Transcript Highlights:

• We have medicines now on our formulary, our gene therapies.
• <01:03:36.000> I on our formulary our gene therapies.
• I on our formulary our gene therapies.
• or gene therapies that that we cover. or gene therapies that that we cover.
• <01:10:23.360> that terms of these high-cost therapies that terms of these high-cost therapies

Keywords: 928, house, all

Summary: The committee first handled roll call and approved the prior meeting minutes. Members discussed attendance and substitutions, then moved to the DHS commissioner’s update, which focused on New Hampshire’s Medicaid 1115 waiver and the new community re-entry initiative for people leaving correctional facilities. The presenter explained that the waiver lets the state cover certain services not normally covered under Medicaid, including substance use disorder treatment, serious mental illness services, adult dental benefits, and the new community re-entry component. She also noted that a separate youth re-entry component is federally required, with youth defined up to age 21 and foster-care-related coverage extending to age 26. The update described how the adult re-entry program works for incarcerated individuals with behavioral health needs, providing up to 45 days of pre-release services, care coordination with managed care organizations and DOC staff, telemedicine assessments, discharge prescriptions, insurance cards, and connections to community mental health, primary care, and substance use providers. For youth, the program includes more intensive case management, 30 days of pre-release services, and 30 days of post-release care coordination, with a stronger emphasis on screening, diagnosis, and holistic assessment. The presenter said New Hampshire received the adult waiver in July 2024, has implemented the program in state correctional facilities, and is beginning work at the youth center. Members and the presenter discussed why the program is structured as a waiver rather than a standard Medicaid benefit, with the explanation that CMS is allowing this as a newer policy area and that states generally pursue waivers for certain services. The chair and others emphasized the need for real cost and outcome data, and the presenter said an independent evaluator and evaluation plan are required under the 1115 waiver. Early results cited included 30 adults enrolled so far, 10 released, five youth enrolled with one released, and anecdotal early successes such as housing, employment, and better continuity of medication and treatment. The committee did not take any additional votes or formal actions beyond approving the minutes.

Transcript Highlights:

• of a curative therapy for MLDD in the US.
• available therapy.
• Making this therapy available therapy.
• <00:10:22.399> I curative therapy for MLDD in the US.
• I curative therapy for MLDD in the US.

Keywords: 1187, senate, all

Transcript Highlights:

• Then it goes on and defines those as a nonprofit providing physical therapy, occupational therapy, or
• speech therapy.
• Those clinics must provide physical therapy, occupational therapy, or speech therapy, and must have 50%
• occupational therapy<01:37:31.000> or<01:37:31.199> speech<01:37:31.880> therapy
• <01:39:15.239> are physical and occupational therapy are physical and occupational therapy

Keywords: 1187, senate, all

Transcript Highlights:

• So, we just eliminated the visit limit for all speech therapy.
• um the elimination of speech therapy um the elimination of speech therapy visits<00:51:17.760>
• visits for speech therapy for treatment of<00:51:25.040> stuttering.
• Uh we also proposed all speech therapy.
• And for many speech language therapy.

Keywords: Meeting Start 00:00:00 Call to Order and Roll Call 00:00:23 Kentucky Bankers Association 00:02:32 How to Read and Understand KRS 6.948 Health Mandate and Federal Cost Defrayal Impact Statements 00:25:40 Proposed Amendments to Kentucky's Essential Health Benefit-Benchmark Plan 00:50:18 Proposed Health Insurance Legislation for the 2026 Session 01:04:22 Reimbursement for Covered Benefits Delivered Through the Psychiatric Collaborative Care Model 01:01:46 Coverage of Eating or Feeding Disorders 01:18:47 Coverage of Hearing Loss 01:25:31, 958, all

Summary: The Interim Joint Committee on Banking and Insurance met for its first interim meeting, established a quorum, approved routine opening items, and welcomed a new committee assistant and a legislative intern. The committee first heard a Kentucky Bankers Association presentation from Tim Shank and John Cooper focused on the state’s housing shortage, which they described as affecting all 120 counties and especially low- and moderate-income and workforce housing. They urged support for a proposed $20 million banker-backed revolving fund, paired with tax credits, to finance new housing construction; they said the program would be flexible, could support alternatives such as manufactured housing, and would use below-market loans with tax credits vesting over five years only after units are completed. They also asked for extension of the historical tax credit carryforward from five to seven years and for continued support of new market tax credits, arguing that supply-chain delays make the longer period necessary for historic rehabilitation projects. The bankers also raised concerns about credit unions, arguing that because credit unions do not pay the same taxes as banks, they should not be allowed to acquire healthy state-chartered banks or hold state and local deposits. They cited the recent purchase of First State Bank of Middlesborough as an example, saying the transaction would reduce state, county, and city tax revenue and weaken local tax bases. In response to committee questions, the presenters said local regulations, zoning, parking, sidewalk, and utility easement issues can significantly delay housing projects, and they emphasized that state policy and infrastructure support are needed to help address affordability and development barriers. The committee then shifted to a Department of Insurance presentation by Commissioner Sharon Clark on how to read KRS 6.948 health mandate and federal cost defrayal impact statements. Clark explained that the mandate statements were created in 1998 so legislators would have actuarial estimates of how proposed health insurance mandates would affect administrative costs, premiums, and total costs, and she noted that later legislation added federal cost-defrayal analysis. She also reviewed the background of the Affordable Care Act’s essential health benefits framework and said the department’s statements are intended to help lawmakers make informed decisions on proposed health coverage mandates. No votes or formal actions were taken during the portion of the meeting provided.

Transcript Highlights:

• The allowable injectable substances include injection only; no intravenous therapy is permitted, and
• The amendment requires the Board of Occupational Therapy to establish continuing education courses and
• The amendment requires the Board of Occupational Therapy to establish continued education courses and
• Public testimony, we have Anita Berry with the Florida Occupational Therapy Association, waiving and
• It pays for life-sustaining medications, durable medical equipment, therapies, personal care attendants

Summary: The Health and Human Services Committee considered eight bills and reported all of them favorably, several as amended. HB 1347 on clinical laboratory personnel was presented as a response to staffing shortages in Florida labs; the sponsor and Quest Diagnostics supported aligning state licensure with CLIA standards to improve hiring and turnaround times. The bill passed 24-0. CS/HB 47, dealing with specific medical diagnoses in child protective investigations, drew extensive emotional testimony from parents and advocates who said children had been wrongly removed after misdiagnoses; the bill was amended to tighten timelines and record-sharing requirements, then passed 26-0. CS/HB 287 created a public records exemption for applicants, owners, operators, and references of family foster homes and passed unanimously. The committee also approved CS/HB 439, allowing chiropractors to inject vitamins and nutrients under training and safety limits, after an amendment clarified they may not prescribe prescription drugs; it passed 26-0. CS/HB 1021 would allow pharmacists to administer medications in trauma centers under physician direction, and an amendment added pediatric trauma centers; it passed 26-0. HB 867 would let occupational therapists perform dry needling after specified training and supervision, and it passed 25-0. HB 1309, which shortens deadlines for patients to access their medical records and aligns nursing home access rules with federal law, drew opposition from health information management groups over privacy and portal/data-security concerns, but supporters argued it simply speeds access to records; it passed 21-5. CS/HB 915 codifies and expands Medicaid eligibility protections for working people with disabilities so they can keep coverage while employed, with strong support from disability advocates and emotional testimony from the sponsor about her son’s benefits concerns; it passed 26-0. After these votes, the committee adjourned.

Transcript Highlights:

• disability and elderly waivers, home health agency services, which includes home health aide, rehab therapy
• disability and elderly waivers, home health agency services, which includes home health aide, rehab therapy
• Home health agency services include home health aide, rehab therapy, skilled nursing visit services,
• from going into home care services right after graduating from a program, whether it be nursing or therapy
• from going into home care services right after graduating from a program, whether it be nursing or therapy

Keywords: 1183, house

Transcript Highlights:

• , whether it's occupational therapy, physical therapy.
• But those types of services are being requested, as well as, like I said, the different therapies that
• them work through their issues, whether that's physical therapy, occupational therapy.
• We need to get them these therapies. It's expensive to do that.
• We need to get them these therapies.

Keywords: 908, all

Transcript Highlights:

• the licensures across states are based on the Commission on Accreditation for Marriage and Family Therapy
• :27:25.240> Marriage<00:27:25.520> and<00:27:25.600> Family<00:27:25.840> Therapy
• for Marriage and Family Therapy for Marriage and Family Therapy Education<00:27:26.920> or
• are required to have 3 to 500 therapy are required to have 3 to 500 therapy hours<00:27:44.280><
• My name is Steven Curley, and I'm the executive director for the Kentucky Board of Physical Therapy.

Keywords: The livestream event for this meeting cut off shortly after the meeting began. This is the complete copy pulled from back ups., 958, all

Transcript Highlights:

• He was released with a recommendation that he receive therapy weekly.
• $8,000, along with family therapy costing over $3,000.
• “Is just as effective as hormone therapy. Thank you. Thank you.
• , and the age at which she would start taking hormone replacement therapy.
• That's when I heard about psychedelic-assisted therapy using ibogaine.

Summary: The Assembly Health Committee heard a long agenda of health bills focused on access to preventive care, behavioral health, hospital services, and patient safety. Early items included AB 554, which would expand and protect access to HIV prevention drugs like PrEP, including injectable forms and coverage protections; supporters said it would shore up access amid federal threats, while insurers opposed it as a costly benefit mandate. AB 577 would limit insurer and PBM practices that steer medications away from physician offices and require more transparency and patient consent; doctors and patient advocates supported it, while health plans and insurers warned it could raise drug costs and disrupt specialty pharmacy networks. AB 546 would require coverage for portable HEPA purifiers for vulnerable enrollees during declared emergencies, especially wildfire smoke events, with support from air quality and public health groups and opposition from insurers concerned about benefit expansion and cost. The committee also heard AB 224, which would codify California’s updated essential health benefits benchmark plan after a public review process, adding infertility treatment, hearing aids, and durable medical equipment if approved by CMS for the 2027 plan year. DMHC said the state had completed the review and needed legislation to meet federal timing, and the measure drew broad support. AB 1032 would require plans and insurers to reimburse up to 12 additional behavioral health visits for enrollees in wildfire-affected counties for a limited period after an emergency; supporters argued it would fill gaps in trauma care after disasters, while insurers said existing parity and continuity-of-care rules already address the issue and that the bill could create inequities. AB 849 would require trained chaperones for sensitive ultrasound exams and training on how to observe and intervene; it was backed by a survivor and patient advocates, with hospitals and health districts raising staffing concerns. Later, AB 1196 would direct the Department of Public Health to update outdated rules requiring three surgeons for certain heart surgeries using cardiopulmonary bypass; supporters said the rule no longer reflects modern practice and strains staffing, while cardiology representatives had no formal opposition but wanted to review amendments. AB 1113 would codify a right to wear a mask for health reasons in public spaces, with support from disability and public health groups. AB 1386 sought to add perinatal care to the list of basic hospital services, prompting testimony about maternity ward closures, workforce shortages, and rural access; the author said the bill would be amended further and that the committee would need to revisit timelines and implementation details. The committee also heard AB 1429, which would address Kaiser’s repeated mental health parity violations and improve access to behavioral health care, though the transcript cuts off before any action on that bill is shown. Several bills were moved with motions and seconds, but many were held for quorum; AB 1196, AB 1113, and AB 1386 were among the measures advanced to a roll call or held on call, and the committee repeatedly noted that final votes would occur when quorum was available.

Transcript Highlights:

• This is our cell and gene therapy policy.
• There's a lot of work that is going on with cell and gene therapies.
• So what we are proposing to do is actually exclude all cell and gene therapies at this point so that
• professionals that are involved in evaluating the efficacy and, you know, the advancement of these therapies
• professionals that are involved in evaluating the efficacy and the, you know, advancement of these therapies

Summary: The State Insurance Programs Oversight Subcommittee met on June 17 and reviewed a series of Employee Benefits Division and Office of Property Risk items. Grant Wallace presented March and April formulary changes, explaining that the updates favored lower-cost generics, re-tiered some drugs, left several new-to-market drugs uncovered pending more evidence, and added quantity limits in some cases. The committee approved those formulary recommendations. The subcommittee also approved a cell and gene therapy policy that would exclude automatic coverage of those therapies and route them through prior authorization and review, with members noting the process should not delay urgent cases and that appeals remain available. Members then discussed a UAMS professional consultant services contract amendment for pharmacy benefit consulting. The discussion focused on confusion over the dollar amount and scope, with Wallace clarifying that the committee was being asked to approve up to $2.596 million, including optional services related to coupon and rebate management that could be used later without returning for another approval. Several members raised concerns about matching the written contract to the approval amount and about the relationship to the current pharmacy benefit manager, but the committee ultimately approved the item with the understanding that any use of the optional services would return to the committee. The committee also reviewed, without objection, a Blue Cross/Blue Advantage third-party administrator contract, a CompSack employee assistance program contract, and approved proposed 2027 employee and public school health plan rates of 9.8% and 4.9% increases, respectively. Wallace also said the UnitedHealthcare rebid was in final negotiation and would return in August. On the property risk side, the committee reviewed permanent rules for the property insurance program, a contingency-fee subrogation contract with Denenberg-Tuffly, and extensions for Sedgwick Claims Management, Actuarial Advantage, and Stevens Capital Management. Members asked about claim-adjustment delays after a major winter storm, and Wallace said performance guarantees and communication requirements had been added, with claims still expected to vary by case. The committee also approved 2026-27 captive insurance program rates, which included no change to minimum deductibles, lower rates for K-12 and higher education, a higher rate for state agencies, and an overall 10% reduction. Wallace said the reductions reflected improved actuarial foundations, better claims management, and the program’s first-year performance. The meeting adjourned after approving the rate item.

Transcript Highlights:

• As we passed the occupational therapy licensure compact last session, there was an omission either in
• So there is nothing that relates to the occupational therapy compact that's in this bill.
• issue is trying to find an appropriate home to add a provision, which would give the Occupational Therapy
• prophylaxis for non-occupational exposure to human immunodeficiency virus infection, nicotine replacement therapy
• prophylaxis for non-occupational exposure to human immunodeficiency virus infection, nicotine replacement therapy

Keywords: 908, all

Summary: The committee reviewed four bill drafts for the Rural Health Transformation effort. The first required the presidential physical fitness test in PE classes; members asked about DPI and school support, then moved and approved the draft. The second required physicians to complete one hour of continuing education on nutrition and metabolic health each renewal cycle and included legislative intent encouraging other health boards to consider nutrition-related CE; it was approved after brief discussion. The third bill adopted the Physician Assistant Licensure Compact. Members discussed a separate issue involving occupational therapy compact background checks and whether that fix could be added now or would need to wait until later; the committee also discussed Board of Medicine input and the compact’s workforce benefits. The draft was moved forward to the full committee. The fourth bill expanded pharmacists’ prescriptive authority and therapeutic substitution. Legislative Council explained the draft, and Senator Roars proposed substantial amendments to narrow motion sickness, UTI, diabetes supply, and substitution provisions. Members debated whether to vote on amendments now or wait for the special session public hearing; concerns were raised about transparency, stakeholder input, and avoiding premature action. No amendment vote was taken, and the bill was left for later consideration. The committee then recessed until the next day.

Transcript Highlights:

• We have access to advanced gene-based therapies and outreach education-based screening and prevention
• <00:18:23.760> and to advanced gene based therapies and to advanced gene based therapies and
• We make referrals for genetic counseling, bone marrow transplant, and gene therapy.
• He's going through physical therapy and he's trying to uh make it through, but I got a text when we were
• He's going through physical therapy and He's going through physical therapy and he's<00:35:30.960>

Keywords: 1136, house, all

Transcript Highlights:

• VA most often provides antidepressants and other medications. combined with therapy.
• One thing that I hear from veterans is about the benefit of alternative therapies like acupuncture and
• massage therapy that can be really game-changing in terms of alleviating physical pain, but we know
• So I'm wondering if you could discuss the net need to be able to focus on alternative therapies.
• Like massage therapy and the difference that that can make for veterans. Thank you, sir.

Keywords: veteran services, Secretary Collins, healthcare provisions, contract cancellations, transparency, accountability, committee meeting, legislation

Summary: During this committee meeting, various bills were discussed with a specific focus on veteran services and healthcare provisions. Notably, the cancellation of critical contracts under Secretary Collins sparked significant debate, with representatives emphasizing the adverse impact on veteran care. The meeting featured testimonies from veterans and stakeholders who expressed their concerns regarding the potential fallout of these cancellations, demonstrating the urgency of transparency and accountability in management decisions. Discussions also delved into various legislative proposals aimed at improving services for veterans amidst these challenges.

Transcript Highlights:

• Venture capitalists don't invest in a promising drug or therapy in order to help that university where
• UMass Memorial Medical Center had just started introducing CAR T-cell therapy.
• I was able to walk on my own just a couple of months post CAR T-cell therapy, and three years later,
• The next generation of these therapies has to be affordable, accessible, safe, and sustainable.
• Together, we can turn today's breakthroughs into tomorrow's therapies. Thank you.

Keywords: 995, all

Summary: The committee on Economic Development held a hearing on the DRIVE Act, a proposal to invest $400 million in Massachusetts research and innovation without new taxes. Governor Healey and administration officials said the bill would direct $200 million to public higher education research and regional partnerships and $200 million to a research funding pool for hospitals, universities, and other institutions, with the goal of retaining talent, leveraging private and philanthropic dollars, and offsetting major federal R&D cuts. They argued that research is a core economic engine for the state, supporting jobs across labs, construction, services, and surrounding businesses, and said the bill would help protect the Commonwealth’s tax base and competitiveness during a period of federal uncertainty and cuts to SNAP, Medicaid, and other programs. Committee members raised concerns about whether Fair Share surtax dollars should instead be used for K-12 and other community needs, whether the proposal is enough given the scale of lost federal grants, and how the money would be allocated. The governor responded that the funds are one-time surplus dollars, that most surtax revenue already supports education, and that the bill is meant as a bridge to stabilize public higher education and research. She also said the legislation includes a review board and could support a revolving or matched-fund approach in some cases. Several members pressed for more detail on selection criteria, future funding, and whether private companies and large endowments should contribute more. University of Massachusetts leaders and researchers testified that federal grant cancellations and delays are already causing layoffs, furloughs, rescinded admissions, and lost research capacity. UMass officials said the bill would help preserve faculty, postdocs, graduate students, and research programs in medicine, climate science, marine science, Braille instruction, and AI decision-making. They emphasized that the funding should be merit-based and that the state needs to act quickly to prevent talent from leaving Massachusetts. Business, labor, and industry groups, including MassBio, the Massachusetts Taxpayers Foundation, AIM, the AFL-CIO, and Building Trades, supported the bill, saying it would protect jobs, sustain the innovation ecosystem, and reinforce Massachusetts’ national leadership in research and life sciences. No vote was taken in the hearing.

Transcript Highlights:

• board of examiners in a therapy board of examiners in a therapy board of examiners in a professional
• fund in marriage and family therapy fund in marriage and family therapy fund 100,000 as provided in
• 1975 total marriage and family therapy 1975 total marriage and family therapy board of examiners in
• Alabama Board 9,420 58 Massage Therapy Alabama Board 9,420 58 Massage Therapy Alabama Board of of of
• Alabama state 7611 respiratory therapy Alabama state 7611 respiratory therapy Alabama state board of

Bills: SJR 59, SCR 30, SCR 46, SB 31, SB 127, SB 324, SB 401, SB 407, SB 467, SB 482, SB 506, SB 529, SB 584, SB 619, SB 636, SB 646, SB 647, SB 659, SB 715, SB 732, SB 735, SB 771, SB 784, SB 800, SB 801, SB 816, SB 1013, SB 1026, SB 1049, SB 1055, SB 1065, SB 1137, SB 1169, SB 1181, SB 1383, SB 1395, SB 1410, SB 1433, SB 1524, SB 1531, SB 1568, SB 1640, SB 1666, SB 1681, SB 1718, SB 1754, SB 1757, SB 1972, SB 1980, SB 2004, SB 2007, SB 2041, SB 2046, SB 2050, SB 2075, SB 2076, SB 2154, SB 2173, SB 2206, SB 2225, SB 2253, SB 2268, SB 2306, SB 2308, SB 2314, SB 2322, SB 2330, SB 2351, SB 2366, SB 2371, SB 2392, SB 2398, SB 2476, SB 2533, SB 2540, SB 2544, SB 2589, SB 2610, SB 2623, SB 2660, SB 2662, SB 2693, SB 2707, SB 2717, SB 2722, SB 2742, SB 2753, SB 2779, SB 2807, SB 2843, SB 2844, SB 2858, SB 2877, SB 2880, SB 2885, SB 2920, SB 2938, SB 2986, HJR 4, HCR 35, SJR 3, SJR 18, SB 5, SB 260, SB 1786, SB 914, SB 963, SB 1197, SB 1415, SB 1437, SJR 36, SJR 50, SJR 63, SJR 84, SJR 59, SCR 12, SCR 39, SCR 46, SCR 48, SCR 19, SCR 30, SCR 3, SB 2023, SB 1433, SB 2322, SB 2877, SB 407, SB 1718, SB 1395, SB 62, SB 666, SB 847, SB 284, SB 854, SB 1073, SB 810, SB 1505, SB 583, SB 1502, SB 507, SB 1026, SB 1434, SB 1376, SB 1585, SB 1772, SB 2016, SB 1163, SB 619, SB 1122, SB 732, SB 731, SB 397, SB 508, SB 1436, SB 287, SB 261, SB 1882, SB 393, SB 1791, SB 529, SB 209, SB 2429, SB 1999, SB 511, SB 2309, SB 510, SB 2253, SB 584, SB 1085, SB 2314, SB 2046, SB 1975, SB 2717, SB 1262, SB 1524, SB 1137, SB 636, SB 2056, SB 884, SB 517, SB 1200, SB 1410, SB 1845, SB 1863, SB 2681, SB 2200, SB 2199, SB 1757, SB 2050, SB 2458, SB 2201, SB 1055, SB 2660, SB 2662, SB 1065, SB 801, SB 2533, SB 3014, SB 3013, SB 758, SB 647, SB 1721, SB 2268, SB 2366, SB 1013, SB 2797, SB 2371, SB 2383, SB 646, SB 1169, SB 1754, SB 2779, SB 2004, SB 2119, SB 2448, SB 1777, SB 1283, SB 2392, SB 2076, SB 2786, SB 2876, SB 2284, SB 2225, SB 1540, SB 2920, SB 2929, SB 1972, SB 2540, SB 2742, SB 2595, SB 2217, SB 715, SB 2330, SB 1383, SB 500, SB 1640, SB 2001, SB 2080, SB 2722, SB 506, SB 2514, SB 2623, SB 2753, SB 2398, SB 1241, SB 2927, SB 2173, SB 2538, SB 898, SB 467, SB 1449, SB 2529, SB 1531, SB 2846, SB 2476, SB 986, SB 1181, SB 2075, SB 2154, SB 2864, SB 31, SB 2880, SB 1359, SB 2386, SB 771, SB 2844, SB 2550, SB 1351, SB 1423, SB 1931, SB 2245, SB 2589, SB 2707, SB 2807, SB 2351, SB 410, SB 659, SB 816, SB 2776, SB 2693, SB 2580, SB 1980, SB 1886, SB 1234, SB 739, SB 482, SB 456, SB 127, SB 1666, SB 2843, SB 2801, SB 800, SB 2055, SB 784, SB 2986, SB 735, SB 1012, SB 324, SB 2926, SB 2938, SB 2007, SB 2138, SB 1242, SB 2615, SB 1049, SB 2310, SB 1224, SB 2972, SB 1568, SB 2841, SB 2885, SB 3016, SB 2858, SB 2610, SB 2139, SB 1856, SB 2035, SB 2308, SB 2306, SB 2041, SB 1528, SB 1681, SB 1141, SB 2401, SB 2530, SB 2375, SB 547, SB 1266, SB 1373, SB 1467, SB 2069, SB 2269, SB 2480, SB 2544, SB 672, SB 904, SB 2695, SB 2891, SB 2422, SB 2543, SB 1854, SB 317, SB 2539, SB 2532, SB 2925, SB 1250, SB 2082, SB 2203, SB 457, SB 2357, HJR 4, HB 135, HB 1109, HCR 35, HCR 64, SB 2721, SB 243, SB 1285, SB 2568, SB 1959, SB 1442, SB 1454, SB 2520, SB 2541, SB 1708, SB 1237, SB 1844, SB 1586, SB 1, SB 260, SB 31, SB 467, SB 482, SB 647, SB 732, SB 816, SB 1055, SB 1137, SB 1169, SB 2004, SB 2253, SB 2268, SB 2314, SB 2351, SB 2371, SB 2623, SB 2722, SB 2779, SB 2920, HJR 4, SB 407, SB 1395, SB 1433, SB 1718, SB 2322, SB 2877, SB 619, SB 646, SB 1026, SB 2742, SB 2880, SR 443, SR 449, SR 456, SR 460, SR 465, SCR 46, SB 260, SB 3062, HJR 8, HJR 31, HJR 72, HJR 99, HJR 133, HB 29, HB 33, HB 50, HB 107, HB 116, HB 125, HB 140, HB 141, HB 155, HB 171, HB 227, HB 255, HB 363, HB 368, HB 491, HB 609, HB 630, HB 745, HB 767, HB 913, HB 917, HB 1135, HB 1188, HB 1238, HB 1242, HB 1261, HB 1318, HB 1404, HB 1495, HB 1507, HB 1606, HB 1708, HB 1748, HB 1851, HB 1922, HB 2002, HB 2003, HB 2198, HB 2355, HB 2358, HB 2415, HB 2457, HB 2495, HB 2546, HB 2637, HB 2763, HB 2765, HB 2798, HB 2818, HB 3228, HB 3307, HB 4116, HCR 29, SB 1410, SB 3062, HJR 8, HJR 31, HJR 72, HJR 99, HJR 133, HB 29, HB 33, HB 50, HB 107, HB 116, HB 125, HB 140, HB 141, HB 155, HB 171, HB 227, HB 255, HB 363, HB 368, HB 491, HB 609, HB 630, HB 745, HB 767, HB 913, HB 917, HB 1135, HB 1188, HB 1238, HB 1242, HB 1261, HB 1318, HB 1404, HB 1495, HB 1507, HB 1606, HB 1708, HB 1748, HB 1851, HB 1922, HB 2002, HB 2003, HB 2198, HB 2355, HB 2358, HB 2415, HB 2457, HB 2495, HB 2546, HB 2637, HB 2763, HB 2765, HB 2798, HB 2818, HB 3228, HB 3307, HB 4116, HCR 29, SB 1410

Keywords: education funding, Texas State Technical College System, capital projects, infrastructure, higher education, Birding Capital, Matagorda County, wildlife, conservation, Texas Legislature, Texas beef, cattle industry, agricultural heritage, Texas strip steak, economic growth, SB 31, Life of the Mother Act, Texas abortion law, medical emergency, reasonable medical judgment

Transcript Highlights:

• board of examiners in a therapy board of examiners in a therapy board of examiners in a professional
• fund in marriage and family therapy fund in marriage and family therapy fund 100,000 as provided in
• 1975 total marriage and family therapy 1975 total marriage and family therapy board of examiners in
• Alabama Board 9,420 58 Massage Therapy Alabama Board 9,420 58 Massage Therapy Alabama Board of of of
• Alabama state 7611 respiratory therapy Alabama state 7611 respiratory therapy Alabama state board of

Bills: SJR 59, SCR 30, SCR 46, SB 31, SB 127, SB 324, SB 401, SB 407, SB 467, SB 482, SB 506, SB 529, SB 584, SB 619, SB 636, SB 646, SB 647, SB 659, SB 715, SB 732, SB 735, SB 771, SB 784, SB 800, SB 801, SB 816, SB 1013, SB 1026, SB 1049, SB 1055, SB 1065, SB 1137, SB 1169, SB 1181, SB 1383, SB 1395, SB 1410, SB 1433, SB 1524, SB 1531, SB 1568, SB 1640, SB 1666, SB 1681, SB 1718, SB 1754, SB 1757, SB 1972, SB 1980, SB 2004, SB 2007, SB 2041, SB 2046, SB 2050, SB 2075, SB 2076, SB 2154, SB 2173, SB 2206, SB 2225, SB 2253, SB 2268, SB 2306, SB 2308, SB 2314, SB 2322, SB 2330, SB 2351, SB 2366, SB 2371, SB 2392, SB 2398, SB 2476, SB 2533, SB 2540, SB 2544, SB 2589, SB 2610, SB 2623, SB 2660, SB 2662, SB 2693, SB 2707, SB 2717, SB 2722, SB 2742, SB 2753, SB 2779, SB 2807, SB 2843, SB 2844, SB 2858, SB 2877, SB 2880, SB 2885, SB 2920, SB 2938, SB 2986, HJR 4, HCR 35, SJR 3, SJR 18, SB 5, SB 260, SB 1786, SB 914, SB 963, SB 1197, SB 1415, SB 1437, SJR 36, SJR 50, SJR 63, SJR 84, SJR 59, SCR 12, SCR 39, SCR 46, SCR 48, SCR 19, SCR 30, SCR 3, SB 2023, SB 1433, SB 2322, SB 2877, SB 407, SB 1718, SB 1395, SB 62, SB 666, SB 847, SB 284, SB 854, SB 1073, SB 810, SB 1505, SB 583, SB 1502, SB 507, SB 1026, SB 1434, SB 1376, SB 1585, SB 1772, SB 2016, SB 1163, SB 619, SB 1122, SB 732, SB 731, SB 397, SB 508, SB 1436, SB 287, SB 261, SB 1882, SB 393, SB 1791, SB 529, SB 209, SB 2429, SB 1999, SB 511, SB 2309, SB 510, SB 2253, SB 584, SB 1085, SB 2314, SB 2046, SB 1975, SB 2717, SB 1262, SB 1524, SB 1137, SB 636, SB 2056, SB 884, SB 517, SB 1200, SB 1410, SB 1845, SB 1863, SB 2681, SB 2200, SB 2199, SB 1757, SB 2050, SB 2458, SB 2201, SB 1055, SB 2660, SB 2662, SB 1065, SB 801, SB 2533, SB 3014, SB 3013, SB 758, SB 647, SB 1721, SB 2268, SB 2366, SB 1013, SB 2797, SB 2371, SB 2383, SB 646, SB 1169, SB 1754, SB 2779, SB 2004, SB 2119, SB 2448, SB 1777, SB 1283, SB 2392, SB 2076, SB 2786, SB 2876, SB 2284, SB 2225, SB 1540, SB 2920, SB 2929, SB 1972, SB 2540, SB 2742, SB 2595, SB 2217, SB 715, SB 2330, SB 1383, SB 500, SB 1640, SB 2001, SB 2080, SB 2722, SB 506, SB 2514, SB 2623, SB 2753, SB 2398, SB 1241, SB 2927, SB 2173, SB 2538, SB 898, SB 467, SB 1449, SB 2529, SB 1531, SB 2846, SB 2476, SB 986, SB 1181, SB 2075, SB 2154, SB 2864, SB 31, SB 2880, SB 1359, SB 2386, SB 771, SB 2844, SB 2550, SB 1351, SB 1423, SB 1931, SB 2245, SB 2589, SB 2707, SB 2807, SB 2351, SB 410, SB 659, SB 816, SB 2776, SB 2693, SB 2580, SB 1980, SB 1886, SB 1234, SB 739, SB 482, SB 456, SB 127, SB 1666, SB 2843, SB 2801, SB 800, SB 2055, SB 784, SB 2986, SB 735, SB 1012, SB 324, SB 2926, SB 2938, SB 2007, SB 2138, SB 1242, SB 2615, SB 1049, SB 2310, SB 1224, SB 2972, SB 1568, SB 2841, SB 2885, SB 3016, SB 2858, SB 2610, SB 2139, SB 1856, SB 2035, SB 2308, SB 2306, SB 2041, SB 1528, SB 1681, SB 1141, SB 2401, SB 2530, SB 2375, SB 547, SB 1266, SB 1373, SB 1467, SB 2069, SB 2269, SB 2480, SB 2544, SB 672, SB 904, SB 2695, SB 2891, SB 2422, SB 2543, SB 1854, SB 317, SB 2539, SB 2532, SB 2925, SB 1250, SB 2082, SB 2203, SB 457, SB 2357, HJR 4, HB 135, HB 1109, HCR 35, HCR 64, SB 2721, SB 243, SB 1285, SB 2568, SB 1959, SB 1442, SB 1454, SB 2520, SB 2541, SB 1708, SB 1237, SB 1844, SB 1586, SB 1, SB 260, SB 31, SB 467, SB 482, SB 647, SB 732, SB 816, SB 1055, SB 1137, SB 1169, SB 2004, SB 2253, SB 2268, SB 2314, SB 2351, SB 2371, SB 2623, SB 2722, SB 2779, SB 2920, HJR 4, SB 407, SB 1395, SB 1433, SB 1718, SB 2322, SB 2877, SB 619, SB 646, SB 1026, SB 2742, SB 2880, SR 443, SR 449, SR 456, SR 460, SR 465, SCR 46, SB 260, SB 3062, HJR 8, HJR 31, HJR 72, HJR 99, HJR 133, HB 29, HB 33, HB 50, HB 107, HB 116, HB 125, HB 140, HB 141, HB 155, HB 171, HB 227, HB 255, HB 363, HB 368, HB 491, HB 609, HB 630, HB 745, HB 767, HB 913, HB 917, HB 1135, HB 1188, HB 1238, HB 1242, HB 1261, HB 1318, HB 1404, HB 1495, HB 1507, HB 1606, HB 1708, HB 1748, HB 1851, HB 1922, HB 2002, HB 2003, HB 2198, HB 2355, HB 2358, HB 2415, HB 2457, HB 2495, HB 2546, HB 2637, HB 2763, HB 2765, HB 2798, HB 2818, HB 3228, HB 3307, HB 4116, HCR 29, SB 1410, SB 3062, HJR 8, HJR 31, HJR 72, HJR 99, HJR 133, HB 29, HB 33, HB 50, HB 107, HB 116, HB 125, HB 140, HB 141, HB 155, HB 171, HB 227, HB 255, HB 363, HB 368, HB 491, HB 609, HB 630, HB 745, HB 767, HB 913, HB 917, HB 1135, HB 1188, HB 1238, HB 1242, HB 1261, HB 1318, HB 1404, HB 1495, HB 1507, HB 1606, HB 1708, HB 1748, HB 1851, HB 1922, HB 2002, HB 2003, HB 2198, HB 2355, HB 2358, HB 2415, HB 2457, HB 2495, HB 2546, HB 2637, HB 2763, HB 2765, HB 2798, HB 2818, HB 3228, HB 3307, HB 4116, HCR 29, SB 1410

Keywords: education funding, Texas State Technical College System, capital projects, infrastructure, higher education, Birding Capital, Matagorda County, wildlife, conservation, Texas Legislature, Texas beef, cattle industry, agricultural heritage, Texas strip steak, economic growth, SB 31, Life of the Mother Act, Texas abortion law, medical emergency, reasonable medical judgment

Transcript Highlights:

• This bill protects statements made by a parent. parent during substance abuse treatment, therapy, or
• Things like psychological evaluations and therapy notes are very commonplace in these cases, and these
• To attend therapy in order to have an evaluation.
• , um, but if you go to therapy, anything you say in therapy will be used against you.
• If you're charged with the crime and you've been in therapy or you've been trying to deal with a drug

Transcript Highlights:

• mandated that when you walk out of the door of a MedQuest or a wholesale supplier of your oxygen therapy
• time at the first hospital prior to transfer for acute therapy of less than or equal to 90 minutes,
• than or equal to 25 minutes, dysphagia screen, documentation of last known well, IV thrombolytic therapy
• When a patient's on two months, one month opioid therapy, when it comes to designing PA criteria, when
• And non-surgical actually is a big part of where these therapies are getting used.

Summary: The committee first approved the minutes and then heard a detailed annual presentation from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and review findings. He explained the committee’s structure, the de-identified review process, and the distinction between pregnancy-associated and pregnancy-related deaths. He said national maternal mortality has declined from its 2021 peak, but mental health conditions, substance use, overdose, suicide, cardiovascular disease, hemorrhage, infection, and embolism remain major causes. He emphasized that many deaths are preventable, with especially high rates among non-Hispanic Black women and in the American Indian/Alaska Native population, and noted that a large share of deaths occur after 42 days postpartum. Committee members asked about suicide, domestic abuse, pregnancy testing in unexplained deaths, and the role of home births and midwife training. Dr. Arnold said the committee is adding a caseworker, exploring post-mortem pregnancy testing in suspicious cases, and working with coroners and forensic officials; he also said home births and untrained midwifery pose safety concerns and that better public education and facility-based care are important. The committee then heard from State Fire Marshal Dr. Matt Clark on cigarette ignition propensity standards and fire prevention. He recommended updating North Dakota’s cigarette ignition legislation to the current national standard and also considering legislation requiring fast-breakaway oxygen tubing, citing fatal fires involving smoking around home oxygen. He explained that his office verifies manufacturer testing and maintains certification for cigarettes sold in the state, but does not itself conduct the testing. Members asked about implementation, cost, and whether the standards apply in tribal communities; Clark said he would follow up with cost information and additional details, and that he had not seen evidence of a major issue on tribal lands but would look further. Christine Greff of the Department of Health and Human Services presented the North Dakota Stroke System of Care report. She described the statewide network of two comprehensive stroke centers, four primary stroke centers, and 30 acute stroke-ready hospitals, along with the stroke registry and quality-improvement efforts. She reported that most strokes are ischemic, that the median stroke patient age is 71.5, and that common risk factors include hypertension, dyslipidemia, obesity, and diabetes. She highlighted improvements in door-to-CT, thrombolytic treatment times, dysphagia screening, EMS pre-notification, and interfacility transfer performance, and said new priorities include hemorrhagic stroke quality measures and standardized EMS stroke screening tools. Members asked about the VA hospital’s participation, and Greff said she would pursue outreach. After a break, the committee heard testimony from Taha Khan of Vertex Pharmaceuticals as part of the prior authorization study, focused on non-opioid pain treatment. He argued that prior authorization can delay access to acute pain treatment and may push patients toward opioids, especially in the critical 24- to 72-hour post-discharge window. He cited data showing that even short opioid exposure can increase the risk of long-term use and said prior authorization is often a barrier for physicians and patients. Khan recommended open access with a quantity limit rather than prior authorization, suggesting a 14-day limit supported by the product’s data and an episode-of-care approach. Members asked about dental use, payer discussions, and cost; he said the product’s wholesale acquisition cost is about $16.10 per tablet, with patient assistance available, and that he would follow up on payer and comparison-cost questions.

Transcript Highlights:

• with acute pain and levels the playing field by prohibiting the use of prior authorization or step therapy
• Many short-acting opioids are available without prior authorizations or step therapy.
• new non-opioid acute pain medicines and ensures patients aren't forced to take opioids due to step therapy
• <00:03:33.360> to prior authorization or step therapy to prior authorization or step therapy
• . therapy. therapy.

Keywords: 958, all

Summary: The Senate Standing Committee on Health Services met with a quorum and first moved through administrative regulations without comment. The committee then heard Senate Bill 56, sponsored by Senator Gerald Neal, which would require Medicaid and its managed care entities to treat non-opioid pain medications on equal footing with opioid analgesics by prohibiting more restrictive coverage controls, prior authorization, or step therapy for non-opioids. Neal argued the bill would improve access to safer pain treatment options and reduce the risk of opioid use disorder, and Billy O'Brien of Young People in Recovery testified in support, describing personal experiences where non-opioid options were difficult to obtain despite a desire to avoid opioids. After discussion, the bill received a motion and second and passed the committee on a 10-0 vote. The committee then took up Senate Bill 72, sponsored by Senator Don Douglas and presented with Greg Chaffin of Alliance Defending Freedom. Douglas described the bill as a provider recruitment and retention measure intended to protect health care workers from being compelled to act against their conscience and to address workforce shortages and pressure in health care settings. He said the bill would protect individual beliefs while maintaining professionalism. A large number of witnesses then testified, and the chair limited public comments to two minutes each because of the number of speakers and the controversy surrounding the bill. Most public testimony opposed SB 72. Speakers including representatives of the Kentucky Council of Churches, a psychologist, an ordained minister and nurse, a nurse practitioner, and an ACLU policy strategist argued the bill was overly broad, could allow refusals of care by a wide range of health care workers, and could delay or deny treatment, especially for vulnerable patients and in rural or emergency settings. Several cited concerns about discrimination, patient safety, and the lack of adequate protections for patients. One witness recounted the death of an 18-year-old pregnant patient as an example of the harm that can result from delayed care. The transcript ends during additional testimony on SB 72, before any committee vote or final action on that bill is shown.

Transcript Highlights:

• Court services, such as parenting classes, therapy, and psychological exams, are often mandated.
• that CPS wanted, and the sticking point was that she used a different... therapist to complete the therapy
• than CPS had wanted her to use, but she completed all of the therapy.
• the family that we talked to recently in Dallas, their situation was that in order to meet their therapy
• Litigation, and they're missing activities to go to meet with their guardian ad litem or go to therapy

Bills: HB809, HB 1193, HB1916, HB2558, HB1973, HB2350, HB2399, HB2340, HB 116, HB330, HB2496, HB116

Keywords: digitized signature, waiver of citation, marriage dissolution, electronic notarization, family law, HB 1193, informal marriage, common-law marriage, declaration of informal marriage, confidentiality, privacy, county clerk, vital statistics unit, Family Code, Health and Safety Code, marriage records, public records, personally identifying information, PII, legal representative