Transcript Highlights:

• To accommodate our agenda and a long floor.
• their stories are erased, when the contributions of Black, brown, indigenous, immigrant, queer, and disabled
• ensure every student has a fair opportunity to succeed, regardless of their race, gender, sexuality, disability

Bills: SB12, SB226, SB413, SB1049, SB1191, SB2398, SB571, SB2920, SB 12

Keywords: parental rights, education, social transitioning, diversity, equity, inclusion, school policy, student clubs, residency, public schools, child safety placement, enrollment, education code, school boards, transparency, public meetings, attendance, recording, released time, religious instruction

Bills: HB109, HB136, HB 109, HB136, HB694, HB 1201, HB1716, HB2071, HB2216, HB2358, HB2807, HB2886, HCR78

Keywords: taxation, ballot propositions, public funding, voter information, transparency, training, public officials, candidates, requirements, political education, mental health, inpatient psychiatric facility, juvenile treatment, residential treatment facility, emotionally disturbed juveniles, Department of State Health Services, Health and Human Services Commission, state grant, facility construction, facility expansion

Transcript Highlights:

• If you require any accommodation, please speak to our sergeant staff identified by the gold ties.
• If you require any accommodation, please If you require any accommodation, please speak<00:00:56.719>
• expansion eligibility for non-disabled expansion eligibility for non-disabled adults<00:05:02.000
• with disabilities in those automatic<00:18:02.720> renewals.
• So just wanted to see disabilities etc.

Bills: HF3439, HF3763

Keywords: Medical Assistance, Medicaid, MNsure, MinnesotaCare, disability determination, expedited eligibility, state medical review team, compassionate allowance, rare disease, home and community-based services, long-term care, managed care, county-based purchasing, eligibility redetermination, periodic data matching, death master file, Social Security Administration, program integrity, income eligibility, asset test

Summary: The House Health Finance and Policy Committee met on March 4, 2026, approved the minutes from its February 25 and March 2 meetings, and then heard a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid eligibility changes in the federal One Big Beautiful Bill Act (HR1/OB3). The presentation focused on provisions affecting Medicaid expansion adults ages 19 to 64, including new work and community engagement requirements, changes to retroactive eligibility, quarterly death master file checks, address verification requirements, six-month redeterminations for expansion enrollees, and new limits on some lawful permanent residents and other immigrant groups. Castanza also discussed state implementation issues, including the need for new data-sharing systems, system modernization, outreach, and options for helping people transition to other coverage if they lose eligibility. She said the work and community engagement rules take effect January 1, 2027, with states given flexibility on look-back periods, consecutive versus nonconsecutive months, and optional hardship exemptions, and noted that CMS guidance is not expected until June 2026. She also described federal support for implementation, including $200 million in grants and a 90% federal match for eligibility system work, while warning that the fast timeline could lead to coverage losses, churn, and challenges for special populations such as caregivers, people with behavioral health conditions, incarcerated individuals, and rural residents. She further explained that an erroneous payment provision could expose states to federal recoupment later if eligibility errors increase. During member questions, Representative Beerman asked about the overall size of the Medicaid cuts and the cumulative national impact; Castanza said estimates vary by state and cited KFF analysis suggesting states could lose 4% to 19% of federal Medicaid revenue, with a newer RAND analysis recently released. Beerman also asked about the history and effectiveness of state work requirements, but that discussion was not completed in the excerpt. Representative Elkins noted the presentation was not initially posted on the committee website, and the chair said it had since been posted.

Transcript Highlights:

• We need disabilities. This is critical.
• Disability Rights Center. Disability Rights Center.
• So they can't accommodate, especially in large court cases, national cases, they can't accommodate 50
• So they provide a accommodate 50 crews.
• Disabilities. Disabilities.

Bills: HB1751, HB1752, HB1531, HB1577

Keywords: Hawaii National Guard, tuition assistance, graduate degrees, education, military personnel, funding, school districts, state budget, performance metrics, emergency announcements, American Sign Language, accessibility, public safety, broadcast media, Smart911, 911, 911 Board, emergency response, public safety answering point, PSAP

Summary: The Committee on Public Safety held its first hearing and began with House Bill 1531, which would require the governor or county mayor to provide an ASL interpreter during official emergency announcements broadcast on television or the internet, ensure the interpreter is visible, and require news outlets to show the interpreter in a picture-in-picture window. Testimony was strongly supportive from disability advocates, who said live captions can be inaccurate and that ASL access is critical during emergencies, but broadcasters raised practical concerns that the bill as drafted could require extra camera crews and reduce coverage. Members discussed possible alternatives such as government-provided pool feeds and interpreter placement, and the chair recommended deferring decision-making on the bill to the following Wednesday to allow time for amendment language. The committee then heard House Bill 1751, which would expand the Hawaii National Guard State Tuition Assistance Program to include graduate degrees at the University of Hawaii for qualified enlisted personnel. The Hawaii Army National Guard, the Department of Defense, and University of Hawaii representatives supported the measure as a recruiting, retention, and professionalization tool. A member asked about funding, and the response was that the program is funded through a state appropriation currently set at $250,000 and was described as sufficient at present. The bill drew no opposition in the hearing. Next, House Bill 1752 was taken up. This measure would remove the Adjutant General as a nonvoting ex officio member of the HAIMA advisory committee and add the HAIMA administrator as a nonvoting ex officio member of the MSAC. The Department of Defense and Department of Health supported the bill, with the Department of Health asking that it be aligned with other EMS modernization provisions in the governor’s package so the related measures remain consistent. No objections were raised. The committee also heard House Bill 1577 on 911 services, which would require the 911 Board to establish a statewide emergency safety profile system for residents to voluntarily store emergency-relevant personal information. The Department of Health, disability advocates, the 911 Board, and others supported the concept, saying it could improve emergency response for people with disabilities, kūpuna, families, and others with functional needs. Testimony also raised concerns about funding, system integration, confidentiality, advanced directives, and liability protections if information does not reach responders in time. Members discussed statewide coordination and existing county systems, and the hearing continued with those issues unresolved.

Transcript Highlights:

• <00:26:13.679> So<00:26:14.080> just are able to accommodate that.
• So just are able to accommodate that.
• Unfortunately, one of the symptoms of his disability is sudden violent outbursts.
• One supports his mental health needs, and one supports his developmental disability.
• So far between them they disability.

Bills: HF2362, HF2136, HF1316, HF2009, HF1918, HF1614

Keywords: youth intervention, funding, mental health, education, community programs, HF1316, child support, new hire reporting, centralized work reporting system, independent contractors, payors, employers, payor of funds, withholding orders, income withholding, child support enforcement, Minnesota Department of Children, Youth, and Families, gig economy, rideshare drivers, delivery drivers

Bills: HB288, HB403, HB420, HB783, HB815, HB915, HB927, HB933, HB944, HB962, HB971, HR74, SCR3, SCR20, SB5, SB34, SB37, SB190, SB255, SB270, SB273, SB314, SB415

Keywords: medical terminology, documentation, miscarriage, spontaneous abortion, healthcare, medical records, billing, homemade food, food safety, small business, exemption, regulation, Department of Children and Family Services, background checks, child welfare, employee screening, safety regulations, criminal history, non-lactational dairy, labeling requirements

Bills: SB2433, SB2047, SB2425, SB3045, SB2761, SB3001, SB2852, SB2471

Keywords: condominium governance, education trust fund, unit owners, real estate, dispute resolution, financial obligations, community representation, pharmacy benefit managers, maximum allowable cost, transparency, drug pricing, insurance commissioner, contracting pharmacies, healthcare, substance use disorder, SUD, addiction treatment, behavioral health, mental health, rehabilitation

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.

Bills: HB1604, HB1713, HB1722, HB2270, HB2401, HB2515, HB1979, HB1593, HB1743, HB2122, HB1756, HB1837, HB1729

Keywords: agriculture, housing, workforce, land use, zoning, public-private partnerships, tax credit, school impact fees, impact fee exemption, school facilities authority, residential development, housing shortage, affordable housing, infill housing, land dedication, fee in lieu, school construction, developer exactions, fair share contributions, education contribution agreement

Summary: The committee heard testimony on HB 1604, which would create an agricultural workforce housing group within the Department of Agriculture and Biosecurity to address shortages of farmworker housing. The department said it supported the bill’s intent but emphasized that the group’s early work should focus on gathering data and surveying farm operators to assess actual demand, to avoid “mission creep.” Testimony from the City and County of Honolulu Office of Economic Revitalization, Hawaii Farmers Union, Hawaii Farm Bureau, Housing Hawaii’s Future, and the Maui Chamber of Commerce was in support, with one witness suggesting a housing advocacy nonprofit be added to the working group for balance. The committee then discussed HB 1713 on school impact fees, which would clarify exemptions for certain affordable housing projects and exempt new residential developments of fewer than 100 units. The Attorney General’s office said the bill should define “low to moderate income households” because that term is not defined in chapter 302A. HHFDC, the School Facilities Authority, Grassroot Institute of Hawaii, and others supported the measure, arguing it would reduce administrative burden and remove barriers to housing. Members questioned whether the bill should instead repeal the school impact fee entirely; supporters said they also favored full repeal but viewed this bill as a more feasible step. The School Facilities Authority also explained that about $28 million in school impact fees had been collected across four districts and none had yet been spent, and discussed how recent nexus requirements limit how the funds can be used. HB 1722, relating to residential condominiums, drew extensive testimony and questioning. HCDA supported the bill and explained that it amends the 99-year leasehold pilot program created by Act 97 of 2023 by reducing owner-occupancy restrictions from 100% of units to 60%, allowing some rental or subleasing flexibility for the owner-occupied units, and permitting up to 40% of units to be sold to qualified residents after being on the market for more than 60 days. HCDA said the original restrictions, combined with rising construction costs, higher interest rates, and competition from nearby projects, made the pilot project difficult to market and finance; it said the changes are needed to make the project feasible and competitive. Supporters including AP Hawaii, Kila LLC, and project representatives said the amendments would help make the demonstration project in Kakaʻako viable. Some members raised concerns that the changes could weaken long-term affordability and questioned why certain ownership language was being deleted if rentals would still be restricted. No votes or final committee actions were taken in the portion of the hearing provided.

Bills: HB 322, HB 331, HB 673, HB 1147, HB 1154, HB 2488

Keywords: JET Grant Program, career education, technical education, community colleges, technology solutions, high demand jobs, first responders, acute myocardial infarction, stroke, benefits, compensation, presumption of disability, emergency services, healthcare, Medicaid, mental health, substance abuse, treatment access, cost, insurance coverage

Bills: HB 322, HB 331, HB 673, HB 1147, HB 1154, HB 2488

Keywords: JET Grant Program, career education, technical education, community colleges, technology solutions, high demand jobs, first responders, acute myocardial infarction, stroke, benefits, compensation, presumption of disability, emergency services, healthcare, Medicaid, mental health, substance abuse, treatment access, cost, insurance coverage

Bills: HB 322, HB 331, HB 673, HB 1147, HB 1154, HB 2488

Keywords: JET Grant Program, career education, technical education, community colleges, technology solutions, high demand jobs, first responders, acute myocardial infarction, stroke, benefits, compensation, presumption of disability, emergency services, healthcare, Medicaid, mental health, substance abuse, treatment access, cost, insurance coverage

Bills: HB 322, HB 331, HB 673, HB 1147, HB 1154, HB 2488

Keywords: JET Grant Program, career education, technical education, community colleges, technology solutions, high demand jobs, first responders, acute myocardial infarction, stroke, benefits, compensation, presumption of disability, emergency services, healthcare, Medicaid, mental health, substance abuse, treatment access, cost, insurance coverage

Transcript Highlights:

• So to accommodate them, we will be taking that bill, HB 20005, out of order and hearing it first.
• So to accommodate them, we will be taking that bill, HB 20005, out of order and hearing it first.
• So to accommodate them, we will be taking that bill, HB 20005, out of order and hearing it first.
• I work for the Disability Communication Access Board, and this bill is crucial for our deaf and hard
• <00:42:14.880> communication I work for the disability communication I work for the disability

Bills: HB1183, HB1656, HB1658, HB1661, HB1663, HB1664, HB1859, HB2116, HB2271, HB2276, HB2335, HB2360, HB2387, HB2472, HB1805, HB2469, HB1815, HB1860, HB2117, HB2118, HB2437, HB2438, HB2604, HB1590, HB2156, HB2268

Keywords: retirement, pension, law enforcement, public safety, Hawaii Revised Statutes, indebtedness, salary recovery, employee compensation, deductions, financial management, collective bargaining, employee relations, impasse procedures, arbitration, public employment, HB1661, cafeteria plan, Section 125, Internal Revenue Code, flexible spending account

Bills: SB241

Keywords: child care, child care assistance, child care subsidy, early childhood education, early childhood care, daycare, preschool, pre-K, Head Start, Early Head Start, Children's Code, early childhood education and care department, ECECD, child care facilities, licensed child care, registered child care, copayments, waitlist, subsidy, federal poverty level

Bills: SB241

Keywords: child care, child care assistance, child care subsidy, early childhood education, early childhood care, daycare, preschool, pre-K, Head Start, Early Head Start, Children's Code, early childhood education and care department, ECECD, child care facilities, licensed child care, registered child care, copayments, waitlist, subsidy, federal poverty level

Bills: SB241

Keywords: child care, child care assistance, child care subsidy, early childhood education, early childhood care, daycare, preschool, pre-K, Head Start, Early Head Start, Children's Code, early childhood education and care department, ECECD, child care facilities, licensed child care, registered child care, copayments, waitlist, subsidy, federal poverty level

Transcript Highlights:

• So all this does is bring it down so that a disabled veteran is 50% disabled or greater can apply and
• turned down for a first job in the civil service because even though I was a veteran, I wasn't a disabled
• Now I am a disabled veteran and then eventually I was hired and I utilize a similar practice.
• veteran, I was still wasn't a disabled veteran, I was still in<00:03:52.799> the<00:03:52.959
• Now I am a disabled and so I rated 10%.

Bills: HB292, HB307, SB33, HB292, HB307, SB33

Keywords: economic development, incentives, transparency, compliance, Alabama Jobs Act, speedy trial, visiting judge, court administration, public interest, criminal justice, SB33, marriage, premarital class, conflict resolution, marriage license reform, probate judge, Administrative Office of Courts, AOC, domestic violence, intimate partner violence

Transcript Highlights:

• Well, thank you for the assistance here and thank you for the accommodation.
• > uh<00:01:09.119> the<00:01:09.360> chairs accommodation today by uh the chairs accommodation
• those who are permanently uh disabled those who are permanently uh disabled from<00:08:24.000>
• <00:09:38.399> officer be 25% of pay to the disabled officer be 25% of pay to the disabled
• <00:18:01.440> and this is an insurance for disability and this is an insurance for disability

Keywords: Reuploaded to restore a few minutes lost at the end of the meeting Representative Tackett-Lafferty: 00:22 • Line of Duty Disability Benefits Representative Grossberg: 26:32 • Loss of TRS Credit Due to Religious Holiday Observance Representative Blanton: 32:01 • Educational Contracts and Membership Dates in KERS Representative Tipton and Representative Blanton: 40:55 • Apply SB 10 Changes from 2025 to KERS/SPRS Senator Higdon: 46:08 • PPOB Reporting on Line of Duty Benefits • TRS Annual Leave Impact on TRS • PPOB Membership • Use of Sick Leave for Religious Holidays Adjournment: 56:03, 958, all

Summary: The committee heard testimony from Rep. Ashley Tackett Laferty on a bill to extend minimum line-of-duty hazardous duty retirement benefits to certain CERS and KERS non-hazardous members who are injured in the line of duty and cannot return to that work. She used a video and examples from Eastern Kentucky first responders, including a deputy who lost a leg and an emergency management director who lost an eye, to argue that some injured officers and responders fall through the cracks because their employers did not elect hazardous-duty coverage. She said the proposal would provide 25% of pay to the disabled officer, plus 10% for dependent children and minimal health benefits, and noted estimated actuarial costs of about $2.9 million for CERS and $0.542 million for KERS, funded through small employer-rate increases. Members asked how far back the bill would reach, how many people might qualify, and whether the benefit would apply only to active employees or also to past injuries. Laferty said the bill would include a five-year window for recent situations and could potentially cover a total of 3,333 positions statewide that could be certified as hazardous, though benefits would only apply if the person was injured in the line of duty and disabled from returning to that work. Questions also focused on whether a non-hazardous employee could qualify if injured in a hazardous situation; Laferty said yes, if the position could be certified as hazardous, but only for the bill’s minimum benefits. Rep. Josh Calloway and others noted that local governments choose whether to pay the higher hazardous-duty contribution rates, which they said often drives the coverage decision. The committee then heard Rep. Daniel Gberg present a separate bill revising school leave rules so teachers and school employees may use accumulated sick leave to observe religious holidays not on the school calendar, with a required personal statement and advance notice. He said the change would address a longstanding inconsistency for teachers who observe non-Christian holidays and currently may have to choose between unpaid leave or improperly using sick days, and he said prior concerns about retirement service credit and maternity leave were reduced by other policy changes. The discussion ended without a vote, with members indicating they had the relevant materials and that the bill would be revisited later.

Transcript Highlights:

• Opportunity youth are more likely to live in poverty, to have a disability, to have dropped out of high
• This bill addresses the federal tax burden on wage replacement disability benefits when an employer does

Bills: HB875, HB1667, HB2369, HB3844, HB4415, HB4479, HB4483, HB4676, HB5118, HB5400, HB5545

Keywords: workers' compensation, municipal construction, bidding requirements, small municipalities, contracting policies, first responders, PTSD, mental health, emergency services, medical expenses, injury claims, insurance carriers, opportunity youth, workforce development, employment, education, federal funds, employment discrimination, immunity waiver, public employees

Bills: HB397, HB523, HB397

Keywords: real estate, disclosures, equitable interest, disciplinary actions, Alabama Real Estate Commission, parole procedures, advocacy, parole board, victim representation, inmate rights, HB397, homestead exemption, ad valorem tax, property tax, tax relief, senior exemption, elderly homeowners, retiree exemption, disability exemption, blind exemption