Bills: HB109, HB136, HB 109, HB136, HB694, HB 1201, HB1716, HB2071, HB2216, HB2358, HB2807, HB2886, HCR78

Keywords: taxation, ballot propositions, public funding, voter information, transparency, training, public officials, candidates, requirements, political education, mental health, inpatient psychiatric facility, juvenile treatment, residential treatment facility, emotionally disturbed juveniles, Department of State Health Services, Health and Human Services Commission, state grant, facility construction, facility expansion

Transcript Highlights:

• I've been hearing about these issues from a wide range of providers, physicians, nurses, midwives, doulas
• Because community health workers and doulas are the trusted providers for many, AB 29 authorizes them
• While not eligible for Medi-Cal reimbursement, community health workers and doulas are uniquely positioned
• Doulas and community health workers working with CBOs often come from the very communities we serve.
• So it's incredibly helpful to be able to pull in our very capable doulas and health care workers to help

Summary: The Assembly Health Committee heard a long series of health-related bills, with most measures focused on access to care, administrative simplification, and behavioral health. Early items included AB 583, allowing nurse practitioners to sign death certificates; AB 492, requiring DHCS to notify local governments when new alcohol or drug recovery facilities are licensed; and AB 280, which would tighten provider directory accuracy requirements, add enforcement benchmarks, and allow use of a centralized database. Testimony on AB 280 highlighted the harms of “ghost networks,” while insurers and some provider groups opposed the bill as written, arguing it placed too much responsibility on plans and did not fully address provider-side data problems. AB 280 passed on a roll call vote, and several other bills were placed on consent and approved. The committee also advanced AB 636, expanding Medi-Cal coverage for medically necessary diapers for children up to age 21 and lowering the age threshold for access; AB 1041, streamlining physician credentialing with a uniform form and 90-day review deadline; and AB 787, requiring health plans to help enrollees find in-network providers quickly when directories fail. Supporters of these bills emphasized family financial strain, delays in care, and the burden of administrative red tape, while opponents of AB 1041 and AB 280 raised concerns about provider participation, accuracy, and liability. All three measures were approved and sent to Appropriations. The committee then took up AB 4 and AB 29. AB 4 would allow income-eligible Californians to buy Covered California coverage regardless of immigration status, and AB 29 would authorize Medi-Cal reimbursement for community health workers and doulas conducting ACE screenings. Both bills drew strong support from immigrant-rights, health access, and community-based organizations, and both passed on roll call votes, with AB 4 receiving some no votes. The committee also approved AB 416, which would allow emergency physicians to place 5150 holds in certain circumstances; supporters said it would reduce delays and overcrowding in emergency departments, while Disability Rights California and others warned it could increase unnecessary involuntary hospitalization and transfers to locked facilities. Despite those concerns, the bill passed and was sent onward for further consideration.

Transcript Highlights:

• They're midwives, their doulas, their birth workers. These are not abstract reforms.
• I've been a doula. I've gone to home births, and there's a difference.
• I am a birth doula. I'm also a gender-affirming care doula.
• Now, talking about the doula workforce and midwifery workforce, I work closely with midwives.
• Doula care supports saving lives through midwifery care. And so I'm a proud doula.

Keywords: 995, all

Summary: The committee held a public hearing with testimony on several health care bills, with most of the discussion focused on primary care access, community health center reimbursement, midwifery and birth centers, telehealth, hospital-at-home, direct primary care, and trans-inclusive health care access. Chair Feeney and Chair Murphy opened by noting the large number of signups and asking testifiers to keep remarks brief because of time constraints. Legislators and witnesses repeatedly emphasized that Massachusetts’ primary care system is under strain and that federal policy changes and reimbursement gaps are worsening financial pressure on providers. On community health centers, Representative Blay, Senator Lovely, Michael Curry, Bethany Keeley, Jag Deep Trevetti, Sean Cahill, and Christina Severin all supported H. 1096/S. 711, which would require commercial insurers to pay federally qualified health centers at least the MassHealth prospective payment system rate. They argued that commercial plans currently reimburse health centers below Medicaid rates, threatening sustainability, staffing, and access, especially as federal cuts and coverage losses could increase uncompensated care. Testifiers said the bill would stabilize health centers, protect primary care access, and not cost the state money. A second major topic was H. 1117/S. 784 on sustaining birth centers and the midwifery workforce. Senator Lovely, Senator Miranda, Emily Anesta, Rebecca Orden, Catherine Rushworth, Nishira Burrill, Joel Sutherland, Rachel Blessington, Joelle Ward, and others described the 2024 maternal health omnibus as an important first step, but said birth centers and midwives still face low reimbursement, workforce shortages, and financial instability. They urged reimbursement parity, a workforce development fund, and support for freestanding birth centers, citing improved outcomes, lower C-section rates, better patient experience, and racial equity in maternal health. Several speakers shared personal birth stories and said the bill would help preserve and expand birth options in communities like Roxbury, Worcester, and the North Shore. The committee also heard support for H. 1343 on direct primary care from Dr. Garofalo, Dr. Altman, Dr. Nair, Stephanie Cameron, Dr. Haley Moke-Blessed, and others, who said current insurance rules force patients to use a separate in-network primary care doctor for referrals and sometimes prevent physicians from dispensing medications. They argued the bill would reduce delays, administrative burden, and costs while improving continuity of care. In addition, Dr. Miklides and Sue Stempeck supported H. 1141 on hospital-at-home parity, saying the model has strong outcomes and should be reimbursed at the same rate as brick-and-mortar hospital care. Heather Myers and Katrina Cook testified on telehealth and digital health equity, urging broader coverage for asynchronous care, remote monitoring, interpreter services, and digital literacy supports. SEIU Local 509 supported H. 1188/S. 681 on trans-inclusive health care access, saying it would remove arbitrary insurance barriers to gender-affirming care. No votes or committee actions were taken during the hearing.

Transcript Highlights:

• or who advertises or holds themselves out as a certified doula to register with the DCCA, establish
• out as a certified doula to register with the DCCA, establish rights for certain certified doulas, and
• So we regard the proposed addition of a new chapter for registration of doulas as essentially seeking
• to themselves out as a certified Doula to register<01:19:40.920> with<01:19:41.040> the
• Final bill, HB 434, relating to doulas, I'd also like to defer this.

Keywords: 910, house, all

Summary: The House Health Committee held its first hearing of 2025, with Chair Greg Takayama and Vice Chair Representative Leoy opening the meeting and outlining housekeeping rules, including a two-minute limit for testifiers and Zoom etiquette. The committee first heard HB 303 on health care preceptors. The Department of Health, Department of Taxation, University of Hawaiʻi, Hawaii State Center for Nursing, and several health care organizations supported the bill, saying the existing preceptor tax credit program has been successful and that expanding eligibility to additional professions and students would help address workforce shortages. In response to questions, the Department of Health said the annual tax credit cap is $1.5 million, about 650 to 670 credits are currently used each year, and the bill applies only to unpaid preceptors. The committee then moved on to HB 441, which would raise cigarette taxes. The Attorney General, Department of Health, University of Hawaiʻi Cancer Center, Hawaii Public Health Institute, American Cancer Society Cancer Action Network, and others supported the measure as a way to reduce smoking, especially among youth, and to support tobacco control and cancer-related programs. Opponents, including the Taxpayers Protection Alliance and the Cigar Association of Hawaii, argued the tax is regressive and unreliable as a revenue source. The Department of Health noted the last cigarette tax increase was in 2011, and one witness urged a larger increase than proposed. No vote was taken on either bill in the portion of the hearing provided. The committee also heard HB 557 on telehealth. The Department of Health supported the bill so long as it did not displace executive budget priorities, and the Hawaii State Health Planning and Development Agency and Hawaii Primary Care Association supported it. HPCA said the bill would conform state insurance law to recent Medicare changes expanding audio-only telehealth coverage beyond mental health services, and it emphasized access for rural residents, kupuna, and people with disabilities. HMSA opposed the bill as written, saying it strayed from the intent of Act 107 and that audio-only telehealth should remain limited because of quality-of-care concerns, though it supported continued access and asked for a different amendment approach. A telehealth provider also testified that payment disparities limit provider expansion and that audio-only access remains important for patients with serious illness. The hearing ended in the excerpt before any committee action or vote on HB 557.

Transcript Highlights:

• doulas, uh EMTs, paramedics, etc. doulas, uh EMTs, paramedics, etc.
• So, while we won't solve for every scenario, the hope would be, like for maternal health with doulas
• <01:00:53.920> and like for maternal health with doulas and like for maternal health with
• doulas and other<01:00:54.720> types<01:00:54.960> of<01:00:55.000> providers,<01
• And as we do that, when we mentioned<01:07:54.080> doulas<01:07:54.640> and<01:07:54.800

Keywords: 958, all

Transcript Highlights:

• Again, we'll be training community health workers, community paramedics, EMTs, uh doulas, just a whole
• Again, we'll be training community health workers, community paramedics, EMTs, uh doulas, just a whole
• Again, we'll be training community health workers, community paramedics, EMTs, uh doulas, just a whole
• Again, we'll be training community health workers, community paramedics, EMTs, uh doulas, just a whole
• is those are types of uh doulas is those are types of educational<01:02:53.920> models<01:02:

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:20 CRISP Shared Services 00:01:39 Rural Health Transformation Plan 00:30:55, 958, all

Summary: The Budget Review Subcommittee on Health and Family Services opened its first meeting of the 2026 interim session, took roll, and moved directly into presentations. The main presentation was from Ryan Bramble of Crisp Shared Services, who described the organization’s health information exchange and health data utility model in Kentucky and other states. He emphasized that Crisp is a nonprofit, that data ownership remains with providers, and that governance is local. He also outlined the technical infrastructure, including a master patient index, cloud-based data lake, support for modern standards like FHIR and USCDI as well as older formats, and data quality tools used to normalize and standardize information. Bramble said the model is intended to reduce duplication, lower costs, and support rural providers and future use cases such as reporting, analytics, and AI-enabled decision support. Members asked how the state can ensure the data is actually used and who should drive priorities for health care improvement. Bramble said Crisp can provide tools, expertise, and examples from other states, but local teams such as KHI and state stakeholders must tailor and lead utilization efforts. In response to questions about ownership and coordination, he stressed that successful HIE governance requires a multistakeholder body that includes hospitals, health plans, government, and other interests, with a unified approach rather than multiple competing directives. He also said the Commonwealth has an opportunity to convene those stakeholders and set clear priorities. A senator raised concerns that responsibility for Medicaid and broader health policy has become fragmented and suggested a stronger central role for the state, possibly through the Department of Public Health, to coordinate health priorities. Bramble agreed that a single convening authority and multistakeholder governance are important, and noted that local governance should determine what data is shared and how it is used. No votes or formal actions were taken during this portion of the meeting. After Bramble’s presentation and questions, the committee was told that Secretary Stack from the cabinet would testify next on the rural health transformation plan.

Transcript Highlights:

• The sixth tenet focused on doula services.
• and I want to shout out Michaela from my team, who literally counted the list of providers, but 100 doula
• Over 200 now that we have who are doulas enrolled here in the Commonwealth.
• And the other thing is a free webinar that's coming up on integration of doulas into the health care
• how we can best identify those key pieces of legislation that we want to advocate for, including the doula

Keywords: 995, all

Summary: The Ellen Story Commission for Postpartum Depression held its spring meeting with a large turnout, beginning with roll call and a review of the agenda. Co-chairs Representative Brandy Fluker-Reid and Senator Liz Miranda highlighted progress from the recently enacted maternal health omnibus law and the Moms Matter Act, including creation of a midwifery board, expansion of out-of-hospital birth options, doula services, lactation support, MassHealth coverage changes, and a trust fund for community-based behavioral health and substance use grants. Members also discussed implementation of the new law, the commission’s annual report, and the need to continue supporting birth centers and perinatal mental health services. A substantial portion of the meeting focused on commission membership and vacancies. Commissioners discussed whether to remain on the body, the need to fill several open seats, and whether the commission’s statutory composition should be updated to better reflect current practice and expertise. Members suggested adding more clinicians working directly with perinatal families, infant mental health experts, and a representative from PSI of Massachusetts, while also noting the value of having regulators and professional society representatives at the table. Several participants said any changes to membership would likely require legislation, and the co-chairs said they would explore options and possibly circulate a flyer or other invitation process for nominations. The commission also discussed meeting structure and future planning. Members generally supported moving to quarterly virtual meetings, with a preference for a 4 p.m. start time, and some suggested one annual in-person gathering. The group agreed to postpone the usual May Advocacy Day because the Great Hall was unavailable and instead aim for a fall event, with volunteers stepping forward to help plan it. Commissioners raised top-of-mind issues including postpartum depression screening reimbursement, care for people after miscarriage or abortion, access for undocumented pregnant people, and the impact of federal cuts. The meeting ended with agreement to crowdsource legislative priorities for the next quarter, consider future presentations from outside organizations, and send updates between meetings, followed by a motion to adjourn that passed unanimously.

Transcript Highlights:

• Born on April 1, 1941, in Doula, Minnesota, Alice was one of 14 siblings.
• April<00:20:03.360> 1st,<00:20:03.760> 1941<00:20:04.480> in<00:20:04.640> Doula
• Born on April 1st, 1941 in Doula, 84.
• Born on April 1st, 1941 in Doula, Minnesota,<00:20:05.679> Alice<00:20:06.080> was<00:20

Keywords: 1183, house

Transcript Highlights:

• the indomitable recovery to the indomitable Representative<00:08:54.280> Ann<00:08:55.120> Doula
• <00:08:55.360> Blanchette Representative Ann Doula Blanchette Representative Ann Doula Blanchette
• delay the timing of the Office of Professional Regulation's certification program for community-based doulas
• for certification program for community-based community-based community-based um<00:38:15.120> doulas
• from July 1st, 2026 until July um doulas from July 1st, 2026 until July 1st,<00:38:20.840> 2027

Keywords: 926, house, all

Summary: The House opened with routine proceedings, including a moment of silence and the Pledge of Allegiance, then referred three bills to money committees under House Rule 35A: S.197 to Ways and Means, and S.193 and S.278 to Appropriations. The chamber also read and celebrated HCR 304, honoring the display of Julian Scott’s Civil War painting, The Fourth Vermont Forming Under Fire, in the State House and recognizing the people who helped locate and acquire it for Vermont. HCR 303 was also read, extending best wishes for a speedy recovery to Rep. Ann Donahue; members then offered warm remarks welcoming her back to the chamber. Several members introduced guests in the gallery, and caucus announcements were made before the body moved to the calendar. On transportation, the House took up H.944, the fiscal year 2027 transportation program. The House Transportation Committee reported major differences with the Senate version and, by straw poll, recommended a committee of conference. The House refused to concur in the Senate amendment, appointed conferees, and suspended rules to message its action to the Senate forthwith. The House then considered S.214, which would allow the NEK Choice School District to pay tuition for pre-K students to nearby New Hampshire public-school programs, with administration by Essex North Supervisory Union and possible waivers from state agencies. Education, Ways and Means, and Appropriations all recommended concurrence, citing limited fiscal impact and improved access for children in Essex County; the bill was read a third time and ordered to third reading after debate that included support for rural access and concerns about relying on out-of-state capacity. The House also concurred in Senate amendments to H.171, adding “the role of victim advocates” to officer-involved shooting investigation protocols, and to H.577, the Vermont prescription drug discount card program, which added annual reporting requirements and a terminology fix. The House likewise concurred in Senate amendments to H.588, the annual Office of Professional Regulation bill, including changes on rescission authority, substance-use treatment alternatives, CPA language, pharmacy technician authority, fee placement, and background checks. It then concurred in Senate amendments to H.611, a DVHA housekeeping bill, including 340B protections, a one-year delay for the community-based doula certification program, and codification of current HIV-prevention coverage practice. H.921 was postponed for two legislative days. Finally, the House took up S.227 on immigration protocols in Vermont schools, with the member from Williston describing it as a school safety measure that limits collection and sharing of immigration-status information, provides trusted resources to families, and requires a judicial warrant before law enforcement enters non-public school areas for immigration matters.

Transcript Highlights:

• But a summary is that it allows for doulas and lactation consultants to bill for Medicaid services provided
• new rule that we are proposing to enact Act 965 of 2025 for the certification of community-based doulas
• As a note, the department has been available to receive and process applications for doulas for several
• Just curious, how many doula applications have we currently received?” “We’ve received seven.

Summary: The committee reviewed a series of Arkansas Medicaid and Department of Health rules, many implementing 2025 acts. Early items covered presumptive eligibility and Medicaid policy updates, including adding a definition of fictive kin for foster children and changing the disability onset age for ABLE accounts from 26 to 46. Another rule clarified that continuous glucose monitors may be billed by both pharmacies and durable medical equipment providers, with committee members questioning prior authorization timing, system lag, and a fiscal impact estimate of about $3 million over two years; the rule was reviewed, but members requested additional cost breakdowns. Other Medicaid-related rules addressed an RSV vaccine administration fee increase, an ET3 telemedicine exemption for ambulance treat-triage-transport services, a dental rate increase under Act 1025, expanded physical therapy access, and the Healthy Moms, Healthy Babies package covering doulas, lactation consultants, remote monitoring, and expanded prenatal testing. Most were reviewed without objection after brief discussion or no questions.

Transcript Highlights:

• But a summary is that it allows for doulas and lactation consultants to bill for Medicaid services provided
• new rule that we are proposing to enact Act 965 of 2025 for the certification of community-based doulas
• As a note, the department has been available to receive and process applications for doulas for several
• Just curious, how many doula applications have we currently received? We've received seven.

Summary: The committee reviewed a series of Arkansas DHS and Department of Health rules, most tied to 2025 legislation. Early items covered Medicaid changes including presumptive eligibility application timing, adding a fictive kin definition for foster child eligibility, raising the able account disability onset age to 46, allowing continuous glucose monitors to be billed by both pharmacy and DME providers, increasing the RSV vaccine administration fee for children, a telemedicine exemption for ET3 ambulance services, and a physical therapy access rule that also included occupational therapy. Members generally asked limited questions and most rules were reviewed without objection. A major portion of the meeting focused on the dental rate increase rule under Act 1025. DHS said it implemented rate increases for certain pediatric, special-needs, and oral surgeon services, but not orthodontics, and it interpreted the act as applying only to oral and maxillofacial surgeons, not general dentists. The Arkansas State Dental Association and legislative sponsors testified that the intent was to cover general dentists performing oral surgery procedures for special-needs patients, estimating the broader interpretation would add about $1.5 million annually. Committee members debated the plain language of the act versus legislative intent, and the rule was reviewed, but with testimony noting the issue should be fixed in future legislation. Later items included the Healthy Moms, Healthy Babies rule adding doula and lactation consultant billing and remote monitoring benefits; an adverse decisions rule extending provider appeal time from 35 to 65 days; CNA training program updates; PASSE network-status disclosure rules; certification rules for community-based doulas and community health workers; cosmetology, massage therapy, lead-based paint, radiation, radiologic technology, and RV park rule updates. Most of these were described as technical, statutory, or federally driven changes and were reviewed without objection. The committee briefly reopened the CGM rule after a motion to expunge the prior vote, and Representative Wardlaw said he would hold the rule for further review because he believed the billing changes did not match the law’s intent. The meeting ended with no further business and adjournment.

Transcript Highlights:

• number of workshops in which more than 70 practitioners were part of, including medical doctors, doulas
• <00:18:33.760> and<00:18:34.000> certified um medical doctors, doulas and certified
• um medical doctors, doulas and certified uh<00:18:35.520> nurses<00:18:36.080> and<00:
• 41.039> and reaching out to resident physicians and reaching out to resident physicians and doulas
• and maybe some folks that um, if doulas and maybe some folks that um, if you<00:29:43.840> are,

Keywords: 1187, senate, all

Transcript Highlights:

• My name is Emily Godin, and I'm here today on behalf of a company, Dula Care, a Massachusetts-based doula
• As doulas, we provide essential non-clinical support.
• But it's important to emphasize that doulas are not trained to diagnose or treat perinatal mood and anxiety
• From our vantage point as a doula organization deeply embedded in perinatal care, working with a majority
• Doulas can support families and help identify when something is wrong, but we need a strong network of

Keywords: 995, all

Summary: The Joint Committee on Mental Health, Substance Use, and Recovery held a public hearing on 17 bills focused on behavioral health workforce shortages, studies, and commissions. Chairs Mindy Domb and Senator John Velis opened by emphasizing the severity of the Commonwealth’s mental and behavioral health workforce crisis, the resulting gaps in access to care, and the legislature’s ongoing use of loan repayment programs, studies, and commissions to address these issues. They outlined hearing procedures and noted that testimony would be limited to three minutes, with written testimony also accepted. A major portion of the hearing focused on bills to expand the primary care workforce, including H. 2205/S. 1385, which would broaden eligibility for the Mass RePay loan repayment program. Testimony from the Massachusetts Medical Society, Senator Jo Comerford, and Dr. Kate Atkinson described severe primary care shortages, long wait times, physician burnout, high debt burdens, and the need to recruit and retain physicians in more practice settings and regions. Committee members asked about the likely impact of loan repayment, the role of nurse practitioners and physician assistants, and how to prioritize limited funding. Witnesses argued that primary care investment improves access and outcomes and that the bill would help sustain community-based practices. Another large block of testimony supported H. 2208/S. 1411, the proposed perinatal behavioral health care workforce trust fund, often referred to as the Moms Matter Act. March of Dimes, perinatal mental health advocates, doulas, clinicians, parents, and organizations such as the Boston Public Health Commission and Empty Arms Bereavement Support testified that postpartum depression, anxiety, substance use, and grief are widespread, often untreated, and worsened by long waitlists and a shortage of trained, culturally competent providers. Speakers repeatedly stressed that screening alone is not enough without a workforce to provide timely treatment, and several shared personal stories of postpartum illness, loss, and difficulty accessing care. The bill was also framed as a needed complement to the Commonwealth’s recent maternal health law, which increased screening and therefore increased demand for treatment. The committee also heard support for the Bridge Act, H. 2207/S. 1388, which would create mental health capacity grants for organizations serving communities at high risk of hate crimes or hate incidents. Testimony from the Jewish Community Relations Council and the bill’s sponsor described the mental health harms of hate, including anxiety, trauma, isolation, and loss of trust, and argued that community organizations need resources to build resilience and provide support. In addition, the committee heard from the Massachusetts Mental Health Counselors Association on H. 2218/S. 1380, which would update job classifications to explicitly include licensed mental health counselors and licensed supervised mental health counselors in state behavioral health roles. Witnesses said the change would modernize hiring, expand access, and better reflect current licensure and scope of practice. No votes were taken during the hearing, and the session ended with a motion to adjourn after all testimony was completed.

Transcript Highlights:

• amend the insurance law in relation to requiring health insurance policies to include coverage for doula
• Senator Bruchas, S.862, and the clerk will read: An act to amend public health law in relation to doula-friendly

Keywords: 993, senate, all

Summary: The Women’s Issues Committee met on March 25 at 9:38 a.m. with a quorum present, including Senators Baskin, Serrano, Scarcella-Spanton, Canzoneri-Fitzpatrick, Stavisky, and Weik. The committee considered several public health and insurance bills focused on women’s reproductive and maternal health, with Senator April Baskin and Senator Canzoneri-Fitzpatrick present for the meeting. The bills discussed were S.3578, establishing a uterine fibroids awareness and education program; S.56658, establishing a dual awareness and education program; S.494, requiring health insurance coverage for doula services as maternity care; S.862, creating doula-friendly work spaces; and S.9076, directing the Department of Health to create an informational pamphlet on intrauterine devices. Members asked no substantive questions during the meeting, and the measures were generally advanced by motion and second. All five bills were reported out of committee and moved to first reading. On S.494, Senator Canzoneri-Fitzpatrick voted without recommendation; the other bills were approved without recorded opposition. The meeting then adjourned after the final bill was advanced.

Transcript Highlights:

• House Bill 471, Representative Wilner, an act relating to Medicaid coverage for doula services.
• 21:54.799> Medicaid<00:21:55.280> coverage<00:21:55.679> for<00:21:55.919> doula
• relating to Medicaid coverage for doula relating to Medicaid coverage for doula services.<00:21:

Keywords: Convene 00:00 Senate Message 06:30 Calendar/2nd Readings 07:18 Report of Committees 08:19 Orders of the Day 09:04 HB 96 09:16 Motions, Petitions, and Communications 15:21 Introduction of New Bills and Resolutions 21:24 Recess for ConC and Rules Meeting 23:35 ConC and Rules Report 31:06 Floor Amendments 32:42 Return to Rules Report 33:28 Adjournment 34:27, 958, all

Summary: The House convened with prayer and the Pledge of Allegiance, established a quorum of 98 members, excused absent members, and suspended rules to allow co-sponsorships and vote modifications. The chamber approved the journal from January 21, 2026, and received notice that the Senate had passed Senate Bills 29, 38, and 49, along with Senate Concurrent Resolution 9, requesting concurrence. The House also took second reading on several bills, including measures on agriculture programs, milk transportation, food donation, criminal trespass, concealed firearms and deadly weapons, human trafficking, sexual material involving minors, reading and writing in schools, and educators. Committee reports advanced House Resolution 7 on Kentucky election principles, House Bill 134 on sexual assault nurse examiners, and House Bill 168 on boating under the influence. The House then considered House Bill 96, which would revise the membership of the postsecondary education performance-based funding work group, adding more legislators and changing the work group timeline to calendar years; the sponsor said the bill had support from university presidents and the Council on Postsecondary Education. After a question about geographic representation, the House passed HB 96 by a vote of 79-16 and applied the clincher. During motions and announcements, the House brought House Resolution 34 to the floor and heard it reported as recognizing January 22, 2026 as Kentucky Arts Day. Rep. Burke spoke in support, citing the economic impact of Kentucky’s arts and culture sector, and the resolution was adopted without objection. Members also announced upcoming events, including a Holocaust survivor program, a breakfast, and a conservation district reception, and one member withdrew House Bill 284. The House introduced a large slate of new bills and resolutions, including measures on real property, civil rights, local boards of education, peer support specialists, Medicaid coverage for doula services, public contracts, foster care, residential safety, gender, reproductive rights, hate crimes, a child welfare and family court reform task force, memorial highway designations, and constitutional recognition days. The Committee on Committees and Rules later referred and reassigned several bills to standing committees, posted selected bills and amendments for Friday’s calendar, and the House adjourned until 9:00 a.m. on Friday, January 23, 2026.

Transcript Highlights:

• HB 1201 by Manuel relating to the pilot program to provide Medicaid coverage of doula services. Mr.
• HB1201 by Manuel relates to a pilot program to provide Medicaid coverage for doula services.
• Last session, we made progress by allowing doulas to be reimbursed for case management services.
• Have you seen the study showing that doulas improve birth outcomes?
• So would you agree that having doulas involved will lead to healthier moms and babies?

Bills: HB1520, HB1545, HJR110, HJR203, HB245, HB1465, HB1482, HB294, HB793, HB809, HB3928, HB334, HB2037, HB1973, HB285, HB4341, HB4264, HB 1043, HB837, HB 1234, HB 1193, HB 1194, HB1646, HB1729, HB2498, HB1314, HB2295, HB1353, HB1531, HB1988, HB5398, HB3960, HB3923, HB1407, HB1764, HB2221, HB2214, HB2517, HB2518, HB2213, HB5008, HB5092, HB3421, HB3663, HB3748, HB3800, HB3756, HB2613, HB3782, HB5246, HB4344, HB4044, HB4066, HB2702, HB2807, HB2869, HB2898, HB3181, HB3250, HB4153, HB2091, HB2115, HB2542, HB2768, HB3349, HB3352, HB4406, HB1593, HB1899, HB3133, HB4432, HB4960, HB3214, HB3915, HB3508, HB2145, SB304, SB608, SB2312, SB494, SB530, HB45, HB2520, HB35, HB47, HB318, HB349, HB554, HB1359, HB1373, HB2254, HB2259, HB2853, HB3073, HB3088, HB353, HB355, HB786, HB762, HB705, HB932, HB849, HB 1119, HB3041, HB713, HB3104, HB3970, HB4042, HB4490, HB1731, HB2607, HB3689, HB1788, HB1612, HB138, HB15, HB1971, HB1338, HB2989, HB267, HB 1201, HB2954, HB5265, HB1804, HB5061, HB1520, HB1545, HJR110, HJR203, HB1887, HB1914, HB2402, HB2306, HB1809, HB2350, HB3000, HB3237, HB3326, HB3211, HB 1056, HB2081, HB2187, HB3092, HB3308, HB3526, HB3750, HB3527, HB4219, HB4230, HB4290, HB5238, HB4804, HB4749, HB245, HB1465, HB1482, HB294, HB793, HB809, HB3928, HB334, HB2037, HB1973, HB285, HB4341, HB4264, HB 1043, HB837, HB 1234, HB 1193, HB 1194, HB1646, HB1729, HB2498, HB1314, HB2295, HB1353, HB1531, HB1988, HB5398, HB3960, HB3923, HB1407, HB1764, HB2221, HB2214, HB2517, HB2518, HB2213, HB5008, HB5092, HB3421, HB3663, HB3748, HB3800, HB3756, HB2613, HB3782, HB5246, HB4344, HB4044, HB4066, HB2702, HB2807, HB2869, HB2898, HB3181, HB3250, HB4153, HB2091, HB2115, HB2542, HB2768, HB3349, HB3352, HB4406, HB1593, HB1899, HB3133, HB4432, HB4960, HB3214, HB3915, HB3508, HB2145, HCR6, HCR12, HCR34, HCR50, HCR55, HCR58, HCR70, HCR71, HCR72, HCR74, HCR75, HCR78, HCR80, HCR93, HCR100, HCR107, HCR116, HCR117, HCR90

Keywords: Angelina and Neches River Authority, river authority, Sunset Advisory Commission, Texas Sunset Act, Special District Local Laws Code, local government, natural resources, board of directors, director training, board governance, public testimony, open meetings, public information, conflict of interest, ethics, complaint system, general manager, board president, staggered terms, removal of director

Transcript Highlights:

• So we have some very important doulas. So we have some very important doulas.
• The Alabama Doula Learning and Action The Alabama Doula Learning and Action The Alabama Doula Learning
• And whereas a doula can help providers. And whereas a doula can help providers.
• And whereas increased access to doula care, whereas increased access to doula care, whereas increased
• Speaker, and thank you, Doulas. Doulas. Doulas. Thank you. Thank you, ladies. Let's move Thank you.

Bills: HB 1500, HJR 7, HJR 112, HB 34, HB 133, HB 112, HB 119, HB 128, HB 130, HB 132, HB 2756, HB 166, HB 406, HB 186, HB 271, HB 331, HB 380, HB 1583, HB 1584, HB 1819, HB 621, HB 303, HB 552, HB 366, HB 463, HB 1211, HB 1327, HB 1461, HB 923, HB 1760, HB 2043, HB 2467, HB 5333, HB 5265, HB 1592, HB 1576, HB 1552, HB 2018, HB 3511, HB 1781, HB 2013, HB 2340, HB 2349, HB 2508, HB 2970, HB 2520, HB 865, HB 2851, HB 3385, HB 3336, HB 3529, HB 3309, HB 1127, HB 1232, HB 1397, HB 4236, HB 1804, HB 1926, HB 4041, HB 1965, HB 1964, HB 2679, HB 2730, HB 3698, HB 3699, HCR 77, HB 3354, HB 163, HB 201, HB 272, HB 333, HB 405, HB 519, HB 569, HB 654, HB 694, HB 791, HB 1006, HB 1136, HB 1240, HB 1266, HB 1275, HB 1437, HB 1532, HB 1675, HB 1842, HB 1868, HB 1888, HB 1894, HB 1943, HB 1990, HB 2029, HB 2061, HB 2286, HB 2523, HB 2622, HB 2626, HB 2652, HB 2692, HB 2842, HB 2885, HB 2914, HB 3016, HB 3096, HB 3129, HB 3248, HB 3251, HB 3255, HB 3479, HB 3611, HB 3623, HB 3701, HB 3724, HB 3803, HB 3804, HB 3805, HB 3806, HB 3810, HB 3816, HB 3832, HB 3887, HB 4127, HB 4129, HB 4130, HB 4131, HB 4163, HB 4187, HB 4229, HB 4238, HB 4454, HB 4588, HB 4643, HB 4736, HB 4738, HB 4739, HB 4945, HB 5015, HB 5616, SB 767, SB 1619, SB 1738, HJR 5, HJR 2, HB 1399, HB 388, HB 114, HB 205, HB 2789, HB 2791, HB 499, HB 2960, HB 3163, HB 3135, HB 2427, HB 1672, HB 1722, HB 2618, HB 879, HB 1126, HB 4134, HB 3513, HB 1445, HB 1893, HB 1734, HB 3229, HB 3306, HB 1276, HB 3516, HB 4145, HB 1585, HB 4810, HB 2558, HB 2742, HB 1695, HB 33, HB 144, HB 109, HB 103, HB 148, HB 3809, HB 2217, HB 220, HB 2421, HB 2363, HB 421, HB 2455, HB 3711, HB 2559, HB 2775, HB 3126, HB 3666, HB 3595, HB 3260, HB 3376, HB 3826, HB 3770, HB 1831, HB 2614, HB 3113, HB 322, HB 431, HB 869, HB 1203, HB 1244, HB 1875, HB 1950, HB 2152, HB 2341, HB 2809, HB 2856, HB 3012, SB 1415, SB 1058, SB 487, SB 1499, SB 513, SB 1697, SB 1197, SB 1437, SB 1809, SB 836, SB 1879, SB 1145, SB 963, SB 1038, SB 1147, SB 914, SB 711, SB 1409, HB 3707, HB 589, HB 1360, HB 2337, HB 2391, HB 718, HB 23, HB 2436, HB 1500, HJR 7, HJR 112, HB 34, HB 133, HB 112, HB 119, HB 128, HB 130, HB 132, HB 2756, HB 166, HB 406, HB 186, HB 271, HB 331, HB 380, HB 1583, HB 1584, HB 1819, HB 621, HB 303, HB 552, HB 366, HB 463, HB 1211, HB 1327, HB 1461, HB 923, HB 1760, HB 2043, HB 2467, HB 5333, HB 5265, HB 1592, HB 1576, HB 1552, HB 2018, HB 3511, HB 1781, HB 2013, HB 2340, HB 2349, HB 2508, HB 2970, HB 2520, HB 865, HB 2851, HB 3385, HB 3336, HB 3529, HB 3309, HB 1127, HB 1232, HB 1397, HB 4236, HB 1804, HB 1926, HB 4041, HB 1965, HB 1964, HB 2679, HB 2730, HB 3698, HB 3699, HB 3354, HB 163, HB 201, HB 272, HB 333, HB 405, HB 519, HB 569, HB 654, HB 694, HB 791, HB 1006, HB 1136, HB 1240, HB 1266, HB 1275, HB 1437, HB 1532, HB 1675, HB 1842, HB 1868, HB 1888, HB 1894, HB 1943, HB 1990, HB 2029, HB 2061, HB 2286, HB 2523, HB 2622, HB 2626, HB 2652, HB 2692, HB 2842, HB 2885, HB 2914, HB 3016, HB 3096, HB 3129, HB 3248, HB 3251, HB 3255, HB 3479, HB 3611, HB 3623, HB 3701, HB 3724, HB 3803, HB 3804, HB 3805, HB 3806, HB 3810, HB 3816, HB 3832, HB 3887, HB 4127, HB 4129, HB 4130, HB 4131, HB 4163, HB 4187, HB 4229, HB 4238, HB 4454, HB 4588, HB 4643, HB 4736, HB 4738, HB 4739, HB 4945, HB 5015, HB 5616, SB 767, SB 1619, SB 1738, HCR 77

Keywords: Information Resources, Department governance, cybersecurity, state assistance, procurement training, technology resources, advisory committees, water fund, Texas water supply, constitutional amendment, state revenue, infrastructure, parental rights, child upbringing, government interference, Texas legislation, science park district, economic development, technology innovation, higher education collaboration

Transcript Highlights:

• Part of it is workforce, and I am wholly supportive of increased doulas, increased midwifery care, increased
• to increase training slots in midwifery care, in OB-GYN care, and obviously to continue to train doulas
• We're going to have doulas.

Keywords: 995, all

Summary: The commission met to reopen its work for the year, with roll call and attendance confirmations followed by remarks from the co-chairs and members. Senator Liz Miranda stepped down as co-chair, citing multiple responsibilities and personal losses, and Senator Adam Gomez was welcomed as the new Senate co-chair. Gomez said he would listen and learn from commissioners and advocates, and both outgoing and incoming leaders emphasized continuing the commission’s work on maternal health, postpartum depression, and equity. Members discussed several current policy and implementation issues. The Department of Public Health reported a new regulation to implement the 2024 midwifery access law, including temporary licenses for licensed certified professional midwives. Commissioners also raised concerns about birthing hospital and inpatient obstetric unit closures, OB-GYN workforce shortages, reimbursement changes, and the need to expand midwifery, doula, and birth center capacity. Other topics included substance use and perinatal mental health supports, the limited $220,000 appropriation for community-based perinatal mental health organizations, and the need for stronger funding in the budget to implement the maternal health law. The commission also focused on future priorities and information sharing. Members suggested more presentations from clinicians, regulators, infant and early childhood mental health experts, and PSI of Massachusetts; greater attention to parent-child relational health and postpartum screening in pediatric settings; and possible commission action such as a letter to the governor on workforce and access issues. The group agreed that there was not enough time to plan a May event and instead would use the commission to publicize related events, including Black Maternal Health Week activities. Commissioners voted to create a biweekly digest for sharing updates, with urgent items to be sent by email, and then adjourned the meeting.

Transcript Highlights:

• rulemaking is quite large and it does quite a number of things, but a summary is that it allows for doulas
• As a note, the department has been available to receive and process applications for doulas for several
• Just curious, how many doula applications have we currently received? We've received seven.

Keywords: 1204, all

Summary: The committee reviewed a series of Medicaid and health-related administrative rules, most of them tied to 2025 acts. Early items covered presumptive eligibility end dates, adding a definition of fictive kin for foster children, and updating ABLE account disability onset age. The committee also reviewed rules on continuous glucose monitors, RSV vaccine administration fees, ET3 telemedicine exemptions for ambulance services, dental rate increases, physical and occupational therapy access, and the Healthy Moms Healthy Babies and lactation consultant provisions. Most rules were reviewed without objection, though several members asked for fiscal and implementation details, especially on the CGM rule and the dental rate rule. The most extended discussion centered on the dental rate increase under Act 1025. DHS said the rule applies only to oral surgeons’ dental services as written, while the Arkansas State Dental Association and legislative sponsors argued the intent was to raise rates for a broader set of dentists performing the same procedures, especially for adults with special needs. Members discussed the statutory language, CMS constraints, bifurcated rates, and the estimated additional cost of about $1.5 million annually if general dentists were included. The committee ultimately reviewed the rule, but the chair noted the testimony and lawmakers indicated they would work on a fix next session. Another major exchange involved the CGM rule. Members questioned the reported $3 million two-year fiscal impact, the prior authorization process, and whether DME providers would be forced into a pharmacy-based system. DHS explained that the same vendor would handle prior authorizations and that the billing system changes were already live, but one member moved to expunge the earlier review vote and then said he would hold the rule pending further clarification. The committee also reviewed rules on adverse decisions appeals, CNA training, substance abuse and mental health network-status disclosures, new certification rules for doulas and community health workers, cosmetology/body art, massage therapy, lead-based paint, radiation control, radiologic technology licensure, and mobile home/RV park standards. The meeting ended with all remaining items reviewed and the committee adjourned.

Transcript Highlights:

• So, lady, one of those ways that I knew that we can do that was to support our doulas in tandem and with
• last times that I get on this floor and I can talk about Black maternal health and I can talk about doula
• Uzazi Birthing Village, the community health workers, the community birth workers, the Coalition of Doulas
• And all of the women and the organizations and the men, dads, to doulas, who did their part in getting
• When a parent is in the birthing room, in a hospital room, or in a doula sanctuary or a birthing center

Keywords: 959, house, all