Transcript Highlights:

• Many carless people would prefer lower rent over a parking spot.
• I mean, but I would prefer, we're asking for a city, not town. I come from a town, Alda, Gregory.
• So Madam Chair, Senator, you would prefer a table? Opposed to pulling it back, yes.
• It's a crazy process coming from a metro area and how long we've got to take these patients.
• It's a crazy process coming from a metro area and how long we've got to take these patients.

Bills: SB211 , SB131 , SB183 , SB222 , SB246 , SB254

Committee: Senate Senate Health & Public Affairs

Keywords: appropriation, local government, Las Vegas, Rodriguez Park, public facilities, zoning reform, building regulations, residential apartments, commercial use, multigenerational housing, local government authority, healthcare, urgent care, emergency services, feasibility study, medical facilities, physician training, medical residency, New Mexico, massage therapy

Transcript Highlights:

• I think that there will always be categories. categories of patients, subcategories of patients in every
• patient visits are outpatient.
• Patients don't even know what a facility fee is.
• patients. like those battling cancer.
• Okay, and so these patients would...

Bills: SB500 , SB719 , SB912 , SB1232 , SB1467 , SB1777 , SB1864 , SB2023 , SB2119 , SB2458

Committee: Senate Health & Human Services

Transcript Highlights:

• Our agency strongly prefers the Senate budget and really appreciate the good work that you did.
• In this time of escalating federal attacks and increased demand from out-of-state patients, it's more
• And PPAA, thank you very much for investing in sexual and reproductive health so all patients who need
• My patients and your constituents deserve to have ready access to pharmacy services.
• Losing coverage could mean detrimental disruptions in care for patients currently in treatment or in

Summary: The committee held a public hearing on the Senate operating budget proposal, beginning with a staff briefing from James Kettle. He described the budget as built on relatively flat revenue after multiple forecast updates, with substantial mandatory cost growth, especially in Health Care Authority, DSHS, and DCYF. He highlighted major policy-level additions and savings, including large tort liability costs, continued support for long-term services, reductions tied to child care and K-12 items, several assumed revenue bills, and major transfers from reserves and other accounts. Kettle also noted the four-year outlook remained positive overall, with about $1 billion ending fund balance in the final year and roughly $3 billion in total reserves. A committee member asked about a diagram showing the loss of federal funds, and staff said they would follow up. Public testimony then focused first on K-12 education, where school leaders, teachers, OSPI, PTA, and rural district representatives largely opposed the proposed cuts to local effort assistance, transition to kindergarten, bus depreciation, and related school funding items. Many argued the reductions would disproportionately harm rural and property-poor districts and weaken early learning access, while several students and educators spoke in favor of career and technical education and IT Academy funding. The committee also heard support for wildfire prevention funding from the Commissioner of Public Lands, who thanked the Senate for restoring those dollars but raised concerns about recreation program reductions. Higher education testimony was mixed but generally supportive of the Senate proposal compared with the governor’s budget. Community and technical college leaders warned that the budget still shifts compensation costs to tuition and reduces Running Start funding, while university representatives from Western, Eastern, Central, WSU, and UW thanked the committee for avoiding deeper cuts. Private vocational college students and administrators urged extension of Washington College Grant eligibility for students already enrolled, and others asked to preserve IT Academy and related certification funding. In early learning, child care and advocacy groups praised the decision not to cap Working Connections Child Care but warned that child care and transition to kindergarten still bear a disproportionate share of cuts; they also requested continued support for Dolly Parton Imagination Library and Pierce County early childhood programs, including Family Connects. The hearing continued with testimony on employee compensation, mental health, and human services. State employee and retiree groups supported the budget’s COLA and wildfire funding but objected to cuts in retiree health benefits. Behavioral health and public safety advocates supported mentoring, Trueblood-related funding, crisis stabilization, and the Recovery Navigator Program, while others opposed reductions to those programs and to community-based recovery services. In human services, witnesses thanked the committee for funding victim services, child welfare supports, health homes, adult day care, community health centers, energy assistance, and disability services, while urging the committee to avoid further reductions to skilled nursing, case management, and recovery navigation. No votes were taken during the hearing.

Transcript Highlights:

• They do have significant value for patients with sickle cell... Medicaid.
• They do have significant value for patients with sickle cell.
• We already cover medication-assisted treatment, or MAT therapy, for Medicaid patients, which is a treatment
• We already cover medication-assisted treatment, or MAT therapy, for Medicaid patients, which is a treatment
• . ...by grammar, punctuation, and style to conform our rules with existing BLR preferences.

Committee: All ALC-ADMINISTRATIVE RULES

Transcript Highlights:

• This is a... ...pharmaceutical therapy for patients.
• It's essential to my ability to continue to provide care to my patients.
• Protecting provider safety protects patients' access to care.
• It's essential to my ability to continue to provide care to my patients.
• Protecting provider safety protects patients' access to care.

Summary: The committee heard testimony on several bills, beginning with House Bill 2333, which would expand protections for elected officials, candidates, executive state officers, election officials, and criminal justice participants by allowing address confidentiality, redacting campaign and property records, increasing some penalties for threats, and authorizing security assessments and reimbursement for personal security measures. The prime sponsor and supporters described rising political violence and personal threats, while opponents and agency staff raised concerns about implementation, constitutional issues, public-records transparency, costs, and whether the bill would actually prevent determined actors from finding addresses through other sources. The Secretary of State’s office, county officials, and the Public Disclosure Commission said the bill would create major logistical and fiscal challenges, while prosecutors, judges, and advocacy groups testified that the protections were needed for safety and retention in public service. House Bill 2176 would make collaborative drug therapy agreements confidential under the Public Records Act except when the agreement is the basis for a disciplinary action, in which case only relevant information would be disclosed with personal information redacted. The sponsor and supporters, including pharmacists, physicians, and reproductive-health advocates, said the bill would protect clinicians from harassment and out-of-state targeting while preserving accountability for misconduct. News media representatives and open-government advocates said the underlying agreements should remain accessible only in limited circumstances and emphasized the balance between privacy and transparency. Committee members also discussed how the bill would affect access to the agreements and the scope of disclosure. House Bill 2120 would eliminate two JLARC reporting requirements: the biennial report on municipal lodging-tax revenues and the periodic evaluation of the training benefits program. The bill’s sponsor and JLARC leadership described it as a cost-saving measure that would free staff for other audits, while the hospitality industry supported tourism funding but warned that the lodging-tax report provides useful oversight and accountability. The committee also received staff briefings on House Bill 2244, which would implement multiple Public Records Exemptions Accountability Committee recommendations by changing confidentiality rules in 13 areas, including grand jury reports, accident reports, driver case records, certain health and social-service records, corporate interrogatories, family court files, and other records.

Transcript Highlights:

• psychotherapy records must comply with existing confidentiality laws and protect the data privacy of patients
• This line, that line, really matters for patient safety.
• a licensed professional remains fully responsible, the bill would limit widely used tools such as patient
• a licensed professional remains fully responsible, the bill would limit widely used tools such as patient
• check-ins, journaling, and workflow support that improve continuity. widely used tools such as patient

Committee: Senate Privacy, Digital Technologies, and Consumer Protection

Transcript Highlights:

• Chair, Chair, Ms. and members of the committee, my name is Jim Freeberg, here on behalf of the Patient
• The Patient Coalition of Washington represents 18 of the state's leading patient groups to have one voice
• Chair, Chair, Ms. and members of the committee, my name is Jim Freeberg, here on behalf of the Patient
• The Patient Coalition of Washington represents 18 of the state's leading patient groups to have one.
• The patient coalition of Washington represents 18 of the state's leading patient groups to have one voice

Summary: The committee heard public testimony on House Bill 2073, which would require nonprofit health carriers with surplus above 600% of risk-based capital to pay 3% of the excess to support the Cascade Care Savings premium assistance program. Committee staff said the bill could generate about $80 million in FY 2027 based on 2024 surplus data, while carriers and business groups argued their reserves are needed to pay claims, manage risk, and avoid premium increases. Supporters said the bill would redirect consumer-funded surplus to help Washingtonians afford coverage, especially as federal subsidies expire. No action was taken on the bill during the hearing. The committee then heard House Bill 2132, which limits disclosure and retention of personally identifying and financial information in WASFA applications. Staff explained the bill would exempt WASFA records from public disclosure, restrict sharing to narrow purposes, and shorten retention periods, with significant fiscal impacts tied to purging records and updating data-sharing practices. Student and advocacy testimony strongly supported the bill as a privacy and safety measure for immigrant and mixed-status students. The committee also heard House Bill 2403, which lowers the penalty for failure to register as a sex offender and adds community custody and DOC supervision; public defense supported it as a cost-saving, consensus reform, and staff projected DOC savings. House Bill 2587 was also heard, creating a Commerce pilot to provide limited advance grant funding to eligible nonprofits; supporters said it would help smaller nonprofits manage reimbursement-based contracts, while staff estimated indeterminate but potentially significant administrative costs. The committee heard House Bill 2607, which would require DCYF to periodically rebase child care subsidy rate regions to better reflect local cost differences. Supporters from Benton and Franklin counties said current regional rates are outdated and unfairly low in fast-growing areas; staff said the fiscal impact was indeterminate. The committee then moved into possible executive session on several bills. Second Substitute House Bill 1170, dealing with generative AI disclosures and provenance tools, was amended and ultimately passed out of committee on an 18-9 vote after all proposed amendments were rejected. Substitute House Bill 1570 was amended to narrow its scope to Western Washington University and then passed out of committee on a 17-9 vote. The committee also began action on proposed Third Substitute House Bill 1710, which would create a state pre-clearance requirement under the Washington Voting Rights Act, but the transcript cuts off during consideration of amendments to that bill.

Transcript Highlights:

• DEI is preferable. Please vote no. Thank you for your testimony.
• Nothing in this bill changes patient practices.
• Nothing in this bill changes patient practices.
• Laura Munoz wanted to speak and waive, which would you prefer?
• Laura Munoz wanted to speak and wave, which would you prefer? She was.

Bills: S0092 , S0110 , S0192 , S0212 , S0260 , S0350 , S0394 , S0422 , S0434 , S0442 , S0484 , S0546 , S0556 , S0684 , S0696 , S0706 , S0748 , S0786 , S0820 , S0824 , S0838 , S0840 , S0848 , S0856 , S0962 , S1000 , S1014 , S1036 , S1050 , S1054 , S1080 , S1118 , S1134 , S1338 , S1480 , S1500 , S1506 , S1622 , S1724

Committee: Senate Rules

Summary: The Committee on Rules met with a quorum and considered a long agenda of bills, many of them retained from the prior week. The most debated measure was CS for SB 706, which would preempt naming of major commercial service airports to the state and designate Palm Beach International Airport as the Donald J. Trump International Airport, subject to FAA approval and a trademark agreement. Amendments were offered and rejected, including proposals to prevent private financial benefit from the naming. Several senators spoke in opposition, citing concerns about naming an airport after a sitting president, lack of local input, and the trademark/licensing arrangement; supporters argued there was no cost to the airport and that the bill simply set a state naming policy. The committee reported the bill favorably after a roll call vote. The committee also reported favorably CS for SB 546 on conservation land notice requirements, CS for CS for SB 1014 on municipal utility service to properties outside city limits, CS for SB 1500 on uncontested probate proceedings, SB 962 on excluding farms from certain zoning definitions, and CS for SB 820 on problem-solving court reporting requirements. The committee then approved several bills from Senator DiCeglie and Senator Arrington. SB 840, addressing land-use regulations for local governments affected by natural disasters, was supported by local-government and environmental advocates who said it would restore local control after SB 180’s hurricane-related restrictions; the sponsor said it was intended to correct unintended consequences of last year’s law. CS for SB 856, requiring online listing platforms to show estimated ad valorem taxes on residential listings, was amended to exclude social media platforms and broaden liability protections; the sponsor and a county property appraiser described it as a consumer-transparency measure. CS for SB 110, clarifying homestead exemption treatment for long-term leases that end at death, was also reported favorably. The committee took up a controversial strike-all amendment to SB 212, which focused on public swimming pools and added residency and related restrictions for certain sex offenders and offenders on community control or probation. The amendment drew strong opposition from advocates and affected families, who argued it would worsen homelessness, impose broad geographic restrictions, and lack evidence of improving child safety; supporters said it was a targeted public-safety measure. Despite the objections, the committee reported the bill favorably. The committee also approved SB 684 on electronic signatures for total-loss vehicle and vessel titles, SB 394 on reinsurance intermediary managers, SB 434 on property tax assessment treatment for wind-hardening improvements, CS for CS for SBs 658 and 608 on water-safety requirements for rental properties with pools or nearby water, SB 748 on adding voting-rights restoration information to sentencing score sheets, and CS for SB 824 requiring school districts to inventory unimproved real property. The meeting ended while the committee was beginning SB 848 on stormwater treatment, with an amendment being introduced as the transcript cut off.

Transcript Highlights:

• Loser is the patient.
• A patient actually has higher out-of-pocket costs. Downcoding never hurts a patient.
• That's how complex this patient is, that's a high level.
• It's wrong for our patients.
• It's wrong for the patients of the state, and it's wrong for the patients of the employers of the state

Bills: SB 6 , SB6 , SB504 , SB765 , SB815 , SB929

Committee: Senate Business & Commerce

Transcript Highlights:

• </c> consent is good, critical patient care. consent is good, critical patient care.
• in fully inform the patient regarding to in fully inform the patient regarding risks<02:25:24.160><c
• When you are treating a patient in the ER and that patient is unresponsive or not alert and oriented
• patient is uh unresponsive or not alert patient is uh unresponsive or not alert and<02:36:55.120><c>
• </c> additional protections to the patient additional protections to the patient despite<02:44:48.640

Committee: House Judiciary

Summary: The Judiciary Committee opened a hearing on House Bill 1067-FN, which would formalize and expand mental health courts in New Hampshire and create a grant-based funding structure for them. Representative Mark Pearson, the prime sponsor, described the bill as a bipartisan, compassionate, and cost-effective approach that would connect people with mental illness to treatment and supervision instead of incarceration, while still holding them accountable. He said the proposal was developed with input from the judicial branch, law enforcement, corrections, mental health organizations, and others, and emphasized that local courts could tailor programs to their needs. Committee members questioned the bill’s fiscal note, whether the legislature had previously studied the issue, how the program would be funded, and whether the bill should more explicitly address treatment, prevention, and data collection. Representative Buzz Sher, who helped develop the bill, explained how mental health courts work, including referral, clinical and public-safety assessments, case management, goal-setting, and graduation from the program. He said existing New Hampshire mental health courts are mostly partial and county-funded, and that the bill would formalize them, set standards, and allow grant funding. He also cited data from Georgia and New Hampshire suggesting significant savings from reduced incarceration and related costs. Members also raised concerns about due process, whether people not formally charged could be swept into the system, and whether individuals with violent offenses or domestic violence histories could be diverted inappropriately. Sher responded that only people already in the criminal justice process are eligible and that courts use safety assessments to screen out most violent cases. The committee requested that Sher file supporting financial data from other jurisdictions, and he agreed to do so. No vote or final action was taken during the hearing.

Transcript Highlights:

• And these commissions prefer in-person meetings.
• H. 4351 doesn't create racial preferences.
• It's about infrastructure, not about preference, but about precision, documentation, and justice.
• It's about infrastructure, not about preference, but about precision, documentation, and justice.
• It is not running the secure psychiatric inpatient care for forensic patients that we need to be.

Committee: Joint Joint Committee on State Administration and Regulatory Oversight

Summary: The committee heard testimony on several bills related to open meeting law, municipal meetings, town meetings, and remote participation. Senator Rausch supported S. 2205 and S. 2206, and House companion H. 3382, saying they would make remote participation in public bodies permanent and streamline open meeting law and public records complaint processes to reduce burdens on local officials. Committee members and the senator discussed concerns about complaints being weaponized, the role of the Attorney General, and whether public testimony should be presumed allowed unless a chair limits it with justification. The senator said the bills do not change public records fees and are meant to improve process and transparency. A large portion of the hearing focused on H. 3342 and S. 2197, which would modernize municipal meetings, town meetings, and local elections by allowing permanent remote or hybrid participation. Supporters included Wayland officials, the Massachusetts Municipal Association, Newton Mayor Ruthanne Fuller, MAPC, MACC, and others, who argued that hybrid and remote options increase participation, help parents, caregivers, people with disabilities, and residents with travel or work constraints, and have worked well during the pandemic-era extensions. Municipal officials emphasized that a mandate would be costly and difficult for smaller communities because of staffing, technology, room design, cybersecurity, and uneven internet access, especially in western Massachusetts. Committee members asked about equal access, funding, and whether local discretion should remain; the chair said the committee wants a permanent solution beyond emergency rules but must balance access with local capacity. The committee also heard testimony on H. 3328, which would allow remote participation to count toward quorum for statewide appointed bodies such as commissions on women and LGBTQ issues. Supporters argued this would improve regional equity and make it easier for people outside Greater Boston to serve, while committee members noted it is a separate issue from municipal meetings and may be easier to address than broader local-government changes. Another bill, H. 4351, was supported by Rep. Brandy Fluker Reed, who described it as creating an Office of Freedmen Affairs to address longstanding racial wealth disparities affecting descendants of enslaved Americans. The hearing also included testimony on H. 3299 from Common Cause and MASSPIRG in favor of guaranteed hybrid access for public meetings with public participation components, with advocates saying it would improve transparency, accessibility, and civic engagement.

Transcript Highlights:

• It is about protecting patients.
• I think we all have our preferences, and I'm for everybody having their preferences.
• So when I see patients' rights, if I'm a patient, I and my other job work with people that have a lifelong
• I asked the question whether or not if a patient came in, if you refused to treat a patient because they
• I asked the question whether or not if a patient came in, if you refused to treat a patient because they

Committee: Senate Health Policy

Summary: The Health Policy Committee met with a quorum and took up a long agenda of health care, Medicaid, and patient-access measures, along with confirmation votes. The committee first reconsidered and amended SB 1606 on patient access to records, clarifying portal obligations, deleting a section affecting nursing home facility records, and setting a January 1, 2026 effective date; the bill then passed favorably as a committee substitute. The committee also recommended confirmation of a block of appointees and separately confirmed Chavon Harris as Secretary of the Agency for Health Care Administration after Harris testified about priorities including financial accountability, managed care oversight, transparency, and quality improvement. Senators asked about audit findings and Medicaid managed care performance, and several witnesses and committee members voiced support for her appointment. The committee then advanced a series of bills, most of them with amendments, including claims bills SB 28 and SB 22 for South Broward Hospital District settlements, SB 772 on undesignated glucagon in schools, SB 998 on death certification by physician assistants and APRNs, SB 1412 on home health administration flexibility, SB 1800 creating a Parkinson’s disease research consortium at USF, SB 306 on managed care network access during holidays and after hours, SB 1768 on stem cell therapies by physicians, SB 1602 on pediatric readiness in emergency departments, SB 1156 on the home health aide program for medically fragile children, SB 1490 on Children’s Medical Services and managed care administration, and SB 1182 on Medicaid coverage of continuous glucose monitors. Most of these bills received support from industry, advocacy, or provider groups and were reported favorably as committee substitutes. The most debated measure was SB 1270, a broad strike-all amendment combining provisions on mRNA vaccine documentation, vaccination-status protections in the Patient Bill of Rights, medical marijuana reporting and background-screening definitions, compact language, and volunteer immunity. The committee heard extensive testimony both for and against the vaccine-related provisions, including concerns about discrimination, patient safety, provider discretion, and medical liability. After additional technical amendments and a time-certain motion, the bill passed favorably as a committee substitute, with Senators Davis and Osgood voting no and Senator Harrell expressing a weak yes. At the end of the meeting, senators recorded their votes on selected tabs, and the committee adjourned.

Transcript Highlights:

• Step therapy is a practice that requires a patient to try a preferred medication or therapy and find
• And why is that preferable over the coverage?
• Across all providers, 33,979 unique patients were seen, which is an average of 105.3 patients per enrolled
• new patients, while the other half reported that they are not currently taking new patients.
• are rural, and what percentage of Medicaid patients are you taking.

Summary: The committee met to review the history and current treatment of North Dakota health insurance mandates, with presentations from Blue Cross Blue Shield of North Dakota, Sanford Health Plan, the Public Employees Retirement System (PERS), and the Insurance Department. The discussion focused on how mandates apply differently to fully insured, self-funded, ACA, Medicaid, and PERS plans; how the state’s benchmark plan and federal essential health benefits affect coverage; and how the existing process requires cost-benefit analysis and, for certain measures, a PERS pilot period before broader application. Presenters also reviewed the long list of existing state mandates, including provider, beneficiary, and coverage requirements, and noted that many were enacted decades ago and have not been revisited despite changes in medical evidence and treatment options. Witnesses from the carriers argued that mandates should be reviewed periodically because some are outdated, can create unintended costs, and may not align with current medical guidance. Examples cited included PSA screening, off-label drug coverage, prior authorization rules, step therapy, and cost-sharing provisions for mental health and substance use treatment. They emphasized that carriers often cover services without a mandate when supported by clinical evidence, and that mandates can shift costs to employers and employees, especially in the fully insured small-group market. They also suggested possible policy improvements such as clearer mandate definitions, better transparency around cost-benefit analyses, a regular 10-year review of mandates, and more timely submission of proposals through the interim process. PERS and the Insurance Department highlighted a recurring tension over what counts as a mandate and when a measure triggers the state’s defrayal obligation under federal law. PERS described its interim committee process, the April 1 deadline for fiscal-impact proposals, and the limited pilot program used for certain measures, noting that only a few bills have gone through the full pilot process. The Insurance Department explained that it views new benefit mandates through the lens of the ACA benchmark plan and essential health benefits, distinguishing true new benefits, such as infertility coverage, from changes to existing benefits, such as telehealth or insulin cost-sharing caps. No votes were taken on policy changes; the meeting was informational, with members asking questions about costs, applicability, transparency, and whether a periodic mandate review should be established.

Transcript Highlights:

• take to see the patient?
• I can't tell you the oral health status of a patient.
• It's hard to find a dentist accepting new patients.
• So do you show the ones that are and are not taking patients? Yes.
• That are taking patients. We show their status.

Summary: The Care Management Meeting opened with a DSS update on the PCMH program. Staff reported the program remained steady at 124 practices, 553 sites, and 2,548 providers, with some month-to-month fluctuation driven by practice consolidation, retirements, and a few practices leaving the program because NCQA requirements were burdensome. Members asked about declining provider and site counts, member attribution trends, and whether PCMH practices overlap with behavioral health homes; DSS said attribution changes are largely due to members becoming ineligible, moving, or getting other insurance, and that PCMH and behavioral health homes are separate programs that coordinate informally. The committee also discussed why some smaller practices leave the program and whether the requirements could be made easier to support retention. The committee then resumed a detailed presentation on the Husky Dental program. The presenter described the dental benefit’s history, the importance of preventive oral health, workforce and consolidation pressures in dentistry, and the lack of interoperability between dental and medical records. Network data showed year-over-year declines in enrolled dental practitioners and service locations, with access gaps concentrated in rural and eastern parts of the state. Appointment availability surveys showed average waits of 38 days for adults and 23 days for children, but much longer waits at FQHCs than private fee-for-service practices. The presenter said Connecticut remains above the national median on CMS pediatric dental quality measures, though sealant rates remain a concern, and noted that preventive care is associated with lower per-member costs. Members raised concerns about provider participation, large practices dropping Medicaid, mobile dental care, and whether the public directory accurately reflects which dentists are actually accepting new patients. The presenter said the plan uses secret-shopper calls, tracks appointment availability, and has begun using place-of-service coding to better identify school-based dental care. She also noted a new MOU with 20 Head Start programs to share data and provide oral health literacy and navigation support. The final major topic was implementation planning for HR1. DSS said CMS guidance was expected in early June and proposed using upcoming meetings to cover medical frailty, communication strategy, and data integration/ex parte verification. Committee members urged the department to create a dashboard to track disenrollments and other impacts of HR1, to build a process for complaints and problem resolution, and to think through cost-sharing, caregiver verification, exemptions, and notices. Members also asked about using existing eligibility structures such as the working-disabled program as a model. The committee agreed to move the next meeting to June 10 by Zoom, with the agenda to be circulated in advance and any PCMH Plus quality data shared if available.

Transcript Highlights:

• </c> and sometimes it's voluntarily a patient and sometimes it's voluntarily a patient has<00:28:43.160
• </c><00:44:32.960><c> So,</c> they are not able to admit patients.
• So, they are not able to admit patients.
• </c><01:17:12.920><c> but</c> privacy rights of of the patients but privacy rights of of the patients
• </c> of patients of patients through<01:18:18.080><c> the</c><01:18:18.240><c> anonymization</c><01:18

Summary: The Special Committee on COVID Response Efficacy for New Hampshire held its first organizational meeting. The chair read the committee’s updated mission statement, which says the bipartisan committee will fact-find on the state’s COVID-19 response and its impact on the healthcare system, with focus areas including federal guidance, federal funds, emergency use authorization vaccination efforts, long COVID, the Patient Bill of Rights, and vaccination policies. The chair also announced committee staffing changes: Linda McGrath stepped down as vice chair and Representative Gerard was named vice chair; Representative DeRoy was named clerk. The chair emphasized the committee’s work is intended to be science-based and fact-finding, not anti-vaccine, and noted that the committee may issue follow-up reports and recommendations. Members discussed a broad list of topics for future hearings, including long COVID treatment, ongoing vaccination policies, reporting of COVID deaths, standards of care and provider discretion, COVID-related funding such as ESSER/CARES Act money, and communication of treatment developments during the pandemic. Representative Pollina argued the committee should examine specific treatments and outcomes, including remdesivir, oxygen/intubation practices, and ivermectin, and raised concerns about whether some treatments were harmful or suppressed. He also focused on pediatric vaccination policy, saying the committee should review New Hampshire’s recommendations for children and medical students, and questioned the state’s reliance on federal guidance versus independent review. The chair responded that shifting federal positions may justify an independent New Hampshire evaluation and asked him to gather more information and potential witnesses. In open discussion, members suggested additional witnesses and topics, including local funeral directors, nursing homes, and emergency medical services, as well as how nursing homes were affected by positive tests and admission restrictions. Another member suggested the committee consider what products it should produce, such as a final report, possible bill recommendations, and better documentation or footnotes tying findings to testimony and scientific sources. The chair said the committee’s deliverables could include reports, letters to department heads or legislative leaders, and other actions, and noted that the committee’s 2024 report and supporting documents are available on the House committee page. No votes or formal actions beyond the organizational appointments were taken.

Transcript Highlights:

• or the patient to the provider in a facility that is able to offer what that patient needs as quickly
• or the patient provider to the patient or the patient to<00:30:00.080><c> the</c><00:30:00.240><c> provider
• </c> patient, stabilize them, transfer them. patient, stabilize them, transfer them.
• </c> office to take care of that patient. office to take care of that patient.
• </c> those EMTs to drop that patient off at. those EMTs to drop that patient off at.

Transcript Highlights:

• <00:36:47.079><c> care</c> patient care patient care plan<00:36:50.240><c> um</c><00:36:50.400><c> at
• </c><00:44:36.599><c> unpaid</c> as care for uninsured patients unpaid as care for uninsured patients
• 36% % of their of commercial patients 36% % of their patient<01:19:25.760><c> payer</c><01:19:26.159
• </c> com uncompensated care is from patients com uncompensated care is from patients who<01:47:27.880
• </c><02:05:59.199><c> to</c> of commercially insured patients to of commercially insured patients to

Committee: Senate Health and Human Services

Transcript Highlights:

• and he was definitely some, uh, patient and he was definitely knowingly,<00:28:43.320><c> willingly<
• I would prefer that we consider that before we have a final vote on this.
• I<00:32:24.280><c> would</c><00:32:24.520><c> prefer</c><00:32:25.120><c> that</c><00:32:25.440><c> we
• prefer that we consider that before<00:32:28.080><c> we</c><00:32:28.280><c> have</c><00:32:28.480><
• There's documentation that has to be done, which takes away from patient care as well.

Committee: House Criminal Justice and Public Safety

Summary: The committee first took up Senate Bill 409 in executive session, with the chair noting a caucus break to explain amendments to several substitute members. Members discussed a proposed amendment to narrow the bill’s felony provisions by limiting them to specific, knowingly dangerous conduct rather than making the offense too broad. The committee also noted a planned floor amendment to add missing “or” language to clarify that the listed acts were alternatives, not cumulative requirements. The amendment was adopted 13-0, and the bill as amended was then reported OTPA by a 13-0 vote. It was initially said to be headed to consent, but members later agreed it would not go on consent because a floor amendment was anticipated. The committee then opened House Bill 667, which would extend protections for medical personnel into emergency room settings. Supporters said the bill was needed because emergency room staff face increasing assaults and existing protections did not fully cover ER circumstances. Several members described firsthand or secondhand incidents involving nurses, EMTs, and other staff being threatened or injured, and argued that stronger penalties would help deter violence and improve prosecution. Others supported the bill but raised concerns about how it might affect people experiencing mental health crises, dementia, or intellectual and developmental disabilities. A proposed amendment from Representative Sher would exempt people experiencing a mental health crisis who have a mental health diagnosis, and also address dementia and certain developmental disabilities. Supporters said the amendment was narrowly tailored and had backing from the Disability Rights Center, NAMI New Hampshire, and the New Hampshire Nurses Association. Opponents argued that the criminal justice system already has safeguards such as prosecutorial discretion, insanity defenses, and competency rules, and warned against creating special exceptions that could weaken equal application of the law. After debate, the committee voted 10-3 to report HB 667 ought to pass, with members noting that minority and majority reports would be prepared.

Transcript Highlights:

• </c><00:11:58.880><c> Reg</c> think it will help with uh patient Reg think it will help with uh patient
• </c> if you were to think that every patient if you were to think that every patient had<00:23:42.799
• </c><00:23:51.880><c> actually</c> can provide care where patients actually can provide care where patients
• It's preferred.
• It's preferred.

Committee: House Judiciary & Hawaiian Affairs

Summary: The committee first heard House Bill 302, which would repeal the requirement that a provider-patient relationship for medical cannabis certification be established in person first. The Department of Health said it supported the House Draft 2 version as a way to expand patient access, and several testifiers from the medical cannabis community and dispensary industry supported the bill, especially for patients on outer islands or those unable to travel. One witness asked that earlier language removed in committee be restored to further improve access. Representative Shimizu asked whether follow-up in-person visits would still occur, and DOH responded that this varies by provider, with some continuing in-person care and others moving to telehealth for chronic conditions. The committee then took up House Bill 712, relating to the federal 340B drug pricing program and contract pharmacies. The Office of Consumer Protection and the Attorney General’s office both said they supported the bill’s purpose but wanted it clarified and possibly moved into a standalone chapter rather than chapter 481B. Supporters, including Hawaii Pacific Health and the Queen’s Health Systems, said the bill is needed to protect safety-net funding and access to discounted drugs, citing large financial benefits from 340B and losses caused by manufacturer restrictions on contract pharmacies. PhRMA opposed the bill, arguing the issue is not access to discounts but accountability and transparency in how contract pharmacies distribute benefits, and said it was willing to discuss amendments. Members asked follow-up questions about whether there was data showing misuse; PhRMA said it did not have numbers, while hospital witnesses said the program is federally audited and used appropriately in Hawaii. Finally, the committee heard House Bill 1482, HD1, which would tighten hemp and controlled-substance definitions to exclude Schedule I cannabinoids from manufactured hemp products and clarify the treatment of artificially derived cannabis. The Department of Health supported the measure, saying it adds clarity to existing prohibitions. Kūre Hawaii and other supporters said it would close loopholes involving Delta-8 and similar products. An individual testifier urged stronger language to also cover compounds such as HHC, THCA, THCP, and THCO. In response to questions about enforcement against mislabeled hemp products, DOH explained that THC percentages are relative to product weight, that some products can remain under the hemp threshold while still containing significant THC, and that hemp flower is already prohibited from direct retail sale, though enforcement can be complicated and involves both administrative and criminal authorities.

Transcript Highlights:

• The Endocrine Society recommends monitoring transgender patients for bone health, cardiovascular risk
• factors, and cancer screening, which is made more difficult when patients are on inadequate hormone
• A 12-month supply of estrogen or 6-month supply of testosterone will allow patients to feel secure in
• I know this bill will help me reassure my patients that their supply of medication is secure.
• Dealer's preference. Why don't we... All right. Yeah. Let's start.

Committee: House Business and Professions