Transcript Highlights:

• Further, physicians complete about 39 prior authorizations every week.
• Committee Substitute Senate Bill 1525, relating to prior authorization for prescription drug benefits
• I believe this amendment is acceptable to the author.
• To ask questions to the author. Senator Creighton, do you? Of course.
• To ask questions to the author of the amendment. Do you? Yes.

Summary: The Senate convened with a quorum present, heard an invocation, adopted the prior day’s journal, received House messages, and adopted several resolutions and recognitions, including Senate Resolution 496 honoring Leadership Garland and resolutions 503 and 504. The chamber also recognized guests, including a North Dakota senator and the Doctor of the Day, and received gubernatorial nominations for the Texas Economic Development Corporation Board and the Nueces River Authority Board. The Senate then took up and passed a series of bills, often by suspending the regular order and the constitutional three-day rule. Measures approved included SB 614 on Texas Forensic Science Commission referrals to the Office of Capital and Forensic Writs; SB 250 on municipal annexation across railroad rights-of-way; SB 1660 on toxicological evidence retention and destruction procedures; SB 2586 requiring property owners associations to file governing documents with the Texas Real Estate Commission; SB 1588 increasing penalties for certain failures to report child sexual abuse; HB 912 on compensation for distributed renewable generation outside ERCOT; SB 1957 setting eligibility standards for civilian oversight boards; HB 2525 clarifying a charitable property tax exemption; SB 1525 limiting repeated prior authorization for neurodegenerative disease drugs; SB 865 requiring CPR/AED training and cardiac emergency response planning in schools; SB 1212 elevating human trafficking penalties; SB 2690 on solicitations for Secretary of State documents; SB 1802 on landlord repair duties for ramps, elevators, and handrails; SB 905 on licensing rules for speech-language pathologists and audiologists; SB 2929 allowing removal of disruptive spectators at school athletic events; SB 2675 creating a narrow McAllen-specific parkland conveyance exception; SB 872 increasing punishment for burglary of a vehicle involving firearm theft; and SB 1113 clarifying sales rules for certain converter-license holders. Several bills drew extended debate. SB 2487, dealing with crisis and mental health services for homelessness, was amended to make the county model permissive rather than mandatory and to remove state funding/assistance requirements before passing 28-3. SB 2138, barring higher education funds from contracting with firms that boycott fossil fuels through ESG policies, also passed after questions about fiscal effects and First Amendment concerns. SB 2615, restricting remote work at public institutions of higher education, advanced 22-9. The Senate also began consideration of SB 3016, which would expand enforcement tools against local governments that fail to comply with state law, but the transcript cuts off before action on that bill is completed.

Transcript Highlights:

• House Bill 176, an act relating to prior authorization. Gentleman from McCracken. Mr.
• Um, House Bill 176 is dealing with prior authorization. We have heard this many times in the past.
• If there are no parental authority.
• House Bill 453, Representative Flannery, an act relating to prescription drugs.
• House Bill 454, to prescription drugs.

Keywords: Convene 00:00 Senate Message 05:10 Calendar/2nd Readings 07:06 Report of Committees 07:47 Orders of the Day 08:52 HB 176 09:09 HB 178 12:19 HB 280 15:34 Motions, Petitions, and Communications 19:55 Introduction of New Bills and Resolutions 32:05 Recess for ConC and Rules Meeting 32:05 ConC and Rules Report 39:04 Adjournment 40:48, 958, all

Summary: The House convened with prayer and the Pledge of Allegiance, established a quorum, excused absent members, and approved the journal. The Senate then communicated passage of Senate Bills 10 and 28 and requested concurrence. The House also received second-reading reports for several bills, including measures on custody, human sexuality instruction in schools, tax increment financing, death benefits, postsecondary education, and disabled veterans, along with committee reports advancing bills on agriculture, criminal trespass, concealed firearms, human trafficking, sexual performance material involving minors, reading and writing in schools, and educators. The chamber then took up and passed three health-related bills. House Bill 176, on prior authorization, was explained as a bipartisan effort to reduce insurance-related delays and bureaucracy in patient care; it passed 90-1. House Bill 178, on the psychiatric collaborative care model, was presented as a budget-neutral way to expand timely mental health access through primary care settings; it passed unanimously, 93-0. House Bill 280, a Kentucky Board of Nursing cleanup bill and school rescue-medication update, was amended by House Committee Substitute 1 to restore language allowing investigations involving abuse and to update school medication provisions; the substitute and the bill as amended both passed 94-0. House Resolution 35, recognizing January 21, 2026 as Certified Registered Nurse Anesthetist Day in Kentucky, was introduced, taken from committee, and adopted. During announcements, members noted upcoming committee meetings and events, including a reception for highway contractors and related groups, and several committee cancellations. One member also spoke about a catastrophic fire in Williamsburg, asking for prayers for the community and first responders. The Committee on Committees and Rules then reported referrals for numerous newly introduced bills to standing committees and made changes to the 2026 Committee on Impeachment, removing Representatives Marzian and Donworth and appointing Representatives Watkins and Gentry. The House then adjourned until 2:00 p.m. Thursday, January 22, 2026.

Bills: HB1752, SB2053, SB2494, SB2851, SB3073, HB1678, HB1721, HB2475, HB2246, HB1667, HB1516, SB2532, SB3131, SB3154, HB2297, HB1737, SB2143, SB2398, SB2623, HB1740, HB1920, HB1682, SB2153, SB3140, HB1515, SB2835, HB2282, SB3083, SB2031, SB2519, SB2667, SB2140, SB2544, SB2069, SB2697, SB874, SB2043, SB888, SB2721, HB2152, HB1334, HB2385, HB1643, HB2314, HB1688, HB1692, SB2568, SB2983, SB2108, SB3136, HB1959, SB3156, HB1511, HB1753, HB1824, HB2137, HB1810, HB2279, HB2309, HB1548, HB2078, HB2293, SB3262, SB2169, SB2607, SB2964, SB3255, HB2576, HB1481, HB1864, HB1550, SB2818, SB3067, SB2061, HB1728, HB1881, HB2361, HB2395, HB1823, SB2050, SB2397, SB2876, SB2175, SB2852, SB847, SB3001

Keywords: education, funding, school districts, state budget, performance metrics, salvage vehicles, vehicle title transfer, electronic signatures, insurance, administrative efficiency, bribery, corruption, statute of limitations, public servant, criminal justice, deafness, traffic safety, law enforcement, vehicle registration, communication

Bills: HB1752, SB2053, SB2494, SB2851, SB3073, HB1678, HB1721, HB2475, HB2246, HB1667, HB1516, SB2532, SB3131, SB3154, HB2297, HB1737, SB2143, SB2398, SB2623, HB1740, HB1920, HB1682, SB2153, SB3140, HB1515, SB2835, HB2282, SB3083, SB2031, SB2519, SB2667, SB2140, SB2544, SB2069, SB2697, SB874, SB2043, SB888, SB2721, HB2152, HB1334, HB2385, HB1643, HB2314, HB1688, HB1692, SB2568, SB2983, SB2108, SB3136, HB1959, SB3156, HB1511, HB1753, HB1824, HB2137, HB1810, HB2279, HB2309, HB1548, HB2078, HB2293, SB3262, SB2169, SB2607, SB2964, SB3255, HB2576, HB1481, HB1864, HB1550, SB2818, SB3067, SB2061, HB1728, HB1881, HB2361, HB2395, HB1823, SB2050, SB2397, SB2876, SB2175, SB2852, SB847, SB3001

Keywords: education, funding, school districts, state budget, performance metrics, salvage vehicles, vehicle title transfer, electronic signatures, insurance, administrative efficiency, bribery, corruption, statute of limitations, public servant, criminal justice, deafness, traffic safety, law enforcement, vehicle registration, communication

Bills: HB1752, SB2053, SB2494, SB2851, SB3073, HB1678, HB1721, HB2475, HB2246, HB1667, HB1516, SB2532, SB3131, SB3154, HB2297, HB1737, SB2143, SB2398, SB2623, HB1740, HB1920, HB1682, SB2153, SB3140, HB1515, SB2835, HB2282, SB3083, SB2031, SB2519, SB2667, SB2140, SB2544, SB2069, SB2697, SB874, SB2043, SB888, SB2721, HB2152, HB1334, HB2385, HB1643, HB2314, HB1688, HB1692, SB2568, SB2983, SB2108, SB3136, HB1959, SB3156, HB1511, HB1753, HB1824, HB2137, HB1810, HB2279, HB2309, HB1548, HB2078, HB2293, SB3262, SB2169, SB2607, SB2964, SB3255, HB2576, HB1481, HB1864, HB1550, SB2818, SB3067, SB2061, HB1728, HB1881, HB2361, HB2395, HB1823, SB2050, SB2397, SB2876, SB2175, SB2852, SB847, SB3001

Keywords: education, funding, school districts, state budget, performance metrics, salvage vehicles, vehicle title transfer, electronic signatures, insurance, administrative efficiency, bribery, corruption, statute of limitations, public servant, criminal justice, deafness, traffic safety, law enforcement, vehicle registration, communication

Bills: HB1752, SB2053, SB2494, SB2851, SB3073, HB1678, HB1721, HB2475, HB2246, HB1667, HB1516, SB2532, SB3131, SB3154, HB2297, HB1737, SB2143, SB2398, SB2623, HB1740, HB1920, HB1682, SB2153, SB3140, HB1515, SB2835, HB2282, SB3083, SB2031, SB2519, SB2667, SB2140, SB2544, SB2069, SB2697, SB874, SB2043, SB888, SB2721, HB2152, HB1334, HB2385, HB1643, HB2314, HB1688, HB1692, SB2568, SB2983, SB2108, SB3136, HB1959, SB3156, HB1511, HB1753, HB1824, HB2137, HB1810, HB2279, HB2309, HB1548, HB2078, HB2293, SB3262, SB2169, SB2607, SB2964, SB3255, HB2576, HB1481, HB1864, HB1550, SB2818, SB3067, SB2061, HB1728, HB1881, HB2361, HB2395, HB1823, SB2050, SB2397, SB2876, SB2175, SB2852, SB847, SB3001

Keywords: education, funding, school districts, state budget, performance metrics, salvage vehicles, vehicle title transfer, electronic signatures, insurance, administrative efficiency, bribery, corruption, statute of limitations, public servant, criminal justice, deafness, traffic safety, law enforcement, vehicle registration, communication

Bills: HB1752, SB2053, SB2494, SB2851, SB3073, HB1678, HB1721, HB2475, HB2246, HB1667, HB1516, SB2532, SB3131, SB3154, HB2297, HB1737, SB2143, SB2398, SB2623, HB1740, HB1920, HB1682, SB2153, SB3140, HB1515, SB2835, HB2282, SB3083, SB2031, SB2519, SB2667, SB2140, SB2544, SB2069, SB2697, SB874, SB2043, SB888, SB2721, HB2152, HB1334, HB2385, HB1643, HB2314, HB1688, HB1692, SB2568, SB2983, SB2108, SB3136, HB1959, SB3156, HB1511, HB1753, HB1824, HB2137, HB1810, HB2279, HB2309, HB1548, HB2078, HB2293, SB3262, SB2169, SB2607, SB2964, SB3255, HB2576, HB1481, HB1864, HB1550, SB2818, SB3067, SB2061, HB1728, HB1881, HB2361, HB2395, HB1823, SB2050, SB2397, SB2876, SB2175, SB2852, SB847, SB3001

Keywords: education, funding, school districts, state budget, performance metrics, salvage vehicles, vehicle title transfer, electronic signatures, insurance, administrative efficiency, bribery, corruption, statute of limitations, public servant, criminal justice, deafness, traffic safety, law enforcement, vehicle registration, communication

Bills: HB1752, SB2053, SB2494, SB2851, SB3073, HB1678, HB1721, HB2475, HB2246, HB1667, HB1516, SB2532, SB3131, SB3154, HB2297, HB1737, SB2143, SB2398, SB2623, HB1740, HB1920, HB1682, SB2153, SB3140, HB1515, SB2835, HB2282, SB3083, SB2031, SB2519, SB2667, SB2140, SB2544, SB2069, SB2697, SB874, SB2043, SB888, SB2721, HB2152, HB1334, HB2385, HB1643, HB2314, HB1688, HB1692, SB2568, SB2983, SB2108, SB3136, HB1959, SB3156, HB1511, HB1753, HB1824, HB2137, HB1810, HB2279, HB2309, HB1548, HB2078, HB2293, SB3262, SB2169, SB2607, SB2964, SB3255, HB2576, HB1481, HB1864, HB1550, SB2818, SB3067, SB2061, HB1728, HB1881, HB2361, HB2395, HB1823, SB2050, SB2397, SB2876, SB2175, SB2852, SB847, SB3001

Keywords: education, funding, school districts, state budget, performance metrics, salvage vehicles, vehicle title transfer, electronic signatures, insurance, administrative efficiency, bribery, corruption, statute of limitations, public servant, criminal justice, deafness, traffic safety, law enforcement, vehicle registration, communication

Bills: SB2876, SB3253, SB2125, SB2781, HB549, HB1768, SB2053, SB2494, SB2851, SB3073, HB1678, HB1721, HB2475, HB2246, HB1667, HB1516, SB2532, SB3131, SB3154, HB2297, HB1737, SB2143, SB2398, SB2623, HB1740, HB1920, HB1682, SB2153, SB3140, HB1515, SB2835, HB2282, SB3083, SB2031, SB2519, SB2667, SB2140, SB2544, SB2069, SB2697, SB874, SB2043, SB888, SB2721, HB2152, HB1334, HB2385, HB1643, HB2314, HB1688, HB1692, SB2568, SB2983, SB2108, SB3136, HB1959, SB3156, HB1511, HB1753, HB1824, HB2137, HB1810, HB2279, HB2309, HB1548, HB2078, HB2293, SB3262, SB2169, SB2607, SB2964, SB3255, HB2576, HB1481, HB1864, HB1550, SB2818, SB3067, SB2061, HB1728, HB1881, HB2361, HB2395, HB1823, SB2050, SB2397, SB2175, SB2852, SB847, SB3001

Keywords: natural hair braiding, hair braiding, braids, braider, braiding license, cosmetology, barbering, barber board, Board of Barbering and Cosmetology, registration, licensure exemption, sanitation training, health and safety, hair extensions, cornrows, twists, locks, protective hairstyles, beauty industry, occupational licensing

Transcript Highlights:

• Uh, so, this bill, to summarize, authorizes an attending physician to request a functional capacity examination

Bills: SB2876, SB3253, SB2125, SB2781, HB549, HB1768, SB2053, SB2494, SB2851, SB3073, HB1678, HB1721, HB2475, HB2246, HB1667, HB1516, SB2532, SB3131, SB3154, HB2297, HB1737, SB2143, SB2398, SB2623, HB1740, HB1920, HB1682, SB2153, SB3140, HB1515, SB2835, HB2282, SB3083, SB2031, SB2519, SB2667, SB2140, SB2544, SB2069, SB2697, SB874, SB2043, SB888, SB2721, HB2152, HB1334, HB2385, HB1643, HB2314, HB1688, HB1692, SB2568, SB2983, SB2108, SB3136, HB1959, SB3156, HB1511, HB1753, HB1824, HB2137, HB1810, HB2279, HB2309, HB1548, HB2078, HB2293, SB3262, SB2169, SB2607, SB2964, SB3255, HB2576, HB1481, HB1864, HB1550, SB2818, SB3067, SB2061, HB1728, HB1881, HB2361, HB2395, HB1823, SB2050, SB2397, SB2175, SB2852, SB847, SB3001

Keywords: natural hair braiding, hair braiding, braids, braider, braiding license, cosmetology, barbering, barber board, Board of Barbering and Cosmetology, registration, licensure exemption, sanitation training, health and safety, hair extensions, cornrows, twists, locks, protective hairstyles, beauty industry, occupational licensing

Bills: SB2876, SB3253, SB2125, SB2781, HB549, HB1768, SB2053, SB2494, SB2851, SB3073, HB1678, HB1721, HB2475, HB2246, HB1667, HB1516, SB2532, SB3131, SB3154, HB2297, HB1737, SB2143, SB2398, SB2623, HB1740, HB1920, HB1682, SB2153, SB3140, HB1515, SB2835, HB2282, SB3083, SB2031, SB2519, SB2667, SB2140, SB2544, SB2069, SB2697, SB874, SB2043, SB888, SB2721, HB2152, HB1334, HB2385, HB1643, HB2314, HB1688, HB1692, SB2568, SB2983, SB2108, SB3136, HB1959, SB3156, HB1511, HB1753, HB1824, HB2137, HB1810, HB2279, HB2309, HB1548, HB2078, HB2293, SB3262, SB2169, SB2607, SB2964, SB3255, HB2576, HB1481, HB1864, HB1550, SB2818, SB3067, SB2061, HB1728, HB1881, HB2361, HB2395, HB1823, SB2050, SB2397, SB2175, SB2852, SB847, SB3001

Keywords: natural hair braiding, hair braiding, braids, braider, braiding license, cosmetology, barbering, barber board, Board of Barbering and Cosmetology, registration, licensure exemption, sanitation training, health and safety, hair extensions, cornrows, twists, locks, protective hairstyles, beauty industry, occupational licensing

Transcript Highlights:

• Okay, and on SB 2877, this is on the one-year, or now we're going to amend it to a two-year student-authored
• This is relating to school modernization, school facilities authority, capital improvement project planning

Bills: SB2876, SB3253, SB2125, SB2781, HB549, HB1768, SB2053, SB2494, SB2851, SB3073, HB1678, HB1721, HB2475, HB2246, HB1667, HB1516, SB2532, SB3131, SB3154, HB2297, HB1737, SB2143, SB2398, SB2623, HB1740, HB1920, HB1682, SB2153, SB3140, HB1515, SB2835, HB2282, SB3083, SB2031, SB2519, SB2667, SB2140, SB2544, SB2069, SB2697, SB874, SB2043, SB888, SB2721, HB2152, HB1334, HB2385, HB1643, HB2314, HB1688, HB1692, SB2568, SB2983, SB2108, SB3136, HB1959, SB3156, HB1511, HB1753, HB1824, HB2137, HB1810, HB2279, HB2309, HB1548, HB2078, HB2293, SB3262, SB2169, SB2607, SB2964, SB3255, HB2576, HB1481, HB1864, HB1550, SB2818, SB3067, SB2061, HB1728, HB1881, HB2361, HB2395, HB1823, SB2050, SB2397, SB2175, SB2852, SB847, SB3001

Keywords: natural hair braiding, hair braiding, braids, braider, braiding license, cosmetology, barbering, barber board, Board of Barbering and Cosmetology, registration, licensure exemption, sanitation training, health and safety, hair extensions, cornrows, twists, locks, protective hairstyles, beauty industry, occupational licensing

Bills: HB1752, SB2053, SB2494, SB2851, SB3073, HB1678, HB1721, HB2475, HB2246, HB1667, HB1516, SB2532, SB3131, SB3154, HB2297, HB1737, SB2143, SB2398, SB2623, HB1740, HB1920, HB1682, SB2153, SB3140, HB1515, SB2835, HB2282, SB3083, SB2031, SB2519, SB2667, SB2140, SB2544, SB2069, SB2697, SB874, SB2043, SB888, SB2721, HB2152, HB1334, HB2385, HB1643, HB2314, HB1688, HB1692, SB2568, SB2983, SB2108, SB3136, HB1959, SB3156, HB1511, HB1753, HB1824, HB2137, HB1810, HB2279, HB2309, HB1548, HB2078, HB2293, SB3262, SB2169, SB2607, SB2964, SB3255, HB2576, HB1481, HB1864, HB1550, SB2818, SB3067, SB2061, HB1728, HB1881, HB2361, HB2395, HB1823, SB2050, SB2397, SB2876, SB2175, SB2852, SB847, SB3001

Keywords: education, funding, school districts, state budget, performance metrics, salvage vehicles, vehicle title transfer, electronic signatures, insurance, administrative efficiency, bribery, corruption, statute of limitations, public servant, criminal justice, deafness, traffic safety, law enforcement, vehicle registration, communication

Bills: SB2876, SB3253, SB2125, SB2781, HB549, HB1768, SB2053, SB2494, SB2851, SB3073, HB1678, HB1721, HB2475, HB2246, HB1667, HB1516, SB2532, SB3131, SB3154, HB2297, HB1737, SB2143, SB2398, SB2623, HB1740, HB1920, HB1682, SB2153, SB3140, HB1515, SB2835, HB2282, SB3083, SB2031, SB2519, SB2667, SB2140, SB2544, SB2069, SB2697, SB874, SB2043, SB888, SB2721, HB2152, HB1334, HB2385, HB1643, HB2314, HB1688, HB1692, SB2568, SB2983, SB2108, SB3136, HB1959, SB3156, HB1511, HB1753, HB1824, HB2137, HB1810, HB2279, HB2309, HB1548, HB2078, HB2293, SB3262, SB2169, SB2607, SB2964, SB3255, HB2576, HB1481, HB1864, HB1550, SB2818, SB3067, SB2061, HB1728, HB1881, HB2361, HB2395, HB1823, SB2050, SB2397, SB2175, SB2852, SB847, SB3001

Keywords: natural hair braiding, hair braiding, braids, braider, braiding license, cosmetology, barbering, barber board, Board of Barbering and Cosmetology, registration, licensure exemption, sanitation training, health and safety, hair extensions, cornrows, twists, locks, protective hairstyles, beauty industry, occupational licensing

Transcript Highlights:

• Next up, we have HB 2592, relating to Mauna Kea stewardship and oversight authority.

Bills: SB2876, SB3253, SB2125, SB2781, HB549, HB1768, SB2053, SB2494, SB2851, SB3073, HB1678, HB1721, HB2475, HB2246, HB1667, HB1516, SB2532, SB3131, SB3154, HB2297, HB1737, SB2143, SB2398, SB2623, HB1740, HB1920, HB1682, SB2153, SB3140, HB1515, SB2835, HB2282, SB3083, SB2031, SB2519, SB2667, SB2140, SB2544, SB2069, SB2697, SB874, SB2043, SB888, SB2721, HB2152, HB1334, HB2385, HB1643, HB2314, HB1688, HB1692, SB2568, SB2983, SB2108, SB3136, HB1959, SB3156, HB1511, HB1753, HB1824, HB2137, HB1810, HB2279, HB2309, HB1548, HB2078, HB2293, SB3262, SB2169, SB2607, SB2964, SB3255, HB2576, HB1481, HB1864, HB1550, SB2818, SB3067, SB2061, HB1728, HB1881, HB2361, HB2395, HB1823, SB2050, SB2397, SB2175, SB2852, SB847, SB3001

Keywords: natural hair braiding, hair braiding, braids, braider, braiding license, cosmetology, barbering, barber board, Board of Barbering and Cosmetology, registration, licensure exemption, sanitation training, health and safety, hair extensions, cornrows, twists, locks, protective hairstyles, beauty industry, occupational licensing

Bills: SB2876, SB3253, SB2125, SB2781, HB549, HB1768, SB2053, SB2494, SB2851, SB3073, HB1678, HB1721, HB2475, HB2246, HB1667, HB1516, SB2532, SB3131, SB3154, HB2297, HB1737, SB2143, SB2398, SB2623, HB1740, HB1920, HB1682, SB2153, SB3140, HB1515, SB2835, HB2282, SB3083, SB2031, SB2519, SB2667, SB2140, SB2544, SB2069, SB2697, SB874, SB2043, SB888, SB2721, HB2152, HB1334, HB2385, HB1643, HB2314, HB1688, HB1692, SB2568, SB2983, SB2108, SB3136, HB1959, SB3156, HB1511, HB1753, HB1824, HB2137, HB1810, HB2279, HB2309, HB1548, HB2078, HB2293, SB3262, SB2169, SB2607, SB2964, SB3255, HB2576, HB1481, HB1864, HB1550, SB2818, SB3067, SB2061, HB1728, HB1881, HB2361, HB2395, HB1823, SB2050, SB2397, SB2175, SB2852, SB847, SB3001

Keywords: natural hair braiding, hair braiding, braids, braider, braiding license, cosmetology, barbering, barber board, Board of Barbering and Cosmetology, registration, licensure exemption, sanitation training, health and safety, hair extensions, cornrows, twists, locks, protective hairstyles, beauty industry, occupational licensing

Transcript Highlights:

• these issues, let's study them, let's take a deep dive into all of them before setting policy prescriptions
• <00:02:50.159> both<00:02:50.360> in setting policy prescriptions both in setting policy
• prescriptions both in this<00:02:50.760> bill<00:02:51.239> and<00:02:51.400> in
• The first piece is basically to give the Board of Nursing a little more authority in saying who gets
• <00:14:48.880> in<00:14:49.199> D the Board of Nursing more Authority in D the Board

Keywords: 958, all

Summary: The Senate Standing Committee on Health Services met with a quorum and first considered House Bill 9, which would create a Medicaid Oversight and Advisory Board modeled after the Public Pension Oversight Board. The sponsors said the board is intended to bring together the executive branch, legislative branch, and stakeholders to study Medicaid policy and its fiscal impacts before changes are made. Members generally supported the concept, with questions focused on board size and representation from providers and community-based service organizations. The bill was reported favorably by unanimous vote, including a title amendment. The committee then heard House Bill 152, which would create a Medicaid supplemental directed payment program for public EMS agencies, including fire departments and city, county, or taxing-district EMS providers. The sponsor said the measure is designed to draw down a higher federal match without any general fund impact, and noted support from local government groups. After brief discussion, the bill passed with favorable expression by unanimous vote. Finally, the committee took up House Bill 688, a two-part measure. One part would give the Board of Nursing more discretion to review out-of-state nursing credentials by changing mandatory acceptance of certification to permissive language, in response to concerns about fraudulent or substandard nursing programs and the effects of multistate licensure. The other part would allow certain diabetes medications to be stored and administered in schools, with training for school personnel and civil immunity for those acting in good faith. Some members supported the bill as a way to protect patients and maintain standards, while one senator voted no because of concerns about slowing licensure during a nursing shortage. The bill passed 10-1 with favorable expression. The committee announced it would meet again Wednesday at 8:30 a.m., then adjourned.

Transcript Highlights:

• organizations, the housing authorities organizations, the housing authorities that<00:44:53.440>
• <00:45:06.720> really much money the state authorities really much money the state authorities
• <00:49:29.280> This outpatient prescription drug drugs.
• This outpatient prescription drug drugs.
• money this Vermont state authorities money this Vermont state authorities were<01:01:24.160>

Keywords: 927, senate, all

Transcript Highlights:

• He's with the Hawaii Paroling Authority.
• He's the Pearling Authority.
• , includes very expensive prescriptions, includes very expensive prescriptions, medical<00:16:27.120
• An additional individual's single prescription took up more than 90% of the entire department's prescription
• I u repo I think authorized to do.

Keywords: 910, house, all

Summary: The Committee on Public Safety held an informational briefing on best practices for medical or compassionate release programs used by correctional systems nationwide and how Hawaii’s current approach compares. Kristen Johnson of the Hawaii Correctional System Oversight Commission introduced Molly Crane of Families for Justice Reform, noting that the commission, the Department of Corrections and Rehabilitation, and the Hawaii Paroling Authority have all been involved in developing proposed legislation, though the bill itself was written by community advocate Bob Merse. Crane described FAM’s work on justice reform and said the group has studied compassionate release programs across the country, including federal reforms, to help Hawaii align with best practices. Crane argued that compassionate release is intended for people who are too ill or cognitively impaired to pose a public-safety risk and who are often the most expensive and resource-intensive people to incarcerate. She said Hawaii is the only state without a compassionate release statute and currently relies on an agency policy, which she described as complex and slow. She cited examples of severe medical cases in custody, including people with advanced dementia, multiple sclerosis, kidney failure, and hospice needs, and said the burden on correctional medical staff, overtime, off-site transport, and specialized care can consume a disproportionate share of staff time and state resources. She also said the recidivism rate for this population is under 1 percent, citing Vera Institute research. Members asked about the source of the recidivism figure, how a statute would streamline the process, and why the issue had not advanced in the past. Crane said the proposed bill would reduce layers in the process by moving cases from the medical director to the director and then to the Hawaii Paroling Authority, with a target timeline of about 30 business days from petition to hearing. Johnson said prior efforts failed in part because the agencies most affected were not included early in drafting and revision, and she said one attempt was vetoed, another was removed in conference committee, and another passed one chamber but did not advance. Johnson also explained that incarcerated people’s medical care is paid entirely by the Department of Corrections and Rehabilitation, with no private insurance or Medicaid/Medicare coverage while incarcerated, making severe cases a direct burden on state funds. No votes or formal actions were taken because the briefing was informational only.

Transcript Highlights:

• Some of these include authority for commerce to continue hurricane recovery and mitigation programs.
• The House has $36 million in general revenue, and then they give some matching trust fund authority.
• In Proviso lines 742 to 755, it directs the Department of Corrections to purchase prescription drugs
• from the Canadian prescription drug importation program.
• And if we're not using it anymore, how are we going to get the prescription?

Keywords: 998, house, all