Transcript Highlights:

• They feel they need to step up.
• Aversive therapies are state-sanctioned abuse. We should not...
• In the 20th century, we've used insulin shock therapy.
• Let's be clear about what aversive therapy is: it's punishment.
• Taking Bill H-245 out of committee is a needed step forward.

Keywords: 995, all

Summary: The committee held a hybrid hearing on a range of bills affecting children, families, disability rights, homelessness, and social services. Early testimony focused on H.215, which would support children experiencing homelessness by speeding access to child care vouchers and early intervention screenings. Boston officials, Horizons for Homeless Children, Head Start, pediatric and early education advocates, and families described delays in child care and early intervention, the developmental risks of homelessness, and the need for automatic referrals and faster access to services. Testimony also supported H.216, which would improve emergency housing assistance by restoring presumptive eligibility, reducing documentation barriers, extending shelter stays from six to nine months, and creating an ombudsperson; providers and legal advocates said current rules leave families sleeping in cars or outside and create unnecessary administrative hurdles. The committee also heard strong support for H.210, which would repeal the “Learn Fair” school attendance sanction that cuts cash assistance to families when children miss school. Advocates from legal aid, education, and anti-poverty organizations argued the policy is punitive, burdensome, and ineffective, disproportionately affecting low-income, disabled, and Hispanic/Latino families. Several speakers said chronic absenteeism should be addressed through supports such as family outreach, wraparound services, and school engagement rather than benefit cuts. Legislators and school officials from Salem also testified that their districts reduced absenteeism through supportive strategies, not sanctions. Additional testimony addressed children’s vision bills H.202 and H.166, with optometrists and researchers urging better screening, data systems, and treatment access to close achievement gaps caused by untreated vision problems. Senator Lovely also presented S.2714, proposing a study of discrimination in public accommodations for people with service animals. Later, testimony on H.279 supported changing social work licensure rules to remove exam requirements that speakers said disproportionately exclude multilingual candidates and candidates of color. The hearing also included testimony on bills related to the Judge Rotenberg Center and electric shock devices, with disability rights advocates opposing continued use of the devices and urging the committee to reject licensing or authorization for them. No votes or committee actions were taken during the hearing.

Transcript Highlights:

• NEXT WE WILL GO TO TAB THREE WHICH IS SENATE BILL 264 ON STEP THERAPY PROTOCOL BY OUR VICE CHAIR HARRELL
• UNDER A CURRENT STEP THERAPY YOU HAVE TO FAIL FIRST.
• LAST YEAR, 2022 WE DID PASS A BILL SB 534 THAT CREATED AN EXCEPTION FOR STEP THERAPY BY AUTHORIZATION
• BUT IN BEING A FISCAL CONSERVATIVE THIS IS MY FIRST STEP IN ELIMINATING STEP THERAPY SO I HOPE THAT WE
• ONE CRISIS UNITS STAY, ONE INPATIENT HOSPITALIZATION CAN NEGATE ALL THE SAVINGS STEP THERAPY IS INTENDED

Keywords: 999, senate, all

Transcript Highlights:

• Washington has failed to protect America's children, and the states have stepped up, both red states
• So that time is critical for folks to get the physical therapy that they need instead of waiting for
• The second one was just to say she can do therapy. and then we had to come back and wait.
• These children require intensive, frequent, and highly individualized therapy.
• These children require intensive, frequent, and highly individualized therapy.

Summary: The Assembly met in session, established a quorum, and opened with an Asian American and Pacific Islander Heritage Month ceremony. Members adopted House Resolution 35 recognizing May as AAPI Heritage Month, with extensive floor remarks from caucus leaders and members highlighting AAPI history, contributions, and solidarity with other communities. The chamber then honored 14 AAPI honorees from across the state, including public servants, advocates, artists, health professionals, and community leaders, before moving to the regular file. On the floor, the Assembly passed a series of bills on social media harms to minors, labor privilege, foster care family-finding, low-impact camping areas, student body association governance, drink-spiking prevention at music festivals, behavioral health access, greenhouse gas recapture, physical therapy access, housing enforcement, insurance licensing, density bonus clarification, water district proxy voting, park district updates, secured transactions, and property tax relief during emergencies. Most measures passed with broad or unanimous support; notable votes included AB 2 on social media platform accountability passing 59-0, AB 1109 on union communications privilege passing 45-4, AB 409 on student body association open meetings passing 55-6, AB 518 on low-impact camping passing 55-0, AB 668 on drink-spiking protections passing 72-0, AB 348 on behavioral health access passing 69-0, AB 663 on HFC recapture passing 71-0, AB 574 on physical therapy access passing 68-0, AB 712 on housing enforcement passing 57-1, AB 943 on insurance pre-licensing reform passing 63-0, AB 87 on density bonus law clarification passing 63-0, AB 523 on Metropolitan Water District proxy voting passing 62-1, AB 769 on park district code cleanup passing 68-0, AB 771 on secured transactions passing 69-0, and AB 1416 on property tax installment deferrals passing 66-0. The Assembly also took up AB 446, the Surveillance Pricing Protection Act, which would prohibit businesses from using personal data to charge different prices for the same product or service. Supporters described the practice as predatory and discriminatory, while noting ongoing concerns about preserving legitimate discounts and loyalty programs. The bill was presented as a consumer protection measure aimed at preventing hidden price discrimination and reducing cost-of-living pressures. The transcript ends amid repeated and partially duplicated readings of AB 446, without a final vote shown for that item.

Transcript Highlights:

• receiving these hormones hormone therapy receiving these hormones hormone therapy 67<00:05:13.600
• <00:20:15.240> is that this kind of hormone therapy is that this kind of hormone therapy is
• But again, I think this bill is a step in the right direction, and so for that reason I vote...
• But again, I think this bill is a step in the right direction, and so for that reason I vote...
• But again, I think this bill is a step in the right direction, and so for that reason I vote...

Keywords: Meeting Start: 00:00:00 Roll Call: 00:00:04 SB 02: 00:01:37 Discussion in Opposition to SB 02: 00:09:49 SB 84: 00:22:19 SB 111: 00:30:35, 958, all

Summary: The committee first considered Senate Bill 2, sponsored by Senator Mike Wilson, which would prohibit incarcerated people from receiving cross-sex hormones or gender-affirming surgeries, while allowing a tapering period if stopping an existing treatment would cause physical harm. Wilson said the bill was needed to prevent the Department of Corrections from providing such care by memo or policy rather than statute, and he argued the care was elective and not medically necessary. Senators Thomas, Neal, Nemes, Styers, and others questioned whether any gender-affirming surgeries had actually occurred in Kentucky, whether the hormone treatments were physician-prescribed, and whether the bill would override medical judgment; Wilson said the department reported no surgeries, that 67 incarcerated people were receiving cross-sex hormone therapy, and that he would only support treatment if it fit the bill’s narrow medical-harm exception. Public testimony on SB 2 was strongly opposed. Chris Hartman of the Fairness Campaign said the bill would deny medically necessary care, violate the Eighth Amendment, and target a very small and vulnerable incarcerated population. Dr. Jack Skilles testified that gender-affirming care is medically necessary and supported by major medical organizations, warning that denying it could worsen mental health and lead to suicidality. Hannah Callahan, a transgender woman, described being denied hormone therapy while incarcerated and said the interruption caused severe physical and mental harm, including suicidal thoughts. Emma Curtis, Lexington’s Fourth District councilwoman, also urged a no vote, framing the issue as a matter of compassion and religious duty. The committee then voted on SB 2. Senator Neal explained his no vote by saying he was not medically trained and deferred to doctors; Senator Nemes said he wanted clarification that the bill would not stop ongoing treatment; and Senator Styers argued the bill was a poor priority and noted there was no fiscal note and that only 67 people were affected. Senator Wheeler moved the bill, Senator Reed seconded, and the committee reported Senate Bill 2 favorably. Afterward, the committee began hearing Senate Bill 84, sponsored by Senator Steve Rawlings, which would limit judicial deference to state agency interpretations and require courts, not agencies, to interpret ambiguous laws, citing the U.S. Supreme Court’s 2024 Loper Bright decision overturning Chevron deference.

Transcript Highlights:

• And we do know the earlier you get a child into therapies, various therapies that are available and specific
• It creates the Early Steps extended option, which allows children to stay in the Early Steps program
• expands Early Steps eligibility... ...so that the bill language consistently expands Early Steps eligibility
• They're under Part C for Early Steps, and Early Steps under the federal program is only through age three
• And I think that this bill is a first step towards that.

Summary: The Senate Education Pre-K-12 Committee heard and passed two autism-related bills. SB 112, by Senator Harrell, would expand autism screening and referral grants, extend Early Steps services from age three to age four, designate the University of Florida autism center as a statewide hub, create grants for autism-focused charter schools and summer programs, and establish an autism microcredential for educators and paraprofessionals. Three technical or clarifying amendments were adopted, and the bill received support from Autism Speaks, The Arc of Florida, Foundation for Florida’s Future, and Miami-Dade County Commissioner Raquel Regalado, who emphasized early intervention and the need for training and expanded services. The bill was reported favorably by committee vote. The committee then considered SB 102, by Senator Gaetz, which would direct the Department of Education to create a workforce credential for students with autism spectrum disorder, including badges for job skills and workplace safety, and require reporting on outcomes such as employment after graduation. An amendment was adopted to allow students on a modified curriculum before formal diagnosis to participate and to require coordination with the Florida Center for Students with Unique Abilities and OSHA. Testimony from Amy Weatherby of the FSU Autism Institute and CARD strongly supported the bill, stressing the importance of employment outcomes and early preparation, while other organizations also supported it. SB 102 was reported favorably, and the committee adjourned after Senator Harrell was recorded as voting in the affirmative on SB 112.

Transcript Highlights:

• > long-term MDMA assisted therapy shows long-term MDMA assisted therapy shows long-term PTSD<00
• I previously therapies task force.
• <00:21:00.159> safely, integrate these therapies safely, integrate these therapies safely,
• , FDA breakthrough therapies.
• , FDA breakthrough therapies.

Keywords: 912, senate, all

Summary: The committee heard testimony on SB 3025, relating to medical debt, with multiple organizations and individuals, including the Office of Wellness and Resilience, Healthcare Association of Hawaii, Queens Health Systems, the American Cancer Society Cancer Action Network, Aloha Care, Hawaii Health and Harm Reduction, Hawaii Data Collaborative, and Hawaii Appleseed, all speaking in support. No opposition was heard, and the member present had no questions. The committee then took up SB 3199, which would establish a mental health emerging therapies task force. Testimony was overwhelmingly in support, with speakers including veterans, clinicians, researchers, and advocacy groups describing personal experiences with PTSD, depression, traumatic brain injury, and treatment-resistant conditions, and arguing that Hawaii should prepare for regulated access to emerging therapies such as MDMA, psilocybin, ketamine, and ibogaine. The Department of Health and some medical organizations provided comments, and one opposition witness was called but not present. The chair noted broad support, especially from veterans, and no vote was taken during the excerpt. The final measure discussed was SB 3324, relating to Medicaid. The Department of Human Services, Department of Health, Hawaii State Council on Developmental Disabilities, Hawaii Disability Rights Center, Aloha Care, and numerous care-provider and aging/disability organizations testified in support, while one witness was in opposition and several others offered comments. The discussion then moved to SB 2563, relating to homelessness, where the Department of the Attorney General offered comments on specific sections and recommended adopting suggested amendments if the bill proceeds. Additional testimony on SB 2563 began with support from several individuals, including Shelby Pikachu, who emphasized the severity of homelessness and related social problems in the community.

Transcript Highlights:

• I did see Schofield, but he stepped out again.
• I mean, in this instance, what you're addressing, right, it's hormone therapy.
• I mean, it's referring to, it says drugs, so it's referring to hormone therapy.
• , or get off hormone therapy, if you're able to speak to that?
• Legislators know what next steps to take.

Bills: HB 1239, HB1990, HB1748, HB1749, HB2578, HB2986, HB1970, HB3163, HB2733, HB1922, HB 113, HB 1088, HB1938, HB3004, HB2637, HB2960, HB113

Keywords: public health, access to healthcare, insurance reforms, medical expenses, healthcare providers, mental health, protective custody, preliminary examination, detention period, emergency circumstances, emergency detention, legal framework, detention, healthcare, liability, landowners, nonagricultural land, trespassing, public safety, interpreters

Transcript Highlights:

• company, has not increased ABA therapy company, has not increased ABA therapy reimbursement<00:53
• therapy.
• We recently introduced a feeding therapy clinic and occupational therapy.
• We recently introduced a therapy.
• > and<00:57:46.480> occupational feeding therapy clinic and occupational feeding therapy

Keywords: 958, all

Summary: The committee approved the October 22, 2025 minutes and then heard a presentation from the Child Fatality and Near Fatality External Review Panel on accidental ingestion of illegal drug products by children. Panel members said pediatric ingestions have become the most common case type they review, with the highest-risk children ages one to four, and that fatal cases have increased in recent years. They reported that the substances most often involved are fentanyl, cannabinoids including THC products, methamphetamine, and increasingly xylazine; they also noted a decline in buprenorphine-related ingestions, which they viewed as a positive trend. The panel used several case examples to highlight recurring problems in investigations and medical response, including delayed DCBS involvement, failure to administer Narcan, inadequate drug testing, lack of child abuse team involvement, and limited or absent law enforcement investigation. They said law enforcement issues are especially common in pediatric ingestion cases and are concentrated in Jefferson County and the Bluegrass/KIPA regions. One example involved a one-year-old who died from fentanyl and Benadryl intoxication; another involved a two-year-old who died after ingesting multiple substances; and a third involved a four-year-old with near-fatal THC gummy ingestion where delayed treatment worsened the child’s condition. They also described a 10-month-old THC ingestion case that resulted in a criminal abuse conviction, which they presented as an example without missed investigative opportunities. Committee members discussed possible policy responses, including creating a more specific criminal child abuse offense or clarifying existing abuse and neglect definitions to cover unsafe access to illegal drugs, while preserving room for true accidents and prescribed medications. Members also raised the need for statewide standardization in reporting, investigation, and medical response, and suggested the panel should be able to call in agencies such as law enforcement, DCBS, judges, and hospitals for closed-session review of selected cases. The panel chair said they were already pursuing meetings with LMPD and would provide Jefferson County-specific breakdowns, and members expressed interest in additional data and agency follow-up before considering legislation.

Transcript Highlights:

• I think that we have to continue to step up.
• I think that we have to continue to step up to the plate.
• the definitions of stem cell therapies, and also makes sure that the therapies are utilizing live cells
• The promise of stem cell therapies is pretty superior to, you know...
• . ...label therapies that have FDA-approved uses for other things.

Summary: The committee took up a series of bills, beginning with SB 1422 on unmanned aircraft systems. The bill increases penalties for flying drones over critical infrastructure, prohibits drones equipped with weapons or explosives, creates a first-degree felony for drones carrying a weapon of mass destruction, and includes a law enforcement exception. A lay-filed amendment by Senator Pizzo warning against the use of force to shoot down drones was debated but failed, and the bill was then reported favorably. The committee also reported favorably on SB 846 addressing notary public fraud in immigration-related services, SB 650 on hazardous walking conditions for school transportation, SB 922 on employment agreements including non-compete and garden leave provisions, and SB 1820 on motor vehicle manufacturer and dealer relations, covering performance measures, retaliation, and franchise termination standards. Several bills focused on education, health care, and disability issues. SB 540, the Evan B. Hartzell Act, would require disability history and awareness instruction across grade levels; it drew emotional testimony from the bill sponsor, family members, and supporters, and was reported favorably. SB 998 would allow advanced practice registered nurses to certify deaths and file death certificates in hospice settings under physician protocol, and SB 1412 would modernize home health agency rules by expanding administrative flexibility and contract service use; both passed. SB 1736 would allow direct support professionals and relatives to administer insulin in group home settings for individuals with developmental disabilities, and it was also reported favorably. The committee also advanced several regulatory and court-related measures. SB 1650 expands Florida’s vexatious litigant law, including allowing designation based on conduct in a single case and extending the look-back period, while SB 1652 creates a public records exemption for certain stricken non-criminal court filings; both were approved. SB 1076 on roofing contractors was amended to require continuing education for roof-to-wall connections and then passed, and SB 1078 on fire prevention was amended with stakeholder-agreed language before being reported favorably. SB 1080 on local government land regulations, after multiple amendments and significant debate over agricultural enclaves and local control, was also approved. Other major measures included SB 818 on utility relocation, which creates a relocation fund funded by a portion of communications services tax revenue and was supported by multiple industry and local-government groups after a compromise amendment; SB 868 on social media use by minors, which would require a decryption mechanism for law enforcement access under subpoena and prohibit disappearing messages for minors, remained under discussion as the transcript ended. The committee also heard SB 96, a claims bill for Jacob Rogers against the City of Gainesville, and reported it favorably after testimony that the city would pay the settlement amount.

Transcript Highlights:

• It's a fundamental first step in breaking the cycle of incarceration.
• So therapy is imperative, so they should be in therapy, not once a week, not once a month, every day.
• They should have some kind of therapy.
• If not, uh, with one on one therapy, group therapy is every day I think or I'm not sure on the group
• therapy, but They, they need to have more therapy than what they get.

Transcript Highlights:

• HB 909, Occupational Therapy Licensure Compact, by Representative Anderson.
• First up, we have Anita Berry with the Florida Occupational Therapy Association.
• The proof is in the outcomes: filling the therapy gaps.
• That's crucial when Florida's patients are waiting sometimes up to 12 months for therapy.
• We'll all go to this family therapy thing, and so we were doing that for a while.

Summary: The Health Professions and Programs Subcommittee heard and advanced several health care bills. HB 909, joining the Occupational Therapy Licensure Compact, was presented with a strike-all amendment and reported favorably as amended by a 13-0 vote. HB 911, the related public records exemption protecting certain biological information, was also adopted and reported favorably as amended by a 14-0 vote. CS for HB 597, allowing schools to procure and administer glucagon for students with diabetes under trained personnel, passed unanimously 14-0 after a technical amendment. HB 519, aligning state law with federal language on controlled substances administered by paramedics, passed as amended 14-0. The committee then took up HB 919 on nursing education programs. Sponsor Rep. Overdorf argued the bill would create accountability for underperforming nursing schools by requiring remediation, tuition refunds in the lowest-performing programs, and public reporting of passage rates. Supporters said it would improve quality and protect students from debt without licensure success, while opponents from private nursing schools warned it could close programs and reduce nurse supply. After extensive debate, the bill was reported favorably 15-0. HB 1553, which would require health care providers to submit identified uterine fibroid data so the Department of Health can implement the research database previously authorized by law, passed unanimously 15-0. The final bill, HB 883, would allow psychiatric mental health nurse practitioners to practice autonomously; supporters said it would expand access to mental health care, especially in rural and underserved areas, while opponents raised concerns about quality and physician oversight. After lengthy testimony and debate, the bill was reported favorably 14-3.

Transcript Highlights:

• SO WE WILL LIKELY SEE NOT JUST ONLY LACK OF ACCESS TO NEEDED THERAPIES BECAUSE PEOPLE CAN'T AFFORD TO
• RIGHT NOW IF YOU GO TO OIR OR THE CFOS WEBSITE IT TAKES FOUR STEPS TO FIND HOW YOU FILE A COMPLAINT,
• FOUR STEPS.
• NOW WE HAVE GENE THERAPY MEDICATIONS SUCH AS SICKLE CELL ANEMIA SO A $1.6 MILLION POT TO CURE SICKLE
• THIS LEGISLATION TAKES A MEASURED MARKET-BASED STEP TOWARDS A MORE COMPETITIVE TRANSPARENT AND PATIENT

Transcript Highlights:

• , Department of Pharmacy, State Board of Nursing, Arizona Board of Occupational Therapy Examiners, and
• Ridenauer, what steps have you made toward getting that ask in the Madam Co-Chair, Dr.
• Reidenhauer, what steps have you made toward getting that ask in a bill format?
• I'm the executive director of the Arizona Occupational Therapy Examiners Board.
• I would like to begin by... ...review of the Arizona Board of Occupational Therapy Examiners.

Keywords: 1182, all

Summary: The committee conducted sunset reviews for the Arizona State Board of Pharmacy, the State Board of Nursing, the Arizona Board of Occupational Therapy Examiners, and the Arizona Regulatory Board of Physician Assistants. The Auditor General’s reports praised each board for timely licensing in some areas but identified recurring problems with complaint investigations, public safety oversight, fee analysis, records/documentation, and internal controls. For Pharmacy, the main concerns were weak enforcement of controlled substances prescription monitoring program (CSPMP) requirements and slow complaint resolution; the board said it had implemented some recommendations, was pursuing a new database vendor, and supported legislation to strengthen CSPMP enforcement. For Nursing, the audit found a large and growing backlog of complaints and repeated delays in resolving cases; the executive director said the board was under-resourced and requested 28 additional investigative positions, while nursing stakeholders supported process reforms and cited a bill to improve timelines and fairness. For Occupational Therapy, the audit focused on missing or poorly documented fingerprint clearance card checks, delayed action on a serious criminal-charge disclosure, and other compliance issues; the board said it had accepted and was implementing all recommendations, including new procedures and rulemaking. For Physician Assistants, the audit found weak oversight by the executive director, extensive delays in complaint handling, and an incentive-pay system that did not align with key performance goals; the board said it had already made structural changes, was improving tracking and IT systems, and planned to continue implementing recommendations. After discussion and testimony from board officials, public members, and nursing stakeholders, the committee voted to continue the Arizona State Board of Pharmacy for six years until July 1, 2032, the State Board of Nursing for four years until July 1, 2031, the Arizona Board of Occupational Therapy Examiners for four years until July 1, 2030, and the Arizona Regulatory Board of Physician Assistants for a continued term with statutory changes (the transcript includes the board review and related discussion, but the final motion text for the physician assistants board is not fully captured in the excerpt). The votes on the first three continuations were approved by roll call, with members generally supporting continuation while expressing concern about complaint backlogs and the need for reforms.

Transcript Highlights:

• The cost of this therapy was not covered by workers' comp or my insurance.
• I love triggered four years of therapy for depression.
• The cost of this therapy was not covered by workers' comp or my insurance.
• It was a critical first step and improved...
• Physical therapists are doctorates of physical therapy.

Keywords: 995, all

Summary: The Joint Committee on Public Health held a hybrid hearing on a wide range of bills focused on patient safety, workforce development, health equity, and access to care. A major portion of the hearing centered on H. 2362/S. 1491, which would require health care providers to offer trained chaperones for sensitive exams. Sponsors and supporters said the bill is a common-sense safeguard prompted by cases of physician sexual abuse, and survivors gave emotional testimony describing grooming, isolation, and abuse during exams when no chaperone was present. Support also came from a health services researcher, a physician, and a RAINN representative, all arguing that trained chaperones and clearer documentation would improve transparency and protect patients. Committee members asked about clarifying who may serve as a chaperone and whether the bill would apply to other clinicians such as PTs and OTs. The committee also heard testimony on H. 2401/S. 1485, which would require explicit informed consent for certain educational exams performed on unconscious patients. The bill’s supporters said patients should know in advance if students or physicians will conduct non-medically necessary exams while they are under anesthesia, and that the measure would protect survivors from retraumatization. The hearing then moved to H. 2537, a primary care access bill. Health Care for All, the Massachusetts Medical Society, pediatric and internal medicine physicians, and a patient advocate described long waits, provider shortages, and difficulty finding primary care, especially for low-income people and people of color. They supported the bill’s proposed primary care spending target, payment reforms, Medicaid graduate medical education funding, and a commercial payment floor for health centers. Another set of bills addressed workforce and safety issues. H. 2397/S. 1593 would establish a nursing workforce center; nursing leaders said Massachusetts should make the current workforce council permanent to support data collection, apprenticeships, and long-term planning for the state’s largest health care workforce. H. 2396/S. 1535 would require safe patient handling and mobility programs in health facilities; nurses described serious injuries from lifting patients and said better equipment and programs would reduce staff injuries and improve patient outcomes. H. 2501/S. 1505 on LGBTQ+ health disparities drew support from a medical student and Doctors for America, who urged collection of sexual orientation and gender identity data to improve care and school outcomes. Finally, H. 2448/S. 1522 on patient safety and equitable access to care drew strong support from nursing organizations and individual nurses who described unsafe staffing, burnout, and patient harm, while the Massachusetts Association of Behavioral Health Systems opposed the bill as redundant for psychiatric facilities already regulated by the Department of Mental Health.

Transcript Highlights:

• preventative and alternative therapies. preventative and alternative therapies.
• <00:34:32.639> and,<00:34:33.440> um, First Steps and, um, First Steps and, um, fortunately
• <00:35:07.560> and of the vital, necessary therapies and of the vital, necessary therapies
• ,<01:09:06.839> OTPT<01:09:07.520> speech, therapy, OTPT speech, therapy, OTPT speech,
• know, we we've got to step up with this. know, we we've got to step up with this.

Keywords: Roll Call - 00:10 Discussion on SCR 61 – 01:46 Vote on SCR 61 – 11:33 Discussion on SR 18 – 12:30 Vote on SR 18 - 30:01 Discussion on Ky Residential Autism Services – 32:34 Questions & Comments – 56:56, 958, all

Summary: The committee met with a quorum and first considered Senate Concurrent Resolution 61, sponsored by Senator Shelley Funke Frommeyer and Representative Matt Lockett. The resolution, as amended by committee substitute, would create a legislative task force tied to the MAHA (Make America Healthy Again) framework to study Kentucky health policy, including Medicaid drug approvals, preventive and alternative therapies, holistic health education, oversight and transparency in health care, and research into integrative approaches. Supporters said the goal was to address chronic disease and reduce over-medication, while emphasizing the effort was not intended as an attack on agriculture or the pharmaceutical industry. The resolution received favorable expression and passed the committee 9-0. The committee then heard Senate Resolution 18 from Senator Neal, urging Kentucky to maximize participation in the federal SNAP Employment and Training (SNAP E&T) program. Testimony from Jessica Klein of the Kentucky Center for Economic Policy and Secretary Eric Friedlander explained that SNAP E&T provides job training, education, and support services for SNAP participants, and that the program is federally matched and does not require additional General Assembly funding in the normal course. Members discussed how the program works, whether it could create new state costs, and how it fits with efforts to connect food assistance, workforce development, and local agriculture. Questions also focused on whether SNAP spending can be steered toward healthier foods and farmers markets, including Kentucky’s Double Dollars program, which was described as helping participants buy produce, meat, and dairy at participating markets and some retailers. Several members expressed support for the workforce goals but asked for more information on fiscal impacts and purchasing data. Secretary Friedlander said the SNAP E&T funds are separate from nutrition benefits, and that the state match generally comes from employer, university, or workforce partner contributions rather than new state appropriations. Senator Herron explained her vote in favor by saying the program could help people gain education and employment and reduce reliance on SNAP over time. Senate Resolution 18 was then adopted by the committee.

Transcript Highlights:

• , theranostics, and cell-based therapies and immune therapies.
• So that's where Anesthesia Assistance Training occurs, or Occupational Therapy, or Physical Therapy,
• Physical therapy used to be one; I'm assuming it still is.
• by step.
• , for example, functional family therapy, etc., have far better outcomes than...

Transcript Highlights:

• It seems like we take a step forward and then take a step back, but we're still committed.
• It seems like we take a step forward and then take a step back, but we're still committed.
• It seems like we take a step forward and then take a step back, but we're still committed.
• It seems like we take a step forward and then take a step back, but we're still committed.
• It seems like we take a step forward and then take a step back, but we're still committed.

Keywords: 1183, house

Transcript Highlights:

• they have to hold a massage therapy they have to hold a massage therapy license.<00:20:38.000>
• Would offers m offers massage therapy.
• I guess I'm curious therapy services.
• The appropriate steps so that they can do the business.
• I'm therapists therapy is is different.

Keywords: 1191, senate, all

Transcript Highlights:

• controls including prior Ops or step controls including prior Ops or step therapy<04:36:05.279><
• He clarified that he was thinking of drug step therapy.
• , because the surgeon is the most expensive thing you can do. drug step therapy yeah but I'm thinking
• You talk about prior auth and step therapy.
• you talk about prior oth and step you talk about prior oth and step therapy<04:48:42.920> I

Keywords: 928, house, all

Summary: The committee first heard testimony on House Bill 167, which would add ski, snowboard, and boat wax containing PFAS to the state’s consumer-product restrictions. The sponsor argued the product is already banned in many places, has PFAS-free alternatives, and is used in ways that can directly contaminate water rather than landfills. She cited high PFAS levels in several New Hampshire lakes and said the bill was a simple extension of prior PFAS legislation. A witness also described a personal experience where a liquid ski wax disappeared from the market and later returned, likely because of PFAS concerns. The chair then closed the hearing on HB 167 without a vote. The committee then opened a hearing on House Bill 312, dealing with college athletes’ name, image, and likeness (NIL) rights. Representative Moffett said the bill was modeled on New Jersey law and intended to let student-athletes earn compensation from NIL without losing institutional scholarships, while also requiring licensed representation and setting limits on certain endorsements. He described the measure as proactive because NIL rules are evolving and could create conflicts among schools and future lawsuits. Members questioned whether the bill should apply to two-year institutions, whether it should exclude firearms and weapons, and whether the scholarship protections would cover need-based or academic aid as well as athletic scholarships. Moffett said the scholarship language was intended to protect scholarships generally, but not need-based aid specifically, and he acknowledged discomfort with some of the endorsement restrictions. Public testimony on HB 312 was mixed. One supporter, a former Division III athlete and coach, backed the bill but urged removal of a section allowing institutions or athletic bodies to use an athlete’s NIL without compensation, arguing most New Hampshire athletes do not receive NIL money and should not have to work extra jobs to cover basic expenses. The chair also raised concerns about the bill’s contractual and identity-rights implications, referencing prior committee work on a J.D. Salinger-related identity case and noting the committee had previously declined to get involved in similar contractual disputes. No vote was taken during the hearing.

Transcript Highlights:

• child does not need occupational therapy.
• No, this child does not need physical therapy.
• It comes from eliminating two steps, or two things, not two steps.”
• It comes for eliminating two steps or two things, not two steps.
• It comes from eliminating two steps, or two things, not two steps.

Summary: The committee approved the December 8 minutes and referred items C1 and C2 to the labor and environment subcommittees, adopting the chair’s recommendations. The main substantive item was a DHS rule package revising the State Plan Personal Care Manual and the Arkansas Independent Assessment (ARIA) Manual. DHS said the revisions would repeal and replace the current manuals with streamlined versions, remove overlapping language, implement Act 853 by shifting licensure/certification for personal care agencies to the Department of Health, lengthen personal care prior authorizations from six months to one year, and keep the 64-hour monthly cap. For ARIA, DHS said it would remove references to state plan personal care, clarify telehealth and in-person assessments, and add/update sections for PASS, AR Choices, Living Choices, and PACE. DHS argued the current independent assessment process is costly and not controlling utilization, citing a 95% approval rate, annual spending of more than $212 million on personal care for about 17,000 people, and an estimated $6.173 million in savings from eliminating the Optum assessment and reducing prior-authorization frequency. Agency witnesses said the new process would reinsert primary care practitioner involvement, use standardized evaluation and prescription forms, and rely on personal care provider nurses for the assessment step, with training already available through an AFMC contract. Several members questioned whether PCPs should be used as gatekeepers, whether the change would delay services, and whether the savings estimate accounted for training or provider burden. Some members also raised concerns about conflicts of interest, the workload on physicians, and whether the agency had adequately worked with the existing vendor to improve the current system. The discussion became contentious, with Senator Irvin and others strongly opposing the proposal as inconsistent with the earlier independent-assessment approach and urging DHS to slow down and work with legislators. Other members asked for clarification on how the new process would work for new applicants and whether it would affect waiver or PASS participants; DHS said the rule would not apply to PASS and should not delay services. At the end of the hearing, the chair offered DHS the option to pull the rule down and work off-record with legislators on a revised proposal, and DHS agreed. The meeting then adjourned without further business or a final vote on the rule.