Transcript Highlights:

• drowning as a preventable public health drowning as a preventable public health crisis,<00:05:31.080
• numerous of violations and and health numerous of violations and and health risk<00:18:04.800>
• Is there anyone here from the Department of Health?
• Is testimony from Department of Health.
• Health? Health? If<00:29:35.800> not,<00:29:36.840> um Thank you for your patience.

Bills: SCR56, SCR25, SCR79, SCR179, SCR181, SCR182, SR54, SR22, SR81, SR174, SR176, SR177

Keywords: lifeguards, first responders, public safety, ocean safety, emergency response, community wellbeing, Pohakuloa, condemnation, federal government, land sovereignty, Hawaii, native Hawaiians, public trust land, invasive species, octocoral, Pearl Harbor, environment, Navy responsibility, marine ecosystem, ecosystem preservation

Summary: The committee first heard SCR 56 and SR 54, which recognize open water lifeguards as first responders and acknowledge their role in emergency response and public safety. Testifiers from the Hawaiian Lifeguard Association, Hawaii Water Safety Coalition, Honolulu and Kauai Ocean Safety, and a junior guard all strongly supported the resolutions, describing lifeguards as often first on scene for drownings, cardiac arrest, spinal injuries, flooding rescues, and other emergencies. Several speakers said formal recognition would better reflect the work lifeguards already do and could improve training, support services, pay equity, and access to benefits such as retirement and trauma resources. Members asked about what legal or administrative changes would follow, and the discussion suggested the resolutions were a first step toward broader recognition and related policy changes. The committee then took up SCR 25 and SR 22, opposing federal condemnation or threats of condemnation to take control of Pohakuloa and other state land. The Office of Hawaiian Affairs supported the resolutions, saying Pohakuloa has deep historical, cultural, genealogical, and ecological significance and that any future decisions should go through existing state legal processes with meaningful consultation with Native Hawaiians. Members discussed the role of the governor’s advisory process, the need to follow DLNR/BLNR procedures, and concerns about environmental and health violations at the site. The committee also noted 14 written testimonies in support. Next, the committee heard SCR 79 and SR 81, urging the U.S. Navy to take responsibility for eradicating octocoral and other invasive species in Pearl Harbor waters, including West, Middle, and East Loch. DLNR supported the resolutions, and testimony focused on the spread of invasive coral, the difficulty of eradication, and the limited access state agencies have inside Pearl Harbor. Members raised concerns about contamination, responsibility for the problem, and whether the Navy should fund or carry out the cleanup; DLNR said it could not speak to broader contamination issues but supported the resolution as a way to encourage action. The committee then began discussion of SCR 179 and SR 174, which urge Maui County to enforce fire code provisions on brush clearance, fuel breaks, roadside vegetation clearing, and emergency access, with written support noted from Aloha Independent Living Hawaii.

Transcript Highlights:

• language makes it so that um a Maui language makes it so that um a Maui entity<00:15:52.320>
• There’s the Maui HHSC board or the Oahu region HHSC.
• The Maui prosecutor did times.
• housing, health care, you know. housing, health care, you know. >> Yeah. >> Yeah.
• <00:57:27.839> Um, dental, mental health services. Um, dental, mental health services.

Bills: HB1997, HB2343, HB2566, HB2493

Keywords: students with disabilities, individualized education programs, emergency plans, evacuation procedures, support services, Hawaii education law, HB2343, Maui State Veterans Home, veterans home, veterans, long-term care, skilled nursing, rehabilitation, hospice, Alzheimer's care, respite care, assimilate, transfer deadline, Act 99, Session Laws of Hawaii 2024

Summary: The committee heard House Bill 1997, which would require IEPs for students with disabilities to include individualized emergency accommodations and evacuation supports. The Attorney General’s office supported the intent but recommended amendments to explicitly include students with Section 504 plans and to change references from “department schools” to “public schools” so charter school students are covered. Testimony in support came from disability advocates and several individuals, including Peter Fritz, who said emergency evacuation planning should be made explicit because it is not clearly required by federal law, and Ka Swan, who emphasized student safety during emergencies. No vote or final action was taken on the bill in the transcript. The committee then took up House Bill 2343, relating to the Maui State Veterans Home. The measure would repeal a deadline for transferring the home to a state agency with a Maui affiliation and instead require the transfer to occur as soon as practicable. The Department of Defense, the Office of Veterans Services, HHSC Oahu Region, and several individuals testified in support. Committee members asked whether a more definite deadline should be used, but the department said the open-ended language was preferable because the Maui entity is not yet ready and Oahu is currently providing oversight. No vote or final action was recorded. House Bill 2566, authorizing special license plates for Hawaii Civil Air Patrol members, was also heard. The City and County of Honolulu Department of Customer Services testified in opposition, while Johnny Perry testified in support. The committee did not take a vote in the transcript. Finally, the committee heard House Bill 2493 on wrongful imprisonment compensation procedures. The Attorney General’s office opposed the bill, arguing it would create an automatic payment mechanism without a sufficient finding of actual innocence, could trigger payments within five days of dismissal, and raised concerns about insufficient time for prosecution review and about funding and appropriation issues. Supporters, including people who said they had been wrongfully convicted and later found actually innocent, argued the bill would reduce delays and help released individuals survive while awaiting compensation. Judiciary staff requested technical amendments and said operational details still needed review. Members questioned the AG about the meaning of “actual innocence,” burden shifting, and whether the bill would better define the standard, but no vote or final action was taken.

Transcript Highlights:

• Um, my name is Nicole Hokoana, and I’m the CEO of Maui Behavioral Health Resources, overseeing Aloha
• <00:39:25.080> Behavioral<00:39:25.640> Health<00:39:25.960> Resources Maui Behavioral
• Health Resources Maui Behavioral Health Resources overseeing<00:39:27.840> Aloha<00:39:28.240
• Health in support. Health in support.
• Department of Health. Department of Health.

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.

Bills: HR213, SB2607, SB2043, SB2396, SB2835

Keywords: Hawaiian Council, Council for Native Hawaiian Advancement, Native Hawaiian, Native Hawaiian community, Native Hawaiian advocacy, recognition resolution, ceremonial resolution, nonprofit, community development, economic development, cultural preservation, self-sufficiency, housing counseling, community development financial institution, CDFI, small business accelerator, trades academy, tourism, regenerative tourism, iwi kūpuna

Bills: HR213, SB2607, SB2043, SB2396, SB2835

Keywords: Hawaiian Council, Council for Native Hawaiian Advancement, Native Hawaiian, Native Hawaiian community, Native Hawaiian advocacy, recognition resolution, ceremonial resolution, nonprofit, community development, economic development, cultural preservation, self-sufficiency, housing counseling, community development financial institution, CDFI, small business accelerator, trades academy, tourism, regenerative tourism, iwi kūpuna

Transcript Highlights:

• The Committee on Health Policy will now come to order.
• and residents in health care facilities.
• They're serving as an adjunct for health care.
• Our health plan has a PBM.
• CVS Health is eager to work.

Bills: S0688, S1414, S0186, S0902, S0196, S1574, S0878, S1092, S1032, S1684, S1686, S1760

Keywords: cytomegalovirus, education, maternal health, newborn care, infectious diseases, student health, epilepsy, seizure disorders, school safety, training requirements, medical marijuana, low-THC cannabis, neurofibromatosis, healthcare, state regulations, child care facilities, public safety, grant program, uterine fibroids, health database

Summary: The committee took up several health-related bills and confirmations. It first heard SB 1414 on congenital cytomegalovirus education, which would require the Department of Health to develop and distribute educational materials to expectant and new parents through maternity, prenatal, newborn, and OB-GYN settings; an amendment removed a section on required instruction for medical professionals, and the bill was reported favorably as a committee substitute. The committee then approved a block of appointees on tabs 2 through 7 and separately confirmed Chavon Harris as Secretary of the Agency for Health Care Administration after her testimony on Medicaid accountability, transparency, managed care oversight, rural health, behavioral health, and the state’s technology modernization efforts. Senators asked Harris about Hope Florida, Medicaid redeterminations, the CORE project, an anti-marijuana ad campaign at DCF, and compliance with a federal Medicaid-related court order; she said she would follow up on some issues. The confirmation was recommended favorably, with Senator Berman voting no. The committee next passed SB 186 on student health and safety, which expands epilepsy and seizure-disorder training requirements to more school personnel, including bus drivers and charter school staff, and requires seizure-first-aid posters and updated Department of Health education efforts. It also approved SB 902 on Department of Health issues after amendments narrowed the bill’s scope and added provisions on medical marijuana regulation, early childhood intervention, practitioner accountability, and autism workforce development; one speaker raised concerns about marijuana dispensary location restrictions and low-THC ratios. SB 196 creating a uterine fibroid research database was also reported favorably after an amendment protecting patient privacy; the bill drew emotional testimony from a patient describing severe symptoms and the need for more research. SB 688 on naturopathic medicine was approved after committee discussion about scope of practice, referral obligations, and whether naturopathic care should be adjunctive to conventional medicine; supporters described complementary care and access issues, while opponents worried about delayed treatment for serious disease. Later, the committee passed SB 1574, “Maddie’s Law,” to add biliary atresia screening to newborn screening using the same blood specimen already collected at birth and to launch an education campaign; parents of a child affected by the disease testified that earlier screening could have prevented severe harm. SB 878 on clinical laboratory personnel was reported favorably to address staffing shortages by allowing Florida to rely more directly on federal CLIA standards for qualified lab workers. SB 1092 on podiatric medicine was approved after an amendment narrowed it to cellular/tissue-based products and podiatrists’ use of certain therapies; the bill also addresses continuing education, informed consent, and advertising disclosures. SB 1032 on medical marijuana was amended and passed, aligning physician certification and card renewal timelines, setting 70-day and 35-day supply limits, and reducing the fee for honorably discharged veterans while preserving funding for FAMU; Senator Harrell opposed it, saying the longer timeframes were too much of an expansion. The committee also heard SB 1760 on Medicaid coverage transparency from Senator Brodeur, who said the bill focuses on accountability and fiscal responsibility, but the transcript cuts off before further discussion or action on that measure.

Transcript Highlights:

• resolutions should be accurate, and so this title is requesting the Governor and the Department of Health

Bills: SCR48, SCR28, SCR74, SCR62, SCR60, SCR89, SCR147, SCR179, SCR182, SCR59, SCR54, SCR180

Keywords: affordable housing, housing credits, perpetual credits, development, Hawaii Housing Finance, Vietnam veterans, commemorative medal, recognition, working group, Hawaii, no-bid contracts, emergency procurement, audit, state agencies, public funds, accountability, emergency response, disability access, 911 systems, life-saving measures

Bills: SCR48, SCR28, SCR74, SCR62, SCR60, SCR89, SCR147, SCR179, SCR182, SCR59, SCR54, SCR180

Keywords: affordable housing, housing credits, perpetual credits, development, Hawaii Housing Finance, Vietnam veterans, commemorative medal, recognition, working group, Hawaii, no-bid contracts, emergency procurement, audit, state agencies, public funds, accountability, emergency response, disability access, 911 systems, life-saving measures

Transcript Highlights:

• And that's above the cost that solar projects have gone in recently in Oahu, Maui, and Kauai, but, you
• science shows that the diesel fumes from conventional buses get into the cabs and affect students' health
• So this is very much a student health issue.

Bills: SCR48, SCR28, SCR74, SCR62, SCR60, SCR89, SCR147, SCR179, SCR182, SCR59, SCR54, SCR180

Keywords: affordable housing, housing credits, perpetual credits, development, Hawaii Housing Finance, Vietnam veterans, commemorative medal, recognition, working group, Hawaii, no-bid contracts, emergency procurement, audit, state agencies, public funds, accountability, emergency response, disability access, 911 systems, life-saving measures

Transcript Highlights:

• keeping a registry?
• are you opposed to keeping a registry? are you opposed to keeping a registry?
• That's the whole point of a registry, right? The registry is supposed to be public information.
• This extends to the FQHCs, the community health centers, and rural health clinics, which we strongly
• <01:34:56.720> The for to to make health Hawaii. The for to to make health Hawaii.

Bills: SB2607, SB2031, SB2043, SB2623, SB2876, SB2396, SB2964, SB2089

Keywords: landscape architecture, licensure, educational requirements, examination, professional standards, consumer protection, junk fees, live-event tickets, short-term lodging, transparency, pricing disclosure, deceptive practices, insurance, captives, regulations, policyholders, SB2623, Hawaii pharmacy law, Board of Pharmacy, registered pharmacy technician

Summary: The committee first heard HCR 168 and HR 158, which would create a temporary working group to study utility capacity, coastline infrastructure lifespan, and the costs of needed expansions. Public Utilities Commission staff said the commission was not the right entity to direct all of the work because it lacks authority over many affected agencies. Members discussed whether the study should be limited to a coastal area or broadened to the whole island, and in decision-making the committee amended the measure to focus on the County of Honolulu, correct references to the Public Utilities Commission, and revise the working group membership to include the PUC chair, legislative designees, and directors or designees from DLNR, DOT, HIEMA, and DCCA Consumer Advocacy. The committee then passed both resolutions with amendments; the vote was adopted unanimously, with some members excused. The committee next considered HCR 145 and HR 137, which would convene a working group on climate change impacts on insurance availability and affordability. The Insurance Division stood on its written comments, the Climate Change Mitigation and Adaptation Commission supported the intent, and the Attorney General opposed the measure, warning that a working group could create discoverable materials that might complicate the state’s climate litigation and noting a technical ambiguity in the reference to the Hawaii Hurricane Relief Fund administrator. After questions about discovery and the lawsuit, the committee amended the resolutions to replace the administrator reference with the chair of the Hawaii Hurricane Relief Fund Board of Directors, remove the Attorney General as convener while keeping the office as a member, and have the working group share findings and recommendations with the House CPC and Senate CPN committees instead of issuing a report. The committee passed the measures with amendments, with Rep. Martin voting with reservations. In the later agenda, the committee heard SB 2607, SD 1 on landscape architect licensure. The Board of Professional Engineers, Architects, Surveyors, and Landscape Architects supported the bill, explaining it modernizes licensure requirements to align with national standards and clarifies the profession’s design-focused role. The bill was discussed as distinguishing landscape architecture from groundskeeping and from civil engineering drainage work. No opposition was heard. The committee also heard SB 2031, SD 2 on consumer protection and price transparency for live ticket events and short-term lodging. The Office of Consumer Protection supported the bill, saying it largely mirrors an FTC rule requiring all-in pricing and would give the state enforcement authority and remedies. The Hawaii Financial Services Association opposed the bill as drafted and sought a limited exemption for credit card issuers relying on third-party hotel information, while the Hawaii Hotel Alliance supported the measure but asked for language deeming compliance with the federal rule sufficient for short-term lodging. Committee members questioned whether those proposed exemptions would conflict with federal law or weaken state enforcement, and the discussion focused on preemption, liability, and the value of state remedies such as restitution.

Transcript Highlights:

• The Appropriations Committee on Health and Human Services will now come to order.
• This is a mental health crisis.
• SB 196 is a women's health and public health data bill.
• This is not the way the Health Department should be doing public health.
• It clarifies the Parkinson's Disease Registry.

Bills: S0042, S0196, S0878, S0902, S0914, S1092, S1168, S1340, S1404, S1414, S1684, S1686

Keywords: child protection, medical records, investigation, abuse, neglect, healthcare, Child Protection Team, diagnosis, uterine fibroids, health database, medical research, personal data protection, women's health, clinical laboratory, licensure, healthcare personnel, technologist, technician, medical marijuana, low-THC cannabis

Summary: The Appropriations Committee on Health and Human Services met to hear and vote on a series of health, human services, and education-related bills, along with a presentation of the committee’s proposed HHS budget. The budget was described as increasing by more than $2.1 billion over the current base, with major funding highlighted for Medicaid and KidCare, rural health, provider rate increases, child welfare, mental health and substance use, opioid treatment, Alzheimer’s initiatives, cancer research, ADAP, veterans’ services, and IT modernization. Public testimony on the budget focused heavily on AIDS Drug Assistance Program funding and concerns about Department of Health changes affecting access, premium assistance, notice, and continuity of care for people living with HIV/AIDS. Among the bills reported favorably were measures on podiatric medicine and tissue-based products (SB 1092), background screening and clearinghouse procedures (SB 1168), child protective investigations involving specific medical diagnoses and second opinions (SB 42), clinical laboratory personnel licensure standards (SB 878), uterine fibroid data tracking and research (SB 196), medical marijuana treatment center oversight and related health provisions (SB 902), dyslexia and dyscalculia screening and intervention in schools (SB 1340), memory care licensure for assisted living facilities (SB 1404), congenital CMV education materials (SB 1414), Parkinson’s disease registry and related public records exemption bills (SB 1684 and SB 1686), and occupational therapy dry needling licensure standards (SB 914). Several bills were amended before passage, including SB 1092, SB 42, SB 902, SB 1684, and SB 1404. Testimony generally came from professional associations, advocacy groups, and affected stakeholders, with support voiced for most measures. The committee adopted amendments on the floor, heard no opposition during debate on the bills described, and then voted to report each measure favorably. At the end of the meeting, senators requested to be recorded in the affirmative on selected bills, and the committee adjourned.

Bills: HR202, HB2095, SB2657, SB2138, SB3110, SB3082, SB3109, HB1800

Keywords: Hawaii, Hawaiʻi, house resolution, congratulatory resolution, education, public schools, librarian of the year, middle school principal of the year, school counselor of the year, teacher of the year, library system, blind and print disabled, accessible learning, braille, audio technology, principal, school counselor, agriculture education, culinary arts, student recognition

Transcript Highlights:

• We partner with pediatricians, community health and public health entities, and the Greater Austin YMCA
• And we have the duty to protect the public's health.
• But it also speaks to our current health care system.
• or a public health issue.
• What did the World Health Organization say about ivermectin?

Bills: HB 265, HB25

Keywords: youth camp, safety regulations, advisory committee, child welfare, health standards, summer camp, camp safety, child abuse reporting, child neglect, mandatory reporting, background check, criminal history check, sex offender registry, CPR training, first aid, public health, child protection, camp operator, camp counselor, Health and Safety Code

Transcript Highlights:

• We partner with pediatricians, community health and public health entities, the greater Austin YMCA to
• Neither the FDA The World Health Organization or the National Institutes of Health. have said that this
• You could, I mean, we're the public health committee and we have the duty to protect the public's health
• or a, a public health issue.
• I can just take my health into my own control.

Bills: HB 265, HB25

Keywords: youth camp, safety regulations, advisory committee, child welfare, health standards, summer camp, camp safety, child abuse reporting, child neglect, mandatory reporting, background check, criminal history check, sex offender registry, CPR training, first aid, public health, child protection, camp operator, camp counselor, Health and Safety Code

Transcript Highlights:

• Cher, welcome to Senate Health and Human Services again to the people in the room.
• It ensures that you will have better long-term health outcomes.
• Members, 1794 creates the Oklahoma Behavioral Health Vacancy Registry Act.
• It is a secure, real-time statewide registry showing licensed, staffed, and available behavioral health
• I feel like in public health, a lot of times we take actions and we need more data.

Bills: SB1421, SB1427, SB1484, SB1503, SB1553, SB1557, SB1564, SB1566, SB1567, SB1591, SB1642, SB1794, SB1837, SB2044

Keywords: mental health, nonphysical intervention, training, youth care, conflict resolution, staff training, pediatric screenings, type 1 diabetes, health care providers, parental consent, reimbursement, state funding, public health, medicolegal investigation, medical examiner, coroner, sudden infant death syndrome, SIDS, sudden unexpected infant death, SUID

Bills: SB 384, SB 503, SB 565, SB 616, SB 740

Keywords: hunting license, fishing license, donation, operation game thief fund, wildlife conservation, livestock, electronic registry, marks and brands, Texas Animal Health Commission, animal identification, aquifer, water management, Edwards Aquifer, sustainability, regulatory framework

Bills: SCR96, SCR164, SCR172, SCR166, SCR182, SCR7, SCR59, SCR58, SCR60, SCR89, SCR184, SCR11, HB2296, HB2315, HB2343

Keywords: electric reliability, renewable energy, interconnection, Hawaii Electric Reliability Administrator, Public Utilities Commission, capacity shortfalls, energy policies, critical infrastructure, foreign influence, local control, energy dependence, economic resilience, energy analysis, cost reduction, financial risk, Hawaii PUC, energy self-sufficiency, natural gas, energy transition, ratepayer protection

Bills: SCR96, SCR164, SCR172, SCR166, SCR182, SCR7, SCR59, SCR58, SCR60, SCR89, SCR184, SCR11, HB2296, HB2315, HB2343

Keywords: electric reliability, renewable energy, interconnection, Hawaii Electric Reliability Administrator, Public Utilities Commission, capacity shortfalls, energy policies, critical infrastructure, foreign influence, local control, energy dependence, economic resilience, energy analysis, cost reduction, financial risk, Hawaii PUC, energy self-sufficiency, natural gas, energy transition, ratepayer protection

Bills: SCR96, SCR164, SCR172, SCR166, SCR182, SCR7, SCR59, SCR58, SCR60, SCR89, SCR184, SCR11, HB2296, HB2315, HB2343

Keywords: electric reliability, renewable energy, interconnection, Hawaii Electric Reliability Administrator, Public Utilities Commission, capacity shortfalls, energy policies, critical infrastructure, foreign influence, local control, energy dependence, economic resilience, energy analysis, cost reduction, financial risk, Hawaii PUC, energy self-sufficiency, natural gas, energy transition, ratepayer protection

Bills: SCR96, SCR164, SCR172, SCR166, SCR182, SCR7, SCR59, SCR58, SCR60, SCR89, SCR184, SCR11, HB2296, HB2315, HB2343

Keywords: electric reliability, renewable energy, interconnection, Hawaii Electric Reliability Administrator, Public Utilities Commission, capacity shortfalls, energy policies, critical infrastructure, foreign influence, local control, energy dependence, economic resilience, energy analysis, cost reduction, financial risk, Hawaii PUC, energy self-sufficiency, natural gas, energy transition, ratepayer protection