Transcript Highlights:

• Until I got billed, I had no idea they were third-party managed.
• And then they manage those, right?
• In conducting the study, the workgroup will be tasked with evaluating the...
• They would be the managing authority.
• This would be a study.

Bills: HCR7, HB1557, HB1608, HB2061, HB2201, HB2210, HB2426, HB2754, HJR165, HB2513, HCR7

Keywords: Veterans of Foreign Wars, veterans, commemoration, military service, recognition, September 29, waiver programs, toll roads, discount programs, transportation, affordable housing, land bank program, low-income households, Texas State Affordable Housing Corporation, HB 2061, Texas Transportation Code, Chapter 225, State Highway 242, Interstate Highway 69, Montgomery County

Transcript Highlights:

• It requires that the department to adopt the best management practices which will guide how and where
• Thank you very much, Representative V suit for filing this legislation.
• They hire engineers to perform studies, they hire wildlife biologists to perform studies, and then the
• Um, would be really to do an interim study.
• Uh, we, we had legislation, well, we're not supposed to talk about other legislation.

Transcript Highlights:

• And the focus is on this climate cost study.
• So that's very easy to manage.
• I'm the legislative manager with the statewide grassroots climate network 350 Mass and a co-lead of the
• Those challenging that legislation face a high bar, and that legislation is reviewed under what's called
• Most obvious, of course, is the original Superfund legislation of... ...environmental legislation.

Keywords: 995, all

Summary: The committee hearing focused on a broad set of climate, energy, and environmental justice proposals. Early testimony strongly supported the Climate Change Superfund or “Polluter Pays” bill (H.1014/S.58), which would assess the largest fossil fuel emitters for a one-time fee based on historic emissions to fund climate adaptation. Sponsors argued the bill is modeled on Superfund cleanup principles, would target only the largest multinational polluters, would not be passed on to consumers, and would direct a significant share of funds to environmental justice communities. Committee members asked about the number of companies covered, consumer impacts, and whether the bill would address other forms of environmental destruction; sponsors said it was limited to major fossil fuel companies with a Massachusetts footprint and did not cover other pollution sources. The committee also heard testimony on a fusion energy compact proposal (S.673) that would direct the administration to develop a framework for a New England regional compact to accelerate fusion research, workforce development, and supply-chain growth. Supporters from MIT and the Association of Independent Colleges and Universities said fusion could become a major clean-energy and economic opportunity, but acknowledged the technology is not yet commercially viable and still has unresolved technical, cost, and waste-management questions. Members pressed on environmental impacts, siting, waste, costs, and whether the bill would create a compact or only a framework; sponsors said it would only create the framework and that the administration would need to negotiate with other states. Another major topic was a pilot program for nature-based climate solutions (H.971/S.??), backed by legislators, Boston Harbor Now, and UMass Boston’s Stone Living Lab. Witnesses said the bill would help speed permits for research and demonstration projects such as living shorelines, marsh restoration, and hybrid “green-to-gray” flood protections, while maintaining safeguards and protecting Indigenous and historic resources. Committee members asked how the proposal would interact with other permitting reforms and whether it could conflict with housing or wetland-related streamlining; supporters said it was complementary and aimed at making projects faster, more affordable, and more data-driven. The hearing also covered climate-safe buildings and climate adaptation funding bills. Supporters of H.1004/S.583 said current building codes do not adequately account for future flooding, heat, and wind, and the bill would add climate expertise to the building board, allow stretch resilience codes, expand floodplain standards, and create a retrofit program. Related testimony backed H.938/S.572, which would create a dedicated climate and community resilience fund financed by a small fee on property insurance premiums; advocates said it would provide stable long-term revenue for adaptation, especially in environmental justice communities, and help replace unreliable federal funding. One witness from CLF supported the climate-safe buildings and funding bills but opposed S.560/H.939 as too broad. The committee also heard testimony on airport air-quality legislation (H.997) calling for more monitoring and mitigation of ultra-fine particulate pollution around Logan Airport and Massport communities. No votes were taken during the hearing.

Transcript Highlights:

• It's... ...about asking for a study of Plan 3.
• It could be more than just one-year study.
• You know, other ways of managing health care.
• Because, if I understand some of these studies, even though we have a long time to do these studies,
• Okay, that's why these studies.

Keywords: 904, all

Summary: The committee began by approving the November minutes on a roll-call vote, with a majority of members voting aye and the minutes adopted. Staff then provided updates on pending pension-related litigation, including Fowler et al. v. Leathers, where cross-motions for summary judgment were scheduled for May 1, and Dolan v. King County, where the court ruled against the state’s position on reimbursement of attorney’s fees but did not award fees against the state. The actuary also previewed upcoming presentations on OSA’s annual update and the June actuarial valuation and contribution rates, which will reflect updated demographic assumptions. A substantial portion of the meeting focused on the interim work plan and possible study topics. Members discussed a potential study of Plan 3, including how it compares with Plan 2, retirement ages, benefit adequacy, and whether the plan is meeting its original purpose. Staff agreed to work with DRS on a study outline and bring back a proposal. Members also raised the ongoing COLA issue, noting interest from retiree groups and the need to develop a recommendation for the next budget cycle, likely by October or November. Another major topic was LEOFF 1 disability/medical boards; staff said they are still gathering basic information on how many boards exist, who administers them, and what they cost, and suggested separate briefings on House Bill 2034, LEOFF 1 governance, and the medical study. The committee also reviewed constituent correspondence, which included requests related to Plan 1 COLAs, a Plan 3 study, teacher retirement age, and a missed early retirement factor. Staff explained that correspondence procedures are being revised for cybersecurity and privacy reasons, and future public correspondence may be handled differently. The committee approved the draft May agenda, which will include the OPMA refresher, OSA’s annual update, the LEOFF 1 medical board study update, a Plan 2/Plan 3 study outline, an overview of House Bill 2034, and a correspondence update. The meeting then adjourned without further business.

Transcript Highlights:

• So I'm looking for the right entity to do some studying and research on our managed care organizations
• For just a simple study.
• I got to vote against this, but this is a study. I just want them to study it. But this is a study.
• I just want them to study it.
• we do a lot of studies.

Bills: SB57, SB405, HB62, HB193, HB203, HB222, HB246, HB420, HB475, HB486, HB574, HB584, HB815, HB949, HB1092, HB1214

Keywords: SB 57, Act 735, Act 463, nutrition, public health, food additives, artificial colors, banned chemicals, ingredient labeling, food labeling, FDA, food and beverage regulation, consumer disclosure, school nutrition, Louisiana Revised Statutes Title 40, Louisiana Revised Statutes Title 17, food manufacturers, food retailers, compliance, effective date delay

Transcript Highlights:

• So would our intent be then that we would study, or that we'd have this study look at, all compensation
• So during the 25-26 interim, legislative management shall consider studying classified state employee
• So during the 25-26 interim, legislative management shall consider studying classified state employee
• So we also studied that kind of thing, but that's a much, much more in-depth study than, I mean, that's
• But I think that's part of the study.

Keywords: 908, all

Summary: The State and Local Government Committee met to reconsider and amend House Bill 1165, which dealt with petition circulation requirements and ballot receipt rules. The committee walked through technical changes requested by the Secretary of State’s office, including moving petition-title language, adding a 15-business-day submission deadline for petition packets, and revising language related to mailed absentee ballots and the presidential executive order requiring ballots to be received by election day rather than merely postmarked. The State Election Director explained that the change was intended to provide clarity and consistency for voters and election officials, while Senator Braunberger objected that it was an unnecessary reaction to an executive order that could be challenged. The committee adopted the amendment 5-1 and then passed the bill as amended on a 5-1 vote, with Senator Braunberger voting no. The committee then took up House Bill 1307, which concerned election authority, home rule powers, and related city and county petition/signature provisions. After questions from members and clarification from the Deputy Secretary of State and a League of Cities representative, the committee agreed the amendment was intended to preserve city petition power and align the bill with changes made in another election bill, while also addressing park district language. The amendment was adopted 6-0, and the bill was passed as amended 6-0. Senator Castaneda was designated as the carrier. Finally, the committee discussed House Bill 1580, a study bill on state employee compensation. Members used language from an earlier draft tied to health plan changes and broadened it to study total rewards compensation, including pay grades, classifications, comparisons among state employees across departments and with similar private-sector jobs, equity funding and bonuses, prevailing wages on state projects, and the impact of changes to health plan benefits and premium structures. The committee agreed to make the language more generic and adopted the amendment 6-0, then passed the bill as amended 6-0. House Bill 1601 was not acted on and was held until after floor session so members could continue discussions and await additional input.

Transcript Highlights:

• They are further charged with conducting an interim study.
• ...to get a social studies teacher?
• No, if you want to legislate support, support's easy.
• , but managing it so that it is useful?
• studies, Common Core, no arts, music, crafts, no social studies, or civics.

Keywords: 909, all

Transcript Highlights:

• <00:11:55.200> It legislation doesn't say the 30th. It legislation doesn't say the 30th.
• with him this morning, if interim study with him this morning, if interim study um<00:20:45.520>
• expedient to legislate. expedient to legislate. >> Thank<01:22:18.960> you.
• So we put the list of material there, study material, recommended study material.
• to interim study.

Keywords: 1189, house, all

Transcript Highlights:

• And then we also have a jail management system, which is a case management system.
• The study was completed in 2020. An interim study was requested at that time.
• Is that in the study? I'm sorry to interrupt. Is that in the study that's being looked at? Mr.
• Chairman, no, that is not part of the study.
• Do they contact the emergency manager?

Summary: The committee met to review the Attorney General’s budget and related agency operations, beginning with Legislative Council staff walking members through compliance reports and a blue-sheet base budget document. Staff highlighted current-biennium items such as FTE changes, one-time appropriations, litigation funding, opioid settlement receipts, continuing appropriations, and major special and federal funds. Members asked for clarification on items including the Missing Indigenous People Grant Fund, the Internet Crimes Investigation Fund, and the Medicaid Fraud Control Unit grant funding. Assistant Attorney General Clare Ness then gave an overview of the office’s structure, staffing, and budget pressures. She emphasized the office’s broad statutory duties, the value of its legal services to state and local government, and concerns about attorney pay lagging behind other agencies. Members discussed whether attorney compensation should be benchmarked more consistently across state government and whether some legal work could be consolidated within the AG’s office. Ness also addressed questions about AG opinion turnaround times, boards-and-commissions training, the new-and-vacant FTE pool, operating expense cuts, office leases, and the state’s criminal justice information systems. The crime lab presentation drew significant attention. Director Jennifer Penner described severe space, safety, and infrastructure problems at the current lab, including cramped work areas, glycol leaks, outdated fire and burglar alarms, air-handling limits, and equipment failures that have delayed toxicology work. She said the 2024 study projected a much larger facility would be needed and that the preferred location would be near the current health department site, but in a new building. Members asked about possible evidence risks, backlog status, and whether the proposed building would solve the current problems; Penner said it would and noted backlogs have improved overall, though some delays remain. The committee also heard from the new Medicaid Fraud Control Unit director, who described the unit’s civil and criminal work, federal-state funding split, and examples of fraud such as billing for services not provided or upcoding. The gaming division reported continued growth in charitable gaming and e-tabs, with members expressing concern about large trust-account balances, site competition, and possible misuse of proceeds. Finally, BCI outlined its caseload, cybercrime work, missing Indigenous persons task force, and the surge in CSAM cyber tips; members asked about AI-generated CSAM, and the AG’s office noted that last session’s law increased penalties and expressly allowed AI-generated CSAM to be prosecuted like other CSAM. No formal votes or actions were taken beyond approval of the minutes.

Transcript Highlights:

• Impact study is let me start of SB 936, automation impact.
• Study is a study to evaluate the effects of artificial intelligence robotics and automation.
• The recent update to the statewide regional evacuation studies which helps county emergency management
• And there's a lot of great things in this proposed legislation.
• So I feel this legislation is a step in the wrong direction.

Keywords: 999, senate, all

Transcript Highlights:

• ,<00:04:48.240> and<00:04:48.479> other experience studies, and other experience studies
• legislative cost analysis. legislative cost analysis.
• the legislative leazison for the MSRS. the legislative leazison for the MSRS.
• legislative initiatives for this year. legislative initiatives for this year.
• staff put together legislative staff put together legislative principles<01:05:15.119> kind

Keywords: 1187, senate, all

Transcript Highlights:

• “Just to clarify, this is the rate study that was...”
• “This is the rate study that was a piece of legislation that went through, remember, and it’s for specific
• “So will that rate study that was, that the numbers that that rate study produced, is that going to address
• Do you have a study out there? Is that part of a rate study somewhere, or what?” “No, sir.
• Thank you. that the same day that the settlement was signed for Zachary, a manager, managing nurse, made

Summary: The Joint State Agencies committee met to approve the October 8, 2025 minutes and then held an extended hearing on the death of Zachary Moore at the Southeast Arkansas Human Development Center. DHS officials Lori McDonald, Jennifer Brise, and Melissa Weatherton described the HDC system, staffing and resident needs, and said Moore died after being held in a prone restraint for about 13 minutes, followed by a delayed chemical restraint and delayed CPR. They said the family settled a wrongful death claim for $725,000, 13 staff were terminated, the facility leadership was changed, and at least five staff had been criminally charged, with the death certificate later described as homicide and the cause of death as physiologic stress associated with struggle and prone restraint. Members pressed DHS on why the family was not kept informed, whether there was a written restraint protocol, how staff are trained, and why the agency did not have more complete information ready for the hearing. DHS said staff receive CPI restraint training, annual restraint training is mandatory, and a consultant is reviewing policies, retraining staff, and conducting a root cause analysis under a directed plan of correction from the Office of Long-Term Care. Legislators also raised broader concerns about low pay, staffing shortages, use of float and contract staff, and a waiting list of about 2,000 people for home- and community-based care. DHS said it is working on a retention and recruitment plan and a rate report for certain PASS services, but that the PASS rate study does not cover CNA pay. Several members said the incident reflected both a failure of restraint practice and a broader staffing and oversight problem. DHS acknowledged that prone restraint should not have been used, that the chemical restraint was given at the wrong time, and that multiple breakdowns occurred in supervision, communication, and equipment use. The committee also discussed whether there should be more regular independent audits of HDC policies, and DHS said it does not currently have a separate annual policy audit beyond existing oversight. At the end of the meeting, the committee asked DHS to keep it updated on recruitment, consultant reports, and to contact Moore’s mother about the communication she had been promised. The meeting adjourned without any additional formal action beyond approving the minutes.

Transcript Highlights:

• ><01:18:28.000> backbone uh waiver case managers are the backbone uh waiver case managers are
• waiver case management case management waiver case management rates<01:19:39.080> have<01:19:
• us reimbursement for case management us reimbursement for case management comes<01:24:52.239>
• solution allowing waiver case managers solution allowing waiver case managers who<01:42:05.080><
• with disabilities while also managing with disabilities while also managing the<01:46:37.920>

Keywords: 1187, senate, all

Transcript Highlights:

• Acknowledge and introduce a couple of Legislative Management members that have joined us: Senator Sorvaag
• Legislative Management.
• Legislative members are appointed by the Chair of Legislative Management.
• We've been getting a lot of information, as you recall, from our charge, from legislative management.
• We've been getting a lot of information, as you recall, from our charge from legislative management as

Keywords: 908, all

Summary: The committee first reviewed the 2024-25 tuition waiver report for the North Dakota University System. Staff explained that waivers were reported for degree-seeking students and broken out by residency, institution, and waiver type. Members asked about partial versus full waivers, institutional discretion, athletic waivers, and whether campuses have published guardrails or transparency requirements. Staff said most waivers are set by institutions, with some statutory and board-required categories, and that athletic waivers are a small share of total waiver dollars. The report showed total gross tuition of $354.5 million, tuition waived of $38.9 million, and 11,193 of 42,040 students receiving some waiver. Members also discussed how waivers affect net tuition revenue, housing and food collections, and whether campuses are using waivers strategically compared with scholarships and other funding sources. The committee then heard a presentation on tuition rates by campus and State Board policy. Staff explained the board’s tuition factors for resident, Minnesota reciprocity, contiguous-state/U.S. nonresident, and international students, and noted that campuses often seek exceptions based on program-specific competition and enrollment goals. Members asked whether rates are based on cost or competition, and staff said campuses typically bring forward estimates and market comparisons when requesting special rates. The presentation also reviewed general fund appropriations versus net tuition revenue by campus, and members discussed how local tuition decisions and waivers do not directly affect the state funding formula, though they do affect institutional revenue and reserves. Questions were also raised about the Higher Learning Commission’s financial composite indicator and how it differs from the more intuitive reserve and revenue figures. The committee next received a broad overview of non-higher-education entities affiliated with the State Board of Higher Education, beginning with NDSU agriculture-related units. Dr. Greg Lardy described the State Board of Agricultural Research and Education, the NDSU Extension Service, the Agricultural Experiment Station, and the branch research centers, emphasizing their statewide role in crop and livestock research, extension education, and county-based outreach. He outlined funding mixes for extension, the experiment station, and branch stations, noting that grants and contracts support both research and education, while the agronomy seed farm is self-funded through seed sales. Members asked about the new and vacant FTE pool, R1 research status, matching requirements for grants, and whether state appropriations count toward research expenditures. Dr. Lardy also highlighted major research impacts, including crop varieties, virtual fencing, AI-assisted weed control, and NDAWN weather data. The Northern Crops Institute and the Upper Great Plains Transportation Institute also presented. NCI described its role in market development, technical services, and education for regional agriculture, its governance through the Northern Crops Council, and its funding from state appropriations, other states, and earned revenue. Members asked about the source of out-of-state funding, intellectual property, and the institute’s international reach. UGPTI then outlined its transportation research, federal and state funding structure, and work on road and bridge condition assessments, travel demand modeling, and workforce training. No votes were taken during the portion of the meeting reflected in the transcript.

Transcript Highlights:

• The other national settlements are managed by an advisory committee that is made up of bipartisan Julie
• This was our county manager actually delivered some opening remarks in that.
• That we can initiate individuals, entities, manager in the private sector.
• This is my first time being back since the legislative session, and it's a treat to be here.
• And right now, as I understand the chart on page eight, the legislative share is 6.7%.

Transcript Highlights:

• Thank you for considering this crucial legislation.
• Thank you for considering this crucial legislation.
• I don't think this legislation is necessary. Let's see.
• And here we are: years later, a 2020 study came out, the Nature Gap study, that said that we are so far
• This legislation is a critical step toward ensuring equitable health care.

Keywords: 995, all

Summary: The committee heard testimony on a wide range of health insurance and public health bills, with most speakers focused on expanding coverage for specific treatments and services. Bills discussed included H. 1187/S. 792 on rehabilitation counselors, H. 1173/S. 692 on patient navigation, S. 2600 on scalp cooling for chemotherapy patients, S. 2599 on medically necessary treatment for port wine birthmarks, H. 1164 on licensed educational psychologists for child and adolescent mental health services, S. 754/H. 1254 on autism diagnosis and treatment by nurse practitioners and psychiatric nurse mental health clinical specialists, S. 714/H. 1137 on infectious disease response and coverage, and S. 791 on making nature a prescriptive therapeutic intervention. Speakers generally argued these bills would improve access, reduce out-of-pocket costs, and address gaps in current insurance reimbursement rules. Testimony in support emphasized personal stories and clinical evidence. Cancer patients and providers described the benefits of patient navigation and scalp cooling for dignity and quality of life during treatment. Boston Children’s Hospital staff and families said port wine birthmark treatment is medically necessary, can prevent complications, and should not be denied as cosmetic. Rehabilitation counselors and school psychologists argued their services are effective, cost-saving, and underused because they cannot bill insurance. Autism advocates said current insurance statutes are outdated because nurse practitioners and psychiatric nurse mental health clinical specialists already provide evaluations and should be recognized for reimbursement to avoid delays in early intervention. Public health and GLAD Law testimony supported stronger infectious disease coverage to remove barriers to testing, treatment, and PrEP access. The hearing also included extensive testimony on H. 1172, a bill requiring insurance coverage for detransition-related care. Supporters said it would ensure coverage for medically necessary care for people who regret or reverse gender transition, while opponents argued it would legitimize anti-trans narratives or, conversely, that detransition care is needed because transition procedures can cause harm. The committee also heard strong support for S. 791 from advocates who described nature access as a health intervention that could help with trauma, anxiety, substance use recovery, and environmental justice, with claims that insurance coverage and reduced park fees would improve access. No votes were taken during the transcript, and the chair repeatedly thanked speakers and moved through the long list of public testimony.

Transcript Highlights:

• <00:55:17.080> the for the organization that manages the for the organization that manages
• <01:03:24.520> the establish a task force to study the establish a task force to study the
• <01:05:59.440> from<01:05:59.640> the preliminary study from the preliminary study
• are no legislators on it. Yes. are no legislators on it. Yes.
• No legislator. Senator Lou really. No legislator. Senator Lou D'Allesandro. D'Allesandro.

Keywords: 1189, house, all

Transcript Highlights:

• Today's hearing is on heating fuels and late-file legislation.
• We've done a study to establish a new rate and to...
• Undertaking such a study would be a prudent and responsible thing to do before these ...such a study
• I'm a legislative manager with 350 Mass and a Boston resident.
• And as I mentioned, there was a study cited earlier that...

Keywords: 995, all

Summary: The committee heard testimony on a wide range of late-file energy bills, with much of the discussion focused on battery storage siting, gas system expansion, propane consumer protections, gas workforce safety, and a Taunton home-rule petition on water rates for manufactured housing communities. Representative Sweeney urged support for H. 4689 and H. 4690, which would impose a moratorium and setback requirements for lithium battery storage facilities, citing fire risk, proximity to homes, and environmental concerns. Several local officials and residents from Oakham, Tewksbury, and other communities described proposed battery projects near homes, schools, wetlands, and conservation land, while industry and clean-energy advocates argued the bills would effectively block storage development and conflict with state energy goals and existing fire-safety standards. The committee also heard strong support for S. 2290/H. 3547, a bill to prevent gas expansion near environmental justice communities, from environmental justice advocates, municipal officials, and clean-energy groups. Testimony emphasized rising gas bills, the cost of new pipelines, methane and health impacts, and the need to avoid locking in long-term gas infrastructure costs. Witnesses also discussed related bills on gas workforce safety, gas shut-off valves, and gas meter replacement plans, with labor representatives supporting safety-focused measures and opposing changes they said would weaken inspections, while consumer and environmental advocates argued that some utility replacement practices are unnecessarily expensive and should be reined in to reduce ratepayer costs. Other testimony included support for H. 3518 on propane gas ratepayer protections, with the witness arguing for clearer contract terms and website price disclosure, and support for S. 2652, which would authorize Taunton to create a separate water billing rate for manufactured housing communities because residents there are effectively paying higher water costs through rent due to a single master meter. No committee votes or final actions were taken during the hearing, and members mostly asked brief clarifying questions or made no comment after testimony.

Transcript Highlights:

• Du Bois, who brings the first study with The Philadelphia Negro.
• Du Bois, who brings the first study with The Philadelphia Negro.
• Du Bois, who brings the first study with The Philadelphia Negro.
• Areas and wildlife management areas. It's a great bill.
• AREAS AND WILDLIFE MANAGEMENT AREAS. IT'S A GREAT BILL.

Keywords: 993, senate, all

Summary: The Senate convened, approved the prior journal, received messages and substitutions from the Assembly, and welcomed two new members, Senators Erik Bottcher and Jeremy Zellner. The chamber then adopted the resolution calendar and took up a privileged resolution sponsored by Majority Leader Stewart-Cousins memorializing Governor Hochul to proclaim February 2026 as Black History Month in New York. Senators Bailey, Baskin, Sanders, Scarcella-Spanton, Brisport, Parker, Cleare, Comrie, and others spoke in support, emphasizing Black history as American history, the importance of education and remembrance, and the contributions of Black New Yorkers and historical figures. The resolution was adopted, and the leader opened it for co-sponsorship. The Senate then moved to the bill calendar and passed several measures, including bills on civil procedure, urban development, labor, and public service law. One labor bill was substituted from the Assembly and passed. Several energy and utility-related bills drew debate, with supporters arguing they would improve affordability, utility rate-setting, and consumer protections, while opponents said they would not meaningfully lower costs and instead reflected broader policy choices. Senator Walczyk voted no on one utility bill, and Senators Tedisco and others criticized the package; Senators Mayer and Harckham defended the measures as needed reforms to utility regulation and return-on-equity standards. Most bills were approved by wide margins, including one public service bill that passed 53-9 and another that passed 61-1.

Transcript Highlights:

• They compile into larger numbers, and in order to manage that claim, the managed care organization uses
• House Bill 915, this legislation establishes common-sense guardrails to ensure utilization management
• , some specific legislation proposals, but one of the main recommendations was no-mandate legislation
• the Stanford study?
• I haven't read the Stanford study, but I would say that viewing this legislation simply through the lens

Summary: The Senate Committee on Health and Welfare met on May 13 and approved the minutes from the prior week before taking up a series of House bills, many of them with testimony from sponsors, agency officials, and stakeholders. Early action included HB 971, which would direct LDH to equalize Medicaid reimbursement rates between independent rural health clinics and hospital-owned rural health clinics; the sponsor described a significant payment disparity and the committee reported the bill favorably. The committee also deferred HB 1030 and HB 796 until the following week before moving to other items on the agenda. Several bills dealing with Medicaid and provider regulation were advanced. HB 414, as amended, closes a loophole so health care providers cannot hire unlicensed workers with certain serious out-of-state convictions; amendments addressed effective dates, FBI background-check issues for therapeutic group homes, and delays for direct support professional applicants caused by minor record issues. HB 740, as amended, creates an independent review process for Medicaid claims disputes in the coordinated system of care for behavioral health providers, with amendments clarifying applicability dates and program definitions. HB 786, which prohibits extrapolation in managed care claims recoupments and requires recovery to be based on actual overpayments or underpayments, was also reported favorably. HB 915 set timelines and accountability standards for prior authorization and utilization management in Medicaid managed care and was reported favorably after testimony about delays in care. The committee also heard and passed several bills affecting health professions and facilities. HB 405 simply updates the name of the national acupuncture certification body. HB 1095 allows nursing homes to use alternative power sources while keeping existing generator and fuel requirements. HB 557 defines long-term care pharmacies for policy purposes. HB 779 authorizes expedited partner therapy prescriptions for certain sexually transmitted diseases. HB 933 creates an optional commemorative birth certificate, with part of the fee going to the Office of Women’s Health. HB 796, carried by another representative for the author, establishes a chiropractic preceptorship program with on-site supervision requirements and was reported favorably after questions about student training and patient safety. The committee also heard emotionally charged testimony on HB 288, which would place the term “miscarriage” alongside “spontaneous abortion” in medical documentation and patient communication. Several witnesses described the distress caused by current coding language, and supporters said the change would make records more compassionate and understandable; the bill was reported favorably. HB 403 increased the cottage food gross-sales cap, and after testimony from small producers and the committee’s discussion of other states’ higher limits, an amendment raised the cap to $150,000 before the bill was reported favorably. HB 930 modernizes cosmetic-product regulation and creates a small home-based producer exemption under a wholesale-sales threshold; it was also reported favorably. Finally, HB 1041, a no-mandate bill restricting discrimination based on medical intervention status, prompted extended debate over exemptions for schools, hospitals, and other entities, with one amendment failing on a roll-call vote and the discussion continuing over the scope of the bill and federal funding concerns.