Transcript Highlights:

• <00:04:55.280> So DOH put on for uh their agenda. So DOH put on for uh their agenda.
• I got a question. >> Yes. >> So, uh, DOH is saying that the public participation in the FTAC meetings
• Anyway, so it can be done, and you could save money that way as well as having it at the DOH premises
• <00:08:47.279> premises, well as having it at the DOH premises, well as having it at the DOH
• Okay, it's another DOH department providing comments. >> Good afternoon, chairs, vice chairs, members

Bills: SB2093, SB2095, SB2046, SB2096, SB2127, SB2155, SB2243

Keywords: fuel tank, environmental impact, groundwater, health and safety, military facilities, local communication, advisory committee, Hawaii legislation, PFAS, per- and polyfluoroalkyl substances, forever chemicals, toxic chemicals, environmental contamination, water pollution, drinking water, surface water, soil contamination, fish consumption, food safety, public health

Summary: The joint Senate Agriculture and Environment and Health and Human Services hearing opened with SB 2093, which would require the fuel tank advisory committee to meet at least quarterly and provide funding. The Department of Health offered written testimony, and multiple supporters, including the Honolulu Board of Water Supply, Sierra Club, and a public member of the advisory committee, said more frequent meetings were needed to keep Red Hill cleanup, water testing, and public engagement front and center. Senators asked about public participation and whether the bill should also require meetings outside business hours; testifiers urged at least one evening or weekend meeting to improve access. No vote was taken during the discussion shown. The committee then heard SB 2095, creating a PFAS working group within the Department of Health to study PFAS and related chemicals and report to the Legislature. DOH supported the concept but requested amendments and funding, while the Department of Agriculture and Biosecurity deferred to DOH. The Board of Water Supply supported the measure and asked to be included in the working group. Members asked about the bill’s reference to “other residuals,” and DOH explained it could refer to remaining PFAS components in soil, water, or other media. The discussion emphasized the widespread and long-lasting nature of PFAS contamination. Next, the committee considered SB 2046 on underground storage tanks and Red Hill-related cleanup. DOH and the Board of Water Supply testified, and a long list of community and environmental groups supported the bill. Testifiers argued the Navy caused the problem and should be held accountable for cleanup, while one witness said the bill was necessary because the Navy had delayed meaningful remediation. Senators asked whether the bill’s “large landowner” language could include the state or counties under existing statutes; DOH said it would check and later explained that cleanup responsibility generally falls first on the responsible party, then on large landowners if no responsible party exists, with the Navy currently understood to own Red Hill. The hearing then moved to SB 2096 on wastewater management, which the Department of Land and Natural Resources supported, noting PFAS can harm marine resources, and DOH’s wastewater branch offered comments. SB 2127 on water pollution drew support from Agra Business Development Corporation and opposition from the Hawaii Cattlemen’s Council, Hawaii Farm Bureau, and others. The main debate centered on runoff, NPDES permitting, and whether the bill could unfairly affect agricultural and public entities; senators and witnesses discussed how heavy rainfall, cesspools, and mixed land uses complicate responsibility and compliance. The transcript ends with the committee still in discussion on SB 2127, with no final votes or actions shown in the excerpt.

Bills: HB1697, HB1678, HB1679, HB2282, HB1940, HB1671, HB1481, HB2015, HB2207, HB2486

Keywords: natural hair braiding, registration, Barbering and Cosmetology Licensing Act, public health, sanitation, cumulative voting, associations, unit owners, board of directors, elections, Hawaii Revised Statutes, condominium, association meetings, electronic voting, proxy voting, mail voting, insurance, premium increase, policy cancellation, licensing

Summary: The committee heard testimony on HB 1697, which would exempt natural hair braiders from licensing requirements under certain conditions. The DCCA Board of Barbering and Cosmetology said it recognizes braiding as within the scope of cosmetology practice but warned that a broad exemption could create consumer protection gaps, especially around sanitation training, tool use, and enforcement. Supporters from the Institute for Justice and the Grassroots Institute of Hawaii argued the current licensing regime is overly burdensome and unrelated to braiding, citing the 1,250-hour training requirement, high tuition costs, barriers for low-income entrepreneurs, and the fact that many other states already exempt braiders. Committee members asked whether a standalone sanitation course or similar training could address the board’s concerns, and the board said it would bring that idea back for discussion. The committee also noted 16 written testimonies in support and 2 in opposition. The committee then took up HB 1678, relating to condominium and planned community association elections using cumulative voting. Supporters, including the Hawaii State Association of Parliamentarians, said the bill would clarify that cumulative voting applies to all candidates, including write-ins, and would help resolve confusion in association elections. One testifier urged the committee to remove proxy voting, calling it an abuse of power in some associations, while another asked whether cumulative voting and proxies could be manipulated to stack votes. In response, the parliamentarian explained that cumulative voting and proxy voting are different, that proxies simply allow someone to vote on another’s behalf, and that existing deadlines and counting procedures reduce opportunities for abuse. Testimony also emphasized that electronic or mail voting can be secure and efficient, and that the bill would make the process clearer and more democratic. Finally, the committee heard testimony on HB 1679, which would clarify an association board’s authority over electronic meetings, electronic voting, voting without a meeting, and mail voting without a meeting. Supporters said the measure would clean up statutory language, make electronic voting optional, and fix problems created by a 2024 change that made written-consent timing rules difficult to use for association actions. They also said the bill would clarify that proxies are only used at meetings, not for actions taken without a meeting. One opponent argued the bill needs further amendment because electronic voting is not well defined and could be abused, and questioned the neutrality of parliamentarians testifying on condominium bills. No votes were taken on any of the measures during the portion of the meeting provided.

Bills: SB3302, SB2061, SB2050, SB2102, SB2694, SB2089, SB847

Keywords: SB3302, homemade food products, farm kitchens, home kitchens, Department of Health, DOH, food safety, food labeling, value-added agriculture, small farms, agricultural land, commercial food establishment permit, cottage food, direct-to-consumer sales, local food systems, Hawaii Revised Statutes, chapter 91, farm-to-table, food processing, public health regulation

Summary: The committee on Consumer Protection and Commerce met on April 9, 2026, and heard testimony on several measures. SB 3302 SD1 HD1, dealing with homemade food products, would require the Department of Health to adopt rules for farm kitchens producing homemade food products that are no more stringent than rules for home kitchens. The Department of Health said it supported the bill with technical amendments, and the Hawaii Food Industry Association and Grassroot Institute of Hawaii also supported it. No opposition was heard. A lengthy discussion focused on SB 2061 SD2 HD1, which concerns a 99-year leasehold residential condominium project and HCDA’s rules for sales, income restrictions, and buyback pricing. HCDA supported the bill and said the House draft clarified unclear provisions and would help move the project to pre-sales. Testimony and committee questions centered on whether the project should remain owner-occupied in perpetuity or allow investor purchases after an initial sales period. HCDA explained that the bill was revised to make the project feasible in the market, that 60% of units would be income-restricted for buyers at or below 140% of area median income, and that the remaining units could be sold without owner-occupancy restrictions. Some members and testifiers expressed concern that the bill had shifted away from the original owner-occupancy vision and could become an investment property model, while others argued the changes were necessary for the project to pencil out and compete with fee-simple developments. No vote was taken during the discussion shown. The committee also heard SB 2050 SD1 HD1, which would allow chiropractic students in accredited programs to engage in clinical practice beginning July 1, 2028. The Hawaii Board of Chiropractic and the Hawaii State Chiropractic Association supported the measure, and one testifier described personal experience with student chiropractic care in California. Members questioned why the board requested delaying implementation until 2030, and the board said it needed more time to develop rules because it meets only a few times a year and rulemaking is lengthy. Finally, SB 2102 SD2 HD1, on industrial hemp in commercial feed, was introduced; the Department of Agriculture and Biosecurity offered comments, the Department of Health raised concerns about regulating pet food and possible jurisdictional conflict, and a farmer testifying in support suggested narrowing the bill to federally approved livestock feed rather than pet food.

Transcript Highlights:

• DOH, DHS, DCCA, the Department of Education, Corrections and Rehabilitation, HHSC, University of Hawaii
• on the name-based thing, what kind of coverage does that have for the criminal acts that, you know, DOH
• that<01:22:33.679> you<01:22:33.840> know<01:22:34.719> um<01:22:34.880> DOH
• <01:22:35.360> is criminal acts that you know um DOH is criminal acts that you know um DOH

Bills: SB2275, SB2390, SB2540, SB3142, SB2414, SB2340, SB2848

Keywords: Medicaid, disability, buy-in program, workers with disabilities, income eligibility, premium structure, biomarker testing, health insurance, medical coverage, state law, health maintenance organization, juvenile justice, youth penalties, minors, court fees, court costs, fines, surcharges, restitution, fee waiver

Summary: The House Committee on Health heard testimony on a series of bills related to public health, pharmacy regulation, disability access, and health care infrastructure. HB 1535, creating an income tax credit for automated external defibrillator installations, drew support from the Department of Health, tax department comments, and public testimony emphasizing AED access in community and transit settings. HB 1765, requiring safety warnings for spear fishing gear, received comments from DLNR and strong support from a free-diving safety advocate who described blackout risks and argued for point-of-sale warnings. HB 1549, which would repeal the law prohibiting drug paraphernalia, drew mixed testimony: the Department of Health, the Public Defender, and harm-reduction advocates supported repeal as a public health measure, while HPD and a county prosecutor opposed it, warning it could encourage drug use and create public safety issues. The committee also heard HB 1550, which would exclude drug testing products from the definition of drug paraphernalia. The Department of Health and harm-reduction advocates supported the bill, saying drug checking tools save lives and help prevent overdoses, while one written opponent was noted. HB 1995, allowing people who are blind or deaf to receive disabled parking permits, drew opposition from the State Council on Developmental Disabilities, the Disability and Communication Access Board, and other opponents, while a few written supporters were also noted. HB 1671, allowing licensed dental hygienists to place interim therapeutic restorations in public health settings, received support from the Department of Health and several oral health organizations, with the Board of Dentistry offering comments. HB 1643, establishing a framework for pharmacy audits and record retrieval, prompted the most extended discussion. The Board of Pharmacy and independent pharmacy representatives supported the bill as a needed framework to limit burdensome audits and protect patient care, while HMSA raised concerns about possible conflicts with upcoming federal PBM reforms and potential unintended consequences. Committee members questioned both sides about timing and workload, and supporters argued the bill was needed now to protect rural and independent pharmacies. Finally, HB 1978, appropriating funds for a new outpatient care center in North Kona, received strong support from Hawaii Health Systems Corporation, Queen’s Health Systems, the Kona-Kohala Chamber, and others, who described it as a long-term investment in West Hawaii’s health care capacity and economy. No votes or final actions were taken in the portion of the hearing provided.

Transcript Highlights:

• Separate units within DOH conduct its work.
• And finally, DOH has units responsible for gathering and reporting on data that is submitted to DOH.
• And finally, DOH has units responsible for gathering and reporting on data that is submitted to DOH.
• information to DOH.
• I'll wait till after DOH responds. Did you have a question? I'll wait till after DOH responds.

Summary: At the May 14, 2025 JLARC meeting, members approved the January 9 minutes and adopted the 2025–27 biennial work plan with a minor typo correction. Staff reviewed the new work plan studies, including a drug take-back program fee/expenditure review due in December 2025 and a state energy performance standard compliance review due in June 2027, and noted JLARC’s recent session activity, including several bills passed related to JLARC work and recommendations. The committee then heard a preliminary cannabis market study showing Washington businesses likely produced two to three times more cannabis than retailers sold in 2023. Staff and RAND said LCB’s data systems are incomplete and unreliable, limiting regulation, tax verification, and diversion tracking; they recommended that LCB submit a plan by year-end for collecting accurate data by the end of 2026. Members and LCB discussed the long timeline for a new traceability system, the causes of missing sales and weight data, overproduction, diversion, and the social equity program’s effect on producer licenses. JLARC also presented a preliminary hospital oversight report concluding that the Department of Health is late on many hospital inspections, does not verify third-party inspection standards, does not review adverse health event correction plans, and could make hospital data more accessible. The committee discussed fee funding, language access, and inspection timing, and DOH said it would work on a strategic plan and continue coordinating with JLARC. Members also heard a preliminary report on the public records survivor exemption, which found agencies are using it but need more guidance; JLARC recommended keeping the exemption and having the Attorney General provide additional training. Finally, the committee approved the DDA processes and staffing final report for distribution, which recommended performance metrics, stronger data quality controls, and workforce planning; DDA concurred. JLARC also introduced proposed study questions for a future DCYF juvenile rehabilitation review focused on safety, security, programs, staffing, education, and contraband, and the meeting adjourned after members asked about scope and facility conditions.

Transcript Highlights:

• legislature, and DOH concurred.
• DOH has not Must give DOH evidence that they pass the inspection.
• Submit proof, and DOH concurred.
• the requirement for hospitals to submit proof, and DOH concurred. submit proof and DOH concurred.
• aspects of how DOH is performing.

Summary: The committee heard a JLARC presentation on the Department of Health’s oversight of hospital inspections, complaints, and reporting. JLARC said DOH was late on 72% of acute care hospital inspections as of December 2024, had not verified that third-party accrediting standards were substantially equivalent to state standards, did not consistently require proof of those inspections, did not review adverse health event corrective plans, and could make hospital data more accessible. JLARC also raised a possible language-access barrier in the complaint system. Members asked about complaint filing by staff, the meaning of adverse health events, inspection outcomes, and whether the audit compared DOH to other agencies. JLARC said it had not reviewed inspection results or cross-agency comparisons, but noted inspectors were dedicated and working long hours. DOH later said it concurred with the recommendations and outlined a strategic plan with target dates for improving timeliness, verifying accreditation standards, expanding language access, reviewing adverse event laws, and improving public data access, with annual reporting to the Legislature expected. The committee then heard a Department of Health presentation on certificate of need modernization. DOH described the current certificate of need process, which reviews need, financial feasibility, quality, and cost containment for certain facility changes and new services, and said the program has not been modernized since the 1980s. DOH proposed 10 statutory modernization recommendations, including clarifying the program’s purpose, creating a planning entity, adding flexibility, reducing legal costs, updating access-to-care standards, expanding oversight to freestanding emergency departments and urgent care, addressing equity, improving cost control coordination, strengthening long-term funding, and using better data systems. Members asked about oversight of freestanding urgent care and EDs, funding sources, and whether the process could be streamlined or made more responsive to complaints or other triggers. A third panel discussed artificial intelligence in health care. Lucy O’Rourke of the Coalition for Health AI described CHAI’s work on responsible AI principles, technical standards, model cards or “nutrition labels,” testing and governance tools, and educational resources for providers. She said the group is focused on trust, transparency, fairness, safety, security, and privacy, and noted Washington’s AI-related policy work as among the more progressive in the country. No questions were asked. The final portion focused on the financial impact of federal and state health care policy changes. The Washington State Hospital Association said hospitals are facing low or negative operating margins, service reductions, layoffs, and closures, and that state cuts and taxes enacted in 2025, combined with federal HR1 changes, will significantly worsen finances. Providence Swedish leaders described staffing reductions, service cuts, delayed capital investments, and pressure from denials, tariffs, and reimbursement changes, while emphasizing that frontline staffing cuts are tied to service reductions rather than nurse-to-patient ratio changes. The Washington Health Benefit Exchange then began a presentation on expiring federal ACA premium tax credits, state Cascade Care Savings assistance, and eligibility changes affecting lawfully present non-citizens, with examples showing large premium increases for customers if federal subsidies expire.

Bills: SB3225, HCR53, HCR57, HCR101, HB1878, HB1481, SCR40, SCR59, SCR114, SCR197, SCR198, SR30, SR107, SR185, SR186

Keywords: statutory revision, Hawaii Revised Statutes, clarification, obsolete provisions, legal accuracy, University of Hawaii, Board of Regents, associate degree, degree audit, reverse transfer, credit audit, student completion, credential attainment, community college transfer, four-year campus, higher education, postsecondary attainment, workforce development, student retention, graduation pathways

Transcript Highlights:

• Oh, and I'm sorry, DOH concurs with all of our recommendations.
• DOH concurs with all of our recommendations.
• DOH has not verified accrediting organization standards, and DOH counts inspections but does not receive
• DOH has not verified accrediting organization standards, and DOH counts inspections, but does not receive
• And so DOH...

Summary: The meeting began with JLARC’s biennial executive committee elections. After confirming a quorum, members unanimously elected Representative Pollet as chair, Senator Wagoner as vice chair, Representative Orcutt as secretary, and Senator Solomon as assistant secretary for the 2025-27 biennium. The committee also approved the May 14 meeting minutes unanimously. Chair Pollet then outlined a commitment to more member input on audit scope and coordination with the State Auditor’s Office. Staff presented a preliminary report on Washington State recreation boating programs. They reported that six agencies administer boating-related activities, that the state collected about $108 million in boating-related revenue in 2021-23, and that $86 million was spent, mostly on infrastructure and water access, environmental protection, boater safety, and marine law enforcement. Staff said Washington’s boating laws and programs are broadly similar to other states and noted that the final report is expected in September. JLARC then reviewed several tax preferences. For natural gas used as a transportation fuel, staff said the preferences reduce fuel costs but did not meet emissions-reduction targets because fewer vessels and vehicles converted to natural gas than expected; staff recommended continuing some exemptions and modifying reporting requirements. For travel agents and tour operators, staff said the preference continues to provide tax relief, but large beneficiaries’ savings are rising while small beneficiaries’ use is declining, leading to recommendations to continue the small-business rate and add or revise performance metrics. Staff also reviewed a nonprofit low-income housing property tax exemption, concluding it helps developers build homes as intended but that the performance metric should better reflect housing outcomes; they recommended the legislature decide whether to continue or modify it. Other reviews covered multipurpose senior citizen centers, disabled veteran adapted housing, trade convention attendance, agricultural fertilizer and seed wholesaling, hazardous substance tax treatment for pesticides, and silicon smelter energy preferences, with recommendations ranging from continuation to expiration depending on whether the stated objectives were met. The committee then adopted the final cannabis market study for distribution. Staff reported that Washington businesses produced two to three times more cannabis than retailers sold in 2023, and that inaccurate and incomplete reporting limits the Liquor and Cannabis Board’s ability to regulate the market. The board said it concurs with the recommendations, including developing a plan for a new data system and considering broader social equity options. Finally, staff presented the proposed final report on Department of Health oversight of hospital data reporting, inspections, and complaints. Staff said DOH was late on most acute-care hospital inspections, had not fully verified third-party inspection standards, and did not adequately review adverse event correction plans or assess language access barriers in its complaint system. DOH said it concurs with all six recommendations and has already made some transparency improvements, including a public dashboard for adverse event reporting.

Transcript Highlights:

• DOH requirements...
• Another challenge is that over time, DOH has needed more time to issue certifications.
• Program managers at DOH provided a few reasons for the worsening delay.
• DOH also requiring confirmation and also processed by DSHS.
• So we've been working diligently with DOH.

Keywords: 904, all

Summary: The Joint Legislative Audit and Review Committee heard a State Auditor’s Office performance audit on the Restoring Quality Home Care Initiative (I-1163), which created home care aide certification requirements, FBI background checks, and an abuse/neglect registry. Auditors said some requirements likely improve safety, especially background checks and training, but the state lacked pre-2011 data to measure outcomes directly. They also found Washington has a long-term care workforce shortage, though its workforce supply ranks better than many states, and that more stringent entry requirements do not appear to reduce workforce participation compared with other states. The audit’s main concern was that the certification process is slow and burdensome. Auditors reported that most applicants never finish certification, that only about one-third of fiscal year 2025 applicants were certified within the 200-day legal deadline, and that the average time to certification was 463 days. They identified delays between training and testing, limited testing access in some areas, and redundant Department of Health verification of FBI background checks as key causes. The audit recommended streamlining the process by accepting applications later in the process, expanding testing within training programs, and eliminating the redundant background-check verification. Department of Health and Department of Social and Health Services staff largely agreed with the audit’s findings and recommendations. They said they have already made improvements, including moving exams into more than 110 training programs, increasing credentialing staff, and reducing barriers through rule changes. DSHS noted testing is offered in 13 languages. Committee members asked about testing contract incentives, language access, and whether the agencies would seek statutory or budget changes to implement the recommendations. No public testimony was offered, and the meeting adjourned without any vote or formal action by the committee.

Transcript Highlights:

• DOH requirements...
• Another challenge is that over time, DOH has needed more time to issue certifications.
• Program managers at DOH provided a few reasons for the worsening delay.
• DOH is verifying at the time of application or when are they doing their verification?
• So we've been working diligently with DOH.

Summary: The Joint Legislative Audit and Review Committee held a public hearing on the State Auditor’s Office performance audit of Washington’s Restoring Quality Home Care Initiative (I-1163). Auditors said the initiative’s background checks and 75-hour training requirement are widely viewed as safety measures, but the state lacks pre-2011 data to directly measure safety outcomes. They also found Washington’s long-term care workforce is still short, though the state ranks better than many others in workers per disabled person, and that some groups and regions have larger gaps between authorized and actually used Medicaid care hours, suggesting access problems for certain clients. The audit focused heavily on the certification process for home care aides. Auditors reported that many applicants never finish certification, that the process often exceeds the 200-day legal deadline, and that delays can cause lost income, job loss, and in some cases repeated employer changes that allow aides to keep working without becoming certified. They recommended that the Department of Health accept applications only after training and testing are completed, move testing into training programs more broadly, and eliminate redundant DOH verification of FBI background checks. Committee members asked about testing contract incentives, language access, and the role of immigration in workforce shortages; auditors said they found no financial performance standards in the Prometric contract, did not specifically study immigration status, and did not focus on language barriers in this audit. Department of Health and Department of Social and Health Services officials largely agreed with the audit’s findings and recommendations. They said they have already made improvements, including expanded in-program testing, more staffing, and rule changes, and that testing has been integrated into more than 110 training programs. DSHS noted testing is offered in 13 languages. Both agencies said they support further streamlining and expect continued collaboration, including possible budget or legislative requests. No public testimony was offered, and the committee adjourned without taking any vote or formal action on the audit.

Transcript Highlights:

• To this end, DOH also operates two inpatient facilities.
• DOH has only treated 324.
• It sounds like DOH is not... you're saying DOH is not responsible for treating these people.
• Is it DOH, is it HCA, AOC? Who is ultimately responsible for this?
• How is DOH ensuring that MAT delivery in public health offices is culturally relevant?

Transcript Highlights:

• As you'll recall, DOH concurred with all the recommendations.
• , and we found that DOH does not review these reports.
• I'm happy to take any questions before handing it over to DOH.
• That might be a better question for DOH to answer.
• That might be a better question for DOH to answer.

Summary: The committee met on December 3, 2025, with a quorum present and approved the September 17 minutes. Members first voted to suspend the 2026 JLARC lodging tax expenditure report for one year, based on staff’s explanation that the report is self-reported, not verified, and less useful than State Auditor accountability audits; the motion passed. The committee also approved renaming the JLARC I-900 subcommittee to the “Committee to Hear SAO Performance Audits,” while keeping the opening script noting that the performance audit process exists under Initiative 900. The committee then heard follow-up updates on two prior performance audits. The Department of Health presented a draft strategic management plan in response to findings on hospital inspections, complaints, adverse event review, and hospital data access. JLARC staff reiterated that 72% of hospital inspections were late, that DOH did not verify third-party inspection standards or review adverse event reports, and that complaint data suggested possible language-access barriers. DOH said it concurred with the recommendations, had improved on-time inspection compliance to about 49%, planned annual updates starting in July 2026, and would work on accreditation oversight, complaint-language access, and data accessibility, though members pressed for firmer deadlines and questioned the three-year timeline for language access improvements. The Liquor and Cannabis Board also reported on its cannabis market study recommendation. JLARC staff said the agency’s data were incomplete and unreliable, limiting oversight of production, recalls, tax collection, and diversion. LCB said it had improved its current CCRS system but still relied on self-reported data, and it presented a decision package for a new traceability system estimated at about $9 million over three fiscal years. LCB described a plant-tagging and serialization approach tied to production, processing, testing, and retail, but acknowledged it did not currently have sufficient staff to fully implement the system without additional funding. The committee also received briefings on JLARC’s recommendation-tracking tools and the 2024 public records reporting summary, including a high-level review of agency response rates, request volumes, costs, and litigation. Finally, JLARC presented the proposed final report on the Office of Privacy and Data Protection, concluding that OPDP meets its statutory responsibilities and has high user satisfaction, but that its mandate should be updated to better match its current capacity and focus; the committee adopted the report for distribution. The meeting then moved into the 2025 tax preference performance reviews, where JLARC staff summarized nine reviews and noted that the Citizens Commission on Tax Preference and Performance Measurement endorsed all 17 legislative auditor recommendations, with comments on seven. Early reviews discussed included natural gas transportation fuel preferences, travel agent and tour operator B&O rates, nonprofit low-income housing development, multipurpose senior centers, disabled veteran adaptive housing, and trade convention attendance, with staff and commissioners generally recommending continuation of some preferences, modification of others, and improved objectives or performance measures where needed.

Transcript Highlights:

• <00:55:03.760> Those coordinated with DOH and EPA. Those coordinated with DOH and EPA.
• Um, DOH and plan supplement 4 page 29.
• Um, but even like DOH has facility.
• Um have gotten some DOH last fall.
• Um, we'll be providing that to DOH.

Keywords: 910, house, all

Summary: The House Special Committee on Red Hill held an informational briefing at the State Capitol focused on updates from the Navy Closure Task Force Red Hill and NAVFAC Hawaii. Members and Navy officials opened by noting the meeting format, providing public links to tank closure supplement 4 and environmental remediation resources, and thanking Admiral Barnett for attending before his transition. The Navy emphasized that the Red Hill closure effort and the PFAS/PAS environmental remediation effort are separate but coordinated, and that both are long-term undertakings. For the closure effort, Navy officials reported progress on tank cleaning, ventilation, sludge removal, groundwater monitoring, and preparation for pipeline removal. They said supplement 4 to the tank closure plan was submitted in May and outlines the overall closure strategy, post-closure monitoring, and the decision to proceed with closure rather than wait for beneficial reuse decisions. They described completed ventilation of tanks 3 through 8, the start of tank 2 ventilation, removal of 283 gallons of sludge from the first six tanks, and plans to begin pipeline pigging and removal later this year. Officials also said all sludge samples tested so far were non-hazardous and that air monitoring has not shown elevated volatile organic readings during operations. NAVFAC Hawaii then outlined the PFAS/PAS remedial investigation under CERCLA, explaining the cleanup process, the nature of PFAS, and the role of aqueous film-forming foam as a source. The presentation said the Navy began investigating PFAS releases in 2014-2015, that the 2021 Red Hill fuel release led directly into remedial investigation work, and that current activities include quarterly groundwater sampling at 42 monitoring wells, installation of new shallow and deep wells, soil sampling where exceedances were found, fate-and-transport modeling, and human health risk assessments. Officials said data are publicly available on the Red Hill environmental website and that the next restoration advisory board meeting is scheduled for August 27. The Navy also gave a water resiliency update, saying it is upgrading the joint base drinking water system with pump, tank, and cybersecurity improvements and is installing treatment systems for the inactive Navy Aiea and Red Hill shafts ahead of EPA drinking water standards taking effect in 2029. No votes or formal committee actions were taken, as the meeting was informational only.

Transcript Highlights:

• The EPA is committed to working with the Navy and DOH to ensure upgrades to the drinking water system
• EPA and DOH Pearl Harbor Hickham.
• EPA and DOH will together review the Navy's RARI and provide comments.
• The DOH and EPA continues to back.
• wanting to ask DOH about reactivation of wanting to ask DOH about reactivation of the<01:02:20.559>

Keywords: 910, house, all

Summary: The House Special Committee on Red Hill received an update from the Hawaii Department of Health and EPA Region 9 on regulatory oversight of the Red Hill facility, the Navy drinking water system, and ongoing environmental investigation and cleanup. The agencies reviewed the authorities governing the work, including DOH’s emergency orders, EPA’s 2023 administrative consent order, and the older 2015 agreement, and explained that the newer framework is being used for most current oversight because it includes closure, remediation, drinking water protections, and stronger community engagement requirements, even though some requirements overlap. EPA and DOH reported major milestones and current work. Defueling was completed in March 2024, with about 104 million gallons removed, and the agencies said this eliminated the risk of another catastrophic release. They described the current tank-closure phase, expected to finish in July 2029, along with site assessment, site investigation, remediation, and long-term monitoring that may continue through at least 2040. They also summarized drinking water actions: emergency response flushing and sampling after the 2021 spill, lifting of the public health advisory in 2022, completion of extended drinking water monitoring in 2025, and ongoing system improvements such as repairs, flushing plans, valve work, complaint-response protocols, and upgrades to storage tanks and pumps. Members asked several questions about monitoring results, the meaning of TPH, the status of the 2015 agreement, and the Navy’s groundwater model. EPA said its sampling and the Navy’s results were in alignment during extended monitoring, and that it plans to issue a summary report covering the full response period. On the groundwater model, EPA and DOH said they have not yet approved it for decision-making, are reviewing it iteratively with outside experts and University of Hawaii data, and may approve it for specific uses in the future. DOH said its latest comment letter states the model cannot yet be used for decision-making purposes, and noted that UH’s separate modeling work is contingent on funding and may not be completed until next spring. The agencies also said they continue community outreach through open houses, webinars, neighborhood boards, legislative hearings, and fuel tank advisory committee meetings.

Transcript Highlights:

• And to accomplish this mission, DOH collaborates with local, state, and federal stakeholders.
• Additionally, DOH develops fish consumption advisories in specific water locations in Florida.
• But obviously, just to reiterate, Colleague from DOH has already kind of covered that.
• Now, one of the things, I know in DOH, they mentioned four nanograms per liter.
• Now again, as DOH mentioned, the health advisory level is a non-enforceable standard.

Summary: The committee first received a Department of Environmental Protection presentation on Florida Forever and the sale or exchange of conservation lands. DEP described Florida Forever as the state’s main conservation land acquisition program, funded in recent years at high levels, and said most acquisitions since 2019 have been within the Florida Wildlife Corridor. The presentation also explained the legal process for disposing of conservation lands: requests are reviewed by the Acquisitions and Restoration Council, then the governor and cabinet decide whether land is no longer needed for conservation or whether an exchange provides a net conservation benefit. Senator Smith asked several questions about recent land-swap proposals, public notice, political influence, and whether any transactions had bypassed the usual sequence; DEP said applications can be withdrawn before ARC review, notice is posted seven days in advance, and the council and cabinet are the decision-makers. Senator Harrington asked about the difference between Florida Forever land sales and water management district surplus lands, and DEP said the reported 2.3 acres sold referred only to Florida Forever-funded projects. The committee then heard presentations from the Department of Health and DEP on PFAS and PFOA. DOH outlined what PFAS are, their common uses, possible health impacts, and ways Floridians can reduce exposure, including water filtration and avoiding certain products. DOH said it conducts well investigations, health consultations, fish consumption advisories, and monitoring in coordination with DEP and FWC. DEP followed with a more technical overview of PFAS regulation and cleanup, explaining federal testing and drinking-water standards, Florida’s provisional cleanup levels, and the state’s response at contaminated sites, including bottled water and filtration for affected residents. Senators asked about testing requirements for public systems and private wells, disposal of used filters, and how federal rulemaking and litigation could affect Florida’s standards; DEP said public systems are required to test under EPA monitoring rules, private wells are not directly required to test, and Florida may adopt its own standards if federal action does not occur by the statutory deadline. Finally, the committee took up SB 150, which would designate the flamingo as the state bird and the scrub jay as the state songbird. The sponsor argued the bill better reflects Florida’s identity and conservation values, noting the flamingo’s iconic status and the scrub jay’s status as a Florida-only species. Members asked lighthearted questions about mockingbirds, flamingo color, and feeding costs, and an appearance card was filed in support by the Association of Zoos and Aquariums. The committee debated the bill briefly and then passed SB 150 favorably by roll call vote, with all members present voting yes except Senator DiCeglie, who was excused.

Transcript Highlights:

• Um, this audit is about DOH and IMS's conduct, not outlining physician dispensing.
• Um, this audit is about DOH and IMS's conduct, not outlining physician dispensing.
• Types of medications to patients that are employed by DOH, for example.
• She also said she wanted to make comments on DOH and IMS's testimonies.
• She said the self-insured status that DOH holds is not a benefit to state employees; it actually hurts

Bills: HCR92, HCR46, HCR172, HCR147, HCR112, HCR100, HR84, HR42, HR139, HR104, HR92

Keywords: automated external defibrillator, AED, cardiac arrest, state buildings, health education, public health, lifeguards, first responders, public safety, ocean safety, emergency response, Hawaii, workers' compensation, auditor, procurement audit, compliance, Department of Human Resources Development, transparency, accountability, medical care

Transcript Highlights:

• Health councils also have the opportunity to make DOH mobile unit visits to their rural and frontier
• Also, they co-hosted with DOH mobile units convening.
• For fiscal year 26 funding, looking at the resource profile for DOH funding, on the right side here,
• On the left side here is a breakdown of health councils from fiscal year 25 who solely relied on DOH
• On page 13, could you explain to me down at the very bottom the DOH public? health offices.

Transcript Highlights:

• for children and youth with complex behavioral, emotional, or mental health needs as approved by the DOHS
• Like, until that point, it's got to be DOHS working in conjunction with the local board of education
• DOHS must comply.
• We're having to trust that DOHS and the boards of education are providing those services up to them,
• I'm not certain that, and I work very closely with our DOH system in Fayette County.

Keywords: 994, senate, all

Summary: The committee first approved the minutes from its prior meeting and then took up House Bill 5537, a bill to repeal several obsolete or outdated code sections. Counsel explained that the bill would remove provisions related to professional development, a behavioral interventionist pilot program, county lists of facilities for child daycare, and high school graduation rates, with a proposed amendment adding another outdated education code section from 1923. The committee adopted the amendment and reported HB 5537 to the full Senate with a recommendation that it do pass as amended. The committee then considered House Bill 4656, which would shift truancy policy toward chronic absenteeism and earlier intervention. Counsel said the committee substitute would replace punitive status-offense treatment with wraparound services, student support specialists, and a new child-in-need-of-supervision process, while also ending compulsory attendance at age 18 and removing criminal penalties for 18-year-olds. Members questioned how the new thresholds would work, including the role of attendance directors, prosecutors, judges, and the Department of Human Services, and whether the bill would change current diversion funding or court authority. Witnesses from Fayette County, Greenbrier County, and Taylor County largely opposed the bill or urged caution. The Fayette County attendance director said current truancy procedures, including school-based probation and court involvement, help secure family participation and services, and warned that removing the status offense would weaken enforcement. A Greenbrier County probation officer said diversion programs are effective and that court involvement often leads to needed services. A Taylor County juvenile prosecutor said status-offense jurisdiction gives courts meaningful leverage and flexibility, and asked that counties be allowed to keep existing approaches that work locally. After testimony, the committee voted to report HB 4656 to the full Senate without recommendation and with a recommendation that it be re-referred to the Committee on Education, then adjourned.

Transcript Highlights:

• I’m representing DOH in adult mental health.
• I'm<00:26:47.760> from<00:26:47.960> DOH<00:26:48.679> and<00:26:48.800> I'm<
• and provide DOH with a accreditation<00:40:48.720> certification<00:40:49.360> report.
• We suggested that it not be a committee under DOH because DOH knows very little about overseeing clinical
• DOH. DOH.

Bills: HB1626, HB1643, HB1668, HB1550, HB1974, HB1858, HB1871, HB1966, HB1972, HB1973

Keywords: youth penalties, juvenile justice, community service, fees and fines, Native Hawaiian, Pacific Islander, reform, court costs, cultural connection, pharmacy, pharmacist, pharmacy audit, audit reform, pharmacy benefit manager, PBM, recoupment, extrapolation, claims audit, pharmacy reimbursement, dispensing fee

Summary: The committee heard testimony on SB 847, which would create a Kauai pilot program allowing qualified psychologists limited authority to prescribe psychotropic medications. The Board of Psychology supported the bill’s intent but asked for amendments to delay the effective date or extend the pilot so rules could be written first, and to clarify the education/training language. Supporters, including the Hawaii Psychological Association, Hawaii Mental Health Coalition, and several psychologists, argued that prescribing psychologists have long safety records in other jurisdictions and that the pilot could improve access to care on Kauai, especially amid ongoing mental health needs and storm-related stress. They cited studies and examples from New Mexico, Louisiana, the Department of Defense, and other places. Opponents, including the Hawaii Medical Association, American Academy of Pediatrics, Queen’s Medical Center, and a Department of Health representative, said the bill needed substantial work, raised concerns about training, liability, and workforce impacts, and urged a team-based model with psychiatrist oversight rather than independent prescribing. Some testimony also referenced a GAO report, with witnesses disagreeing over its meaning and cost-effectiveness. No vote was taken during the discussion, and members asked questions about how the bill would address the workforce shortage and whether a psychiatrist on Kauai could already meet the need. The committee then moved to SB 2271 on hospital licensing and SB 2272 on home health care licensing. The Department of Health, the Healthcare Association of Hawaii, and the Hawaii State Council on Developmental Disabilities supported both measures, which were described as streamlining and clarifying licensing oversight by relying on accreditation or certification reports. A member asked whether the bill language on hospital accreditation reports was duplicative, and the response was that the second provision was intended to strengthen enforcement by requiring hospitals to provide the actual report to DOH. The committee did not take final action in the portion of the hearing provided, and the chair noted that all bills on the agenda would later be considered for decision-making.

Transcript Highlights:

• for children and youth with complex behavioral, emotional, or mental health needs as approved by the DOHS
• It's got to be DOHS working in conjunction with the local board of education for these programs that
• DOHS must comply.
• We're having to trust that DOHS and the boards of education are providing those services up to them.
• I'm not certain that, and I work very closely with our DOH system in Fayette County.

Keywords: 994, senate, all

Summary: The committee met, established a quorum, and approved the minutes from the prior meeting. It then took up House Bill 5537, a repeal bill that removes several obsolete code sections related to professional development, a behavioral interventionist pilot program, child daycare facility lists, and high school graduation rates, and also adds another outdated section to the repeal list. After adopting the committee amendment, the committee voted to report HB 5537 to the full Senate with a recommendation that it do pass as amended. The committee then spent most of its time on House Bill 4656, which would replace the current truancy status-offense framework with a chronic absenteeism and child-in-need-of-supervision model. Counsel explained that the bill shifts the focus toward earlier, preventative intervention, including wraparound services, student support specialists, and a new definition of chronic absenteeism tied to failed interventions, lack of meaningful contact, grade-level impact, or absences reaching 10% of instructional days. Senators questioned how the new process would work, how it would affect court authority, prosecutors, juvenile drug courts, and whether it would change the role of schools and DHHS. Witnesses from Fayette, Greenbrier, and Taylor counties testified. School attendance and juvenile justice officials generally said the current truancy process and court involvement help secure family participation and services, and they warned that removing the status offense could weaken enforcement and reduce the ability to compel participation in interventions. They described existing diversion programs, improvement periods, and court-supervised services as effective tools, with Greenbrier reporting that most diversions do not result in petitions. The committee ultimately voted to report HB 4656 to the full Senate without recommendation and with a further recommendation that it be re-referred to the Committee on Education. The committee then adjourned.