Transcript Highlights:

• disabilities.
• disabilities, it operates as its own MCO.”
• lottery or gambling winnings that are equal to or greater than the resource limit for elderly or disabled
• We need to protect and help vulnerable and disabled adults in our community.
• Developmentally disabled: high-need clients in home and community-based settings, $18 million.

Keywords: 1182, all

Transcript Highlights:

• I’m Evan Fern with Disability Rights California.
• I'm Evan Fern with Disability Rights, California.
• We represent people with intellectual and developmental disabilities.
• We represent people with intellectual and developmental disabilities.
• Mental disabilities.

Summary: The Assembly Budget Subcommittee on Health held a May Revision hearing covering several health-related budget proposals and broader concerns about the state’s budget structure. The Chair opened by praising some May Revision changes, such as added health IT funding, county administration support tied to Medi-Cal changes, a delay in Medi-Cal cuts for some lawfully present immigrants, and additional support for Covered California subsidies, while criticizing proposed increases in Medi-Cal premiums, changes to senior eligibility, the lack of a Medi-Cal dental solution, and other reductions affecting counties, mobile crisis units, workforce incentives, and physician shortages. The Legislative Analyst’s Office said the state’s budget condition remains weak despite progress on the structural deficit, and the Department of Finance said the May Revision uses a mix of reductions, reforms, revenue proposals, and fund shifts to cut out-year deficits. The committee first heard Department of State Hospitals proposals, including adjustments to county bed billing authority, contract exemption language for online clinical/pharmacy subscriptions, reversion of unspent funds, a revised Metro Central Utility Plant replacement project, electronic health record implementation, and workforce development funded partly through Behavioral Health Services Act resources. DSH also described savings and realignments in incompetent-to-stand-trial and conditional release programs, including extending the independent placement panel program and shifting funds to support additional bed capacity and a mental health rehab center. Members asked about the use of BHSA funds for workforce programs, and the department said the proposal would replace General Fund support with BHSA reimbursements. The Emergency Medical Services Authority proposed funding for statewide behavioral health crisis response guidance and for enterprise system development, and the Department of Managed Health Care proposed modernization of its complaint system and claims-settlement data system to improve oversight and comply with AB 3275. The largest discussion centered on the administration’s BHSA spending plan under Proposition 1, including state-directed prevention, workforce, and other uses, plus General Fund offsets for existing programs. The LAO questioned whether some proposed offsets fit Proposition 1’s non-supplant and eligible-use requirements, while the administration argued the uses were consistent with the measure and that the state-directed share can be adjusted annually. The Commission for Behavioral Health’s proposals drew the most public and member concern. The administration proposed cutting the commission’s Innovation Partnership Fund from $20 million to $10 million and reducing the Community Advocacy Program by $6.7 million, while redirecting BHSA dollars to other state purposes and direct services. Commissioners, advocates, and several members argued the cuts would weaken community voice, reduce support for underserved populations, and disrupt grants already in process; they also objected to using BHSA funds to backfill General Fund commitments. Public commenters, including youth, disability, behavioral health, LGBTQ, tribal, veteran, immigrant, and community-based organization representatives, overwhelmingly opposed the cuts and urged preservation of prevention, advocacy, mobile crisis, and innovation funding. No votes or final actions were taken during the hearing.

Transcript Highlights:

• We have our model waiver and then we have intellectual and developmental disabilities.
• is a a program that serves particularly vulnerable populations, including children, individual disabilities
• It's a bold and elderly and disabled populations is really what we focus on here.

Transcript Highlights:

• There's still lots of gaps with people with disabilities, with the aged who may have Alzheimer's or dementia
• many members of the. ...plans that we can consider to fill gaps in elder affairs or persons with disabilities
• As far as the other populations, as you speak of, those with developmental disabilities and the individuals

Summary: The Human Services Subcommittee met to review implementation of House Bill 7021, the recent overhaul of Florida’s Baker Act and Marchman Act, and to hear from DCF Assistant Secretary Erica Floyd Thomas about how the department is using the $50 million appropriation tied to the bill. Representative Maney, the bill sponsor, gave a lengthy background on why he pursued the reforms and emphasized that the goal was to improve access, reduce unnecessary crisis interventions, and give agencies the resources needed to carry out their responsibilities. He and the chair both noted that the bill was the product of many years of work and broad bipartisan support. DCF reported several early outcomes and implementation steps, including a statewide reduction in Baker Act initiations over the past five years, strong diversion rates from crisis through 988, mobile response teams, care coordination, and forensic multidisciplinary teams, and the creation of new tools such as a Baker Act dashboard and the first annual Marchman Act report. The department described key statutory changes: law enforcement discretion in initiating Baker Acts, a single-petition process, remote appearances, stronger discharge planning, interim services, updated parent notification and hold-period rules, an ombudsman office for children’s behavioral health, and regional collaboratives to identify local service gaps. DCF said it has updated manuals, FAQs, trainings, and rules, and that the managing entities have begun contracting for services. Members asked about how the $50 million was allocated, why much of it went to crisis capacity rather than outpatient care, how much has been spent so far, whether administrative costs are capped, and how the department will measure success. DCF said most of the money was used to preserve and expand crisis beds, detox beds, CSU beds, short-term residential treatment, discharge planning, and outpatient supports, with $1.3 million for the ombudsman and regional collaboratives and $48.3 million to managing entities. The assistant secretary said the department tracks readmissions, utilization, provider capacity, and monthly and quarterly reports from managing entities, but it is still early to see full effects because contracts were only recently executed. Members also raised concerns about children, families, veterans, workforce shortages, transparency, and gaps for hard-to-place individuals, including those with developmental disabilities or dementia. The meeting ended with no formal action beyond adjournment after questions were completed.

Transcript Highlights:

• We made sure that the DD wait list was fully funded so no child and no developmentally disabled person
• We didn’t create a developmental disabilities wait list. We didn’t cut funds for mental health.”
• They're health care, developmental disability services, child care, and the university system.
• They're health<04:50:32.000> care,<04:50:32.320> their<04:50:32.560> developmental
• c> health care, their developmental health care, their developmental disability<04:50:33.680> services

Keywords: 1191, senate, all

Transcript Highlights:

• specifically, examples include during my time serving as the Director for the Agency for Persons with Disabilities
• Same thing working with our sister agencies and working with the Agency for Persons with Disabilities
• Again, I mentioned at the time we have Agency of Persons with Disabilities and we were rewriting the
• In 2023 I served at the Agency for Persons with Disabilities as Director before returning back to the
• this is not child abuse, including the statewide CPT director who said some of his injuries were developmental

Keywords: 999, senate, all

Transcript Highlights:

• service to chronic pain or in the case of the dental bills to having a special needs diagnosis or developmental
• disability diagnosis.
• special education teacher, and now my new job is Beacon of Hope, and I help adults with complex disabilities
• because it's so important to our friends, my former students, and other people with intellectual disabilities
• and physical disabilities.

Summary: The Administrative Rules Subcommittee of the Arkansas Legislative Council reviewed several agency rules and requests. The Insurance Department’s amendment to its holding company system rule was reviewed and approved, as were two State Board of Election Commissioners rules: one clarifying poll watcher conduct, vote challenges, and provisional voting, and another increasing pay for certified election monitors and defining training, observation, and report-writing compensation. The Arkansas Financial Education Commission also had its rule reviewed and approved after removing membership requirements tied to DEI language to comply with Act 938. The committee held over the Department of Education’s request to be excluded from reporting requirements for one month to allow further discussion about who should write or implement the rules. A major portion of the meeting focused on the Department of Human Services’ request to be excluded from reporting requirements for Acts 567, 568, 967, and 1025. DHS said CMS had raised comparability and other federal approval concerns, especially for the dental and diagnostic lab provisions, and that it might not be able to meet the acts’ effective dates. DHS described several possible paths forward, including broader benefit changes, waivers, or splitting the dental provisions so the pediatric rate increase could move separately from the special-needs adult cap increase. The Arkansas State Dental Association disputed DHS’s conclusion that the acts could not be implemented as written, argued that Act 1025 is workable, and urged DHS to continue pursuing implementation and preserve the September 1 effective date where possible. Public testimony also supported expanded dental access for adults with disabilities and special needs. After discussion, the committee voted not to exclude DHS from reporting requirements for those acts. The committee then reviewed the Division of Higher Education’s Act 781 report. The division said it has 32 rules in effect, asked to repeal three rules—two replaced by new rules and one no longer supported by authority or current law—and to continue the remaining 29 rules. The committee approved that request, with the repeals effective upon adjournment of the Legislative Council meeting on January 16, 2026. The meeting concluded with no questions on the remaining written rulemaking updates from prior and current sessions, which were filed without further action.

Transcript Highlights:

• Early intervention improves emotional security and reduces the risk of developmental delays and attachment
• and we would love to get the data on this, but a lot of the guys who are there have intellectual disabilities
• So there are some concerns with the disability due process issues here.
• I'm intellectually disabled, so please be patient with me, okay? Not a problem.
• I'm intellectually disabled, so please be patient with me, okay? Not a problem.

Bills: HB1826, HB1969, HB2708, HB2729, HB3618, HB4515, HB4764, SB1021, SB1610

Keywords: mental health, women's health, county jail, depression screening, criminal justice, inmate release, identification certificate, Texas Department of Corrections, personal identification, driver's license, state law, reentry services, nondisclosure, criminal history, criminal defendants, community supervision, misdemeanors, felonies, rehabilitation, hearsay

Summary: The Corrections Committee first took up pending business and reported several previously heard bills favorably to the full House, including HB 1515 and SB 2405, the TDCJ Sunset bill and its Senate companion, HB 5639 on the veteran housing program, HB 2854 on hospital visits as a parole or mandatory supervision condition and related hospital liability, and SB 1080 on occupational licenses for people with criminal convictions. The committee also heard and advanced SB 1080 without amendment, then moved into new business. A major portion of the meeting focused on HB 3618, which would limit invasive group strip searches of female inmates in TDCJ facilities. Formerly incarcerated women and advocates testified in support, describing humiliation, trauma, barriers to programming, and arguing that searches were often ineffective and that contraband more often comes from staff. TDCJ’s resource witness said the agency has looked at technology such as millimeter scanners and is in the process of placing them in facilities, while the bill sponsor said the measure would preserve searches in emergencies and require female officers when women are unclothed. HB 3618 was left pending. The committee also heard HB 4515 on expanding orders of nondisclosure, with the author saying the committee substitute would narrow the bill to marijuana possession only; supporters from Alliance for Safety and Justice and Right on Crime argued it would improve reentry and public safety, while members asked about eligibility and related offenses. HB 1826, requiring depression screenings for pregnant and postpartum incarcerated women, drew support from women’s health advocates and formerly incarcerated witnesses; the bill was left pending. HB 1969, to help people leaving prison renew or obtain driver’s licenses, and HB 2708, expanding nondisclosure eligibility for certain misdemeanor convictions, were also laid out and left pending. Later, the committee heard HB 2729, which would bar hearsay evidence in hearings on violations of release conditions, and SB 1021, which would make stalking convictions ineligible for community supervision and add related victim-protection provisions; both were left pending. SB 1610, addressing civil commitment facility safety, sex offender registration, and penalties for assaults on staff, drew strong opposition from civil commitment residents, family members, and civil rights advocates who argued it was punitive and raised due process concerns; the resource witness said assaults had increased and explained the civil commitment process and existing legal safeguards. Finally, HB 4764 would require TDCJ to report detailed annual data on restrictive housing; supporters said the bill would improve transparency around solitary confinement, and the committee left it pending before adjourning.

Transcript Highlights:

• So they require to call these ESSA students. children with disabilities and English learners.
• For English learner students with disabilities and long-term students, that percentage on track remained
• Both include those with a regular diploma, as well as those with significant cognitive disabilities who
• who have the most significant cognitive disabilities.
• Results from the Dynamic Learning Maps, the alternate assessment for students with disabilities, are

Summary: The committee received a lengthy Bureau of Legislative Research presentation on Arkansas academic standards, accountability systems, and adequacy requirements. Staff reviewed how state curriculum and standards have evolved from the 1997 Public Education Act through the 2003 Quality Education Act and the 2017 Educational Support and Accountability Act, including required coursework, standards for accreditation, career and technical education, graduation requirements, and recent additions such as computer science, personal finance, firearm safety, and fetal growth and development instruction. Members asked for a chart comparing the major laws and repeals over time, and staff agreed to provide one. The presentation then turned to federal ESSA requirements and Arkansas’s state accountability system. Staff explained Arkansas’s long-term goals for proficiency, English learner progress, and graduation rates, and reported 2025 ATLAS proficiency results, which remained below the 80% goal across student groups. They also reviewed English learner progress, graduation rates, school support and improvement, and equitable access to educators. Data showed gaps by subgroup and by school poverty/minority concentration, with Title I and high-poverty schools more likely to have emergency/provisional teachers and less experienced staff. Members questioned the lack of recent data for some ESSA measures, including equity labs and school index calculations, and asked staff to follow up with the Department of Education. The committee also discussed NAEP results, ACT scores, and teacher quality measures under the state accountability act. Arkansas’s NAEP performance remained below national averages in fourth- and eighth-grade reading and math, and ACT composite scores and benchmark attainment were also reviewed. Members asked for additional information on historical highs and lows, the number of assessments students take by grade, dropout data, and comparisons with other states. No formal votes were taken; the main action was agreement to request additional information from DESE and to schedule department follow-up at a future meeting.

Transcript Highlights:

• <00:02:53.440> will how students with disabilities will how students with disabilities will
• without disabilities.
• to segregate students with disabilities to segregate students with disabilities and<01:41:22.800
• We serve families and individuals with developmental disabilities and acquired brain disorders, but today
• and individuals with developmental and individuals with developmental disabilities<02:11:00.360>

Keywords: 928, house, all

Summary: The House Education Policy and Administration Committee heard testimony on HB 222, which would repeal the requirement that a chartered public school and the resident school district sign a memorandum of understanding on how students with disabilities will receive special education services. The prime sponsor, Rep. Peggy Balboni, said the bill was requested by the New Hampshire Association of Special Education Administrators and the New Hampshire Alliance for Public Charter Schools. She argued that federal and state law already require districts to provide FAPE and that the MOU requirement has created extra work, legal costs, and delays without improving services. She said many MOUs remain unsigned, but students are still receiving services and complaint numbers have not changed. Rep. Mooney also supported repeal, calling the MOU duplicative and impractical because IEPs and 504 plans already govern services. Testimony from Jane B. Brulu of the special education administrators’ association and Beth McLure of the charter schools alliance echoed that view, saying the MOU has not helped students, has added hours of work and legal fees, and has mostly been a source of disputes over funding and service costs. McLure said her school has worked with more than 15 districts and has always been able to reach agreements, though the first year of the requirement took substantial time and money. Committee members asked about the original purpose of the law, unsigned MOUs, and whether disputes could be resolved without the requirement. A representative from the Department of Education said the MOU was originally proposed to address reports that some students were not getting services on time and to provide some oversight, but the department has no authority to order charter schools or districts to agree and no appeal process if they cannot. The department also said it does not currently audit charter school special education services because it lacks authority to monitor charter schools directly, and it urged the committee to consider some alternative oversight if the MOU requirement is repealed. The hearing on HB 222 was then closed, and the committee announced it would begin the hearing on HB 699 after a short break.

Transcript Highlights:

• Karen Rosenberg, I'm the policy director for the Disability Rights Center.
• I serve as the policy and planning coordinator for the New Hampshire Council on Developmental Disabilities
• Disabilities.
• We're a federally funded state agency mandated by the Developmental Disability Bill of Rights Act.
• Passing this bill would help ensure that people with disabilities receive all the care they need and

Keywords: 1189, house, all

Transcript Highlights:

• Item 25, 1280, requiring DHS to report on allocated but unused funds for the developmentally disabled
• <01:04:16.400> disabled the developmentally disabled the developmentally disabled recipients
• Uh, I—we are on 1249, developmental disabilities funding for recreational services and socialization
• We are on 1249, developmental disabilities funding for recreational services and socialization services
• Then we have the developmental disability community, where we spend a tremendous amount of money—about

Keywords: 928, house, all

Summary: The committee met in Division 3 work session on HB 2 and began by noting a delayed start to allow the Legislative Budget Assistant to finish a large packet of updated amendments and revisions. The chair said the goal for the day was to move as many items as possible, with any cleanup deferred to a Friday follow-up. Members also discussed the process for handling public and department testimony on selected items before votes. Several early amendments were taken up and voted on. The committee unanimously recommended items dealing with repealing the liquor transfer to the alcohol fund and redirecting liquor-related revenue to the general fund, and it also approved an amendment revising Granite Advantage funding so there would be no automatic transfer from the liquor fund, instead using a general fund appropriation. Members then approved repealing the foster grandparent program by a 5-4 vote, and later approved an amendment requiring DHS contractors to comply with the patients’ bill of rights by a 9-0 vote. The committee also approved incorporating House Bill 94 on Medicaid coverage of circumcision by a 5-4 vote, while deferring the Wick Farmers Market Nutrition Program repeal for more discussion. The committee spent substantial time on the youth risk behavior survey amendment. Supporters said the change was intended to clarify opt-out procedures and ensure parents, guardians, and students are clearly notified that they may opt out without negative consequences. Some members raised privacy concerns and said the language could add administrative burden, but the amendment was ultimately recommended to Finance by a recorded vote of 8-1. Another amendment on civil rights and contractor standards for DHHS was discussed but not voted on after concerns were raised about vague enforcement language and possible penalties. The committee also struck amendment 1026 as redundant, with members noting related work in existing law and Senate Bill 134, and then moved on to other items, including a revised equity/access-related amendment that was postponed for later discussion.

Transcript Highlights:

• We are here today to discuss the Medicaid early intensive developmental and behavioral intervention,
• discuss the Medicaid<00:02:53.720> early<00:02:54.200> intensive<00:02:55.000> developmental
• <00:09:52.760> and<00:09:52.840> behavioral developmental and behavioral developmental
• Madam Chair, I'm Nathaniel Olson, the disability advocate from the state of Minnesota.
• Madam Chair, I'm Nathaniel Olson, the disability advocate from the state of Minnesota.

Bills: HF3542

Keywords: data privacy, investigative data, welfare system, public funds, transparency, 1183, house

Transcript Highlights:

• services, and our civil rights compliance team. ...conduct, disability services, and our civil rights
• We also, as I mentioned, consider mental health concerns from a developmental perspective and we see
• , our students with disabilities, when we look at the donut for those students...
• , our students with disabilities, when we look at the donut for those students, disabilities or students
• with disabilities.

Summary: The committee spent much of the meeting hearing presentations on student mental health supports at Central Washington University, Washington State University, the University of Washington, and the State Board of Community and Technical Colleges. CWU described high levels of student distress, loneliness, anxiety, depression, suicidal ideation, and basic-needs insecurity, along with a campus-wide holistic well-being model that includes behavioral intervention teams, emergency aid, peer outreach, community partnerships, and a collegiate recovery community. WSU emphasized loneliness, common presenting concerns such as anxiety, depression, PTSD, and relationship distress, and the role of housing and residence life, resident advisors, living-learning communities, and coordinated crisis response in identifying and supporting students. UW highlighted prevention and support programs through LiveWell, including alcohol and other drug consultations, confidential advocacy, suicide intervention, student needs navigation, peer health educators, and peer wellness coaches. The community and technical college system reported persistent access barriers, especially for students ages 18 to 24 and those facing housing or food insecurity, and said the legislature-funded mental health pilot at four colleges expanded counseling access, telehealth, and referral pathways, while broader system efforts focus on awareness, telehealth, basic-needs supports, and workforce training in behavioral health fields. Members asked each panel how they gather student feedback, and the institutions said they use surveys, evaluations, and ongoing outreach to students in services. Questions also focused on substance-use and recovery resources, Greek life outreach, and whether colleges have enough licensed mental health staff versus academic advisors; the community college board said not all colleges have licensed mental health providers on staff, and some rely on community contracts or telehealth. The committee also discussed whether counseling services are increasing because of post-pandemic effects or because students are more willing to seek help, with presenters saying both factors likely play a role. The committee then shifted to artificial intelligence in higher education. Washington State University, the University of Washington, Western Washington University, and the community and technical college system described campus AI task forces, governance structures, and efforts to set policies for students, faculty, and staff. Presenters said institutions are requiring course-level AI use statements, promoting ethical and transparent use, expanding access to approved tools such as Microsoft Copilot, and using AI for teaching, research, advising, and administrative support while guarding privacy, equity, and academic integrity. Members raised concerns about deepfakes, bias, student monitoring, and whether AI should be used to screen applications or evaluate student work; presenters said human review remains essential and that some institutions prohibit AI use in hiring or admissions screening. The final presentation, from OSPI, described the statewide rollout of the School Links high school and beyond plan platform under 2023 legislation, saying it will standardize career and college planning across K-12, provide better data and student guidance, and connect students to postsecondary pathways and employers; OSPI said the rollout is underway but current funding only extends through June 30, 2026.

Transcript Highlights:

• expedited process for a disability expedited process for a disability determination<01:05:36.000
• Senator McUade. in disability services cuts in this bill in disability services cuts in this bill and
• Do we support our disabled fund?
• <01:45:31.920> Having uh in in disability services. Having uh in in disability services.
• and motans who are disabled. and motans who are disabled.

Keywords: 1187, senate, all

Transcript Highlights:

• Exposure has been linked to breast cancer, developmental issues, infertility, obesity and asthma, and
• disproportionately women of childbearing age, making this exposure especially concerning during critical developmental
• disproportionately women of childbearing age, making this exposure especially concerning during critical developmental
• I'm Scott Cox, here on behalf of Learning Disabilities Association of America, Courage California, Earthday.org

Keywords: 987, senate, all

Transcript Highlights:

• Developmental disabilities, senior developmental disabilities, to care properly, to stay in business.
• disabilities.
• disabilities.
• They often serve those with disabilities and seniors, and more.
• THEY OFTEN SERVE THOSE WITH DISABILITIES, AND SENIORS, AND MORE.

Keywords: 993, senate, all

Summary: The Senate opened with the Pledge of Allegiance and an invocation, then approved the prior day’s Journal and moved into motions, resolutions, and budget-related business. Senator Gianaris called up Senate Print 5898A for reconsideration; the Senate voted 59 ayes to restore the bill to the third reading calendar. Several amendments were also received on third-reading bills, and the Finance Committee was called into session while the chamber proceeded with resolutions. The Senate adopted Resolution J.2106 recognizing Second Chance Month and the mental health impacts of incarceration, with Senator Brisport speaking in support and a guest from the community recognized in the chamber. The body also adopted Resolution J.1492 designating May 27, 2026, as Taiwan Heritage Day, with remarks from Senators Sepúlveda, Stavisky, and Liu highlighting Taiwanese contributions to New York and expressing support for Taiwan amid current geopolitical tensions. The Finance Committee then reported several budget bills, including Senate Prints 9003D, 9004D, 9007C, and 9009C, which were moved to third reading. The remainder of the session focused on the supplemental and controversial budget calendars, especially tax and spending provisions. Senators debated the “Protecting Our Wallets” energy rebate, with supporters describing it as a one-time check for eligible taxpayers and critics arguing it was too small and not tied directly to utility bills; the chamber accepted the message of necessity and laid the bills aside. Members also debated extensions and changes to tax provisions affecting corporations, alternative fuel exemptions, Broadway and theatrical production tax credits, charitable deductions for certain 501(c)(3)s, nicotine pouch taxes, a new New York City pied-à-terre tax, and a standardbred horse-racing testing fee. Several senators criticized the budget as raising costs or favoring certain industries, while supporters defended the measures as revenue-raising, affordability, or public-health policies. No final votes on the controversial budget bills are shown in the excerpt beyond procedural rulings, adoption of the resolution calendar, and acceptance of committee reports.

Transcript Highlights:

• is file involuntary commitment petitions, adult guardian petitions, represent the Department of Developmental
• Disabilities, and represent the Office of the Public Guardian.
• department<00:50:18.559> of represent the department of represent the department of developmental
• <00:50:19.960> disabilities,<00:50:20.960> represent developmental disabilities, represent
• developmental disabilities, represent the<00:50:22.000> uh<00:50:22.160> office<00:50:

Keywords: 912, senate, all

Summary: The Judiciary Committee heard testimony on Governor’s Message 767, the nomination of Kanoi AD Jackson to serve as circuit court judge for the Third Circuit. The chair announced that the committee would not vote on the governor’s message or two judge nominations until Tuesday, April 15, but planned to vote that day on two Defender Council items. Testimony on Jackson’s nomination was limited to two minutes per speaker, and the hearing was conducted partly by Zoom. Supporters emphasized Jackson’s qualifications, work ethic, judicial temperament, and community ties. Testifiers included the West Hawaii Bar Association, family members, a retired teacher, retired Judge Robert Kim, and the Hawaii State Bar Association. The West Hawaii Bar Association said Jackson received high marks from its review process and that the Third Circuit needed a permanent judge for stability. Judge Kim and others praised her preparation, intelligence, humility, and experience as a prosecutor and litigator. Jackson also spoke in her own behalf, acknowledging that her background is primarily criminal rather than civil, but saying she is committed to learning the civil docket and serving the community if confirmed. Members questioned the Hawaii State Bar Association about the basis for its support, including how many members responded and whether concerns were raised about Jackson’s lack of civil experience. HSBA said it uses a confidential review process, receives both positive and negative comments, and does not track votes or percentages, but its board voted to support her. Judge Kim responded that judges can learn new areas of law, that civil dockets can be managed with benchbooks and help from other judges, and that Jackson’s trial experience would serve her well. No vote was taken on Jackson’s nomination during this hearing.

Transcript Highlights:

• The substitute includes intermediate care facilities for individuals with intellectual disabilities and
• The problems resulting from delays in care included hospitalization, disability, and even death.
• These children are not able to tolerate traditional dental care due to age or developmental conditions
• These children are not able to tolerate traditional dental care due to age or developmental conditions

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Summary: The Senate Committee on Health and Human Services met with several members initially absent, then later established a quorum. The committee heard multiple bills, with most testimony focusing on access to care, insurance practices, senior safety, and health care worker protections. Several bills were laid out with committee substitutes, and public testimony was limited to two minutes per witness. Most bills were left pending after testimony, with no final votes taken in the portion provided. Senate Bill 2069 would create a work group to study the feasibility of a statewide acute psychiatric bed registry; the substitute shifts appointment authority to the Health and Human Services Commissioner and extends reporting and sunset dates. Senate Bill 463 would expand workplace violence protections to additional hospice, home and community support, intermediate care, and state-supported living center settings. Senate Bill 1283 would require background checks and transparency measures for senior retirement communities after testimony about the Dallas-area serial killings of elderly residents. Senate Bill 1784 would require 60 days’ written notice before medical debt is sent to collections. Senate Bill 527 would require medical insurance coverage for general anesthesia for medically necessary pediatric dental procedures for children under 13 with qualifying conditions; pediatric dentists testified that denials delay needed care. A major portion of the meeting centered on prior authorization. Senate Bill 1380 would eliminate prior authorization for a broad list of services, including emergency, primary, mental health, substance use, chemotherapy, preventive, pediatric hospice, and certain chronic-condition care. Physicians and hospice advocates supported the bill, describing delays, administrative burden, and patient harm, while health plans opposed blanket exemptions and argued prior authorization helps prevent unnecessary care and control costs. Relatedly, Senate Bill 547 would require insurers to report gold-card prior authorization exemptions to TDI and create a centralized database and annual report; TMA supported better tracking, while health plans warned of duplicative reporting and administrative cost. Senate Bill 407 would require health care facilities to honor conscience- and religion-based vaccine exemptions for employees, with testimony from a physician and vaccine-choice advocate supporting the bill. The committee also heard Senate Bill 1383, which would regulate senior living referral agencies, allow more flexible compensation structures, and add disclosure and consumer protections; an out-of-state referral company and A Place for Mom supported it. Senate Bill 1511 would allow freestanding emergency centers to provide outpatient services in addition to emergency care, with consumer protections such as estimates, limits on facility fees, and restrictions on balance billing. The chair repeatedly announced that bills were being left pending after testimony, and no final committee action or recorded votes were taken in the transcript provided.

Transcript Highlights:

• Hawaii State Council on Developmental Disabilities. Good morning, Chair, Vice Chair.
• I'm representing the Hawaii State Council on Developmental Disabilities as an intern.

Keywords: 910, house, all

Summary: The House Committee on Health heard testimony on several measures. On HB 1233 relating to storm water management, the Attorney General’s office said the state may need to share costs with counties for any new inspection or regulatory program. Testifiers strongly supported the bill, including the Hawaiian Lifeguard Association and a community member who described her daughter’s death in a poorly maintained detention pond and urged statewide inspections and a comprehensive approach. A member asked the Attorney General about the cost-sharing issue, and the office said state appropriations would be needed if counties are required to take on new duties. The committee then heard HB 245 on student heat exposure safety. The Department of Education, Department of Health, and the Hawaii State Council on Developmental Disabilities supported the measure. A physician testifying for the Climate Change and Health Working Group described children’s vulnerability to heat and cited examples from other states that adopted stronger heat guidelines after school heat deaths. The Department of Education said it could do the feasibility study without additional funding and preferred to wait for the study before deciding on equipment needs. The Attorney General’s office later testified on HB 903, authorizing schools to maintain bronchodilators, supporting the concept but warning that the bill’s definition of school was broad and that DOE may not have jurisdiction over all covered entities; it suggested changing “protocol” to “guidelines” and involving the Public Charter School Commission. On HB 1314 relating to youth mental health, the Department of Education testified in opposition, though no additional testimony was offered. The committee also heard HB 1334 on meat donation, with DLNR and the Hawaii Farm Bureau supporting the measure. HB 799 on health care drew support from HMSA and the Hawaii Association of Health Plans, while the Department of Health said it supported the intent but wanted amendments, including limiting the bill to Maui, adding a sunset, and requiring a study of quality and access impacts. On HB 952 relating to Parkinson’s disease research, the Department of Health said the proposal would require additional appropriations and staffing and suggested a public-private partnership approach; the Hawaii Parkinson Association, Queen’s clinicians, and other supporters testified that a registry would help identify the number of patients and improve care. Finally, SHPDA strongly supported HB 1431 establishing an oral health task force, saying the state lacks sufficient dental oversight and that both keiki and kūpuna need better access to services.