Transcript Highlights:

• I mean, we're talking about money that could go toward teacher salaries, parent salaries, support teachers
• Students who study here stay here, work here, and pay taxes here.

Transcript Highlights:

• We have a study on how to improve.
• We have a study on how to improve.
• <02:04:44.240> to<02:04:44.320> the studies that were presented to the studies that
• Again, we have the studies bills.
• performance standards and that study performance standards and that study should<03:28:52.400>

Keywords: Senate streaming session for Thursday, April 2, 2026, 960, senate, all

Summary: The Senate convened with a quorum, heard an invocation by Reverend J.C. Austin of Woods Memorial Presbyterian Church, and journalized the prayer. Members also introduced several guests and interns, including a shadow from the 45th District, a Legislative Black Caucus fellow, a ninth-grade author from Annapolis High School, a World Autism Acceptance Day group in the gallery, and a student shadowing the Senator from District 30. The chamber then moved to House bills on second reading and Senate bills on third reading. The Senate adopted favorable committee reports and passed several House bills without objection, including measures extending the Maryland Horse Industry Board sunset, requiring housing counseling information for certain first-time homebuyers, expanding the educator expense tax subtraction to full-time pre-K teachers, increasing funding for the State Library Resource Center, extending agricultural use assessment eligibility for community solar projects, allowing the Seat Pleasant Police Department to join the Law Enforcement Officers Pension System, authorizing changes to a tax sale legacy protection program, and granting special taxing authority for the Village of Drummond. The chamber also adopted seven amendments to Senate Bill 1007 on state debt authorizations and ordered it printed for third reading. On final passage, Senate Bill 956 on Maryland Transportation Authority video toll collections passed with 44 affirmative votes. The Senate then took up Senate Bill 841, a major energy affordability and utility reform bill, with two committee amendments adopted. The bill was described as providing short-, medium-, and long-term rate relief, including changes to EmPOWER Maryland, utility cost recovery, data center tariffs, net metering, solar policy, transmission planning, battery storage, nuclear incentives, and low-income assistance. Debate began on the amended report, and a motion to lay the bill over was withdrawn while members discussed waiting on additional amendments.

Transcript Highlights:

• Senate Bill 2, an act relating to salaries of school administrators. Senator Rocky Adams.
• <00:05:49.560> of<00:05:49.720> school<00:05:50.200> administrators, salaries of
• And actually he had studied, went to medical school in Russia.
• And I've studied hard. I've even went to books of psychology.
• And I've studied hard. I've even went to And I've studied hard.

Keywords: 958, all

Summary: The Senate convened with prayer, the pledge, roll call, and approval of the February 5, 2026 journal. The House clerk then delivered messages that the House had passed House Bills 103, 188, 189, 258, 276, and 419 and requested concurrence. The chamber also received second-reading reports for Senate Bills 2, 4, 71, 136, and 183, which were sent to the Rules Committee, and later committee reports that posted SB 2, SB 4, and SB 71 for Monday, February 9, and SB 136 and SB 183 for Tuesday, February 10. The Committee on Committees also referred several bills to standing committees, including SB 155, 118, 153, 158, 160, 72, 98, and 145. The main floor action was passage of Senate Bill 132, relating to massage therapy. The sponsor said the bill was intended to help local governments investigate businesses posing as massage parlors and to strengthen enforcement against unlicensed practice, including raising the penalty for certain violations from a class B to a class A misdemeanor and treating each unlicensed session as a separate offense. Supporters said it would aid efforts to combat human trafficking and preserve local zoning and licensing authority. Several senators voiced concerns that the bill could be too broad and might unintentionally affect trafficking victims or impose harsh penalties for unlicensed massage without injury or fraud, but they still voted yes. SB 132 passed 32-0. The Senate also adopted Senate Committee Substitute 1 for Senate Bill 18 and then passed the bill 32-0. SB 18 updates Kentucky’s podiatry laws, formally recognizes podiatric assistants and residents, gives the Board of Podiatry authority to license and regulate them, allows podiatrists to supervise physician assistants with board approval, limits supervision to four assistants, and requires new podiatrists starting in 2027 to complete at least two years of residency training. The sponsor said the measure modernizes oversight and improves access to foot and ankle care, especially for patients with diabetes. After the floor work, the Senate recessed for meetings of the Rules Committee and Committee on Committees, and later received the committee reports noted above.

Transcript Highlights:

• are gone for study group.
• There were research studies done.
• But other studies, That belief, but other studies are, you know, there's others that are against this
• We've had since 1981 to do these studies.
• You would see hundreds of studies, c19.ivm.org.

Bills: HB216

Keywords: HB216, Texas abortion law, abortion-inducing drug, medication abortion, mifepristone, misoprostol, telemedicine, in-person exam, physician presence, out-of-state physician, reproductive healthcare, abortion regulation, Health and Safety Code, Occupations Code, consultation services, remote prescribing, pro-life, pro-choice

Summary: The Committee on Public Health met with a quorum and heard public testimony on a long agenda, with members repeatedly reminded of a two-minute limit for witnesses. Several bills were voted out favorably, including HB 2588 on cottage food, HB 1639 on cancer incidence and female firefighters, HB 2581 on a reporting form for contracted services for pregnant women, and SB 922 on electronic disclosure of certain sensitive medical information. Those measures generally passed on party-line or near-unanimous votes, while HB 216 on itemized medical statements was left pending after the committee substitute was withdrawn. The committee also left pending HB 5141, HB 4638, HB 2035, HB 4813, HB 2264, HB 4014, and HB 3829 after hearing testimony and questions. The final item introduced in the excerpt was HB 4408 on health care market transparency and corporate consolidation, but the discussion was cut off before testimony or action was completed. A major theme of the hearing was mental health diversion and access to treatment. HB 5141, by Rep. Howard, would allow Travis County to use vacated Austin State Hospital property for a local mental health jail diversion center; law enforcement, the Travis County sheriff, county judge, and urban counties group all testified in support, describing the lack of alternatives for people in crisis and the burden on jails and emergency rooms. Members asked about eligible offenses, bed capacity, and whether the facility would serve only Travis County, and the bill was left pending. HB 2264, by Rep. Schoolcraft, would create a friends-and-family form for loved ones to provide information to providers during emergency mental health treatment; NAMI and hospital groups supported it, while one neutral witness and several members raised concerns about patient control, credibility of information, and liability protections. The bill was also left pending. The committee also heard multiple psychedelic-therapy and drug-policy bills. HB 4813 would speed Texas rescheduling of Schedule I substances if the FDA reclassifies them, with testimony focused on psilocybin and MDMA and their potential use for PTSD and depression; members questioned whether the bill was too broad and how state rescheduling works, and it was left pending. HB 4014 would direct HHSC to study psychedelic therapies, building on prior state research, and witnesses said Texas should prepare regulatory and clinical infrastructure before FDA approval; it too was left pending. HB 2035 would require parents to be informed that they may seek substance-use treatment for a child even if one facility turns them away, prompted by a constituent’s account of a fatal fentanyl overdose after receiving incorrect advice; it was left pending. HB 4638 would extend and expand the Texas Pharmaceutical Initiative board and timeline, with the author saying the program is still in early implementation and needs more time, and it was left pending as well. Other bills addressed public health administration and animal welfare. HB 3829 would require a study of the animal-friendly account and its grant process for spay/neuter funding, with the author arguing that the current application and reimbursement process is too burdensome for shelters and nonprofits; no opposition was heard and the bill was left pending. HB 2581 and HB 1639 were reported favorably, while HB 216 drew discussion about enforcement of itemized medical billing and was held after the committee substitute was withdrawn. Throughout the hearing, members also discussed broader concerns about homelessness, competency restoration waitlists, jail overcrowding, and the need for more treatment options outside the criminal justice system.

Transcript Highlights:

• Generally, House Bill 1868 would direct the coordinating board to study the feasibility, fiscal, and
• The committee substitute to HB 4236 modifies the bill to create a study group that will...
• The committee substitute to HB 4236 modifies the bill to create a study group that will, one, study the
• A look into all four appraisal district studies, A look into all four appraisal district studies, PVS
• ratio, MAP, and TARP, is needed, and whether one robust study including the key elements of these studies

Bills: HB4, HB20

Keywords: district composition, congressional election, Texas, legislature, voting districts, fraudulent solicitation, disaster relief, nonprofit organizations, criminal penalties, consumer protection, fraud prevention, charitable donations

Summary: The Senate Committee on Education K-16 heard a series of higher education and K-12 bills, initially without a quorum and with several measures left pending subject to the call of the chair. Early bills included HB 1868, which would direct a study on lowering the dual-credit funding threshold for public junior colleges from 15 to 9 semester credit hours; HB 2598, which would replace statutory references to “licensed specialist in school psychology” with “school psychologist”; HB 3629, which would bar registered sex offenders from serving on independent school district boards of trustees; and HB 4361, which would require the Higher Education Coordinating Board to adopt rules for timely emergency notifications at public institutions of higher education. Each received brief sponsor explanations, no opposition testimony, and was left pending. The committee also heard HB 4848, requiring public higher education systems to ensure at least one institution offers affordable competency-based bachelor’s degree programs in high-demand fields, and HB 1211, which would remove the age 25 deadline for former foster youth to use public college tuition waivers. HB 1211 drew extensive supportive testimony from Texas CASA, a former foster youth who benefited from the waiver, and a current student headed to medical school, all arguing the change would better match the realities faced by youth aging out of care. Members discussed the bill’s fiscal uncertainty and the argument that the waiver is an investment in workforce participation; the bill was left pending. Later, the committee heard HB 20, creating an Applied Sciences Pathway Program to let high school students earn certificates in targeted industries such as welding, plumbing, electrical work, manufacturing, and oil and gas while in school. Industry and workforce groups strongly supported the bill as a way to address labor shortages, while Texas 2036 raised concerns about allowing applied versions of core academic courses to substitute for traditional instruction. HB 4687, which would extend governmental immunity protections to certain campus/district charter schools and adult charter high schools, also received support from a charter-school attorney who said it would align statutes with existing case law and not expand charter rights. HB 4236, as substituted, would create a study group to examine the property value study’s effect on school finance and alternative valuation methods; it was adopted as a committee substitute and left pending. The committee also heard HB 824 on civics instruction in high school government courses and HB 2243, which would create a commission on teacher job satisfaction and retention; the latter prompted debate over removing “ethnic diversity” language from the commission’s makeup. After adopting the substitute for HB 2243 by roll call, the committee recessed subject to the call of the chair.

Transcript Highlights:

• I stand here, and we'll add Cody, to invite you to a nonpartisan Bible study led by our chaplain, Scott
• The Committee on State Affairs, HB 178 by Morales of Harris, relating to the social studies curriculum
• Refer to the committee on subcommittee on property tax appraisals HB 204 by total annual salary from
• HB 284 by the two minute pause the 86 by Morales affairs relating to a study by the Department of Public
• HB 299 by Meza relating to a study of the Legislative Budget Board.

Keywords: 1184, house, all

Transcript Highlights:

• We're studying it.
• We've got lots of committees in that system studying it, and they're not doing a bad job.
• We're actually here to ask you to double our salary. Actually, that's a real reason. Which is?
• That's not a market salary for a system this size.
• So I look forward to continuing to talk about those now, 529 salaries that can go to our students' tuitions

Keywords: 970, all

Transcript Highlights:

• I'll just have to study that.
• It's off for a study. Oh, I thought you were saying you wanted them to come forward.
• The $40 million, I think, is to help us with our salaries from the increases with the pay plan, the majority
• You mentioned salary increases in that $46 million.
• You mentioned salary increases in that $46 million.

Summary: The committee first adopted revised JBC rules, which staff said were updated to reflect legislation passed in the 2025 session. It then heard a presentation from DFA Secretary Jim Hudson on the governor’s proposed balanced budget for FY27, with no action taken. Hudson said the budget reflects three priorities: limiting state-government growth, continuing investments in education, and advancing income-tax cuts. He highlighted increases for education funding through EFAs, pay-plan costs for Corrections, DPS, and the Attorney General, higher education productivity funding, drug task forces, a Corrections medical contract, the governor’s 1033 initiative, SNAP error-rate reduction efforts, and an additional $100 million set aside for Medicaid sustainability. Committee members questioned the size of the tax cuts, the balance requirement, public education funding, Medicaid trust-fund levels, EFA funding, and the expected impact of new SNAP cost-sharing rules. The Division of Higher Education then presented its productivity-based funding recommendations. Officials said institutions were 2.61% more productive overall, with funding changes driven by a statutory formula that rewards degree production, underserved populations, and high-demand fields. Members asked about declines at UA Little Rock, the formula’s multipliers, the role of the Arkansas Access Act and a new return-on-investment metric, and how two-year colleges are adjusted for size. The committee also reviewed special items and approved two letters: one authorizing 17 net personnel changes across nine institutions, and another adding special language for North Arkansas College’s entry into the University of Arkansas system. The committee then adopted the Higher Education Coordinating Board’s recommendations for all institutions. A lengthy portion of the meeting focused on the University of Arkansas system, especially Fayetteville’s athletics funding and the broader impact of the House/NIL settlement. Chancellor Charles Robinson and system officials explained that the board had waived a longstanding campus transfer and directed the university to provide an additional $6 million to athletics, with some costs likely to be passed through to students but partially offset by existing budget growth. Members debated whether the university should prioritize academics or athletics, how the transfer originated, and whether the athletic changes would affect affordability. The committee also discussed the 1890 extension program at UAPB and the Division of Agriculture’s land-grant funding. UAPB officials said the state match is intended to be one-to-one, that the current recommendation aligns appropriation with actual spending, and that a $2 million set-aside remains available if needed. The Division of Agriculture later clarified that its Smith-Lever extension and Hatch research funds are part of the UA system’s separate budget and that the state matched about $6.2 million in federal extension funding last year. The committee then moved to the Department of Corrections. It approved G1, transferring 51 positions to the secretary’s office to activate a recidivism program, with an estimated cost of about $4 million. Staff then began walking through the department’s FY27 budget, noting an increase of about $8 million for administration and shared services, including a $170,000 sex-offender assessment appropriation moved under Act 723 of 2025 and roughly $6 million more for medical contracts. Questions on the Corrections budget had just begun when the transcript ended.

Transcript Highlights:

• Is the $3 million part of the salary to help them in these rural communities or wherever they are?
• two months, the rural hospital, in a typical approach, they would be expected to cover the resident salary
• But what we will do with this is be able to cover that resident salary and compensation without passing
• services, medical laboratory sciences, occupational therapy, physical therapy, physician assistant studies
• And I actually have done studies on it.

Bills: SB5, SB6, SB8

Keywords: physician residency, healthcare, rural communities, medical education, appropriation, education, medical school, New Mexico, construction, behavioral health, funding, mental health services, general fund transfer, 996, all

Transcript Highlights:

• In both 2019 and 2024, the city of Cambridge commissioned housing studies to explore and determine the
• In the five years between that study and 2024, the city added 600 apartment units.
• to explore and determine housing studies to explore and determine the<00:26:37.440> city's<00
• and 2024, the city between that study and 2024, the city added<00:26:58.799> 600<00:26:59.279
• study in 2024, the city has explored options<00:27:03.440> and<00:27:03.679> partnered

Keywords: 1187, senate, all

Transcript Highlights:

• management work groups; SB 1560, cap water supply development fund; SB 1561, assisted living notice study
• SCR 1032, educator salary increases, school reporting.

Keywords: 1182, all

Transcript Highlights:

• This is interim study. Okay. Is the motion clear? Motion: interim study on the paint bill.
• This is interim study. This is interim study.
• Mo interim study study study on<04:10:45.680> the<04:10:45.760> paint<04:10:46.000>
• The motion is interim study. Discussion. The motion is interim study.
• Health Trust has behind salaries.

Keywords: 1189, house, all

Transcript Highlights:

• We studied regulation.
• We've taken time to study it and learn it. We talk to... We've taken time to study it and learn it.
• So it is not well studied, especially in the U.S. population, because it's been hard to study.
• It is a dated study.
• We've heard a lot of studies show. I've heard that a lot today. Well, who conducted those studies?

Bills: SB 5, SB 11, SB 12

Keywords: disaster relief, flood preparedness, emergency funding, local government support, meteorological forecasting, human trafficking, trafficking victim, compelling prostitution, affirmative defense, criminal defense, coercion, force fraud or coercion, sexual exploitation, victim protection, Penal Code, Texas criminal law, prosecution, party liability, affirmative defense statute, survivor rights

Summary: The Senate Committee on State Affairs took up Senate Bill 5, which Senator Perry described as a ban on intoxicating THC consumer products while preserving legal CBD, CBG, hemp seed, hemp seed protein powder, and hemp seed oil products. Perry argued that most retail THC products are already illegal under federal law, that the industry has used loopholes and misleading labeling to sell high-potency products, and that regulation would be ineffective because chemists can quickly alter formulations. He also said the bill would steer people with medical needs toward the Texas Compassionate Use Program (T-Cup), which he and other supporters described as the proper physician-guided alternative. Committee members and witnesses repeatedly discussed the distinction between legal hemp-derived products and intoxicating THC products, and Perry said the bill would not touch non-consumable hemp uses such as fiber and clothing. Invited testimony came from law enforcement and medical witnesses who supported the bill. Texas Police Chiefs Association representative Steve Dye, Kaufman County District Attorney Early Wiley, and Chambers County Sheriff Brian Hawthorne all said regulation would be too costly, too complex, and ultimately unenforceable, while a ban would be clearer and easier to enforce. They cited overloaded DPS labs, the need for expensive private testing, limited police and prosecutor resources, and the difficulty of keeping up with constantly changing cannabinoids and out-of-state products. Hawthorne and Wiley described raids and investigations involving warehouses, retail stores, cash seizures, and products they said were marketed to young people and often mislabeled or imported from other states. They also said the bill would help law enforcement by creating a clearer legal line and protecting legitimate CBD/CBG businesses. Dr. Lindy McGee, speaking for the Texas Medical Association and Texas Pediatric Society, testified that retail THC products pose serious risks to children and adolescents, including addiction, impaired brain development, psychosis, suicide attempts, self-harm, accidental toddler ingestions, and possible long-term cognitive effects. She said there is no effective medication treatment for THC addiction comparable to nicotine cessation tools, and she supported restrictions such as child-resistant packaging, no marketing to minors, and age limits, while opposing criminal penalties for possession by minors. Senators asked follow-up questions about brain development, memory, dementia risk, pregnancy, and cardiovascular effects. No vote was taken during the portion provided, and the committee continued with invited testimony and questions.

Transcript Highlights:

• So her salary is based... So her salary is based on what? What position? I'm sorry.
• Is it based on if she's making a manager's salary or she's making a staff salary, as I think is what
• What salary?
• What salary? So she's getting she paid? What salary?
• particular and that's the what the study particular and that's the what the study has<01:08:32.400

Keywords: 910, house, all

Summary: The joint House and Senate tourism briefing focused on the Hawaii Tourism Authority’s interim action plans, current projects, contract oversight, destination management action plans (DMAPs), and the impact of recent legislation and audit findings. Interim CEO Caroline Anderson said she accepted the temporary role to help address agency challenges, emphasized rebuilding trust, and said HTA is reviewing the state auditor’s concerns and posting its response publicly. She also described HTA’s mission and organizational structure under SB 1571, including reporting lines to the governor, the director, and the board, and outlined staff additions in finance, brand marketing, destination stewardship, and planning. A major topic was the permanent CEO search. HTA board chair Tata Po said the goal is to select a CEO within about four months, with the search firm still engaged, the position description being revised to reflect the new law and compensation changes, and approvals still needed before the job can be reposted. Members expressed frustration that the recruitment had been paused and questioned whether HTA has sufficient qualified leadership and staff during the interim period. Board leadership said the current staff is limited by vacancies but that they have confidence in the team and will add resources if needed. Members also pressed HTA on the role of the destination stewardship team and the CNHA/Kilohana contract, asking how staff oversight works and whether staff members were effectively wearing multiple hats. HTA explained that the stewardship team provides direction to contractors and that the work is divided among specialists overseeing projects such as tour guide certification, technical assistance, community tourism collaboratives, and a destination app. The committee also discussed whether the board can still vote on budgets under the new structure; the Attorney General’s office was cited as confirming that the board may advise, but the department director retains budget authority. HTA said it is working with CNHA and HVCB on contract and budget timing, with a goal of shifting to a calendar-year process so recipients know funding earlier.

Transcript Highlights:

• On March 30th, 2026, there was a report that came out, and we've included the link to the study that
• And so, the authors of the study realized that this really needs to be brought to the fore.
• that showed that e-cigarettes also study that showed that e-cigarettes also um um um increase<00:58:
• that this really of the study realized that this really needs<00:58:48.359> to<00:58:48.440><
• ,<01:30:00.520> you every staff, everybody's salaries, you every staff, everybody's salaries

Bills: SB2960, SB2347, SB2272, SB3137, SB3132, SB2271, SB2804, SB2175, SB2487

Keywords: homeowners insurance, disaster recovery, replacement cost value, state of emergency, policyholder rights, insurance extensions, tenant rights, landlord obligations, housing crisis, eviction prevention, multilingual access, SB2272, Act 105, home health licensing, home health agency, home health services, Department of Health, DOH, CMS, Centers for Medicare and Medicaid Services

Summary: The committee heard several resolutions and one bill focused on energy reliability, utility infrastructure, insurance, tenant rights, and home health licensing. On the energy side, members heard HCR 203/HR 193 on a status update for the Hawaii Electric Reliability Administrator, HCR 204/HR 194 on a comprehensive PUC analysis of cost reduction and risk, and HCR 202/HR 192 creating a legislative task force on future energy pathways. Testimony on the energy measures was generally supportive from the PUC, DCCA’s Division of Consumer Advocacy, the Hawaii State Energy Office, and the Office of Hawaiian Affairs, with OHA urging that equity, native Hawaiian impacts, and public trust resources be considered alongside cost savings. The committee also heard HCR 125/HR 117 on coordinating with utilities to address aging utility poles and lines along Farrington Highway and other high-risk corridors; Hawaiian Electric supported the measure, Hawaiian Telcom and Charter Spectrum said much of the work is already underway and questioned whether the resolution was necessary, and committee questioning focused on existing double-pole tracking and the role of DOT and the PUC. The committee then took up HCR 137/HR 129 on timely reimbursement of health care claims under the clean claims statute. The DCCA Insurance Division and the Hawaii Insurers Council opposed the measure as drafted, saying it could be read to require payment beyond policy limits and could raise premiums or reduce market participation. United Policyholders supported the measure, arguing it would simply give policyholders more time to collect benefits they already purchased, and clarified that it was not intended to increase coverage beyond policy limits. The committee later amended the resolution to direct the DCCA Insurance Division to prioritize investigation and enforcement of clean claims complaints. In the decision meeting, the committee recommended and adopted passage of HCR 203/HR 193 as is, HCR 204/HR 194 with an amendment removing the eighth whereas clause, HCR 202/HR 192 with an amendment adding a committee representative to the task force, HCR 125/HR 117 as is, and HCR 137/HR 129 with amendments. The committee also heard SB 2960 SC1 on property insurance, which would extend the time policyholders have after a declared disaster to document replacement-cost claims. The Insurance Division and Hawaii Insurers Council opposed it, warning it could force coverage beyond policy limits and increase premiums, while United Policyholders supported it and said it would help disaster survivors recover benefits they already paid for; members questioned whether similar laws in other states had caused premium spikes and clarified that the bill was not intended to exceed policy limits. The committee also heard SB 2347 SD1 on multilingual tenant-rights notices, with OHA, Hawaii Appleseed, and others supporting the bill but urging restoration of language requiring landlords to directly provide the notice at lease signing. Finally, SB 2272 SD1 HD1 on home health licensing drew support from the Department of Health, SHPDA, and the Health Care Association of Hawaii, with the association requesting an effective date amendment; testimony explained that the bill would allow state licensing compliance to be demonstrated through CMS-approved accreditation or certification surveys, potentially reducing duplication and freeing state resources.

Transcript Highlights:

• This budget includes a general operating budget increase, resources for salary parity, and funding for
• Salary parity is critically important even after recent legislative investments and raising salaries
• Competitive salaries in the Attorney General's office are to the benefit of every Minnesotan.
• billing for which the background study billing for which the background study was was was conducted
• The grants management system feasibility study will determine if a single system is feasible.

Keywords: 1187, senate, all

Transcript Highlights:

• A 2018 study from the Centers for Disease Control and Prevention...
• A 2018 study from the Centers for Disease Control and Prevention, looking at HIV among people who inject
• Overall, several studies have provided positive results that associate harm reduction programming and
• I mean, I took it that he was saying that the salaries earned by..."
• So what studies have shown is that there is no difference in the genetic heritability of a substance

Summary: The meeting focused on Missouri’s substance use prevention and treatment system, with repeated emphasis on recovery support services, peer support, recovery housing, transportation, and harm reduction. Dan Haniken of Into Action described his own recovery from addiction and incarceration and argued that treatment alone is not enough; he urged greater investment in recovery housing, peer support, employment, and community-based supports that help people stay sober and avoid relapse. Members asked about funding sources, program capacity, referrals, treatment court, transportation, and how Into Action supports people on medication-assisted treatment (MAT). Haniken said the organization is funded through a mix of federal, state, county, city, foundation, and private donations, and that housing and transportation remain major barriers, especially because support is often funded for too short a period compared with the longer time people need to stabilize. Matt Cushman of the Raytown Fire Protection District gave a strong endorsement of harm reduction, including naloxone distribution, syringe service programs, and broader decriminalization of harm reduction tools. He argued that stigma is a major barrier to care and that Missouri should expand access to clean needles, test strips, and other services, while also improving access to MAT in jails and communities. Committee members questioned the evidence base, the role of faith-based providers, and whether safe consumption sites should be pursued; Cushman said syringe exchange decriminalization should be the immediate priority, while safe consumption sites are a longer-term issue. He also described community paramedicine and mobile integrated health as valuable but funding-dependent, and said naloxone distribution is improving but still uneven, especially in rural and minority communities. Representatives from Central Ozarks Medical Center and Four Rivers Community Health Center highlighted the importance of peer support specialists, community health workers, care coordinators, and wraparound services in rural health centers. COMC’s Morgan McClure and Monet Lehman described a jail reentry program in Pulaski County, with Lehman sharing her trauma and recovery story and explaining how she helps incarcerated people prepare for release with housing, employment, benefits, transportation, and treatment connections. Four Rivers’ Devon Polarys and Cassandra Trout said their CEO would change Missouri policy to allow FQHCs to receive reimbursement for peer support and community health worker services similar to CCBHCs, arguing that these roles are essential for addressing barriers like transportation, housing, food insecurity, and insurance. Members discussed confusion over reimbursement rules, the differences between FQHCs and CCBHCs, and the need for better funding and clearer policy for peer and community health worker services. No votes were taken; the discussion ended with a suggestion to bring in a subject matter expert on community health workers for a future session.

Transcript Highlights:

• . >> And then I just want to highlight that the appropriation ask is for salaries plus fringe benefits
• Wilkinson continued that the appropriation request is for salaries plus fringe benefits, plus the education
• As noted in our testimony, the Office of the State Auditor released its study last month and found that
• As noted in our testimony, the Office of the State Auditor released its study last month and found that
• diabetes and I believe the auditor study diabetes and I believe the auditor study which<01:34:26.800

Bills: HB1853, HB1591, HB1961, HB1854, HB1965, HB1962, HB1959, HB2505, HB2576, HB1801, HB1804, HB1864, HB2319, HB2314, HB2115

Keywords: HB1853, dementia, Alzheimer's disease, cognitive impairment, memory care, memory clinic, Hanai Memory Network, Executive Office on Aging, aging services, kupuna, caregiver support, long-term care, elder care, geriatrics, public health, dementia screening, care coordination, referral network, neighbor islands, rural health

Summary: The committee heard testimony on SB 2047, relating to pharmacy benefit managers. The Insurance Division said the bill would require new enforcement resources and estimated an appropriation of about $1.5 million and five positions. Kaiser Permanente asked for an amendment to exclude HMOs from the definition of third-party PBMs, saying the bill should not interfere with integrated care models. PCMA and the Hawaii Pharmacist Association supported narrowing amendments, with pharmacists objecting to section 3 and warning the bill as amended could create major operational burdens and a significant general fund cost. No vote was taken in the portion provided, and the chair moved on to the next measure after questions. The committee then took up SB 2080, which would allow Hawaii to join the psychology interjurisdictional compact. Supporters, including DCR, the Hawaii Association of Health Plans, the Hawaii State Association of Counties, the Grassroot Institute, and others, said the compact would expand access to psychology services, especially for people in rural areas or those needing continuity of care while traveling. Opponents, including the Board of Psychology and a Shamanad University psychology professor, raised concerns about client safety, crisis-response procedures, enforcement costs, FBI background checks, and possible loss of state control over training and specialization standards. The board said Hawaii’s current 1,900-hour internship/postdoc requirement is higher than the compact’s standard and that the state is still implementing a separate provisional licensing law that may address some access issues. The discussion focused on whether the compact would meaningfully reduce shortages and whether Hawaii should instead pursue changes within its existing licensing system. Finally, the committee heard SB 2277 on hospital price transparency. The Office of Consumer Protection initially noted the bill could require significant staffing, but later testimony from SHIP suggested the measure could be handled more simply by working with the Healthcare Association of Hawaii and publicly posting violations. The Healthcare Association of Hawaii opposed the bill, arguing hospitals already must comply with federal CMS transparency rules and that adding state requirements would increase costs and legal exposure, especially if violations were treated as unfair or deceptive trade practices. Steve Fenberg testified in support, saying the bill would simply codify existing federal requirements in state law and that he was open to amendments removing state enforcement and the unfair trade practice language. No final action was taken in the excerpt provided.

Bills: HB2118, HB1764, HB1815, HB2117, HB2436, HB2438, HB2532, HB2566, HB2573, HB1736, HB2425, HB1590, HB1913, HB1573, HB1542, HB1804, HB1976, HB1704, HB1996, HB1541, HB1926, HB1703, HB1866, HB1710

Keywords: business development, arts, cultural affairs, Hawaii, commissions, administrative transfer, funding appropriation, music education, public concerts, Hawaii State Library, cultural collaboration, music accessibility, State Foundation on Culture and the Arts, SFCA, Performing Arts Grants Program, arts grants, culture and the arts, history and the humanities, King Kamehameha Celebration Commission, Works of Art Special Fund

Bills: HB2118, HB1764, HB1815, HB2117, HB2436, HB2438, HB2532, HB2566, HB2573, HB1736, HB2425, HB1590, HB1913, HB1573, HB1542, HB1804, HB1976, HB1704, HB1996, HB1541, HB1926, HB1703, HB1866, HB1710

Keywords: business development, arts, cultural affairs, Hawaii, commissions, administrative transfer, funding appropriation, music education, public concerts, Hawaii State Library, cultural collaboration, music accessibility, State Foundation on Culture and the Arts, SFCA, Performing Arts Grants Program, arts grants, culture and the arts, history and the humanities, King Kamehameha Celebration Commission, Works of Art Special Fund