Video & Transcript : 'medically necessary' :

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WA

Washington 2025-2026 Regular Session

House Health Care & Wellness Jan 14th, 2026

Transcript Highlights:
  • This bill takes a balanced and humane approach by preserving medically necessary care while protecting
  • Veterinary Medical Association.
  • It is no longer medically necessary.
  • , decrease the medication, increase the medication, increase the... ...animal needs to change their medication
  • , decrease the medication, increase the medication, run to CVS and get a new medication, and I'm unable
Summary: The committee heard public hearings on several health-related bills. House Bill 1904 would prohibit cat declawing except for therapeutic purposes, with staff explaining definitions, fines, recordkeeping, and reporting requirements. The prime sponsor and animal welfare advocates described declawing as cruel and linked it to pain and behavior problems, while the Washington State Veterinary Medical Association supported the substance of the bill but asked to remove the added reporting and disciplinary provisions as redundant and burdensome. House Bill 2211 would provide guidance for medically tailored meals under existing Medicaid-related nutrition supports, including standards for Washington-based nonprofit providers where possible, menu review, and nutrition requirements. The sponsor said it would clarify implementation without expanding the program, and supporters from meal providers, food distributors, and local farms said it would improve health outcomes, keep dollars local, and support Washington jobs and agriculture. House Bill 2329 would allow licensed midwives to delegate certain tasks to medical assistants and to supervise medical assistants, with the sponsor and birth center operators saying it would fix an omission in current law and help rural and under-resourced birth centers operate more efficiently. Supporters said it would improve staffing and financial stability, while the sponsor indicated the lactation consultant language would likely be removed because those consultants are not regulated by the Department of Health. The committee then returned to House Bill 1904 for additional testimony from humane organizations, veterinarians, shelter leaders, and local officials, all supporting a ban on declawing and emphasizing animal pain, shelter impacts, and available alternatives. House Bill 2247 would expand and clarify veterinary telehealth and veterinarian-client-patient relationship rules, allowing a VCPR to be established in certain telehealth circumstances and setting guardrails for consent, practice standards, and when in-person exams are still required. Supporters from shelters, animal welfare groups, mobile clinics, and veterinarians said telehealth would improve access in rural and underserved areas, reduce shelter intake, and help animals receive care sooner; the veterinary association supported the bill with amendments to clarify recordkeeping and access-to-care findings. House Bill 2339 would update nursing license terminology and processes for advanced registered nurse practitioners, including title changes, controlled substance rules for CRNAs, transcript submission, and interim permits. Nursing board and ARNP representatives supported the technical updates, while the hospital association and medical association raised concerns about title language for clinical nurse specialists and the deletion of a reference to the medical profession. Finally, House Bill 2106 would require health carriers to give 90 days’ notice of significant mid-contract payer modifications and provide the actual modification language, with the sponsor and hospital and provider representatives saying insurers are increasingly making unilateral changes that affect payment, services, and patient access. UW Medicine and a rural hospital district described examples where insurers changed imaging or preventive service coverage mid-contract, causing financial losses and forcing difficult choices about network participation. Carriers were noted as opposing the bill, while providers and facilities argued it would improve transparency and prevent one-sided contract changes that disrupt care.
CA

California 2025-2026 Regular Session

Assembly Judiciary Committee Apr 29th, 2025

Judiciary

Transcript Highlights:
  • A so-called medical... A so-called medical abortion is a gruesome two-step process.
  • AB 49 is necessary.
  • I wish this was not necessary.
  • I joined the Medical Board of California in 2020 and, prior to that, served the Oklahoma Medical Board
  • information between two medical providers.
Committee: House Judiciary
Summary: The committee heard several bills focused on reproductive access, child safety online, immigration enforcement in schools, privacy, reparations, and AI transparency. AB 54, AB 1137, AB 49, AB 82, AB 1355, AB 62, and AB 853 were all presented with testimony from authors, state agencies, advocates, and industry representatives. Supporters generally framed the measures as protecting access to care, shielding vulnerable communities, improving online safety for children, limiting government or commercial misuse of sensitive data, addressing historical harms, and increasing transparency around AI-generated content. Opponents raised concerns about safety, constitutional issues, implementation burdens, privacy, law enforcement access, and the impact on existing industry practices or state privacy law. AB 54 would protect medication abortion access and shield providers and others from liability related to transporting and administering abortion medication; it passed to Appropriations, with one no vote. AB 1137 would strengthen reporting and audit requirements for child sexual abuse material on social media platforms, allowing broader reporting and public third-party audits; it passed unanimously to Appropriations. AB 49 would restrict immigration enforcement activity at California public schools and require warrants and school approval before such actions on campus; it passed to Appropriations with one no vote and one member not voting. AB 82 would protect health data and expand Safe at Home and related confidentiality protections for gender-affirming care providers and patients; it passed to Appropriations. AB 1355, the California Location Privacy Act, would restrict collection, use, and sale of precise location data; after extensive debate over privacy, security, and law enforcement concerns, it passed as amended to Appropriations. AB 62, addressing restitution for families displaced by racially biased eminent domain, also passed to Appropriations. AB 853, requiring more provenance transparency for AI-generated and authentic content on platforms and devices, passed to Appropriations after discussion of technical feasibility and First Amendment concerns.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Health Care Financing Jun 21st, 2026 at 11:00 am

Joint Committee on Health Care Financing

Transcript Highlights:
  • necessary care, including but not limited to dental, vision, prescription drugs, long-term care, medical
  • Many carry significant medical debt.
  • And they've even built a booming medical tourism industry. That's right, medical tourism.
  • What these bills are proposing is an improved Medicare for All that would cover medically necessary services
  • I was at a point where I was avoiding necessary medical care and filling prescriptions because I didn't
Summary: The Joint Committee on Health Care Financing held a public hearing on 16 bills, with the chairs noting a busy legislative day and asking speakers to keep testimony brief. The committee first heard testimony on Senate 860/House 1405, the Medicare for All bill, with Sen. Jamie Eldridge and many advocates, clinicians, municipal officials, and patients arguing that a single-payer system would make care a right, reduce administrative waste, lower costs, and protect residents from rising premiums, medical debt, and hospital closures. Several speakers cited the Steward hospital crisis, affordability problems, and polling or ballot questions showing public support for single-payer coverage. No vote was taken during the hearing. The committee then took testimony on S. 863, a bill on non-opioid options for chronic pain. Pain specialists, patients, and advocates said the bill would improve care coordination for MassHealth members, expand access to non-opioid medications, require provider education, and collect data on chronic pain. Testifiers described long delays in diagnosis and treatment, stigma toward pain patients, and the need for multidisciplinary care and transportation support. Again, the committee heard testimony only and took no action. A large portion of the hearing focused on H. 1360/S. 869, which would prevent discrimination against people with disabilities in health care. Disability advocates, clinicians, and patients described being denied or delayed care, pressured into DNR orders, or treated based on assumptions about quality of life rather than medical facts. Speakers referenced COVID-era crisis standards of care, discriminatory metrics, and personal stories involving canceled procedures, inadequate accommodations, and poor treatment in hospitals. Committee members thanked speakers for their testimony and said they would review the bill and its implications, but no vote was announced. The committee also heard testimony on H. 1399, an individual Medicare marketplace option for municipal retirees, where supporters said it would give cities and towns a lower-cost alternative for retiree health benefits through HRAs and individual Medicare plans. The hearing then returned to Medicare for All testimony, with additional supporters repeating arguments about cost, access, municipal budget pressure, and the need for global budgeting and universal coverage. The transcript ends with continued testimony and no recorded committee vote or final action on any bill.
CA

California 2025-2026 Regular Session

Assembly Health Committee May 6th, 2025

Health

Transcript Highlights:
  • State law requires health plans to provide enrollees with medically necessary care within timely access
  • medical conditions.
  • allows for and mandates medically necessary care for all mental health and addiction care.
  • and allows for and mandates medically necessary care for all mental health. and allows for and mandates
  • medically necessary care for all mental health and addiction and that's really important because I think
Committee: House Health
Summary: The Assembly Health Committee held an informational hearing on Kaiser Permanente’s behavioral health care system, focusing on Department of Managed Health Care (DMHC) enforcement actions, Kaiser’s corrective action work plan, and member access to timely behavioral health services. DMHC officials reviewed a long history of deficiencies and enforcement, including a 2012 survey and fine, a 2017 settlement, a 2022 non-routine survey that found multiple deficiencies in Northern and Southern California, and a 2023 settlement that included a $50 million penalty and $150 million in required community investments over five years. Officials said Kaiser’s corrective action work plan was initially too vague, was revised after extensive meetings, and will be monitored through quarterly reports, ongoing surveys, complaint review, and possible additional enforcement if Kaiser fails to comply. Committee members pressed DMHC on what “timely access” means, how continuity of care should work in behavioral health, and how the department evaluates whether treatment is clinically appropriate. DMHC explained that appointments generally should be available within about two weeks for initial care, within days for urgent needs, and within 10 days for follow-up, with out-of-network care required when in-network access is unavailable. Officials also said the department looks at complaints, medical records, surveys, and annual timely-access reporting, and that the help center can assist enrollees in real time. Members raised concerns that the corrective action plan lacked specific dates and metrics, and DMHC said the quarterly reporting process is intended to provide more detail and flexibility as implementation continues. In the second panel, a Kaiser enrollee described delayed and inadequate care for his daughter after a suicide attempt, including long waits for follow-up, intensive outpatient treatment, and dialectical behavior therapy. A Kennedy Forum representative argued that stronger transparency, standardized reporting, and more aggressive corrective enforcement are needed, including out-of-network reimbursement when networks are inadequate. A Kaiser therapist and NUHW member testified that short appointment times, heavy caseloads, inappropriate referrals, and pressure to use group therapy or webinars undermine clinical care, while NUHW’s president said Kaiser systematically undervalues behavioral health compared with medical-surgical care, especially in Southern California, and urged legislative action. Several lawmakers echoed concerns about Kaiser’s absence from the hearing and asked about workforce shortages, regional disparities, and whether the state’s remedies are arriving too slowly to protect patients in real time.
KY
Transcript Highlights:
  • </c> help us understand why this is necessary help us understand why this is necessary um<00:03:41.280
  • </c> understand why audits are necessary understand why audits are necessary right<00:09:55.120><c> um
  • </c> able to prescribe it however necessary able to prescribe it however necessary as<00:46:06.400><c
  • </c><00:48:56.440><c> license</c> Kentucky Board of medical license Kentucky Board of medical license
  • </c> for your retail dollar your medical for your retail dollar your medical dollars<00:56:52.240><c>
Summary: The House Standing Committee on Health Services met with a quorum and took up House Bill 785, as amended by a committee substitute that combined language from HB 785 and HB 787. The bill was described as addressing Medicaid managed care organization (MCO) audits, provider contract notice and amendment procedures, mental health parity compliance, and related transparency requirements. Supporters said the measure would tighten notice to providers, limit repeated contract amendments and rate reductions, require more standardized audit procedures, and add reporting on Medicaid claims, appeals, and grievances. It also includes a provision requiring coverage of at least two evaluation-and-management billable services per physician per recipient per date of service, and a section addressing narcotic/opioid treatment program licensing and reimbursement language. Testimony in support came from Representative Kim Moore, John Inman of BrightView Health, Michelle Sandborne of the Children’s Alliance, and Kelly Cormic of RYSE. They argued that MCOs often use audits and recoupments in ways that are burdensome, opaque, and financially damaging to providers, especially smaller and rural ones. They cited examples of multiple audit requests in short timeframes, large record requests with short deadlines, delayed or absent feedback, and recoupments taken before appeals are resolved. They also said parity laws are not being consistently enforced and that the bill would give the Department of Insurance authority to suspend or revoke an MCO certificate of authority for willful or repeated parity violations. Committee members generally expressed support for provider protections and transparency, while asking for clarification on the narcotic treatment and E/M billing provisions. Tom Stevens of the Kentucky Association of Health Plans testified in opposition, saying the bill is complex to implement and should be handled through the broader Medicaid oversight work of House Bill 9, the MOAB. He said the issues raised were better suited for that bipartisan stakeholder process and noted the committee substitute had not yet been fully reviewed by his group. After discussion, the committee adopted the committee substitute and then moved to a vote on the bill; the roll call began, with several members recorded as voting yes, but the transcript cuts off before the final vote result is shown.
LA

Louisiana 2026 Regular Session

Labor and Industrial Relations Mar 26th, 2026

Labor & Industrial Relations

Transcript Highlights:
  • Not medical, it's just the initial payment.
  • Not medical, it's just the initial payment.
  • Not medical, it's just the initial payment.
  • medical opinions, and cutting-edge medical treatments do not have specific codes in the Medicare system
  • Well, some of these states don't have medical treatment guidelines.
Summary: The committee first took up House Bill 680 by Representative Weibel, which would modernize Louisiana’s workforce development system by consolidating strategy and administrative functions at the state level while preserving local input. After adopting two sets of technical amendments and a larger amendment package that added a transition advisory team, consultation requirements with local workforce partners, and other planning and governance changes, the committee heard extensive testimony from the author, the Secretary of Louisiana Works, parish and local workforce representatives, and a witness from Utah describing that state’s consolidation experience. Supporters said the bill would reduce overhead, direct more money to training and services, improve coordination, and better align workforce programs with regional labor needs, while several members pressed for assurances that local boards, parishes, cities, and small businesses would remain involved. The committee ultimately adopted the amendments and reported HB 680 favorably with amendments. The committee then heard House Bill 780 by Representative Furman, a workers’ compensation bill aimed at reducing litigation and speeding dispute resolution. After adopting technical amendments and a separate amendment set allowing authorized agents or attorneys to prepare certain notices, members also adopted a committee amendment deleting a statutory definition of “arbitrary and capricious” after concerns were raised that the language could create confusion or conflict with existing jurisprudence. The author and supporting attorneys argued the bill would restore an expedited preliminary determination process, create a single standard for attorney fees, and reduce costs for employers by limiting unnecessary litigation and delays. They said the changes would not affect an injured worker’s choice of physician or existing penalty provisions, and that the bill mainly addressed notice and dispute procedures. Opponents, including attorneys representing injured workers, argued the bill would make it harder for workers to recover penalties and attorney’s fees when benefits are delayed or denied, and said the new standard could favor insurers that are understaffed or slow to process claims. They also criticized the shift from reasonableness to a more restrictive standard and raised concerns about delayed payments and the lack of transparency around defense costs. After hearing testimony from both sides, the committee continued discussion of the bill with these issues still under consideration.
CA
Transcript Highlights:
  • information, including flagging negative medication interactions.
  • The 1.7% decrease is driven primarily by lower medication and medical out-of-pocket expenditures due
  • Angela Hill with the California Medical Association.
  • centers can provide, and not to draw from HIV medication and prevention funds.
  • LCHC. can't provide and not to draw from HIV medication and prevention funds.
Summary: The committee first heard May Revision child care and human services items. The Department of Child Support Services described two technical adjustments, which the analyst supported. The Department of Social Services then walked through child care proposals, including a reduction in federal and Proposition 64 funding absorbed through a shift from General Child Care to the Alternative Payment program, a 2.01% child care COLA, disaster-related infrastructure grants, a new administrative support cost structure for Alternative Payment agencies, the removal of prospective pay funding after a federal rule change, a reappropriation for existing infrastructure grants, and estimates of unspent child care funds. The Legislative Analyst’s Office recommended asking for more justification for shifting reductions to CAP, supported the COLA reduction but wanted consistency across programs, recommended removing prospective pay funding, opposed the administrative cost shift, and suggested further review of disaster grant alignment. Members pressed the administration on why more slots would be cut for the same savings, why the COLA was reduced, and whether the administrative percentage would grow over time. The administration said the changes were intended to avoid disrupting currently enrolled families, reflect point-in-time relinquishments and unspent funds, and stabilize contractor operations. Public commenters, including providers, advocates, and county representatives, urged full COLA funding, rejection of child care slot reductions, preservation of prospective pay, and continued investment in child care infrastructure and access. The subcommittee then recessed before moving to health items. In Part B, the Department of State Hospitals presented its May Revision proposals, including a central utility plant replacement project at Metropolitan State Hospital, funding for a continuum electronic health record system, reduced county bed billing authority to reflect phase-in of additional LPS beds, limited contract exemption authority for online clinical subscription services, reversion of prior-year unspent operating funds, and a workforce development proposal to use Behavioral Health Services Act funds instead of General Fund for training programs. The department said the EHR would modernize records and improve continuity of care, and that the contract exemption would prevent delays in essential clinical information services. No votes were taken in the excerpt provided.
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Thursday, December 18, 2025)

US Federal House Floor Meeting

Transcript Highlights:
  • H.R. 498 is an extreme attack on medically necessary health care for children.
  • HR498 is an extreme attack on medically<03:48:24.080><c> necessary</c><03:48:24.960><c> health</c><03
  • :48:25.199><c> care</c><03:48:25.439><c> for</c> medically necessary health care for medically necessary
  • their</c><03:48:37.040><c> own</c> medically necessary care with their own medically necessary care with
  • </c> access to essential and medically access to essential and medically necessary<03:53:20.720><c> care
TX

Texas 89th Regular

Appropriations - S/C on Article III Feb 25th, 2025

Appropriations - S/C on Article III

Transcript Highlights:
  • However, this request is not necessary. Please turn to page 13.
  • for graduate medical education was increased $5.9 million.
  • in the medical school, about 470.
  • In my testimony today, I'll be... on behalf of the Texas Medical Association and that's 59,000 medical
  • to keep up with the expansion in medical schools. both in number and in growth of the existing medical
CA
Transcript Highlights:
  • Traditionally have less medical professionals across the board.
  • I work at Emanuel Medical Center. I've been a respiratory therapist for 23 years.
  • George Sorries with the California Medical Association.
  • need for you to continue on to an ophthalmologist or other medical professional.
  • We fall under the Medical Board of California.
TX
Transcript Highlights:
  • of medical?
  • And in the medical area...
  • The bill can probably be modified to make those necessary tweaks to accommodate these medically fragile
  • Or medical purposes.
  • These changes were made in collaboration with necessary stakeholders such as the medical association.
NM
Transcript Highlights:
  • Certain medical conditions would be automatically presumed to be job-related for police officers.
  • It creates important and necessary presumptions under the act for our police officers.
  • employer to contest issues when it is absolutely necessary.
  • Hazen to address the medical and hearing portions. Madam Chair, up... Dr.
  • Hazen to address the medical and hearing portions.
Summary: The committee met with a quorum and took up its only bill, House Bill 132, which would create workers’ compensation presumptions for police officers for certain conditions, including noise-induced hearing loss/tinnitus, PTSD, and heart injury or stroke occurring within 24 hours of responding to or returning from a call or emergency. The sponsor described the bill as a bipartisan effort developed with input from workers’ compensation officials, PERA, and the Albuquerque Police Department, aimed at easing the burden on officers to prove causation while still allowing employers to rebut claims. An amendment was adopted first, refining definitions and adding language that preserves an officer’s ability to prove causation even when the presumption does not apply, and tying the heart/stroke presumption to the existence of a physical training program and medical screening requirements. Supporters included representatives of the Albuquerque Police Officers Association, the Workers’ Compensation Administration, New Mexico State Police, AFSCME/NMFL, and a workers’ compensation attorney. They argued the bill recognizes the cumulative physical and psychological toll of law enforcement, could improve treatment and retention, and would reduce disputes over causation while remaining balanced. One supporter asked the sponsor to consider changing the 20-year requirement tied to PTSD coverage so officers in smaller departments could access benefits earlier. Committee discussion focused on the amendment’s physical training and medical screening condition for the heart/stroke presumption, with questions about whether all departments have such programs and whether the language could limit coverage. Workers’ compensation staff testified that, from 2016 through 2025, there were 75 statewide claims potentially covered by the bill’s provisions before amendment, including about 20 hearing-loss claims, 11 heart-related claims, and about 44 mental-injury claims. A medical witness said research supports a correlation between law enforcement work and these conditions, though no New Mexico-specific study was available yet. After discussion, the committee voted to give House Bill 132, as amended, a do-pass recommendation, with no opposition recorded.
AZ

Arizona 2026 Regular Session

03/25/2026 - Senate Government

Government

Transcript Highlights:
  • I'm not necessary. Oh, well, do you feel it's necessary? No, I don't want to.
  • I'm not necessary. Oh, well, do you feel it's necessary? No, I don't want to.
  • body or what you medically put on your body.
  • It cannot mandate what you medically put into your body or what you medically put on your body.
  • Why do you think ESAs were necessary?
KY
Transcript Highlights:
  • , retirement, medical.
  • ,</c> we have the other benefits, medical, we have the other benefits, medical, retirement,<00:05:03.360
  • ><c> medical.
  • </c><00:05:09.600><c> pension</c> funding ratios of our medical pension funding ratios of our medical
  • </c> million necessary in order to fund that. million necessary in order to fund that.
Summary: The committee met to hear a presentation from Dr. Hicks on the governor’s recommended budget for the next biennium. He reviewed the revenue outlook, noting modest general fund growth, a large rainy day fund balance, and the impact of recent income tax reductions. He said the budget was built around recurring reductions, lower debt service and retirement contribution rates, and the use of excess restricted funds, while protecting K-12 education, Medicaid, postsecondary education, public safety, and pension obligations. Dr. Hicks outlined several major spending and reserve proposals, including $350 million from the Department of Insurance’s excess restricted funds to support Medicaid in the first year, $150 million for the affordable housing trust fund, $125 million for rural hospitals, $100 million to offset lost federal ACA premium tax credits, $75 million for utility assistance, and $50 million for food assistance. In education, the proposal included a phased pre-K for all plan funded by sports wagering tax revenue, a 3% annual salary increase for full-time school personnel, continued full funding of teacher pensions, a 2.5% annual increase in SEEK base funding, and additional support for career and technical education and school facilities. He also discussed Medicaid cost pressures, including higher managed care, pharmacy, behavioral health, and nursing facility costs, and explained the expected effects of federal HR1 changes on Kentucky’s Medicaid program. Those changes include work and community engagement requirements and more frequent eligibility redeterminations for expansion members, which the administration estimated would reduce enrollment by about 4,300 in the first year and 28,000 in the second year. No votes or formal committee actions were taken during the meeting, which was limited to the budget presentation and member questions.
MN

Minnesota 2025-2026 Regular Session

Committee on Finance - 04/24/25

Finance

Transcript Highlights:
  • </c> the forefront with our with our medical the forefront with our with our medical community.<00:21
  • </c><00:43:19.839><c> leave</c> to keep any paid family medical leave to keep any paid family medical
  • </c> jurisdiction over paid family medical jurisdiction over paid family medical leave?
  • So are there and medical leave.
  • </c> family medical leave is false. family medical leave is false.
Committee: Senate Finance
HI
Transcript Highlights:
  • </c> need for nourishment Essential Medical need for nourishment Essential Medical Care<00:31:11.279>
  • And we want to highlight the involuntary medical treatment panel is absolutely necessary to have three
  • We want to highlight the involuntary medical treatment panel is absolutely necessary to have three and
  • treatment panel is absolutely medical treatment panel is absolutely necessary<00:34:39.200><c> to</c
  • </c> therapies science and the medical therapies science and the medical community<01:16:38.760><c> are
Committee: House Health
Summary: The Committee on Health heard testimony on several bills. On SB 1441, which would repeal the transfer of the Oahu Regional Health Care System from HHSC to the Department of Health, the Department of Health said it strongly supports the measure and requested clarifying amendments. HHSC/Oahu Region also supported the bill and said it had no objection to the department’s amendments. In response to questions, witnesses said the agencies have been working on an MOU to support transfers of long-term care patients to Leahi, with the current goal being about 10 to 15 patients, but transfers would occur only as space and staffing allow; one patient was reportedly being admitted at the time, and the process was described as slow and case-by-case. The committee then heard SB 1443 on payment rates for state hospital patients and related Department of Health services. The hospital administrator said the bill would allow rates above Medicaid for community or foster-home placements if patients cannot be placed at Leahi or elsewhere, and would set Medicaid-level reimbursement for outside medical services used by state hospital patients. He said at least one provider was interested in offering services at that rate and that the population involved is largely non-ambulatory long-term care patients. Members asked about availability and training, and the witness said special training could be provided. SB 1322, a broad mental health bill, drew mixed testimony. The Department of Law Enforcement supported giving crisis-intervention-trained officers more discretion to transport people to medical care instead of arresting them. The Attorney General supported the bill but recommended revisions to emergency-transport language and restoring liability protections. HHSC and Queens Hospital supported the overall goal but sought amendments to preserve the mental health emergency worker role in decision-making and to avoid negative impacts on emergency departments. The Disability Rights Center and ACLU opposed parts of the bill, arguing that it weakens due process, reduces protections in involuntary treatment and transport, and should retain a three-person treatment panel rather than reduce it to one. A Queens representative said the current program works well and reported that more than 90% of MH1 cases once went to hospitals, but that figure has dropped to about 60-70%, with about 20% now diverted to community settings or the behavioral health crisis center. No votes or final committee actions were taken in the portion provided.
NH

New Hampshire 2025 Regular Session

Senate Health and Human Services (03/12/2025)

Health and Human Services

Transcript Highlights:
  • </c><00:11:20.959><c> as</c> prescribing controlled medications as prescribing controlled medications
  • um other types of medications um other types of medications<00:22:17.400><c> that</c><00:22:17.520><
  • </c> immediate and urgent need for medical immediate and urgent need for medical services<00:33:27.320
  • </c> facilities to get their their medication facilities to get their their medication medication<00:
  • </c> collected on a brand name medication collected on a brand name medication because<01:01:50.839><
LA

Louisiana 2026 Regular Session

Senate May 31st, 2026

Louisiana Senate Floor Meeting

Transcript Highlights:
  • necessary dental procedures.
  • create the Louisiana Medical Debt Protection Act.
  • life-saving necessary medical procedures.
  • , to acquire Medicaid coverage of FDA-approved weight-loss medication.
  • for a secondary medical exam.
Summary: The Senate met with 29 members present, heard a prayer and national anthem presentation, and approved the journal without objection. The chamber then received multiple messages from the House on conference committee reports and concurrence actions, and took up a long calendar of Senate resolutions and House/Senate bills returned from the House with amendments. Several resolutions were adopted without objection, including commendations and requests for reports or studies, while others were left over or returned to the calendar. The Senate concurred in or adopted amendments on a series of bills covering registrar compensation (SB 25), broadband administration and reimbursement (SB 80), school safety master key boxes (SB 132), dental coverage for cancer treatment (SB 155), paid parental leave for educators (SB 157), election supervisor compensation days (SB 202), water utility service line replacement funding (SB 228), weight management services through the Office of Group Benefits (SB 250), medical debt protection (SB 414), Medicaid coverage of weight-loss medication (SB 443), and design-build authority for vertiport facilities (SB 513). It also adopted a House concurrent resolution urging backup motors for the St. Claude Avenue Bridge (HCR 32). One bill, SB 479 on removal of certain judges, had its amendments rejected and was sent to conference. The chamber then considered conference committee reports on several measures. Reports were adopted on SB 312 (labor organization dues and fees), SB 208 (veterans services and VA-related restrictions), SB 382 (workers’ compensation advisory council and reimbursement schedule timing), SB 389 (agent and athlete registration and fee review), and multiple House bills including HB 359 (party primary qualifying rules), HB 368 (New Orleans historic preservation lien procedures), HB 468 (wholesale residential real estate definitions), HB 552 (DWI-related responsive verdict language), HB 732 (motor vehicle fines/fees and hybrids), HB 870 and HB 1236 (pharmacy benefit manager and insurance provisions), and HB 1117 (prescription period issues). HB 210 on retroactivity was also adopted after debate. Several conference reports were temporarily passed over or returned to the calendar, including HB 953, and the Senate adjourned to reconvene the next morning for final work.
WA

Washington 2025-2026 Regular Session

Senate Labor & Commerce Feb 20th, 2026

Transcript Highlights:
  • reducing duplication, enhancing government efficiency, and making sure that our industry has the necessary
  • That system is well established and widely understood as necessary.
  • The paid family and medical leave program provides partial wage replacement, and it's funded through
  • working as a HCA in the medical field to obtain those medical benefits for myself.
  • working as a HCA in the medical field to obtain those medical benefits for myself.
Summary: The committee heard testimony on House Bill 1347, which would streamline cannabis testing lab accreditation by requiring the Liquor and Cannabis Board to accept Department of Agriculture accreditation as the basis for initial certification under certain conditions and to reduce duplication between agencies. The prime sponsor and several industry witnesses said the bill is intended to clarify authority, improve efficiency, and preserve consumer safety, while LCB said it had no policy objection but wanted implementation concerns addressed. Several witnesses supported the concept but said an amendment was needed to clearly assign accreditation authority to WSDA and avoid overlapping requirements. The committee also heard and later took action on several bills. House Bill 2229 would update the Professional Engineers Registration Act by changing board membership rules, increasing pro tem members, and revising registration and exam provisions; the sponsor and board director said it modernizes qualifications without changing licensure standards. House Bill 2091 would require more complete employee contact information to be shared with exclusive bargaining representatives under the Personnel System Reform Act; union witnesses supported it and a policy witness opposed it as a privacy intrusion. Second Substitute House Bill 1128 would create a Child Care Workforce Standards Board to make recommendations on child care worker standards; supporters said it addresses workforce shortages and retention, while providers and associations argued it duplicates existing work and could lead to unfunded mandates. In executive action, the committee voted do pass on Substitute House Bills 2492, 2107, 2151, 2355, and Gross Substitute House Bill 2471, and sent them to Rules. It also voted do pass on Second Substitute House Bill 2105 and referred it to Ways and Means. Other bills heard included House Bill 1701 on shared liquor license premises, where a small business owner supported more flexible shared-space arrangements and LCB suggested amendments to prevent undue influence; House Bill 2264 on unemployment benefits for employer-initiated layoffs, which was supported as a clarification to protect workers who opt into reduction-in-force programs; Substitute House Bill 2472 on fire sprinkler work enforcement, supported by labor and industry witnesses; and Second Substitute House Bill 2345, which would adjust paid family and medical leave premium allocations to address IRS tax guidance, with broad support from labor, business, and the agency.
WA

Washington 2025-2026 Regular Session

Senate Ways & Means Feb 26th, 2026 at 01:30 pm

Ways & Means

Transcript Highlights:
  • medical costs, et cetera.
  • medical services.
  • medical services.
  • In Washington, emergency medical services use the Washington Emergency Medical Services Information System
  • In Washington, emergency medical services use the Washington Emergency Medical Services Information System
Committee: Senate Ways & Means