Transcript Highlights:

• I'm the chair of the Department of Geriatric Medicine, and I'm testifying on behalf of the John A.
• I'm the chair of the department of<00:25:46.960> geriatric<00:25:47.679> medicine<00:25
• :48.159> and<00:25:48.400> I'm<00:25:48.640> testifying of geriatric medicine and
• I'm testifying of geriatric medicine and I'm testifying on<00:25:49.440> behalf<00:25:49.760>

Bills: SB2421, SB2690, SB3103, SB3137, SB3164, SB3206, SB2933, SB3133, SB3315

Keywords: cannabis, marijuana, Hawaii Cannabis Law, legalization, decriminalization, adult use, hemp, taxation, social equity, public health, primary care, health insurance, health carrier, insurance commissioner, Med-QUEST, Medicaid managed care, provider reimbursement, downcoding, prior authorization, utilization review

Summary: The committee heard testimony on several health-related bills. HB 1864, which would require health insurance coverage for standard fertility preservation services for people undergoing medically necessary treatment, drew broad support from SHIPA, the Department of Health, HMSA, the Hawaii Association of Health Plans, and others. Testifiers emphasized that fertility preservation is routine coverage on the mainland and important for patients facing infertility from cancer or other treatment; one patient described incurring more than $20,000 in costs. The Insurance Division flagged possible Affordable Care Act issues, a potential conflict in the bill’s language about using patient history to determine limits, and a mismatch with state medical-necessity standards. Committee discussion also focused on whether the bill should apply to all women of childbearing age rather than a narrower age-based category. HB 2305 would require nutrition and metabolic education as part of physicians’ continuing medical education. The Hawaii Medical Board opposed the measure, arguing that CME should remain flexible and tailored to each physician’s specialty and warning that topic-specific mandates can expand over time. The Office of the Governor supported the bill, saying it would help the state’s rural health transformation application and could improve federal funding prospects, though the exact impact was unclear. Members questioned whether nutrition is already covered in medical training and whether the requirement should be limited to primary care physicians; the board said Hawaii currently has no topic-specific CME mandates and that physicians can already choose relevant courses. The committee also heard strong support for HB 1597, which would establish an Alzheimer’s disease research center at the University of Hawaii. Supporters from the university, the Alzheimer’s Association, AARP, and others said the center could attract federal research dollars, expand clinical trials, and help address the state’s high Alzheimer’s-related health costs. HB 2159, which appropriates funds for health care workforce development, also received broad support from the University of Hawaii, health systems, and advocacy groups, with no opposition noted. Finally, HB 2121, which would prohibit the sale and distribution of disposable electronic smoking devices, drew support from the Department of Health, youth advocates, and public health groups citing youth addiction, environmental waste, and fire hazards; the department said a separate bill, HB 1573, would be more comprehensive and better defined for enforcement and penalties. The committee ended with HB 1913, creating a veteran services mental health coordinator position at Tripler Army Medical Center, which was supported by veteran services officials and others who said veterans need better navigation and coordination for behavioral health care.

Transcript Highlights:

• family medicine, with the number of practices and the number of sites, 67 pediatric, and we have one geriatric
• Pediatric, and we have one geriatric practice in the program.
• breakdown of the different types of providers—internal medicine, family medicine, pediatric, and geriatric—by

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:

• And as we get a higher number of special needs kids with autism or elderly population with the geriatrics
• And as we get a higher number of special needs kids with autism or elderly population with the geriatrics
• Autism or elderly population with the geriatrics, these spots hadn't increased, but the demand for them

Bills: SB24, SB83, SB142, SB140, SB94, SB24, SB83, SB142, SB140, SB94, HB132, HB37, HB51, HB105, HB54, HB7, HB158, HB188, HB189, HB111, HB13, HB192, HB149

Keywords: body-worn camera, public records, law enforcement transparency, recording disclosure, civil rights, adult-size changing table, changing station, accessible restroom, public bathroom, public building, public entity, ADA, Americans with Disabilities Act, accessibility, restroom renovation, new construction, grant program, state grant, local government facilities, historic property

Transcript Highlights:

• In the past, we've opposed geriatric and opioid-related mandates.
• California does require that if you have over 25% of your patient population over 65, you have to take geriatric
• And so I do think we have done this before in the geriatric context.
• And so I do think we have done this before in the geriatric context.

Summary: The committee heard a long agenda of bills, with most measures drawing support from industry, professional, local government, and advocacy witnesses, and several receiving committee amendments before moving forward. AB 8 on hemp and cannabis drew the most extensive debate: supporters said it would close loopholes around intoxicating hemp products, strengthen enforcement, and bring THC products into the regulated cannabis supply chain; opponents, including small cannabis farmers and environmental groups, warned it could undermine Proposition 64’s closed-loop system, harm California cultivators, and reduce tax revenues for youth, environmental, and law enforcement programs. The author said the bill was intended to protect consumers and children and to work further with stakeholders. AB 476 on copper theft was presented as a public safety and infrastructure bill to tighten reporting, documentation, and penalties for scrap metal theft; supporters from cities, utilities, broadband, and recycling-related groups described major losses and outages from copper theft, and the remaining opposition moved to neutral after amendments, with the bill advancing with committee support. The committee also heard AB 985, which would allow nationally certified anesthesiologist assistants to practice under direct supervision of licensed anesthesiologists to address anesthesia workforce shortages. Supporters, including the California Society of Anesthesiologists, medical groups, students, and patients, said it would expand access and bring California in line with other states; nurse anesthesiology groups expressed concerns and sought further clarification, but there was no formal opposition at the hearing. AB 506, aimed at online pet sales, would void contracts that fail to disclose an animal’s origin or veterinary records or that require non-refundable deposits; animal welfare groups said it would curb puppy mill pipelines and deceptive online sales, and there was no opposition. AB 876, on certified registered nurse anesthetists, generated the sharpest health care policy dispute: supporters said it would codify existing practice and clarify CRNA duties, while physicians and medical associations argued it would expand scope too far and reduce patient safety. After a roll call, AB 876 passed the committee 9-0, as amended, to Appropriations. Other bills advanced with broad support after amendments. AB 432, the Menopause Equity Act, would require continuing medical education on menopause-related care for certain physicians; the author and medical experts said the bill addresses widespread gaps in menopause treatment and research, while CMA and ACOG opposed the mandate as an inappropriate CME requirement, though they agreed the underlying problem is real. The bill passed on call, as amended, to Health. AB 759 would allow eligible architectural candidates to use the title “architect in training” to encourage completion of licensure and improve diversity in the profession; it passed unanimously, as amended, to Appropriations. AB 967 would create an optional expedited licensure fee for out-of-state physicians to reduce delays in bringing doctors into California’s workforce; supporters said it would help address shortages and improve patient access, and the bill was presented with support from medical stakeholders.

Transcript Highlights:

• spend two years doing something they don't want to do, like psychiatry or internal medicine or geriatrics
• , and spend two years of their life and $100,000 ...or internal medicine or geriatrics, and spend two

Keywords: 995, all

Summary: The Joint Committee on Public Health heard testimony on four bills: H. 5013 and S. 2928, which would establish a three-year celiac disease screening pilot program for children during routine cholesterol/lipid screening at ages 8 to 12; H. 5087, regulating medical spas; and H. 5115, establishing statewide food truck regulations, though the transcript focused almost entirely on the celiac and medical spa bills. For the celiac proposal, Rep. Badger and Sen. Lovely described long diagnostic delays, the lack of a cure, and the potential for a simple blood test to identify children earlier and reduce long-term harm. Multiple patients, clinicians, and researchers supported the pilot, saying celiac is frequently missed because symptoms vary widely or are absent, and that early detection could prevent malnutrition, growth problems, osteoporosis, and other complications. Testifiers also emphasized that the bill would study feasibility, accuracy, cost, and acceptability, and would include family education and support resources if diagnoses are made through the program. Several experts and advocates backed the celiac screening pilot, including a pediatric gastroenterologist from Italy who described successful national screening efforts there, a Celiac Disease Foundation representative, pediatric gastroenterologists from Massachusetts and Colorado, a pediatric dietitian, and a parent whose child was diagnosed after severe malnutrition. They argued that routine screening alongside existing pediatric bloodwork could identify many undiagnosed children and improve health equity, since celiac disease is often overlooked in people of color and lower-income patients. Committee members asked about how the screening would work, and witnesses explained it could begin with a blood test, followed by confirmatory endoscopy if needed. No vote was taken in the hearing. On H. 5087, witnesses from the medical aesthetics industry largely opposed the bill as written, saying it was outdated, redundant with existing Massachusetts licensing and board oversight, and too restrictive for nurse practitioners, physician assistants, and other licensed providers. Testifiers, including a retired lobbyist, a nurse practitioner, a PA, a plastic surgeon, and a clinic owner, said the bill could reduce access, raise costs, and push care into less regulated settings, while not addressing the real issues of training, compliance, and patient safety. Committee members pressed for more specific feedback on what provisions were unnecessary or duplicative, and witnesses said they had submitted position papers and written testimony identifying conflicts with current law. The hearing ended with the chair noting that all oral and written testimony would be reviewed before any decisions are made.

Transcript Highlights:

• Um, I'm already considered a geriatric maternal patient at 36.
• Um I'm already considered<00:12:23.360> um<00:12:23.600> a<00:12:23.920> geriatric
• c><00:12:24.959> uh<00:12:25.360> maternal considered um a geriatric uh maternal considered
• um a geriatric uh maternal patient<00:12:26.240> at patient at patient at 36.<00:12:28.240>

Keywords: 1191, senate, all

Transcript Highlights:

• In the past we've opposed geriatric and opioid-related mandates. The core concern is this.
• you have over 25% of your patient population as a gerrymanderer. area as over 65 you have to take geriatric
• And so I do think we have done. this before in the geriatric context.

Keywords: 988, house, all

Transcript Highlights:

• In one example, a 2017 study published in the Journal of the American Geriatric Society showed higher
• In one example, a 2017 study published in the Journal of the American Geriatric Society showed higher
• In one example, a 2017 study published in the Journal of the American Geriatric Society showed higher
• In one example, a 2017 study published in the Journal of the American Geriatric Society showed higher
• In one example, a 2017 study published in the Journal of the American Geriatric Society showed higher

Bills: HF1937, HF2407, HF1678, HF1477, HF2040, HF1840, HF257

Keywords: PACE, elderly, Medicaid, health services, long-term care, community-based services, support person, healthcare, patient rights, assisted living, community support, caregiver respite, financial eligibility, Minnesota Statutes, HF1477, residential program licensing, community residential setting, small group home, licensed capacity six or fewer, rental licensing

Transcript Highlights:

• Sunil Modi, MD, is board-certified in both family medicine and geriatrics. Dr.
• He then completed his residency in geriatric medicine at the University of Pittsburgh Medical Center.
• Modi certified by the American Board of Family Medicine and the American Geriatrics Society but he also

Bills: HJR98, HB142, HB912, HB2525, SCR19, SB66, SB128, SB209, SB250, SB317, SB383, SB393, SB397, SB517, SB571, SB612, SB614, SB715, SB731, SB801, SB865, SB867, SB872, SB905, SB913, SB945, SB946, SB986, SB1013, SB1015, SB1071, SB1086, SB1087, SB1113, SB1117, SB1181, SB1212, SB1241, SB1250, SB1263, SB1278, SB1285, SB1444, SB1483, SB1525, SB1528, SB1553, SB1556, SB1588, SB1660, SB1708, SB1802, SB1833, SB1844, SB1854, SB1957, SB1965, SB1999, SB2056, SB2082, SB2119, SB2133, SB2138, SB2203, SB2221, SB2337, SB2340, SB2373, SB2419, SB2422, SB2452, SB2477, SB2487, SB2501, SB2533, SB2586, SB2587, SB2615, SB2622, SB2633, SB2675, SB2681, SB2690, SB2713, SB2717, SB2753, SB2781, SB2782, SB2835, SB2841, SB2857, SB2891, SB2929, SB2933, SB2994, SB3016, SJR3, SB5, SB29, SB72, SB326, SB494, SB509, SB530, SB616, SB769, SB783, SB963, SB985, SB1143, SB1172, SB1238, SB1267, SB1271, SB1273, SB1506, SB1759, SB1786, SB1967, SB2312, SB2361, SB1, SB260, SB1506, SB1637, HJR98, HJR99, HJR2, HJR1, HB1109, HB1392, HB22, HB2525, HB3093, HB517, HB912, HB1130, HB142, HB1689, HB2018, HB136, HB2884, HB1393, HB2730, HB1399, HB1244, HB467, HB331, HB2559, HB29, HB26, HB166, HB353, HB2000, HB2756, HB3248, HB3513, HB3204, HB3135, HB3012, HB2763, HB2523, HB2457, HB2415, HB2198, HB2143, HB1708, HB1672, HB767, HB1327, HB2723, HB451, HB140, HB109, HB3096, HCR6, HCR12, HCR29, HCR50, HCR55, HCR56, HCR58, HCR70, HCR71, HCR74, HCR78, HCR80, HCR107, HCR116, HCR117, SJR36, SJR50, SJR63, SJR59, SCR12, SCR39, SCR48, SCR19, SB2023, SB1844, SB2533, SB62, SB666, SB847, SB284, SB854, SB1073, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1163, SB1122, SB731, SB397, SB508, SB1436, SB287, SB261, SB1882, SB393, SB1791, SB209, SB2429, SB1999, SB511, SB2309, SB510, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB517, SB1200, SB1845, SB2681, SB2458, SB801, SB3014, SB3013, SB758, SB1013, SB2797, SB2076, SB2876, SB2929, SB715, SB1640, SB2538, SB1449, SB986, SB1181, SB1359, SB410, SB1234, SB2926, SB2138, SB2615, SB2972, SB2841, SB3016, SB1856, SB1528, SB1373, SB672, SB2891, SB1854, SB317, SB2539, SB2532, SB1250, SB2082, SB2203, SB1285, SB1454, SB2520, SB1237, SB1586, SB2819, SB629, SB2342, SB2903, SB2477, SB3029, SB1957, SB375, SB250, SB777, SB2367, SB2703, SB2608, SB2965, SB2521, SB865, SB2165, SB2501, SB2675, SB2452, SB2835, SB872, SB1212, SB1278, SB1588, SB1602, SB1704, SB1723, SB1833, SB1858, SB1946, SB2009, SB2177, SB2460, SB2785, SB2373, SB1660, SB614, SB867, SB1608, SB1525, SB905, SB640, SB2487, SB1698, SB383, SB705, SB748, SB1113, SB1117, SB1802, SB2340, SB2586, SB2680, SB2690, SB2994, SB2747, SB1950, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB3059, SB2782, SB2781, SB2637, SB2633, SB2337, SB2334, SB1861, SB2043, SB1367, SB946, SB945, SB2857, SB128, SB571, SB1263, SB3058, SB612, SB2221, SB2587, SB2044, SB2363, SB2713, SB2311, SB1986, SB2565, SB2943, SB1888, SB2417, SB3048, SB3052, SB3053, SB3036, SB3057, SB3056, SB3043, SB3037, SB3050, SB3063, SB3047, SB3035, SB2446, SB466, SB2611, SB2794, SB2105, SB2017, SB1790, SB1778, SB1730, SB2995, SB2847, SB205, SB2619, SB1903, SB203, SB3061, SB1581, SB2600, SB2799, SB2790, SB2688, SB2515, SB1230, SB876, SB2522, SB2639, SB2137, SB2519, SB2403, SB2459, SB3051, SB2655, SB2251, SB2764, SB2878, SB1884, SB111, SB582, SB2617, SB1835, SB2751, SB2959, SB250, SB614, SB865, SB872, SB905, SB986, SB1113, SB1212, SB1278, SB1525, SB1588, SB1660, SB1802, SB1833, SB2487, SB2586, SB2675, SB2690, SB2929, HB912, HB2525, SB1844, SB2533, SB1957, SB1999, SB2138, SB2615, SB3016, SR469, SB29, SB326, SB494, SB530, SB769, SB783, SB1238, SB1967, SB2312, SB1506, HJR34, HB42, HB198, HB247, HB367, HB449, HB632, HB668, HB677, HB766, HB1105, HB1160, HB1169, HB1592, HB1778, HB1781, HB1868, HB2017, HB2038, HB2128, HB2240, HB2316, HB2510, HB2516, HB2563, HB2582, HB2663, HB2712, HB2715, HB2760, HB2788, HB3010, HB3069, HB3112, HB3120, HB3146, HB3157, HB3305, HB3348, HB3464, HB3474, HB3505, HB3512, HB3560, HB3597, HB3686, HB3783, HB3860, HB4063, HB4081, HB4214, HB4215, HB4224, HB4273, HB4325, HB4361, HB4386, HB4395, HB4665, HB4783, HB5032, HB5180, HJR34, HB42, HB198, HB247, HB367, HB449, HB632, HB668, HB677, HB766, HB1105, HB1160, HB1169, HB1592, HB1778, HB1781, HB1868, HB2017, HB2038, HB2128, HB2240, HB2316, HB2510, HB2516, HB2563, HB2582, HB2663, HB2712, HB2715, HB2760, HB2788, HB3010, HB3069, HB3112, HB3120, HB3146, HB3157, HB3305, HB3348, HB3464, HB3474, HB3505, HB3512, HB3560, HB3597, HB3686, HB3783, HB3860, HB4063, HB4081, HB4214, HB4215, HB4224, HB4273, HB4325, HB4361, HB4386, HB4395, HB4665, HB4783, HB5032, HB5180

Keywords: Article V, federal government, fiscal restraints, constitutional amendment, term limits, HB 142, Texas Health and Human Services Commission, HHSC, Office of Inspector General, OIG, Medicaid, Medicaid managed care, recovery audit contractor, RAC, overpayment recovery, underpayment, fraud, waste, abuse, provider enrollment

Transcript Highlights:

• Healthcare Center, a secure 61-bed center that specializes in taking care of residents with dementia and geriatric
• Medicaid census... ...and geriatric psychiatric diseases.
• I practice geriatric dental medicine and have done so for the past 15 years of my career.
• The last thing that I would want to say is that apart from my geriatric patients, there are younger women

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on a large docket of bills focused on MassHealth benefits and reimbursement, health equity, behavioral health, public health, dental access, 340B drug pricing, tobacco cessation, and coverage for children. The chairs emphasized rising health care costs, provider shortages, administrative burdens, and persistent inequities by income, race, geography, and immigration status. Much of the testimony centered on H.1416/S.901, an act to advance health equity, with legislators and members of the Health Equity Compact arguing for statewide benchmarks, stronger health equity leadership, reimbursement for interpreter services, community health workers and patient navigation, Medicaid graduate medical education support, and a health equity zone trust fund. Witnesses described disparities in life expectancy, maternal mortality, access to primary care, and the impact of federal Medicaid and social service cuts, and urged the committee to report the bill favorably. The committee also heard strong support for H.1368/S.847 on rapid whole genome sequencing for critically ill MassHealth children. Testifiers from industry, academia, hospitals, and families said early sequencing can end long diagnostic odysseys, improve treatment decisions, shorten hospital stays, and save money, while also providing emotional relief and information for families. The hearing then moved to H.1407 on MassHealth rate parity for inpatient behavioral health providers, where Rep. Scanlan and the Massachusetts Association of Behavioral Health Systems said the bill would codify existing administrative parity so managed care plans cannot pay less than the MassHealth fee-for-service rate. On H.1392/S.853 to preserve and protect public health, witnesses supported higher vaccine administration fees to improve provider participation and immunization rates. The committee also heard testimony on H.770/845 to protect 340B providers in MassHealth, and on S.848 to require reporting and transparency around 340B revenues and outside administrative costs. Additional bills drew testimony on tobacco cessation coverage for MassHealth members, with advocates supporting broader access to counseling and medications through medical, behavioral health, and dental providers. On H.1409, a nursing home operator asked for more flexibility in a MassHealth staffing-related penalty tied to patient days per resident. On H.1401/S.888, supporters of the “Take 10” dental access proposal said adult MassHealth dental coverage is underused because too few dentists accept MassHealth, leading to long travel times and avoidable emergency room visits; they urged incentive payments for dentists serving new adult MassHealth patients. Finally, on H.1403/S.855, “Cover All Kids,” advocates and immigrant community members urged removal of immigration status as a barrier to full MassHealth coverage for children, while also backing a related bill to ensure 12 months of continuous coverage for children. No votes were taken during the hearing; the committee primarily received testimony and asked questions on costs, reimbursement levels, and implementation details.

Transcript Highlights:

• Some program we were able to bring into our hospital as a critical access hospital to serve our geriatric
• Some program we were able to bring into our hospital as a critical access hospital to serve our geriatric
• I would like your perspective: if there were adequate inpatient beds for adults and geriatrics that are
• <01:10:34.320> that<01:10:34.440> are beds for adults and geriatrics that are beds
• for adults and geriatrics that are having<01:10:36.480> you<01:10:36.600> know<01:10:36.800

Keywords: 1183, house

Summary: The Health Finance and Policy Committee heard testimony from the Minnesota Hospital Association and several hospital leaders about the financial strain facing hospitals across Minnesota. The association’s CEO said hospitals are essential 24/7 safety-net providers, but rising labor, supply, technology, and drug costs are outpacing reimbursement from Medicaid, Medicare, and commercial payers. He warned that many not-for-profit hospitals are struggling, that workforce shortages remain significant, and that the committee should consider help on Medicaid rates, discharge/boarding problems, mental health services, workforce development, protecting the 340B drug discount program, and avoiding new mandates that add costs. Relle Schultz of Winona Health described a community hospital with a 49-bed facility and long-term care services that has faced years of losses, including a $17 million loss in 2023 and $12 million in losses the following year. She said government payers now make up about 65% of the hospital’s mix, and each 1% increase in that mix costs about $1 million. She highlighted the difficulty of sustaining services such as dialysis, which was nearly closed until a local donor provided $3 million to keep it open for three years, and she emphasized the importance of 340B savings and the need for higher Medicaid payments. Carrie Mulski of Riverview Health in Crookston said critical access hospitals are also under pressure despite their federal designation. She explained that federal support has eroded, that Medicaid and other public programs do not cover full costs, and that her hospital’s 340B savings help keep the doors open. She said Riverview opened a new hospital in 2020 but was hit by the pandemic and inflation, leading to annual losses of $5 million to $6 million and a negative operating margin of 9% to 10%. She also described bond covenant problems, low cash on hand, the prior closure of the nursing home, and the need for rapid state action to stabilize rural hospitals and preserve access to care.

Transcript Highlights:

• There are co-response teams that specialize in geriatric care and are able to work with individuals and
• We've heard some other colleagues talk about specialized services, people with memory care issues, geriatric
• We've heard some other colleagues talk about specialized services, people with memory care issues, geriatric

Summary: The Community Safety Committee held an interim work session on crisis response, with members and witnesses discussing how Washington can better integrate 911, 988, mobile crisis, co-response, and alternative response models for behavioral health crises in public spaces. Travis Parker opened with an overview of the Sequential Intercept Model and the crisis care continuum, emphasizing early intervention, 988 access, regional coordination, navigators and peer support, and the need for sustainable braided funding. Several Washington witnesses then described current programs and system gaps, including the growth of co-response teams, the importance of integrating 911 and 988 rather than treating them as competing systems, and the need to reduce unnecessary emergency room use and improve first responder wellness and training. City, fire, and crisis-system representatives described local challenges and reforms. Kim Hendrickson of Poulsbo said most crisis calls still come through 911 and urged better coordination among field-based teams, more behavioral health training for fire/EMS, and more alternatives to ER transport. Laura Pippen, a designated crisis responder, described a strained involuntary treatment system, fewer DCRs statewide, difficulty getting law enforcement support for transports, and limited facility capacity, especially for substance use disorder. Jennifer Stuber and South County Fire’s Keith Sharp highlighted workforce training, a crisis responder certificate program, and first responder wellness efforts. Research witnesses Evan Lauder and James Pine said the evidence is still developing but generally supports on-scene resolution, reduced ED transport and detention in some models, and the importance of clear dispatch protocols, coordination, and ongoing evaluation. Dispatch and program operators then gave examples of how systems are working in practice. Katie Myers of Washington APCO/NENA said 911 remains essential, but needs evidence-based triage protocols, liability protections, and additional funding if it is expected to take on more crisis-response responsibilities. Whatcom County described embedding a “community connector” in the 911 center to coordinate alternative response, while ValleyCom reported that its 988 diversion pilot transferred 2,165 calls with 98% resolved through 988/211 without returning to 911. National examples included Denver’s STAR program, Albuquerque’s Community Safety Department, and Atlanta’s PAD initiative, each showing different ways to route low-acuity or behavioral-health-related calls away from police and toward clinicians, peers, or civilian responders. The session ended with Washington examples continuing, including Whatcom County’s alternative response team, underscoring the committee’s interest in refining and expanding integrated crisis response systems in the next session.

Transcript Highlights:

• This is landmark mental health and substance assistance legislation with geriatric crisis response, including
• I also have a long-standing career and healthcare boats host a queue care geriatric primary care and

Transcript Highlights:

• I'm going to call you the geriatric legislator, because you're bringing two geriatric bills.

Keywords: 1136, house, all

Transcript Highlights:

• Nwankwo is a board-certified family physician specializing in geriatric medicine, and she received her
• completed her medicine residency at Datar Health Care System at Texas A&M University program and her geriatric

Bills: SB128, SB203, SB205, SB317, SB393, SB397, SB510, SB582, SB731, SB801, SB867, SB913, SB1071, SB1073, SB1086, SB1087, SB1163, SB1250, SB1285, SB1310, SB1444, SB1483, SB1553, SB1556, SB1723, SB1782, SB1835, SB1861, SB1897, SB1903, SB1950, SB2043, SB2063, SB2082, SB2133, SB2137, SB2260, SB2297, SB2298, SB2334, SB2344, SB2403, SB2446, SB2522, SB2532, SB2549, SB2566, SB2600, SB2619, SB2637, SB2655, SB2688, SB2717, SB2785, SB2790, SB2794, SB2841, SB2847, SB2857, SB2891, SB2919, SB2943, SB2972, SB3047, SB3052, SB3053, SB3057, SB3059, HJR1, HB9, HB26, HB37, HB116, HB334, HB554, HB913, HB1109, HB1151, HB1899, HB2081, HB2809, HB2890, HB2970, HB3012, HB3307, HB3809, HB5092, SB17, SB314, SB455, SB509, SB761, SB963, SB1023, SB1968, SB2122, SB2371, SB2420, SB2544, SB1, SB260, SB1506, SB1637, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB2943, SB510, SB1835, SB1950, SB62, SB666, SB847, SB284, SB854, SB1073, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1163, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB511, SB2309, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1359, SB1234, SB2926, SB2972, SB2841, SB1528, SB2891, SB1854, SB317, SB2532, SB1250, SB2082, SB1285, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB2460, SB2785, SB867, SB640, SB1698, SB2680, SB2994, SB2747, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1861, SB2043, SB1367, SB2857, SB128, SB3058, SB2044, SB2363, SB2565, SB1888, SB3048, SB3052, SB3053, SB3036, SB3057, SB3056, SB3043, SB3050, SB3063, SB3047, SB3035, SB2446, SB1790, SB1778, SB2847, SB2619, SB203, SB3061, SB2600, SB2799, SB2790, SB2688, SB2515, SB1230, SB2522, SB2639, SB2403, SB2459, SB3051, SB2655, SB2251, SB1884, SB582, SB2617, SB2751, SB2928, SB1310, SB2566, SB2344, SB1897, SB1749, SB1361, SB2549, SB2553, SB2919, SB1782, SB1705, SB2696, SB1944, SB2215, SB644, SB1232, SB2850, HJR1, HB1109, HB1130, HB1689, HB2884, HB1393, HB2559, HB26, HB3012, HB1327, HB109, HB1238, HB2890, HB9, HB2081, HB4215, HB2970, HB37, HB1899, HB3809, HB334, HB554, HB1593, HB2607, HB3526, HB3810, HB5092, HB388, HB2809, HB1151, HB913, HB3307, HB879, HB116, HB12, HB2703, HB1610, HB1615, HB1620, HB30, HB21, HB2712, HB2692, HB1633, HB1318, HB685, HB630, HB4753, HB2742, HB303, HB198, HB1535, HB762, HB148, HB1520, HB5061, HB2286, HB1606, HB1041, HB132, HB11, HCR7, HCR75, HCR86, HCR92, HCR93, HCR126, SB582, SB1163, SB2344, SB2403, SB2446, SB2600, SB2785, SB3047, HB334, HB554, HB1109, HB2081, HB3809, SB510, SB1835, SB1950, SB2943, SB1073, SB1310, SB2532, SB2619, SB2847, SB2972, SR509, SR512, SJR87, SB3072, SB3073, HB49, HB229, HB361, HB700, HB796, HB1128, HB1534, HB1661, HB1803, HB1837, HB1866, HB2149, HB2282, HB2294, HB2434, HB2440, HB2761, HB2785, HB2867, HB3057, HB3062, HB3134, HB3185, HB3225, HB3233, HB3358, HB3388, HB3421, HB3619, HB3658, HB3675, HB3687, HB3697, HB3743, HB3745, HB3787, HB3848, HB3866, HB3940, HB3984, HB4176, HB4205, HB4226, HB4429, HB4437, HB4463, HB4506, HB4730, HB4735, HB4752, HB4813, HB4903, HB4904, HB5033, HB5057, HB5129, HB5137, HB5138, HB5149, HB5153, HB5155, HB5195, HB5196, HB5200, HB5224, HB5294, HB5339, HB5394, HCR108, SJR87, SB3072, SB3073, HB49, HB229, HB361, HB700, HB796, HB1128, HB1534, HB1661, HB1803, HB1837, HB1866, HB2149, HB2282, HB2294, HB2434, HB2440, HB2761, HB2785, HB2867, HB3057, HB3062, HB3134, HB3185, HB3225, HB3233, HB3358, HB3388, HB3421, HB3619, HB3658, HB3675, HB3687, HB3697, HB3743, HB3745, HB3787, HB3848, HB3866, HB3940, HB3984, HB4176, HB4205, HB4226, HB4429, HB4437, HB4463, HB4506, HB4730, HB4735, HB4752, HB4813, HB4903, HB4904, HB5033, HB5057, HB5129, HB5137, HB5138, HB5149, HB5153, HB5155, HB5195, HB5196, HB5200, HB5224, HB5294, HB5339, HB5394, HCR108

Keywords: hospital reporting, child abuse, neglect, administrative penalty, medical ethics, child protection, student privacy, numerical class rank, education policy, academic programs, high school, fetal development, health curriculum, public schools, middle school health education, grade 7, grade 8, State Board of Education, school health advisory council, Texas Education Code

Transcript Highlights:

• think one solution that has come up as I've talked to colleagues is either to enhance training in geriatrics
• bringing in physician's assistants or people who may have more basic medical needs. training in geriatrics

Keywords: opioid crisis, overdose, naloxone, drug trafficking, law enforcement, treatment, prevention, older adults, Medicaid expansion

Summary: The meeting convened to address the dire opioid crisis affecting communities nationwide, with a particular focus on the alarming rise of opioid use disorder among older adults. Key testimonies highlighted the critical need for a comprehensive approach that encompasses prevention, treatment, and strict law enforcement actions against drug traffickers. Sheriff Dennis Lima from Seminole County outlined successful strategies implemented in Florida, including increased access to naloxone and legislative changes to hold drug dealers accountable for overdoses. Various members expressed a united front on tackling this multifaceted issue, advocating for the expansion of Medicaid and better access to treatment as essential steps to curbing the epidemic.

Transcript Highlights:

• They need the geriatric psychiatrist. They need the social worker to do the care planning.
• They need the geriatric psychiatrist.
• Ours is geriatric psychiatry and/or dementia with behaviors.
• <06:11:47.920> with geriatric psychiatry andor dementia with geriatric psychiatry andor dementia
• <06:15:16.718> psychiatrist, geriatric psychiatrist, geriatric psychiatrist, then<06:15:18.558

Keywords: 1189, house, all

Transcript Highlights:

• Sunil Modi, M.D., is board-certified in both family medicine and geriatrics. Dr.
• He then completed his residency in geriatric medicine at the University of Pittsburgh Medical Center.
• Modi certified by the American Board of Family Medicine and the American Geriatric Society, but he also

Summary: The Senate convened with a quorum present, heard an invocation, adopted the prior day’s journal, received House messages, and adopted several resolutions and recognitions, including Senate Resolution 496 honoring Leadership Garland and resolutions 503 and 504. The chamber also recognized guests, including a North Dakota senator and the Doctor of the Day, and received gubernatorial nominations for the Texas Economic Development Corporation Board and the Nueces River Authority Board. The Senate then took up and passed a series of bills, often by suspending the regular order and the constitutional three-day rule. Measures approved included SB 614 on Texas Forensic Science Commission referrals to the Office of Capital and Forensic Writs; SB 250 on municipal annexation across railroad rights-of-way; SB 1660 on toxicological evidence retention and destruction procedures; SB 2586 requiring property owners associations to file governing documents with the Texas Real Estate Commission; SB 1588 increasing penalties for certain failures to report child sexual abuse; HB 912 on compensation for distributed renewable generation outside ERCOT; SB 1957 setting eligibility standards for civilian oversight boards; HB 2525 clarifying a charitable property tax exemption; SB 1525 limiting repeated prior authorization for neurodegenerative disease drugs; SB 865 requiring CPR/AED training and cardiac emergency response planning in schools; SB 1212 elevating human trafficking penalties; SB 2690 on solicitations for Secretary of State documents; SB 1802 on landlord repair duties for ramps, elevators, and handrails; SB 905 on licensing rules for speech-language pathologists and audiologists; SB 2929 allowing removal of disruptive spectators at school athletic events; SB 2675 creating a narrow McAllen-specific parkland conveyance exception; SB 872 increasing punishment for burglary of a vehicle involving firearm theft; and SB 1113 clarifying sales rules for certain converter-license holders. Several bills drew extended debate. SB 2487, dealing with crisis and mental health services for homelessness, was amended to make the county model permissive rather than mandatory and to remove state funding/assistance requirements before passing 28-3. SB 2138, barring higher education funds from contracting with firms that boycott fossil fuels through ESG policies, also passed after questions about fiscal effects and First Amendment concerns. SB 2615, restricting remote work at public institutions of higher education, advanced 22-9. The Senate also began consideration of SB 3016, which would expand enforcement tools against local governments that fail to comply with state law, but the transcript cuts off before action on that bill is completed.

Transcript Highlights:

• But this bill is also addressing non-medical release and geriatric release.
• But this bill is also addressing non-medical release and geriatric release.
• But this bill is also addressing non-medical release and geriatric release.
• But this bill is also addressing non-medical release and geriatric release.
• But this bill is also addressing non-medical release and geriatric release.

Keywords: 1187, senate, all

Keywords: 1191, senate, all