Transcript Highlights:

• Vanessa Cahina with KP Public Affairs, on behalf of the California Academy of Family Physicians, here

Summary: The Assembly Appropriations Committee met on April 8, 2026, with a quorum established and 59 bills listed for consideration. The committee first approved two consent calendars: several bills were sent to the Assembly floor on a due-pass basis, and a smaller set was approved due-pass but not eligible for the floor consent calendar. The proposed suspense calendar was then deemed approved without individual debate on those measures. The committee heard several bills in regular order. AB 1977, sponsored by the Secretary of State, would clean up and clarify the Online Notarization Act to support implementation by 2030; it drew no opposition and was approved. AB 2011 would codify existing federal mental health parity standards into state law; supporters said it would preserve enforcement authority, while health plans opposed it as premature given federal uncertainty and possible premium impacts; the bill was placed on the B roll call. AB 1673 would give county fish and game commissions more flexibility to use certain revenues for wildlife conflict prevention, and it advanced on an A roll call. AB 2233 would allow unused authorized ABA therapy hours for children with autism to be made up within the authorization period; supporters emphasized access and continuity of care, while insurers warned of higher costs and reduced utilization safeguards; it advanced on an A roll call. AB 1660, as amended, would give courts more flexibility in cases involving financial institutions and public guardians/conservators, with supporters saying it could save counties time and money; it was approved due-pass as amended. During general public comment, speakers voiced support for AB 2081 and AB 1667, and opposition to AB 1777. After public comment and final vote recording for absent members, the committee adjourned.

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• But wives across America need our husbands to know about this and reach out and talk to a physician about

Summary: The Assembly convened, initially without a quorum, and the clerk called the roll until a quorum was present. The body then proceeded with prayer, the Pledge of Allegiance, journal approval, and several unanimous-consent motions, including re-referrals of AB 1878, AB 2089, and AB 1660 to different committees. Members also introduced guests, including the 2025 Central East High School football team, Morgan Hill leadership students, Southlands Christian fourth graders, and journalist Juan Esparza Loera, whom members praised for decades of reporting in the Central Valley. On the floor file, ACR 139 was presented to designate March as Sleep Apnea Awareness Month. Supporters described the health and safety risks of undiagnosed sleep apnea and emphasized the value of screening and treatment; the resolution was adopted by voice vote after 61 coauthors were recorded. AB 1656, a human-trafficking victim protection bill, was also taken up and passed 58-0 after testimony that it would expand “good cause” for trial continuances to better protect survivors and preserve continuity of counsel. The chamber also adopted the consent calendar, including AB 1583 and SCR 11, by 63-0 votes. The session concluded with adjournments in memory for Salinda Gonzalez, a Yurok community advocate for mental health and suicide prevention, and Sandy Steers, a Big Bear conservationist and executive director of Friends of Big Bear Valley. Members highlighted Gonzalez’s work supporting Native communities and Steers’ decades of wildlife advocacy and public education. The Assembly then announced its next meeting for Monday, March 16 at 1 p.m., including the Women of the Year ceremony, and adjourned.

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• This is a bill that she put together, related specifically to making sure that those physicians—where

Keywords: 993, senate, all

Summary: The committee considered a series of health-related bills, many of which were described as repeat measures previously passed by the Senate. Topics included expanding telehealth coverage, increasing Department of Health oversight of correctional health services, improving transparency for managed long-term care plans, requiring written consent for psychotropic medications in nursing homes and adult care facilities, extending Medicaid inpatient coverage for childbirth, expanding abortion travel funding eligibility for active-duty military families, simplifying Medicaid enrollment and recertification, adding certified recovery peer advocates to standard coverage, strengthening protections against sexual misconduct by medical providers, covering medically tailored meals and nutrition therapy, regulating retail clinics, requiring nurse representation on hospital governing boards, creating a blood clot and pulmonary embolism work group, testing potable water in parks, setting PFAS drinking water standards, improving lead service line identification, creating a quality incentive program for Medicaid managed care, expanding concussion information requirements to additional youth sports, setting a residency requirement for funeral director licensure, and changing Medicaid Inspector General audit practices. Most bills were briefly explained by sponsors or the chair, with limited debate. Several members asked clarifying questions on specific provisions, including the frequency of park water testing, how concussion information would be distributed, and details of the nurse representation requirement. The chair also noted pulling one correctional health bill from the agenda in favor of a more comprehensive measure, and one bill on correctional health was formally removed from consideration. The committee voted on each remaining bill, generally with unanimous or near-unanimous support. Most measures were reported to either first reading or finance, while the bill on psychotropic medications was sent to aging. The correctional health bill that remained on the agenda was approved despite one opposition, and the bill on funeral director licensure was also advanced with one abstention. The meeting concluded after all listed bills were acted on.

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• compacts such as the Nurse License Compact, Physical Therapy Compact, Counseling Compact, and the Physicians

Bills: SB1806, SB1430, SB206, SB1547, SB1849, SB1428, SB1653, SB1984, SB1644, SB1561, SB1813, SB1570, SB1796

Keywords: foster care, adoption assistance, transitioning youth, Department of Human Services, voluntary services, mental health, substance abuse, commissioner appointment, governor's authority, legislative consent, SB206, emergency medical services, EMS, ambulance, 911 response, emergency response, essential services, federal funding, grant funding, public health

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• that results in a physical impairment; number two, post-traumatic stress disorder diagnosed by a physician

Keywords: 996, all

Summary: The committee met with a quorum and took up its only bill, House Bill 132, which would create workers’ compensation presumptions for police officers for certain conditions, including noise-induced hearing loss/tinnitus, PTSD, and heart injury or stroke occurring within 24 hours of responding to or returning from a call or emergency. The sponsor described the bill as a bipartisan effort developed with input from workers’ compensation officials, PERA, and the Albuquerque Police Department, aimed at easing the burden on officers to prove causation while still allowing employers to rebut claims. An amendment was adopted first, refining definitions and adding language that preserves an officer’s ability to prove causation even when the presumption does not apply, and tying the heart/stroke presumption to the existence of a physical training program and medical screening requirements. Supporters included representatives of the Albuquerque Police Officers Association, the Workers’ Compensation Administration, New Mexico State Police, AFSCME/NMFL, and a workers’ compensation attorney. They argued the bill recognizes the cumulative physical and psychological toll of law enforcement, could improve treatment and retention, and would reduce disputes over causation while remaining balanced. One supporter asked the sponsor to consider changing the 20-year requirement tied to PTSD coverage so officers in smaller departments could access benefits earlier. Committee discussion focused on the amendment’s physical training and medical screening condition for the heart/stroke presumption, with questions about whether all departments have such programs and whether the language could limit coverage. Workers’ compensation staff testified that, from 2016 through 2025, there were 75 statewide claims potentially covered by the bill’s provisions before amendment, including about 20 hearing-loss claims, 11 heart-related claims, and about 44 mental-injury claims. A medical witness said research supports a correlation between law enforcement work and these conditions, though no New Mexico-specific study was available yet. After discussion, the committee voted to give House Bill 132, as amended, a do-pass recommendation, with no opposition recorded.

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• children in out-of-home care who are prescribed psychotropic medications, establishes prescribing physicians

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• Preventative and aerospace medicine, and a fellow of the American Academy of Family Physicians.

Keywords: 1182, all

Summary: The House convened with prayer and the Pledge of Allegiance, approved the prior day’s journal, and recognized the Doctor of the Day, Dr. John Lynch of Legislative District 12. Members also introduced a number of guests and visiting groups, including Arizona electric co-op representatives, March of Dimes advocates, CRNAs, AEA retirees, a University of Arizona legislative fellow, and other constituents and visitors in the gallery. The chamber then handled routine floor business: attendance was recorded at 58 present, one absent, and one excused; committee substitutions were announced; HB 2677 was removed from the Judiciary Committee and additionally referred to Public Safety and Law Enforcement; and a large slate of House bills and one concurrent resolution were first read and referred to committees. The clerk also read a lengthy list of bills on second reading, covering a wide range of topics including education, health care, housing, taxation, elections, water, labor, public safety, and other policy areas. No substantive debate or votes on legislation occurred during the floor session beyond the referral actions and procedural announcements. Members made announcements about upcoming blood donations, a Veterans Caucus coffee and donuts event, and several committee meetings scheduled for later in the day or the following day. The House then adopted a motion to adjourn until 10 a.m. on Thursday, January 22, 2026.

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• Part of the place that we're going to direct it to is to the for greater education of physicians, consumers

Bills: SB5, SB11, SB12, SB9, SB42, SB15, SB5, SB11, SB12, SCR1

Keywords: hemp regulation, consumable products, cannabinoids, occupational licenses, criminal offenses, SB 11, Texas attorney general, election crimes, election law enforcement, criminal prosecution, Election Code, Government Code Chapter 402, local prosecutors, county attorney, district attorney, grand jury, probable cause reports, state election offenses, voter fraud, election integrity

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• We heard serious testimony from physicians that having more daylight earlier in the day was beneficial

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• By an insured directly to a physician providing direct primary care for the Committee on Insurance, HB

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• voting of certain elections, HB 541 by Shaheen, relating to the provision of direct patient care by physicians

Keywords: 1184, house, all

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• House Bill 117, introduced by Representative Ferrary, an act relating to vital statistics, allowing physician

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• I am a practicing family physician and instructor in medicine at Harvard Medical School and a member
• My hope, as a future weight-inclusive physician, is that my patients, regardless of their weight, will
• My hope, as a future weight-inclusive physician, is that my patients, regardless of their weight, will
• In witnessing the result of sex-work-related arrests in my work as a physician, it's never been more

Keywords: 995, all

Summary: The Joint Committee on the Judiciary held a lengthy public hearing on a wide range of civil rights, immigration, hate crimes, and reparations bills. Chair Edwards and Chair Day opened with strict testimony rules, including two-minute limits, written testimony options, and decorum requirements. Attorney General Andrea Joy Campbell testified in strong support of S. 1126/H. 1920, the Combating Hate in the Commonwealth bill, saying Massachusetts needs stronger tools to address rising hate and bias incidents. Her Civil Rights Division chief explained that the bill would give the division civil investigative demand/subpoena power, expand civil rights enforcement, close loopholes in the Massachusetts Civil Rights Act, add protected classes to the hate crimes law, and require better hate-crime data reporting. The committee also heard support for H. 1954 on access to counsel in immigration proceedings, H. 4684 on law enforcement identification and public trust, and H. 1927 to exonerate individuals accused of witchcraft in colonial Massachusetts. Several bills focused on discrimination and civil rights enforcement. Supporters of S. 1248 on organizational standing said fair housing nonprofits need explicit authority to bring discrimination complaints in their own names, especially as federal protections are under attack. On H. 1246, advocates urged adding sex and gender as protected classes in the hate crimes statute, arguing women are not protected under current state law. H. 1820 drew testimony for protections against height and weight discrimination. H. 1995 would regularize sentencing for hate crimes by requiring diversity awareness training for both convictions and continuances without a finding, and H. 1056/H. 1589 would broaden hate-crime victim standing and require restitution to be used to repair harm. H. 1886 would clarify that defense-based social service staff are exempt from mandated reporter obligations when working under attorney-client privilege. The committee also heard testimony on H. 1889/S. 1064, a bill to eliminate disparate impact. Environmental justice advocates, fair housing attorneys, and community members argued that neutral policies can still produce discriminatory outcomes and that Massachusetts should allow state-court claims and a private right of action to address them. Committee members raised concerns about litigation floodgates, punitive damages, and the scope of protected classes, while supporters said the bill would mainly target systemic harms and injunctive relief. Additional testimony supported H. 1922/S. 119, the Fair Investment Act, which would create civil rights protections in venture capital and other investment settings for founders and investors, especially women and minority entrepreneurs. The hearing also included testimony on H. 1683, the Sex Trade Survivor Act, which would expand vacatur and expungement relief for trafficking survivors, remove archaic offenses from the code, and create an interagency commission; supporters emphasized reducing barriers to housing, employment, and reentry. Finally, the committee heard extensive support for H. 1753/S. 1181, establishing a commission to study reparations in Massachusetts. Testifiers described the state’s history of slavery, redlining, and ongoing racial disparities, and urged the committee to report the bill favorably. No votes or final actions were taken during the hearing.

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• So, Wyoming traditionally has reimbursed our physicians at 90% of the floor for Medicare.
• Wyoming traditionally has<00:15:29.279> reimbursed<00:15:29.920> our<00:15:30.160> physicians
• /c><00:15:31.120> at<00:15:31.440> 90%<00:15:32.480> of has reimbursed our physicians
• at 90% of has reimbursed our physicians at 90% of the<00:15:33.040> floor<00:15:33.360> for

Keywords: 916, all

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• And then the other payment that you saw on the screen was an IGT program for physician payments that
• :00:34.799> for on the screen was an IGT program for on the screen was an IGT program for physician
• 36.079> that<01:00:36.319> that<01:00:36.640> we've<01:00:36.960> asked physician
• payments that that we've asked physician payments that that we've asked Medicaid<01:00:38.160> to

Keywords: Medicaid - Room 216, 4 February, 2026; 2:00 PM, 925, all

Summary: The committee heard presentations on several Medicaid-related topics. First, a pharmacy representative discussed nonopioid pain medications as a way to reduce opioid dependence and overdose risk, emphasizing that options such as acetaminophen, NSAIDs, and topical diclofenac can be useful for pain management. She cautioned that nonopioids can still have risks and said any policy should avoid requiring patients to step through opioids before accessing safer alternatives, while still allowing reasonable step therapy among nonopioid options. The presenter said the goal is to keep patients from being pushed toward opioids by cost or insurance design. The committee also heard emotional testimony from parents of a child with Prader-Willi syndrome, who described the condition as a rare genetic disorder that causes severe, lifelong hyperphagia and requires rigid supervision and ongoing treatment. They argued that alternative funding programs can disrupt access to medically necessary drugs such as human growth hormone, forcing families into costly and uncertain coverage gaps. They asked lawmakers to ensure insurance coverage remains stable for rare disease patients and thanked Senator Blackwell for prior support of rare disease legislation. Next, a Livanova representative urged the committee to support higher Medicaid reimbursement for vagus nerve stimulator surgery for drug-resistant epilepsy. He said inadequate hospital reimbursement has reduced access in Mississippi, causing patients to travel long distances or go without treatment, and argued that better reimbursement would improve outcomes and save money over time. He cited studies showing seizure reductions, lower ER use, and a projected $2.8 million in five-year savings for Medicaid based on 40 patients, and asked that hospitals be reimbursed at 100% of Medicare rates for the procedure codes. Finally, a Medicaid official gave a broad overview of hospital payment structure, including fee-for-service, managed care, MHAP, DSH, UPL, provider taxes, and related funding mechanisms. She explained that hospital payments are interrelated and have shifted over time, with major changes tied to managed care, MHAP/UPL increases, and provider taxes. At the end of the discussion, the committee was running short on time and asked her to skip ahead to the provider tax component; no votes or formal actions were taken in the portion provided.

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• Just an example of some of those, the main drivers: Drugs going up 8% a year, Physician costs, 7%, Nursing
• significant agreement regarding training costs with UT Southwestern and other schools as well on the non-physician
• And so, I know that this has made a significant investment in training physicians, nurses, and others
• healthcare workers. with everybody else in the medical community and with other states for our physicians

Bills: HB26, HB73, SB 14, HB46

Keywords: HB26, law enforcement contracts, sheriff, constable, county commissioners court, commissioners court, private security, special law enforcement district, property owners association, POA, municipal utility district, school district, junior college district, local government, contract policing, supplemental police services, large counties, population over 3.3 million, Texas Local Government Code, Harris County

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• from Brian, who was the former medical director of a large hospital system in Minnesota, who said physicians
• hospital system in Minnesota<00:15:17.120> who<00:15:17.279> said<00:15:17.519> physicians
• <00:15:18.079> want<00:15:18.320> to Minnesota who said physicians want to Minnesota
• who said physicians want to practice<00:15:18.880> at<00:15:19.120> smaller<00:15:19.519

Keywords: 1187, senate, all

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• Were you aware that physicians were also involved in 18% of those Medicaid fraud cases?
• actually takes place by those in the executive field. agencies, medical equipment providers, and physicians
• It's taking place from home health care agencies, physicians, and medical equipment suppliers.
• Let me share a story, I'm a physician you all know and I see geriatrics that my specialty.

Bills: SB1, HB500, SB1, HB1400, HB 1094, HB365, HB 1109, HB647, HB500

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, state budget, mental health funding, education funding, infrastructure improvements, public safety, groundwater, water conservation, financial assistance, Texas Water Development Board, innovation fund, local conservation districts, transportation protection agreement, funeral services, insurance exemption

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• Madam Chair, members of the committee, I'm Lisa Hollensteiner, retired emergency department physician
• hollensteiner retired emergency hollensteiner retired emergency department<00:12:50.920> physician
• <00:12:51.560> was<00:12:51.760> a<00:12:52.000> previous department physician
• was a previous department physician was a previous member<00:12:52.600> of<00:12:52.720> the

Keywords: 1187, senate, all

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• Physicians do not prescribe the therapeutic cannabis; they simply certify that you have one of a list
• <00:41:39.160> do<00:41:39.319> not a prescription Physicians do not a prescription
• The concern is the financial impact, particularly for pediatricians or physicians up in the North Country
• But there was a physician in northern Coos County that wasn't able to access it in a timely way for his
• MDS dentists all the way down Physicians MDS dentists all the way down to<04:07:05.199> Master's<

Keywords: 928, house, all

Summary: The Finance Division III work session focused on the Department of Health and Human Services’ Division of Public Health Services budget. Department staff said Public Health has a relatively small budget compared with other DHHS divisions, is supported mostly by federal and other non-General funds, and contains nearly 100 accounting units and more than 50 federal grants. They emphasized that the governor’s budget did not include significant cuts, but that federal funding uncertainty and the winding down of pandemic-era resources were major factors affecting the division. The division also explained that some apparent budget growth reflects reorganizations, including moving the Bureau of Emergency Preparedness, Response, and Recovery and some programs from other DHHS divisions into Public Health. The presentation described Public Health’s mission as serving the entire state through food and water safety, disease surveillance, emergency response, maternal and child health, chronic disease prevention, WIC, community health center support, and public health data collection. Members asked about bird flu, and staff explained that human-health response would involve Public Health’s lab, infectious disease, and emergency preparedness units, while animal-health issues are handled with the Department of Agriculture; they also noted ongoing milk testing requested by FDA and USDA. The division said its organizational structure includes bureaus for Family Health and Nutrition, Infectious Disease Control, Public Health Protection, Emergency Preparedness, Prevention and Wellness, Statistics and Informatics, and Public Health Laboratories, with about a 15% vacancy rate. Committee members questioned whether the division’s budget and staffing had really grown since pre-COVID, and staff responded that full-time authorized staffing is about the same as in 2018, with the increase largely due to federal pandemic funding that has since receded and to program transfers between divisions. They said Public Health’s General Fund share is about $24 million out of roughly $1.1 billion in DHHS General Fund spending, or about 2.2% of the department total. Members also asked about the 3,000-position cap and unfunded positions; staff explained that the cap remains in chapter law through June 30, 2025, that 394 positions were unfunded in the governor’s budget, and that the division expects flexibility to move money from personnel lines and fill unfunded positions to manage changing needs. No votes or formal actions were taken in this portion of the work session.