Transcript Highlights:

• We've learned of some where, you know, there's an alternative birthing center and you have on-call staff
• Dialysis center is not being available in rural areas.
• Director for the Center for Healthcare Quality.
• Weintraub, the PD director for the center as well.
• Hi, Ramella Antoine with the Sacramento LGBT Community Center and a coalition of LGBT centers across

Keywords: 987, senate, all

Transcript Highlights:

• It limits the fee the Department of Health may charge for new or renewed licenses for birthing centers
• Currently, the license fee is $713 for birth centers.
• Birth centers are a pretty special place that offer an opportunity for pregnant women to receive care
• That kind of care is not necessarily the moneymaker for a hospital, and preserving birth centers that
• This amendment only costs $26,000, but is incredibly meaningful for the birth centers that have a lot

Bills: HB2289

Keywords: appropriations, budget, fiscal matters, state spending, general fund, supplemental budget, biennial budget, substitute bill, public defense, civil legal aid, courts, judicial branch, homelessness, supportive housing, affordable housing, behavioral health, juvenile rehabilitation, youth services, child welfare, foster care

Transcript Highlights:

• Her academic and professional interests center on stakeholder capitalism and the role and responsibilities
• I think maybe I have my birth certificate, but it's from a different state.
• of whom have voted for decades, but may not have a current state ID or easy access to a certified birth
• In November 2013, Whiteman presented a fictitious Ohio birth certificate to the Florida Department of
• The Ohio Department of Health has confirmed that no birth certificates exist... ...his Florida driver's

Summary: The Senate opened with prayer, the Pledge of Allegiance, and a series of recognitions for interns, staff, and guests. Members also honored retiring Senate staffer Susan Miller and recognized a veteran injured in combat. After routine announcements, the chamber moved to returning messages from the House and began taking up bills and amendments. The Senate concurred in House amendments and passed SB 118 on RV park assessments and SB 572 on ethics for public officers and employees, both by 38-0 votes. It then took up the elections bill, CS/CS/HB 991, which drew extensive debate. Supporters said it would strengthen election integrity by tightening citizenship verification and ID rules; opponents argued it would burden eligible voters, especially students, seniors, disabled voters, and others without the newly required documents. The bill passed 27-12. The chamber also passed the education package SB 182 after adopting a Senate amendment to the House amendment, and approved SB 474 on military affairs, SB 425 on historic cemeteries, HB 929 on local regulation of chickees, and HB 35/SB 1370 on habitual traffic offender designation, all with unanimous or near-unanimous votes. The Senate then considered SB 902/ HB 733, the Department of Health package. Members adopted an amendment and amendment-to-amendment that preserved most Senate provisions while modifying or removing several House additions, including some early steps and medical marijuana-related changes, and the bill passed 37-0. The chamber also began work on HB 905, the foreign influence bill, with a strike-all amendment offered to expand restrictions on foreign influence, sister-city agreements, linkage institutes, and related activities, but the debate on that measure was still underway when the transcript ended. Several other returning messages and bills were temporarily postponed, and the Senate recessed briefly before resuming business.

Transcript Highlights:

• Tab five is Senate Bill 514 on DULA support for Healthy Births Pilot Program by Senator Osgood.
• Senators, this bill establishes the Dula Support for Healthy Birth Pilot Program, program.
• This is a team-based, patient-centered approach, which is care at its best.
• SB 36 recognizes that reality while keeping patient protection front and center.
• SB 36 recognizes that reality while keeping patient protection front and center.

Bills: S0036, S0864, S0268, S0844, S0514, S1404, S0914, S1758

Keywords: nursing title, advanced practice registered nurse, advertising, professional standards, disciplinary action, uterine fibroids, public records, health privacy, epidemiology, medical information, emergency department, physicians, privacy, personal information, sickle cell disease, sickle cell anemia, pain management, controlled substances, prescribing education, continuing medical education

Summary: The committee first considered SB 268, a public records exemption for emergency physicians. Senator Rodriguez’s strike-all amendment narrowed and clarified the exemption, and testimony from an emergency physician described threats, harassment, and safety concerns tied to mandatory reporting and patient encounters. The committee adopted the amendment and reported the bill favorably as a committee substitute. Members then heard SB 514, creating the Dula Support for Healthy Births Pilot Program in Broward, Miami-Dade, and Palm Beach counties for pregnant and postpartum women affected by substance use disorder. Senator Osgood explained the pilot would provide non-medical doula support and data collection, and an amendment changed the funding source to specific appropriations in the General Appropriations Act. Supporters said doula care can improve maternal and infant outcomes and complement medical providers. The committee adopted the amendment and reported the bill favorably as a committee substitute. The committee also approved SB 36 on use of professional nursing titles after extensive debate over whether nurses with doctoral degrees should be allowed to use “doctor” in clinical settings, with concerns raised about patient confusion and the need for clearer identification. The bill was amended to align with the House version and then reported favorably as a committee substitute. The committee next approved SB 864, a public records exemption for uterine fibroid research data, after a technical amendment setting a July 1, 2026 effective date; Senator Sharif said the exemption is needed so the Department of Health can collect sensitive data for the related research bill. SB 844, requiring continuing education on sickle cell disease care management for certain licensed physicians and nurses, was also reported favorably after emotional testimony from patients and advocates describing delayed care and bias. Later, the committee approved SB 1404 on memory care, after a strike-all amendment creating a new memory care specialty license for assisted living facilities that advertise or provide specialized memory care services, while allowing optional supportive services without the new license. Supporters from the senior living industry backed the clarification. The committee then passed SB 914, which clarifies that licensed occupational therapists may perform dry needling, after an amendment adjusting supervision and continuing education language. Finally, the committee took up SB 1758, a broad Medicaid and SNAP reform bill that would strengthen fraud enforcement, impose Medicaid work requirements for certain able-bodied adults, expand behavioral health services, modernize drug purchasing and prior authorization, and require SNAP fraud-reduction measures. Several amendments were adopted, and members questioned the work requirement, implementation costs, EBT card photo identification, and due process concerns; debate continued as the transcript ended.

Transcript Highlights:

• Jewish Community Center and the Jewish Community Foundation of Greater Long Beach.
• Assembly Bill 55 by Assemblymember Bonta, an act relating to alternative birth centers.
• Alternative birth centers or ABCs provide maternity care for birthing people specializing in childbirth
• The bill also removes the hard limit that an alternative birthing center must be 30 minutes from a hospital
• This became the volunteer-led Valley Resource Center, now the Mountain Community Resource Center.

Keywords: 988, house, all

Transcript Highlights:

• Emily Hamilton, Senior Research Fellow at the Mercatus Center, George Mason University. Ms.
• I'm an economist at the Mercatus Center. Thank you. I'm an economist at the Mercatus Center.
• The first one is: with decreased birth rate, who are these homes actually for?
• I'm Chris Cargill with Mountain States Policy Center.
• I am the senior policy analyst at Mountain States Policy Center.

Keywords: 989, all

Transcript Highlights:

• So that includes things like an ID, a birth certificate, ...individual.
• One copy of a birth certificate, one copy of a photo ID. That's currently in Missouri statute.
• Do you know how long it takes to get a birth certificate once you request it from another state?
• I was born in Oklahoma, so I would have to request a birth certificate there.
• I can afford to pay for a passport, to pay for a birth certificate.

Keywords: 959, house, all

Summary: The House opened with prayer, the Pledge of Allegiance, and approval of the previous day’s journal by a 117-1 vote. Members then spent a large portion of the morning introducing guests, including students, civic groups, fraternity and sorority members, county officials, and visitors from various districts. The Speaker also suspended business several times to sign enrolled bills, including Senate substitute for House Bill 261, House Bill 2641, Senate substitute for House Bill 2423, and House Bill 2934. The chamber then debated House Concurrent Resolution 48, which urges Congress to pass the SAVE Act requiring documentary proof of citizenship to register to vote. Supporters argued it would protect election integrity and prevent non-citizens from voting, while opponents said it would create burdens, function like a poll tax, and disenfranchise eligible voters, especially women, rural residents, students, military members, and people who move or change names. After a motion for the previous question passed 93-42, the House adopted HCR 48 by a vote of 92-43. The House also passed House Concurrent Resolution 23, a federalism resolution affirming state control over elections, by a unanimous 137-0 vote after committee leaders said it had broad bipartisan support. The House then perfected and printed House Bill 2855, which adjusts workers’ compensation fund tax increments from 0.5% to 0.1% to better match receipts with expenditures; an amendment allowing replacement of attorneys in long-running permanent total cases was adopted first. Members also perfected and printed House Bill 1906, a short bill allowing township counties to authorize annual, semiannual, or quarterly payment of real and personal property taxes by ordinance. The session ended with announcements and a motion to recess until 2 p.m.

Transcript Highlights:

• They're fully formed at birth.
• </c> Traditions um who are white centering Traditions um who are white centering folks<01:27:00.840><
• When you say birth sex, you mean biological sex, they're gender assigned at birth?
• </c><01:41:33.320><c> being</c><01:41:33.639><c> a</c> Birth their gender at Birth being a Birth their
• or sex at birth?

Keywords: 1191, senate, all

Transcript Highlights:

• Senate Bill 310 by Senator Cloud, Title 17, student health centers; provides for student health centers
• Senate Bill 310 by Senator Cloud, Title 17, student health centers; provides for student health centers
• Do we not get them by the mere fact of birth?
• Do you bring your birth certificate or your passport?
• “Whatever they submit: your name, your address, your date of birth, your state of birth, your…” “Whatever

Bills: HR84, HR85, HR86, HR87, HR88, HR89, HR90, HCR42, HCR43, HB1087, HB1088, HB1089, HB1090, HB1091, HB1092, HB1093, HB1094, HB1095, HB1096, HB1097, HB1098, HB1099, HB1100, HB1101, HB1102, HB1103, HB1104, HB1105, HB1106, HB1107, HB1108, HB1109, HB1110, HB1111, HB1112, HB1113, HB1114, HB1115, HB1116, HB1117, HB1118, HB1119, HB1120, HB1121, HB1122, HB1123, HB1124, HB1125, HB1126, HB1127, HB1128, HB1129, HB1130, HB1131, HB1132, HB1133, HB1134, HB1135, HB1136, HB1137, HB1138, HB1139, HB1140, HB1141, HB1142, HB1143, HB1144, HB1145, HB1146, HB1147, HB1148, HB1149, HB1150, HB1151, HB1153, HB1154, HB1155, HB1156, HB1157, HB1158, HB1159, HB1160, HB1161, HB1162, HB1163, HB1164, HB1165, HB1166, HB1167, HB1169, HB1170, HB1171, HB1172, HB1173, HB1174, HB1175, HB1176, HB1177, HB1178, HB1179, HB1180, HB1181, HB1182, HB1183, HB1184, HB1185, HB1186, HB1187, HB1188, HB1189, HB1190, HB1192, HB1193, HB1194, HB1195, HB1196, HB1197, HB1198, HB1199, HB1200, HB1201, HB1202, HB1203, HB1204, HB1205, HB1206, HB1207, HB1208, HB1209, HB1210, HB1211, HB1212, HB1213, HB1214, HB1215, HB1216, HB1217, HB1218, HB1219, HB1220, HB1221, HB1222, HB1223, HB1224, HB1225, HB1226, HB1227, HB1228, HB1229, HB1230, HB1231, HR73, HR74, HR75, HR77, HR78, HR79, HR80, HR81, HR83, HCR36, HCR37, HCR38, HCR39, HCR40, HCR41, HB368, HB433, HB1017, HB1018, HB1019, HB1020, HB1021, HB1022, HB1023, HB1024, HB1025, HB1026, HB1027, HB1028, HB1029, HB1030, HB1031, HB1032, HB1033, HB1034, HB1035, HB1036, HB1037, HB1038, HB1039, HB1040, HB1041, HB1042, HB1043, HB1044, HB1045, HB1046, HB1047, HB1048, HB1049, HB1050, HB1051, HB1052, HB1053, HB1054, HB1055, HB1056, HB1057, HB1058, HB1059, HB1060, HB1061, HB1062, HB1063, HB1064, HB1065, HB1066, HB1067, HB1068, HB1069, HB1070, HB1071, HB1072, HB1073, HB1074, HB1075, HB1076, HB1077, HB1078, HB1079, HB1080, HB1081, HB1082, HB1083, HB1084, SB111, SB122, SB195, SB221, SB404, HR1, HCR6, HCR19, HB27, HB81, HB134, HB154, HB163, HB170, HB194, HB214, HB217, HB220, HB254, HB259, HB290, HB308, HB311, HB360, HB382, HB401, HB410, HB417, HB463, HB514, HB575, HB592, HB718, HB723, HB750, HB755, HB776, HB812, HB830, HB838, HB844, HB882, HB885, HB888, HB950, HB961, HB966, HB980, HR15, HR20, HCR14, HB58, HB69, HB93, HB166, HB199, HB201, HB202, HB218, HB223, HB224, HB231, HB235, HB246, HB338, HB349, HB352, HB379, HB405, HB429, HB535, HB547, HB577, HB588, HB626, HB636, HB652, HB653, HB669, HB688, HB691, HB721, HB738, HB806, HB851, HB857, HB861, HB889, HB904, HB907, HB908, HB929, HB1009, HB13, HB23, HB25, HB32, HB41, HB90, HB120, HB121, HB122, HB127, HB138, HB139, HB141, HB179, HB187, HB213, HB247, HB286, HB332, HB344, HB357

Keywords: physical therapy, healthcare, prevention, wellness, education, Louisiana, landscape architecture, environment, public health, economic development, infrastructure, condolences, memorial resolution, tribute, Roger D. Boudreaux, Church Point, mayor, Louisiana House of Representatives, community service, local government

Transcript Highlights:

• centers, or obstetrics and gynecology physician practices.
• centers, or obstetrics and gynecology physician practices.
• center.
• And if I want to put my distribution center in the shopping center that butts up to that, I could be
• It's the fastest birth-to-death pediatric disease that exists.

Summary: The committee first heard Senate Bill 1414 by Sen. Polsky on congenital cytomegalovirus (CMV) education. The bill would require the Department of Health, working with medical experts, to create and distribute CMV educational materials to expectant and new parents or caregivers through hospitals, birth centers, and OB/GYN practices. An amendment removed a section that would have required instruction for medical professionals, and the amended bill was reported favorably as a committee substitute. The committee then took up a block of confirmations. Appointees on tabs 2 through 7 were recommended favorably in one vote, and Chavon Harris was separately confirmed as Secretary of the Agency for Health Care Administration after extensive questioning. Senators praised her leadership and experience, while others raised concerns about Medicaid redeterminations, the state’s CORE modernization project, Hope Florida, and a DCF anti-marijuana ad campaign; Harris said she would follow up on some issues and defended the agency’s work on transparency, managed care oversight, and access to care. Her confirmation was recommended favorably, with Sen. Berman noting opposition. Several health-related bills were then heard and advanced. SB 186 by Sen. Garcia expanded epilepsy training requirements for school personnel, including charter school bus drivers, and was reported favorably. SB 902 by Sen. Garcia, after amendments narrowing dental workforce provisions and allowing certain seizure rescue medication delegation to family home health aides, was reported favorably; testimony focused on medical marijuana regulation, practitioner accountability, and concerns about park and child-care proximity restrictions. SB 196 by Sen. Sharif created a uterine fibroid research database with privacy protections and was reported favorably after emotional testimony from a patient and supporters. SB 688 by Sen. Rodriguez would reestablish licensure of naturopathic doctors; it drew both support and skepticism about diagnosis and treatment boundaries, but was reported favorably. SB 1574, Maddie’s Law, would add biliary atresia screening to newborn screening and was strongly supported by parents describing a delayed diagnosis; it was reported favorably. SB 878 on clinical laboratory personnel, SB 1092 on podiatric medicine and certain cellular/tissue-based products, and SB 1032 on medical marijuana registry timelines and veteran fee waivers were also reported favorably, while SB 1032 drew debate over longer renewal/supply periods. The committee then began SB 1760 on Medicaid oversight and program transparency, with the sponsor describing the bill’s creation of a joint legislative oversight committee and a legislative actuary.

Transcript Highlights:

• and had those pregnancy centers reach out to women that they counseled.
• had those pregnancy centers and had those pregnancy<00:20:38.880><c> centers</c><00:20:39.440><c> reach
• And is it is it an actual birthed child?
• We recognize that patients are human beings before birth. The only difference is location.
• </c> birth. The only difference is location. birth. The only difference is location.

Bills: HB0117, HB0126

Keywords: informed consent, abortion, civil liability, coercion, healthcare rights, fetal heartbeat, termination of pregnancy, medical emergency, Wyoming legislation, rights of minors, healthcare regulations, parental consent, 916, all

Transcript Highlights:

• They actually put on births.
• They actually put amendments on, and it did not add birth certificates.
• Senator Seabaugh said it was birth certificates. It does not.
• It does not give anyone birth certificates.
• They wanted to add birth certificates. So that was the governor's office amendment.

Bills: SR126, SR129, SCR71, SCR72, SCR73, SCR12, HB221, HCR54, HCR79, HCR87, HCR94, HCR95, HCR97, HCR102, HCR104, HCR58, SB480, SB514, HB12, HB66, HB145, HB167, HB175, HB196, HB213, HB218, HB222, HB256, HB291, HB325, HB326, HB352, HB401, HB430, HB433, HB434, HB448, HB456, HB476, HB481, HB487, HB492, HB549, HB579, HB608, HB621, HB624, HB626, HB632, HB637, HB656, HB722, HB745, HB749, HB804, HB818, HB821, HB833, HB864, HB867, HB874, HB893, HB909, HB951, HB968, HB969, HB978, HB979, HB985, HB988, HB989, HB1001, HB1005, HB1007, HB1024, HB1032, HB1038, HB1050, HB1051, HB1056, HB1059, HB1077, HB1080, HB1081, HB1086, HB1108, HB1112, HB1153, HB1172, HB1173, HB1175, HB1192, HB1193, HB1204, HB1218, HB1242, HB1244, HB1249, HB1252, HB1254, HB538, SCR3, SCR23, SCR38, SCR24, SB102, SB133, SB151, SB165, SB169, SB170, SB200, SB217, SB280, SB291, SB300, SB303, SB330, SB449, SB489, SB521, SB45, SB156, SB181, SB203, SB274, SB304, SB379, SB396, SB410, SB425, SB427, SB436, SB54, SB72, SB129, SB164, SB232, SB287, SB322, SB374, SB375, SB386, SB409, SB447, SB458, SB222, SB399, SR119, SCR58, SCR65, SCR9, SB35, SB65, SB215, SB246, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB490, SB492, SB500, HCR41, HCR47, HCR63, HCR69, HCR31, HB87, HB115, HB162, HB195, HB214, HB217, HB233, HB283, HB290, HB319, HB324, HB345, HB362, HB363, HB368, HB377, HB380, HB382, HB386, HB392, HB406, HB431, HB441, HB466, HB503, HB533, HB559, HB575, HB590, HB593, HB618, HB655, HB664, HB685, HB692, HB707, HB715, HB732, HB738, HB741, HB748, HB776, HB807, HB822, HB856, HB860, HB868, HB887, HB888, HB905, HB908, HB961, HB980, HB990, HB992, HB999, HB1000, HB1010, HB1146, HB1157, HB1233, HB1236, HB1243, HB54, HB137, HB180, HB192, HB310, HB321, HB396, HB512, HB552, HB578, HB638, HB663, HB708, HB717, HB718, HB1009, HB1082, HB1104, HB1107, HB1198, HB1246, HB27, HB143, HB205, HB259, HB267, HB288, HB308, HB403, HB405, HB414, HB417, HB478, HB546, HB548, HB555, HB557, HB609, HB670, HB672, HB740, HB779, HB786, HB796, HB812, HB848, HB915, HB917, HB921, HB930, HB933, HB1095, HB1096, HB1103, HB1129, HB1154, HB1166, HB1187, HB1195, HB1230, HB17, HB36, HB41, HB47, HB73, HB119, HB126, HB129, HB133, HB140, HB159, HB166, HB211, HB226, HB245, HB271, HB280, HB337, HB351, HB354, HB399, HB571, HB677, HB712, HB723, HB726, HB728, HB750, HB759, HB789, HB844, HB850, HB870, HB966, HB1006, HB1018, HB1036, HB1241, SB29, SB42, SB43, SB382, SB441, HB134, HB258, HB359, HB782

Keywords: SR126, Senate Resolution 126, World Preeclampsia Awareness Day, preeclampsia, maternal mortality, maternal health, pregnancy complications, hypertension, high blood pressure, pregnancy-related disorder, obstetrics, prenatal care, prenatal health, infant mortality, preterm birth, premature birth, Woman's Hospital, Louisiana Senate, women's health, public health awareness

Summary: The Senate convened with a quorum, heard a prayer from guest minister Troy Brigadio, and recited the pledge. The chamber then handled journal approval, committee and House messages, and a large number of resolutions and bills, with many items lying over or being referred to committees. Several Senate resolutions were adopted by voice or machine vote, including commendations for World Preeclampsia Awareness Day, Kathy Holloway, Jensen LeBlanc, and River Bend Station, and the Senate also recognized Senator Mike Reese’s new role as president of McNeese State University. The body spent much of the meeting concurring in or rejecting House amendments to Senate bills. Concurrences were approved on measures including SB 102, 133, 151, 165, 169, 170, 200, 280, 291, 303, 330, 396, 410, 425, 427, 436, 489, 521, 45, 156, 181, 203, 304, and 399. The Senate rejected House amendments on SB 217, SB 300, SB 274, and SB 379, sending those matters toward conference or further work. One notable floor debate occurred on SB 449, where Senator Moore objected to concurring in amendments affecting the North Orleans Belt Railroad; after discussion about corruption concerns and public bid laws, the chamber rejected the amendments 26-9. The Senate also took up numerous House bills on final passage, approving measures on local governance, public safety, education, tax policy, and infrastructure. These included HB 87 on Livingston Parish Gas Utility District per diem, HB 115 on abolishing the police chief office in Edgefield, HB 162 on a neighborhood improvement district fee, HB 195 allowing pepper spray on campus, HB 214 and HB 217 on optional ad valorem tax exemptions for rehabilitated blighted property, HB 233 on jury compensation, HB 354 renaming a bridge as the Caleb Easterling Memorial Bridge, HB 283 on protections for assaulted school employees, HB 290 recreating the Department of Treasury, and HB 319 adjusting civic education commission membership. Several of these passed unanimously or with only a few dissenting votes, and members frequently moved to reconsider and record objections after final passage.

Transcript Highlights:

• She gave birth to the child who was shunned by the family.
• She had to care for herself during her pregnancy after she gave birth.
• birth certificate so that it didn't look like the child was the product of rape and incest.
• The mom explained denies birth was difficult.
• She was stuck in the birth can now and was born with a 0 heart rate and needed TPR.

Keywords: 999, senate, all

Transcript Highlights:

• I'm a member of ACOG, and I'm here representing the Arizona section of the American Board of Birth Centers
• I currently co-founded Blossom Birth Center 16 years ago, but my privileges are at St.
• I'm a member of ACOG and I'm here representing the Arizona section of the American Board of Birth Centers
• I currently co-founded Blossom Birth Center 16 years ago, but my privileges are at St.
• The root causes identified by midwives or birth centers in their reviews and quality assurance work are

Summary: The committee began with a presentation from the Alzheimer’s Association Desert Southwest Chapter and Dr. Anna Burke of Barrow Neurological Institute on the growing impact of Alzheimer’s and dementia in Arizona, the need for earlier diagnosis, better provider education, caregiver support, and continued research funding. They described current gaps in training and access to specialists, but also highlighted new therapies, lifestyle interventions, and Arizona-based research efforts. Members expressed support and optimism, but no action was taken on the presentation. The committee then heard HB 2202, which appropriates $300,000 from the general fund over fiscal years 2027 through 2029 for a dementia care tele-mentoring grant program through the Department of Health Services. Supporters, including the Alzheimer’s Association, a dementia specialist, and a patient advocate, said the program would help primary care providers diagnose dementia earlier and improve care. The bill was passed out of committee on an 11-0 vote. Next, the committee took up HB 2251, the midwifery bill, which would authorize certain licensed midwives to dispense and administer specified medications and devices, require liability insurance disclosure and annual reporting, and create a Midwifery Advisory Committee. A committee amendment removed some medications and renamed the bill the Jordan and MacTerry Act. ACOG and the Arizona Osteopathic Medical Association opposed the bill as drafted, citing concerns about oversight, peer review, and the medication list, while licensed midwives and other supporters argued the bill would improve safety, transparency, and alignment with national standards. The bill was held for further stakeholder work, with members indicating more amendments were likely. The committee then heard HB 2252, which would allow certified nurse midwives, certified professional midwives, or licensed midwives to accompany a patient in a ground ambulance during an out-of-hospital birth if approved by medical direction. Supporters described cases where continued midwife involvement during transport helped newborns and mothers, while firefighters and EMS representatives opposed the bill as written, saying it created ambiguity about command and scene control and could raise safety concerns. The chair said the bill would be held for further stakeholder meetings and possible language changes. After a recess, the committee reconvened for presentations on federal Medicaid and rural health funding impacts, beginning with JLBC’s overview of H.R. 1’s Medicaid provisions and the rural health transformation grant program.

Transcript Highlights:

• Including home-based childcare, childcare centers, and Head Starts.
• , especially those drug-exposed prior to birth?
• the Center for Community Analysis here at NMSC.
• Kindergarten, or pre-K to career, birth to career.
• To power a data center from outside business?

Transcript Highlights:

• I built a cancer center for the Sultan of Brunei in a small little area.
• Help open centers, not close centers, especially radiation oncology, because it's very expensive for
• private centers to open up.
• That's regardless of the birth sex or assigned sex of a patient.
• That's regardless of the birth sex or assigned sex of a patient.

Summary: The committee began with two radiology-related bills focused on rural access and workforce shortages. HB 2049 would allow particle accelerators for cancer treatment in critical access hospitals and counties under 400,000 population under general supervision, with rural providers testifying that the change would let patients receive care closer to home while maintaining safety protocols. The bill passed on an 11-0 vote. HB 2050 updated outdated radiologic technologist statutes, revised school accreditation and clinical-hour standards, and allowed radiologist assistants to work under supervision rather than direct supervision; an amendment also added registered nurses to the list of professionals not needing an additional license to use diagnostic X-ray machines. Testimony centered on staffing shortages, national standards, and whether the change would preserve oversight. The committee adopted the amendment and passed the bill 10-2, with some members citing the need for more vetting and concern about oversight of dangerous equipment. The committee then heard HB 2082, which creates a Childhood Cancer and Rare Childhood Disease Research Commission to award grants for phase-one pediatric cancer and rare disease trials using existing license-plate funds and other sources. Parents and patients gave emotional testimony about pediatric brain cancer diagnoses, the lack of effective treatments, and the need for Arizona to support local research; the bill passed unanimously 12-0. HB 2015 required Access to cover breastfeeding and lactation services, and an amendment made the coverage subject to CMS approval. Supporters described breastfeeding as preventive care with benefits for infants and mothers, while Access said it was neutral but appreciated the amendment’s fiscal safeguard. The bill passed 12-0 as amended. Next, HB 2177 directed Access to seek CMS waivers to restore Medicaid payments for certain services provided to American Indian and Alaska Native members by IHS and tribal facilities, including dental, diagnostic, therapeutic, and preventive services. The sponsor and a Sage Memorial Hospital witness said the bill would help tribal facilities draw down federal funds and keep services local; it passed 12-0 as amended. HB 2178 required state agency chief medical officers to hold an active medical or osteopathic license and passed without opposition. HB 2179 clarified statutory definitions separating air ambulance from ground ambulance regulation, with industry testimony saying it was a cleanup measure that would avoid unintended consequences; it also passed 12-0. Finally, HB 2183 created an 11-member emergency medicine study committee to examine EMS system sustainability, rural and urban capacity, workforce burnout, and uncompensated care. Firefighters, health care advocates, and an emergency nurse practitioner supported the study as a way to gather data and make recommendations; it passed 12-0. The committee then returned to HB 2072, which establishes an optional state certification for lactation care providers under ADHS, along with rulemaking, fees, discipline, and an advisory committee; the sponsor said the credential was needed so Access could reimburse the service, and the bill was introduced for further consideration.

Transcript Highlights:

• I built a cancer center for the Sultan of Brunei in a small little area.
• Help open centers, not close centers, especially radiation oncology, because it's very expensive for
• private centers to open up.
• That's regardless of the birth sex or assigned sex of a patient.
• That's regardless of the birth sex or assigned sex of a patient.

Bills: HB2049, HB2050, HB2051, HB2072, HB2082, HB2085, HB2177, HB2178, HB2179, HB2183, HB2195

Keywords: radiation therapy, particle accelerator, critical access hospitals, patient care, rural healthcare, radiologic technologist, radiologist assistant, radiology, imaging, x-ray, diagnostic x-ray, fluoroscopy, mammography, computed tomography, CT technologist, nuclear medicine technologist, bone densitometry, radiation safety, radiation licensing, scope of practice

Transcript Highlights:

• It's called the Veteran Business Opportunities Center.
• A typical cost at the Medicare rate in an ambulatory surgery center...
• A typical cost at the Medicare rate in an ambulatory surgery center.
• I would say, just in one surgery center alone, and I've done this for a gastro center in North Louisiana
• the surgery center.

Bills: HB165, HB175, HB198, HB272, HB457, HB488, HB566, HB603, HB763, HB902, HB909, HB971, HB981, HB1066, HB1125, HB1154, HB1231

Keywords: HB165, lottery proceeds, Lottery Proceeds Fund, Veterans Service Grant Fund, constitutional amendment, veterans, military veterans, veterans' benefits, veterans services, family support, state lottery, education funding, Minimum Foundation Program, problem gambling, compulsive gaming, state treasurer, ballot proposition, constitutional referendum, lottery revenue, Louisiana resident veterans

Transcript Highlights:

• Uh, Hawaii Appleseed Center for Law and Economic Justice in support on Zoom. Um.
• Uh<00:44:28.680><c> Hawaii</c><00:44:29.000><c> Appleseed</c><00:44:29.480><c> Center</c><00:44:29.720
• ><c> for</c><00:44:29.920><c> Law</c><00:44:30.160><c> and</c> Uh Hawaii Appleseed Center for Law and
• Uh Hawaii Appleseed Center for Law and Economic<00:44:30.800><c> Justice</c><00:44:31.400><c> in</c>
• for Medicare and Medicaid the Centers for Medicare and Medicaid services,<00:48:02.280><c> right?

Bills: SB2960, SB2347, SB2272, SB3137, SB3132, SB2271, SB2804, SB2175, SB2487

Keywords: homeowners insurance, disaster recovery, replacement cost value, state of emergency, policyholder rights, insurance extensions, tenant rights, landlord obligations, housing crisis, eviction prevention, multilingual access, SB2272, Act 105, home health licensing, home health agency, home health services, Department of Health, DOH, CMS, Centers for Medicare and Medicaid Services

Summary: The committee heard several resolutions and one bill focused on energy reliability, utility infrastructure, insurance, tenant rights, and home health licensing. On the energy side, members heard HCR 203/HR 193 on a status update for the Hawaii Electric Reliability Administrator, HCR 204/HR 194 on a comprehensive PUC analysis of cost reduction and risk, and HCR 202/HR 192 creating a legislative task force on future energy pathways. Testimony on the energy measures was generally supportive from the PUC, DCCA’s Division of Consumer Advocacy, the Hawaii State Energy Office, and the Office of Hawaiian Affairs, with OHA urging that equity, native Hawaiian impacts, and public trust resources be considered alongside cost savings. The committee also heard HCR 125/HR 117 on coordinating with utilities to address aging utility poles and lines along Farrington Highway and other high-risk corridors; Hawaiian Electric supported the measure, Hawaiian Telcom and Charter Spectrum said much of the work is already underway and questioned whether the resolution was necessary, and committee questioning focused on existing double-pole tracking and the role of DOT and the PUC. The committee then took up HCR 137/HR 129 on timely reimbursement of health care claims under the clean claims statute. The DCCA Insurance Division and the Hawaii Insurers Council opposed the measure as drafted, saying it could be read to require payment beyond policy limits and could raise premiums or reduce market participation. United Policyholders supported the measure, arguing it would simply give policyholders more time to collect benefits they already purchased, and clarified that it was not intended to increase coverage beyond policy limits. The committee later amended the resolution to direct the DCCA Insurance Division to prioritize investigation and enforcement of clean claims complaints. In the decision meeting, the committee recommended and adopted passage of HCR 203/HR 193 as is, HCR 204/HR 194 with an amendment removing the eighth whereas clause, HCR 202/HR 192 with an amendment adding a committee representative to the task force, HCR 125/HR 117 as is, and HCR 137/HR 129 with amendments. The committee also heard SB 2960 SC1 on property insurance, which would extend the time policyholders have after a declared disaster to document replacement-cost claims. The Insurance Division and Hawaii Insurers Council opposed it, warning it could force coverage beyond policy limits and increase premiums, while United Policyholders supported it and said it would help disaster survivors recover benefits they already paid for; members questioned whether similar laws in other states had caused premium spikes and clarified that the bill was not intended to exceed policy limits. The committee also heard SB 2347 SD1 on multilingual tenant-rights notices, with OHA, Hawaii Appleseed, and others supporting the bill but urging restoration of language requiring landlords to directly provide the notice at lease signing. Finally, SB 2272 SD1 HD1 on home health licensing drew support from the Department of Health, SHPDA, and the Health Care Association of Hawaii, with the association requesting an effective date amendment; testimony explained that the bill would allow state licensing compliance to be demonstrated through CMS-approved accreditation or certification surveys, potentially reducing duplication and freeing state resources.

Bills: SB2102, SB1940, SB1625, SB1442, SB1623, SB1242, SB1949, SB1592, SB1913, SB592, SB992, SB1241, SB259, SB1928, SB1426, SB1531, SB1561, SB1122

Keywords: credit card fees, merchant discounts, payment card network, interchange fees, transparency in fees, Oklahoma law, payment card, rebate, merchant, tax compliance, health insurance, mandate, impact analysis, insurance department, public health, access to healthcare, SB1442, alcoholic beverage control, ABLE Commission, liquor license fees