Transcript Highlights:

• And so we've corrected that. collects all those payments and makes all those deposits.
• And apparently those payments for those bags were being received.
• two extra payments each year.
• two extra payments each year.
• I was just thinking, as many of you know, our state has gone from 24 payments a year to 26 payments a

Committee: All LEGISLATIVE JOINT AUDITING-COUNTIES AND MUNICIPALITIES

Summary: The committee began with prayer and approval of the January 8 minutes, then received updates on delinquent private water and sewer reports. Staff reported that for the 2022 reports, 19 of 43 entities had had their turnback reinstated, while 24 remained in escrow; for the 2023 reports, 59 of 64 entities had filed, leaving five outstanding. The committee also filed a report on Adona, where staff said the city had made enough progress toward substantial compliance with municipal accounting laws to discontinue withholding turnback, and the committee adopted that recommendation. The bulk of the meeting focused on municipal accounting noncompliance cases. Gum Springs and Denning were presented with extensive repeat findings involving budgets not adopted by ordinance or resolution, missing or incomplete bank reconciliations, inadequate receipts and disbursement records, payroll issues, and improper handling of Act 833 funds or other city money. Both cities’ mayors and recorders-treasurers testified about efforts to correct records, obtain training, and work with the Municipal League; the committee voted to start the 60-day turnback-withholding clock for both and then filed the reports. Fargo was deferred because no city representative was present. Additional reports included Green Forest, Elaine, Strong, Brooklyn, Mineral Springs, Rondo, Waldo, Columbia County, and several private water and sewer entities. Strong drew significant concern over missing garbage-bag revenue, improper fund transfers, and deficit balances; the committee deferred that report to the March meeting. The committee also heard investigative or referred reports on the Faulkner County Fair Association, Brooklyn payroll direct-deposit fraud, and other entities with questionable disbursements or recordkeeping. In several cases, staff recommended filing the reports after responses were received; in others, the committee deferred action when responses were lacking or representatives were absent. The meeting ended with a motion to defer a Cross County Rural Water matter so the entity could appear at the next meeting.

Transcript Highlights:

• in Le of taxes with payment in Le of taxes with municipalities<01:15:03.960><c> um</c><01:15:04.320>
• Many of our members use payment-in-lieu-of-taxes pilots, and so we appreciate the specific language in
• There is a value that can be derived from the pilot payments to be able to calculate the SWEPT that is
• </c><01:44:54.639><c> fund</c><01:44:54.880><c> for</c> that reimbursement fund for that reimbursement
• so they'll get something reimbursement so they'll get something back<01:45:09.840><c> just</c><01:45

Committee: Senate Ways and Means

Transcript Highlights:

• Rule F is the rule to allow for reimbursement of physical and occupational therapy in a clinic-based
• So that is not related to the reimbursement rate itself. That is related to the limit.
• And we couldn't increase reimbursement rates based on a specific diagnosis.
• So that is not related to the reimbursement rate itself. That is related to the limit.
• But we'll start retroactively making those payments. Okay, I saw that date in the rule.

Committee: All ALC-ADMINISTRATIVE RULES

Summary: The Arkansas Administrative Rules Subcommittee met to review a large slate of agency rules and related reports. The chair announced that several items were stricken from the agenda and that the maternal health providers and remote monitoring rules were pulled by the agency. The committee filed reports on emergency rules, ALC subcommittee rule reviews, and administrative directives, then moved through agency rules from the Department of Agriculture, Department of Commerce/Insurance, Department of Corrections, and multiple divisions of the Department of Human Services. Most rules were explained as technical updates or implementations of 2025 legislation and were approved without objection. Examples included repeal of obsolete equine ID-chip rules, updates to agriculture financing and pesticide rules, removal of duplicative workers’ compensation plan language, a unified visitation rule for correctional facilities, DHS marketing rules for PASS programs, a comprehensive DCFS policy manual revision, Medicaid-related changes for fictive kin, ABLE accounts, presumptive eligibility for pregnant women, SNAP work requirements and alien eligibility, coverage for certain incarcerated youth, nurse aide training updates, and permanent rules for state employee insurance and procurement. The committee also approved requests to exclude the Insurance Department from rulemaking requirements for Act 772 on forced organ harvesting and for restorative reproductive medicine, with the department saying it would issue rules later when more guidance is available. The most extended discussion concerned DHS’s dental Medicaid rate rule under Act 1025. Members and witnesses debated whether the statute’s language covered only oral surgeons or also general dentists performing oral surgery procedures, and whether the rate increase should apply more broadly to the services rather than the provider title. DHS said it was following the black-letter language of the law and could not confirm a broader interpretation without further approvals and funding, while legislators and a Dental Association representative said the intent was to increase payment for the services, especially in rural areas. Members also discussed the possibility of fixing the language in a future session or through a new rule if approvals and CMS review allow. Despite the concerns, the committee approved the rule. The meeting ended with approval of rule review reports and monthly updates, and the committee adjourned.

Transcript Highlights:

• More money is provided from the abandoned vehicle RV program for reimbursements for removal of abandoned
• More money is provided from the abandoned vehicle RV program for reimbursements for removal of abandoned
• Regarding the RTTO reimbursement program for indigent tows, the program is delayed to July 1st of 2027
• For the Department of Licensing, since the indigent tow reimbursement program is delayed to the next
• For the Department of Licensing, since the Indigent Toe reimbursement program is delayed to the next

Summary: The House Transportation Committee held public hearings on a proposed substitute for House Bill 2306, the 2026 transportation supplemental budget, and on proposed substitute House Bill 2711, a transportation resources bill. Staff described HB 2306 as revising the enacted 2025-27 transportation budget, increasing spending by about $1.1 billion to $16.5 billion, largely through reappropriations and new funding for preservation, maintenance, rail, transit, active transportation, ferries, licensing, and State Patrol needs. The chair and ranking member emphasized caution because of downward revenue forecasts, uncertainty around major project bids and future fish passage costs, and the decision to use existing bond authority without new bonding. Public testimony on HB 2306 generally supported preservation, maintenance, rail improvements, dredging, transit access, and local safety projects, while some witnesses urged more support for EV incentives and long-term transportation funding stability. For HB 2711, staff explained that the bill responds to administrative issues in last year’s transportation resources law, including fuel tax inflation adjustments, luxury vehicle/aircraft/vessel taxes, the indigent tow reimbursement program, tire fee language, and other tax administration provisions. The proposed substitute would repeal the luxury aircraft tax, adjust peer-to-peer rental car tax administration, restore authority for the Transportation Commission to exempt transit buses from tolls, waive certain penalties and interest tied to early compliance with the luxury vehicle tax, allow lease payments to be taxed incrementally, add exemptions for tribal members and nonresidents, change transfer timing between accounts, and create a Preserve Washington Account for highway preservation and maintenance. Fiscal notes projected additional revenue from aligning use tax with sales tax and modest administrative costs, while delaying the tow reimbursement program reduced near-term expenditures. Testimony on HB 2711 was mixed. RV dealers asked for a delay to the luxury vehicle tax, arguing the industry is already in decline and the tax could push sales out of state. WFSE supported the new Preserve Washington Account and urged higher bid limits for highway maintenance work. Committee members asked for clarification on the peer-to-peer rental car tax and the transit bus toll exemption. The chair announced that executive session on the bills, along with one other measure, would occur Wednesday, and members were told to submit amendment requests by the next day.

Transcript Highlights:

• Escalating loan payments leave less in the family coffers for buying a home or a car or paying the rent
• the federal matching rate or limits on critical Medicaid financial tools such as state-directed payments
• Cutting reimbursement will hurt them and their families, and we cannot let that happen.
• And they're not being reimbursed because those grants have been terminated.
• In fact, we'd like to serve even more, but that depends on reimbursements from the federal government

Summary: The Assembly Budget Subcommittee on Accountability and Transparency held a hearing focused on three issues: federal funding cuts and delays, possible state revenue impacts from reduced IRS enforcement, and the fiscal effects of AB 218 on local governments. The Franchise Tax Board described how state and federal tax systems are closely linked, how most returns are filed electronically through software, and how FTB relies on IRS information sharing for compliance, fraud prevention, offsets, and nonfiler work. Members raised concerns that federal staffing cuts at the IRS could weaken audits of large corporations and reduce California revenue, and asked about VITA and ITIN filers; FTB said it was not aware of VITA reductions, noted ITIN returns are processed the same as other returns, and said ITIN filing appeared slightly down this year. The Department of Finance said it is monitoring federal developments, summarized the continuing resolution and reconciliation process, and noted that California lost nearly $940 million in earmarked federal projects under the CR, while major federal budget decisions remain uncertain until the President’s budget and later congressional action. The University of California reported substantial federal pressure on research, student aid, and health care. UC said hundreds of millions of dollars in federal awards have already been canceled, with additional threats to NIH and DOE facilities-and-administration rates, graduate fellowships, student loan repayment plans, international student visas, Pell Grants, and Medicaid/Medi-Cal funding. Committee members pressed UC on the effects of DEIA-related federal restrictions, the loss of clinical trials and research staff, and the impact on low-income students and patients. UC said it is pursuing litigation with the Attorney General and other institutions, but emphasized that court action is only a temporary solution and that sustained state and private support may be needed. The second panel addressed the fiscal consequences of AB 218, which extended the statute of limitations for childhood sexual abuse claims against public agencies. FCMAT presented a report with 22 recommendations, including better statewide data collection, financing mechanisms, a possible victims compensation fund, and prevention measures. Los Angeles County described a tentative $4 billion settlement tied to AB 218 claims, saying it will require reserves, borrowing, and long-term annual payments through 2050, while also forcing curtailments and cuts to vacant positions to preserve services. Members discussed insurance pools, retroactive premiums, unidentified future claims, and the need for a compensation fund or other financing tools. No formal votes were taken; the hearing concluded with public comment, including testimony from local health officials about nearly $400 million in terminated federal public health grants and the resulting layoffs and service impacts.

Transcript Highlights:

• ><c> monthly</c> the AOC for payment of the monthly the AOC for payment of the monthly installments<01
• And mind you, submitting reimbursement.
• What we were told as reimbursement.
• </c><01:53:09.840><c> were</c> appropriators is the reimbursements were appropriators is the reimbursements
• </c><02:37:38.480><c> for</c> actually provides full reimbursement for actually provides full reimbursement

Transcript Highlights:

• The bigger impact for regional centers will likely be seen in the fund source payment for the services
• Most importantly, it noted the shift from a reimbursement-based service to one that incentivizes the
• DDS anticipates having sufficient reimbursement authority to cover any increased reimbursements needed
• DDS anticipates having sufficient reimbursement authority to cover any increased reimbursements needed
• I personally have yet to be reimbursed for thousands of dollars owed since 2023.

Transcript Highlights:

• Reimbursement is not as robust as other states.
• have to have and can't violate any of those rules then we then they can make an assessment of the payment
• allows HMOs, EPOs, and PPO plans to use incentives through modified deductions. deductibles, co-payments
• Given that providers often refuse to accept Medicare because of its below-market reimbursement rates.
• Doesn't requiring a clean claim format meant for insurance reimbursement purposes for admissibility of

Bills: SCR37 , SB60 , SB226 , SB231 , SB264 , SB387 , SB570 , SB596 , SB651 , SB769 , SB855 , SB863 , SB991 , SB1079 , SB1085 , SB1151 , SB1191 , SB1214 , SB1243 , SB1247 , SB1314 , SB1364 , SB1372 , SB1401 , SB1409 , SB1504 , SB1522 , SB1625 , SB1662 , SB1663 , SB1728 , SB1759 , SB1762 , SB1804 , SB1818 , SB1838 , SB1839 , SB1851 , SB1855 , SB1872 , SB1873 , SB1874 , SB1877 , SB1879 , SB1901 , SB1919 , SB1921 , SB1923 , SB1936 , SB1937 , SB1968 , SB1977 , SB2034 , SB2053 , SB2066 , SB2077 , SB2124 , SB2143 , SB2166 , SB2180 , SB2204 , SB2231 , SB2237 , SB2243 , SB2321 , SB2569 , SJR39 , SJR68 , SCR29 , SCR42 , SB22 , SB30 , SB33 , SB37 , SB75 , SB217 , SB240 , SB331 , SB393 , SB505 , SB530 , SB546 , SB552 , SB584 , SB586 , SB618 , SB626 , SB636 , SB732 , SB762 , SB769 , SB825 , SB844 , SB870 , SB884 , SB926 , SB964 , SB1080 , SB1099 , SB1150 , SB1177 , SB1184 , SB1261 , SB1262 , SB1314 , SB1325 , SB1364 , SB1398 , SB1455 , SB1506 , SB1524 , SB1577 , SB1596 , SB1620 , SB1624 , SB1642 , SB1643 , SB1646 , SB1667 , SB1727 , SB1760 , SB1789 , SB1791 , SB1804 , SB1806 , SB1851 , SB1868 , SB1870 , SB1901 , SB1923 , SB1927 , SB1951 , SB1960 , SB1962 , SB2010 , SB2023 , SB2024 , SB2037 , SB2051 , SB2052 , SB2056 , SB2066 , SB2122 , SB2129 , SB2180 , SB2183 , SB2185 , SB2207 , SB2226 , SB2252 , SB2323 , SB2361 , SB2368 , SB2405 , SB2420 , SB2425 , SB2569 , SB2717 , SB2949 , SB1 , SJR36 , SJR50 , SJR39 , SJR63 , SJR68 , SCR12 , SCR39 , SCR38 , SCR37 , SCR42 , SCR29 , SB1596 , SB33 , SB505 , SB37 , SB62 , SB666 , SB847 , SB284 , SB854 , SB1073 , SB810 , SB1539 , SB1505 , SB583 , SB957 , SB1502 , SB507 , SB1026 , SB1349 , SB1433 , SB1434 , SB264 , SB1364 , SB1376 , SB1585 , SB1772 , SB2016 , SB1163 , SB619 , SB1122 , SB1877 , SB732 , SB731 , SB397 , SB508 , SB1436 , SB964 , SB287 , SB2143 , SB261 , SB1247 , SB1882 , SB618 , SB393 , SB2243 , SB2226 , SB1919 , SB1791 , SB22 , SB651 , SB1080 , SB826 , SB1079 , SB1243 , SB1504 , SB1851 , SB1879 , SB2237 , SB1257 , SB2034 , SB1522 , SB1151 , SB596 , SB1191 , SB226 , SB570 , SB870 , SB991 , SB60 , SB1401 , SB1728 , SB586 , SB529 , SB217 , SB209 , SB1923 , SB1839 , SB387 , SB1874 , SB1872 , SB1873 , SB1921 , SB1883 , SB1620 , SB1838 , SB2024 , SB2429 , SB1999 , SB511 , SB2309 , SB2166 , SB510 , SB2420 , SB1860 , SB1314 , SB1398 , SB855 , SB2425 , SB2037 , SB1759 , SB1924 , SB1818 , SB1762 , SB1968 , SB1977 , SB2077 , SB2321 , SB1662 , SB1663 , SB2124 , SB2204 , SB1855 , SB863 , SB2252 , SB1962 , SB2253 , SB825 , SB1577 , SB1184 , SB2018 , SB2206 , SB1901 , SB2368 , SB1963 , SB1960 , SB1643 , SB1625 , SB1299 , SB841 , SB668 , SB584 , SB231 , SB1085 , SB2431 , SB2231 , SB1490 , SB530 , SB1261 , SB552 , SB1099 , SB1646 , SB2180 , SB1804 , SB1937 , SB1936 , SB2569 , SB1372 , SB1506 , SB1806 , SB1868 , SB2361 , SB2314 , SB769 , SB1409 , SB2122 , SB434 , SB1214 , SB1951 , SB2183 , SB2046 , SB1667 , SB1870 , SB1727 , SB2405 , SB2127 , SB1975 , SB1760 , SB1734 , SB1335 , SB2066 , SB2129 , SB2246 , SB2439 , SB1624 , SB1244 , SB1468 , SB2717 , SB1612 , SB1262 , SB604 , SB2395 , SB2185 , SB1832 , SB1745 , SB1746 , SB2207 , SB2023 , SB1784 , SB1524 , SB626 , SB528 , SB437 , SB269 , SB1137 , SB968 , SB636 , SB747 , SB1325 , SB1789 , SB1455 , SB2056 , SB75 , SB1940 , SB2052 , SB1927 , SB2010 , SB1579 , SB2068 , SB3034 , SB844 , SB1920 , SB1177 , SB1558 , SB1236 , SB1044 , SB926 , SB884 , SB463 , SB331 , SB227 , SB240 , SB517 , SB1200 , SB1410 , SB1626 , SB1845 , SB1863 , SB2216 , SB2681 , SB1717 , SB2053 , SB546 , SB2141 , SB2949 , SB2323 , SB2200 , SB2332 , SB2199 , SB1642 , SB1150 , SB1757 , SB2050 , SB1138 , SB2051 , SB2626 , SB2458 , SB1864 , SB30 , SB2201 , SB1862 , SB1583 , SB1055 , SB2660 , SB1898 , SB2662 , SB2161 , SB2964 , SB2881 , SB1065 , SB801 , SB2743 , SB2533 , SB1413 , HJR4 , SB2073 , SB3014 , SB3013 , SB2774 , SB2702 , SB2629 , SB2443 , SB2349 , SB2167 , SB2145 , SB2121 , SB758 , SB648 , SB647 , SB512 , SB438 , SB1721 , SB2268 , SB1495 , SB2705 , SB2366 , SB1422 , SB1369 , SB1013 , SB682 , SB2692 , SB2570 , SB2797 , SB2111 , SB1896 , SB1164 , SB1020 , SB663 , SB2371 , SB1152 , SB2196 , SB2383 , SB2581 , SB2798 , SB330 , SB646 , SB843 , SB1998 , SB1418 , SB2788 , SB1169 , SB2873 , SB1754 , SB1534 , SB1718 , SB2779 , SB2004 , SB1143 , SB1756 , SB912 , SB2119 , SB2032 , SB527 , SB1580 , SB1952 , SB2601

Transcript Highlights:

• </c><01:25:14.080><c> I</c> the services available as reimbursable I the services available as reimbursable
• </c><01:27:51.400><c> Mental</c> the current law for reimbursing Mental the current law for reimbursing
• </c> I want to point out the reimbursement I want to point out the reimbursement rate<01:38:09.719><c
• </c><01:38:13.159><c> rate</c> no data that this reimbursement rate no data that this reimbursement rate
• </c><01:39:09.960><c> of</c> they can't rely on reimbursements of they can't rely on reimbursements of

Committee: House Health

Summary: The committee first took up SB 1494 on hearing aids. Testimony was generally supportive of expanding hearing-aid coverage, with the Insurance Division raising concern about possible federal defrayment issues, SHPDA supporting the goal of hearing augmentation, DCAB strongly supporting the bill as an important access issue, and health plans and insurers asking for amendments. Kaiser Permanente and the Hawaii Association of Health Plans requested changes to add a medical-necessity standard and clarify annual notice language, while HMSA suggested the proposal should be studied by the auditor. The chair noted concerns about federal preemption and the lack of an audit, and deferred the bill in favor of a related resolution calling for a study. The committee then heard SB 1448, an emergency appropriation for the Hawaii State Hospital. DAGS and the Department of Health supported the measure, with the hospital administrator saying the funding would improve the environment of care, support cleaning, and allow a third-party review of the building. Committee members questioned the size of the request and the status of litigation against the design-builder. Administration witnesses said they were pursuing a comprehensive study involving destructive testing, had made a demand on the design-builder to fund the study, and were using different processes than before. They also said the roof work would be handled through a separate CIP request. No final action was taken in the portion provided. The committee next heard SB 1432, relating to the future responsibilities of the Department of Health and land issues at Kalaupapa after the last patient dies. DOH supported the bill in part but said its long-term role would be limited mainly to environmental cleanup, with operations expected to continue under the National Park Service and land-use decisions left to DHHL and beneficiary consultation. DHHL asked that the measure reflect that any land-use or zoning changes on homeland lands require commission approval and beneficiary consultation. Testifiers from Kalaupapa and Maui County, including Degra Vanderbilt-Papa and Council Member Keani Rollins-Fernandez, supported deferring the bill, saying there had been no meaningful community discussion about provisions affecting Kalaupapa’s future management and possible transfer of responsibilities to Maui County. The committee also read into the record written testimony from Gloria Marks emphasizing that Kalaupapa stakeholders must be included in future discussions. Finally, the committee heard SB 955 on fitness-to-proceed examinations. The Judiciary and the Public Defender’s Office both supported raising pay and standardizing expectations for private examiners, but opposed reducing felony fitness evaluations from three examiners to one and opposed expanding use of expedited reports. They argued that a single examiner would reduce reliability, create a more adversarial process, and likely increase costs and contested hearings, while expedited reports do not contain enough information for a proper fitness determination. The Department of Health also supported the bill’s intent but asked to preserve a three-examiner framework and said the goal was to reduce the number of people sent to the State Hospital, where admissions have reportedly risen about 20% year over year since Act 26. The bill remained under discussion in the excerpt, with no final vote shown.

Transcript Highlights:

• We encourage your support to allow pharmacists to be able to get reimbursed for clinical services that
• We encourage your support to allow pharmacists to be able to get reimbursed for clinical services that
• Payment bills specifically, those are listed within a scope of practice.
• If we start putting services in a payment bill, we’ll be chasing those back and forth.
• Through a federal award, we reimbursed pharmacists for managing medications among high-risk patients

Committee: House Consumer Protection & Commerce

Summary: The committee heard several measures, beginning with SB 1046 SD1 on condominiums. Testimony on that bill focused on reserve funding and enforcement of reserve study requirements. The Community Associations Institute opposed the bill, saying it would create hardship, confusion, and be difficult to administer, while also urging stronger penalties for boards that fail to comply with reserve study rules. The Real Estate Commission offered comments, and one testifier spoke in support. No vote was taken during the portion provided. The committee then heard SB 532 SD2 HD1 relating to the Department of Education, which would improve access to pre-approved medications for students with health conditions at school and during off-campus activities. The Department of Health, University of Hawaiʻi nursing and medical programs, and the Department of Education all supported the measure, with DOH suggesting amendments to better identify the correct student and improve medication safety. Members had no questions, and the bill moved on. Next was SB 1245 SD2 HD1 relating to pharmacists, a bill to allow reimbursement for clinical services pharmacists are already trained and licensed to provide. The University of Hawaiʻi, Board of Pharmacy, Walgreens, Mikai Drugs, and the Hawaiʻi Pharmacists Association supported the bill, emphasizing improved access to care, recruitment and retention of pharmacists, and better chronic disease management. The Hawaiʻi Pharmacists Association also discussed proposed amendments to prevent plans from denying coverage or network participation when pharmacists meet credentialing requirements. Members questioned whether insurers would actually use pharmacists and how the bill would affect pay and contracting; no vote was taken in the excerpt. The committee also heard SB 1279 SD2 HD1, another pharmacists bill focused on telepharmacy and 340B-related issues. The Department of Corrections and Rehabilitation supported it, saying telehealth could reduce costs and avoid travel for audits, while the Board of Pharmacy opposed it. Lānaʻi representatives opposed the bill and asked for an exemption, arguing the island already has close in-person access to a resident pharmacist and clinics. The Hawaiʻi Primary Care Association supported the measure, citing large patient savings from 340B pricing, while Mikai Drugs opposed it, arguing that mail-order and telepharmacy are not necessary on some islands and can create delivery and medication-safety problems. Members asked questions about insurer participation, scope of practice, and whether the bill would meaningfully change reimbursement; the transcript ends before any final action or vote.

Transcript Highlights:

• If we delay the payment of those monthly payments by a few days, a couple of weeks, that takes that 24th
• If we delay the payment of those monthly payments by a few days, a couple of weeks, that takes that 24th
• If we delay the payment of those monthly payments by a few days, a couple of weeks, that takes that 24th
• payments to the um withhold for Medicaid payments to the county<05:35:54.240><c> plus</c><05:35:54.558
• </c> um item the new item reimbursing um item the new item reimbursing counties<05:36:10.958><c> for<

Summary: The committee first considered House Bill 66, a right-to-know measure that would broaden access from “citizen” to “person,” including out-of-state requesters. Members also adopted an amendment removing the current no-filing-fee provision for appeals of unfavorable right-to-know ombudsman rulings, citing budget concerns. The bill was then reported ought to pass as amended on a 16-9 vote, with a minority report requested. House Bill 187, which would let a parent or guardian seek a protective order on behalf of a minor alleging abuse by someone outside the family or household, was described as a narrow fix with little fiscal impact. It passed unanimously, 25-0, and was placed on the consent calendar. House Bill 215, requiring landfill permit applicants to submit a report on potential harms and benefits, was retained because its policy had been folded into House Bill 2; the committee voted 25-0 to retain it. House Bill 219, dealing with renewable portfolio standard changes and lower renewable energy certificate values, drew opposition from members who said it would weaken renewable energy development and raise concerns about energy costs, but the motion to retain was adopted 14-11, allowing the bill to be moved into House Bill 2. The committee then retained House Bills 365, 552, 566, 572, 607, 611, and 624, all by unanimous or near-unanimous votes, generally because the relevant policy or funding had been incorporated into House Bill 2 or because the bills were viewed as technical or low-impact. HB 566 was described as a landfill leach-management bill with a fiscal note under $10,000 annually and was sent to consent. HB 572 and HB 607 were retained because their money components were moved into HB 2, though one member objected that HB 607 represented an unfunded mandate for the Hampton Beach Area Commission. House Bill 511, concerning ICE detainers and county detention practices, generated the most debate. Supporters said the amendment clarified how long counties may hold detainees without a federal contract and compared the detention period to existing bail rules; opponents argued the bill could sanction detention of people not charged with crimes and raised due-process concerns. The committee adopted the amendment 14-11 and then reported the bill ought to pass as amended on another 14-11 vote, with a minority report requested. House Bill 639, involving securities and digital currency issues, was also reported ought to pass after members noted unresolved concerns but said the Secretary of State’s Securities Division was willing to continue working on it in the other body; the vote was 16-10.

Transcript Highlights:

• We had seen, after a number of years of fee-for-service Apple Health dental program reimbursement rates
• In the 2023 to 2025 operating budget, the legislature created a pilot program to reimburse a licensed
• It requires HCA to submit a state plan amendment by July 1, 2027, to allow for facility-based payments
• Senate Bill 6094 provides a bundled payment mechanism for long-term sustainability that's a model not
• An alternative approach would be to consider a federal waiver to allow for payment, with obvious consideration

Summary: The committee first heard Senate Bill 5899, which would create a chiropractic license endorsement allowing qualified chiropractors to perform chiropractic diagnosis and adjustments on non-human animals. The sponsor described it as a complementary tool to veterinary care, especially in rural areas with limited access to veterinarians. Testimony was mixed: supporters said the bill would expand access to animal chiropractic with training, certification, and veterinary referral to non-chiropractic issues, while opponents from the veterinary community warned about animal and public safety, disease detection, and the lack of a required veterinary referral. The hearing on SB 5899 was suspended and later reopened; testimony concluded with strong support from animal chiropractic practitioners and opposition from veterinarians, and the committee noted 57 signed in pro, 4 con, and 1 other. The committee then held a work session on dental workforce shortages. Presenters from the CORA Foundation, the University of Washington Center for Health Workforce Studies, tribal dental programs, and the Washington State Dental Association described major access gaps, especially for Apple Health enrollees, rural communities, and communities of color. They highlighted low preventive-care utilization, high rates of untreated decay, workforce vacancies for hygienists and assistants, and the value of career ladders such as community health aides and proposed oral preventive assistants. Several speakers emphasized that training pathways, retention, and sustained Medicaid reimbursement are key to improving access and keeping providers in the system. Senate Bill 6138, requiring a multi-provider system for dental procedures performed under deep sedation, drew testimony centered on patient safety after recent deaths in dental settings. The sponsor said the bill responds to a pattern of tragic incidents and would ensure one person is dedicated to monitoring sedation. Supporters from anesthesiology and some oral surgery groups backed stronger monitoring requirements, while oral surgeons and dental representatives argued the current rules already require multiple trained personnel and that the bill could reduce access and increase costs, especially in rural and Medicaid-serving practices. The committee then heard Senate Bill 6072, which would update veterinarian-client-patient relationship rules to allow telemedicine-based relationships and limited telehealth services; animal welfare and veterinary telehealth advocates supported it as an access-to-care measure, while the veterinary association sought clearer guardrails and federal-law language. Finally, the committee heard Senate Bill 6094 on pediatric transitional care services, which would create a Medicaid payment pathway and related program changes for residential care for substance-exposed infants; supporters said the model helps infants and parents, improves outcomes, and is financially unsustainable under current funding, and the hearing began with testimony in favor before time expired.

Transcript Highlights:

• I do not have the ability to accept a client's insurance as payment like doctors do.
• </c><00:30:41.279><c> Massage</c><00:30:41.840><c> therapy</c> payment like doctors do.
• Massage therapy payment like doctors do.
• </c> because it's not a reimburseable because it's not a reimburseable service.<01:16:20.560><c> Um</
• So, as you know, FQCs are reimbursed using a different model than traditional Medicaid.

Bills: HF362 , HF2590 , HF2760 , HF3444

Committee: House Health Finance and Policy

Transcript Highlights:

• addition to provider networks, the Florida Dental Association expresses concerns related to Medicaid reimbursements
• Florida dental Medicaid reimbursement rates for dentists are one of the lowest of all states, possibly
• We are discussing these issues concerning Medicaid reimbursement rates.
• Payment, would you like to close on your bill? I will simply say, thank you so much, Madam Chair.

Transcript Highlights:

• The legislative council policy prohibits travel or reimbursable travel at least until July 1st of 2025
• Accounting for council service will also be processing any payments that are submitted for reimbursement
• At this time, the council policy does limit travel and reimbursement until after July 1st, 2025.

Committee: Senate Senate Finance

Transcript Highlights:

• </c> vendors which administer SNAP payment vendors which administer SNAP payment systems<00:24:28.159
• As of today, Hawaii has waited nearly 30 days for reimbursement.
• </c><00:56:12.720><c> was</c><00:56:13.200><c> within</c> received reimbursements was within received
• </c> waited nearly 30 days for reimbursement. waited nearly 30 days for reimbursement.
• </c> If Hawaii does not receive reimbursement If Hawaii does not receive reimbursement by<00:56:40.960

Summary: The Judiciary Committee held an informational briefing on the State of Hawaii’s affirmative litigation against the federal administration, with no public testimony. Attorney General Lopez and deputies said the office’s goal is to enforce the rule of law, not make partisan points, and noted that Hawaii is involved in 27 ongoing cases. They grouped the cases into four broad areas: immigration, funding freezes and grant terminations, federal agency dismantling/reductions in force, and protecting elections, health, and safety. Several immigration-related cases were discussed in detail. These included a challenge to the federal sharing of Medicaid data with DHS for immigration enforcement, a similar challenge to USDA’s demand for SNAP applicant and recipient data, and litigation over immigration-enforcement conditions attached to federal grants. The office also described the birthright citizenship executive order, saying it conflicts with the 14th Amendment and Supreme Court precedent; lower courts granted preliminary relief, and the U.S. Supreme Court later addressed only the scope of nationwide injunctions, not the merits. In the Department of Transportation case, the court granted a preliminary injunction against the “Duffy directive,” finding the immigration conditions lacked statutory authority, were arbitrary and capricious, and violated the Spending Clause and APA. The briefing also covered multiple funding disputes. In the education funding freeze case, the Department of Education and OMB withheld about $6 billion in formula funds, including roughly $33 million for Hawaii; after suit was filed, the funds were released. Other cases included the termination of over $11 billion in public health grants, which affected Hawaii Department of Health grants, the NIH indirect cost cap case, and NIH grant terminations tied to DEI, transgender issues, and vaccine hesitancy. The speakers said some cases have already resulted in preliminary or permanent injunctions, while others remain on appeal or are still being litigated.

Transcript Highlights:

• Well, the federal mandate that did retract supplemental payments for care.
• to insurers on behalf of enrollees or direct payments to enrollees to cover the cost offsets.
• They assume no payment obligations, and they can stop working with us at any time.
• But that payment is by the community.
• And then the rest of this bill talks about things like payment.

Committee: House Health and Mental Health

Summary: The House Committee on Health and Mental Health met in executive session and advanced several bills. HB 1881 was voted do pass without discussion. HB 3010 was amended with a committee substitute that removed a subsection allowing payers to remove “gold carding” based on procedure volume changes, then passed 10-0. HB 2355, the “Food is Medicine” bill, received a committee amendment to align terminology with other partnerships and then passed 11-0. HB 1855, dealing with alpha-gal reporting, was substantially revised: the substitute narrowed the bill to alpha-gal, removed Lyme disease, changed a department duty from mandatory to discretionary in one section, and delayed reporting implementation; it then passed 14-0 after members discussed the need for better disease tracking and the department’s workload. The committee then heard testimony on HB 2034, which would require insurance coverage for activity-based prostheses, orthotics, and high-performance or mobility-supportive wheelchairs. Sponsor Representative Carolyn Caton said the bill is intended to cover devices that help people live, exercise, and avoid secondary health problems, while preserving prior authorization and medical-necessity review. Supporters included clinicians, parents, amputees, and athletes who described being denied running blades, water-safe prostheses, or durable wheelchairs and said the devices are essential for health, independence, mental well-being, and participation in school, work, and sports. Several witnesses said the bill would reduce long-term costs and reliance on charity. Opponents, including the Missouri Insurance Coalition and America’s Health Insurance Plans, argued the bill is an expansion of coverage with unclear definitions and potentially significant costs, especially for Medicaid and other state-regulated plans. They cited the fiscal note, warned about possible federal ACA rule changes that could shift costs to states, and questioned whether the bill’s language on Medicare supplemental coverage and “perceived disability” was workable or preempted. Committee members pressed both sides on cost savings, definitions of “normal” activity, and whether the bill could be narrowed or otherwise revised, and several said they were willing to keep working on the issue. The hearing on HB 2034 was left open and then recessed after testimony, with no vote taken in the portion provided.

Transcript Highlights:

• was notified by one of the banking institutions that the name on the account and the name on the payment
• was notified by one of the banking institutions that the name on the account and the name on the payment
• The district recovered $1.5 million from the bank, and the vendor agreed to reimburse the district $204,890
• with monthly installment payments, resulting in a loss to the district of $204,890.
• Talk about the issues on altered checks, electronic payments being, you know, any type of banking information

Committee: All LEGISLATIVE JOINT AUDITING-EDUCATIONAL INSTITUTIONS

Transcript Highlights:

• And this would allow the district Little Falls to be eligible for reimbursement for expenses.
• There is, you'll notice, a payment in fiscal year 2026 of about $2.4 million.
• the second year to adjust for payment the second year to adjust for any<01:07:10.240><c> changes</c>
• </c> payment for fiscal year 2025. payment for fiscal year 2025.
• This money is deposited into the special revenue fund, and payments are made from there.

Committee: Senate Finance

Transcript Highlights:

• <00:02:34.360><c> methodologies</c><00:02:35.160><c> for</c> reimbursement methodologies for reimbursement
• It authorizes the state or a political subdivision of the state to accept specie for certain payments
• A person is not required to accept specie as payment.
• A person is not required to accept specie as payment.
• </c><00:59:02.359><c> model</c> the payment model the payment model for<00:59:03.920><c> a</c><00:59: