Transcript Highlights:

• FOR HOUSE BILL 67, a bill to be entitled An Act relating to state group insurance program coverage for
• COMMITTEE, CS FOR HOUSE BILL 677, a bill to be entitled An Act relating to state group insurance coverage

Bills: SB 2, HB 2, HB 2000, HB 2196, HB 213, HB 222, HB 645, HB 1458, HB 1022, HB 141, HB 502, HB 643, HB 3093, HB 1700, HB 117, SB 503, SB 2, HB 120, HB 20, HB 150, HB 6, HB 100, HB 210, HB 215, HB 1393, HB 1151, HB 1268, HB 142, HB 451, HB 124, HB 2, HB 2000, HB 2196, HB 213, HB 222, HB 645, HB 1458, HB 1022, HB 141, HB 502, HB 643, HB 3093, HB 1700, HB 117

Keywords: public education, teacher compensation, certification, funding, school finance, educator rights, education funding, charter schools, staff compensation, state aid, retention allotment, child grooming, sex offender registration, criminal justice, reportable conviction, law enforcement, virtual education, hybrid learning, school funding, average daily attendance

Transcript Highlights:

• But 80% of those are rejected on the grounds that they do not contain 100% of the TEKS coverage.
• Using inferior instructional materials, especially those not containing full curriculum coverage, directly

Summary: The House convened with prayer, pledges, and several ceremonial recognitions, including Wilson County Day, San Antonio Mission Indian Descendants Day, and Blue Ribbon Lobby Day, along with acknowledgments of visiting groups and a birthday greeting. The chamber also announced committee meetings and then moved into floor business, including conference committee action on Senate Bill 1, the state budget. A series of motions to instruct House conferees on SB 1 were debated and voted on. One motion sought to restore salary for Attorney General Ken Paxton after his impeachment-related suspension; it passed 88-56. Another, from Rep. Olcott, directed conferees to support amendments requiring data collection on the costs of undocumented immigrants in hospitals and prisons; after extended debate and a failed amendment from Rep. Martinez Fischer to also study immigrants’ economic contributions, the motion passed 86-61. The House also adopted instructions to eliminate Texas Lottery Commission funding, to support amendments restricting public education institutions from affirming gender identities inconsistent with biological sex, and to seek an additional $4 billion in property tax relief, with each motion passing on recorded votes. The House then took up a supplemental calendar and passed several bills, including HB 39 on veteran death data, HB 102 on priority registration for certain students entering military service, HB 126 on student-athlete compensation and representation, HB 290 on tuition and fee assistance for members of the Texas military forces, HB 300 on Texas Armed Services Scholarship Program updates, and HB 2143 naming a highway in honor of Army Specialist Joey Lins. The chamber also postponed consideration of HJR 2 and HJR 6. Later, the House considered HB 120 on career and technology education pathways and HB 20 on applied science pathway programs for high school students. HB 120 received a perfecting amendment and was advanced after discussion about workforce preparation. HB 20 prompted extensive questioning about transportation, costs, and how students would access partner campuses such as community colleges and TSTC sites; debate continued as the transcript ended, with members examining how the program would operate and whether approval authority would rest with TEA.

Transcript Highlights:

• That means that people will lose coverage.
• That means that people will lose coverage.

Bills: HF1646, HF2443

Keywords: medical debt, debt relief, healthcare financing, consumer protection, financial hardship, commerce, cannabis, insurance, housing, ombudsperson, affordability, property, task force, financial institutions, 1183, house

Transcript Highlights:

• Medicare is a federal program providing coverage for those 65. and older and for some people with disabilities
• So if they go to an emergency room. and it's super important for them to get coverage.

Bills: HB150, HB869, HB876, HB 1043, HB1494, HB1522, HB150

Keywords: cybersecurity, state command, information resources, data protection, incident response, information technology, classification officer, job descriptions, state positions, competency-based, information sharing, government efficiency, public sector, private sector, distributed ledger, title registry, real estate, property liens, pilot program, healthcare

Transcript Highlights:

• On the 8% premium increases, so that would only be seen on the dependent coverage, right, since the state
• You passed legislation last session that provided coverage for biomarker testing.

Bills: SB 1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards

Summary: The committee heard budget presentations from the Legislative Budget Board and agency officials on several agencies, starting with the Texas Historical Commission. LBB described a large biennial reduction driven mainly by the removal of one-time funding and discussed capital projects, rider changes, and exceptional items including Presidio La Bahia and the National Museum of the Pacific War. Senators asked about heritage trails, courthouse grants, unexpended balance authority, and the status of historical-site funding. Historical Commission leadership emphasized preservation, courthouse restoration, heritage tourism, coordination with the Alamo and other Texas Revolution sites, and requested additional IT, staffing, and vehicle funding. No votes were taken. The committee then reviewed the Pension Review Board and the Employees Retirement System. The Pension Review Board’s budget was largely unchanged aside from IT maintenance and salary adjustments, with an exceptional item for additional IT enhancements. Members discussed the Dallas Police and Fire Pension System’s funding dispute and the need for a workable restoration plan. ERS presented a much larger budget, including funding for the retirement system, the group benefits plan, and the legacy payment intended to reduce unfunded liability. Senators focused heavily on pension investment returns, benchmark comparisons, and rising health-care costs, especially pharmacy spending driven by GLP-1 drugs; ERS said the plan covers about 540,000 lives and that premiums would rise 8% while benefits remain unchanged. ERS also said it had no exceptional items, and committee members requested more detailed benchmark information. The committee also heard from the Texas Emergency Services Retirement System and the Cancer Prevention and Research Institute of Texas. TESSORS reported an unfunded liability, an infinite amortization period, and requested additional state support, staffing, and IT funding, including a statutory change to allow a higher contribution level; the agency warned that without more funding it may have to cut benefits. CEPRIT’s presentation covered its bond-funded cancer research and prevention portfolio, revenue-sharing from funded projects, and a request to increase salary limits for its CEO and chief scientific officer. Senators questioned CEPRIT’s accomplishments and return on investment, while CEPRIT cited screening, prevention, and research outcomes, including tens of thousands of detected cancers and precursors and hundreds of thousands of first-time screenings. The meeting ended after these presentations and questions, with no recorded committee action or vote.

Transcript Highlights:

• Currently, we are the only state in the country without full statewide 2-1-1 coverage.

Keywords: 987, senate, all

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• erase transgender people's existence, remove LGBTQ historical monuments, strip access to health care coverage

Keywords: 988, house, all

Transcript Highlights:

• erase transgender people's existence, remove LGBTQ historical monuments, strip access to health care coverage

Summary: The Assembly met in session, established a quorum, and opened with a prayer and the Pledge of Allegiance. Members then handled a series of procedural motions, including re-referrals of several Senate bills, notices for committee hearings, and a successful motion to suspend rules so ACA 20 could be taken up later in the week. The chamber also recognized former Assembly Member Christina Garcia and later moved into a Pride Month observance. The main ceremonial item was House Resolution 115 recognizing June 2026 as LGBTQ+ Pride Month. Assembly Member Ward opened on the resolution, and multiple members from different caucuses spoke in support, highlighting Pride history, LGBTQ+ rights, and the contributions of LGBTQ Californians. Assembly Member DeMaio offered supportive remarks while noting policy differences, and the resolution was adopted by voice vote after 53 co-authors were added. The Assembly then held a Pride honoree ceremony recognizing 15 individuals and groups for contributions to the LGBTQ community. On the floor file, members also adopted several resolutions by voice vote after adding co-authors: ACR 187 on Men’s Mental Health Month, ACR 157 marking the 50th anniversary of the Surface Mining and Reclamation Act, ACR 222 declaring Alzheimer’s Disease and Brain Awareness Month, and ACR 224 recognizing Social Media Harms Victim Remembrance Day. Each drew personal testimony from members about the underlying issues, including suicide prevention, caregiving and dementia, mining reclamation, and harms to youth from social media. The Assembly also concurred in Senate amendments to AB 46 on mental health diversion by a 51-1 vote, and later adopted the consent calendar 66-0. The House adjourned until June 25, 2026, at 9 a.m.

Transcript Highlights:

• The only time I've been nervous on this tour is when Friday we outkicked our coverage and I saw you go

Keywords: 995, all

Summary: The special commission on consolidation and cooperation among public safety agencies held a hearing focused on union and correctional staff testimony. Chair Dan Hunt and Senator Brownsberger opened by noting the commission’s extensive site visits and prior testimony, and they recognized Correctional Officers Week. Union representatives from KOUF, NCEU, AFSCME, and local county correctional unions described the daily realities of correctional work, emphasizing staff safety, staffing shortages, retention problems, mental health impacts, and the need to preserve local sheriff’s offices and collective bargaining agreements. Testimony centered on several recurring concerns: violence inside facilities, the spread of synthetic drugs such as K2, inmate suicides and suicide attempts, and the strain these issues place on officers, EMS, and local resources. Speakers also raised concerns about gender-identity housing policies, arguing they can create safety and workplace issues for staff, and urged more support for officer wellness, debriefing, and programs like OnSide Academy. Several witnesses argued that county facilities should remain locally controlled and that consolidation with the Department of Correction would weaken programming, staffing, and community-based reentry work. One witness described the Norwegian correctional model as a possible source of ideas for more rehabilitative approaches. Commission members responded with support for correctional staff and asked questions about K2 detection, paperless systems, EMS transports, and possible metrics to quantify incidents and facility needs. Members also discussed the importance of individualized assessments of each facility rather than a one-size-fits-all approach. The commission voted to seek an extension of its reporting deadline from September 30 to November 30, and agreed to continue site visits, including the upcoming Barnstable visit and a June 15 hearing. The meeting adjourned after the motion passed.

Transcript Highlights:

• families still struggle to find access to specialists, access to genetic testing, and secure insurance coverage

Keywords: 995, all

Summary: The Senate took up a higher education capital bond bill, House 4769, and considered a long series of amendments focused largely on campus facilities, housing, and related policy issues. Many amendments were adopted, including funding or project language for MassBay Community College HVAC and window replacement, Massachusetts Maritime Academy, Springfield Technical Community College, Cape Cod Community College nursing/allied health expansion and housing-related land use, Worcester State University and Quinsigamond Community College, Middlesex Community College, Salem State’s Sullivan Building, Roxbury Community College’s Center for Economic and Social Justice, UMass Boston’s Manning College of Nursing and Health Sciences, and several Massachusetts State College Building Authority updates. Some amendments were rejected, including proposals on a sustainable hand hygiene incentive program, unlocking housing on surplus land, a Senator Bill Owen Center designation, Urban College of Boston, and a board membership change. A number of amendments were held or withdrawn during the process. A major debate centered on an amendment by Senator Tarr to dedicate $300 million of surtax revenue to K-12 education, framed as a response to Chapter 70 funding concerns and the need to modernize school aid. Supporters argued that local districts face rising costs and that the state should set aside fair share revenue for school funding and future school building investments. Opponents said the bill was the wrong vehicle and noted the Commonwealth already dedicates substantial surtax revenue to K-12 programs. The amendment was defeated by roll call. Tarr also offered amendments on a safety valve for surtax revenue declines, equity analysis of surtax allocations, bond covenant requirements, and Chapter 62F taxpayer protections; those were not adopted. The Senate also adopted a separate amendment on AP credit policies at public higher education institutions, though the transcript reflects some procedural confusion around that vote. After completing amendments, the Senate ordered the bill to a third reading and then passed it to be engrossed by a recorded vote of 38-0. Senators then adopted several extension orders giving committees additional time to report on pending bills, including Environment and Natural Resources and Municipalities and Regional Government. The chamber also adopted an order to meet again the following Monday at 11 a.m. The session concluded with a unanimous memorial adjournment in honor of Bolton Police Chief Luke Hamburger, followed by a brief statement recognizing Rare Disease Day and the challenges faced by patients seeking diagnosis and treatment.

Transcript Highlights:

• consumer-specific service plans, training and competency requirements for agency staff, minimum coverage

Keywords: 995, all

Summary: The Joint Committee on Aging and Independence held a hearing on several bills, led by Chair Tom Stanley and Senate Chair Patricia Jehlen. The committee first heard testimony on H. 765/S. 487, an act relative to councils on aging, which would update outdated statutory language and allow directors of councils on aging to make staffing decisions when a council is structured as an advisory body. Representative Donahue and Betsy Connell of the Massachusetts Association of Councils on Aging said the change reflects how most councils now operate and would resolve conflicts like the one that arose in Sherborn. Members asked about whether the bill would affect town managers, volunteer roles, and whether the language should more clearly exempt informal volunteer help; supporters said the bill is aimed at municipal staffing structures, not unpaid volunteer assistance. The committee then took extensive testimony on H. 789/S. 470, an act to improve Massachusetts home care, which would create a statewide licensure system for non-medical home care agencies and entities. Julie Watt, Jay Krillovich, Betsy Krimmins, Lisa Gargoni, Tim Foley, and several providers and advocates supported the bill, arguing that licensure would establish baseline standards for background checks, training, service plans, insurance, complaint procedures, and labor-law compliance, while helping consumers identify legitimate providers and reducing fraud and abuse. Several witnesses described problems with unlicensed or poorly supervised providers, and family members and dementia advocates emphasized the need for dementia-specific training and better oversight for vulnerable clients. Tim Foley also raised concerns about private equity’s growing role in home care and said stronger regulation is needed to protect consumers and workers. Committee members focused on practical questions about the bill’s scope, including whether it would reach informal paid helpers, volunteers, or people doing occasional household tasks, and what agency would enforce the rules. Supporters said the bill is intended to cover entities advertising home care services, not unpaid volunteer help, though they acknowledged regulators would need to work out details. John Sneeth of Tribute Home Care offered a more cautious view, saying licensure should not unduly burden smaller providers or reduce competition, and that enforcement would be key. The hearing also included testimony from the Alzheimer’s Association and family caregivers, who strongly supported the bill’s dementia-training provisions and described how trained caregivers improved safety and quality of life for people living with Alzheimer’s and dementia. At the end of the hearing, the committee also heard support for H. 778/S. 473, regarding the Commission on LGBTQ Aging, with Lisa Krinsky urging funding for a full-time director and continued support for the commission’s strategic plan. After public testimony concluded, the committee adjourned the hearing by motion and voice vote.

Transcript Highlights:

• some levels of medical care within those settings, that's proven to be very challenging in terms of coverage

Keywords: 995, all

Summary: The Special Commission on Xylazine convened its second meeting, approved the minutes from its June 23 meeting, and reviewed its timeline and working groups. The co-chairs said the commission’s final report is due to the House and Senate clerks by March 30, 2026, and outlined three working groups focused on regulation/oversight of xylazine, treatment and outreach for exposed patients, and education/training for first responders, clinicians, treatment providers, and people who use substances. Staff will schedule working group meetings, with group presentations planned for December 11, followed by commission meetings in February and March to review and finalize the draft report. Public comment centered on research and practical responses to xylazine contamination in the drug supply. Dr. Tracy Green of Brandeis reviewed recent studies showing severe xylazine-related wounds and amputations in Philadelphia, withdrawal symptoms, the value of wound identification tools, and the usefulness of drug checking in detecting xylazine even when users did not suspect it was present. She urged expanded low-barrier wound care, more access to medications for opioid use disorder, overdose prevention sites, housing, and trauma-informed care, while cautioning that stricter controls could push the market toward other dangerous alpha-2 substances. Commissioners asked about early wound identification, dilution/cutting strategies, supplier engagement, and how to reduce stigma and improve treatment access. Tia Johnson of Boston Medical Center and Boston Health Care for the Homeless testified that xylazine contamination still requires naloxone for overdose response, but sedation can last longer and may require low-dose naloxone, oxygen support, and low-threshold monitoring spaces. She emphasized that xylazine-associated wounds can heal with consistent care, but patients often lose access to services when sent to hospitals unnecessarily. Commissioners discussed reimbursement barriers, especially in MassHealth and behavioral health settings, and the need for wound care to be available within detox and treatment programs rather than requiring transfers. The meeting ended with agreement to continue working group planning and adjournment.

Transcript Highlights:

• Coverage losses are not unintended consequences of this policy.

Keywords: House Select Committee on Advancing Rural and Small Town Health Care, 976, house, all

Transcript Highlights:

• Speaker appointees following coverage.

Bills: HR310, HR314, HR316, HR317, HR321, HR275, HR276, HR279, HR282, HR286, HR289, HR292, HR295, HR302, HR319, HCR112, HR307, SCR59, SCR61, SCR62, SCR68, SCR69, SCR70, SCR54, SCR55, SCR64, SCR75, HCR79, HCR104, HB75, HB410, HB719, HB750, HB944, HB1098, HB1220, HB1252, HB359, HB210, HB468, HB1117, SB382, HB368, HB552, HB732, HB870, HB1236, SB29, SB42, SB43, SB149, SB208, SB274, SB300, SB312, SB387, SB389, SB401, HR74, HB998, HB901, HR20, HCR65, HCR71, HCR98, HB284, HB306, HB341, HB366, HB393, HB458, HB577, HB603, HB605, HB614, HB625, HB646, HB733, HB752, HB773, HB798, HB911, HB955, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1191, HB1240, HB1255, SB82, SB89, SB97, SB123, SB237, HB36, HB42, HB74, HB119, HB159, HB258, HB259, HB302, HB414, HB459, HB848, HB956, HB1017, HB1028, HB1095, SB217, SB283, SB469

Keywords: oil and gas, orphan wells, inactive wells, shut-in wells, marginal wells, plugging and abandonment, well decommissioning, site remediation, site restoration, Oilfield Site Restoration, OSR program, financial security, bonding, taxpayer liability, public liability, offshore wells, onshore wells, coastal erosion, Department of Conservation and Energy, natural resources

Transcript Highlights:

• So that provides statewide coverage and hopefully eradicates those food deserts in those areas, whether

Bills: HB198, HB325, HB488, HB719, HB749, HB755, HB797, HB823, HB1028, HB1194, HB1222

Keywords: Medicaid, reimbursement, ambulatory surgical centers, gastroenterology, ophthalmology, otolaryngology, healthcare funding, Louisiana Department of Health, surgical procedures, TOPS-Tech, scholarship, education, eligibility, college credit, dual enrollment, state funding, HB 488, Belle Chasse Bridge, Belle Chasse Bridge Merit-Based Special Fund, Plaquemines Parish

Transcript Highlights:

• So that provides statewide coverage and hopefully eradicates those food deserts in those areas, whether

Summary: The Finance Committee met on May 27, 2026, with six members present and took up a series of House bills, most of them dealing with education funding, criminal justice staffing, transportation, health care access, and economic development. HB 325 was reported favorably after testimony that it would expand TOPS eligibility by allowing dual-enrollment credits to satisfy eligibility criteria and by making part-time students eligible for TOPS Tech, with supporters saying the program has been underused and the change would help working students. HB 719 was amended and reported favorably to increase assistant district attorney positions in various judicial districts; the Louisiana District Attorneys Association said the changes were based on workload data and local input, and members discussed the need to coordinate any expansion with public defender funding. The committee also reported HB 749 favorably, which would move Louisiana’s 529 savings accounts to a more secure online platform after a cyber incident, and HB 1028 favorably, which concerns transportation reimbursement for providers and was described as already subject to appropriation. Several bills focused on food access and local economic development. HB 1222, the Grocery Initiative Act, was reported favorably to let LED use existing grant resources to map food deserts and develop a program, with members noting it could return for funding later if needed. HB 1194 was amended and reported favorably to define food deserts and direct the LSU AgCenter and the Department of Agriculture and Forestry to identify and map them, with authors emphasizing it was a study and not a government-run grocery program. HB 755, which would create IDIQ contracting for architects and engineers on smaller state projects, was reported favorably with no fiscal impact. HB 823, a local diversion pilot for Orleans Parish, was also reported favorably after the fiscal note was revised to remove state impact and reflect only local costs. The committee spent substantial time on HB 488, a proposal from Plaquemines Parish to use severance-tax revenue to help buy out a private toll concession on the parish’s bridge. The author and local officials described severe toll burdens, economic harm to local businesses, and what they called an unfair contract, but members noted the bill was not funded and ultimately deferred it without a motion. HB 797, the Bayou Gold/Louisiana Sound Money Act, was amended to make implementation subject to appropriation and then reported favorably. The committee also took up HB 198, which would raise Medicaid reimbursement for ambulatory surgery centers for certain outpatient procedures; after extensive discussion about fiscal notes, access to care, and potential long-term savings, the bill was amended to narrow its scope and make implementation subject to appropriation, then reported favorably as amended. The meeting ended with the chair noting it would be the committee’s last meeting and asking members to spread the word.

Transcript Highlights:

• And these are all Medicaid coverage services under the prospective payment system.

Summary: The committee first approved a motion, then heard a lengthy presentation on homelessness policy and behavioral health. Testimony focused on the view that Arkansas should shift toward more data-driven, outcomes-based responses to homelessness, including stronger treatment options for serious mental illness and substance use disorder, better data collection, provider accountability, and possible statewide use of the Certified Community Behavioral Health Clinic (CCBHC) model. Speakers from Fort Smith, Restore Hope, Our House, and Western Arkansas Counseling described local work, the need for better coordination across providers, and the role of crisis services, ACT teams, and employment support. Members asked about sex offender tracking, the difference between sheltered and unsheltered homelessness, how to scale successful programs statewide, and whether Arkansas could apply for a statewide Continuum of Care or CCBHC planning grant. The discussion also touched on camping bans, civil commitment, and federal funding changes, with several speakers urging the state to pursue the CCBHC planning grant and more transparent reporting systems. After the homelessness discussion, the committee moved through a series of Department of Energy and Board of Nursing rule reviews. DEQ proposed updating the post-closure cleanup threshold for solid waste matters from $50,000 to $2 million to match Act 791 of 2025, and members asked about financial assurance and oversight; the rule was reviewed without objection. The Board of Nursing then presented multiple rule changes tied to recent acts, including adding fees for dialysis patient care technician registration, expanding contact-information requirements, implementing APRN delegation authority to unlicensed workers, clarifying APRN authority for death certificates and durable medical equipment prescriptions, updating certified medication assistant training and insulin-injection authority, and conforming independent-practice rules for clinical nurse specialists. Each rule was reviewed without objection. Near the end of the meeting, Senator Irvin announced that UAMS had completed its NCI designation submission for the Winthrop Rockefeller Cancer Institute, calling it an important milestone for the state. The committee then adjourned.

Transcript Highlights:

• And these are all Medicaid coverage services under the prospective payment system.

Keywords: 1204, all

Summary: The committee first heard a presentation on homelessness in Arkansas, with speakers from law enforcement, behavioral health, homeless service providers, and policy groups. Presenters argued that Arkansas should focus more on treatment, accountability, better data, and stronger coordination among providers, and they highlighted the Certified Community Behavioral Health Clinic (CCBHC) model as a way to expand Medicaid-reimbursed crisis, mental health, substance use, jail-based, and homeless outreach services. Testimony emphasized that Arkansas has relatively low overall homelessness numbers but a significant unsheltered population with serious mental illness or substance use disorders, and several members asked about sex offender tracking, provider accountability, statewide coordination, and whether the state could apply for federal funding or a statewide continuum of care arrangement. Speakers also discussed workforce supports, family homelessness, and the need for more transparent reporting and outcomes-based funding. The committee then reviewed several Department of Energy and Department of Health/Board of Nursing rules. DEQ sought to raise the threshold for commission review of certain post-closure cleanup expenditures from $50,000 to $2 million to match Act 791 of 2025, and members asked about financial assurance and oversight; the rule was reviewed without objection. The Board of Nursing presented multiple rule changes implementing recent acts, including adding fees for dialysis patient care technician registration, updating contact-information requirements, clarifying APRN authority to sign death certificates and prescribe certain durable medical equipment, implementing delegation of certain nursing tasks to unlicensed workers, adding a declaratory-order process, revising certified medication assistant training and insulin-injection authority, and conforming independent-practice rules for clinical nurse specialists. Each nursing rule was reviewed without objection after brief questions. In closing remarks, Senator Irvin announced that UAMS had completed its National Cancer Institute designation submission, calling it an important step for the state. The committee then adjourned.

Transcript Highlights:

• And these are all Medicaid coverage services under the prospective payment system.

Summary: The committee first approved a motion, then heard a lengthy presentation on homelessness in Arkansas, with a focus on unsheltered homelessness, untreated mental illness and substance use, public safety, and the role of local law enforcement and shelters. Presenters from law enforcement, homeless service providers, mental health, and policy groups discussed federal Continuum of Care funding, the need for better data and accountability, and proposals such as statewide camping enforcement, stronger treatment access, and consolidating or reworking the continuum-of-care structure. Much of the discussion centered on the Certified Community Behavioral Health Clinic (CCBHC) model, with witnesses describing it as a way to expand crisis services, treatment, and coordination with housing and justice systems. They also discussed homelessness among sex offenders, family homelessness, workforce supports, and how to scale successful local programs statewide. No formal action was taken on the homelessness proposals during the discussion. The committee then reviewed several Department of Energy and Department of Health/Board of Nursing rules. The energy rule updated solid waste post-closure cleanup thresholds from $50,000 to $2 million to match Act 791 of 2025. Nursing-related rules added fees for the new dialysis patient care technician registration created by Act 198 of 2025, updated contact-information requirements, implemented APRN authority under Act 862 of 2025, clarified durable medical equipment language under Act 431 of 2025, and incorporated delegation changes from Act 959 of 2025. Additional nursing rules updated certified medication assistant training and duties under Act 265 of 2025, and corrected rules for full independent practice to include clinical nurse specialists under Act 872 of 2023. Each rule was reviewed without objection. At the close of the meeting, members received an update that UAMS had completed its NCII designation submission for the Winthrop Rockefeller Cancer Institute, which was described as a major milestone. The committee then adjourned.

Transcript Highlights:

• transactions where consumers' pocketbooks continue to see the massive rising cost in prescription drug coverage

Summary: The House Committee on Health and Welfare met on April 23 and first disposed of several items without hearing them, including HB 1093 and HB 1145, and voluntarily deferring HB 946. The committee then quickly reported HB 1095 favorably without objection. That bill would require nursing facilities to have fuel or another alternative power generation source to maintain power, and supporters said it preserves existing backup-power safety requirements while giving facilities more flexibility as technology changes. The committee then took up HB 926, which concerns vaccination status and admission to public buildings and seeks to prohibit medical mandates. After adopting an amendment set and additional changes clarifying exclusions for licensed health care providers and facilities, medical masks, and child welfare/school-related provisions, the committee heard testimony both for and against the bill. Supporters framed it as a civil-liberties measure limiting vaccine-card requirements for public buildings, while opponents warned it could interfere with public health measures, school immunization rules, and the ability of health care facilities to protect patients. The bill was reported favorably on an 8-4 vote. HB 1220, a cleanup bill for the Louisiana State Board of Medical Examiners, was then reported favorably after a technical amendment set. HB 1227, which would require complaints involving medical judgment to be reviewed by a three-physician panel before formal disciplinary action, drew extensive testimony from a physician sponsor, a doctor describing his disciplinary experience, and the board’s executive director, who said the board already uses practicing physicians, nurses, and experts in its process and warned the proposed panel system could be impractical because physicians are difficult to recruit for such reviews. At the sponsor’s request, the committee voluntarily deferred HB 1227 for further work. Finally, the committee reported HB 1217 favorably with amendments to a pharmacy benefit manager transparency bill, after supporters said it would expose hidden pricing and rebate practices and opponents argued some provisions were duplicative or unnecessary. HB 1028, setting minimum Medicaid reimbursement rates for non-emergency medical transportation, was reported favorably and referred to Appropriations after supporters described the need for higher rates and members discussed funding. The committee also reported HB 1185 favorably, with amendments preserving the existing Rural Hospital Preservation Act while extending similar protections to additional rural-lookalike hospitals, and adopted HCR 76 to continue the Health Inequities and Disparities in Rural Areas Task Force for another year.