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.

Transcript Highlights:

• <00:57:16.799> for numerous new drugs, therapies for numerous new drugs, therapies for cancer
• However, these therapies are different from traditional therapies in many ways.
• therapies will likely come very soon.
• However, these therapies are different from traditional therapies in many ways.
• therapies will likely come very soon.

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, June 25, 2025, 1012, house, all

Transcript Highlights:

• Chinaa Cho, Executive Officer of the Board of Massage Therapy.
• Next, the Board of Physical Therapy.
• Relle Rocky, Executive Officer for the Board of Physical Therapy.
• Next, the Board of Physical Therapy.
• Integrity of the massage therapy Integrity of the massage therapy profession<01:33:58.480> and

Keywords: 910, house, all

Summary: The House Committee on Judiciary and Hawaiian Affairs heard Senate Bill 1322, SD2, HD1, a comprehensive measure revising Hawaii’s mental health code. The bill would clarify emergency transportation, examination, and hospitalization procedures for people who may be mentally ill or suffering from substance abuse and deemed imminently dangerous, expand notice requirements, allow certain information-sharing for assisted community treatment petitions, and add liability protections for emergency responders and providers. The Department of the Attorney General supported the bill as a collaborative update to the law, while the Department of Health asked for a copy of provider-generated emergency transport documentation within five days for data and planning purposes. Testimony was sharply divided. Queen’s Health System, Hawaiʻi Pacific Health, HHSC, and the Institute for Human Services supported the measure or parts of it but requested amendments, including clarifying whether a second psychiatric exam is required, restoring a 72-hour rather than 48-hour stabilization window, and adjusting where patients are taken when an MEO cannot be reached. The ACLU of Hawaiʻi strongly opposed the bill, arguing it weakens due process and civil liberties, especially around involuntary commitment, assisted community treatment, emergency transport by police, and reduced procedural safeguards; it urged the committee to hold the bill and consider an interim working group. Louie E.K. of the Hawaiʻi Disability Rights Center also opposed the bill, focusing on immunity from negligence, the use of police for transport, and the reduction of a three-provider review to one in state-hospital treatment orders. Other testimony included support from an individual who said the bill could improve mental health care delivery amid provider shortages, and a comment from Hawaiʻi Health and Harm Reduction Center warning that the substance use portion of the bill lacks evidence of effectiveness and could be misused. In response to committee questions, the Attorney General’s office said the measure was developed with input from multiple stakeholders, including state agencies, hospitals, the ACLU, HHSC, and IHS, and that it aims to make assisted community treatment more accessible and effective by streamlining the legal process and improving consequences for noncompliance. No vote or final action was taken during the portion of the meeting provided.

Transcript Highlights:

• Children can be frequently admitted to the hospital, miss school, require therapy, and see multiple medical
• Schools already rely on speech-language pathology assistants and certified occupational therapy assistants
• Earlier access to care may reduce the total lifetime therapy hours needed, and the three-tier model could
• witnessed the profound shifts of healing possible in my own practice utilizing ketamine-assisted therapy
• or even psychedelic-adjacent therapies can take years to uncover, if ever.

Keywords: 995, all

Summary: The committee hearing covered a wide range of public health bills, with much of the testimony focused on two major themes: expanding access to care and stabilizing health-related workforces and services. On House 2364, an act relative to medical health and fitness facilities, representatives from Dedham Health and Athletic Club argued for a pilot program recognizing supervised exercise as medicine, saying it could improve outcomes for chronic disease, fall prevention, and mental health while reducing costs. On House/Senate bills concerning community health workers (H. 359/S. 251), multiple witnesses from MACHW, Health Care for All, MHA, Cambridge Health Alliance, Mass General Brigham, Boston Children’s Hospital, Asian Women for Health, and the City of Somerville described CHWs as essential for navigation, trust-building, language access, and addressing social needs, and urged reimbursement by MassHealth, the GIC, and private insurers, along with workforce development measures. One pediatric neurologist also told the committee that losing grant-funded CHW support led to more avoidable ER visits and threatened clinic operations. The committee also heard extensive testimony on hospital closures and essential services. Witnesses including Dr. Alan Sager, MNA President Katie Murphy, nurses from Brockton Hospital and Providence Behavioral Health, and local officials and legislators from Norwood described the loss of hospitals and service lines, especially maternity, pediatric, and behavioral health care, and argued current closure processes are too weak to protect communities. They supported bills such as H. 2460/S. 1503 and H. 2534/S. 1574, which would require earlier notice, community input, stronger state oversight, possible receivership, and limits on reopening or expanding after closures. Testimony emphasized the impact of Steward’s bankruptcy, the closures of Carney and Neshoba Valley, and the need to preserve access to essential services in underserved areas. Several end-of-life and professional regulation bills were also discussed. On H. 2436, Representative Omar Gomez and funeral industry witnesses supported eliminating Office of the Chief Medical Examiner fees for the removal of a child’s body in cases involving children five and under, describing the bill as a small but important relief for grieving families. On H. 2444 and related Senate bills, cemetery and consumer advocates supported legalizing alkaline hydrolysis and natural organic reduction as environmentally friendly after-death options, while cemetery representatives opposed H. 2360, which would allow funeral establishments to operate crematories, arguing cemeteries should retain that role. The committee also heard support for H. 2382, which would exempt dentists and oral surgeons from a new office-based surgical center framework, and for H. 2461, which would create hospital efficiency standards; employers and retailers backed that bill as a way to address rising health care costs. Finally, the committee heard testimony on autism services and hospital governance. On S. 1414, behavior analysts and school representatives said Massachusetts already licenses assistant-level ABA providers but MassHealth does not reimburse them, causing long waitlists and limiting school and family access; an actuary testified that a three-tier ABA reimbursement model could reduce MassHealth costs by up to 6% per child served. Senator Lovely also testified in support of S. 1572, which would require at least one registered nurse on each acute care hospital governing board, arguing nurses’ frontline perspective would improve quality and retention. No votes were taken in the hearing excerpt, but many witnesses urged favorable reports on their respective bills.

Transcript Highlights:

• And again, this is an act to amend Title 18 of the Delaware Code relating to the step therapy exception
• This revision adds an exclusion to step therapy protocol exceptions for interchangeable biologics and
• House Bill 429 is a crucial amendment to Delaware's step therapy law.
• House Bill 429 is a crucial amendment to Delaware's step therapy law.
• House Bill 429 allows for the use of biosimilars in step therapy treatment regimens across the state.

Summary: The committee heard several bills, but much of the meeting focused on House Bill 306, which would require disclosure when a consumer is interacting with a chatbot rather than a human. Sponsor Senator Townsend described it as a consumer protection measure and said the bill is meant to keep pace with rapidly changing AI technology. Committee members and witnesses raised concerns about the bill’s enforcement structure, especially private rights of action and penalties that could apply even without actual consumer harm. The Department of Justice said the bill would apply where the conduct has a Delaware nexus, and that the disclosure requirement is the key consumer protection. Industry witnesses and chambers of commerce opposed the bill as drafted, arguing it would create broad compliance burdens and expose businesses to excessive litigation risk without a harm requirement or clearer safe harbor language. Earlier in the meeting, the committee discussed House Bill 429, which would update Delaware’s step therapy exception process to include biosimilars and interchangeable biologics. Senator Poore and supporters from Highmark and the Department of Insurance said the bill would modernize insurance law, improve access to effective treatments, and reduce costs; they cited national savings from biosimilars and said the bill has agency support. Members asked about Delaware-specific savings, patient switching, and how the process would work, but no vote was taken during the discussion. The committee also heard House Bill 310, which would exclude large data centers from Blue Collar Jobs Act tax credits; the sponsor said the bill is intended to ensure large energy users contribute more to state and local revenues, while supporters and opponents debated competitiveness and community impacts. House Bill 406, on allowing insureds to choose their auto repair shop, and Senate Bill 347, a cleanup bill related to medical debt collection and personal property levies, were also presented without opposition in the hearing. House Bill 253, concerning who may receive letters testamentary or of administration, was described as a cleanup to align statute with existing practice. The committee approved the meeting minutes, but the transcript does not show final votes on the bills discussed.