Transcript Highlights:

• With the intent to identify necessary updates and potential pathways to secure sustainable funding.
• Contingent on securing additional funding, the DOH will collaborate with interested partners and assess
• So we did go back to our role process and increase fees and increase the number of staff.
• The second leg of that stool was the funding of a tax and fee solution, which happened last biennium,
• The second leg of that stool was the funding of a tax and fee solution, which happened last biennium,

Summary: The committee met on December 3, 2025, with a quorum present and approved the September 17 minutes. Members first voted to suspend the 2026 JLARC lodging tax expenditure report for one year, based on staff’s explanation that the report is self-reported, not verified, and less useful than State Auditor accountability audits; the motion passed. The committee also approved renaming the JLARC I-900 subcommittee to the “Committee to Hear SAO Performance Audits,” while keeping the opening script noting that the performance audit process exists under Initiative 900. The committee then heard follow-up updates on two prior performance audits. The Department of Health presented a draft strategic management plan in response to findings on hospital inspections, complaints, adverse event review, and hospital data access. JLARC staff reiterated that 72% of hospital inspections were late, that DOH did not verify third-party inspection standards or review adverse event reports, and that complaint data suggested possible language-access barriers. DOH said it concurred with the recommendations, had improved on-time inspection compliance to about 49%, planned annual updates starting in July 2026, and would work on accreditation oversight, complaint-language access, and data accessibility, though members pressed for firmer deadlines and questioned the three-year timeline for language access improvements. The Liquor and Cannabis Board also reported on its cannabis market study recommendation. JLARC staff said the agency’s data were incomplete and unreliable, limiting oversight of production, recalls, tax collection, and diversion. LCB said it had improved its current CCRS system but still relied on self-reported data, and it presented a decision package for a new traceability system estimated at about $9 million over three fiscal years. LCB described a plant-tagging and serialization approach tied to production, processing, testing, and retail, but acknowledged it did not currently have sufficient staff to fully implement the system without additional funding. The committee also received briefings on JLARC’s recommendation-tracking tools and the 2024 public records reporting summary, including a high-level review of agency response rates, request volumes, costs, and litigation. Finally, JLARC presented the proposed final report on the Office of Privacy and Data Protection, concluding that OPDP meets its statutory responsibilities and has high user satisfaction, but that its mandate should be updated to better match its current capacity and focus; the committee adopted the report for distribution. The meeting then moved into the 2025 tax preference performance reviews, where JLARC staff summarized nine reviews and noted that the Citizens Commission on Tax Preference and Performance Measurement endorsed all 17 legislative auditor recommendations, with comments on seven. Early reviews discussed included natural gas transportation fuel preferences, travel agent and tour operator B&O rates, nonprofit low-income housing development, multipurpose senior centers, disabled veteran adaptive housing, and trade convention attendance, with staff and commissioners generally recommending continuation of some preferences, modification of others, and improved objectives or performance measures where needed.

Transcript Highlights:

• Engrossed House Bill 5323, relating to indexing and license and stamp fees.
• The bill removes the prohibition precluding fee increases for license and stamp fees after January 1,
• This change will allow DNR to adjust its fee schedules for inflation. I urge passage of the bill.
• The bill requires the chief information security officer to ensure that any state contract for software
• The bill requires the chief information security officer to ensure that any state contract for software

Keywords: 994, senate, all

Transcript Highlights:

• court security grants. Senator French. court security grants. Senator French.
• 321 Court Security Grants. Discussion. 321 Court Security Grants. Discussion.
• doesn't yet have a social security doesn't yet have a social security number.<03:17:05.200> uh
• doesn't yet have a social security doesn't yet have a social security number.<03:17:22.319> Uh
• <03:22:22.960> and Department of Homeland Security and Department of Homeland Security and

Keywords: 916, all

Bills: HR113, HCR121, HR152, HCR162, SB2835, HR61, HCR67, HR94, HCR102, HR20, HCR19, HR98, HCR106, HR57, HCR63, HR96, HCR104, HR132, HCR140, HR133, HCR141, HR77, HCR85, HR90, HCR98, HR155, HCR165, HR156, HCR166, HR74, HCR82, HR190, HCR200, HR15, HCR13, HR83, HCR91, HR117, HCR125, HR193, HCR203, HR119, HCR127, HR114, HCR122, HR116, HCR124, HR22, HCR22, HR120, HCR128, HR32, HCR32, HR115, HCR123, HR138, HCR146, HR182, HCR192, HR88, HCR96, HR50, HCR54, HR169, HCR179, HR170, HCR180, HR31, HCR31, HR86, HCR94, HR23, HCR24, HR7, HCR8, HR12, HCR10, HR136, HCR144, HR108, HCR116, HR33, HCR33, HR175, HCR185, HR129, HCR137, HR192, HCR202, HR194, HCR204, HR19, HCR18, HR131, HCR139, HR163, HCR173, HR109, HCR117, HR56

Keywords: Hawaii, House Resolution, HR113, Mermaid Caves, Nanakuli, coastal hazards, sea caves, shoreline safety, public safety, digital maps, navigation apps, Google Maps, Apple Maps, point of interest, recreational destination, emergency response, drownings, rescues, cave safety, DLNR

Bills: HR113, HCR121, HR152, HCR162, SB2835, HR61, HCR67, HR94, HCR102, HR20, HCR19, HR98, HCR106, HR57, HCR63, HR96, HCR104, HR132, HCR140, HR133, HCR141, HR77, HCR85, HR90, HCR98, HR155, HCR165, HR156, HCR166, HR74, HCR82, HR190, HCR200, HR15, HCR13, HR83, HCR91, HR117, HCR125, HR193, HCR203, HR119, HCR127, HR114, HCR122, HR116, HCR124, HR22, HCR22, HR120, HCR128, HR32, HCR32, HR115, HCR123, HR138, HCR146, HR182, HCR192, HR88, HCR96, HR50, HCR54, HR169, HCR179, HR170, HCR180, HR31, HCR31, HR86, HCR94, HR23, HCR24, HR7, HCR8, HR12, HCR10, HR136, HCR144, HR108, HCR116, HR33, HCR33, HR175, HCR185, HR129, HCR137, HR192, HCR202, HR194, HCR204, HR19, HCR18, HR131, HCR139, HR163, HCR173, HR109, HCR117, HR56

Keywords: Hawaii, House Resolution, HR113, Mermaid Caves, Nanakuli, coastal hazards, sea caves, shoreline safety, public safety, digital maps, navigation apps, Google Maps, Apple Maps, point of interest, recreational destination, emergency response, drownings, rescues, cave safety, DLNR

Transcript Highlights:

• Speaker, this legislation protects New Mexicans from unexpected patient-facing facility fees for a narrow

Bills: HB145, HB164, HR1, HB20, HB65, HB66, HB80, HB306, SB29, SB37, HB99, HB206, HB213, HB270, SB104, SB193, HB38, HB254, HB256, SB58, SB64, HJM1, HM7, HM17, HM4, HM22, HM23, HM24, HM26, HM2, HM16, HM32, HM13, HM47, HM20, HM51, HM1, HM31, HM35, HM36, HM46, HM53, HM54, HM39, HM29, HM43, HM59, HM11, HM14, HM21, HM34, HM50, HB253

Keywords: high-wage jobs, tax credit, job creation, New Mexico, economic development, lobbying, transparency, public records, government oversight, accountability, House Resolution 1, HR1, House investigatory subcommittee, special committee, legislative investigation, subpoena power, public corruption, criminal activity, Zorro ranch, Santa Fe County

Transcript Highlights:

• The measure provides a spouse and child or children of Goldar recipients with free tuition, fees, and
• committee, if I remember right, that there was discussion that currently, the US Department of Homeland Security

Bills: SJR50, SJR51, SJR52, SJR53, SJR54, SJR39, SB1290, HB4028, HB4029, HB4073, HB4074, HB4075, HB4076, HB4077, HB4078, HB1250, HB2951, HB2961, HB3151, HB3581, HB3705, HB3970, HB3972, HB3980, HB3981

Keywords: Medicaid, federal funding, state law, healthcare, low-income adults, Oklahoma Constitution, healthcare regulations, Oklahoma Health Care Authority, permanent rules, joint resolution, OHCA, health care rules, administrative rules, major rule, Title 75, Title 317, Oklahoma Administrative Code, OAC 317:30, health policy, state health programs

Transcript Highlights:

• The measure provides a spouse and children of Gold Star recipients with free tuition, fees, and room
• Department of Homeland Security is out recruiting attorneys, especially with prosecutors' experience,
• Department of Homeland Security is out recruiting attorneys, especially with prosecutors' experience,

Bills: SJR50, SJR51, SJR52, SJR53, SJR54, SJR39, SB1290, HB4028, HB4029, HB4073, HB4074, HB4075, HB4076, HB4077, HB4078, HB1250, HB2951, HB2961, HB3151, HB3581, HB3705, HB3970, HB3972, HB3980, HB3981

Keywords: Medicaid, federal funding, state law, healthcare, low-income adults, Oklahoma Constitution, healthcare regulations, Oklahoma Health Care Authority, permanent rules, joint resolution, OHCA, health care rules, administrative rules, major rule, Title 75, Title 317, Oklahoma Administrative Code, OAC 317:30, health policy, state health programs

Summary: The Senate convened with a quorum, prayer, pledges, and several floor recognitions, including the Doctor of the Day, Psychologist of the Day, and Nurse of the Day. Members also honored the OSBI Cold Case Team for its work on unsolved cases, recognized the 75th anniversary of the American College of Obstetricians and Gynecologists, and welcomed guests for the Prague-Kolache Festival. The chamber then moved into floor action on multiple measures and conference motions. The most significant item was Senate Joint Resolution 39, a property tax constitutional amendment. After extensive debate over the impact on homeowners, seniors, farmers, schools, local governments, and future revenue, the Senate adopted House amendments by a 27-19 roll call and then passed the resolution 40-8. However, the motion to order a special election failed 26-20, so the measure did not advance to a special election call. Senators also rejected House amendments to Senate Bill 2 and Senate Bill 215 and requested conference on both. The Senate passed Senate Bill 1290 unanimously as an emergency measure, and advanced or passed several House bills dealing with ARPA and funding reallocations: HB 4028, HB 4029, HB 4073, HB 4074, HB 4075, HB 4076, HB 4077, and HB 4078. Other approved measures included HB 1250 creating a Public Safety Technology Revolving Fund for local law enforcement grants, HB 2951 renaming Red Rock Prison as the Chief James Smith Correctional Center, HB 2961 creating a Gold Star Survivor tuition benefit, HB 3151 extending the school year to 173 days, and HB 3581 increasing penalties for riot-related offenses. The Senate also took up HB 3705, which would raise the Parental Choice tax credit cap from $250 million to $275 million, but the transcript cuts off during questioning on that bill.

Transcript Highlights:

• SB 1725 allows colleges and universities to charge security fees for student organizations but prohibits
• the fees from being based on the contents of the language.
• In that scenario, there wouldn't be an application or a fee.
• is there a cap or governance on how much the university can charge, or is it just the cost of the security
• Obviously, we want to make sure that that fee is not so exorbitant as to chill free speech, and I don't

Bills: SB710, SB843, SB1317, SB1338, SB1410, SB1477, SB1489, SB1593, SB1614, SB1630, SB1632, SB1633, SB1670, SB1726, SB1734, SB1725, SB1735, SB1894, SB1975, SB346, SB2045

Keywords: teacher preparation, teacher education, teacher shortage, teacher workforce, educator pipeline, alternative certification, apprenticeship, residency program, paraprofessional pathway, high school to teacher pathway, nontraditional teacher candidates, Commission for Educational Quality and Accountability, TeachForwardOK, higher education, public school districts, workforce development, grant program, technical assistance provider, mastery-based assessment, emergency clause

Transcript Highlights:

• will provide district-level data, such as the number of employees and potential enrollees, broker fees
• employees and potential<00:52:06.480> enrollees,<00:52:07.600> broker<00:52:07.960> fees
• , potential enrollees, broker fees, potential enrollees, broker fees, insurance<00:52:08.920>

Bills: HF3794, HF4472, HF4410, HF4347, HF4412, HF4398, HF4397, HF4201, HF4199, HF4203, HF3706, HF4071, HF4120, HF4175, HF4188

Keywords: surveillance, price discrimination, wage discrimination, automated decision systems, consumer protections, data privacy, biometrics, school district health insurance, charter school health benefits, employee benefits, public sector health insurance, health insurance survey, Legislative Budget Office, LBO report, premium costs, retiree coverage, broker commissions, third-party administrator, health plan transparency, health reimbursement arrangement

Transcript Highlights:

• a civil action to recover statutory damages in the amount of $10,000 per violation, plus attorney fees
• award a plaintiff who prevails in an action punitive damages, court costs, and reasonable attorney fees
• award a plaintiff who prevails in an action punitive damages, court costs, and reasonable attorney fees
• child-only case benefit amount is based on available monies as determined by the Department of Economic Security
• But these costs can add up for people who are less financially secure.

Bills: SB1014, SB1094, SB1146, SB1177, SB1192, SB1194, SB1214, SB1372, SB1390, SB1398, SB1399, SB1494, SB1557, SB1561, SB1564, SB1602, SB1603, SB1621, SB1628, SB1629, SB1713, SB1752, SB1776, SB1813, SB1814, SB1821

Keywords: gender transition, gender detransition, health insurance, medical procedures, insurance claims, official documents, Arizona law, gender reassignment, civil liability, minors, medical consent, detransition, dependent children, foster care, periodic review, court hearings, child welfare, public funds, prohibition, Arizona legislation

Summary: The committee heard and acted on several health-related bills, with the longest discussion centered on SB 1214, the Arizona Stem Cell Therapy Act. The bill would regulate stem cell and birth tissue therapies, bar use of tissues derived from aborted fetuses or embryos, require informed consent and disclosure for non-FDA-approved therapies, and create civil and criminal penalties for violations. Supporters framed it as a patient-safety and bioscience-innovation measure, while opponents objected to the abortion-related language and felony penalties. The committee approved SB 1214 on a 4-3 vote. The committee also advanced SB 1194, which would prohibit health professionals and institutions from denying care or reducing care quality based on vaccination status, and SB 1814, which creates a study committee on substance use disorder treatment standards and oversight. SB 1602, increasing monthly stipends for kinship foster care parents, and SB 1603, expanding child-only cash assistance eligibility for certain foster and relative placements, were both amended and passed unanimously. SB 1177, barring public funds from being used for gender transition procedures, and SB 1014, requiring insurance coverage for detransition care and related reporting, both drew strong support and opposition and were each approved on 4-3 votes. Later, the committee unanimously passed SB 1628, requiring insurers and health plans to report claims-denial and prior-authorization data to DIFI for public reporting, and SB 1629, requiring AHCCCS managed care organizations to give advance notice and network-adequacy documentation before terminating high-volume providers without cause. Supporters of both bills emphasized transparency and patient access, while opponents argued the measures duplicated existing federal or state oversight. The committee then heard SB 1752, which would criminalize commercial harvesting or sale of mescaline while preserving a religious-use defense; the sponsor said it was intended to address improper sales of peyote-derived substances, but no final action on that bill was taken in the portion provided.

Transcript Highlights:

• , or whether a newly opened facility in Spanish Springs would also have to pay a fee.
• So it would not change the $500 fee at all. It would only change the $200 fee.
• So the businesses, the corporations that are affected by the $500 fee would not be touched.
• As many of you know, there's a compounding effect of fees at the state and local government level.
• And one of the things we do here is that the state license fee has gotten very high.

Bills: AB568, SB90, SB133, SB147, SB229, SB233, SB240, SB245, SB280, SB378, SB393, SB417, SB434, SB494, SB495

Keywords: higher education, Nevada System of Higher Education, operational expenses, instructional expenses, public funding, education funding, teacher grants, classroom supplies, instructional support, specialized personnel, civics education, Nevada Center for Civic Engagement, funding, youth programs, civic involvement, Southern Nevada, Clark County, Las Vegas Valley, regional planning, economic resiliency

Transcript Highlights:

• in California. ...and in 2009 implemented the hospital quality assurance fee in California following
• If they're doing fee-for-service, then absolutely they're going to be impacted.
• And what we know so far about data sharing with the Department of Homeland Security and ICE.
• We've done a lot of trainings with our staff, of course, and our security guards quickly...
• We've done a lot of trainings with our staff, of course, and our security guards.

Summary: The joint informational hearing focused on the impacts of H.R. 1 on California’s Medi-Cal program and on community health effects from recent immigration enforcement actions. Committee leaders said H.R. 1 would sharply reduce federal funding, increase administrative burdens, and worsen access to care, especially for Medi-Cal enrollees, immigrant families, rural communities, and reproductive health patients. The second half of the hearing examined how ICE raids and related federal actions are creating fear, reducing clinic and emergency department use, and disrupting children’s access to schools and early childhood education. Department of Health Care Services Director Michelle Bass outlined the main H.R. 1 provisions affecting Medi-Cal: work requirements, semiannual eligibility redeterminations, shorter retroactive coverage, new cost-sharing, limits on provider taxes and state-directed payments, reduced federal support for emergency and lawful immigrant coverage, and a one-year ban on Medicaid funding for prohibited abortion providers. She estimated millions could lose coverage, with tens of billions of dollars in federal funding at risk. Planned Parenthood Affiliates of California warned the defunding provision could force clinic closures, service reductions, and loss of access to family planning, STI testing, and cancer screenings. The California Hospital Association said the financing changes could cut hospital revenue by tens of billions over 10 years and threaten access, especially for rural and safety-net hospitals. The Western Center on Law and Poverty argued the law would increase churn, paperwork, and uninsured rates, disproportionately harming working adults and people experiencing homelessness. Committee members asked about implementation timelines, notification systems, administrative costs, the effect on immigrant eligibility, and whether California could delay or mitigate some provisions. Bass said the state was still assessing federal guidance, planning county and provider outreach, and exploring a possible delay for work requirements and a transition period for provider-tax changes. Members also discussed how state budget actions may need to be revisited in light of H.R. 1, and how California might preserve access through state-only funding or other policy changes. In the second panel, CHIRLA, Los Angeles County Department of Health Services, and the Children’s Partnership described the health consequences of immigration enforcement. Speakers said raids and data-sharing fears are causing anxiety, trauma, and avoidance of care, with Los Angeles County reporting declines in emergency, urgent care, and clinic visits after enforcement actions. The Children’s Partnership said school and early childhood absences are rising in some communities and that enforcement is undermining children’s emotional well-being and access to education. Members asked for more data and discussed possible state protections, telehealth, mobile care, and legal and policy responses to reduce fear and preserve access to health and education services.

Transcript Highlights:

• Like I said, it's been going on for about four years that we haven't been able to secure one.
• Yes, and I believe Standing Rock secured theirs, and so did MHA. Yes.
• to, or yeah. ...over from fee status to, or, yeah, fee taxable to non-taxable, and so it's a little hard
• And yes, we are doing fee-to-trust because the whole county at one time was a reservation.
• Very small administrative fee, tiny, to be honest.

Keywords: 908, all

Transcript Highlights:

• The five percent cost—is that already secured, or are we waiting for the entities to come up with that
• From my understanding, I think it's already secured. We do have all of the agreements in place.
• If you look at the basic responsibilities of government, this, next to safety and security, roads and
• We're going to be paying the increased fee for the registration fee.
• And there are funding sources, fee sources, for retiring the debt on the bonds.

Keywords: 996, all

Summary: The committee heard a District 5 New Mexico Department of Transportation presentation from Rhonda Lopez, who reviewed the district’s FY26 budget, staffing vacancies, and the status of special appropriations from 2020 through 2025. She described numerous completed and ongoing projects across the district, including roadway overlays, bridge work, intersection improvements, ADA upgrades, and maintenance projects, and also summarized STIP, TPF, LGRF, and equipment needs. Members asked about a guardrail issue near U.S. 64 in Hogback, the 5% local match for TPF projects, and the status of the New Mexico 371/U.S. 36 intersection funding agreement with the Navajo Nation; DOT said the match is secured or waived where applicable and that the Navajo agreement is nearly finalized. The committee then heard House Bill 270, which would amend the Public Works Apprentice Training Act to require contributions to apprenticeship and training programs for certain public works contracts, including highway-related work, while creating an exception where no approved apprenticeship program exists for a trade classification. The sponsor said the bill was intended to strengthen workforce development and support apprenticeship training. Contractors and asphalt industry representatives opposed the bill, arguing it would raise road project costs and duplicate existing training contributions. A motion to table failed on a tie, and a later motion to pass also failed on a tie, leaving the bill in committee. Next, the committee heard House Bill 322, which would create a transportation trust fund and transportation program fund, dedicate additional revenue sources including a portion of electricity GRT and motor vehicle excise tax, and begin annual distributions for federal matching funds in 2029. The sponsor and supporters said the bill would help address a multi-billion-dollar road funding gap, improve maintenance, and provide a stable source for matching federal dollars. Some members raised concerns about the electricity tax component, its effect on utility bills, and overlap with recently enacted transportation financing measures; others supported the concept but questioned timing and funding priorities. A motion on the bill resulted in a tie and failed, leaving the bill in committee. The meeting concluded with a District 4 NMDOT legislative presentation. The district outlined its geography, budget, staffing vacancy rate, completed special appropriations, active construction and maintenance projects, wildfire-related recovery work, local government funding allocations, and equipment replacement needs. Members asked about school district uses of local funding and the impact of aging equipment and weather on maintenance costs. The presentation ended without any formal action on District 4 items, and the committee adjourned.

Transcript Highlights:

• Taxpayers, student fees.
• Our infrastructure is right now. 1430 would reduce fuel taxes, vehicle fees, and road uses fees for four
• , In taxes, in sales tax, in gas tax, in fees, fees on their motor vehicle registration, which in their
• there to be used for Social Security payments.
• So they accept the credit, the fee to do this work.

Keywords: 981, all

Transcript Highlights:

• security, uh first responders,<00:21:33.520> military<00:21:34.000> applications.
• Our competitive advantage is you look at our flight fees at $70,000.
• Uh, but most of those fees uh come from parents taking loans. >> Thank you. Thank you. >> Yes.
• So the Arrow Act >> Uh, and you mentioned the flight fees at 70k.
• But most of those fees come from parents taking loans. >> Thank you. Thank you. >> Yes.

Keywords: 958, all

Summary: The task force meeting began with approval of the July 14 minutes and then heard a presentation from the Kentucky Aviation Association. Association leaders described general aviation airports as important to rural access, commerce, emergency response, tourism, agriculture, and workforce development, and cited statewide economic impacts they said exceed $1.6 billion and support more than 9,400 jobs. They thanked the legislature for prior airport funding and said it had helped airports with basic operations and repairs. The association asked lawmakers for four things: continued appropriations for general aviation airports; relief or a more workable process for required financial audits, which they said can cost $10,000 to $20,000 or more and sometimes exceed a small airport’s annual budget; a regularized statewide appropriations process for airport infrastructure needs, which they said total about $100 million and are currently addressed unevenly; and funding for the Aerospace Education Reinvestment Opportunity Act to support scholarships and aviation workforce training. Members of the task force asked follow-up questions about the audit burden, the difference between financial and safety audits, and the difficulty of finding audit firms. The presenters said they would bring specific ideas back on audit reform. Eastern Kentucky University then presented on its aviation program. EKU leaders thanked the committee for prior support, including a $25 million appropriation for a new flight school building at Central Kentucky Regional Airport, and said the project is expected to break ground in 2026. They reported strong enrollment growth, with 502 aviation majors, most of them Kentuckians, and said the program has expanded flight hours and job placement. EKU also outlined plans to add an air traffic control program in response to Senate Bill 87 and the national shortage of controllers, saying it could train students to FAA standards if the university receives the needed investment in simulators, equipment, space, and faculty. They also discussed the need to replace an aging fleet of training aircraft, saying the current planes are decades old and costly to maintain, and that newer aircraft would improve training quality and reduce student costs.

Transcript Highlights:

• We are not tackling school security. We are not tackling school security.
• fee.
• they'll they'll be charging that fee. they'll they'll be charging that fee.
• ”; it just says “fee.”
• Senator Muhammad responded that the language says only “fee,” not “reasonable fee.”

Keywords: 1187, senate, all

Transcript Highlights:

• My legal fees were $259,000.43.
• This abuse of power cost individual health care providers thousands upon thousands in legal fees and
• Right now, group home consultants get referral fees for directing potential residents to group homes
• apply only to the dispensing fee, which is often nothing or maybe a dollar.
• They could also be things related to fees, for sure.

Bills: SB331, SB883, SB926, SB1137, SB1138, SB1144, SB1151, SB1236, SB1270, SB1522, SB1869, SB2207, SB2422

Keywords: healthcare, cost disclosure, transparency, administrative penalties, health facility compliance, COVID-19, off-label use, prescription drugs, patient access, medical standards, insurance, physician ranking, incentives, fiduciary duty, health plan issuers, SB 1137, group home, assisted living, residential care, board and care

Summary: The committee heard testimony on Senate Bill 883, which would protect physicians’ ability to prescribe off-label medications and treatments, framed by the author as a “Right to Treat” measure tied to COVID-19 care. Supporters, including physicians and patient-choice advocates, said the bill would safeguard the doctor-patient relationship and prevent interference by boards, pharmacies, or hospitals. Several witnesses described using hydroxychloroquine, ivermectin, budesonide, antibiotics, steroids, and monoclonal antibodies during the pandemic, and said they faced complaints, board scrutiny, or pharmacy refusals for those prescriptions. The bill was left pending after public testimony closed. The committee then took up Senate Bill 331, which would extend hospital price-transparency requirements to additional health care facilities such as freestanding ERs, urgent care and retail clinics, ambulatory surgical centers, outpatient clinics, and birthing centers. Proponents argued that broader disclosure of prices for shoppable services would help consumers compare costs and reduce surprise billing, while opponents from ambulatory surgery centers said the bill would impose costly compliance burdens on small providers and that insurers or the state already have much of the needed data. The bill was also left pending. Senate Bill 2422 would expunge Texas Medical Board records and impose reparations for disciplinary actions tied to COVID-era treatment decisions, including references to ivermectin, hydroxychloroquine, budesonide, and masks. The author and supporters argued that doctors were unfairly targeted for trying to save patients and should be made whole; the Texas Medical Board representative said most pandemic complaints were dismissed, that actions generally involved broader issues such as privileges, documentation, or informed consent, and that no physician was disciplined solely for prescribing off-label COVID medications. The bill was left pending. Finally, the committee heard Senate Bill 2207, which would loosen Texas Medical Board rules on physicians advertising themselves as board certified, especially by reducing barriers tied to maintenance of certification requirements. Supporters said the current rule is overly restrictive, inconsistent, and costly, and that it drives physicians out of practice; they also said Texas is one of only a few states with such a rule. Witnesses described hospitals using the rule against physicians and said the change would improve transparency and competition. The bill remained pending after testimony.

Transcript Highlights:

• the amendments to the Medicare fee the amendments to the Medicare fee schedule<00:36:36.680>
• they linked costs to the Medicare fee they linked costs to the Medicare fee schedule<00:47:57.160
• <00:57:59.640> uh and also being cyber security uh and also being cyber security uh relevant
• didn't have to pay the registration fee didn't have to pay the registration fee for<01:14:30.840
• , or is it just a fee for out-of-state?

Keywords: 910, house, all

Summary: The House Health Committee held its first hearing of 2025, with Chair Greg Takayama and Vice Chair Representative Leoy opening the meeting and outlining housekeeping rules, including a two-minute limit for testifiers and Zoom etiquette. The committee first heard HB 303 on health care preceptors. The Department of Health, Department of Taxation, University of Hawaiʻi, Hawaii State Center for Nursing, and several health care organizations supported the bill, saying the existing preceptor tax credit program has been successful and that expanding eligibility to additional professions and students would help address workforce shortages. In response to questions, the Department of Health said the annual tax credit cap is $1.5 million, about 650 to 670 credits are currently used each year, and the bill applies only to unpaid preceptors. The committee then moved on to HB 441, which would raise cigarette taxes. The Attorney General, Department of Health, University of Hawaiʻi Cancer Center, Hawaii Public Health Institute, American Cancer Society Cancer Action Network, and others supported the measure as a way to reduce smoking, especially among youth, and to support tobacco control and cancer-related programs. Opponents, including the Taxpayers Protection Alliance and the Cigar Association of Hawaii, argued the tax is regressive and unreliable as a revenue source. The Department of Health noted the last cigarette tax increase was in 2011, and one witness urged a larger increase than proposed. No vote was taken on either bill in the portion of the hearing provided. The committee also heard HB 557 on telehealth. The Department of Health supported the bill so long as it did not displace executive budget priorities, and the Hawaii State Health Planning and Development Agency and Hawaii Primary Care Association supported it. HPCA said the bill would conform state insurance law to recent Medicare changes expanding audio-only telehealth coverage beyond mental health services, and it emphasized access for rural residents, kupuna, and people with disabilities. HMSA opposed the bill as written, saying it strayed from the intent of Act 107 and that audio-only telehealth should remain limited because of quality-of-care concerns, though it supported continued access and asked for a different amendment approach. A telehealth provider also testified that payment disparities limit provider expansion and that audio-only access remains important for patients with serious illness. The hearing ended in the excerpt before any committee action or vote on HB 557.