Transcript Highlights:

• Um, looking at the day-to-day disruptions in people's lives, which we're now, you know, hearing more
• Um, looking at the day-to-day disruptions in people's lives, which we're now, you know, hearing more
• Um, looking at the day-to-day disruptions in people's lives, which we're now, you know, hearing more
• disruptions in people's lives day-to-day disruptions in people's lives which<00:02:05.280><c> we're<
• They will lose health care. these costs. They will lose health care.

Keywords: 1187, senate, all

Transcript Highlights:

• All day, day to day, sir. Thank you. Thank you, Senator Duplessis.
• All day to day, sir. Thank you. Thank you, Senator Deplessis.
• And in the last 14 days, I think, well, in the last four days we had four.
• I'm not in the day-to-day that Ms.
• I have a great day. We're adjourned. Have a great day.

Summary: The committee first approved the May 20 minutes and then advanced HCR 95, which would create a more uniform tax base for future state and local tax exemptions and credits, requiring a two-thirds vote of both chambers to deviate from that uniformity. HB 648 was deferred by the author. HB 1049, dealing with public meeting procedures and notice requirements, was amended after discussion with the Police Jury Association, school boards, and local government groups; the amendments removed a requirement for a lawyer at every meeting and clarified notice and posting language, and the bill was reported with amendments despite opposition from local government associations and the City of Baker. The committee then heard HB 615, which would expand livestreaming and two-year archiving requirements to more public bodies, including non-elected boards and commissions with taxing or rulemaking authority. Supporters framed it as a transparency measure, while local government and association witnesses argued it would impose an unfunded mandate, especially on small volunteer boards, and raised concerns about costs, staffing, record retention, and reliance on social media platforms. The bill was not advanced. HB 1201, as amended, would provide legislators reimbursement for travel and limited out-of-session expenses, including housing and mileage, beginning with the next term; members discussed the need to make public service more financially feasible and to broaden who can afford to serve. The committee reported HB 1201 with amendments. The committee also considered two constitutional convention-related bills. HB 244 would set guardrails for any future convention by capping delegates at 144, specifying delegate selection, requiring a two-thirds delegate vote to send proposals to voters, and requiring both a majority of voters and approval by three-fourths of the parishes for ratification; after debate over whether the parish threshold was too high, the bill was reported favorably on a roll call vote. HB 4, as amended, was narrowed to require the Senate and House Governmental Affairs committees to meet in the off-season to discuss the mechanics of a possible convention, but members viewed it as more of a study resolution than binding legislation, and the committee voted to keep it in committee. The meeting then moved to confirmation hearings. Courtney Myers, nominated for Deputy Secretary for the Office of Juvenile Justice, and Ernest Jacob Reade Jr., nominated as Assistant Secretary, testified about their backgrounds and priorities, emphasizing juvenile rehabilitation, education and vocational programming, mental health services, credible messengers, family contact, and better communication with legislators and families. Nathan McBride, nominated as Deputy Secretary of the Department of Environmental Quality, testified about his engineering and government affairs background and said he would focus on legislative work, waste tire management, permitting modernization, and constituent service.

Transcript Highlights:

• In too many cases, diminished and delayed access to care reflects an absence of care providers.
• I want to To care reflects an absence of care providers.
• A high-functioning primary care system is critically important to our health care system.
• and connection to care.
• To this day, I've spent over $20,000 out of pocket just to receive the mental health care that I truly

Committee: Joint Joint Committee on Mental Health, Substance Use and Recovery

Keywords: 995, all

Summary: The Joint Committee on Mental Health, Substance Use, and Recovery held a public hearing on 17 bills focused on behavioral health workforce shortages, studies, and commissions. Chairs Mindy Domb and Senator John Velis opened by emphasizing the severity of the Commonwealth’s mental and behavioral health workforce crisis, the resulting gaps in access to care, and the legislature’s ongoing use of loan repayment programs, studies, and commissions to address these issues. They outlined hearing procedures and noted that testimony would be limited to three minutes, with written testimony also accepted. A major portion of the hearing focused on bills to expand the primary care workforce, including H. 2205/S. 1385, which would broaden eligibility for the Mass RePay loan repayment program. Testimony from the Massachusetts Medical Society, Senator Jo Comerford, and Dr. Kate Atkinson described severe primary care shortages, long wait times, physician burnout, high debt burdens, and the need to recruit and retain physicians in more practice settings and regions. Committee members asked about the likely impact of loan repayment, the role of nurse practitioners and physician assistants, and how to prioritize limited funding. Witnesses argued that primary care investment improves access and outcomes and that the bill would help sustain community-based practices. Another large block of testimony supported H. 2208/S. 1411, the proposed perinatal behavioral health care workforce trust fund, often referred to as the Moms Matter Act. March of Dimes, perinatal mental health advocates, doulas, clinicians, parents, and organizations such as the Boston Public Health Commission and Empty Arms Bereavement Support testified that postpartum depression, anxiety, substance use, and grief are widespread, often untreated, and worsened by long waitlists and a shortage of trained, culturally competent providers. Speakers repeatedly stressed that screening alone is not enough without a workforce to provide timely treatment, and several shared personal stories of postpartum illness, loss, and difficulty accessing care. The bill was also framed as a needed complement to the Commonwealth’s recent maternal health law, which increased screening and therefore increased demand for treatment. The committee also heard support for the Bridge Act, H. 2207/S. 1388, which would create mental health capacity grants for organizations serving communities at high risk of hate crimes or hate incidents. Testimony from the Jewish Community Relations Council and the bill’s sponsor described the mental health harms of hate, including anxiety, trauma, isolation, and loss of trust, and argued that community organizations need resources to build resilience and provide support. In addition, the committee heard from the Massachusetts Mental Health Counselors Association on H. 2218/S. 1380, which would update job classifications to explicitly include licensed mental health counselors and licensed supervised mental health counselors in state behavioral health roles. Witnesses said the change would modernize hiring, expand access, and better reflect current licensure and scope of practice. No votes were taken during the hearing, and the session ended with a motion to adjourn after all testimony was completed.

Transcript Highlights:

• They are on a certain day.
• per day.
• after day, every single tree.
• My daughter symbol among several other children were abused at another day care.
• The first day of school.

Keywords: 1183, house

Transcript Highlights:

• You know, these are also the backbone of our long-term care system and our health care system.
• Chairman, so on the primary care, FQHC, primary care—so today is primary care day, I believe.
• Chairman, so on the primary care, FQHC, primary care, so today is primary care day, I believe.
• You know, for example, we've evolved health care to where it is very highly subspecialized, and the days
• It took me three days, multiple hours a day.

Bills: SB37 , SB29

Committee: Senate Senate Finance

Keywords: high-quality literacy instruction, science of reading, structured literacy, reading instruction, literacy assessment, dyslexia screening, phonics, phonemic awareness, fluency, vocabulary, comprehension, biliteracy, English language learner, ELL, bilingual education, dual language program, reading intervention, reading difficulty, reading improvement plan, literacy coach

Transcript Highlights:

• , energy, health care.
• , energy, health care.
• care seats across the state.
• Take care of your health, your health. Thank you. Take care of your health. God bless.
• to 10 business days.

Committee: Joint Joint Committee on Ways and Means

Keywords: 1212, all

Transcript Highlights:

• And this would have a chilling effect on providing the care, the medical care, the health care that people
• care evaluations.
• Care to explain? Sure.
• This is health care. It comes down to the fact that this is health care.
• This is health care. It comes down to the fact that this is health care.

Keywords: 1182, all

Transcript Highlights:

• in and day out.
• and authorized care for patients.
• Qualified care and authorized care for patients. Okay, thank you. Any additional support?
• Peter Kellis, on behalf of the Pediatric Day Health Care Coalition and the California Assisted Living
• CCRCs could have LVNs providing care to nursing home-level residents in all three levels of their care

Summary: The Assembly Business and Professions Committee heard a long agenda of licensing, consumer protection, and sunset-review bills. Early items included SB 1148, which would let aspiring security guards complete all required training before a guard card is issued; SB 342, which would soften the penalty for contractors who were licensed during part of a project but had a brief lapse; and several sunset bills for boards and bureaus, including the Board of Registered Nursing (SB 1302), the Board of Naturopathic Medicine (SB 1303), the Respiratory Care Board (SB 1304), the Board of Barbering and Cosmetology (SB 1363), and the Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board (SB 1368). The committee also heard SB 1311, which makes various updates to DCA boards and programs, and SB 1314, which restricts new tobacco retailers from locating within 600 feet of schools or daycare centers and bans nitrous oxide sales and related paraphernalia. Testimony was generally supportive on the training, sunset, and licensing cleanup bills, though several measures drew “opposed unless amended” or neutral positions over scope and implementation details. On SB 1314, supporters including prosecutors and school administrators argued it would reduce youth exposure to tobacco, while gas station, convenience store, cigar lounge, pharmacy, and business groups raised concerns about impacts on existing businesses, transferability of tobacco licenses, and possible de facto limits on future stations; some public health groups shifted to neutral after amendments. On SB 1302, nursing groups supported the board sunset bill, while the California Medical Association objected to allowing out-of-state nurse practitioner transition-to-practice experience to count without a California attestation process. On SB 1304, health facilities and long-term care groups supported the board extension but sought broader clarification so LVNs could perform respiratory tasks consistently across settings. After quorum was finally established, the committee voted to send the consent calendar bills SB 1376, SB 1391, SB 1416, and SB 1315 to Appropriations, and then approved SB 342, SB 1148, SB 1302, SB 1303, SB 1304, SB 1311, SB 1314, SB 1363, and SB 1368, all moving forward to the Committee on Appropriations. SB 1314 passed with some no votes, while the other measures advanced with broad support. The hearing ended after additional members were added on the record and the committee adjourned.

Transcript Highlights:

• Our dear Heavenly Father, we come before Thee this day, and we bow our heads.
• If we do not enact this tax package right now, day after day, more Arizonans will file their taxes, and
• She's advocated for other approaches to making child care more affordable, but this will make child care
• as child care costs soar.
• When Arizonans can barely afford to pay their health care, That is known as the big gut health care bill

Keywords: 1182, all

Transcript Highlights:

• 27, and thinking about the impact of that potentially on care, care delivery, how care is reimbursed
• Where are our screenings for ACEs in OB-GYN, in primary care for birthing parents, in pediatric care,
• the pediatric care.
• or at-home care.
• Take care. Thank you.

Keywords: 995, all

Summary: The commission met to reopen its work for the year, with roll call and attendance confirmations followed by remarks from the co-chairs and members. Senator Liz Miranda stepped down as co-chair, citing multiple responsibilities and personal losses, and Senator Adam Gomez was welcomed as the new Senate co-chair. Gomez said he would listen and learn from commissioners and advocates, and both outgoing and incoming leaders emphasized continuing the commission’s work on maternal health, postpartum depression, and equity. Members discussed several current policy and implementation issues. The Department of Public Health reported a new regulation to implement the 2024 midwifery access law, including temporary licenses for licensed certified professional midwives. Commissioners also raised concerns about birthing hospital and inpatient obstetric unit closures, OB-GYN workforce shortages, reimbursement changes, and the need to expand midwifery, doula, and birth center capacity. Other topics included substance use and perinatal mental health supports, the limited $220,000 appropriation for community-based perinatal mental health organizations, and the need for stronger funding in the budget to implement the maternal health law. The commission also focused on future priorities and information sharing. Members suggested more presentations from clinicians, regulators, infant and early childhood mental health experts, and PSI of Massachusetts; greater attention to parent-child relational health and postpartum screening in pediatric settings; and possible commission action such as a letter to the governor on workforce and access issues. The group agreed that there was not enough time to plan a May event and instead would use the commission to publicize related events, including Black Maternal Health Week activities. Commissioners voted to create a biweekly digest for sharing updates, with urgent items to be sent by email, and then adjourned the meeting.

Transcript Highlights:

• . ...build out a full continuum of care for this vulnerable population.
• care physicians cannot be reached.
• Dosed, packed packs of insulin and related supplies exceed a 30-day supply.
• supply. ...day supply.
• So if someone's only using three units a day, a whole vial might be enough for 33 days.

Bills: HB50

Committee: Senate Health & Human Services

Keywords: constitutional amendment, ballot language, fiscal note, fiscal impact, cost estimate, savings estimate, Legislative Budget Board, LBB, secretary of state, Election Code, Government Code, voter information, ballot proposition, state budget, election administration, Texas, 1185, senate, all

Transcript Highlights:

• My mother had a health care worker who prepared the meals from her SNAP benefits. health care worker
• The day before the executive session.
• to day.
• As I say, we'll have a DSHS day.
• And with that, I'm going to call this committee done for the day. We made it through day one.

Summary: The Senate Human Services Committee met on the first day of the 2026 session and heard a briefing and public testimony on Senate Bill 5966 concerning medically tailored meals. Committee staff explained that the bill would define medically tailored meals and set statewide standards for meals provided through state programs, emphasizing medical guidance, dietary and cultural accommodations, and prioritizing Washington-based nonprofit providers when possible. Senator T’wina Nobles, the sponsor, said the bill is intended to create a clear baseline for quality and accountability without expanding benefits or creating a new program, but rather to streamline and standardize existing efforts. Testifiers in support described existing medically tailored meal and food box programs already operating in Washington. Representatives from Meals on Wheels, Chicken Soup Brigade, Cascadia Produce, Emergency Food Network, and Meals on Wheels Spokane said these programs improve health outcomes for people with chronic conditions, support recovery, and help keep people stable in their communities. They also emphasized that local providers, volunteers, farmers, and food businesses benefit when state dollars stay in Washington. Several members asked whether the bill would create a new system; supporters said it would instead coordinate and standardize current waiver-based and contract-based services. Questions also touched on funding sources, delivery costs, and the role of Medicaid and other programs. The committee temporarily set aside the bill to hear from newly appointed DSHS Secretary Angela Ramirez, who outlined the department’s reorganization into new administrations and said the goal is to reduce silos, improve customer experience, and make services easier to navigate. She also briefed members on federal HR1-related changes affecting SNAP and Medicaid, including work requirements, immigrant eligibility changes, and tribal consultation, and said DSHS is developing a verification hub to reduce administrative burden. Members raised concerns about implementation, data collection, and how to avoid benefit loss due to paperwork issues. After the secretary’s presentation, the committee resumed testimony on SB 5966 and then adjourned without taking a vote.

Transcript Highlights:

• So, for clients that have the most severe needs, that require more than 10 hours a day of care, the contract
• Think about your day-to-day family events and costs.
• </c> avoidable days in community hospitals. avoidable days in community hospitals.
• </c> crisis care in some of those hospitals. crisis care in some of those hospitals.
• <02:05:36.639><c> operations</c> day-to-day operations day-to-day operations um,<02:05:38.560><c> of<

Committees: Senate Health and Human Services , Senate Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• So I think this bill will take care of that.
• Why are children not being adopted out of foster care?
• after day.
• And the lovely sweetheart baby passed away in her care? Yes.
• That last part was very powerful because that could easily be taken care of, easily been taken care of

Committee: House Children and Families

Keywords: 959, house, all

Transcript Highlights:

• Mentioned earlier, within my first 90 days, we needed to submit a.
• But at the end of the day, we have people very passionate about what they do and taking care of those
• , every day, in every conversation we have.
• We believe the direct care staff does a great job.
• I feel like we have a much better understanding of the day-to-day, month-to-month The budget that you

Committee: House Appropriations and Budget

Keywords: 914, all

Transcript Highlights:

• , post-acute rehab care.
• , post-acute rehab care.
• Acute care hospitals hold on to patients at up to $1,000 a day, and the patient does not receive the
• same level of rehab care that they would in the next care setting.
• This can add on multiple days.

Summary: The Health Care and Wellness Committee met on February 10 at 8:30 a.m. and heard two bills. On Engrossed Second Substitute Senate Bill 5594, staff explained that the bill would expand state policy on biosimilars by allowing health carriers to require patients to try a biosimilar before covering the equivalent brand drug starting in 2027, directing exchange plans to increase biosimilar utilization, and changing pharmacist substitution rules so substitution is generally allowed unless the prescriber says not to substitute. The prime sponsor, Sen. Harris, said the bill would lower costs and noted many other states already allow similar substitution. Supporters from health plans and generic/biosimilar manufacturers said biosimilars are safe, effective, and can save consumers and the system money, while a patient advocate raised concerns that the bill may not guarantee lower out-of-pocket costs at the pharmacy counter and suggested preferred formulary placement as a fix. AAM supported the bill with a technical amendment to place biosimilars in the same section as generics and interchangeable products, and the hearing on the bill was closed with no vote taken. The committee also heard Engrossed Senate Bill 5142 on Medicaid network adequacy for post-acute care. Staff said the bill would require the Health Care Authority to adopt network adequacy standards for nursing homes and inpatient rehabilitation facilities, considering community access, regional availability, timeliness, and federal Medicaid rules, with standards due by January 1, 2028 and implementation by July 1, 2028. Sen. Muzzall described it as a follow-up to last year’s bill that would create a pre-approved pathway for patients who are difficult to discharge because continuing care is hard to secure. Testimony from hospital and health system representatives strongly supported the bill, saying patients often remain in hospitals longer than medically necessary because of delays in finding skilled nursing or rehab placements and because single-case agreements are time-consuming and unpredictable, especially in rural areas. Public testimony on SB 5142 was then closed, and the meeting adjourned without any recorded votes or other action.

Transcript Highlights:

• day-to-day.
• </c> informed by those delivering the care informed by those delivering the care day-to-day. day-to-day
• . day-to-day.
• </c> care plans managing the long-term care care plans managing the long-term care uh<00:32:09.120><c
• </c> 24hour 7 day a week care. 24hour 7 day a week care.

Keywords: 928, house, all

Summary: The committee to study long-term managed care met to approve the prior meeting minutes, with a clarification that “OB3” referred to the “one big beautiful bill.” The minutes were then approved. Chair Jim Kofalt outlined the day’s agenda, which included testimony from the Granite State Home Health and Hospice Association, the New Hampshire Association of Counties, and later DHHS. He also noted that future meetings were expected soon and that the meetings were being livestreamed on YouTube. Granite State Home Health and Hospice Association, represented by Kellyanne Totten and Amy Moore, urged inclusive planning and a cautious, phased approach if managed care is considered. They emphasized that home care providers are not uniform, with different licensing and service models, and said any pilot should include varied provider types, rural and southern regions, and agencies of different sizes. They warned that workforce shortages, inflation, and a possible 9% CMS cut to Medicare home health payments could force agencies to reduce service areas or service types. They also said the 2023 Medicaid CFI rate increase has begun to lose its effect. In response to questions, they said the rural health transformation fund may help with planning and telehealth but likely cannot be used directly for rates or recruitment/retention. They also described the New England Home Care Nurse Residency Program, a Department of Labor grant, as a way to bring new registered nurses into home care with added training and school partnerships. The New Hampshire Association of Counties, through county nursing home administrators Craig Labore and David Ross, revisited the earlier Step Two managed care discussions from 2016-2018. They said prior consultants found the long-term services and supports system was underfunded and needed investment to stabilize providers and expand community-based care. They argued the same concerns remain today and said a managed model would jeopardize the Medicaid quality incentive payment program and, for county nursing homes, the proportionate share payment program. Their testimony was generally opposed to moving forward with managed long-term services and supports without significant additional funding and safeguards.

Transcript Highlights:

• I have no way of shopping online, or I don't care to shop online.
• This bill actually... ...system and use it to care for the patient.
• And a personal representative can make health care decisions.
• And then a final question: Is it likely that health care providers will... ...that health care providers
• office, the referring health care person.

Committee: Senate Health Policy

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

Transcript Highlights:

• day.
• day.
• So, my experience as a parent with an on-site day care.
• Uh, both my with an on-site day of care.
• So, I think the intent day, every day.

Committee: House Municipal and County Government

Keywords: 1189, house, all

Transcript Highlights:

• And this care is essential and life-saving. This is not pie-in-the-sky science.
• Gender-affirming care is not new. It is not experimental.
• And I will say it again, it is life-saving care. And I will say it again, it is life-saving care.
• I look forward to that day.
• Arthur was a caring man of faith and a lifelong active member of St.

Keywords: 995, all

Summary: The Senate considered a supplemental appropriations bill and a series of amendments focused on education, health, transportation, tax administration, and oversight. Senator Kennedy spoke in support of increasing funding for DTA caseworkers to improve SNAP access and reduce delays, but then withdrew the amendment by unanimous consent. Senator O’Connor’s amendment adding $500,000 for Free Period to provide free menstrual products in public schools was adopted, as was Senator Miranda’s $1 million METCO transportation and student support amendment. Senator Collins briefly proposed extending paid family and medical leave and unemployment insurance coverage to graduate student workers, but withdrew that amendment for later discussion. Several amendments were debated and either adopted or rejected. Senator Tarr’s proposal to create oversight of the Group Insurance Commission and fund an Inspector General review was defeated after opposition argued existing oversight was sufficient. Tarr also offered amendments on MBTA deficiency fund withdrawals and on requiring 90 days’ notice before state tax code decoupling changes; both were rejected after standing votes. Senator Driscoll’s amendment for Randolph Public Schools restroom improvements was adopted, while his veterans student loan forgiveness amendment was withdrawn. Additional amendments were adopted for Bridgewater Middle School water filtration, Uffum’s Corner Health Center, and NeighborHealth’s pharmacy technician training program for local high school students. A major discussion centered on school funding and enrollment declines. Senator DiDomenico withdrew an amendment that would have provided $100 million to address Chapter 70 funding losses tied to enrollment drops, but he and Senator Collins used the floor to argue that districts facing declining enrollment and rising costs need a broader state response. The Senate also adopted a new draft of the supplemental budget and then passed the bill to be engrossed by a roll call vote, with 35 members in the affirmative and 4 in the negative. The chamber then adjourned to meet again Monday, and did so in memory of Arthur H. Tobin, a former Quincy mayor, state legislator, and clerk magistrate.