Transcript Highlights:

• SB 1094 provides pharmacists with an important tool to help Californians access these therapies more
• A switch in therapy can flare disease due to gaps or inferior efficacy, even if slight.
• With a gap in therapy, she flared.
• With a gap in therapy, she flared.
• I received a newly discovered targeted therapy that so far has been successful for me.

Keywords: 988, house, all

Transcript Highlights:

• present AB 1970, which would prohibit health care service plans and insurers from requiring step therapy
• Step therapy is a practice also called fail first, which requires patients to pursue lower-cost treatment
• Step therapy, also known as fail first, requires patients to try a lower-cost medication and fail before
• Step therapy prolongs pain and suffering to any patient, and that is also true for patients struggling
• Requiring the ...these patients to go through step therapy is cruel and wastes valuable time when these

Keywords: 988, house, all

Summary: The Assembly convened after a quorum call, heard a prayer from Rabbi Mona Alfie, and recited the Pledge of Allegiance. The chamber then held its first official Jewish American Heritage Month ceremony, beginning with Assembly Concurrent Resolution 195 by Assembly Member Gabriel. Gabriel and several colleagues from multiple caucuses spoke in support, emphasizing Jewish Californians’ contributions, the diversity of the Jewish community, solidarity with other communities, and opposition to anti-Semitism. The resolution was adopted by voice vote after 67 co-authors were added, and the Assembly then recognized 14 honorees for their service and leadership in California. After the ceremony, members offered guest introductions and the body moved to floor business. Assembly Constitutional Amendment 9 by Assembly Member Bonta, which would add affordability as a required factor in CPUC rate-making, remove telecommunications from the CPUC, create an Office of Broadband, and expand legislative appointments to the commission, was adopted. The Assembly also passed AB 1697 delaying implementation of a 2025 labor law, AB 2322 on stormwater permit definitions, AB 1653 on pupil instruction, AB 2274 and AB 2273 on criminal justice and child sexual abuse-related prosecutorial practices, AB 2512 on Anaheim Angels naming language tied to a potential land exemption, AB 1956 on suicide prevention for young men and boys, AB 1809 on job order contracting, AB 1970 banning step therapy for serious mental illness and substance use disorder medications, AB 1973 expanding authority for advanced practice clinicians, and AB 2055 on vessel law modernization. The Assembly also adopted ACR 186 designating May as California Physical Fitness and Mental Well-Being Month and H.R. 111 recognizing the International Day Against Homophobia, Biphobia, Interphobia, and Transphobia, after extensive debate reflecting both support and criticism over LGBTQ rights and parental rights issues. Several measures were passed with recorded votes, while some items were passed and retained on file or continued. The transcript ends as the Assembly was moving into AB 2059, a CEQA-related bill on rural transportation projects, with the sponsor describing it as a narrow exemption for 21 rural counties.

Transcript Highlights:

• present AB 1970, which would prohibit health care service plans and insurers from requiring step therapy
• Step therapy is a practice also called fail first, which requires patients to pursue lower-cost treatment
• Step therapy, also known as fail first, requires patients to try a lower-cost medication and fail before
• Step therapy prolongs pain and suffering to any patient, and that is also true for patients struggling
• Requiring the These patients to go through step therapy is cruel and wastes valuable time when these

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

Transcript Highlights:

• After a year of physical therapy, she is still unable to work and drive anywhere farther than the five-mile
• I was in physical therapy from January to recently.
• I was in physical therapy from January to recently.
• The doctor had to stop the physical therapy until I am relieved of the pain.
• The physical therapy had to stop until I am relieved of the pain.

Keywords: 974, senate, all

Transcript Highlights:

• After a year of physical therapy, she is still unable to work and drive anywhere farther than the five-mile
• I was in physical therapy from January to recently.
• I was in physical therapy from January to recently.
• The doctor had to stop the physical therapy until I am relieved of the pain.
• The doctor had to stop the physical therapy until I am relieved of the pain.

Summary: The committee first approved the minutes and then heard House Bill 1033, which expands the definition of critical infrastructure to include airports, heliports, spaceports, aerospace facilities, certain government and military sites, and oil and gas platforms. Supporters said the bill is part of a broader effort to position Louisiana for aerospace and defense investment, while opponents from the Sierra Club warned that repeatedly broadening critical infrastructure could chill protest and free-speech activity. The bill was reported favorably. The committee then heard House Bill 1034, which authorizes local officials to declare temporary protection zones for public safety for up to 72 hours, with one extension. The sponsor and the Department of Economic Development said it would be a tool for aerospace and defense projects and other public-safety needs; ACLU testimony raised concerns about notice, property rights, and possible impacts on public waterways. The bill was also reported favorably. The committee next considered several criminal justice bills. House Bill 51, barring post-conviction bail for defendants convicted of aggravated offenses against children, and House Bill 55, limiting public disclosure of juror information to protect juror privacy, both received broad support and were reported favorably. House Bill 635, aimed at protecting Louisianians from transnational repression by foreign governments through penalty enhancements for underlying crimes, was supported by a national security advocate and reported favorably. House Bill 133, increasing penalties for students who commit attacks on teachers or other students, was amended to address juvenile procedure and exceptionalities; teachers testified about serious injuries they suffered, while the ACLU and criminal defense lawyers raised concerns about mandatory minimums and individualized sentencing. The bill was reported with amendments. The committee also heard House Bill 676, which creates the crime of fraudulent patient referrals, or “body brokering,” in the substance-use treatment industry. The sponsor and Blue Cross Blue Shield representatives described schemes that steer vulnerable patients into fraudulent treatment arrangements for profit; the bill was reported favorably. House Bill 159 created a Caddo Parish pilot program for pretrial home incarceration with electronic monitoring to reduce jail overcrowding. The sheriff said the jail is far over capacity and that the program would be limited to nonviolent, non-sex-offense defendants with risk assessments, court approval, and behavioral-health check-ins. Witnesses supported the concept but urged tighter liability language; the committee adopted an amendment and reported the bill with amendments. House Bill 106, dealing with unauthorized administration of melatonin to children in child care settings, was reported favorably. Later, the committee amended and reported House Bill 108, which changes juror qualifications to exclude people convicted of crimes of violence or sex offenses from criminal juries, after opponents argued it would unnecessarily bar citizens from jury service. House Bill 784, a cleanup bill on sex offender registration and notification, was amended and reported with technical changes. Senate Bill 388, which removes a trigger clause tied to a border compact and authorizes review of state contracts for foreign-adversary benefit, was amended and reported. Finally, House Bill 772, a bail-procedure reform requiring accurate mailing and electronic notice information and consolidating notice rules, was presented as a fairness and efficiency measure and had support from the bail industry and prosecutors; the transcript ends before final action on that bill.

Transcript Highlights:

• Division, and the Office of Property Risk: March and April formulary recommendations, EBD cell and gene therapy
• March and April formulary recommendations, EBD Cell and Gene Therapy Policy Update, UAMS, Thank you.
• EBD Cell and Gene Therapy Policy Update, UAMS Professional Consultants Services Contract Amendment, with

Summary: The Arkansas Legislative Council met and first adopted the previous meeting minutes, then honored Lori McDonald of the Department of Human Services for nearly 28 years of state service. Members read a resolution recognizing her legislative, constituent, and leadership work at DHS, and the council adopted it unanimously. McDonald thanked members for their support, and the Senate also presented her with a citation, a flag flown over the Capitol, and a commemorative coin. The council then received the May 2026 revenue report, which showed gross adjusted collections of $7.76 billion year-to-date, up 4.4% from the prior year, and net available for distribution of $6.36 billion. The Bureau of Legislative Research noted collections were running above last year and that the updated forecast reflected a surplus. The Executive Subcommittee report was adopted after members were told it had approved captive insurance premiums and deductibles, a claims administration contract, emergency DHS rules, waiver requests, committee fund allocations, and the cancellation of the regular July ALC meeting in favor of only meeting for urgent matters. Several subcommittee reports were then adopted, including Administrative Rules, Game and Fish and State Police, Hospital/Medicaid/Developmental Disabilities, Lottery Oversight, Occupational Licensing Review, Peer Review, Review, State Insurance Programs Oversight, and Personnel. During the Administrative Rules discussion, members questioned the Department of Education about delays and vendor performance under the ClassWallet contract; department officials said they were meeting regularly with the vendor, keeping expense review in-house, and would consider other options if needed. In Personnel, the Department of Commerce clarified that a reallocation request was part of a broader departmental realignment and shared services move, not the Arkansas Workforce Connection waiver. The council also reviewed and took action on several communications, including filing retirement system investment summaries as reviewed, approving rural community grant funding, giving favorable advice for state park acquisitions/expansion, approving special maintenance funding for state parks, and filing proposed Office of State Technology service rates as reviewed before adjourning.

Transcript Highlights:

• Division and the Office of Property Risk: March and April formulary recommendations, EBD Cell and Gene Therapy
• March and April formulary recommendations, EBD Cell and Gene Therapy Policy Update, UAMS, Thank you.
• EBD Cell and Gene Therapy Policy Update, UAMS Professional Consultants Services Contract Amendment, with

Keywords: 1204, all

Transcript Highlights:

• our staff time, we have at the Hastings and Minneapolis domiciliary facility something called work therapy
• domiciliary facility something called domiciliary facility something called work<00:15:05.400> therapy
• work therapy. work therapy.
• /c><00:15:19.760> have<00:15:19.920> our<00:15:20.040> work<00:15:20.280> therapy
• <00:15:20.760> residents going to have our work therapy residents going to have our work therapy

Keywords: 1187, senate, all

Summary: The Minnesota Senate Subcommittee on Veterans met on March 4, 2026, and began with a moment of silence honoring Sergeant First Class Nicole Amore of White Bear Lake, who was killed while serving in Kuwait. The committee then took up Senate File 3956, an MDVA policy bill giving the commissioner clearer authority to direct staff time and other non-monetary resources toward partnerships with organizations serving veterans, especially on food insecurity, homelessness, suicide prevention, and related efforts. MDVA and Disabled American Veterans testified that the bill would help them work more quickly and clearly with outside partners, including food pantry and outreach efforts, while remaining focused on non-monetary support. Senator Howe offered an A1 amendment narrowing the bill to the three named priorities and removing the broader “other critical issues” language; the amendment was adopted after discussion about whether the reporting language also needed adjustment. SF 3956, as amended, was laid over for further consideration. The committee then heard Senate File 3955, which would create a new procedure for temporary closure of a Minnesota veterans home if an involuntary termination notice requires it, bringing state law into closer alignment with federal expectations. MDVA emphasized that it had no intention of permanently closing any veterans homes and that the bill was intended only to establish a temporary closure plan to satisfy survey requirements. Senator Howe offered an A1 amendment clarifying that any closure would be temporary unless the legislature approved a permanent closure; MDVA and the Department of Health indicated the change was acceptable. The committee adopted the amendment and then voted to recommend SF 3955, as amended, to pass and refer it to the full committee. Finally, the committee began Senate File 4072, an MDVA cleanup and conformity bill. After adopting a technical A3 amendment, MDVA explained that the bill would reclassify the Chief of Staff/Deputy Chief of Staff role as Deputy Commissioner for Administration to better reflect the scope of the position, and would also repeal outdated statutes related to environmental hazards assistance and a data-collection requirement that the department said it could not implement. The bill was still being presented when the transcript ended, and no final committee action on SF 4072 was shown in the excerpt.

Transcript Highlights:

• And at any given time, medical school faculty are leading dozens of clinical trials for new therapies
• <00:35:04.960> and<00:35:05.280> studies trials for new therapies and studies trials
• for new therapies and studies that<00:35:06.320> vex<00:35:07.119> current<00:35:07.520
• <00:36:24.720> and<00:36:24.960> treatments<00:36:25.280> to gene therapies
• and treatments to gene therapies and treatments to patients<00:36:25.839> and<00:36:26.000>

Keywords: 1187, senate, all

Transcript Highlights:

• Senate Bill 394, Senator Guile, Public Health—Expedited Partner Therapy, Bacterial Vaginosis.
• Senate Bill 394 adds bacterial vaginosis to the list of conditions for which antibiotic therapy can be
• provided to an individual under the state's expedited partner therapy program.
• to a partner of a diagnosed patient under the expedited partner therapy program.
• , health expedited partner therapy, health expedited partner therapy, bacterial<00:11:58.560>

Keywords: Senate streaming session for Tuesday, February 24, 2026, 960, senate, all

Summary: The Senate convened with an invocation by Reverend Jod Gun, whose prayer was journalized by unanimous consent. The chamber then recognized several guests, including representatives from the National Alliance on Mental Illness, who were present for a resolution honoring Tardive Dyskinesia Awareness Week, as well as former Delegate and physician Dan Moheim, Towson University students, a veteran guest, and parents and young children visiting for Maryland Family Network’s Day in Annapolis. The Senate adopted a resolution recognizing the National Alliance on Mental Illness for its advocacy on tardive dyskinesia screening, early detection, and treatment, and designated May 5–9 as Tardive Dyskinesia Awareness Week. The resolution was read and adopted without objection. The chamber also unanimously welcomed the guest groups and thanked them for their service and advocacy. In second-reader action, the Senate advanced several bills with committee amendments adopted without objection. Senate Bill 113, the Longevity Ready Maryland Act, was amended to refine aging-related planning, website reporting, and Commission on Aging membership, then ordered to third reading. Senate Bill 123 updated the membership of the Oversight Committee on Quality of Care in nursing homes and assisted living facilities and was also sent to third reading. Senate Bill 336 extended the Task Force on the Responsible Use of Natural Psychedelic Substances for one year and added an HBCU representative. Senate Bill 394 expanded expedited partner therapy to bacterial vaginosis and added licensed certified midwives as authorized practitioners. Senate Bill 444 changed certificate-of-need requirements for certain intermediate care facilities, and Senate Bill 461 conformed the SNAP Heat and Eat Program to federal eligibility rules; both were advanced to third reading. The Education, Energy, and the Environment Committee then took up Senate Bill 108, which would authorize the Maryland Department of the Environment to impose administrative penalties for certain water, wetlands, dam, and riparian-rights violations and expand administrative enforcement tools. Several senators raised concerns about the scope of the bill, its effect on shoreline restoration, dams, stormwater and wetlands enforcement, and whether it could allow penalties without adequate process or encourage payment instead of correction. The floor leader responded that the amendment requires notice, an informal meeting, and consideration of good-faith efforts before penalties are imposed in certain cases, and said the bill does not change permit requirements. The debate continued as members sought clarification on how the bill would apply to private dams, HOAs, farmers, and shoreline projects.

Transcript Highlights:

• And so I had one student over break who practiced coming out to the therapy bot, and of course the bot
• of actually getting counsel or therapy of actually getting counsel or therapy and<00:49:46.240><
• c><00:49:52.960> the who um practiced coming out to the who um practiced coming out to the therapy
• :54.480> course<00:49:54.640> the<00:49:54.880> bot<00:49:55.119> was therapy
• bot and of course the bot was therapy bot and of course the bot was programmed<00:49:55.599> to

Bills: HB1629, HB1630, HB1631

Keywords: economic development, business, state statutes, Hawaii Revised Statutes, legislation, development strategy, state funding, infrastructure, employment opportunities, legislative intent, state legislation, development initiatives, 910, house, all

Summary: The committee heard testimony on several bills, beginning with HB 1829 on marine affairs. Most testimony was in strong support, with speakers from state agencies, ocean-tech companies, startups, nonprofits, and community groups backing the creation of an Office of Marine Affairs and a marine affairs coordinator under HTDC. Supporters said the measure would better coordinate ocean policy, strengthen the blue economy, and help Hawaii capture jobs, investment, and innovation in marine-related industries. No vote or final action was taken in the portion provided. The committee then took up HTDC-related measures, including HB 1615 and HB 1613, which also drew broad support from business, technology, and economic development interests. Testifiers said the bills would strengthen Hawaii’s technology and innovation ecosystem, support advanced manufacturing and cybersecurity, and help build a more diversified economy with higher-wage jobs. The committee also heard HB 1607 on public procurement and HB 1772 on small business procurement; state procurement staff and several business groups supported efforts to expand opportunities for local firms, while one speaker from the city’s economic revitalization commission argued that a flat 5% preference could help keep more revenue and jobs in-state. On HB 1636 relating to shopping carts, the Hawaii Food Industry Association and Retail Merchants of Hawaii testified in opposition, saying the bill would penalize businesses for carts that are stolen rather than abandoned and would add costs that could especially burden small and local retailers. HB 1810 on charitable solicitation drew support from Goodwill Hawaii and other nonprofits, who said the bill would improve transparency around donation bins and protect donors from misleading for-profit collection practices; the Attorney General’s office asked for a delayed effective date to allow system changes and staffing. HB 1782 on AI and the protection of minors received broad support from state agencies, educators, and advocacy groups, but some business and retail representatives urged narrowing the definition of covered AI services so ordinary customer-service chatbots would not be swept in. Finally, HB 1759 on theft drew opposition from the Public Defender’s Office, which said the bill could create overly harsh penalties and should include defense representation on any task force; the office also noted existing laws already address conspiracy and related conduct.

Transcript Highlights:

• So I, I spoke with, um, many of the health plans, and it's not typical that for these, um, mat therapy
• The other thing that I want to point out is there are some new therapies coming online.
• Therapy management service them that is totally free to that patient.
• But we do have mental health services, medication therapy management, and we do have free delivery.
• Medication therapy management, is that just calling the patient to make sure they take their medicine

Transcript Highlights:

• reminder, the BEHEC, which is the overall umbrella entity that governs both the marriage and family therapy
• For example, family therapy is a kind of purchased service.
• A good example of that is ABA or the Autism Therapy Services.
• Like, so there wasn't that clinical component that I just described for ABA therapy.
• That clinical component that I just described for ABA therapy.

Keywords: 1184, house, all

Transcript Highlights:

• to assist juveniles and their therapy to assist juveniles and their families<00:20:10.960> in
• to assist juveniles and their therapy to assist juveniles and their families<00:21:39.760> in
• I had access to therapy as a kid. That is tertiary prevention there.
• We have therapy.
• If I couldn't have walked through your doors and got in therapy, I wouldn't have made it."

Keywords: 958, all

Summary: The subcommittee first heard from the Justice and Public Safety Cabinet’s Grants Management Division on federal victim-services funding. Staff described the main grant programs they administer, including STOP VAWA, VOCA victim assistance, sexual assault services, Byrne state crisis intervention, and Project Safe Neighborhoods. They emphasized that VOCA is especially volatile because it is funded by the federal Crime Victims Fund, which has declined sharply in recent years, reducing Kentucky’s available awards and forcing cuts to state, local, and nonprofit subgrants. They also outlined steps the cabinet has taken to stabilize funding, including changing the subaward formula, aligning the grant period with the state fiscal year, subawarding one year behind the federal cycle, and retaining a reserve. Members asked about how funds reach victims, how subgrantee amounts are determined, and requested a breakdown of grant recipients and amounts; staff said they would provide that information later. The committee then received a detailed presentation from the Department of Juvenile Justice on alternatives to detention. Commissioner Randy White and staff explained that ATDs are short-term, less restrictive placements for low-risk youth, including electronic monitoring, home supervision, group homes, foster care, private child care, community programs, mentoring, evening reporting centers, and in-home wraparound services. They described the referral and approval process involving court-designated workers, detention alternative coordinators, courts, and county attorneys, and said DJJ currently has 16 ATD-related contracts, with placements, programs, and electronic monitoring among them. They also reported that between July 1, 2024, and July 30, 2025, 1,652 juveniles were involved in the process, including 168 diversion cases. Members questioned the cost of juvenile detention versus adult incarceration, whether families pay for electronic monitoring, whether there is a national model for juvenile detention, and what alternatives exist for truancy and contempt cases. DJJ said families do not generally reimburse for electronic monitoring, there is no single national model, and day treatment centers are an important alternative for some youth. The department also said it builds daily routines and wellness education into its facilities, and that more than two-thirds of its programs are evidence-based. Officials said they currently monitor vendor performance through quarterly reviews and can end contracts for poor performance, but that data tracking is still largely manual. They said the new JCOM system, now in pilot in the eastern region, should improve reporting and help identify outcomes and recidivism more effectively.

Transcript Highlights:

• Portsmouth is also really exciting because they will be manufacturing the very talked-about cell therapy
• for type 1 diabetes which cell therapy for type 1 diabetes which will<01:11:24.640> also<01:11
• <01:24:49.920> are of these cell and gene therapies are of these cell and gene therapies are
• If we're able to bring on cell and gene therapy manufacturing, additional pharmaceutical manufacturing
• <01:38:26.159> manufacturing, cell and gene therapy manufacturing, cell and gene therapy manufacturing

Keywords: 1189, house, all

Transcript Highlights:

• >> I'm actually from group therapy services. >> Okay.
• For example, if it's a speech or occupational therapy or physical therapy, the services can be provided
• therapy or physical therapy,<00:37:31.760> the<00:37:32.079> services<00:37:32.480>
• I work for Booth Therapy Services.
• We're a for Booth Therapy Services.

Keywords: 1189, house, all

Summary: The commission to study special education costs under SB 57 met for its second meeting, with members introducing themselves and reviewing background materials on New Hampshire special education identification rates, NAEP results, and a Wall Street Journal article about the rise in autism diagnoses. The chair explained that the commission is examining special education aid formulas, including how New Hampshire’s current catastrophic aid threshold works and how changes to that threshold might affect school districts, but noted that the needed data on how many students would shift into the aid system at lower thresholds is not yet available. The main testimony came from Henry Litman of HHS on Medicaid reimbursement in schools. He explained that school-based Medicaid funding is tied to health-related services, not all special education services, and that federal rules are changing in state fiscal year 2027. Under the new approach, schools will move away from an in-kind methodology to a certified public expenditure model that may also allow recovery of some overhead costs, such as support staff time. He said the state won a federal grant to help build the new system, hired a vendor, and is setting up training and a help center for districts. Members asked about why Medicaid claims have declined and whether districts are leaving money on the table. Litman said claims are down about 25% from pre-pandemic levels, with declines tied to federal and state rule changes, documentation requirements, provider qualification rules, and the end of temporary pandemic flexibilities. He said some districts adapted better than others depending on local medical-provider access and administrative capacity. He also said the new federal legislation does not directly affect schools, while New Hampshire’s return to pre-pandemic eligibility rules has reduced enrollment somewhat. No votes were taken, and the discussion ended with agreement that the commission needs better data to determine how much special education spending is truly Medicaid-eligible and whether additional legislation is needed.

Transcript Highlights:

• necessary, the patient is expected to be able to actively participate in and benefit from intensive rehab therapy
• , which generally consists of at least three hours a day of speech, occupational, and physical therapy
• Available data that we do have suggests that the active ingredient in recovery is how therapy is spent
• , not the amount of time spent in therapy.

Keywords: 995, all

Summary: The Massachusetts Permanent Commission on the Status of Persons with Disabilities held a public hearing focused on health equity for people with disabilities. The chair opened by explaining that the session was not about specific legislation, but about sharing data, lived experience, and strategies to inform more inclusive health systems. Presenters included representatives from the Health Equity Compact, the Department of Public Health, MassHealth, UnitedHealthcare Community Plan, the Brain Injury Association of Massachusetts, UMass Chan Medical School, Spaulding Rehabilitation, and the Arc of Massachusetts/Operation House Call. Speakers described how structural racism and ableism contribute to poor health outcomes, unemployment, poverty, and barriers to care for disabled people, especially disabled people of color. Testimony highlighted access problems such as inaccessible medical equipment, transportation, inadequate provider training, lack of culturally competent care, and insurance barriers. Several speakers emphasized the importance of collecting and disaggregating disability data, training providers in disability-competent care, and screening for accommodation needs. MassHealth described its Quality and Equity Incentive Program under the 1115 waiver, including disability-related metrics on data completeness, staff training, and accommodation screening, and reported early increases in hospitals collecting self-reported disability data. Brain injury advocates focused on inequities in rehabilitation access, including the impact of CMS’s “three-hour rule,” which they argued denies needed inpatient rehab to people with severe traumatic brain injury. They called for policy changes, a TBI task force, and possibly bipartisan legislation if CMS cannot revise the rule. Other testimony described DPH efforts such as one-to-one navigation, health promotion workshops, mini-grants for accessible recreation, and the Massachusetts Health and Disability Partnership. The hearing also highlighted medical education efforts like Operation House Call, which uses home visits and disability-led teaching to reduce bias and improve provider competence. No votes were taken and no formal actions were announced.

Transcript Highlights:

• >> I would just echo the comments made by our respiratory therapy colleagues.
• Thank you very much. >> Thank you. >> I would just echo the comments made by our respiratory therapy
• she has anything else to add. >> Not much more to add other than thank you and ditto to respiratory therapy
• >> Not much more to add other than thank you and ditto to respiratory therapy and athletic trainers.

Keywords: Call to Order 00:00 Roll Call 0:31 HB 36 Discussion 1:10 HB 36 Vote 8:20 HB 776 Discussion 9:42 HB 776 Vote 12:19 HB 236 Discussion 14:15 Adjournment 20:40, 958, all

Transcript Highlights:

• The bottom of page nine, that is a contract for physical therapy services for our West Central District
• nine, that is a contract<00:18:37.600> for<00:18:37.840> physical<00:18:38.240> therapy
• <00:18:38.720> services contract for physical therapy services contract for physical therapy

Keywords: 924, joint, all

Transcript Highlights:

• Um, we We also started a cult cohort certified academic language therapy cohort so that we would have
• But also to provide direct therapy to our students because what we're finding, the students that are
• Are we going to have another person that's going to be able to give them the therapy that they need?
• Um, the, the folks that go through the certified academic language therapy training, and it's a lot.