Transcript Highlights:

• So the 10-year plan was established in 2019, and it had front-loaded a lot of the recommendations, some
• a lot of um 2019 and it had front-loaded a lot of um the the the recommendations<03:01:57.399> some
• So the 10-year plan was established in 2019, and it had front-loaded a lot of the recommendations, some
• uh<04:03:58.080> or<04:03:58.239> the<04:03:58.399> case<04:03:58.640> load
• <04:03:58.880> is served uh or the case load is served uh or the case load is 44,000<04:04

Keywords: 928, house, all

Summary: The House Finance Committee’s Division 3 held a public work session on the Behavioral Health budget on February 27, 2025. The chair opened by explaining the schedule, materials, and deadlines for the budget process, and noted there would be no motions or votes in the division that day. Division of Behavioral Health Director Ktia Fox and DHHS CFO Nathan White then walked the committee through the division’s mission, structure, and budget materials, describing the division’s four bureaus: Mental Health Services, Children’s Behavioral Health, Drug and Alcohol Services, and Homeless Services, along with the policy unit. They emphasized the division’s role in oversight, technical assistance, quality assurance, contracting, and the continuum of care from prevention and early intervention through crisis and residential services. Much of the discussion focused on major programs and funding lines, including the 988 Lifeline contract with Headrest, a technical assistance contract with UNH, Medicaid pass-through payments to New Hampshire Hospital and Glencliff, crisis response services, cold-weather homeless responses, housing supports, and the children’s system of care. Members asked about the UNH contract, the 988 program, crisis stabilization centers, and the peer certification program; Fox explained that the peer certification is a training-and-credentialing pathway for people with lived experience to enter community-based behavioral health work, not a volunteer program. The committee also discussed the “Choose Love” program, which Fox said was created after the Sandy Hook tragedy to build resilience and strength-based emotional regulation in schools and communities. On the children’s side, Fox described the system of care account as the place where many contracted services are budgeted, including community mental health centers, care management entities, rapid response services, and residential programs. Members asked about temporary staffing, and Fox said roughly $500,000 in temporary staff costs shown in the current year would not be spent next year because the money came from a nonlapsing appropriation in HB 1573 for oversight of children’s residential services. She also said provider rate increases were a prioritized need but were not funded in the governor’s current budget, and that the Children’s Behavioral Health Resource Center was not funded, resulting in about a $1 million reduction. The session ended while the division was still moving through the children’s behavioral health slides, including questions about the Fast Forward high-fidelity wraparound program and medication management.

Transcript Highlights:

• ensure that everyone has a fair opportunity to be heard, I want to remind all participants of our time limits
• Please be mindful of these limits so that we may hear from as many voices as possible.
• testimony received by the committee will be made publicly available, provided, however, the chairs may limit
• Most first responders, prosecutors, and judges have limited training in non-fatal strangulation cases
• So I'm here to talk about a bill concerning the statute of limitations.

Keywords: 995, all

Summary: The hearing opened with procedural remarks and acknowledgments of Rosh Hashanah, followed by testimony on several criminal justice bills before the Joint Committee on the Judiciary. A major focus was S. 1061, the “Raise the Age” bill, which would gradually move 18- to 20-year-olds into the juvenile justice system. Supporters included youth and young adult advocates, former juvenile court Judge Jay Blitzman, ACLU and CPCS representatives, Roca, United Way, Citizens for Juvenile Justice, and Senator Brendan Crichton. They argued that young adults are still developmentally immature, that juvenile court services improve education and rehabilitation, and that adult-system involvement leads to higher recidivism and racial disparities. Committee members asked practical questions about how the bill would work, and witnesses explained that it would expand access to juvenile court diversion, probation, and DYS services for the covered age group. The chairs also noted a notice issue, clarifying that the hearing had been posted seven days in advance rather than the usual ten. The committee also heard testimony on a bill to revise accomplice and joint venture murder liability and sentencing. Representative Sam Montaño and Senator Liz Miranda supported the reform, arguing that current law can impose life sentences on people with limited or no knowledge of a killing and that the doctrine contributes to racial bias and disproportionate punishment. A law professor, a former defendant, and advocates from the National Council for Incarcerated and Formerly Incarcerated Women and Girls described cases where people were punished far beyond their actual role and said the bill would better align charges and sentences with individual culpability. Related testimony also supported a proportionality-focused reform to reduce the harshness of joint venture sentencing. Several other public safety and criminal justice bills drew testimony. Senator Robin Kennedy supported a bill redefining strangulation in domestic violence law, saying the current “substantial pressure” standard is too vague and that strangulation is often lethal without visible injury. District Attorney Ryan and a retail business executive backed a bill on organized retail theft, saying it would give prosecutors more flexible charging options and better address coordinated theft rings. Representative Vieira and the family of Kiana Barros urged action on Kiana’s Law, which would improve restraining-order notification and enforcement after Barros’s daughter was killed after an order was not served. The hearing also included support for the HALO Act, which would create a 25-foot safety zone around first responders and penalize harassment or obstruction, and for a bill to enhance courthouse security by creating specific protections for judges and their families. No votes were taken during the hearing."} 0}]}

Transcript Highlights:

• But Department of Motor Vehicles, the essence of the system is this: we are loading first name, last
• It's not limited to that, though.
• So I would say the limiting factor is probably throughput.
• So I would say the limiting factor is probably throughput. And then last question for you.
• the posted limit, stopping dangerous speeding before it becomes a crash.

Keywords: 988, house, all

Summary: The committee heard several budget and policy items, beginning with the DMV’s proposal for the federal state-to-state verification system and the Digital Experience Platform (DXP). DMV officials said the state-to-state system is required for Real ID compliance and functions as a pointer system that shares only limited identifying information to help states verify whether an applicant has records in another jurisdiction. Members pressed hard on privacy, access, hacking, notification, and misuse concerns, including whether other states or federal actors could use the system to target Californians. DMV said access is limited to member jurisdictions, requests are transaction-based, records are encrypted, California can see when its data is requested, and legal remedies would include working through AAMVA and the Attorney General if misuse occurred. On DXP, DMV said the project has been reset, is on its revised schedule and budget, occupational licensing is complete, vehicle registration is targeted for completion by the end of the calendar year, and the full modernization is expected by fiscal year 2028-29. The committee then took up the High-Speed Rail Office of Inspector General trailer bill and AB 1608. The Inspector General said current law does not clearly authorize public reports or establish a work-paper retention and disclosure framework, and that the trailer bill and AB 1608 would codify those powers, add access to needed job classifications and purchasing authority, and require public reporting with temporary confidentiality only in limited circumstances such as pending litigation, security vulnerabilities, or fraud-detection weaknesses. Members debated how broad the confidentiality language should be, whether reports could remain confidential too long, and whether the bill should define “proposed agreements” and require notice to the Inspector General when agreements are being reviewed. The Inspector General said he had already found at least one procurement-related state law violation involving an amendment that added services not in the original contract, and members discussed the project’s large cost growth and the need for stronger oversight. No vote was taken on the item in the portion provided. Finally, Caltrans began presenting a trailer bill proposal related to workforce development under SB 150, explaining that it would amend Government Code 14017, which governs use of federal highway formula funds and related workforce development efforts. The transcript cuts off as Caltrans starts its overview, so no further discussion, vote, or action on that item is shown in the provided text.

Transcript Highlights:

• debt protection to create the Louisiana Medical Debt Protection Act, provide for interest rate limitations
• Representative McCormick: Members, this limits the commissioners appointed to two consecutive six-year
• It removes the existing limitation that only applies. a condition of reinstatement.
• But doing the RFPs every three years limits his ability to build confidence and believe in any one of
• Members, this is a simple bill that removes the 20-year lease limit on Benson Towers located downtown

Bills: HR265, HR266, HR267, HR268, HR269, HR270, HR271, HR272, HR273, HCR107, HCR108, HCR109, HCR110, HCR111, HR257, HR258, HR259, HR260, HR261, HR262, HR263, HCR105, HCR106, SCR30, SB57, SB157, SB202, SB237, SB276, SB450, SB465, SB501, SB525, HR3, HR80, HR197, HR243, SCR5, SCR35, HB4, HB623, HB944, HB986, HB1098, HB1222, SB34, SB164, SB172, SB198, SB208, SB232, SB281, SB286, SB317, SB322, SB334, SB380, SB385, SB409, SB417, SB421, SB430, SB439, SB447, SB458, SB510, SB398, HB646, HR84, HR188, HR205, SCR19, SCR3, SCR6, SCR18, SCR11, SCR22, SCR2, SCR20, SCR24, HCR6, HB301, HB359, HB657, HB675, HB680, HB727, HB302, HB819, HB1257, HB1258, SB8, SB10, SB11, SB12, SB13, SB14, SB16, SB17, SB18, SB20, SB21, SB22, SB40, SB48, SB55, SB69, SB75, SB77, SB78, SB85, SB102, SB115, SB133, SB140, SB148, SB151, SB165, SB169, SB170, SB185, SB197, SB200, SB217, SB235, SB278, SB280, SB291, SB300, SB303, SB315, SB324, SB330, SB411, SB416, SB420, SB436, SB438, SB449, SB455, SB456, SB477, SB489, SB521, 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, HCR72, HB633, HB603, HB940, HB251, HB775, HB998, HB1191, HB625, HB1255, HB901, HR20, HR74, HCR65, HCR71, HB284, HB306, HB341, HB366, HB393, HB458, HB577, HB582, HB605, HB614, HB733, HB752, HB773, HB798, HB911, HB955, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1240, SB82, SB89, HB258, HB842, SB149, SB382, SB441

Keywords: Pineville High School, Lady Rebels, softball, LHSAA, Louisiana High School Athletic Association, Class 5A, state championship, high school sports, student athletes, commendation, resolution, athletics, girls softball, championship team, Pineville, school recognition, sportsmanship, coach Allison Frye, Louisiana legislature, House Resolution

Transcript Highlights:

• However, we are limited to three.
• So if you want to call up our first speaker. in, however, we are limited to three.
• However, we are limited to three.
• Too often emergency departments operate at or beyond their limits.
• their rate of suicide. ...is to limit their rate of suicide.

Bills: HB2049, HB2050, HB2051, HB2072, HB2082, HB2085, HB2177, HB2178, HB2179, HB2183, HB2195

Keywords: radiation therapy, particle accelerator, critical access hospitals, patient care, rural healthcare, AHCCCS, lactation care, breastfeeding, health services, healthcare access, Cesar Chavez, public holiday, state law, holiday repeal, Arizona Revised Statutes, childhood cancer, rare diseases, research funding, healthcare, clinical trials

Summary: The committee opened with attendance and member introductions, then heard a series of health-related bills, many focused on access to care in rural and underserved communities. HB 2049 would allow particle accelerators for radiation therapy in critical access hospitals and counties under 400,000 population under general supervision; sponsors and rural oncology witnesses said it would reduce travel burdens for cancer patients while maintaining safety protocols. HB 2050 updated radiologic technologist statutes to align with current national standards, adjust accreditation and clinical-hour requirements, and allow radiologist assistants to work under supervision rather than direct supervision; an amendment also added registered nurses to the list of professionals not needing a separate license to use diagnostic X-ray machines. Both bills were supported by testimony about workforce shortages and access, though one member voted no on HB 2050 over concerns about oversight and board authority. Both measures received do-pass recommendations, with HB 2050 amended. The committee then unanimously advanced HB 2082, which creates a Childhood Cancer and Rare Childhood Disease Research Commission to award grants for phase-one pediatric cancer and rare disease trials. Testimony came from families affected by pediatric brain cancer, including a parent who described traveling internationally for treatment and a college student currently undergoing treatment who urged the state to invest in research. Members expressed strong sympathy and support, and the bill passed 12-0. Next, HB 2015 would require Access to cover breastfeeding and lactation services in multiple settings; the sponsor and medical witnesses described breastfeeding as preventive care with benefits for infants and mothers, while Access testified neutral and noted a fiscal estimate was being developed and that the amendment would protect the state if CMS does not approve the services. The bill, as amended, also received a unanimous do-pass recommendation. The committee also approved HB 2177, which directs Access to seek CMS waivers so tribal and Indian Health Service facilities can be reimbursed for certain covered services, including dental care, for American Indian and Alaska Native members. The sponsor and a Sage Memorial Hospital representative said the bill would help rural tribal facilities keep services local and maximize federal matching funds; it passed unanimously as amended. HB 2178, requiring a state agency medical chief officer to hold an active medical or osteopathic license, was described as a cleanup measure after a lapse in licensure exposed a statutory gap, and it also passed unanimously. HB 2179, which clarifies definitions separating air ambulance from ground ambulance regulation, was supported as a technical clarification to avoid unintended consequences and likewise received unanimous approval. Finally, the committee advanced HB 2183, which creates an emergency medicine study committee to examine Arizona’s EMS system, including rural and urban capacity, workforce burnout, uncompensated care, and emergency department utilization. The sponsor said the study would help the state understand system pressures and identify policy solutions; firefighters, health care advocates, and an emergency medicine nurse practitioner testified in support, emphasizing the ER’s role as the safety net and the strain from staffing shortages, rural closures, and high volumes. The bill was still under discussion at the end of the transcript, with testimony continuing after the initial supporters spoke.

Transcript Highlights:

• , 300,000 aggregate limit.
• You've not heard a good answer as to why we are not using limited resources.
• There is a limit to the rhetoric. >> Additional debate?
• Or you bring them out of the shadows and the next load to come over.
• We are going to be limiting 287 agreements to our jails. But I am not as optimistic.

Bills: SJR36, SR8, SR14, SR15, SR17, HCR54

Keywords: accountants, Texas Society of Certified Public Accountants, advocacy, legislation, business issues, memorial, law enforcement, sacrifice, tribute, community support, service, community, Holocaust, remembrance, antisemitism, human rights, education, Holocaust Remembrance Day, memorialization, sexual assault

Transcript Highlights:

• Tab 5, SB 1710, prohibitions and limitations on diversity, equity, and inclusion and requirements for
• I urge you to reject SB 1710 and support policies that expand opportunity, not limit it.
• It has loaded language that is meant to frame the bill more appealing to a particular party without actually

Summary: The committee first confirmed Heather L. Turnbull to the Florida Commission on Community Service, with the motion adopted and the confirmation recommended favorably. Members then took up SPB 7022, which sets Florida Retirement System employer contribution rates beginning July 1, 2025, updates rates to address unfunded actuarial liability, and allows certain elected officers to elect a DROP accumulation; a technical title amendment was adopted, the bill was submitted as a committee bill, and it was reported favorably as a committee bill. The committee then heard extensive debate and public testimony on SB 1710, which would restrict diversity, equity, and inclusion-related policies, trainings, and activities in state agencies, state-funded contractors and grantees, and medical institutions of higher education. Sponsor Senator DiCeglie said the bill is intended to prevent state agencies and contractors from using state funds for DEI programs and to limit state agencies from adopting DEI-related official positions; he also said the medical-school portion would likely be amended out later. Senator Polsky and others questioned the bill’s breadth and how it would affect health-related grants, public universities, historically Black institutions, recruitment, and contractor training. Public testimony was overwhelmingly opposed, with speakers arguing the bill would harm health care, education, access, and inclusion; a few supporters said DEI is ideological, can undermine merit, and should not be used by state agencies or publicly funded institutions. After debate, Senator Polsky argued the bill was confusing, overbroad, and harmful to serving diverse communities, while Senator Arrington said it was an overreach into private business and could have significant fiscal impacts. Chair Fine closed by saying DEI is political ideology and that the bill is meant to ensure government focuses on talent rather than identity. SB 1710 was then reported favorably on a roll call vote, with Senator Arrington voting no and the remaining members voting yes. The committee then began SB 1678, relating to entities that boycott Israel, and heard the sponsor’s explanation of a delete-all amendment that would expand and clarify state restrictions on dealings with entities engaged in boycotts of Israel, including certain nonprofits, foreign educational institutions, and grants; the amendment was adopted, and the sponsor and a witness began answering questions when the transcript cuts off.

Transcript Highlights:

• Consolidation among providers can limit patient choice and reduce competition.
• The ACA created a limit, a maximum, but it goes up every year.
• My employer also has fairly limited, Very little I can do to make an impact.
• My employer also has fairly limited options, so I feel like it's the insurance company.
• And so the price of these drugs is really limiting our availability to make them available.

Keywords: 1184, house, all

Transcript Highlights:

• Typically, that includes a once-per-year eye exam and a limited discount on your glasses and contacts
• And all of the panels I'm not able to access are limited to just the retail locations that the...
• Okay, is this plan limited to just small businesses at the moment, your reading of it?
• So I asked the previous witness if this was limited to small businesses or not.
• The bill doesn't limit, OK, the business for, I mean.

Bills: HB139, HB1818, HB1942, HB1959, HB2221, HB2254, HB2563, HB2067, HB2275, HB3211, HB139

Keywords: HB 1818, Texas Insurance Code, Texas Department of Insurance, commissioner of insurance, health maintenance organization, HMO, insurer, utilization review, preauthorization, prior authorization, medical necessity review, health care services, medical care, insurance regulation, insurance examination, regulatory oversight, confidential records, public information exception, Chapter 843, Chapter 1301

Transcript Highlights:

• Resolution 2206 and 2207, which are also in the block. 2206 and 2207, which are also in the block and loaded

Keywords: June 29, 2026 - Special Session 1, 976, house, all

Transcript Highlights:

• So is there a cap or a limit on what the private—do we have?
• These folks have carried the load of ad valorem tax for decades, and it's time for some relief.

Bills: HB214, HB217, HB514, HB593, HB618, HB732, HB908, HB961, HB1010

Keywords: property tax, blighted properties, urban rehabilitation, tax exemption, local government, financial incentives, blighted property, derelict property, property tax exemption, local redevelopment plans, rehabilitation standards, ad valorem tax, community development, senior citizens, homestead exemption, Louisiana Constitution, motor vehicles, local fees, transaction fees, funding

Transcript Highlights:

• But those stories are loaded and heavy, and I think you all should and can model something different
• tribal agencies, including the Ramah Navajo Department of Natural Resources, are underfunded, which limits

Bills: HM45, HB276, HB300

Keywords: Taos County, Questa, produced water, treated produced water, water reuse, water quality control commission, freshwater conservation, rural communities, acequias, Indian nations, tribes, pueblos, water rights, industrial water use, data centers, artificial intelligence, AI, quantum computing, economic development, renewable energy

Transcript Highlights:

• We're going to limit testimony to a very hard two minutes.
• eight-hour limit.
• But I am going to try to limit them given the hour.
• Because it violates the limit. test. Well, we no longer have the lemon test in place.
• All right, we do have a two minute maximum time limit.

Bills: HB4, HB54, SB 10, SB 24, HB4, HB54, HB775, HB850, HB 1122, HB 1249, HB1405, HB2336, HB2757, HB3372, HB3622, HB4442, HB4687, HB4893, HB5089, HB5515, HB5606, SB10, SB24, HB1573, HB3369

Keywords: district composition, congressional election, Texas, legislature, voting districts, citizenship, U.S. citizen, non-citizen, public office, advisory board, task force, state government, local government, political subdivision, commission board, appointment eligibility, officeholder qualifications, public service, naturalization, Texas Government Code

Transcript Highlights:

• welcoming the school groups that could still visit, adding staff support to help students feel safe loading
• 00:59:13.240> students<00:59:13.760> feel<00:59:13.960> safe<00:59:14.320> loading
• <00:59:14.680> and to help students feel safe loading and to help students feel safe loading

Transcript Highlights:

• We're going to hold people to those time limits.
• You have the power to reduce behavioral challenges in classrooms, to lighten the load on families, and
• The Mass PFAS Act contains provisions to limit... ...and protecting our firefighters.
• The Mass PFAS Act contains provisions to limit and phase out the use of PFAS and directs the Department
• Some of these diagnoses could have been prevented if we'd acted sooner to limit harmful exposures.

Keywords: 995, all

Summary: The Joint Committee on Public Health held a lengthy hearing to take testimony on a wide range of bills related to environmental health, PFAS, medical device chemicals, food access, lead poisoning, air quality, oral health, and school food additives. Chair Driscoll and Chair Decker emphasized that the hearing was for testimony only, no decisions would be made that day, and that written testimony could still be submitted. They also noted the high volume of speakers and asked witnesses to keep remarks brief. A major portion of the hearing focused on PFAS-related legislation, including bills to restrict PFAS in products and food packaging and to create a PFAS remediation trust fund. Municipal officials and advocates described the high costs of PFAS cleanup, especially for drinking water systems, citing Easton’s multimillion-dollar treatment investments and rate increases. Testimony from legislators and advocates argued that Massachusetts should act despite federal uncertainty, and that the state should stop PFAS at the source rather than leaving municipalities and residents to pay for remediation. The committee also heard strong support for a bill banning DEHP in medical devices, with physicians, nurses, and a bill sponsor saying the chemical can leach from IV bags and tubing and that safer alternatives already exist. The committee also heard testimony on bills to establish statewide food truck permitting, with food truck owners and a senator describing the current system as costly, duplicative, and inconsistent across municipalities. Another set of witnesses supported the “Bean New Deal,” which would expand plant-based food options in public institutions, senior nutrition programs, and WIC, citing health, equity, and cost savings. On lead poisoning, housing advocates and a representative backed bills to expand lead-safe housing requirements to all rental units, arguing the current law contributes to discrimination against families with children and leaves too much pre-1978 housing uncertified. The committee also heard support for an outdoor air pollution bill that would create an advisory committee, identify pollution hotspots, expand monitoring, and set reduction targets, with testimony from environmental justice groups, pediatricians, and legislators describing disproportionate asthma and other health harms in overburdened communities. Later testimony addressed oral health bills to create dental therapists and allow dental hygienists to administer nitrous oxide, with supporters saying the measures would expand access, reduce costs, and help underserved patients. The committee also heard testimony on a bill to prohibit harmful food dyes in competitive school foods, with parents describing behavioral and health concerns tied to synthetic dyes. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• Section 9F, the Chair announces the introduction of HR174, suspending the limitations on the conferees
• It is the testing load on our students.
• The chair lays out the following privilege resolution suspending limitations on the conferee.
• So, it's basically, where do you set the upper limit, and the upper limit by this or your language is
• But we are not limiting ourselves to punishing beyond that if we think it warrants it.

Bills: SB 1, HCR 20, HR 131, HR 133, HR 135, HR 136, HR 137, HR 144, HR 145, HR 146, HR 149, HR 150, HR 151, HR 152, HR 158, HR 161, HR 162, HR 163, HR 165, HR 166, HR 168, HR 169, HR 170, HR 175, HR 178, HR 127, HR 129, HR 130, HR 132, HR 134, HR 138, HR 139, HR 140, HR 141, HR 142, HR 143, HR 153, HR 154, HR 155, HR 156, HR 159, HR 160, HR 164, HR 167, HR 172, HR 173, HR 176, SB 1, HB 8, HB 15, HB 27, SB 5

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, memorial, remembrance, legacy, condolences, community, higher education, university merger, research, public health, economic impact, healthcare, insurance, affordability, medical coverage, state regulations

Transcript Highlights:

• Due to time constraints and opening testimonies for sponsors, your time will be limited to one minute
• Private equity firms typically load nursing homes with debt, extract cash through management fees and
• and Oregon pass measures to increase ownership transparency, restrict risky financial practices, and limit
• require a new diagnosis are minor and Not require a new diagnosis, are minor and generally self-limiting
• Yes, we are often hindered by outdated statutory limitations that prevent us from practicing to the full

Bills: SB274, SB301, SB249

Keywords: healthcare, life-sustaining treatment, patient preferences, POLST, advance directive, medical orders, hospital discharge, pregnancy, patient care, discharge planning, healthcare policy, substance use, harm reduction, syringe services, needle exchange, overdose prevention, naloxone, opioid antagonist, drug paraphernalia, syringe

Summary: The committee heard and advanced several measures related to health care, public health, and patient protections. House Concurrent Resolution 148, urging a statewide educational strategy on menopause, was presented as a workplace awareness measure and received supportive comments from members before being released. Senate Bill 274, updating Delaware’s MOST program to POLST and clarifying capacity determinations and documentation for end-of-life orders, also drew supportive testimony from medical and nursing groups and was released. House Bill 458, limiting local backflow preventer requirements for certain low-hazard buildings, was presented as a cost-relief measure for homeowners and small businesses; DHSS expressed concerns but said it was willing to work on amendments and a sunset provision, and the bill was released. Senate Joint Resolution 18, designating August 31, 2026 as International Overdose Awareness Day and ordering flags at half-staff, was released after brief supportive remarks. The committee then considered Senate Bill 339, a technical correction to the advance health care directive form clarifying that an agent’s authority for voluntary mental health admission cannot exceed 72 hours, consistent with existing law. Members asked detailed questions about how the 72-hour limit works and whether it applies to voluntary directives; the sponsor and a Disability Rights Delaware witness explained that the bill only aligns the form with current statute and does not expand authority. The bill was released. House Bill 301, requiring hospitals to create discharge plans for pregnant patients discharged while showing signs of labor, prompted extensive discussion. The sponsor and supporters said it would improve safety, transportation planning, and aftercare, while some members noted Delaware hospitals already do much of this work and questioned whether codifying it was necessary; supporters emphasized maternal mortality disparities and the need for guardrails. The bill was released. Senate Bill 196, creating ownership disclosure requirements for long-term care facilities and resident notice rules after ownership transfers, was presented as a transparency measure for seniors and families and was released after supportive testimony from the Delaware Nurses Association and elder-care advocates. Senate Bill 320, expanding pharmacists’ independent prescriptive authority for certain non-controlled medications and allowing opioid use disorder medications under standing order, with added malpractice reporting requirements in Senate Amendment 2, was supported by pharmacists and nurse practitioners as an access-to-care measure and was released. Senate Substitute 1 for Senate Bill 161, establishing a unified licensing and oversight framework for adult behavioral health providers under DSAM, was presented as a patient-protection measure; providers supported the goal but cautioned that regulations must be workable, and the substitute was released. Senate Joint Resolution 19, directing DHSS to study strategies to reduce health care costs, was released with a note reflecting concerns about broadening the analysis to include additional cost drivers and alternatives. Finally, Senate Bill 249 with Senate Amendment 2, modernizing harm-reduction programs and paraphernalia laws, generated the most extended debate: supporters framed it as life-saving public health policy, while opponents raised concerns about needle litter, community impacts, and whether the approach facilitates addiction. Despite the objections, the bill was released.

Transcript Highlights:

• And that number, 53,851 for 2025, that's a fully loaded cost for the state.
• It introduces additional uncertainty, and without clear limits on coverage, CCOs are left to manage constraints
• The Affordable Care Act actually significantly limits the factors that can be considered in terms of
• It may also change some of your cost-sharing limits, and geography, which there is, companies are allowed
• use funds for things that we know cannot continue to be supported with this funding because it's a limited

Keywords: 907, all

Summary: The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits. CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs. The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.

Transcript Highlights:

• have experience with a college academic system, how you navigate that, how you take the right course load
• executive and the LFC recommend controlling tuition increases at higher ed institutions for FY27 to limit
• the amount of that deficit in your scholarship To limit the amount of that deficit in your scholarship
• So this language is designed to respect the authority of the regents while limiting the state's appropriations
• So then, as House Bill 2 language currently limits transfers and then focuses the use of zero-budget

Bills: SB37, SB29

Keywords: high-quality literacy instruction, science of reading, structured literacy, reading instruction, literacy assessment, dyslexia screening, phonics, phonemic awareness, fluency, vocabulary, comprehension, biliteracy, English language learner, ELL, bilingual education, dual language program, reading intervention, reading difficulty, reading improvement plan, literacy coach

Transcript Highlights:

• We are very rural and do have resource limitations—structural and systemic. limitations.
• know that Northern Arizona University has an American Indian nursing program, and their cohort is limited
• Yeah, we also have about 90 full-time faculty members, and we have limited faculty housing on campus.
• Can you, I know it's a a loaded question, but perhaps this is a challenge.