Transcript Highlights:

• To perform this many procedures on a patient at once, let alone outside of a hospital, is completely
• The reforms that are in place have helped make this sort of patient abuse a thing of the past, and we
• This sort of patient abuse a thing of the past, and we do not want to go back.
• Passing this bill would harm both patients and Florida consumers. Thank you. Thank you. Right.
• And I got these words stuck in my head, the young lady just before me said, harm patients.

Summary: The committee met with a quorum and considered a large agenda of bills, mostly in the criminal justice, courts, civil procedure, and family/consumer protection areas. Early measures included CS/HB 1161 on removing altered sexual depictions posted without consent, HB 403 modernizing LLC law to allow protected series LLCs, CS/HB 97 on service of process in protection proceedings for vulnerable adults, and HB 813 as the state courts package addressing duty judges, arbitrator compensation, and notarization by judges. All of those bills were reported favorably, with HB 403 and HB 813 amended. The committee also heard and advanced CS/HB 947 on evidence of medical damages in personal injury and wrongful death cases, which drew substantial opposition from insurers, business groups, and defense-oriented witnesses, while the sponsor argued it would let juries hear all relevant evidence; it passed 19-3. Members also approved CS/CS/HB 615 allowing electronic delivery of landlord-tenant notices by email, after an amendment requiring opt-in language and written notice to update an email address; tenant advocates still raised concerns about eviction-related notices and receipt verification. HB 663 increased penalties for using tracking devices or apps to commit dangerous crimes and passed unanimously. CS/HB 385 made technical changes to the Florida Trust Code and passed unanimously after a conforming amendment. CS/HB 255, known as Dexter’s Law, increased penalties for aggravated animal cruelty and was supported by law enforcement and animal welfare groups; it passed unanimously. Later in the meeting, the committee approved HB 513 on electronic transmittal of court orders after the sponsor withdrew an amendment that would have changed the deadline from six hours to six business hours, following concerns that the delay could be too long for urgent orders. CS/HB 1099 gave law enforcement discretion in arrests involving individuals with significant medical conditions in facilities and passed unanimously. HB 653 added aggravating factors for capital felonies involving assassinations or attempted assassinations of heads of state; it drew opposition from the Florida Conference of Catholic Bishops and passed 20-2. CS/HB 59 expanded wrongful incarceration compensation by extending the filing deadline, removing the clean-hands bar, and allowing exonerees to choose between civil suit and the state claims process; it passed unanimously. PCS/HB 777 increased penalties for in-person luring or enticing of children and barred certain age-based defenses, passing unanimously. Finally, CS/HB 437 increased penalties for tampering with electronic monitoring devices; two amendments softened the bill by clarifying juvenile treatment and giving judges limited discretion to avoid automatic revocation of pretrial release, and the bill passed 21-1 before the meeting adjourned.

Transcript Highlights:

• First, can a physician refuse to treat a patient or prospective patient?
• </c><00:17:48.760><c> and</c> patient okay or prospective patient and patient okay or prospective patient
• 39:49.079><c> to</c> patients to patients to receive<00:39:51.640><c> U</c><00:39:51.920><c> yeah</c>
• my patients directly.
• my patients directly.

Committee: House Health, Human Services & Elderly Affairs

Transcript Highlights:

• This bill amends the Education Law to allow the State Education Department to access patient or client
• to regulate the use of artificial intelligence in therapy and psychotherapy by requiring informed patient
• consent for certain uses and restricting AI from being used in direct patient care without proper safeguards
• This bill amends the Education Law to allow the State Education Department to access patient or client
• to regulate the use of artificial intelligence in therapy and psychotherapy by requiring informed patient

Committee: Senate Higher Education

Summary: The Senate Higher Education Committee met on May 5 and considered 12 bills, with most measures relating to higher education administration, student services, and professional licensing. The committee advanced a rural teacher loan repayment program for teachers serving underserved rural areas, a SUNY/CUNY mental health staffing requirement, a bill allowing SED access to patient or client records in professional misconduct cases, an AI-in-therapy regulation bill, cross-profession supervision for certain mental health professionals, an extension of limited permits for social workers, continuing education requirements for acupuncturists, and updated supervision rules for physical therapy assistants. One bill reorganizing SUNY police was held for further negotiations with SUNY, SUNY police, and stakeholders. Two Article 7, Section 2, subdivision E motions for committee consideration were taken up. Senator Rose’s bill to withhold financial aid from SUNY or CUNY institutions that permit organizations designated as terrorist organizations was defeated after several senators voted no or without recommendation. Senator Kanzanari Fitzpatrick’s bill requiring anti-Semitism awareness training, incident reporting, and compliance with state reporting rules for higher education institutions was approved and sent to the Codes Committee, with some senators voting without recommendation because they viewed the subject as already covered by existing law. The committee also reported Senator Rivera’s nurse practitioner conformity bill to the floor, and several other bills were reported either to the floor or to Finance depending on their fiscal impact. Most measures were approved without opposition, though some senators voted without recommendation on bills they said overlapped with existing statutes or prior legislation. The meeting adjourned at 10:52 a.m.

Transcript Highlights:

• Okay, so, but the money is following the patient, right?
• I mean, the prohibition is coming following the patients.
• So the patients are also that are being impacted in these rural areas, I'm assuming.
• So it follows—it's actually at the provider level, not at the patient level. Okay.
• of the patients that Planned Parenthood's clinics serve are Medi-Cal patients.

Committee: Senate Budget and Fiscal Review

Summary: The Senate Budget and Fiscal Review Committee heard AB 106, an early-action budget bill providing $90 million one-time General Fund to support reproductive health providers affected by the federal H.R. 1 prohibition on Medicaid funding. Department of Finance staff explained that the money would be administered as grants through the Department of Health Care Access and Information because affected providers can no longer bill Medi-Cal during the federal restriction, which lasts through July 4, 2026. Members also discussed why the amount increased from an earlier $60 million estimate, with Finance saying the figure was updated based on additional claims data and provider information. The committee debate focused heavily on the policy implications of the funding. Supporters argued the bill is an emergency response to a targeted federal attack on Planned Parenthood and related family planning services, emphasizing that the funding would backfill non-abortion services such as cancer screenings, contraception, STI testing, mammograms, and prenatal care. Opponents questioned the use of General Fund dollars, the grant structure versus loans for other distressed providers, the Public Records Act exemption, and the bill’s priority compared with rural hospitals, developmental services, public safety, and other budget needs. Finance clarified that the federal funds at issue do not pay for abortion services and that the grant program would be open to eligible providers meeting criteria set by the department. Public testimony was overwhelmingly in support from Planned Parenthood affiliates, Essential Access Health, Western Center on Law and Poverty, the California Medical Association, family physicians, OBGYN groups, and others, while some commenters used the opportunity to raise unrelated budget concerns such as Medi-Cal dental cuts, IHSS, and CalHome funding. After discussion, the committee approved AB 106 on a 12-4 vote and reported it out. The chair also noted that a later hearing would examine broader H.R. 1 impacts in more detail.

Transcript Highlights:

• But the money is following the patient, right?
• I mean, the prohibition is coming following the patients.
• So the patients are also being impacted in these rural areas, I'm assuming.
• So it follows—it's actually at the provider level, not at the patient level. Okay.
• patients that Planned Parenthood's clinics serve are Medi-Cal patients.

Summary: The Senate Budget and Fiscal Review Committee heard AB 106, an early-action budget bill providing $90 million one-time General Fund to support reproductive health providers affected by the federal H.R. 1 Medicaid funding prohibition. Department of Finance staff explained that the money would be administered as grants by the Department of Health Care Access and Information because affected providers can no longer bill Medi-Cal during the federal restriction, which runs through July 4, 2026. The Legislative Analyst’s Office had no additional comments. Members also discussed related budget context, including the broader estimated loss to California providers, the use of grant funding rather than loans, and provisions exempting some contract and records information from public disclosure. Committee debate focused on whether the funding was an appropriate priority amid other budget pressures. Supporters argued the bill is an emergency response to a targeted federal attack on Planned Parenthood and other family planning providers, emphasizing that the clinics provide broader primary care services such as cancer screenings, STI testing, contraception, and prenatal care, and that the funding is not for abortion services because federal Medicaid dollars cannot be used for abortion. Opponents questioned the size of the appropriation, the use of General Fund dollars, the transparency exemptions, and why similar aid was not being directed to rural hospitals, disability services, Proposition 36, or other budget needs. Public testimony was overwhelmingly in support from reproductive health, medical, and health equity organizations, with some unrelated comments urging funding for dental care, disability services, housing, and county health systems. After public comment, the committee voted on AB 106 and passed it on a 12-4 vote. The bill was reported out of committee.

Transcript Highlights:

• That's a big step and will be a big helper for these patients. So this is where we started.
• We'll be able to do it a little more organically as the patients and as capacity starts to fill.
• Remote patient monitoring, electronic caregivers, kiosks, and facilitated video visits.
• This includes adding a second window in the patient room, fitting up the northwest and southwest patient
• This includes adding a second window in the patient room, fitting up the northwest and southwest patient

Summary: The committee met with a quorum, approved the March 18 minutes, and then received a series of updates on major health-related projects and programs. CHI St. Alexius representatives reported progress on behavioral health buildouts in Bismarck, Williston, and Grand Forks, including demolition and construction milestones, staffing plans, and timelines. The Bismarck project remains on track for completion in June 2027 with about $346,500 spent to date. Williston reported construction underway, a $750,000 unbudgeted air handler replacement, active recruitment for psychiatrists and other staff, and a projected substantial completion in early 2027. Grand Forks reported about 30% completion, weather-tight status expected in August, and continued staffing ramp-up as the facility expands from its current 24-bed operation. The Department of Health and Human Services then reviewed a set of technical line-item transfers, emphasizing that they were administrative corrections with no net change in funding. The department also walked through the Salaries and Wages Block Grant and FTE counts, noting overall staffing remained within appropriated limits and that behavioral health staffing had increased. Members asked about vacancies, consultant use, and the mix of in-state versus out-of-state expertise for the Rural Health Transformation Program. HHS said it had posted 12 funding opportunities, received 422 applications, obligated $8.4 million so far, hired 26 people, and was preparing additional grant rounds and a CMS budget submission. The department said the program is structured around workforce, prevention/healthy living, care closer to home, and technology/data, with ongoing stakeholder engagement and community forums. The committee also heard on the certified community behavioral health clinic implementation plan, SNAP payment error rates, and the state laboratory project. HHS said CCBHC certification is being implemented in four regions—Williston, Minot/North Central, Fargo/Southeast, and Dickinson/Badlands—with care coordination expanding and baseline data still being collected. On SNAP, the department reported a 2025 payment error rate of 9.89%, acknowledged cost impacts under HR1, and said it is using training, system changes, and pre-authorization quality checks to reduce errors toward a 6% target over the next 6 to 12 months. Finally, Public Health reported the state laboratory reached substantial completion on June 12, with total costs at $69.95 million of the $70 million budget, though a service elevator issue will require a new lift to be added using contingency funds.

Transcript Highlights:

• And the patient asks or you're asking, "Cheaper for us?" "Well, not necessarily.
• And<00:37:29.320><c> the</c><00:37:29.400><c> patient</c><00:37:29.800><c> asks</c><00:37:30.120><c>
• It's a practice called step therapy, known as fail first, where insurance companies force patients to
• </c><00:41:40.400><c> care</c> Minnesota can ensure that patient care Minnesota can ensure that patient
• </c> ultimately improving both patient ultimately improving both patient outcomes<00:41:54.120><c> and

Bills: HF1606 , HF3733 , HF743 , HF2627 , HF4071

Committee: House Commerce Finance and Policy

Transcript Highlights:

• </c> the patient. the patient.
• </c> of premiums go directly toward patient of premiums go directly toward patient care.<00:53:30.800
• </c><00:53:57.520><c> if</c> and requires refunds to patients if and requires refunds to patients if
• Many rural dentist to patient ratios.
• </c> and ultimately hurts patients. and ultimately hurts patients.

Bills: SB170 , SB177 , SB207 , SB208 , SB215 , HB27 , SB219 , SB247 , SB232 , SB81 , SB170 , SB177 , SB207 , SB208 , SB215 , HB27 , SB219 , SB247 , SB232 , SB81

Committee: Senate Banking and Insurance

Keywords: health insurance, health savings account, high deductible plans, federal regulations, cost-sharing, insurance law, breast cancer, health coverage, deductible, copayment, insurance, captive insurance, captive insurer, captive insurers, insurance regulation, Alabama Department of Insurance, insurance commissioner, premium tax, capital requirements, surplus requirements

Transcript Highlights:

• I would just, can you reference the issue of clinicians discussing with patients the increased cost?
• Just wondering what we're recommending clinicians say, like tell a patient that it's going to cost us
• Just wondering what we're recommending clinicians say, like tell a patient that it's going to cost us
• We would talk about the potential for a worsening wound with a patient.
• So I think that's what we were focusing more on as opposed to, you know, communicating to a patient about

Summary: The Special Commission on the Public Health Effects of Xylazine held its fifth and final public meeting to review and approve the final draft of its report before submission to the House and Senate clerks. Chair Mindy Domb opened the meeting, noted Senator John Keenan’s absence due to National Guard deployment, approved the prior meeting minutes, and explained the process for incorporating final edits and late votes into appendices. Commissioners then voted to allow staff to make agreed-upon language changes after the meeting, and later voted on the final report itself. Staff walked commissioners through the report’s redlines and substantive updates. Changes included clarifying that xylazine is an active adulterant rather than simply a bulking agent, replacing “non-clinician” with “non-clinical staff,” removing or revising references to “hotspots” in favor of more accurate language about local trends, and refining language on wound care to refer to medical consequences and financial costs. The report also added or strengthened discussion of harm reduction measures such as drug checking, mobile health services, overdose prevention centers, oxygenation and airway support during overdose response, and the importance of naloxone remaining available while recognizing its limits for xylazine exposure. Commissioners also discussed data collection, legal protections for drug checking, and the role of the Attorney General in guidance and coordination on emerging drug threats. The commission then took a final vote, with the members present voting to approve the report. A letter from Senator Velis, who was also absent due to active duty orders, was read into the record expressing support for the report and its recommendations. In closing comments, commissioners and staff thanked one another for the collaborative work and described the report as a useful public health resource. Chair Domb adjourned the meeting at 11:11 a.m., noting that the final report would be submitted and posted online for public access.

Transcript Highlights:

• Yeah, I would just, can you reference the issue of clinicians discussing with patients the increased
• Just wondering what we're recommending clinicians say, like tell a patient that it's going to cost us
• Just wondering what we're recommending clinicians say, like tell a patient that it's going to cost us
• We would talk about the potential for a worsening wound with a patient.
• So I think that's what we were focusing more on as opposed to, you know, communicating to a patient about

Summary: The Special Commission on Xylazine held its final public meeting to review and approve the final draft of its report before submission to the House and Senate clerks. Chair Mindy Domb opened the meeting, noted Senator John Velis’s absence due to National Guard deployment, and the commission approved the minutes from the February 9 meeting. Staff then walked commissioners through the report’s redline changes, which were mostly technical or clarifying edits, along with several substantive updates on xylazine’s public health effects, state and federal actions, harm reduction, emergency response, wound care, and education and training. Commissioners discussed several language changes, including clarifying that xylazine is an active adulterant rather than a bulking agent, replacing “non-clinician” with “non-clinical staff,” and revising references to “hotspots” to better reflect the limits of available data. They also refined recommendations to emphasize oxygenation and ventilation in overdose response, continued naloxone use, referrals to harm reduction services, language access in wound care materials, and clearer discussion of medical consequences and financial costs related to delayed wound treatment. Staff also described the appendices, including a letter from Senator Velis supporting the report and noting he could not vote because of active duty service. The commission then voted to approve the final report, with members present voting in favor and Deputy Director Sarah Ruiz abstaining on the earlier minutes vote. After the report vote, commissioners offered brief remarks thanking staff and one another for the collaborative work and the quality of the final product. The meeting concluded with a motion to adjourn at 11:11 a.m., and staff said the final report would be submitted to the clerks and posted online.

Transcript Highlights:

• This bill will provide several benefits to our Missouri respiratory therapists as well as our patients
• This bill will provide several benefits to our Missouri respiratory therapists as well as our patients
• I care for the most fragile patients in the state. We care for the sickest patients in the state.
• And I think our patients deserve that. I believe it will increase our quality of care.
• I just want to focus on the patient aspect of it at this time.

Committee: House Professional Registration and Licensing

Transcript Highlights:

• Couple that with just what the West Virginia facilities make up, and then the patient impaired data that
• First, we'll begin with the major takeaways as a shift in patient characteristics.
• And a lot of that has to do... ...elder care to more of a younger type of patient, and a lot of that
• You're talking right up my alley here when you've mentioned the mentally ill and drug-addicted patients
• So traditionally, were some of these patients that were difficult to house because of their behavioral

Summary: The committee met with a quorum present and heard a presentation from Marty Wright, CEO of the West Virginia Healthcare Association, on the state’s long-term care system. He described the continuum from home care to assisted living to skilled nursing facilities, emphasizing that these settings increasingly serve short-term rehab-to-home patients as well as older adults needing round-the-clock care. He also outlined the number of facilities in West Virginia, the predominance of Medicaid as the payer for long-term nursing home care, the private-pay nature of assisted living, and the role of OFAC/CMS in regulation. A major focus of the presentation was workforce shortages and turnover, especially for CNAs, LPNs, and RNs, along with declining interest in nursing careers and the impact of regulatory burden and burnout. Wright said the system is also struggling to serve younger patients with substance use disorder, mental illness, or other behavioral needs, who are often not well suited for traditional nursing home placement but have limited alternatives. Senators raised concerns about where such patients are being housed, the long-term effects of opioid and behavioral health issues, and the gap between school-age special needs populations and adult care needs. Wright said Medicaid can cover long-term nursing home care for those who meet financial and medical eligibility requirements, but affordability and spend-down requirements remain major barriers. He also warned that Medicare Advantage can create confusion and shorter covered stays for rehab patients, and he urged early planning around long-term care insurance and estate planning. No votes were taken on the presentation, and the committee adjourned after questions and discussion.

Transcript Highlights:

• Planned Parenthood has 114 clinics in our state that serve over 1 million patients a year.
• Thank you. ...million patients a year. Without it, many Californians would not get care.
• And these closures have put millions of the most vulnerable patients' health care at risk.
• is that they would then be flooded with management of patients... ...and over-flooded with patients
• Medi-Cal patients.

Summary: The Senate opened with prayer, the Pledge of Allegiance, and several floor recognitions, including St. Mary’s High School football team for its first state championship and Black-owned businesses honored by the Legislative Black Caucus and Black Chamber of Commerce. The Rules Committee also reported Senate Resolution 77 to third reading. The chamber then confirmed Tyler Sadwith as Chief Deputy Director for Health Care Programs at the Department of Health Care Services and State Medicaid Director by a 33-0 vote. The main floor debate centered on SR 77, a resolution condemning racist and dehumanizing imagery posted by President Trump depicting former President Barack Obama and former First Lady Michelle Obama. Supporters from multiple caucuses, including the Black, Latino, Jewish, LGBTQ, and API caucuses, described the post as racist, harmful, and part of a broader pattern of dehumanization and urged a public apology. A few Republicans objected to the resolution’s language and process, saying it was overly partisan or not collaborative, but the resolution was adopted on a 28-0 vote. The Senate also took up SB 106, a budget bill to provide $90 million in state funding for family planning providers, especially Planned Parenthood, after federal cuts under H.R. 1. Supporters argued the bill would preserve essential reproductive and preventive health services, especially in rural and underserved communities, and backfill lost reimbursements. Opponents criticized the bill’s transparency, no-bid contracting structure, and priorities compared with other needs such as distressed hospitals and developmental disability services. After debate, the Senate concurred in the Assembly amendments to SB 106 by a 26-9 vote.

Transcript Highlights:

• Issues that we could clear up and make function better for patients and citizens in Missouri as far as
• And then that person, the patient, would get handed off to them.
• So we're going to make sure that we're doing the best level of care we can for the patients that come
• So I would think that's more, when it comes to patient care, when it comes to customer service, making
• sure that the right thing is done, making sure that the patient is the ground zero taking care of, that

Committee: House General Laws

Summary: The General Laws Committee met without a quorum and heard House Bill 2749, sponsored by Rep. Davidson. The bill would allow hospital systems, rather than only individual physicians, to sign and maintain collaborative practice agreements for physician assistants in hospital settings. The sponsor said the measure is intended to reduce administrative burden and paperwork without changing scope of practice, supervision requirements, or liability, and noted it has a $0 fiscal note. Committee members asked about how the bill would work in practice, including what happens when physicians leave a hospital system, whether the collaborating physician relationship would still be meaningful, and whether the bill could affect liability or accountability. Supporters, including a long-time PA with BJC and the Missouri Hospital Association, said large hospital systems already use credentialing and chart-review processes, and that centralizing the paperwork would help hospitals, physicians, and the Board of Healing Arts while freeing physician time for patient care. They emphasized that the bill would not change clinical oversight or reimbursement arrangements. Opposition came from the Missouri State Medical Association and the Missouri Association of Osteopathic Physicians and Surgeons. Their witness argued that collaborative practice agreements are personal physician agreements, not mere paperwork, and warned that shifting them to a hospital-level document could weaken physician accountability and potentially increase liability. The hearing concluded after testimony, with no vote taken.

Transcript Highlights:

• Could this mandate require a physician or PA, etc., to spend their very precious patient contact time
• to spend their very precious patient contact time screening a patient with no risk factors instead of
• just allowing the provider to determine if the patient needs screening?
• I do think many of these screeners are incorporated into charts as patients enter.
• Our goal with this bill is to provide hope for terminally ill patients who have exhausted all approved

Bills: SB1328 , SB1380 , SB1436 , SB1558 , SB1572 , SB1651 , SB1805 , SB1831 , SB1836 , SB2014 , SB2023 , SB2044 , SB2179 , SB933

Committee: Senate Health and Human Services

Summary: The Health and Human Services Committee met to consider a series of Senate bills, beginning with SB 2014, which would allow ivermectin to be sold over the counter with FDA approval. After questions about whether a prescription would still be required and how FDA guidance would affect the law, the bill passed 9-3. SB 1805, as amended, barred detention and youth facilities from using temporary agencies or contracting organizations for staffing; the author said the change was intended to address transparency and records issues in a related lawsuit. That bill passed 12-0. SB 2044, also amended, clarified chiropractic-related language regarding serum and multiple vitamins; members discussed whether the bill changed scope of practice, and it passed 10-2. The committee then approved SB 1836, which requires a board-approved mental health screener during routine annual primary care visits. The author said it was meant to normalize mental health screening and noted an updated fiscal impact estimate of $284,000 to $560,000; some members raised concerns about mandates and cost, but the bill passed 8-4. SB 1380 would require the Oklahoma Health Care Authority to verify Medicaid eligibility against death records and conduct monthly death-record checks for enrollees; after questions about current practice, costs, and recoupment from deceased enrollees, the author requested title be stricken, and the bill passed 10-2. SB 2179, dealing with not-guilty-by-reason-of-mental-illness cases, adds staff accompaniment for therapeutic visits, requires structured violence-risk assessments before discharge or conditional release, and adds drug screening when substance-use monitoring is ordered; Department of Mental Health staff testified about treatment planning and monitoring, and the bill passed 11-1. Later, the committee passed SB 1436, which requires families to be informed of their right to certification after fetal death or miscarriage, and SB 1558, which clarifies that older youth in OJA custody may be placed in Level E group homes. SB 933, the “Right to Try for Individualized Treatment Act,” passed 11-0 and would allow certain terminally ill patients to seek individualized investigational treatments after informed consent. SB 1651, an Oklahoma Medical Board cleanup bill covering several licensed professions, also passed 11-0. Finally, SB 1328 modernizes parental access to minor medical records with safeguards for abuse situations, and SB 1572 removes the DHS and OJA directors from the OCCY board; both passed 11-0. The committee adjourned after noting a possible interim meeting for a Tier 1 nomination.

Transcript Highlights:

• So, um, we just, uh, you know, want to try to limit some barriers that some of our patients have been
• Um, that would allow for patients to potentially seek help sooner because we know the longer you wait
• limit some barriers that some<00:09:06.800><c> of</c><00:09:06.880><c> our</c><00:09:07.040><c> patients
• have been seeing some of our patients have been seeing over<00:09:08.160><c> the</c><00:09:08.399><c
• </c><00:09:18.800><c> to</c> that would allow for patients to that would allow for patients to potentially

Committee: House Banking & Insurance

Transcript Highlights:

• </c> S. 245, an act relating to allowing telehealth appointments to be recorded with patient and provider
• teleaalth appointments to be recorded teleaalth appointments to be recorded with<00:14:03.920><c> patient
• </c><00:14:04.399><c> and</c><00:14:04.800><c> provider</c><00:14:05.360><c> consent</c> with patient
• and provider consent with patient and provider consent introduced<00:14:06.800><c> by</c><00:14:07.120
• </c> with patient and provider consent. with patient and provider consent.

Transcript Highlights:

• the program, to make certain that hospitals can continue to provide the care and services that our patients
• 00:20:32.960><c> services</c><00:20:33.280><c> that</c><00:20:33.520><c> our</c><00:20:33.760><c> patients
• </c> the care and services that our patients the care and services that our patients need<00:20:34.799
• </c><00:20:44.320><c> and</c><00:20:44.480><c> their</c> care for their patients and their care for their
• patients and their communities.<00:20:46.159><c> Followup,</c><00:20:46.559><c> Mr.

Summary: The committee first went into executive session on SB 83, which concerns an elderly, disabled, blind, and deaf property tax exemption reimbursement fund, lottery-related changes, and a voluntary statewide self-exclusion database. Representative Ulery moved to retain the bill, saying more work was needed to make the bill clear. The motion passed 17-0 with three members absent, and SB 83 was retained in committee. The committee then took up SB 249FN, a bill relative to the uncompensated care and Medicaid fund. Representative Ulery offered House Amendment 2025-2465H, which was described as incorporating a recent agreement between the state and hospital parties into state law and setting the stage for future action. Medicaid Director Henry Litman explained that the agreement keeps the Medicaid enhancement tax at 5.4%, uses directed payments rather than traditional DSH payments, and is intended to be budget-neutral for the state while increasing hospital payments through a higher federal match. He also said critical access hospitals would continue under the existing directed-payment approach, and that the agreement includes a mechanism to revisit the arrangement if federal law changes substantially. New Hampshire Hospital Association President Steve Hearn said the association supports the amendment and the bill as amended, calling the settlement fair and beneficial to hospitals and the Medicaid program. The amendment and the subsequent ought-to-pass-as-amended motion both passed 18-0. At the end of the meeting, the chair said the committee had now gone through all of its bills and had retained nine in total, with a future meeting planned in September or October to review retained bills. Members briefly discussed possible future committee of conference work and noted there would be no House session that Thursday. The meeting then adjourned.

Transcript Highlights:

• I know what ERISA is because of some cancer legislation I've passed on behalf of cancer patients.
• Patient steering, where we're making sure that a patient is going to a pharmacy that is owned by the
• Patient steering, where we're making sure that a patient is going to a pharmacy that is owned by the
• Patients exhaust assistance faster. It leads to sudden, significant out-of-pocket costs mid-year.
• It's got an administrative burden on doctors and delays patient access.

Committee: House Insurance

Transcript Highlights:

• Let me begin by acknowledging the patients and the families who shared their stories.
• We believe that if a physician who takes care of a patient orders such a test, patients should adhere
• Because the doctor would be making that—the doctor who's interacting with the patient, not the person
• So I can understand your concern, not only as a physician, but as a patient. I'm a human being too.
• Not only as a physician, but as a patient. I'm a human being, too.

Committee: House Insurance