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:

• We will go to Physicians and we are in support of this bill. Thank you. Thank you.
• With this, Madam Chair, would this include reaching out, recruiting physicians as well as other health
• Rick Madden, Academy of Family Physicians. Pardon me, Madam Chair.
• I am a physician assistant student.
• I am a physician assistant student.

Keywords: 996, all

Transcript Highlights:

• My wife is a practicing physician.
• My wife is a practicing physician.
• My wife is a practicing physician.
• find it unconscionable that a physician find it unconscionable that a physician would<00:13:21.120
• <01:27:15.719> if patient who goes to such a physician if patient who goes to such a physician

Keywords: 928, house, all

Summary: The committee heard testimony on House Bill 232 from prime sponsor Representative Mark Pearson, who said the bill is intended to protect conscience rights for health care professionals and students, especially in relation to abortion and sterilization-related procedures. He argued that protecting ethical objections would help retain and recruit medical workers in New Hampshire, reduce moral injury, and preserve patient access to care. Pearson said the bill is not meant to allow discrimination based on protected characteristics and emphasized that it is limited to objections to specific procedures, with an amendment added to address concerns raised by Chairman Lynn. Members questioned Pearson closely about the scope of the bill and amendment, including whether it could apply to non-physician staff such as schedulers or receptionists, whether a provider could refuse emergency care, and who would determine when an emergency exists. Pearson said the bill does not apply to emergency situations or to treatment after an abortion has already occurred, and he stated that emergency triage would control in obvious emergencies. He also said the intent was not to allow a person to take a job and then unexpectedly refuse duties, and he suggested the amendment could be tweaked to clarify its application to facilities and staff. Additional questions focused on whether the bill should be broader than the procedures listed, how it would interact with federal conscience protections, and whether it could affect contraception-related services, including pharmacies. Pearson responded that the bill addresses the specific issues raised by people he and his wife had spoken with, and he was open to revising the amendment to reduce ambiguity. No vote or final committee action was taken in the portion provided.

Transcript Highlights:

• This is especially important as we face a serious rural physician shortage.
• It changes how young physicians see rural medicine as a calling and a career.
• But wait, we are not just a physician training hub, but we train an entire workforce.
• serious rural physician shortage. serious rural physician shortage.
• But wait, we are not just a physician But wait, we are not just a physician training<01:05:28.680

Bills: HF4343

Keywords: sales tax, use tax, advertising tax, taxable services, digital advertising, online marketing, marketing services, search engine marketing, lead generation, internet advertising, ad agency, media buying, campaign planning, Minnesota tax law, service tax, broadening tax base, web advertising, promotional services, 1183, house

Transcript Highlights:

• already paying other non- physician providers. providers. providers.
• Do you share those notes with their primary physicians?
• Do you share those notes with their primary physicians?
• <01:11:42.400> It's physicians and other providers. It's physicians and other providers.
• Iboine is currently used by physicians Iboine is currently used by physicians in<01:33:07.520>

Keywords: 1. Call to Order and Roll Call – 00:00:00 2. Approval of Minutes – 00:01:32 3. Getting to Know the Foundation for a Healthy Kentucky – 00:02:26 4. Healthy Kids Clinic – 00:26:58 5. Pharmacy Payment Parity – 00:56:36 6. Ibogaine – 01:17:37 7. Consideration of Referred Administrative Regulations – 01:53:05 8. Adjournment – 01:53:19, 958, all

Summary: The committee first approved the prior meeting minutes and recognized Eric Clark for his service, noting this may be his last meeting before he leaves state government. The main presentation was from Allison Adams, president and CEO of the Foundation for a Healthy Kentucky, who described the organization’s history, nonpartisan mission, and focus on health equity, prevention, and upstream policy solutions. She said Kentucky’s poor rankings in chronic disease, preventable hospitalizations, and life expectancy show the need to shift resources toward prevention and community-driven strategies rather than relying mainly on treatment after people become sick. Adams emphasized leading health indicators, arguing that lawmakers should track actionable measures such as quit attempts and smoke-free policies instead of only lagging indicators like disease rates and mortality. In response to questions, she said accountability should be shared across communities and systems, with possible incentives and disincentives tied to outcomes, and she supported creating a public data utility or dashboard, ideally with university partners, to help legislators and communities monitor progress. She also cited examples of accountable health community models and said Kentucky could adapt similar approaches. The committee then heard from Meade County Schools Superintendent Mark Martin and district health coordinator Karen Kotche about the Healthy Kids Clinic partnership with Cumberland Health. They described a seven-year effort that led to full implementation in the district, which now has a nurse in every school and a nurse practitioner, allowing services such as sports physicals and other clinic functions to be provided on campus. They said the program has been a strong investment for students and the community and began explaining how the district built the partnership after earlier efforts and delays, including the pandemic.

Transcript Highlights:

• We need physicians. We need to train more physicians. We especially need family physicians.
• We need physicians. We need thing to do. We need physicians.
• We especially to train more physicians.
• We especially need<01:36:44.239> family<01:36:44.840> physicians.
• We especially need family physicians.

Keywords: 919, house, all

Summary: The committee took up House File 2312 and first adopted the DE1 amendment, after which the amended bill was discussed. Nonpartisan fiscal staff walked through the spreadsheet and explained the bill’s higher education budget changes, including increases for state grants and tribal college assistance, unchanged funding for several existing programs, and reductions or eliminations for items such as state work study, summer academic enrichment, student loan counseling, concurrent enrollment, and the student parent support initiative. Staff also noted transfers to special revenue funds, the cancellation and reappropriation of ALS research funding, and a new licensing/registration revenue item. The committee was told the bill met the committee’s zero target overall, with a net general fund change of zero relative to the February forecast, while also adding some non-general fund expenditures for program licensing and registration. Members asked several questions about the transfers and specific line items, including whether any new special revenue accounts were being created, the foster care wraparound services line, and the treatment of the University of Minnesota and Centric Care partnership. Staff explained that the transfers generally did not create new accounts, that some items were not in the base, and that the U of M/Centric Care partnership was a one-time appropriation in the prior bill but was now being built into the base at a different amount. The University of Minnesota section also included new or continued funding for medical school development, health training restoration, emergency assistance grants, ALS research, and a weather resiliency program, while the Mayo Foundation section eliminated funding for Mayo Medical School and the Mayo family medicine residency program. The policy portion of the DE1 was then introduced. It included a maximum tuition and fee amount for state grants, direct appropriation of emergency assistance grants to Minnesota State, a juvenile justice appropriation for Metropolitan State University, and the ALS research reappropriation to the University of Minnesota. It also contained repealers for unfunded programs, including a delayed repealer for the student parent support initiative. In the higher education policy article, the bill would allow Minnesota State to offer applied doctoral degrees in cybersecurity, make technical changes to hunger-free campus and sexual misconduct procedures, extend pregnant and parenting student protections to private institutions, allow OHE to retain up to 10% of certain competitive grants for administration, consolidate reports, change the state grant formula so negative FAFSA contributions count as zero, and reduce the state grant lifetime credit cap from 180 to 120 credits. The Northstar Promise provisions would limit tuition and fees to resident rates and require MnState, and request the University of Minnesota, to ensure eligible students receive the benefit.

Transcript Highlights:

• It prohibits a physician from performing stem cell therapies with stem cells obtained from a facility
• that fails to meet certain criteria or accreditation standards. ...and provides that a physician who
• All the bill does is let physicians treat patients with stem cell therapies that are not approved by
• And in addition, we are going to have physicians not coming to the state of Florida.
• And in addition, we are going to have physicians not coming to the state of Florida.

Summary: The Senate opened with prayer, the Pledge of Allegiance, and a series of member introductions recognizing interns, pages, volunteers, and the retirement of Pastor Gary Austin from the sergeant’s office. Leadership also announced that budget talks with the House were continuing and that senators would not need to plan on being in next week, suggesting progress toward a budget framework. After routine floor business, the chamber took up a major third-reading measure on citizen initiatives and several education bills, followed later by returning messages from the House on health and school-safety measures. The most extensive debate centered on the citizen initiative bill, which sponsors said was intended to protect the constitutional amendment process from fraud and abuse based on election-crime investigations and a large state report on petition fraud. Supporters argued the bill would add reasonable guardrails, prevent misuse of public funds, and preserve integrity while still allowing grassroots participation. Opponents from both parties argued it would make citizen-led amendments much harder by adding costs, deadlines, criminal penalties, and administrative burdens that would chill participation and favor wealthy or corporate interests. After lengthy debate, the Senate voted 28-10 to pass the bill. The chamber then passed several education measures with little or no opposition, including bills tied to Bright Futures, dual enrollment, Florida ABLE, teacher preparation, and other education policy updates, all by 38-0. Later, the Senate concurred in House amendments on a stem cell therapy bill, an EKG requirement for student athletes, and a cardiac emergency bill, each passing 37-0. The House also sent back a school safety bill with amendments affecting child care facility partnerships with law enforcement, temporary door locks during active assailant incidents, supervision windows, and funding for panic alarm systems; the transcript ends as that bill is being explained.

Transcript Highlights:

• It's not the big bad physicians, and it's not the big bad hospitals.
• Hey, and I'm representing 59,000 physicians.
• As physicians, that's very important to us. All right, thank you.
• One thing I'm proud of as a physician, and two, we should be proud of as a body.
• And so it's hard for me listening to a physician tell me that's their stance on this.

Bills: HB139, HB1818, HB1942, HB1959, HB2221, HB2254, HB2563, HB2067, HB2275, HB3211, HB139

Keywords: HB 1818, Texas Insurance Code, Texas Department of Insurance, commissioner of insurance, health maintenance organization, HMO, insurer, utilization review, preauthorization, prior authorization, medical necessity review, health care services, medical care, insurance regulation, insurance examination, regulatory oversight, confidential records, public information exception, Chapter 843, Chapter 1301

Transcript Highlights:

• New physicians, physicians who are operating on their own, were not able to cover the expense of going
• Hospitals are not vicariously liable for the alleged medical negligence of the physicians.
• To perform services, procedures at the hospital, the physician still has to be credentialed.
• To perform services, procedures at the hospital, the physician still has to be credentialed.
• 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 testimony on several bills affecting civil practice, judicial conduct, and attorney regulation. HB 4961 and the similar HB 3095 would bar uninsured motorists from recovering non-economic damages after a collision, with HB 3095 also addressing certain exceptions and limiting economic damages in some cases. Supporters said the measures would encourage insurance coverage and fairness for insured drivers, while opponents argued they would unfairly punish injured people who were not responsible for the lack of insurance, including pedestrians, passengers, children, and others. HB 3095 drew constitutional concerns from witnesses, and the committee later withdrew the committee substitute and left the bill pending; HB 4961 was also left pending after questions about its scope, including passengers. HB 5570 would expand a continuing legal education exemption to attorneys appointed by the governor and confirmed by the Senate who serve on boards or commissions. The author and witness said the bill would free up time for public service while still requiring ethics training. A committee member raised a discrepancy in the number of attorneys covered, and the bill was left pending. HB 2969 would prohibit the State Bar from adopting rules or penalties that unreasonably burden attorneys’ religious exercise or free speech, especially in relation to sincerely held religious beliefs. Supporters framed it as a protection for lawyers of faith against an ABA-style speech code, while no one testified in opposition; the bill was left pending. HB 4260 would prohibit county judges and county commissioners from practicing law in courts over which they have jurisdiction. The author described it as an ethics measure to avoid conflicts of interest, but county officials and the County Judges and Commissioners Association opposed it, saying existing ethics rules already address conflicts and that the bill would impose hardships, especially in rural counties. The bill was left pending. HB 4388 would require all judges, including those who serve only in administrative roles, to remain subject to the Code of Judicial Conduct; supporters said some judges avoid discipline by relinquishing judicial functions, while opponents said the bill was unnecessary and could burden county judges who serve as administrators. It was also left pending. The committee also heard HB 5134, which would limit Rule 202 pre-suit depositions to people who have suffered or reasonably expect to suffer actual damages and allow attorney’s fees against abusive petitioners. The author said the bill would curb harassment and fishing expeditions, but members questioned how the standard would work in practice; the bill was left pending. Finally, HB 3964 would narrow common-law public nuisance claims by barring suits over lawful conduct, conduct already addressed by other remedies, and products, while preserving other causes of action. Supporters said the bill would prevent regulation through litigation and protect legislative authority; opponents said it would eliminate important remedies and that no Texas abuse had been shown. The author indicated he would revise the bill, and it was left pending.

Transcript Highlights:

• We took a little bit of a different direction with our naturopathic physicians.
• accrediting agency that's very important for schools, universities, and programs for naturopathic physicians
• patients and the profession of naturopaths by ensuring continuing access to well-trained naturopathic physicians
• Naturopathic physicians are part of the team.
• Naturopathic physicians are part of the team.

Keywords: 1182, all

Transcript Highlights:

• Jamie Fukulei, registered nurse Shawn Morish, certified physician assistant Kyle O'Hisa, Dr.
• Kyle O'Hisa is a neurology physician assistant at Polyomi who earned his physician assistant degree at
• Kyle O'Hisa is a neurology physician assistant at Polyomi who earned his physician assistant degree at

Bills: SB2723, HB9

Keywords: law enforcement, State Sheriffs Day, Hawaii, commemoration, public safety, honor sheriffs, HB9, Hawaii Purple Heart state, Purple Heart, Purple Heart recipients, veterans, military, armed forces, service members, combat wounded, war veterans, military honors, state designation, symbolic legislation, honorary designation

Transcript Highlights:

• and you understand, similar to how a gynecologist, that special relationship you have with your physician
• as a woman, in HIV care, you build a very sacred relationship with your physician.
• And to have to all of a sudden build that relationship and trust with another physician and practice,
• And it requires emergency departments to designate a physician, nurse, or paramedic as the lead person
• certificate to practice in Florida, resulting in thousands of patients losing their primary care physicians

Summary: The Appropriations Committee on Health and Human Services heard public comment on several health and human services funding concerns before moving through a series of bills. Testimony at the start focused on the AIDS Drug Assistance Program, with a client warning that proposed changes to eligibility and drug access could disrupt care for thousands of people living with HIV/AIDS, and urging the Legislature to intervene. Another speaker asked for support for the iBudget waiver, saying provider costs have risen and requesting about a 7% increase for direct support professionals to help stabilize the developmental disabilities workforce. The committee then unanimously reported favorably several bills. SB 428 expanded Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7, based on drowning-prevention recommendations. SB 68 required hospitals with emergency departments to adopt pediatric emergency care policies, training, equipment standards, and readiness assessments; an amendment aligned reporting dates with the House version. SB 1718 changed the definition of when an adult visitor in an out-of-home placement becomes a non-visitor, reducing repeated background checks, made the Step Into Success pilot permanent, adjusted foster youth stipends, and created a best-practices program within the Florida Institute for Child Welfare. The committee also approved SB 606, which adds drowning-prevention and safe-bathing education to postpartum materials provided to new parents and requires hospitals and birthing centers to document compliance; members highlighted bathtub drownings as a key concern. SB 96 expanded eligibility for the Veterans Dental Care Grant Program to veterans up to 400% of the federal poverty level, while an amendment removed the bill’s specific appropriation so funding can be handled in the budget process. SB 340 required nursing students to complete a two-hour human trafficking course before taking the NCLEX. SB 1480 created a grandfathering process for certain health care providers in federally designated areas of critical need if an area is de-designated, to avoid disrupting patient-provider relationships. All bills were reported favorably, and the committee adjourned at the end of the agenda.

Transcript Highlights:

• Now, um there's a letter from the Minnesota Academy of Eye Physicians and Surgeons in your packet, and
• Now, um there's a letter from the Minnesota Academy of Eye Physicians and Surgeons in your packet, and
• and Surgeons in your packet, Physicians and Surgeons in your packet, and<00:27:00.799> I'm<00
• They are surgeons, doctors, physicians, and surgeons.
• We did this for physician assistants.

Keywords: 1183, house

Transcript Highlights:

• Members this bill clarifies that a ringside physician is immune from civil liability arising from any
• and population. of these events, the need for more ringside physicians has grown.
• Recent reports show that physicians are reluctant to sign up to work combative sports due to the lack
• Relaying to immunity for ringside physicians assigned to competitive sports events. Mr.
• I think we'll get another the physicians on board when the product's available.

Bills: SCR5, SCR13, SB3, SB6, SB10, SB12, SB13, SB15, SB17, SB18, SB19, SB24, SB35, SB57, SB65, SB112, SB284, SB290, SB388, SB400, SB402, SB412, SB495, SB499, SB502, SB509, SB621, SB706, SB740, SB815, SB842, SB854, SB875, SB893, SB917, SB974, SB1025, SB1061, SB1073, SB1106, SB1268, SB1281, SB1300, SB1362, SB1379, SB1447, SB1451, SB1555, SB1902, SJR36, SJR12, SCR13, SCR25, SCR5, SCR22, SCR12, SCR24, SB495, SB412, SB10, SB18, SB565, SB372, SB842, SB765, SB62, SB19, SB666, SB707, SB888, SB687, SB706, SB847, SB290, SB13, SB1248, SB740, SB14, SB1006, SB504, SB917, SB925, SB388, SB1902, SB1121, SB995, SB857, SB305, SB296, SB284, SB35, SB6, SB815, SB3, SB1281, SB1379, SB1300, SB1497, SB1499, SB1498, SB1451, SB1061, SB15, SB65, SB241, SB304, SB402, SB499, SB621, SB974, SB1023, SB1024, SB1025, SB1106, SB686, SB112, SB371, SB204, SB400, SB609, SB1447, SB670, SB502, SB427, SB850, SB854, SB413, SB1555, SB1362, SB1346, SB1033, SB1220, SB1073, SB810, SB987, SB1539, SB893, SB447, SB875, SB406, SB509, SB985, SB965, SB17, SB1119, SB1505, SB12, SB24, SB57, SB1194, SB1253, SB1215, SB1532, SB1268, SB1302, SB856, SB650, SB583, SB673, SB840, SJR57, SCR8, SB213, SB681, SB1172, SB1252, SB378, SB610, SB918, SB1343, SB608, SB487, SB955, SB957, SB988, SB990, SB1019, SB1021, SB1120, SB251, SB958, SB535, SB761, SB1, SB541, SB315, SB379, SB1018, SB1737, SB266, SB1415

Keywords: SCR 5, Senate Concurrent Resolution 5, Texas School for the Deaf, TSD, Robert Rives, gymnasium naming, building naming, honorary resolution, commemorative resolution, deaf education, hard of hearing, Gallaudet University, alumni hall of fame, football coach, school facility naming, education K-16, State Affairs, Texas Legislature, public school tribute, water rights

Transcript Highlights:

• You know, we're talking about veterinarians, we're talking about nurses, physicians, I mean, welders,
• You know, we're talking about veterinarians, we're talking about nurses, physicians, I mean, welders,
• You know, we're talking about veterinarians, we're talking about nurses, physicians, I mean, welders,
• You know, we're talking about veterinarians, we're talking about nurses, physicians, I mean, welders,
• You know, we're talking about veterinarians, we're talking about nurses, physicians, I mean, welders,

Keywords: Call to Order 00:00 Roll Call 00:05 HB 566 Discussion 01:34 HB 566 Vote 16:42 HB 39 Discussion 19:15 HB 39 Vote 23:10 HB 70 Discussion 24:48 HB 70 Vote 27:36 HB 72 Discussion 28:58 HB 72 Vote 39:45 HB 79 Discussion 41:45 HB 79 Vote 42:58 HB 223 Discussion 45:34 HB 223 Vote 46:24 Adjournment 47:38, 958, all

Summary: The committee first took up House Bill 566, which would implement the Kentucky Horse Racing and Gaming Corporation created last year. Chairman Cook described major provisions affecting charitable gaming, horse racing, sports wagering, and quarter horse racing, including locking charitable gaming fees in statute at a slightly lower rate, expanding charitable gaming board representation, preserving existing gaming technology, allowing school districts to hold charitable gaming licenses, and setting up self-funding for the new corporation through administrative set-asides from gaming-related funds. The bill also addresses uncashed vouchers, cross-training of investigators, ethics and employment provisions, and a three-year quarter horse breeding incentive intended to grow the industry. A committee substitute made two technical changes: clarifying voucher money stays with the track facility and making the school district itself the license holder. The substitute and then the bill both passed favorably, with several members noting concerns from last year but supporting the revised structure. The committee then heard House Bill 70, an interstate compact for dietitians. Sponsor Representative Vanessa Grossl and witnesses said the measure would allow reciprocity with other compact states, improve workforce mobility, help military families, expand patient access and telehealth, and reduce administrative burden on the licensing board. The committee substitute created a third license category for educational interpreters, but that language actually belonged to the next bill; for HB 70, the committee voted the bill favorably without reported amendments. The bill passed unanimously or near-unanimously and was sent to the House floor. Next, House Bill 72 was presented by Representative DJ Johnson to amend the law governing limited x-ray machine operators. The sponsor explained that current law effectively prevents limited x-ray operators from working in the same facility as other imaging equipment, which he said creates compliance problems, disrupts training, and can force practices to move equipment or lose employees. The bill would allow limited x-ray technicians to operate in the same facility as other imaging equipment. During discussion, some members noted opposition from students and others in the field, and the sponsor invited industry witnesses to explain their concerns. The transcript cuts off before final action on HB 72 is completed.

Transcript Highlights:

• I'm a primary care physician, an internal medicine physician, and the chief medical officer at Community
• wein I'm a primary care physician wein I'm a primary care physician Internal<00:25:46.919> Medicine
• physician and the Internal Medicine physician and the chief<00:25:49.000> medical<00:25:49.360
• <01:09:02.839> working physician working physician working independently<01:09:04.960> rather
• insurance industry from The Physician insurance industry from The Physician Community<01:17:31.880

Keywords: 910, house, all

Summary: The joint hearing covered HB 553 on biomarker testing coverage, HB 556 on colorectal cancer screening access, and later HB 712 on 340B drug pricing. For HB 553, the American Cancer Society Cancer Action Network, patient advocates Natalie Heyman and Susan Hirano, a surgical oncologist, and the American Lung Association strongly supported the bill, arguing that biomarker testing should be covered when ordered by a doctor and guided by current evidence. DHS and several insurers offered comments and requested amendments, with DHS saying it appreciated the intent but wanted changes. The committees then voted to pass HB 553 with amendments, including a House draft and a defective date of July 1, 3000; both the House Health and Human Services and Homelessness committees adopted the recommendation unanimously. For HB 556, testimony focused on closing gaps in colorectal cancer screening, especially for uninsured and underinsured patients who can get stool-based screening but then cannot access follow-up colonoscopies. Community Clinic of Maui, ACS CAN, and the American Cancer Society supported the bill, with ACS CAN urging a program similar to the breast and cervical cancer control program and offering amendments. DHS requested that the program and appropriation not conflict with executive budget priorities, and the committees noted technical amendments, a defective date, a blank appropriation amount, and corrections changing Medicare references to Medicaid. HB 556 was also passed with amendments by both committees. The hearing then moved to HB 712 on 340B drug pricing and contract pharmacies. The Department of Health and the Attorney General’s office expressed concern that the bill would require the state to regulate private commercial activity and said the department lacked the expertise and resources to implement it as written, suggesting it might belong in a different statutory section. In contrast, PhRMA opposed the bill, while Hawaii Pacific Health and Hawaii Island Community Health Center supported it, saying 340B savings are important for hospital services and patient access to low-cost medications, especially where manufacturers have restricted shipments to contract pharmacies. No vote on HB 712 was taken in the portion provided.

Transcript Highlights:

• We have an abstractor who is Steph Christensen, a physician in Fargo.
• And our information is available to provider groups, physician groups, and actually to the public.
• This was a survey that looked at physicians who were prescribing pain medication, so pain management
• How can we make it easier for physicians, particularly in patients, to make sure that non-opioids are
• The other part of it is also, I talked a little bit about physicians, right, and the willingness of physicians

Summary: The committee first approved the minutes and then heard a detailed annual presentation from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and review findings. He explained the committee’s structure, the de-identified review process, and the distinction between pregnancy-associated and pregnancy-related deaths. He said national maternal mortality has declined from its 2021 peak, but mental health conditions, substance use, overdose, suicide, cardiovascular disease, hemorrhage, infection, and embolism remain major causes. He emphasized that many deaths are preventable, with especially high rates among non-Hispanic Black women and in the American Indian/Alaska Native population, and noted that a large share of deaths occur after 42 days postpartum. Committee members asked about suicide, domestic abuse, pregnancy testing in unexplained deaths, and the role of home births and midwife training. Dr. Arnold said the committee is adding a caseworker, exploring post-mortem pregnancy testing in suspicious cases, and working with coroners and forensic officials; he also said home births and untrained midwifery pose safety concerns and that better public education and facility-based care are important. The committee then heard from State Fire Marshal Dr. Matt Clark on cigarette ignition propensity standards and fire prevention. He recommended updating North Dakota’s cigarette ignition legislation to the current national standard and also considering legislation requiring fast-breakaway oxygen tubing, citing fatal fires involving smoking around home oxygen. He explained that his office verifies manufacturer testing and maintains certification for cigarettes sold in the state, but does not itself conduct the testing. Members asked about implementation, cost, and whether the standards apply in tribal communities; Clark said he would follow up with cost information and additional details, and that he had not seen evidence of a major issue on tribal lands but would look further. Christine Greff of the Department of Health and Human Services presented the North Dakota Stroke System of Care report. She described the statewide network of two comprehensive stroke centers, four primary stroke centers, and 30 acute stroke-ready hospitals, along with the stroke registry and quality-improvement efforts. She reported that most strokes are ischemic, that the median stroke patient age is 71.5, and that common risk factors include hypertension, dyslipidemia, obesity, and diabetes. She highlighted improvements in door-to-CT, thrombolytic treatment times, dysphagia screening, EMS pre-notification, and interfacility transfer performance, and said new priorities include hemorrhagic stroke quality measures and standardized EMS stroke screening tools. Members asked about the VA hospital’s participation, and Greff said she would pursue outreach. After a break, the committee heard testimony from Taha Khan of Vertex Pharmaceuticals as part of the prior authorization study, focused on non-opioid pain treatment. He argued that prior authorization can delay access to acute pain treatment and may push patients toward opioids, especially in the critical 24- to 72-hour post-discharge window. He cited data showing that even short opioid exposure can increase the risk of long-term use and said prior authorization is often a barrier for physicians and patients. Khan recommended open access with a quantity limit rather than prior authorization, suggesting a 14-day limit supported by the product’s data and an episode-of-care approach. Members asked about dental use, payer discussions, and cost; he said the product’s wholesale acquisition cost is about $16.10 per tablet, with patient assistance available, and that he would follow up on payer and comparison-cost questions.

Transcript Highlights:

• Today's physicians are bogged down in insurance paperwork and are severely underpaid because Medicare
• This bill is a step toward ensuring that physicians have the support they need to physicians have the
• in the AMA and has worked tirelessly to advance the roles of both patients and physicians.
• Following a vote by physicians and medical students at the AMA annual meeting, Dr.
• Fryhoffer served as president of the American College of Physicians.

Keywords: U.S. House of Representatives Floor Proceedings on Monday, June 29, 2026, 1012, house, all

Transcript Highlights:

• It's comparable to what you hear about with physicians and nurses and other health practitioners.
• We're like physicians. It's stepping back from dentists, right?
• We're like physicians, or they're like physicians.
• Medicine and physicians and their licensees.
• The Physicians Health Program is a lifesaver for people like me.

Keywords: 908, all

Summary: The committee first approved the December 3 minutes, then heard a request from the Board of Clinical Laboratory Practice to amend its proposed rule on exempt test methods to add certain closed-system DNA/RNA tests, including rhinovirus. After testimony explaining that the board had considered late comments from BioMérieux and wanted the rule record to reflect that review, the committee agreed to a limited amendment and passed the motion unanimously. The Department of Agriculture then outlined broad rule updates affecting dairy, eggs, poultry, pesticides, animal health, environmental mitigation, and the Egg Product Utilization Commission. The commissioner said the changes mostly clarified existing requirements, updated references, and reduced some burdens, such as easing dairy hauler training/licensing timing and clarifying out-of-state grade A milk language. Members asked about dairy industry decline, the APUC scoring system, and the rationale for the milk-hauler and out-of-state milk provisions. The State Board of Dental Examiners presented extensive rule changes tied to recent legislation and workforce issues, including a new professional health program for dentists, expanded duties for assistants and hygienists, broader local anesthetic authority for hygienists, and fee increases to fund the program and cover administrative costs. Testimony from Dr. Edward May strongly supported the professional health program based on his own recovery experience. The committee also heard from Game and Fish on rules easing some guide/outfitter experience requirements, allowing electronic exams, and modifying boating safety equipment rules, with no public comment and no fiscal impact. Later, Health and Human Services received approval for an extension to update tattoo/body art rules and a separate motion to repeal an obsolete nurse aide training chapter. HHS also described nursing facility rule updates, lodging sanitation revisions, and related clarifications on licensing, safety, pest control, and fire requirements. The Department of Environmental Quality received an extension for septic-system installer rules, and also presented rules for above-ground storage tanks and water/wastewater operator certification, including new fees and third-party testing options. The Industrial Commission’s oil and gas division described multiple rule changes, some withdrawn after comments, including drilling unit flexibility, site stability, wildfire authority, and streamlined transport/reporting procedures. Finally, DPI began presenting several rule packages, including school construction loan limits, school bus standards, cooperative agreements, special education rules for public charter schools, and new math curriculum and intervention requirements.

Transcript Highlights:

• Basically, this bill would limit what physicians can prescribe, specifically with OTC non-le drugs.
• licenses physicians and gives them<00:20:02.320> you<00:20:02.480> know<00:20:02.640><
• can prescribe and the uh what physicians can prescribe and uh<00:20:14.960> you<00:20:15.120>
• <00:22:40.960> dispensing would be to limit physician dispensing would be to limit physician
• <01:17:33.920> from the phrase or a licensed physician from the phrase or a licensed physician

Bills: SB3082, SB3110, SB3251

Keywords: military families, family leave, qualifying military exigency, Hawaii Revised Statutes, financial support, Hawaii National Guard, civil-military program, education, collective bargaining, exemption, SB3251, Hawaii public safety, ICE, Immigration and Customs Enforcement, Border Patrol, law enforcement hiring, state employment ban, police powers, Department of Law Enforcement, DLNR