Transcript Highlights:

• to address pain and mobility, improves all sorts of things, preventive care, nervous system function
• Care Improvement Act, the permanent reauthorization in 2010, and the policy that details is the Community
• This would be a significant improvement in access to preventive care.
• They will create more available appointments in dental clinics and significantly improve access to care
• None of these steps is insurmountable, and the payoff in improved access to care, especially for our

Bills: SB6138, SB5899, SB6072, SB6094

Keywords: dental procedures, sedation, patient safety, multiprovider system, healthcare regulation, chiropractic, animal care, veterinary medicine, license endorsement, nonhuman animals, veterinarian-client-patient relationship, VCPR, veterinary telehealth, telemedicine, teletriage, teleadvice, animal health, licensed veterinarian, Washington veterinary board, prescription drugs

Summary: The Senate Health and Long-Term Care Committee met on January 23 and first took up Senate Bill 5899, which would create a license endorsement for chiropractors to perform chiropractic care on non-human animals. Staff explained the endorsement requirements, including approved animal-chiropractic education or certification, continuing education, signage for mixed human/animal facilities, and a three-year renewal cycle. The prime sponsor and co-sponsor described the bill as a complementary tool for rural areas with limited veterinary access. Testimony was sharply divided: supporters said animal chiropractic is already practiced in other states and can improve access to care, while veterinarians and the Washington State Veterinary Medical Association argued the bill lacked a required veterinary referral or supervision and could create animal and public safety risks. The hearing on SB 5899 closed after extensive testimony, with 57 people signed in pro and 4 con. The committee then held a work session on dental workforce shortages. Presenters from the CORA Foundation, the University of Washington Center for Health Workforce Studies, tribal dental programs, and the Washington State Dental Association described persistent shortages of dental assistants and hygienists, especially in rural and underserved areas, and linked workforce gaps to low preventive-care utilization and poor oral health outcomes. Speakers emphasized that many dental workers face barriers to advancement and that career-ladder models, including tribal Community Health Aide Program pathways and a proposed oral preventive assistant role, could improve recruitment, retention, and access to preventive care. A Delta Dental representative also noted interest in proposals to reduce training barriers and expand preventive duties within the dental workforce. The committee next heard Senate Bill 6138, which would require a multi-provider system for dental procedures performed under deep sedation, separating the person performing the procedure from the person administering and monitoring anesthesia. The sponsor cited recent patient deaths and license actions as evidence of a safety problem and said the bill was intended to address deep sedation only. Anesthesiology groups supported the bill as a patient-safety measure, while oral and maxillofacial surgeons and dental anesthesia experts opposed it, arguing current rules already require multiple trained personnel and that the bill could reduce access and increase costs, especially in rural and Medicaid-serving practices. Testimony included a personal account from the mother of a patient who died after routine wisdom tooth removal. The hearing closed with 255 signed in pro and 321 con. The committee then heard Senate Bill 6072 on veterinarian-client-patient relationships and telemedicine. The bill would allow a VCPR to be established under specified conditions and permit ongoing care by telemedicine, with limited telehealth use even without an established relationship. Supporters, including animal welfare advocates and veterinarians working with shelters and outreach clinics, said the bill would improve access for clients facing transportation, mobility, or scheduling barriers and help keep pets with their families. Opponents from the veterinary association argued the bill weakened traditional VCPR standards, raised concerns about extra-label drug use and disease monitoring, and should include stronger guardrails. The hearing closed with 345 signed in pro and 725 con. Finally, the committee heard Senate Bill 6094, which would change requirements for facilities providing pediatric transitional care services for substance-exposed infants, including directing HCA to seek a state plan amendment for Medicaid facility-based payments and supporting a Spokane-area pilot facility until that approval is obtained. The sponsor said the model helps infants and parents recover together and can save the state money. Early testimony from the operator of Maddie’s Place supported the bill, saying current law leaves the facility unable to bill Medicaid and puts its future at risk.

Transcript Highlights:

• “I know that, but preventative care is a lot.
• LDH to undertake a lengthy and resource-intensive waiver process, not with the goal of improving care
• care.
• When people aren’t able to get that health care coverage, they’re only really able to get that care through
• emergency care.

Bills: HR267, HCR105, HCR107, HCR110, HCR113, HCR114, SB4, SB52, SB57, SB145, SB152, SB194, SB237, SB333, SB433, SB483, SCR37

Keywords: diabetes, amputation, amputations, diabetic foot ulcer, peripheral artery disease, PAD, wound care, podiatry, vascular disease, endocrinology, limb salvage, health policy, public health, healthcare costs, insurance coverage, Louisiana Department of Health, University of Louisiana at Lafayette, Louisiana Center for Health Innovation, patient education, screening

Transcript Highlights:

• Uh, I've seen a JP starter docket by angrily, preemptively declaring that she does not care if you have
• disregard the law, but rather people who must drive to keep their jobs, take their children to school, or care
• They can't take care of themselves. They don't know if danger is lurking.
• for continuous right now, that's the law, yes sir, and the difference that the footnote says is be careful
• Uh, sadly, we have more of these cases than we care to talk about in Chambers County because we have

Bills: HB316

Keywords: Medicaid, healthcare, affordable care act, medical assistance, federal funding

Transcript Highlights:

• </c> that mother that's trying to take care that mother that's trying to take care of<00:07:49.840><c
• streams, they first need to care.
• </c> that are already going to be taken care that are already going to be taken care of. of. of.
• </c> Funds for the local road improvement Funds for the local road improvement program<01:03:55.039><
• </c><01:29:53.360><c> agency</c> information systems to improve agency information systems to improve

Bills: HF4736, HF4737, HF3806, HF3352, HF4840, HF3748

Keywords: emergency shelter, grant program, homelessness, capital investment, Minnesota Statutes, appropriation bonds, public funding, housing, infrastructure bonds, funding, appropriation, Minnesota constitutional amendment, public debt, state bonds, general obligation bonds, information technology, IT infrastructure, software licenses, technology modernization, capital improvements

Transcript Highlights:

• We're trying to make sure that we get universities, businesses, and industry to partner together to improve
• I'm going to read, which I think solves some of that, as nothing in the improvement plan interferes with
• vague to say if somebody owns a property and they want to assess additional mileage to do a public improvement

Bills: SB1530, SB1579, SB1778, SB1847, SB1990, SB1992, SB2060

Keywords: research funding, development rebate, Oklahoma Department of Commerce, tax incentives, higher education partnerships, property tax, valuation increase, taxpayer rights, homestead, protest process, reading instruction, literacy, educational equity, intervention services, third grade retention, Strong Readers Act, Medicaid, ADvantage Waiver, home-based services, eligibility criteria

Transcript Highlights:

• , an act financing long-term improvements to municipal roads and bridges.
• and curb accessibility improvements as a whole.
• Tier 4 diesel locomotives will continue to improve reliability on our entire system.
• The bill also includes $500 million to improve bridges and pavement.
• frequency and improved reliability and electrification as we go forward.

Bills: H4987, S2905

Keywords: transportation bond bill, municipal roads, municipal bridges, Chapter 90, road aid, highway funding, bridge repair, pavement, MassDOT, MBTA, rail reliability, commuter rail locomotives, Fair Share surtax, Commonwealth Transportation Fund, infrastructure financing, bond authorization, deferred maintenance, climate resilience, parkways, DCR

Transcript Highlights:

• This bill would take care of that.
• of our home and take care of our students just a little bit better.
• </c> bill today is going to help us take care bill today is going to help us take care of<00:18:38.320
• They are a way to care for one another, to go towards collective causes.
• They are a way to care for one another, to go towards collective causes.

Bills: HF51, HF1161, HF2201, HF2786, HF1053

Keywords: HF51, Sibley County, State-Aid Highway 21, capital investment, bonding bill, general obligation bonds, transportation infrastructure, road improvements, sanitary sewer, water main, storm sewer, local infrastructure, county grant, Minnesota Department of Transportation, bond proceeds fund, public works, utility infrastructure, education finance, school district funding, tax base adjustment

Bills: SCR96, SCR164, SCR172, SCR166, SCR182, SCR7, SCR59, SCR58, SCR60, SCR89, SCR184, SCR11, HB2296, HB2315, HB2343

Keywords: electric reliability, renewable energy, interconnection, Hawaii Electric Reliability Administrator, Public Utilities Commission, capacity shortfalls, energy policies, critical infrastructure, foreign influence, local control, energy dependence, economic resilience, energy analysis, cost reduction, financial risk, Hawaii PUC, energy self-sufficiency, natural gas, energy transition, ratepayer protection

Bills: SCR96, SCR164, SCR172, SCR166, SCR182, SCR7, SCR59, SCR58, SCR60, SCR89, SCR184, SCR11, HB2296, HB2315, HB2343

Keywords: electric reliability, renewable energy, interconnection, Hawaii Electric Reliability Administrator, Public Utilities Commission, capacity shortfalls, energy policies, critical infrastructure, foreign influence, local control, energy dependence, economic resilience, energy analysis, cost reduction, financial risk, Hawaii PUC, energy self-sufficiency, natural gas, energy transition, ratepayer protection

Bills: SCR96, SCR164, SCR172, SCR166, SCR182, SCR7, SCR59, SCR58, SCR60, SCR89, SCR184, SCR11, HB2296, HB2315, HB2343

Keywords: electric reliability, renewable energy, interconnection, Hawaii Electric Reliability Administrator, Public Utilities Commission, capacity shortfalls, energy policies, critical infrastructure, foreign influence, local control, energy dependence, economic resilience, energy analysis, cost reduction, financial risk, Hawaii PUC, energy self-sufficiency, natural gas, energy transition, ratepayer protection

Bills: SCR96, SCR164, SCR172, SCR166, SCR182, SCR7, SCR59, SCR58, SCR60, SCR89, SCR184, SCR11, HB2296, HB2315, HB2343

Keywords: electric reliability, renewable energy, interconnection, Hawaii Electric Reliability Administrator, Public Utilities Commission, capacity shortfalls, energy policies, critical infrastructure, foreign influence, local control, energy dependence, economic resilience, energy analysis, cost reduction, financial risk, Hawaii PUC, energy self-sufficiency, natural gas, energy transition, ratepayer protection

Bills: SCR96, SCR164, SCR172, SCR166, SCR182, SCR7, SCR59, SCR58, SCR60, SCR89, SCR184, SCR11, HB2296, HB2315, HB2343

Keywords: electric reliability, renewable energy, interconnection, Hawaii Electric Reliability Administrator, Public Utilities Commission, capacity shortfalls, energy policies, critical infrastructure, foreign influence, local control, energy dependence, economic resilience, energy analysis, cost reduction, financial risk, Hawaii PUC, energy self-sufficiency, natural gas, energy transition, ratepayer protection

Bills: SCR96, SCR164, SCR172, SCR166, SCR182, SCR7, SCR59, SCR58, SCR60, SCR89, SCR184, SCR11, HB2296, HB2315, HB2343

Keywords: electric reliability, renewable energy, interconnection, Hawaii Electric Reliability Administrator, Public Utilities Commission, capacity shortfalls, energy policies, critical infrastructure, foreign influence, local control, energy dependence, economic resilience, energy analysis, cost reduction, financial risk, Hawaii PUC, energy self-sufficiency, natural gas, energy transition, ratepayer protection

Bills: SCR96, SCR164, SCR172, SCR166, SCR182, SCR7, SCR59, SCR58, SCR60, SCR89, SCR184, SCR11, HB2296, HB2315, HB2343

Keywords: electric reliability, renewable energy, interconnection, Hawaii Electric Reliability Administrator, Public Utilities Commission, capacity shortfalls, energy policies, critical infrastructure, foreign influence, local control, energy dependence, economic resilience, energy analysis, cost reduction, financial risk, Hawaii PUC, energy self-sufficiency, natural gas, energy transition, ratepayer protection

Transcript Highlights:

• </c> insurance don't provide, such as care insurance don't provide, such as care for<00:12:03.080><c>
• </c> passage to the health care facility? passage to the health care facility?
• I don't think care or facilities.
• Thank you, Madam Speaker. access their health care. access their health care.
• </c> or behavioral health care. or behavioral health care.

Bills: SCR96, SCR164, SCR172, SCR166, SCR182, SCR7, SCR59, SCR58, SCR60, SCR89, SCR184, SCR11, HB2296, HB2315, HB2343

Keywords: electric reliability, renewable energy, interconnection, Hawaii Electric Reliability Administrator, Public Utilities Commission, capacity shortfalls, energy policies, critical infrastructure, foreign influence, local control, energy dependence, economic resilience, energy analysis, cost reduction, financial risk, Hawaii PUC, energy self-sufficiency, natural gas, energy transition, ratepayer protection

Transcript Highlights:

• So there's a young woman who is about to age out of foster care now.
• But we do think there's some room for improvement with it.
• There's room for improvement with it. What would you improve again?
• I'm the Director of Child Protection Policy at Texans Care for Children.
• I'm the Director of Child Protection Policy at Texans Care for Children.

Bills: HB18, HB37, HB 116, HB388, HB879, HB913, HB 1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388

Summary: The committee first reopened testimony on House Bill 2216, which would strengthen child welfare requirements by expanding “active efforts” to help families avoid removal and support reunification, while also raising standards related to removals and terminations. Supporters from child welfare and family defense groups said the bill would better protect families and align Texas more closely with ICWA-style principles, but several warned it would require significant new funding, staffing, and community services such as mental health care, housing, child care, and substance use treatment. The committee then left HB 2216 pending. The committee next heard Senate Bill 1782, aimed at boarding and group homes. Senator Miles said the bill closes enforcement gaps left by prior law by requiring retention of background-check records and creating misdemeanor penalties for failing to conduct or keep them, or for knowingly hiring people with serious convictions. Harris County sheriff’s investigators testified in support, describing illegal boarding homes, operators who evade permits and background checks, and exploitation of vulnerable residents; the bill was left pending. The committee also took up Senate Bill 481 on emergency preparedness for nursing facilities and assisted living facilities, adopted a new committee substitute that softened some requirements and removed the fiscal note, and left the bill pending. The committee then heard House Bill 388, which would require the Texas Department of Insurance to create a single standardized coordination-of-benefits form for dual health plans to reduce errors and surprise bills; it was left pending. Senate Bill 1590 would move paternity registry searches for adoptions to an electronic process with a 10-day target, and House Bill 2809 would track child suicide attempts in managing conservatorship and require related reporting and parental notice; both were left pending. The committee also heard Senate Bill 1887, which would prohibit administering mRNA-containing products for immunization for 10 years, with exceptions for cancer and genetic disorders. Supporters argued the bill was needed for safety, informed consent, and medical freedom, while opponents from the medical, research, and public health communities said mRNA vaccines are well-studied, save lives, and that the bill would harm access, research, and Texas’s biotech economy. The bill remained under discussion as testimony concluded.

Transcript Highlights:

• AARP has long advocated for more health care providers in rural areas and to improve access to the critical
• AARP is long advocated for more health care providers in rural areas and to improve access to the critical
• Second, within the statewide initiative to improve access to and quality of perinatal bereavement care
• Second, within the statewide initiative to improve access to and quality of perinatal bereavement care
• It also will help improve our health care workforce, which, as we know, is struggling with recruitment

Bills: HB18, HB37, HB 116, HB388, HB879, HB913, HB 1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388

Summary: The Senate Committee on Health and Human Services met with a quorum and took up several House and Senate bills, with public testimony limited to two minutes per witness. The committee first heard HB 2358, a cleanup bill requested by HHSC that would repeal outdated training and conference requirements for long-term care facility surveyors and certain providers; there were no witnesses, and the bill was left pending. The committee then heard HB 18, the rural hospital stabilization bill, which would create financial assessment tools, a rural hospital finance office at HHSC, an academy for rural hospital officers, multiple grant programs, enhanced Medicaid reimbursement tied to average cost, OB/GYN add-on payments, expanded pediatric telehealth connectivity, and a rural pediatric mental health program. Senator Perry and witnesses from TORCH, a rural hospital, AARP Texas, and ARCHI strongly supported the bill as a way to stabilize rural hospitals, improve OB access, and address workforce and financial pressures. Committee members discussed rural hospital closures, low-volume quality metrics, system affiliation, and the need for predictable monthly reimbursement; the bill was left pending after testimony and questions. The committee next heard HB 37, which would create a perinatal bereavement care initiative for families experiencing stillbirth, neonatal death, or intrauterine fetal demise, including counseling, staff training, and access to cooling devices, with possible grants and a recognition program for hospitals. Senator Huffman explained the bill, and several witnesses testified in support, sharing personal stories about infant loss and the importance of time with the baby, trained staff, and cuddle cots or similar devices. A neonatologist also supported the bill while suggesting clarification that hospitals should not be penalized if state funding is unavailable and recommending use of regional advisory councils to help implement training. Public testimony was then closed and the bill left pending. The committee also heard HB 879, which would create a streamlined licensing pathway for veterans with medical or nursing experience to practice in Texas, and HB 913, which would add new state hospitals to statute and split the North Texas State Hospital into two separate hospitals with their own superintendents; both bills had no opposition testimony and were left pending. Later, the committee heard SB 2744, a heart disease screening bill that would update the 2009 Texas Heart Attack Prevention Act to require insurance coverage for coronary CT angiography with plaque analysis, including soft plaque detection, as a preventive screening tool. The author and invited witnesses argued the technology is more effective than calcium scoring alone, can identify patients before symptoms appear, and could save lives at a cost comparable to or lower than colonoscopy. An insurance industry witness opposed the bill, arguing the technology has not been recommended by the U.S. Preventive Services Task Force for universal screening and that the mandated coverage and payment level would raise costs; the bill was left pending after testimony. Finally, the committee heard HB 1151, a parental rights bill clarifying that refusing psychotropic medication or psychiatric treatment is not neglect unless the child is harmed. Supporters, including parent advocates and attorneys, said the bill would protect parents from CPS overreach and preserve medical decision-making authority, while one witness urged broader attention to physical causes of behavioral issues. Public testimony was closed and HB 1151 was left pending.

Transcript Highlights:

• We have Aloha Care. concept of it. So I'm not clear on the concept of it.
• Hai with Aloha Care. We stand in Ralia. Hai with Aloha Care.
• Hawaii Primary Care Association in support. Wala Health Center in support.
• I'm with the Hawaii Primary Care Association.
• We did Hawaii Primary Care Association.

Bills: SB3253, SB3154, SB3254

Keywords: conservation, endangered species, wildlife preservation, native birds, biodiversity, sanctuary, nonprofit, DLNR, agricultural district, land use, chapter 195D, chapter 205, chapter 42F, state funding, public purpose, habitat restoration, predator-free sanctuary, ecosystem restoration, Zealandia, wildlife refuge

Summary: The committee on Energy and Environmental Protection heard a long series of resolutions focused largely on waste reduction, energy planning, and environmental protection. Early measures included HR 12/HCR 10 on a permanent landfill host benefits program for Honolulu, HCR 148/HCR 157 on a demolition waste reduction working group, and HR 184/HCR 194 on a mattress stewardship program working group. Testimony on these waste-related measures was generally supportive from environmental groups and some individuals, while the Department of Health supported the mattress stewardship proposal. The Department of Health also commented that a proposed study on recyclable/biodegradable/compostable labeling was very broad and would require additional resources to carry out effectively. The committee then took up several energy-related resolutions. HR 192/HCR 202 would create a task force on Hawaii’s future energy pathways, and HR 194/HCR 204 would ask the Public Utilities Commission to conduct a comprehensive analysis of cost reductions and financial risk. The Department of Commerce and Consumer Affairs, the Hawaii State Energy Office, and the PUC offered support or comments on these measures, with environmental and industry groups also submitting testimony. Members questioned the Energy Office and PUC at length about errors in prior analyses, competitive bidding, and whether utility proposals could proceed through waiver processes; the PUC said any proposal would still be reviewed and that it generally prefers competitive bidding, while the Energy Office said some issues were being characterized differently and would follow up on waiver standards. Additional measures addressed data centers, liquefied natural gas, and utility oversight. HR 196/HCR 206 would convene a working group on the impacts of large data centers, and HR 197/HCR 207 would require conditions before the PUC approves LNG-related costs; testimony on LNG was split, with supporters urging caution and opponents arguing LNG should not be pursued. HR 193/HCR 2003 sought a written status update on implementation of the Hawaii Electric Reliability Administrator, and HR 191/HCR 201 and HR 33/HCR 33 dealt with sewage and wastewater issues, both drawing support from environmental and community groups. The committee also heard strong support for HR 141/HCR 149 on Red Hill remediation meetings and HR 190/HCR 200 on reassessing military PFAS cleanup decisions; the Board of Water Supply testified in support and described ongoing PFAS testing and concerns beyond Red Hill. The transcript ends as the committee moved into decision-making, with the chair indicating a recommendation to pass HR 12/HCR 10.

Transcript Highlights:

• Others include labor and industry funds, disability-related funds, and most recently the WA Cares funds
• enacted a constitutional amendment that was sent to voters to authorize the state to invest its WA Cares
• DSHS's job is to care for vulnerable people, not invest assets.
• They invest WA Cares now. They invest our GET Fund. They invest the DD Endowment Trust Fund.
• This helps primary care providers call the psychiatrist at either Seattle Children's Hospital or the

Bills: HB2565, HB1607, HB2254, HB2385, HB2531, HB2543

Keywords: investment, gifts, grants, University of Washington, funding, higher education, recycling, waste reduction, environmental policy, sustainability, municipal regulations, HB 2254, Washington, Health Care Authority, partnership access line, psychiatric consultation line, first approach skills training, behavioral health, mental health, assessment

Summary: The House Appropriations Committee heard House Bill 2565, which would require the University of Washington to place gifts and endowment funds with the Washington State Investment Board instead of managing them through UW’s own investment office. Staff and the prime sponsor argued the state board could achieve higher returns at lower fees, while UW testified in opposition, saying its investment company is self-sustaining, transparent, and manages funds with different legal and liquidity constraints. No questions were raised during the hearing, and the bill was not advanced at that point. The committee then took up amendments and executive action on several bills. For Third Substitute House Bill 1607 on beverage container recycling and waste reduction, members debated and rejected amendments that would have changed redemption-site locations, redirected unredeemed deposits to the Working Families Tax Credit and litter programs, added accountability requirements for grants, or created a supplemental SNAP benefit. The committee adopted only a technical amendment and then approved the bill on a 17-13 vote. For Engrossed Substitute House Bill 1622 on public employers bargaining over artificial intelligence use, the committee adopted one amendment refining the AI definition and rejected amendments that would have narrowed bargaining triggers further; the bill then passed 19-11. The committee also advanced House Bill 2254 on the Partnership Access Line assessment, House Bill 2385 extending timelines for the Medicaid Access Program after federal changes, House Bill 2531 adjusting a quality assurance fee for ground transportation/ambulance reimbursement, and House Bill 2543 allowing county clerks to raise fees to cover required court-related changes. Each of those bills was reported out with a do pass recommendation after brief discussion and recorded roll-call votes.

Transcript Highlights:

• </c> Department of Human Services Direct Care Department of Human Services Direct Care and<00:09:09.920
• </c><00:24:37.840><c> and</c> or 94 capacity across Direct Care and or 94 capacity across Direct Care
• </c> needed for all patients in need of care needed for all patients in need of care and<00:35:31.599
• </c><00:37:36.520><c> needed</c> to be able to provide the care needed to be able to provide the care
• We want the staff of the care facility to stay working within the care facility, within Direct Care and

Bills: HF2196, HF2586, HF2187, HF2037

Keywords: mental health, emotional disturbance, terminology update, statutory cleanup, conforming amendments, children's mental health, serious mental illness, severe emotional disturbance, case management, residential treatment, outpatient services, crisis services, health plan coverage, antipsychotic drugs, medical assistance, Medicaid, foster care, juvenile court, school discipline, county board