Transcript Highlights:

• biospecimens such as blood or tissue to assist physicians in providing diagnoses, prognoses, and treatments
• covered condition, so organ transplants recipients who rely on biomarker testing as part of their treatment
• The cardiologist indicated that it was medically necessary for him to have all of his dental treatment
• The patient had 12 decayed teeth, requiring crowns, nerve treatments, and extractions—treatments that
• Of the 20 teeth in his mouth, 16 of them required treatment, including the extraction of 10 teeth. and

Bills: HB813 , HB1680 , HB3569 , HB4074 , HB4635 , HB5178 , SB527 , SB1307 , SB1822

Committee: House Insurance

Transcript Highlights:

• Judges are asked to consider treatment, supervision, and ...for eligible youth.
• It increases recidivism, while targeted treatment and supervision reduce it.
• This makes treatment essentially voluntary.
• What I needed was treatment, safety, and someone to see me for who I really was.
• We really appreciate the focus on the intensive probation and treatment.

Summary: The committee heard testimony on House Bill 2456, which would create a juvenile firearm early intervention alternative for youth charged in juvenile court with unlawful possession of a firearm in the second degree. Staff explained that the program would require prosecutor agreement, intensive community supervision, random suspicionless searches, therapy and mentoring services, periodic court review, and dismissal of the charge upon successful completion. The bill would also raise concealed pistol license fees by $100 each and dedicate the revenue to a new account funding the alternative. Representative Davis said the bill is intended to fill the gap between firearm possession charges and later juvenile sentencing, and to fund evidence-based services; one member questioned whether the fee increase functions more like a tax than a fee. The chair then paused testimony on HB 2456 to return to the other bill. The bulk of the hearing focused on House Bill 2389, which would expand suspended disposition alternatives, reduce some juvenile robbery sentencing ranges, add a midpoint review for certain youth committed to DCYF, and create new rules for juvenile rehabilitation capacity and emergency transfers. Supporters, including youth currently or formerly in juvenile facilities, defense advocates, restorative justice providers, and some judges, argued the bill would reduce overcrowding, improve rehabilitation, address racial disparities, and give judges more individualized options. Several testified that youth need treatment, family connection, and incentives for progress rather than long confinement, and that current sentencing practices are outdated and underuse suspended dispositions. Opponents, including sheriffs, prosecutors, county officials, victim advocates, and some judges, argued the bill would shift costs and responsibility to counties, require resources that do not exist, and weaken accountability for serious offenses such as robbery, assault, and trafficking. They raised concerns about expanded appeals, added court workload, the need for more staffing and programming, and the impact on victims and public safety. DCYF said it supports reducing overcrowding but wants clearer emergency transfer authority for Green Hill; facility staff described improved conditions as population has fallen, but said overcrowding still creates safety and programming problems. No vote was taken in the portion of the hearing provided.

Transcript Highlights:

• Those are all Oklahoma City's four wastewater treatment plants land-applying there.
• Those are all Oklahoma City's four wastewater treatment plants land-applying there.
• Antibiotic-resistant bacteria are common at wastewater treatment plants. Dr.
• None of those are removed by a treatment process that consists of adding lime to sludge.
• All of that gets washed down to the municipal waste treatment plant.

Committee: House Agriculture

Summary: The committee hearing focused on biosolids, sewage sludge, and PFAS contamination, with the opening remarks and first three presenters arguing that land application of municipal sludge poses serious risks to soil, water, livestock, and human health. Representative Shaw cited EPA and state data on detected pollutants and PFAS in biosolids, while Denise Travick Poyer described her background in chemical engineering and PFAS work and said the EPA’s draft sewage sludge risk assessment shows unacceptable risk at very low PFOS/PFOA levels. She urged source reduction, more testing, and consideration of total organic fluorine, and noted examples from Michigan where industrial pretreatment and source reduction reduced PFAS in biosolids. Johnson County, Texas Commissioner Larry Woolley and Investigator Dana Ames presented a case study of alleged runoff from land-applied biosolids affecting a ranch, with high PFAS readings in soil, water, fish, cattle tissue, and a stillborn calf, and said the county and state had pursued investigations, lawsuits, and legislative responses. Sandra Trawick of Save Oklahoma Farms and Ranches argued that Oklahoma’s biosolids program relies heavily on Class B sludge, that current rules are outdated, and that land application exposes farms and rural communities to pathogens, chemicals, odors, flies, and runoff; she cited examples from Maine, Texas, Georgia, Michigan, and Oklahoma to support calls for stronger regulation or a ban. After the testimony, members asked about sampling methods, lab testing, EPA limits, and whether the cited PFAS blood levels were comparable to the soil and sludge measurements. Witnesses said the Johnson County samples were collected by a Texas A&M PhD contractor and tested at a single lab, and they explained that the EPA’s 4 parts per trillion figure applied to municipal drinking water standards. Questions also addressed whether sludge is incorporated into soil; Trawick said it had often been left on the surface, though she had seen better disking after public scrutiny. Members asked how biosolids compare with manure and feedlot waste, and witnesses responded that municipal sludge is more contaminated because it includes industrial, hospital, and household waste streams, unlike animal manure. The committee then moved to alternative solutions, hearing from Doug McKinney of Advanced Microbial Solutions, who promoted biological sludge removal using bacteria to reduce sludge volumes and avoid land application, citing cost savings for wastewater plants and correctional facilities. Jason Jepsen of Eden Energy followed with a pitch for an eight-stage waste-to-energy system that converts mixed waste into clean energy, biochar, and reusable products, framing waste as an asset and presenting his company’s technology as a no-land-application alternative.

Transcript Highlights:

• We operate seven state mental health treatment facilities, including one that serves sexually violent
• So I would say that the majority of the money has gone into treatment services.
• So I would say that the majority of the money has gone into treatment services.
• They said the conversation goes back to prevention being a lot cheaper than treatment.
• The speaker repeated that prevention is a lot cheaper than treatment.

Summary: The Health Care Budget Subcommittee met to organize the new term, take roll, and hear introductory presentations from the six agencies under its jurisdiction: the Agency for Health Care Administration, Agency for Persons with Disabilities, Department of Children and Families, Department of Elder Affairs, Department of Health, and Department of Veterans’ Affairs. The chair outlined the committee process, including assigning members to review agencies and make budget recommendations. Each agency head gave a high-level overview of their budget, staffing, major programs, and priorities, with recurring themes including Medicaid, long-term care, disability services, child welfare, mental health, aging services, public health, and veterans’ health care. Several agency leaders highlighted recent initiatives and funding priorities. AHCA emphasized Medicaid managed care, provider regulation, Hope Florida, hospital-at-home, and cancer-related efforts; APD discussed iBudget services, Hope Florida, a managed-care pilot, online applications, and forensic care costs; DCF focused on child protection, foster care, adult protective services, food/cash/medical assistance, mental health, and opioid treatment; Elder Affairs highlighted Alzheimer’s services, community-based senior care, guardianship, ombudsman services, and disaster outreach; DOH covered cancer innovation, maternal telehealth, cybersecurity, HIV/hepatitis/syphilis screening, and school nursing; and Veterans Affairs described benefits and health care access for veterans, long-term care, and federal reimbursement. Several speakers also raised concerns about rising costs, provider rates, disaster response, and access to services. The committee heard two public comments from disability advocates about Medicaid redeterminations affecting iBudget waiver recipients and provider payment delays. In response, AHCA and APD said they were coordinating on data sharing, early outreach, escalation processes, and efforts to reduce disenrollments and make recertification smoother. Members then asked questions about provider rates, opioid settlement spending, managed care quality measures, pediatric rare disease grants, group home transparency, senior outreach, ABA services moving into managed care, annual Medicaid recertification, veterans’ service utilization, waiting lists for elder services, and prevention spending. No formal votes were taken during the meeting.

Transcript Highlights:

• We want to make sure that the family of people in hospice care are getting the proper treatment.
• And some nursing homes, some people might not be following this exactly. ...proper treatment.
• And if you’re a facility that’s housing them but sending them to treatment outside, you don’t have to
• I think it matters, especially for those people receiving treatment. Thank you. Rep.
• works. and it is a positive. nine different states using the PSS model within the treatment works.

Committee: House Health and Welfare

Summary: The House Committee on Health and Welfare met on May 12 and considered a wide range of health, social services, and licensing measures. Early in the meeting, the committee reported favorably HCR 98, which asks the Louisiana Department of Health to study whether SNAP recipients should be allowed to use benefits for grocery delivery fees. The author said the proposal would not change SNAP rules directly, but would examine access issues for elderly, disabled, rural, and transportation-limited residents. The committee also advanced SB 273, a hospice patient-protection bill requiring documentation of hydration, nutrition, and care decisions in inpatient licensed facilities where hospice is provided, with LDH oversight and enforcement authority; members discussed how responsibility is shared between facilities and outside hospice providers, and adopted technical amendments. The committee then approved SB 415, creating the Empower Louisiana Food Purchase Program, a privately funded charitable food-card program intended to let nonprofits distribute food-only cards to people in need. Members and the author discussed whether the cards would be reloadable, which retailers could accept them, and whether prepared foods could be included; LDH said the program could use all SNAP-authorized retailers, and the bill was reported favorably with amendments. SB 437, a cleanup bill for judicially referred residential substance abuse treatment facilities, was also reported favorably with amendments after LDH clarified that facilities providing treatment must be licensed, while residences only housing individuals would not be. SB 451, updating newborn hearing screening terminology and reporting requirements, was reported favorably after testimony that the bill would strengthen early detection and follow-up for deaf or hard-of-hearing children. Later, the committee advanced SB 426, which modernizes the addictive disorder regulatory authority and creates a formal peer support specialist licensing pathway. Supporters said the bill would strengthen the behavioral health workforce, improve accountability, and create a progression from peer support to higher credentials; the committee adopted technical and transition amendments and reported the bill favorably with amendments. SB 236, requiring LDH annual reviews and reports on kidney disease treatment services in Medicaid, was also reported favorably with amendments. Additional measures approved included SB 39, allowing provisional licenses for massage therapy graduates; SB 190, which tightens oversight of poor-performing nursing facilities in the CMS Special Focus Facility Program and sets an 18-month improvement timeline; SB 124, allowing hospitals within the same health system to share peer review records without waiving privilege; HR 174, urging study of fenbendazole as a possible cancer treatment; SB 270, allowing terminally ill patients to use medical marijuana in health care facilities; SB 359, changing terms for certain Morehouse Parish hospital district commissioners; and HR 194, requesting de-identified school visual acuity screening data for research. The committee adjourned after reporting all measures favorably, several with amendments.

Transcript Highlights:

• necessary to undergo treatment to fight bladder cancer.
• It ensures that when a person is ready for treatment or already engaging successfully in treatment, a
• It ensures that when a person is ready for treatment or already engaging successfully in treatment, a
• An opioid withdrawal treatment should not be any exception.
• Oftentimes, it's very hard to get people to engage in the treatment.

Committee: House House Health & Human Services

Transcript Highlights:

• that our division weaves together substance use disorder prevention and mental health promotion, treatment
• , and recovery support services to address prevention and mental health promotion, treatment, and recovery
• Additional recommendations include opioid treatment programs.
• Treatment Act, or ITA, implementation.
• There's a lack of adequate intensive in-home and residential treatment resources.

Bills: HB2429 , HB2171 , HB2314 , HB2364 , HB2415

Committee: House Early Learning & Human Services

Keywords: behavioral health, youth support, mental health services, children's health, support services, foster youth, child welfare, education, mental health, dental care, habilitation centers, residential services, healthcare access, patient rights, poverty, task force, legislative, executive, social programs, fatalities

Transcript Highlights:

• And Gabe, did you want to take over on the outreach and treatment one? Sounds great.
• I'm happy to go through the outreach and treatment section.
• Gabe to lead us through outreach and treatment. Thanks, Jess. Thank you again, commissioners.
• And non-clinical workers providing substance use services and treatment.
• Workers providing substance use services and treatment.

Summary: The Special Commission on the Public Health Effects of Xylazine held its fifth and final public meeting to review and approve the final draft of its report before submission to the House and Senate clerks. Chair Mindy Domb opened the meeting, noted Senator John Keenan’s absence due to National Guard deployment, approved the prior meeting minutes, and explained the process for incorporating final edits and late votes into appendices. Commissioners then voted to allow staff to make agreed-upon language changes after the meeting, and later voted on the final report itself. Staff walked commissioners through the report’s redlines and substantive updates. Changes included clarifying that xylazine is an active adulterant rather than simply a bulking agent, replacing “non-clinician” with “non-clinical staff,” removing or revising references to “hotspots” in favor of more accurate language about local trends, and refining language on wound care to refer to medical consequences and financial costs. The report also added or strengthened discussion of harm reduction measures such as drug checking, mobile health services, overdose prevention centers, oxygenation and airway support during overdose response, and the importance of naloxone remaining available while recognizing its limits for xylazine exposure. Commissioners also discussed data collection, legal protections for drug checking, and the role of the Attorney General in guidance and coordination on emerging drug threats. The commission then took a final vote, with the members present voting to approve the report. A letter from Senator Velis, who was also absent due to active duty orders, was read into the record expressing support for the report and its recommendations. In closing comments, commissioners and staff thanked one another for the collaborative work and described the report as a useful public health resource. Chair Domb adjourned the meeting at 11:11 a.m., noting that the final report would be submitted and posted online for public access.

Transcript Highlights:

• Housing and feeding individuals in inpatient treatment is not optional.
• Housing and feeding individuals in inpatient treatment is not optional.
• sit empty. ...and implement wait lists for treatment, even while beds sit empty.
• The cost of untreated addiction far exceeds the cost of treatment.
• Investing in treatment is not just a health care decision.

Committee: House Appropriations

Summary: The committee heard public testimony on several budget requests tied to health and human services. Louisiana Children’s Advocacy Centers asked for continued support and a supplemental appropriation of $1.173 million for infrastructure and standardization, explaining that the money would expand use of the Guardify digital evidence system, improve chain of custody, and reduce reliance on DVDs. Baton Rouge and statewide CAC leaders said prior funding helped eliminate a therapy wait list and speed services for abused children. Members asked detailed questions about the digital system, MDT coordination, and how the request related to SB 237, which would strengthen multidisciplinary review of child abuse cases. The Alzheimer’s Association sought $824,000 to sustain the dementia care specialist program, saying it helps families navigate services, keep loved ones at home longer, and reduce Medicaid costs. AARP and the Live at Home Coalition also testified for 750 additional Community Choice waiver slots at a state cost of $3.3 million, arguing that home- and community-based care is cheaper than nursing homes and that the current wait list is more than 11,000 people. Legislators discussed the size of the need, the state’s long-term care spending mix, and whether more support should go to family caregivers and community-based options. Testimony also focused on disability support services, substance use treatment, and developmental disability provider rates. A parent and direct support worker described the Children’s Choice waiver’s 20-hour cap and low pay, saying it makes it hard to retain caregivers and meet the needs of medically fragile children. Odyssey House and O’Brien House asked for higher Medicaid reimbursement rates under ASAM 4, warned that removal of room-and-board payments and weak Medicaid eligibility pathways are reducing access, and called for more oversight of sober living homes; members questioned outcomes data, length of stay, and links to homelessness. Finally, the Arc of Louisiana said the LDH rate study confirmed underfunding and supported a $53.6 million increase in state general funds, with local ARC leaders describing the services they provide and the need for higher direct support professional wages.

Transcript Highlights:

• I ask you, why should an attorney be controlling anybody's medical treatment?
• the treatment is simply an evaluation. via Teladoc.
• That's when the treatment is concluded.
• , then the medical insurance would have covered that treatment.
• They've got $5,000 in soft tissue treatment.

Bills: SB30 , SB517 , SB1313 , SB1314 , SB1316 , SB1541 , SB1698 , SB1845 , SB1860 , SB2420 , SB2429

Committee: Senate State Affairs

Keywords: gambling, criminal offenses, penalties, defense, electronic devices, tobacco advertising, youth protection, public health, criminal offense, retailer regulation, e-cigarettes, nicotine products, health, public safety, regulation, advertising restrictions, health and safety, elections, election audit, county elections

Summary: The Senate Committee on State Affairs convened to discuss several critical pieces of legislation including SB30 and SB38. Senator Betancourt introduced a committee substitute for SB38 which underwent a smooth adoption process, moving it favorably toward the Senate. The meeting featured a mix of invited testimonies where both proponents and opponents took the floor. One notable highlight included a testimony from Melissa Casey, who criticized the current legal state as prone to fraud and detrimental to both insurers and the public at large, contending that it inflated insurance costs across the board. The discussions delved deeply into the implications of the bills on judicial processes and potential insurance ramifications, with spirited debates surrounding issues of non-economic damages and jury rights. The atmosphere remained engaged as committee members heard varied perspectives on the bills, showcasing a robust democratic process. The meeting underscored the importance of public testimony in shaping legislation, ensuring that multiple voices were considered as the committee pressed on towards making decisions that affect the legal landscape of Texas.

Transcript Highlights:

• And to be clear, so when you're asking for the time extension is for the treatment plan. Right.
• The treatment plans, but you're saying that verifying they're using local match...
• The treatment of plans, but you're saying that verifying they're using local max. plan. Right.
• The treatment of plans, but you're saying that verifying they're using local match.
• ...the treatment plant at right at $5 million.

Summary: The Water Sector Commission met with a quorum and opened with a reminder that no funding had yet been appropriated for future project awards, so any discussion of upcoming grants was speculative until the legislature acts. The committee then approved the December 10 minutes and moved through a series of deadline extensions for Phase Two state-funded projects, including Delcambre, Faraday, Meyer Branch, and Waterworks District No. 1 of Pointe Coupee Parish. Members also approved a scope change for St. Tammany Parish Project 845 to relocate an unmarked fiber optic line discovered during construction. The committee spent substantial time on Tallulah’s water rehabilitation project, where Mayor Yubon Lewis explained that the city is trying to isolate and fund the purchase of four permanent media filters, plus related electrical work, from the original approved project scope. Members questioned whether the request was a true scope change or a way to use existing funds while the city continues to rely on temporary filtration and state-led triage. After discussion, the committee approved the request and asked to be kept informed as the state continues seeking additional support for the system. The committee also approved additional funding requests for Kaplan, Ponchatoula, St. Martin Parish, and West Allen Water Works. Ponchatoula’s request included multiple change orders tied to sewer and force main work, including emergency levee repair, equipment changes, and rerouting around unmarked fiber. St. Martin Parish’s increase was tied to land acquisition and added costs for a new well site in a multi-phase consolidation project. West Allen’s increase stemmed from a failed well drilling effort and was supported by cost reductions from the contractor and engineers, which members treated as in-kind match. In contrast, Tensaw Water Association’s very large request to consolidate Newellton drew significant concern over cost growth, scope, and timing; after extensive questioning, the committee deferred that item to the next meeting for further review. The meeting ended with an update that about 42.11% of ARPA funds remain, 16 projects are now considered high risk, and staff will continue ground-truthing project status and pushing ARPA dollars out first before adjournment.

Transcript Highlights:

• Desperate firefighters are now seeking treatment across state and country lines.
• It included at-home glutathion nebulized treatments. 16 weeks later, I was retested.
• treatments, but not at-home nebulized treatments.
• And I've continued to have follow-up treatments, but not at-home nebulized treatments.
• Those are the treatments we're fighting for, the legal ones, and those are the treatments that this board

Summary: The joint Assembly and Senate business committees held a sunset review hearing on the California State Board of Pharmacy, with board leadership describing the board’s consumer-protection role and its priorities around access, enforcement, and updating pharmacy law. The board emphasized a proposed shift toward a standard-of-care model for pharmacists, arguing it would reduce rigid protocol requirements and improve access to services such as HIV PrEP/PEP, contraception, and naloxone. Board representatives also discussed pharmacy deserts, possible fee waivers for pharmacies in underserved areas, concerns about payer practices contributing to closures, continuing education audits, and a request to restore more flexibility in licensure decisions and probationary monitoring for applicants with certain criminal histories. A major focus of the hearing was the board’s ongoing compounding regulations, especially the treatment of sterile versus nonsterile compounding and substances such as glutathione and methylcobalamin. The board said the proposal was not a ban on those substances and described the rulemaking as grounded in federal law, USP standards, and public comment, noting the process had gone through multiple modified texts and hearings. Testimony from stakeholders was sharply divided: pharmacists, veterinarians, firefighters, naturopathic doctors, and patient advocates warned the rules were restricting access to compounded medications and harming patients and first responders, while the California Medical Association, psychiatric physicians, and PhRMA raised concerns that the board’s proposals could expand pharmacist authority beyond training, affect physician practice, or create safety risks. Other public comments addressed pharmacy technician ratios, remote processing, flavoring medications, hospital-specific regulation, budget and enforcement transparency, and whether the board should add members with community compounding or pharmacy technician expertise. Committee members also asked about the board’s oversight priorities and the rationale for its standard-of-care proposal. Board staff explained that consumer protection includes education, licensing, policy, and enforcement, with the highest-priority enforcement cases being those posing imminent public harm. After public testimony concluded, the chairs thanked participants and adjourned the sunset review hearing, announcing an immediate transition to the joint informational hearing on the Department of Cannabis Control.

Transcript Highlights:

• High costs may force patients to delay or forego treatment.
• I'm the president and CEO of High Point Treatment Center.
• We have 409 addiction treatment beds here in the Commonwealth.
• Away from addiction treatment every single day since our founding.
• Treatment interruptions caused by turnover undermine this child's care.

Committee: Joint Joint Committee on Health Care Financing

Summary: The Joint Committee on Health Care Financing held a public hearing on a large docket focused on primary care, workforce development, and medical debt. Chairs Cindy Friedman and John Lawn outlined hearing procedures and noted that testimony would be taken on 17 matters. The committee first heard testimony on bills to establish a community health center nurse practitioner residency program and to strengthen mental health centers. Senator Keenan, Rep. Keefe, and health center leaders described the Worcester nurse practitioner residency as a successful pipeline and retention strategy, citing workforce shortages, training needs in community health centers, and the cost of the program. Rep. O’Day also supported the mental health centers bill, saying it would raise payment rates, improve reimbursement for behavioral health services, and help clinics retain staff and expand access. The committee then took testimony on bills to address medical debt through hospital financial assistance reform. The Attorney General’s Office, Health Care for All, Health Law Advocates, the Leukemia and Lymphoma Society, and individual patients supported the measure, arguing that hospital financial assistance policies are inconsistent, hard to find, and difficult to navigate. Witnesses said the bill would standardize eligibility criteria, create a uniform application, improve notice requirements, and expand access to discounted care up to 400% of the federal poverty level. Several personal stories described medical bills being sent to collections, confusion over insurance billing, and the burden of debt on low-income and chronically ill patients. Committee members asked about hospital concerns, the role of the health safety net, and whether the bill addressed root causes of medical debt; testimony emphasized that the proposal was meant to improve transparency and access rather than replace broader insurance reforms. The hearing also focused heavily on “Primary Care for You” legislation, H. 1370 and S. 867, which would increase primary care investment and create a new payment model. Rep. Haggerty, physicians, a patient, community health center leaders, and the Massachusetts League of Community Health Centers described a primary care crisis marked by low reimbursement, staffing shortages, long waits, burnout, and difficulty recruiting clinicians. Supporters said the bills would shift spending toward preventive, team-based care, improve access and equity, and reduce long-term costs. The Massachusetts Association of Health Plans said it was directionally supportive of increased primary care investment but warned that any new spending must stay within the cost growth benchmark and preserve existing contracting structures. The hearing ended with additional testimony on a community health center workforce and loan repayment grant bill from Rep. Stanley, and with further discussion from Dr. Alan Garo about the need for payment reform in primary care.

Transcript Highlights:

• Once you test positive, you're seeking a treatment.
• Are you familiar with any of the... ...treatment?
• It's not asking for treatment. It's not asking for treatment. It's not asking for a cure.
• I know there was a Medicaid 1115 waiver to provide mental health treatment and substance use treatment
• for... ...health treatment and substance use treatment for low-income women who were high-risk pregnancies

Committee: House Health and Mental Health

Summary: The committee first met in executive session and voted House Bill 2309, Representative Jones’ Oregon Harvesting bill, do pass by a vote of 13 ayes and no nays. The committee then moved to public testimony on House Bill 1881, which would schedule xylazine as a controlled substance. Representative Bill Allen said the bill is intended to address xylazine’s role in fentanyl-related overdoses, improve tracking and enforcement, and preserve legitimate veterinary use through carve-outs. A veterinarian from the University of Missouri testified in support, emphasizing xylazine’s long-standing and safe veterinary use and the need to protect agricultural practice while targeting illicit diversion. No opposition was presented, and testimony on the bill concluded. The committee then heard House Bill 1855, which would add alpha-gal syndrome to Missouri’s reportable conditions and create a reporting/surveillance framework. Sponsor Representative Matthew Overcast said the bill was revised to shift reporting from providers to private labs, create a standalone non-communicable disease reporting section, and support data collection for prevalence, education, and federal funding opportunities. Supporters included a lobbyist for the AlphaGal Alliance, a University of Missouri dermatologist/researcher, Extension staff, cattle industry representatives, and multiple patients and family members who described severe dietary restrictions, anxiety, school and work impacts, and the need for better public awareness and treatment research. Opponents argued the bill’s language would expand DHSS authority too broadly, especially the provision allowing the department to designate and enforce rules for noncommunicable diseases, and suggested narrowing the bill and adding opt-in protections. No vote was taken. Finally, the committee began hearing House Bill 2355, Representative Holly Jones’ “food as medicine” bill. Jones argued that nutrition should be treated as a public health intervention and described medically tailored meals, produce prescriptions, and nutrition counseling as tools that can improve outcomes and reduce costs. In questions, members raised concerns about how the proposal would interact with existing food assistance programs such as SNAP, WIC, school meals, and other federal nutrition benefits, and whether the bill would create a new entitlement or duplicate existing aid. The hearing on HB 2355 was still in progress when the transcript ended.

Transcript Highlights:

• </c> bill for direct care and treatment. bill for direct care and treatment.
• It puts in a systems of treatment.
• </c> single condition and medical treatment single condition and medical treatment and<00:55:18.559><
• </c> treatment decisions. treatment decisions.
• </c> direct care and treatment on this one. direct care and treatment on this one.

Bills: HF3935 , HF2216 , HF4354 , HF4210 , HF4212

Committee: House Human Services Finance and Policy

Transcript Highlights:

• You're saying they have a right to veto that treatment.
• If the medical treatment will cause harm, denying the medical treatment is specifically, is failing to
• they don't have the right to determine that treatment.
• or STI treatment, and her other parent comes in and says... ...treatment and her other parent comes
• Not being able to withhold medical treatment.

Summary: The House began with prayer, the Pledge of Allegiance, and approval of the prior day’s journal by a 123-1 roll call vote. Members then spent time introducing guests, including physicians, sheriffs, students, interns, and school groups from several districts. The chamber also heard a personal privilege statement recognizing a member’s son’s birthday. On third reading, House Bill 1758, dealing with permanent daylight saving time in Missouri, drew debate over whether ending clock changes would improve convenience or create safety and health problems by leaving more commutes in darkness. Supporters argued it would align with public preference and reduce disruption, while opponents warned of circadian and safety concerns. The bill passed 107-31 with two present. The House then moved to perfection of House Bill 3329, which repeals expired or unused tax credits, and House Bill 3405, which reclassifies SALT/pass-through entity items as deductions rather than tax credits for reporting purposes; both were described as cleanup and efficiency measures and were perfected without opposition. The chamber then took up House Bill 2426, a broad parental rights bill covering medical, educational, privacy, and related decision-making for children, and a major amendment focused on individualized education plans (IEPs). Supporters said the bill and amendment strengthen parental involvement and require stricter judicial review, while opponents raised concerns about overbreadth, school district administration burdens, transparency requirements, and possible conflicts with existing law on truancy, medical care, and records. House Amendment 1 was adopted 98-25 with six present, and debate continued on the underlying bill with no final vote shown in the transcript excerpt.

Transcript Highlights:

• Social Services Law in relation to reimbursement for early and periodic screening, diagnosis, and treatment
• Social Services Law in relation to reimbursement for early and periodic screening, diagnosis, and treatment
• for treatment of opioid disease.
• for treatment of opioid disease.
• Patient access to medication-assisted treatment for treatment of opioid disease.

Committee: Senate Health

Summary: The Senate Standing Committee on Health considered a series of health-related bills, many of which were reported favorably. Among the measures approved were SB 999, which would restructure Medicaid reimbursement for early and periodic screening, diagnosis, and treatment services for children with IEPs or disabilities; SB 1816, lowering the state definition of elevated blood lead levels to 3.5 micrograms per deciliter; SB 1911A, extending due process protections for health care professionals when insurers terminate or fail to renew them; and SB 3105, allowing reciprocity for out-of-state medical cannabis patients. The committee also advanced SB 4589 on federally qualified health center rate adequacy, SB 4955B on Medicaid Inspector General audit procedures, SB 9196 to ban new for-profit hospices, SB 9237 expanding the definition of family for certain foster care health facility services, and SB 9275 requiring Medicaid coverage for gender-affirming care and prohibiting related discrimination. Several of these bills were sent to Finance, while others were sent to First Reading or Higher Education as noted. The committee also discussed SB 2625, which would expand pharmacists’ authority to prescribe, administer, and dispense medication-assisted treatment for opioid use disorder. One member raised concerns about expanding scope of practice without coordination with primary care or a holistic review of patient conditions, and indicated opposition; the bill was nevertheless referred to Higher Education. SB 5056B, requiring the Department of Health to examine heat vulnerability and heat-related deaths, prompted discussion about whether the bill should explicitly require recommendations for prevention; the sponsor said the idea was to gather data and that recommendations could be added, and the bill advanced with some reservations. Other measures included SB 7460, reauthorizing a maternal infant care centers pilot program using an existing $350,000 appropriation, and SB 9388, requiring public notice and engagement when a general hospital closes or shuts down a psychiatric, mental health, or substance use unit. The hospital closure bill drew discussion about relocations and whether moves that shift services to a new site would trigger the community engagement process; the sponsor said they would. Most bills were approved by voice vote, with some members voting no or without recommendation on certain measures, and the committee adjourned after reporting the bills onward.

Transcript Highlights:

• </c> chair of the Autism Treatment chair of the Autism Treatment Association<01:08:28.560><c> of</c><
• In 2013, treatment.
• </c> individualize the complicated treatment. individualize the complicated treatment.
• </c> responsiveness to treatment. responsiveness to treatment.
• </c> cost-effective levels of treatment. cost-effective levels of treatment.

Bills: HF3542

Committee: House Fraud Prevention and State Agency Oversight Policy

Transcript Highlights:

• And again, as people progress through their treatment, some people choose to go through treatment and
• And again, as people progress through their treatment, some people choose to go through treatment and
• ,</c><00:34:51.040><c> some</c> progress through their treatment, some progress through their treatment
• </c> people choose to go through treatment people choose to go through treatment and<00:34:53.760><c>
• All of them currently working in treatment centers across or in substance use treatment centers and having

Committee: House Human Services Finance and Policy

Transcript Highlights:

• Then they successfully complete the treatment court program, and they withdraw their prior plea and they
• VETERANS AND OTHERS WHO PARTICIPATE IN OUR TREATMENT COURTS.
• THEN THEY SUCCESSFULLY COMPLETE THE TREATMENT COURT PROGRAM, AND THEY WITHDRAW THEIR PRIOR PLEA AND THEY
• Individuals who are battling postpartum depression should not face stigma instead of care and treatment
• Individuals who are battling postpartum depression should not face stigma instead of care and treatment

Summary: The Senate opened with the Pledge of Allegiance and an invocation, then approved the prior day’s journal and proceeded to a lengthy third-reading calendar. Early business included several motions to discharge Assembly bills from committees and substitute identical Senate bills, along with a few bills laid aside for the day. The chamber also recalled two bills from the Assembly, restored one bill to the Third Reading Calendar after reconsideration, and received amendments on two other bills without changing their calendar status. The Senate then took up a large number of bills across topics including labor, energy, insurance, consumer protection, environmental conservation, health, banking, elections, public service, education, workers’ compensation, criminal justice, local government, and tax law. Most measures passed with broad support, though several drew recorded opposition. Notable debate included Senator Mayer’s explanation for a bill intended to prevent treatment-court participants, including veterans, from losing their driver’s licenses twice after completing diversion programs; Senator Ryan’s support for a bill expanding prosecutors’ ability to treat repeat sexual abuse as persistent abuse; and a sharp exchange on a bill repealing New York’s HIV/STI criminalization law, with Senators Borrello and Chan opposing it and Senator Salazar defending the repeal as necessary to reduce stigma and protect survivors. The chamber also adopted and recognized several resolutions and guest presentations. Members welcomed the Tri-Valley Secondary School girls cross country champions, Miss America Cassie Donagan and Miss New York Teen Nadia Anwar, and the Hudson High School varsity boys basketball team. Later, the Senate took up a resolution proclaiming May 2026 as Maternal Mental Health Month, with multiple senators speaking in support of greater awareness, reduced stigma, and improved care for pregnant and postpartum New Yorkers. At the end of the session, the sponsors opened the day’s resolutions for co-sponsorship, and the Senate adjourned until Monday, June 1 at 12 noon, with intervening days designated as legislative days.