Transcript Highlights:

• </c><00:21:12.679><c> and</c> their homes the these are programs and their homes the these are programs
• </c> homes or any other government programs homes or any other government programs that<00:21:28.240>
• </c> that are desperately needed Treatment that are desperately needed Treatment Services<00:24:30.960
• </c> things like that we have treatment things like that we have treatment coordinators<00:31:06.919>
• now we have a self-directed program now we have a self-directed program called<00:39:44.040><c> cdcs<

Keywords: 1183, house

Transcript Highlights:

• treatment programs, as well as research, is deposited.
• programs.
• programs are being and assist them so that the legislature has a better idea of what treatment programs
• Without regular reports, as treatment providers cycle in and out of offering treatment for particular
• problems, it is unknown exactly what treatment programs are funded and available, and what treatment

Keywords: 995, all

Summary: The Joint Committee on Consumer Protection and Professional Licensure held a hearing on a range of gaming, racing, horse protection, problem gambling, and lottery bills. A major focus was H. 356 and related horse-racing legislation, which drew strong support from residents and animal-welfare advocates who argued that proposed racetrack and simulcast developments should require upfront traffic, environmental, public health, and economic studies, plus stronger local approval and transparency. They said past proposals in several communities had lacked adequate information and had imposed costs on towns. Opponents, including the New England Horsemen’s Benevolent and Protective Association, argued that the bills would harm racing, breeding, farms, and related jobs, and said horse racing is already heavily regulated and that claims about slaughter and safety were overstated. Several speakers also supported S. 280, which would protect horses and phase out or restrict horse racing, citing animal cruelty, injuries, and deaths. The committee also heard extensive testimony on SB 235 and HB 332 to authorize regulated online casino gaming (iGaming). DraftKings, FanDuel, IDEA, and the Sports Betting Alliance supported the bills, saying iGaming is already occurring illegally in Massachusetts and should be brought into a regulated, taxed market with age verification, responsible gaming tools, and consumer protections. They projected substantial annual tax revenue and argued legal iGaming would not cannibalize brick-and-mortar casinos, instead creating a “rising tide” effect. Opponents, including Local 26, the National Association Against iGaming, and problem-gambling advocates, warned of job losses, casino cannibalization, increased addiction, and greater harm to vulnerable players, citing experiences in other states and rising helpline calls. The committee asked for follow-up information on revenue and market-size estimates. Later, Rep. Scanlon testified in support of S. 240 and S. 241, which would standardize gambling disclaimers and require annual reporting on problem-gambling treatment funded through the Public Health Trust Fund. He said the bills would make it easier for people to find help and improve oversight of treatment programs. Rep. Garcia testified in support of H. 434, which would change the formula for distributing lottery revenues, arguing that gateway and lower-income communities such as Chelsea contribute heavily to lottery sales but receive too little back in local aid. After hearing additional testimony and reading into the record bills that received no testimony, the committee recessed briefly, then closed the hearing by motion and vote.

Transcript Highlights:

• Hundreds of rare diseases still have no treatment and thousands have no cure.
• And then to get to the point where you know what the answer is and hoping there's a treatment because
• And as someone who's come through the other side and found treatment and hope, who spent all morning,
• But in order to do so, they need the research, the treatment, and the coverage for that to be possible
• Throughout the years of treatments, clinical trials, and challenges that no young person should ever

Summary: The Assembly met with a quorum call at the start, then proceeded with Black History Month observances, including a libation ceremony, the Pledge of Allegiance, and remarks emphasizing remembrance, ancestry, and the importance of honoring Black history. The chamber also handled routine procedural matters, including dispensing with the journal, re-referring certain Senate budget items to the Budget Committee, and allowing guest introductions and other unanimous-consent requests. The main floor action was on Assembly Concurrent Resolution 134, recognizing Black History Month. Members from multiple caucuses spoke in support, highlighting the historical contributions of Black Americans, the ongoing effects of slavery and segregation, the need to protect voting rights and education, and the importance of solidarity across communities. The resolution was adopted by voice vote after 74 co-authors were added. The Assembly also adopted Assembly Concurrent Resolution 132, declaring February 28 as Rare Disease Day. Members shared personal stories about ALS and other rare diseases, described barriers to diagnosis, treatment, and insurance coverage, and called for more research and support. The resolution received broad bipartisan support, with 71 co-authors added before adoption by voice vote. The chamber then recognized a series of Black History Month Unsung Heroes honorees, including community leaders, health professionals, advocates, and public servants, and later heard additional guest introductions. The meeting concluded with adjournments in memory of Peyton Trilling and John Jackson, followed by announcements and adjournment until February 26 at 9 a.m.

Transcript Highlights:

• </c><01:07:38.720><c> that</c> Uh we have our immunization program that Uh we have our immunization program
• ,</c><01:08:12.000><c> within</c> internally within the program, within internally within the program
• Remember, the vaccine program started in 1991.
• :15.120><c> costs</c><03:09:15.359><c> from</c> treatment for hepatitis B costs from treatment for hepatitis
• </c><03:26:31.760><c> and</c> medical expenses for treatment and medical expenses for treatment and complications

Keywords: 1189, house, all

Transcript Highlights:

• the ACA and the ACAA into state law ensuring basic protections from discrimination in any health program
• Trans Survey shows that respondents who received the gender-affirming treatment they needed had lower
• Of our nearly 600 students in our online program. programs only around 90 are from out of state, but
• One student's partner in our counseling program was transferred to New York unexpectedly.
• It dictates that programs on military bases don't comply. That again runs counter to N.C. Sarah.

Keywords: 988, house, all

Transcript Highlights:

• </c> Administration uh they have a program Administration uh they have a program called<01:09:35.080>
• DHHS and their programs would just be I DHHS and their programs would just be I would<01:23:57.800><c
• The newborn screening program is a vital public health program.
• The newborn screening program is a vital public health program.
• The program notifies the provider.

Keywords: 1189, house, all

Transcript Highlights:

• </c><00:09:55.399><c> it</c> appropriate and effective treatments it appropriate and effective treatments
• It's a medical program.
• , we recognize the fiscal impact of this bill upon the therapeutic program, the alternative treatment
• Since the program began in 2016, the program has never raised its fees.
• Since the program began in 2016, the program has never raised its fees.

Keywords: 1189, house, all

Transcript Highlights:

• The treatment plans, but you're saying that verifying they're using local match...
• The treatment of plans, but you're saying that verifying they're using local max. plan. Right.
• The treatment of plans, but you're saying that verifying they're using local match.
• And so we've tried to be a little bit flexible, but primarily this water sector program is a program
• It had... ...had the treatment plant at right at $5 million.

Summary: The Water Sector Commission met with a quorum and first approved the minutes from the prior meeting. Chairmen reminded members that no funding had yet been appropriated for future Water Sector awards, so any discussion of upcoming projects remained speculative until the legislature acts. The committee then moved through a series of deadline extension requests for phase two state-funded projects, including Delcambre, Faraday, Meyer Branch Water Corporation, and Waterworks District No. 1 of Pointe Coupee Parish. Each extension was approved after brief discussion, including testimony explaining local match timing, consolidation agreements, and project delays. The committee next considered several phase one ARPA-funded requests. St. Tammany Parish Project 845 received approval for a scope change to relocate an unmarked fiber optic line discovered during construction. Tallulah’s mayor gave an extended update on the city’s water rehabilitation project, explaining that the original project had been bid twice, that the state had already completed some emergency work, and that the city wanted to isolate the purchase of four permanent media filters and related electrical work from the original rehab plan. Members questioned whether the request was a scope change or a partial implementation of the original project, but ultimately approved it. The committee also approved additional funding for the City of Kaplan’s sewer project and for Ponchatoula’s sewer project, with Ponchatoula explaining that the increase covered emergency levee repair, miscellaneous equipment and safety items, and a force main reroute around unmarked fiber and other obstacles. St. Martin Parish Water Project 1001 was approved for additional funding after engineers explained that the final well site and related work cost more than originally estimated, though the project remained within the original consolidation plan. West Allen Water Works also received approval for additional funding after its new groundwater well encountered unexpected geologic problems; the contractor and engineers agreed to reduce their fees to preserve the project’s match structure, and members asked that the in-kind match be clearly documented for JLCB. By contrast, Tensaw Water Distribution Association’s large request for additional funding to complete a consolidation with Newelton drew significant concern over cost growth and timing. After discussion of the project’s scope, the need to serve Newelton, and the possibility of future reapplication or further value engineering, the committee voted to defer the Tensaw item to the next meeting for more review. At the end of the meeting, staff reported that 42.11% of ARPA funds remained and reviewed a list of high-risk projects, noting that the committee was trying to ensure ARPA dollars are drawn first and reconciled properly before deadlines. Members discussed the need to ground-truth self-reported project status and potentially adjust procedures to better track construction progress and final draws. The meeting concluded with no subfund or termination items and adjourned after a motion by Senator Bass.

Transcript Highlights:

• , treatment, and transfer of stroke patients.
• Treatment basket.
• I will also say there is a patient savings program or co-pay assistance program, those kinds of things
• Program.
• that program has gone in a second.

Summary: The committee first approved the minutes and then heard a detailed annual presentation from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and review findings. He explained the committee’s structure, the de-identified review process, and the distinction between pregnancy-associated and pregnancy-related deaths. He said national maternal mortality has declined from its 2021 peak, but mental health conditions, substance use, overdose, suicide, cardiovascular disease, hemorrhage, infection, and embolism remain major causes. He emphasized that many deaths are preventable, with especially high rates among non-Hispanic Black women and in the American Indian/Alaska Native population, and noted that a large share of deaths occur after 42 days postpartum. Committee members asked about suicide, domestic abuse, pregnancy testing in unexplained deaths, and the role of home births and midwife training. Dr. Arnold said the committee is adding a caseworker, exploring post-mortem pregnancy testing in suspicious cases, and working with coroners and forensic officials; he also said home births and untrained midwifery pose safety concerns and that better public education and facility-based care are important. The committee then heard from State Fire Marshal Dr. Matt Clark on cigarette ignition propensity standards and fire prevention. He recommended updating North Dakota’s cigarette ignition legislation to the current national standard and also considering legislation requiring fast-breakaway oxygen tubing, citing fatal fires involving smoking around home oxygen. He explained that his office verifies manufacturer testing and maintains certification for cigarettes sold in the state, but does not itself conduct the testing. Members asked about implementation, cost, and whether the standards apply in tribal communities; Clark said he would follow up with cost information and additional details, and that he had not seen evidence of a major issue on tribal lands but would look further. Christine Greff of the Department of Health and Human Services presented the North Dakota Stroke System of Care report. She described the statewide network of two comprehensive stroke centers, four primary stroke centers, and 30 acute stroke-ready hospitals, along with the stroke registry and quality-improvement efforts. She reported that most strokes are ischemic, that the median stroke patient age is 71.5, and that common risk factors include hypertension, dyslipidemia, obesity, and diabetes. She highlighted improvements in door-to-CT, thrombolytic treatment times, dysphagia screening, EMS pre-notification, and interfacility transfer performance, and said new priorities include hemorrhagic stroke quality measures and standardized EMS stroke screening tools. Members asked about the VA hospital’s participation, and Greff said she would pursue outreach. After a break, the committee heard testimony from Taha Khan of Vertex Pharmaceuticals as part of the prior authorization study, focused on non-opioid pain treatment. He argued that prior authorization can delay access to acute pain treatment and may push patients toward opioids, especially in the critical 24- to 72-hour post-discharge window. He cited data showing that even short opioid exposure can increase the risk of long-term use and said prior authorization is often a barrier for physicians and patients. Khan recommended open access with a quantity limit rather than prior authorization, suggesting a 14-day limit supported by the product’s data and an episode-of-care approach. Members asked about dental use, payer discussions, and cost; he said the product’s wholesale acquisition cost is about $16.10 per tablet, with patient assistance available, and that he would follow up on payer and comparison-cost questions.

Transcript Highlights:

• in that program.
• If you're building engineering programs or health-related programs, these are facility programs that
• , and a nursing program.
• Funding these programs allows for program growth and sustainability.
• treatment.

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• </c> into the program? into the program?
• </c> this program is at. this program is at.
• And those are much treatment programs.
• The program is a clinical program.
• The program is a clinical program.

Keywords: 1189, house, all

Transcript Highlights:

• </c> heard the direct care and treatment heard the direct care and treatment bill,<00:20:16.000><c> um
• </c><00:20:21.280><c> were</c> clients in the sex offender program were clients in the sex offender program
• </c> that program. that program.
• ,</c><00:21:06.559><c> the</c> CEO for Direct Care and Treatment, the CEO for Direct Care and Treatment
• </c> treatment and training for staff. treatment and training for staff. uh<00:26:04.400><c> worked</

Bills: HF729

Keywords: human services, provider enrollment, medical assistance, healthcare, housing stabilization, substance use disorder, vulnerable adults, fraud prevention, 1183, house

Transcript Highlights:

• This would create a new testing program, $5 million in each fiscal year to develop a comprehensive program
• The whole blood pilot program, this would appropriate $10 million for a whole blood pilot program and
• This is not a current program at the agency. That's Article 11.
• Is additional funding to maintain women's health, uh, program services.
• Page 119 home visiting program is Representative Ross.

Transcript Highlights:

• discount programs.
• To be eligible under program rules, you must have an immediate medical need. Thank you. program.
• to costly new treatment for our patients.
• for this program.
• for this program.

Keywords: 987, senate, all

Transcript Highlights:

• </c><00:33:58.800><c> that</c> according to laws and our programs that according to laws and our programs
• Access to treatment is a risk factor.
• Access to treatment is a risk factor.
• </c> And that is a an intensity of treatment And that is a an intensity of treatment where<01:22:10.400
• </c> If we see any changes in treatment If we see any changes in treatment intensity, intensity, intensity

Keywords: 1189, house, all

Summary: The committee met on May 29 and approved the draft minutes. DHHS Commissioner Weaver then opened the department update by asking Medicaid Director Henry Litman to brief members on federal and state Medicaid changes, and later turned to DHHS Chief Operating Officer David Weathers for an update on data governance. Members also asked that acronyms be spelled out in future materials and requested a follow-up on the federal Medicaid rule once it is published. Litman reviewed several federal Medicaid provisions tied to HR 1/"OBBA" and related state implementation issues. He said the first major change would be restrictions on certain non-citizens’ Medicaid coverage, affecting about 400 people in New Hampshire, with notices likely 30 to 60 days before the effective date. He also discussed new work requirements/community engagement rules, saying New Hampshire is on track to implement them and will likely need a state plan amendment rather than an 1115 waiver. Other changes included shorter retroactive coverage periods, a new state option for certain community-based services with an estimated $740,000 in implementation support, a freeze and phased-down reduction in the Medicaid enhancement tax beginning in state fiscal year 2029, and limits on directed payments to hospitals after a grandfathering period. He also noted that Medicaid enrollment has fallen from pandemic-era levels, with about 167,000 people covered as of May 1, and that the department is working with CMS on child premiums and other cost-sharing changes approved in HB 2. Committee members asked how the department could plan for the 2029 changes given the number of elections before then, and Litman said federal rules may be adjusted over time as states and stakeholders raise concerns. He emphasized planning for the worst while hoping for the best, and said rural health care transformation funding would help the state prepare. In the second presentation, Weathers explained that data governance is now embedded in DHHS operations to control access, manage reporting, and respond to risk. He defined it as managing what data is collected, how it is used, who can access it, and what laws apply, and said DHHS has moved from governance as a committee to governance as an operational process. He described privacy impact assessments for new systems going into production, monthly privacy and security training, and ongoing review of access controls and data-sharing rules.

Transcript Highlights:

• care and discount programs.
• To be eligible under program rules, you must have an immediate medical need. Thank you. program.
• to costly new treatment for our patients.
• Is really no money for this program and no infrastructure in San Diego County for this program.
• Cuts to Medi-Cal and other safety net programs.

Keywords: 988, house, all

Transcript Highlights:

• Celiac Disease Screening Pilot Program.
• The only treatment is a strict, lifelong adherence to a gluten-free diet.
• We don't just provide treatments. We care for patients.
• This pilot screening program will not only catch children earlier...
• This pilot screening program will not only catch children earlier.

Summary: The Joint Committee on Public Health heard testimony on four bills: H. 5013 and S. 2928, which would establish a three-year celiac disease screening pilot program for children during routine cholesterol/lipid screening around ages 8 to 12; H. 5087, regulating the operation of medical spas; and H. 5115, establishing statewide food truck regulations, though the hearing focused almost entirely on the celiac and medical spa bills. Committee chairs outlined three-minute testimony limits and noted members present in person and online. Supporters of the celiac screening bills, including Rep. Badger, Sen. Lovely, patients, clinicians, and researchers, described long delays in diagnosis, the lack of a cure beyond a gluten-free diet, and the potential for early screening to prevent years of damage, missed school and work, and long-term complications. Testifiers said celiac disease is common but frequently undiagnosed, that a simple blood test can identify many cases, and that a pilot would help assess feasibility, cost, accuracy, and family acceptance. Several witnesses emphasized that the proposal includes education and support for families after diagnosis, and some cited international screening efforts, especially in Italy, as evidence that population screening can work. Testimony on H. 5087 was largely opposed by medical spa owners, nurse practitioners, physician assistants, and a plastic surgeon. Witnesses argued the bill is outdated, duplicative of existing Massachusetts licensing and public health rules, and inconsistent with current scopes of practice and team-based care. They said the proposal could restrict access, burden small and women-owned practices, and fail to address the real issues of training, compliance, and patient safety. Some said they support regulation in principle but want the bill revised to reflect current law and modern practice. Committee members asked a few clarifying questions, including about celiac testing methods and the relationship between the medical spa bill and current state law, but no votes or formal actions were taken during the hearing.

Transcript Highlights:

• </c><00:26:59.360><c> uh</c> We provide payment integrity programs uh We provide payment integrity programs
• </c><00:50:43.200><c> than</c> incarcerated and have treatment than incarcerated and have treatment than
• </c> the the pilot program? the the pilot program?
• So, I know it's a whole new program. So, I know it's a whole new program.
• <01:21:35.760><c> blank</c><01:21:36.159><c> appropriation</c> program blank appropriation program blank

Keywords: 912, senate, all

Summary: The joint HHS and LBT meeting opened with accessibility concerns, as several blind attendees arrived after the general public had already been seated. The chair apologized and said future hearings would try to seat blind members earlier. The committee also announced the hearing was being streamed on YouTube, testimony would be limited to one minute, and written testimony was available online. The first bill heard was SB 2281, relating to the use of artificial intelligence in healthcare. The Department of Health supported transparency for patients but preferred disclosure through provider websites and office signage rather than a new regulatory program. The Hawaii Medical Association and Healthcare Association of Hawaii generally supported the bill’s intent but raised concerns about administrative burden and suggested a working group or model policies. Hawaii Pacific Health said it already uses AI for note-taking and patient portal functions and worried that written notice requirements could create too much consumer information. In response, the chair emphasized that patients should be informed when AI is used, especially if it affects diagnosis or consequential decisions, and said AI should not be making medical decisions. The committee later voted to recommend SB 2281 pass with amendments, including narrowing the definition of consequential decisions, removing certain language requested by DOH, adding a two-year implementation period, and setting a far-future defective date for further discussion; both committees adopted the recommendation, with the chair voting aye and the vice chair voting with reservations. The second major bill was SB 2852, a civil rights measure focused on digital access for people with disabilities. The Hawaii State Council on Developmental Disabilities, Hawaii Civil Rights Commission, Hawaii Disability Rights Center, and the National Federation of the Blind of Hawaii all supported the bill, arguing that existing law clearly protects physical access but should also make digital access explicit. Blind testifiers described how accessible technology, such as VoiceOver on iPhones, allows them to participate independently in public processes and warned that inaccessible digital systems can create barriers for thousands of blind residents. One testifier, an attorney with disability-law experience, supported the bill’s intent but said the draft had flaws, including no exceptions for archived materials, no distinction between small and large businesses, and concerns about the timing and choice of accessibility standards; he suggested delegating regulatory authority to the Hawaii Civil Rights Commission. The bill’s sponsor said he supported DAB’s proposed amendments, and the committee indicated those amendments would address many of the concerns raised. No final vote on SB 2852 was taken in the portion provided. The committee then took up SB 2751, which defines compounded prescription drugs for workers’ compensation purposes. The Department of Labor and Industrial Relations supported the bill but requested clarifying amendments to keep pharmacists as the primary professionals authorized to compound in licensed pharmacies and to limit any physician compounding authority to the physician’s own patient. Supporters included the Work Injury Medical Association of Hawaii, while Solera Integrated Medical Solutions opposed the measure, arguing the current definition was already broad enough and warning about cost inflation, especially with 503B bulk compounding facilities and physician dispensing. In questioning, members asked about rural access, reimbursement for 503B products, and late testimony suggesting definitions for 503A and 503B facilities, limits on physician dispensing to 30 days post-injury, and pre-approval for non-FDA-approved drugs. DLIR said not every rural community has licensed pharmacists available, that products with a national drug code are reimbursed at 140%, and that 503B facilities raise concerns because they are bulk manufacturers rather than patient-specific compounding operations. The meeting then moved into decision-making on SB 2281; the chair’s pass-with-amendments recommendation was adopted by both committees, with the vice chair voting with reservations.

Transcript Highlights:

• Far from contradicting equal treatment principles, AB73, actually promote.
• The program also addresses critical workforce development needs.
• It is a very important program for us to be able to consider and support.
• This bill relates to a small but very important program within the larger Medi-Cal program called the
• It's not just a program.

Summary: The Assembly Health Committee met on March 25, 2025, with Chair Mia Bonta presiding and initially operating as a subcommittee until quorum was established. The committee heard several health-related bills, including AB 73 on creating a Black Mental Health Navigator certification, AB 499 on lowering the state reimbursement trigger for the Robert F. Kennedy Farm Workers Medical Plan, AB 843 on aligning California health insurance language-access rules with federal standards, AB 257 on a specialty care network using telehealth and virtual services for Medi-Cal and underserved communities, AB 64 on allowing diacritical marks on vital records, AB 315 on the Home and Community-Based Alternatives waiver, and AB 40 on clarifying that emergency services include reproductive health services such as abortion. Testimony generally emphasized disparities in access, culturally competent care, language access, rural provider shortages, and the importance of preserving or expanding programs that help vulnerable populations. Supporters included authors, state and local health organizations, advocacy groups, and affected individuals. AB 73 was backed as a way to address stigma, mistrust, and culturally competent mental health access for Black Californians. AB 499 was described as helping keep a self-insured farmworker health plan operational while maintaining a low-cost, labor-management model. AB 843 was supported as a way to prevent children and families from having to translate sensitive medical and insurance information and to protect limited-English-proficient Californians. AB 257 drew support as a demonstration project to improve specialty care access through California-based clinicians and virtual care, with examples of reduced wait times and costs. AB 64 received emotional testimony from the author, a child and his family, and others about the importance of accurately recording names with accents and other marks. AB 315 was presented as a cost-neutral or cost-saving way to expand home- and community-based care for medically fragile people, with strong support from disability, health, and provider groups. AB 40 drew support from reproductive health and medical organizations, while one opposition witness argued it could conflict with emergency care standards and overburden emergency departments. The committee took roll-call votes and advanced AB 499, AB 73, AB 843, AB 257, AB 64, AB 315, and AB 40 to Appropriations, with AB 40 receiving some no votes. The committee also adopted its 2025-26 rules and approved a consent calendar that included AB 225, AB 304, AB 403, AB 688, and AB 951. Several measures were initially placed on call and later lifted and recorded as passing out of committee before adjournment.

Transcript Highlights:

• Oh, the treatment plan.
• Yes, the treatment plan that they have to set up for patients seeking behavioral care.
• Why do we have to set up a treatment plan?
• So we need this more than ever for a lot of the programs that might see cuts.
• One way, to private mental health counselors, to shelters, to food programs.