Transcript Highlights:

• <00:22:19.679> Legislative Academy of Family Physicians Legislative Academy of Family Physicians
• Elizabeth Ignasio, a Maui physician, speaking for the Hawaii Medical Association.
• Elizabeth Ignasio, a Maui physician, speaking for the Hawaii Medical Association.
• Physicians and psychiatrists spend over 12,000 hours in training.
• 54:49.359> over Physicians and psychiatrists spend over Physicians and psychiatrists spend over

Keywords: 912, senate, all

Summary: The joint HHS, Agriculture, Environment, Energy, and Intergovernmental Affairs hearing focused first on SB 2262, a pollution and illegal dumping measure. The Department of Health said it stood on its written testimony, and public testimony included support from CARES with suggested amendments to involve the counties in standardized response planning and to address pollution caused by individuals. Members questioned the bill’s fines, where they would go, and how the department would handle carcasses and illegal dumping enforcement. DOH said administrative fines go to the general fund, criminal fines are collected by the Attorney General, carcasses are generally buried by the landowner under existing rules, and DOH mainly regulates solid waste and coordinates with counties and other agencies when violations arise. After discussion, the chair recommended SB 2262 be passed with substantial amendments. The proposed amendments would add DLNR to the task force, deposit all fines into a special fund to support enforcement, allow fines below $5,000 for littering and higher fines for excessive or chronic illegal dumping, and include a January 30, 2050 effective date. The committee adopted the recommendation, with members voting aye. The hearing then moved to the HHS calendar. On SB 2087, relating to health insurance, agencies including DHS, DCCA, the Attorney General, and Labor stood on written testimony, while several advocacy and medical groups testified in support. One Medicaid recipient opposed the bill, arguing the coverage should be immediate rather than phased in over three years. Angela Melody Young supported the bill but urged amendments to prioritize people with disabilities, kupuna, and mothers. Members questioned whether the rural health transformation program could support the bill’s deductible structure; the Department of Human Services said it was unlikely CMS would allow that level of coverage, though rural funds might help in other ways. The committee then moved on to SB 2089, which would expand services eligible for Medicaid prospective payment system reimbursement, hearing support from OHA, DHS, and others, along with testimony about mental health access and training. The transcript also began SB 2106, relating to health and eating disorder prevention, with a student testifying in support and citing youth eating disorder harms, but the discussion was cut off before any action on that bill.

Transcript Highlights:

• So our medical director that we have under contract for us is a UConn physician, and we also have another
• physician and a nurse practitioner from UConn.
• We have another physician and a nurse practitioner from UConn, so we've had several discussions with

Keywords: 962, all

Summary: The Finance Advisory Committee approved the minutes of its April 2 meeting and then took up three budget transfers. The first, FAC 2026-6 for the Office of the State Treasurer, moved $75,000 from personal services to other expenses to pay for consultant help applying for federal energy credits under the Inflation Reduction Act’s direct pay provisions. Treasurer’s office staff said the agency had one open position and several others pending posting, and members discussed how the transfer related to vacant positions and the committee’s budget display. The second item, FAC 2026-7 for the Office of the State Controller, transferred $700,000 from personal services to other expenses to cover higher Core-CT software maintenance and licensing costs. Comptroller staff said the office had 21 open positions, most in Core-CT, and explained that the system, implemented in 2003, receives regular quarterly and monthly updates from Oracle. Members also discussed how the system serves payroll, HR, purchasing, accounting, and related functions for many state agencies, including UConn and the Board of Regents. The final item, FAC 2026-8 for the Department of Veterans Affairs, transferred $700,000 from personal services, the veterans opportunity pilot, and headstones accounts to other expenses for year-end operational needs. Commissioner Ron Welch said most vacancies were in the skilled nursing facility, food service, and physical plant, with staffing challenges especially for nurses and aides. He also explained that the veterans opportunity pilot never fully launched, that the Institutional General Welfare Fund has been depleted and the agency now relies more on general fund support, and that the department faces rising food, utility, and pharmaceutical costs, including a federal VA reimbursement change that will leave the state responsible for medication costs by 2027. All three transfers were approved, and the meeting adjourned.

Transcript Highlights:

• the award process over the past year, CPE has asked that we expand that to include dietitians and physician
• Over the past year, CPE asked that it be expanded to include dietitians and physician assistants.
• CPE has asked that we expand that to include dietitians and physician assistants.

Keywords: Roll Call 00:20 Discussion on HB 303 00:45 Vote on HB 303 04:41 Discussion on HB 305 05:32 Vote on HB 305 08:34, 958, all

Summary: The Senate Standing Committee on Health Services met with a quorum and heard House Bill 303 first. Representative Steve Bratcher explained that the bill would let U.S. military members with medical training transition that experience into Kentucky health-care credentials more quickly. Schools and colleges would evaluate military curricula on an individual basis, identify gaps, and allow those gaps to be filled with additional classes or clinical time before the person sits for the required exam. The bill was described as applying broadly across medical fields, not just nursing, and it would not waive testing or standards. Senators asked whether the process would compare credentials across states and whether the bill covered only U.S. military service; Bratcher said evaluations would be individualized and the bill was primarily for those who served in the U.S. military. HB 303 received an 11-0 favorable vote. The committee then took up House Bill 305, presented by Representative Ken Fleming. He said the committee substitute would expand an existing health-care workforce award program to include dietitians and physician assistants, clarify that certain EMS-related services may be owned or operated by a hospital rather than only owned by one, and provide more flexibility around licensing timelines after a certificate of need is issued by the Kentucky Board of Emergency Medical Services. After a motion and second, the committee voted unanimously to amend and pass HB 305 with favorable expression. A title amendment was also adopted unanimously. Before adjournment, the chair noted that the next regular meeting was scheduled for March 12 and warned that a special-called meeting might be needed the following Monday because of bills arriving from the House. No further business was taken up, and the committee adjourned.

Transcript Highlights:

• Whatever we're doing, having a medical director, a physician, is key to that because you have to have
• a physician to serve as a medical director to oversee your credentialed EMS personnel.
• Is he an Alabama licensed physician? He is, and he's an Alabama native.

Keywords: 924, joint, all

Transcript Highlights:

• relating to requiring an election judge to provide a watcher removed from a polling place a signed statement
• I don't think it's your intent, but I'd just like to get a clarifying statement here.
• HB5402 by Geren, relating to the fiscal impact statements for legislation. ...mandates on health benefit
• Is that a true statement? That's a true statement.
• SB 2043 by Hughes relates to prohibitions in certain contexts. ...violation against a physician or health

Bills: HB2293, HB2694, HB2999, HB3694, HB3254, HB4662, HB5629, HB5632, HB5675, HB5664, HB5671, HB5680, HB5682, HB5693, HB4158, HB5695, HB4669, HB5696, HB5698, HB5677, HB5699, HB5694, HCR81, HCR83, HCR84, HCR89, HCR111, HCR142, HR868, SB682, SB1351, SB1895, SB1931, SB2141, SB3044, SCR1, SCR6, SCR37, SB458, SB482, SB927, SB984, SB651, SB1620, SB2124, SB2448, SB841, SB843, SB402, SB2662, SB2053, SB2332, SB2112, SB745, SB1247, SB1789, HB75, HB5354, HB4683, HB4847, HB1449, HB3833, HB265, HB1845, HB 108, HB1960, HB1955, HB2512, HB2581, HB2803, HB1738, HB636, HB2638, HB2655, HB871, HB 1107, HB1765, HB1822, HB3679, HB4099, HB3732, HB3171, HB3749, HB2814, HB3977, HB4204, HB4207, HB4449, HB1820, HB1876, HB1939, HB1347, HB2593, HB2136, HB2658, HB2757, HB2080, HB3063, HB3006, HB2844, HB3241, HB3680, HB3169, HB2078, HB2507, HB4559, HB3405, HB475, HB3463, HB3441, HB3520, HB3178, HB158, HB2060, HB4991, HB1991, HB5596, HB2014, HB2731, HB2417, HB2399, HB2301, HB3335, HB3234, HB3320, HB4848, HB4748, HB4769, HB4795, HB2086, HB2234, HB4916, HB5624, HB4505, HB5093, HB5302, HB5402, HB5606, HB4630, HB4924, HB3339, HB3793, HB3631, HB4882, HB5509, HB5499, HB5520, SB1177, SB1559, SB746, SB434, SB1383, SB1214, SB1079, SB3031, SB2141, SB2185, SB1895, SB1241, SB901, SB1883, SB552, HB 1249, HJR218, HB5623, SB687, SB1332, SB458, SB482, SB927, SB984, SB651, SB1620, SB2124, SB2448, SB841, SB843, SB402, SB2662, SB2053, SB2332, SB2112, SB745, SB1247, SB1789, HCR76, HCR127, HCR9, HCR40, HCR118, HR559, HCR59, HCR135, HCR141, HCR46, HCR109, HCR10, SB3037

Keywords: Sweeny Hospital District, board of directors, local governance, elections, healthcare administration, Brazoria Drainage District, commissioners, vacancies, resignation, hydrogen vehicles, weight limitations, transportation, environmental impact, clean energy, deep fake, intimate depictions, consent, digital media, criminal penalties, State Board of Education

Transcript Highlights:

• Ramos Camacho is a board-certified family medicine physician.
• Senate Bill 1951: relating to the imposition of a penalty for failure to timely file a rendition statement
• Senate Bill 1951: relating to the imposition of a penalty for failure to timely file a rendition statement
• Is that a fair statement? That is correct. Yes. All right.
• I agree with that statement. May I give a little bit of an example of my personal experience?

Summary: The Senate opened with an invocation by Pastor Jim Harris of Tilden Baptist Church, followed by remarks from Senator Zaffirini recognizing his service and retirement as an agricultural teacher. The chamber also received a message from the governor on appointments to the Coastal Water Authority Board of Directors. Senators then adopted SR 434 honoring Goodwill Industries of San Antonio’s 80th anniversary, with Senators Gutierrez, Menendez, and Zaffirini praising its workforce training and second-chance employment mission; SR 435 recognizing Dr. Christine Ramos Camacho as Doctor of the Day; and a group of additional resolutions adopted by voice vote. Senator Zaffirini also introduced the McMullen County Day delegation, and Senator Gutierrez introduced the Doctor of the Day. The Senate then took up and passed several bills. SB 1951 addressed penalties for late property rendition filings and removed a financial incentive for appraisal districts; SB 1261 related to financing water supply projects in the state water plan; SB 1620 created a Texas Forensic Analyst Apprenticeship Pilot Program; SB 530 updated higher-education accreditation rules; SB 2183 standardized fireworks sales periods statewide; SB 2368 strengthened the Lone Star Infrastructure Protection Act and added foreign-affiliation safeguards for electricity market participants; SB 1398 limited children without placement (CWOP) practices and added community-based care transparency; and SB 1960 established digital replication rights for voice and visual likenesses. Each of these bills advanced through suspension of the regular order, passage to engrossment, suspension of the three-day rule, and final passage, with recorded votes generally showing strong support and some opposition on a few measures. The chamber also debated SB 825, which would require an annual study of the economic, environmental, and financial impacts of illegal immigration. Senators Middleton, Hinojosa, Gutierrez, and Eckhardt debated whether the study should include positive as well as negative impacts; an amendment to require that broader analysis failed, and the bill was left pending after passage to engrossment. Other measures passed included SB 2010, prohibiting political subdivisions from operating guaranteed income programs; SB 546, requiring reporting and continued implementation of school bus seat belts; SB 586, establishing the Historical Texas Cemetery designation program; SB 1150, requiring inactive oil and gas wells to be plugged or returned to production under a compliance plan; SB 1184, lowering the minimum age of wine eligible for sale by wine collection sellers; SB 2185, clarifying bilingual education allotment funding; SB 1923, making child support follow the child in certain temporary placements; SB 2252, expanding early literacy and numeracy supports and screening tools; SB 1870, barring local decriminalization of drugs; and SB 2405, the major TDCJ sunset bill, which included facility planning, parole and rehabilitation reforms, and an amendment protecting parole board discretion. Most of these bills were adopted after floor amendments and passed with recorded votes, often along party-line or near-party-line divisions.

Transcript Highlights:

• Senator Dave Wordekemper would like to recognize the physician of the day, Dr.
• that's being updated, but one thing that I think is confusing: if you go and look at the committee statement
• The substance of the amendments is included in the committee statement, but the full information about
• I also want to make sure, because it's not clear on the committee statement, perhaps for technical reasons
• I also want to make sure, because it's not clear on the committee statement, perhaps for technical reasons

Bills: LB878, LB958, LB958A, LB762, LB1187, LB966, LB929, LB962, LB1209, LB937A, LB962A, LB1050, LB1050A, LB965, LB1022, LB753, LB788, LB913, LB1055, LB1195, LB429, LB721, LB722, LB727, LB745, LB749, LB778, LR293, LR296, LR422, LR495, LR496, LR497, LR498, LR499, LR500, LR501, LR502, LR503, LR504

Keywords: paid parental leave, state employees, workplace benefits, family support, economic impact, Medicaid, Medical Assistance Act, home and community-based services waiver, HCBS waiver, waiver participant, assessment tool, clinical interviewing, service tier, retroactive coverage, doula, doula reimbursement, maternal health, prenatal care, pregnancy, birth outcomes

Transcript Highlights:

• Is that a fair statement? Speaker: I think that's a fair statement.
• Is that a fair statement? I think it's a fair statement.
• That's a fair statement.
• Is that a fair statement?
• Fair statement? Yes.

Bills: SB 1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• Is that figured in your statement up there? Yes, that's right. Okay. And it's still close then.
• So monitoring can be done at, let's say, Hazen, and a physician in Bismarck can be looking at that monitoring
• on a patient and giving guidance to a physician somewhere else about what's going on with that given
• It won't necessarily be a physician working with a patient.
• This would increase the primary residence tax credit that people see reflected on their tax statements

Bills: HB1623

Keywords: HB 1623, North Dakota, rural health, rural health transformation program, medical facility infrastructure loan fund, medical facility infrastructure loan program, rural health loan program, Bank of North Dakota, Department of Health and Human Services, HHS, federal grant, health care infrastructure, rural hospitals, critical access hospitals, nonprofit health care providers, gap financing, loan fund, public health funding, healthcare financing, Medicaid

Summary: The committee first heard House Bill 1624, the “Universal Lunch Bill,” from Rep. Mike Nathie. He argued the proposal should be placed in Century Code rather than the Constitution so future legislatures can adjust it if state finances tighten, and said the bill would start the program a year earlier with a $65 million appropriation for one school year. DPI testified that the estimate did not include nonpublic schools that do not participate, and members questioned the impact on Title I, free-and-reduced applications, private-school accountability, breakfast mandates for schools that do not currently serve breakfast, and whether the funding could come from the DPI budget or other sources. Supporters, including North Dakota United, the North Dakota Catholic Conference, a pediatrician, and the American Heart Association, said universal meals improve student health and learning, reduce family costs, and are better handled in statute than by constitutional amendment. No opposition testimony was offered, and the chair closed the hearing for later work-session action. The committee then took up House Bill 1627, introduced by Rep. Tye Dressler, which would raise the income threshold for the state-funded school lunch program from 225% to 300% of poverty, with an estimated cost of about $7 million for 2026-27. Dressler said the bill is intended as a targeted, budget-friendly alternative to the ballot measure and emphasized that the state should maximize federal meal dollars while improving participation in the current program. Members questioned whether raising the threshold would actually increase utilization, whether a dollar amount would be clearer than a percentage, and how the change would affect federal reimbursements and application rates. DPI said it could quickly calculate additional percentage levels, and the chair closed the hearing, directing DPI to prepare more numbers for the work session. Finally, the committee opened Senate Bill 2403, presented by Sen. Schiable, to create a short-term bridge-loan program for financially distressed hospitals, centered on Jacobson Memorial Hospital in Elgin. The bill would authorize up to $5 million per loan, with a $10 million appropriation available on a first-come, first-served basis, and would run only through June 30, 2027. Schiable said the hospital’s debt and operating problems threaten local health care, ambulance service, and the community’s economy, and that the proposal was designed narrowly with Bank of North Dakota review to avoid creating a broad precedent. Committee members asked whether the appropriation could be reduced and whether the bank would still apply commercial feasibility and repayment standards; Schiable said yes, the bank would still evaluate the loan and could reject it if it was not sound.

Transcript Highlights:

• As a physician and a mother, I cannot speak enough about the harm that this bill, this cut to NIH funding
• As a physician<01:04:47.839> and<01:04:48.160> a<01:04:48.400> mother,<01:04:49.359
• > I<01:04:49.599> cannot physician and a mother, I cannot physician and a mother, I cannot
• In fact, just a couple of hours ago, Elon Musk affirmed a statement about actually impeaching the president
• Statement about actually impeaching the president.

Keywords: U.S. House of Representatives Floor Proceedings on Thursday, June 5, 2025, 1012, house, all

Transcript Highlights:

• The questions that are the statements that you said about how this, they may lose benefits—these are
• The questions that are the statements that you said about how this, they may lose—these are benefits
• The questions that are the statements that you said about how this, they may lose—these are benefits
• The problem, many physicians who practice in Minnesota complete their training in neighboring states
• The problem, many physicians who practice in Minnesota complete their training in neighboring states

Bills: HF3843, HF3597, HF4003, HF3167, HF4193

Keywords: workforce development, appropriations, nonprofit organizations, employment services, state funding, paid leave, S corporations, employment law, exemptions, Minnesota Statutes, cancer, healthcare, appropriation, Rural Cancer Institute, Minnesota clinicians, pilot program, nursing, education, University of Minnesota, equity

Transcript Highlights:

• Do you have a physician order? Um, and so forth.
• Do you have a physician order? Um, and so forth.
• Do you have a physician order? Um, and so forth.
• Do you have a physician order? Um, and so forth.
• Do you have a physician order? Um, and so forth.

Keywords: 1189, house, all

Summary: The subcommittee met to begin work on HB 742, which would require catastrophic special education aid to be drawn from the education trust fund, and more broadly to study special education aid/differentiated aid and related costing issues. The chair said the group was starting early because the issue has been debated for years without resolution, local districts are being forced to absorb prorated costs, and the committee wants to send the Department of Education and HHS Medicaid a clear request for data and recommendations before retained bills return in the fall. A committee clerk was also selected, with Representative Reverend volunteering to take notes for the meeting. Members reviewed background materials on special education enrollment, high-cost students, and possible funding formulas, including data on students in high-cost brackets and prior ideas such as category-based funding and caseload-based approaches. The chair also referenced research on other states, including Arkansas, which uses a different special education funding structure and audits IEPs. The committee emphasized that it was focused on the funding mechanics and costs, not on questioning whether services should be provided. Henry Lipman of HHS explained how Medicaid-to-schools currently works in New Hampshire. He said 172 school districts participate, but utilization dropped during the pandemic and remains below historical levels, in part because districts need the capacity to bill Medicaid. Under the current system, schools receive reimbursement based on half of the Medicaid fee schedule, with the school district effectively providing the state share. He said the federal government is requiring a shift by July 1, 2026, to a true certified public expenditure model based on actual costs, which should allow schools to recover 50% of their true costs and some administrative overhead. The department has received a roughly $2.5 million grant to hire a vendor and support districts through the transition, and an RFP and stakeholder meetings are underway. Committee members asked about how costs would be determined, whether the new system would use actual district-specific costs rather than averages, and how the department would support districts that do not currently participate. Lipman said the cost model would be based on each district’s own reasonable costs, subject to audit standards, and that the department expects to provide templates and technical assistance through the vendor because its staff is limited. He also said about one in four New Hampshire children are enrolled in Medicaid, that child enrollment has been relatively stable, and that continuous coverage rules should reduce churn. No votes or formal actions on HB 742 were taken during the meeting beyond organizing the subcommittee and beginning testimony and discussion.

Transcript Highlights:

• There are physicians. There are nurses, nurse practitioners.
• sexuality education there are Physicians sexuality education there are Physicians there<01:03:59.440
• Many would disagree with that statement given their own religious and scientific backgrounds.
• <01:14:50.440> given would disagree with that statement given would disagree with that statement
• <01:15:00.520> to Physicians to Physicians to address<01:15:02.679> however<01:15:02.880

Keywords: 928, house, all

Summary: The committee heard testimony on House Bill 662, which would require public schools to include discussion of abortion procedures and show specified videos in health education classes. The prime sponsor argued the bill would ensure students receive medically accurate, age-appropriate, and nonpolitical information about abortion, saying the topic is important for informed decision-making and should be taught consistently statewide. He said the videos were intended for grades 9-12, that parents could opt out, and that the requirement was meant to supplement, not sway, students’ views. He also acknowledged the bill could be seen as limiting local control over curriculum and said the intent was to prevent the topic from being missed due to scheduling disruptions. Committee members questioned the sponsor about local control, the need for a video mandate, the source of his statistics, whether the bill could be biased or inflammatory, and whether the requirement should apply every year in high school. The sponsor said the videos were only a starting point, could be replaced by others, and were meant to be informational. He also said the bill was not intended to influence students’ decisions about abortion. Several supporters testified in favor, including representatives of New Hampshire Right to Life and others who said students should be told the “truth” about abortion and its consequences. They emphasized graphic or emotionally difficult aspects of abortion and argued that young people need this information to make informed choices. Opponents and skeptical witnesses raised concerns about prescribing curriculum, eroding local control, and the appropriateness of the material for younger high school students. The New Hampshire School Administrators Association said the bill was overly prescriptive, that health education standards are already set by the State Board of Education, and that the topics in the bill are not part of the current standards. That witness recommended the committee consider retaining the bill for further work or making it less prescriptive. No vote or final committee action was taken in the portion of the meeting provided.

Transcript Highlights:

• They protect nursing staff, deliver patient care, safeguard physicians during medical procedures, and
• patient care and safeguard physicians patient care and safeguard physicians during<00:47:42.720>
• It's the fire department, the emergency medical services personnel unit, or a physician, nurse, or other
• <00:52:07.839> nurse<00:52:08.079> or<00:52:08.319> other unit or a physician
• nurse or other unit or a physician nurse or other person<00:52:09.200> providing<00:52:09.760

Bills: HF2358, HF3496, HF3504, HF2169, HF3440

Keywords: public safety, coercion, criminal penalties, law enforcement, victim protection, HF3496, supervision abatement, earned compliance credit, earned compliance credits, conditional release, supervised release, corrections, Minnesota Department of Corrections, restitution, willful nonpayment, probation-like supervision, release supervision, community supervision, lifetime conditional release, early termination of supervision

Transcript Highlights:

• Family Medicine Doc, and I'm the president of the Minnesota Academy of Family Physicians, representing
• I'm a family physician and the CEO of Community University Health Care Center, taking care of the patients
• The unacceptable disruption to care caused by these changes is frustrating for both patients and physicians
• Physicians across the state urged support for SF 1806 as an important step to help protect patients.
• to see if a bio similar that physician to see if a bio similar that might<00:43:21.319> be<00

Keywords: 1187, senate, all

Transcript Highlights:

• But family practice physicians can do that.
• To have obstetricians out in rural North Dakota, but family practice physicians can fulfill that need
• , family medicine physician, going into the high school or the grade school, and it's more than a scrubs
• And then you can follow them through if they're going to be a nurse practitioner or a family physician
• Then there's another type where let's say you recruit a family medicine physician or a nurse practitioner

Keywords: 908, all

Summary: The committee first approved the December 10 minutes and then received a DEQ base budget summary and agency overview. DEQ staff explained that the agency is largely federally and special funded, with major ongoing costs in salaries, operating expenses, grants, and continuing appropriations. Director Dave Glatt and accounting director Beth Jacobson highlighted core programs, the move to a new chemistry laboratory, the new state fuel inspection program, wastewater-related funding from HB 1577, and implementation of SB 2267 for on-site wastewater rules. They also noted the agency’s spending patterns, possible federal EPA cuts, and the likelihood of some fee adjustments or program changes if federal support declines. Members asked about DEQ’s travel, field offices, future staffing, and how the agency would respond to reduced federal regulation. DEQ said most staff are based in Bismarck, with field offices in Fargo, Sawyer, and Gwinner, and that travel is driven by inspections and spill response. Glatt said the agency would continue to rely on science and law, and that any future federal retrenchment could mean more state responsibility but likely not a wholesale increase in FTEs. The committee also discussed a feedlot enforcement case in the Minot area, with DEQ explaining its role in ensuring compliance, permitting, and animal-waste management standards. The Department of Health and Human Services then presented on FTE block grant reporting, TANF balances, child care transfers, and the Rural Health Transformation Program. Donna Ockland explained that no line-item transfers had occurred yet for the new rural health work, but about 33 positions were planned and some current staff time could be reimbursed through approved cost allocation. HHS also reviewed TANF’s frozen eligibility and block grant structure, the transfer of up to 30% of TANF funds to child care, and recent program changes that increased benefits and raised the income limit. Staff said the department is using TANF more strategically to support child care and other allowable uses, while still carrying over unused funds as many states do. Finally, Pat and HHS staff gave an update on the Rural Health Transformation Program, saying the first funding opportunity was being posted and that the state is on track to obligate the federal funds within the required timeline. They described priorities such as workforce retention, preceptor development, technical assistance for critical access hospitals, community wellness projects, and ambulance upgrades. Members asked about rural versus urban eligibility, immigrant recruitment, evaluation of year-two funding, and how the program would address varied local workforce needs. The meeting then shifted to an Office of Management and Budget update on the new State Hospital project, where Lindsay Ashley reported continued construction progress, updated cost information, and selected alternates, with photos and details showing work underway in multiple building sections.

Transcript Highlights:

• Work; they especially work in rural areas and underserved areas, but they find everyone from physicians
• And it's physicians in terms of the medical malpractice, but it's providers of all types.
• And the number one thing that determines where a physician practices is where they did their residency
• Just for folks to know, the only way we can track physicians in New Mexico is from the medical board,
• We guess that there are a lot of people who are licensed, a lot of physicians who are licensed in New

Transcript Highlights:

• We're not interfering between the physician and patient relationship.
• The physician and the patient can still determine if they prefer the brand drug that's more expensive
• We're not interfering between the physician and patient relationship.
• When I started at Louisiana Blue, it was half that and lower than physician reimbursement.
• It now eclipses physician reimbursement and is equal to hospital. We need some relief.

Bills: HB591, HB765, HB826, HB870, HB938, HB1151, HB1162, HB1176, HB1196, HB1236, HB1241

Keywords: family leave, insurance, paid leave, employment benefits, caregiver support, liability insurance, coverage defenses, direct action, judgment enforcement, legal procedures, insurance referrals, compensation, non-licensed agents, consumer protection, insurance products, HB 870, Act 907, Louisiana insurance, health insurance, prescription drugs

Transcript Highlights:

• My name is Natalie Aikman, and I'm a board-certified obesity medicine physician assistant practicing
• assistant<00:14:33.520> practicing<00:14:34.040> here<00:14:34.240> at physician
• assistant practicing here at physician assistant practicing here at Body<00:14:34.600> Weight
• this being just for money and investment reasons for the state that we should make sure that if a physician
• So, if we have knowledgeable physicians that are subscribing this, that really feel that this is going

Keywords: 1183, house

Transcript Highlights:

• in the long term by making some short-term investments in the health care workers, specifically physicians
• , physician assistants, and nurses that serve as preceptors through an approved higher education preceptorship
• Currently in Massachusetts, nurses, physicians, and physician assistants precept on a volunteer basis
• of clinical training sites for all professions, including nurses, nurse practitioners, PAs, and physicians

Keywords: 995, all

Summary: The Joint Committee on Revenue held a public hearing focused largely on tax-credit proposals tied to children, families, caregivers, child care, health care workforce development, and public health. A major portion of the hearing concerned bills to expand the state earned income tax credit and child and family tax credit, including H. 3073/S. 1957 and S. 1975. Testimony from advocacy groups, legal services, tax assistance organizations, and health providers supported increasing the EITC match from 40% to 50% of the federal credit, expanding eligibility to immigrant and mixed-status ITIN filers, larger families, younger and older workers, and SSI recipients, and raising the child and family tax credit to $600 per child with inflation adjustments and possible advance payments. Witnesses said these changes would reduce poverty, improve health and educational outcomes, and help families meet basic expenses; committee members asked questions about ITIN filers and expressed support for the policy goals. The committee also heard extensive testimony on S. 1938/H. 3159, An Act Supporting Family Caregivers. Speakers described the scale of unpaid caregiving in Massachusetts and supported a package that would create a refundable tax credit, respite vouchers, workplace and housing protections, unemployment insurance access for those who leave work to care for relatives, a permanent advisory council, and a provision allowing spouses to be paid caregivers under MassHealth. Several witnesses shared personal caregiving experiences, and committee members responded favorably, noting the emotional and financial strain on caregivers and the importance of supporting them as Medicaid and long-term care systems face pressure. Additional bills discussed included H. 3174 on a child and dependent care tax credit, which was presented as a way to offset the high cost of child care; H. 3197/S. 2019 to improve the financial security of family child care providers through a tax credit; H. 3218/S. 1960 to create tax credits for health care preceptors to address workforce shortages; S. 2064 to establish a living organ donor tax credit; S. 2034 to promote healthy alternatives to sugary drinks through a tiered tax; H. 3015 to create a tax-return checkoff for the YMCA Youth and Government Program; and several public testimony ideas including vaccination, literacy, and grade-improvement tax credits. No votes or formal committee actions were taken during the hearing, which ended after all testimony was heard.