Transcript Highlights:

• We do have a pretty strong staff of physicians, both inpatient and outpatient.
• Did you say positions or physicians? Positions. Okay. I thought you said physicians.
• Donna, what's going on in behavioral health with vacant physicians?
• I don't, you know, it's more of a statement than a question, but I... Thoughts on that?
• Chairman, Representative's statement, we will obligate all $199 million.

Summary: The committee met with a quorum, approved the March 18 minutes, and then received a series of updates on major health-related projects and programs. CHI St. Alexius representatives reported progress on behavioral health buildouts in Bismarck, Williston, and Grand Forks, including demolition and construction milestones, staffing plans, and timelines. The Bismarck project remains on track for completion in June 2027 with about $346,500 spent to date. Williston reported construction underway, a $750,000 unbudgeted air handler replacement, active recruitment for psychiatrists and other staff, and a projected substantial completion in early 2027. Grand Forks reported about 30% completion, weather-tight status expected in August, and continued staffing ramp-up as the facility expands from its current 24-bed operation. The Department of Health and Human Services then reviewed a set of technical line-item transfers, emphasizing that they were administrative corrections with no net change in funding. The department also walked through the Salaries and Wages Block Grant and FTE counts, noting overall staffing remained within appropriated limits and that behavioral health staffing had increased. Members asked about vacancies, consultant use, and the mix of in-state versus out-of-state expertise for the Rural Health Transformation Program. HHS said it had posted 12 funding opportunities, received 422 applications, obligated $8.4 million so far, hired 26 people, and was preparing additional grant rounds and a CMS budget submission. The department said the program is structured around workforce, prevention/healthy living, care closer to home, and technology/data, with ongoing stakeholder engagement and community forums. The committee also heard on the certified community behavioral health clinic implementation plan, SNAP payment error rates, and the state laboratory project. HHS said CCBHC certification is being implemented in four regions—Williston, Minot/North Central, Fargo/Southeast, and Dickinson/Badlands—with care coordination expanding and baseline data still being collected. On SNAP, the department reported a 2025 payment error rate of 9.89%, acknowledged cost impacts under HR1, and said it is using training, system changes, and pre-authorization quality checks to reduce errors toward a 6% target over the next 6 to 12 months. Finally, Public Health reported the state laboratory reached substantial completion on June 12, with total costs at $69.95 million of the $70 million budget, though a service elevator issue will require a new lift to be added using contingency funds.

Transcript Highlights:

• My proposed amendment is Chapter 62-6, subsection 2: an actively practicing physician, advanced practice
• I do have experience personally with having to serve jury duty as a practicing physician here in Hawaii
• here in Hawaii year in years physician here in Hawaii year in years past<00:15:57.880> uh<00:
• We did look at the previous bill that was studied in 2021, and I think there is an affirmative statement
• <00:30:33.960> that there is an affirmative statement that there is an affirmative statement

Keywords: 912, senate, all

Summary: The committee opened its first hearing of the 2025 session with procedural instructions about testimony limits, Zoom participation, written testimony, and a reconvening date if needed. It then heard SB 200 on speedy trials. The Office of the Public Defender opposed the bill, arguing it could create conflicts of interest for prosecutors, potentially make victims or witnesses quasi-parties to criminal cases, force traumatizing testimony on continuance motions, and unfairly delay trials for in-custody defendants. A World Care representative supported the bill and urged broader protections for minors, disabled people, and seniors. The chair also pressed the public defender to suggest improvements, emphasizing that the bill was driven by victims and families. No vote or final action was taken on SB 200. The committee next took up SB 8 on jury duty exemptions for health professionals. Testimony was strongly supportive from nurses, physicians, and disability advocates, who said APRNs and other nurses are in short supply and that jury service can disrupt patient care, especially in rural and neighbor island areas. One witness suggested expanding the exemption to include registered nurses as well as APRNs, while a senator raised concerns about blanket exemptions for non-practicing APRNs and suggested a time limit. The bill remained under discussion with no final action reported. The committee then heard SB 144 on chiropractic, with the state chiropractic board offering comments and the Hawaii State Chiropractic Association supporting the measure as a way to address workforce shortages and provide students more hands-on clinical experience. A World Care witness also supported the bill after clarifying her remarks. The chair then moved to SB 107 on medical informed consent, where the Hawaii Medical Board opposed the bill and the Healthcare Association of Hawaii and Queen’s Health System offered comments, citing concerns about duplicative standards. A support witness proposed expanding the bill to better address combined mental and physical health conditions. Finally, SB 189 on breast cancer screening drew support from the Hawaii Medical Association, Hawaii Radiological Society, Queen’s Health Systems, and others, while the Insurance Division raised concerns about possible insurance mandate defrayment and the need for a sunrise analysis. Senators also asked about local demographic data and coverage impacts; the chair indicated decision-making would be deferred to another day.

Transcript Highlights:

• The model consists of a team led by a primary care physician who is then supported by a... a psychiatric
• The primary care physician is the lead of the collaborative care model because the model... is based
• Primary care physicians might not always be well-equipped to handle and treat those types of patients
• Buprenorphine can be prescribed by physicians right in the primary care physician's office.
• Again, it has a statement and components of total compensation. It identifies what the market is.

Transcript Highlights:

• It reduced prescribing physician requirements from two licensed neurologists.
• Members, any other statements? With that...
• TMA, you all have a medical license as doctors and physicians, correct? Yes.
• Fair statement? It is. Laboratory testing is very expensive.
• Is that a fair statement or not? I think that's fair.

Keywords: 1185, senate, all

Transcript Highlights:

• Um and that seems to be uh the statement there.
• Um and that seems to be uh the statement there.
• Um and that seems to be uh the statement there.
• Um and that seems to be uh the statement there.
• But I am curious to statement there.

Keywords: 1189, house, all

Summary: The commission to study the cost of special education met, confirmed a quorum, introduced members and guests, and approved the minutes from the October 29 meeting. Members noted the commission’s mandate under Senate Bill 57 and emphasized the need to focus on recommendations and findings by July 1, 2026. The chair also distributed additional handouts, including materials related to the Education Freedom Account (EFA) program and administrative rules tied to differentiated aid and disability determinations. The main discussion centered on how students qualify for differentiated aid under the EFA program. Matt Sutherton of the Children’s Scholarship Fund explained that the organization, which contracts with the state to administer EFAs, accepts either school-district/IEP documentation or a medical certification of disability (MCD) from a licensed medical professional. Members questioned how this process relates to the state’s special education rules and whether the school-district examiner standards in ED 107/1107.04 apply to EFAs. Sutherton said the MCD form, created with the department, requires the medical professional to sign that they are qualified to make the determination and to identify the disability. Several members expressed concern that the EFA process is less rigorous than the school-district IEP process and may be inflating disability counts. One member argued that the administrative rules cited are primarily for school districts, not EFAs, and said the Department of Education may not know how many of the roughly 890 EFA students receiving differentiated aid came through school-district documentation versus the MCD pathway. Another member said the EFA system appears more generous than the school system and raised concerns about oversight, auditing, and whether the program’s data are accurate. Sutherton said the organization reviews signed documentation, credentials, and diagnosis information, and may request additional records to help adjudicate expenses. No votes or formal actions were taken beyond approving the prior minutes.

Transcript Highlights:

• Talk to your own physician.
• back to a licensed physician back to a licensed physician uh<00:32:59.919> who<00:33:00.159
• This is just the, your own physician.
• Talk to your own physician. And online. Talk to your own physician.
• <01:08:01.440> Are statements. Um, you're all not talk. Are statements.

Keywords: 958, all

Summary: The committee met with a quorum, approved the prior meeting minutes, and then heard testimony on the use of artificial intelligence in therapy and mental health settings. Representative Lisa Willner and Brenda Rosen of NASW Kentucky argued for “guard rails” on AI chatbots so they cannot present themselves as licensed therapists or replace school counselors, psychologists, or social workers. They said AI can support licensed professionals, but warned that chatbots cannot reliably recognize nonverbal cues, escalate crises, or provide accountable care, and they cited examples of harmful chatbot interactions, including a suicide case and a chatbot telling a user to “Please die.” The witnesses also raised concerns about data privacy, commercialization of sensitive mental health conversations, and the use of personal clinical content to train AI models. They said minors should require parental consent and suggested transparency about how a chatbot is trained and who created it. They distinguished between unvetted consumer chatbots and AI tools that have been scientifically validated or approved as digital therapeutics, noting that some evidence-based tools may be useful for specific conditions such as depression, anxiety, or eating disorders. Committee members asked whether regulation should be handled by the legislature or by professional boards, and whether a multi-state model would be preferable to 50 different state approaches. The witnesses generally favored expert-led standards and said a board or panel of experts could review and approve mental health chatbots, but members cautioned that boards can become too restrictive and that legislation should preserve flexibility and avoid discouraging children from seeking help. The discussion ended with a request for the witnesses to restate their proposed policy ideas, including privacy protections, bans on commercialization, limits on training AI with clinical content, transparency requirements, and informed consent.

Transcript Highlights:

• Additionally, the Connecticut Children's Medical Center's physician-in-chief released a warning that
• There are some companies who have acknowledged the issue by making statements that kids should be kids
• But these statements, absent real and meaningful action, are performative and...
• Additionally, the Connecticut Children's Medical Center's physician-in-chief released a warning that
• But these statements, absent real and meaningful action, are performative and But these statements, absent

Summary: The committee heard a series of environmental safety and toxic materials measures, with several bills moving forward on unanimous or near-unanimous votes to Appropriations. Early in the meeting, the consent calendar was approved, including AB 372, AB 455, AB 1096, AB 1102, and AB 754. AB 362 by Assembly Member Ramos, which would recognize tribal beneficial uses of water and strengthen consultation and protection for tribal water uses, drew strong support from tribes and environmental groups. Water agencies and local government representatives opposed unless amended, raising concerns about CEQA requirements, co-management language, and conflicts with existing water law. The bill advanced to Appropriations, with some members voting aye and others not voting or absent. AB 728 by Assembly Member Lee would require age verification for the sale of certain anti-aging skin care products to minors. The author and a youth witness described social media-driven use of adult skin products by children and alleged skin damage, while supporters argued age checks are a reasonable consumer protection. Dermatologists and retailers opposed the bill, saying it could restrict legitimate acne and other medical uses of over-the-counter products, create compliance problems, and lacked a clear scientific basis. The committee discussed possible ambiguity in the bill’s definition of anti-aging products, but the measure still passed to Appropriations. AB 532 on low-income water rate assistance, AB 773 on copper-based anti-fouling paint, AB 998 on household hazardous waste disposal of vape pens, AB 1031 on geothermal hazardous waste fees, and AB 864 on solar panel hazardous waste and recycling all received strong support and advanced to Appropriations. Supporters for AB 532 emphasized water affordability and local program authority; AB 773 supporters said conflicting state water and pesticide rules are creating confusion for harbors and cities; AB 998 was presented as a practical way to let schools and local facilities dispose of confiscated vape devices safely; AB 1031 was framed as reducing DTSC fee burdens on geothermal development in Imperial County; and AB 864 would ease recycling and reuse of end-of-life solar panels. The committee also began hearing AB 1264 on ultra-processed foods in school meals, with the author and supporters arguing it would phase out the most harmful ultra-processed foods from school meals by 2032, but the transcript cuts off before the full discussion and any action on that bill.

Transcript Highlights:

• Last, last statement for this panel, Island.
• This is the kind of stuff that y'all sent position and that is a false statement.
• And I had statements to back that up.
• New physicians, physicians who are operating on their own, were not able to cover the expense of going
• The hospital credentials the physician does the background check you're talking about.

Bills: HB2242, HB2446, HB2799, HB4502, HB2920, HB2790, HB5620, HB5060, HB5076, HB5080, HB5081, HB5128, HB5130, HB3847, HB5116, HB2969, HB4546, HB4202, HB5624, HB3964, HB4803, HB872, HB4775, HB4777, HB4961, HB5570, HB2988, HB4260, HB1375, HB5009, HB5411, HB5134, HB4388, HB3095, HB1387

Keywords: constables, civil rights, local government, law enforcement, policy-making authority, affidavit, medical bills, civil actions, reasonable charges, healthcare services, judicial statistics, court performance, family law, civil cases, efficiency reporting, court security, emergency management, harassment penalties, judicial safety, court committee

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

Transcript Highlights:

• as it finally provides a return for Texas to value a pregnant woman's life, a return to respect physicians
• I serve in the Evangelical Lutheran Church in America, where we have social statements that help guide
• After the Dobbs decision, our Presiding Bishop Elizabeth Eaton referenced our abortion statement.
• She said in this social statement, this church holds both women and developing life in the womb as neighbors
• or any of our daughters face a health crisis in pregnancy, the Life of the Mother Act will allow physicians

Keywords: SB31, medical emergency, reproductive health, testimonials, abortion laws, Texas

Summary: This transcript is from a Faith Days at the Capitol press conference supporting Texas abortion-related legislation, especially Senate Bill 31 and House Bill 44, referred to as the “Life of the Mother Act.” Speakers said the bills would clarify the medical-emergency exception in Texas law so doctors can provide evidence-based care when a pregnancy threatens a patient’s life or health, and several noted concerns about delayed treatment, loss of fertility, and women leaving Texas because of uncertainty under current law. Faith leaders from Baptist, Lutheran, Episcopal, Methodist, Presbyterian, Catholic, Jewish, and other traditions described pastoral experiences with women and families affected by the abortion ban and said their religious beliefs support protecting the life of the mother. Multiple speakers emphasized that the current legal climate has created fear for pregnant Texans, especially those facing miscarriage or high-risk pregnancies, and argued that SB 31 would restore clarity, physician discretion, and religious freedom. Several also linked the issue to broader concerns about maternal mortality, including the higher risks faced by Black women, and framed the bill as a matter of bodily autonomy and family well-being. A Catholic attendee and clergy members shared personal stories about daughters, granddaughters, and congregants who could be harmed by delayed care. Representative Charlie Geren, the House author of HB 44, said the bill was the most important he had carried in his 24 years in the Legislature and pledged to work to get it passed. Representative Josie Garcia also spoke in support, saying existing medical ethics and malpractice rules already hold providers accountable and arguing that supporting mothers is consistent with being pro-life. The event concluded as a coordinated advocacy effort, including mention of a postcard campaign that had gathered more than 6,000 submissions since January 14.

Transcript Highlights:

• I'm a physician. I practice in San Antonio.
• And to be clear, physicians in this state respect the law.
• I'm a physician member of the TMA, which is an association.
• It's scary; it was scary for me as a young physician.
• As a practicing physician, if I wouldn't refer...

Bills: SB10, SB16, SB6, SB 6, SB 10, SB 16

Keywords: trafficking, prostitution, affirmative defense, victims, criminal justice reform, victim rights, criminal justice, judicial reform, court procedures, mental health services, criminal penalties, court security, SB 6, Woman and Child Protection Act, abortion, abortion-inducing drugs, medication abortion, mifepristone, misoprostol, pro-life

Transcript Highlights:

• time that we just make a statement time that we just make a statement saying<01:32:16.560> we
• <01:49:47.679> that asking you to make a statement that asking you to make a statement that
• Um, I have some prepared statements.
• The physician had person died.
• opportunity for debate, but a statement opportunity for debate, but a statement of<02:38:20.080>

Keywords: 1189, house, all

Transcript Highlights:

• , physicians, physicians, to<00:03:52.360> look<00:03:52.600> at<00:03:52.720> this<
• Physician Assistants. Physician Assistants.
• We also took input from physicians.
• <00:25:23.040> in can actually ever replace a physician in can actually ever replace a physician
• I'm not here advocating physicians.

Keywords: 958, all

Summary: The Senate Standing Committee on Health Services met with a quorum and first took up Senate Joint Resolution 116, sponsored by President Stivers. The resolution directs the University of Kentucky, the University of Louisville, and Eastern Kentucky University to work over the next year on a statewide framework to improve health care access, especially in underserved and unserved areas. Members discussed physician shortages, maldistribution of doctors, recruitment and retention, loan forgiveness, scholarships, technology, and the connection between health care access and economic development in rural Kentucky. The resolution was reported favorably on a unanimous roll call vote. The committee then considered Senate Bill 116, relating to physician assistants and a shift from a supervisory to a collaborative practice model. The sponsor and PA witnesses explained that the bill was heavily revised through a committee substitute after discussions with the Kentucky Medical Association, physicians, and hospitals. They said the substitute keeps physician supervision in place while allowing health care teams to function more efficiently, and they emphasized that the bill is intended to improve access to care, particularly in rural areas with few doctors. Some members supported the compromise and the collaboration, while others raised concerns that expanding PA practice could worsen long-term physician shortages or reduce incentives for doctors to practice in rural Kentucky. The bill passed the committee 7-2 with favorable expression.

Transcript Highlights:

• The closing statement on the floor amendment? No.
• Do you have an opening statement?
• I rise to make a statement on HB 2442. I do find it interesting.
• I rise to make a statement on HB 2448. I do find it interesting.
• Do you have an opening statement? No, Mr. Chairman, I do not.

Keywords: 1182, all

Summary: The House convened with prayers, the Pledge of Allegiance, guest introductions, and several proclamations and recognitions, including International Mother Language Day, Nurses Day at the Capitol, Environmental Day, Arizona Aerospace Day, Childhelp, Teamsters Local 104, and African American Legislative Day. Attendance was recorded at 57 present, zero absent, and three excused. The chamber also handled routine business such as committee reports, bill referrals, first and second readings, and announcements of upcoming committee meetings. The main floor action centered on House Bill 2785, a tax conformity measure. Members debated it at length, with supporters arguing it would make tax forms legal, align Arizona with federal tax changes, and provide tax relief to taxpayers and small businesses, while opponents said it was an unpaid tax cut for wealthy individuals and corporations that would force cuts to health care, education, SNAP, and other services. The House passed HB 2785 on a 32-26 vote with two not voting and sent it to the Senate. The House then resolved into Committee of the Whole and considered several Health and Human Services and Commerce bills. HB 2190, HB 2206, HB 2396, HB 2442, HB 2448, HB 2688, HB 2689, HB 2690, HB 2796, and HB 2797 were debated, with most receiving do-pass recommendations after amendments. Testimony focused heavily on SNAP policy, including payment error rates, work and training requirements, food restrictions, and waiver authority, with Democrats warning of added burdens and reduced access for eligible families and Republicans arguing the bills would improve accountability, nutrition, and compliance with federal law. HB 2689, which would collect hospital patients’ immigration status on a voluntary basis, drew strong opposition over concerns it would deter people from seeking care; it was still reported out of committee, though a later motion to amend the committee report to show HB 2689 failed was rejected 24-32. The House adopted the Committee of the Whole report, and several bills were referred to engrossing before adjournment.

Transcript Highlights:

• c> in<00:08:42.000> a assistant and now you work in a assistant and now you work in a physician
• > collaborative<00:08:44.000> as<00:08:44.200> well<00:08:44.400> as physician
• collaborative as well as physician collaborative as well as volunteering<00:08:45.400> for<00
• But thank you so much for giving your time, and I really like your statement, Jeffrey, because, as you
• I really much for giving your time and I really like<00:14:47.640> your<00:14:47.800> statement

Keywords: 912, senate, all

Summary: The Committee on Health and Human Services held a hearing on several Governor’s Message nominations. The chair opened with instructions about live streaming, testimony limits, and the possibility of reconvening if technical problems occurred. One nomination, GM 542 for Jamie Gagnon to the West O‘ahu subarea of the Hawaii Health Planning Council, was initially deferred because he was not present and there was concern he may not have received notice; when recalled later in the hearing, he testified that he wanted to help address limited provider resources and improve coordination of care. The committee also heard from Christine Cabingao Ting Kang for GM 541, but she was not present and her nomination was deferred to Wednesday, March 11 at 1:00 p.m. in Room 225. The committee then heard strong support testimony for GM 688, Raelynn Tenno for the Pa‘ala Policy Advisory Board for Elder Affairs. Tenno said she wanted another term because of her experience caring for elderly family members and her work on emergency preparedness for older adults and condominium/HOA communities. Supporters from the Office of Aging, the PABEA chair, the Hawaii Family Caregiver Coalition, and others praised her knowledge of housing, elder issues, and community service. GM 712, Kathleen Merriam for the State Council on Mental Health, also drew support; Merriam described over 40 years in mental health work, including managing a community mental health center in Kaneohe and supporting clubhouse programs. The committee also considered GM 560, Jeffrey Hicks for the Juvenile Justice State Advisory Council. Hicks said his career in justice and juvenile work motivated him to continue contributing to rehabilitation efforts for youth. The chair and members discussed the importance of prevention and rehabilitation in juvenile justice. After testimony, the committee moved to decision-making and voted to advise and consent on GM 542, GM 688, GM 712, and GM 560, while GM 541 was deferred to a later date and time. The hearing then adjourned.

Transcript Highlights:

• Testimony on any such bill will be limited to a statement of name, organization, if any, and position
• AB 1696 makes clear that nurse midwives do not require physician supervision when they are providing
• They work closely with physicians, nurses, and other providers to deliver safe care for patients.
• conditions, and mandates the transfer of care when a patient's condition requires physician involvement
• conditions, and mandates the transfer of care when a patient's condition requires physician involvement

Summary: The Assembly Appropriations Committee heard a regular order agenda with 101 bills and first took up AB 2215, which would extend the time for the Department of Water Resources to fully develop its State Water Project water rights. The author and supporters argued it would improve water reliability and affordability for millions of Californians and could save ratepayers money, while opponents said it would bypass the Water Board’s administrative process, set a precedent for other water rights holders, and potentially facilitate costly projects like the Delta Conveyance Project. The bill was moved on a do pass vote, with Mr. Hoover voting no and Ms. Krell not voting. The committee then approved two consent calendars and heard several bills with little or no opposition. These included AB 2038 on extending insurance nonrenewal/cancellation protections for wildfire victims; AB 2322 on clarifying which commercial, industrial, or institutional sites are subject to municipal stormwater permits; AB 1794 on direct home shipment of enteral nutrition; AB 1696 on clarifying that nurse midwives do not need physician supervision within their scope of practice; AB 1860 on allowing county offices of education to use design-build methods; AB 1876 on codifying nondiscrimination protections in health care; AB 2281 on election cybersecurity resources; AB 2448 on protecting sensitive medical records and reproductive health data; AB 1994 on providing victims with information about federal immigration relief options; and AB 1829 on expanding how CalWORKs community college funds may be used to support student parents. Most were supported by sponsoring organizations and related stakeholders, with limited opposition noted on AB 1696 and AB 2281. The committee also placed a large suspense calendar on approval, listing dozens of additional bills, and then opened public comment on bills not heard that day. No members of the public came forward, and the hearing was adjourned. Several bills were reported out on roll call votes, with some members not voting or voting no on particular measures, but the transcript does not provide full vote tallies for each bill.

Transcript Highlights:

• next bill on page 28 of the calendar, House Bill Number 346 by Representative Lee, relating to physicians
• I had a retired physician in Dothan contact me and said, "Look, right now I'm volunteering, and if many
• of you know, we have a terrible shortage in physicians..." ...we have a terrible shortage in physicians
• and nurses, but physicians as well.
• All this bill does is allow a retired physician that nothing changes as far as their criteria.

Keywords: 1136, house, all

Transcript Highlights:

• Oh, do you have a closing statement, please? Respectfully, I ask for your aye vote.
• Oh, do you have a closing statement, please? Respectfully asked for your aye vote.
• And I appreciate your statements as well, and I thank you for your bill.
• It's more of a macro statement just about importance of this industry in California.
• I wanted to begin my statement by...

Summary: The committee heard several AI- and consumer-protection-related bills, with extensive testimony from authors, supporters, and industry opponents. SB 53 by Senator Wiener would create transparency requirements for large AI developers, including disclosure of safety and security protocols, reporting of critical safety incidents, whistleblower protections, and the CalCompute public cloud. Supporters said it is a narrower, transparency-based follow-up to last year’s vetoed AI safety bill, while opponents argued it still relies too much on company size, could expose trade secrets, and should be narrowed further. The committee approved SB 53 on a do-pass-as-amended vote to Appropriations, with the roll held open for absent members. SB 766 by Senator Allen would codify the FTC’s Cars Rule and create a three-day cooling-off period for certain used-car purchases, along with stronger disclosure rules on pricing, add-ons, and government affiliation claims. Supporters said it would save consumers money and time and help buyers avoid bad deals, while dealer and industry groups said amendments addressed many of their concerns. Several former opponents moved to neutral, and the committee passed SB 766 unanimously as amended to Appropriations. SB 7 by Senator McNerney would regulate automated decision-making systems in employment by requiring notice, human review for discipline and termination, and limits on predictive behavior analysis. Labor and consumer advocates supported the bill as a safeguard against biased or overly automated workplace decisions, while employer and industry groups raised concerns about scope, notice burdens, and the predictive-analysis ban. The committee passed SB 7 to Appropriations on a 4-2 vote, with the roll held open. SB 833, also by Senator McNerney, would require human oversight of AI used in critical infrastructure, along with training and system assessments; it drew limited opposition focused on scope, and the committee passed it as amended to Appropriations on a 5-0 vote, also holding the roll open. Later, the committee took up SB 11, which would address AI-generated voice, image, and video cloning and deepfakes by clarifying likeness protections, requiring consumer warnings, and addressing misuse and evidence tampering. Supporters framed it as a targeted response to nonconsensual deepfakes, while industry groups said recent amendments improved the bill but still had concerns about penalties and warning language. The committee also heard SB 720, the Safer Streets Act, which would let cities opt into a revised red-light camera system that shifts from driver to owner liability, removes facial identification, makes violations civil rather than criminal, and directs revenue toward transportation safety projects; the author presented the bill, but the transcript ends before any final action on SB 720.

Transcript Highlights:

• <00:22:13.200> assistants, time, to supervise physician assistants, time, to supervise physician
• Physician assistants working with podiatrists will focus on diabetic foot screenings, wound care, and
• The bill establishes a formal approval process for any podiatrist who wants to supervise a physician
• We were recruiting another physician, and when we'd bring a prospective physician in, all our medical
• issued a press statement issued a press statement um um um a<00:52:20.120> week<00:52:20.360

Keywords: 958, all

Summary: The Senate convened with prayer, the pledge, roll call, and approval of the February 5, 2026 journal. The House clerk then delivered messages that the House had passed House Bills 103, 188, 189, 258, 276, and 419 and requested concurrence. The chamber also received second-reading reports for Senate Bills 2, 4, 71, 136, and 183, which were sent to the Rules Committee, and later committee reports that posted SB 2, SB 4, and SB 71 for Monday, February 9, and SB 136 and SB 183 for Tuesday, February 10. The Committee on Committees also referred several bills to standing committees, including SB 155, 118, 153, 158, 160, 72, 98, and 145. The main floor action was passage of Senate Bill 132, relating to massage therapy. The sponsor said the bill was intended to help local governments investigate businesses posing as massage parlors and to strengthen enforcement against unlicensed practice, including raising the penalty for certain violations from a class B to a class A misdemeanor and treating each unlicensed session as a separate offense. Supporters said it would aid efforts to combat human trafficking and preserve local zoning and licensing authority. Several senators voiced concerns that the bill could be too broad and might unintentionally affect trafficking victims or impose harsh penalties for unlicensed massage without injury or fraud, but they still voted yes. SB 132 passed 32-0. The Senate also adopted Senate Committee Substitute 1 for Senate Bill 18 and then passed the bill 32-0. SB 18 updates Kentucky’s podiatry laws, formally recognizes podiatric assistants and residents, gives the Board of Podiatry authority to license and regulate them, allows podiatrists to supervise physician assistants with board approval, limits supervision to four assistants, and requires new podiatrists starting in 2027 to complete at least two years of residency training. The sponsor said the measure modernizes oversight and improves access to foot and ankle care, especially for patients with diabetes. After the floor work, the Senate recessed for meetings of the Rules Committee and Committee on Committees, and later received the committee reports noted above.

Transcript Highlights:

• And that's something in the control of the physicians.
• So the vast majority of physicians didn't submit a single one.
• -something physicians don't really do much.
• So the vast majority of physicians didn't submit a single one.
• -something physicians don't really do much.

Summary: The Health Professions and Program Subcommittee met to receive oversight briefings on Florida’s medical marijuana program from the Department of Health’s Office of Medical Marijuana Use (OMMU) and from the University of Florida’s Consortium for Medical Marijuana Clinical Outcomes Research. OMMU Director Christopher Kimball outlined the program’s structure, including more than 900,000 active patients, nearly 7,000 caregivers, 27 MMTC licensees, 706 dispensing locations, and nine certified testing labs. He described the state’s pre-approval process for products and advertising, plain packaging requirements, seed-to-sale tracking, registry operations, and compliance efforts such as background checks, inspections, complaint investigations, and lab desk audits. He also said the Bureau of Public Health Laboratories in Jacksonville had been accredited to begin supporting testing. Members asked about telehealth, patient growth, product safety, advertising to children, inspections, and the status of MMTC licensure; Kimball said recertifications by telehealth now make up more than half of recertifications, that patient growth has slowed, and that ongoing litigation is delaying issuance of 22 new MMTC licenses. Kimball also discussed implementation of recent legislation and licensure changes, including licenses issued under HB 387 and SB 1582 to applicants from the original Pigford-related pool, with additional cure opportunities still ongoing. He said the department is monitoring diversion, inversion, and unapproved products, and that it coordinates with law enforcement when needed but does not itself have sworn authority. In response to questions, he said the department does not regulate physicians directly, but may refer concerns to the Division of Medical Quality Assurance, and that caregiver and physician participation requirements are set by statute. Members raised concerns about edibles, child access, and continued use of child-attractive branding; Kimball said the department tries to catch issues through pre-approval and enforcement, and that complaints involving children are treated as serious and investigated using available records and camera footage. Dr. Almond Winterstein then presented the consortium’s research overview. He explained that the consortium was created by statute in 2019, includes 10 universities, and is funded by annual state appropriations. He said its work includes grants, a research repository, a clinical core, outreach, and evidence synthesis, including a recent FDA-supported review of cannabis evidence. He emphasized that the current evidence base is limited and often low quality, with the strongest signals for symptom relief in PTSD-related symptoms, nausea, and some pain outcomes, but with many studies inconclusive or mixed. He also described the consortium’s use of registry data linked to Medicaid, Medicare, death, fetal death, and birth records to study safety and outcomes, including children, pregnancy, driving safety, opioid-sparing effects, and adverse events. Winterstein said adverse event reporting is sparse and likely underreported, with most reports mild but some serious events noted, and he expressed concern about use among young adults because of uncertain benefit-risk and possible effects on the developing brain. The committee discussed the need for better surveillance, more robust adverse event reporting, and the possibility of using linked data to identify harms more quickly. At the end of the meeting, the committee rose without objection.

Transcript Highlights:

• We have an abstractor, who is Steph Christensen, a physician in Fargo.
• But my question is this, to start out with a statement.
• But my question is this, to start out with a statement.
• The other part of it is also, I talked a little bit about physicians, right, and the willingness of physicians
• No, I have a statement.

Summary: The committee first approved the previous meeting minutes and then heard a detailed annual report from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and policy issues. He explained the committee’s review process, confidentiality protections, and national and North Dakota data showing that most maternal deaths are preventable and that mental health conditions, substance use, cardiovascular issues, infection, hemorrhage, and embolism are the leading causes. Members asked about suicide, domestic violence, midwife training, home births, and whether pregnancy testing at death scenes should be expanded; Dr. Arnold said better coroner education, more investigation of unexplained deaths, and possible post-mortem pregnancy testing could improve case identification, especially in rural areas. He also noted that deaths often occur well after 42 days postpartum and that mental health-related deaths remain a major concern. The committee then heard from State Fire Marshal Dr. Matthew Clark on cigarette reduced-ignition-propensity standards and related fire prevention issues. He recommended updating the state’s cigarette propensity law to current national standards and also raised a separate recommendation to require fast-breakaway oxygen tubing for home oxygen users, citing fatal fires linked to smoking around oxygen. Members asked about implementation, cost, insurance coverage, and whether the standards apply in tribal communities; Dr. Clark said he would provide follow-up information and was willing to help with any legislation, but no agency bill had yet been planned. Next, Christine Greff of the Department of Health and Human Services reported on the North Dakota Stroke System of Care. She described the statewide network of stroke-ready hospitals, registry-based quality improvement, and performance data showing continued improvement in stroke recognition, imaging, thrombolytic treatment, transfers, and EMS pre-notification. She highlighted new quality measures for inter-facility transfers and intracerebral hemorrhage care, and said the system remains strong but depends on continued legislative and hospital support. Committee members asked about participation by the VA hospital and were encouraged to consider outreach to include it more fully in the stroke system. Finally, the committee began a presentation on prior authorization and non-opioid pain treatment from Taha Khan of Vertex Pharmaceuticals. He argued that prior authorization can delay access to non-opioid acute pain medications, especially in the 24- to 72-hour post-discharge window when pain is most severe, and said delays can push patients toward opioids. He emphasized that prior authorization has a role in utilization management but should not create barriers in acute pain care, and he noted that current use of the company’s non-opioid product remains very low. The discussion was still underway when the transcript ended.