Transcript Highlights:

• And then even the current, like, let's say it's a nurse practitioner or family medicine provider, that
• grants, by the way, for cybersecurity, for our health care facilities to make sure that they're prepared
• So being prepared and ready to execute, no doubt, 44 years of preparing and being in the home.
• hope they look at me, that really, sitting in this room, and I hope they look at me, that really prepared
• So being prepared and ready to execute, no doubt, 44 years of preparing and being in the home.

Bills: HB1623

Committee: Joint Appropriations

Summary: The committee heard House Bill 1623, the appropriations bill tied to North Dakota’s Rural Health Transformation Program, which is funded through a new federal rural health care grant. Senator Bekkedahl explained the bill’s background, the interim committee process that developed it, and the federal conditions attached to the award, including spending deadlines, administrative cost limits, and restrictions on uses such as new construction, supplanting existing funding, and certain other costs. Legislative staff then walked through the seven sections of the bill, including appropriation authority, transfer authority, contingent appropriations for pass-through grants, procurement and public improvement exemptions, recipient reporting, legislative reporting, and immediate effective date. Commissioner Traynor and HHS staff described how the department plans to implement the program, emphasizing that the funding is intended to improve rural access, workforce recruitment and retention, technology and data connectivity, and community health initiatives. They said the department will rely on local applications, technical assistance, templates, listening sessions, and partnerships with providers, schools, public health units, tribal entities, and other community groups. Members asked about reimbursement timing, upfront costs, administrative expenses, sustainability after the five-year grant period, and whether CTE centers, public health units, gyms, grocery stores, and other community partners could participate; the department said yes, within program rules and with a focus on measurable outcomes and sustainability. Several supporters testified in favor. Mental Health America of North Dakota and the Mental Health Advocacy Network supported the bill and urged investment in community-based mental health, crisis response, children’s services, peer support, and mobile crisis teams. HIA Health described the grant as a chance to expand home-based and hospice care, noting that rural providers already have workable models but need funding to scale them. A cybersecurity representative also supported the bill, warning that the large amount of health data and AI-related tools will require strong data protection and professional support. The hearing was closed with no opposition testimony, and the committee announced it would return later in the day for further work on the bill and other measures.

Transcript Highlights:

• And by the way, this is... ...services rather than what the practitioners billed them.
• I want to thank you, Representative, Madam Chair Chandler, for doing this in the offseason and preparing
• One of the interesting things I did when I'm preparing, when looking at your work, the representatives
• And they're your small practitioners, solo practitioners, small practice groups. And it went bad.
• , it's actually not a lot of stuff... ...of things in this bill that protect hospitals and preparations

Bills: SB38 , SB17 , SB41 , SB264

Committee: Senate House Judiciary

Summary: The Senate Judiciary Committee heard extensive testimony on House Bill 99, a proposed reform of the Medical Malpractice Act. Representative Chandler said the bill is intended to address physician shortages, rising malpractice premiums, and litigation pressures by changing punitive damages rules, including a higher standard of proof, a requirement that punitive damages not be pleaded in the initial complaint, and limits tied to the type of provider. Supporters, including physicians, business leaders, and some patients, said the bill would help retain doctors, improve access to care, and create more predictable liability exposure. Several supporters also said current malpractice conditions are driving doctors out of the state and harming rural access to services. Opponents argued the bill would reduce patient recovery, create unequal treatment based on insurance status through the bill-versus-paid provision, and raise constitutional concerns involving equal protection, collateral source rules, and separation of powers. They also criticized the bill for not addressing other drivers of malpractice, such as hospital practices, prior authorization, staffing, and background checks for out-of-state doctors. Some witnesses urged amendments to protect the Patient Compensation Fund, ensure future medical expenses are covered, require minimum surcharge settings, and improve oversight of providers entering the state. Committee members questioned the sponsor and witnesses about whether the bill would actually lower premiums, whether it would improve access to care, and how it would affect hospitals, independent providers, and the Patient Compensation Fund. The sponsor said the bill was based on negotiations and comparisons with other states, and that it should help premiums over time. Members raised concerns about the fund’s solvency, the role of hospitals in the fund, and whether some provisions would survive legal challenge. No final vote was taken in the portion of the meeting provided; the chair indicated amendments would be discussed later and the committee would continue the hearing the next day.

Transcript Highlights:

• Nothing about that has been prepared nearly enough.
• These efforts aim to restore trust and safety for Jewish practitioners and patients, and to preserve
• A health care system cannot heal people if its own practitioners are operating in fear.
• A health care system cannot heal people if its own practitioners are operating in fear.
• I didn't know you wanted to come today, so I didn't have any remarks prepared, but I do want to thank

Summary: The meeting was a special commission hearing on antisemitism held off-site at Kerem Shalom Synagogue in Concord, with commissioners approving prior minutes and noting a quorum, a rescheduled October 27 meeting, and the addition of a new commissioner. The co-chairs and host speakers emphasized the personal and communal significance of holding the hearing in a synagogue and the importance of confronting antisemitism while protecting free speech, academic freedom, and civil discourse. The commission heard from former SJC Justice and current UMass General Counsel David Lowy, who discussed the IHRA definition of antisemitism, said its use as nonbinding guidance does not raise First Amendment concerns, and described UMass’s response to a discriminatory academic conference policy. Commissioners also asked about campus speaker vetting, protest rights, and university practices for addressing antisemitism and protecting students’ access to education. District Attorney Marian Ryan testified about restorative justice as a tool for addressing hate incidents, saying it can help victims be heard, reduce reoffending, and be used in criminal, school, and community settings. She described local programs, online reporting forms, and the need for better statutory tools, including changes to restitution and education requirements in hate-crime cases. Commissioners asked whether restorative justice affects charging decisions, and Ryan said it should not alter whether a hate crime is investigated or charged. She also identified model programs and said the commission’s work aligns with the national strategy it is charged with implementing. Three rabbis then described the rise in antisemitic incidents in schools and communities, the emotional toll on Jewish families, and the need for stronger school responses, clearer language in incident communications, and better training for educators. Rabbi Brad David recounted repeated incidents in Acton-Boxborough and praised the district’s improved partnership and response, while Rabbi Tom Shah described parental anxiety, concerns about classroom materials lacking context, and the need for balanced instruction. The rabbis also discussed synagogue security costs and measures, including volunteer security teams, police support, grants, and physical protections. Commissioners said the testimony would inform forthcoming recommendations, and DESE staff noted they are developing instructional-materials guidance and a rubric for educators. The final witness, Professor Christina Miller, outlined hate-crime prosecution issues in Massachusetts, including mixed-motive cases, the need for clearer statutes and jury instructions, better training for police and clerk magistrates, guidance on sentencing and diversity-awareness programs, and the use of community impact statements.

Transcript Highlights:

• He is a fluent speaker of ʻŌlelo Hawaiʻi and a lifelong hula practitioner. Mr.
• So mahalo for all you do and um mahalo kuna. lifelong hoola practitioner. Mr.
• Maxwell lifelong hoola practitioner. Mr.
• </c><01:01:47.920><c> Um,</c> approved by our board to prepare.
• Um, approved by our board to prepare.

Summary: The Committee on Hawaiian Affairs heard multiple gubernatorial nominations to island burial councils, with testimony focused on the importance of filling vacancies so the councils can reach quorum and fulfill their kuleana to protect iwi kūpuna and burial sites. For GM 674, Kavuna Khalipi was introduced as OHA’s nominee for the Molokaʻi burial council, with OHA, SHPD, and several community members testifying in support and describing her cultural grounding, community service, and experience in mālama ʻāina. Testifiers also stressed that burial councils are essential for protecting ancestral remains and that prolonged vacancies have left sacred sites vulnerable. Khalipi herself said she was honored to serve but expressed concern about accepting the appointment without quorum, saying she did not want to waste a term if the council could not function effectively. The chair explained the Senate advice-and-consent process and the consequences of inaction, and after discussion Khalipi asked to pull her nomination from the committee. The chair then deferred decision-making on GM 674 until April 10 at 1 p.m. to clarify the process and avoid unintended rejection. The committee then heard testimony on GM 676, Dane Maxwell for the Maui and Lānaʻi burial council, GM 677, Noani Parisa, GM 678, Caroline Hartman, and GM 679, Benedict Duman. Supporters, including SHPD and OHA, highlighted each nominee’s cultural knowledge, preservation work, genealogy, and experience with burial or historic preservation matters. Testimony repeatedly linked the nominations to the need for functioning burial councils, especially in light of the 2023 Maui fires and long-standing vacancies. No votes were taken during the portion of the meeting provided; the chair indicated votes would be taken at the end of the agenda.

Transcript Highlights:

• nurses um even down to practitioners nurses um even down to social<00:15:54.360><c> workers</c><00:15
• And I also have this that I prepared.
• 00:19:24.679><c> I</c> $500,000 and I also have this that I $500,000 and I also have this that I prepared
• 26.240><c> kind</c><00:19:26.320><c> of</c><00:19:26.440><c> a</c><00:19:26.520><c> breakdown</c> prepared
• um it has kind of a breakdown prepared um it has kind of a breakdown of<00:19:27.039><c> some</c><00

Committee: House Higher Education

Summary: The House Committee on Higher Education met on March 14, 2025, and heard five University of Hawaii-related bills. SB 741 would create an external audit committee for the UH system and Board of Regents; UH and UHPA opposed it, saying existing internal and external audits already provide robust oversight, and the committee later recommended deferring the bill indefinitely as duplicative. SB 1252 SD2 would create a dementia training program for health care providers; the Alzheimer’s Association and other supporters said broader training is needed across the care workforce, while the university discussed using JABSOM as a coordinator. The committee deferred the bill to March 19 for an HD1 reflecting JABSOM’s suggestions and removing the appropriations/FTE language. SB 1502 SD1 would fund faculty positions, student programs, and facilities at UH Manoa and West Oahu for defense-sector workforce development. UH and Chamber of Commerce Hawaii supported the measure, describing a pipeline for students into intelligence, cybersecurity, and related fields, while one individual opposed it as too closely tied to military contracting and urged investment in other sectors instead. The committee amended the bill to remove FTE references and advanced it; the vote to pass with amendments was adopted, with several members voting aye and some excused. SB 1530 would require performance-based allocation of UH general funds and efficiency reporting. UH and the Attorney General’s office raised concerns, saying the bill’s metrics would apply across the entire general fund budget and were not practical as drafted; the committee also noted opposition from the Budget and Finance Department and individuals. SB 1624 SD1 would restrict RIM funds to renewing, improving, or modernizing existing facilities and require annual reports. UH opposed the bill and explained that RIM is a lump-sum approach used to address deferred maintenance and capital needs, with Board of Regents approval and quarterly reporting already in place; the Attorney General suggested constitutional amendments. The transcript ends during discussion of SB 1624, with no final action shown in the excerpt.

Transcript Highlights:

• First, we failed to capture and incentivize a spot hiring teachers to pursue high-quality preparation
• The problem is we're not reaching them early enough to signal the value of preparation and give them
• We agree, pre-service is very important for teacher preparation moving forward. And this is.
• Prepared educator to get the best outcomes. That's the intent.
• That would go to the educator preparation program to support some of those costs.

Bills: HB2 , HB2

Committee: House Public Education

Keywords: public education, teacher compensation, certification, funding, school finance, educator rights, education funding, charter schools, staff compensation, state aid, retention allotment, disaster preparedness, emergency management, flooding, mass fatality, mass casualty, fatality tracking, body recovery, autopsy, justice of the peace

Transcript Highlights:

• do have, it's safe to say that traditional in-classroom education does not guarantee being more prepared
• can track how this new alternative pathway works for applicants to ensure the programs adequately prepare
• I don't think in medicine we call physicians pseudo practitioners or pseudophysicians when they do tell
• Pseudo-practitioners or pseudo-physicians when they do telemedicine, and many do exclusive telemedicine
• Antitrust violation for practitioners to sit on a board overseeing the marketplace that they actually

Summary: The committee first approved the January 28, 2026 minutes and held Senate Bill 1241 for a later hearing because a witness was unavailable. It then took up Senate Bill 1144, which would create an alternative pathway for veterinary technician certification through supervised on-the-job training and board-approved skills standards. Supporters, including the Arizona Humane Society, a high school student in a veterinary program, and other advocates, said the bill would help address workforce shortages, reduce student debt, and improve access to care, especially in rural and low-income areas. Opponents, including the Arizona Veterinary Technician Association and several veterinarians, argued the bill could weaken training standards, increase liability, and create safety risks; the Arizona Veterinary Medical Association ultimately moved to neutral after amendments added supervision and affidavit requirements. The committee adopted the amendment and then passed SB 1144 as amended on a 6-1 vote. The committee next passed Senate Bill 1247 unanimously. That bill would allow a person who does not receive care services to live with a resident in an assisted living center, and would bar the Department of Health Services from imposing requirements on that person that the resident would not face. Supporters said the bill was needed to fix a recent agency interpretation that could force spouses or other companions to separate or pay for services they do not use, and noted a possible floor amendment to extend the same treatment to assisted living homes. The committee then heard Senate Bill 1286, which would extend from 14 days to 60 days the period for veterinary prescriptions and renewals issued through telemedicine. Supporters said the change would improve access in underserved and rural areas and reflect how telemedicine is already used in human medicine, while opponents warned that longer telemedicine prescriptions could delay necessary exams and diagnostics, increase the risk of misdiagnosis, and create animal welfare and liability concerns. After testimony, the sponsor asked that the bill be held for a possible amendment next week, so no vote was taken. The committee also passed Senate Bill 1164, which would allow Medicaid claims to continue under a prior owner’s billing number during a skilled nursing or assisted living facility change of ownership until new enrollment is complete; supporters said this would prevent long reimbursement delays, while Access raised concerns about federal-law conflicts and said it needed advance notice to process ownership changes. The bill passed 6-0 with one member not voting. Finally, the committee passed Senate Bill 1181, which expands CPA licensure pathways by allowing combinations of degree and work experience and updates reciprocity and rulemaking provisions, and Senate Bill 1415, which creates a licensing path for salaried insurance adjusters with out-of-state credentials, subject to an amendment clarifying exam and employment requirements. Both bills were supported as workforce and mobility measures, and both were reported out of committee on unanimous or near-unanimous votes.

Transcript Highlights:

• or under the supervision of such a practitioner.
• or under the supervision of such a practitioner.
• And that's not to inflame fear, but to prepare responsibly.
• Second, law enforcement then prepares and determines what community notification is appropriate for that
• I prepare victims for when the offender gets out of prison.

Summary: The committee heard public hearings on several bills, with testimony limited because of the large number of sign-ups. House Bill 2146 would expand the crime of sexual exploitation of a minor to include causing a minor to view sexually explicit conduct that is being photographed or shown in a live performance. The prime sponsor, Olympia police, and Pierce County prosecutors described cases involving adults masturbating in front of children and argued the current law leaves a gap by treating such conduct as only misdemeanor indecent exposure or communication with a minor. Committee members asked about comparisons to other states, forensic interviews, and whether related offenses could be enhanced. House Bill 2349 would expand notice requirements for sexually violent predator releases, conditional releases, address changes, discharges, and escapes to include local elected officials such as sheriffs, county executives, city officials, and legislators. The sponsor said the bill would codify a practice already occurring in some cases and help officials respond to community concerns with accurate information. DSHS supported increased communication but requested technical amendments. Several city officials testified in support, saying they had not always been notified in advance of placements in their communities. Defense advocates opposed the bill, warning that broader notification could fuel public pressure, vigilante responses, and constitutional problems for the civil commitment system. The hearing on the bill was left open for amendments. House Bill 2532 would make it a gross misdemeanor to sell or distribute nitrous oxide canisters or similar containers, with exemptions for medical, dental, food, industrial, and automotive uses. The sponsor and supporters described rising misuse among youth and young adults, public health harms, and incidents involving impaired driving and overdose deaths. Tribal representatives, the Attorney General’s Office, the Washington Poison Center, and public health officials supported the bill, while veterinary representatives asked for clarification or an amendment to preserve veterinary use. The committee also heard testimony on House Bills 2430 and 2457, which both concern the crime victim penalty assessment. Representative Barno’s bill would restore the assessment for certain offenses involving victims, while Representative Davis’s bill would increase the assessment and add a surcharge for defendants with substantial financial resources. Victim advocates, prosecutors, and sheriffs supported the bills as needed to restore funding for victim services, while defense groups opposed them as burdensome fees on indigent defendants. The chair directed the two sponsors to work together on a single proposal, and the hearings were held open.

Transcript Highlights:

• agreement for corrective action and I agreement for corrective action and I was<00:15:42.040><c> prepared
• to come here today to say was prepared to come here today to say that<00:15:43.600><c> we</c><00:15:
• </c> assistants nurse practitioners assistants nurse practitioners Pharmacists<01:32:05.239><c> and</
• um director Reed and practitioner um director Reed and representative<01:39:49.840><c> um</c><01:39:
• </c> complimentary Health Care practitioners complimentary Health Care practitioners so<01:41:46.119>

Committee: House Health Finance and Policy

Transcript Highlights:

• of Maria Teresa Flores Cavazos, and be it further resolved that a copy of this... resolution be prepared
• She worked with our legislative staff to generate daily legislative reports and prepare floor materials
• medicine and those in the medical... world, Chair Bonnen added language to make clear that when a practitioner
• is using AI to assist in developing treatments or assessing patient data, the practitioner is acting

Bills: HB4 , HB20 , HB40 , HB46 , HB 101 , HB 112 , HB 117 , HB 121 , HB 127 , HB146 , HB150 , HB186 , HB229 , HB426 , HB521 , HB541 , HB549 , HB632 , HB713 , HB796 , HB 1052 , HB 1106 , HB 1135 , HB 1234 , HB 1306 , HB1403 , HB1523 , HB1532 , HB1690 , HB1960 , HB2035 , HB2217 , HB2399 , HB2488 , HB2517 , HB2594 , HB2655 , HB2686 , HB2731 , HB2757 , HB2820 , HB2963 , HB3005 , HB3053 , HB3073 , HB3225 , HB3320 , HB3333 , HB3336 , HB3441 , HB3483 , HB3516 , HB3520 , HB3697 , HB3748 , HB3793 , HB3848 , HB4099 , HB4134 , HB4144 , HB4158 , HB4233 , HB4236 , HB4285 , HB4350 , HB4359 , HB4464 , HB4580 , HB4690 , HB4730 , HB4848 , HB4904 , HB4995 , HB5196 , HB5294 , HB5381 , HB5435 , HB5437 , HB5509 , HB5606 , HB5646 , HB5658 , HB5661 , HB5663 , HB5666 , HB5672 , HCR40 , HCR59 , SB867 , SB2919 , SJR5 , SJR27 , SB4 , SB6 , SB7 , SB9 , SB13 , SB15 , SB23 , SB27 , SB30 , SB40 , SB57 , SB66 , SB140 , SB268 , SB293 , SB331 , SB413 , SB447 , SB457 , SB467 , SB506 , SB510 , SB512 , SB571 , SB650 , SB763 , SB777 , SB785 , SB800 , SB850 , SB863 , SB865 , SB973 , SB974 , SB1191 , SB1281 , SB1300 , SB1362 , SB1494 , SB1522 , SB1540 , SB1567 , SB1579 , SB1580 , SB1610 , SB1660 , SB1723 , SB1760 , SB1838 , SB1923 , SB1946 , SB1957 , SB1964 , SB2018 , SB2024 , SB2121 , SB2167 , SB2217 , SB2221 , SB2321 , SB2337 , SB2368 , SB2373 , SB2407 , SB2431 , SB2477 , SB2587 , SB2615 , SB2753 , SB2807 , SB2900 , SB2965 , SB2972 , SB2986 , SB3039 , SB3047 , SB3059 , SB3070 , SB1 , SB17 , SB21 , SB260 , SB379 , SB509 , SB1198 , SB1405 , SB1506 , SB1637 , SB1833 , SB2155 , SB2308 , SB2601 , SB2778 , HB300 , HB2011 , HB2525 , HB5246 , HB 100 , HB 101 , HB 119 , HB227 , HB252 , HB322 , HB346 , HB654 , HB705 , HB718 , HB721 , HB824 , HB 1094 , HB 1234 , HB 1306 , HB1506 , HB1523 , HB1629 , HB1690 , HB1868 , HB1960 , HB1973 , HB2012 , HB2035 , HB2037 , HB2078 , HB2128 , HB2213 , HB2240 , HB2348 , HB2520 , HB2598 , HB2686 , HB2694 , HB2820 , HB3005 , HB3057 , HB3092 , HB3112 , HB3171 , HB3181 , HB3185 , HB3333 , HB3388 , HB3516 , HB3546 , HB3619 , HB3623 , HB3629 , HB3642 , HB3686 , HB3697 , HB3749 , HB3793 , HB3812 , HB3815 , HB3848 , HB3909 , HB4081 , HB4145 , HB4157 , HB4158 , HB4170 , HB4202 , HB4211 , HB4214 , HB4233 , HB4285 , HB4350 , HB4361 , HB4463 , HB4464 , HB4466 , HB4559 , HB4630 , HB4748 , HB4765 , HB4848 , HB4894 , HB4904 , HB4995 , HB5093 , HB5196 , HB5320 , HB5437 , HB5624 , HB5650 , HB5651 , HB5652 , HB5654 , HB5655 , HB5656 , HB5658 , HB5661 , HB5662 , HB5664 , HB5665 , HB5666 , HB5670 , HB5672 , HB5674 , HB5677 , HB5679 , HB5682 , HB5689 , HB5690 , HB5694 , HB5695 , HB5698 , HB5699 , HCR46 , HCR76 , HCR81 , HCR83 , HCR84 , HCR111 , HB748 , HB5652 , HB3395 , HB180 , HB 1306 , HB5650 , HB4894 , HB1629 , HB5698 , HB3171 , HB2694 , HB5664 , HB4690 , HB4464 , HB3623 , HB2520 , HB2213 , HB252 , HB146 , HB5596 , HB3619 , HB5320 , HB5651 , HB5670 , HB5665 , HB5437 , HB5679 , HB5661 , HB5662 , HB5654 , HB5672 , HB5656 , HB2035 , HB721 , HB346 , HB5695 , HB5694 , HB5674 , HB3185 , HB2348 , HB 1135 , HB 101 , HB5666 , HB5677 , HB5682 , HB5658 , HB4144 , HB3642 , HB3815 , HB2686 , HB2012 , HB1960 , HB227 , HB654 , HB4158 , HB4630 , HB1523 , HB1973 , HB3333 , HB3697 , HB3546 , HB3225 , HB2820 , HB186 , HB 119 , HB4466 , HB4170 , HB3909 , HB4081 , HB4145 , HB4285 , HB4463 , HB4995 , HB5624 , HB1449 , HB2598 , HB3629 , HB4361 , HB824 , HB1868 , HB4848 , HB40 , HB 117 , HB3686 , HB3793 , HB 112 , HB 104 , HB718 , HB4904 , HB4202 , HB4765 , HB4559 , HB4350 , HB4214 , HB3388 , HB3112 , HB5196 , HB3516 , HB3092 , HB4233 , HB 1094 , HB2037 , HB3005 , HB3848 , HB 121 , HB3336 , HB5294 , HB5646 , HB4236 , HB 1052 , HB5509 , HB5435 , HB3520 , HB3320 , HB2517 , HB2488 , HB5663 , HB2731 , HB3073 , HB2655 , HB2399 , HB541 , HB4099 , HB 111 , HB1532 , HB3483 , HB2963 , HB4580 , HB3748 , HB713 , HB632 , HB426 , HB4730 , HB 127 , HB5690 , HB5689 , HB5655 , HB3385 , HB2757 , HB4359 , HB5381 , HB20 , HB 123 , HB549 , HB5606 , HB2217 , HB2594 , HB796 , HB 1057 , HB3664 , HCR141 , HCR40 , HCR59 , HCR76 , HCR81 , HCR46 , HCR111 , HCR83 , HCR84 , SJR36 , SJR50 , SJR63 , SCR12 , SCR39 , SB2023 , SB62 , SB666 , SB847 , SB284 , SB854 , SB810 , SB1505 , SB583 , SB507 , SB1434 , SB1772 , SB2016 , SB1122 , SB731 , SB397 , SB508 , SB1436 , SB287 , SB1882 , SB393 , SB1791 , SB209 , SB2429 , SB1085 , SB1975 , SB2717 , SB1262 , SB636 , SB2056 , SB884 , SB1200 , SB1845 , SB2458 , SB801 , SB3014 , SB3013 , SB758 , SB2797 , SB2076 , SB2876 , SB1640 , SB1449 , SB1181 , SB1234 , SB2926 , SB2841 , SB1528 , SB1854 , SB317 , SB1250 , SB2082 , SB1237 , SB2819 , SB629 , SB2608 , SB1602 , SB2009 , SB867 , SB640 , SB1698 , SB2680 , SB913 , SB1071 , SB1086 , SB1087 , SB1483 , SB1444 , SB1553 , SB1556 , SB1703 , SB2133 , SB2297 , SB2298 , SB2622 , SB2955 , SB2334 , SB1367 , SB2044 , SB2363 , SB2565 , SB1888 , SB3036 , SB3057 , SB3043 , SB3063 , SB3035 , SB203 , SB2688 , SB2522 , SB2459 , SB2655 , SB2251 , SB1884 , SB2928 , SB2566 , SB2549 , SB2553 , SB2919 , SB1944 , SB1232 , SB1798 , SB2603 , SB2607 , SB2683 , SB1319 , SB3045 , SB3071 , HB40 , HB 117 , HB 121 , HB426 , HB541 , HB713 , HB 1052 , HB1532 , HB2217 , HB2488 , HB2517 , HB2655 , HB2757 , HB2963 , HB3073 , HB3697 , HB4099 , HB4144 , HB4158 , HB4236 , HB4285 , HB4848 , HB5435 , HB5437 , HB5509 , HB5646 , HB5666 , HB14 , HB 1240 , HB796 , HB1523 , HB5294 , SR559 , SR587 , SR614 , SCR53 , SJR59 , SB10 , SB22 , SB25 , SB34 , SB36 , SB38 , SB261 , SB777 , SB924 , SB1188 , SB1318 , SB1333 , SB1398 , SB1448 , SB1621 , SB1862 , SB2405 , SB2406 , SB8 , SB12 , SB37 , SB441 , SB1566 , SB2878 , HB300 , HB2011 , HB5246 , HB 101 , HB 119 , HB227 , HB252 , HB346 , HB654 , HB718 , HB721 , HB824 , HB 1306 , HB1629 , HB1868 , HB1960 , HB1973 , HB2012 , HB2035 , HB2037 , HB2213 , HB2348 , HB2520 , HB2598 , HB2686 , HB2694 , HB2820 , HB3005 , HB3092 , HB3112 , HB3185 , HB3333 , HB3388 , HB3516 , HB3546 , HB3619 , HB3623 , HB3629 , HB3642 , HB3686 , HB3815 , HB3848 , HB3909 , HB4081 , HB4145 , HB4170 , HB4202 , HB4214 , HB4350 , HB4361 , HB4463 , HB4464 , HB4466 , HB4559 , HB4630 , HB4765 , HB4894 , HB4904 , HB4995 , HB5196 , HB5320 , HB5624 , HB5650 , HB5651 , HB5652 , HB5654 , HB5655 , HB5656 , HB5658 , HB5661 , HB5662 , HB5664 , HB5665 , HB5670 , HB5672 , HB5674 , HB5677 , HB5679 , HB5682 , HB5695 , HB5698 , HCR46 , HCR76 , HCR81 , HCR83 , HCR84 , HCR111 , HB 1094 , HB3171 , HB3793 , HB4233 , HB5689 , HB5690 , HB5694

Transcript Highlights:

• It takes place in 3 phases: preparation session, where the patient would come in, prepare for the treatment
• It involves careful screening, preparation sessions, a supervised therapeutic experience, as well as
• I am a dual-certified psychiatric and adult geriatric nurse practitioner and have served for a decade
• I believe in frameworks that emphasize preparation, support, and integration.
• I believe, in fact, full frameworks that emphasize preparation, support and integration.

Transcript Highlights:

• And then the doc in the box are next down, and going to your provider, your general practitioners, is
• This bill provides an incredible opportunity to be forward-thinking and to prepare for what we need to
• He gave an example previously: what happens if you have three solo practitioners?
• So if I go to a med spa and I, Practitioners are taking care of them.
• Did they do it to a PA or a nurse practitioner? It's there.

Bills: HB5141 , HB4638 , HB2264 , HB2035 , HB4813 , HB4408 , HB2684 , HB1621 , HB2300 , HB216 , HB3829 , HB4466 , HB1747 , HB2284 , HB3614 , HB2587 , HB3219 , HB3318 , HB5147 , HB4014 , HB216

Committee: House Public Health

Keywords: lease, state property, public purpose, Travis County, Health and Human Services, pharmaceutical initiative, drug distribution, healthcare services, generic drugs, advanced pharmaceuticals, cost savings, mental health, patient discharge, medical records, health care professionals, substance use, family involvement, chemical dependency, treatment facilities, minor admissions

Summary: The Committee on Public Health met with a quorum and heard public testimony on a long agenda, with members repeatedly reminded of a two-minute limit for witnesses. Several bills were voted out favorably, including HB 2588 on cottage food, HB 1639 on cancer incidence and female firefighters, HB 2581 on a reporting form for contracted services for pregnant women, and SB 922 on electronic disclosure of certain sensitive medical information. Those measures generally passed on party-line or near-unanimous votes, while HB 216 on itemized medical statements was left pending after the committee substitute was withdrawn. The committee also left pending HB 5141, HB 4638, HB 2035, HB 4813, HB 2264, HB 4014, and HB 3829 after hearing testimony and questions. The final item introduced in the excerpt was HB 4408 on health care market transparency and corporate consolidation, but the discussion was cut off before testimony or action was completed. A major theme of the hearing was mental health diversion and access to treatment. HB 5141, by Rep. Howard, would allow Travis County to use vacated Austin State Hospital property for a local mental health jail diversion center; law enforcement, the Travis County sheriff, county judge, and urban counties group all testified in support, describing the lack of alternatives for people in crisis and the burden on jails and emergency rooms. Members asked about eligible offenses, bed capacity, and whether the facility would serve only Travis County, and the bill was left pending. HB 2264, by Rep. Schoolcraft, would create a friends-and-family form for loved ones to provide information to providers during emergency mental health treatment; NAMI and hospital groups supported it, while one neutral witness and several members raised concerns about patient control, credibility of information, and liability protections. The bill was also left pending. The committee also heard multiple psychedelic-therapy and drug-policy bills. HB 4813 would speed Texas rescheduling of Schedule I substances if the FDA reclassifies them, with testimony focused on psilocybin and MDMA and their potential use for PTSD and depression; members questioned whether the bill was too broad and how state rescheduling works, and it was left pending. HB 4014 would direct HHSC to study psychedelic therapies, building on prior state research, and witnesses said Texas should prepare regulatory and clinical infrastructure before FDA approval; it too was left pending. HB 2035 would require parents to be informed that they may seek substance-use treatment for a child even if one facility turns them away, prompted by a constituent’s account of a fatal fentanyl overdose after receiving incorrect advice; it was left pending. HB 4638 would extend and expand the Texas Pharmaceutical Initiative board and timeline, with the author saying the program is still in early implementation and needs more time, and it was left pending as well. Other bills addressed public health administration and animal welfare. HB 3829 would require a study of the animal-friendly account and its grant process for spay/neuter funding, with the author arguing that the current application and reimbursement process is too burdensome for shelters and nonprofits; no opposition was heard and the bill was left pending. HB 2581 and HB 1639 were reported favorably, while HB 216 drew discussion about enforcement of itemized medical billing and was held after the committee substitute was withdrawn. Throughout the hearing, members also discussed broader concerns about homelessness, competency restoration waitlists, jail overcrowding, and the need for more treatment options outside the criminal justice system.

Transcript Highlights:

• So in preparation for today's hearing, we have heard from some of these themes, and I hope that we can
• Today, we want to show you from a practitioner standpoint how the... Central Valley.
• And I'm prepared to name someone at our department, one of our chief deputies who's planning me right
• And as I prepared today, I thought about Margaret Wheatley, And as I prepared today, I thought about
• That is simply saying and recognizing that practitioners are saying, hey, uncle, right?

Summary: The joint hearing focused on coherence in California’s education planning and reporting systems, especially the Local Control and Accountability Plan (LCAP) and related grant plans. Committee chairs and members described widespread frustration with duplicative, lengthy, and sometimes conflicting reporting requirements, while emphasizing that the goal was not to reduce accountability but to make planning more useful, stable, and student-centered. State Superintendent Tony Thurmond also previewed the Governor’s education budget priorities, including expanded learning, community schools, universal transitional kindergarten, literacy supports, and concerns about the proposed Prop. 98 deferral. Panelists from the State Board of Education, Fresno County Superintendent of Schools, and the Legislative Analyst’s Office said the LCAP was intended to balance local flexibility with statewide transparency, but has become overloaded by repeated revisions and additional requirements. They argued for fewer core reporting elements, more stability over time, better alignment of planning cycles, and integrated systems that reduce duplication. Fresno County staff described a multi-year calendar and support tools that help districts manage timelines, but said these tools only ease the burden rather than solve the underlying problem. The LAO noted that some newer plans, such as expanded learning and transportation plans, are narrative-heavy and often less informative than separate reporting requirements. Local district leaders and county officials described the practical effects of the current system: staff time diverted from instruction, multiple portals and forms, audit risk aversion, and planning documents that can exceed 100 pages. Several superintendents said coherent systems work best when districts have clear priorities, stable governance, and aligned budgets, and when state requirements are predictable and tied to outcomes like literacy, attendance, and student achievement. The California Federation of Teachers added that coherence also depends on meaningful collaboration with educators, classified staff, parents, and communities. Committee members repeatedly asked whether the state should streamline reporting, create a uniform portal, or develop a more unified grant-reporting structure, and Thurmond said the department was piloting a simplified common form and was willing to work with the Legislature and districts on broader solutions.

Transcript Highlights:

• With KAFAN, we have been working to develop a toolkit for practitioners who want to start local food
• We're two of the partners in that, developing a practitioner toolkit for folks that want to implement
• toolkit for folks that want practitioner toolkit for folks that want to<00:34:59.839><c> implement</
• Is there anything that from a state perspective we need to be maybe prepared for?
• Um, and maybe prepared for? Um, with any maybe prepared for?

Summary: The Tobacco Settlement Oversight Committee received a monthly report from the Kentucky Office of Agricultural Policy and the A Development Board/Finance Corporation. Staff reviewed May activity, including county council visits, loan and grant approvals, farm safety funding, and support for beginning farmers, agricultural infrastructure, processing, and county/state projects. The committee also recognized an intern and thanked Tara Roberts for her service as she prepares to leave the agency. Members were reminded about a June 20 anniversary event marking 25 years of the office and related programs. A major topic was K-CARD, the Kentucky Center for Agricultural and Rural Development. Staff explained that the program is being expanded to provide more technical assistance for beginning farmers and farm families, including help with business plans and estate planning/farm transition discussions. Members asked how farmers would access the service and were told the extension office would be the front-line contact, with K-CARD providing the technical assistance and neutral-site consultations. The committee also discussed support for large food animal veterinarians. Staff said the incentive program has helped more than 33 veterinarians and is intended to support existing providers rather than quickly increase numbers; members raised concerns about the pipeline and selection process at Auburn University, and staff said discussions with the university were ongoing. The committee then heard from Community Farm Alliance on Kentucky Double Dollars, Fresh Rx for Moms, and farmers market support programs. CFA reported expansion to roadside stands, more retail onboarding, seven new counties, and estimated economic and farmgate impacts, emphasizing that state funding helps leverage federal and private dollars and stabilize local food access programs. No formal votes or legislative actions were taken beyond approving the May minutes.

Transcript Highlights:

• This would be very similar to an advanced nurse practitioner; they would be able to work independently
• This model would require, like nurse practitioners, additional education through either graduate-level
• preparation or an experience-based bridge to the master's program.
• This would allow the practitioner to manage complex patient needs and provide services in all practice
• Dental practitioners could also provide IV therapy.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• And there is a required 8-hour DEA training as well that any mid-level practitioner would need to take
• </c> well that any mid-level practitioner well that any mid-level practitioner would<00:15:31.560><c>
• to a practitioner and we have<01:16:12.240><c> all</c><01:16:12.360><c> these</c><01:16:12.560><c> practitioners
• We were told to prepare her for death, not life. But our daughter Abigail is alive today.
• ><c> for</c><01:36:00.920><c> death</c> told to prepare her for death told to prepare her for death not

Bills: HF4493 , HF3133 , HF4595 , HF4143 , HF4142 , HF3756 , HF4289 , HF1724 , HF2291 , HF4568 , HF4547

Committee: House Health Finance and Policy

Transcript Highlights:

• . practitioners.
• The materials weren't loaded until this morning and so it was hard to prepare.
• The materials weren't loaded until this morning and so it was hard to prepare.
• </c><01:41:40.400><c> They</c> practitioner that's doing this. They practitioner that's doing this.
• </c><01:42:38.400><c> than</c> headed by a mid-level practitioner than headed by a mid-level practitioner

Summary: The committee opened its sixth and final interim meeting with roll call, quorum confirmation, approval of the prior minutes, and a brief change in agenda order to preserve quorum and accommodate presenters’ schedules. Members then moved through several proposed health-related items with limited discussion, and the chair noted the committee would reconvene in January for further conversation. The first substantive item was a proposal relating to utilization controls for non-opioid analgesics in Medicaid. Senator Gerald Neal and Tara Hyde of People Advocating Recovery argued that pain parity is needed so patients can access non-opioid options without prior authorization or step therapy barriers, especially in acute pain situations and for people in recovery. Senator Berg supported the concept and suggested expanding the approach to other prescriptions by allowing physicians to explain why step therapy is inappropriate at the time of prescribing; another member cautioned against unintended cost increases if non-opioid drugs are used as add-ons to opioids. The committee then heard a proposal on physician assistants from Senator Scott and Andrew Rutherford of the Kentucky Academy of Physician Assistants. They described a shift from a supervisory to a collaborative practice model, with practice scope set at the practice level, limited Schedule II prescribing authority under guardrails, and permission for PAs to perform driver’s license vision testing. Supporters said the changes would improve rural access, reduce administrative burden, and align Kentucky with neighboring states; a question from Representative Bratcher focused on experience requirements and how the proposal compares with nurse practitioner rules. No vote was taken. Finally, Representative Nancy Tate, Adia Wuchner, and Representative Jason Nemes introduced a 2026 proposal aimed at “protecting vulnerable people.” They described a broad package focused on abortion pill trafficking, marketing to minors, commercial surrogacy, assisted suicide, and organ procurement safeguards, arguing that current law leaves gaps and that additional criminal and civil penalties are needed. The presentation was informational only, with no action taken before the meeting ended.

Transcript Highlights:

• We have a nurse practitioner who's completed all the required training to screen, diagnose, and treat
• We have a nurse practitioner who's completed all the required training to screen, diagnose, and treat
• </c><00:14:35.519><c> who's</c> have a nurse practitioner who's have a nurse practitioner who's completed
• A single audit requires hundreds of hours of preparation and data submission from our team.
• A single audit requires hundreds of hours of preparation and data submission from our team.

Summary: The Senate Standing Committee on Health Services opened with the chair welcoming several new members and outlining session rules: hearings would start and end on time, the committee would limit the number of bills heard each meeting, prioritize bills heard during the interim, and generally avoid using the consent calendar except in extreme circumstances. The committee then briefly considered administrative regulations, which were treated as approved if members had no questions. The main item was Senate Bill 14, a measure addressing the 340B drug discount program. The chair said the bill had already passed the Senate in a prior session and had been heard in interim, so he did not present it again. He described the bill as prohibiting drug manufacturers from discriminating against 340B covered entities by refusing 340B pricing when the same drug is offered at that price in the state. He also said the committee would not debate the federal 340B program itself, but would hear testimony on the bill. Hospital leaders and Kentucky Hospital Association representatives testified in support, arguing that 340B savings are essential to rural hospitals, oncology services, transportation support, chronic care, addiction recovery, and new service lines such as chemotherapy and hepatitis treatment. They said the program helps keep care close to home and that manufacturer restrictions on contract pharmacies have reduced access and cost hospitals millions. Opponents from BIO Kentucky and the National Alliance of Healthcare Purchaser Coalitions argued the bill would expand federal law beyond Congress’s intent, create administrative burdens, and not lower patient out-of-pocket costs. The chair repeatedly pressed opponents to address why Kentucky should be denied the same 340B pricing available in other states. No vote on the bill was taken in the portion provided.

Transcript Highlights:

• Uh, also cleans up some drafting errors and also requires clearly requires practitioners to register
• Uh, also cleans up some drafting errors and also requires practitioners to register with Casper, which
• to register with Casper practitioners to register with Casper which<00:02:31.040><c> eliminates</c><
• I prepared to take my first dose of ibogaine.
• I prepared to take my Yuliscoco, Mexico.

Summary: The committee first reviewed preferred administrative regulations and, hearing no concerns, considered them reviewed. It then took up House Bill 388, described as a Casper cleanup bill. The sponsor said it would exempt charitable health care providers from e-prescribing requirements, allow Casper data sharing with certain federal entities, update references to hydrocodone’s schedule status, clean up drafting errors, and clarify practitioner registration with Casper. The bill passed 9-0 and was then approved for consent. Next, House Bill 134 was presented as a follow-up to a prior study on shortages of sexual assault nurse examiners and SANE-ready hospitals. The sponsor and a representative from the Kentucky Association of Sexual Assault Programs said the bill would create a statewide SANE coordinator. The committee adopted a substitute, then passed the bill unanimously and sent it to consent. Senate Bill 147 was then heard as an administrative update to vital records, modernizing certified-copy requests, adjusting fees, and requiring the Cabinet for Health and Family Services to send the annual death report to the State Board of Elections by July 1 each year. It passed unanimously and was also moved to consent. House Bill 280, a Kentucky Board of Nursing cleanup bill, would let the board investigate out-of-state nurses applying for Kentucky licenses, clarify licensing language, and update school rescue medication provisions, including inhalers, nebulizers, glucagon, Solu-Cortef, and nasal epinephrine. A committee substitute narrowed the bill to glucagon updates, and one senator asked whether the bill also covered child care centers; the sponsor said it addressed school medications only but was open to further discussion. The bill passed 10-0 and was reported favorably. Finally, Senate Bill 77 drew extended testimony. The sponsor and supporters argued that ibogaine research and treatment could help address addiction, PTSD, and depression, citing studies, personal recovery stories, and a proposed public-private partnership funded through opioid settlement money. The committee substitute removed the bill’s appropriation request and emergency clause, and members asked questions about whether PTSD is an addiction, whether smoking was included, whether the bill was authorizing research rather than funding, and how the treatment works. The sponsor said the substitute was only creating a structure for research, not appropriating money, and supporters described ibogaine as a one-time, medically supervised treatment. The transcript cuts off before a final vote on Senate Bill 77 is shown.

Transcript Highlights:

• My comments were prepared— Louisiana here in opposition to SB 217.
• My comments were prepared prior to the amendment that now does remove a civil judge.
• Or we can ask the practitioners. We talked about that.
• Not even just being prepared to sign, but being threatened to sign.
• I'm also a family law practitioner attorney here in East Baton Rouge Parish.

Bills: HCR11 , HB153 , HB278 , HB424 , HB454 , HB455 , HB687 , HB816 , HB833 , HB942 , HB1053 , HB1097 , HB1147 , HB1148 , HB1190 , SB75 , SB85 , SB197 , SB200 , SB217

Committee: House Judiciary

Summary: The committee first adopted a three-minute rule for the rest of the meeting by a 9-3 vote. It then took up SB 217, which would reorganize Orleans Parish courts by reducing judgeships in criminal, juvenile, traffic, and municipal courts and, through an adopted amendment, creating one civil district court with 13 judges and allowing hearing officers. Senator Morris argued the changes were based on caseload comparisons and population data; opponents from the Urban League and ACLU said the bill was driven by power rather than efficiency, relied on incomplete or inconsistent data, would strain the courts, and would reduce minority representation on the bench. The committee reported the bill favorably as amended by an 11-4 vote. The committee next considered SB 197, which would reduce the number of judges on the Fourth Circuit Court of Appeal by two. Senator Morris again cited filings and caseload comparisons, while opponents argued the bill ignored the intensity and complexity of appellate work, could increase backlog and costs, and would disproportionately affect Black women judges. The bill was reported favorably by an 11-4 vote. The committee also adopted HCR 11, expressing support for the Louisiana National Guard at Camp Beauregard and the Youth Challenge Program, and reported favorably SB 85, creating an insurance fund for retired St. Charles Parish sheriff’s employees. Several other measures were advanced with little or no opposition. HB 833 created the Sexual Assault Survivor Empowerment Task Force and was amended to add representatives from the coroners’ association, a survivor appointed by STAR, and a licensed clinical social worker; it was reported favorably. HB 816, with a technical correction, prohibited foreign adversaries from acquiring property near military installations and was reported favorably. HB 1053, dealing with definitions for dealers and retail dealers and allowing certain businesses to serve complimentary alcoholic beverages under agreed-upon floor amendments, was reported favorably. HB 153, as amended, removed the Office of Debt Recovery from the bill and limited it to prohibiting reporting certain criminal fines and fees to credit bureaus; it was reported favorably. SB 75, on cybersecurity reimbursement and baseline standards for local governments after cyber incidents, was reported favorably after testimony from GOSEP and others. SB 200, allowing expropriation of land near military bases owned by foreign adversaries when a court finds a threat to public health and safety, was also reported favorably after extensive testimony and discussion. Finally, HB 454, the Gracie Claire Rushing Act on chain of custody for human remains and internal organs, was converted into a substitute bill, adopted, and then introduced for further discussion, with the sponsor describing it as a transparency and accountability measure for grieving families.