Transcript Highlights:

• development, working with entrepreneurs and small businesses for nearly 30 years now through every imaginable
• development, working with entrepreneurs and small businesses for nearly 30 years now through every imaginable
• development, working with entrepreneurs and small businesses for nearly 30 years now through every imaginable

Keywords: 1183, house

Transcript Highlights:

• So many women—can we imagine how many other women in our communities are experiencing the same thing,
• So many women, can we imagine how many other women in our communities that are experiencing the same
• things, we imagine how many other women in our communities that are experiencing the same thing that

Summary: The Health Care Budget Subcommittee began with a roll call confirming a quorum, then heard a presentation of the proposed health care budget. The chair said the overall health care budget would total $46.7 billion, a 2.1% decrease in total spending and a 3% increase in general revenue, while reducing 3,585 state FTE. He highlighted funding for Medicaid, KidCare, developmental disabilities services, opioid settlement spending, mental health facilities, senior services, school health nurses, veterans’ dental care, and veterans nursing home improvements. The chair also presented PCB HCB 25-01, a conforming bill that eliminates the Health Care Innovation Program, the Health Care Innovation Council, and the revolving loan program; makes changes to cancer research and graduate medical education provisions; and adjusts Medicaid rebate-related language. The conforming bill passed favorably after no questions, public testimony, or debate. The committee then considered CS/HB 47 on child care. The bill, as explained by Rep. McFarland, would reduce regulation for child care providers in good standing, speed background screening for child care workers, allow provisional hiring status in some cases, create license-exempt status for certain employer-provided child care facilities and DOD child care facilities, and remove outdated paperwork requirements such as the flu brochure. An amendment restored language protecting large family child care homes from being dropped by residential insurers and cleaned up statutory language; it was adopted. Members debated the bill at length, with supporters emphasizing common-sense deregulation and helping working parents, while some members raised concerns about safety, early learning quality, and the loss of informational reminders to parents. The bill was reported favorably. The subcommittee also heard HB 1553 on a uterine fibroid research database. Rep. Dunkley explained that the bill would require health care providers to submit identified fibroid data to DOH so it can be de-identified for a research database, after the department had been unable to use prior de-identified submissions reliably. An amendment removed the current appropriation and was adopted. Members spoke in strong support, noting the prevalence of fibroids and the value of better diagnosis and treatment data. The bill passed favorably. Finally, the committee heard HB 1529, which addresses the home health aide program for medically fragile children. Rep. Tremont said the bill would direct AHCA to seek a federal waiver so parents’ earnings from caring for their children would not count against Medicaid eligibility, and would revise training requirements and remove mandated annual program assessments. The bill drew supportive public testimony from home care stakeholders, had no debate, and was reported favorably. The meeting then adjourned.

Transcript Highlights:

• talk not only the cost, but the Some of the benefits that come from some of the immigrants, I would imagine
• I can't imagine either, but those hypothetical questions, and I understand them.
• I absolutely agree with you, Senator, I can't imagine, yeah, but I wanna make sure that if the governor's

Bills: SB825

Committee: Senate Border Security

Keywords: illegal immigration, economic impact, environmental impact, financial impact, annual study, Texas, government report, 1185, senate, all

Transcript Highlights:

• I would imagine there are a number of reasons that would impact that.
• I would imagine there are a number of reasons that would impact that.
• I would imagine there are a number of reasons that would impact that.
• I would imagine there are a number of reasons that would impact that.
• there are a ification I I would imagine there are a number<00:35:00.200><c> of</c><00:35:00.320><c>

Committee: Senate Labor

Keywords: 1187, senate, all

Transcript Highlights:

• If you had to say maybe one or two things, what would you imagine the future of farms in Minnesota?
• the future of farms in would you imagine the future of farms in Minnesota<00:09:07.720><c> if</c><00
• Imagine if you didn’t have that person.
• </c> we're talking about the stress imagine we're talking about the stress imagine the<01:35:57.239><
• if you didn't have your farm imagine if you didn't have that that that person<01:37:42.800><c> imagine

Committee: Senate Agriculture, Veterans, Broadband, and Rural Development

Keywords: 1187, senate, all

Transcript Highlights:

• I imagine BEA would probably participate in this.
• I imagine BEA would probably participate in this.
• I imagine BEA would probably participate in this.
• I imagine BEA would probably participate in this.
• I imagine BEA would probably participate in this.

Keywords: 928, house, all

Summary: The committee discussed House Bill 185, which would amend RSA 3109 to add timelines for OPLC’s complaint review and investigation process. Members reviewed the existing five-year limitation period for misconduct complaints and noted that the bill would add a 30-day deadline for the office to make a recommendation to the board and a 90-day deadline to complete investigations. Some members raised concerns that the new deadlines could conflict with the existing statute of limitations, create pressure to dismiss cases too quickly, and potentially undermine the separation between OPLC’s investigative role and the boards’ adjudicatory role established by House Bill 655. Nicholas Fry, OPLC general counsel, testified that the agency’s fiscal note originally assumed it would need roughly double its staff to meet the proposed deadlines, though a later amendment reduced that estimate somewhat. He said OPLC would still need additional personnel, including investigatory paralegals and a physician investigator for the Board of Medicine, to meet the timeframes. He also explained OPLC’s current complaint and hearing procedures, including new consumer-friendly correspondence, website guidance, and efforts by the enforcement division to improve transparency and communication with complainants and licensees. Bob Quinn of the New Hampshire Association of Realtors testified in support of the bill’s basic goal of speeding up intake and investigation, saying the 30-day intake/review period was reasonable and that the bill would not change OPLC’s role in that first step. He argued, however, that the investigation step is where delays occur, especially for lower-priority complaints, and that some cases have remained unresolved for years. Committee members also questioned how the added staffing costs would be paid, with discussion of whether they would come from license fees or the general fund. No vote or final action was taken in the portion of the meeting provided.

Transcript Highlights:

• was just wondering, because when I was reading this last night, trying to prepare, I was trying to imagine
• was just wondering, because when I was reading this last night, trying to prepare, I was trying to imagine

Bills: SB1873 , SB1948 , SB540 , SB1653 , SB1061 , SB1534

Committee: House Business

Keywords: roofing, contractor registration, continuing education, endorsement, construction industry, fireworks, consumer safety, local governance, emergency declaration, public safety, dentist, dental hygienist, dentistry, dental hygiene, licensure compact, interstate compact, professional licensing, license portability, health workforce, workforce shortage

Summary: The committee heard several Senate bills, most of them described as cleanup or compact-related measures. Senate Bill 1061 was presented as a cleanup bill adding defining language, supported by the Department of Consumer Credit and correcting a typo, and it passed 11-0. Senate Bill 1534, a charity enforcement act worked on with the Attorney General’s office, was described as strengthening protections for donor intent, preventing misuse of charitable funds, and closing enforcement loopholes; after a brief question about examples of bad actors, it also passed 11-0. Senate Bill 1873 was another cleanup bill requested by roofers and passed 11-0. The committee also considered interstate licensure compacts. Senate Bill 540 would create Oklahoma’s participation in a dentist and dental hygienist compact; one question focused on why the Oklahoma Dental Association opposed it while the American Dental Association supported it, and the bill passed 9-2. Senate Bill 1653 would join a compact for occupational therapists and occupational therapy assistants, with the sponsor noting 31 states already participate; it passed 11-0. Finally, Senate Bill 1948 would allow year-round fireworks sales in Oklahoma. Members questioned how the bill would interact with city and county authority, whether it would affect dense neighborhoods, and concerns about veterans with PTSD. The sponsor said the bill would not override city ordinances and argued counties should not restrict private property owners, while also saying current law already allows fireworks use year-round but limits in-state purchasing windows, sending consumers to other states. The bill passed 10-1. The chair then announced this was the last bill for the day and that about 12 bills remained for the following week.

Transcript Highlights:

• The appropriations committee will meet in the old State Library.
• Imagine what would happen to the community. Imagine what would happen to the property.
• Imagine coming back in August. I don’t think we want to do that.
• Well, I cannot even imagine what this bill might do to him.
• </c><04:07:42.080><c> what</c> Well, I I I I cannot even imagine what Well, I I I I cannot even imagine

Keywords: 981, all

Bills: SCR 5 , SCR 13 , SB 3 , SB 6 , SB 10 , SB 12 , SB 13 , SB 15 , SB 17 , SB 18 , SB 19 , SB 24 , SB 35 , SB 57 , SB 65 , SB 112 , SB 284 , SB 290 , SB 388 , SB 400 , SB 402 , SB 412 , SB 495 , SB 499 , SB 502 , SB 509 , SB 621 , SB 706 , SB 740 , SB 815 , SB 842 , SB 854 , SB 875 , SB 893 , SB 917 , SB 974 , SB 1025 , SB 1061 , SB 1073 , SB 1106 , SB 1268 , SB 1281 , SB 1300 , SB 1362 , SB 1379 , SB 1447 , SB 1451 , SB 1555 , SB 1902 , SJR 36 , SJR 12 , SCR 13 , SCR 25 , SCR 5 , SCR 22 , SCR 12 , SCR 24 , SB 495 , SB 412 , SB 10 , SB 18 , SB 565 , SB 372 , SB 842 , SB 765 , SB 62 , SB 19 , SB 666 , SB 707 , SB 888 , SB 687 , SB 706 , SB 847 , SB 290 , SB 13 , SB 1248 , SB 740 , SB 14 , SB 1006 , SB 504 , SB 917 , SB 925 , SB 388 , SB 1902 , SB 1121 , SB 995 , SB 857 , SB 305 , SB 296 , SB 284 , SB 35 , SB 6 , SB 815 , SB 3 , SB 1281 , SB 1379 , SB 1300 , SB 1497 , SB 1499 , SB 1498 , SB 1451 , SB 1061 , SB 15 , SB 65 , SB 241 , SB 304 , SB 402 , SB 499 , SB 621 , SB 974 , SB 1023 , SB 1024 , SB 1025 , SB 1106 , SB 686 , SB 112 , SB 371 , SB 204 , SB 400 , SB 609 , SB 1447 , SB 670 , SB 502 , SB 427 , SB 850 , SB 854 , SB 413 , SB 1555 , SB 1362 , SB 1346 , SB 1033 , SB 1220 , SB 1073 , SB 810 , SB 987 , SB 1539 , SB 893 , SB 447 , SB 875 , SB 406 , SB 509 , SB 985 , SB 965 , SB 17 , SB 1119 , SB 1505 , SB 12 , SB 24 , SB 57 , SB 1194 , SB 1253 , SB 1215 , SB 1532 , SB 1268 , SB 1302 , SB 856 , SB 650 , SB 583 , SB 673 , SB 840 , SJR 57 , SCR 8 , SB 213 , SB 681 , SB 1172 , SB 1252 , SB 378 , SB 610 , SB 918 , SB 1343 , SB 608 , SB 487 , SB 955 , SB 957 , SB 988 , SB 990 , SB 1019 , SB 1021 , SB 1120 , SB 251 , SB 958 , SB 535 , SB 761 , SB 1 , SB 541 , SB 315 , SB 379 , SB 1018 , SB 1737 , SB 266 , SB 1415 , SB 3 , SB 6 , SB 15 , SB 35 , SB 290 , SB 706 , SB 842 , SB 917 , SB 1281 , SB 1451 , SB 1902 , SB 12 , SB 13 , SB 17 , SB 19 , SB 388 , SR 261 , SR 265 , SR 276 , SR 277 , SR 281 , SR 286 , SR 293 , SCR 5 , SCR 13 , SB 2425 , SB 2880 , SB 10 , SB 12 , SB 13 , SB 17 , SB 18 , SB 19 , SB 388 , SB 412 , SB 495 , SB 2425 , SB 2880

Keywords: SCR 5, Senate Concurrent Resolution 5, Texas School for the Deaf, TSD, Robert Rives, gymnasium naming, building naming, honorary resolution, commemorative resolution, deaf education, hard of hearing, Gallaudet University, alumni hall of fame, football coach, school facility naming, education K-16, State Affairs, Texas Legislature, public school tribute, water rights

Transcript Highlights:

• . >> So, when we think about transformation, what we're really thinking about is imagine a 20-year-old
• And imagine the amount of coordination that has to occur, like after a tornado.
• ><c> coordination</c><00:26:47.320><c> that</c> imagine the amount of coordination that imagine the amount
• I can't imagine it. But, um, my question is this.
• I can't imagine<01:08:40.600><c> it.</c> imagine it. imagine it.

Committee: Joint Health Services

Keywords: 958, all

Transcript Highlights:

• But I want you to imagine, Senator Wiggins, for yourself as an attorney, imagine if you were specializing
• ,</c><00:14:55.960><c> Senator</c> But I want you to imagine, Senator But I want you to imagine, Senator
• if you were specializing in a in imagine if you were specializing in a in a<00:15:01.720><c> particular
• I don't know where it is in your strike-all, but I know in the bill that you presented, and I imagine
• we're pretty close to the bill imagine we're pretty close to the bill that<01:05:10.240><c> you</c><

Committee: Joint Public Health and Welfare

Keywords: Public Health and Welfare - Room 216, 3 March, 2026; 3:00 PM, 925, all

Transcript Highlights:

• Imagine how it might be for someone who doesn't have that relationship.
• Imagine how it might be for someone who doesn't have that relationship.
• So I can't imagine what it's like for some kids to have to face their parents.
• So I can't imagine what it's like for some kids to have to face their parents.
• Imagine if we regulated the rest areas.

Committee: Senate Rules

Summary: The committee first took up CS/SB 1606 on patient access to records. Sponsor Senator Grall explained an amendment that aligned the bill more closely with HIPAA by defining “designated record set,” allowing a 14-day extension, and requiring records to be produced in the requested form if readily producible. Several senators asked about patient portals, legal representatives, and whether the bill applied post-mortem; Grall said the bill was limited to authorized access during the patient’s life. Testimony was largely opposed, with health information and provider groups warning that the bill could create cybersecurity risks, conflict with HIPAA and meaningful-use rules, burden facilities, and improperly broaden access to portals and sensitive records. Supporters argued it would improve patient access and speed. The amendment was adopted, and the bill was reported favorably by roll call vote after debate on the bill as amended. The committee then considered CS/SB 712 on construction regulations. Grall described provisions on synthetic turf, change orders, public works bidding, elevator rails, alarm contractor scope, tall mass timber, pool and spa contractor scope, spaceport exemptions, permit document limits, and solar/energy storage inspections. Two amendments were adopted: one removed pool and spa contractor language and delayed the change-order provision until July 1, 2025; the other removed the tall mass timber section. Pool contractors testified against the scope expansion in the original bill, while others supported the remaining provisions. Senators raised concerns about the Florida Building Commission process and how the public-works language might affect small-business participation, but the bill as amended was ultimately reported favorably. Finally, the committee heard CS/SB 1288 on parental rights. Grall said the bill would require parental consent for most minor health care decisions, allow parental access to records, restrict surveys/questionnaires, and limit use of biofeedback devices, while preserving certain exceptions such as emergency care and STD testing. An amendment clarified questionnaire opt-outs for K-12 students, added court-order exceptions, addressed DNA sampling for criminal investigations, refined biofeedback language, and added emergency behavioral health exceptions; it was adopted. The bill drew extensive testimony both for and against: supporters said it restored parental authority and protected children from decisions they are not equipped to make, while opponents argued it would endanger minors seeking confidential STI, mental health, or abuse-related care, especially in unsafe homes. Senators also debated whether the bill would conflict with existing laws and whether it could leave some minors untreated. The transcript ends during continued public testimony on the bill.

Transcript Highlights:

• I would imagine if my legislative assistant has told your CA that then yes. >> Okay.
• I can't imagine a more seasoned gavel wielder than Senator Pappas to take over chair at this time.
• I can't imagine any world not a taking.
• And so imagine that you up all the time.
• Um, so imagine, Mr. Chair, that you and I are going to enter a pie contest tomorrow.

Committee: Senate Judiciary and Public Safety

Keywords: 1187, senate, all

Transcript Highlights:

• So you could imagine a scenario where we're right up against that 5%. We've done work on the line.
• So you could imagine a emergency work.
• So you could imagine a scenario<00:24:46.400><c> where</c><00:24:46.720><c> we're</c><00:24:47.600><c
• </c><01:03:22.720><c> that</c><01:03:23.839><c> sighting</c> Can you really imagine that sighting Can
• </c> well I would imagine. well I would imagine.

Committee: Senate Energy and Natural Resources

Keywords: 1191, senate, all

Transcript Highlights:

• Imagine if your child is in the NICU or a different... ...use, as you have just heard.
• Imagine if your child is in the NICU or the different ICU, and you were told by the team that we can't
• If that was my reality, as someone who was eligible for Medicaid and documented, imagine how impossible
• You can't imagine the chaos that caused Jesse.
• Imagine a patient who cannot get to their radiation appointment because they cannot drive and going on

Committee: Joint Joint Committee on Health Care Financing

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on a large docket of bills focused on MassHealth benefits and reimbursement, health equity, behavioral health, public health, dental access, 340B drug pricing, tobacco cessation, and coverage for children. The chairs emphasized rising health care costs, provider shortages, administrative burdens, and persistent inequities by income, race, geography, and immigration status. Much of the testimony centered on H.1416/S.901, an act to advance health equity, with legislators and members of the Health Equity Compact arguing for statewide benchmarks, stronger health equity leadership, reimbursement for interpreter services, community health workers and patient navigation, Medicaid graduate medical education support, and a health equity zone trust fund. Witnesses described disparities in life expectancy, maternal mortality, access to primary care, and the impact of federal Medicaid and social service cuts, and urged the committee to report the bill favorably. The committee also heard strong support for H.1368/S.847 on rapid whole genome sequencing for critically ill MassHealth children. Testifiers from industry, academia, hospitals, and families said early sequencing can end long diagnostic odysseys, improve treatment decisions, shorten hospital stays, and save money, while also providing emotional relief and information for families. The hearing then moved to H.1407 on MassHealth rate parity for inpatient behavioral health providers, where Rep. Scanlan and the Massachusetts Association of Behavioral Health Systems said the bill would codify existing administrative parity so managed care plans cannot pay less than the MassHealth fee-for-service rate. On H.1392/S.853 to preserve and protect public health, witnesses supported higher vaccine administration fees to improve provider participation and immunization rates. The committee also heard testimony on H.770/845 to protect 340B providers in MassHealth, and on S.848 to require reporting and transparency around 340B revenues and outside administrative costs. Additional bills drew testimony on tobacco cessation coverage for MassHealth members, with advocates supporting broader access to counseling and medications through medical, behavioral health, and dental providers. On H.1409, a nursing home operator asked for more flexibility in a MassHealth staffing-related penalty tied to patient days per resident. On H.1401/S.888, supporters of the “Take 10” dental access proposal said adult MassHealth dental coverage is underused because too few dentists accept MassHealth, leading to long travel times and avoidable emergency room visits; they urged incentive payments for dentists serving new adult MassHealth patients. Finally, on H.1403/S.855, “Cover All Kids,” advocates and immigrant community members urged removal of immigration status as a barrier to full MassHealth coverage for children, while also backing a related bill to ensure 12 months of continuous coverage for children. No votes were taken during the hearing; the committee primarily received testimony and asked questions on costs, reimbursement levels, and implementation details.

Transcript Highlights:

• I'm trying to imagine in my head how excited and enthused...
• I can't even imagine, as someone who's lost a daughter, what the others are going through.
• I just couldn't imagine how this could happen.
• And now, imagining a future that she will never have, watching her friends move on.
• And can you imagine the chorus of songs of Dick and the girls?

Keywords: 1185, senate, all

Transcript Highlights:

• It's unimaginable, but going through the court system, and you can imagine what it's going... Okay.
• Obviously, I would imagine you would consider that to be sexual abuse.
• Imagine speaking to your child a few days before Christmas, talking about plans for when he gets home
• You know, my constituents have weighed in on this bill, as you can imagine, and support it.
• Can you imagine that? And your child... ...in charge. Can you imagine that?

Committee: House Administration of Criminal Justice

Summary: The committee first deferred HB 374 without objection. It then heard SB 46, which creates the crime of unlawful operation of a group home aimed at protecting vulnerable adults living in unsafe, unlicensed residences where operators control residents’ assets. The Attorney General’s office described severe neglect and exploitation in some homes, while the Louisiana Fair Housing Action Center opposed the bill over concerns it could create confusion, criminalize legitimate recovery or disability housing, and chill protected housing arrangements. After discussion, including assurances that the bill was narrowly targeted at bad actors, the committee reported SB 46 favorably. The committee next took up HB 276, which sets a statewide minimum bail amount for certain sexual offenses against minors. Testimony from a victim’s mother and an anti-trafficking expert supported the bill as a way to keep dangerous offenders detained and protect children, while members debated whether the original $50,000 minimum was too low and could be treated as a benchmark. The committee amended the bill in committee to raise the minimum to $1 million and to add human trafficking involving a victim under 18 to the covered offenses, then reported HB 276 favorably as amended. Members then heard SB 42 and SB 110, both addressing AI-generated child sexual abuse material. SB 42 expands the definition of child sexual abuse material to include digital and AI-generated depictions, while SB 110 prohibits using a child’s image to train AI to produce such material. The Attorney General’s office and survivor advocates supported the measures as necessary updates to keep pace with technology and protect children; the committee reported both bills favorably. HB 998, dealing with forensic medical exams and reimbursement for domestic violence victims, especially strangulation cases, was also heard and amended to remove human trafficking references and set implementation steps; advocates said the bill would improve evidence collection and reimbursement, and it was reported favorably with amendments. Finally, the committee heard SB 51 on fraudulent representation of military service or awards, which was supported as a tool to address stolen valor and was reported favorably, and HB 323 on notification and reporting of inmate deaths, which was presented as a transparency measure after a family testified about learning of a relative’s death from the news rather than the facility.

Transcript Highlights:

• Colleagues, I want you to imagine sitting in a doctor's office with your child.
• Now imagine living in uncertainty for nearly two years.
• Imagine a health care system where doctors can prescribe healthy food just as easily as medication.
• Imagine a health care system where doctors can prescribe healthy food just as easily as medications.
• Imagine a health care system where doctors can prescribe healthy food just as easily as medication.

Keywords: 959, house, all

Summary: The House first established a quorum after a quorum call and welcomed special guests, including the Freedom of the Road motorcycle riders and students from Warsaw High School. It then took up House Committee Substitute for House Bill 1855, a reporting bill on Alpha-Gal syndrome. The bill sponsor described the condition as a serious tick-borne allergy that has affected his family and many Missourians, arguing that Missouri needs mandatory reporting and surveillance data to identify hotspots, guide public health outreach, and support research and funding. Supporters from both parties said the bill would improve awareness and data collection, while one member raised concerns about the fiscal note and whether the state would get useful information for the cost. The chamber adopted Amendment 1 to HB 1855, changing the follow-up language from “may” to “shall,” but rejected Amendment 2, which would have required patient consent before lab results were reported into the surveillance system. Opponents of the consent amendment said it would undermine disease surveillance and set a bad precedent for other reportable conditions; supporters argued for privacy and individual choice. After debate, the House adopted the committee substitute as amended and ordered it perfected and printed. The House then considered House Committee Substitute for House Bills 2230 and 2978, a K-5 education measure addressing screen time, cursive, and handwriting. The sponsor said the bill responds to research and parent/teacher concerns about excessive screen use, poor literacy outcomes, and mental health effects, and would create a state focus group to review evidence and make recommendations while leaving districts flexibility. Members discussed carve-outs for special education, English language learners, and virtual school, and adopted an amendment excluding the virtual school program. The House then adopted the substitute as amended and ordered it perfected and printed. Finally, the House took up House Bill 2355, the “Food is Medicine” initiative, which would allow Missouri to use federal funds through 1115 waivers for pilot programs such as medically tailored meals, produce prescriptions, nutrition education, and related supports. Supporters said the program could improve health outcomes, reduce Medicaid spending, and help address food deserts. An amendment adding vitamin therapies and updating a date drew discussion over supplement safety and regulation, but the transcript cuts off before a final vote on that amendment or the bill itself.

Transcript Highlights:

• Yes, and I was imagining whoever would sit first said training would be an RN, an MD, correct?
• That's, I can't imagine how that feels as a woman to have to travel that distance with that still with
• That's, I can't imagine how that feels as a woman to have to travel that distance with that still with
• That's, I can't imagine how that feels as a woman to have to travel that distance.
• I can't imagine how that feels as a woman to have to travel that distance with that still with you and

Committee: House Health and Welfare

Summary: The committee first adopted the minutes from several prior 2025 meetings, then took up HB 574 by Rep. Spell, which updates the names of two organizations on the Mental Health Advocacy Service Board of Trustees. Rep. Spell explained it as a technical cleanup bill to correct the names of the Louisiana Mental Health Association and the Louisiana State Medical Society so the board’s membership records match current organization names. With no objections, HB 574 was reported favorably. The committee then heard HB 486, also by Rep. Spell, to join the Psychology Interjurisdictional Compact (PsyPact) and allow Louisiana psychologists to provide telepsychology and temporary in-person services across state lines. Rep. Spell and PsyPact representatives said the compact would expand access to mental health care, especially in rural areas, while maintaining standards and disciplinary oversight. The committee adopted amendments on fees and the effective date, and HB 486 was reported favorably with amendments. HB 198 by Rep. Eccles proposed a Medicaid reimbursement methodology for ambulatory surgical centers, using a Medicare-based rate to improve access for Medicaid patients needing specialty procedures. Amendments were adopted to add ophthalmology-related services and to cap reimbursement at the lesser of the outpatient hospital rate or 100% of the Medicaid rate, along with a technical amendment to address the fiscal note. Supporters from GI and ASC groups said the bill would improve access and lower long-term costs, and the bill was reported favorably with amendments. The committee spent the most time on HB 182 by Rep. Travis Johnson, which would require hospitals to ensure access to sexual assault forensic exams and related training. Johnson, law enforcement witnesses, and the Attorney General’s office emphasized the need for timely evidence collection, especially in rural areas, and said the current system leaves victims traveling long distances or losing evidence. Hospital and coroner witnesses supported the goal but opposed the bill as written, arguing it could impose duties on hospitals without enough trained personnel, funding, or a workable statewide training and coordination system; they urged a statewide coordinator, mobile SANE units, and clearer implementation. The bill was not finally disposed of in the portion of the meeting provided, and members discussed continuing to work on amendments and timing before floor consideration.

Transcript Highlights:

• And if you can imagine, 10 years ago, he was much smaller.
• And if you can imagine, 10 10 years.
• And if you can imagine, 10 years<00:23:59.520><c> ago,</c><00:23:59.840><c> he</c><00:24:00.159><c> was
• As you can imagine, this is a very complex issue, and they served us very well.
• ><c> very</c><01:16:44.880><c> complex</c><01:16:45.280><c> issue</c> imagine, this is a very complex

Keywords: 916, all