Transcript Highlights:

• landowner in that area had run sheep, and he claimed that his sheep turned blue from the molybdenum intake

Summary: The Advanced Nuclear Energy Committee met to review prior minutes and hear a series of presentations on advanced nuclear technology and state readiness. The committee approved the April 21, 2022 minutes. Nucleon’s William Bridge outlined the advanced nuclear landscape, distinguishing near-term light-water SMRs from more advanced Gen 4 reactors and microreactors, and emphasized that fuel supply, especially HALEU, remains a developing supply chain. He said light-water designs are the most deployable in the near term, while advanced reactors may be better suited for industrial heat applications and could face a 2- to 3-year delay from fuel availability. Representatives from NASEO described how other states are supporting advanced nuclear through task forces, roadmaps, pilot programs, financing tools, workforce and supply-chain efforts, and regional coordination. They highlighted the Advanced Nuclear First Mover Initiative and stressed that states are focusing early on emergency preparedness, community engagement, waste management, affordability, and consumer protections. They also noted that some states are creating nuclear-ready community programs and cost-recovery guardrails, while public utility commissions are examining long-term lifecycle costs and rate impacts. North Dakota agencies then outlined their potential roles. The Public Service Commission said it would likely be involved in public-interest review, siting, and rate regulation, but noted current statutes may not fully address long-term nuclear projects, co-location, or decommissioning. The Department of Environmental Quality said it would continue to regulate radioactive materials and likely support emergency planning, while fission reactor oversight remains federal. The Department of Emergency Services said it would serve as the lead off-site preparedness agency, needing a radiological emergency program, training, exercises, equipment, and possibly industry funding. The Department of Water Resources said North Dakota has sufficient surface water, especially from the Missouri River, but that water planning would be important; it did not recommend statutory or budget changes at this time. The committee recessed for lunch after these presentations, with no additional votes or actions taken.

Transcript Highlights:

• see Louisiana's production, you can see it in Louisiana's production, and the state severance tax intake

Summary: The House Natural Resources Committee met on House Bill 7 by Speaker Pro Tem Johnson, the Louisiana Landowners Protection Act, which would remove eminent domain authority for carbon capture and geological sequestration projects. After housekeeping and roll call, the committee adopted a set of technical amendments that cleaned up definitions, removed a stray statutory reference, and changed “commissioner” to “secretary.” The author then gave an extended presentation arguing the bill was needed to align Louisiana law with the state constitution’s property-rights protections and recent court rulings, and to ensure carbon capture projects proceed only through voluntary agreements rather than forced takings. Several members questioned the author and supportive witnesses about whether the bill would stop carbon capture, affect oil and gas pipelines, or disrupt investment. The author and supporters said it would not stop projects, only prevent taking land without consent, and argued that landowners—especially small and rural owners—should not face the threat of expropriation. Supportive testimony also emphasized family land, inheritance, and constitutional limits on takings. Some members raised concerns about changing the rules after prior legislative action and about the economic importance of carbon capture, but the author responded that the legislature had made a mistake in 2020 and should correct it now. Opposition testimony came from representatives of the Louisiana Mid-Continent Oil and Gas Association, the Louisiana Chemistry Association, and attorneys who handle right-of-way matters. They argued that eminent domain is a rare last resort, that existing law and the Landowner Bill of Rights already protect owners, and that the Constitution’s provisions for private-entity expropriation are different from the provisions discussed by the bill’s supporters. They warned that removing the tool for carbon capture would chill investment, threaten jobs and revenue, and could spill over into other energy infrastructure. The committee did not reach a final vote on the bill in the portion of the meeting provided.

Transcript Highlights:

• see Louisiana’s production, you can see it in Louisiana’s production, and the state severance tax intake

Committee: House Natural Resources & Environment

Transcript Highlights:

• I've heard something about the intake of files, organizing files, right? Is that all it's doing?

Bills: HB2006 , HB2165 , HB2245 , HB2348 , HB2806 , HB2901 , HB2902 , HCR2016

Committees: House Federalism, Military Affairs & Elections , House House Federalism, Military Affairs & Elections Committee of Reference

Keywords: sample ballots, elections, primary election, general election, mailing deadline, ballot mailing, county election officials, board of supervisors, secretary of state, early voting list, election administration, voter information, postal service, USPS processing center, city elections, town elections, special district elections, Arizona election law, ballot proofing, party chair

Transcript Highlights:

• The intakes are further upstream, so they would be out of that zone.

Transcript Highlights:

• In this moment, we are called to love, as the Apostle Paul has said: love is patient, love is kind.
• Help us, gracious God, to be patient. Open our ears to hear the goodwill in our opponents' voices.
• In this moment, we are called to love, as the Apostle Paul has said: love is patient, love is kind.
• Help us, gracious God, to be patient. Open our ears to hear the goodwill in our opponents' voices.

Transcript Highlights:

• and hospitals to have access to the information so they'll know who's reviewing, but as far as the patient
• and hospitals to have access to the information so they'll know who's reviewing, but as far as the patient
• as</c><00:02:47.159><c> far</c><00:02:47.400><c> as</c><00:02:47.519><c> the</c><00:02:47.800><c> patient
• </c> reviewing uh but as far as the patient reviewing uh but as far as the patient and<00:02:48.480><

Summary: The committee met with a quorum and took up House Bill 662, relating to personally identifiable information. Representative John Blanton explained that the bill would let judges, including federal and state judges, request redaction of their personal and immediate family information from public records, but that the protection would end if they later made identifying information public themselves. He also said the bill would restrict access to certain medical examiner information tied to insurance-company examinations, while still allowing doctors and hospitals access to know who is reviewing the information. The chair noted a committee substitute with a small change on page 3, line 12, removing name and license number language. After discussion, the sponsor agreed to proceed with the substitute. Senator Nemes moved adoption of the committee substitute, seconded by Senator Carroll, and it was adopted without opposition. The committee then voted on the bill itself. Senator Nemes moved passage, Senator Carroll seconded, and the roll was called. House Bill 662 was reported favorably with the expression of opinion that it should pass.

Transcript Highlights:

• </c> public or private uh from the patients public or private uh from the patients themselves<00:57:15.520
• is eligible uh for insurance and patient is eligible uh for insurance and that<01:06:49.079><c> it's
• </c><01:54:10.400><c> would</c> 22% from Medicare but the patient would 22% from Medicare but the patient
• That’s the highest swing of the percentages that are due from insurance versus due from patient.
• That’s the highest swing of the percentages that are due from insurance versus due from patient.

Summary: The committee took up HB 297 with a non-germane amendment proposed by the Insurance Department to create the Granite State Home Mitigation and Resiliency Program. Commissioner DJ Beton explained that the program is intended to help homeowners reduce rising insurance premiums and avoid surplus lines coverage by funding proactive home and property improvements such as roof fortification, exterior and foundation work, flood protection, and tree removal. He said the proposal was developed after leadership asked for more statutory detail and for the idea to be vetted through policy committees rather than handled only in the budget process. Beton said the program would be funded by the first $1 million collected annually from the insurance premium tax, with grants of up to $10,000 awarded on a first-come, first-served basis. He described the program as modeled on similar efforts in other states, with means testing tied to the Department of Energy’s weatherization/home heating assistance criteria. He also said the department would administer the program using one existing staff position, with coordination through Treasury, and that unspent funds would roll over for several years before reverting to the general fund. Members asked about the unusual use of a non-germane amendment and how the bill would be handled procedurally, since the underlying bill and the new insurance proposal were unrelated. The chair explained that the amendment was being used as a vehicle to move the department’s proposal through the committee process and that the committee could later accept one part, both parts, or neither. No vote was taken in the portion of the meeting shown; the discussion ended with questions about administration, staffing, and the relationship between the underlying bill and the amendment.

Transcript Highlights:

• And cochlear implant patients being in the middle bar, and then the gray bar curve being at the top.
• And cochlear<00:29:30.240><c> implant</c><00:29:30.760><c> patients</c><00:29:31.440><c> being</c><00
• Um, trust me, I'm not, you know, cruising nursing homes looking for patients.
• But, the reality is we have patients.
• </c><00:36:19.320><c> either</c> telehealth visits with patients either telehealth visits with patients

Summary: The Senate Appropriations and Revenue Committee heard Senate Bill 6, sponsored by Senate President Robert Stivers, which would create an endowed research fund to support collaborative university research in Kentucky. Stivers described the bill as an extension of earlier higher-education research efforts, arguing that Kentucky should build research “hubs” by requiring or encouraging partnerships among universities and outside entities, with potential focus areas including health care, engineering, aerospace, agriculture, and other emerging fields. He said the proposal would establish five research tranches over five years and sought a $30 million endowment for each, generating annual interest to fund consortium-based research and leverage additional private and federal dollars. Senators Frommeyer, Neal, Givens, Boswell, and Richardson spoke in support, emphasizing economic development, job creation, and examples from other research clusters such as Boston and North Carolina’s Research Triangle. The committee voted 12-0 to report the bill favorably to the Senate floor. The committee then received a presentation from Dr. Matthew Bush of the University of Kentucky on pediatric hearing loss and cochlear implants. Bush explained that early hearing detection and intervention is critical because hearing loss in newborns is a neurocognitive emergency that affects language, literacy, and long-term outcomes. He outlined national screening benchmarks, Kentucky’s incidence of childhood hearing loss, and the high educational and societal costs of untreated hearing loss. Bush also highlighted disparities in rural and western Kentucky, where children face delayed diagnosis, longer waits for hearing aids or cochlear implants, and more difficulty accessing follow-up care. He described cochlear implants, the multidisciplinary care they require, and research showing improved language development, quality of life, and cost savings when children are treated early.

Transcript Highlights:

• So sometimes PCPs see a patient for an annual checkup and find out that they're having challenges with
• So sometimes PCPs see a patient for an annual checkup and find out that they're having challenges with
• So sometimes PCPs see a patient for an annual checkup and find out that they're having challenges with
• that health care teams can follow for every patient that they serve.
• safety bundles to improve patient safety bundles to improve screening<00:47:51.119><c> and</c><00:47

Summary: The meeting opened without a quorum, so approval of the prior draft minutes was deferred until later. The committee then heard a DHS update from Commissioner Lori Weaver and COO David Weers, who described the recent flood at the Brown building and the relocation of nearly 400 DHS staff while operations are restored. They also outlined New Hampshire Care Connections, a privacy- and consent-focused closed-loop referral platform intended to improve referrals among providers, reduce duplication, and support continuity of care, with an Upper Valley implementation partnered with Dartmouth Health and an Epic integration already underway. Members asked whether the system would merge medical records or simply track referrals. DHS said it is not intended to store or transmit full medical records, but to integrate with providers’ electronic health record systems so referrals can be sent, received, and tracked, with consent controls limiting what information can be shared. Officials said the project will be tested over the coming months, with metrics, governance, and advisory committee oversight, and that it is tied to broader rural health transformation efforts and statewide implementation after the regional pilot. The committee also received the annual report from the Child Care Advisory Council. Maryanne Barter and Jessica Carver said the council worked with licensing to streamline the child care licensing rules, reducing the handbook by about 30%, and is now helping develop an informal dispute resolution process, revising the Granite Steps for Quality system, and creating a clearer handbook for providers handling state scholarship audits. They reported ongoing concern about child care closures and workforce shortages, said there is currently no wait list for child care assistance, and discussed questions about federal CCDF immunization requirements, which DHS said it would follow up on with federal technical assistance partners. After quorum was established, the committee moved to approve the minutes from the prior meeting.

Transcript Highlights:

• I have many patients with autism, developmental disorders, and yes, Tourette syndrome.
• This bill will enable us to promote the education needed for that to happen for other patients.
• I was not aware of the pain some patients experience and the repetitive tic movements.
• I was not aware that patients...
• I was not aware of the pain some patients experience in the repetitive tic movements.

Committee: Joint Joint Committee on State Administration and Regulatory Oversight

Summary: The committee on State Administration and Regulatory Oversight held a hybrid hearing covering public construction, business regulations, and honorary designations, with most of the discussion focused on two matters: a five-year moratorium on new jail and prison construction (S. 2114/H. 3422) and a bill designating June 7 as Tourette Syndrome Awareness Day (S. 2152/H. 3305). The chair emphasized that the hearing was public, testimony would be recorded, and speakers should generally keep remarks to three minutes. Senator Comerford introduced the prison moratorium bill, saying it would pause new construction while allowing renovations, and Senator Friedman introduced the Tourette awareness bill and a separate Tuskegee Airmen commemoration measure, asking for favorable action on both honorary designations. A large portion of the hearing featured remote testimony from incarcerated people at MCI Framingham and MCI Shirley in support of the prison moratorium. Witnesses repeatedly argued that Massachusetts does not need a new women’s prison, that the incarcerated population is declining, and that funds would be better spent on mental health care, addiction treatment, vocational training, pre-release programming, housing, and repairs to existing facilities. Several speakers described poor conditions, limited programming, and the need to address trauma, domestic violence, and substance use as root causes of incarceration. One committee member responded to testimony by noting that incarceration numbers are going down, that the state is working on housing and workforce opportunities for people returning home, and that the committee wants to expand pathways to employment and reentry. The Tourette Syndrome Awareness Day bill drew testimony from the bill’s young sponsor, Owen Rosenthal, his parents, medical professionals, and advocates. They described Tourette syndrome as a misunderstood neurodevelopmental condition, said awareness would reduce stigma and improve diagnosis and support, and cited the need for education in schools, workplaces, and the medical community. The Tourette Association of America supported the bill, noting underdiagnosis, co-occurring conditions, pain, and mental health risks associated with Tourette syndrome. Committee members praised the youth advocates and asked that written testimony be submitted electronically. The hearing ended without any recorded votes or final committee action in the transcript provided.

Transcript Highlights:

• Clinically, these genetic counselors are crucial educators and advocates for the patients that they serve
• They work alongside physicians and play a critical role in improving comprehensive patient care.
• And connecting patients with resources and cutting-edge treatments.
• prevent life-threatening complications, and advancing cutting-edge research that translates directly to patient

Transcript Highlights:

• Any material in here that's covering the importance of being patient on the road?
• Yes, so we have a video about speeding in there and about being patient.
• Any material in here that's covering the importance of being patient on the road?
• Yes, so we have a video about speeding in there and about being patient.
• Yes, so we have a video about speeding in there and about being patient.

Committee: All ALC-HIGHWAY COMMISSION REVIEW AND ADVISORY SUBCOMMITTEE

Summary: The Highway Commission Review and Advisory Subcommittee received a quarterly update from ARDOT Director Jared Wiley on major highway projects, federal funding, land conveyances, and agency safety outreach. Members asked about the status of numerous projects, including Jonesboro area work, the Townsend Avenue project in Fort Smith, the I-40/Highway 59 interchange in Van Buren, the I-55 bridge replacement at Memphis, the I-40/I-55 interchange congestion near Memphis, the Mountain Home Bypass, and other local road and drainage concerns. Wiley said most large projects are progressing well, though some are delayed by utilities, change orders, or sharply rising costs; he noted the Townsend Avenue project is being paused because costs grew from an estimated $12–15 million to more than $60 million, with funding to be redirected to other area projects. He also said the I-55 bridge project is about 60% designed and could begin construction in 2027, and that the Van Buren interchange should be completed before year’s end. The committee also reviewed the Infrastructure Investment and Jobs Act funding report and quarterly land conveyances. Wiley explained that the federal project list reflects state oversight on some jobs, that federal aid agreements must be submitted before expenditures, and that ARDOT uses biennial appropriations to front project costs and seek reimbursement. On land conveyances, he described three surplus-property transactions: a drainage easement near I-40 sold back to a landowner, a Paragould Bypass-related tract sold after it became landlocked, and a small Highway 112 parcel in northwest Arkansas sold back for development after plans changed. Wiley then highlighted ARDOT outreach and safety efforts, including the Street Smart education program for middle and high school students, with online lesson plans, videos, quizzes, and materials available through StreetSmartAR.org. He also discussed the agency’s litter campaign, saying ARDOT collected 14,000 bags of trash in one day this year, has issued warnings and citations for unsecured loads, and spent nearly $11 million on litter cleanup last year. He reported that all ARDOT staff have completed human trafficking awareness training, and he described ongoing campaigns on work zone safety, “Slow Down, Phone Down,” move-over awareness, and a new podcast to answer public questions. The meeting ended with thanks to the director and a note that the committee may not meet again until November unless needed sooner.

Transcript Highlights:

• Their work is essential in the health care team to care for patients with hearing, communication, Their
• The state admission is to return health care to rural areas and underserved patients.
• And so as we go through this, just be patient and just recognize that the nominees, it's not their fault
• And so as we go through this, just be patient and just recognize that the nominees, it's not their fault
• cumbersome and difficult to have three different contracts with three different entities for the patients

Committee: Senate Health and Human Services

Summary: The Senate Health and Human Services Committee met to consider a series of gubernatorial nominations, first for several boards and commissions and then for key health-related executive positions. Early confirmations included Michael Vaughn to the Board of Licensed Alcohol and Drug Counselors, Tina Frazier to the State Board of Licensed Social Workers, Dr. Kanya Martin and Dr. Edgar Boyd to the Board of Examiners for Speech-Language Pathology and Audiology, Dr. Christopher Thurman to the Health Care Workforce Training Commission, Samuel Haubrick and Robert Wipp Jr. to the Committee of Home Inspector Examiners, and Dr. Gabriel Pittman to the State Board of Health. Each nominee briefly described their background and qualifications, and committee members generally emphasized professional experience, public service, and rural health needs. All of these nominations advanced on unanimous or near-unanimous votes. The committee then considered Clayton Bullard for two roles: Cabinet Secretary of Health and Mental Health and Administrator of the Oklahoma Health Care Authority. Senators focused heavily on Medicaid managed care, provider payment delays, MCO oversight, and the short timeline before a new administration. Bullard said his priority would be stabilizing the agency, building a balanced budget, monitoring contractors and managed care organizations, and ensuring claims are paid promptly; he reported high rates of clean-claim payment within 14 days and said the agency would continue fining MCOs for noncompliance. Members also pressed him on legislative oversight and the need to keep lawmakers informed about policy changes. Both nominations were approved and sent to the full Senate. Sharon Schell Millington was then nominated to lead the Office of Juvenile Affairs. Senators asked about security concerns, staff safety, de-escalation training, pay for direct care staff, and coordination with local law enforcement. Millington said the agency had increased staff pay, adopted nationally recognized restraint/de-escalation training, and was working to improve communication with law enforcement. Her nomination also passed and moved to the Senate floor. At the end of the meeting, the chair answered a question about board membership requirements, clarified that the statute limits how many members may reside in one congressional district but does not require every district to be represented, and thanked committee staff for their work as the committee’s final HHS meeting of the session.

Transcript Highlights:

• involves not only day-to-day patient encounters, but also advocacy for patients regarding state health
• So this is going to provide for patient safety for these therapies with the guardrails that this bill
• The stem cell physicians of Arizona are in support of this, and it would offer patients more treatment
• It's access to health care, it's medical freedom, and it's keeping patients safe.
• It's access to health care, it's medical freedom, and it's keeping patients safe.

Summary: The House convened with prayer, the Pledge of Allegiance, guest introductions, and a proclamation honoring the East Valley Hispanic Chamber of Commerce. Members also welcomed the Doctor of the Day and several guest groups, including Alzheimer’s Association advocates. The chamber then moved into Committee of the Whole to consider several Senate bills. In Committee of the Whole, the House advanced SB 1037, SB 1233, SB 1290, and SB 1445, adopting committee amendments where offered and giving each a do pass recommendation; SB 1814 was retained. Members discussed SB 1055, which would require reporting certain unlawfully present individuals arrested for crimes to federal immigration authorities, with Democrats raising concerns about profiling and civil liberties and Republicans arguing it simply enforces federal law; it also received a do pass recommendation. SB 1274, relating to transportation and infrastructure, was amended and recommended do pass, SB 1502 also advanced, and SB 1573, concerning foreign or religious sectarian law in state courts, prompted debate over whether it was necessary or duplicative but was likewise recommended do pass. The Committee of the Whole report was adopted, and the measures were assigned accordingly. The House then took up third-reading votes. SB 1168 and SB 1172 passed overwhelmingly, SB 1290 passed after debate about HOA meeting openness, SB 1221 passed on a 32-24 vote after supporters said it would improve tax transparency, and SB 1400 passed 47-9 despite concerns about peer support and counseling protections. SB 1214, a medical practice bill involving stem cell regenerative therapies, failed 25-31 after some members said they were not comfortable with the measure; afterward, a motion to reconsider its failure was adopted, placing it back on the third-reading calendar. The House also granted the Senate permission to adjourn until April 27, and then adjourned until 10 a.m. on Wednesday, April 22, 2026.

Transcript Highlights:

• with House Bill 84, which is an act relating to allowing telehealth appointments to be recorded with patient
• with House Bill 84, which is an act relating to allowing telehealth appointments to be recorded with patient
• Please listen to the third reading of the bill. with patient and provider consent. with patient and provider
• teleaalth appointments to be recorded teleaalth appointments to be recorded with<00:13:51.760><c> patient
• </c> with patient and provider consent. with patient and provider consent.

Transcript Highlights:

• Safeguards are put in there with regard to informing patients that the therapeutically equivalent drug
• doesn't contain the identical active ingredient and informing the patient of their right to refuse.
• There are some reasons why you want a certain type for a certain type of patient, but you shouldn't have
• So on page 11, in the draft that we looked at last time, we had the, it had listed statins for a patient
• So on page 11, in the draft that we looked at last time, we had the, it had listed statins for a patient

Summary: The committee reviewed four bill drafts for the Rural Health Transformation effort. The first required the presidential physical fitness test in PE classes; members asked about DPI and school support, then moved and approved the draft. The second required physicians to complete one hour of continuing education on nutrition and metabolic health each renewal cycle and included legislative intent encouraging other health boards to consider nutrition-related CE; it was approved after brief discussion. The third bill adopted the Physician Assistant Licensure Compact. Members discussed a separate issue involving occupational therapy compact background checks and whether that fix could be added now or would need to wait until later; the committee also discussed Board of Medicine input and the compact’s workforce benefits. The draft was moved forward to the full committee. The fourth bill expanded pharmacists’ prescriptive authority and therapeutic substitution. Legislative Council explained the draft, and Senator Roars proposed substantial amendments to narrow motion sickness, UTI, diabetes supply, and substitution provisions. Members debated whether to vote on amendments now or wait for the special session public hearing; concerns were raised about transparency, stakeholder input, and avoiding premature action. No amendment vote was taken, and the bill was left for later consideration. The committee then recessed until the next day.

Transcript Highlights:

• <00:15:44.320><c> on</c><00:15:44.560><c> antiscychotics,</c> patients on antiscychotics, patients on
• These are my patients. I consider them my patients.
• I consider them These are my patients. I consider them my<00:46:34.800><c> patients.
• </c> my patients. It's kind of convoluted. my patients. It's kind of convoluted. &gt;&gt; Okay.
• </c> to shut this unit down if that patient to shut this unit down if that patient has<01:42:23.199><

Summary: The working group on restrictive housing met with a quorum present, approved the August 21, 2025 minutes, and adopted a procedure to take public testimony on each agenda item with a two-minute limit per testifier, with some flexibility for follow-up questions. The main presentation came from the Department of Corrections and Rehabilitation on restrictive housing policies and a recent outside assessment of mental health care practices at HSCF and OOTC. DCR said the assessment found strengths such as consistent medication administration and staff commitment, but also identified major problems including outdated workflows, staffing shortages, inadequate physical plant conditions, overuse of suicide/safety watch for personal safety issues, and a need for more individualized treatment plans. DCR described several corrective steps already underway: filling a long-vacant high-level mental health administrator position, adjusting evening medication passes, working with DOH on transfer and referral workflows, planning a new electronic medical records system and revised screening tools, and pursuing additional training for ACOs and mental health staff. For OOTC, DCR said the facility is overcrowded and decrepit, needs a better screening tool, and requires more mental health-specific training and staffing. For HCF, DCR said the layout limits confidential assessments and provider access, and that the proposed consolidated healthcare unit would add 43 beds, private exam rooms, and a de-escalation room. DCR also said the new unit could serve acute and chronic suicide/safety watch needs and possibly some inmates with dementia, Alzheimer’s, or significant cognitive impairment. The discussion then focused on Act 292, which DCR said is difficult to implement as written. DCR said the bill aligns with DOJ, NCCHC, and ACA guidance in defining restrictive housing, limiting duration, requiring reviews, identifying vulnerable populations, and using step-down units, but raised two major concerns: a requirement to refer vulnerable people to DOH for confinement, and a requirement for clinical assessments every 12 hours by a provider. Members responded that the law should be matched with funding and staffing, and asked what resources are needed. DCR said it submitted a request for 35 positions at a cost of about $8.6 million, and also said funding may be needed for community-based beds and contracted medical services. Members also asked about the current MOA/MOU between DOH and DCR, the working group membership, and the timeline for revisions. DCR said the group includes DCR, DOH, and governor’s office medical advisors, that a first draft is complete, and that the revised agreement should be in place by the end of the year. On staffing, DCR said ACO recruitment classes increased from five to eight, vacancy rates dropped from 34% to 24%, but OOTC still faces a projected $7.1 million shortfall and heavy overtime costs, forcing post closures and program reductions. The meeting ended with continued discussion of screening tools, including DCR’s explanation that current broad questions may over-identify people with substance-use-related symptoms as having serious mental illness, and that a more discrete tool is needed to better identify those with acute needs.

Transcript Highlights:

• Was it patients that were waiting? Was it patients that were waiting for acceptance in home health?
• Was this patients waiting for a substance in the hospice?
• I mean, why were there only 12 patients waiting to go into a nursing home?
• And when we limit competition, we limit opportunity for patients, for families, and for providers.
• This is for all Medicaid patients, not just kids. So kids are already covered.

Committee: House Health and Welfare

Summary: The committee met on March 25 and first took up HB 199, which would extend Louisiana’s nursing home moratorium. Chairman Miller amended the bill to shorten the extension from five years to four, moving the termination date to July 1, 2031. Rep. Barault argued the state faces a growing bed-capacity problem and proposed an amendment to exempt St. Tammany Parish; Rep. Cruz offered a substitute to reduce the extension to three years. The Nursing Home Association said it had negotiated in good faith and supported the four-year compromise, while the Pelican Institute opposed the moratorium as anti-competitive. A St. Tammany resident testified that her mother faced a long wait for placement and that more local beds are needed. The three-year substitute and the St. Tammany exemption both failed, and HB 199 was reported favorably with the four-year amendment. The committee then favorably reported HB 223 to recreate the Department of Children and Family Services for four more years, with Secretary Rebecca Harris saying the department’s recent reorganization has allowed it to focus more directly on child safety and child welfare. Members discussed planned reforms such as differentiated response, stronger community-based care, and the transfer of TANF to Louisiana Works in 2027. HB 907, which grants civil and criminal immunity for the use or distribution of expired naloxone or other opioid antagonists, also passed with technical amendments; public health officials and members emphasized that expired naloxone remains effective enough to save lives and should still be used in emergencies. HB 535, which streamlines hospital-based acknowledgements of paternity by allowing notarization without two witnesses, was reported favorably after Woman’s Hospital testified that the change would speed up paternity establishment, child support enforcement, and the addition of fathers to birth certificates. HB 554, which would increase penalties for violations at health care facilities and require LDH reporting, drew testimony from a family member describing serious care failures and from LDH, which said it already has caps on fines and that the bill would not change those caps. Rep. Jackson amended the bill to require LDH to publish fines assessed and collected and to list facilities with repeated immediate jeopardy or actual harm deficiencies, but the bill was then voluntarily deferred for a week to allow further discussion with the department. The committee also reported HB 224, a largely technical update to the Children’s Code recommended by the Louisiana State Law Institute, HB 246, which updates membership of the Children’s Cabinet Advisory Board and related bodies, and HB 405, which updates the name of the national acupuncture certifying organization. HB 222, requiring Medicaid coverage for certain dental procedures when needed to clear patients for other medically necessary treatment, was reported favorably despite a fiscal note. Finally, HB 235 on sewer systems generated extensive discussion: Rep. Fontenot described rising sewer rates, poor maintenance, and sewage overflows in his district, and argued for allowing property owners to install private sewer treatment systems in certain circumstances. Members raised concerns about local control, PSC rate-setting, and whether local governments should have more authority over sewer service decisions; the bill was still under discussion when the transcript ended.

Transcript Highlights:

• Patient, physician, the relationship is the most critical.
• I think the practical matter is the relationship between the patient and the doctor.
• Why would a dental hygienist be able to use a laser on a patient without the actual dentist?
• Why would a dental hygienist be able to use a laser on a patient without the actual dentist?
• Why would a dental hygienist be able to use a laser on a patient without the actual dentist?

Summary: The House opened with prayer, a moment of silence for fallen Oviedo Officer Jimmy Serrano-Torres, the Pledge of Allegiance, and recognition of Chief Joseph Tuminelli as law enforcement officer of the day. The chamber approved the journal and adopted the special order report, and the Speaker announced a schedule change canceling the floor on Monday and starting Tuesday at 10:30 a.m. The main business was CS for HB 7033, the House tax package, presented by Rep. Duggan. He described a broad set of tax changes, including the previously passed sales tax rate reduction from 6% to 5.25%, exemptions for certain bullion sales, changes to tourist development tax (TDT) use, property tax administration updates, affordable housing-related exemptions, repeal of the aviation fuel tax, delayed natural gas fuel tax implementation, corporate income tax changes, and other provisions. Debate focused heavily on the TDT section and the bill’s property tax relief structure. Amendments to preserve local flexibility or remove the TDT restrictions were offered and debated; one Duggan amendment was adopted to allow local governments to keep 25% of TDT revenues for general use while directing 75% to property tax relief, and another amendment requiring audit certification of compliance was also adopted. A combined reporting amendment offered by Rep. Eskamani to close corporate tax loopholes was debated at length but failed. On final passage, supporters argued the bill provides immediate, permanent tax relief and affordability help, while opponents said it diverts tourism dollars away from local needs and could harm tourism-dependent counties and services. CS for HB 7033 passed the House 78-29. The chamber then took up CS for CS for HB 1221 on local option taxes, which would give local governments more control over certain local taxes and, as presented, redirect TDT revenues toward property tax relief with some local flexibility. After questions and amendments, including a Miller amendment allowing 25% of TDT revenue for general purposes and another accountability amendment, the bill moved to final debate. Members split sharply: supporters framed it as immediate tax relief and local accountability, while opponents warned it would undermine tourism marketing, infrastructure, and county budgets. The transcript ends during closing debate on HB 1221, before final passage is recorded.