Transcript Highlights:

• Importantly, it takes the Louisiana donor registry and changes it into a decision registry.
• So the registry will not only record whether you have said, yes, I would like to be a donor... ...Registry
• All of those will go into the new decision registry.
• So this forms a registry? So right now we have a registry, right?
• So this forms a registry? So right now we have a registry, right?

Committee: House Health and Welfare

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

Transcript Highlights:

• Cook relating to immunization data included and excluded from the immunization registry to health and
• Health and Human Services, Senate Bill 503 by Perry, relating to this establishment of an Electronic Registry
• eligibility of certain contract employees. to provide services to a public school and access to the registry
• Senate Bill 600 by West, relaying the petition are voluntary.

Bills: SJR36 , SB2 , SJR6 , SJR7 , SJR8 , SJR9 , SJR10 , SJR11 , SJR12 , SJR13 , SJR14 , SJR15 , SJR16 , SJR17 , SJR18 , SJR19 , SJR20 , SJR21 , SJR22 , SJR23 , SJR24 , SJR25 , SJR26 , SJR27 , SJR28 , SJR29 , SJR30 , SJR31 , SJR32 , SJR49 , SCR1 , SCR2 , SCR3 , SCR4 , SCR5 , SCR6 , SCR8 , SCR9 , SB9 , SB41 , SB42 , SB43 , SB44 , SB45 , SB46 , SB47 , SB48 , SB49 , SB50 , SB51 , SB52 , SB53 , SB54 , SB55 , SB56 , SB57 , SB58 , SB59 , SB60 , SB61 , SB62 , SB63 , SB64 , SB65 , SB66 , SB67 , SB68 , SB69 , SB70 , SB71 , SB72 , SB73 , SB74 , SB75 , SB76 , SB77 , SB78 , SB79 , SB80 , SB81 , SB82 , SB83 , SB84 , SB85 , SB86 , SB87 , SB88 , SB89 , SB90 , SB91 , SB92 , SB93 , SB94 , SB95 , SB96 , SB97 , SB98 , SB99 , SB100 , SB101 , SB102 , SB103 , SB104 , SB105 , SB106 , SB107 , SB108 , SB109 , SB110 , SB111 , SB112 , SB113 , SB114 , SB115 , SB116 , SB117 , SB118 , SB119 , SB120 , SB121 , SB122 , SB123 , SB124 , SB125 , SB126 , SB127 , SB128 , SB129 , SB130 , SB131 , SB132 , SB133 , SB134 , SB135 , SB136 , SB137 , SB138 , SB139 , SB140 , SB141 , SB142 , SB143 , SB144 , SB145 , SB146 , SB147 , SB148 , SB149 , SB150 , SB151 , SB152 , SB153 , SB154 , SB155 , SB156 , SB157 , SB158 , SB159 , SB160 , SB161 , SB162 , SB163 , SB164 , SB165 , SB166 , SB167 , SB168 , SB169 , SB170 , SB171 , SB172 , SB173 , SB174 , SB175 , SB176 , SB177 , SB178 , SB179 , SB180 , SB181 , SB182 , SB183 , SB184 , SB185 , SB186 , SB187 , SB188 , SB189 , SB190 , SB191 , SB192 , SB193 , SB194 , SB195 , SB196 , SB197 , SB198 , SB199 , SB200 , SB201 , SB202 , SB203 , SB204 , SB205 , SB206 , SB207 , SB208 , SB209 , SB210 , SB211 , SB212 , SB213 , SB214 , SB215 , SB216 , SB217 , SB218 , SB219 , SB220 , SB221 , SB222 , SB223 , SB224 , SB225 , SB226 , SB227 , SB228 , SB229 , SB230 , SB231 , SB232 , SB233 , SB234 , SB235 , SB236 , SB237 , SB238 , SB239 , SB240 , SB241 , SB242 , SB243 , SB244 , SB245 , SB246 , SB247 , SB248 , SB249 , SB250 , SB251 , SB252 , SB253 , SB254 , SB255 , SB256 , SB257 , SB258 , SB259 , SB260 , SB261 , SB262 , SB263 , SB264 , SB265 , SB266 , SB267 , SB268 , SB269 , SB270 , SB271 , SB272 , SB273 , SB274 , SB275 , SB276 , SB277 , SB278 , SB279 , SB280 , SB281 , SB282 , SB283 , SB284 , SB285 , SB286 , SB287 , SB288 , SB289 , SB290 , SB291 , SB292 , SB293 , SB294 , SB295 , SB296 , SB297 , SB298 , SB299 , SB300 , SB301 , SB302 , SB303 , SB304 , SB305 , SB306 , SB307 , SB308 , SB309 , SB310 , SB311 , SB312 , SB313 , SB314 , SB315 , SB316 , SB317 , SB318 , SB319 , SB320 , SB321 , SB322 , SB323 , SB324 , SB325 , SB326 , SB327 , SB328 , SB329 , SB330 , SB331 , SB332 , SB333 , SB334 , SB335 , SB336 , SB337 , SB338 , SB339 , SB340 , SB341 , SB342 , SB343 , SB344 , SB345 , SB346 , SB347 , SB348 , SB349 , SB350 , SB351 , SB352 , SB353 , SB354 , SB355 , SB356 , SB357 , SB358 , SB359 , SB360 , SB361 , SB362 , SB363 , SB364 , SB365 , SB366 , SB367 , SB368 , SB369 , SB370 , SB371 , SB372 , SB373 , SB374 , SB375 , SB376 , SB377 , SB378 , SB379 , SB380 , SB381 , SB382 , SB383 , SB384 , SB385 , SB386 , SB387 , SB388 , SB389 , SB390 , SB391 , SB392 , SB393 , SB394 , SB395 , SB396 , SB397 , SB398 , SB399 , SB400 , SB401 , SB402 , SB403 , SB404 , SB405 , SB406 , SB407 , SB408 , SB409 , SB410 , SB411 , SB412 , SB413 , SB414 , SB415 , SB416 , SB417 , SB418 , SB419 , SB420 , SB421 , SB422 , SB423 , SB424 , SB425 , SB426 , SB427 , SB428 , SB429 , SB430 , SB431 , SB432 , SB433 , SB434 , SB435 , SB436 , SB437 , SB438 , SB439 , SB440 , SB441 , SB442 , SB443 , SB444 , SB445 , SB446 , SB447 , SB448 , SB449 , SB450 , SB451 , SB452 , SB453 , SB454 , SB455 , SB456 , SB457 , SB458 , SB459 , SB460 , SB461 , SB462 , SB463 , SB464 , SB465 , SB466 , SB467 , SB468 , SB469 , SB470 , SB471 , SB472 , SB473 , SB474 , SB475 , SB476 , SB477 , SB478 , SB479 , SB480 , SB481 , SB482 , SB483 , SB484 , SB485 , SB486 , SB487 , SB488 , SB489 , SB490 , SB491 , SB492 , SB493 , SB494 , SB495 , SB496 , SB497 , SB498 , SB499 , SB500 , SB501 , SB502 , SB503 , SB504 , SB505 , SB506 , SB507 , SB508 , SB509 , SB510 , SB511 , SB512 , SB513 , SB514 , SB515 , SB516 , SB517 , SB518 , SB519 , SB520 , SB521 , SB522 , SB523 , SB524 , SB525 , SB526 , SB527 , SB528 , SB529 , SB530 , SB531 , SB532 , SB533 , SB534 , SB535 , SB536 , SB537 , SB538 , SB539 , SB540 , SB541 , SB542 , SB543 , SB544 , SB545 , SB546 , SB547 , SB548 , SB549 , SB550 , SB551 , SB552 , SB553 , SB554 , SB555 , SB556 , SB557 , SB558 , SB559 , SB560 , SB561 , SB562 , SB563 , SB564 , SB565 , SB566 , SB567 , SB568 , SB569 , SB570 , SB571 , SB572 , SB573 , SB574 , SB575 , SB576 , SB577 , SB578 , SB579 , SB580 , SB581 , SB582 , SB583 , SB584 , SB585 , SB586 , SB587 , SB588 , SB589 , SB590 , SB591 , SB592 , SB593 , SB594 , SB595 , SB596 , SB597 , SB598 , SB599 , SB600 , SB601 , SB602 , SB603 , SB604 , SB605 , SB606 , SB607 , SB608 , SB609 , SB610 , SB611 , SB612 , SB613 , SB614 , SB615 , SB616 , SB617 , SB618 , SB619 , SB620 , SB621 , SB622 , SB623 , SB624 , SB625 , SB626 , SB627 , SB628 , SB629 , SB630 , SB631 , SB632 , SB633 , SB634 , SB635 , SB636 , SB637 , SB638 , SB639 , SB640 , SB641 , SB642 , SB643 , SB644 , SB645 , SB646 , SB647 , SB648 , SB649 , SB650 , SB651 , SB652 , SB653 , SB654 , SB655 , SB656 , SB657 , SB658 , SB659 , SB660 , SB661 , SB662 , SB663 , SB664 , SB665 , SB666 , SB667 , SB668 , SB669 , SB670 , SB671 , SB672 , SB673 , SB674 , SB675 , SB676 , SB677 , SB678 , SB679 , SB680 , SB681 , SB682 , SB683 , SB684 , SB685 , SB686 , SB687 , SB688 , SB689 , SB690 , SB691 , SB692 , SB693 , SB694 , SB695 , SB696 , SB697 , SB699 , SB700 , SB1047 , SB1048 , SJR6 , SJR7 , SJR8 , SJR9 , SJR10 , SJR11 , SJR12 , SJR13 , SJR14 , SJR15 , SJR16 , SJR17 , SJR18 , SJR19 , SJR20 , SJR21 , SJR22 , SJR23 , SJR24 , SJR25 , SJR26 , SJR27 , SJR28 , SJR29 , SJR30 , SJR31 , SJR32 , SJR49 , SCR1 , SCR2 , SCR3 , SCR4 , SCR5 , SCR6 , SCR8 , SCR9 , SB9 , SB41 , SB42 , SB43 , SB44 , SB45 , SB46 , SB47 , SB48 , SB49 , SB50 , SB51 , SB52 , SB53 , SB54 , SB55 , SB56 , SB57 , SB58 , SB59 , SB60 , SB61 , SB62 , SB63 , SB64 , SB65 , SB66 , SB67 , SB68 , SB69 , SB70 , SB71 , SB72 , SB73 , SB74 , SB75 , SB76 , SB77 , SB78 , SB79 , SB80 , SB81 , SB82 , SB83 , SB84 , SB85 , SB86 , SB87 , SB88 , SB89 , SB90 , SB91 , SB92 , SB93 , SB94 , SB95 , SB96 , SB97 , SB98 , SB99 , SB100 , SB101 , SB102 , SB103 , SB104 , SB105 , SB106 , SB107 , SB108 , SB109 , SB110 , SB111 , SB112 , SB113 , SB114 , SB115 , SB116 , SB117 , SB118 , SB119 , SB120 , SB121 , SB122 , SB123 , SB124 , SB125 , SB126 , SB127 , SB128 , SB129 , SB130 , SB131 , SB132 , SB133 , SB134 , SB135 , SB136 , SB137 , SB138 , SB139 , SB140 , SB141 , SB142 , SB143 , SB144 , SB145 , SB146 , SB147 , SB148 , SB149 , SB150 , SB151 , SB152 , SB153 , SB154 , SB155 , SB156 , SB157 , SB158 , SB159 , SB160 , SB161 , SB162 , SB163 , SB164 , SB165 , SB166 , SB167 , SB168 , SB169 , SB170 , SB171 , SB172 , SB173 , SB174 , SB175 , SB176 , SB177 , SB178 , SB179 , SB180 , SB181 , SB182 , SB183 , SB184 , SB185 , SB186 , SB187 , SB188 , SB189 , SB190 , SB191 , SB192 , SB193 , SB194 , SB195 , SB196 , SB197 , SB198 , SB199 , SB200 , SB201 , SB202 , SB203 , SB204 , SB205 , SB206 , SB207 , SB208 , SB209 , SB210 , SB211 , SB212 , SB213 , SB214 , SB215 , SB216 , SB217 , SB218 , SB219 , SB220 , SB221 , SB222 , SB223 , SB224 , SB225 , SB226 , SB227 , SB228 , SB229 , SB230 , SB231 , SB232 , SB233 , SB234 , SB235 , SB236 , SB237 , SB238 , SB239 , SB240 , SB241 , SB242 , SB243 , SB244 , SB245 , SB246 , SB247 , SB248 , SB249 , SB250 , SB251 , SB252 , SB253 , SB254 , SB255 , SB256 , SB257 , SB258 , SB259 , SB260 , SB261 , SB262 , SB263 , SB264 , SB265 , SB266 , SB267 , SB268 , SB269 , SB270 , SB271 , SB272 , SB273 , SB274 , SB275 , SB276 , SB277 , SB278 , SB279 , SB280 , SB281 , SB282 , SB283 , SB284 , SB285 , SB286 , SB287 , SB288 , SB289 , SB290 , SB291 , SB292 , SB293 , SB294 , SB295 , SB296 , SB297 , SB298 , SB299 , SB300 , SB301 , SB302 , SB303 , SB304 , SB305 , SB306 , SB307 , SB308 , SB309 , SB310 , SB311 , SB312 , SB313 , SB314 , SB315 , SB316 , SB317 , SB318 , SB319 , SB320 , SB321 , SB322 , SB323 , SB324 , SB325 , SB326 , SB327 , SB328 , SB329 , SB330 , SB331 , SB332 , SB333 , SB334 , SB335 , SB336 , SB337 , SB338 , SB339 , SB340 , SB341 , SB342 , SB343 , SB344 , SB345 , SB346 , SB347 , SB348 , SB349 , SB350 , SB351 , SB352 , SB353 , SB354 , SB355 , SB356 , SB357 , SB358 , SB359 , SB360 , SB361 , SB362 , SB363 , SB364 , SB365 , SB366 , SB367 , SB368 , SB369 , SB370 , SB371 , SB372 , SB373 , SB374 , SB375 , SB376 , SB377 , SB378 , SB379 , SB380 , SB381 , SB382 , SB383 , SB384 , SB385 , SB386 , SB387 , SB388 , SB389 , SB390 , SB391 , SB392 , SB393 , SB394 , SB395 , SB396 , SB397 , SB398 , SB399 , SB400 , SB401 , SB402 , SB403 , SB404 , SB405 , SB406 , SB407 , SB408 , SB409 , SB410 , SB411 , SB412 , SB413 , SB414 , SB415 , SB416 , SB417 , SB418 , SB419 , SB420 , SB421 , SB422 , SB423 , SB424 , SB425 , SB426 , SB427 , SB428 , SB429 , SB430 , SB431 , SB432 , SB433 , SB434 , SB435 , SB436 , SB437 , SB438 , SB439 , SB440 , SB441 , SB442 , SB443 , SB444 , SB445 , SB446 , SB447 , SB448 , SB449 , SB450 , SB451 , SB452 , SB453 , SB454 , SB455 , SB456 , SB457 , SB458 , SB459 , SB460 , SB461 , SB462 , SB463 , SB464 , SB465 , SB466 , SB467 , SB468 , SB469 , SB470 , SB471 , SB472 , SB473 , SB474 , SB475 , SB476 , SB477 , SB478 , SB479 , SB480 , SB481 , SB482 , SB483 , SB484 , SB485 , SB486 , SB487 , SB488 , SB489 , SB490 , SB491 , SB492 , SB493 , SB494 , SB495 , SB496 , SB497 , SB498 , SB499 , SB500 , SB501 , SB502 , SB503 , SB504 , SB505 , SB506 , SB507 , SB508 , SB509 , SB510 , SB511 , SB512 , SB513 , SB514 , SB515 , SB516 , SB517 , SB518 , SB519 , SB520 , SB521 , SB522 , SB523 , SB524 , SB525 , SB526 , SB527 , SB528 , SB529 , SB530 , SB531 , SB532 , SB533 , SB534 , SB535 , SB536 , SB537 , SB538 , SB539 , SB540 , SB541 , SB542 , SB543 , SB544 , SB545 , SB546 , SB547 , SB548 , SB549 , SB550 , SB551 , SB552 , SB553 , SB554 , SB555 , SB556 , SB557 , SB558 , SB559 , SB560 , SB561 , SB562 , SB563 , SB564 , SB565 , SB566 , SB567 , SB568 , SB569 , SB570 , SB571 , SB572 , SB573 , SB574 , SB575 , SB576 , SB577 , SB578 , SB579 , SB580 , SB581 , SB582 , SB583 , SB584 , SB585 , SB586 , SB587 , SB588 , SB589 , SB590 , SB591 , SB592 , SB593 , SB594 , SB595 , SB596 , SB597 , SB598 , SB599 , SB600 , SB601 , SB602 , SB603 , SB604 , SB605 , SB606 , SB607 , SB608 , SB609 , SB610 , SB611 , SB612 , SB613 , SB614 , SB615 , SB616 , SB617 , SB618 , SB619 , SB620 , SB621 , SB622 , SB623 , SB624 , SB625 , SB626 , SB627 , SB628 , SB629 , SB630 , SB631 , SB632 , SB633 , SB634 , SB635 , SB636 , SB637 , SB638 , SB639 , SB640 , SB641 , SB642 , SB643 , SB644 , SB645 , SB646 , SB647 , SB648 , SB649 , SB650 , SB651 , SB652 , SB653 , SB654 , SB655 , SB656 , SB657 , SB658 , SB659 , SB660 , SB661 , SB662 , SB663 , SB664 , SB665 , SB666 , SB667 , SB668 , SB669 , SB670 , SB671 , SB672 , SB673 , SB674 , SB675 , SB676 , SB677 , SB678 , SB679 , SB680 , SB681 , SB682 , SB683 , SB684 , SB685 , SB686 , SB687 , SB688 , SB689 , SB690 , SB691 , SB692 , SB693 , SB694 , SB695 , SB696 , SB697 , SB699 , SB700 , SB1047 , SB1048

Transcript Highlights:

• Again, this is a completely voluntary program, and not entering into these agreements, to go back to
• </c> Again, this is a completely voluntary Again, this is a completely voluntary program.<00:24:29.679
• So, enforcement is simply sterilized or declared rather than verifying national registries.
• </c> breeder registry exemption. breeder registry exemption.
• </c> than verifying national registries. than verifying national registries.

Committee: House Judiciary & Hawaiian Affairs

Summary: The committee heard testimony on House Bill 1768, which would prohibit state and county law enforcement agencies and officials from entering into federal immigration-enforcement agreements under 8 U.S.C. 1357(g) and from assisting in certain immigration enforcement actions except in limited circumstances. The Office of the Public Defender, Hawaii Coalition for Immigrant Rights, the Legal Clinic, and the ACLU of Hawaiʻi all testified in strong support, arguing the bill would protect due process, reduce fear in immigrant communities, preserve trust in local police, and keep local resources focused on public safety. Testifiers said cooperation with immigration enforcement can chill court attendance, crime reporting, and cooperation with police, and they emphasized that the bill would not stop federal enforcement or affect other deputization agreements for environmental or other criminal matters. Committee members asked whether any 287(g) agreements currently exist in Hawaiʻi; testifiers said they were unaware of any and believed the bill would maintain the status quo. No vote was taken in the portion provided. The committee then took up House Bill 1548, which would reduce the maximum sentence for misdemeanors from one year to 364 days and allow people previously sentenced to one year to seek sentence modification. The Office of the Public Defender, Office of Hawaiian Affairs, the Legal Clinic, the Hawaii Coalition for Immigrant Rights, the ACLU of Hawaiʻi, and the William S. Richardson School of Law immigration clinic all supported the measure, saying the one-day change could prevent severe immigration consequences such as detention, removal, and bars to relief that can be triggered by a sentence of 365 days or more. Testifiers stressed that the bill would not change criminal liability or public safety, but would align Hawaiʻi law with similar reforms adopted in other states. Members questioned whether the change would affect citizens or create an automatic immigration process; witnesses responded that the issue is the federal immigration consequence tied to the maximum sentence, not actual time served, and that citizens would not face that consequence. The transcript ends during continued discussion of HB 1548, with no final vote shown.

Transcript Highlights:

• with fairness and equity in the sense that they require language that makes very clear that this is voluntary
• And so simple language that makes very clear that this is voluntary, these are important notices, and
• some concerns to make sure that when the person leasing from the apartment does understand it's voluntary
• if they're going through papers or there's not some sort of disclaimer that says this addendum is voluntary
• So as long as we can just make sure that the person signing it is fully aware that it's voluntary, I'll

Summary: The Housing, Agriculture and Tourism Subcommittee heard and advanced several bills. HB 615, allowing landlords to send required notices electronically with tenant written consent, was amended to allow either landlords or tenants to send messages electronically and passed favorably after testimony from legal aid and tenant advocates urging stronger opt-in, opt-out, and notice protections. HB 665, dealing with local government impact fees and development permits, would limit certain art-related impact fees, define “extraordinary circumstances,” and require more public process before fee increases; it passed after local government and industry testimony focused on refining the extraordinary-circumstances definition and concerns about public art funding. HB 365, a tenant protection bill for affordable housing units receiving public incentives, was amended to apply only to leases of 13 months or less and to take effect in July 2026; it passed with support from housing advocates and AARP and was described as preventing mid-lease rent increases while preserving renewal-time adjustments. HB 381, requiring issuance of addresses and parcel identification numbers within a set timeframe, was amended to extend the deadline to 20 business days and shift the fee consequence to the address fee rather than the building permit fee; it passed after discussion about delays affecting developers and local government responsibility.

Transcript Highlights:

• To afford his mortgage, my son shares his home with two roommates, both also on the registry and both
• But to your understanding and to my understanding, the Department of Public Safety manages a registry
• But to your understanding and to my understanding, the Department of Public Safety manages a registry
• For every other sex offender in the registry, we do know where they are. It can be verified.
• So the report that the woman was speaking of, where they had written the report, was voluntary.

Bills: HB2205 , HB2265 , HB2413 , HB2415 , HB2418 , HB2495 , HB2589 , HB2661 , HB2720 , HB2771 , HB2833 , HB2870

Committees: House Judiciary , House House Judiciary Committee of Reference

Keywords: criminal damage, trespassing, critical facilities, felony, Arizona Revised Statutes, sex offender, electronic monitoring, registration, public safety, youth protection, Kratom, narcotic drugs, regulation, labeling, public health, age restriction, consumer protection, appropriation, law enforcement, task forces

Transcript Highlights:

• general revenue is to support the ongoing annual maintenance of the reportable disease information registry
• Specific activities include maintaining the Central Registry of births, deaths, reports of fetal deaths
• , marriages and divorces, and the Putative Father Registry.
• The Time Critical Diagnosis program is a voluntary statewide program established to coordinate care for
• The Time Critical Diagnosis program is a voluntary statewide program established to coordinate care for

Committee: House Budget

Summary: The committee heard the Missouri Department of Health and Senior Services present its FY 2027 budget request, with Director Sarah Wilson and budget staff describing the department’s mission, major divisions, and the impact of federal funding shifts, especially the FMAP change that will shift costs to general revenue. Wilson emphasized prevention, public health infrastructure, workforce capacity, and data modernization, while several members praised the department’s responsiveness and cost-cutting efforts. The discussion repeatedly focused on lapses, excess authority, and the department’s stated practice of spending federal and other funds before general revenue where possible. Members asked detailed questions about local public health agency support, nutrition programs, rural health and primary care, newborn screening, the state public health lab, and the department’s use of flexibility and reallocations. There was extended discussion of substance use disorder funding: the department explained that some funding is being reduced in its own budget because transfer authority is being added for the Department of Mental Health and the Department of Corrections, while some other SUD-related lines are actual reductions. Members also questioned tobacco prevention and cessation cuts, maternal and infant health programs, fetal infant mortality review, and minority health initiatives, with staff explaining program purposes and noting that some reductions were tied to excess authority or to moving programs to other departments. The committee also reviewed specific operational items such as the Health Initiatives Fund transfer, debt offset escrow for loan repayment defaults, donated funds authority, emergency preparedness, environmental health, health informatics, HIV/STI/hepatitis services, local public health incentives, and the COVID/ARPA authority reductions. Several members requested follow-up information on vacancies, lapse trends, grant spending plans, and program details. No final vote or formal action was taken in the portion provided; the chair recessed briefly and the hearing continued with additional budget testimony.

Transcript Highlights:

• The sex offender registry that DPS is tasked with managing... Is not notified.
• The sex offender registry that DPS is tasked with managing is immense, unfortunately.
• there's a difference between what happens when it's in court versus probation, and the sex offender registry
• The proposed language encourages escalation to involuntary treatment rather than strengthening voluntary
• Courts are encouraged to renew or convert treatment orders when voluntary treatment may be appropriate

Bills: SB1095 , SB1127 , SB1170 , SB1208 , SB1211 , SB1237 , SB1239 , SB1240 , SB1243 , SB1244 , SB1259 , SB1283

Committee: Senate Judiciary and Elections

Keywords: gender transition, minors, irreversible surgery, health professionals, puberty-blocking drugs, medical procedures, prohibition, Arizona Revised Statutes, lifetime probation, early termination, criminal justice, supervised probation, sexual offenses, annual review hearing, community notification, aggravated harassment, lifetime injunction, victim protection, felony offenses, domestic violence

Transcript Highlights:

• The bill is intended to ensure that pregnancy decisions remain voluntary.
• The bill is intended to ensure that pregnancy decisions remain voluntary and free from coercion.
• representatives, been included in the types of hearings this bill mandates, he might still be on the registry
• . ...in the types of hearings this bill mandates, he might still be on the registry, and the public would

Bills: HB2043 , HB2046 , HB2126 , HB2131 , HB2132 , HB2133 , HB2223 , HB2265 , HB2411 , HB2666

Committee: Senate Judiciary and Elections

Keywords: felony murder, unborn child, homicide, Arizona Revised Statutes, life imprisonment, death penalty, education, funding, school districts, state aid, education reform, venue, employee conflict, superior court, legal proceedings, workplace disputes, weapons, explosives, trafficking, firearm regulations

Transcript Highlights:

• AB 829 creates the California Parkinson's Disease Research Fund and a voluntary tax contribution fund
• AB829 creates the California Parkinson's Disease Research Fund and voluntary tax contribution fund.
• demonstrated leadership in this field through the establishment of the California Parkinson's Disease Registry
• in 2018 and its expansion to the California Neurodegenerative Disease Registry in 2021.

Summary: The Assembly Committee on Revenue and Taxation met as a subcommittee and heard several bills, with members explaining that measures with significant fiscal impacts would be held for suspense or taken up later. AB 761 would let the Monterey-Salinas Transit District place a local sales tax measure on the ballot with approval from two-thirds of its board rather than needing approval from each member jurisdiction; supporters said it would preserve transit funding for veterans, seniors, and people with disabilities, while an opponent argued it would make it easier to raise a regressive tax. The bill was voted out 5-2 after being called for absent members. AB 1253, which would clarify property tax treatment for wildfire reconstruction beyond substantial equivalence, drew support from the Los Angeles County Assessor and the California Assessors Association but was sent to suspense. AB 8, dealing with hemp enforcement, intoxicating hemp products, and integration of hemp cannabinoids into the cannabis supply chain and tax system, drew strong support from cannabis operators and labor groups and opposition from small cultivators and public health advocates concerned about supply, tax revenue, and voter intent; it was also sent to suspense. The committee then heard AB 1138, a major expansion and modernization of the film and television tax credit program. Supporters, including entertainment unions, workers, studios, and local officials, said the bill would help keep production and jobs in California amid competition from other states and countries; opponents criticized it as picking winners and losers and argued broader business costs were the real problem. The bill was referred to suspense. AB 829, which would create a California Parkinson’s Disease Research Fund and voluntary tax contribution program to support research and services, received unanimous support from advocates and was approved 6-0 to Appropriations. AB 474 would exempt rental income from nonprofit home-sharing programs for low-income homeowners from state income tax and protect participants’ eligibility for certain benefits; supporters said it could help older adults age in place and address housing shortages, and the bill was sent to suspense after members asked for clarification on the fiscal estimate. The committee also heard AB 376, which would exempt wildfire settlement payments from state income tax for certain disaster survivors; supporters from rural counties said the money is meant to help victims rebuild and should not be taxed, and the bill was referred to suspense. Finally, AB 480 would allow developers using low-income housing tax credits to switch from allocated to certificated state credits after an award, with supporters saying it would maximize private investment and stretch housing dollars further; it too was sent to suspense. Throughout the hearing, members repeatedly emphasized the need to balance policy goals with fiscal impacts, and several bills were held or referred to suspense rather than voted out immediately.

Transcript Highlights:

• I've done traveler registry throughout California at other hospitals.
• system, so there's no real way to track certain issues if it's voluntary?
• But how, if it's a voluntary system, if we're not—how are we tracking?
• So, it is a voluntary certification, yes, it is voluntary. Okay.
• Out of that, approximately 1,700 are certified under the voluntary system.

Transcript Highlights:

• The registry that we had before was voluntary, but it was supportive, and there wasn't a strong regulatory
• And in addition to that, I think that a registry would help with the University of Hawaii, which has
• We need to understand this. the attempt to keep things voluntary and the attempt to keep things voluntary
• seem very voluntary and end up<01:02:30.640><c> becoming</c><01:02:31.040><c> less</c><01:02:31.359>
• </c><01:05:23.359><c> side</c> to and I appreciate the voluntary side to and I appreciate the voluntary

Bills: SB874 , SB2097 , SB2098 , SB2126 , SB2154 , SB2153 , SB2160 , SB2123 , SB2110

Committee: Senate Agriculture and Environment

Summary: The committee heard several agriculture-related bills. SB 874 on veterinary medicine would require veterinarians, upon a client’s request, to provide a written prescription for an animal patient in an existing veterinary client-patient relationship, allow Hawaii-licensed pharmacies to dispense those prescriptions, and authorize the Veterinary Medicine Board to set penalties. Testimony was overwhelmingly supportive, with supporters citing lower costs and consumer choice; the Hawaii Veterinary Medical Association said veterinarians already should be doing this and supported the bill if amended. One testifier in opposition argued the bill needed a conspicuous notice requirement so pet owners know they can request prescriptions. Committee members and the Department of Agriculture said they were not aware of widespread problems, and discussion focused on whether the measure was already consistent with current practice and whether amendments would address remaining concerns. The committee also heard SB 2097, which would create a climate-resilient food systems grant program in the Department of Agriculture and Biosecurity and appropriate funds. The department, Hawaii Farm Bureau, Hawaii Farmers Union, Hawaii Cattlemen’s Council, and others supported the bill, saying it could help farmers and ranchers invest in resilience, infrastructure, and technology. Several testifiers asked for clearer definitions, especially for terms like “food hubs” and “resilience hubs,” and suggested adding technical assistance and clearer eligibility criteria. The department explained the program was intended for shovel-ready projects in the middle of the supply chain, with a focus on farmers in a certain revenue range, and said it was modeled on a USDA program. SB 2098 would establish a clean plant program to produce and distribute disease-free plant material to growers, nurseries, and other producers. Testimony was supportive, emphasizing biosecurity, nursery industry needs, and preventing invasive species and crop disease. The department described the program as using tested clean stock, tissue culture facilities, and data collection to support future planting decisions, and estimated a two-year ramp-up. Members questioned whether the program duplicated existing work at CTR/other partners and whether data collection should be centralized, but the department said the effort would build on existing varieties and partnerships rather than overlap them. Finally, SB 2126 would create a conventional farming grant program for small and midsize conventional farmers. Supporters from the department, Hawaii Farm Bureau, and Hawaii Cattlemen’s Council said conventional agriculture deserves support and that the bill would help increase food production. Opposition and comments focused on the bill’s exclusion of organic farmers; one farmer said the measure was unfair unless amended to include organic producers, while a Farmers Union witness said the bill was too vague about the grant’s purpose and should be clearer about its goals. In response to questions, the department said the exclusion of organic farming was not intentional and that the bill was meant to support all agriculture, though no vote or final action was taken in the excerpt provided.

Transcript Highlights:

• Those with past sexual offenses are subject to being listed on the public registry.
• Sadly, there's such a sex offender registry in Florida that you, your children, and grandchildren are
• only one accusation away from being on the sex offender registry.
• There are many people who are on the Florida Sex Offender Registry who were formerly homeless, who are
• Participation is completely voluntary, as per our current statutes.

Bills: S0212 , S0218 , S0442 , S0460 , S0532 , S0554 , S0644 , S0686 , S0692 , S1054 , S1106 , S1128 , S1134 , S1138 , S1338 , S1434 , S1506 , S1620 , S1748

Committee: Senate Judiciary

Summary: The committee first considered SB 1434 on infill redevelopment. A late-filed strike-all amendment narrowed eligibility criteria, including environmental and adjacency requirements, density and intensity limits, and exclusions for certain lands and military areas. The amendment was adopted without opposition, and the bill then passed favorably on an 8-0 vote, with testimony both for and against from advocacy groups. Members then heard several bills related to criminal justice, land use, and local government operations. SB 212 on sexual offenders and sexual predators was amended to add public swimming pools and related restricted-location provisions; the committee heard extensive opposition testimony arguing the bill lacked empirical support and could worsen homelessness and burden families, while supporters said it would reduce temptation and improve safety. The amended bill passed 8-1. SB 686 on agricultural enclaves also received a strike-all amendment clarifying development allowances near interstates and protected-area non-preemption; after opposition from a county Republican committee and support from housing and business groups, it passed 10-0. SB 554 updating nonprofit corporation law, SB 1338 on charitable giving and endowment restrictions, SB 532 on court fee retention by clerks, and SB 218 on land use regulations after hurricanes all passed favorably, each with little or no opposition. The committee also approved SB 692 on cybersecurity standards and liability after debate over whether the bill created enough compliance incentives and whether its liability presumption should apply retroactively; supporters said it would encourage adoption of cybersecurity frameworks, while opponents warned it could weaken local standards and create litigation issues. The bill passed 9-2. SB 1138 on qualified contractors was amended to preserve local government authority while allowing licensed professionals to conduct limited pre-application reviews, and it passed 11-0. Finally, SJR 1104 on religious expression in public schools passed 8-3 after extensive public testimony and debate, with supporters saying it would enshrine existing protections in the Constitution and opponents warning it would favor majority religions and increase bullying and litigation. The committee then took up SB 1106 on requiring state agencies and instructional materials to use “Judea and Samaria” instead of “West Bank,” with the sponsor arguing it reflected historical truth and opponents saying it erased Palestinian identity and inserted the state into an international naming dispute; the transcript ends during public testimony on that bill before any vote is shown.

Transcript Highlights:

• It creates a voluntary and free blue envelope program for drivers and passengers with ASD.
• This is a voluntary effort.
• This is a voluntary effort.
• And so, by allowing folks through a voluntary program established through the Registry of Motor Vehicles

Summary: The Senate took up several committee reports, resolutions, and House messages, then moved through a series of bills on the calendar. Early action included adopting a Ways and Means order on Senate Bill 2549, which promotes student learning and mental health, by substituting a new draft and setting amendment deadlines and a second reading date. The chamber also adopted congratulatory resolutions for the Sport Fish Restoration Program’s 75th anniversary and the Hawthorn Hotel’s 100th anniversary, and suspended rules on a sick leave bank petition for a trial court employee and on a House bill validating a special election in Hardwick, which was ordered to a third reading. The Senate also adopted a motion to adjourn in memory of Peter Hayden Lapin of Springfield, a veteran and former public servant. The Senate then considered Senate Bill 137, renaming and updating references in the General Laws to replace outdated and offensive terms regarding people with intellectual and developmental disabilities. Senators spoke at length in support of the bill, emphasizing respect, disability rights, and the work of advocates such as Melissa Riley and the Arc of Massachusetts. An amendment by Senator Creem replaced “hearing impaired” with “deaf or hard of hearing,” and a corrective amendment by Senator Lovely was also adopted. The bill was then passed to be engrossed by a unanimous 40-0 roll call. Next, the Senate considered Senate Bill 1034, which repeals archaic laws including sodomy-related provisions, the common nightwalker law, and the blasphemy statute, and creates a commission to review archaic laws going forward. Senators described the measure as a civil liberties and dignity issue, with particular attention to the misuse of the common nightwalker law against women and trans people and the historical injustice of blasphemy laws. Amendments were adopted to add the Supreme Court as a recipient of commission reports and to remove the crime of petite treason. The bill was then passed to be engrossed unanimously, 40-0. Finally, the Senate considered Senate Bill 2558, the “blue envelope” bill to improve interactions between police officers and people with autism spectrum disorder. Supporters said the voluntary program would help drivers and passengers with ASD during traffic stops and would be made permanent through the Registry of Motor Vehicles, with the State Police and advocacy groups involved. An amendment requiring in-service training by the Massachusetts Police Training Council was adopted, while a proposed yellow-dot amendment for older drivers with chronic illness was rejected 5-34. A Ways and Means amendment was then adopted, and the bill passed to be engrossed unanimously, 39-0. The Senate then adopted an order to meet again the following Monday at 11 a.m. and adjourned.

Transcript Highlights:

• HB 4730 by Hull, relating to the voluntary relinquishment of parental rights, adoption, and the regulation
• House Bill 3418 strengthens public safety by prohibiting those registered on the state sex offender registry
• Those registered on the state sex offender registry from working for a rideshare company such as Uber
• Well, it's a voluntary process.
• Speaker, members, Senate Bill 2776 amends the Human Resources Code to allow the voluntary disclosure

Bills: SB17 , SB1569 , SB2420 , HB5138 , HJR161 , HB1937 , HB3334 , HB5444 , HB5137 , HB361 , HB321 , HB5447 , HB464 , HB678 , HB2294 , HB4172 , HB3225 , HB1769 , HB5394 , HB1837 , HB1787 , HB2271 , HB2440 , HB5134 , HB5149 , HB2151 , HB2073 , HB2186 , HB2025 , HB1936 , HB1777 , HB1663 , HB 1306 , HB 1290 , HB1527 , HB4802 , HB3462 , HB2963 , HB2462 , HB2560 , HB644 , HB2725 , HB2621 , HB2588 , HB1443 , HB1403 , HB3032 , HB1557 , HB1664 , HB2811 , HB2088 , HB2598 , HB3062 , HB3134 , HB3940 , HB4027 , HB4097 , HB4862 , HB4170 , HB4157 , HB4205 , HB4279 , HB4377 , HB4838 , HB5424 , HB5294 , HB4870 , HB4763 , HB5639 , HB4112 , HB2275 , HB1677 , HB5014 , HB3848 , HB3797 , HB3727 , HB3709 , HB3177 , HB3057 , HB4176 , HB4202 , HB2180 , HB3528 , HB3658 , HCR76 , HCR127 , SB906 , SB1229 , SB855 , SB703 , SB1025 , SB888 , SB1119 , SB1080 , SB929 , SB1355 , SB2231 , SB1877 , SB1998 , SB552 , SB17 , SB1569 , SB2420 , HB2697 , HB3801 , HB3488 , HB3477 , HB3466 , HB3469 , HB2594 , HB2564 , HB2298 , HB5331 , HB5646 , HB5247 , HB5323 , HB4384 , HB3896 , HB4014 , HB3627 , HB3594 , HB2524 , HB510 , HB561 , HB 1181 , HB3963 , HB5111 , HB2785 , HB1661 , HB200 , HB1803 , HB249 , HB721 , HB851 , HB 1128 , HB1904 , HB30 , HB1916 , HB541 , HB5560 , HB3071 , HB5627 , HB5435 , HB2688 , HB3045 , HB3483 , HB4213 , HB4226 , HB783 , HB175 , HB4735 , HB5155 , HB5057 , HB4813 , HB5339 , HB5196 , HB5033 , HB3486 , HB4211 , HB74 , HB4730 , HB4743 , HB4463 , HB4139 , HB4752 , HB4486 , HB4437 , HB4426 , HB4396 , HB4263 , HB3487 , HB3418 , HB2266 , HB2229 , HB2189 , HB5224 , HB5195 , HB3947 , HB3358 , HB3370 , HB3745 , HB3697 , HB2001 , HB1968 , HB3371 , HB3909 , HB4944 , HB2284 , HB4506 , HB3317 , HB4166 , HB3913 , HB1768 , HB4603 , HB2494 , HB3099 , HJR138 , HB133 , HB3832 , HB1988 , HCR34 , HB3421 , HB3892 , HB5138 , HJR161 , HB1937 , HB3334 , HB5444 , HB5137 , HB361 , HB321 , HB5447 , HB464 , HB678 , HB2294 , HB4172 , HB3225 , HB1769 , HB5394 , HB1837 , HB1787 , HB2271 , HB2440 , HB5134 , HB5149 , HB2151 , HB2073 , HB2186 , HB2025 , HB1936 , HB1777 , HB1663 , HB 1306 , HB 1290 , HB1527 , HB4802 , HB3462 , HB2963 , HB2462 , HB2560 , HB644 , HB2725 , HB2621 , HB2588 , HB1443 , HB1403 , HB3032 , HB1557 , HB1664 , HB2811 , HB2088 , HB2598 , HB3062 , HB3134 , HB3940 , HB4027 , HB4097 , HB4862 , HB4170 , HB4157 , HB4205 , HB4279 , HB4377 , HB4838 , HB5424 , HB5294 , HB4870 , HB4763 , HB5639 , HB4112 , HB2275 , HB1677 , HB5014 , HB3848 , HB3797 , HB3727 , HB3709 , HB3177 , HB3057 , HB4176 , HB4202 , HB2180 , HB3528 , HB3658 , HCR76 , HCR127

Keywords: foreign ownership, real property, national security, criminal penalties, civil penalties, personal information, higher education, privacy protection, governing board, institutional security, software applications, mobile devices, age verification, parental consent, data protection, app store regulation, HJR 161, Texas constitutional amendment, voting rights, non-citizen voting

Summary: The House convened with a quorum, received the invocation and pledges, and heard several announcements and recognitions before moving into floor action. Members honored the University of Texas Rio Grande Valley chess team for winning a share of the 2025 President’s Cup, recognized educator Jessica Lopez, and paid memorial tribute to Jennifer Maddenly, along with recognitions for Jeanette Valdez Duran’s food pantry work, TAMACC’s 50th anniversary, and Bernardine Steptoe’s retirement from WFAA. The House also granted permission for committees to meet while the House was in session, set a local consent calendar, and suspended posting rules for a Public Health Committee hearing on SB 2721. The chamber then considered a long series of Senate and House bills, with many passing on record votes. Measures addressed local law enforcement authority (SB 906), veterans highway designation (SB 1229), foster care medical billing (SB 855), massage therapy trafficking safeguards (SB 703), tax ballot language (SB 1025), occupational licensing for people with convictions (SB 1080), lien deadlines (SB 929), liquor sales complaints (SB 1355), higher education application fee waivers (SB 2231), utility data access (SB 1877), pediatric preceptorships (SB 1998), and several House bills on bond forfeiture notice, health workforce coordination, indigent civil commitment representation, consumer transaction cancellations, bird dispersal rules, theft venue for digital property, military grant applications, AI cancer-detection grants, cybersecurity contract language, in-state tuition for military-related programs, utility capital recovery, energy waste advisory oversight, gas utility rate recovery, psychedelic therapy study, teacher retirement funding transparency, pension changes, tax payment plans, and voter registration security. Some measures drew notable debate or amendments, including HB 5247, where a ratepayer-credit amendment failed, and HB 2298, HB 4014, HB 510, HB 561, HB 1128, HB 1904, HB 30, HB 200, HB 3045, and HB 5111, which all passed after recorded votes with varying margins. A major point of contention was SB 2420, the app store age-verification bill, which prompted extended debate over whether the bill should also require app developers to verify users’ ages. Representative Bryant offered an amendment to preserve developer verification obligations, arguing the bill would otherwise shift responsibility away from app makers; the author opposed it, saying the bill’s approach was more workable and raised concerns about First Amendment issues. Multiple points of order were raised and withdrawn during the debate, and the amendment discussion remained unresolved in the excerpt. The House also postponed further consideration of SB 17, SB 552, and SB 2420 at different points, and recessed for lunch after completing a large block of third-reading votes.

Transcript Highlights:

• It also clarifies that POLST and pre-hospital DNR forms are entirely voluntary, and that care cannot
• program and sponsored several bills to improve access to POLST and develop a statewide electronic registry
• This is contrary to the standard that any advance care planning document must be voluntary.
• barely half of skilled nursing facility personnel correctly understood that the use of POLST is voluntary
• the California Emergency Medical Services Authority is currently developing a statewide electronic registry

Committee: Senate Health

Summary: The committee heard SB 1422, which would restore Medi-Cal access for income-eligible undocumented adults beginning January 1, 2027. Senator Durazo and county, labor, health, immigrant-rights, and provider supporters argued the current enrollment freeze shifts costs to counties and hospitals, worsens preventive care, and increases expensive emergency treatment. No opposition testified. Several senators voiced support but also raised concerns about funding and the need for new revenue sources; the chair said she supported the concept and would continue working on financing, but the bill was not voted on because quorum was lost. The committee also heard SB 1023 on PrEP access, SB 1071 on amending death certificates after a homicide finding, SB 1057 on conviction-history review for CNA and home health aide certification, and SB 1088 on advance care planning and POLST/DNR updates. SB 1023’s author and supporters said requiring pharmacy-benefit coverage for injectable PrEP would reduce administrative barriers and improve access, while health plans opposed it as an improper benefit-design mandate; members sought clarification about how the billing pathway would work. SB 1071 drew strong support from victims’ families, law enforcement, and prosecutors who said death certificates should reflect later legal homicide findings, while coroners opposed it as blurring medical and legal determinations and risking data integrity. SB 1057 was presented as a fair-chance workforce measure to expand caregiving jobs for rehabilitated people with records, with no opposition heard. SB 1088 would modernize POLST/DNR rules, including electronic signatures, out-of-state recognition, and clearer signer authority; supporters backed the changes, while clinical nurse specialists opposed the bill for not including them as authorized signers. After quorum was established, the committee took up SB 869, which would require large chain restaurants to display an added-sugar icon next to beverages exceeding half the daily recommended sugar limit. Senator Weber Pierson and supporters from the American Diabetes Association and American Heart Association framed the bill as a transparency measure to help consumers make informed choices and reduce chronic disease risk. The senator responded to opposition concerns by saying existing nutrition information is often hard to find and that the icon would not unduly crowd menus. The hearing continued with testimony on the bill after quorum was reached, but no final vote is reflected in the transcript excerpt.

Transcript Highlights:

• It also clarifies that POLST and prehospital DNR forms are entirely voluntary, and that care cannot be
• program and sponsored several bills to improve access to POLST and develop a statewide electronic registry
• This is contrary to the standard that any advance care planning document must be voluntary.
• barely half of skilled nursing facility personnel correctly understood that the use of POLST is voluntary
• the California Emergency Medical Services Authority is currently developing a statewide electronic registry

Committee: Senate Health

Transcript Highlights:

• um that is they put them into a registry um that is online<00:48:06.640><c> uh</c><00:48:06.800><c>
• And that's part of our registry management for future utilization.
• And again, this is uh voluntary<01:26:11.280><c> whereas</c><01:26:11.520><c> the</c><01:26:11.679><c
• > withhold</c><01:26:12.080><c> and</c> voluntary whereas the withhold and voluntary whereas the withhold
• This is a<01:26:14.880><c> voluntary</c><01:26:15.440><c> participation</c> a voluntary participation

Summary: The committee first handled roll call and approved the prior meeting minutes. Members discussed attendance and substitutions, then moved to the DHS commissioner’s update, which focused on New Hampshire’s Medicaid 1115 waiver and the new community re-entry initiative for people leaving correctional facilities. The presenter explained that the waiver lets the state cover certain services not normally covered under Medicaid, including substance use disorder treatment, serious mental illness services, adult dental benefits, and the new community re-entry component. She also noted that a separate youth re-entry component is federally required, with youth defined up to age 21 and foster-care-related coverage extending to age 26. The update described how the adult re-entry program works for incarcerated individuals with behavioral health needs, providing up to 45 days of pre-release services, care coordination with managed care organizations and DOC staff, telemedicine assessments, discharge prescriptions, insurance cards, and connections to community mental health, primary care, and substance use providers. For youth, the program includes more intensive case management, 30 days of pre-release services, and 30 days of post-release care coordination, with a stronger emphasis on screening, diagnosis, and holistic assessment. The presenter said New Hampshire received the adult waiver in July 2024, has implemented the program in state correctional facilities, and is beginning work at the youth center. Members and the presenter discussed why the program is structured as a waiver rather than a standard Medicaid benefit, with the explanation that CMS is allowing this as a newer policy area and that states generally pursue waivers for certain services. The chair and others emphasized the need for real cost and outcome data, and the presenter said an independent evaluator and evaluation plan are required under the 1115 waiver. Early results cited included 30 adults enrolled so far, 10 released, five youth enrolled with one released, and anecdotal early successes such as housing, employment, and better continuity of medication and treatment. The committee did not take any additional votes or formal actions beyond approving the minutes.

Transcript Highlights:

• Um it's<00:43:21.920><c> a</c><00:43:22.079><c> voluntary</c><00:43:22.640><c> tool</c><00:43:23.119>
• tool for DOT for the it's a voluntary tool for DOT for the right<00:43:25.040><c> situation.
• here, when it then went and grabbed the information from other vaccine registries in other states and
• It would have registry as one example.
• here, when it then from the registry here, when it then went<01:07:39.839><c> and</c><01:07:40.000><

Committee: House Executive Departments and Administration

Transcript Highlights:

• And next we have CS for HB 1445, Public Records for Parkinson's Disease Registry, by Representative Busatta
• creates a public record exemption for patient identifying information held in the Parkinson's disease registry
• Ranking Member Campbell: ...it exempts information in the Parkinson's disease registry, and I understand
• Ranking Member Campbell: ...guess my thing is what information - again, what info is on that registry
• public records exemption that is necessary to Representative Perrington: effectively implement the voluntary

Transcript Highlights:

• It might include voluntary map.
• H.293, an act related to health equity, data reporting, and registry disclosure requirements, to the
• , data an act related to health equity, data reporting<00:38:43.440><c> and</c><00:38:43.760><c> registry
• </c><00:38:44.400><c> disclosure</c> reporting and registry disclosure reporting and registry disclosure