Video & Transcript Research : 'pulmonary function test'

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WA

Washington 2025-2026 Regular Session

Senate Health & Long-Term Care Dec 4th, 2025

Transcript Highlights:
  • First, reducing training barriers by modernizing home care aide training and integrating testing into
  • WABON, the Washington Board of Nursing, has moved CNA testing to training programs to similar results
  • And certification backlogs and testing delays are three that I want to talk about today.
  • And then funding to integrate testing into training.
  • You heard about this from Aiden, but testing in the training sites is just, From Aiden, but the testing
Summary: The committee began with an extended work session on the long-term care workforce. DSHS Assistant Secretary B. Rector described the new Home and Community Living Administration and outlined major workforce pressures: Washington had about 126,000 long-term care workers in 2022, with demand expected to outpace supply as the 85-plus population and dementia prevalence rise sharply. She emphasized that direct care workers are largely women, people of color, and immigrants, and that family caregivers are also a major part of the system. She highlighted recruitment and retention efforts funded through federal Money Follows the Person dollars, including high school training partnerships, a retention toolkit, transportation support, caregiver newsletters, tribal workforce navigators, and a remote caregiving pilot. Committee members asked about career pathways, technology use, and turnover drivers; Rector said wages, benefits, unstable hours, and workplace support are key issues and promised follow-up data. Aidan Swain of the Washington Health Care Association said skilled nursing and assisted living facilities face acute RN vacancies, wage pressures, and Medicaid reimbursement that does not cover costs, and urged modernization of training, better reimbursement, and continued support for facility-based care. Maddie Fouch of SEIU 775, representing about 55,000 caregivers, said low wages, weak benefits, lack of voice, and certification delays are driving turnover and shortages, and argued for higher compensation, better worker protections, and more transparent reimbursement. Catherine Smith of Behavioral Health Solutions described growing behavioral health needs in nursing homes, the role of expanded behavioral supports programs, and credentialing delays that slow hiring. No votes were taken; the panel was informational only. The second agenda item was an overview of the palliative care benefit work group report required by 2024 legislation. Nico Jansen of the Office of the Insurance Commissioner explained that the work group, convened with the Health Care Authority, studied a potential palliative care benefit for fully insured commercial plans and also Medicaid, PEBB, and SEBB. He said palliative care is a philosophy of care focused on symptom management, coordination, and support for serious illness, and is distinct from hospice because it can be provided alongside curative treatment. The actuarial analysis concluded that creating a new benefit would likely increase costs, estimating about a 28-cent per member per month increase overall and roughly $2.6 million to $4.5 million in annual state Medicaid costs if implemented in 2027. Jansen said the consultants did not find sufficient evidence to assume savings from avoided hospitalizations or long-term care, though several work group members disagreed and submitted response letters. Senators asked about other states, Medicare, health homes, and whether more research could clarify cost savings; OIC said some states, including Hawaii, are moving ahead with Medicaid palliative care benefits, Medicare covers some related services but not in the same way, and further evidence may emerge over time. OIC did not take a position on whether the Legislature should create the benefit. The final presentation covered health care price transparency tools in Washington and federally. Evan Klein and HCA Chief Data Officer Vishal Chaudry reviewed federal hospital and health plan transparency rules, the state all-payer claims database, prescription drug price transparency, the Health Care Cost Transparency Board, the Prescription Drug Affordability Board, and other reporting systems. They explained that the APCD contains claims from fully insured commercial plans, Medicaid, and public employee programs, but not self-insured employer data except for limited voluntary submissions. They also described how machine-readable files, consumer price tools, and aggregated dashboards are used, and noted that data limitations, delays, and complexity remain significant. Senators asked about voluntary self-insured participation, the role of AI in making data more usable, and whether transparency can really help consumers given access barriers and medical debt. HCA said AI is increasingly used by private entities to mine large transparency datasets, but state agencies still face limits in data access and analytic capacity. The committee did not take action; the session was informational and ended with a discussion of how transparency data might better inform policy and purchasing decisions in the future.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Children, Families and Persons with Disabilities Jun 21st, 2026 at 01:00 pm

Joint Committee on Children, Families and Persons with Disabilities

Transcript Highlights:
  • test, but the answer is not to throw out the test; rather, the better approach is to work with that
  • It wasn't just low functioning people on the GED program.
  • They were people high functioning like me who were on it.
  • Thank you. functioning people on the GED program.
  • There were people high functioning like me who were on it.
Keywords: 995, all
Summary: The committee held a hybrid hearing on a range of bills affecting children, families, disability rights, homelessness, and social services. Early testimony focused on H.215, which would support children experiencing homelessness by speeding access to child care vouchers and early intervention screenings. Boston officials, Horizons for Homeless Children, Head Start, pediatric and early education advocates, and families described delays in child care and early intervention, the developmental risks of homelessness, and the need for automatic referrals and faster access to services. Testimony also supported H.216, which would improve emergency housing assistance by restoring presumptive eligibility, reducing documentation barriers, extending shelter stays from six to nine months, and creating an ombudsperson; providers and legal advocates said current rules leave families sleeping in cars or outside and create unnecessary administrative hurdles. The committee also heard strong support for H.210, which would repeal the “Learn Fair” school attendance sanction that cuts cash assistance to families when children miss school. Advocates from legal aid, education, and anti-poverty organizations argued the policy is punitive, burdensome, and ineffective, disproportionately affecting low-income, disabled, and Hispanic/Latino families. Several speakers said chronic absenteeism should be addressed through supports such as family outreach, wraparound services, and school engagement rather than benefit cuts. Legislators and school officials from Salem also testified that their districts reduced absenteeism through supportive strategies, not sanctions. Additional testimony addressed children’s vision bills H.202 and H.166, with optometrists and researchers urging better screening, data systems, and treatment access to close achievement gaps caused by untreated vision problems. Senator Lovely also presented S.2714, proposing a study of discrimination in public accommodations for people with service animals. Later, testimony on H.279 supported changing social work licensure rules to remove exam requirements that speakers said disproportionately exclude multilingual candidates and candidates of color. The hearing also included testimony on bills related to the Judge Rotenberg Center and electric shock devices, with disability rights advocates opposing continued use of the devices and urging the committee to reject licensing or authorization for them. No votes or committee actions were taken during the hearing.
AZ

Arizona 2026 Regular Session

03/25/2026 - Senate Judiciary and Elections

Judiciary and Elections

Transcript Highlights:
  • Madam Chair, Lieutenant, is this a uniform division function or a CID function?
  • There was a comment about testing.
  • They believe it's a qualitative testing.
  • Supreme Court Miller test for pornography.
  • Just testing. That was a test. That had been an actual bill. What's the direction?
Summary: The committee first heard HB 2825, which would replace criminal enforcement tools for nonpayment of fines, fees, restitution, and related obligations with a civil collection process. Supporters, including the sponsor, argued it would streamline restitution collection and reduce costly incarceration, while opponents from victims’ rights groups, judges, and prosecutors said it would weaken victims’ constitutional rights and remove effective enforcement leverage. The chair adopted an amendment requiring a summons and clarifying that victims’ constitutional remedies are preserved, and the committee passed the bill 5-2. The committee then considered HB 4070, which would bar corporations from incorporating if an officer, director, or trustee had been convicted of sex or human trafficking, and would extend civil liability to those who facilitate trafficking. Supporters framed it as a “corporate death penalty” aimed at preventing trafficking through corporate governance, while the ACLU warned the facilitation language was vague and could sweep too broadly. After adopting the chair’s amendment defining “facilitate,” the committee passed the bill 5-2. The committee also unanimously recommended confirmation of Neil McDowell to the Arizona Board of Executive Clemency after hearing his background in corrections and his plans to review cases thoroughly and efficiently. Next, HB 2720 was heard, which would raise penalties for paying or agreeing to pay for sexual conduct, add a $200 assessment for the anti-human trafficking fund, and allow certain sex-trafficking victims convicted of prostitution to seal vacated records. Supporters, including law enforcement, prosecutors, and survivor advocates, said it would deter demand and help victims; opponents argued it could still sweep in trafficking victims and lacked sufficient safeguards. The committee passed the bill 4-3. The committee also heard HB 2028, a strike-everything amendment allowing community restitution in lieu of a $20 assessment for indigent homeless defendants, and HB 2047, which would increase trespass penalties for remaining in or returning to property after an eviction writ; both were discussed but no final vote is reflected in the transcript excerpt. Additional bills were introduced and heard later in the meeting, including HB 2136, which would create new offenses for “civil terrorism” and “subversion” and increase penalties for certain highway obstruction; the ACLU opposed it as viewpoint discrimination. HB 2406 would make images and recordings of abused children and deceased minors confidential and restrict dissemination and monetization; the sponsor said it was intended to prevent re-victimization and misuse of public records, while defense-side speakers asked for clearer access for defense teams. HB 2415 would tighten regulation of kratom products and specifically target concentrated 7-OH products; testimony sharply split between supporters who described public-health risks and opponents who said prohibition would harm consumers who use it for pain or recovery. The transcript ends before any final action on those later bills is shown.
AZ

Arizona 2026 Regular Session

01/27/2026 - House Education

Education

Transcript Highlights:
  • I’ve administered every state test since 1991, including the Ames Test, AZM2, AASA, and the AzELLA test
  • test.
  • day of the test or during the test.
  • I also taught a high-functioning fifth-grade autistic student. ...or during the test.
  • I also taught a high-functioning fifth-grade autistic student who tested above grade level on paper.
Keywords: 1182, all
Summary: The committee first heard House Bill 2266, which would change school district and charter governing board policy from permissive to mandatory for excusing students for religious instruction during the school day. The sponsor and supporters framed it as a parental-choice and religious-liberty measure that preserves release-time programs, while opponents argued it would reduce local control, take students out of core instruction, create peer pressure and bullying, and raise constitutional concerns. After testimony from Secular AZ, a LifeWise Academy board member, and a school board president, the committee voted 7-5 to give HB 2266 a do pass recommendation. The committee then took up House Bill 2193, a cleanup measure related to student directory information and parent organizations such as PTOs/PTAs/APTs. Supporters said the bill would restore parent-to-parent communication that had been unintentionally limited by prior privacy legislation, while some members raised concerns about how the information could be used and suggested narrowing the language to prevent political or lobbying uses. The bill advanced on a 10-1 vote, with members generally supporting school-community communication but asking for possible amendments. Finally, the committee heard House Bill 2075, which requires public school districts to submit superintendent and other top administrator contracts or attestations to ADE and have the information posted in a searchable database. The sponsor and Goldwater Institute supporters said the bill is a transparency measure because base salary reports do not show total compensation, benefits, or allowances; opponents from school administrator groups and rural districts argued the bill singles out districts while ignoring charters and other publicly funded education providers, and they said superintendent pay is already publicly available in other forms. Discussion also touched on whether the bill should be expanded to charters and private schools. The sponsor closed by emphasizing transparency and the committee continued discussion of the measure.
WY

Wyoming 2026 Regular Session

Joint Education Committee, June 1, 2026 - AM

Education

Transcript Highlights:
  • year of our testing, our NAEP testing. year of our testing, our NAEP testing.
  • . test. test.
  • standardized tests. standardized tests.
  • . testing. testing.
  • It should be a voluntary test test them?
Keywords: 916, all
TX

Texas 89th Regular

Business and Commerce May 22nd, 2025

Business & Commerce

Transcript Highlights:
  • , which is a good test for building transmission.
  • The difference between that test and what this bill does is that the test looks at, as we sit here today
  • This is the same type of test, but it looks further out into the future.
  • An important feature of the bill is that this longer-term test doesn't supplant the current test.
  • It's the only means-tested production tax credit in the entire tax code.
Summary: The Senate Committee on Business and Commerce met with a quorum and took up a long list of pending House bills, most of them on motions by Senator King or Senator Campbell. The committee adopted committee substitutes and favorably reported numerous bills, including HB 252, HB 700, HB 1500, HB 1545, HB 1562, HB 1732, HB 267, HB 2213, HB 2221, HB 2520, HB 2818, HB 3016, HB 3214, HB 3250, HB 3512, HB 3623, HB 3689, HB 3833, HB 4063, HB 4395, HB 4690, HB 4751, HB 5331, HB 3824, HB 4464, HB 4468, and HB 5247. Most of these were sent to the local and uncontested calendar, while some, including sunset and other significant measures, were reported to the full Senate. HB 146 was the only bill reported out on a divided vote, passing 6 ayes to 4 nays. Several bills received brief explanation of committee substitute changes. HB 3016, dealing with rental car collision damage waivers and stolen vehicles, was amended to change a cooperation standard from “fully cooperate” to simply “cooperate.” HB 3689, a major ESF/TWA financing bill, was described as making technical changes to align terminology with the Comptroller’s authority and to avoid creating state debt or new liability. HB 5247, a capital cost recovery bill for transmission in the Permian Basin, was revised to clarify how the new mechanism fits with existing Utilities Code provisions and to add a 2035 expiration date. HB 3824, the battery fire safety bill, also received technical changes to align terminology with industry usage. The committee heard public testimony on several pending measures. HB 3069, which would direct the PUC to develop supplemental multi-decade planning criteria for transmission certificates in ERCOT, drew support from industry, environmental, and manufacturing witnesses who said it would help address congestion costs while balancing consumer protections; the bill was left pending. HB 5196, requiring state agencies to adopt and post telework policies and use written telework agreements, received both support and concern: supporters said it would preserve productivity and retention, while a senator raised concerns about notice and family logistics; it was left pending after testimony. HB 3112, allowing closed deliberations on cybersecurity policy details, was laid out and left pending after brief discussion. HCR 102, supporting federal nuclear tax credits, drew testimony from nuclear industry and energy advocates, who argued the credits are essential for existing plants, new nuclear development, grid reliability, and U.S. competitiveness; the resolution was left pending, with discussion about whether the language should focus more exclusively on nuclear. HB 705, creating a cosmetology licensure compact, was supported by industry, employers, and compact experts as a mobility tool that preserves state authority; HB 3516, expanding a public information exemption for Railroad Commission administrative law judges and technical examiners, and HB 3388, authorizing group property and casualty coverage for personal lines, were also heard and left pending. At the end of the meeting, the committee recessed subject to the call of the chair.
NH

New Hampshire 2026 Regular Session

House Commerce and Consumer Affairs (04/16/2026)

Commerce and Consumer Affairs

Transcript Highlights:
  • And what they do, it's basically a giant testing lab where they test roofs, they test buildings, you
  • A testing lab where they test roofs, they test buildings, you know, for safety in various conditions.
  • You have you passed the test,<01:59:05.600> okay. test, okay. test, okay.
  • I'm glad I passed the test. >> Thank you. I'm glad I passed the test.
  • functional support services paid for. functional support services paid for.
Keywords: 928, house, all
Summary: The committee held a public hearing on Senate Bill 562, which would create a home damage mitigation and resilience grant program aimed at helping homeowners make property improvements that could reduce insurance costs and non-renewals. Commissioner DJ Bettencourt of the New Hampshire Insurance Department explained that the program is modeled in part on Alabama’s safer homes program, but tailored for New Hampshire hazards such as floods, microbursts, heavy snow, ice, and falling trees. He said the grants would be limited to primary residences, subject to a means test, capped at $10,000, and intended to help homeowners make targeted improvements such as roof fortification or tree removal that could improve underwriting outcomes and lead to premium discounts. Bettencourt said the program would not use state taxpayer funds and would instead rely on philanthropic donations, possible federal or regional housing-bank funding, and other outside sources. He said the department would not need new staff, and that a current position could be reconfigured to help administer the program part-time. Committee members asked about the funding language, the meaning of “loans” in the bill, whether there were any other states using a similar no-state-funds model, and how many homeowners could be helped. Bettencourt said Rhode Island and Connecticut were moving forward in a similar way, and that the number of beneficiaries would depend on how much money is raised. Members also questioned how the grant program would actually lower premiums, whether savings would apply only to participants or more broadly, and how the IBHS evaluation process would work. Bettencourt and department staff said the direct benefit would be to the homeowner whose property is improved, though neighbors could also benefit in some cases. They explained that IBHS is a building-safety organization that certifies contractors and inspectors and that its standards can qualify homes for insurer discounts. Questions were also raised about confidentiality provisions, first-come-first-served grant awards, rollover of unused applications, and possible tax treatment of donations. The sponsor said those details would be addressed through rulemaking or existing tax rules, and no vote was taken during the hearing.
TX

Texas 89th 2nd C.S.

Appropriations - S/C on Article III Feb 27th, 2025

Appropriations - S/C on Article III

Transcript Highlights:
  • Um, drug testing, para-mutual racing animals.
  • animals due to a decline in drug testing.
  • So they will discontinue testing race horses for. The drug testing. That is their intent, yes.
  • So, um, it does not reflect an end to the testing, just our funding of it.
  • The, the, the, uh, test articles, you know, probably, I don't know, about 5 ft.
NH
Transcript Highlights:
  • , okay, the licensed social worker test is too high a bar?
  • <00:10:57.279> okay worker uh professional test okay worker uh professional test okay licensed
  • whether it's an academic test or practical skills test, that would actually just be more relevant to
  • academic test or practical skills test academic test or practical skills test uh<00:22:09.919>
  • Because if you're going to require background checks, the process has to function.
Keywords: 928, house, all
Summary: The subcommittee heard House Bill 2712, which would remove the exam requirement for licensure as a Licensed Social Work Associate (LSWA). Members expressed concern that the exam requirement was only added in 2021 and has not been in place long enough to evaluate, but they also questioned whether licensure should be granted without a meaningful measure of competency. Testimony was split: supporters argued the exam is a barrier for applicants without formal social work education, while opponents said licensure should still require some standard of competency, especially because the title carries public expectations and insurance reimbursement implications. Karina Bonia, speaking for NASW New Hampshire, said there is very limited data because only one person in New Hampshire currently holds an LSWA. She explained that LSWA applicants may have degrees outside social work, unlike licensed social workers, and that the current exam is the same national social work exam used for higher levels of licensure. She argued that this creates a significant barrier for LSWA applicants and noted that LSWA holders are already required to complete 30 hours of training and substantial supervised hours. Members asked for data on pass/fail rates and whether a different exam or practical skills test would be more appropriate. Committee members and OPLC representatives discussed whether the current statute and board rules already provide enough authority for the board to set other criteria, and whether the exam requirement is tied to the social work compact. OPLC indicated that the current rule requires passage of a national proctored exam approved by the board, but that no national exam exists specifically for this level, and that the board may need legislative authority to develop different criteria. The discussion ended with interest in obtaining the existing rule language and possibly revisiting the issue through amendment or future legislation rather than immediately removing the exam requirement.
NM

New Mexico 2025 Regular Session

IC - Legislative Finance Nov 21st, 2025

Transcript Highlights:
  • This functions like a loan.
  • Two things On testing, culturally and linguistically responsive testing is a must.
  • It's not an effective testing.
  • too much testing.
  • All of these kids could not falsify their test scores. Why did you take the tests for them?
CA
Transcript Highlights:
  • The first is MyCAVACS, which facilitates vaccine ordering and distribution functionality.
  • It also has a function to correct errors in vaccine records.
  • I think it's our function, and we should be able to continue to do that. Thank you.
  • Extensive facility preparedness and health care workforce protection functions are needed.
  • CDPH has prioritized retaining staff to ensure that key functions could be maintained.
Keywords: 988, house, all
FL

Florida 2026 Regular Session

Finance and Tax Dec 3rd, 2025

Finance and Tax

Transcript Highlights:
  • But this is a really important piece of the property appraiser's functioning. ...it.
  • That's when these tests really come into play more so.
  • And in mass, that is done with statistical testing. As Mr. Levy touched on, that's a DOR function.
  • They test our results.
  • We do our own testing, obviously, through the process to make sure we're going to comply.
Summary: The Committee on Finance and Tax met with a quorum present and heard a presentation from the Property Appraisers Association of Florida on ad valorem valuation, exemptions, and the property tax process. Lauren Levy reviewed the legal and historical framework of Florida property taxation, including Save Our Homes, the 10% cap on non-homestead assessments, portability, tangible personal property exemptions, TRIM notices, and the distinction between taxable value and millage rates. He emphasized that property appraisers are independent constitutional officers who assess just value, administer exemptions, and are overseen by the Department of Revenue, with values and exemptions generally determined as of January 1 and subject to challenge through the Value Adjustment Board or circuit court. Mike Twitty described the mass appraisal process in Pinellas County, explaining how property appraisers value large numbers of parcels using the same core approaches as fee appraisals but with statistical testing, field reviews, aerial imagery, and technology. He discussed the importance of budget, staffing, and the January 1 valuation date, and noted that recent hurricanes caused significant damage, increased petitions, and required new procedures to help property owners with value reductions and FEMA-related issues. Paul Polk focused on Department of Revenue oversight, explaining sales ratio studies, uniformity measures such as COD and PRD, time adjustments, sales qualification reviews, and in-depth studies that can lead to corrective action if assessment standards are not met. He also noted that the Department reviews property appraiser budgets to preserve independence from county pressure. Senators asked about the supersized homestead concept, DOR review and rejection standards, value trends, and the impact of storms and new construction on taxable value. Twitty and Polk said value growth has been driven by a mix of new construction, market appreciation, cap resets, and storm-related adjustments, while noting that some counties saw market value decline even as taxable value rose. They also said some property tax relief proposals would be easier to implement than others depending on how local tax bills are structured, especially where law enforcement millage is separately identified. No votes were taken on legislation, and the committee adjourned after the presentation.
CA

California 2025-2026 Regular Session

Senate Business, Professions and Economic Development Committee Jun 29th, 2026

Business, Professions and Economic Development

Transcript Highlights:
  • It used to be that video games remained playable so long as you had functioning hardware and a copy of
  • Playable so long as you had functioning hardware and a copy of that game.
  • future negotiation, but it's the intention of what we want to do is to really meet that reasonable test
  • We have built one of the most rigorous testing systems in the country.
  • CCIDC is not functioning in a way that meaningfully serves designers or the public.
Keywords: 987, senate, all
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Environment and Natural Resources Jun 21st, 2026 at 01:00 pm

Joint Committee on Environment and Natural Resources

Transcript Highlights:
  • The regulatory provisions would deal with their ministerial functions and their discretionary functions
  • The regulatory provisions would deal with their ministerial functions and their discretionary functions
  • Yet, according to the lead testing data from the DEP, more than 80% of the 62,000 taps tested from 1,700
  • They need to be tested at the...
  • From our testing, there's clear evidence of respirable silica dust at the active mine we tested, using
Keywords: 995, all
Summary: The hearing covered a broad set of environmental and water-related bills, with much of the testimony focused on blue economy and circular economy proposals, drought management, drinking water safety, flood resilience, and water infrastructure funding. Supporters of bills such as H. 987 and H. 988 described grant programs for blue economy workforce development, research, small businesses, and public education about a circular economy. Other speakers backed measures on coastal erosion research, recreational boating dredging, cranberry water-right transfers, sand mining oversight, and a voucher program for home water filtration in PFAS-impacted communities. Several elected officials and advocates also urged passage of bills to require private well testing, improve school drinking water safety, and address sand mining pollution and PFAS contamination. Water supply and drought issues drew extensive testimony. Senator Eldridge and others supported legislation to let the state, through DEP and the drought management task force, impose regional water-use restrictions during droughts and make the task force permanent in statute. Advocates from watershed groups, farms, and environmental organizations said the current town-by-town approach is inconsistent and ineffective, and they described drought impacts on rivers, farms, private wells, and wildfire risk. A related bill on private wells was supported as a way to help homeowners test and remediate contaminated wells, especially in rural areas without public water. The committee also heard testimony on a bill to allow the Lynnfield Water District to join the MWRA, with local officials saying the move would help address PFAS and other contamination and improve supply reliability. Another major panel supported a water infrastructure funding bill, arguing that aging drinking water, wastewater, and stormwater systems need major new investment, including support for PFAS treatment, sewer rate relief, biosolids research, and regional interconnections. Members asked about costs, funding sources, and the relationship to existing revolving loan funds; witnesses said the bill would need to be paired with future bond funding and new revenue ideas. No votes were taken during the hearing, and the chairs repeatedly invited written testimony and noted the large number of speakers.
FL

Florida 2025 Regular Session

February 4, 2025 - 12:30 PM

Transcript Highlights:
  • The second industry would be the certified marijuana testing laboratories whose statutory function is
  • important function.
  • Appropriate testing methods have to be used.
  • function.
  • in the testing.
Summary: The Health Professions and Program Subcommittee met to receive oversight briefings on Florida’s medical marijuana program from the Department of Health’s Office of Medical Marijuana Use (OMMU) and from the University of Florida’s Consortium for Medical Marijuana Clinical Outcomes Research. OMMU Director Christopher Kimball outlined the program’s structure, including more than 900,000 active patients, nearly 7,000 caregivers, 27 MMTC licensees, 706 dispensing locations, and nine certified testing labs. He described the state’s pre-approval process for products and advertising, plain packaging requirements, seed-to-sale tracking, registry operations, and compliance efforts such as background checks, inspections, complaint investigations, and lab desk audits. He also said the Bureau of Public Health Laboratories in Jacksonville had been accredited to begin supporting testing. Members asked about telehealth, patient growth, product safety, advertising to children, inspections, and the status of MMTC licensure; Kimball said recertifications by telehealth now make up more than half of recertifications, that patient growth has slowed, and that ongoing litigation is delaying issuance of 22 new MMTC licenses. Kimball also discussed implementation of recent legislation and licensure changes, including licenses issued under HB 387 and SB 1582 to applicants from the original Pigford-related pool, with additional cure opportunities still ongoing. He said the department is monitoring diversion, inversion, and unapproved products, and that it coordinates with law enforcement when needed but does not itself have sworn authority. In response to questions, he said the department does not regulate physicians directly, but may refer concerns to the Division of Medical Quality Assurance, and that caregiver and physician participation requirements are set by statute. Members raised concerns about edibles, child access, and continued use of child-attractive branding; Kimball said the department tries to catch issues through pre-approval and enforcement, and that complaints involving children are treated as serious and investigated using available records and camera footage. Dr. Almond Winterstein then presented the consortium’s research overview. He explained that the consortium was created by statute in 2019, includes 10 universities, and is funded by annual state appropriations. He said its work includes grants, a research repository, a clinical core, outreach, and evidence synthesis, including a recent FDA-supported review of cannabis evidence. He emphasized that the current evidence base is limited and often low quality, with the strongest signals for symptom relief in PTSD-related symptoms, nausea, and some pain outcomes, but with many studies inconclusive or mixed. He also described the consortium’s use of registry data linked to Medicaid, Medicare, death, fetal death, and birth records to study safety and outcomes, including children, pregnancy, driving safety, opioid-sparing effects, and adverse events. Winterstein said adverse event reporting is sparse and likely underreported, with most reports mild but some serious events noted, and he expressed concern about use among young adults because of uncertain benefit-risk and possible effects on the developing brain. The committee discussed the need for better surveillance, more robust adverse event reporting, and the possibility of using linked data to identify harms more quickly. At the end of the meeting, the committee rose without objection.
NM

New Mexico 2025 Regular Session

House - Health and Human Services Feb 3rd, 2025

House Health & Human Services

Transcript Highlights:
  • So they could choose a blood test or they could choose a breath test.
  • for a DWI, they stop testing.
  • Can you, um, it's one blood test and the blood test covers all the different substances, including alcohol
  • A blood test, only two vials, blood test, you're not...
  • it be a breath test or a blood test.
ND

North Dakota 2026 1st Special Session

Joint Policy Jan 21st, 2026 at 01:00 pm

Transcript Highlights:
  • Fitness test.
  • Not a fitness test. It had to be the presidential fitness test to get points on this.
  • There are some concerns with—you have to do some long-term liver function tests and that kind of stuff
  • , such as maybe a strep test.
  • They're functionally equivalent.
Keywords: 908, all
Summary: The committee first took up Senate Bill 2401, which would require physicians to complete continuing education on nutrition and metabolic health as part of the state’s rural health transformation effort. HHS supported the bill, saying it would help physicians better address chronic disease and preserve federal grant points tied to the state’s application. A member of the public also testified in favor, arguing that better nutrition education could improve diabetes outcomes and reduce costs. The committee then adopted an amendment to add the Board of Occupational Therapy Practice to the background-check statute so the occupational therapy compact could proceed, and it passed the bill as amended on a roll call vote. The committee next heard House Bill 1621, which would require the Presidential Fitness Physical Fitness Test in elementary, middle, and high school physical education courses. HHS said the bill was part of the rural health transformation application and could help preserve federal funding, but members raised many questions about the test’s criteria, adaptive options for students with disabilities, equipment needs, and whether the bill should apply to non-public schools. Senator Clemens offered an amendment to limit the requirement to public schools, but it failed. Senator Hogan then offered an amendment to clarify exemptions and allow DPI to align implementation with federal guidance; that amendment passed. A further amendment adding language allowing DPI to establish criteria for and exceptions to the test also passed. The committee then approved the bill as amended on a roll call vote. The committee also considered House Bill 1622, which joins North Dakota to the physician assistant licensure compact. HHS said the compact would improve access to care, especially in rural areas, support military families, and help preserve rural health transformation funding. Members noted the compact had been discussed in a prior session and that many earlier concerns had been resolved. After brief discussion about the compact process and its consistency with other interstate compacts, the committee voted to do pass the bill. Finally, the committee began Senate Bill 2402, which expands pharmacists’ prescriptive authority and therapeutic substitution powers. HHS and the Board of Pharmacy supported the bill as a way to improve access to care and maintain rural health transformation funding. Senator Roers introduced a detailed amendment negotiated with the Board of Medicine and Board of Pharmacy to narrow and clarify the bill, including notification requirements, limits on certain drug categories, and patient-protection language for therapeutic substitution. The Board of Pharmacy then testified in support of the broader bill and explained the CLIA-waived testing provisions and the repeal of the older, narrower pharmacist-testing language. The hearing and amendment discussion were still underway when the transcript ended.
ND
Transcript Highlights:
  • So we've been working kind of on the fly and with agencies, testing the functionality, making sure that
  • So we've been working kind of on the fly and with agencies, testing the functionality, making sure that
  • That's the premium function that agencies would be paying for. Thank you. Good.
  • We stood up some solutions to test them out.
  • We stood up some solutions to test them out.
Summary: The committee held its first meeting on artificial intelligence and data centers, established a quorum, and heard introductory remarks from Majority Leader Hogue and the chair about the committee’s charge. Members said the goal was to build a factual foundation on AI, hear from experts and stakeholders, and develop practical North Dakota-focused recommendations rather than simply produce a large volume of bills. Legislative Council also reviewed interim committee rules and procedures before the informational presentations began. Staff and NCSL presenters then gave overviews of AI concepts and the state and federal policy landscape. The background memo and presentations covered AI categories and terms, state laws in areas such as consumer protection, algorithmic discrimination, deepfakes, chatbots, children’s safety, health, education, and government use, as well as data center siting and economic impacts. NCSL described a growing number of AI bills introduced and enacted across the states, with comprehensive laws in places like Utah, Colorado, Texas, California, and Illinois, and noted recurring issues around transparency, privacy, liability, and protections for minors. A major focus of the discussion was federal preemption and the tension between state regulation and national AI policy. NCSL said a recent White House executive order and related federal framework seek a light-touch, innovation-friendly national standard, with possible challenges to state laws and possible funding conditions tied to compliance, though no broad federal preemption has yet been enacted. Members asked about Commerce Clause concerns, industry pushback, oversight models, and whether AI policy is bipartisan; presenters said the issue cuts across party lines, with broad agreement on child safety and deepfake restrictions but more disagreement on broader regulatory approaches. No votes or formal actions were taken at the meeting, and the committee recessed briefly for technical issues during the second presentation.
TX

Texas 89th Regular

State Affairs Apr 7th, 2025

State Affairs

Transcript Highlights:
  • Require verified testing, full-panel testing, ISO-certified ID checks.
  • Require verified testing, full panel testing. ISO certified ID checks.
  • You can't from a full panel test.
  • There's a lot of issues with testing. Full panel testing, any little bit you're going to fail.
  • We got to fix the testing.
Bills: SB 3, HB28, SB3