Transcript Highlights:

• That interaction provides much more safety for patients in Oklahoma than buying it at a feed store.
• They steer patients, and they provide below-cost reimbursements to businesses they don't own.
• His job, he said, is to save money for employers, not ensure patients have access to care.
• Can a local independent pharmacy mail a prescription to a patient?
• They're not going to drive the prescription to the patient.

Bills: HB3552 , HB2984 , HB4124 , HB3934 , HB3448 , HB3131 , HB4200 , HB4201 , HB3011 , HB1912 , HB3380 , HB3881 , HB3538 , HB3851 , HB3907 , HB4430 , HB4431 , HB4457

Committee: House Health and Human Services Oversight

Summary: The committee took up a series of health, human services, and related bills. House Bill 3552, allowing child care providers to bridge the gap between subsidy reimbursement rates and standard tuition rates, was adopted and reported out 11-2. House Bill 2984, as a substitute, would direct DHS to compile a report on the child care system, including subsidy payment error rates, the number of facilities, closures, and voluntary closure feedback; it was reported out 14-0. House Bill 4201, changing master teacher requirements in child care from licensed capacity to actual enrollment, also passed unanimously. House Bill 3380, creating the Fostering the Future for Oklahoma Children and Families Act to modernize foster care data systems and improve outcomes, passed 12-0. House Bill 4430 and House Bill 4431, both cleanup measures tied to prior nurse practitioner/PA scope and pharmacy-related provisions, each passed 13-0. Several bills focused on health care access, regulation, and public safety. House Bill 4124 would allow over-the-counter ivermectin sales for human use with labeling and dosing information; after extensive questioning about safety, labeling, children, and liability, it passed 9-5. House Bill 3934, a large amended measure affecting dental practice and supervision rules, passed 14-0 after discussion about x-rays, telemedicine, and dental assistants. House Bill 3448, requiring insurance coverage related to group home provider liability for property damage, passed 14-0. House Bill 3131, setting baseline standards and oversight for homeless shelters with roles split between Commerce and Health, drew concerns about local control, temporary shelters, and fiscal impact, but passed 8-6. House Bill 4200, creating a revolving fund for forensic assertive community treatment teams to address the jail-to-homelessness cycle for people with severe mental illness, passed 11-3. The committee also advanced several public health, consumer, and industry bills. House Bill 1912, the Corn Masa Nutrition Enhancement Act, generated extensive debate over folic acid fortification, parental choice, MTHFR genetics, and potential health effects; with a PCS allowing a non-fortified option, it passed 9-5. House Bill 3011 repealed the home brewing license while keeping home-brewing limits and sales restrictions, and passed 11-3. House Bill 3881, the Alternative Nicotine Products Regulatory Act, increased application costs and removed a registry deemed inconsistent with federal law, passing 13-0. House Bill 3538, targeting pharmacy benefit manager vertical integration and its effects on access and pricing, passed 13-0 after discussion of mail-order restrictions and pharmacy closures. House Bill 3851, defining private label/control label alcoholic beverages under the three-tier system, also passed 13-0. House Bill 3907, requiring direct-hire staffing for facilities serving vulnerable adults and children with a short temporary staffing grace period, passed 13-0. The committee then moved on to House Bill 4457, a specialty-drug/PBM measure, with discussion beginning about PBM practices and specialty pharmacy access.

Transcript Highlights:

• So if you were just generally speaking, would you say you prefer shall or you prefer may?
• It protects patients.
• It protects patients.
• So once again, I'm all for the patients to give them patient protection.
• So once again, I'm all for the patients to give them patient protection.

Bills: LB815A , LB838A , LB912A , LB972A , LB1126A , LB962A , LB1114 , LB921 , LB937 , LB803 , LB803A , LB1032 , LB1032A , LB1075 , LB1075A , LB889 , LB878 , LB933 , LB304 , LB304A , LB1096 , LB1096A , LB1165 , LB1165A , LB958 , LB958A , LB762 , LB1187 , LB966 , LB929 , LB962 , LB753 , LB788 , LB913 , LB1055 , LB1195 , LB429 , LB721 , LB722 , LB727 , LB743 , LB745 , LB749 , LB778 , LB787

Transcript Highlights:

• Priority numbers 2A and 2B follow. maintenance projects began a preferred maintenance projects began
• a year before or more before preferably a year before or more before it<01:02:35.480><c> expires</c>
• </c><01:34:33.880><c> contractor</c> with the preferred contractor with the preferred contractor Contracting
• </c><04:27:24.040><c> um</c> care site for non-violent patients um care site for non-violent patients
• </c><04:28:28.399><c> and</c> uh there are uh a number of patients and uh there are uh a number of patients

Transcript Highlights:

• ..the substance use disorder is a real thing and access to care matters, especially for Medi-Cal patients
• And it really doesn’t help anyone, not residents, not patients, not officers.
• There is a contact preference form, and in the amendment we suggest that when the individual goes to
• request the original birth certificate, it only be given if the contact preference form says the birth
• When there is a document to indicate preference for contact that is not binding, right?

Committee: Senate Health

Summary: The committee first took up SB 490 by Senator Umberg, which would set deadlines for DHCS to investigate complaints about unlicensed sober living or recovery homes and require follow-up site visits; if the department cannot act within those timelines, counties and cities could request to assist with enforcement. Supporters, including a Garden Grove councilmember and the League of California Cities, said the bill would improve public safety and close enforcement gaps. County behavioral health representatives opposed the measure, arguing counties lack jurisdiction over private unlicensed residences, could face liability, and would absorb an unfunded workload increase. After extensive questioning about jurisdiction, local pressure, and whether the bill creates a mandate, the committee voted 8-0 to pass SB 490 to Appropriations and placed it on call. The committee then heard SB 381 by Senator Wahab, which would allow adult adoptees and descendants to obtain original birth certificates, create a contact preference form for birth parents, and stop omitting certain birth information from the amended certificate. The author and many adoptees and birth parents testified that access to original records is important for identity, dignity, and medical history, and that the bill would reduce the need for invasive searches through DNA and informal records. Several members raised concerns about privacy, the possibility of unwanted contact, and the mental health impacts on birth parents who expected confidentiality, while others emphasized the health benefits and the fact that most modern adoptions are open. The discussion focused heavily on proposed amendments to the contact form and whether the bill should require opt-in or opt-out contact preferences, but the transcript does not show a final vote on SB 381.

Transcript Highlights:

• ><c> patients</c><00:30:19.519><c> and</c><00:30:19.679><c> people</c> veterans cancer patients and people
• </c><01:14:01.120><c> and</c><01:14:01.280><c> the</c> for the patient and the for the patient and the
• At New Hampshire Hospital, we do have quite a few patients, a percentage of our census, that are patients
• </c> lens of the resident or the patient lens of the resident or the patient making<02:23:37.359><c>
• So thank you. like is there any uh preference in this like is there any uh preference in this committee

Committee: House Health, Human Services & Elderly Affairs

Transcript Highlights:

• Sterling, which dispenses over 98% of its medications to patients outside of Minnesota, must wait a full
• </c><00:04:25.720><c> outside</c><00:04:26.120><c> of</c> medications to patients outside of medications
• to patients outside of Minnesota<00:04:27.280><c> must</c><00:04:27.560><c> wait</c><00:04:27.759><c
• Close to 98% of our medications purchased are then sent directly to patients outside of Minnesota.
• Close to 98% of our medications purchased are then sent directly to patients outside of Minnesota.

Committee: House Taxes

Transcript Highlights:

• And you treat your next patient.
• Or after med mal, did doctors hurt patients any less?
• How many patients, Mr.
• I do see some patients that have been injured.
• Care for your patients.

Bills: HB4806

Committee: House Judiciary & Civil Jurisprudence

Transcript Highlights:

• </c> for patients, and managing my business. for patients, and managing my business.
• </c> add to the price patients pay. add to the price patients pay.
• at the point of sale so these patient at the point of sale so these same<01:42:49.640><c> patients</
• Patients like myself and cancer patients. So today, to close, I asked you a question earlier.
• <c> cancer</c> Patients like myself and cancer Patients like myself and cancer patients.

Committee: Senate Health and Human Services

Transcript Highlights:

• </c><00:04:40.400><c> to</c><00:04:40.480><c> confer</c> prefer a conference committee to confer prefer
• Should the Senate prefer a position.
• Should the Senate prefer a position.
• Hospital workers don't ask about or gather data on patients' criminal records.
• '</c> about or gather data on patients' about or gather data on patients' criminal<02:15:08.560><c> records

Transcript Highlights:

• There will be incredible benefits to patients.
• There will be incredible benefits to patients.
• There's no development or course of disease or a disorder manifested in a patient yet.
• I think I saw Assembly Member Papin here being very patient in the front row.
• All right, Assembly Member Pacheco, you've been very patient.

Summary: The committee heard several insurance-related bills. AB 69, AB 1554, and AB 1680 all focused on California’s insurance market and the Fair Plan. AB 69 would require clearer notices to Fair Plan policyholders about coverage options, quarterly public reporting on clearinghouse programs, and additional broker/agent training to help depopulate the Fair Plan while preserving consumer choice. AB 1554 would require the California Earthquake Authority to post its annual report online and send it to relevant committees, and would direct the Insurance Commissioner to convene a working group on incorporating hazard mitigation into risk-transfer recommendations. AB 1680 would require the Fair Plan to comply with CDI examination findings, hire more staff, and improve clearinghouse operations; the Fair Plan moved from opposition to neutral after amendments, and the department said the bill would strengthen accountability and consumer protections. These bills were held pending quorum or taken up later, with authors requesting aye votes. AB 2198, by Assemblymember Rodriguez, would clarify title insurance rate-filing rules by specifying that title insurers file title rates and underwritten title companies file escrow rates, reducing duplicative filings and requiring rate schedules to be posted online. The California Land Title Association supported the bill, saying it codified longstanding practice and improved transparency, while the department continued discussions about possible revisions. The bill was left open for further questions and a later vote. AB 1795, by Assemblymember Gibson, would create statewide standards for inspecting, testing, and remediating smoke damage in wildfire-affected homes. The author and the Department of Insurance said the bill would establish science-based standards, protect survivors from unsafe reentry, require training and certification for relevant professionals, and improve claims handling; the department also described serious gaps found in its Fair Plan examination and recent wildfire claims. Insurers and some residents opposed or opposed unless amended, arguing the bill was still too broad, could raise costs, relied too much on industry standards, and left unresolved issues about legal standards, timing, and coverage. The bill remained under discussion, with the author saying negotiations would continue. AB 311, by Assemblymember McKinnor, would create an optional telematics-based auto insurance program to reward safer driving and improve road safety. Supporters, including road-safety advocates, victims’ families, and some insurance representatives, argued telematics could reduce speeding and distracted driving and save lives. Opponents, including privacy and consumer groups, argued the bill would create opaque surveillance pricing, undermine Prop. 103, and raise privacy and fairness concerns. After extensive debate, the committee passed the bill on a 3-0 vote and placed it on call. AB 1798, by Assemblymember Wilson, would bar life and disability insurers from using non-diagnostic genetic information from direct-to-consumer or other predictive genetic testing to deny coverage or raise premiums, while preserving use of medical history and family history and allowing consideration of certain high-value policies above $1.5 million. Supporters said the bill would reduce genetic discrimination and encourage testing; insurers argued genetic information is relevant to underwriting and warned the bill could raise costs and create inconsistencies. The committee chair and members noted the bill was close to agreement but still needed work, and the bill was moved with a 3-0 vote and placed on call.

Transcript Highlights:

• That patient into the hospital.
• I've cared for many of these patients, and one of them stands out to me.
• I've cared for many of these patients, and one of them stands out to me.
• </c> child birth today I have another patient child birth today I have another patient now<00:46:58.160
• </c><02:59:00.439><c> or</c> or Not by analogy if a patient or or Not by analogy if a patient or someone

Summary: The joint House Committee on Health and Committee on Consumer Protection and Commerce heard two midwifery bills, with testimony focused primarily on HB 1194. Committee chairs opened the hearing with rules for Zoom testimony and noted the bills relate to midwives. The Department of Commerce and Consumer Affairs said it supported the intent of HB 1194 and offered comments. Supporters of the bill, including the Midwives Alliance of Hawaii, argued that midwifery should remain subject to mandatory licensure to protect consumer safety, citing the state’s regulatory licensing standards and a 2025 state auditor sunset analysis. They said the bill would strengthen educational standards and public protection, and some offered clarifying amendments. Opponents argued HB 1194 would restrict access to care and fail to protect traditional, cultural, and community-based birth practices. Testifiers from the Hawaii Home Birth Task Force, the Hawaii Home Birth Collective, the Libertarian Party of Hawaii, the Center for Reproductive Rights, Pacific Birth Collective, and Papa Ola Lōkahi said the bill would limit licensure pathways, reduce access in rural and underserved areas, and burden Native Hawaiian and traditional practitioners. Several speakers said the measure could worsen Hawaii’s maternal health shortages, especially on Maui, and urged lawmakers to defer HB 1194 or instead advance HB 1328, which they said better protects practitioner access and cultural practices. The Hawaii affiliate of the American College of Nurse-Midwives said it opposed HB 1194 because it did not align with national or state standards for certified midwives and could create conflicts with Medicaid reimbursement and prescriptive authority. The ACLU also opposed the measure, emphasizing reproductive rights, privacy, and the need to preserve apprenticeship pathways to licensure. No vote or final committee action was taken during the portion of the hearing reflected in the transcript.

Transcript Highlights:

• What they see when they open their chart alone in a patient portal is that word abortion.
• quote, patient-friendly language included on the information to the patient.
• Systems like Epic and other things can support patient-forward information.
• Thank you, Representative, for being very, very patient today.
• This bill does not only apply to healthy asymptomatic patients.

Committee: Senate Health and Welfare

Summary: The Senate Committee on Health and Welfare met on May 13 and approved the minutes from the prior week before taking up a series of House bills, many of them with testimony from sponsors, agency officials, and stakeholders. Early action included HB 971, which would direct LDH to equalize Medicaid reimbursement rates between independent rural health clinics and hospital-owned rural health clinics; the sponsor described a significant payment disparity and the committee reported the bill favorably. The committee also deferred HB 1030 and HB 796 until the following week before moving to other items on the agenda. Several bills dealing with Medicaid and provider regulation were advanced. HB 414, as amended, closes a loophole so health care providers cannot hire unlicensed workers with certain serious out-of-state convictions; amendments addressed effective dates, FBI background-check issues for therapeutic group homes, and delays for direct support professional applicants caused by minor record issues. HB 740, as amended, creates an independent review process for Medicaid claims disputes in the coordinated system of care for behavioral health providers, with amendments clarifying applicability dates and program definitions. HB 786, which prohibits extrapolation in managed care claims recoupments and requires recovery to be based on actual overpayments or underpayments, was also reported favorably. HB 915 set timelines and accountability standards for prior authorization and utilization management in Medicaid managed care and was reported favorably after testimony about delays in care. The committee also heard and passed several bills affecting health professions and facilities. HB 405 simply updates the name of the national acupuncture certification body. HB 1095 allows nursing homes to use alternative power sources while keeping existing generator and fuel requirements. HB 557 defines long-term care pharmacies for policy purposes. HB 779 authorizes expedited partner therapy prescriptions for certain sexually transmitted diseases. HB 933 creates an optional commemorative birth certificate, with part of the fee going to the Office of Women’s Health. HB 796, carried by another representative for the author, establishes a chiropractic preceptorship program with on-site supervision requirements and was reported favorably after questions about student training and patient safety. The committee also heard emotionally charged testimony on HB 288, which would place the term “miscarriage” alongside “spontaneous abortion” in medical documentation and patient communication. Several witnesses described the distress caused by current coding language, and supporters said the change would make records more compassionate and understandable; the bill was reported favorably. HB 403 increased the cottage food gross-sales cap, and after testimony from small producers and the committee’s discussion of other states’ higher limits, an amendment raised the cap to $150,000 before the bill was reported favorably. HB 930 modernizes cosmetic-product regulation and creates a small home-based producer exemption under a wholesale-sales threshold; it was also reported favorably. Finally, HB 1041, a no-mandate bill restricting discrimination based on medical intervention status, prompted extended debate over exemptions for schools, hospitals, and other entities, with one amendment failing on a roll-call vote and the discussion continuing over the scope of the bill and federal funding concerns.

Transcript Highlights:

• In act relating to payment to acute care hospitals for difficult-to-discharge medical patients.
• Last line: for the existing patient, makes an appropriate staffing is available.
• Line: for the existing patient, makes an appropriate staffing is available.
• This was a methodology to try to help hospitals to pay for patients who were stuck in a hospital, had
• I don't know how we can drive cost out of health care and create access if we've got patients who are

Summary: The Senate opened with a moment of silence for Senator Chris Gildon and his family after the death of his wife, Autumn. It then took up several bills on final passage, beginning with Substitute House Bill 2020, which establishes a 3.1% B&O tax rate for payment card processing activities and allows a deduction for certain related fees. Supporters said it resolves a long-running dispute with the Department of Revenue; it passed 47-0. The chamber also passed House Bill 2039, delaying the child support pass-through expansion from 2026 to 2029, and House Bill 2040, delaying the elimination of recoveries from the Aged, Blind, and Disabled Assistance Program from October 2025 to October 2028. Supporters framed both as timing changes, while opponents argued they would postpone benefits for families and vulnerable people. Both bills passed 25-22. Substitute House Bill 2051, dealing with payment to acute care hospitals for difficult-to-discharge patients, passed 27-20 after several proposed amendments were withdrawn. Supporters said the bill helps hospitals care for patients who have nowhere else to go, while opponents argued the state should not delay payment support for these patients. The Senate also passed In Gross Substitute House Bill 2061, imposing a 10% concession fee on duty-free sales to fund tourism promotion and sustainable aviation fuel, over objections that it was a tax increase passed on to consumers. Finally, Substitute House Bill 2077, which taxes certain business activities related to zero-emission vehicle credits, passed 28-19 after an amendment to remove or narrow parts of the tax was rejected. Supporters said the measure would encourage spending of credits and support clean transportation goals, while opponents called it a targeted tax on Tesla and warned it could raise EV prices. The Senate then concurred in amended Engrossed Substitute House Bill 1293, a litter and plastic bag measure that increases litter penalties and keeps the planned bag-thickness increase from taking effect, and passed it 27-20. The Senate adjourned until April 27, 2025.

Transcript Highlights:

• think that a provider and a patient should have the ability to discuss the cost of services.
• And so I think that competition is a good thing, but also this is really a patient... different.
• the all-a-carte options for cash-paying patients be produced and provided to patients so that they know
• A dentist negotiates with a patient who's not even able to pay that list price.
• And so it's a very individual back and forth between the dentist and the patient.

Bills: SB1732 , SB1217 , SB1443 , SB1455 , SB1457 , SB1459 , SB1465 , SB1944 , SB1946 , SB1218 , SB1942 , SB1352 , SB2132 , SB1920 , SB1285 , SB1304 , SB1305 , SB1326 , SB1590 , SB1767

Committee: Senate Business and Insurance

Summary: The Business and Insurance Committee considered a long agenda of Senate bills covering real estate, construction licensing, insurance, alcohol regulation, medical marijuana, and other business matters. Among the measures discussed were SB 1732, which preserves Oklahoma’s current rule that brokers are not required to enter into a buyer brokerage agreement before showing real estate; SB 1443, which codifies payment rules for anesthesia services and physical status modifiers; and several sunset-extension bills for boards and agencies including the architects and interior designers board, the Construction Industries Board, the Abstractors Board, and the engineering and surveying board. The committee also heard bills on workers’ compensation, dental insurance billing practices, salvage title thresholds, energy standards for state-funded buildings, self-storage lien modernization, and medical marijuana training and licensing issues. Testimony and debate focused heavily on consumer costs, market competition, and regulatory clarity. Supporters of the dental bill (SB 1942) argued it would keep insurers from setting prices for non-covered services and allow patients and providers to negotiate directly, while opponents warned it could raise costs for consumers; the bill passed 8-2. Similar free-market arguments were made for the real estate, anesthesia, and alcohol-related bills, while consumer protection concerns were raised on the self-storage and dental measures. SB 1590, which would expand a fortified-roof grant program to commercial buildings, drew discussion about funding and the state’s role in helping reduce insurance costs. SB 1767 sought stronger enforcement against out-of-state spirit shipping, with concerns noted about lost tax revenue and age verification. Most bills received committee approval, often unanimously or by wide margins, including SB 1732, SB 1217, SB 1443, SB 1455, SB 1457, SB 1459, SB 1466, SB 1944, SB 1946, SB 1352, SB 2132, SB 1920, SB 1285, SB 1304, SB 1305, SB 1326, SB 1590, and SB 1767. Several bills were amended in committee, often to update sunset dates or clarify language, and title-striking motions were adopted on some measures that were still being worked on. The meeting ended with the chair noting that 20 bills had been handled and the committee adjourned.

Transcript Highlights:

• With notice to the patient, the notice requirement can delay investigations.
• a subpoena or court order, which requires notice to the patient for release.
• However, patients and families can receive and share their own medical records.
• Disclosure is prohibited without patient consent or a special court order.
• The patient controls how the records can be used and disclosed.

Summary: The committee met with Senators Garcia and Simon excused and heard a presentation from FDLE Deputy Commissioner Vaden Pollard on homicide and violent-crime investigations, focusing on access to blood evidence, toxicology, medical records, mental health records, and the legal limits imposed by Florida law, HIPAA, and 42 CFR Part 2. He explained that autopsy evidence collected by medical examiners is generally available to law enforcement, while hospital records and mental health/substance abuse records usually require subpoenas, court orders, or consent, which can delay investigations. He also discussed the difference between DNA testing and toxicology testing, the role of warrants and probable cause for living suspects, and the special rules that apply when a suspect is deceased. Members asked detailed questions about what toxicology panels include, whether medications can be tested for, how medical examiners review prior medical history, and whether FDLE tracks data linking violent crime to mental health issues or follow up with regulators after incidents. Pollard said the agency follows investigative leads where relevant, but regulatory follow-up depends on the circumstances. He also discussed behavioral threat assessment and management, and said risk protection orders have been used effectively to prevent violence and can lead to court-ordered evaluations and services. The committee then shifted to crime lab capacity and turnaround times. Pollard said the average DNA turnaround time was 208 days for some evidence, with anything over 30 days considered backlog, but that sexual assault kits are prioritized and generally handled much faster, with rush cases sometimes completed within 24 hours. Members expressed concern about delays in unsolved violent and sexual assault cases and asked what resources would help reduce backlog; Pollard said additional analysts would improve turnaround times. The meeting concluded with thanks to the presenter and adjournment after Senator Bernard moved to adjourn.

Transcript Highlights:

• And also, can you speak to if there's a particular set of patients that you see that are on Medicaid
• I would prefer it with the amendments. I would not be content with that. I would appreciate that.
• Representative Healy: Sure, so a patient comes in. Representative Healy: Thank you, Mr. Chairman.
• Parents say no, patient goes home and dies of sepsis. Who is liable? Representative Kaler: Mr.
• We do see patients that present with something, say, a pulmonary embolus in a pediatric patient, which

Committee: House Health and Welfare

Transcript Highlights:

• And our group is pro-regulation and patient safety.
• We care for patients.
• Patients.
• unlicensed or unsafe practices, and supporting patient safety.
• Like many patients, I could have remained undiagnosed for years.

Committee: Joint Joint Committee on Public Health

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 around ages 8 to 12; H. 5087, regulating the operation of medical spas; and H. 5115, establishing statewide food truck regulations, though the hearing focused almost entirely on the celiac and medical spa bills. Committee chairs outlined three-minute testimony limits and noted members present in person and online. Supporters of the celiac screening bills, including Rep. Badger, Sen. Lovely, patients, clinicians, and researchers, described long delays in diagnosis, the lack of a cure beyond a gluten-free diet, and the potential for early screening to prevent years of damage, missed school and work, and long-term complications. Testifiers said celiac disease is common but frequently undiagnosed, that a simple blood test can identify many cases, and that a pilot would help assess feasibility, cost, accuracy, and family acceptance. Several witnesses emphasized that the proposal includes education and support for families after diagnosis, and some cited international screening efforts, especially in Italy, as evidence that population screening can work. Testimony on H. 5087 was largely opposed by medical spa owners, nurse practitioners, physician assistants, and a plastic surgeon. Witnesses argued the bill is outdated, duplicative of existing Massachusetts licensing and public health rules, and inconsistent with current scopes of practice and team-based care. They said the proposal could restrict access, burden small and women-owned practices, and fail to address the real issues of training, compliance, and patient safety. Some said they support regulation in principle but want the bill revised to reflect current law and modern practice. Committee members asked a few clarifying questions, including about celiac testing methods and the relationship between the medical spa bill and current state law, but no votes or formal actions were taken during the hearing.

Transcript Highlights:

• So they actually are generally much more tied to ensuring patient satisfaction and actual patient reimbursement
• There was a 1% decline in CMS patients, Medicare and Medicaid patients, in short-term private equity
• that are not in the patient compensation fund?
• patients' access to care or fair compensation.
• And we have patients that need access to justice.

Bills: HB99 , HB49 , HB164 , SB30 , SB43 , SB50 , SB136

Committee: House House Judiciary

Keywords: medical malpractice, malpractice reform, patient's compensation fund, PCF, health care liability, tort reform, damage caps, punitive damages, hospital liability, physician liability, nurse practitioner, certified nurse-midwife, outpatient facility, ambulatory surgical center, urgent care, free-standing emergency room, insurance surcharge, superintendent of insurance, New Mexico hospitals, medical review process

Transcript Highlights:

• </c><00:25:06.640><c> advocate</c> um Santangelo, patient rights advocate um Santangelo, patient rights
• </c> I'm president of power of the patients I'm president of power of the patients and<00:26:35.039><
• ><c> see</c><00:27:01.919><c> upfront</c> patients being able to see upfront patients being able to see
• patients to easily shop and also patients to easily shop and also businesses<00:28:35.760><c> to</c><
• </c> these agreements to raise um patient these agreements to raise um patient safety<00:38:22.800><c

Committee: Senate Health and Human Services

Summary: The committee heard testimony on several health-related measures, with most of the discussion focused on bills addressing tobacco/vape enforcement, psychology licensure, hospital price transparency, prior authorization, and medical cannabis. The chair opened by explaining the one-minute testimony limit and that written testimony had been reviewed. For SB 2175 on disposable electronic smoking devices, the Department of Health said the bill’s placement in litter-control law was not a good fit because disposable e-cigarettes contain hazardous materials like lithium and nicotine, but it supported the intent and pointed to a related measure. Public health and tobacco-control advocates strongly supported the bill, citing youth use, toxic waste, battery fires, and the need to tighten definitions and remove exemptions; a long list of organizations and individuals were noted in support, with no opposition mentioned. For SB 2410, which would create a state directory and enforcement tools for authorized e-cigarette products, the Attorney General’s office strongly supported the measure and said it would help enforce the FDA-authorized list of products through certification, inspections, and civil penalties. The Department of Health said thousands of illegal products remain on the market and cited youth usage rates, while public health groups also supported the bill. One tobacco industry-related witness was noted in opposition. SB 2080, the psychology interjurisdictional compact, drew support from the Department of Corrections, which said it had severe staffing shortages and that the compact would help fill gaps, especially for forensic psychology and neighbor island facilities. Some committee members raised concerns about whether the compact would loosen licensure standards and reduce licensing revenue, and the Board of Psychology was said to be meeting and had not taken a formal position; testimony also noted the need for resources if the compact were adopted. The committee also heard SB 2276 on surgical assistance, with DCCA in opposition and a supporter from the field, but little discussion followed. SB 2277 on hospital price transparency drew support from consumer and patient advocates, who argued that clearer pricing would reduce medical debt and help patients shop for care; DCCA and the Department of Health offered comments, with the department suggesting an alternative enforcement model using outside review entities and noting that implementation would require significant staffing and funding. The Healthcare Association of Hawaii opposed the bill, saying federal transparency rules already cover the issue and state law could create duplication. SB 2282 on prior authorization received comments from insurers and providers; HMSA asked that the bill be set aside pending the report of the prior authorization working group created by Act 151, while the Hawaii Medical Association said prior authorization is a major burden but deferred to regulators on resources. Finally, SB 2413 on medical cannabis was supported by the Office of Medical Cannabis and others, who said the bill would close a patient-access gap by allowing viable seed sales; one witness suggested clarifying jurisdictional language and allowing dispensaries to sell seeds to each other. The committee then began SB 2425 on health insurance, where an addiction treatment provider testified that insurers’ refusal to honor assignment-of-benefits payments can delay reimbursement and create relapse risk for patients, but the transcript cuts off before further action on that bill.

Transcript Highlights:

• </c> Hampshire um the majority of patients Hampshire um the majority of patients are<00:55:36.839><c>
• </c> session um so we have 400 new patients session um so we have 400 new patients um<00:57:00.440><c
• <01:01:24.480><c> um</c> Patients.
• </c> um patients who could not patients um patients who could not patients people<01:04:58.520><c> who
• And nine patients.

Summary: The Health and Human Services Oversight Committee met on February 2 and first approved the draft minutes from the prior meeting, with minor corrections to the meeting date and attendance notation. DHHS Associate Commissioner Patricia Tilly then gave a department update, describing the current uncertainty around federal priorities and funding, and provided two substantive reports: progress on the new Hampstead Youth Development Center and an update on the department’s review of an ALS registry proposal. She said the YDC project is underway with tree clearing, fencing, stormwater and site-prep work, and remains on track for completion by June 30, 2026 and operation by August 30, 2026. The center currently has 12 youth, and the new design is intended to provide flexibility for fluctuating census levels. On ALS, Tilly explained that HB 576 had prompted the department to examine whether a registry could be built, but the estimated cost of a HIPAA-compliant system was about $750,000. She said DHHS is reviewing whether existing data sources, such as hospital discharge data and CHIS claims data, could provide useful information, but noted both are incomplete for registry purposes. Committee members discussed whether the Rare Disease Advisory Council, Dartmouth, or existing cancer registry infrastructure could help reduce costs. DHHS said it is neutral and willing to continue exploring alternatives, while members emphasized the value of a registry and the need to consider shared infrastructure and funding. The committee also heard from Jenny Horan of the Alzheimer’s Association, who presented the subcommittee’s report on Alzheimer’s disease and related dementias. She said the subcommittee spent the past year gathering information on dementia care, abuse and exploitation issues, caregiver strain, and available services, and is now moving into a second phase focused on identifying gaps and developing a state plan. Members asked about geriatric psychiatric capacity and long-term care availability; Horan said the state has limited capacity and that the plan will help clarify where needs are greatest. She offered to return for follow-up questions at a later meeting. Finally, Olivia May of DHHS presented the quarterly report on the 12-month postpartum Medicaid coverage extension. She said New Hampshire implemented the extension after federal and state action, and the first claims data are still emerging because of reporting lags. In the initial cohort studied, 95% received some medical services during the extended period, 52.4% received mental health or substance use disorder treatment, 26.7% received preventive visits, and 3.2% received heart or hypertension services. Members asked about return on investment and whether higher federal matching rates are being used appropriately; DHHS said it claims the highest possible match based on eligibility group and will return with more data over time. The committee then heard the annual therapeutic cannabis program report from Michael Holt, who said the program had 1,475 registered patients as of June 30, 2024 and that growth has slowed, with New Hampshire having the lowest per-capita medical cannabis enrollment nationally.