Transcript Highlights:

• Clerk will close the roll, tally the votes. There are 70 co-authors added.
• Assembly Member Patterson, do you wish to close? Great. Thank you, Mr. Speaker.
• The clerk will close the roll, tally the votes. There are 67 co-authors added.
• Who provide preventative and primary care.
• The clerk will close the roll, tally the votes. There are 60 co-authors added.

Keywords: 988, house, all

Transcript Highlights:

• Rico closes.
• Rico closes.
• RICO CLOSES.
• the primary.
• THE PRIMARY.

Keywords: U.S. House of Representatives Floor Proceedings on Monday, November 17, 2025, 1012, house, all

Transcript Highlights:

• Knowing that the sponsor had to leave, there will not be any closing comments, and we will close the
• If you have any closing comments, and she's shaking her head no, so we will close the hearing on Senate
• If you have any closing comments and she's shaking her head now, so we will close the hearing on Senate
• anymore because they closed the hospital.
• anymore because they closed the hospital.

Bills: AB568, SB90, SB133, SB147, SB229, SB233, SB240, SB245, SB280, SB378, SB393, SB417, SB434, SB494, SB495

Keywords: higher education, Nevada System of Higher Education, operational expenses, instructional expenses, public funding, education funding, teacher grants, classroom supplies, instructional support, specialized personnel, civics education, Nevada Center for Civic Engagement, funding, youth programs, civic involvement, Southern Nevada, Clark County, Las Vegas Valley, regional planning, economic resiliency

Transcript Highlights:

• Seralto, would you care to close?
• Seeing no one else, any primary opposition to this measure?
• We want to have Senator Laird—would you like to have any closing remarks?
• Senator, do you wish to close?
• So with that, you wish to close. If you wish to close, please do so. Well, I want to thank you, Mr.

Keywords: 988, house, all

Transcript Highlights:

• Do you want to close in any? You’re certainly welcome to.
• Do you want to close in any? Nothing further, Mr. Chairman?” “Comment.
• Committee, HCR 33 is before us, unless you do have any closing? Okay. Senator Den Hartog. Mr.
• But not for your homestead exemption as a primary residence. Representative Braybald. Mr.
• Any close, Senator Harris? Thank you. No, any close, Senator Harris?

Keywords: 989, all

Transcript Highlights:

• Are there issues with actually opening and closing it?
• Are there issues with actually opening and closing it?
• This is where you see the primary election data.
• Primary election turnout is often quite low, or lower.
• Yeah, we work real closely with the Office of Equity.

Summary: The committee heard a work session on voting access on tribal lands, beginning with a presentation from Dr. Chelsea Jones of the Brennan Center. She described barriers affecting Native voters and voters on tribal lands, including long travel distances to polling places and drop boxes, nontraditional addresses, unreliable postal service, language access, and limited broadband. Citing research, she said turnout on tribal lands trails turnout off tribal lands by about 10 percentage points nationally and about 10% in Washington, with larger gaps in some convenience voting measures. Members asked about the meaning of “lost votes,” the role of tribal leadership and community trust, and whether outreach by election officials and candidates could help; Dr. Jones emphasized that the study measured missed voting opportunities, not missing ballots, and that partnerships with trusted community leaders are important. The University of Washington Elections Database then presented data on voter registration, turnout, signature challenges, curing, and ballot rejection for voters whose addresses fall within tribal reservation boundaries. The presenters said registration on reservations increased from about 107,000 in 2010 to 137,000 in 2024, turnout on reservations remained about 8 to 9 percentage points lower than outside reservations in recent general elections, and signature-challenge and rejection rates were generally low but somewhat higher in off-year elections. They reported that about 60% to two-thirds of signature-challenged ballots are cured, with cure rates similar inside and outside reservations, and that late return is the most common reason for primary ballot rejection while signature mismatch is the leading cause in general elections. A question was raised about USPS postmarking issues and how those might affect future data; the presenters said they plan to track return method and cure timing more closely. The committee also received an overview of the Governor’s Office of Indian Affairs. Staff reviewed the office’s history, the Centennial Accord, the Millennium Agreement, and related state-tribal frameworks, and GOIA Director Tim Rainan described the office’s role as a bridge between the state and tribal governments, including consultation, policy coordination, training, and convening work groups. He said GOIA now has six positions, is part of the governor’s executive cabinet, and is working on a statewide tribal relations training module and consultation handbook. In response to a question, he said tribal voting is not a major topic at the Centennial Accord but is discussed more extensively through ATNI. The committee then shifted to contracting equity, hearing from WSDOT, DES, OMWBE, and the Office of Equity. WSDOT described its race-neutral small business and veteran goals, mentorship and support programs, and its response to the federal suspension of the DBE program; DES discussed statewide contracting spend, the EDGE pilot for small construction firms, and efforts to improve procurement access; OMWBE reported growth in certified firms and about $371 million in state spend with certified firms in the most recent year, while noting ongoing impacts from federal DBE changes; and the Office of Equity outlined its broader work on agency consultation, dashboards, and systems change. No votes were taken.

Transcript Highlights:

• PG&E has closed over 20 programs since 2021.
• PG&E has closed over 20 programs since 2021.
• Our primary objectives are primary— Our primary objectives are to deliver energy and climate impacts,
• , closed to new participants, or pending closure.
• , as their primary metric.

Summary: The Assembly Committee on Utilities and Energy held a hearing on how California Public Utilities Commission energy efficiency programs are budgeted, evaluated, and measured for cost-effectiveness. The chair framed the issue as not whether energy efficiency works, but how to ensure ratepayer-funded programs continue to deliver value as the portfolio has shifted from simple measures like lighting to more complex retrofits, electrification, workforce, and equity programs. CPUC staff outlined the statutory framework, the four-year budget cycle, recent spending of about $795 million in 2025, and the use of total system benefit (TSB) and the total resource cost (TRC) test, noting that some programs are exempt from cost-effectiveness requirements at the individual program level but not at the resource acquisition portfolio level. Utility, regional network, implementer, and advocacy witnesses offered differing views on the current metrics. PG&E described its portfolio as cost-effective overall and argued that cost-effectiveness should remain at the portfolio level to allow innovation and multi-year program flexibility. SoCalREN and the Energy Coalition emphasized the value of local government delivery, equity-focused programs, and the need to credit programs for broader benefits such as workforce development, market transformation, and electrification. The Public Advocates Office argued that ratepayer-funded programs should produce benefits greater than costs and raised concerns about the growing share of budgets going to programs that have not met cost-effectiveness thresholds. Several witnesses said the current math is too complicated and that different program types may need different metrics. Committee members repeatedly pressed witnesses on the complexity of the TRC and TSB calculations, the treatment of participant costs, and whether the state should use a simpler or more transparent framework. CPUC staff said the relevant issues are already being addressed in two open proceedings, with one budget application proceeding expected to conclude in roughly the second or third quarter of next year and a broader policy rulemaking ongoing. No votes were taken and no formal action was reported; the hearing functioned as an informational discussion and policy review.

Transcript Highlights:

• Seeing none, you recognize close? Waive close.
• Seeing no debate, you're recognized to close. Waive closed, Madam Chair.
• Seeing no debate, Representative Smith, you're recognized to close. Waive close.
• I closed on the amendment, so I'll waive close here. Thank you very much.
• With that, I close.

Summary: The Health Professions and Programs Subcommittee heard and advanced several health care bills. HB 909, joining the Occupational Therapy Licensure Compact, was presented with a strike-all amendment and reported favorably as amended by a 13-0 vote. HB 911, the related public records exemption protecting certain biological information, was also adopted and reported favorably as amended by a 14-0 vote. CS for HB 597, allowing schools to procure and administer glucagon for students with diabetes under trained personnel, passed unanimously 14-0 after a technical amendment. HB 519, aligning state law with federal language on controlled substances administered by paramedics, passed as amended 14-0. The committee then took up HB 919 on nursing education programs. Sponsor Rep. Overdorf argued the bill would create accountability for underperforming nursing schools by requiring remediation, tuition refunds in the lowest-performing programs, and public reporting of passage rates. Supporters said it would improve quality and protect students from debt without licensure success, while opponents from private nursing schools warned it could close programs and reduce nurse supply. After extensive debate, the bill was reported favorably 15-0. HB 1553, which would require health care providers to submit identified uterine fibroid data so the Department of Health can implement the research database previously authorized by law, passed unanimously 15-0. The final bill, HB 883, would allow psychiatric mental health nurse practitioners to practice autonomously; supporters said it would expand access to mental health care, especially in rural and underserved areas, while opponents raised concerns about quality and physician oversight. After lengthy testimony and debate, the bill was reported favorably 14-3.

Transcript Highlights:

• It's like close to $20 billion a year.
• One is we're going to pay the primary care clinics.
• Give them pay the primary care clinics.
• </c><00:10:15.760><c> Affordable</c> are nowhere close to that.
• Affordable are nowhere close to that.

Keywords: 918, senate, all

Summary: The segment focused first on Senator John Marty’s bill, SF 3612, which would remove private insurers and HMOs from Minnesota’s state health care programs and replace them with a statewide administrative services model. Marty argued that managed care has created churn, coverage disruptions, and administrative waste in Medicaid and MinnesotaCare, and said the state should instead pay providers directly while investing more in care coordination, case management, and wraparound services through primary care clinics and county-based purchasers. He said the goal is better care, not just savings, though he also cited potential taxpayer savings and pointed to Connecticut as a model. He acknowledged the bill is not expected to become law this year and said a fiscal note and more details are still pending. Marty said the proposal has support from the governor and groups such as the American Cancer Society, but that his current co-authors are all DFL members. He expressed hope for bipartisan support and said the simpler system would also improve fraud detection and transparency. He addressed concerns about insurance-industry jobs by saying workers should be treated fairly and that retraining and dislocated-worker assistance would be part of the transition. He also said the broader goal is universal coverage for all medical needs, including mental health and dental care, without co-pays or deductibles. The second half highlighted Senator Jeff Howe and Minnesota’s Hometown Heroes Assistance Program for firefighters. Howe described the program as a statewide effort for roughly 20,000 career, paid-on-call, and volunteer firefighters that provides up to $20,000 in assistance for occupational illnesses such as cancer and heart disease, along with training, counseling, and family support. He said the program helps firefighters process trauma and has been recognized as the nation’s most comprehensive firefighter well-being initiative. Howe said the most recent version of the bill received unanimous bipartisan support in both chambers, and he suggested future expansions could include retired firefighters and possibly peace officers. The segment also noted a separate therapy approach using retired racehorses to help first responders work through trauma, with participants saying it has helped them stay on the job and manage anxiety and PTSD.

Transcript Highlights:

• Assembly Member, when do you wish to close? Thank you, Mr. Speaker.
• Clerk will close the roll, tally the votes. There are 70 co-authors added.
• The clerk will close the roll, tally the votes. There are 67 co-authors added.
• Who provide preventative and primary care.
• The clerk will close the roll and tally the votes. Ayes, 60; noes, 0.

Summary: The Assembly convened after a quorum call, heard a prayer and Pledge of Allegiance, and then moved through a largely ceremonial and procedural floor session. Speaker Revis delivered remarks condemning the sexual abuse allegations involving Cesar Chavez and said he would work with Senate leadership on legislation to rename Cesar Chavez Day as Farm Worker Day. The body also handled several procedural motions, including re-referrals of bills to committees and guest introductions for visiting students, advocacy groups, and university representatives. The main substantive actions were on a series of resolutions. H.R. 83, recognizing Developmental Disabilities Awareness Month, drew extensive personal testimony from Assemblymembers about family members and constituents with disabilities, the need for inclusion, and the importance of state funding and direct support services; it was adopted by voice vote after 70 co-authors were added. ACR 154, recognizing California Down Syndrome Awareness Week and Day, was similarly supported with personal stories about family members with Down syndrome and the need for continued awareness and services; it was adopted after 67 co-authors were added. ACR 148, designating Family Physician Week, highlighted the shortage of primary care doctors and the importance of investment in family medicine; it was adopted after 60 co-authors were added. ACR 156, recognizing National Day of Play, emphasized social connection, reduced screen time, and community engagement; it also passed with 60 co-authors added. The Assembly also adopted the consent calendar, which included Senate Concurrent Resolution 125 related to Ramadan, by a 60-0 vote. Later, members gave an adjournment in memory for Raymond Martin Melgoza, a union laborer and community member from the Central Valley. The session ended with announcements about the schedule, including no floor session on March 20 and a mandatory joint convention on March 23 for the State of the Judiciary address, followed by adjournment until March 23 at 1 p.m.

Transcript Highlights:

• I mean, closing your bill? Oh, right, right. No, after he closed. Okay. Yeah, so after he...
• Primary Care. Christy Hunt: Thank you. And I'm with R.K.M. Primary Care. Dr.
• She works very closely. And she works very closely with autism and other adolescents.
• She works very closely. And she works very closely with autism and other adolescents.
• Edmondson, would you like to close in your bill? Minson, would you like to close on your bill?

Summary: The committee first heard SB 206, which would require cardiovascular pre-screening and blood pressure testing for student athletes beginning in the 2026-2027 school year. Chairman Miller said the bill was prompted by concerns about undiagnosed hypertension and sudden cardiac arrest in young athletes, and Coach Marcus Scott testified about his own kidney transplant after years of untreated high blood pressure. Members asked about who would perform the screenings and how follow-up would work; the American Heart Association said existing athletic physical processes and referral networks could handle it. An amendment was adopted, and the committee reported SB 206 favorably as amended. The committee then took up SB 305, which would require a publicly available statewide career-alignment dashboard showing how degree programs connect to workforce outcomes, including completion, employment, wages, and high-demand jobs. Chairman Edmonds and student task force member Cruz Cassard said the goal was to help students understand job opportunities in Louisiana and reduce the number leaving the state after graduation. Workforce and higher education stakeholders supported the measure as a transparency and workforce-planning tool. The committee reported SB 305 favorably. Next, the committee considered HB 624, a school safety cleanup bill updating references from crisis management plans to emergency operations plans and aligning school emergency language with national standards. Representative Johnson and the Louisiana Center for Safe Schools said the bill would not create new mandates or costs, but would clarify existing requirements. The committee reported HB 624 favorably. The committee then heard HB 1022, as substituted, concerning school-based health care services. Representative Jackson said the bill was intended to clarify that medical decisions in school-based health centers should be made by licensed health professionals, not school staff, while preserving parental consent. Testimony from school-based health center providers supported the bill, but several members raised concerns about consent, parental authority, and whether the language shifted too much responsibility away from schools; the Charter School Association suggested adding more collaborative language. After discussion, the committee adopted the substitute and reported HB 1022 favorably by a 10-4 vote.

Transcript Highlights:

• As a little bit more close. He mixed me up with Assembly Member Flora.
• Otherwise, our only option is to close the case for insufficient evidence.
• So I think one of the ways to really help to enhance primary care, to bolster primary care, is to figure
• So we work in close coordination with law enforcement on a daily basis.
• I have worked closely within... ...and in its final visit, no red flags.

Summary: The joint sunset oversight hearing reviewed five regulatory entities: the Board of Behavioral Sciences, the Board of Psychology, the Physician Assistant Board, the Podiatric Medical Board, and the California Massage Therapy Council. Across the hearing, each entity described recent accomplishments, licensing and enforcement workload, workforce shortages, and efforts to modernize processes. Common themes included streamlining licensure, expanding access to care, addressing telehealth or emerging technology, and balancing consumer protection with workforce needs. For the Board of Behavioral Sciences, members discussed workforce shortages in mental health, supervision barriers, telehealth confidentiality, AI in therapy, interstate compacts, school-based services, and military spouse licensure. The board said it has expanded outreach, improved licensing processes, and created temporary practice authority tracking, while also expressing concern about counseling compacts and emphasizing California-specific law, ethics, and cultural competency. Public commenters supported the board’s work and the possible move to a national MFT exam, while also urging more resources. The Board of Psychology highlighted fee adjustments, streamlined licensure pathways, enforcement process improvements, new CPD requirements, and proposed changes including a psychotherapist-client privilege exception for investigations. Committee members and public witnesses focused heavily on that privilege proposal, with some members opposing it as too broad and privacy-invasive, while the board argued it is needed to obtain records in bias and sexual misconduct cases. The board also discussed workforce shortages, processing improvements, and the use of inactive status for psychological associates. The Physician Assistant Board reported growth in the PA workforce and education programs, SB 697 implementation, and financial pressure from rising enforcement costs. The main policy debate centered on physician-to-PA ratios and practice agreements, with board representatives and many public commenters arguing that current restrictions limit access to care, especially in rural areas, while the California Medical Association defended the need for explicit ratios and agreements. The board also discussed AI, fee increases, and tracking temporary practice authority. The Podiatric Medical Board described licensing and renewal reforms, residency expansion, enforcement support, and budget constraints, while public testimony raised concerns about a proposed fee increase and about reimbursement parity and practice recognition for podiatrists. Finally, the California Massage Therapy Council defended the certification model over licensure, citing lower costs, local government collaboration, anti-trafficking work, and its role in vetting applications and disciplining bad actors; no formal votes or final actions were taken during this portion of the hearing.

Transcript Highlights:

• We'll reserve your right to close. We will move now to...
• And so that would be your primary endpoint.
• But that's the only area that they could do that—primary care?
• If not, the chair recognizes Representative Orr to close. Thank you.
• Unless you have questions, I will close. Any questions?

Bills: HB 44, HB 2200, HB 1612, HB 2747, HB 2038, HB 3717, HB 1431, HB 3800, HB 3801, HB 3560, HB 3246

Keywords: HB 44, Life of the Mother Act, abortion exceptions, medical emergency, reasonable medical judgment, pregnancy complications, maternal health, life-threatening condition, ectopic pregnancy, miscarriage, spontaneous abortion, fetal survival, Texas abortion law, abortion ban, physician liability, health care provider, disciplinary action, aiding and abetting, emergency abortion, obstetric care

Summary: The meeting of the public health committee focused on the pressing issue of opioid addiction in Texas, with a particular emphasis on House Bill 3717. Chairman Harris detailed the bill's intent to fund a grant program for Ibogaine clinical trials, framing it as a critical response to the ongoing opioid crisis. He shared poignant testimonies highlighting the struggles of families and veterans battling addiction and mental health issues. The conversation underscored the necessity of innovative treatments, like Ibogaine, which showed promising results in studies for reducing symptoms of withdrawal and PTSD.

Transcript Highlights:

• Buprenorphine can be prescribed by physicians right in the primary care physician's office.
• What we're recommending here is that the state align as closely as possible.
• We work very closely with the Sexual Assault Coalition with the funds that we've been given.
• We work very closely with our federal funders and with sexual assault services.
• In the most recent closed fiscal year, 30% of those accessing services.

Transcript Highlights:

• Recognize to close. Debate closed. Having waived close, Ms. Cheryl, please call the vote.
• As there is debate, you were recognized to close. Debate closed. Having waived close, Ms.
• Seeing none, you recognize, close on your bill. Close, Chair. Having waived, Ms.
• Because at the end of the day, typically it's your primary care doctor. has primary care doctors because
• I haven't closed, Mr. Chair. Please call the roll. I haven't closed, Mr. Chair. McClure? Yes.

Summary: The Budget Committee met with a quorum and took up several bills. HB 677, relating to state-covered fertility preservation for employees undergoing cancer treatment, was introduced as coverage for egg and sperm preservation for up to three years, with an estimated fiscal impact of about $813,000. After brief questions and no public testimony or amendments, the bill passed unanimously and was reported favorably. The committee then considered CS/HB 59, which would reform Florida’s wrongful incarceration compensation process by extending the filing deadline from 90 days to two years, removing the clean-hands requirement, and allowing exonerees to choose between the state compensation process and a civil lawsuit; it was supported by the City of Flagler Beach and passed unanimously. CS/HB 1313, which recreates the Resilient Florida Trust Fund in the Department of Environmental Protection before its scheduled termination in 2025, also passed unanimously after supportive testimony from advocacy groups. The committee received a lengthy presentation from the Department of Management Services on the State Group Insurance Program and the recent Revenue Estimating Conference. The presentation covered enrollment, revenues and expenditures, rising medical and pharmacy costs, emergency room utilization, GLP-1 drug spending, and options for tighter formulary and utilization management. Members asked about ER cost growth, GLP-1 coverage and copays, PBM oversight and potential conflicts, avoidable ER visits, cancer screening claims, dental and vision costs, specialty drug biosimilars, and possible savings from more restrictive pharmacy models. DMS said it would follow up on several questions and noted ongoing work on cancer coordination, preventive screening, biomarker testing, and a proposed member-facing benefits platform. The committee also heard extensive testimony on HB 301, which would raise sovereign immunity caps from $200,000 per person and $300,000 per incident to $1 million and $3 million, align limitations periods with private claims, and allow government entities to settle above the caps without a claims bill. Local governments, school-related entities, and county and city associations opposed the bill, warning of major fiscal impacts, higher insurance costs, and pressure on services; several speakers urged smaller increases or a tiered approach. Proponents, including families affected by catastrophic injury or death, argued the current caps are too low and the claims bill process is inefficient and unfair. After debate, the bill passed on a recorded vote, with some members voting no, and was reported favorably.

Transcript Highlights:

• Those blood-based biomarker tests have now been deployed in the primary care setting as well.
• I know you guys were close. Okay. And so the second drug has now hit the market here in Arkansas.
• Those blood-based biomarker tests have now been deployed in the primary care setting as well.
• I know you guys were close. Okay. And so the second drug has now hit the market here in Arkansas.
• seeing more people close to my age now.

Summary: The Arkansas Alzheimer’s Disease and Dementia Advisory Council met to introduce members, adopt its rules and procedures, approve prior minutes, and authorize the co-chairs to approve special expenses. The main discussion focused on updating the Arkansas State Plan for Alzheimer’s disease and dementia, with David Cook of the Alzheimer’s Association outlining major changes in prevalence, caregiving burden, diagnostics, and treatment since the prior plan. He noted rising disease and caregiver numbers in Arkansas, the expansion of amyloid PET access, the growing use of blood-based biomarkers, and the availability of FDA-approved treatments such as Leqembi and Kisunla, while emphasizing that access, insurance coverage, and provider education remain major barriers. Members and presenters also discussed the need to better reach rural primary care providers, who may not be aware of new diagnostics and therapies, and the bottlenecks caused by limited specialists and infusion capacity. There was concern about overreliance on blood tests without confirmatory evaluation, and several members stressed the importance of collaboration, public education, and promoting brain health through exercise and diet. The council also heard about existing programs such as the dementia services coordinator, the BOLD grant, caregiver respite grants, workforce training, and a pilot dementia resource center with UAMS Centers on Aging. The council approved a new four-part outline for the next state plan: advancing risk reduction and brain health/early detection, strengthening family caregiver support, improving access to diagnostics and treatment, and supporting access and quality of care, including workforce and crisis response. Members also agreed to consider future agenda items on new treatments, brain health and lifestyle prevention, workforce training, and possible legislative changes to the enabling statute. The meeting ended with discussion of scheduling the next meeting, tentatively set for August 12 in Hot Springs, and adjournment.

Transcript Highlights:

• These presidential nomination primary.
• </c> Uh, the presidential nominating primary Uh, the presidential nominating primary is<00:08:23.520>
• The the primary will go still be paid.
• </c> make some closing comments, brief ones? make some closing comments, brief ones?
• </c><01:54:40.639><c> comments</c> Senator Shong, you have closing comments Senator Shong, you have closing

Keywords: 1187, senate, all

Transcript Highlights:

• Are there any primary witnesses in opposition?
• Okay, Senator Arreguín, would you like to close?
• Are there any primary witnesses in opposition?
• Do we have any primary witnesses in opposition?
• With that, Senator, you may close. Thank you again very much.

Keywords: 988, house, all

Transcript Highlights:

• care and the various primary care disciplines.
• I've given you a website to look at the Office of Primary Care and Rural Health.
• In 1981, the Rural Primary Health Care Act was funded, I believe, at $20.5 million.
• It's not restricted to the primary care professions.
• Primary care, obviously not to deliver babies, but primary care and other types of preventative measures

Transcript Highlights:

• The primary intention behind ensuring audio-only availability, especially within Medicaid programs, is
• And then a follow-up question on the telehealth for like primary care appointments.
• Question on telehealth for primary care appointments.
• When you usually go into primary care in person, they do height, weight, blood pressure, ear and eye
• You can do a very close follow-up over a period of time.

Keywords: 988, house, all