Transcript Highlights:

• Budget overview and budget change proposals for the Emergency Medical Services Authority.
• Gabrielle Santor with the Emergency Medical Services Authority.
• necessary.
• In addition, for contracts issued, amended, or renewed after January 1," "...when medically necessary
• necessary.

Summary: The Assembly Budget Subcommittee on Health heard updates on five health-related budget items. First, members reviewed state support for distressed hospitals and health facilities. The California Health Facilities Financing Authority and HCAI described the Distressed Hospital Loan Program as a lifeline for 16 hospitals, many of which remain financially strained and are expected to seek loan forgiveness rather than repayment. Speakers cited reduced contract labor, new service lines, strategic partnerships, and the reopening of Madera Hospital as signs of progress, but also warned that federal policy changes under H.R. 1 will likely increase uncompensated care and pressure emergency departments. Public commenters from hospital, dental, and consumer groups supported additional funding, including a request to refresh the program with another $300 million. The committee then heard HCAI’s update on the California Rural Health Transformation Program, a five-year federal initiative funded at $233.6 million for California. HCAI said the program will focus on rural care models, workforce development, and health technology, with grants to be rolled out on a fast timeline and all funds obligated by October 30, 2026. Members raised concerns about rural provider capacity to apply for grants, and HCAI said it will use a third-party administrator, a technical assistance center, webinars, and other supports to help applicants. HCAI also presented its budget request for the health care payments database, seeking ongoing non-General Fund support to continue operations and expand data, including pharmacy benefit manager data. The Emergency Medical Services Authority presented three budget change proposals: funding to replace disaster medical services fleet vehicles, funding for IT security work, and additional positions for HR, enforcement, and legal workload. A member also raised concern that EMSA has not yet completed the annual ambulance rate reporting required by AB 716, and EMSA said it remains committed to the requirement but lost prior funding through later budget reductions. Covered California reported that it is still finalizing its own budget, but expects a lower operating budget due to efforts to reduce baseline costs and align spending with actual expenditures; it also projected enrollment declines tied to the expiration of enhanced premium tax credits, H.R. 1, and federal rule changes, while noting that revenues may still rise because premiums are expected to increase. Finally, the Department of Managed Health Care outlined budget proposals tied to menopause coverage and education, PBM licensure and enforcement under AB 116 and SB 41, credentialing reforms under AB 1041, and prior authorization reporting under SB 306. Public testimony generally supported the menopause and PBM proposals, while also urging clearer language and attention to Medi-Cal parity. The hearing concluded after public comment, including additional advocacy for sickle cell services and rural health workforce funding.

Transcript Highlights:

• It will also ensure the medical revenue the crowd...”
• Directed and autologous donations are allowed when medically necessary, but that is not the case here
• necessary.
• Idahoans can already access directed or autologous donations when medically necessary.
• medical freedom.

Committee: Senate Health and Welfare

Transcript Highlights:

• She cannot agree to medical abortion.
• </c> that she has consented to this medical that she has consented to this medical intervention.<00:30
• </c><01:03:37.760><c> We</c> significant medical intervention. We significant medical intervention.
• </c> personally um from the medication personally um from the medication itself.
• reasonable medical judgement necessary<01:52:12.800><c> to</c><01:52:13.040><c> save</c><01:52:13.199

Bills: HB0003 , HB0117 , HB0041

Committee: Senate Labor, Health & Social Services

Transcript Highlights:

• They are medically necessary to confirm or rule out cancer. Lung cancer is an aggressive disease.
• necessary follow-up care without cost.
• However, screening can also access to medically necessary follow-up care without cost barriers.
• Additionally, these co-pay assistance programs help address health inequities by making necessary medications
• For Macy, without these medications...

Summary: The committee heard several health-related bills, beginning with SB 1124, which would require the California Department of Public Health to create and post lung cancer screening eligibility signage at tobacco point-of-sale locations. The author and supporters said the bill is intended to raise awareness of a screening that many eligible Californians do not know exists; retailers raised concerns about signage size, distribution, and notice to stores. The bill was presented while the committee lacked quorum, so no vote was taken at that time. Members then heard SB 1150, which would require clearer patient notice when cancer cases are reported to the California Cancer Registry. The author and committee chair emphasized patient awareness and privacy, while registry and university stakeholders said they appreciated the amendments and would continue working on the language. SB 1400 followed, proposing changes to Alameda Health System governance to give Alameda County more flexibility and direct oversight; county and labor supporters said the current structure is too rigid for today’s health care environment, and no opposition was heard. The committee also heard SB 1094, which would expand substitution of biosimilars and generics to lower prescription drug costs. Supporters, including health plans and Sharp Health Care, said the bill would reduce premiums and out-of-pocket costs, while opponents from biotechnology and rheumatology groups raised concerns about pharmacist substitution, patient switching, and therapeutic equivalence. After quorum was established, SB 1094 passed 6-0 and was re-referred to Appropriations. The committee then heard SB 1314, which would create a statewide definition for smoke shops, impose a 600-foot buffer from sensitive sites, and restrict nitrous oxide sales; it drew broad support from local government, pediatric, and law enforcement groups and passed 6-0 on call. SB 1309, which would eliminate cost-sharing for medically appropriate lung cancer screening follow-up care, also passed 7-0 and was re-referred to Appropriations after testimony from clinicians, advocates, and insurers. Finally, SB 1199 was introduced to ban copay accumulators, with the sponsor and author arguing it would ensure patient assistance counts toward out-of-pocket maximums and improve medication access.

Transcript Highlights:

• Each of those methods require a finding that such removal is necessary.
• Removal of the child is necessary to prevent imminent physical harm due to child abuse.
• Removal is absolutely necessary in some cases, but it's not the only way to protect children.
• And then providing necessary supervision, medical care, basic needs.
• That might be through the medical system, where medications for opioid use disorder are so profoundly

Summary: The committee heard testimony on House Bill 2511, which would define “imminent physical harm” in the child welfare context as a substantial risk of serious harm arising from home conditions, caregiver conduct, neglect, substance abuse, unsafe environments, or other circumstances likely to cause significant injury. Representative Tom Dent, the sponsor, said the bill was intended to give caseworkers clearer tools to protect children while still recognizing the importance of keeping families together. Supporters, including some foster parents, kinship caregivers, advocates, and individuals with lived experience, argued that the current standard is too vague and has contributed to child fatalities and near-fatalities, especially in cases involving fentanyl exposure, chronic neglect, and abuse. They said clearer language would help courts and caseworkers intervene earlier and more consistently. Opponents, including legal aid, public defense, and child welfare policy groups, argued the bill is legally problematic, could conflict with existing statutes and ICWA-informed language, and would not address root causes such as service gaps, training, and inconsistent implementation. DCYF testified “other,” saying the bill could add clarity but that the language needed refinement; the sponsor said he was open to working on changes. No vote was taken on the bill during the hearing. The committee then heard House Bill 2660, which would allow courts at shelter care hearings to order parents of children under age five to comply with safety-related conditions, evaluations, or services when the child is returned home, with referrals required within seven days and participation not treated as an admission of abuse or neglect. The sponsor, Representative Ortiz-Self, said the bill is aimed at critical incidents and would give caseworkers and courts more ability to require safeguards for very young children when families are not voluntarily engaging in services. DCYF and the Office of the Family and Children’s Ombuds supported the bill, saying it could help prevent tragedies by allowing earlier court-ordered services and safety conditions. Some advocates and parents also supported it, describing cases where removal or court intervention helped protect children. Opponents, including public defense and some family-support organizations, raised constitutional and due process concerns, argued that services are not the same as immediate safety, and warned the bill could shift problems without fixing underlying service shortages. The sponsor and DCYF discussed the need for follow-up on language and implementation, but no committee action or vote was taken in the hearing.

Transcript Highlights:

• This was, if necessary, apparently someone thinks she's necessary. Hi, Diane. Good morning, Mr.
• This was, if necessary, apparently someone thinks she's necessary. Hi, Diane. Good morning, Mr.
• court-ordered medications.
• Access covers all medically necessary, FDA-approved, federally reimbursable medications as part of our
• I think Mark Osborne, he was in if necessary, and I didn't think it necessary for him to trash my bill

Bills: SB1041 , SB1050 , SB1131 , SB1138 , SB1249 , SB1267 , SB1272 , SB1317 , SB1461 , SB1488 , SB1504 , SB1517 , SB1523 , SB1580 , SB1582 , SB1584 , SB1585 , SB1602 , SB1630 , SB1654 , SB1672 , SB1673 , SB1718 , SB1761 , SB1819 , SB1826 , SB1827

Committee: Senate Appropriations, Transportation and Technology

Keywords: electronic monitoring, nursing care, assisted living, resident rights, privacy, consent, surveillance, veterans, lifetime pass, state parks, Arizona, access, disabled veterans, cardiac arrest, defibrillators, school safety, emergency response, CPR training, Arizona education funding, automated license plate readers

Transcript Highlights:

• The technical fix of this bill is necessary because...
• necessary mental health and substance use disorder services.
• This bill is a reasonable, measured, and necessary step, and I urge your support.
• One, we have a workforce shortage in a wide variety of medical providers.
• They've got their medical or their education bills and all that stuff.

Summary: The House Health Care and Wellness Committee held public hearings on four bills and then took executive action on three measures. HB 2555 would require the Health Care Authority to apply for a Medicaid waiver to cover traditional health care practices provided through Indian Health Service, tribal, and urban Indian facilities. Supporters, including the prime sponsor, tribal health leaders, and the Health Care Authority, said the bill would recognize traditional medicine, expand access, and leverage federal funding, though HCA noted the July 1, 2026 waiver deadline and urban Indian reimbursement questions may be difficult to resolve. HB 2685 would codify tribal data sovereignty principles for state agencies, require reporting of notifiable conditions to tribal health jurisdictions, and exempt certain tribal data from public disclosure. Tribal representatives supported the bill as necessary for access, governance, and better public health planning, while the Washington Coalition for Open Government and HCA raised concerns about the breadth of the PRA exemption, undefined ownership interests, and implementation details. HB 2658 would require health carriers to submit standardized public data on behavioral health and other coverage and access metrics, with the Insurance Commissioner posting the information on a public dashboard. Supporters said the bill would improve transparency about mental health parity and help families, employers, and policymakers compare plans; opponents argued it duplicates or complicates recent parity reforms and could be misinterpreted. HB 2683 would shorten carrier credentialing timelines from 90 days to 30 days and require carriers to post billing and coverage information online. Supporters said it would reduce delays for providers and patients, while opponents warned the shorter timeline could be hard to meet and that posting information without login protections could raise privacy concerns. In executive session, the committee adopted two amendments to HB 2168, which concerns overdose mapping data, then reported the substitute bill out with a due pass recommendation by a vote of 16-1. It rejected an amendment to HB 2196 that would have extended PANDAS/PANS coverage to public and school employee plans, then advanced the substitute bill with a due pass recommendation by a vote of 15-2. Finally, the committee passed HB 2545, which would allow ambulatory surgical facilities to perform elective percutaneous coronary interventions, by a vote of 13-4, after members discussed safety, access, and cost savings.

Transcript Highlights:

• </c> would that wouldn't be necessary would that wouldn't be necessary so<00:52:27.799><c> from</c><00
• </c> 1064 relating to medical 1064 relating to medical cannabis<01:33:06.280><c> an</c><01:33:06.880>
• </c> and I'd like to talk about the medical and I'd like to talk about the medical aspects<01:37:43.639
• </c> leader in providing the best medical leader in providing the best medical care<01:38:36.920><c>
• </c><01:41:19.880><c> examiner's</c> to consult with the medical examiner's to consult with the medical

Committee: Senate Commerce and Consumer Protection

Summary: The joint Senate hearing focused primarily on SB 1201, a wildfire measure that would create a wildfire recovery fund and allow securitization for electric utilities. Hawaiian Electric strongly supported the bill, saying it would help protect customers, property owners, insurers, and the broader economy from future catastrophic wildfire liability while improving the utility’s credit profile and lowering financing costs. Support also came from DCCA Consumer Advocacy, the Attorney General’s office on written comments, Ulupono Initiative, Clearway Energy Group, IBEW Local 1260, Par Hawaii, KIUC, the Chamber of Commerce Hawaiʻi, Plus Power, and numerous organizations and individuals. Opponents or commenters raised concerns about the liability cap, victim compensation process, and fund structure, including the Hawaiʻi Association for Justice, the Hawaiʻi Regional Council of Carpenters, and the Hawaiʻi Insurance Council; Henry Curtis of Life of the Land supported the concept of a fund but questioned the catastrophe threshold and whether the fund would be empty without a prudency finding. Much of the discussion centered on whether the proposed fund would actually help restore Hawaiian Electric to investment grade, with senators comparing the proposal to California’s wildfire fund. Hawaiian Electric said the bill was only one part of a broader process, alongside physical risk reduction and settlement finalization, and argued that without the bill the utility would not regain investment grade. Senators also questioned the proposed $1 billion fund size, the fairness of ratepayer contributions versus shareholder contributions, and whether customers should pay for consulting and administrative costs; Hawaiian Electric said its proposed amendment would remove those consulting-related charges. The company also said the fund would accrue interest and, if unused, could be returned to customers, and that there would be replenishment and supplemental contribution mechanisms if the fund were exhausted. The Attorney General’s office said it still had further amendments to discuss, and the departments had not yet resolved where the fund should reside administratively, though Hawaiian Electric said it believed DCCA was the appropriate place but was open to alternatives. KIUC requested two amendments. No vote or final committee action was taken during the hearing, and the measure remained under discussion with questions and proposed amendments still outstanding.

Transcript Highlights:

• It's a pretty fundamental principle to medical ethics actually every single medical show you've ever
• Medical emergency is defined in Senate Bill 31.
• Doctors and hospitals lobby for exerting the pressure necessary to get this clarity. medical exceptions
• These clinical medical terms tell us what?
• You can get this medication if you get pregnant by virtue. of incest, you can get this medication and

Bills: SJR59 , SCR30 , SCR46 , SB31 , SB127 , SB324 , SB401 , SB407 , SB467 , SB482 , SB506 , SB529 , SB584 , SB619 , SB636 , SB646 , SB647 , SB659 , SB715 , SB732 , SB735 , SB771 , SB784 , SB800 , SB801 , SB816 , SB1013 , SB1026 , SB1049 , SB1055 , SB1065 , SB1137 , SB1169 , SB1181 , SB1383 , SB1395 , SB1410 , SB1433 , SB1524 , SB1531 , SB1568 , SB1640 , SB1666 , SB1681 , SB1718 , SB1754 , SB1757 , SB1972 , SB1980 , SB2004 , SB2007 , SB2041 , SB2046 , SB2050 , SB2075 , SB2076 , SB2154 , SB2173 , SB2206 , SB2225 , SB2253 , SB2268 , SB2306 , SB2308 , SB2314 , SB2322 , SB2330 , SB2351 , SB2366 , SB2371 , SB2392 , SB2398 , SB2476 , SB2533 , SB2540 , SB2544 , SB2589 , SB2610 , SB2623 , SB2660 , SB2662 , SB2693 , SB2707 , SB2717 , SB2722 , SB2742 , SB2753 , SB2779 , SB2807 , SB2843 , SB2844 , SB2858 , SB2877 , SB2880 , SB2885 , SB2920 , SB2938 , SB2986 , HJR4 , HCR35 , SJR3 , SJR18 , SB5 , SB260 , SB1786 , SB914 , SB963 , SB1197 , SB1415 , SB1437 , SJR36 , SJR50 , SJR63 , SJR84 , SJR59 , SCR12 , SCR39 , SCR46 , SCR48 , SCR19 , SCR30 , SCR3 , SB2023 , SB1433 , SB2322 , SB2877 , SB407 , SB1718 , SB1395 , SB62 , SB666 , SB847 , SB284 , SB854 , SB1073 , SB810 , SB1505 , SB583 , SB1502 , SB507 , SB1026 , SB1434 , SB1376 , SB1585 , SB1772 , SB2016 , SB1163 , SB619 , SB1122 , SB732 , SB731 , SB397 , SB508 , SB1436 , SB287 , SB261 , SB1882 , SB393 , SB1791 , SB529 , SB209 , SB2429 , SB1999 , SB511 , SB2309 , SB510 , SB2253 , SB584 , SB1085 , SB2314 , SB2046 , SB1975 , SB2717 , SB1262 , SB1524 , SB1137 , SB636 , SB2056 , SB884 , SB517 , SB1200 , SB1410 , SB1845 , SB1863 , SB2681 , SB2200 , SB2199 , SB1757 , SB2050 , SB2458 , SB2201 , SB1055 , SB2660 , SB2662 , SB1065 , SB801 , SB2533 , SB3014 , SB3013 , SB758 , SB647 , SB1721 , SB2268 , SB2366 , SB1013 , SB2797 , SB2371 , SB2383 , SB646 , SB1169 , SB1754 , SB2779 , SB2004 , SB2119 , SB2448 , SB1777 , SB1283 , SB2392 , SB2076 , SB2786 , SB2876 , SB2284 , SB2225 , SB1540 , SB2920 , SB2929 , SB1972 , SB2540 , SB2742 , SB2595 , SB2217 , SB715 , SB2330 , SB1383 , SB500 , SB1640 , SB2001 , SB2080 , SB2722 , SB506 , SB2514 , SB2623 , SB2753 , SB2398 , SB1241 , SB2927 , SB2173 , SB2538 , SB898 , SB467 , SB1449 , SB2529 , SB1531 , SB2846 , SB2476 , SB986 , SB1181 , SB2075 , SB2154 , SB2864 , SB31 , SB2880 , SB1359 , SB2386 , SB771 , SB2844 , SB2550 , SB1351 , SB1423 , SB1931 , SB2245 , SB2589 , SB2707 , SB2807 , SB2351 , SB410 , SB659 , SB816 , SB2776 , SB2693 , SB2580 , SB1980 , SB1886 , SB1234 , SB739 , SB482 , SB456 , SB127 , SB1666 , SB2843 , SB2801 , SB800 , SB2055 , SB784 , SB2986 , SB735 , SB1012 , SB324 , SB2926 , SB2938 , SB2007 , SB2138 , SB1242 , SB2615 , SB1049 , SB2310 , SB1224 , SB2972 , SB1568 , SB2841 , SB2885 , SB3016 , SB2858 , SB2610 , SB2139 , SB1856 , SB2035 , SB2308 , SB2306 , SB2041 , SB1528 , SB1681 , SB1141 , SB2401 , SB2530 , SB2375 , SB547 , SB1266 , SB1373 , SB1467 , SB2069 , SB2269 , SB2480 , SB2544 , SB672 , SB904 , SB2695 , SB2891 , SB2422 , SB2543 , SB1854 , SB317 , SB2539 , SB2532 , SB2925 , SB1250 , SB2082 , SB2203 , SB457 , SB2357 , HJR4 , HB135 , HB 1109 , HCR35 , HCR64 , SB2721 , SB243 , SB1285 , SB2568 , SB1959 , SB1442 , SB1454 , SB2520 , SB2541 , SB1708 , SB1237 , SB1844 , SB1586

Transcript Highlights:

• or medical specialist if the patient has significant medical conditions, calculating a patient's body
• or not necessary.
• And it was not necessary. We are living every parent's worst nightmare.
• I'm an oral maxillofacial surgeon with both medical and dental degrees.
• The facility can bill for medically necessary services that are covered by Medicaid currently.

Summary: The committee first heard Senate Bill 5899, which would create a chiropractic license endorsement allowing qualified chiropractors to perform chiropractic diagnosis and adjustments on non-human animals. The sponsor described it as a complementary tool to veterinary care, especially in rural areas with limited access to veterinarians. Testimony was mixed: supporters said the bill would expand access to animal chiropractic with training, certification, and veterinary referral to non-chiropractic issues, while opponents from the veterinary community warned about animal and public safety, disease detection, and the lack of a required veterinary referral. The hearing on SB 5899 was suspended and later reopened; testimony concluded with strong support from animal chiropractic practitioners and opposition from veterinarians, and the committee noted 57 signed in pro, 4 con, and 1 other. The committee then held a work session on dental workforce shortages. Presenters from the CORA Foundation, the University of Washington Center for Health Workforce Studies, tribal dental programs, and the Washington State Dental Association described major access gaps, especially for Apple Health enrollees, rural communities, and communities of color. They highlighted low preventive-care utilization, high rates of untreated decay, workforce vacancies for hygienists and assistants, and the value of career ladders such as community health aides and proposed oral preventive assistants. Several speakers emphasized that training pathways, retention, and sustained Medicaid reimbursement are key to improving access and keeping providers in the system. Senate Bill 6138, requiring a multi-provider system for dental procedures performed under deep sedation, drew testimony centered on patient safety after recent deaths in dental settings. The sponsor said the bill responds to a pattern of tragic incidents and would ensure one person is dedicated to monitoring sedation. Supporters from anesthesiology and some oral surgery groups backed stronger monitoring requirements, while oral surgeons and dental representatives argued the current rules already require multiple trained personnel and that the bill could reduce access and increase costs, especially in rural and Medicaid-serving practices. The committee then heard Senate Bill 6072, which would update veterinarian-client-patient relationship rules to allow telemedicine-based relationships and limited telehealth services; animal welfare and veterinary telehealth advocates supported it as an access-to-care measure, while the veterinary association sought clearer guardrails and federal-law language. Finally, the committee heard Senate Bill 6094 on pediatric transitional care services, which would create a Medicaid payment pathway and related program changes for residential care for substance-exposed infants; supporters said the model helps infants and parents, improves outcomes, and is financially unsustainable under current funding, and the hearing began with testimony in favor before time expired.

Transcript Highlights:

• </c><00:56:07.760><c> necessary</c><00:56:08.240><c> for</c><00:56:08.480><c> the</c> that it's medically
• necessary for the that it's medically necessary for the feline<00:56:09.280><c> patient.
• necessary.
• </c><01:04:58.880><c> If</c> unless you know medically necessary.
• If unless you know medically necessary.

Bills: HF4080 , HF3693 , HF1857 , HF4350

Committee: House Agriculture Finance and Policy

Transcript Highlights:

• On the 911 side, there are specific medical directors.
• that medical director.
• If the Farm Bureau plans require, are the Farm Bureau plans required to pay all medically necessary health
• It's necessary. And so, by you creating this to give them... It's important. It's necessary.
• Home health aides for medically fragile children program, HB 1529.

Summary: The Health Care Facilities and Systems Subcommittee met with a quorum present and took up five bills. The first, CS/HB 1119 on pediatric readiness in hospital emergency departments, would require hospitals with ERs to adopt evidence-based pediatric care policies, train staff, designate a pediatric emergency care coordinator, complete the National Pediatric Readiness Assessment, and meet minimum equipment and planning standards. Members discussed transport to the closest appropriate facility and implementation concerns, but the bill passed 16-0. The committee then approved HB 677, which would add standard fertility preservation services to the state group insurance program for employees undergoing chemotherapy, and CSHB 497, which would authorize nonprofit agricultural organization medical benefit plans for Florida Farm Bureau members, aimed at improving affordable coverage for farmers and ranchers. HB 677 passed 16-0, and CSHB 497 passed 18-0 after questions about membership, regulation, disclosures, and how the plan would compare with ACA coverage. The subcommittee also approved PCS/HB 791 on surrendered newborn infants, allowing infant safety devices at hospitals, EMS stations, and fire stations as an alternative safe-haven option. Members discussed alarms, unmanned stations, and whether churches should be included; the bill passed 18-0. Finally, HB 1529 on home health aides for medically fragile children was amended and passed 18-0. The bill seeks a federal waiver so compensation for parents serving as home health aides does not count against Medicaid eligibility, and the amendments added reporting of adverse incidents, set work-hour limits, and protected certain other benefits. The chair closed by emphasizing the committee’s role in implementation oversight and fixing problems after enactment.

Transcript Highlights:

• these medications, and then they directly send you those medications.
• these medications, and then they directly send you those medications.
• medical care during transport if approved by the medical director.
• So a professional licensed midwife may accompany the patient and may continue to provide necessary medical
• It is medical review.

Committee: House House Health & Human Services Committee of Reference

Summary: The committee began with a presentation from the Alzheimer’s Association Desert Southwest Chapter and Dr. Anna Burke of Barrow Neurological Institute on the growing impact of Alzheimer’s and dementia in Arizona, the need for earlier diagnosis, better provider education, caregiver support, and continued research funding. They described current gaps in training and access to specialists, but also highlighted new therapies, lifestyle interventions, and Arizona-based research efforts. Members expressed support and optimism, but no action was taken on the presentation. The committee then heard HB 2202, which appropriates $300,000 from the general fund over fiscal years 2027 through 2029 for a dementia care tele-mentoring grant program through the Department of Health Services. Supporters, including the Alzheimer’s Association, a dementia specialist, and a patient advocate, said the program would help primary care providers diagnose dementia earlier and improve care. The bill was passed out of committee on an 11-0 vote. Next, the committee took up HB 2251, the midwifery bill, which would authorize certain licensed midwives to dispense and administer specified medications and devices, require liability insurance disclosure and annual reporting, and create a Midwifery Advisory Committee. A committee amendment removed some medications and renamed the bill the Jordan and MacTerry Act. ACOG and the Arizona Osteopathic Medical Association opposed the bill as drafted, citing concerns about oversight, peer review, and the medication list, while licensed midwives and other supporters argued the bill would improve safety, transparency, and alignment with national standards. The bill was held for further stakeholder work, with members indicating more amendments were likely. The committee then heard HB 2252, which would allow certified nurse midwives, certified professional midwives, or licensed midwives to accompany a patient in a ground ambulance during an out-of-hospital birth if approved by medical direction. Supporters described cases where continued midwife involvement during transport helped newborns and mothers, while firefighters and EMS representatives opposed the bill as written, saying it created ambiguity about command and scene control and could raise safety concerns. The chair said the bill would be held for further stakeholder meetings and possible language changes. After a recess, the committee reconvened for presentations on federal Medicaid and rural health funding impacts, beginning with JLBC’s overview of H.R. 1’s Medicaid provisions and the rural health transformation grant program.

Transcript Highlights:

• this medication to those who need it.
• make sure that we can distribute these medications quickly.
• , medication that was approved over a quarter...
• Because we are talking about medication, Mr.
• Medical teams... But it's not the ideal circumstance.

Summary: The Senate opened with roll call, colors, pledge, and a prayer by Sikh youth leader Gertit Singh Cocher, followed by recognition of guests from the Sikh Coalition and Kalsa Germath Center. The chamber approved the journal and then adopted Senate Resolution 8678 honoring the Chimicum High School Marching Band for being selected as Washington’s representative in the 2026 National Independence Day Parade in Washington, D.C.; senators praised the band’s dedication and rural-school achievement, and the band was recognized in the gallery. The Senate then confirmed two gubernatorial appointments by 49-0 votes: Ryan Moran as Director of the Health Care Authority and Dennis Worsham as Secretary of the Department of Health. Supporters highlighted Moran’s Medicaid and health system background and Worsham’s long public health career, including local health leadership and work on HIV/AIDS and community health. The chamber also advanced and passed Senate Bill 6011, expanding court bailiff authority to conduct threat assessments for the Court of Appeals, and Senate Bill 5831, creating safe harbors related to mortgage modification recording requirements. Several bills were debated and passed after amendment votes. Senate Bill 6188, concerning Labor and Industries’ asbestos training and certification rules, saw an amendment to align with federal standards rejected and then passed 38-19. Substitute Senate Bill 5917, dealing with access to abortion medications through the Department of Corrections pharmacy, had multiple proposed amendments rejected before passing 32-17 after extensive debate over access, labeling, distribution limits, and emergency status. The Senate also adopted an amendment to Senate Bill 6024 on developmental disability services confidentiality, then passed the bill 48-0-1 excused; passed Substitute Senate Bill 6091 on residential property marketing and fair housing by 49-0; and passed Substitute Senate Bill 5840 adjusting campaign finance expenditure reporting deadlines by 46-3. The body then recessed for caucus and lunch.

Transcript Highlights:

• MassHealth covers medically necessary ABA for children with autism and now Down syndrome until they turn
• Equally urgent is the need to continue medically necessary therapies like ABA, speech, and communication
• his medical expenses.
• When the school-based Medicaid program was expanded in 2019 to include medically necessary services,
• necessary services in schools.

Committee: Joint Joint Committee on Health Care Financing

Summary: The Joint Committee on Health Care Financing held a public hearing focused on two broad sets of issues: home- and community-based care, and school-based Medicaid reimbursement. In the morning session, legislators and advocates testified on bills affecting children and disabled enrollees, including proposals to clarify rate-setting for home health and home care services (H. 767/S. 870), allow family members and spouses to be paid caregivers under MassHealth (H. 1394/S. 886 and related bills), extend MassHealth coverage for applied behavior analysis and other therapies beyond age 21 for adults with autism and developmental disabilities (H. 1351/S. 871), and protect medically fragile children by improving access to continuous skilled nursing. In the later portion of the hearing, testimony shifted to a bill to improve MassHealth reimbursement for schools (S. 862), with speakers describing the school mental health crisis and the need to reinvest Medicaid funds directly into school health services. Witnesses on the home care rate-setting bill said current reimbursement methods are opaque and outdated, contributing to workforce shortages, unfilled shifts, long waitlists, and patients remaining in hospitals longer than necessary. Home care providers and trade groups argued the bill would not set rates directly but would require more transparent methodology and fuller consideration of real costs such as wages, benefits, taxes, training, and technology. On caregiver bills, many family members and provider organizations described the financial and emotional strain of caring for disabled or medically fragile relatives, especially when parents, spouses, or guardians are barred from being paid caregivers. They argued the bills would recognize existing unpaid care, help families remain at home, and reduce reliance on more expensive institutional care. Advocates for adult ABA coverage said services remain medically necessary after age 21 and that ending coverage at that age creates an inequitable “cliff” for MassHealth members compared with those with private insurance. For the PACE/community care bill, elder law attorneys and PACE advocates said current MassHealth income rules force some older adults with modestly higher incomes to spend down to $542 per month, making community living unrealistic and pushing people toward nursing homes. They supported changing the eligibility structure to a premium-based approach that would allow more people to remain in the community. On the school Medicaid bill, advocates said schools are providing effective, preventive mental health care, but reimbursement currently flows to municipalities rather than directly back to school health budgets, limiting districts’ ability to hire and retain staff. No votes were taken during the hearing; the committee heard testimony and several witnesses requested favorable reports on the bills.

Transcript Highlights:

• He received medications while he was at St. Joe's for a month.
• Marquez, it was the same with the combat medic.
• I'm glad to hear that there is a similar bill for medics.
• My son depends on medication to stay stable and healthy.
• If he can't access his medication, it is life-threatening.

Bills: SB1032 , SB1055 , SB1107

Committees: House Public Safety & Law Enforcement , House House Public Safety & Law Enforcement Committee of Reference

Keywords: corrections oversight, funding, state budget, criminal justice, reform, immigration enforcement, law enforcement, illegal aliens, state legislation, civil penalties, peace officer certification, police certification, law enforcement licensing, Arizona POST, peace officer standards and training, military police, veterans, honorably discharged, veteran hiring, abbreviated academy

Transcript Highlights:

• "Medically challenged children with complex medical needs are waiting in acute care emergency rooms solely
• most medically fragile children in our Commonwealth.
• Her medical condition is exactly the same.
• For a medically fragile child, a setting without 24-hour medical support, rehab, education, or recreational
• Are our students too medically complex or not medically complex enough?

Summary: The hearing focused on the future of the Pappas Rehabilitation Hospital for Children and the work of the special legislative commission studying whether and how the facility should continue. Senators and representatives said the Legislature has continued funding Pappas, that the hospital cannot be closed before the commission reports, and that they are seeking to extend the commission’s deadline. Multiple commissioners and witnesses described Pappas as a unique setting combining inpatient medical care, residential programming, special education, therapy, and campus-based activities for children with complex medical needs. Union leaders, staff, parents, and local officials argued that Pappas is being quietly depopulated through blocked admissions and continued discharges despite the formal pause on closure. They said the hospital’s integrated model cannot be replicated elsewhere, that families and staff are being left in limbo, and that the state should invest in repairs, modernization, and possibly temporary modular space to reopen admissions. Several witnesses emphasized the impact on children who have benefited from Pappas and on workers who fear losing a specialized workforce built over decades. Department of Public Health Commissioner Robert Goldstein said the state is committed to keeping Pappas open and stable while the commission works, but that admissions must meet hospital-level-of-care standards and the current infrastructure limits who can safely be served. He said the administration has been expanding outreach, hiring staff, and exploring ways to broaden services, including outpatient and therapy programs over time. Commissioners pressed him on why admissions remain so limited and whether the facility is being effectively depopulated, while Goldstein maintained that the restrictions reflect legal and safety requirements rather than an effort to close the hospital.

Transcript Highlights:

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Committee: Senate Human Services

Transcript Highlights:

• New Mexico medical malpractice laws? Or not?
• But as you all know, this doesn't solve our medical problem at all in New Mexico.
• What they tell us is necessary, we won't be allowed in.
• They are under the medical board.
• Carson from the Medical Board... I know that in a conversation with Dr.

Summary: The committee first took up House Bill 12, the physical therapy licensure compact. The sponsor and supporters said the bill would increase access to care and help recruit physical therapists in New Mexico, especially in rural areas and for neurodivergent patients. Support came from the Greater Albuquerque Chamber of Commerce, Desert States Physical Therapy Network, Think New Mexico, the state Health Care Authority, and Americans for Autism Advocacy. A trial lawyer raised concerns about immunity, venue, and loser-pays language, and committee members discussed whether New Mexico-specific amendments would be accepted by the compact commission. Two amendments were adopted, including clarifying language on background checks, data, federal court standing, and repeal procedures, plus an immunity-related amendment. The bill was then reported out with a 9-0 due pass recommendation. The committee then considered House Bill 10, the physician assistant interstate compact. Supporters again emphasized workforce shortages, telehealth access, and the need to join the compact to qualify for Rural Health Transformation Program funding. The Health Care Authority said the compact was part of New Mexico’s commitments tied to federal funding, and a trial lawyer again raised concerns about loser-pays language. Two amendments were adopted to clarify New Mexico’s authority over reproductive and gender-affirming care issues, confidentiality of New Mexico licensee data, joint investigations, and contingent repeal procedures. After discussion about malpractice exposure, oversight, and the need for compact commission approval of language changes, the bill received an 8-0 due pass recommendation. House Bill 34, dealing with school nurse licensure provisions, was presented as a cleanup bill to clarify implementation issues from last session. The changes would add charter schools, align contract language with teacher contracts, and adjust supervision and evaluation rules for tiered school nurses in small districts. The New Mexico School Nurses Association supported the bill, and it passed unanimously with an 8-0 due pass recommendation. The committee also heard Senate Memorial 21, which would direct the Department of Health to study overdose prevention centers and other harm reduction strategies. Supporters from the ACLU, All Safe New Mexico, the Drug Policy Alliance, and Families and Youth Innovations Plus argued that New Mexico’s overdose crisis remains severe and that evidence-based interventions could save lives and connect people to treatment. The Department of Health provided background on overdose trends and said it was neutral but available for technical questions. After discussion about fentanyl trends, drug prices, and public health approaches, the memorial was approved on a 7-1 due pass vote. The committee also announced that Senate Bill 130 would be rolled over to Sunday’s meeting because a new substitute needed review.

Transcript Highlights:

• I dealt one-on-one with many of the exceptional nurses and medical staff.
• medical attention and support during their incarceration.
• medical attention and support during their incarceration.
• passes for chronic medication, mental health medications, MAT medications.
• We help them with housing, ensuring that they have their medication.

Committee: Joint Joint Committee on Public Service

Summary: The committee heard testimony on several retirement and workforce-related bills. House Bill 2980 would place county correctional nurses and certain medical staff into Group 4 retirement. Representative Trino, Middlesex Sheriff Peter Koutoujian, and nurse manager Leanne Cameron argued that correctional nurses work in dangerous, high-stress settings with frequent contact with incarcerated people, high rates of mental illness and substance use in the jail population, and significant workplace violence, and that the change would help recruitment and retention with limited statewide fiscal impact. The committee also heard Senate Bill 210, which would create a commission to study additional regular compensation and annual expenses for members of the General Court. Senator John Keenan said Massachusetts has high leadership stipends compared with other states and argued the current structure can affect independence and public trust. Representative O'Day testified on House Bill 2928 to extend Group 2 retirement to additional Department of Children and Families social workers, and SEIU 509 witnesses described frequent transport of children, crisis response, threats, assaults, and other high-risk duties that they said match Group 2 work. Additional testimony supported House Bill 2943 for DDS service coordinators and supervisors, with witnesses describing home visits in unsafe conditions, transport of vulnerable individuals, direct care during staffing crises, and exposure to violence. House Bill 2899 drew support from the Association of Social Work Boards for social work field placement grants, incentives for supervisors, and expanded retirement benefits for DCF social workers. The committee also heard Senate Bill 2613, a local retirement bill for Salem police officer Kathleen Roachville, who described a severe line-of-duty injury during an arrest involving a combative person in a mental health crisis. Finally, Susan Smith Campbell testified for reclassifying certain DYS administrative officers into Group 2 because of their direct involvement in restraints, assaults, and crisis management. After testimony concluded, the committee adjourned without taking any votes.