Transcript Highlights:

• . >> Well, can I cut in on the... when we've been looking at the aggregate scores and we've seen there's

Keywords: 1189, house, all

Summary: The Legislative Oversight Committee met to review statewide education improvement and assessment issues under RSA 193-C:8-a, with the chair focusing on curriculum frameworks, academic standards, and resource elements tied to the state’s adequate education statutes. The chair walked through the statutory relationship between minimum standards for public school approval, academic standards, and local control of curriculum, noting that New Hampshire law requires curriculum frameworks to guide what students should know and be able to do while leaving districts flexibility in instruction. He also raised concerns that some subject areas appear to have current frameworks or standards while others do not, and suggested the committee may need to consider an amendment creating a curriculum frameworks and academic standards coordinator at the Department of Education. Nate Green, director of the Division of Education Analytics and Resources, explained that the terms “academic standards” and “curriculum frameworks” have evolved over time and are often used interchangeably, but can mean different things depending on the subject area. He said the state’s more prescriptive standards largely developed after No Child Left Behind, especially in math, ELA, and science, while older or less-tested subjects such as arts, physical education, and health often retained looser framework-style documents. Green outlined one possible approach of standardizing terminology, but also said New Hampshire could instead define curriculum frameworks separately as a combination of standards, curriculum, and instructional approaches. He emphasized that state standards must support statewide consistency and assessment, while local districts retain control over how they teach. Committee members discussed how these distinctions affect different grade levels and subjects, using examples from math and science to show that minimum standards are broad while academic standards are more specific and grade-level based. Green described how science standards are organized by physical science, life science, and earth/space science across grade bands, while math standards are more directly tied to individual grades. No votes were taken and no formal action was reported during this portion of the meeting; the discussion remained informational and exploratory as members considered whether statutory language or departmental organization should be updated.

Transcript Highlights:

• speak to is MFMA and how we are seeking our food handlers permit so that we can glean the surplus, aggregate

Keywords: 1187, senate, all

Transcript Highlights:

• opposition to 2592 with presentation of statistical reporting measure that goes beyond far beyond aggregate

Keywords: 912, senate, all

Summary: The committee heard extensive testimony on Senate Bill 433, which would restrict the carrying of “bladed weapons” and related items. The Office of the Public Defender, Honolulu Police Department, the Hawaii Firearms Coalition, Knife Rights, and many individual testifiers opposed the bill, arguing it is overbroad, vague, and likely unconstitutional. Common concerns were that the term “bladed weapon” could sweep in ordinary tools such as pocketknives, Leathermans, multi-tools, fishing and camping gear, and items used by farmers, ranchers, hunters, divers, and martial arts practitioners. Several speakers also warned that the bill could burden lawful self-defense and create an affirmative-defense scheme that shifts costs and proof burdens onto defendants. Supporters and opponents alike focused on the need for a clearer definition, with HPD saying a narrower definition would help distinguish ordinary tools from dangerous weapons used in assaults. Opponents repeatedly urged the committee to defer or kill the measure, citing pending and related court cases and the risk of new constitutional challenges. Some testifiers tied the bill to Native Hawaiian gathering rights and subsistence practices, saying it would interfere with hunting, fishing, and food gathering, while others argued it would do little to deter criminals and instead penalize law-abiding residents and visitors. After finishing testimony on SB 433, the committee moved on to Senate Bill 2575 relating to firearms. The transcript shows the start of that item with the Office of the Public Defender and other agencies being called, but no substantive testimony or action on SB 2575 is included before the excerpt ends. No votes or final committee actions are reflected in the portion provided.

Transcript Highlights:

• That’s in aggregate across the 50 buildings, $2.2 million. Buildings, two $2.2 million.

Keywords: 910, house, all

Summary: The joint committees held an informational briefing on efforts to expand insurance capacity in Hawaii’s property market, especially for condominium and homeowners coverage. The Insurance Commissioner reviewed the background: a legislative task force, the governor’s emergency proclamation in August 2024, and Senate Bill 1044 in May 2025 led to new condo insurance products. He said the work over the past two and a half years was producing positive results and introduced representatives from HPIA and HHRF/HHR to provide updates. HPIA’s board chair and its administrator described the organization’s history, structure, and current products. HPIA said it was created in 1991 as a residual market for homeowners insurance, now writing four residential products: HO2 homeowners, renters, HO6 condo unit owners, and dwelling fire. They reported policy counts have grown again as admitted-market carriers tightened underwriting, and they discussed financial pressure from reinsurance costs, though those costs had declined in 2025 after different purchasing decisions. They also said the market has become more favorable overall, with some capacity returning and deductibles beginning to ease. Members focused much of their questioning on HPIA’s proposed higher dwelling limits. HPIA explained that the current $450,000 limit for homeowners and dwelling fire was set in 2023, but agents are now asking for a higher limit in the $650,000 to $750,000 range because construction costs have risen and many policies are not being submitted when the limit is too low. HPIA said it has the authority to raise the limit through a filing with the Insurance Division and expects more submissions if the cap increases. They also discussed the shift in the book of business from roughly 70% lava-zone coverage to closer to a 50/50 split between lava and non-lava risks. HPIA outlined strategic initiatives: a new policy administration system that went live October 1 and now allows online payments, online claims reporting, and electronic notices; a filed request to raise the homeowners and dwelling fire limit to $650,000 effective March 1 for new business and April 1 for renewals; an increase in the HO6 condo unit owners limit from $5,000 to $100,000; and a planned commercial property all-other-perils-excluding-hurricane condo product targeted for filing by January 31. No votes were taken, and the meeting was informational only.

Transcript Highlights:

• This aggregated by age, but not by any other factors outlined in proposed section 9.3715, isn't that

Bills: SB2, HB2, HB2000, HB2196, HB213, HB222, HB645, HB1458, HB 1022, HB141, HB502, HB643, HB3093, HB1700, HB 117, SB503, SB2, HB 120, HB20, HB150, HB6, HB 100, HB210, HB215, HB1393, HB 1151, HB 1268, HB142, HB451, HB 124, HB2, HB2000, HB2196, HB213, HB222, HB645, HB1458, HB 1022, HB141, HB502, HB643, HB3093, HB1700, HB 117

Keywords: public education, teacher compensation, certification, funding, school finance, educator rights, education funding, charter schools, staff compensation, state aid, retention allotment, child grooming, sex offender registration, criminal justice, reportable conviction, law enforcement, virtual education, hybrid learning, school funding, average daily attendance

Transcript Highlights:

• There are some technical changes to the aggregation language to make it line up with a few other existing

Keywords: 1183, house

Transcript Highlights:

• They also own Usby Aggregates, which is their biggest customer, so as a result, you know, Usby Aggregates

Keywords: 928, house, all

Summary: The committee heard a Department of Corrections capital budget presentation on HB 25, focused largely on urgent maintenance and security needs at the New Hampshire State Prison for Men and other DOC facilities. DOC officials described the governor’s proposed priorities: boiler surge and radiator tank replacements, electronic controls and camera upgrades, and replacement of HVAC units using R22 refrigerant. They also outlined additional requested projects totaling $15.4 million, including a body alarm/man-down system at Northern New Hampshire Correctional Facility, steam line and trap repairs, fire alarm replacements, and removal of an underground diesel tank in favor of above-ground storage. DOC testified that many systems are well beyond their expected service life, including 40-year-old boilers, outdated analog cameras, and HVAC equipment using discontinued R22 refrigerant. They said the men’s prison is relying on a leased temporary boiler, has significant steam leaks causing major water loss and reduced boiler efficiency, and is dealing with frequent fire alarm faults and deteriorating wiring. On the body alarm system, they said the vendor no longer supports the equipment and replacement parts are no longer available. On the diesel tank, members questioned whether it could be abandoned in place or whether fuel could be reused; DOC said it had not explored all alternatives and would follow up, while noting the tank is underground and tied into the warehouse system. Members also asked whether some current investments could be reused in the planned new men’s prison. DOC said some items, such as air handlers, might potentially be moved, but most projects are needed to keep the current facility operational and would not be practical to transfer. Questions were also raised about the leased boiler arrangement, the use of the man-down system by staff and visitors, and whether the kitchen project could be converted to a modular unit. DOC said the modular kitchen approach is necessary because the existing kitchen cannot remain fully operational during repairs. The committee then moved to lapse extensions, and DOC identified several projects no longer needing extensions, including items numbered 64, 65, and 66 in HB 25, with the chair noting those balances would be deleted and that the lapse amount was $550,500.

Transcript Highlights:

• And do we have an estimate of what that cost would be to employers in aggregate?

Keywords: 1187, senate, all

Transcript Highlights:

• But that same license, he can go out and get another job delivering pork chops or hauling aggregate for

Keywords: 910, house, all

Summary: The committee on Education heard testimony on HB 1895, which would add education-worker protections by expanding harassment-related offenses. The Department of Education, HSTA, HGA, and several school employees and principals testified in support, describing increased harassment and threats toward teachers and staff, especially since COVID, and saying the bill would help deter bad actors. The Office of the Public Defender opposed the measure, saying the language was vague and overbroad, could criminalize ordinary parental advocacy or speech, and might not survive constitutional scrutiny. In response to questions, the public defender said existing statutes already cover threatening or assaultive conduct against educational workers, while DOE representatives said the bill was aimed at excessive and repetitive disruptive behavior. No vote or final action was taken in the excerpt. The committee then took up HB 1592, concerning protections for educational workers and sports officials. DOE, the Charter School Commission, HGA, HSTA, school principals, athletic programs, and many individual testifiers supported the bill, with several describing threats, harassment, and aggressive behavior at schools and athletic events. One principal said he had repeatedly involved law enforcement after threats and incidents on campus, and a teacher testified about the need to keep school environments safe and orderly. The Office of the Public Defender again opposed the bill, arguing that current law already enhances penalties for assaults and terroristic threatening against educational workers and sports officials, and that new offenses would have little deterrent effect. Committee members questioned whether the bill should be a separate statute and how to distinguish passionate advocacy from harassment; DOE said the line was crossed when conduct became excessive and repetitive, while the public defender urged clearer drafting and more emphasis on prevention, education, security, and de-escalation. No vote or final action was announced in the excerpt.

Transcript Highlights:

• today we're actually going to be looking at numbers through a couple of different lenses that are aggregate

Keywords: 928, house, all

Summary: The meeting began as a Division 3 work session on HB 71, but much of the early discussion focused on whether a previously discussed non-germane amendment could be considered or voted on that day. Members and the chair debated process and notice requirements, and the clerk’s guidance was that the amendment needed a separate public hearing before the full Finance Committee. The amendment was described as requiring DHHS contracts and addenda to include compliance with the Patient Bill of Rights, with a repeal date so the requirement would expire on November 30, 2026. The motion to move OTP on HB 71 with the amendment was withdrawn, and the committee agreed the amendment would be scheduled for a future full Finance hearing instead. The committee then turned to HB 71 itself and heard testimony from DHHS representatives John Williams and Jenny O’Higgins on the fiscal note and policy implications. Members questioned the estimate that the bill could put $12 million to $18 million per year in federal funding at risk, including HUD and Office of Refugee Resettlement funds. DHHS explained that the estimate was based on a broad reading of the bill’s term “specified alien,” which they said was not clearly defined in the bill, so they analyzed it using the federal definition of “alien” and assumed the bill could affect lawfully present non-citizens as well as undocumented individuals. They said the figure represented a worst-case scenario and that they were not claiming the loss was certain. Members also pressed DHHS on whether the bill could affect emergency sheltering in schools, public academies, or institutions of higher learning during disasters. DHHS said the language could create conflicts with federal funding conditions because emergency shelter programs generally cannot impose barriers on who may be sheltered, and they warned that excluding certain people could affect refugee-related and HUD funding. Questions were raised about whether the bill’s language would apply to private institutions as well as public ones, and whether the state could still use schools in short-term emergencies. DHHS said the language was broad, that they could not answer every legal question definitively, and that they would need input from public health and legal staff. No final vote on HB 71 was taken in the portion provided; the committee remained in discussion/work session mode after the amendment motion was withdrawn.

Transcript Highlights:

• HOA basically reveal her private data to a whole bunch of third-party vendors, and then it got aggregated
• HOA basically reveal her private data to a whole bunch of third-party vendors, and then it got aggregated

Keywords: 919, house, all

Summary: The House convened with prayer, the Pledge of Allegiance, and a quorum present. The journal was approved as corrected, several Senate files were given second reading, and House files 5099 through 5102 were introduced. The Rules and Legislative Administration report placed a large group of bills on the May 4 calendar with pre-filing requirements for amendments. The first major floor bill was House File 3426, the annual LCCMR bill appropriating about $102.036 million from the Environment and Natural Resources Trust Fund for 108 projects, including a new community grants program. Members spoke in support, emphasizing natural resources, outdoor recreation, and added integrity safeguards; the bill passed 117-15. The House then passed House File 4151, a bipartisan occupational licensing bill for private detectives and protective agents. It ends partnership detective licenses and requires background checks for controlling officers and qualified representatives, while preventing licensure of people with disqualifying offenses from other states or federal law. The bill passed 133-0. After that, the chamber took up Senate File 4760, a public safety package incorporating multiple previously heard House bills and additional provisions. The package included items on recognizing Canadian protective orders, sextortion penalties, gift card fraud, firearm age restrictions, restitution, juvenile detention licensing, corrections data and terminology, chemical irritant disclosure, victims’ rights, BCA fraud statutes, and the private detective bill. Several amendments to Senate File 4760 were adopted, including one inserting House language, one changing the effective date for public-employer discretion provisions, one allowing the Office of the Legislative Auditor to request BCA fingerprints for federal tax information compliance, and one clarifying jail medication provisions. Another amendment, A3, drew a roll call after Representative Duran argued it would keep the current juvenile delinquency age and allow more time to build infrastructure; Representative Feist urged a no vote, citing opposition from other stakeholders. The transcript ends during discussion of that roll call, before the final outcome on A3 or the overall public safety package is shown.

Transcript Highlights:

• So I'm asking if you considered privacy concerns, because this is an aggregate report, not an individual
• So I'm asking if you considered privacy concerns, because this is an aggregate report, not an individual

Keywords: 1189, house, all

Bills: HB20, HB463, HB469, HB649, HB963, HB1163, HB1334, HB1481, HB1509, HB1511, HB1514, HB1515, HB1516, HB1518, HB1519, HB1523, HB1524, HB1546, HB1548, HB1550, HB1553, HB1573, HB1574, HB1576, HB1588, HB1591, HB1618, HB1619, HB1628, HB1642, HB1643, HB1656, HB1658, HB1664, HB1667, HB1679, HB1682, HB1688, HB1692, HB1696, HB1700, HB1705, HB1707, HB1710, HB1711, HB1713, HB1716, HB1718, HB1721, HB1728, HB1737, HB1740, HB1741, HB1749, HB1752, HB1753, HB1768, HB1782, HB1800, HB1804, HB1810, HB1823, HB1839, HB1842, HB1854, HB1858, HB1864, HB1870, HB1875, HB1881, HB1886, HB1888, HB1890, HB1894, HB1897, HB1898, HB1920, HB1929, HB1946, HB1959, HB1961, HB1962, HB1973, HB1974, HB2001, HB2005, HB2020, HB2021, HB2022, HB2023, HB2062, HB2078, HB2093, HB2095, HB2096, HB2097, HB2101, HB2137, HB2152, HB2207, HCR137, HCR181

Keywords: lava insurance, homeowners, insurance market, subsidy, Hawaii, eviction, housing access, tenant rights, judicial reporting, disassociation, disability, parking, travel placard, accessibility, mobility, small boat harbors, moorage, harbor permits, commercial use permit, commercial fishing

Bills: HB20, HB463, HB469, HB649, HB963, HB1163, HB1334, HB1481, HB1509, HB1511, HB1514, HB1515, HB1516, HB1518, HB1519, HB1523, HB1524, HB1546, HB1548, HB1550, HB1553, HB1573, HB1574, HB1576, HB1588, HB1591, HB1618, HB1619, HB1628, HB1642, HB1643, HB1656, HB1658, HB1664, HB1667, HB1679, HB1682, HB1688, HB1692, HB1696, HB1700, HB1705, HB1707, HB1710, HB1711, HB1713, HB1716, HB1718, HB1721, HB1728, HB1737, HB1740, HB1741, HB1749, HB1752, HB1753, HB1768, HB1782, HB1800, HB1804, HB1810, HB1823, HB1839, HB1842, HB1854, HB1858, HB1864, HB1870, HB1875, HB1881, HB1886, HB1888, HB1890, HB1894, HB1897, HB1898, HB1920, HB1929, HB1946, HB1959, HB1961, HB1962, HB1973, HB1974, HB2001, HB2005, HB2020, HB2021, HB2022, HB2023, HB2062, HB2078, HB2093, HB2095, HB2096, HB2097, HB2101, HB2137, HB2152, HB2207, HCR137, HCR181

Keywords: lava insurance, homeowners, insurance market, subsidy, Hawaii, eviction, housing access, tenant rights, judicial reporting, disassociation, disability, parking, travel placard, accessibility, mobility, small boat harbors, moorage, harbor permits, commercial use permit, commercial fishing

Bills: HB1500, HJR7, HJR112, HB34, HB133, HB 112, HB 119, HB 128, HB 130, HB132, HB2756, HB166, HB406, HB186, HB271, HB331, HB380, HB1583, HB1584, HB1819, HB621, HB303, HB552, HB366, HB463, HB 1211, HB1327, HB1461, HB923, HB1760, HB2043, HB2467, HB5333, HB5265, HB1592, HB1576, HB1552, HB2018, HB3511, HB1781, HB2013, HB2340, HB2349, HB2508, HB2970, HB2520, HB865, HB2851, HB3385, HB3336, HB3529, HB3309, HB 1127, HB 1232, HB1397, HB4236, HB1804, HB1926, HB4041, HB1965, HB1964, HB2679, HB2730, HB3698, HB3699, HCR77, HB3354, HB163, HB201, HB272, HB333, HB405, HB519, HB569, HB654, HB694, HB791, HB 1006, HB 1136, HB 1240, HB 1266, HB 1275, HB1437, HB1532, HB1675, HB1842, HB1868, HB1888, HB1894, HB1943, HB1990, HB2029, HB2061, HB2286, HB2523, HB2622, HB2626, HB2652, HB2692, HB2842, HB2885, HB2914, HB3016, HB3096, HB3129, HB3248, HB3251, HB3255, HB3479, HB3611, HB3623, HB3701, HB3724, HB3803, HB3804, HB3805, HB3806, HB3810, HB3816, HB3832, HB3887, HB4127, HB4129, HB4130, HB4131, HB4163, HB4187, HB4229, HB4238, HB4454, HB4588, HB4643, HB4736, HB4738, HB4739, HB4945, HB5015, HB5616, SB767, SB1619, SB1738, HJR5, HJR2, HB1399, HB388, HB 114, HB205, HB2789, HB2791, HB499, HB2960, HB3163, HB3135, HB2427, HB1672, HB1722, HB2618, HB879, HB 1126, HB4134, HB3513, HB1445, HB1893, HB1734, HB3229, HB3306, HB 1276, HB3516, HB4145, HB1585, HB4810, HB2558, HB2742, HB1695, HB33, HB144, HB 109, HB 103, HB148, HB3809, HB2217, HB220, HB2421, HB2363, HB421, HB2455, HB3711, HB2559, HB2775, HB3126, HB3666, HB3595, HB3260, HB3376, HB3826, HB3770, HB1831, HB2614, HB3113, HB322, HB431, HB869, HB 1203, HB 1244, HB1875, HB1950, HB2152, HB2341, HB2809, HB2856, HB3012, SB1415, SB1058, SB487, SB1499, SB513, SB1697, SB1197, SB1437, SB1809, SB836, SB1879, SB1145, SB963, SB1038, SB1147, SB914, SB711, SB1409, HB3707, HB589, HB1360, HB2337, HB2391, HB718, HB23, HB2436, HB1500, HJR7, HJR112, HB34, HB133, HB 112, HB 119, HB 128, HB 130, HB132, HB2756, HB166, HB406, HB186, HB271, HB331, HB380, HB1583, HB1584, HB1819, HB621, HB303, HB552, HB366, HB463, HB 1211, HB1327, HB1461, HB923, HB1760, HB2043, HB2467, HB5333, HB5265, HB1592, HB1576, HB1552, HB2018, HB3511, HB1781, HB2013, HB2340, HB2349, HB2508, HB2970, HB2520, HB865, HB2851, HB3385, HB3336, HB3529, HB3309, HB 1127, HB 1232, HB1397, HB4236, HB1804, HB1926, HB4041, HB1965, HB1964, HB2679, HB2730, HB3698, HB3699, HB3354, HB163, HB201, HB272, HB333, HB405, HB519, HB569, HB654, HB694, HB791, HB 1006, HB 1136, HB 1240, HB 1266, HB 1275, HB1437, HB1532, HB1675, HB1842, HB1868, HB1888, HB1894, HB1943, HB1990, HB2029, HB2061, HB2286, HB2523, HB2622, HB2626, HB2652, HB2692, HB2842, HB2885, HB2914, HB3016, HB3096, HB3129, HB3248, HB3251, HB3255, HB3479, HB3611, HB3623, HB3701, HB3724, HB3803, HB3804, HB3805, HB3806, HB3810, HB3816, HB3832, HB3887, HB4127, HB4129, HB4130, HB4131, HB4163, HB4187, HB4229, HB4238, HB4454, HB4588, HB4643, HB4736, HB4738, HB4739, HB4945, HB5015, HB5616, SB767, SB1619, SB1738, HCR77

Keywords: Information Resources, Department governance, cybersecurity, state assistance, procurement training, technology resources, advisory committees, water fund, Texas water supply, constitutional amendment, state revenue, infrastructure, parental rights, child upbringing, government interference, Texas legislation, science park district, economic development, technology innovation, higher education collaboration

Transcript Highlights:

• it's about 40 million that was included to go through the SFCC, and those offers do accumulate in aggregate

Keywords: Several minutes after the convene vote and before the introduction failed to properly steam. This version was pulled from a local back up., 958, all

Summary: The House convened with 97 members present, declared a quorum, approved excusing absent members, and suspended the rules to allow co-sponsorships and vote modifications. The journal for February 25, 2026 was approved. The clerk also reported that the Senate had passed Senate Bills 98 and 122 and requested concurrence. The House then received second-reading reports on a range of bills, including measures on prison educational programs, respiratory care, dietitians, wildlife depredation, temporary structures, military families, civil rights, local boards of education, light pollution, controlled-substance prescribing licenses, youth health services, class sizes for exceptional children, the athletic trainer compact, limited commercial driver’s licenses, and Senate Bill 145 relating to the Department of Agriculture and Alcohol Beverage Control. Committee reports moved several bills forward, including the main budget bills House Bill 500 and House Bill 504, along with measures on workforce investment, data centers, domestic violence, guardians ad litem, domestic relations, health delivery and “food is medicine” initiatives, state personnel, open records, and fish and wildlife resources. House Bill 500 and House Bill 504 were taken from the Rules Committee and placed on the orders of the day. House Bill 500, the executive branch budget bill, was then taken up for third reading and explanation. Members presented extensive floor explanations of House Bill 500 and House Committee Substitute 1, describing it as a “good first draft” of the executive budget. Supporters said the proposal emphasizes restrained spending growth, base reductions with exemptions for key areas, employee salary increments, and deposits to the Budget Reserve Trust Fund for future one-time investments. They highlighted funding for K-12 education, postsecondary aid and workforce training, Medicaid and behavioral health, public health infrastructure, pensions, veterans, public safety, economic development, tourism, and state technology and facility maintenance. The budget substitute was adopted by voice vote, and the discussion continued with detailed descriptions of the bill’s provisions; no final passage vote was shown in the excerpt.

Transcript Highlights:

• We also note that it is administratively difficult for us to administer aggregate caps.

Keywords: 910, house, all

Summary: The joint hearing opened with House Bill 1969, which would provide state funding for colorectal cancer screenings for uninsured and underinsured residents. The Department of Human Services said it supports the goal of early screening but would need new administrative capacity, including a program manager and claim pre-screening, to run the program. The Department of Health supported the measure and cited low screening rates in Hawaii, noting an educational campaign to encourage screening. The Insurance Division raised concerns about reliance on federal FAQs, warning that guidance can change and may create state cost exposure. Supporters including the American Cancer Society Cancer Action Network and the Hawaii Medical Association argued the bill would close a preventive-care gap, reduce late-stage diagnoses, and save long-term costs; the committee also discussed implementation costs, estimated by DHS at roughly $1.4 million to $2 million annually plus administrative expenses, and a 6-month to 1-year timeline to establish the program. The committee then took up House Bill 1965, which would require health carriers to spend at least 6% of total medical expenditures on primary care providers. The Insurance Division said several provisions raise technical and legal concerns, including the premium freeze, the medical loss ratio language, the lack of an existing external review process for downcoding claims, and a new mandate for medically necessary inter-island transportation that could trigger an ACA defrayal. The Department of Human Services supported the intent but suggested broader language to include primary care supports and services, and noted that QUEST integration plans already invested at least 9% of total medical expenditures in primary care in 2024, with additional spending on supports and low-value care reductions. State health planning officials strongly supported the bill as an investment in primary care, saying it could improve outcomes and lower long-term costs, though they acknowledged a possible temporary premium increase during the transition. Testimony in support emphasized Hawaii’s physician shortage, especially on Maui, the Big Island, and other neighbor islands, and warned that clinics are under financial strain and may close without higher primary care reimbursement. The Hawaii Healthcare Task Force, AARP Hawaii, and other supporters said the bill would help retain providers, improve access for Medicare and Medicaid patients, and prevent downstream costs from emergency room use and avoidable hospitalizations. No votes or final committee action were taken in the portion of the hearing provided.

Transcript Highlights:

• both for the public to be able to go look at data rather than pull down 15 reports and then try to aggregate

Keywords: 1191, senate, all

Transcript Highlights:

• So that's not a number we've aggregated. Let me ask a different way.

Keywords: 1184, house, all

Transcript Highlights:

• The top portion of the spreadsheet provides you with the aggregate uncompensated care for each Community

Keywords: 1191, senate, all