Bills: SB5223, SB5928, SB6071, SB5995, SB5966, SB5841, SB6061, SB5944, SB5520, SB6087, SB6076, SB5916, SB6016, SB6137, SB6009, SB5833, SB6161, SB5890, SB5973, SJM8015, SB5816, SB5053, SB5249, SB5536, SB5834, SB5837, SB5872, SB5879, SB5899, SB5925, SB6019, SB6148, SB6190, SB6237, SB6086, SB5574, SB5873, SB5992, SB5924, SB6134, SB6263, SB5395, SB6282, SB5905, SB6302, SB5950, SB6074, SB6096, SB5970, SB5609, SB5827, SB5838, SB5845, SB5862, SB5880, SB5901, SB5922, SB5943, SB5971, SB5975, SB5981, SB5982, SB5984, SB5988, SB5994, SB6034, SB6035, SB6070, SB6097, SB6110, SB6246, SB6248, SB6278, SJM8016, SB5496, SB6054, SB5835, SB5907, SB6031, SB6155, SB6158, SB6227, SB5947, SB6247, SB6085, SB6234, SB6274, SB6194, SB5909, SB5868, SB6026, SB5974, SB6044, SB5906, SB6081, SB6239, SB5923, SB6323, SB6210, SB6045, SB6106, SB5346, SB6089, SB6170, SB5954, SB5968

Keywords: criminal offense, fingerprinting, law enforcement, state regulations, public safety, wildfire risk, disclosure, safety, environmental policy, risk assessment, overpayment recovery, modernization, health care, legislation, zero emission, cargo handling, port district, environmental impact, grant allocation, healthcare

Bills: SB5223, SB5928, SB6071, SB5995, SB5966, SB5841, SB6061, SB5944, SB5520, SB6087, SB6076, SB5916, SB6016, SB6137, SB6009, SB5833, SB6161, SB5890, SB5973, SJM8015, SB5816, SB5053, SB5249, SB5536, SB5834, SB5837, SB5872, SB5879, SB5899, SB5925, SB6019, SB6148, SB6190, SB6237, SB6086, SB5574, SB5873, SB5992, SB5924, SB6134, SB6263, SB5395, SB6282, SB5905, SB6302, SB5950, SB6074, SB6096, SB5970, SB5609, SB5827, SB5838, SB5845, SB5862, SB5880, SB5901, SB5922, SB5943, SB5971, SB5975, SB5981, SB5982, SB5984, SB5988, SB5994, SB6034, SB6035, SB6070, SB6097, SB6110, SB6246, SB6248, SB6278, SJM8016, SB5496, SB6054, SB5835, SB5907, SB6031, SB6155, SB6158, SB6227, SB5947, SB6247, SB6085, SB6234, SB6274, SB6194, SB5909, SB5868, SB6026, SB5974, SB6044, SB5906, SB6081, SB6239, SB5923, SB6323, SB6210, SB6045, SB6106, SB5346, SB6089, SB6170, SB5954, SB5968

Keywords: criminal offense, fingerprinting, law enforcement, state regulations, public safety, wildfire risk, disclosure, safety, environmental policy, risk assessment, overpayment recovery, modernization, health care, legislation, zero emission, cargo handling, port district, environmental impact, grant allocation, healthcare

Summary: The Senate convened with roll call, the colors presented by the Sons of the American Revolution Color Guard, the Pledge of Allegiance, and a prayer by Pastor Jesse Bradley. The journal was approved, and the chamber received House messages announcing passage of several bills, including House Bill 1687, Engrossed Substitute House Bill 1960, House Bill 102, and Substitute House Bill 1. The Senate then adopted Senate Resolution 8684, which honored Washingtonians with ties to Team USA at the 2026 Olympic and Paralympic Winter Games in Milano-Cortina. Senator Riccelli spoke in support, praising the athletes’ determination and Washington connections. The resolution passed by voice vote. The Senate next considered gubernatorial appointments. Brian C. Bennett was confirmed 49-0 as Director of the Washington State Lottery, with Senator Lovick speaking in support and highlighting Bennett’s public service and transition-team work. Angela Ramirez was then confirmed 49-0 as Secretary of the Department of Social and Health Services, with Senators Claire Wilson and Christian praising her experience, commitment, and attention to human services issues. After the confirmations, the Senate stood at ease for caucuses.

Transcript Highlights:

• Khalif, Micah from the commission, and the Washington State Medical Association and the Latino Health Center
• for all working so hard. ...and the Latino Health Center for all working so hard since we adjourned
• We're not able to care for mothers that were ready to give birth to their next child.

Bills: SB5223, SB5993, SB5831, SB5928, SB6183, SB6071, SB5995, SB5966, SB5841, SB5840, SB6061, SB6058, SB5931, SB5944, SB5520, SB6011, SB6087, SB6076, SB5916, SB6016, SB5936, SB6137, SB5185, SB5956, SB6025, SB6009, SB5833, SB6161, SB6188, SB5890, SB5917, SB5820, SB5973, SJM8015, SB5816, SB6136, SB6091, SB6024

Keywords: criminal offense, fingerprinting, law enforcement, state regulations, public safety, medical debt, interest charges, consumer protection, healthcare, financial burden, mortgage modification, uniform regulations, homeowners, financial stability, foreclosure prevention, wildfire risk, disclosure, safety, environmental policy, risk assessment

Summary: The Senate opened with routine proceedings, including the roll call, approval of the previous day’s journal, referral of committee reports and gubernatorial appointments, and the removal of Senate Joint Memorial 8003 from the consent calendar to the regular calendar. The chamber also received and referred Engrossed Substitute House Bill 1604 to the Committee on Human Services, and later took up several gubernatorial confirmations. The Senate adopted Senate Resolution 8682 recognizing the YMCA’s 150th anniversary in Washington. Senators spoke in support, describing the YMCA’s role in child care, swim lessons, youth programs, civic engagement, camps, and community health, and guests from YMCA organizations were recognized on the floor. The Senate then confirmed Jeffrey P. Fairchild to the Whatcom Community College Board of Trustees, Randall V. Scott to the Lake Washington Institute of Technology Board of Trustees, and Anna M. Franklin to the Community Colleges of Spokane Board of Trustees, each by unanimous or near-unanimous roll call votes. The chamber also observed a moment of silence for the family of Representative Tom Dent after his wife suffered a stroke. After caucuses, the Senate returned to floor action on two major bills. Substitute Senate Bill 5185, creating a pilot pathway to physician licensure for international medical graduates, was advanced to final passage and approved 39-1. Engrossed Substitute Senate Bill 5993, lowering the interest rate on medical debt, drew extensive debate about affordability, charity care, and the impact on rural hospitals; amendments were considered, including one to make the bill prospective rather than retroactive, which was adopted, while a rural-hospital differential-rate amendment failed. The bill ultimately passed 29-19. The Senate then adjourned until Monday, February 9, 2026.

Transcript Highlights:

• to open a birth center in Boston.
• to open a birth center in Boston.
• centers, so that one day I could give birth to the neighborhood birth center in Roxbury.
• centers, so that one day I could give birth to the neighborhood birth center in Roxbury.
• and the safety in a birth center.

Keywords: 995, all

Summary: The committee held a public hearing with testimony on several health care bills, with most of the discussion focused on primary care access, community health center reimbursement, midwifery and birth centers, telehealth, hospital-at-home, direct primary care, and trans-inclusive health care access. Chair Feeney and Chair Murphy opened by noting the large number of signups and asking testifiers to keep remarks brief because of time constraints. Legislators and witnesses repeatedly emphasized that Massachusetts’ primary care system is under strain and that federal policy changes and reimbursement gaps are worsening financial pressure on providers. On community health centers, Representative Blay, Senator Lovely, Michael Curry, Bethany Keeley, Jag Deep Trevetti, Sean Cahill, and Christina Severin all supported H. 1096/S. 711, which would require commercial insurers to pay federally qualified health centers at least the MassHealth prospective payment system rate. They argued that commercial plans currently reimburse health centers below Medicaid rates, threatening sustainability, staffing, and access, especially as federal cuts and coverage losses could increase uncompensated care. Testifiers said the bill would stabilize health centers, protect primary care access, and not cost the state money. A second major topic was H. 1117/S. 784 on sustaining birth centers and the midwifery workforce. Senator Lovely, Senator Miranda, Emily Anesta, Rebecca Orden, Catherine Rushworth, Nishira Burrill, Joel Sutherland, Rachel Blessington, Joelle Ward, and others described the 2024 maternal health omnibus as an important first step, but said birth centers and midwives still face low reimbursement, workforce shortages, and financial instability. They urged reimbursement parity, a workforce development fund, and support for freestanding birth centers, citing improved outcomes, lower C-section rates, better patient experience, and racial equity in maternal health. Several speakers shared personal birth stories and said the bill would help preserve and expand birth options in communities like Roxbury, Worcester, and the North Shore. The committee also heard support for H. 1343 on direct primary care from Dr. Garofalo, Dr. Altman, Dr. Nair, Stephanie Cameron, Dr. Haley Moke-Blessed, and others, who said current insurance rules force patients to use a separate in-network primary care doctor for referrals and sometimes prevent physicians from dispensing medications. They argued the bill would reduce delays, administrative burden, and costs while improving continuity of care. In addition, Dr. Miklides and Sue Stempeck supported H. 1141 on hospital-at-home parity, saying the model has strong outcomes and should be reimbursed at the same rate as brick-and-mortar hospital care. Heather Myers and Katrina Cook testified on telehealth and digital health equity, urging broader coverage for asynchronous care, remote monitoring, interpreter services, and digital literacy supports. SEIU Local 509 supported H. 1188/S. 681 on trans-inclusive health care access, saying it would remove arbitrary insurance barriers to gender-affirming care. No votes or committee actions were taken during the hearing.

Bills: HB145, HB279, HB292, SB35, HJM1, HM7, HM4, HM22, HM23, HM24, HM26, HM32, HM51, HM1, HM39, HM29, HM43, HM30, HM52, HM64, HM65, HM66, HM11, HM14, HM21, HM34, HM50, HM17, HM46, HM13, HM20, HM54, HM31, HM35, HM36, HM59, HM2, HM16, HM47, HM53

Keywords: high-wage jobs, tax credit, job creation, New Mexico, economic development, healthcare privacy, electronic medical records, reproductive health, gender-affirming care, data protection, location tracking, confidentiality, sexual abuse, prison safety, correctional facilities, inmate rights, investigation procedures, judgeship, judiciary, court system

Transcript Highlights:

• specifically, but what kind of outreach do we have not only with our schools, but also with our science centers
• So that's what they like, you know, and now she's working at a surgery center at a veterinarian clinic
• , surgery center place.

Bills: HB145, HB279, HB292, SB35, HJM1, HM7, HM4, HM22, HM23, HM24, HM26, HM32, HM51, HM1, HM39, HM29, HM43, HM30, HM52, HM64, HM65, HM66, HM11, HM14, HM21, HM34, HM50, HM17, HM46, HM13, HM20, HM54, HM31, HM35, HM36, HM59, HM2, HM16, HM47, HM53

Keywords: high-wage jobs, tax credit, job creation, New Mexico, economic development, healthcare privacy, electronic medical records, reproductive health, gender-affirming care, data protection, location tracking, confidentiality, sexual abuse, prison safety, correctional facilities, inmate rights, investigation procedures, judgeship, judiciary, court system

Summary: The House met on the final day of session with quorum present and spent much of the morning and afternoon on announcements, expressions of gratitude, and ceremonial business. Members repeatedly thanked committee staff, leadership, clerks, security, sergeants-at-arms, analysts, and family members for their work during the session. The Speaker also recognized committee chairs, vice chairs, and ranking members, and reflected on the importance of committee leadership and the personal perspective gained during the session. The chamber took up several memorials. House Memorial 4, requesting an LFC study on expanding health insurance access for public higher education educators and graduate student employees, passed 36-23 after debate over whether the study should focus on expansion and affordability. House Memorial 30, directing a study of public education governance and the possibility of a statewide education commission, passed 57-0. House Memorial 24, calling for a study of the possible consequences of restructuring the Las Vegas land grant, passed 60-0. House Memorial 26, a Wild Friends memorial about insects and an interagency workshop on insect identification, ecology, and habitat protection, passed after extensive supportive debate from members who emphasized science education, pollinators, and ecological balance. The House also approved a large consent calendar of memorials by a 55-0 vote, then cleared additional ceremonial memorials from the Speaker’s table, including New Mexico Food and Farms Day, International Year of the Woman Farmer, Lincoln County Day, New Mexico TRIO programs, and New Mexico Speech-Language-Hearing Association Day, which also passed 55-0. The chamber received a Senate message concurring in House amendments to Senate Finance Committee substitute for Senate Bill 273, as amended. The House then stood in recess subject to the call of the Chair while awaiting any further Senate messages and final adjournment business.

Transcript Highlights:

• Birth Center on Grand Avenue in St. Paul Birth Center on Grand Avenue in St.
• In Minnesota, birth center is.
• </c> of birth centers. of birth centers.
• </c><00:23:04.400><c> It's</c> birth centers are paid less. It's birth centers are paid less.
• </c> actually transferred to a birth center. actually transferred to a birth center.

Keywords: 1187, senate, all

Transcript Highlights:

• deaths per 100,000 births.
• impacts on breastfeeding, preterm birth, and low birth weight outcomes.
• The plan centers partners implementing perinatal health services to Black birthing people and promotes
• First, centering the voices and lived experiences of women and birthing people in maternal health policy
• I think it goes with the theme of just centering the voices of those who experience this, all birthing

Summary: The hearing of the Select Committee on Latina Inequities opened with remarks framing the discussion around reproductive and maternal health disparities affecting Latina, Black, and Indigenous women in California. Members emphasized the need to connect state data with lived experience, and the committee heard historical context on coercive sterilization, language access, and the ways immigration status, poverty, and racism continue to shape reproductive health care. The first panel featured Clarissa Ramirez of California Latinas for Reproductive Justice, Sophia Pedrosa of Planned Parenthood Affiliates of California, and Kim Robinson of Black Women for Wellness, who described reproductive justice principles, the legacy of eugenics and forced sterilization, community education efforts, promotoras, and the importance of culturally and linguistically responsive care. They also raised concerns about federal funding cuts, fear related to ICE and public charge, and the loss of education and outreach programs that support patients and families. The second part of the hearing focused on maternal health. Matt Green of the California Department of Public Health described persistent racial disparities, including Black birthing people being three to four times more likely to die from pregnancy-related causes than white women, and outlined state efforts such as the Black Infant Health Program, the Perinatal Equity Initiative, the Centering Black Mothers in California report, and a new Black birth equity action plan. Chris Esgera of the Department of Health Care Services explained the state’s birthing care pathway, postpartum care pathway, and Transforming Maternal Health model, including policy changes to support doulas, community health workers, transitional care, and postpartum coverage. He said the department is working through policy updates and payment reforms, with Medi-Cal coverage for pregnant people and 12 months postpartum remaining protected. The final panel included Dr. Nicole Economo and Dr. Kelly McHugh of ACOG, who discussed provider education, anti-racism and implicit bias training, and the need for quality improvement projects focused on closing equity gaps at individual hospitals. They highlighted tools such as the CLEAR Initiative, the Elevate Toolkit, and use of CMQCC data to track outcomes by race and ethnicity. Across the hearing, members repeatedly stressed that community-led solutions, sustained funding, better data, and accountability are needed to reduce preventable maternal deaths and improve reproductive health outcomes. No formal votes or bill actions were taken during the hearing, though several policy priorities and ongoing legislative efforts were referenced for future consideration.

Transcript Highlights:

• impacts on breastfeeding, preterm birth, and low birth weight outcomes.
• impacts on breastfeeding, preterm birth, and low birth weight outcomes.
• The plan centers partners implementing perinatal health services for Black birthing people and promotes
• Starting off with centering the voices and lived experiences of women and birthing people in maternal
• I think it goes with the theme of just centering the voices of those who experience this, all birthing

Keywords: 988, house, all

Transcript Highlights:

• Alternative birthing centers provide maternity care for birthing people, specializing in childbirth,
• Alternative birth centers provide excellent outcomes for birthing people and infants, including reduced
• Furthermore, birth center owners who intend to serve Medi-Cal patients report that the CPS Birth center
• Alternative birthing centers provide maternity care for birthing people, specializing in childbirth,
• birth centers.

Summary: The Assembly Health Committee met on April 8 and heard a long series of bills, beginning with AB 54 on medication abortion access. The author and supporters, including the Attorney General’s office and reproductive justice advocates, said the bill would protect California’s medication abortion supply chain and shield providers and manufacturers from civil, criminal, and professional liability. Opponents from the California Family Council argued the bill removes safeguards and increases risks. The bill was moved forward on a committee motion. The committee then heard several reproductive and public health measures, including AB 551 to create a pilot program supporting emergency departments in providing reproductive health services, AB 260 to protect medication abortion access and telehealth, AB 309 to remove sunset dates on laws allowing pharmacy syringe sales and lawful possession of sterile syringes, AB 536 to preserve colorectal cancer screening coverage if federal guidelines are challenged, AB 804 to make housing support services a Medi-Cal benefit, AB 594 to address student health insurance billing and transparency, AB 836 to study and expand the midwifery workforce, AB 1418 to collect data on health coverage for eligible employees, and AB 1500 to maintain and expand the abortion.ca.gov information site. Supporters emphasized access, preventive care, workforce shortages, and public health benefits, while opponents raised concerns about abortion, syringe distribution, and the focus of state resources. Most measures were advanced by committee vote, with roll calls showing broad support and a few no votes from members on some bills. The final bill discussed in the transcript was AB 1037, which would update substance use disorder laws to reflect evidence-based, harm-reduction approaches and remove barriers to treatment. The author and supporters described it as a compassionate response to overdose and treatment access problems, while law enforcement opposition argued it would encourage drug use and endanger communities. The transcript cuts off during testimony on AB 1037, so no final committee action on that bill is shown in the provided text.

Transcript Highlights:

• in home birth settings due to the continued absence of a freestanding birth center in the city.
• birth centers in Massachusetts.
• I'm also the associate director of the Neighborhood Birth Center, and our executive director will be
• I'm the executive director of Neighborhood Birth Center.
• Neighborhood Birth Center is poised to open our first...

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a lengthy public hearing with testimony on a wide range of health insurance and access-to-care bills. Early testimony focused on prescription drug pricing and pharmacy reimbursement, with supporters of H. 1326 arguing that pharmacy benefit managers and MassHealth managed care arrangements reimburse independent pharmacies too little, contributing to pharmacy closures and “pharmacy deserts.” The committee also heard repeated support for H. 1151/S. 742 on cognitive rehabilitation for acquired brain injury, H. 1288/S. 716 on telehealth parity for nutrition counseling, H. 1309/S. 761 on full-spectrum pregnancy care without cost-sharing, H. 1312 on insurance coverage for doula services, H. 309 on prompt access to health care by removing deductibles for certain services, H. 809/H. 1227 on biomarker testing, H. 1162/S. 810 on reducing inequities in access to medical procedures by limiting insurer cuts tied to Modifier 25, and S. 726 on insurance coverage for mobile integrated health. Testifiers included legislators, physicians, pharmacists, dietitians, emergency and rehabilitation clinicians, and patients and family members. Supporters of the brain injury bill said cognitive rehabilitation is medically necessary, improves long-term outcomes, and can reduce institutional care and public costs; they noted the bill has been heard repeatedly and has support from the Brain Injury Commission and prior favorable committee action. Supporters of the pregnancy care and doula bills described out-of-pocket costs as a barrier to maternal health and shared personal stories of high bills and unmet support needs. Biomarker testing advocates and cancer patients said coverage gaps deny patients access to precision treatment, can lead to avoidable suffering, and should be standardized across insurers; several speakers said insurers often deny claims despite clinical benefit. Dermatology witnesses said insurers’ use of Modifier 25 cuts reimbursement for same-day evaluation and procedure visits, forcing separate appointments and increasing patient burden. Mobile integrated health supporters described home-based care as a way to reduce emergency department use and hospital readmissions, especially for patients with transportation or mobility barriers. No votes or formal committee actions were taken during the hearing itself.

Transcript Highlights:

• statutes related to birth center licensure to create these advanced birth centers.
• centers because we already license birth centers.
• Advanced birthing centers.
• So we didn't have advanced birth centers, but we had birth centers.
• We have not spoken to advanced birth centers at this point. No, birth centers.

Summary: The Senate Health Policy Committee received updates from the Agency for Health Care Administration and the Department of Health on implementation of 2024 health care laws. AHCA reviewed progress on workforce and reimbursement measures in Senate Bill 7016 and related bills, including FRAME and TEACH funding, graduate medical education reporting, behavioral health teaching hospitals, acute hospital care at home, advanced birth centers, non-emergent care access plans, and rural emergency hospitals. Agency officials said several programs are already operational or have begun payments, while others are still in rulemaking, federal approval, or report-preparation stages. Senators asked about timing, funding reversion concerns, and whether appropriated dollars would be spent on schedule, especially for behavioral health teaching hospitals and the new birth center category. The Department of Health then reported on practitioner licensure and public health programs. MQA described implementation of the Interstate Medical Licensure Compact, the Mobile Act licensure pathway, massage therapy enforcement changes, background screening expansion, liposuction safety requirements, pharmacist HIV post-exposure prophylaxis authority, and chiropractic dry needling. Public health staff updated the committee on FRAME and dental loan repayment, the Sinati screening grant program, the cancer research and innovation changes, the health care innovation council and loan program, the pediatric rare disease grant program, telehealth maternity care expansion, newborn screening for congenital CMV, the sickle cell registry and grants, and the swimming lesson voucher program. Members focused questions on how practitioners were being recruited to underserved areas, the pace of licensure approvals, and whether new programs were on track to use appropriated funds. The committee also heard a lengthy update from the Office of Medical Marijuana Use. The director reported more than 900,000 qualified patients, real-time seed-to-sale tracking now integrated across most dispensaries and labs, and ongoing compliance work on product testing, advertising, diversion, and patient safety. Senators questioned the decline in qualified physicians, how THC potency is labeled and verified, and what the agency can do about diversion to non-patients. The director said the office relies on complaints, inspections, lab audits, and coordination with law enforcement, and that patients can be suspended if violations are confirmed.

Transcript Highlights:

• For example, I lost my job at Willow Birth Center in Minneapolis, a busy birth center, at the end of
• Is it by home birth, birth centers, hospitals?
• Is it by home birth, birth centers, hospitals?
• Is it by home birth, birth centers, hospitals?
• Is it by home birth, birth centers, hospitals?

Keywords: 1187, senate, all

Transcript Highlights:

• ADVANCED BIRTH CENTERS.
• AN ONLINE LICENSING ACCOUNT FOR ADVANCED BIRTH CENTERS BECAUSE WE ALREADY HAVE LICENSED BIRTH CENTERS
• ADVANCED BIRTHING CENTERS.
• WE DIDN'T HAVE ADVANCED BIRTH CENTERS BUT WE HAD BIRTH CENTERS.
• BIRTH CENTERS AT THIS POINT.

Keywords: 999, senate, all

Transcript Highlights:

• My understanding is usually when there's a home birth and even in some of our birthing centers, they
• My understanding is usually when there's a home birth and even in some of our birthing centers, they
• This is asking and requiring birthing centers and others outside the hospital to refer. ...centers and
• But I'm interpreting this as asking or requiring outside births at birthing centers and other places
• to make... ...outside births at birthing centers and other places to make referrals.

Keywords: 989, all

Transcript Highlights:

• My understanding is usually when there's a home birth and even in some of our birthing centers, they
• birthing centers, they actually don't even have the equipment.
• My understanding is usually when there's a home birth and even in some of our birthing centers, they
• This is asking and requiring birthing centers and others outside the hospital to refer. ...centers and
• But I'm interpreting this as asking or requiring outside births at birthing centers and other places

Summary: The Health and Welfare Committee approved the March 12 and March 20 minutes, then took up House Bill 864, a drug scheduling bill. Members discussed whether to move it to the floor without recommendation or hold it for a date certain while a related Senate bill continued moving. Supporters of holding the bill said they wanted both bills available for committee review and amendments, while others wanted it advanced to preserve options. The motion to send HB 864 to the floor without recommendation failed on a 6-10 roll call, and the committee instead voted to hold HB 864 in committee until March 27. The committee then heard Senate Bill 1294 as amended, which would require newborn hearing-loss screening or referral for infants born outside hospitals, including births in birthing centers and other attended out-of-hospital settings. Representative Healy said the bill closes a gap in newborn screening and allows parents to decline, while supporters cited early intervention benefits and personal experiences with delayed diagnosis. Testimony from Lisa Coleman and several members emphasized that missed screenings can lead to language deprivation and costly long-term impacts, and that many out-of-hospital births currently are not screened. Some members raised concerns that the bill’s “shall” language sounded mandatory and could burden parents or providers, while others said it regulates providers and still preserves parental opt-out rights. Questions also focused on reporting results to the Idaho Early Intervention and Special Education/Deaf and Blind program and the bill’s federal funding contingency. The committee ultimately approved SB 1294 as amended on a 9-7 roll call and sent it to the floor with a do pass recommendation. The committee then adjourned and announced it would not meet the next day.

Transcript Highlights:

• freestanding birth center in North Minneapolis.
• Roots is one of very few Black-owned birth centers in the United States.
• freestanding birth center in North Minneapolis.
• Roots is one of very few Black-owned birth centers in the United States.
• ><c> places</c> Lee birthing center and different places Lee birthing center and different places are

Keywords: 1187, senate, all

Transcript Highlights:

• Birth mothers always have a choice.
• In 2002, I met my son's birth mother.
• I'm here as a birth mother.
• Yes, the 48 hours gives the birth mother that time to process her decision, but I promise you most birth
• But I'm also a caseworker with birth moms, and so you've heard from birth moms today, and they're the

Bills: HB163, HB216, HB721, HB2035, HB2038, HB3057, HB3153, HB3233, HB3595, HB3801, HB3812, HB4076, HB4129, HB4377, HB4535, HB4666, HB4730, HB4743, HB4903, HB5149, HB5155, HB1534

Keywords: epinephrine, healthcare, emergency response, administration, medical policy, health care, itemized billing, patient rights, provider regulations, Texas Health and Safety Code, cost disclosure, insurance, benefit plan, administrators, chemical dependency, treatment facilities, minor admissions, parental notice, mental health, medical licensing

Summary: The committee met without a quorum at first, then established a quorum with five members present. Members heard and left pending several House bills, including HB 4743 on allowing hospitals to license mobile stroke units under a hospital license, HB 4129 on earlier DFPS enforcement tools for single-source continuum contractors in community-based foster care, HB 4903 creating a Quad Agency Child Care Initiative to coordinate child care regulations across state agencies, HB 3812 revising the gold card/prior authorization process for physicians, HB 4535 requiring written informed consent before COVID-19 vaccination and a standardized state information sheet, and HB 4666 reducing the frequency of some HHSC reports to the legislature. The chair also noted HB 35 would be voted on later after a subcommittee back was received, and that a large number of bills would be heard the next day. Most of the testimony focused on HB 4535 and HB 4730. On HB 4535, supporters argued the bill would strengthen informed consent for COVID vaccination by requiring written consent and clearer state-level information about risks, manufacturer liability protections, and adverse-event reporting; opponents, including a pediatrician and medical groups, said existing federal and state informed-consent materials already cover these topics and warned the bill could create duplicative paperwork and penalties. On HB 3812, the Texas Medical Association supported changes that would extend the gold-card evaluation period to one year, raise transparency, and make prior authorization exemptions easier to administer, while health plans said they were neutral and viewed the bill as a balance between reducing burden and preventing fraud or unsafe care. HB 4730 drew extensive testimony from adoption professionals, birth mothers, adoptive parents, and child welfare advocates. The bill would require DFPS to create a relinquishment form, train child-placing agency staff, and extend the minimum waiting period for voluntary relinquishment from 48 hours to seven days. Supporters of the current law argued the 48-hour period aligns with hospital discharge, allows informed decisions, and helps birth parents and adoptive families begin healing and bonding without pushing children into foster care or creating legal and Medicaid complications. The author said the bill would be revised and that the seven-day provision was a work in progress. No votes were taken on the bills during the meeting; each bill was left pending after public testimony closed.

Transcript Highlights:

• Center, a nationally recognized freestanding birth center located in North Minneapolis and one of the
• very few Black-owned birth centers in the United States.
• Center, a nationally recognized freestanding birth center located in North Minneapolis and one of the
• very few Black-owned birth centers in the United States.
• very few Black-owned birth centers in the United States.

Keywords: 1183, house

Transcript Highlights:

• We're going to get a birth center in the city of Boston, and it's going to be in Roxbury.
• And we now have this new law passed, and we're going to have birthing centers.
• If we could have maybe, as we go forward and the birthing centers become closer to being in commission
• Similarly, we talked about the closing of the birthing centers that are happening.
• We talked about the closing of the birthing centers that are happening in places across the Commonwealth

Keywords: 995, all

Summary: The commission met to reopen its work for the year, with roll call and attendance confirmations followed by remarks from the co-chairs and members. Senator Liz Miranda stepped down as co-chair, citing multiple responsibilities and personal losses, and Senator Adam Gomez was welcomed as the new Senate co-chair. Gomez said he would listen and learn from commissioners and advocates, and both outgoing and incoming leaders emphasized continuing the commission’s work on maternal health, postpartum depression, and equity. Members discussed several current policy and implementation issues. The Department of Public Health reported a new regulation to implement the 2024 midwifery access law, including temporary licenses for licensed certified professional midwives. Commissioners also raised concerns about birthing hospital and inpatient obstetric unit closures, OB-GYN workforce shortages, reimbursement changes, and the need to expand midwifery, doula, and birth center capacity. Other topics included substance use and perinatal mental health supports, the limited $220,000 appropriation for community-based perinatal mental health organizations, and the need for stronger funding in the budget to implement the maternal health law. The commission also focused on future priorities and information sharing. Members suggested more presentations from clinicians, regulators, infant and early childhood mental health experts, and PSI of Massachusetts; greater attention to parent-child relational health and postpartum screening in pediatric settings; and possible commission action such as a letter to the governor on workforce and access issues. The group agreed that there was not enough time to plan a May event and instead would use the commission to publicize related events, including Black Maternal Health Week activities. Commissioners voted to create a biweekly digest for sharing updates, with urgent items to be sent by email, and then adjourned the meeting.