Bills: HB441

Keywords: speech-language pathology, licensure, clinical supervision, educational qualifications, healthcare assistant, sessions, 2025-R, 1, 219

Transcript Highlights:

• So those have to be under the supervision, I'm assuming, of a clinical speech-language pathologist.
• How many students can they supervise to do those clinical hours? I don't know. I don't know.
• The speech and language pathologist would not supervise... language pathologist would not supervise more
• We will partner with clinical agencies who can provide supervision to... agencies who can provide supervision
• to a clinical student.

Bills: HB441, SB274

Keywords: speech-language pathology, licensure, clinical supervision, educational qualifications, healthcare assistant, makeup application, blow-dry styling, cosmetology, licensing, regulation exemption, 1136, house, all

Bills: HB441, HB425, HB416

Keywords: speech-language pathology, licensure, clinical supervision, educational qualifications, healthcare assistant, mental health, regional authority, board of directors, local governance, public health, sudden cardiac arrest, automated external defibrillator, AED, school safety, emergency response, cardiac emergency response plan, training, athletic events, first aid, 923

Bills: HB441, HB425, HB416

Keywords: speech-language pathology, licensure, clinical supervision, educational qualifications, healthcare assistant, mental health, regional authority, board of directors, local governance, public health, sudden cardiac arrest, automated external defibrillator, AED, school safety, emergency response, cardiac emergency response plan, training, athletic events, first aid, sessions

Transcript Highlights:

• was that if a smoke evacuation system had to be used even for those few seconds, it might not be clinically
• was that if a smoke evacuation system had to be used even for those few seconds, it might not be clinically
• to use a smoke evacuation system even for those few seconds of use of cautery, it might not be clinically
• Clinically, we know that early and frequent cannabis use can impair memory, learning, motivation, as
• H3RC has APRNs on staff in our Kaka‘ako Clinic who serve members of our island’s trans community.

Bills: SB2211, SB2025, SB2038, SB2050, SB2051, SB2090

Keywords: emergency funding, food assistance, healthcare, federal shutdown, Hawaii, DHS, jury duty, advanced practice registered nurses, physician assistants, exemption, patient care, financial hardship, medication abortion, anonymous prescription, pregnancy rights, healthcare privacy, pharmacy regulations, chiropractic education, clinical training, student supervision

Summary: The House Committee on Health held its first hearing of the session and opened with housekeeping notes, introductions of members, and an explanation that the agenda would be taken out of order to accommodate a sign language interpreter. The committee first heard HB 469, relating to parking for disabled persons. Testimony from the Disability and Communications Access Board and the State Council on Developmental Disabilities supported the bill, explaining that a travel placard would help people with disabilities who must travel interisland or to the mainland for medical care. Members asked about emergency travel, misuse prevention, and how to distinguish the travel placard from existing disabled parking placards; witnesses said the bill would need to be tied to administrative rules, and agreed the placard should clearly show an expiration date and likely be a different color. No vote was taken. The committee then heard HB 218, relating to hospital surgical smoke. The Department of Health supported the measure, and the Healthcare Association of Hawaii supported it with amendments, saying hospitals already follow existing standards but that any new policy should account for different procedures and provider safety. A committee member questioned the proposed amendment language and whether it was too flexible; the witness explained the intent was to allow case-by-case application because some procedures generate only brief exposure. Members also asked what surgical smoke is, and the witness explained it is produced when electrical or cauterizing tools are used on tissue and creates vapor or fumes. The bill remained under discussion with no final action reported. The committee next took up HB 814, which would fund a public information campaign and related services on cannabis use among youth. The Department of the Attorney General said the bill should be amended to clarify whether the funding would be used for contracts or grants and to include proper grant standards if grants are intended. The Department of Health supported the bill and said the funds would expand prevention, treatment, recovery, and public education efforts, including social media outreach, PSAs, and school-based youth services. Multiple organizations and individuals testified in support, emphasizing the harms of youth cannabis use and the need for prevention and treatment resources. Members asked what the department currently does, whether it is fulfilling existing law on science-based cannabis information, and what kinds of treatment would be provided; the department said services would mainly be intensive outpatient, outpatient, counseling, and related youth-focused supports. No vote was taken during the hearing.

Transcript Highlights:

• We provide gender-affirming care in our Kaka'ako clinic.
• I'm a pediatrician on Oahu and I take care of LGBT LGBTQ youth. clinic.
• We also have a long-standing uh clinic.

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.

Transcript Highlights:

• <00:31:18.080> as treat individuals in the clinics as treat individuals in the clinics as
• updates student supervision from on-site to<00:47:19.440> direct<00:47:19.839> supervision<
• keep the doors open and the clinic keep the doors open and the clinic closed<01:14:28.400> in
• , clinical program education, clinical program accreditation,<01:15:40.800> and<01:15:41.040><
• It allows NPs to supervise NPs.

Bills: HF3521, HF3563, HF82, HF2689, HF1794, HF3544, HF3516, HF1752

Keywords: hospital moratorium, hospital construction, bed capacity, hospital expansion, health care facilities, hospital licensing, safety-net hospital, level I trauma center, Ramsey County, Minnesota health law, hospital beds, new hospital exception, certificate of need, inpatient capacity, emergency care, trauma services, health system regulation, state moratorium, hospital modernization, health infrastructure

Bills: HB445, HB477, SB274, HB441

Keywords: hemp-derived cannabinoids, CBD, THC, delta-8, delta-9, delta-10, consumable hemp products, psychoactive cannabinoids, cannabinoid regulation, hemp licensing, ABC Board, Alcoholic Beverage Control Board, retail hemp sales, wholesale hemp distribution, hemp tax, excise tax, age verification, underage sales, product testing, certificate of analysis

Bills: HB611, HB897, HB902, HB931, HB1030, HB1092, HB1100, HB1118, HB1138, HB1143, HB1160, HB1185, HB1216

Keywords: pregnancy help centers, healthcare services, licensure, Department of Health, medical services, counseling, regulatory compliance, public health, healthcare data, privacy, pregnancy services, confidentiality, client rights, Louisiana Pregnancy and Baby Care Initiative, trauma-informed, child education, mental health, training program, adverse childhood events, religious instruction

Transcript Highlights:

• Even if someone is able to earn supervision abatement status and move to inactive supervision, their
• statewide probation and supervised statewide probation and supervised released<00:30:41.200>
• Even if someone is able to earn supervision abatement status and move to inactive supervision, their
• <00:32:33.120> uh<00:32:33.200> supervision<00:32:33.600> abatement supervision
• uh supervision abatement supervision uh supervision abatement decisions.<00:32:35.200> At<00:32

Bills: HF2358, HF3496, HF3504, HF2169, HF3440

Keywords: public safety, coercion, criminal penalties, law enforcement, victim protection, HF3496, supervision abatement, earned compliance credit, earned compliance credits, conditional release, supervised release, corrections, Minnesota Department of Corrections, restitution, willful nonpayment, probation-like supervision, release supervision, community supervision, lifetime conditional release, early termination of supervision

Transcript Highlights:

• Under current law, the assistants must work under the direction and supervision of a speech language
• more than... ...pathologist not supervise more than one assistant at a time?
• Will these assistants be supervised by an SLP? Will the assistants be supervised by an SLP?
• ... pathologists, then they can supervise these assistants in his system and make that work.
• Yeah, and are the SLPs required to supervise these people?

Bills: HB441, HB445, HB477, HB441, HB445

Keywords: speech-language pathology, licensure, clinical supervision, educational qualifications, healthcare assistant, hemp-derived cannabinoids, CBD, THC, delta-8, delta-9, delta-10, consumable hemp products, psychoactive cannabinoids, cannabinoid regulation, hemp licensing, ABC Board, Alcoholic Beverage Control Board, retail hemp sales, wholesale hemp distribution, hemp tax

Bills: HF1667, HF2526, HF68

Keywords: correctional fees, supervision fees, probation, Department of Corrections, criminal justice funding, electronic home monitoring, drug testing, restitution collection, community service work, postprison supervision, court-ordered services, fee sunset, fee phaseout, offender fees, community corrections, supervised individuals, 1183, house

Transcript Highlights:

• rather than direct supervision of a radiologist.
• hours, and physician supervision requirements.
• rather than direct supervision of a radiologist.
• hours, and physician supervision requirements.
• Not everyone can be in a clinical trial.

Bills: HB2050, HB2082, HB2176, HB2195, HB2202, HB2307, HB2584

Keywords: radiologic technologist, radiologist assistant, radiology, imaging, x-ray, diagnostic x-ray, fluoroscopy, mammography, computed tomography, CT technologist, nuclear medicine technologist, bone densitometry, radiation safety, radiation licensing, scope of practice, health workforce, rural health care, critical access hospital, supervision, telehealth

Summary: The committee approved the minutes and then heard House Bill 2050, which updates Department of Health Services rules for radiologic technologists and radiologic assistants. The bill changes school accreditation and training requirements, reduces clinical hours, revises supervision and scope-of-practice rules, adjusts fees, and removes radiologic technologists from the telehealth health care provider definition. Testimony from a radiologic technologist supported the bill as an update to outdated standards and a response to workforce shortages, while a nurse practitioner supported the section allowing NPs to use diagnostic x-ray machines under nursing board standards. HB 2050 passed 7-0 with a do-pass recommendation. The committee then considered House Bill 2082, which creates a Childhood Cancer and Rare Childhood Disease Research Commission and expands the research fund to include appropriations, gifts, donations, and federal grants. An amendment shifted grant-awarding authority to the DHS director, required the commission to set criteria and review applications, and added public meeting requirements; it also tied funding to at least $5 million in available resources and removed the return-on-investment reporting requirement. Supporters said the bill would strengthen pediatric cancer research and leverage an underused funding source, though members raised concerns about oversight. The bill was amended and then passed 7-0. House Bill 2176 and House Bill 2195 both dealt with DHS licensing and complaint-investigation procedures for health care institutions and nursing care institutions. HB 2176 allows DHS to deny licenses or ownership changes based on serious prior licensing problems or safety risks, and it sets notice, investigation, and deficiency-statement rules; speakers from public health and hospital groups supported it as improving transparency and preventing bad actors from cycling through ownership. HB 2195 limits DHS access to certain personnel records, requires deficiency statements within 10 business days, and bars investigations of incidents older than 12 months; an amendment delayed implementation to July 1, 2027 and added corrective-plan and off-site review provisions. Both bills passed 7-0 as amended. The committee also approved House Bill 2202, which appropriates $300,000 annually for a dementia care tele-mentoring program to train providers statewide, especially in rural and underserved areas. The Alzheimer’s Association and a patient with younger-onset Alzheimer’s testified that the program would improve early diagnosis and care, though one senator opposed state funding on the view that medical schools should teach the material. HB 2202 passed 6-1. Finally, House Bill 2307, addressing placement for dangerous, incompetent, non-restorable defendants when secure state hospital beds are unavailable, drew the most debate. An amendment replaced out-of-state placement with a temporary, limited-use solution involving up to three beds at the Arizona State Hospital forensic campus, created a study committee, and shifted some non-psychiatric costs to counties; counties and hospital stakeholders opposed the county-cost language, while sponsors and DHS said the measure was an emergency stopgap. The amended bill passed 4-3. The committee then passed House Bill 2584 4-3, which prohibits public funds from being used for genetic sequencing equipment from foreign adversary countries or entities; supporters framed it as a national security measure, and opponents voted no. The committee then adjourned.

Transcript Highlights:

• Members, the budget process for the Community Supervision and Corrections Department Include in-depth
• To ensure local community supervision and correction departments are not overlooked, Senate Bill 663
• Senate bill 663 addresses an area of community supervision administration that has long needed clarity
• So it was used not just for supervision. but for investigation of new crimes.
• It clarifies the supervision responsibilities for Max, including the removals of attorneys. As Mr.

Bills: SB330, SB663, SB1020, SB1152, SB1164, SB1896, SB2111, SB2196, SB2383, SB2581, SB2797, SB2798, SB2371

Keywords: county funding, prosecutors' offices, elections, law enforcement, local government, community supervision, budget approval, corrections department, strategic plan, judicial oversight, SB 1020, Texas, personal bond office, pretrial release, electronic monitoring, GPS monitoring, global positioning system, bond conditions, probation, parole

Transcript Highlights:

• To ensure local community supervision and corrections departments are not overlooked, Senate Bill 663
• Senate Bill 663 addresses an area of community supervision administration that has long needed clarity
• Senate Bill 1020 clarifies the information-sharing process for personal bond and supervision officers
• So it was used not just for supervision, but for investigation of new crimes.
• It clarifies the supervision responsibilities from MACs, including the removals of attorneys, as Mr.

Bills: SB330, SB663, SB1020, SB1152, SB1164, SB1896, SB2111, SB2196, SB2383, SB2581, SB2797, SB2798, SB2371

Keywords: county funding, prosecutors' offices, elections, law enforcement, local government, community supervision, budget approval, corrections department, strategic plan, judicial oversight, SB 1020, Texas, personal bond office, pretrial release, electronic monitoring, GPS monitoring, global positioning system, bond conditions, probation, parole

Summary: The committee heard several criminal justice bills, with testimony largely focused on public safety, court procedures, and local criminal justice administration. SB 2371 would expand mandatory skimmer-reporting requirements from gas pumps to ATMs, point-of-sale systems, and virtual currency kiosks, with the Texas Financial Crimes Intelligence Center saying centralized reporting would improve investigations, preserve evidence, and help identify organized criminal groups. SB 2581 would repeal a special law governing commissary funds in certain large counties; the sponsor and the Sheriff’s Association said it would restore parity with other counties while keeping spending subject to audit and inmate-benefit limits. Both bills were laid out and left pending after testimony, with no public witnesses opposing them at the hearing. The committee also heard SB 330, which would require voter approval before counties over a certain size reduce prosecutor funding, similar to an existing law for law enforcement budgets. Supporters argued prosecutors are essential to public safety and need stable funding, while an opponent from the Texas Civil Rights Project said the bill would restrict local budget flexibility and impose costly elections. SB 663 would remove district judges’ approval role for community supervision and corrections department budgets, replacing it with judge review after TDCJ-CJAD approval; probation officials said the change would reduce delays and confusion without reducing judicial oversight. SB 1020 would require more immediate sharing of ankle-monitor violation information and clarify that such records are not judicial work product; the Harris County DA’s office and Crime Stoppers supported it, citing inconsistent local practices and delays that can hinder prosecutions. The committee then took up SB 1164 on emergency detention and court-ordered mental health services. The bill, from the Texas Judicial Commission on Mental Health, would update emergency detention forms, clarify officer duties, allow filings in the county where a person is apprehended or located, and add a factor related to a person’s inability to recognize symptoms or appreciate treatment risks. Supporters included family members, law enforcement, and mental health and judicial witnesses who described cases where earlier intervention might have prevented tragedy; opponents warned the broader language could be misused and emphasized due process and the need for dangerousness to remain the standard. SB 2111 on indigent defense would expand access to counsel at first hearings, strengthen managed assigned counsel programs, create internships and fellowships, and adjust other defense-related procedures; the Texas Indigent Defense Commission and county defense program leaders supported it, while the committee substitute removed some provisions to reduce fiscal impact. Finally, SB 2383 would let recently retired DPS officers return to work in limited roles to help address staffing shortages, and SB 2797 would create reciprocal discovery requirements for criminal cases; prosecutors and some committee members said it would reduce trial surprise and improve truth-seeking, while others questioned whether the bill fully matched the state’s disclosure obligations and whether it could burden defense rights. Several bills were left pending after testimony, and the committee established a quorum later in the hearing.

Bills: HF4371, HF4317, HF2817, HF3496, HF4151, HF3826, HF4425, HF3990

Keywords: HF4371, Minnesota background checks, Bureau of Criminal Apprehension, BCA, Office of the Legislative Auditor, Legislative Auditor, criminal history records, national criminal history record information, public safety, statutory amendment, section 299C.76, requesting agency, state audit, oversight, background screening, criminal records, county agencies, MNsure, Department of Revenue, Department of Human Services

Transcript Highlights:

• By changing eligibility for community supervision and parole.
• The person is on community supervision, what we call probation, if it's a term and condition.
• probation, and it's appropriate, it's not automatic, but if it's appropriate, we can require intensive supervision

Bills: HB1482, HB2017, HB2103, HB2341, HB2756

Keywords: community supervision, repeat offenders, intoxication, Texas Penal Code, criminal justice reform, intoxication manslaughter, criminal penalties, mandatory supervision, parole eligibility, Grayson's Law, mental health, trauma, jailers, law enforcement, occupational health, diligent participation, state jail felony, time credits, rehabilitation programs, de-escalation

Transcript Highlights:

• HB 1482 would change the eligibility for community supervision for certain repeat intoxication offenders
• that offenders with multiple intoxication-related convictions are no longer eligible for community supervision
• about not repeat offenders facing stricter conditions regarding their eligibility for community supervision

Bills: HB1482, HB2017, HB2103, HB2341, HB2756

Keywords: community supervision, repeat offenders, intoxication, Texas Penal Code, criminal justice reform, intoxication manslaughter, criminal penalties, mandatory supervision, parole eligibility, Grayson's Law, mental health, trauma, jailers, law enforcement, occupational health, diligent participation, state jail felony, time credits, rehabilitation programs, de-escalation

Transcript Highlights:

• for both state and federal stablecoin issuers. to operate on a level playing field under robust supervision
• to submit an annual report to Congress detailing regulations. regulatory adjustments, and bank supervision
• In contrast, this bill completely writes reputational risk out of the supervision, and enforcement.
• The FIRM Act does not. any way curtail regulators or law enforcement's ability to supervise for or penalize
• amendment. to oppose this amendment, the FIRM Act is a narrowly crafted bill dealing with bank supervision

Bills: SB875

Keywords: banking regulation, federal agencies, reputational risk, financial services, supervision, FIRM Act, bank supervision, depository institutions, federal banking agencies, FDIC, OCC, Federal Reserve, NCUA, CFPB, credit unions, Operation Choke Point, financial discrimination, safety and soundness, supervisory guidance, examination manual

Summary: This meeting focused on the markup of the Genius Act and the FIRM Act, two significant pieces of legislation addressing stablecoin regulation and the financial industry's regulatory framework. The Chairman noted the importance of providing clarity to the digital asset community and protecting American consumers, while also promoting innovation and competition within the financial sector. Members of both parties expressed varying viewpoints, with some highlighting concerns related to national security and the potential risks associated with stablecoins.

Transcript Highlights:

• guidelines support, prior than clinical guidelines support, prior authorization<00:13:21.720> with
• At the beginning of the and clinic.
• The zip codes that are represented by the patients that our clinic has served.
• As well as<01:20:26.840> individual<01:20:27.560> clinics, as individual clinics, as individual
• Thank you. >> My concern is the closing of those 30 clinics. Mhm.

Bills: HF4712, HF4801, HF3756, HF4860, HF4931, HF4289, HF4460

Keywords: residential pools, swimming classes, certification, private business, health safety, health care, prior authorization, managed care, medical assistance, mental health, substance use treatment, chronic conditions, health insurance, insulin, healthcare access, pharmacy regulations, patient assistance, affordable medication, healthcare, pharmacy

Summary: The committee met at 1:00 p.m., confirmed a quorum, and approved the April 8, 2026 minutes. The first bill heard was House File 4712, which was laid over after the committee adopted a DE2 amendment. Representative Schultz said the bill would create a narrow additional exception to public pool limitations so highly certified swimming instructors could use certain pools for specialized infant, youth, and developmental-disability swim instruction. The only testifier, Tessa Seppelt, described ISR instruction as water-safety and drowning-prevention training for very young children and children with developmental delays, and said access to appropriate facilities is the main barrier. Members raised questions about emergency egress, public safety, and insurance coverage, and the author said he would follow up on those concerns. The committee then took up House File 4801, a bill by Representative Nadeau aimed at health care program integrity. He said it would align commercial and Medicaid partners to reduce waste, fraud, and abuse by changing prior authorization and retrospective review processes, improving data sharing on suspected fraud, addressing conflicting or duplicative services, allowing managed care organizations to verify provider credentials, and making risk corridors in MCO contracts permanent. The Minnesota Council of Health Plans supported the bill, saying it would help detect fraud and improve coordination, while the Minnesota chapter of the American Academy of Pediatrics opposed it, arguing that expanded prior authorization would delay care, increase physician burden, and harm children with chronic conditions. Members debated patient safety, fraud detection, and whether the bill would undermine recent prior-authorization reforms. The bill was laid over. House File 3756, a technical update to the insulin safety net program, was also laid over. Representative Backer said the bill clarifies that a hospital-use intravenous insulin product is not part of the program because it is sold only to health care institutions and infused by practitioners, not dispensed to patients for self-use. The Board of Pharmacy testified that the language was drafted to avoid affecting future legitimate uses, and members asked whether the definition could limit new uses if treatments change. The committee then began House File 4860, but the transcript cuts off before the bill’s presentation is completed.