Transcript Highlights:

• This bill provides chiropractors with the same expedited credentialing process as physicians, podiatrists
• delay their care until the new doctor is credentialed, or delay treatment until another provider can treat
• Current laws provide an expedited credentialing process for physicians, podiatrists, and therapeutic
• Under this process, a provider joining an already credentialed practice is treated as if they're in-network
• Physicians, podiatrists, and therapeutic optometrists are providers that patients often seek out the

Bills: HB854 , HB 1052 , HB1642 , HB2076 , HB3042 , HB3695 , HB3787 , HB4062 , HB4092 , SB213 , SB493 , SB896 , HB5519 , HB4635

Committee: House Insurance

Keywords: insurance, replacement cost, homeowner's policy, renter's policy, condominium insurance, property damage, claims process, telemedicine, teledentistry, telehealth, health benefit plan, insurance coverage, out-of-state services, anxiety, pain management, contraceptive devices, women's health, medical procedures, healthcare, laboratory

Transcript Highlights:

• Will we look back decades from now with regret at how we once treated?
• When treated individuals end up homeless or jailed, that is not compassion.
• or more expensive to treat.
• As a physician, it is my moral and professional obligation to ensure As a physician, it is my moral and
• As a physician, it is my moral and professional obligation to ensure As a physician, it is my moral and

Committee: Joint Joint Committee on the Judiciary

Summary: The Joint Committee on the Judiciary held a lengthy hearing on several juvenile justice and parole-related bills, with much of the testimony focused on H. 2051/S. 1087 to end lifetime parole for juveniles and emerging adults, and H. 1923 to raise the age of juvenile court jurisdiction to include 18-, 19-, and 20-year-olds. Chairs Brandy Fluker-Reid and Lydia Edwards opened the hearing by noting the large number of bills and witnesses, the need to keep testimony moving, and special procedures for incarcerated witnesses and sensitive testimony. They also acknowledged the historic nature of the hearing being chaired by two Black women attorneys. No votes were taken during the hearing itself. Many incarcerated speakers and advocates supported ending lifetime parole, arguing that young people can change, that lifetime supervision creates constant fear of technical violations, and that it undermines rehabilitation, family stability, employment, and reintegration. Several testified about their own trauma, youth, and growth in prison programs, while others emphasized the costs of decades of supervision and the racial disparities in the system. Support also came from elected officials, UTEC, the Transformational Prison Project, United Way, CPCS’s Youth Advocacy Division, the Massachusetts Coalition to Prevent Gun Violence, and others, who said juvenile systems are better suited to developmentally appropriate treatment and that the bills would improve public safety and reduce recidivism. There was also opposition, including testimony from family members of a murder victim who argued that lifetime parole should remain for serious violent crimes and that some offenders are not sufficiently rehabilitated. One virtual witness described a family tragedy involving the kidnapping and murder of her infant nephew and warned that ending lifetime parole could remove needed long-term supervision for dangerous offenders. In addition to the juvenile justice bills, the committee heard testimony on H. 1867, a bill related to continuing care for severe mental illness, and H. 2063, which would increase penalties for assaults on correction officers and other prison staff; the correction officers’ union supported H. 2063 and related safety bills. The hearing continued with many more witnesses and bill topics, but no final committee action was announced in the portion provided.

Transcript Highlights:

• and increased reimbursements for physicians.
• Are there any independent physicians at the table? Not always.
• Okay, reimbursement on Medicaid for physicians. We got to 85%.
• Okay, reimbursement on the Medicaid for physicians. We got to 85%.
• And then it's like $4.4 for hospital, $1.1 for physician. Okay.

Committee: House Appropriations

Transcript Highlights:

• or osteopathic physician.
• supervision of a physician, osteopathic physician, advanced practice registered nurse, or physician
• supervision of a physician, osteopathic physician, advanced practice registered nurse, or physician
• There were physicians, non-physician providers, regulatory agencies, the Washington Hospital Association
• Many rural hospitals do not have physician presence 24/7 and rely on physician associates, nurse practitioners

Summary: The Senate Health and Long-Term Care Committee held a Friday morning hearing with several House bills and then took executive action on three measures. In executive session, the committee voted do pass on Engrossed Substitute House Bill 2242, Substitute House Bill 2152, and Engrossed Substitute House Bill 2168, sending the first two to Rules and the overdose-mapping bill to Ways and Means. The committee also waived the five-day notice rule for several bills on the agenda. Public hearings focused on hospital inspections, continuing care retirement communities, radiologic technologist supervision, music therapy licensure, nursing regulation, ambulance billing after motor vehicle accidents, and EMT recertification. Representative Macri presented HB 2577 to require hospital inspections at least every 18 months, allow limited pauses during emergencies, and clarify when CMS or accrediting-body surveys may substitute for state inspections; DOH supported the bill, citing JLARC recommendations, while many people signed in opposed. Macri also presented Second Substitute HB 2384, which would require actuarial analysis review for certain CCRCs; OIC supported the transparency goal, while CCRC representatives opposed the added cost, though residents and association witnesses argued the oversight would protect seniors and their life savings. Representative Engel’s HB 2113 drew strong support from radiology, hospital, and provider groups for allowing virtual direct supervision for IV contrast procedures and aligning state law with CMS practice. Representative Ryu’s HB 1187 would bar ambulance services from sending motor-vehicle-accident medical debt to collections for 120 days; she described a personal experience with an ambulance collection issue, and the hearing was closed after no testifiers appeared. Representative Reed’s HB 2363 would let music therapy applicants practice under supervision for up to six months while exam results are processed; music therapy witnesses said it would prevent workforce gaps. Representative Simmons’ HB 2339 would update nursing title and transcript requirements and allow the board to issue interim permits directly, with the Board of Nursing and ARNP groups calling it a technical cleanup. HB 2540 would extend EMT recertification intervals to six years for long-tenured EMTs, and firefighters supported it as an administrative simplification without changing training requirements.

Transcript Highlights:

• of physicians were in the data bank.
• So, you have your scope over the physician.
• Home HIE, which would then have it in their record so that their physician, their primary care physician
• An ambulatory practice of physicians, a hundred and fifty dollars a year per physician.
• We have a lot of support from health care providers and physicians, and many physicians have been asking

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• Are there enough physicians? Are there enough nurses? Antitrust community is just the beginning.
• I'm the chief medical officer for ambulatory care for MU Health Care and a family physician.
• We're lucky to have had strong roots, training physicians in that rural community for many decades, many
• It's natural for physicians and staff to wonder what integration means for local access, for clinical
• We were able to treat more than 20 patients in our ED in under four hours, and we were able to transfer

Committee: House Special Committee on Rural Issues

Transcript Highlights:

• But in working in concert with the treating physician. And so that's what the bill does.
• And so that's ordered by the treating 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
• Is that kind of where this thing's, because I noticed we pared it down to a treating physician or advanced
• So if I'm understanding, you're saying it's not cost-effective just to treat for being overweight?

Committee: House Insurance

Summary: The House Insurance Committee met on April 23 with a quorum present and first deferred HB 1142. The committee then heard HB 1187, which would direct any excess Louisiana Citizens emergency assessment funds, after related debt is paid, toward the Louisiana Fortified Homes Program or future Citizens debt. Representative Sawyer and Commissioner Tim Temple said the bill would likely redirect about $50 million in one-time surplus funds and would help expand a popular roof-mitigation program that has already awarded more than 4,600 fortified roofs. The bill drew support from several witnesses and was reported as amended without objection. Next, HB 1210, dealing with insurance claim disputes and a pre-suit review process for Louisiana Citizens claims, was discussed. Representative Dana Henry said he was voluntarily deferring the bill and instead pursuing a study resolution after hearing concerns from members and stakeholders. Department and Citizens officials said the proposal was modeled on Florida’s process and could help resolve disputes faster and cheaper, but the bill was ultimately voluntarily deferred after testimony and some opposition cards were noted. The committee then took up HB 1199, which requires coverage for genetic testing and treatment related to SCN2A-associated disorders. Representative Jordan and the Diedon family gave emotional testimony about their daughter Emily’s diagnosis and the importance of timely genetic testing. The bill was amended to require that testing be ordered by a provider and deemed medically necessary by the health plan, with discussion about whether a neurologist should be involved; members said that issue could be refined later. HB 1199 was reported as amended. Finally, the committee considered HB 880, the Louisiana Artificial Intelligence Insurance Fairness Act, which would regulate AI use in underwriting, rating, and claims. After a lengthy discussion about state insurance regulation, McCarran-Ferguson, and concerns that the bill could jeopardize federal broadband funding, Representative Jordan voluntarily deferred HB 880, and HB 920 was also deferred. The committee then heard HB 1221, which would limit the policy data collected for the Louisiana Fortified Program Fund. Former Representative Bowler argued the bill was needed to protect policyholder privacy, while the Department of Insurance and Commissioner Temple said the data is needed for surplus-lines premium tax audits, fraud detection, and consumer assistance after disasters. The discussion continued with questions about what data would be visible and how it would be used, but the transcript ends before a final action on HB 1221 is shown.

Transcript Highlights:

• physician physician &gt;&gt; so<01:43:23.320><c> the</c><01:43:23.440><c> physician</c><01:43:23.800
• It's a physician physician is in Milton.
• </c> physician associates used to be. physician associates used to be.
• </c> referred to as a physician associate. referred to as a physician associate.
• </c> physician physically on the premises." physician physically on the premises."

Summary: The meeting began as a Committee of Conference on House Bill 194, but the discussion quickly centered on whether to remove an attached bill, 504, because of concerns about a possible fee or tax and a House rule issue. Members debated the procedural posture of the bill, whether the House version had been non-concurred, and whether the conference committee could still resolve the issue by adopting the House amendment or reconsidering the non-concur. The exchange became tense, with one side warning that failing to pass the measure could jeopardize a linked rural health transformation grant worth about $20 million. The committee ultimately recessed without resolving the 194/504 dispute and planned to return the next day. The committee then opened conference on House Bill 609, which dealt with use-of-force/self-defense language and restraint/seclusion authority in health care settings. On the self-defense portion, House members argued strongly for restoring vehicle language, saying people should be able to defend themselves in a car the same way they can in a home, especially in carjacking or assault situations where no weapon is displayed. Senate members expressed concern about expanding deadly-force protections too broadly and suggested narrowing the language to focus on imminent harm to the person, not property, while also questioning where the provision should be placed in statute. The second major topic in HB 609 was who may order restraint or seclusion in clinical settings. House members argued that physicians are not always immediately available, especially in hospitals and emergency settings, and that APRNs and physician associates should be able to act in crises if properly trained and credentialed. Senate members raised concerns about scope of practice and asked whether the language implied patient consent was required; the Senate side explained that consent language was intended to address capacity and informed decision-making, not to require voluntary consent to restraint. The discussion ended with the sides still apart, though the Senate floated a compromise allowing physician associates to order restraint when no doctor is physically on the premises, while not yet extending that authority to APRNs. The committee took a short break to continue negotiations on the firearm/self-defense piece.

Transcript Highlights:

• </c> American College of Emergency Physicians American College of Emergency Physicians Colorado<00:49
• The Colorado Medical Board oversees the licensure and regulation of physicians, physician assistants,
• ,</c><01:11:41.520><c> physician</c> regulation of physicians, physician regulation of physicians, physician
• license for physicians who do not treat patients or prescribe medicine, but just want to teach.
• </c> license for physicians who do not treat license for physicians who do not treat patients<01:12:16.200

Transcript Highlights:

• To amend and reenact sections 43-17-27.1 of the North Dakota Century Code relating to physician continuing
• This bill adds a requirement to the continuing education credits for physicians.
• Specifically, Section 1, subsection 2, requires that the board mandate physicians to complete a minimum
• Physicians are on a two-year cycle for CEUs, which means this credit will be for one hour every two years
• , and physician assistants.

Bills: HB1621 , HB1624 , HB1623 , HB1622 , HB1625 , HB1626 , HB1627 , HCR3038

Summary: The North Dakota House convened in special session with prayer, roll call, and a quorum present, then took up several rural health-related bills. Senate Bill 2401, as amended, required physicians to complete one hour of continuing education in nutrition and metabolic health each renewal cycle and also added language allowing criminal history background checks for the Board of Occupational Therapy Practice. Supporters emphasized the role of nutrition in reducing chronic disease, and the bill passed 92-0. The House then considered Senate Bill 2402, which expanded pharmacists’ limited prescriptive and therapeutic substitution authority for certain low-acuity conditions and clarified related lab-test and communication requirements. Members discussed examples such as motion sickness, cold sores, lice, hypoglycemia, COVID and flu testing, emergency access to medications and supplies, and limits excluding certain drug classes; the bill passed 91-1. Senate Bill 2403 created a temporary medical facility emergency operating loan option through the Bank of North Dakota for qualifying rural hospitals facing severe financial distress, with extensive debate over the targeted nature of the aid, anti-gifting concerns, repayment terms, and the hospital’s turnaround plan; it passed 80-12. Senate Bill 2404 appropriated funds for NDIT to address federal digital accessibility requirements and for the Public Service Commission’s litigation efforts related to transmission costs, with a backup loan authorization available if needed; it passed 92-0. At the close of the session, leaders thanked members and staff for their work on the rural health transformation package, a committee notified the Governor and the Senate that the House had completed its business, absent members were excused, and the House adjourned sine die.

Transcript Highlights:

• , or a physician who couldn't attend a scheduled conference because the physician who was supposed to
• Before a physician can treat a patient enrolled in a health plan or insured by an insurance company,
• Independent physicians don't have that.
• Physicians Alliance of California. ...of emergency physicians, and also Randall Hagar with the Psychiatric
• Physicians Alliance of California.

Summary: The Assembly Health Committee heard a long series of health-related bills, with most measures focused on access to care, administrative simplification, and behavioral health. Early items included AB 583, allowing nurse practitioners to sign death certificates; AB 492, requiring DHCS to notify local governments when new alcohol or drug recovery facilities are licensed; and AB 280, which would tighten provider directory accuracy requirements, add enforcement benchmarks, and allow use of a centralized database. Testimony on AB 280 highlighted the harms of “ghost networks,” while insurers and some provider groups opposed the bill as written, arguing it placed too much responsibility on plans and did not fully address provider-side data problems. AB 280 passed on a roll call vote, and several other bills were placed on consent and approved. The committee also advanced AB 636, expanding Medi-Cal coverage for medically necessary diapers for children up to age 21 and lowering the age threshold for access; AB 1041, streamlining physician credentialing with a uniform form and 90-day review deadline; and AB 787, requiring health plans to help enrollees find in-network providers quickly when directories fail. Supporters of these bills emphasized family financial strain, delays in care, and the burden of administrative red tape, while opponents of AB 1041 and AB 280 raised concerns about provider participation, accuracy, and liability. All three measures were approved and sent to Appropriations. The committee then took up AB 4 and AB 29. AB 4 would allow income-eligible Californians to buy Covered California coverage regardless of immigration status, and AB 29 would authorize Medi-Cal reimbursement for community health workers and doulas conducting ACE screenings. Both bills drew strong support from immigrant-rights, health access, and community-based organizations, and both passed on roll call votes, with AB 4 receiving some no votes. The committee also approved AB 416, which would allow emergency physicians to place 5150 holds in certain circumstances; supporters said it would reduce delays and overcrowding in emergency departments, while Disability Rights California and others warned it could increase unnecessary involuntary hospitalization and transfers to locked facilities. Despite those concerns, the bill passed and was sent onward for further consideration.

Transcript Highlights:

• I just want to confirm that a physician trained to read ultrasounds are the ones reading the... ...that
• a physician trained to read ultrasounds are the ones reading the ultrasounds and making a diagnosis
• A PA is not a physician. Okay.
• So sometimes ectopic pregnancies are treated with, for instance, methotrexate, which stops the further
• care, or pain being treated as part of palliative care.

Bills: HB4248 , HB3194 , HB3849 , HB4095 , HB4302 , HB3342 , HB3344 , HB3287 , HB3645 , HB3647 , HB3930 , HB3931 , HB1818 , HB4454 , HB4336

Committee: House Health and Human Services Oversight

Summary: The committee took up a series of health and human services bills, beginning with House Bill 4248, which was reported due pass on a 9-0 vote after an unclear procedural vote call. The next major item was House Bill 3194, a bill to prevent pregnancy resource centers from being singled out for discrimination. The author said the measure was intended to protect private nonprofit pregnancy centers from lawsuits and government interference, including in staffing and mission-related decisions. Members questioned the bill’s impact on counseling, contraception referrals, ectopic pregnancy treatment, employment practices, and whether it was necessary given existing law. The bill was reported due pass on a 10-2 vote. The committee then advanced House Bill 3849, a request bill from the Oklahoma Commission on Children and Youth to update language and broaden mentoring program credentialing, and House Bill 4095, which reaffirms the state role in the 211 collaborative and clarifies that it applies to hotline services for needs such as food, housing, clothing, transportation, and medical assistance. House Bill 4302 would allow the Office of Juvenile System Oversight to disclose a complainant’s identity to law enforcement if the complainant threatens harm. All three were reported due pass unanimously. Members also approved House Bill 3342, described as a Medicaid audit reform bill intended to curb punitive audits of providers; the author said the bill arose from cases where providers were penalized over reporting issues rather than fraud. House Bill 3344, aimed at improving foster care standards and home placements, passed 10-2 after questions about income thresholds, letters of recommendation, and whether the bill would apply to guardianship placements; the author said the goal was to raise standards and improve outcomes for children. House Bill 3287, requiring hospitals to post information and develop protocols for domestic violence and human trafficking victims, passed 12-0. House Bill 3645 created an alternate pathway for hospice referrals when a patient lacks next of kin or power of attorney, and House Bill 3647 established an all-payer claims database while emphasizing that the data could not be sold; both passed 12-0 after members raised concerns about federal consistency and privacy. Later, House Bill 3930, which defines “service animal” and requires sellers of emotional support animals to disclose that they are not service animals, passed 10-2. House Bill 3931 corrected a prior death-certificate change deadline and was reported due pass unanimously. House Bill 1818, a social work licensing cleanup bill, was amended to extend a sunset date to 2028 and then reported due pass 12-0. House Bill 4336 clarified pain-management definitions, including acute pain, and was reported due pass 12-0 after questions about labor and epidural care. House Bill 4454, an untimely PCS on medical marijuana edibles, would require clearer THC labeling and prohibit child-attractive shapes; the author cited pediatric ingestion incidents, and the bill passed 11-1. The committee then revisited House Bill 1818 to change the effective date to November 1, 2026, by unanimous consent.

Transcript Highlights:

• Physicians.
• Physicians. And though most of you Physicians.
• </c> to be treated as a secondass citizen? to be treated as a secondass citizen?
• </c> talk about a physician. talk about a physician.
• </c><01:44:01.280><c> and</c> conflict between physicians and conflict between physicians and physicians

Transcript Highlights:

• So, that's just basically defining what "treated" means in this.
• Line four, before "physician," insert "primary care." And then on page five, no.
• If a physician, physician assistant, or nurse practitioner is unable to certify the cause of death for
• We stand in opposition as future physicians and professionals.
• So her doctors started looking for other options to best treat her.

Committee: House House Health & Human Services

Transcript Highlights:

• On physicians in general.
• and physician wellness.
• physicians healthy.
• We have employed physicians.
• We have employed physicians.

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

Committee: House House Judiciary

Summary: The committee first took up House Bill 99, which would make changes to the Medical Malpractice Act, especially around punitive damages. The chair and sponsor said the bill would not be voted on that day and that public comment would wait until Monday, when a fuller presentation and any recommended substitute would be considered. Dr. Brooke Baker, a physician-lawyer, gave a long presentation on physician wellness, malpractice stress, and the effect of litigation on staffing and burnout, while also discussing hospital ownership structures, private equity, and rural hospital vulnerability. She argued that punitive damages are often pled too broadly in New Mexico, that the amendment language was unclear about which entities would be capped, and that better oversight and internal quality systems—not punitive damages—are the better tools for addressing bad actors and unsafe care. Committee members from both sides asked extensive questions about the patient compensation fund, indemnification, corporate structures, the effect of caps on insurance and recruitment, and whether the bill would protect physicians’ personal assets. No vote was taken on HB 99, and the committee recessed before moving to the next bill. The committee then returned to House Bill 49, a public safety measure increasing penalties for felons who possess firearms. The sponsors and law enforcement witnesses said the bill is aimed narrowly at serious violent felons who are already prohibited from having guns, and that it would align state sentencing with federal law and give police and prosecutors a stronger tool against repeat violent offenders. An amendment was offered to narrow the bill further, add destructive devices, and make the offense a second-degree felony rather than escalating to first degree on repeat offenses. The amendment was adopted without opposition. Public testimony on HB 49 was largely opposed. The Law Office of the Public Defender argued the bill criminalizes possession without a new act of violence, that current law already punishes felon-in-possession conduct, and that New Mexico has repeatedly increased penalties without evidence of reduced gun crime. The ACLU of New Mexico also opposed the bill, saying increased penalties are not a proven deterrent. The transcript cuts off as additional online opposition testimony was beginning.

Transcript Highlights:

• </c> I I think that once we begin to treat I I think that once we begin to treat both<01:04:57.359><c
• </c> against my code of ethics as a physician against my code of ethics as a physician ma'am<01:09:21.199
• </c><02:16:40.439><c> them</c> life of a sick person but treating them life of a sick person but treating
• :16:42.359><c> and</c><02:16:42.519><c> with</c> treating them with compassion and with treating them
• </c><03:06:04.960><c> and</c> should not tamper with a physician and should not tamper with a physician

Summary: The House Judiciary Committee opened with procedural remarks, including notice of an overflow room and a brief apology from Representative Andress about returning to his seat after introducing HB 114. The committee then took up HB 476, a proposed 15-week abortion ban. Chairman Lynn explained that a request to withdraw the bill had been filed, but because the bill was already scheduled for hearing, the committee would proceed with testimony and the withdrawal would require later House action. The chair also reminded witnesses to keep remarks to three minutes and asked the audience to remain respectful. Most testimony focused on abortion access, maternal health, and the likely effects of a 15-week limit. Opponents, including Nancy Pariser, Dr. Cynthia Rasmussen, Dr. Young, Bonnie Bruno, and others, argued that abortion restrictions increase maternal mortality, worsen miscarriage care, create “OB deserts,” and can delay emergency treatment in cases such as sepsis or ectopic pregnancy. Several speakers cited experiences from Texas and Georgia and warned that HB 476 contained no exceptions for rape, incest, or maternal health. Supporters of the bill, including Paul Galasso and Lynn Hill, framed abortion as the loss of unborn life and argued that 15 weeks still allows most abortions while saving lives; they also said New Hampshire’s current law is already adequate and that the bill should be strengthened rather than abandoned. Other witnesses emphasized practical and economic concerns, saying unwanted pregnancies can worsen poverty, childcare burdens, housing insecurity, and women’s lifetime earnings. Some speakers urged lawmakers to focus instead on affordable housing, childcare, and family support. No committee vote or final action on HB 476 occurred during the hearing; the meeting consisted of opening remarks and public testimony only.

Transcript Highlights:

• I have about 100 physician offices in seven states.
• There have been times when even experienced ER nurses and physicians believe that Bennett had stopped
• Nurses and physicians believe that Bennett had stopped seizing, when in fact he had not.
• The care providers and the physicians.
• It's another thing for the physicians to be able to properly understand what it is, what the process

Summary: The subcommittee held its first meeting of the 2025-2026 term, took attendance, confirmed a quorum, and heard introductory remarks from members and staff. Chair Anderson outlined the subcommittee’s jurisdiction over access and affordability issues, including health facility regulation, insurance, Medicaid, CHIP, and state employee health coverage. The main agenda item was an update on implementation of HB 391, which created a family home health aide program for medically fragile children. Representative Tramont, the bill sponsor, explained that the law was intended to let trained family caregivers be paid through Medicaid to care for their children, reduce reliance on private duty nursing, and relieve families. He and several members expressed frustration that implementation had taken nearly two years and that families still faced barriers. Deputy Secretary Brian Meyer of AHCA and Bridget Royce of DCF said the program was implemented October 1, 2024, with billing available, but no home health agencies had yet launched the required 80-hour training program and no claims had been paid. They described the program’s requirements, including agency employment, background screening, training, a $25-per-hour Medicaid rate paid to the agency, and an annual assessment report. A major issue discussed was that income earned by family caregivers counts toward Medicaid eligibility and could cause families to lose coverage. AHCA and DCF outlined two possible fixes that would require CMS approval: disregarding the income for eligibility purposes or treating the child as a family of one. Members and public witnesses strongly urged changes to avoid forcing families to choose between income and coverage. Several providers said they had begun preparing training programs, but asked for clearer approval processes and more patient-specific training requirements. The committee then heard extensive public testimony from parents and caregivers of medically fragile children, who described the financial, emotional, and logistical strain of caring for children with severe disabilities and argued that the bill should be expanded to include Florida KidCare families and others in the coverage gap. They also raised concerns about the eight-hour-per-day limit, low pay, and the need for simpler rules and direct support. Home health providers and associations supported the concept but asked for modifications, including more targeted training and clearer implementation guidance. The meeting then shifted to a second agenda item on the Andrew John Anderson Rapid Whole Genome Sequencing Program, which was funded in the 2023 budget. Deputy Secretary Meyer said the program has been implemented since January 1, 2024, but utilization has been lower than expected, with only about 60 claims paid and many denials occurring through managed care. Public testimony from a lab, a hospital, and a pediatric rare disease expert said the program is clinically valuable and cost-saving, but managed care billing barriers, prior authorization issues, and DRG-related denials are limiting access; they urged direct billing to Medicaid and possible expansion to all newborns.

Transcript Highlights:

• , or a physician who couldn't attend a scheduled conference because the physician who was supposed to
• Before a physician can treat a patient enrolled in a health plan or insured by an insurance company,
• Independent physicians don't have that.
• suffer because they can't access their physician for care.
• Physicians Alliance of California.

Committee: House Health

Summary: The Assembly Health Committee heard and advanced a series of health-related bills. Early items included AB 583, which would allow nurse practitioners to sign death certificates; AB 492, requiring DHCS to notify local governments when new alcohol or drug recovery treatment facilities are licensed; and AB 280, which would require health plans to improve the accuracy of provider directories through annual verification, enforceable benchmarks, and penalties. Supporters for AB 280 described serious access problems caused by inaccurate “ghost networks,” while health plans and insurers opposed the bill as placing too much responsibility on plans without enough provider participation. AB 636, expanding Medi-Cal coverage for medically necessary diapers for children, also moved forward with support from food banks and anti-poverty advocates. AB 1041, streamlining physician credentialing with a uniform form and deadlines, and AB 787, requiring health plans to help members find in-network providers more quickly, likewise passed out of committee. The committee also approved AB 4, which would allow income-eligible Californians regardless of immigration status to buy coverage through Covered California, and AB 29, which would authorize community health workers and doulas to receive Medi-Cal reimbursement for ACEs screenings. Both bills drew broad support from immigrant-rights, health access, and community-based organizations. AB 416, allowing emergency physicians to place 5150 holds in certain circumstances, passed after supporters argued it would reduce emergency department bottlenecks and opponents warned it could increase unnecessary involuntary hospitalization and transfers to locked psychiatric facilities. Members raised questions about county oversight and training, but the bill advanced on a unanimous vote. Finally, AB 460, modernizing radiology supervision rules to allow real-time remote physician supervision for contrast administration with on-site staff available for emergencies, was approved with no opposition. Across the hearing, committee members repeatedly emphasized access to care, administrative simplification, and consumer transparency, while opponents generally raised concerns about implementation, provider participation, oversight, and unintended consequences. Most measures were reported out on party-line or near-unanimous votes and sent to Appropriations or Judiciary as noted.

Transcript Highlights:

• FLORIDA CURRENTLY HAS AN UNENVIABLE POSITION OF HAVING THE HIGHEST RATES IN THE COUNTRY FOR PHYSICIANS
• WHAT WILL HAPPEN WITH THIS BILL PASSING IS OB/GYN'S WILL TAKE AN ECONOMIC DECISION TO AVOID TREATING
• THAT IS JUST FOR PHYSICIANS SO THIS IS LIMITED TO JUST I WANT TO MAKE SURE BECAUSE THIS MAY ANSWER SOME
• IF A DEFENDANT PHYSICIAN COULD PROVE THAT, I SAY A DEFENDANT COULD HAVE PROVEN BEYOND A PREPONDERANCE
• THIS WOULD TREAT ZYGOTES THE SAME AS ACTUAL HUMAN BEINGS LIKE YOU AND ME.

Transcript Highlights:

• I'm a retired physician.
• to report or clinicians not Physicians to report or clinicians not just<01:42:27.320><c> Physicians<
• I'm a physician, M.D.
• </c> devices intended to treat devices intended to treat life-threatening<03:40:35.960><c> conditions
• suicide, that it did not prohibit physician-assisted suicide, but also... physician assisted physician

Committee: House Health, Human Services & Elderly Affairs