Transcript Highlights:

• I know I have the fiscal impact statement, but I don't know if I have the breakdown.
• I know I have the fiscal impact statement, but I don't know if I have the breakdown.
• Prime example being we pay a nurse practitioner less than we pay a physician for the same CPT code.
• They get 80% of the physician rate. That's just their rate. That's just one example.
• They get 80% of the physician rate. That's just their rate. That's just one example.

Keywords: 1204, all

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

Transcript Highlights:

• And so that's, that's ordered by the treatment physician or advanced practice provider.
• Is that kind of where this thing's because I noticed we pared it down to a treating physician or advanced
• So I would rather consult with a physician to make sure that we're, because if I say it's neurology but
• So I can make a definitive statement.
• Every insurance company that does write on a surplus lines basis has to include on their annual statement

Keywords: 965, house, all

Summary: The House Insurance Committee met on April 23 with a quorum present and began by announcing that HB 1142 was deferred. The committee then took up HB 1187, which would direct any excess Louisiana Citizens emergency assessment funds, after related debt is satisfied, toward the Louisiana Fortified Homes Program or future Citizens obligations. Commissioner Tim Temple and Rep. Sawyer said the bill would likely redirect about $50 million to the popular fortified roof grant program, which has already awarded thousands of roofs and is oversubscribed. With support from Citizens and others, the committee adopted technical amendments and reported HB 1187 favorably. The committee next considered HB 1210, a proposal by Rep. Dana Henry to create a pre-suit claim review process for Louisiana Citizens disputes modeled on Florida’s system. After explaining that the bill was prompted by constituent concerns about rising homeowners insurance costs, Henry voluntarily deferred the bill and instead moved toward a study resolution. The substitute version, which would have allowed Citizens disputes to be resolved through the Division of Administrative Law, was adopted for discussion, but the bill was ultimately voluntarily deferred after testimony from Citizens and the department supporting further study. HB 1199, by Rep. Jordan, would require coverage for genetic testing and medically necessary treatment for SCN2A-associated disorders. After adopting an amendment clarifying that coverage depends on provider order and medical necessity, the committee heard emotional testimony from a parent describing her daughter’s severe SCN2A condition and the difficulty obtaining genetic testing. The bill was reported favorably. The committee then took up HB 880, the Louisiana Artificial Intelligence Insurance Fairness Act, which would regulate AI use in underwriting, rating, and claims. Jordan said the bill raised state-federal insurance regulatory issues and could jeopardize federal broadband funding, so he voluntarily deferred it; HB 920 was also voluntarily deferred. Finally, the committee considered HB 1221, by Rep. Amadee, which would narrow data collection under the surplus lines premium tax system to protect policyholder privacy. Former Rep. Bowler argued the department should not collect names, addresses, or coverage limits and that the bill would preserve privacy without affecting tax collection. The Department of Insurance said the broader data is needed for premium tax reconciliation, fraud detection, and post-disaster assistance. After debate, a motion to report HB 1221 favorably failed on a 6-6 roll call. The committee then moved on to HB 869 by Rep. Lyons, a health insurance bill covering injectable drugs for glucose or weight-loss treatment, but the transcript ends before further action on that measure.

Transcript Highlights:

• Right now, many physicians and non-physician practitioners affiliated with teaching hospitals are not
• And there's physician practice side.
• Elizabeth Physicians. We care for St. Elizabeth Physicians.
• <00:16:02.959> or how we don't have enough physicians or how we don't have enough physicians
• to fewer than two units per physician to fewer than two units per physician per<00:25:47.200>

Keywords: 00:00:00 - Call to Order/Roll Call 00:02:20 - Discussion of 26RS HB 689 00:13:13 - Discussion of 26RS SB 201 00:27:45 - Discussion of 26RS HB 583 00:46:37 - Discussion of 26RS HB 488 00:48:13 - Discussion of 26RS HB 2 01:14:34 - Discussion of Kentucky State Plan Amendment (SPA) 26:0001: School-based Medicaid Services Program 01:18:24 - Public Comment, 958, all

Summary: The Medicaid Oversight Board met on March 9 with a quorum present and no minutes to approve. The chair reordered the agenda to hear House Bill 689 first. Representative Amy Neighbors presented HB 689, which would authorize Kentucky to seek CMS approval for a Medicaid state-directed payment program for physician and non-physician professional services delivered through qualifying hospital-affiliated groups, beginning January 1, 2026, with retroactive payments for that year. She said the bill is intended to improve access to care in rural and underserved areas, support workforce retention, and generate about $29 million annually in federal Medicaid funds without using general fund dollars. Representatives from Owensboro Health and St. Elizabeth Healthcare testified in support, describing staffing and subsidy pressures, lower Medicaid and Medicare reimbursement, and the importance of the program for maintaining access and quality in rural and safety-net settings. Committee members noted the bill had already passed the House Health Services Committee unanimously and discussed broader concerns about Kentucky’s low reimbursement rates and the need to consider other systems not covered by the proposal. The board then heard Senate Bill 2011 from Senator Donald Douglas and Cody Hunt of the Kentucky Medical Association. The bill would address a Medicaid coding issue by ensuring that coverage limits do not reduce payment to fewer than two evaluation and management service units per provider, per patient, per day. Douglas argued the current one-visit, one-issue limitation forces multiple visits, increases no-shows, and prevents providers from treating the whole patient. Hunt explained that the bill is meant to correct a longstanding regulation that limited E&M services to one per physician per recipient per date of service, which can prevent providers from coding additional medically necessary work during the same visit. He said DMS has already filed a regulatory amendment to fix the problem, but a statutory change is still needed to prevent the issue from returning. He also said the bill is not intended to change reimbursement policy, only coding rules, and that MCO payment practices vary. Members generally supported the concept. Senator Berg asked about fiscal impact and private-payer billing; Hunt said there should be no fiscal impact because the bill does not change payment policy, only coding. Representative Moore said the proposal could reduce costs and improve convenience by avoiding extra visits. Chairman Meredith said the bill illustrated problems with fee-for-service care and supported moving toward a more holistic delivery model. Dr. Schuster raised a drafting concern about the bill summary language, and Hunt responded that the regulatory amendment should address the issue generally for providers. No votes were taken on either bill during this portion of the meeting.

Transcript Highlights:

• Today, thanks to our physicians, our nurses, associates, community members, and legislators, we're one
• This would allow two independent physicians or their primary physician or the administrator of a nursing
• It relies on the advice of physicians, right?
• I want the journal to reflect that we are all witnesses to your statement.
• I want the journal to reflect that we are all witnesses to your statement.

Bills: HB4104, HB3722, HB3787, HB3700, HB3701, HB3310, HB3404, HB2964, HB2398, HB3024, HB3499, HB3278, HB3279, HB3645, HB3649, HB2293, HB3260, HB3176, HB3177, HB3114, HB3172, HB3322, HB3323, HB4248, HB3720, HB2210, HB1322, HB1937, HB3301, HB4107

Keywords: Oklahoma criminal law, felony classification, Class B5, Class D1, sentencing enhancement, repeat offender, domestic violence, stalking, voyeurism, peeping tom, clandestine recording, hidden camera, privacy offense, sex offender registry, Sex Offenders Registration Act, protective order violation, animal cruelty, cockfighting, dogfighting, public safety

Transcript Highlights:

• staff of physicians, both inpatient and outpatient.
• I thought you said physician.
• Donna, what's going on in behavioral health with vacant physicians?
• And as we look to year two, we can determine more... ...statement.
• Chairman, Representative's statement, we will obligate all $199 million.

Summary: The committee met with a quorum, approved the March 18 minutes, and then received a series of updates on health-related projects and Department of Health and Human Services budget matters. Representatives from CHI St. Alexius in Bismarck and Williston, and Altru in Grand Forks, reported progress on behavioral health expansion projects, including demolition and construction milestones, updated timelines, funding status, staffing plans, and barriers such as an unbudgeted air handler replacement in Williston. Members asked about original completion dates, use of telehealth, recruitment of psychiatrists and other staff, and whether the new beds might reduce the need for patients to travel to Jamestown State Hospital. The projects were described as on track overall, with completion expected in 2027 for the larger builds and earlier openings for some phases in Williston. The committee then heard from HHS leadership on technical line-item transfers and the Salaries and Wages Block Grant. Donna Ockland explained that recent transfers were administrative corrections to place spending in the proper budget lines and did not involve new spending, and she reviewed FTE counts and vacancies across the department. Questions focused on behavioral health staffing changes and the use of consultants in the Rural Health Transformation Program. Pat Rainer outlined the rural health program’s first-year grants and priorities, including workforce retention, rural rotations and housing, community wellness initiatives, behavioral health promotion, safety net services, hospital equipment, suicide prevention training, technology, and EMS support. He said North Dakota’s plan was drawing positive national attention, but the department still needed to obligate roughly $199 million by September and was working with CMS on timing and compliance. The committee also received an update on certified community behavioral health clinics from Elena Zeller. She said North Dakota had been accepted as a demonstration state, with certification efforts underway in Williston, North Central, Fargo, and Dickinson. Members asked about care coordination, service growth, staffing, and whether certification would expand to all clinics; the department said it was still collecting baseline data and evaluating impacts before making future recommendations. Finally, Rebecca Askins reviewed SNAP payment error rates, explaining that the 2025 rate was finalized at 9.89 percent and that the department is working on training, system changes, and quality assurance steps to get below 6 percent. Members pressed on the causes of monthly variability, the performance of the SPACES system, and accountability for ongoing errors, and the department said it expects improvement over the next 6 to 12 months.

Transcript Highlights:

• , the Texas Academy of Family Physicians, and the Society of Teachers of Family Medicine.
• Senator Hinojosa of Hidalgo County: ...the American Academy of Family Physicians, the Texas Academy of
• Family Physicians, and the Society of Teachers of Family Medicine.
• When we see resolutions like this, we're really making a statement for future generations that this is
• We have a tendency to look the other way when people make statements that are completely outrageous.

Bills: SJR36, SR8, SR14, SR15, SR17, HCR54

Keywords: accountants, Texas Society of Certified Public Accountants, advocacy, legislation, business issues, memorial, law enforcement, sacrifice, tribute, community support, service, community, Holocaust, remembrance, antisemitism, human rights, education, Holocaust Remembrance Day, memorialization, sexual assault

Transcript Highlights:

• I never said the statement that you just said.
• That's a fair statement.
• But one of the most important parts of being a physician, or at least being a good physician, is listening
• Representative Hausman, he'd like to make a closing statement.
• Just to make a quick statement—sure.

Keywords: 959, house, all

Transcript Highlights:

• The records in and of themselves are contradictory, and there have been statements about other things
• He's provided the statements of those who are working with him on this.
• about other things that he's statements about other things that he's treated<00:50:26.000> with
• > of<00:52:03.040> those He's provided the statements of those He's provided the statements
• I'm counseling him for these statement.

Keywords: 958, all

Summary: The Kentucky Legislative Ethics Commission met on November 18, 2025, approved the October 14 minutes, and then took up five motions in ethics matters 24LEC3 and 24LEC6. Those motions included a renewed motion to dismiss and motion to quash by Representative Daniel Gberg, a renewed motion to compel/sanctions and continuance request by Mr. Jenkins, and competing motions in limine concerning evidence and redaction of deposition transcripts. Vice Chair Mike Schaw was appointed hearing officer for the motion practice, and the commission agreed to hear the motions one at a time in open session. Representative Chris Lily joined later by Zoom. Counsel for Representative Gberg argued the remaining allegations were minor, that the commission lacked key exculpatory materials such as an alleged LRC report, policies, procedures, and training materials, and that the record did not support the ethics charges. She also argued the case had been broadened by extraneous allegations and that the respondent had been unfairly prejudiced. Enforcement counsel responded that he had produced all materials in his possession, that any LRC materials were not in the commission’s custody, and that the commission’s probable-cause findings were based on sworn testimony and affidavits already in the record. He argued the motions to dismiss and for summary judgment should be denied because genuine issues of material fact remained and the commission had already found probable cause on three ethics violations. Commission members questioned both sides about the alleged LRC report and whether it was part of the commission’s record. The chair stated the commission had not relied on any LRC report and had not withheld anything, while another member emphasized that the proceeding concerned alleged violations of the ethics code, not LRC sexual-harassment policy. A commissioner also noted the unusual structure of the proceeding and questioned whether the complaints, taken as true, stated a basis for dismissal. The transcript ends during continued discussion of the standard for dismissal and summary judgment, with no final ruling on the motions captured in the excerpt.

Transcript Highlights:

• <01:08:07.080> per we do not have enough physicians per we do not have enough physicians per
• We're going more physician expenditures.
• <01:41:10.480> So, enough primary care physicians. So, enough primary care physicians.
• . physician. physician.
• And primary care physicians are there.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board met on September 24, 2025, approved the minutes from the September 9 meeting, and then continued its discussion of Medicaid waivers with Leslie Hoffman and Carmen Hancock from the Department for Medicaid Services. Members asked for updates on the 2024 waiver waitlist management assessment recommendations, including aligning waiver policies, standardizing applications and waitlist placement, and modernizing data systems. DMS said that work is being done jointly with Aging and Independent Living and Behavioral Health/Developmental and Intellectual Disabilities through task forces, that ARPA spending delayed action, and that implementation timelines extend through March 2027. The board also reviewed per-member waiver cost averages for fiscal years 2023 through 2025 for ABI, ABI long-term care, HCBS, Model II, Michelle P, and SCL. DMS emphasized these figures were benefit-only averages based on paid claims, not full waiver costs, and explained that true budget neutrality is calculated on an aggregate basis against institutional care comparisons approved by CMS. DMS said all six waivers remain in compliance with budget neutrality and that the most recent 18-month lag review for FY 2022 and FY 2023 found costs at or below institutional care. Members also asked about unused waiver slots; DMS said slots generally cannot be reallocated mid-year if they have been used, except in cases such as death or reserved capacity, because CMS treats participants as unduplicated for the waiver year. A major portion of the meeting focused on the new child waiver created under House Bill 6. Legislators questioned whether the waiver’s design, including the exclusion of participant-directed services and the emphasis on high-acuity children with behavioral health, DCBS, or juvenile justice involvement, matched the bill’s intent to keep children at home. DMS said it used the $14.7 million appropriated for FY 2026 to develop the program, that there is no priority list, and that the waiver is intended to serve the highest-acuity children while also addressing residential needs for those sleeping in offices or placed out of state. Members also raised concerns about the rapid growth of the HCBS waiting list and asked for more detail on age and timing patterns, which DMS said it would provide later. Finally, DMS gave average processing times from application to eligibility determination and from approval to service start, and said the overall average from application to services beginning was about 80 days, while members requested follow-up information on the Carewise assessment contract and related costs.

Transcript Highlights:

• I know you may not see or believe that statement, that you can be for parents' rights and for the gay
• It's not lost on me some of the statements on the floor here today that just can't go unresponded to,
• And that is a true statement.
• And that is a true statement.
• And that is a true statement.

Summary: The Assembly convened after a quorum call and opened with a prayer and pledge, then held a ceremonial observance for Jewish American Heritage Month. Assembly Concurrent Resolution 195 by Assembly Member Gabriel was presented with extensive remarks from members of multiple caucuses highlighting Jewish Californians’ contributions, the importance of solidarity amid rising antisemitism, and themes of tikkun olam and tzedakah. The resolution was adopted by voice vote after 67 co-authors were added, and the chamber then recognized 14 honorees for their service in public life, philanthropy, media, faith leadership, education, and civic engagement. The floor also featured guest introductions and a procedural vote on Assembly Constitutional Amendment 9 by Assembly Member Borrero, which would add affordability as a required consideration in CPUC rate-making, remove telecommunications from the commission’s portfolio, create an office of broadband, and expand legislative appointments. The amendment was adopted. The Assembly then moved through a long third-reading file, passing measures including AB 1697 delaying implementation of a 2025 employment law, AB 2322 on stormwater permit definitions, AB 1653 on hearing-illness education, AB 2274 closing a loophole involving secrecy in trafficking cases, AB 2512 on Anaheim Angels naming language tied to a land exemption, AB 1956 prioritizing young men and boys in suicide prevention, and AB 2273 addressing prosecutorial handling of a local sexual abuse case. Additional bills passed included AB 1809 extending job order contracting for school and community college districts, AB 1970 banning step therapy for serious mental illness and substance use disorder medications, AB 1973 expanding practice authority for advanced practice clinicians, AB 2055 updating vessel law, and AB 2059 narrowing CEQA vehicle-mile-traveled mitigation for certain rural highway projects. The Assembly also adopted ACR 186 designating May 2026 as California Physical Fitness and Mental Well-Being Month and H.R. 11 recognizing the International Day Against Homophobia, Biphobia, Interphobia, and Transphobia after a lengthy debate that included support from several caucuses and some disagreement over the resolution’s framing of current threats to LGBTQ+ communities.

Transcript Highlights:

• bill requiring that certain complaints against physicians be reviewed by a three-panel physician panel
• And so what you hear a lot about is that they cannot find physicians, even to protect other physicians
• And so what you hear a lot about is that they cannot find physicians, even to protect other physicians
• The director of investigation, who is a physician, and his assistant, who is a physician, review these
• From there, your board is all active physicians, except one lay person, one non-physician. Okay.

Summary: The House Committee on Health and Welfare met on April 23 and first disposed of several items without hearing them, including HB 1093 and HB 1145, and voluntarily deferring HB 946. The committee then quickly reported HB 1095 favorably without objection. That bill would require nursing facilities to have fuel or another alternative power generation source to maintain power, and supporters said it preserves existing backup-power safety requirements while giving facilities more flexibility as technology changes. The committee then took up HB 926, which concerns vaccination status and admission to public buildings and seeks to prohibit medical mandates. After adopting an amendment set and additional changes clarifying exclusions for licensed health care providers and facilities, medical masks, and child welfare/school-related provisions, the committee heard testimony both for and against the bill. Supporters framed it as a civil-liberties measure limiting vaccine-card requirements for public buildings, while opponents warned it could interfere with public health measures, school immunization rules, and the ability of health care facilities to protect patients. The bill was reported favorably on an 8-4 vote. HB 1220, a cleanup bill for the Louisiana State Board of Medical Examiners, was then reported favorably after a technical amendment set. HB 1227, which would require complaints involving medical judgment to be reviewed by a three-physician panel before formal disciplinary action, drew extensive testimony from a physician sponsor, a doctor describing his disciplinary experience, and the board’s executive director, who said the board already uses practicing physicians, nurses, and experts in its process and warned the proposed panel system could be impractical because physicians are difficult to recruit for such reviews. At the sponsor’s request, the committee voluntarily deferred HB 1227 for further work. Finally, the committee reported HB 1217 favorably with amendments to a pharmacy benefit manager transparency bill, after supporters said it would expose hidden pricing and rebate practices and opponents argued some provisions were duplicative or unnecessary. HB 1028, setting minimum Medicaid reimbursement rates for non-emergency medical transportation, was reported favorably and referred to Appropriations after supporters described the need for higher rates and members discussed funding. The committee also reported HB 1185 favorably, with amendments preserving the existing Rural Hospital Preservation Act while extending similar protections to additional rural-lookalike hospitals, and adopted HCR 76 to continue the Health Inequities and Disparities in Rural Areas Task Force for another year.

Transcript Highlights:

• Fair statement? Yes.
• Is that if is that an accurate statement?
• In that region, is that a fair statement of some independent?
• So I guess it would just be the physician.
• Possibly go to the physician or the clinic or hospital system. for the input.

Keywords: 1185, senate, all

Transcript Highlights:

• Minnesota who is providing the physician Minnesota who is providing the physician support<00:24:05.360
• :54.399> older<00:31:54.799> on physicians like myself are older on physicians like myself
• And 23% of physicians school in 2024.
• It allocates two hours of each continuing education program to go for physicians, physician assistants
• ,<01:12:16.320> physician program to go for physicians, physician program to go for physicians

Bills: HF1925

Keywords: nurse licensure, multistate license, healthcare, public safety, interstate compact, nursing regulation, 1183, house

Transcript Highlights:

• The PCFs clarifies that for the conflict of interest statements, it needs to be like 20 purchases of
• I received a few emails from my district, some of whom are physicians, who have reminded me that they
• , or sounds like physician associations, who are in favor of banning this practice.
• What group, what physician, what agency? Currently, right now, where is it happening?
• Currently, today, I cannot answer definitively to point to a physician or a facility, but we have had

Bills: HB3620, HB3942, HB3279, HB3378, HB3383, HB3413, HB3414, HB3415, HB3420, HB3130

Keywords: 2030 census, complete count committee, census outreach, decennial census, enumeration, population count, hard-to-count populations, hard-to-enumerate areas, State Data Center, Oklahoma Census, multilingual campaign, public outreach, school-based outreach, community organizations, minority groups, ethnic minorities, language minorities, self-response rate, census awareness, federal census

Transcript Highlights:

• Basically, if the government is declared a statement. damages for three categories.
• Last statement for this panel, Island.
• And I had statements to back that up.
• New physicians, physicians who are operating on their own, were not able to cover the expense of going
• The hospital credentials the physician; does the background check you're talking about.

Bills: HB2242, HB2446, HB2799, HB4502, HB2920, HB2790, HB5620, HB5060, HB5076, HB5080, HB5081, HB5128, HB5130, HB3847, HB5116, HB2969, HB4546, HB4202, HB5624, HB3964, HB4803, HB872, HB4775, HB4777, HB4961, HB5570, HB2988, HB4260, HB1375, HB5009, HB5411, HB5134, HB4388, HB3095, HB1387

Keywords: constables, civil rights, local government, law enforcement, policy-making authority, affidavit, medical bills, civil actions, reasonable charges, healthcare services, judicial statistics, court performance, family law, civil cases, efficiency reporting, court security, emergency management, harassment penalties, judicial safety, court committee

Summary: The committee heard House Bill 4961, which would bar uninsured motorists from recovering non-economic damages after a collision. The author said the bill is intended to create incentives to maintain insurance and to address what he described as an unfair system for insured drivers. Texans for Lawsuit Reform and Texas Eagle Forum testified in support, while the Texas Trial Lawyers Association opposed it, warning the bill could also affect pedestrians, passengers, children, and others who did not choose whether a vehicle was insured. The bill author clarified that passengers would be included in the bill’s coverage. No vote was taken and the bill was left pending. House Bill 5570 would extend a legislative attorney CLE exemption to attorneys appointed by the governor and confirmed by the Senate to boards or commissions. The author said the measure is meant to ease time burdens and encourage service, and a witness supported it as a modest incentive for public service. A committee member noted a discrepancy in the number of affected attorneys, and the author agreed to verify the correct figure. The bill was left pending. The committee also heard House Bill 2969, which would restrict the State Bar from adopting rules or penalties that unreasonably burden attorneys’ religious exercise or free speech based on sincerely held beliefs. The author and several witnesses from Texas Values, Alliance Defending Freedom, and Cecilia Wood argued the bill protects lawyers of faith from an ABA model rule they described as a speech code. No one testified against the bill, and it was left pending. House Bill 4260, which would prohibit county judges and county commissioners from practicing law in courts over which they have jurisdiction, drew opposition from the County Judges and Commissioners Association, which argued existing ethics rules already address conflicts and that the bill would burden rural officials. The author said the bill was prompted by concerns about judges using their office to pressure others. The bill was left pending. House Bill 5134 would limit Rule 202 pre-suit depositions to people who have suffered or reasonably expect actual damages and would allow attorney’s fees against abusive petitioners. The author said the bill is aimed at preventing harassment and fishing expeditions, especially in family-law disputes. Questions focused on how the standard would work and how it differs from current law; the author said the main change is fee-shifting and a clearer legislative directive. The bill was left pending. House Bill 3095, a committee substitute version of a similar uninsured-motorist bill, would bar uninsured motorists from recovering non-economic damages and limit economic recovery, with several exceptions. Trial lawyers argued it was unconstitutional because it capped economic damages and could unfairly affect innocent drivers, pedestrians, and older people who no longer drive. The author acknowledged constitutional concerns and said the bill would need further work; the committee withdrew the substitute and left the bill pending. Finally, House Bill 4388 would require all judges, including county judges who perform administrative duties, to remain subject to the Code of Judicial Conduct. Supporters said some elected judges avoid accountability by relinquishing judicial functions, while opponents argued the bill is too rigid and unnecessary because existing remedies already exist. House Bill 3964 would limit public nuisance claims to their historical role and bar such claims against lawful conduct, conduct already covered by other remedies, and products. The author and supporters said the bill is meant to prevent courts from using public nuisance to make policy, while opponents argued it would eliminate useful remedies and could affect local actions against environmental or product-related harms. The author said the bill would not affect statutory nuisance claims, private nuisance claims, or other causes of action, and would be amended to clarify some provisions. The bill was left pending.

Transcript Highlights:

• Note that all verbal and written statements will become part of the record of the hearing.
• And once they have concluded their testimony, I would just add a few more of this statement.
• beloved physician in New Orleans took their life shortly after leaving a treatment center.
• Under physician supervision, with multidisciplinary care teams and rigorous outcome tracking.
• I'm an attending physician and researcher and palliative... So my name is Zachary Sager.

Keywords: 995, all

Summary: The hearing opened with remarks from House Chair Mindy Domb and Senate Vice Chair Robyn Kennedy, who outlined procedures for the hybrid public hearing, noted the committee would hear testimony on 15 bills related to treatment settings, and recognized members present. The first major bill discussed was H. 4200, authorizing a pilot program for psychedelic-assisted treatment in licensed facilities. Representative Jim O’Day and witnesses from Control Z supported the bill, describing it as a tightly controlled, medically supervised pilot with DPH oversight, limited sites, and screening requirements. Committee members asked about the number of sites and whether Column Health still existed; witnesses said the bill contemplated three separate pilot programs and that Column Health no longer existed after being purchased by another company. The committee also heard testimony on S. 1405 to make the drug stewardship program permanent by removing its 2026 sunset date. Senator John Keenan and others said the program helps collect and safely dispose of unused medications, reduces diversion, and should remain in place because manufacturers should bear disposal costs. A member from Boston added support based on local concerns about people searching through bags for drugs, and Keenan explained the original sunset reflected pilot status and industry pushback. A large portion of the hearing focused on S. 1394 and H. 2193, which would strengthen implementation of the 2023 Roadmap for Behavioral Health Reform. The Children’s Mental Health Campaign, Parent/Professional Advocacy League, Massachusetts Association for Mental Health, and Elliott Community Human Services testified that the roadmap’s helpline, community behavioral health centers, and crisis services are important but unevenly implemented. They urged a single point of accountability within EOHHS, regular strategic planning, a public data dashboard, and financial analysis of the behavioral health system and the access and crisis intervention trust fund. Witnesses said commercial insurance often does not fully reimburse community behavioral health center services, making sustainability difficult, and asked for better coordination across agencies and crisis response systems. Committee members asked whether the roadmap includes substance use disorder; witnesses said it is intended to cover behavioral health broadly, including mental health and substance use. The committee also heard testimony on bills to ban aversives and on suicide prevention signage. Lisa Jean Graff testified in support of S. 1394 by urging a statewide ban on aversive practices, including electric shock, withholding food or bathroom access, and other painful interventions, arguing disabled people deserve the same protections from harm as others. Fonda Bryant and Carol McLean supported a bill requiring suicide prevention signs on tall parking garages, describing personal experiences and saying the signs could create a brief pause and connect people to 988 or other help. McLean said her son died by suicide from a parking garage and that signage might have made a difference. The committee also heard strong testimony in support of creating intensive stabilization and treatment units within DMH facilities (S. 1398/H. 2204), with the Massachusetts Nurses Association and a DMH nurse arguing that highly assaultive patients need specialized, more secure units to protect staff and other patients and to improve care. Additional testimony supported creating a dedicated board for licensed mental health counselors (H. 4696/S. 1382), with Rep. John Badger, the Mass Mental Health Counselors Association, and others saying LMHCs are a large and growing workforce that needs its own licensing board, clearer standards, and faster implementation of existing licensure reforms. The committee also heard extensive testimony on H. 2223 regarding benzodiazepines and non-benzodiazepine hypnotics. Survivors and advocates described severe withdrawal, lack of informed consent, cognitive harms, and long-term disability, while a physician supported the bill as a way to improve disclosure of risks. Finally, the committee heard multiple witnesses in favor of H. 2231/S. 1383 to establish peer-run respite centers statewide. Advocates and people with lived experience said peer respites provide non-coercive, home-like alternatives to hospitalization, can reduce trauma and repeated admissions, and may be especially important for marginalized communities; they also cited cost savings and existing positive outcomes from current respite programs. No votes or final committee actions were taken during the hearing portion reflected in the transcript.

Transcript Highlights:

• physician assistant to physician associate would be good and helpful for the industry and the profession
• somebody by the name physician somebody by the name physician associate.<00:12:55.600> So
• um referring to them as physician um referring to them as physician assistants.<00:13:04.880>
• So, this is a physician associates.
• physician assistant to a physician physician assistant to a physician associate<01:46:34.159>

Keywords: 928, house, all

Summary: The committee heard Senate Bill 254, which Senator David Roford described as a technical correction to controlled substance inventory law for pharmacies. He said the bill would remove outdated language requiring inventories to be done in an odd-numbered year, while keeping the existing requirement that pharmacies conduct a full controlled substance inventory every two years in line with federal law. Members asked several clarifying questions about whether the requirement is pharmacy-by-pharmacy, whether new pharmacies would be affected, and whether the change would alter scope or compliance; the sponsor and a representative of the New Hampshire Pharmacist Association said it would not, and that it mainly provides clarity for pharmacies and inspectors. The public hearing on SB 254 was then closed, and the committee also heard support from a representative of the pharmacist community, who said the association supports the bill. The committee then discussed a non-germane amendment to SB 254 dealing with FBI background checks for educational surrogate parents under the Department of Education. Representative Leyon explained that the amendment was requested by the Department of Education after the FBI rejected prior statutory language, and that the goal was to allow people serving as educational surrogate parents to complete FBI fingerprint-based background checks so they can perform their duties. Department of Education and Department of Safety staff testified that the amendment mirrors language that has worked in other education-related background check statutes, including provisions with specific disqualifying offenses tied to child safety, and that the FBI requires precise statutory language and direct transmission of records through the Department of Safety. Members questioned why the FBI’s approval was needed, whether individuals could simply provide their own records, and whether changing federal leadership could require future changes; witnesses said the state needs both state and national records, that records must come directly from the FBI through the Department of Safety, and that the language is intended to satisfy current federal requirements. During the discussion, some members expressed skepticism about the need for the amendment and about placing it on a bill about controlled substance inventories, but no vote was taken during the portion of the transcript provided. The committee also briefly discussed a separate bill on physician assistants/physician associates, with members noting that the proposed name change would not alter scope of practice and that some outside groups had raised concerns about transparency, but that discussion was interrupted and not concluded in the excerpt.

Transcript Highlights:

• I want to comment uh on Senator Douglas's statement earlier, just share personal experience with you
• I want to comment uh on Senator Douglas's<00:09:05.519> statement<00:09:05.760> earlier
• <00:09:06.080> just<00:09:06.320> share Douglas's statement earlier just share Douglas's
• statement earlier just share personal<00:09:06.800> experience<00:09:07.120> with<00:09
• I developed a medical foundation to hire physicians, and I don't like that.

Keywords: 26RS SB 38 Testimony 00:28 26RS SB 38 Roll Call Vote 06:54 26RS SCR 9 Testimony 11:06 26RS SCR 9 Roll Call Vote 32:00 Adjournment 32:49, 958, all

Summary: The committee first considered Senate Bill 38, sponsored by Sen. Richardson, which would require Medicaid to reimburse pharmacists for services already within their legal scope of practice. Richardson and Taylor Williams of the Kentucky Pharmacists Association argued the bill would improve access to care, especially in rural areas, reduce emergency room use, and lower Medicaid costs by using pharmacists as lower-cost providers. Members asked whether the bill’s language simply aligned Medicaid with an earlier commercial parity law, and Richardson confirmed that it did. He also cited prior study work, research articles, and examples such as strep/flu testing and medication therapy management as covered services. The bill passed unanimously, and several members commented in support, including concerns about pharmacy access and the need for pharmacists to remain available to patients. The committee then took up a concurrent resolution sponsored by Sen. Meredith calling for a feasibility study of a proposed new Medicaid delivery model. Meredith argued that Kentucky’s Medicaid spending is growing unsustainably and that current managed care arrangements are not improving outcomes enough. He proposed an accountable community health care organization, described as a locally owned, not-for-profit public-private partnership combining elements of accountable care models, with the goal of reducing bureaucracy, improving outcomes, and lowering costs. He said the study would examine a five-year program and ultimately test the model in five regions, with initial focus on the Lincoln Trail, Green River, and Barren River area development districts. Members asked about the study timeline, vendor costs, rural versus urban impacts, and provider recruitment; Meredith said the resolution would be studied by November and that no fiscal note had been prepared. The resolution passed unanimously.

Transcript Highlights:

• It's very personal to me to make this statement because it's very sacred and holy.
• So, I just wanted to make that statement because it's very close to home for me.
• As we go along, when we have this type of statement... ...by the state of New Mexico, we can start looking
• health facilities and contract positions,' I would add 'hospitals' as well because it's not just physicians
• It's not just physicians; it may be hospitals as well. Thank you, Senator.

Transcript Highlights:

• As a physician, I'm here today in strong support of HB 1875.
• I am also an OB-GYN, but I'm a resident physician in training.
• <00:48:39.599> in OBGYn, but I'm a resident physician in OBGYn, but I'm a resident physician
• c><01:03:55.839> at the OBGYn resident physicians at the OBGYn resident physicians at University
• um would protect physicians who have um would protect physicians who have malpractice<01:12:54.320>

Bills: SB2936, SB2850, SB2851, SB2521

Keywords: accessible parking, disability, kupuna, public accommodations, small business exemptions, Hawaii Revised Statutes, parking permit, blind, deaf, accessibility, deafness, traffic safety, law enforcement, vehicle registration, communication, emergency services, commercial driver's license, first responders, public safety, authorized emergency vehicle

Summary: The joint hearing covered House Bill 251, which would require hospitals to report costs associated with Medicare and uninsured patients, and House Bill 1875, which would expand protections for gender-affirming health care services. On HB 251, the Department of Health said it supported the intent but described the bill as complicated and potentially impractical as drafted because the department lacks the expertise to produce the required analyses without outside help. Hawaii Health Systems Corporation echoed those concerns, while the Queen’s Health System said it was willing to work with the department to provide the information. In committee discussion, officials explained that hospital support in Hawaii includes public hospital appropriations and the provider tax program, which uses hospital and nursing home contributions to draw federal matching funds; a department witness estimated the net benefit at about $150 million for hospitals and $20 million for nursing facilities, though exact figures would be provided later. On HB 1875, the Insurance Division testified with concerns that the bill’s language on prohibited actions by malpractice insurers was broad and vague, and that a rate-increase prohibition could conflict with actuarially based insurance pricing. The division also noted it was not the primary enforcement agency for the statute. In contrast, many testifiers strongly supported the bill, including the Hawaii State Commission on the Status of Women, the Hawaii State LGBTQ+ Commission, the Hawaii Public Health Institute, PFLAG Oahu, the ACLU of Hawaii, the Drug Policy Forum of Hawaii, the Hawaii County Democratic Party, and others. Supporters argued that gender-affirming care is medically necessary, evidence-based, and protected by privacy and bodily autonomy principles, and that the bill would protect patients and providers from outside political interference. No votes or final committee actions were taken during the portion of the hearing provided.