Transcript Highlights:

• In fact, mortality rates at these hospitals were three to four times lower.
• In fact, mortality rates at these hospitals were three to four times lower.
• We have to trust our EMTs, who I think should be included in peer review, but that's a whole different

Committee: House Professional Registration and Licensing

Transcript Highlights:

• The mortality rate in the last year or so has proven to be approaching 10%.
• did in '99, for example, had 110% funded, the best we can hope for is that the attrition of the mortality

Bills: SB6061 , SB6234 , SB6176 , SB6335 , SB6047 , HB2235 , HB2464 , HB2619 , HB1376 , SB5808 , SB5949 , HB1347 , HB1759 , HB1983 , HB2120 , HB2264 , HB2338 , HB2385 , HB2495 , HB2521 , HB2604 , HB2610 , HB2675 , HB2426

Keywords: tourism, self-supported assessment, funding, statewide promotion, economic development, sewage, grinder pumps, residential buildings, regulation, construction, vehicle registration, enforcement, renewal, transportation, state law, state commission, infrastructure, traffic safety, responsibilities, state capital projects

Summary: The Senate considered Engrossed Second Substitute House Bill 2034, a measure to terminate and restate the LEOFF 1 pension plan and use surplus funds for other state purposes if federal approval is obtained. During debate, senators discussed whether the plan should remain funded at 110% or 120% of actuarial value, whether surplus dollars should instead go to transportation or the budget stabilization account, whether members should receive an additional distribution, and whether local governments should be reimbursed for retiree health care costs. Several amendments were offered: a Gildon amendment to raise the funding target to 120% failed; a technical Robinson amendment adding a date passed; Holy, King, Harris, Schessler, and Conway amendments addressing member distributions, transportation, budget stabilization, local government health care costs, and a reconstituted board distribution all failed; and Robinson’s amendment removing Climate Commitment Act repayment language passed. The Ways and Means striking amendment, as amended, was then adopted. On final passage, supporters argued the bill was actuarially sound, had been reviewed by attorneys, actuaries, the State Investment Board, and the Department of Retirement Systems, and would allow use of excess funding for other state needs. Opponents warned it left too little in the pension fund, should dedicate surplus dollars only to one-time uses, and did not adequately reimburse cities and counties for retiree medical obligations. After debate, the Senate passed E2SHB 2034 by a vote of 25 yeas, 22 nays, with one absent and one excused. Afterward, the Senate returned to Substitute House Bill 2178, which was also passed on final passage by a vote of 39 yeas and 9 nays, with one excused. The chamber then adjourned until the next scheduled meeting.

Transcript Highlights:

• member of the Governor's Plumbing Advisory Board, I can tell you the most frequent infractions we review
• It modifies the provisions relating to utilization review, including requiring completion within 10 business
• days after all necessary... ...review, including requiring completion within 10 business days after
• Yes, so this comes out of a JLARC review that we're considering before us right now and would come out
• So this this comes out of a J-LARC review that we're considering before us right now and would come out

Bills: SB6197 , SB6158 , SB6302 , SB5437 , SB6117 , SB5852 , SB5847 , SB6067 , SB6152 , SB6136

Committee: Senate Labor & Commerce

Keywords: SB 6197, plumbing contractor, plumber, contractor licensing, licensing enforcement, infractions, administrative penalties, license suspension, certificate suspension, endorsement suspension, registration suspension, Department of Labor and Industries, advisory board of plumbers, penalty schedule, repeat violations, workplace standards, construction trades, professional licensing, Washington state, factory built housing

Transcript Highlights:

• The city or county may only apply the same permit and review processes to step housing that apply to
• If applying design review for step housing, only administrative design review may be required.
• If applying design review for step housing, only administrative design review may be required.
• We do ask for the ability to use those operating plans via a purely administrative review process.
• The intent and the findings of Section 1 talks about discretionary review process as being problematic

Bills: SB6069 , SB6167 , SB6201 , SB6205 , SB6001 , SB6026 , SB6054 , SGA9278 , SGA9279

Committee: Senate Housing

Keywords: affordable housing, homelessness, homeless shelter, emergency shelter, emergency housing, supportive housing, permanent supportive housing, transitional housing, low-income housing, very low-income, extremely low-income, housing crisis, land use, zoning, local preemption, urban growth area, UGA, planning, development regulations, permitting

Transcript Highlights:

• Hopefully you guys had a chance to review the minutes, and I'm asking for a motion and a second.
• We also should look at the impact of mortality rates and try to figure out.
• And if you want to slide right into the review draft interim work plan...
• compensation could be one that you want to plunk there for now until next month, and then that's reviewed
• compensation could be one that you want to plunk there for now until next month, and then that's reviewed

Committee: Joint Select Committee on Pension Policy

Summary: The Select Committee on Pension Policy executive committee met to approve the November minutes, which were adopted by voice vote. The committee then received an update from the Attorney General’s Office on two ongoing cases, Fowler and Joel Lynn, with briefing and oral argument timelines still pending. Michael Harbour of the Office of the State Actuary provided an actuarial update focused on ESSB 5357, explaining that the bill raised the assumed investment return from 7% to 7.25%, suspended UAL contribution rates for four years, and changed amortization for past benefit improvements; members asked for clarification on how those changes would affect long-term funding and contribution rates, especially for Plan 1 systems. A substantial portion of the meeting was devoted to committee discussion of interim priorities and the need for more analysis of recent pension legislation. Members emphasized the importance of understanding the fiscal impacts of ESSB 5357 and related pension changes before the September economic experience study, and several asked staff to provide a more preliminary walkthrough of the bill’s effects. The committee also discussed the LEOFF 1 study and broader questions about overfunding, including when a plan should be considered overfunded and whether overfunding should be addressed through merger or closure proposals. One member suggested reviewing the operating budget’s excess compensation proviso during the interim as well. Staff reviewed the draft 2025 interim work plan, proposing June topics including election of officers, a presentation on SB 5357 and its actuarial implications, and an initial LEOFF 1 study kickoff based on SB 5085 and HB 2034. The committee also placed excess compensation and demographic experience study items in a parking lot for possible later scheduling. The June agenda was adopted by roll call vote, with three ayes and three members absent or excused, and the meeting adjourned after no further business.

Transcript Highlights:

• Domangue is a concurrent resolution urging and requesting the Federal Emergency Management Agency to review
• To review Louisiana's floodplain maps and implement updates every five years.
• Members, this simply urges and requests the Federal Emergency Management Agency to modify flood map review
• Louisiana, unfortunately, leads the nation in the highest maternal mortality rates.
• Preeclampsia is a major driving factor of preterm birth and infant mortality in our state.

Bills: SR146 , SCR12 , HB221 , HCR115 , HCR116 , HCR58 , HB1 , HB312 , HB313 , HB314 , HB383 , HB983 , HB1126 , HCR3 , HB2 , HB3 , SCR3 , SB56 , SCR9 , SCR58 , SB35 , SB65 , SB215 , SB246 , SB249 , SB269 , SB282 , SB296 , SB323 , SB363 , SB369 , SB474 , SB490 , SB492 , SB500 , SB514 , HCR27 , HCR28 , HCR66 , HCR67 , HCR72 , HCR5 , HCR32 , HCR49 , HCR50 , HCR53 , HCR60 , HCR62 , HCR64 , HCR68 , HCR78 , HCR81 , HCR86 , HCR97 , HCR102 , HCR31 , HCR47 , HB476 , HB481 , HB487 , HB492 , HB549 , HB579 , HB608 , HB621 , HB624 , HB626 , HB632 , HB637 , HB656 , HB722 , HB745 , HB804 , HB818 , HB821 , HB833 , HB864 , HB867 , HB874 , HB893 , HB909 , HB951 , HB968 , HB969 , HB978 , HB979 , HB988 , HB989 , HB1001 , HB1005 , HB1007 , HB1024 , HB1032 , HB1050 , HB1051 , HB1056 , HB1059 , HB1077 , HB1080 , HB1081 , HB1086 , HB1108 , HB1112 , HB1153 , HB1172 , HB1173 , HB1175 , HB1192 , HB1193 , HB1204 , HB1218 , HB1242 , HB1244 , HB1249 , HB1252 , HB1254 , HB42 , HB45 , HB71 , HB79 , HB158 , HB160 , HB169 , HB227 , HB251 , HB289 , HB330 , HB394 , HB410 , HB429 , HB769 , HB971 , HB1017 , HB1234 , HB1235 , HB9 , HB177 , HB181 , HB202 , HB223 , HB225 , HB387 , HB398 , HB457 , HB459 , HB540 , HB591 , HB616 , HB766 , HB775 , HB783 , HB895 , HB906 , HB950 , HB975 , HB1052 , HB1057 , HB1076 , HB1100 , HB1139 , HB1155 , HB1160 , HB1182 , HB1186 , HB1220 , HB1223 , HB1224 , HB1228 , HB1231 , HB1245 , HB1256 , HB17 , HB27 , HB36 , HB41 , HB47 , HB73 , HB126 , HB133 , HB140 , HB159 , HB166 , HB205 , HB211 , HB226 , HB259 , HB271 , HB308 , HB310 , HB324 , HB337 , HB351 , HB399 , HB403 , HB571 , HB712 , HB723 , HB726 , HB740 , HB750 , HB759 , HB812 , HB844 , HB966 , HB1006 , HB1009 , HB1018 , HB1036 , HB1038 , HB1107 , SB29 , SB42 , SB78 , SB208 , SB217 , SB274 , SB300 , SB341 , SB379 , SB382 , SB387 , SB401 , SB441 , SB449 , SB487 , HB74 , HB134 , HB258 , HB359 , HB468 , HB956 , HB1117 , SB43 , SB149

Transcript Highlights:

• some of the same methods we published in this deer problem, and we asked for some of these folks to review
• And I know that they did review our papers because I got a note expressing how confident they were about
• Reviewers sometimes will reveal themselves.
• And then the adult mortality rate went down. And then the fawn mortality rate went down.

Bills: HB3270 , HB3145 , HB3056

Committee: Senate Agriculture and Wildlife

Summary: The committee heard a lengthy presentation from Texas A&M professor Chris Seaberry on chronic wasting disease (CWD) genetics in deer and elk. He argued that susceptibility to CWD is polygenic, that genomic prediction can identify more resistant animals with high accuracy, and that selecting for resistant breeding values plus the PRNP codon 96 S allele could reduce disease prevalence. He said his work has been used in USDA/APHIS programs, that some facilities have been cleaned up using these methods, and that concerns about inbreeding, increased shedding, or harm to hunting quality are overstated. Committee members questioned the science, the risk of releasing potentially infected animals, the financial incentives for breeders, and whether wildlife agencies were resisting the program for philosophical or institutional reasons. The witness and senators also discussed the Department of Wildlife’s role, the Attorney General’s opinion, and whether the state should act more quickly or wait for more data. The committee then took up House Bill 3270, which would shift rulemaking authority for the deer-release/CWD program from the Department of Wildlife to the Department of Agriculture after members said Wildlife had failed to promulgate rules for two years. The Department of Wildlife testified that it believed it had complied by collecting native deer samples and that it had been operating under a different understanding until the Attorney General’s March 5 opinion clarified the original law. After debate over agency inaction, the adequacy of the science, and the impact on deer breeders and hunters, the committee voted 3-9 against the bill, and HB 3270 failed. The committee also confirmed Jessica Wilcox to an executive nomination by a 12-0 vote. It then advanced House Bill 3145, which clarifies tagging rules for commercial hunts by making $10 tags apply only to male native wildlife and $0 tags apply to female, feral swine, and exotic wildlife; the bill passed 12-0. Finally, the committee heard House Bill 3056, which would allow unpasteurized cow, goat, and sheep milk to be sold at feed stores and farmers markets with labeling; members questioned gallon limits and whether the bill included adequate warning language, but no final action was taken in the portion provided.

Transcript Highlights:

• so,</c><00:36:57.880><c> um</c><00:36:57.960><c> I</c><00:36:58.120><c> would</c><00:36:58.280><c> review
• And so, um I would review um Yes.
• And so, um I would review um move<00:37:00.160><c> HB</c><00:37:00.440><c> 26</c><00:37:01.000><c> 1120
• racially neutral language about an advocate representing populations known to have worse maternal mortality
• racially neutral language about an advocate representing populations known to have worse maternal mortality

Transcript Highlights:

• grave concerns about it as it stands, and I want to highlight some things for you to consider as you review
• I have not had an opportunity to review or analyze the language in the substitute, so I am gleaning some
• But I am happy to provide additional analysis and follow-up after doing a more detailed review of the
• preventative health care for women, babies, and families in Texas, including issues of maternal mortality
• Many of these issues are shown repeatedly in our maternal mortality rate to be one of the leading causes

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

Committee: House Homeland Security, Public Safety & Veterans' Affairs

Transcript Highlights:

• And again, what makes this a necessity for voters to review this in August?
• So are you aware that access to Medicaid has been associated with significant reductions in mortality
• already faces some of the worst health outcomes in the nation, high rates of chronic disease, maternal mortality
• Maternal mortality, and preventable death. We are a state where access to care is not theoretical.
• break those state questions up a little bit to make sure voters have the proper amount of time to review

Bills: HB3312 , HB3700 , HB2981 , HB2961 , HB3016 , HB4478 , HB4326 , HB3025 , HB3710 , HB4125 , HB2951 , HB3082 , HB4142 , HB4106 , HB1752 , HB3268 , HB4440 , HJR1067 , SB1144 , SB1145 , SB1146 , SB1147 , SB1148 , SB1156 , SB1157 , SB1158 , SB1159 , SB1161 , SB1162 , SB1163 , SB1164 , SB1165 , SB1166 , SB1149 , SB1167 , HJR1024 , SB1174 , SB1175 , SB1176 , HB3419 , HB3748 , HB4335 , HB3057 , HB3279 , HB4428 , HB3420 , HB3040 , HB4140 , HB1638 , HB3298 , HB4113 , HB1082 , HB4301 , HB3269 , HB3587 , HB4226 , HB4324 , HB4339 , HB4342 , HB3278 , HB3996 , HB4236 , HB4352

Summary: The Senate first took up House Bill 4440, a proposal related to Medicaid expansion. Pro Tem Paxton said the measure would move parts of the expansion from the Constitution into statute, add work requirements for able-bodied adults, and create a trigger if the federal FMAP match falls below 90%. Supporters argued this would give the Legislature more flexibility to manage costs and protect the program long term, while opponents said it would weaken voter-approved constitutional protections and could lead to reduced coverage or benefits. After extended debate, the bill itself passed 30-8, but the separate motion to place it on an August special election ballot failed 30-9. The Senate then advanced and passed H.J.R. 1067, a related November ballot measure that would repeal the constitutional Medicaid expansion obligation entirely; it passed 29-8. The chamber then considered several retirement cost-of-living adjustment bills. SB 1144 would provide a 3% or 6% COLA for retired teachers depending on years retired, while ending a dedicated revenue apportionment once the system reaches 100% funded or in 2036. Senators raised concerns about the long-term funding changes, but the bill passed 43-1. SB 1145 provided similar COLAs for retired state employees and passed 41-4. SB 1146 offered COLAs for police retirees and passed unanimously 48-0. SB 1147, a COLA for firefighters and volunteer firefighters with estimated added unfunded liability, was also adopted by the Senate after committee approval and proceeded to final passage as the transcript ended.

Transcript Highlights:

• Certainly, intimate partner violence is a significant factor in maternal mortality, contributing to approximately
• In the Texas Higher Education Coordinating Board underwent sunset review, the Sunset Commission recommended

Bills: SB800 , SB1534 , SB2055 , SB2310 , SB2431 , SB2786 , SB3039 , SB1242

Committee: House Higher Education

Transcript Highlights:

• So, one couple of statistical points: infant mortality, on average, in states that have abortion bans
• of this level and even lesser, have an 11% higher infant mortality rate than states that don't have
• Infant mortality on average in me.
• Infant mortality on average in states<00:48:24.640><c> that</c><00:48:24.880><c> have</c><00:48:25.119
• </c><00:48:55.040><c> rate</c><00:48:55.760><c> 155%</c> maternal mortality rate 155% maternal mortality

Transcript Highlights:

• The maternal mortality rate in Washington jumped from 19 to 30.5 deaths over the last several years.
• In the 2025 maternal mortality report, recommendations were made in three key areas.
• In the 2025 maternal mortality report, recommendations were made in three key areas.
• prototyped in Pierce County and has shown success in preventing infant and maternal morbidity and mortality
• In 2023, health engagement hubs were held because of their 68% reduction in mortality over traditional

Bills: SB5998

Committee: Senate Ways & Means

Keywords: fiscal appropriations, budget, state funding, financial management, operating expenses

Transcript Highlights:

• So I reviewed my client financials last night, 157 of them, to let you know that of the 157 associations
• This bill modifies vetting requirements so that cases are properly reviewed before they can move forward
• an impartial and qualified expert who understands California's unique standard of care diligently review
• Most of the time, it's reviewing contracts, things of that nature, but they're building roads, homes,
• Most of the time, it's reviewing contracts, things of that nature, but they're building roads, homes,

Summary: The Assembly Judiciary Committee heard a series of bills, many focused on homeowners associations (HOAs), along with measures on self-defense, design-professional litigation, mobile home park claims, senior housing, and DEI. Several bills were presented only or discussed with amendments, and the committee repeatedly noted ongoing work with authors and stakeholders. The committee also established quorum partway through the hearing and took up a consent calendar of several unrelated bills, which passed. AB 2584, on civil immunity for lawful self-defense, was presented as a work-in-progress. The author and a UFC/public-safety witness argued that people hesitate to intervene because of fear of civil liability, while committee members said California already has strong self-defense and Good Samaritan laws and that the proposal could create confusion. The bill was not advanced at that time, with the chair emphasizing further conversations. AB 1684, which would prevent HOAs from restricting homeowners’ ability to install or replace compliant cooling systems, drew support from the author, a constituent statement, and supporters from the California Department Association and others; an HOA group opposed unless amended, citing association property rights and grid/power concerns. Members generally supported the concept, and the author said amendments addressed damage and code-compliance issues. AB 1892, a technical cleanup bill clarifying HOA duties on utility repairs, election notices, and electronic voting timelines, passed unanimously as amended. AB 2050, requiring a formula for HOA reserve funding and a phase-in period, also passed with broad support; witnesses said underfunded reserves lead to special assessments, insurance and mortgage problems, and deferred maintenance, while members framed it as a consumer-protection and affordability measure. AB 2106, extending certificate-of-merit protections for design professionals and requiring California-licensed experts in certain cases, passed with strong support from engineers, architects, landscape architects, and civil-justice groups. AB 2145, directing HCD to study seniors’ need and desire to downsize, passed after lenders and financial groups moved from opposition to neutral with amendments; supporters said it could help unlock larger homes for younger families. AB 2238, aimed at deterring meritless failure-to-maintain lawsuits against mobile home park owners by shifting fee exposure to attorneys, passed after amendments narrowed its focus. Supporters said some firms were using vague demand letters and frivolous claims to force settlements and raise insurance costs; opposition said the bill still needed refinement to protect meritorious resident claims. AB 2439, prompted by two authors’ own HOA payment problems, passed despite opposition concerns about community-wide certified-mail requirements and personal liability for board members; supporters said better notice is needed when payment processors change and that liens and collections can be unfairly imposed without notice. AB 2579, responding to the earlier $100 cap on HOA fines, passed as amended to create a Department of Real Estate process for serious health and safety violations; supporters said the cap had weakened enforcement, while members said the bill sought a better balance. Finally, SCR 89, reaffirming California’s commitment to diversity, equity, and inclusion, was presented as a response to federal attacks on DEI programs. The author and witnesses from the UC Student Association, National Action Network, and civil-rights and labor groups argued DEI is essential to fairness, access, and opportunity, especially for students and historically underserved communities. Members voiced strong support, describing DEI as central to California’s values, and the resolution moved forward with bipartisan support noted by the author.

Transcript Highlights:

• Further lack of investment has resulted in a higher rate of maternal and infant mortality.
• And you have mentioned in your comments the alarmingly high maternal mortality rates that we see for.
• specific recommendations that you would like to see the committee address when it comes to maternal mortality

Committee: Senate Indian Affairs Committee

Keywords: tribal sovereignty, healthcare, education, public safety, Economic Development, Tax Parity Act, PROTECT Act, trust obligations, bipartisan support, Indian Health Services

Summary: The committee meeting focused on crucial issues facing tribal nations, particularly emphasizing the federal government's trust and treaty obligations. The discussions highlighted ongoing challenges such as disparities in healthcare, education, and public safety within Native communities. Chair Murkowski underscored the importance of listening to Native leaders and aligning congressional efforts with community needs, advocating for legislative actions that support tribal sovereignty and economic development. Various initiatives, including the Tax Parity Act and the PROTECT Act, aimed at addressing jurisdictional and financial disparities, were discussed in detail. A call for bipartisan support to alleviate the funding shortages affecting Indian Health Services was made several times during the meeting. Testimonies from tribal leaders and representatives emphasized the dire need for legislative support to enhance infrastructure, healthcare access, and public safety initiatives in tribal communities.

Transcript Highlights:

• Ocelots are the leading known cause of mortality for ocelots in Texas.
• And since then, at that time, we have seen a significant reduction in ocelot mortality. Thank you.

Bills: HB370 , HB738 , HB2935 , HB3227 , HB4103 , HB5259 , SB519 , SB1350 , SB1247 , SB1248 , SB2112 , HCR81 , HCR83 , HCR84 , HCR59 , HCR109 , HCR111 , HCR135 , SCR6

Committee: House Culture, Recreation & Tourism

Transcript Highlights:

• Most environmental reviews are done by cities and counties.
• The level of review done is based on the potential level of impacts.
• A PEIS provides a review at a broad level.
• But that would be determined at the project-level review, not the PEIS level.
• It's very challenging for the tribe to engage in the FSEC review.

Summary: The committee held a work session on state environmental policy act (SEPA) implementation and carryout bags. Ecology staff Diane Buterak described the Clean Energy Programmatic Environmental Impact Statements (PEISs) completed for utility-scale solar, onshore wind, and green hydrogen, plus a new PEIS underway for sustainable aviation fuel. She explained that PEISs provide broad planning-level analysis to help developers and agencies avoid or mitigate impacts, but do not replace project-level review. Members asked about permitting timelines, greenhouse gas emissions from different hydrogen production methods, water use, agricultural land conversion, battery fire risk, and tribal consultation. Buterak said the PEISs identify potentially significant impacts and mitigation measures, including fire response planning, early tribal outreach, and agrovoltaics as an option for solar projects. EFSEC’s Amy Hofkimer then presented the transmission-facility programmatic EIS required by SB 5165 for 230 kV and higher transmission projects. She said the statewide review covers new lines and certain upgrades/modifications, analyzes impacts to water, cultural and tribal resources, habitat, and other areas, and uses general measures, design considerations, avoidance criteria, and sensitivity maps to guide siting and corridor planning. She said the final document would be issued in early October. Questions focused on reconductoring, tribal lands, scenic areas, and whether the review could affect existing lines crossing tribal lands. A Grant County planning director, Jim Anderson Cook, said Ecology’s PEIS would help with cumulative impacts for clustered solar projects, but noted tight local review timelines and the need for strong pre-application coordination, especially on cultural resource studies and decommissioning plans. Yakama Nation attorney Shona Leverett argued SEPA is only an assessment tool and said tribes face barriers from short comment periods, limited confidential tribal input, weak cumulative impact analysis, and challenges in the FSEC process; she urged better upfront developer diligence and more effective tribal coordination. Puget Sound Energy’s Sarah Leverett said the utility needs efficient and predictable permitting to meet clean energy mandates while maintaining reliable service and aging infrastructure. She described the scale of needed clean energy and transmission buildout, including a 10-year process for the Energize Eastside transmission rebuild, and said more consistent SEPA and PEIS processes could help. Members asked about future generation sources, reliability, and hydropower as a firming resource; she said PSE is pursuing an “all of the above” approach and would welcome more firm, dispatchable clean energy options. The committee then shifted to carryout bags. Staff Jacob Lipson and Tracy Taylor reviewed Washington’s bag law, its preemption of local ordinances, the current 8-cent charge, the scheduled increase to 12 cents, and the 2025 change delaying the 4-mil thickness requirement until 2028 while adding a temporary 4-cent penalty for thicker bags. Ecology’s Peter Lyon said the agency emphasizes education and complaint-based enforcement, has received 872 reports, and has not yet imposed any fines. Commerce’s Kirk Esmond summarized a WSU study finding fewer plastic bags distributed but more plastic by weight, and said Commerce and Ecology support keeping the 2.25-mil standard and not allowing thinner single-use bags again. Retail industry testimony from Brandon Housekeeper said grocers comply with the law but oppose the added 4-cent penalty and thicker-bag requirement, citing higher costs and confusion in the policy changes.

Transcript Highlights:

• The importance of birth data and identifiers, the maternal mortality review, linking birth and death
• </c> gave this bill to my staff to review gave this bill to my staff to review they<02:35:56.319><c>
• Review Committee, which is vital for helping moms across New Hampshire from the maternal mortality crisis
• c> is</c> mortality Review Committee which is mortality Review Committee which is vital<02:43:16.800>
• </c><02:43:25.160><c> crisis</c><02:43:26.160><c> um</c> She said the Maternal Mortality Review Committee

Committee: House Health, Human Services & Elderly Affairs

Summary: The House Committee on Health, Human Services and Elderly Affairs heard testimony on House Bill 606, as amended, a bill aimed at preventing physicians from denying medically necessary sterilizing or fertility-affecting treatment based on a patient’s age, number of children, marital status, or a doctor’s speculation about future reproductive intentions. Representative Ellen Reed, the sponsor, described the bill as a response to her own long experience with PCOS, heavy bleeding, and repeated refusals by doctors to perform a hysterectomy despite her clear wishes. She said the amendment narrows the bill to medically necessary care, adds definitions for “medical condition” and “appropriate reproductive care,” and removes earlier provisions about voluntary sterilization referrals. She also said the bill does not target religious objections, and that doctors could still refuse for medical, payment, or existing religious reasons not addressed by the bill. Committee members asked about religious freedom, informed consent versus waivers, and the scope of the new definitions. Reed responded that religion was not added to the list of prohibited reasons for denial, and that the amendment is intended to protect doctors when patients sign informed consent or waivers. She explained that “appropriate reproductive care” includes procedures such as hysterectomy, oophorectomy, orchiectomy, salpingectomy, and endometrial ablation, and that the bill now focuses on medically necessary treatment rather than elective sterilization. She said the change was intended to make the proposal narrower and more tailored after earlier concerns. Several witnesses supported the bill with personal accounts of being denied hysterectomies or other procedures despite serious symptoms. Representative Lauren Selig described a decade-long effort to obtain a hysterectomy after years of cycle problems and migraines, saying doctors dismissed her concerns and treated her symptoms as normal. Jade Flad also testified in support, saying she had long been told to simply endure her cycle problems and noted that her husband was offered a vasectomy without similar barriers. The sponsor said online support was strong and that there was little or no written opposition testimony. No vote or final committee action was taken during the portion of the hearing provided.

Transcript Highlights:

• Those come out of the work of legislators spending countless hours with nonpartisan staff and reviewing
• Those come out of the work of legislators spending countless hours with nonpartisan staff and reviewing
• a 11% higher infant mortality rate than states that don't have these bans in place.
• have mortality on average in states that have abortion<02:39:22.720><c> bans</c><02:39:23.600><c> um
• <02:39:52.160><c> rate</c><02:39:52.880><c> 155%</c> mortality rate 155% mortality rate 155% higher<02

Transcript Highlights:

• </c><00:42:41.680><c> by</c><00:42:42.240><c> professionals</c> are reviewed by professionals are reviewed
• </c><02:31:04.319><c> study</c> that produces a peer-reviewed study that produces a peer-reviewed study
• I have four infant mortality rate.
• ,</c><03:06:06.960><c> study,</c> it say that ADM cannot review, study, it say that ADM cannot review
• ,</c> or vetted peer review, or vetted peer review, &gt;&gt; let's<03:06:30.880><c> deal</c><03:06:31.040