Transcript Highlights:

• trials when it comes to life-saving medicine?
• I'm going to do everything I can to make sure there are Native Americans in clinical trials.
• trial diversity?
• I'm sorry, to finalizing the congressionally mandated FDA guidance to increasing clinical trial diversity
• Patient groups and industry publications have criticized the slow pace of clinical trial design and enrollment

Committee: Senate Finance Committee

Transcript Highlights:

• Sixteen innovations have actually reached clinical trials, and partnership funding has led to seven innovations
• </c><00:36:58.839><c> trials</c><00:36:59.839><c> and</c> actually reached um clinical trials and actually
• reached um clinical trials and partnership<00:37:00.440><c> funding</c><00:37:00.760><c> has</c><00:
• In 2024, the FDA approved the first, um, investigational new, um, drug treatment in clinical trial, uh
• </c> they're employees and so mail CL Clinic they're employees and so mail CL Clinic just<00:59:14.880

Committee: Senate Higher Education

Transcript Highlights:

• Considered clinically stabilized in ongoing voluntary treatment, it must mean more.
• in treatment alone shall not consider someone clinically stabilized.
• in treatment alone shall not consider someone clinically stabilized.
• And thirdly, strikes the... ...shall not consider someone clinically stabilized.
• I'm a licensed clinical social worker from Grass Valley.

Committee: House Health

Summary: The committee heard several health-related bills. SB 27 by Senator Umberg would expand and clarify the CARE Court process, with amendments narrowing the new diagnosis category to bipolar I disorder with psychotic features, clarifying the “clinically stabilized” standard, and limiting the role of nurse practitioners and physician assistants. Supporters, including a psychiatrist, a family member, and several local and business groups, said the bill would help more people access needed services; opponents, including counties, disability rights, peer-run organizations, and consumer advocates, warned it would expand the program faster than counties can provide housing, staffing, and court-related services. The committee discussed capacity concerns at length, then passed SB 27 on a do pass motion to the Committee on Public Safety. SB 503 by Senator Weber Pearson would require AI used in health care facilities to be identified, monitored, and mitigated for bias when used in clinical decision-making or resource allocation. The author and supporters from Kaiser Permanente, the California Medical Association, hospitals, and psychiatrists said the bill would help prevent discriminatory outcomes and improve trust in AI tools. Committee members noted the need to clarify deployer and developer responsibilities and accepted amendments before voting. The bill passed as amended to the Privacy and Consumer Protection Committee. SB 68 by Senator Menjivar would require allergen disclosure on restaurant menus, with different requirements for larger chains and more flexible options for smaller restaurants. The bill was presented with emotional testimony from the author and a nine-year-old witness with severe food allergies, along with broad support from medical, nursing, parent, and allergy advocacy groups. The California Restaurant Association opposed the bill unless amended, seeking broader menu-format flexibility and additional liability language. After discussion of those concerns, the committee passed SB 68 as amended to Appropriations. SB 403 by Senator Blakespear would remove the sunset date from California’s End of Life Option Act, making the law permanent. Supporters, including a physician, a social worker, hospice professionals, and family members of terminally ill patients, described the law as a compassionate, carefully regulated option that has worked as intended. Faith-based and Catholic health organizations opposed the measure. The committee approved SB 403 and sent it to Judiciary. The hearing also included consent items, which were approved, and a vote change on SB 68 from no to aye by Senator Sanchez.

Transcript Highlights:

• 84% of the clinical participants are engaged in one of those 11 clinics.
• I volunteered at KCBA family law clinics for over 10 years. Upward of 75% of my cases...
• I had a trial recently in a case where my client, whose first language was not English.
• We used an interpreter for trial for 10 days. The GAL had issued a report.
• After a 10-day trial, the trial judge completely dismissed the GAL report and findings and actually made

Summary: The work session began with a discussion of expanding opportunities in the legal profession, especially in response to shortages of lawyers in rural Washington and in public service roles. Washington State Bar Executive Director Tara Nevitt described a slowly growing but aging attorney population, noted that younger attorneys have declined, and outlined efforts such as supervised practice pathways to bar admission, reduced admission-by-motion experience requirements, expanded law clerk capacity, rural job fairs and grants, and a pilot program allowing innovative legal service delivery models. Members asked about bar passage score changes, loan repayment assistance, and the former Limited License Legal Technician program; Nevitt said the bar is monitoring other states and remains in dialogue with the court about paraprofessional licensing. Law school representatives from UW, Seattle University, and Gonzaga emphasized public service pipelines, financial barriers, and rural legal deserts, citing LRAPs, scholarships, stipends, clinics, and hybrid or regional programs designed to recruit and retain students in Washington. Seattle U highlighted its FlexJD and hybrid hub partnerships in underserved areas, while Gonzaga and UW reported substantial shares of graduates entering public service, though most still cluster in urban regions. The committee also heard from the Washington Association of Prosecuting Attorneys and the Office of Public Defense, both of which described severe recruitment and retention problems in rural counties, with vacancies, low applicant pools, and the need for higher salaries, housing help, internships, and loan support. The Office of Public Defense said its internship and fellowship program, created by SB 5780, has already placed interns in rural counties and produced some commitments to return after graduation. The Washington State Bar’s law clerk program was also presented as a pathway that helps people train locally and remain in their communities, including by supporting succession for aging solo practitioners. The committee then shifted to family law and guardianship issues. On Title 26 guardian ad litem practice, presenters from Northwest Justice Project and private family law practice said GALs can play an important role but that training, oversight, and consistency remain major concerns, especially in domestic violence cases. They described problems such as inadequate training, bias, inconsistent recommendations, high fees, and lack of accountability, and suggested stronger, standardized training, more use of mental health professionals for custody evaluations, and better oversight mechanisms. Members asked about county practices, including rotation systems for GAL appointments and whether King County’s family court assessors provide a useful model. The discussion then moved to minor guardianships under the Uniform Guardianship Act. A Superior Court judge said the 2021 changes increased the need for court visitors and appointed counsel, but courts are struggling to find qualified attorneys and visitors, especially in rural areas. A former commissioner said most of the bill under discussion was technical cleanup to align prior amendments, though it would add some fiscal burdens. Administrative Office of the Courts staff reported that the statewide reimbursement program for UGA implementation has repeatedly run out of money earlier each year, with minor guardianship costs making up most of the expense. The Office of Public Guardianship then described rapid growth in demand for adult guardianship and less restrictive alternatives, noting that referrals and caseloads have risen sharply, but that the office is constrained by a shortage of certified professional guardians and low compensation levels. Finally, the committee began an update on Blake implementation from the Office of Civil Legal Aid, which funds civil legal services related to the decision, before the transcript cut off.

Transcript Highlights:

• This legislation is necessary to ensure children receive timely, court-ordered, clinically recommended
• trials, and minimize health disparities through outreach and education.
• trials, and minimize health disparities through outreach and education.
• trials and FDA-approved treatments.
• trials and FDA-approved treatments.

Bills: S0042 , S0578 , S0624 , S7018

Committee: Senate Children, Families, and Elder Affairs

Summary: The committee met with a quorum and first heard SB 624, which would codify DCF’s current practice of allowing batterers intervention programs to offer supplemental faith-based activities so long as participation is voluntary. The bill drew support from faith-based and family organizations, which argued it would restore access to effective rehabilitation options and remove discriminatory barriers. SB 624 was reported favorably after a roll call vote. The committee then heard SB 42, which would require child protective investigators and child protection teams to rely on qualified medical professionals when a child has a documented pre-existing diagnosis or when a parent requests an exam, and would require clearer notice to parents and custodians at the start of an investigation. Testimony overwhelmingly came from parents, advocates, and disability rights representatives describing cases in which medically complex children were allegedly misdiagnosed as abuse victims and families were separated unnecessarily. Members expressed sympathy and support, and SB 42 was reported favorably. Next, the committee considered CS/SB 578, creating an Alzheimer’s disease awareness initiative within the Department of Elder Affairs to promote early detection, brain health education, research updates, and clinical trial awareness, with outreach focused on older adults and at-risk populations. An amendment was adopted to place the campaign within the Alzheimer’s Disease Initiative. A caregiver testified about the need for public education and early diagnosis, and the bill was reported favorably. The committee also took up SPB 7018, a committee bill on child welfare that would extend the definition of “visitor” for foster homes to reduce repeated background checks, make the Step Into Success foster youth workforce pilot permanent and statewide, and create a program through the Florida Institute for Child Welfare to catalog best practices among community-based care lead agencies. The bill was approved as a committee bill and reported favorably. Finally, the Department of Children and Families presented its 2025-26 final funding methodology and rates report for community-based care. Members questioned the proposed tiered model, including insurance costs, risk corridors, prevention funding, performance measures, and regional funding disparities. No vote was taken on the presentation, but members discussed the possible need for follow-up legislation and additional stakeholder input.

Transcript Highlights:

• trials that's missing.
• trials that's missing.
• trials that's missing.
• trials that's missing.
• trials that's missing.

Committee: House Higher Education

Summary: The House Committee on Higher Education met at the University of Hawaiʻi’s Bachman Hall and heard testimony on several UH-related bills. HB 542 would expand the Hawaiʻi Promise Program to provide unmet-need scholarships at four-year UH campuses. UH system officials, the UH Student Caucus, and a Honolulu Community College student testified in support, emphasizing college affordability, student retention, and workforce needs. Committee members asked about current program data, eligibility, transfer patterns, and cost; UH said it had data available, noted about 10% of current Hawaiʻi Promise students transfer to four-year campuses, and estimated the full expansion would cost about $12 million. UH also suggested a possible alternative of focusing on transfer opportunities from two-year to four-year campuses. The committee then heard HB 840, which concerns athletics appropriations for UH. UH Mānoa and UH Hilo supported the bill. UH officials said the funding would help cover recurring athletics operating costs, women’s sports travel and recruiting, Austin Awards, and a new nutrition fueling station, while Hilo said the money would help with travel, per diem, and conference-related costs. Members asked about the history of the athletics funding, the difference between Austin Awards and special talent waivers, NIL planning, and whether the appropriation should be restored to the base budget. UH explained that a $4 million athletics appropriation was originally made in 2018 or 2019, later removed from the base, and has been reappropriated annually since then. Finally, the committee heard HB 842, which would fund three additional permanent mental health practitioner positions at UH Mānoa’s Counseling and Student Development Center. UH supported the bill, and Academic Labor United and a high school student testified in favor, citing student stress, overwork, and the need for more counseling access. In questions, members discussed the current counselor-to-student ratio, recruitment challenges in a tight labor market, and strategies for hiring, including looking at candidates on soft-money grants who may be seeking stable employment. No votes or final committee actions were taken during the portion of the meeting provided.

Transcript Highlights:

• This is just an example of the trials that we've tried to overcome as hygienists.
• Approved settings could include schools, long-term care, community clinics, correctional facilities,
• So, right now, the clinic that I used to work at is no longer there.
• Currently, there's only one private dentist as well as one working within a clinic.
• Now, hygienists can practice in that clinic, but who can we send the patients to?

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• Considered clinically stabilized in ongoing voluntary treatment, it must mean more.
• in treatment alone shall not consider someone clinically stabilized.
• That's where someone is charged with a misdemeanor who is incompetent to stand trial.
• So we bring you in, you're incompetent to stand trial, and we put you back out under a bridge.
• I'm a licensed clinical social worker from Grass Valley.

Summary: The committee heard several health-related measures. SB 27 by Senator Umberg would revise and expand California’s CARE Court by limiting the expansion to people with bipolar I disorder with psychotic features, clarifying the definition of “clinically stabilized,” and narrowing the role of nurse practitioners and physician assistants. Supporters, including behavioral health officials and family members, said the bill would reduce dismissals and better serve people with severe illness; opponents warned the expansion would strain county staffing and housing resources and could undermine voluntary engagement. The bill passed on a do pass motion to the Committee on Public Safety. SB 503 by Senator Weber Pierson would require AI tools used in health care facilities to be identified, monitored, and mitigated for bias when used in clinical decision-making or resource allocation. The author and supporters from Kaiser Permanente and the California Medical Association said the bill would help prevent discriminatory outcomes and improve trust and safety. The committee discussed the need to clarify developer and deployer responsibilities, and the bill passed as amended to Privacy and Consumer Protection. SB 68 by Senator Menjivar would require restaurants to provide written allergen information for the top nine food allergens, with tiered flexibility for smaller establishments. The bill was supported by patients, families, nurses, and allergy organizations, who described severe reactions and the difficulty of relying on verbal disclosures alone. The California Restaurant Association opposed unless amended, seeking broader use of the national model food code and additional liability language. The bill passed as amended to Appropriations. The committee also heard SB 403 by Senator Blakespear, which would remove the sunset from the End of Life Option Act; supporters described the law as a compassionate, well-functioning option for terminally ill patients, while faith-based groups opposed it. The bill passed to Judiciary. Later, SB 41 by Senator Wiener was introduced to rein in pharmacy benefit manager practices that steer patients to mail-order pharmacies and reimburse community pharmacies below cost; community pharmacists and several health organizations testified in support, describing pharmacy closures and patient access problems.

Transcript Highlights:

• The clinical research results from prominent research institutions such as Stanford, The clinical research
• As with any promising compound, we need controlled, well-designed clinical trials to fully understand
• I believe we need more than new clinical trials and should move towards models like Colorado and Oregon
• We need more than new clinical trials and should move towards models like Colorado and Oregon for state-regulated
• My clinical work and research with psychedelics have taught me three things.

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

Summary: The hearing opened with remarks from House Chair Mindy Domb and Senate Vice Chair Robyn Kennedy, who outlined procedures for the hybrid public hearing, noted the committee would hear testimony on 15 bills related to treatment settings, and recognized members present. The first major bill discussed was H. 4200, authorizing a pilot program for psychedelic-assisted treatment in licensed facilities. Representative Jim O’Day and witnesses from Control Z supported the bill, describing it as a tightly controlled, medically supervised pilot with DPH oversight, limited sites, and screening requirements. Committee members asked about the number of sites and whether Column Health still existed; witnesses said the bill contemplated three separate pilot programs and that Column Health no longer existed after being purchased by another company. The committee also heard testimony on S. 1405 to make the drug stewardship program permanent by removing its 2026 sunset date. Senator John Keenan and others said the program helps collect and safely dispose of unused medications, reduces diversion, and should remain in place because manufacturers should bear disposal costs. A member from Boston added support based on local concerns about people searching through bags for drugs, and Keenan explained the original sunset reflected pilot status and industry pushback. A large portion of the hearing focused on S. 1394 and H. 2193, which would strengthen implementation of the 2023 Roadmap for Behavioral Health Reform. The Children’s Mental Health Campaign, Parent/Professional Advocacy League, Massachusetts Association for Mental Health, and Elliott Community Human Services testified that the roadmap’s helpline, community behavioral health centers, and crisis services are important but unevenly implemented. They urged a single point of accountability within EOHHS, regular strategic planning, a public data dashboard, and financial analysis of the behavioral health system and the access and crisis intervention trust fund. Witnesses said commercial insurance often does not fully reimburse community behavioral health center services, making sustainability difficult, and asked for better coordination across agencies and crisis response systems. Committee members asked whether the roadmap includes substance use disorder; witnesses said it is intended to cover behavioral health broadly, including mental health and substance use. The committee also heard testimony on bills to ban aversives and on suicide prevention signage. Lisa Jean Graff testified in support of S. 1394 by urging a statewide ban on aversive practices, including electric shock, withholding food or bathroom access, and other painful interventions, arguing disabled people deserve the same protections from harm as others. Fonda Bryant and Carol McLean supported a bill requiring suicide prevention signs on tall parking garages, describing personal experiences and saying the signs could create a brief pause and connect people to 988 or other help. McLean said her son died by suicide from a parking garage and that signage might have made a difference. The committee also heard strong testimony in support of creating intensive stabilization and treatment units within DMH facilities (S. 1398/H. 2204), with the Massachusetts Nurses Association and a DMH nurse arguing that highly assaultive patients need specialized, more secure units to protect staff and other patients and to improve care. Additional testimony supported creating a dedicated board for licensed mental health counselors (H. 4696/S. 1382), with Rep. John Badger, the Mass Mental Health Counselors Association, and others saying LMHCs are a large and growing workforce that needs its own licensing board, clearer standards, and faster implementation of existing licensure reforms. The committee also heard extensive testimony on H. 2223 regarding benzodiazepines and non-benzodiazepine hypnotics. Survivors and advocates described severe withdrawal, lack of informed consent, cognitive harms, and long-term disability, while a physician supported the bill as a way to improve disclosure of risks. Finally, the committee heard multiple witnesses in favor of H. 2231/S. 1383 to establish peer-run respite centers statewide. Advocates and people with lived experience said peer respites provide non-coercive, home-like alternatives to hospitalization, can reduce trauma and repeated admissions, and may be especially important for marginalized communities; they also cited cost savings and existing positive outcomes from current respite programs. No votes or final committee actions were taken during the hearing portion reflected in the transcript.

Transcript Highlights:

• And does not follow clinical best advice.
• outcomes. bookmarks for the way we would evaluate planned clinical outcomes.
• We would immediately stabilize the clinical environment so no one else got hurt.
• It's clinically principled.
• the other providers in that clinic.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• And we're also responsible for supporting chief judges of the trial courts and the district courts of
• This slide is focused on trial courts to illustrate their needs.
• But at the trial court level, the summary reporting system is our foundational system in partnership
• And in the trial courts, that system is called the court application processing system.
• Over 10,000 individuals were clinically screened.

Transcript Highlights:

• This has led to a clinic based care.
• , went public in 2021, and is now advancing toward first-in-human clinical trials to potentially eliminate
• </c><00:59:41.839><c> went</c> later partnered with Mayo Clinic went later partnered with Mayo Clinic
• </c><00:59:45.920><c> trials</c><00:59:46.319><c> to</c> toward first inhuman clinical trials to toward
• first inhuman clinical trials to potentially<00:59:47.599><c> eliminate</c><00:59:48.319><c> organ</

Bills: HF1746 , HF2585 , HF1159 , HF2574 , HF2839 , HF157 , HF158 , HF160 , HF338 , HF512

Committee: Senate Taxes

Keywords: Oakdale, tax increment financing, local government, funding, urban development, tax increment, St. Paul, redevelopment, housing authority, housing trust fund, low-income housing, property taxation, Minnesota statutes, vacant property, housing, commercial to residential conversion, Minneapolis, urban redevelopment, public parks, tax capacity

Transcript Highlights:

• How long did the clinical trial monitor patients for adverse events?
• </c><02:37:42.720><c> for</c> clinical trial monitor patients for clinical trial monitor patients for
• That is in the number of clinical trials that I've been involved with and have audited and has seen in
• Now, does this correlate to the introduction of... clinical trials monitor patients for clinical trials
• </c><02:40:59.439><c> trials</c> That is in the number of clinical trials That is in the number of clinical

Committee: House Health, Human Services and Elderly Affairs

Transcript Highlights:

• clinics.
• AB 1103 would expedite the state's review and approval of federally sanctioned drug trials and clinical
• AB 1103 would expedite the state's review and approval of federally sanctioned drug trials and clinical
• This includes clinical trials at California universities, research hospitals, and private institutions
• trials in California.

Committee: House Health

Summary: The committee heard several health-related bills, with most testimony focused on access to care, patient safety, and health system costs. AB 554 (Prepare Act) would expand and clarify protections for HIV prevention medications, including PrEP and injectable PrEP, by limiting prior authorization and step therapy, extending no-cost coverage requirements, and improving reimbursement for small clinics. Supporters said the bill would protect access amid federal threats to HIV prevention, while insurers opposed it as an expensive mandate that could raise premiums and conflict with state affordability targets. The author argued the bill would prevent infections and preserve California’s existing public health protections. AB 577 would limit health plans and PBMs from restricting physicians’ ability to administer or dispense medications directly to patients when medically necessary. Supporters, including physicians and patient advocates, said the bill would improve continuity of care and prevent delays for vulnerable patients; opponents argued it was too broad, could increase drug costs, and could undermine specialty pharmacy networks. The author said amendments narrowed the bill to in-network providers, required patient consent and cost transparency, and exempted hospital outpatient facilities, but the measure still drew opposition over cost concerns. The committee also heard AB 546, which would require coverage of portable HEPA purifiers for vulnerable enrollees during wildfire emergencies, and AB 224, which would codify California’s updated essential health benefits benchmark plan to add infertility treatment, hearing aids, and expanded durable medical equipment coverage if approved by CMS. AB 1032 would require plans to reimburse additional behavioral health visits for wildfire survivors, and AB 849 would require trained chaperones for sensitive ultrasound exams after testimony about sexual abuse in a hospital setting. AB 1196 would update outdated rules requiring three surgeons for certain heart-lung bypass procedures, and AB 1113 would codify a right to wear a mask for health reasons. AB 1386 would add perinatal care as a required hospital service, but the author said the bill would be amended further to address hospital closures and workforce concerns. Several bills drew support from patient advocates, medical groups, and county officials, while insurers and hospital groups often opposed or sought amendments over staffing, cost, and implementation concerns. Some measures were held pending quorum or were scheduled for later action, and no final votes were taken on the bills discussed in the transcript excerpt.

Transcript Highlights:

• We're going to take this to superior court for jury trial that they may have in 5 or 10 years."
• I really want to just get back on the list over at the Superior Court and have a trial.
• That first trial is happening now.
• Uh, certified community behavioral health clinics are relatively new to New Hampshire.
• clinical practices that are recognized by our federal partners.

Summary: The Fiscal Committee opened by approving the May 15 minutes and then recognized Pam Ellis for her long service with the Legislative Budget Assistant’s office and upcoming retirement. The committee adopted the consent calendar with two items removed for separate consideration, then approved transfers for the Administrative Office of the Courts and the Department of Environmental Services after questions about court benefit costs and dam project funding. The Department of Health and Human Services also received approval for a general fund transfer item. A major portion of the meeting focused on the Youth Development Center settlement fund. New administrator Jared Boyle, joined by the Attorney General, described the fund’s remaining caseload, the payment matrix, and the need for additional funding to begin hearings in August. Members raised concerns about administrative costs, attorneys’ fees, payday loans, structured settlements, and the long-term fiscal impact on the state. Boyle requested $55 million, but the committee ultimately approved a reduced appropriation of $20 million, with members noting the possibility of returning for more funding later depending on revenues and the October revenue review. The Department of Corrections then received approval for a smaller shortfall transfer and a larger overtime-related transfer, with officials citing a 52% corrections officer vacancy rate, ongoing recruitment, academy classes, and efforts to use civilian staff in some non-security roles. A late item from the Veterans Home was also approved to cover overtime, holiday pay, and indirect cost shortfalls within its existing budget. The committee then heard an informational presentation on implementation of Senate Bill 134 and the new federal Medicaid work-requirement rule. DHHS said it plans to submit a state plan amendment, seek approval for hardship exceptions, start with one eligibility check cycle, and use existing federal grant funding to make system changes. Finally, the committee received a performance audit of the Doorway opioid treatment program, which found weak written procedures, incomplete data use, reimbursement delays, and problems with the Governor’s Commission on Addiction Treatment and Prevention. Members discussed follow-up reporting, and the next Fiscal Committee meeting was scheduled for August 21 at 11:00 a.m.

Transcript Highlights:

• Would you believe that clinical trials have been done? Here's another journal article: BMJ Open.
• , and six of those 12 trials reported a prostate cancer incidence.
• , and six of those 12 trials reported a prostate cancer incidence.
• Today, here we are 30 years later, we have a lot of data and a lot of clinical trials have been done
• and medical journals have been published, randomized clinical trials.

Bills: HB3552 , HB2984 , HB4124 , HB3934 , HB3448 , HB3131 , HB4200 , HB4201 , HB3011 , HB1912 , HB3380 , HB3881 , HB3538 , HB3851 , HB3907 , HB4430 , HB4431 , HB4457

Committee: House Health and Human Services Oversight

Summary: The committee took up a series of health, human services, and related bills. House Bill 3552, allowing child care providers to bridge the gap between subsidy reimbursement rates and standard tuition rates, was adopted and reported out 11-2. House Bill 2984, as a substitute, would direct DHS to compile a report on the child care system, including subsidy payment error rates, the number of facilities, closures, and voluntary closure feedback; it was reported out 14-0. House Bill 4201, changing master teacher requirements in child care from licensed capacity to actual enrollment, also passed unanimously. House Bill 3380, creating the Fostering the Future for Oklahoma Children and Families Act to modernize foster care data systems and improve outcomes, passed 12-0. House Bill 4430 and House Bill 4431, both cleanup measures tied to prior nurse practitioner/PA scope and pharmacy-related provisions, each passed 13-0. Several bills focused on health care access, regulation, and public safety. House Bill 4124 would allow over-the-counter ivermectin sales for human use with labeling and dosing information; after extensive questioning about safety, labeling, children, and liability, it passed 9-5. House Bill 3934, a large amended measure affecting dental practice and supervision rules, passed 14-0 after discussion about x-rays, telemedicine, and dental assistants. House Bill 3448, requiring insurance coverage related to group home provider liability for property damage, passed 14-0. House Bill 3131, setting baseline standards and oversight for homeless shelters with roles split between Commerce and Health, drew concerns about local control, temporary shelters, and fiscal impact, but passed 8-6. House Bill 4200, creating a revolving fund for forensic assertive community treatment teams to address the jail-to-homelessness cycle for people with severe mental illness, passed 11-3. The committee also advanced several public health, consumer, and industry bills. House Bill 1912, the Corn Masa Nutrition Enhancement Act, generated extensive debate over folic acid fortification, parental choice, MTHFR genetics, and potential health effects; with a PCS allowing a non-fortified option, it passed 9-5. House Bill 3011 repealed the home brewing license while keeping home-brewing limits and sales restrictions, and passed 11-3. House Bill 3881, the Alternative Nicotine Products Regulatory Act, increased application costs and removed a registry deemed inconsistent with federal law, passing 13-0. House Bill 3538, targeting pharmacy benefit manager vertical integration and its effects on access and pricing, passed 13-0 after discussion of mail-order restrictions and pharmacy closures. House Bill 3851, defining private label/control label alcoholic beverages under the three-tier system, also passed 13-0. House Bill 3907, requiring direct-hire staffing for facilities serving vulnerable adults and children with a short temporary staffing grace period, passed 13-0. The committee then moved on to House Bill 4457, a specialty-drug/PBM measure, with discussion beginning about PBM practices and specialty pharmacy access.

Transcript Highlights:

• Otherwise, what you get is random numbers which have no clinical significance.
• Private clinical support must be approved by the DEA.
• It's going to be done in a clinical setting, where doctors are going to be there.
• trials, physician involvement, and state oversight.
• trials.

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

Transcript Highlights:

• So we're hurting people in two different ways here: not getting a speedy trial and not getting justice
• Briefly, for background, the 1994 federal Freedom of Access to Clinic Entrances Act prohibits the use
• Some do clinical in nature and have the accreditation is consistent with those.
• So it is not, I don't think it is accurate that most of the trials are crash-related.
• I don't think it is accurate that most of the trials are crash-related.

Summary: The committee heard briefings and testimony on several bills, with members repeatedly noting limited time and that some measures were already familiar from prior hearings. Second Substitute Senate Bill 5880 would allow cities and counties to use ISO/IEC-accredited private toxicology labs for blood or breath testing, accept private donations for that purpose, and reimburse the State Patrol for evidence transport costs. Senator Wagoner said the bill is a temporary fix for a major toxicology backlog that delays justice; prosecutors, police chiefs, and the Seattle City Attorney supported it as a way to relieve the backlog, while defense representatives said it would not solve the problem and raised due process concerns about out-of-state labs and access to witnesses. Members discussed possible amendments on in-state/out-of-state labs and litigation logistics, and the bill was set for executive action the following Tuesday. Engrossed Substitute Senate Bill 5436 would create a gross misdemeanor for willfully or recklessly interfering with access to or from a place of worship or disrupting religious services through obstruction, trespass, repeated calls or electronic communications, or threats. Senator Solomon said the bill responds to rising intolerance and is modeled on protections for health care facilities; supporters from the Anti-Defamation League, Faith Action Network, Jewish and Sikh community organizations described harassment, threats, and security costs at houses of worship. Defense and law enforcement groups raised concerns about overbreadth, possible impacts on peaceful protest, and unintended effects on law enforcement or immigration enforcement, and asked for clarifying amendments. The sponsor said he was open to changes, and the committee indicated it would continue working on the bill before executive action next Tuesday. Second Engrossed Substitute Senate Bill 5105 would expand child sexual abuse material offenses to cover digitally created or altered obscene depictions, even when the minor is not identifiable, extend the statute of limitations for those felony offenses from three to ten years, and broaden sexual exploitation of a minor to include knowingly causing a minor who is unconscious or unaware to be photographed or part of a live performance. Supporters including the Attorney General’s Office, prosecutors, and sheriffs’ chiefs said the bill is needed to address AI and other technology that can evade current law and to keep pace with rapidly changing digital abuse material. Opponents from the defense bar and the Sentencing Guidelines Commission argued the bill may still be overbroad and raise First Amendment problems under Ashcroft v. Free Speech Coalition, especially where no actual minor is identified. The committee also heard and then quickly acted on other bills: Second Engrossed Substitute Senate Bill 5268, requiring one year of community custody for unlawful possession of a firearm, was amended and reported out due pass as amended; Engrossed Senate Bill 5272, addressing penalties for violence against referees and school volunteers, was reported out due pass; and Engrossed Senate Bill 5286, concerning reimbursement for costs in cities with state psychiatric hospitals, was also reported out due pass.

Transcript Highlights:

• We conducted some of the largest clinical trials in some of these gene therapies, and at one point we
• trials in some of the largest clinical trials in some of<00:43:26.079><c> these</c><00:43:26.400><c>
• But next step to have first clinical trial is practically impossible because of many regulatory, finance
• But next step to have first clinical<01:10:56.640><c> trial</c><01:10:57.280><c> is</c><01:10:57.760>
• <c> practically</c><01:10:58.320><c> impossible</c> clinical trial is practically impossible clinical

Bills: HF4438 , HF4467 , HF4379 , SF3402 , HF4349 , HF4064 , HF84 , HF85 , HF3804

Committee: House Health Finance and Policy

Transcript Highlights:

• We want to inform them how to get in contact with and be a part of a study or trial that they choose
• to participate in. ...study or trial that they choose to participate in and what all was involved.
• It's not a specialization in clinical rotation when you're getting trained as physicians or as nurses
• Well, it is for your clinical hours; you have to be a...
• We get called about law clinics all the time, right, because we care about important papers.