Transcript Highlights:

• In the Senate, we’ve been able to provide a million dollars for birthing centers, and we’re so excited
• We’re going to get a birth center in the city of Boston, and it’s going to be in Roxbury.
• And we now have this new law passed, and we're going to have birthing centers.
• If we could have maybe, as we go forward and the birthing centers become closer to being in commission
• Similarly, we talked about the closing of the birthing centers that are happening.

Keywords: 1212, all

Summary: The meeting was an organizational and planning session of the Ellen Story Commission on Postpartum Depression. After roll call and housekeeping, the co-chairs thanked Senator Liz Miranda for her service and announced Senator Adam Gomez as the new Senate co-chair. Senator Miranda explained her transition off the leadership role due to other responsibilities and personal losses, while Senator Gomez said he was honored to join, would listen and learn, and would bring a Western Massachusetts perspective to the statewide commission. Members discussed current maternal health developments, including a new Department of Public Health regulation implementing the 2024 midwifery law and allowing temporary licenses for licensed certified professional midwives. The commission also reviewed open seats and possible future appointees, with an emphasis on adding regional, clinical, and lived-experience diversity. Several commissioners raised concerns about birthing hospital and inpatient obstetric unit closures, workforce shortages in OB-GYN and midwifery, reimbursement changes, and the need to expand training slots and funding for perinatal care. A major theme was how the commission should focus its work in the coming year. Members suggested more attention to parent-child relational health, pediatric screening for postpartum mood disorders, coordination across OB-GYN, pediatrics, infant mental health, and home visiting systems, and stronger involvement from clinicians and organizations such as PSI of Massachusetts. The Division of Public Health and the Division of Insurance shared updates on community midwifery reimbursement, a payer learning community, insurance coverage for mental health examinations, and the need for better education about birthing centers and doulas. Commissioners also discussed substance use and maternal mental health supports, noting that current funding for community-based organizations is limited compared with demand. The group reviewed upcoming maternal health events in April, including Black Maternal Health Week activities, and agreed there was not enough time to plan a new commission event for May. Instead, members favored using the commission’s communication channels to share relevant events and information. The commission approved a motion to create a biweekly digest for information sharing, with urgent items still able to be sent directly to commissioners, and then adjourned.

Transcript Highlights:

• We're going to get a birth center in the city of Boston, and it's going to be in Roxbury.
• It is related, if you don't mind, and that is when you look at the around 11 or 12 birthing centers and
• And we're going to have birthing centers. We're going to have doulas.
• If we could have maybe, as we go forward and the birthing centers become closer to being in commission
• Similarly, we talked about the closing of the birthing centers that are happening.

Summary: The Ellen Story Commission on Postpartum Depression met to reopen its work for the year, confirm attendance, and note several membership transitions, including the departure of Beth Buxton, Nekah Hall, and Dr. Lisa Scarfo. Senator Miranda stepped down as co-chair, and Senator Adam Gomez was welcomed as the new Senate co-chair. Both outgoing and incoming leaders spoke about the importance of the commission’s work, the need for continued advocacy on maternal mental health, and personal losses that have shaped their commitment to the issue. Members discussed priorities for the coming year, including implementation of the maternal health omnibus law, publicizing upcoming maternal health events, and improving information-sharing through a biweekly digest. Several commissioners raised concerns about the closure of birthing centers and inpatient obstetric units, workforce shortages in obstetrics and midwifery, and the need to preserve or expand training slots and federal matching opportunities. Others emphasized the need to strengthen community-based perinatal mental health supports, including Moms Do Care and First Steps Together, and to increase funding beyond the $220,000 appropriated for community organizations. The commission also heard updates from the Division of Insurance and the Department of Public Health about regulatory and reimbursement issues, including a new community of learning for payers, mental health exam reimbursement guidance, and concerns about sustainability of birth centers and midwifery reimbursement. Commissioners stressed the importance of better coordination among OB-GYN, pediatric, infant mental health, home visiting, and clinical providers, with some suggesting a stronger role for clinicians and perinatal mental health organizations such as PSI of Massachusetts. The meeting ended with a motion and vote to create a biweekly information digest, with urgent items to be shared by email, followed by adjournment.

Transcript Highlights:

• So birth doulas provide support to pregnant, birthing, and postpartum people and their families.
• There is strong evidence of improved birth outcomes and reduction of birth inequities with birth doulas
• I'm a birth assistant.
• I'm a birth assistant.
• hospital settings and birth center settings is really critical to making sure that everyone is served

Summary: The committee first received an update on the effects of HR1 and related federal Medicaid and marketplace changes from Governor’s Office and Health Care Authority staff. Presenters said the most immediate coverage losses are expected in the individual market beginning in January, with premium increases and an estimated 80,000 people potentially unable to afford coverage. They warned that larger Medicaid impacts will follow over the next year and beyond, including tighter eligibility checks, work requirements, reduced retroactive coverage, limits on state-directed payments and provider taxes, new cost-sharing, and changes affecting certain non-citizen adults. They also said the state plans to seek a waiver or extension for work requirements and will continue to analyze impacts, including on rural providers and Planned Parenthood-related services. Members asked about the effect on nursing homes, rural hospitals, and how the state can help providers and enrollees navigate the new requirements; staff said timelines and a state-specific implementation chart are being developed. The committee then heard a report on the International Medical Graduate Work Group and Washington’s efforts to create pathways for internationally trained physicians. Testimony described the clinical experience license, the clinical evaluation assessment tool, grant funding for IMG support organizations, and a new hardship waiver process enacted this year. National presenters said many states have adopted similar pathways because of physician shortages, but Washington and Tennessee are among the few states that have actually issued licenses so far. They recommended clear guardrails, an employment offer before application, ECFMG certification, supervised practice, and data collection to avoid exploitation and protect patients. Members asked about state-to-state variation, retention of IMGs, and whether Washington should pursue dedicated residency or preceptorship options; presenters said the key next step is moving successful participants from supervised experience to a durable long-term license. The final topic was implementation of Washington’s Apple Health doula benefit and the statewide doula hub and referral system. Senator T’wina Nobles highlighted the state’s $3,500 per-birth Medicaid reimbursement rate for doulas and the importance of the hub for referrals, training, and billing. Health Care Authority staff said the benefit launched January 1, 2025, and covers prenatal intake, labor and delivery, postpartum visits, and telehealth-supported services. They reported 336 state-certified doulas, 134 enrolled in Apple Health, 287 unique clients served, and 641 claims paid so far. Testimony emphasized doulas’ role in improving birth outcomes, reducing unnecessary interventions, and addressing racial disparities in maternal health, while noting that implementation is still early and ongoing.

Transcript Highlights:

• </c><00:14:35.320><c> centers</c> legislation is that birthing centers legislation is that birthing centers
• </c><00:14:50.959><c> center</c><00:14:51.600><c> that</c> that they would or birthing center that that
• He said that if there are more birthing centers, there still needs to be a complement of services for
• He then said that in grief counseling in birthing centers, sometimes you cannot say goodbye until you
• </c><00:25:35.399><c> you</c> birthing centers that you sometimes you birthing centers that you sometimes

Keywords: 00:34 Call to Order/Roll Call 02:09 Discussion of 25RS HB 389 04:05 Roll Call Vote on 25RS HB 389 05:16 Discussion of 25RS HB 501 09:31 Roll Call Vote on 25RS HB 501 10:50 Discussion of 25RS HB 414 (Discussion Only) 42:05 Adjournment, 958, all

Summary: The Health Services Committee met with a quorum and first considered House Bill 389, a cleanup measure related to the CASPER prescription monitoring program. Representative Duval and staff explained that the bill addresses implementation issues the Office of Inspector General encountered and aligns the definition of “practitioner” for in-state and out-of-state providers. The committee took no questions, then approved the bill unanimously and reported it favorably. The committee then heard House Bill 501, which would allow a pharmacist to fill a prescription for a limited period after the prescribing provider has died, so patients can maintain continuity of care. Sponsors and a pharmacist witness said the bill is intended to reduce uncertainty and liability for pharmacists, excludes controlled substances to comply with federal law, and leaves professional judgment with the pharmacist. Members asked about documentation and verification, and the sponsor said the bill applies when the pharmacist knows of the death and that pharmacies would document the situation as they normally do. The committee discussed the issue briefly and passed the bill unanimously with favorable expression. Finally, the committee took up House Bill 414 for discussion only. Representative Tate and Adia Wisher described it as “Love Them Both,” a perinatal palliative care proposal meant to provide wraparound support for women and families facing fatal fetal anomalies or other serious pregnancy complications. Testimony emphasized that the bill would encourage referrals to programs offering medical, emotional, spiritual, financial, and bereavement support, with examples such as Footprints at St. Elizabeth. Members discussed access, referrals, counseling, coverage language, and the role of fathers, and supporters stressed that the services would be optional and intended to broaden support rather than impose penalties. No vote was taken on House Bill 414.

Transcript Highlights:

• Previously, I worked in a birth center where I was fully credentialed in all insurances and provided
• Previously, I worked in a birth center where I was fully credentialed in all insurances and provided
• </c> Institute a birth center where I was Institute a birth center where I was fully<00:24:48.080><c>
• Unattended birth, self-birthing situation, or by a Western medical birth provider.
• If you want a low-intervention birth, that is a birth where you let the physiological process of birth

Keywords: 910, house, all

Summary: The joint House Committee on Health and Committee on Consumer Protection and Commerce heard two midwifery bills, with testimony focused primarily on HB 1194. Committee chairs opened the hearing with rules for Zoom testimony and noted the bills relate to midwives. The Department of Commerce and Consumer Affairs said it supported the intent of HB 1194 and offered comments. Supporters of the bill, including the Midwives Alliance of Hawaii, argued that midwifery should remain subject to mandatory licensure to protect consumer safety, citing the state’s regulatory licensing standards and a 2025 state auditor sunset analysis. They said the bill would strengthen educational standards and public protection, and some offered clarifying amendments. Opponents argued HB 1194 would restrict access to care and fail to protect traditional, cultural, and community-based birth practices. Testifiers from the Hawaii Home Birth Task Force, the Hawaii Home Birth Collective, the Libertarian Party of Hawaii, the Center for Reproductive Rights, Pacific Birth Collective, and Papa Ola Lōkahi said the bill would limit licensure pathways, reduce access in rural and underserved areas, and burden Native Hawaiian and traditional practitioners. Several speakers said the measure could worsen Hawaii’s maternal health shortages, especially on Maui, and urged lawmakers to defer HB 1194 or instead advance HB 1328, which they said better protects practitioner access and cultural practices. The Hawaii affiliate of the American College of Nurse-Midwives said it opposed HB 1194 because it did not align with national or state standards for certified midwives and could create conflicts with Medicaid reimbursement and prescriptive authority. The ACLU also opposed the measure, emphasizing reproductive rights, privacy, and the need to preserve apprenticeship pathways to licensure. No vote or final committee action was taken during the portion of the hearing reflected in the transcript.

Transcript Highlights:

• , and birth defects.
• , and birth defects.
• , and birth defects.
• After my birth, my mother sought the services of Gentilly Medical Center for women.
• After my birth, my mother sought the services of Gentilly Medical Center for women.

Keywords: 1183, house

Transcript Highlights:

• Currently, they're mostly restricted to community health centers.
• Sadly, most birthing people aren't so lucky.
• have given birth.
• I was knowledgeable about birth and the maternal health care system.
• prioritizes doctors who work in community health centers.

Keywords: 995, all

Summary: The Joint Committee on Mental Health, Substance Use, and Recovery held a public hearing on 17 bills focused on behavioral health workforce shortages, studies, and commissions. Chairs Mindy Domb and Senator John Velis opened by emphasizing the severity of the Commonwealth’s mental and behavioral health workforce crisis, the resulting gaps in access to care, and the legislature’s ongoing use of loan repayment programs, studies, and commissions to address these issues. They outlined hearing procedures and noted that testimony would be limited to three minutes, with written testimony also accepted. A major portion of the hearing focused on bills to expand the primary care workforce, including H. 2205/S. 1385, which would broaden eligibility for the Mass RePay loan repayment program. Testimony from the Massachusetts Medical Society, Senator Jo Comerford, and Dr. Kate Atkinson described severe primary care shortages, long wait times, physician burnout, high debt burdens, and the need to recruit and retain physicians in more practice settings and regions. Committee members asked about the likely impact of loan repayment, the role of nurse practitioners and physician assistants, and how to prioritize limited funding. Witnesses argued that primary care investment improves access and outcomes and that the bill would help sustain community-based practices. Another large block of testimony supported H. 2208/S. 1411, the proposed perinatal behavioral health care workforce trust fund, often referred to as the Moms Matter Act. March of Dimes, perinatal mental health advocates, doulas, clinicians, parents, and organizations such as the Boston Public Health Commission and Empty Arms Bereavement Support testified that postpartum depression, anxiety, substance use, and grief are widespread, often untreated, and worsened by long waitlists and a shortage of trained, culturally competent providers. Speakers repeatedly stressed that screening alone is not enough without a workforce to provide timely treatment, and several shared personal stories of postpartum illness, loss, and difficulty accessing care. The bill was also framed as a needed complement to the Commonwealth’s recent maternal health law, which increased screening and therefore increased demand for treatment. The committee also heard support for the Bridge Act, H. 2207/S. 1388, which would create mental health capacity grants for organizations serving communities at high risk of hate crimes or hate incidents. Testimony from the Jewish Community Relations Council and the bill’s sponsor described the mental health harms of hate, including anxiety, trauma, isolation, and loss of trust, and argued that community organizations need resources to build resilience and provide support. In addition, the committee heard from the Massachusetts Mental Health Counselors Association on H. 2218/S. 1380, which would update job classifications to explicitly include licensed mental health counselors and licensed supervised mental health counselors in state behavioral health roles. Witnesses said the change would modernize hiring, expand access, and better reflect current licensure and scope of practice. No votes were taken during the hearing, and the session ended with a motion to adjourn after all testimony was completed.

Transcript Highlights:

• during birth the birth mother during birth registration<01:06:52.799><c> um</c><01:06:53.760><c> I</
• We send, or Vital Records sends, birth and death data to NCHS, and that birth data is deidentified.
• of a birth certificate.
• providers</c> Birthing Center or attending providers Birthing Center or attending providers to<01:39:
• of a birth certificate.

Keywords: 1189, house, all

Transcript Highlights:

• The birth rate is declining. The death rate is steady.
• We need the workforce skills... ...strategy to center workforce outcomes in ESOL programming.
• You go to the schools and adult learning center. You try to find English classes.
• This is incredibly dangerous for both the mother and birthing person or the baby.
• Prenatal care is critical to the health and well-being of both birthing people and infants.

Keywords: 995, all

Summary: The Joint Committee on Labor and Workforce Development heard testimony on several workforce-related bills, with most of the hearing focused on ESOL and apprenticeship legislation, followed by testimony on a four-day workweek pilot and paid prenatal leave. On ESOL, witnesses including the Boston Foundation, Skillworks, MassINC, MIRA, JVS Boston, Eastern Bank, immigrant advocates, employers, and legislators supported H.2080/S.1326, arguing that Massachusetts has a large backlog of limited-English-proficiency residents waiting for classes, that ESOL is essential to economic mobility and immigrant integration, and that the state needs a coordinated, statewide strategy with more vocational and workplace-focused English instruction. Testifiers cited long waitlists, fragmented delivery across agencies, labor shortages, and examples of workplace English programs helping immigrants gain jobs, advance careers, and support businesses. Committee members asked questions about how vocational ESOL differs from standard classes, and witnesses explained that it focuses on job-specific language and workplace scenarios. The committee also heard strong support for H.2085/S.1303, which would require more use of registered apprentices on public construction projects over $1 million. Labor leaders from the Massachusetts AFL-CIO and Massachusetts Building Trades, along with electricians and apprentices, said the bill would help apprentices complete training by ensuring enough job-site hours, expand access to good union careers, and strengthen the construction workforce for housing, infrastructure, and clean energy work. Several witnesses defended existing apprenticeship ratios and electrical licensing standards, warning against deregulation and emphasizing safety. Committee members asked about project thresholds and apprenticeship ratios, and witnesses said the bill’s phased apprentice-hour requirement was intended to cover most public projects under current cost conditions. The committee then heard testimony on S.1330, a four-day workweek pilot program. Senator Dillon Fernandez and Representative Shirley Arriaga described the proposal as a response to burnout, affordability pressures, and changing workplace norms, arguing that a pilot would let Massachusetts study whether shorter workweeks improve productivity, retention, and worker well-being. Witnesses said the model could help families balance caregiving and commuting while maintaining or improving output. Finally, the committee took testimony on S.1361, establishing paid prenatal leave. Parents, health advocates, March of Dimes, and others said paid leave would help pregnant workers attend critical prenatal appointments, reduce missed care, and improve maternal and infant health outcomes. Several speakers shared personal stories about high-risk pregnancies, pregnancy loss, and the financial strain of taking unpaid time off. No votes were taken during the hearing; the committee primarily received testimony and asked a limited number of questions.

Transcript Highlights:

• It's also the safety net for birthing centers and home births if complications are...
• It's also the safety net for birthing centers and home births.
• Over 2,000 community health centers and clinics, including urban Indian health centers, serve as lifelines
• That's how I've always led in the health center space.
• Monitoring of birth defects and related health...

Summary: The Assembly Health Committee heard a long agenda of health bills focused on access to preventive care, behavioral health, hospital services, and patient safety. Early items included AB 554, which would expand and protect access to HIV prevention drugs like PrEP, including injectable forms and coverage protections; supporters said it would shore up access amid federal threats, while insurers opposed it as a costly benefit mandate. AB 577 would limit insurer and PBM practices that steer medications away from physician offices and require more transparency and patient consent; doctors and patient advocates supported it, while health plans and insurers warned it could raise drug costs and disrupt specialty pharmacy networks. AB 546 would require coverage for portable HEPA purifiers for vulnerable enrollees during declared emergencies, especially wildfire smoke events, with support from air quality and public health groups and opposition from insurers concerned about benefit expansion and cost. The committee also heard AB 224, which would codify California’s updated essential health benefits benchmark plan after a public review process, adding infertility treatment, hearing aids, and durable medical equipment if approved by CMS for the 2027 plan year. DMHC said the state had completed the review and needed legislation to meet federal timing, and the measure drew broad support. AB 1032 would require plans and insurers to reimburse up to 12 additional behavioral health visits for enrollees in wildfire-affected counties for a limited period after an emergency; supporters argued it would fill gaps in trauma care after disasters, while insurers said existing parity and continuity-of-care rules already address the issue and that the bill could create inequities. AB 849 would require trained chaperones for sensitive ultrasound exams and training on how to observe and intervene; it was backed by a survivor and patient advocates, with hospitals and health districts raising staffing concerns. Later, AB 1196 would direct the Department of Public Health to update outdated rules requiring three surgeons for certain heart surgeries using cardiopulmonary bypass; supporters said the rule no longer reflects modern practice and strains staffing, while cardiology representatives had no formal opposition but wanted to review amendments. AB 1113 would codify a right to wear a mask for health reasons in public spaces, with support from disability and public health groups. AB 1386 sought to add perinatal care to the list of basic hospital services, prompting testimony about maternity ward closures, workforce shortages, and rural access; the author said the bill would be amended further and that the committee would need to revisit timelines and implementation details. The committee also heard AB 1429, which would address Kaiser’s repeated mental health parity violations and improve access to behavioral health care, though the transcript cuts off before any action on that bill is shown. Several bills were moved with motions and seconds, but many were held for quorum; AB 1196, AB 1113, and AB 1386 were among the measures advanced to a roll call or held on call, and the committee repeatedly noted that final votes would occur when quorum was available.

Transcript Highlights:

• You talk about the closing of birthing centers: 11 birthing centers have closed.
• You talk about the closing of birthing centers: 11 birthing centers have closed.
• centers</c> birthing centers 11 birthing centers birthing centers 11 birthing centers have<00:33:50.200
• and</c><00:33:57.360><c> we</c> birthing centers have closed and we birthing centers have closed and
• to</c> we're losing birthing centers we have to we're losing birthing centers we have to address<00:34

Keywords: 1191, senate, all

Transcript Highlights:

• I'm here representing the Texas Ambulatory Surgery Center Society. Surgery Center Society.
• My surgery center does. Not necessarily, okay.
• I prescribed at Fort Bliss and at Brooke Army Medical Center as well.
• A birth certificate and maybe your Social Security card, or maybe your passport.
• As of May the 7th, you have to have your birth certificate.

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:

• And whereas also in 2023 the Centers for Disease Control and Prevention's National Center for Health
• </c><00:09:55.200><c> for</c> And whereas also in 2023 the Center for And whereas also in 2023 the Center
• It is about the people who have birthing bodies, whether they give birth or not, because some challenges
• </c> It is about the people who have birthing It is about the people who have birthing bodies, bodies
• :59.440><c> or</c><00:16:59.600><c> not,</c> whether they give birth or not, whether they give birth

Keywords: 926, house, all

Transcript Highlights:

• during birth the birth mother during birth registration<01:06:52.799><c> um</c><01:06:53.760><c> I</
• The birth worksheet is something that is completed by the hospital, birthing center, or attending providers
• to collect key birth details.
• of a birth certificate.
• providers</c> Birthing Center or attending providers Birthing Center or attending providers to<01:39:

Keywords: 928, house, all

Summary: The House Committee on Health, Human Services and Elderly Affairs heard testimony on House Bill 606, as amended, a bill aimed at preventing physicians from denying medically necessary sterilizing or fertility-affecting treatment based on a patient’s age, number of children, marital status, or a doctor’s speculation about future reproductive intentions. Representative Ellen Reed, the sponsor, described the bill as a response to her own long experience with PCOS, heavy bleeding, and repeated refusals by doctors to perform a hysterectomy despite her clear wishes. She said the amendment narrows the bill to medically necessary care, adds definitions for “medical condition” and “appropriate reproductive care,” and removes earlier provisions about voluntary sterilization referrals. She also said the bill does not target religious objections, and that doctors could still refuse for medical, payment, or existing religious reasons not addressed by the bill. Committee members asked about religious freedom, informed consent versus waivers, and the scope of the new definitions. Reed responded that religion was not added to the list of prohibited reasons for denial, and that the amendment is intended to protect doctors when patients sign informed consent or waivers. She explained that “appropriate reproductive care” includes procedures such as hysterectomy, oophorectomy, orchiectomy, salpingectomy, and endometrial ablation, and that the bill now focuses on medically necessary treatment rather than elective sterilization. She said the change was intended to make the proposal narrower and more tailored after earlier concerns. Several witnesses supported the bill with personal accounts of being denied hysterectomies or other procedures despite serious symptoms. Representative Lauren Selig described a decade-long effort to obtain a hysterectomy after years of cycle problems and migraines, saying doctors dismissed her concerns and treated her symptoms as normal. Jade Flad also testified in support, saying she had long been told to simply endure her cycle problems and noted that her husband was offered a vasectomy without similar barriers. The sponsor said online support was strong and that there was little or no written opposition testimony. No vote or final committee action was taken during the portion of the hearing provided.

Transcript Highlights:

• We got a place here in Austin, Texas called Texas One Center.
• Texas Center. Oh, Texas One Center. Uh, is there a cost to get an ID for them?
• Uh, in terms of the address, um, you said that the one center you keeps, uh, well, the birth cert.
• They don't, where you gonna send their birth certificate when their birth certificate come in?
• I think Lubbock Psychiatric Center.

Bills: HB163, HB 296

Keywords: judicial liability, personal bond, felony offenses, judges, criminal justice reform, voter registration, election procedures, change of address, residence requirements, Texas Election Code, Texas election law, residence address, precinct voting, county move, same-county move, Election Code, registrar, statement of residence, polling place, local elections

Transcript Highlights:

• It's called Texas One Center. You go there, Texas One Center. You can get it all done.
• Texas One Center. Oh, Texas One Center. Is there a cost to get an ID? For them?
• In terms of the address, you said that the One center keeps, well, the birth certificate would go there
• . going to send their birth certificate when their birth certificate come in.
• birth certificate and stuff.

Bills: HB713, HB827, HB932, HB499, HB510, HB163, HB296, HB879, HB913, HB163, HB296

Keywords: healthcare, maternal health, reporting requirements, Texas Maternal Mortality and Morbidity Review Committee, health provider immunity, workplace violence, nurses, grant program, healthcare facilities, safety measures, safety, nursing, grants, healthcare safety, verbal abuse, physical abuse, nurse empowerment, occupational therapy, licensure, interstate practice

Transcript Highlights:

• So these are the various components that will be within the center.
• So these are the various components that will be within the center.
• for the build-out of this center.
• And what do you envision having in the center?
• That covers about 90% of births in the state of Florida.

Summary: The Senate Health Policy Committee met to discuss maternal and infant health, beginning with a presentation from New Jersey’s Maternal and Infant Health Innovation Authority (MiHA). Pamela Taylor described New Jersey’s statewide effort to reduce maternal mortality and racial disparities through the Nurture New Jersey campaign, a strategic plan with more than 80 recommendations, universal home visiting, Medicaid-covered doula care, hospital report cards, limits on non-medically indicated early elective C-sections, and a new maternal and infant health innovation center. Senators asked about doula certification, funding, home visiting, and how New Jersey coordinates across agencies; Taylor said the authority uses quarterly stakeholder meetings, annual summits, and a tracker for recommendations, and that community input helped shape its programs. Florida Agency for Health Care Administration Deputy Secretary Brian Meyer then outlined Florida Medicaid’s maternal coverage and managed care structure. He reviewed eligibility and services for pregnant women, labor and delivery, postpartum coverage, newborn coverage, and family planning, noting 12 months of postpartum coverage, expanded benefits in managed care plans, and new contracts launching February 1 with more maternal-health-focused benefits, quality measures, and a new quality withhold incentive structure. Senators questioned doula certification and duplication with Healthy Start, provider access and network adequacy, kick payments, quality reporting, and whether Florida should consider broader eligibility standards; Meyer said many details are still plan-driven, that quality metrics are public, and that the agency is working on maternal-health work groups and incentives. Department of Health Division Director Shea Holloway followed with an overview of Florida’s maternal and child health programs and data. She cited Florida CHARTS data showing pregnancy-related deaths, severe maternal morbidity, and infant mortality trends, and described the Title V block grant, the Maternal Mortality Review Committee, the Florida Perinatal Quality Collaborative, the electronic prenatal risk screen, Healthy Babies, BH Impact for perinatal mental health, Healthy Start, WIC, family planning, telehealth maternity care, and the Pregnancy Care Network. Senators asked about delays in mortality review reporting, preterm birth, substance use disorder in pregnancy, WIC participation, cesarean rates, and the impact of the abortion ban; Holloway said the department is continuing to monitor outcomes, expand screening and telehealth, and use data and hospital partnerships to improve care. The committee then adjourned without further business.

Transcript Highlights:

• I'm here representing the Texas Ambulatory Surgery Center Society.
• My, my surgery center does, uh, not necessarily. OK.
• I have prescribed at Fort Bliss and at Brooke Army Medical Center as well.
• Currently the Department of State Health Services delayed birth certificate birth registration process
• And it also allowed birth certificates to be used with just one parent's information.

Transcript Highlights:

• And, you know, the reason we focus on midwives and birth centers as a solution is because they really
• meet this... ...birth centers as a solution is because they really meet this triple aim of improving
• birth center.
• , and birth centers.
• So when you see one of us talking about birth centers or midwives, they're representing all of us.

Keywords: 995, all

Summary: The committee held an informational opening hearing for the Financial Services Committee, with Chair Murphy and Senator Feeney introducing new and returning members and explaining that no bills were being heard that day beyond brief introductory testimony. Commissioner of Banks Mary Gallagher thanked the committee for last session’s money transmission modernization law, and several members echoed appreciation for her office’s work. The hearing then featured a long series of stakeholder introductions and overviews of their priorities for the session. Testimony covered a wide range of financial, insurance, housing, health care, and consumer issues. Banking and mortgage groups discussed housing affordability, foreclosure delinquencies, flood insurance, regulatory changes, and the impact of federal policy shifts. Insurance representatives raised concerns about auto and homeowners market pressures, labor rates, tariffs, rebates, e-titling, third-party litigation funding, and public adjuster restrictions. Consumer and advocacy groups highlighted debt collection reform, earned wage access, retirement savings access, public banking, and consumer protections in financial services. Several speakers also emphasized the need for committee expertise and offered themselves as resources for future bills. Health-related organizations focused on insurance mandates, prior authorization, behavioral health access, pharmacy benefit manager reform, community health center funding, maternal health and midwifery reimbursement, and anesthesia reimbursement parity. Other groups, including credit unions, retailers, auto dealers, dental and medical associations, and behavioral health providers, described their roles in the Commonwealth and previewed legislation or policy areas they expect to follow this session. No votes were taken; the meeting was informational and ended after testimony from the sign-up list and a few late additions.

Transcript Highlights:

• Education Center administered this program.
• </c><00:59:05.599><c> with</c> native wine healthc care center with native wine healthc care center with
• I have fully completed my trainings in full spectrum birth work, and I'm an active member of the Birth
• wine and Pacific birthing people native wine and Pacific birthing people have<01:24:19.480><c> nearly
• </c> necessary or helpful to protect birthing necessary or helpful to protect birthing families<01:25

Keywords: 910, house, all

Summary: The House Health Committee held its first hearing of 2025, with Chair Greg Takayama and Vice Chair Representative Leoy opening the meeting and outlining housekeeping rules, including a two-minute limit for testifiers and Zoom etiquette. The committee first heard HB 303 on health care preceptors. The Department of Health, Department of Taxation, University of Hawaiʻi, Hawaii State Center for Nursing, and several health care organizations supported the bill, saying the existing preceptor tax credit program has been successful and that expanding eligibility to additional professions and students would help address workforce shortages. In response to questions, the Department of Health said the annual tax credit cap is $1.5 million, about 650 to 670 credits are currently used each year, and the bill applies only to unpaid preceptors. The committee then moved on to HB 441, which would raise cigarette taxes. The Attorney General, Department of Health, University of Hawaiʻi Cancer Center, Hawaii Public Health Institute, American Cancer Society Cancer Action Network, and others supported the measure as a way to reduce smoking, especially among youth, and to support tobacco control and cancer-related programs. Opponents, including the Taxpayers Protection Alliance and the Cigar Association of Hawaii, argued the tax is regressive and unreliable as a revenue source. The Department of Health noted the last cigarette tax increase was in 2011, and one witness urged a larger increase than proposed. No vote was taken on either bill in the portion of the hearing provided. The committee also heard HB 557 on telehealth. The Department of Health supported the bill so long as it did not displace executive budget priorities, and the Hawaii State Health Planning and Development Agency and Hawaii Primary Care Association supported it. HPCA said the bill would conform state insurance law to recent Medicare changes expanding audio-only telehealth coverage beyond mental health services, and it emphasized access for rural residents, kupuna, and people with disabilities. HMSA opposed the bill as written, saying it strayed from the intent of Act 107 and that audio-only telehealth should remain limited because of quality-of-care concerns, though it supported continued access and asked for a different amendment approach. A telehealth provider also testified that payment disparities limit provider expansion and that audio-only access remains important for patients with serious illness. The hearing ended in the excerpt before any committee action or vote on HB 557.