Transcript Highlights:

• This bill will also do some harm to patient access.
• We support transparency and access to care.
• more accessible or broadening benefits or increasing rates, which will increase access to care.
• necessary services due to ever-increasing cost sharing.
• There are many instances where critical access hospitals, in order to continue to function and serve

Bills: HB2261, HB2283, HB2425, HB2110, HB2113, HB2122, HB2152

Keywords: healthcare, transparency, patient communication, credentials, professional standards, medical loss ratio, insurance, health plans, cost management, nursing delegation, registered nurse, RN, home care aide, nursing assistant, certified nursing assistant, CNA, medical assistant, home health, hospice, community-based care

Summary: The House Health Care and Wellness Committee held public hearings on House Bills 2261, 2283, and 2425, then took executive action on House Bills 2110, 2113, 2122, and 2152. HB 2261 would require health care providers to wear badges showing name, credential, and degree initials, require similar disclosures in advertising, and restrict use of the title “physician surgeon”; supporters framed it as a patient transparency measure, while many providers and associations opposed it as burdensome, confusing, and harmful to access, especially for adult family homes and solo practices. HB 2283 would raise the medical loss ratio for fully insured plans to 90%; supporters said it would direct more premium dollars to care and lower costs, while insurers warned it could destabilize markets and reduce flexibility for administrative services. HB 2425 would modernize nurse delegation rules, expand what tasks can be delegated, and broaden liability protections; supporters said it would reduce barriers and help address workforce shortages, while opponents raised patient safety and accountability concerns. During executive session, the committee advanced all four bills. HB 2110, allowing certain nurses without EMT certification to provide care on inter-facility specialty care transport, was amended and reported out with a due pass recommendation. HB 2113, which addresses radiological technicians performing IV contrast procedures under certain supervision arrangements, was reported out without amendment. HB 2122, requiring hospitals to offer flu vaccines under specified conditions, was amended three times and then reported out. HB 2152, requiring certain facilities to allow medical cannabis use by qualifying patients with terminal conditions, was amended to include exemptions and policy details, including naming it Ryan’s Law, and was then reported out as amended. The committee adjourned after these votes.

Transcript Highlights:

• the ability to provide services to children and families. in Texas.
• HB 2542 is a crucial— step toward improving access to life-changing services for people with IDD, and
• of Texas. institution and has a 16-year wait list to access any of the Medicaid waiver services. do
• Well, I firmly believe that every human has the right to access services. and be given the ability to
• We just have to. Allow them the ability to access it. Thank you so much.

Bills: HB741, HB 1199, HB2070, HB2402, HB2542, HB2665, HB2789, HB3096, HB3396, HB3595, HB3747, HB4116, HB4127

Keywords: child welfare, relative caregiver, monetary assistance, Department of Family and Protective Services, child custody, family law, emergency power, nursing facilities, assisted living, generator requirements, health and safety, emergency generators, power outage, emergency generator, assisted living facilities, power source, child abuse, neglect registry, court findings, Medicaid

Transcript Highlights:

• It's a program to provide Medicaid coverage to doula services by Vice Chair Emanuel.
• Patients need access to affordable prescriptions.
• Increasing these rates could encourage more providers to participate in improving access to care.
• People do not have access to Medicaid. I mean, medical services. And this is the problem.
• It's trying to give people access. We don't want to insure people.

Bills: HB741, HB 1199, HB2070, HB2402, HB2542, HB2665, HB2789, HB3096, HB3396, HB3595, HB3747, HB4116, HB4127

Keywords: child welfare, relative caregiver, monetary assistance, Department of Family and Protective Services, child custody, family law, emergency power, nursing facilities, assisted living, generator requirements, health and safety, emergency generators, power outage, emergency generator, assisted living facilities, power source, child abuse, neglect registry, court findings, Medicaid

Transcript Highlights:

• I think another issue they brought up was access to providers. um mental health parity.
• </c> was access to um providers. was access to um providers.
• Medicaid Services to submit an annual report that includes information about their prior authorization
• </c><00:51:03.600><c> to</c> the Department of Medicaid Services to the Department of Medicaid Services
• </c> economic status access to the ability to economic status access to the ability to preserve<01:02

Keywords: Meeting Start 00:00:00 Call to Order and Roll Call 00:00:38 Consideration of Referred Administrative Regulations 00:01:34 Proposed Legislation for the 2026 Session 00:10:14 Basic and Added Reparation (PIP) Benefits 00:10:41 Prior Authorization 00:46:15 Measures to Strengthen Kentucky’s Economic Infrastructure 00:59:46, 958, all

Summary: The committee met in a special-called session of the Interim Joint Committee on Banking and Insurance and first took up three Department of Insurance regulations tied to House Bill 256, the Strengthen Kentucky Homes program: 806 KAR 22:00, 22:10, and 22:20. Commissioner Sharon Clark said the program would provide $5 million in grants to help homeowners strengthen roofs, with regulations covering eligibility and operations, contractors and evaluators, and reinspections in cases of suspected fraud. A committee substitute to 806 KAR 22:10 was explained as a technical correction to conform to the statutory preference for in-state contractors and evaluators. Representative Hampton moved and Representative Rudy seconded approval of the substitute, and it was adopted by voice vote; the amended regulations were then reviewed. Clark also said the grant money would be distributed statewide rather than targeted to storm-prone areas. The committee then heard an update from Commissioner Clark on mental health parity in response to questions from Representative Pollock. Clark said the department reviews insurer filings and conducts market conduct examinations, but does not have authority over provider reimbursement rates or to require providers to join insurer networks. She said complaints are investigated and, when needed, teams review claims and data on site to check compliance with parity requirements. No action was taken on that discussion. After approving the November 4 meeting minutes, the committee heard testimony on a proposed PIP reform package from Representative Josh Bray, the Kentucky Hospital Association, the Kentucky Justice Association, and State Farm. Supporters said the bill would apply the workers’ compensation fee schedule to most PIP medical claims, keep the $10,000 PIP limit in place while stretching benefits further, reduce balance billing, modernize benefit amounts, and address fraud and delayed billing. They noted hospitals would be exempt from the fee schedule, while hospital-based physical therapy would be included, and said the compromise reflected negotiations among stakeholders. Some members questioned whether exempting hospitals undercut the bill’s purpose and asked about possible rate effects; proponents said they had not done a rate analysis and that the bill could lead to more treatments within the existing PIP limit. No vote was taken on the PIP proposal during this meeting.

Transcript Highlights:

• The captain's been in anywhere from 4 to 10 years of service.
• Clinical interns and accredited behavioral health graduate programs to build for Medicaid services they
• Like I want to read to you a a discussion between Congressman Hearn and Health and Human Services Secretary
• They will require the Oklahoma Department of Human Services to include fentanyl testing in all child
• Do you think this is going to change what information is like, how the public's able to access information

Bills: HB2947, HB3257, HB3264, HB3834, HB3940, HB3944, HB3979, HB4003, HB4118, HB4326, HB4346, HB4421

Keywords: behavioral health, Medicaid expansion, clinical interns, mental health services, licensing requirements, veterans, disability benefits, federal law, Oklahoma Statutes, military service, criminal justice, minimum sentences, parole eligibility, violent crimes, Oklahoma statutes, HB3834, Oklahoma Breakthrough Therapy Act, ibogaine, ibogaine-based therapeutics, ibogaine analogs

Transcript Highlights:

• What they tell me has to happen is they have to take another day off work to go sit and wait to be inspected
• Bayonet to go to... across the county to Bayonet to go to school from first grade on.
• to work... and get your people together to work.
• , as she is, to change line 52 to 45 days.
• I get the bill because I'd like to be able to...

Bills: SB270, SB275, HB264, HB281, SB236, SB247, SB249, SB253, SB259

Keywords: county tax, education funding, capital projects, local government, sales tax, food trucks, mobile vendors, business license, health inspection, statewide regulation, zoning ordinances, vessel registration, boating fees, state funds, regulatory changes, water safety, municipal zoning, zoning board, appeals process, circuit court

Transcript Highlights:

• Human Services will come to order. The clerk will call the roll. Chair hole here.
• I work with that I work with hand in hand every day to service them to see that they can give services
• Also, we have to establish the service infrastructure before people will come to the program.
• to offer these, uh, these folks their services.
• exactly who to invest in and how to route them through services.

Bills: HB 451, HB 645, HB 1041, HB 1151, HB 1155, HB 1536, HCR 12

Keywords: commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening, validated screening tool, evidence-informed tool, conservatorship, juvenile justice, at-risk youth, trafficking prevention, Child Sex Trafficking Prevention Unit

Transcript Highlights:

• Part of the reason this needs to happen is that the current law only allows some victims under 18 access
• to this.
• to you from the Harris County Pretrial Services will probably make you wonder, you know, why hasn't
• I'd like to do what I need to do and that is to say that according to your witness affirmation, you are
• So at this time, we're going to have to adjourn. We're going to have to adjourn and then repost.

Bills: SB535, SB664, SB1019, SB1020, SB1120, SB1537, SB1804, HB3207

Keywords: SB 535, Texas criminal procedure, rape shield, victim sexual history, past sexual behavior, sexual assault evidence, trafficking of persons, continuous trafficking, indecency with a child, continuous sexual abuse, aggravated sexual assault, indecent assault, consent defense, in camera hearing, Rule 412, Rule 609, victim protection, evidence admissibility, criminal evidence, sexual offense prosecution

Transcript Highlights:

• This bill is an access to care bill.
• Many individuals in these communities already face significant barriers to accessing health care services
• For patients and diminishing access to care.
• their providers to access ePHI.
• . to seek care and then need to maintain access to these records.

Bills: SB95, SB268, SB493, SB619, SB660, SB922, SB984, SB1098, SB1188, SB1307, SB1332, SB1822

Keywords: immunization, written informed consent, civil liability, health care provider, vaccine compensation, administrative penalty, health care, licensing, complaint procedure, disciplinary action, law enforcement, pharmacy benefit manager, PBM, gag clause, prescription drug pricing, out-of-pocket cost, cash price, pharmacist, pharmacy, prescription drug benefit

Transcript Highlights:

• We really appreciate the intent to restore funding for cancer research and public health services to
• We really appreciate the intent to restore funding for cancer research and public health services to
• Revenues to the Foundation of Public Health Services account are estimated to increase by $40 million
• I'm going to talk specifically to youth access to vapor products in a study that was done by Washington
• I'm going to talk specifically to youth access to vapor products in a study that was done by Washington

Bills: SB6073, SB6113, SB6116, SB6129, SB6162, SB6114, SB5857

Keywords: SB 6073, LEOFF, Law Enforcement Officers' and Fire Fighters' Retirement System, retirement system, pension, public safety retirement, wildland firefighter, aviation firefighter, wildland fire, forest firefighter, Department of Natural Resources, DNR, firefighter benefits, retirement benefits, service credit, disability retirement, survivor benefits, employer contributions, Washington RCW, public employees

Summary: The Ways and Means Committee held public hearings on several tax and retirement-related bills. Senate Bill 6073 would move eligible Department of Natural Resources wildland and aviation firefighters from PERS into LEOFF 2 prospectively. Committee staff outlined the higher retirement age and benefit costs under LEOFF 2 and noted a small implementation cost and a modest actuarial rate increase. DNR and labor representatives supported the bill, saying the firefighters face significant physical and mental risks and deserve LEOFF coverage; a senator asked about LEOFF board review and was told the bill was requested by DNR, not the board. Senate Bill 6113 was presented as a set of technical and administrative tax-code fixes tied largely to last session’s ESSB 5814, including clarifying taxable retail services, use tax treatment, a transition period for businesses reclassified into retailing B&O, and other corrections. DOR said the bill codifies guidance and is revenue neutral, while several speakers from schools, arts groups, newspapers, broadcasters, and business organizations said some provisions go beyond technical cleanup and would continue or expand unintended consequences from last year’s tax changes. Concerns focused on sales tax treatment of school services, live presentations and rehearsals, and a new section affecting newspaper and broadcaster advertising exemptions if litigation is lost. Some business groups were supportive of the technical fixes but asked for amendments. Senate Bill 6116 would restore the vapor products tax structure for nicotine-containing vapor products, moving them back to the per-milliliter tax and restoring revenue distributions to the Andy Hill Cancer Research account and the Foundational Public Health Services account, retroactive to January 1, 2026. Supporters from public health and the cancer fund said the bill would correct an unintended diversion of revenue and preserve funding, while tobacco-control groups opposed lowering the tax on vapor products, arguing it would weaken public health policy. Retailers and harm-reduction advocates supported the bill, saying the 95% tax created compliance problems, harmed small businesses, and encouraged illicit sales. Senate Bill 6129 proposed a broader overhaul of nicotine and tobacco taxes, including a single 90% tax on nicotine products, a 10% flavor tax, higher cigarette taxes, and new distributions to cancer research and public health accounts. Public health, pediatric, and anti-tobacco groups strongly supported the bill as a way to reduce youth use and raise revenue, while retailers, tobacco businesses, and some consumers opposed it as regressive, harmful to small businesses, and likely to drive sales to illicit or out-of-state markets. Several speakers also raised concerns about tribal consultation, the treatment of menthol and flavored products, and the impact on modified-risk products. The committee also heard briefings and began testimony on Senate Bill 6162, a property tax reform bill that would expand senior and disability property tax relief, increase income thresholds and deductions, and consolidate the state property tax rate.

Transcript Highlights:

• I'd now like to yield to my colleague from District 3 to introduce some of the Hawaiʻi Island advocates
• 25 years of dedicated service and our deep gratitude for its continued commitment to empowering present
• of dedicated service and our deep gratitude for its continued commitment to empowering present and future
• Semio Ani Una Mariano has dedicated 23 years to public service in Hawaiʻi.
• I rise to request a waiver of the public notice requirement pursuant to Senate Rule 21 to hold a hearing

Bills: SCR8, SR10, SCR90, SR85, SCR110, SR103, SCR54, SR52, SCR107, SR101, SCR178, SR173, SR76, SCR40, SR30, SCR145, SR137, SCR62, SCR95, SR90, SCR45, SR44, SCR119, SR112, SCR63, SR57, SCR21, SR18, SCR27, SR24, SCR75, SR69, SCR7, SR7, SCR149, SCR55, SR53, SCR180, SR175, SCR86, SR77, SCR59, SCR41, SR31, HB1678, HB1824, SCR177, SR172, SCR5, SCR85, SR75, SCR139, SR131, SCR146, SR138, SR84, SCR31, SR27, SCR46, SR45, SCR48, SR47, SCR9, SR11, SCR83, SR73, SCR20, SR17, SCR56, SR54, SCR87, SCR39, SR29, SCR142, SR134, SCR203, SR191, SCR200, SR188, SCR196, SR184, SCR194, SR183, SCR114, SR107, SCR166, SR157, SCR96, SR91, SCR172, SR163, SCR109, SR102, SCR50, SR49, SCR64, SR58, SCR184, SR165, SCR81, SR71, SCR19, SR16, SCR22, SR19, SCR32, SR28, SCR57, SR55, SCR58, SR56, SCR103, SR97, SCR159, SR150, SCR163, SR154, SCR169, SR160, SCR68, SR63, SCR105, SR99, SCR112, SR105, SCR198, SR186, SCR11, SR9, SCR132, SR124, SCR189, SR179, SCR26, SR23, SCR93, SR88, SCR117, SR110, SCR164, SR155, SCR165, SR156, SCR170, SR161, SCR168, SR159, SCR173, SCR197, SCR47, SR46, SCR94, SR89, SCR99, SR93, SCR100, SR94, SCR130, SR122, SCR78, SR82, SCR154, SR145, SCR195, SR192, SCR162, SR153, SCR201, SR189, SCR202, SR190

Keywords: building permits, seniors, health care, disability, safety modifications, county regulations, expedited processing, older adults, disability access, healthcare, permit processing, home modifications, kupuna, accessibility, parking, business hours, aging population, parking accessibility, private business hours, affordable housing

Transcript Highlights:

• There has been a concerted effort from a number of retired judges to expand access to these LTCs for
• I urge this community, this committee, not to expand access to a type of gun that has been used in organized
• You're making it easier for people to access. more lethal weapons. It doesn't make any sense to me.
• Quick reminder to the committee: this bill does not make access to short-barrel firearms any easier.
• have access to guns.

Bills: HB259, HB 1128, HB1337, HB1506, HB1794, HB2215, HB2470, HB2771, HB2882, HB2993, HB3053, HB3428, HB3669, HB3789, HB3924, HB4201, HB4675, HB259

Keywords: healthcare, insurance, patient rights, medical expenses, access to care, affordability, legislation, firearms, penal code, regulation, short-barrel firearms, ammunition, gun control, public safety, Texas law, short-barrel, law enforcement, election judges, concealed handgun, polling places

Transcript Highlights:

• Made it more effective in the field with better outcomes so we want officers to still have access to
• By an 18-year-old who had access to an AR-15. I have grave concerns about HB 2470.
• I don't know where the representative thinks that this is a good idea to give 18 to 20-year-olds access
• Why are we giving people with no frontal cortex access to more deadly weapons?
• The parents can give access. I'm not going to repeat what Mr.

Bills: HB259, HB259, HB 1128, HB1337, HB1506, HB1794, HB2215, HB2470, HB2771, HB2882, HB2993, HB3053, HB3428, HB3669, HB3789, HB3924, HB4201, HB4675

Keywords: redistricting, Independent Citizen Redistricting Commission, Texas Legislature, elections, district boundaries, voter representation, healthcare, insurance, patient rights, medical expenses, access to care, affordability, legislation, firearms, penal code, regulation, short-barrel firearms, ammunition, gun control, public safety

Transcript Highlights:

• </c><00:03:50.000><c> to</c> organizations via the access to organizations via the access to streamline
• Paul that provides affordable, accessible housing supports and services to low-income individuals with
• ensuring the continuity of service and access to adequate support for their day-to-day lives.
• ensuring the continuity of service and access to adequate support for their day-to-day lives.
• ensuring the continuity of service and access to adequate support for their day-to-day lives.

Bills: HF1662, HF2115, HF2159, HF1095, HF2160

Keywords: veterans, veterans affairs, State Soldiers Assistance Program, Veterans Stable Housing Initiative, MAXIS, human services data, data sharing, eligibility verification, informed consent, private data, benefits coordination, veteran housing, veteran assistance, Department of Human Services, Children Youth and Families, state benefits, federal benefits, privacy, public assistance, human services

Transcript Highlights:

• I'm going to read through the whole bill. It's Senate Bill 2184, the duplicate sections bill.
• Since I'm fixing to leave, what happens if we don't pass the duplicate sections bill?
• To follow on with that, that's part of the reason why we passed that bill earlier this year to request
• to tell judges What you're supposed to do if there are still duplicate sections, which we've had for
• Representative Manger, you are recognized to present Senate Bill 171.

Bills: HB2115

Keywords: public assistance, Department of Human Services, federal funds, community services, energy conservation, poverty reduction, 914, all

Transcript Highlights:

• OK, if not, I'll take personal privilege here to since this is my first last and Only opportunity to

Bills: HB2115, HB2115

Keywords: public assistance, Department of Human Services, federal funds, community services, energy conservation, poverty reduction, 914, all

Transcript Highlights:

• In regards to the Financial Services Association proposed amendment, the Federal Trade Commission rule
• have to just give the the<01:13:30.440><c> service</c><01:13:30.840><c> of</c><01:13:31.000><c> the<
• Eligible for Medicaid prospective payment system reimbursement to include certain services furnished
• Requires the Department of Human Services to adopt rules for this purpose and seek federal approvals
• I do want to wait to hear back from the Department of Human Services on the timeline for submittal and

Bills: SB2607, SB2031, SB2043, SB2623, SB2876, SB2396, SB2964, SB2089

Keywords: landscape architecture, licensure, educational requirements, examination, professional standards, consumer protection, junk fees, live-event tickets, short-term lodging, transparency, pricing disclosure, deceptive practices, insurance, captives, regulations, policyholders, SB2623, Hawaii pharmacy law, Board of Pharmacy, registered pharmacy technician

Summary: The committee first heard HCR 168 and HR 158, which would create a temporary working group to study utility capacity, coastline infrastructure lifespan, and the costs of needed expansions. Public Utilities Commission staff said the commission was not the right entity to direct all of the work because it lacks authority over many affected agencies. Members discussed whether the study should be limited to a coastal area or broadened to the whole island, and in decision-making the committee amended the measure to focus on the County of Honolulu, correct references to the Public Utilities Commission, and revise the working group membership to include the PUC chair, legislative designees, and directors or designees from DLNR, DOT, HIEMA, and DCCA Consumer Advocacy. The committee then passed both resolutions with amendments; the vote was adopted unanimously, with some members excused. The committee next considered HCR 145 and HR 137, which would convene a working group on climate change impacts on insurance availability and affordability. The Insurance Division stood on its written comments, the Climate Change Mitigation and Adaptation Commission supported the intent, and the Attorney General opposed the measure, warning that a working group could create discoverable materials that might complicate the state’s climate litigation and noting a technical ambiguity in the reference to the Hawaii Hurricane Relief Fund administrator. After questions about discovery and the lawsuit, the committee amended the resolutions to replace the administrator reference with the chair of the Hawaii Hurricane Relief Fund Board of Directors, remove the Attorney General as convener while keeping the office as a member, and have the working group share findings and recommendations with the House CPC and Senate CPN committees instead of issuing a report. The committee passed the measures with amendments, with Rep. Martin voting with reservations. In the later agenda, the committee heard SB 2607, SD 1 on landscape architect licensure. The Board of Professional Engineers, Architects, Surveyors, and Landscape Architects supported the bill, explaining it modernizes licensure requirements to align with national standards and clarifies the profession’s design-focused role. The bill was discussed as distinguishing landscape architecture from groundskeeping and from civil engineering drainage work. No opposition was heard. The committee also heard SB 2031, SD 2 on consumer protection and price transparency for live ticket events and short-term lodging. The Office of Consumer Protection supported the bill, saying it largely mirrors an FTC rule requiring all-in pricing and would give the state enforcement authority and remedies. The Hawaii Financial Services Association opposed the bill as drafted and sought a limited exemption for credit card issuers relying on third-party hotel information, while the Hawaii Hotel Alliance supported the measure but asked for language deeming compliance with the federal rule sufficient for short-term lodging. Committee members questioned whether those proposed exemptions would conflict with federal law or weaken state enforcement, and the discussion focused on preemption, liability, and the value of state remedies such as restitution.

Transcript Highlights:

• For instance, the current language says to get a burn permit, you have to call by phone to a district
• And we really want to go to an online system, although we're going to maintain that you can still call
• to changed that language to you have to stay<00:02:35.360><c> with</c><00:02:35.599><c> it</c><00:02
• If no questions, I'd like to make a motion for a favorable report. going to be able to uh prescribe any
• glad to talk to you if you have a<00:20:23.840><c> concern.

Bills: SB85, SB263, HB277, HB267, SB288, SB85, SB263, HB277, HB267, SB288

Keywords: vaccination exemption, religious exemption, medical exemption, vaccine mandate, testing requirement, public schools, K-12, students, parents, guardians, higher education, college enrollment, university attendance, public institutions of higher education, immunization, religious tenets, sincerely held belief, school health policy, Alabama, AHSAA physical form

Transcript Highlights:

• </c><00:02:15.640><c> egg</c> difficult to sell retail and service egg difficult to sell retail and service
• who are struggling to access owners who are struggling to access veterinarian<00:05:20.319><c> care<
• </c> Farm to school creates a market access Farm to school creates a market access opportunity<00:34:
• get access to that fresh, nutrient-dense food?
• to have access to were lucky instead to have access to arpa<01:32:28.159><c> funding</c><01:32:28.760

Bills: HF2446, HF2878, HF2667, HF1795, HF2683, HF2916

Keywords: agriculture finance, broadband development, Department of Agriculture, Board of Animal Health, Agricultural Utilization Research Institute, Office of Broadband Development, food safety, food handler license, cottage food, home processed food, livestock dealer, meat packing company, milk marketer, milk marketing license, grain buyer, grain storage, beginning farmer, emerging farmer, farm down payment assistance, livestock investment grant

Transcript Highlights:

• I'd like to bring this meeting to order.
• It started with President Biden directing Health and Human Services and the DEA to re-examine cannabis
• the medical cannabis program to improve economic inclusivity, market competitiveness, and general accessibility
• a tip line, which may be accessed by phone or by internet, for members of the public to anonymously report
• The last part was a training component to the bill, directing DCJS to establish minimum in-service training

Keywords: Cannabis Retail Market, Joint Commission to Oversee the Transition of the Commonwealth into a, 976, house, all