatment and limit prior authorization for related outpatient medications. The bill was presented with a powerful personal story from Ryan Matlock’s mother about her son’s death after an insurer cut off treatment early; supporters said the measure would keep patients in care long enough to stabilize, while opponents argued it would reduce oversight and could allow lower-quality or non-evidence-based care. The bill was moved on a due pass as amended motion and placed on call. Finally, AB 512 by Assembly Member Harabedian would shorten prior authorization response times to 24 hours for urgent requests and 48 hours for non-urgent requests; supporters said delays can worsen outcomes, while opponents warned the timelines were unrealistic and could increase administrative burdens and safety issues. The bill was approved as amended and placed on call. AB 574 by Assembly Member Mark Gonzalez was then heard; it would allow up to 12 medically necessary physical therapy sessions for a new episode of care without prior authorization, with supporters emphasizing stroke and neurological recovery and opponents warning of reduced oversight and unnecessary care. The transcript ends during testimony on AB 574, before final action is shown.

Transcript Highlights:

• ,<01:01:23.760> refine and address potential changes, refine and address potential changes
• So, I don't make the plans conform.
• Like, please, this is the narrative that we need to change.
• Uh DPP narrative that we need to change.
• changes be made. Chair, thank you. Okay. changes be made. Chair, thank you. Okay.

Keywords: 910, house, all

Summary: The committee heard several bills on water, land, housing, permitting, and historic preservation. For SB 746/SD2/HD1 on invasive species, DLNR and the Department of Agriculture supported the intent but warned that a bounty approach for coconut rhinoceros beetle could have unintended consequences, divert resources from biocontrol research, and be vulnerable to abuse; Hawaii Farm Bureau supported the measure. The committee also heard SB 1541 on the WoE water system, with testimony from ADC, Kunia Village Title Holding Company, and Farm Bureau in support, emphasizing the importance of the system for agriculture and the high cost of water on lands already dedicated to farming. The most extensive discussion was on SB 66, relating to building permit review and county permitting authority. DPP opposed the bill, saying the problem is not just agency review time but the broader permitting process, including applicant corrections, outside-agency review, staffing shortages, and low pay that make it hard to fill vacancies. DPP said it already meets or beats existing review deadlines for residential permits and is using tools like electronic plans and AI to help applicants submit better plans. Several supporters, including Iron Workers Local 625, an individual witness, and Hawaii Food Industry Association, backed the bill but urged a pilot program or other safeguards; some also asked for broader permit coverage beyond single-family homes. Committee members questioned DPP about whether applicant correction time should count against the clock, whether self-certification could be used, and whether the state should fund any new mandate. The committee then took up SB 26 on affordable housing, with HHFDC, OPSD, and HCDA in support and no opposition noted. Finally, on SB 1263 relating to historic preservation, HHFDC and DLNR supported the bill, while OHA offered comments and requested amendments, especially on the new risk-based review process for high-, medium-, and low-risk areas. OHA said the new procedure should be implemented carefully and allowed more time, describing it as a pilot that should be done well to be useful while still protecting cultural and historic resources. No votes or final actions were taken in the portion of the meeting provided.

Transcript Highlights:

• And after that, the whole thing changed.
• All I knew is that my skin was changing, and with that change came questions, stares, and sometimes utter
• If I want to reverse some of these physical changes, If I want to reverse some of these physical changes
• No surgery or cross-sex hormones ever changed that.
• Next, we're moving to Alex Chang. Alex Chang, you're with us? Yes. Hello? Yes, we can hear you.

Keywords: 995, all

Summary: The committee heard testimony on a wide range of health insurance and public health bills, with most speakers focused on expanding coverage for specific treatments and services. Bills discussed included H. 1187/S. 792 on rehabilitation counselors, H. 1173/S. 692 on patient navigation, S. 2600 on scalp cooling for chemotherapy patients, S. 2599 on medically necessary treatment for port wine birthmarks, H. 1164 on licensed educational psychologists for child and adolescent mental health services, S. 754/H. 1254 on autism diagnosis and treatment by nurse practitioners and psychiatric nurse mental health clinical specialists, S. 714/H. 1137 on infectious disease response and coverage, and S. 791 on making nature a prescriptive therapeutic intervention. Speakers generally argued these bills would improve access, reduce out-of-pocket costs, and address gaps in current insurance reimbursement rules. Testimony in support emphasized personal stories and clinical evidence. Cancer patients and providers described the benefits of patient navigation and scalp cooling for dignity and quality of life during treatment. Boston Children’s Hospital staff and families said port wine birthmark treatment is medically necessary, can prevent complications, and should not be denied as cosmetic. Rehabilitation counselors and school psychologists argued their services are effective, cost-saving, and underused because they cannot bill insurance. Autism advocates said current insurance statutes are outdated because nurse practitioners and psychiatric nurse mental health clinical specialists already provide evaluations and should be recognized for reimbursement to avoid delays in early intervention. Public health and GLAD Law testimony supported stronger infectious disease coverage to remove barriers to testing, treatment, and PrEP access. The hearing also included extensive testimony on H. 1172, a bill requiring insurance coverage for detransition-related care. Supporters said it would ensure coverage for medically necessary care for people who regret or reverse gender transition, while opponents argued it would legitimize anti-trans narratives or, conversely, that detransition care is needed because transition procedures can cause harm. The committee also heard strong support for S. 791 from advocates who described nature access as a health intervention that could help with trauma, anxiety, substance use recovery, and environmental justice, with claims that insurance coverage and reduced park fees would improve access. No votes were taken during the transcript, and the chair repeatedly thanked speakers and moved through the long list of public testimony.