Transcript Highlights:

• take to see the patient?
• I can't tell you the oral health status of a patient.
• It's hard to find a dentist accepting new patients.
• So do you show the ones that are and are not taking patients? Yes.
• That are taking patients. We show their status.

Summary: The Care Management Meeting opened with a DSS update on the PCMH program. Staff reported the program remained steady at 124 practices, 553 sites, and 2,548 providers, with some month-to-month fluctuation driven by practice consolidation, retirements, and a few practices leaving the program because NCQA requirements were burdensome. Members asked about declining provider and site counts, member attribution trends, and whether PCMH practices overlap with behavioral health homes; DSS said attribution changes are largely due to members becoming ineligible, moving, or getting other insurance, and that PCMH and behavioral health homes are separate programs that coordinate informally. The committee also discussed why some smaller practices leave the program and whether the requirements could be made easier to support retention. The committee then resumed a detailed presentation on the Husky Dental program. The presenter described the dental benefit’s history, the importance of preventive oral health, workforce and consolidation pressures in dentistry, and the lack of interoperability between dental and medical records. Network data showed year-over-year declines in enrolled dental practitioners and service locations, with access gaps concentrated in rural and eastern parts of the state. Appointment availability surveys showed average waits of 38 days for adults and 23 days for children, but much longer waits at FQHCs than private fee-for-service practices. The presenter said Connecticut remains above the national median on CMS pediatric dental quality measures, though sealant rates remain a concern, and noted that preventive care is associated with lower per-member costs. Members raised concerns about provider participation, large practices dropping Medicaid, mobile dental care, and whether the public directory accurately reflects which dentists are actually accepting new patients. The presenter said the plan uses secret-shopper calls, tracks appointment availability, and has begun using place-of-service coding to better identify school-based dental care. She also noted a new MOU with 20 Head Start programs to share data and provide oral health literacy and navigation support. The final major topic was implementation planning for HR1. DSS said CMS guidance was expected in early June and proposed using upcoming meetings to cover medical frailty, communication strategy, and data integration/ex parte verification. Committee members urged the department to create a dashboard to track disenrollments and other impacts of HR1, to build a process for complaints and problem resolution, and to think through cost-sharing, caregiver verification, exemptions, and notices. Members also asked about using existing eligibility structures such as the working-disabled program as a model. The committee agreed to move the next meeting to June 10 by Zoom, with the agenda to be circulated in advance and any PCMH Plus quality data shared if available.

Transcript Highlights:

• </c> and sometimes it's voluntarily a patient and sometimes it's voluntarily a patient has<00:28:43.160
• </c><00:44:32.960><c> So,</c> they are not able to admit patients.
• So, they are not able to admit patients.
• </c><01:17:12.920><c> but</c> privacy rights of of the patients but privacy rights of of the patients
• </c> of patients of patients through<01:18:18.080><c> the</c><01:18:18.240><c> anonymization</c><01:18

Summary: The Special Committee on COVID Response Efficacy for New Hampshire held its first organizational meeting. The chair read the committee’s updated mission statement, which says the bipartisan committee will fact-find on the state’s COVID-19 response and its impact on the healthcare system, with focus areas including federal guidance, federal funds, emergency use authorization vaccination efforts, long COVID, the Patient Bill of Rights, and vaccination policies. The chair also announced committee staffing changes: Linda McGrath stepped down as vice chair and Representative Gerard was named vice chair; Representative DeRoy was named clerk. The chair emphasized the committee’s work is intended to be science-based and fact-finding, not anti-vaccine, and noted that the committee may issue follow-up reports and recommendations. Members discussed a broad list of topics for future hearings, including long COVID treatment, ongoing vaccination policies, reporting of COVID deaths, standards of care and provider discretion, COVID-related funding such as ESSER/CARES Act money, and communication of treatment developments during the pandemic. Representative Pollina argued the committee should examine specific treatments and outcomes, including remdesivir, oxygen/intubation practices, and ivermectin, and raised concerns about whether some treatments were harmful or suppressed. He also focused on pediatric vaccination policy, saying the committee should review New Hampshire’s recommendations for children and medical students, and questioned the state’s reliance on federal guidance versus independent review. The chair responded that shifting federal positions may justify an independent New Hampshire evaluation and asked him to gather more information and potential witnesses. In open discussion, members suggested additional witnesses and topics, including local funeral directors, nursing homes, and emergency medical services, as well as how nursing homes were affected by positive tests and admission restrictions. Another member suggested the committee consider what products it should produce, such as a final report, possible bill recommendations, and better documentation or footnotes tying findings to testimony and scientific sources. The chair said the committee’s deliverables could include reports, letters to department heads or legislative leaders, and other actions, and noted that the committee’s 2024 report and supporting documents are available on the House committee page. No votes or formal actions beyond the organizational appointments were taken.

Transcript Highlights:

• And these commissions prefer in-person meetings.
• H. 4351 doesn't create racial preferences.
• It's about infrastructure, not about preference, but about precision, documentation, and justice.
• It's about infrastructure, not about preference, but about precision, documentation, and justice.
• It is not running the secure psychiatric inpatient care for forensic patients that we need to be.

Committee: Joint Joint Committee on State Administration and Regulatory Oversight

Summary: The committee heard testimony on several bills related to open meeting law, municipal meetings, town meetings, and remote participation. Senator Rausch supported S. 2205 and S. 2206, and House companion H. 3382, saying they would make remote participation in public bodies permanent and streamline open meeting law and public records complaint processes to reduce burdens on local officials. Committee members and the senator discussed concerns about complaints being weaponized, the role of the Attorney General, and whether public testimony should be presumed allowed unless a chair limits it with justification. The senator said the bills do not change public records fees and are meant to improve process and transparency. A large portion of the hearing focused on H. 3342 and S. 2197, which would modernize municipal meetings, town meetings, and local elections by allowing permanent remote or hybrid participation. Supporters included Wayland officials, the Massachusetts Municipal Association, Newton Mayor Ruthanne Fuller, MAPC, MACC, and others, who argued that hybrid and remote options increase participation, help parents, caregivers, people with disabilities, and residents with travel or work constraints, and have worked well during the pandemic-era extensions. Municipal officials emphasized that a mandate would be costly and difficult for smaller communities because of staffing, technology, room design, cybersecurity, and uneven internet access, especially in western Massachusetts. Committee members asked about equal access, funding, and whether local discretion should remain; the chair said the committee wants a permanent solution beyond emergency rules but must balance access with local capacity. The committee also heard testimony on H. 3328, which would allow remote participation to count toward quorum for statewide appointed bodies such as commissions on women and LGBTQ issues. Supporters argued this would improve regional equity and make it easier for people outside Greater Boston to serve, while committee members noted it is a separate issue from municipal meetings and may be easier to address than broader local-government changes. Another bill, H. 4351, was supported by Rep. Brandy Fluker Reed, who described it as creating an Office of Freedmen Affairs to address longstanding racial wealth disparities affecting descendants of enslaved Americans. The hearing also included testimony on H. 3299 from Common Cause and MASSPIRG in favor of guaranteed hybrid access for public meetings with public participation components, with advocates saying it would improve transparency, accessibility, and civic engagement.

Transcript Highlights:

• </c><00:11:58.880><c> Reg</c> think it will help with uh patient Reg think it will help with uh patient
• </c> if you were to think that every patient if you were to think that every patient had<00:23:42.799
• </c><00:23:51.880><c> actually</c> can provide care where patients actually can provide care where patients
• It's preferred.
• It's preferred.

Committee: House Judiciary & Hawaiian Affairs

Summary: The committee first heard House Bill 302, which would repeal the requirement that a provider-patient relationship for medical cannabis certification be established in person first. The Department of Health said it supported the House Draft 2 version as a way to expand patient access, and several testifiers from the medical cannabis community and dispensary industry supported the bill, especially for patients on outer islands or those unable to travel. One witness asked that earlier language removed in committee be restored to further improve access. Representative Shimizu asked whether follow-up in-person visits would still occur, and DOH responded that this varies by provider, with some continuing in-person care and others moving to telehealth for chronic conditions. The committee then took up House Bill 712, relating to the federal 340B drug pricing program and contract pharmacies. The Office of Consumer Protection and the Attorney General’s office both said they supported the bill’s purpose but wanted it clarified and possibly moved into a standalone chapter rather than chapter 481B. Supporters, including Hawaii Pacific Health and the Queen’s Health Systems, said the bill is needed to protect safety-net funding and access to discounted drugs, citing large financial benefits from 340B and losses caused by manufacturer restrictions on contract pharmacies. PhRMA opposed the bill, arguing the issue is not access to discounts but accountability and transparency in how contract pharmacies distribute benefits, and said it was willing to discuss amendments. Members asked follow-up questions about whether there was data showing misuse; PhRMA said it did not have numbers, while hospital witnesses said the program is federally audited and used appropriately in Hawaii. Finally, the committee heard House Bill 1482, HD1, which would tighten hemp and controlled-substance definitions to exclude Schedule I cannabinoids from manufactured hemp products and clarify the treatment of artificially derived cannabis. The Department of Health supported the measure, saying it adds clarity to existing prohibitions. Kūre Hawaii and other supporters said it would close loopholes involving Delta-8 and similar products. An individual testifier urged stronger language to also cover compounds such as HHC, THCA, THCP, and THCO. In response to questions about enforcement against mislabeled hemp products, DOH explained that THC percentages are relative to product weight, that some products can remain under the hemp threshold while still containing significant THC, and that hemp flower is already prohibited from direct retail sale, though enforcement can be complicated and involves both administrative and criminal authorities.

Transcript Highlights:

• It is incredibly labor-intensive to move one patient, especially a critical patient in a rural area that
• During the COVID pandemic, in two years, we did 12,000 patient referrals.
• For the patients, a study just came out this morning from Kaiser Health News, where patients across the
• Documentation requirements aren't always given to patients at once.
• Documentation requirements aren't always given to patients at once.

Bills: HB2180 , HB2184 , HB2188 , HB2194 , HB2206 , HB2321 , HB2322 , HB2438 , HB2442 , HB2448 , HB2727 , HB2797

Committees: House Health & Human Services , House House Health & Human Services Committee of Reference

Keywords: appropriation, funding, University of Arizona, education, state budget, fetal death, funeral homes, informed consent, abortion, women's rights, medical assistance, emotional support, language acquisition, early intervention, hearing impairment, grant program, deaf education, health care, insurance claims, prior authorization

Transcript Highlights:

• To treat individual patients in this one-size-fits-all approach is dangerous for Texans.
• I went to school to learn the intricacies of how to treat patients in emergent settings.
• It needs to be between that medical provider and the patient.
• , that their patients are born with.
• And created a less safe environment for transgender patients that did not exist before.

Bills: HB45 , HB45 , HB755 , HB 1232 , HB1555 , HB2460 , HB2702 , HB2973 , HB3120 , HB3225 , HB3314 , HB3356 , HB3371 , HB3634 , HB3638 , HB4247 , HB4283 , HB4290 , HB4302 , HB4503 , HB4511 , HB4565 , HB4581 , HB4627 , HB4632 , HB4660 , HB4668 , HB4960 , HB5042

Committee: House State Affairs

Transcript Highlights:

• Number two: the availability of effective outreach and treatment programs for patients who have been
• patients don't want to be in those facilities that are quite restrictive.
• Like sending a patient with very specific instructions. That's a great solution. So thank you.
• Like sending a patient with very specific instructions, that should be doable.
• And many times the patient could even do it themselves. Like they just need the supplies.

Summary: The Special Commission on Xylazine convened its second meeting, approved the minutes from its June 23 meeting, and reviewed its timeline and working groups. The co-chairs said the commission’s final report is due to the House and Senate clerks by March 30, 2026, and outlined three working groups focused on regulation/oversight of xylazine, treatment and outreach for exposed patients, and education/training for first responders, clinicians, treatment providers, and people who use substances. Staff will schedule working group meetings, with group presentations planned for December 11, followed by commission meetings in February and March to review and finalize the draft report. Public comment centered on research and practical responses to xylazine contamination in the drug supply. Dr. Tracy Green of Brandeis reviewed recent studies showing severe xylazine-related wounds and amputations in Philadelphia, withdrawal symptoms, the value of wound identification tools, and the usefulness of drug checking in detecting xylazine even when users did not suspect it was present. She urged expanded low-barrier wound care, more access to medications for opioid use disorder, overdose prevention sites, housing, and trauma-informed care, while cautioning that stricter controls could push the market toward other dangerous alpha-2 substances. Commissioners asked about early wound identification, dilution/cutting strategies, supplier engagement, and how to reduce stigma and improve treatment access. Tia Johnson of Boston Medical Center and Boston Health Care for the Homeless testified that xylazine contamination still requires naloxone for overdose response, but sedation can last longer and may require low-dose naloxone, oxygen support, and low-threshold monitoring spaces. She emphasized that xylazine-associated wounds can heal with consistent care, but patients often lose access to services when sent to hospitals unnecessarily. Commissioners discussed reimbursement barriers, especially in MassHealth and behavioral health settings, and the need for wound care to be available within detox and treatment programs rather than requiring transfers. The meeting ended with agreement to continue working group planning and adjournment.

Transcript Highlights:

• The Endocrine Society recommends monitoring transgender patients for bone health, cardiovascular risk
• factors, and cancer screening, which is made more difficult when patients are on inadequate hormone
• A 12-month supply of estrogen or 6-month supply of testosterone will allow patients to feel secure in
• I know this bill will help me reassure my patients that their supply of medication is secure.
• Dealer's preference. Why don't we... All right. Yeah. Let's start.

Committee: House Business and Professions

Transcript Highlights:

• They paid the preferred provider option. My insurance reimbursed them.
• They paid the preferred<00:45:58.440><c> provider</c><00:45:59.320><c> option.
• </c> preferred provider option. preferred provider option.
• PPO, preferred provider option. Everybody goes to the hospital doctor.
• </c> preferred provider option. preferred provider option.

Committee: Senate Banking & Insurance

Transcript Highlights:

• and he was definitely some, uh, patient and he was definitely knowingly,<00:28:43.320><c> willingly<
• I would prefer that we consider that before we have a final vote on this.
• I<00:32:24.280><c> would</c><00:32:24.520><c> prefer</c><00:32:25.120><c> that</c><00:32:25.440><c> we
• prefer that we consider that before<00:32:28.080><c> we</c><00:32:28.280><c> have</c><00:32:28.480><
• There's documentation that has to be done, which takes away from patient care as well.

Committee: House Criminal Justice and Public Safety

Summary: The committee first took up Senate Bill 409 in executive session, with the chair noting a caucus break to explain amendments to several substitute members. Members discussed a proposed amendment to narrow the bill’s felony provisions by limiting them to specific, knowingly dangerous conduct rather than making the offense too broad. The committee also noted a planned floor amendment to add missing “or” language to clarify that the listed acts were alternatives, not cumulative requirements. The amendment was adopted 13-0, and the bill as amended was then reported OTPA by a 13-0 vote. It was initially said to be headed to consent, but members later agreed it would not go on consent because a floor amendment was anticipated. The committee then opened House Bill 667, which would extend protections for medical personnel into emergency room settings. Supporters said the bill was needed because emergency room staff face increasing assaults and existing protections did not fully cover ER circumstances. Several members described firsthand or secondhand incidents involving nurses, EMTs, and other staff being threatened or injured, and argued that stronger penalties would help deter violence and improve prosecution. Others supported the bill but raised concerns about how it might affect people experiencing mental health crises, dementia, or intellectual and developmental disabilities. A proposed amendment from Representative Sher would exempt people experiencing a mental health crisis who have a mental health diagnosis, and also address dementia and certain developmental disabilities. Supporters said the amendment was narrowly tailored and had backing from the Disability Rights Center, NAMI New Hampshire, and the New Hampshire Nurses Association. Opponents argued that the criminal justice system already has safeguards such as prosecutorial discretion, insanity defenses, and competency rules, and warned against creating special exceptions that could weaken equal application of the law. After debate, the committee voted 10-3 to report HB 667 ought to pass, with members noting that minority and majority reports would be prepared.

Transcript Highlights:

• So when you're trying to figure out what is going on with a patient or a patient is trying to figure
• The patient should be able to have access to that care.
• But patients like my Kelsey, the sickest 1%, cost the system about a But patients like my Kelsey, the
• And to clarify too, patients aren't receiving... ...And to clarify, too, patients aren't receiving two
• The overall spend in Michigan per patient for the complex patient population is lower.

Committee: Senate Senate Health and Human Services COR

Summary: The committee first approved the February 4 minutes, then heard Senate Bill 1086, which would require AHCCCS contractors to reimburse non-contracting providers for certain lab services when a member was referred by a contracting provider and would bar prior authorization for diagnostic services. The sponsor said the bill was intended to address unpaid claims and improve access, while Access testified neutral but warned the prior-authorization ban could increase utilization and create a fiscal impact. The committee adopted the Warner amendment limiting non-contracting reimbursement rates to no more than contracting rates, then passed SB 1086 as amended on a 4-2 vote. The committee then took up Senate Bill 1611, an emergency measure to require Access to contract with an administrative services organization for the American Indian Health Plan, while keeping Access ultimately responsible for administration. The chair’s amendment expanded ASO duties to include provider support, quality improvement, and data analytics, removed Access claims-payment authority, added tribal observers to the selection committee, and exempted IHS and tribal-facility services. The sponsor and tribal witnesses described the bill as a response to fraud, provider nonpayment, and harm to Native communities, while Access raised concerns about the fast timeline, tribal consultation requirements, possible duplication of program-integrity functions, and fiscal uncertainty. After debate over the emergency clause and tribal consultation, the committee adopted the amendment and passed SB 1611 as amended on a 5-2 vote. The committee also heard Senate Bill 1630, which would direct Access to seek federal approval for a Medicaid home- and community-based services program for adults with serious mental illness. Supporters said the bill would create a long-term community-care option for the sickest SMI members, reduce cycling through hospitals, jails, and homelessness, and potentially save state general fund dollars; family members and advocates testified in support. Access was neutral and said it was finalizing a fiscal estimate. The Angus amendment narrowed eligibility to long-term SMI, reduced the enrollment cap from 500 to 250, changed reporting to semiannual, and removed priority-order language; the committee adopted the amendment and passed SB 1630 as amended unanimously. Later, the committee passed Senate Bill 1193, which protects emergency medical care technicians’ personal identifying information from sale or disclosure by the Department of Health Services, after adopting a clarifying amendment expanding the protected information and addressing commercial requests. It then heard Senate Bill 1318, which repeals the state’s separate dense-breast notification requirement so Arizona law aligns with the FDA’s newer mammography notice standard; the sponsor and DHS said the change would reduce confusion from duplicate, slightly different notices, and the bill was moving forward with discussion of possible future amendment language.

Transcript Highlights:

• An in-network provider accepting patients.
• Patients with means would resort to paying out of pocket for care, and patients without means, who are
• Patients with means would resort to paying out of pocket for care, and patients without means, who are
• Instead, sometimes patients are forced to wait hours and even days to get these patients the care they
• It will help the backlog of patients that has caused delays in patient care.

Summary: The Assembly Health Committee heard a long series of health-related bills, with most measures focused on access to care, administrative simplification, and behavioral health. Early items included AB 583, allowing nurse practitioners to sign death certificates; AB 492, requiring DHCS to notify local governments when new alcohol or drug recovery facilities are licensed; and AB 280, which would tighten provider directory accuracy requirements, add enforcement benchmarks, and allow use of a centralized database. Testimony on AB 280 highlighted the harms of “ghost networks,” while insurers and some provider groups opposed the bill as written, arguing it placed too much responsibility on plans and did not fully address provider-side data problems. AB 280 passed on a roll call vote, and several other bills were placed on consent and approved. The committee also advanced AB 636, expanding Medi-Cal coverage for medically necessary diapers for children up to age 21 and lowering the age threshold for access; AB 1041, streamlining physician credentialing with a uniform form and 90-day review deadline; and AB 787, requiring health plans to help enrollees find in-network providers quickly when directories fail. Supporters of these bills emphasized family financial strain, delays in care, and the burden of administrative red tape, while opponents of AB 1041 and AB 280 raised concerns about provider participation, accuracy, and liability. All three measures were approved and sent to Appropriations. The committee then took up AB 4 and AB 29. AB 4 would allow income-eligible Californians to buy Covered California coverage regardless of immigration status, and AB 29 would authorize Medi-Cal reimbursement for community health workers and doulas conducting ACE screenings. Both bills drew strong support from immigrant-rights, health access, and community-based organizations, and both passed on roll call votes, with AB 4 receiving some no votes. The committee also approved AB 416, which would allow emergency physicians to place 5150 holds in certain circumstances; supporters said it would reduce delays and overcrowding in emergency departments, while Disability Rights California and others warned it could increase unnecessary involuntary hospitalization and transfers to locked facilities. Despite those concerns, the bill passed and was sent onward for further consideration.

Transcript Highlights:

• administrative costs for providers, and uses a proven fair national standard and maintains strong patient
• contracts with an insurer of choice, this forces them to get to a resolution without putting the patient
• I'm assuming it would be the patient or the consumer.
• I'm assuming it would be the patient or the consumer.
• This is for out-of-network claims, mainly in emergency situations, when a patient has something come

Bills: S0158 , S0314 , S0618 , S0684 , S0838 , S0990 , S1000 , S1082 , S1452 , S1494 , S1500 , S1568 , S1706

Committee: Senate Banking and Insurance

Summary: The Banking and Insurance Committee heard and advanced a wide range of insurance, financial services, and probate bills. Early in the meeting, SB 1000 on trust fund interest for attorney trust accounts was explained as setting a floor and ceiling tied to the Wall Street Journal prime rate and was reported favorably. The committee then took up CS/SB 1082 on a statewide provider and health plan claim dispute resolution program for emergency out-of-network claims. After extensive discussion about the relationship between the state and federal No Surprises Act processes, an amendment was withdrawn due to concerns about clarity and scope, but the bill itself was supported by providers and insurers and was reported favorably. The committee also approved SB 684 on electronic signatures for total loss vehicles and vessels, CS/SB 158 on pet insurance consumer disclosures and agent education, SB 1494 expanding breast cancer screening coverage, CS/SB 314 on digital assets and stablecoin issuers, and CS/SB 1500 on uncontested probate procedures and small-estate administration. SB 618 on workers’ compensation insurance was amended to raise the consent-to-rate cap for workers’ compensation policies from 10% to 20% and then reported favorably, with supporters saying it would help keep higher-risk employers in the voluntary market. CS/SB 1568 creating a Florida Stablecoin Pilot Program was amended to remove authority for a Florida coin and limit the program to existing stablecoins, then passed. Later, the committee approved CS/SB 838 on electronic payment convenience fees for retail installment contracts, with the sponsor emphasizing that a fee-free payment option must still be offered. SB 1452, the Department of Financial Services agency bill, was amended and reported favorably; it covered My Safe Florida Home administration, insurance and licensing changes, unclaimed property updates, and other DFS-related provisions. The committee also passed SB 1706 on the My Safe Florida Condominium Pilot Program, targeting owner-occupied condominiums at or below 80% of area median income, and SB 990 on protected cell captive insurance companies, which supporters said would modernize Florida’s captive insurance laws and encourage more competition. The meeting ended with all listed bills reported favorably and the committee adjourned.

Transcript Highlights:

• The first portion amends Florida's Patients Bill of Rights to provide that a patient shall not be denied
• I would prefer not to do that at this moment in time.
• Does a patient representative have to be a lawyer?
• It is as if they have all of the authority of that patient.
• , but a patient is actually defined as a client in 408.

Summary: The Senate opened with prayer, the Pledge of Allegiance, and several recognitions, including interns, Denim Day awareness, and a resolution honoring Vietnam veterans exposed to Agent Orange. Senators also paid tribute to former Senator Karen Johnson Gendron with a moment of silence. The chamber then moved to special-order bills after routine announcements that no committee reports, governor’s messages, or House messages were on the desk. The first major bill, SB 138/HB 687 on transportation offenses involving death, increased penalties for repeat DUI/BUI manslaughter and vehicular homicide offenses and added warnings and misdemeanor penalties for refusing lawful breath or urine tests. After a brief amendment and questions about attorney rights and prior impairing-substance language, the bill passed 37-0. SB 306 on Medicaid providers followed, requiring broader provider access, including after-hours availability and more primary care access for Medicaid enrollees; it also passed 37-0. The chamber then took up the major condominium reform bill, SB 1742/HB 913, addressing post-Surfside safety, reserve funding, milestone inspections, budgeting, reserve flexibility, manager regulation, conflicts of interest, and condo sale rescission periods. Senators from both parties praised the sponsors for extensive stakeholder work and the bill passed 37-0 after multiple amendments. The final major item was SB 7016/HB 1205 on constitutional amendments and petition-gathering rules, with sponsors arguing the bill was needed to combat fraud in the 2024 petition process and opponents warning it would burden citizen initiatives. The Senate adopted the House bill and then considered numerous amendments on petition circulator rules, submission deadlines, invalid-signature thresholds, voter notification, and related enforcement provisions; several amendments were adopted, and the substitute was later withdrawn, leaving the chamber to continue on the underlying bill and remaining amendments.

Transcript Highlights:

• 768.21, subsection 8, contains exceptions that prohibit certain parents and children of a deceased patient
• I'd prefer the bill to pass as clean as possible without any amendment because I know the House has a
• I'd prefer the bill to pass as clean as possible without any amendment because I know the House has a
• The medical professionals should know the patient and not rush just to give any medication.
• The doctors who commit to stay are being left to care for more patients in a shorter period of time.

Committee: Senate Rules

Summary: The Committee on Rules met with a quorum and heard extensive debate on SB 734, which would repeal Florida’s wrongful-death medical malpractice exception that bars certain adult children and parents from recovering noneconomic damages. Senator Yarborough presented the bill as a fairness and accountability measure, while many family members testified in support, describing deaths they believed were caused by medical negligence and arguing the current law denies equal justice. Opponents, including physician and insurer representatives, warned the bill could increase malpractice exposure, premiums, defensive medicine, and physician shortages. The committee also considered two late-filed amendments: Senator Burton’s amendment would make Department of Health investigative findings admissible in court, and Senator Martin’s amendment to that amendment would broaden admissibility/discoverability to additional disciplinary and prior-adverse-incident records and insurance coverage facts. After debate, the Martin amendment was adopted, but the Burton amendment as amended failed on a roll call vote. The committee then reported SB 734 favorably without the amendment. The committee next unanimously reported CS for SB 86 favorably. That bill, by Senator Burgess, expands peer support protections for first responders to include support personnel; there was little debate and several law-enforcement-related organizations indicated support. The committee also took up SB 316 on series limited liability companies. Senator Berman explained that the bill creates rules for series LLCs in Florida, and a late-filed amendment, requested by the Secretary of State, delayed implementation by one year. The amendment was adopted and the bill was reported favorably. Finally, the committee considered CS for CS for SB 384, which requires municipalities seeking to annex state-owned land to notify the relevant county legislative delegation when the first public hearing is advertised. Senator Burton presented the bill briefly, there was no opposition or debate, and the committee proceeded to vote on the measure.

Transcript Highlights:

• And so it's a purely statistical question about what voters' preferences are.
• And so it's a purely statistical question about what voters' preferences are.
• voting preference?
• So thank you for being so patient.
• We have Maria Fernandez, executive director, So thank you for being so patient.

Summary: The committee held a work session on voting rights in the United States and Washington, beginning with testimony from Marissa Wright of Campaign Legal Center and David Montes of the ACLU of Washington. They described the federal Voting Rights Act’s main protections—preclearance, vote suppression, and vote dilution—and argued that Supreme Court decisions such as Shelby County v. Holder and Brnovich have weakened those tools. They said Washington should consider stronger state-level protections, including a preclearance program and broader safeguards against discriminatory voting practices. Members asked about Washington’s history of discrimination, voter roll purges, noncitizen registration, and remedies under the Washington Voting Rights Act, including ranked-choice voting and district-based systems. The committee then heard from the Office of Equity and several commissions, which described their roles in advising state government and working with communities. They focused on the immigration sub-cabinet created under Executive Order 2509, saying it is intended to improve coordination across agencies, the legislature, the courts, and community organizations on issues such as data privacy, language access, health care, education, and accountability under the Keep Washington Working Act. Members asked about the use of NGOs, accountability for KWW violations, and the sub-cabinet’s goals, and the panel said the effort is meant to help government respond more quickly and collaboratively while centering immigrant, disability, LGBTQ, and other communities. The final panel was from the University of Washington Elections Database Project, which presented data on vote-by-mail ballot challenges, cures, and rejections from 2020 to 2024. They reported that about 1.5% of ballots are signature-challenged in most elections, roughly 60% of challenged ballots are cured, and overall rejection rates are about 1% in general elections and 1.5% in primaries. The researchers said voters of color, younger voters, and some tribal-area voters experience higher rejection rates, and that differences appear tied to signature mismatch, language access, ballot timing, and familiarity with the system. In the last panel, Maria Fernandez and Vicki Frausto of EIA described voter education and civic engagement work in Yakima County and Sunnyside, including concerns about intimidation, language barriers, signature mismatch, and at-large election systems; they said stronger Washington Voting Rights Act protections would help communities elect candidates of choice. No votes were taken during the work session.

Transcript Highlights:

• You are welcome, or if you prefer to... Okay. Okay. Great. Thank you. All right.
• So some rural areas have to do more air medical transports of critical patients.
• So some rural areas have to do more air medical transports of critical patients.
• So some rural areas have to do more air medical transports of critical patients.
• My son is a mental health patient. He has schizophrenia. He's here with us today.

Committee: Senate Rules

Summary: The Senate Committee on Rules convened with quorum and first approved several governor’s appointments not required to appear, including Courtney Welsh to the California Housing Partnership Corporation Board, Janessa Goldbeck to the California Veterans Board, and Tom Huntington to the State Parks and Recreation Commission, each by 3-0 vote. The committee also approved reference of bills to committees, the 2026 committee chair and membership appointments, the 2026 session schedule, the 2026 Senate holiday schedule, and floor acknowledgments, all by 4-0 votes. The committee then heard confirmation testimony from Hernando Garzon, M.D., nominated as Chief Medical Officer of the Emergency Medical Services Authority. Senators asked about EMSA’s strategic plan, data integration, local flexibility in statewide standards, ambulance patient offload regulations, stakeholder engagement, disaster response, rural access, and alternatives to transporting 9-1-1 callers to emergency departments. Garzon emphasized data-driven decision-making, technical assistance to local EMS agencies, collaboration with hospitals and providers, and the use of community paramedicine, telehealth, and pre-positioned resources in disasters. Public commenters and members supported his confirmation, and the committee approved the appointment 4-0 for referral to the full Senate. The committee also heard from Stephanie Weldon, nominated as Deputy Director of the Office of Health Equity at the Department of Public Health. She described her tribal background, prior state, county, tribal, and nonprofit experience, and her focus on serving communities facing health disparities. Senators questioned her about how the office sets priorities, measures outcomes, balances equity work amid political opposition to DEI language, and tailors technical assistance to rural and tribal communities. Weldon pointed to work on tribal consultation, behavioral health, youth mental health, the California Reducing Disparities Project, gender-affirming care, reproductive health, housing and climate-related supports, and community advisory boards. Numerous public witnesses, including tribal and health equity advocates, spoke in strong support, and the committee approved her appointment 4-0 for the full Senate.

Transcript Highlights:

• Minute patient encounter, they spent between 15 to 20 minutes with the patient and around 10 to 15 minutes
• issues with patients.
• Even after patient encounters.
• manage patient loads?
• I think the awful part of that is we put the patient in the middle, and it's so confusing for patients

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• Thank you very much for being so patient.
• Thank you very much for being so patient.
• Or you can pull the mic close to you, whatever you prefer.
• Of patients and providers.
• So this bill allows the Attorney General to know that health care and patient privacy or patient safety

Summary: The committee heard testimony on several public safety bills, with most of the discussion focused on AB 1650, AB 2014, AB 1886, AB 2126, AB 2624, and AB 2257. AB 1650 would require clearer identification on privately owned vehicles rented or leased to government agencies for enforcement operations; supporters framed it as a transparency and safety measure in response to ICE activity, while no opposition testified. AB 2014 would allow post-conviction habeas relief where gender bias or stereotypes were used at trial and may have affected the outcome; supporters described cases involving sexist and anti-LGBTQ stereotypes, while the California District Attorneys Association opposed the bill as overbroad and likely to restrict relevant evidence, though the author said recent amendments removed the evidence-code provisions and left only the habeas remedy. AB 1886 would extend a 12-month probation presumption to youth in out-of-home placements and those discharged from secure youth treatment facilities; youth advocates supported it as a fairness and rehabilitation measure, while judges, probation officials, and district attorneys opposed it as undoing a recent compromise and limiting individualized decisions. AB 2126 would speed hiring of peer partners in child welfare by creating a narrow exemption process for certain foster-youth-related offenses; it drew broad support and no opposition. AB 2624 would expand the Safe at Home address-confidentiality program to immigrant service providers, employees, and volunteers; supporters cited threats, doxing, and harassment, while one journalist opposed it over possible effects on reporting, and the author and committee members said the bill preserves press protections and is narrowly aimed at threats and harassment. AB 2257 would restore county authority to create a separate corrections department to run jails instead of the sheriff; supporters argued it would improve accountability and address jail deaths and fiscal problems, while sheriffs opposed it as unnecessary and said sheriffs are already subject to oversight. The committee also noted several bills pulled by their authors and adopted a consent calendar of unrelated measures. Votes were not always taken immediately because the committee was waiting for a quorum, but AB 2624 was moved on a do-pass-as-amended motion to Appropriations and left on call, and the chair indicated support or favorable recommendations on several of the other measures.

Transcript Highlights:

• The dentist can move on more quickly to more patients.
• because the higher level trained people can move on to other patients.
• And so that office can hopefully see more patients. You will have to wait less time.
• The dentist is so involved in the root canal that they're already seeing that patient.
• Smith, the hygienist, to inject patients, and the dentist is never in the room.

Summary: The committee first approved the December 3 minutes, then heard a request from the Board of Clinical Laboratory Practice to amend its proposed rule on exempt test methods to add certain closed-system DNA/RNA tests, including rhinovirus. After testimony explaining that the board had considered late comments from BioMérieux and wanted the rule record to reflect that review, the committee agreed to a limited amendment and passed the motion unanimously. The Department of Agriculture then outlined broad rule updates affecting dairy, eggs, poultry, pesticides, animal health, environmental mitigation, and the Egg Product Utilization Commission. The commissioner said the changes mostly clarified existing requirements, updated references, and reduced some burdens, such as easing dairy hauler training/licensing timing and clarifying out-of-state grade A milk language. Members asked about dairy industry decline, the APUC scoring system, and the rationale for the milk-hauler and out-of-state milk provisions. The State Board of Dental Examiners presented extensive rule changes tied to recent legislation and workforce issues, including a new professional health program for dentists, expanded duties for assistants and hygienists, broader local anesthetic authority for hygienists, and fee increases to fund the program and cover administrative costs. Testimony from Dr. Edward May strongly supported the professional health program based on his own recovery experience. The committee also heard from Game and Fish on rules easing some guide/outfitter experience requirements, allowing electronic exams, and modifying boating safety equipment rules, with no public comment and no fiscal impact. Later, Health and Human Services received approval for an extension to update tattoo/body art rules and a separate motion to repeal an obsolete nurse aide training chapter. HHS also described nursing facility rule updates, lodging sanitation revisions, and related clarifications on licensing, safety, pest control, and fire requirements. The Department of Environmental Quality received an extension for septic-system installer rules, and also presented rules for above-ground storage tanks and water/wastewater operator certification, including new fees and third-party testing options. The Industrial Commission’s oil and gas division described multiple rule changes, some withdrawn after comments, including drilling unit flexibility, site stability, wildfire authority, and streamlined transport/reporting procedures. Finally, DPI began presenting several rule packages, including school construction loan limits, school bus standards, cooperative agreements, special education rules for public charter schools, and new math curriculum and intervention requirements.