Transcript Highlights:

• Yeah, I think just so everybody's clear, mild hyperbaric oxygen therapy is for wound healing.
• bill will do is give more options to residents and assisted living homes and centers to receive this therapy
• Yeah, I think just so everybody's clear, mild hyperbaric oxygen therapy is for wound healing.
• bill will do is give more options to residents and assisted living homes and centers to receive this therapy

Keywords: 1182, all

Summary: The House opened with prayer, the Pledge of Allegiance, approval of the journal, and a proclamation sponsored by Representative Tony Rivero supporting stronger Arizona-Taiwan relations. Rivero introduced guests from the Taipei Economic and Cultural Office in Los Angeles and said a bipartisan Arizona-Taiwan caucus would be created, noting plans for a Taiwan consulate in Phoenix. The chamber then moved into Committee of the Whole to consider Senate bills on two calendars. On the first calendar, the House advanced SB 1004, SB 1012, SB 1040, SB 1049, SB 1168, and SB 1326, while retaining SB 1538. SB 1004 received a Judiciary amendment described as helping law enforcement track homeless sex offenders. SB 1049 drew criticism from Representative Gutierrez, who said it would harm spouses seeking maintenance after divorce. SB 1168 received and adopted Appropriations amendments, and SB 1021 on the second calendar was amended and advanced despite concerns from Representative Liguori about legislative involvement in criminal matters. Other bills debated included SB 1052 on mild hyperbaric oxygen therapy in assisted living, SB 1172 on re-credentialing timelines, SB 1188 on aligning controlled substance schedules with federal law, SB 1212, SB 1346 on claims notification and fraud prevention, SB 1452, and SB 1494 on preventing patient-brokering fraud; several drew opposition over cost, necessity, or policy concerns, but all were advanced. After the Committee of the Whole report was adopted, the House placed several bills on third reading and took final votes. SB 1164, SB 1174, SB 1189, and SB 1754 passed unanimously or nearly unanimously. SB 1413, concerning restitution and a moving-violation-related offense, failed after Representative Cullin warned it could impose uncapped restitution in multi-car collisions; the final vote was 2 ayes and 48 nays. The House then reconsidered that action on motion of Representative Martinez, restoring SB 1413 to third reading, and adjourned until Monday, April 20, 2026.

Transcript Highlights:

• with substitute by Representative Simpson, relating to the Board of Examiners in Marriage and Family Therapy
• 2027, and this is the Board of... of 2027, and this is the Board of Examiners of Marriage and Family Therapy
• eight of the calendar: House Bill 122 by Representative Underwood, relating to the Board of Physical Therapy
• HB1222 is the renewal for Physical Therapy, as recommended by the Sunset Committee for 4 years to October

Keywords: 1136, house, all

Transcript Highlights:

• school, whether that's an accommodation like having material read out loud or services such as speech therapy
• We were told he needed extensive speech therapy, occupational therapy, ABA, adaptive therapy, and social
• Munoz continued: “ABA, adaptable therapy, and social skills, and thank God we were able to do it by the

Summary: The Education Administration Subcommittee met with a quorum and considered several education-related bills. CS/HB 1085 on local government cybersecurity was presented as a measure to codify an existing grant program that has helped secure more than 200 local governments, especially rural and fiscally constrained ones; Florida League of Cities supported it, and it passed 15-0. PCS/HB 371 on patriotic displays at public schools would require, subject to appropriation, display of portraits of George Washington and Abraham Lincoln in school common areas for America’s 250th anniversary; one opponent argued it would create complaint-driven enforcement and pressure educators, but the sponsor said the PCS narrowed the original classroom requirement, and the bill passed 16-0. PCS/HB 833 on private school facilities would deem small private schools of 150 students or fewer a permitted use in commercial and mixed-use zoning districts and allow use of certain existing buildings if fire and occupancy standards are met. Supporters said it would reduce local red tape and expand school choice, while opponents warned it would divert public resources and weaken public education; several members raised concerns about local traffic and safety authority. The sponsor said she was open to further amendments, and the bill passed 13-3. PCS/HB 1147 on school district unimproved real property would require districts to submit annual inventories of vacant, unimproved land to the Department of Education for transparency and planning; some members and a Monroe County school board member questioned the need for a state registry, while supporters said it would improve data and accountability. The bill passed 12-3. The committee then considered HB 615 on individualized education plans (IEPs), which would strengthen parent notification and access to service logs, require individualized orientation for newly eligible students, and standardize district service logs. An amendment removed notification requirements when a missed service was due to student absence, and it was adopted. The bill drew emotional testimony from a student and parent describing missed accommodations, along with support from Disability Rights Florida and several members who emphasized parent partnership and accountability; one ESE teacher said the bill was a good start but more staffing and support are needed. The bill passed unanimously 15-0, and the meeting adjourned after all agenda items were completed.

Transcript Highlights:

• And our annex building contains our beauty shop, a physical therapy gym, and a movie theater.
• We'll have PT, OT, and speech for any therapy needs for our residents.
• So it has a nice, huge spa room with a large therapy tub that you see.
• Residents are able to use that for therapy purposes as well as just leisure purposes.
• The tub tilts back so they're able to kind of relax, and it has been useful for therapies as well.

Transcript Highlights:

• With the in-home individual child therapy, it was my understanding that there are a couple of programs
• So there's already some individual child therapy being provided. So how is this different?
• . monthly in-home visits from caseworkers, which you heard is very sporadic, weekly in-home child therapy
• , monthly in-home therapy, additional parent training, and a treatment team that develops individualized
• But they weren't getting the necessary therapy MAT treatment that they needed.

Keywords: 996, all

Transcript Highlights:

• Steven Curley with the Kentucky Board of Physical Therapy.
• This bill will update the statutes governing the Commonwealth of Kentucky's Physical Therapy Board.
• The Kentucky Board of Physical Therapy has been working on changes to the Practice Act for over 15 years
• This has been a collaborative effort with the American Physical Therapy Association, Kentucky chapter
• This has been a collaborative effort with the American Physical Therapy Association, Kentucky chapter

Keywords: 00:00 Call to Order 01:55 Attendance Roll Call 02:10 HB 422 Discussion 03:35 HB 422 Vote 04:55 HB 6 Discussion 11:30 HB 6 Vote 16:45 HB 87 Discussion 20:22 HB 87 Vote 21:43 HB 255 Discussion 24:33 HB 255 Vote 26:19 HB 437 Discussion 29:09 HB 437 Vote 30:25 Adjournment, 958, all

Summary: The committee first took up House Bill 6, sponsored by Rep. Wade Williams, which would require administrative regulations with a major economic impact of $500,000 or more over two years to go through the legislature. Williams argued the bill would rein in regulatory overreach, improve transparency, and still allow emergency regulations. Several members raised concerns about executive-branch authority and the role of subject-matter experts, while others supported the bill as a way to improve communication and legislative oversight. The bill passed on a roll call vote and was sent to the House floor. The committee then considered House Bill 87, sponsored by Rep. Emily Callaway, with a committee substitute adopted first. The bill is aimed at reducing barriers for people with felony records who are seeking occupational licenses, while preserving existing public hiring practices for cities and counties. Callaway said the changes were mostly technical and intended to make the process more transparent, with no fiscal impact. The committee approved the bill, and it passed with the committee substitute. House Bill 255, sponsored by Rep. Amy Neighbors, also passed with a committee substitute. The measure updates and modernizes the Kentucky Board of Physical Therapy statutes, which sponsors said have not been substantially revised since 1958. Supporters said the bill clarifies outdated language, defines terms more clearly, and better reflects current practice, including physical therapist assistants. The chairman noted the long effort to update the practice act and praised the work of the stakeholders involved. Finally, House Bill 437, sponsored by Rep. Tony Hampton, was presented as a cleanup bill for alcohol beverage control law. It would limit state and local ABC administrators and investigators from making arrests unless they are POP certified, while leaving their other authority intact. Hampton and supporting witnesses said the change would align the statute with other law enforcement certification requirements and help keep civilian administrators from being put in harm’s way. The transcript ends during discussion of this bill, with no final vote shown.

Transcript Highlights:

• Senate amended the bill to continue the Department of Economic Security, the Board of Occupational Therapy
• Board of Nursing for four years the Senate amended the bill to continue DES the Board of Occupational Therapy
• examiners and the Arizona Regulatory Board of Physician Assistance for for you. the Board of Occupational Therapy

Summary: The caucus meeting on Friday, June 12, reviewed several bills on Blue Sheets 16, 17, and 18, with sponsors generally concurring in Senate amendments. On property tax and agricultural inspection bills, HB 2104 and HB 2105 were described as creating temporary limits on county assessors’ ability to reclassify or inspect agricultural property after a successful appeal or recent inspection, while preserving assessor authority for changes in use, ownership, splits, or taxable improvements. HB 4117, concerning religious worship assemblies, was amended by the Senate to focus on intentionally obstructing entry or exit from a place of worship or creating a disruptive commotion. HB 2311 would require AI conversational systems to notify users they are interacting with AI and add other consumer protections, and HB 2477 would conform Arizona’s 529 plan rules with federal law and allow certain rollovers to ABLE or Roth IRA accounts. The meeting also covered HB 2114, which directs motorcycle safety fund spending toward education and scholarships and ties motorcycle registration requirements to Class M licensing, with Senate changes narrowing the registration provisions and exempting business-owned motorcycles. HB 2729 was broadened by the Senate from continuing only the Nursing Board to also continuing DES, the Board of Occupational Therapy Examiners, the Physician Assistants Board, and the State Board of Pharmacy, with members noting this kind of consolidation is common at the end of session. All of these bills were presented for concurrence, and no objections or substantive questions were raised. The caucus then reviewed three additional measures that had just come through rules: SB 1618, which revises military affairs statutes, creates procedures for military installation fund property acquisition, changes commission duties and membership, and adds reporting requirements; SB 1110, which creates a Department of Corrections home confinement program for certain inmates nearing release; and SCR 1004, which would, subject to voter approval, restrict photo enforcement systems unless a contract existed before December 31, 2026. Members clarified that the House mirror of the photo enforcement measure had not advanced. The meeting ended with notice that more caucus or rules activity could occur later in the day as the chamber moved bills to the floor on sine die.

Transcript Highlights:

• And then we have multi-systemic therapy, which is in Jefferson and Southern Bluegrass.
• :23.840> we<00:10:23.960> have<00:10:24.200> multi-systemic<00:10:25.000> therapy
• , then we have multi-systemic therapy, then we have multi-systemic therapy, which<00:10:25.560>
• Implementation of the multi-systemic therapy program in four regions now.
• that is for um multi-systemic therapy that is for um youth<00:24:57.840> 12<00:24:58.200>

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:19 DCBS 00:01:58, 958, all

Transcript Highlights:

• little bipartisan agreement these days, but they do agree that AI being involved in mental health therapy
• <00:20:26.160> Therapy<00:20:27.600> um<00:20:27.919> to >> If he had been in
• , and passing rigorous and therapy, and passing rigorous and comprehensive<00:21:33.360> exams
• <00:26:58.000> therapy<00:26:58.480> services<00:26:59.200> rather<00:26:59.520>
• than therapy therapy services rather than therapy therapy services rather than potentially<00

Keywords: 919, house, all

Summary: The committee first approved the March 11, 2026 minutes, then heard House File 4048, which would exempt chiropractors from Minnesota’s provider tax if they are no longer eligible to provide chiropractic benefits under Medicaid/MinnesotaCare. Representative Robbins said the bill corrects an unfair situation because chiropractors still pay the tax even though the benefit was eliminated. Testifiers from the Minnesota Chiropractic Association and a longtime chiropractor supported the bill, arguing that most chiropractors are small-business owners and should not pay a tax for services they can no longer provide. Several members said they supported restoring chiropractic coverage instead of changing the tax, and there was discussion about whether the tax applies to all providers and whether it is effectively passed on to patients. The committee adopted a motion to recommend HF 4048 to the Committee on Taxes. The committee then took up House File 3893, as amended, a bill to restrict artificial intelligence from engaging in psychotherapy or counseling with humans. The author and supporters said the bill is intended to prevent AI chatbots from posing as therapists or counseling vulnerable people, citing reports of suicides and other harms linked to chatbot interactions. The A2 amendment was adopted; the author said it reflected stakeholder concerns and added informed-consent language. Testifiers in support, including a psychologist and a suicide-prevention nonprofit leader, urged strong safeguards and said AI should not replace licensed professionals in crisis settings. Other testimony raised concerns about overbreadth and unintended effects. TechNet and a rural mental health provider said the bill should be narrowed so it applies to clinical therapy rather than wellness or educational tools, and should allow supervised AI uses such as transcription and administrative support. Members discussed rural access, existing licensing-board authority, privacy laws, and whether the bill should target AI companies directly rather than licensed clinicians. The transcript ends during continued discussion of HF 3893, with no final committee action shown in the excerpt.

Transcript Highlights:

• This bill amends the Education Law to regulate the use of artificial intelligence in therapy and psychotherapy
• This bill amends the Education Law to regulate the use of artificial intelligence in therapy and psychotherapy
• amends the Education Law to clarify and update the supervision requirements for licensed physical therapy

Keywords: 993, senate, all

Summary: The Senate Higher Education Committee met on May 5 and considered 12 bills, with most measures relating to higher education administration, student services, and professional licensing. The committee advanced a rural teacher loan repayment program for teachers serving underserved rural areas, a SUNY/CUNY mental health staffing requirement, a bill allowing SED access to patient or client records in professional misconduct cases, an AI-in-therapy regulation bill, cross-profession supervision for certain mental health professionals, an extension of limited permits for social workers, continuing education requirements for acupuncturists, and updated supervision rules for physical therapy assistants. One bill reorganizing SUNY police was held for further negotiations with SUNY, SUNY police, and stakeholders. Two Article 7, Section 2, subdivision E motions for committee consideration were taken up. Senator Rose’s bill to withhold financial aid from SUNY or CUNY institutions that permit organizations designated as terrorist organizations was defeated after several senators voted no or without recommendation. Senator Kanzanari Fitzpatrick’s bill requiring anti-Semitism awareness training, incident reporting, and compliance with state reporting rules for higher education institutions was approved and sent to the Codes Committee, with some senators voting without recommendation because they viewed the subject as already covered by existing law. The committee also reported Senator Rivera’s nurse practitioner conformity bill to the floor, and several other bills were reported either to the floor or to Finance depending on their fiscal impact. Most measures were approved without opposition, though some senators voted without recommendation on bills they said overlapped with existing statutes or prior legislation. The meeting adjourned at 10:52 a.m.

Transcript Highlights:

• Alternative, peer-supported, confidential paths for healing—outdoor therapy—is a solution, and we've
• Alternative, peer-supported, confidential paths for healing—outdoor therapy—is a solution, and we've
• Nature-based therapy reduces PTSD symptoms and improves stress management.
• <00:57:48.039> reduces impacts nature-based therapy reduces impacts nature-based therapy reduces
• They become family, and there is not a lot of avenues besides, you know, getting the clinical therapy

Keywords: 1187, senate, all

Transcript Highlights:

• Colleagues and friends, this is a creative, responsible way to explore promising therapy in the middle
• seek drug application with the FDI to seek the<00:24:56.960> breakthrough<00:24:57.440> therapy
• <00:24:57.840> designation<00:24:58.480> and the breakthrough therapy designation and
• the breakthrough therapy designation and enter<00:24:58.960> into<00:24:59.200> an<00:
• explore promising therapy explore promising therapy in<00:25:41.039> the<00:25:41.200>

Keywords: MS House Floor - 21 January, 2026; 2:00 PM, 925, all

Summary: The House opened with prayer, the Pledge of Allegiance, a quorum call, and several guest introductions, including a pastor, a doctor of the day, medical students and physicians for MSMA White Coat Day, and visitors in the galleries. The chamber then moved to the calendar and took up House Bill 314, the Ibogaine Treatment Drug Development Grant Program Act. The sponsor described ibogaine as a potential treatment for opioid use disorder, PTSD, traumatic brain injury, depression, and related conditions, emphasizing that the bill would not legalize the drug but would authorize the State Department of Health to fund a consortium for FDA-regulated clinical trials with private matching funds, a university and hospital partner, and a requirement that at least 20% of commercialization revenue go to the state. Members asked about VA involvement, whether the trials would serve veterans or civilians, how the drug would be administered and monitored, why a statute was needed, and the source of the proposed state funding. The bill passed by a vote of 110 yeas and 1 nay. The House then considered House Bill 534, as a committee substitute, creating the Mississippi Health Exchange, a statewide health information exchange for real-time sharing of admission, discharge, transfer, and related patient information among hospitals, clinics, payers, and public health officials. The sponsor said the system would improve continuity of care, help with bed availability and mental health placements, and support public health analysis while protecting privacy through HIPAA compliance, an opt-out process, and limits on access to identified data. The bill would require hospitals, community mental health centers, and state hospitals to participate as a condition of licensure, designate a single nonprofit operator selected by the Department of Health, and create a fund for implementation and cybersecurity costs. Members questioned the bill about privacy protections, the opt-out process, whether data could be sold or shared improperly, costs to hospitals, whether hospitals and the hospital association supported the measure, and how the exchange would work in transfer scenarios. The sponsor said the bill would make unauthorized sharing illegal, that most hospitals already participate in some form of HIE, and that the exchange would not cost the state anything immediately because there was no appropriation attached. The discussion also noted possible help from rural transformation funding. The transcript ends during continued questioning of House Bill 534, before final passage or other action is shown.

Transcript Highlights:

• <00:46:38.119> visits<00:46:38.520> for have a limit of 20 uh therapy visits for have
• a limit of 20 uh therapy visits for example<00:46:39.599> um<00:46:40.079> that<00:46:
• <00:46:41.440> occupational<00:46:41.960> therapy<00:46:42.319> speech Therapy occupational
• therapy speech Therapy occupational therapy speech therapy<00:46:43.040> in<00:46:43.200>
• in the event that those uh those therapy in the event that those uh those limits<00:46:45.400> need

Keywords: 958, all

Summary: The subcommittee met to review the Department for Medicaid Services’ program integrity work. Commissioner Lisa Lee and Program Integrity Director Jennifer Dudinsky outlined Kentucky Medicaid’s structure, funding, enrollment, and spending, including FMAP rates, the size of the Medicaid and KCHIP populations, the number of providers, and 2024 expenditures. They also described the managed care and fee-for-service populations, noting that managed care serves most members while fee-for-service is concentrated in long-term care and waiver populations. Most of the discussion focused on fraud, waste, abuse prevention, and provider oversight. The department described its provider enrollment and certification checks, revalidation requirements, site reviews, fingerprinting for some high-risk providers, and termination grounds such as false application information, Medicare actions, unreported ownership changes, and abandonment of a provider number. Members asked about nonprofit ownership reporting, MCO fraud oversight, and how the department tracks unusual CPT code utilization, especially in behavioral health. The department said it uses data analytics, audits, policy review, and collaboration with behavioral health staff to monitor those trends. Dudinsky explained the division’s four branches: provider licensing and certification, audits and compliance, recovery, and third-party liability/estate recovery. She described prepayment and postpayment audits, referrals of credible fraud allegations to the Attorney General, monthly meetings with the AG’s office, and coordination with the Office of Inspector General, CMS, HHS OIG, MCOs, and other partners. She also explained payment suspensions, stand-downs during law enforcement investigations, and recovery efforts for overpayments, provider/member fraud, and third-party liability. The department said its recovery and avoidance efforts produced more than $251 million in savings so far in 2025. No votes or formal actions beyond approving the minutes were taken.

Transcript Highlights:

• <02:42:36.320> management uh do a medication therapy management uh do a medication therapy
• <02:47:18.640> is to look and see if I feel the therapy is to look and see if I feel the therapy
• So, if you want to go on to the metastatic step therapy, that would be great.
• <03:00:59.880> from explicitly prohibit step therapy from explicitly prohibit step therapy
• It is therapy side and that prohibition.

Keywords: 916, all

Transcript Highlights:

• It included equin assisted therapy, resiliency discussions, and peer support programming.
• It included equin<00:03:11.040> assisted<00:03:11.360> therapy,<00:03:12.159> resiliency
• equin assisted therapy, resiliency equin assisted therapy, resiliency discussions,<00:03:13.200>
• was going to ask about this during questions, that's the issue of the potential value of any, uh, therapy
• issue of the potential value of<00:37:40.000> any<00:37:40.640> uh<00:37:40.800> therapy

Keywords: 1183, house

Transcript Highlights:

• And so, we just used this with massage therapy, for instance, where we took our massage therapy friends
• > instance,<00:23:04.200> where<00:23:04.360> we massage therapy, for instance,
• where we massage therapy, for instance, where we took<00:23:04.760> our<00:23:05.120> massage
• <00:23:05.640> therapy<00:23:06.080> friends<00:23:06.840> who took our massage
• therapy friends who took our massage therapy friends who have<00:23:07.120> been<00:23:07.280

Bills: HB163, HB344, SB11, SB92, SB164, HB22, HB89, SB227, SB6

Keywords: income tax, research expenditures, economic development, tax deductions, Tax Cuts and Jobs Act, Alabama tax law, educational intervention, State Superintendent, local boards of education, subpoena, accountability, state control, electric vehicles, registrations, license tax, public transportation, funding infrastructure, K-12 education, wireless communication devices, digital safety

Transcript Highlights:

• plans already cover PrEP and PEP, and more importantly, health plans cover these drugs without step therapy
• believe SB 964 undermines existing utilization management protocols like prior authorization and step therapy
• Joy Williamsbrook, doctor of physical therapy and clinical health scientist, and also part of the Parkinson's
• For so many Californians in my district in particular, acupuncture therapy is incredibly important, with
• necessary treatment that it is in for so many Californians in my district in particular acupuncture therapy

Keywords: 988, house, all

Summary: The Assembly Health Committee heard several bills focused on health care access, insurance coverage, public health, and patient protections. SB 1023 by Senator Laird would require insurers that cover injectable PrEP under the medical benefit to also cover it under the pharmacy benefit, to reduce billing barriers and improve access to HIV prevention. Supporters included HIV/AIDS organizations, the Department of Insurance, medical groups, and LGBTQ advocates; health plans opposed the bill as an unnecessary benefit-design mandate. The committee later voted the bill out on a due pass motion, and it remained on call before being finalized out later in the hearing. SB 964 by Senator Smallwood-Cuevas would limit repeated prior authorization requirements when a clinician needs to adjust the dose or frequency of a covered medication for a patient with a chronic or complex condition, with safeguards for off-label use and controlled substances. Support came from physicians, hospitals, and patient advocates, especially in gastroenterology and chronic disease care, while insurers argued it weakened safety and utilization-management safeguards. The committee approved the bill on a due pass vote to Appropriations. SB 1323 by Senator Rubio, as amended in committee, would strengthen protections for patients receiving medical care while in immigration custody by requiring facilities to train staff on responding to such requests and allowing patients to notify a family member or loved one of their location. It passed the committee on a due pass as amended vote to Judiciary, with one no vote recorded. SB 1099 by Senator Reyes would clarify local governments’ authority to provide state and local public benefits to all residents under the federal PRWORA exemption, giving cities and counties more certainty when operating low-barrier services such as health care, shelter, crisis response, and homeless outreach. Local government attorneys and service providers supported the measure, and there was no opposition testimony; it passed to Human Services. SB 895 by Senator Wiener would place a $12 billion science research bond on the November ballot and create a state research funding institute to help sustain California’s research economy amid federal cuts. The bill drew broad support from universities, labor, health organizations, patients, and business groups, with one member voting no because of the bond cost; it passed to Appropriations. SB 944 by Senator Wiener would stabilize Medi-Cal coverage for acupuncture, which supporters described as a cost-effective, nonpharmacological treatment for pain and other conditions. It passed to Appropriations with strong support and no opposition testimony. At the end of the hearing, the committee also took add-on votes to confirm the bills’ passage status and adjourned.

Transcript Highlights:

• X-rays, the first 12, PT or occupational therapy visits, routine labs, emergency care, consults—these
• tests like MRIs, nerve conduction studies, referrals to mental health specialists, someone who needs therapy
• Imaging and physical therapy are about 35% each. Next slide, please.
• I recommended surgery only after they failed rest, they failed therapy, they failed a trial of return
• psychologist, and I've been practicing since 2009 with first responders in the setting of individual therapy

Summary: The committee first received an update from the Attorney General’s office on a new workers’ rights unit and two request bills. The office said the unit will focus on wage theft and civil rights enforcement, using existing resources for a small staff. It also described a bill to expand civil investigative demand authority for labor, wage theft, prevailing wage, and discrimination investigations, and an Immigrant Worker Protection Act that would require employer notice when federal immigration authorities request employee records, limit access to nonpublic work areas without a warrant, and restrict disclosure of employee data without proper legal process. Senators asked about costs, funding sources, and the scope of the proposed authority, and the office said it would follow up with more detail. The committee then heard a detailed presentation on Washington’s workers’ compensation system from Labor and Industries, including how claims are filed, how the medical provider network works, and how treatment authorizations and utilization review are handled. L&I said the network was created to improve care quality and return workers to work, and explained that most routine care is automatically authorized while certain procedures require prior approval or review. A question from Senator Conway focused on the role of the medical director and the appeals process; L&I said decisions can be protested and reconsidered, with exceptions reviewed through a complex treatment unit and medical staff. An experience panel followed with testimony from labor representatives, physicians, and an injured-worker attorney, who argued that the medical provider network and treatment guidelines can delay or deny needed care, especially in complex cases such as PTSD, brain injuries, and serious orthopedic injuries. They described long appeals, utilization review barriers, provider shortages, and the impact on injured workers and families, while L&I’s presentation emphasized the system’s structure and review safeguards. The committee then heard a report from the Underground Economy Task Force in the construction industry. L&I summarized the task force’s findings on worker misclassification, unregistered contractors, and unpaid taxes and premiums, and outlined consensus and majority recommendations, including better interagency communication, stronger penalties for repeat offenders, more authority to address successorship, possible contractor notice requirements, and further study of cash payments. The Attorney General’s office, labor, and business representatives generally supported the report’s goals but differed on some recommendations, especially those affecting independent contractors, contractor liability, and administrative burdens. The chair and Senator Conway thanked participants and said the report would inform future legislation.

Transcript Highlights:

• Are you aware of this issue that occurred regarding one of your providers using unqualified therapy companies
• Are you aware of this issue that occurred regarding one of your providers using unqualified therapy companies
• referring to is a vendor that one of the agency's contracted health plans is using to provide special therapy
• IS USING TO PROVIDE SPECIAL THERAPY SERVICES. THIS IS TO THEIR MEMBERS.
•   171 IS USING TO PROVIDE SPECIAL THERAPY SERVICES. THIS IS TO THEIR MEMBERS.

Summary: The Health Facilities Subcommittee met to receive implementation updates from the Agency for Health Care Administration on three bills passed in prior sessions. First, Deputy Secretary Brian Meyer reported on the transfer of the Children’s Medical Services managed care plan from the Department of Health to AHCA under HB 1085. He said the move was administrative only, with no change to enrollment, providers, services, or clinical eligibility functions, and that it was intended to create efficiencies by aligning procurement and shifting staff resources between agencies. Members then questioned AHCA about reports of reductions in private duty nursing and therapy services for medically fragile children, including concerns about appeals, provider credentialing, and whether families were losing services or being transitioned appropriately. AHCA said it was reviewing denials, monitoring the plan, and using contractual remedies while focusing on maintaining access for members. The committee also reviewed implementation of a bill creating permanent Medicaid eligibility for individuals with permanent disabilities. AHCA staff explained that the agency had submitted a federal 1115 waiver request after public comment and stakeholder meetings, but CMS had indicated it did not anticipate approving the requested authority. Members pressed AHCA on why the waiver was submitted later than the bill’s directive date and on whether the delay was avoidable. AHCA said the waiver was complex and required review, drafting, and public input, and noted that DCF already has a specialized unit to help with redeterminations while the agencies work on operational changes. The committee discussed the practical impact on families who struggle with annual eligibility renewals and the need for clearer communication and faster follow-up from the agency. Finally, AHCA presented on the home health aide program for medically fragile children and related Medicaid eligibility changes. The agency described the 2023 law that created a family caregiver provider type and the 2025 changes that increased the hourly rate, expanded hours, reduced training requirements, and removed caregiver earnings from Medicaid eligibility calculations, subject to federal approval. AHCA said it had completed state public comment, submitted the waiver amendment to CMS, and was awaiting federal action. Members raised concerns that some families may have enrolled or begun work before the eligibility fix was in place and may have lost benefits, especially in Broward County. AHCA said it would work with affected families and plans, review outreach through DCF and the health plans, and continue rulemaking, system updates, and provider training. The meeting ended with the chair noting that the committee had received the updates and adjourned without objection.

Transcript Highlights:

• Chair, so this is the uniform statewide licensure system for massage therapy.
• We've been in front of you therapy.
• No, no coupons for massage therapy. therapy. therapy.
• > Association, American Massage Therapy Association, American Massage Therapy Association, the
• for the American Massage Therapy for the American Massage Therapy Association<00:04:04.799> Minnesota

Keywords: 1187, senate, all