Transcript Highlights:

• You know, we used to think leprosy you can't treat. Guess what? We treat leprosy.
• You know, we used to think leprosy you can't treat. Guess what? We treat leprosy.

Keywords: 908, all

Transcript Highlights:

• You know, we used to think leprosy you can't treat. Guess what? We treat leprosy.

Summary: The meeting focused heavily on behavioral health and substance use treatment, especially the IMD exclusion and whether North Dakota should pursue a Section 1115 waiver to allow Medicaid reimbursement for services in institutions for mental diseases for adults ages 21 to 64. Turtle Mountain representatives described major local needs, including limited access to care, high syphilis rates, and the importance of timely public health data. They also discussed the tribe’s recovery center, which opened the prior year, now operating five levels of care with 16 beds, and the desire to expand capacity, possibly through an IMD waiver or related policy changes. Committee members also raised related issues such as rural health transformation funding, telehealth, workforce retention, and the need for better coordination between tribal and state public health systems. A central issue was Turtle Mountain Public Health’s long-running effort to secure a data use agreement with the state so it can receive surveillance data and respond directly to infectious disease cases among tribal members. Speakers said the tribe had a successful COVID-era agreement that allowed faster contact tracing and case management, but that agreement ended with the pandemic. They argued that current delays in sharing data, especially for sexually transmitted infections, leave the tribe unable to respond quickly, while the state and county epidemiology workload is too distant and stretched to be effective. Committee members expressed support and said they would look into the issue, noting that other tribes have secured similar agreements. The committee also heard a detailed presentation from the National Health Law Program on the IMD exclusion. The presenter explained that federal Medicaid law generally bars payment for care in facilities with more than 16 beds, but that states can use other tools such as state plan amendments, managed care arrangements, telehealth, and community-based services. He said IMD waivers are administratively complex, time-limited, and have shown mixed results in other states, with some gains in residential treatment access but limited evidence of improved overdose outcomes or stronger community-based care. He urged the committee to consider broader continuum-of-care solutions and cautioned that waivers alone are not a cure-all. No final vote was taken on the bill draft during the portion shown, but the committee discussed the proposal to appropriate $49,000 and one FTE to HHS to pursue an IMD waiver and report back in the next interim. Members also debated the policy rationale for the 16-bed limit, the role of the state versus tribal sovereignty, and whether the bill should move through the Health Care or Human Services committee in the future.

Bills: SB3253, SB2401, SB3169, SB17, SB3014, SB3032, SB1432, SB2002, SB2972, SB3247

Keywords: conservation, endangered species, wildlife preservation, native birds, biodiversity, sanctuary, nonprofit, DLNR, agricultural district, land use, chapter 195D, chapter 205, chapter 42F, state funding, public purpose, habitat restoration, predator-free sanctuary, ecosystem restoration, Zealandia, wildlife refuge

Summary: The Committee on Water and Land heard testimony on SB 5253 SD2 relating to conservation and SB 2401 relating to regional shoreline mitigation district, with the chair emphasizing short testimony limits and the need to finish before session. On SB 5253, DLNR said it stood on its written testimony and answered questions about the bill’s proposed nonprofit endangered species sanctuary. Members asked whether existing entities or agreements, such as land trusts, private landowners, and DLNR safe harbor agreements, could accomplish similar conservation goals without creating a new entity. DLNR said similar work already exists, but it was not aware of a comparable sanctuary model in the state. A member also questioned language suggesting for-profit businesses in the sanctuary, and DLNR said the intent appeared to be sales of outreach or similar materials, though it agreed that such activities could be handled by a nonprofit. The bulk of the hearing focused on SB 2401, which would create a regional shoreline adaptation/mitigation framework. The Department of the Attorney General said it had concerns about inconsistent use of the terms “mitigation” and “adaptation,” warning of possible title-subject issues. DLNR said it was neutral on the terminology and more concerned with the substance, and noted that the bill would not waive permits; any plan would still require environmental review and applicable state and county permits. DLNR also supported OHA’s recommendation to consider impacts on Native Hawaiian traditional and customary practices during regional planning, and said the bill’s language on temporary shoreline protection measures could help address the gap between emergency permits and longer-term planning while avoiding a hardening-only approach. The Office of Planning supported the regional planning concept but noted it is not a regulatory agency and would need to work with DLNR and the Land Board. OHA supported the bill’s planning-based approach but recommended amendments to require assessment of impacts on Native Hawaiian traditional and customary practices during plan development and to clarify that environmental review would still apply at the project level. Testifiers from the Ka‘anapali Steering Committee strongly supported the bill, saying it would provide a regional framework for ongoing erosion problems while preserving full regulatory authority and normal permitting, and they proposed amendments to standardize terminology, create a limited pathway for temporary shoreline protection, and address ownership and maintenance responsibilities. Members discussed the meaning of “mitigation” versus “adaptation,” the scope of shoreline hardening, and whether the bill would help the legislature take a broader, more holistic view of shoreline decisions. No votes or final actions were taken in the portion of the hearing provided.

Transcript Highlights:

• The whole peninsula was Native Hawaiian villages before it became the site for the leprosy colony, and
• <03:00:10.640> site<03:00:10.880> for<03:00:11.439> the<03:00:11.600> leprosy
• the site the local site for the leprosy the site the local site for the leprosy Colony<03:00:13.439

Keywords: 912, senate, all

Summary: The joint Ways and Means and Health and Human Services committees heard Hawaii Health Systems Corporation’s biennium budget request, with testimony from HHSC leadership on the Hilo/Big Island region (HTH 212) and the Oahu region (HTH 215), plus discussion of capital improvement projects and systemwide partnerships. HHSC described its role as the rural healthcare safety net, serving a high share of Medicare, Medicaid/Quest, and uninsured patients, and said its costs are elevated by state employee fringe benefits, which it said are about 64% compared with roughly 30% in the private sector. HHSC also said pandemic-era federal aid, including relief funds and PPP loans totaling about $100 million, reduced the need for general fund support in prior years. For HTH 212, HHSC said its general fund request for fiscal years 2026 and 2027 was higher than the governor’s recommendation because of rising insurance, pharmaceutical, and contractor labor costs, and because it includes $13.2 million in FY 2026 and $2.3 million in FY 2027 for Epic electronic medical record implementation in East Hawaii. For HTH 215, HHSC said the requested general funds were aligned with the governor’s recommendation, in part because of increased Medicaid reimbursement rates for long-term care facilities under prior legislation. HHSC also said it was restoring a special fund ceiling so the region could spend its cash collections on operations. Members asked about the 64% fringe rate, and HHSC explained the difference was mainly due to defined-benefit pension and retiree health insurance costs, which private hospitals generally do not bear at the same level. Members also asked about the Daniel K. Akaka State Veterans Home, and HHSC said operations would be funded through the general fund corporation for the home when it opens, with management by Ohana Pacific, but no additional legislative operating funds were being requested at that time. Other questions focused on staffing and vacancies, including an abolished procurement position and an ongoing IT help desk recruitment need. HHSC highlighted several capital and partnership projects, including a $25 million state CIP request matched by $25 million from the Benioff family for the Benioff Health Center, an ER expansion and reconfiguration at Corner Community Hospital, and $7.5 million in each fiscal year for Kauai EMR capital funds to join the Epic platform. Testimony also described collaborations with Queen’s, the University of California San Francisco, Hawaii Pacific Health, the Hawaii Cancer Consortium, the Department of Health, and the state hospital to improve specialty access, clinical trials, behavioral health, and patient placement across the system.

Transcript Highlights:

• Jesus didn't turn away from people because they had leprosy or because they were bleeding.

Keywords: 959, house, all

Summary: The House opened with prayer and the Pledge of Allegiance, then approved the House Journal for the prior day by a 123-0 roll call vote. Members then used points of personal privilege to recognize National Police Week and honor fallen law enforcement officers with a moment of silence, and several members gave farewell remarks for departing colleagues and interns. The chamber also introduced a number of special guests, including student groups, interns, a former representative, and the University of Missouri wheelchair basketball team. The House then took up Senate messages and committee reports before acting on House Committee Substitute for House Bills 1839, 2921, and 3015. The sponsor explained the Senate amendment was a technical correction to an online age-verification provision related to pornography; the House concurred 104-30 and then finally passed the package 112-25. The chamber also considered the conference committee report on House Bill 2596, which was described as a small-business health plan measure that modernizes pooled-plan language and adds a 12-month contraception coverage provision while removing a Senate-added blood pressure cuff requirement. After debate on the conference report and a severability clause, the House adopted the report 120-26 and then third-read and passed the bill 119-27. Finally, the House debated Senate Bill 905, which would create the Missouri Ranger training program allowing schools to optionally place specially trained personnel with narrow law-enforcement authority on campus. Debate focused heavily on school safety, local control, training standards, liability, funding, and whether the proposal would improve protection or instead increase the presence of guns in schools. Supporters argued it would give districts another optional safety tool, especially where school resource officers are unavailable, while opponents said schools need more mental health and educational resources rather than armed personnel and raised concerns about training, child development, and unintended harm. The House adopted an amendment clarifying the program after a 96-46 vote, but the transcript cuts off before final passage of the bill.

Transcript Highlights:

• phalomodine, which was designed as a sedative, is now used for treatment of lesions and in melanoma and leprosy

Keywords: 1189, house, all

Bills: HR206, SB3083, SB2377, SB2816, SB3248, SB2436, SB2259, SB2928, SB2577, SB2697, SB2399, SB2665, SB2851, SB3102, SB2521, SB3157, SB3255, SB3016, SB2765, SB1432, SB17, SB2401, SB2972, SB3014, SB3032, SB3137, SB847, SB2261, SB2271, SB2272, SB2804, SB3007, SB3019, SB3250, SB2603, SB3022, SB2256, SB2147, SB2014, SB2114, SB2115, SB2117, SB2246, SB2519, SB3055, SB3095, SB3144, SB3264, SB2325, SB2211, SB3245, SB2090, SB2803, SB2866, SB2250, SB2497, SB2032, SB2487, SB3136, SB2756, SB2615, SB3262, SB2024, SB2177, SB2552, SB2319, SB2407, SB2153, SB2321, SB2805, SB3010, SB2892, SB2781, SB2489, SB2174, SB2169, SB3123

Keywords: Robert Bob Toyofuku, Hawaii legal community, House Resolution, commendation, honorary resolution, legal education, continuing legal education, CLE, William S. Richardson School of Law, University of Hawaii law school, Pacific Law Institute, attorney training, legal ethics, professional responsibility, legal mentorship, legal profession, court-annexed arbitration, alternative dispute resolution, appellate decisions, Hawaii Supreme Court

Bills: SB2969, SB3263, SB2602, SB3229, SB3199, SB2550, SB2877, SB3325, SB2024, SB2614, SB2613, SB3063, SB2319, SB2800, SB2892, SB2321, SB2407, SB2805, SB2153, SB2595, SB2781, SB3233, SB2360, SB1432, SB2543, SB2599, SB3053, SB2001, SB2041, SB3247, SB3253, SB2401, SB2673, SB3067, SB411, SB2934, SB3219, SB2919, SB2239, SB2532, SB2601, SB1032, SB2446, SB2152, SB2721, SB3076, SB3140, SB2671, SB2338, SB2268, SB99, SB2930, SB3069, SB3096, SB3097, SB3090, SB2060, SB3028, SB2544, SB2069, SB2552, SB3218, SB3022, SB148, SB2259, SB2578, SB2928, SB2816, SB2580

Keywords: SB2969, Maui wildfire, Maui wildfires, wildfire exposure, Maui Health Registry, University of Hawaii, public health, biomonitoring, medical screening, mental health services, trauma recovery, disaster recovery, first responders, kupuna, children's health, medically vulnerable, environmental exposure, toxic exposure, respiratory illness, community health

Bills: SCR56, SCR79, SCR85, SCR120, SCR129, SCR181, SCR63, SCR112, SCR194, SCR195, SCR196, HB202, HB963, HB1050, HB1511, HB1546, HB1550, HB1553, HB1643, HB1656, HB1658, HB1664, HB1667, HB1682, HB1700, HB1721, HB1810, HB1823, HB1824, HB1878, HB1969, HB2005, HB2078, HB2152, HB2246, HB2270, HB2279, HB2289, HB2385, HB2417, HB2429, HB2503, HB2599, SB253, SB847, SB1142, SB1432, SB2043, SB2050, SB2074, SB2102, SB2135, SB2138, SB2140, SB2320, SB2340, SB2386, SB2396, SB2397, SB2398, SB2433, SB2446, SB2521, SB2544, SB2567, SB2578, SB2580, SB2595, SB2601, SB2645, SB2673, SB2706, SB2727, SB2802, SB2852, SB2892, SB2929, SB2972, SB3007, SB3069, SB3073, SB3076, SB3136, SB3138, SB3157, SB3204, SB3234, SB3247, SB3302, SB3324, SB3325, HB1815, HB2592, HCR32

Keywords: lifeguards, first responders, public safety, ocean safety, emergency response, community wellbeing, invasive species, octocoral, Pearl Harbor, environment, Navy responsibility, marine ecosystem, ecosystem preservation, shoreline maintenance, civil service, classification review, compensation systems, labor shortage, employee retention, department collaboration

Bills: SB1432, SB2024, SB2043, SB2060, SB2069, SB2153, SB2259, SB2319, SB2321, SB2338, SB2360, SB2396, SB2405, SB2407, SB2544, SB2550, SB2552, SB2578, SB2580, SB2607, SB2614, SB2671, SB2800, SB2805, SB2816, SB2835, SB2877, SB2892, SB2928, SB2934, SB3063, SB3199, SB3233, SB3325, HCR8, HCR10, HCR11, HCR13, HCR14, HCR18, HCR19, HCR22, HCR24, HCR31, HCR32, HCR33, HCR35, HCR54, HCR62, HCR63, HCR66, HCR67, HCR82, HCR83, HCR85, HCR91, HCR93, HCR94, HCR96, HCR98, HCR102, HCR104, HCR105, HCR106, HCR110, HCR111, HCR116, HCR117, HCR118, HCR121, HCR122, HCR123, HCR124, HCR125, HCR127, HCR128, HCR137, HCR139, HCR140, HCR141, HCR144, HCR146, HCR162, HCR165, HCR166, HCR173, HCR178, HCR179, HCR180, HCR181, HCR182, HCR185, HCR189, HCR191, HCR192, HCR193, HCR194, HCR200, HCR202, HCR6, HCR36, HCR42, HCR43, HCR44, HCR53, HCR57, HCR61, HCR64, HCR69, HCR84, HCR101, HCR103, HCR107, HCR112, HCR126, HCR136, HCR154, HCR161, HCR175, HCR186, HCR187, HCR188, HCR197, HCR203, HCR204, HCR206, HB1870, HB1588, HB2429, HB2386, HB2583, HB2361, HB2270, HB2137, HB1643, HB1682, HB1692, HB2078, HB1553, HB1667, HB1700, HB1728, HB2293, HB2096, HB1959, HB1511, HB1961, HB1858, HB1897, HB2088, HB2093, HB2279, HB2314, HB2505, HB2433, HB963, HB1705, HB1550, HB469, HB1334, HB1710, HB1737, HB1753, HB1881, HB2309, HB1713, HB1741, HB2062, HB463, HB1839, HB1664, HB2455, HB2417, HB1898, HB1573, HB1768, HB1962, HB2101, HB1782, HB2033, HB1518, HB1642, HB1752, HB2097, HB2282, HB1696, HB1823, HB1886, HB2152, HB2413, HB2503, HB1875, HB1519, HB1509, HB1628, HB1810, HB1990, HB2023, HB2540, HB1679, HB1888, HB2576, HB2592

Keywords: Kalaupapa, Kalawao, Molokai, Maui County, county consolidation, Hansen's disease, leprosy, Department of Health, DOH, patient residents, former patients, public health, transition planning, jurisdiction transfer, county governance, historical preservation, cultural preservation, environmental remediation, community input, Kalaupapa Settlement

Bills: SB1432, SB2024, SB2043, SB2060, SB2069, SB2153, SB2259, SB2319, SB2321, SB2338, SB2360, SB2396, SB2405, SB2407, SB2544, SB2550, SB2552, SB2578, SB2580, SB2607, SB2614, SB2671, SB2800, SB2805, SB2816, SB2835, SB2877, SB2892, SB2928, SB2934, SB3063, SB3199, SB3233, SB3325, HCR8, HCR10, HCR11, HCR13, HCR14, HCR18, HCR19, HCR22, HCR24, HCR31, HCR32, HCR33, HCR35, HCR54, HCR62, HCR63, HCR66, HCR67, HCR82, HCR83, HCR85, HCR91, HCR93, HCR94, HCR96, HCR98, HCR102, HCR104, HCR105, HCR106, HCR110, HCR111, HCR116, HCR117, HCR118, HCR121, HCR122, HCR123, HCR124, HCR125, HCR127, HCR128, HCR137, HCR139, HCR140, HCR141, HCR144, HCR146, HCR162, HCR165, HCR166, HCR173, HCR178, HCR179, HCR180, HCR181, HCR182, HCR185, HCR189, HCR191, HCR192, HCR193, HCR194, HCR200, HCR202, HCR6, HCR36, HCR42, HCR43, HCR44, HCR53, HCR57, HCR61, HCR64, HCR69, HCR84, HCR101, HCR103, HCR107, HCR112, HCR126, HCR136, HCR154, HCR161, HCR175, HCR186, HCR187, HCR188, HCR197, HCR203, HCR204, HCR206, HB1870, HB1588, HB2429, HB2386, HB2583, HB2361, HB2270, HB2137, HB1643, HB1682, HB1692, HB2078, HB1553, HB1667, HB1700, HB1728, HB2293, HB2096, HB1959, HB1511, HB1961, HB1858, HB1897, HB2088, HB2093, HB2279, HB2314, HB2505, HB2433, HB963, HB1705, HB1550, HB469, HB1334, HB1710, HB1737, HB1753, HB1881, HB2309, HB1713, HB1741, HB2062, HB463, HB1839, HB1664, HB2455, HB2417, HB1898, HB1573, HB1768, HB1962, HB2101, HB1782, HB2033, HB1518, HB1642, HB1752, HB2097, HB2282, HB1696, HB1823, HB1886, HB2152, HB2413, HB2503, HB1875, HB1519, HB1509, HB1628, HB1810, HB1990, HB2023, HB2540, HB1679, HB1888, HB2576, HB2592

Keywords: Kalaupapa, Kalawao, Molokai, Maui County, county consolidation, Hansen's disease, leprosy, Department of Health, DOH, patient residents, former patients, public health, transition planning, jurisdiction transfer, county governance, historical preservation, cultural preservation, environmental remediation, community input, Kalaupapa Settlement