Transcript Highlights:

• And yet we can see at the federal level, it is still being held up.
• And yet we can see at the federal level, it is still being held up.
• Despite equivalent levels of education, licensure, and professional Despite equivalent levels of education
• This bill will impact 28 occupational therapists.
• This bill will impact 28 occupational therapists in the entire state.

Keywords: 1064, all

Transcript Highlights:

• It does not invalidate lawful occupancy standards and does not require a new theory of discrimination
• It would allow us to maintain those on the state level. Right.
• are enacting this because, as they've rolled back those protections and that system at the federal level
• , states have felt that those protections are needed at the state level.
• of analysis. ...clarity on this process and kind of the level of analysis that takes place when a claim

Summary: The Senate Land Use Committee met in hybrid format but did not have a quorum, so it did not approve minutes or take formal votes. The committee first heard House Bill 457, which would raise the appraisal threshold for certain DELDOT real property dispositions from $10,000 to $25,000 to match federal highway standards and reduce the time and cost of selling small surplus properties. There was little discussion and no public comment on that bill, and the chair indicated it would be circulated. The committee then took up House Bill 451, which would codify a disparate impact framework under Delaware’s Fair Housing Act. The bill was described as clarifying that housing policies or practices can violate the law even without discriminatory intent if they have an unjustified discriminatory effect on a protected class, using a burden-shifting test similar to federal law. The sponsor and DHSA said the measure was intended to preserve fair housing protections amid uncertainty at the federal level, and an additional amendment was discussed that would delay implementation for 180 days and require DHSR, with DSA and stakeholders, to conduct outreach, education, and training. Public testimony was divided. Supporters, including Housing Alliance Delaware, YWCA Delaware, and the Delaware Human and Civil Rights Commission, said the bill would protect against discriminatory outcomes, align state law with longstanding fair housing principles, and preserve recourse if federal enforcement changes. Opponents and housing-provider groups, including the Delaware Association of Realtors, Greater Wilmington Housing Providers, and the Delaware Apartment Association, argued the bill could create liability for neutral policies, rely on statistical outcomes landlords cannot easily measure, and increase litigation and costs; several asked for more time, a right-to-cure process, or further amendments. The committee adjourned without taking a formal vote.

Transcript Highlights:

• Not necessarily opposed to occupants.
• <00:37:01.760> you um adding family guests or occupants you um adding family guests or occupants
• because that other occupant can be the worst person.
• because that other occupant can be the worst person.
• Keep in members of the family and other occupants, because that other occupant can be the worst person

Keywords: 928, house, all

Summary: The subcommittee took up a proposed amendment to HP 598, with Nick Norman walking members through changes intended to preserve the existing eviction framework rather than create a separate expedited process. He said the amendment folds the bill’s changes into current law, adds limits on post-judgment motions and continuances, shortens or eliminates certain discretionary stays in default situations, and speeds issuance of notices and writs of possession. The amendment also adds language to RSA 540A to allow action against tenants, family members, guests, or occupants engaging in conduct that damages property or threatens health and safety, and it changes the effective date to 90 days after passage. Norman also said the amendment was meant to reduce frivolous delays and court fiscal impacts. Members raised concerns about several provisions, especially the clause barring discretionary stays after tenant default, the use of the word “immediately” for issuing writs, and the reduction of discretionary stays from 90 days to 60 days. One member asked for clarification on whether any meritorious circumstances should still allow a stay, and another suggested defining a specific timeline for judgments after hearings. Norman responded that the default provision was aimed at cases where tenants do not appear at all, and he said the intent was to prevent abuse of the process. He also discussed the new RSA 540A language as a way to address serious health and safety problems, including unauthorized occupants and hoarding. Other testimony was generally supportive of the amendment as an improvement over the original bill, but several witnesses urged changes. New Hampshire Legal Assistance said it would likely be neutral if recommended edits were made, and suggested clarifying language, preserving the ability to strike defaults, and allowing longer stays by agreement of the parties. That witness and others argued that a 60-day cap could interfere with negotiated move-out agreements and could be too short in some cases, especially for elderly or disabled tenants. There was also discussion of narrowing the new 540A remedy to the specific person causing the problem, while preserving protections for innocent household members, particularly in domestic violence situations. No vote or final action was taken in the excerpt; the chair indicated the committee would consider revised language before executive session.

Transcript Highlights:

• Chair, members of the licensing and occupation committee, for the opportunity to present on House Bill
• outlined in Section 1 of our Constitution, um, to acquire and protect property and pursue a lawful occupation
• 00:02:23.920> pursue<00:02:24.319> a<00:02:24.640> lawful<00:02:25.200> occupation
• property and pursue a lawful occupation property and pursue a lawful occupation while<00:02:26.640
• <00:31:17.039> because understand on a practical level because understand on a practical level

Keywords: Call to Order 00:00 Roll Call 00:02 HB 526 Discussion 01:12 HB 526 Vote 37:51 HB 424 Discussion 41:41 HB 424 Vote 44:40 HB 459 Discussion 45:57 HB 459 Vote 47:26 Adjournment 48:21, 958, all

Summary: The committee took up House Bill 526, while House Bill 254 was removed from the agenda at the sponsor’s request. HB 526 would make bar membership and dues voluntary for Kentucky attorneys, and the sponsor argued it protects constitutional rights, prevents compelled association, and would not stop the Kentucky Supreme Court or Kentucky Bar Association from offering services such as CLE, ethics support, and lawyer assistance programs. He also argued Kentucky lawyers should not be forced to fund speech or activities they may disagree with, and urged passage of the bill. Representatives of the Kentucky Bar Association, including its president and the chair of the Young Lawyers Division, opposed the bill. They said the KBA is an arm of the Supreme Court rather than a private association, and that mandatory dues support nonpolitical services such as free continuing legal education, legal research, the Kentucky Lawyers Assistance Program, ethics guidance, mentorship, disaster relief work, and the Legal Food Frenzy. They warned that changing to a voluntary system would reduce infrastructure, increase costs for lawyers, and potentially shift more regulatory and service burdens to the Supreme Court. Members questioned whether the bill would actually prevent the KBA from continuing its programs and asked about other states’ bar structures. The sponsor and supporters pointed to Indiana and other states with voluntary bar membership, while KBA witnesses said Kentucky’s current system is efficient and constitutional and that many services are not truly free but are funded through dues. The discussion became heated at points over whether KBA testimony itself constituted political speech, and the chair intervened to keep the meeting moving. The transcript ends during member questions, with no final vote on HB 526 shown.

Transcript Highlights:

• the old two laws, where tax liability was specifically set forth for each separate category of occupation
• All occupations and activities are assumed to be liable for the 3% tax unless specifically exempted.
• The other primary bill took the tax on the occupation of severing natural gases was removed and it was
• Municipal occupancy tax was repealed, and up to 3.25% municipal gross receipts tax can be imposed subject
• And that's very high level.

Keywords: 996, all

Transcript Highlights:

• And it doesn't work that way at any level.
• And it doesn't work that way at any level.
• And it doesn't work that way at any level.
• I'll provide a brief state level.
• And how can we help and then also advocate on a state level?

Keywords: 958, all

Summary: The August 2025 interim meeting of the Commission on Race and Access to Opportunity began with roll call, confirmation of a quorum, approval of the June meeting minutes, and welcoming a new member, Ivonne Smith, who noted her background in MWBE and DBE work. The chair also offered condolences to a member whose father recently passed away and explained that the committee had invited agency officials to answer questions raised at the prior meeting. The first presentation was from Singer Buchanan of the Kentucky Finance and Administration Cabinet, who described the state’s equal opportunity and contract compliance office and its certification programs for service-disabled veteran-owned small businesses and minority/women business enterprises. He outlined outreach efforts, including partnerships with veterans’ organizations, the Kentucky Department of Veterans Affairs, UK, and transportation-related groups; explained that the programs are intended to expand market access rather than provide grants; and said the office has moved to an online application portal that has processed 227 new applications since December 2023. He reported 536 total vendors across the programs, including 29 service-disabled veteran-owned small businesses, and said the office is considering website testimonials to improve outreach. Members asked about staffing, application assistance, and whether the state program conflicts with federal policy; Buchanan said the office has three staff members and that the program is state-funded and, based on legal advice, should continue under Kentucky law. Tony Yusefi of the Kentucky Transportation Cabinet then presented on the federal Disadvantaged Business Enterprise program. He explained the program’s legal basis under federal DOT regulations, its eligibility standards, and its purpose of creating a level playing field while helping firms grow and eventually compete without assistance. He described certification requirements, annual documentation, prompt-payment protections, commercially useful function reviews, good-faith effort requirements, and sanctions for violations. He also discussed barriers facing DBEs, including access to capital, bonding, insurance, training, and prequalification requirements, and noted that 50 firms were removed last month for noncompliance with annual documentation rules. Yusefi said the cabinet has expanded supportive services, including an online application platform, bid notifications, and a nine-class business development program; 95 DBEs are enrolled this year, and the bid-matching system reaches an average of 377 DBEs monthly.

Transcript Highlights:

• Every time a jet at Fresno gets depot-level maintenance, it just goes to the bone yard.
• Every time a jet at Fresno gets depot-level maintenance, it just goes to the bone yard.
• We're seeing, you know, slash and burn happen at the federal level.
• Providing occupational therapy and outpatient psychotherapy.
• What's going on at the federal level right now is terrifying. We are at a crisis point.

Summary: The Assembly Committee on Military and Veteran Affairs held an informational hearing focused on the effects of federal budget cuts and policy changes on veterans, military readiness, and California’s veteran support systems. The chair and members emphasized that federal reductions to the VA, Medicaid/Medi-Cal, SNAP, and the federal workforce are disproportionately harming veterans by threatening health care, employment, housing, crisis lines, and suicide prevention services. The chair also highlighted California’s progress on veteran homelessness and the importance of preserving state programs that leverage federal dollars. Major General Matthew Beavers of the California Military Department described the department’s structure, its response to the Los Angeles fire emergency, and concerns that federal cuts could reduce readiness through less training, older equipment, and fewer resources. He also discussed state programs such as Work for Warriors, STARBASE, youth and community schools, and the counterdrug task force, saying they are valuable but vulnerable if funding is redirected away from readiness. Members asked about the impact of federal changes on the Guard and how the Legislature could help, and Beavers said the state should advocate for recapitalized equipment and continued support for key programs. A second panel focused on veterans’ benefits and claims support. CalVet, Los Angeles County, and Swords to Plowshares testified that county veteran service officers, legal aid, and community-based partnerships are essential to helping veterans access VA benefits, especially after the PACT Act expanded eligibility and increased claims volume. Witnesses said these services bring substantial federal dollars back to California, but county offices and legal providers are underfunded and overburdened. Members discussed data sharing, staffing shortages, and the need for more resources to reach veterans who are not connected to VA care. In the final panel on mental health and suicide prevention, CalVet and nonprofit providers described state-funded programs such as the Veterans Support Self-Reliance program and the California Veterans Health Initiative, which place services in permanent supportive housing and provide no-cost counseling statewide. Witnesses said these programs are showing measurable improvements in health, medication adherence, and emergency room use, but they depend on sustained funding and are vulnerable to step-down grants and federal instability. Committee members expressed support for the programs and raised questions about access, staffing, and the role of non-veteran family members in Vet Center services.

Transcript Highlights:

• this, this is going to be a, you know, um, a more complete access to general anesthesia when that level
• And finally, I think it would be a disservice to our rural areas if the new language lost occupations
• And here's the occupations code. So we're, I'm trying to be as communicative as possible.

Bills: SB 227, SB 269, SB 407, SB 463, SB 527, SB 547, SB 1283, SB 1380, SB 1383, SB 1511, SB 1640, SB 1784, SB 2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Transcript Highlights:

• I will say at a prevalence level for the entire state is below 1%, which we want to.
• Right, that's other states do not have that they have much higher prevalence level.
• Grants vary by budget levels and types. and they are issued after a production is finished.
• And we've had students from all three varieties of schooling win at the national level.
• , both at the state and federal levels.

Keywords: 1184, house, all

Transcript Highlights:

• This is the highest level in at least five years.
• is the highest level of risk.
• I myself drive a Level 2 car.
• 2 and Level 3 vehicles.
• Imagine we can imagine having that level of talent and he's not alone.

Keywords: 988, house, all

Transcript Highlights:

• <01:16:37.280> tax uh an allocation of occupation tax uh an allocation of occupation tax revenue
• <02:01:08.880> we property taxes increased at a level we property taxes increased at a level
• <02:01:52.000> of hasn't kept up with the level of hasn't kept up with the level of commitment
• <02:09:41.520> of But everybody at every level of But everybody at every level of government
• We are making that a level playing field for the University of Minnesota.

Keywords: 1187, senate, all

Transcript Highlights:

• filters surgical smoke before the smoke makes contact with the eye and respiratory tracts of the occupants
• Research is clear: there is no safe level of exposure.
• already heard from the Joint Commission, as well as OSHA, as well as the National Institute of Occupational
• These outcomes matter not only on a personal level, but from a public policy perspective as well.
• These outcomes matter not only on a personal level, but from a public policy perspective as well.

Summary: The Appropriations Committee on Health and Human Services met with a quorum present and took up several health-related bills. CS/SB 1110, covering Medicaid and insurance coverage for medically necessary orthotics and prosthetics, including activity-specific devices without lifetime or continuous-use caps, received emotional testimony from families and athletes describing high costs and the importance of access for children and adults with disabilities. Members voiced strong support, and the bill was reported favorably. The committee also heard SB 1574, which would add biliary atresia screening to the newborn screening program using the existing birth blood specimen. The sponsor and a parent testified that earlier detection could prevent severe liver damage, transplants, and deaths, and the bill was reported favorably. CS/SB 794, dealing with background screening for employees at residential facilities and day training programs for people with developmental disabilities and a review of waiver support coordination, was amended to align with the House companion and then reported favorably after testimony emphasizing the importance of strong support coordinators for APD waiver families. Members then considered SB 162, requiring hospitals and ambulatory surgical centers to adopt policies for smoke evacuation systems during procedures that generate surgical smoke. Nurses and other supporters described surgical smoke as a serious occupational hazard, while the Florida Hospital Association said hospitals are already regulated in this area and the bill was somewhat prescriptive; an amendment was adopted and the bill was reported favorably. CS/SB 254, which tightens oversight of nursing education programs, adds preceptorship and provisional licensure pathways for graduates awaiting NCLEX results, and increases transparency and accountability for low-performing programs, drew support from nursing advocates and opposition from private nursing schools concerned about workforce impacts; after amendment, it was reported favorably. Finally, SB 688 to reestablish licensure and regulation of naturopathic doctors in Florida was heard with testimony both supporting expanded health care choices and opposing the bill over safety and scope concerns, and it too was reported favorably. The committee then adjourned.

Transcript Highlights:

• By the time you get to June 2024, you're at 1,268, and it's staying roughly level.
• By the time you get to June 2024, you're at 1,268, and it's staying roughly level.
• We are also competing against fast food and entry-level retail, and we simply cannot keep up.
• “Continues the Board of Occupational Therapy Examiners for four years until July 1, 2030.
• All right, this is the Occupational Therapy Board continuation.

Bills: HB2048, HB2189, HB2248, HB2403, HB2728, HB2729, HB2730, HB2731, HB2906, HCR2058

Keywords: orders of protection, domestic violence, court procedures, legal guardian, enforcement, healthcare, licensed health aides, scope of practice, ventilator care, training standards, medical freedom, healthcare mandates, employment requirements, public health, government regulation, elderly, physical disabilities, Arizona Health Care Cost Containment System, home and community based services, funding increase

Summary: The committee first heard a presentation from Central Arizona Shelter Services (CASS) on homelessness in Maricopa County and CASS programs for single adults, families, and older adults. The witness described rising homelessness, especially among older adults, and said recent declines were linked to American Rescue Plan Act funding for shelters and flexible rental assistance. Members asked about CASS partnerships with mutual aid and service organizations; the witness described collaborations for food, banking, haircuts, digital access, and behavioral health. No vote was taken on this presentation. The committee then considered HB 2248, the Arizona Medical Freedom Act, which would bar businesses, schools, and government entities from denying services or employment based on medical interventions and limit employer medical requirements, with a school outbreak amendment adopted. Proponents framed the bill as protecting bodily autonomy and informed consent, while opponents argued it would weaken employers’ ability to control communicable diseases and protect public health. The committee adopted the amendment and advanced the bill on a 4-3 vote. It also advanced HB 2906, requiring one oral and maxillofacial surgeon on the State Board of Dental Examiners, and HB 2189, directing the Nursing Board to implement rules for licensed health aides performing routine ventilator care; both passed with amendments and strong support from sponsors and board representatives. Later, the committee approved HB 2403, appropriating $2.5 million in FY2027 for home- and community-based services providers serving elderly and physically disabled Arizonans. Supporters said the funding would help retain caregivers and reduce more expensive hospital or facility care. The committee also passed several continuation bills, including HB 2731 for the Physician Assistants Board, HB 2730 for the Occupational Therapy Board, and HB 2729 for the Nursing Board, all on largely party-line or near-unanimous votes after testimony from board staff emphasizing public protection and oversight. The committee then took up HB 2728, a DES continuation bill that also incorporated nine previously vetoed policy bills affecting SNAP, unemployment, and related benefits. Opponents argued it would make access to essential benefits harder and turn a routine continuation bill into a vehicle for controversial policy changes; supporters said it was needed for oversight and program integrity. The bill advanced on a 4-3 vote. Finally, the committee approved HB 2048, a strike-everything amendment requiring AHCCCS to treat a new non-opioid pain medication no more restrictively than opioids in utilization controls, and ACR 2058, which would require a comprehensive Medicaid claims audit funded by recoveries. Both measures drew support from sponsors and some personal testimony, while opponents warned about cost, duplication of oversight, and incentives that could bias audits; each advanced on 4-3 votes. The committee then adjourned.

Transcript Highlights:

• that a steeper penalty like felony level that a steeper penalty like felony level if<00:02:13.040
• local level with all of our districts. local level with all of our districts.
• It's just a variety of all occupations.
• . occupations. occupations.
• for the same occupation in this state. for the same occupation in this state.

Bills: HB0083, HB0102, HB0178

Keywords: subpoena, legislative authority, penalty, compliance, law enforcement, artificial intelligence, synthetic sexual material, child protection, self-harm, criminal liability, public employment, labor organization, dues withdrawal, collective bargaining, public funding, 916, all

Transcript Highlights:

• Farming can be a dangerous occupation; farming is listed as the third most dangerous occupation in the
• Farming can be a dangerous occupation; farming is listed as the third most dangerous occupation in the
• Farming can be a dangerous occupation; farming is listed as the third most dangerous occupation in the
• Farming can be a dangerous occupation; farming is listed as the third most dangerous occupation in the
• Farming can be a dangerous occupation; farming is listed as the third most dangerous occupation in the

Bills: HF47, HF434, HF1503, HF1702

Keywords: telecommunications, installation, certification, safety, underground utilities, HF434, cervidae, deer, elk, moose, chronic wasting disease, CWD, wildlife importation, animal health, biosecurity, zoo, Association of Zoos and Aquariums, AZA, USDA exhibitor, species survival plan

Transcript Highlights:

• nonprofit program administrator to receive funds to facilitate preceptor programs at the organizational level
• We have a significant shortage at both levels, including our nurse practitioners and other advanced practice
• workforce, but also that continued pipeline of education and advancement into the advanced practice level
• This organization will support nurses as they go through different levels of their career and encourage
• This organization will support nurses as they go through different levels of their career and encourage

Bills: HB359, HB385, HB165

Keywords: human remains, indigent, burial, cremation, next of kin, social services, environmental impact, nursing education, preceptorship programs, healthcare workforce, nurse shortage, clinical training, dry needling, physician assistant, nurse practitioner, occupational therapist, referral process, neuromusculoskeletal pain, Western medicine

Summary: The Senate Health and Social Services Committee met with a quorum, approved the minutes from the prior two meetings, and briefly acknowledged the tragedy at Christiana Care before moving to legislation. The committee heard House Bill 385, which creates a statewide nurse preceptor grant program to expand clinical training placements for nursing students; testimony from nursing organizations, health care associations, and educators emphasized workforce shortages, the need for preceptor stipends and training, and the bill’s potential to help students complete programs and remain in Delaware. Members asked about eligibility and reporting, and several senators asked to be added as co-sponsors. Public comment was uniformly supportive, and the bill was advanced out of committee. The committee then considered House Bill 424, which repeals Delaware’s Autism Surveillance and Registration Program and requires DHSS to expunge protected health information collected through the registry. The sponsor and DHSS said the registry is no longer used for research or policy development and that repeal would reduce outdated reporting burdens; Autism Delaware, the Delaware Health Care Association, and the State Council for Persons with Disabilities support the change. A committee member raised the question of whether families would be notified before records are expunged, and DHSS said that process was not yet clear and would need further verification. Members discussed the issue, and the bill also moved forward. House Bill 419 was next, making children in foster care automatically eligible for the Purchase of Care child care subsidy and extending the same treatment to certain kinship and safety-plan placements through House Amendment 1. The Children’s Department and advocacy groups said the bill would provide immediate stability for children and caregivers, reduce delays from applications and income verification, and support working foster and kinship families. The committee also heard House Bill 359, which would allow cremation as an option for unclaimed and indigent remains when there is no family objection or next of kin cannot be found, addressing a shortage of burial plots and lowering costs; funeral industry testimony focused on preserving next-of-kin rights. Finally, the committee heard House Bill 475, creating a Delaware Nursing Advancement Fund financed by a $10 surcharge on nursing licenses and disciplinary fines to support workforce data collection and analysis through a nonprofit partner, and House Bill 165, authorizing physician associates, occupational therapists, and APRNs to perform dry needling under training and practice standards set by the Board of Medical Licensure and Discipline. All of the bills received supportive testimony, several members added their names as co-sponsors, and the committee adjourned after moving through the agenda.

Transcript Highlights:

• , this is just a technical adjustment to bring the College Corps funding and administration up to levels
• So we want to make it as secure for all of the occupants and the visitors to the building. Got it.
• We are seeing, I would say, slightly higher levels of first claims being filed.
• if you can't fill the existing ones at a lower level?
• The Legislature contemplates joint occupancy between the two.

Keywords: 988, house, all

Summary: The subcommittee held a May Revision budget hearing on state administration and related issues, hearing presentations from multiple departments and agencies. Early items included the Public Employment Relations Board on funding for implementation of AB 1 and a reduced request tied to AB 288, the Governor’s Office of Service and Community Engagement on a technical College Corps adjustment, and the Secretary of State on building security upgrades, election security grant matching funds, and payroll system readiness costs. The Department of Consumer Affairs presented a Board of Pharmacy modernization request and a General Fund backfill for the Bureau for Private Postsecondary Education; the LAO raised no concerns on the pharmacy item but recommended rejecting the private postsecondary backfill and questioned interest-free loan language. The Employment Development Department outlined several large workload and benefit adjustments, including EDD Next document management funding, UI loan interest, DI/PFL benefit increases, WIOA adjustments, school employee benefits, an EMT training reappropriation, and a technical reversion correction; the LAO flagged the size of the DI/PFL increase and the expansion of the document management scope, while members asked about program impacts and timelines. The California Workforce Development Board presented an April adjustment to reimbursement authority for an interagency agreement with Caltrans, which the LAO said raised no concerns. Public comment on that item and others included support for workforce and apprenticeship initiatives, including the Jails to Jobs proposal and renewal of the Apprenticeship Innovation Fund, though those were not part of the May Revision package. The Department of Industrial Relations then presented several proposals: reclassifying legal positions, continuing modernization of the workers’ compensation EAMS system, Cal/OSHA data modernization, creating a Cal/OSHA emerging technologies unit, reappropriating funds for the California Opportunity Youth Apprenticeship program, and trailer bill changes requiring electronic payment of employer assessments and adjusting the statutory treatment of the workers’ compensation administrative director’s salary. The LAO generally found the IT and salary proposals reasonable but urged close monitoring of the new emerging technologies unit. Committee members, especially Assemblymember Ortega, pressed DIR on long vacancy rates, wage theft claim delays, low collection rates for Cal/OSHA fines, and whether new resources would improve outcomes; DIR said it was pursuing recruitment, classification reviews, and process modernization, while the LAO noted that staffing alone may not explain the delays. The Workers’ Compensation Appeals Board also sought to make permanent a 2024 change to the 60-day reconsideration clock, saying it had reduced backlog and interim orders; the LAO had no concerns. Finally, the Department of Human Resources presented a statewide Employee Assistance Program contract consolidation that would lower costs compared with renewing separate contracts and requested one program manager position to oversee the contract and first responder services; the hearing continued with Finance’s response after the transcript ended.

Transcript Highlights:

• I did receive cognitive rehabilitation, speech therapy, occupational, and physical therapy.
• , speech therapy, occupational, and physical therapy.
• The residential rehabilitation programs or outpatient settings typically provide speech, occupational
• The residential rehabilitation programs or outpatient settings typically provide speech, occupational
• The residential rehabilitation programs or outpatient settings typically provide speech, occupational

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a lengthy public hearing with testimony on a wide range of health insurance and access-to-care bills. Early testimony focused on prescription drug pricing and pharmacy reimbursement, with supporters of H. 1326 arguing that pharmacy benefit managers and MassHealth managed care arrangements reimburse independent pharmacies too little, contributing to pharmacy closures and “pharmacy deserts.” The committee also heard repeated support for H. 1151/S. 742 on cognitive rehabilitation for acquired brain injury, H. 1288/S. 716 on telehealth parity for nutrition counseling, H. 1309/S. 761 on full-spectrum pregnancy care without cost-sharing, H. 1312 on insurance coverage for doula services, H. 309 on prompt access to health care by removing deductibles for certain services, H. 809/H. 1227 on biomarker testing, H. 1162/S. 810 on reducing inequities in access to medical procedures by limiting insurer cuts tied to Modifier 25, and S. 726 on insurance coverage for mobile integrated health. Testifiers included legislators, physicians, pharmacists, dietitians, emergency and rehabilitation clinicians, and patients and family members. Supporters of the brain injury bill said cognitive rehabilitation is medically necessary, improves long-term outcomes, and can reduce institutional care and public costs; they noted the bill has been heard repeatedly and has support from the Brain Injury Commission and prior favorable committee action. Supporters of the pregnancy care and doula bills described out-of-pocket costs as a barrier to maternal health and shared personal stories of high bills and unmet support needs. Biomarker testing advocates and cancer patients said coverage gaps deny patients access to precision treatment, can lead to avoidable suffering, and should be standardized across insurers; several speakers said insurers often deny claims despite clinical benefit. Dermatology witnesses said insurers’ use of Modifier 25 cuts reimbursement for same-day evaluation and procedure visits, forcing separate appointments and increasing patient burden. Mobile integrated health supporters described home-based care as a way to reduce emergency department use and hospital readmissions, especially for patients with transportation or mobility barriers. No votes or formal committee actions were taken during the hearing itself.

Transcript Highlights:

• said, myself and my Vice Chair have certificates of need, so by removing this, it does open up that level
• The compact is similar to other occupational licensing compacts that West Virginia has already enacted
• The compact is similar to other occupational licensing compact the West Virginia has already enacted.
• the medical licensure compact, the physician assistant compact, the nurse licensure compact, the occupational

Keywords: 994, senate, all

Summary: The committee met with a quorum, approved the March 5, 2026 minutes, and then took up several House bills. House Bill 5086, concerning peer support programs and testimonial privilege for covered caregivers, was amended to remove references to mental health and substance use disorder treatment from the disciplinary protections and to clarify that boards may still require participation in a board-designated professional health program; the bill was then reported to the full Senate with a do-pass recommendation. House Bill 5004, an education bill on PANS and PANDAS, was supported by the sponsor, who described his family’s experience with the conditions and emphasized earlier diagnosis and treatment; it was reported to the Senate. House Bill 537, creating an ALS services program in the Department of Human Services, also advanced after testimony from the sponsor and supportive comments about the disease’s impact; it was reported to the Senate. House Bill 5096, which would have removed personal care and intellectual disability services from certificate-of-need review, drew extensive testimony. The sponsor argued the change would reduce regulatory barriers and expand access to in-home care, while an aging-services witness said certificate-of-need revenues help fund senior meals and other local services and that eliminating the requirement would harm county aging programs. After discussion, the motion to report the bill failed on a recorded division vote of 3-9. House Bill 4695, allowing PEIA patients to switch to an alternative covered treatment without additional prior authorization if medically appropriate and no more expensive, was reported to the Senate. House Bill 5582, creating the respiratory care interstate compact, was amended to remove a committee-added initial background-check provision and then reported. Another House Bill 5582, dealing with the TANF drug screening program, removed the sunset date, allowed oral fluid testing, and was also reported. Finally, House Bill 5466 renamed the batterer intervention program as an abuse intervention program and allowed live synchronous virtual delivery while preserving an in-person option; the sponsor said the change would expand access statewide and better support domestic violence sentencing alternatives. That bill was reported to the Senate as well. The committee then adjourned.

Transcript Highlights:

• Safety and Health, over 65% of firefighters who die in the line of duty today die from occupational
• flashovers ever have in its occupational flashovers ever have in its occupational cancer.<00:03:
• presumptively caused by occupational presumptively caused by occupational exposure<00:03:25.200>
• of duty today die from occupational of duty today die from occupational cancer.<00:04:11.920>
• duty deaths are now due to occupational duty deaths are now due to occupational cancer,<00:07:56.240

Keywords: 958, all

Summary: The committee began with introductions of interns and then took up two bills. House Bill 34, presented by Representative Bant with testimony from Kentucky Professional Firefighters, would expand Kentucky’s presumptive cancer coverage for firefighters. The witness argued that occupational cancer is now the leading cause of line-of-duty deaths for firefighters and asked that additional cancers, including prostate, pancreatic, thyroid, breast, esophageal, and multiple melanoma, be added to the law. Members asked about the fiscal impact, which was described as indeterminable, and several members voiced support for the bill and for first responders. After discussion, House Bill 34 received a motion and second and was approved by the committee with favorable expression. The roll call showed broad support, with Representative Thomas voting no and the rest of the committee voting yes. The committee then heard House Bill 214 from Representative Wesley, which would create a disabled veterans account program to fund accessibility ramps for disabled veterans’ residences. The bill was described as covering pre-built or custom-built ramps for homes and defining eligible recipients. It also received a motion and second, passed with favorable expression, and the roll call again showed overwhelming support with Representative Thomas voting no and the remaining members voting yes. The meeting ended with an announcement about a National Guard Association legislative breakfast the next day.