Transcript Highlights:

• We require credentialed teachers. We are able to participate. We elect our school board members.

Summary: The Assembly convened, established a quorum, and opened with prayer and the Pledge of Allegiance before moving through the daily file. Several measures were taken up and passed, including bills on county jail accountability (AB 2257), claims against public agencies (AB 2529), affordable housing management metrics (AB 2689), digital wellness instruction in schools (AB 2071), pedestrian and bicycle safety project streamlining (AB 1976), manufactured home transport permits (AB 2012), a Surplus Land Act amendment tied to an Inland Empire soccer project (AB 2139), a Monterey Bay stewardship authority (AB 1548), online electrician licensing (AB 1707), a Caltrans study of navigation apps’ traffic impacts (AB 2105), coastal resiliency permitting reforms (AB 2051), downtown housing streamlining and financing (AB 2074), Cal Fire compensation (AB 2129), emergency care authority for Del Puerto Health Care District (AB 2282), charter school facilities hardship relief (AB 2316), theft by a peace officer under color of authority as serious misconduct (AB 2337), an Asian American and Native Hawaiian/Pacific Islander-serving institution designation (AB 2374), energy and cannabis support bills (AB 2464, AB 2537), and a suicide prevention plan requirement for treatment facilities (AB 2562). Most of these measures passed with broad bipartisan margins, and several were described as support bills with no opposition. The floor also debated a major criminal justice measure, AB 2727, which would raise the threshold for elderly parole eligibility for people serving sentences for violent sex offenses and add screening safeguards. Supporters from both parties emphasized child protection, survivor trauma, and specific local cases involving offenders who had become eligible for release; the bill passed 66-0. Another significant debate centered on AB 1958, which would clarify procedures under the California Racial Justice Act by refining how disparity claims are established and rebutted; the author said he would take Senate amendments to address concerns from district attorneys. The Assembly also considered AB 2313, a gas-to-electric transition bill allowing customers with planned service line replacements to opt out of gas service and use funds to electrify their homes. Members raised concerns about cost shifts and equity, and the author responded that the bill includes no-cost-shift language, larger credits for disadvantaged communities, and would not proceed if the math does not work; it passed 41-21. The final major item was AB 1709, a high-profile social media safety bill creating a minimum age of 16 for accounts on platforms using addictive features and establishing an e-safety commission. The author and many supporters from both parties framed the bill as a response to youth mental health harms, addictive design, and the need for age-based safeguards, while some members raised concerns about impacts on LGBTQ youth and other isolated young people who rely on online spaces. Supporters said the bill targets addictive design rather than speech and is intended to preserve safe online connection while limiting harmful features. The measure drew extensive bipartisan support and was still under debate at the end of the transcript.

Transcript Highlights:

• school readiness to high school... ...from school readiness to high school graduation to workforce credentials

Keywords: 981, all

Transcript Highlights:

• cards, to authorize each secondary management board to make student ID cards available as digitized credentials

Bills: HR223, HR224, HR225, HR226, HR227, HR228, HR229, HR230, HR231, HR232, HR233, HR234, HR235, HR236, HR237, HR238, HR239, HR240, HR241, HR242, HR243, HCR94, HCR95, HCR96, HCR97, HCR98, HCR99, HCR100, HR218, HR219, HR220, HR221, HR222, HCR91, HCR92, HCR93, SCR41, SCR42, SCR43, SCR44, SCR45, SCR46, SCR47, SCR48, SCR49, SCR50, SCR51, SCR52, SB259, SB347, SB398, SB469, SB483, SB518, HR37, HCR64, SCR11, SCR22, HB89, HB341, HB451, HB456, HB541, HB579, HB595, HB621, HB818, HB841, HB1064, HB1101, HB1165, HB1191, SB1, SB23, SB32, SB42, SB43, SB46, SB51, SB110, SB113, SB150, SB154, SB161, SB218, SB220, SB221, SB253, SB289, SB310, SB351, SB399, SB404, SB502, SB123, SB125, SB387, SB401, HB730, HCR41, HCR76, HCR77, HCR63, HCR69, HCR86, HR171, HCR49, HCR65, HCR72, SCR19, SCR3, SCR6, SCR18, HB64, HB68, HB92, HB130, HB175, HB198, HB437, HB457, HB488, HB646, HB763, HB909, HB971, HB981, HB1066, HB1089, HB1125, HB1154, HB1231, HB1246, HB1248, HB1249, HB276, HB508, HB512, HB599, HB632, HB656, HB998, HB1052, HB1084, HB1171, HB1193, HB1194, HB1204, HB1209, HB1250, SB47, SB82, SB106, SB206, SB210, SB248, SB305, SB376, SB397, SB441, SB2, SB19, SB24, SB50, SB70, SB96, SB101, SB103, SB104, SB114, SB122, SB159, SB160, SB173, SB180, SB182, SB260, SB412, SB418, SB424, SB442, SB460, SB476, HCR32, HB911, HB1223, HB798, HB824, HB989, HB1140, HB1166, HB1244, HB459, HB617, HB804, HB926, HB225, HB955, HB901, HB79, HR20, HR74, HB59, HB284, HB306, HB366, HB393, HB458, HB577, HB582, HB605, HB614, HB682, HB733, HB752, HB773, HB996, HB1035, HB1069, HB1113, HB1180, HB1203, HB1234, HB1240, SB89

Keywords: Southern Soul, Shreveport, tourism, economic development, cultural preservation, music history, Paul Hollis, United States Mint, Louisiana House of Representatives, commendation, honorary resolution, ceremonial resolution, public service, State Board of Elementary and Secondary Education, BESE, former legislator, Louisiana politics, recognition, tribute, House Resolution 224

Summary: The House convened with a quorum, prayer, pledge, and a series of personal privileges recognizing visitors and honorees, including Northside High students, the YMCA’s 175th anniversary, Literacy Day, Special Olympics Louisiana, a 75th wedding anniversary, police jurors, Young Marine Sergeant Valerie Uitt, Elmer’s, and other community guests. The chamber also received Senate messages, including refusal to concur in House amendments to SB 149, concurrence in several House measures, adoption of Senate resolutions, and passage of multiple Senate bills. House resolutions were introduced and many were adopted without objection, including measures honoring local events, organizations, and individuals, as well as resolutions on literacy, municipal day, firefighters appreciation, and sports-related commendations. Committee reports moved numerous House and Senate bills and resolutions forward, and members were urged to monitor the Senate calendar to ensure House bills had Senate sponsors before being returned late in session. Several bills were debated and passed. HB 175 created a Veterans Service Grant Fund funded by $500,000 annually from Louisiana Lottery net proceeds, overseen by a board within the Department of Veterans Affairs to award grants to eligible veteran-serving nonprofits, colleges, JROTC programs, veteran courts, and local governments; it passed after questions about the use of lottery proceeds and the role of nonprofits. HB 198 authorized ambulatory surgical centers to perform certain procedures and be reimbursed at Medicare rates, and HB 437 restricted expert witnesses from receiving contingency-style compensation tied to case outcomes after debate over ethics and whether the bill was necessary. HB 488 created the Bell Chase Bridge Merit-Based Special Fund to support the bridge toll buyback effort. HB 763 required a centralized public database of government settlement agreements and consent decrees, with confidentiality protections preserved, and passed after questions about sensitive cases. HB 989 required commercial health coverage for behavioral health crisis services, HB 971 addressed Medicaid reimbursement parity for rural health clinics, HB 981 created a law enforcement recruitment/retention incentive stipend for campus police at public postsecondary institutions, HB 1066 clarified that campus police are not eligible for state supplemental pay, and HB 1089 established care accounts for future medical expense awards, with amendments limiting certain case types and providing for reversion of unused funds. The House also reconsidered and defeated HB 225, a constitutional amendment to impose a lifetime gubernatorial term limit, and HB 730, concerning airport authority regulation of automatic dependent surveillance broadcast systems. Several resolutions were adopted, including HCR 76 continuing a health inequities task force, HJR 77 urging federal action on H-2B seasonal employer designation for the crawfish industry, HJR 67 creating a task force on military drivers without civilian licenses, and HCR 69 urging DOTD to study Interstate 12 safety improvements. The chamber adopted numerous additional commemorative resolutions and concurred in Senate resolutions recognizing sports figures, Mental Health Awareness Month, state observances, and school achievements. Overall, the day featured a mix of ceremonial recognitions, committee reporting, and floor action on veterans, health care, transparency, labor, transportation, law enforcement, and court-related legislation.

Transcript Highlights:

• you mentioned of ensuring that individuals are who they say they are, both by verifying their own credentials

Bills: HF4074

Keywords: retirement, pension, public employees, MSRS, PERA, TRA, St. Paul Teachers Retirement Fund Association, police and fire, correctional employees, probation officers, telecommunicators, dispatchers, 911 operators, public safety answering point, PSAP, firefighters, volunteer firefighters, paid on-call firefighters, fire relief association, state aid

Transcript Highlights:

• The length of credentialing is five years, and this is standard for all North Dakota Medicaid providers

Keywords: 908, all

Summary: The committee met to review the history and current treatment of North Dakota health insurance mandates, with presentations from Blue Cross Blue Shield of North Dakota, Sanford Health Plan, the Public Employees Retirement System (PERS), and the Insurance Department. The discussion focused on how mandates apply differently to fully insured, self-funded, ACA, Medicaid, and PERS plans; how the state’s benchmark plan and federal essential health benefits affect coverage; and how the existing process requires cost-benefit analysis and, for certain measures, a PERS pilot period before broader application. Presenters also reviewed the long list of existing state mandates, including provider, beneficiary, and coverage requirements, and noted that many were enacted decades ago and have not been revisited despite changes in medical evidence and treatment options. Witnesses from the carriers argued that mandates should be reviewed periodically because some are outdated, can create unintended costs, and may not align with current medical guidance. Examples cited included PSA screening, off-label drug coverage, prior authorization rules, step therapy, and cost-sharing provisions for mental health and substance use treatment. They emphasized that carriers often cover services without a mandate when supported by clinical evidence, and that mandates can shift costs to employers and employees, especially in the fully insured small-group market. They also suggested possible policy improvements such as clearer mandate definitions, better transparency around cost-benefit analyses, a regular 10-year review of mandates, and more timely submission of proposals through the interim process. PERS and the Insurance Department highlighted a recurring tension over what counts as a mandate and when a measure triggers the state’s defrayal obligation under federal law. PERS described its interim committee process, the April 1 deadline for fiscal-impact proposals, and the limited pilot program used for certain measures, noting that only a few bills have gone through the full pilot process. The Insurance Department explained that it views new benefit mandates through the lens of the ACA benchmark plan and essential health benefits, distinguishing true new benefits, such as infertility coverage, from changes to existing benefits, such as telehealth or insulin cost-sharing caps. No votes were taken on policy changes; the meeting was informational, with members asking questions about costs, applicability, transparency, and whether a periodic mandate review should be established.

Transcript Highlights:

• A physician has to then get representation and then report that investigation to all the credentialing

Bills: AB6, AB102, AB131, AB212, AB213, AB220, AB259, AB282, AB376, AB396, AB479, AB503, AB570, AB572, AB574, AB576, AB593, SB185, SB207, SB507, AB6

Keywords: fetal alcohol spectrum disorder, FASD, prenatal alcohol exposure, children's health, developmental disability, early intervention, treatment assistance, Aging and Disability Services Division, Department of Health and Human Services, Autism Treatment Assistance Program, public health, parent education, evidence-based treatment, Nevada NRS 427A, disability services, behavioral health, emergency medical services, ambulance, licensing, health district

Transcript Highlights:

• Does this pursuit not empower them to gain more skills and more American credentials while they wait

Keywords: 1183, house

Transcript Highlights:

• areas, the bill waives the cost of the first certification exam for our educators who are pursuing credentials

Summary: The Senate convened with a quorum, heard an invocation, and adopted the previous day’s journal. Members then adopted Senate Resolution 358 honoring the University of Texas Rio Grande Valley on its 10th anniversary, with remarks highlighting UTRGV’s growth, degree production, research expansion, medical school, and role in serving the Rio Grande Valley and South Texas. The chamber also recognized the doctor of the day and adopted additional resolutions, including one for Denton County Days at the Capitol and another recognizing Texas HBCU Day. The Senate gave extensive recognition to outgoing Texas A&M University System Chancellor John Sharp through Senate Resolution 368. Senators from both parties praised his long public career, leadership of the A&M System, support for regional universities, and bipartisan approach. The resolution was adopted after multiple members added their names. The chamber also heard from advocates with the Texas Streets Coalition, and received gubernatorial nominations for the State Board of Examiners of Professional Counselors and the Texas Commission on Fire Protection. On legislation, the Senate passed several major bills. Committee Substitute Senate Bill 27, relating to rights and support for public school educators, was debated and amended to address teacher vacancies, bilingual certification testing, paid leave options, classroom removals, and appeal rights, then passed unanimously. Senate Joint Resolution 12, proposing a constitutional amendment on parents’ right to direct a child’s education, advanced on a 22-9 vote. Committee Substitute Senate Bill 1741, aimed at preventing foreign influence and intellectual property theft at public institutions of higher education, passed unanimously. Committee Substitute Senate Bill 29, the business entities bill, also passed after debate over corporate governance and shareholder protections. Senate Bill 857, authorizing law enforcement to tow certain vehicles driven by unlicensed or uninsured drivers, passed despite some concern about towing abuses during disasters. The Senate also took up Committee Substitute Senate Bill 1536 on dementia and Alzheimer’s training for certain guardians, but the transcript ends as that bill is being laid out.

Transcript Highlights:

• Should we pay for credentialing?

Keywords: infrastructure, water supply, flood mitigation, Texas Water Fund, community projects, funding allocations

Summary: During this committee meeting, the focus was on discussing critical infrastructure funding, especially related to water supply and flood mitigation projects. Chairwoman Stepney and the Water Development Board presented extensive details regarding the Texas Water Fund, which included $1 billion appropriated to assist various financial programs and tackle pressing water and wastewater issues. Additionally, funding allocations aimed at compromising the state's flood risk and improving water conservation were hotly debated, emphasizing collaboration among committee members and the necessity of addressing community needs in such projects.

Transcript Highlights:

• They’re taking a certificate or some kind of diploma for a workforce credential.
• “Sure, they’re in a course that is on a pathway that’s going to lead to a credential or a degree.

Keywords: Call to Order and Roll Call - 0:00:00 Approval of Minutes – 0:03:50 Robotics Education – 0:04:18 Canopy KY – 0:14:15 Comprehensive Support and Improvement – 0:23:20 Postsecondary Credit Alignment – 0:53:15 Diversity, Equity, and Inclusion in K-12 Settings – 1:21:25 Consideration of Referred Administrative Regulations – 2:05:15 Adjournment 2:05:41, 958, all

Summary: The committee opened with a roll call, confirmed a quorum, approved the minutes by voice vote, and recognized a guest of Senator Hickden, retired judge Dan Kelly. The chair then moved through a tight agenda and limited public presentations and questions. The first presentation was on robotics education in Kentucky, led by Representative Chris Lewis, Kentucky FIRST Robotics executive director Kelly Gowen, and students from Whitfield Academy. They argued that robotics should be expanded in high schools as a workforce pipeline for engineering, manufacturing, and advanced technology jobs. The presentation emphasized hands-on learning, industry certifications, teacher development, and a proposed framework to fund robotics education programs statewide. Committee members were not allowed to ask questions because of time constraints. The second presentation was from Canopy Kentucky, led by Adam Watson and founder Scott Collins. They described Canopy’s business and entrepreneurship education programs for fifth graders and high school students, including the NextGen Good Biz initiative and an eight-classroom high school unit. Canopy requested a one-time $750,000 appropriation for fiscal year 2026, matched by private funds, to expand into more schools and rural areas, train educators, and report outcomes. Members asked a brief question about how the programs fit into school schedules and the difference between the elementary and high school offerings. The final presentation, from KDE’s Kelly Foster and Todd Allen, reviewed the state’s school improvement classifications. Foster explained CSI, TSI, and ATSI status, the federal and state legal framework, and how House Bill 298 returned CSI identification to an annual cycle. She reported that Kentucky identified 50 CSI schools on the most recent release, with 53 CSI schools statewide, along with 39 TSI schools and 102 ATSI schools. She also outlined KDE’s support process, including education recovery staff, diagnostic reviews, turnaround plans, and required professional learning for CSI schools.

Transcript Highlights:

• And so we do really see this as a workforce credential, and as those young people are in those careers
• the DVS policy bill and makes a technical change to evidence of a name change for purposes of a credential

Keywords: 1187, senate, all

Transcript Highlights:

• someone like start to school, drop out, maybe work in a daycare center, work in a school as a paraprofessional

Keywords: 1136, house, all

Transcript Highlights:

• Legal New Hampshire Legal Assistance has been a leader in successfully piloting the use of paraprofessionals

Keywords: 928, house, all

Summary: The committee heard testimony from Insurance Commissioner DJ Bettencourt on the New Hampshire Insurance Department budget. He said the department is self-funded through assessments on insurers based on New Hampshire premium volume, with about $8 billion in premiums written in the state and a department budget of roughly $15.5 million. He explained that the department has 88 authorized positions, eight vacancies, and that three full-time positions were unfunded after the governor’s requested 4% reduction exercise. He also said the department is trying to balance staffing needs with not overburdening carriers during a hard insurance market. A major topic was the department’s $2.6 million rebate to industry from the prior fiscal year, which Bettencourt described as a credit against the next assessment rather than a direct cash payment. Members questioned why that credit was not reflected as a reduction in the upcoming budget, and Bettencourt and staff explained that the budget assumes full staffing and full spending, with any year-end surplus returned to insurers. The commissioner said the department had added staff in recent years for succession planning and to preserve institutional expertise, and that the rebate reflects careful budgeting rather than excess spending. Members also asked about staffing changes by division, including positions unfunded in fraud, property and casualty examinations, life and health examinations, and tax. Bettencourt said fraud investigations remain strong and that the department can use outside contractors for examinations, with those costs billed to the company being examined. He also described the department’s examination process, including periodic financial exams and targeted market conduct reviews triggered by consumer complaints or trends. Additional questions covered OIT transfers, the department’s oversight of fully insured health coverage, the insurance premium tax and fines going to the general fund, and the department’s limited role in auto repair reimbursement disputes, where he said complaints have recently declined.

Transcript Highlights:

• members, you know, we had a I guess a person that came on the floor, I don't know, or has a press credential
• know, or has came on the floor, I don't know, or has a<04:53:22.798> press<04:53:23.040> credential
• , a press credential, a press credential, I'm<04:53:24.878> told.

Keywords: 916, all

Transcript Highlights:

• Um, I don't know that that gives me any special credentials. But I do know this much.
• <04:31:23.199> me<04:31:23.359> any<04:31:23.600> special<04:31:24.560> credentials
• that gives me any special credentials. that gives me any special credentials.

Keywords: 1189, house, all

Transcript Highlights:

• safeguards to include written consent from next of kin of the individual prior to death or oversight by credentialed
• or oversight uh and oversight<04:48:05.360> by<04:48:06.160> uh<04:48:06.320> credentialed
• oversight by uh credentialed oversight by uh credentialed professionals<04:48:07.840> and

Keywords: 1189, house, all

Transcript Highlights:

• And I guess in this case I'd like to know what the general credential background is for counselor.
• ><00:51:24.760> general<00:51:25.640> uh<00:51:26.280> uh<00:51:26.640> credential
• know what the general uh uh credential know what the general uh uh credential background<00:51:27.680

Keywords: 1189, house, all

Summary: House Finance Division III convened a work session on the DHHS budget, with the chair noting there would be no votes and that the committee would spend the day hearing from the commissioner’s office. Nathan White, DHHS Chief Financial Officer, opened with the Division of Finance/Office of Business Operations, explaining that the unit supports the department through daily financial management, AP/AR, audit work, expense projections, transfers, and procurement functions such as contracts, amendments, RFPs/RFAs, and grants management. He also described the division’s revenue and reporting work, including federal draws, CMS-64 reporting, and the public assistance cost allocation plan, and said the department had centralized rate-setting work and a small team handling Medicaid rate analysis and nursing facility rebase work. Members asked about vacancies, turnover, and budget changes. White said the division had 18 positions unfunded in the governor’s budget, reducing personal services from about $10.8 million to $9.9 million, and estimated the division’s vacancy rate at about 11 percent, below the department average. He said turnover was relatively low, with one retirement at the manager level and higher turnover mainly at lower AP-level positions. He also explained that some budget lines reflected reallocations rather than new spending, including fringe benefits centralized elsewhere and an EBT card contract moved into this unit because the staff member overseeing it works in Finance. When asked about a rent/lease increase, he said it was due to higher copier leasing costs under a statewide DAS contract. White highlighted several management and technology improvements. He said a business intelligence tool procured in 2022, using Salesforce and Excel-based data, helped DHHS better track federal revenue and maintenance-of-effort spending, reducing FY24 General Fund lapse by about 70 percent and federal/other revenue lapse by 88 percent compared with FY23; he warned that the tool is not funded in the current budget. He also described Lean Six Sigma efforts in the contracts team, training for vendors and nonprofits on procurement and indirect cost rules, and a Finance Academy to standardize policies and procedures. On the contracts side, he said the department uses Smartsheet for project management and DocuSign for electronic signatures, which cut contract execution time dramatically, but noted DocuSign is also not funded in the governor’s budget. The session ended as the committee prepared to move on to the Employee Assistance Program presentation.

Transcript Highlights:

• Now they're being used to trap teachers, nurses, paraprofessionals, and hospitality workers in low-wage
• Now they're being used to trap teachers, nurses, paraprofessionals, and hospitality workers in low-wage

Keywords: 1189, house, all

Transcript Highlights:

• who need talent, communities that depend on local economies, and students who need the skills and credentials

Keywords: 995, all

Summary: The Joint Committee on Higher Education held its second public hearing of the 194th General Court on capital investments in higher education, focusing primarily on H.54, the Bright Act, along with H.1426/S.949 on green and healthy public colleges and universities and deferred maintenance, and H.1424 on capital investment in Gateway Cities. Chairs and administration officials framed the hearing as a response to aging campus infrastructure, climate goals, workforce needs, and federal pressures on higher education, and explained that testimony would be taken from pre-registered speakers in person and virtually. University of Massachusetts leaders strongly supported the Bright Act, describing large deferred maintenance backlogs, aging buildings, and the need to decarbonize campuses while modernizing research and teaching facilities. UMass officials said the bill would help keep tuition and fees lower by reducing the need for campuses to finance capital work themselves, and argued that the investments would improve competitiveness, support research, and create construction jobs. Governor Healey, Lieutenant Governor Driscoll, Secretary of Education Tuttweiler, and Secretary of Administration and Finance Gorzkowicz also backed the bill, saying it would leverage Fair Share surtax revenues for a proposed $2.5 billion in campus investments plus additional targeted grants, and that it would support affordability, economic growth, and climate resilience. Committee members asked about the balance between deferred maintenance and decarbonization, the role of grant programs versus direct spending, the impact on tuition and fees, and how the plan would help campuses respond to federal cuts such as NIH and NSF funding. Administration officials said the proposal was designed to be phased in quickly, with some projects ready to start immediately and others taking longer, and that the grant programs would be structured to include all campuses equitably. They also said the plan would build on an existing financing model similar to the Commonwealth Transportation Fund and could help campuses avoid future tuition increases tied to capital costs. Additional testimony came from MassBay Community College, where President David Podell and recent nursing graduate Deanna Cavazos described the benefits of a new Framingham campus building and said community colleges need modern labs, better planning capacity, and deferred maintenance support to serve the enrollment growth from MassReconnect and MassEducate. State university leaders, including President Mary Grant, President Linda Thompson, and President John Keenan, said their campuses face outdated classrooms, insufficient electrical capacity, and aging facilities, and urged passage of the Bright Act as a long-overdue investment in student success and workforce preparation.

Transcript Highlights:

• This is a workforce that's licensed, trained, credentialed, and already benefited.

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a lengthy public hearing with testimony on a wide range of health insurance and access-to-care bills. Early testimony focused on prescription drug pricing and pharmacy reimbursement, with supporters of H. 1326 arguing that pharmacy benefit managers and MassHealth managed care arrangements reimburse independent pharmacies too little, contributing to pharmacy closures and “pharmacy deserts.” The committee also heard repeated support for H. 1151/S. 742 on cognitive rehabilitation for acquired brain injury, H. 1288/S. 716 on telehealth parity for nutrition counseling, H. 1309/S. 761 on full-spectrum pregnancy care without cost-sharing, H. 1312 on insurance coverage for doula services, H. 309 on prompt access to health care by removing deductibles for certain services, H. 809/H. 1227 on biomarker testing, H. 1162/S. 810 on reducing inequities in access to medical procedures by limiting insurer cuts tied to Modifier 25, and S. 726 on insurance coverage for mobile integrated health. Testifiers included legislators, physicians, pharmacists, dietitians, emergency and rehabilitation clinicians, and patients and family members. Supporters of the brain injury bill said cognitive rehabilitation is medically necessary, improves long-term outcomes, and can reduce institutional care and public costs; they noted the bill has been heard repeatedly and has support from the Brain Injury Commission and prior favorable committee action. Supporters of the pregnancy care and doula bills described out-of-pocket costs as a barrier to maternal health and shared personal stories of high bills and unmet support needs. Biomarker testing advocates and cancer patients said coverage gaps deny patients access to precision treatment, can lead to avoidable suffering, and should be standardized across insurers; several speakers said insurers often deny claims despite clinical benefit. Dermatology witnesses said insurers’ use of Modifier 25 cuts reimbursement for same-day evaluation and procedure visits, forcing separate appointments and increasing patient burden. Mobile integrated health supporters described home-based care as a way to reduce emergency department use and hospital readmissions, especially for patients with transportation or mobility barriers. No votes or formal committee actions were taken during the hearing itself.