Transcript Highlights:

• I think those scientific review board.
• </c> physician oversight, scientific review physician oversight, scientific review boards,<00:50:13.200
• </c> reducing mortality rates over time. reducing mortality rates over time.
• </c><03:08:43.760><c> Mortality</c> decreasing mortality rates.
• Mortality decreasing mortality rates.

Keywords: 1189, house, all

Transcript Highlights:

• And House File 4125 case review.
• </c> take on that case review from that bill. take on that case review from that bill.
• So, we talked about MAPA and the case review portion of it.
• Is the funding for case review not in this budget?
• the case reviews for the state,<00:50:30.000><c> please.

Bills: HF4525, HF3002, HF3665, HF4420

Keywords: human services, background studies, NETStudy 2.0, licensing, license suspension, license revocation, provider enrollment, program integrity, fraud, medical assistance fraud, Medicaid, payment withholding, credible allegation of fraud, background check, disqualification, variance, set-aside, foster care, family foster setting, adult foster care

Bills: HB4423, HB3342, HB3645, HB3647, HB3887, HB4430, HB4431, HB2964, HB3834

Keywords: Oklahoma Health Care Authority, Medicaid, immigration verification, healthcare access, federal reporting, health care providers, auditing, patient rights, claims, protection from fraud, audit process, error correction, hospice care, physician determination, healthcare standards, symptom management, health information exchange, all-payer claims database, health care transparency, health care costs

Bills: HB4423, HB3342, HB3645, HB3647, HB3887, HB4430, HB4431, HB2964, HB3834

Keywords: Oklahoma Health Care Authority, Medicaid, immigration verification, healthcare access, federal reporting, health care providers, auditing, patient rights, claims, protection from fraud, audit process, error correction, hospice care, physician determination, healthcare standards, symptom management, health information exchange, all-payer claims database, health care transparency, health care costs

Summary: The committee first announced several bills would be laid over because sponsors were absent, then took up House Bill 4423, which would require Medicaid applicants to be legal U.S. citizens. After adopting a PCS, members asked whether Medicaid already had citizenship limits, and the bill passed 4-1. House Bill 3342 followed, revising the Health Care Authority audit process; the sponsor said it was based on an Arkansas model, had no fiscal impact, and was intended to be fairer after prior problems. It passed 5-0. House Bill 3645, allowing physicians or other independent doctors to authorize hospice referral when a patient lacks next of kin or is not coherent, also passed 5-0. House Bill 3647, creating an all-payer claims database through the state HIE for greater transparency in medical costs, passed 5-0 after a question about which entities would be included or excluded. House Bill 3887, which removes the requirement for a physician referral every 30 days for continued physical therapy, drew the most discussion. The sponsor said therapists would refer patients back to a physician if treatment was not helping or was outside their scope, while a member raised concerns about delayed diagnosis and suggested adding a timeline; the sponsor said he would be open to further discussion. The bill passed 4-1. House Bill 4430 extended tort claims protection to certain state-employed providers who work for entities such as FQHCs, and House Bill 4431 did the same for nurse practitioners working for state agencies; both passed 5-0. Later, House Bill 2964 changed medical-record copying language from “shall be charged” to “may be charged,” giving facilities discretion on whether to charge patients for copies of their records; it passed 5-0. Finally, House Bill 3834 was heard for research funding on ibogaine therapy for PTSD and related conditions among veterans, firefighters, and police officers. The sponsor said the goal was to allow Oklahoma research, not to remove the substance from controlled status, and a witness described the treatment as a monitored oral session used in Mexico and supported by some studies. The bill passed 5-0, and the chair adjourned the meeting, noting the laid-over bills would likely be heard the following week.

Transcript Highlights:

• Public review requirements are already in law.
• When that review is removed, the impacts of an improperly sited facility, particularly on surrounding
• This requires that our agencies do a two-year review study to ensure that any gas formulation we have
• There's been no review since we started using this.
• This process includes review by EPA in concurrence with the Department of Energy.

Bills: HB2014, HB2113, HB2145, HB2331, HB2340, HB2389, HB2400, HB2401, HB2428, HB2494, HB2696, HB2756, HB2795, HB2955, HCM2008

Keywords: air emissions, fuel blends, environmental quality, feasibility study, Arizona Department of Agriculture, utility consumer, rate intervention, public service corporation, Arizona Revised Statutes, residential rates, consumer protection, fuel reformulation, gasoline standards, environmental regulations, ethanol supply, Air Quality, energy reliability, electric service providers, reliable resources, public power entity

Transcript Highlights:

• ESD superintendents serve as members of budget review committees.
• ESD superintendents serve as members of budget review committees that review, alter, and approve budgets
• to six years to review prep programs compliance with PESB domain areas.
• Additional review includes indicator-based program review in which programs annually submit data to the
• staff and board for review.

Bills: SB6130, SB6247, SB6260, SB6268, SB6278

Keywords: voter registration, elections, national holiday, civic engagement, government initiative, school funding, financial management, budgeting, transparency, district governance, SB 6260, public education, K-12, Washington State, OSPI, Office of Superintendent of Public Instruction, education finance, school transportation, school buses, zero-emission bus

Summary: The committee heard testimony on several education-related bills. Senate Bill 6130 would move public high school voter registration activities from Temperance and Good Citizenship Day in January to National Voter Registration Day in September and require schools to offer Future Voter registration opportunities to eligible students. The sponsor, OSPI, county election officials, and youth advocates supported the bill as a no-fiscal-impact way to increase youth civic engagement and align school activities with election-season interest. A senator asked about possible community service credit for student participation, but no amendment was discussed and no vote was taken. Senate Bill 6247 would expand financial oversight and training for school districts in distress. It would require educational service districts to provide more direct oversight and support to districts in binding conditions or financial distress, require WASDA to provide mandatory budgeting and financial-health training for school directors, and impose stronger consequences for financial misconduct, including employment bars and possible state reimbursement of unrecovered damages. The sponsor said the bill is intended to help districts avoid insolvency, citing districts in binding conditions and the Prescott School District. OSPI supported the bill, while ESDs, WASDA, and WEA raised concerns about ESDs being placed in an enforcement role, the need for clearer definitions and possible state auditor involvement, and the scope of the employment prohibition. The committee also heard Senate Bill 6268, which would require OSPI to keep an online record of final special education community complaint decisions for 20 years instead of the current five years displayed online. OSPI supported the bill and noted a fiscal note of about $16,000 for added staff time, while advocates, parents, and disability organizations said the longer record would improve transparency, help families and districts identify patterns, and reduce repeated disputes. The committee then heard Senate Bill 6278, which would update review requirements for teacher and principal preparation programs and adjust the timing for submission of student-teacher field placement plans. The sponsor said the bill is meant to ensure educator preparation programs are aligned with classroom realities; PESB testified neutrally, saying many of the review elements already exist in rule and that the bill adds flexibility. Finally, the committee heard Senate Bill 6260, a budget-savings bill that would lengthen school bus depreciation to 15 years, withhold up to 1.9% of MSOC funds to pay for the High School and Beyond Plan platform, and reduce Running Start funding from 1.4 to 1.2 FTE. OFM supported the bill as part of the governor’s budget strategy, but nearly all other testimony opposed it, arguing it would shift costs to districts, keep older buses on the road longer, and reduce access to Running Start—especially summer Running Start—for low-income, rural, and technical-program students. Multiple college leaders, school officials, counselors, and students said the current 1.4 FTE model has increased participation, completion, and equity. No votes were taken on any of the bills in the hearing.

Transcript Highlights:

• Yet physicians only review medications in about 10% of cases.
• Yet physicians only review medications in about 10% of cases.
• Yes, I haven't reviewed it today, but yes.
• I was reviewing my words, but I didn't review the bill.
• It is medical review.

Bills: HB2190, HB2202, HB2233, HB2251, HB2252, HB2396, HB2437, HB2689, HB2796

Keywords: physician assistants, licensure compact, medical services, multistate practice, patient care access, healthcare workforce, military families, adverse actions, dementia care, telementoring, healthcare education, rural communities, grant funding, HB 2233, rural health transformation, rural health transformation program, AHCCCS, Arizona Health Care Cost Containment System, Joint Legislative Budget Committee, JLBC

Transcript Highlights:

• If this bill were to pass, it would add a review that resides outside of Snohomish County Planning and
• He said RCW 68.50.115 holds that coroner determinations are subject to judicial review.
• R.C.W. 6850115 holds that coroner determinations are subject to judicial review.
• I’m sorry, you asked to have a judicial review? William, or Mr.
• “The family requested a judicial review.

Bills: SB5820, SB6064, SB6077, SB6101, SB6013, SB6066

Keywords: freight rail, rail corridor, short-line railroad, rail-dependent uses, industrial land use, growth management act, GMA, comprehensive plan, transportation element, land use planning, local government, county planning, city planning, critical areas, agricultural lands, forest lands, mineral resource lands, urban growth area, development regulations, notice on permits

Summary: The committee heard several bill briefings and public hearings. SB 6064 would let certain large fire protection districts or regional fire authorities assume administration and enforcement of the International Fire Code within their boundaries, with notice to the county and displaced county workers offered equivalent jobs. Supporters said it would improve consistency, safety, and local control; opponents from counties, fire marshals, and builders argued it was unnecessary because interlocal agreements already exist and could add permitting complexity and delays. SB 6101 would require county coroners to be appointed rather than elected, while preserving existing medical examiner systems in larger counties. The sponsor and supporters said the change would address problems like the Yakima County coroner case, improve professionalism, and reduce partisan elections; opponents said it would reduce voter accountability, raise costs, and create conflicts of interest concerns. SB 6077 would extend the deadline for assessors and taxpayers to exchange valuation evidence in property tax appeals from 21 to 28 business days before a hearing, starting with petitions filed on or after July 1, 2026. Supporters said the extra time would improve due process and fairness; county assessors and some tax appeal practitioners said they were open to the timing change but wanted broader reforms to address long hearing backlogs. The committee also heard SB 5820, which would repeal Clark County-specific authority enacted in 2017 allowing freight rail-dependent uses on certain resource lands adjacent to a short-line railroad. The sponsor and supporters from FutureWise, local residents, and the City of Battleground said the prior law undermined Growth Management Act protections for agricultural and resource lands and had led to conflict and litigation. Opponents, including the railroad operator, Association of Washington Business, and former sponsor Linda Wilson, said the rail overlay supports economic development, jobs, and rail-served industrial land, and warned the repeal would harm local planning and investments. Members asked about how county and city comprehensive plans interact under the Growth Management Act, and staff said they would provide a summary of the appeals process. Finally, SB 6013 would update ski lift terminology to include aerial tramways, tows, and conveyors in the state safety and insurance requirements; State Parks supported it as agency-request legislation, and the bill was presented as a technical update with no opposition noted in the excerpt.

Transcript Highlights:

• So we review them the same way. I've certainly heard concerns about package plants.
• TAWC has also reviewed the House Committee substitute revisions in support of those changes.

Bills: SB243, SB1586, SB1891, SB1959, SB2159, SB2568

Keywords: migrant labor housing, migrant housing, farmworker housing, migrant agricultural worker, agricultural labor, farm labor contractor, Texas Department of Housing and Community Affairs, TDHCA, civil penalty, housing code enforcement, sanitation, occupancy standards, retaliation, worker complaint, language access, Spanish-language outreach, H-2A visa, temporary agricultural workers, unlicensed housing, rural housing

Transcript Highlights:

• And And even request an audit after review, the Secretary of State can determine if there's a violation
• defendant can rebut the probable cause finding by making a showing. to the court for an in-camera review
• I haven't reviewed the committee substitute, but I am here to testify against SB 2035 as written.
• But I'd rather do a review and analysis of the total package. rather than an echelon.
• Chair, that you actually either review this during the interim session or before you actually pass this

Bills: SB16, SB76, SB310, SB311, SB396, SB505, SB827, SB964, SB1209, SB1210, SB1386, SB1470, SB2035, SJR37, SB 16

Keywords: voter registration, proof of citizenship, Election Code, criminal offenses, limited federal ballot, transportation, infrastructure, funding, public safety, state regulation, election, polling places, voter access, state oversight, electronic voting, voting, polling place, elections, countywide program, election integrity

Bills: SB16, SB76, SB310, SB311, SB396, SB505, SB827, SB964, SB1209, SB1210, SB1386, SB1470, SB2035, SJR37, SB 16

Keywords: voter registration, proof of citizenship, Election Code, criminal offenses, limited federal ballot, transportation, infrastructure, funding, public safety, state regulation, election, polling places, voter access, state oversight, electronic voting, voting, polling place, elections, countywide program, election integrity

Transcript Highlights:

• But that's obviously subject to federal review still. And will we start that '27 for them?
• I'm remembering the TEMA grant that we worked on with CMS for transforming maternal mortality.
• And that's why I was going with the— Transforming maternal mortality.
• And that's where I was going with the maternal mortality. Yeah.
• This slide gives us a review of where the department stands from a personnel perspective.

Summary: The committee first heard a budget presentation on LSU Health Care Services Division and Lallie Kemp Medical Center. Staff reviewed HCSD’s roughly $74.7 million budget, much of it tied to legacy obligations for former LSU hospital systems and support for Lallie Kemp. Committee members asked about prisoner care, risk management costs, declining admissions and emergency visits, and the hospital’s 340B drug program. Lallie Kemp officials explained that prisoner care serves multiple state and local facilities, that lower admissions largely reflect more patients being placed in observation status, and that the in-house 340B program provides major savings to patients and the prison system. Members also asked about care for unhoused patients and the hospital’s discharge practices, and the hospital said social services works to find placement when possible. The committee then moved to the Louisiana Department of Health budget, which was presented as just under $23.5 billion, with Medicaid making up more than 90 percent of the total. The presentation covered the Office of the Secretary, Office of Public Health, Office of Behavioral Health, Office for Citizens with Developmental Disabilities, and Medicaid. Major items included the new Rural Health Transformation Program, the transfer of several functions from DCFS to LDH under the One Door initiative, changes to SNAP administration, and large Medicaid adjustments driven by enrollment, utilization, and federal policy changes. Testimony also highlighted the statewide crisis hub and 988, the commodity food program for seniors, women’s health and maternal outcomes, and the department’s efforts to modernize technology and reorganize services. Members questioned LDH officials on a wide range of budget and policy issues, including the rural health grant, crisis services, Medicaid redeterminations, provider taxes, physician and hospital supplemental payments, nursing home rates, HCBS funding, and the impact of the federal One Big Beautiful Bill Act. LDH said the rural health grant would support workforce, technology, and care-delivery improvements; that the crisis hub and mobile crisis units are being expanded to improve access and reduce emergency room use; and that the department is working to keep the SNAP error rate below 6 percent to avoid a projected state cost increase. Officials also said they expect to return next year with additional funding requests for HCBS and other programs, while emphasizing that current budget changes are largely meant to realign funding with actual expenditures and new federal requirements. No votes or formal actions were taken in the portion provided.

Transcript Highlights:

• So this is you can see the volume of advocacy services, of case review services.
• So this is you can see the volume of advocacy services, of case review services.
• That's going to be review services.
• ><c> year</c><01:23:01.199><c> um</c><01:23:01.360><c> in</c> reviewed 64,000 cases last year um in reviewed
• ,</c><01:32:00.880><c> elicit</c><01:32:01.360><c> opioid</c> lower rates of mortality, elicit opioid

Keywords: Meeting Start: 00:00:00 Roll Call: 00:00:05 25 RS HB 534 - AN ACT relating to actions for forcible entry and detainer: 00:01:45 25 RS SB 111 - AN ACT relating to juvenile justice: 00:23:46 Children's Advocacy Centers of Kentucky: 01:13:26 Opioid Use Disorder (OUD) Treatment in State and County Correctional Facilities: 01:25:28, 958, all

Summary: The committee approved the September 18 minutes and then heard testimony on House Bill 534, which would automatically seal dismissed eviction filings and protect youth from public disclosure in forcible detainer cases. Rep. Susan Tyler Whitten and George Ecklan of the Coalition for the Homeless said the bill is aimed at reducing housing barriers for Kentuckians, especially those with dismissed cases, while preserving landlords’ rights to pursue rent, collections, damages, and other legal remedies. They said the proposal was developed with input from landlords, clerks, judges, AOC, and service providers, and noted that similar laws exist in other states. Several members, including Sen. Neimes, Rep. Deetsz, Rep. Cole Carney, and Sen. Thomas, expressed support while emphasizing that the bill is narrowly tailored to dismissed cases and should not affect legitimate landlord claims; Sen. Wheeler raised concerns about cases involving settlements or delays and whether future landlords should know about them. The sponsors responded that the bill only covers dismissed actions, that dismissals require a judge’s order, and that the goal is to remove barriers created by records that remain publicly visible even when a case is resolved. The committee then took up Senate Bill 111 on juvenile justice. Commissioner Randy White, Kentucky Hospital Association President Nancy Galvanny, and Dr. Clark Lester of the University of Kentucky said the bill would require a secure state-run facility for youth with high-acuity mental health needs in detention and, until that is built, create a process with incentives for private hospitals to provide inpatient treatment with safeguards and increased compensation. They argued that detention is not an appropriate setting for severely mentally ill, violent youth and that private psychiatric hospitals often refuse these referrals or discharge them early. Dr. Lester cited recent referral data showing high denial rates for juvenile justice youth in private hospitals in August and September, often due to aggression, and described a case in which repeated placement attempts failed because of violent and self-harming behavior. The presenters said the bill is intended to fill a service gap and improve safety and outcomes for youth, staff, and hospitals, but no vote or final action on the bill was taken in the portion of the meeting provided.

Transcript Highlights:

• Private equity-run nursing homes were associated in one study with a 10% increase in mortality risk over
• <00:31:44.880><c> 10%</c><00:31:45.360><c> increase</c><00:31:45.600><c> in</c><00:31:45.760><c> mortality
• risk over a a 10% increase in mortality risk over a 12-year<00:31:47.320><c> period.
• Contrell has already described, Harvard University researchers reviewed 2.6 million visits, finding that
• </c><00:34:31.679><c> 2.6</c> University researchers reviewed 2.6 University researchers reviewed 2.6

Keywords: 1187, senate, all

Transcript Highlights:

• studies to reduce diabetes, heart disease, hypertension, obesity, depression, anxiety, and all-cause mortality
• studies to reduce diabetes, heart disease, hypertension, obesity, depression, anxiety, and all-caused mortality
• short time frame for obligating and spending the funds, and along with that will come a detailed review
• So for all of us, even those who have been hanging around for a while in this area, this review is important

Keywords: 908, all

Summary: The Joint Policy Committee met to hear an overview of North Dakota’s Rural Health Transformation Program before taking up the related policy bills. Department of Health and Human Services staff explained that the state received a $198.9 million CMS award, with funding focused on four pillars: strengthening rural workforce, bringing care closer to home, connecting technology and data, and improving population health through prevention. They emphasized that the program is intended to benefit rural and frontier residents statewide, including areas near urban centers when the project serves rural patients, and that CMS approval, provider readiness, and sustainability will drive what can be funded. Committee members asked about how the program would treat border communities, frontier counties, urban providers serving rural patients, multilingual outreach, tribal consultation, and whether there would be information sessions for applicants. HHS said the website will include sign-up and translation features, more listening sessions and training will be offered, and a rural health tribal liaison will work alongside the existing Medicaid tribal liaison. Members also raised concerns about reimbursement timing, cash flow for providers, and whether projects in urban areas could qualify; HHS responded that urban projects may be eligible if they clearly benefit rural residents. The department then outlined the four policy bills tied to the grant scoring: nutrition continuing medical education for physicians, the presidential fitness test, the physician assistant compact, and pharmacist scope of practice. HHS said these policy actions were incentivized in the federal funding opportunity and that failure to pass them could reduce future funding. The committee did not take final action on the bills in this portion of the transcript and recessed for lunch before moving on.

Transcript Highlights:

• the night with drains in the neck and ventilators and very, very serious infections, including a mortality
• That's the challenge. ...including a mortality or a death rate associated with those infections.
• this committee to take these concerns into consideration and appreciate your time and effort and review
• Just two weeks after this court ruling, the Cochran published an updated review, concluding that adding

Summary: The Appropriations Committee on Agriculture, Environment, and General Government heard a presentation on its 2025-2026 budget recommendations and adopted the proposal as a recommendation to the full Senate Appropriations Committee. The chair highlighted major funding items including more than $1.2 billion for water quality and Everglades work, citrus recovery, food bank and pantry grants, wastewater and drinking water loans, beach restoration, flood and sea level rise projects, rural land protection, disaster loans, state facilities repairs, SLERS, accounting system replacement, and continued funding for My Safe Florida Home. Staff were authorized to make technical adjustments, and members were told final proviso project lists would be printed later in the week. The committee then considered several bills and reported them favorably, including SB 796 on DEP general permits for distributed wastewater treatment systems to help local governments address failing septic-related water quality problems; SB 1162 expanding boating improvement and water access facilities programs; SB 466 implementing the Florida Museum of Black History task force’s selection of West Augustine as the museum site; SB 178 creating a FAMU agronomic study on viable crops for land taken out of production; CS/SB 678 allowing pawnbroker transaction forms to be printed or digital; and CS/SB 736 updating the Brownfields program, with a technical amendment adopted. Testimony on these bills was generally supportive, with speakers from affected industries, local governments, and advocacy groups. The committee also took up CS/CS/SB 700, the comprehensive Florida Farm Bill, which included technical agency changes and major policy provisions such as restrictions on additives to public water supplies, labeling requirements for meat, milk, poultry, and eggs, drone-related protections for farmland, disaster recovery loan updates, an honest services registry for charities, FFA scholarship and school infrastructure provisions, and a mechanism for state purchase of former solar-converted agricultural land. The water-additive provisions drew extensive debate and testimony from supporters and opponents, including dental professionals, public health advocates, and groups arguing for medical freedom and local control. Despite the controversy and a no vote from Senator Arrington, the bill was reported favorably. Finally, SB 1226 creating a regulatory framework for pet insurance was also reported favorably, and the committee adjourned after members recorded additional votes on several bills.

Transcript Highlights:

• Um, Vice Chair Burkel, have you had a chance to review the minutes? I have, Mr.
• </c> necessary documentation, reviewing necessary documentation, reviewing exploration<00:13:36.720><
• He said mortality between six months and a year is obviously greater than what you see after a year,
• Uh as you on deer farms on mortality.
• So that mortality<00:57:57.680><c> between</c><00:57:58.079><c> 6</c><00:57:58.319><c> months</c><00:

Keywords: 1183, house

Transcript Highlights:

• Broaden morbidity and mortality incident reporting and update material to comply with KRS Chapter 13A
• Broaden morbidity and mortality<00:04:17.760><c> incident</c><00:04:18.280><c> reporting</c><00:04:18.880
• ><c> and</c><00:04:19.000><c> update</c> mortality incident reporting and update mortality incident reporting
• As a part of our duties, we routinely review and comment on proposed regulations, legislation, anything
• and comment on proposed review and comment on proposed regulations,<00:26:07.840><c> legislation,</c

Keywords: 0:06 - Roll Call 0:30 - Approval of Minutes 0:45 - OFFICE OF THE ATTORNEY GENERAL 2:08 - FINANCE AND ADMINISTRATION CABINET - OFFICE OF THE CONTROLLER 2:55 - BOARD OF DENTISTRY 5:30 - BOARD OF OPHTHALMIC DISPENSERS 7:30 - BOARD OF NURSING 8:32 - BOARD OF EMERGENCY MEDICAL SERVICES 9:30 - EDUCATION AND LABOR CABINET - DEPARTMENT OF EDUCATION, OFFICE OF DISTRICT SUPPORT SERVICES 15:35 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR PUBLIC HEALTH 18:44 - CABINET FOR HEALTH AND FAMILY SERVICES, OFFICE OF THE INSPECTOR GENERAL, HEALTH SERVICES AND FACILITIES 23:39 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR MEDICAID SERVICES 1:01:46 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR PUBLIC HEALTH, OFFICE FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS 1:03:46 - Next meeting/adjournment, 958, all

Summary: The committee first approved the minutes and then took up a series of administrative regulations from several agencies. Early items included Attorney General consumer protection rules on removal sales, health spas, liquidation sales, and nonresident sellers of visual aid glasses; Finance and Administration Controller rules on clearinghouse validation and fraud prevention; and Board of Dentistry rules updating exam requirements, controlled substance prescribing, training for neuromodulators and dermal fillers, infection control, sedation/anesthesia continuing education, and required education on pediatric abusive head trauma and controlled substance ingestion prevention. The committee also approved staff amendments on these items, generally to conform to KRS Chapter 13A, and members asked a brief question about the dentistry controlled-substances changes, which was answered as an alignment with statute. The committee next approved regulations for the Board of Ophthalmic Dispensers, Board of Nursing, and Board of Emergency Medical Services. The ophthalmic dispensers package would revise meeting and recordkeeping language, raise renewal fees, set reinstatement and apprentice-license rules, add complaint and hearing procedures, and repeal a duplicative regulation. The nursing regulations would streamline approval of training programs and require notice and documentation of site visits and deficiencies. EMS rules would create five EMS medical director certifications, set expiration and renewal requirements, require publication of disciplinary sanctions, and exempt currently approved directors before October 1, 2026. Staff amendments were adopted without objection on each set. The Education and Labor Cabinet’s school transportation regulation drew extended discussion. The agency explained the changes were intended to implement Senate Bill 46 and update references affected by later legislation, including an oral amendment to delete a subsection reference tied to KRS 160.380. The committee adopted both the agency and oral amendments without objection after brief questions about the scope of the bill changes and van transportation for students. The committee then heard a lengthy package from the Department for Public Health on WIC and related nutrition program regulations, including updates to infant and child certification periods, documentation requirements, vendor criteria, sanctions, hearing procedures, and high-risk vendor standards. Staff amendments were adopted without objection. Finally, the committee considered the Inspector General’s regulation for freestanding birthing centers, which included both staff and agency amendments. The agency changes would require two neonatal resuscitation program-certified staff, set rules for medical director vacancies and appeals, revise facility and staffing terminology, adjust transfer-agreement requirements, and allow waivers when agreements cannot be secured. Mary Katherine DeLodder of the Kentucky Birth Coalition testified in support, saying the parties had worked through concerns and were ready to move forward. The committee then moved on to Medicaid’s 1915C child waiver regulations, where staff amendments were adopted, but Lucy Heskins of Kentucky Protection and Advocacy testified against the package because it did not include person-directed services, which she said are required by Kentucky law and important for families using the waiver.

Transcript Highlights:

• You have a bill telling the school districts to review the amount of screen time and giving policies
• You're asking them to review their policies, correct?
• A review by Alpern and colleagues identified 19 worldwide deaths attributed to ibogaine from 1990 to
• A review by Alpern and colleagues identified 19 worldwide deaths attributed to ibogaine from 1990 to
• ... ...could be a prevention. 98% of maternal mortality deaths could have been prevented.

Keywords: 959, house, all

Summary: The House first established a quorum after a quorum call and welcomed special guests, including the Freedom of the Road motorcycle riders and students from Warsaw High School. It then took up House Committee Substitute for House Bill 1855, a reporting bill on Alpha-Gal syndrome. The bill sponsor described the condition as a serious tick-borne allergy that has affected his family and many Missourians, arguing that Missouri needs mandatory reporting and surveillance data to identify hotspots, guide public health outreach, and support research and funding. Supporters from both parties said the bill would improve awareness and data collection, while one member raised concerns about the fiscal note and whether the state would get useful information for the cost. The chamber adopted Amendment 1 to HB 1855, changing the follow-up language from “may” to “shall,” but rejected Amendment 2, which would have required patient consent before lab results were reported into the surveillance system. Opponents of the consent amendment said it would undermine disease surveillance and set a bad precedent for other reportable conditions; supporters argued for privacy and individual choice. After debate, the House adopted the committee substitute as amended and ordered it perfected and printed. The House then considered House Committee Substitute for House Bills 2230 and 2978, a K-5 education measure addressing screen time, cursive, and handwriting. The sponsor said the bill responds to research and parent/teacher concerns about excessive screen use, poor literacy outcomes, and mental health effects, and would create a state focus group to review evidence and make recommendations while leaving districts flexibility. Members discussed carve-outs for special education, English language learners, and virtual school, and adopted an amendment excluding the virtual school program. The House then adopted the substitute as amended and ordered it perfected and printed. Finally, the House took up House Bill 2355, the “Food is Medicine” initiative, which would allow Missouri to use federal funds through 1115 waivers for pilot programs such as medically tailored meals, produce prescriptions, nutrition education, and related supports. Supporters said the program could improve health outcomes, reduce Medicaid spending, and help address food deserts. An amendment adding vitamin therapies and updating a date drew discussion over supplement safety and regulation, but the transcript cuts off before a final vote on that amendment or the bill itself.

Transcript Highlights:

• For example, in the winter on our operation, mortalities get hauled to decompose on a remote part of
• In conclusion, AB 411 will provide ranchers a much-needed and safe method for disposing routine mortalities
• Routine mortalities are an unfortunate reality of raising livestock, whether they result from predation
• Many ranchers instead resort to disposing of mortalities in bone piles, but bone piles are an attractant
• This bill will provide ranchers a much-needed method for disposing of routine mortalities on the ranch

Keywords: 988, house, all