Transcript Highlights:

• c> that elected official doesn't get to that elected official doesn't get to just<00:18:35.919><c> claim
• They would have just claim that space. They would have to<00:18:38.080><c> pivot.
• I think exposure matters.
• I think<00:33:48.159><c> exposure</c><00:33:48.640><c> matters.
• When you bring think exposure matters.

Bills: HF4479 , HF4368 , HF4889

Committee: House Higher Education Finance and Policy

Transcript Highlights:

• It's going to discourage legitimate claims.
• They can deny your entire claim.
• Is that a consequence of the initial claim, or is that now a new claim that's been brought out against
• Is that a consequence of the initial claim or is that now a new claim that's been brought out against
• When you file the claim, you're going to have to make an allegation of some nature to defend the claim

Summary: The committee first voluntarily deferred House Bills 460 and 561, then took up House Bill 1101 on workers’ compensation. The sponsor said the bill would define maximum medical improvement, adjust fraud provisions, shorten temporary total disability and supplemental earnings benefit periods, and revise vocational rehabilitation rules; an amendment removed proposed age-based termination language for benefits. Business groups including LABI supported the bill as a way to reduce Louisiana’s comparatively high indemnity costs and align the state with regional norms, while injured-worker advocates and attorneys strongly opposed it, arguing it would cut benefits, shift medical and disability decisions away from treating physicians and judges, broaden fraud too far, and potentially push costs onto public programs. After debate, the committee voted to report HB 1101 with amendments. House Bill 282 was voluntarily deferred. House Bill 293, which would add sexual orientation and gender identity to Louisiana employment discrimination protections, drew generally supportive testimony from the sponsor and supporters, with some members raising questions about religious exemptions and federal law. The committee ultimately voted against reporting HB 293 favorably. House Bill 390, providing unpaid leave protections for domestic abuse survivors at larger employers, was presented as a tool for survivors, but the committee split 6-6 on a motion to report it favorably; the tie resulted in the bill being voluntarily deferred. The committee then heard House Bill 456, which would expand workers’ compensation petition requirements and allow employers or payers broader access to file disputed claims and seek discovery. Supporters argued employers currently lack a practical way to obtain records and challenge claims without first cutting off benefits, while opponents said the bill would revive a rejected 2012 approach, increase litigation, and undermine the no-fault workers’ compensation bargain. The discussion centered on whether the bill would preserve benefits while allowing discovery or instead encourage more disputes and penalties. The transcript ends with testimony still underway on HB 456, with no final vote shown.

Transcript Highlights:

• He didn't even claim privilege.
• I'll be a champion claiming your victory. So give me faith to life, Daniel, and the lion's den.
• Aims to modernize the legal framework regarding tort claims and liability for state agencies.
• in place at the time a claim accrues would apply.
• It similarly only applies to claims after October 1st.

Transcript Highlights:

• One obviously is the fentanyl exposure in the drug supply.
• One obviously is the fentanyl exposure in the drug supply.
• So, we have claims data for individuals who have a substance use disorder who's been in Medicaid.
• . in terms of unique claims for mental in terms of unique claims for mental health<01:14:35.360><c> prescriptions
• So, so I think that claims.

Summary: The committee met on January 23, 2026, to approve prior minutes and receive an update from the Department of Health and Human Services. The main presentation focused on “Project Compass,” an internal cross-department effort to prepare for changes to Medicaid and SNAP eligibility. Department staff said the goal is to maintain continuous coverage for eligible people, align policy, operations, communications, legal, finance, and eligibility work, and use the new integrated New HEIGHTS system to streamline implementation. They emphasized outreach to beneficiaries, providers, managed care organizations, and other partners, and said temporary manual workarounds had already been used to stay in compliance with fast-moving SNAP changes. Members questioned how the department would avoid repeating the costly outreach effort used in a prior Medicaid work-requirement rollout. Department officials said they are focusing on ex parte processes, sharing eligibility information across programs, and using community partners to reduce duplicate contacts and paperwork. They also said the department is monitoring the SNAP error rate closely, expects automation and a planned system contract amendment to help reduce it, and noted that current error rates are trending downward and remain below the national average. Questions were also raised about possible future SNAP restrictions on certain foods; the department said it can implement whatever the legislature directs, but that defining and administering such restrictions would be complex. The commissioner and CFO then outlined the department’s budget reduction plan. They said the department has begun implementing required “back of the budget” reductions for fiscal year 2026, using contract savings and not cutting existing services where possible. Examples included dental and home-visitation contracts, where spending was adjusted based on utilization and projected need. Officials said they had already written down a little over $15 million in prior-year encumbrances, but that this one-time source will not be available next year, making fiscal year 2027 more difficult. They also explained the difference between legally required back-of-budget cuts and lapse, and said staffing remains a major challenge because vacancies have increased and customer-facing service levels are strained. Dr. Jonathan Ballard then began an update on opioid overdose fatalities, presenting the latest medical examiner data and describing the long-term rise in deaths after fentanyl entered the illicit drug supply, with a peak in 2017 and a later increase in 2022. The transcript cuts off before his full presentation and any further committee action beyond discussion of the minutes and receipt of the department updates.

Transcript Highlights:

• Expanding the penal code for endangering these vulnerable populations through the use or exposure of
• law enforcement's ability to address endangerment cases by clarifying what constitutes reckless exposure
• these substances in a negligent manner that increases the likelihood of accidental ingestion or exposure
• Including the way the law currently stands right now presumption of danger based upon the use or exposure
• Highly conflicted and contested fact witnesses where they claim their innocence.

Bills: HB36 , HB75 , HB76 , HB166 , HB799 , HB 1135 , HJR15 , HJR16 , HB36 , HB75 , HB76 , HB166 , HJR15 , HJR16

Committee: House Criminal Jurisprudence

Keywords: family violence, global positioning monitoring system, victim resources, electronic monitoring, protective orders, magistrate, criminal procedure, probable cause, written findings, law enforcement, bail bonds, bail fund, charitable bail fund, nonprofit bail organization, public funds, local government spending, political subdivision, county, city, taxpayer lawsuit

Transcript Highlights:

• would like to emphasize that these figures are intended to provide directional estimates and do not claim
• the U.S. are located outside of the state, in the Midwest and the East, adding another logistical exposure
• We begin by assuming that the exposure exists, and we will only reject that assumption if sufficient
• requirements, similar to LSPA, bar entities linked to China, Russia, Iran, and North Korea from claiming
• equipment sourced from these countries can be used in power generation and storage facilities that claim

Committee: Senate Business & Commerce

Transcript Highlights:

• tobacco taxes help to raise revenue, and specifically they help people quit, despite cross-border sales claims
• higher tobacco taxes decrease accessibility to tobacco products, decreasing the risk of tobacco exposure
• To be eligible for tax relief, a homeowner must be 61 years old in the year the exemption claim is filed
• Exemption claim is filed or retired by reason of physical disability and meet certain income requirements
• They're claiming that architectural oversights add to the cost, even in schools of very similar design

Bills: SB6073 , SB6113 , SB6116 , SB6129 , SB6162 , SB6114 , SB5857

Committee: Senate Ways & Means

Keywords: SB 6073, LEOFF, Law Enforcement Officers' and Fire Fighters' Retirement System, retirement system, pension, public safety retirement, wildland firefighter, aviation firefighter, wildland fire, forest firefighter, Department of Natural Resources, DNR, firefighter benefits, retirement benefits, service credit, disability retirement, survivor benefits, employer contributions, Washington RCW, public employees

Transcript Highlights:

• everybody, even if the folks at BMC, as you said, probably have protocols for addressing xylazine exposure
• even if, you know, the folks at BMC, as you said, probably have protocols for addressing xylazine exposure
• of baseline knowledge in those communities versus communities that haven’t had similar rates of exposure
• The recommendation can be wound care for xylazine exposure should be made available to first responders
• referencing nursing staff, ED, and then people who may engage, or I guess be at greater risk for exposure

Summary: The Working Group on Education and Training of the Special Commission on Xylazine held its first meeting to begin developing findings and recommendations on education and training for first responders, the medical community, the substance use treatment community, and people who use drugs. Members discussed the need for baseline information on what xylazine is, its clinical effects and harms, signs of exposure or poisoning, wound care, and immediate response steps, while also noting that training should be tailored by audience, geography, and role. Several members emphasized that the training should be practical and action-oriented, helping people recognize xylazine exposure and know what to do next, including whether naloxone is relevant and how to reduce risk and mitigate harm. A major theme was whether the group should recommend a needs assessment or survey to identify what different audiences already know and what they still need to learn. Members suggested that BSAS, DPH, local public health departments, licensing boards, and other stakeholders could help gather this information, and that existing resources such as DPH materials, MADS data, Brandeis materials, and trainings already being funded at BMC should be reviewed. The group also discussed the importance of using plain language for non-clinical audiences while still including clinical detail for providers, and of distinguishing between clinical and non-clinical training tracks. The working group agreed to divide into subgroups: Senator Keenan will focus on first responders, Dr. Simon on the medical community, and Millie Batiya on the substance use treatment community, while Chair Domb will focus on people who use drugs. Staff will send meeting notes, an early draft PowerPoint framework, and a shared Google Drive folder for materials. Members were asked to gather sources and ideas by November 25 ahead of the December 11 public meeting. The meeting ended with a motion to adjourn, a second, and unanimous thanks to staff and participants.

Transcript Highlights:

• This is amending RSA 639-A:1 that presently pertains only to methamphetamine exposure to add exposure
• <01:03:20.440><c> deaths</c><01:03:21.440><c> and</c> exposure deaths and exposure deaths and non-fatal
• According non-fatal critical exposures.
• </c> Londereerry died from fentanyl exposure. Londereerry died from fentanyl exposure.
• Even trace amounts, opioid exposure.

Committee: Senate Children and Family Law

Transcript Highlights:

• , These occurred primarily during training, nighttime combat equipment parachute jumps, repeated exposure
• Over 25 years, that is constant exposure. That's post-traumatic stress. It's acute. It's chronic.
• We don't do that for our mental health exposures. We don't have time off baked in.
• And that compounding, consistent, repeated exposure is killing our people.
• And that compounding, consistent, repeated exposure is killing our people. and Repeated exposure is killing

Summary: The Senate Ad Hoc Committee on Access to Breakthrough Mental Health Therapies met to discuss psychedelic-assisted treatments for serious mental health conditions, with a focus on psilocybin, ibogaine, MDMA, and related compounds. The chair framed the issue as a clinical and access problem for veterans, first responders, and others with PTSD, depression, TBI, addiction, and suicidal ideation, emphasizing that these therapies are intended for supervised medical settings rather than take-home use. Members reviewed research claims and policy trends, including FDA breakthrough therapy designations, state-level psychedelic legislation, and the role of Arizona’s right-to-try law in expanding access once federal approval is in place. Testimony came from Alan Mullen, a retired Army Special Forces veteran, who described his PTSD/TBI history and said ibogaine treatment helped him confront trauma and showed promise in reducing symptoms under strict medical monitoring. Dr. Sue Cisley of Scottsdale Research Institute described ongoing FDA-controlled trials in Arizona, said current medications often fail high-need patients, and urged removal of research barriers and preparation for right-to-try and expanded access. Dan Freiberg of the Professional Firefighters of Arizona said firefighters face chronic exposure to trauma, often rely on alcohol or other coping mechanisms, and need effective alternatives beyond traditional therapy. Dr. Chung Trin discussed late-stage psychedelic trials, the FDA breakthrough pathway, safety oversight, and the need for state readiness when approvals occur. Committee members asked about how the treatments work, whether they require psychotherapy support, safety concerns including suicidality and black-market abuse, patenting and synthetic versus natural versions, and costs compared with ketamine and other treatments. Witnesses said the therapies are administered with extensive screening, monitoring, and integration support, and argued that addiction potential appears low under medical supervision. The discussion ended with interest in sending correspondence to federal officials to support right-to-try cooperation and in continuing the research and policy work; no formal vote or action was taken in the portion provided.

Transcript Highlights:

• that exceed federal ozone standards, and over 5,000 premature deaths occur annually as a result of exposure
• Despite claims of significant and dramatic gas price spikes from the amendments, reported data shows
• two decades of implementing climate and environmental policy, we have seen time and again dramatic claims
• I think it's integral to this program doing what it claims to do.
• Seton and others have claimed that these projects are causing an expansion of the dairy sector.

Summary: The hearing was a select committee discussion on the transportation costs and impacts of California’s Low Carbon Fuel Standard (LCFS), with opening remarks from the co-chairs and members emphasizing affordability, climate goals, and the need to explain the program’s benefits to the public. The first panel from CARB and the California Energy Commission described how LCFS works as a market-based, declining carbon-intensity program that rewards lower-carbon fuels, supports zero-emission vehicle infrastructure, and is intended to reduce greenhouse gases and local air pollution. They argued the program has driven billions in private investment, increased alternative fuel use, and that LCFS credit prices are not the main driver of retail gasoline prices, which they said are dominated by crude oil, refining, and distribution costs. Members questioned the panel on the gap between the regulatory target and actual carbon-intensity performance, the role of credit banking, which fuels are generating the most credits, how the 2025 amendments affected the program, and whether LCFS credits are truly additional. CARB explained that banking helps cost-effectiveness and investment certainty, that ethanol, renewable diesel, and biodiesel currently provide the largest volumes while electricity is expected to grow, and that the updated targets were informed by the state’s 2045 carbon-neutrality goals and the 2030 scoping plan. The Energy Commission said its data show environmental programs add some cost to gasoline but do not drive price volatility, which is mainly tied to crude oil and refinery margins. The second panel, featuring academic and research experts, focused on program design, out-of-state credit generation, and broader economic effects. Speakers said LCFS is successful because it ties incentives to emissions benefit, uses life-cycle analysis, and allows flexible compliance that lowers costs compared with more direct regulation. They also said the program’s benefits generally outweigh costs, that it can reduce air pollution disparities and support equity, but that some issues—especially indirect land use change, additionality, and older program assumptions—need more research and may warrant future rulemaking. One researcher noted that while LCFS likely raises gasoline prices somewhat, the effect is uncertain by design and usually smaller than normal market fluctuations, and another warned that limiting credit generation too narrowly could create legal and efficiency problems.

Transcript Highlights:

• remains in the public interest by protecting customers from cost increases caused by utilities' exposure
• It does not apply to past claims, and he reiterated the company's commitment to pay its $2 billion share
• It remains in the public interest, protecting customers from cost increases caused by utilities' exposure
• It does not apply to past claims, and I want to again make clear our company's commitment to pay its
• Um, I would say with respect to uniqueness in every other state they are paying claims, and so we're

Committee: House Finance

Transcript Highlights:

• This isn't something where a exposure.
• Federal partners have not set health-based indoor mold exposure limits.
• So it' have to be done housing claims.
• Rather, we impact discrimination claim.
• We know that small claims is just very ineffective.

Committee: House Housing

Transcript Highlights:

• Anytime that you cross those over, you have exposure to fraud.
• </c><00:21:03.200><c> to</c> cross those over, you have exposure to cross those over, you have exposure
• So, if you have where the exposure lies.
• Um, currently our claim notification page is actually tied to the KMA system.
• But we won't make the claim always has.

Committee: Joint Appropriations

Transcript Highlights:

• Insurance companies do not need to deny a claim to devastate a family. They only have to delay it.
• California claims that it wants to lead in advanced manufacturing, clean technology, and innovation.
• And it prohibits some unreasonable bases for non-renewal, including the idea that the claim was made
• below the policyholder's deductible, claims made that the insurer did not pay for, and claims not covered
• made that the insurer did not pay for, claims not covered by the policy, just to name a few.

Summary: The Senate convened with a quorum, approved prior journals, and moved through confirmations and floor items. Doreen DiAmico was confirmed to the State Water Resources Control Board by a 34-1 vote, Dr. Anne Maria de Mars was confirmed to the State Athletic Commission by 36-0, and Ronald Fiore was confirmed to the State Athletic Commission by 36-0. The body then took up SB 73 on election security, with supporters arguing it would protect ballot chain of custody and prevent intimidation or unauthorized access to voting materials, while opponents raised concerns about transparency, federal preemption, and the bill’s impact on investigations. SB 73 passed on concurrence and urgency with 29 ayes and 8 noes on both the urgency clause and the measure. The Senate also approved SB 929 on annual Energy Commission oversight (37-0), SB 1370 on wildfire-related testimony/oversight (28-5), SB 983 authorizing Port of San Diego job order contracting (28-8), SB 1367 restricting local approval of new or converted private detention facilities (28-8), SB 1257 requiring annual reporting on immigration enforcement incidents (28-8), and SB 1103 requiring large home improvement retailers to report immigration enforcement activity and related records (23-8). SB 1399, which removes the sunset on DOJ reviews of immigration detention facilities, passed 28-7, and SB 873, “ICE Out of Courts,” passed 28-7 to limit arrests near courthouses without a judicial warrant. Later, the Senate passed SB 1292 creating a pilot for camera- or sensor-based curb management with human review and privacy safeguards, despite opposition over privacy and automation concerns, by 28-7. SB 878 strengthened prompt-payment insurance penalties for delayed claims after disasters and passed 29-6. SB 958, a CEQA clarification related to housing and building height impacts, passed unanimously 37-0. SB 924 modernized low-income energy assistance services and passed 35-1. SB 1057 on certification for nurse assistants and home health aides passed, as did SB 1092 giving mobile home residents a chance to bid on park sales (29-7), SB 1123 requiring agencies to consider consumer and other benefits in rulemaking (26-8), SB 1233 increasing utility rate transparency (29-8), SB 1237 strengthening pay data reporting enforcement (28-6), SB 886 shifting data center infrastructure costs away from existing ratepayers (28-6), SB 905 reforming utility incentives and performance metrics (28-8), and SB 909 strengthening public works wage enforcement (28-7). The final item shown, SB 925 on fusion energy roadmap development, passed unanimously 37-0, while SB 954 on CEQA and advanced manufacturing drew extensive debate over environmental guardrails versus economic competitiveness; the transcript cuts off during closing remarks before the vote is shown.

Transcript Highlights:

• Because I think the exposure that many of us, because of your work, have had to this issue, have been
• Universities—what's happening today is whenever we issue a claim for remains, the university sends a
• As long as they submit a claim, that claim stops.
• Wilton offered to work with us, but then we had that same thing where they send the claim out and all
• There's also a person there who, you know, was fraudulent and claiming to be a tribe.

Summary: The joint hearing of the Select Committee on Native American Affairs and the Joint Legislative Audit Committee focused on the University of California’s compliance with NAGPRA and CalNAGPRA and the return of Native American human remains and cultural items. Senators and Assembly Members opened by emphasizing the sacredness of repatriation, the ongoing trauma caused by delayed returns, and the need for stronger systemwide accountability. The State Auditor presented the third audit of UC’s repatriation efforts, concluding that UC still lacks the urgency, oversight, and clear timelines needed to promptly return remains and belongings. The audit found thousands of remains and hundreds of thousands of cultural items still in UC custody, new undisclosed collections at several campuses, weak budgeting and underspending, and repatriation plans that often lacked concrete deadlines. The auditor recommended stronger UCOP oversight, performance metrics, proactive searches for undiscovered items, and possible legislative action to tie funding to measurable progress. UC officials responded that the system is committed to full compliance and has accelerated its work since adopting a new policy in 2022. UC Provost Catherine Newman said the system repatriated more than 2,800 ancestors and nearly 80,000 funerary belongings in the past year, and that UC now says 80.3% of Native American remains are either repatriated or available for repatriation. UC announced a new systemwide plan to complete repatriation of human remains by the end of 2028, to finish high-risk campus reviews by June 2026, to recall all loans by January 2026, and to require quarterly reporting to UCOP. UC also said it will spend an additional $8.8 million over three years, expand staffing, improve databases, support tribal consultation costs, and identify potential reburial sites on UC land. Berkeley and San Diego described increased staffing, consultations, and repatriation activity, while Santa Barbara said it had corrected earlier omissions, notified tribes about previously unreported ancestors, and was working toward completing repatriations and updated inventories. Committee members pressed UC on why progress has been so slow, why the audit’s timelines differed from UC’s public reporting, and whether the 2028 goal applies only to human remains rather than all cultural items. UC said the 2028 target is for human remains, while cultural items will take longer, and acknowledged that more work remains. Members also asked about the technical expertise needed for repatriation, the role of tribal experts, and whether repatriation should be embedded more permanently in UC governance or statute. Tribal leaders and representatives then testified that remains and belongings were taken without consent and must be returned with tribal consent and leadership. They criticized the repeated delays, stressed that tribes are the experts on their ancestors and cultural heritage, and urged UC to treat repatriation as a top priority and to return all associated items, not just human remains, so ancestors can truly rest.

Transcript Highlights:

• This is a settled claim with... Thank you, Mr. Chair.
• This is a settled claim with DCF, which the department has agreed not to oppose, to award $3.8 million
• The claim bill is based on a $4 million settlement and consent final judgment entered by the court as
• It also bars insurers and HMOs from denying claims when such devices are needed to restore or maintain
• We will face not just a Florida problem, ...Exposure to these actors spreads out the risk.

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

Committee: Senate Appropriations

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

Transcript Highlights:

• - I would say it's all about exposure.
• It's all about exposure to the different industries that can take place here in the islands, seeing more
• by facilitating, being able to bring these organizations here to create the jobs, to create the exposure
• - I would say it's all about exposure.
• It's all about exposure to the different industries that can take place here in the islands.

Committee: Senate Economic Development and Tourism

Summary: The Senate Committee on Economic Development and Tourism heard several governor’s nominations for advisory and regulatory boards. The first group included William Smith, Michelle Ige, and Kayana Neman for the Community-Based Economic Development Advisory Council; Leland Park and Cynthia Hobson for the Small Business Regulatory Review Board; and Nicole Kacal for the Hawaiʻi Technology Development Corporation board. DBEDT and related witnesses testified in support of all nominees, and each nominee described experience in small business, finance, community engagement, or technology. Much of the discussion focused on strengthening Hawaiʻi’s economy through small business support, financial literacy, and better access to capital and grants. Committee members questioned nominees about priorities for Hawaiʻi Island and the state more broadly. Topics included agricultural infrastructure, value-added food production, shared processing facilities and commercial kitchens, workforce housing, and ways government and nonprofits can partner to help small businesses navigate permitting, licensing, and grant processes. Several nominees emphasized community impact, measurable outcomes, and practical regulatory reform. Nicole Kacal also discussed diversifying the economy beyond tourism, expanding technology and AI opportunities, and creating locally governed training and research pathways so workers can adapt to changing jobs. At the end of the hearing, the committee voted to recommend advice and consent for all nominees. The nominations for GM 608, GM 609, GM 612, and GM 613 were adopted by voice vote, with Senators Kim and Fevella excused. The committee then voted separately on GM 794 for Nicole Kacal, and that recommendation was also adopted. The hearing concluded with adjournment.

Transcript Highlights:

• They see children who profiles clearly fit for medical alcohol exposure, but there are few practical
• </c> by prenatal alcohol exposure. by prenatal alcohol exposure.
• c> alcohol</c> profiles clearly fit for medical alcohol profiles clearly fit for medical alcohol exposure
• , but there are few practical exposure, but there are few practical tools<00:26:59.240><c> or</c><00:
• </c> you know, the exposure, right? you know, the exposure, right?

Bills: HCR18 , HCR32 , HCR35 , HCR105 , HCR173

Committee: House Health

Summary: The committee heard testimony on SCR 21 SD1, which asks Hawaii Health Systems Corporation’s East Hawaii Regional Health Care System to study the feasibility of a rural health clinic or similar access point for the Volcano community. Testimony in strong support came from HHSC representatives, Volcano residents, the Volcano Health Collaborative, the Rotary Club of Volcano, and others, who said the area has a clear need and that local primary and urgent care would align with regional plans. HHSC said it had already looked at the area, found no suitable temporary buildings, and would need a longer-term, capital-intensive solution, but that the study could help accelerate next steps. The committee then took up SCR 50 SD1, proposing a Hawaii Health Plan Working Group to design a basic affordable health plan for residents. Dr. Jack Lewin of SHIPTA said the state faces a growing uninsured population and argued for a short-term, lower-cost plan focused on preventive and primary care, drawing on the old State Health Insurance Plan as a possible model. Members asked about whether that prior program still exists and whether the working group should include the Hawaii Medical Association and Hawaii Primary Care Association; Dr. Lewin said the statute still exists but is unfunded, and that the group should be inclusive. The Department of Labor and other organizations also provided comments. For SCR 75 SD1, which urges a coordinated interdepartmental effort to reduce fetal alcohol spectrum disorder, Dr. Lewin and others said prevention, prenatal screening, and early intervention are needed because FASD is often hidden until later problems appear. Amanda from Hawaii FASD Action Group said current implementation under Act 192 is still largely a landscape analysis and that Hawaii lacks the infrastructure and specialists for a full system. Darlene Chance Govor urged adding the judiciary as a partner so juvenile justice and probation staff can be trained and referral pathways improved, while the Department of Health said it supports prevention but prefers a broader, systems-based approach focused on child needs and upstream care. The Disability Rights Center supported the resolution and asked for an earlier reporting date. The committee also heard SCR 149 SD1, which seeks an informal working group to address complex patients with multiple diagnoses involving substance use, mental health, or chronic physical illness. The Hawaii Substance Abuse Coalition and Ke Nui Malo strongly supported the measure, saying current siloed systems leave people bouncing between medical, mental health, and substance use providers without coordinated care, often ending up in crisis, emergency rooms, or the justice system. They said integrated residential care and a coordinated working group could improve outcomes and align with federal funding opportunities. The transcript ended before any final vote or action on the measures was announced, and SCR 109 was noted as withdrawn from the agenda.

Transcript Highlights:

• of a child or fentinel exposure of a child or vulnerable<00:10:28.360><c> adult.
• This is in conjunction with the bill on fentanyl exposure of children and vulnerable adults.
• This is in conjunction with the bill on fentanyl exposure of children and vulnerable adults.
• This is in conjunction with the bill on fentanyl exposure of children and vulnerable adults.
• This is in conjunction with the bill on fentanyl exposure of children and vulnerable adults.

Committee: House Public Safety Finance and Policy