Transcript Highlights:

• For 24 consecutive years nursing has been ranked as the most trusted profession of the nation.
• There are a lot of reasons why a particular state may or may not be high in the rankings.
• And in closing, members of the committee, the Florida Senate for Nursing recently reported that ranks
• I am a licensed acupuncture physician in Tallahassee but also a naturopathic doctor. Dr.
• Since we have dual degrees—he is a chiropractic physician and I am an acupuncture physician—we thought

Committee: Senate Appropriations Committee on Health and Human Services

Transcript Highlights:

• Thank you, Madam Chair, Ranking Member Christian. I'll start with in response to that question.
• Thank you, Senator Wilson, Ranking Member Christian, members of the committee.
• Thank you, Senator Wilson, Ranking Member, Christian members of the committee.
• It did not mean that physicians or attorneys could not be foster parents; it was just the license.
• Thank you, Madam Chair and Ranking Member and committee.

Bills: HB2464 , SGA9305

Committee: Senate Human Services

Keywords: detention facilities, law enforcement, reporting requirements, incidents, private detention

Transcript Highlights:

• Ranking Member Stahl Hamilton? Yeah, I want to... Yes. Ranking Member Stahl Hamilton?
• Okay, Ranking Member Bea?
• Ranking member Austin.
• Ranking Member Aguilar?
• Ranking Member Agamak.

Summary: The committee worked through a long Minority Caucus calendar covering a wide range of bills, with many items on consent and several pulled for discussion. Early items included resolutions on Judea and Samaria, bullion depository bills, a produce incentive appropriation, a biennial budget proposal, and a veterans services appropriation. Members also heard transportation-related bills on driver permits, citations, boat insurance, English proficiency for commercial drivers and motor carriers, photo enforcement, and a measure restricting incarceration for unpaid fines and fees. Several members raised concerns about constitutional issues, public safety, or whether bills were duplicative or targeted at specific groups. A large portion of the meeting focused on education and school governance bills. These included proposals on school district bond advisors, restrictions on school property leases and purchases, public meeting requirements, term limits and training for school board members, patriotic youth group access to students, computer science proficiency, and a bill requiring fingerprint clearance cards for traffic school instructors. Members repeatedly criticized what they described as inconsistent treatment of public schools versus ESA/private school programs, and several education bills were pulled from consent for further discussion. Other bills addressed child safety and family law, including DCS credit freezes, recorded child interviews, parents’ rights notices, mandatory reporting of threats by minors, sex offender residency and GPS monitoring, and a bill on guardianship rights during DCS investigations. The committee also considered a number of social services, health, and labor/consumer bills. These included SNAP work requirement and verification measures, a SNAP error-rate audit, dementia care telemonitoring funding, a Braille transcription appropriation, court fee limits, a physician assistant compact, pediatric licensure compact, and a kratom regulation bill. Members debated an earned wage access licensing bill at length, with opponents calling it predatory and akin to payday lending, while supporters argued it provided a regulated consumer option. Other measures covered cash acceptance by businesses, 529-to-Roth IRA rollovers, AI rules for state agencies, and a bill on public nuisance actions by the Attorney General. Several of these drew warnings about constitutional problems, preemption, or burdens on vulnerable populations. Energy, water, and tax policy also featured prominently. The committee heard bills on fuel formulations, gas tax relief, data centers and small modular nuclear reactors, utility reporting, and a Commerce Authority mandate to reduce fuel prices. Members criticized some proposals as favoring industry, preempting local control, or lacking a clear funding plan. The meeting ended after additional items on veterans, sample ballot mailing dates, and other miscellaneous measures, with multiple bills noted as pulled from consent or subject to later votes; no final roll-call results were detailed in the transcript excerpt.

Transcript Highlights:

• Thank you, Chair Taylor, Ranking Member Walsh, members of the committee.
• Good morning, Chair Taylor, Ranking Member Walsh.
• Good morning, Chair Taylor, Ranking Member Walsh, and members of the committee.
• , or a physician or physician assistant in consultation with an independent mental health professional
• Ranking Member, for the opportunity to present you this legislation.

Bills: HB2453 , HB2590 , HB2445 , HB2386 , HB2585

Committee: House Civil Rights & Judiciary

Keywords: psychiatric pharmacists, mental health, pharmacy regulations, healthcare, pharmacological treatments, limited equity cooperatives, common interest ownership, housing, exemption, community ownership, probate, estate administration, inheritance, heir finder, heir locator, beneficiary interest, transfer of inheritance rights, probate for profit, personal representative, executor

Transcript Highlights:

• To New Mexico from 2019 to 2024, we've lost 8.1% of physicians and may be the only state that lost physicians
• , mid-levels, and physician assistants.
• I'm a family physician.
• Every physician has a panel of patients, Every physician has a panel of patients of about 2,000.
• physicians at the corporate level.

Summary: The committee first approved the minutes from its fourth meeting, held October 27-28 in Santa Fe, with Representative Duncan moving approval and no opposition. The chair then introduced a panel on the cost of providing medical care in New Mexico, focusing on physician shortages, rising practice costs, and access problems, especially in southern New Mexico and Las Cruces. Panelists included family physicians, a pediatrician, a cardiologist/electrophysiologist, and a community health center medical director, who described their backgrounds and practices before turning to the policy discussion. The doctors argued that New Mexico is losing physicians because of three main pressures: medical malpractice exposure, gross receipts tax on medical services, and low Medicaid reimbursement. They said malpractice premiums are much higher than in neighboring states, punitive damages and venue shopping increase risk, and the patient compensation fund and attorney fee structure create additional costs. They also described administrative burdens from insurance billing and referrals, the high debt and long training period for physicians, and the effect of corporate medicine and private equity on practice decisions. One panelist emphasized the economic impact of each physician on jobs and local spending, while another noted that shortages force patients into emergency rooms and delay specialty care. The panel presented a list of proposed solutions: reform punitive damages, limit venue shopping and stacking, restore lifetime medical payments from the patient compensation fund, enact apology protections, cap attorney fees, continue Medicaid funding improvements, and eliminate gross receipts tax on medical and dental services. Committee members generally agreed the presentation was thorough and useful, but several noted that some proposals fall outside this committee’s jurisdiction and would likely need to move through other committees, especially judiciary and tax. Some members supported drafting legislation or working on separate bills, while others urged caution, requested more input from hospitals and economists, and raised concerns about local government revenue impacts from GRT changes. The chair concluded by encouraging members to continue discussions offline and noted that the tax-related issue would be taken up further in the next day’s work.

Transcript Highlights:

• Ranking Member Orcutt. Thank you, Madam Chair.
• Good morning, Madam Chair, Ranking Member, and members of...
• Good morning, Chair, Ranking Member, and committee.
• Good morning, Madam Sherberg and Ranking Member Orkut.
• Good morning, Madam Sherberg and Ranking Member Orkut.

Summary: House Finance held a public hearing on Gross Substitute Senate Bill 6346, a proposal to impose a 9.9% tax beginning in 2028 on Washington taxable income over $1 million for individuals, with related rules for residents, nonresidents, pass-through entities, estimated payments, penalties, credits, and revenue distribution. Staff explained that the bill would also fund several tax changes, including an expanded Working Families Tax Credit, sales tax exemptions for grooming and hygiene products, higher small business B&O credits, an early end to the B&O surcharge on very large businesses, and repeal of most retail services sales tax changes from last session. The fiscal note projected about $2.53 billion in additional state revenue in FY 2029 and $3.21 billion in FY 2030, with local revenue losses and significant Department of Revenue implementation costs. The chair also announced concerns about apparent fraud and duplicate records in the public sign-in system and set testimony rules limiting questions and shortening testimony time as the hearing progressed. The prime sponsor, Senator Jamie Peterson, said the bill was intended to make Washington’s tax system less regressive and to raise revenue for schools, health care, higher education, and other public needs while reducing the burden on lower- and middle-income residents. Supporters from labor, education, health care, child care, housing, poverty-reduction, and social service organizations argued that the bill would help fund essential services, expand the Working Families Tax Credit, and improve fairness by asking the wealthiest households to contribute more. Several individual supporters, including business owners and workers, said they were willing to pay more and described the need for better-funded schools, health care, child care, and public defense. Opponents, including former Attorney General Rob McKenna, business groups, construction and real estate representatives, and taxpayer advocates, argued the measure would function as an unconstitutional income tax, would be unstable and likely expanded over time, and would harm small businesses organized as pass-through entities. They said the bill would reduce investment, discourage entrepreneurship, and could drive businesses and high earners out of Washington. Some local government representatives supported the public defense funding but asked for more dedicated revenue and protection against local revenue losses from the bill’s sales tax exemptions. No committee vote or final action was taken during the hearing.

Transcript Highlights:

• It includes physicians, osteopathic physicians and surgeons, physician assistants, podiatric physicians
• Chair and Vice Chair and Ranking Member Schmick.
• Good afternoon, Chair Bernalski and Ranking Member Schmick. My name is John Heinz.
• Thank you, Chair, and Ranking Member.
• and physician assistants across the state here today, also testifying on House Bill 2339.

Bills: HB1904 , HB2106 , HB2211 , HB2247 , HB2329 , HB2339

Committee: House Health Care & Wellness

Keywords: animal welfare, cats, declawing, animal rights, pet care, healthcare, contract modifications, provider notifications, insurance carriers, health facilities, HB 2211, medically tailored meals, medical nutrition therapy, medical assistance, Medicaid, Health Care Authority, Department of Social and Health Services, nutrition support, chronic disease, dietary accommodations

Transcript Highlights:

• But our ranking, our percentage of passage rate, actually fell.
• There's lots of reasons why a particular state may or may not be high in the rankings.
• There's lots of reasons that why a particular state may or may not be high in the rankings.
• I'm a licensed acupuncture physician here in Tallahassee, but I'm also a naturopathic doctor.
• But since we each have dual degrees, he's a chiropractic physician and I'm also an acupuncture physician

Summary: The Appropriations Committee on Health and Human Services met with a quorum present and took up several health-related bills. CS/SB 1110, covering Medicaid and insurance coverage for medically necessary orthotics and prosthetics, including activity-specific devices without lifetime or continuous-use caps, received emotional testimony from families and athletes describing high costs and the importance of access for children and adults with disabilities. Members voiced strong support, and the bill was reported favorably. The committee also heard SB 1574, which would add biliary atresia screening to the newborn screening program using the existing birth blood specimen. The sponsor and a parent testified that earlier detection could prevent severe liver damage, transplants, and deaths, and the bill was reported favorably. CS/SB 794, dealing with background screening for employees at residential facilities and day training programs for people with developmental disabilities and a review of waiver support coordination, was amended to align with the House companion and then reported favorably after testimony emphasizing the importance of strong support coordinators for APD waiver families. Members then considered SB 162, requiring hospitals and ambulatory surgical centers to adopt policies for smoke evacuation systems during procedures that generate surgical smoke. Nurses and other supporters described surgical smoke as a serious occupational hazard, while the Florida Hospital Association said hospitals are already regulated in this area and the bill was somewhat prescriptive; an amendment was adopted and the bill was reported favorably. CS/SB 254, which tightens oversight of nursing education programs, adds preceptorship and provisional licensure pathways for graduates awaiting NCLEX results, and increases transparency and accountability for low-performing programs, drew support from nursing advocates and opposition from private nursing schools concerned about workforce impacts; after amendment, it was reported favorably. Finally, SB 688 to reestablish licensure and regulation of naturopathic doctors in Florida was heard with testimony both supporting expanded health care choices and opposing the bill over safety and scope concerns, and it too was reported favorably. The committee then adjourned.

Bills: HB4358 , HB2398 , HB3557 , HB3129 , HB3312 , HB2210 , HB1937 , HB3021 , HB4246 , HB4230 , HB3617 , HB3657 , HB2976 , HB3391 , HB4459 , HB4128 , HB3989 , HB2989 , HB4060 , HB3145 , HB2992 , HB3464 , HB3552 , HB2984 , HB4124 , HB3934 , HB3448 , HB3131 , HB4200 , HB4201 , HB3011 , HB1912 , HB3380 , HB3881 , HB3538 , HB3851 , HB3907 , HB4430 , HB4431 , HB4457 , HB2947 , HB2951 , HB2980 , HB3082 , HB3519 , HB3644 , HB3882 , HB3661 , HB3996 , HB4335

Keywords: screen time, education, public schools, child development, digital learning, youth health, academic performance, credential of value, workforce development, labor market, government reporting, Oklahoma Agricultural Extension, local funding, financial institutions, county extension services, state funds, free expression, colleges, security fees, public forums

Transcript Highlights:

• I think everyone in this room is aware, whether you're elected or not, that we rank 47th in health care
• And you continue to say that there are major health—or sounds like physician associations—who are in
• What group, what physician, what agency? Currently, right now, where is it happening?
• We rank 50th in the country for... ...largest oil and gas companies.
• We rank 50th in the country for education.

Bills: HB3620 , HB3942 , HB3279 , HB3378 , HB3383 , HB3413 , HB3414 , HB3415 , HB3420 , HB3130

Committee: House General Government

Summary: The committee first handled housekeeping, announcing that House Bill 4276 would be laid over until the third week and moving Representative Lawson’s bill to the top of the agenda. HB 3620, creating a 2030 census complete count committee, was presented and passed by due pass. HB 3942, which updates the state’s tax incentive evaluation process by directing reports to LOFT and requiring comparisons to other incentives and strategic economic goals, also passed due pass after brief discussion about whether all tax incentives, including the parental choice tax credit, would be reviewed. Representative Pfeiffer presented HB 3279, a follow-up public corruption measure that clarifies conflict-of-interest disclosure requirements and sets a $25,000 threshold for certain purchase orders; it passed due pass. After Vice Chair Woolley took over, HB 3378 passed 7-0 to stagger OCAST board terms after all members had expired at once. HB 3383, setting a 14-hour limit on required work in a 24-hour period for state employees with emergency carve-outs, passed 6-1 after questions about law enforcement and emergency-service exceptions. Several transparency and procurement bills from Representative Strom also passed unanimously: HB 3413 requires agencies to report outsourced jobs and consulting outcomes, HB 3414 adds accounting-system reporting for contract type and invoice location for intangible assets, HB 3415 requires subcontractor reporting and post-contract assessments, and HB 3420 requires justification for sole-source purchases and limits pilot or proof-of-concept contracting to 12 months. The most contentious measure was HB 313 by Representative Kevin West, which restricts state agencies, employees, contractors, and public institutions from using state funds to perform, facilitate, refer, or encourage gender transition procedures. Opponents argued it intrudes into private medical decisions, could affect adults as well as minors, and may worsen health outcomes or create vague enforcement problems; supporters said it protects minors from harmful, life-altering procedures and prevents state dollars from supporting them. After extended debate, the committee passed HB 313 by a 7-2 vote. The meeting then adjourned, with one more committee meeting announced for the following week.

Transcript Highlights:

• Ranking Member Orcutt. Thank you, Madam Chair.
• Good morning, Madam Chair, Ranking Member, and members of the committee.
• Good morning, Chair, Ranking Member, and committee.
• Good morning, Madam Chair Berg and Ranking Member Orcutt.
• Good morning, Madam Sherberg and Ranking Member Orkut.

Committee: House Finance

Transcript Highlights:

• Fourth, most physicians...
• Not in paid claims per physician, not in mean or median payout, not in total payout per physician.
• No effect for rural physicians.
• The physicians are leaving.
• Physician counts first.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• As a physician and a board member of Greater Boston Physicians for Social Responsibility, I know that
• We physicians understand.
• I'm a retired emergency physician.
• in a population under 50,000 would be under the rank of captain.
• I've been active in Physicians for Social Responsibility of Pioneer Valley.

Committee: Joint Joint Committee on Public Safety and Homeland Security

Summary: The Joint Committee on Public Safety and Homeland Security held a public hearing on a wide range of bills affecting law enforcement, corrections, fire services, emergency management, telecommunicators, and sex offender policy. Testimony strongly focused on proposals to restore an education incentive for Massachusetts State Police troopers hired after the Quinn Bill was repealed, with State Police Association witnesses arguing the current system creates unfair pay disparities, hurts recruitment and retention, and leaves newer troopers earning less than some supervisors with the same or less education. They urged favorable reports on H. 2651, S. 1759, and S. 1783. A separate witness also supported H. 2627, a sheriff’s pay-parity bill, while suggesting amendments to avoid distinctions between correction officers and jail officers and warning that the proposal should not be viewed as a funding issue alone. The committee also heard testimony on public safety and oversight bills. A rape survivor testified in support of S. 1663, arguing that municipal fire or police personnel convicted of sex offenses should not remain in positions of public trust. Senator Miranda testified in support of S. 1723, S. 1724, and S. 1727, which would create correctional officer training/accountability standards, a correctional inspector general, and privileged communication with legislators for incarcerated people; he said the bills respond to misconduct and lack of independent oversight in the Department of Correction. In contrast, the Fire Chiefs Association and Professional Fire Fighters opposed H. 2572/S. 1668/S. 1740 on emergency management, saying the bill was developed without enough collaboration, lacked local-control safeguards, and could undermine incident command and local decision-making during disasters. Several panels supported other public safety measures. The Fire Chiefs Association and PFFM backed S. 1641 and S. 1744 to create a Massachusetts Public Safety Building Authority to help fund fire station and municipal public safety building projects, and supported S. 1647 to implement the Walsh-Kennedy Commission recommendations on hot works and welding safety, including tougher penalties and training requirements. Witnesses also supported H. 2664/S. 1736 to create a hoisting machinery regulations board, saying current licensing standards for heavy equipment are too minimal. Another panel backed H. 2663/S. 1761 to classify 911 telecommunicators as first responders, citing stress, burnout, and the expanding role of dispatchers. Finally, an attorney from CPCS testified in opposition to S. 1752, warning that expanded sex offender residency restrictions would likely increase homelessness, make supervision harder, and raise constitutional concerns based on prior court rulings.

Transcript Highlights:

• Thank you, Madam Chair, ranking member Christian.
• Thank you, Senator Wilson, Ranking Member Christian, members of the committee.
• Thank you, Senator Wilson, Ranking Member, Christian members of the committee.
• Thank you, Chair Wilson, Ranking Member Christian, and the rest of the committee, for the record.
• Thank you, Madam Chair and Ranking Member and committee.

Summary: The Senate Human Services Committee held a brief Monday meeting to hear two bills and a gubernatorial appointment. House Bill 2464, sponsored by Rep. Ortiz-Self, would require private detention facilities to report serious incidents such as abuse allegations, deaths, suicides, injuries requiring hospitalization, and service disruptions to the Department of Health and local law enforcement by the next business day, and would require annual law-enforcement reporting to DOH. Rep. Ortiz-Self said the bill is needed because private facilities have been inconsistent and delayed in sharing information, while state facilities already provide data more readily. Testimony from Columbia Legal Services, the League of Women Voters, La Resistencia, and the Northwest Immigrant Rights Project strongly supported the bill, citing barriers to reporting crimes and concerns about abuse in private detention. The committee did not vote on the bill during the hearing, but the chair said it would be considered in executive session. The committee also heard Engrossed Substitute House Bill 2253, a DCYF request bill making several licensing-related changes for foster care, crisis residential centers, and child care. The bill would require immediate termination of certain child-specific foster licenses if high-potency synthetic opioids or illicit substances are found, exempt kinship caregivers from blood-borne pathogen training, allow DCYF to close inactive foster homes, remove sex designation from foster licenses, adjust CRC staffing ratios to one staff for four youth during waking hours and one for six during sleeping hours, and strengthen child care subsidy fraud enforcement through electronic attendance verification and possible license revocation. DCYF and Community Youth Services testified in support, describing the changes as technical fixes that align statute with current practice and reduce burden on providers. Committee members raised concerns that some child care provisions may belong in a different committee and noted the need to ensure the bill does not duplicate or conflict with existing licensing and fraud rules. The committee then held a confirmation hearing for Corey McNally, reappointed to the Indeterminate Sentence Review Board. McNally described the board’s role in release decisions, supervision conditions, violation management, and release plans, and discussed his background in community mental health, the Special Commitment Center, DOC sex offense treatment, and ISRB leadership. Members asked about advances in sex offense assessment and treatment, the distinction between ISRB cases and sexually violent predator civil commitment, board consistency and recidivism work, and victim participation in hearings. McNally said the board uses structured decision-making and actuarial risk assessments, remains neutral on legislation, and provides victim liaisons to offer participation options. The chair closed the hearings, noted the committee would meet the next day on a large packet of bills and one appointment, and adjourned.

Transcript Highlights:

• Okay, seeing none, Ranking Member Klicker, please tell us about your bill.
• Good morning, Madam Chair, Ranking Member.
• Ranking Member Klicker. Thank you, Madam Chair.
• Good morning, Chair Duerr and Ranking Member Klicker.
• Thank you, Madam Chair, Ranking Member, and members of the committee.

Bills: HB2267 , HB2183 , HB2174 , HB1529

Committee: House Local Government

Keywords: urban forestry, local government, environmental policy, tree management, community planning, heat response, counties, public health, emergency management, climate action, crash prevention, traffic safety, roadside regulations, emergency zones, public safety, state legislation, infrastructure, county resources, road construction, maintenance

Transcript Highlights:

• Ranking Member; there might be a contract between private parties.
• Ranking Member, there might be a contract between private parties.
• Ranking Member, and the entire committee for having me again today.
• Yes, Madam Chair and Ranking Member, my name is Rick Hughes.
• I'm a Washington resident and physician.

Summary: House Finance held public hearings on three Senate bills. SB 6129 would raise cigarette taxes, replace current nicotine/vapor product taxes with a 95% tax on nicotine products, and adjust revenue distributions to the Andy Hill Cancer Research account, the Foundational Public Health Services account, and a youth prevention account; staff and supporters said it would correct an unintended loss of public health funding and reduce youth nicotine use, while opponents argued it would be highly regressive, harm retailers and wholesalers, and push sales into illicit markets. SB 6231 would repeal the data center sales tax exemption for refurbishment and end replacement server equipment eligibility; the sponsor and staff said it would raise roughly $200 million and remove an obsolete preference, while labor, port, business, and data center representatives opposed it, citing lost jobs, reduced investment, and concerns about upsetting existing contracts and rural economic development. SB 6228 would repeal the preferential B&O rate for warehousing and reselling prescription drugs and create a lower preferential rate for critical access pharmacies; the sponsor said it would restore horizontal equity in the tax code and offset impacts on rural pharmacies, but pharmacy groups, wholesalers, retailers, and business organizations warned it would raise medication costs, worsen pharmacy closures, and be passed through to patients. The committee heard extensive public testimony on all three bills. Supporters of SB 6129 included public health, cancer, pediatric, and emergency medicine advocates who emphasized youth prevention, cessation funding, and long-term health savings; opponents included tobacco, vape, retail, and business groups who said the bill would increase black-market activity and burden small businesses. SB 6231 drew opposition from construction trades, ports, local governments, chambers, and data center interests, who argued the tax preference supports ongoing construction, permanent jobs, and local tax bases, while committee questions focused on whether the bill would affect existing refurbishment contracts. SB 6228 was opposed by pharmacy associations, independent pharmacists, wholesalers, grocery retailers, and AWB, who said the tax increase would be passed through and could accelerate pharmacy desert conditions; the sponsor and supporters framed the bill as a correction to an outdated preference and a way to protect critical access pharmacies. No votes were taken; each hearing was closed, and the chair announced amendment requests were due Thursday at 5 p.m. and amendments posted by Friday at 5 p.m.

Transcript Highlights:

• Chair recognizes the ranking member. Thank you, Mr.
• Physicians are responsible for diagnosing And Washington One score.
• The Ranking Member has a question. Thank you, Mr. Chair.
• Thank you, Chair and Ranking Member. I'm Kimberly Mosoff.
• The ranking member has a question. Thank you, Mr. Chair.

Bills: HB2387 , HB2490 , HB2508 , HB2539

Committee: House Community Safety

Keywords: elected sheriff, sheriff accountability, recall election, peace officer certification, certified peace officer, law enforcement authority, Washington RCW, criminal justice training commission, special election, public official recall, decertification, sheriff removal, voter accountability, county sheriff, police powers, extraordinary medical placement, compassionate release, medical parole, terminal illness, serious medical condition

Transcript Highlights:

• And the licensure compacts and Florida is a member state and the physician, a nurse and the psychology
• And this awards points based on a whether a state allows certain non-physician clinicians perform tasks
• So for the physician assistants, it was the American Academy of Physician Associates for Nurse practitioners
• So Cicero ranked does, sir, scored us as a 17.
• That, again, the external organizations where the American Academy of Physician assistants for Pa's,

Transcript Highlights:

• </c> As far as yesterday, Mississippi ranks As far as yesterday, Mississippi ranks number<00:07:16.720
• </c><00:14:35.120><c> representing</c><00:14:35.560><c> the</c> and physicians representing the and physicians
• </c> Mississippi Academy of Family Physicians Mississippi Academy of Family Physicians and<00:14:38.000
• </c> Family Physicians. Family Physicians.
• They are the quarterback of physician.

Transcript Highlights:

• Thank you, Chair Bonaski and ranking member Schmick.
• Chair, Ranking Member Schmick, honored members of this committee. For the record, I'm Tina Orwall.
• Thank you so much for hearing this bill, Chair, Ranking Member Schmick, and Vice Chair Lakanoff, and
• Good afternoon, Chair Bernoski, Ranking Member Schmick, and members of the committee.
• It does have a significant impact on physician groups and providers across the state.

Summary: The Health Care and Wellness Committee held a public hearing on several bills and a joint memorial. SB 5915 would update the health technology assessment program by adding technologies recommended for Medicare populations or in national guidelines to the review priority list, requiring broader evidence review for life-threatening or rare diseases, and setting timelines for posting and deciding review requests. Supporters, including rare disease advocates and providers, said the current process is outdated and too rigid; the bill was then held for later action. SJM 8002 urged Congress to strengthen original Medicare, oppose privatization, add benefits like dental, vision, and hearing, and reduce Medicare Advantage overpayments and fraud. Supporters from labor and senior groups argued it would protect beneficiaries and send a message to federal officials; the memorial was also held after testimony. The committee also heard SB 5395 on prior authorization. Staff explained it would tighten notice requirements, require a licensed clinician—not AI alone—to deny requests based on medical necessity, add transparency around policy changes, and change how retrospective denials are treated. The prime sponsor and provider groups said the bill was a negotiated compromise meant to reduce delays and inappropriate denials, while insurers were generally neutral but sought a narrow amendment. Testifiers described prior authorization as a major source of delay and administrative burden, and the bill was held after public testimony. SB 5845 would require carriers to pay or deny clean claims within 30 days, set timelines for non-clean claims and information requests, and allow penalties for repeated noncompliance. Hospitals, physicians, and health systems supported it as a way to improve predictable payment, while insurers were neutral and asked for a narrow amendment; the bill was also held. The committee heard SB 6025, which would change the definition of fetal death so gestational age is calculated using the best clinically accurate age rather than the last menstrual period. Obstetric and nursing witnesses said the current law can force inaccurate records and unnecessary burdens on grieving families, while opponents objected to the bill’s abortion-related definitions. The bill was held after testimony. Finally, SB 5988 would authorize the Department of Health to continue accrediting opioid treatment programs and charge fees to support that work. The department and the sponsor said the measure would preserve a patient-centered accreditation option amid budget pressure, and the committee closed testimony and held the bill.