Transcript Highlights:

• 12:24.240><c> determine</c> clinical examination to determine clinical examination to determine whether
• </c><00:12:30.079><c> Uh</c> the clinical aspects of pharmacy. Uh the clinical aspects of pharmacy.
• ,</c><00:39:10.800><c> we</c> that didactically and clinically, we that didactically and clinically,
• I'm a clinical pharmacist.
• </c> clinic and also a geriatrics clinic clinic and also a geriatrics clinic based<00:48:46.640><c> out

Committee: Senate Health and Human Services

Keywords: 1191, senate, all

Transcript Highlights:

• We're opposed to the bill because we may want to invest and actually purchase our own dental clinic to
• Without the board enforcing strict hands-on clinical hour requirements and faculty qualifications, we
• But that promise holds only when nurses receive rigorous education, supervised clinical training, and
• Currently in Arizona, there are about 60 genetic counselors, with 35 that are clinic-facing, and this
• As commercially viable, there is one at the Idaho National Laboratory that's pretty far along.

Bills: HB2072 , HB2251 , HB2279 , HB2308 , HB2323 , HB2342 , HB2400 , HB2408 , HB2456 , HB2660 , HB2697 , HB2868 , HB2873 , HB2877 , HB2910 , HB2946 , HB2955 , HB2991 , HB4001 , HB4010

Committee: Senate Regulatory Affairs and Government Efficiency

Keywords: Cesar Chavez, public holiday, state law, holiday repeal, Arizona Revised Statutes, midwifery, medication administration, healthcare, patient safety, advisory committee, licensed midwives, river trips, liability, outfitter, Grand Canyon, negligence, risk management, contractual waiver, dental practice, business registration

Transcript Highlights:

• as I mentioned, all those other medical indications, it's really hard to freeze a child's wart in clinic
• with. the ward without all the scariness that, you know, kids are faced in a clinic with.
• And whether or not the FDA industry has tested this clinically in a lab setting, they have done that
• But in real life, that is a real laboratory.
• But in real life, that is a real laboratory that's happening right now.

Summary: The committee heard a series of environmental safety and toxic materials measures, with several bills moving forward on unanimous or near-unanimous votes to Appropriations. Early in the meeting, the consent calendar was approved, including AB 372, AB 455, AB 1096, AB 1102, and AB 754. AB 362 by Assembly Member Ramos, which would recognize tribal beneficial uses of water and strengthen consultation and protection for tribal water uses, drew strong support from tribes and environmental groups. Water agencies and local government representatives opposed unless amended, raising concerns about CEQA requirements, co-management language, and conflicts with existing water law. The bill advanced to Appropriations, with some members voting aye and others not voting or absent. AB 728 by Assembly Member Lee would require age verification for the sale of certain anti-aging skin care products to minors. The author and a youth witness described social media-driven use of adult skin products by children and alleged skin damage, while supporters argued age checks are a reasonable consumer protection. Dermatologists and retailers opposed the bill, saying it could restrict legitimate acne and other medical uses of over-the-counter products, create compliance problems, and lacked a clear scientific basis. The committee discussed possible ambiguity in the bill’s definition of anti-aging products, but the measure still passed to Appropriations. AB 532 on low-income water rate assistance, AB 773 on copper-based anti-fouling paint, AB 998 on household hazardous waste disposal of vape pens, AB 1031 on geothermal hazardous waste fees, and AB 864 on solar panel hazardous waste and recycling all received strong support and advanced to Appropriations. Supporters for AB 532 emphasized water affordability and local program authority; AB 773 supporters said conflicting state water and pesticide rules are creating confusion for harbors and cities; AB 998 was presented as a practical way to let schools and local facilities dispose of confiscated vape devices safely; AB 1031 was framed as reducing DTSC fee burdens on geothermal development in Imperial County; and AB 864 would ease recycling and reuse of end-of-life solar panels. The committee also began hearing AB 1264 on ultra-processed foods in school meals, with the author and supporters arguing it would phase out the most harmful ultra-processed foods from school meals by 2032, but the transcript cuts off before the full discussion and any action on that bill.

Transcript Highlights:

• Clair Urgent Care Clinic in Morehead.
• Clair Urgent Care Clinic in Morehead.
• This is at the Turflin Clinic. It is for the UK Family and Community Medicine Clinic.
• This is at the Turflin Clinic. It is for the UK Family and Community Medicine Clinic.
• ,</c><00:03:00.239><c> a</c> will house the urgent care clinic, a will house the urgent care clinic,

Keywords: 0:00:08 Call to Order and Roll Call 0:00:38 Approval of Minutes 0:01:02 Information Items 0:02:17 Lease Rpt from Postsecondary Institutions 0:06:42 Project Rpt from Finance and Administration Cabinet 0:15:03 Lease Rpt from Finance and Administration Cabinet 0:24:00 Rpt from OFM – KY Infrastructure Authority 0:42:55 Economic Development Fund Grants 0:53:38 Rpt from OFM – New Debt Issues 1:16:33 Remaining 2025 Meeting Dates 1:16:45 Adjournment, 958, all

Summary: The committee first handled routine business, including roll call, approval of the July minutes, and several informational reports. Those reports included a University of Kentucky restricted-fund medical equipment purchase for Chandler Hospital, debt issues for five school districts, Eastern Kentucky University’s planned model laboratory school using construction management risk delivery, a Division of Real Properties lease advertisement, Kentucky Communications Network Authority quarterly project reports, and EKU asset preservation revisions. Members then heard and approved a new UK St. Clair Urgent Care Clinic lease in Morehead and an amendment expanding space for the UK Family and Community Medicine Clinic at Turflin Clinic. Testimony explained that both properties are privately owned, the Morehead lease predated the UK/St. Clair arrangement, and the Turflin Clinic is tight on space. The committee also approved three new projects and an appropriation increase: two Department of Military Affairs projects, a Window Ford Training Center underground electric project and a Williamsburg Readiness Center interior repair project, a Fish and Wildlife property acquisition adjoining Veterans Memorial Wildlife Management Area, and an $8.113 million increase for the Department of Revenue integrated tax system (DORIS). The DORIS increase was described as needed for change orders tied to legislation and to complete the unified tax system. The committee next reviewed no-action items, including a $3 million emergency flood-damage repair project for the Bush Building and Vest-Lindsay House in Frankfort, and three pool projects over $1 million: a Kentucky Correctional Institute for Women window replacement phase 2 project, a Department of Criminal Justice Training interior refurbishment at Thompson Hall, and the Muddy Gut Branch stream mitigation project in Johnson County. The flood project was confirmed to be fully reimbursed by insurance proceeds. Finally, the Kentucky Infrastructure Authority presented six loans and nine grants. Action items included water and sewer financing for Cumberland County, Lebanon, Northern Kentucky Water District, Lewisport, and Providence, plus a major Taylor Mill treatment plant project and several cleaner water grants and reallocations. Members asked about loan rates, local rate increases needed to repay debt, and the Providence emergency water interconnect; staff explained that Lewisport had begun a rate increase process, and that the Providence project would connect Webster County Water District and the city of Providence to stabilize pressure after a systemwide failure. All action items were approved.

Transcript Highlights:

• enables precise genetic characterization, access to newly approved medications, and participation in clinical
• progress through the successful completion of multiple pilot programs, utilizing an FDA-approved laboratory
• For NEC, the clinical picture is very confounding initially. In the worst case, we see abdominal...
• Basaldua, a clinical pharmacist and professor. ...and a published author on health literacy, and I strongly
• I do see patients in the clinic. The first one is a 67-year-old man.

Bills: HB321 , HB 1027 , HB 1295 , HB1782 , HB2295 , HCR29 , HCR56

Committee: House S/C on Disease Prevention & Women's & Children's Health

Keywords: Medicaid, child health, express lane option, income verification, supplemental nutrition assistance, telepharmacy, healthcare access, remote dispensing, rural clinics, pharmacy regulations, health literacy, state health plan, health care, patient outcomes, public health, economic impact, healthcare, breast cancer, cervical cancer, insurance eligibility

Transcript Highlights:

• I sit on a community clinic called the Care Clinic, where we offer medical, mental, and dental health
• lunch, I'm going to have Megan kind of run through the details of the trip to the Idaho National Laboratory
• Megan will run through the details of the trip to the Idaho National Laboratory in Idaho Falls.
• chairman of the Legislative Management to hold a meeting of this committee at the Idaho National Laboratory
• Next fall, that cask is going to go on a rail car and be shipped to Idaho National Laboratory, where

Committee: Joint Advanced Nuclear Energy Committee

Summary: The committee met to hear a series of presentations on advanced nuclear economics, workforce, community impacts, and financing. Nucleon Energy’s William Bridge presented a report estimating the economic impacts of hypothetical 200-megawatt and 600-megawatt SMRs, including construction and operating jobs, local spending, tax revenue, and the private-sector conditions needed to attract investment. He said the report used nth-of-a-kind cost assumptions, discussed security and water siting considerations, and argued that early community engagement and permitting work should be timed to when projects are closer to being economic. Committee members questioned cost assumptions, security staffing, transmission and water siting, and whether large reactors or SMRs are more likely to be financed in the near term. Lori Brady of the Nuclear Energy Institute then outlined national nuclear workforce needs and NEI’s strategic workforce planning. She described declining labor-force demographics, the need for hundreds of thousands of new energy workers by 2050, and six workforce priorities: career awareness, pipelines, training and qualification, policy support, retention, and non-traditional pipelines. She highlighted the Nuclear Works career website, the Nuclear Energy Academic Roadmap, the new federal Energy and Natural Resources career cluster, and the Nuclear Uniform Curriculum Program for community colleges. Members asked about AI, robotics, and when training should begin relative to future plant construction; Brady said AI is not expected to replace workers broadly and that training timelines depend on the specific project and staffing plan. Red Wing, Minnesota Mayor Gary Yako described hosting the Prairie Island nuclear generating facility. He said the plant provides a large share of the city’s property tax base, supports well-paid jobs, contributes to local emergency preparedness, and is a strong community partner through donations and employee involvement. He said the city supports relicensing, has regular emergency drills, and has had no issues with dry cask storage. The committee also heard from NEI’s Benton Arnett, who reviewed the current financing landscape, including federal tax credits, DOE loan authority, offtake agreements, and the shift toward project developers and special-purpose vehicles. He said early projects face high first-of-a-kind costs, but federal support and long-term power purchase agreements are helping make projects financeable. Finally, DOE’s Julie Kazeraki described the Office of Energy Dominance Financing and its role in supporting new nuclear, restarts, uprates, and supply chain investments, emphasizing that federal loan and tax-credit tools are intended to reduce upfront risk and improve project affordability.

Transcript Highlights:

• clinical placement.
• and non-clinical providers.
• This may include rural hospitals, critical access hospitals, clinics, including FQHCs, rural health clinics
• We're also, we're taking out room and board, but we are strengthening some clinical competencies, clinical
• So it's a little bit more. some clinical competencies, clinical staffing around it.

Summary: The hearing began with testimony from Let California Kids Hear and supporters urging action on pediatric hearing aid coverage. Advocates said California has repeatedly failed to enact a workable solution over the past eight years and argued that children need early access to sound to support development. The proposal discussed would limit the coverage mandate to the large-group market, which advocates said would cover roughly 70% to 80% of affected children and avoid the exchange-related cost issue that contributed to prior vetoes. Supporters, including parents, audiologists, and children’s health groups, backed the proposal, and the chair expressed sympathy and support while noting hope for a federal solution for exchange plans. The Department of Finance then gave opening remarks about the state’s structural deficit and the need to balance new investments against projected out-year shortfalls. HCAI followed with a broad overview of its programs, including CalRx insulin and naloxone initiatives, reproductive health grants, the Office of Health Care Affordability, hospital seismic compliance, workforce programs, and the diaper access initiative. Members asked about geographic targeting of workforce funds, the behavioral health workforce pipeline, and the status of the 21st Century Nursing Initiative, which HCAI said had reverted funds. The committee also discussed a proposed transfer of the Data Exchange Framework and Office of the Patient Advocate to HCAI, new reporting on long-term care staffing and health coverage waiting periods, and a Behavioral Health Services Act workforce proposal that would use BHSA funds to support training, stipends, and technical assistance while offsetting $100 million in General Fund spending; members and LAO questioned the offset and asked for more detail, and the item was held open. HCAI also presented the Rural Health Transformation Program, explaining that California received $233.6 million in federal funds for the first year and had to revise its proposal so that $35 million in provider payments would be tied to specific transformative activities rather than general financial relief. The program will fund rural care model redesign, workforce development, and technology/infrastructure improvements, with grants to be rolled out on a tight timeline and subject to CMS approval. Members asked about the size of California’s award, the use of funds for maternity care, labor and delivery access, dialysis, tribal set-asides, and the role of a technical assistance contractor. The department said the program will use supply-and-demand workforce modeling to target funding and that all funds must be obligated by October 30. Finally, the Department of Managed Health Care outlined its budget and two major bill-related proposals: SB 41 on PBM reform and SB 306 on prior authorization transparency. DMHC said SB 41 would require PBM licensure, ban spread pricing, require rebate pass-through, and regulate pharmacy network practices, while SB 306 would require reporting on prior authorization and create a list of services exempt from prior authorization. DMHC requested additional positions and funding to implement both measures.

Transcript Highlights:

• Because they specialize or they have the opportunity for a clinical trial that Louisiana currently does
• Amendment 20 removes 'admitted' from 'admitted covered clinical projects.'
• In 2017, my parents took me to a doctor in North Louisiana at the Green Clinic, Dr. Everest.
• But the Berkeley National Laboratory says, Driving rates up and how that's not an accurate statement.
• But the Berkeley National Laboratory says essentially increased demand helps lower rates.

Committee: House Commerce, Consumer Protection, and International Affairs

Summary: The committee first heard House Bill 267, which would change the membership rules for the Louisiana State Board of Home Inspectors by adjusting appointment qualifications, term limits, and nomination procedures. Vice Chair Thomas explained the bill was meant to address the lack of nominations from existing entities and to allow the governor more flexibility, especially in smaller districts. After adopting a technical amendment, the committee reported HB 267 favorably. The committee then considered House Bill 478 on utility overcharge reimbursements. The bill, as amended, requires utilities to clearly label reimbursements on customer bills and sets a deadline for issuing refunds. After discussion with the Public Service Commission and utility representatives, the committee changed the reimbursement timeline from 45 days to 90 days and clarified that the bill would not interfere with larger settlement or regulatory credits. HB 478 was then reported favorably as amended. The longest discussion centered on House Bill 924, a consumer protection measure aimed at contractors who solicit residential property owners after declared disasters. The author said the bill was intended to curb predatory storm-chasing and fraudulent insurance-related practices, while still allowing emergency mitigation work. The committee adopted technical amendments and then a conceptual amendment shortening the catastrophe response period from six months to 30 days. Testimony was split: the Insurance Commissioner and some roofing industry witnesses supported the bill as a way to deter fraud, while other contractors argued it would hurt small businesses, limit legitimate door-to-door work, and not solve enforcement problems. The bill remained under consideration after extensive testimony and public comment.

Transcript Highlights:

• Because they specialize or they have the opportunity for a clinical trial that Louisiana currently does
• Amendment 20 removes 'admitted' from 'admitted covered clinical projects.'
• In 2017, my parents took me to a doctor in North Louisiana at the Green Clinic, Dr. Everest.
• LED would assist us in steering that manufacturer to Xavier for those human clinical trials, that phase
• But the Berkeley National Laboratory says, essentially, increased demand helps lower rates.

Bills: HB267 , HB478 , HB617 , HB659 , HB800 , HB922 , HB924 , HB947 , HB1166 , HB1223

Committee: House Commerce

Keywords: home inspectors, board membership, licensing, term limits, Louisiana State Board, utility, reimbursement, overcharges, consumer protection, economic relief, hidden fees, junk fees, drip pricing, price transparency, mandatory fees, surcharges, unfair trade practices, advertising disclosures, total price, service fees

Transcript Highlights:

• And clinical research.
• You know, we've invested in more than 300 clinical trials.
• talking about around clinical trials.
• Well, they do tremendous research and clinical trials.
• They're still working their way through clinical trials, phase two, clinical trials, phase three.

Bills: SB 1

Committee: Senate Finance

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards

Summary: The committee heard budget presentations from the Legislative Budget Board and agency officials on several agencies, starting with the Texas Historical Commission. LBB described a large biennial reduction driven mainly by the removal of one-time funding and discussed capital projects, rider changes, and exceptional items including Presidio La Bahia and the National Museum of the Pacific War. Senators asked about heritage trails, courthouse grants, unexpended balance authority, and the status of historical-site funding. Historical Commission leadership emphasized preservation, courthouse restoration, heritage tourism, coordination with the Alamo and other Texas Revolution sites, and requested additional IT, staffing, and vehicle funding. No votes were taken. The committee then reviewed the Pension Review Board and the Employees Retirement System. The Pension Review Board’s budget was largely unchanged aside from IT maintenance and salary adjustments, with an exceptional item for additional IT enhancements. Members discussed the Dallas Police and Fire Pension System’s funding dispute and the need for a workable restoration plan. ERS presented a much larger budget, including funding for the retirement system, the group benefits plan, and the legacy payment intended to reduce unfunded liability. Senators focused heavily on pension investment returns, benchmark comparisons, and rising health-care costs, especially pharmacy spending driven by GLP-1 drugs; ERS said the plan covers about 540,000 lives and that premiums would rise 8% while benefits remain unchanged. ERS also said it had no exceptional items, and committee members requested more detailed benchmark information. The committee also heard from the Texas Emergency Services Retirement System and the Cancer Prevention and Research Institute of Texas. TESSORS reported an unfunded liability, an infinite amortization period, and requested additional state support, staffing, and IT funding, including a statutory change to allow a higher contribution level; the agency warned that without more funding it may have to cut benefits. CEPRIT’s presentation covered its bond-funded cancer research and prevention portfolio, revenue-sharing from funded projects, and a request to increase salary limits for its CEO and chief scientific officer. Senators questioned CEPRIT’s accomplishments and return on investment, while CEPRIT cited screening, prevention, and research outcomes, including tens of thousands of detected cancers and precursors and hundreds of thousands of first-time screenings. The meeting ended after these presentations and questions, with no recorded committee action or vote.

Transcript Highlights:

• The 340B program acts as a community trust fund for my clinic.
• We have clinics and pharmacies in Tacoma and Seattle.
• , and the Madison Clinic at Harborview Medical Center.
• We work with Seattle Roots and its two community clinics, Country Doctor Community Clinic, and Carolyn
• The clinical need for plasma-derived medication is increasing.

Summary: The committee first heard House Bill 2437, which would put the Department of Health’s authority to accredit opioid treatment programs into statute and allow the department to set a fee to cover the cost of those services. The prime sponsor and DOH said the bill would preserve a service that is especially important to tribal and rural providers and would be self-sustaining rather than supported by the general fund. Members asked about the relationship between DOH and HCA and whether the bill would duplicate existing authority; staff and the department said DOH already performs the accrediting role and the bill mainly formalizes that authority and fee-setting power. Public testimony on the bill was then closed. The committee then held an extensive work session on the federal 340B drug pricing program and later opened public testimony on House Bill 2145, which would prohibit manufacturers, distributors, and third-party logistics providers from restricting 340B drug acquisition or delivery and from requiring claims or utilization data as a condition of access. Committee staff and NCSL gave background on how 340B works, recent growth in the program, contract pharmacy issues, and state efforts in other jurisdictions. Testimony on HB 2145 was sharply divided: hospitals, community health centers, tribal representatives, contract pharmacies, and labor groups said the bill would protect safety-net providers, rural access, HIV and behavioral health services, and tribal programs from manufacturer restrictions; business groups, pharmaceutical companies, and employer coalitions argued the program has expanded beyond its original intent, lacks transparency, shifts costs to employers and taxpayers, and should be addressed through federal reform instead. No vote was taken in the excerpt. Finally, the committee heard House Bill 2155, which would bar non-human entities from using nursing titles such as RN, APRN, or LPN or otherwise implying they are licensed nurses. The prime sponsor said the bill is intended to protect patients from being misled by AI systems and to preserve transparency and public safety as health care technology expands. The Washington State Nurses Association testified in support, saying AI can be useful but should not replace nurses or be presented as a licensed professional. A member asked about enforcement and liability, and staff said they would follow up on those details.

Transcript Highlights:

• I'll quickly just say that in addition to our food programs, we also have a free walking medical clinic
• So a lot of times we use a laboratory, and I'll have it back in five days.
• So a lot of times we'll use a laboratory, and I'll have it back in five days. Okay.
• And I will say that our program includes a legal clinic, which represented individuals who were fighting
• That our program includes a legal clinic, which represented individuals who were fighting the establishment

Committee: Joint Joint Committee on Agriculture and Fisheries

Keywords: 995, all

Summary: The Joint Committee on Agriculture opened its first hearing by outlining procedures, including three-minute testimony limits, written testimony options, and the plan to hear 27 bills in docket order. The committee then took testimony on H.11/S.53, a resolve promoting equity in agriculture, with advocates from the Massachusetts Food System Collaborative, Southeastern Mass Agricultural Partnership, and urban farming organizations describing racial and economic disparities in farming, lack of data on BIPOC farmers, barriers to land and capital, and the need for a commission to collect information and recommend policy changes. Committee members asked questions about the importance of data collection and future policy development, and the bill was repeatedly urged to be reported favorably out of committee. Testimony also supported H.118, which would create a special commission to examine the strengths and sustainability of the Commonwealth’s emergency food network. The Amherst Survival Center described serving 1.6 million meals last year and explained that food pantries are now functioning as essential parts of the state’s food system while relying heavily on donations, volunteers, and unstable funding. Members discussed the need for a more holistic look at food security infrastructure. The committee then heard H.119/S.60 on climate change impacts on farms and fisheries, with regional planners and farm advocates describing flood damage, rising costs, canceled federal climate-smart funding, and the need for direct state support for adaptation, resilience, and infrastructure improvements. The committee also heard testimony on H.125/H.142/S.65, a healthy soils bill, from landscape professionals who said construction sites often leave poor or stripped soil and that the bill would require better post-construction soil standards to support healthier landscapes and reduce long-term maintenance and environmental problems. Finally, the committee took extensive testimony on H.127, which would prohibit aquaculture of octopus for human consumption. Supporters, including legislators, scientists, veterinarians, students, and animal welfare advocates, argued octopus are highly intelligent and sentient, cannot be farmed humanely, and that octopus aquaculture would create environmental harms such as waste runoff, pressure on wild fish stocks, and ecosystem disruption. No votes were taken during the hearing; the bills were heard and testimony was received.

Transcript Highlights:

• </c> stress tests in the clinic. stress tests in the clinic.
• </c> clinic in Arapaho, the clinic in Ethete. clinic in Arapaho, the clinic in Ethete.
• </c> tribal clinics at this point. tribal clinics at this point.
• </c> different clinic. different clinic.
• We do have uh clinic on evening clinics.

Committee: Joint Select Committee on Tribal Relations

Keywords: 916, all

Transcript Highlights:

• Research and development is already embedded in New Mexico's economy from our national laboratories to
• more powerful incentive and will help us commercialize the things that we're developing at our laboratories
• an Executive Director of a nonprofit, we are often asked to come and help out with spay and neuter clinics
• to 2022 when several factors, mostly related to COVID, led to a pause in regular spay and neuter clinics
• overall because we're just doing so many animals at one time to set up, like maybe a spay-neuter clinic

Bills: SB97 , SB55 , SB40 , SB38 , SB120 , SB113 , SB116 , SB117 , SB118

Committee: Senate Senate Tax, Business & Transportation

Keywords: tax credits, municipality, county property, industrial revenue bonds, economic development, qualified expenditures, solar energy, tax credit, renewable energy, photovoltaic, solar thermal, New Mexico, economic incentive, energy independence, SB40, Driver Privacy and Safety Act, automated license plate reader, ALPR, license plate reader, vehicle surveillance

Transcript Highlights:

• time, and we want to support clinical placement.
• support for clinical placement.
• and non-clinical providers.
• This may include rural hospitals, critical access hospitals, clinics, including FQHCs, rural health clinics
• We're also taking out room and board, but we are strengthening some clinical competencies, clinical staffing

Summary: The hearing began with a stakeholder presentation from Let California Kids Hear urging coverage of pediatric hearing aids for children in the large group market. Advocates described the issue as a long-running developmental emergency, argued that existing state efforts have been inefficient, and said the new proposal would cover about 70% to 80% of affected children without new spending by redirecting existing dollars. Public commenters, including parents, audiologists, and children’s advocates, strongly supported the proposal and emphasized the need for timely access to sound. The chair thanked the group and noted hope for a future fix, including continued work on the exchange market. The Department of Finance then gave a broad budget warning about the state’s more than $20 billion structural deficit and said new investments must be weighed against out-year shortfalls. HCAI followed with an overview of its programs, including CalRx insulin and naloxone, reproductive health grants, the Office of Health Care Affordability, seismic hospital compliance, workforce programs, and the Data Exchange Framework. Members asked about geographic targeting of workforce funds, behavioral health pipeline programs, the status of the 21st Century Nursing Initiative, and future CalRx products such as EpiPens and GLP-1s. HCAI also described its enforcement approach for health care spending targets, saying the board would not change the targets in response to H.R. 1, and outlined the diaper access initiative, which will distribute diapers through hospitals in higher-need areas. Several HCAI budget items were discussed and held open, including additional expenditure authority, the transfer of the Data Exchange Framework and Office of the Patient Advocate, long-term care payment transparency staffing, and reporting on health care worker waiting periods. The department also presented its Behavioral Health Services Act workforce initiative and a proposed $100 million General Fund offset, which both the LAO and the chair questioned as unclear and potentially one-time in nature. HCAI said the final workforce plan would be adjusted after stakeholder consultation if the offset proceeds. The department also described the Rural Health Transformation Program, saying California received $233.6 million in federal funds, had to revise its proposal to satisfy CMS, and must obligate the money by October 30; the program will fund rural care models, workforce development, and technology, with grants rolled out on a phased basis. The Department of Managed Health Care then presented its budget and three legislative implementation requests: SB 41 on PBM reform, SB 306 on prior authorization transparency, and AB 1041 on provider credentialing timelines. Finally, the administration outlined a menopause care proposal requiring coverage and education for menopause-related services, provider training, and an outreach campaign, with DMHC requesting staffing and funding to implement and enforce the new requirements. Throughout the hearing, most items were held open for later action, and no final votes were taken in the portion provided.

Transcript Highlights:

• Item number five is the clinical operations mission-specific formulas.
• Sure and then at the bottom of that page the dental clinical education formula was adopted at $24 million
• And the next item is for a feasibility study to accept insurance at their dental clinics.
• Moving to item number three, ectoparasite field identification laboratory was adopted.

Bills: SB 1

Committee: Senate Finance

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• time, and we want to support clinical placement.
• clinical placement.
• and non-clinical providers.
• This may include rural hospitals, critical access hospitals, clinics, including FQHCs, rural health clinics
• We're also taking out room and board, but we are strengthening some clinical competencies and clinical

Keywords: 987, senate, all

Transcript Highlights:

• Um, this includes translational drug development, early-phase clinical trials, and data and AI and R&
• </c> drug development, earlyphase clinical drug development, earlyphase clinical trials<00:04:35.360>
• It's Natural Energy Laboratory. It's not supposed to be an egg park. Natural Energy Laboratory.
• </c><01:21:06.239><c> natural</c> &gt;&gt; it's natural energy laboratory natural &gt;&gt; it's natural
• So you guys &gt;&gt; natural energy laboratory.

Keywords: 912, senate, all

Transcript Highlights:

• the provision that you all have heard and passed out 20 to 0 that fixes the issue of doing your clinical
• 2999 Regulatory refinement through the Board of Optometry and House Bill 2999 instead micromanages clinical
• But when you take the RRT, it’s the multiple choice in addition to the clinical setting trials.
• I don’t think it’s all that much harder if we’re just talking about a clinical setting test or trial.
• Whereas the RRT, they're required to go and take what's called a clinical simulation exam, where they

Committee: House Professional Registration and Licensing

Summary: The committee first took up House Bill 3111, which concerns bail bonds oversight. Representative Phelps offered a committee substitute that moved bail bondsmen into the existing Board of Private Investigators, Private Fire Investigators, and Professional Surety Bail Bonds to avoid a fiscal note. An amendment was adopted to remove fee caps in the substitute, and the committee then adopted the revised substitute and voted it do pass 21-0. The committee then heard Senate Substitute No. 2 for Senate Bill 1233, the CPA licensure bill, along with related provisions for social work supervisors and speech pathologists. Senator Trent and supporters from the Missouri Society of CPAs, the speech-language association, the social work community, and the State Auditor’s Office said the bill would address CPA shortages by creating a new licensure path based more on experience, while preserving exam standards and adding reciprocity. No opposition was offered, and the hearing concluded without a vote. House Bill 2999 on optometry scope of practice drew extensive testimony and debate. The sponsor and ophthalmology witnesses described the bill as a negotiated compromise that would codify specific procedures optometrists may perform, while opponents from optometry argued it would freeze scope in statute, limit modernization, and require repeated legislative action as standards change. Witnesses disagreed sharply over whether the bill improved patient safety and access, whether the procedures were already within current practice, and whether surgical procedures such as lasers should be included. The bill was heard but no committee action was taken in the transcript. Finally, the committee heard House Bill 2957 on respiratory therapist licensure. Representative Castile and respiratory care witnesses said the bill would phase out the CRT as the entry credential for new applicants in favor of the higher RRT standard, while grandfathering current CRTs and adding renewal audits to confirm active credentials. Supporters said the change reflects current training standards and would raise patient-care quality without reducing workforce numbers. No opposition testimony was presented, and the hearing adjourned without a vote.

Transcript Highlights:

• The bill also creates a kidney health clinic, uh, a kidney health clinical trials registry to keep patients
• But I, I, I, I'm not a clinical person, but most of the stuff I've read shows like almost 80% of diabetes
• So those screenings where we can detect someone very early on and not only detect it by laboratory values
• It's really a, a place where all of that work that is being done, those clinical trials, that advocacy
• After choosing not to continue with the phase 2 clinical trial.

Bills: HB46

Committee: House S/C on Disease Prevention & Women's & Children's Health

Keywords: local government spending cap, expenditure limit, political subdivision, property tax, ad valorem tax, budget cap, taxpayer protection, spending restraint, inflation adjustment, population growth, voter approval, supermajority vote, county budget, municipal budget, school district finance, junior college district, hospital district, special district, attorney general enforcement, local fiscal limits