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:

• 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:

• 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

Transcript Highlights:

• and of them what proportion, as Representative Damon stated, are currently on any type of insulin therapy
• So you do see this migration away from the intensity of insulin therapy as a criterion taken together
• The insulin therapy is not the threshold that they prescribe this machine; they prescribe it before that
• <00:44:29.960> not<00:44:30.160> the<00:44:30.599> threshold the insulin therapy
• insulin therapy should just listen<00:53:32.640> to<00:53:33.200> the<00:53:33.359>

Keywords: 928, house, all

Summary: The subcommittee first reviewed its schedule, noting that 13 bills were being executed the next day and that additional subcommittee work would be scheduled around Town Meeting Day and the following session days. The chair explained that the committee would not meet on Town Meeting Day, would handle the remaining bills on the next available subcommittee day, and would continue any unfinished items later in the month. The committee then took up House Bill 774, which concerned Medicare-related coverage issues. Members discussed the bill’s purpose and the differences between Medicare standard and Medicare Advantage, with one member saying the proposal was informative but did not offer a workable solution. The committee also moved to inexpedient to legislate on House Bill 185, and the motion passed on a 6-0 vote. House Bill 241, relating to alternatives to opioids, was retained for further work. Members said the bill raised concerns about insurers effectively practicing medicine and about the lack of evidence on the efficacy of some alternative treatments, while also noting that chiropractic coverage mandates already exist in statute. The committee voted to retain the bill, with the motion passing 6-0. The most extended discussion was on House Bill 648, which would expand insurance coverage for glucose monitoring. Testimony and committee comments focused on whether coverage should be tied to insulin use or instead to a physician’s medical judgment, the role of continuous glucose monitoring for people with type 2 diabetes who are not on insulin, and the potential cost impact. An insurance department fiscal analyst said the original $22-per-member estimate was based on the unamended bill and that the amended version would require updated analysis; members agreed to retain the bill to narrow the eligible population and revisit the language later.

Transcript Highlights:

• Dental therapy is a mid-level role focused on prevention and fillings.
• I testify today in strong support of S1569 H2410, establishing the dental therapy model.
• Dental therapy expands access, lowers costs and brings care to our most vulnerable patients.
• That brings us to dental therapy, a proven cost-effective solution. Patients last year.
• That brings us to dental therapy, a proven cost-effective solution.

Keywords: 995, all

Summary: The Joint Committee on Public Health held a lengthy hearing to take testimony on a wide range of bills related to environmental health, PFAS, medical device chemicals, food access, lead poisoning, air quality, oral health, and school food additives. Chair Driscoll and Chair Decker emphasized that the hearing was for testimony only, no decisions would be made that day, and that written testimony could still be submitted. They also noted the high volume of speakers and asked witnesses to keep remarks brief. A major portion of the hearing focused on PFAS-related legislation, including bills to restrict PFAS in products and food packaging and to create a PFAS remediation trust fund. Municipal officials and advocates described the high costs of PFAS cleanup, especially for drinking water systems, citing Easton’s multimillion-dollar treatment investments and rate increases. Testimony from legislators and advocates argued that Massachusetts should act despite federal uncertainty, and that the state should stop PFAS at the source rather than leaving municipalities and residents to pay for remediation. The committee also heard strong support for a bill banning DEHP in medical devices, with physicians, nurses, and a bill sponsor saying the chemical can leach from IV bags and tubing and that safer alternatives already exist. The committee also heard testimony on bills to establish statewide food truck permitting, with food truck owners and a senator describing the current system as costly, duplicative, and inconsistent across municipalities. Another set of witnesses supported the “Bean New Deal,” which would expand plant-based food options in public institutions, senior nutrition programs, and WIC, citing health, equity, and cost savings. On lead poisoning, housing advocates and a representative backed bills to expand lead-safe housing requirements to all rental units, arguing the current law contributes to discrimination against families with children and leaves too much pre-1978 housing uncertified. The committee also heard support for an outdoor air pollution bill that would create an advisory committee, identify pollution hotspots, expand monitoring, and set reduction targets, with testimony from environmental justice groups, pediatricians, and legislators describing disproportionate asthma and other health harms in overburdened communities. Later testimony addressed oral health bills to create dental therapists and allow dental hygienists to administer nitrous oxide, with supporters saying the measures would expand access, reduce costs, and help underserved patients. The committee also heard testimony on a bill to prohibit harmful food dyes in competitive school foods, with parents describing behavioral and health concerns tied to synthetic dyes. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• for committee substitute for Senate Bill 1768, a bill to be entitled an act relating to stem cell therapy
• for Committee Substitute for Senate Bill 1768, a bill to be entitled an act relating to stem cell therapy
• Senators, this bill authorizes specified doctors to perform FDA-approved stem cell therapies for certain
• Senators, this bill authorizes specified doctors to perform FDA-approved stem cell therapies for certain
• Committee substitute for Senate Bill 1768, a bill to be entitled an act relating to stem cell therapy

Summary: The Senate opened with prayer, the Pledge of Allegiance, and several introductions and moments of silence, including tributes related to the FSU campus shooting, Coach Amir Abdur-Rahim, John Thrasher, the Florida Wildlife Corridor, and visiting student and community groups. The chamber then moved into special order bills and adopted a resolution honoring Coach Abdur-Rahim. A number of measures were taken up and passed, including child care and early learning provider regulation updates, false reporting/swatting penalties, health care billing and collection protections, hazardous walking conditions for schoolchildren, young adult housing support for foster and homeless students, the Family Empowerment Scholarship Program, trust fund interest rules for IOTA accounts, transportation-related changes, public records exemptions for AHCA investigators, JQC employees, and appellate court clerks, municipal water and sewer utility rates in Miami-Dade, motor vehicle offenses involving obscured plates and impersonating law enforcement, trespass at large-scale ticketed events, refund of patient overpayments, stem cell therapy standards, insulin administration by direct support professionals and relatives, pre-arranged transportation services, and the Uniform Commercial Code update for digital assets. Several bills were amended before passage, often by substituting House companions and adopting late-filed amendments. The transportation bill was significantly revised to remove speed-limit increases and utility-related provisions while adding beach equipment removal, flood-wake enforcement, expectant mother parking permits, and local regulation of micromobility devices; it passed 37-0. The trust fund interest bill drew the most debate, with supporters arguing it right-sized a volatile funding stream for legal aid and opponents warning it would sharply reduce support for legal aid organizations; it passed 28-10. The municipal water and sewer rate bill also prompted extended debate over fairness, fiscal impact, and accusations of racism, but passed 36-2. Public records exemption bills for AHCA investigators, JQC employees, and appellate clerks passed with varying margins, with supporters emphasizing safety and anti-doxing protections. One bill on cardiac emergencies and another on education were temporarily postponed. Most measures were adopted by wide margins, often unanimously, after brief sponsor explanations and little or no debate. The Senate also adopted a resolution honoring the late USF coach Amir Abdur-Rahim and recognized several visiting groups in the gallery. After completing the day’s special order calendar, the Senate recessed for lunch until 1:30 p.m. or on call of the President.

Transcript Highlights:

• So the reason why we put that in there is we don't want any delay in therapy for these folks.
• It would allow the clinics to actually do this and get therapy started right away.
• <00:06:47.919> Um<00:06:48.400> these<00:06:48.720> are therapy for these folks
• Um these are therapy for these folks.
• started uh right this and get therapy started uh right away.<00:07:20.960> Um<00:07:22.240>

Keywords: 1191, senate, all

Transcript Highlights:

• , whether it's occupational therapy or 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.

Summary: The Employee Benefits Committee met to hear presentations on state employee health insurance, compensation, leave policies, labor market conditions, and prevailing wage issues, then later took up committee rules and bill-draft jurisdiction. PERS reviewed the history and structure of the state health plan, noting the state has paid the full family premium since 1979, described cost-control and benefit-enhancement changes over time, and explained current plan options, wellness incentives, employer wellness discounts, and the upcoming bid process for the 2027-29 contract. HRMS then presented compensation comparisons showing state classified pay generally trails private and regional markets, with larger gaps at higher-level jobs, and reviewed benefits and leave policies, including the new enhanced annual leave and new-hire leave, the state’s unpaid family leave structure, and varying tuition reimbursement practices. Job Service reported on labor force trends, low unemployment, high labor force participation, job openings, and wage growth, and OMB said there are no state prevailing-wage requirements beyond federal Davis-Bacon rules for federally funded projects. The committee then considered a proposed amendment to Joint Rule 211 to better align the health insurance mandate review process with recent statutory changes. Members discussed how the rule should reference both the committee’s required actuarial reports and the Legislative Council cost-benefit analysis, and the amendment was adopted on a roll call vote. The committee also discussed how its jurisdiction decisions affect whether a bill draft receives actuarial analysis, with staff explaining that a decision not to take jurisdiction means the bill is not treated as impacting the relevant retirement or health plans for purposes of that analysis. After that, the committee began reviewing bill drafts for jurisdiction. The first draft, bill draft 33, would automatically renew pre-tax elections for dental and vision coverage during open enrollment instead of requiring annual re-election. Members debated whether it had any actuarial impact, noting the state does not pay those premiums directly, and the discussion was still underway when the transcript ended.

Transcript Highlights:

• Oral cancer therapies, specialty medications, anti-nausea drugs, these are all drugs.
• And these are patients with families who are on cancer therapy.
• poll this statistic, and for all of you here today—for our patients to be able to afford ...their therapy
• and stay on therapy, 43% of our patients require some type of financial assistance to be able to stay
• on therapy, afford their meds, and not make those tough choices, which we do see every day between medication

Summary: The Senate Insurance Committee met on May 13, 2026, adopted the May 6 minutes, and then took up several bills dealing with pharmacy benefit managers, prescription access, behavioral health coverage, and Citizens Property Insurance. HB 938, as amended, was the main PBM reform measure. After the committee adopted a large amendment set that narrowed the bill, members heard extensive testimony in support from Mark Bloom, Justin Joseph of Capital Rx, and Kathy Ue of Pontchartrain Cancer Center, all emphasizing transparency, pass-through pricing, reverse auctions, and patient access. Supporters described savings from reverse auctions and administrative models, while the cancer center testified that PBM-owned specialty pharmacy requirements can delay cancer medications and create financial hardship. The committee reported HB 938 favorably with amendments. The committee also heard HB 1154, which prohibits prior authorization for certain generic medications prescribed by qualified physicians, with a $250 cap discussed as a safeguard against higher-cost generics. The bill was supported by representatives from Ochsner Health and the Louisiana State Medical Society and was reported favorably. HB 909, which requires commercial coverage for behavioral health crisis services, was amended to clarify the insurers covered and then reported favorably with support from the Office of Behavioral Health and several outside groups. Testimony on HB 909 focused on reducing emergency room and law enforcement burdens and expanding crisis response capacity across the state. HB 1187, dealing with excess emergency assessment funds from Louisiana Citizens Property Insurance Corporation, was explained by the Insurance Commissioner as a way to transfer remaining Katrina-era assessment funds to the Fortified Roof Program. The committee reported the bill favorably. Finally, SB 511 and SB 512 were deferred and converted into a study resolution approach because there was not yet consensus on the underlying issue. The meeting then adjourned.

Transcript Highlights:

• And some of the best therapy they're telling me is when they can get with other people who have experienced
• some<00:05:11.120> of<00:05:11.199> the<00:05:11.360> best<00:05:11.600> therapy
• And some of the best therapy going on.
• And some of the best therapy they're<00:05:12.320> telling<00:05:12.560> me<00:05:12.720
• Um, I know that that camp does equine therapy. It, you know, talks about community resources.

Keywords: 1187, senate, all

Transcript Highlights:

• But in this case, they calculated the cost of providing the therapy at home.
• Chair, Senator Marty, could I ask LBO and MMB and... light therapy lights for newborns with light therapy
• <00:23:43.840> at the cost of providing the therapy at the cost of providing the therapy at
• versus four more days in the therapy versus four more days in the hospital.<00:24:25.039> Um<
• the child is going to get the therapy the child is going to get the therapy but<00:24:32.480>

Keywords: 919, house, all

Summary: The Legislative Budget Office Oversight Commission met on January 22, 2026, with a quorum present and approved the minutes from the December 17, 2025 meeting. The main presentation was by Erikica McKeler of the National Conference of State Legislatures on dynamic fiscal notes, dynamic scoring, and how they differ from static fiscal notes. She explained that dynamic analysis tries to capture broader economic and behavioral effects of policy changes, but that most states have experimented with it only briefly, often for tax bills, and many have later scaled back or abandoned the practice because it is staff-intensive, expensive, and difficult to validate. McKeler highlighted examples from Texas, Utah, and Arkansas. Texas requires dynamic fiscal impact statements for certain large tax or fee measures and for the biennial appropriations bill; Utah has done such analyses on request during the interim but only when staff time allows; and Arkansas recently began producing dynamic fiscal notes with thresholds and request limits. She noted that these states generally use REMI software, though Utah switched to IMPLAN for cost reasons. She also outlined common challenges, including the need for strong staff expertise, the sensitivity of results to assumptions, the expense of software licenses, and the difficulty of measuring accuracy over time. Members then discussed whether dynamic scoring could be useful for health and human services programs where a policy may shift costs between settings rather than create a simple new expense. Senator Marty raised a Medicaid example involving home-based blue light therapy for newborns, arguing that dynamic analysis might better capture potential savings from avoiding longer hospital stays. Legislative Budget Office and Minnesota Management and Budget staff responded that such effects may be better understood as direct program substitutions rather than true dynamic effects, and emphasized the need for reliable data and caution because savings estimates could reduce appropriations if they do not materialize. The discussion also touched on whether dynamic models would capture local government impacts, but no formal action was taken beyond the approval of minutes and receipt of the presentation.

Transcript Highlights:

• Many avoid traditional therapy due to the stigma and barriers that there are.
• Outdoor therapy solutions—that's where we come in.
• Research also indicates that outdoor recreational therapy activities can significantly improve mental
• <00:37:07.680> due Care many avoid traditional therapy due Care many avoid traditional therapy
• that outdoor recreational therapy that outdoor recreational therapy activities<00:37:32.119>

Keywords: 1187, senate, all

Transcript Highlights:

• conflict in licensing law between this statute and the psychology statutes and marriage and family therapy
• :08:22.720> marriage<00:08:23.039> and<00:08:23.280> family<00:08:23.680> therapy
• practice of marriage and family therapy. practice of marriage and family therapy.
• 35.919> as<00:08:36.159> far<00:08:36.240> as<00:08:36.399> the family therapy
• statutes as far as the family therapy statutes as far as the required<00:08:36.959> accredited

Keywords: Public Health and Welfare - Room 216, 24 February, 2026; 3:00 PM, 925, all

Summary: The committee first took House Bill 1637 off the table and adopted a committee substitute amendment narrowing Public Records Act exemptions to records of the child death review panel, maternal mortality review committee, and fetal and infant mortality review panel. Supporters said the exemption was intended to let providers and hospitals speak candidly in closed-door reviews to identify mistakes and prevent future deaths, while critics questioned how the public and legislature would learn the outcomes. The amendment and then the bill as amended were adopted by voice vote. House Bill 479, which would extend temporary licensing timeframes for the psychology board and the board of licensed marriage and family therapists from 30 to 60 days, was then considered. An amendment was adopted clarifying that the bill does not alter existing education, supervised training, or examination requirements. Senator Hill raised concerns that the bill’s language could allow a temporary license to last 365 days even if licensure requirements were not met, and the committee ultimately tabled the bill subject to call so the language could be clarified. The committee also heard House Bill 514, the Mississippi Veterinary Practice Act, which updates the vet-client-patient relationship definition, adds a public member and a certified veterinary technician to the board, removes some fees, and adds title protection for certified veterinary technicians. Witnesses said the changes were meant to support the profession and keep more graduates in-state. The bill passed after questions about the certification’s scope. House Bill 612, authorizing intergovernmental agreements and involving Coast Guard training and installation support services, was tabled subject to call after members said they needed more explanation. Finally, House Bill 1152, the Right to Try the Medical Cannabis Act, was considered. The bill creates a process for patients with chronic, progressive, severely disabling, or terminal illnesses not already covered by the medical cannabis statute to petition the Department of Health for access, with the treating physician initiating the request. An amendment was adopted to clarify that out-of-state patients receiving care in Mississippi are not excluded if they meet the same process and standards. Members then debated unclear language near the end of the bill about which provisions control in case of conflict; the sponsor said the new right-to-try provisions would govern for the covered patients. The discussion continued with examples of conditions that might qualify, such as non-malignant chronic pain syndromes, and the bill remained under consideration as the transcript ended.

Transcript Highlights:

• It isn't a life-saving technology or therapy. It's the assault of one of our workers.
• Technology or therapy, it's the assault of one of our workers, every 36 minutes.
• There I began extensive speech, occupational, and physical therapy.
• I required most of the help with speech therapy.
• So for the next two and a half years, I had speech therapy at Emerson Hospital and Concord.

Keywords: 995, all

Summary: The Joint Committee on Public Safety and Homeland Security heard testimony on several bills, beginning with a major workplace violence proposal for health care settings. Senator Lovely, the Massachusetts Nurses Association, the Massachusetts Hospital Association, and SEIU 1199 all supported legislation requiring hospitals and other health care employers to conduct facility-specific risk assessments, develop violence prevention plans, train workers, and provide reporting and protections for assaulted employees. Witnesses described workplace assaults as frequent and escalating, and committee members discussed balancing worker safety with concerns about criminalizing mental illness; testimony emphasized that the bill targets intentional assaults while preserving treatment and discretion for behavioral health crises. The committee also heard strong support for bills to strengthen traffic safety, including primary seat belt enforcement, rear-facing car seat requirements, and seat belts on school buses. AAA Northeast, the Brain Injury Association of Massachusetts, law enforcement, legislators, and the Massachusetts Insurance Federation all backed the measures, citing crash data, injury prevention, and personal stories of traumatic brain injury. Senator O’Connor testified for school bus seat belts, saying Massachusetts should join other states requiring them, and later Sophia Furzada of the National Transportation Safety Board urged passage of school bus seat belt and child passenger safety bills, saying lap-shoulder belts would reduce injuries and save lives in crashes where compartmentalization is not enough. Other testimony included support for a bill to make 9-1-1 disability indicator forms more accessible and inclusive, with the witness arguing the form should better reflect mental health, developmental disabilities, language access needs, and a fifth-grade reading level. The committee also heard opposition to a proposal to extend Christian’s Law to swimming pools, with a parks and recreation director warning of unintended consequences for municipal camps and underserved communities. Finally, the committee took testimony on a bill to expand the Forensic Science Oversight Board to include workforce representation, which MOSES said would restore technical expertise to the board. At the end of the hearing, the committee adjourned without taking votes on the bills discussed.

Transcript Highlights:

• the education to support uh therapies the education to support uh some<00:15:48.120> additional
• per drug and the cost of a therapy per drug if their price was limited to inflation.
• per drug and the cost of a of a therapy per drug and the cost of a therapy<01:27:54.480> per<
• management tools such as step therapy management tools such as step therapy and<01:55:12.840>
• that are being developed—life-saving therapies for cancer patients—don't have them.

Keywords: 1191, senate, all

Transcript Highlights:

• The next rule is to allow the Department of Human Services to participate in the cell and gene therapy
• The next rule is to allow the Department of Human Services to participate in the cell and gene therapy
• to enter into value-based payment agreements to treat patients with sickle cell disorder with CGT therapy

Keywords: 1204, all

Summary: The committee met briefly, approved the January 7 minutes, and heard several Department of Human Services rules. DHS explained a rule allowing rehabilitative hospitals to open psychiatric units, provide acute psychiatric services, and receive Medicaid reimbursement, noting the service is needed and already being provided in Jefferson County. Members also reviewed a rule allowing DHS to participate in the CMS cell and gene therapy model for value-based payment agreements to treat sickle cell disorder with CGT therapy. A third DHS rule would exempt the state from the CMS recovery audit contractor requirement. DHS said recovery audit contractors typically work on contingency to identify fraud, waste, abuse, or overpayments, but Arkansas law prevents contingency arrangements, so the state uses other program-integrity layers instead. Those layers include internal retrospective reviews, an external payment integrity office, the Office of Medicaid Inspector General, and the Attorney General’s Medicaid Fraud Control Unit. Members asked for clarification on the contractor role, and DHS responded that the exemption has no cost and was approved by CMS. During new business, Representative Pilkington asked about a reported increase in uninsured postpartum cases in a DHS quarterly report. DHS representatives said they were not prepared to answer at the meeting and would follow up offline. Representative Johnson also asked about a handout related to program integrity and Arkansas Medicaid. With no further business, the committee adjourned.

Transcript Highlights:

• The next rule is to allow the Department of Human Services to participate in the cell and gene therapy
• The next rule is to allow the Department of Human Services to participate in the cell and gene therapy
• to enter into value-based payment agreements to treat patients with sickle cell disorder with CGT therapy

Summary: The committee opened with prayer, approved the January 7 meeting minutes, and then reviewed several Department of Human Services rules. One rule would allow rehabilitative hospitals to open psychiatric units, provide acute psychiatric services, and receive Medicaid reimbursement, addressing a service gap, especially in Jefferson County. Another rule would let DHS participate in a CMS cell and gene therapy model to support value-based payment agreements for treating sickle cell disorder with CGT therapy. A third DHS rule would exempt the state from the CMS recovery audit contractor requirement. DHS explained that recovery audit contractors typically work on contingency to identify fraud, waste, abuse, or overpayments, but Arkansas law prohibits contingency arrangements of that kind. DHS said the state already has multiple other program integrity layers, including internal reviews, an external payment integrity office, the Office of Medicaid Inspector General, and the Attorney General’s Medicaid Fraud Control Unit. Members asked for clarification on the role of recovery audit contractors, and DHS responded that they perform post-payment audits and recoveries. All three DHS rules were reviewed without objection. Near the end of the meeting, Representative Pilkington asked about a reported increase in uninsured individuals in a DHS postpartum report, but DHS said it was not prepared to answer and would follow up offline. Representative Johnson also asked about a handout related to program integrity and Arkansas Medicaid. The committee then adjourned.