Transcript Highlights:

• primary care, specialty care, behavioral health, um, yes, pharmacy access, uh, ambulance, home health, hospice
• pharmacy access, uh ambulance, home yes, pharmacy access, uh ambulance, home health,<00:10:33.360><c> hospice
• </c> health, hospice, imaging, 247, 365. health, hospice, imaging, 247, 365.

Keywords: 919, house, all

Summary: House File 369 was the main topic, with House authors Rep. Natalie Zeleznikar, Rep. Robert Bierman, and Rep. Dave Baker arguing that the bill would give Minnesota’s 2024 340B law “teeth” by enforcing protections for nonprofit and rural hospitals’ access to the federal drug pricing program. They said the measure costs the state nothing, aligns with similar laws in more than 20 other states, and is needed before adjournment to help hospitals close funding gaps, support services like emergency care, obstetrics, behavioral health, and pharmacy access, and preserve care in remote communities. Several hospital leaders from across greater Minnesota testified that 340B revenue helps keep their facilities viable and that losing it would threaten services and, in some cases, hospital survival. Witnesses described severe financial pressure on rural hospitals, including reimbursement cuts, workforce shortages, inflation, and rising drug costs. Leaders from United Hospital District in Blue Earth, Lakewood Health System in Staples, Ely-Bloomenson Community Hospital, Northshore Health in Grand Marais, Community Memorial Hospital in Cloquet, and Cuyuna Regional Medical Center in Crosby said their hospitals serve as safety-net providers and often operate with thin or negative margins. They emphasized long travel times to other hospitals, seasonal tourism pressures in some areas, and the importance of local emergency, ambulance, inpatient, and specialty services. The Minnesota Hospital Association president also criticized pharmaceutical company messaging and said nonprofit hospitals are working around the clock to maintain access. In response to questions, Zeleznikar said she had considered other enforcement approaches but now supported using the original Senate-passed bill, citing concerns about fraud and the difficulty of alternative enforcement mechanisms. She and hospital leaders distinguished this bill from a separate hospital stabilization-grant proposal, saying both are needed but serve different purposes. No vote was taken at the meeting, and the speakers repeatedly urged House leadership to bring the bill to the floor before session ends.

Transcript Highlights:

• In the off-season, I became aware of a citizen in my district who was ill and was coming home from hospice
• hold of OMV to see if they had the authority to waive this because this person was going home on hospice
• She’s going home on hospice, and they won’t give her medicine, and OMV wouldn’t give her an ID.

Summary: The Senate Committee on Revenue and Fiscal Affairs met on May 11, 2026, approved the April 27 minutes, and then took up several House bills. HB 618, by Rep. McMakin, would update Louisiana Economic Development fees and filing charges by indexing them to inflation and allowing some discretion to waive or reduce fees for small businesses; it was reported favorable. HB 732, by Rep. Owen, drew extensive discussion because it combined two issues: temporary OMV relief for a hospice-related ID problem and a suspension of the new hybrid vehicle road usage fee. Members and the OMV commissioner raised constitutional and drafting concerns about waiving or eliminating obligations, and the committee discussed how newer vehicle classifications blur the line between electric, hybrid, and gas-powered vehicles. The committee ultimately reported HB 732 favorable, with the understanding that amendments and further work would be needed before floor action. The committee also reported favorable on HB 217 and HB 214 by Rep. Henry, which would authorize local governments to grant property tax exemptions for the rehabilitation of blighted property and place the related constitutional amendment before voters. Testimony emphasized that the measure is permissive for local governments, applies only after a property is formally blighted and rehabilitated, and is intended to encourage redevelopment while preserving some tax revenue. Members discussed the exemption level, duration, and the need for clearer definitions of blight, but no objections were raised. HB 593, also by Rep. Henry, would raise the maximum service fee for OMV public tag agent offices statewide; the commissioner explained that many offices are locally operated and that the increase would help cover costs, and the bill was reported favorable. Later, HB 514 and HB 961, by Rep. Foreman, were reported favorable. HB 514 would allow local governments, by referendum, to provide additional property tax relief for seniors who meet income and freeze requirements, with phased age-based eligibility steps; HB 961 would extend a similar concept to certain homesteads held in trust. Members discussed the optional local nature of the program and the need to avoid overly broad rules. HB 908, by Rep. Mina, would increase certain Secretary of State business services fees to support operations and system upgrades; agency officials said the fees had not been comprehensively adjusted since 2013 and remained below regional averages, and the bill was reported favorable. The committee then heard an informational update on the capital outlay bill from the Division of Administration, including the use of bundled projects for universities and DOTD, the status of P1/P2/P5 funding, and available cash capacity. Finally, HB 1010, by Rep. Deshotel, was reported favorable after brief discussion; it would require assessors to report property tax collections to the Louisiana Tax Commission for centralized public reporting.

Transcript Highlights:

• million for the MCO adjustment; and an $8.3 million inflationary adjustment for nursing homes and hospice
• program. 28.8 million for the MCO adjustment. 8.3 million inflationary adjustment for nursing homes and hospice
• House committee amendments are followed. 21.4 million. ...homes and hospice.

Bills: HR159, HR160, HR161, HR162, HR163, HR164, HCR60, HCR61, HCR62, HCR63, HCR64, HR153, HR154, HR155, HR156, HR157, HR158, HCR57, HCR58, HCR59, SB124, SB399, SB441, SB447, SB460, HCR4, HCR47, HB59, HB74, HB159, HB175, HB330, HB364, HB414, HB458, HB525, HB568, HB628, HB786, HB909, HB1008, HB1033, HB1034, HB1041, HB1052, HB1062, HB1070, HB1079, HB1112, HB1118, HB1139, HB1151, HB1154, HB1176, HB1182, HB1196, HB1214, HB1231, HB1241, SB244, HB1, HB2, HB3, HB312, HB313, HB383, HB314, HCR3, HB983, HB1126, HR1, HR17, HCR5, HB27, HB71, HB214, HB225, HB241, HB244, HB306, HB345, HB366, HB446, HB511, HB514, HB655, HB730, HB743, HB1027, HB1037, HB1043, HB1082, HB1091, HB1096, HB1103, HB1167, HB1174, HB1175, HB1230, HB1237, HB1238, HB55, HB385, HB394, HB396, HB406, HB608, HB622, HB676, HB772, HB897, HB1030, HB1035, HB1038, HB1045, HB1049, HB1056, HB1058, HB1059, HB1092, HB1100, HB1117, HB1160, HB1161, HB1162, HB1177, HB1180, HB1189, HB1216, HB1239, HB1240, SB162, SB349, SB350, SB382, SB383, SB127, HB51, HB58, HB140, HB750, HB911, HB982, HB1010, HB151, HB180, HB192, HB193, HB310, HB635, HB690, HB961, HB1003, HB1146, HB864, HB977, HB181, HB31, HB664, HB615, HB901, HR20, HR74, HB9, HB284, HB393, HB459, HB577, HB582, HB605, HB614, HB682, HB733, HB773, HB996, HB1113, HB1234, HB1236

Keywords: occupational therapy, healthcare, medical professionals, recognition, professional day, property transfer, public records doctrine, bad faith, Louisiana State Law Institute, real estate law, Black Maternal Health Week, maternal health, racial disparities, healthcare access, culturally competent care, Louisiana, community health, motorcycle safety, awareness month, motorcyclists education

Summary: The House convened with a quorum, opened with prayer and the Pledge of Allegiance, and received Senate messages, including several Senate bills and resolutions that were referred or laid over. The chamber also adopted a series of House resolutions honoring local organizations, commemorations, and community events, and referred one resolution on climate action to Natural Resources. Several Senate bills were read and referred to the appropriate committees, including measures on peer review confidentiality, higher education research security, pre-K program standards, police civil service, and a memorial highway designation. The main floor business was the budget. The House considered House Bill 1, the general appropriations bill, in Committee of the Whole and reviewed major funding levels and committee changes across state government. The bill included significant funding for early childhood education, higher education, TOPS, health care, corrections, public safety, transportation, and other agencies, along with adjustments tied to LASERS debt payoff, Medicaid, MFP, and various one-time or recurring items. Members heard brief questions on higher education funding and DOTD road needs, but no amendments were offered on the floor during the schedule-by-schedule review. HB 1 was reported from Committee of the Whole with amendments and then finally passed by a vote of 104 yeas. The House then took up House Bills 2 and 3, the capital outlay bill and the omnibus bond authorization act, both of which were explained as the financing measures for the capital program. HB 2 emphasized limited member project funding, reallocation of dormant projects, and bundling of projects to move them forward more efficiently; HB 3 authorized the bond sales needed to fund HB 2. Both bills passed unanimously or near-unanimously. The chamber also passed supplemental and fiscal bills including HB 312, HB 313, HB 383, HB 314, HCR 3, HB 983, and HB 1126, covering supplemental appropriations, treasury fund transfers, ancillary funds, hospital assessments, judiciary funding, and legislative expenses. The meeting ended with personal privileges, staff recognition, announcements, and adjournment to Monday at 1:00 p.m.

Transcript Highlights:

• First on our agenda, we have HCR 18 and HR 9, requesting the Department of Health to convene a hospice
• working group to examine trends and regulations in the hospice industry.
• working group to examine trends and regulations in the hospice industry.
• 18, H.R. nine, requesting the Department of Health to convene a hospice working group to examine trends
• and regulations in the hospice industry.

Bills: HCR93, HCR14, HR85

Keywords: image-based sexual abuse, working group, gender-based violence, Hawaii Commission on the Status of Women, prevention efforts, survivor protections, new technologies, legal reform, HCR14, House Concurrent Resolution, perpetual easement, non-exclusive easement, state submerged lands, submerged lands, shoreline easement, drainage outfall, stormwater outfall, lagoon outfall, pipelines, Kahala Hotel & Resort

Transcript Highlights:

• Um, but it's basically the majority of your bill, except the retaining the hospice patient rights.
• Um, but it's basically the majority of your bill, except the retaining the hospice patient rights.
• Um, but it's basically the majority of your bill, except the retaining the hospice patient rights.
• Um, but it's basically the majority of your bill, except the retaining the hospice patient rights.
• </c><02:32:04.080><c> patient</c> except the retaining the hospice patient except the retaining the hospice

Keywords: 1187, senate, all

Transcript Highlights:

• the federal government is pointing out that some programs, including in-home support services and hospice
• , may be more prone to potential fraud and abuse, and he has personally seen examples of hospice fraud
• They're saying those are more prone to potential fraud and abuse, hospice being another one.
• And I have personally seen examples of hospice fraud that, and I think there's going to be a lot more
• Maybe you need legislative changes or whatnot, because I think things like hospice and in-home support

Keywords: 988, house, all

Transcript Highlights:

• move into the commissioner's update, I asked to be and was named a member of the palliative care hospice
• when we have a presentation on this we could vote on having a subcommittee on palliative care and hospice
• named a member of the<00:05:04.080><c> paliotative</c><00:05:04.800><c> care</c><00:05:05.199><c> hospice
• </c><00:05:06.320><c> study</c> the paliotative care hospice study the paliotative care hospice study
• that would report back to us and hospice that would report back to us or<00:05:51.680><c> it</c><00:

Keywords: 928, house, all

Summary: The committee first approved the draft minutes from September 26. Senator Gray then raised the idea of creating a continuing subcommittee or recurring agenda item on palliative care and hospice, noting that the issues are evolving and suggesting the committee revisit the idea in coming months. The bulk of the meeting focused on Department of Health and Human Services updates. Officials described contingency planning for SNAP amid the federal shutdown, including a USDA notice that November benefits may not be fully funded, letters to participants warning of possible delays, and coordination with the New Hampshire Food Bank and local pantries. They said New Hampshire serves about 42,000 SNAP households, with average benefits around $300 a month, and that the department is also preparing to transfer funds for a special fiscal committee meeting. WIC was discussed separately: officials said WIC benefits had been extended through November 7 using additional USDA funds, but that some community agency-based WIC services may need to pause while money is redirected to food benefits. Officials also outlined New Hampshire’s rural health transformation grant application under the federal One Big Beautiful Bill, describing a potential five-year, up-to-$1 billion opportunity focused on critical access hospitals, small rural hospitals, federally qualified health centers, community mental health centers, and EMS. Members asked about transportation, workforce, and nursing retention; officials said transportation is included in the proposal, housing is not, and workforce supports may include lower tuition or awards but not loan repayment or traditional scholarships. They also said the final application would be submitted in early November and that priorities would be adjusted depending on the eventual federal award. Finally, Medicaid director Henry Lipman gave a quarterly postpartum coverage update. He said postpartum coverage is now nearly universal nationwide, and in New Hampshire 2,351 women had used the benefit through May 2025. He reported that mental health services were the most frequently used postpartum service, followed by preventive care, substance use disorder treatment, and cardiovascular-related care, and noted that Medicaid women have experienced a disproportionate share of maternal deaths. Committee members asked about rural distribution and the share of women receiving mental health services, and Lipman said the department would follow up with additional data. The meeting then moved into the annual update on New Hampshire’s 10-year mental health plan, with staff describing progress toward a more integrated continuum of care and improved data infrastructure.

Transcript Highlights:

• clear that this isn't repealing CON as facility-based or ambulatory surgery centers or hospitals or hospices
• clear that this isn't repealing CON as facility-based or ambulatory surgery centers or hospitals or hospices

Keywords: 994, senate, all

Transcript Highlights:

• In the off-season, I became aware of a citizen in my district who was ill and was coming home from hospice
• hold of OMV to see if they had the authority to waive this because this person was going home on hospice
• She's going home on hospice, and they won't give her medicine, and the OMV wouldn't give her an ID.

Bills: HB214, HB217, HB514, HB593, HB618, HB732, HB908, HB961, HB1010

Keywords: property tax, blighted properties, urban rehabilitation, tax exemption, local government, financial incentives, blighted property, derelict property, property tax exemption, local redevelopment plans, rehabilitation standards, ad valorem tax, community development, senior citizens, homestead exemption, Louisiana Constitution, motor vehicles, local fees, transaction fees, funding

Transcript Highlights:

• scenarios where this could definitely result in the earlier push from patients from palliative care to hospice
• can't get opiates, the doctor can maybe unintentionally say, “Well, we can get you opioids under hospice
• Why don't we move you to hospice care sooner?” And again, it may not be appropriate.

Summary: The committee met with a quorum and considered several health-related bills. SB 398, by Senator Burgess, would create a statewide Alzheimer’s and dementia awareness campaign through the Department of Elder Affairs, focused on early detection, brain health, risk reduction, clinical trial access, and community resources. Supporters said Florida has a large and growing Alzheimer’s population and that the campaign would help families and vulnerable communities; the bill was reported favorably after a roll call vote. The committee also adopted an amendment to SB 714, by Senator Burton, which would create non-opioid advanced directives and add liability protections for providers in medical emergencies involving opioids. Supporters framed it as a patient-choice measure, while opponents argued it was vague and could interfere with appropriate pain treatment; the amended bill was then reported favorably. The committee also approved CS/SB 756, which removes the current age-eight diagnosis requirement for autism-related insurance coverage and extends coverage beyond age 18 for those diagnosed with autism. Senator Burton said the bill would help families whose children are diagnosed later or whose needs continue into adulthood. There was brief discussion about existing lifetime benefit caps, but the sponsor said the bill did not change those limits. The committee then took up SB 734, a proposal by Senator Yarbrough to repeal Florida’s wrongful death exception that bars certain parents and adult children from recovering non-economic damages in medical negligence cases. The sponsor and supporters described the current law as discriminatory and unjust, especially for families of older adults and disabled individuals, while opponents warned it would raise malpractice costs, increase premiums, and worsen provider shortages. The bill drew extensive public testimony from both grieving family members and health care/insurance representatives, and members debated whether caps or other safeguards should be added. No final action on SB 734 is reflected in the transcript excerpt.

Transcript Highlights:

• Prior to that, I owned and operated Medicare-certified home health care and hospice facilities.
• Prior to that, I owned and operated Medicare-certified home health care and hospice facilities.
• Prior to that, I owned and operated Medicare-certified home health care and hospice facilities.
• Prior to that, I owned and operated Medicare-certified home health care and hospice facilities.
• Prior to that, I owned and operated Medicare-certified home health care and hospice facilities.

Keywords: 928, house, all

Summary: The committee first approved the minutes and consent calendar, then moved through several Department of Health and Human Services Medicaid-related rules. Rule 25-220 from the Department of Energy was postponed until June so stakeholders would have more time to review revised language. Rule 25-240, involving Medicaid income verification and deductible provisions for medically needy applicants, was adopted after staff noted the cited sections had expired but the agency said it had continued operating under federal law and the state plan; the agency also said it had begun rulemaking on the cited provision. Rules 25-265 and 2633 were also adopted, with staff explaining that although parts of the rules had expired, the agency had continued implementing the policies through the Medicaid state plan, billing manuals, and related rules. The most extended discussion centered on rule 25-304 from the Bureau of Aging and Adult Services, which covers case management services for the CFI program. Staff and the agency explained that the amended conditional approval request clarified how case management agencies indicate staffing capacity, how telehealth decisions are evaluated, and that the department—not the case management agencies—sets the timeline for accepting or denying cases. The agency said the rule is intended to ensure participants are not pushed into telehealth when they do not want it or cannot use it, while leaving technical and clinical telehealth decisions to the provider. A case management provider testified in opposition to parts of the rule, arguing that the committee should not require agencies to admit unverified patients, that reimbursement-rate issues belong in legislation, that the quality-management section duplicates existing licensure oversight, and that the telehealth language improperly gives case managers authority over how other licensed providers deliver services. Committee members questioned whether the telehealth language was simply allowing case managers to determine whether telehealth fits a person’s care plan, and agency representatives responded that this was the intent. No final vote on rule 25-304 is shown in the transcript excerpt.

Transcript Highlights:

• Our three hospitals saw 18,862 unique patients, and our home health and hospice affiliate served 1,112
• served 1,112 hospice affiliate served 1,112 unique<01:11:06.480><c> patients.
• I am a longtime um Health and Hospice.
• It comprises three critical access hospitals and a home health and hospice agency serving some of the
• agency serving some of the hospice agency serving some of the oldest,<01:59:07.840><c> sickest,</c><

Keywords: 1191, senate, all

Transcript Highlights:

• In my work as a hospice nurse, I have the privilege of navigating some of the most profound, vulnerable
• I have met many patients at our initial hospice visit who are in extreme pain because their insurance
• Hospice is a Medicare benefit rooted in the belief that every person deserves dignity through end of
• A single-payer system would extend this philosophy of care beyond hospice, ensuring that no one has to

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on 16 bills, with the chairs noting a busy legislative day and asking speakers to keep testimony brief. The committee first heard testimony on Senate 860/House 1405, the Medicare for All bill, with Sen. Jamie Eldridge and many advocates, clinicians, municipal officials, and patients arguing that a single-payer system would make care a right, reduce administrative waste, lower costs, and protect residents from rising premiums, medical debt, and hospital closures. Several speakers cited the Steward hospital crisis, affordability problems, and polling or ballot questions showing public support for single-payer coverage. No vote was taken during the hearing. The committee then took testimony on S. 863, a bill on non-opioid options for chronic pain. Pain specialists, patients, and advocates said the bill would improve care coordination for MassHealth members, expand access to non-opioid medications, require provider education, and collect data on chronic pain. Testifiers described long delays in diagnosis and treatment, stigma toward pain patients, and the need for multidisciplinary care and transportation support. Again, the committee heard testimony only and took no action. A large portion of the hearing focused on H. 1360/S. 869, which would prevent discrimination against people with disabilities in health care. Disability advocates, clinicians, and patients described being denied or delayed care, pressured into DNR orders, or treated based on assumptions about quality of life rather than medical facts. Speakers referenced COVID-era crisis standards of care, discriminatory metrics, and personal stories involving canceled procedures, inadequate accommodations, and poor treatment in hospitals. Committee members thanked speakers for their testimony and said they would review the bill and its implications, but no vote was announced. The committee also heard testimony on H. 1399, an individual Medicare marketplace option for municipal retirees, where supporters said it would give cities and towns a lower-cost alternative for retiree health benefits through HRAs and individual Medicare plans. The hearing then returned to Medicare for All testimony, with additional supporters repeating arguments about cost, access, municipal budget pressure, and the need for global budgeting and universal coverage. The transcript ends with continued testimony and no recorded committee vote or final action on any bill.

Transcript Highlights:

• This is from a hospice impact survey and certification program. G4 is, again, DHS.
• This is from a hospice impact survey and certification program. G4 is, again, DHS.

Summary: The committee considered and approved several temporary appropriation requests in Section B, including spending authority for the Court of Appeals to pay appointed counsel in criminal appeals, Commerce/Aeronautics airport and aviation grants, and Insurance Department items for workers’ compensation benefits and premium tax refunds. It also approved ARPA-related requests in Section C to return unused federal funds from DHS aging, mental health, substance abuse, and Older Americans Act grants. In Section D, the committee reviewed and approved Infrastructure Investment and Jobs Act requests, including Agriculture grants for wildfire preparedness and forestry capacity, a large Commerce broadband BEAD request, environmental recycling-related reallocations, and Oil and Gas Commission grants for facility repairs and sample preservation. Members questioned the broadband program’s audit process and performance safeguards; the State Broadband Director said the funds are federal, subject to audits, and payments are released only after engineering certification of completed work. The committee also approved DHS reallocations in Section E, including major transfers within Medical Services from hospital medical appropriations to private and public nursing home lines, as well as transfers for children and family services, developmental disabilities, and youth services. The committee then reviewed cash fund requests, miscellaneous federal grants, pay plan and performance fund transfers, methods of finance, and a large set of contracts. A Northwest Arkansas Community College official explained storm-damage repairs and insurance settlement issues, and DHS explained its hospital medical transfer was moving excess appropriation rather than cash. Members also questioned several UAPB tobacco prevention subgrants, especially arts-based outreach, and asked for more data on effectiveness; the committee later voted to expunge and re-refer the J-2 item for further review at a later ALC meeting. Additional discussion covered a DEQ grant to Free Geek of Arkansas for e-waste recycling, a UAPB tobacco program, and various contracts for universities, DHS services, corrections, and public safety. The meeting ended with reports filed for information and a brief member comment thanking others for concern after a tornado in Stone County; no one was injured.

Transcript Highlights:

• This is also to return unused funds from a hospice impact survey and certification program.
• This is from a hospice impact survey and certification program. G4 is, again, DHS.

Summary: The committee heard a series of appropriation requests and contract reviews across multiple sections. In Section B, members approved temporary appropriations for the Court of Appeals, Commerce/Aeronautics, and Insurance-related payments and refunds. Section C ARPA requests from DHS were approved to return unused federal funds. Section D infrastructure-related appropriations, including wildfire preparedness, broadband BEAD funding, forestry support, recycling, and oil and gas sample preservation, were approved after questions about broadband audit controls and performance safeguards. Section E DHS reallocations were approved, including large transfers within Medical Services from hospital medical to private and public nursing home lines, along with smaller transfers for children and family services, developmental disabilities, and youth services; members asked about the source and purpose of the medical services transfer. Sections F and G were reviewed, covering cash fund requests, federal grants, and miscellaneous grants, including community college storm repairs, corrections commissary and maintenance, 911 enhancements, maternal health, disability determinations, state police equipment, digital newspaper archiving, and CDL data improvements. In Section H, the committee reviewed pay plan appropriations and performance fund transfers tied to the new Class and Comp pay plan. Section I reviewed three methods of finance for UA Little Rock, UAMS, and the University of Arkansas system. In Section J, the committee reviewed discretionary grants, including a $1.4 million HIV services grant and nine tobacco prevention subgrants through UAPB. Members questioned the effectiveness, metrics, and addresses of some tobacco-cessation arts-based grantees, especially Arts Absolutely Inc.; after discussion, Representative Kavanaugh moved to expunge the vote on J2 and refer it back for review at a later ALC meeting, and that motion passed. J3, a Department of Energy and Environment grant for propane safety training and e-waste recycling services, was then reviewed. The committee also reviewed contracts in Section K. K-1 ratified emergency management nuclear planning work performed during a transition between agencies. K-2 construction contracts included architectural and engineering services for corrections, National Park College signage, a Razorback Road parking facility, and UAMS cyclotron installation. K-3 intergovernmental contracts covered health, education, autism waiver, stroke, newborn screening, Medicaid evidence review, and radiation testing services. K-4 out-of-state contracts included staffing, IT, tobacco prevention, audit, marketing, planetarium, recruitment, and janitorial services; Senator Irvin noted one contract appeared to belong in the out-of-state list rather than intergovernmental. K-5 in-state contracts covered staffing, cleaning, re-entry and treatment services, foster care and disability services, hearing officers, asbestos abatement, campus IT support, and janitorial work. The meeting ended after a brief personal update from Senator Irvin about tornado damage in Stone County and thanks to members for their concern, followed by adjournment.

Transcript Highlights:

• clear that this isn't repealing CON as facility-based or ambulatory surgery centers or hospitals or hospices
• clear that this isn't repealing CON as facility-based or ambulatory surgery centers or hospitals or hospices

Keywords: 994, senate, all

Summary: The committee met, approved the March 5, 2026 minutes, and then took up several health- and human-services-related bills. House Bill 5086, concerning peer support programs for covered caregivers, was explained as creating training and testimonial privilege protections; the committee adopted an amendment clarifying that boards may still require participation in a board-designated professional health program, and then reported the bill to the full Senate with the recommendation that it do pass. House Bill 5004, an educational bill on PANS and PANDAS, was supported by the sponsor, who described his family’s experience and the importance of earlier diagnosis; it was reported to the Senate without amendment. House Bill 5327, which would require the Department of Human Services to create an ALS services program, also received supportive testimony from the sponsor and members, but the transcript reflects the bill being reported as House Bill 537; it was moved forward without amendment. The committee then considered House Bill 5096, which would remove personal care and intellectual/developmental disability waiver services from certificate-of-need review. The sponsor argued the change would reduce regulatory burden and expand access, while a county aging-program director testified that certificate-of-need revenues help fund senior meals and services and that eliminating the requirement would reduce important support for aging providers. After a division vote, the motion to report the bill failed 3-9. House Bill 4695, allowing PEIA patients to switch to an alternative medically appropriate covered treatment without new prior authorization if it costs no more than the original treatment, was explained as carrying an estimated $13 million annual cost to PEIA and was reported to the Senate. The committee also advanced House Bill 5582, enacting the Respiratory Care Interstate Compact, after discussion of a committee amendment removing a new-background-check-at-initial-licensure provision; the amendment was adopted and the bill was reported. Another House Bill 5582, concerning the TANF drug screening program, was described as removing the sunset date and allowing oral fluid testing in addition to urine samples; it too was reported. Finally, House Bill 5466 renamed the batterer intervention program as an abuse intervention program and allowed live synchronous virtual delivery with an in-person option; the sponsor said the change would expand access statewide, and the bill was reported to the Senate. The committee then adjourned.

Transcript Highlights:

• Today is Hospice Day at the Capitol.
• And as many of the folks here know, hospice programs around Missouri serve so many people.
• And we have representatives from the Missouri Hospice and Palliative Care here.

Summary: The House opened with prayer, the Pledge of Allegiance, approval of the prior day’s journal by a 115-1 vote, and a long series of special guest introductions recognizing community groups, first responders, educators, health advocates, students, and local leaders visiting the Capitol. Members also marked several awareness days and advocacy events, including colorectal cancer awareness, public administrator day, hospice day, suicide prevention advocacy, and transportation advocacy day. The chamber then moved to committee reports and third reading of bills. Bills passed included House Bill 2774 on fuel-source neutrality in state and local purchasing (138-5), House Bill 2383 on copper theft and critical infrastructure protections (130-5), House Bill 3205 regulating litigation funding and disclosure requirements (144-1), House Bill 2146 expanding hospital investment options (143-1), House Bill 1756 establishing June’s Week to recognize rare pediatric diseases (147-0), House Bill 1783 allowing the health department to contract with public health organizations (138-6), House Bill 2099 on squatter removal procedures (136-1), House Bill 2896 loosening residency restrictions for university governing boards (111-17), House Bill 2505/2044 giving grandparents priority in certain custody cases (144-0), House Bill 1625 increasing penalties for drug trafficking (137-2), House Bill 2302 removing barriers to employment for people leaving incarceration (142-0), House Bill 1870 updating garnishment and debt-collection laws (137-9), and House Bill 2335 giving school districts more flexibility over teacher training schedules (146-2). Several bills drew notable debate. House Bill 1664/1610/1645/2182 combined an increase in the statute of limitations for adult survivors of child sexual abuse with a reduction in the personal injury statute of limitations; supporters emphasized victim access and alignment with other states, while opponents argued the personal injury change would harm other victims and benefit insurers. It passed 95-12 with 39 present. House Bill 3146, a ballot-summary and initiative-petition process bill tied to prior Senate Bill 22 litigation, prompted sharp arguments over ballot language, judicial review, and the initiative process before passing 90-55. House Bill 3035, setting depreciation rules for vehicle tax assessments, passed 100-43 after concerns about how it fit with other tax proposals. The day ended with House Bill 1827 being called up for third reading, but the transcript cuts off before its debate or vote.

Transcript Highlights:

• If I had a dollar for every hospice patient, of thousands of hospice patients that I've worked with who
• If I had a dollar for every hospice<01:25:14.080><c> patient</c><01:25:14.520><c> of</c><01:25:14.680
• ><c> thousands</c><01:25:15.200><c> of</c><01:25:15.320><c> hospice</c> hospice patient of thousands
• of hospice hospice patient of thousands of hospice patients<01:25:16.200><c> that</c><01:25:16.320><c

Keywords: 00:00:00 Call to Order/Roll Call 00:01:10 Discussion of 25RS HB 414 00:44:26 Roll Call Vote on 25RS HB 414 00:50:25 Discussion of 25RS SB 27 00:53:44 Roll Call Vote on 25RS SB 27 00:55:49 Discussion of 25RS SB 93 00:57:57 Roll Call Vote on 25RS SB 93 00:59:29 Discussion of 25RS SB 132 01:37:39 Roll Call Vote on 25RS SB 132 01:40:55 Discussion of 25RS SB 153 01:42:05 Roll Call Vote on 25RS SB 153 01:43:46 Adjournment, 958, all

Summary: The Health Services Committee met with a quorum and took up House Bill 414 with a committee substitute. The bill, described by sponsors and supporters as a continuation of prior maternal-health legislation, was framed as a clarification of medical standards and an effort to improve care for women and families facing complicated pregnancies. Representative Tate, Representative Nemes, Adair Wushar of Kentucky Right to Life, and Dr. Jeff Goldberg of ACOG Kentucky all testified in support, saying the substitute was developed collaboratively to reduce confusion in the law and help physicians provide evidence-based care without fear of criminal penalties. Supporters said the committee substitute was intended to define what is not an abortion under Kentucky law and to spell out medical treatments for conditions such as miscarriage, ectopic pregnancy, molar pregnancy, sepsis, hemorrhage, preeclampsia, premature rupture of membranes, and fetal demise. Dr. Goldberg said current statutes contain significant ambiguity and have created unintended barriers to treating pregnancy complications, including emergency situations, and he gave examples of patients who were delayed or harmed because physicians were uncertain about what the law allowed. Representative Nemes said the measure was the result of unusual cooperation among groups that do not usually agree and described it as a first step toward fixing a discrete problem. Representative Wilner raised concerns that the language could effectively require a patient to be in severe distress before treatment is clearly permitted and that it was too prescriptive about how physicians should manage miscarriages. In response, Dr. Goldberg and the sponsors said the substitute was not perfect, was meant as a short-term solution, and was designed to give doctors more confidence in providing routine, medically necessary care for pregnancy complications. The transcript indicates the committee substitute was adopted, but no final vote on the bill itself is shown in the excerpt.

Keywords: U.S. House of Representatives Floor Proceedings on Thursday, June 4, 2026, 1012, house, all

Transcript Highlights:

• This is from a hospice impact survey and certification program. G4 is, again, DHS.
• This is from a hospice impact survey and certification program. G4 is, again, DHS.

Keywords: 1204, all