Transcript Highlights:

• You've got investors, you've got hopeful patients.
• Unlike other treatments, regret comes much later when patients have no recourse.
• They are responsible for the health and the life of their patient.
• All patients deserve equal access to do that.
• But his patients come from all over the world because of his specialty.

Summary: The committee first took up SB 1066, which would allow the Attorney General or a county attorney to sue researchers for knowingly or recklessly publishing fraudulent scientific research, and would let injured parties recover damages. The sponsor and a supporting witness argued the bill would create personal accountability for deliberate research fraud and cited examples of retracted or manipulated studies; opponents warned that peer review and existing scientific processes already address bad research and that the bill could chill research and speech. The committee later passed SB 1066 on a 4-3 vote. The committee then heard SB 1015, which would impose strict personal liability on providers who perform gender transition procedures on minors for later detransition costs and related injuries. Supporters, including the sponsor, a doctor, a detransitioner, and a parent, said the bill would protect children, create accountability, and help families seek redress for irreversible harm. Opponents from the ACLU and others argued the measure discriminates against transgender patients, would likely chill care by making providers uninsurable, and could function as a backdoor ban; the committee nevertheless advanced the bill on a 4-3 vote. SB 1049, as amended, limited spousal maintenance to four years and adjusted eligibility and guideline factors. The sponsor and a family law attorney said the bill would curb overly long awards and better account for assets and income, while the Judicial Council explained the existing guideline work and noted the new calculator was intended to add uniformity; one senator objected that the cap was arbitrary and ignored case-specific context. The committee adopted the amendment and passed the bill 4-2. The committee also unanimously passed SB 1189, allowing campaign funds to be used for candidate and family security, and SB 1133, eliminating a duplicate financial disclosure filing for candidates who already filed an annual statement. Finally, the committee heard SB 1081, which would bar a DCS attorney from appearing before a judge after appearing before that judge in any of the attorney’s previous five DCS cases, and advanced it 4-3 after debate over judicial familiarity and rural-court impacts. The committee also heard SCR 1001, a proposed constitutional referral to end early voting the Friday before the election, require proof of citizenship and government ID, and restrict mail ballots to voters who affirmatively request them; supporters framed it as an election-integrity measure, while ADOT testified neutrally but warned that free IDs could cost tens of millions in lost revenue and affect road funding. The transcript ends during testimony on SCR 1001, before any vote on that measure.

Transcript Highlights:

• I prefer you asking questions and then I can try to answer any questions that you have to the best of
• You know, they prefer Instagram, TikTok, whatever, etc.
• I just think we have to get away from who's looking out for the patient more.
• Yes, patient safety is emotional. And I will just say thank you for your information.
• Particular modality, and then if you are, how are you mapping patients, removing patients over to it

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• The patient in that scenario, I mean, you have two patients, right?
• The patient in that scenario, I mean, you have two patients, right?
• “And this new phrase will be the presidential preference primary.” “Preference primer.
• “Is it reinstates the presidential preference primary.
• So this will reinstate the presidential preference primary.

Summary: The House opened with prayer, the Pledge of Allegiance, and approval of the House Journal by a 104-0 vote. Members then spent a large portion of the session offering personal remarks and introducing guests, including the family of Lance Corporal Jared Schmitz, school groups, a Boy Scout troop, a Highway Patrol commander, and community figures such as Corey Johnson and boxer Devin Alexander. There was also a moment of silence for a member’s mentor and a personal privilege statement recognizing Autism Month and the work of teachers and therapists serving autistic children. The main floor debate centered on House Committee Substitute for House Bill 2481, which would tighten Missouri rules for SNAP and related public benefits by requiring proof of citizenship or lawful presence, using the federal SAVE system throughout eligibility checks, and directing the Department of Social Services to seek a waiver to steer SNAP purchases toward healthier foods. Supporters framed the bill as a matter of accountability, taxpayer stewardship, fraud prevention, and improved nutrition, while opponents argued it was unnecessary because federal law already limits eligibility, could add administrative costs, and could harm children, families in food deserts, and pregnant women who rely on programs such as Show Me Healthy Babies. An amendment offered by the gentleman from Johnson to extend the bill to MoHealthNet was adopted, and after extended debate the House invoked the previous question 91-46, then adopted and perfected the bill as amended. The House also advanced House Committee Substitute for House Bill 1869, which creates a process and fund to repair damaged veterans’ headstones in public and private cemeteries, with support from members who emphasized honoring veterans and preserving gravesites; the bill was adopted and perfected without opposition. House Bill 2927 was also moved forward; it would require settlement demands tied to extra-contractual or bad-faith insurance claims to be written, held open for 90 days, and reference the relevant statute. Supporters said it gives insurers reasonable time to evaluate large claims, while opponents said it could delay compensation for injured Missourians; it too was adopted and perfected. The House then began consideration of additional bills, including House Bills 2387 and 2480, as the session continued.

Transcript Highlights:

• More than 40 communities responded as we evacuated more than 140 patients.
• The best hospitals in the world do not matter if patients can't reach them.
• EMS services are compelled to transport patients to either Brockton or Boston.
• While private sale will be preferable, eminent demand is a necessary measure.
• You're supposed to transfer these patients in who are supposed to go up. Nothing...

Bills: H3599 , H5047 , S2922

Committee: Joint Joint Committee on State Administration and Regulatory Oversight

Transcript Highlights:

• This restricts patient access to care.
• And I would prefer it to be up here.
• Safety first on their patients.
• Those cyber attacks cause delays in patient care, lab results, and prescriptions.
• There are multiple other mechanisms within facilities to protect patient safety.

Bills: SB1117 , SB1373 , SB672 , SB1986 , SB1098 , SB626 , SB1784 , SB2480 , SB2487 , SB437 , SB660

Committee: House Public Health

Transcript Highlights:

• When you are treating a patient in the ER and that patient is unresponsive or not alert and oriented
• in the ER and that treating a patient in the ER and that patient<02:36:52.640><c> is</c><02:36:53.359
• </c> additional protections to the patient additional protections to the patient despite<02:44:48.640
• if the person prefers that, but some<02:50:03.040><c> people</c><02:50:03.279><c> prefer</c><02:50:03.600
• So let's also not forget that a patient.

Committee: House Judiciary

Transcript Highlights:

• in addition to Medicaid patients, will all the patients be included in the state database built during
• insurance patients in addition to<00:49:50.960><c> Medicaid</c><00:49:51.600><c> patients,</c> to Medicaid
• patients, to Medicaid patients, will<00:49:53.040><c> all</c><00:49:53.240><c> the</c><00:49:53.360>
• <c> patients</c><00:49:53.800><c> be</c><00:49:53.920><c> included</c><00:49:54.480><c> in</c><00:49:
• 54.640><c> the</c> will all the patients be included in the will all the patients be included in the

Summary: The committee first approved the March 20 minutes and then adopted the remainder of the consent calendar, after removing two items for separate discussion. On item 26071, members questioned a $95,000 DoubleTree Manchester contract for a two-day conference. Department staff said the hotel was the only bidder, the conference typically draws more than 500 attendees, most of the cost is food offset by registration fees, and attendees pay their own lodging except for presenters. The committee then approved the item. On item 26068, members asked for clearer reporting on remaining federal funds in continuing items. DHHS said about $10.3 million remained as of February 28, 2026, and agreed to provide the original award amounts and a reconciliation later. The committee approved the item. The committee then took up a DHHS transfer item for the developmental disability system, where officials said projected costs had risen because of delayed pandemic-era billings, new individuals entering the system, and higher individual service budgets. They said the budget was built on older assumptions, that carryforward funds had fallen from about $94 million to $72 million, and that the transfer would not affect lapse because it shifts general funds while federal Medicaid funds are accepted in return. The item was adopted. The committee also approved a hiring request and then a late Corrections item tied to overtime and recruitment. Corrections officials said the department is about 50% staffed for corrections officers, typical overtime is an eight-hour shift, inmate populations are beginning to rise again, and the department is using academy blitzes, out-of-state recruiting, targeted advertising, and a $10,000 sign-on bonus paid after academy completion and one year of service. Senator Gray said the late item was intended to help reduce a larger request expected in June, and the committee adopted the item. Finally, members questioned DHHS item 26074 on the New Hampshire Care Connection system and its interoperability with provider and managed care systems. DHHS said the system already has SMART on FHIR integration, single sign-on, and deeper integration options, and that managed care organizations are working with the contractor on use cases and data exchange. Officials said the project has been multi-phase, including the 988 crisis-response migration, privacy/security work, a provider network of more than 100 organizations, and a searchable resource portal managed by Granite United Way. They said the closed-referral solution is funded largely with Medicaid federal funds and is planned to continue in the base budget, not the rural health grant. The discussion ended without further action noted in the excerpt.

Transcript Highlights:

• It harms the physicians, it harms the patients.
• These include Governor Michelle Lujan Grisham, both major patient groups in New Mexico, Patients Primero
• I wanted to address the patients specifically and the patient experience, because I know we heard a lot
• It was one of a trans patient.
• Patients are important. Doctors are important.

Committee: House House Health & Human Services

Transcript Highlights:

• who would prefer to have a woman?
• And then we had to wait several months for the first appointment as a new patient.
• It does not interfere with legitimate patient care.
• Providers can still collect data, interfere with legitimate patient care.
• Committee, it looks the patient, so I urge you to support this act. Thank you, Mr. DeRossi.

Committee: House Business

Transcript Highlights:

• Later than 10 a.m. on Monday, preferably sooner.
• Compacts create a way for professionals to serve patients across state lines while preserving standards
• This unfortunately does lead to delays in patient care or even more stress and strain on the current
• staff when they are short-staffed, often leading to them working overtime and compromising patient care
• It took months for her to get licensed in each new state, depriving patient access to her skills while

Bills: HB2088

Committee: House Postsecondary Education & Workforce

Transcript Highlights:

• Later than 10 a.m. on Monday, preferably sooner.
• Compacts create a way for professionals to serve patients across state lines while preserving standards
• This unfortunately does lead to delays in patient care or even more stress and strain on the current
• staff when they are short-staffed, often leading to them working overtime and compromising patient care
• It took months for her to get licensed in each new state, depriving patient access to her skills while

Summary: The Postsecondary Education and Workforce Committee met on January 13, with members and staff introducing themselves and the chair reviewing committee procedures for the session, including amendment deadlines and the plan to hold most executive sessions on Tuesdays. The committee had only one bill for public hearing, House Bill 2088, which would enact the Dietitian Licensure Compact. Staff explained that the compact would let licensed dietitians practice across state lines under a compact privilege, while member states retain licensing, investigative, and disciplinary authority. Representative Mari Leavitt, the bill sponsor, said the measure follows Washington’s prior work on interstate licensure compacts and is intended to improve access to care, especially in rural areas, and help military spouses quickly reenter the workforce when they move. Testimony was uniformly supportive. Witnesses from the Washington State Academy of Nutrition and Dietetics, military and veterans groups, the Council of State Governments, and individual dietitians described the compact as a way to reduce licensing delays, support telehealth, improve continuity of care, and ease burdens on military families. One witness also used the hearing to advocate more broadly for universal licensure recognition, though still in support of the compact. According to the committee, 107 people signed in in support and none opposed the bill. After public testimony closed, the committee made a brief announcement about an upcoming dinner with Washington Students Association student lobbyists, and members then broke into caucuses. No vote on HB 2088 occurred during this meeting, and the session adjourned after the hearing and announcements.

Transcript Highlights:

• The physician-patient relationship is built on trust.
• in the preferred network.
• And if you have a preference, you are sent to that shop of preference.
• We honor preference, period. It’s against the law. It’s a best practice.
• What’s the next step if they say I have no preference? Go ahead. Sure.

Summary: The committee heard several bills and took action on a number of them. SB 1234 by Senator Alvarado-Gil would require fentanyl to be included in drug tests ordered by juvenile courts for parents or guardians in dependency cases; there was no opposition, a committee member confirmed it would apply to caregivers rather than children, and the bill was supported for moving forward. SB 1257 by Senator Arreguín would require the Attorney General to publish an annual public report on immigration enforcement incidents at designated safe locations such as schools, hospitals, courthouses, and places of worship; supporters from immigrant advocacy and health groups testified about fear and chilling effects in communities, while questions focused on how data would be collected and concerns were raised about sanctuary policies. SB 1176 by Senator Choi would bar foreign adversary entities from buying California agricultural land; supporters cited national security concerns, but committee members pressed on enforcement, straw buyers, and who would be responsible for identifying prohibited purchasers, and the bill was held on a 2-4 vote after debate. The committee also heard SB 1146 by Senator Gonzalez, which would require clear disclosure when AI-generated or altered images, audio, or video are used in health-related advertisements depicting health care providers. The California Medical Association and California Dental Association supported the bill, describing deepfake health ads as deceptive and harmful; it passed the committee 7-0 to Appropriations. SB 988 by Senator Grayson would regulate auto glass insurance practices by restricting assignment of benefits, requiring claim numbers and itemized estimates, and addressing steering and billing practices; supporters said it would curb fraud and stabilize premiums, while independent glass businesses worried about steering and market concentration. After discussion of consumer choice and small-business impacts, the bill passed 7-0 to Appropriations. SB 1288, presented by Senator Grayson on behalf of Senator Laird, would require financial institutions to make a good-faith effort to notify beneficiaries of non-probate assets and would reduce barriers to claiming those assets, especially for nonprofits. Nonprofit witnesses described long delays and burdensome account-opening requirements, while SIFMA and bankers opposed the bill unless amended, citing conflicts with federal and industry obligations and concerns about retroactivity and verification. The bill passed 8-0 to call. The committee also heard SB 941 by Senator Padilla, which would cap commissary markups in private immigration detention facilities at 35% above vendor cost; the Attorney General’s office and immigrant advocates supported it as a response to exploitative pricing and poor conditions, and it passed 8-0 to call. Finally, SB 909 by Senator Smallwood-Cuevas would raise and index public works contractor fees and penalties and dedicate more penalty revenue to enforcement; labor supporters said stronger funding is needed to address wage theft and backlogs, while contractors opposed the fee and penalty structure as uncapped and costly. The bill was moved forward on a vote and remained on call after committee discussion.

Transcript Highlights:

• It is about protecting patients.
• I'm trying to balance that think we all have have preferences and for everybody having their preferences
• So when I see patients rights, if I'm a patient, I am the job work with people that have life term, you
• other patients to town.
• I asked the question whether or not if a patient Cayman, if you see if you refuse to treat a patient

Transcript Highlights:

• The patients on the... One-hour family sessions and two hours of individual treatment.
• The patients on the grounds have off-site activities to get them familiar with the community as they
• And so that's why our preference has been to migrate them into the Hastings Center because it is set
• And so that's why our preference has been to migrate them into the Hastings Center because it is set
• It significantly impacts patient behavior.

Committee: Unicameral Health and Human Services

Transcript Highlights:

• to now state that required documentation from a licensed medical provider attesting that a single patient
• could be civilly liable for doing that every single time they use the preferred pronouns.
• could be civilly liable for doing that every single time they use the preferred pronouns.
• Single time they use the preferred pronouns, is that right?
• Madam Chair, yes, it would be a separate violation for each instance that the preferred pronouns are

Summary: The caucus reviewed a long list of House bills with Senate amendments, with members generally indicating the sponsors intended to concur on most measures. Topics included public health and medical regulation (HB 2086 on face coverings/vaccinations, HB 2140 on gold and silver bullion investments, HB 2195 on nursing facility complaint timelines, HB 2189 on licensed health aides, HB 2932 on Access reimbursement and prior authorization, HB 2557 on medical records timing, and HB 2641 on PFAS firefighting foam), criminal justice and courts (HB 2673 creating an inmate mental health study committee, HB 2028 on community restitution for indigent homeless defendants, HB 2662 on expert testimony in parenting-time cases, HB 2440 on prisoner transition services, and HB 2594 on address confidentiality in family court), and education-related bills (HB 2830 on prenatal development instruction, HB 2249 on parents’ rights and social transitioning, HB 2481 on school district financial record compliance, HB 2482 on school construction job-order caps, HB 2895 on Native American language proficiency, HB 2423 on automatic advanced math enrollment, HB 2621 on special education and certificates of educational convenience, HB 2592 on AI rules, HB 2379 on school board training, and HB 2380 on out-of-state travel and public meeting materials). Other bills addressed transportation, development, housing, and local government issues, including HB 2909 on distracted driving, HB 2369 on photo enforcement citations, HB 2745 on legislative subpoenas, HB 2946 on development fees, HB 2999 on infrastructure finance districts, HB 2244 on eviction record sealing, HB 2342 on HOA shade structures, and HB 2752 on Commerce Authority trade offices. Several members raised concerns or asked questions on bills such as HB 2932, HB 2249, HB 2830, and HB 2028, but no formal votes were taken in the transcript; the meeting ended with adjournment after brief discussion of the final bills on Caucus Calendar 19, including HB 2248 on medical intervention requirements for businesses and schools.

Transcript Highlights:

• CONSUMERS DO PREFER NATURAL OPTIONS.
• RECOMMENDATION IS TO COMPLETE THE PROCESS AND ALLOW IN-STATE GROWERS TO CULTIVATE PREMIUM THC BOTANICALS PREFERRED
• A RECENT STUDY PUBLISHED FOUND THAT ONE IN FIVE PATIENTS SAY THEY WOULD NOT GO IN FOR RECOMMENDED FOLLOW-UP
• IT SIMPLY ADDRESSES THE PATIENT COST-SHARING REQUIREMENTS AS CURRENTLY DEFINED IN FLORIDA STATUTES.
• IT ENSURES A PATIENT WHO MEETS THOSE TESTS OR DIAGNOSTIC MAMMOGRAMS TO RULE OUT OR CONFIRM THE NEED FOR

Transcript Highlights:

• </c> 2024 consumer awareness and preference 2024 consumer awareness and preference report<00:16:04.440
• I'm not trying to suggest that if anyone here would prefer a conventional burial, that's wrong or bad
• Blood cancer patients get diagnoses that are not easy to predict.
• What we will see if you put this policy into place is blood cancer patients.
• </c><01:08:07.440><c> our</c> you and so our our we prefer our you and so our our we prefer our language

Committee: Senate Commerce and Consumer Protection

Transcript Highlights:

• Yes, I am seeing patients.
• We even run into patients where, I don't want to say patients, but people, veterans who aren't even like
• We have our cancer patients. We have cancer patients who can eat without nausea.
• So what do consumers or patients do?
• Some of the patients that I treat for chronic pain are patients that have my headaches, fibromyalgia,

Bills: SB3 , SB810 , SB965 , SB1073 , SB1119 , SB1505 , SB 3

Committee: Senate State Affairs

Transcript Highlights:

• But there's only two testifiers besides Senator Kaufman, so please be patient.
• Third, it defines a qualifying discharge for a veteran's public employment preference and a veteran's
• capacity or a For a veteran's public employment preference, as service in a specified capacity or a
• And this is the same definition that's currently used for the permissive private employment preference
• And the criteria is very specific and that it would potentially give preference to goods, manufactured

Bills: SB5420

Committee: House Technology, Economic Development, & Veterans

Transcript Highlights:

• </c> patient days or on volume base? patient days or on volume base?
• , cancer patients, we didn't patients, cancer patients, we didn't courage<02:53:38.760><c> consideration
• </c> whichever you would prefer. whichever you would prefer.
• So, this means that patients can still be required to try and fail insurer preferred drugs before getting
• </c> metastatic cancer patients. metastatic cancer patients.

Committee: Joint Labor, Health & Social Services