Transcript Highlights:

• justice system in Intercept 2, and then back out again at the point of reentry and under community supervision
• justice system in Intercept 2, and then back out again at the point of reentry and under community supervision

Committee: House Community Safety

Summary: The committee held an interim work session on crisis response, focusing on how Washington can better connect people in behavioral health crisis to the right level of help through 988, 911, mobile crisis, co-response, and alternative destinations. Travis Parker outlined the Sequential Intercept Model and the crisis care continuum, emphasizing early intervention, regional coordination, and the need for navigators, peers, and case managers to help people avoid cycling back into crisis or the justice system. Several witnesses stressed that crisis systems should be integrated rather than treated as an either-or choice between 911 and 988. Washington practitioners described a range of local models. Brooke Bettner, Kim Hendrickson, and Dr. Jennifer Stuber discussed co-response and field-based crisis teams, noting Washington’s growth in 988, mobile crisis, and 911 co-response programs, but also flagging duplication, inconsistent coordination, limited training for fire/EMS, gaps in involuntary treatment processes, emergency room overuse, and first responder wellness. Laura Pippen, speaking for designated crisis responders, said staffing has dropped sharply statewide and described major barriers in getting law enforcement, hospitals, and facilities to carry out involuntary treatment holds and placements, especially for substance use cases. She said systems and policies remain fragmented and difficult to align. Researchers Dr. Evan Lowder and Dr. James Pine summarized the evidence base, saying it is still limited but generally shows that non-police and co-response models can improve linkage to services and reduce emergency department transport or involuntary detention in some settings, while longer-term effects are less clear. They emphasized the importance of dispatch triage, on-scene resolution when safe, clear diversion pathways, and ongoing evaluation. 911 dispatch leaders Katie Myers, Justin Rasmussen, and Angie Bunk described efforts to embed behavioral health expertise into call centers, create warm transfers to 988, and use shared triage to route calls more accurately; they also warned about under-triage risks, liability, and the need for funding and dispatcher support. The committee then heard national examples from Denver, Albuquerque, and Atlanta, where alternative response programs are dispatched through 911 or 311 and have reduced police workload, use of force, or unnecessary emergency responses. No votes were taken.

Transcript Highlights:

• They had a contest, you know, of course, a supervised contest, and they were... ...supervised contest

Committee: Senate Confirmations

Transcript Highlights:

• My facility operates as a supervised, supportive, and protective residential environment designed to
• Residents are accepted precisely because they require assistance, supervision, and structured support
• facilities, and the staff of the facility were allowed to pass medication without even nursing supervision

Committee: Joint Joint Committee on Aging and Independence

Summary: The Joint Committee on Aging and Independence held a hearing on two assisted living bills, Senate 3057 and House 5376, which would create an Assisted Living Residence Trust Fund to support certification staffing, compliance reviews, complaint investigations, ombudsman services, public reporting, appeals, and oversight. Testimony from MassALA, AARP, and the Long-Term Care Ombudsman generally supported the bills and the dedicated funding stream, but MassALA urged amendments to expand career pathways for staff through certified medication aides and to add guardrails on the use of fines as a funding source. The Ombudsman supported the fund and emphasized the need for additional staffing to better serve the state’s assisted living residents. Committee members asked for draft amendment language, and the chairs indicated they were open to further discussion, especially on fines and CMA language. The committee then heard testimony on Senate 3056 and House 5243 regarding medication administration in rest homes. Providers, including the Massachusetts Association of Residential Care Homes, LeadingAge Massachusetts, and several rest home operators, opposed proposed Department of Public Health changes that would eliminate the long-standing “responsible person” model and move rest homes toward the Medication Administration Program (MAP). Witnesses said the current model has been used for decades, is tailored to rest homes, and is essential to affordability, staffing stability, and resident continuity of care; they warned that replacing it with MAP or nurse-only administration would raise costs, worsen workforce shortages, and could force closures or resident displacement. They asked the committee to support legislation preserving responsible persons’ authority to administer medications while improving training and oversight. Committee members asked questions about the history of the responsible person model, how medication administration works day to day, whether other states use similar systems, and whether data exist comparing medication error rates under MAP and the current model. The chairs said they were still reviewing building-code-related recommendations raised in the assisted living discussion and noted that some issues might be better addressed through a task force. The hearing concluded after testimony and questions, and the committee voted to adjourn.

Transcript Highlights:

• adjudicated delinquent or convicted of certain felony offenses involving, or violations of community supervision
• that were committed prior to July 1, 2021, and who still remain incarcerated or on that community supervision
• person was housed shall determine any individual that's currently incarcerated or on community supervision

Transcript Highlights:

• My facility operates as a supervised, supportive, and protective residential environment designed to
• Residents are accepted precisely because they require assistance, supervision, and structured support
• facilities, and the staff at the facility were allowed to pass medications without even nursing supervision

Committee: Joint Joint Committee on Aging and Independence

Summary: The Joint Committee on Aging and Independence heard testimony on Senate 3057/House 5376, a bill to create an Assisted Living Residence Trust Fund and implement recommendations from the Assisted Living Residence Commission. Supporters, including AARP and the state long-term care ombudsman, backed the trust fund for certification staffing, compliance reviews, investigations, ombudsman services, public reporting, and appeals. The assisted living industry, represented by MassALA, supported the affordability task force and certified medication aides, but asked for amendments to expand career paths and to remove or limit fines as a funding source, arguing fines should be capped and tied to health or safety risks. The ombudsman emphasized the need for more staffing and resources, noting the current caseload and travel burden across the state. The committee also took testimony on Senate 3056/House 5243 concerning medication administration in rest homes. Rest home operators, MARCH, and LeadingAge Massachusetts opposed proposed Department of Public Health changes that would replace the long-standing responsible person model with a MAP-based framework or require more licensed nursing staff. They argued the current model has been used for decades, is safe and affordable, and is better suited to rest homes than MAP, which they said was designed for different settings. They urged the committee to preserve responsible person medication administration while improving training and oversight, and several witnesses asked for a task force or substitute language to study best practices rather than impose immediate regulatory changes. Committee members asked questions about the history of the responsible person model, how medication administration works in practice, and whether other states use similar systems. Chair Stanley said the committee was still reviewing building code-related recommendations for assisted living and noted that those issues may require more time. No votes were taken during the hearing, and the committee adjourned after testimony concluded.

Transcript Highlights:

• determined to be a minor, their account must be affiliated with a parent account to ensure adult supervision
• international physicians, relative to rural physician license, eligibility, practice limitation, and supervision
• international physicians, relative to rural physician license, eligibility, practice limitation, and supervision

Bills: HR188 , HR189 , HR190 , HR191 , HR179 , HR180 , HR181 , HR182 , HR183 , HR185 , HR186 , HR187 , HCR75 , HCR76 , HCR77 , HCR78 , HCR79 , SCR24 , SCR36 , SCR39 , SB64 , SB107 , SB152 , SB185 , SB217 , SB232 , SB278 , SB290 , SB294 , SB320 , SB321 , SB419 , SB424 , SB436 , SB440 , SB468 , SB470 , SB476 , SB482 , SB489 , HCR32 , SCR11 , HB12 , HB42 , HB205 , HB222 , HB267 , HB324 , HB325 , HB350 , HB478 , HB610 , HB617 , HB679 , HB745 , HB749 , HB797 , HB807 , HB821 , HB896 , HB979 , HB992 , HB1000 , HB1024 , HB1050 , HB1166 , HB1172 , HB1173 , HB1193 , HB1207 , HB1218 , HB1223 , SB256 , SB180 , HR1 , HR17 , HCR5 , HCR4 , HCR47 , HB59 , HB74 , HB159 , HB330 , HB364 , HB414 , HB458 , HB525 , HB568 , HB786 , HB1008 , HB1033 , HB1034 , HB1041 , HB1062 , HB1070 , HB1079 , HB1112 , HB1118 , HB1139 , HB1151 , HB1176 , HB1182 , HB1196 , HB1214 , HB1241 , HB87 , HB115 , HB162 , HB368 , HB433 , HB441 , HB447 , HB466 , HB481 , HB741 , HB1242 , HB362 , HB893 , HB990 , HB1007 , HB1153 , HB1243 , SB162 , SB349 , SB350 , SB382 , SB383 , SB127 , SB244 , HB615 , HB864 , HB1103 , HB1175 , HB31 , HB225 , HB608 , HB664 , HB897 , HB977 , HB1003 , HB1160 , HB1180 , HB911 , HB306 , HB366 , HB1161 , HB1230 , HB181 , HB901 , HR20 , HR74 , HB284 , HB393 , HB459 , HB577 , HB582 , HB605 , HB614 , HB682 , HB733 , HB772 , HB773 , HB996 , HB1035 , HB1058 , HB1082 , HB1113 , HB1189 , HB1234 , HB1240

Summary: The House met with a quorum and handled a mix of ceremonial recognitions, committee reports, and floor action on a large number of bills and resolutions. Members recognized several championship high school teams, including Northlake Christian, Archbishop Hannan, St. Scholastica, Lutcher, and St. Louis, and also designated or commended groups and individuals such as Ascension Parish, the Louisiana Counseling Association, LSU, Dr. Paul Correll, and others. The chamber adopted several resolutions without objection, including measures naming Counseling Day at the Capitol, LSU Day at the Capitol, and honoring Dr. Correll’s retirement, while also receiving and referring various other resolutions and Senate bills to committees or laying them over. The House then took up and passed a series of bills, many with amendments. Major measures included HB 159 creating a Caddo Parish home incarceration pilot program with court, sheriff, and district attorney coordination; HB 364 directing public safety PSAs about celebratory gunfire; HB 414 on background checks for certain health care workers; HB 74 creating a Spectrum Alert program for missing children with autism; HB 568 increasing penalties for visible marijuana use in school zones; HB 786 prohibiting extrapolation in Medicaid provider audits; HB 1033 expanding the definition of critical infrastructure; HB 1041 limiting medical-intervention-based discrimination and mandates; HB 1062 revising the Special School District board; HB 1079 giving charter-school enrollment preference to certain preschool, military, foster care, and custody-ordered students; HB 1139 on discharge planning for involuntarily admitted behavioral health patients; HB 1182 changing occupational therapy licensure credentialing; HB 1214 creating an Office of State Health Care Facilities; and HB 1241 requiring insurers to check for child-support arrears before paying certain settlements. Most of these bills passed by wide margins, often after technical or substantive amendments. Several local and administrative measures also advanced, including bills on utility district per diem, abolishing a police chief position in Edgefield, a crime prevention district fee, and New Orleans historic preservation penalties. The chamber also referred or temporarily returned a number of bills to the calendar, and one local bill on historic preservation in New Orleans was introduced at the end of the transcript. Overall, the meeting was marked by broad bipartisan support for many measures, with recorded roll-call votes on the more contested bills and no major procedural disputes beyond extended questioning on the marijuana-in-school-zones bill and the medical-intervention bill.

Transcript Highlights:

• Then also, as an FFA advisor, I supervised my students there.
• Also, as an FFA advisor, I supervised my students there every day, all day.
• I had to buy a gate pass to get in and supervise the students that apparently the fair was for.

Committee: Senate Local Government and Taxation

Transcript Highlights:

• Those are individuals that would be supervising, directing, coordinating curriculum, or other programs
• They don't supervise.
• I don't evaluate, I don't supervise, and I don't make any personnel decisions.

Committee: Senate Education

Transcript Highlights:

• This bill removes the requirement that supervising physicians notify the Department of Health of prescribing
• It also removes the requirement to list all supervising physician names on PA prescriptions and modernizes
• They're vetted by Florida, work in approved facilities, are supervised, insured, and subject to board

Transcript Highlights:

• not undergone a background screening may act as an athletic coach if they are under the direct supervision
• It requires the board to establish additional supervision and training requirements before an occupational
• license practice and 50 hours of continuing education requires the board to establish additional supervision

Committee: Senate Appropriations Committee on Health and Human Services

Transcript Highlights:

• around-the-clock contact information that local law enforcement may use, around-the-clock on-site supervision
• this bill addresses what should be included in that, making sure we have security cameras, on-site supervision
• this bill addresses what should be included in that, making sure we have security cameras, on-site supervision

Summary: The Housing Committee considered two bills in executive session. House Bill 2266, the “step housing” bill, was presented with a proposed substitute that set different siting rules for transitional housing, permanent supportive housing, emergency shelters, and emergency housing; allowed some local standards and certifications; required local code updates within two years or the next comprehensive plan update; and grandfathered existing facilities. Members debated several amendments, adopting amendments to allow form-based codes, clarify timing and definitions, and preempt conflicting local requirements, while rejecting amendments that would have added school/daycare setbacks, expanded operational requirements, or changed local program conditions. The committee then approved the substitute bill on a 10-7 vote and reported it out with a do pass recommendation. House Bill 2489 would bar local governments from adopting or enforcing laws that criminalize or penalize life-sustaining activities on public property unless adequate alternative shelter space is available. The proposed substitute narrowed and clarified the bill, including exceptions for imminent harm, emergency access, disability access, and certain criminal laws; it also allowed regional shelter agreements and broadened the definition of adequate alternative shelter space. Members adopted an amendment allowing portable mats, beds, or other sleeping spaces in drop-in overnight shelters, including those in religious buildings, while rejecting or withdrawing other amendments, including one on park facilities and one on weapons. After debate over public safety, shelter availability, and local control, the committee passed the substitute bill on a 9-8 vote and reported it out with a do pass recommendation. The chair then announced the committee would not meet the following day.

Transcript Highlights:

• I supervise the Suicide Prevention Team and 988 team at the Office of Behavioral Health under the Prevention
• Like we are required to, you know, if we want to do supervise.
• To do supervise. We have to do so many clinical hours and all that.

Summary: The task force met to review work under HCR 86 on African American suicide prevention, with members introducing themselves and approving the prior meeting minutes. Dr. Williams summarized survey-based findings from 94 university student respondents, explaining that the study focused on warning signs and triggers rather than suicide behaviors themselves. He said financial stress, stigma, and lack of institutional ownership were major themes, and argued that Louisiana needs mandatory reporting and broader suicide data collection because universities and other institutions often avoid reporting incidents, especially those occurring off campus. Dr. Thomas described current and potential prevention strategies, including gatekeeper trainings, 988 outreach, postvention policies, student-facing information on mental health resources, and adding 988 to student IDs. She also noted that the Office of Public Health already serves as a suicide data hub with real-time and death data, and should be included in any centralized reporting discussion. Members discussed how to balance new mandates with university concerns, with several agreeing that legislation is needed but should be developed with input from the Board of Regents and university leadership. The task force reviewed recommendations in the report, including a Louisiana Suicide Prevention Data Act, a centralized data hub, incentive-based reporting for colleges, modernization of the 2018 suicide prevention law, and possible tax credits or other incentives. Dr. McKee suggested that any reporting requirement should be framed to fit existing professional obligations and that training requirements for licensees could be added. The chair asked that revised recommendations and examples from other states be circulated before February 1, with the final report updated to say “confidential unless otherwise required by law.” No public comments were offered, and the meeting adjourned after the chair said he and Senator Boudreaux would consider legislation and, if needed, a resolution to extend the task force.

Transcript Highlights:

• AUTHORIZED THIS NUMBER TO BE REDUCED FROM THREE TO FOUR STAFF AS OPPOSED TO 60 OR MORE BEING REQUIRED TO SUPERVISE
• TO YOUR POINT, THE ABILITY TO WALK ON YARD AND SEE TWO TO THREE OFFICERS WALKING AND SUPERVISING IT MAY
• YOU GOING TO THE DORMITORY AND YOU SEE THEM SUPERVISED BY 18 TO 19 YEAR OLD MALE OR FEMALE STRAIGHT OUT

Transcript Highlights:

• And asked Right of Passage to strengthen their supervision. In 2011, okay?
• Alpine County has two STRTP facilities within its responsibility, and they're both under the supervision
• And they're both under the supervision of Right of Passage.
• are Dylan Elliott, legislative advocate for the Civil Prosecutors Coalition, and Luke Edwards, supervising
• My name is Luke Edwards, and I'm here today as a supervising deputy city attorney for the Oakland City

Committee: Senate Human Services

Summary: The committee adopted the consent calendar and then heard several bills on child care, aging, child welfare, food access, and youth services. SB 1200 by Sen. Menjivar would redefine infant and toddler age categories in child care licensing to allow providers to serve children beginning at 18 months in the toddler category, with supporters saying it would increase capacity and help family child care businesses stay open; it passed 4-0 to Appropriations. SB 971 by Sen. Choi would authorize counties to offer optional adult education and technology training programs for adults 55 and older through local partnerships; supporters said it would reduce isolation and improve digital literacy, and it passed 4-0 to the floor. SB 1234 by Sen. Alvarado-Gil would require fentanyl to be included in court-ordered drug testing in dependency cases, with testimony from an angel family and law enforcement about child deaths and exposure risks; it passed 4-0 to the floor. The committee also heard SB 1109 by Sen. Alvarado-Gil, which would require additional state review for short-term residential therapeutic programs in very small rural counties or facilities with repeated serious citations. The author and county officials from Alpine County argued that rural counties lack the hospitals, schools, and 24-hour emergency response needed to safely support these placements, while providers opposed the bill as overly broad and potentially destabilizing to STRTP capacity. After the author accepted committee amendments, members voted 4-0 to send the bill to Appropriations as amended. SB 961 by Sen. Ashby would require students applying for financial aid to be notified that they may also be eligible for CalFresh; student and advocacy witnesses described widespread food insecurity on campuses, and the bill passed 4-0 to Appropriations. The committee then heard SB 1099 by Sen. Gomez Reyes, which clarifies local governments’ authority to provide state or local public benefits to all residents under PRWORA-related exemptions; supporters said it would reduce legal uncertainty for local safety-net services, and the bill was voted 2-0 with the remaining members absent, leaving it on call. SB 1190 by Sen. Grove would create a licensing and regulatory framework for youth transport companies that move minors to out-of-state residential facilities; survivors testified about traumatic transports, supporters called for basic guardrails, and the bill passed 4-0 to Public Safety. Finally, SB 1325 by Sen. Jones would create a narrow pathway for Feeding San Diego to participate in CalFood, with supporters saying it would expand hunger relief in San Diego County and opponents warning it could divert limited food bank resources; the discussion focused on broader funding concerns, and no final vote was recorded in the excerpt.

Transcript Highlights:

• They complete over 2,000 hours of supervised clinical rotations, gaining hands-on experience.
• These are again directly supervised experiences with clinicians.
• These are again<00:12:41.120><c> directly</c><00:12:41.519><c> supervised</c><00:12:42.079><c> experiences
• </c> again directly supervised experiences again directly supervised experiences with<00:12:42.959><c

Bills: HB31 , HB31

Committee: House Health

Keywords: absentee voting, disabled, blind, voter assistance, voting rights, SNAP, public assistance, nutritional standards, waiver, food regulation

Transcript Highlights:

• For this reason, this bill does not put any guidelines, any policy procedures, or supervision for those
• And when I say supervision, I mean that if they do have an issue, someone is there that they can come
• bill does not For this reason, this bill does not put any guidelines, any policy procedures, no supervision
• And when I say supervision in that if they do have an issue, someone is there that they can come to and
• blessing to me that where I was, And it was just a blessing to me that where I was, the community had supervision

Committee: House Commerce Committee

Summary: The committee first took up HB 703 on utility relocation, as amended by a strike-all. The sponsor said the bill would require government authorities that order communication service providers to move infrastructure to pay the relocation costs, clarify expedited timelines, and align the House bill with the Senate version. Supporters argued the communication services tax should help cover these costs, while cities and counties warned the bill would shift major unfunded costs to local governments and taxpayers, especially in fiscally constrained counties. After public testimony from local government and industry representatives and debate over fairness, coordination, and the tax’s intended use, the committee adopted the strike-all and then passed the bill favorably on a roll call vote. The committee then heard and passed CS/HB 379, a securities package updating Chapter 517. The bill and conforming amendment made several technical and policy changes, including expanding certain exemptions, updating foreign jurisdiction and exchange considerations, revising merger-and-acquisition broker rules, aligning fingerprinting requirements with FBI standards, and adding protections related to financial exploitation of specified adults. Industry and Office of Financial Regulation witnesses supported the measure, and the committee adopted the amendment and reported the bill favorably without opposition. Next, the committee passed CS/HB 867 establishing the Coastal Link Commuter Rail Service Act to create a legal framework for commuter rail operations along Florida’s coastal corridor and to help Miami-Dade, Broward, and Palm Beach counties secure insurance and indemnification for service on the Florida East Coast Railway right-of-way. The Florida Chamber supported the bill, and it was reported favorably without debate. The committee also passed CS/HB 1161, which revises Florida’s deepfake law to require covered platforms to remove altered sexual depictions and copies upon request by the victim; the bill drew emotional testimony from a student victim and broad support from members, and a severability amendment was adopted before the bill passed unanimously. The committee then passed CS/HB 453 on pool and spa contractors, which updates Chapter 489 terminology and scope-of-practice rules and, through amendment, limits certain equipment to commercially available products. Finally, the committee passed HB 955 requiring all private employers to use E-Verify for new hires, removing the small-employer exemption. Supporters framed it as workforce integrity and rule-of-law legislation, while opponents warned about labor shortages, burdens on small businesses, and impacts on immigrant workers. After debate, the bill passed 19-3. The committee then began hearing CS/HB 541 on minimum wage requirements, which would allow voluntary waivers of minimum wage for certain internships, pre-apprenticeships, and on-the-job training; the sponsor presented an amendment limiting the duration and clarifying minor waivers, and the committee heard both support from small business groups and opposition from labor, immigrant, and worker advocates before the transcript ended.

Transcript Highlights:

• Care and supervision in family child care homes when the licensee is occasionally and temporarily away
• Specific to the care and supervision component, we expect that policy to be available in the fall of
• So if you look on the column that says funding, it has different components: care and supervision, and
• So if I look at, so for care and supervision, $98 million.
• So, like... ...the transportation and the supervision and some of those other things.

Transcript Highlights:

• /c> And then section 17 makes a correction to language that was put in place in 2025 related to supervision
• requirements by clarifying that certain child care background study subjects cannot work under supervision
• for child care uh related to supervision for child care background<01:03:32.280><c> studies.
• </c><01:03:44.800><c> while</c> cannot work under supervision while cannot work under supervision while
• Previously, I believe that they were allowed to work under supervision while the study was in process

Bills: HF4525 , HF3002 , HF3665 , HF4420

Committee: House Children and Families Finance and Policy

Keywords: human services, background studies, NETStudy 2.0, licensing, license suspension, license revocation, provider enrollment, program integrity, fraud, medical assistance fraud, Medicaid, payment withholding, credible allegation of fraud, background check, disqualification, variance, set-aside, foster care, family foster setting, adult foster care

Transcript Highlights:

• chiropractic students to engage in clinical practice as part of their college instruction if directly supervised
• chiropractic students to engage in clinical practice as part of their college instruction if directly supervised
• of a qualified direct supervision of a qualified licensed<01:09:50.400><c> chiropractor</c><01:09:51.000
• </c><01:10:00.159><c> of</c><01:10:00.280><c> a</c> requirements for direct supervision of a requirements
• for direct supervision of a qualified<01:10:00.800><c> licensed</c><01:10:01.159><c> chiropractor</c

Committee: House Higher Education

Summary: The House Committee on Higher Education heard several measures focused on health, environment, and research. HB 970 would allow chiropractic students to participate in clinical practice under direct supervision; the Hawaii Board of Chiropractic offered comments and asked for a delayed implementation date until July 2027 to allow time to adopt rules, while the Hawaii State Chiropractic Association supported the bill. Members also discussed that there are currently no chiropractic schools in the state. The committee then heard HB 1185, which creates a plant-based building materials working group, and HB 1337, which establishes an endemic plant seed bank pilot program. Supporters of HB 1185 said the bill could help create green jobs and reduce greenhouse gas emissions by developing materials such as bamboo, hempcrete, and bio-cements, with questions raised about in-state processing. For HB 1337, witnesses supported the goal of preserving endemic species but said a large-scale refrigerated storage and seed-production facility would be needed; one witness estimated startup costs of about $6 million for one island and noted existing seed banks are small-scale and not designed for reforestation. HB 1300 would fund a University of Hawaiʻi Cancer Center multi-ethnic cohort study on cancer disparities among Native Hawaiians, Pacific Islanders, Filipinos, and Asians, including environmental and social factors such as proximity to landfills. The Cancer Center, ACS CAN, and labor representatives supported the bill, emphasizing health disparities and concerns about landfill exposure; committee members asked about federal funding, and the Cancer Center said it would pursue NIH, private, and foundation support, with the state share described as $500,000 per year for two years. HB 736 would create a wastewater technology testing pilot program at the Water Resources Research Center; supporters said it could help certify cheaper alternatives to costly cesspool and septic upgrades, and the Department of Health supported the measure. The committee also heard HB 531, which authorizes special license plates for the Cancer Center; supporters said it would raise visibility and funds, and the Cancer Center estimated revenue would likely be under $100,000. No votes or final actions were taken in the portion of the meeting provided.

Transcript Highlights:

• satisfy their need for nourishment, essential medical care, shelter, or self-protection without supervision
• satisfy their need for nourishment, essential medical care, shelter, or self-protection without supervision
• </c><00:31:00.440><c> and</c> protection without supervision and protection without supervision and assistance
• and assistance of others supervision and assistance of others will<00:31:16.159><c> probably</c><00:
• They are not take-home drugs; they are intensive talk therapy that is supported by a supervised dosing

Committee: House Health

Summary: The Committee on Health heard testimony on several bills. On SB 1441, which would repeal the transfer of the Oahu Regional Health Care System from HHSC to the Department of Health, the Department of Health said it strongly supports the measure and requested clarifying amendments. HHSC/Oahu Region also supported the bill and said it had no objection to the department’s amendments. In response to questions, witnesses said the agencies have been working on an MOU to support transfers of long-term care patients to Leahi, with the current goal being about 10 to 15 patients, but transfers would occur only as space and staffing allow; one patient was reportedly being admitted at the time, and the process was described as slow and case-by-case. The committee then heard SB 1443 on payment rates for state hospital patients and related Department of Health services. The hospital administrator said the bill would allow rates above Medicaid for community or foster-home placements if patients cannot be placed at Leahi or elsewhere, and would set Medicaid-level reimbursement for outside medical services used by state hospital patients. He said at least one provider was interested in offering services at that rate and that the population involved is largely non-ambulatory long-term care patients. Members asked about availability and training, and the witness said special training could be provided. SB 1322, a broad mental health bill, drew mixed testimony. The Department of Law Enforcement supported giving crisis-intervention-trained officers more discretion to transport people to medical care instead of arresting them. The Attorney General supported the bill but recommended revisions to emergency-transport language and restoring liability protections. HHSC and Queens Hospital supported the overall goal but sought amendments to preserve the mental health emergency worker role in decision-making and to avoid negative impacts on emergency departments. The Disability Rights Center and ACLU opposed parts of the bill, arguing that it weakens due process, reduces protections in involuntary treatment and transport, and should retain a three-person treatment panel rather than reduce it to one. A Queens representative said the current program works well and reported that more than 90% of MH1 cases once went to hospitals, but that figure has dropped to about 60-70%, with about 20% now diverted to community settings or the behavioral health crisis center. No votes or final committee actions were taken in the portion provided.