Transcript Highlights:

• This bill would prevent therapy and psychological services from using AI to do therapy or to diagnose
• > services<00:04:17.919> from therapy and psychological services from therapy and psychological
• <00:04:22.079> or<00:04:22.400> to using AI to um to do therapy or to using AI to um
• to do therapy or to diagnose<00:04:24.080> um<00:04:24.240> or<00:04:24.560> to
• our boards and the board with therapy our boards and the board with therapy when<00:08:46.160>

Keywords: Call to Order 00:00 Roll Call 00:03 HB 185 Discussion 1:00 HB 185 Vote 2:05 HB 455 Discussion 3:30 HB 455 Vote 9:00 Adjournment 10:30, 958, all

Summary: The committee first took up House Bill 185, sponsored by Representative Callaway, which would help people with criminal records return to work by reducing barriers related to occupational licensing. Callaway said Kentucky has roughly 200 licensed occupations and argued the bill would support both individuals and the workforce. Members noted the bill had already passed the House twice and that there were no substantive changes this year. The bill passed the committee cleanly on a roll call vote. The committee then considered House Bill 455, sponsored by Representative Bant, with a committee substitute adopted before the bill vote. The bill would prohibit therapy and psychological services from using AI to independently provide therapy, diagnose mental illness, make therapeutic recommendations, detect emotions, or otherwise replace human judgment in treatment. Bant said the goal was to ensure a human interacts with people dealing with mental illness, while still allowing AI for administrative tasks such as scheduling, reminders, notes, and other authorized functions. She said the substitute clarified that routine automated uses would remain allowed. Several members asked about the scope of the bill and whether it would affect billing, notes, or appointment systems. Bant said the Kentucky Psychological Association had raised concerns about section 32, but she believed the substitute addressed them. She also cited concerns about AI being used in harmful ways and said similar legislation had passed in Ohio and Illinois. The committee substitute was adopted, and House Bill 455 then passed the committee by roll call vote. The meeting adjourned after members recorded additional votes and attendance.

Transcript Highlights:

• , which provides the needed depth for effective therapy.
• Yeah, I appreciate your understanding of therapy, right?
• And that therapy happens in the confines of a relationship.
• So we have members in these areas who want to be seen in person, and family therapy, couples therapy,
• therapy, pediatrics, kids, you know, children's therapy, and a lot of our geriatric populations are

Summary: The Assembly Health Committee held an informational hearing on Kaiser Permanente’s behavioral health care system, focusing on Department of Managed Health Care enforcement actions, Kaiser’s corrective action work plan, and testimony from patients, advocates, and union representatives. DMHC officials reviewed a long history of complaints, surveys, fines, and settlements involving Kaiser’s access to behavioral health services, including deficiencies found in 2012 and 2016, a 2022 non-routine survey, and a 2023 settlement that imposed a $50 million penalty and required $150 million in community investments over five years. DMHC said it continues to monitor Kaiser through quarterly meetings, complaint review, follow-up surveys, and a reimbursement process for members who could not obtain timely in-network care. Committee members pressed DMHC on what “timely access” and continuity of care mean in practice, how virtual care and group therapy fit into the standards, and what triggers a non-routine survey. DMHC said initial behavioral health appointments generally should not take more than two weeks, urgent care should be within days, and follow-up care within 10 days, with out-of-network care required when plans cannot meet standards. Officials also said Kaiser’s initial corrective action work plan lacked detail, but the revised plan was accepted and will be tracked through quarterly reporting and possible additional enforcement if Kaiser fails to comply. The second panel featured testimony from a Kaiser enrollee, a behavioral health policy expert, a Kaiser therapist, and the NUHW president. The enrollee described serious delays and inadequate treatment for his daughter after a suicide attempt, while the therapist and union leader said Kaiser’s behavioral health system is understaffed, relies too heavily on short appointments, group therapy, and webinars, and treats behavioral health as less important than medical-surgical care. They argued Kaiser’s one-appointment-at-a-time scheduling rule and limited treatment time violate parity requirements and harm continuity of care. Several members criticized Kaiser for not appearing at the hearing and said the testimony underscored the need for stronger oversight, clearer metrics, and faster remedies for patients.

Transcript Highlights:

• that is providing uh therapy services. that is providing uh therapy services.
• It was not developed for therapy. It's not intended for therapy.
• It was not developed for therapy. It's not intended for therapy.
• It was not developed for therapy. It's not intended for therapy.
• guideline directed medication therapy. guideline directed medication therapy.

Keywords: 1189, house, all

Transcript Highlights:

• Members will next hear from the Arkansas State Board of Physical Therapy.
• Lindsay Kinsey, Health Board Director of the Physical Therapy Board.
• Director of the Physical Therapy Board. Thank you, and you may continue. So Ms.
• Our board licenses physical therapists and physical therapy assistants.
• We work closely with the Arkansas Physical Therapy Association.

Keywords: 1204, all

Transcript Highlights:

• Members will next hear from the Arkansas State Board of Physical Therapy.
• Lindsay Kinsey, Health Board Director of the Physical Therapy Board.
• Director of the Physical Therapy Board. Thank you, and you may continue. So Ms.
• Our board licenses physical therapists and physical therapy assistants.
• We work closely with the Arkansas Physical Therapy Association.

Summary: The committee met and first recognized a visiting student cohort from Arkansas State University’s Medical Laboratory and Radiation Sciences program. It then suspended the rules and approved a supplemental report, which was reviewed without objection. Members reviewed the Arkansas Fire Protection and Licensing Board’s occupational report. Department of Labor and Licensing counsel Lacey Kirchner answered questions and confirmed there were no fee increases. The report was then accepted as reviewed. The committee next heard from the Arkansas Department of Health’s Radiation Control Section. Officials Craig Smith, Charles Thompson, and Shane David explained the radiologic technologist licensing program, including full and limited-scope licensure, unchanged fees since 1999, and a current deficit covered through cost allocation from other programs. They also noted compliance with automatic licensure provisions for service members and said apprenticeship provisions already exist in the rules if such programs become available. The report was accepted as reviewed. Finally, the Arkansas State Board of Physical Therapy presented its report. Staff described the board’s structure, licensing and complaint functions, compact participation, and growth in licensees. Members asked about the board’s $200,000 scholarship program, which provides awards to 10 recipients per year, and about low fees and a $1.1 million balance. Officials said recent fee reductions and the scholarship program are intended to return funds to licensees. The report was also accepted as reviewed, and the committee moved to other business.

Transcript Highlights:

• I oversee the therapy program and our outreach program.
• Sharing resources, connecting clients to therapy, ensuring the ongoing support.
• We start the therapy for six months, maybe even a year.
• Excuse me, cognitive behavioral therapy and prolonged exposure therapy; however, this one specifically
• I went through therapy at the VA. Unfortunately for me, EMDR was not offered.

Transcript Highlights:

• And then we've got to continue to research and then implement proven therapies that will not only work
• To develop tools, whether it be therapies or breeding, toward that ultimate tolerant tree.
• way, whether it's replanting, resetting, or using existing trees to try new and novel therapies.
• They're looking for more therapies. They don't have the capital. We've gotten more and more.
• They're looking for more therapies. They don't have the capital.

Summary: The Senate Committee on Agriculture heard an update on the Florida citrus industry from Matt Joyner of Florida Citrus Mutual and Shannon Shepp of the Department of Citrus. Both described the industry’s steep decline over the past two decades due to citrus greening (HLB), hurricanes, freezes, and aging groves, but emphasized ongoing recovery efforts through research, replanting, and new therapies. They highlighted promising tools such as plant growth regulators, protective screens and covers, direct oxytetracycline application, CRISPR-based breeding, and the CRAFT program, which has expanded to more than 10,000 acres of solid-set plantings and over 20,000 acres including resets. Members discussed disaster relief, property tax pressures, grower participation, and the need for assessment relief and other state support. No votes were taken on the citrus presentation. Shepp also outlined the Department of Citrus’s marketing and research role, noting strong consumer demand for Florida orange juice, global advertising efforts, and clinical research tied to health messaging. She said the industry remains a major economic contributor, with thousands of jobs and billions in economic impact, and that the department is working to maintain demand while growers replant and reset groves. Senators asked about the CRAFT program, new grower participation, and how advertising and state policy could help sustain the industry. The committee then received a performance review of the Opa-locka Soil and Water Conservation Districts from David Jahossky of Malden and Jenkins. The review found wide variation among the 49 districts studied, with many lacking recurring revenue, staffing, proper meeting notices, records retention, formal performance goals, and timely financial reports. The report identified nearly 400 recommendations and noted that some districts had already dissolved or were considering dissolution. Senators questioned whether the districts were duplicative of other agencies and whether they still served a useful purpose; the presenter said there was overlap and collaboration but no duplication. A public commenter from Jefferson County argued that local boards still provide trusted, community-based support for producers and help connect them to cost-share and best management practice programs. The chair indicated the review would inform possible legislation to improve or restructure the districts, and the committee adjourned without taking a vote.

Transcript Highlights:

• And here's how we interface with therapy, whether it's conversion therapy or another type of therapy:
• we do not license the therapy.
• But we license the facility, not the therapy. That's the...
• Those are the types of things we would cite, but not the therapy itself.
• I don’t know enough about conversion therapy. I just don’t.

Summary: The Committee on Director Nominations met with four members present and approved the prior minutes without objection. Chair Jay Kaufman outlined the committee’s role in reviewing executive nominations and explained the hearing process for three nominees: Mary Foote for the Office of Economic Opportunity, Debbie Johnston for the Department of Health Services, and Chuck Bassett. Foote did not appear for her hearing, and members discussed her absence and alleged omissions in her disclosure materials, including prior service with Planned Parenthood-related organizations. The committee then moved to reject her nomination, and the motion passed 3-2, recommending that the full Senate reject Mary Foote. Debbie Johnston, nominee to lead the Department of Health Services, appeared and gave an opening statement describing her Arizona background, prior Senate staff work, and more than 20 years with the Arizona Hospital and Health Care Association. She said her priorities at ADHS include rebuilding trust in public health licensing, improving stakeholder engagement, standardizing rulemaking communication, addressing alleged religious discrimination and retaliation concerns in licensing, and using technology and AI to improve efficiency. In questioning, senators pressed her on her management style, conflict-of-interest safeguards given her prior industry role, enforcement priorities, budget pressures, behavioral health and assisted living oversight, and the department’s response to COVID-19. Johnston said she would follow statutes, recuse herself from enforcement matters involving former contacts, and resign if directed to carry out an unlawful policy. She also said the department does not regulate therapy itself, only facilities, and that it would rely on legal counsel regarding the governor’s conversion-therapy executive order and related federal civil-rights allegations. Several senators focused on public health trust and the department’s pandemic response, with Johnston acknowledging concerns about closures, data collection, and communication during COVID-19 while saying she would review past after-action materials and be better prepared in the future. Public testimony from stakeholders in aging services and health care strongly supported her confirmation, praising her accessibility, responsiveness, and collaborative approach. After testimony, the vice chair moved to recommend Johnston’s confirmation to the full Senate. The roll call was underway when the transcript ended, with several members voting aye and one member expressing reservations about her not reviewing the pandemic after-action report before another crisis occurs.

Transcript Highlights:

• Members will next hear from the Arkansas State Board of Physical Therapy.
• Lindsay Kinsey, Health Board Director of the Physical Therapy Board.
• Director of the Physical Therapy Board. Thank you, and you may continue. So Ms.
• Our board licenses physical therapists and physical therapy assistants.
• We work closely with the Arkansas Physical Therapy Association.

Summary: The committee met and first welcomed a visiting group from Arkansas State University’s Medical Laboratory and Radiation Sciences program. It then suspended the rules to take up a supplemental report, which was approved and noted as reviewed without objection. Members reviewed the Arkansas Fire Protection and Licensing Board’s occupational report. Counsel for the Department of Labor and Licensing said there had been no fee increases, and the report was accepted without objection. The committee then heard from the Arkansas Department of Health’s Radiation Control Section, which described its radiologic technologist licensing program, including full and limited-scope licensure, unchanged fees since 1999, and a recent operating deficit covered through cost allocation. Members asked about the deficit, possible future fee changes, and whether apprenticeship pathways might be added; the agency said it was not currently planning fee increases and would accommodate apprenticeship if such programs are created. That report also stood as reviewed. Finally, the Arkansas State Board of Physical Therapy presented its report, outlining its licensing and disciplinary role, current licensee counts, compact participation, and recent growth in licensees. The board highlighted lower fees, a $200,000 scholarship program for 10 recipients per year, and a large fund balance that is being reduced through fee cuts and scholarships. Members asked about the scholarship details and the effect on reserves. The report was accepted without objection, and the meeting concluded with no further business.

Transcript Highlights:

• It damages white brain cells, and this hyperbaric oxygen therapy is actually healing those cells up.
• <00:03:34.040> is<00:03:34.280> healing<00:03:34.720> up therapy is healing up therapy
• <00:04:03.280> is and um this hyperbaric oxygen therapy is and um this hyperbaric oxygen therapy
• Um, and this hyperbaric chamber therapy is the real deal, and I'm glad to see that this body is going
• this type of therapy and swear by it. this type of therapy and swear by it.

Keywords: 958, all

Transcript Highlights:

• the consortium, and academic medical centers that also conduct extensive clinical trials on new therapies
• And academic medical centers that also conduct extensive clinical trials on new therapies for Parkinson's
• Actually, last committee, we changed that just to physicians to perform stem cell therapies for certain
• Additionally, the bill would require such health care providers positions to ...such therapies.
• , a therapy that’s been approved by the FDA?

Summary: The Appropriations Committee on Health and Human Services met to consider a full agenda of bills, moving quickly through 20 measures and several amendments. Early bills reported favorably included SB 976 on procedures for challenging court-appointed psychologists in family law cases, SB 306 on Medicaid managed care provider access outside regular business hours, and SB 584 on housing supports for foster youth and college students, which drew supportive testimony from former foster youth and was backed by members as a way to improve stability and educational opportunity. The committee also approved SB 1412 to modernize home health regulations and SB 1800 to create a Parkinson’s research consortium at USF, with members citing the need for more research and future funding opportunities. The committee adopted amendments on several bills, including technical and conforming changes to the Parkinson’s bill and other measures. The committee then advanced a series of health care and child welfare bills. SB 524 added Duchenne muscular dystrophy to newborn screening; SB 1156 revised the Home Health Aide Program for medically fragile children, including training, reimbursement, and work-hour flexibility; and SB 1490 reorganized services for medically fragile children by shifting program administration to AHCA and requiring a redesign plan for the Medicaid waiver. SB 1174 allowed foster home and child-caring agency licenses to be amended when a foster parent relocates, and SB 1620 implemented selected recommendations from the Commission on Mental Health and Substance Use Disorders, including a new research center at USF and school-based behavioral health review requirements. SB 1568 revised e-prescribing exemptions, and SB 78 authorized certain veterans’ nursing home beds and related certificate-of-need transfers. All of these measures were reported favorably after brief debate or supportive testimony. Several bills prompted more extensive discussion and some opposition. CS for CS SB 1270, the Department of Health agency package, included provisions on vaccination-related patient rights, medical marijuana reporting, background screening, temporary licensure, compact participation, and sovereign immunity for volunteer dentists; it passed despite concerns from Senators Berman, Brodeur, and Harrell about vaccination language and board/voting-power provisions. CS for SB 1606 on patient access to records drew strong opposition from physicians and health information professionals over privacy, security, fines, and portal access; it was initially reported unfavorably, then reconsidered and ultimately reported favorably as a committee bill. CS for SB 1736, allowing insulin administration by direct support professionals and relatives for individuals with developmental disabilities, and SB 1808, requiring timely refunds to patients, both passed. CS for SB 1842, requiring referring providers to help patients determine whether referred providers are in-network, also passed over concerns about burden on small practices. The committee also advanced SB 1354, a behavioral health oversight bill requiring audits, performance reporting, and system transparency measures for managing entities, and SB 1768, which authorizes physicians to perform certain stem cell therapies using specified products and requires informed consent; both drew supportive comments but also concerns about patient understanding and oversight. Finally, the committee approved SPB 7032 as a committee bill to create presumptive Medicaid eligibility for permanently disabled individuals during redetermination, and after reconsideration it reported SB 1606 favorably as a committee bill. The meeting ended with members noting their recorded votes on select tabs and adjourning after completing the agenda.

Transcript Highlights:

• Steven Curley, executive director for the Kentucky Board of Physical Therapy. Dr.
• the Kentucky Board of Physical Therapy. the Kentucky Board of Physical Therapy.
• While the delivery of healthcare has continued to evolve, the Kentucky Board of Physical Therapy has
• <00:10:38.959> Association<00:10:39.519> of American Physical Therapy Association of
• <00:12:23.519> board boards to or the physical therapy board boards to or the physical therapy

Keywords: 00:00 Call to Order 00:05 Roll Call 1:00 HB 357 Discussion 4:53 HB 357 Vote 6:40 HB 45 Discussion 8:00 HB 45 Vote 9:29 HB 48 Discussion 15:00 HB 48 Vote 16:25 HB 212 Discussion 20:17 HB 212 Vote 21:50 HB 49 Discussion 25:55 HB 49 Vote 27:16 Adjournment, 958, all

Summary: The Licensing, Occupations, and Administrative Regulations Committee met with a quorum and took up several bills, beginning with House Bill 387. The bill was presented as a measure to ensure veterinarians are not subject to controlled-substance reporting requirements through regulation or other means, while also revising the controlled substance council to remove an emergency medicine physician and an acute care nurse and add two veterinarians. Supporters said the change was needed because veterinary reporting would be overly complicated, especially in rural Kentucky and for large-animal practices. The committee adopted the committee substitute, approved a committee amendment, and passed the bill unanimously, including the title amendment and emergency clause. The committee then heard House Bill 45, which would modernize Kentucky CPA licensure. The sponsor and the State Board of Accountancy said the bill updates outdated rules, supports workforce mobility and remote practice, reduces barriers to interstate commerce, and adds a new licensing option to address time and cost concerns for candidates. The committee passed the bill unanimously. House Bill 48 followed, a long-updated physical therapy practice act revision. Testimony said it would clarify and streamline the statute, add definitions for physical therapist assistants, change certification language to licensure, allow expungement of minor non-patient-harm violations, clarify sexual misconduct language, adjust disciplinary and fee-setting provisions, and ease requirements for some internationally trained practitioners. The committee again passed the bill unanimously. House Bill 212 was next and would allow licensed veterinary technicians, under direct veterinarian supervision, to administer rabies vaccinations to dogs, cats, and ferrets. The sponsor and Kentucky Veterinary Medical Association said the change would help shelters, humane societies, and mass vaccination clinics, improve recordkeeping, and address rising rabies concerns in Kentucky. The committee approved the bill unanimously. Finally, House Bill 49 was presented by Representative Matt Cook and the Board of Licensure for Engineers and Surveyors as a scholarship program funded by $5 from each annual license renewal plus fines and penalties, aimed at encouraging Kentucky students to enter engineering and surveying and remain in the state for six years after graduation/licensure. Members asked about the service commitment and funding source; the sponsor said the program would use existing funds and not raise renewal rates. The committee passed the bill unanimously, with the chair noting it as a positive example of board modernization.

Transcript Highlights:

• I'm here to introduce SB 1224, the California Emerging Therapies Research Partnership Act.
• My professional home is to work to accelerate novel therapies for patients continuing to struggle in
• Today I'm asking for your support of Senate Bill 1224, the California Emerging Therapies Partnership
• My professional home is to work to accelerate novel therapies for patients continuing to struggle in
• Across the country, veterans are finding success through programs such as equine therapy, service dog

Keywords: 988, house, all

Transcript Highlights:

• With the survival rate at five years over 90% with therapies like surgery.
• I'm here to introduce SB 1224, the California Emerging Therapies Research Partnership Act.
• My professional home is to work to accelerate novel therapies for patients continuing to struggle in
• Today I'm asking for your support of SB 1224, the California Emerging Therapies Partnership Act.
• Today I'm asking for your support of SB 1224, the California Emerging Therapies Partnership Act.

Summary: The Assembly Health Committee heard a series of bills focused on behavioral health, cancer screening, provider reimbursement, research funding, workforce licensing, and tobacco regulation. SB 16 would require counties to maintain procedures for designating and training professionals authorized to perform 5150 evaluations and initiate involuntary holds; supporters said it would expand the pool of qualified clinicians and reduce reliance on law enforcement, while opponents raised concerns about local control and implementation. SB 1124 would require CDPH to create and post lung cancer screening eligibility signage at tobacco point-of-sale locations; supporters emphasized low screening awareness and early detection, and the bill was advanced with amendments. SB 28, a CARE Court cleanup bill, proposed an ombudsperson, reporting, electronic petitions, remote participation, and other changes to improve accountability and access; it drew both strong support and significant opposition over concerns about coercion, scope, and whether the program is working as intended, but it passed the committee as amended to Judiciary. The committee also heard SB 874, which would strengthen oversight of Medi-Cal behavioral health treatment services, including background checks for providers and a stakeholder workgroup to develop standards; it passed to Public Safety. SB 1049 would let providers resubmit corrected claims within 90 days after a plan’s denial or recoupment action when the original claim had a correctable technical defect; supporters described delayed and withheld payments harming practices, while insurers argued the bill could duplicate existing dispute processes. The bill passed to Appropriations on call. SB 1224 would create a state framework to compete for federal ARPA-H funding for emerging therapies research, with testimony from a UC Davis psychiatrist and veterans’ advocates supporting expanded research into treatments for PTSD, depression, and other conditions; it passed to Military and Veterans Affairs. Later, SB 1057 would change how the Department of Public Health evaluates conviction history for certified nurse assistants and home health aides, shifting from automatic denial toward individualized assessment based on the offense, time elapsed, and rehabilitation; it passed to Appropriations with some no votes. Finally, SB 1314, a tobacco-related bill, sought to create a 600-foot buffer around schools and day care centers for certain tobacco retailers and address related issues such as cigar lounge definitions and nitrous oxide sales; several local government and public safety groups supported it, while health organizations and business groups opposed it unless amended. The chair announced that committee amendments were being set aside for now and the bill would move forward to Business and Professions with a commitment to continue working on the language; it passed out of committee.

Transcript Highlights:

• AB 1504 is the sunset bill for the California Massage Therapy Council.
• It is paramount to do so at this juncture because massage therapy is health care.
• We need licensure for massage therapy in California. Thank you very much. Mr.
• President of the California Massage Therapy Association, support if amended.
• I am special counsel to the California Massage Therapy Council.

Summary: The Assembly Business and Professions Committee heard a full agenda of bills focused on reproductive health, professional licensing and sunset reviews, consumer protection, and business regulation. Early testimony centered on AB 260, which would protect access to medication abortion, mifepristone, and telehealth reproductive care in California; supporters emphasized state protections against federal restrictions, while an opponent argued the bill removed safety safeguards. The committee also heard AB 714 on closing a loophole in regulation of low-cost commercial driving schools, AB 968 on allowing pharmacists to prescribe non-hormonal contraception, AB 671 on streamlining restaurant permitting, AB 1027 on strengthening cannabis product testing oversight, AB 1271 on broadband pricing and speed transparency, and AB 1332 on narrowly allowing medicinal cannabis shipments for seriously ill patients. Several sunset bills were also taken up, including AB 1482 on animal shelter and breeder transparency, AB 1501 on the Podiatric Medical Board and Physician Assistant Board, AB 1502 on the Veterinary Medical Board, AB 1503 on the Board of Pharmacy, and AB 1504 on the Massage Therapy Council. Testimony was largely in support of the measures, with many bills drawing co-sponsors or support from industry, consumer, or professional groups. AB 1503 generated the most sustained opposition, with nurses, physicians, and drug industry representatives objecting to expanded pharmacy technician ratios, standard-of-care language, and therapeutic interchange authority; supporters argued the bill would modernize pharmacy practice and expand access. AB 1504 also drew mixed testimony, with massage therapy groups supporting continuation of the council but raising concerns about proposed public records and governance provisions. AB 1271 drew a policy dispute over whether broadband reporting requirements duplicated federal FCC processes, while supporters argued California needed its own consumer-facing data and complaint system. After quorum was established later in the hearing, the committee began taking roll-call votes. AB 1271, AB 1332, AB 1482, AB 1501, and AB 1502 were all reported out on due-pass motions, with AB 1271 amended and the others generally amended or as introduced as noted. Earlier bills including AB 260, AB 671, AB 714, AB 968, and AB 1027 also received motions and were approved once the quorum was present. The chair repeatedly noted the lack of quorum during the hearing, but once one was secured, the committee completed votes on the agenda items and advanced the measures to Appropriations.

Transcript Highlights:

• who will need this therapy.
• Music therapy board certification requires rigorous training, a degree in music therapy, 1,200 hours
• therapy.
• That's just having a music therapy degree.
• That's just having a music therapy degree.

Bills: HB216

Keywords: HB216, Texas abortion law, abortion-inducing drug, medication abortion, mifepristone, misoprostol, telemedicine, in-person exam, physician presence, out-of-state physician, reproductive healthcare, abortion regulation, Health and Safety Code, Occupations Code, consultation services, remote prescribing, pro-life, pro-choice

Summary: The Committee on Public Health met with a quorum and heard public testimony on a long agenda, with members repeatedly reminded of a two-minute limit for witnesses. Several bills were voted out favorably, including HB 2588 on cottage food, HB 1639 on cancer incidence and female firefighters, HB 2581 on a reporting form for contracted services for pregnant women, and SB 922 on electronic disclosure of certain sensitive medical information. Those measures generally passed on party-line or near-unanimous votes, while HB 216 on itemized medical statements was left pending after the committee substitute was withdrawn. The committee also left pending HB 5141, HB 4638, HB 2035, HB 4813, HB 2264, HB 4014, and HB 3829 after hearing testimony and questions. The final item introduced in the excerpt was HB 4408 on health care market transparency and corporate consolidation, but the discussion was cut off before testimony or action was completed. A major theme of the hearing was mental health diversion and access to treatment. HB 5141, by Rep. Howard, would allow Travis County to use vacated Austin State Hospital property for a local mental health jail diversion center; law enforcement, the Travis County sheriff, county judge, and urban counties group all testified in support, describing the lack of alternatives for people in crisis and the burden on jails and emergency rooms. Members asked about eligible offenses, bed capacity, and whether the facility would serve only Travis County, and the bill was left pending. HB 2264, by Rep. Schoolcraft, would create a friends-and-family form for loved ones to provide information to providers during emergency mental health treatment; NAMI and hospital groups supported it, while one neutral witness and several members raised concerns about patient control, credibility of information, and liability protections. The bill was also left pending. The committee also heard multiple psychedelic-therapy and drug-policy bills. HB 4813 would speed Texas rescheduling of Schedule I substances if the FDA reclassifies them, with testimony focused on psilocybin and MDMA and their potential use for PTSD and depression; members questioned whether the bill was too broad and how state rescheduling works, and it was left pending. HB 4014 would direct HHSC to study psychedelic therapies, building on prior state research, and witnesses said Texas should prepare regulatory and clinical infrastructure before FDA approval; it too was left pending. HB 2035 would require parents to be informed that they may seek substance-use treatment for a child even if one facility turns them away, prompted by a constituent’s account of a fatal fentanyl overdose after receiving incorrect advice; it was left pending. HB 4638 would extend and expand the Texas Pharmaceutical Initiative board and timeline, with the author saying the program is still in early implementation and needs more time, and it was left pending as well. Other bills addressed public health administration and animal welfare. HB 3829 would require a study of the animal-friendly account and its grant process for spay/neuter funding, with the author arguing that the current application and reimbursement process is too burdensome for shelters and nonprofits; no opposition was heard and the bill was left pending. HB 2581 and HB 1639 were reported favorably, while HB 216 drew discussion about enforcement of itemized medical billing and was held after the committee substitute was withdrawn. Throughout the hearing, members also discussed broader concerns about homelessness, competency restoration waitlists, jail overcrowding, and the need for more treatment options outside the criminal justice system.

Transcript Highlights:

• And here's how we sort of interface with therapy, whether it's conversion therapy or another type of
• therapy.
• But we license the facility, not the therapy. That's the...
• I mean, we don't regulate the therapy.
• I don't know enough about conversion therapy. I just don't.

Keywords: 1182, all

Transcript Highlights:

• We intend to introduce step therapy protocols. step therapy protocols.
• I want to ask one question around the step therapy protocols.
• I want to ask one question around the step therapy protocols.
• So the step therapy encourages our, So the step therapy encourages our prescribers, or kind of directs
• Arambula has a bill as well to clamp down on step therapy.

Summary: The Assembly Budget Subcommittee on Health held the first of several hearings on the Governor’s May Revision for health care, with opening remarks focused on the state’s projected $12 billion deficit, looming federal Medicaid changes, and the potential impact on Medi-Cal, public health, reproductive health, and safety-net providers. Several members criticized the proposal as balancing the budget on vulnerable Californians, while others defended the need for cost containment and questioned the administration’s assumptions. The chair set ground rules for respectful, focused questioning and outlined three topics: the Medi-Cal proposals, Proposition 35, and Proposition 56. DHCS Director Michelle Baas presented the May Revision’s Medi-Cal package, saying the department’s budget totals $200.6 billion overall, including $45.2 billion General Fund, and that the proposals are intended to address rising caseloads, pharmacy costs, and managed care spending. She described proposed changes for adults with unsatisfactory immigration status, including a freeze on new full-scope enrollment for those 19 and older, $100 monthly premiums beginning in 2027, elimination of adult dental and long-term care coverage, removal of PPS/RAP payments to FQHCs and rural health clinics for that population, and a pharmacy rebate aggregator. Other proposals included eliminating certain OTC drug classes, removing GLP-1 coverage for weight loss, prior authorization and step therapy changes, reinstating the Medi-Cal asset test, eliminating acupuncture as an optional benefit, allowing utilization management for hospice, raising the managed care minimum medical loss ratio to 90%, reducing PACE capitation rates toward the midpoint of the actuarial range, eliminating the skilled nursing facility workforce and quality incentive program, and suspending the SNF backup power requirement. The LAO said the revised Medi-Cal spending estimate is about $2.5 billion higher than the Governor’s Budget in the budget year, and that the increase appears driven more by higher per-enrollee costs than by caseload alone. The LAO said the budget solutions are concentrated in a few areas, are largely ongoing, and should be considered in light of federal uncertainty, but suggested the Legislature could explore alternatives such as more targeted income thresholds for the undocumented expansion and simpler asset-test rules. Department of Finance officials said the proposals are difficult but necessary to address a third consecutive deficit and rising Medi-Cal costs. Members then pressed the administration on the methodology and impacts of the proposals, especially the enrollment freeze, premiums, asset test, hospice controls, PACE reductions, and the elimination of benefits and provider payments. No votes or formal actions were taken at this hearing.

Transcript Highlights:

• condition treated with stem cell therapy condition treated with stem cell therapy pursuant<03:27
• therapies. Can you expand upon this? therapies. Can you expand upon this?
• they want to provide the therapies. they want to provide the therapies.
• with access to life-changing therapies with access to life-changing therapies under<04:07:33.760
• <04:09:19.279> way access to life-changing therapies way access to life-changing therapies

Keywords: 1189, house, all

Transcript Highlights:

• Is that therapy provided by a licensed clinical social worker or not?
• At which point, those formal health care services, you know, say psychotherapy or therapy or SUD therapy
• They were able to engage in therapy, in group therapy, and individual therapy.
• One of the advantages about residential programs... ...and group therapy and individual therapy.
• therapy, that ability to be in group therapy with other youth, and get real-time problem-solving reflection

Keywords: 907, all