Transcript Highlights:

• My daughter died at home on May 5, 2025. It was five years ago.
• You may remember me.
• As you may know, that potential savings continues to grow each year.
• There's a total crisis in primary care.
• the gift shop than primary care.'

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on 16 bills, with the chairs noting a busy legislative day and asking speakers to keep testimony brief. The committee first heard testimony on Senate 860/House 1405, the Medicare for All bill, with Sen. Jamie Eldridge and many advocates, clinicians, municipal officials, and patients arguing that a single-payer system would make care a right, reduce administrative waste, lower costs, and protect residents from rising premiums, medical debt, and hospital closures. Several speakers cited the Steward hospital crisis, affordability problems, and polling or ballot questions showing public support for single-payer coverage. No vote was taken during the hearing. The committee then took testimony on S. 863, a bill on non-opioid options for chronic pain. Pain specialists, patients, and advocates said the bill would improve care coordination for MassHealth members, expand access to non-opioid medications, require provider education, and collect data on chronic pain. Testifiers described long delays in diagnosis and treatment, stigma toward pain patients, and the need for multidisciplinary care and transportation support. Again, the committee heard testimony only and took no action. A large portion of the hearing focused on H. 1360/S. 869, which would prevent discrimination against people with disabilities in health care. Disability advocates, clinicians, and patients described being denied or delayed care, pressured into DNR orders, or treated based on assumptions about quality of life rather than medical facts. Speakers referenced COVID-era crisis standards of care, discriminatory metrics, and personal stories involving canceled procedures, inadequate accommodations, and poor treatment in hospitals. Committee members thanked speakers for their testimony and said they would review the bill and its implications, but no vote was announced. The committee also heard testimony on H. 1399, an individual Medicare marketplace option for municipal retirees, where supporters said it would give cities and towns a lower-cost alternative for retiree health benefits through HRAs and individual Medicare plans. The hearing then returned to Medicare for All testimony, with additional supporters repeating arguments about cost, access, municipal budget pressure, and the need for global budgeting and universal coverage. The transcript ends with continued testimony and no recorded committee vote or final action on any bill.

Transcript Highlights:

• to the committee of primary to the committee of primary jurisdiction,<00:07:41.160> and<00
• The fact that they the primary one.
• Some of these changes may slow the ability of staff to get amendments to members immediately and may
• Some of these changes may Some of these changes may may<01:13:30.520> slow<01:13:30.960><
• may may may<01:13:35.800> affect<01:13:36.120> that.

Keywords: 918, senate, all

Summary: The Rules and Administration Committee met on March 19, 2026, to consider the referral path for Senate File 4139, the sports betting bill, rather than the substance of the proposal. Senator Franzen, the bill’s chief author, asked that the bill be referred first to the Commerce Committee, saying he had discussed the matter with the relevant committee chairs and that Commerce was the best place to address the bill’s consumer protection provisions. He emphasized that any final path to passage would still require the bill to go through State and Local Government as well. Senator Rasmusson objected and argued the bill should go first to State and Local Government, citing Senate jurisdiction rules, which he said assign gambling bills to that committee. He noted that prior sports betting bills had been referred there first and said a predictable referral process is important. Senator Maye Quade, Senator Dibble, Senator Bar, and Senator Jasinski also supported sending the bill to State and Local Government first, arguing that the committee has primary jurisdiction over gambling and that the bill’s consumer protection language does not change that basic referral. Senator Champion and Senator Miller supported the Commerce referral, saying authors may request an initial committee and that the bill’s consumer protection sections fit Commerce jurisdiction. Senator Marty moved to re-refer Senate File 4139 to the Committee on State and Local Government. Before the vote, members continued debating whether the bill’s structure and prior referral history justified Commerce or whether committee jurisdiction rules required State and Local Government first. The transcript ends with the motion pending and no final vote or disposition shown.

Transcript Highlights:

• Primary care services, behavioral health services are excluded.
• They may or may not, depending on the state, have a rural or otherwise underserved commitment to make
• or may not be necessarily available.
• There may be others that need much more supervision. Each case may be different. Next slide.
• I may have to jump off.

Summary: The committee first received an update on the effects of HR1 and related federal Medicaid and marketplace changes from Governor’s Office and Health Care Authority staff. Presenters said the most immediate coverage losses are expected in the individual market beginning in January, with premium increases and an estimated 80,000 people potentially unable to afford coverage. They warned that larger Medicaid impacts will follow over the next year and beyond, including tighter eligibility checks, work requirements, reduced retroactive coverage, limits on state-directed payments and provider taxes, new cost-sharing, and changes affecting certain non-citizen adults. They also said the state plans to seek a waiver or extension for work requirements and will continue to analyze impacts, including on rural providers and Planned Parenthood-related services. Members asked about the effect on nursing homes, rural hospitals, and how the state can help providers and enrollees navigate the new requirements; staff said timelines and a state-specific implementation chart are being developed. The committee then heard a report on the International Medical Graduate Work Group and Washington’s efforts to create pathways for internationally trained physicians. Testimony described the clinical experience license, the clinical evaluation assessment tool, grant funding for IMG support organizations, and a new hardship waiver process enacted this year. National presenters said many states have adopted similar pathways because of physician shortages, but Washington and Tennessee are among the few states that have actually issued licenses so far. They recommended clear guardrails, an employment offer before application, ECFMG certification, supervised practice, and data collection to avoid exploitation and protect patients. Members asked about state-to-state variation, retention of IMGs, and whether Washington should pursue dedicated residency or preceptorship options; presenters said the key next step is moving successful participants from supervised experience to a durable long-term license. The final topic was implementation of Washington’s Apple Health doula benefit and the statewide doula hub and referral system. Senator T’wina Nobles highlighted the state’s $3,500 per-birth Medicaid reimbursement rate for doulas and the importance of the hub for referrals, training, and billing. Health Care Authority staff said the benefit launched January 1, 2025, and covers prenatal intake, labor and delivery, postpartum visits, and telehealth-supported services. They reported 336 state-certified doulas, 134 enrolled in Apple Health, 287 unique clients served, and 641 claims paid so far. Testimony emphasized doulas’ role in improving birth outcomes, reducing unnecessary interventions, and addressing racial disparities in maternal health, while noting that implementation is still early and ongoing.

Transcript Highlights:

• recruit somebody from India, they may recruit somebody from India, they may look<00:31:12.840>
• devaluing of primary care through time. devaluing of primary care through time.
• care primary care system, primary care primary care accounts<01:04:32.800> for<01:04:33.080><
• You may, Senator Scott.
• first week of May. first week of May.

Keywords: 916, all

Transcript Highlights:

• So there's lots of different ways that we can look at the value of this that may or may not be in the
• So this may not be the appropriate forum.
• outside of the hospital related to their primary care.
• Lakey talking about primary care physicians. When the school.
• The contact hour is also blind to the employment. outcome that it may or may not generate.

Keywords: 1184, house, all

Transcript Highlights:

• This would result in significant changes to Kentucky election law only weeks before the May primary and
• <00:14:55.600> primary<00:14:56.399> and only weeks before the May primary and only
• weeks before the May primary and after<00:14:57.040> some<00:14:57.279> absentee<00:14
• Thank you. >> If I may respond, Mr. Chairman. >> Yes, please do.
• >> If I may.

Keywords: HB 534 (only one on the agenda) – 00:02:08, 958, all

Summary: The House Elections, Constitutional Amendments, and Intergovernmental Affairs Committee met to consider House Bill 534, sponsored by Rep. DJ Johnson, with a committee substitute. Johnson said the bill was the product of interim work with the Secretary of State’s office, the State Board of Elections, county clerks, KREF, and other stakeholders, and that the committee substitute folded in several election-administration changes. He highlighted provisions clarifying the timeline for felony voter-roll removals, allowing the Board of Elections to work with federal agencies to identify non-citizens on the voter rolls, creating a process for those individuals to prove citizenship and vote provisionally, and changing some KREF board appointments. He also described technical campaign-finance changes and said some provisions might still be adjusted through floor amendments. Members raised concerns about fiscal impact, timing, and voter privacy. Rep. Bivens questioned the cost and whether the bill could affect voter records; Johnson responded that the bill itself did not require new equipment or broad new spending, though a special election in a local government failure scenario could create costs. Rep. Hancock and Rep. Marzian argued the bill could create unnecessary burdens on county clerks and questioned whether there was a demonstrated problem to justify the changes. The county clerks’ association, through Rockcastle County Clerk Danetta Ford Allen, opposed the bill as introduced, warning that citizenship checks could wrongly remove eligible voters, that online ballot images or cast vote records could threaten voter privacy and facilitate vote buying, and that the emergency clause would force major changes too close to the May primary. Johnson defended the bill as a targeted response to a real local election failure and said the citizenship data sharing would be limited to name, date of birth, and Social Security number. He also explained that the ballot-image language was permissive and intended to let counties explore emerging technology, but he was open to removing that section or changing the effective date in a floor amendment. He further said he would consider preserving gubernatorial appointments to KREF with Senate oversight instead of shifting appointments to legislative leaders. After discussion, the committee voted 9-2 with one pass to report the bill out, with several members explaining yes votes as support for moving the bill forward while expecting further cleanup, and no votes citing cost, timing, and voter-access concerns.

Transcript Highlights:

• Any member of the committee may remove a bill from consent.
• Are there any primary witnesses in opposition?
• Bonte may close. I respectfully request your aye votes.
• Any primary witnesses in opposition?
• Do you have any primary witnesses in support?

Summary: The Assembly Health Committee heard a long agenda of health bills focused on access to preventive care, behavioral health, hospital services, and patient safety. Early items included AB 554, which would expand and protect access to HIV prevention drugs like PrEP, including injectable forms and coverage protections; supporters said it would shore up access amid federal threats, while insurers opposed it as a costly benefit mandate. AB 577 would limit insurer and PBM practices that steer medications away from physician offices and require more transparency and patient consent; doctors and patient advocates supported it, while health plans and insurers warned it could raise drug costs and disrupt specialty pharmacy networks. AB 546 would require coverage for portable HEPA purifiers for vulnerable enrollees during declared emergencies, especially wildfire smoke events, with support from air quality and public health groups and opposition from insurers concerned about benefit expansion and cost. The committee also heard AB 224, which would codify California’s updated essential health benefits benchmark plan after a public review process, adding infertility treatment, hearing aids, and durable medical equipment if approved by CMS for the 2027 plan year. DMHC said the state had completed the review and needed legislation to meet federal timing, and the measure drew broad support. AB 1032 would require plans and insurers to reimburse up to 12 additional behavioral health visits for enrollees in wildfire-affected counties for a limited period after an emergency; supporters argued it would fill gaps in trauma care after disasters, while insurers said existing parity and continuity-of-care rules already address the issue and that the bill could create inequities. AB 849 would require trained chaperones for sensitive ultrasound exams and training on how to observe and intervene; it was backed by a survivor and patient advocates, with hospitals and health districts raising staffing concerns. Later, AB 1196 would direct the Department of Public Health to update outdated rules requiring three surgeons for certain heart surgeries using cardiopulmonary bypass; supporters said the rule no longer reflects modern practice and strains staffing, while cardiology representatives had no formal opposition but wanted to review amendments. AB 1113 would codify a right to wear a mask for health reasons in public spaces, with support from disability and public health groups. AB 1386 sought to add perinatal care to the list of basic hospital services, prompting testimony about maternity ward closures, workforce shortages, and rural access; the author said the bill would be amended further and that the committee would need to revisit timelines and implementation details. The committee also heard AB 1429, which would address Kaiser’s repeated mental health parity violations and improve access to behavioral health care, though the transcript cuts off before any action on that bill is shown. Several bills were moved with motions and seconds, but many were held for quorum; AB 1196, AB 1113, and AB 1386 were among the measures advanced to a roll call or held on call, and the committee repeatedly noted that final votes would occur when quorum was available.

Transcript Highlights:

• >> as primary or full-time. >> as primary or full-time.
• um<00:17:01.040> sources primary uh salaries, primary um sources primary uh salaries, primary
• that that may be not may not be enough. that that may be not may not be enough.
• It says may not shall. So they >> right? It says may not shall.
• >> May I? Um, the bill provides >> May I?

Keywords: 1189, house, all

Transcript Highlights:

• For primary residence statements, it required it to include the primary residence credit amount and the
• May I continue?
• It began at the first part of May.
• So it is a fictitious estimate at best at this point, because those 60 mills may or may not be relevant
• And before I even actually mentioned that, just to clarify, my words may have been, it may have been

Summary: The subcommittee of the Tax Reform and Relief Advisory Committee met to begin its study of whether the content of the real estate tax statement should be revised to improve transparency. Legislative Council staff reviewed the study directive from HB 1176 and the statutory requirements for tax statements, including required line items such as true and full value, mill levy, legislative tax relief, primary residence credit, legacy fund share, discounts for early payment, and special assessments. The Tax Department then explained how the current uniform statewide statement is prescribed and approved, and noted that changes are typically driven by statute and implemented collaboratively with counties and vendors. County officials from NDACO, including auditors from McKenzie and Richland counties, described the full annual property tax timeline from budgeting through mailing final statements. They explained how counties gather budgets, calculate levies, verify taxable values, handle centrally assessed property, and prepare required notices and statements. They also said public attendance at budget hearings is generally very low, though the notices and statements generate some calls, mostly about whether attendance is required or why taxes are changing. Several members questioned the usefulness of the legislative tax relief line and the complexity of the 5% discount calculation, and county officials said the current process can be confusing and depends on manual data entry and coordination among counties, vendors, and taxing districts. The committee also discussed assessment frequency, valuation equalization, the 3% cap, and whether more frequent reassessment would reduce large jumps in taxable value. County officials said they try to use rotating reassessments and sales-ratio reviews to keep values within statutory tolerance, but staffing, training, and local market changes make the work difficult. NDACO staff estimated, based on a small county survey, that tax statement preparation and mailing costs average about 74 cents per statement, with outsourcing generally cheaper than in-house printing, and said HB 1176 added some mailing and administrative costs even if the tax statement itself did not change dramatically. Software vendors from CPT and Tyler then began presentations showing how their systems handle budgeting, valuation notices, tax statement generation, primary residence credit processing, and levy worksheets, emphasizing that many of the required calculations and reports are still manually entered or verified by county staff.

Transcript Highlights:

• May want to both briefly find that on and say hello.
• And they may decide to do further investigation.
• And they may decide to do further investigation.
• And they may decide to do further investigation.
• WHAT ARE SOME OF THOSE BARRIERS THAT STUDENTS MAY HAVE?

Keywords: 1187, senate, all

Transcript Highlights:

• you may not have all the bids you may you may not have all the bids you may not<02:07:10.159>
• um yes you may may ask a follow-up um yes you may may ask a follow-up question<02:10:45.440>
• Additionally, the bill also allows that the primary petitioner may designate any registered voter to
• <05:32:47.840> petitioner<05:32:48.840> May allows that the primary petitioner May
• allows that the primary petitioner May designate<05:32:50.120> any<05:32:50.440> registered

Keywords: 1189, house, all

Transcript Highlights:

• the from the coalition of the primary the from the coalition of the primary care<00:08:20.479>
• So, to example a minute ago if I may.
• And so with regard to the may. Yes.
• That was his primary argument.
• That was his primary or citizens.

Keywords: 928, house, all

Summary: The committee heard testimony on Senate Bill 34, which would require parental consent for each new service provided to a student through the Medicaid to Schools program and require reports to legislative policy committees. Senator Ruth Ward said the bill was intended to increase transparency, protect parental involvement, and ensure continuity of care, especially for students with disabilities. She also noted a proposed amendment she received shortly before the hearing that would change the bill’s focus from a “new service” to a “new care plan.” Representatives from the New Hampshire Primary Care Association and Amoscake Health testified that they opposed the bill as written but would support it with the amendment. They explained that tying consent to individual diagnosis codes or services could be burdensome, could delay care, and could create compliance problems if a diagnosis changes during a visit. They said the amendment would better align consent with the overall care plan and avoid interrupting treatment mid-appointment. Committee members raised questions about how the bill would interact with IEPs, individualized health plans, homebound services, telehealth, billing, and whether the amendment would still require parental involvement after a care plan changes. The deputy Medicaid director from the Department of Health and Human Services testified that the amendment was more operationally feasible because Medicaid billing involves many ICD-10 codes that can change or overlap, and consent should be tied to the care plan rather than to each code. He said the current law already requires parental consent for participation in the Medicaid to Schools program and annual consent for billing, but the bill would make explicit consent for care-plan changes. No vote was taken during the portion of the hearing provided, and the committee appeared to continue discussion with DHHS after the testimony.

Transcript Highlights:

• may have may be that the SL dropping may have may be because<00:18:01.720> the<00:18:01.840>
• So they may say that, because of these evaluations or what we found, we determined that your primary
• They may say that, because of these evaluations or what we found, we determined that your primary disability
• They may say that, because of these evaluations or what we found, we determined that your primary disability
• May I follow up? Yes.

Keywords: 928, house, all

Summary: The work session focused on special education, especially the differentiated aid component and special education aid, which members noted is still often called “catastrophic aid.” The chair said the committee was trying to better understand how special education costs are growing, how districts are delivering services through SAUs or internally, and how reimbursement formulas affect local costs. Members also discussed the need for better data before making decisions on several education funding bills, and Representative Brown was tasked with capturing questions for follow-up information from the department or elsewhere. Testimony from the state special education director, Becky Fad, centered on why student counts in various disability categories have shifted over time. She said the categories themselves have not changed much, but autism has increased because of greater understanding and identification, developmental delay has grown because it applies to children under age 10 who may not yet have a clear diagnosis, and some students previously classified under speech/language or other health impairment are now identified in more specific categories such as autism. She emphasized that the IEP is based on a child’s individual needs, so a change in category would not necessarily change services, though it may help educators support the student differently. Members asked about whether the shifts reflect better diagnostic capability, whether the department should gather more data on the reasons for the changes, and whether autism-spectrum data could be broken down further. Fad said the department does not currently have data on the causes of the shifts or on where students fall within the autism spectrum, but that collecting and analyzing such data is on its list of priorities and a new data manager had recently been hired. She also explained that each child is counted only once on the chart by primary disability, that the IEP or eligibility team determines the primary category based on evaluations, and that any child can be referred for special education by a parent, teacher, or doctor, after which the district must meet within 15 days to decide whether to evaluate. No votes or formal actions were taken in the portion provided.

Transcript Highlights:

• Any member of the committee may remove a bill from the consent calendar.
• Are there any primary witnesses in opposition?
• We will move now to primary witnesses in opposition.
• You may have, many of you may have seen her on the Capitol State grounds or at Starbucks at 10th and
• Are there any primary witnesses in opposition?

Summary: The Assembly Health Committee heard several measures, beginning with SB 331 by Sen. Menjivar, which would require large-group health plans to cover hearing aids for children. The author and supporters described the bill as a long-running effort to address a developmental emergency and reduce out-of-pocket costs for families, while opponents were absent. Testimony from parents, advocates, medical experts, and organizations emphasized the importance of early access to hearing aids; committee members voiced strong support, and the bill was moved on a do-pass basis to Appropriations, with several members requesting to be added as coauthors. The committee then heard SB 608, also by Sen. Menjivar, to expand access to condoms in school-based health centers and related settings and to prevent barriers such as ID checks. Supporters, including students and school health advocates, argued the bill would improve sexual health and reduce stigma, while opponents from family and faith groups argued it would undermine parental authority and normalize early sexual activity. The bill was supported by committee members and moved forward on a do-pass basis to Appropriations. Next, SB 971 by Sen. Choi proposed community-based healthy aging partnerships for older adults, with testimony from the California Senior Legislature and supporters from aging and dementia organizations. The measure was described as voluntary and focused on connection, independence, and local collaboration; there was no opposition, and the committee moved it on a do-pass basis to Appropriations. The committee also heard SB 869 by Sen. Weber Pierson, which would require warning icons and statements on chain restaurant menus for beverages with very high added sugar content. Supporters framed it as a transparency and public health measure, while restaurant and beverage industry representatives opposed it unless amended, citing cost and menu-space concerns; the bill was nevertheless moved on a do-pass basis to Appropriations after a roll call vote, with some members voting no and the measure placed on call. The committee also considered SB 950 by Sen. Weber Pierson, aimed at ensuring timely coverage of FDA-approved, medically necessary treatments for early-onset Alzheimer’s disease on commercial plans. Supporters, including the Alzheimer’s Association and a patient advocate, said the bill would reduce delays and barriers to care, while health plan representatives opposed it over step therapy and utilization-management concerns. Members discussed the limited treatment window and the need for early access, and the bill was moved on a do-pass basis to Appropriations. In addition, SB 490 by Sen. Umberg would set timelines for DHCS investigations of unlicensed sober living homes and allow counties to assist if the department cannot act in time; supporters from Anaheim and a patient-brokering survivor described serious abuse and oversight gaps, while county behavioral health representatives opposed the county role as an unfunded and potentially liability-creating burden. After discussion, the bill was also moved on a do-pass basis to Appropriations. Finally, the committee began hearing SB 1037 by Sen. Weber Pierson on health insurance affordability and rate review, with supporters arguing it would tie premium increases more closely to affordability targets and public reporting; the transcript cuts off before the committee completed action on that measure.

Transcript Highlights:

• Do we have any primary witnesses in support?
• Any primary witnesses in opposition to the bill? Seeing none.
• They may do just fine switching over.
• You may have had to switch and try multiple things.
• Any primary witnesses in support of the bill?

Summary: The committee heard several bills, beginning with SB 1312 by Senator Richardson on abandoned endowed-care cemeteries. Richardson described vandalism, theft, and neglect at abandoned cemeteries and said the bill would define abandonment, create a process for local governments to declare a cemetery abandoned, and allow the Bureau to act as conservator of endowment funds. Support came from Marin County, while county and special district groups opposed or had concerns, arguing the bill could shift burdens to local governments or public cemetery districts without enough safeguards. Members expressed general support but noted the need for further work; the bill was discussed but no final vote was taken in the excerpt. The committee then took up SB 758 by Senator Umberg, which would restrict retail sales of nitrous oxide to curb misuse. Supporters, including the League of California Cities, narcotic officers, counties, pediatricians, and other local governments and health groups, said easy access at smoke shops and convenience stores has fueled recreational abuse and health harms. There was no opposition testimony, and members voiced strong support for a statewide approach over city-by-city bans. The bill was well received, with the author closing in support. Dr. Weber-Pierson presented SB 1094, a health care affordability bill on biosimilars and biologic substitution. The bill would allow pharmacists to substitute biosimilars under certain conditions, require advance notice to providers and patients, and add reporting on savings; the author said amendments would strengthen provider notice and preserve the ability to mark prescriptions “do not substitute.” Supporters from health plans, insurers, pharmacies, labor, business, and some provider groups argued the bill would lower costs and expand access. Opponents, including dermatology and rheumatology groups and biotech interests, warned about non-medical switching, prior authorization delays, and patient harm. After extensive discussion, the committee voted 13-0 to pass SB 1094 to the Committee on Health. The committee also passed SB 849 by Dr. Weber-Pierson, which would bar reinstatement of physicians who surrendered their licenses while a sexual misconduct accusation was pending. The Medical Board and California Medical Association were generally supportive or neutral, and members praised the bill’s patient-protection focus. SB 993 by Senator Ochoa Bogh, which limits routine disclosure of identifying information for mental health professionals in correctional and psychiatric settings while preserving complaint processes, also passed unanimously to Appropriations. SB 1002 by Senator Niello, extending the David Hall Act to allow certain patients in remission to continue telehealth care with out-of-state specialists, drew strong patient support but opposition from the Medical Board and CMA over licensure and oversight concerns; the committee voted it out on a split roll with some members not voting. Finally, SB 1263 by Senator McGuire, aimed at protecting wildfire survivors and workers by requiring licensed, trained contractors for post-disaster residential debris removal, received support from labor and the Contractors State License Board, with contractors raising a narrower amendment concern about scope.

Transcript Highlights:

• That when they are in the hospital working in the hospital, they may admit and assume a primary role
• As you may recall this bill was about As you may recall this bill was about validating<00:07:53.280><
• the hospital working in the hospital in the hospital working in the hospital they<00:08:20.440> may
• they may admit and assume primary they may admit and assume primary a<00:08:23.680> primary
• a primary role in caring for patients. a primary role in caring for patients.

Keywords: 927, senate, all

Transcript Highlights:

• We're here today because we're fearful of what may happen.
• What you may not know or may not recall is the fact that the people who were drafting it, even with help
• It may have warts that some of us don't like, but you know what?
• So there's 150,000 primary residences... I will be voting green. Senator Magram.
• Madam President, I absolutely love the primary residence tax credit.

Bills: SB2401, SB2402, SB2403, SB2404

Keywords: SB 2401, North Dakota, Century Code, occupational therapy, occupational therapy board, criminal history record check, background check, licensee investigation, physician continuing education, medical license renewal, nutrition education, metabolic health, chronic disease prevention, health occupation boards, medical board, licensure fee, audit response, disciplinary action, Title 43, board of medicine

Summary: The Senate convened with prayer, roll call, and a quorum present, then took up second reading and final passage of several House bills related to the Rural Health Transformation Program and other matters. House Bill 1621, requiring the presidential fitness test in school physical education with exceptions and a delayed effective date, passed 43-3. House Bill 1623, appropriating federal rural health transformation grant funds and creating a related loan program and reporting structure, passed 46-0 after extensive debate about using the federal money for community health, infrastructure, and sustainability. House Bill 1622, joining the physician assistant licensure compact, also passed unanimously 46-0. House Bill 1625, authorizing the Ray Richards Golf Course land sale to support a Grand Forks transportation project and golf course improvements, passed 46-0. House Bill 1626, clarifying that the primary residence credit is applied after the early payment discount so taxpayers receive the full $1,600 benefit, passed 40-6.

Transcript Highlights:

• industry anyways that may not know. industry anyways that may not know.
• <02:41:53.040> may<02:41:53.680> need outlined in this bill that may may need outlined
• primary care? primary care? >> Anyone<02:47:46.399> else?
• interdisiplinary primary care workforce. interdisiplinary primary care workforce.
• <02:57:17.760> It for primary care reimbursement. It for primary care reimbursement.

Keywords: 1189, house, all

Transcript Highlights:

• Two are primary-care-driven, so you, like ERS, have to see a primary care provider, get referrals to
• But the primary care provider controls a lot, so we're looking for primary care providers who are steering
• We do have direct primary care.
• And if someone can get those to us, it may not be you, it may not be your group, but we'd like to know
• If I may.

Keywords: 1184, house, all

Transcript Highlights:

• primaries.
• primaries.
• Now, the primary would decide primary.
• . primaries. primaries.
• white primaries. white primaries.

Keywords: U.S. House of Representatives Floor Proceedings on Thursday, September 4, 2025, 1012, house, all