Transcript Highlights:

• It also requires reimbursement for diabetes prevention programs.
• I was pre-diabetic. My hemoglobin A1C was abnormal. My fasting glucose was abnormal.
• ...of keeping people away from diabetes and obesity.
• Without cardiovascular disease and diabetes, but are recognized as having obesity.
• But the American Diabetes Association is very much in favor of this bill. Calculator.

Bills: HB231, HB231, HB475, HB488, HB632, HB821, HB1786, HB1955, HB2036, HB2060, HB2659, HB2677

Keywords: HB 231, Texas Water Code, TCEQ, permit exemption, dam, reservoir, erosion control, flood control, floodwater control, sediment control, watershed protection, Natural Resources Conservation Service, NRCS, Watershed Protection and Flood Prevention Act, local sponsor, water appropriation, small dam, water diversion, maintenance, rehabilitation

Bills: HB231, HB475, HB488, HB632, HB821, HB1786, HB1955, HB2036, HB2060, HB2659, HB2677, HB231

Keywords: food access, food deserts, communities of color, health disparities, socioeconomic impact, nutritious food, health effects, socioeconomic disparities, legislative recommendations, nutrition, access to food, Medicaid, multisystemic therapy, healthcare, reimbursement, mental health services, education, funding, local control, school system

Transcript Highlights:

• like a type one diabetes only, you said? like a type one diabetes only, you said?
• <00:38:33.840> um So, if someone had type two diabetes um So, if someone had type two diabetes
• Yeah, and this bill is just for diabetes, including gestational diabetes?
• Yeah, and this bill is just for diabetes, including gestational diabetes?
• ,<00:42:23.480> it's type 1 insulin-dependent diabetes, it's type 1 insulin-dependent diabetes

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:

• The ADA's is to prevent and cure diabetes and to improve the lives of all affected by diabetes.
• by diabetes. by diabetes.
• cost-effective in managing diabetes. cost-effective in managing diabetes.
• diabetes diabetes and<00:43:04.880> a<00:43:04.960> volunteer<00:43:05.360> member<
• who have diabetes who have diabetes um<00:53:22.280> I<00:53:22.320> should<00:53:

Bills: HF1606, HF3733, HF743, HF2627, HF4071

Keywords: nudification technology, image rights, privacy protection, sexual exploitation, cybersecurity, recreational camping, utility fees, electricity charges, consumer protection, energy policy, health insurance, insulin, step therapy, diabetes, patient care, prescription drugs, pet shops, animal welfare, dog sales, cat sales

Bills: SB186, SB212, HB566, SB186, SB212

Keywords: internet filtering, child protection, obscene content, civil liability, manufacturers, real estate, licensing, brokerage agreements, team structure, penalties, consumer protection, residential construction, architect approval, building regulations, engineering, single family homes, invisible disability, distinctive license plate, specialty plate, motor vehicle registration

Transcript Highlights:

• "Kenzie has a severe developmental disability and also type 1 diabetes.
• It addresses a specific interaction: developmental disability and type 1 diabetes.
• Um, she's 100% insulin diabetes.
• She's also type 1 diabetic. Like Kenzie, Lexi is on a DD waiver. Developmentally, she's about 10.
• So, like Kenzie, she does not have the ability to manage her diabetes entirely on her own.

Bills: HF2216, HF1978, HF2354, HF1963, HF1994, HF1995, HF1894

Keywords: assisted living, nursing home, long-term care, guardian, conservator, resident rights, arbitration, mandatory arbitration, consumer protection, fee increase, rate increase, price hike, private pay, public funds, Medicaid, waiver services, elderly, seniors, older adults, disability rights

Bills: SB 397, SB 481, SB 596, SB 760, SB 855, SB 1195, SB 1196, SB 1233, SB 1257, SB 1318, SB 1368, SB 1388, SB 1398, SB 1524, SB 1558, SB 1589, SB 1677, SB 1792, SB 2034

Keywords: data privacy, consumer rights, technology, business regulation, cybersecurity, emergency preparedness, nursing facilities, assisted living, resident safety, power outage, voting by mail, legal guardian, electoral process, foster care, medical consent, out-of-network, healthcare access, Medicaid, child protection, expungement

Bills: HF1918, HF2305, HF897, HF2191, HF2617, HF2551, HF2137

Keywords: HF1918, Department of Children Youth and Families, DCYF, child welfare, foster care, out-of-home placement, permanency planning, relative search, noncustodial parent, kinship care, family preservation, African American Child and Family Well-Being, racial disproportionality, maltreatment reporting, educational neglect, truancy, school attendance, Great Start compensation, child care provider payments, TEACH early childhood program

Bills: SB2024, SB227, SB268, SB1467, SB1580, HB5537, SB1313, SB1677, SB918, SB331, SB2207, SB2721

Keywords: e-cigarettes, marketing prohibition, youth protection, criminal penalties, public health, school funding, education reform, state budget, property taxes, equity in education, health care, licensing, complaint procedure, disciplinary action, law enforcement, death records, vital statistics, healthcare, trauma facility, Medicaid

Transcript Highlights:

• It requires a study of the... ...of diabetic amputation and trying to address that issue in the state
• The rate of diabetes has not decreased; it has increased, and the costs are swelling as we speak.
• I was the chief of podiatry at UT San Antonio, the Texas Diabetes Institute.
• I chaired the Diabetes Council, which put me on the council in '95, and I matured in 2000, so I've...
• the University, which is the Texas Wound and Risk Systems, the clinical pathway for treating the diabetic

Bills: SB2024, SB227, SB268, SB1467, SB1580, HB5537, SB1313, SB1677, SB918, SB331, SB2207, SB2721

Keywords: e-cigarettes, marketing prohibition, youth protection, criminal penalties, public health, school funding, education reform, state budget, property taxes, equity in education, health care, licensing, complaint procedure, disciplinary action, law enforcement, death records, vital statistics, healthcare, trauma facility, Medicaid

Bills: HB414, HB786, HB1041, HB1052, HB1118, HB1139, HB1182, HB1185, HB1214, HB1217, HB1231, SR63, SCR27, SB5, SB194, SB415, SB433, SB451, SB462, SB516

Keywords: healthcare, criminal convictions, employment, background checks, prohibited offenses, Medicaid, claim payments, extrapolation, provider audits, medical freedom, discrimination, access, medical intervention, child protection, confidentiality, multidisciplinary teams, child advocacy centers, public records, investigations, hospital

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.

Bills: HR204, SB2925, SB2798, SB2320, SB2800, SB1230, SB2706, SB3233, SB2405, SB3320, SB2543, SB3097, SB3096, SB3140, SB2593, SB2567, SB2466, SB2140, SB2088, SB3090, SB608, SB2795, SB3294, SB3263, SB3001, SB2907, SB3251, SB2074, SB2360, SB2354, SB2908, SB2353, SB3045, SB2047, SB3254, SB3246, SB3133, SB2425, SB2671, SB3229, SB2969, SB1166, SB896, SB2391, SB2125, SB3118, SB3325, SB2613, SB2614, SB494, SB2376, SB3326, SB2001, SB2599, SB3048, SB3169, SB2002, SB3247, SB3253, SB2155, SB2192, SB3187, SB2190, SB2398, SB2424, SB3028, SB2338, SB3219, SB2981, HCR14

Keywords: H.R. 204, House Resolution, Hawaii LifeSmarts, LifeSmarts State Competition, student competition, academic recognition, congratulatory resolution, Iolani School, Kalani High School, Waipahu High School, personal finance, consumer rights, health and safety, technology education, environmental education, National Consumers League, Department of Commerce and Consumer Affairs, Hawaii Credit Union League, youth achievement, high school teams

Bills: HR204, SB2925, SB2798, SB2320, SB2800, SB1230, SB2706, SB3233, SB2405, SB3320, SB2543, SB3097, SB3096, SB3140, SB2593, SB2567, SB2466, SB2140, SB2088, SB3090, SB608, SB2795, SB3294, SB3263, SB3001, SB2907, SB3251, SB2074, SB2360, SB2354, SB2908, SB2353, SB3045, SB2047, SB3254, SB3246, SB3133, SB2425, SB2671, SB3229, SB2969, SB1166, SB896, SB2391, SB2125, SB3118, SB3325, SB2613, SB2614, SB494, SB2376, SB3326, SB2001, SB2599, SB3048, SB3169, SB2002, SB3247, SB3253, SB2155, SB2192, SB3187, SB2190, SB2398, SB2424, SB3028, SB2338, SB3219, SB2981, HCR14

Keywords: H.R. 204, House Resolution, Hawaii LifeSmarts, LifeSmarts State Competition, student competition, academic recognition, congratulatory resolution, Iolani School, Kalani High School, Waipahu High School, personal finance, consumer rights, health and safety, technology education, environmental education, National Consumers League, Department of Commerce and Consumer Affairs, Hawaii Credit Union League, youth achievement, high school teams

Transcript Highlights:

• This bill just says that gestational diabetes continuous glucose monitoring will be covered.
• We just want to make sure that women who have gestational diabetes have access to that.
• We just want to make sure that women who have gestational diabetes have access to that continuous care

Bills: HB165, HB175, HB198, HB272, HB457, HB488, HB566, HB603, HB763, HB902, HB909, HB971, HB981, HB1066, HB1125, HB1154, HB1231

Keywords: HB165, lottery proceeds, Lottery Proceeds Fund, Veterans Service Grant Fund, constitutional amendment, veterans, military veterans, veterans' benefits, veterans services, family support, state lottery, education funding, Minimum Foundation Program, problem gambling, compulsive gaming, state treasurer, ballot proposition, constitutional referendum, lottery revenue, Louisiana resident veterans

Transcript Highlights:

• After conversations with the diabetes caucus, there were a couple of recommendations that came out.
• ketoacidosis by preventing diabetic ketoacidosis.
• And some of those and the rate the incidence of type one diabetes right now in children is low enough
• It offers free screenings for type one diabetes and celiac disease to children aged 1 through 17 and
• And I mean, 86% of patients that are diagnosed with type one diabetes have no family history.

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

Transcript Highlights:

• Complications from diabetes account for many of these amputations, and in fact, the American Diabetes
• This lack of access causes diabetes to go untreated.
• ... ...the father of diabetic foot care in the nation.
• Of course, type one diabetes is very different.
• Harkless is the father of diabetic foot care in the nation.

Bills: SB397, SB481, SB596, SB760, SB855, SB1195, SB1196, SB1233, SB1257, SB1318, SB1368, SB1388, SB1398, SB1524, SB1558, SB1589, SB1677, SB1792, SB2034

Keywords: SB 397, telemedicine, telehealth, teledentistry, remote care, virtual care, consent documentation, patient consent, data collection, data sharing, audio-only telehealth, in-person examination, irreversible medical procedure, health professional regulation, Occupations Code, Texas Health and Human Services, medical records, provider compliance, data privacy, consumer rights

Transcript Highlights:

• houses, just to be able to afford things like the removal of breast implants or pay for PCOS and pre-diabetes

Bills: SB397, SB481, SB596, SB760, SB855, SB1195, SB1196, SB1233, SB1257, SB1318, SB1368, SB1388, SB1398, SB1524, SB1558, SB1589, SB1677, SB1792, SB2034

Keywords: SB 397, telemedicine, telehealth, teledentistry, remote care, virtual care, consent documentation, patient consent, data collection, data sharing, audio-only telehealth, in-person examination, irreversible medical procedure, health professional regulation, Occupations Code, Texas Health and Human Services, medical records, provider compliance, data privacy, consumer rights

Transcript Highlights:

• The last part of it: why is type 2 diabetes not included? Well, type 2 diabetes is included.
• Very few children develop type 2 diabetes, and they're called maturity-onset diabetes of the young.
• nationally according to the CDC diabetes nationally according to the CDC diabetes statistics<00:
• 2 diabetes in teenagers.
• with the Diabetes Link.

Keywords: 1191, senate, all

Transcript Highlights:

• It should be about a series of things, so I object to this being only about diabetes.
• You know, I made a comment that I would like type 2 diabetes added to it, but I think if I really want
• <00:02:44.440> and information about type 1 diabetes and information about type 1 diabetes
• Now, type 1 diabetes is totally different etiology from type 2 diabetes, uh, and it happens, and the
• acknowledge when when type one diabetes acknowledge when when type one diabetes might<00:07:42.479

Keywords: 1191, senate, all

Summary: The committee discussed a bill directing the Department of Education to develop or identify informational materials about type 1 diabetes and make them available to school districts and on school websites. One member objected that the bill was too narrow and effectively created a policy focused on one disease, arguing that other illnesses also deserve attention and that parents can obtain such information from physicians and health centers. Others responded that type 1 diabetes was chosen because it can be hard to detect, can progress quickly, and early warning signs in children may be missed by school staff and parents. Supporters emphasized testimony from young people and families about the importance of early detection, noting that type 1 diabetes is different from type 2 and can lead to serious complications if not recognized quickly. Several members said the bill would help teachers, nurses, and parents identify symptoms and seek prompt medical care, and that adding every disease would overcrowd the materials. One senator said the bill was a prevention measure and that similar treatment could be considered for other illnesses in the future if they met the same criteria. The committee then voted on the bill and advanced it on a 4-1 vote. Afterward, there was brief procedural discussion about whether to place another item on consent and whether to move out of executive session, but no additional substantive action was taken.