Transcript Highlights:

• receives prescriptions uh for a patient receives prescriptions uh for a medication<00:32:36.120><c>
• A few years ago, the state embarked on a preferred incontinence program because of the potential cost
• </c> Minnesota and not go directly to Patient Minnesota and not go directly to Patient Care<00:48:03.440
• </c><00:48:09.800><c> care</c> DHS would better serve patient care DHS would better serve patient care
• </c> access to Equitable care for patients access to Equitable care for patients with<00:49:09.440><c

Committee: House Human Services Finance and Policy

Keywords: 1183, house

Transcript Highlights:

• </c> um is just not good patient care. um is just not good patient care.
• </c> apply direct patient care. apply direct patient care.
• . prefer. prefer.
• So we do teach; we spend time with our patients. We see fewer patients daily.
• We spend time with our patients. We see fewer patients daily.

Committee: Senate Health and Human Services

Keywords: 1191, senate, all

Transcript Highlights:

• Is there a preference the AG office has when it comes to that?
• Yes, I believe we would prefer to stay at the campus where we are, and we would prefer the site where
• Not only is fraud our focus, but also patient safety.
• We do patient abuse and neglect cases as well.
• All the other things listed deter future fraud and patient abuse.

Summary: The committee met to review the Attorney General’s budget and related agency operations, beginning with Legislative Council staff walking members through compliance reports and a blue-sheet base budget document. Staff highlighted current-biennium items such as FTE changes, one-time appropriations, litigation funding, opioid settlement receipts, continuing appropriations, and major special and federal funds. Members asked for clarification on items including the Missing Indigenous People Grant Fund, the Internet Crimes Investigation Fund, and the Medicaid Fraud Control Unit grant funding. Assistant Attorney General Clare Ness then gave an overview of the office’s structure, staffing, and budget pressures. She emphasized the office’s broad statutory duties, the value of its legal services to state and local government, and concerns about attorney pay lagging behind other agencies. Members discussed whether attorney compensation should be benchmarked more consistently across state government and whether some legal work could be consolidated within the AG’s office. Ness also addressed questions about AG opinion turnaround times, boards-and-commissions training, the new-and-vacant FTE pool, operating expense cuts, office leases, and the state’s criminal justice information systems. The crime lab presentation drew significant attention. Director Jennifer Penner described severe space, safety, and infrastructure problems at the current lab, including cramped work areas, glycol leaks, outdated fire and burglar alarms, air-handling limits, and equipment failures that have delayed toxicology work. She said the 2024 study projected a much larger facility would be needed and that the preferred location would be near the current health department site, but in a new building. Members asked about possible evidence risks, backlog status, and whether the proposed building would solve the current problems; Penner said it would and noted backlogs have improved overall, though some delays remain. The committee also heard from the new Medicaid Fraud Control Unit director, who described the unit’s civil and criminal work, federal-state funding split, and examples of fraud such as billing for services not provided or upcoding. The gaming division reported continued growth in charitable gaming and e-tabs, with members expressing concern about large trust-account balances, site competition, and possible misuse of proceeds. Finally, BCI outlined its caseload, cybercrime work, missing Indigenous persons task force, and the surge in CSAM cyber tips; members asked about AI-generated CSAM, and the AG’s office noted that last session’s law increased penalties and expressly allowed AI-generated CSAM to be prosecuted like other CSAM. No formal votes or actions were taken beyond approval of the minutes.

Transcript Highlights:

• funding for these marginalizations. communities including more than 32,000 Planned Parenthood black patients
• Following that, there was cut upon cut upon cut. to the care that Planned Parenthood provides to patients
• this state are dying as a consequence of the attack on Planned Parenthood. its funding, and the patients
• Still fighting, still standing for the patients who rely on our care every single day.
• Planned Parenthood's across Texas provide the life-saving treatment that our patients need and deserve

Keywords: Texas, healthcare, reproductive health, Care No Matter What Act, Planned Parenthood, maternal mortality, teen pregnancy, funding cuts, community health

Summary: The meeting addressed critical health care concerns in Texas, highlighting the consequences of funding cuts on access to reproductive health services. Key speakers emphasized the urgent need for the Care No Matter What Act, which aims to restore funding to healthcare providers like Planned Parenthood. They underscored the alarming statistics of maternal mortality and the rising rates of teen pregnancies, particularly in Black and Latina communities. Testimonies shared during the meeting illustrated the real-life impacts of healthcare access issues on individuals and families across the state, illustrating the necessity for legislative action to ensure comprehensive reproductive health services.

Transcript Highlights:

• Senator Hicks, you have been waiting patiently. You are recognized for a question. Thank you, Mr.
• I can do the question if you prefer. Okay. So anyway, prefer. Okay.
• And I want to thank all of the people that have come to my office in particular and been patient with
• And I do understand the relationship between patient and client.
• That doesn't help the patient laying there.

Bills: HB3239 , HB3391 , HB3557 , HB4128

Committee: Senate Agriculture and Wildlife

Keywords: veterinary medicine, definitions, animal husbandry, board of veterinary examiners, telemedicine, veterinarian-client relationship, animal welfare, commercial pet breeders, licensing, advertising, animal cruelty, Oklahoma Agricultural Extension, local funding, financial institutions, county extension services, state funds, wildlife conservation, hunting regulations, mountain lions, black bears

Summary: The Agriculture Committee first considered two executive nominations and approved both unanimously. Rebecca Hartfield was re-nominated to the State Board of Veterinary Medical Examiners, where she described her rural mixed-animal veterinary work and efforts to encourage future veterinarians. James Harrell was then nominated to the Oklahoma State University Veterinary Medical Authority; supporters emphasized his commitment to rural Oklahoma and addressing the shortage of large-animal veterinarians, and he discussed efforts to improve veterinary education and recruit more Oklahoma students. Both nominations passed 13-0. The committee then took up House Bill 3391, which would add improper advertising as a basis for revoking a commercial pet breeder license and define advertising to include digital and social media. Members asked about the definition and scope of commercial pet breeders. The bill passed on a 9-4 vote. House Bill 4128, dealing with black bear hunting season and harvest limits, drew extensive debate. An amendment to move the opener to September 21, expand counties, and let the Wildlife Commission set quotas failed 6-7. The underlying bill, which would have kept the September 15 opener and a 200-bear limit, also failed 3-9 after testimony and debate focused on bear population data, nuisance complaints, and concerns about out-of-state hunters and impacts on female bears. House Bill 3557, which would keep locally raised county extension funds in separate accounts so they are not swept into state accounts, passed 10-2 after questions about how local, state, and federal funds would be handled. Finally, House Bill 3239 on veterinary telemedicine passed 9-3. The bill defines the veterinarian-client relationship needed before telemedicine can be used, with supporters saying it would provide needed structure while preserving access for rural livestock care; opponents worried it could restrict access in emergencies. The committee then adjourned.

Transcript Highlights:

• There was a national movement to not institutionalize patients, right?
• To offer and push patients to home health, to more at-home care.
• Keep a patient in their home.
• I think that sometimes it's about patients' pay or source.
• I think that sometimes it's about patients' pay or source.

Bills: HR84 , HR85 , HR86 , HR87 , HR88 , HR89 , HR90 , HCR42 , HCR43 , HB1087 , HB1088 , HB1089 , HB1090 , HB1091 , HB1092 , HB1093 , HB1094 , HB1095 , HB1096 , HB1097 , HB1098 , HB1099 , HB1100 , HB1101 , HB1102 , HB1103 , HB1104 , HB1105 , HB1106 , HB1107 , HB1108 , HB1109 , HB1110 , HB1111 , HB1112 , HB1113 , HB1114 , HB1115 , HB1116 , HB1117 , HB1118 , HB1119 , HB1120 , HB1121 , HB1122 , HB1123 , HB1124 , HB1125 , HB1126 , HB1127 , HB1128 , HB1129 , HB1130 , HB1131 , HB1132 , HB1133 , HB1134 , HB1135 , HB1136 , HB1137 , HB1138 , HB1139 , HB1140 , HB1141 , HB1142 , HB1143 , HB1144 , HB1145 , HB1146 , HB1147 , HB1148 , HB1149 , HB1150 , HB1151 , HB1153 , HB1154 , HB1155 , HB1156 , HB1157 , HB1158 , HB1159 , HB1160 , HB1161 , HB1162 , HB1163 , HB1164 , HB1165 , HB1166 , HB1167 , HB1169 , HB1170 , HB1171 , HB1172 , HB1173 , HB1174 , HB1175 , HB1176 , HB1177 , HB1178 , HB1179 , HB1180 , HB1181 , HB1182 , HB1183 , HB1184 , HB1185 , HB1186 , HB1187 , HB1188 , HB1189 , HB1190 , HB1192 , HB1193 , HB1194 , HB1195 , HB1196 , HB1197 , HB1198 , HB1199 , HB1200 , HB1201 , HB1202 , HB1203 , HB1204 , HB1205 , HB1206 , HB1207 , HB1208 , HB1209 , HB1210 , HB1211 , HB1212 , HB1213 , HB1214 , HB1215 , HB1216 , HB1217 , HB1218 , HB1219 , HB1220 , HB1221 , HB1222 , HB1223 , HB1224 , HB1225 , HB1226 , HB1227 , HB1228 , HB1229 , HB1230 , HB1231 , HR73 , HR74 , HR75 , HR77 , HR78 , HR79 , HR80 , HR81 , HR83 , HCR36 , HCR37 , HCR38 , HCR39 , HCR40 , HCR41 , HB368 , HB433 , HB1017 , HB1018 , HB1019 , HB1020 , HB1021 , HB1022 , HB1023 , HB1024 , HB1025 , HB1026 , HB1027 , HB1028 , HB1029 , HB1030 , HB1031 , HB1032 , HB1033 , HB1034 , HB1035 , HB1036 , HB1037 , HB1038 , HB1039 , HB1040 , HB1041 , HB1042 , HB1043 , HB1044 , HB1045 , HB1046 , HB1047 , HB1048 , HB1049 , HB1050 , HB1051 , HB1052 , HB1053 , HB1054 , HB1055 , HB1056 , HB1057 , HB1058 , HB1059 , HB1060 , HB1061 , HB1062 , HB1063 , HB1064 , HB1065 , HB1066 , HB1067 , HB1068 , HB1069 , HB1070 , HB1071 , HB1072 , HB1073 , HB1074 , HB1075 , HB1076 , HB1077 , HB1078 , HB1079 , HB1080 , HB1081 , HB1082 , HB1083 , HB1084 , SB111 , SB122 , SB195 , SB221 , SB404 , HR1 , HCR6 , HCR19 , HB27 , HB81 , HB134 , HB154 , HB163 , HB170 , HB194 , HB214 , HB217 , HB220 , HB254 , HB259 , HB290 , HB308 , HB311 , HB360 , HB382 , HB401 , HB410 , HB417 , HB463 , HB514 , HB575 , HB592 , HB718 , HB723 , HB750 , HB755 , HB776 , HB812 , HB830 , HB838 , HB844 , HB882 , HB885 , HB888 , HB950 , HB961 , HB966 , HB980 , HR15 , HR20 , HCR14 , HB58 , HB69 , HB93 , HB166 , HB199 , HB201 , HB202 , HB218 , HB223 , HB224 , HB231 , HB235 , HB246 , HB338 , HB349 , HB352 , HB379 , HB405 , HB429 , HB535 , HB547 , HB577 , HB588 , HB626 , HB636 , HB652 , HB653 , HB669 , HB688 , HB691 , HB721 , HB738 , HB806 , HB851 , HB857 , HB861 , HB889 , HB904 , HB907 , HB908 , HB929 , HB1009 , HB13 , HB23 , HB25 , HB32 , HB41 , HB90 , HB120 , HB121 , HB122 , HB127 , HB138 , HB139 , HB141 , HB179 , HB187 , HB213 , HB247 , HB286 , HB332 , HB344 , HB357

Keywords: physical therapy, healthcare, prevention, wellness, education, Louisiana, landscape architecture, environment, public health, economic development, infrastructure, condolences, memorial resolution, tribute, Roger D. Boudreaux, Church Point, mayor, Louisiana House of Representatives, community service, local government

Transcript Highlights:

• And that means that those patients are not getting care.
• So we would prefer that. We want to ensure, first and foremost, patient safety.
• information or patient access.
• But they were also intimidating our patients by parking right outside of the hospitals, and patients
• But they were also intimidating our patients by parking right outside of the hospitals, and patients

Committee: House House Health & Human Services Committee of Reference

Summary: The committee began with a presentation from the Alzheimer’s Association Desert Southwest Chapter and Dr. Anna Burke of Barrow Neurological Institute on the growing impact of Alzheimer’s and dementia in Arizona, the need for earlier diagnosis, better provider education, caregiver support, and continued research funding. They described current gaps in training and access to specialists, but also highlighted new therapies, lifestyle interventions, and Arizona-based research efforts. Members expressed support and optimism, but no action was taken on the presentation. The committee then heard HB 2202, which appropriates $300,000 from the general fund over fiscal years 2027 through 2029 for a dementia care tele-mentoring grant program through the Department of Health Services. Supporters, including the Alzheimer’s Association, a dementia specialist, and a patient advocate, said the program would help primary care providers diagnose dementia earlier and improve care. The bill was passed out of committee on an 11-0 vote. Next, the committee took up HB 2251, the midwifery bill, which would authorize certain licensed midwives to dispense and administer specified medications and devices, require liability insurance disclosure and annual reporting, and create a Midwifery Advisory Committee. A committee amendment removed some medications and renamed the bill the Jordan and MacTerry Act. ACOG and the Arizona Osteopathic Medical Association opposed the bill as drafted, citing concerns about oversight, peer review, and the medication list, while licensed midwives and other supporters argued the bill would improve safety, transparency, and alignment with national standards. The bill was held for further stakeholder work, with members indicating more amendments were likely. The committee then heard HB 2252, which would allow certified nurse midwives, certified professional midwives, or licensed midwives to accompany a patient in a ground ambulance during an out-of-hospital birth if approved by medical direction. Supporters described cases where continued midwife involvement during transport helped newborns and mothers, while firefighters and EMS representatives opposed the bill as written, saying it created ambiguity about command and scene control and could raise safety concerns. The chair said the bill would be held for further stakeholder meetings and possible language changes. After a recess, the committee reconvened for presentations on federal Medicaid and rural health funding impacts, beginning with JLBC’s overview of H.R. 1’s Medicaid provisions and the rural health transformation grant program.

Transcript Highlights:

• what we call direct primary care, where providers can enter into an agreement directly with their patients
• If a chiropractor tried to enter into an agreement with a patient to do a membership program, I don't
• therapists to participate in direct primary care agreements with patients.
• She concluded that it creates scope confusion for patients and said she would stand against it.
• And of course, he didn't give us what he preferred.

Committee: House Health and Welfare

Keywords: 989, all

Transcript Highlights:

• for remaining in their homes preferences for remaining in their homes and<00:13:01.120><c> communities
• </c><01:02:26.799><c> to</c> out of four Americans would prefer to out of four Americans would prefer
• </c><01:12:51.920><c> and</c> of those two theoretical patients and of those two theoretical patients
• specifically uh for nursing home patient specifically uh for an<01:18:37.679><c> insurance</c><01:18
• all the uh patients are discharged into<01:23:36.400><c> the</c><01:23:36.639><c> community.

Keywords: 928, house, all

Summary: The Committee to Study Long-Term Managed Care met to approve prior minutes and outline its schedule, with meetings set for September 24 and September 29 ahead of an October 1 report deadline. The chair said the committee would use the first two meetings to digest testimony, likely ask follow-up questions of DHS, and then work toward conclusions and a report format. The minutes from the previous meeting were approved unanimously. The main testimony came from Sharon Alexander of Amera Health, who argued in favor of moving from fee-for-service Medicaid long-term services and supports to a managed LTSS model. She described managed LTSS as a capitated, quality-driven system used in about 26 states, and said it can improve care coordination, accountability, access to home- and community-based services, and budget predictability. She cited Amera Health’s experience in Pennsylvania and Delaware, including care coordination, housing and transportation support, caregiver programs, and quality benchmarks tied to state oversight. She also said nursing facilities would remain an important option for people who need that level of care. Committee members asked about how the programs are administered, how rates are set, how care managers work, and how quality is measured. Alexander said states contract with managed care organizations at actuarially sound capitated rates, with annual contracts, reporting, and oversight. She explained that care managers typically conduct quarterly assessments and follow up after trigger events such as hospitalization, and that housing coordinators may assist with transitions to the community. On quality, she said states use CMS-related and HCBS benchmark measures covering service timeliness, care planning, transitions, and other outcomes, and that New Hampshire could build on existing metrics rather than starting from scratch. She also noted that rural areas face workforce and transportation challenges, which managed care plans try to address through technology and self-direction options.

Transcript Highlights:

• We think that where there's an opportunity to support families and keep them together, that is preferable
• So for example, this summer patients at Eastern State Hospital, So, for example, this summer patients
• It's resulted in much better patient care.
• Part of the reimagined effort helped us do was we've successfully discharged quite a few patients out
• So there's really nothing that is—we've already removed the ability for new patients. Am I?

Summary: The committee heard a lengthy update on Washington child welfare from Casey Family Programs and DCYF. Dr. David Sanders said Washington has sharply reduced out-of-home care and increased kinship placements, but he flagged concerns about low screening-in rates, long stays in foster care for many children, and a recent rise in repeat maltreatment and child fatalities, especially among infants. He urged more focus on infants and young children, better coordination among child protection, health care, and law enforcement, and more proactive review and investigation practices. Members asked for disaggregated data on children lingering in care, fatalities, and causes such as fentanyl exposure. DCYF said it has increased relative placements and guardianships, but also reported a concerning rise in 2025 critical incidents, mostly near-fatalities involving children age three and under, many opioid-related. The department described responses including safe child consults for opioid cases, more training, hotspot analysis, and proposed investments in peer support, public health nurses, community referrals, and an updated safety framework. Members also discussed whether a broader commission on child abuse prevention would be useful, and DCYF said it was open to that idea. The committee then received a DSHS reorganization update from Secretary Angela Ramirez, who described the “Reimagined” plan to consolidate four administrations into three new ones, with the stated goals of reducing silos, improving customer experience, and making transitions between services smoother. She said the agency is seeking statutory changes and CMS approval to align the new structure, and members asked about preparing for federal HR1 impacts, especially SNAP. Ramirez said DSHS is monitoring those impacts closely and emphasized the need for accurate data and cross-agency coordination. Finally, DSHS’s Behavioral Health and Habilitation Administration updated the committee on residential habilitation centers and implementation of Substitute Senate Bill 5393, which phases out Rainier School by June 30, 2027 and limits new admissions. Officials reported current census and staffing levels at the state’s RHCs, said Rainier has had some residents transition to supported living or adult family homes, and explained that emergency and permanent rulemaking was needed to implement the law. They also said Rainier was recently cited by federal surveyors for not meeting the active treatment requirement for two residents, and that the facility has 90 days to return to compliance before possible payment penalties or further remedies. Members pressed for details on the citation, the meaning of active treatment, the assessment process for admissions, and whether Rainier could be repurposed for other services; DSHS said it is working on corrective action and will follow up in writing.

Transcript Highlights:

• four physicians have reported that prior authorizations have led to a serious adverse event for a patient
• For the patient, this means delays in care and treatment, abandonment, and can even force the patient
• Overall, this bill is going to allow patients to lead productive lives while managing their illnesses
• On behalf of thousands of frustrated patients, pharmacists, and doctors, I move final passage of the
• He adds that he knows Senator West would probably prefer that this bill be included in that category,

Bills: HJR98 , HB142 , HB912 , HB2525 , SCR19 , SB66 , SB128 , SB209 , SB250 , SB317 , SB383 , SB393 , SB397 , SB517 , SB571 , SB612 , SB614 , SB715 , SB731 , SB801 , SB865 , SB867 , SB872 , SB905 , SB913 , SB945 , SB946 , SB986 , SB1013 , SB1015 , SB1071 , SB1086 , SB1087 , SB1113 , SB1117 , SB1181 , SB1212 , SB1241 , SB1250 , SB1263 , SB1278 , SB1285 , SB1444 , SB1483 , SB1525 , SB1528 , SB1553 , SB1556 , SB1588 , SB1660 , SB1708 , SB1802 , SB1833 , SB1844 , SB1854 , SB1957 , SB1965 , SB1999 , SB2056 , SB2082 , SB2119 , SB2133 , SB2138 , SB2203 , SB2221 , SB2337 , SB2340 , SB2373 , SB2419 , SB2422 , SB2452 , SB2477 , SB2487 , SB2501 , SB2533 , SB2586 , SB2587 , SB2615 , SB2622 , SB2633 , SB2675 , SB2681 , SB2690 , SB2713 , SB2717 , SB2753 , SB2781 , SB2782 , SB2835 , SB2841 , SB2857 , SB2891 , SB2929 , SB2933 , SB2994 , SB3016 , SJR3 , SB5 , SB29 , SB72 , SB326 , SB494 , SB509 , SB530 , SB616 , SB769 , SB783 , SB963 , SB985 , SB1143 , SB1172 , SB1238 , SB1267 , SB1271 , SB1273 , SB1506 , SB1759 , SB1786 , SB1967 , SB2312 , SB2361 , SB1 , SB260 , SB1506 , SB1637 , HJR98 , HJR99 , HJR2 , HJR1 , HB 1109 , HB1392 , HB22 , HB2525 , HB3093 , HB517 , HB912 , HB 1130 , HB142 , HB1689 , HB2018 , HB136 , HB2884 , HB1393 , HB2730 , HB1399 , HB 1244 , HB467 , HB331 , HB2559 , HB29 , HB26 , HB166 , HB353 , HB2000 , HB2756 , HB3248 , HB3513 , HB3204 , HB3135 , HB3012 , HB2763 , HB2523 , HB2457 , HB2415 , HB2198 , HB2143 , HB1708 , HB1672 , HB767 , HB1327 , HB2723 , HB451 , HB140 , HB 109 , HB3096 , HCR6 , HCR12 , HCR29 , HCR50 , HCR55 , HCR56 , HCR58 , HCR70 , HCR71 , HCR74 , HCR78 , HCR80 , HCR107 , HCR116 , HCR117 , SJR36 , SJR50 , SJR63 , SJR59 , SCR12 , SCR39 , SCR48 , SCR19 , SB2023 , SB1844 , SB2533 , SB62 , SB666 , SB847 , SB284 , SB854 , SB1073 , SB810 , SB1505 , SB583 , SB507 , SB1434 , SB1772 , SB2016 , SB1163 , SB1122 , SB731 , SB397 , SB508 , SB1436 , SB287 , SB261 , SB1882 , SB393 , SB1791 , SB209 , SB2429 , SB1999 , SB511 , SB2309 , SB510 , SB1085 , SB1975 , SB2717 , SB1262 , SB636 , SB2056 , SB884 , SB517 , SB1200 , SB1845 , SB2681 , SB2458 , SB801 , SB3014 , SB3013 , SB758 , SB1013 , SB2797 , SB2076 , SB2876 , SB2929 , SB715 , SB1640 , SB2538 , SB1449 , SB986 , SB1181 , SB1359 , SB410 , SB1234 , SB2926 , SB2138 , SB2615 , SB2972 , SB2841 , SB3016 , SB1856 , SB1528 , SB1373 , SB672 , SB2891 , SB1854 , SB317 , SB2539 , SB2532 , SB1250 , SB2082 , SB2203 , SB1285 , SB1454 , SB2520 , SB1237 , SB1586 , SB2819 , SB629 , SB2342 , SB2903 , SB2477 , SB3029 , SB1957 , SB375 , SB250 , SB777 , SB2367 , SB2703 , SB2608 , SB2965 , SB2521 , SB865 , SB2165 , SB2501 , SB2675 , SB2452 , SB2835 , SB872 , SB1212 , SB1278 , SB1588 , SB1602 , SB1704 , SB1723 , SB1833 , SB1858 , SB1946 , SB2009 , SB2177 , SB2460 , SB2785 , SB2373 , SB1660 , SB614 , SB867 , SB1608 , SB1525 , SB905 , SB640 , SB2487 , SB1698 , SB383 , SB705 , SB748 , SB1113 , SB1117 , SB1802 , SB2340 , SB2586 , SB2680 , SB2690 , SB2994 , SB2747 , SB1950 , SB913 , SB1071 , SB1086 , SB1087 , SB1483 , SB1444 , SB1553 , SB1556 , SB1703 , SB2133 , SB2297 , SB2298 , SB2622 , SB2955 , SB3059 , SB2782 , SB2781 , SB2637 , SB2633 , SB2337 , SB2334 , SB1861 , SB2043 , SB1367 , SB946 , SB945 , SB2857 , SB128 , SB571 , SB1263 , SB3058 , SB612 , SB2221 , SB2587 , SB2044 , SB2363 , SB2713 , SB2311 , SB1986 , SB2565 , SB2943 , SB1888 , SB2417 , SB3048 , SB3052 , SB3053 , SB3036 , SB3057 , SB3056 , SB3043 , SB3037 , SB3050 , SB3063 , SB3047 , SB3035 , SB2446 , SB466 , SB2611 , SB2794 , SB2105 , SB2017 , SB1790 , SB1778 , SB1730 , SB2995 , SB2847 , SB205 , SB2619 , SB1903 , SB203 , SB3061 , SB1581 , SB2600 , SB2799 , SB2790 , SB2688 , SB2515 , SB1230 , SB876 , SB2522 , SB2639 , SB2137 , SB2519 , SB2403 , SB2459 , SB3051 , SB2655 , SB2251 , SB2764 , SB2878 , SB1884 , SB111 , SB582 , SB2617 , SB1835 , SB2751 , SB2959 , SB250 , SB614 , SB865 , SB872 , SB905 , SB986 , SB1113 , SB1212 , SB1278 , SB1525 , SB1588 , SB1660 , SB1802 , SB1833 , SB2487 , SB2586 , SB2675 , SB2690 , SB2929 , HB912 , HB2525 , SB1844 , SB2533 , SB1957 , SB1999 , SB2138 , SB2615 , SB3016 , SR469 , SB29 , SB326 , SB494 , SB530 , SB769 , SB783 , SB1238 , SB1967 , SB2312 , SB1506 , HJR34 , HB42 , HB198 , HB247 , HB367 , HB449 , HB632 , HB668 , HB677 , HB766 , HB 1105 , HB 1160 , HB 1169 , HB1592 , HB1778 , HB1781 , HB1868 , HB2017 , HB2038 , HB2128 , HB2240 , HB2316 , HB2510 , HB2516 , HB2563 , HB2582 , HB2663 , HB2712 , HB2715 , HB2760 , HB2788 , HB3010 , HB3069 , HB3112 , HB3120 , HB3146 , HB3157 , HB3305 , HB3348 , HB3464 , HB3474 , HB3505 , HB3512 , HB3560 , HB3597 , HB3686 , HB3783 , HB3860 , HB4063 , HB4081 , HB4214 , HB4215 , HB4224 , HB4273 , HB4325 , HB4361 , HB4386 , HB4395 , HB4665 , HB4783 , HB5032 , HB5180 , HJR34 , HB42 , HB198 , HB247 , HB367 , HB449 , HB632 , HB668 , HB677 , HB766 , HB 1105 , HB 1160 , HB 1169 , HB1592 , HB1778 , HB1781 , HB1868 , HB2017 , HB2038 , HB2128 , HB2240 , HB2316 , HB2510 , HB2516 , HB2563 , HB2582 , HB2663 , HB2712 , HB2715 , HB2760 , HB2788 , HB3010 , HB3069 , HB3112 , HB3120 , HB3146 , HB3157 , HB3305 , HB3348 , HB3464 , HB3474 , HB3505 , HB3512 , HB3560 , HB3597 , HB3686 , HB3783 , HB3860 , HB4063 , HB4081 , HB4214 , HB4215 , HB4224 , HB4273 , HB4325 , HB4361 , HB4386 , HB4395 , HB4665 , HB4783 , HB5032 , HB5180

Keywords: Article V, federal government, fiscal restraints, constitutional amendment, term limits, HB 142, Texas Health and Human Services Commission, HHSC, Office of Inspector General, OIG, Medicaid, Medicaid managed care, recovery audit contractor, RAC, overpayment recovery, underpayment, fraud, waste, abuse, provider enrollment

Summary: The Senate convened with a quorum present, heard an invocation, adopted the prior day’s journal, received House messages, and adopted several resolutions and recognitions, including Senate Resolution 496 honoring Leadership Garland and resolutions 503 and 504. The chamber also recognized guests, including a North Dakota senator and the Doctor of the Day, and received gubernatorial nominations for the Texas Economic Development Corporation Board and the Nueces River Authority Board. The Senate then took up and passed a series of bills, often by suspending the regular order and the constitutional three-day rule. Measures approved included SB 614 on Texas Forensic Science Commission referrals to the Office of Capital and Forensic Writs; SB 250 on municipal annexation across railroad rights-of-way; SB 1660 on toxicological evidence retention and destruction procedures; SB 2586 requiring property owners associations to file governing documents with the Texas Real Estate Commission; SB 1588 increasing penalties for certain failures to report child sexual abuse; HB 912 on compensation for distributed renewable generation outside ERCOT; SB 1957 setting eligibility standards for civilian oversight boards; HB 2525 clarifying a charitable property tax exemption; SB 1525 limiting repeated prior authorization for neurodegenerative disease drugs; SB 865 requiring CPR/AED training and cardiac emergency response planning in schools; SB 1212 elevating human trafficking penalties; SB 2690 on solicitations for Secretary of State documents; SB 1802 on landlord repair duties for ramps, elevators, and handrails; SB 905 on licensing rules for speech-language pathologists and audiologists; SB 2929 allowing removal of disruptive spectators at school athletic events; SB 2675 creating a narrow McAllen-specific parkland conveyance exception; SB 872 increasing punishment for burglary of a vehicle involving firearm theft; and SB 1113 clarifying sales rules for certain converter-license holders. Several bills drew extended debate. SB 2487, dealing with crisis and mental health services for homelessness, was amended to make the county model permissive rather than mandatory and to remove state funding/assistance requirements before passing 28-3. SB 2138, barring higher education funds from contracting with firms that boycott fossil fuels through ESG policies, also passed after questions about fiscal effects and First Amendment concerns. SB 2615, restricting remote work at public institutions of higher education, advanced 22-9. The Senate also began consideration of SB 3016, which would expand enforcement tools against local governments that fail to comply with state law, but the transcript cuts off before action on that bill is completed.

Transcript Highlights:

• So we give it a little preference slider, is what we call it.
• I think patient safety ought to be non-negotiable.
• We're blinded to patient names and things like that, so we're 100% HIPAA compliant.
• We're blinded to patient name and things like that. So we're 100% HIPAA compliant.
• And evidence-based guidance really protects patient safety and helps preserve public trust.

Summary: The Senate Health and Long-Term Care Committee opened its 2026 session with a work session focused on the committee’s priorities of access, quality, and affordability. Health Care Authority staff Michelle Needham and Ross Florey reviewed the Health Care Cost Transparency Board’s work, noting Washington’s uninsured rate has fallen from 15% in 2010 to 5%, but health care spending growth remains above the benchmark. They said 2023 spending grew 6.2% versus a 3.2% target, with prescription drugs, hospital outpatient care, professional services, and non-claims spending driving growth. They highlighted ongoing work on market transparency, hospital spending, primary care, and federal policy changes that could reduce coverage and increase uncompensated care. Dr. Drew Oliva of the Washington Health Alliance added quality and safety data, saying many measures remain below top national performance, primary care attachment is weak, hospital pricing varies widely, and behavioral health data are limited. He urged stronger primary care investment, more transparency, and better patient safety oversight. Committee members then introduced themselves and staff before moving to public hearings. The committee first heard Senate Bill 5877, a technical fix expanding the physician health program surcharge to certified anesthesiologist assistants so they can participate in the Washington Physicians Health Program and related educational resources. The bill sponsor and witnesses from the Washington Medical Commission, the Washington Academy of Anesthesiologist Assistants, and the Washington Physicians Health Program all supported the measure, describing it as a consistency and access fix for a newly licensed profession. The bill drew 12 pro, 2 con, and 0 other sign-ins. The committee then heard Senate Bill 5967, which would preserve access to preventive services by allowing the Department of Health to issue immunization recommendations based on multiple expert sources and by freezing state insurance coverage protections for preventive services and vaccines as of mid-2025, with OIC rulemaking authority to keep coverage at least as favorable. The sponsor, Insurance Commissioner Patty Kuderer, Secretary of Health Dennis Worsham, and Governor’s office staff said the bill is intended to protect existing coverage, not create new vaccine mandates, and to keep recommendations grounded in science amid federal uncertainty. Supporters included Dr. Helen Chu, Dr. Beth Harvey, Dr. Maria Huang, Dr. J. Miller, and Dr. Matt LaGalbo, who emphasized vaccine safety, rising vaccine-preventable diseases, and the importance of no-cost preventive care. Opponents, including Bob Runnels and Natalie Chavez, argued the bill politicizes vaccines, reduces transparency, and expands state authority without adequate fiscal detail. The hearing continued with additional testimony after the excerpt ended.

Transcript Highlights:

• The physician and patient relationship is built on trust.
• And if you have a preference, you are sent to that shop of preference.
• We honor preference, period. It's against the law. It's a best practice.
• Or if I were to be asked, do I have a preference? I have no idea unless I do research.
• What's the next step if they say I have no preference? Go ahead. Sure.

Committee: Senate Judiciary

Summary: The committee heard several bills, with testimony largely focused on child safety, immigrant community transparency, agricultural land security, consumer protection, estate transfers, detention commissary pricing, and public works wage enforcement. SB 1234 would require fentanyl to be included in drug tests ordered by juvenile courts for parents or guardians in dependency cases; the author said it was a narrow child-safety measure, and there was no opposition. SB 1257 would require the Attorney General to publish annual reports on immigration enforcement incidents at designated safe locations; supporters said it would improve accountability and document fear in immigrant communities, while questions centered on how the data would be collected and concerns were raised about sanctuary policies. SB 1176 would bar foreign adversary entities from buying or controlling California agricultural land; supporters framed it as a national security measure, while committee members pressed the author on enforcement, who would verify buyers, and possible discriminatory application. The bill was moved on a 2-4 vote and placed on call after the author said he would work on clarifying responsibility and nondiscrimination concerns. The committee also heard SB 1146, which would require clear disclosure when AI-generated or altered images, audio, or video are used in health-related advertisements depicting health care providers. The California Medical Association and California Dental Association supported the bill, saying it would curb deceptive deepfake ads and protect consumers; it passed unanimously, 7-0. SB 988 would restrict assignment of benefits in auto glass claims, require claim numbers and itemized estimates, and update repair disclosure rules to curb overbilling and steering; supporters said it would protect consumers and stabilize insurance costs, while independent glass shop concerns about steering and market concentration were discussed. The bill passed 7-0, with one member abstaining because of a conflict. SB 1288, presented on behalf of Senator Laird, would require financial institutions to make good-faith efforts to notify beneficiaries of non-probate assets and would simplify access requirements, especially for nonprofits. Supporters described long delays and burdensome account-opening requirements; SIFMA and the California Bankers Association opposed the bill unless amended, citing conflicts with federal and industry obligations and concerns about retroactive burdens. The bill passed 8-0. SB 941 would cap commissary markups in private immigration detention facilities at 35% above vendor cost; supporters said detainees often pay excessive prices for basic necessities, and the bill passed 8-0. Finally, SB 909 would raise and index public works contractor fees and penalties and dedicate more penalty revenue to enforcement; labor supporters said stronger funding is needed to address wage theft and backlogs, while contractors warned of uncapped costs and reduced transparency. The discussion continued with questions about enforcement and whether stronger penalties or license restrictions would better deter repeat violators.

Transcript Highlights:

• </c> great that you you're a patient great that you you're a patient yourself<01:02:21.039><c> have</
• and the thing is is that patients and the thing is is that different<01:02:34.200><c> patients</c><01
• </c> not different from any other patient not different from any other patient that<01:26:01.080><c>
• have to track patients' allotment.
• </c> a lot of confusion around What patients a lot of confusion around What patients can<01:56:06.440

Committee: House Criminal Justice and Public Safety

Keywords: 1189, house, all

Transcript Highlights:

• An exemption from a tax preference performance statement, JLARC review, and the 10-year expiration is
• And then part five of the bill creates the tax preference performance...
• And then part five of the bill creates the tax preference performance statement, the 10-year expiration
• My name's Jim Freiburg, pro on House Bill 2487, on behalf of the Patient Coalition of Washington.
• We unite 18 of the state's leading patient groups to have one voice for better health care.

Bills: HB2038 , HB2297 , HB2382 , HB2487 , HB2018

Committee: House Finance

Keywords: HB2038, Washington, B&O tax, business and occupation tax, social media tax, platform tax, youth behavioral health, mental health, adolescent mental health, children's mental health, telebehavioral health, behavioral health account, state treasury, digital services tax, internet platform, social media companies, youth services, depression, anxiety, public health funding

Transcript Highlights:

• And so we give it a little preference slider is what we call it.
• I think patient safety ought to be non-negotiable.
• We're blinded to patient names and things like that, so we're 100% HIPAA compliant.
• And evidence-based guidance really protects patient safety and helps preserve public trust.
• And evidence-based guidance really protects patient safety and helps preserve public trust.

Bills: SB5877 , SB5967

Committee: Senate Health & Long-Term Care

Keywords: anesthesiology, medical personnel, surcharges, licensing, healthcare regulations, preventive services, state authority, healthcare access, insurance coverage, public health, 904, all

Transcript Highlights:

• are for in-state patients.
• Uh, it also caregiver or patient.
• </c> how much is would 2 ounces a patient? how much is would 2 ounces a patient?
• </c> allow patients uh to get what they need. allow patients uh to get what they need.
• have um sorry, the that non-patients have um sorry, the patients<01:42:07.920><c> have.

Committee: Senate Judiciary

Keywords: 1191, senate, all

Transcript Highlights:

• It's a very good location for their patient population and so forth.
• Do we with the PA patient population.
• </c><00:05:22.000><c> population</c> location for their patient population location for their patient
• So, we always prefer to have three bids. So, that would be an ideal situation.
• So, that prefer to have uh three bids.

Keywords: 0:00:08 Call to Order and Roll Call 0:00:38 Approval of Minutes 0:01:02 Information Items 0:02:17 Lease Rpt from Postsecondary Institutions 0:06:42 Project Rpt from Finance and Administration Cabinet 0:15:03 Lease Rpt from Finance and Administration Cabinet 0:24:00 Rpt from OFM – KY Infrastructure Authority 0:42:55 Economic Development Fund Grants 0:53:38 Rpt from OFM – New Debt Issues 1:16:33 Remaining 2025 Meeting Dates 1:16:45 Adjournment, 958, all

Summary: The committee first handled routine business, including roll call, approval of the July minutes, and several informational reports. Those reports included a University of Kentucky restricted-fund medical equipment purchase for Chandler Hospital, debt issues for five school districts, Eastern Kentucky University’s planned model laboratory school using construction management risk delivery, a Division of Real Properties lease advertisement, Kentucky Communications Network Authority quarterly project reports, and EKU asset preservation revisions. Members then heard and approved a new UK St. Clair Urgent Care Clinic lease in Morehead and an amendment expanding space for the UK Family and Community Medicine Clinic at Turflin Clinic. Testimony explained that both properties are privately owned, the Morehead lease predated the UK/St. Clair arrangement, and the Turflin Clinic is tight on space. The committee also approved three new projects and an appropriation increase: two Department of Military Affairs projects, a Window Ford Training Center underground electric project and a Williamsburg Readiness Center interior repair project, a Fish and Wildlife property acquisition adjoining Veterans Memorial Wildlife Management Area, and an $8.113 million increase for the Department of Revenue integrated tax system (DORIS). The DORIS increase was described as needed for change orders tied to legislation and to complete the unified tax system. The committee next reviewed no-action items, including a $3 million emergency flood-damage repair project for the Bush Building and Vest-Lindsay House in Frankfort, and three pool projects over $1 million: a Kentucky Correctional Institute for Women window replacement phase 2 project, a Department of Criminal Justice Training interior refurbishment at Thompson Hall, and the Muddy Gut Branch stream mitigation project in Johnson County. The flood project was confirmed to be fully reimbursed by insurance proceeds. Finally, the Kentucky Infrastructure Authority presented six loans and nine grants. Action items included water and sewer financing for Cumberland County, Lebanon, Northern Kentucky Water District, Lewisport, and Providence, plus a major Taylor Mill treatment plant project and several cleaner water grants and reallocations. Members asked about loan rates, local rate increases needed to repay debt, and the Providence emergency water interconnect; staff explained that Lewisport had begun a rate increase process, and that the Providence project would connect Webster County Water District and the city of Providence to stabilize pressure after a systemwide failure. All action items were approved.

Transcript Highlights:

• This establishes the abortion savings program, which provides grants to maintain access to direct patient
• Indian health care provider or any independent practitioner or other entity that provides direct patient
• eligible organization, staff, or individual health care practitioner or staff who provide direct patient
• first fiscal note is written. savings program, which provides grants to maintain access to direct patient
• Substitute Senate Bill 5981, protecting patient access to discounted medications.

Summary: The Ways and Means Committee met in executive session on February 9, 2026, first hearing a staff briefing on Senate Bill 6346, which would impose a tax on individuals earning over $1 million. Staff described the bill’s revenue and spending impacts and reviewed a proposed substitute and 11 amendments addressing items such as public defense funding, charitable deductions, out-of-state tax credits, small business credits, diapers, constitutional issues, and a contingent constitutional amendment. The committee later took up the bill and rejected all of the offered amendments, then advanced the substitute bill with a due pass recommendation to the Rules Committee. Members supporting the bill argued it would help address tax fairness and fund public services, while opponents raised concerns about constitutionality, economic harm, and the effect on businesses and charitable giving. The committee also acted on a series of policy bills. It advanced a substitute bill on grocery store closures in food deserts after adopting a narrower substitute, despite concerns from some members about burdening grocers. It approved a substitute bill expanding voting access for military, overseas, Native American, and disabled voters, adopting a second substitute that removed a cybersecurity review requirement. The committee also advanced bills on tort claim arbitration against governments, victim and witness protections in sexual assault and domestic violence cases, JLARC review of student aid fraud, agricultural collective bargaining, labor relations if federal preemption ends, a cost-of-living adjustment for Plan 1 retirees, workers’ compensation and medical care access, line-of-duty death reimbursements, law enforcement background checks and eligibility, veterans’ discharge definitions, and extraordinary medical placement. Several of these bills had amendments adopted, including changes to tort claim oversight, victim-requested standby counsel, agricultural labor definitions, workers’ compensation penalties, law enforcement volunteer support, and extraordinary medical placement criteria. In the second group of bills, staff briefed measures affecting property taxes, housing, cannabis, disaster-related tax relief, technical tax code changes, aircraft fuel tax revenues, the estate tax, and a pesticide tax exemption. The committee heard that a substitute for the fire protection district bill would alter how city or town levy capacity is reduced and include consultation requirements and board-creation provisions. It also heard that the property tax relief expansion for seniors and disabled retirees needed a substitute to make the consolidated school levy revenue-neutral. Other bills would expand tax exemptions for low-income housing and nonprofit homeownership, authorize local cannabis excise taxes, extend disaster repair tax relief, expand housing-related local sales tax uses, make technical tax code changes, redirect aircraft fuel tax revenues to aeronautics, reduce the estate tax rate, and extend a pesticide tax exemption. The transcript ends during the committee’s consideration of Senate Bill 6346, with the committee debating and rejecting amendments before moving the bill forward.

Transcript Highlights:

• They do have significant value for patients with sickle cell.
• payment models for the state that will hopefully result in some savings and better outcomes for our patients
• We already cover medication-assisted treatment, or MAT therapy, for Medicaid patients, which is a treatment
• presented that simply clarify grammar, punctuation, and style to conform our rules with existing BLR preferences
• presented that simply clarify grammar, punctuation, and style to conform our rules with existing BLR preferences

Committee: All ALC-ADMINISTRATIVE RULES

Summary: The Administrative Rules Subcommittee reviewed several agency rules and most were approved without objection. The Department of Agriculture repealed rules tied to the now-repealed Arkansas Catfish Processors Fair Practice Act. The Department of Human Services updated Medicaid policy to clarify child support enforcement treatment for pregnant women, remove the word “forcible” from rape/incest good-cause language, and eliminate a 90-day waiting period for ARKids B after loss of group coverage; members highlighted the significance of the language change and asked for a quick-reference eligibility chart. DHS Medical Services also received approval for a CMS cell and gene therapy model rule for sickle cell drugs and a technical Medicaid-assisted medication-assisted treatment update that was described as cost-neutral and non-substantive. The Department of Labor and Licensing presented several rules implementing recent acts and internal cleanup changes. These included procedures for local construction plan disputes under Act 591, Contractors Licensing Board amendments raising the restricted commercial license threshold from $750,000 to $1.5 million and allowing deferral of owner-complaint investigations during civil litigation, and a similar residential contractors change. The HVACR Licensing Board presented broader revisions under Act 746, including grammar and cleanup changes, elimination of the Class C license with transfer of existing holders to Class B, expansion of allowable work limits, a change to continuing education from four hours annually to eight hours per three-year code cycle, and clarification on training, child labor, and licensing issues. Several members questioned the practical impact of the HVAC changes, but the rule was approved. The committee also granted the Department of Inspector General’s request for exclusion from rulemaking reporting under Act 473, concluding that no rule was necessary because the act already defines the key terms and review process for foreign-adversary cultural exchange agreements. In addition, the Arkansas State Library’s report recommending continuation of its existing rules was accepted. During the status updates on outstanding 2023-session rulemaking, Education explained delays were due to overlapping 2025 amendments and the large volume of rules, while members expressed concern about the length of time since enactment; staff noted only a small number of 2023 rules remain outstanding. The meeting ended after written 2025-session updates were received with no further questions.