Transcript Highlights:

• constituents are concerned about getting appointments and health care and the rising cost of insurance premiums
• So this is the amount of money that a company receives in premium compared to what it pays out in claims
• Now, this high cost is driven mainly by our state's legal structure and market forces.

Summary: The committee first approved the minutes from its fourth meeting, held October 27-28 in Santa Fe, with Representative Duncan moving approval and no opposition. The chair then introduced a panel on the cost of providing medical care in New Mexico, focusing on physician shortages, rising practice costs, and access problems, especially in southern New Mexico and Las Cruces. Panelists included family physicians, a pediatrician, a cardiologist/electrophysiologist, and a community health center medical director, who described their backgrounds and practices before turning to the policy discussion. The doctors argued that New Mexico is losing physicians because of three main pressures: medical malpractice exposure, gross receipts tax on medical services, and low Medicaid reimbursement. They said malpractice premiums are much higher than in neighboring states, punitive damages and venue shopping increase risk, and the patient compensation fund and attorney fee structure create additional costs. They also described administrative burdens from insurance billing and referrals, the high debt and long training period for physicians, and the effect of corporate medicine and private equity on practice decisions. One panelist emphasized the economic impact of each physician on jobs and local spending, while another noted that shortages force patients into emergency rooms and delay specialty care. The panel presented a list of proposed solutions: reform punitive damages, limit venue shopping and stacking, restore lifetime medical payments from the patient compensation fund, enact apology protections, cap attorney fees, continue Medicaid funding improvements, and eliminate gross receipts tax on medical and dental services. Committee members generally agreed the presentation was thorough and useful, but several noted that some proposals fall outside this committee’s jurisdiction and would likely need to move through other committees, especially judiciary and tax. Some members supported drafting legislation or working on separate bills, while others urged caution, requested more input from hospitals and economists, and raised concerns about local government revenue impacts from GRT changes. The chair concluded by encouraging members to continue discussions offline and noted that the tax-related issue would be taken up further in the next day’s work.

Transcript Highlights:

• include the new corporate income tax credits that have been enacted, transitioning from a marginal structure
• Medicaid enrollment and the restrictions on state-directed payments to have an impact on insurance premium
• seems like for us to provide all of the infant slots, we're going to be paying a really incredible premium

Transcript Highlights:

• There's no reason for Californians to be paying Kaiser record-high premiums while still being denied
• For a mere fraction of its billions of premium dollars, Kaiser could fix its badly broken behavioral
• I think one of the... ...things we often see, which is part of the way the structures of the department

Summary: The Assembly Health Committee held an informational hearing on Kaiser Permanente’s behavioral health care system, focusing on Department of Managed Health Care enforcement actions, Kaiser’s corrective action work plan, and testimony from patients, advocates, and union representatives. DMHC officials reviewed a long history of complaints, surveys, fines, and settlements involving Kaiser’s access to behavioral health services, including deficiencies found in 2012 and 2016, a 2022 non-routine survey, and a 2023 settlement that imposed a $50 million penalty and required $150 million in community investments over five years. DMHC said it continues to monitor Kaiser through quarterly meetings, complaint review, follow-up surveys, and a reimbursement process for members who could not obtain timely in-network care. Committee members pressed DMHC on what “timely access” and continuity of care mean in practice, how virtual care and group therapy fit into the standards, and what triggers a non-routine survey. DMHC said initial behavioral health appointments generally should not take more than two weeks, urgent care should be within days, and follow-up care within 10 days, with out-of-network care required when plans cannot meet standards. Officials also said Kaiser’s initial corrective action work plan lacked detail, but the revised plan was accepted and will be tracked through quarterly reporting and possible additional enforcement if Kaiser fails to comply. The second panel featured testimony from a Kaiser enrollee, a behavioral health policy expert, a Kaiser therapist, and the NUHW president. The enrollee described serious delays and inadequate treatment for his daughter after a suicide attempt, while the therapist and union leader said Kaiser’s behavioral health system is understaffed, relies too heavily on short appointments, group therapy, and webinars, and treats behavioral health as less important than medical-surgical care. They argued Kaiser’s one-appointment-at-a-time scheduling rule and limited treatment time violate parity requirements and harm continuity of care. Several members criticized Kaiser for not appearing at the hearing and said the testimony underscored the need for stronger oversight, clearer metrics, and faster remedies for patients.

Transcript Highlights:

• <00:04:21.199> which um our organizational structure which um our organizational structure
• ,<00:04:33.759> because multiple salary structures, because multiple salary structures, because
• 00:04:51.199> authority has a very complex tax authority has a very complex tax authority structure
• Uh, Kentucky actually has one structure.
• In addition, we're processing bills and making sure that we're collecting accurate premiums for over

Keywords: 958, all

Summary: Personnel Cabinet and Kentucky Employees Health Plan officials presented a request to replace the Kentucky Human Resources Information System (CHRIS), the state’s HR/payroll ERP system procured in 2007. They said the system supports core HR and payroll for about 48,000 state employees, 24 sheriff and county clerk offices, and the Kentucky Employees Health Plan, which covers more than 300,000 lives. Officials emphasized that SAP has said the system will be end-of-life and out of support by 2030, which would eliminate security updates, vendor maintenance, and tax-compliance support. They argued that replacement is necessary to protect sensitive personnel and health data, maintain payroll accuracy, and avoid major operational and cybersecurity risks. Officials described the project as a true replacement, not just an upgrade, and said the proposed $151 million request covers a five- to six-year implementation, stabilization, and ongoing maintenance period. They broke down the estimate as including roughly $54 million for software licensing and hosting, about $76.5 million for systems integrator/professional services, and additional amounts for independent verification and validation, dependent verification for the health plan, FSA administration, contingency staffing, and hardware-related needs. They said the cost increase from prior estimates was mainly due to inflation and updated requirements. They also noted that payments would be tied to deliverables and checkpoints, with third-party IV&V oversight, and that the cabinet expects to continue normal quarterly IT reporting to LRC while also providing at least monthly project updates because of the 2030 deadline. Committee members asked about the total cost of ownership, recurring operating costs, the size of the integrator contract, how vendor costs were estimated, and how progress would be tracked. Officials said they used market research, peer-state comparisons, vendor discussions, and independent reviews, including input from AON and a third-party QA resource. They explained that the integrator would handle requirements mapping, system design, configuration, training, change management, and implementation support across the Personnel Cabinet, KHP, and other stakeholders. No vote or formal action was taken during the discussion; the meeting consisted of testimony, questions, and answers on the funding request and implementation plan.

Transcript Highlights:

• As long as you have systems and structures in place, you can make sure that everything.
• So our communication structure of this is what it looks like.
• So our communication structure of this is what it looks like.
• So our communication structure of this is what it looks like.
• You know, so we’re making huge growth and really it’s putting systems and structures in place.

Summary: The committee on Pre-K through 12 Education met to discuss chronic absenteeism, district attendance interventions, and related truancy procedures. Chair Simon reviewed Florida’s attendance laws and escalation process, including school-based interventions, child study team meetings, referrals to the Department of Juvenile Justice, truancy petitions, and possible sanctions for parents and driving privileges. The committee heard first from University of Florida professor Dr. Chris Curran, who presented state and national absenteeism data showing chronic absenteeism has risen sharply since the pandemic, with Florida at about 31.4% in 2023-24. He emphasized that absenteeism has multiple causes, including transportation, mental health, housing instability, safety concerns, and family barriers, and said effective responses include early warning systems, multi-tiered supports, mentoring, and community partnerships rather than relying only on punitive measures. Members questioned Dr. Curran about whether absenteeism is a behavior or barrier issue, whether exclusionary discipline is counted, the need for a uniform definition across districts, and whether more punitive truancy enforcement is effective. He said the issue is usually a mix of barriers and choices, that excused and unexcused absences both matter for chronic absenteeism data, and that root-cause analysis and supportive interventions are generally more productive than punishment alone, though consequences can still play a role. The committee then heard from Collier County Superintendent Leslie Ricciardelli and district staff, who described a highly structured attendance system built around attendance specialists, social workers, mental health staff, home visits, attendance contracts, multilingual outreach, and frequent parent notifications. They said Collier’s chronic absenteeism rate was about 9% in 2023-24 and credited their success to early contact, community partnerships, and a strong district culture around attendance. Volusia County Schools Executive Director Mike McAuliffe described a newer districtwide attendance initiative that uses automated letters, same-day notifications, data dashboards, MTSS tiers, incentives, and community supports such as bikes, washers and dryers, and faith-based partnerships. He reported Volusia reduced chronic absenteeism from 34% in 2023-24 to a projected 29% and said the district is now seeing about 20% in the first quarter of the current year. No formal votes were taken.

Transcript Highlights:

• region referred to the Committee on State Affairs HB 609 by Rosenthal relating to the cleaning of a structure
• 612 by Shaheen, relating to the establishment of an education savings account program and insurance premium

Keywords: 1184, house, all

Transcript Highlights:

• Those bills swell settlements, drive up premiums, and burden every Texas resident.
• evaluating medical claims. and no longer let a lack of transparency inflate settlements, raise insurance premiums
• It brings some... clarity and structure to what has been a completely obliterated intended structure
• It is simply... structured differently, on the same jury charge, jury question.

Bills: HB4806

Keywords: civil action, damages, health care services, noneconomic damages, negligence, legal standards, 1184, house, all

Transcript Highlights:

• Airports operate within a unique economic structure.
• <01:19:54.640> or<01:19:55.040> just<01:19:55.280> dramatically pay the premium
• And there is a whole structure<01:37:01.920> behind<01:37:02.320> how<01:37:02.560>
• <01:37:03.600> And structure behind how it all happens.
• And structure behind how it all happens.

Keywords: 1187, senate, all

Transcript Highlights:

• transitional grant, uh the premium transitional grant, uh the premium reimbursement<00:30:40.000
• Essentially, it's moving some grant budget items from one budget activity under their budget structure
• It repeals statutes related to direct care provider premiums, the legislative task force on guardianship
• <00:59:57.520> and<00:59:57.760> the direct care provider premiums and the direct care
• provider premiums and the legislative<00:59:58.480> task<00:59:58.720> force<00:59:58.960

Keywords: 1187, senate, all

Summary: Members met to review a budget bill agreement using a nonpartisan spreadsheet and summary materials. Chairs and members thanked fiscal, research, revisers, and agency staff for the collaborative process, noting the bill had been difficult and that the final product reflected compromise. The chair also said only minor technical changes were expected before final enactment, and the spreadsheet walkthrough was then turned over to fiscal staff. Fiscal staff explained that the agreement met the overall budget target and walked through major human services provisions. Key items included nursing facility payment changes, including a phased PDPM change, APS inflation, modified single-bed incentives, and a CPI-U capped payment cap; a nursing facility surcharge; workforce standards board rule costs; continuation of certain nursing facility property tax rates; regulation of for-profit acquisitions of nursing homes and assisted living facilities; repurposing assisted living special project funds; funding the SEIU self-directed worker agreement; CFSS reimbursement in acute care hospital settings; and multiple disability waiver rate and authorization changes, including CPI-U inflation caps, waiver authorization reforms, and a waiver reimagined advisory task force. The agreement also included family residential service rate increases, a temporary extension of customized living disproportionate share payments, tribal eligibility for targeted case management, positive supports training changes, out-of-home respite modifications, swimming lessons as an allowable service for certain children with disabilities, a provisional EID provider license, and program integrity services funded by licensing fee increases. Additional provisions covered MinnChoices studies and assumed savings, behavioral health fund changes, substance use disorder treatment billing and rate changes, supportive recovery housing, housing support supplemental rates for specific providers, disability determinations, enteral nutrition payment timing, temporary funding for Boundary Waters Care Center, several one-time human services grants, senior nutrition funding, and grant reductions and extensions. No formal vote was described in the transcript; the discussion focused on explaining the agreement and its fiscal effects.

Transcript Highlights:

• High insurance premiums, high deductibles, and high prices for care.
• High insurance premiums, high deductibles, and high prices for care.
• The next item in the governor's budget is the reinsurance, or premium security, plan.
• are at significant risk of premium increases of 25% or more on the individual market.
• The next item in the governor's budget is the reinsurance, or premium security, plan.

Bills: HF1646, HF2443

Keywords: medical debt, debt relief, healthcare financing, consumer protection, financial hardship, commerce, cannabis, insurance, housing, ombudsperson, affordability, property, task force, financial institutions, 1183, house

Transcript Highlights:

• This is far more cost-effective than contracting with third-party vendors who charge premium rates for
• 00:03:44.799> vendors<00:03:45.200> who<00:03:45.440> charge<00:03:45.760> premium
• thirdparty vendors who charge premium thirdparty vendors who charge premium rates<00:03:46.560><

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:14 Approval of Minutes 00:00:40 State Board of Elections 00:00:56, 958, all

Summary: The House Budget Review Subcommittee on General Government met to hear an update from the State Board of Elections on its Bluegrass Books electronic poll book system. Rachel Pointer and Richard House described the project as an in-house modernization effort intended to improve security, customization, integration with the voter registration system, reduce voter wait times, streamline supplemental and provisional ballot processing, and provide year-round local support to county clerks and poll workers. They emphasized that the system is already a working product, not just a concept, and showed a workflow demonstration of voter lookup, signature capture, ballot issuance, manual lookup, and handling voters who have already voted. The agency also outlined the financial rationale for the project, saying the state currently lacks dedicated funding for replacing the iPads used for election-day poll books and that counties now bear vendor maintenance and support costs. Under Bluegrass Books, the state would seek to cover hardware replacement, maintenance, and on-site support through future appropriations, potentially using bulk purchasing to lower costs. When asked about the size of the appropriation request, the presenters said it was not yet finalized but noted roughly 7,000 devices are deployed statewide and replacement would likely be phased rather than done all at once. Members asked about security and whether the e-poll book could affect vote totals. The Board explained that the e-poll book is separate from ballot casting, that voting machines themselves are not connected to the internet, and that the poll book is networked only to update check-ins and prevent double voting. They said the device is locked down to the poll book application and can operate offline until connectivity returns. A member also asked how to recruit more poll workers; the response suggested higher pay is the main incentive, along with outreach to schools, community colleges, and possible pilot programs involving professionals. The meeting concluded without any votes or formal action beyond approval of minutes, and the next meeting was announced for January 29, weather permitting.

Transcript Highlights:

• their kitchen table and they’re suddenly hit with an unexpected big increase in their health care premium
• So your premiums have got to be going up tremendously just from that. Is that correct?
• So your premiums have got to be going up tremendously just from that. Is that correct?
• new billion over very recently.<02:29:23.840> So<02:29:24.080> your<02:29:25.040> premiums
• So your premiums have got to recently.

Keywords: 928, house, all

Summary: The Finance Committee met on October 30 to act on a series of House bills that had been moved during the budget process and, in many cases, were already addressed in the state budget. The chair explained that bills covered by the budget would generally be reported inexpedient to legislate, while some others would be placed on the consent calendar or handled separately. Early votes were largely unanimous, including House Bill 54, which would allow alternate treatment centers to operate for profit; the committee voted 25-0 ought to pass and sent it to the consent calendar. The committee then recommended inexpedient to legislate on House Bill 97, a wastewater and infrastructure appropriation bill, because the funding had been replaced in House Bill 2 with $2.5 million in each of fiscal years 2026 and 2027. Representative Rum opposed the ITL motion, arguing the projects would otherwise burden local property taxpayers and that the funding was important for housing and municipal infrastructure, but the motion passed 14-11. House Bill 111, dealing with the right-to-know ombudsman, was also reported ITL 14-11 on the grounds that the budget already made significant reforms and separate action could create conflicting statutory language. House Bill 164, creating funding for a local government records manager position in the Secretary of State’s office, received a unanimous amendment appropriating $150,000 for fiscal year 2027 and then passed 25-0 ought to pass as amended, moving to the regular calendar. House Bill 197, the Property Tax Relief Act, drew extended debate over whether restoring a state contribution to retirement system costs would reduce local property taxes; supporters framed it as tax relief for municipalities and school districts, while opponents said the effect would be minimal or offset by other retirement-system changes. The committee ultimately voted 14-11 ITL, with a minority report requested. House Bill 215, requiring landfill permit applicants to submit a report on potential harms and benefits, was amended and then passed 25-0 ought to pass as amended. House Bill 216, which would remove a workers’ compensation-related service-credit limit for certain disability retirement cases, was voted ITL 25-0 after the sponsor said the fiscal impact was too uncertain. Finally, House Bill 219, which would redirect renewable portfolio standard funds and was amended to delay its effective date to July 1, 2027, advanced after debate over electricity costs and renewable energy policy; the committee adopted the amendment unanimously and then voted on the bill as amended.

Transcript Highlights:

• protects genetic test results on their own from being used to deny coverage or dramatically inflate premiums
• prevents genetic test results on their own for being used to deny coverage or dramatically inflate premiums
• similar protections in 2020, and years later there has been no evidence of harm to insurance markets or premium

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a fully virtual public hearing after a blizzard and state emergency closed the State House and created travel and cleanup concerns. Chairs Senator Paul Feeney and Representative James Murphy opened by thanking first responders and committee staff for making the hearing possible and noted that several members attended remotely. The committee heard testimony on three bills: H.5112, An Act Prohibiting Genetic Discrimination; H.4914, An Act Relative to the Massachusetts Uniform Commercial Code; and S.2921, An Act Relative to Travel Insurance. Most of the testimony focused on H.5112. Representative Dave Rogers and his constituent Robin Biggs testified in support of H.5112, describing gaps in federal genetic nondiscrimination law that do not cover life, long-term care, or disability insurance. Biggs shared her experience as a BRCA2 mutation carrier and said genetic knowledge helped her take preventive steps, but that people fear testing because insurers may use results against them. Lindsay Jack of the ALS Association and Lisa Schlager of FORCE also supported the bill, arguing that it would encourage preventive care, research participation, and fairer underwriting without harming insurance markets. They said insurers could still use medical history and diagnoses, but not genetic test results alone. Committee members asked questions about whether insurers currently request genetic testing and how such information is used in underwriting. Testifiers said the information is routinely asked for or found in medical records, but the bill would prohibit its use in coverage decisions and would prevent insurers from requiring testing. No votes were taken. After testimony concluded and no additional witnesses came forward, the chairs closed the hearing and adjourned the meeting by unanimous voice vote.

Transcript Highlights:

• to take into consideration at this time can be substituted to Senate Bill 1810. title insurance premiums
• the TDI conducted a public hearing earlier this year to review and fix the title insurance basic premium
• Committee substitute Senate 1810 relating to annual statistical reports for fixing title insurance premium
• transparency report under Senate Bill 1810 will require loss experience, expenses of operation, premiums
• caption. substitute Senate Bill 1810 relating to annual statistical reports for fixing title insurance premium

Bills: SJR27, SJR39, SB22, SB33, SB34, SB37, SB209, SB310, SB326, SB505, SB605, SB618, SB732, SB762, SB769, SB783, SB819, SB825, SB870, SB964, SB1030, SB1080, SB1085, SB1099, SB1124, SB1208, SB1233, SB1314, SB1320, SB1333, SB1398, SB1405, SB1541, SB1567, SB1596, SB1598, SB1625, SB1646, SB1662, SB1750, SB1758, SB1791, SB1804, SB1810, SB1818, SB1838, SB1855, SB1869, SB1951, SB2024, SB2077, SB2078, SB2252, SB2253, SB2368, SB2411, SB2420, SB2425, SB2569

Keywords: judicial conduct, state commission, judicial misconduct, commission membership, constitutional amendment, veto override, legislature power, governor, Texas Constitution, Texas, moving image industry, incentive program, film production, grant funding, job creation, economic development, wildfire, wildfire mitigation, wildfire prevention, volunteer fire department

Transcript Highlights:

• We don't want premiums to go up or profits to go down.
• We don't want premiums to go up or profits to go down.
• We don't want premiums to go up or profits to go down.
• We don't want premiums to go up or profits to go down.
• We don't want premiums to go up or profits to go down.

Bills: HF1224, HF1615, HF2403

Keywords: foreclosure, mortgage postponement, homeowners, redemption period, Minnesota Statutes, cannabis, hemp, lower-potency, edibles, regulations, licensing, local control, consumer safety, age restrictions, commerce policy, financial institutions, insurance regulation, limited long-term care insurance, Medicare supplement, health insurance

Transcript Highlights:

• And we try to structure our full stack to be supportive of those in addition to our own systems.
• So really, being able to make that a bit more robust so that we've got the reliability and the structures
• We're very excited also for the tour and sort of the hands-on portion that we'll do. the structures in
• That first page is just the context for how we structure the hearing.
• They sleep on wood shavings, premium wood shavings, and they're soft and nice; they smell nice.

Transcript Highlights:

• They sometimes have low or no premiums.
• They sometimes have low or no<00:10:23.800> premiums.
• <00:10:24.800> They<00:10:25.120> sometimes<00:10:25.680> offer no premiums.
• They sometimes offer no premiums.
• The insurance companies justify being able to deny this coverage by claiming that premiums will skyrocket

Keywords: 1183, house

Transcript Highlights:

• So thinking about how we structure schools in a way that are academically engaging, socially engaging
• As long as you have systems and structures in place, you can make sure that everything.
• So our communication structure of this is what it looks like.
• So our communication structure of this is what it looks like.
• You know, so we're making Huge growth, and really it's putting systems and structures in place.

Summary: The committee met to discuss student attendance and chronic absenteeism in Florida K-12 schools, with Chair Simon outlining the state’s attendance requirements and intervention process, including school contact after unexcused absences, child study team review, district superintendent referral, DJJ family services referral, truancy petitions, and possible parental prosecution and driver’s license consequences. Dr. Chris Curran of the University of Florida presented statewide data showing chronic absenteeism has risen sharply since the pandemic, with Florida at about 31.4% in 2023–24, and noted that absenteeism varies by district, school level, demographics, and urbanicity. He emphasized that causes are multifaceted—ranging from transportation, mental health, housing instability, safety concerns, and family circumstances—and said effective responses include early warning systems, text or phone outreach, multi-tiered interventions, mentoring programs like Check & Connect, and community partnerships. He also cautioned that punitive responses alone are often less effective than addressing root causes and keeping students engaged academically even when they miss school. Collier County Superintendent Leslie Ricciardelli described her district’s attendance efforts as a priority supported by attendance specialists, social workers, mental health staff, home visits, attendance contracts, and extensive parent communication. She said Collier’s chronic absenteeism rate was about 9% in 2023–24 and attributed success to consistent monitoring, family outreach, and community support, while stressing that students must be physically present to learn. She also argued that many absences are tied to barriers such as clothing, transportation, childcare, or family mental health, and that districts need resources to address those issues. Dr. Rachel Dawes added that Collier uses multilingual brochures, attendance awareness campaigns, vacation-planning guidance, door tags, automated calls and letters, and a truancy flow chart, with truancy court used as a last resort. Volusia County Executive Director Mike McAuliffe described a districtwide overhaul that included an attendance matters campaign, automated notices sent early and often, same-day and period-by-period notifications, a data dashboard, and tiered supports through MTSS. He said Volusia reduced chronic absenteeism from 34% in 2023–24 to a projected 29% and reported a first-quarter rate of about 20% in the current year. He highlighted community partnerships, including AdventHealth support for washers and dryers, bikes for students with transportation barriers, and monetary recognition for schools that reduce absenteeism. In response to questions, both district leaders emphasized that funding, staffing, and consistent follow-through are essential, and that attendance work is most effective when paired with family engagement, data monitoring, and practical supports rather than punishment alone.

Transcript Highlights:

• The premium is low, and it gives you that 94% cost share reduction.
• So, then that premium tax credits.
• Uh the premium is low and it coverage.
• <00:47:06.160> So remaining premium for that person.
• So remaining premium for that person.

Bills: HB2488, HB2456

Keywords: disability, communication access, deaf, hard-of-hearing, deaf-blind, healthcare, sign language interpreters, auxiliary aids, weight loss, GLP-1 drugs, obesity, Medicaid, healthcare costs, 910, house, all

Summary: The committee heard testimony on HP 1972, which would create a nonrefundable family caregiver tax credit, and on a related tax measure to increase the existing dependent care tax credit. Supporters of HP 1972, including AARP, the Executive Office on Aging, the Hawaii Public Health Institute, Hawaii Children’s Action Network, and others, said unpaid caregivers are essential to keeping kūpuna and other loved ones at home and described significant out-of-pocket costs. The Department of Taxation and the Tax Foundation raised technical concerns, including the need to avoid overlap with existing credits and to prevent double-dipping. The department said taxpayers can claim credits to the extent allowed, but recommended explicit language barring the same costs from being claimed under more than one credit. No vote was taken in the excerpt, and the chair moved the bill along after questions. The committee then heard HP 1975, which would repeal the sunset on the state rent supplement program for kūpuna. AARP, Catholic Charities Hawaii, the Executive Office on Aging, and others supported making the program permanent, saying it helps low-income older adults avoid eviction and homelessness and allows them to remain in affordable housing. Catholic Charities described clients who were paying unsustainable shares of income for rent before receiving the supplement. Members also shared a constituent example of an elderly retiree who needed the subsidy to stay housed. Written support was noted from additional organizations and individuals. Next, the committee took up HB 1706, which would expand Medicaid prospective payment reimbursement to include mental health services furnished in federally qualified health centers and rural health clinics by mental health professionals under supervision. The Office of Hawaiian Affairs supported the bill, and DHS said it appreciated the intent to address workforce shortages and expand training, but cautioned that unlicensed professionals cannot currently bill Medicaid and that a state plan amendment would be needed, with limited precedent for approval. Members asked about the likelihood and timing of federal approval and whether the bill could help rural areas; DHS said approval is uncertain and the process can take time, though it saw possible alignment with the state’s rural health transformation efforts. The committee also discussed HB 546, a three-year health coverage continuity pilot program for people losing Medicaid coverage. DHS, the Attorney General’s office, DCCA, Catholic Charities, the University of Hawaii, and others testified, with DHS warning that federal changes could increase uninsured rates and that the state may need to act quickly. Catholic Charities and others emphasized the risk to Medicaid recipients, including homeless and near-elderly residents, while DHS explained the state’s existing premium assistance program for certain immigrants and compared it to the proposed pilot. The excerpt ends during discussion of that comparison, with no vote shown.

Transcript Highlights:

• Originally, the way that premiums are calculated was via the 2023 law, had a formula in it.
• Originally, the way that premiums are calculated was via the 2023 law, had a formula in it.
• updated originally the way that premiums updated originally the way that premiums are<00:37:23.480
• for the purposes of of setting premium for the purposes of of setting premium so<00:37:35.839>
• necessary to make place the premiums necessary to make sure<00:59:33.359> the<00:59:33.559>

Keywords: 1183, house