Transcript Highlights:

• Peter Quentinilla, waived speaking in support, International Institute of Orthotics and Prosthetics.
• And the local pharmacist would say, but that's, you're calling, you have a withhold on it.
• And the local pharmacist would say, but that's, you're calling, you have a withhold on it.
• And the local pharmacist would say, but that's, you're calling, you have a withhold on it.
• I think the international piece is where you're really striking a chord with me.

Bills: S0006, S0026, S0206, S0532, S0576, S1012, S1110, S1178, S1192, S1758, S1760, S7046, S7048

Keywords: child welfare, negligence, settlement, injury compensation, Department of Children and Families, motorcycle accident, compensation, Department of Transportation, legal claim, autism, autism spectrum disorder, ASD, special education, exceptional student education, ESE, teacher preparation, educator certification, micro-credential, loan forgiveness, student loan repayment

Summary: The Appropriations Committee met and considered a large agenda of bills, reporting several measures favorably. Early action included SB 6, a settled claim bill involving the Department of Children and Families and the estate of Leila Estrada and Sapphire Williams, which was approved for $3.8 million. The committee also passed a cybersecurity internships bill creating a Department of Commerce program with Cyber Florida, and SB 532, which lets clerks of court retain the full amount of certain excess revenue and clarifies foreclosure-sale procedures. Veterans housing measures, CS for CS for SB 1602 and SB 1604, were approved to create a pilot program and a related trust fund for vacancy relief and risk mitigation for veteran housing. The committee also favorably reported SB 1110 on Medicaid and insurance coverage for orthotics and prosthetics, with emotional testimony from a student and family describing the high cost and importance of activity-specific prosthetics. Members also approved CS for CS for SB 1012 after adopting an amendment that removed inmate emergency and specialty medical service compensation provisions while retaining changes to the contractor-operated institutions inmate welfare trust fund. Another bill, CS for CS for SB 1614, was narrowed by a delete-all amendment to focus on limiting the use of excess fees for new building construction by local governments. All of these measures were reported favorably after brief debate, with some support testimony submitted in writing or waived. The most extensive discussion centered on CS for CS for SB 17, a major Medicaid and public assistance overhaul. The bill would create a Joint Legislative Committee on Medicaid Oversight, allow the Legislature to retain its own actuary, tighten Medicaid program oversight, update encounter-data reporting, set performance standards for managed care plans, revise pharmacy benefit manager rules, and require DCF to implement SNAP fraud-reduction and payment-accuracy reforms, including photo IDs on EBT cards and updated work requirements. It also would direct agencies to seek federal waivers for Medicaid work requirements for able-bodied adults and expanded behavioral health services. After lengthy questioning and testimony, the committee adopted amendments adding a transitional medical benefits glide path for people who gain employment and later lose Medicaid eligibility, and exempting hospice patients with six months or less to live. Supporters argued the bill would improve accountability, reduce fraud, and save money, while opponents warned it would create administrative burdens, increase paperwork, and cause eligible people to lose coverage or food assistance. The committee ultimately reported the bill favorably as amended.

Transcript Highlights:

• Taiwan's international participation. Taiwan's international participation.
• Um we pharmacist will refer them to one.
• The pharmacist, we've heard from the pharmacists, they're trained to do this, they have the education
• The pharmacist, we've heard from the pharmacists, they're trained to do this, they have the education
• <01:43:52.719> and lowering the age um for pharmacists and lowering the age um for pharmacists

Keywords: 981, all

Transcript Highlights:

• Pharmacists are underappreciated heroes in our health care system.
• I'm deadly allergic to it—by a pharmacist.
• Thank you very much. a pharmacist um I used to work with a pharmacist um I used to work with representative
• <02:42:44.359> are never chatted politics pharmacists are never chatted politics pharmacists
• But I come with a master’s in international human rights law, and I specialize in the International Covenant

Keywords: 1189, house, all

Transcript Highlights:

• I'm the director of government affairs at the Kentucky Pharmacist Association.
• affairs at the Kentucky Pharmacist affairs at the Kentucky Pharmacist Association.
• > like<01:05:19.760> other ensures that pharmacists, like other ensures that pharmacists,
• pharmacists currently practicing across Kentucky in 119 of our 120 counties, as was noted.
• <01:08:31.440> scope services already within pharmacist scope services already within pharmacist

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board met with a quorum, approved the November 12 minutes by voice vote, and then heard a presentation from former Governor Ernie Fletcher and Dave Johnson on Medicaid reimbursement for substance use disorder (SUD) treatment. Fletcher argued that addiction should be treated as a chronic disease requiring a longer continuum of care, not just short residential stays, and said recovery should combine clinical treatment with social supports such as housing, transportation, employment, peer coaching, and recovery housing. He cited data on overdose trends, low treatment rates, and high costs for people with SUD, and said current reimbursement models create poor incentives and do not adequately support long-term recovery or measure outcomes well. Fletcher proposed a “carve through” model administered at the MCO level with standardized metrics, data sharing, and an independent recovery coordinator that would assess patients, coordinate care, and connect them to clinical and social recovery services. He suggested using bundled payments, shared savings, and partial risk arrangements, with recovery housing reimbursed on a PMPM or weekly basis and funded in part through existing Medicaid spending and other sources such as opioid abatement funds. He also emphasized peer support, telemedicine, criminal justice coordination, workforce and education supports, and the use of technology, including text messaging and possibly AI, to maintain long-term follow-up and identify relapse risk. Members questioned how the model would work in practice, especially the education and staffing requirements for recovery coordinators, reimbursement levels, and how many patients each coordinator or peer would serve. Fletcher said peers could be certified and would need additional training in assessments such as ASAM and recovery residence standards, but he did not give a precise salary figure, saying the market and bundled rates would determine that. He also said follow-up should continue for years, noting relapse risk over the first 18 to 24 months and that meaningful employment and ongoing peer contact help sustain recovery. No formal vote or action was taken on the substance use presentation.

Transcript Highlights:

• <00:10:28.959> standard<00:10:29.320> ards<00:10:30.000> organization international
• standard ards organization international standard ards organization uh<00:10:31.120> the<00:10
• requires that the label identifying it as medical cannabis for that patient be affixed by that pharmacist
• that if a virtual consultation occurs, someone other than the cannabis consulting consultant or pharmacist
• Consulting consultant or pharmacist Consulting consultant or pharmacist could<00:15:54.920> have

Keywords: 1187, senate, all

Transcript Highlights:

• Jessica Arip Erit and I'm a pharmacist Jessica Arip Erit and I'm a pharmacist and<00:47:37.839><
• c><00:53:22.319> in Minnesota independent pharmacists in Minnesota independent pharmacists in
• The pharmacists care about it.
• Pharmacists are problem up as well.
• financially working for our pharmacists. financially working for our pharmacists.

Keywords: 1187, senate, all

Transcript Highlights:

• Additionally, I have the opportunity to intern with the Congressional Caucus on Adoption Institute.
• However, the consultant pharmacists who are on the physician-led team may not do so under current law
• In 2020, when our bill passed, which was a physician-led, team-based care consultant pharmacist bill,
• . clinics, but only nine can have consultant pharmacists.
• Neurology care by embedding pharmacists in a 2025 article by a physician, Noah Rosen.

Transcript Highlights:

• And I had my name, internal medicine.
• I am also the pharmacist for our critical access hospital.
• In rural areas, it is hard to get pharmacists, and so I am able to be the pharmacist for the hospital
• Texas pharmacists remain more limited in the services we are authorized to provide compared to pharmacists
• And not, look, we love partnering with independent pharmacists. We do.

Keywords: 1185, senate, all

Transcript Highlights:

• Corey Sanders, Hawaii Pharmacists Association, in support. Thank you. Forest Bats, in support.
• Corey Sanders, executive director of the Hawaii Pharmacists Association, in support.
• Corey Sanders, executive director of the Hawaii Pharmacists Association, stands in support.
• have the American Society of Health-System Pharmacists added to the bill.
• , specifically that the American Society of Health-System Pharmacists be added to the bill.

Keywords: 912, senate, all

Summary: The committee heard testimony on several health-related bills. HB 72 on pharmacy drew only support, with testimony from the University of Hawaiʻi system, the Board of Pharmacy, pharmacists, and others; no questions were raised. HB 237 on peer support programs also received broad support from the Department of Health, DHS, early learning officials, families, and advocates, with testimony emphasizing the value of peer-to-peer mentoring and support for parents, youth, and people with disabilities; no opposition or questions were noted. HB 250, the prior authorization bill, generated the most discussion. SHPDA supported a revised version focused on reporting prior authorization practices and creating a nonbinding working group to develop automation standards, while PCMA, HMSA, Kaiser Permanente, and others raised concerns about duplicative pharmacy requirements, unintended consequences, and alignment with federal timelines and reporting. Several medical groups and individual patients supported the measure, describing delays and burdens caused by prior authorization. A committee member asked whether the bill’s working group differed from a similar group in Senate Bill 1449, and the witness said it was intended to be the same. HB 303 on health care preceptors was supported by the Department of Health, University of Hawaiʻi, nursing and health care organizations, and the Hawaii Pharmacists Association, which asked that pharmacists’ residency programs be specifically tied to national accreditation standards. HB 341, relating to issuance of SPURS to assist the Hawaii Island Community Health Association, drew support from the health center and related groups. HB 692 on Preschool Open Doors received extensive support from early learning, education, family, labor, and community organizations; testimony stressed the shortage of child care and preschool slots, especially on Kauai, and the need to expand access for families. Committee members asked about adding family child care providers and about licensing/certification barriers, and DHS said the bill was focused on current licensed child care facilities and that certification issues were a separate, broader problem. HB 700 on cognitive assessments also drew strong support, with the Department of Health, the Executive Office on Aging, disability advocates, the Alzheimer’s Association, caregivers, and others urging use of a validated cognitive assessment tool during annual wellness visits and asking that the age 65 threshold be removed; some witnesses supported keeping the data-collection portion as a pilot and emphasized early detection and reporting.

Transcript Highlights:

• Medicine physician and the Internal Medicine physician and the chief<00:25:49.000> medical<00
• Hawaii Pharmacists Association, Corey Sanders.
• <00:50:21.400> to<00:50:21.640> returning the verifying pharmacist to returning the
• <02:07:49.360> of supervision by a pharmacist of supervision by a pharmacist of technicians
• quote observation so that the pharmacist quote observation so that the pharmacist doesn't<02:07:

Keywords: 910, house, all

Summary: The joint hearing covered HB 553 on biomarker testing coverage, HB 556 on colorectal cancer screening access, and later HB 712 on 340B drug pricing. For HB 553, the American Cancer Society Cancer Action Network, patient advocates Natalie Heyman and Susan Hirano, a surgical oncologist, and the American Lung Association strongly supported the bill, arguing that biomarker testing should be covered when ordered by a doctor and guided by current evidence. DHS and several insurers offered comments and requested amendments, with DHS saying it appreciated the intent but wanted changes. The committees then voted to pass HB 553 with amendments, including a House draft and a defective date of July 1, 3000; both the House Health and Human Services and Homelessness committees adopted the recommendation unanimously. For HB 556, testimony focused on closing gaps in colorectal cancer screening, especially for uninsured and underinsured patients who can get stool-based screening but then cannot access follow-up colonoscopies. Community Clinic of Maui, ACS CAN, and the American Cancer Society supported the bill, with ACS CAN urging a program similar to the breast and cervical cancer control program and offering amendments. DHS requested that the program and appropriation not conflict with executive budget priorities, and the committees noted technical amendments, a defective date, a blank appropriation amount, and corrections changing Medicare references to Medicaid. HB 556 was also passed with amendments by both committees. The hearing then moved to HB 712 on 340B drug pricing and contract pharmacies. The Department of Health and the Attorney General’s office expressed concern that the bill would require the state to regulate private commercial activity and said the department lacked the expertise and resources to implement it as written, suggesting it might belong in a different statutory section. In contrast, PhRMA opposed the bill, while Hawaii Pacific Health and Hawaii Island Community Health Center supported it, saying 340B savings are important for hospital services and patient access to low-cost medications, especially where manufacturers have restricted shipments to contract pharmacies. No vote on HB 712 was taken in the portion provided.

Transcript Highlights:

• Doctor, you mentioned these at the beginning of your testimony. that you hired a DC to internally.
• That you hired a chiropractor. internally no it was outside yeah it's it's it what it is is we have a
• The international fraud scheme has affected every aspect of our agency. learned just in the past month
• and pharmacist interns and 77,800 pharmacy technicians.
• The board's executive director is legally mandated to be a Texas licensed pharmacist. which will be a

Keywords: 1184, house, all

Transcript Highlights:

• This approach aligns with chapter 461, which establishes that pharmacists must operate under pharmacist
• This approach aligns with chapter 461, which establishes that pharmacists must operate under pharmacist
• This approach aligns with chapter 461, which establishes that pharmacists must operate under pharmacist
• This approach aligns with chapter 461, which establishes that pharmacists must operate under pharmacist
• <00:25:57.679> control must operate under pharmacist control must operate under pharmacist

Keywords: 912, senate, all

Summary: The joint HHS and LBT meeting opened with accessibility concerns, as several blind attendees arrived after the general public had already been seated. The chair apologized and said future hearings would try to seat blind members earlier. The committee also announced the hearing was being streamed on YouTube, testimony would be limited to one minute, and written testimony was available online. The first bill heard was SB 2281, relating to the use of artificial intelligence in healthcare. The Department of Health supported transparency for patients but preferred disclosure through provider websites and office signage rather than a new regulatory program. The Hawaii Medical Association and Healthcare Association of Hawaii generally supported the bill’s intent but raised concerns about administrative burden and suggested a working group or model policies. Hawaii Pacific Health said it already uses AI for note-taking and patient portal functions and worried that written notice requirements could create too much consumer information. In response, the chair emphasized that patients should be informed when AI is used, especially if it affects diagnosis or consequential decisions, and said AI should not be making medical decisions. The committee later voted to recommend SB 2281 pass with amendments, including narrowing the definition of consequential decisions, removing certain language requested by DOH, adding a two-year implementation period, and setting a far-future defective date for further discussion; both committees adopted the recommendation, with the chair voting aye and the vice chair voting with reservations. The second major bill was SB 2852, a civil rights measure focused on digital access for people with disabilities. The Hawaii State Council on Developmental Disabilities, Hawaii Civil Rights Commission, Hawaii Disability Rights Center, and the National Federation of the Blind of Hawaii all supported the bill, arguing that existing law clearly protects physical access but should also make digital access explicit. Blind testifiers described how accessible technology, such as VoiceOver on iPhones, allows them to participate independently in public processes and warned that inaccessible digital systems can create barriers for thousands of blind residents. One testifier, an attorney with disability-law experience, supported the bill’s intent but said the draft had flaws, including no exceptions for archived materials, no distinction between small and large businesses, and concerns about the timing and choice of accessibility standards; he suggested delegating regulatory authority to the Hawaii Civil Rights Commission. The bill’s sponsor said he supported DAB’s proposed amendments, and the committee indicated those amendments would address many of the concerns raised. No final vote on SB 2852 was taken in the portion provided. The committee then took up SB 2751, which defines compounded prescription drugs for workers’ compensation purposes. The Department of Labor and Industrial Relations supported the bill but requested clarifying amendments to keep pharmacists as the primary professionals authorized to compound in licensed pharmacies and to limit any physician compounding authority to the physician’s own patient. Supporters included the Work Injury Medical Association of Hawaii, while Solera Integrated Medical Solutions opposed the measure, arguing the current definition was already broad enough and warning about cost inflation, especially with 503B bulk compounding facilities and physician dispensing. In questioning, members asked about rural access, reimbursement for 503B products, and late testimony suggesting definitions for 503A and 503B facilities, limits on physician dispensing to 30 days post-injury, and pre-approval for non-FDA-approved drugs. DLIR said not every rural community has licensed pharmacists available, that products with a national drug code are reimbursed at 140%, and that 503B facilities raise concerns because they are bulk manufacturers rather than patient-specific compounding operations. The meeting then moved into decision-making on SB 2281; the chair’s pass-with-amendments recommendation was adopted by both committees, with the vice chair voting with reservations.

Transcript Highlights:

• Olivia Herrera, intern at Zone Advocacy, on behalf of the California Children's Hospital Association,
• Bering, a pharmacist, with Western Health Advantage. Respectfully, we ask for your aye vote.
• But I will let my pharmacists talk about how they choose it.
• Pharmacist in your bill, is that—do you have to give positive affirmation that, yes, it is okay?
• It's not coming from the pharmacist 60 days before.

Summary: The Assembly Health Committee heard several measures, beginning with SB 331 by Sen. Menjivar, which would require large-group health plans to cover hearing aids for children. The author and supporters described the bill as a long-running effort to address a developmental emergency and reduce out-of-pocket costs for families, while opponents were absent. Testimony from parents, advocates, medical experts, and organizations emphasized the importance of early access to hearing aids; committee members voiced strong support, and the bill was moved on a do-pass basis to Appropriations, with several members requesting to be added as coauthors. The committee then heard SB 608, also by Sen. Menjivar, to expand access to condoms in school-based health centers and related settings and to prevent barriers such as ID checks. Supporters, including students and school health advocates, argued the bill would improve sexual health and reduce stigma, while opponents from family and faith groups argued it would undermine parental authority and normalize early sexual activity. The bill was supported by committee members and moved forward on a do-pass basis to Appropriations. Next, SB 971 by Sen. Choi proposed community-based healthy aging partnerships for older adults, with testimony from the California Senior Legislature and supporters from aging and dementia organizations. The measure was described as voluntary and focused on connection, independence, and local collaboration; there was no opposition, and the committee moved it on a do-pass basis to Appropriations. The committee also heard SB 869 by Sen. Weber Pierson, which would require warning icons and statements on chain restaurant menus for beverages with very high added sugar content. Supporters framed it as a transparency and public health measure, while restaurant and beverage industry representatives opposed it unless amended, citing cost and menu-space concerns; the bill was nevertheless moved on a do-pass basis to Appropriations after a roll call vote, with some members voting no and the measure placed on call. The committee also considered SB 950 by Sen. Weber Pierson, aimed at ensuring timely coverage of FDA-approved, medically necessary treatments for early-onset Alzheimer’s disease on commercial plans. Supporters, including the Alzheimer’s Association and a patient advocate, said the bill would reduce delays and barriers to care, while health plan representatives opposed it over step therapy and utilization-management concerns. Members discussed the limited treatment window and the need for early access, and the bill was moved on a do-pass basis to Appropriations. In addition, SB 490 by Sen. Umberg would set timelines for DHCS investigations of unlicensed sober living homes and allow counties to assist if the department cannot act in time; supporters from Anaheim and a patient-brokering survivor described serious abuse and oversight gaps, while county behavioral health representatives opposed the county role as an unfunded and potentially liability-creating burden. After discussion, the bill was also moved on a do-pass basis to Appropriations. Finally, the committee began hearing SB 1037 by Sen. Weber Pierson on health insurance affordability and rate review, with supporters arguing it would tie premium increases more closely to affordability targets and public reporting; the transcript cuts off before the committee completed action on that measure.

Transcript Highlights:

• Olivia Herrera, intern at Zone Advocacy, on behalf of the California Children's Hospital Association,
• Bering, a pharmacist doctor, with Western Health Advantage. Respectfully, I ask for your aye vote.
• Michelle Revis with the California Pharmacists Association, with the amendments, in full support.
• But I will let my pharmacists talk about how they choose it.
• It's not coming from the pharmacist 60 days before.

Keywords: 988, house, all

Transcript Highlights:

• Hawaii Pharmacists Association in support.
• Pharmacists Association in Hawaii Pharmacists Association in support.
• <00:17:55.600> Association the Hawaii Pharmacists Association the Hawaii Pharmacists Association
• So, first, HMSA says it's working to address this internally.
• were struggling with that that internal were struggling with that that internal So So, that's my

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.

Transcript Highlights:

• Senate Bill 129 by Hall, relating to the jurisdiction. of certain international organizations to state
• to business and commerce, Senate Bill 386 by Schwartner relating to the jurisdiction of certain international
• Relaying the delegation to a pharmacy technician of a pharmacist authority to administer an immunization
• to a requirement that certain special-purpose districts cause... information to be posted on an internal
• And enforcement of certain international organization policies to state affairs.

Bills: SJR36, SB2, SJR6, SJR7, SJR8, SJR9, SJR10, SJR11, SJR12, SJR13, SJR14, SJR15, SJR16, SJR17, SJR18, SJR19, SJR20, SJR21, SJR22, SJR23, SJR24, SJR25, SJR26, SJR27, SJR28, SJR29, SJR30, SJR31, SJR32, SJR49, SCR1, SCR2, SCR3, SCR4, SCR5, SCR6, SCR8, SCR9, SB9, SB41, SB42, SB43, SB44, SB45, SB46, SB47, SB48, SB49, SB50, SB51, SB52, SB53, SB54, SB55, SB56, SB57, SB58, SB59, SB60, SB61, SB62, SB63, SB64, SB65, SB66, SB67, SB68, SB69, SB70, SB71, SB72, SB73, SB74, SB75, SB76, SB77, SB78, SB79, SB80, SB81, SB82, SB83, SB84, SB85, SB86, SB87, SB88, SB89, SB90, SB91, SB92, SB93, SB94, SB95, SB96, SB97, SB98, SB99, SB100, SB101, SB102, SB103, SB104, SB105, SB106, SB107, SB108, SB109, SB110, SB111, SB112, SB113, SB114, SB115, SB116, SB117, SB118, SB119, SB120, SB121, SB122, SB123, SB124, SB125, SB126, SB127, SB128, SB129, SB130, SB131, SB132, SB133, SB134, SB135, SB136, SB137, SB138, SB139, SB140, SB141, SB142, SB143, SB144, SB145, SB146, SB147, SB148, SB149, SB150, SB151, SB152, SB153, SB154, SB155, SB156, SB157, SB158, SB159, SB160, SB161, SB162, SB163, SB164, SB165, SB166, SB167, SB168, SB169, SB170, SB171, SB172, SB173, SB174, SB175, SB176, SB177, SB178, SB179, SB180, SB181, SB182, SB183, SB184, SB185, SB186, SB187, SB188, SB189, SB190, SB191, SB192, SB193, SB194, SB195, SB196, SB197, SB198, SB199, SB200, SB201, SB202, SB203, SB204, SB205, SB206, SB207, SB208, SB209, SB210, SB211, SB212, SB213, SB214, SB215, SB216, SB217, SB218, SB219, SB220, SB221, SB222, SB223, SB224, SB225, SB226, SB227, SB228, SB229, SB230, SB231, SB232, SB233, SB234, SB235, SB236, SB237, SB238, SB239, SB240, SB241, SB242, SB243, SB244, SB245, SB246, SB247, SB248, SB249, SB250, SB251, SB252, SB253, SB254, SB255, SB256, SB257, SB258, SB259, SB260, SB261, SB262, SB263, SB264, SB265, SB266, SB267, SB268, SB269, SB270, SB271, SB272, SB273, SB274, SB275, SB276, SB277, SB278, SB279, SB280, SB281, SB282, SB283, SB284, SB285, SB286, SB287, SB288, SB289, SB290, SB291, SB292, SB293, SB294, SB295, SB296, SB297, SB298, SB299, SB300, SB301, SB302, SB303, SB304, SB305, SB306, SB307, SB308, SB309, SB310, SB311, SB312, SB313, SB314, SB315, SB316, SB317, SB318, SB319, SB320, SB321, SB322, SB323, SB324, SB325, SB326, SB327, SB328, SB329, SB330, SB331, SB332, SB333, SB334, SB335, SB336, SB337, SB338, SB339, SB340, SB341, SB342, SB343, SB344, SB345, SB346, SB347, SB348, SB349, SB350, SB351, SB352, SB353, SB354, SB355, SB356, SB357, SB358, SB359, SB360, SB361, SB362, SB363, SB364, SB365, SB366, SB367, SB368, SB369, SB370, SB371, SB372, SB373, SB374, SB375, SB376, SB377, SB378, SB379, SB380, SB381, SB382, SB383, SB384, SB385, SB386, SB387, SB388, SB389, SB390, SB391, SB392, SB393, SB394, SB395, SB396, SB397, SB398, SB399, SB400, SB401, SB402, SB403, SB404, SB405, SB406, SB407, SB408, SB409, SB410, SB411, SB412, SB413, SB414, SB415, SB416, SB417, SB418, SB419, SB420, SB421, SB422, SB423, SB424, SB425, SB426, SB427, SB428, SB429, SB430, SB431, SB432, SB433, SB434, SB435, SB436, SB437, SB438, SB439, SB440, SB441, SB442, SB443, SB444, SB445, SB446, SB447, SB448, SB449, SB450, SB451, SB452, SB453, SB454, SB455, SB456, SB457, SB458, SB459, SB460, SB461, SB462, SB463, SB464, SB465, SB466, SB467, SB468, SB469, SB470, SB471, SB472, SB473, SB474, SB475, SB476, SB477, SB478, SB479, SB480, SB481, SB482, SB483, SB484, SB485, SB486, SB487, SB488, SB489, SB490, SB491, SB492, SB493, SB494, SB495, SB496, SB497, SB498, SB499, SB500, SB501, SB502, SB503, SB504, SB505, SB506, SB507, SB508, SB509, SB510, SB511, SB512, SB513, SB514, SB515, SB516, SB517, SB518, SB519, SB520, SB521, SB522, SB523, SB524, SB525, SB526, SB527, SB528, SB529, SB530, SB531, SB532, SB533, SB534, SB535, SB536, SB537, SB538, SB539, SB540, SB541, SB542, SB543, SB544, SB545, SB546, SB547, SB548, SB549, SB550, SB551, SB552, SB553, SB554, SB555, SB556, SB557, SB558, SB559, SB560, SB561, SB562, SB563, SB564, SB565, SB566, SB567, SB568, SB569, SB570, SB571, SB572, SB573, SB574, SB575, SB576, SB577, SB578, SB579, SB580, SB581, SB582, 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Keywords: Medicaid, healthcare expansion, affordable care act, federal funding, medical assistance, constitutional amendment, Texas Constitution, healthcare access, Patient Protection and Affordable Care Act, healthcare, affordable care, state constitution, low-income individuals, Medicaid expansion, federal matching funds, time regulation, daylight saving time, standard time, referendum, Texas constitution

Transcript Highlights:

• border security, and requires priority be given to counties that are located along the state's international
• It allows a pharmacist to independently order, perform, and interpret certain tests that are authorized
• It allows a pharmacist to independently order, perform, and interpret certain tests that are authorized
• Yeah, because I did speak with Tucson International Airport, and they were very concerned about this,
• Yeah, because I did speak with Tucson International Airport, and they were very concerned about this,

Keywords: 1182, all

Summary: The caucus reviewed a long list of Senate and House bills, many of them on consent or with strike-everything amendments. Topics included advanced air mobility for border security (SB 1457), raising the off-highway vehicle weight limit to 3,500 pounds while striking a proposed law enforcement fund (SB 1519), school property leases and a trampoline court safety citation change (HB 2383), electronic monitoring in health care facilities (SB 1041), dental school complaint handling and board jurisdiction limits (SB 1168), pharmacist-authorized testing and HIV prevention guidance (SB 1713), school district insurance/self-insurance requirements (SB 1497), reporting-requirement cleanup for education statutes (HB 2203), historic neighborhood housing zoning (SB 1118), construction contract payment protections in revitalization districts (SB 1189), timeshare salesperson licensing (SB 1274), workers’ compensation notice and recordkeeping (SB 1428), property tax disability exemption clarifications (HB 2120), insurance modeling/data organization requirements (HB 2174), HOA rules on chickens and pet breed restrictions (SB 1582), first responder death benefits for law enforcement pilots (SB 1503), and changes to virtual veterinary prescribing periods (SB 1286). Members generally asked clarifying questions, and several sponsors were said to intend to concur or refuse amendments, with HB 2010 headed to conference because the sponsor would not accept the Senate’s five-year refund window. On the second calendar, the committee heard HB 2176 on health facility complaint investigations, allowing DHS to investigate older complaints involving alleged abuse; HB 2050 on radiologic technologists and radiologist assistants, restoring direct supervision requirements with limited general-supervision exceptions; HB 2010 on digital goods, where the Senate reduced a refund window from 10 years to five and the sponsor planned to refuse; HB 2875 on unmanned aircraft, expanding airport drone-delivery buffer rules from one mile to two and a half miles and requiring airport consultation; HB 2428 on county certification of emission reduction credits, clarifying participation is voluntary and limiting new credits if fleet participation becomes mandatory; and HB 2877, which was struck and replaced with a veterinary technician certification pathway requiring 4,000 supervised work hours and allowing nonprofit curriculum evidence. Several members noted support or opposition based on prior votes or policy concerns, but no roll-call votes were taken in the caucus itself.

Transcript Highlights:

• House Bill 1135, Health Occupations, Pharmacist Vaccination Orders.
• So, when a pharmacist prescribes Sure.
• The problem is if it's the pharmacist ordering it, the pharmacist is putting my name in ImmuNet saying
• <01:07:17.400> is problem is if it's the pharmacist is problem is if it's the pharmacist is
• > is<01:07:18.840> putting ordering it, the pharmacist is putting ordering it, the pharmacist

Keywords: House streaming session for Saturday, March 21, 2026, 957, house, all

Summary: The House convened with 126 members present, heard the prayer, approved the previous day’s journal, and then took up a series of Senate messages and committee reports. Senate bills on consent calendars 21 and 22 were read the first time and referred to committees. The House then adopted favorable reports, often without amendment, on a wide range of bills including workers’ compensation evaluation procedures (HB 1325), a state shark designation (HB 97), several local alcoholic beverages measures, commemorative months for Muslim American Heritage and Jewish American Heritage (HB 661), and local license commissioner changes in Anne Arundel, Worcester, Harford, Baltimore City, and Prince George’s counties. Several bills were amended before being ordered printed for third reading. HB 121 (Baltimore County alcohol sales) was amended to change the sponsor to the Baltimore County delegation. HB 1335 on Department of Information Technology workforce recruitment and retention was amended to convert the measure into a study and recommendations report. HB 1037 on PSC oversight of broadband and VoIP was similarly amended from direct oversight to a study and report. HB 1164 on water and sewage rate consolidation and limited-income mechanisms was amended to remove rate-consolidation provisions, require a PSC study, and delay implementation. HB 1381 on stopping or parking in bike lanes added exceptions for emergency, transit, disability pickup/drop-off, disabled vehicles, loading/unloading, and construction or maintenance; HB 1504 prioritized sidewalk and bicycle pathway projects near highways with complete streets or Vision Zero policies; HB 912 adjusted community cat trap-neuter-return rules; and HB 969 clarified electric vehicle charging billing and service fees. The most extended debate centered on HB 639, the Transportation Aviation Passenger Health and Safety Act. After amendments turned it into a reporting measure for fixed-base operators and aviation service companies regarding flights carrying detained individuals, warrants, refueling, and emergency-response documentation, members questioned its practical operation, safety implications, and possible federal preemption issues. The floor leader explained the bill as amended was intended to gather information for Maryland safety and emergency planning. On motion of the committee chair, the House agreed to special order HB 639 until the end of the session for further clarification. The House also amended and advanced HB 1063 on hunting management, including deer damage permits and Sunday hunting rules, and heard a brief statement from an Eastern Shore delegate about the Rural Caucus’s approach to offering amendments rather than opposing bills outright. The session ended with HB 972, creating the Maryland Fair and Agricultural Education Promise Fund, amended to rename the bill in honor of the late Delegate Charles Otto and to replace lottery funding with an annual appropriation; the House adopted the amendments and the favorable report.

Transcript Highlights:

• champion athletic trainers, and occupational therapy. compact bills and clarification regarding international

Bills: SB1328, SB1380, SB1436, SB1558, SB1572, SB1651, SB1805, SB1831, SB1836, SB2014, SB2023, SB2044, SB2179, SB933

Keywords: parents' rights, healthcare consent, minors, medical records, protection, legal guardianship, hospital, fetal death, miscarriage, healthcare, state health department, vital records, patient rights, child care, licensing, definitions, foster care, child welfare, mental health, substance abuse

Transcript Highlights:

• We should do this for pharmacists as well.
• pharmacist Association in Hawaii pharmacist Association in support.
• :34.080> team-based have pharmacists embedded in team-based have pharmacists embedded in team-based
• Pharmacy in Hilo and one of our interns Pharmacy in Hilo and one of our interns just<01:50:17.360
• We pharmacists at no cost to the state.

Bills: HB20, HB2612, HB2404, HB2459, HB2194, HB1880, HB2284, HB1969, HB2458, HB1546, HB2161, HB1721, HB1641, HB2137, HB1782, HB2360, HB1965, HB1897, HB1513

Keywords: lava insurance, homeowners, insurance market, subsidy, Hawaii, mortgage, debt, secured transactions, real property, Hawaii Revised Statutes, cooperative associations, electric utility cooperatives, agricultural cooperatives, mutual help, food innovation, agribusiness, food safety, market access, branding, economic diversification

Summary: The committee heard testimony on HB 20, which would create a lava zone insurance subsidy/fund. The Insurance Division opposed the bill, arguing that lava zones 1 and 2 are the highest-risk areas, that a subsidy would not reduce the underlying risk or loss costs, that it could invite similar subsidy requests for other hazards, and that the bill may conflict with HICV by diverting funds from the CRF. Members discussed the lack of authorized homeowners insurance in those lava zones, the role of HPIA and the surplus market, and the difference between the proposed lava-zone subsidy and the Hawaii Hurricane Relief Fund. The chair noted 37 submitted testimonies in support and one in opposition, and the committee then moved on without taking a vote on HB 20 in the portion provided. The committee then took up HB 2612, relating to mortgages, which would clarify that a mortgage does not exist independently of the debt it secures and is not independently enforceable from that debt. The Hawaii Credit Union League and Hawaii Financial Services Association opposed the bill, while several individuals testified in support, arguing it would restore Hawaii’s long-standing lien-state rule and prevent so-called “zombie mortgages” after the Hawaii Supreme Court’s White decision. Supporters said the bill would protect borrowers from delayed foreclosures and predatory lending practices, while opponents and the Insurance Division emphasized that foreclosure actions still require proof of standing and possession of the note, and that lenders generally pursue foreclosure without seeking deficiency judgments. Committee members questioned the Insurance Division about how the current market works, whether lenders could wait out the statute of limitations and then foreclose only on the mortgage, and whether equitable tolling or later defaults could allow refiling. The division said it is still trying to attract authorized insurers back into the lava-zone market, but has seen little progress. No vote or final action on HB 2612 was taken in the excerpt provided.