Transcript Highlights:

• We are already subject to very specific regulatory oversight. 170A regarding abortion care in our state
• four existing statutes around abortion care, unify those, standardize the language, including the regulatory
• framework to allow physicians to understand.

Bills: HB7, SB 8

Keywords: abortion, healthcare, jurisdiction, civil action, qui tam, prohibition, state law, sex designation, restroom access, civil penalties, private civil right of action, women's privacy

Transcript Highlights:

• speak about any specific company by name, but said a company operating under Senate Bill 1803’s framework
• He reiterated that a company operating under Senate Bill 1803’s framework could charge $20,000, or the
• And if we struck, if we follow my amendment, which strikes most of the regulatory mechanisms, we’re simply
• Okay, so it's like an encouragement—it's, hey, you've got— This framework here if you want to use it—maybe
• you're a smaller county—here's a nice framework you can use, kind of thing.

Bills: SB1003, SB1060, SB1134, SB1275, SB1327, SB1429, SB1618, SB1634, SB1654, SB1803, SCR1002, SCR1005, SCR1023, SCR1027

Keywords: election, canvass, certification, ballot tabulation, write-in candidates, registration, voting procedures, voter registration, temporary absence, absentee voting, residency, military voters, overseas voters, election law, Arizona Revised Statutes, political signs, campaign materials, public safety, municipal regulation, veterans

Transcript Highlights:

• cycle during a presidential year that those items that go above and beyond the current statutory framework
• That test will be aligned to everything within the new framework. Representative Hinson.
• HB 1219 establishes a framework for how noncompete and garden leave are structured and enforced.
• This bill establishes the framework to accomplish these goals and includes an update to state statute
• CS for HB 493 gives the regulatory authority to regulate ALS living facilities that offer memory care

Bills: SB 5, SJR 3, HB 11, HJR 72, HB 48, HB 27, HB 144, HB 37, HB 1481, HB 581, HB 1696, HB 2216, HB 1035, HB 1633, HB 742, HB 754, HB 1689, HB 1690, HB 2669, HB 391, HB 517, HB 1775, HB 1024, HB 1607, HB 252, HB 1716, HB 1562, HB 4116, HB 1866, HB 1741, HB 2103, HB 2637, HB 2884, HB 3707, HB 503, HB 1089, HB 1757, HB 2986, HB 972, SB 365, SB 1786, SB 5, SJR 3, HB 14, HB 43, HB 36, HB 26, HB 149, HB 121, HB 206, HB 136, HB 3114, HB 2733, HB 1732, HB 3700, HB 467, HB 1130, HB 1846, HB 1442, HB 1147, HB 2176, HB 2701, HB 805, HB 2890, HB 1154, HB 1644, HB 2118, HB 1718, HB 2488, HB 2596, HB 2468, HB 484, HB 2578, HB 3204, HB 1041, HB 307, HB 685, HB 538, HB 2525, HB 3125, HB 2027, HB 2894, HB 3077, HB 106, HB 18, HB 11, HJR 72, HB 48, HB 27, HB 144, HB 37, HB 1481, HB 581, HB 1696, HB 2216, HB 1035, HB 1633, HB 742, HB 754, HB 1689, HB 1690, HB 2669, HB 391, HB 517, HB 1775, HB 1024, HB 1607, HB 252, HB 1716, HB 1562, HB 4116, HB 1866, HB 1741, HB 2103, HB 2637, HB 2884, HB 3707, HB 503, HB 1089, HB 1757, HB 2986, HB 972

Keywords: dementia, research institute, Alzheimer's disease, Parkinson's disease, funding, grants, state health initiatives, research funding, state budget, prevention, healthcare, medical research, Dementia Prevention and Research Institute, licensing, reciprocity, regulation, Texas Department of Licensing and Regulation, interstate agreements, tax exemption, intellectual disability

Transcript Highlights:

• Even my insurance premiums include taxes and regulatory... ...premiums include taxes and regulatory costs
• points, he was the only sponsor on the Colorado AI Act, described as the country's first legislative framework
• to... ...the country's first legislative framework to govern high-risk AI systems.

Keywords: 981, all

Transcript Highlights:

• of fully driverless passenger service in Hawaii for over a decade, locking AVs into an outdated regulatory
• framework that bears little resemblance to how the technology is actually developing.
• of fully driverless passenger service in Hawaii for over a decade, locking AVs into an outdated regulatory
• framework that bears little resemblance to how the technology is actually developing.

Keywords: 910, house, all

Summary: The committee heard testimony on HB 1694, which would create a sustainable aviation fuel tax credit, and HB 1695, which would expand the state’s renewable fuels production tax credit. For HB 1694, supporters from the airlines, renewable fuels industry, business groups, and some environmental and youth representatives said sustainable aviation fuel is a practical near-term way to cut emissions in aviation, a hard-to-decarbonize sector, and argued the credit would send a market signal, support local production, and help meet state climate goals. Opponents, including Energy Justice Network and a taxpayer-focused testifier, argued the bill could subsidize expensive fuels that may not be truly clean, could duplicate benefits available under other tax provisions, and should not support transpacific aviation or technologies they said are unproven or harmful. The Department of Taxation stood on written testimony, and the chair later asked that all verbal testimony on remaining bills be limited to one minute because of time constraints. HB 1695 drew similar support and opposition, but focused more broadly on renewable fuels for transportation, trucking, shipping, and other sectors. Supporters, including the Hawaii State Energy Office, airlines, PAR Hawaii, the Hawaii Renewable Fuels Coalition, Pacific Biodiesel, and the RNG Coalition, said the bill would help scale local fuel production, reduce greenhouse gas emissions, support jobs and agriculture, and advance the state’s climate and energy goals. Several supporters emphasized that the credit would help build a local industry and that life-cycle accounting should be used to measure emissions benefits. Opponents repeated concerns that some biofuels and waste-based fuels may not be climate-beneficial, may rely on flawed modeling, and could create costly infrastructure that would need to be replaced later. No votes or final committee action were taken in the portion of the meeting provided.

Transcript Highlights:

• And the current framework, the current patchwork, isn't effective.
• Now there are six sites that are currently within this framework in terms of where this possible next
• It establishes regulatory requirements for entities that hold or facilitate transactions of gold coin
• It establishes regulatory requirements for entities that hold or facilitate transactions of gold, coin

Summary: The Senate convened with a quorum, opened with prayer and the Pledge of Allegiance, and heard several member introductions before taking up the special order calendar. The chamber first postponed CS/SB 80 on state land management, then moved through a series of bills, often substituting House companions when identical or nearly identical. Early actions included unanimous passage of HB 295 on a comprehensive waste reduction and recycling plan, which directs DEP to develop a recycling and waste-diversion roadmap, and passage of CS/CS/SB 492 on land development and mitigation banking after amendments addressing out-of-service credits and former phosphate mine lands; that bill passed 35-3 after debate over possible constitutional concerns. The Senate also passed HB 255 on aggravated animal cruelty, adding a sentencing multiplier and a searchable FDLE database of convicted animal abusers, and HB 711 establishing the Spectrum Alert for missing children with autism, with $190,000 in nonrecurring implementation funds and a July 1, 2026 implementation date. The chamber then approved HB 1089 to add Duchenne muscular dystrophy to newborn screening, and HB 393 revising the My Safe Florida Condominium Pilot Program to expand eligible mitigation projects, lower the approval threshold, and clarify ownership and reimbursement issues. Members discussed funding levels and whether insurance premium credits would be required, but the bill passed unanimously. The Senate also passed HB 1145 on workforce education, HB 827 on a statewide study of automation and workforce impact, and HB 181 on parole guidelines, all without recorded opposition. CS/CS/SB 976 on court-appointed psychologists also passed unanimously, as did HB 1451 on sexual cyber harassment, which broadened protections against non-consensual and digitally forged intimate images. Later, the Senate approved HB 1156 creating the Home Health Aid for Medically Fragile Children Program, after clarifying training requirements and hearing support that the measure would help families keep medically fragile children at home while compensating trained parents. The chamber also passed HB 1091 on substance abuse and mental health care, with an amendment allowing designated facilities to retain stabilized patients who still meet involuntary examination criteria. Throughout the day, senators used questions and debate to probe charter school governance in CS/CS/SB 822, which was substituted with HB 443 and amended to expand charter autonomy over conduct codes, enrollment, reporting, and facility use while maintaining sponsor oversight; that bill was placed on the calendar for third reading rather than voted on in the excerpt. Several other measures, including SB 716, SB 76, and the final SB 1252 item, were postponed or not reached before the transcript ended.

Transcript Highlights:

• 01.560> use<00:39:01.800> some<00:39:01.920> of<00:39:02.040> the As a regulatory
• you through the previous item we walked you through as<00:42:27.960> a<00:42:28.440> regulatory
• uh<00:42:29.599> directive<00:42:30.040> to<00:42:30.240> the as a regulatory
• uh directive to the as a regulatory uh directive to the state<00:42:30.920> uh<00:42:31.040><
• We were a part of it as well as the other agencies that, through the climate framework, the transportation

Keywords: 1183, house

Transcript Highlights:

• increase self-awareness and foster a positive sense of self and identity and develop a healthier framework
• Do you think— I mean, is it a cultural shift needed, leadership, regulatory issues, all of the above?

Keywords: 995, all

Summary: The Senate Committee on Juvenile and Emerging Adult Justice held an informational hearing focused on diversion programs and services for high-risk youth, with no bills before the committee and no votes taken. The chair and members emphasized that the session was intended to hear from invited testimony and discuss how to strengthen diversion, reduce court involvement, and improve outcomes for youth. The committee heard first from the Office of the Child Advocate and diversion providers, who described the Massachusetts Youth Diversion Program, its statewide expansion to 10 of 11 court counties, and its reported success rate of about 80% completion without reoffending. Testimony highlighted that diversion keeps youth out of court, connects them more quickly to community-based services, and can address needs such as mental health, education, and substance use. Witnesses also pointed to racial and ethnic disparities in arrests versus summonses, regional variation in diversion access, and the need for clearer statutory authority, more funding, and broader use of pre-arrest diversion. Committee members asked about the difference between arrest and summons, who can initiate diversion, why arrest rates have increased relative to summonses, and how diversion might prevent harmful downstream consequences such as detention or immigration enforcement involvement. Witnesses said police, clerk magistrates, district attorneys, and judges can refer youth to diversion, and argued that local policy, training, and legislative changes could expand use. They also discussed the impact of detention on youth, including stigma, lost school time, and the lack of credit for time served in the juvenile system. Testimony from Citizens for Juvenile Justice focused on prevention, school discipline, and the school-to-prison pipeline, arguing for more restorative practices, better data, and legislation to limit suspensions and expulsions, especially for younger students and nonviolent conduct. They also raised concerns about DCF-involved and foster youth, who are disproportionately represented in the juvenile system. The final panel, the Children's League of Massachusetts and transition-age youth providers, shifted to child welfare and young adult supports. They supported reducing court involvement in child requiring assistance cases, expanding family resource centers, and strengthening services for transition-age youth leaving DCF or DYS custody. Providers described housing instability, homelessness, and the need for education, employment, behavioral health, and supportive housing services for young adults ages 18 to 23. Across the hearing, witnesses consistently argued that early intervention, community-based supports, and diversion are more effective than court processing or detention for most youth, and that the legislature can help through funding, statutory clarity, expanded eligibility, and stronger data collection.

Transcript Highlights:

• In New Mexico's current minor consent framework, silence on parental boundaries increases the likelihood
• It then goes on to include a foreign subpoena, summons, or other civil, criminal, or regulatory inquiry

Bills: HB195, HB279, SB30, HB234, HB292, SB100, SB23, SB221, SB261, SB264

Keywords: medical malpractice, judgments, independent providers, insurance, personal assets, settlements, healthcare, healthcare privacy, electronic medical records, reproductive health, gender-affirming care, data protection, location tracking, confidentiality, SB30, induced abortion, abortion reporting, vital statistics, public health reporting, medical records

Transcript Highlights:

• They have a regulatory framework around that.

Keywords: Meeting Start 00:00 Attendance Roll Call 01:05 HB 313 Discussion 02:16 HB 313 Roll Call Vote 04:33 HB 60 Discussion 05:30 HB 60 Roll Call Vote 20:12 HB 397 Discussion 21:18 HB 397 Roll Call Vote 31:35, 958, all

Summary: The committee first heard House Bill 313, which would shorten the required notice a city must give a utility provider before a contract expires from 18 months to 6 months. The sponsor and Kentucky League of Cities representative said the change would better reflect current market conditions and reduce the risk of leaving either cities or providers in a bad financial position. The bill passed unanimously and was reported favorably. The committee then considered House Bill 60, the geoengineering ban. A committee substitute was adopted to add exemptions for ground-level agricultural activities and certain energy-related equipment, while keeping the bill’s core prohibition on spraying pollutants into the upper atmosphere to block sunlight or modify weather. Supporters described the bill as a preventive measure against future weather modification experiments, while members asked about enforcement, federal notice provisions, and whether cloud seeding or ordinary jet contrails would be affected. The sponsor said the bill targets high-altitude geoengineering, not normal aircraft exhaust, and that cloud seeding is banned. The bill, as amended, passed with favorable expression. Finally, the committee took up House Bill 397, as amended by House Committee Substitute 2, to protect trophy catfish. The substitute reduced penalties from a felony to a Class A misdemeanor and added $500 restitution per violation. The bill would prohibit transporting live trophy catfish, defined as 35 inches or longer, for commercial purposes except by boat, while exempting personal fishing, tournaments, festival events, and smaller fish. Supporters said the measure would protect a slow-growing natural resource and preserve catfish populations, and a Kentucky Waterways Alliance representative testified in support. Members asked about the Butler County catfish festival, statewide application, and special lower Ohio River licensing provisions; the sponsor said the festival would not be affected and the special licenses would be phased out. The bill passed with favorable expression, with one member passing to seek more information before floor consideration.

Transcript Highlights:

• True guardrails are statutory, enforceable, and tied to existing regulatory systems.
• The bill establishes a framework to guide the Children, Youth and Families Department in collaboration

Keywords: 996, all

Transcript Highlights:

• the, if you will, MITMC, the Missouri Interstate Teacher Mobility Compact, to create a collective regulatory
• framework that has a goal to support teachers and improve one of the pathways that we have for licensure

Keywords: 959, house, all

Transcript Highlights:

• As I understand, this is going to add some regulatory requirements on certain businesses, and I'm just
• I'm not convinced that we'll have time to get this resolved in just simply using this as a framework

Keywords: 985, all

Transcript Highlights:

• These are frameworks for economic cooperation, trade investment, and trade facilitation in Asia that
• Use this moment to advance targeted tax and regulatory reforms and public investments that will offset

Summary: The Assembly Select Committee on Asia, California, Trade and Investment held its first informational hearing to examine California’s economic ties with Asia, the effects of federal tariffs, and ways the state can strengthen trade, investment, tourism, and subnational diplomacy. Chair Jessica Caloza opened by emphasizing California’s role as the world’s fourth-largest economy and a major exporter to Asia, and several members and guests highlighted the importance of AAPI communities, sister-city relationships, and coordinated state outreach. Lieutenant Governor Eleni Kounalakis described California’s trade missions, APEC hosting, and ongoing climate and trade partnerships, while Japan’s deputy consul general underscored Japan’s role as a major investor and trading partner and encouraged continued engagement. The first panel, featuring leaders from the Los Angeles County Economic Development Corporation/World Trade Center Los Angeles, the San Francisco Chamber of Commerce, and Visit California, focused on trade, tourism, and investment trends. Witnesses said tariffs and federal uncertainty are disrupting logistics, manufacturing, business travel, higher education, and tourism, with particular concern about port activity, international student declines, and reduced visitation from Asia. They urged California to remain “open for business,” invest in promotion and infrastructure, and use trade missions, MOUs, and sister-city ties to maintain relationships and attract investment. The second panel, with economist Kyle Handley and trade expert Glenn Fukushima, focused on the mechanics and consequences of tariffs. Both said tariffs function as taxes on importers and consumers, raise costs for businesses, and create uncertainty that delays investment, hiring, and supply-chain decisions. They warned that California is especially exposed because of its ports, cross-border trade, and reliance on global supply chains, and said new federal vessel fees and shifting trade routes could divert commerce away from California. They argued that the long-term damage includes lost growth and reduced U.S. credibility, and recommended that California “tariff-proof” its economy through faster ports, better infrastructure, export assistance, and reduced permitting barriers. In the final panel, representatives from the San Diego Regional Chamber of Commerce, Asian Business Association California, and the Small Business Development Center emphasized future opportunities and the needs of small businesses. They said California should deepen ties with Asia through conventions, tourism, and sector-specific partnerships in life sciences, clean tech, semiconductors, hospitality, and small business trade. The witnesses stressed that small and minority-owned businesses need more access to trade missions, capital, technical assistance, and state support, and that California’s economic strength depends on coordinated efforts across regions and industries.

Transcript Highlights:

• Lastly, the bill provides a much clearer framework for pilotage operations.
• You know, TxDOT has that regulatory authority about height, distance from the roadway, etc.

Bills: HB2007, HB2863, HB2921, HB3331, HB3332, HJR144, HB3514, HB3528, HB3720, HB3751, HB3859, HB3947, HB4148, HB4346, HB4880, HB5603, HB4337

Keywords: commercial signs, county approval, transportation code, regulations, road signage, vehicle title, revocation, hearing process, Transportation Code, county assessor-collector, confidentiality, personal information, local government, airport data, public records, vehicle regulation, transportation, steel industry, state fees, safety standards

Transcript Highlights:

• that helps to ensure policymakers prioritize Main Street. by advancing just an equitable economic framework
• They want to punish American small business owners by saddling them with added regulatory costs that

Keywords: joint hearing, small business, Tax Cuts and Jobs Act, economic recovery, tax relief, job creation

Summary: In this joint hearing of the House Committee on Small Business and the Senate Committee on Small Business and Entrepreneurship, the primary focus was on the importance of making the Tax Cuts and Jobs Act of 2017 (TCJA) permanent. The chair emphasized that small businesses are crucial for the nation's economic recovery, especially in the wake of current federal policies perceived as detrimental. Witnesses shared their experiences and highlighted how the tax cuts facilitated job creation and business expansion, stressing the need for continued support through ongoing tax relief measures. The meeting included discussions about the economic implications of the TCJA's potential expiration, with members voicing their concerns regarding how this could impact small businesses and the broader economy.

Transcript Highlights:

• Rooted in the Reproductive Justice Framework, we affirm the human right to control our bodies, lives,
• However, we face significant regulatory barriers that impede access to community midwifery care.

Summary: The Assembly Health Committee met on April 8 and heard a long series of bills, beginning with AB 54 on medication abortion access. The author and supporters, including the Attorney General’s office and reproductive justice advocates, said the bill would protect California’s medication abortion supply chain and shield providers and manufacturers from civil, criminal, and professional liability. Opponents from the California Family Council argued the bill removes safeguards and increases risks. The bill was moved forward on a committee motion. The committee then heard several reproductive and public health measures, including AB 551 to create a pilot program supporting emergency departments in providing reproductive health services, AB 260 to protect medication abortion access and telehealth, AB 309 to remove sunset dates on laws allowing pharmacy syringe sales and lawful possession of sterile syringes, AB 536 to preserve colorectal cancer screening coverage if federal guidelines are challenged, AB 804 to make housing support services a Medi-Cal benefit, AB 594 to address student health insurance billing and transparency, AB 836 to study and expand the midwifery workforce, AB 1418 to collect data on health coverage for eligible employees, and AB 1500 to maintain and expand the abortion.ca.gov information site. Supporters emphasized access, preventive care, workforce shortages, and public health benefits, while opponents raised concerns about abortion, syringe distribution, and the focus of state resources. Most measures were advanced by committee vote, with roll calls showing broad support and a few no votes from members on some bills. The final bill discussed in the transcript was AB 1037, which would update substance use disorder laws to reflect evidence-based, harm-reduction approaches and remove barriers to treatment. The author and supporters described it as a compassionate response to overdose and treatment access problems, while law enforcement opposition argued it would encourage drug use and endanger communities. The transcript cuts off during testimony on AB 1037, so no final committee action on that bill is shown in the provided text.

Transcript Highlights:

• explicit is clear, but sometimes, especially the benefit of our definitions, tries to provide this framework
• So we're not getting around the regulatory scheme that the impacts are still mitigated.

Transcript Highlights:

• So it seemed to me like 75 miles was a reasonable framework to work with.
• practicing autonomously in Florida with no known pattern of disciplinary issues across dozens of state regulatory

Summary: The committee took up a large health and human services agenda and first approved HB 711, the Spectrum Alert bill, which would create a statewide alert system for missing autistic children and require FDLE to coordinate training with state and local agencies. The measure drew a supportive waiver from the Florida Smart Justice Alliance and passed unanimously, 24-0, reported favorably. Members then considered CS for HB 229 on health facilities, which modernizes the Health Facilities Authority Act to allow additional nonprofit health system structures to use tax-exempt financing. Two amendments were adopted: one requiring advance notice, public hearings, and stakeholder notifications before a nonprofit hospital closure, and another removing a property tax exemption for a nonprofit hospital that closes and fails to maintain emergency services for 120 days, applied retroactively to January 1, 2025. The Florida Hospital Association opposed the amendments, citing workforce and nonprofit-status concerns, but the bill as amended passed 24-0. The committee also approved CS for HB 1405 on juvenile justice status offenders, expanding early truancy intervention, parent involvement, and shelter placement review timelines; it passed 24-0. CS for HB 27, joining the Social Work Licensure Interstate Compact, and its linked public records bill CS for HB 29 both passed unanimously after supportive testimony from several advocacy and business groups. The committee then debated HB 111 on out-of-network referrals and HB 1083 on patient access to records. HB 111 would require referring practitioners to inform patients in writing when a referral is out of network and to apply out-of-network payments to deductibles; it drew opposition from medical groups over administrative burden and patient-care concerns, but passed 17-8. HB 1083 would shorten the time for producing medical records to 14 working days and standardize access rules, with amendments clarifying portal access and delaying the effective date to January 1, 2026; despite opposition from some health information and provider groups over HIPAA and access concerns, it passed 19-7 as amended. Later, the committee approved HB 883, allowing autonomous practice for psychiatric nurse practitioners with the required credentials, after strong support from nurse practitioner groups and opposition from psychiatric and medical associations; it passed 23-3. HB 1297, which aligns Florida’s electronic prescribing exceptions with federal law and removes several state exemptions, passed 19-7 despite opposition from hospice, emergency physician, rheumatology, and medical groups concerned about paper prescriptions in emergencies and hard-to-find medications. HB 1353 on home health care services and CS for HB 989 on foster home licensure transfers both passed unanimously after supportive amendments. The committee also heard HB 1505 on parental rights, which would require written parental consent for many health care services, surveys, and biofeedback devices for minors and expand parental access to records; the bill drew extensive support testimony but also questions and concerns about confidentiality, abuse reporting, and existing exceptions, and the transcript ended before a final vote on that bill.

Transcript Highlights:

• It directed the agency to seek federal approval for Medicaid program reimbursement and create a regulatory
• framework for home health agencies employing family caregivers as home health aides for medically fragile

Summary: The subcommittee held its first meeting of the 2025-2026 term, took attendance, confirmed a quorum, and heard introductory remarks from members and staff. Chair Anderson outlined the subcommittee’s jurisdiction over access and affordability issues, including health facility regulation, insurance, Medicaid, CHIP, and state employee health coverage. The main agenda item was an update on implementation of HB 391, which created a family home health aide program for medically fragile children. Representative Tramont, the bill sponsor, explained that the law was intended to let trained family caregivers be paid through Medicaid to care for their children, reduce reliance on private duty nursing, and relieve families. He and several members expressed frustration that implementation had taken nearly two years and that families still faced barriers. Deputy Secretary Brian Meyer of AHCA and Bridget Royce of DCF said the program was implemented October 1, 2024, with billing available, but no home health agencies had yet launched the required 80-hour training program and no claims had been paid. They described the program’s requirements, including agency employment, background screening, training, a $25-per-hour Medicaid rate paid to the agency, and an annual assessment report. A major issue discussed was that income earned by family caregivers counts toward Medicaid eligibility and could cause families to lose coverage. AHCA and DCF outlined two possible fixes that would require CMS approval: disregarding the income for eligibility purposes or treating the child as a family of one. Members and public witnesses strongly urged changes to avoid forcing families to choose between income and coverage. Several providers said they had begun preparing training programs, but asked for clearer approval processes and more patient-specific training requirements. The committee then heard extensive public testimony from parents and caregivers of medically fragile children, who described the financial, emotional, and logistical strain of caring for children with severe disabilities and argued that the bill should be expanded to include Florida KidCare families and others in the coverage gap. They also raised concerns about the eight-hour-per-day limit, low pay, and the need for simpler rules and direct support. Home health providers and associations supported the concept but asked for modifications, including more targeted training and clearer implementation guidance. The meeting then shifted to a second agenda item on the Andrew John Anderson Rapid Whole Genome Sequencing Program, which was funded in the 2023 budget. Deputy Secretary Meyer said the program has been implemented since January 1, 2024, but utilization has been lower than expected, with only about 60 claims paid and many denials occurring through managed care. Public testimony from a lab, a hospital, and a pediatric rare disease expert said the program is clinically valuable and cost-saving, but managed care billing barriers, prior authorization issues, and DRG-related denials are limiting access; they urged direct billing to Medicaid and possible expansion to all newborns.