Transcript Highlights:

• 2087 Senate draft 1 relating to health 2087 Senate draft 1 relating to health insurance.<00:04:07.280
• But we’re providing this to Hawaii.
• But we’re providing this to Hawaii.
• But we’re providing this to Hawaii.
• Next item: Senate Bill 2803. the lead to develop the plan since they the lead to develop the plan since

Bills: SB2088, SB2925, SB3263, SB2047, SB2087, SB2100, SB2268, SB2353, SB2781, SB2902

Keywords: coconut trees, tax credit, natural management, Hawaii, agriculture, biosecurity, environment, coconut rhinoceros beetle, student-athletes, name image likeness, NIL, compensation, transparency, University of Hawaii, Title IX, funding, protections, pharmacy benefit managers, maximum allowable cost, drug pricing

Summary: The joint committee on Ways and Means and Consumer Protection met for decision-making only on two agendas and took action on a large number of Senate bills, with no oral testimony heard. On the 1016 agenda, the committee recommended passage of measures including SB 2088, SB 2925, SB 2781, and several others, and passed a number of bills with amendments. Notable amendments included SB 3263, which adopted AG amendments related to the name, image, and likeness endowment trust fund; SB 2047 on pharmacy benefit managers, which incorporated Hawaii Pharmacist Association changes; SB 2087 on health insurance, which added Insurance Division clarifications; SB 2100 on pesticides, which added a blank appropriation; SB 2353 on outdoor signage, which removed provisions related to the Wiki special district; and SB 2902 on renewable energy, which clarified certification standards for portable solar devices and exempted them from certain disclosure requirements. Most recommendations were adopted without objection, though a few members noted reservations on selected bills. The committee also deferred one bill on the agenda, SB 3327. The committee then moved to the 1015 agenda and acted on additional measures. SB 2003 was passed with amendments tied to Act 255, including a repeal trigger if deadlines are missed; SB 2497 on utility-related transparency drew the most discussion, with one member warning about litigation and costs while another argued it was simply about electricity-rate transparency, and it ultimately passed with PUC-related amendments and an exemption for utility cooperatives. Other measures were passed unamended or with technical or fiscal amendments, including bills affecting land planning, tax credits, conveyance tax language, shoreline maintenance, and community improvement projects. Several bills had appropriations blanked or effective dates deferred to 2050, and many were adopted with members noting reservations rather than opposition. On the 1017 agenda, the committee continued approving measures, including SB 709 on crisis intervention officers and assisted community treatment, SB 2153 on defining bona fide farmer/agriculture activity, SB 2694 on water rate adjustments, SB 3025 on income eligibility limits, and SB 3085 on the Hawaii film studio, which included a five-year repeal provision if the studio has not relocated. The committee also passed numerous other bills unamended or with technical amendments, often deferring effective dates or blanking appropriations. Across both agendas, the committee’s actions were largely consistent: bills were advanced with amendments tailored to agency requests, technical corrections, or fiscal adjustments, and votes were generally unanimous or near-unanimous with occasional reservations recorded.

Transcript Highlights:

• > representatives<00:21:41.160> and Hawaii sent uh two representatives and Hawaii sent
• Hello, it's Sniffen with Hawaii DOT.
• Hawaii for a search and rescue mission. Hawaii for a search and rescue mission.
• <01:41:40.560> But Hawaii that make the difference. But Hawaii that make the difference.
• Once we get early planning standpoint.

Bills: SCR21, SCR75, SCR50, SCR149, SCR47, SCR163, SCR169, SCR170

Keywords: healthcare, rural clinic, feasibility study, access to care, community health, Volcano community, Hawaiʻi Health Systems Corporation, emergency services, health assessment, Fetal Alcohol Spectrum Disorders, health care, interdepartmental collaboration, public awareness, support services, education, health insurance, affordable healthcare, working group, Hawaii Health Plan, Medicaid expansion

Transcript Highlights:

• Michael Carter, who is from Hawaii but is currently living in California.
• Please stand to be recognized and welcome to the Hawaii House of Representatives.
• Michael Carter, who is from<00:13:01.400> Hawaii<00:13:01.920> but<00:13:02.120> is<
• recognized and welcome to the Hawaii recognized and welcome to the Hawaii House<00:13:06.200>
• Hawaii, but especially<00:19:38.480> in<00:19:38.679> West<00:19:38.960> Oahu.

Bills: SCR21, SCR75, SCR50, SCR149, SCR47, SCR163, SCR169, SCR170

Keywords: healthcare, rural clinic, feasibility study, access to care, community health, Volcano community, Hawaiʻi Health Systems Corporation, emergency services, health assessment, Fetal Alcohol Spectrum Disorders, health care, interdepartmental collaboration, public awareness, support services, education, health insurance, affordable healthcare, working group, Hawaii Health Plan, Medicaid expansion

Transcript Highlights:

• So, mahalo to both of you for stepping forward, and welcome to your Hawaii State Senate.
• stepping forward, and welcome<00:05:04.600> to<00:05:04.720> your<00:05:04.920> Hawaii
• /c><00:08:46.160> Occupational<00:08:46.800> Safety<00:08:47.240> and to the Hawaii
• Occupational Safety and to the Hawaii Occupational Safety and Health<00:08:47.720> Law.
• Senator Elefante Thank you, Health Law. Senator Elefante Thank you, Mr.<00:08:50.680> President.

Bills: SCR47, SCR21, SCR163, SCR169, SCR170, SCR50, SCR75, SCR149, HCR83, HCR111, HCR110, HCR122, HCR118, HCR61, HCR162, HCR36, HCR19, HCR106, HCR14, HCR178, SB3022, SB3102, SB3144

Keywords: sister-state, Hawaii, Okayama, Japan, cultural exchange, economic partnership, tourism, agriculture, international relations, healthcare, rural clinic, feasibility study, access to care, community health, Volcano community, Hawaiʻi Health Systems Corporation, emergency services, health assessment, Pacific Inter-Parliamentary Assembly, Legislative Cooperation

Transcript Highlights:

• Uh, Brian Miimoto, Hawaii Farm Bureau. >> Hello, Chair.
• Uh, Lindseay Garcia with Hawaii Realtors. He's in support.
• of Hawaii. of Hawaii. >> Aloha,<00:01:55.759> chairs.
• We also have in support uh Hawaii We also have in support uh Hawaii farmers<00:02:17.360> union
• Johnny Mey the housing Hawaii future.

Bills: SB2373, SB2101, SB2905, SB3231, SB2486, SB2376

Keywords: carbon sequestration, marine ecosystem, climate change, renewable energy, biodiversity, nature-based solutions, organic waste, solid waste, waste diversion, composting, bioconversion, recycling, food waste, green waste, food-soiled paper, wood waste, landfill diversion, waste reduction, waste management, county solid waste plan

Summary: The committee heard SB 2006, which would clarify that a farm dwelling permit in an agricultural district may include a single-family farm dwelling with an accessory employee housing structure, subject to restrictions. Testimony was largely supportive, with comments from the Department of Agriculture Biosecurity, DPP, Hawaii Farm Bureau, Hawaii Realtors, Grassroot Institute of Hawaii, Hawaii Farmers Union, Housing Hawaii Future, and several individuals. The chair noted there were nine in support, two opposed, and four offering comments. In decision-making, the chair recommended passing the bill with OPSD-suggested amendments to clarify the definitions of farm employee housing and bona fide agricultural services. The chair also referenced opposing testimony that raised concern the original draft could limit tourism activities that provide supplemental income for bona fide farming operations. The proposed amendments were intended to make clear that farm employee housing is only for workers and not visitor accommodations, while allowing tourism activities on the same parcel if they are secondary and incidental to a bona fide agricultural operation, do not occur in employee housing units, and comply with county ordinances. The committee adopted the recommendation and voted to pass SB 2006 with amendments. The recorded votes showed the chair, vice chair, Senator Rhoads, and Senator Awa in favor, with Senator DeCoite excused. The same pass-with-amendments recommendation was then made to the housing committee and adopted there as well, with Senator Elephante voting aye and Senator Favella excused.

Transcript Highlights:

• On Zoom, uh Hawaii Radiant Health you.
• Hawaii Association of Health Plans, Rachel Woolsey. into this issue because into this issue because HMSA
• Rachel Woolsey on behalf of the Hawaii Association of Health Plans providing comments.
• Uh Hawaii Association<01:31:06.080> of<01:31:06.200> Health<01:31:06.440> Plans,
• <01:31:06.880> Rachel Association of Health Plans, Rachel Association of Health Plans, Rachel

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:

• Members, we'll move on to SCR 50 SD1, establishing the Hawaii Health Plan Working Group to design and
• recommend a basic affordable Hawaii Health Plan available to every resident of the state.
• Uh, moving on to SCR 50 SD1, establishing a Hawaii Health Plan Working Group.
• <00:42:57.640> Health<00:42:57.960> Plan uh establishing a Hawaii Health Plan uh establishing
• a Hawaii Health Plan Working<00:42:58.840> Group.

Bills: HCR18, HCR32, HCR35, HCR105, HCR173

Keywords: hospice, health care, aging population, regulations, Medicare, working group, fraud prevention, quality of care, mental health, recidivism, civil commitment, Hawaii State Hospital, justice system, shelter, treatment pathways, biomarker testing, health insurance, precision medicine, healthcare access, medical necessity

Summary: The committee heard testimony on SCR 21 SD1, which asks Hawaii Health Systems Corporation’s East Hawaii Regional Health Care System to study the feasibility of a rural health clinic or similar access point for the Volcano community. Testimony in strong support came from HHSC representatives, Volcano residents, the Volcano Health Collaborative, the Rotary Club of Volcano, and others, who said the area has a clear need and that local primary and urgent care would align with regional plans. HHSC said it had already looked at the area, found no suitable temporary buildings, and would need a longer-term, capital-intensive solution, but that the study could help accelerate next steps. The committee then took up SCR 50 SD1, proposing a Hawaii Health Plan Working Group to design a basic affordable health plan for residents. Dr. Jack Lewin of SHIPTA said the state faces a growing uninsured population and argued for a short-term, lower-cost plan focused on preventive and primary care, drawing on the old State Health Insurance Plan as a possible model. Members asked about whether that prior program still exists and whether the working group should include the Hawaii Medical Association and Hawaii Primary Care Association; Dr. Lewin said the statute still exists but is unfunded, and that the group should be inclusive. The Department of Labor and other organizations also provided comments. For SCR 75 SD1, which urges a coordinated interdepartmental effort to reduce fetal alcohol spectrum disorder, Dr. Lewin and others said prevention, prenatal screening, and early intervention are needed because FASD is often hidden until later problems appear. Amanda from Hawaii FASD Action Group said current implementation under Act 192 is still largely a landscape analysis and that Hawaii lacks the infrastructure and specialists for a full system. Darlene Chance Govor urged adding the judiciary as a partner so juvenile justice and probation staff can be trained and referral pathways improved, while the Department of Health said it supports prevention but prefers a broader, systems-based approach focused on child needs and upstream care. The Disability Rights Center supported the resolution and asked for an earlier reporting date. The committee also heard SCR 149 SD1, which seeks an informal working group to address complex patients with multiple diagnoses involving substance use, mental health, or chronic physical illness. The Hawaii Substance Abuse Coalition and Ke Nui Malo strongly supported the measure, saying current siloed systems leave people bouncing between medical, mental health, and substance use providers without coordinated care, often ending up in crisis, emergency rooms, or the justice system. They said integrated residential care and a coordinated working group could improve outcomes and align with federal funding opportunities. The transcript ended before any final vote or action on the measures was announced, and SCR 109 was noted as withdrawn from the agenda.

Transcript Highlights:

• House Bill 1216, expenses for prescription drugs and relating to self-insurance health care plans.
• And at the very end of the bill, Section 3, this act applies to health benefit plans that are delivered
• , issued, ..." ...this act applies to health benefit plans that are delivered, issued, executed, or renewed
• plan like a thousand... ...deductible plan.
• And it doesn't cover ERISA plans, is that correct? Okay.

Bills: SB2271, HB1216

Keywords: adult residential facilities, care services, Medicaid, payment rates, elderly care, health services, North Dakota, prescription drugs, drug affordability, copay assistance, copayment accumulator, deductible accumulator, out-of-pocket maximum, health insurance, health benefit plan, self-insured health plan, self-funded plan, third-party payment, manufacturer assistance, patient assistance program

Summary: The Appropriations Committee met with a quorum and took up three bills. House Bill 1216, dealing with prescription drug expense co-pay accumulators in health plans, was presented by Rep. Karen Carl’s, who explained it would prevent insurers from refusing to count third-party assistance toward deductibles for patients using high-cost, non-generic drugs. An amendment was offered to clarify effective dates, including a delayed January 1, 2026 start for PERS coverage. PERS testified that the amendment would align with its calendar-year benefit structure and likely reduce the fiscal note. The amendment was adopted 16-0, and the bill was set aside for further discussion later. House Bill 1199, creating a criminal justice data-sharing system and missing persons/missing Indigenous people task force, was introduced with a committee amendment changing the Attorney General reference to the Attorney General or designee. The committee noted the bill includes a $250,000 general fund appropriation for ongoing costs. The amendment passed 16-0, and the amended bill received a do pass recommendation by a 15-1 vote, with one no vote from Senator Magrum. House Bill 1531, appropriating $75,000 for an irrigation expansion study by the Agriculture Commissioner, was supported as a way to update older economic-impact studies on irrigation and assess opportunities for expansion. Members discussed its relationship to broader study pauses and the history of irrigation development in the state, including Garrison Diversion and remaining authorized acres. The bill passed 16-0. The committee then discussed scheduling for the coming week, noting a heavy bill load and plans for daily morning meetings before adjourning.

Bills: HCR11, HCR181, HCR187, HCR47, HCR44, HCR161, HCR102, HCR107, HCR118, HCR42, HCR176, HCR84, HCR94, HCR195, HR14, HR171, HR177, HR43, HR40, HR151, HR94, HR99, HR110, HR38, HR166, HR76, HR86, HR185

Keywords: charter schools, facilities, school funding, education, Hawaii, student enrollment, policy change, HCR181, House Concurrent Resolution, Department of Education, DOE, temporary positions, position renewal, superintendent-level positions, legislative intent, statutory interpretation, budget accountability, fiscal oversight, government transparency, state employment

Transcript Highlights:

• save lives, improve community health save lives, improve community health outcomes,<00:05:43.000
• and the Department of Health. and the Department of Health.
• And Hawaii— Department.
• Hawaii State Capitol. Hawaii State Capitol.
• Hawaii Department of Defense. Hawaii Department of Defense.

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:

• Michael Robinson, Hawaii Pacific Health, in support. Ed...
• Planned Parenthood and Hawaii Public Health Institute in support.
• Hawaii already faces a shortage of health care providers.
• :59:44.400> Health have Hawaii Public Public Health have Hawaii Public Public Health Institute
• with the Hawaii Tobacco-Free Hawaii with the Hawaii Public<00:59:55.120> Health<00:59:55.360>

Bills: HB1573, HB1645, HB1875, HB1898, HB2121

Keywords: electronic smoking devices, e-liquids, certification, FDA, state law, penalties, compliance, directory, public health, nonprofit, child welfare, liability, insurance, legal protections, Hawaii, health care, reproductive rights, gender-affirming care, privacy, civil liability

Summary: The committee heard testimony on HB 1573, which would create state enforcement authority over unauthorized e-cigarette products and related tobacco enforcement. Supporters including SHPDA, the Department of Health, the Attorney General’s office, Hawaii Public Health Institute, and others said the bill would help protect youth from unauthorized vaping products, give the state tools to enforce an FDA-authorized product list, and add penalties and inspection authority. A committee member asked whether enforcement staff were available and what penalties would apply; the response was that existing tobacco investigators would take on the work, and the bill includes civil penalties, seizure authority, and possible license revocation referrals. The measure drew both support and opposition testimony, but no vote was taken in the portion provided. The committee then took up HB 1645, relating to liability for child welfare service providers. The Insurance Division said it was aware of the insurance-cost problem, had raised the issue with the NAIC, and was exploring a captive insurance option, while suggesting the legislature consider additional appropriations to DHS to cover higher contract costs. Supporters, including Parents and Children Together and Hawaii Insurance Council, argued the bill would help child welfare providers obtain insurance and continue critical services. Opponents, including the Hawaii Association for Justice, warned that removing joint and several liability could leave victims undercompensated and might not actually lower premiums. The insurance commissioner said other states have done tort reform in this area, but the committee was told it is not clear the bill would reduce insurance costs. Finally, the committee heard extensive testimony on HB 1875, which would protect access to gender-affirming care in Hawaii and shield patients and providers from out-of-state legal actions. Support came from the Hawaii State Youth Commission, LGBTQ+ and public health groups, medical professionals, ACLU Hawaii, Planned Parenthood, and others, who said gender-affirming care is evidence-based, medically necessary, and important for patient privacy, provider stability, and continuity of care. Several witnesses asked for amendments to the bill’s definition language. Opposition testimony came from individuals and groups including Hawaii Christian Coalition, Leeward Republican Women’s Club, and others, who argued the bill could expose children to irreversible decisions and that more research is needed. The chair noted roughly 176 supporters and about 40 opponents testified. No final action or vote was reported in the excerpt.

Bills: HB2592

Keywords: Mauna Kea, MKSOA, Mauna Kea Stewardship and Oversight Authority, University of Hawaii, UH, Board of Land and Natural Resources, BLNR, Department of Land and Natural Resources, DLNR, Hawaii Revised Statutes chapter 195H, land management, transition period, management plan, administrative rules, rulemaking, lease extension, sublease, public lands, Native Hawaiian rights, cultural stewardship

Summary: The Judiciary Committee met on several decision-making agendas and first considered HB 1696, which would lower the minimum age for commercial driving in-state from 19 to 18 and adjust qualifying criteria. The committee agreed to accept amendments, including changes suggested by the Operating Engineers Union, and voted unanimously to pass the bill with amendments. HB 2333, which would authorize airport special districts and increase penalties for certain aeronautics violations, was deferred after concerns were raised about treatment of people outside airport security perimeters. On the next agenda, the committee passed HB 1710 with technical amendments only. That bill would allow the State Historic Preservation Division to conduct phase reviews of certain private-property projects and revise concurrence deadlines. HB 1737, clarifying allowable agricultural district uses related to farm dwellings and farm employee housing, also passed with technical amendments only. HB 1823, dealing with coastal zone management and excluding certain state- or county-funded infrastructure projects in Lahaina from the definition of development, passed with amendments from the Attorney General’s office. The committee then took up HB 1897, an alternative dispute resolution measure for condominium-related disputes, including facilitated mediation, evaluative mediation, and binding arbitration. Despite noting broad opposition and a reservation from Senator Buenaventura, the committee adopted the measure and moved it forward as is. Finally, HB 2576, which streamlines background check requirements for health care facilities and workers, passed with amendments reflecting input from OHA, HAH, and DOH. The meeting concluded with notice of a later joint agenda and adjournment.

Transcript Highlights:

• Hawaii Association of Health Plans in support. members. Jack Lewin of SHIPDA. members.
• > Plans<00:54:26.320> in Hawaii Association of Health Plans in Hawaii Association of Health
• Rachel Wong comes on behalf of the Hawaii Association of Health Plans in support.
• :55.080> Plans<01:39:55.480> in Hawaii Association of Health Plans in Hawaii Association
• Hawaii Association of Health Plans, HMSA, offering comments.

Bills: HB2323, HB2324, HB1509, HB2164, HB2165, HB2367, HB2619, HB1765, HB2187, HB1864, HB1452, HB2314, HB1898, HB2558, HB2319, HB1643, HB2121

Keywords: workers' compensation, treatment plans, vocational rehabilitation, electronic submission, reporting requirements, occupational safety, hoisting machines, discrimination protection, Department of Labor, safety standards, treatment plan, injured worker, medical treatment authorization, employer response deadline, secure electronic transmission, facsimile, fax, mail submission, denial of care, medical necessity

Summary: The committee heard several administration bills related largely to workers’ compensation and unemployment insurance. On HB 2323 HD1, which would modernize workers’ compensation notice and filing procedures, DLIR and other agencies testified in support of the original bill language but said HD1 removed key components and weakened the bill’s clarity and continuity. HB 2324 HD1, which would repeal state hoisting-machine certification requirements and the separate crane operator certificate, drew support from DLIR; members asked about whether the change would affect safety or local operators, and DLIR said OSHA-compliant certifications already exist and the union supported the change. HB 1509 HD1, which would require faster employer responses to treatment plans and impose penalties for nonresponse, received support from DLIR and others, while DHRD said it wanted an amendment. The committee also took up HB 2164 HD1 on compounded prescription drugs in workers’ compensation. DLIR supported the bill as a way to define compounded drugs and curb inflated pricing, but DHRD and a medical provider opposed it and asked for amendments. Testimony focused heavily on whether the definition should include 503B compounding facilities and whether physician dispensing should be limited to the first 30 days after injury. HB 2165 HD1, dealing with unemployment insurance eligibility and removing the two-year limit on recouping overpayments, was supported by DLIR but opposed by Unite Here Local 5, which argued it would make it harder for striking workers and other claimants. Members questioned the impact of changing reporting deadlines from calendar days to business days and raised concerns about future benefit offsets; DLIR said the bill was needed for federal conformity and that the committee would revisit the offset percentage and effective date. Later, the committee heard HB 2367 on pay transparency, requiring salary ranges in job postings and removing the small-employer exemption. The Hawaii Civil Rights Commission, AAUW, Hawaii Women Lawyers, and an individual testifier supported the bill, saying pay transparency promotes fairness, trust, and pay equity; one testifier described being underpaid compared with a predecessor and said posting ranges would save applicants’ time. HB 2619 HD1, concerning homemade food products and farm kitchens, received generally supportive comments from the Department of Health, which requested an amendment to preserve flexibility in future rulemaking. HB 1765 HD1, on spear-fishing safety warnings, drew support from a safety educator and comments from DLNR; supporters said warning labels would help prevent hypoxic blackout deaths and were low-cost and easy to implement. No votes or final committee actions were taken in the portion of the meeting provided.

Transcript Highlights:

• Hawaii Association of Health Plans in opposition. >> [clears throat] >> [snorts] >> Good afternoon, Chair
• Rachel Volkinson on behalf of the Hawaii Association of Health Plans.
• Hawaii Association of Health Plans offering comments.
• Rachel Wilkinson, on behalf of the Hawaii Association of Health Plans.
• > Plans Hawaii Association of Health Plans Hawaii Association of Health Plans offering<00:35:47.920

Bills: SB2433, SB2047, SB2425, SB3045, SB2761, SB3001, SB2852, SB2471

Keywords: condominium governance, education trust fund, unit owners, real estate, dispute resolution, financial obligations, community representation, pharmacy benefit managers, maximum allowable cost, transparency, drug pricing, insurance commissioner, contracting pharmacies, healthcare, substance use disorder, SUD, addiction treatment, behavioral health, mental health, rehabilitation

Summary: The committee heard testimony on SB 2433 SD1 relating to condominiums, which would direct the condominium education trust fund toward educational resources for unit owners and require the Real Estate Commission to ensure owners’ interests are represented in funded activities and related rulemaking. Supporters, including the Hawaii Real Estate Commission and a condominium owner advocate, said owners need a seat at the table in condo governance and education efforts. Committee discussion focused on whether the bill was necessary, with the Real Estate Commission indicating it could already use the trust fund for owner education and that owners are already considered stakeholders, though not through a specific commission seat. No vote was taken during the excerpted discussion. The committee then took up SB 2047 SD2 HD1 on pharmacy benefit managers, which would set requirements for maximum allowable cost reimbursement, allow reverse-and-rebill claims after successful appeals, and authorize fines for violations. The Insurance Division offered comments, the Hawaii Pharmacists Association supported the measure with amendments and suggested future PBM reform funding, and Kaiser Permanente requested a technical amendment. A committee question raised whether the staffing and resource request for implementation was too large for a bill focused only on MAC pricing, and the witness said he would provide more data to the next committee. No final action was shown. Next was SB 2425 SD2 HD1 on health insurance and substance use disorder treatment, requiring insurers to honor written assignments of benefits to SUD providers and prohibiting anti-assignment clauses. Supporters described patients being unable to access treatment because of high out-of-pocket costs and said direct payment would reduce harm for people in recovery. HMSA opposed the bill but said it would begin direct payments to non-participating SUD facilities effective March 27, while continuing to object to the assignment-of-benefits portion because of fraud and balance-billing concerns; the Hawaii Association of Health Plans also opposed. Members questioned HMSA about reimbursement mechanics and why the bill was needed if coverage policies were already changing. Finally, the committee heard SB 3045 SD1 HD1, which would require coverage of continuous glucose monitors and related supplies, including for Medicaid managed care, under certain conditions. DHS and the Insurance Division offered comments, while SHPDA, Hilo Benioff Medical Center Foundation, and others supported the bill, citing inconsistent access and a case in which a woman allegedly died after being denied a CGM. HMSA said it already covers medically necessary CGMs and had updated its policy in 2025 for type 1 and insulin-dependent patients, but it raised concerns about expanding mandated coverage to type 2 and gestational diabetes and about supply impacts. The committee also discussed whether the bill duplicated existing coverage standards and why it had been introduced repeatedly. No votes or final dispositions were included in the excerpt.

Transcript Highlights:

• Up next, also on Zoom is Activities and Attractions Association of Hawaii. >> Uh aloha, uh Chair, Vice
• We um I myself am have a certification from Ola Hawaii.
• c> um<00:04:51.440> I<00:04:51.759> myself<00:04:52.639> am the state of Hawaii
• We um I myself am the state of Hawaii.
• have a certification from Ola Hawaii. have a certification from Ola Hawaii.

Bills: SB2596, SB3002, SB3067

Keywords: government leases, state entities, real property, affordable leasing, budget impact, green infrastructure, urban development, sustainability, environment, climate change, public health, Hawaii State Planning Act, land records, registration, surveys, subdivision, Hawaii Revised Statutes, 912, senate, all

Summary: The joint committees on Water and Culture and the Arts and on Hawaiian Affairs heard SB 3173, which would create a cultural training pilot program in the Department of Land and Natural Resources, administered by DOBOR, for commercial permit holders operating in Lahaina Harbor. Testimony was largely supportive from Lahaina Strong, which said the bill responds to community concerns and would help commercial operators return with greater cultural understanding and respect. Supporters framed the measure as a way to rebuild Lahaina intentionally and strengthen relationships between industry and community. Opposition came from Trilogy Excursions and the Activities and Attractions Association of Hawaii. They said they already provide or encourage cultural education, but argued the bill as written is too broad, potentially mandatory, and could create hiring and operational problems for businesses trying to restart after the fire. They asked that any program be voluntary, collaborative, and practical, with clearer details on who must take the training, how often it would be offered, and how it would be coordinated. In response to questions, a witness said most operators would likely participate if the training were accessible and well-marketed, but that the harbor’s limited current operations and staggered rebuilding make timing important. After testimony and questions, the chairs said they appreciated the comments but wanted to move the bill forward without amendments because of a filing deadline, noting that timing and other issues could be worked out in later committees with DLNR, OHA, and stakeholders. Both committees then voted to pass SB 3173 unamended, with one member excused in each committee.

Transcript Highlights:

• Shaw, Agriculture Stewardship Hawaii. Shaw, Agriculture Stewardship Hawaii.
• Brian Mimoto, Hawaii Farm, was down in support. And we had the Hawaii Cattleman's Council.
• , Hawaii Farm Brian Mimoto, Hawaii Farm was<00:03:26.640> down<00:03:28.000> in<00:03:28.239
• Hawaii Farm is down in Farm Bureau. Hawaii Farm is down in support. support. support.
• Hawaii. So available for any questions. Hawaii. So available for any questions.

Bills: HB1730, HB1985, HB1749, HB1921

Keywords: cesspool, wastewater systems, public health, environmental protection, affordable upgrades, coral reefs, water quality, Hawaii legislation, cesspools, wastewater, environment, pollution, Hawaii, sustainable development, sewerage system, real estate, disclosure, environmental impact, wastewater management, housing

Summary: The committee heard several agriculture-related bills. HB 1953 would create a two-year conservation and environmental stewardship pilot program in the Department of Agriculture and Biosecurity (DAB); testimony from Agriculture Stewardship Hawaii supported investing in conservation agriculture and farm practices that protect waterways and native species. HB 248 would establish a climate-resilient food systems grant program, with DAB explaining the types of equipment and processing investments such grants could support, such as coffee roasting, packaging, harvesting equipment, and other value-added infrastructure. HB 2246 would create a grant administration program and revolving fund to help DAB manage grants; DAB said the bill would help leverage federal, state, county, and private funding by retaining part of the indirect cost recovery to meet matching requirements. HB 2549 would create a clean plant program to produce and distribute disease-free plant material, and reforestation advocates said it would support large-scale reforestation efforts. HB 2551 would fund an area fruit fly suppression program; DAB described sterile fruit fly technology and said the program could help reduce fruit fly populations statewide. HB 2216 would authorize DAB to package and sell part of its loan portfolio to third parties, and HB 2152 would clarify liability and penalties for dog attacks on livestock, with the Hawaii Sheep and Goat Association discussing proposed language and the Hawaiian Humane Society’s suggested amendment on euthanasia procedures. Testimony was largely supportive across the measures, with DAB, Hawaii Farm Bureau, and other agriculture and conservation groups generally backing the bills. There was some discussion on funding levels and implementation details, including DAB’s estimate of about $750,000 for three clean plant stations and a question about the appropriations needed for the fruit fly suppression program. For HB 2152, the chair noted an amendment incorporating Hawaiian Humane Society language that would require surrender of a dog found to have caused livestock loss or damage for humane euthanasia within 24 hours. In decision-making, the committee voted to pass all of the measures discussed, most with technical amendments or date-defect amendments to July 1, 2050. HB 1953, HB 2548, HB 2549, HB 2551, HB 2216, and HB 2152 were all adopted unanimously by the members present, and HB 2246 also passed with technical amendments. The chair’s amendment to HB 2152 was specifically adopted to include the humane euthanasia language.

Transcript Highlights:

• First up is Department of Health. Thank you, Kevin. Next is DCCA, Hawaii Real Estate Commission.
• Hawaii Public Health Institute in support. Aloha, Chair, Vice Chair.
• I'm Chris Coughlin from the Hawaii Public Health Institute.
• :32:16.679> in Hawaii Public Health Institute in Hawaii Public Health Institute in support. support
• 32:21.280> Public<00:32:21.520> Health Coughlin from the Hawaii Public Health Coughlin

Bills: HB1730, HB1985, HB1749, HB1921

Keywords: cesspool, wastewater systems, public health, environmental protection, affordable upgrades, coral reefs, water quality, Hawaii legislation, cesspools, wastewater, environment, pollution, Hawaii, sustainable development, sewerage system, real estate, disclosure, environmental impact, wastewater management, housing

Summary: The committee heard testimony on several cesspool-related measures. HB 1730 HD2 would create a cesspool conversion implementation working group to help the Department of Health review rules and practices and develop changes to make conversions more affordable. DOH and DLNR stood on written testimony, while environmental and wastewater advocates strongly supported the bill, emphasizing the need for dedicated staffing, technical expertise, and smaller, more focused advisory groups. Members discussed the high cost of upgrades and the need for new technologies that reduce excavation and leach field costs. The bill was passed with amendments, including clarifying the DOH director’s discretion over the size of the working group, and the committee noted DOH’s appropriation request for consideration. HB 1985 HD1 would extend certain cesspool conversion deadlines and authorize funding for consultants, while also advancing outreach and education. Testimony split sharply: advocates supported the education component but opposed deadline extensions as premature, arguing the state still has many years before the 2050 mandate and should not weaken the conversion timeline. The committee agreed to amend the bill to delete the deadline-extension portion, keep technical changes, and note DOH’s position request. HB 1749 HD2 would require sellers to disclose cesspools to buyers before a real estate purchase contract is executed and direct DOH and the Real Estate Commission to create a standardized form. Realtors supported the intent but asked to avoid duplicative statutory form requirements, and advocates stressed that disclosure should be prominent and not buried in paperwork. The committee adopted amendments removing the standardized-form mandate and passed the bill. HB 1921 HD2 would allow certain existing cesspools in priority level three areas to continue serving dwellings with additional bedrooms under conditions. DOH brought the measure, and supporters from the real estate and environmental sectors discussed innovative wastewater technologies, retrofits, and composting toilets as ways to reduce costs while improving treatment. The committee amended the bill to require DOH director-approved wastewater technology using solid waste separation for bedroom-count increases and to clarify priority-level determinations using block-level data from the Hawaii cesspool prioritization tool, then passed it. The committee also heard HB 2310, an emergency appropriation for the Department of Human Services to restore funding used to keep SNAP benefits flowing during the federal shutdown; DHS, public health, children’s advocates, and others supported it, and members questioned why it was not handled through the budget. The discussion clarified that the bill sought new money to move quickly for ACA-related premium support. No final vote on HB 2310 was shown in the excerpt.

Transcript Highlights:

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• plan study on the facilities. plan study on the facilities.

Bills: SR185, HB2452, HB2329, HB2272, HB2273, HB2335, HB1656, HB2207, HB2289, HB1854, HB2581, HB20, HB2296, HB1707, HB2297, HB1890, HB2241, HB2474, HB1688, HB2546, HB1574, HB1546, HB2218, HB1163, HB1514, HB1749, HB2385, HB1576, HB1974, HB2022, HB1973, HB2005, HB1894, HB1515, HB1718, HB1591, HB2475, HB1721, HB1864, HB1946, HB1920

Keywords: Department of Education, capital improvement program, performance audit, infrastructure, transparency, state bonds, general obligation bonds, GO bonds, bond authorization, state debt limit, constitutional debt limit, Article VII Section 13, Hawaii bonds, state borrowing, public finance, capital improvement projects, supplemental appropriations, judiciary appropriations, refunding bonds, reimbursable bonds

Transcript Highlights:

• c> Reef<00:27:34.559> and of Hawaii in support, Hawaii Reef and of Hawaii in support, Hawaii
• Caucus of the Democratic Party of Hawaii, the Sierra Club of Hawaii.
• Club of Hawaii.
• Hawaii Primary Care Association in support. Wala Health Center in support.
• Wahiwa Health Center in support. Hawaii Island Community Health Center in support.

Bills: SB3253, SB3154, SB3254

Keywords: conservation, endangered species, wildlife preservation, native birds, biodiversity, sanctuary, nonprofit, DLNR, agricultural district, land use, chapter 195D, chapter 205, chapter 42F, state funding, public purpose, habitat restoration, predator-free sanctuary, ecosystem restoration, Zealandia, wildlife refuge

Summary: The committee on Energy and Environmental Protection heard a long series of resolutions focused largely on waste reduction, energy planning, and environmental protection. Early measures included HR 12/HCR 10 on a permanent landfill host benefits program for Honolulu, HCR 148/HCR 157 on a demolition waste reduction working group, and HR 184/HCR 194 on a mattress stewardship program working group. Testimony on these waste-related measures was generally supportive from environmental groups and some individuals, while the Department of Health supported the mattress stewardship proposal. The Department of Health also commented that a proposed study on recyclable/biodegradable/compostable labeling was very broad and would require additional resources to carry out effectively. The committee then took up several energy-related resolutions. HR 192/HCR 202 would create a task force on Hawaii’s future energy pathways, and HR 194/HCR 204 would ask the Public Utilities Commission to conduct a comprehensive analysis of cost reductions and financial risk. The Department of Commerce and Consumer Affairs, the Hawaii State Energy Office, and the PUC offered support or comments on these measures, with environmental and industry groups also submitting testimony. Members questioned the Energy Office and PUC at length about errors in prior analyses, competitive bidding, and whether utility proposals could proceed through waiver processes; the PUC said any proposal would still be reviewed and that it generally prefers competitive bidding, while the Energy Office said some issues were being characterized differently and would follow up on waiver standards. Additional measures addressed data centers, liquefied natural gas, and utility oversight. HR 196/HCR 206 would convene a working group on the impacts of large data centers, and HR 197/HCR 207 would require conditions before the PUC approves LNG-related costs; testimony on LNG was split, with supporters urging caution and opponents arguing LNG should not be pursued. HR 193/HCR 2003 sought a written status update on implementation of the Hawaii Electric Reliability Administrator, and HR 191/HCR 201 and HR 33/HCR 33 dealt with sewage and wastewater issues, both drawing support from environmental and community groups. The committee also heard strong support for HR 141/HCR 149 on Red Hill remediation meetings and HR 190/HCR 200 on reassessing military PFAS cleanup decisions; the Board of Water Supply testified in support and described ongoing PFAS testing and concerns beyond Red Hill. The transcript ends as the committee moved into decision-making, with the chair indicating a recommendation to pass HR 12/HCR 10.

Transcript Highlights:

• Thank you. health has his waist branch. The health has his waist branch.
• Quick one of the Department of Health. Department of Health.
• Brandon Maka Vaava, Nation of Hawaii, in support. Lipo Aoui, O Hawaii, in support.
• >> Chair Department of Health. >> Chair Department of Health.
• Senator Decoy, Department of Health. Health. Health.

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.