Transcript Highlights:

• Because all of us, specialists and primary care doctors alike, know that our patients need a robust primary
• Denise helped me get to various locations to find a primary care doctor for me, but no primary care doctor
• finding a primary care provider.
• a primary care provider.
• And what would an investment in primary care... What would an investment in primary care look like?

Keywords: 995, all

Summary: The Joint Committee on Public Health held a hybrid hearing on a wide range of bills focused on patient safety, workforce development, health equity, and access to care. A major portion of the hearing centered on H. 2362/S. 1491, which would require health care providers to offer trained chaperones for sensitive exams. Sponsors and supporters said the bill is a common-sense safeguard prompted by cases of physician sexual abuse, and survivors gave emotional testimony describing grooming, isolation, and abuse during exams when no chaperone was present. Support also came from a health services researcher, a physician, and a RAINN representative, all arguing that trained chaperones and clearer documentation would improve transparency and protect patients. Committee members asked about clarifying who may serve as a chaperone and whether the bill would apply to other clinicians such as PTs and OTs. The committee also heard testimony on H. 2401/S. 1485, which would require explicit informed consent for certain educational exams performed on unconscious patients. The bill’s supporters said patients should know in advance if students or physicians will conduct non-medically necessary exams while they are under anesthesia, and that the measure would protect survivors from retraumatization. The hearing then moved to H. 2537, a primary care access bill. Health Care for All, the Massachusetts Medical Society, pediatric and internal medicine physicians, and a patient advocate described long waits, provider shortages, and difficulty finding primary care, especially for low-income people and people of color. They supported the bill’s proposed primary care spending target, payment reforms, Medicaid graduate medical education funding, and a commercial payment floor for health centers. Another set of bills addressed workforce and safety issues. H. 2397/S. 1593 would establish a nursing workforce center; nursing leaders said Massachusetts should make the current workforce council permanent to support data collection, apprenticeships, and long-term planning for the state’s largest health care workforce. H. 2396/S. 1535 would require safe patient handling and mobility programs in health facilities; nurses described serious injuries from lifting patients and said better equipment and programs would reduce staff injuries and improve patient outcomes. H. 2501/S. 1505 on LGBTQ+ health disparities drew support from a medical student and Doctors for America, who urged collection of sexual orientation and gender identity data to improve care and school outcomes. Finally, H. 2448/S. 1522 on patient safety and equitable access to care drew strong support from nursing organizations and individual nurses who described unsafe staffing, burnout, and patient harm, while the Massachusetts Association of Behavioral Health Systems opposed the bill as redundant for psychiatric facilities already regulated by the Department of Mental Health.

Transcript Highlights:

• primary bill. primary bill. Thank<00:19:55.600> you. Thank you. Thank you.
• lose your voice in primary elections. lose your voice in primary elections.
• of Alabama, primaries are the election. of Alabama, primaries are the election.
• Closed primaries don't actually do anything. primary voters say that support support primary voters say
• <00:34:59.440> uh primary vote. So it should stay open. uh primary vote.

Bills: HB541

Keywords: PFAS, drinking water, public health, environmental management, liability, 923, senate, all

Transcript Highlights:

• preference primary.
• But in presidential years, we also have closed party primaries with presidential preference primary,
• I mean, they have the right to choose who votes in their primaries because their primaries are choosing
• the candidate for the general election. ...in their primaries because their primaries are choosing the
• So is it, I had heard that we may be actually going back to the jungle primaries. Is that true?

Summary: The Senate and Governmental Affairs Committee met on May 20, 2026, with a quorum present and no minutes available for approval. The committee first heard HB 181, which would let the legislative auditor review income tax data to verify eligibility for Medicaid and, at LDH’s request, SNAP. The auditor said the work would be limited to internal data testing under sharing agreements and not disclosed to third parties. After questions about privacy and duplication, the bill was reported favorably to the floor without objection. The committee then took up HB 906 on presidential preference primaries and party nominating petitions. The Secretary of State and bill author said the measure would let major parties decide whether unaffiliated voters may participate in their primaries, with 180 days’ notice to the state, and would keep party rules consistent within presidential years so elections can be programmed properly. Several senators raised concerns that the bill would disenfranchise no-party voters and give parties too much control, but supporters said both major parties had approved the approach. The committee voted 4-3 to report the bill favorably. Members also advanced HB 398, which would require the judiciary to use the federal GSA meal per diem rate instead of the current higher state judicial rate; HB 1052, which strengthens confidentiality protections for child abuse investigations handled by child advocacy centers and multidisciplinary teams; HB 1245, which protects witness criminal history records from unintended public release in clerk of court records; HB 202, which requires state civil service or hiring agencies to notify applicants when a vacancy is filled or they are rejected; HB 540, which requires disclosure of paid digital election advertising; HB 9, designating stuffed shrimp as a Louisiana specialty; HB 1057, extending the validity of absentee-by-mail applications for military voters from one year to two; HB 225, proposing a constitutional amendment to limit governors to two lifetime terms; HB 177, allowing retired court reporters to contract with former public employers; and HB 459, requiring disclosure when campaign materials use AI, with amendments adopted after discussion of First Amendment and campaign finance concerns. The committee also rejected an amendment to HB 1057 that would have expanded Sunday early voting in certain parishes. After the bills, the committee held confirmation hearings for James Kelly and Charles Wilkinson to the Board of Supervisors of the Louisiana Community and Technical College System, both of whom described education and workforce development backgrounds and were favorably received.

Transcript Highlights:

• preference primary.
• But in presidential years, we also have closed party primaries with presidential preference primary,
• I mean, they have the right to choose who votes in their primaries because their primaries are choosing
• So is it, I had heard that we may be actually going back to the jungle primaries. Is that true?
• “They may keep open a little bit longer because they may want to fill another applicant.

Bills: HB9, HB177, HB181, HB202, HB225, HB398, HB459, HB540, HB906, HB1052, HB1057, HB1245

Keywords: HB 9, HB9, Act 527, Shreveport, Stuffed Shrimp Capital, state symbol, Louisiana symbols, municipal designation, honorary title, cultural designation, tourism, local pride, seafood, shrimp, stuffed shrimp, cuisine, city branding, Louisiana Revised Statutes 49:170.26, court reporter, official court reporter

Transcript Highlights:

• This current language does not say may, it's a shall.
• Understanding that there may be...
• focus of providing primary care.
• , or excuse me, of private equity investment in primary ...primary or, excuse me, of private equity investment
• May their memories be a blessing. May they rest in peace. The Senate is adjourned.

Keywords: 995, all

Summary: The Senate considered a series of amendments to a primary care health care bill and also took up a separate literacy bill. Several amendments were withdrawn, including one on artificial intelligence in health care and others related to cost controls, direct primary care, and provider studies. The Senate adopted amendments on preserving access to treatment for serious mental illness, modernizing the definition of primary care, clarifying payment rates for community health centers, excluding pharmaceutical spending from primary care expenditure calculations, and strengthening health equity reporting. Other amendments on rate bands, alternative payment systems, private equity reporting, scope of practice, and ownership disclosure were rejected. The Senate then approved the Ways and Means amendment and ordered the primary care bill to a third reading. The chamber also took up final passage of An Act Relative to Teachers Preparation and Student Literacy, with senators describing it as a long-awaited compromise focused on improving early reading outcomes. Supporters said the bill requires evidence-based K-3 literacy curricula, regular student screening and family notification, dyslexia screening protocols, professional development for teachers, and a free state-developed curriculum option. Senators emphasized the need to address declining third-grade reading proficiency and equity gaps. The bill passed to be enacted by a unanimous roll call and was sent to the Governor. After the literacy bill, the Senate returned to the primary care bill, where senators again debated cost containment, innovation, and access. The final version included the adopted amendments and was passed to be engrossed by a roll call vote of 35-4. The Senate then adopted an adjournment order and recessed, adjourning in memory of Henry Thomas III, former Representative Ben Swan, and Mr. Dennis Frane.

Transcript Highlights:

• after after primary primary primary always, >> right?
• opposing party primary. opposing party primary.
• the primary.
• If outsiders can vote in their primaries, the result may not represent those values at all.
• <00:52:02.160> may demographics may change, ideologies may demographics may change, ideologies

Bills: HB541, SB194

Keywords: PFAS, drinking water, public health, environmental management, liability, agriculture authority, eminent domain, property rights, tax exemption, agriculture center, 1136, house, all

Transcript Highlights:

• Primary care has a triple superpower.
• monthly fee directly for primary care.
• It allows patients to designate their direct primary care physician as their primary care provider for
• As you may or may not know, direct primary care physicians need to opt out of all insurance plans to
• As you may have experienced with your own care, As you may have experienced with your own care, we often

Keywords: 995, all

Summary: The committee held a public hearing with testimony on several health care bills, with most of the discussion focused on primary care access, community health center reimbursement, midwifery and birth centers, telehealth, hospital-at-home, direct primary care, and trans-inclusive health care access. Chair Feeney and Chair Murphy opened by noting the large number of signups and asking testifiers to keep remarks brief because of time constraints. Legislators and witnesses repeatedly emphasized that Massachusetts’ primary care system is under strain and that federal policy changes and reimbursement gaps are worsening financial pressure on providers. On community health centers, Representative Blay, Senator Lovely, Michael Curry, Bethany Keeley, Jag Deep Trevetti, Sean Cahill, and Christina Severin all supported H. 1096/S. 711, which would require commercial insurers to pay federally qualified health centers at least the MassHealth prospective payment system rate. They argued that commercial plans currently reimburse health centers below Medicaid rates, threatening sustainability, staffing, and access, especially as federal cuts and coverage losses could increase uncompensated care. Testifiers said the bill would stabilize health centers, protect primary care access, and not cost the state money. A second major topic was H. 1117/S. 784 on sustaining birth centers and the midwifery workforce. Senator Lovely, Senator Miranda, Emily Anesta, Rebecca Orden, Catherine Rushworth, Nishira Burrill, Joel Sutherland, Rachel Blessington, Joelle Ward, and others described the 2024 maternal health omnibus as an important first step, but said birth centers and midwives still face low reimbursement, workforce shortages, and financial instability. They urged reimbursement parity, a workforce development fund, and support for freestanding birth centers, citing improved outcomes, lower C-section rates, better patient experience, and racial equity in maternal health. Several speakers shared personal birth stories and said the bill would help preserve and expand birth options in communities like Roxbury, Worcester, and the North Shore. The committee also heard support for H. 1343 on direct primary care from Dr. Garofalo, Dr. Altman, Dr. Nair, Stephanie Cameron, Dr. Haley Moke-Blessed, and others, who said current insurance rules force patients to use a separate in-network primary care doctor for referrals and sometimes prevent physicians from dispensing medications. They argued the bill would reduce delays, administrative burden, and costs while improving continuity of care. In addition, Dr. Miklides and Sue Stempeck supported H. 1141 on hospital-at-home parity, saying the model has strong outcomes and should be reimbursed at the same rate as brick-and-mortar hospital care. Heather Myers and Katrina Cook testified on telehealth and digital health equity, urging broader coverage for asynchronous care, remote monitoring, interpreter services, and digital literacy supports. SEIU Local 509 supported H. 1188/S. 681 on trans-inclusive health care access, saying it would remove arbitrary insurance barriers to gender-affirming care. No votes or committee actions were taken during the hearing.

Transcript Highlights:

• May I follow up on your question?
• I may come back. Senator Velis, thank you, Madam Chair.
• And most of the people in primary care have left primary care to go to more lucrative settings like concierge
• medicine, direct primary care, aesthetics in our area.
• I heard the testimony regarding primary care physicians.

Keywords: 995, all

Summary: The Joint Committee on Mental Health, Substance Use, and Recovery held a public hearing on 17 bills focused on behavioral health workforce shortages, studies, and commissions. Chairs Mindy Domb and Senator John Velis opened by emphasizing the severity of the Commonwealth’s mental and behavioral health workforce crisis, the resulting gaps in access to care, and the legislature’s ongoing use of loan repayment programs, studies, and commissions to address these issues. They outlined hearing procedures and noted that testimony would be limited to three minutes, with written testimony also accepted. A major portion of the hearing focused on bills to expand the primary care workforce, including H. 2205/S. 1385, which would broaden eligibility for the Mass RePay loan repayment program. Testimony from the Massachusetts Medical Society, Senator Jo Comerford, and Dr. Kate Atkinson described severe primary care shortages, long wait times, physician burnout, high debt burdens, and the need to recruit and retain physicians in more practice settings and regions. Committee members asked about the likely impact of loan repayment, the role of nurse practitioners and physician assistants, and how to prioritize limited funding. Witnesses argued that primary care investment improves access and outcomes and that the bill would help sustain community-based practices. Another large block of testimony supported H. 2208/S. 1411, the proposed perinatal behavioral health care workforce trust fund, often referred to as the Moms Matter Act. March of Dimes, perinatal mental health advocates, doulas, clinicians, parents, and organizations such as the Boston Public Health Commission and Empty Arms Bereavement Support testified that postpartum depression, anxiety, substance use, and grief are widespread, often untreated, and worsened by long waitlists and a shortage of trained, culturally competent providers. Speakers repeatedly stressed that screening alone is not enough without a workforce to provide timely treatment, and several shared personal stories of postpartum illness, loss, and difficulty accessing care. The bill was also framed as a needed complement to the Commonwealth’s recent maternal health law, which increased screening and therefore increased demand for treatment. The committee also heard support for the Bridge Act, H. 2207/S. 1388, which would create mental health capacity grants for organizations serving communities at high risk of hate crimes or hate incidents. Testimony from the Jewish Community Relations Council and the bill’s sponsor described the mental health harms of hate, including anxiety, trauma, isolation, and loss of trust, and argued that community organizations need resources to build resilience and provide support. In addition, the committee heard from the Massachusetts Mental Health Counselors Association on H. 2218/S. 1380, which would update job classifications to explicitly include licensed mental health counselors and licensed supervised mental health counselors in state behavioral health roles. Witnesses said the change would modernize hiring, expand access, and better reflect current licensure and scope of practice. No votes were taken during the hearing, and the session ended with a motion to adjourn after all testimony was completed.

Transcript Highlights:

• <01:27:56.880> be<01:27:57.040> per may be per occurrence or they may be per may be
• 16th or May 30th.
• up but they all may number may go up but they all may operate<01:49:52.239> uh<01:49:52.719>
• uh you may have a big number but it may uh you may have a big number but it may not<01:50:25.520
• primary care of physician practice. primary care of physician practice.

Keywords: 928, house, all

Summary: The committee first handled roll call and approved the prior meeting minutes. Members discussed attendance and substitutions, then moved to the DHS commissioner’s update, which focused on New Hampshire’s Medicaid 1115 waiver and the new community re-entry initiative for people leaving correctional facilities. The presenter explained that the waiver lets the state cover certain services not normally covered under Medicaid, including substance use disorder treatment, serious mental illness services, adult dental benefits, and the new community re-entry component. She also noted that a separate youth re-entry component is federally required, with youth defined up to age 21 and foster-care-related coverage extending to age 26. The update described how the adult re-entry program works for incarcerated individuals with behavioral health needs, providing up to 45 days of pre-release services, care coordination with managed care organizations and DOC staff, telemedicine assessments, discharge prescriptions, insurance cards, and connections to community mental health, primary care, and substance use providers. For youth, the program includes more intensive case management, 30 days of pre-release services, and 30 days of post-release care coordination, with a stronger emphasis on screening, diagnosis, and holistic assessment. The presenter said New Hampshire received the adult waiver in July 2024, has implemented the program in state correctional facilities, and is beginning work at the youth center. Members and the presenter discussed why the program is structured as a waiver rather than a standard Medicaid benefit, with the explanation that CMS is allowing this as a newer policy area and that states generally pursue waivers for certain services. The chair and others emphasized the need for real cost and outcome data, and the presenter said an independent evaluator and evaluation plan are required under the 1115 waiver. Early results cited included 30 adults enrolled so far, 10 released, five youth enrolled with one released, and anecdotal early successes such as housing, employment, and better continuity of medication and treatment. The committee did not take any additional votes or formal actions beyond approving the minutes.

Transcript Highlights:

• There are just two mays. >> Yeah, they may file. So, they can't... >> Right?
• secretary of state and then a may. secretary of state and then a may.
• uh the quote unquote jungle primary. uh the quote unquote jungle primary.
• primaries in odd years. primaries in odd years.
• that may motivate more people to attend. that may motivate more people to attend.

Keywords: 928, house, all

Summary: The committee first held a public hearing on CACR 30, a constitutional amendment that would make Public Utilities Commission members elected rather than appointed. Representative Thomas Opel testified in support, arguing that rising energy costs and the utility rate-setting structure make the PUC too insulated from ratepayers, and that elected commissioners would be more accountable. He also said the proposal should ideally include a ban on contributions from regulated utilities to PUC campaigns, and acknowledged the draft had errors and needed work. Representative Lane questioned whether a contribution ban would be constitutional, and Opel said there may be ways to structure one to survive legal challenge. The hearing closed with five online supporters and two opponents reported, and no one else testified. The committee then went into executive session on House Bill 1062, authorizing the Secretary of State to conduct random audits of voters’ citizenship qualifications. Representative Newsome offered an amendment to clarify how voters with no evidence either way would be treated and to require a public report on audit results, including referrals, costs, and databases used. Representative Aqua opposed the amendment, saying the bill should pass as written. The amendment failed 9-7, and after further debate over privacy and the purpose of audits, the committee voted 9-7 to recommend ought to pass on HB 1062. Representative Barry was assigned the majority report and Representative Newsome the minority report. The committee next considered House Bill 1388, which would clarify the form of ballots for constitutional amendments. Representative Weary said the bill simply provides clarity for voters and imposes no hardship on the Secretary of State’s office. The committee unanimously voted 17-0 to recommend ought to pass and placed the bill on the consent calendar. Finally, the committee opened a public hearing on House Bill 1125, enabling school districts to adopt partisan school district elections. Representative Weary said partisan labels would help voters understand candidate positions and address low turnout in local elections. He emphasized the bill is enabling, not mandatory. Members questioned why the change was needed if few municipalities have used existing authority, and whether it would increase divisiveness. Weary said many voters are unaware of the option and that partisan labels would give them more information. The hearing closed with five online supporters and 184 opponents. The committee then began executive session on House Bill 1187, concerning the filing deadline for special-election candidates for state representative, but discussion was still ongoing in the transcript.

Transcript Highlights:

• or may not be prescribed.
• Let me ask, if I may, what I think may be a bit more rudimentary or very basic questions. Dr.
• But this bill is about primary care, expanding into any other specialty. This is about primary.
• Primary and preventative care.
• To address some other points, 70% of MPs may be boarded in primary care, but 70% do not work in primary

Bills: SB1888, SB3003, SB2417, SB2459, SB3055, HB1393, HB2884, SB2943

Keywords: grand jury, jury qualifications, jury wheel, small counties, Texas legislation, age verification, obscene devices, online sales, juvenile protection, penalties, antitrust, attorney general, Texas Free Enterprise, business regulations, legal confidentiality, personal identifying information, data brokers, judicial safety, civil rights, data privacy

Transcript Highlights:

• May our work help...
• Many other states have semi-open primaries or fully open primaries. And Mr.
• primary?
• And I think that's important because in my mind, a primary is a primary.
• primaries, so to speak.

Transcript Highlights:

• >> If<00:13:18.480> I<00:13:18.720> may. >> If I may. >> If I may.
• you may have. you may have.
• There are just two mays. Yeah, they may file. So, they can't, right?
• shall be the same for primaries for a general election except that... the may that you were raising,
• primaries in odd years. primaries in odd years.

Keywords: 1189, house, all

Transcript Highlights:

• So in the first primary next primary?
• voting in primary. voting in primary.
• Let's just say the May 19th primary that's less than 90 days away. This was implemented.
• So your county may or may not receive one. >> Right? A county may or may not receive one.
• A county may or may not receive >> right?

Keywords: 1136, house, all

Transcript Highlights:

• Hawaii Primary Care >> Um, let's see. Hawaii Primary Care Association. Association.
• shortages of the primary care physician. shortages of the primary care physician.
• She did not have a primary care provider because her primary care provider had died.
• primary care spend. primary care spend.
• rates for primary care services. rates for primary care services.

Keywords: 910, house, all

Summary: The joint hearing opened with House Bill 1969, which would provide state funding for colorectal cancer screenings for uninsured and underinsured residents. The Department of Human Services said it supports the goal of early screening but would need new administrative capacity, including a program manager and claim pre-screening, to run the program. The Department of Health supported the measure and cited low screening rates in Hawaii, noting an educational campaign to encourage screening. The Insurance Division raised concerns about reliance on federal FAQs, warning that guidance can change and may create state cost exposure. Supporters including the American Cancer Society Cancer Action Network and the Hawaii Medical Association argued the bill would close a preventive-care gap, reduce late-stage diagnoses, and save long-term costs; the committee also discussed implementation costs, estimated by DHS at roughly $1.4 million to $2 million annually plus administrative expenses, and a 6-month to 1-year timeline to establish the program. The committee then took up House Bill 1965, which would require health carriers to spend at least 6% of total medical expenditures on primary care providers. The Insurance Division said several provisions raise technical and legal concerns, including the premium freeze, the medical loss ratio language, the lack of an existing external review process for downcoding claims, and a new mandate for medically necessary inter-island transportation that could trigger an ACA defrayal. The Department of Human Services supported the intent but suggested broader language to include primary care supports and services, and noted that QUEST integration plans already invested at least 9% of total medical expenditures in primary care in 2024, with additional spending on supports and low-value care reductions. State health planning officials strongly supported the bill as an investment in primary care, saying it could improve outcomes and lower long-term costs, though they acknowledged a possible temporary premium increase during the transition. Testimony in support emphasized Hawaii’s physician shortage, especially on Maui, the Big Island, and other neighbor islands, and warned that clinics are under financial strain and may close without higher primary care reimbursement. The Hawaii Healthcare Task Force, AARP Hawaii, and other supporters said the bill would help retain providers, improve access for Medicare and Medicaid patients, and prevent downstream costs from emergency room use and avoidable hospitalizations. No votes or final committee action were taken in the portion of the hearing provided.

Transcript Highlights:

• primary care. primary care.
• went to primary care. went to primary care.
• Members of the interdisciplinary team in a primary care practice may include a nutritionist, a pharmacist
• universal primary care system. universal primary care system.
• reform for primary care. reform for primary care.

Keywords: 926, house, all

Summary: The House first took up S. 298, the Vermont Voting Rights Act. Members explained the Senate’s further proposal of amendment, including changes to language about how the State Ethics Commission may respond to ethics inquiries, a directive for the Secretary of State and Ethics Commission to work out a shared process for the candidate financial disclosure form by January 30, and a technical PAC-related wording change. The committee reported an 11-0-0 vote in favor, and the House concurred in the Senate proposal of amendment. The chamber then suspended rules to take up S. 328, the omnibus housing bill, and heard detailed committee reports from General and Housing, Ways and Means, and Appropriations. The bill addresses common interest community resources, a service-supported housing advisory council, expansion of the 10% for Vermont program to 12.5%, an off-site construction accelerator pilot, VHFA’s rental housing revolving loan program, special assessment districts, municipal housing planning requirements, and several reports on housing-related issues. Ways and Means described revenue impacts from the cash-balance expansion and revised the off-site construction pilot and loan program language; Appropriations removed a section already included in the budget and adjusted advisory council per diem funding. The House adopted the amendments, ordered third reading, suspended rules to place the bill in all remaining stages, passed it in concurrence with proposal of amendment, and messaged the action to the Senate forthwith. The House then suspended rules to take up S. 197, relating to payment reform for primary care. The House Health Care Committee recommended a strike-all amendment, saying the health care system is in crisis, premiums are rising, access to primary care is limited, and clinicians are burdened by documentation and administrative work. The committee vote on its amendment was 10-0-1, and the bill was also referred to Ways and Means and Appropriations because of fiscal implications. The transcript cuts off as the House was beginning consideration of the bill.

Transcript Highlights:

• You may not proceed.
• If I may, Mr. Chairman.
• ... ...facilities maintain the right to develop their own policy that may or may not require supervision
• So this bill would actually encourage more primary care physicians to do direct primary care.
• So this bill would actually encourage more primary care physicians to do direct primary care.

Keywords: 995, all

Summary: The committee held a hearing on several health care access and insurance-related bills, with most testimony focused on H.1136 to improve the prior authorization process. The Massachusetts Medical Society, Massachusetts Health and Hospital Association, Health Care for All, the Leukemia & Lymphoma Society, physicians, and hospital representatives all supported the bill, arguing that prior authorization delays care, increases administrative burden, contributes to clinician burnout, and can worsen patient outcomes. Witnesses described examples involving delayed cancer treatment, diabetes care, COPD medication, shingles pain treatment, and hospital discharge delays. They said the bill would preserve prior authorization but add guardrails such as longer validity periods, continuity-of-care protections, faster responses for urgent care, clearer lists of services requiring authorization, and more transparency and standardization. The committee also heard testimony on H.1142/S.783 regarding equitable reimbursement for certified registered nurse anesthetists (CRNAs), with Senator Lovely and CRNA advocates supporting parity with physician anesthesiologists. They said CRNAs provide the same services at the same standard of care, but private insurers sometimes reimburse them at lower rates than physicians, which they argued is inconsistent with federal and state policy and harms access. Senator Keenan testified in support of a bill addressing claim denials and appeals, saying insurers should provide clearer explanations, time to resubmit claims, and timely appeal responses. Dr. Lorraine Schratz supported H.1126 to align state patient disclosure requirements with federal No Surprises Act rules, and Dr. Michael Trimbley supported H.1120 to recognize direct primary care as not being insurance and to encourage primary care participation. The committee also heard testimony on H.1140/S.801 to remove barriers to patient care by updating insurance statutes to reflect nurse practitioners’ full practice authority, and on H.1168/S.A.18 to eliminate the PCP referral requirement for specialty gynecological care. Witnesses on those bills described delays and denials affecting autism diagnosis, nutrition coverage, and endometriosis care, and said the proposals would reduce unnecessary barriers and improve timely access. After testimony and a few member questions, the chair closed the hearing; no votes were taken during the session.

Transcript Highlights:

• although it may not be here. although it may not be here.
• care, Blueprint primary care, clinically affiliated primary care.
• our primary care providers. our primary care providers.
• [clears throat] support primary care. [clears throat] support primary care.
• shall was substituted for the word may. shall was substituted for the word may.

Keywords: 927, senate, all

Transcript Highlights:

• <00:54:11.640> State<00:54:12.000> primary um uh presidential primary State primary
• is<03:35:05.319> to primary partisan primary system is to primary partisan primary system
• You may or may not have the right to use that, or you may have rights to use it as you see fit.
• You may or may not have the right to put signs up.
• You may or may not have the right to use that, or you may have rights to use it as you see fit.

Keywords: 1189, house, all

Transcript Highlights:

• form of an open primary.
• open primary in the fall?
• of an open primary.
• open primary in the fall?
• primary for Congress.

Bills: HR275, HR276, HR277, HR278, HR279, HR280, HR281, HR282, HR283, HR284, HCR112, HCR113, HR265, HR266, HR267, HR268, HR269, HR270, HR271, HR272, HR273, HCR107, HCR108, HCR109, HCR110, HCR111, SCR63, SCR66, SCR67, SB414, SB484, SB513, HR168, HR174, HR194, HR216, HR264, HCR54, HCR74, HCR79, HCR85, HCR87, HCR94, HCR95, HCR97, HCR98, HCR104, SCR23, SCR29, SCR33, SCR38, HB75, HB705, SB54, SB56, SB72, SB79, SB97, SB105, SB123, SB125, SB129, SB163, SB171, SB252, SB287, SB375, SB386, SB461, SB466, HR84, HR188, HR205, HR3, HR197, HR243, SCR19, SCR3, SCR6, SCR18, SCR11, SCR22, SCR2, SCR20, SCR24, SCR35, HCR6, HB301, HB359, HB657, HB675, HB680, HB727, HB39, HB58, HB112, HB134, HB155, HB187, HB287, HB462, HB782, HB825, HB846, HB903, HB904, HB929, HB941, HB962, HB1200, HB4, HB623, HB944, HB986, HB1098, HB1222, SB45, SB58, SB71, SB81, SB92, SB100, SB109, SB141, SB156, SB181, SB203, SB204, SB205, SB207, SB213, SB214, SB216, SB229, SB257, SB274, SB290, SB304, SB374, SB379, SB396, SB410, SB425, SB427, SB429, SB479, SB522, SB34, SB164, SB172, SB198, SB208, SB232, SB281, SB286, SB317, SB322, SB334, SB380, SB385, SB409, SB417, SB421, SB430, SB439, SB447, SB458, SB510, HB842, HB633, HB1191, HB625, HB1255, HB251, HB582, HB646, HB819, HB998, HB1257, SB197, SB436, SB78, HB901, HR20, HR74, HCR65, HCR71, HB284, HB302, HB306, HB341, HB366, HB393, HB458, HB577, HB603, HB605, HB614, HB733, HB752, HB773, HB798, HB911, HB955, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1240, SB82, SB89, HB258, SB149, SB382, SB441

Keywords: highway maintenance, signage, transportation safety, DOTD, infrastructure, public safety, federal grants, job creation, carbon storage, carbon dioxide storage, carbon capture and storage, CCS, mineral rights, mineral owners, oil and gas, disposal wells, injection wells, advanced drilling, carbon sequestration, Louisiana energy policy