Transcript Highlights:

• Vice Chair Hall, Ranking Member Dye, members of the committee.
• Vice Chair Hall, Ranking Member Dye, members of the committee for the record.
• Good morning, Chair Dolio, Ranking Member Dye, members of the committee.
• Thank you, Madam Chair, ranking member, and committee members.
• Thank you, Madam Chair, ranking member, and committee members.

Summary: The committee heard testimony on several waste and recycling bills. House Bill 2212 would require microfiber filters on commercial and industrial washing machines, with Ecology authorized to consider residential machine rules later if cost thresholds are met. Supporters, including the sponsor, students, environmental advocates, and scientists, said washing machines are a major source of microplastics and that filtration is a practical way to reduce pollution before it reaches waterways and human bodies. Opponents, including appliance manufacturers, laundromat operators, business groups, and Ecology staff, raised concerns about technical feasibility, worker safety, cost, and the lack of third-party certification for commercial systems. Ecology said the science is emerging and the proposal would create new agency work and costs. No vote was taken. House Bill 2233 would tighten the state’s carry-out bag laws by banning reusable film plastic bags, raising the paper bag pass-through charge to 20 cents, and extending certain requirements to manufacturers, distributors, and third-party sales platforms, while preserving protections for food assistance cardholders. Supporters argued the current thicker-bag approach has not reduced plastic waste, that plastic bags contribute to litter and microplastics, and that a stronger ban would better protect waterways and wildlife. Opponents from grocery, retail, hospitality, paper, and business groups argued the bill would raise consumer costs, create checkout and food-safety problems, and add operational complexity; some also said the state should wait to see the effects of the recent fee increase. Several local government and environmental witnesses supported the bill. No final action was taken. House Bill 1420 would establish an extended producer responsibility program for textiles and apparel, requiring producers to form a producer responsibility organization to manage collection, reuse, repair, recycling, and related infrastructure. The sponsor described the bill as a response to textile waste, overconsumption, and landfill impacts, and said the proposal had been refined through extensive stakeholder work. Supporters from environmental groups, local governments, Ecology, counties, Goodwill, and circular-economy organizations said textiles are a growing waste stream and that producer responsibility could improve collection, reduce dumping, and support repair and reuse. Opponents from business, retail, hospitality, apparel, and medical-device groups raised concerns about complexity, consumer and compliance costs, governance, supply-chain reporting, and possible unintended coverage of uniforms or medical products. The hearing also included a State Board of Health health impact review noting likely increased awareness and collection but limited evidence on large-scale reuse and recycling outcomes. No vote was taken.

Transcript Highlights:

• At present, Kentucky pharmacists are not compensated at the same rate as other non-physician providers
• </c> pharmacists, like other non-p physician pharmacists, like other non-p physician providers,<00:04
• Pharmacists are only seeking payment for the services that Medicaid already pays other non-physician
• <00:53:44.079><c> Well,</c><00:53:44.400><c> Kentucky</c><00:53:44.880><c> ranks</c><00:53:45.359><c>
• Well, Kentucky ranks first in program?

Summary: The meeting opened with roll call, approval of the September 17 minutes, and an introduction of Sarah Rome to the committee. The chair also noted that the committee would stay on schedule and then moved to presentations. Representative Amy Neighbors and Taylor Williams of the Kentucky Pharmacists Association presented a refiled “pharmacy parity” proposal, formerly House Bill 3, to require Medicaid reimbursement for pharmacist clinical services already authorized under current scope of practice. They said the bill would not expand Medicaid or pharmacist scope, but would align Medicaid with commercial insurance, improve access and outcomes, and likely save money; they cited a Cabinet report under Senate Joint Resolution 26, which found similar laws in other states were producing savings or trending toward savings and would require only modest administrative updates. No member questions were raised after that presentation. The committee then heard an update on the Kentucky Colon Cancer Screening Program from Senator Stephen Meredith, Dr. Whitney Jones, Melissa Carrier, and Representative Neighbors. They described the program’s goals of increasing screening, reducing deaths through earlier detection, and preventing cancers by finding polyps, saying it has produced substantial savings and improved outcomes. Speakers emphasized Kentucky’s high colorectal cancer burden, especially in younger adults, and said the program helps uninsured and underinsured Kentuckians access stool-based screening and follow-up colonoscopies through a network of partners including the Department for Public Health, Kentucky Cancer Link, and university cancer programs. They requested an increase in funding from $500,000 to $1.25 million annually, or $2.5 million over the biennium, to expand services, fill geographic gaps, and support education and navigation. Members asked whether the colon cancer screening was already covered by Medicaid, and the presenters replied that Medicaid does cover it, but the program serves people who are not on Medicaid or who fall into a separate eligibility category based on income and insurance status. A member also clarified the requested funding increase. The committee then moved on to the next agenda item, an update from the Children’s Home of Northern Kentucky, where board member Sal Santoro and CHNK Behavioral Health leaders began a presentation describing the organization’s broader behavioral health work and its request, but the transcript cuts off before that presentation concludes or any action is taken.

Transcript Highlights:

• </c> um where the United States is ranked um where the United States is ranked worldwide<00:20:45.760
• </c> are ranked 69th out of 104 countries. are ranked 69th out of 104 countries.
• of caregivers, whether it be a physician, a physician assistant, or a nurse practitioner.
• of caregivers, whether it be a physician, a physician assistant, or a nurse practitioner.
• of caregivers, whether it be a physician, a physician assistant, or a nurse practitioner.

Committee: Senate Health and Human Services

Transcript Highlights:

• Missouri's physicians do not support the use of non-FDA-approved drugs.
• It's just the FDA hold-up for those physicians? Yeah, for us, we want FDA approval. Okay.
• There was a physician that was involved.
• There was a physician that was involved.
• And you have, I mean, a physician, physician for existence, but you have also master-level therapists

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

Transcript Highlights:

• Ranking Member Edmonds excused. Representatives Artis? Here. Black? Here. Baker? Black? Here.
• This communication protects patients' autonomy, builds trust with patients, and helps physicians reduce
• Thank you, Chair Tuck, Vice Chair Temple, Ranking Member Edmonds, and committee members.
• Thank you, Chair Tuck, Vice Chair Temple, Ranking Member Edmonds, and committee members.

Summary: The Health Professions and Program Subcommittee met with a quorum and heard six bills. HB 1617 on stem cell therapy was presented as a way to expand access to biotherapy options through informed consent, sourcing standards, and required disclosures; an amendment clarifying definitions was adopted, supportive testimony was heard, and the bill passed 16-0. PCS for HB 1399 would give the legislature authority to terminate or refuse to extend a declared public health emergency; members raised a concern about what happens if the emergency prevents the legislature from meeting, but the sponsor said she was working on a fix, and the bill passed 16-0. PCS for HB 555 would change medical marijuana card renewals from annual to every two years and exempt veterans from the $75 fee; members described it as reducing barriers and helping seniors and veterans, and it passed 16-0. PCS for HB 1487 would strengthen licensure for volunteer-based EMS providers such as Hatzalah South Florida; testimony and debate emphasized the value of these zero-cost, volunteer emergency services, and the bill passed 14-0. HB 115 on clinical laboratory personnel addressed workforce shortages by aligning Florida licensure more closely with federal CLIA standards and allowing qualified applicants with relevant bachelor’s degrees and federal training to work with on-the-job training; a strike-all amendment was adopted, industry witnesses supported the bill, and it passed 15-0 as amended. HB 1513 would require health care practitioners to refund patient overpayments within 30 days of learning of the overpayment, excluding insurer and HMO overpayments; it drew supportive debate and passed 15-0. The meeting then adjourned.

Transcript Highlights:

• You would not tie the hands of their physician, require them to travel long distances, or force them
• for care provided while the Texas licensed physician is located in this state.
• physician is located, to use and prescribe certain medications for non-abortion purposes.
• You're looking at your rank-and-file officers, and I'll just accept what you're saying.
• Physicians must worry about legal retaliation simply for fulfilling their duty to save lives.

Bills: SB 8 , HB7 , HB15 , HB265 , HCR13 , SB8 , HB7 , HB15 , HB265 , HCR13

Transcript Highlights:

• Thank you, Madam Chair, Ranking Member Harris, members of this committee.
• Good morning, Chair Wellman, Ranking Member Harris, members of the committee.
• Good morning, Chair Wellman, Ranking Member Harris, members of the committee.
• Chair Wellman, ranking member Harris, members of the committee, for the record, I'm Roz Thompson.
• Thank you, Chair Wellman, Ranking Member Harris, members of the committee.

Summary: The committee opened by explaining that several bills had been removed from the agenda because the Senate must physically possess a bill before holding a public hearing. The chair said the missing bills would be rescheduled for Tuesday. The committee then waived the five-day notice rule for considering substitute House Bills 1705 and 32010, and proceeded to hear substitute House Bill 2219 and substitute House Bill 1795. House Bill 2219, on child care operational efficiency, would allow longer mixed-age ratio periods in child care centers, waive repeat DCYF orientation requirements in certain cases when staff have recently completed the same training, and require licensing standards to include a zero-tolerance policy for imminent physical harm involving high-potency synthetic opioids and related drug residue or paraphernalia. The prime sponsor and supporters said the bill would help child care providers manage staffing shortages, take breaks, and reduce duplicative licensing burdens. Testimony was strongly supportive, with advocates and providers describing the bill as a low-cost way to improve retention and flexibility. Questions focused on how the fentanyl language would apply to prescribed medications. House Bill 1795 would narrow and update state law on restraint and isolation in public schools and other public educational programs. The bill prohibits mechanical and chemical restraints and restraints that restrict breathing or blood flow, bars planned isolation in IEPs and 504 plans, limits planned restraint to cases with parent request and medical necessity, and prohibits new construction or remodeling of spaces intended primarily for student isolation. Supporters, including disability advocates, educators, school psychologists, principals, and state education groups, said the bill is a needed step toward reducing trauma and disproportionality and cited demonstration sites showing reductions in restraint and isolation. Some educators and paraeducators raised concerns about staffing, training, and what tools remain available in crisis situations, while others asked for future work on professional development and resources. No vote was taken on either bill during the hearing.

Transcript Highlights:

• </c> former CVSOs working at the CVSO ranks former CVSOs working at the CVSO ranks to<00:21:46.480><c
• He got ChatGPT-generated physician assistance letters.
• This physician assistant had never met the veteran. She was from another state.
• </c> GBT created generated physician GBT created generated physician assistance<01:18:50.800><c> letters
• This physician assistance letters.

Committee: House Veterans and Military Affairs Division

Transcript Highlights:

• Despite seeing significant growth in program funding, our state continues to consistently rank at the
• bottom in the national health ratings and rankings.
• 10:36.399><c> ratings</c><00:10:37.360><c> and</c><00:10:37.680><c> rankings.
• </c> national health ratings and rankings. national health ratings and rankings.
• </c><01:51:20.400><c> of</c> ultimately retiring with the rank of ultimately retiring with the rank of

Transcript Highlights:

• Thank you, Chair Goodman, ranking member Graham.
• Chair, Ranking Member Graham, and colleagues.
• Chair, Ranking Member Graham, and colleagues.
• Thank you, Chair Goodman and Ranking Member Graham.
• Chair Goodman, Ranking Member Graham.

Summary: The committee heard public hearings on several bills, with testimony limited because of the large number of sign-ups. House Bill 2146 would expand the crime of sexual exploitation of a minor to include causing a minor to view sexually explicit conduct that is being photographed or shown in a live performance. The prime sponsor, Olympia police, and Pierce County prosecutors described cases involving adults masturbating in front of children and argued the current law leaves a gap by treating such conduct as only misdemeanor indecent exposure or communication with a minor. Committee members asked about comparisons to other states, forensic interviews, and whether related offenses could be enhanced. House Bill 2349 would expand notice requirements for sexually violent predator releases, conditional releases, address changes, discharges, and escapes to include local elected officials such as sheriffs, county executives, city officials, and legislators. The sponsor said the bill would codify a practice already occurring in some cases and help officials respond to community concerns with accurate information. DSHS supported increased communication but requested technical amendments. Several city officials testified in support, saying they had not always been notified in advance of placements in their communities. Defense advocates opposed the bill, warning that broader notification could fuel public pressure, vigilante responses, and constitutional problems for the civil commitment system. The hearing on the bill was left open for amendments. House Bill 2532 would make it a gross misdemeanor to sell or distribute nitrous oxide canisters or similar containers, with exemptions for medical, dental, food, industrial, and automotive uses. The sponsor and supporters described rising misuse among youth and young adults, public health harms, and incidents involving impaired driving and overdose deaths. Tribal representatives, the Attorney General’s Office, the Washington Poison Center, and public health officials supported the bill, while veterinary representatives asked for clarification or an amendment to preserve veterinary use. The committee also heard testimony on House Bills 2430 and 2457, which both concern the crime victim penalty assessment. Representative Barno’s bill would restore the assessment for certain offenses involving victims, while Representative Davis’s bill would increase the assessment and add a surcharge for defendants with substantial financial resources. Victim advocates, prosecutors, and sheriffs supported the bills as needed to restore funding for victim services, while defense groups opposed them as burdensome fees on indigent defendants. The chair directed the two sponsors to work together on a single proposal, and the hearings were held open.

Transcript Highlights:

• duties” and inserting in that, which may include recess time, because this was a suggestion by the ranking
• So I thought about a physician... So I thought about a physician.
• And the Ranking Member has the first question. If she had one, you're good.
• I've been a licensed physician for 30 years, and I've been following technology and education for the
• I'm a licensed physician. I'm not sure.

Committee: House Elementary and Secondary Education

Transcript Highlights:

• You get him in the hospital, and you realize that some physician has prescribed 130 pills a month to
• But in the budget, you know, we've got increases for Physician Services of 37.9 million.
• Physician Services, 37.9 million. Could you explain that?
• At 29%, we are ranked 15th or 25th in the country in terms of recidivism rates.
• Currently, we rank right in the middle in terms of recidivism rates.

Transcript Highlights:

• Thank you very much, Chair Berg and Ranking Member Orcutt.
• Ranking Member. For the record, I'm Darya Farivar, state representative.
• Ranking Member.
• Good afternoon, Chair Berg, Ranking Member Orcutt. My name is Rose Feliciano.
• College of Emergency Physicians.

Summary: The committee heard briefings, sponsor presentations, and public testimony on several finance bills. HB 2038 would impose an additional B&O tax on businesses operating social media platforms beginning in 2027 and create a youth behavioral health account funded by the tax. The sponsor argued the bill would help address youth mental health harms linked to social media and support implementation of the Washington Thriving plan. Supporters in testimony, including youth advocates and some public health voices, said social media contributes to youth anxiety and addiction and that the revenue should be used for behavioral health services. Opponents, including technology and business groups, argued the tax unfairly singles out one sector, could be passed on to consumers, and may violate federal internet tax law. The hearing on HB 2038 was suspended and later reopened for public testimony; no vote was taken. HB 2297 would create tax incentives for grocery stores in underserved communities, including local B&O preferences, a sales tax exemption for security services, a 30-year property tax exemption program, a B&O tax credit, and a B&O exemption for certain locally owned or employee-owned stores. The sponsor and supporters said the bill is intended to preserve and attract grocery stores in food deserts, especially after recent store closures, and to help communities with limited transportation and access to healthy food. County representatives supported the goal but raised concern about the bill’s sales tax exemption and its effect on local revenues. Public testimony was largely supportive, with advocates, local officials, grocers, and residents describing grocery stores as essential community infrastructure. No action was taken. HB 2382 would raise cigarette taxes by $2 per pack, restructure vapor and other tobacco product taxes, and dedicate portions of the revenue to a time-sensitive emergency system, tobacco enforcement, and the foundational public health services account. The sponsor said the bill would generate needed revenue, support cancer research funding, and strengthen public health and enforcement. Supporters said higher tobacco taxes reduce use and help cover long-term health costs, while some public health witnesses supported the revenue but suggested directing more funds to existing tobacco prevention accounts. Opponents from retail and industry groups argued the proposal is regressive, could increase illicit sales and cross-border purchasing, and would hurt small businesses and low-income consumers. The committee also heard HB 2487, a Department of Revenue request bill that would narrow the B&O exemption for insurers to clarify that it applies only to premium income subject to insurance premium tax, and apply the change retroactively to 2019. The sponsor and supporters said the bill closes a loophole created by a recent Supreme Court ruling and preserves tax equity, while insurers and business groups objected to the retroactive application, warning of higher premiums and unfair taxation. Finally, HB 2018 would increase the solid waste tax by 0.5% per year for five years and direct the new revenue to a local government solid waste assistance account for county and city waste management plans. County officials supported the bill as a way to stabilize funding for solid waste systems, and testimony emphasized rising disposal and infrastructure costs. No votes were taken on any of the bills during the hearing.

Transcript Highlights:

• And because it's hard to get a clinical physician or clinician to see today, not just in New Mexico,
• A primary care physician who would be, or a nurse practitioner, or a physician's assistant, who would
• He's a ranking member. I'm sorry, go ahead. Mr.
• He's a ranking member. I'm sorry, go ahead. Mr.
• We will require ...public when licensing internationally trained physicians.

Summary: The committee first heard Senate Bill 130, which would require heart calcium scans for people over 50, allow pharmacists to manage related screening and medication, and eliminate cost-sharing barriers for the testing and treatment. The sponsor argued the bill could prevent coronary artery disease deaths and reduce long-term health costs, while an industry lobbyist questioned whether it would actually save patients money and raised concerns about the substitute language. After questions about costs, rural access, pharmacist training, liability, and the effect of treatment, the committee adopted a due pass recommendation on the committee substitute by a 6-4 vote. The committee then considered House Bill 31, the EMS personnel licensure interstate compact. Supporters from the Chamber of Commerce, Think New Mexico, the Health Care Authority, and an autism advocacy group said the compact would help address EMS shortages, improve emergency response, and support rural health workforce needs. One opponent warned about out-of-state personnel practicing under unfamiliar standards and possible retention problems. The committee adopted an immunity-related amendment and then gave the bill a 9-0 do pass recommendation. House Bill 33, the psychology inter-jurisdictional compact, was also heard and amended with a similar immunity change. Supporters said it would expand telehealth and behavioral health access, while some members questioned data on workforce shortages, standards, and how the compact would affect New Mexico’s oversight. The committee approved the amended bill 8-0. House Bill 43, a cleanup bill for PERA disability and survivor pension provisions, was presented as a technical measure to clarify statutes, update the disability earnings cap to match Social Security, and reduce ambiguity without changing benefits or liabilities. Members asked about double-dipping, survivor provisions, and fiscal impact, and the bill received a 9-0 do pass recommendation. The committee also heard Senate Memorial 22, which asks the Legislative Finance Committee to study how CYFD-administered state and federal funds support domestic violence services. Sponsors and advocates said funding has been flat or reduced despite rising need, and that providers need clearer, more transparent data; committee members expressed concern that the state lacks a clear accounting of where the money goes. The memorial passed on a 9-0 vote.

Transcript Highlights:

• I understand how they rank.
• We rank the grants. We rank the grants. We are considered experts in the field.
• We spend the time ranking, we spend the time vetting.
• as a level six on the offense severity ranking chart.
• This amendment makes clear that when making referrals, physicians may contact the physicians they are

Summary: The House convened with prayer, the pledge, quorum call, and several recognitions, including guests for Education and Sharing Day, law enforcement officer of the day Detective Miata Anderson, and later FAMU Day at the Capitol and other visiting groups. The chamber adopted the special order report and then moved through a series of budget-related bills and conforming measures, with debate focused largely on recurring funding, environmental programs, housing, insurance reserves, and tax policy. Members approved HB 5011/SB 2506, which conform environmental resource funding to the proposed budget by shifting Seminole Gaming Compact-related dollars from recurring to nonrecurring funding; supporters said this preserves annual legislative review, while opponents warned it would reduce funding for the Resilient Florida program, wildlife corridor protection, invasive species removal, and other conservation efforts. The House then passed HB 5013, reducing state-funded property reinsurance reserves by lowering the RAP program and repealing FORA funding, and HB 5501, which redirects documentary stamp tax revenues from housing and transportation trust funds to general revenue; Democrats argued the housing changes would reduce affordable housing support, while Republicans said the move was needed to control recurring spending. The chamber also passed HB 5015 on state group insurance, HB 5201 on Florida PALM accounting conforming changes, HB 5203 on Capitol Center tenancy and utilities control, and HB 5009 creating a Florida Accountability Office and revising audit and budgeting functions. The most extended debate came on HB 7031, which permanently reduces the state sales tax rate from 6% to 5.25% and also lowers several related tax rates. Supporters described it as broad-based, immediate tax relief for Floridians, while opponents said property tax relief would be more targeted and that sales tax cuts also benefit tourists and out-of-state visitors. The bill passed 112-0. The House then took up the main budget bill, HB 501, and subcommittee chairs outlined the proposed $112.9 billion budget, including education, health care, transportation, agriculture and natural resources, higher education, state administration, justice, and IT spending. Members began questioning the pre-K-12 budget on school funding, vouchers, proration, mental health and safety allocations, and inflation, with the discussion continuing beyond the excerpt provided.

Transcript Highlights:

• Good morning Chair, Vice Chair, Ranking Member, and members of the committee. Rep.
• Black: Thank you, Madam Chair, Vice Chair, Ranking Member, and members of this committee.
• Ranking Member Robinson, you are recognized. Rep. Robinson: Thank you, Madam Chair.
• Chair Melo: Thank you, Ranking Member Robinson. Any other members wishing to debate?
• children in out-of-home care who are prescribed psychotropic medications, establishes prescribing physicians

Transcript Highlights:

• So I will wait for our ranking member, Ron Muzzall.
• One of our physician members is signed in to provide some more expert testimony about this bill, but
• Chair Cleveland, ranking member Muzzall, members of the Senate Health Care Committee, I'm Kevin Van de
• I'm an oral max physician. Dr. Holy, I wish to have an extensive coverage session with you.
• Good morning, Chair Cleveland, Ranking Member Muzzall, and members of the committee.

Summary: The committee first heard Senate Bill 5899, which would create a chiropractic license endorsement allowing qualified chiropractors to perform chiropractic diagnosis and adjustments on non-human animals. The sponsor described it as a complementary tool to veterinary care, especially in rural areas with limited access to veterinarians. Testimony was mixed: supporters said the bill would expand access to animal chiropractic with training, certification, and veterinary referral to non-chiropractic issues, while opponents from the veterinary community warned about animal and public safety, disease detection, and the lack of a required veterinary referral. The hearing on SB 5899 was suspended and later reopened; testimony concluded with strong support from animal chiropractic practitioners and opposition from veterinarians, and the committee noted 57 signed in pro, 4 con, and 1 other. The committee then held a work session on dental workforce shortages. Presenters from the CORA Foundation, the University of Washington Center for Health Workforce Studies, tribal dental programs, and the Washington State Dental Association described major access gaps, especially for Apple Health enrollees, rural communities, and communities of color. They highlighted low preventive-care utilization, high rates of untreated decay, workforce vacancies for hygienists and assistants, and the value of career ladders such as community health aides and proposed oral preventive assistants. Several speakers emphasized that training pathways, retention, and sustained Medicaid reimbursement are key to improving access and keeping providers in the system. Senate Bill 6138, requiring a multi-provider system for dental procedures performed under deep sedation, drew testimony centered on patient safety after recent deaths in dental settings. The sponsor said the bill responds to a pattern of tragic incidents and would ensure one person is dedicated to monitoring sedation. Supporters from anesthesiology and some oral surgery groups backed stronger monitoring requirements, while oral surgeons and dental representatives argued the current rules already require multiple trained personnel and that the bill could reduce access and increase costs, especially in rural and Medicaid-serving practices. The committee then heard Senate Bill 6072, which would update veterinarian-client-patient relationship rules to allow telemedicine-based relationships and limited telehealth services; animal welfare and veterinary telehealth advocates supported it as an access-to-care measure, while the veterinary association sought clearer guardrails and federal-law language. Finally, the committee heard Senate Bill 6094 on pediatric transitional care services, which would create a Medicaid payment pathway and related program changes for residential care for substance-exposed infants; supporters said the model helps infants and parents, improves outcomes, and is financially unsustainable under current funding, and the hearing began with testimony in favor before time expired.

Transcript Highlights:

• I'm a board-certified internal medicine physician, primary care physician at Harvard Medical School.
• I'm a board-certified internal medicine physician, primary care physician at Harvard Medical School.
• These are going to go out and be primary care physicians.
• And I know that they're practicing primary care physicians.
• It wasn't until May of 2024 that I found a physician willing to prescribe hormone therapy.

Committee: Joint Joint Committee on Public Health

Summary: The Joint Committee on Public Health held a hearing during a snowstorm, with members participating both in person and via Teams, and the chairs said testimony would be kept open for an additional week. The first bill heard was H.4796, an act relative to organ transplant vehicles. NORA New England testified in support, arguing that dedicated organ transport vehicles need authority to use lights and sirens so time-sensitive organs can be moved more quickly and safely without relying on EMS systems already stretched by 9-1-1 calls. No opposition was heard and the bill was then set aside as the committee moved to the next item. The bulk of the hearing focused on H.4838, an act expanding access to perimenopause and menopause care. Chair Decker, who filed the bill, said it was the product of a year of meetings with dozens of individuals and organizations and was intended as a starting point to identify gaps in care, training, access, and coverage. Testimony overwhelmingly supported the bill and described widespread misdiagnosis, dismissal of symptoms, limited clinician training, insurance barriers, medication access problems, and workplace impacts. Speakers included patients, clinicians, advocates, the Massachusetts Health and Hospital Association, Blue Cross Blue Shield, the Massachusetts Commission on the Status of Women, and out-of-state and international experts, many of whom urged better education, public awareness, research, and workplace accommodations. Several witnesses emphasized that menopause affects whole-body health, including cardiovascular, bone, mental health, and work outcomes, and that Black women and other marginalized groups face greater barriers and worse outcomes. Some speakers noted the bill is important but largely a framework that will need further work to address coverage and access more directly. Blue Cross Blue Shield said it supports the bill and already covers menopause-related care and training, though the chair used the exchange to criticize broader insurer and state decisions on GLP-1 coverage for obesity. The committee took no vote during the hearing, and the chairs closed by thanking witnesses and stating that additional written testimony would be accepted.

Transcript Highlights:

• and the IME physician or the other types of physicians from the employer side.
• ...when there is a dispute between the treating physician and the IME physician or the other types of
• physicians from the employer side.
• We rank 50th in everything.
• This bill would remove the preliminary determination. his or her choice of a physician.

Committee: House Labor & Industrial Relations

Summary: The House Labor and Industrial Relations Committee met on April 9 and first took up Senate Bill 162, which would change the workers’ compensation medical treatment schedule appeal process. The bill, presented as a collaboration between the Attorney General’s office and trial lawyers, would require additional medical evidence submitted on appeal to be sent back to the medical director for review before court review continues. Members discussed the 30-day turnaround for the medical director and whether the process would delay injured workers’ cases. After testimony from injured workers’ representatives and support cards from several business and labor groups, the committee adopted the technical amendments and reported SB 162 favorably. The committee then heard House Bill 353, which would establish a state minimum wage beginning at $12 per hour in 2027, rising to $15 in 2029 and then indexed to inflation. Supporters, including the sponsor, Invest in Louisiana, the Workplace Justice Project, 10,000 Women Louisiana, the AFL-CIO, and a young witness from People’s Promise, argued that Louisiana’s wages have lagged behind costs of living, that many workers remain in poverty, and that the bill would help families, reduce reliance on public benefits, and improve economic stability. Opponents, including NFIB and small-business advocates, argued that the market should set wages, that the bill would raise labor costs, compress pay scales, reduce hours or hiring, and potentially increase prices. After extended debate, the committee voted and HB 353 failed. The committee next considered Senate Bill 383 on the incumbent worker training program. Senator Bass and Louisiana Works officials said the bill would expand and make the existing program more flexible, increase available funding, shorten the business eligibility period from three years to two, and allow unused funds to roll over. Members focused on how the program would reach workers, how businesses and employees would learn about training opportunities, and how it would support workforce development in growing regions. Support came from business and economic development groups, and the committee reported SB 383 favorably with amendments. Finally, the committee began Senate Bill 382, which would repeal the Workers’ Compensation Advisory Council, described as the Senate version of a bill the committee had already considered. The transcript cuts off during discussion of the prior vote on the similar House version, and no final action on SB 382 is shown in the excerpt.

Transcript Highlights:

• DPC allows physicians to focus more on patient care, leading to better and healthier patients.
• Additionally, I represent myself as a practicing physician locally using the direct primary care model
• So the physician is the one who sets up the fee schedule, correct? That would be correct.
• Texas ranks number one amongst all states for a population of living veterans.

Bills: HB3015 , HB3521 , HB5632 , HJR182 , SJR57

Committee: House Pensions, Investments & Financial Services

Keywords: healthcare, direct primary care, insurance deductibles, Texas Health Benefit Plans, telemedicine, police retirement, disability pension, municipalities, law enforcement, retirement benefits, retirement, beneficiary, Employees Retirement System of Texas, divorce decree, beneficiary designation, Veterans' Land Board, general obligation bonds, constitutional amendment, veterans, housing assistance