Transcript Highlights:

• The deliberate suppression of Native Hawaiian knowledge systems through the banning of ʻōlelo Hawaiʻi
• Native Hawaiian youth are also more likely to experience depression than their non-Native peers and face
• risk factors and outcomes for native risk factors and outcomes for native Hawaiian<02:07:41.559>
• disproportionately high among native disproportionately high among native Hawaiians<02:07:48.599
• 07:49.760> also Hawaiians native Hawaiian youth are also Hawaiians native Hawaiian youth are also

Keywords: 910, house, all

Summary: The House Committee on Judiciary and Hawaiian Affairs heard Senate Bill 1322, SD2, HD1, a comprehensive measure revising Hawaii’s mental health code. The bill would clarify emergency transportation, examination, and hospitalization procedures for people who may be mentally ill or suffering from substance abuse and deemed imminently dangerous, expand notice requirements, allow certain information-sharing for assisted community treatment petitions, and add liability protections for emergency responders and providers. The Department of the Attorney General supported the bill as a collaborative update to the law, while the Department of Health asked for a copy of provider-generated emergency transport documentation within five days for data and planning purposes. Testimony was sharply divided. Queen’s Health System, Hawaiʻi Pacific Health, HHSC, and the Institute for Human Services supported the measure or parts of it but requested amendments, including clarifying whether a second psychiatric exam is required, restoring a 72-hour rather than 48-hour stabilization window, and adjusting where patients are taken when an MEO cannot be reached. The ACLU of Hawaiʻi strongly opposed the bill, arguing it weakens due process and civil liberties, especially around involuntary commitment, assisted community treatment, emergency transport by police, and reduced procedural safeguards; it urged the committee to hold the bill and consider an interim working group. Louie E.K. of the Hawaiʻi Disability Rights Center also opposed the bill, focusing on immunity from negligence, the use of police for transport, and the reduction of a three-provider review to one in state-hospital treatment orders. Other testimony included support from an individual who said the bill could improve mental health care delivery amid provider shortages, and a comment from Hawaiʻi Health and Harm Reduction Center warning that the substance use portion of the bill lacks evidence of effectiveness and could be misused. In response to committee questions, the Attorney General’s office said the measure was developed with input from multiple stakeholders, including state agencies, hospitals, the ACLU, HHSC, and IHS, and that it aims to make assisted community treatment more accessible and effective by streamlining the legal process and improving consequences for noncompliance. No vote or final action was taken during the portion of the meeting provided.

Transcript Highlights:

• And I represent the Pasquayaki tribe as well.

Keywords: 1182, all

Summary: The House opened with prayer, the Pledge of Allegiance, approval of the prior journal, and introductions of the doctor of the day and numerous guests, including visitors for Lunar New Year, Arizona Statehood Day, school groups, local officials, and community leaders. A proclamation was read honoring Phoenix Ballet and National Ballet Day, and Representative Gress spoke in support of the recognition. The chamber also received committee and membership announcements, including temporary committee substitutions and several bills being re-referred or withdrawn to other committees. On third reading, HB 2190, which would have added Article 5 to Title 32 relating to the Arizona Regulatory Board of Physician Assistants, failed after debate over whether it improperly authorized rulemaking; it was defeated 20-38 with two not voting. The House then took up HB 2206, relating to Supplemental Nutrition Assistance Program administration, and HB 2396, another SNAP-related bill focused on restricting certain purchases. Members debated the bills at length, with opponents arguing they would burden low-income families, worsen food access in desert areas, and limit personal choice, while supporters said the state should encourage healthier purchases and that existing public benefit programs already include restrictions. HB 2396 passed 34-25 with one not voting and was sent to the Senate. After announcements, including committee meetings, an African-American Legislative Day program, and a birthday acknowledgment for the Majority Leader, the House briefly recessed and then reconvened. Additional desk business was handled, including a first reading of HB 2999, a municipal approval district technical correction bill, and the referral of first-read measures for printing. The House then adjourned until Tuesday, February 17, 2026.

Transcript Highlights:

• We have developed a better relationship with the Mescalero tribe, and so we are having A better understanding

Transcript Highlights:

• Trump administration continues to fixate on putting young people back in coal mines and reopening Alaska
• Trump administration continues to fixate on putting young people back in coal mines and reopening Alaska
• rise today to recognize the Minneapolis Fire Department for the historic assembly of their first all-Native

Keywords: U.S. House of Representatives Floor Proceedings on Friday, December 12, 2025, 1012, house, all

Transcript Highlights:

• I'm the tribal liaison to the Eastern Shoshone tribe by Governor Gordon's office.
• And, uh, normally we do not speak for the tribe.
• However, I have spoken to the chairman, Will Large, vice chairman Stanford Wear of the Eastern Shoshone tribe
• I'm the liaison to the Northern Arapaho tribe out of Governor Mark Gordon's office.
• Um, I also spoke with the Northern Arapaho tribe this morning and they would have loved to testify.

Bills: SF0045, SF0058, SF0067

Keywords: pari-mutuel wagering, simulcasting, historic horse racing, HHR terminals, horse racing, gaming commission, Wyoming Gaming Commission, local control, city approval, county approval, municipal approval, permit renewal, gaming permit, wagering regulation, racetrack, live pari-mutuel event, district court appeal, public notice, land use, public safety

Transcript Highlights:

• This is a governor's proposal that specifies tribes are eligible targeted case management providers.
• a governor's proposal that specifies is a governor's proposal that specifies uh<00:19:41.919> tribes
• are<00:19:42.400> eligible<00:19:42.720> targeted<00:19:43.120> case uh tribes
• are eligible targeted case uh tribes are eligible targeted case manage<00:19:43.760> management
• It includes tribes as an allowable provider of targeted case management services for vulnerable adults

Keywords: 1187, senate, all

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

Transcript Highlights:

• Would it be fair to say that EHD is way more prevalent in high fences than it is in the native herd?
• We need to preserve our native herd.
• I believe this, the study in a farm-raised environment, is too risky to introduce to our native herd
• So, what species are we capturing with the exotic wildlife not native to North America.
• It's clarifying that only the $10 tag is for native male species.

Bills: HB3270, HB3145, HB3056

Keywords: farmed cervidae, chronic wasting disease, genetic resistance, wildlife management, agriculture, wildlife tagging, hunting regulations, Cervidae family, feral swine, exotic wildlife, conservation, commercial hunting, raw milk, unpasteurized, farm sales, Oklahoma Milk and Milk Products Act, local producers, advertising, 914, all

Transcript Highlights:

• That doesn't mean that those non-natives are beneficiaries, but it does mean that we should be working
• Um, so, we just honored CN, uh, Council for Native Hawaiians, today. Did you think of that entity?
• That doesn't mean that those non-natives That doesn't mean that those non-natives are<00:16:53.320
• Council for Native Hawaiians, today. Council for Native Hawaiians, today.
• <00:52:39.440> Hawaiian get outreach to native Hawaiian get outreach to native Hawaiian community

Keywords: 910, house, all

Summary: The committee heard a series of resolutions and a few bills, with testimony largely in support across the agenda. Early measures included HCR 15/HR 17 supporting Kamehameha Schools’ admissions policy, and HCR 22/HR 22 urging Congress to pass federal kidney disease legislation; both drew support and no opposition. The committee also heard HCR 146 HD1/HR 138 HD1 on “excited delirium,” with testimony from advocates urging the resolutions be broadened to include related terms such as hyperactive delirium and agitated delirium, and from family members and disability-rights advocates describing the issue as harmful pseudoscience tied to police-custody deaths and calling for a ban on the term and better mental-health responses. The committee then took up HCR 123/HR 115 on creating a coordinated support and stabilization task force for Native Hawaiians experiencing homelessness or extreme low income. Department of Hawaiian Home Lands testified in support, describing its transitional housing work and saying collaboration and data-sharing with the state homelessness office would help beneficiaries and others; members questioned whether existing entities already do similar work and whether the proposal would extend beyond beneficiaries. HCR 32/HR 32, which asks the governor’s senior advisor on mental health and the justice system to develop a plan to increase access to Hawaii State Hospital for certain criminal defendants, drew support from the Department of Health, the governor’s office, and disability-rights advocates, who emphasized coordinated planning, diversion from arrest when appropriate, and matching people to the right level of care. Additional resolutions addressed a range of policy issues: renaming Leeward Community College to Puloulou Community College (with no testimony), creating an ʻōlelo Hawaiʻi pathway under the Niʻihau dialect at UH (UH noted existing courses already cover the dialect but not a degree pathway), moving to a demerit-point driver licensing system (support only), and coordinating transportation infrastructure planning for Hawaiian home lands (DHHL supported the measure and said an expired DOT memorandum of understanding had covered related collaboration). The committee also heard support for expanding DHHL financial literacy and homeownership-preparedness programs, a resolution asking the Hawaii Civil Rights Commission to examine algorithmic discrimination, and a resolution urging the Oahu Metropolitan Planning Advisory Committee to follow its rules, comply with the Sunshine Law, review its executive director, and strengthen accountability; the last measure drew 11 written supports and no opposition. No final votes or decisions were taken in the portion provided, as the hearing focused on testimony and questions.

Transcript Highlights:

• and impressed by their commitment and passion for the proper treatment of the Eva Capuna and the Native
• <00:10:15.040> Mahalo the Native Burial Council sites.
• Mahalo the Native Burial Council sites.
• Its primary function is to oversee the administration of land set aside for Native Hawaiians, ensuring
• The administration of land set aside for Native Hawaiians, ensuring that qualified beneficiaries can

Keywords: 912, senate, all

Transcript Highlights:

• plan, Mana Imalola, to be able to produce measurable results in reducing the persistent gaps that Native
• plan, Mana Imalola, to be able to produce measurable results in reducing the persistent gaps that Native
• 04:12.480> persistent<00:04:12.959> gaps<00:04:13.200> that<00:04:13.360> Native
• reducing the persistent gaps that Native reducing the persistent gaps that Native Hawaiians<00:04

Keywords: 912, senate, all

Summary: The Committee on Hawaiian Affairs met in decision-making sessions on March 18 and considered several House bills. On HB 576 HD2, the chair proposed an amendment clarifying that the bill would not apply to transfers of Hawaiian Homes lands under the Hawaiian Homes Commission Act of 1920, including lease conditions for 99-year terms; the committee adopted the recommendation to pass with amendments, with one no vote. On HB 606, the chair recommended passing the bill with amendments and a committee report requesting a $50 million appropriation; that recommendation was also adopted, again with one no vote. HB 1408 was recommended for indefinite deferral, and no discussion was recorded before adjournment. In a later portion of the meeting, the committee heard testimony on HB 410, which was described by the Office of Hawaiian Affairs as its budget request. OHA testified in strong support, saying the measure would help advance its strategic plan, reduce disparities affecting Native Hawaiians in health, housing, economic development, and education, and improve transparency and data-driven oversight. The committee noted additional support and opposition testimony counts on other measures, including HB 871 and HB 1091, and then moved into decision-making. The committee ultimately adopted the chair’s recommendations to pass HB 410 HD1 unamended, HB 871 HD1 unamended, and HB 1091 HD1 as is. Senator Ihara was noted as excused for part of the later voting. The meeting concluded with no further testimony or discussion and the committee adjourned.

Transcript Highlights:

• Housing and Community Development in support, Kohala Community Land Trust in support, C Council for Native
• Housing and Community Development in support, Kohala Community Land Trust in support, C Council for Native
• Land Trust and support C Council for Land Trust and support C Council for native<00:04:51.639> Hawaiian
• <00:04:51.960> advancement<00:04:52.360> and<00:04:52.520> support native Hawaiian
• advancement and support native Hawaiian advancement and support Maui<00:04:53.440> Chamber<00

Keywords: 912, senate, all

Summary: The Senate Committee on Housing heard three bills. HB 1428 would appropriate funds for HHFC to distribute to HUD-certified housing counseling agencies and require a report to the Legislature. Testimony was uniformly supportive, including HHFC, the County of Hawaii Office of Housing and Community Development, and individual testifiers who said housing counseling, financial education, and one-on-one guidance can help keep residents housed. In response to a question, HHFC said there are five certified agencies in the state and requested $1.5 million for one year, noting uncertainty around federal funding. The chair recommended passage with amendments, and the committee adopted the recommendation unanimously. HB 833 would create a five-year Community Land Trust Equity pilot program through HHFC, using Dwelling Unit Revolving Fund money to provide lines of credit for acquisition, rehabilitation, renovation, or construction of housing for certain households. Multiple organizations and individuals testified in support. HHFC said the needed funding depends on the size of the pilot and estimated that 50 homes at $500,000 each would require about $25 million; members discussed how the funds would revolve as loans are repaid. The chair recommended passage with amendments, including replacing the income restriction with qualified residents under HRS 20-32 and prioritizing applications requiring the lowest funds per unit per year. The recommendation was adopted. HB 286 would increase the maximum annual deduction and account limits for Individual Housing Accounts. The Department of Taxation testified, with support also noted from the Maui Chamber of Commerce and several individuals, and one individual in opposition. In response to questions, DOTAX said the change would likely have limited impact because fewer than 100 IHAs have been reported and suggested the deduction would need to be above the Roth IRA limit to matter. The chair recommended passage with technical amendments and reported the proposed limits as $10,000 for single filers and $20,000 for married filing jointly. The committee adopted the recommendation, and the hearing adjourned.

Transcript Highlights:

• We want to teach them to be part of teams and tribes. And that was very encouraged at Camp Mystic.
• So, they're called the Big Three: program director, tribe director, and activities director.
• They're called the Big Three: program director, tribe director, and activities director—supervisors of

Keywords: 1184, house, all

Transcript Highlights:

• The grant is an organization called New Native Theater, and it's a free summer camp for grade school
• And as the name New Native Theater might imply, they then use some sort of Native traditional story and
• He is an organization called new native theater and it's a free summer camp. 4 grade school and high
• And as the name new native theater might imply, they then use some sort of native traditional story and
• The Native American The Native American Lives series is where we've now expanded the number of books

Keywords: 1183, house

Transcript Highlights:

• And this is despite 74.5% of Native Hawaiian adults ages 16 to 64 working 35 hours a week or more.
• directly contributes to Native directly contributes to Native Hawaiian's<00:37:19.280> over
• The Missing and Murdered Native Hawaiian Women and Girls Task Force report found Native Hawaiian women
• <00:49:18.720> native<00:49:19.119> Hawaiian for protecting native native Hawaiian
• for protecting native native Hawaiian communities<00:49:20.400> and<00:49:20.640> ensuring<

Keywords: 910, house, all

Summary: The committee heard testimony on several measures. SB 1296 HD1, relating to disaster recovery, would exempt reconstruction of lawfully constructed structures damaged or destroyed in a declared disaster from special management area permits under certain conditions. OPSD, DLNR, the County of Maui, Front Street Recovery, and the Grassroot Institute supported the bill, saying it would speed rebuilding after disasters like the Maui fires; one witness noted the bill would not cover shoreline parcels unless amended, and members asked about the five-year rebuild window, the meaning of “lawfully constructed,” and whether unlawful structures were excluded. Testimony was also heard on SB 1413, which would allow the Hawaii Public Housing Authority to dispose of abandoned property in federal public housing projects after notice and within five days; HPHA said the bill would help address illegal dumping and clarify procedures. SB 31 HD1, concerning discriminatory restrictive covenants, was briefly described and had support from the Hawaii Civil Rights Commission and comments from the Uniform Law Commission, with no in-person testimony. The committee then heard SB 1341, which would add HEMA and the Office of Homeland Security to agencies allowed to review energy industry information and would expand the program’s emergency-management purpose. The Hawaii State Energy Office supported the measure, saying the data is important for emergency response and fuel-supply planning. SB 10008 HD1 would authorize counties to adopt ordinances enforcing accessible parking space requirements and clarify county enforcement of EV-related parking provisions; the Disability and Communication Access Board strongly supported the accessible-parking provisions, saying current enforcement is weak, while noting section three on EV spaces is already largely in statute and could be struck if the committee preferred. Tina Yamaki of the Retail Merchants of Hawaii testified in opposition. Finally, the committee heard SB 1028 SD1 HD1, which would eliminate fees, fines, and court costs for offenses committed by minors, discharge existing related debt, limit community service for minors to 72 hours, and repeal certain penalties tied to minors and their parents or guardians. The Office of the Public Defender, Office of Hawaiian Affairs, the Juvenile Justice State Advisory Council, Community Alliance on Prisons, and DebtFree Justice Hawaii supported the bill, arguing that youth fines burden families, worsen poverty, and disproportionately affect Native Hawaiian youth. The Department of the Attorney General offered comments, raising possible constitutional title issues because the current draft incorporates material from HB 129 and includes sections that may relate more to restitution or curfew than to fines and fees; supporters responded that the title is sufficient and cited case law. No votes or final actions were taken on the measures in the portion of the meeting provided.

Transcript Highlights:

• I bring forward the Mahu LGBTQIA+ communities, Native Hawaiian, just all of these various communities
• I bring forward the Mahu LGBTQIA+ communities, Native Hawaiian, just all of these various communities
• I bring forward the Mahu LGBTQIA+ communities, Native Hawaiian, just all of these various communities
• You know, because you have been involved with the LGBTQIA+ as well as the Native Hawaiian communities
• <00:09:40.120> Hawaiian as well as the Native Hawaiian as well as the Native Hawaiian communities

Keywords: 912, senate, all

Summary: The Health and Human Services Committee heard several governor’s message nominations for health-related boards and commissions. Kanwardeep Kaleka was considered for the Substance Abuse Kauai Service Area Board; he said his work as a psychiatrist and family physician on Kauai motivates him to improve mental health and addiction services. Kunani Dryer was considered for the Hawaii Advisory Commission on Drug Abuse and Controlled Substances; he emphasized 26 years of personal recovery, harm reduction experience, and representation of rural, LGBTQIA+, and Native Hawaiian communities. Olivia Kim was considered for the Center for Nursing Advisory Board; testimony highlighted her experience in nursing leadership, long-term care, and LPN workforce issues. Trisha Lynn Yamashita was considered for the Kauai Subarea Health Planning Council; she described her hospice leadership, public health and palliative care background, and focus on data-informed, community-centered planning. Emily Dong was considered for the Board of Certification of Operating Personnel Wastewater Treatment Plants; she stressed wastewater’s public health importance and the need to strengthen the operator workforce pipeline. Testimony in support came from the Department of Health and several organizations and individuals, including the Hawaii State Center for Nursing, Hawaii Substance Abuse Coalition, Hina Mauka, the Kauai mayor, the Healthcare Association of Hawaii, and others. Committee members generally praised the nominees’ credentials and community ties, and repeatedly noted the value of lived experience, rural perspective, and workforce expertise. One nominee, Olivia Kim, was not present and was deferred to a later meeting for decision-making. At the end of the hearing, the committee took up the governor’s messages and recommended advise and consent for GM707, GM537, GM545, GM724, and GM790, with Senator Fevella excused and no objections recorded. GM662 was deferred to Thursday, April 16, 2026, at 3:20 p.m. in Room 225 because the nominee could not attend. The committee then adjourned.

Transcript Highlights:

• Marjorie Samson, Advisors, here on behalf of Alaska Air Group, in support. Thank you.

Keywords: 987, senate, all

Transcript Highlights:

• That is, states that are near Arizona, or are we going to send them to Hawaii or Alaska or New York?

Keywords: 1182, all

Summary: The committee first took up House Bill 2307, as amended, which would require the Department of Health Services to contract with out-of-state secure mental health facilities when Arizona beds are unavailable for certain involuntary commitment cases involving defendants found dangerous and incompetent. The sponsor and supporters framed it as an emergency stopgap to prevent individuals who are deemed non-restorable from being released because Arizona lacks secure behavioral health beds, while opponents argued it would raise due process, disability rights, family access, and cost concerns, and questioned whether the state could even implement such interstate placements. After debate, the committee adopted the strike-everything amendment and advanced HB 2307 on a 6-5 due pass vote. The committee then heard House Bill 2083, which updates diabetes-related coverage language in health plans to include newer devices and supplies such as continuous glucose monitors, insulin pumps, and smart insulin pens. Supporters said the bill modernizes outdated statutes and improves access and outcomes for people with diabetes, while an insurer representative offered soft opposition, warning that writing these items into statute could create a state mandate and potential cost exposure, especially if the language is read to include GLP-1 medications. The committee adopted the strike-everything amendment and moved HB 2083 forward on an 11-1 due pass vote. Next, House Bill 2673 was heard, addressing mental health screening and treatment for incarcerated people. The sponsor said the bill was being reworked into a study committee concept after stakeholder feedback, but the underlying proposal would require prompt evaluation of prisoners showing mental disorder symptoms and faster referral for treatment. A family member testified about her son’s severe deterioration in jail and death, while an attorney opposed the bill as overbroad and legally problematic. Despite the sponsor’s indication that the bill would become a study committee, the committee voted 12-0 to give HB 2673 a due pass recommendation. The committee also advanced House Bill 2923, which revises timelines, procedures, and notice requirements for judicial review of court-ordered mental health treatment; supporters said it clarifies outdated language and improves communication with families, while opponents argued it shifts burdens onto patients and could prolong confinement. HB 2923 also received a 12-0 due pass vote.

Transcript Highlights:

• Alex and I have Alaskas with the Department of Finance.

Summary: The Assembly Budget Subcommittee on Education Finance heard an overview of the governor’s new Career Education Master Plan and related budget items. Labor Secretary Knox described the plan as an effort to reduce fragmentation across K-12, community colleges, workforce boards, and other systems by improving statewide and regional coordination, data sharing, skills-based hiring, career pathways, and wraparound supports such as child care, housing, food, and transportation. Members asked how success would be measured, how the plan would serve disconnected youth and adults, and whether the proposed data integration would rely on Cradle to Career; the secretary said it would. The Department of Finance said it was available to answer questions on the education side. The committee then reviewed existing CTE funding and oversight. The LAO, CDE, and Community Colleges Chancellor’s Office described the major ongoing programs, including CTIG, Perkins, K-12 Strong Workforce, and Community College Strong Workforce, and noted that many programs overlap in purpose and administration. Members repeatedly raised concerns about duplication, annual applications and reporting burdens, lack of clear outcome metrics, and whether funding incentives should be better aligned to regional collaboration. CDE and the Chancellor’s Office said they support alignment and dual enrollment, and Finance and CDE said LCFF/local match dollars are part of the funding structure. The committee also discussed child care as a barrier to participation and the need for better tracking of enrollment, completion, and job outcomes. On the consolidated application proposal, Finance proposed a study directing CDE to examine whether three long-standing CTE grant programs—Specialized Secondary Programs, CTIG, and California Partnership Academies—could be streamlined into a single application and reporting process. The LAO supported reducing administrative burden but noted that the largest programs, CTIG and K-12 Strong Workforce, were excluded from the proposal even though districts most often cite them as burdensome. CDE said it did not oppose the study but warned that statutory differences may limit consolidation. Members said the proposal should better address regional coordination, multi-year funding stability, and outcome measures rather than only simplifying paperwork. Finally, the committee heard a proposal for a $5 million ongoing California Education Interagency Council. GovOps said the council would provide a neutral venue for statewide coordination across education and workforce systems. The LAO opposed the proposal, arguing that existing bodies already provide coordination, the proposal does not change agency incentives, and the council would lack authority to implement decisions. Members expressed mixed views, with some supporting a coordinating body and others questioning whether it would differ from past efforts. No votes were taken during the portions summarized here, and the committee indicated it would hold some items open for further discussion.

Transcript Highlights:

• funding stream honors our government-to-government relationship with the nine federally recognized tribes
• This is being... our program team and OHA's Office of Tribal Affairs are working closely with the tribes

Keywords: 907, all

Summary: The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits. CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs. The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.

Transcript Highlights:

• And I want to start with, unfortunately, the tribes and pueblos that were here before any Europeans were
• I also know that the nomadic tribes sometimes raided the pueblos, and sometimes the pueblos would simply

Bills: SB36, SB88, SB92, SB97, SB48, SB55, SB58, SB76, SB93, SB89, SB60

Keywords: quantum technology, tax credit, infrastructure, economic development, New Mexico, corporate tax, research and development, innovation, foster care, income tax, guardianship, youth services, financial relief, affordable housing, gross receipts tax, tax deduction, construction materials, multifamily housing, low income, tax credits