Transcript Highlights:

• support to occupational therapy practitioners through...
• The New Mexico Occupational Therapy Association provides support to occupational therapy practitioners
• Occupational therapy is really important in this state.
• Dwarzak-Brand, occupational therapy assistant.
• therapy graduate student at UNM. ...in Occupational Therapy, and Jennifer Long, occupational therapy

Keywords: 996, all

Transcript Highlights:

• What some call reunification therapy is a pseudo-therapy that claims to repair the relationship between
• If I wanted to do therapy between dad and a child, saying, “You guys need to go have some therapy sessions
• If I wanted to do therapy between dad and a child, saying, “You guys need to go have some therapy sessions
• It bans key tools effective for therapy.
• They have to ban certain categories of therapy.

Bills: HB40, HB1916, HB1973, HB2524, HB2530, HB3180, HB3421, HB3783, HB4170, HB4213

Keywords: business court, civil procedure, litigation, jurisdiction, arbitration, divorce, property division, family law, court jurisdiction, marital assets, parent-child relationship, birth certificate, identity proof, Family Code, court process, attorney fees, court costs, legal expenses, dispute resolution, child support

Summary: The committee heard several House bills, most of them relating to family law and court procedure, and left each bill pending after testimony. House Bill 1916 would clarify that the court that issued a final divorce decree retains exclusive jurisdiction over later actions involving undivided property. House Bill 1973 would require a certified birth certificate, if reasonably available, to be filed with a SAPCR petition or allow alternative proof of parentage while keeping the information confidential. House Bill 2530 would add qualifications and procedural safeguards for appointing amicus attorneys in SAPCR cases, including notice and hearing requirements, minimum qualifications, conflict rules, and limits on what amicus attorneys may do. House Bill 2524 would make Family Code references to attorney’s fees consistent by using “reasonable and necessary” language. House Bill 3180 would correct a scrivener’s error in the civil discovery rules by changing “settlement” to “statement.” The committee also heard House Bill 4213, which would change the interest rate on overdue child support from the current 6 percent simple interest to a fixed 5 percent and require the Attorney General to report on the impact of the change. Testimony was sharply divided: supporters argued lower interest could improve collections and help low-income obligors catch up, citing research and the size of child-support arrearages; opponents said lowering the rate would reduce incentives to pay and harm custodial parents and children. The Attorney General’s office raised implementation concerns about a House version that would have created a variable rate, while the committee substitute was described as restoring a simple fixed rate. After testimony, the bill was left pending. The committee also discussed House Bill 40, updating business court provisions and supplemental jurisdiction; House Bill 3421, streamlining probate procedures for original wills and copies; and House Bill 417, clarifying venue for lawsuits involving private transfer fees on real property. Each drew limited testimony and was left pending. Finally, House Bill 3783 drew extensive testimony on court-ordered counseling and reunification therapy in family cases. The sponsor and supporters said the bill would protect children and abuse victims from coercive, unregulated reunification practices, while opponents argued it was too broad, could interfere with legitimate therapy and judicial discretion, and might affect military families and other high-conflict cases. The committee heard testimony from judges, therapists, parents, survivors, and advocates, but took no final action and left the bill pending.

Transcript Highlights:

• Some of the new steps include early engagement with the CCOs. 2027 rates.
• And I'm bringing up ABA therapy in particular not because... Thanks, Chair.
• And I'm bringing up ABA therapy in particular not because I know it works.
• Is that the same with ABA therapy or even with mental health counseling?
• And we have an idea about how much therapy makes sense right now.

Keywords: 907, all

Summary: The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits. CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs. The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.

Transcript Highlights:

• Senator Miles: Well, you would need more, and that's why I'm thinking adding more steps...
• CAR T-cell therapy is a treatment that uses a patient's own immune system to fight cancer.
• To health benefit plan coverage for chimeric antigen receptor T-cell therapy.
• I think that's a good step.
• I think that's a good step.

Summary: The Senate first adopted a motion by Senator Zaffirini to suspend Senate Rule 5.14 and move the intent calendar deadline to 8:00 p.m. that day, also allowing the Secretary to make the calendar available as soon as practicable. The chamber then took up and passed several House bills, often by suspending the regular order and the constitutional three-day rule. HB 2128, relating to a study of rural firefighting and technical rescue capabilities, passed unanimously. HB 4157, on liability protections for commercial spaceflight and exploration, passed 28-3. HB 2240, concerning certain void marriages, passed after adoption of a Birdwell amendment extending filing deadlines to 90 days for certain active-duty service members and Foreign Service officers. HB 367, on verification of excused absences for students with severe or life-threatening illnesses, passed unanimously after clarifying school district forms and TEA model forms. HB 1506, expanding expedited handgun license eligibility to certain retired county court judges, passed 29-2. HB 4449, on alcohol sales in annexed municipal areas, passed 29-2. HB 3812, on health plan prior authorization requirements, passed 30-1. The Senate also announced a long list of bills and resolutions signed in the presence of the Senate. A major portion of the meeting centered on HB 521, a voting-related bill on curbside voting for voters with disabilities. Senator Paxton described it as an anti-misuse measure requiring a signed eligibility form for curbside voting, creating a 20-foot electioneering buffer, limiting election officer assistance in marking ballots unless a second officer is present, and adding reporting requirements for people who assist seven or more curbside voters. Senators Miles, Menendez, Johnson, Campbell, Cook, and others questioned whether the bill would burden disabled voters, create a de facto registry of volunteers, and impose a harsh Class A misdemeanor penalty for failing to complete the form. Paxton said the bill was intended to protect legitimate curbside voters and curb abuse, and the chamber adopted Paxton Floor Amendment No. 1 after a recorded vote. Zaffirini’s Floor Amendment No. 2, allowing an escorting voter to receive his or her own ballot at the curbside or entrance, was adopted. Menendez’s Floor Amendment No. 3 to reduce the penalty failed. The bill was then passed to third reading on a 20-11 vote, with a motion by Senator Miles to have the exchanges reduced to writing and placed in the journal adopted. The Senate also passed HB 3000, creating a grant program for rural ambulance service providers, after a comptroller-related amendment; HB 5616, establishing the Texas Presidential Library Promotion Program and funding for traveling exhibits, after narrowing the bill to mobile exhibits only; HB 4211, addressing certain residential property interests controlled by entities, which passed 30-1; HB 1178, creating temporary educator certificates for out-of-state certified educators and military spouses, which passed unanimously; HB 2243, creating the Texas Commission on Teacher Job Satisfaction and Retention, which passed after debate over the need to streamline education mandates; and HB 42, increasing and reallocating the constitutional Higher Education Fund appropriation by 50% to $1.18 billion, which passed 31-0. Finally, HB 2512, a Fort Worth-specific bill limiting ETJ release for land subject to active development agreements, passed after debate over broader ETJ and de-annexation policy, with a local-only clarifying amendment adopted and a proposed broader amendment withdrawn. The meeting ended with the Senate beginning consideration of HB 3372, which would bar school district administrators from receiving financial benefits tied to outside consulting or contracting with education entities, though the transcript cuts off during questions on that bill.

Transcript Highlights:

• I brought and also discuss what issues there are in our next steps.
• So it's good to know that communities are seeing the need and stepping up.
• So it's good to know that communities are seeing the need in stepping up.
• We've also seen great success with therapy dogs and our seniors that run the therapy dog programs.
• Would anyone like to step up and make a public comment? You have a minute.

Summary: The Select Committee on Youth Mental Health and Treatment Access held its third hearing to review the state of youth mental health, progress under the Children and Youth Behavioral Health Initiative (CYBHI), and remaining implementation and funding challenges. The chair emphasized that schools are often the main point where education, health care, and social services intersect for students, and that the committee’s goal is to ensure public investments translate into better access and outcomes. The hearing featured testimony from researchers, a youth advocate, state officials, and local practitioners. PPIC researcher Shalini Mostala reported that teen mental health remains a serious concern, with high rates of chronic sadness, hopelessness, and suicidal thoughts, though recent California data show some improvement since the pandemic. She noted persistent disparities by gender, race, and rural status, and said school-based health centers, wellness centers, and community schools are associated with lower suicidal thoughts. Youth advocate Ella Cruz, speaking for NAMI California, described her own mental health struggles and argued that youth voice, peer-to-peer support, and reducing stigma are essential; she also said technology and AI cannot replace trusted adults or trained professionals. Committee members asked about phone use, stigma, cultural barriers, and how to make supports more accessible and relatable to students. Dr. Sohill Sood of the California Health and Human Services Agency said statewide survey data show declining stigma, increased counseling use, and lower suicide ideation among students, and he highlighted CYBHI’s certified wellness coaches, digital tools, awareness campaigns, and the first-in-the-nation fee schedule that allows schools and colleges to bill health plans for behavioral health services. He said the program is growing quickly, with more than 230,000 claims and over $11 million in new revenue to date, while acknowledging that billing systems and coordination are still being built. Trina Frazier of Fresno County described a multi-tiered system of care supported by CYBHI, CalAIM, and other grants, serving thousands of students through school-based services, wellness centers, and mobile therapy units; she said ongoing funding and flexibility are critical. Rachel Kroberniski of El Segundo High School’s James Morehouse Project described a long-running wellness center and peer mentorship model that supports students in multiple languages, and said peer programs help students feel seen, connected, and more willing to seek help. Members broadly praised the flexibility, collaboration, and peer-based approaches described by the witnesses. Questions focused on sustaining funding after one-time grants expire, improving coordination among schools, counties, and providers, expanding the fee schedule to higher education, and ensuring continuity of care for students after high school. Officials said county offices of education, DHCS, and other partners are using communities of practice and technical assistance to spread best practices, and that CYBHI services can follow some young adults through age 25, with additional supports through community-based programs and digital platforms.

Transcript Highlights:

• And this bill is the next step, an amazing big step in where we go. Diagnosis. That is key.
• It creates the Early Steps extended option. Early Steps is a key part of what we do.
• This is step one.
• And this, as I said, we're doing step one, certainly moving along in step two, is research.
• And this, as I said, we're doing step one, certainly moving along in step two, is research.

Summary: The Senate opened with prayer, the pledge, and several introductions recognizing visitors and groups in the gallery, including Moffitt Cancer Center for “Moffitt Day,” students from Lakeland Christian School, representatives from the space industry for Space Day, Kappa Alpha Psi fraternity members, licensed investigators, and local delegations from Groveland, Polk County, Auburndale, and the College of the Florida Keys. The chamber then moved to the special order calendar with Committee Substitute for Committee Substitute for Senate Bill 112, relating to children with developmental disabilities. Senator Harrell presented the bill as a major autism-focused measure aimed at earlier diagnosis and expanded services. The bill would expand autism screening and referral grants, extend Early Steps services to age four with a federal waiver, designate the University of Florida Center for Autism and Neurodevelopment as a coordinating research hub, create grants for autism-focused charter schools and summer programs, and establish a microcredential for teachers, health workers, and daycare workers serving children with autism. Senators Davis, Jones, Osgood, Duma, and Wright spoke in support while raising concerns about provider recruitment, Medicaid managed care coverage, the need for technology and research, and the importance of early intervention and adult services. Harrell closed by saying the bill was only “step one,” addressed provider and funding questions, and emphasized research and statewide coordination. The Senate passed CS/CS/SB 112 by a vote of 38-0 and then adopted a motion to waive the rules and immediately certify the bill to the House. Senators also co-introduced Senate Resolution 1856 honoring the life and legacy of Senator Geraldine Thompson, with 38 co-introducers recorded. In addition, Senate Bill 1324 by Senator Simon was withdrawn from further consideration, and the Senate adjourned until the following Wednesday.

Bills: SCR12, HB221, HB509, HCR58, HB75, HB1222, SB121, SB312, SB348, SB485, SCR9, SCR58, SB65, SB215, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB490, SB492, SB500, SB514, HCR54, HCR79, HCR87, HCR94, HCR104, HCR32, HB944, HB17, HB41, HB73, HB223, HB244, HB410, HB750, HB759, HB906, HB966, HB1006, HB1009, HB1086, HB1107, HB1112, HB1215, HB1242, SB208, SB217, SB283, SB387, SB389, SB401, SB408, SB469, HB74, HB119, HB368, HB414, HB552, HB732, HB776, HB848, HB870, HB953, HB956, HB1236, SB29, SB42, SB43, SB78, SB149, SB274, SB300, SB341, SB382, SB441, SB449, HB134, HB210, HB258, HB359, HB468, HB784, HB1117

Keywords: logging, recognition, John Keith, environment, safety, Mississippi River bridge, Trump Expressway, transportation, federal funding, Louisiana highways, injection wells, public hearing, geologic sequestration, environmental impact, public comment, Ascension Parish, state capitol, economic development, community partnership, celebration day

Bills: SCR12, HB221, HB509, HCR58, HB75, HB1222, SB121, SB312, SB348, SB485, SCR9, SCR58, SB65, SB215, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB490, SB492, SB500, SB514, HCR54, HCR79, HCR87, HCR94, HCR104, HCR32, HB944, HB17, HB41, HB73, HB223, HB244, HB410, HB750, HB759, HB906, HB966, HB1006, HB1009, HB1086, HB1107, HB1112, HB1215, HB1242, SB208, SB217, SB283, SB387, SB389, SB401, SB408, SB469, HB74, HB119, HB368, HB414, HB552, HB732, HB776, HB848, HB870, HB953, HB956, HB1236, SB29, SB42, SB43, SB78, SB149, SB274, SB300, SB341, SB382, SB441, SB449, HB134, HB210, HB258, HB359, HB468, HB784, HB1117

Keywords: logging, recognition, John Keith, environment, safety, Mississippi River bridge, Trump Expressway, transportation, federal funding, Louisiana highways, injection wells, public hearing, geologic sequestration, environmental impact, public comment, Ascension Parish, state capitol, economic development, community partnership, celebration day

Summary: The Senate convened with a quorum, received a prayer and pledge, adopted the journal, and heard messages from the House reporting final passage of several Senate bills and concurrence in SCR 86 and 87. The chamber also observed personal privileges honoring the lives of Edith K. Kirkpatrick and Susan Ann Traylor Bidick, with family members present and a moment of silence held for Bidick. The House later refused concurrence on Senate amendments to HB 42 and HB 159. The Senate then took up a series of resolutions, most of which were adopted without objection. These included studies on energy infrastructure and modernization (SR 174, amended to add an alternative energy industry representative and a consumer advocate), breast pump Medicaid reimbursement (SR 175), digital student IDs (SR 176), lethality assessment protocols in domestic violence cases (SR 177), problem gambling prevention (SR 178), community water system grading (SR 179), condolences for Sharon Courtney (SR 180), and expansion of the Louisiana Tumor Registry (SR 181). The chamber also adopted SCR 85 honoring the Sam Houston High School Broncos baseball team after a recorded vote of 36 yeas and 8 nays. On bills returned from the House, HB 1222 on grocery initiative grants failed on final passage by a vote of 18 yeas and 19 nays. SB 312 had House amendments rejected, SB 348 and SB 485 had House amendments concurred in, and SB 121 on congressional redistricting was the subject of extensive debate over racial gerrymandering, district configuration, and expected litigation before the Senate concurred in the House amendments by 28 yeas and 10 nays. The Senate also concurred in several House concurrent resolutions, including studies or reports on flooded corn and migratory waterfowl, deer hunting with dogs in Kisatchie National Forest, support for a Senator Kennedy letter to the Fish and Wildlife Service, boating safety reporting, and subsurface data review. Finally, HB 944 creating a Women’s Health Consortium within the Department of Health was amended to address funding concerns and convert it into a more task-force-like structure, then passed 37-0 with nine coauthors. The Senate then recessed until 1:30 p.m. to continue work, including conference committee reports.

Transcript Highlights:

• Dental therapy is a mid-level role focused on prevention and fillings.
• I testify today in strong support of S1569 H2410, establishing the dental therapy model.
• Dental therapy expands access, lowers costs and brings care to our most vulnerable patients.
• That brings us to dental therapy, a proven cost-effective solution. Patients last year.
• That brings us to dental therapy, a proven cost-effective solution.

Keywords: 995, all

Summary: The Joint Committee on Public Health held a lengthy hearing to take testimony on a wide range of bills related to environmental health, PFAS, medical device chemicals, food access, lead poisoning, air quality, oral health, and school food additives. Chair Driscoll and Chair Decker emphasized that the hearing was for testimony only, no decisions would be made that day, and that written testimony could still be submitted. They also noted the high volume of speakers and asked witnesses to keep remarks brief. A major portion of the hearing focused on PFAS-related legislation, including bills to restrict PFAS in products and food packaging and to create a PFAS remediation trust fund. Municipal officials and advocates described the high costs of PFAS cleanup, especially for drinking water systems, citing Easton’s multimillion-dollar treatment investments and rate increases. Testimony from legislators and advocates argued that Massachusetts should act despite federal uncertainty, and that the state should stop PFAS at the source rather than leaving municipalities and residents to pay for remediation. The committee also heard strong support for a bill banning DEHP in medical devices, with physicians, nurses, and a bill sponsor saying the chemical can leach from IV bags and tubing and that safer alternatives already exist. The committee also heard testimony on bills to establish statewide food truck permitting, with food truck owners and a senator describing the current system as costly, duplicative, and inconsistent across municipalities. Another set of witnesses supported the “Bean New Deal,” which would expand plant-based food options in public institutions, senior nutrition programs, and WIC, citing health, equity, and cost savings. On lead poisoning, housing advocates and a representative backed bills to expand lead-safe housing requirements to all rental units, arguing the current law contributes to discrimination against families with children and leaves too much pre-1978 housing uncertified. The committee also heard support for an outdoor air pollution bill that would create an advisory committee, identify pollution hotspots, expand monitoring, and set reduction targets, with testimony from environmental justice groups, pediatricians, and legislators describing disproportionate asthma and other health harms in overburdened communities. Later testimony addressed oral health bills to create dental therapists and allow dental hygienists to administer nitrous oxide, with supporters saying the measures would expand access, reduce costs, and help underserved patients. The committee also heard testimony on a bill to prohibit harmful food dyes in competitive school foods, with parents describing behavioral and health concerns tied to synthetic dyes. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• funding in this This is a small step funding in this This is a small step forward<00:03:51.720><
• And so, this is step one.
• And so, this is step one.
• And so, this is step one.
• do you do comprehensive family therapy? do you do comprehensive family therapy?

Keywords: 1183, house

Transcript Highlights:

• Um, so Text Protect has long advocated for, uh, better supporting kinship caregivers who step into care
• It sounds like it's there's a lot of steps in the bureaucracy to get this uh this money to the kinship
• So we have kinship placements, people who are willing to step up and provide their family members.
• And that's why the medical nutrition therapy component is essential.
• So that's our Texas Health Steps program.

Bills: HB 26, HB 140, HB 141, HB 142, HB 215

Keywords: Medicaid, nutrition support, maternal health, chronic conditions, pilot program, DFPS, Department of Family and Protective Services, child protective services, child abuse investigations, child neglect, child exploitation, advisory committee, Family and Protective Services Council, council abolition, foster care, due process, investigative procedures, child welfare, parental rights, family preservation services

Transcript Highlights:

• therapy animals or service dogs. therapy animals or service dogs.
• Therapy dogs have their therapy dogs. Therapy dogs have their own<00:15:13.519> certification.
• What's a therapy What's a comfort dog? What's a therapy dog?
• therapy dog.
• A therapy dog is therapy dog.

Keywords: 1189, house, all

Transcript Highlights:

• to keep constituents and children safe, and this bill will help allow us to do that and take us one step
• And this bill will take us one step closer to being able to combat that.
• keep constituents 81 and children safe and this bill will help allow us to do that 82 and take us one step
• And this bill will take us one step closer to being able to combat that.
• I do therapy, both faith-based therapy and non-faith-based therapy, depending on what the client need

Summary: The Health and Human Services Committee heard and advanced four member bills. CS/HB 303 would require nurses to complete the existing two-hour human trafficking prevention course before initial licensure, rather than waiting until renewal; the sponsor said this closes a gap for new nurses, and supporters from the Florida Nurses Association and other groups said it would improve early identification and reporting of trafficking victims. Members asked whether the bill changed reporting duties, and the sponsor said it did not. The bill passed unanimously, 24-0. PCS/HB 1069 would treat independent sanctioning authorities as qualified entities for background screening purposes and allow an unscreened athletic coach to work only if directly supervised by a screened coach. The sponsor said the measure is intended to help families and youth sports organizations while keeping children safe, and members discussed how it would apply to Little League and whether disqualifying offenses would still bar work with children. The bill received support from several organizations and passed 25-0. HB 491 would allow batterers intervention programs to offer voluntary faith-based content alongside required cognitive behavioral therapy, without mandating participation. Supporters argued the bill restores options for clients seeking faith-based counseling and said it does not use taxpayer funds or impose religion; members emphasized the voluntary nature of the program. The bill passed 24-0. HB 569 would change how the Agency for Persons with Disabilities organizes forensic client services by grouping clients based on clinical needs rather than legal charges, which the sponsor said would improve efficiency and reduce duplication. The agency and Florida Smart Justice Alliance supported the bill, and it also passed unanimously, 24-0. The committee then adjourned.

Transcript Highlights:

• But it seems to me we've got to make maybe a first step.
• What's next steps on those?
• therapy, no PA.
• therapy, no PA.
• I think all the five are, you know, important action steps.

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:

• And so that brought in the occupational therapy board, gives us the opportunity to fix this.
• , physical therapy, psychological, inter-jurisdictional, and social work compacts.
• It covers a lot of different categories of, per se, therapies.
• by step?
• Like, if we do Clearer for our taxpayers by showing the math step by step, like if we do the gross tax

Keywords: 908, all

Summary: The committee first took up Senate Bill 2401, which would require physicians to complete continuing education on nutrition and metabolic health as part of the state’s rural health transformation effort. HHS supported the bill, saying it would help physicians better address chronic disease and preserve federal grant points tied to the state’s application. A member of the public also testified in favor, arguing that better nutrition education could improve diabetes outcomes and reduce costs. The committee then adopted an amendment to add the Board of Occupational Therapy Practice to the background-check statute so the occupational therapy compact could proceed, and it passed the bill as amended on a roll call vote. The committee next heard House Bill 1621, which would require the Presidential Fitness Physical Fitness Test in elementary, middle, and high school physical education courses. HHS said the bill was part of the rural health transformation application and could help preserve federal funding, but members raised many questions about the test’s criteria, adaptive options for students with disabilities, equipment needs, and whether the bill should apply to non-public schools. Senator Clemens offered an amendment to limit the requirement to public schools, but it failed. Senator Hogan then offered an amendment to clarify exemptions and allow DPI to align implementation with federal guidance; that amendment passed. A further amendment adding language allowing DPI to establish criteria for and exceptions to the test also passed. The committee then approved the bill as amended on a roll call vote. The committee also considered House Bill 1622, which joins North Dakota to the physician assistant licensure compact. HHS said the compact would improve access to care, especially in rural areas, support military families, and help preserve rural health transformation funding. Members noted the compact had been discussed in a prior session and that many earlier concerns had been resolved. After brief discussion about the compact process and its consistency with other interstate compacts, the committee voted to do pass the bill. Finally, the committee began Senate Bill 2402, which expands pharmacists’ prescriptive authority and therapeutic substitution powers. HHS and the Board of Pharmacy supported the bill as a way to improve access to care and maintain rural health transformation funding. Senator Roers introduced a detailed amendment negotiated with the Board of Medicine and Board of Pharmacy to narrow and clarify the bill, including notification requirements, limits on certain drug categories, and patient-protection language for therapeutic substitution. The Board of Pharmacy then testified in support of the broader bill and explained the CLIA-waived testing provisions and the repeal of the older, narrower pharmacist-testing language. The hearing and amendment discussion were still underway when the transcript ended.

Transcript Highlights:

• We are going to have a place where children can go and get therapy.
• The FDA has approved five therapies for Duchenne, including four therapies approved for the use from
• gene therapies. in clinical trials.
• therapy.
• More than 40 potential therapies are also in development.

Bills: SB437, SB528, SB626, SB636, SB884, SB968, SB1044, SB1608, SB2336

Keywords: healthcare, training, abuse, neglect, penalties, chemical dependency, safety, regulation, inpatient competency restoration, competency restoration, forensic mental health, mental health law, criminal competency, incompetent to stand trial, Chapter 46B, HHSC, Health and Human Services Commission, state hospital, behavioral health, local mental health authority

Transcript Highlights:

• And if I may, I'll step outside a little bit as a former provider.
• This was to increase access to physical therapy services per the bill.
• In that bill, it increased access to physical therapy services in a clinic-based setting.
• The bill only limited it to physical therapy. Clinic-based setting.
• These rules are the rules for massage therapy in Arkansas.

Keywords: 1204, all

Summary: The committee reviewed a series of Medicaid and health-related administrative rules, most of them tied to 2025 acts. Early items covered presumptive eligibility end dates, adding a definition of fictive kin for foster children, and updating ABLE account disability onset age. The committee also reviewed rules on continuous glucose monitors, RSV vaccine administration fees, ET3 telemedicine exemptions for ambulance services, dental rate increases, physical and occupational therapy access, and the Healthy Moms Healthy Babies and lactation consultant provisions. Most rules were reviewed without objection, though several members asked for fiscal and implementation details, especially on the CGM rule and the dental rate rule. The most extended discussion centered on the dental rate increase under Act 1025. DHS said the rule applies only to oral surgeons’ dental services as written, while the Arkansas State Dental Association and legislative sponsors argued the intent was to raise rates for a broader set of dentists performing the same procedures, especially for adults with special needs. Members discussed the statutory language, CMS constraints, bifurcated rates, and the estimated additional cost of about $1.5 million annually if general dentists were included. The committee ultimately reviewed the rule, but the chair noted the testimony and lawmakers indicated they would work on a fix next session. Another major exchange involved the CGM rule. Members questioned the reported $3 million two-year fiscal impact, the prior authorization process, and whether DME providers would be forced into a pharmacy-based system. DHS explained that the same vendor would handle prior authorizations and that the billing system changes were already live, but one member moved to expunge the earlier review vote and then said he would hold the rule pending further clarification. The committee also reviewed rules on adverse decisions appeals, CNA training, substance abuse and mental health network-status disclosures, new certification rules for doulas and community health workers, cosmetology/body art, massage therapy, lead-based paint, radiation control, radiologic technology licensure, and mobile home/RV park standards. The meeting ended with all remaining items reviewed and the committee adjourned.

Transcript Highlights:

• disability and elderly waivers, home health agency services, which includes home health aide, rehab therapy
• the workforce, we must do all we can to offer strong wages and benefits to the individuals who do step
• Home health agency services include home health aide, rehab therapy, skilled nursing visit services,
• the workforce, we must do all we can to offer strong wages and benefits to the individuals who do step
• the workforce, we must do all we can to offer strong wages and benefits to the individuals who do step

Keywords: 1183, house

Transcript Highlights:

• Okay, Asmey, we see that you're on Teams, but you may have stepped away.
• And these are useful steps. More is needed. More is needed.
• What added steps could you take? One, identify all needed hospitals and services.
• We are very confident that one will step forward soon.
• or even psychedelic-adjacent therapies can take years to uncover, if ever.

Keywords: 995, all

Summary: The committee hearing covered a wide range of public health bills, with much of the testimony focused on two major themes: expanding access to care and stabilizing health-related workforces and services. On House 2364, an act relative to medical health and fitness facilities, representatives from Dedham Health and Athletic Club argued for a pilot program recognizing supervised exercise as medicine, saying it could improve outcomes for chronic disease, fall prevention, and mental health while reducing costs. On House/Senate bills concerning community health workers (H. 359/S. 251), multiple witnesses from MACHW, Health Care for All, MHA, Cambridge Health Alliance, Mass General Brigham, Boston Children’s Hospital, Asian Women for Health, and the City of Somerville described CHWs as essential for navigation, trust-building, language access, and addressing social needs, and urged reimbursement by MassHealth, the GIC, and private insurers, along with workforce development measures. One pediatric neurologist also told the committee that losing grant-funded CHW support led to more avoidable ER visits and threatened clinic operations. The committee also heard extensive testimony on hospital closures and essential services. Witnesses including Dr. Alan Sager, MNA President Katie Murphy, nurses from Brockton Hospital and Providence Behavioral Health, and local officials and legislators from Norwood described the loss of hospitals and service lines, especially maternity, pediatric, and behavioral health care, and argued current closure processes are too weak to protect communities. They supported bills such as H. 2460/S. 1503 and H. 2534/S. 1574, which would require earlier notice, community input, stronger state oversight, possible receivership, and limits on reopening or expanding after closures. Testimony emphasized the impact of Steward’s bankruptcy, the closures of Carney and Neshoba Valley, and the need to preserve access to essential services in underserved areas. Several end-of-life and professional regulation bills were also discussed. On H. 2436, Representative Omar Gomez and funeral industry witnesses supported eliminating Office of the Chief Medical Examiner fees for the removal of a child’s body in cases involving children five and under, describing the bill as a small but important relief for grieving families. On H. 2444 and related Senate bills, cemetery and consumer advocates supported legalizing alkaline hydrolysis and natural organic reduction as environmentally friendly after-death options, while cemetery representatives opposed H. 2360, which would allow funeral establishments to operate crematories, arguing cemeteries should retain that role. The committee also heard support for H. 2382, which would exempt dentists and oral surgeons from a new office-based surgical center framework, and for H. 2461, which would create hospital efficiency standards; employers and retailers backed that bill as a way to address rising health care costs. Finally, the committee heard testimony on autism services and hospital governance. On S. 1414, behavior analysts and school representatives said Massachusetts already licenses assistant-level ABA providers but MassHealth does not reimburse them, causing long waitlists and limiting school and family access; an actuary testified that a three-tier ABA reimbursement model could reduce MassHealth costs by up to 6% per child served. Senator Lovely also testified in support of S. 1572, which would require at least one registered nurse on each acute care hospital governing board, arguing nurses’ frontline perspective would improve quality and retention. No votes were taken in the hearing excerpt, but many witnesses urged favorable reports on their respective bills.

Transcript Highlights:

• and and I think that this is a good step and and I think that this is a good step in<00:47:25.040
• The services, such as speech-language therapies or occupational therapy, etc., have to be referred and
• Etc therapies or occupational therapy Etc therapies or occupational therapy Etc they<01:11:40.840
• <01:17:35.840> so whether or not you need therapy so whether or not you need therapy so they're
• Moving on to HB 629 HD1 relating to therapy services.

Keywords: 910, house, all

Summary: The committee on Commerce and Consumer Protection met on February 20, 2025, and heard testimony on several measures. HB 850, relating to condominiums, drew support from the Community Associations Institute and the Hawaii State Association of Parliamentarians, who said it would improve owner participation, clarify voting rules, and preserve the use of proxies as a personal choice. A Zoom testifier supported the bill’s intent but warned that special meetings can be abused and suggested further amendments to address board president authority. Members asked about proxies versus electronic voting and whether the bill would reduce proxy use; no vote was taken. The committee also heard HB 48 on coffee labeling, with the Department of Agriculture in support, and HB 1370 on taxation, where a local brewery representative supported equal tax treatment for beer served from 5-gallon kegs and larger kegs when dispensed from a faucet, arguing the bill would clarify draft beer treatment and encourage sustainability. HB 1422 on motor carriers received comments from the Public Utilities Commission and the Department of State Parks, while representatives from a community-based shuttle initiative supported the bill and said nonprofit, community-led transportation solutions should not be regulated like traditional carriers. HB 874, relating to child performers, received support from SAG-AFTRA, IATSE, and individual performers, who emphasized protecting minors’ earnings, safety, and schooling. Testimony also discussed whether to include social media influencers and whether to add annual income limits or trust-account protections; the Department of Labor and Industrial Relations said the issue was outside its wheelhouse. Later, HB 799 on healthcare drew support from health plans and HMSA, with the Department of Health requesting amendments such as a sunset date, a Maui-only pilot, and a report back before changing its position. HB 1379 on health received support from Hawaii Pacific Health, but the Hawaii Medical Board raised concerns about vague language and public-safety implications for internationally trained physicians, asking for more time to study national licensing recommendations. Finally, HB 439 on education was heard, with the Hawaii Teacher Standards Board opposing the bill as drafted and warning about licensing standards and predatory third-party loans affecting J-1 teachers; the transcript ends before any action or vote on these measures.