Transcript Highlights:

• health care costs and health care health care costs and health care services services services &
• Residential care carries a significantly Residential care carries a significantly less<00:33:01.840><
• long-term care type facility. long-term care type facility.
• and then Aloha Care in support on Zoom? and then Aloha Care in support on Zoom?
• ,<00:43:39.320> also children exiting foster care, also children exiting foster care, also

Bills: SB2479, SB2557, SB2861, SB3204, SB3324, SB3325

Keywords: criminal procedure, family violence, dating violence, child abuse, evidence admissibility, reduced sentencing, homelessness, reporting requirements, statewide office, housing solutions, kauhale projects, public oversight, SB2861, Hawaii, Office of Wellness and Resilience, OWR, Department of Human Services, DHS, Kakou Pilot Program, Kakou

Summary: The committee heard testimony on several measures related to criminal procedure, homelessness, family resilience, Medicaid-funded services, and school Medicaid reimbursement. On SB 2479 SD2, the Judiciary testified in neutral opposition with concerns that the bill could require imprisonment even for probation-eligible defendants, expand sentence reconsideration in ways that could undermine finality for victims, conflict with existing sentencing statutes, and require additional judicial resources. The Office of the Public Defender supported the bill’s intent but asked for language changes so people serving sentences could raise the new evidence in Rule 40 petitions and so probation would remain available in appropriate felony cases. Written testimony also included opposition from several county prosecutors and police, and support from the Office of Hawaiian Affairs. The chair later deferred SB 2479 SD2, citing unintended consequences and problems with the bill. For SB 2557 SD1, which would require annual reporting by the State Office on Homelessness and Housing Solutions, the office said it supported the intent but noted it already produces annual and quarterly reports, that some requested data is already available, and that staffing and cost constraints could make the new reporting burdensome. The State Council on Mental Health supported the measure and suggested narrowing the reporting language to data on individuals with serious mental illness or co-occurring behavioral health conditions, to the extent practicable and in collaboration with relevant agencies. A committee member asked about the availability of point-in-time count data, and the office explained that some figures may not be available every year and may need to be generated through HMIS. Dr. Jack Lewin testified in support, saying the data would be useful for understanding health care costs. The committee passed SB 2557 SD1 with amendments, including a deferral of the effective date. The committee also heard SB 2861 SD2 and SB 3204 SD1, both family resilience pilot program measures. For SB 2861 SD2, the Office of Wellness and Resilience and DHS supported the bill but requested amendments to clarify that the office’s role is planning and advisory, that DHS is a key partner, and that federal compliance safeguards are included. The chair raised concerns about overlap with DHS’s existing Ka Ohana program and asked for language to avoid redundancy while allowing the bill to cover other at-risk children; decision-making was deferred to the next hearing. For SB 3204 SD1, which would create a peer-navigator-based family resilience pilot, the Office of Wellness and Resilience and DHS supported the measure, with the office requesting a two-year pilot period, and both agencies and several advocacy groups submitted support. The committee discussed funding, the proposed five peer navigators, and whether the pilot should be limited to one or two geographic areas; no final action was taken in the portion provided. The committee also heard and supported SB 3324 SD1 on Medicaid home and community-based services, with the Department of Health emphasizing caregiver shortages and the cost-effectiveness of community care, and SB 3325 SD1 HD1 on public school Medicaid reimbursement, where DOE and the Attorney General requested clarifying amendments to reporting language and position titles.

Transcript Highlights:

• behalf of the long-term care Imperative. behalf of the long-term care Imperative.
• decisions about their care or finances. decisions about their care or finances.
• bill for direct care and treatment. bill for direct care and treatment.
• Other healthc care information.
• direct care and treatment on this one. direct care and treatment on this one.

Bills: HF3935, HF2216, HF4354, HF4210, HF4212

Keywords: assisted living, healthcare, training, unlicensed personnel, resident rights, safety regulations, nursing home, long-term care, guardian, conservator, arbitration, mandatory arbitration, consumer protection, fee increase, rate increase, price hike, private pay, public funds, Medicaid, waiver services

Transcript Highlights:

• care, and economic opportunities. care, and economic opportunities.
• We have to be careful not to giveaway.
• Policy Foundation, Hawaii Primary Care Policy Foundation, Hawaii Primary Care Association,<00:36
• HP 2498 HD1 is relating to care homes.
• This is for HD1 relating to care homes.

Bills: HB2116, HB1879, HB2214, HB2310, HB2168, HB2427, HB2560, HB1596, HB2197, HB2498, HB2167

Keywords: grants, community engagement, nonprofit organizations, federal assistance, volunteering, youth transit, public transportation, subsidized transit, environment, energy independence, affordable transportation, Hawaii, diaper tax credit, families, low-income, childcare, health, Hawaii Department of Human Services, DHS, emergency appropriation

Summary: The committee heard testimony on several measures related to human services, homelessness, transit, and family supports. HB 2116 HD1, concerning grants from the Office of Community Services to nonprofits providing training and volunteerism opportunities, drew strong support from Catholic Charities Hawaii, Hawaii Children’s Action Network Speaks, and multiple organizations in written testimony. Supporters said the bill would help vulnerable people affected by federal program changes and cuts by connecting them to reintegration and support services. HB 1879 HD1, establishing a subsidized youth transit program coordinated with counties, received extensive testimony in support from the Department of Health, Department of Taxation, Climate Change Mitigation and Adaptation Commission, Aloha United Way, Hawaii Bicycling League, Hawaii Appleseed, Hawaii State Youth Commission, Hawaii Public Health Institute, Greenpeace Hawaii, Hawaii Youth Transportation Council, and others. Testifiers emphasized equity, school attendance, reduced transportation costs, climate benefits, and broader access for youth. Several witnesses urged amendments to make the program universal rather than means-tested, and committee discussion noted implementation questions for neighbor islands and rural areas. HB 2214, creating a refundable diaper tax credit for low-income families with children age four and under, was supported by the Hawaii Diaper Bank, Hawaii Children’s Action Network Speaks, and several other organizations. The Department of Taxation recommended making the credit non-refundable and clarifying definitions to aid administration, while supporters argued refundability was important for low-income families who may owe little or no income tax. HB 2310, an emergency appropriation to replenish DHS funds used to provide SNAP benefits during a federal shutdown, also drew broad support from DHS, Catholic Charities, Hawaii Public Health Institute, Hawaii Children’s Action Network Speaks, Hawaii Food Industry Association, Aloha United Way, and others; witnesses praised the state’s rapid response and said the appropriation would prepare DHS for future emergencies. The committee also heard HB 2168 HD1 and HB 2427 HD1 on education for students experiencing homelessness and unaccompanied homeless youth; the Attorney General recommended technical amendments to avoid conflicts with existing law and to clarify McKinney-Vento-related definitions, while advocates stressed the need for school access, transportation, meals, and other supports for homeless and runaway youth.

Transcript Highlights:

• Uh, I've seen a JP starter docket by angrily, preemptively declaring that she does not care if you have
• disregard the law, but rather people who must drive to keep their jobs, take their children to school, or care
• They can't take care of themselves. They don't know if danger is lurking.
• for continuous right now, that's the law, yes sir, and the difference that the footnote says is be careful
• Uh, sadly, we have more of these cases than we care to talk about in Chambers County because we have

Bills: HB316

Keywords: Medicaid, healthcare, affordable care act, medical assistance, federal funding

Transcript Highlights:

• cardiac unit at Saint Anthony's, where she's responsible for helping patients transition from intensive care
• I'm grateful for the care she provides our community, and please join me in welcoming her to the Senate
• when we're notifying law enforcement, that maybe that step is too soon if OMMA has not actually taken care
• This was formed several years ago specifically to develop the form that would be used so that memory care
• of like a truth in advertising a form that would actually disclose to people exactly what type of care

Bills: SB1238, SB1277, SB1304, SB1378, SB1423, SB1484, SB1501, SR32, SB1502, SB1721, SB1735, SB1832, SB1847, SB1859, SB1876, SB2170, SB2182

Keywords: domestic abuse, domestic violence, assault and battery, strangulation, intimate partner violence, family or household member, repeat offender, felony enhancement, Class B5 felony, stalking, batterers intervention program, court-ordered treatment, protective order, presence of a child, pregnant victim, great bodily injury, animal cruelty, cockfighting, dogfighting, sex offender registration

Transcript Highlights:

• We have Aloha Care. concept of it. So I'm not clear on the concept of it.
• Hai with Aloha Care. We stand in Ralia. Hai with Aloha Care.
• Hawaii Primary Care Association in support. Wala Health Center in support.
• I'm with the Hawaii Primary Care Association.
• We did Hawaii Primary Care Association.

Bills: SB3253, SB3154, SB3254

Keywords: conservation, endangered species, wildlife preservation, native birds, biodiversity, sanctuary, nonprofit, DLNR, agricultural district, land use, chapter 195D, chapter 205, chapter 42F, state funding, public purpose, habitat restoration, predator-free sanctuary, ecosystem restoration, Zealandia, wildlife refuge

Summary: The committee on Energy and Environmental Protection heard a long series of resolutions focused largely on waste reduction, energy planning, and environmental protection. Early measures included HR 12/HCR 10 on a permanent landfill host benefits program for Honolulu, HCR 148/HCR 157 on a demolition waste reduction working group, and HR 184/HCR 194 on a mattress stewardship program working group. Testimony on these waste-related measures was generally supportive from environmental groups and some individuals, while the Department of Health supported the mattress stewardship proposal. The Department of Health also commented that a proposed study on recyclable/biodegradable/compostable labeling was very broad and would require additional resources to carry out effectively. The committee then took up several energy-related resolutions. HR 192/HCR 202 would create a task force on Hawaii’s future energy pathways, and HR 194/HCR 204 would ask the Public Utilities Commission to conduct a comprehensive analysis of cost reductions and financial risk. The Department of Commerce and Consumer Affairs, the Hawaii State Energy Office, and the PUC offered support or comments on these measures, with environmental and industry groups also submitting testimony. Members questioned the Energy Office and PUC at length about errors in prior analyses, competitive bidding, and whether utility proposals could proceed through waiver processes; the PUC said any proposal would still be reviewed and that it generally prefers competitive bidding, while the Energy Office said some issues were being characterized differently and would follow up on waiver standards. Additional measures addressed data centers, liquefied natural gas, and utility oversight. HR 196/HCR 206 would convene a working group on the impacts of large data centers, and HR 197/HCR 207 would require conditions before the PUC approves LNG-related costs; testimony on LNG was split, with supporters urging caution and opponents arguing LNG should not be pursued. HR 193/HCR 2003 sought a written status update on implementation of the Hawaii Electric Reliability Administrator, and HR 191/HCR 201 and HR 33/HCR 33 dealt with sewage and wastewater issues, both drawing support from environmental and community groups. The committee also heard strong support for HR 141/HCR 149 on Red Hill remediation meetings and HR 190/HCR 200 on reassessing military PFAS cleanup decisions; the Board of Water Supply testified in support and described ongoing PFAS testing and concerns beyond Red Hill. The transcript ends as the committee moved into decision-making, with the chair indicating a recommendation to pass HR 12/HCR 10.

Transcript Highlights:

• Thompson, it minority leader Kurt, would you care to vote?
• Senator Fricks, would you like to Carrier, excuse me, care to explain your amendment?

Bills: SB1307, SB1425, SB1826, SB1365, SB1696

Keywords: SB1425, health care, healthcare workforce, workforce board, Health Care Workforce Resources Board, Health Care Workforce Resources Act, Oklahoma Health Care Workers and Educators Assistance Program, repeal, statutory repeal, health care workers, educators, workforce development, health professions, state board, assistance program, Oklahoma statutes, economic development, incentives, enterprise zones, local government

Transcript Highlights:

• Department of Human Services Direct Care Department of Human Services Direct Care and<00:09:09.920
• mental health care in jails.
• <00:24:37.840> and or 94 capacity across Direct Care and or 94 capacity across Direct Care
• needed for all patients in need of care needed for all patients in need of care and<00:35:31.599
• We want the staff of the care facility to stay working within the care facility, within Direct Care and

Bills: HF2196, HF2586, HF2187, HF2037

Keywords: mental health, emotional disturbance, terminology update, statutory cleanup, conforming amendments, children's mental health, serious mental illness, severe emotional disturbance, case management, residential treatment, outpatient services, crisis services, health plan coverage, antipsychotic drugs, medical assistance, Medicaid, foster care, juvenile court, school discipline, county board

Transcript Highlights:

• For every child in the foster care system, 18 more are in kinship placements.
• Informal kinship care.
• for a child when a parent is unable to care for the child safely.
• Care of, you know, 6 kids and by the grace of God, he's my provision and he's taking care of me and these
• So I know you talked about the comprehensive care services provider.

Bills: HB 26, HB 140, HB 141, HB 142, HB 215

Keywords: Medicaid, nutrition support, maternal health, chronic conditions, pilot program, DFPS, Department of Family and Protective Services, child protective services, child abuse investigations, child neglect, child exploitation, advisory committee, Family and Protective Services Council, council abolition, foster care, due process, investigative procedures, child welfare, parental rights, family preservation services

Bills: SCR96, SCR164, SCR172, SCR166, SCR182, SCR7, SCR59, SCR58, SCR60, SCR89, SCR184, SCR11, HB2296, HB2315, HB2343

Keywords: electric reliability, renewable energy, interconnection, Hawaii Electric Reliability Administrator, Public Utilities Commission, capacity shortfalls, energy policies, critical infrastructure, foreign influence, local control, energy dependence, economic resilience, energy analysis, cost reduction, financial risk, Hawaii PUC, energy self-sufficiency, natural gas, energy transition, ratepayer protection

Bills: SCR96, SCR164, SCR172, SCR166, SCR182, SCR7, SCR59, SCR58, SCR60, SCR89, SCR184, SCR11, HB2296, HB2315, HB2343

Keywords: electric reliability, renewable energy, interconnection, Hawaii Electric Reliability Administrator, Public Utilities Commission, capacity shortfalls, energy policies, critical infrastructure, foreign influence, local control, energy dependence, economic resilience, energy analysis, cost reduction, financial risk, Hawaii PUC, energy self-sufficiency, natural gas, energy transition, ratepayer protection

Bills: SCR96, SCR164, SCR172, SCR166, SCR182, SCR7, SCR59, SCR58, SCR60, SCR89, SCR184, SCR11, HB2296, HB2315, HB2343

Keywords: electric reliability, renewable energy, interconnection, Hawaii Electric Reliability Administrator, Public Utilities Commission, capacity shortfalls, energy policies, critical infrastructure, foreign influence, local control, energy dependence, economic resilience, energy analysis, cost reduction, financial risk, Hawaii PUC, energy self-sufficiency, natural gas, energy transition, ratepayer protection

Bills: SCR96, SCR164, SCR172, SCR166, SCR182, SCR7, SCR59, SCR58, SCR60, SCR89, SCR184, SCR11, HB2296, HB2315, HB2343

Keywords: electric reliability, renewable energy, interconnection, Hawaii Electric Reliability Administrator, Public Utilities Commission, capacity shortfalls, energy policies, critical infrastructure, foreign influence, local control, energy dependence, economic resilience, energy analysis, cost reduction, financial risk, Hawaii PUC, energy self-sufficiency, natural gas, energy transition, ratepayer protection

Bills: SCR96, SCR164, SCR172, SCR166, SCR182, SCR7, SCR59, SCR58, SCR60, SCR89, SCR184, SCR11, HB2296, HB2315, HB2343

Keywords: electric reliability, renewable energy, interconnection, Hawaii Electric Reliability Administrator, Public Utilities Commission, capacity shortfalls, energy policies, critical infrastructure, foreign influence, local control, energy dependence, economic resilience, energy analysis, cost reduction, financial risk, Hawaii PUC, energy self-sufficiency, natural gas, energy transition, ratepayer protection

Bills: SCR96, SCR164, SCR172, SCR166, SCR182, SCR7, SCR59, SCR58, SCR60, SCR89, SCR184, SCR11, HB2296, HB2315, HB2343

Keywords: electric reliability, renewable energy, interconnection, Hawaii Electric Reliability Administrator, Public Utilities Commission, capacity shortfalls, energy policies, critical infrastructure, foreign influence, local control, energy dependence, economic resilience, energy analysis, cost reduction, financial risk, Hawaii PUC, energy self-sufficiency, natural gas, energy transition, ratepayer protection

Transcript Highlights:

• insurance don't provide, such as care insurance don't provide, such as care for<00:12:03.080>
• passage to the health care facility? passage to the health care facility?
• I don't think care or facilities.
• Thank you, Madam Speaker. access their health care. access their health care.
• or behavioral health care. or behavioral health care.

Bills: SCR96, SCR164, SCR172, SCR166, SCR182, SCR7, SCR59, SCR58, SCR60, SCR89, SCR184, SCR11, HB2296, HB2315, HB2343

Keywords: electric reliability, renewable energy, interconnection, Hawaii Electric Reliability Administrator, Public Utilities Commission, capacity shortfalls, energy policies, critical infrastructure, foreign influence, local control, energy dependence, economic resilience, energy analysis, cost reduction, financial risk, Hawaii PUC, energy self-sufficiency, natural gas, energy transition, ratepayer protection

Bills: SCR96, SCR164, SCR172, SCR166, SCR182, SCR7, SCR59, SCR58, SCR60, SCR89, SCR184, SCR11, HB2296, HB2315, HB2343

Keywords: electric reliability, renewable energy, interconnection, Hawaii Electric Reliability Administrator, Public Utilities Commission, capacity shortfalls, energy policies, critical infrastructure, foreign influence, local control, energy dependence, economic resilience, energy analysis, cost reduction, financial risk, Hawaii PUC, energy self-sufficiency, natural gas, energy transition, ratepayer protection

Transcript Highlights:

• So there's a young woman who is about to age out of foster care now.
• She came into care because her mom was beating her. She came in as a teenager.
• So that young woman is stuck in foster care with no option for a permanent home.
• I'm the Director of Child Protection Policy at Texans Care for Children.
• I'm the Director of Child Protection Policy at Texans Care for Children.

Bills: HB18, HB37, HB 116, HB388, HB879, HB913, HB 1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388

Summary: The committee first reopened testimony on House Bill 2216, which would strengthen child welfare requirements by expanding “active efforts” to help families avoid removal and support reunification, while also raising standards related to removals and terminations. Supporters from child welfare and family defense groups said the bill would better protect families and align Texas more closely with ICWA-style principles, but several warned it would require significant new funding, staffing, and community services such as mental health care, housing, child care, and substance use treatment. The committee then left HB 2216 pending. The committee next heard Senate Bill 1782, aimed at boarding and group homes. Senator Miles said the bill closes enforcement gaps left by prior law by requiring retention of background-check records and creating misdemeanor penalties for failing to conduct or keep them, or for knowingly hiring people with serious convictions. Harris County sheriff’s investigators testified in support, describing illegal boarding homes, operators who evade permits and background checks, and exploitation of vulnerable residents; the bill was left pending. The committee also took up Senate Bill 481 on emergency preparedness for nursing facilities and assisted living facilities, adopted a new committee substitute that softened some requirements and removed the fiscal note, and left the bill pending. The committee then heard House Bill 388, which would require the Texas Department of Insurance to create a single standardized coordination-of-benefits form for dual health plans to reduce errors and surprise bills; it was left pending. Senate Bill 1590 would move paternity registry searches for adoptions to an electronic process with a 10-day target, and House Bill 2809 would track child suicide attempts in managing conservatorship and require related reporting and parental notice; both were left pending. The committee also heard Senate Bill 1887, which would prohibit administering mRNA-containing products for immunization for 10 years, with exceptions for cancer and genetic disorders. Supporters argued the bill was needed for safety, informed consent, and medical freedom, while opponents from the medical, research, and public health communities said mRNA vaccines are well-studied, save lives, and that the bill would harm access, research, and Texas’s biotech economy. The bill remained under discussion as testimony concluded.

Transcript Highlights:

• Care Consortium.
• Quality health care be delivered in rural Texas, and does rural Texas deserve quality care?
• This is the same thing with obstetrical care.
• maternal and neonatal systems of care.
• care, to actual health care.

Bills: HB18, HB37, HB 116, HB388, HB879, HB913, HB 1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388

Summary: The Senate Committee on Health and Human Services met with a quorum and took up several House and Senate bills, with public testimony limited to two minutes per witness. The committee first heard HB 2358, a cleanup bill requested by HHSC that would repeal outdated training and conference requirements for long-term care facility surveyors and certain providers; there were no witnesses, and the bill was left pending. The committee then heard HB 18, the rural hospital stabilization bill, which would create financial assessment tools, a rural hospital finance office at HHSC, an academy for rural hospital officers, multiple grant programs, enhanced Medicaid reimbursement tied to average cost, OB/GYN add-on payments, expanded pediatric telehealth connectivity, and a rural pediatric mental health program. Senator Perry and witnesses from TORCH, a rural hospital, AARP Texas, and ARCHI strongly supported the bill as a way to stabilize rural hospitals, improve OB access, and address workforce and financial pressures. Committee members discussed rural hospital closures, low-volume quality metrics, system affiliation, and the need for predictable monthly reimbursement; the bill was left pending after testimony and questions. The committee next heard HB 37, which would create a perinatal bereavement care initiative for families experiencing stillbirth, neonatal death, or intrauterine fetal demise, including counseling, staff training, and access to cooling devices, with possible grants and a recognition program for hospitals. Senator Huffman explained the bill, and several witnesses testified in support, sharing personal stories about infant loss and the importance of time with the baby, trained staff, and cuddle cots or similar devices. A neonatologist also supported the bill while suggesting clarification that hospitals should not be penalized if state funding is unavailable and recommending use of regional advisory councils to help implement training. Public testimony was then closed and the bill left pending. The committee also heard HB 879, which would create a streamlined licensing pathway for veterans with medical or nursing experience to practice in Texas, and HB 913, which would add new state hospitals to statute and split the North Texas State Hospital into two separate hospitals with their own superintendents; both bills had no opposition testimony and were left pending. Later, the committee heard SB 2744, a heart disease screening bill that would update the 2009 Texas Heart Attack Prevention Act to require insurance coverage for coronary CT angiography with plaque analysis, including soft plaque detection, as a preventive screening tool. The author and invited witnesses argued the technology is more effective than calcium scoring alone, can identify patients before symptoms appear, and could save lives at a cost comparable to or lower than colonoscopy. An insurance industry witness opposed the bill, arguing the technology has not been recommended by the U.S. Preventive Services Task Force for universal screening and that the mandated coverage and payment level would raise costs; the bill was left pending after testimony. Finally, the committee heard HB 1151, a parental rights bill clarifying that refusing psychotropic medication or psychiatric treatment is not neglect unless the child is harmed. Supporters, including parent advocates and attorneys, said the bill would protect parents from CPS overreach and preserve medical decision-making authority, while one witness urged broader attention to physical causes of behavioral issues. Public testimony was closed and HB 1151 was left pending.

Bills: HB109, HB136, HB 109, HB136, HB694, HB 1201, HB1716, HB2071, HB2216, HB2358, HB2807, HB2886, HCR78

Keywords: taxation, ballot propositions, public funding, voter information, transparency, training, public officials, candidates, requirements, political education, mental health, inpatient psychiatric facility, juvenile treatment, residential treatment facility, emotionally disturbed juveniles, Department of State Health Services, Health and Human Services Commission, state grant, facility construction, facility expansion