Transcript Highlights:

• facility treatment options for many of these patients as we transition them from acute care to more chronic
• The patient was determined to be too young, too high-functioning for any chronic facilities, so we started
• Patients that stay in this care setting, that's not a benign condition while they are just getting hotel
• These patients have a high risk of hospital-acquired conditions.
• medical conditions.

Committee: House Public Health

Summary: The meeting focused on hospital “avoidable days” and the difficulty of discharging medically stable patients who still need post-acute placement or social services. Presenters from Saint Anthony Hospital Midtown, the Oklahoma Hospital Association, City Care, and OU Health described common barriers including lack of skilled nursing, rehab, long-term care, behavioral health, and hospice placements; insurance prior authorization delays; Medicaid and Social Security eligibility delays; guardianship and Adult Protective Services bottlenecks; limited home health and private duty nursing; and the challenge of placing unhoused, uninsured, or medically complex patients. Several speakers emphasized that these delays reduce bed availability, increase emergency department boarding, contribute to staff burnout, and expose patients to hospital-acquired conditions and other harms. The testimony included multiple examples of patients remaining in acute care for days, weeks, or even months after being medically ready for discharge, including patients awaiting guardianship, disability determinations, or placement in facilities willing to accept them. Speakers also highlighted special populations such as patients with behavioral health or substance use disorders, medically fragile children, patients with criminal histories, and unhoused individuals who need respite or hospice care. City Care described its planned 40-bed medical respite facility, set to open in 2027, as a way to provide clinical support and housing navigation for patients too sick to recover on the street or in shelters. Witnesses recommended policy and system changes such as standardizing preauthorization protocols, expanding rural swing-bed and home-based services, increasing public guardianship resources, improving data collection on homelessness, expanding private duty nursing hours, and creating more placement options for complex patients. They also suggested better coordination between hospitals, DHS, APS, the Health Department, and post-acute facilities, including a database of facility services to improve discharge planning and keep patients closer to home. No votes or formal committee actions were taken in the transcript, but the chair indicated the issue would require collaboration across multiple agencies and partners.

Transcript Highlights:

• opioid addiction, psychological conditions like ADHD, depression, and anxiety disorders, and chronic
• All these are chronic conditions. You know, they don't go away with being on medications.
• So it is important that we recognize this as a chronic medical condition and treat it no differently
• So it is important that we recognize this as a chronic medical condition and treat it, no differently
• So I really appreciate your focus on the importance of long-term care, chronic care for chronic condition

Committee: House Substance Abuse Prevention and Treatment Task Force

Transcript Highlights:

• Members, my bill is not about a discussion whether or not obesity is a chronic disease and condition
• My bill is not about a discussion whether or not obesity is a chronic disease and condition that needs
• </c> conditions like osteoarthritis. conditions like osteoarthritis.
• Obesity is a costly, chronic condition.
• </c> Obesity is a costly, chronic condition. Obesity is a costly, chronic condition.

Bills: HF4493 , HF3133 , HF4595 , HF4143 , HF4142 , HF3756 , HF4289 , HF1724 , HF2291 , HF4568 , HF4547

Committee: House Health Finance and Policy

Transcript Highlights:

• And it should be confined to specific treatments or drugs, like for chronic conditions, as well.
• And it should be confined to specific treatments or drugs like for chronic conditions as well.
• And so if somebody has, let's say, a chronic condition where they're under the treatment of a doctor
• Every day, our coalition hears from Californians living with chronic and serious conditions.
• Every day, our coalition hears from Californians living with chronic and serious conditions.

Summary: The Assembly Health Committee met on April 22 and took up a special order of bills focused largely on prior authorization and utilization management in health care. The chair framed the discussion as part of a broader legislative effort to reduce delays and barriers to care, especially in behavioral health, chronic disease management, cancer treatment, and rehabilitation services. AB 384 by Assembly Member Connolly would prohibit prior authorization for inpatient mental health or substance use emergency admissions and related physician care; supporters said it would prevent dangerous delays in crisis care, while insurers and health plans warned about fraud, abuse, and ambiguity around residential treatment facilities. The bill was moved on a due pass as amended motion and passed the committee on a party-line style vote, with Republicans largely absent or not voting. The committee then heard AB 510 by Assembly Member Addis, which would require health plans, upon request, to provide a peer reviewer of the same or similar specialty when a treating provider appeals a prior authorization denial or modification. Supporters argued that specialty-matched review would make appeals fairer and more clinically informed; opponents said the requirement was too rigid and that timelines and electronic submission rules needed changes. After discussion about the need for timely, specialty-specific review, the bill was approved on a due pass as amended motion and placed on call. AB 539 by Assembly Member Schiavo would extend prior authorization approvals to one year or the duration of the physician’s prescribed treatment for chronic conditions; supporters cited repeated denials and treatment interruptions, while opponents raised concerns about overbreadth, fraud, and the need for shorter validity periods. The bill was also passed as amended and placed on call. The committee next considered AB 669 by Assembly Member Haney, which would bar concurrent and retrospective review for the first 28 days of medically necessary substance use disorder treatment and limit prior authorization for related outpatient medications. The bill was presented with a powerful personal story from Ryan Matlock’s mother about her son’s death after an insurer cut off treatment early; supporters said the measure would keep patients in care long enough to stabilize, while opponents argued it would reduce oversight and could allow lower-quality or non-evidence-based care. The bill was moved on a due pass as amended motion and placed on call. Finally, AB 512 by Assembly Member Harabedian would shorten prior authorization response times to 24 hours for urgent requests and 48 hours for non-urgent requests; supporters said delays can worsen outcomes, while opponents warned the timelines were unrealistic and could increase administrative burdens and safety issues. The bill was approved as amended and placed on call. AB 574 by Assembly Member Mark Gonzalez was then heard; it would allow up to 12 medically necessary physical therapy sessions for a new episode of care without prior authorization, with supporters emphasizing stroke and neurological recovery and opponents warning of reduced oversight and unnecessary care. The transcript ends during testimony on AB 574, before final action is shown.

Transcript Highlights:

• Nearly 70% of claims include one or more chronic conditions.
• It can be a professional athlete that has a severe list of chronic conditions.
• Workers with chronic conditions.
• Workers with chronic conditions that are common, age-related chronic conditions, who maybe were asymptomatic
• headaches, swollen veins, chronic heart condition... ...chronic heart condition.

Summary: The Budget Subcommittee on State Administration heard presentations on the Department of Industrial Relations’ labor-related budget items, with the main focus on proposed trailer bill language to reform the Subsequent Injury Benefits Trust Fund (SIBTF) and a related budget change proposal for staffing. DIR said SIBTF has grown far beyond its original purpose, citing the 2020 Todd decision, expanded eligibility based on chronic or asymptomatic conditions, and a backlog that has grown to more than 30,000 pending cases. The administration argued the reforms would restore guardrails, reduce liabilities and employer assessments, and speed processing for severely injured workers; the LAO said the proposal was largely consistent with its prior recommendations. Members raised concerns about using trailer bill language for major policy changes, the retroactive application to open cases, and the impact on workers already in the queue, while supporters from employer groups and public agencies backed the proposal as necessary to control costs and restore sustainability. Public comment was split, with injured-worker advocates opposing the retroactive changes and business/public employer representatives supporting the reforms. The committee then heard the SIBTF workload request, which would phase in 177 positions over five years at a cost of $36.5 million, including staff for the Division of Workers’ Compensation, the Office of the Director Legal Unit, and administrative support. DIR said the additional staffing is intended to address very high caseloads and reduce processing times, but emphasized that the request assumes the reform package is adopted; LAO agreed the staffing increase made sense if paired with reforms. Members asked about vacancy rates, current staffing, and whether the workload request would become the new normal, and DIR said it would monitor caseload trends and adjust future requests as needed. Finally, the committee received an update on the California Workplace Outreach Program (CWOP), which DIR described as a partnership with community-based organizations to educate workers and help employers comply with labor laws. DIR reported that CWOP has reached 1.75 million workers and employers and made 8 million touchpoints since 2020, with the current round awarding $50.7 million to 87 partners for a two-year period through June 2027. Members and public commenters highlighted the program’s role in reaching immigrant, farmworker, janitorial, nail salon, and other vulnerable communities, and several speakers urged continued funding at $30 million per year for five years. No votes were taken during the hearing.

Transcript Highlights:

• Environmental Service and Natural Resources Systems category for her research examining how environmental conditions

Bills: HB4440 , HJR1067 , HJR1087 , HB4426 , HB3704 , HB4311 , HB3044 , HB4191 , HB3465 , HB3972 , HB3759 , HB3625 , HB1411 , HB2980 , HB3015 , HB3147 , HB3277 , HB3323 , HB3443 , HB3882 , HB3406 , HB2975 , HB3977 , HB3263 , HB2988 , HB3404 , HB1770

Keywords: Medicaid, low-income adults, healthcare, eligibility restrictions, constitutional amendment, Medicaid expansion, SoonerCare, health coverage, federal matching funds, FMAP, Article XXV-A, state question, special election, Title 63, public assistance, healthcare funding, federal-state match, Medicaid eligibility, Oklahoma Constitution, ad valorem

Transcript Highlights:

• And so, is the prospect of future floods part of an ongoing accident or condition that prevents them
• following language: 'If the court does not require the use of an ignition interlock device as a condition

Bills: SB1638 , SB504 , SB2072 , SB1283 , SB1216 , SB1655 , SB2011 , SB1643 , SB1446 , SB1256 , SB1258 , SB1441 , SB1224 , SB1448 , SB1496 , SB1597 , SB1621 , SB1827 , SB2066 , SB2104

Committee: Senate Judiciary

Keywords: Governmental Tort Claims Act, liability limits, claims, medical negligence, tort reform, state liability, public health, claims adjustment, compensation limits, SB504, marriage, child marriage, minor marriage, age of consent, minimum marriage age, underage marriage, teen marriage, parental consent, judicial approval, marriage license

Transcript Highlights:

• One of chronic absenteeism and truency.
• Ed Allies did a lot of research on chronic absenteeism.
• Ed Allies did a lot of research on chronic absenteeism.
• actually working on chronic absenteeism?
• /c><01:03:58.319><c> require</c> these conditions should never require these conditions should never

Transcript Highlights:

• Under the service, a client with chronic conditions and low food security may be assessed for a nutrition
• Disabilities, chronic illness, and extreme weather make prolonged waits painful or unsafe.
• For people who have serious or chronic health conditions, these meals help alleviate the impacts of chronic
• health conditions, like kidney disease or diabetes.
• Many of those households are seniors, families, and people living with chronic illness..."

Summary: The committee heard public hearings on several health-related bills. House Bill 1904 would prohibit cat declawing except for therapeutic purposes, with staff explaining definitions, fines, recordkeeping, and reporting requirements. The prime sponsor and animal welfare advocates described declawing as cruel and linked it to pain and behavior problems, while the Washington State Veterinary Medical Association supported the substance of the bill but asked to remove the added reporting and disciplinary provisions as redundant and burdensome. House Bill 2211 would provide guidance for medically tailored meals under existing Medicaid-related nutrition supports, including standards for Washington-based nonprofit providers where possible, menu review, and nutrition requirements. The sponsor said it would clarify implementation without expanding the program, and supporters from meal providers, food distributors, and local farms said it would improve health outcomes, keep dollars local, and support Washington jobs and agriculture. House Bill 2329 would allow licensed midwives to delegate certain tasks to medical assistants and to supervise medical assistants, with the sponsor and birth center operators saying it would fix an omission in current law and help rural and under-resourced birth centers operate more efficiently. Supporters said it would improve staffing and financial stability, while the sponsor indicated the lactation consultant language would likely be removed because those consultants are not regulated by the Department of Health. The committee then returned to House Bill 1904 for additional testimony from humane organizations, veterinarians, shelter leaders, and local officials, all supporting a ban on declawing and emphasizing animal pain, shelter impacts, and available alternatives. House Bill 2247 would expand and clarify veterinary telehealth and veterinarian-client-patient relationship rules, allowing a VCPR to be established in certain telehealth circumstances and setting guardrails for consent, practice standards, and when in-person exams are still required. Supporters from shelters, animal welfare groups, mobile clinics, and veterinarians said telehealth would improve access in rural and underserved areas, reduce shelter intake, and help animals receive care sooner; the veterinary association supported the bill with amendments to clarify recordkeeping and access-to-care findings. House Bill 2339 would update nursing license terminology and processes for advanced registered nurse practitioners, including title changes, controlled substance rules for CRNAs, transcript submission, and interim permits. Nursing board and ARNP representatives supported the technical updates, while the hospital association and medical association raised concerns about title language for clinical nurse specialists and the deletion of a reference to the medical profession. Finally, House Bill 2106 would require health carriers to give 90 days’ notice of significant mid-contract payer modifications and provide the actual modification language, with the sponsor and hospital and provider representatives saying insurers are increasingly making unilateral changes that affect payment, services, and patient access. UW Medicine and a rural hospital district described examples where insurers changed imaging or preventive service coverage mid-contract, causing financial losses and forcing difficult choices about network participation. Carriers were noted as opposing the bill, while providers and facilities argued it would improve transparency and prevent one-sided contract changes that disrupt care.

Transcript Highlights:

• ><c> it's</c> chronic health condition, whether it's chronic health condition, whether it's asthma,<01
• medical conditions.
• </c> adults with chronic medical conditions. adults with chronic medical conditions.
• ><c> for</c> chronic diseases, chronic diseases for chronic diseases, chronic diseases for children.<
• </c> prevalence of chronic diseases? prevalence of chronic diseases?

Committee: House Health, Human Services and Elderly Affairs

Transcript Highlights:

• And that's especially true of chronic wasting disease.
• A little bit closer, you can see she's kind of in poor body condition.
• You can see she's kind of in poor body condition.
• But that's a typical kind of finding of chronic wasting disease.
• Good body condition, completely normal-looking deer.

Summary: The meeting began with roll call, adoption of the agenda, and approval of the prior minutes. The main presentation was from Julie Grenwald of Louisiana Hunters for the Hungry, who described the nonprofit’s protein donation programs, including freezer clean-out days, deer and fish processing partnerships, and a paused feral hog donation program that had collected about 3,500 hogs and 137,000 pounds of pork before funding ran short. She said the group has donated roughly 300,000 pounds of protein over two years, works with food banks and local agencies, and is protected under Louisiana’s Good Samaritan Law. Members asked about processor locations, exotic species, signage, sponsorships, and whether the program could expand to other invasive species or mobile drop-off options; Grenwald said expansion is possible if processors and funding are available. The task force then received a Louisiana Department of Wildlife and Fisheries update from Jonathan Bordelon on chronic wasting disease testing. He reported more than 2,800 samples collected and over 2,300 results returned, with nine positives total: eight in Tensas Parish and one confirmed in Concordia Parish on Richard K. Yancey WMA, which triggered preparation of an emergency declaration and future rulemaking to adjust the control area. He said harvest and sampling remain near record levels, most samples are voluntary, and the agency continues to monitor symptomatic deer reports and public submissions. The final major presentation was from William McKinley of the Mississippi Department of Wildlife, Fisheries and Parks, who gave a detailed overview of Mississippi’s CWD response. He said Mississippi has 529 detections across 18 counties, with prevalence rising from about one in 500 samples to about one in 80 statewide, and much higher in some counties. He described Mississippi’s surveillance system, targeted tags within three miles of positives, environmental sampling, feeder bans in CWD zones, and research showing contamination at feeders and in scrapes. He also discussed possible multiple strains, including one linked to the Wisconsin whitetail strain and another around Vicksburg/Issaquena, and said the disease appears to be expanding about 3.5 miles per year. Members asked about high-fence enclosures, live deer movement restrictions, baiting and feeding rules, hunter participation, and whether Louisiana should develop similar environmental testing capacity; no votes were taken on these issues, but members discussed possible future legislative or budget action.

Transcript Highlights:

• The living conditions were less than desirable but didn't meet Chapter 272.
• In comparison, we've encountered cases where chickens have been left in deplorable condition.
• . ...12 days ago where we had eight puppies left in a car in unsanitary conditions.
• Individuals with disabilities and chronic health conditions deserve better than to be political pawns
• and had chronic vertigo ever since.

Committee: Joint Joint Committee on Municipalities and Regional Government

Summary: The committee held a lengthy hybrid hearing of the Joint Committee on Municipalities and Regional Government, with testimony spanning local board training, animal welfare and enforcement, municipal charters, water district dissolution, and other home rule matters. Chairs Rausch and Lewis set strict time limits because of the large number of speakers and explained that written testimony would also be accepted. Members heard from local officials, advocates, municipal employees, and residents, with many bills receiving broad support from municipal and advocacy witnesses. Several speakers supported bills requiring or expanding training for local boards and commissions, including pre-service training for planning, zoning, and other land use boards. Supporters said training would help volunteers understand complex laws, improve consistency, reduce legal challenges, and speed up housing and development decisions. Related testimony also backed a bill to modernize historic district commissions and another to allow associate planning board members to serve more broadly when needed to maintain quorums. A major portion of the hearing focused on animal legislation. Witnesses supported bills to expand citations for cruel conditions beyond dogs, update dangerous dog procedures, improve animal health inspections and breeder oversight, strengthen tethering rules, and protect pet consumers. Animal control officers, humane organizations, and some victims of dog attacks described enforcement gaps and the need for clearer standards, while several dog trainers and the American Kennel Club opposed parts of the dangerous dog bill and tethering restrictions, arguing they would limit humane training tools and professional discretion. The committee also heard strong support for a bill to create a statewide pet shop and consumer protection framework. The committee also heard testimony on several local home rule petitions. Medford officials and residents strongly supported a new city charter that would replace the current at-large council with ward-based representation and periodic charter review. Wayland representatives supported a bill to preserve the library’s Millennium Fund as intended, Cambridge officials backed creation of an employment and job training trust, and Carver officials supported dissolving the North Carver Water District due to compliance and financial problems. No votes were taken during the hearing, and the chair repeatedly invited written testimony and follow-up materials.

Transcript Highlights:

• What I will say is addiction is known as a chronically relapsing condition.
• This is how we treat other chronic conditions and other chronic diseases.
• These are all chronic relapsing conditions, right?
• We treat chronic conditions all the time. Substance use disorders are no different than that.
• The other thing that I want to highlight is even though that this is a chronic relapsing condition, this

Committee: House Substance Abuse Prevention and Treatment Task Force

Summary: The task force meeting opened with a brief organizational update, including new leadership, roll call, and an explanation of the task force’s statutory duties: to study current and future drug and substance use in Missouri, explore solutions, draft or modify legislation, and report recommendations on prevention and treatment. The chair outlined the summer hearing plan, which would feature field experts, with future sessions expected to cover alternative therapies such as psilocybin and ibogaine and testimony from the Department of Mental Health. Members were encouraged to think about legislative ideas and policy recommendations for the upcoming session. The first major testimony came from Dr. Rachel Winograd, who described Missouri’s overdose crisis as evolving into a “fourth wave” marked by fentanyl mixed with animal tranquilizers such as xylazine and medetomidine, along with methamphetamine and other synthetic drugs. She said overdose deaths have declined for a third straight year, with preliminary 2025 data around 1,200 deaths, but emphasized that the crisis remains severe. Her main recommendations were to focus on demand reduction rather than repeated supply crackdowns, expand evidence-based treatment—especially methadone and buprenorphine—broaden naloxone access, and improve practical supports like housing, transportation, and case management. She also said peer services are valuable but should not be used as a substitute for clinical care, and noted that Missouri Medicaid generally covers evidence-based treatment but reimbursement for peer recovery services remains a gap. Dr. Heidi Miller, the state medical director at the Department of Health and Senior Services, reinforced the call for integrating substance use disorder care into whole-person health care. She highlighted the state naloxone standing order, which supports more than 11,000 Medicaid naloxone prescriptions annually, and urged five best practices: integrating SUD treatment into primary care, maternal health, general medical training, EMS initiation of buprenorphine after overdose, and expanded methadone access. She also argued for team-based reimbursement, stronger parity enforcement between behavioral health/SUD and physical health, and caution in regulating emerging substances so policy does not outrun the science. Dr. Doug Burgess of University Health in Kansas City echoed the integration theme, arguing that Missouri’s system is too fragmented and that patients are often stabilized and then left to coordinate their own next steps. He compared ideal SUD care to the coordinated response used for heart attacks, with seamless transitions from emergency care to inpatient treatment, rehab, and outpatient follow-up. He said treatment courts can be effective when they are well coordinated and informed by addiction science, and he stressed the importance of discharge planning, peer recovery coaches, information-sharing, and maintaining Medicaid coverage during justice involvement. No formal votes or committee actions were taken during this portion of the meeting.

Transcript Highlights:

• If you come in with chronic pain now, now you have to go see a specialist.
• I have been a chronic pain patient for 14 years.
• I was going to chronic pain management.
• Kratom helps tremendously with my chronic pain, anxiety, and depression.
• or anxiety or chronic pain, whatever the case may be.

Summary: The Kratom Working Group met to hear public testimony and expert presentations on whether North Dakota should prohibit or regulate kratom and 7-OH products. Early testimony split sharply between speakers who described natural kratom as a helpful, lower-risk alternative for chronic pain, opioid withdrawal, PTSD, and recovery, and speakers who urged prohibition because of dependence, overdose risk, and the growth of concentrated or synthetic 7-OH products sold in gas stations, smoke shops, and online. Several witnesses, including consumers and shop owners, argued that banning kratom would push people to more dangerous drugs or unregulated internet sources, while public health and medical witnesses said the marketplace is confusing and inadequately controlled. A number of witnesses, including representatives of the North Dakota Public Health Association, the state crime lab, and addiction-treatment and pediatric clinicians, emphasized risks from adulterated or concentrated products, lack of labeling and age restrictions, contamination concerns, and harms to adolescents, pregnant patients, and newborns. The crime lab described recent cases involving mitragynine, 7-OH, and pseudoindoxyl, and said products purchased in a smoke shop were inaccurately labeled. A Sanford pediatric hospitalist testified that kratom exposure in pregnancy can cause severe neonatal withdrawal and that adolescents are using the product. By contrast, American Kratom Association representatives and other advocates argued that natural leaf kratom should be distinguished from synthetic 7-OH, that deaths usually involve other substances, and that a regulatory framework with testing, labeling, age limits, and product registration would better protect consumers than a blanket ban. No formal bill was debated or voted on in this transcript. The working group heard testimony, asked questions, and took no final action before breaking for lunch and later resuming with additional presentations.

Transcript Highlights:

• They manage chronic and acute conditions, provide preventive care, address behavioral health needs, and
• They manage chronic and acute conditions, provide preventative care, address behavioral health needs,
• He has multiple chronic medical conditions, including opioid use disorder, anxiety, depression, lung
• Children, youth, and families increasingly experience a variety of chronic conditions.
• Children, youth, and families increasingly experience a variety of chronic conditions.

Committee: Joint Joint Committee on Health Care Financing

Summary: The Joint Committee on Health Care Financing held a public hearing on a large docket focused on primary care, workforce development, and medical debt. Chairs Cindy Friedman and John Lawn outlined hearing procedures and noted that testimony would be taken on 17 matters. The committee first heard testimony on bills to establish a community health center nurse practitioner residency program and to strengthen mental health centers. Senator Keenan, Rep. Keefe, and health center leaders described the Worcester nurse practitioner residency as a successful pipeline and retention strategy, citing workforce shortages, training needs in community health centers, and the cost of the program. Rep. O’Day also supported the mental health centers bill, saying it would raise payment rates, improve reimbursement for behavioral health services, and help clinics retain staff and expand access. The committee then took testimony on bills to address medical debt through hospital financial assistance reform. The Attorney General’s Office, Health Care for All, Health Law Advocates, the Leukemia and Lymphoma Society, and individual patients supported the measure, arguing that hospital financial assistance policies are inconsistent, hard to find, and difficult to navigate. Witnesses said the bill would standardize eligibility criteria, create a uniform application, improve notice requirements, and expand access to discounted care up to 400% of the federal poverty level. Several personal stories described medical bills being sent to collections, confusion over insurance billing, and the burden of debt on low-income and chronically ill patients. Committee members asked about hospital concerns, the role of the health safety net, and whether the bill addressed root causes of medical debt; testimony emphasized that the proposal was meant to improve transparency and access rather than replace broader insurance reforms. The hearing also focused heavily on “Primary Care for You” legislation, H. 1370 and S. 867, which would increase primary care investment and create a new payment model. Rep. Haggerty, physicians, a patient, community health center leaders, and the Massachusetts League of Community Health Centers described a primary care crisis marked by low reimbursement, staffing shortages, long waits, burnout, and difficulty recruiting clinicians. Supporters said the bills would shift spending toward preventive, team-based care, improve access and equity, and reduce long-term costs. The Massachusetts Association of Health Plans said it was directionally supportive of increased primary care investment but warned that any new spending must stay within the cost growth benchmark and preserve existing contracting structures. The hearing ended with additional testimony on a community health center workforce and loan repayment grant bill from Rep. Stanley, and with further discussion from Dr. Alan Garo about the need for payment reform in primary care.

Transcript Highlights:

• Nearly 70% of claims include one or more chronic condition.
• It can be a professional athlete that has a severe list of chronic conditions.
• Workers with chronic conditions...
• Workers with chronic conditions that are common, age-related chronic conditions, who maybe were asymptomatic
• headaches, swollen veins, chronic heart condition.

Transcript Highlights:

• Chronic absenteeism is a crisis across the Commonwealth.
• There is significant agreement among stakeholders that chronic absenteeism is a problem to be solved,
• Students with disabilities are absent for a variety of reasons, including chronic health conditions,
• And so now our chronic absenteeism is below 20% and is better than it was before the pandemic.
• Salem, as a community, has significantly reduced chronic absenteeism.

Committee: Joint Joint Committee on Children, Families and Persons with Disabilities

Summary: The committee held a hybrid hearing on a range of bills affecting children, families, disability rights, homelessness, and social services. Early testimony focused on H.215, which would support children experiencing homelessness by speeding access to child care vouchers and early intervention screenings. Boston officials, Horizons for Homeless Children, Head Start, pediatric and early education advocates, and families described delays in child care and early intervention, the developmental risks of homelessness, and the need for automatic referrals and faster access to services. Testimony also supported H.216, which would improve emergency housing assistance by restoring presumptive eligibility, reducing documentation barriers, extending shelter stays from six to nine months, and creating an ombudsperson; providers and legal advocates said current rules leave families sleeping in cars or outside and create unnecessary administrative hurdles. The committee also heard strong support for H.210, which would repeal the “Learn Fair” school attendance sanction that cuts cash assistance to families when children miss school. Advocates from legal aid, education, and anti-poverty organizations argued the policy is punitive, burdensome, and ineffective, disproportionately affecting low-income, disabled, and Hispanic/Latino families. Several speakers said chronic absenteeism should be addressed through supports such as family outreach, wraparound services, and school engagement rather than benefit cuts. Legislators and school officials from Salem also testified that their districts reduced absenteeism through supportive strategies, not sanctions. Additional testimony addressed children’s vision bills H.202 and H.166, with optometrists and researchers urging better screening, data systems, and treatment access to close achievement gaps caused by untreated vision problems. Senator Lovely also presented S.2714, proposing a study of discrimination in public accommodations for people with service animals. Later, testimony on H.279 supported changing social work licensure rules to remove exam requirements that speakers said disproportionately exclude multilingual candidates and candidates of color. The hearing also included testimony on bills related to the Judge Rotenberg Center and electric shock devices, with disability rights advocates opposing continued use of the devices and urging the committee to reject licensing or authorization for them. No votes or committee actions were taken during the hearing.

Transcript Highlights:

• and mental health conditions.
• We have with us Callie Means, founder of In Chronic Disease, Dr.
• And that leads to all these chronic diseases. This is a national emergency.
• If we fail to act now, the burden of chronic disease will bankrupt our healthcare system.
• We are seeing a staggering rise in chronic disease in children.

Bills: SB 25 , SB25 , SB314

Committee: Senate Health & Human Services

Transcript Highlights:

• Chronic pain can be faked. There’s not a test for chronic pain.
• We also oppose the addition of any service member honorary... increase in the adding chronic pain.
• Chronic pain can be faked. There's not a test for chronic pain.
• I qualified for the T-Cup condition, for two conditions: neurodegenerative disease and PTSD.
• The science on cannabis and pain relief is the strongest science for any condition.

Bills: HB46 , HB272 , HB551 , HB1661 , HB2820 , HB3181 , HB4145 , HB4157 , HB46 , HB272

Committee: Senate State Affairs

Summary: The Senate Committee on State Affairs heard several House bills and took no final votes, leaving each bill pending after testimony. HB 272 would align venue and evidentiary rules for fraudulent use or possession of credit/debit card information with existing credit card abuse law; the sponsor said it would improve prosecutions, and the Texas Financial Crimes Intelligence Center supported it. HB 1661 would increase penalties for certain election-related offenses, including failure to distribute election supplies and early release of election results; no substantive opposition was heard. HB 551 would protect the residential addresses of people who receive campaign expenditures on public Texas Ethics Commission reports, similar to donor privacy protections, and a witness from Texas Eagle Forum later indicated support for the privacy change. The committee also heard HB 2820, which would raise the amount charitable bingo organizations may keep in operating capital from $50,000 to $100,000. The sponsor and a Texans for Charitable Bingo representative said inflation and operating costs have made the current cap too low and that the bill would help charities maintain stable operations without expanding gaming. HB 3181 would impose stronger consequences for repeated denial of court-ordered child possession and access, including limiting probation and requiring attorney’s fees after multiple contempt findings; a family court judge and a parent testified in support, while another witness argued the bill should be paired with stronger criminal enforcement and that parents already face high costs. HB 4157 would update Texas law for commercial spaceflight by recognizing liability waivers and preserving workers’ compensation rights; no one testified against it. The committee also heard HB 4145, which would let health care providers satisfy a timely billing requirement by sending bills to a patient’s legal representative in a personal injury case, closing what supporters described as a loophole in letter-of-protection situations. Finally, HB 46, relating to the Texas Compassionate Use Program, drew the most extensive discussion: supporters said it should expand access for legitimate medical cannabis patients and add more delivery methods and conditions, while opponents warned against broader marijuana expansion and questioned adding chronic pain and other conditions. The sponsor said he still supports the program and wants a balanced, regulated expansion, but noted the bill is still being worked on. All bills were left pending at the close of the hearing.

Transcript Highlights:

• Can we do something to protect the chronic conditions and people who are facing life-saving, life-threatening
• conditions?
• </c><00:20:29.679><c> conditions</c><00:20:30.159><c> and</c> to protect the chronic conditions and to
• protect the chronic conditions and people<00:20:30.559><c> who</c><00:20:30.720><c> are</c><00:20:30.880
• </c><00:20:35.200><c> Can</c> lifethreatening conditions? Hell no. Can lifethreatening conditions?

Summary: Minnesota lawmakers and advocates held a press event focused on a special-session budget agreement that would repeal health coverage for undocumented immigrants. Speakers, including Rep. María Isa Pérez-Vega, Sen. Lieman, labor leaders, immigrant advocates, faith leaders, and other DFL/POCI caucus members, argued the repeal would harm about 17,000 people, increase uncompensated care costs, worsen ER and clinic wait times, reduce productivity, and ultimately raise costs for taxpayers and employers. They also said undocumented immigrants contribute significant tax revenue and that the measure was motivated by cruelty and scapegoating rather than fiscal responsibility. Testimony emphasized moral, public health, labor, and faith-based objections. Unidos Minnesota, SEIU Local 26, the Minnesota AFL-CIO, and Pastor Ingred Ramson all framed health care as a human right and said the policy would punish working families, immigrants, and communities of color. Several speakers linked the repeal to broader attacks on immigrants, labor rights, and other social protections, and warned that the compromise budget framework included a “poison pill” tying the health bill to the repeal. POCI caucus members said they had tried unsuccessfully to negotiate alternatives, including changes to paid leave, earned sick and safe time, non-compete bans, premiums, enrollment caps, and protections for children, elders, and people with chronic conditions. They said leadership was not part of the negotiations and expressed disappointment with DFL and governor-level decisions, while also saying they would continue to fight the policy and hold leaders accountable. No vote was taken in the event itself, but speakers repeatedly said the repeal was expected to pass and that they would oppose it and continue organizing in future sessions.