Transcript Highlights:

• </c> what are the um shouldn't The Physician what are the um shouldn't The Physician or<00:14:48.759>
• physician assistants are covered because they are regulated under RSA 329.
• Physician assistants are covered because they are regulated under RSA 329.
• </c><00:28:57.760><c> assistant</c> reference a physicians assistant reference a physicians assistant
• </c> with and ultimately uh um treat with and ultimately uh um treat um<00:39:42.000><c> and</c><00:39

Committee: Senate Health and Human Services

Transcript Highlights:

• and you understand, similar to how a gynecologist, that special relationship you have with your physician
• as a woman, in HIV care, you build a very sacred relationship with your physician.
• To have to suddenly build that relationship and trust with another physician and practice, it really
• make sure that hospitals are staffed, designed, and supplied with the critical things they need to treat
• And it requires emergency departments to designate a physician, nurse, or paramedic as the lead person

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The Senate Appropriations Committee on Health and Human Services heard public testimony on concerns about changes to the AIDS Drug Assistance Program and the iBudget waiver, including warnings that HIV patients could lose access to medications and that direct support providers need a rate increase. Senators discussed possible alternatives such as medically needy coverage and FQHC/340B access, and a witness urged the legislature to delay implementation of the HIV-related changes and restore funding. Another witness asked for support for a modest increase for iBudget direct care providers. The committee then considered and reported favorably several bills. SB 428, by Sen. Yarborough, expands the state swimming voucher program from ages 0-4 to ages 1-7 to align with drowning-prevention guidance; it passed without opposition. CS/SB 68, by Sen. Harrell, requires hospitals with emergency departments to adopt pediatric emergency care policies, training, equipment standards, and readiness assessments; an amendment aligning reporting dates with the House version was adopted, and the bill passed favorably. CS/SB 1718, by Sen. Grall, makes the Step Into Success foster youth pilot permanent, adjusts visitor/background screening rules for out-of-home placements, and modifies stipend provisions; it also passed favorably. The committee also approved CS/SB 606, by Sen. Smith, which adds drowning-prevention and safe-bathing education to postpartum materials and requires hospitals and birthing centers to keep compliance records. CS/CS/SB 96, by Sen. Sharief, expands eligibility for the Veterans Dental Care Grant Program up to 400% of the federal poverty level; an amendment removed the $500,000 appropriation so funding can be handled in the budget process, and the bill passed. CS/SB 340, by Sen. Harrell, requires nursing education to include a human trafficking course before licensure, and CS/SB 1480, by Sen. Burton, creates a grandfathering process for certain health care providers in areas of critical need if federal designations change; both were reported favorably. The committee adjourned at the end of the agenda.

Transcript Highlights:

• Medical documentation terminology is and should be set by physicians, national medical organizations,
• Physicians are already using the term miscarriage when they're speaking with their patients, and that
• Medical documentation terminology is and should be set by physicians, national medical organizations,
• That's not my area of practice, but I do work with physicians quite frequently.
• He then bought up most of the family practice physicians and other physicians that were independently

Committee: House Health and Welfare

Summary: The committee met on April 1 and considered several health-related bills and one resolution. HB 933, by Rep. Charles Owen, would create commemorative birth certificates and adjust vital records fees; after adopting a technical amendment, the committee reported the bill favorably. HB 288, by Rep. Boyer, would require the term “miscarriage” to appear alongside “spontaneous abortion” in medical documentation and billing; after an amendment changed the bill from mandatory “shall” language to permissive “may,” the committee heard emotional testimony both in support and opposition and then reported the bill favorably as amended. HB 420, by Rep. Berault, would require criminal background checks and registry review for all DCFS employees, not just those with direct contact with children; it was reported favorably. The committee also voluntarily deferred HB 927 and HB 962. The committee then heard HB 971, by Rep. Stagney, which seeks to equalize Medicaid reimbursement rates for independent rural health clinics and hospital-owned provider-based clinics. Supporters, including clinic owners and practitioners, testified that independent clinics provide the same services under the same rules but receive far lower reimbursement, making it difficult to retain staff and avoid sale to hospital systems. The author said the bill is intended to prompt discussion and eventual parity without harming hospitals, and the committee reported the bill favorably. HB 815, by Rep. Carver, would allow federally insured financial institutions to receive death certificate information from vital records to reduce losses and help reconcile account issues after a death; credit union representatives supported the measure, and it was reported favorably. The committee also adopted HR 74, by Rep. Sterling, which urges the Department of Education and local school authorities to report on how schools accommodate students with seizure disorders. Sterling described personal experience with epilepsy and said the resolution is meant to gather data on implementation of existing seizure action plan law and identify gaps in access to rescue medication and training. Finally, the committee took up HB 915, by Rep. Dickerson, which would place Medicaid prior authorization and utilization management timelines into statute. After technical and substantive amendments, including changing some deadlines from five business days to seven calendar days, the bill drew support from providers and health groups concerned about delays in care, and the committee reported it favorably as amended. The committee also began consideration of HB 944, by Rep. Hilferty, creating a women’s consortium within LDH focused on menopause and related women’s health issues; technical amendments were adopted and testimony emphasized coordination of existing research and resources, but the transcript cuts off before final action on that bill.

Transcript Highlights:

• Senator Cassidy, that is a one of the most frequent complaints I hear from physicians.
• And that's why I think it's also appropriate for physicians, as you have, and other physicians on this
• Should physicians or insurance companies dictate the care that a patient receives?
• One of the things that you said is that physicians should be free from corporate ownership.
• But at its very core, physicians need support.

Committee: Senate Finance Committee

Keywords: Michael Falkender, Deputy Secretary of the Treasury, IRS, taxpayer privacy, nomination process, committee hearing

Summary: The committee convened to discuss critical issues surrounding the nomination of Michael Falkender for the position of Deputy Secretary of the Treasury. This meeting included a series of remarks from committee members who expressed divergent views on Falkender's qualifications and the implications of his appointment. Senator Wyden voiced strong opposition, arguing that Falkender represents harmful policies expected to be perpetuated under the current administration, especially concerning taxpayer privacy and IRS tactics. Meanwhile, other members defended Falkender, noting his extensive experience, including a commitment to transparency in government operations if confirmed.

Transcript Highlights:

• FOR MEDICAID PATIENTS LACKING THE PRIMARY CARE PHYSICIAN THE HOSPITAL WILL ALSO INDICATE AND CONTACT
• ALL OF US WANT TO MAKE SURE THAT HAS A RELATIONSHIP WITH A PRIMARY CARE PHYSICIAN INSIDE OR OUTSIDE THE
• SERVICES, EXTENDED PHYSICIAN SERVICES, OR JUST OF THOSE OTHER AREAS AS WELL.
• I AM A PHYSICIAN WHO STILL SEES PATIENTS EVEN THOUGH I'M A CEO OF THE HEALTH CENTER AND WE THANK YOU.
• IS THERE NO OUTREACH TO GET PHYSICIANS HEALTHY START IN THE ABOUT WHAT WE'RE DOING?

Transcript Highlights:

• And then in terms of Barriers, it's the amount of physicians willing to prescribe.
• DOH does have physicians in almost every county who can prescribe, but outside of that, it's physicians
• For physicians not wanting to necessarily be involved with this program.
• Like, does every facility have a nurse practitioner or physician in-house?
• And so we have to treat where we rank in the states with a grain of salt.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• What, if any, physicians were consulted in the drafting of this legislation? You're recognized.
• I've certainly spoken with physician groups about this bill, and those groups include physicians, but
• I've spoken with physician groups about this bill, and those groups include physicians, but I'm not going
• Let's treat everybody equally under this law, so please consider those changes.
• the effects and treat for uterine cancer.

Summary: The Civil Justice and Claims Subcommittee met to consider one measure, PCS for HB 289, which would amend Florida’s wrongful death statute to allow parents of an unborn child to recover damages for the child’s wrongful death and to include parents in the definition of survivors. The sponsor said the bill is intended to give parents a remedy when a wrongful act, negligence, breach of contract, or breach of warranty causes the loss of an unborn child, while also preserving existing protections for lawful medical care and the mother. Members questioned the bill extensively about the meaning of “survivors,” whether it could reach surrogacy situations, friends or family who assist someone in obtaining abortion care, paternity issues, and whether abusive or unqualified fathers could bring claims. The sponsor repeatedly said the bill is limited to parents, does not authorize suits against the mother or lawful medical providers, and would still require the normal wrongful death procedures, including appointment of a personal representative. He cited Duncan v. Flynn as the case holding that current law does not allow recovery for the death of an unborn child. Representative Gottlieb offered an amendment modeled on criminal-law protections, aimed at expanding explicit immunity for a pregnant woman and for persons providing medical care or abortion-related conduct with consent. Supporters of the amendment said it would better align civil law with criminal protections; opponents argued it was overly broad and could shield unlicensed conduct. The amendment failed on a voice vote. Public testimony was divided, with supporters from pro-life and Catholic organizations backing the bill and some asking to remove the health care exemption, while opponents from ACLU, Equality Florida, Planned Parenthood affiliates, Florida Voice for the Unborn, Voices of Florida, and others warned the bill could chill reproductive health care, increase liability for doctors and hospitals, and invite lawsuits involving surrogates, family members, and abortion-related care. In debate, supporters said the bill simply recognizes the value of unborn children and gives parents a remedy for wrongful loss, while opponents argued it could create unintended consequences in family law, surrogacy, IVF, and medical practice, and could empower abusive partners or rapists. After closing remarks, the committee voted 13 yeas and 3 nays to report PCS for HB 289 favorably. The meeting then adjourned.

Transcript Highlights:

• practice of abortion, you cannot deny that a baby who is born alive is a human being, a person to be treated
• those that are born alive after an abortive attempt, are human beings under the law and should be treated
• OBGYNs, like physicians in any other field of medicine, are dedicated to protecting, preserving, and
• American College of Physicians, American Gynecological and Obstetrical Society, American Psychiatric
• ... ...out of state and I spent it by myself, even though they treated me very well.

Committee: House Children and Families

Summary: The Committee on Children and Families heard Senate Bill 999, sponsored by Sen. Brad Hudson, which was presented as a revised “Born Alive Abortion Survivors Protection Act” combined with language from other bills on domestic violence/no-contact orders, pregnancy-associated mortality review, and cyber harassment. Hudson argued the bill would ensure that any child born alive during or after an abortion attempt receives the same legal protections and medical care as any other child, and he said Missouri’s current infanticide law contains a carve-out that leaves such children insufficiently protected. Committee members questioned him about the Canadian study he cited, Missouri mortality concerns, the scope of the infanticide statute, and whether medical providers already understand themselves to have a duty of care. Public testimony was split. Missouri Right to Life supported the bill, saying it was needed to prevent confusion and ensure care for babies born alive after an abortion attempt. Abortion Action Missouri opposed it, calling it a “trap law” designed to restrict abortion access and warning it could delay life-saving care; the group also said major medical organizations oppose such legislation and that no abortion-after-delivery procedure exists. Campaign Life Missouri testified only for informational purposes, supporting the born-alive language but warning that the added provisions and a nonseverability clause could make the entire bill vulnerable to a court challenge and potentially invalidate unrelated sections. In executive session, several members explained their votes. Opponents said they supported children and medical providers but believed the bill was unnecessary, duplicative, or harmful to medical practice; supporters said the bill was needed to protect babies born alive and to clarify duties in law. The committee then voted 12-4 to report Senate Substitute No. 2 for Senate Bill 999 do pass.

Transcript Highlights:

• It treats activity limbs as medical needs, not add-ons.
• You have 30 days to identify it and treat it.
• We believe this bill treats private programs differently than public programs and working.
• But since we each have dual degrees, he's a chiropractic physician and I'm also an acupuncture physician
• patient of any age without collaboration with a patient's physician.

Summary: The Appropriations Committee on Health and Human Services met with a quorum present and took up several health-related bills. CS/SB 1110, covering Medicaid and insurance coverage for medically necessary orthotics and prosthetics, including activity-specific devices without lifetime or continuous-use caps, received emotional testimony from families and athletes describing high costs and the importance of access for children and adults with disabilities. Members voiced strong support, and the bill was reported favorably. The committee also heard SB 1574, which would add biliary atresia screening to the newborn screening program using the existing birth blood specimen. The sponsor and a parent testified that earlier detection could prevent severe liver damage, transplants, and deaths, and the bill was reported favorably. CS/SB 794, dealing with background screening for employees at residential facilities and day training programs for people with developmental disabilities and a review of waiver support coordination, was amended to align with the House companion and then reported favorably after testimony emphasizing the importance of strong support coordinators for APD waiver families. Members then considered SB 162, requiring hospitals and ambulatory surgical centers to adopt policies for smoke evacuation systems during procedures that generate surgical smoke. Nurses and other supporters described surgical smoke as a serious occupational hazard, while the Florida Hospital Association said hospitals are already regulated in this area and the bill was somewhat prescriptive; an amendment was adopted and the bill was reported favorably. CS/SB 254, which tightens oversight of nursing education programs, adds preceptorship and provisional licensure pathways for graduates awaiting NCLEX results, and increases transparency and accountability for low-performing programs, drew support from nursing advocates and opposition from private nursing schools concerned about workforce impacts; after amendment, it was reported favorably. Finally, SB 688 to reestablish licensure and regulation of naturopathic doctors in Florida was heard with testimony both supporting expanded health care choices and opposing the bill over safety and scope concerns, and it too was reported favorably. The committee then adjourned.

Transcript Highlights:

• I think what is probably more accurate is to say physician assistants and physicians have more training
• I think what is probably more accurate is to say physician assistants and physicians have more training
• I think what is probably more accurate is to say physician assistants and physicians have more training
• I think what is probably more accurate is to say physician assistants and physicians have more training
• ><c> have</c> physician assistants and physicians have physician assistants and physicians have more<

Bills: HB0143 , HB0129

Committee: Senate Labor, Health & Social Services

Transcript Highlights:

• </c> The statute does address that a physician can, um, treat.
• The physicians were hesitant to treat because they didn't know actually if that treatment plan was approved
• or physicians making a determination?
• </c><00:23:24.080><c> or</c><00:23:24.320><c> physicians</c> the physician or physicians the physician
• ,</c><00:24:00.240><c> it</c> the employers, the um physicians, it the employers, the um physicians,

Committee: Senate Labor and Technology

Summary: The Senate Committee on Labor and Technology heard testimony on several labor-related bills. SB 2567 would allow public employers to seek temporary restraining orders against harassment of employees; the Judiciary, DHS, DOE, and others supported it, with some asking that coverage be broadened to all public employees. The Judiciary said it would not oppose expanding the bill’s scope. The chair deferred decision-making on SB 2567 to February 13, 2026, to allow further discussion with the Judiciary and Attorney General’s Office. SB 2386 would expand pay-transparency requirements for job listings and lower the small-employer exemption threshold from 50 to 25 employees. Testifiers largely supported the measure, citing transparency and retention benefits, while one opposition was noted. The committee voted to pass SB 2386 with amendments, including changing the effective date to January 1, 2077. SB 2389, the Warehouse Workers Protection Act, drew support from labor advocates but concerns from DLIR and the Attorney General’s Office about enforcement and a prosecutorial provision; after questions about quota tracking and recordkeeping, the chair deferred the bill. SB 2663 would require employers to respond in writing to workers’ compensation treatment plans within seven days and establish related penalties. DLIR opposed the bill as drafted, citing fairness and existing statutory conflicts, while injured workers and labor representatives supported it and described long delays in treatment approvals. The committee voted to pass SB 2663 with amendments, including directing fines to the special compensation fund, clarifying enforcement, and setting the effective date to January 1, 2077. SB 2555 would allow retirees to work in succession-planning positions without losing retirement benefits; ERS supported the intent but suggested an annual reporting requirement and noted existing rehire mechanisms. The committee voted to pass SB 2555 with amendments, including an annual report requirement and the same January 1, 2077 effective date. The meeting then adjourned.

Transcript Highlights:

• Relating to physicians continuing education, relating to physicians continuing education required.
• This bill ensures that every physician licensed in North Dakota, ...outcomes.
• Relating to the requirements of physician assistant privilege to practice under the physician assistant
• Communication with the physician and patients.
• There's also another physician online.

Summary: The committee first took up Senate Bill 2401, which would require physicians to complete continuing education on nutrition and metabolic health as part of the state’s rural health transformation effort. HHS supported the bill, saying it would help physicians better address chronic disease and preserve federal grant points tied to the state’s application. A member of the public also testified in favor, arguing that better nutrition education could improve diabetes outcomes and reduce costs. The committee then adopted an amendment to add the Board of Occupational Therapy Practice to the background-check statute so the occupational therapy compact could proceed, and it passed the bill as amended on a roll call vote. The committee next heard House Bill 1621, which would require the Presidential Fitness Physical Fitness Test in elementary, middle, and high school physical education courses. HHS said the bill was part of the rural health transformation application and could help preserve federal funding, but members raised many questions about the test’s criteria, adaptive options for students with disabilities, equipment needs, and whether the bill should apply to non-public schools. Senator Clemens offered an amendment to limit the requirement to public schools, but it failed. Senator Hogan then offered an amendment to clarify exemptions and allow DPI to align implementation with federal guidance; that amendment passed. A further amendment adding language allowing DPI to establish criteria for and exceptions to the test also passed. The committee then approved the bill as amended on a roll call vote. The committee also considered House Bill 1622, which joins North Dakota to the physician assistant licensure compact. HHS said the compact would improve access to care, especially in rural areas, support military families, and help preserve rural health transformation funding. Members noted the compact had been discussed in a prior session and that many earlier concerns had been resolved. After brief discussion about the compact process and its consistency with other interstate compacts, the committee voted to do pass the bill. Finally, the committee began Senate Bill 2402, which expands pharmacists’ prescriptive authority and therapeutic substitution powers. HHS and the Board of Pharmacy supported the bill as a way to improve access to care and maintain rural health transformation funding. Senator Roers introduced a detailed amendment negotiated with the Board of Medicine and Board of Pharmacy to narrow and clarify the bill, including notification requirements, limits on certain drug categories, and patient-protection language for therapeutic substitution. The Board of Pharmacy then testified in support of the broader bill and explained the CLIA-waived testing provisions and the repeal of the older, narrower pharmacist-testing language. The hearing and amendment discussion were still underway when the transcript ended.

Transcript Highlights:

• I'm a practicing physician. Um, what are we doing? That was [snorts] [sighs].
• </c> image of God and deserve to be treated image of God and deserve to be treated humanely<00:09:46.800
• I'm a practicing physician. Um, what are we doing? That was [snorts] [sighs].
• I'm a practicing physician. physician. physician.
• Um, if not treated, this can lead to infection and even death.

Summary: The meeting focused on the detention of Andrea Pedro Francisco, a 23-year-old Burnsville resident and Minnesota constituent who was detained by ICE and transferred from Camp East Montana in El Paso to the El Paso Processing and Detention Center while awaiting surgery for a large ovarian cyst. Senator Lindsey Port, Congresswoman Angie Craig, and Senator Alese Matson argued that she has been denied adequate medical care, receiving only Tylenol and constipation medication despite an emergency room confirming she needs surgery. They said the delay could lead to severe pain, bleeding, loss of fertility, infection, or death, and repeatedly called for her immediate release on humanitarian parole. Pastor Ellery Deikman described visiting Andrea in detention with other clergy and her lawyer, saying she appeared thin, in pain, and deeply distressed, though she brightened when told people in Minnesota were praying for her. He and others framed her situation as a humanitarian and human rights issue, criticizing the detention system as punitive and for-profit. Senator Matson, who is also a physician, explained that the standard treatment for a cyst of this size would be surgery and that waiting is medically dangerous. Participants also said Andrea had been in detention for close to 80 days, had limited access to legal and medical records, and had been separated from family and faith community. The speakers tied Andrea’s case to broader concerns about immigration enforcement under the current administration, saying detentions and arrests have increased sharply and that many detainees have no criminal record. Vicki Schmidt of Abriendo Fronteras said detention numbers and costs have risen, conditions are often inhumane, and many people are being held in for-profit facilities. She and others urged support for HR 7335, the Humanitarian Standards for Individuals in ICE and CBP Custody Act, and called on DHS to grant Andrea parole immediately. In the question-and-answer portion, the physician-senator reiterated that surgery is the only treatment, that the condition could worsen at any time, and that prior practice generally allowed asylum seekers to remain in the community while their cases proceeded if they were not a danger.

Transcript Highlights:

• It is used to diagnose, monitor, and treat a variety of conditions including cancer, heart disease, and
• It's really the focus of transplant medicine. ...to detect early and treat early rejection.
• I'm a board-certified physician in pediatrics. anesthesiologist.
• It's physicians' children; it's everybody.
• The lifetime cost of treating just one HIV case is substantial.

Bills: HB813 , HB1680 , HB3569 , HB4074 , HB4635 , HB5178 , SB527 , SB1307 , SB1822

Committee: House Insurance

Keywords: autism, health insurance, coverage, medical treatment, health benefit plan, HIV prevention, prescription drug, prior authorization, health benefits, insurance coverage, insurance, contract termination, property and casualty, insurance agents, discrimination, appraiser, umpire, licensing requirements, continuing education, admin penalties

Transcript Highlights:

• And we are basically treating this like we would treat any other research into medication.
• Yeah, so in Massachusetts, for example, I'm a physician.
• However, in Massachusetts, In Massachusetts, for example, I'm a physician.
• They tried to treat her on the unit, but it failed; she’d be...
• They tried to treat her on the unit, but it failed.

Committee: Joint Joint Committee on Mental Health, Substance Use and Recovery

Summary: The Joint Committee on Mental Health, Substance Use and Recovery opened its first public hearing of the 2025–26 session with remarks from the Senate and House chairs outlining the committee’s priorities. They noted recent work on addiction and recovery legislation, the ongoing youth behavioral health crisis, and that members might need to leave periodically for floor votes. The chairs explained hearing procedures, including three-minute testimony limits, written testimony deadlines, and reporting deadlines for Senate and House bills. The hearing then focused on several bills related to youth mental health, overdose prevention, and psychedelic treatment research. A major portion of the hearing centered on bills to improve youth crisis response and overdose prevention. Testimony strongly supported bills to print the 988 Suicide and Crisis Lifeline on student ID cards, with speakers from mental health organizations, crisis centers, and individuals sharing personal stories of depression, suicide attempts, and the importance of making 988 as familiar as 911. Another set of bills would require schools to stock naloxone and provide overdose prevention education. Physicians, harm reduction advocates, students, and grieving family members testified that school-based Narcan access and education could save lives, reduce stigma, and help students recognize overdoses and understand Good Samaritan protections. Senator O’Connor and Tamika Perry also testified for a bill to strengthen substance use prevention education and reduce overdose abandonment, emphasizing the need to teach students about overdose risks and the legal protections for calling 911. The committee also heard testimony on a bill to authorize a pilot program for psychedelic treatment in licensed facilities. Senator Friedman and several medical and behavioral health professionals argued the proposal was a narrow, research-based approach distinct from the broader ballot question rejected in 2024. They said the bill would allow only a small number of supervised clinics to use psychedelics for conditions such as depression, PTSD, anxiety, and substance use disorders, with data reporting and Department of Public Health oversight. Supporters described it as a cautious way to study promising treatments while avoiding unsupervised or commercialized use. Finally, the committee heard support for a bill to create a special commission and five-year strategic plan for children’s behavioral health services, with testimony that the current system is fragmented, difficult for families to navigate, and strained by workforce and funding challenges. No votes or final actions were taken during the hearing; the committee primarily received testimony and questions on the bills.

Transcript Highlights:

• They've treated 35,000-plus patients.
• These are internationally trained physicians.
• These are internationally trained physicians.
• -trained physicians.
• Physicians, and they're not coming in as residents.

Summary: The committee first received an update on the effects of HR1 and related federal Medicaid and marketplace changes from Governor’s Office and Health Care Authority staff. Presenters said the most immediate coverage losses are expected in the individual market beginning in January, with premium increases and an estimated 80,000 people potentially unable to afford coverage. They warned that larger Medicaid impacts will follow over the next year and beyond, including tighter eligibility checks, work requirements, reduced retroactive coverage, limits on state-directed payments and provider taxes, new cost-sharing, and changes affecting certain non-citizen adults. They also said the state plans to seek a waiver or extension for work requirements and will continue to analyze impacts, including on rural providers and Planned Parenthood-related services. Members asked about the effect on nursing homes, rural hospitals, and how the state can help providers and enrollees navigate the new requirements; staff said timelines and a state-specific implementation chart are being developed. The committee then heard a report on the International Medical Graduate Work Group and Washington’s efforts to create pathways for internationally trained physicians. Testimony described the clinical experience license, the clinical evaluation assessment tool, grant funding for IMG support organizations, and a new hardship waiver process enacted this year. National presenters said many states have adopted similar pathways because of physician shortages, but Washington and Tennessee are among the few states that have actually issued licenses so far. They recommended clear guardrails, an employment offer before application, ECFMG certification, supervised practice, and data collection to avoid exploitation and protect patients. Members asked about state-to-state variation, retention of IMGs, and whether Washington should pursue dedicated residency or preceptorship options; presenters said the key next step is moving successful participants from supervised experience to a durable long-term license. The final topic was implementation of Washington’s Apple Health doula benefit and the statewide doula hub and referral system. Senator T’wina Nobles highlighted the state’s $3,500 per-birth Medicaid reimbursement rate for doulas and the importance of the hub for referrals, training, and billing. Health Care Authority staff said the benefit launched January 1, 2025, and covers prenatal intake, labor and delivery, postpartum visits, and telehealth-supported services. They reported 336 state-certified doulas, 134 enrolled in Apple Health, 287 unique clients served, and 641 claims paid so far. Testimony emphasized doulas’ role in improving birth outcomes, reducing unnecessary interventions, and addressing racial disparities in maternal health, while noting that implementation is still early and ongoing.

Transcript Highlights:

• Access to a physician.
• This bill is not about replacing physicians, nurses, or physician associates.
• treat addiction.
• They treated me like a human being when I had stopped treating myself like one.
• He said that they treated me like a human being when I stopped treating myself like a human being.

Bills: SB274 , SB301 , SB249

Committee: House Health & Human Development

Summary: The committee heard and advanced several measures related to health care, public health, and patient protections. House Concurrent Resolution 148, urging a statewide educational strategy on menopause, was presented as a workplace awareness measure and received supportive comments from members before being released. Senate Bill 274, updating Delaware’s MOST program to POLST and clarifying capacity determinations and documentation for end-of-life orders, also drew supportive testimony from medical and nursing groups and was released. House Bill 458, limiting local backflow preventer requirements for certain low-hazard buildings, was presented as a cost-relief measure for homeowners and small businesses; DHSS expressed concerns but said it was willing to work on amendments and a sunset provision, and the bill was released. Senate Joint Resolution 18, designating August 31, 2026 as International Overdose Awareness Day and ordering flags at half-staff, was released after brief supportive remarks. The committee then considered Senate Bill 339, a technical correction to the advance health care directive form clarifying that an agent’s authority for voluntary mental health admission cannot exceed 72 hours, consistent with existing law. Members asked detailed questions about how the 72-hour limit works and whether it applies to voluntary directives; the sponsor and a Disability Rights Delaware witness explained that the bill only aligns the form with current statute and does not expand authority. The bill was released. House Bill 301, requiring hospitals to create discharge plans for pregnant patients discharged while showing signs of labor, prompted extensive discussion. The sponsor and supporters said it would improve safety, transportation planning, and aftercare, while some members noted Delaware hospitals already do much of this work and questioned whether codifying it was necessary; supporters emphasized maternal mortality disparities and the need for guardrails. The bill was released. Senate Bill 196, creating ownership disclosure requirements for long-term care facilities and resident notice rules after ownership transfers, was presented as a transparency measure for seniors and families and was released after supportive testimony from the Delaware Nurses Association and elder-care advocates. Senate Bill 320, expanding pharmacists’ independent prescriptive authority for certain non-controlled medications and allowing opioid use disorder medications under standing order, with added malpractice reporting requirements in Senate Amendment 2, was supported by pharmacists and nurse practitioners as an access-to-care measure and was released. Senate Substitute 1 for Senate Bill 161, establishing a unified licensing and oversight framework for adult behavioral health providers under DSAM, was presented as a patient-protection measure; providers supported the goal but cautioned that regulations must be workable, and the substitute was released. Senate Joint Resolution 19, directing DHSS to study strategies to reduce health care costs, was released with a note reflecting concerns about broadening the analysis to include additional cost drivers and alternatives. Finally, Senate Bill 249 with Senate Amendment 2, modernizing harm-reduction programs and paraphernalia laws, generated the most extended debate: supporters framed it as life-saving public health policy, while opponents raised concerns about needle litter, community impacts, and whether the approach facilitates addiction. Despite the objections, the bill was released.

Transcript Highlights:

• This is why it's—you have a doctor that follows you, that treats you.
• There was a physician that was involved.
• There was a physician that was involved.
• And you have, I mean, a physician, physician for existence, but you have also master-level therapists
• Psilocybin is transdiagnostic, meaning it treats trauma, depression.

Committees: House Emerging Issues , House Emerging Issues and Professional Registration

Transcript Highlights:

• The new treatments are also able to treat various conditions. heart disease in patients with chronic
• So what we're doing is ensuring that this image is read and then the physician oversees that and goes
• I'm a board-certified internal medicine pulmonary and critical care medicine physician.
• While seeking the best care for my nine-year-old child, with standard care treatment failing to treat
• I just needed to hear it from another physician to be sure.

Bills: HB514 , HB1652 , HB2117 , HB2298 , HB3269 , HB46 , HB46

Committee: House S/C on Disease Prevention & Women's & Children's Health

Keywords: maternal health, maternal care, pregnancy, labor and delivery, postpartum, doula, birth worker, midwife, obstetric care, women's health, rural health, health workforce, workforce development, trauma-informed care, public outreach campaign, health equity, minority health, underserved communities, Texas Department of State Health Services, HHSC

Transcript Highlights:

• to see what they were treated with and where did we go from there.
• To see what they were treated with and where did we go from there.
• And there's a difference between a practicing clinical physician and a political appointee.
• I'm married to a physician. I get it.
• It provides relative to physicians. House Bill 1155 by Representative Robbie Carter.

Bills: SB57 , SB405 , HB62 , HB193 , HB203 , HB222 , HB246 , HB420 , HB475 , HB486 , HB574 , HB584 , HB815 , HB949 , HB1092 , HB1214

Committee: House Health and Welfare

Keywords: SB 57, Act 735, Act 463, nutrition, public health, food additives, artificial colors, banned chemicals, ingredient labeling, food labeling, FDA, food and beverage regulation, consumer disclosure, school nutrition, Louisiana Revised Statutes Title 40, Louisiana Revised Statutes Title 17, food manufacturers, food retailers, compliance, effective date delay