Transcript Highlights:

• So I would think patch versus oral medication would not prevent them from being able to switch. ...medication
• MAC, we just added certified medication assistance.
• Board to provide grant funding to eligible medical education programs.
• So amendments were necessary to address some of those issues.
• It talks about the definition of ordinary and necessary.

Committee: All ALC-ADMINISTRATIVE RULES

Summary: The Administrative Rules Subcommittee met to review a long agenda of agency rule changes, beginning with housekeeping on the order of business and then taking up rules from multiple state agencies. Early items included Department of Energy and Environment rules on landfill post-closure trust fund spending thresholds and liquefied petroleum gas standards, DFA’s odometer disclosure rule allowing electronic signatures and disclosures, and several Department of Health rules covering ionizing radiation, mobile home and recreational parks, lead-based paint, counseling licensure, hearing instrument dispensers, athletic training, dental specialties and compacts, nursing, pharmacy, physician assistants, medical compacts, speech-language pathology and audiology, radiologic technology, massage therapy, community health workers, doula certification, and cosmetology/body art. Most of these were described as technical updates, conformity with recent acts, federal standards, or compact participation, and nearly all were approved without objection after brief questions and, in many cases, no public comment. The committee also reviewed Department of Labor and Licensing rules on minimum wage/independent contractor standards, boiler rules, motor vehicle commission requirements for ATV/LSV dealers, professional wrestling regulation, appraiser qualifications, and military recruiting and retention programs. Testimony generally emphasized that the rules implemented recent legislation, updated fees or licensing standards, or streamlined existing processes. Members asked a few questions about fee structures, the rationale for regulating professional wrestling, and how the National Guard’s public-private partnership and incentive programs would work; the department said the recruiting incentives would be funded from existing appropriations and were intended to improve retention and force strength. These rules were also approved without objection. The most extensive discussion came on the Department of Education’s Arkansas Children’s Educational Freedom Account Program rule. The department said the revisions, based on Act 920 of 2025, were intended to add guardrails, clarify allowable expenses, and speed approval of core educational purchases. Changes included defining core educational expenses, limiting certain sports-related spending, adding an intentional misuse standard, restricting phone purchases except for disability-related needs, setting a $1,000 threshold for additional review of technology purchases, capping carryover funds at $8,500, and creating a reconsideration process for denied expenses. Members raised concerns about safeguards, appeals, sports equipment, provider credentialing, rural vendor access, and whether the department would be flexible or overly restrictive. The department said it would review every request, provide written explanations for denials, allow appeals up to the State Board, and refer suspected fraud to prosecutors if necessary. After hearing from 13 members of the public, the committee continued to discuss the rule, but the transcript ends before any final vote on the EFA rule is shown.

Transcript Highlights:

• They're on medications. They need things. I'm talking about making sure they get their medications.
• We've got to do the right thing for the medications.
• If you're on medication, let's get them the medication they need.
• And so I think this is very necessary.
• And people are dying because of medical neglect, the lack of proper medical care.

Committee: House Corrections and Public Institutions

Summary: The committee first took up several bills in executive session. House Committee Amendment No. 1 was adopted and rolled into a substitute for House Bills 3292 and 2171, which then received a do pass recommendation by a 10-2 vote. House Bill 2753 also received a committee substitute and was voted do pass 10-2. House Bill 2912 was voted do pass by an 11-1 vote. During this portion, one member criticized the Department of Corrections for not responding to inquiries or attending earlier hearings, and the chair acknowledged the concern. The committee then heard testimony on House Bills 1616 and 2832, sponsored by Representatives Allen and Collins, which would create an independent corrections oversight structure, including an Office of Corrections and Transparency or ombudsman-style advocate with authority to inspect facilities, investigate complaints, access records, and report publicly. The sponsors argued that DOC currently lacks independent oversight and that internal review is insufficient. They cited deaths, unsafe conditions, medical neglect, and the need for confidential reporting by staff and incarcerated people. Committee members questioned whether the bills would duplicate existing processes, what the fiscal impact would be, and whether the proposal had enough enforcement power; the sponsors said the office would be small, likely around $300,000, and were open to amendments. Supporters testified that independent oversight is needed because of repeated deaths in custody, lack of trust in internal complaint systems, retaliation concerns for staff, and large taxpayer costs from lawsuits and settlements. Witnesses from Empower Missouri, Missouri Justice Coalition, the NAACP, ACLU of Missouri, and FAMM all supported the bills, with several emphasizing that prisons are closed institutions with inherent power imbalances and that external oversight would improve transparency, safety, and accountability for both incarcerated people and staff. The hearing ended after testimony in support, with no opposition presented and the committee adjourning without taking final action on the oversight bills.

Transcript Highlights:

• This was a request for the Medical Commission.
• She drove across the state to pick up her medication in person because she could not risk male medications
• necessary health care services for all residents of the state.
• They must choose between buying food, medications, diapers, and paying off medical debt.
• Medical debt is the leading cause of family bankruptcy.

Summary: The Senate Health and Long-Term Care Committee held a public hearing on six bills, with the chair repeatedly emphasizing one-minute testimony limits because of the large number of sign-ins. The committee first heard SB 6292, which would create a joint legislative-executive committee on health care financing to study strategies for improving statewide access and coverage and report in 2027. Supporters, including the Health Care Authority, the Office of the Insurance Commissioner, community health centers, carriers, and provider groups, said the bill could help the state respond to affordability and system sustainability challenges and coordinate policy work across branches of government. The committee then heard SB 6258, which would create a non-disciplinary pathway for voluntarily relinquishing certain Washington Medical Commission licenses. The sponsor and supporters said the bill would provide a humane exit option for physicians and other licensees who are medically disabled or otherwise leaving practice, without forcing them into a disciplinary process. Testimony was overwhelmingly supportive, and the hearing closed with 17 people signed in pro and 2 con. The committee also heard SB 6182, establishing an abortion savings program funded by a new assessment on health carriers. Supporters argued it would recapture funds originally set aside for abortion care under the ACA and protect access amid federal changes, while opponents raised concerns about hidden taxes, lack of opt-out, and the impact on premiums and conscience rights. The hearing drew very large public interest, with 245 signed in pro and 1,775 con. The committee next took testimony on SB 5947, which would establish the Washington Health Care Board and prepare a state universal health care plan contingent on federal authorization and funding. Supporters from labor, health care, tribal, and universal coverage advocacy groups said the bill would position Washington to act quickly if federal waivers become available and argued that health care should be treated as a human right; opponents warned about costs, vagueness, and government overreach. The hearing then moved to SJR 8206, a proposed constitutional amendment declaring access to affordable health care a fundamental right. Supporters framed it as an aspirational commitment and a necessary step toward universal coverage, while opponents argued the language was vague, legally risky, and could create costly obligations. Finally, the committee heard SB 5823, which would require hospitals to employ or provide access to patient advocates to help patients navigate bills, records, and appointments. Hospital and patient coalition witnesses supported the goal but asked for amendments to clarify staffing, exemptions, and scope; the hearing closed with 20 signed in pro, 792 con, and 3 other. No votes were taken on the bills during the hearing.

Transcript Highlights:

• Staff necessary to carry out those duties.
• medical doctors' licenses, within time frames, within 30 days.
• So if medical doctors' licenses were issued within 30 days...
• if they had nothing to do with medical doctor licensing.
• just my language—they are a necessary evil.

Committee: House House Health & Human Services Committee of Reference

Transcript Highlights:

• The technical fix of this bill is necessary because...
• necessary mental health and substance use disorder services.
• One, we have a workforce shortage in a wide variety of medical providers.
• They've got their medical or their education bills and all that stuff.
• They've got their medical or their education bills and all that stuff.

Bills: HB2555 , HB2658 , HB2683 , HB2685 , HB2168 , HB2196 , HB2545

Committee: House Health Care & Wellness

Keywords: Medicaid, healthcare, traditional practices, health insurance, coverage expansion, mental health, insurance coverage, transparency, consumer protection, efficiency, health carriers, providers relations, tribal data, data protection, privacy, sharing of information, Indigenous rights, overdose prevention, data sharing, public health

Transcript Highlights:

• Revisions to these rules were necessary to implement Act 119 of 2025.
• enter those spaces if necessary to treat the students.
• So the medical marijuana commission meets once a month.
• All right, we'll move to the Arkansas State Medical Board, 8A. Mr.
• This is a program for persons who are physically disabled, have a need for, or medically have a medical

Committee: All ALC-ADMINISTRATIVE RULES

Summary: The Administrative Rules Subcommittee met to review a large slate of agency rules and reports. Early agenda items included filing reports from ALC subcommittees and approving quarterly administrative directives, with no new directives from Corrections or the Post-Prison Transfer Board. The committee also noted that RDOT utility accommodations rules and one solid waste district rule had been pulled at the agencies’ request. Most agency rules were reviewed and approved without objection, including rules from the Department of Transportation on oversized/overweight vehicle permits and automatic license plate readers, the Insurance Department on vision plan coverage, the Department of Education on course choice, restroom access for athletic personnel, and school district consolidation/detachment, and several Department of Health and DHS rules covering controlled substances, acupuncture, physician assistant delegation, personal care, Medicaid eligibility, continuous glucose monitors, maternal health services, PACE, EVV, substance use disorder treatment, and hospital reimbursement. The committee also approved rules from Labor and Licensing, Parks, Heritage, and Tourism, Shared Administrative Services, the 529 Plan Review Committee, and the Treasurer’s Office, and it voted to continue the Office of Early Childhood’s rules and to accept outstanding rulemaking responses from several agencies. Two items drew notable discussion. The committee held the DHS hospital reimbursement rule for further review after concerns were raised about whether acute hospitals, especially Children’s Hospital, could legally and economically provide the newly reimbursable lower level of care; the committee first voted to hold it, then expunged that vote and instead held the item until the next day’s full ALC meeting for further discussion. The committee also denied the Arkansas Towing and Recovery Board rule after a motion that it did not match legislative intent, with concerns focused on proof of insurance and vague language about future financial responsibility. All other reviewed rules were approved.

Transcript Highlights:

• medical equipment industry in California.
• George Sorosito, with the California Medical Association.
• Before a DO applies any manual treatment, we first make a medical diagnosis.
• Grant Miller from the California Veterinary Medical Association.
• Grant Miller from the California Veterinary Medical Association.

Summary: The Assembly Business and Professions Committee heard a long agenda of bills, with several cannabis-related measures drawing the most testimony. AB 1598 would extend and standardize licensing timelines for behavioral health professionals, AB 1850 would clarify that real estate wholesalers are subject to licensure and disclosure rules, AB 1794 would allow enteral formula to be shipped directly to patients’ homes, and AB 2402 would update an old cap on fees for multi-service health club studios. The committee also heard AB 1990 on compounded GLP-1 drugs, AB 2249 on cannabis packaging attractive to children, AB 2532 on cannabis beverage serving sizes, AB 2537 on prioritizing cannabis enforcement, and AB 1826 on due process protections for cannabis businesses facing embargoes or recalls. Testimony was generally split between public health or consumer-protection advocates and industry representatives. Supporters of the cannabis bills argued for clearer rules, better consumer safety, and more predictable enforcement, while opponents warned that some proposals could overreach, burden compliant businesses, or restrict legitimate branding and access. On AB 1990, supporters said compounded GLP-1 products need stronger testing and truthful advertising, while pharmacists and compounding advocates said existing law already covers much of the conduct and that the bill could create access problems. On AB 2249 and AB 2532, public health witnesses emphasized risks to children and accidental overconsumption, while industry groups sought narrower language and more implementation time. The committee took several roll-call votes after quorum was established. AB 2249, AB 1826, AB 2402, AB 1794, and AB 2532 were all approved and sent to Appropriations, and AB 1826 was sent to Judiciary. The chair and members repeatedly noted accepted committee amendments and, in several cases, said they were prepared to support the bills with those amendments. Some measures were left open or held pending further action as the hearing continued.

Transcript Highlights:

• necessary care for which an interruption can be really life-altering.
• I'm not sure we have Damon Carpenter, if necessary.
• Madam Chair, we have Damon Carpenter, if necessary. Awesome.
• record, except in cases of emergency medical care.
• The bill defines medical intervention as a medical procedure, treatment, device, drug, injection, medication

Committee: Senate Senate Health and Human Services COR

Summary: The committee heard and voted on several health and human services bills. SB 1192 would exempt good-faith basic first aid given without compensation from Arizona Medical Board licensure requirements, with added consent and law enforcement notification rules for injured minors; an amendment clarifying that the bill does not limit existing liability protections was adopted, and the bill passed 5-2. SB 1398 would require AHCCCS to redetermine eligibility for members over 21 every six months and report eligibility data annually; AHCCCS testified it would create significant administrative costs and that the bill lacked federal-population exemptions and an appropriation, while supporters argued it was needed for transparency and fraud detection. The committee adopted a technical amendment and passed the bill 4-3. SB 1399 would require prepaid capitated AHCCCS contractors to report spending on direct patient care versus administrative costs; supporters framed it as taxpayer accountability, and it passed 6-1. The committee also considered SB 1494, a strike-everything amendment making it a felony for providers, institutions, or drug manufacturers to pay premiums or otherwise steer enrollees to change health plans for financial gain, while exempting licensed insurance producers. Blue Cross Blue Shield and brokers supported the anti-patient-brokering goal, but ARMA warned the language was too broad and could chill ordinary provider-patient conversations and navigator/social worker assistance. The committee adopted the striker and passed the bill 4-3, with several members saying they wanted to refine the language on the floor. SB 1813 would remove the Maricopa County 55-bed cap at the Arizona State Hospital and require admission based on clinical need; supporters said the cap is outdated and leaves beds unused, while ADHS and others warned about rural access, fiscal costs, and possible litigation under Arnold v. Sarn. The committee adopted an amendment removing a citizenship requirement and passed the bill 5-2. Later, SB 1821 passed 6-1. It would let JLBC audit teams review DCS’s case-management system, allow unannounced inspections of licensed group foster homes, prioritize placement with relatives or other significant adults, and require newly hired child safety workers to train for a year under experienced staff. Finally, SB 1557 would require signed informed consent before medical interventions except in emergencies; supporters said it simply codifies standard practice, while the ACLU argued the bill lacked clear standards and could create burdens for ongoing or controversial care. The committee passed SB 1557 4-3 and then adjourned after completing its agenda.

Transcript Highlights:

• Hi, Angela Hill, the California Medical Association, and respectful opposition.
• But the underlying goal is absolutely necessary.
• AB 2095 is necessary because it closes gaps that allow this discrimination to continue.
• This is enabled through electronic medical record platforms.
• George Sorries, with the California Medical Association, in opposition. Mr.

Summary: The committee heard several labor-related bills, with testimony largely focused on worker protections, AI, workplace safety, and employment access. AB 1697 would delay implementation of AB 692 on employer debt traps by one year to allow more time to address collective bargaining concerns; it drew support from the NFL and no opposition. AB 2495 would expand prohibitions on immigration-related threats used by employers to intimidate workers, with strong support from immigrant-rights, labor, and legal aid groups describing coercion and fear among undocumented and new-arrival workers; it advanced on a divided roll with some members voting no or not voting. AB 2511 would require DIR to study pay disparities between behavioral health and medical-surgical providers, with supporters arguing low reimbursement drives provider shortages and opponents warning of duplicative reporting, proprietary-data concerns, and added administrative burden; it was moved forward to the Health Committee. AB 2157 would make permanent the Displaced Oil and Gas Workers Fund Pilot Program, with displaced refinery workers and labor/environmental groups supporting the bill as a needed transition tool; it passed to Appropriations. AB 2530 would require 60-day notice for public-employer layoffs, relocations, and closures, narrowed by amendment to public agencies; supporters said public workers deserve the same notice protections as private-sector workers, while some opposition sought clarification, and the bill passed to Judiciary. The committee also heard AB 2488, which would direct DIR and UC to study Cal/OSHA inspector vacancies and recruitment pathways. Supporters, including a laid-off refinery worker and WorkSafe, said chronic understaffing has weakened enforcement and that experienced workers could fill the gap; the bill passed to Appropriations. AB 2545 would create an EDD study of AI-related workforce displacement and safety-net impacts, with labor and tech-policy supporters warning of large-scale job loss and the need for data to plan for unemployment and other public programs; business groups opposed the reporting and task-force structure but acknowledged the issue, and the bill passed to Privacy and Consumer Protection. AB 2027 would restrict employers and vendors from using worker data to train or deploy AI systems that replace workers, while limiting collection to what is necessary for employment administration; supporters framed it as a privacy and anti-displacement measure, and opponents argued the definitions were too broad and could hinder useful workplace technologies. The bill advanced to Privacy and Consumer Protection. Later, AB 2095, the Fair Chance Act bill, was presented to clarify and strengthen rules limiting conviction-history screening in hiring, including written explanations and protections for applicants seeking promotions or new roles with current employers. Supporters described ongoing discrimination against people with records and the need for a real second chance, while opponents said the bill was too broad, added burdens, and could conflict with existing statewide rules. The transcript cuts off before the final vote on AB 2095, but the discussion centered on balancing reentry opportunities with employer concerns about individualized assessments and safety-based hiring decisions.

Transcript Highlights:

• necessary for the feline patient.
• </c><00:13:37.839><c> the</c> unnecessary because the medical the unnecessary because the medical the
• veterinary<00:13:38.200><c> medical</c><00:13:38.480><c> profession</c> veterinary medical profession
• and very expensive pain medication in many cases.
• So medical expertise that could do this.

Transcript Highlights:

• George Soares with the California Medical Association.
• for the Orange County Medical Association.
• In the medical group we spent months trying to find a medical specialist.
• The medical .
• Rich Miller for Americans for Safe Access and the American Alliance for Medical Cannabis and as a medical

Committee: House Business and Professions

Transcript Highlights:

• House Bill 1496 relates to charges for medical records.
• Abortion medications are defined for these purposes as substances used in the course of medical treatment
• necessary by the treating provider.
• Mifepristone and misoprostol are safe and effective medications for miscarriage management and medication
• This is not about access by patients to their medical records.

Bills: HB1496 , HB2182 , HB2196 , HB2242

Committee: House Health Care & Wellness

Keywords: patients' rights, healthcare information, medical confidentiality, health data security, healthcare access, abortion, medications, reproductive health, access, healthcare, PANDA, PANS, treatment access, mental health, legislation, preventive services, state authority, definitions clarification, public health

Transcript Highlights:

• House Bill 1496 relates to charges for medical records.
• Abortion medications are defined for these purposes as substances used in the course of medical treatment
• necessary by the treating provider.
• Medication abortions.
• Mifepristone and misoprostol are safe and effective medications for miscarriage management and medication

Summary: The committee heard testimony on three health care bills. HB 1496 would cap charges for electronically stored medical records at $50 for patients and certain authorized recipients, while removing a free-copy provision tied to SSI/SSDI appeals and changing attorney fee language to “prevailing patient.” Supporters, including patient advocates, attorneys, and injured workers, said current record fees can reach thousands of dollars and block access to justice; opponents, including hospitals, home care providers, and records vendors, argued the bill would not cover the labor and HIPAA compliance work involved in large third-party requests and could shift costs to providers and patients. The bill remained in hearing with testimony continuing after the committee moved through other bills. HB 2182 would change how the Department of Corrections distributes its stockpile of mifepristone and misoprostol, removing the requirement that the medications be sold at cost plus a $5 fee and instead allowing, but not requiring, payment while directing DOC and the Department of Health to coordinate distribution to providers and facilities. The prime sponsor and supporters said the bill is needed so the state’s stockpile does not go unused or expire and to remove barriers to access for abortion and miscarriage care; opponents argued the bill subsidizes abortion, raises legal and taxpayer concerns, and should be rejected. Public testimony on HB 2182 was closed after hearing from both supporters and opponents. HB 2196 would require certain fully insured health plans to cover IVIG for PANS and PANDAS, with initial and medically necessary follow-up courses, and would bar denials based on prior treatment, age, out-of-state care when unavailable in Washington, or treatment guidelines that only address psychiatric symptoms. The sponsor, families, and physicians described severe, sudden-onset symptoms in children and said IVIG can be life-changing after other treatments fail, while insurers warned the mandate could add to already rising premiums and noted the treatment can be very expensive. HB 2242 would shift vaccine and preventive-service recommendation authority from federal bodies to the Department of Health, while preserving no-cost coverage for preventive services and updating the reference date for protected services; the governor, insurance commissioner, public health officials, and many physicians supported it as a way to preserve access amid federal instability and rising vaccine-preventable disease, while questions focused on whether the bill would change school or daycare requirements, which staff said it would not.

Transcript Highlights:

• But aside from, I guess, medical situations, right? Some medical situations.
• You refer to it as being unsafe, and I think there's a lot of medic- medical science and medical journals
• If sectors are producing less of this necessary medication, what's going to happen here if we end up
• But the usage of the drugs for other medical purposes, medical emergencies.
• There are many reasons why abortion care is necessary that do not fit into the medical emergency acceptance

Bills: HB229 , HB229 , HB3990 , HB5082 , HB5510

Committee: House State Affairs

Keywords: HB 229, Texas, political subdivision, local government, county dues, county association, state association of counties, lobbying, lobbyist, public funds, taxpayer lawsuit, injunctive relief, attorney's fees, Government Code Chapter 556, Local Government Code Section 89.002, legislative advocacy, municipal government, county government, city government, special district

Transcript Highlights:

• House Bill 2243 is a workers' compensation bill, and it relates to attending providers in the medical
• and tell us, practitioners with less than a medical doctor's degree who come forward and tell us, we
• Available to treat them first and foremost and refer as necessary. Happy to take questions.
• So it's really not intended to be anything additional to join the medical provider network than what
• they've already really done to become a medical provider.

Bills: HB2107 , HB2137 , HB2243 , HB2264

Committee: House Labor & Workplace Standards

Keywords: construction safety, hazard notification, worksite regulations, labor safety, state law, law enforcement, correctional officers, interest arbitration, collective bargaining, public safety, workers' compensation, healthcare providers, physical therapy, occupational therapy, employment, unemployment insurance, benefits, layoffs, workforce reduction

Transcript Highlights:

• It's all about medical necessity.
• necessary by a physician.
• Donations that are being made where there might not be medical necessity in there.
• If the physician order was there with medical necessity, yes.
• When it comes to the physical ability of making the medical necessity determination.

Bills: SB 53 , SB53 , SB125 , SB315 , SB379 , SB457 , SB541 , SB599 , SB896 , SB921 , SB963 , SB1038 , SB1084 , SB1330 , SB1461

Committee: Senate Health & Human Services

Transcript Highlights:

• And from what I understood is sometimes with these kids with medically complicated cases, the medication
• So I guess the question I have is if a patient is medically complex, it is the... ...medical system or
• It would create a clearly visible alert in the electronic medical record for medically complex children
• I'm the grandmother of a medically complex child, the mother of a now-adult medically complex former
• I believe is necessary.

Committee: House Health and Mental Health

Summary: The committee first met in executive session and adopted a substitute for House Bill 1962, then voted House Committee Substitute for HB 1962 do pass by 16-0. The substitute was described as making changes related to an epinephrine-related database and pricing. The committee then adopted a substitute for House Bill 2371 and voted House Committee Substitute for HB 2371 do pass by 16-0; the sponsor said the bill would codify existing Medicaid/state-plan coverage for a blood pressure-related issue and make the private insurance language consistent. House Concurrent Resolution 28 was also voted do pass by 16-0. The committee then heard House Bill 3457, “Maddie’s Law,” which would create an electronic medical-record alert for medically complex children so hospitals can quickly access individualized emergency care plans. Representative Burns presented the bill as a response to the death of a child named Maddie, and multiple family members and advocates testified in support, describing repeated emergency-room delays, the burden of carrying binders of records, and the need for one-click access to care plans. Questions focused on how the alert would work with existing systems, whether QR codes or bracelets might help, whether the bill should also apply to adults, and how the voluntary language fits with the goal of ensuring the information is available. An SSM Health lobbyist testified for information purposes, explaining that the STARS program is a voluntary EMS care-plan system started in 2014 and now includes about 1,800 children in Missouri and Illinois; he said the sponsor was willing to work on the language. Finally, the committee heard House Bill 3401, which would require hospitals to develop workplace violence prevention plans, multidisciplinary committees, risk assessments, training, reporting, and incident review processes, while keeping the bill flexible for different facilities. The sponsor and several health care groups cited high rates of threats and assaults against emergency and hospital staff and argued that violence is a preventable workplace risk that contributes to burnout and staffing shortages. Witnesses from emergency physicians, nurses, the Missouri Hospital Association, and other medical groups supported the bill, with some suggesting the signage language be broadened or simplified. No votes were taken on HB 3457 or HB 3401 before the committee adjourned.

Transcript Highlights:

• Most of you are here for medical freedom.
• Why is it necessary that this particular medication, amongst all medications out there, not have a prescription
• treatment or medical care."
• "Where a parent has a minor who is in need of medical treatment or medical care, they already have to
• treatment or medical care. where a parent has a minor who is in need of medical treatment or medical

Committee: Senate Appropriations

Transcript Highlights:

• Under SB 13, Delaware residents receiving medically necessary hospital services will receive free care
• Delawareans should not have to choose between paying their medical bills, putting food on the table,
• I talked about what happened right across our borders at Crozer-Chester Medical Center.
• Of the Crozer-Chester Medical Center closing.
• I was born at Crozer-Chester Medical Center. All of my care has been there.

Bills: SB313 , SB296

Committee: House Health & Human Development

Summary: The House Health and Human Development Committee met and considered a series of health, human services, and related bills. The committee heard and advanced House Substitute 1 for Senate Bill 13, which standardizes hospital charity care and financial assistance statewide, and Senate Bill 296 with Senate Amendment 1, which restructures the Delaware Health Fund grant process with a more formal, transparent competitive rubric. Both measures received supportive testimony from DHSS, the Delaware Healthcare Association, and the Delaware Nurses Association, and both were released by committee on roll-call votes. The committee also released Senate Bill 313 with Senate Amendment 1, which places a temporary moratorium on acquisitions of nonprofit acute care hospitals by for-profit entities and expands notice/review requirements for sales of hospital real estate; Senate Bill 340 with Senate Amendment 1, which requires long-term care facilities to carry specified liability insurance, with questions raised about the exemption for state-owned facilities; Senate Joint Resolution 20, which directs DHSS to study independent assessment tools for Medicaid home- and community-based services; and Senate Bill 341, which updates Delaware Health Information Network law and formally recognizes DIN as the state’s health data utility. Testimony on these bills was generally supportive, with some discussion on constitutional concerns, insurance coverage, and the rationale for the state exemption in SB 340. Later, the committee advanced Senate Bill 257, which requires new animal shelters to be licensed and inspected before operating and removes a prior exception for certain rescue organizations; and Senate Substitute 1 for Senate Bill 278 with House Amendment 1, which allows earlier pre-authorization for summer child care enrollment and lowers copays for half-day care. Public testimony on these measures came from animal welfare advocates, YMCA representatives, and other stakeholders, all largely in support. Each bill was released by committee, with several votes walked for absent members, and the meeting adjourned after all agenda items were addressed.

Transcript Highlights:

• <c> are</c> medically necessary services that are medically necessary services that are not<00:21:12.240
• > be</c> medically necessary services to be medically necessary services to be provided<00:36:37.160>
• necessary care for limited to medically necessary care for uninsured<00:44:52.599><c> individuals</c
• > may</c> are not medically necessary or they may are not medically necessary or they may be<00:49:33.880
• </c><01:44:59.360><c> just</c> medically necessary care and so just medically necessary care and so just

Committee: Senate Health and Human Services