Transcript Highlights:

• One of the things that they lied on were site visits.
• A site visit is required. It's not optional.
• A site visit is required. It's not optional.
• A site visit is required. It's not optional.
• A site visit is required. It's not optional.

Keywords: 918, senate, all

Summary: Senate Republican leaders held a press event to roll out a package of anti-fraud proposals focused on state welfare and human services programs. Mark Johnson opened by citing recent fraud scandals, including a shuttered housing program and reports of vulnerable adults being left without care while providers billed for full services, and said Republicans want top-down reform, stronger accountability, new technology, and tighter oversight of taxpayer dollars. Michael Kreun said Republicans support an independent Office of Inspector General and argued the Senate-passed bill should not be weakened in the House; he also said the Senate should restore its role in confirming agency commissioners, especially at DHS, which he described as central to the fraud problem. Jordan Rasmusson outlined a plan to stop “blank checks” for DHS and DCYF services by requiring legislative audit review when a program exceeds budget by 5 percent and legislative approval for additional spending at 10 percent over budget. He also said DHS should adopt basic integrity tools such as electronic visit verification and client sign-off. Steve Drazkowski described two bills: a statewide “do-not-pay” list to block payments to ineligible people or entities, and an “I’m Not a Robot” proposal for Medicaid managed care that would require enrollee verification forms, with a 2 percent payment withhold used to encourage compliance and potentially fund county system upgrades. Mark Krueger said the state should improve technology and data use for eligibility determinations, citing other states’ rapid fraud-fighting systems, and proposed penalties for false reporting to the Legislative Auditor after a DHS audit found falsified site-visit records. Steve Gruenhagen said his bill would require DHS and DCYF to resume annual fraud-prevention and oversight reports to the legislature, which he said had stopped after 2017 despite rising fraud cases. Michael Holmstrom proposed unannounced site visits for all DHS and DCYF providers before enrollment, reenrollment, and revalidation, funded through provider service fees, and cited a recent case involving a woman with autism who was billed for far more care than she received. In the Q&A, Kreun said House Democrats’ delete-everything amendment to the inspector general bill removed the law enforcement division and stripped the bill of its “teeth,” and he suggested the governor’s office may have been involved in efforts to replace the bill with a weaker coordination council model. No votes were taken in the press conference.

Transcript Highlights:

• Um 92% visit valuable for you to know.
• I visited a couple times, and it's been a number of years since I visited the Ark the first time, but
• And honestly, I look forward to visiting again for both things.
• I visited a couple the presentation.
• </c> And honestly, I look forward to visiting And honestly, I look forward to visiting again<00:42:56.400

Keywords: Meeting Start: 00:00 Call to Order and Roll Call: 01:04 Approval of June Minutes: 02:35 Ark Encounter Impact: 10 Years: 03:25, 958, all

Summary: The committee met for its second Interim Joint Committee on Tourism, Small Business, and Information Technology meeting, approved the June minutes, and then heard a presentation from representatives of the Ark Encounter on its 10-year anniversary. Eddie Lutz and Anna Katherine Scalf described the Ark as a major tourism anchor in Kentucky, citing nearly 9.3 million total guests, about 1 million annual visitors, 16,871 bus groups, and a largely out-of-region audience. They emphasized that the Ark and the nearby Creation Museum together draw about 1.5 million visitors a year and have helped drive hotel development, restaurant activity, and other tourism spending in Northern Kentucky and surrounding areas. They also previewed future expansion, including a large first-century Jerusalem model in the welcome center and a 40-day Christian music festival with more than 120 concerts. Members asked about the project’s financing, location choice, and business structure. The witnesses said no taxpayer dollars were used to build the Ark, but the project did receive a Kentucky tax incentive/rebate program, which they said helped bring the attraction to the state. They said Kentucky was chosen in part because of the available land off I-75 and because the Ark and Creation Museum are close enough to encourage overnight stays. In response to questions, they explained that Answers in Genesis is the nonprofit parent organization, the Creation Museum is nonprofit, and the Ark Encounter operates as a for-profit entity owned by a nonprofit; revenue comes from ticket sales and events, while development was funded through private donations. They also said staffing can reach about 1,400 employees seasonally, though they did not know the occupational tax details. Several legislators offered supportive comments and personal observations about the Ark’s draw for out-of-state and international visitors, including license plates from many states and stories of travelers extending their stays to visit. The witnesses and members also discussed broader tourism collaboration in Kentucky, including partnerships with Louisville, Lexington, Northern Kentucky attractions, and nearby hotels and businesses that benefit from Ark-related traffic. No votes or formal actions were taken beyond approval of the June minutes.

Transcript Highlights:

• We've been visited by millions and millions of people in our short history.
• It is, and I want to encourage everybody to please visit if you haven't already.
• Our international visitation was forecasted to increase 16 percent in 2025.
• Canadian visitor returns from the U.S. visits have fallen precipitously through May.
• International visitors make up a significant portion of our visitation.

Committee: House Committee on Federal Funding, Policy and Accountability

Keywords: 995, all

Summary: The hearing focused on the impact of recent federal policy and budget actions on Massachusetts libraries, humanities organizations, arts institutions, and tourism. Testimony from library leaders described the loss or jeopardy of Institute of Museum and Library Services funding, including statewide databases, local grants, staff positions, E-rate/hotspot support, and digital equity programs. Witnesses said the cuts have already forced reductions in services, canceled grants and workshops, and in some cases left schools, students, job seekers, and low-income patrons without access to key resources. Members of the committee asked for lists of affected communities and databases, and several witnesses said they would provide additional written detail. Arts and humanities witnesses said federal terminations from the NEA, NEH, and IMLS have hit organizations across the Commonwealth, including Mass Cultural Council, Mass Humanities, Mass MoCA, and local museums and historical societies. They described canceled or rescinded grants, layoffs, reduced programming, and a chilling effect on future applications and on artistic and scholarly work, especially where federal awards had already been matched with local or private funds. Several speakers also raised concerns about executive-branch DEI conditions attached to funding and about book challenges and book banning, saying these trends threaten intellectual freedom and public access to culture and history. Committee members emphasized the economic importance of the sector and the need to publicize the impacts. Tourism officials from Meet Boston and the Massachusetts Office of Travel and Tourism testified that federal cuts and broader geopolitical and tariff issues are hurting international visitation, especially from Canada and Western Europe, and could affect major upcoming events such as the 2026 World Cup and Sail Boston. They said reduced funding for Brand USA and Discover New England will weaken long-term marketing efforts and international partnerships, with downstream effects on hotel tax revenue, jobs, and workforce recruitment. No votes were taken; the hearing was informational, with members mainly asking questions and requesting follow-up written testimony and data.

Transcript Highlights:

• , but they are no longer required to do the in-person visit.
• , but they are no longer required to do the in-person visit.
• , but they are no longer required to do the in-person visit.
• , but they are no longer required to do the in-person visit.
• , but they are no longer required to do the in-person visit.

Bills: HF1169, HF1916

Committee: Children and Families Finance and Policy

Keywords: child protection, child welfare, paperwork reduction, social services information system, SSIS, Department of Children, Youth, and Families, foster care, children in placement, county social services, Tribal governments, private child placing agencies, case management, administrative burden, information technology, human services, welfare administration, Minnesota tribes, child care assistance, CCAP, program integrity

Transcript Highlights:

• from Kahuku High School, all the way from the North Shore, coming to the capital today for a quick visit
• They're here on a field trip to visit Iolani Palace, and they're led by Mrs. C. Hanohano.
• today<00:01:20.759><c> for</c><00:01:20.880><c> a</c><00:01:21.040><c> quick</c><00:01:21.280><c> visit
• they're here on today for a quick visit they're here on a<00:01:22.000><c> field</c><00:01:22.280><c
• </c><00:01:24.240><c> yolani</c> a field trip with uh to visit yolani a field trip with uh to visit yolani

Keywords: 912, senate, all

Transcript Highlights:

• Current law does not specify when supervised visits are necessary, the duration of the visits, or who
• I visited my seven-year-old daughter twice a week.
• I visited my seven-year-old daughter twice a week for two hours each visit, and the mother did the same
• My daughter felt uncomfortable with the monitors at the visits.
• And in fact, now the visits are being canceled because the department is understaffed.

Summary: The Assembly Committee on Human Services heard a long agenda of bills focused largely on child welfare, foster care, child care, CalWORKs, mandated reporting, and public benefits. Early items included AB 890, which would ease county transfer rules for nonminor dependents in extended foster care; AB 461, which would replace punitive truancy-related penalties with supportive services for families; and AB 753, which would create an interim associate teacher pathway to help address the child care workforce shortage. Testimony on these bills emphasized barriers faced by foster youth, low-income families, and child care providers, and members expressed support for the general policy direction. The committee also heard AB 926 on foster care visitation, AB 563 on early childhood planning and reporting, AB 601 on standardized mandated reporter training, AB 1074 on CalWORKs reunification aid, AB 822 extending the Commission on the State of Hate, AB 970 creating a Los Angeles County mandated reporter pilot, AB 1161 protecting public benefits during disasters, AB 1172 allowing trained staff to administer emergency seizure medication in community care settings, and AB 363 expanding CalWORKs student supports and work-study. Witnesses generally supported these measures as ways to reduce trauma, improve reunification, modernize reporting and training, and expand access to services. County welfare and child welfare groups, advocacy organizations, and providers largely testified in support, while some bills drew concerns from county representatives about implementation or needed amendments. Several bills were voted out of committee, often unanimously and sometimes as amended, including AB 926, AB 563, AB 601, AB 1074, AB 822, AB 970, AB 1161, and AB 1172; AB 1172 was reported on call. The committee also took up consent items and later voted on subcommittee-held bills AB 461, AB 753, and AB 890, leaving them on call. At the end of the hearing, the committee heard AB 1211, which would protect CalFresh benefits from federal cuts and require a feasibility study on increasing benefits and eligibility; testimony stressed rising food insecurity and the economic importance of food assistance, but the transcript ends before a final vote on that bill.

Transcript Highlights:

• </c> go out every year and visit providers. go out every year and visit providers.
• ,</c><00:19:51.120><c> we</c><00:19:51.280><c> are</c> compliance visit, we are compliance visit, we
• </c> do visits if necessary, investigations. do visits if necessary, investigations.
• </c> accelerated rate of compliance visits. accelerated rate of compliance visits.
• visited visited no<01:22:38.120><c> matter</c><01:22:38.440><c> what</c><01:22:38.640><c> their</c><

Committee: Fraud Prevention and State Agency Oversight Policy

Keywords: 1183, house

Transcript Highlights:

• Friday, we visited two facilities. Friday, we visited two facilities. We were hosted by Sheriff K.
• I think that might be one worth visiting.
• So I think that might be a good one for us to take a visit to.
• Has there been... a good one for us to take a visit to.
• So the next hearing would be the site visit on the 15th in Barnstable.

Summary: The special commission on consolidation and cooperation in public safety held a hearing focused on correctional labor testimony, with union leaders and officers from multiple county facilities and the Department of Correction describing staffing, safety, wellness, and programming concerns. Speakers emphasized that correctional officers face high levels of workplace violence, exposure to synthetic drugs like K2, inmate suicides and assaults, and significant mental health strain. They also raised concerns about gender-identity housing policies, arguing that current practices can create unsafe conditions for staff, and urged stronger debriefing and wellness supports after traumatic incidents, including fuller use of programs like OnSide Academy. Several witnesses from unions including KCU/NCU and local county bargaining units argued against consolidating sheriff’s offices or merging them with the Department of Correction. They said consolidation could weaken collective bargaining, harm retention and recruitment, increase commute times, and disrupt locally tailored programming and reentry services. Multiple speakers stressed that county facilities are distinct and should be evaluated individually, not by a single formula, and that staffing levels, training, and facility-specific needs must drive any policy changes. One witness described innovative programming such as welding and shed-building partnerships, while another highlighted Norfolk County’s accreditation, budget stability, and reentry efforts. Commission members largely thanked the witnesses and echoed concerns about officer safety and wellness. They discussed the need for more facility tours, including Norfolk, and debated whether the commission should seek an extension beyond its September 30 reporting deadline. After discussion, the commission voted to request an extension to November 30, with the understanding that the report would still be completed and filed later. Members also discussed the possibility of examining the Norwegian correctional model and reaching out to the judiciary for additional testimony. The hearing concluded with an adjournment after public testimony closed.

Transcript Highlights:

• I'd love to come back and visit. Thank you. Awesome. Thank you so much. Have a good afternoon.
• I'd love to come back and visit. Thank you. Awesome. Thank you so much. Have a good afternoon.
• The first visit was three days and involved eight full-time staff for all three days.
• We did not even refile the files in between the two visits, and we were able to answer the second visit
• We did not even refile the files in between the two visits, and we're able to answer the second visit

Bills: SB5681, SB6024, SB6036, SB6063

Committee: Human Services

Keywords: employment services, community inclusion, age limitations, disability services, home and community living, community residential services, oversight, monitoring, service providers, streamlining, foster care, licensure, adoption, child welfare, support services, terminology alignment, social services, Washington state code, department reorganization, legislative amendment

Transcript Highlights:

• 01:08:45.839><c> assessment</c><01:08:46.239><c> or</c><01:08:46.480><c> their</c><01:08:46.719><c> port
• </c><01:08:47.120><c> portfolio</c> their assessment or their port portfolio their assessment or their
• port portfolio to<01:08:47.920><c> anyone.
• We are counting attendance, monitoring patterns like nurse visits, hallway wanderings, teacher observations

Committee: Education Policy and Administration

Keywords: 1189, house, all

Transcript Highlights:

• Even after the deductible is met, some families face a copayment of $40 or more per visit for a primary
• care visit.
• Most pay between $35 and $45 for a specialist visit, and some pay up to $60 or more for a visit.
• Families are feeling the pressure to choose between a doctor's visit and other costs, including rent.
• At $25 per visit, three therapies weekly minimum meant $300 per month, as well as a $5,000 deductible

Committee: Health

Keywords: 988, house, all

Transcript Highlights:

• They're visiting to the state house.
• Vermoners really embraced visit.
• It allows a telehealth visit to be recorded only when both parties agree.
• It allows a telehealth visit to be recorded only when both parties agree.
• Just to be clear, is the patient also able to record the visit?

Keywords: 926, house, all

Transcript Highlights:

• LASD site visits revealed some bilingual multicultural education programs blend and braid SEG funding
• LESC's research this interim alongside extensive BMEP Site visits make clear that New Mexico needs a
• Here's what we think isn't working, and we'll be visiting.
• Yvonne, are you the Yvonne from APS that used to visit Volcano?
• I did a little bit more than visit Volcano Vista, but I was there quite a bit.

Transcript Highlights:

• Health care visit information is de-identified and grouped into a syndrome, or a category of visits that
• or was necessarily the reason for the visit.
• necessarily the reason for the visit.
• For comparison, in all of 2025, we had 68 visits identified for kratom or 7-OH.
• Since 2021, 13 visits have involved individuals ages 19 and younger.

Summary: The Kratom Working Group met to hear public testimony and expert presentations on whether North Dakota should prohibit or regulate kratom and 7-OH products. Early testimony split sharply between speakers who described natural kratom as a helpful, lower-risk alternative for chronic pain, opioid withdrawal, PTSD, and recovery, and speakers who urged prohibition because of dependence, overdose risk, and the growth of concentrated or synthetic 7-OH products sold in gas stations, smoke shops, and online. Several witnesses, including consumers and shop owners, argued that banning kratom would push people to more dangerous drugs or unregulated internet sources, while public health and medical witnesses said the marketplace is confusing and inadequately controlled. A number of witnesses, including representatives of the North Dakota Public Health Association, the state crime lab, and addiction-treatment and pediatric clinicians, emphasized risks from adulterated or concentrated products, lack of labeling and age restrictions, contamination concerns, and harms to adolescents, pregnant patients, and newborns. The crime lab described recent cases involving mitragynine, 7-OH, and pseudoindoxyl, and said products purchased in a smoke shop were inaccurately labeled. A Sanford pediatric hospitalist testified that kratom exposure in pregnancy can cause severe neonatal withdrawal and that adolescents are using the product. By contrast, American Kratom Association representatives and other advocates argued that natural leaf kratom should be distinguished from synthetic 7-OH, that deaths usually involve other substances, and that a regulatory framework with testing, labeling, age limits, and product registration would better protect consumers than a blanket ban. No formal bill was debated or voted on in this transcript. The working group heard testimony, asked questions, and took no final action before breaking for lunch and later resuming with additional presentations.

Transcript Highlights:

• When court-ordered visitation began, he began struggling to breathe again.
• When court-ordered visitation began, he began struggling to breathe again.
• Physicians began asking how recently he had attended his visit because they recognized the pattern.
• I said, 'I understand parents have rights to visitation, but this baby has a right to breathe.'
• before the court agreed to suspend visits for 30 days.

Summary: The committee first approved the minutes from February 12, 16, and 17, 2026. It then heard House Bill 593, a Department of Environmental Quality cleanup bill tied to the DOGE Task Force review. Senator Semmelroth explained that the bill removes obsolete references and repeals outdated provisions related to the state hazardous waste management planning committee and the Big Payette Lake Water Quality Act council. After brief support from a Republic Services representative and DEQ’s hazardous waste bureau chief, the committee voted to send HB 593 to the floor with a do pass recommendation. Next, the committee heard House Bill 714, which repeals the Hazardous Waste Siting Act and consolidates hazardous waste siting provisions into the Hazardous Waste Management Act. Senator Burkey said the bill streamlines Idaho’s hazardous waste laws while preserving safety, public notice, hearings, and expert review. Republic Services and DEQ testified in support, describing the measure as protective, efficient, and the product of stakeholder review. The committee then voted to send HB 714 to the floor with a do pass recommendation. The committee also considered House Bill 788, a pilot program intended to reduce Medicaid prior authorization burdens for certain medical professionals who precept medical students in high-need specialties. Representative Wheeler said the goal is to increase preceptorships by giving eligible providers a temporary “gold card” exemption, and he asked for a sunset date of July 1, 2030. The Idaho Freedom Foundation testified in opposition, arguing prior authorization is a cost-control tool and that the bill could raise Medicaid costs. The committee voted to send HB 788 to amending orders, with several senators recorded as no. Finally, the committee heard House Bill 724, which would establish foster child safety rights, require written notice of those rights, and direct courts and the Department of Health and Welfare to consider safety in placement and visitation decisions. Representative Wheeler said the bill responds to concerns from foster parents and aims to ensure children in state custody have clear protections. Multiple foster parents, a child psychologist, and a former foster youth testified in support, describing serious safety failures and arguing that children need clearer rights and more complete information before reunification or placement decisions. The committee voted to send HB 724 to the floor with a do pass recommendation, and the meeting adjourned.

Bills: SCR 13, SCR 24, SB 1, SB 12, SB 15, SB 17, SB 24, SB 57, SB 65, SB 213, SB 371, SB 372, SB 378, SB 379, SB 388, SB 400, SB 402, SB 427, SB 495, SB 499, SB 502, SB 509, SB 535, SB 583, SB 610, SB 621, SB 650, SB 706, SB 740, SB 840, SB 854, SB 856, SB 875, SB 893, SB 918, SB 925, SB 974, SB 995, SB 1006, SB 1018, SB 1025, SB 1061, SB 1073, SB 1106, SB 1121, SB 1194, SB 1252, SB 1253, SB 1268, SB 1300, SB 1343, SB 1362, SB 1447, SJR 36, SJR 12, SJR 57, SCR 25, SCR 22, SCR 12, SCR 24, SCR 8, SB 565, SB 372, SB 765, SB 62, SB 666, SB 707, SB 888, SB 687, SB 847, SB 1248, SB 740, SB 14, SB 1006, SB 504, SB 925, SB 1121, SB 995, SB 857, SB 305, SB 296, SB 284, SB 815, SB 1379, SB 1300, SB 1497, SB 1499, SB 1498, SB 1061, SB 65, SB 241, SB 304, SB 402, SB 499, SB 621, SB 974, SB 1023, SB 1024, SB 1025, SB 1106, SB 686, SB 112, SB 371, SB 204, SB 400, SB 609, SB 1447, SB 670, SB 502, SB 427, SB 850, SB 854, SB 413, SB 1555, SB 1362, SB 1346, SB 1033, SB 1220, SB 1073, SB 810, SB 987, SB 1539, SB 893, SB 447, SB 875, SB 406, SB 509, SB 985, SB 965, SB 1119, SB 1505, SB 24, SB 57, SB 1194, SB 1253, SB 1215, SB 1532, SB 1268, SB 1302, SB 856, SB 650, SB 583, SB 673, SB 840, SB 213, SB 681, SB 1172, SB 1252, SB 378, SB 610, SB 918, SB 1343, SB 608, SB 487, SB 955, SB 957, SB 988, SB 990, SB 1019, SB 1021, SB 1120, SB 251, SB 958, SB 535, SB 761, SB 1, SB 541, SB 315, SB 379, SB 1018, SB 1737, SB 266, SB 1415, SB 57, SB 499, SB 974, SB 1025, SB 1061, SB 1268, SR 302, SR 303, SR 304, SR 305, SB 30, SB 1333, SB 1666, SB 30, SB 1333, SB 1666

Keywords: water rights, treaty compliance, Rio Grande, agriculture, drought, international water, Texas water supply, Texas, Israel, trade, investment, partnership, economic ties, technological innovation, bilateral relations, appropriations, budget, state funding, education, healthcare

Transcript Highlights:

• Who has been here and visited. Liz came to our opening. Kip Diggs is a state rep here on Cape Cod.
• I have visited Cabo Verde four times, and I also was the lead person to bring Mrs.
• I have visited Caveord four times, and I also was the lead person to bring Mrs.
• I will be visiting her again, and they will put their full force on whatever we'd like to do.
• For instance, I visit the Dorchester Historical Society.

Keywords: 1212, all

Summary: The Cape Verdean Cultural Center Commission met with quorum and began by introducing new commissioners and staff, with Chair Miranda and others emphasizing the long effort to establish the commission and the goal of creating a Cape Verdean cultural center in Boston that would serve the broader Commonwealth. Several commissioners introduced themselves and described their backgrounds in community organizing, education, history, cultural programming, municipal service, and advocacy, with members representing communities including Roxbury, Dorchester, Brockton, New Bedford, Taunton, Scituate, and Cape Cod. The meeting focused on the commission’s mandate: to study the organizational structure, feasibility, and potential location and scope of a Cape Verdean cultural center, and to gather public input through listening sessions and site visits. Members discussed possible approaches, including visits to existing cultural institutions and museums, traditional listening sessions in Cape Verdean communities, and collecting feedback at major Cape Verdean events. Several commissioners stressed the importance of including elders, youth, artists, historians, and existing Cape Verdean organizations, as well as correcting historical myths and increasing visibility of Cape Verdean contributions in local historical societies and public narratives. Funding and logistics were also discussed. Chair Miranda said short-term support might come from earmarks, but the larger funding goal would be a bond bill to seed the project, with private and organizational fundraising to follow later. Commissioners asked about resources for community events and whether a shared repository for ideas could be created; staff said they would explore a platform and send follow-up emails. The commission agreed to continue gathering ideas by email and chat, to consider combining listening sessions across regions, and to hold the next meeting in early April. The meeting minutes from the prior meeting were approved, and the commission adjourned by vote.

Transcript Highlights:

• would like the Walz administration to redirect available resources to unannounced in-person site visits
• Um, you know, these were, they said, surprise visits.
• </c><00:19:19.360><c> Just</c><00:19:19.600><c> wondering</c><00:19:19.840><c> what</c> surprise visits
• Just wondering what surprise visits.
• some of these places where to visit some of these places where doors<00:19:51.840><c> are</c><00:19:

Keywords: 1183, house

Transcript Highlights:

• The insurance companies pay for the cost of the home visits.
• It's not new funding; it's funding in lieu of physician visits.
• I made a decision to perform a procedure at the visit by biopsying the concerning mole.
• The E&M portion of the medical visit is totally independent of the procedure portion of the visit.
• It's for this reason that these two portions of the medical visit are reimbursed separately.

Committee: Joint Committee on Financial Services

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:

• um and so the do a teleah health visit um and so the final<00:12:36.600><c> report</c><00:12:36.920>
• That's why they wanted it to not have that in the first initial visit, because as the statute is now,
• That's why they wanted it to not have that in the first initial visit, because as the statute is now,
• That's why they wanted it to not have that in the first initial visit, because as the statute is now,
• </c><00:21:39.440><c> it</c> did have to have an in-person visit it did have to have an in-person visit

Committee: Health and Human Services

Keywords: 1191, senate, all