Transcript Highlights:

• There really isn't an independent coupon management program or prior authorization program out there.
• This is our actuarial provider for the property insurance program.
• Thank you, sir, and for taking on a first-year program.
• We have seen over the past year that the program has worked.
• but within the individual programs themselves.

Keywords: 1204, all

Transcript Highlights:

• treatments and topical treatments for individual animals.
• TPDES is a federally delegated program, and the U.S.
• This is also a federally delegated program, where the EPA retains oversight of TCEQ’s primacy program
• TCEQ’s regulatory programs rely on specialized staff.
• So, the brackish resources aquifer characterization program system program—we just call it the BRAX program

Keywords: 1185, senate, all

Transcript Highlights:

• I'm going to highlight one called family-centered treatment.
• The other one we're doing is the community reintegration program.
• The other one we're doing is the community reintegration program.
• This is our first residential substance use disorder treatment.
• Not be, I guess, basically, expending the money on treatment.

Summary: The House Health Services Subcommittee met to approve the October 7, 2024 minutes and then shifted to a broad discussion of behavioral health policy, taking up work previously handled by a behavioral health working group. Representatives Wooldridge and Vaught described major gaps in Arkansas behavioral health care, emphasizing access problems, workforce shortages, rural service barriers, low reimbursement, and the need to move from a reactive crisis system to more proactive community-based care. Members discussed possible 2027-session priorities such as reducing red tape, improving provider licensing and supervision pathways, expanding billing codes and reimbursement structures, and considering interstate compacts and other workforce fixes. A major focus was the state’s crisis and forensic system, including long waits for competency evaluations, the backlog at the Arkansas State Hospital, and the use of county jails for people awaiting treatment. DHS Director Paula Stone explained that Medicaid pays for most behavioral health services, but cannot pay for services in jails or state hospitals because those individuals are treated as inmates of public institutions, leaving state general revenue to cover much of that cost. She outlined DHS efforts including secured restoration beds, therapeutic communities, community mental health center contracts for jail-based services, and plans for an institution-for-mental-disease waiver that could allow Medicaid payment for certain hospital-based services. Members also discussed crisis stabilization units, with DHS noting that Fort Smith and Jonesboro have been more successful than Fayetteville and Little Rock, largely because of location, partnerships, and law enforcement coordination. Questions covered reimbursement for county jails, step-down facilities, civil commitment options, non-emergency behavioral health transportation, and whether DHS should create a bed-availability dashboard similar to hospital systems. DHS said it does not currently have such a dashboard but is exploring the idea. The meeting ended with a commitment to continue the work, with more detailed discussion planned for August, and the subcommittee adjourned.

Transcript Highlights:

• course of treatment of a biologic and switch to a biosimilar.
• course of treatment of a biologic and switch to a biosimilar.
• And they avoid treatment.
• . ...after year, making it difficult to afford essential medications and treatments.
• and patient eligibility rules for those programs at any time.

Summary: The committee heard several health-related bills, beginning with SB 1124 on lung cancer screening awareness. The author and supporters said the bill would require CDPH signage about lung cancer screening eligibility at tobacco point-of-sale locations to address low awareness and low screening rates. Support came from medical students, physicians, and the California Academy of Family Physicians, while retailers raised concerns about sign size, retailer notification, and implementation. Committee members generally supported the bill and noted the need to work through those concerns. SB 1150 sought to require clearer patient notice when cancer cases are reported to the California Cancer Registry. The author described the bill as a response to inconsistent notification practices and privacy concerns, and the chair and other members shared personal stories about learning they or family members were in the registry without knowing it. Cancer registry and university stakeholders expressed appreciation for amendments but continued to have concerns or wanted more time to review the language. The bill was discussed as a patient-awareness measure rather than a change to reporting requirements. The committee also heard SB 1400 on Alameda Health System governance, SB 1094 on biosimilar substitution and health plan policies, SB 1314 on smoke shop regulation and nitrous oxide restrictions, and SB 1309 on eliminating cost-sharing for medically necessary follow-up after lung cancer screening. SB 1400 and SB 1314 drew support from local officials, labor, and public health advocates, with members emphasizing youth protection and local oversight. SB 1094 passed after extensive debate over pharmacist substitution authority and notification requirements, with a 6-0 vote and opposition from biotechnology and physician groups. SB 1309 also passed after members discussed the cost of follow-up care and the value of early detection, despite opposition from health plans over premium impacts; it received a 7-0 vote and was placed on call.

Transcript Highlights:

• It creates a new Year 5 ISSA grant program.
• It adds infant Krabbe disease to the newborn Representative Gerwig: screening program.
• These people are the backbone of this program.
• She understands the program and my family has what we need.
• That is what this program does because we have providers at home helping my twins at home.

Transcript Highlights:

• Number two, how effective is this program?
• So, PDMP is a very wonderful program.
• It should not be used for other non-treatment administrative purposes.
• And the reason this rule is before us is for the expediency of treatment.
• Not that they're not going to receive treatment, but expediency thereof.

Summary: The Joint Committee on Administrative Rules met with a quorum and approved the minutes from the prior meeting. Members announced that two Department of Natural Resources rules had been withdrawn, leaving only the Missouri Prescription Drug Monitoring Program (PDMP) rule proposal for consideration. Public testimony focused on a proposed expansion of PDMP access to additional licensed behavioral health professionals, including licensed clinical social workers, licensed master social workers, marriage and family therapists, professional counselors, and psychologists, along with related clarifications to delegate access categories such as medical assistants and clinical nurse specialists. Testimony from the PDMP director and supporters from Compass Health and the Department of Mental Health argued the changes would improve care coordination, medication reconciliation, and overdose prevention within multidisciplinary behavioral health teams, especially in CCBHC settings. They said access would remain limited to licensed Missouri professionals working under supervision or collaboration with a prescriber or dispenser, and that the system is intended for treatment-related, view-only use. Opponents and skeptical committee members raised concerns that the rule would expand access beyond the original statutory framework without legislative change, could create privacy risks or misuse in non-treatment contexts such as custody disputes, and might exceed the committee’s rulemaking authority. One public witness opposed the rule, warning it could deter patients from seeking counseling and arguing the change should be made, if at all, by statute. After testimony, committee members debated whether the proposal was a permissible clarification or an impermissible substantive expansion of the law. Supporters of disapproval said the issue was legality, not the merits of PDMP access, and urged the department to seek a bill sponsor if it wanted the change enacted. A motion was made and seconded to disapprove Rule 1 CSR 60-1.010 on the grounds of lack of statutory authority, conflict with state law, and arbitrariness/capriciousness. The committee then took a roll-call vote and approved the motion by 7 ayes to 1 no, disapproving the rule and adjourning with no further business.

Transcript Highlights:

• It's a program for retired seniors.
• It's a program for retired seniors.
• I don't know anything about this program.
• It amends an existing program for evaluations for the Arkansas Aware program for mental health awareness
• It amends an existing program for evaluations for the Arkansas Aware program for mental health awareness

Keywords: 1204, all

Transcript Highlights:

• specifically in our dental Program specifically in our dental program<00:38:07.760><c> and</c><00:38
• Jeopardizing our community water fluoridation programs by allowing localities to opt out of the program
• Jeopardizing our community water fluoridation programs by allowing localities to opt out of the program
• </c> fluoridation supplementation programs fluoridation supplementation programs are<00:54:43.760><c>
• I am the pediatric dental program director for the University of Kentucky Residency Program, and I am

Keywords: 00:00:00 Call to Order/Roll Call 00:01:37 Discussion of 25RS HB 392 00:03:10 Roll Call Vote on 25RS HB 392 00:04:20 Discussion of 25RS HB 580 00:13:28 Roll Call Vote on 25RS HB 580 00:14:54 Discussion of 25RS HB 688 00:18:40 Roll Call Vote on 25RS HB 688 00:21:40 Discussion of 25RS HB 16 01:19:44 Roll Call Vote on 25RS HB 16 01:27:32 Adjournment, 958, all

Summary: The committee first took up House Bill 392, sponsored by Representative Proctor, which would help the Department for Behavioral Health, Developmental and Intellectual Disabilities pay for emergency medical and psychiatric services provided to patients outside state facilities when those facilities cannot meet their needs. Proctor described it as a continuing improvement bill to address payment issues for services delivered at community-based facilities. The bill received no substantive opposition in the meeting and passed the committee with favorable expression by a vote of 15 yes, 0 no, and 1 pass. The committee then considered House Bill 580, presented by Representative Kim Moser and Elena Sweezy, which tightens oversight of peer support specialists. The bill was described as building on House Bill 505 from the prior year by reinstating supervision requirements, adding parameters around group sizes, creating a pathway for temporary peer support specialists to become fully registered after nine months, and addressing Medicaid reimbursement and accountability concerns. Members asked about reimbursement; the sponsor said Medicaid was okay with the bill and that commercial insurance coverage would be up to insurers. Representative Fleming emphasized the need for stronger financial oversight of the peer support code. The committee adopted a substitute and title amendment, then passed the bill with favorable expression. House Bill 688 was then heard, with Representative Bratcher explaining that it addresses two issues: preventing fraud in nurse licensure by giving the Kentucky Board of Nursing more discretion to review out-of-state credentials, and expanding school authority to administer certain emergency medications. He said the bill changes the board’s authority from “shall” to “may” so it can verify transcripts, curricula, accreditation, and exam passage. During discussion, Representative Sharp explained his yes vote by noting the bill also adds rescue medications such as glucagon and Solu-Cortef and allows prescribed emergency medications for known conditions in schools. The committee passed the bill with favorable expression. Finally, the committee heard House Bill 16, which would leave decisions about adding fluoride to drinking water to local governing bodies rather than maintaining a state mandate. Supporters, including Representative David Hale, Dr. Jack Call, and Cindy Batson, argued that fluoridation should be a local choice and raised concerns about cost, potential health risks, and the precautionary principle. Opponents, including Dr. Steve Robertson of the Kentucky Dental Association, defended fluoridation as beneficial for preventing tooth decay and warned that local removal decisions could increase Medicaid costs and may not reflect the broader public interest. The transcript provided does not show a final committee vote on House Bill 16 in the excerpt.

Transcript Highlights:

• program that is currently actually free.
• the program, to participate in the program, and to make it a priority for them to be in the program
• program that is currently actually free.
• know about the program, to participate in the program, and to make it a priority for them to be in the
• They were sent to treatment. Thank you.

Summary: The committee approved minutes from February 18, February 19, and March 4, then took up several health-related bills. HB 2050, which updates radiologic technologist and radiologic assistant standards, school accreditation, clinical hours, supervision rules, fees, and telehealth definitions, received support from a radiologic technologist and a nurse practitioner and passed 7-0 with a do-pass recommendation. HB 2082, creating a Childhood Cancer and Rare Childhood Disease Research Commission and expanding the research fund, was amended to require at least $5 million in funding before commission allocations and to shift grant-awarding authority to the DHS director; it passed 7-0 as amended, though members raised concerns about oversight. HB 2176, which changes DHS licensing denial criteria and complaint-investigation procedures for health care institutions, also passed 7-0 after testimony from hospital and public health representatives supporting clearer timelines and transparency, with one member noting concerns about possible subjectivity in ownership-related denials. HB 2195, addressing DHS oversight of nursing care institutions, including personnel record access, deficiency timelines, and complaint-investigation deadlines, was amended to delay implementation until July 1, 2027 and allow off-site preliminary reviews; it passed 7-0 as amended, though one member said DHS should have been present to answer questions. HB 2202, appropriating $300,000 annually for a dementia care tele-mentoring program, drew support from the Alzheimer’s Association and a patient with younger-onset Alzheimer’s; it passed 6-1, with one no vote arguing medical schools should teach the material instead of the state funding it. HB 2307, an emergency measure to address placement of dangerous, incompetent, non-restorable defendants, was heavily debated and amended to use up to three beds at the Arizona State Hospital forensic campus temporarily, create a study committee, and sunset after five years; counties and DHS disagreed over whether counties should bear any costs, and the bill passed 4-3 as amended. Finally, HB 2584, which prohibits public funds from being used for genetic sequencing equipment or services tied to foreign adversaries, passed 4-3 after a sponsor and a national security witness argued it would protect genomic data from hostile foreign control. The committee then adjourned.

Transcript Highlights:

• The Bureau had also incorporated some data from the SNAP program.
• Now, years before... ...some data from the SNAP program.
• It changes with program rules and it changes with economic conditions.
• It changes with program rules and it changes with economic conditions.
• Another one of the privacy principles is the respectful treatment of respondents.

Summary: The hearing focused on census data privacy, administrative data sharing, and the role of state and local governments in improving census accuracy, especially for the 2030 census. Dr. Philip Rocco testified first, arguing that the census is increasingly intergovernmental and that state and local investments in address list work, outreach, and complete count commissions can materially improve self-response and reduce undercounts. He emphasized that hard-to-count communities are most affected when states delay planning, politicize census work, or lack capacity, and he pointed to examples such as LUCA participation, outreach funding, and group quarters review as important tools. He also warned that recent federal actions and a broader climate of distrust could threaten 2030 operations, and urged Massachusetts to begin readiness planning now. Members then questioned Dr. Rocco about the use of administrative data such as DMV, TANF, SNAP, and WIC records, and about group quarters enumeration. He explained that those data-sharing efforts were voluntary agreements with the Census Bureau, unlike group quarters data, which are often provided by facility administrators and sometimes state agencies. He said the Trump-era effort to use DMV and other records was tied to Executive Order 13880 and was widely resisted because states had confidentiality and legal concerns, and because the stated purpose appeared to shift toward citizenship-related uses. On group quarters, he described e-response, paper response, in-person enumeration, and administrator-provided directory information, noting that privacy issues arise mainly from FERPA limits on university data and from missing demographic details in administrative records. A second panel, Beth Giroz and Amy O'Hara, then explained how administrative data are used by the Census Bureau and why data quality and privacy concerns matter. They described administrative data as records collected for operational purposes, useful for frame-building, nonresponse follow-up, enumeration, and post-enumeration evaluation, but often incomplete or mismatched on key census variables such as race, ethnicity, household relationships, and residence timing. They highlighted that some sources, like IRS, Medicare, USPS, SSA, and Bureau of Prisons records, are especially valuable, while others such as SNAP, TANF, WIC, Medicaid, CHIP, foster care, and driver’s license data vary in completeness and sharing. They stressed that privacy means collecting only what is needed, and that the Bureau typically uses limited header or roster data rather than full records. No votes or formal actions were taken during the hearing, and the committee recessed briefly before continuing testimony.

Transcript Highlights:

• I've been working on these programs, studying these programs for about four years now.
• Other programs that should have evidence coming out sooner include the HART program in Durham, North
• programs.
• Both of these programs are critical.
• So we started as a crisis diversion program. The program quite a bit.

Summary: The Community Safety Committee held an interim work session on crisis response, with members and witnesses discussing how Washington can better integrate 911, 988, mobile crisis, co-response, and alternative response models for behavioral health crises in public spaces. Travis Parker opened with an overview of the Sequential Intercept Model and the crisis care continuum, emphasizing early intervention, 988 access, regional coordination, navigators and peer support, and the need for sustainable braided funding. Several Washington witnesses then described current programs and system gaps, including the growth of co-response teams, the importance of integrating 911 and 988 rather than treating them as competing systems, and the need to reduce unnecessary emergency room use and improve first responder wellness and training. City, fire, and crisis-system representatives described local challenges and reforms. Kim Hendrickson of Poulsbo said most crisis calls still come through 911 and urged better coordination among field-based teams, more behavioral health training for fire/EMS, and more alternatives to ER transport. Laura Pippen, a designated crisis responder, described a strained involuntary treatment system, fewer DCRs statewide, difficulty getting law enforcement support for transports, and limited facility capacity, especially for substance use disorder. Jennifer Stuber and South County Fire’s Keith Sharp highlighted workforce training, a crisis responder certificate program, and first responder wellness efforts. Research witnesses Evan Lauder and James Pine said the evidence is still developing but generally supports on-scene resolution, reduced ED transport and detention in some models, and the importance of clear dispatch protocols, coordination, and ongoing evaluation. Dispatch and program operators then gave examples of how systems are working in practice. Katie Myers of Washington APCO/NENA said 911 remains essential, but needs evidence-based triage protocols, liability protections, and additional funding if it is expected to take on more crisis-response responsibilities. Whatcom County described embedding a “community connector” in the 911 center to coordinate alternative response, while ValleyCom reported that its 988 diversion pilot transferred 2,165 calls with 98% resolved through 988/211 without returning to 911. National examples included Denver’s STAR program, Albuquerque’s Community Safety Department, and Atlanta’s PAD initiative, each showing different ways to route low-acuity or behavioral-health-related calls away from police and toward clinicians, peers, or civilian responders. The session ended with Washington examples continuing, including Whatcom County’s alternative response team, underscoring the committee’s interest in refining and expanding integrated crisis response systems in the next session.

Transcript Highlights:

• AND OFTEN ACCREDITATION AN ACCREDITED RESIDENCY PROGRAM IN PSYCHIATRY IS A FELLOWSHIP PROGRAM IN CLINICAL
• THE ACUTE HOSPITAL AT HOME PROGRAM DIRECT THE AGENCY TO HAVE FEDERAL DIRECTION OF THIS PROGRAM WHICH
• YOU ALL SPOKE ABOUT THE FRAME PROGRAM AND YOU SPOKE ABOUT THE TEACH PROGRAM AND WHAT THOSE DOLLARS HAVE
• ANOTHER COMPONENT OF HOUSE BILL 7085 IS THE SICKLE CELL DISEASE RESEARCH AND TREATMENT GRANT PROGRAM.
• THIS PROGRAM AWARDS GRANTS TO COMMUNITY BASED MEDICAL TREATMENT AND RESEARCH CENTERS.

Keywords: 999, senate, all

Transcript Highlights:

• or statewide food programs and schools like the New Mexico Grown Program, the Approved Supplier Program
• senior programs.
• The food bank program was basically a federal grant program.
• Treatments worked and what is the best type of treatment.
• Program, our ecological monitoring program, and our conservation science program.

Transcript Highlights:

• And this is a bill, Senate Bill 1468 on advanced wastewater treatment.
• And I know the Biosolids Grant Program has not been funded in several years.
• isn't all that money that we spend on environmental programs a tax on our citizens?
• Many Florida municipalities already have adopted the five-year stormwater renewal program.
• It's a five-year recertification program on the systems.

Keywords: 999, senate, all

Summary: The committee took up several environmental and infrastructure bills. SB 1682 on local administration of vessel restrictions was presented as a tool for cities and counties to address abandoned and derelict vessels, with support from the Florida Association of Counties and favorable comments from members about the statewide problem. SB 1468 on advanced wastewater treatment would require DEP to compile a detailed statewide report on wastewater treatment plants and related pollution data; Florida Rural Water Association raised cost concerns about any move toward requiring advanced treatment without funding. Both bills were reported favorably by roll call. The committee also approved a strike-all amendment and then favorably reported CS/SB 1294 on biosolids management. The amended bill is aimed at closing a loophole in which Class AA biosolids are labeled as fertilizer or compost but are not actually sold, requiring agronomic land application only through a bona fide sale or at a permitted DEP site, with a transition date moved to July 1, 2028. Supporters said it protects water quality and legitimate fertilizer and compost markets, while Florida Rural Water urged funding for utility upgrades and grant support. A lengthy debate followed on CS/SB 1628, which would prohibit governmental entities from adopting or funding net zero policies, including related taxes, fees, cap-and-trade programs, and certain climate-related requirements. Supporters argued the bill would protect residents and businesses from higher costs and preserve predictability, while opponents said it would block local climate and clean-energy planning, harm affordability and innovation, and favor fossil fuel interests. Despite strong opposition testimony from environmental and local-government advocates, the committee reported the bill favorably on a party-line style vote. The committee then advanced CS/SB 1474 on biosolids management, which would stop DEP from issuing or reissuing permits for Class B biosolids land application when a wastewater treatment facility is within 50 miles, with an amendment applying the statutory definition of septage. Supporters said it would encourage higher-level treatment, while Florida Rural Water asked for rural exemptions; the bill was reported favorably. Finally, SB 558 on stormwater system standards was heard with an amendment making technical changes and tying local construction and inspection standards to FDOT guidelines. The sponsor said the goal was a statewide baseline after recent flooding failures, but counties, contractors, and engineers warned the bill could preempt stronger local standards, raise costs, and create inspection bottlenecks. The transcript ends during testimony and debate on that bill, before any final action is shown.

Transcript Highlights:

• We are now doing a fee-for-service program, not a capitated program.
• </c> that after an MCO capitated program. that after an MCO capitated program.
• </c> the program at 27 to 28,000 people. the program at 27 to 28,000 people.
• The capitated a capitated program.
• </c> you know, kids on the program for all. you know, kids on the program for all.

Keywords: 1187, senate, all

Transcript Highlights:

• versus this program versus this program?
• Which treatments did what?
• Programs.
• Program.
• When the program first started, there was a lot of grandfathering of foresters into the program.

Keywords: 988, house, all

Transcript Highlights:

• support of the limited capacity that we have in the access to state-operated treatment programs. operated
• program.
• </c><01:59:34.719><c> program</c> state operated uh treatment program state operated uh treatment program
• . in the access to state operated in the access to state operated treatment<02:00:02.960><c> programs
• And I would say most treatment programs.

Keywords: 1187, senate, all

Transcript Highlights:

• Not necessarily. treatment in the past treatment in the past 12<00:57:19.200><c> years.
• </c> this treatment. this treatment.
• </c><01:07:40.559><c> that</c> about is episodes of treatment. that about is episodes of treatment. that
• </c> our episode of treatment our episode of treatment looks<01:09:01.199><c> like</c><01:09:01.359><
• And it's a reimbursement program.

Keywords: 928, house, all

Summary: The commission met to continue its study of the cost of special education, with the chair emphasizing that the group needs to narrow its focus over the coming year toward specific cost drivers, including the IEP process, Medicaid, charter schools, and EFAs. Members reviewed a draft first report due November 1 and agreed it would be a brief synopsis of prior meetings, with minutes attached. The September 30, 2025 minutes were amended to correct the number of federally funded department staff from 234 to 23, and to revise language about Senator Sullivan’s comments so they reflected concerns about IEP advocates and fees charged to families rather than support for the concept. The amended minutes were then approved unanimously, with abstentions noted for members who were absent. The main presentation focused on how special education costs are handled for students attending charter schools. The DOE representative said there are 804 students with disabilities in charter schools across 88 of the state’s 176 districts, and that the district of residence remains responsible for all services and costs. She explained that students must meet IDEA criteria through district evaluation and parent consent, and that services are determined through individual IEP meetings rather than by a blanket charter-school decision. Members asked how those costs are tracked, whether any students are merely “monitored,” and whether districts separately identify charter-school special education expenses; the answer was that most districts fold those costs into their overall special education budget, though some may break them out as a line item. The discussion then turned to transportation and mileage costs for staff providing services at charter schools. Testimony indicated that districts may use their own staff, contract staff, or contract with a charter school for certified services, and that travel costs are often either built into contracts or absorbed as part of staff time rather than separately reimbursed. Members questioned whether mileage is reimbursed when staff travel to distant charter schools and whether those costs can be isolated in district budgets; the response was that practices vary by district and are not usually broken out by special education function. Several members argued this makes it difficult to determine the true cost of delivering special education, especially given New Hampshire’s model in which the district of residence pays regardless of where the charter school is located. The chair noted the complexity of the system and compared it to the state’s separate tuition and transportation approach for career and technical education centers.

Transcript Highlights:

• And so SANDAG doesn't by itself program dollars for the State Highway Operations and Protection Program
• And so SANDAG doesn't by itself program dollars for the State Highway Operations and Protection Program
• programs.
• felony programs.
• 36 programs.

Keywords: 988, house, all

Transcript Highlights:

• It makes sure that applicants to the Medicaid program are legal American citizens.
• So the treatment, from my understanding, is a one...
• So the treatment, if, from my understanding, is a one-time treatment.
• You don't have to return for further treatments? That's correct, ma'am. Thank you.
• 10 years or five years, or have they showed anything on the longevity of the treatment?

Bills: HB4423, HB3342, HB3645, HB3647, HB3887, HB4430, HB4431, HB2964, HB3834

Keywords: Oklahoma Health Care Authority, Medicaid, immigration verification, healthcare access, federal reporting, health care providers, auditing, patient rights, claims, protection from fraud, audit process, error correction, hospice care, physician determination, healthcare standards, symptom management, health information exchange, all-payer claims database, health care transparency, health care costs

Summary: The committee first announced several bills would be laid over because sponsors were absent, then took up House Bill 4423, which would require Medicaid applicants to be legal U.S. citizens. After adopting a PCS, members asked whether Medicaid already had citizenship limits, and the bill passed 4-1. House Bill 3342 followed, revising the Health Care Authority audit process; the sponsor said it was based on an Arkansas model, had no fiscal impact, and was intended to be fairer after prior problems. It passed 5-0. House Bill 3645, allowing physicians or other independent doctors to authorize hospice referral when a patient lacks next of kin or is not coherent, also passed 5-0. House Bill 3647, creating an all-payer claims database through the state HIE for greater transparency in medical costs, passed 5-0 after a question about which entities would be included or excluded. House Bill 3887, which removes the requirement for a physician referral every 30 days for continued physical therapy, drew the most discussion. The sponsor said therapists would refer patients back to a physician if treatment was not helping or was outside their scope, while a member raised concerns about delayed diagnosis and suggested adding a timeline; the sponsor said he would be open to further discussion. The bill passed 4-1. House Bill 4430 extended tort claims protection to certain state-employed providers who work for entities such as FQHCs, and House Bill 4431 did the same for nurse practitioners working for state agencies; both passed 5-0. Later, House Bill 2964 changed medical-record copying language from “shall be charged” to “may be charged,” giving facilities discretion on whether to charge patients for copies of their records; it passed 5-0. Finally, House Bill 3834 was heard for research funding on ibogaine therapy for PTSD and related conditions among veterans, firefighters, and police officers. The sponsor said the goal was to allow Oklahoma research, not to remove the substance from controlled status, and a witness described the treatment as a monitored oral session used in Mexico and supported by some studies. The bill passed 5-0, and the chair adjourned the meeting, noting the laid-over bills would likely be heard the following week.