Transcript Highlights:

• care aides.
• Second, the bill removes requirements that nursing assistance and home care aids complete a specialized
• care aids.
• services, may discriminate or retaliate against a nursing assistant or home care aide because the person
• This bill also provides that nursing assistants and home care aides are not subject to any liability,

Bills: HB2261, HB2283, HB2425, HB2110, HB2113, HB2122, HB2152

Keywords: healthcare, transparency, patient communication, credentials, professional standards, medical loss ratio, insurance, health plans, cost management, nursing delegation, registered nurse, RN, home care aide, nursing assistant, certified nursing assistant, CNA, medical assistant, home health, hospice, community-based care

Summary: The House Health Care and Wellness Committee held public hearings on House Bills 2261, 2283, and 2425, then took executive action on House Bills 2110, 2113, 2122, and 2152. HB 2261 would require health care providers to wear badges showing name, credential, and degree initials, require similar disclosures in advertising, and restrict use of the title “physician surgeon”; supporters framed it as a patient transparency measure, while many providers and associations opposed it as burdensome, confusing, and harmful to access, especially for adult family homes and solo practices. HB 2283 would raise the medical loss ratio for fully insured plans to 90%; supporters said it would direct more premium dollars to care and lower costs, while insurers warned it could destabilize markets and reduce flexibility for administrative services. HB 2425 would modernize nurse delegation rules, expand what tasks can be delegated, and broaden liability protections; supporters said it would reduce barriers and help address workforce shortages, while opponents raised patient safety and accountability concerns. During executive session, the committee advanced all four bills. HB 2110, allowing certain nurses without EMT certification to provide care on inter-facility specialty care transport, was amended and reported out with a due pass recommendation. HB 2113, which addresses radiological technicians performing IV contrast procedures under certain supervision arrangements, was reported out without amendment. HB 2122, requiring hospitals to offer flu vaccines under specified conditions, was amended three times and then reported out. HB 2152, requiring certain facilities to allow medical cannabis use by qualifying patients with terminal conditions, was amended to include exemptions and policy details, including naming it Ryan’s Law, and was then reported out as amended. The committee adjourned after these votes.

Transcript Highlights:

• It's about who is providing the care, how that care is delivered, and to whom.
• ASCs are designed for performing..." "...providing the care, how that care is delivered, and to whom.
• Further, care delivered in ASCs is significantly less expensive than hospital-based care, which helps
• accountability and the highest standard of care.
• care aides performing delegated duties when accurately following the delegation.

Bills: HB2545, HB2613, HB1496, HB2155, HB2283, HB2340, HB2425, HB2437, HB2577

Keywords: healthcare, patients, cardiovascular procedures, outpatient services, surgical facilities, HB2613, compounded medications, compounded drugs, pharmacy compounding, bulk drug substances, active pharmaceutical ingredients, API, drug safety, patient safety, pharmacy license, Washington pharmacy law, RCW 18.64, Food, Drug, and Cosmetic Act, FDA, pharmaceutical compounding

Summary: The House Health Care and Wellness Committee held public hearings on House Bill 2545, which would direct the Department of Health to create rules allowing elective percutaneous coronary interventions (PCIs) at ambulatory surgical facilities, and House Bill 2613, which would add quality-assurance requirements for compounded drugs using bulk drug substances. On HB 2545, supporters including ambulatory surgery center representatives, cardiologists, and the prime sponsor argued the bill would improve access, reduce wait times, and lower costs while maintaining safety through patient selection and existing accreditation standards. Opponents from the hospital association argued that shifting PCI volume away from hospitals could undermine provider proficiency and the financial support hospitals use to maintain emergency cardiac services, and suggested the issue should be studied further. On HB 2613, the prime sponsor and several supporters said the bill was intended to address unsafe, large-scale compounding—especially weight-loss drugs—by requiring stronger sourcing, testing, and documentation of ingredients. Opponents from pharmacy, medical, hospital, clinic, and compounding groups argued the bill was overbroad, could restrict access to legitimate compounded medications, increase costs and delays, and in some cases conflict with existing federal and state compounding rules; some also urged narrowing the bill to focus on GLP-1 weight-loss products and exempt hospitals, nursing homes, and animal compounding. The sponsor of HB 2613 said amendments were being developed to narrow the scope and clarify the bill before executive session. In executive session, the committee considered six bills and then took final action on seven measures. It adopted amendments and advanced HB 1496, which limits fees for certain electronically stored health care information and changes attorney-fee provisions under the Uniform Health Care Information Act; HB 2283, which raises the medical loss ratio target for health plans to 90% with a delayed implementation date and added reporting authority for the insurance commissioner; HB 2425, which revises nurse delegation rules and delays implementation to 2028; and HB 2577, which clarifies hospital inspection timing and allows Department of Health flexibility in using CMS surveys as equivalent inspections. The committee also advanced HB 2155, addressing non-human entities using nursing titles; HB 2340, relating to substance use disorder monitoring program provisions for nursing assistants; and HB 2437, concerning Department of Health opioid treatment accreditation activities and associated fee authority. Votes were largely bipartisan, though several members voted no or without recommendation on some bills, especially HB 2283 and HB 2437. The meeting ended with all seven bills reported out of committee with due pass recommendations.

Transcript Highlights:

• health agencies as complex care aides.
• A complex care aide in home health is a trained caregiver who provides specialized in-home support to
• Um, this bill ensures that these aides, um, the care provided by these aides is under nursing supervision
• And they must, these, the people who are under this complex care aid statute, they have to complete 70
• You are with Angels of Care Pediatric Home Health, and you are for the bill, correct?

Bills: HB 660, HB 4845, HB 3902, HB 5396, HB 4615, HB 1825, HB 1403, HB 4336, HB 4585, HB 4371, HB 863, SB 1589, HB 5223, HB 3195, HB 2734

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation

Transcript Highlights:

• health agencies as complex care aides.
• A complex care aide in home health is a trained caregiver who provides specialized care.
• This bill ensures that the care provided by these aides is under nursing supervision, and they must..
• Under this complex care aide statute, they have to complete 70 hours of standardized, CMS-approved home
• And you are Sarah Mills, you are with Angels of Care Pediatric Home Health, and you are for the bill,

Bills: HB660, HB4845, HB3902, HB5396, HB4615, HB1825, HB1403, HB4336, HB4585, HB4371, HB863, SB1589, HB5223, HB3195, HB2734

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation

Transcript Highlights:

• space, not just nursing homes or long-term care.
• care ombudsman.
• care.
• This bill does away with that; however, to the benefit of every long-term care or every nursing home
• So you have the patient care expense, which would include direct care, dietary, and indirect care.

Bills: HB660, HB4845, HB3902, HB5396, HB4615, HB1825, HB1403, HB4336, HB4585, HB4371, HB863, SB1589, HB5223, HB3195, HB2734

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation

Transcript Highlights:

• Direct Care and Treatment or the executive board have been added so that once Direct Care and Treatment
• Direct Care and Treatment or the executive board have been added so that once Direct Care and Treatment
• </c> I believe written into the child care I believe written into the child care portion<00:34:53.599
• </c> because I know um some Child Care because I know um some Child Care programs<00:35:00.320><c> offer
• </c> out the team for the plan of the care out the team for the plan of the care for<00:59:23.720><c>

Bills: HF1662, HF2115, HF2159, HF1095, HF2160

Keywords: veterans, veterans affairs, State Soldiers Assistance Program, Veterans Stable Housing Initiative, MAXIS, human services data, data sharing, eligibility verification, informed consent, private data, benefits coordination, veteran housing, veteran assistance, Department of Human Services, Children Youth and Families, state benefits, federal benefits, privacy, public assistance, human services

Transcript Highlights:

• We work in hospitals, clinics, nursing homes, and self-directed home care.
• ><c> self-directed</c><00:05:16.000><c> home</c><00:05:16.280><c> care</c><00:05:17.280><c> we</c><00
• :05:17.479><c> support</c> and self-directed home care we support and self-directed home care we support
• care whether it's nursing<00:15:52.480><c> homes</c><00:15:53.040><c> uh</c><00:15:53.160><c> and</c
• </c> nursing homes and boarding nursing homes nursing homes and boarding nursing homes are<00:26:13.320

Bills: HF339, HF1272, HF2121, HF2122, HF1216, HF1003, HF2319

Keywords: HF339, Nursing Home Workforce Standards Board, nursing homes, long-term care, elder care, workforce standards, certified worker organizations, labor funding, general fund appropriation, worker grants, Minnesota labor law, nursing home staffing, caregiver workforce, section 181.214, HF1272, nursing home, boarding care home, nursing home workers, labor standards, Medicaid-certified facility

Transcript Highlights:

• This is in part what brought them to the rest home level of care.
• Care, doing business as Anne's and Burgoyne Rest Home.
• This shift undermines the purpose of rest homes within the continuum of care and creates operational
• Responsible persons play an important role in the operation of a rest home and in caring for an aging
• As such, rest home responsible persons are an integral part of the rest home care model.

Bills: H5243, H5376, S3056, S3057

Keywords: rest home, rest homes, medication administration, medication management, assisted living, long-term care, elder care, older adults, senior care, nursing home, resident care, self-administration, licensed facility, Chapter 111, section 71, Responsible Person, caregiver, direct care staff, care facilities, funding

Transcript Highlights:

• The care isn't free.
• same care is available nearer to a patient's home.
• And we cared for a family visiting from California who received emergency care under our charity care
• than returning to California, where the same care was available nearer to home.
• It makes an exemption for EMTALA emergency care, but not for the very care. care.

Bills: HB1812, HB2232, HB2250, HB2340, HB2577

Keywords: anesthesia services, healthcare access, reimbursement, patient care, equitable treatment, emergency services, healthcare outcomes, health infrastructure, system improvement, charity care, residency requirements, medical assistance, low-income, HB 2340, nursing assistants, nurse aide, substance use disorder monitoring program, monitoring program, credentialing, licensure

Summary: The House Health Care & Wellness Committee held public hearings on several bills. House Bill 2232 would create a time-sensitive emergency data repository for cardiac, stroke, and trauma care, with Department of Health oversight, quality improvement reporting, and support for rural facilities; emergency physicians, nurses, and DOH supported it as a way to improve outcomes and reduce rural-urban disparities, while the Washington State Hospital Association said hospitals support the goal but lack resources to absorb the added reporting burden. House Bill 1812, on the proposed substitute, would bar insurers, public employee plans, HCA, and Medicaid managed care from imposing anesthesia time limits or related reimbursement caps; the sponsor and anesthesia providers said it protects patient safety and prevents insurers from interfering with medical judgment, and the Washington State Society of Anesthesiologists asked for a clarifying amendment on physical status modifiers. House Bill 2340 would extend substance use disorder monitoring program protections and stipend eligibility to nursing assistants; the sponsor and Board of Nursing supported it as a way to reduce stigma and help participants afford treatment and monitoring, and the board said the stipend is currently funded through general funds. House Bill 2577 would require acute care hospital inspections at least every 18 months, clarify use of approved accrediting organizations, and adjust fire protection re-inspection rules; the sponsor and Department of Health said it responds to a JLARC audit and clarifies timelines after COVID-related delays, while the department said it is still working to catch up on inspections and continues complaint investigations. House Bill 2250 would limit hospital charity care eligibility to Washington residents, using residency standards similar to Medicaid and preserving emergency care coverage under EMTALA. Supporters, including border hospital officials, the Washington State Hospital Association, and Seattle Children’s, argued the current policy draws nonresident non-emergent patients and strains rural and border hospitals, especially Newport Hospital, while opponents from Columbia Legal Services, Dollar For, Northwest Health Law Advocates, and QLaw Foundation said the bill would chill access for immigrants, temporary visa holders, and people seeking reproductive or gender-affirming care, and that the real problem is hospitals failing to provide charity care to eligible patients. The sponsor said he is working with DOH on amendments to address unintended consequences, and several testifiers indicated willingness to continue stakeholder discussions. No votes were taken; the committee heard testimony and then closed public hearings on the bills before adjourning.

Transcript Highlights:

• I came home to carrying beepers.
• </c> um and and re needs to receive uh care um and and re needs to receive uh care if<00:42:28.240><c
• </c> housing, health care, you know. housing, health care, you know. &gt;&gt; Yeah. &gt;&gt; Yeah.
• , dental care.
• Prison dental care is horrible. Mental health care is important.

Bills: HB1997, HB2343, HB2566, HB2493

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

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

Transcript Highlights:

• It gets them out of the foster care system and gets them into a forever home where they're not going
• It gets them out of the foster care system and gets them into a forever home where they're not going
• CCRCs are adding services like memory care, hospice, and home-based services, but many are reducing nursing
• home or skilled nursing services at each location.
• Members, group home consultants receive referral fees for directing potential residents to group homes

Bills: SB500, SB1522, SB1137, SB1266

Keywords: SB 500, Texas adoption law, Family Code, DFPS, Department of Family and Protective Services, child-placing agency, prospective adoptive parents, adoption records, confidential information, nondisclosure agreement, child history report, health history, social history, educational history, genetic history, termination of parental rights, permanency plan, single source continuum contractor, privacy, redaction

Summary: The Committee on Human Services met with a quorum and first voted out Senate Bill 1589, relating to contract requirements between a single-source continuum contractor and DFPS. The motion to report the bill favorably to the full House with a recommendation that it do pass and be printed prevailed on a 7-0 vote. The committee then heard Senate Bill 500, which would set deadlines for providing foster care adoption records, including health, social, educational, and genetic history reports, to speed adoptions. The bill’s author and witnesses from Addie’s Hope Social Services supported it, saying delays in redacted files can take months, slow permanency for children, and increase costs to the state. Members asked about redactions and sibling/family information, and witnesses explained the bill would mainly speed the preliminary file used to decide whether to proceed with placement. SB 500 was left pending. Members also heard Senate Bill 1266, which would require regular reevaluation of the Medicaid provider support team and add written notice of provider disenrollment at least 30 days in advance. There were no witnesses, no questions, and the bill was left pending. Senate Bill 1522, concerning continuing care retirement communities, was then laid out and supported by LeadingAge Texas and counsel, who said it updates outdated definitions, clarifies licensing and disclosure rules, and strengthens consumer protections for seniors. It was also left pending. After a brief recess, the committee heard Senate Bill 1137, which would prohibit group home consultants from referring people to unlicensed or unpermitted group homes except in limited circumstances, require disclosure of complaints, and create a Class B misdemeanor for violations. Members discussed whether consultants are regulated and noted concerns about unlicensed referral practices. The bill was left pending, and the committee adjourned after completing its agenda.

Transcript Highlights:

• other kinds of health care needs that dietitians provide really important care for.
• Specialty care transports provide care for patients who are critically injured or ill and require care
• Before a registered nurse provides patient care during an inter-facility specialty care transport, the
• Specialty care transports provide care for patients who are critically injured or ill and require care
• In-hospital care is distinctly different than out-of-hospital care.

Bills: HB2340, HB2155, HB2531

Keywords: HB 2340, nursing assistants, nurse aide, substance use disorder monitoring program, monitoring program, credentialing, licensure, disciplinary records, enforcement action, public disclosure, privacy, third-party website, stipend program, financial assistance, treatment costs, drug testing, peer support, recovery, rehabilitation, board-approved program

Transcript Highlights:

• I am Kate Murphy, director of child protection policy at Texans Care for Children.
• care, it should be considered temporary because parents are working to get their children home.
• The parents working to get their services so they can get their child home.
• Many of these homes meant to care for vulnerable Texans include people with disabilities and older adults
• Referrals to licensed group homes remains permitted.

Bills: SB 2041, SB 1777, SB 1681, SB 2311

Keywords: child welfare, foster care, Department of Family and Protective Services, DFPS, Family Code, conservatorship, placement selection, contract residential care, kinship care, relative placement, designated caregiver, best interest of the child, least restrictive setting, placement stability, child protective services, residential treatment, group home, family reunification, Texas foster system, residential care

Transcript Highlights:

• Our concern is that when a child is initially placed in foster care or placed in any care, it should
• Many of these homes that are meant to care for vulnerable Texans, including people with disabilities
• Senate Bill 1777 is a bill about group homes, and what it does is, in a few statements, group homes are
• Residents in unlicensed group homes often face.
• Licensed group homes remain permitted.

Bills: SB2041, SB1777, SB1681, SB2311

Keywords: child welfare, foster care, Department of Family and Protective Services, DFPS, Family Code, conservatorship, placement selection, contract residential care, kinship care, relative placement, designated caregiver, best interest of the child, least restrictive setting, placement stability, child protective services, residential treatment, group home, family reunification, Texas foster system, residential care

Transcript Highlights:

• This bill is a very simple common-sense bill that I hope helps stabilize in-home family child care providers
• So back to the not discriminating, I don't care what a home value is worth. It doesn't matter.
• Do I think that a lot of very wealthy homes are going to all of a sudden decide to get in the child care
• So back to the not discriminating, I don't care what a home value is worth. It doesn't matter.
• So back to the not discriminating, I don't care what a home value is worth. It doesn't matter.

Bills: HF656, HF655, HF633

Keywords: child care, childcare, day care, daycare, licensing, variance, licensed capacity, capacity limit, staff qualifications, staffing, child care center, family child care, provider flexibility, Minnesota career lattice, Department of Children Youth and Families, DCYF, licensing rules, enrollment, indoor space, professional development

Transcript Highlights:

• health care.
• health care.
• health care.
• as usual for rural health care.
• The collaborative care model does improve mental health access to mental health care.

Bills: HF958, HF688, HF702

Keywords: mental health, behavioral health, psychiatric care, collaborative care model, healthcare funding, service dog, service animal, service dog in training, assistance dog, guide dog, disability rights, housing accommodations, fair housing, landlord, rental housing, homeowners association, HOA, Minnesota human services, accessible housing, reasonable accommodation

Transcript Highlights:

• We took him home.
• Some research suggests that removing children from their homes and placing them in foster care leads
• Back in the home at a shelter care hearing if the parent is objecting to those services.
• home.
• House Bill 2660 could be a tool that improves our abilities to support families when in-home care would

Bills: HB2511, HB2660

Keywords: child welfare, dependency, imminent physical harm, child abuse, neglect, foster care, extended foster care, shelter care, out-of-home placement, Department of Children, Youth, and Families, DCYF, family law, juvenile court, child protection, unsafe home, substance use, caregiver impairment, relative placement, guardianship, adoption

Summary: The Early Learning and Human Services Committee held a hearing on House Bill 2511, which would define “imminent physical harm” in the child welfare context as a substantial risk of serious harm arising from home conditions, caregiving conduct, neglect, unsafe environments, substance use, or other circumstances likely to cause significant injury. Representative Tom Dent, the sponsor, said the bill was intended to give caseworkers clearer tools to protect children while preserving family unity when possible. Supporters, including some foster parents, kinship caregivers, DCYF staff, and advocates, argued the current standard is too vague or inconsistently applied and has contributed to fatalities and near-fatalities. Opponents, including legal aid, public defense, and family-support advocates, said the bill is legally inconsistent, could increase removals, and should be paired with more services and training rather than a broader removal standard. DCYF testified “other,” saying clearer language could help but that the bill’s wording raised concerns; no vote was taken. The committee also heard House Bill 2660, which would allow courts at shelter care hearings to order certain safety conditions and services for parents of children under five when a child is returned home, with referrals required within seven days and participation not treated as an admission of abuse or neglect. Representative Lisa Ortiz-Self said the bill is aimed at critical incidents, especially among very young children, and would let courts impose conditions when there is reasonable concern even if the child does not meet the removal threshold. DCYF and the Office of the Family and Children’s Ombuds supported the bill, saying it could help prevent future critical incidents and allow earlier intervention, though they emphasized the need for services. Some child welfare and legal organizations were neutral or opposed, raising constitutional and due process concerns and warning that services alone do not ensure safety. Several testifiers urged more community-based treatment and in-home supports; no vote was taken on either bill.

Transcript Highlights:

• have been rebuilt with families back home. cost.
• Health Care Association of Hawaii in support. Thank you, Chair.
• </c><00:47:45.120><c> health</c> happens right now for our home health happens right now for our home
• </c> we're not getting lesser quality care we're not getting lesser quality care service<00:49:28.040
• c> could</c> community care foster homes, that could community care foster homes, that could also<00:

Bills: SB2960, SB2347, SB2272, SB3137, SB3132, SB2271, SB2804, SB2175, SB2487

Keywords: homeowners insurance, disaster recovery, replacement cost value, state of emergency, policyholder rights, insurance extensions, tenant rights, landlord obligations, housing crisis, eviction prevention, multilingual access, SB2272, Act 105, home health licensing, home health agency, home health services, Department of Health, DOH, CMS, Centers for Medicare and Medicaid Services

Summary: The committee heard several resolutions and one bill focused on energy reliability, utility infrastructure, insurance, tenant rights, and home health licensing. On the energy side, members heard HCR 203/HR 193 on a status update for the Hawaii Electric Reliability Administrator, HCR 204/HR 194 on a comprehensive PUC analysis of cost reduction and risk, and HCR 202/HR 192 creating a legislative task force on future energy pathways. Testimony on the energy measures was generally supportive from the PUC, DCCA’s Division of Consumer Advocacy, the Hawaii State Energy Office, and the Office of Hawaiian Affairs, with OHA urging that equity, native Hawaiian impacts, and public trust resources be considered alongside cost savings. The committee also heard HCR 125/HR 117 on coordinating with utilities to address aging utility poles and lines along Farrington Highway and other high-risk corridors; Hawaiian Electric supported the measure, Hawaiian Telcom and Charter Spectrum said much of the work is already underway and questioned whether the resolution was necessary, and committee questioning focused on existing double-pole tracking and the role of DOT and the PUC. The committee then took up HCR 137/HR 129 on timely reimbursement of health care claims under the clean claims statute. The DCCA Insurance Division and the Hawaii Insurers Council opposed the measure as drafted, saying it could be read to require payment beyond policy limits and could raise premiums or reduce market participation. United Policyholders supported the measure, arguing it would simply give policyholders more time to collect benefits they already purchased, and clarified that it was not intended to increase coverage beyond policy limits. The committee later amended the resolution to direct the DCCA Insurance Division to prioritize investigation and enforcement of clean claims complaints. In the decision meeting, the committee recommended and adopted passage of HCR 203/HR 193 as is, HCR 204/HR 194 with an amendment removing the eighth whereas clause, HCR 202/HR 192 with an amendment adding a committee representative to the task force, HCR 125/HR 117 as is, and HCR 137/HR 129 with amendments. The committee also heard SB 2960 SC1 on property insurance, which would extend the time policyholders have after a declared disaster to document replacement-cost claims. The Insurance Division and Hawaii Insurers Council opposed it, warning it could force coverage beyond policy limits and increase premiums, while United Policyholders supported it and said it would help disaster survivors recover benefits they already paid for; members questioned whether similar laws in other states had caused premium spikes and clarified that the bill was not intended to exceed policy limits. The committee also heard SB 2347 SD1 on multilingual tenant-rights notices, with OHA, Hawaii Appleseed, and others supporting the bill but urging restoration of language requiring landlords to directly provide the notice at lease signing. Finally, SB 2272 SD1 HD1 on home health licensing drew support from the Department of Health, SHPDA, and the Health Care Association of Hawaii, with the association requesting an effective date amendment; testimony explained that the bill would allow state licensing compliance to be demonstrated through CMS-approved accreditation or certification surveys, potentially reducing duplication and freeing state resources.

Transcript Highlights:

• Welcome to our final regularly scheduled Senate Health and Long-Term Care Committee of this 2026 legislative
• Second Substitute House Bill 2110 concerning personnel for ambulance service inter-facility specialty care
• 2384, sponsored by Representative Macri, related to increasing regulatory oversight of continuing care
• is one amendment before you, sponsored by Senator Cleveland, which amends the definition for a life care
• contract to specify that, within the additional recurring charges, it does not change based on care

Bills: HB2340, HB2540, HB2113

Keywords: HB 2340, nursing assistants, nurse aide, substance use disorder monitoring program, monitoring program, credentialing, licensure, disciplinary records, enforcement action, public disclosure, privacy, third-party website, stipend program, financial assistance, treatment costs, drug testing, peer support, recovery, rehabilitation, board-approved program

Transcript Highlights:

• It allows child care operators and at-home child care facilities to provide assistance or to provide
• This actually lowers the value of homes, and so that was a real problem for getting at-home child care
• And so that was a real problem for getting at-home child care facilities to begin because they have that
• homes across our state.
• This legislation is critical to supporting registered and licensed child care homes that want to operate

Bills: HB303, SB96, HM6

Keywords: public utility, certificate of public convenience and necessity, certificate of need, Public Regulation Commission, PRC, utility regulation, ratemaking, energy storage, battery storage, grid reliability, renewable energy, transmission, distribution, generation plant, utility expansion, service territory, mutual domestic water consumer association, economic development department, clean energy, fossil fuel reduction