Transcript Highlights:

• And unfortunately, rural communities, it falls in the spectrum of have not.
• At the other end of the spectrum is the level four.
• spectrum of has not. spectrum of has not.
• <00:20:10.320> And of the spectrum is the level four.
• And of the spectrum is the level four.

Keywords: 958, all

Summary: The Senate convened with prayer, the Pledge of Allegiance, roll call, and approval of the prior journal. The House communicated that it had passed House Bill 4 and requested concurrence. The chamber then received second-reading reports for Senate Bills 18, 33, 85, and 132, and committee reports indicating Senate Bills 136, 183, 2, 4, and 71 should pass, with some substitutes and title amendments. The Senate also introduced Senate Resolutions 79 and 80 honoring Joseph Harden McFarland and Jeremiah Parsons. The main floor action centered on Senate Bill 5, relating to Kentucky-grown agricultural product procurement. The sponsor described it as a way to improve school nutrition, support Kentucky producers, and keep food dollars in local communities. Several senators spoke in support, including references to the Make America Healthy Task Force and the idea of using food procurement as a tool for rural prosperity and better nutrition in schools. Senate Bill 5 passed by roll call, 38-0. The Senate also passed Senate Bill 73, which would allow home-based processors to use beef tallow in cosmetic products. The sponsor said the bill would expand existing home-processing authority beyond food products to cosmetics. It passed unanimously, 38-0. Senate Bill 12, relating to medical provider coverage and level four trauma centers, drew the most extended debate. Supporters argued it would help rural hospitals join the trauma network by allowing nurse practitioners and physician assistants to work under physician supervision, including remote supervision, and said it would improve access and save lives in underserved areas. Opponents, including a physician senator, argued the bill would lower trauma-care standards and could put patients at risk by allowing non-physician staffing in facilities that need immediate hands-on medical expertise. After lengthy discussion, the bill was advanced and then passed by roll call, with supporters emphasizing rural access and opponents warning about patient safety and the adequacy of physician coverage.

Transcript Highlights:

• Tardive dyskinesia is a persistent involuntary movement disorder that is characterized by uncontrollable
• , major depressive disorder, schizophrenia, and such.
• movement disorder that is characterized<02:56:15.680> by<02:56:16.000> uncontrollable
• ,<02:56:32.080> major<02:56:32.479> depressive<02:56:33.120> disorder, disorder,
• major depressive disorder, disorder, major depressive disorder, schizophrenia,<02:56:35.279> and<

Keywords: 918, senate, all

Summary: The Senate opened with a call of the Senate, prayer, and the Pledge of Allegiance, then established a quorum and moved to messages from the House. The chamber received several House-passed Senate files, including SF 2814 (real estate appraisers), SF 3637 (transportation), and SF 4244 (technical corrections), and took up SF 1714 on payment transparency and public contracts. The Senate concurred in the House amendments to SF 1714, advanced it to third reading, and then passed the bill 65-0. The Senate also received House amendments to SF 3432 on public safety, but instead of concurring, it voted to send the bill to a five-member conference committee. The Senate likewise agreed to a conference committee request on HF 4188, a commerce bill dealing with consumer protections for insurance and financial products. The Senate then handled additional House messages and routine business, including first reading of several House files and adoption of committee reports. A committee report on SF 453, relating to thermal energy networks as public improvements and water works, recommended amendment and passage under Senate Concurrent Resolution 6, and the report was adopted except for the referenced resolution item. The chamber also completed second readings of several Senate bills and one House bill, and approved a motion to withdraw SF 4464 from the Committee on State and Local Government and return it to the author. The main floor debate centered on HF 1141, the housing finance and policy omnibus. Senator Port described the bill as focused on affordability, including $50 million in housing infrastructure bonds, greater Minnesota infrastructure grants, manufactured housing protections, limits on large institutional investors buying single-family homes, and increased oversight of the Minnesota Housing Finance Agency. The Senate adopted several amendments, including a technical A12 amendment, A7 to dedicate $5 million of bonding to manufactured home park improvements, and A4 on manufactured housing protections such as rent receipts and longer move-out time after eviction. Senator Abler then offered A14, which would limit rent increases in certain non-market-rate, tax-credit housing for seniors to CPI-based increases; supporters framed it as a humanitarian measure for elderly residents facing steep rent hikes, while opponents raised concerns about rent control, the scope of the amendment, and the need for more detail. The transcript ends during continued debate on A14, with no final vote shown on that amendment.

Transcript Highlights:

• develop and complete a comprehensive report analyzing the current breadth, quality, and adequacy of autism

Bills: SCR63, SCR12, HB89, HB451, HB595, HB617, HB621, HB730, HB1064, HB1125, HB221, HCR58, SB106, SB206, SB248, SB441, SB104, SB122, SB180, SB260, SB424, SB476, SCR9, SCR30, SB57, SB414, SB525, SB35, SB65, SB135, SB215, SB246, SB249, SB269, SB276, SB282, SB296, SB323, SB363, SB369, SB474, SB484, SB490, SB492, SB500, SB501, SB513, HCR31, HB462, HB547, HB613, HB691, HB712, HB720, HB723, HB728, HB735, HB747, HB759, HB825, HB845, HB846, HB903, HB904, HB907, HB923, HB929, HB941, HB962, HB965, HB1036, HB287, HB370, HB515, HB521, HB570, HB1200, HB29, HB39, HB58, HB67, HB73, HB76, HB77, HB82, HB112, HB121, HB125, HB132, HB134, HB151, HB154, HB155, HB161, HB166, HB187, HB191, HB207, HB211, HB224, HB238, HB241, HB242, HB250, HB260, HB265, HB275, HB300, HB320, HB338, HB339, HB349, HB379, HB399, HB427, HB463, HB464, HB468, HB545, HB550, HB551, HB565, HB588, HB639, HB725, HB782, HB805, HB808, HB834, HB847, HB853, HB858, HB861, HB883, HB916, HB937, HB977, HB1012, HB1027, HB1044, HB1054, HB1091, HB1117, HB90, HB127, HB138, HB150, HB201, HB268, HB273, HB285, HB315, HB354, HB355, HB360, HB376, HB445, HB506, HB606, HB649, HB665, HB681, HB721, HB746, HB757, HB781, HB835, HB844, HB857, HB872, HB886, HB889, HB892, HB982, HB987, HB1037, HB1068, HB1072, HB1078, HB1085, HB1132, HB1137, HB1167, HB1174, HB1232, HB1238, HB23, HB136, HB17, HB21, HB51, HB55, HB74, HB106, HB108, HB133, HB140, HB159, HB168, HB215, HB226, HB263, HB296, HB299, HB322, HB364, HB519, HB535, HB538, HB568, HB571, HB622, HB635, HB676, HB772, HB784, HB1006, HB1018, HB1033, HB1034, HB1043, HB1070, HB1134, HB1237, HB1239, HB36, HB119, HB126, HB129, HB245, HB271, HB280, HB337, HB351, HB677, HB726, HB789, HB850, HB956, HB966, SB149, SB382

Keywords: fiscal notes, legislation, legislative auditor, state policy, conflict of interest, logging, recognition, John Keith, environment, safety, HB89, Act 615, district attorney, assistant district attorney, retiree health insurance, group health insurance, retirement benefits, public employee benefits, Third Judicial District, Thirtieth Judicial District

Transcript Highlights:

• A voluntary speech disorder identifier on a driver's license.
• Well, encompassing speech disorders, there's a lot of different diagnoses, but the wording of speech
• Chair, is when we say no specific medical condition, there's no description of the specific disorder
• Well, encompassing speech disorders,<01:17:48.960> there's<01:17:49.120> a<01:17:49.200
• no description of the specific disorder no description of the specific disorder or<01:18:06.800>

Keywords: 1187, senate, all

Transcript Highlights:

• For my patients with substance use disorders, which you know are medical conditions, many of these patients
• 41:21.400> from<00:41:21.599> substance<00:41:22.079> abuse<00:41:22.560> disorders
• suffered from substance abuse disorders suffered from substance abuse disorders and<00:41:23.880
• to worsening of their overall health for people with mental health conditions and substance use disorders
• <01:15:47.000> this substance youth disorders this substance youth disorders this inconsistent

Keywords: 1183, house

Summary: The committee approved the March 22, 2024 minutes and then took up House File 3761, the Safety Through Support Act, with a motion to lay the bill over. Representative Lee Finke said the bill is intended to improve re-entry outcomes and public safety by expanding prison visitation, including mentoring and access for mental health and medical professionals, and by creating a task force to support rehabilitation and re-entry. Testifiers in support included Holly Bot, who described how family visits helped her through incarceration and later into successful re-entry and business ownership, and Zeke Caliguri, who argued that consistent visitation and community connection are essential to humanity, rehabilitation, and reducing recidivism. Elliot Bhai of NAMI Minnesota also supported the bill, framing visitation as a form of needed mental health support in prisons. Members raised several concerns and suggestions. Representative Hudson questioned the bill’s strip-search limitation language, asking what would count as a credible, documented security concern, and also worried the task force could create discriminatory access or favor certain viewpoints. Representative Finke said she did not view a conviction as making someone permanently a security risk and said the task force was meant to ensure meaningful visitation for everyone, not to enable discrimination. Representative Hollins and Representative N. supported the bill’s overall goals while suggesting language could be tightened and noting that maintaining outside ties helps people return as productive members of society. Representative Witte asked about the Department of Corrections commissioner’s presence, and the chair said questions for him could wait for a later bill. Representative Mu asked about the fiscal note and the research behind the bill. Staff said a fiscal note had been requested but not yet signed off by the LBO, which was one reason the bill was being laid over. Finke said she could share the visitation study and noted that the bill responds to research linking visitation to lower recidivism; she also said remote visitation data shows value but can be costly. After closing remarks emphasizing that visitation is “medicine” and that most incarcerated people will return to the community, the chair renewed the motion and laid over House File 3761. The committee then moved on to House File 4959, with a motion to re-refer it to the Committee on State and Local Government Finance and Policy.

Transcript Highlights:

• We're making an ask for new moms that have opioid use disorders whose newborns are sick.
• We're making an ask for new moms that have opioid use disorders whose newborns are sick.
• We're making an ask for new moms that have opioid use disorders whose newborns are sick.
• <03:02:37.479> such medication for opioid use disorder such medication for opioid use disorder
• medications for opioid use disorders medications for opioid use disorders such<03:03:44.560>

Keywords: 1191, senate, all

Transcript Highlights:

• as the predisposition that someone might have to cardiovascular disease, diabetes, neurological disorders
• , chronic respiratory diseases, and digestive disorders.
• as the predisposition that someone might have to cardiovascular disease, diabetes, neurological disorders
• , chronic respiratory diseases, and digestive disorders.
• In addition, Chronic respiratory diseases and digestive disorders.

Summary: The committee heard SB 921, which would create a tax credit to help agricultural employers offset overtime premium costs for farmworkers. Senator Grove and supporters, including farmworkers, the California Farm Bureau, and agricultural groups, argued the bill would restore lost hours and take-home pay after California’s agricultural overtime law reduced schedules. Opponents, including the California Federation of Labor Unions and CRLA Foundation, argued the proposal would subsidize employers with taxpayer dollars and undermine the principle that employers should pay overtime themselves. The bill was held in subcommittee until more members arrived. The committee then took up SB 1083, a cleanup bill to the prior year’s school employee misconduct database law. The author and supporters said it would add due process protections for classified school employees, require an administrative law judge review before placement in the database, and improve notice and vetting rules for contractors and non-permanent staff. School employer groups and other opponents warned the bill could slow investigations and weaken child-safety protections. The committee approved the bill 3-0 and sent it to Senate Appropriations. Members also considered SB 1089, which would require CalPERS health plans to cover GLP-1 medications and expand access through CalRX for chronic weight management and related health conditions. The author and supporters, including the American Diabetes Association and medical groups, said the drugs can prevent diabetes and improve health outcomes but remain unaffordable for many. Pharma representatives expressed concerns about the bill as drafted but said they were open to continued discussions. The bill passed 4-0 to Appropriations. The committee also approved the consent calendar 4-0. Later, the committee heard SB 954, which would narrow and add guardrails to last year’s CEQA exemption for advanced manufacturing, including environmental review near disadvantaged communities and labor standards such as prevailing wage and skilled-and-trained workforce requirements. Labor, environmental, and community groups supported the bill as a cleanup of an overly broad exemption, while business and manufacturing groups opposed it, warning it would discourage investment and worsen California’s competitiveness. The bill passed 3-1 to Appropriations. Finally, SB 1299, a fire sprinkler fitter certification bill, was heard and passed 3-0 to Appropriations with support from the sprinkler fitters and building trades and no recorded opposition.

Transcript Highlights:

• who want to help others get good jobs, including people coming out of incarceration, substance use disorder
• to help people get good jobs, including people out of incarceration, people out of substance use disorder
• incarcerations, people out of<00:03:51.680> substance<00:03:52.080> use<00:03:52.319> disorder
• ,<00:03:52.799> people<00:03:52.959> that of substance use disorder, people that of
• substance use disorder, people that are<00:03:53.280> dealing<00:03:53.519> with<00:03

Keywords: 1183, house

Transcript Highlights:

• Longitudinal studies implicate PFAS in a multitude of disorders, including fetal development issues,
• endocrine disorders, cancer, kidney disease, high cholesterol, and ... not dissolve and are often as
• of disorders including fetal development<00:07:14.879> issues<00:07:15.759> development
• <00:07:18.840> cancer<00:07:19.440> kidney endocrine disorders cancer kidney endocrine
• When I was 21 years old, I was misdiagnosed with treatment-resistant bipolar disorder.

Keywords: 928, house, all

Summary: The committee first heard House Bill 199, which would extend the statute of limitations for civil actions seeking damages from PFAS contamination from six years to 20 years. The prime sponsor and other supporters argued that PFAS contamination in southern New Hampshire has long-term and often delayed health and property impacts, making the current six-year period too short for victims to discover harm, connect it to exposure, and seek relief. Supporters described contamination in places such as Merrimack and surrounding communities, cited health concerns including cancer, developmental issues, and other illnesses, and said a longer period would better preserve legal rights while still requiring proof of causation. The Department of Environmental Services said it was not taking a position but acknowledged the contamination and ongoing work to address it. The Business and Industry Association opposed the bill, arguing that evidence becomes stale over time, memories and documents fade, and a longer window would make it harder to determine causation when other exposures or intervening factors may be involved. Committee members questioned both sides about causation, the difficulty of proving PFAS-related illness, and whether a 20-year period was necessary if a plaintiff already knows of the injury and its source. Supporters responded that PFAS effects can emerge slowly, that scientific understanding continues to develop, and that current knowledge is still incomplete. Opponents said the existing discovery rule already starts the clock when harm and causal connection are known, and that extending the period would reduce clarity and fairness in litigation. After testimony and questions, the chair closed the hearing on HB 199. The committee then opened House Bill 268 FN, which was described as a technical measure to confirm that the Board of Tax and Land Appeals may hold hearings in its Concord hearing rooms. The sponsor indicated the bill reflects current practice and does not require additional facilities. With only one witness listed and no apparent opposition, the discussion was brief and focused on why the authorization should be placed in statute rather than left to practice.

Transcript Highlights:

• Some have schizophrenia, bipolar disorder, anxiety, post-traumatic stress disorder, complex post-traumatic
• stress disorder, or other DSM-5 diagnoses, and in addition they have other issues such as alcoholism

Keywords: 995, all

Summary: The Joint Committee on Labor and Workforce Development held a hybrid hearing on legislation concerning unemployment insurance, non-compete agreements, prevailing wage, and minimum wage issues. Committee leaders outlined the hearing process, asked witnesses to keep oral testimony to three minutes, and invited written testimony through November 20. No votes were taken during the hearing; it ended with a motion to adjourn and notice of the next hearing on November 20. Much of the testimony focused on bills to expand unemployment insurance for striking workers, including H. 2168 and S. 1319. Labor leaders, union members, and legal advocates argued that workers who are out on strike for more than 30 days should be able to receive UI benefits, saying the policy would help workers and families meet basic expenses, reduce employers’ ability to “wait out” strikes, and encourage good-faith bargaining. Speakers cited recent strikes, including the Republic Services strike, and said the proposal would not meaningfully increase strike activity or strain the UI trust fund. Another major topic was minimum wage legislation, especially H. 2107/S. 1349 to raise the minimum wage to $20 by 2029 and index it to inflation, and H. 2191 to create a $25 enhanced care worker minimum wage. Supporters said current wages are not keeping pace with housing, food, and childcare costs, and that care workers, direct support staff, and human service employees face chronic vacancies, burnout, and turnover. Testimony also supported H. 2126 on prevailing wage by adding apprenticeship and training contributions to the wage calculation, and H. 2159 and S. 1363 on prevailing wage-related issues. One witness, Russell Beck, testified against S. 1336, which would ban non-competes, and against H. 2118, arguing Massachusetts’ current non-compete law is a balanced compromise that should not be disrupted.

Transcript Highlights:

• shelters, disabled persons, homeless shelters, substance<00:13:50.000> use<00:13:50.320> disorder
• <00:13:50.720> counseling<00:13:51.040> and substance use disorder counseling and substance
• use disorder counseling and treatment<00:13:51.600> facilities,<00:13:52.079> and<00:13

Keywords: 927, senate, all

Transcript Highlights:

• My daughter, sitting here next to me, was born with a rare blood disorder called beta thalassemia major
• I competed in my last competition the day before my transfusion because my blood disorder was still there
• That's already been going on with rare blood types of those that suffer from certain blood disorders.

Keywords: 1184, house, all

Transcript Highlights:

• He was diagnosed with cannabis-induced psychotic disorder.
• His therapist told him he's lucky not to have converted to a long-term diagnosis such as bipolar disorder
• . ...bipolar disorder or schizophrenia.

Bills: SB2024, SB227, SB268, SB1467, SB1580, HB5537, SB1313, SB1677, SB918, SB331, SB2207, SB2721

Keywords: e-cigarettes, marketing prohibition, youth protection, criminal penalties, public health, school funding, education reform, state budget, property taxes, equity in education, health care, licensing, complaint procedure, disciplinary action, law enforcement, death records, vital statistics, healthcare, trauma facility, Medicaid

Transcript Highlights:

• Continuity of care is especially important for patients struggling with eating disorders.
• Many of my patients were people with complicated diagnoses such as diabetes and eating disorders.
• <01:58:04.920> these<01:58:05.079> are diabetes and eating disorders these are diabetes
• <01:59:25.880> or had serious eating disorder or had serious eating disorder or complicated
• I was able to prescribe medications needed to care for the full spectrum of eye diseases.

Keywords: 928, house, all

Summary: The committee held public hearings on House Bill 144 and House Bill 145, both related to professional licensing for dietitians and dental hygienists. HB 144 was described as a technical fix to align statute with existing Board of Dental Examiners rules allowing dental hygienists to administer nitrous oxide and local anesthesia, with supporters saying the bill would add needed training and examination requirements to statute. A dentist and dental society representative testified that the practice is already being done safely within scope, and committee members discussed whether nitrous oxide is still used and whether the bill was mainly to keep the paperwork and law consistent. The committee moved HB 144 forward on a 12-0 vote and placed it on consent. HB 145 would join New Hampshire to a dietitian licensure compact and add a criminal history check for initial licensure to match compact language. The sponsor and board witnesses said the compact would improve portability, support telehealth, help military families and spouses, and maintain public safety by ensuring qualified practitioners and information-sharing among member states. Committee members asked about withdrawal from the compact, the difference between single-state and compact licensure, and why a background check was included; the witness said the compact is not yet active, with four states enacted and seven needed, and that the background check is required by the compact language. Additional testimony from a private-practice dietitian supported the bill, citing continuity of care, rural access, and workforce mobility, while some members raised concerns about telehealth across state lines and the practical effect of the background check.

Transcript Highlights:

• due to a wide range of conditions, including fractures, chronic heart and lung diseases, movement disorders
• mobility limitations, chronic illnesses, orthopedic conditions like injuries and arthritis, neurologic disorders

Summary: The Senate Committee on Transportation and Infrastructure met with a quorum present and adopted the June 16, 2026 minutes. The committee first took up House Bill 5644, which would allow nurse practitioners, physical therapists, and occupational therapists to certify applications for disability windshield placards and disability license plates. The sponsor and witnesses from the nursing profession said the bill restores a practice that had worked for years, reduces delays and extra costs for patients, and improves access, especially in rural and underserved areas. A Department of State representative explained the issue arose after an Auditor General review found the statute was unclear. The bill was reported to the floor on a 10-0 vote. The committee then heard Senate Bill 791, which would designate a portion of I-475 in Genesee County as the St. John Street Community Memorial Highway. Senator Cherry and representatives of the St. John Street Historical Committee described the history of the St. John Street neighborhood in Flint, its displacement by urban renewal and highway construction, and the effort to memorialize the community’s cultural significance and trauma. No members asked questions, and the bill was reported to the floor unanimously, 10-0. House Bill 4415, previously heard by the committee, was also reported to the floor without further testimony. The committee then considered Senate Bill 959, which had a new S-2 substitute. Senator Klinefelt explained the substitute as a compromise that reorganizes rail detector regulations and changes distance and speed thresholds for Class 1, 2, and 3 rail lines. The substitute was adopted 10-0. After additional comments from Senator McBroom opposing the bill due to concerns about impacts on Upper Peninsula commerce and rail operations, the committee reported the S-2 version of Senate Bill 959 to the floor by a 6-4 vote. The committee then adjourned.

Transcript Highlights:

• Um, treatment-resistant depression, substance use disorder, and other mental health indications.
• Um, treatment-resistant depression, substance use disorder, and other mental health indications.

Keywords: Drug Policy - Room 409, 26 February, 2026; 2:30 P.M., 925, all

Summary: The Senate Drug Policy Committee met to consider two bills. For House Bill 417, which updates the Uniform Controlled Substances Act by adding substances to Schedule I, committee counsel explained that a strike-all was needed because the House version relied on outdated correspondence. Anna Catherine Lambert of the Mississippi State Department of Health said the department updates the language each year by matching Mississippi law to the DEA’s Federal Register, including salts, isomers, and related forms of newly scheduled substances. She noted the additions largely fall into three broad categories, including fentanyl derivatives, phenidates, and tazenes. Senators asked about the number of compounds and the need to list each derivative form. The committee moved to adopt the strike-all and then the title sufficient do pass strike-all, and the bill was reported. The committee then took up House Bill 563, which would allow Mississippi law to conform automatically if psilocybin is scheduled by the federal government before the next legislative session. The chair described psilocybin as a mushroom-derived compound being studied in clinical trials for treatment-resistant depression, and noted that an email from Veterans Exploring Treatment Options supported the legislation. Members discussed that the bill would prevent delay if federal scheduling occurs and asked about the conditions for which the substance might be used; the response mentioned treatment-resistant depression, traumatic brain injury, substance use disorder, and other mental health indications. Senator Blackmon made a lighthearted comment about possible amendments, but no amendments were adopted. The committee approved the motion for title sufficient to pass, and House Bill 563 was reported.

Transcript Highlights:

• noise-induced hearing loss that results in a physical impairment; number two, post-traumatic stress disorder
• including working shifts, night shifts, exposure to environmental controls, and circadian rhythm disorder

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.

Transcript Highlights:

• PWS is a rare genetic disorder, and it affects about 1 in 30,000 live births.
• muscle tone and the hypothalamus of the brain, which will normally regulate hormones. rare genetic disorder
• and and that's it, rare genetic disorder and and that's it, right?
• /c><00:20:05.840> that<00:20:06.160> causes<00:20:06.640> recurring a brain disorder
• that causes recurring a brain disorder that causes recurring unprovoked<00:20:08.000> seizures.

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.

Transcript Highlights:

• So we see more anxiety disorders, more depression, really more trauma impacts on our younger generation
• So we see more anxiety disorders, more depression, really more trauma impacts on our younger generation
• <00:38:25.440> So,<00:38:26.240> um substance use disorder services.
• So, um substance use disorder services.
• Uh, youth have, you know, a diagnosable mental health disorder, yet, you know, 70% are not able to get

Keywords: 1183, house

Transcript Highlights:

• of mental health as well as physical health conditions, while also struggling with substance use disorder
• Folks had shared co-occurring disorders.
• or also struggling with<00:45:40.480> substance<00:45:40.960> use<00:45:41.200> disorder
• <00:45:42.079> um<00:45:42.720> heavily with substance use disorder um heavily with
• substance use disorder um heavily impacted<00:45:44.160> um<00:45:44.319> their<00:45:

Keywords: 912, senate, all

Summary: The committee opened its Health and Human Services calendar, noted quorum, and first took up HB 194. The chair explained amendments to add an exemption for a person invited by a patient to attend a birth outside an accredited birth facility when no compensation is involved, remove a date reference in section 9, and accept Department of Health amendments. Members raised no objections, and the committee voted to pass HB 194 with amendments. The committee then heard HB 139 on insurance, with the Attorney General flagging possible unlawful delegation issues and suggesting clarifying language, while the Insurance Division stood on written testimony. A number of health organizations and advocates, including HMSA, Hawaii Association of Health Plans, oncology and fertility groups, testified in support. HB 613 on homeless youth drew broad support from state agencies, counties, youth advocates, and community groups; testimony emphasized the need for permanent safe spaces and more attention to unaccompanied minors, with one witness asking for clarity on funding and shelter capacity. HB 71 on a tax credit for family caregivers drew support from AARP, Alzheimer’s and children’s advocates, and several individuals, while the Tax Foundation raised concerns about blank provisions and the cost-effectiveness of administering a small credit. The Department of Taxation said a prior version with a $5,000 nonrefundable credit would have cost the general fund about $397.4 million. HB 716 on health care technology support received strong support from SHPDA, OHIN, and many provider groups, who described it as a one-time investment of roughly $20–25 million to connect rural and neighbor island providers to electronic health records; members questioned how the grant program would be allocated. HB 799 on physician hospital privileges also drew mixed testimony: supporters said it would align Hawaii with updated CMS rules and improve access, especially on Maui, while Maui Health and some members worried it could reduce on-call coverage and hospital safety, leading to discussion of a possible report and sunset date.