Transcript Highlights:

• <01:52:17.520> are So the the nursing facilities are So the the nursing facilities are carrying
• Um, recently, Senator Carson visited a facility in her district.
• Um, recently, Senator Carson visited a facility in her district.
• Senator Bertz, Brendan, how many nursing facilities are in this similar?
• They have three facilities under common ownership, and they really work it.

Keywords: 1191, senate, all

Transcript Highlights:

• Starting halfway down on page 37, the report also addresses facilities...
• Staffing and limited access to food vendors.
• Primarily, universal access, access, meal quality standards, such as local ingredients, scratch cooking
• Funding has significantly improved access.
• This reduces Medicaid access and funding.

Transcript Highlights:

• Trade and market access are year.
• I have one facility that is that.
• <01:41:39.920> to the farm families that have access to the farm families that have access
• Minnesota law, AAA accredited facilities Minnesota law, AAA accredited facilities are<01:48:03.360
• Industrial Pre-Treatment Facility. Mr. Industrial Pre-Treatment Facility. Mr.

Keywords: 1187, senate, all

Transcript Highlights:

• confusion as to what is a DOT facility confusion as to what is a DOT facility compared<00:36:31.440
• And so I think recreational facility.
• A facility that is port, right?
• :51.440> described other facilities that you've described other facilities that you've described
• <02:01:14.880> because provide greater medical access because provide greater medical access

Keywords: 910, house, all

Summary: The committee heard testimony on HB 1588, which would establish a Department of Transportation noise detection program using cameras to enforce noise control laws. DOT supported the measure and said it is already piloting the technology at eight locations, with about 10 sites costing roughly $2 million to $2.5 million to install and operate. The Department of Health said it was willing to work with DOT but noted its current regulations are not designed for vehicular noise sources and that the bill may need clearer standards to be enforceable. Members raised concerns about the lack of a specific decibel threshold and whether the system could accurately identify the source of noise; DOT said the pilot can pinpoint vehicles and that the program would align with existing health standards, but no final number was identified during the hearing. The committee then heard HB 1696, which lowers the minimum age for a commercial driver’s license from 19 to 18 and removes a restriction tied to vehicle category, while requiring DOT rule changes. DOT, the City and County of Honolulu, the Hawaii Transportation Association, Teamsters Local 996, and other stakeholders testified in support. The Hawaii Transportation Association suggested adding a training requirement for drivers ages 18 to 20, proposing at least 320 hours of employer training and recordkeeping. Members sought clarification that the bill would apply to intrastate, not interstate, licensing. For HB 233, the committee considered a measure authorizing DOT to designate airport special district zones statewide to prevent unauthorized access and improve security. DOT and the City and County of Honolulu supported the bill, explaining that defined boundaries would help law enforcement address trespassing, disruptions, fires, theft, harassment, and other incidents around airports and terminals; DOT said commercial airports are ready to implement the proposal, while some general aviation sites would need further work. Members asked about the scope of the boundaries, existing enforcement, and whether the measure would cover state-owned or non-state parcels near airports. The committee also heard HB 2332, which renames the Harbors Division as the Commercial Ports Division and distinguishes “harbor” from “port” in statute. DOT, the Maritime Group, and harbor users supported the bill, saying the change would reduce confusion between commercial cargo/cruise facilities and recreational small boat harbors, and could help with clarity and possibly federal grant competitiveness. Members asked about impacts on small boat harbors and cruise activity, and DOT explained that the bill is aimed at purpose-built commercial ports, not recreational facilities. The committee also took testimony on HB 2283, which clarifies DOT’s consultative role with the Department of Commerce and Consumer Affairs in setting port pilotage standards and requirements. DOT, DCCA, Matson, the Hawaii Pilots Association, and others supported the measure, saying it would improve coordination and ensure pilot licensing standards reflect operational realities in the harbors. Finally, after a recess, the committee heard HB 2217, which would allow driver’s permits, licenses, and ID cards to include a notation for a non-apparent disability. The Hawaii State Council on Developmental Disabilities opposed the bill as drafted, saying voluntary alternatives such as Smart 911 may be better and that the category is too broad. The Attorney General’s office supported the intent but recommended limiting the notation to medically recognized, specifically defined conditions so agencies can train personnel and avoid confusion or escalation.

Transcript Highlights:

• So not all facilities or child care facilities participate in SRA or ABC.
• Over to a child care facility, so we will do what's called a wraparound service.
• If they're not in one of these licensed facilities, where are they?
• Do we know how many facilities across the state? There's about 478.
• The priority for us right now is providing access to kids and programs.

Summary: The Early Childhood Committee met for an update from the Office of Early Childhood within the Department of Education. Members heard that the office’s goals under the LEARNS Act are to improve kindergarten readiness, support families, ensure quality providers, and expand affordable, accessible child care. Staff reviewed the local lead system, licensing, quality efforts such as CLASS and QRIS, and the two main funding streams: School Readiness Assistance (SRA), a federal CCDF-funded voucher program serving about 14,600 children with a wait list of a little over 3,000, and Arkansas Better Chance (ABC), a state-funded program serving about 21,000 children with authority recently increased to 24,000 slots. A major topic was the difference between market rate surveys and cost analysis studies. Officials said the department is procuring both through an RFP, hoping to begin by August and have results by late in the year. Members pressed for current reimbursement levels, the gap between ABC and SRA funding, and whether ABC funding should be increased to better match costs. Staff explained that SRA rates are set at 75% of the market rate, while ABC per-child funding is much lower, and that ABC slots are limited by the overall allocation. They also explained that some ABC slots were increased by moving children from a discontinued federal pre-K arrangement into ABC to preserve continuity of care. Committee members raised concerns about rural access, infant and toddler shortages, provider stability, workforce pay, and communication with families and providers. Officials said local leads are now helping identify underserved areas, that no county with absolutely no care is known, and that the department is trying to get a truer statewide count of children and providers. They also described efforts to improve communication through monthly provider calls, website postings, and direct case contacts with families. Members discussed possible funding increases, including ideas to reduce the SRA wait list and raise ABC funding, but no formal vote or action was taken beyond approving prior meeting minutes and receiving the update.

Transcript Highlights:

• We want to hear from you, but you have access to us on a regular basis. Thank you.
• They do provide this kind of access to parents.
• This could easily be changed by newborn screening, so treatment would be accessible.
• It's important to consider how state lines impact access to newborn screening.
• Finally, this legislation is important to help keep access to care.

Keywords: 995, all

Summary: The Joint Committee on Public Health heard testimony on a wide range of bills focused on children’s health, tobacco control, newborn screening, pediatric cancer, palliative care, and professional licensure. Early testimony highlighted Senate bills to expand newborn screening for pyruvate dehydrogenase complex deficiency, lysosomal storage disorders, and congenital CMV, with families and clinicians describing severe diagnostic delays, missed treatment windows, and the benefits of early detection. Speakers also supported a bill to improve pediatric cancer research through a dedicated trust fund, and a bill to extend pediatric palliative care services to age 22, with parents and providers emphasizing continuity of care for seriously ill young people. Several witnesses gave personal accounts in support of the newborn screening measures. Families described children who endured years of misdiagnosis before receiving diagnoses such as Gaucher disease, Fabry disease, Pompe disease, Niemann-Pick disease, and CMV, often after irreversible damage had already occurred. Medical and advocacy witnesses said Massachusetts already collects some of the relevant screening data and argued that results should be reported to families, while others urged the committee to add conditions to the state panel because effective treatments already exist. The committee also heard support for a bill to establish a fetal alcohol spectrum disorder program and training for providers. On tobacco and youth health, testimony supported bills to ban internet tobacco sales, strengthen youth protections, and reduce lung cancer deaths through point-of-sale information and quit-line access. A student testified about easily purchasing flavored nicotine products online without meaningful age verification, and public health advocates backed measures to keep tobacco out of children’s environments. The committee also heard testimony on a bill to ensure parents have access to their children’s medical records through age 16, with exceptions for sensitive services already protected by law. The committee additionally took testimony on an optometry licensure bill, where ophthalmologists opposed language they said could broaden scope of practice and allow optometrists to use the title “optometric physician,” while optometry educators and students supported the bill as a modernization measure with no scope expansion. No votes were taken during the hearing; the chair repeatedly reminded speakers of time limits and noted that written testimony could be submitted for additional comments.

Transcript Highlights:

• And two is to increase access to effective and evidence-based treatment and recovery services.
• And boy, did I have to fight to get her access to it with all my resources and expertise.
• They think that it attracts a certain type of clientele that they don't want in their facilities.
• Last, we have to strengthen the bridge between overdose response and treatment access.
• And then I believe that every Missourian should have access to that, not just St.

Keywords: 959, house, all

Transcript Highlights:

• So those tickets have already been made accessible. Okay. All right, let's go to the Vice Chair.
• We were told that a part of this Olympics community people were going to have access.
• Facilities and for community improvements.
• These fleets that we have accessed are the cleanest ones we could get.
• Our trainings are meant to be accessible, so they are anywhere from six to 12 weeks.

Keywords: 987, senate, all

Transcript Highlights:

• assisted living facilities to relocate. assisted living facilities to relocate.
• , of access, of access, we<00:08:20.640> suggest<00:08:21.320> including<00:08:21.920
• living facilities. living facilities.
• living facilities living facilities by<00:24:30.920> for-profit<00:24:31.520> entities
• It's just a requirement um to have... facility um or nursing home, but now as facility um or nursing

Keywords: 1187, senate, all

Transcript Highlights:

• operationally clear, and accessible operationally clear, and accessible [clears throat]<00:26:31.840
• <01:13:32.719> meaning their manufacturing facility meaning their manufacturing facility meaning
• . facility. facility.
• that um gives uh health care facilities that um gives uh health care facilities an<01:39:58.800>
• Um, so they public at state facilities.

Keywords: 927, senate, all

Transcript Highlights:

• Our current facility is only 2,400 square feet.
• Kathy Perkins: We evacuated 26 residential health care facilities for Helene.
• And we asked 78 health care facilities to Kathy Perkins: evacuate.
• Make sure you're in a safe facility. You don't have to go hundreds of miles away.
• What we are envisioning is a much larger facility.

Transcript Highlights:

• One is facilities.
• Facilities, so if you had enough facilities, you could be three hours from every Texan.
• Maybe you have access to one channel in the county but no access to the city.
• It's accessible from the Synoptic system, and it's also accessible from our internal systems.
• Coverage or lack of access to local channels.

Keywords: 1185, senate, all

Transcript Highlights:

• Are you referring to physical accessibility? Are you talking about having access to data?
• the information that the rest of us access through our state.
• Of course, the physical accessibility, I hope it's covered.
• based on the Web Content Accessibility Guidelines (WCAG).
• and make them accessible for everyone.

Transcript Highlights:

• The goal of this bill is to expand access to language programs in our schools.
• ... ...voluntarily grow and fund their language programs, which will increase access for our students
• Next up: House 677, an act relative to increased access to safe swimming.
• Don't have... ...an act relative to increased access to safe swimming.
• And safer school facilities.

Keywords: 995, all

Summary: The Joint Committee on Education opened a hybrid public hearing on a large slate of bills related to school buildings, school finance, technology, data privacy, safety, and related education issues. Chairs Jason Lewis and Ken Gordon outlined procedures for the hearing, including two-minute testimony limits and the plan to group similar bills together. Several bills drew no testimony and were closed without further discussion, while others drew extensive testimony from legislators, school officials, parents, advocates, and educators. A major theme was school safety and student well-being. Lori Al-Hadeth testified in support of bills on alert systems in public schools, describing the loss of her daughter in the Parkland shooting and urging adoption of Alyssa’s Law-style panic alert technology. Representative Gallagher and disability advocates also supported a bill authorizing, but not requiring, airway clearance devices in schools, arguing they could save lives in choking emergencies and provide an option for people who cannot use the Heimlich maneuver. Another bill on reducing cafeteria waste drew support from a legislator and a Lexington sustainability official, who said installing dishwashers during construction would reduce waste and long-term costs. Much of the hearing focused on Chapter 70 school funding and the inflation cap. Senator Pavel Payano, Senator Sal DiDomenico, Representative Senna, and multiple local officials and school committee members from Bridgewater, Chelsea, Groton-Dunstable, and other districts argued that the 4.5% cap on inflation adjustments has left schools underfunded during years of high inflation, forcing layoffs, larger class sizes, and cuts to programs and student supports. They urged bills to eliminate the cap, restore lost funding, increase the Commonwealth’s share of the foundation budget, or create commissions to study reforms. Testimony also highlighted the impact on special education, English learners, and low-income students, with Chelsea witnesses saying the cap has cost their district about $7 million annually. School construction and MSBA reform were the other major topic. AIA Massachusetts, Boston Public Schools, Lynn officials, and AFT Massachusetts described aging facilities, overcrowding, deferred maintenance, and the difficulty of financing new schools under current reimbursement rules. Boston officials said the district has many pre-World War II buildings and has only built a handful of new schools in decades, while Lynn leaders said reimbursement rates have fallen well below the statutory 80% because of caps and ineligible costs. Witnesses urged modernization of the MSBA program, higher reimbursement rates, and more resources for school construction. The committee also heard support for a bill to study the adequacy and equity of the school building program, and chairs indicated some bills would be closed after no one signed up to testify.

Transcript Highlights:

• Thus, the CSU must remain a system of regional access, not merely centralized or virtual access.
• Accessible.
• or address some of our facilities needs.
• And then there's facilities where, and again, Mr.
• or address some of our facilities needs.

Summary: The joint Assembly Higher Education and Budget Subcommittee hearing focused on the future of the California State University system, with opening remarks emphasizing CSU’s major role in California’s economy, workforce, and degree production. Chairs and members said the hearing was intended to inform 2026 budget decisions and to examine three main issues: declining enrollment at some campuses, cost controls and possible consolidation, and oversight of recent state investments at campuses such as Humboldt and Sonoma. The meeting was briefly delayed by microphone and sound problems before reconvening. The first panel featured CSU Academic Senate Chair Dr. Elizabeth Boyd and Cal State Student Association Vice President Katie Karam. Boyd urged the Legislature to protect academic freedom, strengthen faculty governance, provide stable ongoing funding, end unfunded mandates, support student food and housing security, fund flexible course schedules, improve transfer systems such as ASSIST, avoid over-centralizing academic programs, protect immigrant students, and expand intersegmental collaboration. Karam said students are feeling the effects of budget shortfalls through fewer course sections, reduced advising and services, longer time to degree, and tuition pressure, and she called for transparency, meaningful student involvement in budget decisions, and sustained state investment rather than cuts that harm the student experience. The second panel covered enrollment management and included CSU Chancellor’s Office and campus administrators from Chico State, Cal State L.A., and San Diego State. Dr. Delcy Perez said CSU Forward and the new systemwide enrollment plan are aimed at expanding access, aligning programs with workforce needs, and increasing resident enrollment; she reported systemwide enrollment gains and strong application numbers, including a direct-admissions pilot that expanded from Riverside to more campuses. Campus representatives described local recruitment and retention strategies, including early outreach to high school students, community college partnerships, guaranteed admission programs, and expanded advising and student support. San Diego State highlighted record enrollment and high demand, while Cal State L.A. described efforts to recover from impaction and rebuild enrollment. Members pressed CSU officials on the accuracy of enrollment data, the gap between funded targets and actual enrollment, and the system’s reallocation formula. CSU staff explained that campuses below target will see a 5% ongoing reallocation beginning in 2026-27, with one-time reserve funding also being directed to campuses that can grow, and that fiscal health reviews have been completed for 21 of 22 campuses. Legislators also asked about turnaround plans required by the budget act; CSU said those plans are being developed and will be shared in the spring after campus consultation. No formal votes were taken.

Transcript Highlights:

• Whether it's advocating for clean water, access to care, mental health support, it really does start
• , basic care facility, any intermediate care facility, and a psychiatric residential treatment facility
• It also added meeting space, as well as a year-round facility for people to meet there.
• It also added meeting space, as well as year-round facility for people to meet there.
• And I think it's a good time that we make sure that facility is moved up to date. What is there?

Keywords: 908, all

Summary: The Senate opened with prayer, the Pledge of Allegiance, and a quorum call, then approved journal corrections and moved to elect Senator Kyle Davison as President Pro Tem. Davison was nominated, elected by unanimous ballot, escorted to the rostrum, sworn in, and gave remarks thanking his family, colleagues, and faith, emphasizing relationships, service, and stewardship. The chamber also recognized National Public Health Week with a floor statement honoring public health workers and training programs, and that statement was ordered printed in the journal. The Senate then considered several House bills, beginning with HB 1485, which increases the personal needs allowance for Medicaid residents in certain facilities by $15 per month and indexes it to inflation; the amendment was adopted and the bill passed 46-1. HB 1018, the State Historical Society budget, was amended to adjust one-time and ongoing funding for museum exhibits, repatriation compliance, archives storage, local historic grants, and the military gallery project, then passed 42-0 with one senator excused from voting due to a conflict. HB 1181, defining gender in state code as an individual’s sex and removing a broader application section, passed 41-6. HB 1144, adding a penalty and enforcement mechanism related to transgender student accommodations and restroom use in public schools, passed 40-7 with its emergency clause. The Senate also passed HB 1600, creating an immigration law clinic at the University of North Dakota School of Law and shifting its funding to the strategic investment and improvements fund, by 34-13. HB 1019, the Parks and Recreation budget, was amended to fund deferred maintenance, technology, sewer work, matching grants, and other park projects, add language requiring legislative approval for new or renamed state parks, and clarify use of the Teddy Roosevelt Presidential Library line of credit; a proposed amendment to remove funding for the International Peace Gardens cactus conservatory failed 20-27, and the bill then passed 39-8. HB 1417, dealing with parole/probation violations, court fees, and a study of criminal justice fees, passed 40-7 after amendments. The most extensive debate centered on HB 1450, which would require parent or guardian access to a minor’s medical exam room and notice of questions asked of the minor, with exceptions for emancipation and suspected abuse or trafficking. Supporters framed it as a parental rights and transparency measure, while opponents warned it could hinder screening for abuse, neglect, mental health concerns, and confidential care; multiple senators shared personal experiences on both sides. A proposed amendment to narrow the bill failed 21-26, and the transcript ends amid continued debate on the bill itself, with no final vote shown in the excerpt.

Transcript Highlights:

• We have over 15 facilities in Kentucky, outpatient substance use disorder.
• We have a lot of access.
• Right now, we have barriers to access to this care. Unfortunately, a lot of it is stigma.
• Yeah, this is not just additional monies for these facilities.
• additional monies for these facilities additional monies for these facilities this<00:54:49.680>

Keywords: 00:00:00 Call to Order/Roll Call 00:01:19 Discussion of 25RS HB 785 00:30:25 Roll Call Vote on 25RS HB 785 00:32:15 Discussion of 25RS HB 61 00:36:42 Roll Call Vote on 25RS HB 61 00:38:07 Discussion of 25RS HB 788 00:51:01 Discussion of 25RS SB 14 01:11:09 Discussion of 25RS HB 685 01:44:57 Adjournment, 958, all

Summary: The House Standing Committee on Health Services met with a quorum and took up House Bill 785, as amended by a committee substitute that combined language from HB 785 and HB 787. The bill was described as addressing Medicaid managed care organization (MCO) audits, provider contract notice and amendment procedures, mental health parity compliance, and related transparency requirements. Supporters said the measure would tighten notice to providers, limit repeated contract amendments and rate reductions, require more standardized audit procedures, and add reporting on Medicaid claims, appeals, and grievances. It also includes a provision requiring coverage of at least two evaluation-and-management billable services per physician per recipient per date of service, and a section addressing narcotic/opioid treatment program licensing and reimbursement language. Testimony in support came from Representative Kim Moore, John Inman of BrightView Health, Michelle Sandborne of the Children’s Alliance, and Kelly Cormic of RYSE. They argued that MCOs often use audits and recoupments in ways that are burdensome, opaque, and financially damaging to providers, especially smaller and rural ones. They cited examples of multiple audit requests in short timeframes, large record requests with short deadlines, delayed or absent feedback, and recoupments taken before appeals are resolved. They also said parity laws are not being consistently enforced and that the bill would give the Department of Insurance authority to suspend or revoke an MCO certificate of authority for willful or repeated parity violations. Committee members generally expressed support for provider protections and transparency, while asking for clarification on the narcotic treatment and E/M billing provisions. Tom Stevens of the Kentucky Association of Health Plans testified in opposition, saying the bill is complex to implement and should be handled through the broader Medicaid oversight work of House Bill 9, the MOAB. He said the issues raised were better suited for that bipartisan stakeholder process and noted the committee substitute had not yet been fully reviewed by his group. After discussion, the committee adopted the committee substitute and then moved to a vote on the bill; the roll call began, with several members recorded as voting yes, but the transcript cuts off before the final vote result is shown.

Transcript Highlights:

• And, uh, so the, in many of those places, uh, the only access to healthcare, real healthcare they have
• have a tough time accessing anybody.
• providing care in foster care facilities.
• , which is a foster care facility where we have hundreds of kids.
• It increases flexibility, improves patient choice, and expands access to primary care.

Bills: HB139

Keywords: ad valorem tax, tax rates, voter-approval, taxing unit, property tax, local government

Transcript Highlights:

• <00:10:47.360> to members that they will have access to members that they will have access
• > to Build SV2845 protects access to Build SV2845 protects access to healthcare<00:19:11.360><
• ,<00:19:14.960> including<00:19:15.360> blocking facilities, including blocking facilities
• ,<00:19:34.080> I intern in a skilled nursing facility, I intern in a skilled nursing facility
• <00:32:21.279> to healthcare, removing limited access to healthcare, removing limited access

Keywords: 912, senate, all

Summary: The committee heard testimony on a large number of health-related measures, with the most extensive discussion on SB 2283, which would expand mail-order pharmacy access for prescription drugs. Supporters including HMSA, the Board of Pharmacy, and health plan groups said mail order could lower costs, improve adherence, and reduce hospitalizations, while independent pharmacies and rural neighbor-island providers warned it could harm local pharmacies, reduce access for patients who rely on face-to-face service, and create delivery and storage problems for medications. No vote was taken on SB 2283 during the excerpt, and the chair moved on after hearing testimony. The committee also heard SB 2855 on opioid antagonists, with the Insurance Division and HMSA noting that medically necessary opioid antagonists are already covered and suggesting the issue may be addressed through education or administrative fixes. Fentanyl and substance abuse groups supported the measure. SB 3045 on health insurance coverage for continuous glucose monitors drew broad support from diabetes and health organizations; HMSA said it had already expanded coverage for members on injectable insulin but raised concerns about supply constraints and said it had not yet seen an auditor study referenced in discussion. Members asked whether the bill would extend coverage beyond current policy. SB 2843 on domestic violence received support from the Public Defender’s Office, prosecutors, and victim-related organizations, who said the pilot program for misdemeanor domestic violence cases had reduced backlogs and improved court efficiency. A prosecutor also supported retaining coercive control as a petty misdemeanor tool in larger domestic violence cases. SB 2845 on healthcare facility access drew strong support from many health, legal, and advocacy groups, who said it would protect patients and staff from disruptive interference at healthcare facilities; one opponent argued it would chill lawful speech and protest and unfairly exempt labor demonstrations. The committee then heard SB 2854 and SB 3202, both healthcare-related measures, with testimony largely in support. SB 2854 drew comments from health and dental groups, and SB 3202 focused on workforce and licensing issues, including support for retired physicians volunteering, preceptor tax credits, and adding advanced midwifery and physician assistant-related provisions. The chair repeatedly enforced a one-minute testimony limit and moved through the agenda without recorded votes in the excerpt.

Transcript Highlights:

• We're not a medical facility.
• Volz. pose any attempt to further restrict access to these vital medications.
• You also asked for geographical data, and is there any access issues?
• So a lot of those facilities don't apply for that care or for that funding.
• Their behavior... ...facilities are shipped out to all parts of Louisiana.

Summary: The committee heard a personal privilege update on HB 1227, which Representative DeWitt said would return next week as a proposed HCR for a two-year study of the three-doctor panel after discussions with Dr. Nia Colotta. Better Louisiana also presented its new Leadership Louisiana Health Fellows Program, describing it as a data-driven leadership initiative focused on health care workforce, rural access, chronic disease, and other system issues; members discussed whether the program could also help generate policy research, including on managed care organizations. The committee then considered SB 427 on anatomical gifts. After adopting technical amendments, Senator Presley and Dr. Jeff White explained that the bill would strengthen organ donation law by creating a decision registry that records both yes and no choices, clarifying the legal effect of refusal, and codifying ethical principles such as the dead donor rule. Questions focused on organ viability, registry procedures, minors, and a Monroe case involving a disputed donor designation. Supporters included LOPA and the Louisiana Conference of Catholic Bishops, and the bill was reported favorably. HB 946, dealing with hospital price transparency and compliance with federal pricing rules, drew extensive testimony. Representative Landry and a witness from Patient Rights Advocate described it as a consumer transparency measure, but the Louisiana Hospital Association opposed the bill’s state-level enforcement and debt-collection provisions. Landry offered an amendment removing the debt-collection and affirmative-defense language, but after debate the substitute failed on a 5-6 vote and the bill was voluntarily deferred. The committee also reported favorably on SB 109, which revises membership qualifications for the Louisiana Emergency Medical Services Commission; SCR 20, urging federal flexibility on Medicaid redetermination for elderly and disabled beneficiaries; SB 216, allowing coroners to rely on licensed practical nurses for medical pronouncements of death; and SB 45, exempting certain gratuitous hospice houses from licensure, with testimony from hospice house operators and supporters. Finally, HCR 71 by Representative Chasson sought an LDH study of how Louisiana’s law and guidance on pregnancy-related emergency medications is working in hospitals, urgent care, and retail settings. Supporters said providers are hesitant to use medications such as misoprostol because of stigma and uncertainty, while opponents from Louisiana Right to Life argued the resolution was unnecessary and could create controversy. The discussion centered on whether the study should be narrowed or made more objective, but no final action on the resolution was reached in the portion provided.