Transcript Highlights:

• As community-based pharmacists, we aim to decrease barriers to access health care.
• They go online, thinking they are communicating with the licensed health provider.
• They go online, thinking they are communicating with a licensed health provider.
• communities, modeled... for Mexico's institutions to serve underserved communities, modeled after the
• Baines, and for all you do in your community. Any additional questions, comments?

Summary: The Assembly Business and Professions Committee held its first regular bill hearing of 2025 and considered a wide range of measures on health care access, professional regulation, animal welfare, and consumer protection. Early in the hearing, the committee adopted its rules and then approved a consent calendar of several bills, including measures by Chen, Caloza, Carrillo, Arreguín, Berman, and Flora. The committee also took up AB 1082, which would allow California nursing students enrolled in out-of-state programs to complete clinical training in California; supporters said it would help address the nursing shortage and keep students closer to home, while opponents warned it could worsen already limited clinical placement capacity and reduce oversight. The bill passed on a do pass recommendation to Appropriations after a quorum was established. The committee then heard and advanced several health-related bills. AB 50, by Assembly Member Bonta, would ease Medi-Cal access to over-the-counter hormonal contraception by removing the need for a prescription for coverage purposes; pharmacists, reproductive health advocates, and medical groups supported the bill, and it passed unanimously to the Committee on Health. AB 489, also by Bonta, would prohibit AI systems from misrepresenting themselves as licensed health professionals; supporters from medical, psychiatric, behavioral health, and other professional groups said the bill would protect patients from misleading chatbot advice, and it passed to Privacy and Consumer Protection. AB 481, by Assembly Member Rubio, would expand the tasks that federally qualified lab personnel can perform under CLIA supervision to help address lab staffing shortages; labor groups raised concerns about training, certification, and supervision, but the bill passed to Appropriations with an amended do pass recommendation. The committee also considered animal welfare and access-to-care measures. AB 631, by Assembly Member Lee, would require animal shelters to post intake and outcome data online; supporters said the reporting would improve policy and resource allocation, while members discussed how the requirement would work for shelters without websites, and the bill passed to Appropriations. AB 867, also by Lee, would prohibit cat declawing except when medically necessary for the animal; animal welfare groups strongly supported the bill, while the veterinary association opposed it as an improper legislative regulation of veterinary surgery, and the bill passed to Appropriations. Finally, AB 1307 would create a pilot program allowing a limited number of qualified dentists trained in Mexico to practice in underserved California areas; supporters framed it as a cost-neutral way to address major dental access gaps, the California Dental Association remained opposed unless amended, and the bill passed to Appropriations. Several members later added their votes on the various items after the hearing, and the committee kept the hearing open briefly to allow additional add-ons.

Transcript Highlights:

• We worked in the underserved community.
• I do the chart reviews and I tell the community dental director what I found.
• He was very active in community health.
• And when you work at a community health center, you can have opinions amongst yourselves.
• communities.

Keywords: 995, all

Summary: The committee opened a hearing of the Joint Committee on Consumer Protection and Professional Licensure focused on health care and human services, reviewed testimony logistics, and then heard a long series of witnesses on several bills. Much of the testimony centered on interstate licensure compacts for dentistry, social work, and occupational therapy, with supporters arguing these compacts would improve workforce mobility, continuity of care, and access while preserving state oversight and public protection. Dental witnesses were split on H.455/S.257, with supporters backing the AADB dental compact for its hands-on exam, background checks, and disciplinary safeguards, while opponents argued a competing compact would better promote portability and avoid conflicts tied to proprietary testing and outside commissions. Social work witnesses strongly supported H.380/S.252, emphasizing continuity of care for clients who move across state lines, reduced costs and delays for practitioners, and the compact’s public-protection features; occupational therapy witnesses similarly supported H.427/S.256, citing access, telehealth, military families, and maintained standards. The committee also heard testimony on S.242, which would expand licensure for lactation care providers. Supporters, including lactation counselors and health center staff, said adding certified lactation counselors and related credentials would expand access, improve breastfeeding support, and allow reimbursement for services now often provided without billing. They described the training required and said the bill would help families, especially in underserved communities. Representative James O’Day also testified in support of the social work compact, and a Council of State Governments witness provided background on compact mechanics and state participation. Another major topic was H.419/S.214 on medical debt. Physicians and researchers testified that cancer patients experience long-lasting medical debt and collections burdens, and they supported limits on the sale and collection of medical debt, bans on reporting it to credit bureaus, and related consumer protections. The hearing also included H.465 on a pathway to special licensure for certain long-term limited-registration dentists serving MassHealth patients, which Representative Senna supported as a way to allow immigrant dentists to practice independently. Finally, the committee heard sharply divided testimony on H.444/S.284, which would allow trained dental hygienists to administer Botox and dermal fillers: supporters framed it as a safe, preventive, and access-expanding tool for TMJ, bruxism, and pain management, while dermatologists opposed it as outside hygienists’ training and a patient-safety risk. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• Any form of communication or representation.
• financial institutions who in turn loan those grants for investments to underserved communities.
• financial institutions who in turn loan those grants for investments to underserved communities.
• financial institutions, who in turn loan those grants for investments to underserved communities.
• and to productions that tell the stories of marginalized communities.

Summary: The Citizen Commission for Performance Measurement of Tax Preferences met on May 7, 2025, with quorum present. The commission approved the October 22, 2024 meeting minutes and then received its annual open government refresher from the Attorney General’s office, which reviewed key requirements under the Public Records Act and Open Public Meetings Act, including record retention, response deadlines, exemptions, and meeting notice rules. Staff then provided a 2025 legislative session update, noting that the legislature passed 23 tax-preference-related bills, with several signed by the governor and others pending. Highlights included bills that extended or repealed certain preferences, added reporting requirements for newspaper and digital content exemptions, authorized JLARC to adjust its work plan when data is unavailable, and created a new exemption for zero-emission buses. The commission approved updates to the 2026 tax preference review schedule, which includes eight preferences in seven reviews, and approved unchanged testimony questions for 2025. The commission also received the 2025 expedited preference review report covering 52 tax preferences, presented as an interactive table drawing on prior JLARC reviews and Department of Revenue studies. Staff then outlined the process for developing the next 10-year review schedule for 2027-2036, including surveying the legislature, incorporating new and repealed preferences, and considering a possible rolling 10-year schedule. No public comment was registered. The meeting ended with acknowledgments of Ron Buing’s long service on the commission and an announcement that the next meeting would be held August 6, 2025.

Transcript Highlights:

• That conviction shaped decades of advocacy on behalf of working families and underserved communities.
• <01:00:12.080> Natural communicate with the body. Natural communicate with the body.
• That conviction shaped decades of advocacy on behalf of working families and underserved communities.
• That conviction shaped decades of advocacy on behalf of working families and underserved communities.
• and underserved communities. and underserved communities.

Keywords: 958, all

Summary: The Senate convened with prayer and the Pledge of Allegiance, established a quorum, approved the prior journal, and received committee and House messages. The Families and Children’s Committee reported Senate Bill 191 favorably, and the House transmitted several passed bills requesting concurrence. New filings included Senate Bill 203 on community health workers and several resolutions honoring individuals and observances, including Marie Childers, Military Kids Day, and Reverend Jesse Jackson Sr. The chamber then considered and passed Senate Bill 141 on legal advertisements. The sponsor said the bill updates longstanding legal notice requirements to better balance public transparency with lower costs for cities and counties, reflecting an agreement among the Kentucky Press Association, Kentucky League of Cities, and Kentucky Association of Counties. The bill passed 36-1. The Senate also passed Senate Bill 69, creating an autism spectrum disorder trust fund to support services, research, and grants through the Cabinet for Health and Family Services, with an emergency clause; it passed 37-0. Senate Bill 9, as amended by Senate Committee Substitute 1, was also passed 35-2. The bill creates two local housing tools: a residential infrastructure development district to finance infrastructure for larger developments, and a housing development district to encourage new housing through negotiated incentive payments and expedited review. The sponsor said the measure is intended to address Kentucky’s housing shortage. The Senate also adopted Senate Resolution 102 honoring Marie Childers for decades of service on the Pike County Board of Elections, with remarks praising her bipartisan election work and influence in Pike County politics. Later, the Rules Committee recommitted Senate Bill 125 to Appropriations and Revenue, and the Committee on Committees referred several bills and resolutions to standing committees or to the floor. Announcements were made about upcoming committee meetings, and the Senate took up Senate Resolution 104 honoring Reverend Jesse Jackson Sr., with remarks describing his national and international civil rights legacy.

Transcript Highlights:

• And how do you reach out to underserved communities for the... ...them to participate and apply for this
• , but also in the disability community.
• So they have to know their community.
• They have to know whether that's a geographic... ...a community, or if it's a community of interest,
• So what we did is we brought them to various communities, partnering with a local community organization

Transcript Highlights:

• Additionally, we think it would greatly benefit the community to have community-based organizations heavily
• We're also working closely with community Community-based providers across the state to provide technical
• Nation about community-based services and supports.
• communities.
• It's critical that community stakeholders, especially from underserved and low-income populations, are

Keywords: 988, house, all

Transcript Highlights:

• communities in California.
• As there is a world community of shared osteopathic knowledge, There is a world community of shared osteopathic
• MASH events are accessible for all communities.
• Thank you. the issue that many of our communities are facing.
• communities.

Keywords: 987, senate, all

Summary: The committee heard several health, professional licensing, consumer protection, and animal welfare bills. Early items included AB 1307, which would create a pilot program allowing up to 30 qualified dentists from Mexico to work in underserved California areas; the California Dental Association moved from opposition to neutral after amendments, and members discussed access to care and oversight. AB 1703 would restrict use of osteopathic titles and the practice of osteopathic manipulative treatment to licensed DOs; it drew strong support from the Osteopathic Medical Board and physician groups, but non-physician osteopaths opposed it, arguing they have long provided safe care and that the bill would criminalize their work. AB 2250 made technical cleanup changes to hemp enforcement laws and AB 1758 raised the seller-of-travel assessment for the Travel Consumer Restitution Fund; both had support and no opposition. AB 1794 would allow prescribed enteral formula to be shipped directly to patients’ homes, and AB 1939 would allow licensed professional fiduciaries to form corporations, both with support and no opposition. AB 1775 would expand expedited licensing and other state support for service members discharged under a federal transgender military policy; it received emotional support testimony and some committee concern about expanding priority categories, but no opposition. AB 2477 would create a limited provisional period for new pest control employees to work under supervision while licensing is pending, and members discussed amendments and oversight before moving it forward. AB 1999 would modernize veterinary law by creating shelter-veterinarian and retired-volunteer pathways, changing VCPR rules, and narrowing the owner exemption for surgery; it was strongly supported by veterinary and animal welfare groups, with some discussion of autonomy and implementation. AB 2010 would permit high-quality, high-volume spay/neuter clinics and mobile sterilization units without a separate surgical suite; the Veterinary Medical Board opposed unless amended, while animal welfare groups supported it, and members emphasized the need for safety and clarity. AB 2311 would let public health care district hospitals directly employ physicians, with amendments intended to protect physician autonomy; CMA remained opposed unless amended, while district hospitals and other supporters said it would improve recruitment and access. The committee also heard AB 2402, which would update the definition and fee structure for multi-service health club studios, but the discussion was cut off in the transcript. After quorum was established, the committee voted to pass several bills out on call, including AB 1307, AB 1598 consent, AB 1703, AB 1758, AB 1775, AB 1794, AB 1939, AB 1999, AB 2010, AB 2250, AB 2311, and AB 2477, sending them to the appropriate fiscal or policy committees, with some recorded no votes on a few measures.

Transcript Highlights:

• in our rural communities, especially our tribal and frontier communities.
• Is disadvantaged or underserved communities.
• That kind of ties into the outreach service for veterans and their families in underserved communities
• Ask to help our underserved communities with veteran families set transportation.
• And then especially 169 on these underserved communities, I don't know.

Keywords: 996, all

Transcript Highlights:

• communities.
• And rural communities have struggled more than anyone.
• This crisis is acutely felt in underserved and rural communities, exacerbating existing inequities.
• This impacts rural communities, as well as urban and suburban areas.
• And every time a community birth center closes, it reverberates through the community because they are

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:

• It breaks down community. I've seen firsthand how families are... It breaks down community.
• The recipients are from minority communities and have been sex trafficked.
• AB 1335 is about equity and fairness for the disability community.
• I encourage you to join me in advocating for the disability community.
• I encourage you to join me in advocating for the disability community.

Summary: The Assembly Human Services Committee met with quorum established after beginning as a subcommittee. The committee heard AB 790, which would require jurisdictions receiving state homelessness funds to develop systems specifically supporting women and children, especially single mothers and survivors of domestic violence. Supporters said current homelessness programs overlook this population; the bill was amended and passed unanimously on a 7-0 vote. The committee also heard ACA 4, the Housing Opportunities Made Equal Act, which would dedicate a minimum share of the state general fund to affordable housing and homelessness programs. Supporters argued more stable funding is needed to address the housing crisis, while opponents questioned whether more spending would help; the measure passed 5-2 to the Assembly Appropriations Committee. Members then heard AB 349, which would index the infant supplement for parenting foster youth to inflation. The author and sponsor described the needs of pregnant and parenting teens in foster care and rising costs for diapers and formula; the bill passed 6-0 to Appropriations. AB 779, which expands a domestic violence consultant pilot in child welfare offices statewide, also passed 6-0 after testimony that it would help keep families together safely and improve trauma-informed responses. AB 1335, which would remove a private CARF accreditation requirement for regional center employment programs and rely on state oversight instead, drew support from disability service providers but opposition from the chair over concerns about weakening quality checks; it failed on a 2-2 vote and reconsideration was denied. The committee also considered AB 1066, a bill to bar state-funded immigration legal services for people unlawfully present in the country who have certain serious felony convictions. Supporters framed it as a public-safety and fiscal-responsibility measure, while opponents said it would restrict due process and align California with mass-deportation policies. The bill failed on a 2-2 vote. Two bills, AB 277 and AB 318, were pulled by the author and not heard. After final roll calls on absent members, the committee adjourned.

Transcript Highlights:

• more than other communities?
• ...happens to affect the African-American community more than other communities.
• And that really try to undermine marginalized, underserved communities.
• I oppose this bill because it does harm to my community.
• My community does not make our state agencies better.

Summary: The committee first confirmed Heather L. Turnbull to the Florida Commission on Community Service without debate. It then took up SPB 7022, which sets Florida Retirement System employer contribution rates beginning July 1, 2025, updates rates to address unfunded liability, and preserves the 3% employee contribution rate. Senator Fine said the bill would increase FRS Trust Fund revenue by about $310 million annually and also gives certain elected officers an option related to DROP accumulations. An amendment was adopted, the bill was submitted as a committee bill, and it was reported favorably. The committee then heard SB 1710, a bill by Senator DeSantis/DeSigley to prohibit state agencies, vendors, and grant recipients from using state funds for DEI-related policies, trainings, and programs, and to impose related restrictions on medical institutions of higher education. Senator Polsky and others questioned the bill’s broad and vague language, its effect on health-related work, public-facing agency positions, private contractors, and medical school admissions. The sponsor said the bill was intended to stop DEI from influencing state agencies and that the medical-school portion would likely be amended out later. Public testimony was overwhelmingly opposed, with speakers arguing the bill would harm health care, education, access, and minority communities; a few supporters said DEI is ideological and should be removed from government and public institutions. After debate, the bill was reported favorably on a party-line style vote, with Senator Errington voting no. The committee then began SB 1678, relating to entities that boycott Israel, with a delete-all amendment. Senator Leak said the bill would expand Florida’s anti-BDS framework to cover nonprofits, foreign educational institutions, foreign government funds, academic boycotts, political subdivisions, and certain grants, while the amendment aligned the bill with existing law and clarified procurement and divestment provisions. Testimony included support from proponents who said Florida should not do business with entities engaged in boycotts of Israel, and opposition from speakers who argued the bill would restrict academic freedom and conscience. Debate continued as the transcript ended, with no final vote shown in the excerpt.

Transcript Highlights:

• at a time when we need to communities at a time when we need to increase<00:20:24.160> housing,
• areas access to more choices underserved areas access to more choices for<00:29:29.200> care,
• Much of the crime in our communities and the cases in our courts are caused by repeat offenders.
• That's not accountability, and it fails the community and the young Vermonters who need our help.
• in every corner of the communities in every corner of the state.

Keywords: 927, senate, all

Transcript Highlights:

• that MGB and support staff struggle to afford their housing in the communities that MGB serves.
• an area that values serving underserved patients.
• an area that values serving underserved patients.
• The aim of this is really to bolster services to underserved communities like Dr.
• We have a community member who pays more on medication than rent.

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on a broad set of health care bills focused on cost, market oversight, pharmaceutical access, transparency, hospital closures, and pharmacy access. Chairs John Lawn and Cindy Friedman opened by emphasizing recent health care reforms and the need for further action on the drug supply chain, PBMs, private equity, and affordability. The committee heard testimony on several measures, including a Betsy Lehman Center bill to make technical changes and create a permanent trust account for federal and private funding, and bills on hospital profits and fairness, hospital closures and health planning, pharmacy deserts, and health care market oversight and pharmaceutical access. No votes were taken during the hearing. On the hospital profits bill, physicians and labor advocates strongly supported capping hospital CEO compensation at 50 times the lowest-paid worker, requiring greater financial transparency, and directing penalties from high-margin public hospitals into a Medicaid reimbursement fund. Testifiers argued that executive pay is excessive while frontline staff and safety-net services are under strain. Committee members raised concerns about unintended consequences, including whether hospitals might shift workers to contract status or lose executive talent, and whether the bill would actually direct money to the safety net. Supporters responded that the measure is one piece of a larger effort and that the bill’s Medicaid reimbursement provisions would help underserved hospitals. Testimony on market oversight and pharmaceutical access centered on rising health care and drug costs, PBM practices, and the proposal to give the Health Policy Commission authority to set upper payment limits for certain drugs. Consumer advocates, disability advocates, an independent pharmacist, the Attorney General’s office, and others supported stronger oversight, citing premium increases, affordability problems, and the impact of high drug prices on patients and community pharmacies. Pharma and some industry witnesses opposed parts of the bill, warning that upper payment limits could disrupt access, create legal issues, and fail to address the broader supply chain. The committee also heard support for stronger hospital closure notice and public hearing requirements, and for a pharmacy deserts bill aimed at identifying and addressing closures like the one in Roxbury that affected thousands of patients.

Transcript Highlights:

• It's just an unincorporated community in the state of New Mexico, and one of the major testimonies and
• , especially rural and underserved communities.
• Underserved communities can continue to provide essential health care services.
• I stand in full support of all the health compacts here in front of this community, and we thank you
• That is not the way that we build sustainability in our communities.

Transcript Highlights:

• communities.
• communities.
• There are communities in the state, as it's been stated, the rural parishes, underserved areas, hospitals
• There's communities in the state, it's been stated.
• We communicate our findings directly to the radiologist. Okay.

Keywords: 974, senate, all

Summary: The Senate Committee on Health and Welfare met on May 6, 2026, with five members present. After adopting the April 28 minutes, the committee heard a brief presentation on the new Leadership Louisiana Health Fellows Program, which is intended to bring together health care, business, policy, and education leaders to study Louisiana health challenges and build a network for action. Members expressed support for the program and its potential value to health policy work. The committee then advanced several bills, often with technical or substantive amendments. SB 57, a nutrition-labeling bill, was amended to push its effective date to December 31, 2028 and reported as amended. HB 62 increased the membership of the Louisiana Women’s Policy and Research Commission to 27 members and was reported as amended. HB 193 updated membership rules for the sickle cell commission foundations so long-serving executive directors would not have to reapply repeatedly, and it was reported as amended. HB 815 would allow financial institutions to receive death certificates to help families manage accounts after a death; it was reported favorably after a question about state-licensed banks. SB 405 was substantially revised to codify LDH’s new Ascend nursing-facility quality initiative, including statewide quality oversight goals, stakeholder involvement, reporting requirements, and tools such as dashboards and surveys; after reconsidering prior action and adopting the new amendment, the bill was reported as amended. The committee also approved HB 222, which provides Medicaid dental coverage when needed for another covered medical procedure, and HB 420, which requires background checks for all DCFS employees with access to sensitive information. HB 475 requires verbal consent when AI is used to record or transcribe a medical visit and was reported favorably after a technical question. HB 246 updated membership of the Children’s Cabinet Advisory Board and the council on grandparents raising grandchildren, including replacing an inactive coalition seat with the state police superintendent or designee. HB 486 would enter Louisiana into the psychology inter-jurisdictional compact to expand access to mental health care, and HB 574 updated outdated board names on the Mental Health Advisory Services Board; both were reported favorably. Later, the committee reported HB 949, which creates a licensure framework for radiologist assistants to help address imaging workforce shortages, especially in rural areas, and HB 584, which requires foster children to be provided luggage instead of trash bags for their belongings and restores “rights” language in the Foster Youth Bill of Rights. The committee also reported HB 1214, restructuring certain LDH facilities into a single system under the secretary’s office; HB 1092, a technical renaming/terminology cleanup bill; and HB 203, which adds members to the uterine fibroids commission. Throughout the meeting, members and witnesses emphasized access to care, workforce shortages, child welfare, and quality improvement, and the committee repeatedly adopted amendments and reported the bills favorably or as amended before adjourning.

Transcript Highlights:

• communities across the state.
• We offer opportunities to health science students to obtain clinical training in underserved communities
• We bring low-barrier, evidence-based care to the most underserved communities in Minnesota: rural, urban
• <01:42:22.119> communities<01:42:22.520> in<01:42:22.639> Minnesota underserved
• communities in Minnesota underserved communities in Minnesota rural<01:42:23.760> urban<01:42:

Keywords: 1187, senate, all

Transcript Highlights:

• Hospitals now have an incentive to go into communities that are higher-income communities and purchase
• Hospitals now have an incentive to go into communities that are higher-income communities and purchase
• Hospitals now have an incentive to go into communities that are higher-income communities and purchase
• Hospitals now have an incentive to go into communities that are higher-income communities and purchase
• Hospitals now have an incentive to go into communities that are higher-income communities and purchase

Keywords: 00:00:00 Call to Order/Roll Call 00:01:19 Discussion of 25RS HB 785 00:30:25 Roll Call Vote on 25RS HB 785 00:32:15 Discussion of 25RS HB 61 00:36:42 Roll Call Vote on 25RS HB 61 00:38:07 Discussion of 25RS HB 788 00:51:01 Discussion of 25RS SB 14 01:11:09 Discussion of 25RS HB 685 01:44:57 Adjournment, 958, all

Summary: The House Standing Committee on Health Services met with a quorum and took up House Bill 785, as amended by a committee substitute that combined language from HB 785 and HB 787. The bill was described as addressing Medicaid managed care organization (MCO) audits, provider contract notice and amendment procedures, mental health parity compliance, and related transparency requirements. Supporters said the measure would tighten notice to providers, limit repeated contract amendments and rate reductions, require more standardized audit procedures, and add reporting on Medicaid claims, appeals, and grievances. It also includes a provision requiring coverage of at least two evaluation-and-management billable services per physician per recipient per date of service, and a section addressing narcotic/opioid treatment program licensing and reimbursement language. Testimony in support came from Representative Kim Moore, John Inman of BrightView Health, Michelle Sandborne of the Children’s Alliance, and Kelly Cormic of RYSE. They argued that MCOs often use audits and recoupments in ways that are burdensome, opaque, and financially damaging to providers, especially smaller and rural ones. They cited examples of multiple audit requests in short timeframes, large record requests with short deadlines, delayed or absent feedback, and recoupments taken before appeals are resolved. They also said parity laws are not being consistently enforced and that the bill would give the Department of Insurance authority to suspend or revoke an MCO certificate of authority for willful or repeated parity violations. Committee members generally expressed support for provider protections and transparency, while asking for clarification on the narcotic treatment and E/M billing provisions. Tom Stevens of the Kentucky Association of Health Plans testified in opposition, saying the bill is complex to implement and should be handled through the broader Medicaid oversight work of House Bill 9, the MOAB. He said the issues raised were better suited for that bipartisan stakeholder process and noted the committee substitute had not yet been fully reviewed by his group. After discussion, the committee adopted the committee substitute and then moved to a vote on the bill; the roll call began, with several members recorded as voting yes, but the transcript cuts off before the final vote result is shown.

Transcript Highlights:

• Business Centers, Economic and Community Development Institute, U.S.
• I've seen them in our own community. So, you have my commitment.
• They said, "We're a place for the community; we could put up child care, right?"
• a rural community is a rural community.
• We don't want to see a community, in our case, these are communities that sit in close proximity to the

Transcript Highlights:

• <00:05:50.560> with the House is here to communicate with the House is here to communicate
• <01:21:13.920> Network Kentucky Communications Network Kentucky Communications Network Authority
• in underserved areas. Thank you, Mr. in underserved areas. Thank you, Mr. President.
• opportunities in medically underserved opportunities in medically underserved areas<01:56:22.000
• /c> areas in collaboration with community, areas in collaboration with community, state<01:56:24.800>

Keywords: 958, all

Summary: The Senate convened with prayer, the Pledge of Allegiance, roll call, and a declared quorum. The chamber excused an absent senator, approved the prior journal, received House communication that the House had passed HB 168, 185, 249, and 455 and requested concurrence, and heard committee reports advancing SB 37 and SB 214 from Agriculture, SB 157 and SB 189 with a committee substitute from Banking and Insurance, and SJR 54 with a committee substitute from Families and Children. The Senate also introduced SB 226 on pre-need burial contracts and SR 113 honoring Robert Connley Young. The main floor debate centered on SB 101, an act relating to children, which would require a mandatory 12-month expulsion for students in grades 6-12 who assault a school employee, with exceptions for certain students with disabilities under an IEP and for incidents involving provocation by a school employee. The bill also creates a mandatory reporting requirement for assaults and penalties for intentionally failing to report them. The sponsor argued the measure responds to widespread, underreported assaults on teachers, citing 25,000 reported incidents since 2021 and sharing testimony from a teacher whose career ended after repeated assaults. Supporters said the bill would improve school safety, accountability, and classroom control, while opponents argued it is too harsh for children, could permanently remove students from school, and should leave more discretion to principals and districts. After debate, the Senate adopted Senate Committee Substitute 1 for SB 101 and then proceeded to final passage. Several senators spoke for and against the bill during roll-call explanation, with supporters emphasizing teacher safety, parental responsibility, and consequences for repeat offenders, and opponents warning about lost educational opportunities and the need for second chances. The transcript cuts off during the roll call, but the chamber had already adopted the committee substitute and moved to vote on SB 101 as amended.

Transcript Highlights:

• The Community Living Policy Center focuses primarily on Medicaid, home- and community-based services,
• And then the other thing is we really try to engage with the community, the disability community at the
• I'm the director of the Community Living Equity Center.
• One of the Community Living Policy Center's sister centers, the Community Living Equity Center.
• recognizes the unique challenges faced by people with disabilities from traditionally underserved communities

Keywords: 995, all

Summary: The Massachusetts Commission on the Status of Persons with Disabilities’ Long-Term Services and Supports and Health Equity Subcommittee met to hear a presentation from the Lurie Institute for Disability Policy at Brandeis University. Monica Mitra introduced the institute’s work on disability health equity and long-term services and supports, and staff described several research centers focused on community living policy, disability and pregnancy, and parents with disabilities. The presentation emphasized participatory research, accessible dissemination, and the connection between health equity and access to home- and community-based services. Joe Caldwell discussed the Community Living Policy Center’s work on Medicaid HCBS, the direct care workforce crisis, housing, and policy advocacy, including efforts related to the Money Follows the Person program and the Medicaid access rule’s interested parties advisory group. Sid Pickern highlighted a workforce study interviewing direct care workers, a forthcoming policy brief on the access rule, and housing research including Massachusetts’ Alternative Housing Voucher Program. Teresa Nguyen described the Community Living Equity Center’s focus on disparities in community living for people of color, especially a study on self-direction and community living outcomes, and asked for help recruiting participants. Lauren Bixby demonstrated the community living data dashboard, which compares adults who need LTSS with those receiving Medicaid LTSS using ACS and TMSIS data. She explained that the dashboard can be filtered by state and demographics, but noted major race and ethnicity data gaps for Massachusetts and other states. Commissioners praised the dashboard and the institute’s work, asked questions about data sources and the 1115 waiver, and discussed possible connections to the Health Equity Compact. No votes were taken; the meeting ended with an invitation for follow-up, including a forthcoming direct care workforce brief and the institute’s October 28 lecture.