Transcript Highlights:

• And then finally, this legislation also requires EMRs to have options for collecting and recording communication
• patients at some of the most vulnerable moments of their lives, moments when the gender marker on their EMR
• That block the EMR access to parents of adolescents age 13 and up.
• We use Athena Healthcare, so I'd like to explain Athena Healthcare EMR for just a minute, and I also
• would like to remind the committee that EMRs are HIPAA protected.

Bills: HB 45, HB 755, HB 1232, HB 1555, HB 2460, HB 2702, HB 2973, HB 3120, HB 3225, HB 3314, HB 3356, HB 3371, HB 3634, HB 3638, HB 4247, HB 4283, HB 4290, HB 4302, HB 4503, HB 4511, HB 4565, HB 4581, HB 4627, HB 4632, HB 4660, HB 4668, HB 4960, HB 5042

Keywords: housing, affordable housing, rent control, landlord-tenant laws, housing rights, lobbying, public entities, expenditures, government code, transparency, Texas Ethics Commission, government regulation, lobbying restrictions, government accountability, taxpayer money, HB 1232, whistleblower, whistleblower protection, public employee, retaliation

Transcript Highlights:

• This is a code that they then need to implement within their EMR and billing support services, but we're
• So we did say how we wanted to add within our EMR system just that simple question, like Amy said: when
• was the last time you had a dental... ...EMR system, just that simple question, like Amy said: when

Keywords: 962, all

Summary: The MAPOC Women and Children’s Health Subcommittee heard a presentation from Kate Parker Riley, executive director of the Connecticut Dental Health Partnership, on the Husky Dental Program and efforts to improve oral health during pregnancy. She reviewed the structure of Connecticut’s Medicaid dental benefit, the ASO model, provider network, utilization trends, and member barriers to care. She noted that children’s dental measures remain above the national median, but adult utilization is lower and the dental provider network has been shrinking, with longer wait times in rural areas. A major focus was the state’s goal to raise the rate of oral evaluation during pregnancy from about 17.5% to 25% by 2030. Riley described planned outreach to OB/GYN practices using a draft “snapshot” report showing each practice’s pregnancy oral-health rate compared with the state average, along with education materials based on ACOG and AAP guidance. Committee members and guests discussed barriers such as lack of provider training, workflow burden, access to dentists who will see pregnant patients, and the need for stronger referral bridges. Suggestions included adding simple oral-health screening questions in OB settings, using human support to make appointments, and exploring co-located dental hygienists or other embedded models. Riley also highlighted partnerships with DSS, DCF, Head Start, WIC, Read to Grow, YMCA programs, refugee resettlement agencies, and school-based and hospital partners, as well as data-sharing and navigation efforts. She said pregnant members newly identified through HUSKY will now receive outreach and navigation support. DSS dental director Carolyn MacArthur introduced herself and said she supports the initiative, noting the literature linking untreated maternal dental disease to poor child oral-health outcomes. No votes were taken; the meeting ended with thanks and a preview of upcoming July presentations on integrated behavioral health and home visitation programs.

Transcript Highlights:

• up to two semesters of courses that must lead to eligibility for the emergency medical responder, or EMR
• up to two semesters of courses that must lead to eligibility for the emergency medical responder, or EMR
• up to two semesters of courses that must lead to eligibility for the emergency medical responder, or EMR
• Well, you all know it's like preaching to the choir here, but the shortage with EMS providers, EMR, it's
• It's like preaching to the choir here, but the shortage with EMS providers, EMR, it's a life-and-death

Keywords: 1187, senate, all

Transcript Highlights:

• settings, like nursing homes, must conduct background checks and consult the Employee Misconduct Registry (EMR
• The EMR tracks individuals guilty of abuse. ... ...neglect, or exploitation, prohibiting their employment
• House Bill 3560 effectively closes a loophole in Texas law. ...by mandating background checks and EMR

Bills: HB35, HB138, HB754, HB1314, HB1612, HB2254, HB2510, HB2789, HB3560, HB3597, HB4224, HB4273, HB4643, HB4783, HB138

Keywords: peer support, first responders, mental health, confidentiality, emergency services, health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, human trafficking, trafficking prevention, medical assistant training, health care facilities, hospital compliance, clinic compliance, anti-retaliation, whistleblower protection, employee reporting

Transcript Highlights:

• There's a lot of different EMR systems that hospitals use, and very, very challenging EMR.
• There's a lot of different EMR systems that hospitals use, and very, very challenging EMR.
• 01:43:58.560> utilizing<01:43:59.040> the<01:43:59.119> same<01:43:59.320> emrs
• if we if we're utilizing the same emrs if we if we're utilizing the same emrs obviously<01:44:00.119
• There's a lot of different EMR systems that hospitals use, and very, very challenging EMR.

Keywords: 1191, senate, all

Transcript Highlights:

• Uh, this adds the EMR training as reimbursable. As right now, the EMRs are now staffing ambulances.
• Uh, this adds the EMR training as reimbursable. As right now, the EMRs are now staffing ambulances.
• Uh, this adds the EMR training as reimbursable. As right now, the EMRs are now staffing ambulances.

Keywords: 1187, senate, all

Transcript Highlights:

• Finally, this legislation also requires EMRs to have options for collection and recording communication
• for a fact there are institutions locally in our area, and I'm in Southeast Houston. ...that block EMR
• We use Athena Healthcare, so I'd like to explain Athena Healthcare EMR for just a minute, and I also
• would like to remind the community that EMRs are HIPAA protected and they're compliant in that way.

Bills: HB45, HB45, HB755, HB 1232, HB1555, HB2460, HB2702, HB2973, HB3120, HB3225, HB3314, HB3356, HB3371, HB3634, HB3638, HB4247, HB4283, HB4290, HB4302, HB4503, HB4511, HB4565, HB4581, HB4627, HB4632, HB4660, HB4668, HB4960, HB5042

Keywords: flooding, disaster response, emergency preparedness, state guidance, public safety, housing, affordable housing, rent control, landlord-tenant laws, housing rights, lobbying, public entities, expenditures, government code, transparency, Texas Ethics Commission, government regulation, lobbying restrictions, government accountability, taxpayer money

Transcript Highlights:

• district, I'm on because right now we have four EMTs and the rest of the spots are filled by, um, EMRs
• are<00:07:56.879> filled<00:07:57.199> by<00:07:58.000> um<00:07:58.520> EMRs
• <00:07:59.520> And the spots are filled by um EMRs. And the spots are filled by um EMRs.

Keywords: 919, house, all

Summary: The meeting focused on the financial and workforce crisis facing Minnesota emergency medical services, especially ground ambulance providers in rural areas. Michael Johnson of the Minnesota Ambulance Association said EMS serves more than 600,000 Minnesotans a year and argued that reimbursement rates do not cover the cost of readiness, staffing, and 24/7 response. He and others called for ongoing EMS sustainability funding of about $50 million, higher Medicaid reimbursement, and continued support for EMT/paramedic scholarships, first responder training, and high school EMS programs. Senator Grant Hoschild and Representative Jeff Backer echoed the urgency, describing EMS as a moral imperative and emphasizing that rural communities cannot wait for ambulances when lives are at risk. Backer, who also volunteers as an EMT, described staffing shortages, reliance on volunteers, and a recent cardiac arrest response to illustrate the importance of local EMS coverage. Becca Hitch of PUM Area EMS said rural services are paid only when patients are transported, not for responding or treating on scene, and that one-time aid helped but did not solve underlying deficits. Bradley Peterson of the Coalition of Greater Minnesota Cities said local governments that hold ambulance licenses are being forced to absorb unrecovered costs through property taxes, and that state support is needed to prevent service failures and rising local burdens. In response to questions, speakers said a 2023 statewide study found about $120 million in need, with roughly half tied to operational deficits and half to volunteer support; last year’s aid included about $24 million for rural services and some improvements in volunteer call pay and equipment needs. They also discussed a proposed 10% Medicaid increase, possible special tax district ideas, and the need to target any new funding toward rural services most at risk.

Transcript Highlights:

• , and will it assist those independent Practices, if they don't or if they already aren't doing the EMR
• or participating in the EMR system, Madam Chair.
• Madam Chair, but does it include assistance for those Who are not already participating, who don't have EMR

Keywords: 996, all

Transcript Highlights:

• I think that it's something that, um, a lot of different pressures in medicine led to EMRs being... .
• I also don't mention that to demonize EMRs.
• they were implemented, the rules around them, the multiple vendors and the cost associated... ...with EMRs
• either leaving medicine, I'm going to retire early, I cannot afford to meet the requirements of these EMR

Keywords: 916, all

Transcript Highlights:

• to do everything from their hiring to their alerting systems for their employees to their emergency EMR
• 57.280> emergency for their employees to their emergency for their employees to their emergency EMR
• 20:59.200> patients<00:20:59.600> need<00:20:59.760> to<00:21:00.000> be EMR
• systems when patients need to be EMR systems when patients need to be admitted<00:21:00.480> during

Keywords: 958, all

Summary: A presenter from Fast Health Corporation described a proposed Kentucky Health Command System tied to Senate Bill 175, which would create a state-sanctioned AI platform for rural hospitals and telehealth. The company said the system would help rural residents get health information remotely, triage minor issues, and escalate more serious cases to Kentucky providers, with use cases including blood pressure, diabetes, maternity care, smoking cessation, and other preventive-care topics. The presenter argued the system would help rural hospitals compete with out-of-state telehealth companies and keep patients connected to local care. The presentation also emphasized a commercial model the sponsor said would generate new revenue through ads and branded interactions, with the bill reportedly directing 80% of that revenue to rural hospitals and 20% to the state to maintain the system. The presenter said the technology would augment, not replace, doctors and nurses, and claimed it could improve access and convenience in underserved areas. Committee members raised concerns about liability, whether the AI could provide medical advice, and whether there was evidence it had reduced emergency room visits; the presenter said the system could not give medical advice and acknowledged the technology is still very new. The sponsor of the bill said the goal was to help transform rural health care, reduce unnecessary ER use, and capture revenue that would otherwise go to commercial search engines and out-of-state companies. No vote or final action was taken during the portion of the meeting provided, and the discussion ended with questions about branding, loyalty, and the legal limits of the AI system.

Transcript Highlights:

• We're getting a new EMR, and so many of our screening tools and protocols are going to be changed this
• We're<00:12:20.160> getting<00:12:20.320> a<00:12:20.560> new<00:12:20.639> EMR
• and so many of We're getting a new EMR and so many of our<00:12:21.920> screening<00:12:22.240
• Each EMR has a template built in, and workflows will be built in directly into it.
• built in and Each EMRS has a template built in and workflows<00:12:46.160> will<00:12:46.399>

Keywords: 912, senate, all

Summary: The working group on restrictive housing met with a quorum present, approved the August 21, 2025 minutes, and adopted a procedure to take public testimony on each agenda item with a two-minute limit per testifier, with some flexibility for follow-up questions. The main presentation came from the Department of Corrections and Rehabilitation on restrictive housing policies and a recent outside assessment of mental health care practices at HSCF and OOTC. DCR said the assessment found strengths such as consistent medication administration and staff commitment, but also identified major problems including outdated workflows, staffing shortages, inadequate physical plant conditions, overuse of suicide/safety watch for personal safety issues, and a need for more individualized treatment plans. DCR described several corrective steps already underway: filling a long-vacant high-level mental health administrator position, adjusting evening medication passes, working with DOH on transfer and referral workflows, planning a new electronic medical records system and revised screening tools, and pursuing additional training for ACOs and mental health staff. For OOTC, DCR said the facility is overcrowded and decrepit, needs a better screening tool, and requires more mental health-specific training and staffing. For HCF, DCR said the layout limits confidential assessments and provider access, and that the proposed consolidated healthcare unit would add 43 beds, private exam rooms, and a de-escalation room. DCR also said the new unit could serve acute and chronic suicide/safety watch needs and possibly some inmates with dementia, Alzheimer’s, or significant cognitive impairment. The discussion then focused on Act 292, which DCR said is difficult to implement as written. DCR said the bill aligns with DOJ, NCCHC, and ACA guidance in defining restrictive housing, limiting duration, requiring reviews, identifying vulnerable populations, and using step-down units, but raised two major concerns: a requirement to refer vulnerable people to DOH for confinement, and a requirement for clinical assessments every 12 hours by a provider. Members responded that the law should be matched with funding and staffing, and asked what resources are needed. DCR said it submitted a request for 35 positions at a cost of about $8.6 million, and also said funding may be needed for community-based beds and contracted medical services. Members also asked about the current MOA/MOU between DOH and DCR, the working group membership, and the timeline for revisions. DCR said the group includes DCR, DOH, and governor’s office medical advisors, that a first draft is complete, and that the revised agreement should be in place by the end of the year. On staffing, DCR said ACO recruitment classes increased from five to eight, vacancy rates dropped from 34% to 24%, but OOTC still faces a projected $7.1 million shortfall and heavy overtime costs, forcing post closures and program reductions. The meeting ended with continued discussion of screening tools, including DCR’s explanation that current broad questions may over-identify people with substance-use-related symptoms as having serious mental illness, and that a more discrete tool is needed to better identify those with acute needs.

Transcript Highlights:

• It also makes a requirement that AI used for diagnostic purposes, using the contents of an EMR, must

Keywords: 1185, senate, all

Transcript Highlights:

• There is an industry standard, though, that could be utilized, and that's the EMR, that is the experience
• So on this EMR, I have experience with that. Oh, yes. And it depends on the size of the company.
• if you have a small company that does large work with few employees and you have one accident, your EMR
• you're a major, large company with many employees, you have one accident, and it won't affect your EMR

Summary: The task force reviewed survey results from state agencies on potential statutory revisions, with Levi reporting 70 proposals from 20 agencies and noting that about 33 might become agency pre-file bills. Members discussed the need to share the survey more broadly within higher education and to better coordinate issues involving IT and other cross-agency functions. The task force then heard from the Office of Management and Budget on three topics: concessions, architect/engineering pre-qualification, and legal notices. OMB said the concessions law is outdated and inconsistent with current practice, and suggested a collaborative rewrite to allow best-value evaluation, raise the threshold, and standardize solicitation templates. On architect/engineering pre-qualification, OMB proposed expanding authority beyond current state-agency limits and creating uniform templates. On legal notices, OMB proposed modernizing publication requirements, exploring online and abbreviated notices, and working with newspapers and other stakeholders on technology and accessibility improvements. Members asked about where concession revenues go, whether political subdivisions must follow the same rules, and how to move from discussion to action. The task force agreed to have OMB work with Legislative Council and affected stakeholders to develop bill drafts, and the motion passed unanimously. The University of North Dakota then presented a series of proposed revisions focused on public buildings and procurement. UND asked to rework the definition of construction so routine maintenance and one-for-one replacements over $250,000 would not automatically trigger public-improvement requirements, suggested raising the threshold to $500,000, and asked for more flexibility based on project complexity and risk. UND also proposed changes to public bid advertisements to reflect electronic bidding, revisions to construction manager-at-risk selection criteria, changes to architect/engineer procurement rules, an increase in the direct-hire design threshold, and a higher legislative-consent threshold for privately funded projects. The task force supported having UND work with counsel and OMB to develop bill drafts, and that motion also passed. The Department of Public Instruction concluded with proposed cleanup to credentialing and education statutes. DPI recommended reviewing its credential categories for relevance, possibly transferring credentialing authority to the Education Standards and Practices Board, removing outdated school safety patrol language, clarifying waiver provisions, and updating dyslexia screening reporting requirements so the statute reflects current practice. Members focused mainly on whether the dyslexia reporting requirement should remain, and DPI said the screening itself would continue even if reporting language were revised. No votes were taken on DPI’s suggestions, and the task force recessed after the presentation.

Transcript Highlights:

• 45.920> um nurses and doctors but also emergency um nurses and doctors but also emergency um EMR
• > Emergency<00:15:47.120> Medical<00:15:47.440> Response<00:15:47.800> and EMR
• Emergency Medical Response and EMR Emergency Medical Response and paramedics<00:15:48.519> so

Keywords: 1187, senate, all

Summary: The committee did not get to the planned testimony on attendance and excessive unexcused absences, but instead heard from Minnesota’s Superintendent of the Year and Teacher of the Year. The chair opened by noting the committee was short on time, introduced the idea of hearing from the two award recipients, and briefly referenced a question he likes to ask students about what book every high school student should read. Superintendent Putnam of St. Cloud Area Schools then testified about the superintendent-of-the-year selection process, his district’s work, and the community context in St. Cloud. Putnam described the award as a community honor and said his leadership is guided by authenticity, transparency, and hope. He highlighted district efforts to improve attendance and enrollment, expand community engagement, create family advocate and inclusive decision-making structures, and support students through partnerships and wraparound services. He also discussed district demographics and needs, including food insecurity, IEPs, multilingual services, and homelessness, and noted initiatives such as preschool partnerships, an ambulance bay, school safety improvements, and two full-service community schools funded in part by a federal grant. In response to member questions, he said PSO enrollment had not been a major issue in St. Cloud, explained that student jobs and responsibilities help improve attendance and engagement, and urged lawmakers to be curious and avoid assumptions about public schools. The committee then heard from Tracy Bird, Minnesota’s 2024 Teacher of the Year and a ninth-grade English teacher at Minneapolis Washburn. Bird shared his personal path into teaching, including earlier school struggles, work in finance, and encouragement from a principal who saw his potential. He described the nomination and selection process for Teacher of the Year and said his classroom is shaped by student energy, high expectations, and the realities of a diverse school community with both high mobility and affluent students. He emphasized that students are more engaged when they feel part of something larger than themselves and said his district’s work includes giving students meaningful jobs and responsibilities. No formal votes or legislative actions were taken in the portion of the meeting provided.

Transcript Highlights:

• There is an industry standard, though, that could be utilized, and that's the EMR, that is the experience
• So on this EMR, I have experience with that. Oh, yes. And it depends on the size of the company.
• if you have a small company that does large work with few employees and you have one accident, your EMR
• you're a major, large company with many employees, you have one accident, and it won't affect your EMR

Keywords: 908, all

Transcript Highlights:

• EMS, EMR, pick one, it doesn't matter. We have to be able to touch the AED.
• EMR, EMT, and AEMT reimbursements track more closely to actual cost.
• EMRs have required 20 hours of training every two years type stuff.
• EMRs have required 20 hours of training every two years type stuff.

Keywords: 908, all

Summary: The committee was called to order, a quorum was established, and the minutes from the prior meeting were approved. The first major presentation came from Montana Public Employees Retirement System executive director William Hollahan, who gave an overview of Montana’s Volunteer Firefighters’ Compensation Act plan. He explained that the plan covers volunteer firefighters in unincorporated areas, is funded by 5% of state fire insurance premium taxes, and currently serves 228 departments with about 2,936 active members and 1,242 retirees. He described eligibility rules, annual training and reporting requirements, benefit levels for partial and full pensions, disability, death, medical, and funeral benefits, and said the plan is actuarially sound with roughly $60 million in assets and a funded ratio slightly above 100%. Committee members asked about prior-service credit, whether EMS personnel are included, the effect on recruitment and retention, and whether expanding coverage would require a funding analysis; Hollahan said prior service is not credited, EMS is not currently included, and any expansion would need financial review. Tim Walleen of Workforce Safety and Insurance then presented a draft North Dakota workers’ compensation solution for volunteer firefighters and volunteer EMS personnel. He explained that volunteer responders are already covered by workers’ comp for medical and wage-loss benefits, but the proposal would set a minimum annual wage of $30,000 for calculating wage-loss benefits for qualifying volunteers, with the benefit paid at two-thirds of that amount. Representative Porter suggested tying the volunteer definition to existing code rather than a fixed dollar amount, and Walleen agreed. Questions focused on whether search and rescue or other volunteer emergency services could be included, whether departments would face new paperwork, and whether volunteer organizations can already elect coverage; Walleen said there would be no additional paperwork and that volunteer coverage is already available. The committee also heard from volunteer fire service representatives and the state fire marshal. An Oakes-area firefighter, Mr. Olson, testified that small departments are struggling with retention, communication, and administrative burdens, especially around separate bookkeeping and funding rules for donated or fundraising money, and he said departments need clearer guidance from the state. State Fire Marshal Dr. Matthew Clark introduced himself and outlined a broader effort to improve education, support, and coordination for fire departments, including a planned 10% audit of certificates of existence beginning in 2027, more outreach through his office, and better assistance with training, reporting, and grant access. He said his office is authorized under current law to provide these services, but the role has been vague and underused. Finally, Arnagard Rural Fire District Chief Rick Schreiber testified in favor of new recruitment and retention ideas, including retirement-style benefits, health insurance, tax incentives, scholarships, grants, and more remote or regional training. He said volunteer departments are losing members, that local tax and donation funds are already stretched, and that any new retirement or incentive program should be sustainable and likely involve a mix of state and local support.

Transcript Highlights:

• Dental EMRs are not integrated with medical EMRs at a rate that we would be happy about.

Keywords: 962, all

Summary: The Care Management Meeting opened with a DSS update on the PCMH program. Staff reported the program remained steady at 124 practices, 553 sites, and 2,548 providers, with some month-to-month fluctuation driven by practice consolidation, retirements, and a few practices leaving the program because NCQA requirements were burdensome. Members asked about declining provider and site counts, member attribution trends, and whether PCMH practices overlap with behavioral health homes; DSS said attribution changes are largely due to members becoming ineligible, moving, or getting other insurance, and that PCMH and behavioral health homes are separate programs that coordinate informally. The committee also discussed why some smaller practices leave the program and whether the requirements could be made easier to support retention. The committee then resumed a detailed presentation on the Husky Dental program. The presenter described the dental benefit’s history, the importance of preventive oral health, workforce and consolidation pressures in dentistry, and the lack of interoperability between dental and medical records. Network data showed year-over-year declines in enrolled dental practitioners and service locations, with access gaps concentrated in rural and eastern parts of the state. Appointment availability surveys showed average waits of 38 days for adults and 23 days for children, but much longer waits at FQHCs than private fee-for-service practices. The presenter said Connecticut remains above the national median on CMS pediatric dental quality measures, though sealant rates remain a concern, and noted that preventive care is associated with lower per-member costs. Members raised concerns about provider participation, large practices dropping Medicaid, mobile dental care, and whether the public directory accurately reflects which dentists are actually accepting new patients. The presenter said the plan uses secret-shopper calls, tracks appointment availability, and has begun using place-of-service coding to better identify school-based dental care. She also noted a new MOU with 20 Head Start programs to share data and provide oral health literacy and navigation support. The final major topic was implementation planning for HR1. DSS said CMS guidance was expected in early June and proposed using upcoming meetings to cover medical frailty, communication strategy, and data integration/ex parte verification. Committee members urged the department to create a dashboard to track disenrollments and other impacts of HR1, to build a process for complaints and problem resolution, and to think through cost-sharing, caregiver verification, exemptions, and notices. Members also asked about using existing eligibility structures such as the working-disabled program as a model. The committee agreed to move the next meeting to June 10 by Zoom, with the agenda to be circulated in advance and any PCMH Plus quality data shared if available.

Transcript Highlights:

• then indexing the systems don't really take charts from one system and automatically populate your EMR
• you know your automatically populate you know your your<01:03:48.400> your<01:03:48.720> EMR
• doesn't<01:03:49.680> work<01:03:49.839> that<01:03:50.160> way, your your EMR
• It doesn't work that way, your your EMR.

Keywords: 1191, senate, all

Transcript Highlights:

• Most places just fax the records over from the EMR. How would a provider de-identify this?
• Okay, so every— all providers, many providers have different EMRs.
• Providers have different EMRs. I know mine in particular, I've never seen a de-identifier tab.

Summary: The committee heard a personal privilege update on HB 1227, which Representative DeWitt said would return next week as a proposed HCR for a two-year study of the three-doctor panel after discussions with Dr. Nia Colotta. Better Louisiana also presented its new Leadership Louisiana Health Fellows Program, describing it as a data-driven leadership initiative focused on health care workforce, rural access, chronic disease, and other system issues; members discussed whether the program could also help generate policy research, including on managed care organizations. The committee then considered SB 427 on anatomical gifts. After adopting technical amendments, Senator Presley and Dr. Jeff White explained that the bill would strengthen organ donation law by creating a decision registry that records both yes and no choices, clarifying the legal effect of refusal, and codifying ethical principles such as the dead donor rule. Questions focused on organ viability, registry procedures, minors, and a Monroe case involving a disputed donor designation. Supporters included LOPA and the Louisiana Conference of Catholic Bishops, and the bill was reported favorably. HB 946, dealing with hospital price transparency and compliance with federal pricing rules, drew extensive testimony. Representative Landry and a witness from Patient Rights Advocate described it as a consumer transparency measure, but the Louisiana Hospital Association opposed the bill’s state-level enforcement and debt-collection provisions. Landry offered an amendment removing the debt-collection and affirmative-defense language, but after debate the substitute failed on a 5-6 vote and the bill was voluntarily deferred. The committee also reported favorably on SB 109, which revises membership qualifications for the Louisiana Emergency Medical Services Commission; SCR 20, urging federal flexibility on Medicaid redetermination for elderly and disabled beneficiaries; SB 216, allowing coroners to rely on licensed practical nurses for medical pronouncements of death; and SB 45, exempting certain gratuitous hospice houses from licensure, with testimony from hospice house operators and supporters. Finally, HCR 71 by Representative Chasson sought an LDH study of how Louisiana’s law and guidance on pregnancy-related emergency medications is working in hospitals, urgent care, and retail settings. Supporters said providers are hesitant to use medications such as misoprostol because of stigma and uncertainty, while opponents from Louisiana Right to Life argued the resolution was unnecessary and could create controversy. The discussion centered on whether the study should be narrowed or made more objective, but no final action on the resolution was reached in the portion provided.