Transcript Highlights:

• I'm Director of Bernalillo County Animal Care Services.
• This will be Senate Bill 101, Health Care Delivery.
• The Health Care Delivery and Access Act was created through legislation during the 2024 session.
• Hospitals are required to reinvest this funding in health care, workforce, and quality of care initiatives
• I'm the cabinet secretary of the Health Care Authority. We're all a little tired tonight.

Bills: HB25, SB38, SB101, HB199

Keywords: juvenile delinquency, firearm possession, criminal background checks, state law, gun control, youth offense, conviction, public safety, SB38, pet food, registered pet food, registration fee, fees, sunset repeal, repeal of repeal, revenue, state fee, business regulation, animal feed, pet food registration

Transcript Highlights:

• levels of care services, such as nursing home level of care or assisted living, as well as independent
• Thank you for your equitable and careful reconsideration.
• When other states have done this, expensive out-of-home care and inpatient care has dramatically decreased
• When other states have done this, expensive, out-of-home care and inpatient care has dramatically decreased
• provider, home care worker, personal care provider, housekeeper, cleaner, cook, gardener, or household

Bills: HB2675, HB2681, HB2714, HB2688, HB2481, HB2116, HB1408

Keywords: accounts, finance, business regulation, transparency, audits, cannabis, license fees, regulatory framework, revenue generation, legalization, HB 2714, caseload forecasting, food assistance, SNAP, Supplemental Nutrition Assistance Program, state food assistance, budget forecasting, caseload forecast council, caseload forecast supervisor, Washington State

Summary: The committee held public hearings on several bills. HB 2675 would eliminate a number of dedicated state accounts, transfer the remaining balances from two accounts to the general fund, and redirect future revenues from the salary insurance contribution increase revolving account to the general fund; OFM testified in support and there was no public opposition. Substitute HB 1903 would create a statewide Department of Commerce energy assistance program for low-income households, funded by the general fund and Climate Commitment Act revenues, phased in by utility and fuel type with reporting and an advisory group; supporters said it would provide more reliable monthly bill help, while utilities and rural co-ops raised concerns about cost, utility burden, reporting requirements, and conflicts with existing utility regulation. Fiscal staff estimated significant startup costs for Commerce if funded at the illustrative level discussed. Substitute HB 2384 would require actuarial reviews for certain continuing care retirement communities offering life care contracts, with the Office of the Insurance Commissioner reviewing the analyses and DSHS posting results; residents and transparency advocates supported the measure, while providers opposed it mainly over cost and the likelihood that fees would be passed on to residents. Substitute HB 1982 would expand the ability to vacate convictions tied to treaty Indian rights from fishing-only cases to fishing, hunting, gathering, and pasturing, remove the pre-1975 limitation, add local ordinances, and authorize OPD representation; after an amendment removed a proposed tribal liaison position, OPD said the fiscal impact would be zero and tribal and public defense witnesses supported the bill. Substitute HB 2389 would change juvenile sentencing and review procedures by expanding eligibility for suspended dispositions and behavioral health alternatives, adding midpoint review hearings, reducing some robbery ranges, and addressing juvenile rehabilitation capacity; supporters argued it would reduce disparities and favor community-based rehabilitation, while prosecutors, sheriffs, counties, judges, cities, victim advocates, and some law enforcement and tribal representatives warned it would weaken accountability, increase local costs, and create public safety risks. Substitute HB 2439 would overhaul tobacco and vapor product regulation by raising license fees and penalties, creating a responsible vendor program, adding manufacturer certification and testing requirements, restricting certain products and pricing practices, and redirecting tobacco tax revenue to public health and prevention accounts; public health groups supported the bill, while retailers and industry representatives opposed the fee increases and new mandates. The committee also heard HB 2681, which would sharply increase cannabis license fees and add CPI indexing; OFM supported it as a fee alignment measure, while cannabis businesses opposed the size of the increase and the inflation adjustment. No votes or final committee actions were taken in the portion of the meeting provided.

Transcript Highlights:

• HTR 50 is approving a major rule for the Oklahoma Health Care Authority. Moved for adoption.
• Of major rules for the Oklahoma Health Care Authority moved for adoption. You have questions.
• Why are there two different SJRs for the Oklahoma Health Care Authority?

Bills: SJR50, SJR52, SJR53

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

Transcript Highlights:

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

Bills: SJR50, SJR52, SJR53

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

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

Transcript Highlights:

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

Bills: HB1573, HB1645, HB1875, HB1898, HB2121

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

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

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

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

Transcript Highlights:

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

Bills: SB2271, HB1216

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

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

Transcript Highlights:

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

Bills: HF2433, HF2434

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

Transcript Highlights:

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

Bills: SB2225, HB1619

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

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

Transcript Highlights:

• So, committee, there is no other work to be done unless there are any other items we need to take care
• So, committee, there is no other work to be done unless there are any other items we need to take care

Bills: SB2019, HB1369

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

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

Transcript Highlights:

• Well, I went to medical school because I wanted to take care of farmers and grew up in Medford, Oklahoma
• I wanted to go back and take care of my people.
• It improves access to care while maintaining strong safety standards.
• able to basically cooperate with those members Local facilities to ensure that there is continuity of care
• Because then that's something we may need to look at to make sure that for continuity care if somebody

Bills: HB3767, HB3934, HB4199, HB4336, HB2947, HB3834, HB4302, HB4095, HB3287, HB3649, HB4430, HB4431, HB2059, HB3647

Keywords: controlled dangerous substances, controlled substances, drug scheduling, Schedule I, Schedule IV, anti-drug diversion, drug diversion, synthetic opioids, fentanyl analogs, designer drugs, synthetic cannabinoids, benzodiazepines, benzodiazepine analogs, opioids, hallucinogens, depressants, pharmacy regulation, narcotics control, Oklahoma State Bureau of Narcotics and Dangerous Drugs Control, DEA scheduling

Transcript Highlights:

• Sabara to the Health Care Workforce Training Commission. I move due pass, Mr. Chairman.
• Well, I went to medical school because I wanted to take care of farmers.
• If you look to to replace himself on the Health Care Workforce Training Commission.
• Sabara to the Health Care Workforce Training Force. I move due pass, Mr.
• Well, I went to medical school because I wanted to take care of farmers.

Bills: HB3767, HB3934, HB4199, HB4336, HB2947, HB3834, HB4302, HB4095, HB3287, HB3649, HB4430, HB4431, HB2059, HB3647

Keywords: controlled dangerous substances, controlled substances, drug scheduling, Schedule I, Schedule IV, anti-drug diversion, drug diversion, synthetic opioids, fentanyl analogs, designer drugs, synthetic cannabinoids, benzodiazepines, benzodiazepine analogs, opioids, hallucinogens, depressants, pharmacy regulation, narcotics control, Oklahoma State Bureau of Narcotics and Dangerous Drugs Control, DEA scheduling

Summary: The Senate Health and Human Services Committee first considered three executive nominations. Shonda Lasseter was reappointed to the State Board of Pharmacy, with discussion focused on pharmacy staffing shortages, PBMs, and broader health care workforce challenges; she was advanced 11-0. Dr. Lane Sabara was renominated to the Health Care Workforce Training Commission, where members discussed rural physician shortages and training pipelines; he was advanced 12-0. Dr. Paul Wright was nominated to fill an unexpired term on the same commission and was advanced 12-0 after questions about his availability and experience supporting rural medicine. The committee then heard several health-related bills. HB 3767, which adds 14 chemicals used to enhance fentanyl to Oklahoma’s controlled substances schedules, advanced 10-0. HB 3934, a dentistry workforce and cleanup bill updating insurance-claim and billing language, advanced 11-0. HB 4199, creating a three-year tri-share workforce pilot program for the Department of Commerce, was amended to change eligibility language and then advanced 9-2. HB 2947, allowing supervised behavioral health interns to bill Medicaid, advanced 10-1. HB 3834, authorizing the Department of Health to begin stage-one clinical trials for ibogaine and creating a revolving fund for that purpose, drew extensive testimony about veteran and first responder treatment, safety, funding, and state liability, and advanced 10-2. Additional measures also moved forward. HB 4302, after amendment, advanced 12-0 on a juvenile oversight reporting and law enforcement notification issue. Committee member bills included HB 495, reinstating the 211 Collaborative advisory council, which advanced 11-0; HB 3287, requiring domestic violence and human trafficking signage in health facilities, which advanced 11-0; HB 3649, allowing the Mental Health Department to sell underused property and keep the proceeds in its trust, which advanced 12-0 after amendment; HB 4430, clarifying malpractice coverage for APRNs and PAs at state facilities, which advanced 12-0; HB 2059, creating a mechanism to reimburse medication costs for incarcerated people in county and municipal jails, which advanced 12-0 after questions about continuity of care; and HB 3647, creating an all-payer claims database and transparency board, which advanced 10-2. The committee adjourned after announcing another meeting the following week.

Transcript Highlights:

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

Bills: SJR50, SJR51, SJR52, SJR53, SJR54

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

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

Transcript Highlights:

• non-operating identification license for individuals to indicate that the licensee has an advanced health care
• directive, including a living will, health care or mental health care power of attorney, or a pre-hospital
• medical care directive.

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

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

Transcript Highlights:

• And what that does is it puts an onerous burden on our health care providers. Truly, it does.
• , and you're taking productive time away from our health care workers.
• </c> burden on our health care providers. burden on our health care providers.
• ,</c><00:02:32.080><c> and</c> away from giving individuals care, and away from giving individuals care
• </c> uh monetize for those healthc care uh monetize for those healthc care providers<00:02:49.200><c>

Bills: HF3521, HF1807, HF1270, HF2070, HF3136

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

Transcript Highlights:

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

Bills: HF3521, HF1807, HF1270, HF2070, HF3136

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

Transcript Highlights:

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

Bills: HB67, HB89, HB67, HB89

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

Transcript Highlights:

• If it's not being taken care of, then that's where Section 9 would start kicking in.
• These are doctors taking care of your word.
• , and strengthen and support for youth transitioning out of foster care.
• Have access to care. Not a very smart statement on his part.
• Would you care to vote? Right, thank you. Any member wishing to vote or change your vote.

Bills: HB3552, HB2984, HB4124, HB3934, HB3448, HB3131, HB4200, HB4201, HB3011, HB1912, HB3380, HB3881, HB3538, HB3851, HB3907, HB4430, HB4431, HB4457

Keywords: childcare, differential pricing, Department of Human Services, child care subsidy, licensed providers, emergency legislation, child care, subsidy program, annual report, program integrity, overpayments, ivermectin, over-the-counter medication, pharmacy immunity, healthcare access, FDA approval, prescription, public health, dentistry, licensing

Transcript Highlights:

• This PCS addresses our child care crisis right now. It's...
• This is our child care crisis right now.
• So I was very careful to word the language in the bill.
• If it's not being taken care of, if it's not being taken... ...taken care of, then that's where Section
• If it's not being taken care of, if it's not being taken see if everything was getting taken care of.

Bills: HB3552, HB2984, HB4124, HB3934, HB3448, HB3131, HB4200, HB4201, HB3011, HB1912, HB3380, HB3881, HB3538, HB3851, HB3907, HB4430, HB4431, HB4457

Keywords: childcare, differential pricing, Department of Human Services, child care subsidy, licensed providers, emergency legislation, child care, subsidy program, annual report, program integrity, overpayments, ivermectin, over-the-counter medication, pharmacy immunity, healthcare access, FDA approval, prescription, public health, dentistry, licensing

Summary: The committee took up a series of health, human services, and related bills. House Bill 3552, allowing child care providers to bridge the gap between subsidy reimbursement rates and standard tuition rates, was adopted and reported out 11-2. House Bill 2984, as a substitute, would direct DHS to compile a report on the child care system, including subsidy payment error rates, the number of facilities, closures, and voluntary closure feedback; it was reported out 14-0. House Bill 4201, changing master teacher requirements in child care from licensed capacity to actual enrollment, also passed unanimously. House Bill 3380, creating the Fostering the Future for Oklahoma Children and Families Act to modernize foster care data systems and improve outcomes, passed 12-0. House Bill 4430 and House Bill 4431, both cleanup measures tied to prior nurse practitioner/PA scope and pharmacy-related provisions, each passed 13-0. Several bills focused on health care access, regulation, and public safety. House Bill 4124 would allow over-the-counter ivermectin sales for human use with labeling and dosing information; after extensive questioning about safety, labeling, children, and liability, it passed 9-5. House Bill 3934, a large amended measure affecting dental practice and supervision rules, passed 14-0 after discussion about x-rays, telemedicine, and dental assistants. House Bill 3448, requiring insurance coverage related to group home provider liability for property damage, passed 14-0. House Bill 3131, setting baseline standards and oversight for homeless shelters with roles split between Commerce and Health, drew concerns about local control, temporary shelters, and fiscal impact, but passed 8-6. House Bill 4200, creating a revolving fund for forensic assertive community treatment teams to address the jail-to-homelessness cycle for people with severe mental illness, passed 11-3. The committee also advanced several public health, consumer, and industry bills. House Bill 1912, the Corn Masa Nutrition Enhancement Act, generated extensive debate over folic acid fortification, parental choice, MTHFR genetics, and potential health effects; with a PCS allowing a non-fortified option, it passed 9-5. House Bill 3011 repealed the home brewing license while keeping home-brewing limits and sales restrictions, and passed 11-3. House Bill 3881, the Alternative Nicotine Products Regulatory Act, increased application costs and removed a registry deemed inconsistent with federal law, passing 13-0. House Bill 3538, targeting pharmacy benefit manager vertical integration and its effects on access and pricing, passed 13-0 after discussion of mail-order restrictions and pharmacy closures. House Bill 3851, defining private label/control label alcoholic beverages under the three-tier system, also passed 13-0. House Bill 3907, requiring direct-hire staffing for facilities serving vulnerable adults and children with a short temporary staffing grace period, passed 13-0. The committee then moved on to House Bill 4457, a specialty-drug/PBM measure, with discussion beginning about PBM practices and specialty pharmacy access.

Transcript Highlights:

• level of health care for New Mexico residents.
• Systems that attract and retain health care providers. Thank you. Thank you. Right.
• I don't care if they're 18 and they're all... Not right, and we're going to protect our kids.
• I don't care if they're 18 and they're all hanging around together or not.
• This legislature has already said that we don't care that they didn't know what age they were.

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

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