Transcript Highlights:

• Today I'm going to be sharing about the Maternal Mortality Review Panel, which I'm going to refer to
• The MMRP reviews deaths in pregnancy through one year postpartum.
• Some communities experience higher maternal mortality risk.
• . ...the report, some of the leading causes of maternal mortality.
• because maternal mortality is super rare.

Summary: The Senate Health and Long-Term Care Committee met on July 30, 2026, to hear two main briefings. The first, from the Health Care Authority, focused on implementation of federal H.R. 1 Medicaid changes and Washington’s rural health transformation funding. HCA said the state is preparing for major eligibility changes, including the October 1 loss of Medicaid coverage for about 14,000 lawfully present non-citizens and January 1, 2027 work requirements, six-month renewals, and reduced retroactive coverage for roughly 600,000 Medicaid expansion adults. Officials described outreach efforts, new automated verification systems, a verification hub, and plans to use available data sources to reduce manual paperwork, while noting that about one-third of the affected population may still need manual processing. They also said H.R. 1 will limit state-directed payments over time, with an estimated long-term impact of up to $1.5 billion in hospital reimbursements. On rural health transformation, HCA said it is moving quickly to obligate its $181 million federal award through contracts and competitive grants for rural hospitals, workforce, behavioral health, technology, and tribal and community partners. Committee members asked about the impact on rural providers, community service as a work-requirement pathway, emergency Medicaid, tribal and federal reimbursement issues, and whether the state would submit comments on the federal work-requirement rule. HCA said it would file comments, that emergency Medicaid coverage for certain services remains available, and that it is working with tribes and other agencies to avoid erroneous terminations and to move eligible people into other coverage where possible. Members also raised concerns about the administrative burden on families and providers and the need for congressional attention on issues such as TRICARE reimbursement. The second briefing addressed maternal health and the Department of Health’s Maternal Mortality Review Panel report. DOH said maternal mortality in Washington increased for the first time in the report series, but most pregnancy-related deaths remain preventable. Nearly half were linked to behavioral health conditions, especially overdose deaths, with suicide, cardiovascular disease, and COVID-19 also significant causes; most deaths occurred postpartum rather than during delivery. The report found higher mortality rates among American Indian and Alaska Native, Black, Native Hawaiian, Pacific Islander, multiracial, rural, and Medicaid-covered populations, and identified lack of access to care, financial hardship, housing instability, discrimination, bias, and systemic inequities as major contributors. DOH highlighted existing state actions such as one-year postpartum coverage, doula reimbursement, inpatient substance use treatment coverage for birthing people, and vaccine coverage requirements, and offered 12 legislative recommendations focused on affordable and high-quality care, basic needs and community supports, and equitable, culturally responsive services. Presenters from the Suquamish Tribe and Kitsap OBGYN described how the tribe acquired and stabilized a threatened OB-GYN practice to preserve regional access amid provider shortages and hospital service losses. They said rural obstetric care is difficult to sustain because of thin margins, workforce shortages, long travel distances, and higher-risk patients, and emphasized that tribal health systems can offer stronger reimbursement and integrated family-centered care. The Foundation for Healthcare Quality and the Bree Collaborative then outlined statewide maternity-care quality efforts, including work on perinatal behavioral health, care coordination, postpartum screening, doula support, and better-aligned payment models. They said Washington has strengths in innovation but still needs more OB-GYN capacity, better transitions of care, and more culturally responsive, trauma-informed maternal and Native health services.

Transcript Highlights:

• You mentioned the analysts who review the cyber tips.
• We also reviewed the minimum jail standards.
• So we have conducted a full review of how cases move from intake, conducted a full review of how cases
• When we look at mortality rates, maternal mortality rates, is that a death that occurs within the first
• It's mortality.

Keywords: 965, house, all

Summary: The committee held its inaugural meeting on March 5, 2026, with opening remarks from Chair Freiberg and Vice Chair Marcelle describing the panel’s purpose as studying issues affecting women and children, including health, education, economic opportunity, safety, and criminal justice. After roll call, the chair noted the meeting was informational only and not requiring a quorum. The committee then heard presentations and asked questions on human trafficking and child exploitation, followed by an audit report on the treatment and care of incarcerated women. Mary Kate Andrepont of the Governor’s Office of Human Trafficking Prevention presented 2025 data showing 2,963 victims identified, 15,437 service instances, and 33% of victims remaining in services at least nine months. She said 93% of reported victims were sex trafficking victims, most were under 18, and 62 of 64 parishes had trafficking reports. She explained familial trafficking, described screening and coordinated response procedures, and highlighted new tools and outreach campaigns. She also discussed two priority bills: HB 321 by Rep. LaFleur, which would create immunity from prostitution offenses for child trafficking victims under Safe Harbor principles, and SB 83 by Sen. Edmonds, which would require school board trafficking policies and expand victim advocacy services to labor trafficking victims and survivors up to age 21. Committee members asked about reporting procedures, data trends, service gaps, and the reach of the screening tools. Chris Masters of the Attorney General’s office then presented on online child exploitation and child sexual abuse material through the Louisiana ICAC Task Force. He reported 31,203 tips in 2025, 545 arrests, more than 80 children identified or rescued, over 1,500 search warrants, and more than 100 community presentations. He said the task force is expanding statewide, including an Orleans Metro unit, and asked for more analysts and outreach personnel to handle a projected rise in cyber tips. Members asked about community presentations, the scope of the investigations, sex offender social media restrictions, interstate cases, sentencing, and how online enticement and live abuse are prosecuted. The discussion emphasized parental monitoring, school outreach, and coordination with federal partners. The final item introduced an audit report on the treatment and care of incarcerated females. Legislative Auditor staff said the review, requested by a 2023 resolution, found that Louisiana’s jails and guidance documents had not fully addressed the key laws and standards governing women’s incarceration, including restraint use during pregnancy and childbirth, health care, hygiene, dignity, and reentry. They noted that local jails still house a majority of incarcerated women despite the opening of a new state facility, and that several facilities had confirmed prohibited restraint use or failed to provide required written advisements. The staff said the report included legislative considerations for improving compliance and care.

Transcript Highlights:

• :08:33.839><c> the</c> rate of mortality of children under the rate of mortality of children under the
• </c><00:08:58.959><c> and</c> the risk of infant mortality and the risk of infant mortality and enhances
• We're also addressing this terrible mortality rate.
• We're also addressing this terrible mortality rate.
• ,</c> the application completeness review, the application completeness review, allowing<00:37:22.000

Keywords: 958, all

Summary: The committee met with a quorum, approved the minutes, and then took up several administrative regulations. The first was an Office of the Attorney General regulation creating an online submission process for an annual certification report to replace prior quarterly notarized certification forms; there were no amendments or questions. The main discussion centered on Personnel Cabinet regulations 101 KAR 2:034, 2:102, 3:015, and 3:045, which include staff-suggested technical amendments and address state employee compensation and leave. The compensation provisions clarify salary and rehiring/demotion rules, increase critical position premiums from one to three, and update weekend premium and ACE award practices. The leave provisions would provide up to six weeks of paid leave per 10-year interval for birth, adoption, foster placement, or a serious health condition, and allow one paid adverse-weather day per year with supervisor approval. Staff explained that annual and sick leave already accrue and roll over, and that the new six-week benefit was intended as an additional enhancement tied to the 10-year and 20-year sick-leave milestones.

Transcript Highlights:

• Let me back up that AHCA somewhere along the line has done tracking maternal mortality, infant mortality
• R Block Grant helps support many of our departments activities, including our Maternal Mortality Review
• So start with the Maternal Mortality Review Committee.
• review process.
• So when was the last or turn the Turn Mortality Review Committee report published, you're recognize what

Keywords: 999, senate, all

Transcript Highlights:

• Thomas Arnold, the chairman of the Maternal Mortality Review Committee, and he will present to us on
• Thomas Arnold, the chairman of the Maternal Mortality Review Committee, and he will present to us on
• It is the Maternal Mortality Review Information Application.
• Our review committee meets to discuss and discern the maternal mortality review cases, see whether they're
• In 2012, that rate went up to 13.2%, again determined by the maternal mortality review committees around

Summary: The committee first approved the previous meeting minutes and then heard a detailed annual report from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and policy issues. He explained the committee’s review process, confidentiality protections, and national and North Dakota data showing that most maternal deaths are preventable and that mental health conditions, substance use, cardiovascular issues, infection, hemorrhage, and embolism are the leading causes. Members asked about suicide, domestic violence, midwife training, home births, and whether pregnancy testing at death scenes should be expanded; Dr. Arnold said better coroner education, more investigation of unexplained deaths, and possible post-mortem pregnancy testing could improve case identification, especially in rural areas. He also noted that deaths often occur well after 42 days postpartum and that mental health-related deaths remain a major concern. The committee then heard from State Fire Marshal Dr. Matthew Clark on cigarette reduced-ignition-propensity standards and related fire prevention issues. He recommended updating the state’s cigarette propensity law to current national standards and also raised a separate recommendation to require fast-breakaway oxygen tubing for home oxygen users, citing fatal fires linked to smoking around oxygen. Members asked about implementation, cost, insurance coverage, and whether the standards apply in tribal communities; Dr. Clark said he would provide follow-up information and was willing to help with any legislation, but no agency bill had yet been planned. Next, Christine Greff of the Department of Health and Human Services reported on the North Dakota Stroke System of Care. She described the statewide network of stroke-ready hospitals, registry-based quality improvement, and performance data showing continued improvement in stroke recognition, imaging, thrombolytic treatment, transfers, and EMS pre-notification. She highlighted new quality measures for inter-facility transfers and intracerebral hemorrhage care, and said the system remains strong but depends on continued legislative and hospital support. Committee members asked about participation by the VA hospital and were encouraged to consider outreach to include it more fully in the stroke system. Finally, the committee began a presentation on prior authorization and non-opioid pain treatment from Taha Khan of Vertex Pharmaceuticals. He argued that prior authorization can delay access to non-opioid acute pain medications, especially in the 24- to 72-hour post-discharge window when pain is most severe, and said delays can push patients toward opioids. He emphasized that prior authorization has a role in utilization management but should not create barriers in acute pain care, and he noted that current use of the company’s non-opioid product remains very low. The discussion was still underway when the transcript ended.

Transcript Highlights:

• It says maternal mortality.
• Thank you. >> No problem. >> So, um, we're here representing the New Hampshire Maternal Mortality Review
• It says maternal mortality. We is. It says maternal mortality.
• </c><00:39:22.960><c> Review</c> Hampshire Maternal Mortality Review Hampshire Maternal Mortality Review
• The New Hampshire Maternal Mortality Review Committee determines pregnancy-relatedness, which refers

Keywords: 1189, house, all

Summary: The meeting opened without a quorum, so approval of the prior draft minutes was deferred until later. The committee then heard a DHS update from Commissioner Lori Weaver and COO David Weers, who described the recent flood at the Brown building and the relocation of nearly 400 DHS staff while operations are restored. They also outlined New Hampshire Care Connections, a privacy- and consent-focused closed-loop referral platform intended to improve referrals among providers, reduce duplication, and support continuity of care, with an Upper Valley implementation partnered with Dartmouth Health and an Epic integration already underway. Members asked whether the system would merge medical records or simply track referrals. DHS said it is not intended to store or transmit full medical records, but to integrate with providers’ electronic health record systems so referrals can be sent, received, and tracked, with consent controls limiting what information can be shared. Officials said the project will be tested over the coming months, with metrics, governance, and advisory committee oversight, and that it is tied to broader rural health transformation efforts and statewide implementation after the regional pilot. The committee also received the annual report from the Child Care Advisory Council. Maryanne Barter and Jessica Carver said the council worked with licensing to streamline the child care licensing rules, reducing the handbook by about 30%, and is now helping develop an informal dispute resolution process, revising the Granite Steps for Quality system, and creating a clearer handbook for providers handling state scholarship audits. They reported ongoing concern about child care closures and workforce shortages, said there is currently no wait list for child care assistance, and discussed questions about federal CCDF immunization requirements, which DHS said it would follow up on with federal technical assistance partners. After quorum was established, the committee moved to approve the minutes from the prior meeting.

Transcript Highlights:

• Thomas Arnold, the chairman of the Maternal Mortality Review Committee, and he will present to us on
• Thomas Arnold, the chairman of the Maternal Mortality Review Committee, and he will present to us on
• It is the Maternal Mortality Review Information Application.
• Our review committee meets to discuss and discern the maternal mortality review cases, see whether they're
• In 2012, that rate went up to 13.2%, again determined by the maternal mortality review committees around

Summary: The committee first approved the minutes and then heard a detailed annual presentation from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and review findings. He explained the committee’s structure, the de-identified review process, and the distinction between pregnancy-associated and pregnancy-related deaths. He said national maternal mortality has declined from its 2021 peak, but mental health conditions, substance use, overdose, suicide, cardiovascular disease, hemorrhage, infection, and embolism remain major causes. He emphasized that many deaths are preventable, with especially high rates among non-Hispanic Black women and in the American Indian/Alaska Native population, and noted that a large share of deaths occur after 42 days postpartum. Committee members asked about suicide, domestic abuse, pregnancy testing in unexplained deaths, and the role of home births and midwife training. Dr. Arnold said the committee is adding a caseworker, exploring post-mortem pregnancy testing in suspicious cases, and working with coroners and forensic officials; he also said home births and untrained midwifery pose safety concerns and that better public education and facility-based care are important. The committee then heard from State Fire Marshal Dr. Matt Clark on cigarette ignition propensity standards and fire prevention. He recommended updating North Dakota’s cigarette ignition legislation to the current national standard and also considering legislation requiring fast-breakaway oxygen tubing, citing fatal fires involving smoking around home oxygen. He explained that his office verifies manufacturer testing and maintains certification for cigarettes sold in the state, but does not itself conduct the testing. Members asked about implementation, cost, and whether the standards apply in tribal communities; Clark said he would follow up with cost information and additional details, and that he had not seen evidence of a major issue on tribal lands but would look further. Christine Greff of the Department of Health and Human Services presented the North Dakota Stroke System of Care report. She described the statewide network of two comprehensive stroke centers, four primary stroke centers, and 30 acute stroke-ready hospitals, along with the stroke registry and quality-improvement efforts. She reported that most strokes are ischemic, that the median stroke patient age is 71.5, and that common risk factors include hypertension, dyslipidemia, obesity, and diabetes. She highlighted improvements in door-to-CT, thrombolytic treatment times, dysphagia screening, EMS pre-notification, and interfacility transfer performance, and said new priorities include hemorrhagic stroke quality measures and standardized EMS stroke screening tools. Members asked about the VA hospital’s participation, and Greff said she would pursue outreach. After a break, the committee heard testimony from Taha Khan of Vertex Pharmaceuticals as part of the prior authorization study, focused on non-opioid pain treatment. He argued that prior authorization can delay access to acute pain treatment and may push patients toward opioids, especially in the critical 24- to 72-hour post-discharge window. He cited data showing that even short opioid exposure can increase the risk of long-term use and said prior authorization is often a barrier for physicians and patients. Khan recommended open access with a quantity limit rather than prior authorization, suggesting a 14-day limit supported by the product’s data and an episode-of-care approach. Members asked about dental use, payer discussions, and cost; he said the product’s wholesale acquisition cost is about $16.10 per tablet, with patient assistance available, and that he would follow up on payer and comparison-cost questions.

Transcript Highlights:

• We also reviewed the minimum jail standards.
• We also reviewed the minimum jail standards.
• So they have reviewed the Bill of Rights and approved it.
• When we look at mortality rates, maternal mortality rates, is that a death that occurs within the first
• It's maternal overdose mortality.”

Summary: The committee held its inaugural meeting and heard opening remarks from the chair and vice chair about the committee’s purpose: studying issues affecting women and children in Louisiana, including health, education, economic opportunity, safety, and criminal justice. After roll call, the committee proceeded with informational presentations rather than taking any formal votes. Members emphasized the committee’s role in gathering testimony and identifying policy solutions. The first major presentation came from the Governor’s Office of Human Trafficking Prevention. The director reviewed 2025 data showing 2,963 identified victims, 15,437 service instances, and trafficking reports in 62 of 64 parishes. She explained Louisiana’s coordinated response system, including screening tools, child advocacy center referrals, and the DCFS hotline option for trafficking reports. She also described familial trafficking, new victim outreach and identification tools, and two priority bills: HB 321, which would create immunity from prostitution offenses for child victims under Safe Harbor principles, and SB 83, which would require school board trafficking policies and expand victim advocacy services to labor trafficking victims and survivors up to age 21. Committee members asked about reporting procedures, school use of the tools, service gaps, and whether the data showed increases due to better identification. The committee then heard from the Attorney General’s office on online child exploitation and child sexual abuse material. The presenter said the Louisiana ICAC Task Force received 31,203 tips in 2025, made 545 arrests, identified or rescued more than 80 child victims, and executed over 1,500 search warrants. He described rapid tip-to-arrest responses in recent cases, the expansion of partner agencies statewide, and the creation of an Orleans Metro ICAC task force. Members asked about community presentations, the role of social media in exploitation, the use of geolocation, the prosecution of out-of-state offenders, and the need for more analysts and outreach staff. The discussion also covered sadistic online enticement, sextortion, live-streamed abuse, and the need for parents and schools to monitor children’s online activity. At the end of the meeting, the committee began receiving a legislative auditor’s presentation on the treatment and care of incarcerated women, focusing on jail policies, health care, restraint use, and reentry, but the transcript cuts off before that presentation is completed. No committee votes or formal actions were recorded in the portion provided.

Transcript Highlights:

• It's showing that there is a lot of mortality on fish that are caught and released, even on these live
• On the fishery, some tournament trails do a better job than others on fish health and mortality.
• That's where we're seeing a lot of high mortality from those types of tournaments.
• . ... a host of issues that could be reviewed.
• Then, when they released them back into the water, they had a high mortality rate.

Bills: HB1, HB143, HB1, HB92

Keywords: DUI, driving under the influence, ignition interlock, interlock device, driver license suspension, restricted license, motor vehicle, alcohol offense, first offense, repeat offender, blood alcohol concentration, BAC, license revocation, Alabama State Law Enforcement Agency, ALEA, public safety, traffic safety, chemical dependency, substance abuse, court referral program

Bills: HB1160, HB1289, HB1339, HB1798, HB1065, HB1795, HB2107, HB2113, HB2124, HB2125, HB2133, HB2134, HB2140, HB2185, HB2191, HB2205, HB2211, HB2219, HB2245, HB2253, HB2283, HB2343, HB2406, HB2501, HB2531, HB2574, HB1170, HB1544, HB1834, HB2156, HB2188, HB2206, HB2360, HB2471, HB2478, HB2525, HB2605, HJM4012, HB1104, HB1152, HB1254, HB1443, HB1710, HB1750, HB1903, HB1941, HB1974, HB1982, HB1983, HB2006, HB2034, HB2105, HB2179, HB2203, HB2215, HB2223, HB2239, HB2247, HB2297, HB2303, HB2322, HB2329, HB2334, HB2338, HB2345, HB2348, HB2350, HB2353, HB2355, HB2363, HB2367, HB2379, HB2388, HB2399, HB2418, HB2420, HB2428, HB2441, HB2462, HB2464, HB2467, HB2495, HB2505, HB2534, HB2539, HB2544, HB2551, HB2554, HB2557, HB2575, HB2577, HB2588, HB2594, HB2604, HB2636, HB2714, HB1160, HB1289, HB1339, HB1798, HB1065, HB1795, HB2113, HB2124, HB2125, HB2134, HB2140, HB2185, HB2191, HB2205, HB2211, HB2219, HB2245, HB2253, HB2283, HB2343, HB2406, HB2501, HB2574, HB1170, HB1544, HB1834, HB2156, HB2188, HB2206, HB2471, HB2478, HB2605, HJM4012, HB1104, HB1152, HB1254, HB1443, HB1903, HB1941, HB1982, HB2006, HB2034, HB2105, HB2179, HB2203, HB2297, HB2303, HB2322, HB2329, HB2345, HB2350, HB2379, HB2388, HB2399, HB2418, HB2462, HB2464, HB2495, HB2539, HB2544, HB2551, HB2554, HB2588, HB2636, HB1128, HB1408, HB1570, HB1742, HB1823, HB2089, HB2104, HB2114, HB2172, HB2192, HB2207, HB2251, HB2262, HB2266, HB2294, HB2298, HB2319, HB2320, HB2323, HB2351, HB2354, HB2374, HB2401, HB2405, HB2429, HB2431, HB2442, HB2451, HB2479, HB2496, HB2515, HB2523, HB2540, HB2593, HB2632, HB2661, HB1496, HB1898, HB2095, HB2157, HB2225, HB2274, HB2311, HB2325, HB2333, HB2476, HB2508, HB2552

Keywords: design review, local government, land use, zoning, project permits, housing density, middle housing, affordable housing, parking minimums, single-family zoning, infill development, growth management, comprehensive plan, permit streamlining, objective development regulations, architectural review, administrative review, transit-oriented development, accessory dwelling units, ADU

Transcript Highlights:

• And we don't even know who that person is that's reviewing that prior authorization.
• It was the purpose. ...reviewed this prior authorization. It was the purpose for the bill.
• Jackson. reviewed this prior authorization. It was the purpose for the bill. Absolutely.
• Members, I've actually worked both with the Agriculture Department and L.D.H. to review this bill.
• Members, I've actually worked both with the Agriculture Department and L.D.H. to review this bill.

Bills: HB288, HB403, HB420, HB783, HB815, HB915, HB927, HB933, HB944, HB962, HB971, HR74, SCR3, SCR20, SB5, SB34, SB37, SB190, SB255, SB270, SB273, SB314, SB415

Keywords: medical terminology, documentation, miscarriage, spontaneous abortion, healthcare, medical records, billing, homemade food, food safety, small business, exemption, regulation, Department of Children and Family Services, background checks, child welfare, employee screening, safety regulations, criminal history, non-lactational dairy, labeling requirements

Transcript Highlights:

• It's more being able to review that data if anything is relevant.
• The measure directs the state auditor and inspector to conduct periodic reviews of the authority to ensure
• So, with that assumption, have you reviewed with the folks at the healthcare authority as to whether
• So, I mean, these are being put in their monthly reviews.
• A lot of the elements in there were definitely necessary in our statutes to bolster the Forensic Review

Bills: SB1328, SB1380, SB1436, SB1558, SB1572, SB1651, SB1805, SB1831, SB1836, SB2014, SB2023, SB2044, SB2179, SB933

Keywords: parents' rights, healthcare consent, minors, medical records, protection, legal guardianship, Medicaid, Oklahoma Health Care Authority, eligibility verification, death records, Death Master File, vital statistics, disenrollment, recoupment, improper payments, benefits integrity, public assistance, income verification, residency verification, incarceration status

Transcript Highlights:

• It's more being able to review that data if anything is relevant.
• So with that assumption, have you reviewed with the folks at the Health Care Authority as to whether
• So, I mean, these are monthly reviews.
• addressing factors such as placement and public safety considerations, and requires the court to review
• That gives the court the confidence to say the review board looked at this and understands that this

Bills: SB1328, SB1380, SB1436, SB1558, SB1572, SB1651, SB1805, SB1831, SB1836, SB2014, SB2023, SB2044, SB2179, SB933

Keywords: parents' rights, healthcare consent, minors, medical records, protection, legal guardianship, Medicaid, Oklahoma Health Care Authority, eligibility verification, death records, Death Master File, vital statistics, disenrollment, recoupment, improper payments, benefits integrity, public assistance, income verification, residency verification, incarceration status

Summary: The Health and Human Services Committee met to consider a series of Senate bills, beginning with SB 2014, which would allow ivermectin to be sold over the counter with FDA approval. After questions about whether a prescription would still be required and how FDA guidance would affect the law, the bill passed 9-3. SB 1805, as amended, barred detention and youth facilities from using temporary agencies or contracting organizations for staffing; the author said the change was intended to address transparency and records issues in a related lawsuit. That bill passed 12-0. SB 2044, also amended, clarified chiropractic-related language regarding serum and multiple vitamins; members discussed whether the bill changed scope of practice, and it passed 10-2. The committee then approved SB 1836, which requires a board-approved mental health screener during routine annual primary care visits. The author said it was meant to normalize mental health screening and noted an updated fiscal impact estimate of $284,000 to $560,000; some members raised concerns about mandates and cost, but the bill passed 8-4. SB 1380 would require the Oklahoma Health Care Authority to verify Medicaid eligibility against death records and conduct monthly death-record checks for enrollees; after questions about current practice, costs, and recoupment from deceased enrollees, the author requested title be stricken, and the bill passed 10-2. SB 2179, dealing with not-guilty-by-reason-of-mental-illness cases, adds staff accompaniment for therapeutic visits, requires structured violence-risk assessments before discharge or conditional release, and adds drug screening when substance-use monitoring is ordered; Department of Mental Health staff testified about treatment planning and monitoring, and the bill passed 11-1. Later, the committee passed SB 1436, which requires families to be informed of their right to certification after fetal death or miscarriage, and SB 1558, which clarifies that older youth in OJA custody may be placed in Level E group homes. SB 933, the “Right to Try for Individualized Treatment Act,” passed 11-0 and would allow certain terminally ill patients to seek individualized investigational treatments after informed consent. SB 1651, an Oklahoma Medical Board cleanup bill covering several licensed professions, also passed 11-0. Finally, SB 1328 modernizes parental access to minor medical records with safeguards for abuse situations, and SB 1572 removes the DHS and OJA directors from the OCCY board; both passed 11-0. The committee adjourned after noting a possible interim meeting for a Tier 1 nomination.

Transcript Highlights:

• work, particularly with high-cost claims that are acknowledged by plans but then held for extended review
• We should all be able to agree that high-dollar claims appropriately warrant additional review to ensure
• We have a dedicated team that reviews high-dollar and complex claims to ensure full compliance with the
• In the example that we heard with Harborview, for example, that case, there was some concurrent review
• We are told it'll take 18 months to review, and yet as practitioners we only have 30 days to appeal the

Bills: SB5845, SB5916, SB6102, SB6071, SB6103, SB6159, SB5877, SB5967, SB5904, SB5915, SB6025

Keywords: health insurance, health carrier, insurance carrier, prompt pay, timely payment, claims processing, clean claim, remittance advice, provider reimbursement, hospital billing, medical billing, prior authorization, claims denial, interest on late claims, administrative penalty, Washington insurance commissioner, RCW 48, public employees benefits board, school employees benefits board, Medicaid managed care

Summary: The committee heard public testimony on several health care bills. SB 6159 would create a public hospital infrastructure account funded by a new coverage assessment on insurers and other premium-tax payers, to help public hospital districts and other public health entities finance major construction and modernization projects and allow more cooperative agreements among public hospitals. The sponsor and supporters said it would help public hospitals remain competitive and better serve rural and underserved patients, while opponents argued the assessment would raise health care costs, could sweep in property and casualty insurers and mutual companies, and might create legal and affordability problems. Testimony also raised concerns that the bill’s cooperation language could unintentionally narrow existing affiliations with nonpublic entities. The hearing closed with 5 signed in pro, 74 con, and 2 other. The committee then heard SB 5845, which would replace the current 95% timely-payment standard with a requirement that all clean claims be paid or denied within 30 days, with notice requirements for incomplete claims and interest or penalties for late payment. Hospitals, physicians, and health systems strongly supported the bill, saying delayed and unpredictable payments create major cash-flow and administrative burdens and that some large claims can remain unpaid for months or longer even when care was approved. Health plans opposed the bill, saying they already meet current standards, that the bill could limit their ability to investigate fraud, waste, and abuse or review high-dollar claims, and that it should include more balanced timelines and exceptions. The hearing closed with 69 signed in pro, 4 con, and 2 other. The committee also heard SB 5916, which would prohibit health plans, Medicaid managed care organizations, and public employee plans from disadvantaging non-opioid pain treatments relative to opioids through formulary placement or utilization management, and would require a Department of Health educational pamphlet on non-opioid options. Patients, recovery advocates, and rare disease advocates supported the bill as a way to improve access to safer pain care and reduce barriers like prior authorization and step therapy. The Health Care Authority and an insurers’ representative said they support access to non-opioids but were concerned the bill could require preferred status for all non-opioids whenever any opioid is preferred, increasing costs and limiting formulary management. The hearing closed with 8 signed in pro, 1 con, and 2 other. Later, the committee heard SB 6102, a technical bill to align the ambulance transport quality assurance fee with federal rules after changes in federal law limited new provider taxes. The ambulance association supported the bill, saying the existing fee has significantly improved wages and benefits for EMS workers and that the change is needed to preserve the program. The hearing closed with 50 signed in pro, 1 con, and 0 other. The committee also heard SB 6103, which would make Medicaid payments for rural emergency hospitals subject to appropriation and create a state framework for a rural hospital conversion model. Supporters from East Adams Rural Health Care and the Washington State Hospital Association said the bill would help keep rural emergency services viable, especially for communities along the I-90 corridor. The hearing closed with 58 signed in pro, 1 con, and 0 other. Finally, the committee heard SB 6071, which would shorten the time limit for insurers to seek overpayment recoveries from providers from two years to six months, or nine months for coordination-of-benefits cases, extending a standard already enacted for mental health and substance use disorder services. Providers from acupuncture, massage, podiatry, and other small practices supported the bill, saying long clawback periods create financial instability and administrative burden, while the remaining testimony was still being taken when the transcript ended.

Transcript Highlights:

• Each initiated review will allow for public comment and input through a 30-day public comment period.
• state agency's rulemaking authority; rather, the process This process will initiate a coordinated review
• In reviewing House Bill 4730, it's clear that the drafters intended to add more protections and more
• Eight legislative sessions that I carried bills aimed at addressing the mortality rate in Texas.
• Members, we know the importance of maternal mortality. care; we must do more to work on this.

Bills: HB163, HB216, HB721, HB2035, HB2038, HB3057, HB3153, HB3233, HB3595, HB3801, HB3812, HB4076, HB4129, HB4377, HB4535, HB4666, HB4730, HB4743, HB4903, HB5149, HB5155, HB1534, HB163, HB216

Keywords: epinephrine, healthcare, emergency response, administration, medical policy, health care, itemized billing, patient rights, provider regulations, Texas Health and Safety Code, cost disclosure, insurance, benefit plan, administrators, chemical dependency, treatment facilities, minor admissions, parental notice, mental health, medical licensing

Transcript Highlights:

• In March of 2017, I posted a review on Google and Yelp discussing the security changes.

Bills: HB 660, HB 4845, HB 3902, HB 5396, HB 4615, HB 1825, HB 1403, HB 4336, HB 4585, HB 4371, HB 863, SB 1589, HB 5223, HB 3195, HB 2734

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation

Transcript Highlights:

• In March of 2017, I posted a review on Google and Yelp discussing the security changes.

Bills: HB660, HB4845, HB3902, HB5396, HB4615, HB1825, HB1403, HB4336, HB4585, HB4371, HB863, SB1589, HB5223, HB3195, HB2734

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation

Transcript Highlights:

• Federal regulations require that Medicaid contracts go through a review validation process every five
• So someone submits their paperwork, and it goes through a review process.
• The Office of Inspector General does utilization review audits, and so there's... ...they'll come in
• The Office of the Inspector General sent her a 600-page document to review before her hearing.
• She has a 600-page document from the Office of the Inspector General that she has to review before she

Bills: HB660, HB4845, HB3902, HB5396, HB4615, HB1825, HB1403, HB4336, HB4585, HB4371, HB863, SB1589, HB5223, HB3195, HB2734

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation

Bills: HB8, HB9, HJR1, HB22, HB8, HB9, HJR1, HB22

Keywords: HB 8, school finance, compressed tax rate, maximum compressed tax rate, MCR, PYMCR, property tax, school district taxes, Education Code, Tax Code, state aid, school funding formula, local school taxes, Texas school finance, tax rate compression, public education funding, ad valorem tax, tangible personal property, income-producing property, business personal property

Transcript Highlights:

• You know, we still have to review it.
• You know, we still have to review it.
• </c> I can say is we'll independently review I can say is we'll independently review anything<00:23:38.720
• Uh transportation environmental review.
• This will also environmental review.

Bills: SB3253, SB3154, SB3254

Keywords: conservation, endangered species, wildlife preservation, native birds, biodiversity, sanctuary, nonprofit, DLNR, agricultural district, land use, chapter 195D, chapter 205, chapter 42F, state funding, public purpose, habitat restoration, predator-free sanctuary, ecosystem restoration, Zealandia, wildlife refuge

Summary: The committee on Energy and Environmental Protection heard a long series of resolutions focused largely on waste reduction, energy planning, and environmental protection. Early measures included HR 12/HCR 10 on a permanent landfill host benefits program for Honolulu, HCR 148/HCR 157 on a demolition waste reduction working group, and HR 184/HCR 194 on a mattress stewardship program working group. Testimony on these waste-related measures was generally supportive from environmental groups and some individuals, while the Department of Health supported the mattress stewardship proposal. The Department of Health also commented that a proposed study on recyclable/biodegradable/compostable labeling was very broad and would require additional resources to carry out effectively. The committee then took up several energy-related resolutions. HR 192/HCR 202 would create a task force on Hawaii’s future energy pathways, and HR 194/HCR 204 would ask the Public Utilities Commission to conduct a comprehensive analysis of cost reductions and financial risk. The Department of Commerce and Consumer Affairs, the Hawaii State Energy Office, and the PUC offered support or comments on these measures, with environmental and industry groups also submitting testimony. Members questioned the Energy Office and PUC at length about errors in prior analyses, competitive bidding, and whether utility proposals could proceed through waiver processes; the PUC said any proposal would still be reviewed and that it generally prefers competitive bidding, while the Energy Office said some issues were being characterized differently and would follow up on waiver standards. Additional measures addressed data centers, liquefied natural gas, and utility oversight. HR 196/HCR 206 would convene a working group on the impacts of large data centers, and HR 197/HCR 207 would require conditions before the PUC approves LNG-related costs; testimony on LNG was split, with supporters urging caution and opponents arguing LNG should not be pursued. HR 193/HCR 2003 sought a written status update on implementation of the Hawaii Electric Reliability Administrator, and HR 191/HCR 201 and HR 33/HCR 33 dealt with sewage and wastewater issues, both drawing support from environmental and community groups. The committee also heard strong support for HR 141/HCR 149 on Red Hill remediation meetings and HR 190/HCR 200 on reassessing military PFAS cleanup decisions; the Board of Water Supply testified in support and described ongoing PFAS testing and concerns beyond Red Hill. The transcript ends as the committee moved into decision-making, with the chair indicating a recommendation to pass HR 12/HCR 10.