Transcript Highlights:

• SJR 50 is approving a major rule for the Oklahoma Health Care Authority. Move for adoption.
• SJR 52 is approving another set of major rules for the Oklahoma Health Care Authority.
• Chairman Kendricks, why are there two different SJRs for the Oklahoma Health Care Authority?
• SJR 53 is yet another Oklahoma Health Care Authority rule.
• SJR 53 is yet another Oklahoma Health Care Authority rule. Oh, no, it's not.

Bills: SJR50, SJR52, SJR53

Keywords: Medicaid, federal funding, state law, healthcare, low-income adults, Oklahoma Constitution, Oklahoma Health Care Authority, OHCA, health care rules, administrative rules, major rule, Title 75, Title 317, Oklahoma Administrative Code, OAC 317:30, health policy, state health programs, provider regulations, benefits administration, rule approval

Summary: The Administrative Rules Committee met to consider three joint resolutions approving major rules. Chairman Kendricks presented SJR 50 and SJR 52, both related to Oklahoma Health Care Authority rules, and SJR 53, which was clarified to concern the Oklahoma Medical Marijuana Authority. Members asked why the Health Care Authority rules were split into two separate resolutions, and were told they could have been combined but were being handled separately. Each resolution was moved for adoption, there was little to no debate, and the committee voted to approve them. SJR 50 passed 10-0, SJR 52 passed 11-0, and SJR 53 also passed unanimously. After the votes, members exchanged brief remarks thanking one another for their work during the year and noting the committee’s efforts to reduce bureaucracy. A member asked whether suggestions should be raised at that time, and was told that was not the appropriate time. With no further business, the committee adjourned.

Transcript Highlights:

• Chris Colville said that gender-affirming care is health care and that health care is a human right.
• It does also protect contraception care, abortion care.
• That's all in this pregnancy care, miscarriage care.
• That's all in this uh pregnancy care, care, care, miscarriage<00:41:34.520> care.
• gender-affirming care. gender-affirming care.

Bills: HB1573, HB1645, HB1875, HB1898, HB2121

Keywords: electronic smoking devices, e-liquids, certification, FDA, state law, penalties, compliance, directory, public health, nonprofit, child welfare, liability, insurance, legal protections, Hawaii, health care, reproductive rights, gender-affirming care, privacy, civil liability

Summary: The committee heard testimony on HB 1573, which would create state enforcement authority over unauthorized e-cigarette products and related tobacco enforcement. Supporters including SHPDA, the Department of Health, the Attorney General’s office, Hawaii Public Health Institute, and others said the bill would help protect youth from unauthorized vaping products, give the state tools to enforce an FDA-authorized product list, and add penalties and inspection authority. A committee member asked whether enforcement staff were available and what penalties would apply; the response was that existing tobacco investigators would take on the work, and the bill includes civil penalties, seizure authority, and possible license revocation referrals. The measure drew both support and opposition testimony, but no vote was taken in the portion provided. The committee then took up HB 1645, relating to liability for child welfare service providers. The Insurance Division said it was aware of the insurance-cost problem, had raised the issue with the NAIC, and was exploring a captive insurance option, while suggesting the legislature consider additional appropriations to DHS to cover higher contract costs. Supporters, including Parents and Children Together and Hawaii Insurance Council, argued the bill would help child welfare providers obtain insurance and continue critical services. Opponents, including the Hawaii Association for Justice, warned that removing joint and several liability could leave victims undercompensated and might not actually lower premiums. The insurance commissioner said other states have done tort reform in this area, but the committee was told it is not clear the bill would reduce insurance costs. Finally, the committee heard extensive testimony on HB 1875, which would protect access to gender-affirming care in Hawaii and shield patients and providers from out-of-state legal actions. Support came from the Hawaii State Youth Commission, LGBTQ+ and public health groups, medical professionals, ACLU Hawaii, Planned Parenthood, and others, who said gender-affirming care is evidence-based, medically necessary, and important for patient privacy, provider stability, and continuity of care. Several witnesses asked for amendments to the bill’s definition language. Opposition testimony came from individuals and groups including Hawaii Christian Coalition, Leeward Republican Women’s Club, and others, who argued the bill could expose children to irreversible decisions and that more research is needed. The chair noted roughly 176 supporters and about 40 opponents testified. No final action or vote was reported in the excerpt.

Bills: HB2035, HB2041, HB2611, HB2860, HB4004, HB4049, SCR1032

Keywords: kinship care, child welfare, foster care, relative placement, child protection, child neglect, financial resources, behavioral health, Christian Science treatment, parental rights, group homes, children's rights, safety protocols, employee training, mental health, child safety, oversight, independent committee, transparency, accountability

Transcript Highlights:

• House Bill 1216, expenses for prescription drugs and relating to self-insurance health care plans.
• It absolutely changes their lives because it takes care of the disease at the cellular level.
• And so, yes, it would take care of the deductible. If this goes through, it would be allowed.
• That takes care of our agenda for bills for the morning.

Bills: SB2271, HB1216

Keywords: adult residential facilities, care services, Medicaid, payment rates, elderly care, health services, North Dakota, prescription drugs, drug affordability, copay assistance, copayment accumulator, deductible accumulator, out-of-pocket maximum, health insurance, health benefit plan, self-insured health plan, self-funded plan, third-party payment, manufacturer assistance, patient assistance program

Summary: The Appropriations Committee met with a quorum and took up three bills. House Bill 1216, dealing with prescription drug expense co-pay accumulators in health plans, was presented by Rep. Karen Carl’s, who explained it would prevent insurers from refusing to count third-party assistance toward deductibles for patients using high-cost, non-generic drugs. An amendment was offered to clarify effective dates, including a delayed January 1, 2026 start for PERS coverage. PERS testified that the amendment would align with its calendar-year benefit structure and likely reduce the fiscal note. The amendment was adopted 16-0, and the bill was set aside for further discussion later. House Bill 1199, creating a criminal justice data-sharing system and missing persons/missing Indigenous people task force, was introduced with a committee amendment changing the Attorney General reference to the Attorney General or designee. The committee noted the bill includes a $250,000 general fund appropriation for ongoing costs. The amendment passed 16-0, and the amended bill received a do pass recommendation by a 15-1 vote, with one no vote from Senator Magrum. House Bill 1531, appropriating $75,000 for an irrigation expansion study by the Agriculture Commissioner, was supported as a way to update older economic-impact studies on irrigation and assess opportunities for expansion. Members discussed its relationship to broader study pauses and the history of irrigation development in the state, including Garrison Diversion and remaining authorized acres. The bill passed 16-0. The committee then discussed scheduling for the coming week, noting a heavy bill load and plans for daily morning meetings before adjourning.

Transcript Highlights:

• It was brought to us by the Bexar County. manage the sign council program.
• We're here with Animal Care Services.
• difficult. to have specialist health care providers available.
• . care.
• The kids are not getting as much care as they would. that we see on a county level.

Bills: HB166, HB2000, HB3248, HB3513, SB155, SB1659, SB1730, SB1778, SB1790, SB1848, SB2017, SB2105, SB2794, SB2917, HB2756, HB353, HB166

Keywords: child endangerment, controlled substances, penalty group, elderly protection, disabled individual rights, child grooming, sex offender registration, criminal justice, reportable conviction, law enforcement, defense, peace officers, local government, security, juvenile board, Moore County, appointments, juvenile justice, county legislation, dangerous dogs

Transcript Highlights:

• Uh likewise we're care and treatment.
• So we are very careful those services.
• We are aligned in home care program.
• discussed that the nursing home care discussed that the nursing home care nursing<00:18:37.679><
• <01:13:39.280> of wanted to fund this um to take care of wanted to fund this um to take care

Bills: HF2433, HF2434

Keywords: education funding, children with disabilities, transition aid, special education, school district consolidation, healthcare, personal care assistance, worker retention, disability services, state funding, 1183, house

Transcript Highlights:

• Section 1 has to do with long-term care facilities. It provides...
• This has to do with long-term care facilities.
• As far as the long-term care facilities, in Section 1, that's the new program.
• And, you know, the long-term care facilities are very important.
• You know, the long-term care facilities are a very important part of our medical care for our citizens

Bills: SB2225, HB1619

Keywords: housing, affordable housing, community development, infrastructure improvement, funding grants, long-term care, infrastructure loan, nursing facilities, financial assistance, North Dakota Century Code, 908, all

Summary: The Appropriations Committee met to clear several remaining bills and discussed scheduling around upcoming conference committees. The chair noted that full committee meetings would likely be held after floor session, while Thursday and Friday mornings were being reserved for conference committees. Members also discussed how conference committees would be scheduled and where they would appear on their dashboards. The committee first took up House Bill 1577, relating to wastewater facility grants. Amendments were adopted to create a loan/line-of-credit mechanism through the Bank of North Dakota and the Department of Environmental Quality to keep two canceled federal BRIC-funded projects moving: a lagoon project in Fezenden and a wastewater treatment project in Lincoln. Members emphasized the language was intended to apply only to those projects and to preserve the possibility of federal reimbursement later. The amendment passed 16-0, and the bill as amended received a 15-1 do pass recommendation. The committee then reconsidered House Bill 1009 and adopted an additional amendment transferring the remaining balance in the bioscience innovation grant fund to the general fund, rather than issuing another round of grants. That amendment passed 16-0, and the bill as amended also received a 16-0 do pass recommendation. Finally, the committee considered House Bill 1619, creating a long-term care facility loan fund and adjusting an existing medical facility loan program. After discussion, members amended the bill to reduce the long-term care fund cap to $10 million per project, set the interest rate at 2%, extend repayment to 30 years, and align the medical facility loan program to 2% with a 30-year term. The amendment passed 14-2, and the bill as amended received a 16-0 do pass recommendation.

Transcript Highlights:

• That is the line where we remove adult farm management.
• That is the line where we move adult farm management out of Career and Tech and under the Department
• So, committee, there is no other work to be done unless there are any other items we need to take care
• So, committee, there is no other work to be done unless there are any other items we need to take care

Bills: SB2019, HB1369

Keywords: career education, funding, appropriation, technical training, workforce development, state aid, school funding, public improvement, construction loans, school district levies, boarding care costs, 908, all

Summary: The committee met to finalize and advance the Career and Technical Education budget in Engrossed Senate Bill 2019. Representative Richter walked through Amendment 2004, which included increases for salaries and wages, inflationary operating expenses, a $2.5 million federal grant increase, $12.7 million for secondary grant programs and related work-based learning support, a $100,000 increase for Marketplace for Kids, and removal of the STEM initiative and adult farm management from the CTE budget because that program funding was moved to the Department of Agriculture. The amendment also included $750,000 for workforce training branch office positions and set the total general fund appropriation at $64 million. Members also discussed a $1 million virtual reality career exploration item, which remained in the bill but was shifted to SIF one-time funding. A new $150,000 one-time general fund appropriation was added for CTE moving expenses because the agency must relocate after Legislative Council expands into its current space. Committee members noted that amount may need to be revisited in conference committee once more accurate relocation and rent costs are known. Levi from legislative staff explained that the exemption language in the bill applies to remaining coronavirus capital projects fund dollars for CTE center construction, allowing those federal funds to be spent before they expire. The committee adopted Amendment 2004 on a 5-0 roll call and then passed Engrossed Senate Bill 2019 as amended on a 5-0 roll call. Representative Richter was named the carrier, and the committee adjourned after noting that higher education and congressional budgets were the remaining items to resolve.

Transcript Highlights:

• A bill for an intergenerational care facility and center grant program.
• Care Access Profit Fund for fiscal year 2024 to the Department of Health and Human Services.
• of those barriers that do not impact safety or quality of care.
• Facilities with certain quality-of-care issues or recent survey deficiencies are not eligible.
• Land management burning includes controlled burning.

Bills: LB737, LB753, LB788, LB913, LB1055, LB1195, LB1216, LB1256, LB429, LB721, LB722, LB727, LB743, LB745, LB749, LB778, LB787, LB365A, LB823, LB900, LB903, LB940, LB954, LB1127, LB1127A, LB1205, LB1240, LR293, LR296, LR422, LR505, LR507

Keywords: LB737, Olmstead, developmental disabilities, disability services, community-based services, integrated settings, DHHS, Department of Health and Human Services, stakeholder advisory committee, independent consultant, public hearing, legislative oversight, disability rights, community integration, housing, employment, education, transportation, community supports, self-advocacy

Transcript Highlights:

• They are independent and excellent at feeding the world and managing our natural resources.
• The Family Home Visitation Act is amended to provide for home visitation services, case management, and
• Case management shall directly oversee case planning services and compliance for children and families
• Have you all voted who care to record, Mr. Clerk? Record, Mr.
• And we have a system that is set up that, based on the location of the child care provider, you may be

Bills: LB737, LB753, LB788, LB913, LB1055, LB1195, LB1216, LB1256, LB429, LB721, LB722, LB727, LB743, LB745, LB749, LB778, LB787, LB365A, LB823, LB900, LB903, LB940, LB954, LB1127, LB1127A, LB1205, LB1240, LR293, LR296, LR422, LR505, LR507

Keywords: LB737, Olmstead, developmental disabilities, disability services, community-based services, integrated settings, DHHS, Department of Health and Human Services, stakeholder advisory committee, independent consultant, public hearing, legislative oversight, disability rights, community integration, housing, employment, education, transportation, community supports, self-advocacy

Transcript Highlights:

• What I'm going to do is call on the Oklahoma Health Care Authority to take.
• Call on the Oklahoma Health Care Authority to take and explain these rules.
• I'm the State Medicaid Director with the Oklahoma Health Care Authority.
• I'm just going to turn it back to you to see if there are any questions for the Health Care Authority
• Senator Jett, do you care to vote? Aye. Senator Stewart? Aye. Senator Bergstrom.

Bills: SJR50, SJR51, SJR52, SJR53, SJR54

Keywords: Medicaid, federal funding, state law, healthcare, low-income adults, Oklahoma Constitution, healthcare regulations, Oklahoma Health Care Authority, permanent rules, joint resolution, OHCA, health care rules, administrative rules, major rule, Title 75, Title 317, Oklahoma Administrative Code, OAC 317:30, health policy, state health programs

Summary: The Senate Committee on Administrative Rules met with a quorum and considered five Oklahoma Health Care Authority and OMMA rules resolutions. Senate Joint Resolution 50 was presented as a federal-law conformity change allowing licensed professional counselors, LBHPs, and licensed alcohol and drug counselors to work as eligible providers in federally qualified health centers and rural health clinics; despite questions about the fiscal estimate, it passed 9-0. SJR 51 was amended to correct rule citations related to human genome sequencing, then failed on a 4-5 vote after members noted an estimated $860,000 fiscal impact tied to legislation. SJR 52, removing physician visit limits in Medicaid, was described as an access-to-care and rural health measure that could reduce ER use; it passed 8-1. The committee then took up SJR 53 from the Oklahoma Medical Marijuana Authority, which would align rules with statutes requiring prepackaging of medical marijuana products and other provisions. Members questioned OMMA extensively about the economic impact, the discrepancy between the agency’s estimate and Loft’s much larger estimate, and whether the rules were already being implemented under emergency authority. OMMA said the rules mirrored existing statutes and that the cost would fall on the industry and ultimately consumers, not the agency. After debate about regulatory fairness and the effect on the industry, the resolution passed 5-4. Finally, SJR 54, a non-major OMMA rule change renaming the adjudicator from administrative law judge to hearing examiner to match the Administrative Procedures Act, drew concerns about independence and whether OMMA should be required to contract for outside adjudicators. The director said the change was only a terminology alignment and would not alter current practice, and Senator Bergstrom said he would pursue legislation next year to require outside contracting. An amendment changed the committee’s position from disapprove to approve, but the underlying resolution still failed 4-5. The committee then adjourned.

Transcript Highlights:

• non-operating identification license for individuals to indicate that the licensee has an advanced health care
• directive, including a living will, health care or mental health care power of attorney, or a pre-hospital
• medical care directive.
• which is county 114-1, mandates that the sheriffs preserve the peace, arrest public offenders, and manage

Bills: HB2170, HB2417, HB2418, HB2771, HB2772, HB4018, HCR2059

Keywords: procurement, foreign adversary, China, state contracts, information technology, security, speeding, speed limit, traffic enforcement, driver safety, speed inhibiting device, appropriation, law enforcement, task forces, funding, criminal justice, community supervision, rehabilitation, supervision fee, victim compensation

Transcript Highlights:

• burden on our health care providers. burden on our health care providers.
• ,<00:02:32.080> and away from giving individuals care, and away from giving individuals care
• uh monetize for those healthc care uh monetize for those healthc care providers<00:02:49.200>
• organizations with managing protected health information.
• in a variety of health care settings in rural Minnesota.

Bills: HF3521, HF1807, HF1270, HF2070, HF3136

Keywords: hospital moratorium, hospital construction, bed capacity, hospital expansion, health care facilities, hospital licensing, safety-net hospital, level I trauma center, Ramsey County, Minnesota health law, hospital beds, new hospital exception, certificate of need, inpatient capacity, emergency care, trauma services, health system regulation, state moratorium, hospital modernization, health infrastructure

Transcript Highlights:

• <00:05:09.199> throughout trauma and burn care throughout trauma and burn care throughout
• From a nursing and patient care perspective, capacity constraints show up as patient care constraints
• at the right time, with teams and care areas that support high-quality patient care.
• He thanked the committee. access to care. HF1270 access to care.
• He added that patient care and patient-centered care are the most important.

Bills: HF3521, HF1807, HF1270, HF2070, HF3136

Keywords: hospital moratorium, hospital construction, bed capacity, hospital expansion, health care facilities, hospital licensing, safety-net hospital, level I trauma center, Ramsey County, Minnesota health law, hospital beds, new hospital exception, certificate of need, inpatient capacity, emergency care, trauma services, health system regulation, state moratorium, hospital modernization, health infrastructure

Transcript Highlights:

• I believe if we haven't discussed it, but we have just be careful with that because it will create confusion
• I believe if we haven't discussed it, but we have just be careful with that because it will create confusion

Bills: HB67, HB89, HB67, HB89

Keywords: parental rights, drag performances, public schools, public libraries, overnight programs, gender identity, minor safety, HB89, Medicaid, pregnant women, pregnancy, prenatal care, ambulatory prenatal care, presumptive eligibility, temporary Medicaid coverage, Alabama Medicaid Agency, maternal health, low-income women, health coverage, eligibility determination

Transcript Highlights:

• level of health care for New Mexico residents.
• Systems that attract and retain health care providers. Thank you. Thank you. Right.
• I don't care if they're 18 and they're all... Not right, and we're going to protect our kids.
• I don't care if they're 18 and they're all hanging around together or not.
• How do we manage that? What if we don't get any more money in?

Bills: HB99, HB38, HB165, HB127, HB72, HB151, SB40, SB104, SB136, SB164

Keywords: medical malpractice, malpractice reform, patient's compensation fund, PCF, health care liability, tort reform, damage caps, punitive damages, hospital liability, physician liability, nurse practitioner, certified nurse-midwife, outpatient facility, ambulatory surgical center, urgent care, free-standing emergency room, insurance surcharge, superintendent of insurance, New Mexico hospitals, medical review process

Transcript Highlights:

• care of them.
• care of them.
• get care.
• And you're going to get your care.
• for those people and help the families who cannot care because they have... ...care for those people

Bills: SB1051, SB1114, SB1115, SB1122, SB1132, SB1162, SB1169, SB1171, SB1172, SB1173, SB1174, SB1175, SB1179, SB1188, SB1233, SB1236, SB1242, SB1316, SB1368

Keywords: SB1051, Arizona hospitals, immigration status, patient intake, admission forms, registration forms, health care reporting, uncompensated care, emergency department, lawfully present, undocumented immigrants, noncitizen patients, hospital funding, Arizona Department of Health Services, ADHS, border security, health care institutions, patient privacy, medical access, immigration policy

Transcript Highlights:

• I have a long-time passion for patient care; I've taken care of 120,000 visits, which makes me feel really
• This bill is an access to care bill.
• Care by allowing providers to refuse care to Texans based on religious and personal beliefs.
• While this bill focuses on the right to refuse any type of care versus refusing care to a specific group
• We don't want a health care system. where children can be taken advantage of by health care providers

Bills: SB95, SB268, SB493, SB619, SB660, SB922, SB984, SB1098, SB1188, SB1307, SB1332, SB1822

Keywords: immunization, written informed consent, civil liability, health care provider, vaccine compensation, administrative penalty, health care, licensing, complaint procedure, disciplinary action, law enforcement, pharmacy benefit manager, PBM, gag clause, prescription drug pricing, out-of-pocket cost, cash price, pharmacist, pharmacy, prescription drug benefit

Transcript Highlights:

• learn about the legislative process and to advocate for their voices, the things that they deeply care
• things<00:10:05.440> that<00:10:05.600> they<00:10:05.839> deeply<00:10:06.080> care
• <00:10:06.320> about<00:10:06.720> and things that they deeply care about and things
• that they deeply care about and to<00:10:07.200> learn<00:10:07.360> about<00:10:07.680

Bills: HB2118, HB1764, HB1815, HB2117, HB2436, HB2438, HB2532, HB2566, HB2573, HB1736, HB2425, HB1590, HB1913, HB1573, HB1542, HB1804, HB1976, HB1704, HB1996, HB1541, HB1926, HB1703, HB1866, HB1710

Keywords: business development, arts, cultural affairs, Hawaii, commissions, administrative transfer, funding appropriation, music education, public concerts, Hawaii State Library, cultural collaboration, music accessibility, State Foundation on Culture and the Arts, SFCA, Performing Arts Grants Program, arts grants, culture and the arts, history and the humanities, King Kamehameha Celebration Commission, Works of Art Special Fund

Bills: HB2118, HB1764, HB1815, HB2117, HB2436, HB2438, HB2532, HB2566, HB2573, HB1736, HB2425, HB1590, HB1913, HB1573, HB1542, HB1804, HB1976, HB1704, HB1996, HB1541, HB1926, HB1703, HB1866, HB1710

Keywords: business development, arts, cultural affairs, Hawaii, commissions, administrative transfer, funding appropriation, music education, public concerts, Hawaii State Library, cultural collaboration, music accessibility, State Foundation on Culture and the Arts, SFCA, Performing Arts Grants Program, arts grants, culture and the arts, history and the humanities, King Kamehameha Celebration Commission, Works of Art Special Fund