Transcript Highlights:

• new care, I think therapy is a unique aspect in the sense that in the therapy setting people are really
• It's mental health, it's emergency resources.
• I've worked predominantly in emergency medicine.
• When I worked in the emergency department, more and more patients are seeking the emergency department
• When I worked in the emergency department, more and more patients are seeking the emergency department

Keywords: 995, all

Summary: The Joint Committee on Public Health held a hearing to take testimony on a wide range of bills involving professional licensure, clinical practice, and public health-related workforce issues. The chair explained that no votes would be taken at the hearing and that the purpose was to gather public input. Early testimony focused on Marnie’s Law, with supporters describing the bill as a no-cost, preventive measure to require nursing education on inflammatory breast cancer after a family tragedy and arguing it could reduce misdiagnosis and save lives. A major portion of the hearing centered on bills affecting clinical decision-making and licensure compacts. Supporters of the physician ownership/clinical autonomy bills argued they would protect independent practices from corporate interference after the Steward collapse, while supporters of EMS, dental, psychology, physical therapy, and physician assistant compacts said the measures would improve workforce mobility, reduce delays, and expand access to care, especially for rural patients, military families, and telehealth users. Several witnesses emphasized that the compacts would not reduce standards and would strengthen public protection through shared disciplinary databases and streamlined credentialing. There was also testimony on bills to ensure safe medication administration and to protect the independence of complementary and alternative health care practitioners. Nursing representatives urged that only licensed professionals administer medications in hospitals, hospices, and home care settings, warning that delegation to unlicensed staff could endanger patients and nurses’ licenses. A complementary and alternative care witness supported consumer access with mandatory disclosures and limits on reserved medical acts. On the dental compact, witnesses were split: some supported portability and workforce flexibility, while others warned the compact lacked a hands-on skills exam and could weaken Massachusetts’ regulatory authority and patient safety. The hearing concluded with continued testimony on the psychology compact, physical therapy compact, and physician assistant bills, with most speakers favoring expanded interstate practice and reduced administrative barriers.

Transcript Highlights:

• If not, let's go on to SP 1042, Mental Health Emergency therapies.
• Mental Health Emergency therapies. Attorney General's Office.
• She added that the medicines in question are considered emerging and breakthrough therapies, and that
• This next bill, SB 1042, establishes a mental health emergency therapy special fund.
• . establishes a mental health emerging establishes a mental health emerging therapy<02:07:46.719><c>

Keywords: 910, house, all

Summary: The Committee on Health heard testimony on several bills. On SB 1441, which would repeal the transfer of the Oahu Regional Health Care System from HHSC to the Department of Health, the Department of Health said it strongly supports the measure and requested clarifying amendments. HHSC/Oahu Region also supported the bill and said it had no objection to the department’s amendments. In response to questions, witnesses said the agencies have been working on an MOU to support transfers of long-term care patients to Leahi, with the current goal being about 10 to 15 patients, but transfers would occur only as space and staffing allow; one patient was reportedly being admitted at the time, and the process was described as slow and case-by-case. The committee then heard SB 1443 on payment rates for state hospital patients and related Department of Health services. The hospital administrator said the bill would allow rates above Medicaid for community or foster-home placements if patients cannot be placed at Leahi or elsewhere, and would set Medicaid-level reimbursement for outside medical services used by state hospital patients. He said at least one provider was interested in offering services at that rate and that the population involved is largely non-ambulatory long-term care patients. Members asked about availability and training, and the witness said special training could be provided. SB 1322, a broad mental health bill, drew mixed testimony. The Department of Law Enforcement supported giving crisis-intervention-trained officers more discretion to transport people to medical care instead of arresting them. The Attorney General supported the bill but recommended revisions to emergency-transport language and restoring liability protections. HHSC and Queens Hospital supported the overall goal but sought amendments to preserve the mental health emergency worker role in decision-making and to avoid negative impacts on emergency departments. The Disability Rights Center and ACLU opposed parts of the bill, arguing that it weakens due process, reduces protections in involuntary treatment and transport, and should retain a three-person treatment panel rather than reduce it to one. A Queens representative said the current program works well and reported that more than 90% of MH1 cases once went to hospitals, but that figure has dropped to about 60-70%, with about 20% now diverted to community settings or the behavioral health crisis center. No votes or final committee actions were taken in the portion provided.

Transcript Highlights:

• </c> different modalities, stem cell therapy. different modalities, stem cell therapy.
• </c> that same standard stem cell therapy. that same standard stem cell therapy.
• Then we get to stem cell therapy.
• it stem cell therapy 2.0, 3.0.
• To use stem cell therapies.

Bills: HB0003, HB0117, HB0041

Keywords: pregnancy centers, abortion, pro-life, healthcare, women's rights, state regulation, civil rights, freedom of speech, informed consent, civil liability, coercion, healthcare rights, law enforcement, death benefits, retirement, survivor support, public safety, 916, all

Transcript Highlights:

• speech therapy, and physical therapy.
• speech therapy, and physical therapy.
• therapy, and speech therapy for Medicaid patients.
• I urge us not to cut occupational therapy, physical therapy, and speech therapy services.
• Therapy prevents reliance on emergency rooms for pain management and wound care, and it reduces the need

Summary: The House Appropriations Committee held a public hearing on proposed substitute House Bill 2289, the House operating budget. Budget staff Mary Monroe gave a detailed overview of the proposal’s near general fund outlook, reserve levels, major revenue assumptions, and major spending and savings items. She highlighted assumed revenue from capital gains and a proposed “millionaires tax,” a transfer from the budget stabilization account, administrative reductions across agencies, and several major policy shifts, including changes affecting Working Connections Child Care, K-12 education, higher education, long-term care, behavioral health, wildfire response, and state employee compensation. Members then asked questions, including about the higher education building account/operating fee swap and its interaction with the capital budget and Climate Commitment Act funds. The committee also announced amendment deadlines for the budget process. The bulk of the meeting was public testimony, with many speakers generally supporting or opposing specific parts of the budget. Supportive testimony praised funding for wildfire prevention, public health, reproductive health, civil legal aid, the Poison Center, some higher education institutions, and certain disability and child welfare services. Many speakers urged restoration or protection of funding for K-12 education, especially transition to kindergarten, local effort assistance, bus depreciation, and Running Start; others opposed cuts to child care, early learning, public defense, long-term care, adult day and home care services, occupational/physical/speech therapy for Medicaid patients, and community and technical colleges. Several local government, health, and nonprofit representatives also asked the committee to preserve public works, homelessness, energy assistance, environmental justice, and recovery/diversion programs, while some business and public safety groups sought continued funding for organized retail crime prevention and related initiatives. No votes were taken during the hearing. The committee recessed briefly and later resumed with virtual testimony, where additional witnesses repeated concerns about education cuts, long-term care, health care access, disability services, dispute resolution, early childhood programs, and the need for ongoing or increased funding in those areas.

Transcript Highlights:

• </c><00:02:37.720><c> uh</c> and declaring an emergency uh and declaring an emergency uh representative
• </c> altering impacts of affirming therapy altering impacts of affirming therapy without<00:21:35.360
• </c> my experiences with conversion therapy my experiences with conversion therapy are<00:21:47.000><
• This is not a therapy and talk therapy that tells a child that the reason that they're gay is because
• </c> Health Providers this is not a therapy Health Providers this is not a therapy and<00:24:29.360><

Keywords: Consideration of HB 9 00:02:20 Consideration of HB 495 00:08:53 Consideration of HB 520 00:46:51 Consideration of HB 622 00:54:39 Consideration of HB 635 00:59:25, 958, all

Summary: The committee first took up House Bill 9, which would create oversight for Medicaid-related policy through a board modeled after the Public Pension Oversight Board. Sponsor Rep. Adam Bowling said the measure was intended to bring legislative, executive, and stakeholder voices together to vet issues and make better-informed Medicaid policy. Members generally supported the concept, though some questioned the proposed board’s party breakdown and whether the language should be updated now rather than later. After discussion, the committee voted 19-0 to pass HB 9 favorably. The committee then heard House Bill 495, which Rep. Hail said would protect mental health care professionals, institutions, and ordained ministers from discrimination when providing what the bill calls protected counseling services. He described the bill as a parental-choice measure that would allow counseling aligned with family values and said it also creates a civil cause of action for harmed parties. Opponents argued the bill would shield conversion therapy, with Dr. Eric Russ, Brandon Long, Dr. Brandon Creech, Brenda Rosen, Chris Hartman, and Dr. Bobby Glass testifying that conversion therapy is discredited, harmful, and associated with depression, anxiety, self-harm, and suicide risk. They said professional medical and counseling organizations oppose such practices and urged rejection of the bill. During questions, Rep. Layman pressed the sponsor on whether the bill would protect therapies even if a child was not in distress and on whether the committee should be endorsing a practice discredited by professional organizations. Rep. Hail responded that he viewed the issue as a parental choice and said he believed the bill protects providers offering those services. The transcript ends during continued discussion of HB 495, with no final vote shown on that bill.

Transcript Highlights:

• Music therapy is a health profession licensed by DOH.
• Music therapy is a health profession licensed by DOH.
• A music therapy license must be renewed every two years.
• That was the music therapy licensure bill.
• This is just a trailer bill to that, that the Music Therapy Coalition has worked on to allow music therapy

Bills: HB2540, HB2113

Keywords: emergency medical services, EMT recertification, healthcare, first responders, public health, radiologic technologists, diagnostic imaging, healthcare regulation, professional supervision, state licensing, 904, all

Transcript Highlights:

• speech therapy, and physical therapy.
• therapy, and speech therapy for Medicaid patients.
• I urge us not to cut occupational therapy, physical therapy, and speech therapy services.
• Therapy prevents reliance on emergency rooms for pain management and wound care, and it reduces the need
• Funding occupational therapy, physical therapy, and speech therapy services means we can help get people

Bills: HB2289

Keywords: appropriations, budget, fiscal matters, state spending, general fund, supplemental budget, biennial budget, substitute bill, public defense, civil legal aid, courts, judicial branch, homelessness, supportive housing, affordable housing, behavioral health, juvenile rehabilitation, youth services, child welfare, foster care

Transcript Highlights:

• Music therapy is a health profession licensed by DOH.
• Music therapy is a health profession licensed by DOH.
• That was the music therapy licensure bill.
• This is just a trailer bill to that, that the Music Therapy Coalition has worked on to allow music therapy
• As a new music therapy program in Washington, PLU will be building a pipeline of qualified music therapy

Summary: The Senate Health and Long-Term Care Committee held a Friday morning hearing with several House bills and then took executive action on three measures. In executive session, the committee voted do pass on Engrossed Substitute House Bill 2242, Substitute House Bill 2152, and Engrossed Substitute House Bill 2168, sending the first two to Rules and the overdose-mapping bill to Ways and Means. The committee also waived the five-day notice rule for several bills on the agenda. Public hearings focused on hospital inspections, continuing care retirement communities, radiologic technologist supervision, music therapy licensure, nursing regulation, ambulance billing after motor vehicle accidents, and EMT recertification. Representative Macri presented HB 2577 to require hospital inspections at least every 18 months, allow limited pauses during emergencies, and clarify when CMS or accrediting-body surveys may substitute for state inspections; DOH supported the bill, citing JLARC recommendations, while many people signed in opposed. Macri also presented Second Substitute HB 2384, which would require actuarial analysis review for certain CCRCs; OIC supported the transparency goal, while CCRC representatives opposed the added cost, though residents and association witnesses argued the oversight would protect seniors and their life savings. Representative Engel’s HB 2113 drew strong support from radiology, hospital, and provider groups for allowing virtual direct supervision for IV contrast procedures and aligning state law with CMS practice. Representative Ryu’s HB 1187 would bar ambulance services from sending motor-vehicle-accident medical debt to collections for 120 days; she described a personal experience with an ambulance collection issue, and the hearing was closed after no testifiers appeared. Representative Reed’s HB 2363 would let music therapy applicants practice under supervision for up to six months while exam results are processed; music therapy witnesses said it would prevent workforce gaps. Representative Simmons’ HB 2339 would update nursing title and transcript requirements and allow the board to issue interim permits directly, with the Board of Nursing and ARNP groups calling it a technical cleanup. HB 2540 would extend EMT recertification intervals to six years for long-tenured EMTs, and firefighters supported it as an administrative simplification without changing training requirements.

Transcript Highlights:

• If not, let's move on to the next bill, which is SB 3199 relating to emerging mental health therapies
• </c> mental health emerging therapies mental health emerging therapies and<00:52:22.840><c> creating<
• We fully understand the interest in these emerging therapies.
• As demonstrated by ongoing medical and scientific research, psychedelic therapies are rapidly emerging
• SB 3199 relating to emerging and adult therapies.

Bills: HB1626, HB1643, HB1668, HB1550, HB1974, HB1858, HB1871, HB1966, HB1972, HB1973

Keywords: youth penalties, juvenile justice, community service, fees and fines, Native Hawaiian, Pacific Islander, reform, court costs, cultural connection, pharmacy, pharmacist, pharmacy audit, audit reform, pharmacy benefit manager, PBM, recoupment, extrapolation, claims audit, pharmacy reimbursement, dispensing fee

Summary: The committee heard testimony on SB 847, which would create a Kauai pilot program allowing qualified psychologists limited authority to prescribe psychotropic medications. The Board of Psychology supported the bill’s intent but asked for amendments to delay the effective date or extend the pilot so rules could be written first, and to clarify the education/training language. Supporters, including the Hawaii Psychological Association, Hawaii Mental Health Coalition, and several psychologists, argued that prescribing psychologists have long safety records in other jurisdictions and that the pilot could improve access to care on Kauai, especially amid ongoing mental health needs and storm-related stress. They cited studies and examples from New Mexico, Louisiana, the Department of Defense, and other places. Opponents, including the Hawaii Medical Association, American Academy of Pediatrics, Queen’s Medical Center, and a Department of Health representative, said the bill needed substantial work, raised concerns about training, liability, and workforce impacts, and urged a team-based model with psychiatrist oversight rather than independent prescribing. Some testimony also referenced a GAO report, with witnesses disagreeing over its meaning and cost-effectiveness. No vote was taken during the discussion, and members asked questions about how the bill would address the workforce shortage and whether a psychiatrist on Kauai could already meet the need. The committee then moved to SB 2271 on hospital licensing and SB 2272 on home health care licensing. The Department of Health, the Healthcare Association of Hawaii, and the Hawaii State Council on Developmental Disabilities supported both measures, which were described as streamlining and clarifying licensing oversight by relying on accreditation or certification reports. A member asked whether the bill language on hospital accreditation reports was duplicative, and the response was that the second provision was intended to strengthen enforcement by requiring hospitals to provide the actual report to DOH. The committee did not take final action in the portion of the hearing provided, and the chair noted that all bills on the agenda would later be considered for decision-making.

Transcript Highlights:

• Since 1981, our organization has pioneered emergency...
• His first school was an ABA therapy clinic.
• Medicaid patients can access life-changing ABA therapy.
• His first school was an ABA therapy clinic.
• ABA therapy leads to developmental...

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• Registered dietitian nutritionists provide medical nutrition therapy, or MNT.
• diagnostic therapy and counseling services for the purpose of disease management.
• I did receive cognitive rehabilitation, speech therapy, occupational, and physical therapy.
• , speech therapy, occupational, and physical therapy.
• The emergency order significantly expanded access for patients.

Keywords: 995, all

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

Transcript Highlights:

• For years, I've worked on the front lines of emergency care, both in busy emergency departments and now
• For years, I've worked on the front lines of emergency care, both in busy emergency departments and now
• I work in emergency medicine as well.
• I send many patients to physical therapy.
• And let's be clear: massage therapy is healthcare.

Summary: The joint sunset oversight hearing reviewed five regulatory entities: the Board of Behavioral Sciences, the Board of Psychology, the Physician Assistant Board, the Podiatric Medical Board, and the California Massage Therapy Council. Across the hearing, each entity described recent accomplishments, licensing and enforcement workload, workforce shortages, and efforts to modernize processes. Common themes included streamlining licensure, expanding access to care, addressing telehealth or emerging technology, and balancing consumer protection with workforce needs. For the Board of Behavioral Sciences, members discussed workforce shortages in mental health, supervision barriers, telehealth confidentiality, AI in therapy, interstate compacts, school-based services, and military spouse licensure. The board said it has expanded outreach, improved licensing processes, and created temporary practice authority tracking, while also expressing concern about counseling compacts and emphasizing California-specific law, ethics, and cultural competency. Public commenters supported the board’s work and the possible move to a national MFT exam, while also urging more resources. The Board of Psychology highlighted fee adjustments, streamlined licensure pathways, enforcement process improvements, new CPD requirements, and proposed changes including a psychotherapist-client privilege exception for investigations. Committee members and public witnesses focused heavily on that privilege proposal, with some members opposing it as too broad and privacy-invasive, while the board argued it is needed to obtain records in bias and sexual misconduct cases. The board also discussed workforce shortages, processing improvements, and the use of inactive status for psychological associates. The Physician Assistant Board reported growth in the PA workforce and education programs, SB 697 implementation, and financial pressure from rising enforcement costs. The main policy debate centered on physician-to-PA ratios and practice agreements, with board representatives and many public commenters arguing that current restrictions limit access to care, especially in rural areas, while the California Medical Association defended the need for explicit ratios and agreements. The board also discussed AI, fee increases, and tracking temporary practice authority. The Podiatric Medical Board described licensing and renewal reforms, residency expansion, enforcement support, and budget constraints, while public testimony raised concerns about a proposed fee increase and about reimbursement parity and practice recognition for podiatrists. Finally, the California Massage Therapy Council defended the certification model over licensure, citing lower costs, local government collaboration, anti-trafficking work, and its role in vetting applications and disciplining bad actors; no formal votes or final actions were taken during this portion of the hearing.

Transcript Highlights:

• Straight up, conversion therapy is quackery. Straight up, conversion therapy is quackery.
• In my clinical experience, the full impact of conversion therapy often does not emerge until years later
• Yeah, so what this bill covers is conversion therapy, also known as change therapy, where...
• But therapy is different.
• form of therapy.

Summary: The committee first took up SB 934 by Senator Wiener, which would extend the time for survivors of conversion therapy to bring malpractice claims and clarify how expert testimony and scientific evidence may be used in those cases. Senator Wiener and supporters, including a survivor and a licensed therapist, described conversion therapy as harmful and argued that survivors often cannot come forward within current limitation periods. Opponents, including attorneys and advocacy groups, argued the bill was an unconstitutional workaround to California’s existing ban and could chill legitimate therapy or expand liability. Committee members pressed both sides on the bill’s scope, with the author emphasizing it does not bar exploratory therapy or medical treatment, only attempts to change a person’s sexual orientation or gender identity. The bill was moved on a 7-2-1 vote to the Senate Appropriations Committee, with the item placed on call; the consent calendar was also adopted 6-0 and placed on call. The committee then heard SB 1092 by Senator Allen, as amended, concerning manufactured home parks. The bill would require park owners who intend to sell to give residents or their designated representatives notice and an opportunity to submit a competitive bid, with timelines intended to allow residents to organize financing and complete due diligence. Supporters said the measure would help preserve naturally occurring affordable housing and give residents a fair chance to buy the land under their homes, especially after fire-related losses and increasing investor ownership of parks. Opponents from park-owner and realtor groups argued the bill would burden private property rights, devalue parks, and create an unconstitutional taking by imposing long timelines and restrictions that could deter buyers. Several senators questioned the 240-day process and whether the bill should include clearer good-faith or reciprocity provisions; the author said he was open to further adjustments. The transcript ends during committee discussion of SB 1092, with no final vote shown.

Transcript Highlights:

• This is a bill that amends the Massage Therapy Practice Act.
• Why do we have massage therapy, which is the act, and then we have massage therapy establishment?
• the time the massage therapy was performed...
• Then it also says at a massage therapy establishment that was not licensed at the time massage therapy
• Concern there is they perform massage therapy.

Bills: SB23, SB221, SB261, SB264

Keywords: student use, wireless devices, public schools, policy implementation, education technology funding, misappropriation, petroleum products, oil and gas equipment, racketeering, criminal penalties, New Mexico, public safety, health regulations, community welfare, peace promotion, legislative reforms, election integrity, voter coercion, emergency procedures, polling place security

Transcript Highlights:

• And for me and many others, opioid treatments are not the ideal pain therapy.
• At the emergency room, she declined opioids.
• At the emergency room, she declined opioids.
• A rural emergency hospital is allowed to provide emergency department services, observation care, and
• Of the American Massage Therapy Association. My name is Arianna Will.

Summary: The Senate Health and Long-Term Care Committee heard testimony on several bills. SB 6159 would create a public hospital infrastructure account funded by a new annual coverage assessment on insurers and other businesses subject to the premium tax, and would allow public hospital districts and other public health entities to collaborate more freely and access capital financing for major construction or modernization projects. Senator Dhingra said the bill is intended to help public hospitals compete and modernize, especially amid federal Medicaid and ACA subsidy cuts. Supporters included UW Medicine, while hospital districts supported the general concept but said Section 2 could unintentionally narrow existing cooperative agreements with nonpublic entities. Health plans and insurers opposed the bill, arguing it would raise premiums, increase consolidation, and improperly sweep in property and casualty insurers and mutual companies; testimony also raised concerns about pass-through costs and retaliatory tax effects. The hearing on SB 6159 closed with 5 pro, 74 con, and 2 other sign-ins. The committee then heard SB 5845, which would modernize timely payment rules by requiring carriers and public employee plans to pay or deny all clean claims within 30 days, require prompt notice and a single request for additional information on incomplete claims, and impose interest or penalties for missed deadlines. Senator Slaughter said the bill would reduce uncertainty for providers and stabilize payments without increasing patient costs. Hospitals, physicians, and health systems strongly supported the measure, citing large volumes of late clean claims and examples of prolonged delays, including a Harborview claim that remained unpaid more than a year after billing. Health plans opposed the bill, saying the current 95% standard is workable, that they already meet high compliance rates, and that the bill could limit fraud, waste, and abuse review on high-dollar claims; they also sought more flexibility and additional time for responses. The hearing closed with 69 pro, 4 con, and 2 other sign-ins. The committee also heard SB 5916, which would prohibit health plans from disadvantaging non-opioid pain treatments relative to opioids in formularies and utilization management, and would require a Department of Health educational pamphlet on non-opioid alternatives. Senator Harris described the bill as a response to opioid deaths and a way to encourage safer pain treatment options. Patients, recovery advocates, and rare disease advocates testified in support, saying insurance barriers and step therapy often make non-opioid care harder to access and can push patients toward opioids. The Health Care Authority and an association of health plans opposed the bill, arguing it could reduce formulary flexibility, increase costs, and limit tools such as prior authorization and step therapy. The hearing closed with 8 pro, 1 con, and 2 other sign-ins. Finally, the committee heard SB 6102 and SB 6103, both sponsored by Senator Muzzall, and SB 6071. SB 6102 would align the ambulance transport quality assurance fee with federal rules after H.R. 1 barred new provider taxes, preserving the existing fee rate and adjusting the Medicaid add-on rate annually; the Washington Ambulance Association supported it, saying the program had improved wages and benefits for EMS workers. SB 6103 would make Medicaid payments for services provided by a rural emergency hospital subject to appropriation, creating a framework for East Adams Rural Health Care to convert to the new federal rural emergency hospital model; East Adams and the Washington State Hospital Association supported it as a way to preserve rural access. SB 6071 would shorten overpayment recovery timelines for all services to six months, or nine months for coordination-of-benefits cases, matching the shorter timelines already enacted for behavioral health services; providers and specialty associations supported the bill as a way to reduce destabilizing clawbacks, while the remaining testimony was still underway when the transcript ended.

Transcript Highlights:

• The bill allows a physician to perform stem cell therapy or birth tissue therapy that is not approved
• by the FDA if the therapy is within the physician's lawful scope.
• The bill requires physicians to ensure that all products used in stem cell therapy or birth tissue therapy
• This bill establishes regulations and safeguards for stem cell therapies and birth tissue therapies to
• Therapy. Correct. There's these tumors called teratomas.

Summary: The committee approved the minutes and then took up a large agenda of health-related bills. SB 1214, the Arizona Stem Cell Therapy Act, drew extensive testimony from supporters who said it would create guardrails for regenerative medicine, protect patients, and encourage biotech investment, while opponents argued it was tied to abortion politics and imposed harsh penalties. The bill passed on a 4-3 vote. SB 1194, which would prohibit health professionals and institutions from denying care based on vaccination status, also passed 4-3 after testimony from supporters framing it as an access-to-care and religious-freedom measure and opponents warning it would interfere with private practice policies and parental choice. SB 1814, creating a study committee on substance use disorder treatment standards and oversight, passed unanimously 7-0. SB 1602, increasing stipends for kinship foster parents, passed as amended 7-0, and SB 1603, expanding child-only cash assistance eligibility, also passed as amended 7-0. The committee then considered several bills focused on gender-related care and public funding. SB 1177, which bars public monies from funding gender transition procedures and makes intentional violations a felony, passed 4-3 amid testimony that it protects taxpayers and counterarguments that it is discriminatory and unsupported by evidence. SB 1014, requiring insurance coverage for detransition procedures when transition care is covered and directing data reporting on transition and detransition, passed 4-3 after supporters said it would help detransitioners and collect needed data, while opponents argued it would chill providers and target transgender patients. SB 1094, creating civil liability for physicians who perform irreversible gender reassignment surgery on minors, was heard with testimony from supporters citing malpractice concerns and detransitioner harms and from opponents saying it would create a hostile environment for providers and treat trans patients differently; the transcript cuts off before the vote is shown. SB 1752, which classifies commercial harvesting or sale of mescaline as a felony while preserving bona fide religious use defenses, passed unanimously 7-0. Later, SB 1628, requiring insurers to report claims-denial and prior-authorization data and DIFI to publish standardized reports, passed unanimously 7-0 after supporters emphasized transparency and opponents called it redundant to federal reporting. SB 1629, requiring AHCCCS managed care organizations to give advance notice and network-adequacy documentation before terminating high-volume providers without cause, also passed 7-0; supporters said it would prevent patients from losing access to behavioral health care, while health plans and Access said existing oversight already covers much of this and warned the bill could slow necessary network changes. Throughout the meeting, the committee repeatedly adopted motions for due-pass recommendations and, where applicable, amendments, with several bills passing on party-line or near-party-line votes.

Transcript Highlights:

• . therapy. therapy.
• </c> activities that they do in art therapy. activities that they do in art therapy.
• of therapy.
• But it's therapy and it's of therapy.
• </c> therapy content embedded in all of that. therapy content embedded in all of that.

Bills: HF362, HF2590, HF2760, HF3444

Keywords: massage therapy, Asian bodywork therapy, massage therapist, Asian bodywork therapist, licensure, professional licensing, health occupations, Department of Health, commissioner of health, advisory council, protected title, unlicensed practice, scope of practice, consumer protection, background check, professional liability insurance, continuing education, credentialing examination, state preemption, municipal regulation

Transcript Highlights:

• Straight up, conversion therapy is quackery. Straight up, conversion therapy is quackery.
• In my clinical experience, the full impact of conversion therapy often does not emerge until years later
• In my clinical experience, the full impact of conversion therapy often does not emerge until years later
• But therapy is different.
• form of therapy.”

Summary: The committee heard SB 934 by Senator Wiener, which would extend the statute of limitations for malpractice claims arising from conversion therapy and clarify how expert testimony and scientific evidence may be used in those cases. Supporters, including a survivor, a licensed therapist, and LGBTQ advocacy groups, described conversion therapy as harmful and argued survivors often cannot come forward within current filing deadlines. Opponents, including civil justice and conservative legal groups, argued the bill was a workaround to recent Supreme Court rulings and raised concerns about free speech, evidentiary standards, and whether the bill could chill legitimate therapy. Committee members largely focused on whether the bill was limited to conversion therapy malpractice claims and not broader gender-affirming care; the bill was moved on a 7-2-1 vote to Senate Appropriations and placed on call. The consent calendar was also adopted on a 6-0 vote and placed on call. The committee then heard SB 1092 by Senator Allen, a housing bill aimed at manufactured home parks. The bill would give residents or their designated representatives a right to make a competitive bid when a park owner intends to sell, lease, or transfer a park, with notice and response periods intended to give residents time to organize financing. Supporters said the measure would preserve naturally occurring affordable housing, especially for older and lower-income residents, and help resident-owned cooperatives or nonprofits buy parks before investor buyers do. Opponents from park owner and realtor groups argued the bill would burden private property rights, devalue parks, and create unconstitutional takings and litigation risk. Committee questions centered on the bill’s timelines, whether residents would have 120 days to express interest and another 120 days to close, and whether the purchase agreement would be binding if accepted. The author and supporters said the second period was needed for due diligence and financing, while opponents said the structure could still delay sales and reduce market value. Several members expressed support for the bill’s goal but asked for further clarification or possible tightening of the timing and good-faith provisions; no final vote on SB 1092 was taken in the portion provided.

Transcript Highlights:

• Therapy.
• </c> pediatric therapy services. pediatric therapy services.
• And medical model is outpatient therapy is very different from school-based therapy.
• 01.839><c> therapy.
• therapy? therapy?

Keywords: 958, all

Summary: The Senate Standing Committee on Health Services heard Senate Bill 18, a bill described by the sponsor and podiatry witnesses as a modernization of Kentucky’s podiatry laws. The bill would recognize and regulate podiatric assistants, podiatric residents, and supervising podiatrists; allow podiatrists to supervise physician assistants in podiatry practices with approval from the relevant licensing boards; require new podiatrists licensed after January 1, 2027 to complete at least two years of residency; and extend disciplinary authority to the new categories. Witnesses said the measure would improve access to foot and ankle care, especially in rural areas, without expanding scope of practice. The Kentucky Medical Association was said to be neutral after working on the language with the sponsors. Committee members raised concerns about the meaning of “supervision,” whether it required direct or indirect oversight, and whether the bill could broaden billing or coding privileges. Dr. Roberts said supervision could mean direct supervision or indirect supervision, including being available by telephone, and noted the bill mirrors language used in allopathic PA supervision. He also said the bill would not change office staff billing roles and that podiatric assistants would not bill separately. Several senators said they supported moving the bill forward but remained concerned about workforce, cost, and scope creep. The committee adopted a committee substitute, then voted on the bill. The motion passed unanimously with favorable expression. After the vote, the committee moved on to a presentation on outpatient pediatric therapies, where providers described Medicaid reimbursement pressures, workforce turnover, and long waiting lists for children’s therapy services, but no action was taken on that presentation in the portion provided.

Transcript Highlights:

• I like alternative therapies.
• a breakthrough therapy since 2018.
• Something that has also been kind of emerging as a scientific consensus around trauma is that ...emerging
• . ...and also a parallel model working within the psychedelic therapy, um, psychedelic-assisted therapy
• , only 23 incidents have required emergency services, a rate of just 0.13%. ...have required emergency

Keywords: 959, house, all

Summary: The committee first met in executive session and voted do pass on House Bills 3037, 2760, 1778, and 2830, each by recorded roll call. HB 3037, HB 2760, and HB 1778 all passed 8-4, while HB 2830 passed unanimously 12-0. The committee also noted that HB 1746 and HB 1769 would not be taken up that night because more work was needed on an amendment. The public hearing then focused on HB 3005, which would require public libraries and school districts to adopt and post reconsideration policies for challenged materials, limit who may file requests to local residents or parents/guardians, extend the process to digital materials, and protect user privacy by prohibiting tracking of individualized digital library use. Representative Justice said the bill was developed with library and state officials and was intended to codify existing practices with added guardrails. Testimony from EBSCO Information Services and the Missouri Library Association supported the bill as a transparent, community-based process. The committee next heard seven similar bills dealing with AI-generated or digitally altered depictions, including child sexual abuse material, nonconsensual intimate images, and digital impersonation. Sponsors described the bills as closing loopholes in current law, creating criminal penalties and civil remedies, and in some versions requiring platforms to remove content quickly. Members asked about combining the bills, whether sunsets should be considered, and how the proposals related to existing revenge-porn laws. No testimony in opposition was offered during the hearing. The final hearings centered on HB 2817/HB 2961 and HB 1717/HB 1643, which proposed state-supported research and expanded access frameworks for ibogaine and psilocybin, respectively, aimed largely at veterans, first responders, and others with PTSD, traumatic brain injury, addiction, and depression. Supporters offered extensive personal testimony about treatment-resistant conditions, suicide risk, and reported benefits from psychedelic-assisted treatment, while the Missouri State Medical Association opposed the ibogaine proposal because it involves non-FDA-approved drugs. Members questioned costs, FDA oversight, state expertise, and whether the research should be limited or include sunsets, but no votes were taken on the public hearing bills.