Transcript Highlights:

• AB 1696 makes clear that nurse midwives do not require physician supervision when they are providing
• Alicia Gonzalez, who's a practicing emergency physician in Imperial County, California, and also the
• Alicia Gonzalez, who's a practicing emergency physician in Imperial County, California, and also the
• I'm a family medicine physician.
• As a family physician, I see continuity of care as essential to keeping patients healthy.

Summary: The committee heard several health-related bills. AB 1825 by Krell would clarify California’s offenders with mental health disorders program by tightening the standard for determining “substantial danger of physical harm,” improving exit planning, and expanding Medi-Cal access for people released after a successful challenge. Supporters, including psychiatrists, prosecutors, and medical groups, said the bill would close gaps in care and protect public safety; county behavioral health directors and Disability Rights California registered concerns. AB 1696 by Stephanie would state that nurse midwives do not need physician supervision when providing care within their existing scope, including EMTALA-related evaluation in labor and delivery settings. Nurse midwives and nursing groups supported the bill, while emergency physicians opposed it unless amended, arguing emergency department screening should remain under physician supervision; the author said she would keep working on the issue. AB 1949 by Lee would make acupuncture a separate Medi-Cal benefit and allow up to 24 visits per year. The author and supporters from acupuncture, health access, and integrative medicine groups said the current monthly cap is too restrictive and that acupuncture is an effective, cost-saving alternative for pain management and other conditions. There was no opposition. AB 2330 by Patterson would create a distinct regulatory category for cold spas, with standards for construction, operation, and disinfection. Fitness and wellness groups supported the bill, environmental health administrators had no formal position but thanked the author for amendments, and a committee member raised concerns about local officials interpreting the bill to require separate enclosures from saunas; the author said she would continue working on the language. AB 2000 by Aguirre-Curry would limit mid-year changes to prescription drug formularies and add notice, exceptions, reporting, and enforcement provisions. Family physicians, chronic care advocates, nurses, pharmacists, and patient groups supported the bill, citing non-medical switching and treatment disruptions; health plans and insurers opposed it, warning of higher costs, reduced flexibility, and premium increases. AB 1929 by Ortega would require health plans to disclose investments, including in private prisons and immigrant detention centers. Supporters framed it as a transparency measure tied to patient premiums and public values, while opponents argued the bill was duplicative, burdensome, and potentially harmful to investment confidentiality. AB 2746 by Schiavo would classify medical credit card debt as medical debt so it would not appear on credit reports. Consumer advocates and legal aid groups supported the bill, describing abusive marketing and housing harms; banks, debt collectors, and industry groups opposed it as unworkable and privacy-invasive. The committee took roll on AB 2746 and passed it on a due pass motion to Banking and Finance, with several members voting aye and a few no votes recorded.

Transcript Highlights:

• I was a hospitalist, an ER doctor, and then a primary care physician.
• I was a hospitalist, an ER doctor, and then a primary care physician.
• It does not interfere with the physician-patient relationship.
• I am a now-retired physician. I practiced the specialty of infectious disease from 1994 until 2024.
• I've personally met physicians nationwide who have lost their licenses and/or hospital privileges.

Bills: HB414, HB786, HB1041, HB1052, HB1118, HB1139, HB1182, HB1185, HB1214, HB1217, HB1231, SR63, SCR27, SB5, SB194, SB415, SB433, SB451, SB462, SB516

Keywords: healthcare, criminal convictions, employment, background checks, prohibited offenses, Medicaid, claim payments, extrapolation, provider audits, medical freedom, discrimination, access, medical intervention, child protection, confidentiality, multidisciplinary teams, child advocacy centers, public records, investigations, hospital

Transcript Highlights:

• I'm an emergency medicine physician almost 30 years.
• types of physicians that may or may not have the training.
• Now, I'm a retired emergency physician.
• Now, I'm a retired emergency physician.
• This bill is allowing physicians to use expedited, expedited part. is this bill is allowing physicians

Summary: The committee first adopted the minutes from several prior 2025 meetings, then took up HB 574 by Rep. Spell, which updates the names of two organizations on the Mental Health Advocacy Service Board of Trustees. Rep. Spell explained it as a technical cleanup bill to correct the names of the Louisiana Mental Health Association and the Louisiana State Medical Society so the board’s membership records match current organization names. With no objections, HB 574 was reported favorably. The committee then heard HB 486, also by Rep. Spell, to join the Psychology Interjurisdictional Compact (PsyPact) and allow Louisiana psychologists to provide telepsychology and temporary in-person services across state lines. Rep. Spell and PsyPact representatives said the compact would expand access to mental health care, especially in rural areas, while maintaining standards and disciplinary oversight. The committee adopted amendments on fees and the effective date, and HB 486 was reported favorably with amendments. HB 198 by Rep. Eccles proposed a Medicaid reimbursement methodology for ambulatory surgical centers, using a Medicare-based rate to improve access for Medicaid patients needing specialty procedures. Amendments were adopted to add ophthalmology-related services and to cap reimbursement at the lesser of the outpatient hospital rate or 100% of the Medicaid rate, along with a technical amendment to address the fiscal note. Supporters from GI and ASC groups said the bill would improve access and lower long-term costs, and the bill was reported favorably with amendments. The committee spent the most time on HB 182 by Rep. Travis Johnson, which would require hospitals to ensure access to sexual assault forensic exams and related training. Johnson, law enforcement witnesses, and the Attorney General’s office emphasized the need for timely evidence collection, especially in rural areas, and said the current system leaves victims traveling long distances or losing evidence. Hospital and coroner witnesses supported the goal but opposed the bill as written, arguing it could impose duties on hospitals without enough trained personnel, funding, or a workable statewide training and coordination system; they urged a statewide coordinator, mobile SANE units, and clearer implementation. The bill was not finally disposed of in the portion of the meeting provided, and members discussed continuing to work on amendments and timing before floor consideration.

Transcript Highlights:

• You know, we do have America's only sitting physician governor, and Governor Green was the architect
• governor, and Governor sitting physician governor, and Governor Green<00:04:03.520><c> was</c><00:04
• ><c> and</c><00:04:08.720><c> practicing</c> Being a physician, living and practicing Being a physician
• </c><00:14:50.120><c> assistant</c> medicine, nursing, physician assistant medicine, nursing, physician
• ,</c><00:51:55.200><c> practices,</c> initiative, uh physicians, practices, initiative, uh physicians

Bills: HB20, HB276, HB644, HB812, HB816, HB916, HB1131, HB1247, HB1518, HB1525, HB1537, HB1541, HB1546, HB1553, HB1562, HB1565, HB1566, HB1576, HB1577, HB1591, HB1605, HB1612, HB1613, HB1614, HB1618, HB1620, HB1650, HB1656, HB1658, HB1661, HB1664, HB1668, HB1676, HB1707, HB1711, HB1713, HB1715, HB1718, HB1727, HB1749, HB1756, HB1774, HB1776, HB1801, HB1802, HB1805, HB1813, HB1815, HB1831, HB1838, HB1853, HB1854, HB1859, HB1863, HB1871, HB1872, HB1918, HB1920, HB1952, HB1965, HB1966, HB1967, HB1969, HB1972, HB1973, HB1974, HB1975, HB1980, HB1985, HB2005, HB2023, HB2031, HB2033, HB2062, HB2113, HB2114, HB2116, HB2138, HB2139, HB2156, HB2158, HB2159, HB2171, HB2208, HB2268, HB2270, HB2272, HB2273, HB2276, HB2289, HB2310, HB2315, HB2335, HB2338, HB2339, HB2340, HB2343, HB2361, HB2384, HB2387, SB2338, SB2431, SB2438, SB2593, SB2907, SB2671, SB2321, SB3084, SB2401, SB3033, SB2972, SB3032, SB2806, SB3014, SB2108, SB2981, SB2973, SB2423, SB2078, SB2322, SB2397, SB2896, SB2088, SB2347, SB2408, SB2970, SB2851, SB2713, SB2697, SB2312, SB2192, SB2363, SB2530, SB3028, SB2024, SB3007, SB2599, SB2596, SB2662, SB2930, SB3334, SB2378, SB3019, SB3231, SB2240, SB2372, SB2175, SB2046, SB2298, SB2922, SB2835, SB3263, SB2174, SB2128, SB2006, SB2489, SB3134, SB2982, SB2425, SB2849, SB2797, SB2795, SB2575, SB2521, SB2765, SB2386, SB2852, SB2022, SB2117, SB2277, SB2387, SB2688, SB2885, SB3132, SB3219, SB2169, SB2591, SB2090, SB2983, SB888, SB3249, SB2611, SB2429, SB2463, SB3154, SB3131, SB3152, SB3315, SB2448, SB2054, SB2140, SB2520, SB2377, SB2986, SB2010, SB2189, SB2026, SB3010, SB2818, SB2002

Keywords: lava insurance, homeowners, insurance market, subsidy, Hawaii, condominiums, annual report, filing fee, real estate, developer, residency, property regime, PFAS, single-use plastics, environmental health, food ware, pollution reduction, local produce, agriculture, Hawaii Revised Statutes

Transcript Highlights:

• Physicians have I am here in strong support of AB 1973.
• Physicians have trained me, and I have consulted with physicians throughout my entire career.
• The physician willing to train me exists. The statute is where it stops.
• Physicians Academy, actually I'm sorry, the California Academy of Physician Associates, sorry.
• And the physician I work with wants to and is...

Summary: The Assembly Health Committee heard a long agenda of health-related bills, with most items presented for later vote once quorum was reached. Early in the hearing, the committee adopted a consent calendar of multiple bills with motions for due pass to Appropriations, and it noted that AB 2029 had been pulled from the agenda. The committee also took up AB 1973, a bill by Aguiar-Curry to expand who may provide procedural abortion care. Supporters, including physicians and certified nurse midwives, argued the bill would align law with current training and improve access, while opponents said later-term abortion procedures require physician-level surgical training and raised safety concerns. The author emphasized hands-on training, consultation, and transfer protocols, and the bill was held pending quorum with a motion and second recorded. The committee then heard AB 1558 by Arambula, which would adopt the Uniform Emergency Volunteer Health Practitioners Act to speed the use of out-of-state licensed volunteers during declared disasters. Supporters from the Uniform Law Commission and the Red Cross said the bill would reduce delays and clarify legal authority for volunteer health workers; there was no opposition testimony. AB 2282 by Alanis, a temporary rural emergency stabilization center for Patterson while a permanent hospital is built, drew support from local emergency responders and a late opposition from the California chapter of ACEP. The chair praised the bill as a creative local solution and agreed to coauthor it; a motion and second were recorded, with the vote to occur later. Several public health access bills followed. AB 1843 by El-Hawari would limit prior authorization and align hepatitis C treatment coverage with medical guidelines; supporters said it would remove barriers to a curable disease, while health plans opposed it as a mandate, citing premium impacts and the recent SB 306 prior-authorization process. AB 2247 by El-Hawari would create the THRIVE program for mental health services for youth affected by gun violence; Youth Alive and other supporters described trauma-informed, community-based care, and the chair and another member asked to be added as coauthors. AB 2138 by Krell would expand access to certified peer support specialists in enhanced care management and remove automatic disqualifications based solely on criminal history; supporters said peers are essential to engagement and recovery, and the bill was held with a motion and second. Later, AB 1682 by Hart would require coverage of scalp cooling for chemotherapy patients, with emotional testimony from cancer survivors and clinicians; insurers opposed it as another mandate, but the author stressed the modest per-member cost and the bill was moved with a motion and second. AB 1879 by Dixon would standardize data reporting for alcohol and drug treatment facilities, including private providers, to improve statewide information on outcomes and access; the bill drew broad support from recovery organizations and the prior opposition was withdrawn after amendments. AB 1906 by Aguiar-Curry would require coverage of at-home cervical cancer screening kits without cost sharing; supporters cited improved access for rural and working Californians, insurers opposed it on affordability grounds, and the bill passed on a recorded roll call after quorum was established. Finally, AB 1556 by Haney would clarify and support drug-free recovery housing and return-to-use policies; supporters said it would expand sober housing options, while opponents warned it could allow evictions after relapse and conflict with Housing First principles. The hearing ended with the bill still under discussion and opposition-unless-amended concerns noted.

Transcript Highlights:

• If the physician has a deeply held moral issue with antibiotics, that patient must find a different physician
• But a physician may be able to. under this narrow emergency medical exception.
• Liability covered by physician insurance and that is good.
• If people are not ashamed and if people have access to a physician, they're going to call their physician
• to the physicians in order to really care for them.

Bills: SJR59, SCR30, SCR46, SB31, SB127, SB324, SB401, SB407, SB467, SB482, SB506, SB529, SB584, SB619, SB636, SB646, SB647, SB659, SB715, SB732, SB735, SB771, SB784, SB800, SB801, SB816, SB1013, SB1026, SB1049, SB1055, SB1065, SB1137, SB1169, SB1181, SB1383, SB1395, SB1410, SB1433, SB1524, SB1531, SB1568, SB1640, SB1666, SB1681, SB1718, SB1754, SB1757, SB1972, SB1980, SB2004, SB2007, SB2041, SB2046, SB2050, SB2075, SB2076, SB2154, SB2173, SB2206, SB2225, SB2253, SB2268, SB2306, SB2308, SB2314, SB2322, SB2330, SB2351, SB2366, SB2371, SB2392, SB2398, SB2476, SB2533, SB2540, SB2544, SB2589, SB2610, SB2623, SB2660, SB2662, SB2693, SB2707, SB2717, SB2722, SB2742, SB2753, SB2779, SB2807, SB2843, SB2844, SB2858, SB2877, SB2880, SB2885, SB2920, SB2938, SB2986, HJR4, HCR35, SJR3, SJR18, SB5, SB260, SB1786, SB914, SB963, SB1197, SB1415, SB1437, SJR36, SJR50, SJR63, SJR84, SJR59, SCR12, SCR39, SCR46, SCR48, SCR19, SCR30, SCR3, SB2023, SB1433, SB2322, SB2877, SB407, SB1718, SB1395, SB62, SB666, SB847, SB284, SB854, SB1073, SB810, SB1505, SB583, SB1502, SB507, SB1026, SB1434, SB1376, SB1585, SB1772, SB2016, SB1163, SB619, SB1122, SB732, SB731, SB397, SB508, SB1436, SB287, SB261, SB1882, SB393, SB1791, SB529, SB209, SB2429, SB1999, SB511, SB2309, SB510, SB2253, SB584, SB1085, SB2314, SB2046, SB1975, SB2717, SB1262, SB1524, SB1137, SB636, SB2056, SB884, SB517, SB1200, SB1410, SB1845, SB1863, SB2681, SB2200, SB2199, SB1757, SB2050, SB2458, SB2201, SB1055, SB2660, SB2662, SB1065, SB801, SB2533, SB3014, SB3013, SB758, SB647, SB1721, SB2268, SB2366, SB1013, SB2797, SB2371, SB2383, SB646, SB1169, SB1754, SB2779, SB2004, SB2119, SB2448, SB1777, SB1283, SB2392, SB2076, SB2786, SB2876, SB2284, SB2225, SB1540, SB2920, SB2929, SB1972, SB2540, SB2742, SB2595, SB2217, SB715, SB2330, SB1383, SB500, SB1640, SB2001, SB2080, SB2722, SB506, SB2514, SB2623, SB2753, SB2398, SB1241, SB2927, SB2173, SB2538, SB898, SB467, SB1449, SB2529, SB1531, SB2846, SB2476, SB986, SB1181, SB2075, SB2154, SB2864, SB31, SB2880, SB1359, SB2386, SB771, SB2844, SB2550, SB1351, SB1423, SB1931, SB2245, SB2589, SB2707, SB2807, SB2351, SB410, SB659, SB816, SB2776, SB2693, SB2580, SB1980, SB1886, SB1234, SB739, SB482, SB456, SB127, SB1666, SB2843, SB2801, SB800, SB2055, SB784, SB2986, SB735, SB1012, SB324, SB2926, SB2938, SB2007, SB2138, SB1242, SB2615, SB1049, SB2310, SB1224, SB2972, SB1568, SB2841, SB2885, SB3016, SB2858, SB2610, SB2139, SB1856, SB2035, SB2308, SB2306, SB2041, SB1528, SB1681, SB1141, SB2401, SB2530, SB2375, SB547, SB1266, SB1373, SB1467, SB2069, SB2269, SB2480, SB2544, SB672, SB904, SB2695, SB2891, SB2422, SB2543, SB1854, SB317, SB2539, SB2532, SB2925, SB1250, SB2082, SB2203, SB457, SB2357, HJR4, HB135, HB1109, HCR35, HCR64, SB2721, SB243, SB1285, SB2568, SB1959, SB1442, SB1454, SB2520, SB2541, SB1708, SB1237, SB1844, SB1586

Keywords: education funding, Texas State Technical College System, capital projects, infrastructure, higher education, Birding Capital, Matagorda County, wildlife, conservation, Texas Legislature, Texas beef, cattle industry, agricultural heritage, Texas strip steak, economic growth, SB 31, Life of the Mother Act, Texas abortion law, medical emergency, reasonable medical judgment

Transcript Highlights:

• If the physician has a deeply held moral issue with antibiotics, that patient must find a different physician
• go find a different physician, even though contraception is legal.
• Wade, when physicians in hospitals... ...the heartbeat law and after Roe v.
• And it's easy to say that it's malpractice and blame physicians.
• going to call their physician.

Summary: The Senate began with a quorum call, prayer, approval of the previous journal, and messages from the House, then moved through several recognitions and resolutions honoring visiting groups. Members adopted resolutions recognizing the Texas chapters of Blue Star Mothers of America, Fine Arts Education Day, Donate Life Texas Day, Baha’i Capitol Day, County Government Day, Jack County Day, Crockett County Day, and a recognition of Navy Petty Officer Simon Urbanik for service during the Cuban Missile Crisis. The chamber also heard remarks from visiting doctors, students, county officials, and community groups, with multiple senators speaking in support of military families, arts education, organ donation, and local government service. The Senate then took up Committee Substitute Senate Bill 2779, relating to the allocation and use of certain hotel occupancy tax revenues. Senator Birdwell said the bill would stop local governments from conditioning HOT funds on race- or class-based priorities and would require Galveston to transfer the full state rebate for beach cleaning and maintenance to its park board. After questions, the Senate suspended the rules, passed the bill to engrossment, suspended the three-day rule, and finally passed it, though the final vote showed significant opposition. The chamber also passed Committee Substitute Senate Bill 2322, described as a cleanup bill removing the compelling-factor test for dispatchable generation from the Texas Jobs, Energy, Technology, and Innovation Act. A major debate centered on Committee Substitute Senate Bill 2253, which would phase out uncertified teachers in core classrooms and strengthen educator certification requirements. Senator Creighton argued the bill responds to a teacher pipeline crisis, adds parent notification, creates multiple preparation pathways, and provides financial incentives for certification; Senator West and Senator Sparks pressed for rural flexibility and implementation details. An amendment from Senator Gutierrez to add a teacher student-loan repayment program failed on a 11-17 vote, while other technical and fiscal amendments were adopted. The bill then passed to engrossment, the three-day rule was suspended, and it was finally passed. The Senate also passed Committee Substitute Senate Bill 2371, updating skimmer-reporting rules to cover electronic terminals beyond fuel pumps, and Committee Substitute Senate Bill 2351, relating to the construction of certain concrete plants under a standard permit. Senate Bill 619, a conscience-protection bill for health care workers, drew extended questioning from Senators Cook, Eckhardt, and Menendez about patient abandonment, scope, and whether it could allow refusals of legal services such as vaccines, antibiotics, contraception, or personal care; despite those concerns, the Senate suspended the rules and passed the bill to engrossment. Finally, the chamber began consideration of Committee Substitute Senate Bill 1169, which would allow public entities to form public utility agencies to cooperate on water and wastewater projects without eminent domain or cross-collateralization, with Senator Hinojosa explaining it as a tool for small and rural communities facing utility infrastructure problems.

Transcript Highlights:

• We are changing, we are actually eliminating the number of physician assistants that a physician may
• Currently the cap for physicians to supervise physician assistants is 10.
• something that that physician can't manage, say 20, say 30, what recourse does the physician have?
• something that that physician can't manage, say 20, say 30. What recourse does the physician have?
• emergency room physicians, who cannot manage more than 10 emergency room physicians at a time.

Summary: The House convened with prayer, a moment of silence for former member Chester Clem, the Pledge of Allegiance, and quorum confirmation. Members then adopted the special order report and a rules report amending House Rule 15.3 to allow fundraising under certain circumstances during extended or special sessions. The chamber also heard several recognitions and a farewell speech from Representative Nixon, who reflected on constituent service and her legislative priorities. On the floor, HB 1405, relating to a statewide project for missing persons with special needs, passed unanimously. The House then took up CS/CS/CS/SB 290, the Department of Agriculture and Consumer Services bill, which drew questions about the handling of surplus conservation lands and agricultural uses; it passed 94-10. CS/CS/CS/HB 905, the “Fire Act” on foreign influence, was explained as a broad package restricting foreign-country influence in government, procurement, gifts, cultural agreements, and related areas. An amendment adding restrictions on surrogacy and adoption involving citizens or residents of foreign countries of concern was adopted after debate over possible impacts on families and adoption practices, and the bill then passed 80-20. The House also passed CS/CS/HB 1197, a bill to modernize state information technology procurement and contracting, unanimously after debate about improving oversight of large IT projects. HB 1103, allowing local governments to fast-track action on derelict vessels, also passed unanimously. The chamber then considered CS/CS/CS/HB 399 on land use development and development regulations, including limits on development fees, changes to local voting thresholds for comprehensive plan and boundary actions, manufactured homes in RV parks, and resort-related provisions. Several amendments were debated, including one on local control and rural boundaries that failed and another strike-all amendment ruled out of order; the bill ultimately passed 71-38. The final item reached before the transcript ended was a local bill for the Pace Fire Rescue District in Santa Rosa County, described as adjusting its assessment formula to provide tax relief.

Transcript Highlights:

• , osteopathic physician, physician assistant, advanced registered nurse practitioner, or naturopath licensed
• It prohibits anyone other than a physician, osteopathic physician, ARNP, or their health care provider
• We want to see physicians be able to deliver care as appropriate.
• The enforcement under this bill is levied in large part on individual physicians.
• Erica Walker, and I'm a member of sound physicians, and last. today. My name is Dr.

Bills: SB6294, SB6211, SB5650, SB6033, SB6297, SB6343, SB6067, SB6082, SB6323, SB6324, SB5862, SB5923, SB6151

Keywords: local government finance, Washington state, RCW, real estate excise tax, REET, sales and use tax, property tax levy, county tax, city tax, affordable housing, housing services, behavioral health, mental health, developmental disabilities, children and families services, youth services, utility tax, low-income utility assistance, veterans assistance, homelessness

Transcript Highlights:

• </c> I do know that many of these physicians I do know that many of these physicians work<01:49:18.800
• I'm a retired physician.
• I'm a retired physician. healthc care. I'm a retired physician.
• I don't think it's any physician diagnosing a patient with a terminal illness, not the physician with
• I don't think it's any physician diagnosing a patient with a terminal illness, not the physician with

Keywords: 12:30pm HB 421 2:00pm HB 701 3:00pm HB 377 4:00pm HB 712, 928, house, all

Summary: The committee of conference first took up House Bill 421FN, concerning notice of tax-exempt status filing procedures by town officials. Members reviewed the Senate changes and focused on whether the amended language would require multiple mailings to charitable organizations. House conferees said the Senate wording appeared to create more than one mailing and asked for clarification; Senate members explained the intent was to reduce clerk workload by posting forms and sending a follow-up notice only to organizations that failed to file after the deadline. After a brief caucus, the House concluded there were too many unresolved changes to work out in conference and moved to non-concur with the Senate amendment. The House motion to non-concur passed unanimously, 4-0, and the committee agreed to place the conference report on the House consent calendar. The chair then closed the committee of conference on House Bill 421FN. The transcript then shifted to a separate committee of conference on another bill, where members discussed revisions involving direct supervision at an eligible facility, federalwide assurance requirements, and immunity language. Testimony focused on whether the bill should require supervision at a specific facility or allow broader supervision arrangements, whether rulemaking should define direct supervision, and whether the immunity provision should cover reckless as well as willful misconduct. No final vote or action on that second bill was reached in the portion provided.

Transcript Highlights:

• So family members, team of nurses, the primary care physician, and the mental health physician to advise
• So family members, team of nurses, the primary care physician, and the mental health physician to advise
• So family members, team of nurses, the primary care physician, and the mental health physician to advise
• So family members, team of nurses, the primary care physician, and the mental health physician to advise
• The primary care physician and the mental health physician to advise.

Keywords: 912, senate, all

Summary: The committee heard testimony on SB 3025, relating to medical debt, with multiple organizations and individuals, including the Office of Wellness and Resilience, Healthcare Association of Hawaii, Queens Health Systems, the American Cancer Society Cancer Action Network, Aloha Care, Hawaii Health and Harm Reduction, Hawaii Data Collaborative, and Hawaii Appleseed, all speaking in support. No opposition was heard, and the member present had no questions. The committee then took up SB 3199, which would establish a mental health emerging therapies task force. Testimony was overwhelmingly in support, with speakers including veterans, clinicians, researchers, and advocacy groups describing personal experiences with PTSD, depression, traumatic brain injury, and treatment-resistant conditions, and arguing that Hawaii should prepare for regulated access to emerging therapies such as MDMA, psilocybin, ketamine, and ibogaine. The Department of Health and some medical organizations provided comments, and one opposition witness was called but not present. The chair noted broad support, especially from veterans, and no vote was taken during the excerpt. The final measure discussed was SB 3324, relating to Medicaid. The Department of Human Services, Department of Health, Hawaii State Council on Developmental Disabilities, Hawaii Disability Rights Center, Aloha Care, and numerous care-provider and aging/disability organizations testified in support, while one witness was in opposition and several others offered comments. The discussion then moved to SB 2563, relating to homelessness, where the Department of the Attorney General offered comments on specific sections and recommended adopting suggested amendments if the bill proceeds. Additional testimony on SB 2563 began with support from several individuals, including Shelby Pikachu, who emphasized the severity of homelessness and related social problems in the community.

Transcript Highlights:

• Stephen Brown is a family physician, program director, and professor at the University of Arizona College
• He has helped train over 150 family physicians who are improving health outcomes and reducing health
• Well, what it will do is raise the insurance rates for physicians in Arizona.
• Physicians in Arizona already pay exorbitant amounts of malpractice insurance.
• And so this civil liability piece for physicians could really harm who we have here in Arizona.

Summary: The House convened with prayer, the Pledge of Allegiance, approval of the prior journal, and several points of personal privilege recognizing guests, including a newly graduated Army servicemember, the Doctor of the Day, and members of Delta Sigma Theta visiting for Delta Day at the Capitol. The chamber also adopted a proclamation designating April 10, 2026, as Founders Day in the City of Tolleson, with remarks highlighting the city’s history and the Whoopi Days Festival. The House then appointed a conference committee on HB 2874 after voting not to concur in Senate amendments. The House considered several bills in Committee of the Whole. On SB 1058, a floor amendment offered by Rep. Gutierrez to address gun trafficking, merchant codes, and related enforcement tools failed by a vote of 17-32, and the bill was then recommended do pass. SB 1094, dealing with civil liability related to gender transition procedures for minors, drew extended debate over constitutionality, medical liability, and impacts on physicians and patients, and it was also recommended do pass. SB 1136, SB 1422, and SB 1663 (with a Blackman floor amendment adopted) each received do pass recommendations. Later, the House adopted Committee of the Whole reports placing SB 1075 and SB 1202 on third reading, retaining SB 1419 on the calendar, and advancing SCM 1004 and SCM 1007. On third reading, the House passed SB 1024, SB 1148, SB 1232, SB 1293, and SB 1586, with members explaining votes on issues including vehicle registration, Supreme Court administration, outdoor advertising and zoning, GPLET tax policy, and state agency matters. The chamber then recessed briefly for announcements and personal privilege remarks, and finally adjourned until 10:00 a.m. on Thursday, April 9, 2026.

Transcript Highlights:

• And I want to say one more thing about why I bring up physicians.
• And the worst part of that is that when new physicians are trying to decide where they want to... ...
• I am married to a family physician that went through the Rural Physician Manpower Training Commission
• And the worst part of that is that when new physicians are trying to decide where they want to practice
• I am married to a family physician that went through the Rural Physician Manpower Training Commission

Summary: The committee primarily considered House Bill 440, which would move Medicaid expansion language from the Oklahoma Constitution into state statute and send the change to voters in a special election. Supporters argued this would give the Legislature flexibility to manage the program, especially if federal Medicaid matching rates were reduced, and said it would help protect the state budget and allow future adjustments such as eligibility or work requirements. Opponents said the measure would weaken voter-approved constitutional protections, create uncertainty for more than 300,000 enrollees, rural hospitals, and providers, and could allow future cuts without another vote of the people. Members also discussed the possible fiscal impact of a federal match change from 90-10 to 60-40, with supporters saying the state could face roughly a billion-dollar annual cost and would need flexibility to avoid cuts to other services. Questions also focused on the choice of an August special election rather than the November general election, and on whether tribal governments and other stakeholders had been consulted. After debate, the committee tabled an amendment and passed House Bill 440 on a 14-2 vote. The committee then took up House Joint Resolution 1087, which would change the Avalon reimbursement program so the Legislature could manage funding levels and methodologies rather than being bound to the current structure. It passed 14-2. The committee also considered House Joint Resolution 1067, a trigger measure that would only appear on the November ballot if House Bill 440 failed in August; it would relieve the state of any obligation to fund Medicaid expansion for working adults if the federal match dropped below 90%. After adopting a committee substitute and tabling an amendment, the resolution also passed 14-2. The committee then laid over H.J.R. 1089 and adjourned.

Transcript Highlights:

• From outside of the purview of a prescribing physician, it does not say that you should not.
• A says it needs to be prescribed by a physician.
• Description, no observation, and no consultation with their physicians.
• A physician, without observation from a physician, without any kind of consultation from a physician
• Senator, I'm a physician and a pharmacist, as you're aware. I signed on to your bill.

Bills: SB 3, SB 16, SB 2, SB 5, SB 10, HB17, SB 54, SB 9, SB 7, SB 17, SB 4, HB8, HB25, HB26, HB192, HB8, HB25, HB26, HB48, HB149, HB192, HB254, HB17, SB54, SB9, SB7, SB17, SB4, SB3, SB16, SB2, SB5, SB10

Keywords: flash flood, flood warning, outdoor warning siren, emergency alert, disaster preparedness, flood mitigation, Hill Country floods, Texas Water Development Board, municipalities, counties, local government mandate, public safety, grant program, backup power, weather siren, emergency management, flood-prone area, warning system, real property theft, real property fraud

Transcript Highlights:

• </c> what are the um shouldn't The Physician what are the um shouldn't The Physician or<00:14:48.759>
• physician assistants are covered because they are regulated under RSA 329.
• Physician assistants are covered because they are regulated under RSA 329.
• </c><00:28:57.760><c> assistant</c> reference a physicians assistant reference a physicians assistant
• assistants are cared bill uh physician assistants are cared because<00:29:04.039><c> they</c><00:29:

Keywords: 1191, senate, all

Transcript Highlights:

• </c> uh nurse practitioners, physician uh nurse practitioners, physician assistants.<00:37:13.440><c>
• </c> a physician retiring uh as of June 15th. a physician retiring uh as of June 15th.
• </c> physicians and we ask why physicians physicians and we ask why physicians don't<00:40:24.320><c>
• </c> professionals, specifically physicians. professionals, specifically physicians.
• </c><01:42:20.480><c> Now,</c> for the physicians. Now, for the physicians.

Keywords: 958, all

Summary: The committee first approved the May 12 minutes, then deferred item 285 on the routine personal service contract green list for Western Kentucky University to the July 2026 meeting. It also noted that several deferred university contracts had been withdrawn by the institutions, and then approved the remaining agenda items without objection, including personal service contracts, amendments, memoranda of agreement, Kentucky Entertainment incentive agreements, deferred items, and corrections, except for items pulled for further review. The main pulled item was a Kentucky Administrative Office of the Courts contract supporting Fayette District Court’s juvenile treatment court through Fayette County Public Schools. Court officials explained that the program, created under Supreme Court rules in 2022, serves court-connected juveniles with mental health and related needs, operates at the courthouse, and uses a school-employed program manager funded through a pass-through arrangement with Fayette County Public Schools and the Urban County Government. They said the program has had over 100 referrals, accepted about half, and had at least 25 successful graduates, with 11 high school graduates among participants. Members asked about who pays for drug screens, family involvement, and what counts as successful completion; the officials said the Urban County Government’s Division of Youth Services pays for drug screens and services, and that parents must participate in classes and support services. The committee then approved the contract review, with some members explaining their votes in support and one member emphasizing the committee’s role in reviewing contracts in the public interest. The committee also reviewed two Auditor of Public Accounts contracts. The auditor’s representative said contract 11, with Vantage Point Solutions, will examine the Kentucky Communications Network Authority/Kentucky Wired network for $700,000, well below the $1.5 million appropriated, and that a report is expected before the 2027 regular session. Contract 12 funds a special examination of investment managers used by Kentucky’s retirement systems, prompted by a Legislative Oversight and Investigations request to assess whether investments tied to ESG factors are consistent with fiduciary duties; the representative said the retirement systems have been cooperative and that findings are expected on a similar timeline, with some flexibility built into the deadline. After questions about the Texas litigation referenced in the explanation, the committee approved both auditor contracts without objection.

Transcript Highlights:

• AB 1696 makes clear that nurse midwives do not require physician supervision when they are providing
• Alicia Gonzalez, who's a practicing emergency physician in Imperial County, California, and also the
• Emergency physicians have undergone extensive training specifically to become experts in this nuanced
• I'm a family medicine physician.
• As a family physician, I see continuity of care as essential to keeping patients healthy.

Keywords: 988, house, all

Transcript Highlights:

• It requires all emergency departments to designate a physician, nurse, paramedic, or physician assistant
• It was only at the urging of a family member who was a physician that she returned.
• to physician.
• And protocols differ not just from facility to facility, but from physician to physician, and the pros
• We send them to the hospital, we call the physician.

Summary: The committee met with a quorum and took up a series of health and human services bills, beginning with CS/SB 1602, which would require hospital emergency departments to have evidence-based pediatric care protocols, staff training, child-sized equipment and medications, a pediatric care coordinator, and participation in a national pediatric readiness assessment. The bill was reported favorably after no public opposition. CS/SB 1224, aligning Florida law with federal requirements for paramedics to administer controlled substances under physician or nurse practitioner direction, also drew supportive testimony from the Florida Fire Chiefs Association and was reported favorably. CS/SB 1182, requiring coverage of continuous glucose monitors under both pharmacy and durable medical equipment benefits, was likewise reported favorably after brief support from AARP. The committee then considered CS/SB 890, the Emily Adkins Family Protection Act, which addresses venous thromboembolism by defining certain conditions as chronic diseases, creating a statewide registry, and requiring screening and training in hospitals, surgical centers, nursing homes, and assisted living facilities. Family members and blood clot advocates strongly supported the bill, but assisted living representatives objected to being included, arguing the bill would impose unrealistic medical expectations and liability on residential care facilities. Senators also raised concerns about the assisted living provisions, but the bill was reported favorably after the sponsor said more changes were likely later. CS/CS/SB 954, dealing with recovery residences and treatment centers, was amended to reduce the number of active patients from 500 to 300 and then reported favorably after extensive debate over zoning, clustering, neighborhood impacts, and access to recovery housing. CS/SB 1050, which expands the developmental disabilities pilot program and creates an adult pathways waiver option, generated the most extensive testimony. Supporters said it would help reduce the long APD waitlist and expand services, while many families and advocates warned against managed care, citing provider shortages, weak oversight, and the importance of consumer-directed care. Committee members emphasized that participation is voluntary and that people can disenroll, and the bill was reported favorably. CS/SB 614, requiring a public educational webpage about background screening and level-two screening requirements, and CS/SB 1578, expanding breast cancer screening coverage, were both reported favorably with little opposition. CS/SB 1060 created a joint legislative oversight committee for Medicaid financing and operations; after an amendment expanding the committee from three to five members, it was reported favorably. CS/CS/SB 1240, updating DCF substance abuse and mental health procedures including 988, methadone assessment, forensic evaluators, and Baker Act transfer timing, was amended and reported favorably after debate over transfer deadlines and facility responsibilities. Finally, the committee began hearing CS/SB 526, a major nursing education bill aimed at improving Florida’s low NCLEX passage rates by tightening program standards, requiring exit exams and remediation, mandating reporting and inspections, and limiting accreditation extensions. A strike-all amendment was introduced that would also require certain low-performing programs to offer a three-month graduate preceptorship. The transcript cuts off before the bill’s full debate and final action are completed.

Transcript Highlights:

• She is a board-certified, double board-certified anesthesiologist and pain medicine physician, which
• She is the founder of a physician-owned... ...She is the founder of a physician-owned regenerative medicine
• Penhollow regularly advises on issues related to anesthesia, pain care, physician scope of practice,
• In her clinical and leadership roles, she focuses on ethical physician-led care and protecting patients
• SB 1178: never public physicians, drug administration.

Summary: The Senate opened with prayer and the Pledge of Allegiance, then established attendance, approved the prior journal, and welcomed several guests, including the Doctor of the Day, a student shadowing a senator, representatives from Republic Services, and visitors from Copper Valley Energy. Senators also announced administrative deadlines, including extensions for opening Senate folders and for Senate bill introduction preparation, with the bill introduction deadline set for February 2. The main floor business was the reading and reference of a large number of Senate bills and resolutions across many subject areas, including education, government, appropriations, natural resources, health and human services, finance, judiciary and elections, and military affairs and border security. The calendar also included second-reading placement for another large group of bills covering topics such as firearms, behavioral health, family courts, insurance, water, taxation, public safety, and elections. No substantive debate or votes on the merits of the measures occurred during this portion beyond the procedural reading and referral of the bills. Standing committee reports were accepted without being read, and committee announcements were made for upcoming meetings of Government, Health and Human Services, Regulatory Affairs and Government Efficiency, Education, Judiciary and Elections, and Public Safety. The Senate then adjourned on motion until Wednesday, January 21, 2026, at 1:15 p.m.

Transcript Highlights:

• I just wanted to make sure it doesn't affect those claims that the physicians can bring.
• Due to the routine federal cuts, this is consistently decreasing entity for physicians.
• So again, Louisiana's fee schedule prices it for the physician performing the procedure at $1,622.
• It is less than what our physicians and medical providers are currently being paid.
• You want to get rid of choice of physician without repealing the choice of physician rule or law.

Summary: The Labor and Industrial Relations Committee first took up House Bill 680 by Rep. Weibel, which proposes a major overhaul of Louisiana’s workforce development system. The bill and a large amendment package were described as modernizing workforce planning, consolidating some state-level strategy and administration, and strengthening coordination with local workforce partners, employers, and regional stakeholders. A transition advisory team with an 18-month sunset was added to help implement the changes, and members repeatedly raised concerns about preserving local input for different regions, parishes, and cities. Rep. Weibel, the secretary of Louisiana Works, parish officials, and other supporters said the goal is to shift more resources from overhead to training and direct services while keeping local boards and parish involvement in place. Testimony from a Utah official and from local government and business representatives emphasized that similar consolidations can create efficiencies without eliminating local responsiveness. The committee adopted the amendments and then reported HB 680 with amendments. The committee then heard House Bill 780 by Rep. Furman on workers’ compensation. The bill seeks to streamline disputes over compensation and medical benefits, reduce litigation, and lower costs by restoring an expedited preliminary determination process and changing the standard for penalties and attorney fees to an arbitrary-and-capricious standard. Supporters, including lobbyists and defense attorneys, argued that the current process is outdated, overly technical, and too litigious, especially because adjusters now often work remotely and the statute still relies on fax and certified-mail procedures. They said the bill would speed up decisions, reduce unnecessary attorney-fee claims, and help employers and injured workers alike. Opponents, including attorneys for injured workers, argued the bill would make it harder for workers to recover penalties when benefits are delayed, shift the burden in favor of insurers, and fail to address understaffing and defense costs. Members debated whether the bill’s new standard should replace the current “reasonably controverted” language; an amendment to restore that language was offered but opposed by the author and other members and was not adopted. The committee adopted technical amendments and other committee amendments, heard additional testimony, and continued debating the bill’s substantive changes.