Transcript Highlights:

• fertility preservation services be provided if deemed medically necessary, including the diagnosis, testing
• , and medication related to fertility preservation, as well as the storage of embryos through cryopreservation

Committee: Joint Employee Benefits Programs Committee

Transcript Highlights:

• Um, where you can utilize this and the testing for the testing and training of, of laboratory technicians
• , and also we need, I think we need additional people that are gonna be doing those testing, that testing
• and so they have to prioritize testing as well.
• Um, all the testing that is done is, is paid for through.
• They, um, the, the, the testing, they are not, um, it's predominantly we use Body lab for that testing

Committee: House Courts, Corrections & Justice Committee

Transcript Highlights:

• We have what I would call a genetic tree of a family that's three generations...
• What I would call a genetic tree of a family that's three generations now that every single member has
• What I would call a genetic tree of a family that's three generations now that every single member has
• We do have some need for increased genetic analysis down there, which is something that's on our plate
• And luckily, we had an opportunity to test this device not too long ago.

Committees: House Water, Parks and Wildlife , House Water, Parks, and Wildlife

Transcript Highlights:

• It is the leading non-genetic cause of childhood hearing loss in this country.
• The bill requires hospitals to screen all newborns at birth using saliva or urine PCR tests.
• I rise today to present this amendment, and I'm not speaking out against the testing of CMV.
• I think that the testing and doing testing for this virus is pretty important.
• The mother can be tested prior to going in to give birth.

Summary: The House took up several Senate and House bills, often suspending rules to advance them quickly. Early in the session, the chamber handled a Senate bill on student learning and mental health by insisting on its position and appointing a conference committee. It also referred a poverty-related petition away from Judiciary to the Committee on Children and Families after suspending Joint Rule 12. The House then considered a series of Ways and Means bills, including measures on police interactions with people with autism, honoring Blue Star families, Bolton land conveyances, newborn screening for congenital cytomegalovirus, affordable housing and cultural space in Brighton, increasing access to epinephrine, and civil rights and technology; most were amended, ordered to third reading, or passed to be engrossed. The most extensive debate centered on House 5441, requiring newborn screening for congenital CMV. Supporters described CMV as a common but often overlooked infection that can cause hearing loss, developmental delays, and other serious harms, arguing that universal screening would allow earlier treatment and better outcomes. An amendment to add several rare diseases was withdrawn, and a later amendment to create a broad parental opt-out was rejected by a roll call vote of 153-1. The bill then passed to be engrossed by a vote of 154-1. The House also passed House 5443 on expanded public access to epinephrine after emotional testimony about fatal anaphylaxis cases; that bill passed 149-0. Another major measure, House 5444 on civil rights and technology, would prohibit weaponized drones and robotic devices, restrict threatening or harassing use, and set rules for law enforcement use and warrant requirements. Members emphasized both public safety and civil liberties, and the bill passed to be engrossed by a vote of 154-1. The House also passed the Blue Star families bill, which creates commemorative license plates for immediate family members of law enforcement officers killed in the line of duty, with members speaking about fallen officers and the importance of honoring their families. Additional bills passed included the autism-related Blue Envelope bill, the Bolton land conveyance bill, and the Brighton affordable housing/cultural space bill. The session included multiple recesses, quorum checks, memorial tributes to Barney Frank and State Trooper Kevin Traynor, and concluded with the House adjourning to meet the next day in informal session.

Transcript Highlights:

• Today, an individual's DNA can be... shipped, tested, and sold to unauthorized third parties, all within
• There are additional ethical concerns regarding polygenic scores, also known as genetic risk scores,
• used to predict disease. and intelligence, experts remain wary of the connection between DNA testing.
• The floor amendment does one thing, it ensures that DNA DNA or genetic information collected can only
• all the written records of a school. district concerning their child including attendance records, test

Bills: SJR57 , SCR8 , SB8 , SB14 , SB24 , SB108 , SB112 , SB125 , SB213 , SB251 , SB315 , SB318 , SB371 , SB378 , SB379 , SB472 , SB487 , SB502 , SB513 , SB565 , SB621 , SB650 , SB689 , SB707 , SB710 , SB761 , SB763 , SB815 , SB854 , SB875 , SB896 , SB916 , SB925 , SB958 , SB961 , SB965 , SB973 , SB987 , SB990 , SB995 , SB1006 , SB1018 , SB1019 , SB1024 , SB1026 , SB1146 , SB1194 , SB1198 , SB1253 , SB1330 , SB1343 , SB1362 , SB1379 , SB1497 , SB1498 , SB1527 , SB1532 , SB1547 , SB1596 , SJR36 , SJR12 , SJR57 , SCR22 , SCR12 , SCR8 , SB565 , SB765 , SB62 , SB666 , SB707 , SB888 , SB687 , SB847 , SB1248 , SB14 , SB1006 , SB504 , SB925 , SB995 , SB857 , SB305 , SB296 , SB284 , SB815 , SB1379 , SB1497 , SB1499 , SB1498 , SB241 , SB304 , SB621 , SB1023 , SB1024 , SB686 , SB112 , SB371 , SB204 , SB609 , SB670 , SB502 , SB850 , SB854 , SB413 , SB1362 , SB1346 , SB1033 , SB1220 , SB1073 , SB810 , SB987 , SB1539 , SB447 , SB875 , SB406 , SB985 , SB965 , SB1119 , SB1505 , SB24 , SB1194 , SB1253 , SB1215 , SB1532 , SB1302 , SB856 , SB650 , SB583 , SB673 , SB213 , SB681 , SB1172 , SB1252 , SB378 , SB1343 , SB608 , SB487 , SB955 , SB957 , SB988 , SB990 , SB1019 , SB1021 , SB1120 , SB251 , SB958 , SB761 , SB541 , SB315 , SB379 , SB1018 , SB1737 , SB266 , SB1415 , SB1527 , SB125 , SB599 , SB1330 , SB53 , SB916 , SB896 , SB1352 , SB973 , SB785 , SB710 , SB472 , SB1450 , SB1502 , SB1566 , SB414 , SB1062 , SB1547 , SB961 , SB1038 , SB513 , SB578 , SB711 , SB746 , SB942 , SB1404 , SB1448 , SB1738 , SB108 , SB8 , SB318 , SB507 , SB533 , SB689 , SB1026 , SB1349 , SB1355 , SB1433 , SB1434 , SB1596 , SB1403 , SB1198 , SB1146 , SB763 , SB667 , SB1059 , SB617 , SB1567 , SB503 , SJR37 , SB16 , SB310 , SB311 , SB396 , SB505 , SB1209 , SB1210 , SB1470 , SB264 , SB924 , SB1029 , SB1185 , SB1202 , SB1358 , SB1364 , SB1569 , SB1697 , SB1376 , SB1228 , SB519 , SB878 , SB1350 , SB462 , SB1535 , SB827 , SB1585 , SB207 , SB1207 , SB1619 , SB1396 , SB920 , SB1484 , SB1273 , SB1741

Transcript Highlights:

• Based on the need for testing within days of birth, specimen pickup occurs six days a week from over
• Page 184 is the Genetics and Newborn Health Services core.
• the best possible health for those born with rare and certain genetic disorders.
• It's our newborn screening fee, and it's also our cannabis reference laboratory testing.
• what it takes to operate that full testing program.

Committee: House Budget

Summary: The committee heard the Missouri Department of Health and Senior Services present its FY 2027 budget request, with Director Sarah Wilson and budget staff describing the department’s mission, major divisions, and the impact of federal funding shifts, especially the FMAP change that will shift costs to general revenue. Wilson emphasized prevention, public health infrastructure, workforce capacity, and data modernization, while several members praised the department’s responsiveness and cost-cutting efforts. The discussion repeatedly focused on lapses, excess authority, and the department’s stated practice of spending federal and other funds before general revenue where possible. Members asked detailed questions about local public health agency support, nutrition programs, rural health and primary care, newborn screening, the state public health lab, and the department’s use of flexibility and reallocations. There was extended discussion of substance use disorder funding: the department explained that some funding is being reduced in its own budget because transfer authority is being added for the Department of Mental Health and the Department of Corrections, while some other SUD-related lines are actual reductions. Members also questioned tobacco prevention and cessation cuts, maternal and infant health programs, fetal infant mortality review, and minority health initiatives, with staff explaining program purposes and noting that some reductions were tied to excess authority or to moving programs to other departments. The committee also reviewed specific operational items such as the Health Initiatives Fund transfer, debt offset escrow for loan repayment defaults, donated funds authority, emergency preparedness, environmental health, health informatics, HIV/STI/hepatitis services, local public health incentives, and the COVID/ARPA authority reductions. Several members requested follow-up information on vacancies, lapse trends, grant spending plans, and program details. No final vote or formal action was taken in the portion provided; the chair recessed briefly and the hearing continued with additional budget testimony.

Transcript Highlights:

• options for initial additional test options for initial lensure<00:36:00.880><c> so</c><00:36:01.119
• </c><00:46:29.280><c> and</c><00:46:29.440><c> the</c><00:46:29.599><c> answer</c> alternative testing
• </c> on a patient's unique genetic profile. on a patient's unique genetic profile.
• </c><01:48:30.320><c> mutation</c> identify the precise genetic mutation identify the precise genetic
• About 80% of these diseases are genetic in nature.

Committee: Joint Health Services

Transcript Highlights:

• This is a non-invasive genetic tagging method that samples hatchery broodstock DNA to assign age and
• That recreational fishery has been closed since May of 2024, despite repeated testing with us and the
• Check, test. There you go. Good afternoon, folks. I'm John McManus.
• So staff are planning to begin our domoic acid testing a little bit earlier this year, with the hopes
• high, and you have to clear domoic acid before you can do that testing.

Committee: House Joint Committee on Fisheries and Aquaculture

Transcript Highlights:

• Despite sickle cell disease being the first documented and most common genetic disorder in the United
• leading the country with the highest rates, it remains one of the most misunderstood, under-treated genetic
• Despite sickle cell disease being the first documented and most common genetic disorder in the United
• conditions in our health care system. to Under-treated genetic conditions in our health care system.
• I'm going to follow by, this is my test for the afternoon.

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

Committee: Senate Health Policy

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

Summary: The committee first considered SB 268, a public records bill for emergency physicians. A strike-all amendment narrowed and clarified the exemption, and the sponsor said it was intended to protect current emergency department physicians and eligible family members who submit a written request. Emergency physician Dr. Sean Patterson and several health care organizations supported the bill, citing threats, harassment, and safety concerns tied to mandatory reporting and patient encounters. The committee adopted the amendment and reported SB 268 favorably as a committee substitute. The committee then heard SB 514, creating the Doula Support for Healthy Births Pilot Program in Broward, Miami-Dade, and Palm Beach counties for pregnant and postpartum women, with priority for those affected by substance use disorder. Members discussed how the Department of Health would implement the pilot, collect data, and work with existing maternal health partners. An amendment changed the funding source to specific appropriations in the General Appropriations Act. Supporters said doula care can improve maternal and infant outcomes and help address Florida’s maternal health crisis. The bill was reported favorably as a committee substitute. SB 36, on use of professional nursing titles, drew extensive debate over whether nurses with doctoral degrees should be able to use the title “doctor” in clinical and advertising settings while clearly identifying themselves as nurses. The sponsor said the bill was about transparency and patient clarity, while several senators raised concerns that patients could confuse DNPs with physicians. Supporters from nursing groups said the bill protects earned credentials and does not expand scope of practice. The committee adopted an amendment aligning the bill with the House version and reported SB 36 favorably as a committee substitute. The committee also reported favorably SB 864, creating a public records exemption for uterine fibroid research data; SB 844, requiring continuing education on sickle cell disease care management for certain health professionals; SB 1404, revising memory care licensing for assisted living facilities; and SB 914, clarifying dry needling authority for occupational therapists. Finally, the committee took up SB 1758, a broad public assistance bill affecting Medicaid and SNAP. The sponsor described reforms including stronger fraud enforcement, a Medicaid work requirement for certain able-bodied adults, expanded behavioral health services through a waiver, pharmacy program changes, and SNAP fraud reduction measures. Members questioned the work requirement, implementation costs, eligibility verification, and due process concerns, while the sponsor said the bill would require federal approval and legislative review before implementation. Three amendments were adopted to adjust drug list update timing, expand public testimony on the high-cost drug list, and require faster prior authorization responses with a temporary supply in emergencies. The transcript cuts off before the final disposition of SB 1758.

Transcript Highlights:

• Just one question: On my school district didn't have AP tests, so I do. Who pays for AP?
• AP test at the school, and the school's not paying for everyone to take AP tests.
• So this just allows them to have access to take an AP test through an online provider that the public
• school because it's a proctored exam, which means you have to have a physical location to take that test
• creates the President's Physical Fitness Act, established certain guidelines to administer certain tests

Bills: SB1734 , SB1630 , SB1894 , SB1975 , SB1432 , SB1437 , SB1812 , SB346 , SB1250 , SB710 , SB1489 , SB2045 , SB1614

Committee: House Common Education

Keywords: artificial intelligence, AI, schools, public school districts, education technology, edtech, student privacy, FERPA, data privacy, data security, emerging technologies, machine learning, generative AI, classroom technology, instructional technology, teacher oversight, human-in-the-loop, student data, parental consent, opt-out

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

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

Bills: SB 2 , SB 5 , SB 9 , SB 7 , SB 17 , SB 4 , HB4 , HB1 , HB3 , HB20 , HB22 , SB9 , SB7 , SB17 , SB4 , HB4 , SB2 , SB5

Keywords: disaster relief, flood preparedness, emergency funding, local government support, meteorological forecasting, school assessment, public education, accountability, transparency, education standards, STAAR, Texas Education Agency, TEA, public school accountability, school ratings, A-F ratings, assessment reform, student testing, benchmark tests, interim assessments

Transcript Highlights:

• take what we do in conventional breeding, which is just crossing trees until we eliminate or add genetics
• And as we look at the genetic markers in those trees, it would appear that they have mutated and maybe
• We work with the IFAS test site out of Live Oak. Mr.
• Joel Love comes over, and we do go to different producers and do ryegrass test plots, row crop test plots
• Whatever the community is wanting, we try to do those test plots to help get education and best management

Committee: Senate Agriculture

Summary: The Senate Committee on Agriculture heard an update on the Florida citrus industry from Matt Joyner of Florida Citrus Mutual and Shannon Shepp of the Department of Citrus. Both described the industry’s steep decline over the past two decades due to citrus greening (HLB), hurricanes, freezes, and aging groves, but emphasized ongoing recovery efforts through research, replanting, and new therapies. They highlighted promising tools such as plant growth regulators, protective screens and covers, direct oxytetracycline application, CRISPR-based breeding, and the CRAFT program, which has expanded to more than 10,000 acres of solid-set plantings and over 20,000 acres including resets. Members discussed disaster relief, property tax pressures, grower participation, and the need for assessment relief and other state support. No votes were taken on the citrus presentation. Shepp also outlined the Department of Citrus’s marketing and research role, noting strong consumer demand for Florida orange juice, global advertising efforts, and clinical research tied to health messaging. She said the industry remains a major economic contributor, with thousands of jobs and billions in economic impact, and that the department is working to maintain demand while growers replant and reset groves. Senators asked about the CRAFT program, new grower participation, and how advertising and state policy could help sustain the industry. The committee then received a performance review of the Opa-locka Soil and Water Conservation Districts from David Jahossky of Malden and Jenkins. The review found wide variation among the 49 districts studied, with many lacking recurring revenue, staffing, proper meeting notices, records retention, formal performance goals, and timely financial reports. The report identified nearly 400 recommendations and noted that some districts had already dissolved or were considering dissolution. Senators questioned whether the districts were duplicative of other agencies and whether they still served a useful purpose; the presenter said there was overlap and collaboration but no duplication. A public commenter from Jefferson County argued that local boards still provide trusted, community-based support for producers and help connect them to cost-share and best management practice programs. The chair indicated the review would inform possible legislation to improve or restructure the districts, and the committee adjourned without taking a vote.

Transcript Highlights:

• Then, with that technology, they can do what we've often heard about: investigative genetic genealogy
• Then, with that technology, they can do what we've often heard about: investigative genetic genealogy
• happened in those states with policy is that many times rogue databases or conglomerated databases of genetic
• Requiring certification ensures that devices are designed and tested to meet the performance requirements
• More specifically, UL 1484 specifies requirements for residential gas alarms, continuing testing procedures

Committee: Joint Joint Committee on Public Safety and Homeland Security

Summary: The Joint Committee on Public Safety and Homeland Security heard testimony on several bills, with strong support expressed for a proposed municipal and public safety building authority (H. 2571/S. 1650). Municipal officials, fire chiefs, the Massachusetts Municipal Association, regional planning leaders, and Senator Comerford described aging town halls, fire stations, DPW facilities, and other local buildings, especially in small towns and gateway cities, and argued that local budgets and Proposition 2 1/2 make major capital projects difficult to fund. Testimony emphasized the need for a dedicated revenue stream, with the bill proposing a share of marijuana excise tax revenue and a rural funding set-aside. Committee members asked about prioritization and funding levels, and witnesses said even a modest start would help address a large statewide backlog. No votes were taken during the hearing, and the committee later adjourned unanimously. The committee also heard testimony on H. 2689, requiring fuel gas alarms/detectors in residential dwellings using explosive gases. Representative Jeff Roy, Susan Brown, Jason Cohn, and representatives from NEMA and Kidde supported the bill, describing it as a life-saving measure similar to carbon monoxide detector requirements. Witnesses cited the 2015 Franklin propane explosion that killed Nancy and Robert Brown, the Merrimack Valley gas explosions, and national fire data showing fatalities and property damage from gas leaks. They said detectors are affordable, commercially available, and should be required where gas is used; one witness noted battery-backed or battery-operated options exist. Committee questions focused on cost, battery power, outdoor propane setups, and whether the bill would cover private databases or only residential safety devices. Another major topic was S. 1755 on missing and abducted children. Senator Pavel Payano testified in favor, citing the case of Lee Manuel Villoria Paolino and arguing that misclassification of missing children as runaways can delay urgent response and worsen outcomes, especially for Black and brown youth. He said the bill would set minimum law enforcement response standards, require training, and expand multilingual intake forms. The committee also heard support for expanding the state DNA database through familial DNA searching, with Dr. Amory Myers explaining that the technology could help solve long-unsolved cases while including guardrails to prevent use of private consumer DNA databases. Finally, the committee heard extensive testimony on H. 2740, “Colby’s Law,” establishing safety standards for BMX and motocross tracks. Colby Lippincott’s family, community members, and industry representatives described his fatal crash and urged requirements for medical staff, insurance, inspections, warning systems, barriers, and access roads. Witnesses said the bill would not end the sport but would create basic protections, and the committee heard that Massachusetts would join a number of other states with similar standards. The hearing ended with a motion to adjourn, which passed unanimously.

Transcript Highlights:

• Madam Chair and members, HB 2584, public money, genetic sequencing prohibition, prohibits the use of
• public monies on genetic sequencing procedures with a device produced by a company that is either domiciled
• doing the testing would have to talk about adoption.
• doing the testing would have to talk about adoption.
• Thank you. the practitioner who's doing the testing would have to talk about adoption. Madam Chair.

Summary: The caucus reviewed a large number of House bills, mostly on third-read consent or for floor strategy, covering education, health, water, land, energy, housing, taxation, and public safety. Topics included ESA administration funding, AI in schools and legal communications, towing and DUI changes, health facility licensing and nursing records, internationally trained physicians, nurse anesthetist reimbursement, childhood cancer research, cybersecurity encryption, school mental health instruction, superintendent pay and benefits, adoption disclosures in college health settings, anti-Semitism provisions, school safety firearms authorization, coerced abortion penalties, domestic violence testimony standards, border health and terrorism-related bills, and multiple water, land, and state trust land measures. Several members flagged concerns about unfunded mandates, local control, constitutional issues, and special legislation, while others supported bills as technical fixes, public safety measures, or ways to expand access and funding. A number of bills were pulled from consent for further discussion, including HB 2020, HB 2093, HB 2386, HB 2481, HB 2575, HB 2906, HB 2040, HB 2136, HB 2665, HB 2904, HB 2957, HB 2044, HB 2352, HB 2667, HB 2830, HB 2307, HB 2425, HB 2426, HB 2427, HB 2497, HB 2751, HB 2780, HB 2804, HB 2926, HB 4030, and HCR 2052, among others. Some bills were noted as unanimous or split votes, and several were described as party-line or having constitutional problems. The caucus also discussed committee amendments on multiple measures, including changes to water, land, health, and AI bills. The meeting ended with a series of remarks on the late Reverend Jesse Jackson and an “affordability award” presentation to Representatives Lorena Austin and Simacek for work on economic justice and working families. The caucus then adjourned.

Transcript Highlights:

• CDC is doing some research now into the genetics of the mosquitoes and the virus.
• CDC is doing some research now into the genetics of the mosquitoes and the virus.
• He couldn't test positive.
• And then additional testing, such as pathogen testing, for those mosquitoes.
• Our partners can also do insecticide resistance testing.

Bills: SB66 , SB79 , SB108

Committee: Senate Senate Conservation

Keywords: environment, cleanup, contamination, uranium mining, abandoned sites, state funding, mosquito control, public health, surveillance, prevention funds, local government grants, food security, agriculture, food bank, regional program, appropriation

Transcript Highlights:

• At the end of it, they give them a test called the HESI A2 test. It's a very difficult test.
• At the end of it, they give them a test called the HESI A2 test. It's a very difficult test.
• if it's the first-time test taker.
• If you have one bad year of test scores, and you don't find out about your test scores until the January
• But you have to take that test.

Summary: The Health Professions and Programs Subcommittee heard and advanced several health care bills. HB 909, joining the Occupational Therapy Licensure Compact, was presented with a strike-all amendment and reported favorably as amended by a 13-0 vote. HB 911, the related public records exemption protecting certain biological information, was also adopted and reported favorably as amended by a 14-0 vote. CS for HB 597, allowing schools to procure and administer glucagon for students with diabetes under trained personnel, passed unanimously 14-0 after a technical amendment. HB 519, aligning state law with federal language on controlled substances administered by paramedics, passed as amended 14-0. The committee then took up HB 919 on nursing education programs. Sponsor Rep. Overdorf argued the bill would create accountability for underperforming nursing schools by requiring remediation, tuition refunds in the lowest-performing programs, and public reporting of passage rates. Supporters said it would improve quality and protect students from debt without licensure success, while opponents from private nursing schools warned it could close programs and reduce nurse supply. After extensive debate, the bill was reported favorably 15-0. HB 1553, which would require health care providers to submit identified uterine fibroid data so the Department of Health can implement the research database previously authorized by law, passed unanimously 15-0. The final bill, HB 883, would allow psychiatric mental health nurse practitioners to practice autonomously; supporters said it would expand access to mental health care, especially in rural and underserved areas, while opponents raised concerns about quality and physician oversight. After lengthy testimony and debate, the bill was reported favorably 14-3.

Transcript Highlights:

• This bill requires hospitals and campus emergency departments to test for fentanyl as part of any urine
• testing they conduct to treat individuals for possible drug overdose or poisoning.
• The bill will increase the frequency and efficiency of fentanyl testing, ensuring that patients receive
• This is a technical amendment to ensure that hospitals are performing the correct follow-up test that
• aligns with, in the event that they diagnosed fentanyl from the urine test, and that aligns with the

Committee: Senate Health Policy

Summary: The committee took up a large health policy agenda. SB 1568 on electronic prescribing was explained as a federal conformity measure, but members raised concerns about preserving patients’ ability to obtain paper prescriptions and about exemptions for emergency, hospice, and other situations. Emergency physicians testified in support of e-prescribing but asked for flexibility, and the bill was reported favorably despite Senator Harrell’s opposition. SB 1606 on patient access to records sought to standardize record-production timelines and require electronic delivery when available; after an amendment correcting a drafting error, the bill drew concerns about HIPAA, behavioral health confidentiality, and the distinction between personal and legal representatives, and it was reported unfavorably as a committee substitute. The committee then approved SB 1346 on fentanyl testing, with a technical amendment, to require hospitals and campus emergency departments to test for fentanyl in urine testing for suspected overdose or poisoning. SB 1224 on administration of controlled substances by paramedics was amended to clarify language and reported favorably. SB 656 on health care billing and collection activities was substantially revised by strike-all amendment to allow sale of medical debt to third parties under new limits, including no interest or fees and return of debt if charity care applies; it was reported favorably as a committee substitute. SB 68 expanded health facilities authority financing to include not-for-profit LLCs and parent companies, and SB 524 added Duchenne muscular dystrophy to the newborn screening panel; both were reported favorably. Later, the committee approved SB 1842 on out-of-network referrals after multiple amendments, requiring providers to verify network participation at the point of service and notify patients in writing, though several members and physicians warned it could burden providers and increase workload. The committee also advanced proposed committee bill SB 7028, which revises the Casey DeSantis Cancer Research Program, adds oversight and reporting requirements, creates a pediatric cancer research incubator, and establishes the Bascom-Palmer VisionGen initiative; cancer center representatives testified in strong support, and the bill was reported favorably as a committee bill. SB 172 on specialty titles and designations was amended to clarify enforcement and was reported favorably after supporters said it would prevent misleading use of specialist titles, while opponents argued it could confuse practitioners’ titles. Finally, SB 1690 on surrendered infants was reported favorably after supporters said it would codify and expand safe-haven baby box procedures and opponents raised safety concerns about the devices. The committee also noted SB 1606 remained pending for reconsideration next week before adjourning.

Transcript Highlights:

• do treadmill stress tests in the clinic.
• </c> stress tests in the clinic. stress tests in the clinic.
• >> It's a simple breathing test, so kind of a basic-level test for asthma, COPD, that sort of thing.
• </c> amongst testing and that sort of thing. amongst testing and that sort of thing.
• </c><03:49:23.480><c> genealogy</c> we got for forensic genetic genealogy we got for forensic genetic

Committee: Joint Select Committee on Tribal Relations

Transcript Highlights:

• meet</c><00:31:47.519><c> the</c><00:31:47.679><c> the</c><00:31:47.919><c> the</c><00:31:48.640><c> test
• </c><00:31:49.360><c> Um,</c><00:31:49.760><c> and</c> order to meet the the the test.
• Um, and order to meet the the the test.
• ><00:50:09.599><c> no</c> individual uh that I know of has no individual uh that I know of has no genetic
• link whatsoever, but has a genetic link whatsoever, but has a history<00:50:13.520><c> of</c><00:50:

Bills: SB176 , HB155 , HB247 , HB311 , HB312 , HB317 , HB466 , SB176 , HB155 , HB247 , HB311 , HB312 , HB317 , HB466

Committee: Senate Finance and Taxation General Fund