Transcript Highlights:

• In essence, the system is simply not working for regular people.
• system works.
• And there's no good reason for this except for the way the system works right now.
• And when we do, we are subject to a system that often doesn't work as it should.
• And when we do, we are subject to a system that often doesn't work as it shows.

Summary: The Assembly Health Committee met on April 22 and took up a special order of bills focused largely on prior authorization and utilization management in health care. The chair framed the discussion as part of a broader legislative effort to reduce delays and barriers to care, especially in behavioral health, chronic disease management, cancer treatment, and rehabilitation services. AB 384 by Assembly Member Connolly would prohibit prior authorization for inpatient mental health or substance use emergency admissions and related physician care; supporters said it would prevent dangerous delays in crisis care, while insurers and health plans warned about fraud, abuse, and ambiguity around residential treatment facilities. The bill was moved on a due pass as amended motion and passed the committee on a party-line style vote, with Republicans largely absent or not voting. The committee then heard AB 510 by Assembly Member Addis, which would require health plans, upon request, to provide a peer reviewer of the same or similar specialty when a treating provider appeals a prior authorization denial or modification. Supporters argued that specialty-matched review would make appeals fairer and more clinically informed; opponents said the requirement was too rigid and that timelines and electronic submission rules needed changes. After discussion about the need for timely, specialty-specific review, the bill was approved on a due pass as amended motion and placed on call. AB 539 by Assembly Member Schiavo would extend prior authorization approvals to one year or the duration of the physician’s prescribed treatment for chronic conditions; supporters cited repeated denials and treatment interruptions, while opponents raised concerns about overbreadth, fraud, and the need for shorter validity periods. The bill was also passed as amended and placed on call. The committee next considered AB 669 by Assembly Member Haney, which would bar concurrent and retrospective review for the first 28 days of medically necessary substance use disorder treatment and limit prior authorization for related outpatient medications. The bill was presented with a powerful personal story from Ryan Matlock’s mother about her son’s death after an insurer cut off treatment early; supporters said the measure would keep patients in care long enough to stabilize, while opponents argued it would reduce oversight and could allow lower-quality or non-evidence-based care. The bill was moved on a due pass as amended motion and placed on call. Finally, AB 512 by Assembly Member Harabedian would shorten prior authorization response times to 24 hours for urgent requests and 48 hours for non-urgent requests; supporters said delays can worsen outcomes, while opponents warned the timelines were unrealistic and could increase administrative burdens and safety issues. The bill was approved as amended and placed on call. AB 574 by Assembly Member Mark Gonzalez was then heard; it would allow up to 12 medically necessary physical therapy sessions for a new episode of care without prior authorization, with supporters emphasizing stroke and neurological recovery and opponents warning of reduced oversight and unnecessary care. The transcript ends during testimony on AB 574, before final action is shown.

Transcript Highlights:

• Students in the PBL and CBL courses reported increased social work knowledge and leadership, communication
• So students in the PBL, CBL courses reported increased social work knowledge and leadership, that I mean
• students in the PBL, CBL courses reported increased social work knowledge and leadership, communication
• Collaboration is at the heart of this system, and the department works closely with lead agencies and
• In 2023, the department spearheaded and facilitated a dedicated work group to bring together key system

Summary: The committee heard three presentations focused on child welfare workforce development and the needs of children in Florida’s dependency system. First, the Florida Institute for Child Welfare described its Grow Center and related initiatives, including academic curriculum enhancements, simulations, virtual reality training, coaching, on-demand learning, advanced certifications, and the planned Tallahassee learning lab opening in January 2026. Members asked about conflict resolution, domestic violence, addiction, and microcredentials; the presenter said the institute is expanding training in those areas and is working with DCF to align advanced certifications with the department’s career ladder. The Department of Children and Families then presented on the Continue the Mission initiative, which recruits veterans, military spouses, and former law enforcement officers into CPI, API, and case management roles. DCF said it has held more than 240 hiring events and hired 372 such workers since launch, while also improving recruitment and retention through higher starting pay, streamlined hiring, rebranding, wellness supports, and enhanced pre-service training. Senators asked about PTSD concerns, staffing levels, caseloads, hotline vacancies, and salaries; DCF said it had not seen direct PTSD issues from the hiring effort and provided figures including a $50,000 starting salary for CPIs, $37,000 for APIs, and average caseloads of 12 to 15 investigations for CPIs and about 10 for APIs. Finally, DCF discussed the increased acuity of children in the dependency system, explaining that fewer children are entering care overall but those who do often have more complex behavioral, mental health, developmental, or medical needs. The department highlighted a new Behavioral Qualified Residential Treatment Program (BQRTP) designed for youth who need more intensive support than traditional foster or group home settings but do not require inpatient psychiatric treatment; one facility is licensed with 12 of 14 beds filled, and DCF said it is seeking funding for placement for 230 youth total. Members pressed for details on licensure timelines, standards, funding, and the handling of crossover youth and lockouts, and DCF said it uses braided funding and works with DJJ, APD, and lead agencies through local and state review teams. A representative of the Florida Coalition for Children also testified, saying the issue is complex and multi-year, and that the coalition is working on possible legislative and programmatic solutions. The committee took no formal votes and adjourned after the presentations and discussion.

Transcript Highlights:

• CPAs who do advisory practice work for tax reporting are focused on domestic entity structuring for these
• and improvements within the system.
• This will have outbound tax reporting. This will have tax reporting diligence.
• Any forms that can work for it.
• Master Life Nation system.

Bills: HB2226, HB2269, HB2343, HB2760, HB3621, HB4079, HB4204, HB4518, HB4531, HB4555, HB4850, HB4876, HB4903, HB4996, HB5122

Keywords: construction trust funds, Property Code, Chapter 162, construction payments, mechanics lien, contractors, subcontractors, laborers, material suppliers, materialmen, real property improvement, assignment of payment rights, unpaid trust funds, trust fund beneficiaries, construction industry, payment protection, Texas construction law, property owners association, landscaping, grass maintenance

Transcript Highlights:

• strong every day and so that is the work strong every day and so that is the work of<00:02:03.960
• international so uh done a lot of work international so uh done a lot of work with<00:04:29.400>
• about those ideas how are they working about those ideas how are they working how<00:08:36.479><
• or not finding work.
• <00:50:02.480> I finding work or not finding work I finding work or not finding work I gained

Keywords: 1183, house

Summary: The committee held an introductory organizational meeting for the newly named Workforce and Economic Development Committee, with Chair Dave Baker noting a quorum and that no votes or formal actions were scheduled. Members and staff introduced themselves and described their districts, backgrounds, and priorities. Several members emphasized worker protections, labor experience, small business concerns, rural economic issues, and the importance of balancing employer and employee interests. Others highlighted education-to-workforce pathways, affordability, support for seniors, and opportunities for immigrant and refugee communities. Chair Baker said he wants the committee to find a balance between protecting labor and ensuring a strong employment base, fair rules, and fair taxes, while also acknowledging concerns about recent policy trends and the need to get proposals right before they leave the committee. Members from both parties echoed themes of collaboration and economic opportunity, though some Republicans criticized past rules and regulations as burdensome on small businesses. The committee also welcomed nonpartisan staff and DFL/GOP staff, including the committee administrator, legislative assistant, House Research, and fiscal analysis staff. The committee then received an overview from DEED Commissioner Matt Varilek and deputy commissioners. Varilek described DEED’s mission as empowering growth of the Minnesota economy for everyone, increasing prosperity and extending it broadly, and coordinating with other agencies such as Labor and Industry to avoid duplication and use taxpayer dollars efficiently. He said DEED focuses on business attraction, retention, and expansion, workforce development, and helping Minnesotans—including people with disabilities—prepare for jobs and independent living. A deputy commissioner began outlining the economic development division’s structure and operations, but the transcript cuts off before the full presentation was completed.

Transcript Highlights:

• Reports of committees will be deemed read and amendments deemed adopted.
• Speaker and members, as a proud immigrant, I am honored to highlight the work of the Central American
• The CDC reports that Down syndrome occurs in one out of 640 babies.
• Davis, where kids learn, live, work, and learn independently.
• field, and drove innovation. though we still have work to do.

Keywords: 988, house, all

Transcript Highlights:

• , validate the state assessment reports, validate the state assessment system,<00:15:45.040> or
• In addition to working on research reports, our analysts are being trained to carry out the complex coding
• > research<00:18:08.240> reports, addition to working on research reports, addition to
• working on research reports, our<00:18:08.960> analysts<00:18:09.520> are<00:18:09.679>
• . report. report.

Keywords: Meeting start 00:00:09 Roll call 00:00:24 Election of Co-Chairs 00:01:11 Office of Education Accountability Annual Report 00:04:41 Office of Education Accountability District Data Profiles, School Year 2024 00:23:50 Update from the Education Professional Standards Board 00:58:19 Adjournment 01:08:00, 958, all

Summary: The subcommittee opened its first meeting with roll call and procedural business, including elections of co-chairs. The House elected Representative Truett as House co-chair, and the Senate elected Senator Denine as Senate co-chair. After the organizational votes, the committee heard the Office of Educational Accountability’s annual report, beginning with Brian Jones and Deborah Nelson describing OEA’s investigations and research divisions and recent staffing turnover. On the investigations side, OEA said it handled complaints only when submitted in writing and generally opened cases only when it had enough facts to evaluate. Jones reported complaint volume declined from 805 in 2023 to 738 in 2024, with 325 in the first half of the current year. He outlined the kinds of matters OEA investigates, including school-based council issues, open meetings, board eligibility, nepotism, conflicts of interest, certification, activity funds, and surplus property, while noting that routine personnel matters, bullying, child interviews, and cases tied to litigation are generally handled locally or referred elsewhere. He also said OEA refers special education, assessment/testing, discrimination, and serious misconduct matters to the appropriate agencies, and that he did not see a need for statutory changes to improve OEA’s work, though he said cases should move more quickly. The research division presentation focused on OEA’s district data profiles and annual research agenda. Nelson explained that OEA reviews KDE-reported data and underlying datasets to verify accuracy, analyze trends, and produce reports for the General Assembly. She highlighted 2024 publications on district governance models and student achievement, and said this year’s agenda includes district data profiles, student discipline analysis, and a review of early childhood regional training centers. She also noted OEA received an NCSL notable document award for its 2023 staffing shortages report, its 10th such award. Sabrina Smith then walked through the district data profiles, which compile demographic, staffing, finance, and performance data for all 171 districts, plus statewide and comparative data. She noted changes in the report format, the continued availability of an online interactive version, and several trends: adjusted average daily attendance declined statewide from 2015 to 2024; the counselor-to-student ratio has improved but has not yet reached the statutory goal of one counselor per 250 students; the share of teachers moving from rank three to rank two has declined; special education identification has risen from 13% to 16%; and starting teacher salaries vary widely by district, with Kentucky’s average starting salary around $40,000 ranking near the bottom compared with surrounding states and the nation. Members asked about the history of the research division and whether the paper copies of the district profiles would continue, and staff said the printed versions would continue unless legislators asked otherwise.

Transcript Highlights:

• Speaker, if we are willing to do the hard work. The hard work of hope.
• Speaker, if we are willing to do the hard work. The hard work of hope.
• Growing Places is building a regional food system in North Central Massachusetts.
• I yield back. hard-working families. hard-working families.
• Secret Service to be working and not get paid. They got to work.

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, March 3, 2026, 1012, house, all

Transcript Highlights:

• Florida College System and State University System institutions in participating or intervening as tax-exempt
• I'm just curious, how does that work?
• So hopefully that the university system and the college system will get together and make a comprehensive
• The bill needs a lot of work.
• more great work.

Summary: The Education Administration Subcommittee met with a quorum and took up two bills. The first, PCS for HB 725 on political activity at public institutions of higher education, would require colleges and universities to notify students and employees about existing campus political activity rules at orientation and on their websites, and to adopt standardized policies through the State Board of Education and Board of Governors. The sponsor said the bill is intended to mirror federal IRS/501(c)(3) guidelines, protect institutions from risking federal funding, and clarify what is and is not allowed; supporters framed it as an awareness and free-expression measure, while opponents warned it could chill speech, create vague enforcement standards, and lead to unintended consequences for students and faculty. Public testimony was largely opposed, with speakers from student, civil liberties, education, and advocacy groups raising free-speech concerns. The committee passed the bill 13-5. The second measure, PCS for HB 1437, addressed disputes under mutual management plans between conversion charter schools and district school boards. The sponsor said the bill fills a gap by providing a clearer dispute-resolution path through mediation by the Department of Education or, ultimately, an administrative law judge at DOAH. Members asked about appeal rights and whether DOE is perceived as favoring charter schools; the sponsor said the bill simply sets the process for the current issue and that the administrative law judge provision serves as the final step. There was no public testimony, and the bill was reported favorably 18-0.

Transcript Highlights:

• instead of annual progress reports.
• Chair. bi-annual progress reports instead of bi-annual progress reports instead of annual<00:29:21.400
• annual progress reports. annual progress reports.
• <00:41:04.680> Minnesota area like South Central Minnesota area like South Central Minnesota
• Central Central Minnesota.

Keywords: 1187, senate, all

Transcript Highlights:

• Our outdated and incompatible environmental permitting system was never intended for this kind of work
• So that's why we're in a rush to try to do some of this good work, and changing the regulatory system
• and needed future work.
• Even so, this work still contains violations. The company to complete their work.
• The system is changing.

Keywords: 995, all

Summary: The hearing covered a broad set of environmental and water-related bills, with much of the testimony focused on blue economy and circular economy proposals, drought management, drinking water safety, flood resilience, and water infrastructure funding. Supporters of bills such as H. 987 and H. 988 described grant programs for blue economy workforce development, research, small businesses, and public education about a circular economy. Other speakers backed measures on coastal erosion research, recreational boating dredging, cranberry water-right transfers, sand mining oversight, and a voucher program for home water filtration in PFAS-impacted communities. Several elected officials and advocates also urged passage of bills to require private well testing, improve school drinking water safety, and address sand mining pollution and PFAS contamination. Water supply and drought issues drew extensive testimony. Senator Eldridge and others supported legislation to let the state, through DEP and the drought management task force, impose regional water-use restrictions during droughts and make the task force permanent in statute. Advocates from watershed groups, farms, and environmental organizations said the current town-by-town approach is inconsistent and ineffective, and they described drought impacts on rivers, farms, private wells, and wildfire risk. A related bill on private wells was supported as a way to help homeowners test and remediate contaminated wells, especially in rural areas without public water. The committee also heard testimony on a bill to allow the Lynnfield Water District to join the MWRA, with local officials saying the move would help address PFAS and other contamination and improve supply reliability. Another major panel supported a water infrastructure funding bill, arguing that aging drinking water, wastewater, and stormwater systems need major new investment, including support for PFAS treatment, sewer rate relief, biosolids research, and regional interconnections. Members asked about costs, funding sources, and the relationship to existing revolving loan funds; witnesses said the bill would need to be paired with future bond funding and new revenue ideas. No votes were taken during the hearing, and the chairs repeatedly invited written testimony and noted the large number of speakers.

Transcript Highlights:

• I work very hard at it. I work all the time as the Pro Tem.
• It just gives you such an insight into how this place works, how the state works.
• And you learn one thing when you're working out in the fields: working that hard in the summertime in
• Back to work.
• and what does not work.

Transcript Highlights:

• Yes, and by your vote, SPB-2504 is favorably reported as a committee bill. is favorably reported as a
• System requirements.
• This closes the loop on our prior work on good work on anti-BDS laws. I think it's necessary.
• By your vote, CS for CS for SB 1678 is reported favorably. Reported favorably.
• This closes the loop on our prior work on, good work on anti-BDS laws. I think it's necessary.

Summary: The Appropriations Committee heard presentations on the Senate’s proposed 2025-2026 budget, SPB 25-200, totaling $117.4 billion. Chair Hooper and committee chairs highlighted major spending priorities including a 4% raise for state employees, continued health insurance contributions, investments in water quality, transportation, education infrastructure, and workforce development, along with reductions tied to long-vacant positions. Education funding was a major focus, with increases for K-12 public schools and scholarships, higher education workforce programs, nursing initiatives, tutoring, and university performance funding. Health and human services, criminal and civil justice, transportation/economic development, and agriculture/environment budgets were also outlined, including Medicaid, mental health, corrections staffing, affordable housing, beach restoration, citrus recovery, and water projects. Members then questioned several budget choices, especially K-12 funding. Senators Polsky and Smith raised concerns that the Senate’s AP and dual enrollment funding changes could disadvantage public schools, while Burgess argued the budget preserves the money in the FEFP and gives districts more flexibility rather than reducing support. Questions also addressed voucher availability, school stabilization funding, and the My Safe Florida Home program. The committee adopted 171 consent amendments and three late-file amendments, then approved SPB 2500 as a committee bill. It also favorably reported implementing and conforming bills for state employees, retirement, natural resources, judgeships, K-12 education, higher education, and health and human services, along with SB 7022 on Florida Retirement System contribution rates and elected-officer DROP options, CS/SB 1320 on the Resilient Florida Trust Fund, SB 7014 ending the Mediation and Arbitration Trust Fund, SB 7028 on cancer research, CS/CS/SB 170 on nursing home quality and oversight, CS/SB 168 on mental health diversion and behavioral health data, SB 114 creating an insurance and risk management research center at FSU, and SB 180 on emergency preparedness and post-storm recovery. Most bills were reported favorably with little or no opposition, though SB 180 drew discussion about local-government authority after storms and the need to balance recovery speed with local safety and planning concerns.

Transcript Highlights:

• the state central the state central registry.<00:21:07.520> Section<00:21:08.000> 30
• We work with the county's coordinated entry system to ensure that the young people who are at the highest
• process worked. process worked.
• how these work. Thank you. Uh thank you. how these work. Thank you. Uh thank you.
• harbor no wrong door response works. harbor no wrong door response works.

Bills: HF2115, HF2276, HF1644, HF99, HF2068, HF2707, HF2704, HF2406, HF1674, HF1579

Keywords: human services, aging services, disability services, behavioral health, long-term care, nursing home, nursing facility, assisted living, waiver services, medical assistance, Medicaid, case mix reimbursement, PDPM, RUG, direct care and treatment, developmental disabilities, day services, positive support, guardian, conservator

Transcript Highlights:

• <00:28:37.799> closely we worked we worked very very closely we worked we worked very very
• They work primarily on producing the audited annual comprehensive financial report.
• They work primarily on producing the audited annual comprehensive financial report.
• They work primarily on producing the audited annual comprehensive financial report.
• with the vendor um to upgrade working with the vendor um to upgrade that<01:12:40.520> system

Keywords: 928, house, all

Summary: The Department of Administrative Services presented an overview of its budget and operations, emphasizing that it is the lowest-spending agency in state government and that its general fund allocation has declined since 2019. Commissioner Arling House explained that DAS also handles back-office functions for several administratively attached boards, which has affected staffing and spending comparisons. He said the department’s current general fund spending is roughly split between retiree health and other operations, and that the presentation was based on adjusted authorized spending rather than the original budget figures. A major portion of the meeting focused on retiree health benefits and the long-term effort to control costs. Deputy Commissioner Cassie Keane described how the state moved from a projected deficit in retiree health to savings through a series of changes, including higher premium contributions, co-pay adjustments, and shifting Medicare retirees into Medicare Advantage arrangements to capture federal reimbursement. She said the state has about 12,500 retirees and spouses on the plan, with roughly 10,906 Medicare retirees and 1,580 non-Medicare retirees, and that the savings have depended heavily on federal funding and procurement decisions. She also noted that Medicare retirees pay Part B premiums and that the state has grandfathered older retirees from some premium contributions. Members asked about what the expenditures cover, why the state offers retiree health instead of simply giving retirees a payment to buy coverage themselves, and whether out-of-pocket costs changed under Medicare Advantage. Keane said the plan covers actual health claims or insurance premiums, that co-pays and maximum out-of-pocket limits remain in place, and that the state has no authority to change benefit details without legislative action. She explained that retiree health is a long-standing employee benefit that wraps around Medicare and is not collectively bargained in the usual sense, though its eligibility rules and cost-sharing have been tightened over time to better target the benefit to long-term state service. The discussion also covered vendor performance problems. Keane said Anthem recently won the contract back from Aetna, but its pharmacy subsidiary, Caroline, caused serious service disruptions. DAS responded by withholding payments, assessing more than $2 million in performance guarantees, and hiring a third-party auditor to review the pharmacy processes. The current contract runs through the end of calendar year 2026, and officials said they are watching federal Medicare Advantage reimbursement changes closely because future savings are uncertain.

Transcript Highlights:

• And especially when we have seen reports reported by KCRA.
• Does that not work? What you said verbatim.
• Is there a work into the bill with the fiscal?
• in working with the Secretary of State's office on looking at some details that we can work collectively
• And yes, there's a lot of work ahead.

Keywords: 988, house, all

Transcript Highlights:

• And we take the work really seriously.
• To the note at the top, I have lived and worked in the central San Joaquin, the southern border, Orange
• the realities that what works in Fullerton is probably different than what works in Porterville, where
• If OK, if if I may also share. that there are metrics for specific reporting that the grantees will report
• But the final report is not until September 2025.

Keywords: 988, house, all

Transcript Highlights:

• And that is the topic of a new report that we released last week called A Workforce Solution That Works
• And that is the topic of a new report that we released last week called A Workforce Solution That Works
• And that is the topic of a new report that we released last week called A Workforce Solution That Works
• That is the topic of a new report that we released last week called A Workforce Solution That Works:
• That is the topic of a new report that we released last week called A Workforce Solution That Works:

Keywords: 958, all

Summary: The committee first approved the minutes from its July 30, 2025 meeting. Members then heard a presentation from Roger McCann of the Department for Community Based Services on Kentucky’s 2026-2027 Community Services Block Grant state plan. He explained that the federally funded grant, now about $12 million annually, is distributed through 23 local community action agencies that use flexible funds for locally identified needs such as housing, nutrition, transportation, Head Start, and domestic violence services. McCann said the plan is submitted every two years and that the agencies served about 264,000 Kentuckians and 130,000 families in 2024. Senator Meredith asked whether there was a central place to review local projects, and McCann said regular reports exist and could be shared with members. The committee then approved the CSBG state plan by roll call vote. After that, members received an update on Kentucky’s state-designated domestic violence shelter programs from Angela Yanelli of ZeroV, Mary Foley of Maryman House Domestic Crisis Center, and Elizabeth Martin of the Center for Women and Families. The presenters described ZeroV’s role as the statewide domestic violence coalition, its 15 member programs across all area development districts, and its contract with the Cabinet for Health and Family Services to provide emergency shelter, supportive services, housing assistance, and batterers intervention programming. They emphasized that services are available 24/7 and are trauma-informed, with a strong focus on children and family support. The domestic violence providers reported high demand and rising costs. ZeroV said its network served more than 14,000 adults and children in fiscal year 2025, including nearly 900 children in shelter and more than 500 in outreach, while Maryman House reported operating at 90-92% capacity, with 53 households waiting for emergency shelter and 63 more waiting for intake. Maryman House also described an 8-unit transitional housing complex and plans for a 48-unit apartment complex if tax credit funding is approved. The Center for Women and Families highlighted school-readiness support for children, tutoring, counseling, and family services, including back-to-school supplies and rights information for homeless students. No additional votes or formal actions were taken during the domestic violence presentations.

Transcript Highlights:

• Reserve System overall.
• the Federal Reserve System. the Federal Reserve System.
• significant work we can do there. significant work we can do there.
• Yes, we do get those reports.
• So we know this method works.

Keywords: 1187, senate, all

Transcript Highlights:

• UMass Memorial is the largest safety-net nonprofit health system in Central Mass, a region of the state
• in what we know actually works.
• in what we know actually works.
• I worked for...
• So we are working very hard and have been for years to bring a community birth center to central Massachusetts

Keywords: 995, all

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

Transcript Highlights:

• wonderful works in the deep.
• make government work on your behalf. make government work on your behalf.
• They work together.
• They work together. Without another. They work together.
• /c><05:06:37.360> working<05:06:37.840> families government to work for working families

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, February 3, 2026, 1012, house, all