Transcript Highlights:

• They have been incredibly, incredibly patient with an incredibly unappreciative legislature for too long
• The course must cover, but is not limited to, evidence-based treatment protocols for patients of all
• And oftentimes when patients present at the ER, They are labeled. They are stereotyped.
• And so it is critical that our patients receive culturally responsive, compassionate care.
• So it varies for each patient, depending on the type of sickle cell that they have.

Summary: The Fiscal Policy Committee met and first adopted a late-filed amendment to SB 774, which expands enhanced workers’ compensation coverage to 911 public safety telecommunicators for mental or nervous injuries. The bill drew supportive testimony from a Palm Beach County Sheriff’s Office dispatcher and others, and was reported favorably. The committee also reported favorably SB 770 on forensic services for certain defendants, which would allow the Agency for Persons with Disabilities to consolidate secure forensic services for individuals with intellectual disabilities or autism whose charges were dismissed after incompetency findings. Members then considered several public safety, family, and workforce bills. CS/SB 86, which declares unauthorized aliens operating commercial vehicles an imminent safety hazard and imposes vehicle impoundment and a $50,000 penalty on motor carriers, was reported favorably after questions about impound procedures and cargo handling; one speaker opposed it. SB 1594, protecting veterans’ benefits for foster youth so the funds are reserved for postsecondary education, training, and after-care services, was reported favorably with supportive testimony from a former DCF attorney. CS/SB 760, creating a new offense for willful violations of no-contact pretrial release conditions in violent crime cases, was reported favorably despite criminal defense attorneys’ concerns about a provision allowing warrantless arrests without officer observation. The committee also approved a complete rewrite of the nonprofit corporations chapter in SB 554, a sickle cell continuing education bill (SB 844) after extensive emotional testimony from patients, advocates, and family members, and SB 1022 adding two children’s initiative programs in Bay County and Broward County. CS/SB 1246 broadened the Linking Industry to Nursing Education Fund to include health science education programs and related workforce needs and was reported favorably. Finally, the committee approved CS/CS/SB 1230 restricting use and sale of certain firefighting foam containing intentionally added PFAS, and CS/CS/SB 128 directing DEP to mark Red Harris Spoil Island; both passed with favorable votes. Several senators later asked to be recorded as voting in the affirmative on specific tabs, and the meeting adjourned without further business.

Transcript Highlights:

• > waiver</c><00:16:04.040><c> from</c><00:16:04.280><c> the</c> patient can sign a waiver from the patient
• So it's saying that, notwithstanding that, the dentist may treat a patient.
• Um what my suggestion treat a patient.
• </c> Examinations Recommendation for Patient Examinations Recommendation for Patient Selection<00:19:
• to the patient being denied dental care.

Committee: House Executive Departments and Administration

Transcript Highlights:

• back to the hospital so maybe patient back to the hospital so maybe you<00:29:19.440><c> get</c><00:
• These are all wonderful things when it comes to servicing the patient and providing those services that
• These are all wonderful things when it comes to servicing the patient and providing those services that
• and not on where that person is patient and not on where that person is located<00:52:39.799><c> so<
• </c> higher off the ground to get to patients higher off the ground to get to patients and<01:09:38.080

Committee: Senate Health and Human Services

Transcript Highlights:

• In act relating to payment to acute care hospitals for difficult-to-discharge medical patients.
• Last line: for the existing patient, makes an appropriate staffing is available.
• Line: for the existing patient, makes an appropriate staffing is available.
• This was a methodology to try to help hospitals to pay for patients who were stuck in a hospital, had
• I don't know how we can drive cost out of health care and create access if we've got patients who are

Summary: The Senate opened with a moment of silence for Senator Chris Gildon and his family after the death of his wife, Autumn. It then took up several bills on final passage, beginning with Substitute House Bill 2020, which establishes a 3.1% B&O tax rate for payment card processing activities and allows a deduction for certain related fees. Supporters said it resolves a long-running dispute with the Department of Revenue; it passed 47-0. The chamber also passed House Bill 2039, delaying the child support pass-through expansion from 2026 to 2029, and House Bill 2040, delaying the elimination of recoveries from the Aged, Blind, and Disabled Assistance Program from October 2025 to October 2028. Supporters framed both as timing changes, while opponents argued they would postpone benefits for families and vulnerable people. Both bills passed 25-22. Substitute House Bill 2051, dealing with payment to acute care hospitals for difficult-to-discharge patients, passed 27-20 after several proposed amendments were withdrawn. Supporters said the bill helps hospitals care for patients who have nowhere else to go, while opponents argued the state should not delay payment support for these patients. The Senate also passed In Gross Substitute House Bill 2061, imposing a 10% concession fee on duty-free sales to fund tourism promotion and sustainable aviation fuel, over objections that it was a tax increase passed on to consumers. Finally, Substitute House Bill 2077, which taxes certain business activities related to zero-emission vehicle credits, passed 28-19 after an amendment to remove or narrow parts of the tax was rejected. Supporters said the measure would encourage spending of credits and support clean transportation goals, while opponents called it a targeted tax on Tesla and warned it could raise EV prices. The Senate then concurred in amended Engrossed Substitute House Bill 1293, a litter and plastic bag measure that increases litter penalties and keeps the planned bag-thickness increase from taking effect, and passed it 27-20. The Senate adjourned until April 27, 2025.

Transcript Highlights:

• The next bill we'll hear is House Bill 305, Representative Ken Fleming, who's waiting patiently in the
• Some of y'all might recall that it was an EMS-type of bill to help out hospitals to transfer their patients
• House Bill 777 was an EMS-type bill to help hospitals transfer their patients and clients between facilities
• provisions go back a couple of years to House Bill 777, an EMS-type bill to help hospitals transfer their patients
• Hospitals transfer their patients and clients between facilities and so forth.

Summary: The Senate Standing Committee on Health Services met with a quorum and heard House Bill 303 first. Representative Steve Bratcher explained that the bill would let U.S. military members with medical training transition that experience into Kentucky health-care credentials more quickly. Schools and colleges would evaluate military curricula on an individual basis, identify gaps, and allow those gaps to be filled with additional classes or clinical time before the person sits for the required exam. The bill was described as applying broadly across medical fields, not just nursing, and it would not waive testing or standards. Senators asked whether the process would compare credentials across states and whether the bill covered only U.S. military service; Bratcher said evaluations would be individualized and the bill was primarily for those who served in the U.S. military. HB 303 received an 11-0 favorable vote. The committee then took up House Bill 305, presented by Representative Ken Fleming. He said the committee substitute would expand an existing health-care workforce award program to include dietitians and physician assistants, clarify that certain EMS-related services may be owned or operated by a hospital rather than only owned by one, and provide more flexibility around licensing timelines after a certificate of need is issued by the Kentucky Board of Emergency Medical Services. After a motion and second, the committee voted unanimously to amend and pass HB 305 with favorable expression. A title amendment was also adopted unanimously. Before adjournment, the chair noted that the next regular meeting was scheduled for March 12 and warned that a special-called meeting might be needed the following Monday because of bills arriving from the House. No further business was taken up, and the committee adjourned.

Transcript Highlights:

• So we must rely on state law to protect Florida patients from bad actors, especially for patients who
• So we must rely on state law to protect Florida patients from bad actors, especially for patients who
• So we must rely on state law to protect Florida patients from bad actors, especially for patients who
• So we must rely on state law to protect Florida patients from bad actors, especially for patients who
• So we must rely on state law to protect Florida patients from bad actors, especially for patients who

Summary: The Senate convened with a quorum, opening prayer, Pledge of Allegiance, and doctor-of-the-day introduction, then moved through a long special-order calendar. Early proceedings included a resolution honoring former Governor and U.S. Senator Bob Graham and a moment of silence for firefighter Roger Timmy Miley. The chamber also heard several member introductions and recognitions before taking up bills. The most substantial debate centered on CS/CS/SB 1758 on public assistance and Medicaid/SNAP reforms. The bill would strengthen fraud enforcement, impose a Medicaid work requirement for able-bodied adults, expand behavioral health services through a waiver, modernize Medicaid pharmacy purchasing, and require a SNAP fraud-reduction plan and photo ID on EBT cards. Senators Berman, Smith, Bracy Davis, Osgood, and others argued for Medicaid expansion and added protections for vulnerable SNAP recipients, while Gates defended the bill as a compliance and cost-saving measure. Multiple amendments were offered, including Berman’s Medicaid-expansion condition and Osgood’s SNAP photo-ID safeguards; both were defeated. The bill was placed on the calendar for third reading after extended questioning. The Senate then passed a series of bills, often substituting House companions before final vote. These included tax conformity legislation (7031/7048), technology and computer science education (1503/1694), Parkinson’s disease registry and related public-records measures (1443/1684), designation of the SS American Victory as the official state flagship (249/1656), electronic payments for local governments (967/1612), legal tender and related public-records exemptions for gold, silver, stablecoins, and virtual currency kiosks (1311/1588/1087/7044/1568), local government finance and spending transparency (1329/1566), digital voyeurism (1536), insurance customer representative licensing (1343/1504), and medical freedom legislation (1756) with amendments on anti-kickback rules and vaccine information materials. Most bills passed on largely party-line or near-unanimous votes, with several amendments adopted and some withdrawn; the medical freedom bill was still under consideration at the end of the excerpt.

Transcript Highlights:

• Our health centers serve over 100,000 patients, 20% of which are children.
• She said this bill would treat Medicaid patients differently than commercially insured patients, and
• She said this bill would treat Medicaid patients differently than commercially insured patients, and
• She said this bill would treat Medicaid patients differently than commercially insured patients, and
• </c><00:20:24.280><c> regardless</c> health centers treat patients regardless health centers treat patients

Committee: Senate Education

Transcript Highlights:

• other area that I think is important for us to talk about is that sometimes we focus only on the patient
• Mobile care units reaching patients before they need emergency care.
• monitoring, so a patient in Grayson County or Brunswick or Montgomery doesn't have to drive hours to
• And then consumer tech—consumer tech is really our patient consumer-facing technology… Consumer tech
• is really our patient consumer-facing technology bucket.

Transcript Highlights:

• So there's a whole true-up in a traditional hospital setting on these patients and So there's a whole
• have access to services, you're going to see, one, Medicaid patients have access to care immediately
• So did you factor any of the real-life experiences of patients? That was not part of the analysis.
• So did you factor any of the real-life experiences in of patients?
• If you go over the number of patients, what's it going to do to the State General Fund there?

Bills: HB198 , HB325 , HB488 , HB719 , HB749 , HB755 , HB797 , HB823 , HB1028 , HB1194 , HB1222

Committee: Senate Finance

Keywords: Medicaid, reimbursement, ambulatory surgical centers, gastroenterology, ophthalmology, otolaryngology, healthcare funding, Louisiana Department of Health, surgical procedures, TOPS-Tech, scholarship, education, eligibility, college credit, dual enrollment, state funding, HB 488, Belle Chasse Bridge, Belle Chasse Bridge Merit-Based Special Fund, Plaquemines Parish

Transcript Highlights:

• About 87% of its emergency room visits are from Medi-Cal and uninsured patients.
• And when we mandate more costs and they can't make up those costs in the patients that are coming in,
• Correct that these hospitals who are experiencing financial distress are largely serving the patients
• Why don't they cover enough funding for medical patient treatments?
• It serves over 700,000 patients, children.

Summary: The committee heard AB 108, a budget bill junior that would amend the 2025 Budget Act to create a one-time $25 million General Fund grant program at HCAI for hospitals in immediate and significant financial distress, along with a technical change related to property tax deferments for eligible low-income seniors. Finance explained that eligible hospitals would need to show less than 10 days cash on hand, best efforts to exhaust other financing options, a payer mix of more than 50% government payers and uninsured patients, and nonprofit status, with expedited contracting and rulemaking exemptions so funds could be distributed quickly. Members repeatedly questioned whether $25 million was enough, how many hospitals would qualify, and whether the 10-day threshold was too narrow, while also raising broader concerns about hospital reimbursement rates, seismic compliance costs, federal policy changes, and the need for more up-to-date data and a longer-term solution. Several members and the LAO noted that the bill was intended as a short-term bridge to keep a very small number of hospitals open until July 1, while the larger distressed-hospital discussion would continue in the May Revision and next year’s budget. Some members argued the state should consider grants rather than loans more broadly, and others emphasized that hospitals serving Medi-Cal and uninsured patients, including safety-net facilities like MLK Community Hospital and Children’s Hospital Los Angeles, face structural pressures. Public comment was uniformly supportive of the bill, with the California Hospital Association, district hospital representatives, counties, and CHLA all backing the proposal and urging additional funding for distressed hospitals in the coming budget. The committee approved AB 108 on a roll call vote of 18-0 and held the roll open briefly to secure remaining votes before formally reporting the bill out.

Transcript Highlights:

• But my main concern is what happens when the doctor and the patient show up and the interpreter doesn't
• That patient or lost that time and the patient who, anyway, so I think it's a two-way street that we've
• We're asking that any deviation must be medically appropriate based on patient-specific or clinically
• Provider removal appeal: it should not be available when the provider poses a risk to patient safety,
• Franklin looked at the outcomes of those procedures and found that patients who had had those operations

Bills: SB5847 , SB6067 , SB6136 , SB6014 , SB5972 , SB5869 , SB5874 , SB6058 , SB6039 , SB5944 , SB6188

Committee: Senate Labor & Commerce

Keywords: workers' compensation, industrial insurance, injured workers, medical provider network, occupational health, occupational medicine, medical care access, L&I, Department of Labor and Industries, self-insured employers, state fund claims, utilization review, provider credentialing, provider network, treatment guidelines, evidence-based medicine, claims management, claims managers, temporary total disability, permanent partial disability

Transcript Highlights:

• The first one limits the applicability of this bill to patients only with ALS, and the second one, by
• This bill limits the applicability of the Bill only to patients with ALS.
• Patient brokering is the illegal exchange of something of value for a patient.
• the task force on patient solicitation and the prosecution of certain related criminal offenses.
• House Bill 4454 relating to solicitation of patients and other prohibited marketing practices.

Bills: SB731 , SB801 , SB867 , SB2082 , SB2717 , SB2919 , HB4 , HB26 , HB 103 , HB 108 , HB 117 , HB 126 , HB144 , HB145 , HB186 , HB201 , HB223 , HB229 , HB272 , HB493 , HB521 , HB551 , HB621 , HB700 , HB748 , HB 1106 , HB 1234 , HB1403 , HB1500 , HB1661 , HB2017 , HB2026 , HB2035 , HB2038 , HB2073 , HB2080 , HB2221 , HB2253 , HB2294 , HB2306 , HB2313 , HB2427 , HB2512 , HB2516 , HB2593 , HB2674 , HB2761 , HB2818 , HB2820 , HB2844 , HB2851 , HB2885 , HB3010 , HB3016 , HB3053 , HB3057 , HB3133 , HB3151 , HB3159 , HB3180 , HB3181 , HB3225 , HB3234 , HB3250 , HB3254 , HB3284 , HB3333 , HB3512 , HB3556 , HB3595 , HB3689 , HB3711 , HB3732 , HB3749 , HB3812 , HB3833 , HB3866 , HB3928 , HB3940 , HB3966 , HB4063 , HB4112 , HB4157 , HB4264 , HB4281 , HB4384 , HB4454 , HB4486 , HB4488 , HB4520 , HB4530 , HB4666 , HB4690 , HB4743 , HB4749 , HB4751 , HB4795 , HB4848 , HB4903 , HB5081 , HB5115 , HB5138 , HB5149 , HB5154 , HB5247 , HB5308 , HB5394 , HB5436 , HB5659 , HB5671 , HB5674 , HB5680 , HB5696 , HCR40 , HCR108 , HCR118 , SJR5 , SJR59 , SB4 , SB8 , SB9 , SB10 , SB12 , SB22 , SB23 , SB25 , SB27 , SB34 , SB36 , SB37 , SB38 , SB40 , SB261 , SB650 , SB777 , SB924 , SB1188 , SB1318 , SB1333 , SB1398 , SB1448 , SB1566 , SB1621 , SB1723 , SB1862 , SB2405 , SB2406 , SB2407 , SB3070 , SB1 , SB17 , SB21 , SB260 , SB379 , SB509 , SB1405 , SB1506 , SB1637 , SB1833 , SB2155 , SB2308 , HB300 , HB2525 , SJR36 , SJR50 , SJR63 , SCR12 , SCR39 , SB2023 , SB62 , SB666 , SB847 , SB284 , SB854 , SB810 , SB1505 , SB583 , SB507 , SB1434 , SB1772 , SB2016 , SB1122 , SB731 , SB397 , SB508 , SB1436 , SB287 , SB1882 , SB393 , SB1791 , SB209 , SB2429 , SB1085 , SB1975 , SB2717 , SB1262 , SB636 , SB2056 , SB884 , SB1200 , SB1845 , SB2458 , SB801 , SB3014 , SB3013 , SB758 , SB2797 , SB2076 , SB2876 , SB1640 , SB1449 , SB1181 , SB1234 , SB2926 , SB2841 , SB1528 , SB1854 , SB317 , SB1250 , SB2082 , SB1237 , SB2819 , SB629 , SB2608 , SB1602 , SB2009 , SB867 , SB640 , SB1698 , SB2680 , SB913 , SB1071 , SB1086 , SB1087 , SB1483 , SB1444 , SB1553 , SB1556 , SB1703 , SB2133 , SB2297 , SB2298 , SB2622 , SB2955 , SB2334 , SB1367 , SB2044 , SB2363 , SB2565 , SB1888 , SB3036 , SB3057 , SB3043 , SB3063 , SB3035 , SB203 , SB2688 , SB2522 , SB2459 , SB2655 , SB2251 , SB1884 , SB2928 , SB2566 , SB2549 , SB2553 , SB2919 , SB1944 , SB1232 , SB1798 , SB2603 , SB2607 , SB2683 , SB1319 , SB3045 , SB3071 , HJR7 , HB2674 , HB3556 , HB26 , HB4384 , HB748 , HB5652 , HB3395 , HB2516 , HB180 , HB 1306 , HB3966 , HB4112 , HB322 , HB 126 , HB5650 , HB4894 , HB1629 , HB5698 , HB3171 , HB2694 , HB5664 , HB4751 , HB4690 , HB4464 , HB4063 , HB3623 , HB3016 , HB2520 , HB2221 , HB2213 , HB700 , HB252 , HB146 , HB5596 , HB3619 , HB5320 , HB5651 , HB5670 , HB5665 , HB5437 , HB5679 , HB5699 , HB5661 , HB5662 , HB5654 , HB5672 , HB5656 , HB4743 , HB4666 , HB3812 , HB3595 , HB3057 , HB2035 , HB721 , HB346 , HB2512 , HB5695 , HB5694 , HB5671 , HB5674 , HB2038 , HB3185 , HB2761 , HB2593 , HB2348 , HB2073 , HB1871 , HB 108 , HB2306 , HB2017 , HB 1135 , HB144 , HB3689 , HB5308 , HB 101 , HB5666 , HB5677 , HB5682 , HB5680 , HB5658 , HB5696 , HB4144 , HB3159 , HB3254 , HB3866 , HB3010 , HB4520 , HB3642 , HB3928 , HB3815 , HB2686 , HB2012 , HB1960 , HB227 , HB654 , HB1690 , HB2128 , HB4158 , HB4530 , HB4630 , HB5659 , HB1523 , HB2078 , HB2427 , HB145 , HB1973 , HB3333 , HB3697 , HB3546 , HB3225 , HB3181 , HB3133 , HB3053 , HB2885 , HB2820 , HB2294 , HB2253 , HB1661 , HB1506 , HB 1234 , HB640 , HB621 , HB551 , HB521 , HB493 , HB272 , HB229 , HB223 , HB201 , HB186 , HB 119 , HB2080 , HB2818 , HB5394 , HB4795 , HB4466 , HB4454 , HB3940 , HB3749 , HB3151 , HB3284 , HB1403 , HB 1106 , HB2844 , HB2851 , HB1500 , HB4488 , HB4264 , HB4 , HB4170 , HB3909 , HB4081 , HB4145 , HB4157 , HB4281 , HB4285 , HB4463 , HB4749 , HB4995 , HB5081 , HB5115 , HB5138 , HB5624 , HB1449 , HB3711 , HB2598 , HB3629 , HB4361 , HB824 , HB1868 , HB4848 , HB2243 , HB40 , HB 117 , HB2313 , HB3686 , HB500 , HB3793 , HB 112 , HB 104 , HB 1056 , HB42 , HB4486 , HB3000 , HB 100 , HB2240 , HB718 , HB27 , HB4904 , HB4202 , HB2853 , HB5129 , HB5093 , HB4765 , HB4748 , HB4559 , HB4350 , HB4214 , HB3388 , HB3112 , HB5196 , HB4211 , HB3516 , HB3092 , HB4233 , HB4687 , HB705 , HB 1094 , HB2037 , HB3005 , HB3848 , HB 1105 , HB 121 , HB3372 , HB367 , HB783 , HB3336 , HB3441 , HB4449 , HB5616 , HB2407 , HB2854 , HB3425 , HB5294 , HB 1178 , HB4623 , HB14 , HB3963 , HB 1211 , HB5646 , HB5629 , HB3783 , HB4236 , HB46 , HB4638 , HB 1052 , HB4070 , HB5509 , HB5435 , HB4134 , HB3923 , HB3520 , HB3320 , HB2517 , HB2488 , HB5663 , HB2731 , HB3073 , HB2655 , HB2399 , HB541 , HB4099 , HB 111 , HB1532 , HB3483 , HB2963 , HB4580 , HB3748 , HB713 , HB632 , HB426 , HB4730 , HCR141 , HCR118 , HCR40 , HCR59 , HCR76 , HCR108 , HB26 , HB 108 , HB144 , HB145 , HB201 , HB272 , HB493 , HB551 , HB621 , HB700 , HB1500 , HB1661 , HB2017 , HB2038 , HB2073 , HB2080 , HB2221 , HB2253 , HB2294 , HB2306 , HB2313 , HB2427 , HB2516 , HB2593 , HB2761 , HB2818 , HB2844 , HB2851 , HB2885 , HB3010 , HB3016 , HB3133 , HB3151 , HB3159 , HB3254 , HB3284 , HB3595 , HB3689 , HB3711 , HB3866 , HB3928 , HB3940 , HB3966 , HB4063 , HB4112 , HB4264 , HB4281 , HB4384 , HB4454 , HB4486 , HB4488 , HB4520 , HB4530 , HB4666 , HB4743 , HB4749 , HB4751 , HB5081 , HB5308 , HB5394 , HB5659 , HB5671 , HB5680 , HB5696 , HB2674 , HB3556 , HB223 , HB1403 , HB3053 , HB5115 , HCR108 , HCR118 , SB20 , SB33 , SB75 , SB213 , SB269 , SB458 , SB528 , SB647 , SB648 , SB681 , SB740 , SB840 , SB843 , SB1061 , SB1120 , SB1121 , SB1150 , SB1202 , SB1253 , SB1423 , SB1535 , SB1574 , SB1709 , SB1789 , SB2037 , SB2078 , SB2268 , SB2544 , SB2570 , SB1198 , SB2601 , SB2778

Transcript Highlights:

• </c> petition-based pathway for patients petition-based pathway for patients eligible<00:51:09.800><c
• </c> of Right to Try patients. of Right to Try patients.
• </c> they could that they want their patients they could that they want their patients to<00:56:30.680
• Well, I would imagine, like you said, when the patient expires, they no longer have a patient to take
• </c> longer have a patient to take care of. longer have a patient to take care of.

Transcript Highlights:

• It requires health care facilities to designate areas where patients are receiving treatment or care
• It requires health care facilities to designate areas where patients are receiving treatment or care
• or where patients are discussing protected health care information as non-public.
• Patients traveling to Washington are terrified of being tracked or investigated.
• Patients traveling to Washington are terrified of being tracked or investigated.

Bills: SB5925 , SB5906 , SB6070 , SB6002

Committee: Senate Law & Justice

Keywords: Attorney General, civil investigative demand, CID, subpoena-like demand, investigative authority, consumer protection, civil enforcement, pre-suit investigation, document production, interrogatories, deposition, oral testimony, confidentiality, trade secrets, judicial review, enforcement action, Washington RCW, law enforcement powers, government transparency, due process

Transcript Highlights:

• And I will ask, are the blue tarps still up in the intake area and in the kitchen area?
• still</c><00:25:04.440><c> up</c><00:25:04.679><c> in</c><00:25:04.919><c> the</c><00:25:05.640><c> intake
• </c><00:25:06.279><c> area</c> Blue tarps still up in the intake area Blue tarps still up in the intake

Summary: The committee heard a Department of Corrections capital budget presentation on HB 25, focused largely on urgent maintenance and security needs at the New Hampshire State Prison for Men and other DOC facilities. DOC officials described the governor’s proposed priorities: boiler surge and radiator tank replacements, electronic controls and camera upgrades, and replacement of HVAC units using R22 refrigerant. They also outlined additional requested projects totaling $15.4 million, including a body alarm/man-down system at Northern New Hampshire Correctional Facility, steam line and trap repairs, fire alarm replacements, and removal of an underground diesel tank in favor of above-ground storage. DOC testified that many systems are well beyond their expected service life, including 40-year-old boilers, outdated analog cameras, and HVAC equipment using discontinued R22 refrigerant. They said the men’s prison is relying on a leased temporary boiler, has significant steam leaks causing major water loss and reduced boiler efficiency, and is dealing with frequent fire alarm faults and deteriorating wiring. On the body alarm system, they said the vendor no longer supports the equipment and replacement parts are no longer available. On the diesel tank, members questioned whether it could be abandoned in place or whether fuel could be reused; DOC said it had not explored all alternatives and would follow up, while noting the tank is underground and tied into the warehouse system. Members also asked whether some current investments could be reused in the planned new men’s prison. DOC said some items, such as air handlers, might potentially be moved, but most projects are needed to keep the current facility operational and would not be practical to transfer. Questions were also raised about the leased boiler arrangement, the use of the man-down system by staff and visitors, and whether the kitchen project could be converted to a modular unit. DOC said the modular kitchen approach is necessary because the existing kitchen cannot remain fully operational during repairs. The committee then moved to lapse extensions, and DOC identified several projects no longer needing extensions, including items numbered 64, 65, and 66 in HB 25, with the chair noting those balances would be deleted and that the lapse amount was $550,500.

Transcript Highlights:

• In delivering to patients across this country and state.
• The confidence patients place in nurse practitioners is demonstrated by the more than one billion patient
• Columbia, Guam, and the Northern Mariana Islands, Has adopted full practice legislation offering patients
• Commission, and others, have taken notice of the benefits of providing full and direct access for patients
• Have taken notice of the benefits of providing full and direct access for patients to health care delivered

Bills: HR39 , HR40 , HR41 , HCR19 , HCR20 , HCR21 , HB2 , HB3 , HB15 , HB441 , HB976 , HB977 , HB978 , HB979 , HB980 , HB981 , HB982 , HR19 , HR20 , HR21 , HR22 , HR23 , HR24 , HR25 , HR26 , HR27 , HR28 , HR29 , HR30 , HR31 , HR32 , HR33 , HR34 , HR35 , HR36 , HR37 , HR38 , HCR15 , HCR16 , HCR17 , HCR18 , SCR10 , HB115 , HB208 , HB465 , HB964 , HB965 , HB966 , HB967 , HB968 , HB969 , HB970 , HB971 , HB972 , HB973 , HB974 , HB975 , HB474 , HB487 , HB503 , HB606 , HB633 , HB707 , HB720 , HB728 , HB733 , HB846 , HB852 , HB856 , HB868 , HB875 , HB78 , HB112 , HB148 , HB149 , HB190 , HB221 , HB346 , HB354 , HB355 , HB356 , HB358 , HB384 , HB427 , HB657 , HB675 , HB716 , HB207 , HB300 , HB331 , HB428 , HB464 , HB587 , HB618 , HB629 , HB801 , HB853 , HB891 , HB901

Summary: The House opened with procedural motions, receipt of enrollment and committee reports, and several personal privilege recognitions for visiting groups and commemorative observances. Members welcomed Irish dignitaries, the Convention of States, the Louisiana Nursery and Landscape Association, nurse practitioners, professional surveyors, a birthday recognition for a member’s daughter, an America 250 concert announcement, and a youth leadership group. The chamber also introduced a number of resolutions and bills, including major fiscal measures such as HB 2 (capital outlay) and HB 3 (bond authorization), along with local and policy bills covering retirement, utilities, law enforcement, education, and public safety. Several resolutions were adopted without objection, including observances for HBCU Day, Opportunity and Action Day, and commendations and condolences for individuals and organizations. The House then considered numerous second-reading bills and committee reports, including measures on income tax check-offs, traffic signal penalties, utility terrain vehicles, personal delivery devices, tax underpayment penalties, road dedications, and motor vehicle regulations. In floor action, HB 78 passed 96-0 to expand the jurisdiction of the Bogalusa city court. HB 190 passed 97-0 to create a Civil Code standard of care for software and computer programs, and HB 427 passed 99-0 to clarify online child-protection provisions and replace “sexually explicit” with the statutory “material harmful to minors” definition. HB 675 passed 100-0 after an amendment removing a middle name from the honoree, and HB 716 passed 99-0 to rename the Chalmette Ferry Terminal for Michael C. Ginnart Jr. The chamber also approved several memorial highway and bridge designations, including HB 346 for Speaker Joe Salter Memorial Highway, HB 355 for Veterans Park Memorial Highway, HB 356 for the Everett Brady Jr. Memorial Bridge, and HB 358 for a memorial highway honoring Charles Bordelon. Other bills were returned to the calendar or temporarily deferred, including HB 112, HB 148, HB 149, HB 221, HB 354, and HB 657. The House also announced committee meetings for the next day, received additional committee reports, and adjourned until 2:00 p.m. the following day.

Transcript Highlights:

• In delivering to patients across this country and state.
• The confidence patients place in nurse practitioners is demonstrated by the more than one billion patient
• Columbia, Guam, and the Northern Mariana Islands, has adopted full practice legislation offering patients
• Commission, and others, have taken notice of the benefits of providing full and direct access for patients
• Have taken notice of the benefits of providing full and direct access for patients to health care delivered

Bills: HR39 , HR40 , HR41 , HCR19 , HCR20 , HCR21 , HB2 , HB3 , HB15 , HB441 , HB976 , HB977 , HB978 , HB979 , HB980 , HB981 , HB982 , HR19 , HR20 , HR21 , HR22 , HR23 , HR24 , HR25 , HR26 , HR27 , HR28 , HR29 , HR30 , HR31 , HR32 , HR33 , HR34 , HR35 , HR36 , HR37 , HR38 , HCR15 , HCR16 , HCR17 , HCR18 , SCR10 , HB115 , HB208 , HB465 , HB964 , HB965 , HB966 , HB967 , HB968 , HB969 , HB970 , HB971 , HB972 , HB973 , HB974 , HB975 , HB474 , HB487 , HB503 , HB606 , HB633 , HB707 , HB720 , HB728 , HB733 , HB846 , HB852 , HB856 , HB868 , HB875 , HB78 , HB112 , HB148 , HB149 , HB190 , HB221 , HB346 , HB354 , HB355 , HB356 , HB358 , HB384 , HB427 , HB657 , HB675 , HB716 , HB207 , HB300 , HB331 , HB428 , HB464 , HB587 , HB618 , HB629 , HB801 , HB853 , HB891 , HB901

Keywords: St. Joseph's Day, Saint Joseph's Day, St. Joseph's Altar, Italian American, Italian heritage, Italian immigrants, Louisiana culture, New Orleans, Sicilian heritage, Catholic, Feast of Saint Joseph, cultural resolution, heritage caucus, legislative caucus, ethnic heritage, jazz history, Italian Louisiana, immigrant contributions, cultural recognition, House Resolution 40

Transcript Highlights:

• privilege to serve in the Minnesota Senate and, um, as a chiropractor, and I have seen many of my patients
• seen</c><00:05:06.600><c> many</c><00:05:06.840><c> of</c><00:05:07.000><c> my</c><00:05:07.240><c> patients
• </c><00:05:07.720><c> sadly</c> have um seen many of my patients sadly have um seen many of my patients
• Alzheimer's</c> know that other young onset Alzheimer's know that other young onset Alzheimer's patients
• like Tim are the best patients like Tim are the best candidates<00:10:15.920><c> for</c><00:10:16.120

Transcript Highlights:

• So it would protect uninsured... a patient is insured or uninsured, so it would protect uninsured patients
• , just the same way that it is protecting insured patients.
• Patients aren't sure how much is getting charged.
• The speaker noted that patients often do not know when a clinic changes ownership.
• This bill is meant to inform the patient that that is going to happen.

Committee: House House Consumer & Public Affairs

Transcript Highlights:

• Earlier, my talking point said good afternoon, so I want to say thank you to all of you for patiently
• , and 85% are patients enrolled in Medi-Cal and Family PACT.
• And 85% are patients enrolled in Medi-Cal and Family PACT.
• If we support medically supported weight loss in our patient populations that are experiencing obesity
• Angela Pont is on behalf of Planned Parenthood affiliates of California, who serve patients whom over

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