Transcript Highlights:

• Um, for example, our service members on Operation Lone Star are in state active duty.
• It's just a summary of, um, state operations that we do.
• Um, obviously, we're doing Operation Lone Star. Um, we do storm response.
• Uh, we put together a partners in Education work like certificate program.
• It's an occupational education certificate program.

Transcript Highlights:

• our operational structures.
• our um or support efficiently operate our um or support our<00:08:29.360> operational<00:08:30.080
• <00:08:31.280> So<00:08:31.759> this our operational structures.
• So this our operational structures.
• certification fills out an application. certification fills out an application.

Bills: HF2825

Keywords: expungement, criminal justice, background check, security industry, private detective, 1183, house

Transcript Highlights:

• The three regulations, 22:00 has to do dealing with the eligibility, the operations and the process that
• and<00:03:35.360> the<00:03:35.440> process<00:03:36.080> that the operations
• and the process that the operations and the process that we<00:03:37.160> will<00:03:37.280><
• <01:09:26.720> We<01:09:26.839> can and operated by the government.
• We can and operated by the government.

Keywords: Meeting Start 00:00:00 Call to Order and Roll Call 00:00:38 Consideration of Referred Administrative Regulations 00:01:34 Proposed Legislation for the 2026 Session 00:10:14 Basic and Added Reparation (PIP) Benefits 00:10:41 Prior Authorization 00:46:15 Measures to Strengthen Kentucky’s Economic Infrastructure 00:59:46, 958, all

Summary: The committee met in a special-called session of the Interim Joint Committee on Banking and Insurance and first took up three Department of Insurance regulations tied to House Bill 256, the Strengthen Kentucky Homes program: 806 KAR 22:00, 22:10, and 22:20. Commissioner Sharon Clark said the program would provide $5 million in grants to help homeowners strengthen roofs, with regulations covering eligibility and operations, contractors and evaluators, and reinspections in cases of suspected fraud. A committee substitute to 806 KAR 22:10 was explained as a technical correction to conform to the statutory preference for in-state contractors and evaluators. Representative Hampton moved and Representative Rudy seconded approval of the substitute, and it was adopted by voice vote; the amended regulations were then reviewed. Clark also said the grant money would be distributed statewide rather than targeted to storm-prone areas. The committee then heard an update from Commissioner Clark on mental health parity in response to questions from Representative Pollock. Clark said the department reviews insurer filings and conducts market conduct examinations, but does not have authority over provider reimbursement rates or to require providers to join insurer networks. She said complaints are investigated and, when needed, teams review claims and data on site to check compliance with parity requirements. No action was taken on that discussion. After approving the November 4 meeting minutes, the committee heard testimony on a proposed PIP reform package from Representative Josh Bray, the Kentucky Hospital Association, the Kentucky Justice Association, and State Farm. Supporters said the bill would apply the workers’ compensation fee schedule to most PIP medical claims, keep the $10,000 PIP limit in place while stretching benefits further, reduce balance billing, modernize benefit amounts, and address fraud and delayed billing. They noted hospitals would be exempt from the fee schedule, while hospital-based physical therapy would be included, and said the compromise reflected negotiations among stakeholders. Some members questioned whether exempting hospitals undercut the bill’s purpose and asked about possible rate effects; proponents said they had not done a rate analysis and that the bill could lead to more treatments within the existing PIP limit. No vote was taken on the PIP proposal during this meeting.

Transcript Highlights:

• Currently, the determination of which telecom service companies can operate has fallen to the FCC, but
• Most importantly, the bill helps to ensure Delaware's election certification statutes actually reflect
• . eligible for a salary supplement when they obtained nationally recognized certifications.
• Only 13 retail recreational locations operate statewide, owned by just six companies.
• Illegal operators and cartels are thriving when legal markets are weak.

Summary: The House met on June 30, 2026, with opening ceremonies, guest introductions, a prayer, the Pledge of Allegiance, and a moment of silence for two deceased community members. Members also adopted Consent Calendar 29, which included House Concurrent Resolutions 153, 154, and 156, and passed House Concurrent Resolution 157 directing the State Lottery to report on iLottery options to support traditional lottery retailers, as amended to set a February 15, 2027 reporting deadline. The chamber then considered several bills on agriculture, telecommunications, health, fire service standards, corrections, elections, and education. Among the measures passed were Senate Bill 53 on the Delaware Farm to Community Program, Senate Bill 307 on PSC authority for Lifeline telecom carriers, Senate Bill 339 clarifying advance health care directives, Senate Bill 235 extending manufactured home rent increase rules, Senate Bill 325 updating firefighter/EMS background check and membership standards, Senate Bill 309 discharging incarceration-related balances, Senate Bill 324 on constable-related handgun purchase exemptions, Senate Bill 94 on respiratory care practitioners and ECMO medication access, and Senate Bill 293 creating a licensure pathway for summer camp providers in the Purchase of Care program. The House also passed Senate Substitute 2 for Senate Bill 100, proposing a constitutional amendment to protect the right to marry regardless of race or gender while explicitly preserving religious freedom. The bill drew extended debate, with supporters framing it as a safeguard against future rollbacks of marriage equality and opponents raising concerns about constitutionalizing an issue already in statute; several members explained changed votes and personal reflections before the final roll call, which passed 28-12. House Bill 188, which would allow unaffiliated voters to choose a party primary, also passed after amendment, despite some opposition over party-system effects. Two measures were tabled or amended after debate: Senate Bill 233 on removing snow and ice from vehicles was initially tabled to consider a truck-driver exemption amendment, then the amendment failed and the bill later passed as amended; and Senate Joint Resolution 19 on studying health care costs was tabled briefly pending legal clarification. House Substitute 1 for House Bill 404, creating a three-year pilot program for AI and extended reality in schools, passed after testimony from the Department of Education emphasizing guardrails, data privacy, and teacher oversight. The transcript ends as House Bill 478 is being read in, but no final action on that bill appears in the provided text.

Transcript Highlights:

• We get budgets and levy certifications from all the taxing districts and political subdivisions.
• We get budgets and levy certifications from all the taxing districts and political subdivisions.
• Then there was also the tax director certification, which I believe at that point was 190 hours, and
• And I think every software vendor that operates in the state can gather the same data.
• And then we have a second certification.

Keywords: 908, all

Summary: The subcommittee of the Tax Reform and Relief Committee met with a quorum to begin its study of whether the content of North Dakota real estate tax statements should be revised to improve transparency. Legislative Council staff reviewed the background for the study, including House Bill 1176, current statutory requirements for tax statements, and recent changes such as separate line items for bonded debt, primary residence credit, and legacy fund-related amounts. The Tax Department then explained the current statement format and noted that the form is prescribed and approved by the tax commissioner, with changes typically driven by statute and implemented collaboratively with counties and vendors. County officials from the North Dakota Association of Counties described the full annual process for preparing budgets, setting levies, calculating taxable values, and issuing notices and tax statements. They said counties spend significant time coordinating with taxing districts, neighboring counties, and software vendors, and that the new budget hearing notices and valuation notices have not generated much public response. Members raised concerns about the usefulness and clarity of certain line items, especially the legislative tax relief calculation and the primary residence credit, and discussed whether the current statement creates confusion rather than transparency. Testimony also addressed the 3% cap, mill levy worksheets, assessment cycles, and the role of county auditors and tax directors in maintaining accurate values. The committee also heard from software vendors CPT and Tyler Technologies about how legislative changes are programmed into tax systems and how online taxpayer portals can provide more detailed breakdowns of tax bills. Vendors said changes required by law are generally absorbed in contracts rather than billed directly to counties, and they demonstrated web tools and pie-chart style breakdowns that show where tax dollars go. NDACO presented a survey of eight counties estimating tax statement preparation and mailing costs, concluding that outsourced printing tends to be cheaper on average and that total statewide tax statement costs may be roughly $600,000, though the estimate was based on limited data. No votes were taken; the meeting was informational and focused on gathering testimony and identifying issues for possible future recommendations or bill drafts.

Transcript Highlights:

• Um, Senate Bill 303 authorizes off-road vehicles to operate on specific public roads in the same manner
• There may be a slight amendment by the time we hit the floor, but the safety certification by a licensed
• There may be a slight amendment by the time we hit the floor, but the safety certification by a licensed
• There may be a slight amendment by the time we hit the floor, but the safety certification by a licensed
• Registration and tag issued through the local licensing official after certification.

Bills: HB268, SB279, SB304, SB303, SB298

Keywords: lottery winnings, lottery prize, state lottery, income tax exemption, tax exemption, gambling, games of chance, prize proceeds, Alabama Department of Revenue, state income tax, tax relief, winnings, jackpot, lotto, Alabama State House, Montgomery, Legislative Council, demolition, state capitol, state capitol building

Transcript Highlights:

• that that we look at, but certificates that that we look at, but overall<00:09:57.600> we're<
• And you can see the difference between a high school GED with some college, a postsecondary certificate
• ,<00:30:33.200> a postsecondary certificate, a postsecondary certificate, a postsecondary<
• So, yeah, that's all the certifications.
• Representative McCool, you mentioned the financial certifications that are provided.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Education met for an overview of the Council on Postsecondary Education (CPE). After approving the prior meeting minutes, staff from CPE explained that the council was reconstituted in 1997 and serves as Kentucky’s statewide coordinating body for higher education, with responsibilities including advising the General Assembly and governor, coordinating the postsecondary system, supporting budget and performance funding work, and using data to track outcomes. They described Kentucky’s governance structure, including the KCTCS governing board, independent boards at public universities, and CPE’s role in licensing private institutions and overseeing transfer, closed-school records, and tuition approval. CPE staff emphasized statewide strategic planning and the “60 by 30” goal of having 60% of working-age Kentuckians hold a meaningful credential by 2030. They said the agency uses dashboards, KPIs, and peer comparisons to set targets for institutions and monitor enrollment, retention, and graduation. They also highlighted the Kentucky Graduate Profile, a voluntary effort to embed 10 essential workforce skills into general education and major programs, and noted ongoing work on academic program approval, performance funding, and a biennial budget request. The presentation also focused on student support and workforce alignment initiatives. Staff described the Kentucky Advising Academy, the Commonwealth Education Continuum, and the Kentucky Student Success Collaborative, which work with K-12 partners and campuses to improve advising, transfer, wraparound supports, and career planning. They also discussed GEAR UP, the Futurity career-planning platform, and efforts to connect education pathways to workforce needs, including healthcare, veterans, and other adult learners. CPE reported that student debt at graduation has fallen to $10,168 at public institutions and that six in ten Kentucky undergraduates graduate debt free.

Transcript Highlights:

• The substitute makes clear that NATOs will no longer be permitted to operate in Texas, and anyone who
• operates with a disregard for the law will face strict penalties of a state jail.
• testified on a bill last week has been arrested on charges of abuse of a corpse and forging death certificates

Keywords: 1185, senate, all

Transcript Highlights:

• from members of this committee, the substitute makes clear that NATOs will no longer be permitted to operate
• in Texas, and anyone who operates with a disregard to the law will face strict penalties of a state
• testified on a bill last week, has been arrested on charges of abuse of a corpse and forging death certificates

Transcript Highlights:

• structure we're required to operate structure we're required to operate within.<00:21:39.679>
• would potentially allow us to operate would potentially allow us to operate one<00:21:56.240>
• actually operates. actually operates.
• licensed operation. licensed operation. >> Okay. >> Okay. >> Okay.
• owner of these operations. owner of these operations.

Keywords: 1191, senate, all

Transcript Highlights:

• There are currently 29 CCRCs operating in Massachusetts, and three quarters of those are operated by
• House Bill 1369, sponsored by Representative Gregor in whose district we operate one of our buildings
• Third, the bill establishes additional attestation and certification requirements that condition the
• But it's not just the association and operators who believe so strongly in this model.
• a member of the wellness program that operates in our building, they urged us to apply.

Keywords: 995, all

Summary: The committee heard testimony on several aging-related bills, with most speakers focusing on housing stability, home-based services, and care transitions. Representative Badger and a commissioner testified in support of H4039, which would create a universal breakfast and lunch program at senior centers funded through a new Senior Breakfast and Lunch Fund, arguing it would reduce food insecurity and social isolation among older adults. Representative Lipper-Garabedian and multiple providers then supported H780/S495, the hospital-to-home partnership program, describing how embedded aging-services liaisons help older patients transition safely from hospitals to home, reduce readmissions, and avoid nursing facility placement; witnesses from Mystic Valley Elder Services and Mass Aging Access cited pilot results, including hundreds of patients served and examples of substantial cost savings and successful discharge planning. The committee also took testimony on S478, which would require continuing care retirement communities to disclose entrance-fee refund policies more clearly at enrollment. Senator Lovely and LeadingAge Massachusetts said the bill would improve transparency for residents and families, while a consumer witness said her family experienced delays and confusion in getting a refund after her mother left a CCRC. Members noted the issue is also being examined by a special commission on CCRCs. A large portion of the hearing focused on S475, a statewide bridge subsidy program for older adults facing housing instability. Advocates from the Massachusetts Coalition for the Homeless, Western Massachusetts, Somerville, Northampton, East Hampton, Old Colony Elder Services, and Somerville’s Office of Housing Stability described rising senior homelessness, long waitlists for subsidized housing, and cases where short-term rental assistance kept older adults housed while they waited for permanent housing. Somerville witnesses said the pilot program helped nine households remain housed and that some participants have since moved into permanent housing. Members asked about wait times, program design, and how to prioritize applicants; witnesses emphasized flexibility, emergency risk, and the need for a statewide expansion. The hearing also included testimony on S465, an ALS bill that would expand home care access regardless of age and bar the use of quality-adjusted life-year metrics in coverage decisions, with the sponsor and ALS Association arguing the measure would reduce discriminatory treatment and better center patient care. No votes were taken during the hearing.

Transcript Highlights:

• You're seeing a little bit of the way that I've suggested the committee operate, which is you've heard
• But tell me how we would ensure that this doesn't hinder the operation if law enforcement is trying to
• But if it's a simple operation, they fly drones on the outside of Gallup to Arizona all the time.
• It says operating an aircraft to capture an image of a person. I do own a drone.
• So you're operating an aircraft to capture an image, but I'm not sure how you ever prove that.

Bills: SB40, SB104, SB136, SB164

Keywords: SB40, Driver Privacy and Safety Act, automated license plate reader, ALPR, license plate reader, vehicle surveillance, privacy, data sharing, law enforcement data, immigration enforcement, reproductive health care, gender-affirming care, civil liberties, surveillance, public records, Inspection of Public Records Act, New Mexico State Police, Department of Public Safety, data sovereignty, vehicle tracking

Transcript Highlights:

• The amendment prohibits a person from operating a motor vehicle, vessel, or other conveyance at a speed
• The statute states that a municipality operating a water and/or sewer utility plant can charge up to
• SB 202 will ensure that a municipality operating a water facility must charge a recipient municipality
• This does not mean that the operating municipality cannot charge up to a 25% surcharge for the other
• Survivors of deceased hospice patients are currently experiencing delays in death certificates due in

Summary: The Senate convened with prayer, the Pledge of Allegiance, and a series of introductions and moments of silence recognizing recent tragedies and public figures, including students affected by the FSU shooting, John Thrasher, Coach Amir Abdur-Rahim, and conservation and youth groups visiting the chamber. The body also adopted Senate Resolution 1878 honoring Coach Abdur-Rahim and Senate Resolution 1892 recognizing Florida Wildlife Corridor Week. The chamber then moved through a long special-order calendar, passing several bills with little or no opposition. Measures approved included child care and early learning provider regulation updates (SB 738, 37-0), false reporting/swatting penalties and cost recovery (SB 726, 38-0), health care billing and collection protections/medical debt (SB 656, 38-0), hazardous walking conditions for schoolchildren (SB 650, 38-0), young adult housing support for foster and homeless students (SB 584, 38-0), the Family Empowerment Scholarship Program disclosure bill (SB 508, 37-1), trust fund interest for court-approved purposes after a debated amendment (SB 498, 28-10), transportation and traffic-safety changes including school bus camera hearings and micromobility rules (SB 462, 37-0), public records exemptions for AHCA investigators and JQC/appellate court clerks (SB 342, 34-4; SB 302, 35-3; SB 300, 35-3), municipal water and sewer utility rate fairness for Miami Gardens/North Miami Beach (SB 202/HB 11, 36-2), motor vehicle offenses involving obscured plates and impersonation (SB 44/HB 253, 36-0), trespass at large-scale ticketed events and law-enforcement-controlled sites (SB 1828/HB 1447, 35-1), patient refund of overpayments (SB 1808, 37-0), stem cell therapy standards (SB 1768, 37-0), insulin administration by direct support professionals and relatives (SB 1736/HB 1567, 38-0), and pre-arranged transportation services/rideshare impersonation (SB 1696/HB 1525, 37-0). Several bills were temporarily postponed, including cardiac emergencies, chemicals and consumer products, motor vehicle manufacturers and franchise dealers, and education. Debate centered most heavily on the trust fund interest bill, with supporters arguing it would stabilize funding and better reflect market rates, and opponents warning it would sharply reduce legal aid funding and hurt access to justice. The transportation bill also drew extensive questions and amendments, including removal of a speed-limit increase, changes to school bus infraction hearing procedures, micromobility regulation, and flood-wake enforcement. The municipal water bill prompted constitutional and fairness concerns, while the public records bills were defended as necessary to protect investigators and court personnel from doxing and harassment. Most measures ultimately passed with strong bipartisan support, though the scholarship disclosure bill and trust fund interest bill drew the most visible dissent.

Transcript Highlights:

• They might be certificate programs.
• They must meet those federal requirements such as granting a certificate.
• They might be certificate<00:06:35.240> programs.
• Um so, they're in certificate programs.
• <01:55:21.760> budget operating budget operating budget then<01:55:24.360> you<01:55:24.520

Keywords: 1191, senate, all

Transcript Highlights:

• They are angry about paying for the expanding the grid so that data center operators can profit.
• Blockchain and cryptocurrency operations are incredibly water- and energy-intensive.
• Blockchain and cryptocurrency operations are incredibly water- and energy-intensive.
• SMRs are not proven, they're not cheap, and they're not operating commercially anywhere in the U.S.
• HB 2476, certified public accountants certification alternative; Finance.

Keywords: 1182, all

Transcript Highlights:

• House Bill 294, providing for certificates of assured water supply.
• And the cost would go to the owner or operator of a computer data center.
• under the communist agenda and so... ...of real property from foreign countries operating under the
• My constituents operate a hot dog cart.
• An actively operating charter or private school. It does not make any sense. It's illogical.

Keywords: 1182, all

Transcript Highlights:

• For program delivery, there's an operating adjustment.
• see that on line 178. an operating adjustment and an increase an operating adjustment and an increase
• Uh the house operating account.
• <01:08:05.119> to the authorization for an operator to the authorization for an operator to
• Section 102 is an certificates.

Keywords: 1187, senate, all

Transcript Highlights:

• the USNH budget change proposed on page 13 of the current tracking sheet, which is reducing their operating
• <00:25:04.480> budget<00:25:04.919> by<00:25:05.080> $25 reducing their operating
• budget by $25 reducing their operating budget by $25 million<00:25:06.600> a<00:25:06.840>
• on collaborative partnerships that work with businesses to inform curriculum, coursework, and certificates
• Representative Papovich continued, "With businesses to inform curriculum, coursework, and certificates

Keywords: 928, house, all

Summary: The House Finance Division II work session considered several amendments to HB 2. The first two items were rejected: a proposal to add a new “Lakes” license plate with proceeds to the cyanobacteria fund failed 7-8, and Amendment 1040, which would have imposed a 5% administrative fee on certain dedicated funds to raise general fund revenue, failed 4-5. Representative Maguire explained the fee would apply only to new revenue going forward and would not change existing fund balances; he also described exemptions for federal funds, bequests, and other special cases. Representative Murray questioned the consistency of the approach and who currently pays administrative costs, while Maguire said the charges are often handled case-by-case by agencies or the treasurer. The committee then revisited revenue distribution changes in HB 2. Members first reconsidered and reversed prior acceptance of sections affecting the Education Trust Fund, then adopted Amendment 1381H, which changes the distribution of business profits tax and business enterprise tax revenue, along with related sections, to shift more money to the General Fund. Supporters argued the change was needed to address revenue shortfalls and to align with historical distributions; opponents said it reduced support for education. The reconsideration motion passed 7-3, and the amendment itself passed 5-3. The committee also adopted Amendment 1413H, incorporating the language of HB 741 on open enrollment and student attendance in public schools. Supporters said it was House policy and had sufficient policy and fiscal impact to belong in HB 2; opponents noted the underlying bill had been controversial and passed the House by a relatively close margin. Finally, the committee considered a USNH budget reduction proposal that would cut the University System of New Hampshire by $25 million per year net. Supporters said the cut was necessary to balance the budget and that K-12 obligations had to take priority, while opponents argued the cut would harm workforce development, the state economy, and student retention. The transcript cuts off during extended debate, and no final vote on the USNH item is shown in the provided text.

Transcript Highlights:

• <02:33:41.720> where's certificate where's certificate where's yours<02:33:43.640> could
• <02:37:25.720> is employment suitability certificate is employment suitability certificate
• we have an agreement for a certificate we have an agreement for a certificate program<02:45:22.000
• <03:19:13.199> of conversation the certificate of conversation the certificate of suitability
• <03:19:25.920> of for the at this time the certificate of for the at this time the certificate

Keywords: 910, house, all

Summary: The Committee on Public Safety met on January 31, 2025, and first heard House Bill 1062, a housekeeping measure relating to the Hawaii Air National Guard. Testimony in support came from representatives of the Adjutant General and other National Guard witnesses. A member raised a technical question about language allowing the Guard to hold the rank authorized by the Department of the Air Force, and the response was that the bill should not require additional HR language; no vote was taken. The committee then heard House Bill 674, which would authorize allowances for TRICARE dental and vision coverage for Hawaii National Guard personnel ordered to active duty for more than 30 days. The Department of Defense supported the bill through Brigadier General Ross, Director of Joint Staff, and Terry Heiti also testified in support. There were no questions or action taken on the measure. House Bill 652, relating to veterans’ rights and benefits and regulating compensation for advice or assistance on veterans’ benefits, drew the most discussion. The Veterans of Foreign Wars Department of Hawaii supported the bill, arguing it would protect veterans from illegal or exploitative practices and noting its own service to more than 2,000 veterans in fiscal year 2024. Opposition came from the National Association for Veterans Rights and Veteran Benefits Guide, which argued the bill would restrict access to needed services and that some for-profit providers operate legally and should not be barred. Committee members questioned the scope of the bill, accreditation requirements, and whether nonprofit or pro bono services would be affected. A Department of Defense veteran services official said veterans can be vulnerable to exploitation and that some legal fee arrangements can be abusive, while also noting pro bono options exist. The committee did not reach a decision on the bill during the excerpt. The committee also began hearing House Bill 1058, which would create a veteran cemetery board within the Office of Veteran Services to help state veteran cemeteries comply with federal standards. The Office of Veteran Services and Terry Heiti testified in support. Members asked about the board’s membership, timeline, and consultant selection, and were told the working group was still in an organizational stage and no construction timeline had been set. The final measure discussed was House Bill 503, which would appropriate funds for a consultant to evaluate locations and designs for a Hawaii First Responders Memorial. The Department of Accounting and General Services supported the bill, and testimony in support was received from county and city officials, UPW Hawaii, and individuals. Members asked about the working group, timeline, and budget, and were told the project was still in early planning; no final action was taken in the portion provided.

Transcript Highlights:

• In terms of hospitals, obviously hospitals operate 24/7.
• In terms of hospitals, obviously hospitals operate 24-7.
• House Bill 1136 would offer relief to our patients, physicians, and supporting clinical and operational
• This is without physician supervision and in accordance with their state licensure, national certification
• are held to the same standard of care, both legally, ethically, and through our profession and certification

Keywords: 995, all

Summary: The committee held a hearing on several health care access and insurance-related bills, with most testimony focused on H.1136 to improve the prior authorization process. The Massachusetts Medical Society, Massachusetts Health and Hospital Association, Health Care for All, the Leukemia & Lymphoma Society, physicians, and hospital representatives all supported the bill, arguing that prior authorization delays care, increases administrative burden, contributes to clinician burnout, and can worsen patient outcomes. Witnesses described examples involving delayed cancer treatment, diabetes care, COPD medication, shingles pain treatment, and hospital discharge delays. They said the bill would preserve prior authorization but add guardrails such as longer validity periods, continuity-of-care protections, faster responses for urgent care, clearer lists of services requiring authorization, and more transparency and standardization. The committee also heard testimony on H.1142/S.783 regarding equitable reimbursement for certified registered nurse anesthetists (CRNAs), with Senator Lovely and CRNA advocates supporting parity with physician anesthesiologists. They said CRNAs provide the same services at the same standard of care, but private insurers sometimes reimburse them at lower rates than physicians, which they argued is inconsistent with federal and state policy and harms access. Senator Keenan testified in support of a bill addressing claim denials and appeals, saying insurers should provide clearer explanations, time to resubmit claims, and timely appeal responses. Dr. Lorraine Schratz supported H.1126 to align state patient disclosure requirements with federal No Surprises Act rules, and Dr. Michael Trimbley supported H.1120 to recognize direct primary care as not being insurance and to encourage primary care participation. The committee also heard testimony on H.1140/S.801 to remove barriers to patient care by updating insurance statutes to reflect nurse practitioners’ full practice authority, and on H.1168/S.A.18 to eliminate the PCP referral requirement for specialty gynecological care. Witnesses on those bills described delays and denials affecting autism diagnosis, nutrition coverage, and endometriosis care, and said the proposals would reduce unnecessary barriers and improve timely access. After testimony and a few member questions, the chair closed the hearing; no votes were taken during the session.