Transcript Highlights:

• It helps reduce unnecessary emergency room visits, which are often costly and avoidable.
• They must use evidence-based practices and procedures for pediatric emergency care.
• assistant to serve as a pediatric emergency care coordinator for the ED.
• I’m not going to provide services for them in a non-emergency context.
• This bill contains 2,000... ...emergency use authorization.

Summary: The Health Policy Committee met for its final meeting of the session and handled a very full agenda, beginning with a few housekeeping items and a brief thank-you to staff. Senate Bill 596 was temporarily postponed. The committee then reconsidered and amended SB 1606 on patient access to records, clarifying portal access obligations and deleting a section that would have improperly affected nursing home facility records; the bill was reported favorably as a committee substitute. The committee also recommended confirmation of a block of appointees and separately confirmed Chavon Harris as Secretary of the Agency for Health Care Administration after testimony focused on transparency, financial oversight, Medicaid managed care accountability, and internal controls at AHCA. Harris said she would prioritize staffing, monitoring, and improved reporting, and several health care groups waived in support. The committee next heard and passed several bills, including claims bills SB 28 and SB 22 for South Broward Hospital District settlements, both reported favorably. It also approved SB 772 on undesignated glucagon in schools, SB 998 on allowing physician assistants and APRNs to complete death certificates under hospice/palliative protocols, SB 1412 on home health agency administration and staffing flexibility, SB 1800 creating a Parkinson’s disease research consortium at USF, SB 306 on Medicaid managed care network access during holidays and after hours, SB 1768 on stem cell therapies and informed consent, SB 1602 on pediatric readiness standards in emergency departments, SB 1156 on the home health aide program for medically fragile children, SB 1490 on Children’s Medical Services and Medicaid managed care administration, and SB 1182 on Medicaid coverage of continuous glucose monitors. Most of these bills were amended, generally to narrow scope, align with the House, or make technical changes, and most received support from provider associations, advocacy groups, or affected institutions. The most debated measure was SB 1270, which combined several health freedom and medical marijuana provisions. The strike-all amendment retained language prohibiting discrimination based solely on vaccination status, added protections related to mRNA vaccine documentation requirements, and included medical marijuana regulatory and background-screening language. The committee heard extensive testimony both in support and opposition, including concerns from senators about whether the bill would force providers to treat patients contrary to medical judgment, and support from witnesses arguing it protected patient autonomy and access to care. After a time-certain motion, the bill was reported favorably as a committee substitute. At the end of the meeting, senators recorded their votes on selected tabs, and the committee adjourned.

Transcript Highlights:

• We empower and address social determinants of health, which decreases emergency room visits, hospital
• Emergency room visits piled up, and no one really offered real answers.
• A Good Samaritan official said that emergency room admissions doubled following the fire at Brockton
• We didn't just lose emergency care. We lost specialists.
• Working with the prior administration, we were grateful that an emergency D.O.N. was issued.

Keywords: 995, all

Summary: The committee hearing covered a wide range of public health bills, with much of the testimony focused on two major themes: expanding access to care and stabilizing health-related workforces and services. On House 2364, an act relative to medical health and fitness facilities, representatives from Dedham Health and Athletic Club argued for a pilot program recognizing supervised exercise as medicine, saying it could improve outcomes for chronic disease, fall prevention, and mental health while reducing costs. On House/Senate bills concerning community health workers (H. 359/S. 251), multiple witnesses from MACHW, Health Care for All, MHA, Cambridge Health Alliance, Mass General Brigham, Boston Children’s Hospital, Asian Women for Health, and the City of Somerville described CHWs as essential for navigation, trust-building, language access, and addressing social needs, and urged reimbursement by MassHealth, the GIC, and private insurers, along with workforce development measures. One pediatric neurologist also told the committee that losing grant-funded CHW support led to more avoidable ER visits and threatened clinic operations. The committee also heard extensive testimony on hospital closures and essential services. Witnesses including Dr. Alan Sager, MNA President Katie Murphy, nurses from Brockton Hospital and Providence Behavioral Health, and local officials and legislators from Norwood described the loss of hospitals and service lines, especially maternity, pediatric, and behavioral health care, and argued current closure processes are too weak to protect communities. They supported bills such as H. 2460/S. 1503 and H. 2534/S. 1574, which would require earlier notice, community input, stronger state oversight, possible receivership, and limits on reopening or expanding after closures. Testimony emphasized the impact of Steward’s bankruptcy, the closures of Carney and Neshoba Valley, and the need to preserve access to essential services in underserved areas. Several end-of-life and professional regulation bills were also discussed. On H. 2436, Representative Omar Gomez and funeral industry witnesses supported eliminating Office of the Chief Medical Examiner fees for the removal of a child’s body in cases involving children five and under, describing the bill as a small but important relief for grieving families. On H. 2444 and related Senate bills, cemetery and consumer advocates supported legalizing alkaline hydrolysis and natural organic reduction as environmentally friendly after-death options, while cemetery representatives opposed H. 2360, which would allow funeral establishments to operate crematories, arguing cemeteries should retain that role. The committee also heard support for H. 2382, which would exempt dentists and oral surgeons from a new office-based surgical center framework, and for H. 2461, which would create hospital efficiency standards; employers and retailers backed that bill as a way to address rising health care costs. Finally, the committee heard testimony on autism services and hospital governance. On S. 1414, behavior analysts and school representatives said Massachusetts already licenses assistant-level ABA providers but MassHealth does not reimburse them, causing long waitlists and limiting school and family access; an actuary testified that a three-tier ABA reimbursement model could reduce MassHealth costs by up to 6% per child served. Senator Lovely also testified in support of S. 1572, which would require at least one registered nurse on each acute care hospital governing board, arguing nurses’ frontline perspective would improve quality and retention. No votes were taken in the hearing excerpt, but many witnesses urged favorable reports on their respective bills.

Transcript Highlights:

• They had a family emergency, so I'm just moving over a spot and we'll run the meeting today.
• The proposed amendments with an effective date of February 2026 are emergency rules that are required
• And finally, none of the newly proposed rules were emergency rules.
• These rules were not adopted as emergency rules.
• I mean, we all have families, there's emergencies, we have other obligations that tend to come up, and

Summary: The committee approved the March 12, 2026 minutes and granted the Board of Medicine an extension of time to implement rule changes tied to House Bill 1620/1622, which concern North Dakota’s entry into the physician assistant licensure compact. The Board said it is waiting on compact rules, especially fee structures, before finalizing its own rules. The committee then took up extensive Office of Management and Budget personnel rule revisions, covering salary administration, recruitment, leave policies, funeral leave, service awards, appeals, and shared leave. OMB said the changes modernize HR practices and implement recent legislation, including new hire leave and enhanced annual leave for hard-to-fill positions; the committee raised concerns about the subjectivity and fairness of the hard-to-fill leave provisions, but no action was taken against the rules. The North Dakota Lottery presented emergency and regular rule changes, including updates tied to the Millionaire for Life game and miscellaneous clarifications. The Board of Examiners for Audiology and Speech-Language Pathology described rule updates that add speech-language pathology assistants to the rules, ease continuing education requirements for out-of-state applicants, expand temporary licensure, and clarify supervision standards. The State Electrical Board reviewed numerous code updates, including changes to electrical and fire alarm standards, receptacle labeling, countertop receptacles, and a major new conveyance/elevator inspection program added by the Legislature; the board said it is preparing to begin inspections by August 1. The Industrial Commission’s Geological Survey Division presented new rules implementing House Bill 1459 on critical minerals in coal-bearing formations, including permit, reporting, confidentiality, and royalty-related provisions. The committee asked about confidentiality of exploration data and drilling depth. The Public Employees Retirement System outlined rule changes implementing several bills affecting defined benefit, public safety, defined contribution, insurance, deferred compensation, and retiree health credit programs, and noted possible future proposals to add state EMS or create a LOSAP-style plan. The Department of Health and Human Services presented substance use disorder voucher rules implementing House Bill 1012, including allowing individuals to apply directly and setting reimbursement procedures; the rules were expected to have a $250,000 general fund impact already included in the budget. The longest discussion involved the Gaming Commission rules. Members questioned whether the commission had authority to raise poker tournament buy-ins from $300 to $1,500, viewing it as an expansion of gaming rather than a mere clarification. After debate, the committee voted to void that specific rule section for lack of statutory authority. The rest of the gaming rules covered higher raffle limits from House Bill 1192, the change from “bar” to “alcoholic beverage establishment,” veterans’ organization proceeds, credit ticket voucher kiosks, online raffles, and advertising restrictions; the presenter said several public comments led to revisions or withdrawals of proposed language. The meeting ended with discussion of upcoming Ethics Commission travel-reporting rules and scheduling the next committee meeting in September.

Transcript Highlights:

• Emergency funds are allocated for each emergency through Minnesota Statute 192.52.
• Emergency funds are allocated for each emergency through Minnesota Statute 192.52.
• Emergency funds are DMA's budget.
• Emergency funds are allocated<00:03:51.320> for<00:03:51.560> each<00:03:51.760> emergency
• <00:03:52.280> through allocated for each emergency through allocated for each emergency through

Bills: HF4615, HF3532, HF4492, HF4171

Keywords: military, pay, officers, enlisted members, state active service, Minnesota Statutes, veterans, burial eligibility, honor guard, state cemeteries, military service, burial fees, veterans affairs, Minnesota Department of Veterans Affairs, advisory task force, commanders task force, veterans service organizations, American Legion, Veterans of Foreign Wars, VFW

Transcript Highlights:

• Section 11 also has an emergency clause. Removed the exemption language on Section 9.
• Chairman, Section 11 is the emergency clause.
• The bill is passed, and the emergency clause carries.
• The bill is passed, and the emergency clause carries.
• There is no provision in here for emergency, critical care, or trauma patients.

Keywords: 908, all

Summary: The Senate opened with prayer, the Pledge of Allegiance, and a quorum call, then approved journal corrections and moved to elect Senator Kyle Davison as President Pro Tem. Davison was nominated, elected by unanimous ballot, escorted to the rostrum, sworn in, and gave remarks thanking his family, colleagues, and faith, emphasizing relationships, service, and stewardship. The chamber also recognized National Public Health Week with a floor statement honoring public health workers and training programs, and that statement was ordered printed in the journal. The Senate then considered several House bills, beginning with HB 1485, which increases the personal needs allowance for Medicaid residents in certain facilities by $15 per month and indexes it to inflation; the amendment was adopted and the bill passed 46-1. HB 1018, the State Historical Society budget, was amended to adjust one-time and ongoing funding for museum exhibits, repatriation compliance, archives storage, local historic grants, and the military gallery project, then passed 42-0 with one senator excused from voting due to a conflict. HB 1181, defining gender in state code as an individual’s sex and removing a broader application section, passed 41-6. HB 1144, adding a penalty and enforcement mechanism related to transgender student accommodations and restroom use in public schools, passed 40-7 with its emergency clause. The Senate also passed HB 1600, creating an immigration law clinic at the University of North Dakota School of Law and shifting its funding to the strategic investment and improvements fund, by 34-13. HB 1019, the Parks and Recreation budget, was amended to fund deferred maintenance, technology, sewer work, matching grants, and other park projects, add language requiring legislative approval for new or renamed state parks, and clarify use of the Teddy Roosevelt Presidential Library line of credit; a proposed amendment to remove funding for the International Peace Gardens cactus conservatory failed 20-27, and the bill then passed 39-8. HB 1417, dealing with parole/probation violations, court fees, and a study of criminal justice fees, passed 40-7 after amendments. The most extensive debate centered on HB 1450, which would require parent or guardian access to a minor’s medical exam room and notice of questions asked of the minor, with exceptions for emancipation and suspected abuse or trafficking. Supporters framed it as a parental rights and transparency measure, while opponents warned it could hinder screening for abuse, neglect, mental health concerns, and confidential care; multiple senators shared personal experiences on both sides. A proposed amendment to narrow the bill failed 21-26, and the transcript ends amid continued debate on the bill itself, with no final vote shown in the excerpt.

Transcript Highlights:

• <00:37:24.040> um used even during the emergency um used even during the emergency um infraction
• respond more quickly to emergency respond more quickly to emergency situations<01:53:06.599>
• cases where there's an emergency cases where there's an emergency application<01:54:04.400> for
• currently is even in an emergency currently is even in an emergency situation<02:00:06.079> if
• But within 48 hours of that emergency, they still have to come to the AGs.

Keywords: 910, house, all

Summary: The committee met on March 13, 2025, and took up several firearms and fireworks measures. On SB 227, which would create an illegal fireworks enforcement division in the Department of Law Enforcement and appropriate funds, DLE supported the bill, saying fireworks enforcement has become a full-time job requiring dedicated staff rather than a collateral-duty task force. Members discussed whether the bill and the related task force bill were both needed; DLE said yes, explaining that the new division would provide full-time state employees while the task force funding covers interagency costs such as transportation, storage, overtime, and personnel. Testimony on SB 227 was reported as 12 in support and 6 in opposition. On SB 222, which would fund the illegal fireworks task force and extend its sunset to June 30, 2030, DLE and the Honolulu Police Department supported the measure, emphasizing continued enforcement pressure and interagency coordination. An opponent from the Libertarian Party of Hawaii argued the bill was a waste of time, criticized fireworks prohibition as cultural overreach, and performed a song in opposition. Representative Shimizu asked about results from the extra enforcement effort, and DLE said enforcement has driven up street prices and made investors think twice, which they described as a goal of pricing people out of the market. The chair reported 13 testimonies in support and 6 in opposition. The committee then heard SB 1324, a more comprehensive fireworks bill that would revise definitions and penalties, create first- and second-degree fireworks offenses, add infractions, and increase penalties for serious injury or death. DLE and the Attorney General strongly supported it, saying the bill would improve enforcement, address black-market activity, and help prosecutors when fireworks have already exploded and evidence is destroyed. The Public Defender opposed the bill, arguing existing laws already punish these offenses and that the real issue is enforcement; the office also raised constitutional concerns about the bill’s concurrent civil infraction and criminal trial process. Honolulu Police supported the bill, while the Honolulu Prosecutor’s Office said the alternative definitions would help in cases involving exploded versus seized fireworks. The chair noted 17 testimonies in support, 7 in opposition, and 3 comments, and members discussed whether the bill could be amended to address the public defender’s concerns. The committee also began hearing SB 308, which would expand the state’s magazine-capacity restrictions to firearms with detachable magazines over 30 rounds, with a grandfathering provision for certain magazines obtained before January 1, 2026. DLE supported the bill as a fair balance that would grandfather existing magazines while preventing new high-capacity acquisitions. Opposition testimony from Jerry Yuan of the Pool, Oil, Rifle, and Pistol Club argued the proposal was another shifting restriction and opposed magazine bans generally. The hearing continued with additional testimony not fully captured in the excerpt.

Transcript Highlights:

• on to HB 2271, making emergency on to HB 2271, making emergency appropriations<00:11:50.480>
• Moving on to HB 2271, making emergency appropriations for public employment cost items.
• Moving on to HB 2271, making emergency appropriations for public employment cost items.
• Moving on to HB 2272, making emergency appropriations for public employment cost items.
• HB 2273 making emergency...

Bills: SB2119, SB3131, SB3069, SB3180, SB2137, SB2993, SB2778, SB2672, SB2014, SB2967

Keywords: reimbursement, public employees, travel costs, government travel policy, finance management, job title, administrative assistant, executive assistant, state personnel, civil service, modernization, employment standards, DAGS, Department of Accounting and General Services, comptroller, civil service exemption, collective bargaining exemption, public works special project branch, specialized public works, information technology modernization

Transcript Highlights:

• Kevin Guthrie, the Executive Director of the Florida Division of Emergency Management.
• Sheriff's Office and later served as the Public Safety and Emergency Management Director for Flagler
• The period of performance is three years. through the Federal Emergency Management Agency.
• I'm managing your emergency.
• I got another emergency here. I cannot. I got another emergency here. Stand by. There we go.

Summary: The Banking and Insurance Committee heard a series of presentations focused on mitigation, flood and wind resilience, and insurance discounts. Kevin Guthrie of the Florida Division of Emergency Management outlined several funding streams for mitigation, including federal Hazard Mitigation Grant Program dollars, BRIC grants, flood mitigation assistance, and the state hurricane loss mitigation program. He emphasized the new Elevate Florida initiative, which will use about $400 million initially to elevate or reconstruct flood-prone homes, starting with National Flood Insurance Program properties and severe repetitive-loss homes, with no current per-home cap. Guthrie said the state will contract directly with licensed vendors and aims to reduce future flood losses, lower insurance costs, and keep properties on the tax rolls rather than relying on buyouts. Insurance Commissioner Mike Yaworski described Florida’s windstorm mitigation discount program, explaining that the 1802 inspection form is used to assess a home’s overall “envelope” and determine statutory discounts. He said the office is updating the program based on a new wind loss study, with likely changes including greater recognition of roof types such as metal roofs and possible territorial risk adjustments. He also said the Legislature now requires the office to revisit the study every five years. Stephen Fielder of the Department of Financial Services reported on My Safe Florida Home, noting that the program offers inspections and grants for roof and opening protections, has completed more than 100,000 inspections, and has reimbursed hundreds of millions of dollars. He said the department has validated its discount calculations with insurers and that the program is intended to help homeowners reduce premiums through verified mitigation work. Michael Newman of the Insurance Institute for Business and Home Safety said Florida’s building code is nationally leading and that post-Ian surveys found no wind-driven structural damage in buildings built after adoption of the code. He argued that mitigation should be treated as a system, not isolated upgrades, and suggested adding Fortified designation to the state’s mitigation form to better document verified resilience improvements. Bill Truex, a county commissioner and builder, stressed the need to educate homeowners about floodproofing and roof choices, citing examples where flood panels prevented damage and noting that asphalt shingles often do not last as long in Florida as their marketing suggests. In panel discussion, senators asked about program eligibility, outreach to elderly and digitally challenged residents, contractor vetting, roof-life disclosures, and whether flood insurance should be more broadly required. Officials said outreach will include call centers and in-person assistance, and several participants urged better consumer disclosure and more data-driven guidance on roof and mitigation choices.

Transcript Highlights:

• I had someone nearby to call emergency services." ...to scrape by after the second leave.
• I had someone nearby to call emergency services.
• I have three months of expenses saved in an emergency fund.
• Had I been laid off, my emergency fund would quickly evaporate meeting my portion of the rent.
• Many of us live paycheck to paycheck, unable to save or plan for emergencies.

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a public hearing with about 43 witnesses and a 1:00 p.m. hard stop, and the chair repeatedly asked speakers to keep testimony to three minutes. Much of the hearing focused on S. 747/H. 1336, which would extend paid family and medical leave and unemployment insurance to graduate student workers. Supporters included legislators, union leaders, graduate workers from MIT, Harvard, BU, WPI, UMass Lowell, and others, and legal advocates. They argued graduate workers perform full-time teaching and research work, pay taxes, and should not be excluded from basic safety-net benefits; several witnesses described personal hardships involving childbirth, serious illness, mental health crises, funding cuts, or fear of losing income. Testifiers also said the change would be revenue-neutral or revenue-generating and would not create major administrative burdens for universities, which already provide similar benefits to other employees. The committee also heard testimony on insurance-related bills. Christopher Stock of the Massachusetts Insurance Federation supported H. 1113 on public adjusters and H. 1345/S. 753 on flood-zone notifications for homebuyers, but opposed H. 4112, which would add a $2 surcharge on home insurance policies to fund fire cistern programs. The Metropolitan Area Planning Council strongly supported H. 1345, saying flood disclosure is needed because Massachusetts lacks statewide flood-notification requirements and flooding risks are increasing. Karen Alvarado supported H. 4352 on travel insurance, and John Fielding supported H. 1186 on pet insurance; both said the bills would create uniform regulatory frameworks and consumer protections. Rep. LeBoeuf testified for H. 4061 on workers’ compensation premium fraud, describing the bill as a transparency measure to combat fraud in construction by creating a public certificate-of-insurance database and QR-code verification system. Joe Bright of the carpenters’ union also supported H. 4061, citing fraud, misclassification, and the harm to injured workers. The hearing also included testimony on H. 4112, a bill to create a statewide fire suppression water resource fund and cistern program. Rep. Hogan and a Stowe fire chief described drought, brush fires, and the need for dedicated cisterns in communities without municipal water systems, saying the tanks provide reliable water for firefighting and are relatively low-tech once installed. Committee members asked questions about tank capacity, siting, maintenance, and funding. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• It doesn't limit your emergency assessments.
• They can also do an emergency assessment.
• Now, if a tree fell on that pool and it cracked it, that's an emergency; they can still assess an emergency
• Now, if a tree fell on that pool and it cracked it, that's an emergency; they can still assess an emergency
• assessment or levy an emergency assessment without a vote.

Keywords: 987, senate, all

Summary: The Senate Judiciary Committee heard several bills, with testimony focused on end-of-life medical orders, CARE Court participation, HOA fee transparency, custody protections for sexual assault survivors, groundwater enforcement, pet policy disclosure in rentals, and restrictions on post-wildfire property solicitation. SB 1088 would modernize POLST and pre-hospital DNR rules by renaming POLST as Portable Orders for Life-Sustaining Treatment, allowing electronic signatures, clarifying who may sign on a patient’s behalf, recognizing out-of-state forms, and reaffirming that completion is voluntary; it drew support from the Coalition for Compassionate Care and no opposition. SB 1242 would let original family petitioners participate in CARE Court care coordination and information-sharing even without the respondent’s consent, while preserving judicial discretion to limit participation; supporters said it would improve care coordination, and Disability Rights California opposed it as coercive and harmful to respondents who may not want family involvement. The committee discussed the balance between family support and privacy, and SB 1242 passed 7-0 on call. SB 1007 would require more HOA transparency, including clearer budget comparisons and evidence for violations, and would limit regular assessment increases without a homeowner vote, while leaving special and emergency assessments intact. Supporters argued homeowners need more information and protection from steep fee hikes; opponents said the cap could impair associations’ ability to cover rising insurance and maintenance costs. Members raised concerns about flexibility and planning, but the bill passed 6-1 on call. SB 1364, as amended, would lower the burden for survivors of sexual assault to block custody or visitation rights for a perpetrator when a child was conceived through the assault, using a clear-and-convincing standard and aligning the law with federal grant requirements; it passed 8-0 on call after opposition argued the bill could deny children a relationship with a parent. The committee also approved SB 997, which grants the North Fork Kings Groundwater Sustainability Agency lien authority to enforce fees and sustainability rules, with supporters saying it would help avoid litigation and maintain local control; it passed 9-0 on call. SB 1296 would require landlords to disclose pet policies up front on applications, websites, and ads, and allow application-fee refunds if disclosure was not provided before payment; supporters said it would reduce wasted fees and pet relinquishment, while landlord groups said the ad and disclosure requirements could be impractical for small owners. That bill passed 8-0 on call. Finally, SB 1090 was presented to bar large property owners from making unsolicited purchase offers for five years in wildfire disaster areas, aimed at preventing predatory post-disaster speculation; the author and a supporter described aggressive investor outreach to fire victims, especially in Altadena, as the committee moved on to that bill’s testimony.

Transcript Highlights:

• It doesn't limit your emergency assessments.
• They can also do an emergency assessment.
• They can also do an emergency assessment without a vote to cover the cost that came out of that emergency
• Now, if a tree fell on that pool and it cracked it, that's an emergency; they can still assess an emergency
• Now, if a tree fell on that pool and it cracked it, that's an emergency; they can still assess an emergency

Summary: The Senate Judiciary Committee heard several bills focused on health care planning, mental health court participation, homeowners association governance, groundwater enforcement, pet-policy disclosure in rentals, and post-disaster property speculation. SB 1088 would update California’s POLST and DNR laws by renaming POLST to Portable Orders for Life-Sustaining Treatment, allowing electronic signatures, clarifying who may sign on a patient’s behalf, and making clear that these forms are voluntary; it drew support from the Coalition for Compassionate Care and no opposition. SB 1242 would let original family petitioners participate in CARE Court for care coordination and information-sharing, while preserving judicial discretion to exclude them if harmful; supporters said it would improve treatment coordination, while Disability Rights California opposed it as coercive and a removal of patient consent. The committee advanced SB 1242 on a 7-0 vote, with the bill placed on call. The committee also considered SB 1007, which would require more HOA budget transparency, disclosure of evidence for violations, and a lower cap on regular assessment increases without a homeowner vote. Supporters argued it would improve accountability and protect homeowners from steep fee hikes, while HOA industry groups warned it could undermine funding for insurance, maintenance, and other operating costs. Members raised concerns about the cap and the need for flexibility for large expenses; the bill passed 6-1 and was placed on call. SB 1364, as amended, would prevent a person convicted of sexual assault from obtaining custody or visitation of a child conceived from that assault, while preserving the possibility of voluntary co-parenting and aiming to qualify California for federal grant funding; it passed 8-0 and was placed on call. Later, SB 997 would give the North Fork Kings Groundwater Sustainability Agency lien authority to enforce fees and its groundwater sustainability plan, addressing an enforcement gap for a GSA created by special legislation rather than a joint powers agreement. It drew support from agricultural and county groups and passed 9-0, placed on call. SB 1296 would require landlords to disclose pet policies up front on applications, websites, and ads, and allow refund of an application fee if disclosure was not provided before payment; supporters said it would reduce wasted application costs and pet relinquishment, while rental housing groups said the ad disclosure requirements were impractical. The bill passed 8-0 and was placed on call. The final bill, SB 1090, was introduced to prohibit large property owners from making unsolicited purchase offers for five years in wildfire-disaster areas, responding to investor activity after the Eaton and Palisades fires; the author and a SAGE witness described it as a protection against disaster capitalism and predatory low offers to displaced residents.

Transcript Highlights:

• It would put great strain on emergency departments and be a death sentence to certain individuals in
• That's why that plan. and hadn't emerged yet.
• Emergency medical transportation and hospital outpatient procedures.
• physician services, with the emergency physician services starting in 2025 and the others beginning
• for emergency physicians for both 2025 and 2027.

Keywords: 988, house, all

Transcript Highlights:

• know when someone stays in an emergency know when someone stays in an emergency room<01:05:47.359
• Federal Public Health Emergency had a Federal Public Health Emergency had a certain<01:32:25.400>
• <01:38:43.480> we the federal Public Health Emergency we the federal Public Health Emergency
• Public Health Emergency um 11:15 waiver Public Health Emergency um 11:15 waiver ended<01:53:14.119>
• basically you know you have an emergency basically you know you have an emergency shelter<04:12:

Keywords: 1189, house, all

Summary: The House Finance Division 3 work session continued its review of the Department of Health and Human Services’ Medicaid budget and related policy issues, with CFO Nathan White and Medicaid Director Henry Litman presenting updated materials. The discussion focused on a crosswalk between the adjusted FY 2025 Medicaid budget and the governor’s FY 2026 recommendation, plus handouts showing service additions, eligibility changes, dental rates, and other Medicaid changes since 2019. The department also said it would provide a clearer breakdown of the pharmacy cost-sharing item by general, federal, and other funds. Members asked detailed questions about the Medicaid enhancement tax, the 80% plan, and how funds are allocated between hospital payments, directed payments, and DSH uncompensated care. The department explained that the MET is being used more toward rates and directed payments to better align with federal matching rules, while DSH remains important for uncompensated care. They also noted that a pending Senate Bill 249 would keep the 80% structure and move to Senate Finance. On the trigger law, the department identified the governing provision as Chapter 342:12, Laws of 2018, and explained that if the federal match for Medicaid expansion falls below 90%, the state must notify legislative leaders and participants and the program would sunset after 180 days unless the legislature acts. The committee also reviewed current Medicaid expansion enrollment and program trends. Officials said enrollment was just under 59,000 as of March 3, with about 87,000 people enrolled over the past year and more than a quarter-million residents having used the program over its lifetime. They said enrollment has fallen from a post-pandemic high of nearly 97,000 and may eventually settle in the low 50,000s. Finally, the department discussed federal DSH funding risk, saying New Hampshire could face a significant reduction if Congress does not extend current protections, which is part of why the state has shifted more funding toward payment rates and directed payments.

Transcript Highlights:

• <00:12:48.760> and<00:12:48.920> then the emergencies and then the emergencies and
• <00:42:14.640> that during the public health emergency that during the public health emergency
• Um and during public health emergency.
• > weren't local emergency services weren't local emergency services weren't overwhelmed.<01:18
• > at<01:31:31.080> this The constant emergency calls at this The constant emergency calls

Bills: HF4110, HF4101, HF4144, HF3546

Keywords: workplace regulations, employee rights, meal breaks, rest breaks, exemptions, medical assistance, data matching, eligibility, reporting, human services, assisted living, health regulations, inspection authority, vulnerable adults, local government, program integrity, high-risk providers, enrollment requirements, fraud prevention, compliance

Transcript Highlights:

• They will get care in emergency.
• They will get care in emergency.
• <00:54:15.599> that any care especially in emergency that any care especially in emergency
• This does exempt medical emergency.
• morals in non-emergency morals in non-emergency non-lifethreatening non-lifethreatening non-lifethreatening

Keywords: 958, all

Summary: The Senate Standing Committee on Health Services met with a quorum and first moved through administrative regulations without comment. The committee then heard Senate Bill 56, sponsored by Senator Gerald Neal, which would require Medicaid and its managed care entities to treat non-opioid pain medications on equal footing with opioid analgesics by prohibiting more restrictive coverage controls, prior authorization, or step therapy for non-opioids. Neal argued the bill would improve access to safer pain treatment options and reduce the risk of opioid use disorder, and Billy O'Brien of Young People in Recovery testified in support, describing personal experiences where non-opioid options were difficult to obtain despite a desire to avoid opioids. After discussion, the bill received a motion and second and passed the committee on a 10-0 vote. The committee then took up Senate Bill 72, sponsored by Senator Don Douglas and presented with Greg Chaffin of Alliance Defending Freedom. Douglas described the bill as a provider recruitment and retention measure intended to protect health care workers from being compelled to act against their conscience and to address workforce shortages and pressure in health care settings. He said the bill would protect individual beliefs while maintaining professionalism. A large number of witnesses then testified, and the chair limited public comments to two minutes each because of the number of speakers and the controversy surrounding the bill. Most public testimony opposed SB 72. Speakers including representatives of the Kentucky Council of Churches, a psychologist, an ordained minister and nurse, a nurse practitioner, and an ACLU policy strategist argued the bill was overly broad, could allow refusals of care by a wide range of health care workers, and could delay or deny treatment, especially for vulnerable patients and in rural or emergency settings. Several cited concerns about discrimination, patient safety, and the lack of adequate protections for patients. One witness recounted the death of an 18-year-old pregnant patient as an example of the harm that can result from delayed care. The transcript ends during additional testimony on SB 72, before any committee vote or final action on that bill is shown.

Transcript Highlights:

• <00:01:15.439> office<00:01:15.799> of<00:01:16.080> e<00:01:16.439> Emergency
• occupations mdh office of e Emergency occupations mdh office of e Emergency Medical<00:01:17.320
• agent programs is includes emergency agent programs is includes emergency medical<00:09:46.320><
• As of January 1, it is now the Office of Emergency Medical Services.
• Medical Response units and emergency Medical Response units and emergency medical medical medical

Keywords: 1183, house

Summary: The meeting was an informational walkthrough for the Health Finance and Policy Working Group, focused on committee structure, budget basics, and major health-related accounts and programs. Staff explained the roles of House Research and House Fiscal, then reviewed key funds used by the committee, including the general fund, government special revenue fund, federal funds, the health care access fund, remediation account, and drinking water revolving fund. They also outlined the committee’s main budget areas, noting that medical assistance is the largest general fund item and that the Department of Health is a substantial agency funded by a mix of federal, general fund, and special revenue dollars. A major portion of the presentation covered subsidized health coverage programs. Staff described Medical Assistance (Minnesota’s Medicaid program) as an entitlement for eligible Minnesotans, with no premiums or cost sharing, and explained its managed care and fee-for-service delivery systems. MinnesotaCare was presented as a separate federal-state basic health program for people who are not eligible for MA, with income limits, premiums for adults age 21 and older, and cost-sharing requirements; staff noted that federal premium tax credit changes affect MinnesotaCare premium ranges. The presentation also summarized MNsure’s role in the individual market and in determining eligibility for premium tax credits, cost-sharing reductions, MinnesotaCare, and MA. The committee also received an overview of health-related licensing boards and occupational regulation. Staff said Minnesota has 16 health-related licensing boards, funded mainly through the state government special revenue fund and subject to legislative appropriation, and explained that health occupations may be regulated by the Department of Health, the Office of Emergency Medical Services, or the boards under chapter 214. Interstate licensure compacts were briefly noted as a way to ease practice across states. No bills were debated and no votes or formal actions were taken during the meeting.

Transcript Highlights:

• With an emergency clause on their bill, that would work.
• And then there's the change in the emergency clause to account for that section being removed.
• The last section, the bill, section 11 is the emergency clause. Got it. Section 11.
• I was going to ask you, why come this, how come one through six needs to be an emergency?
• We have, as an emergency clause, every biennium.

Keywords: 908, all

Summary: The House Appropriations Government Operations Division met to consider House amendments to Senate Bill 2001, the budget for the Legislative Council and Legislative Assembly. Representative Meyer and Legislative Council staff reviewed the House changes, which included higher lodging funding tied to a prior bill, an increase for North Dakota legislators’ forum dues, a transfer of $290,000 for public printing from the Secretary of State to Legislative Council, a $650,000 reduction tied to the nuclear energy study because that funding was already provided elsewhere, and a new section allowing legislative space on the 15th floor of the Capitol to be used for additional Legislative Council employees. John Bjornson explained the 15th-floor space proposal and said staff would work with Facility Management and CTE to address relocation needs and timing, with CTE’s move potentially delayed until after its busy school-year period if necessary. The committee then reviewed the Senate version of the bill in more detail. Staff walked through the Legislative Assembly budget items, including per diem and compensation adjustments, lodging and mileage estimates, IT and audio/video funding, and dues increases for national and state legislative organizations. Members asked about mileage assumptions and the emergency clause, and staff said the emergency language is standard and allows flexibility for transfers, carryovers, and other budget actions. The committee also reviewed the Legislative Council budget, including funding for 25 new FTEs, interim travel, IT costs, professional services, public printing, and one-time items such as equipment and term limits consulting, while the advanced nuclear energy consulting item was removed in the House version. After discussion, the committee adopted the House amendment to Senate Bill 2001 and then voted to do pass the bill as amended. Both motions passed on roll call, and the amended bill was sent to the full Appropriations Committee. Near the end of the meeting, Representative Paula gave notice that she would bring a separate amendment later on the Industrial Commission budget related to homelessness grant funding, noting it would not use SIF or general fund dollars.

Transcript Highlights:

• Moving down to line 233, emergency communication networks.
• Moving down to line 233, emergency communication networks.
• <00:15:33.920> Um emergency communication networks. Um emergency communication networks.
• the director of the office of emergency the director of the office of emergency medical<00:53:19.680
• modifies provisions related to emergency modifies provisions related to emergency guardianships<

Keywords: 1183, house

Transcript Highlights:

• Emergency medical services is the fourth.
• Emergency medical services is the fourth.
• Maybe they're emergency department.
• Um, it excludes emergency physicians, so emergency rooms, they can initiate buprenorphine without being
• ><00:42:13.920> so excludes um emergency physicians, so excludes um emergency physicians, so emergency

Keywords: 00:00:20 - Call to Order/Roll Call 00:02:00 - Update on Rural Health Transformation Program 00:29:20 - Discussion of 26RS HB 134 00:36:35 - Roll Call Vote on 26RS HB 134 00:37:41 - Consideration of Referred Administrative Regulations 01:09:44 - Adjournment, 958, all

Summary: The Health Services Committee met to receive an update from Cabinet for Health and Family Services Secretary Steven Stack on Kentucky’s Rural Health Transformation Grant. He explained that all 50 states applied and were awarded funding, and Kentucky received about $212.9 million over five years, with the first year treated as a nine-month period. He emphasized that the award is a cooperative agreement with CMS, is not Medicaid funding, cannot be used to supplant existing funds, and is limited to the five areas approved in Kentucky’s application. He also said the state must submit a revised budget before major spending begins, and that CMS could claw back money if performance metrics are not met. Secretary Stack outlined the five focus areas: maternal health, mental health, oral health, emergency medical services, and chronic disease prevention/management, especially obesity and diabetes. He described possible approaches such as expanding behavioral health crisis stabilization models like EMPath, using teledentistry and mobile services, strengthening EMS staffing and treat-in-place options, and building healthier nutrition and activity supports. He said the application was developed quickly with broad stakeholder input and that the state plans to work with universities, nonprofits, and other partners through procurement and other formal processes. He also noted the program will be overseen by the public health department, with Commissioner John Langfeld leading the effort. Committee members asked about the grant timeline, the split between formula and competitive funding, the role of certificate of need, and whether new laws or regulations would be needed. Stack said the state believes it can implement the approved projects under current law, though some broader policy issues such as certificate of need were not included because they would be risky to change within the grant timeline. Members also asked how stakeholders can submit ideas; Stack pointed them to the public website and contact email, saying additional partner information will be posted soon. The committee did not take any formal vote or action during this discussion.

Transcript Highlights:

• The bill requires local emergency management personnel to complete training from FDEM every two years
• And the bill provides additional flexibility to supervisors in responding to national emergencies that
• And the bill provides additional flexibility to supervisors in responding to national emergencies that
• Today, what happens is that happens through emergency declarative order.
• Emergency orders that we had, both from Ian and COVID and this last hurricane season with Debbie, Helena

Summary: The Transportation and Economic Development Budget Subcommittee met and first took up CS/HB 567, a broad transportation bill by Rep. McFarland. The bill, as explained, covered a range of transportation policy changes including higher speed limits, local regulation of e-bikes and e-scooters, parking accommodations for pregnant women, advance land acquisition for DOT projects, changes to FDOT contracting, elevation of roads in capacity projects, MPO quality metrics, and repeal of the Metropolitan Planning Organization Advisory Council. Two amendments were adopted: one added a prohibition on driving too fast through flooded roads and creating excessive wake, and another updated language to allow for future technology in traffic management systems. The strike-all removed several items from the original bill, including utility-right-of-way language, private-public-use airport funding, and an electric vehicle tax redirect, and added MDX board changes. The bill then passed favorably on a recorded vote. The committee next considered CS/HB 1535, also by Rep. McFarland, a lengthy hurricane recovery and preparedness measure. It requires local governments to post storm-preparedness and recovery information online, expands special needs shelter information, mandates emergency management training, improves debris removal planning, and adds provisions for fiscally constrained counties. It also addresses shelter access, rebuilding rules, permitting timelines and fees after storms, homestead rebuilding limits, and election flexibility after disasters, including a process for supervisors of elections to request emergency changes through the Secretary of State. Members asked several questions about local rebuilding ordinances, election “super sites,” and the request/approval process. The bill drew support from several groups, including disability advocates, builders, waste and recycling interests, crane owners, and restaurant and lodging representatives, and it passed favorably. The committee then heard CS/HB 561 and CS/HB 563 from Rep. Cobb on manufacturing. HB 561 would elevate a chief manufacturing officer within the Department of Commerce, create a voluntary Florida manufacturing promotional campaign, and require biennial reporting on manufacturing efforts; an amendment removed the grant portion of the program, and the bill passed favorably with support from industry groups. HB 563 established an annual fee, capped at $100, for participants in the voluntary manufacturing promotional campaign and also passed favorably. Finally, Rep. Spencer presented HB 827, which directs a statewide study on the impact of automation and artificial intelligence on Florida’s workforce, to be updated every three years and developed with business, academic, and local input; it too passed favorably. The meeting then adjourned with notice that the subcommittee would meet again the following week.