Transcript Highlights:

• We are hearing a number of bills: H. 5013, an act to establish a celiac disease screening pilot program
• Badger; S. 2928, an act to establish a celiac disease screening pilot program, filed by Senator Lovely
• This bill proposes a thoughtful pilot program to study whether screening for children with for celiac
• This pilot screening program will not only catch children earlier...
• This pilot screening program will not only catch children earlier.

Bills: H5013, H5087, H5115, S2928

Keywords: celiac disease, gluten intolerance, autoimmune disorder, pediatric screening, child health, public health, screening pilot, early detection, 12-year-olds, cholesterol screening, lipid screening, health care providers, Department of Public Health, patient advocacy, family support, Massachusetts, preventive care, diagnostic screening, nutrition, gastroenterology

Summary: The Joint Committee on Public Health heard testimony on two celiac disease screening bills, H. 5013 and S. 2928, which would create a three-year pilot program to add celiac screening to routine cholesterol/lipid testing for children around ages 8 to 12. Supporters included the bill sponsors, patients and family members, clinicians, researchers, and advocates, who described long delays in diagnosis, the wide range of symptoms, the risk of long-term complications, and the value of early detection. Several witnesses said the pilot would help determine feasibility, cost-effectiveness, and acceptability, and would pair screening with educational and support resources for families. No vote was taken during the hearing. The committee also heard testimony on H. 5087, a bill regulating the operation of medical spas. Witnesses from the aesthetic medicine field, including a lobbyist, a nurse practitioner, a physician assistant, and a plastic surgeon, generally opposed the bill as written. They argued it was outdated, redundant with existing Massachusetts licensing and board oversight, and too restrictive of nurse practitioners, physician assistants, and other licensed providers. They said the bill could reduce access, increase costs, and push care into less regulated settings, while also noting they support patient safety and would be willing to work on revised regulation. Committee members asked questions about how celiac screening would work in practice and about the medical spa bill’s relationship to current law. On the celiac proposal, witnesses explained that screening could begin with a simple blood test, with further testing if needed, and that the pilot would assess implementation in real-world pediatric care. On H. 5087, the chair noted the committee would review the testimony and written submissions carefully, and witnesses were encouraged to provide follow-up materials identifying specific redundancies or concerns.

Transcript Highlights:

• And so the pilot utilizes existing child welfare funding more efficiently.
• Mentioned, we are already doing screenings or DFPS is doing screenings in the 5 largest counties, and
• The children who are screened, the DFPS children that are screened, is those 10 years or older who are
• We know that universal screening is cost effective.
• And so, um, CASA staff can also do screenings as well.

Bills: HB 451, HB 645, HB 1041, HB 1151, HB 1155, HB 1536, HCR 12

Keywords: commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening, validated screening tool, evidence-informed tool, conservatorship, juvenile justice, at-risk youth, trafficking prevention, Child Sex Trafficking Prevention Unit

Bills: HB451, HB645, HB 1041, HB 1151, HB 1155, HB1536, HCR12, HCR12

Keywords: commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening, validated screening tool, evidence-informed tool, conservatorship, juvenile justice, at-risk youth, trafficking prevention, Child Sex Trafficking Prevention Unit

Bills: HB451, HB645, HB 1041, HB 1151, HB 1155, HB1536, HCR12, HCR12

Keywords: commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening, validated screening tool, evidence-informed tool, conservatorship, juvenile justice, at-risk youth, trafficking prevention, Child Sex Trafficking Prevention Unit

Transcript Highlights:

• House Bill 198 seeks to ensure the firefighters have access to life-saving care. search screenings.
• Do not screen them.
• Unfortunately, Wade was too young for our health insurance to cover his cancer screenings.
• At 31, you go in for a colonoscopy screening, your insurance tends to... not, they screen at 45.
• That medical screening is roughly an average of about $500 a firefighter.

Bills: HB467, HB318, HB503, HB198, HB318, HB198

Keywords: hospital district, Cedar Creek, scholarship, dissolution, county judges, healthcare funding, grant program, rural counties, law enforcement, sheriff's departments, funding, public safety, deputy shortages, sheriff, prosecutor, salary assistance, HB 198, Wade Cannon Act, firefighter cancer screening, occupational cancer screening

Bills: HB506, HB513, HB437

Keywords: emergency vehicles, off-road vehicles, public safety, liability, regulations, background check, criminal history, biometric identifiers, fingerprints, iris scan, palm print, photograph, rap back, NGI Rap Back, ALEA, Alabama Law Enforcement Agency, AJIC, Alabama Justice Information Commission, employment screening, licensing

Transcript Highlights:

• I think they're going to pop it up on your screen, and it's front and back.
• got a car that won't start and so there are programs that have And so there are programs that have piloted
• received for a mobile unit to serve the Northeast of New Mexico, and that they'll be doing diagnostic screenings

Bills: SB37, SB29

Keywords: high-quality literacy instruction, science of reading, structured literacy, reading instruction, literacy assessment, dyslexia screening, phonics, phonemic awareness, fluency, vocabulary, comprehension, biliteracy, English language learner, ELL, bilingual education, dual language program, reading intervention, reading difficulty, reading improvement plan, literacy coach

Transcript Highlights:

• And then I'm a pilot. I was listening. Gallup. This is amazing to me. And I'm a pilot.
• I was listening to the pilots, and the amount of med flights coming in, there were five med planes sitting
• And then I'm a pilot. I was listening. Gallup. This is amazing to me. And I'm a pilot.
• I was listening to the pilots and the amount of med flights coming in.
• And that's just during the time frame, and the pilots were talking.

Bills: SB37, SB29

Keywords: high-quality literacy instruction, science of reading, structured literacy, reading instruction, literacy assessment, dyslexia screening, phonics, phonemic awareness, fluency, vocabulary, comprehension, biliteracy, English language learner, ELL, bilingual education, dual language program, reading intervention, reading difficulty, reading improvement plan, literacy coach

Transcript Highlights:

• going to be prepared to do all the more necessary staffing to do the assessments for the K–2, K–3 screenings

Bills: SB29, SB37

Keywords: SB29, math requirements for teaching license, teacher licensure, teacher endorsement, mathematics methods, elementary education, secondary education, special education, early childhood education, reciprocity, Public Education Department, Mathematics and Science Education Act, mathematics instructional leadership framework, professional learning plan, K-3 screening, mathematics screening assessment, mathematics difficulty, support plan, multilevel support, intervention

Transcript Highlights:

• So, uh, this is a prostate screening bill that we had handled last year that went downstairs to the House

Bills: SB19

Keywords: SB19, prostate cancer, prostate cancer screening, PSA test, digital rectal exam, preventive screening, health insurance mandate, no cost sharing, copay, deductible, coinsurance, high-risk men, African American men, men over 50, men over 40, family history, genetic marker, health benefit plan, insurer coverage, Alabama insurance code

Bills: SB29, SB64

Keywords: SB29, math requirements for teaching license, teacher licensure, teacher endorsement, mathematics methods, elementary education, secondary education, special education, early childhood education, reciprocity, Public Education Department, Mathematics and Science Education Act, mathematics instructional leadership framework, professional learning plan, K-3 screening, mathematics screening assessment, mathematics difficulty, support plan, multilevel support, intervention

Transcript Highlights:

• We understand the student screening and notification are meaningful and critical involvement.
• We understand the student screening per notification are meaningful and critical involvement.
• and parent-informed support plans to By improving teacher preparation and requiring early screening
• I took a screening for dyscalculia for the first time in my whole entire life in college.
• Early screening became a part of this growth.

Bills: SB29, SB64

Keywords: SB29, math requirements for teaching license, teacher licensure, teacher endorsement, mathematics methods, elementary education, secondary education, special education, early childhood education, reciprocity, Public Education Department, Mathematics and Science Education Act, mathematics instructional leadership framework, professional learning plan, K-3 screening, mathematics screening assessment, mathematics difficulty, support plan, multilevel support, intervention

Transcript Highlights:

• So, this pilot process yet.
• sort of defunct pilot program. sort of defunct pilot program. Thank<00:22:12.040> you.
• pet, you know, you can do a screening pet, you know, you can do a screening and<00:27:20.680>
• , Port Pilots.
• It was pilot program, very expired. It was pilot program, very limited<00:54:56.200> scope.

Bills: HB1984, HB1593, HB2423, HB1691, HB2283, HB2386, HB1824, HB1697, HB2164, HB2165

Keywords: renewable energy, solar energy, self-certification, building permits, environmental regulations, HB1593, affordable housing, pet-inclusive housing, pet friendly housing, rental housing, affordable rental housing, HHFDC, Hawaii Housing Finance and Development Corporation, tenant pets, companion animals, dogs, cats, landlord-tenant law, security deposit, pet deposit

Summary: The committee heard testimony on HB 1984 HD2, which would require government entities issuing building permits to create a self-certification process for certain behind-the-meter rooftop solar and energy storage systems, allowing approved applicants to proceed without waiting for standard permit review. The Public Utilities Commission and DLNR offered comments, and the Hawaii Solar Energy Association, Holoholo Energy, Photon Works Engineering, Malama Solar, RevoluSun, and others testified in strong support. Supporters said the bill would reduce permitting delays, lower costs, and help meet Hawaii’s renewable energy goals while still relying on licensed engineers, electricians, and county inspections for safety. Committee members asked about risk, existing county pilot programs, and whether self-certification had been used before; witnesses said the professional liability remains with licensed signers and that current automated review systems often flag minor issues that slow projects. The committee also noted 16 additional written testimonies in support. The committee then took up HB 1593 HD1, which would require HHFDC-financed affordable rental housing projects to allow residents to own or keep common household pets. The Hawaiian Humane Society testified that the bill is a top priority because housing restrictions are a major reason pets are surrendered and because many unhoused residents with pets avoid housing that does not allow animals. In response to questions, the Humane Society said concerns about pet-related damage are overstated, suggested pet behavior screening as a safeguard, and said it would be willing to work on broader private-market pet-friendly housing policies. Members raised concerns about whether allowing pets in public housing could create problems for residents who later transition to the private market, and the witness said California has a similar law and no major negative effects had been identified. Finally, the committee heard HB 2423 HD2, which would require that by January 1, 2028, diesel fuel sold in Hawaii for on-highway vehicles contain at least 5% biodiesel by volume. The Hawaii State Energy Office offered comments, and Hawaii Transportation Association and Pacific Biodiesel Technologies testified in support. Pacific Biodiesel argued the mandate would improve energy security, stabilize fuel prices amid global supply disruptions, and support local clean-fuel production. In response to questions, the company said its nameplate capacity is 5.5 million gallons per year and it has produced over 6 million gallons annually, but much of its output is tied up in standby generator contracts that can fluctuate. Witnesses said the mandate would provide a stable market signal and could support future investment in expanded local biodiesel production, including agricultural feedstock development and a possible second refinery. No votes or final actions were taken during the portion of the meeting provided.

Transcript Highlights:

• It addresses a gap in our newborn screening system by adding screening for biliary atresia, a rare but
• This bill requires the Department of Health to incorporate screening for biliary atresia into the existing
• newborn screening program using the same blood specimen already collected at birth.
• adding screening for billiary atresia, a rare but life-threatening condition that affects infants in
• newborn screening program using the same blood specimen already collected at birth.

Bills: S0162, S0254, S0688, S0794, S1110, S1574

Keywords: surgical smoke, health standards, hospital safety, patient protection, medical regulations, nursing education, licensure, remedial courses, temporary license, graduate nursing preceptorship, Agency for Persons with Disabilities, background screening, support coordination services, developmental disabilities, Tatton-Brown-Rahman syndrome, public hearings, orthotics, prosthetics, healthcare, Medicaid

Summary: The Appropriations Committee on Health and Human Services met with a quorum present and took up several health-related bills. CS/SB 1110 on Medicaid and insurance coverage for orthotics and prosthetics was heard first. The bill would require coverage for medically necessary orthotics and prosthetics without lifetime or continuous-use caps, direct AHCA to seek federal approval and update contracts, and require annual reporting. Testimony from a child using prosthetic “gymnastics blades,” his mother, and another young person with a prosthetic leg emphasized the high cost of activity-specific devices and the impact on children’s mobility, sports participation, and quality of life. Senators voiced strong support, and the bill was reported favorably. The committee then approved SB 1574, “Maddie’s Law,” which adds newborn screening for biliary atresia using the existing blood specimen collected at birth. The sponsor and the child’s father described the condition as time-sensitive and potentially fatal without early detection, and argued the screening could prevent transplants and save money. The bill was reported favorably. The committee also considered CS/SB 794 on background screening for employees of residential facilities and day training programs for people with developmental disabilities, plus a review of waiver support coordination quality, training, and access issues. Parents and a support coordinator testified that strong support coordination is essential for families and that the bill would help standardize expectations and improve services. An amendment aligning the bill with the House companion was adopted, and the bill was reported favorably. Members next heard SB 162, which requires hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during procedures that generate surgical smoke. Supporters, including nurses and the Florida Nurses Association, described surgical smoke as a workplace hazard with toxic chemicals and potential cancer risks; hospital representatives said they support the intent but argued existing federal and state standards already regulate the issue and the bill is too prescriptive. A late-filed amendment clarifying the smoke must be “effectively captured and filtered” was adopted, and the bill passed favorably. The committee also approved CS/SB 254, a major nursing education bill that tightens oversight of low-performing nursing programs, creates a temporary provisional license and preceptorship pathway for graduates awaiting NCLEX results, requires remediation for delayed testing, and increases transparency by posting passage rates. Nursing groups supported stronger standards, while private nursing schools warned the bill could reduce capacity and discourage program directors; the amended bill was reported favorably. Finally, the committee heard SB 688, which would reestablish licensure and regulation of naturopathic doctors in Florida, create a board of naturopathic medicine, set licensure and renewal requirements, and define the scope of practice while excluding most prescription authority. Supporters said it would expand health care choices and allow naturopathic doctors to practice openly, while opponents from the medical community warned the bill could authorize diagnosis and treatment without sufficient training and rely on unproven therapies. The bill was reported favorably. The committee then adjourned after members thanked staff for their work.

Transcript Highlights:

• Members, this is a pilot program with the Attorney General's Office concerning victims of human trafficking

Bills: SB1379

Keywords: human trafficking, victims, prevention, support services, Attorney General, pilot program, grant funding, 914, all

Bills: S0534, S7020

Keywords: food insecurity, hunger, college students, nutrition assistance, pilot program, open government, sunset review, aquaculture, public records, exemption

Summary: The committee met, called the roll, and opened with the Pledge of Allegiance. It first considered the appointment of Melanie Ressler to the Florida Citrus Commission. No appearance forms were requested, and the committee voted unanimously to recommend her confirmation favorably. The committee then took up SPB 7020, which reenacts a public records exemption for certain aquaculture production records held by the Department of Agriculture and Consumer Services. Senator Trunow explained that the exemption protects shellfish and submerged land lease records, supports compliance with federal partners and statutory requirements, and helps protect marketplace competition. A representative from the Department appeared in support, and the bill was moved as a committee bill and reported favorably. Next, the committee heard SB 534, Senator Bernard’s hunger-free campus pilot program bill. He described a pilot within the Department of Agriculture and Consumer Services to identify campuses with high numbers of Pell-eligible students, develop a survey with the Hunger Task Force, designate staff to help students enroll in SNAP, expand campus food access, and require reporting on outcomes and future funding. The bill had one appearance form in support and was reported favorably without debate. The committee also received a presentation from the St. Pete Youth Farm, led by Carla Bristol and youth ambassadors. They described the farm as a youth-led community project on city-owned land that addresses food insecurity while providing leadership, financial literacy, career readiness, mental wellness programming, composting, aquaponics, and community events. Senators praised the program, asked about possible expansion into a culinary kitchen and partnerships with schools, and the presenters said they hope to expand youth opportunities, food preparation training, and related programming. The meeting concluded with adjournment.

Bills: SB325, HB513, SB357, HB513, HB626

Keywords: youth residential facilities, abuse prevention, law enforcement, video surveillance, civil penalties, record keeping, child rights, background check, criminal history, biometric identifiers, fingerprints, iris scan, palm print, photograph, rap back, NGI Rap Back, ALEA, Alabama Law Enforcement Agency, AJIC, Alabama Justice Information Commission

Transcript Highlights:

• Beyond supplies, programs must provide overdose education, infectious disease screening, wound care,
• in some way to a specific risk of harm, be it, for instance, with a mouthpiece with hepatitis, the screens
• in some way to a specific risk of harm, be it, for instance, with a mouthpiece with hepatitis, the screens
• now that’s getting high, actively go to these clinics and go get dose after they got dirty urine screens

Bills: SB274, SB301, SB249

Keywords: healthcare, life-sustaining treatment, patient preferences, POLST, advance directive, medical orders, hospital discharge, pregnancy, patient care, discharge planning, healthcare policy, substance use, harm reduction, syringe services, needle exchange, overdose prevention, naloxone, opioid antagonist, drug paraphernalia, syringe

Summary: The committee heard and advanced several measures related to health care, public health, and patient protections. House Concurrent Resolution 148, urging a statewide educational strategy on menopause, was presented as a workplace awareness measure and received supportive comments from members before being released. Senate Bill 274, updating Delaware’s MOST program to POLST and clarifying capacity determinations and documentation for end-of-life orders, also drew supportive testimony from medical and nursing groups and was released. House Bill 458, limiting local backflow preventer requirements for certain low-hazard buildings, was presented as a cost-relief measure for homeowners and small businesses; DHSS expressed concerns but said it was willing to work on amendments and a sunset provision, and the bill was released. Senate Joint Resolution 18, designating August 31, 2026 as International Overdose Awareness Day and ordering flags at half-staff, was released after brief supportive remarks. The committee then considered Senate Bill 339, a technical correction to the advance health care directive form clarifying that an agent’s authority for voluntary mental health admission cannot exceed 72 hours, consistent with existing law. Members asked detailed questions about how the 72-hour limit works and whether it applies to voluntary directives; the sponsor and a Disability Rights Delaware witness explained that the bill only aligns the form with current statute and does not expand authority. The bill was released. House Bill 301, requiring hospitals to create discharge plans for pregnant patients discharged while showing signs of labor, prompted extensive discussion. The sponsor and supporters said it would improve safety, transportation planning, and aftercare, while some members noted Delaware hospitals already do much of this work and questioned whether codifying it was necessary; supporters emphasized maternal mortality disparities and the need for guardrails. The bill was released. Senate Bill 196, creating ownership disclosure requirements for long-term care facilities and resident notice rules after ownership transfers, was presented as a transparency measure for seniors and families and was released after supportive testimony from the Delaware Nurses Association and elder-care advocates. Senate Bill 320, expanding pharmacists’ independent prescriptive authority for certain non-controlled medications and allowing opioid use disorder medications under standing order, with added malpractice reporting requirements in Senate Amendment 2, was supported by pharmacists and nurse practitioners as an access-to-care measure and was released. Senate Substitute 1 for Senate Bill 161, establishing a unified licensing and oversight framework for adult behavioral health providers under DSAM, was presented as a patient-protection measure; providers supported the goal but cautioned that regulations must be workable, and the substitute was released. Senate Joint Resolution 19, directing DHSS to study strategies to reduce health care costs, was released with a note reflecting concerns about broadening the analysis to include additional cost drivers and alternatives. Finally, Senate Bill 249 with Senate Amendment 2, modernizing harm-reduction programs and paraphernalia laws, generated the most extended debate: supporters framed it as life-saving public health policy, while opponents raised concerns about needle litter, community impacts, and whether the approach facilitates addiction. Despite the objections, the bill was released.

Transcript Highlights:

• Um, we have been working with the current pilot program.
• Um, we have been working with the current pilot program.
• came up, but I office when the pilot came up, but I came<00:14:59.760> back<00:14:59.920>
• with the last testifier that the pilot with the last testifier that the pilot program<00:17:28.319
• So that will be one pilot program.

Bills: HB1546

Keywords: Medicaid, health insurance, healthcare access, insurance subsidies, pilot program, affordable care, preventive services, low-income, community engagement, 910, house, all

Summary: The committee heard testimony on HB 2083, which would add homeless shelters to Hawaii’s drug-free/safe-zone protections. The City and County prosecutor’s office strongly supported the bill, saying service providers asked for the change because drug activity near shelters can undermine recovery efforts. The Office of the Public Defender opposed the measure, focusing on a possible notice problem because many shelters are not readily identifiable and the bill’s 750-foot distance requirement could be difficult to apply. The Drug Policy Forum of Hawaii also opposed the bill, arguing it would expand criminalization of poverty and drug use and that drug-free zone laws are ineffective and disproportionately harmful. The prosecutor’s office said it would do more research on the notice concern. The committee then moved on without taking a vote in the transcript provided. The committee next discussed HB 2087, which would change the treatment of abuse of family or household member cases by ending the deferred-acceptance pilot and returning to the prior statute. The prosecutor’s office supported the bill, saying the pilot had not reduced backlog as intended and that domestic violence cases should remain petty misdemeanors without deferral. The Hawaii State Coalition Against Domestic Violence and the Public Defender’s Office both opposed HB 2087, instead urging extension of the pilot for another five years so the legislature can better evaluate how deferred acceptance is working. They said deferrals can be a useful incentive for behavior change and that more data is needed before ending the program. Committee members questioned the prosecutor about why Hawaii should differ from other counties and whether repeat offenders could keep receiving deferrals; the prosecutor said the deferral is available only once and reiterated support for returning to the old statute. The committee then heard HB 2096 on aggravated circumstances in child protective proceedings. The family court and Attorney General’s Office supported the bill, saying current law limits aggravated-circumstances findings to the early return hearing, which can prevent findings in the most serious abuse cases when key evidence is not yet available. They said the bill would allow such findings later in the case and, with proposed amendments, would let the court consolidate aggravated-circumstances and termination-of-parental-rights hearings to reduce delay and appeals. The Libertarian Party of Hawaii opposed the measure, arguing it would expand state power in family matters and could worsen outcomes for parents and children. Committee questions focused on the amended language, including what “another court of competent jurisdiction” means and whether a charge alone would be enough; the judiciary responded that criminal courts are included, but a hearing and opportunity to defend would still be required. Finally, the committee took up HB 1959, another domestic violence measure. The Hawaii State Coalition Against Domestic Violence, the Public Defender’s Office, the Crime Victim Compensation Commission, the Hawaii State Commission on the Status of Women, and county prosecuting offices testified in support. Supporters said the bill would extend the pilot program while keeping deferred acceptance of guilty pleas in place, giving more time to evaluate whether the program is working and whether a more formal diversion model should be developed. The coalition also suggested technical fixes to ensure judiciary data reporting continues and that the deferred-acceptance statute is not inadvertently repealed. No vote or final action was taken in the transcript before the committee moved on to the next bill.

Bills: SB190, HB515, SB190

Keywords: SB190, prostate cancer, prostate screening, PSA test, digital rectal exam, preventive screening, health insurance mandate, cost-sharing, copay, deductible, coinsurance, high-risk men, African American men, family history, genetic marker, men over 50, men over 40, health benefit plan, insurance coverage, mandated benefits