Transcript Highlights:

• background studies disqualifications. background studies disqualifications. staff<01:06:38.880><
• <01:08:51.440> 2 day services into our uh net study 2 day services into our uh net study 2
• Uh this background studies system.
• Uh and so this net study not 2.0.
• <01:09:12.080> 2.0 those studies into the net study 2.0 those studies into the net study 2.0

Bills: HF3935, HF2216, HF4354, HF4210, HF4212

Keywords: assisted living, healthcare, training, unlicensed personnel, resident rights, safety regulations, nursing home, long-term care, guardian, conservator, arbitration, mandatory arbitration, consumer protection, fee increase, rate increase, price hike, private pay, public funds, Medicaid, waiver services

Transcript Highlights:

• <01:09:56.239> and you've got to look at legislation and you've got to look at legislation
• it is always dangerous when legislation it is always dangerous when legislation is<01:19:31.760>
• properly manage storm water. properly manage storm water.
• <01:41:13.119> Senate study. Senate file 85 Raven Act. Senate study.
• <01:54:12.960> Senate study. Senate file 85 Raven Act. Senate study.

Keywords: 916, all

Transcript Highlights:

• Empowering patients is a core value of this piece of legislation.
• Empowering patients is a core value of this piece of legislation.
• Thank you all for co-sponsoring this legislation. Thank you all for co-sponsoring this legislation.
• And I can tell you this legislation.
• So we studied the problem, and we know that we can do better, way better.

Summary: The subcommittee met with a quorum present and took up five health-related bills. HB 1089, which would add Duchenne muscular dystrophy to Florida’s newborn screening panel, was presented as a way to enable earlier diagnosis and treatment; a pediatric neurologist from Nemours testified in support, noting existing FDA-approved therapies and ongoing clinical trials. After supportive debate, the bill passed 17-0 and was reported favorably. HB 1083 would standardize patient access to medical records by setting deadlines for providers to produce or allow inspection of records and requiring electronic delivery when available. Supporters said it would reduce delays in care and costs, while two industry groups appeared in opposition. Members from both parties spoke in favor, and the bill passed 17-0 and was reported favorably. HB 1297, which aligns Florida’s electronic prescribing rules more closely with federal law and removes some state exceptions, drew opposition from physicians who argued paper prescriptions are still needed for emergencies, shortages, and price shopping. The sponsor said the bill’s goals were patient safety, fraud prevention, and efficiency; despite concerns, it passed 18-0 and was reported favorably. The committee then considered PCS for HB 1421, the Emily Adkins Family Protection Act, which would create a statewide blood clot and pulmonary embolism registry, require hospital reporting and risk-assessment policies, and expand training requirements in hospitals, nursing homes, and assisted living facilities. The bill was presented with emotional testimony from Emily Adkins’ parents, who urged support and co-sponsorship in her memory. Members from both parties praised the family’s advocacy, and the PCS passed 18-0 and was reported favorably. Finally, HB 449 on optometry would expand optometrists’ authority to prescribe certain medications and perform specified laser and non-laser eye procedures after certification. The bill and amendment drew strong opposition from ophthalmologists and their association, who raised patient-safety, training, and delegation concerns, while optometrists argued the bill would improve access, especially in rural areas and counties without ophthalmologists. The amendment was adopted, and the bill as amended passed on a recorded vote and was reported favorably.

Transcript Highlights:

• health, and storm water management health, and storm water management systems<00:03:46.480> can
• the Minnesota management budget the Minnesota management budget guidelines.<00:07:47.039> It's
• So, tell me about that. >> Well, this legislation is modeled after the federal legislation that just
• Well, this uh legislation is modeled Well, this uh legislation is modeled after<00:18:15.760> the<
• > just after the federal legislation that just after the federal legislation that just passed<

Keywords: 1187, senate, all

Transcript Highlights:

• . legislation. legislation.
• So the motion is interim study.
• care. >> All managed care.
• >> this is all managed care. >> this is all managed care.
• >> General PBM legislation. So some states >> General PBM legislation.

Keywords: 1189, house, all

Transcript Highlights:

• . >> Senate File 2, Legislative Budget Sponsor Management Council.
• Senate File 63, Administrative Rules Legislative Review, sponsor: Management Audit.
• <00:41:22.960> review<00:41:24.000> sponsor<00:41:24.640> management legislative
• review sponsor management legislative review sponsor management audit.<00:41:26.240> Senate<00
• In subsection B, the Legislative Service Office, at the direction of the Management Audit Committee,

Keywords: 916, all

Transcript Highlights:

• So what managed care company started to do at this point is say, okay, we're So what managed care company
• We've got to do network management.
• So we have no role in managing that benefit or managing that network.
• Some studies suggest, no.
• Other studies, the US Government Accounting Office study in 2024 found Other studies, the US Government

Summary: The Senate Committee on Health and Human Services convened to discuss interim charges regarding fraud, waste, and abuse in Texas human services, particularly focusing on Medicaid and childcare programs. The meeting highlighted the importance of preventing misuse of taxpayer funds, with testimony from various stakeholders emphasizing the need for increased oversight and accountability in these programs. Key points included the alarming rise in healthcare fraud in other states, the necessity for Texas to enhance its fraud prevention measures, and the potential financial repercussions of failing to meet federal compliance standards. Several committee members expressed concerns about the impact of fraud on vulnerable populations, particularly those relying on Medicaid services. Testimonies from experts underscored the effectiveness of Texas's Office of Inspector General (OIG) in combating fraud, yet pointed out existing vulnerabilities, such as inconsistent enforcement and the need for better data sharing among agencies. The discussion also touched on the challenges faced by hospice care providers, with a significant increase in the number of hospices in Texas raising concerns about quality and oversight. The committee heard from various witnesses, including representatives from health plans and advocacy organizations, who provided insights into the complexities of managing Medicaid and the importance of maintaining program integrity. The meeting concluded with a commitment to further explore legislative solutions to enhance oversight and ensure that resources are directed to those in genuine need.

Transcript Highlights:

• Uh we look at the the management.
• um on the uh state emergency management um on the uh state emergency management side<00:23:47.360
• 23:58.159> special management does leverage special management does leverage special projects<
• Native Hawaiian Burial Site Management Native Hawaiian Burial Site Management under<01:05:46.319
• commission on water resource management commission on water resource management and<01:13:18.480

Keywords: 910, house, all

Summary: The House Committee on Water and Land met on March 25, 2025, and first announced it had deleted HCR 3 and HCR 4567 from the agenda pending similar Senate measures. It then heard HR 35/HCR 40, which urges DLNR and other state agencies to work with community groups to co-steward community forests on public lands. DLNR’s urban and community forester testified in strong support, and several organizations and individuals submitted support; there were no questions or opposition noted. The committee next heard HCR 64, asking OPSD to convene a working group on establishing and placing an Office of Resilience and Recovery. OPSD and the Governor’s Office of Recovery and Resilience supported the resolution and suggested friendly amendments, including replacing county civil defense representatives with mayors or their designees and allowing subject-matter experts to serve. Members questioned the office’s role, funding, and relationship to other resilience and emergency management offices, and the witness explained it was created after the Maui wildfires to coordinate long-term recovery, with special-project funding and a focus distinct from response and mental health functions. The committee also heard HR 59/HCR 65 on coordinating concurrent reviews of general plan, district boundary, and zoning amendments during land reclassification. OPSD testified with comments and warned that the proposal could facilitate spot zoning if individual landowners could use the concurrent process, recommending it be limited to county-initiated actions. A related discussion followed on HR 118/HCR 122, which would create a collaborative working group on surveying and protecting iwi kūpuna and related coastal erosion issues; DNR, OHA, and others supported it with suggested additions, and testimony emphasized cultural sensitivity and community-specific decision-making. Members asked about burial practices and a recent court ruling, and witnesses said the working group could help guide broader policy and communication. Finally, the committee heard HR 145/HCR 151, requesting DLNR to report on its lease enforcement process and procedures. DLNR said it was recruiting staff to conduct lease inspections but had difficulty filling positions due to compensation, and explained that new or extended leases can include inspection requirements, while retroactive cost-shifting would raise contractual issues. Members asked for information on lease renewal timelines and whether inspection provisions were being added to renewals; DLNR said those decisions are made in public sunshine meetings and agreed to provide additional information. No votes or final actions were taken in the portion of the meeting provided.

Transcript Highlights:

• THIS IS INTERESTING PIECE OF LEGISLATION BECAUSE IT HAS A LOT OF GOOD STUFF IN IT.
• YOU GET VERY AFFORDABLE STUDIES ON THESE ORGANIZATIONS.
• AND THERE ARE SOME GOOD THINGS IN THIS LEGISLATION.
• A GROWTH MANAGEMENT AND CONSERVATION GROUP.
• I THINK THAT IS ALWAYS A GOOD SPIRIT OF ANY PIECE OF LEGISLATION.

Keywords: 999, senate, all

Transcript Highlights:

• I'm the legislative director for the Attorney General's office.
• I study these things all the time.
• “And this legislation would do three things.
• However, those claim managers do manage the everyday ongoing benefits in a claim.
• And we hope that we will see some legislation come forward that will be easily managed by the legislature

Summary: The committee first received an update from the Attorney General’s office on a new workers’ rights unit and two request bills. The office said the unit will focus on wage theft and civil rights enforcement, using existing resources for a small staff. It also described a bill to expand civil investigative demand authority for labor, wage theft, prevailing wage, and discrimination investigations, and an Immigrant Worker Protection Act that would require employer notice when federal immigration authorities request employee records, limit access to nonpublic work areas without a warrant, and restrict disclosure of employee data without proper legal process. Senators asked about costs, funding sources, and the scope of the proposed authority, and the office said it would follow up with more detail. The committee then heard a detailed presentation on Washington’s workers’ compensation system from Labor and Industries, including how claims are filed, how the medical provider network works, and how treatment authorizations and utilization review are handled. L&I said the network was created to improve care quality and return workers to work, and explained that most routine care is automatically authorized while certain procedures require prior approval or review. A question from Senator Conway focused on the role of the medical director and the appeals process; L&I said decisions can be protested and reconsidered, with exceptions reviewed through a complex treatment unit and medical staff. An experience panel followed with testimony from labor representatives, physicians, and an injured-worker attorney, who argued that the medical provider network and treatment guidelines can delay or deny needed care, especially in complex cases such as PTSD, brain injuries, and serious orthopedic injuries. They described long appeals, utilization review barriers, provider shortages, and the impact on injured workers and families, while L&I’s presentation emphasized the system’s structure and review safeguards. The committee then heard a report from the Underground Economy Task Force in the construction industry. L&I summarized the task force’s findings on worker misclassification, unregistered contractors, and unpaid taxes and premiums, and outlined consensus and majority recommendations, including better interagency communication, stronger penalties for repeat offenders, more authority to address successorship, possible contractor notice requirements, and further study of cash payments. The Attorney General’s office, labor, and business representatives generally supported the report’s goals but differed on some recommendations, especially those affecting independent contractors, contractor liability, and administrative burdens. The chair and Senator Conway thanked participants and said the report would inform future legislation.

Transcript Highlights:

• cases based on our current legislation cases based on our current legislation under<00:15:25.079
• this legislation to make it a study committee would be your testimony?
• I managed to get my license on time; it takes planning, but I managed to get my license on time.
• that says and I don't think has to study that says and I don't think has to be<04:06:43.600> legislated
• <04:06:44.840> have be legislated study but why not have be legislated study but why not have

Keywords: 928, house, all

Summary: The committee heard testimony on HB 153, which would require two or more law enforcement officers in each county to receive animal cruelty training through the police standards system. Representative Barbara Coma, the sponsor, said the bill was prompted by problems in animal cruelty cases, especially in rural areas without animal control officers, and she described it as a limited training measure. She said an amendment was forthcoming that would add an eight-hour approved course and a two-hour refresher every three years, and she emphasized that the trained officers would serve as resources rather than being required to take action themselves. Members asked about cost, due process, overlap with animal control officers, how trained officers would be identified and notified, and whether veterinarians could fill the role. Coma responded that the bill would not be a heavy financial lift, would not interfere with animal control officers, would apply to livestock as well as companion animals, and would still require law enforcement involvement because veterinarians cannot lawfully remove animals from property. She also said the training could improve due process by helping officers better understand when animal removal is appropriate and how cases should proceed. Sheriff William Wright, speaking for the New Hampshire Sheriffs Association, testified in opposition. He said training itself was acceptable, but the bill went beyond training by creating an obligation for sheriffs and state police to respond to and potentially investigate animal cruelty cases, which he argued would be ambiguous, unfunded, and burdensome for staffing and resources. He said some sheriff’s offices do not have investigative deputies and that the bill could create liability and uncertainty about who would lead investigations. In response to questions, he said the association would likely have no objection if the bill were limited to training, but it opposed the assistance/investigation mandate as written.

Transcript Highlights:

• >> It's solar radiation management.
• But this bill is not ready to manage it.
• And our management plan was updated in 2012.
• We caught it in time to manage the disease.
• Final rule management plan.

Keywords: 999, senate, all

Transcript Highlights:

• I'm the manager at the Oahu Invasive Species Committee.
• I'm the manager at Species Committee.
• specificities in federal legislations specificities in federal legislations and<00:05:11.120>
• Um the federal offices are management.
• Study unit.

Keywords: 912, senate, all

Summary: The joint AEN-HRE hearing focused on HCR 130, HD1, which urges increased and sustained funding for the island invasive species committees and the Hawaii Ant Lab within the University of Hawaii’s Pacific Cooperative Studies Unit. The Department of Agriculture said it supported the intent and noted that ISC funding flows through the Hawaii Invasive Species Council budget item via DLNR, while also describing ongoing collaboration with DLNR and efforts to support ant control work. Testifiers from CAPS, the University of Hawaii, the Oahu Invasive Species Committee, and CARES all supported the resolution, emphasizing that invasive species work is underfunded, that the island committees and Hawaii Ant Lab do critical control, research, outreach, and eradication work, and that sustained resources are needed to plan effectively and respond to priority pests such as little fire ant, coconut rhinoceros beetle, and coqui frog. A lengthy exchange followed over whether the resolution was meaningful, since it would be urging the state to fund work the Legislature itself controls. Several members argued that a resolution alone has no legal effect and that funding should come through bills and appropriations instead. In response, the Department of Agriculture said its top biosecurity needs are personnel and chemicals, and noted it is building up its plant quarantine and plant pest control divisions with prior funding and HB 427. Oahu Invasive Species Committee representatives said they rely heavily on Hawaii Invasive Species Council grants, have limited soft funding, and need more stable resources; they also pointed to annual reports and prior testimony as documentation of their work. After a brief recess, the chairs announced they would pass the resolution with amendments to make it more relevant. The amendments changed the title and text to urge the counties, Congress, and other relevant agencies—not the state alone—to provide increased and sustained funding, and added language urging all of those bodies to seek federal grants. The AEN committee then voted to pass HCR 130, HD1, as amended, and the HRE committee also voted to pass it with amendments. The motion was adopted in both committees.

Transcript Highlights:

• to the 2026 legislative session.
• We heard from Legislative Council, the Legislative Finance managing manager from JFO.
• > Legislative of Legislative Council, the Legislative of Legislative Council, the Legislative
• <01:22:59.480> Uh Finance managing manager from JFO.
• Uh Finance managing manager from JFO.

Keywords: 926, house, all

Summary: The House opened with a devotional reading by poet April Osmon, who read two poems focused on bridging political divides and shared humanity. Members then recognized the final day of service for the legislative pages, thanking them for their work during the 2026 session and presenting each page with a pin and a photo opportunity. The chamber then handled bill referrals: Senate Bill 193, creating a forensic facility for certain criminal justice-involved persons, was referred to Judiciary; Senate Bill 198, regulating tobacco products and tobacco substitutes, went to Commerce and Economic Development; Senate Bill 214, concerning pre-kindergarten education in geographically isolated school districts, went to Education; and Senate Bill 218, reducing chloride contamination in state waters and carrying an appropriation, was referred to Appropriations. The House also read and adopted two concurrent resolutions: HCR 237 congratulating Vermont-associated 2026 Winter Olympic medal winners, and HCR 238 honoring the Vermont Association for the Blind and Visually Impaired on its 100th anniversary. Much of the remainder of the session consisted of tributes and guest recognitions tied to those resolutions. Members highlighted Vermont’s Olympic skiers and coaches, including Ben Ogden, Paula Moltzan, Ryan Cochran-Siegle, Jessie Diggins, Mikaela Shiffrin, Barbara Ann Cochran, Bill Koch, and others, and read a note from Diggins thanking Vermont for its support and emphasizing teamwork and community. Speakers also praised VABVI’s century of service and its role in helping blind and visually impaired Vermonters, and several members offered personal remarks honoring retiring Representative Francis “Topper” McFaun for his long service, mentorship, and family legacy.

Transcript Highlights:

• services organization, an a management services organization, an independent<00:03:57.360> entity
• to prevent the through legislation to prevent the ownership<00:10:35.600> of<00:10:35.839>
• from 2000 to 2024 covering studies from 2000 to 2024 conclude<00:12:04.320> that<00:12:04.560
• care into interest payments, management care into interest payments, management fees,<00:12:29.440
• Studies document increases in management fees, lease costs, and interest expenses after acquisition

Keywords: 1183, house

Summary: The committee took up two bills concerning health entity ownership and heard invited testimony before acting on them. Dr. Yasha Singh of Brown University testified about private equity in healthcare, describing how PE firms use debt-financed acquisitions, short investment horizons, and roll-up strategies that can avoid disclosure requirements. He said the lack of transparency makes it difficult to track ownership and outcomes, and cited research linking PE ownership to higher costs in outpatient care, more ancillary service use, workforce turnover, and worse outcomes in hospitals and nursing homes. He also noted Minnesota-specific concerns, including PE involvement in opioid treatment programs, and said the policy challenge is balancing needed capital investment with protections for patients and workers. Sam Brooks of the National Consumer Voice for Quality Long-Term Care testified in strong support of the legislation, focusing on nursing homes. He argued that private equity ownership is associated with worse resident outcomes, including higher mortality, more pressure ulcers, more hospitalizations, and more deficiencies, and said leverage buyouts divert money from staffing and care into debt service, management fees, and lease-back arrangements. Brooks said staffing levels and quality ratings decline under PE ownership and pointed to recent bankruptcies as examples of instability. He said the bills would add safeguards such as transparency, attorney general approval of acquisitions, and requirements that a large share of public funds go to direct resident care. The testimony framed the bills as responses to concerns about private equity ownership in healthcare and long-term care, especially the effects on quality, staffing, and financial stability. No vote or final committee action was described in the excerpt.

Transcript Highlights:

• And then by June 30th of each odd-numbered year, the director of OMB will report to Legislative Management
• And then by June 30th of each odd-numbered year, the director of OMB would report to Legislative Management
• If this is a legislative directive, we want information given to Legislative Management, it should come
• Of legislation.
• So that ties the hands of legislative management right away, and it makes it more difficult to decide

Summary: The task force approved the March 25, 2026 minutes as amended, striking language about contracting with a security vendor. Members then reviewed a draft bill on concessions procurement (LC 27.0161), which would raise the competitive solicitation threshold from $25,000 to $50,000, allow requests for proposals in addition to bids, update language for vending and merchandising machines, and clarify where concession proceeds are deposited. OMB explained the bill and said it was open to further changes, including language to address artificial fragmentation, clarify which government entities are covered, and possibly set contract-length limits. Members raised questions about whether the bill would apply to school districts, park districts, airports, and other political subdivisions, and about whether concession agreements could direct proceeds to nonprofits or other secondary recipients; OMB said the statute is intended to require proceeds to go to the government entity’s operating fund or general fund. OMB also reported on other survey suggestions. It said a proposed general authority for agencies to create pre-qualified architect/engineering vendor pools would not move forward, because the existing authority is best limited to high-volume agencies. On legal notices, OMB said it had made progress with the North Dakota Newspaper Association on modernizing online notices, improving ADA compliance, and discussing rate and definition changes. On click-through agreements, OMB and the Attorney General’s office concluded no statutory change was needed after revising internal guidance; the $20,000 threshold was described as a practical cutoff for adhesive, nonnegotiable software terms. OMB also said issues raised by the Center for Distance Education on alternate procurements and food/beverage expenditures had been resolved through policy clarification. The University System gave a brief update on its collaboration with OMB and said it was continuing to review concessions, surplus property, and capital project statutes with all institutions involved. The task force then discussed a draft bill on requirements for new or expanded spending, intended to require agencies to identify program purpose, needs, alternatives, success measures, and budget details, and to report on outcomes over time. Members and staff debated whether OMB or Legislative Council should collect and report the information, how much should be real-time versus periodic, and whether the bill should include full implementation costs for pilot programs. Legislative Council staff said the new program evaluation division is still being built out, that staffing remains limited, and that the office plans to continue working with OMB and the executive branch to refine the proposal before the next meeting. No final action was taken on the draft bills beyond directing further work and follow-up for the next meeting.

Transcript Highlights:

• and targeted case management. and targeted case management.
• This is the background<00:29:23.600> studies background studies background studies article.<00
• care and adoption background studies. care and adoption background studies.
• . management. management.
• DHS outpatient Medicaid rate study. DHS outpatient Medicaid rate study.

Bills: HF2434

Keywords: healthcare, personal care assistance, worker retention, disability services, state funding, 1183, house

Transcript Highlights:

• I have my office manager, Sana, my 2.
• Um, however, my uh legislation.
• :39:02.480> vehicle<00:39:02.800> to neutral study becomes a vehicle to neutral study becomes
• This is to study it comprehensively for our entire state.
• Um, continuing on their legislation.

Keywords: 910, house, all

Transcript Highlights:

• study and I'll second that. study and I'll second that. Further<00:16:47.120> comments.
• I probably will vote against the interim study, because I think that changing it to the legislative body
• interim study? interim study?
• interim study say I. interim study say I.
• >> Have a motion room study. Do I have a >> Have a motion room study.

Keywords: 1191, senate, all

Transcript Highlights:

• , PBMs, pharmaceutical benefit managers.
• This legislation is especially urgent right now.
• Can you recommend a study or report that we could look at?
• Just three PBMs now manage 80% of the prescription drug market.
• I'm a policy manager at Healthcare for All.

Keywords: 995, all

Summary: The committee held a lengthy hearing on a large docket of pharmacy and drug-pricing bills, with most testimony focused on PBM reform, 340B drug discount program protections, specialty medication access, and medication adherence. Chair James Murphy and Senator Paul Feeney opened the hearing and took testimony from legislators, patient advocates, pharmacists, health center leaders, industry representatives, and policy groups. Several speakers described delays, denials, high out-of-pocket costs, and pharmacy closures tied to PBM practices, while others emphasized the importance of community health centers and independent pharmacies in serving patients. On the 340B program, supporters including Senator Eldridge, Senator Payano, Community Care Cooperative, Fenway Health, the Massachusetts League of Community Health Centers, and several community health center leaders argued that bills such as H. 1107 and S. 819 would stop discriminatory PBM and manufacturer practices, preserve contract pharmacy access, and protect safety-net providers that say they reinvest savings into care, pharmacy expansion, interpreter services, behavioral health, and other services. Opponents including PhRMA, the Community Liver Alliance, and a public policy analyst argued the program lacks transparency and accountability, has grown beyond its original purpose, and may benefit large hospitals and for-profit entities more than low-income patients. They urged more reporting and oversight rather than expanding protections. On PBM reform, testimony supported bills including H. 1157, H. 1234, S. 724, S. 831, and related measures that would require rebate pass-through, ban spread pricing, limit steering to PBM-owned pharmacies, and improve reimbursement for community pharmacies. Independent pharmacists and patients said current PBM practices raise costs, create administrative burdens, and threaten access to local pharmacies. PCMA, representing PBMs, opposed the reforms, arguing PBMs lower costs, that plan sponsors choose to contract with them, and that the Health Policy Commission and CHIA should complete their ongoing study before new mandates are adopted. The committee also heard support for H. 1322 and S. 734 on specialty medications, and for H. 781 and H. 1305 on medication synchronization to improve adherence. No votes or formal actions were taken during the hearing.