Transcript Highlights:

• </c><00:19:57.120><c> a</c> medically necessary care may be a medically necessary care may be a systemic
• </c><00:20:41.600><c> Child</c> to do some other um necessary Child to do some other um necessary Child
• </c> recruitment of Staff the medical recruitment of Staff the medical documentation<00:59:54.799><c>
• </c> was added to non-emergency medical was added to non-emergency medical transportation<01:08:10.880
• <01:24:40.679><c> because</c><01:24:41.000><c> those</c> necessary because those necessary because those

Committee: Senate Health and Human Services

Transcript Highlights:

• And the reason for that is... ...from judgments in medical malpractice cases.
• Just a follow-up on that: would this dental not fall under medical?
• Statute will live outside of the Medical Malpractice Act, is that correct?
• Medical Malpractice Act, which leaves people outside of the Medical Malpractice Act, meaning these individual
• they would pay the GRT for medical providers, but get 100% write-off on... ...pay the GRT for medical

Summary: The committee first took up HB 195, as amended by committee substitute, which would protect the personal assets of individual medical providers from medical malpractice judgments when they carry appropriate insurance or participate in the Patient Compensation Fund. The sponsor said the bill was intended to address providers’ fear of losing homes and other personal property, while opponents argued it could exempt a class of people from civil justice. Supporters said it was a reasonable compromise that preserved patient access to justice while helping recruit and retain providers. The committee adopted the substitute and advanced it on a do pass vote. The committee then heard HB 295, a revised version of the Accessibility Act, which would create a centralized office for accessibility reporting, technical assistance, and annual reporting on barriers in state buildings and websites. Supporters said the bill would improve coordination, data collection, and compliance with existing ADA requirements; opponents argued it duplicated existing law and would create another government office without enforcement power. Members debated whether the Governor’s Commission on Disability should handle the work instead, but the sponsors said the commission lacked capacity and the Department of Health was a better fit. The committee adopted the substitute and advanced it 8-1. Next, HB 296 proposed doubling the working families tax credit. The sponsor and supporters described it as an anti-poverty measure that would benefit more than 200,000 families and strengthen work incentives, while committee members asked about the fiscal impact, administration, and interaction with other tax credits. The bill was quickly advanced on a do pass vote. The committee then heard HB 338, which would extend the gross receipts tax deduction for health care providers through 2031 and add co-insurance payments. Health care advocates supported it, but city and municipal representatives warned it would reduce local revenue unless a full hold harmless was added. After extended discussion, the committee rejected a motion to table and instead advanced the bill 9-0 with no recommendation, with several members saying they would not support it on the floor unless local governments were made whole. Finally, the committee heard HB 259, which would create an optional actuarial review process for proposed health insurance legislation through the Legislative Finance Committee. Supporters said it would give lawmakers better data on premium, utilization, and spending impacts before voting on coverage mandates; opponents and some members raised concerns about cost, staffing, data access, and whether the process would be too limited to be useful. After discussion, the committee advanced the bill on a do pass vote. HB 279 was rolled at the sponsor’s request, and the committee adjourned after reminding members about the evening dinner.

Transcript Highlights:

• PACN has expanded its medical and client care teams to reduce waiting times.
• for out-of-network medical care. ...including behavioral health services.
• medical services when in-network options are insufficient.
• In medical services, it is counterintuitive to delivering health care.
• If it's a medical power of attorney, it pertains to your medical decisions, or a durable statutory power

Bills: SB397 , SB481 , SB596 , SB760 , SB855 , SB1195 , SB1196 , SB1233 , SB1257 , SB1318 , SB1368 , SB1388 , SB1398 , SB1524 , SB1558 , SB1589 , SB1677 , SB1792 , SB2034

Committee: Senate Health & Human Services

Transcript Highlights:

• and health care billing by emergency medical services.
• Under the current law, injured first responders often face long delays in receiving medical treatment
• The substitute clarifies that only medically necessary services that are covered by the health plan may
• necessary. appropriate or considered experimental or investigational.
• And CMS has determined that FACT accreditation is not necessary if providers are following.

Bills: HB345 , HB721 , HB2580 , SB815 , HB3057 , HB4603 , HB3233 , SB495 , HB3863 , HB3914 , HB4570 , HB5099 , HB5173 , SB458

Committee: House Insurance

Keywords: insurance, appraisal process, disputed losses, residential property, policyholder rights, insurer obligations, natural disasters, appraisal expenses, umpire selection, policyholder, insurer, umpire, claims management, health care, cost disclosure, benefit plan, administrators, traumatic brain injury, health benefit plans, insurance coverage

Transcript Highlights:

• Scientific matters, engineering matters, medical issues, causation issues.
• Yes, it is necessary. It's necessary in Missouri.
• And he was an expert medical negligence case. And he came from Hollywood.
• And you talk about medical malpractice litigation.
• They have about 200 employees, and they do sterilization of medical devices.

Committee: House Judiciary and Civil and Criminal Jurisprudence

Summary: The Judiciary Committee first heard House Bill 2255, sponsored by Rep. Barry Hovis, which would update Missouri’s expert witness statute to align with the amended federal Rule 702 and the Daubert reliability framework. Supporters, including defense lawyers, the Missouri Hospital Association, business groups, insurers, and a sterilization company, argued the bill would clarify judges’ gatekeeping role, require expert testimony to be shown reliable by a preponderance of the evidence, and reduce inconsistent rulings and costly retrials. Opponents, including the Missouri Association of Trial Attorneys, a public advocate, and a justice reform group, argued the bill was unnecessary, would shift too much discretion from juries to judges, and could increase pretrial litigation and costs, especially for plaintiffs. No vote was taken on HB 2255 during the hearing. The committee then heard House Bill 3155, sponsored by Rep. Benny Cook, on sentencing and parole eligibility changes. Cook and supporters, including prosecutors and some public safety advocates, said the bill would improve transparency in sentencing, make parole timing clearer, and help address repeat serious offenders by setting firmer service percentages. Opponents, including justice reform and anti-poverty advocates, argued it would increase incarceration costs, especially for lower-level and drug offenses, without improving public safety, and would reduce incentives for rehabilitation. Some members questioned whether the bill could lead to longer time served, while supporters said it would apply evenly and clarify existing sentencing practices. At the end of the hearing, the committee took up an executive session on House Bill 2637 and House Bill 3155 together under a House Committee Substitute. The substitute was adopted, and the combined committee substitute for HB 2637 and HB 3155 was voted do pass by an 8-3 roll call.

Transcript Highlights:

• </c><01:04:54.880><c> the</c> medically necessary care to preserve the medically necessary care to preserve
• </c> protection receive life-saving Medical protection receive life-saving Medical Care<01:08:46.560>
• </c> to die without any life-saving medical to die without any life-saving medical care<01:09:01.400>
• </c> Representative Bahner said, "Abortion should be provided medically necessary care."
• Okay, members, seeing no further discussion..." necessary for life and health necessary for life and

Committee: House Health Finance and Policy

Transcript Highlights:

• providers who may prescribe medication providers who may prescribe medication they<00:19:04.400><c> need
• that medication.
• So, Heidi, what is the DOE protocol now to administer medication?
• </c><00:22:16.080><c> um</c> a child needs the medication um a child needs the medication um administered
• </c><01:45:34.080><c> for</c> step-by-step instruction necessary for step-by-step instruction necessary

Committee: Senate Education

Summary: The joint Committee on Education and Committee on Public Safety and Military Affairs heard Senate Bill 422, which would authorize the Department of Education to award a high school diploma to qualified people whose schooling was interrupted by military service or wartime practices during World War II, the Korean War, or the Vietnam War. The Department of Education testified in support, noting a prior law that created the Kono diploma program before it sunset in 2020. Several members of the public also testified in support. Both committees later recommended passage of SB 422 without amendments, and the recommendation was adopted by voice votes. The committees then heard Senate Bill 530 on Braille literacy. The bill would establish Braille literacy as state policy, require Braille-related literacy assessments for eligible blind and low-vision students, authorize DOE rulemaking, create a Braille Literacy Resource Center, and appropriate funds. DOE and the Department of Human Services supported the measure, as did the National Federation of the Blind, Hawaii Disability Rights Center, and a blind testifier who described the importance of early Braille instruction. The Attorney General’s office raised concerns about statutory language requiring yearly assessments and suggested revisions so annual decisions remain with IEP teams. The committees voted to pass SB 530 with amendments, including the Attorney General’s suggested changes, and adopted the recommendation. The next measure was Senate Bill 532, which would allow school staff and agents trained by a licensed clinician to volunteer to administer medication to students in public schools under certain conditions and clarify who may prescribe such medication. DOE and Department of Health testimony supported the bill. The Attorney General recommended replacing the term “licensed clinician” with the defined term “health care professional.” The Hawaii Academy of Physician Assistants supported the bill but asked that physician assistants be included among providers who may prescribe medications for school administration. After questions about current school health aide duties and field-trip medication procedures, the committees voted to pass SB 532 with amendments, including the Attorney General’s terminology change, and adopted the recommendation.

Transcript Highlights:

• the therapies, the medications, the durable medical equipment, and supports that make employment possible
• It acknowledges that medical assistance is not a handout.
• These are families who deserve to have medical health care, especially Medicaid.
• That is not a medical failure. That is a legislative one.
• The bill makes a new medical report needed only when there is a change in dosage, type of medication,

Bills: S0006 , S0036 , S0560 , S0778 , S0844 , S0864 , S1002 , S1016 , S1022 , S1030 , S1630

Committee: Senate Appropriations Committee on Health and Human Services

Keywords: child welfare, negligence, settlement, injury compensation, Department of Children and Families, nursing title, advanced practice registered nurse, advertising, professional standards, disciplinary action, psychotropic medication, community-based care, liability insurance, forensic services, defendants, mental health, judicial system, defense, legal definitions, sickle cell disease

Transcript Highlights:

• This organization is put together with medical groups that provide medical care in the state of Florida
• This organization is put together with medical groups that provide medical care in the state of Florida
• This bill is about medical freedom. And as much as I agree that...
• Medically vulnerable people, like people with cancer.
• It demands humility, discipline, and respect for medical expertise.

Bills: S1082 , S1168 , S1756 , S1156 , S1480

Committee: Senate Health Policy

Keywords: provider disputes, health plan, dispute resolution, Medicare, Medicaid, healthcare regulation, background screening, athletic coaches, youth sports, criminal history, expungement, Florida statutes, medical freedom, vaccination, ivermectin, healthcare practitioner liability, immunization exemptions, ambulatory surgical centers, patient safety, licensure

Summary: The committee took up several health-related bills. SB 1082, on a statewide provider and health plan claim dispute resolution program, was presented as a way to let providers and insurers use the federal independent dispute resolution process for emergency out-of-network claims under state-regulated commercial plans. A late-filed amendment clarified access to the state program, and the bill was reported favorably as a committee substitute. SB 1168, on background screenings, would centralize clearinghouse screening functions at the Agency for Health Care Administration; an amendment clarified that sealed and expunged records may be reviewed for eligibility determinations, and the bill was reported favorably as a committee substitute. SB 1156, on ambulatory surgical centers, would move their regulation into a standalone section of law separate from the hospital-focused Chapter 395, and it was reported favorably. The committee also considered SB 1480 on temporary certificates for practice in areas of critical need. A strike-all amendment created a grandfathering process for current certificate holders with active primary care relationships if federal designation changes remove an area’s critical-need status. Supporters said it would protect patients and preserve access to care in underserved areas, and the bill was reported favorably. The most extensive debate was on SB 1756, the medical freedom bill. The sponsor said it would require vaccine educational materials and alternative schedules for parents, expand school immunization exemptions to include conscience-based objections, clarify that emergency treatment authority does not include mandatory vaccination, and allow pharmacists to provide ivermectin behind the counter with written warnings. The committee adopted one amendment to extend liability protections to physicians as well as pharmacists, but rejected a substitute amendment that would have required counseling for exemption requests. Public testimony was overwhelmingly opposed, with physicians, pediatricians, cancer advocates, parents of immunocompromised children, and public health groups warning that the bill would lower vaccination rates and increase risk to vulnerable Floridians. The bill remained pending after testimony, with no final vote taken in the portion provided.

Transcript Highlights:

• </c> ensure patient care that our medical ensure patient care that our medical facilities<00:10:13.960
• In fall medical students, 148 graduates.
• </c> Uh project is going to find necessary Uh project is going to find necessary repairs<00:29:37.720
• </c> acres to enhance necessary acres to enhance necessary infrastructure. infrastructure. infrastructure
• </c><00:44:41.200><c> due</c> grant to conduct the necessary due grant to conduct the necessary due diligence

Summary: The committee first approved the April 27 minutes and then received several informational reports, including University of Kentucky medical equipment purchases, UK’s use of $200 million in Ever funds for a public-private partnership, school district debt issuances, UK’s planned use of construction manager-at-risk delivery on five projects, Kentucky Communications Network Authority capital projects under House Bill 6, and 14 UK lease improvements. Members were told the House Bill 6 item was also being discussed in the Information Technology Oversight Committee and could return later if needed. The main action item was University of Kentucky’s request to approve a $600 million public-private partnership for central plants and utility infrastructure tied to the Chandler expansion. UK said it would shift $200 million from previously authorized restricted funds into the P3, leaving the project financed through private equity and nonprofit debt with no UK or Commonwealth debt. UK representatives said the project is necessary to support 24/7 hospital operations, expand and modernize utility systems, improve redundancy and efficiency, and reduce long-term operating risk. Members asked about the source of the availability payments, which UK said would come from UK Healthcare revenues, and the committee approved the P3 agreement unanimously. The committee also approved a UK lease renewal for a 20,000-square-foot College of Medicine annex near the Bowling Green Medical Center. UK said the lease costs $38 per square foot, or $912,000 annually, and supports medical education expansion in the region, including growth from 120 to 160 students over four years. Members voiced support for the local impact, and the lease passed unanimously. Later, the committee approved a Transportation Cabinet aviation project for two medium box hangars at Capital City Airport, funded by $1,153,000 in federal money and $950,000 from the Aviation Economic Development Fund, which is supported by a 6% jet fuel tax with a $1 million annual cap per company. Members asked about the fund balance, the cap, and airport revenue sources, and staff said the airport also receives entitlement and federal infrastructure funds and earns revenue from hangar rent and fuel sales. The committee then approved two Finance and Administration Cabinet pool projects: a roof and skylight replacement at the Libraries and Archives building and exterior repairs at several state buildings. Finally, the committee approved six Kentucky Infrastructure Authority action items after hearing about one loan increase for the Springfield Wastewater Treatment Plant and five grant reallocations tied to Cleaner Water Program and county allocation pool funds. Members asked why one project approved in 2024 was only now increasing, and KIA explained that design, water division review, environmental review, and bidding can take one to two years. KIA also reported additional no-action items, including a Brandenburg water grant split among two projects and 17 Kentucky Waters projects provided for information. The meeting ended with approval of the action items and no further action on the informational grants.

Transcript Highlights:

• </c> their medical condition would improve. their medical condition would improve.
• Is it the degree of medical admission? Is it the degree of medical condition?
• </c> difference of having their medication difference of having their medication changed<00:57:10.600
• I mean, they're being medicated.
• </c> to make those necessary improvements. to make those necessary improvements.

Committee: Joint Veterans, Military Affairs, & Public Protection

Transcript Highlights:

• We know that there are many medications, including GI medications and allergy medications, that have
• </c> medications that um GI medications medications that um GI medications allergy<02:12:44.079><c> medications
• And then in emergency situations where, you know, a necessary clinically necessary medication can't be
• necessary<02:15:59.520><c> medication</c><02:16:00.000><c> can't</c><02:16:00.199><c> be</c><02:16:00.400
• ><c> prescribed</c> necessary medication can't be prescribed necessary medication can't be prescribed

Committee: Senate Health and Human Services

Transcript Highlights:

• An example that I have faced... ...should charges become necessary.
• I always request for my medical team to wear a mask.
• In fact, I'd really prefer not to mask, but it's a medical necessity.
• We accept that glasses are a necessary aid for some people to see clearly.
• I can't produce a doctor's note for proof of a medical condition that puts me at special risk.

Committee: Joint Joint Committee on Municipalities and Regional Government

Summary: The committee held a lengthy hybrid hearing of the Joint Committee on Municipalities and Regional Government, with testimony spanning local board training, animal welfare and enforcement, municipal charters, water district dissolution, and other home rule matters. Chairs Rausch and Lewis set strict time limits because of the large number of speakers and explained that written testimony would also be accepted. Members heard from local officials, advocates, municipal employees, and residents, with many bills receiving broad support from municipal and advocacy witnesses. Several speakers supported bills requiring or expanding training for local boards and commissions, including pre-service training for planning, zoning, and other land use boards. Supporters said training would help volunteers understand complex laws, improve consistency, reduce legal challenges, and speed up housing and development decisions. Related testimony also backed a bill to modernize historic district commissions and another to allow associate planning board members to serve more broadly when needed to maintain quorums. A major portion of the hearing focused on animal legislation. Witnesses supported bills to expand citations for cruel conditions beyond dogs, update dangerous dog procedures, improve animal health inspections and breeder oversight, strengthen tethering rules, and protect pet consumers. Animal control officers, humane organizations, and some victims of dog attacks described enforcement gaps and the need for clearer standards, while several dog trainers and the American Kennel Club opposed parts of the dangerous dog bill and tethering restrictions, arguing they would limit humane training tools and professional discretion. The committee also heard strong support for a bill to create a statewide pet shop and consumer protection framework. The committee also heard testimony on several local home rule petitions. Medford officials and residents strongly supported a new city charter that would replace the current at-large council with ward-based representation and periodic charter review. Wayland representatives supported a bill to preserve the library’s Millennium Fund as intended, Cambridge officials backed creation of an employment and job training trust, and Carver officials supported dissolving the North Carver Water District due to compliance and financial problems. No votes were taken during the hearing, and the chair repeatedly invited written testimony and follow-up materials.

Transcript Highlights:

• SENATE BILL 924 ADDRESSES A CRITICAL ISSUE FACED BY YOUNG CANCER PATIENTS UNDERGOING LIFE SAVING MEDICAL
• WHILE MEDICAL ADVANCEMENTS HAD LED TO 87 PERCENT OF YOUNG ADULT CANCER PATIENTS SURVIVING THEIR DIAGNOSIS
• NECESSARY TREATMENTS.
• THIS EXPLAINS THE FERTILITY PRESERVATION COVERAGE BEYOND CANFER FOR THOSE WHO UNDERGO MEDICALLY NECESSARY
• NECESSARY TREATMENTS AND REMOVES REPRODUCTIVE AGE RESTRICTIONS ENSURING ALL MEDICALLY NECESSARY INDIVIDUALS

Transcript Highlights:

• I think this is great legislation and very much necessary.
• I agree that sole source contracts are necessary.
• Would you agree that the medical care in these decisions is by choice? I would agree with that.
• I'm not a medical professional, so I won't draw any specific lines.
• that no one at this table here is a medical provider or medical professional.

Bills: HB3620 , HB3942 , HB3279 , HB3378 , HB3383 , HB3413 , HB3414 , HB3415 , HB3420 , HB3130

Committee: House General Government

Keywords: 2030 census, complete count committee, census outreach, decennial census, enumeration, population count, hard-to-count populations, hard-to-enumerate areas, State Data Center, Oklahoma Census, multilingual campaign, public outreach, school-based outreach, community organizations, minority groups, ethnic minorities, language minorities, self-response rate, census awareness, federal census

Transcript Highlights:

• So we've hired the Dell Medical School to help design it based on the medical needs and sort of the unmet
• mental health needs of folks that... ...the Dell Medical School to help design it based on the medical
• The Texas Medical Association's position on this is, and we would say this about any medication, that
• You could imagine a scenario where medication interacts with another medication; in this case, imagine
• Do medical doctors have to actually disclose their expunged disciplinary actions on the medical board's

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

Committee: House Public Health

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

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

Transcript Highlights:

• I was about to say assistant medical director. God, no, I'm not a medical director.
• medical record.
• necessary, all right?
• necessary.
• necessary.

Committee: House Labor & Industrial Relations

Summary: The committee first disposed of several measures without debate, including deferrals of House Bill 460, House Bill 561, Senate Bill 322, and another deferred Senate measure, before taking up House Bill 819 by Chairman Cruz. HB 819 would replace Louisiana’s current workers’ compensation medical treatment schedule with ODG by MCG, a private evidence-based guideline system used in other states. Cruz and Troy Prevo argued ODG is more comprehensive, updated more frequently, and could reduce claim duration, medical costs, and premium rates; Dr. Jason Picard said Louisiana already uses ODG as a secondary reference for gaps in the state schedule and that the bill would not change appeals or variance procedures. Opponents, including injured-worker advocates Joseph Jola St. and Robin Crumholt, argued Louisiana’s current guidelines are working, that ODG is more cost-cutting and insurer-driven, and that the bill could increase denials and delay care. Members discussed amendments to add a two-year sunset, allow tacit approval when treatment follows the schedule, require payment within 30 days, and raise the carrier’s burden to challenge care; the committee adopted the amendments and then reported HB 819 favorably by a 7-6 vote. The committee then began Senate Bill 409 by Senator Myers, the Louisiana Living Donor Leave Protection Act. The bill would provide paid leave protections for living organ donors, set eligibility and verification procedures, and prohibit forfeiture of leave in certain circumstances for private employers. Myers said the measure is intended to remove job and paycheck barriers for people willing to donate organs and to support better transplant outcomes. Technical amendments were adopted at the start of the presentation, and the bill was introduced for further discussion.

Transcript Highlights:

• </c> cost of the medication itself. cost of the medication itself.
• </c> medication to those on campus. medication to those on campus.
• </c> medication abortion. medication abortion.
• It wasn't necessary then. Why is it not necessary now? Like it didn't make sense.
• </c> medical attention. medical attention.

Transcript Highlights:

• </c><01:38:42.320><c> uh</c> medical expert uh every medical uh medical expert uh every medical uh specialty
• </c> individual rights, medical freedom. individual rights, medical freedom.
• </c> necessary for good medicine. necessary for good medicine.
• medical product.
• ; that medical knowledge is left to the medical degree.

Committee: House Health, Human Services and Elderly Affairs

Transcript Highlights:

• We certainly always take a critical eye to what's necessary and what's going to be necessary to protect
• and what's going to to what's necessary and what's going to be<00:17:25.039><c> necessary</c><00:17:
• </c><00:17:37.360><c> science</c> to review all available medical science to review all available medical
• </c><00:17:41.280><c> for</c> we provide only what's necessary for we provide only what's necessary for
• <01:24:29.120><c> um</c> the infrastructure that's necessary um the infrastructure that's necessary um

Summary: The committee first handled routine business, approving the prior meeting minutes with one abstention from a member who had been absent. It then received an update from DHHS Commissioner Lori Weaver on the department’s rural health transformation grant submission. Weaver said the grant was submitted ahead of the deadline, reflected input from communities and providers statewide, and would now enter a CMS review and negotiation phase. She explained that the governor’s office will oversee the grant with DHHS, that some proposals may be limited by federal parameters, and that the department may need to hire some staff to administer the grant, within the grant’s administrative cap. Members also discussed DHHS budget pressures and staffing. The department’s CFO, Nathan White, reviewed the agency’s budget mix, noting that DHHS accounts for a large share of the state’s operating and general fund budgets, and explained projected general fund lapse estimates, which he said are currently just under $20 million for the department. He also described why lapse projections are difficult to predict in DHHS because many costs are driven by utilization and because some funds are statutorily non-lapsing. White reported that vacancy rates have risen, citing about 400 unfunded positions in the current biennium and the department’s hiring freeze, while emphasizing that direct-care positions are being prioritized. Committee members raised concerns that back-of-the-budget cuts and weak revenue collections could affect the department’s ability to manage lapse projections. The committee then heard from Division of Public Health Director Ian Watt on vaccine policy and federal changes. Watt said New Hampshire continues to support access to safe and effective vaccines, including through the universal purchase program and seasonal respiratory virus guidance. He explained a recent CDC change regarding the MMRV vaccine, which now discourages the combined shot for the first dose in children under four because of febrile seizure risk, while still allowing it for the second dose. Watt said New Hampshire’s school and child care vaccine mandates remain stable, with nine vaccines required for schoolchildren and 10 for child care, and that the state continues to review federal recommendations cautiously. He also said there have been no supply or funding disruptions affecting vaccine access, and that childhood vaccine funding through commercial insurers remains intact. Finally, the Permanent Subcommittee on Alzheimer’s Disease and Other Related Dementias presented its annual report. The subcommittee said it met about six times, heard presentations on state services, silver alerts, brain health awareness, and palliative/hospice care, and began work on updating the state’s Alzheimer’s plan, which had last been updated in 2015-2016. To gather more direct input, the subcommittee formed a needs-assessment work group to develop a survey for people living with dementia, caregivers, and service providers. It recommended integrating Alzheimer’s and dementia materials into chronic disease, aging, and public health outreach; embedding cognitive health into systems of care and the state health improvement plan; adding cognitive health measures to BRFSS; and continuing partnerships with aging and advocacy organizations. Members praised the report and suggested it should clearly identify the subcommittee and include page numbers in future versions.