Transcript Highlights:

• gender-affirming care program.
• The CARES project will support a successful go-live of CWS CARES by providing implementation management
• care contracts, the administrator certification program, and the registries for home care aides and
• care contracts, the administrator certification program, and the registries for home care aides and
• in the future and will lead to more people needing emergency care and those higher levels of care in

Summary: The committee heard opening budget remarks from the Department of Finance and the Legislative Analyst’s Office on the May Revision for Health and Human Services. Finance said the proposal significantly reduces projected out-year operating deficits through a mix of revenue increases and program cost reductions, while the LAO warned that even with booming revenues the state still faces a structural deficit and should prioritize reserves and avoid new ongoing commitments. The chair and members echoed concern about cuts to vulnerable populations, but also noted the need to maintain the overall level of budget solutions and add to reserves. The hearing then moved through a series of CalHHS and HCAI proposals, mostly held open after presentation. CalHHS requested additional legal support to respond to federal H.R. 1-related issues and a net-zero transfer of positions for a shared eligibility/data-sharing platform. Other items included ongoing funding for the 988 Behavioral Health Crisis Service Fund and a request for EMSA to fund maintenance of its enterprise data management system. HCAI presented proposals for hospital fair pricing implementation, the data exchange framework, the all-payer claims database, CalRx insulin development, the diaper access initiative, distressed hospital grants, opioid settlement fund reversion, and the Rural Health Transformation Program. Members questioned funding sources, special fund use, contracting exemptions, timelines, and whether some proposals should be more targeted or supported by alternative funding. A major discussion centered on HCAI’s diaper access initiative and the use of a Public Contract Code exemption to continue contracting for free diapers distributed through hospitals. The chair and some members criticized the optics of the selected vendor and questioned the lack of an income threshold, while HCAI said the program was designed to be universal and administratively simple, with future phase-two direct-to-consumer purchasing to be handled by a different vendor. Another extended exchange focused on distressed hospital funding, where HCAI said the May Revision would provide up to $50 million for hospitals at immediate risk of closure, but members argued the repeated annual need shows a structural problem and asked for broader reforms to hospital payment and care transitions. The final major topic was the Behavioral Health Services Oversight and Accountability Commission’s budget. The Commission opposed the May Revision’s reduction of the Innovation Partnership Fund from $20 million to $10 million and a $6.7 million cut to community advocacy contracts, arguing both are core Proposition 1 tools for statewide innovation and community engagement. Finance responded that the proposal is within Proposition 1’s allowable maximums and that prior unspent appropriations could be redirected if the Legislature wanted to restore the full amount. No votes were taken; items were generally held open for later action.

Transcript Highlights:

• And beyond direct services, we collaborate across agencies to strengthen systems of care, such as our
• And with the Department of Early Education and Care, we provide clinical consultation for child care
• These rates now support minimum salaries of $20 per hour for direct care professionals.
• These rates now support minimum salaries of $20 per hour for direct care professionals, and more competitive
• care staff.

Keywords: 995, all

Summary: The hearing was an informational and oversight session of the Joint Committee on Children, Families, and Persons with Disabilities, with chairs and members hearing agency updates from several commissioners. The Department of Public Health’s Bureau of Family Health and Nutrition described its maternal and child health work, including home visiting, early intervention, WIC, newborn hearing screening, and cross-agency efforts on prenatal substance exposure, respite care, children’s vision, and maternal health initiatives. DPH emphasized that federal grant cuts, layoffs, and the loss of data systems such as PRAMS would weaken services and planning, and members asked about Title V funding and the impact of federal uncertainty. The Massachusetts Commission on the Deaf and Hard of Hearing highlighted communication access services, interpreter and CART referrals, emergency after-hours support, family navigation, and independent living services. Commissioners and members discussed the shortage of ASL interpreters and the need to expand training pipelines, including partnerships with colleges and possible ASL programming for younger students. The Department of Developmental Services reported serving nearly 50,000 people and focused on youth and adult services, transition-age supports, autism services, self-direction, respite, and new high-acuity residential models. Members asked about respite availability, self-direction outcomes, and workforce shortages; DDS said it was expanding clinical capacity and provider rates while monitoring possible federal Medicaid, SNAP, and immigration-related impacts. The Commission for the Blind described services for about 28,000 legally blind residents, most of whom are older adults, including social rehabilitation, orientation and mobility training, children’s services, assistive technology, vocational rehabilitation, and Turning 22 supports. The commissioner discussed a UMass-based effort to build the workforce pipeline for blindness services and said the agency was watching federal restructuring but had not yet seen direct cuts. MassAbility’s leadership then warned about major federal changes affecting Social Security disability determinations, including staff restructuring, office closures, and a new overpayment repayment policy, and said the agency was preparing for possible increases in claims and uncertainty around reallotment dollars that help fund services. The Disabled Persons Protection Commission closed the hearing with an update on its abuse investigations and protective services for adults with disabilities. DPPC reported rising hotline calls and investigations, a growing caseload, its sexual assault response team, the abuser registry, and a new interagency protective services integration system funded by ARPA dollars through 2027. The agency also flagged new federal rules that could affect funding eligibility and said it may need statutory changes to comply. Members asked about funding, reporting pathways, and how complaints reach DPPC, and the commissioner said the agency uses both mandated reporting and proactive outreach to identify and respond to abuse.

Transcript Highlights:

• Continuing care retirement communities, CCRCs, are entities that provide care and housing to residents
• Care services may include nursing care, medical care, assistance with activities of daily living, and
• who offer life care contracts.
• that promises made to continuing care residents about the future health care that they paid for with
• Again, this year we'll be careful.

Summary: The Senate Health and Long-Term Care Committee held a Friday morning hearing with several House bills and then took executive action on three measures. In executive session, the committee voted do pass on Engrossed Substitute House Bill 2242, Substitute House Bill 2152, and Engrossed Substitute House Bill 2168, sending the first two to Rules and the overdose-mapping bill to Ways and Means. The committee also waived the five-day notice rule for several bills on the agenda. Public hearings focused on hospital inspections, continuing care retirement communities, radiologic technologist supervision, music therapy licensure, nursing regulation, ambulance billing after motor vehicle accidents, and EMT recertification. Representative Macri presented HB 2577 to require hospital inspections at least every 18 months, allow limited pauses during emergencies, and clarify when CMS or accrediting-body surveys may substitute for state inspections; DOH supported the bill, citing JLARC recommendations, while many people signed in opposed. Macri also presented Second Substitute HB 2384, which would require actuarial analysis review for certain CCRCs; OIC supported the transparency goal, while CCRC representatives opposed the added cost, though residents and association witnesses argued the oversight would protect seniors and their life savings. Representative Engel’s HB 2113 drew strong support from radiology, hospital, and provider groups for allowing virtual direct supervision for IV contrast procedures and aligning state law with CMS practice. Representative Ryu’s HB 1187 would bar ambulance services from sending motor-vehicle-accident medical debt to collections for 120 days; she described a personal experience with an ambulance collection issue, and the hearing was closed after no testifiers appeared. Representative Reed’s HB 2363 would let music therapy applicants practice under supervision for up to six months while exam results are processed; music therapy witnesses said it would prevent workforce gaps. Representative Simmons’ HB 2339 would update nursing title and transcript requirements and allow the board to issue interim permits directly, with the Board of Nursing and ARNP groups calling it a technical cleanup. HB 2540 would extend EMT recertification intervals to six years for long-tenured EMTs, and firefighters supported it as an administrative simplification without changing training requirements.

Transcript Highlights:

• On the use of public dollars for biased care, HB 2229 directs general fund dollars to anti-abortion centers
• And I would love to direct the $3 million to our hospitals in rural Arizona to take care... ...the $3
• We provide the direct care workers that are non-medical, that help these individuals with the activities
• She received high-quality direct care workforce support, providing these essential activities of daily
• Self-insured employers in Arizona can currently direct care; private self-insured employers.

Summary: The committee first took up a discussion-only strike-everything amendment to HB 2211, which would make it unprofessional conduct for certain health care providers to submit offers in independent dispute resolution above 300% of Medicare or the qualified payment amount. The chair said he was not ready to move the bill because more stakeholder meetings were needed. Testimony split between insurers, who said a small number of providers were abusing the No Surprises Act and driving up costs, and provider representatives, who argued the proposal would improperly cap rates, relied on opaque insurer-set QPAs, and could threaten licensure in a billing dispute. No vote was taken on HB 2211. The committee then considered HB 4028 on accessory dwelling units. The bill would remove the 1,000-square-foot cap, change setback rules, bar municipalities from requiring an administrative use permit and certain elevation criteria, and extend the deadline for cities to adopt ADU regulations. The sponsor argued it would give homeowners more flexibility and help address housing affordability, while cities, neighborhood groups, and residents warned it would allow oversized ADUs, reduce local control, create density and safety concerns, and invite investor-driven development. After extensive debate, the committee voted 8-9 with one present, and HB 4028 failed. Next, the committee heard HB 2620, as amended, which appropriates $300,000 annually for five years from the General Fund to the Department of Veterans’ Services for grants to emergency shelters. An amendment removed age and non-congregate-setting conditions for eligibility. The sponsor and a shelter provider said the funding would help shelters better serve homeless veterans and connect them to services. The committee adopted the amendment and then passed HB 2620 on a 17-0 vote with one member not voting. The committee then considered HB 2960, as amended, which creates a veterans specialty court grant program and a dedicated fund to support local veterans treatment courts. An amendment shifted administration of the fund to the Office of the Courts and allowed support for expansion of existing programs. The sponsor, a Lake Havasu judge, and a veteran graduate testified that veterans courts reduce recidivism and save lives by linking veterans to treatment and support. The bill was still being taken up when the transcript ended, with testimony continuing from supporters including a veterans shelter founder.

Transcript Highlights:

• Okay, we'll call this meeting to order: House Health Care and Wellness. This is January 13th.
• And may increase costs of charity care.
• patients such as neonatal intensive care.
• This protects access to care in rural areas without increasing costs.
• Physicians to provide direct supervision of virtual, direct, real-time interactive audio and video technology

Summary: The House Health Care and Wellness Committee held public hearings on several bills. HB 2152 would allow terminally ill qualifying patients to use medical cannabis in hospitals, nursing homes, and hospice facilities under facility policies that prohibit smoking/vaping, require patient self-administration and secure storage, and allow facilities to suspend compliance if federal enforcement arises. The prime sponsor and supporters, including family members, cannabis advocates, nurses, and hospital-related groups, described the bill as a compassionate end-of-life measure based on California’s Ryan’s Law; the Washington State Hospital Association asked for clarifying amendments to limit the bill to inpatient beds and to bar staff from retrieving cannabis as well as administering it. HB 2122 would require hospitals, starting in 2027 and during flu season, to offer influenza vaccines to inpatients age 65 and older and to inpatients with chronic health conditions when not contraindicated. The sponsor and supporters from diabetes, infectious disease, AARP, and public health emphasized rising flu deaths, the benefits for high-risk patients, and the chance to reduce severe illness and costs. The Washington State Hospital Association supported the goal but said the bill would create an unfunded mandate and requested amendments related to vaccine availability, emergency declarations, and operational flexibility. One witness from Informed Choice Washington opposed the bill but suggested adding vaccine information statements to strengthen informed consent. HB 2110 would change staffing rules for inter-facility specialty care ambulance transports so a registered nurse without EMT certification could satisfy the personnel requirement when no paramedic or EMT-certified nurse is available, provided an EMT-certified EMS provider is in the ambulance and the nurse has appropriate competencies. Rural hospitals and ambulance providers said the current rule delays transfers and can force long waits or air transport, while the Washington State Nurses Association supported the concept but raised concerns about standardized training, medical oversight, and staffing impacts on hospitals. HB 2113 would update radiologic technologist supervision rules for IV contrast and other procedures, allowing virtual direct supervision for contrast procedures and supervision by physicians, APRNs, or PAs in some cases; supporters said it aligns with current practice and improves rural access, while radiology groups asked for a distance/proximity requirement for virtual physician supervision. HB 2168 would require the Department of Health to rapidly share overdose data from the state EMS information system to ODMAP within 24 hours, with privacy protections and limits on law-enforcement use. Supporters from Yakima County, public health, and the poison center said near-real-time overdose mapping would improve spike alerts, prevention, and response, and could save lives; the Washington Poison Center asked that its data be included and that the bill clarify language around opioid versus other overdoses. No votes or final committee actions were taken in the hearing; the meeting ended after public testimony on HB 2168.

Transcript Highlights:

• </c> per bianium increase for the child care per bianium increase for the child care grant<00:05:04.720
• </c><00:28:17.120><c> for</c> Um and then direct appropriations for Um and then direct appropriations
• care disparities.
• care disparities.
• care disparities.

Keywords: 1187, senate, all

Transcript Highlights:

• Tier 2, this is the costs associated the direct cost associated with serving children in care.
• So we ended up with 10 groups care.
• Even that was one of the reasons because I think direct care to the child is very important, even with
• care of the child.
• the not non direct.

Keywords: 999, senate, all

Transcript Highlights:

• patient care, direct primary care, in small scope.
• In direct primary care in small scope.
• And one of those programs is the FQ Primary Care Access Pilot, which is an FQHC direct primary care program
• And one of those programs is the FQ Primary Care Access Pilot, which is an FQHC direct primary care program
• And the CNA role of direct care and skilled care in hospitals.

Keywords: 1184, house, all

Transcript Highlights:

• Our home care members provide shared services to self-directed clients in both the PCA choice program
• We also provide home care services in the consumer direct community support program.
• </c><00:05:00.240><c> Our</c><00:05:00.720><c> home</c><00:05:01.040><c> care</c> self-directed home
• Our home care self-directed home care.
• /c><00:05:12.960><c> consumer</c><00:05:13.520><c> direct</c> care services in the consumer direct care

Keywords: 1183, house

Transcript Highlights:

• Our team cares deeply about the early development that kids get from high-quality child care programs
• who provide direct care.
• agency workers who provide direct care.
• agency workers who provide direct care.
• It ensures that Medicaid home care funds are used exactly as intended to compensate direct care workers

Bills: SB5109, SB5835, SB6065

Keywords: mortgage lending, fraud, prosecution, financial regulations, consumer protection, retirement, lump sum payment, benefits, pension, financial security, SB 6065, school district transportation, transportation vehicle fund, pupil transportation, school buses, electric school buses, zero-emission buses, bus fleet electrification, charging stations, vehicle replacement

Transcript Highlights:

• </c> hospital care that's so necessary. hospital care that's so necessary.
• </c> those providers aren't getting direct those providers aren't getting direct direct<00:13:17.680>
• . care. care.
• </c> reimbured, the care, their care to be reimbured, the care, their care to be reimbursed<00:15:05.680
• </c> office or outpatient care settings. office or outpatient care settings.

Keywords: 00:00:00 - Call to Order/Roll Call 00:01:25 - Discussion of 26RS HB 689 00:15:15 - Roll Call Vote on 26RS HB 689 00:17:02 - Discussion of 26RS HB 407 00:45:40 - Roll Call Vote on 26RS HB 407 00:49:25 - Discussion of 26RS HB 713 00:55:50 - Roll Call Vote on 26RS HB 713 00:56:54 - Discussion of 26RS HB 676 01:06:42 - Roll Call Vote on 26RS HB 676 01:08:43 - Adjournment, 958, all

Transcript Highlights:

• There's a lot of resources in the health care space, and I think that having access to health care helps
• We also recently issued a birthing care pathways report that was informed by direct, sustained engagement
• We also recently issued a birthing care pathways report that was informed by direct sustain engagement
• Pear Team is a community care hub that works with CBOs and the medical managed care, excuse me, to deliver
• Pereteam is a community care hub who works with CBOs and the medical managed care, excuse me, to deliver

Summary: The committee first handled several routine items, approving three gubernatorial appointees not required to appear: Hampus Eitsiter to the Boating and Waterways Commission, Peter Stern to the California Horse Racing Board, and Dean White to the State Mining and Geology Board. It also approved referral of bills to committees and floor acknowledgements, all by 5-0 votes. The committee then heard Tyler Sadwith’s appointment as Chief Deputy Director of Healthcare Programs at the Department of Health Care Services. Sadwith said his priorities would be protecting Medi-Cal access amid federal changes and continuing CalAIM and behavioral health reforms. Senators questioned him extensively about rural and financially distressed hospitals, Medi-Cal reimbursement, eligibility redeterminations, work requirements, fraud controls, dental access, labor and delivery closures, and CalAIM’s evaluation. He said DHCS is working on expedited payments, hospital monitoring, county technical assistance, targeted audits, and community supports such as medically tailored meals. Public commenters from county, hospital, and care organizations supported his confirmation, and the committee voted 5-0 to send the appointment to the full Senate. The committee also heard from Dr. Chris Thayer, nominated to lead the Office of Environmental Health Hazard Assessment. Thayer described OEHHA’s role as providing transparent, scientifically rigorous health assessments and risk communication to inform other agencies and policymakers. Senators focused on the agency’s use of models versus real-world data, CalEnviroScreen, Prop 65, PFAS, wildfire health impacts, and how OEHHA communicates risk to the public. Thayer said the office relies on a mix of data sources where direct evidence is limited, is updating CalEnviroScreen, and is working to reduce Prop 65 over-warning through guidance and outreach. The discussion did not reach a final vote on his appointment in the portion provided.

Transcript Highlights:

• Unrestricted direct access allows care to be guided by patient need rather than fixed timelines, improving
• system, including direct access to physical therapists as part of primary care teams and the use of
• system to get direct access.
• system to get direct access.
• of care.

Summary: The committee heard a long agenda of bills, with members repeatedly noting the lack of quorum while testimony continued. AB 1693 by Assemblymember Zbur would streamline local permitting for retail tenant improvements by allowing qualified professional certifiers to review plans and requiring local action within set deadlines; the California Retailers Association supported the bill, citing lengthy permit delays, and there was no opposition. AB 2010 by Assemblymember Soria would expand access to high-volume spay and neuter services, including mobile clinics, to address pet overpopulation; supporters said it would improve access in rural and underserved areas, while opponents and the Veterinary Medical Board raised concerns about safety standards and asked for amendments. AB 2195 by Assemblymember Rodriguez would stop automatic occupational license suspensions for low-income parents behind on child support; supporters argued the policy is counterproductive and hurts earning capacity, while the California Child Support Association and others said license suspension is an effective enforcement tool that brings parents to the table. The committee also heard AB 2311 by Assemblymember Chiu, which would let public health care district hospitals directly employ physicians; supporters said it would improve recruitment and access to care, while medical groups warned about physician autonomy and institutional influence. AB 1796 by Assemblymember Jackson would create a licensure pathway for professional interior designers and add an interior designer to the California Architects Board; supporters framed it as a public safety and professional recognition measure, while opponents said it would create confusion, unnecessary regulation, and no demonstrated public harm. AB 1739 by Assemblymember Ward would make it a crime for clergy providing therapeutic services to engage in sexual contact with a counselee, closing a gap in existing law; it drew strong support from survivor advocates and no opposition. Finally, AB 2497 by Assemblymember Johnson began testimony on modernizing the physical therapy practice act, with the author noting committee amendments that removed imaging and other provisions, but the transcript cuts off before testimony or action on that bill was completed.

Transcript Highlights:

• </c> facilities in direct care and treatment. facilities in direct care and treatment.
• care side of direct running the health care side of direct care<02:02:22.400><c> and</c><02:02:22.639
• c> which</c> work of direct care and treatment which work of direct care and treatment which is<02:03
• </c><02:04:07.920><c> to</c> direct care and treatment refers to direct care and treatment refers to
• direct care and treatment, the direct direct care and treatment, the Office<02:09:31.840><c> of</c><

Keywords: 1187, senate, all

Transcript Highlights:

• It authorizes periods of time when child care centers may combine different ages of children in care,
• Periods of time when child care centers may combine different ages of children in care, and it requires
• It directs DCYF to issue an immediate summary suspension to a child care licensee when the zero-tolerance
• It directs DCYF to issue an immediate summary suspension to a child care licensee when the zero-tolerance
• It directs PESB to revise standards for teacher endorsements with literacy-related competencies and direct

Summary: The committee met for its final executive session of the session and took up several House bills related to early learning and K-12 education. House Bill 1795 on restraint and isolation in schools was briefed as prohibiting mechanical, chemical, and certain physical restraints, limiting isolation, and barring new isolation rooms; a proposed amendment to the striker was defeated, and the bill then advanced. House Bill 2219 on child care licensing and drug safety was briefed as requiring licensed child care settings to be free of high-potency synthetic opioids, drug paraphernalia, and manufacturing equipment, with amendments to add drug testing and broader controlled-substance prohibitions; both amendments failed, and the striker was adopted before the bill advanced. House Bill 1295 on literacy was described as setting curriculum and educator training requirements; the committee adopted a striking amendment that removed some district implementation and continuing-education requirements, then advanced the bill. The committee also heard briefings on House Bill 1634 on behavioral health supports in schools, House Bill 2557 on timelines for special education evaluation reports and eligibility meetings, and House Bill 2636 creating a public education review steering committee and JLARC review process, all of which had no amendments at the briefing stage. In formal action, the committee voted to adopt the striker on HB 1295 and then passed HB 1795, HB 2219, HB 1295, HB 1634, and HB 2557 out of committee with due pass recommendations. HB 2636 was also advanced, but to the Ways and Means Committee rather than the Rules Committee. Several members noted concerns about costs and unfunded mandates, particularly regarding literacy implementation and child care safety provisions, while supporters emphasized student safety, child care safety, and clarity in existing law. The meeting ended with thanks to staff and adjournment.

Transcript Highlights:

• And there is a pathway to care.
• </c> And there is a pathway to care. And there is a pathway to care.
• These organizations want direction. They want to know how to help.
• These organizations want direction. They want to know how to help.
• These organizations want direction. They want to know how to help.

Keywords: 1183, house

Transcript Highlights:

• to all their health care professionals.
• Oftentimes, they might be asked if they have any advance directives when they see a new health care professional
• voluntary non-opioid directive does not prohibit the conversation between a patient and a health care
• The voluntary non-opioid directive does not alter any other advance health care directive.
• The voluntary non-opioid directive does not alter any other advance health care directives, and it can

Summary: The Committee on Health Policy met with a quorum and considered three bills. Senate Bill 526 on nursing education programs, sponsored by Senator Harrell, would tighten oversight of nursing schools by requiring admission criteria, exit exams, remediation plans, annual reporting, on-site inspections, and stronger action against programs with poor NCLEX results or adverse actions in other jurisdictions. After testimony from the sponsor and several committee questions, a late-filed amendment restored a two-year probation period instead of one year, and the bill was reported favorably. Senate Bill 714, also by Senator Harrell, would create a voluntary non-opioid advance directive allowing patients to document a wish not to receive opioids, including when incapacitated, with the form developed by the Department of Health and potentially included in electronic medical records. The sponsor said it would not prevent treatment discussions and would provide liability protection for providers who lack actual knowledge of the directive in emergencies. The bill drew no opposition in the meeting and was reported favorably. Senate Bill 170, sponsored by Senator Burton, would add nursing home quality and transparency measures, including consumer satisfaction surveys, patient safety culture surveys, electronic health record requirements, reporting to the Florida Health Information Exchange, a $10,000 fine for failure to submit required financial data, and reporting on Medicaid quality payments. An amendment clarified the fine’s application to both facilities and home offices. Testimony from AARP and the Florida Health Care Association supported the bill, and it was reported favorably after discussion about implementation and costs.

Transcript Highlights:

• WE WERE DIRECTED TO PROVIDE A MONTHLY RECONCILIATION WHILE GRANTS AND DONATIONS AND MEDICAL CARE EXPENDITURES
• AND THEN SIMILARLY WITH THE MANAGED-CARE DON'T RATE INCREASES THIS DIRECTS US TO A RATE INCREASE FOR
• CARE, PERSONAL CARE IS THE LOWER LEVEL OF SERVICE THAN IT IS ON THE PRIVATE DUTY NURSING SIDE WHICH
• CONSUMER DIRECTED CARE, YOU EMPOWERED PARENTS, YOU EMPOWERED FAMILY MEMBERS TO MAKE CHOICES AND AGAIN
• CARE AS A GENERAL STATEMENT IT'S RISKY WITH MANAGED CARE IN THIS POPULATION BUT I THINK FLORIDA DID

Transcript Highlights:

• The amendment defines direct patient care, generally meaning the provision of health care services directly
• The amendment provides certain other additional criteria for qualifying as direct patient care.
• patient care.
• patient care.
• from Smile Direct Club.

Summary: The Health Care and Wellness Committee heard executive action on seven bills, with discussion focused on prior authorization, the 340B drug pricing program, biosimilars, HIV drug coverage, exchange certification criteria, and hearing/speech board authority. Members also considered several amendments, including a date change to prior authorization reporting in SB 5395, a large striking amendment and multiple policy amendments on SB 5981, and market-criteria amendments on SB 6210. Testimony and debate centered on transparency, administrative costs, rural access, patient care spending, market stability, and the balance between state authority and federal law. SB 5395 on prior authorization received Amendment 247, which moved the carrier reporting deadline to the Office of Insurance Commissioner from January 1, 2027 to October 1, 2026, and was then reported out with a due pass recommendation. SB 5981 on 340B drug pricing adopted a striking amendment creating reporting and fee structures, but rejected amendments that would have removed filing fees, required 90% of revenues to go to direct patient care, limited additional contract pharmacies to rural or underserved areas, or delayed the bill’s effective date; the bill then passed out of committee 11-7. Supporters emphasized transparency and safety-net funding, while opponents raised concerns about federal preemption, litigation, costs, and administrative burden. SB 5594 on biosimilar substitution, SB 5877 on certified anesthesiology assistants and the physician health program, and SB 6183 on coverage of FDA-approved HIV antiviral drugs without utilization management all advanced with broad support and due pass recommendations. SB 6210 on health benefit exchange market factor criteria adopted a striking amendment but rejected amendments that would have limited updates to every two years, narrowly defined “meaningfully different,” or changed implementation timelines; it also passed 11-7. SB 6226 on the Board of Speech and Hearing adopted Amendment 313 to expand standards-of-care authority for hearing aid fitting and dispensing, then passed 17-1 after debate about patient safety, tele-audiology, and access to care.

Transcript Highlights:

• ><c> really</c><00:09:40.040><c> care</c> care uncompensated care is really care care uncompensated care
• care and uncompensated care of charity care and uncompensated care or<00:15:16.200><c> bad</c><00:15
• </c> care system. care system.
• </c> care for them. care for them.
• </c> &gt;&gt; Charity care. Charity care. Oh, okay. &gt;&gt; Charity care. Charity care. Oh, okay.

Bills: HF4343

Keywords: sales tax, use tax, advertising tax, taxable services, digital advertising, online marketing, marketing services, search engine marketing, lead generation, internet advertising, ad agency, media buying, campaign planning, Minnesota tax law, service tax, broadening tax base, web advertising, promotional services, 1183, house