Transcript Highlights:

• time we may put a pause on their care time we may put a pause on their care and<00:14:07.920>
• These two are bus stops that basically have a lot of problems with the homeless, basically either squatting
• the<00:26:50.440> homeless<00:26:51.399> basically problems with the homeless basically
• toddler Child Care Centers and group child<00:50:47.240> care<00:50:47.359> centers<00
• release from custody just to take care release from custody just to take care of<01:22:18.480>

Keywords: 910, house, all

Summary: The hearing began with HB 1113, which would create an intensive mobile team pilot program in the Department of Health for chronically houseless individuals with serious brain disorders such as schizophrenia. The Department of Health Adult Mental Health Division strongly supported the bill, and written support was also submitted by several health and harm-reduction organizations. Members asked about the program’s size and coordination with existing services; the testifier said the team would use a low-caseload, 24/7 mobile model, coordinate with police, ERs, hospitals, housing, dual-diagnosis treatment, and other case-management resources, and continue serving participants even if they cycle through jail or hospital. The committee amended the bill to change the participant language from a maximum of 40 to “at least 40,” blanked out the appropriations section, deferred the effective date to July 1, 3000, and then adopted the chair’s recommendation to pass with amendments by unanimous vote in both committees. The next measure, HB 1140, would appropriate funds for DLNR to clean up homeless encampments on department lands. DLNR testified in support, saying it conducts about 22 to 24 cleanups per year and the bill would help it address homelessness statewide. Members asked whether the funds would be used to sweep people out of areas; DLNR said its practice is to give notice, allow time to leave, and then clean up what remains, with storage procedures for personal property. The department also said people still present are told to move to the county area across the road. DLNR confirmed the bill is not in the governor’s budget, though it is in the governor’s legislative package. The committee then heard HB 1486, which would make it disorderly conduct to remain or loiter within 20 feet of a bus stop without intent to use bus services. The Office of the Public Defender opposed the bill, arguing that criminal enforcement is not the right tool, could lead to arrests of people who are simply tired or unhoused, and could create a cycle of repeated low-level cases and constitutional issues around questioning and intent. HPD supported the bill, saying officers would generally try to get people to move first, but could also use field questioning, citations, or arrests depending on the circumstances; HPD said such incidents can be documented and later used in ACT or other mental-health interventions. A private resident testified in support, describing bus stops near her home as occupied overnight and burdening nearby residents and small businesses. Written support came from the City and County of Honolulu Mayor’s Office, and one individual opposed the bill. Members also asked about neighbor-island impacts, property handling, and whether the bill could help connect people to services; HPD said it had not consulted other counties and would follow up. Finally, the committee began hearing HB 877, which would prohibit encampments within 100 feet of the property line of a K-12 public or private school or school facility. DLNR stood on its written testimony, and the Department of the Attorney General raised concerns that the bill did not specify how violators would be removed, what would happen to property or the encampment, or whether the buffer zone applies only to public spaces. The AG suggested making violations petty misdemeanors and adding clearer definitions and due-process guidance. Members asked whether charter schools are included and whether private-property situations within the buffer zone should be clarified; the AG said public schools include charter schools and indicated the bill may need more specificity about private property and trespass situations.

Transcript Highlights:

• <00:26:52.640> um<00:26:53.679> foundation basic values and the basic um foundation
• basic values and the basic um foundation that<00:26:55.039> our<00:26:55.360> students
• basics of where information is gathered. basics of where information is gathered.
• I would basically work education?
• and basically with your fellow members. and basically with your fellow members.

Keywords: 912, senate, all

Transcript Highlights:

• care facilities.
• Licensed health care providers and licensed health care facilities.
• to care for all of us?
• , documentation of care, or standard of care.
• , documentation of care, or standard of care.

Summary: The House Committee on Health and Welfare met on April 23 and first disposed of several items without hearing them, including HB 1093 and HB 1145, and voluntarily deferring HB 946. The committee then quickly reported HB 1095 favorably without objection. That bill would require nursing facilities to have fuel or another alternative power generation source to maintain power, and supporters said it preserves existing backup-power safety requirements while giving facilities more flexibility as technology changes. The committee then took up HB 926, which concerns vaccination status and admission to public buildings and seeks to prohibit medical mandates. After adopting an amendment set and additional changes clarifying exclusions for licensed health care providers and facilities, medical masks, and child welfare/school-related provisions, the committee heard testimony both for and against the bill. Supporters framed it as a civil-liberties measure limiting vaccine-card requirements for public buildings, while opponents warned it could interfere with public health measures, school immunization rules, and the ability of health care facilities to protect patients. The bill was reported favorably on an 8-4 vote. HB 1220, a cleanup bill for the Louisiana State Board of Medical Examiners, was then reported favorably after a technical amendment set. HB 1227, which would require complaints involving medical judgment to be reviewed by a three-physician panel before formal disciplinary action, drew extensive testimony from a physician sponsor, a doctor describing his disciplinary experience, and the board’s executive director, who said the board already uses practicing physicians, nurses, and experts in its process and warned the proposed panel system could be impractical because physicians are difficult to recruit for such reviews. At the sponsor’s request, the committee voluntarily deferred HB 1227 for further work. Finally, the committee reported HB 1217 favorably with amendments to a pharmacy benefit manager transparency bill, after supporters said it would expose hidden pricing and rebate practices and opponents argued some provisions were duplicative or unnecessary. HB 1028, setting minimum Medicaid reimbursement rates for non-emergency medical transportation, was reported favorably and referred to Appropriations after supporters described the need for higher rates and members discussed funding. The committee also reported HB 1185 favorably, with amendments preserving the existing Rural Hospital Preservation Act while extending similar protections to additional rural-lookalike hospitals, and adopted HCR 76 to continue the Health Inequities and Disparities in Rural Areas Task Force for another year.

Transcript Highlights:

• So I want to be careful.
• They're serving as an adjunct for health care. But... For health care.
• To be clear, naturopathic care was never instead of any physician's care.
• We're not delaying care for people who have some. that we're a medical doctor, we're not delaying care
• For this type of care, and that Floridians have safe alternatives to traditional medical care.

Summary: The committee first heard Senate Bill 1414 by Sen. Polsky on congenital cytomegalovirus (CMV) education. The bill would require the Department of Health, working with medical experts, to create and distribute CMV educational materials to expectant and new parents or caregivers through hospitals, birth centers, and OB/GYN practices. An amendment removed a section that would have required instruction for medical professionals, and the amended bill was reported favorably as a committee substitute. The committee then took up a block of confirmations. Appointees on tabs 2 through 7 were recommended favorably in one vote, and Chavon Harris was separately confirmed as Secretary of the Agency for Health Care Administration after extensive questioning. Senators praised her leadership and experience, while others raised concerns about Medicaid redeterminations, the state’s CORE modernization project, Hope Florida, and a DCF anti-marijuana ad campaign; Harris said she would follow up on some issues and defended the agency’s work on transparency, managed care oversight, and access to care. Her confirmation was recommended favorably, with Sen. Berman noting opposition. Several health-related bills were then heard and advanced. SB 186 by Sen. Garcia expanded epilepsy training requirements for school personnel, including charter school bus drivers, and was reported favorably. SB 902 by Sen. Garcia, after amendments narrowing dental workforce provisions and allowing certain seizure rescue medication delegation to family home health aides, was reported favorably; testimony focused on medical marijuana regulation, practitioner accountability, and concerns about park and child-care proximity restrictions. SB 196 by Sen. Sharif created a uterine fibroid research database with privacy protections and was reported favorably after emotional testimony from a patient and supporters. SB 688 by Sen. Rodriguez would reestablish licensure of naturopathic doctors; it drew both support and skepticism about diagnosis and treatment boundaries, but was reported favorably. SB 1574, Maddie’s Law, would add biliary atresia screening to newborn screening and was strongly supported by parents describing a delayed diagnosis; it was reported favorably. SB 878 on clinical laboratory personnel, SB 1092 on podiatric medicine and certain cellular/tissue-based products, and SB 1032 on medical marijuana registry timelines and veteran fee waivers were also reported favorably, while SB 1032 drew debate over longer renewal/supply periods. The committee then began SB 1760 on Medicaid oversight and program transparency, with the sponsor describing the bill’s creation of a joint legislative oversight committee and a legislative actuary.

Transcript Highlights:

• roles uh rarely Focus only on basic roles uh rarely Focus only on basic needs<00:14:02.360> and
• <00:28:41.120> needs converter or a medical bill basic needs converter or a medical bill basic
• Holman, who is the CEO of Central Care, and Dr.
• <00:42:41.119> thank of Minnesota and cental Care thank of Minnesota and cental Care thank
• few words that we use at Central Care few words that we use at Central Care and<00:47:14.119>

Keywords: 1187, senate, all

Transcript Highlights:

• You look at our direct care staffing levels, just direct care, it's roughly running about 63% agency,
• You look at our direct care staffing levels, just direct care, it's roughly running about 63% agency,
• So we're seeking that $2 million at the— —level of care.
• One care navigator per county? Mr. Chair, Representative… One care navigator per county? Mr.
• So overall, $1.4 million basically. Thank you, Ms.

Bills: HB1

Keywords: feed bill, legislative appropriations, legislative branch, New Mexico Legislature, general fund, legislative council service, legislative finance committee, legislative education study committee, house chief clerk, senate chief clerk, per diem, mileage, session expenses, interim committees, district staff, capitol complex, capital outlay data system, legislative processing system, redistricting, census redistricting

Transcript Highlights:

• basically what this is. Thank you, Dr. basically what this is. Thank you, Dr.
• basically the same thing.
• US Renal Care providing comments. >> Thank you very much. US Renal Care providing comments.
• basic minimum quality standards. Um and basic minimum quality standards.
• Hawaii Care Choices Solomon in support. Hawaii Care Choices in<00:41:46.560> opposition.

Keywords: 912, senate, all

Summary: The Committee on Health and Human Services heard several health-related measures. SB 3132 on syndromic surveillance drew support from the Department of Health, healthcare organizations, and others, with DOH explaining the bill would formalize a surveillance program that has helped with real-time flu tracking and response to events like the Maui fires. A member raised privacy concerns from opponents, and DOH responded that the data are deidentified and do not include Social Security numbers or dates of birth. No votes were taken on the bill in the portion provided. SB 3134 on emergency medical systems of care received broad support from SHIPA, DOH, military and EMS representatives, and others, who said it would modernize the EMS system. SB 3136 on lead materials and water infrastructure was also supported by DOH and SHIPA; members asked whether the bill would allow Hawaii to keep stronger standards if federal drinking water rules were weakened, and DOH said the state would not have to follow weaker federal standards as long as Hawaii remained as stringent or more stringent. SB 3138 on independent audits of deposit beverage distribution drew support from DOH and several industry groups, but with amendments to reduce burdens on small businesses, raise the audit threshold, and modernize reporting; opponents also testified. DOH later clarified that the measure would affect a limited number of distributors and said it is working on an electronic submission system, though not yet for audit filings. SB 3139 concerning SHIPA was supported by SHIPA and the Grassroots Institute of Hawaii, while HMSA suggested one provision should remain under the insurance commissioner’s purview. SHIPA said the bill is about collaboration and a broader health vision, not regulation, and members indicated they were comfortable with removing the disputed portion. SB 3207 on background checks drew support from healthcare providers but opposition from the Attorney General and DOH. Supporters argued the FBI fingerprinting requirement is costly, duplicative, and difficult to schedule, while opponents said the bill would improperly shift fingerprint collection authority to hospitals and other facilities and could conflict with federal law. The committee engaged in extended questioning about costs, federal requirements, and whether the mandate would be passed on to patients; no final action is reflected in the excerpt. The committee then began SB 2271 on hospital licensing, with support from SHIPA, the Developmental Disabilities council, healthcare groups, Kaiser Permanente, and DOH, and commenters said the bill would allow hospitals to demonstrate compliance through CMS-recognized accreditation, with a suggested wording change to “approved” accrediting organization.

Transcript Highlights:

• contingent basis and the insurance care contingent basis and the insurance care here<00:05:28.039
• <01:06:38.240> so child care and Elder Care Workforce so child care and Elder Care Workforce
• Their moms are working in child care and elder care.
• and elder care working in child care and elder care they<01:08:10.000> can<01:08:10.279> barely
• It's so basic, but it's essential.

Keywords: 1191, senate, all

Transcript Highlights:

• versus emergency care?
• care.
• When people aren't able to get that health care coverage, they're only really able to get that care through
• emergency care.
• judgment and standards of care.

Summary: The committee first heard SB 145, which would require adult residential care providers, especially assisted living centers, to have generators or other backup power arrangements and to submit preparedness plans to LDH. After technical amendments and testimony from the sponsor, LDH, and the assisted living industry clarifying the bill’s scope and cost concerns, the committee adopted the amendments and reported the bill favorably. It then took up SB 433, which would require Medicaid coverage of medically necessary FDA-approved weight loss drugs, including GLP-1 medications, subject to appropriations and fiscally sustainable coverage criteria; the bill was reported favorably after discussion of current Medicaid coverage and costs. The committee also approved SB 52, which requires better coordination between DCFS and LDH so SNAP and Medicaid benefits can follow children more quickly when they are removed from or returned to a home. Technical amendments changed reporting deadlines and required written notice, and the bill was reported favorably. SB 4 on public water fluoridation was amended to allow local governments or voters to opt out through a petition and election process, with support from the Louisiana Dental Association and others after compromise language was adopted; it was reported favorably with amendments. SB 152, which would prohibit the sale of cultured or lab-grown food products for human consumption, was also reported favorably with amendments after brief testimony in support and opposition. The committee next approved SCR 37, which asks the Surgeon General to review Louisiana’s informed consent laws and report back on any gaps, after discussion that the existing medical disclosure panel had not met since 2018. It then considered SB 194, a public assistance bill aligning Louisiana Medicaid and SNAP rules with recent federal changes on non-citizen eligibility and tightening Medicaid’s reasonable opportunity period for citizenship verification. After extensive debate over immigration, emergency care, and whether the bill could harm eligible applicants or rural hospitals, the committee adopted an amendment allowing LDH discretion for emergency health care services and reported the bill favorably by an 8-3 vote. Finally, HCR 113 created a task force to study gestational carrier agreements and assisted reproductive regulation; after debate over surrogacy, ethics, and referral to Civil Law, the committee rejected the referral motion and then reported the resolution favorably, and the meeting moved on to SB 333 on child-in-need-of-care proceedings and legal representation funding.

Transcript Highlights:

• Basically, when the department did its projections for expanding child care, it assumed that there would
• wouldn't need full-time child care assistance.
• And the pressures on our committee to fund things we all care about, in addition to caring about early
• Continue work means basically in the next 48 hours?
• Page 17: this is the Health Care Authority budget, and basically we were able to come up with a scenario

Keywords: 996, all

Transcript Highlights:

• . care. care.
• So when Medicare, whomever, pays for hospice care, they basically pay for a bundle.
• So when Medicare, whomever, pays for hospice care, they basically pay for a bundle.
• Um, this is seeking to basically align patient expectations of quality care with that.
• . care. care.

Keywords: 1189, house, all

Transcript Highlights:

• care in our health care system here in our state.
• state home care program.
• My name is Dionysia, and I am a home care worker for Latter Care.
• Basically, Medicaid-income-eligible older adults in Massachusetts right now choose between home care
• are on group adult foster care.

Keywords: 995, all

Summary: The committee heard testimony on several aging-related bills, with most speakers focusing on housing stability, home-based services, and care transitions. Representative Badger and a commissioner testified in support of H4039, which would create a universal breakfast and lunch program at senior centers funded through a new Senior Breakfast and Lunch Fund, arguing it would reduce food insecurity and social isolation among older adults. Representative Lipper-Garabedian and multiple providers then supported H780/S495, the hospital-to-home partnership program, describing how embedded aging-services liaisons help older patients transition safely from hospitals to home, reduce readmissions, and avoid nursing facility placement; witnesses from Mystic Valley Elder Services and Mass Aging Access cited pilot results, including hundreds of patients served and examples of substantial cost savings and successful discharge planning. The committee also took testimony on S478, which would require continuing care retirement communities to disclose entrance-fee refund policies more clearly at enrollment. Senator Lovely and LeadingAge Massachusetts said the bill would improve transparency for residents and families, while a consumer witness said her family experienced delays and confusion in getting a refund after her mother left a CCRC. Members noted the issue is also being examined by a special commission on CCRCs. A large portion of the hearing focused on S475, a statewide bridge subsidy program for older adults facing housing instability. Advocates from the Massachusetts Coalition for the Homeless, Western Massachusetts, Somerville, Northampton, East Hampton, Old Colony Elder Services, and Somerville’s Office of Housing Stability described rising senior homelessness, long waitlists for subsidized housing, and cases where short-term rental assistance kept older adults housed while they waited for permanent housing. Somerville witnesses said the pilot program helped nine households remain housed and that some participants have since moved into permanent housing. Members asked about wait times, program design, and how to prioritize applicants; witnesses emphasized flexibility, emergency risk, and the need for a statewide expansion. The hearing also included testimony on S465, an ALS bill that would expand home care access regardless of age and bar the use of quality-adjusted life-year metrics in coverage decisions, with the sponsor and ALS Association arguing the measure would reduce discriminatory treatment and better center patient care. No votes were taken during the hearing.

Transcript Highlights:

• of care, we're unable to transition them to long-term care facilities.
• So long-term care began long-term care.
• the long-term care. the long-term care.
• > u child care facilities foster care u child care facilities foster care u placement<01:35:50.400
• And this bill basically modifies long-term care eligibility by adding mobility to a list of activities

Keywords: 1191, senate, all

Transcript Highlights:

• health care just goes up and up and up. health care just goes up and up and up.
• The child care workforce and the families shouldering the burden of paying for child care are integral
• > puzzle<00:55:26.320> without solve the child care puzzle without solve the child care
• 00:56:49.920> is<00:56:50.040> not care SEIU members provide is not care SEIU members provide
• It is the most basic human optional.

Bills: HF4621, HF4123, HF4616, HF1183

Keywords: child tax credit, financial assistance, low-income families, state revenue, tax policy, net investment income, taxation, business income, self-employment, tax increase, wealth tax, fairness, public services, high-income earners, economic equity, Internal Revenue Code, employee classification, federal law, Minnesota statutes, 1183

Transcript Highlights:

• life-course health care.
• Substance use disorder care should be integrated into whole-person, life-course health care.
• And then second. ...care into all of our other health care.
• care organizations.
• people into care.

Summary: The task force meeting opened with new leadership announcements, including Senator Nick Schroer thanking outgoing chair Representative John Black and naming Representative Del Taylor as vice chair. After some initial technical difficulties with audio and Zoom, members reviewed the task force’s statutory charge under Missouri law: to hold hearings on substance use, explore solutions, draft or modify legislation, and produce recommendations for prevention and treatment. The chair said the goal for this year is to develop concrete legislative ideas for the next session, with hearings focused first on field experts and later on alternative therapies and the Department of Mental Health. Dr. Rachel Winograd gave the first major presentation, describing Missouri’s overdose crisis as increasingly complex and driven primarily by fentanyl, now compounded by xylazine and metatomidine. She said overdose deaths have declined for a third straight year, with preliminary 2025 data around 1,200 deaths, and attributed the decline to a smaller fentanyl supply, wider naloxone availability, and fewer young people entering use. Her main recommendations were to focus on reducing harm rather than trying to eliminate drug use, expand evidence-based medications for opioid use disorder—especially methadone and buprenorphine—improve access to naloxone, and loosen methadone regulations, including take-home doses, the federal 72-hour rule, and broader methadone units. She also emphasized that peer support, housing, transportation, and other practical supports matter, and noted that naloxone can still reverse fentanyl overdoses even when tranquilizers are present. Dr. Heidi Miller, the state medical director, followed with two recommendations: integrate substance use disorder care into whole-person health care and follow the science when considering substance-related legislation. She argued that primary care, maternal health, workforce training, EMS, public health, and methadone access should all be part of a coordinated model, and said reimbursement should support teams rather than isolated providers. She also urged stronger enforcement of parity between behavioral health/SUD and physical health coverage, and highlighted tobacco and alcohol as major, under-addressed causes of death in Missouri. Dr. Doug Burgess then reinforced the need for a coordinated continuum of care, comparing substance use treatment to the seamless system used for heart attacks, and said patients should have standardized assessment, discharge planning from day one, transition coordinators, peer recovery coaches, and better information-sharing between levels of care. Members asked questions about relapse, treatment court, EMS referral barriers, reimbursement, and whether buprenorphine can be started in the field; no votes were taken, and the meeting ended with plans to continue hearing testimony and use it to shape future policy recommendations.

Transcript Highlights:

• Again, it would establish a pilot program for maternal infant care centers around the state. Any?
• Again, it would establish a pilot program for maternal infant care centers around the state. Any?
• And I would really love for it to be signed next time we pass it basically unanimously.
• Because not quite unanimously, but it's basically unanimously. How many people would have it?
• Then that's basically unanimously, bro. That's what that means.

Keywords: 993, senate, all

Summary: The Senate Standing Committee on Health considered a series of health-related bills, many of which were reported favorably. Among the measures approved were SB 999, which would restructure Medicaid reimbursement for early and periodic screening, diagnosis, and treatment services for children with IEPs or disabilities; SB 1816, lowering the state definition of elevated blood lead levels to 3.5 micrograms per deciliter; SB 1911A, extending due process protections for health care professionals when insurers terminate or fail to renew them; and SB 3105, allowing reciprocity for out-of-state medical cannabis patients. The committee also advanced SB 4589 on federally qualified health center rate adequacy, SB 4955B on Medicaid Inspector General audit procedures, SB 9196 to ban new for-profit hospices, SB 9237 expanding the definition of family for certain foster care health facility services, and SB 9275 requiring Medicaid coverage for gender-affirming care and prohibiting related discrimination. Several of these bills were sent to Finance, while others were sent to First Reading or Higher Education as noted. The committee also discussed SB 2625, which would expand pharmacists’ authority to prescribe, administer, and dispense medication-assisted treatment for opioid use disorder. One member raised concerns about expanding scope of practice without coordination with primary care or a holistic review of patient conditions, and indicated opposition; the bill was nevertheless referred to Higher Education. SB 5056B, requiring the Department of Health to examine heat vulnerability and heat-related deaths, prompted discussion about whether the bill should explicitly require recommendations for prevention; the sponsor said the idea was to gather data and that recommendations could be added, and the bill advanced with some reservations. Other measures included SB 7460, reauthorizing a maternal infant care centers pilot program using an existing $350,000 appropriation, and SB 9388, requiring public notice and engagement when a general hospital closes or shuts down a psychiatric, mental health, or substance use unit. The hospital closure bill drew discussion about relocations and whether moves that shift services to a new site would trigger the community engagement process; the sponsor said they would. Most bills were approved by voice vote, with some members voting no or without recommendation on certain measures, and the committee adjourned after reporting the bills onward.

Transcript Highlights:

• Basically, parents have the rights to do it. And basically these things are basic rules of reason.
• > are<01:11:19.880> basically<01:11:20.880> rules basic these things are basically
• rules basic these things are basically rules of<01:11:21.560> reason.
• license care facility providing care license care facility providing care license pursuant<03
• that care. that care. Thank<03:20:36.239> you.

Keywords: 1191, senate, all

Transcript Highlights:

• care summit.
• This is in long-term care, but they basically came up with staffing levels that they were going to require
• or care for the poor.
• care spend.
• health care expenditure.

Keywords: 916, all

Transcript Highlights:

• decreases quality of care and access to<00:25:24.640> care<00:25:25.360> as<00:25:25.600
• I can just give you one health care.
• health care cost or anything with that. health care cost or anything with that.
• and lower premiums at the end of the day for the same care.
• That's end of the day for the same care.

Bills: HB55, SB15, SB247

Keywords: fishing, licensing, jubilee, Marine life, Alabama, regulations, sex offenders, employment restrictions, first responders, public safety, juvenile offenders, local laws, registration requirements, picketing, protesting, residential protest, noise amplification, amplified sound, residential picketing, harassment

Transcript Highlights:

• Thank you very much. ...and then the hospitals basically providing uncompensated care and having difficulty
• He required 24-hour care.
• c><01:50:11.320> in<01:50:11.520> accordance care and access to care in accordance care
• Uh, basically what you said.
• Uh, basically what you said.

Keywords: 1191, senate, all