Transcript Highlights:

• <00:04:10.560> those been introduced that give us those been introduced that give us those
• We are pledging to fight with us.
• They need us to stand up. They need us to say, "We have plenty of options."
• They need us to stand up. They that. They need us to stand up.
• behind us saying here in communities behind us saying here in Minnesota,<00:18:46.320> we're<

Keywords: 919, house, all

Summary: Sen. Erin Maye Quade, Rep. Esther Abad, and other Minnesota DFL legislators held a press event focused on responding to Trump administration and federal Republican actions that they said threaten health care, education, housing, public health, and other state services. Speakers argued Minnesota must not make “false trade-offs” between core services and should instead protect programs like Medicaid, school funding, disability services, nutrition, and public health by raising additional revenue and closing tax breaks for wealthy individuals and corporations. Rep. Abad and others outlined possible revenue options, including a fifth-tier income tax, a corporate rate match, closing tax exemptions for luxury items and second homes, a social media tax, and ending data center tax exemptions. They said these measures would not fully replace possible federal cuts, but could help mitigate harm and preserve services. Several speakers also criticized Republican opposition to tax increases and said the state should ask wealthy taxpayers and corporations to contribute more. Testimony from Olivia Dylan, a laid-off Minnesota Department of Health epidemiologist, described the impact of federal public health funding cuts and MDH layoffs on outbreak response, nursing home support, lab work, and tribal public health. Sean Leaden of SEIU Local 284 described low pay and staffing shortages among hourly school workers and said underfunding has hurt students and employees. Sen. Doran Clark and Rep. Emma Greenman framed the issue as both a budget and democracy question, arguing that federal cuts and attacks on public programs undermine self-governance and community well-being. In response to questions, speakers said Minnesota cannot fully backfill expected federal Medicaid losses, but can use state tools to reduce harm and should press Republicans to identify what services they would cut instead.

Transcript Highlights:

• Caroline Light, who is joining us virtually? Caroline, can you hear us?
• Lori, can you hear us? And that's part of administering a hearing. Lori, are you with us? I am.
• Alana, are you with us online? Alana, are you with us online? Yes. Sorry, can you hear me?
• Laura, are you with us? Dr. Mark Eisenberg is next. Laura, are you with us?
• us.

Keywords: 995, all

Summary: The commission held a public comment hearing as it continued work toward a November 30 statutory deadline for its final report. The co-chairs reviewed logistics for the hybrid format, two-minute testimony limit, respectful conduct, and the plan to alternate between in-person and virtual speakers. The commission approved the minutes from its previous September 8 meeting by motion and vote, with no nays. Much of the testimony focused on how the commission should define antisemitism, especially whether to adopt the IHRA definition and whether it improperly conflates antisemitism with criticism of Israel or Zionism. Many speakers, including Jewish educators, rabbis, academics, students, and legislators, described personal experiences with antisemitism and urged the commission to address hate while protecting free speech, academic freedom, and the ability to criticize Israeli government policy. Several called for the commission to reject or narrow the IHRA definition and instead consider the Jerusalem Declaration or other frameworks that distinguish antisemitism from anti-Zionism. Others emphasized that antisemitism should be addressed alongside racism, Islamophobia, white nationalism, and other forms of bias, and some urged broader anti-bias training in schools. A smaller number of speakers supported stronger action against antisemitism in schools and public institutions, including concerns about antisemitic materials in education and about organizations or events they viewed as promoting hate. A recurring theme was the conflict in Gaza and its impact on the debate: some speakers condemned Israel’s military actions as genocide, apartheid, or colonialism and said criticism of those actions should not be treated as antisemitic, while others defended Israel, rejected genocide claims, and argued that anti-Israel activism can fuel antisemitism. Several speakers also raised concerns about campus discipline, union materials, and state facility rentals, and one speaker asked that state resources not be used by groups they viewed as inciting hate. No additional votes or formal actions were taken beyond approving the prior minutes and hearing public testimony.

Transcript Highlights:

• And let us work together.
• Those things didn't matter to us.
• adopt the spirit of the Special Olympics and focus on what unites us instead of what divides us.
• And I think often we talk about what divides us, but what unites us is stronger.
• That's a win for all of us.

Keywords: 988, house, all

Transcript Highlights:

• It can be used at any level.
• It can be used at any level.
• It's just another tool for us to be able to use. We have, as well, flaws in the statutes.
• Freedom and safety for any of us depend on freedom and safety for all of us.
• The hate towards us.

Keywords: 995, all

Summary: The meeting was a special commission hearing on antisemitism held off-site at Kerem Shalom Synagogue in Concord, with commissioners approving prior minutes and noting a quorum, a rescheduled October 27 meeting, and the addition of a new commissioner. The co-chairs and host speakers emphasized the personal and communal significance of holding the hearing in a synagogue and the importance of confronting antisemitism while protecting free speech, academic freedom, and civil discourse. The commission heard from former SJC Justice and current UMass General Counsel David Lowy, who discussed the IHRA definition of antisemitism, said its use as nonbinding guidance does not raise First Amendment concerns, and described UMass’s response to a discriminatory academic conference policy. Commissioners also asked about campus speaker vetting, protest rights, and university practices for addressing antisemitism and protecting students’ access to education. District Attorney Marian Ryan testified about restorative justice as a tool for addressing hate incidents, saying it can help victims be heard, reduce reoffending, and be used in criminal, school, and community settings. She described local programs, online reporting forms, and the need for better statutory tools, including changes to restitution and education requirements in hate-crime cases. Commissioners asked whether restorative justice affects charging decisions, and Ryan said it should not alter whether a hate crime is investigated or charged. She also identified model programs and said the commission’s work aligns with the national strategy it is charged with implementing. Three rabbis then described the rise in antisemitic incidents in schools and communities, the emotional toll on Jewish families, and the need for stronger school responses, clearer language in incident communications, and better training for educators. Rabbi Brad David recounted repeated incidents in Acton-Boxborough and praised the district’s improved partnership and response, while Rabbi Tom Shah described parental anxiety, concerns about classroom materials lacking context, and the need for balanced instruction. The rabbis also discussed synagogue security costs and measures, including volunteer security teams, police support, grants, and physical protections. Commissioners said the testimony would inform forthcoming recommendations, and DESE staff noted they are developing instructional-materials guidance and a rubric for educators. The final witness, Professor Christina Miller, outlined hate-crime prosecution issues in Massachusetts, including mixed-motive cases, the need for clearer statutes and jury instructions, better training for police and clerk magistrates, guidance on sentencing and diversity-awareness programs, and the use of community impact statements.

Transcript Highlights:

• So you've moved us years ahead with the funding that you've given us.
• That's great for all of us.
• It has been an adventure for us. None of us are real estate experts.
• say we're going to use isolation, we can't use physical force.
• That'll help us draw in new recruits and it'll help us hold on to the people that we have.

Keywords: 1184, house, all

Transcript Highlights:

• They're very easy to use.
• If there's a delay in reporting, that's not useful to us because the money moves very quickly.
• These scammers used spoof numbers.
• You've been very good to us over the years with advising us on issues, answering our questions, and I
• You've been very good to us over the years with advising us on issues, answering our questions, and I

Keywords: 995, all

Summary: The committee heard testimony on several financial services bills, with the main focus on cryptocurrency kiosk regulation, financial literacy, and earned wage access. Legislators and witnesses described widespread crypto-related scams targeting older adults, often involving impersonation, urgency, spoofed phone numbers, and rapid transfers through kiosks that are difficult to trace or recover. Supporters of the kiosk bills said Massachusetts needs licensing, registration, transaction limits, warning notices, receipts, refund protections, and other safeguards; some also urged a “pause” or hold on transactions to give victims time to reconsider and allow law enforcement to intervene. The Attorney General’s office, AARP, local law enforcement, and several prosecutors and sheriffs backed the consumer-protection approach, while Bitcoin Depot supported a narrower regulatory framework but opposed low fee caps and strict daily limits, arguing they would function like a ban and reduce legitimate use. Witnesses from Waltham police, Middlesex and Essex County law enforcement, and the AG’s office said crypto scams are growing quickly, losses are often unrecoverable once funds move, and current tools are limited. They described cases involving elderly victims losing thousands of dollars, and said warnings alone are not enough because scammers keep victims on the phone and guide them through the process. Some witnesses said a temporary hold or refund mechanism has worked in at least one case, while others emphasized that transaction limits and visible disclosures could reduce harm even if they do not stop fraud entirely. The AG’s office also said it would submit written opposition to separate earned wage advance legislation, while DailyPay testified in support of that bill, saying earned wage access helps workers bridge short-term gaps without debt or credit reporting. The committee also heard support for mandatory financial literacy education from Representative Jim Hawkins, who said high school students need instruction on credit, debt, and inflation before they enter adulthood. In addition, the committee took testimony on litigation financing bills from insurance industry representatives, who argued for disclosure and regulation of predatory litigation lending and warned about foreign interference and reduced plaintiff recoveries. No votes or final actions were taken during the hearing; members asked questions throughout, and the chair noted the need to move testimony along because of time constraints.

Transcript Highlights:

• going to use another name cuz I'm not going to use another name cuz I'm not going to use another name
• I'm use the name that the another name I'm use the name that the another name I'm use the name that
• I used to come grew up now hey I used I used to come grew up now hey I used I used to come through there
• it use it bathroom men and women use it use it bathroom men and women use it use it single so you go
• and and I'm going use it give me to use and and I'm going use it give me to use and and I'm going use

Bills: SB 2

Keywords: 920, all

Transcript Highlights:

• us.
• Did you use 4.5s?
• And I would be the first to tell you the recent pay increases have been very, very useful for us as an
• If you would, please, let us know.
• So hopefully that'll be enough for them to be able to come back to us and tell us that in a few weeks

Summary: The subcommittee met to review agency vacancy reports and agency-requested budget reductions, with Chair Lopez framing the discussion around stewardship of taxpayer dollars, agency efficiency, and whether long-vacant positions should be cut or repurposed. Members were given vacancy summaries and asked to focus on how agencies are functioning with current staffing, which positions are mission critical, and whether some vacancies reflect market pay issues, re-engineering of work, or true excess capacity. The chair also noted that agency heads had been asked to provide follow-up information on current openings, average vacancy duration, mission-critical roles, and reasons for vacancies. The Department of Revenue was the first major agency reviewed because it had the largest number of vacancies. Its leadership said vacancies had improved from pandemic-era highs due to market pay adjustments, but that some areas—especially general tax and audit—still had long-term openings. The department explained that some positions are intentionally frozen while work is restructured, that it hires above minimum salary in some cases to stay competitive, and that it is using automation and process changes to reduce backlogs. Members raised concerns about vacancies outside Leon County, out-of-state auditor positions, salary compression, and whether the department should provide a list of frozen positions and the salaries actually needed to recruit. The Department of Financial Services said its long vacancies were concentrated in risk management, law enforcement, and the general counsel’s office, where salaries and competition from private employers and other agencies make hiring difficult. DFS said it was using outside vendors in some areas, had reduced vacancies in its general counsel office significantly, and was willing to identify positions that could be cut, including some from treasury and OAT. The Department of Business and Professional Regulation reported progress in lowering vacancies through statewide recruiting, centralized legal hiring, automation in service operations, and leadership changes in alcoholic beverages and tobacco; it said one recommended cut could be achieved by combining two half-time positions. The Florida Lottery reported a low vacancy rate, said all positions were critical, and explained its longer onboarding time due to extensive background checks; members discussed sales reps, incentives, and the agency’s field-office structure. The Office of Financial Regulation said many of its vacancies were already in the hiring pipeline, with recent vacancies tied to promotions, a death, and internal moves, and noted that it often serves as a training ground for federal agencies. The Office of Insurance Regulation, which had a high vacancy rate concentrated in Leon County, said it had been reducing vacancies from a much higher level and was still working through hiring and administrative constraints.

Transcript Highlights:

• assessment says for us.
• us if someone's failed a drug test.
• They give us options.
• They give us options.
• CRJ gives us a set amount of beds at each facility that we can use.

Keywords: 995, all

Summary: The Special Commission on Criminal Justice Reform 3.0 heard a presentation from the Massachusetts Parole Board focused on consolidation, cooperation, and evidence-based supervision across the correctional system. Parole Board Chair Angela Gomez-June described the board’s mission, its coordination with the Department of Correction, houses of correction, courts, probation, law enforcement, victim services, and UMass partners, and outlined 2024 activity including 2,810 institutional release hearings, 18,238 victim notifications, 53 pardon petitions, 70 commutation petitions, 41 early termination applications, and supervision of 2,993 parolees. She emphasized the board’s shift toward individualized, data-driven decision-making, including revised GPS use, graduated sanctions, and more service-oriented community supervision. Members and sheriffs pressed for clearer breakdowns of the board’s data, including the difference between releases, hearings, and active supervision; average length of supervision; the share of lifers in the caseload; and how many people are placed in housing, employment, and treatment. The board said its active supervised population fluctuates around 1,600 to 1,800, with more than 400 lifers, and that about 30 to 36 percent of its population is housed through programs such as MASH, community justice resource centers, and sheriff-run residential programs like Rocky Hill and HOPE. Members also discussed parole refusals, noting that some individuals decline parole to avoid supervision or to serve time inside instead, and asked for a more detailed breakdown of those cases. The board and commission also discussed collaboration with DOC and UMass on risk assessment, reentry planning, and community pathways, including a tablet video explaining the parole process and pharmacist support for medication-related drug test issues. The board reported that after the SJC’s Matus decision, 210 individuals were identified as affected, 144 were immediately eligible for hearings, 100 hearings had been completed, and 10 more were scheduled; it also said clemency and commutation work had been slowed by staffing and Matus-related demands. The meeting ended with a request for follow-up data on outcomes, supervision lengths, housing and employment placements, and other consolidated statistics, and the commission announced its next public hearing for March 9 at 10 a.m. before adjourning.

Transcript Highlights:

• use, right?
• I just so we use we do use the request for, quote, process often.
• So if it is staff aug and that 25 requirement, that's where the 25 requirement for us is used very often
• But I mean, I think we all long clients who hold a high bar for us and who hold us we all long clients
• And so for us, we had to look at the parent vehicles that were available to us and we had to make the

Transcript Highlights:

• It's on us, so please join us if you can.
• So thank you for welcoming us, for accepting us, and making us feel like this is home. Thank you.
• This is really important to us.
• It helped us.
• And it also doesn't allow us to do things that are unique to us and unique to us being competitive.

Summary: The committee met at North Dakota State College of Science for a presentation from President Flanagan and campus leaders on the college’s mission, enrollment growth, workforce programs, facilities needs, and industry partnerships. Flanagan highlighted student success in national competitions, strong placement and retention, the college’s strategic plan, and new or expanding programs such as aviation maintenance, fire science, dental hygiene, community health worker, surgical technology, HVAC/plumbing, and precision agriculture. He also described the need for a new dorm and a remodel of the library into academic and allied health space, including a simulation center, to address capacity limits and support growth. Several committee members asked about program demand, faculty recruitment, pay competitiveness, and how the college shifts resources from lower-demand programs to high-demand ones. Industry partner Jim Albright of Comdell testified that the college has been essential to the local manufacturing workforce and that many employees and interns come from NDSCS. A major topic was dual credit. Flanagan said dual credit is important but financially challenging, noting that only a small share of dual credit students ultimately matriculate to NDSCS and that the college’s dual credit model is close to break-even. He explained that many dual credit credits are general education rather than CTE, and that the college pays instructors, supports high schools, and absorbs indirect costs. Williston State College President Bernal Herning added that his institution loses money on the front end but has shifted toward helping students complete associate degrees before high school graduation because many go directly to work after high school. Committee members questioned how dual credit is delivered, how instructors are qualified, and whether students are truly doing college-level work. The committee then received a University System presentation from Jamie Wilkie on the cost of delivering dual credit statewide. Wilkie explained the methodology used to allocate direct and overhead costs and said the analysis shows dual credit is not profitable at several institutions once tuition, instructor payments, and overhead are included. Members asked how much of the cost is borne by students, families, and the state, and whether K-12 funding should also be considered. Discussion also covered the difference between subsidized and unsubsidized dual credit, payments to high school teachers or schools, and the possibility of waiving tuition in the future. No votes were taken, and the committee mainly gathered information for the ongoing dual credit cost study.

Transcript Highlights:

• With us today for this discussion, we have from the Florida With us today for this discussion, we have
• Is it actually making us more resilient? Is it actually making us more resilient?
• So we flipped that and said, you know, you can use agile, you can use waterfall, you can use a hybrid
• We're using FTP sites.
• us what your training plan is?

Summary: The subcommittee held its first meeting to examine Florida’s information technology governance, budgeting, cybersecurity, data management, and telecommunications operations. Chair Schneider and other members framed the panel as a new joint policy-and-budget forum focused on reducing jargon, improving accountability, and asking whether technology investments are feasible, aligned with state goals, cost-controlled, and secure. State Affairs Chairman Will Robinson and members emphasized that the committee should avoid buying “shiny new objects” without clear business cases and should focus on long-term value, cybersecurity, and operational efficiency. Florida Digital Service and Department of Management Services leaders provided an overview of the state IT enterprise. Secretary Pedro Allende described DMS as the state’s business, workforce, and technology service provider, while State CIO Warren Spanholz outlined Florida Digital Service’s four core areas: cybersecurity, project success, data interoperability, and enterprise architecture. Chief Data Officer Ed Ryan said the state data catalog is about 400,000 elements and roughly half of agencies are participating, and he described efforts to identify authoritative data sources and improve interoperability. Chief Information Security Officer Jeremy Rogers discussed the state cybersecurity operations center, enterprise risk management, incident response exercises, and a recurring $35 million cybersecurity resiliency budget. Chief Technology Officer Leo Schoonover described oversight of major IT projects over $10 million, updated project management standards, and a shift toward smaller phased implementations and more flexible methodologies to reduce delays and overruns. Other presenters covered telecommunications, data center operations, and cybersecurity workforce development. Director Denise Atkins said the Division of Telecommunications manages Suncom and MyFloridaNet, with nearly $336.9 million appropriated for fiscal year 2024-25, and is procuring the next network contract while emphasizing security controls and vendor flexibility. Tim Brown said the Northwest Regional Data Center operates on a chargeback basis, serves state and local customers, and returned surpluses to customers in recent years. Cyber Florida Director Ernie Ferraroso described training, workforce pipelines, K-12 outreach, a cyber range, and research programs aimed at building Florida’s cyber workforce and improving public-sector readiness. Members asked about budget setting, project delays, change orders, cybersecurity reporting, data catalog participation, interoperability, and expanding cybersecurity operations centers. Officials said chargeback rates are based on actual direct and indirect costs, project delays often stem from unclear scope and insufficient upfront planning, and cybersecurity success is measured by mean time to detect, respond, and recover. They also said the state is moving toward more modular project delivery, broader agency participation in shared cybersecurity services, and expanded CSOC locations within existing staff and budget where feasible.

Transcript Highlights:

• going to be used for the coming year. going to be used for the coming year.
• <01:00:56.120> these really use these funds and to use these really use these funds and to
• That brings us to H. 577.
• brings us >> That brings us to<01:33:47.840> H.577.
• [clears throat] uh change to us. Uh it's [clears throat] uh change to us.

Keywords: 927, senate, all

Transcript Highlights:

• They have been used in military bases. They have been used to power data centers.
• You can use a small one. You can use a small modular reactor for a data center.
• they use.
• Is it the alloys you use?
• Is it the alloys you use?

Keywords: 908, all

Transcript Highlights:

• What used to be the norms in our nation, what used to be the norms in our society, has now been basically
• What bathroom are they using?
• please so you you've made um you've used please so you you've made um you've used a<00:44:59.040
• c> is is you if you block us from us in the is is you if you block us from us in the bathrooms<01:44:
• So just think that might kill us.

Keywords: 1191, senate, all

Transcript Highlights:

• The agencies that use these spaces assigned 3,462 FTEs, while only 1,830 employees use the space on a
• Sorry, I'm using our word for it.
• Is the word you use? But you don't actually check up and see if. They actually use that.
• We're not using that. That's that's.
• We used a 20% allowance.

Keywords: 914, all

Transcript Highlights:

• Thank you for having us.
• to us for that work.
• They got us together and got us here, and I appreciate being invited.
• They got us together and got us here, and I appreciate being invited.
• That can be used.

Keywords: 1184, house, all

Summary: The committee met to monitor implementation of several housing-related bills from the 89th session, with the chair emphasizing Texas’s housing shortage and the need to review land-use laws. For House Bill 24, witnesses from the Texas Public Policy Foundation, Reason Foundation, a church-affordable housing project, Habitat for Humanity, developers, and housing advocates said the bill’s higher protest threshold and simpler council override had reduced procedural barriers to rezoning, helped projects move forward, and supported lower rents and more multifamily development. Public testimony largely praised HB 24 as working as intended, and the chair noted it had passed the committee 6-1, the House 83-56, and the Senate unanimously. The committee then heard testimony on Senate Bill 1567, which preempted certain municipal occupancy limits based on unrelated-adult restrictions. Supporters, including Texas Public Policy Foundation, Texas Realtors, Texans for Housing, and Texas A&M student leaders, said the law improved clarity, reduced arbitrary local limits, and helped students and property owners use existing housing more efficiently. Opponents from College Station and Bryan-College Station neighborhood groups argued the law has encouraged investor purchases, tear-downs, and “stealth dorms,” displaced working-class residents, and harmed family homeownership. The chair noted SB 1567 had passed the committee 5-1, the House 101-19, and the Senate 30-1. The committee also reviewed Senate Bill 15, which reduced minimum lot sizes in covered jurisdictions. Ed Pinto of AEI said the law had already led to thousands of new small lots and lower-cost starter homes, while recommending expansion to more counties and broader application to attached housing. Other witnesses from builders, Pew, and housing advocates said smaller lots can increase affordability, but some cities, such as College Station and Grand Prairie, were adding local standards that could blunt the bill’s effect. City representatives from El Paso described how they implemented the law by reducing lot sizes and widths, while urging broader applicability to more of the city. The chair said SB 15 had passed the committee 7-0, the House 86-43, and the Senate 24-7. Finally, the committee began hearing testimony on Senate Bill 840, a by-right multifamily redevelopment measure. City officials from Garland and Plano described how they had updated local standards to comply while preserving design and setback rules, and said the bill could help redevelop built-out commercial corridors and add housing without expanding city footprints. The transcript ended as the committee continued taking testimony on SB 840.

Transcript Highlights:

• It's on us, so please join us if you can.
• So thank you for welcoming us, for accepting us, and making us feel like this is home. Thank you.
• This is really important to us.
• And it also doesn't allow us to do things that are unique to us and unique to us being competitive.
• Member Hall of us. Thanks. Thank you. Member Hall of us. Thank you, Chair Sickler.

Keywords: 908, all

Transcript Highlights:

• substance use and alcohol use disorder for individuals who have opioid use disorder.
• Individuals who use meth are less likely to die, overdose, or continue to use opioids.
• You always provide us with a lot of information and leave us with many questions.
• Is it just substance use?
• So my question to you is, you also gave us the list of 10 of the most used drugs.

Transcript Highlights:

• PFAS chemicals when used.
• Joining us virtually, Michaela, are you with us?
• Sherry, are you with us?
• Next, joining us virtually: Sue Salinas. Is Sue on with us? Sue Salinas?
• Rossi Gutierrez, are you joining us virtually? Are you on with us? No.

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a public hearing on a wide range of bills, with testimony first focused on H. 1315/S. 824, which would require insurance coverage for pain management options during IUD insertion. Representative Sabadosa, Planned Parenthood clinicians, and policy advocates said sedation can reduce fear and trauma, improve access to effective contraception, and should be reimbursed so providers can continue offering it. A Tufts OB-GYN resident also testified that pain control should be standard care for intrauterine procedures. No votes were taken during the hearing. The committee then heard extensive testimony on firefighter health bills, especially H. 1230/S. 690 requiring insurance coverage for cancer screenings for firefighters. Professional Fire Fighters of Massachusetts leaders, a Dana-Farber oncologist, and firefighters themselves described occupational exposure to carcinogens and personal stories of late-stage cancer detection, arguing that early screening can save lives and reduce long-term costs. Representative Crichton and Representative Howitt also spoke in support, and Representative Ayers testified for H. 4012, which would require neurological disorder screenings for firefighters. Committee members expressed support and sympathy, but no action was taken. The hearing also covered H. 3946/S. 756 on hearing aid coverage, with testimony from students, adults with hearing loss, disability advocates, and HLAA representatives describing the educational, social, and financial barriers caused by lack of coverage and urging broader insurance mandates. Later, Representative Donahue and Representative Vargas testified for H. 1337 to expand insurance coverage for opioid antagonists and related medications, including naloxone dispensed at discharge. The committee additionally heard testimony on H. 1134 to improve chronic pain care coordination and non-opioid access, and H. 4162 to improve ostomy supply coverage and access to certified ostomy care, with patients and clinicians describing denials, quantity limits, and non-medical switching. The transcript ends while testimony on H. 1315/S. 824 is still ongoing; no votes or formal committee actions are recorded in the excerpt.