Transcript Highlights:

• And this bill infringes on the local and effective control already enjoyed. with by our rate payers.
• The primary concern is that...
• And the financing and the cost to the rate payer is a constant discussion on our city council.
• And this is so that current rate payers don't have to shoulder all the costs. and we can push it out
• Payers in the district, right? Or the taxpayers. Or the taxpayers. So, if...

Bills: HB1520, HB1525, HB1530, HB1535, HB2068, HB2091, HB2347, HB2372, HB2805, HB2815, HB2867, HB3154, HB3482, HB3483, HB3663, HB3781, HB3901, HB3915, HB4135, HB4153, HB4158, HB4329, HB4331

Keywords: Angelina and Neches River Authority, river authority, Sunset Advisory Commission, Texas Sunset Act, Special District Local Laws Code, local government, natural resources, board of directors, director training, board governance, public testimony, open meetings, public information, conflict of interest, ethics, complaint system, general manager, board president, staggered terms, removal of director

Transcript Highlights:

• fault of the payer. fault of the payer.
• But there's also a primary undeniable.
• <00:56:09.440> does that uh the practices of payers does that uh the practices of payers does
• It's very hard to address those things. there are too few um primary care there are too few um primary
• We're the sole provider of primary care in the Berlin-Gorham region, and recently established a primary

Keywords: 1191, senate, all

Transcript Highlights:

• current law as adopted in the 2017 federal Tax Cuts and Jobs Act, California personal income tax payers
• The primary reason for our recommendation is that we just do not view there as being a clear justification
• So the chief program was authorized by budget authorities in 2014, and so these were rate payer funds
• Right now, everything is done through rate payer funds with the IOUs.

Keywords: 988, house, all

Bills: HB37, HB51, HB173, HB180, HB192, HB306, HB366, HB393, HB485, HB516, HB521, HB526, HB638, HB752, HB817, HB976, HB1006, HB1044

Keywords: HB37, expropriation, eminent domain, property rights, foreign entity, foreign corporation, limited liability company, LLC, reciprocal expropriation agreement, Louisiana property law, land acquisition, utility infrastructure, public utilities, railroad, waterworks, sewerage, natural gas pipeline, electric utility, telecommunications, carbon dioxide pipeline

Transcript Highlights:

• An approved mental health screener used in routine primary care visits, a maximum of one per year.

Bills: SB1290, SB1332, SB1369, SB1379, SB1381, SB1386, SB1390, SB1428, SB1584, SB1696, SB175, SB1778, SB1794, SB1806, SB1836, SB201

Keywords: 2-1-1 services, revolving fund, Department of Human Services, crisis pregnancy, abortion, legal funding, housing, infrastructure, water projects, Oklahoma Water Resources Board, economic development, zero-interest loans, clawback provision, local contractors, mental health, crisis services, 988 Lifeline, suicide prevention, behavioral health, human trafficking

Transcript Highlights:

• As noted in my testimony, how a primary care physician would view nutrition and metabolic health-based
• As noted in my testimony, how a primary care physician would view nutrition and metabolic health-based
• As noted in my testimony, how a primary care physician would view nutrition and metabolic health-based
• A physician has different areas of practice, such as, as I mentioned before, surgical, primary care,
• And, um, for example, nutrition is not a primary health care practice in Western medicine, and so, um

Bills: SB2421, SB2690, SB3103, SB3137, SB3164, SB3206, SB2933, SB3133, SB3315

Keywords: cannabis, marijuana, Hawaii Cannabis Law, legalization, decriminalization, adult use, hemp, taxation, social equity, public health, primary care, health insurance, health carrier, insurance commissioner, Med-QUEST, Medicaid managed care, provider reimbursement, downcoding, prior authorization, utilization review

Summary: The committee heard testimony on several health-related bills. HB 1864, which would require health insurance coverage for standard fertility preservation services for people undergoing medically necessary treatment, drew broad support from SHIPA, the Department of Health, HMSA, the Hawaii Association of Health Plans, and others. Testifiers emphasized that fertility preservation is routine coverage on the mainland and important for patients facing infertility from cancer or other treatment; one patient described incurring more than $20,000 in costs. The Insurance Division flagged possible Affordable Care Act issues, a potential conflict in the bill’s language about using patient history to determine limits, and a mismatch with state medical-necessity standards. Committee discussion also focused on whether the bill should apply to all women of childbearing age rather than a narrower age-based category. HB 2305 would require nutrition and metabolic education as part of physicians’ continuing medical education. The Hawaii Medical Board opposed the measure, arguing that CME should remain flexible and tailored to each physician’s specialty and warning that topic-specific mandates can expand over time. The Office of the Governor supported the bill, saying it would help the state’s rural health transformation application and could improve federal funding prospects, though the exact impact was unclear. Members questioned whether nutrition is already covered in medical training and whether the requirement should be limited to primary care physicians; the board said Hawaii currently has no topic-specific CME mandates and that physicians can already choose relevant courses. The committee also heard strong support for HB 1597, which would establish an Alzheimer’s disease research center at the University of Hawaii. Supporters from the university, the Alzheimer’s Association, AARP, and others said the center could attract federal research dollars, expand clinical trials, and help address the state’s high Alzheimer’s-related health costs. HB 2159, which appropriates funds for health care workforce development, also received broad support from the University of Hawaii, health systems, and advocacy groups, with no opposition noted. Finally, HB 2121, which would prohibit the sale and distribution of disposable electronic smoking devices, drew support from the Department of Health, youth advocates, and public health groups citing youth addiction, environmental waste, and fire hazards; the department said a separate bill, HB 1573, would be more comprehensive and better defined for enforcement and penalties. The committee ended with HB 1913, creating a veteran services mental health coordinator position at Tripler Army Medical Center, which was supported by veteran services officials and others who said veterans need better navigation and coordination for behavioral health care.

Transcript Highlights:

• But now referral agencies are the primary way we get our our customers.

Bills: HB 1531, HB 2667, HB 2809, HB 2865, HB 3589, HB 3151, HB 3748, HB 3750, HB 4419, HB 4643, HB 3597, HB 4129, HB 4130, HB 4131

Keywords: workplace violence prevention, health and safety code, Chapter 331, facility definition, home and community support services agency, home health agency, home health care, nursing staff, registered nurses, health care workplace safety, hospital, nursing facility, ambulatory surgical center, freestanding emergency medical care facility, mental hospital, Texas health care regulation, provider compliance, occupational safety, senior living, referral agencies

Transcript Highlights:

• These are the primary way we get our customers.

Bills: HB1531, HB2667, HB2809, HB2865, HB3589, HB3151, HB3748, HB3750, HB4419, HB4643, HB3597, HB4129, HB4130, HB4131

Keywords: workplace violence prevention, health and safety code, Chapter 331, facility definition, home and community support services agency, home health agency, home health care, nursing staff, registered nurses, health care workplace safety, hospital, nursing facility, ambulatory surgical center, freestanding emergency medical care facility, mental hospital, Texas health care regulation, provider compliance, occupational safety, senior living, referral agencies

Transcript Highlights:

• Chair Rhoads, Federally Qualified Health Centers (FQHCs) are non-profit primary care providers that serve
• They bring the primary care there that we need.

Bills: HB1531, HB2667, HB2809, HB2865, HB3589, HB3151, HB3748, HB3750, HB4419, HB4643, HB3597, HB4129, HB4130, HB4131

Keywords: workplace violence prevention, health and safety code, Chapter 331, facility definition, home and community support services agency, home health agency, home health care, nursing staff, registered nurses, health care workplace safety, hospital, nursing facility, ambulatory surgical center, freestanding emergency medical care facility, mental hospital, Texas health care regulation, provider compliance, occupational safety, senior living, referral agencies

Transcript Highlights:

• community supervision including deferred adjudication community supervision of a defendant who is a primary

Bills: SJR34, SB10, SB18, SB19, SB21, SB72, SB140, SB262, SB370, SB480, SB495, SB627, SB703, SB767, SB790

Keywords: parental rights, parents, children, custody, care and control, upbringing, family law, constitutional amendment, Texas Constitution, child welfare, education policy, medical decisions, parental authority, primary decision makers, family autonomy, education, Ten Commandments, public schools, religious display, First Amendment

Transcript Highlights:

• North Dakota currently has two comprehensive stroke centers, four primary stroke centers, and 30 acute
• It displays our 30 acute stroke-ready hospital centers in green, four primary stroke centers in yellow
• Have you worked with our major payers at all on this?"
• I can certainly go back and see what kind of activity we've had with some of the other payers in the
• So on the slide, I have three primary loan repayment programs for dental providers.

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:

• Last year, the Secretary of State spent more money than was allocated for the 2024 primary election and
• used FY 25 funding to cover primary costs which occurred in FY 24.
• These are primary elections, general elections, and regular local elections.
• Primary and general elections occur in even-numbered years, while regular local elections occur in odd
• So that's kind of the rationale for having Medicaid be a better payer.

Transcript Highlights:

• and because of that our primary and because of that our primary motivation<00:48:54.400> is
• way that health care payers reduce the net cost of drugs for plan members.
• rebates are the primary way that Healthcare<00:56:50.559> payers<00:56:51.000> reduce<
• 00:56:51.480> the<00:56:51.680> cost<00:56:52.119> the Healthcare payers reduce
• the cost the Healthcare payers reduce the cost the net<00:56:52.799> cost<00:56:53.400> of<

Keywords: 1187, senate, all

Transcript Highlights:

• After earning her medical degree, she chose to stay at Baylor. so she could focus on providing primary
• Cindy worked with the Harris Health Care System, providing primary care for Houssounians.
• It's the best number a tax bill can ever get for payers.
• with that change. would reflect the citizen board or directors concept that they should that all tax payers
• things here we've had with the best of intentions there has been And there are definitely property tax payers

Bills: SJR2, SB4, SJR36, SJR2, SB4, SJR1, SJR5, SB9, SB40, SJR2, SB4, SR98, SJR40, SJR41, SJR42, SJR43, SJR44, SJR45, SJR46, SJR47, SCR13, SB6, SB13, SB21, SB826, SB827, SB828, SB829, SB830, SB831, SB832, SB833, SB834, SB835, SB836, SB837, SB838, SB839, SB840, SB841, SB842, SB843, SB844, SB845, SB846, SB847, SB848, SB849, SB850, SB851, SB853, SB854, SB855, SB856, SB857, SB858, SB859, SB860, SB861, SB862, SB863, SB864, SB865, SB866, SB867, SB868, SB869, SB870, SB871, SB872, SB873, SB874, SB875, SB876, SB877, SB878, SB879, SB880, SB881, SB882, SB883, SB884, SB885, SB886, SB887, SB888, SB889, SB890, SB891, SB892, SB893, SB894, SB895, SB896, SB897, SB898, SB899, SB900, SB901, SB902, SB903, SB904, SB905, SB906, SB907, SB908, SB909, SB910, SB911, SB912, SB913, SB914, SB915, SB916, SB917, SB918, SB919, SB920, SB921, SB922, SB923, SB924, SB925, SB926, SB927, SB928, SB929, SB930, SB931, SB932, SB933, SB934, SB935, SB936, SB937, SB938, SB939, SB940, SB941, SB942, SB943, SB944, SB945, SB946, SB947, SB948, SB949, SB950, SB951, SB952, SB953, SB954, SB955, SB956, SB957, SB958, SB959, SB960, SB961, SB962, SB963, SB964, SB965, SB966, SB967, SB968, SB969, SB970, SB971, SB972, SB973, SB974, SB975, SB976, SB977, SB978, SB979, SB980, SB981, SB982, SB983, SB984, SB985, SB986, SB987, SB988, SB989, SB990, SB991, SB992, SB993, SB994, SB995, SB996, SB997, SB998, SB999, SB1000, SJR40, SJR41, SJR42, SJR43, SJR44, SJR45, SJR46, SJR47, SCR13, SB6, SB13, SB21, SB826, SB827, SB828, SB829, SB830, SB831, SB832, SB833, SB834, SB835, SB836, SB837, SB838, SB839, SB840, SB841, SB842, SB843, SB844, SB845, SB846, SB847, SB848, SB849, SB850, SB851, SB853, SB854, SB855, SB856, SB857, SB858, SB859, SB860, SB861, SB862, SB863, SB864, SB865, SB866, SB867, SB868, SB869, SB870, SB871, SB872, SB873, SB874, SB875, SB876, SB877, SB878, SB879, SB880, SB881, SB882, SB883, SB884, SB885, SB886, SB887, SB888, SB889, SB890, SB891, SB892, SB893, SB894, SB895, SB896, SB897, SB898, SB899, SB900, SB901, SB902, SB903, SB904, SB905, SB906, SB907, SB908, SB909, SB910, SB911, SB912, SB913, SB914, SB915, SB916, SB917, SB918, SB919, SB920, SB921, SB922, SB923, SB924, SB925, SB926, SB927, SB928, SB929, SB930, SB931, SB932, SB933, SB934, SB935, SB936, SB937, SB938, SB939, SB940, SB941, SB942, SB943, SB944, SB945, SB946, SB947, SB948, SB949, SB950, SB951, SB952, SB953, SB954, SB955, SB956, SB957, SB958, SB959, SB960, SB961, SB962, SB963, SB964, SB965, SB966, SB967, SB968, SB969, SB970, SB971, SB972, SB973, SB974, SB975, SB976, SB977, SB978, SB979, SB980, SB981, SB982, SB983, SB984, SB985, SB986, SB987, SB988, SB989, SB990, SB991, SB992, SB993, SB994, SB995, SB996, SB997, SB998, SB999, SB1000

Keywords: SJR 2, Senate Joint Resolution 2, constitutional amendment, homestead exemption, property tax relief, school property tax, ad valorem tax, residence homestead, school district taxes, Texas Constitution Article VIII, public school finance, homeowner exemption, elderly exemption, senior tax relief, disabled exemption, tax year 2025, voter approval, November 2025 ballot, local government, Ways & Means

Transcript Highlights:

• I am the owner and president of Integrative Medical Center of New Mexico, where I provide primary care
• There are some estimates that by 2030, we'll be short 2,000 primary care doctors in our state.
• But they're not primary care physicians, and they're not thinking about your health care maintenance.
• So that does, with Medicaid, as you all know, being our primary payer, to me color differently what it
• So we have more Nurse practitioners and physician assistants are providing primary care.

Keywords: 996, all

Transcript Highlights:

• <00:03:06.159> or subsequently to other rate payers or subsequently to other rate payers or
• are in the first position, and to clarify that 201-C for the deed restriction applies to both the primary
• are in the first position, and to clarify that 201-C for the deed restriction applies to both the primary
• are in the first position, and to clarify that 201-C for the deed restriction applies to both the primary
• are in the first position, and to clarify that 201-C for the deed restriction applies to both the primary

Keywords: 912, senate, all

Summary: The joint hearing focused primarily on Senate Bill 1409, which would cap county user fees charged to Department of Hawaiian Home Lands beneficiaries. Department of Hawaiian Home Lands supported the measure, arguing it would reduce monthly housing-related costs for lower-income beneficiaries and help make homesteading more affordable. Several testifiers, including the Tax Foundation of Hawaii and some individuals, also submitted comments or support. County and city water and sewer agencies, including the County of Kauai Department of Water, the City and County of Honolulu Department of Facility Maintenance, the Honolulu Board of Water Supply, and the City and County Department of Environmental Services, strongly opposed the bill, saying it would shift substantial costs to other ratepayers, create lost revenue, and could force fee increases for everyone else. They also raised concerns about the bill’s cap structure and potential misuse, while noting their systems are funded by user fees rather than taxes. During committee discussion, Honolulu Board of Water Supply officials estimated about 4,500 DHHL customers on Oʻahu and projected lost revenue of roughly $30 million to $36 million over five years, with larger cumulative impacts over time; they said any waiver would be absorbed by other customers. The County of Hawaiʻi representative estimated nearly 2,000 DHHL customers on the Big Island and about $2.4 million in annual lost revenue. DHHL responded that it is pursuing revenue-generating projects on unused lands, but members questioned whether the department should do more to generate its own revenue and suggested looking at other affordability mechanisms, including market rent on commercial properties or a similar cap on other beneficiary fees. After hearing the testimony and discussion, the committee chair announced the recommendation to defer SB 1409 indefinitely, and the Committee on Energy and Intergovernmental Affairs agreed with that decision. The hearing then moved to Senate Bill 1408, a housekeeping measure. DHHL testified in support, saying the bill was part of an effort to lower housing costs through a modular manufacturing approach. DHHL described plans to use an unused hangar at Kalaeloa for a potential modular housing manufacturing plant, including discussions with the University of Hawaiʻi and a Denver-based company, and said it was also exploring a pilot project with Habitat for Humanity on Maui. No vote or final action on SB 1408 was taken in the portion of the transcript provided.

Transcript Highlights:

• We actually have quite a bit of additional capacity within our primary digesters.
• bit of additional capacity<00:52:39.520> within<00:52:39.720> our<00:52:39.920> primary
• <00:52:40.400> digestors capacity within our primary digestors capacity within our primary
• um you know sip back to rate payers um you know sip program<01:40:15.000> that's program that's
• use uh for winter don't have the primary use uh for winter satisfaction<01:42:24.080> on<01:42

Keywords: 1183, house

Transcript Highlights:

• So those are our three primary changes, and happy to take questions.
• > happy<00:57:44.960> to<00:57:45.200> take primary changes and happy to take primary
• Article three, which is child welfare, has three primary components.
• Article three, which is child welfare, has three primary components.
• child welfare, has three primary child welfare, has three primary components.<01:11:13.120> The

Keywords: 1187, senate, all

Transcript Highlights:

• One of the major ones is utility spending supported by rate payers required by regulators. borrowers
• look at the money that's also been invested not just by California taxpayers but by California rate payers
• Chairman, I just want to underscore Assemblymember Rogers' point. about the the multiple payers.
• Where can you find multiple payers?
• In the wildfire lane, our primary focus is on significantly narrowing the path that a fire can take to

Keywords: 988, house, all

Transcript Highlights:

• So we handle patient requests, continuing care requests, insurance payer requests, life insurance requests
• So we handle patient requests, continuing care requests, insurance payer requests, life insurance requests
• , attorney request. ...care requests, insurance payer requests, life insurance requests, attorney requests
• I'm an MD, internal medicine physician, working in hospitals as the primary attending physician.

Summary: The committee took up a large health policy agenda. SB 1568 on electronic prescribing was explained as a federal conformity measure, but members raised concerns about preserving patients’ ability to obtain paper prescriptions and about exemptions for emergency, hospice, and other situations. Emergency physicians testified in support of e-prescribing but asked for flexibility, and the bill was reported favorably despite Senator Harrell’s opposition. SB 1606 on patient access to records sought to standardize record-production timelines and require electronic delivery when available; after an amendment correcting a drafting error, the bill drew concerns about HIPAA, behavioral health confidentiality, and the distinction between personal and legal representatives, and it was reported unfavorably as a committee substitute. The committee then approved SB 1346 on fentanyl testing, with a technical amendment, to require hospitals and campus emergency departments to test for fentanyl in urine testing for suspected overdose or poisoning. SB 1224 on administration of controlled substances by paramedics was amended to clarify language and reported favorably. SB 656 on health care billing and collection activities was substantially revised by strike-all amendment to allow sale of medical debt to third parties under new limits, including no interest or fees and return of debt if charity care applies; it was reported favorably as a committee substitute. SB 68 expanded health facilities authority financing to include not-for-profit LLCs and parent companies, and SB 524 added Duchenne muscular dystrophy to the newborn screening panel; both were reported favorably. Later, the committee approved SB 1842 on out-of-network referrals after multiple amendments, requiring providers to verify network participation at the point of service and notify patients in writing, though several members and physicians warned it could burden providers and increase workload. The committee also advanced proposed committee bill SB 7028, which revises the Casey DeSantis Cancer Research Program, adds oversight and reporting requirements, creates a pediatric cancer research incubator, and establishes the Bascom-Palmer VisionGen initiative; cancer center representatives testified in strong support, and the bill was reported favorably as a committee bill. SB 172 on specialty titles and designations was amended to clarify enforcement and was reported favorably after supporters said it would prevent misleading use of specialist titles, while opponents argued it could confuse practitioners’ titles. Finally, SB 1690 on surrendered infants was reported favorably after supporters said it would codify and expand safe-haven baby box procedures and opponents raised safety concerns about the devices. The committee also noted SB 1606 remained pending for reconsideration next week before adjourning.