Transcript Highlights:

• This instrument provides relative to bank-owned life insurance, to provide for an insurable interest,
• to provide for the exchange of bank-owned life insurance policies, to provide for definitions, and to
• care, to provide for applicability, to provide for an effective date, and to provide for related matters
• This instrument provides relative to payments to health care providers, to provide for recoupment of
• to provide for rulemaking, to provide for definitions, and to provide for related matters.

Keywords: 965, house, all

Transcript Highlights:

• Organizations like NAMI provide this kind of support.
• And so we are providing this intermediate level.
• Frazier, maybe you can also provide some input here.
• Frazier, maybe you can also provide some input here.
• And if we could expand that so we could provide training and we provide support so other schools could

Keywords: 988, house, all

Transcript Highlights:

• </c> health care providers. health care providers.
• me could have denied to provide treated me could have denied to provide that<01:20:24.120><c> care,<
• This bill is called the providers.
• :29:11.040><c> provide</c><01:29:11.880><c> ethical,</c> biases to provide ethical, biases to provide
• </c> provide certain types of birth control. provide certain types of birth control.

Keywords: 00:00:00 Call to Order/Roll Call 00:01:10 Discussion of 25RS HB 414 00:44:26 Roll Call Vote on 25RS HB 414 00:50:25 Discussion of 25RS SB 27 00:53:44 Roll Call Vote on 25RS SB 27 00:55:49 Discussion of 25RS SB 93 00:57:57 Roll Call Vote on 25RS SB 93 00:59:29 Discussion of 25RS SB 132 01:37:39 Roll Call Vote on 25RS SB 132 01:40:55 Discussion of 25RS SB 153 01:42:05 Roll Call Vote on 25RS SB 153 01:43:46 Adjournment, 958, all

Summary: The Health Services Committee met with a quorum and took up House Bill 414 with a committee substitute. The bill, described by sponsors and supporters as a continuation of prior maternal-health legislation, was framed as a clarification of medical standards and an effort to improve care for women and families facing complicated pregnancies. Representative Tate, Representative Nemes, Adair Wushar of Kentucky Right to Life, and Dr. Jeff Goldberg of ACOG Kentucky all testified in support, saying the substitute was developed collaboratively to reduce confusion in the law and help physicians provide evidence-based care without fear of criminal penalties. Supporters said the committee substitute was intended to define what is not an abortion under Kentucky law and to spell out medical treatments for conditions such as miscarriage, ectopic pregnancy, molar pregnancy, sepsis, hemorrhage, preeclampsia, premature rupture of membranes, and fetal demise. Dr. Goldberg said current statutes contain significant ambiguity and have created unintended barriers to treating pregnancy complications, including emergency situations, and he gave examples of patients who were delayed or harmed because physicians were uncertain about what the law allowed. Representative Nemes said the measure was the result of unusual cooperation among groups that do not usually agree and described it as a first step toward fixing a discrete problem. Representative Wilner raised concerns that the language could effectively require a patient to be in severe distress before treatment is clearly permitted and that it was too prescriptive about how physicians should manage miscarriages. In response, Dr. Goldberg and the sponsors said the substitute was not perfect, was meant as a short-term solution, and was designed to give doctors more confidence in providing routine, medically necessary care for pregnancy complications. The transcript indicates the committee substitute was adopted, but no final vote on the bill itself is shown in the excerpt.

Transcript Highlights:

• It's providing oversight.
• We need to provide another option. And that’s all we’re trying.
• And so, you know, this state infrastructure bank would provide that.
• entity, and to provide for an annual basis for application submissions, to provide for definitions,
• and to provide for related matters.

Summary: The committee first heard House Bill 1157, which would create a Louisiana State Infrastructure Bank to provide another funding mechanism for transportation-related projects, including roads, bridges, rail, ports, airports, and other surface transportation needs. Chairman Borek and DOTD Secretary Glenn LaD said the goal is to leverage state, federal, local, and private dollars, using models from Florida and other states. Members asked about board makeup, staffing, project selection, administrative costs, and how the bank would differ from capital outlay and existing transportation programs. Testimony in support came from business and economic development representatives, including Michael Hecht of Greater New Orleans, Inc., who said infrastructure is critical to major economic projects and that the bank could attract outside capital. The bill was reported favorably without objection. The committee then took up several local and procurement-related bills. House Bill 860, allowing fillable electronic public bid forms, was reported favorably. House Bill 972, naming a portion of Highway 93 in Lafayette Parish the Desert Shield Desert Storm Memorial Highway, and House Bill 965, naming a portion of Highway 163 the Sergeant William Billy Earl Collins Jr. Memorial Highway, were both reported favorably after brief testimony honoring veterans and law enforcement. House Bill 692, authorizing local governments to enter group purchasing agreements, was amended and reported favorably. House Bill 685, allowing use of FAST Act cooperative procurement for public motor vehicles and rolling stock, drew support from transit officials and was reported favorably after a roll call vote, with one member voting no. The committee also advanced House Bill 982, which designates portions of highways in Morehouse Parish in memory of local residents killed in a crash after attending an LSU game; it was reported with amendments. House Bill 506, creating special prestige license plates for local high schools as a fundraiser, was amended and reported favorably. House Bill 839, lowering the contract limit for hospital service districts to use construction management at risk from $2 million to $1 million, was reported by substitute after testimony from hospital leadership and industry representatives. House Bill 1072, revising powers and emergency procurement authority for the Office of Louisiana Highway Construction, was amended and reported favorably after discussion about its relationship to DOTD and emergency repairs. Finally, the committee heard House Bill 887, which revises construction management at risk procedures, including committee makeup, scoring, and financial qualification requirements; it was amended and reported favorably. House Bill 647, creating timelines and an annual application process for waterway projects under a waterway assistance program and fund, was reported by substitute. The last major item discussed was House Bill 873, which would fund pursuit intervention technology and training for law enforcement through a $2 fee on driver’s licenses. The bill was presented alongside emotional testimony from the widow and daughter of Sergeant Grant Candies and from a St. John the Baptist Parish sheriff’s captain, all urging safer equipment and better training for officers. Members expressed strong support, and the discussion continued into funding and grant administration details.

Transcript Highlights:

• a footnote to provide for enhanced contributions to provide for enhanced contributions from the state
• I can also provide local comparisons.
• Um, but that type of programming and providing for that funding, uh, law... providing for that funding
• And so that is also a consideration that you could provide. you could provide.
• Again, I have provided information to Again, I have provided information to the chairs.

Keywords: 916, all

Transcript Highlights:

• The amendment provides an appropriation of $500,000 of non-recurring general revenue funds to provide
• It provides It provides $246 million for nursing home rate increases.
• It provides $37.8 million for graduate medical education for specialty hospitals, providing comprehensive
• , and provides $13.5 million to remove seniors from wait lists and provide in-home services, including
• This budget provides...

Summary: The House met on the final day of session, swore in Representatives Boyles and Hodgers, and observed a moment of silence for the Minnesota House Speaker Melissa Hortman and her husband, as well as for Representative Rosenwald’s father. The chamber then moved into final budget work, with leaders outlining the plan to take up H.J.R. 5019, HB 7031, HB 5017, HB 5015, and then the general appropriations act once the Senate transmitted it. H.J.R. 5019, a proposed constitutional amendment to expand the budget stabilization fund, was explained and amended to raise the rainy day fund cap, require annual deposits, and allow withdrawals for critical state needs by a two-thirds vote; it passed 100-1. The House then adopted the conference report on HB 7031, the tax package. The bill repeals the business rent tax and aviation fuel tax, delays the natural gas fuel tax, creates or expands several sales tax holidays and exemptions, including permanent exemptions for disaster-preparedness items, hunting/fishing/camping items, and ammunition and firearms-related purchases, and makes changes to property, corporate income, local tax, and economic development provisions. Members debated the removal of recurring housing trust fund and transit-related revenue streams, the new ammunition exemption, and the data center tax changes; supporters argued the package reduces taxes and preserves annual budget flexibility, while opponents raised concerns about housing, transportation, and gun violence. The conference report passed 93-7. HB 5017, creating a debt reduction program funded by a recurring transfer to retire state bonds early, passed unanimously. HB 5015, the state group insurance conforming bill, which directs DMS to develop a formulary management plan and codifies the administrative health insurance assessment, also passed. The House then began explanation and questions on the fiscal year 2025-26 general appropriations act, described as a $115.1 billion budget that is down $3.8 billion from the current year and includes more than $12 billion in reserves. Subcommittee chairs summarized major spending areas, including pre-K-12 funding increases, health care funding for Medicaid, KidCare, nursing homes, opioid treatment, and mental health, transportation and economic development funding, environmental and water projects, higher education, state administration, justice, and information technology. Questions focused on school vouchers, inflationary pressures on school districts, and the adequacy of funding for housing, transportation, and other priorities.

Transcript Highlights:

• providers um who have 100 medical providers um who have certified<00:59:29.400><c> at</c><00:59:29.480
• </c><00:59:51.680><c> is</c> in New Hampshire any provider is in New Hampshire any provider is authorized
• </c> through their regular medical providers through their regular medical providers that's<01:00:31.039
• <01:02:12.240><c> that</c> providing that providing that information<01:02:13.960><c> uh</c><01:02:14.079
• And, as I mentioned earlier, they did support the bill that provided medical providers discretion in

Keywords: 928, house, all

Summary: The Health and Human Services Oversight Committee met on February 2 and first approved the draft minutes from the prior meeting, with minor corrections to the meeting date and attendance notation. DHHS Associate Commissioner Patricia Tilly then gave a department update, describing the current uncertainty around federal priorities and funding, and provided two substantive reports: progress on the new Hampstead Youth Development Center and an update on the department’s review of an ALS registry proposal. She said the YDC project is underway with tree clearing, fencing, stormwater and site-prep work, and remains on track for completion by June 30, 2026 and operation by August 30, 2026. The center currently has 12 youth, and the new design is intended to provide flexibility for fluctuating census levels. On ALS, Tilly explained that HB 576 had prompted the department to examine whether a registry could be built, but the estimated cost of a HIPAA-compliant system was about $750,000. She said DHHS is reviewing whether existing data sources, such as hospital discharge data and CHIS claims data, could provide useful information, but noted both are incomplete for registry purposes. Committee members discussed whether the Rare Disease Advisory Council, Dartmouth, or existing cancer registry infrastructure could help reduce costs. DHHS said it is neutral and willing to continue exploring alternatives, while members emphasized the value of a registry and the need to consider shared infrastructure and funding. The committee also heard from Jenny Horan of the Alzheimer’s Association, who presented the subcommittee’s report on Alzheimer’s disease and related dementias. She said the subcommittee spent the past year gathering information on dementia care, abuse and exploitation issues, caregiver strain, and available services, and is now moving into a second phase focused on identifying gaps and developing a state plan. Members asked about geriatric psychiatric capacity and long-term care availability; Horan said the state has limited capacity and that the plan will help clarify where needs are greatest. She offered to return for follow-up questions at a later meeting. Finally, Olivia May of DHHS presented the quarterly report on the 12-month postpartum Medicaid coverage extension. She said New Hampshire implemented the extension after federal and state action, and the first claims data are still emerging because of reporting lags. In the initial cohort studied, 95% received some medical services during the extended period, 52.4% received mental health or substance use disorder treatment, 26.7% received preventive visits, and 3.2% received heart or hypertension services. Members asked about return on investment and whether higher federal matching rates are being used appropriately; DHHS said it claims the highest possible match based on eligibility group and will return with more data over time. The committee then heard the annual therapeutic cannabis program report from Michael Holt, who said the program had 1,475 registered patients as of June 30, 2024 and that growth has slowed, with New Hampshire having the lowest per-capita medical cannabis enrollment nationally.

Transcript Highlights:

• provide these same services in that county.
• , and they provide these same services in that county.
• They provide adult education services to Arkansans.
• They provide adult education services to our Kansans.
• They can bill us for the services they provide to SNAP employment and training provider.

Keywords: 1204, all

Transcript Highlights:

• We just thank you that you provide us with comfort, hope, and peace when we ask for it.
• Making an appropriation to the Health Care Authority for providing rate increases to service providers
• House Bill 49 provides penalties for non-compliance.
• House Bill 59 provides for licensure of earned wage access services providers, including provisions for
• Providing for enforcement, providing penalties, making an appropriation. House Bill 10.

Transcript Highlights:

• Redmond provided.
• Redmond provided.
• providing care.
• So if you look from 2018 to 2025, you can see a steady increase in the number of licensed providers providing
• training and support for providers and then really thinking about how they were providing culturally

Summary: The committee began with a work session on juvenile rehabilitation institution capacity, services, and staffing. DCYF Assistant Secretary Jennifer Redmond described overcrowding at Green Hill School and Echo Glen, driven by longer adult-style sentences extending past age 25, limited community placements, and small facility sizes. She said Green Hill remains above safe operating capacity, but staffing, injuries, large-scale aggression, and use-of-force incidents have improved over the past year. She also discussed Harbor Heights, a new 46-bed flex facility that had opened with 22 youth and would expand once a medical trailer arrives, as well as community transition services, vocational programming, behavior management reforms, and a request for more resources for mental health-focused facilities and staffing. Members asked about success metrics, developmental disability screening and supports, college access at Echo Glen, Mission Creek planning, and gender-responsive programming; Redmond said JR uses assessments, family involvement, and specialized living units, and that some requested funding had already been secured for returning a girls’ program at Echo Glen. The committee then heard from Team Child and the Youth Action Coalition. Greta Schultz said youth perspectives should guide system reforms and identified key concerns: overuse of sentence extensions, underuse of community transition services, continued criminal referrals from Green Hill to Lewis County, limited family contact, inadequate mental health access, and unequal education opportunities, especially for young women at Echo Glen. Justella Gonzalez, a former system-involved youth, said her time in county and state facilities was harmful, with staff mistreatment, poor education, limited therapy access, and humiliating restraint practices; she also said girls at Echo Glen lacked the same college opportunities as boys at Green Hill. Committee members asked for follow-up on county versus state experiences and on telehealth mental health services. The next presentation covered county-level services for youth involved or at risk of involvement with the justice system, led by juvenile court administrators Christine Simon-Smeyer and Judge Rachel Anderson. They outlined the juvenile court continuum from prevention and truancy work through diversion, detention alternatives, community supervision, and disposition alternatives, emphasizing evidence-based, trauma-informed, and restorative practices. Clark County was used as an example of a court that partners closely with schools and community providers, uses risk assessments and wraparound behavioral health probation, and offers detention alternatives without electronic home monitoring. They said most courts do not use detention for status offenses, but instead use court involvement to connect youth to services. They also described funding, noting that courts rely on a mix of state block grant and local dollars, and that recent cuts to early intervention funding reduced programming and staff hours. Members asked about detention for truancy, developmental disability identification, restorative justice practices, and the juvenile block grant. Finally, DCYF Assistant Secretary Nicole Rose and Katie Warren of the Washington State Association of Head Start and ECAP discussed child care and early learning impacts from recent policy and budget changes. Rose said Fair Start for Kids investments had increased child care access, provider participation, and kindergarten readiness, with more than 60,000 children in Working Connections care and rising ECAP enrollment and provider capacity. She said recent reductions will raise most family copays in 2026, delay eligibility expansions, eliminate some expanded eligibility categories, reduce ECAP slots by about 3,000, delay entitlement timelines, and cut provider supports such as rate increases for centers, complex-needs grants, trauma-informed and dual-language incentives, and infant/early childhood mental health consultation. Warren emphasized ECAP’s role in family stability, workforce participation, and reducing poverty, and noted its two-generation approach to supporting both children and parents.

Transcript Highlights:

• Is technical assistance provided?
• Is technical assistance provided?
• We'll provide some additional data.
• Can you provide some specific examples of how this tool would Can you provide some specific examples
• investment was able to provide.

Summary: The Senate Budget Subcommittee No. 5 held an informational hearing on the Governor’s May Revision proposals for labor, public safety/judiciary, and transportation, and no votes were taken. In Part A on labor, the Employment Development Department described funding for EDD Next document management work, updated UI loan interest costs, disability insurance and paid family leave benefit increases, WIOA adjustments, UI and school employee benefit changes, an EMT training reappropriation, and a technical correction tied to an EDD Next reversion. PERB discussed reduced funding requests for AB 288 due to litigation and a proposal to implement AB 1 covering legislative employees. DIR presented proposals for legal unit reclassifications, two major IT modernization projects, a new Cal/OSHA emerging technologies unit, a COIA reappropriation, and trailer bill language requiring electronic payment of employer assessments and removing a salary cap for the DWC administrative director. CalHR proposed consolidating employee assistance services into a statewide contract with enhanced support for first responders, and CalPERS and CalSTRS presented budget adjustments tied to investment costs, state contributions, and benefit overpayments. Members focused heavily on the unemployment insurance debt and interest payments, asking why the administration had no concrete plan to pay down principal. Finance and LAO explained that the state’s UI tax structure has long been insufficient and that any long-term solution would need to address both the outstanding federal loan and the structural imbalance in employer taxes. Questions also centered on EDD Next costs and timelines, with the chair asking for clearer long-term project cost estimates and Finance noting that future maintenance and operations costs will continue after implementation. On DIR’s emerging technologies unit, members asked whether it would address AI-driven workplace harms; DIR said the unit would focus on physical workplace safety issues involving AI, robotics, autonomous equipment, and related guardrails, while LAO noted broader labor-practice questions would likely fall outside Cal/OSHA’s scope. In the CalPERS discussion, members raised concerns about transparency in private equity and external management fees, while CalPERS said higher fees reflect a strategy of greater private-market and active-management exposure and are offset by higher net returns. Members urged more information on specific investments and future reporting. For CalSTRS, Finance presented routine contribution and overpayment adjustments, but members also raised broader transparency concerns that CalSTRS staff said they would follow up on separately. Public comment in Part A was dominated by strong support for an immigrant worker emergency relief fund, along with support for apprenticeship and workforce proposals and PERB staffing. The chair and members said they would follow up on where the immigrant relief proposal should be considered, noting it may belong in another policy area. The hearing then moved into Part B with an overview of Judicial Branch-related May Revision items, including court interpreter funding, appellate court security, workload cap changes, lactation room implementation delays, and a reduction to the state court facility construction backfill.

Transcript Highlights:

• Emergency and providing an effective date.
• , and declaring an emergency and providing an effective date.
• And declaring an emergency and providing an effective date.
• for civil actions, provide for attorney general enforcement, provide severability, and declare an emergency
• and provide an effective date.

Summary: The House convened with roll call, prayer, the Pledge of Allegiance, and approval of the House Journal. The session also included a page program recognizing the House pages and their sponsors, with remarks thanking them for their service and highlighting their future plans and experiences in the legislature. The House received messages from the Governor and Senate, referred several newly introduced bills to committees, and reported multiple committee actions. Among the measures introduced were bills on dental plan transparency, SNAP integrity, tax credit scholarships, a sales tax exemption for Salvation Army purchases, tax administration changes, election canvassing and ballot procedures, creation of an Office of Species, Minerals, and Energy Coordination, LLC formation, parental rights-related legislation, public funds, and earned autonomy for charter schools. The House also advanced several bills from committee to the third reading calendar and passed House Bill 620, which gives county commissioners a formal voice in federal land-use decisions affecting their counties. House Bill 598, dealing with campaign finance transparency and the handling of personal funds or loans in campaign accounts, drew extensive debate over whether the language required separate accounts, how cash and digital donations would be treated, the seven-day reporting requirement, and enforcement by the Secretary of State. After discussion, the House voted 55-10 to send the bill to General Orders for further work. House Bill 620 then passed the House 60-5 and was transmitted to the Senate. The House also held remaining third-reading bills for one legislative day, enrolled House Bills 514 and 515, made announcements, and adjourned until the next day.

Transcript Highlights:

• Only accredited programs are eligible to provide FDA-approved medications.
• would like the department to continue to provide accreditation services.
• One of those types of services is those provided by hospitals.
• They also provide support for anything from housing to electrical assistance.
• They also provide places for games and opportunities for older adults.

Summary: The Ways and Means Committee held a public hearing on nine bills. Senate Bill 5872 would create the Pre-K Promise Account to receive philanthropic donations for ECAP preschool slots; supporters, including DCYF, the governor’s office, and early learning advocates, said it would help expand access to high-quality pre-K with a 10-year Ballmer Group commitment for up to 10,000 new seats annually. Senators asked how the money would flow, and staff and witnesses explained it would be governed by an MOU and deposited annually; no vote was taken. Senate Bill 5879 would eliminate two JLARC studies, one on lodging tax reporting and one on training benefits; supporters said the reports were duplicative and burdensome, while the hospitality industry warned against losing transparency, and no action was taken. Senate Bill 6047 would permanently codify various capital budget administration rules, including minor works flexibility and early learning grant changes; testimony focused on technical cleanup and on provisions affecting co-located child care and community projects, with no vote taken. Senate Bill 5988 would authorize the Department of Health to charge fees for accrediting opioid treatment programs, with support from DOH and tribal/nontribal providers who want the state to continue providing the service; no vote was taken. Senate Bill 5923 would allow Island Hospital in Skagit County to qualify as a critical access hospital, with local hospital leaders and residents supporting the measure to improve reimbursement and sustain rural care; no vote was taken. Senate Bill 5832 would raise the Lemon Law arbitration fee from $3 to $6 to fund the Attorney General’s consumer protection work, and the AG’s office, dealers, and the sponsor said the program is effective and underfunded; no vote was taken. Senate Bill 5970 would make permanent the property tax exemption for multipurpose senior citizen centers, with AARP supporting the bill as a benefit to seniors and caregivers; no vote was taken. Senate Bill 5994 would preserve timber tax distributions for school districts that recently had qualifying levies, and forest industry witnesses supported the bill while suggesting a possible amendment for state forest transfer lands; no vote was taken. Senate Bill 5949 would narrow the B&O tax exemption for insurance-related businesses so it applies only to the entity paying the insurance premiums tax, retroactive to 2019; the Department of Revenue and bill supporters argued it restores tax equity, while insurers, health plans, and business groups opposed it as retroactive, ambiguous, and likely to raise premiums. The committee heard extensive testimony on that bill, but the transcript ends with adjournment and no recorded vote or executive action.

Transcript Highlights:

• Those are two cash programs you provide to us.
• Those are two cash programs you provide to us.
• </c> credit programs are only providing credit programs are only providing company<00:21:24.559><c> benefits
• ><c> on</c><00:22:26.000><c> the</c> provide those reimbursements on the provide those reimbursements
• </c> need data-driven approaches to provide need data-driven approaches to provide better<00:26:49.760

Keywords: The first few minutes of this meeting was missed on the live stream. This upload restores those few minutes, 958, all

Summary: The subcommittee met with Secretary Jeff Null and General Counsel Matt Wing of the Cabinet for Economic Development for an overview of the cabinet’s main economic development tools, strategy, and compliance practices. Null said the cabinet uses a data-driven approach focused on competitiveness, site readiness, wages, workforce training, and long-term assets such as roads, rail spurs, water, and sewer improvements. He emphasized that the cabinet tries to balance attracting new employers with supporting existing businesses, and said compliance is a core value of the agency. Null walked members through several programs, including the closing fund, Kentucky Business Incentive (KBI), Bluegrass State Skills Corporation training support, and the KIA sales-tax refund tool for construction materials and equipment. He said the closing fund has received $80 million over two years for projects generally involving at least $10 million in investment, though some flexibility exists. He also explained that Bluegrass State Skills funding is typically about $2,000 to $3,000 per job and can be used flexibly for training, including sending Kentucky workers to be trained elsewhere or paying trainers to come to Kentucky. He described KBI as a pay-as-you-go, incremental tax credit tied to actual jobs and investment, and said the legislature’s tiered refundable credit structure allows more targeted use of incentives in heritage and non-heritage counties. A substantial portion of the presentation focused on compliance and monitoring. Null said incentive agreements are written with commercial terms and spell out jobs, investment, wages, and training commitments. The cabinet requires regular reporting, invoices, and sampling, and can use clawbacks or suspend benefits if companies fail to meet obligations or lose required environmental permits. He said the Kentucky Economic Development Finance Authority reviews incentive applications in public meetings and often requires company representatives to answer questions before preliminary approval is granted. No votes or formal actions were taken during the meeting.

Transcript Highlights:

• capacity across the state to provide.
• Um, so that is one area where I think we could, um, we could sort of um provide, you know, provide just
• provide that.
• Lu Han was providing, and that is that we are providing money, but we haven't been dedicating that money
• Local economic development program that provides subsidies that provides money, like reimbursable money

Transcript Highlights:

• And on that and I. >> The costs will be will if the provider the the homeschool provider they will bear
• The owner or operator or service provider shall provide a copy of the results of the state and national
• This could impact the services provided by a private school and provided or facilitated by bidaskclub
• What services will it will not be provided.
• Even the private school either provide the services that the county they don't provide, that that service

Keywords: 999, senate, all

Transcript Highlights:

• Sign in today to provide testimony.
• However, providers continue. I apologize. We've had many issues before. We have a right.
• But we also need additional tools to hold providers accountable. additional tools to hold providers accountable
• This helps provide further incentive for providers to...
• This helps provide further incentive for providers to identify and correct their systems to prevent improper

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing focused largely on senior long-term care issues, family caregiving, post-acute care access, and direct care workforce pay. Testimony strongly supported bills to raise the personal needs allowance for nursing home and rest home residents (including H. 1411, S. 482, and related bills), with speakers from Mass Senior Action, Dignity Alliance, nursing home residents, providers, and former state officials arguing that the current $72.80 monthly allowance has been unchanged since 2008 and is inadequate for basic items like clothing, toiletries, haircuts, and transportation. Witnesses also backed bills to increase MassHealth asset and income limits for seniors and to stop counting life insurance as cash, describing the current rules as outdated and harmful to low-income elders. The committee also heard testimony on bills allowing family members, including spouses and guardians, to be paid caregivers (H. 1394/S. 886), with supporters saying this would help families keep loved ones at home and reduce reliance on costly institutional care. Another set of bills (H. 1412/S. 903) drew support from a physician who said clearer MassHealth communication and improved post-acute care determination processes would help reduce delays and backlogs for patients awaiting skilled nursing, rehabilitation, or other post-acute placement. Several speakers emphasized that better home- and community-based care can prevent hospital readmissions and support independence. A major portion of the hearing focused on S. 877, which would establish an enhanced care worker minimum wage of $25 per hour, indexed to inflation, for certain home care and human services workers. Union representatives and direct care workers from SEIU Local 509, 1199 SEIU, and the AFL-CIO described severe staffing shortages, burnout, low wages, and high turnover across home care, mental health, disability services, and crisis response. They argued that higher pay is necessary to recruit and retain workers and to stabilize services for vulnerable residents. Committee members asked about costs, comparisons with other states, and whether non-wage incentives could help, but witnesses repeatedly said wages were the central issue. The hearing concluded after all registered testimony was heard, with the committee noting it would continue accepting written testimony and then adjourning.

Transcript Highlights:

• Our hospital provides services to 58 hospitals across the state of Missouri.
• We provide them to clinics. We provide anywhere that asks us to come in and do a sane exam.
• There's about nine facilities currently that are not providing it.
• They provide $640 to the hospital and then $260, and that's a flat fee.
• retraumatizing trips to health care providers and pharmacies.

Summary: The committee first met in executive session and took up House Bill 3174 by Representative Justice. Members adopted two committee amendments: one removed the bill’s mapping provisions so that the vendor-list portion could move forward separately, and another required schools to have at least one master key box for emergency responders. The amendments were rolled into a committee substitute, which the committee then voted do pass on a 10-0 roll call. A second executive-session bill was postponed until the following week because of a family emergency involving Representative Williams. The committee then heard Senate Bill 982, a cleanup and reorganization bill dealing with Missouri’s sex offender registry and related registration rules. Senator Mary Elizabeth Coleman said the bill was intended to align the registry statutes with prior changes, clarify tiering and registration requirements, address offenders with ties to Missouri but living elsewhere, and improve information-sharing rules for law enforcement and victims, including notice when a registrant dies or moves. Testimony in support came from the Missouri Alliance for Family Restoration, which said the bill codifies case law and reduces administrative confusion for the Highway Patrol and registrants. No opposition was offered. The committee also heard House Bill 3414, which would create a state offense modeled on a federal online-fraud law to help law enforcement pursue internet-based fraud, including schemes involving credit cards, account numbers, telecommunication identifiers, and similar access devices. The sponsor and a law-enforcement witness said the bill would give investigators another tool against increasingly common fraud, including elder fraud and VoIP-based schemes; a Maverick convenience stores representative also supported it as a response to changing technology. No opposition was presented. Finally, the committee heard House Bills 2628 and 3460, the CARE Act, which would require hospitals and health facilities treating sexual-assault survivors to inform patients about emergency contraception, provide it if requested, test and treat for sexually transmitted infections, and seek reimbursement through the Department of Public Safety. Sponsor Jacqueline Zimmerman said the bill is meant to reduce trauma and prevent pregnancies resulting from rape, and witnesses from sexual-assault nursing, reproductive-health, anti-poverty, medical, and nursing organizations supported it as a way to standardize care, especially in rural areas. Several members raised questions about whether the bill would require abortion-inducing drugs, whether hospitals could opt out on conscientious grounds, and how reimbursement would work; the sponsor said she intended to add language excluding abortion-inducing medications and that the current DPS forensic-exam payment structure would not change. No votes were taken on the later bills in the portion of the transcript provided.

Transcript Highlights:

• And the Biden provider excuse me, and the plan is required to pay the providers in our network provider
• are that are health plans provide.
• We always do our best to enroll Medicaid providers.
• So the woman's provider would fill that out.
• and that they provide services stay pregnant.

Keywords: 999, senate, all

Transcript Highlights:

• Like in the underlying bill, a health care practitioner or provider in possession must provide access
• Section 3 of the bill specifies that a health care practitioner may not provide May not provide health
• At the very least, this bill should explicitly provide that if the health care provider is unable to
• it should be provided.
• It's a professional duty to provide the services that they feel comfortable providing.

Summary: The committee first took up CS/SB 1606 on patient access to records. Sponsor Senator Grall explained an amendment that aligned the bill more closely with HIPAA by defining “designated record set,” allowing a 14-day extension, and requiring records to be produced in the requested form if readily producible. Several senators asked about patient portals, legal representatives, and whether the bill applied post-mortem; Grall said the bill was limited to authorized access during the patient’s life. Testimony was largely opposed, with health information and provider groups warning that the bill could create cybersecurity risks, conflict with HIPAA and meaningful-use rules, burden facilities, and improperly broaden access to portals and sensitive records. Supporters argued it would improve patient access and speed. The amendment was adopted, and the bill was reported favorably by roll call vote after debate on the bill as amended. The committee then considered CS/SB 712 on construction regulations. Grall described provisions on synthetic turf, change orders, public works bidding, elevator rails, alarm contractor scope, tall mass timber, pool and spa contractor scope, spaceport exemptions, permit document limits, and solar/energy storage inspections. Two amendments were adopted: one removed pool and spa contractor language and delayed the change-order provision until July 1, 2025; the other removed the tall mass timber section. Pool contractors testified against the scope expansion in the original bill, while others supported the remaining provisions. Senators raised concerns about the Florida Building Commission process and how the public-works language might affect small-business participation, but the bill as amended was ultimately reported favorably. Finally, the committee heard CS/SB 1288 on parental rights. Grall said the bill would require parental consent for most minor health care decisions, allow parental access to records, restrict surveys/questionnaires, and limit use of biofeedback devices, while preserving certain exceptions such as emergency care and STD testing. An amendment clarified questionnaire opt-outs for K-12 students, added court-order exceptions, addressed DNA sampling for criminal investigations, refined biofeedback language, and added emergency behavioral health exceptions; it was adopted. The bill drew extensive testimony both for and against: supporters said it restored parental authority and protected children from decisions they are not equipped to make, while opponents argued it would endanger minors seeking confidential STI, mental health, or abuse-related care, especially in unsafe homes. Senators also debated whether the bill would conflict with existing laws and whether it could leave some minors untreated. The transcript ends during continued public testimony on the bill.