Transcript Highlights:

• Classification to include the intentional use of directed communication, whether verbally, written, or
• Members, are you referring to the section about the definition of directed communication, or the applicability
• This bill would include directed communication, online chat rooms, verbal or written electronic communications
• communication that would give rise to the crime in this bill, but that directed communication was not
• in the... ...to the crime in this bill, but that directed communication was not in the form of advice

Bills: HB2665, HB2904, HB2917

Keywords: manslaughter, suicide encouragement, assisted suicide, online harassment, social media, text messaging, directed communication, minor suicide, youth suicide prevention, criminal liability for speech, online bullying, free speech, homicide, class 2 felony, Cade's Law, Arizona criminal law, sovereignty, border security, health crisis, drug cartels

Summary: The House Committee on Public Safety and Law Enforcement heard three bills. HB 2665, named Cade’s Law, would expand Arizona’s manslaughter statute to cover intentionally directed communications—verbal, written, or electronic—that encourage a minor to die by suicide, while excluding general public commentary and non-directed discussion of suicide or mental health. The sponsor and several parents and suicide-prevention advocates testified in support, emphasizing teen suicide risks and the need to address online communication. Some members raised concerns about ambiguity, peer-to-peer counseling, and whether minors could be swept into the statute. After a verbal amendment clarifying the communication language, the bill passed 10-4 with several members voting present due to drafting concerns. HB 2904 declared fentanyl trafficking across the Arizona-Mexico border a public health crisis and directed state health officials to act within their authority. The sponsor argued the bill was needed to combat cartels and protect Arizona from fentanyl-related deaths. The ACLU of Arizona opposed it, saying the bill used vague and unprecedented terms such as “unlawful invasion,” could sweep in asylum seekers or low-level drug offenders, and might affect bail and sentencing. After a contentious debate over border security, sovereignty, and the bill’s definitions, the committee gave HB 2904 a do pass recommendation by an 8-6 vote. HB 2917 would create a firefighter cancer registry at the Department of Health Services to collect and analyze data on cancer among Arizona firefighters. Firefighter representatives supported the measure as a way to better understand occupational exposure and improve prevention, but members questioned whether the bill’s reporting requirements were truly voluntary, since the draft appeared to require participation and provider reporting of medical information. The sponsor and supporters said the intent was not to mandate disclosure and were open to amendments to clarify consent and privacy. The committee approved the bill 12-1, with one present vote and one absence, while noting that cleanup amendments would be needed before floor consideration.

Transcript Highlights:

• <00:12:48.639> The community based services waiver. The community based services waiver.
• example, Kentucky has a community example, Kentucky has a community engagement<00:19:07.039>
• >> So our 11:15 waiver for community >> So our 11:15 waiver for community engagement
• any community uh engagement activities. any community uh engagement activities.
• Medicaid state directed payment program. Medicaid state directed payment program.

Keywords: 00:00:22 - Call to Order and Roll Call 00:03:00 – Approval of June 25, 2025 Minutes 00:03:22 - Update on Federal Changes to the Medicaid Program 01:03:44 - State Directed Payments, Provider Taxes, and the Rural Health Transformation Fund: How Medicaid Changes Could Impact Kentucky Hospitals 01:29:42 – Public Comments 01:45:25 – Announcements 01:46:19 - Adjournment, 958, all

Summary: The Medicaid Oversight and Advisory Board met on July 30, 2025, approved the June 25 minutes, and received a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid provisions in H.R. 1. The presentation outlined more than 20 Medicaid-related provisions, emphasizing that the largest federal savings come from work/community engagement requirements, changes to provider taxes, limits on state-directed payments, more frequent eligibility redeterminations for expansion populations, and related eligibility/enrollment changes. She said the fiscal effects are backloaded, with most reductions occurring in the later years of the 10-year window, and noted potential significant impacts on hospital payments and state financing. She also described new funding opportunities, including a $50 billion rural health transformation fund and a new home and community-based services waiver with associated grants. A substantial portion of the discussion focused on Kentucky’s pending community engagement 1115 waiver and how it would interact with the new federal requirements. Board members asked whether the waiver had been approved, what the cabinet’s contingency plan would be if CMS does not approve it, and what the timeline is for compliance. Cabinet representatives said the waiver has not yet been approved by CMS, remains under public comment, and that the state will wait for CMS guidance before moving forward; if needed, the state would amend the waiver or submit a new one. They said the work requirement must be in place by January 1, 2027, with a possible extension to 2028. Castanza also explained that expansion adults with incomes between 100% and 138% of the federal poverty level would face new cost-sharing requirements beginning October 1, 2028, and that eligibility redeterminations would move from annual to every six months starting January 1, 2027. She then walked through provider tax changes, including a moratorium on new provider taxes beginning October 1, 2026, and a phased reduction in the hold-harmless threshold for existing taxes beginning January 1, 2028, with exemptions for nursing facilities and ICF/IID providers. Board members questioned the timing and likely impact on Kentucky, and Castanza responded that the effect would depend on each tax’s current rate and would phase in over time.

Transcript Highlights:

• Resisting his arrest is directed toward that defendant or that suspect.
• This law, the one that I'm proposing to upgrade, is directed at third parties.
• The bill defines directed communication as any verbal, written, or electronic communication, including
• The community did not come to the table with them. and then The community did not come to the table with
• You know, the communities have come together.

Bills: HB2109, HB2168, HB2198, HB2226, HB2415, HB2440, HB2665, HB2805, HB2811, HB2825, HB2857, HB2874, HB2966, HB4067, HB4117, HCR2001, HCR2016, HCR2051

Keywords: distracted driving, portable wireless communication devices, motorcycles, traffic safety, civil penalties, public nuisance, nuisance abatement, abatement action, injunction, superior court, attorney general, county attorney, city attorney, board of supervisors, obscenity, obscene materials, adult materials, pornography, schools, parks

Summary: The committee approved the minutes and announced several bills would be held at the sponsors’ request, including HB 4117, HCR 2016, HCR 2051, and HB 2415. It then took up HB 2811, which would expand obstructing governmental operations to include knowingly interfering with a lawful arrest and make that conduct a felony. Supporters, including a county attorney representative, argued the bill closes a loophole and protects officers from third-party interference during arrests, while opponents from criminal justice and civil liberties groups said existing laws already cover the conduct and warned the bill could chill First Amendment activity such as filming police or protesting. The committee debated whether the bill duplicated resisting arrest and hindering prosecution statutes, then passed HB 2811 on a 3-2 vote with one member not voting. The committee next heard HB 2665, which would create a manslaughter offense for an adult who intentionally gives advice or encouragement through a directed communication to a minor to die by suicide, including via social media or text. Representative Carter and family members of suicide victims described the bill as a response to online encouragement and a way to hold people accountable when minors are clearly urged toward suicide. The committee then passed HB 2665 unanimously, 6-0 with one not voting. It also approved HB 2857, allowing the Department of Corrections to store inmate medical records electronically and dispose of paper copies, by a 5-1 vote. The committee then passed HB 2226, which requires courts to ask about veteran status at initial appearance, notify prosecutors, and connect veterans to services and possible treatment court referrals; an amendment shifted the service-notice duty from prosecutors to the court. Supporters said the bill helps identify veterans with PTSD or other needs and can reduce recidivism, and it passed 6-0. HB 2168, which would require county board approval before the Attorney General could bring a public nuisance action in superior court, drew sharp disagreement over the AG’s use of nuisance litigation against businesses such as dairies, industrial plants, and rail projects; supporters framed it as local control and opposition to overreach, while opponents said it would weaken accountability and protect corporate interests. The committee passed HB 2168 on a 3-2 vote with two not voting. Finally, the committee heard HB 2966, which would bar early termination of lifetime probation for dangerous crimes against children and apply that restriction retroactively. Supporters argued it would keep serious child offenders on supervision and protect victims, while opponents, including survivors and defense advocates, said DCAC is a sentencing enhancement rather than a standalone offense, that the bill removes judicial discretion, may raise ex post facto concerns, and could sweep in lower-level online conduct. The bill passed 4-2 with one not voting. The committee then began hearing HCR 2001, a voter referral to end early voting the Friday before Election Day, require government-issued ID for voting, and restrict mail ballot procedures; the sponsor said it would improve election integrity and speed results, while opponents argued it would burden voters and reduce access. The transcript cuts off during testimony and debate on that measure.

Transcript Highlights:

• First up, we have HCR 67 and HR 61 requesting the Disability and Communication Access Board to study
• the health care settings communications needs of, and develop guidelines for, individuals who are deaf
• Mahalo for your consideration. or community, and aina, land, would be or community, and aina, land, would
• <00:13:13.600> And of their respective communities. And of their respective communities.
• As is for the community health and human services. Let's vote, please. Thank you, Chair.

Bills: HCR67, HCR102, HR61, HR94

Keywords: disability, communication access, healthcare, sign language interpreters, deaf, hard of hearing, deaf-blind, auxiliary aids, effective communication, peer counselor, youth mental health, social disconnection, Hawaii schools, wellness program, student support, cultural responsiveness, trauma-informed care, disability rights, peer counseling, education

Summary: The joint Committee on Human Services and Homelessness and Committee on Health heard two measures on April 7, 2026. HCR 67/HR 61 would request the Disability and Communication Access Board to study communication needs in health care settings for people who are deaf, hard of hearing, or deaf-blind and develop guidelines. Written testimony supported the measure from the State Health Planning and Development Agency, DCAB, Local Independent Living Hawaii, and one individual. A DCAB representative noted the proposal could serve as a backup if related measures do not move forward. No one testified in opposition, and both committees voted to pass the measure unamended. The second measure, HCR 102/HR 94, urged the Department of Education, in collaboration with the Department of Health and the Office of Wellness and Resilience, to establish a statewide peer counselor program to address youth loneliness and social disconnection in schools. Support came from the Department of Education, the Office of Wellness and Resilience, and individual testifiers Katie Smith and Ray Ward. Smith said peer support can reduce stigma, increase belonging, and improve school climate. Ward, speaking from lived experience, described the harms of loneliness and trauma and said a peer counselor program could provide culturally grounded support and safer pathways to help. No opposition was offered, and both committees voted to pass the measure unamended.

Transcript Highlights:

• The directed trusts law, the sections 10 through 17 of the bill, address something called directed trust
• bill address something called directed bill address something called directed trust<00:19:24.080
• But as good as she is, it's always best to have direct lines of communication.
• <00:59:12.400> prohibition next part day communication prohibition next part day communication
• c> we<00:59:35.640> believe direct lines of communication we believe direct lines of communication

Bills: HF747, HF360

Keywords: corporate governance, shareholder rights, beneficial ownership, defective corporate acts, Minnesota Business Corporation Act, trusts, Uniform Trust Code, probate, estate planning, trust protector, directed trust, investment trust advisor, distribution trust advisor, excluded fiduciary, decanting, power of appointment, revocable trust, irrevocable trust, uneconomic trust, rule against perpetuities

Transcript Highlights:

• Leach: So the bill directs DPS to electronically identify eligible records.
• you're a very valuable asset in your community.
• , they should be responsive to that community and their community should be able to be on that jury.
• view themselves as a part of the community.
• and the community.

Bills: HB200

Keywords: HB 200, emergency communication, backup communications, satellite phone, portable satellite equipment, radio, floodplain, 100-year floodplain, FEMA, natural disaster, disaster preparedness, emergency preparedness, vulnerable populations, children, elderly, seniors, people with disabilities, care facilities, residential care, assisted living

Transcript Highlights:

• For those communities.
• This data information was a direct result of having communication with the local emergency management
• How much would you say that y'all invest back into the community on just community projects?
• communications personnel.
• Community.

Keywords: flooding, emergency response, communication systems, first responders, disaster management, Texas Water Development Board, regional planning, public safety

Summary: The meeting primarily focused on discussions around the recent floods in Texas, specifically addressing emergency preparedness, response coordination, and recovery efforts. Officials from various agencies provided testimonies on the challenges faced during the emergency, including issues with communication systems among first responders. Notably, the need for improved inter-agency communication and technology integration was emphasized, with recommendations for establishing regional communications units for better coordination during disasters. The audience included local government representatives and emergency management partners, who shared insights and experiences from the recent flooding events.

Transcript Highlights:

• Any type of interruptions, any attempt to communicate from the audience verbally or otherwise will be
• These criminal activities pose unprecedented and direct threats to American families.
• They wanted to pass on a better life for their children, to build better communities, a better nation
• They have a retail store in one community and a factory in another.
• policies directed at the cartels.

Keywords: U.S. foreign policy, Mexico relations, Japan relations, border security, trade agreements, drug trafficking, ambassadorial nominations, intergovernmental communication

Summary: The meeting of the committee focused on critical discussions concerning U.S. foreign policy, particularly relationships with Mexico and Japan. Notable attention was given to border security, trade agreements, and implications of drug trafficking. Ambassadorial nominees discussed their strategies to strengthen ties with these nations, emphasizing the importance of cooperation in addressing mutual challenges, particularly concerning security and trade. The committee engaged in extensive dialogue, highlighting the urgency of improving intergovernmental communications to deter drug trafficking and support democratic governance.

Bills: HB1, HB312, HB313, HB314, HB383, HB983, HB1126, HCR3

Keywords: state budget, appropriations, education funding, public health, social services, government operations, state institutions, budget, funding, state general fund, local government, fiscal year, economic development, state treasury, emergency response, education, voting technology, sustainability, revenue sharing, fund distribution

Bills: HB332, HB166, SB336, HB447, HB244

Keywords: education policy, wireless communication devices, internet safety, social media, mental health, gender identity, sexual orientation, public schools, classroom instruction, Alabama, 1136, house, all

Transcript Highlights:

• Our communities are reduced the risk of repeat offenses.
• Current law, however, does not address doxing that occurs through electronic communications such as text
• would establish that disclosing persons' residence addresses or phone numbers through electronic communication

Bills: HB 2407, HB 3425

Keywords: sex offender registration, criminal penalties, law enforcement, criminal justice, public safety, public servant, address disclosure, retrieval of information, electronic communication, criminal offense, retaliation, safety concerns

Transcript Highlights:

• is really what we're looking to do with this is free our classrooms of unnecessary electronic communication
• What we want to get back to is connection and community.
• Get back to is connection and community, and really helping our kids be as mentally healthy as they can
• The local Board of Education shall adopt the wireless communication device policy.
• They're also occupational trainers; they can triage and direct people to where they need to go for health

Bills: SB92, HB9, HB9

Keywords: K-12 education, wireless communication devices, digital safety, social media education, classroom distraction, three-cueing system, reading instruction, structured literacy, scientific strategies, 1136, house, all

Transcript Highlights:

• Chairman, I would like to take this opportunity to recognize a lady in my district and our community
• She has been in the same area, same community, for 49 years, 54 years, making a difference.
• Rate increases totaling $33.6 million were provided for Medicaid, home and community-based services for
• set of amendments does the following: It gives LDH more flexibility as to the timing of making the directed
• It gives L.D.H. more flexibility as to the timing of making the directed payments.

Bills: HB1, HB2, HB3, HB312, HB313, HB314, HB383, HB983, HB1126, HCR3

Keywords: state budget, appropriations, education funding, public health, social services, government operations, state institutions, capital outlay, budget, infrastructure, appropriation, general obligation bonds, bond authorization, capital improvement, financial management, state treasury, funding, state general fund, local government, fiscal year

Transcript Highlights:

• forward in new directions through that. forward in new directions through that. >> Okay.
• I am participate in the community.
• our community. our community.
• has huge community interest and support. has huge community interest and support.
• a direct link to health, correct?

Bills: HB2488, HB2456

Keywords: disability, communication access, deaf, hard-of-hearing, deaf-blind, healthcare, sign language interpreters, auxiliary aids, weight loss, GLP-1 drugs, obesity, Medicaid, healthcare costs, 910, house, all

Summary: The committee heard testimony on HP 1972, which would create a nonrefundable family caregiver tax credit, and on a related tax measure to increase the existing dependent care tax credit. Supporters of HP 1972, including AARP, the Executive Office on Aging, the Hawaii Public Health Institute, Hawaii Children’s Action Network, and others, said unpaid caregivers are essential to keeping kūpuna and other loved ones at home and described significant out-of-pocket costs. The Department of Taxation and the Tax Foundation raised technical concerns, including the need to avoid overlap with existing credits and to prevent double-dipping. The department said taxpayers can claim credits to the extent allowed, but recommended explicit language barring the same costs from being claimed under more than one credit. No vote was taken in the excerpt, and the chair moved the bill along after questions. The committee then heard HP 1975, which would repeal the sunset on the state rent supplement program for kūpuna. AARP, Catholic Charities Hawaii, the Executive Office on Aging, and others supported making the program permanent, saying it helps low-income older adults avoid eviction and homelessness and allows them to remain in affordable housing. Catholic Charities described clients who were paying unsustainable shares of income for rent before receiving the supplement. Members also shared a constituent example of an elderly retiree who needed the subsidy to stay housed. Written support was noted from additional organizations and individuals. Next, the committee took up HB 1706, which would expand Medicaid prospective payment reimbursement to include mental health services furnished in federally qualified health centers and rural health clinics by mental health professionals under supervision. The Office of Hawaiian Affairs supported the bill, and DHS said it appreciated the intent to address workforce shortages and expand training, but cautioned that unlicensed professionals cannot currently bill Medicaid and that a state plan amendment would be needed, with limited precedent for approval. Members asked about the likelihood and timing of federal approval and whether the bill could help rural areas; DHS said approval is uncertain and the process can take time, though it saw possible alignment with the state’s rural health transformation efforts. The committee also discussed HB 546, a three-year health coverage continuity pilot program for people losing Medicaid coverage. DHS, the Attorney General’s office, DCCA, Catholic Charities, the University of Hawaii, and others testified, with DHS warning that federal changes could increase uninsured rates and that the state may need to act quickly. Catholic Charities and others emphasized the risk to Medicaid recipients, including homeless and near-elderly residents, while DHS explained the state’s existing premium assistance program for certain immigrants and compared it to the proposed pilot. The excerpt ends during discussion of that comparison, with no vote shown.

Bills: SB216, SB225, SB248

Keywords: Native American, language certification, cultural education, appropriation, education funding, tribal liaison, voter education, electoral access, translation services, Indian Affairs, communication, consultation, New Mexico, tribes, federal government, 996, all

Transcript Highlights:

• Under current law, convicted sex offenders must register with law enforcement to help protect our communities
• However, it does not address doxing that occurs through electronic communications such as text messages
• aims to establish that disclosing a person's residence address or phone number through electronic communication

Bills: HB2407, HB3425

Keywords: sex offender registration, criminal penalties, law enforcement, criminal justice, public safety, public servant, address disclosure, retrieval of information, electronic communication, criminal offense, retaliation, safety concerns, 1185, senate, all

Transcript Highlights:

• Additionally, the bill expands the prohibition on using a portable wireless communication or standalone
• the prohibition on a peace officer from issuing a citation for the use of a portable wireless communication
• 2026 at 2:12 PM removes conduct in which a person records video-based data on a portable wireless communication
• Expand the prohibition on using portable wireless communication devices and standalone electronic devices
• Guy, the question that I have for you is, do you know of anyone in your community who has experienced

Bills: HB2006, HB2085, HB2109, HB2167, HB2205, HB2410, HCR2016

Keywords: sample ballots, elections, primary election, general election, mailing deadline, ballot mailing, county election officials, board of supervisors, secretary of state, early voting list, election administration, voter information, postal service, USPS processing center, city elections, town elections, special district elections, Arizona election law, ballot proofing, party chair

Summary: The Judiciary and Elections Committee approved the minutes from February 18, February 20, and March 4, 2026, and then took up several election and traffic-related measures. House Bill 2006, which would require counties without a USPS processing and distribution center to mail printed sample ballots 14 days before an election instead of 11, was explained as a way to allow more time for mail delivery in affected counties. The Association of Counties supported the bill, and after brief discussion it passed on a 7-0 vote. House Bill 2109, dealing with hands-free driving penalties, drew extensive debate. The bill would raise penalties for repeat violations, add a penalty when a violation results in a motorcycle crash, and expand the prohibition to watching, recording, or streaming video on a device while driving. Two amendments were offered to remove the citation ban and to strike the “records” language, but members and witnesses raised concerns that the remaining video-streaming language was vague and could unintentionally affect dash cams, rear cameras, CarPlay, navigation, rideshare safety cameras, and other in-vehicle systems. After robust discussion, the committee held the bill without prejudice to allow a stakeholder meeting and possible revision. House Bill 2167, which would impose liability on the Attorney General for damages when a public nuisance or consumer fraud action is dismissed or found meritless under certain conditions, received divided testimony. Supporters argued it would curb overreach, while opponents said it would interfere with the AG’s ability to protect Arizonans. The committee approved the bill 4-3. Finally, HCR 2016, a referral measure that would eliminate county vote centers and on-site early voting and impose a precinct cap of 2,500 registered voters, drew strong opposition from voting rights groups, county officials, and rural and Navajo Nation witnesses who warned it would increase confusion, provisional ballots, costs, and access barriers. The committee did not act on the resolution and instead held it without prejudice for further stakeholder discussions.

Transcript Highlights:

• It unites communities together.
• These organizations want direction. They want to know how to help.
• These organizations want direction. They want to know how to help.
• These organizations want direction. They want to know how to help.
• were in there saying we want direction.

Bills: HF3727, HF3684, HF3467

Keywords: veterans property tax, homestead exclusion, disabled veteran, totally and permanently disabled, service-connected disability, property tax relief, market value exclusion, surviving spouse, family caregiver, county veterans service officer, Minnesota property tax, assessment year 2027, homestead tax benefit, veterans tax exemption, DD214, VA disability rating, veterans, veterans affairs, Department of Veterans Affairs, grant standards

Transcript Highlights:

• <00:20:30.240> The community. Let me say that again. The community.
• So, I ask you on this community.
• Our community is being harassed.
• Our community is being harassed.
• Our community is being harassed.

Bills: SB2936, SB2850, SB2851, SB2521

Keywords: accessible parking, disability, kupuna, public accommodations, small business exemptions, Hawaii Revised Statutes, parking permit, blind, deaf, accessibility, deafness, traffic safety, law enforcement, vehicle registration, communication, emergency services, commercial driver's license, first responders, public safety, authorized emergency vehicle

Summary: The joint hearing covered House Bill 251, which would require hospitals to report costs associated with Medicare and uninsured patients, and House Bill 1875, which would expand protections for gender-affirming health care services. On HB 251, the Department of Health said it supported the intent but described the bill as complicated and potentially impractical as drafted because the department lacks the expertise to produce the required analyses without outside help. Hawaii Health Systems Corporation echoed those concerns, while the Queen’s Health System said it was willing to work with the department to provide the information. In committee discussion, officials explained that hospital support in Hawaii includes public hospital appropriations and the provider tax program, which uses hospital and nursing home contributions to draw federal matching funds; a department witness estimated the net benefit at about $150 million for hospitals and $20 million for nursing facilities, though exact figures would be provided later. On HB 1875, the Insurance Division testified with concerns that the bill’s language on prohibited actions by malpractice insurers was broad and vague, and that a rate-increase prohibition could conflict with actuarially based insurance pricing. The division also noted it was not the primary enforcement agency for the statute. In contrast, many testifiers strongly supported the bill, including the Hawaii State Commission on the Status of Women, the Hawaii State LGBTQ+ Commission, the Hawaii Public Health Institute, PFLAG Oahu, the ACLU of Hawaii, the Drug Policy Forum of Hawaii, the Hawaii County Democratic Party, and others. Supporters argued that gender-affirming care is medically necessary, evidence-based, and protected by privacy and bodily autonomy principles, and that the bill would protect patients and providers from outside political interference. No votes or final committee actions were taken during the portion of the hearing provided.

Transcript Highlights:

• <00:24:24.960> to help our families and our communities to help our families and our communities
• we will participate in any community we will participate in any community conversation<00:39:39.280
• community treatment order. community treatment order.
• the community. the community. >> Okay.<01:33:07.840> Thank<01:33:08.080> you.
• islands and in our rural communities. islands and in our rural communities.

Bills: SB2936, SB2850, SB2851, SB2521

Keywords: accessible parking, disability, kupuna, public accommodations, small business exemptions, Hawaii Revised Statutes, parking permit, blind, deaf, accessibility, deafness, traffic safety, law enforcement, vehicle registration, communication, emergency services, commercial driver's license, first responders, public safety, authorized emergency vehicle

Summary: The committee heard testimony on several health-related bills. HB 1871, establishing a maternal health monitoring pilot program, drew support from the Department of Health, the Hawaii State Commission on Status of Women, and the Hawaii affiliate of the American College of Nurse Midwives, with testimony urging provider-neutral language so midwives and other qualified providers would not be excluded. HB 1977, requiring a maternal and infant health information mobile app, received support from ACNM and Philips, which said similar apps in other states improved awareness of services and helped families navigate care; a member asked the Department of Health about implementation time. HB 1858, relating to certificates of fetal deaths, was supported by the Department of Health and clinicians, who said the current statute is outdated and inconsistent with CDC guidance; the department and a physician testified that the bill should shift documentation responsibilities to physicians and APRNs, and members discussed optional versus mandatory issuance language and whether the bill would improve data on home births and transfers. The committee also heard HB 1591, expanding definitions for preceptor and volunteer-based clinical training to improve income tax credits. The Department of Health supported the measure but preferred a similar, broader bill; Taxation suggested clarifying terms; the University of Hawaii and the State Center for Nursing supported it. ACNM asked that midwifery preceptors and Hawaii-based students enrolled in mainland programs be included, while the Hawaii Public Health Institute supported expansion of the program as a workforce solution. HB 1574, on the health care education loan repayment program, also drew broad support, including from the governor, SHPDA, OHA, and health organizations, but ACNM raised concerns that the bill’s 30% Medicaid-client threshold could exclude many providers and limit participation. For HB 1575, creating a feasibility committee on Parkinson’s patient air transport, the Department of Health supported the intent but said transportation is more likely an insurance or benefit issue and suggested redirecting funds to Parkinson’s research; the Michael J. Fox Foundation and the Hawaii Parkinson Association supported the bill, citing inter-island travel barriers and high costs for patients and caregivers. HB 1854, establishing certification of community behavioral health clinics, was supported by the Department of Health and DHS, which said certification would help clinics qualify for enhanced Medicaid reimbursement and expand access; the Attorney General’s office raised a legal concern about the special fund language and recommended a purpose section, and the committee discussed whether the fund would be self-sustaining and noted a possible amendment to change membership language and reduce the board size if the amendment moved forward.