Transcript Highlights:

• I don't know what you see when you put these against my community.
• What do you see when you... ...community. What do you see when you see me?
• can't believe that we are having these conversations. ...are having these conversations against my community
• If this bill is passed, do you put my community in as an easy target?

Bills: SB210, SB225, HB280, HB287, HB94, HB88, SB157, HB7, HB8, HB42

Keywords: hospital liens, medical billing, government healthcare, insurance claims, patient rights, blood tests, DUI, law enforcement, traffic offenses, chemical analysis, public nuisance, event liability, local government, community health, legal action, transparency, reporting, public safety, regulation, accountability

Transcript Highlights:

• for Patient Safety.
• Patients understand that.
• As a result, patients in the same communities and often seeing the same providers would be subject to
• patient safety.
• care. weakening patient care and patient safety.

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:

• If she's a threat to herself or to the community, then it’s the discretion of the... judge.
• the judge determines that she is a significant threat or danger to herself, another person, or the community
• So,... person or the community or property.
• A pregnant woman on bail, I would have her in community corrections because I would want to be sure she
• So, it just updated to include our means of communication... to include our means of communication also

Bills: SB210, SB292, HB360, HB233, HB66, HB356, HB164, HB238, HB209, SB223, HB307, SB210, SB292, HB360, HB233, HB66, HB356, HB164, HB238, HB209, SB223, HB307

Keywords: hospital liens, medical billing, government healthcare, insurance claims, patient rights, education oversight, subpoena authority, investigation, State Superintendent, school misconduct, drug courts, accountability, veterans, mental health, substance abuse, rehabilitation, criminal justice, court intervention, elder abuse, financial exploitation

Transcript Highlights:

• Would it impact clinical care of a patient – of a veteran? Yes, sir.
• Does the quadrennial review interrupt patient care? It does not. It actually goes.
• Care in the community is VA care.
• instituting community care for VA health care, in other words, privatizing the VA. care.
• They like the care they receive in the community.

Bills: SB124, SB201, SB275, SB410, SB478, SB607, SB610, SB611, SB654, SB702, SB787, SB831, SB892

Keywords: Department of Veterans Affairs, disciplinary procedures, accountability, personnel actions, whistleblower protection, cancer, military, aircrew, veterans, health study, toxins, morbidity, mortality, service members, mental health, community care, accessibility, treatment programs, substance abuse, appointments

Summary: During the meeting, various members engaged in extensive discussions surrounding 15 proposed bills related to veterans' affairs. Notably, concerns regarding recent VA workforce changes sparked debates, particularly about potential cuts and their implications for veterans' care and benefits. Chairman Moran emphasized the need for thoughtful reforms and coordination with stakeholders, urging responsible measures to prevent negatively impacting service delivery. The meeting highlighted a significant bipartisan effort to enhance veterans' access to essential health services, particularly in light of recent challenges faced by the VA workforce. Senator Blumenthal's assertions about the urgent plight of veterans due to cuts in personnel drew strong reactions, showcasing the deep concern among committee members regarding the current state of veteran services.

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
• </c><00:13:13.600><c> And</c> 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:

• 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.
• And there the bill stayed in committee out of respect for that 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:

• We call providers all over the state for patients' refill requests, and we call and text our patients
• , the entire community, and HHSC.
• ,</c> including our governor Kona community, including our governor Kona community, the<00:39:43.280>
• </c><00:39:45.200><c> Thank</c> the entire community and HHSC. Thank the entire community and HHSC.
• I know we've had lengthy patient.

Bills: SB2275, SB2390, SB2540, SB3142, SB2414, SB2340, SB2848

Keywords: Medicaid, disability, buy-in program, workers with disabilities, income eligibility, premium structure, biomarker testing, health insurance, medical coverage, state law, health maintenance organization, juvenile justice, youth penalties, minors, court fees, court costs, fines, surcharges, restitution, fee waiver

Summary: The House Committee on Health heard testimony on a series of bills related to public health, pharmacy regulation, disability access, and health care infrastructure. HB 1535, creating an income tax credit for automated external defibrillator installations, drew support from the Department of Health, tax department comments, and public testimony emphasizing AED access in community and transit settings. HB 1765, requiring safety warnings for spear fishing gear, received comments from DLNR and strong support from a free-diving safety advocate who described blackout risks and argued for point-of-sale warnings. HB 1549, which would repeal the law prohibiting drug paraphernalia, drew mixed testimony: the Department of Health, the Public Defender, and harm-reduction advocates supported repeal as a public health measure, while HPD and a county prosecutor opposed it, warning it could encourage drug use and create public safety issues. The committee also heard HB 1550, which would exclude drug testing products from the definition of drug paraphernalia. The Department of Health and harm-reduction advocates supported the bill, saying drug checking tools save lives and help prevent overdoses, while one written opponent was noted. HB 1995, allowing people who are blind or deaf to receive disabled parking permits, drew opposition from the State Council on Developmental Disabilities, the Disability and Communication Access Board, and other opponents, while a few written supporters were also noted. HB 1671, allowing licensed dental hygienists to place interim therapeutic restorations in public health settings, received support from the Department of Health and several oral health organizations, with the Board of Dentistry offering comments. HB 1643, establishing a framework for pharmacy audits and record retrieval, prompted the most extended discussion. The Board of Pharmacy and independent pharmacy representatives supported the bill as a needed framework to limit burdensome audits and protect patient care, while HMSA raised concerns about possible conflicts with upcoming federal PBM reforms and potential unintended consequences. Committee members questioned both sides about timing and workload, and supporters argued the bill was needed now to protect rural and independent pharmacies. Finally, HB 1978, appropriating funds for a new outpatient care center in North Kona, received strong support from Hawaii Health Systems Corporation, Queen’s Health Systems, the Kona-Kohala Chamber, and others, who described it as a long-term investment in West Hawaii’s health care capacity and economy. No votes or final actions were taken in the portion of the hearing provided.

Transcript Highlights:

• management communities or communities as a whole to at least understand that if we're going to go out
• For those communities.
• 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
• As all of you know, public service takes a tremendous amount of support from our families, our community
• 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.
• If confirmed, I think we all have to be patient to see what happens with South Korea.

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.

Transcript Highlights:

• And they all want to do more to help their communities.
• And they all want to do more to help their communities.
• communities.
• There were no reported adverse effects, no patient injuries, nor patient complaints during the 8-month
• rural and underserved communities.

Bills: SB6138, SB5899, SB6072, SB6094

Keywords: dental procedures, sedation, patient safety, multiprovider system, healthcare regulation, chiropractic, animal care, veterinary medicine, license endorsement, nonhuman animals, veterinarian-client-patient relationship, VCPR, veterinary telehealth, telemedicine, teletriage, teleadvice, animal health, licensed veterinarian, Washington veterinary board, prescription drugs

Summary: The Senate Health and Long-Term Care Committee met on January 23 and first took up Senate Bill 5899, which would create a license endorsement for chiropractors to perform chiropractic care on non-human animals. Staff explained the endorsement requirements, including approved animal-chiropractic education or certification, continuing education, signage for mixed human/animal facilities, and a three-year renewal cycle. The prime sponsor and co-sponsor described the bill as a complementary tool for rural areas with limited veterinary access. Testimony was sharply divided: supporters said animal chiropractic is already practiced in other states and can improve access to care, while veterinarians and the Washington State Veterinary Medical Association argued the bill lacked a required veterinary referral or supervision and could create animal and public safety risks. The hearing on SB 5899 closed after extensive testimony, with 57 people signed in pro and 4 con. The committee then held a work session on dental workforce shortages. Presenters from the CORA Foundation, the University of Washington Center for Health Workforce Studies, tribal dental programs, and the Washington State Dental Association described persistent shortages of dental assistants and hygienists, especially in rural and underserved areas, and linked workforce gaps to low preventive-care utilization and poor oral health outcomes. Speakers emphasized that many dental workers face barriers to advancement and that career-ladder models, including tribal Community Health Aide Program pathways and a proposed oral preventive assistant role, could improve recruitment, retention, and access to preventive care. A Delta Dental representative also noted interest in proposals to reduce training barriers and expand preventive duties within the dental workforce. The committee next heard Senate Bill 6138, which would require a multi-provider system for dental procedures performed under deep sedation, separating the person performing the procedure from the person administering and monitoring anesthesia. The sponsor cited recent patient deaths and license actions as evidence of a safety problem and said the bill was intended to address deep sedation only. Anesthesiology groups supported the bill as a patient-safety measure, while oral and maxillofacial surgeons and dental anesthesia experts opposed it, arguing current rules already require multiple trained personnel and that the bill could reduce access and increase costs, especially in rural and Medicaid-serving practices. Testimony included a personal account from the mother of a patient who died after routine wisdom tooth removal. The hearing closed with 255 signed in pro and 321 con. The committee then heard Senate Bill 6072 on veterinarian-client-patient relationships and telemedicine. The bill would allow a VCPR to be established under specified conditions and permit ongoing care by telemedicine, with limited telehealth use even without an established relationship. Supporters, including animal welfare advocates and veterinarians working with shelters and outreach clinics, said the bill would improve access for clients facing transportation, mobility, or scheduling barriers and help keep pets with their families. Opponents from the veterinary association argued the bill weakened traditional VCPR standards, raised concerns about extra-label drug use and disease monitoring, and should include stronger guardrails. The hearing closed with 345 signed in pro and 725 con. Finally, the committee heard Senate Bill 6094, which would change requirements for facilities providing pediatric transitional care services for substance-exposed infants, including directing HCA to seek a state plan amendment for Medicaid facility-based payments and supporting a Spokane-area pilot facility until that approval is obtained. The sponsor said the model helps infants and parents recover together and can save the state money. Early testimony from the operator of Maddie’s Place supported the bill, saying current law leaves the facility unable to bill Medicaid and puts its future at risk.

Transcript Highlights:

• One network alone extracted $15 million from vulnerable patients in just three months.
• Listening to patients and studying trends is absolutely a goal worthy of our time.
• unsupervised consumption is not a goal worthy of our time, and I hope my colleagues in all of our communities

Bills: HB25

Keywords: ivermectin, pharmacist authority, prescription-free, healthcare regulation, patient access

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:

• They're seeing AI tools show up in their patients' lives, sometimes in helpful ways and sometimes in
• For example, the definition of therapeutic communication is broad enough.
• For example, the definition of therapeutic communication is broad enough that it could cover routine
• It would be wholly unethical for me to work with a suicidal patient and teach them how to...
• Work with a suicidal patient and teach them how to tie a noose.

Bills: HB2564, HB2599, HB1809, HB2242, HB2261, HB2384, HB2505

Keywords: healthcare, insurance, certification, state regulation, health plan, therapy, psychotherapy, mental health, regulation, professional standards, behavioral health, mental health crisis, crisis response, co-response, co-responder, first responder, EMS, emergency medical services, paramedic, EMT

Summary: The House Health Care & Wellness Committee held public hearings on House Bill 2564, concerning the health benefit exchange, and House Bill 2599, concerning the use of AI in therapy services. HB 2564 would let the exchange adopt annual market-factor certification criteria to address access and affordability issues, including requiring more meaningful plan differences, broader county participation, and availability of lower-premium options. Supporters, including the exchange, former Sen. Karen Kaiser, consumer advocates, rural and tribal representatives, and some brokers, said the bill could help prevent bare counties, improve affordability, and reduce confusing plan duplication. Opponents, including carrier groups, insurers, the hospital association, and insurance producers, warned it could reduce carrier participation, create uncertainty, overlap with OIC authority, and raise provider costs. HB 2599 would restrict licensed therapy providers from using AI to make independent therapeutic decisions, directly interact with clients, generate treatment plans without review, or advertise AI as therapy; supporters said it was needed to prevent deceptive or dangerous chatbot therapy, while several professional groups and Teladoc supported the intent but asked for narrower definitions and clearer carveouts for routine clinician-supervised tools. The committee also heard testimony on the bills’ details and possible amendments, but took no public-hearing votes on either bill. In executive session, the committee considered five bills. HB 1784, on certified medical assistants entering and activating orders, passed with a proposed substitute that added standing written protocols, annual review requirements, and a 24-hour countersignature deadline; it was reported out 18-0. HB 2242, on preventive services and immunization recommendations, had three amendments considered: two were rejected and one JLARC study amendment was adopted, after which the substitute bill passed 11-7. HB 2384, on actuarial reviews for continuing care retirement communities, passed as a substitute after technical changes and was reported out 16-2. HB 2505, creating an exemption from adult family home licensure for certain foster family situations, adopted an amendment adding disqualifying conditions and then passed 18-0. The committee deferred action on HB 1809 and HB 2261, and adjourned after completing its work.

Transcript Highlights:

• Please. and help prevent needless tragedies that devastate families and communities.
• I'm interested in the impact on rural communities and rural hospitals.
• And that may end up hurting folks in some of the more rural communities.
• And that may end up hurting folks in some of the more rural communities.
• Patient protections are unchanged, and we're giving patients and doctors the freedom to make their care

Bills: S0428, S0606, S0192, S0162, S0340

Keywords: drowning prevention, water safety, swimming lessons, swim vouchers, child drowning, infant safety, toddler safety, pool safety, bath safety, safe bathing practices, postpartum education, newborn care, childbirth education, birth centers, home birth providers, Department of Health, public health, water competency, swim instruction, infant supervision

Summary: The Senate Health Policy Committee met with a quorum and took up several health-related bills, with a strong focus on drowning prevention and patient safety. SB 428 by Senator Yarborough would expand Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7. Supporters, including a pediatric emergency physician and YMCA leadership, cited Florida’s high child drowning rates and argued that swim lessons reduce risk and should be available to more children. Senator Harrell noted the need to consider increasing the program’s funding as eligibility expands. The bill was reported favorably. The committee also heard SB 606 by Senator Smith, which adds drowning prevention and safe bathing education to postpartum materials provided by hospitals, birthing centers, and, after amendment, no longer home birth providers. A parent who lost a child to drowning testified in support, and senators emphasized the preventability of such deaths. The bill, as amended, was reported favorably as a committee substitute. SB 340 by Senator Harrell would require nursing students to complete a two-hour human trafficking course before licensure; after a strike-all amendment shifted the requirement from nursing programs to the students themselves, the bill received support from advocates and was reported favorably as a committee substitute. The committee also considered SB 162 by Senator Davis, which would require hospitals and ambulatory surgical centers to adopt policies for using smoke evacuation systems during procedures that generate surgical smoke. The sponsor said the equipment is relatively inexpensive and already common in many facilities, while opponents and some senators questioned the medical evidence, enforcement, and possible impacts on rural and smaller facilities. Despite those concerns, the bill was reported favorably, with some members voting no. SB 192, presented by Senator Trumbull on behalf of Senator Martin, would remove the $1,500 cap on advances chiropractic physicians may collect for examinations or treatment; the Florida Chiropractic Society supported the change as pro-small-business, and the bill was reported favorably. The committee also received an OPAGA presentation comparing Florida’s health care practitioner regulation system with other states, focusing on board autonomy, rulemaking oversight, board composition, appointments, term limits, and funding mechanisms.

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
• from using, operating, or possessing a wireless... ...using, operating, or possessing a wireless 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.

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

Bills: HB66, HB110, HB114, SB210, SB228, SB231, HB66, HB110, HB114, SB210, SB228, SB231

Keywords: elder abuse, financial exploitation, inheritance, joint tenancy, conviction effects, HB110, sunset bill, Alabama Sunset Law, State Board of Medical Examiners, Medical Licensure Commission, medical licensing, physician regulation, healthcare regulation, professional licensing, ethics law, state ethics code, public servants, board members, agency continuation, sunset review

Transcript Highlights:

• Page 2 covers the administration of prescriptions, counseling, and assessing the patient. >> Yes.
• </c><00:03:10.319><c> Page</c><00:03:10.720><c> three</c> patient safety and services.
• Page three patient safety and services.
• In the new language on page two, lines 13 through 15, where they're assessing patient for purposes of
• </c><00:07:56.560><c> for</c> [clears throat] assessing patient for [clears throat] assessing patient

Bills: SF0121

Keywords: pharmacy, collaborative care, healthcare, prescriptions, patient safety, Wyoming Pharmacy Act, 916, all

Transcript Highlights:

• influencers get paid to promote it through discount codes and sponsorships, exploiting vulnerable patients
• Listening to patients and studying trends is absolutely a goal worthy of our time.
• consumption is not a goal worthy of our time. ...of our time, and I hope my colleagues and all of our communities

Bills: HB25

Keywords: ivermectin, pharmacist authority, prescription-free, healthcare regulation, patient access, 1185, senate, all

Transcript Highlights:

• I am participate in the community.
• </c> our community. our community.
• ><c> budget,</c> train in the community, how to budget, train in the community, how to budget, how<01
• </c> has huge community interest and support. has huge community interest and support.
• <02:06:35.840><c> access</c> disability and communication access disability and communication access

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.