Transcript Highlights:

• Yeah, so we have endocrinology.
• So part of it also is that we have endocrinology services in Jacksonville and Sicola, Orlando, Lakeland
• So we have endocrinology services in Jacksonville and Sicola, Orlando, Lakeland.

Summary: The committee held a panel discussion focused on how Florida health care organizations are working to improve access, quality, and affordability. Panelists from Florida Community Care/Independent Living Systems, Sunshine Health, AdventHealth, UF Health, and Nemours described their approaches, including Medicaid managed care, value-based contracting, community partnerships, mobile screening units, smart-room technology, telehealth, and specialized programs for maternal health, children, and complex chronic conditions. Several speakers emphasized that managed care and coordinated care can improve outcomes while reducing unnecessary utilization and costs. Members asked about the impact of Medicare’s V28 changes, mobile cancer screening, urgent care versus emergency room billing, pediatric specialty access, complaint resolution, Black maternal mortality, provider shortages, network adequacy, and the use of AI in prior authorization. Witnesses said V28 has affected providers and revenue, UF Health’s mobile screening program is expanding beyond a few cancer types, and its urgent care model bills patients at the appropriate level rather than both urgent care and ER rates. Nemours said it reduced specialty wait times through scheduling changes, telemedicine, and registry tools, while AdventHealth described postpartum coordination and maternal heart programs to reduce maternal complications and mortality. On complaints and access problems, panelists said their organizations use patient/member advocates, care managers, call centers, and escalation processes to resolve issues, and Sunshine Health specifically discussed a transportation complaint that was addressed with its vendor and the family. Sunshine Health also said it is not using AI for prior authorization, though it is exploring responsible uses elsewhere, and Florida Community Care said it is not using AI in utilization management. In closing, panelists identified workforce shortages, provider burnout, and high-cost drugs as the biggest ongoing challenges. The meeting ended with thanks to the panel and adjournment after Representative Brackett moved to rise, without objection.

Transcript Highlights:

• Heather Serran, D.O., is a board-certified endocrinologist and founder of Bright Endocrinology, Arizona's
• first concierge endocrinology practice.
• Heather Serran, D.O., is a board-certified endocrinologist and founder of Bright Endocrinology, Arizona's
• first concierge endocrinology practice.

Keywords: 1182, all

Summary: The House convened with prayer, the Pledge of Allegiance, guest introductions, and recognition of Arizona School Board Association members and local school board representatives visiting the Capitol for Advocacy Day. Members also honored the House Doctor of the Day, Dr. Heather Serran, and approved the journal and attendance. The chamber then moved through a large number of Senate messages and House calendar items, including committee assignments and first and second readings of many bills. A major floor action was the unanimous adoption of SCR 1054 honoring former Arizona Attorney General Mark Brnovich, followed by remarks remembering his public service and consumer-protection work. The House also agreed to return SB 1278 to the Senate for reconsideration and referred several House bills to an additional Committee of the Whole for further amendment. In Committee of the Whole, members considered and advanced numerous bills, including HB 2055, 2150, 2426, 2456, 2457, 2728, 2755, 2918, and 2923, with several floor amendments adopted. HB 2728 drew the most debate over Department of Economic Security continuation and added policy changes affecting SNAP, unemployment, and eligibility verification; after a divided question and recorded vote, it received a do-pass recommendation by 32-25. The House also advanced HB 2134, 2142, 2289, 2290, 2331, 2379, 2397, 4026, and 4033 in later Committee of the Whole sessions, with discussion focused on school safety funding and governance, school board training, HOA disclosure reforms, tax sourcing clarity, and bond disclosure language. Several bills were retained on the calendar, including HB 4041, HB 2444, HB 4018, and HB 4070. In final third-reading votes, HB 2053, HB 2327, and HB 2416 passed; HB 2175 and HB 2492 failed; and HB 2805, which would make school board races partisan, was under debate at the end of the transcript amid strong arguments both for and against increasing partisanship in school board elections.

Transcript Highlights:

• This spring we're also planning on fundraising for DHMC endocrinology through a 5K, and we hope to make
• also planning on fundraising for we're also planning on fundraising for dhmc<01:04:48.039> endocrinology
• 48.960> a<01:04:49.119> 5K<01:04:49.599> and<01:04:49.720> we dhmc endocrinology
• through a 5K and we dhmc endocrinology through a 5K and we hope<01:04:50.000> to<01:04:50.119

Keywords: 1191, senate, all

Transcript Highlights:

• , internal medicine specialties such as nephrology, bone health, cardiology, rheumatology, and endocrinology
• 51.880> and health, cardiology, rheumatology, and health, cardiology, rheumatology, and endocrinology
• . endocrinology. endocrinology.

Keywords: 0:00:01 Call to Order and Roll Call 0:00:28 Approval of Minutes 0:00:40 Information Items 0:01:13 Rpt from Postsecondary Institutions 0:26:46 Project Rpt from Finance and Admin Cabinet 0:30:53 Lease Rpt from Finance and Admin Cabinet 0:39:20 Rpt from OFM – KIA 0:52:42 Econ Development – EDF Grants 0:55:15 OFM Debt Issues 0:58:43 Informational Discussion 1:44:36 Adjournment, 958, all

Summary: The committee first handled routine business, including a quorum call, approval of minutes, and informational items on school district financing and KCTCS equipment purchases. It then considered two KCTCS capital projects after initially rolling them together and later unrolling them: a Fire Commission Fire Academy maintenance building project that had grown from an original $2 million authorization to $4.7 million because of design changes, soil issues, and higher mechanical costs, and a $1.5 million renovation of the Blake Lee building at Somerset Community College for a health science simulation lab. Members questioned the large cost increase on the fire academy project and the adequacy of front-end due diligence, while KCTCS said the project was bid and ready to proceed and that a 15% contingency had been included. Both projects were approved by roll call vote, with the Blake Lee project ultimately approved after the committee unrolled the items and took them separately. The committee next heard and approved a University of Kentucky public-private partnership for the Hamburg East Medical Office Building, a five-story, 220,000-square-foot facility with a not-to-exceed budget of $275 million. UK said the project is intended to expand outpatient access, consolidate some services, and support projected growth in patient volume; the building will house multiple specialties, urgent care, therapy, imaging, and a retail pharmacy. Members asked about possible community uses, consolidation of services, and whether the project would free up other space, and UK said it hopes to consolidate some services and free campus space. The project was approved by roll call vote. The committee then approved three UK lease renegotiations: a specialty pharmacy and infusion services lease at Wellington Way in Lexington, a Department of Ophthalmology and Visual Sciences lease at Conte Terrace, and a College of Social Work lease at McGrath Park Way. Members asked about rising lease rates, occupancy, and whether space needs should be reduced; UK and the lessor’s representative said the pharmacy space remains busy, the ophthalmology lease was lower than before, and the social work lease had been negotiated down from a higher request. The committee also approved a Department of Military Affairs project amendment for a Mutual Field Maintenance Shop Restoration project, increasing federal funding by $1 million to $4.5 million because of higher construction costs, and approved a Kentucky State University Shanty Hall renovation project funded by bond and HBCU Title III funds. Finally, it approved a new lease for the Office of Mines and Minerals in Pike County, a new lease for the Cabinet for Health and Family Services in Pulaski County, and a lease renewal for the Cabinet for Health and Family Services in Kenton County after questions about rent increases and office utilization; the cabinet said the Kenton County space still has limited vacancy and remains in use by field staff. The meeting ended as the Kentucky Infrastructure Authority began presenting six sewer and water loans and six cleaner water program grant reallocations, with members agreeing to roll those items for later consideration.

Transcript Highlights:

• have been on the cutting edge of atherosclerotic coronary artery disease in the Department of Endocrinology

Transcript Highlights:

• The Journal of Clinical Endocrinology and Metabolism has reported that children who use puberty blockers
• <00:40:12.079> and<00:40:12.359> Metabolism clinical endocrinology and Metabolism clinical
• endocrinology and Metabolism has<00:40:13.560> reported<00:40:14.000> that<00:40:14.160
• Our Pediatric Endocrinology team is wonderful, and I know that providing gender-affirming services is
• A 2015 Clinical Endocrinology study found lower bone density in treated kids, osteoporosis by their 20s

Keywords: 1189, house, all

Transcript Highlights:

• gaps that are present in specialty care in the state, things like gastroenterology and ENT and endocrinology
• gaps that are present in specialty care in the state, things like gastroenterology and ENT and endocrinology
• gaps that are present in specialty care in the state, things like gastroenterology and ENT and endocrinology

Keywords: 910, house, all

Summary: The committee first heard House Bill 707, which would create a state income tax deduction for contributions to Hawaii 529 college savings accounts and conform state law to federal changes allowing 529 funds to be used for K-12 expenses. The Department of Taxation said it could administer the bill as written. The Hawaii State Council on Developmental Disabilities supported the measure but asked that ABLE accounts be included and that the program title be changed; the Department of Taxation indicated the title issue could be a problem because the bill’s expanded purpose may not fit the current program name. No vote was taken. The committee then heard House Bill 617, which would fund a Bachelor of Science in Nursing program at the University of Hawaiʻi Community Colleges. UH Community Colleges supported the bill, and Maui nursing staff testified that faculty recruitment is challenging but manageable, clinical placements are available, and the campus already has a statewide RN-to-BSN pathway; they said the new program would create two tracks, including a four-year BSN option. Members also heard support from several organizations, including the Office of Hawaiian Affairs, nursing groups, and health care associations. No action was taken. Next were several UH-related measures. HB 718 would fund faculty and staff positions at the John A. Burns School of Medicine; the dean and other supporters testified in favor. HB 1279 would create a medical education liaison position tied to Project ECHO; the Attorney General raised constitutional concerns about statewide concern and grant standards, while an individual witness supported the concept but suggested the bill should focus on liaison/support functions rather than program administration. HB 1169 would consolidate conference center revolving funds, and HB 1168 would authorize up to $800 million in UH revenue bonds; UH’s CFO said both were procedural/housekeeping measures and supported them. On HB 1168, members questioned debt service, possible uses, and whether deferred maintenance would be included; the CFO estimated annual debt service could be about $33 million to $41 million at current rates, said likely uses could include student housing and research facilities, and said deferred maintenance was not the current strategy. The CFO also explained that revenue bonds require both legislative authorization and a Board of Regents resolution approving the project and amount. Finally, the committee heard HB 548, which would authorize revenue bonds and appropriations to acquire the St. Francis School campus for UH Mānoa. UH supported the bill but noted the property is privately owned and not known to be for sale. A supporter described the site as a unique 11-acre parcel contiguous to the main campus and urged the committee to seize the opportunity for future generations. No vote or final action was taken on the bills in the transcript.

Transcript Highlights:

• the gallery, and Heather Serran is a board-certified endocrinologist and the founder of Birth Endocrinology
• , Arizona's first concierge endocrinology practice.

Keywords: 1182, all

Summary: The Senate convened with prayer, the Pledge of Allegiance, roll call, guest introductions, and approval of the journal before moving through multiple Committee of the Whole calendars. Early action included approval of several bills and resolutions, with amendments adopted on measures such as SB 1515, SB 1678, and SCR 1023. SCR 1023, which would change Independent Redistricting Commission membership and require a two-thirds vote for map approval, drew extended debate over nonpartisanship, geographic diversity, and population deviation; the amendment and the resolution both advanced on voice votes. The body also approved SB 1399, SB 1507, SB 1564, SB 1621, SB 1629, and SB 1811, generally after committee amendments and brief explanations from sponsors. The Senate then considered another calendar featuring SB 1365, SB 1416, and SCR 1049. SB 1365, relating to the Williams Citrus, Fruit, and Vegetable Trust Fund, was amended and advanced. SB 1416, dealing with missing and kidnapped children reporting requirements and the Seek and Find Alert system, was amended to shift training from biannual to every two years and to require documentation of media/social media disclosure decisions; the bill passed as amended. SCR 1049, a constitutional referral on capital punishment, would add a firing-squad option; supporters said it would provide another execution method amid drug shortages, while opponents objected to expanding the death penalty. It also passed as amended. On later calendars, the Senate approved SB 1134, SB 1489, SB 1725, SCR 1048, SB 1012, SB 1573, SB 1661, SB 1662, SB 1569, SB 1634, SB 1647, SCR 1005, SCR 1027, SB 1065, SB 1156, SB 1157, and SB 1213, with several amendments adopted. Topics included political signs, ballot-measure circulator disclosures, marijuana smoke as a nuisance, concealed weapons notice and appeal, paternity, probation conditions, voter registration and signature handling, foreign contributions, election dates, veterans’ hyperbaric therapy funding, border-related appropriations, and immigration enforcement notification. SB 1213 prompted notable debate over a Miranda amendment requiring law enforcement officers to visibly display identification and prohibiting facial coverings during duties, with supporters citing community safety and opponents arguing it would constrain enforcement; the transcript cuts off during that discussion.

Transcript Highlights:

• In the past year, I have had just such an increase in children that I'm referring to endocrinology in

Keywords: 996, all

Transcript Highlights:

• They suggested appointments with endocrinology and hematology. I felt defeated.
• I was a reproductive endocrinology, a reproductive surgeon at Brigham and Women's Hospital for 30 years

Keywords: 995, all

Summary: The committee opened by explaining hearing procedures and time limits, then heard testimony on House 2499, a bill to create a public awareness campaign on menopause and related midlife health issues. Supporters, including a nurse, the Massachusetts Commission on the Status of Women, and other advocates, said menopause is widely misunderstood by patients and providers, leading to delayed care, unnecessary suffering, workplace impacts, and inequities in women’s health. Several speakers shared personal experiences with symptoms being dismissed or misdiagnosed and urged the committee to advance the bill. The committee then took testimony on a package of endometriosis bills, including House 2527 and Senate 1564, calling for a task force and broader awareness efforts. Patients, a physician, and advocates described long diagnostic delays, severe pain, infertility, medical gaslighting, and limited access to specialists and effective treatment. They argued for more research, provider education, and a coordinated state strategy, and several asked for favorable reports. The chair also noted the hearing was running behind and extended time to allow more testimony. Later, the committee heard Senate 1579, which would eliminate parental consent and judicial bypass requirements for abortion access for minors under 16. Planned Parenthood representatives, physicians, legal advocates, and students argued the current law creates unnecessary delays and harms vulnerable youth, especially those in unsafe homes or foster care, while supporters said minors can already consent to other reproductive health care. A pro-life witness opposed the bill and emphasized parental involvement and support services. The committee also heard House 2403 and Senate 1560, which would create a Human Service Transportation Consumer Advisory Board; disability advocates and riders described past safety problems and current service gaps, and supported the board as a low-cost way to improve accountability, rider input, and reliability. No votes or final actions were taken in the excerpt.

Transcript Highlights:

• clinical experience in various pediatric pediatric subspecialties like rheumatology, cardiology, endocrinology

Keywords: 1184, house, all

Transcript Highlights:

• Did not have advance train excuse me in endocrinology and they are not a physician.

Keywords: 999, senate, all

Transcript Highlights:

• In the past year, I have had just such an increase in children that I'm referring to endocrinology, in

Summary: The committee first approved the minutes from its fourth meeting, held October 27-28 in Santa Fe, with Representative Duncan moving approval and no opposition. The chair then introduced a panel on the cost of providing medical care in New Mexico, focusing on physician shortages, rising practice costs, and access problems, especially in southern New Mexico and Las Cruces. Panelists included family physicians, a pediatrician, a cardiologist/electrophysiologist, and a community health center medical director, who described their backgrounds and practices before turning to the policy discussion. The doctors argued that New Mexico is losing physicians because of three main pressures: medical malpractice exposure, gross receipts tax on medical services, and low Medicaid reimbursement. They said malpractice premiums are much higher than in neighboring states, punitive damages and venue shopping increase risk, and the patient compensation fund and attorney fee structure create additional costs. They also described administrative burdens from insurance billing and referrals, the high debt and long training period for physicians, and the effect of corporate medicine and private equity on practice decisions. One panelist emphasized the economic impact of each physician on jobs and local spending, while another noted that shortages force patients into emergency rooms and delay specialty care. The panel presented a list of proposed solutions: reform punitive damages, limit venue shopping and stacking, restore lifetime medical payments from the patient compensation fund, enact apology protections, cap attorney fees, continue Medicaid funding improvements, and eliminate gross receipts tax on medical and dental services. Committee members generally agreed the presentation was thorough and useful, but several noted that some proposals fall outside this committee’s jurisdiction and would likely need to move through other committees, especially judiciary and tax. Some members supported drafting legislation or working on separate bills, while others urged caution, requested more input from hospitals and economists, and raised concerns about local government revenue impacts from GRT changes. The chair concluded by encouraging members to continue discussions offline and noted that the tax-related issue would be taken up further in the next day’s work.

Transcript Highlights:

• endocrinologist, but they do not have advanced degree, do not have advanced training, excuse me, in endocrinology

Summary: The committee took up a long agenda of bills, beginning with CS/SB 678, which would allow pawnbroker transaction forms to be printed or digital; it drew support from a business representative and was reported favorably. Members then heard several bills by Senator Leak, including SB 466 to designate St. Johns County as the site of the Florida Museum of Black History and create a board to work with the museum foundation and Florida Memorial University; the bill drew supportive testimony about preserving accurate Black history and the significance of the site, and it passed favorably. Leak’s CS/SB 578 would let Florida wineries use recyclable inserts and other alternative containers for larger wine sales, and it also passed favorably. SB 582 would increase penalties for unlawful demolition of historic buildings and structures, limiting the higher penalties to certain nationally or internationally recognized historic properties; it was supported by preservation advocates and reported favorably. CS/SB 1168 would create an aggravated offense for installing or using tracking devices or apps in furtherance of crimes such as murder, domestic violence, or robbery, and it passed favorably after a brief discussion about stalking and violent crimes. CS/SB 806 would make the Florida Attorney General the exclusive public official with standing to enforce Florida charitable trusts, limiting out-of-state attorneys general from suing over Florida-administered trusts; members debated whether this would burden out-of-state beneficiaries, but the bill was reported favorably. SB 1228 would advance spring restoration efforts for Ichetucknee Springs and Santa Fe spring flows and allow a utility compliance plan amendment to deliver reclaimed water to replenish the aquifer; it passed favorably. CS/CS/SB 304 would require a qualified medical opinion in child protective investigations involving infants and young children with possible genetic or medical conditions that can mimic abuse, and it drew emotional support from parents and advocates before passing favorably. SB 1286 would clarify that ordinary unsupervised childhood activities like biking or playing outside do not constitute neglect absent reckless endangerment, and it was reported favorably. SB 1318, the hands-free driving bill, generated the most extensive debate: it renames the texting-while-driving law, expands the prohibition to handheld device use, and adds penalties in work zones and school zones; supporters cited fatal crash statistics and personal loss, while opponents raised concerns about enforcement, civil liberties, racial disparities in traffic stops, and the need for broader distracted-driving and insurance reforms. Despite those concerns, the bill was reported favorably after amendments. The committee also approved two claims bills, SB 14 for the estate of Penao-Hanvier against Miami Beach and SB 20 for J.N. against Hillsborough County, both settled claims recommended favorably by the special master. Finally, CS/SB 68 would modernize health facilities authority financing for private not-for-profit health systems, and CS/SB 172 would restrict misuse of health care specialty titles while preserving titles authorized under existing practice acts; both were discussed with questions about doctors, optometrists, and CRNAs, and both were reported favorably after amendment and debate.

Transcript Highlights:

• endocrinologist, but they do not have advanced degree, do not have advanced training, excuse me, in endocrinology

Summary: The Committee on Rules took up a long agenda of bills and reported several measures favorably. Early action included CS for SB 678, allowing pawnbroker transaction forms to be printed or digital, and SB 466, which designates St. Johns County as the site for the Florida Museum of Black History and creates a board to work with the supporting foundation and county officials. Senators and public speakers largely supported the museum bill, though some members asked about feasibility studies and long-term planning. The committee also approved CS for SB 578 on wine containers, SB 582 on penalties for unlawful demolition of historic buildings, CS for SB 1168 creating an aggravated offense for unlawful tracking-device use in furtherance of crimes, CS for SB 806 clarifying that only the Florida Attorney General may represent beneficiaries of Florida charitable trusts as a public official, and SB 1228 to support spring restoration efforts for Ichetucknee and Santa Fe springs. The committee then heard and favorably reported CS for CS for SB 304, which addresses child protective investigations involving infants and young children with genetic or other pre-existing medical conditions. The bill requires a qualified medical opinion before permanent removal in cases where injuries may be explained by an underlying condition, and it drew strong support from the sponsor and several speakers. Members also approved SB 1286 clarifying that ordinary unsupervised childhood activities, such as biking or playing outside, do not by themselves constitute neglect unless reckless, and SB 1318, a hands-free driving bill that renames the texting-while-driving law, expands the handheld-device prohibition, and adds penalties for handheld use in work and school zones and for certain serious crashes. The hands-free bill prompted the most debate, with supporters citing crash and fatality data and families sharing personal losses, while opponents raised concerns about enforcement, civil liberties, and potential disparate impacts on lower-income and minority drivers; the bill was still reported favorably after amendments. Additional measures reported favorably included SB 14 and SB 20, two claims bills for injuries and deaths involving local governments, and CS for SB 68, which updates health facilities authority financing rules to reflect modern hospital structures. The committee also approved CS for SB 172 on health care practitioner specialty titles and designations after adopting an amendment protecting CRNA titles; the bill generated questions about whether licensed practitioners with doctoral degrees may still use the title doctor under their practice acts. Throughout the meeting, most bills were adopted without opposition, and the committee repeatedly voted to report them favorably.

Transcript Highlights:

• the Royal College of Physicians, the American College of Physicians, and the American College of Endocrinology

Keywords: 995, all

Summary: The committee heard testimony on a wide range of health insurance and public health bills, with most speakers focused on expanding coverage for specific treatments and services. Bills discussed included H. 1187/S. 792 on rehabilitation counselors, H. 1173/S. 692 on patient navigation, S. 2600 on scalp cooling for chemotherapy patients, S. 2599 on medically necessary treatment for port wine birthmarks, H. 1164 on licensed educational psychologists for child and adolescent mental health services, S. 754/H. 1254 on autism diagnosis and treatment by nurse practitioners and psychiatric nurse mental health clinical specialists, S. 714/H. 1137 on infectious disease response and coverage, and S. 791 on making nature a prescriptive therapeutic intervention. Speakers generally argued these bills would improve access, reduce out-of-pocket costs, and address gaps in current insurance reimbursement rules. Testimony in support emphasized personal stories and clinical evidence. Cancer patients and providers described the benefits of patient navigation and scalp cooling for dignity and quality of life during treatment. Boston Children’s Hospital staff and families said port wine birthmark treatment is medically necessary, can prevent complications, and should not be denied as cosmetic. Rehabilitation counselors and school psychologists argued their services are effective, cost-saving, and underused because they cannot bill insurance. Autism advocates said current insurance statutes are outdated because nurse practitioners and psychiatric nurse mental health clinical specialists already provide evaluations and should be recognized for reimbursement to avoid delays in early intervention. Public health and GLAD Law testimony supported stronger infectious disease coverage to remove barriers to testing, treatment, and PrEP access. The hearing also included extensive testimony on H. 1172, a bill requiring insurance coverage for detransition-related care. Supporters said it would ensure coverage for medically necessary care for people who regret or reverse gender transition, while opponents argued it would legitimize anti-trans narratives or, conversely, that detransition care is needed because transition procedures can cause harm. The committee also heard strong support for S. 791 from advocates who described nature access as a health intervention that could help with trauma, anxiety, substance use recovery, and environmental justice, with claims that insurance coverage and reduced park fees would improve access. No votes were taken during the transcript, and the chair repeatedly thanked speakers and moved through the long list of public testimony.

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

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

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

Transcript Highlights:

• In this letter, I stated the following: I regret my indirect role in the pediatric endocrinology clinic

Bills: SB95, SB268, SB493, SB619, SB660, SB922, SB984, SB1098, SB1188, SB1307, SB1332, SB1822

Keywords: immunization, written informed consent, civil liability, health care provider, vaccine compensation, administrative penalty, health care, licensing, complaint procedure, disciplinary action, law enforcement, pharmacy benefit manager, PBM, gag clause, prescription drug pricing, out-of-pocket cost, cash price, pharmacist, pharmacy, prescription drug benefit

Transcript Highlights:

• through brain MRIs, multiple PET scans, MRIs of her legs, abdomen, pelvis, EKGs, appointments at endocrinology

Keywords: 995, all

Summary: The Joint Committee on Public Health heard testimony on a wide range of bills focused on children’s health, tobacco control, newborn screening, pediatric cancer, palliative care, and professional licensure. Early testimony highlighted Senate bills to expand newborn screening for pyruvate dehydrogenase complex deficiency, lysosomal storage disorders, and congenital CMV, with families and clinicians describing severe diagnostic delays, missed treatment windows, and the benefits of early detection. Speakers also supported a bill to improve pediatric cancer research through a dedicated trust fund, and a bill to extend pediatric palliative care services to age 22, with parents and providers emphasizing continuity of care for seriously ill young people. Several witnesses gave personal accounts in support of the newborn screening measures. Families described children who endured years of misdiagnosis before receiving diagnoses such as Gaucher disease, Fabry disease, Pompe disease, Niemann-Pick disease, and CMV, often after irreversible damage had already occurred. Medical and advocacy witnesses said Massachusetts already collects some of the relevant screening data and argued that results should be reported to families, while others urged the committee to add conditions to the state panel because effective treatments already exist. The committee also heard support for a bill to establish a fetal alcohol spectrum disorder program and training for providers. On tobacco and youth health, testimony supported bills to ban internet tobacco sales, strengthen youth protections, and reduce lung cancer deaths through point-of-sale information and quit-line access. A student testified about easily purchasing flavored nicotine products online without meaningful age verification, and public health advocates backed measures to keep tobacco out of children’s environments. The committee also heard testimony on a bill to ensure parents have access to their children’s medical records through age 16, with exceptions for sensitive services already protected by law. The committee additionally took testimony on an optometry licensure bill, where ophthalmologists opposed language they said could broaden scope of practice and allow optometrists to use the title “optometric physician,” while optometry educators and students supported the bill as a modernization measure with no scope expansion. No votes were taken during the hearing; the chair repeatedly reminded speakers of time limits and noted that written testimony could be submitted for additional comments.

Transcript Highlights:

• So primary care is consulting with cardiology, GI, endocrinology, infectious disease on something that
• We focus on everything from behavioral health to medical specialties, ranging from endocrinology to cardiology

Keywords: 1184, house, all