Video & Transcript : 'medically necessary' :

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WA

Washington 2025-2026 Regular Session

House Floor Session Feb 10th, 2026

Washington House Floor Meeting

Transcript Highlights:
  • When she left her large medical practice, she was bound by a non-compete agreement that said she could
  • Medical examiners and coroners respond to some of the most horrific situations in their community.
  • It doesn't become automatic for the coroners and medical examiners in my district or they may be 100
  • for a nurse who has a better or more expansive scope of practice than someone who's an emergency medical
  • But thank you very much for the good member that has brought this, Madam Speaker, and that it's a necessary
Summary: The House convened, established a quorum, recited the Pledge of Allegiance, and heard a prayer. Members approved the prior day’s minutes, referred introduction-sheet bills, and later took up several second- and third-reading bills. Early in the day, the chamber also announced that members could wear Seahawks apparel during floor action the next day. The House passed House Bill 1155, which bans non-compete agreements, after adopting amendments clarifying tribal worker relationships, replacing references to “customer” with “patient” in certain contexts, and requiring notice to current and some former employees that non-competes are void. An amendment to exempt senior executives earning over $350,000 was rejected. The bill passed 65-29. The House also passed House Bill 1002, allowing certain coroners and medical examiners to seek workers’ compensation for PTSD; an amendment to isolate costs to their own risk class was rejected, and the bill passed 70-24. House Bill 2264, clarifying unemployment insurance eligibility for workers who voluntarily participate in layoffs, passed unanimously 94-0. Later measures included House Bill 2110, allowing nurses to accompany inter-facility ambulance transports without also holding EMT licenses, which passed 94-0 after an amendment clarifying training; House Bill 2272, a technical update to ski equipment terminology, which passed 94-0; House Bill 2238, creating a statewide food security strategy, which passed 83-12 after a technical amendment narrowing agency scope; and House Bill 2445, aimed at preventing profiteering in probate estates, which passed 67-28 after a technical amendment. The House also passed House Bill 2109 on securing vehicle loads (95-0), House Bill 2492 requiring behavioral and mental health training for construction workers and apprentices (79-16), House Bill 2472 on licensed contractors for fire sprinkler work (92-3), House Bill 288 joining the dietician licensure compact (93-1), and House Bill 2229 updating the Professional Engineers Registration Act and requiring five years of Washington practice for board members after an amendment (68-26).
LA

Louisiana 2026 Regular Session

Senate May 7th, 2026

Louisiana Senate Floor Meeting

Transcript Highlights:
  • Representative Shunevar is an act in Title 23, relative to workers' compensation, to define maximum medical
  • Representative Melancon is an act in Title 23, relative to workers' compensation, to define maximum medical
  • Senate Bill 414 by Senator Talbot is an act in Title 51 relative to medical debt protection to create
  • the Louisiana Medical Debt Protection Act.
  • Senate Bill 295 by Senator Wheat is an act to amend Title 22 relative to coverage of medically necessary
Bills: SB525 , SR112 , SR109 , SCR61 , SCR62 , SCR12 , HB175 , HB276 , HB437 , HB456 , HB457 , HB459 , HB488 , HB579 , HB656 , HB804 , HB818 , HB841 , HB981 , HB1052 , HB1089 , HB1101 , HB1154 , HB1166 , HB1193 , HB1194 , HB1203 , HB1209 , HB1244 , HB1249 , HB221 , HCR69 , HCR58 , SB57 , SB405 , SB414 , HB62 , HB193 , HB203 , HB205 , HB210 , HB220 , HB222 , HB228 , HB246 , HB420 , HB475 , HB486 , HB574 , HB584 , HB750 , HB799 , HB813 , HB815 , HB826 , HB870 , HB949 , HB953 , HB1045 , HB1092 , HB1151 , HB1162 , HB1176 , HB1177 , HB1196 , HB1214 , HB1236 , HB1241 , SB106 , SB206 , SB248 , SB441 , SR86 , SCR30 , SB83 , SB135 , SB143 , SB155 , SB157 , SB202 , SB237 , SB276 , SB295 , SB388 , SB450 , SB465 , SB35 , SB65 , SB215 , SB246 , SB249 , SB269 , SB282 , SB296 , SB323 , SB363 , SB369 , SB474 , SB484 , SB490 , SB492 , SB500 , SB501 , SB513 , HCR31 , HB301 , HB358 , HB359 , HB384 , HB413 , HB428 , HB450 , HB462 , HB547 , HB613 , HB631 , HB657 , HB669 , HB675 , HB680 , HB691 , HB712 , HB716 , HB720 , HB723 , HB727 , HB728 , HB735 , HB747 , HB759 , HB825 , HB845 , HB846 , HB903 , HB904 , HB907 , HB923 , HB929 , HB941 , HB962 , HB965 , HB1036 , HB287 , HB370 , HB515 , HB521 , HB570 , HB1200 , HB29 , HB39 , HB58 , HB67 , HB73 , HB76 , HB77 , HB82 , HB112 , HB121 , HB125 , HB132 , HB134 , HB151 , HB154 , HB155 , HB161 , HB166 , HB187 , HB191 , HB207 , HB211 , HB224 , HB238 , HB241 , HB242 , HB250 , HB260 , HB265 , HB275 , HB300 , HB320 , HB338 , HB339 , HB349 , HB379 , HB399 , HB427 , HB463 , HB464 , HB468 , HB545 , HB550 , HB551 , HB565 , HB588 , HB639 , HB725 , HB782 , HB805 , HB808 , HB834 , HB847 , HB853 , HB858 , HB861 , HB883 , HB916 , HB937 , HB977 , HB1012 , HB1027 , HB1044 , HB1054 , HB1091 , HB1117 , HB90 , HB127 , HB138 , HB150 , HB201 , HB268 , HB273 , HB285 , HB315 , HB354 , HB355 , HB360 , HB376 , HB445 , HB506 , HB606 , HB649 , HB665 , HB681 , HB721 , HB746 , HB757 , HB781 , HB835 , HB844 , HB857 , HB872 , HB886 , HB889 , HB892 , HB972 , HB982 , HB987 , HB1037 , HB1068 , HB1072 , HB1078 , HB1085 , HB1132 , HB1137 , HB1167 , HB1174 , HB1232 , HB1238 , HB23 , HB136 , HB36 , HB119 , HB126 , HB129 , HB245 , HB271 , HB280 , HB337 , HB351 , HB677 , HB726 , HB789 , HB850 , HB956 , HB966 , SB149 , SB382
LA

Louisiana 2026 Regular Session

Senate May 6th, 2026

Louisiana Senate Floor Meeting

Transcript Highlights:
  • necessary dental procedures.
  • Senate Bill 295 by Senator Wheat is an act to amend Title 22 relative to the coverage of medically necessary
  • medical fee schedule.
  • pay medical claims.
  • The medical malpractice panel system is flawed.
Bills: SR110 , SR109 , SCR58 , SCR59 , SCR12 , HB198 , HB225 , HB508 , HB512 , HB599 , HB632 , HB763 , HB909 , HB971 , HB989 , HB1066 , HB1171 , HB1204 , HB1231 , HB1246 , HB1248 , HB1250 , HB221 , HCR41 , HCR63 , HCR76 , HCR77 , HCR86 , HCR92 , HCR93 , HCR58 , SB83 , SB135 , SB143 , SB155 , SB157 , SB202 , SB237 , SB261 , SB276 , SB295 , SB388 , SB450 , SB465 , HB17 , HB21 , HB42 , HB45 , HB51 , HB55 , HB74 , HB106 , HB108 , HB133 , HB140 , HB159 , HB168 , HB215 , HB226 , HB263 , HB296 , HB299 , HB322 , HB324 , HB364 , HB519 , HB535 , HB538 , HB568 , HB571 , HB622 , HB635 , HB676 , HB772 , HB784 , HB821 , HB823 , HB1006 , HB1018 , HB1033 , HB1034 , HB1043 , HB1070 , HB1134 , HB1237 , HB1239 , SB162 , SB382 , SR93 , SCR40 , SCR30 , SB35 , SB65 , SB215 , SB228 , SB246 , SB249 , SB268 , SB269 , SB282 , SB283 , SB296 , SB323 , SB338 , SB363 , SB369 , SB408 , SB431 , SB474 , SB484 , SB490 , SB492 , SB500 , SB501 , SB513 , HCR6 , HCR31 , HB297 , HB305 , HB336 , HB337 , HB351 , HB436 , HB594 , HB789 , HB956 , HB957 , HB995 , HB1040 , HB50 , HB117 , HB120 , HB122 , HB139 , HB148 , HB149 , HB185 , HB247 , HB271 , HB286 , HB301 , HB358 , HB359 , HB384 , HB413 , HB428 , HB450 , HB462 , HB547 , HB613 , HB631 , HB657 , HB669 , HB675 , HB680 , HB691 , HB712 , HB716 , HB720 , HB723 , HB727 , HB728 , HB735 , HB747 , HB759 , HB825 , HB842 , HB845 , HB846 , HB903 , HB904 , HB907 , HB923 , HB929 , HB941 , HB962 , HB965 , HB1036 , HB287 , HB370 , HB515 , HB521 , HB570 , HB1200 , HB29 , HB39 , HB58 , HB67 , HB73 , HB76 , HB77 , HB82 , HB112 , HB121 , HB125 , HB132 , HB134 , HB151 , HB154 , HB155 , HB161 , HB166 , HB187 , HB191 , HB207 , HB211 , HB224 , HB238 , HB241 , HB242 , HB250 , HB260 , HB265 , HB275 , HB300 , HB320 , HB338 , HB339 , HB349 , HB379 , HB399 , HB427 , HB463 , HB464 , HB468 , HB545 , HB550 , HB551 , HB565 , HB588 , HB639 , HB725 , HB782 , HB805 , HB808 , HB834 , HB847 , HB853 , HB858 , HB861 , HB883 , HB916 , HB937 , HB977 , HB1012 , HB1027 , HB1044 , HB1054 , HB1091 , HB1117 , HB90 , HB127 , HB138 , HB150 , HB201 , HB268 , HB273 , HB285 , HB315 , HB354 , HB355 , HB360 , HB376 , HB445 , HB506 , HB606 , HB649 , HB665 , HB681 , HB721 , HB746 , HB757 , HB781 , HB835 , HB844 , HB857 , HB872 , HB886 , HB889 , HB892 , HB972 , HB982 , HB987 , HB1037 , HB1068 , HB1072 , HB1078 , HB1085 , HB1132 , HB1137 , HB1167 , HB1174 , HB1232 , HB1238 , HB36 , HB119 , HB126 , HB129 , HB245 , HB280 , HB677 , HB726 , HB850 , HB966 , SB68 , SB149
LA

Louisiana 2026 Regular Session

House of Representatives May 20th, 2026

Louisiana House Floor Meeting

Transcript Highlights:
  • created in the 2025 session relative to automobile insurance rates or bodily injury claimant submitted medical
  • H.R. 114 by Representative DeWitt to authorize the Board of Medical Examiners to study the feasibility
  • H.R. 114 by absent of DeWitt to authorize direct the Board of Medical Examiners, to study feasibility
  • to require coverage for genetic testing of SCN2A-associated disorders, provide for coverage for medically
  • necessary treatment of SCN2A-associated medical conditions, and provide for medical necessity determinations
Bills: HR308 , HR309 , HR310 , HR311 , HR312 , HR313 , HR314 , HR315 , HR316 , HR317 , HR318 , HR319 , HR295 , HR296 , HR297 , HR298 , HR299 , HR300 , HR301 , HR302 , HR303 , HR304 , HR305 , HR306 , HR307 , HCR115 , HCR116 , HCR117 , SCR71 , SCR72 , SCR73 , HR73 , HR118 , HR144 , HR196 , HR237 , HR249 , HR260 , HR267 , HR272 , HR273 , HR276 , HR278 , HCR85 , HCR100 , HCR105 , HCR107 , HCR113 , HCR114 , SCR5 , SCR29 , SCR33 , SCR37 , SCR63 , HB255 , HB378 , HB509 , HB1090 , SB80 , SB131 , SB143 , SB251 , SB254 , SB279 , SB367 , SB384 , SB388 , SB389 , SB398 , SB408 , SB431 , SB468 , SB469 , SB496 , SB25 , SB132 , SB155 , SB157 , SB202 , SB295 , SB433 , HR179 , HR223 , HR225 , HR274 , HCR89 , HR252 , HR253 , HCR96 , HCR103 , HCR108 , HCR26 , HB250 , HB265 , HB339 , HB427 , HB445 , HB463 , HB468 , HB606 , HB639 , HB649 , HB665 , HB746 , HB781 , HB853 , HB861 , HB872 , HB886 , HB916 , HB937 , HB1054 , HB1068 , HB1117 , HB1237 , HB74 , HB108 , HB956 , HB1085 , HB1137 , HB62 , HB193 , HB210 , HB220 , HB246 , HB364 , HB420 , HB475 , HB584 , HB622 , HB772 , HB784 , HB949 , HB953 , HB1043 , HB1070 , HB1092 , HB1134 , HB1162 , HB1176 , HB1196 , HB1214 , HB1199 , SB268 , SB283 , HB782 , SB149 , HR84 , HB646 , HB998 , SB56 , SB163 , SB197 , SB97 , SB326 , SB341 , SB518 , SB123 , SB353 , SB479 , SB495 , HB901 , HR20 , HR74 , HR168 , HCR65 , HCR71 , HCR98 , HB284 , HB302 , HB306 , HB341 , HB366 , HB393 , HB458 , HB577 , HB603 , HB605 , HB614 , HB625 , HB733 , HB752 , HB773 , HB798 , HB911 , HB955 , HB996 , HB1035 , HB1069 , HB1113 , HB1140 , HB1180 , HB1191 , HB1240 , HB1255 , SB82 , SB89 , HB134 , HB258 , HB359 , SB29 , SB42 , SB43 , SB217 , SB274 , SB300 , SB379 , SB382 , SB441 , SB449
WA

Washington 2025-2026 Regular Session

House Floor Session Feb 11th, 2026 at 03:55 pm

Washington House Floor Meeting

Transcript Highlights:
  • And, you know, there's some technical things in there that are necessary in order to be able to procure
  • State was one of the first states in the country to pass such a law to make sure that people who seek medical
  • The part of the bill where it okays a hospital or medical facilities to give, continue out foil and pipes
  • The part of the bill where it okays a hospital or medical facilities to give, continue out foil and pipes
WA

Washington 2025-2026 Regular Session

House Floor Session Feb 11th, 2026 at 09:00 am

Washington House Floor Meeting

Transcript Highlights:
  • This bill eliminates duplicative work by multiple agencies and adds a very necessary shield for the public's
  • We do have exemptions in this bill for legitimate purposes like medical and dental.
  • Representative Timmons continued: This bill has exemptions for legitimate uses like medical, dental,
  • This bill is necessary in so many parts of our state where we are dealing with vessels that are on the
  • This issue really came to my attention as a necessary and even emergent issue this summer when the Dominion
WA

Washington 2025-2026 Regular Session

House Floor Session Feb 12th, 2026 at 12:35 pm

Washington House Floor Meeting

Transcript Highlights:
  • like myself, there are significant stakeholders that were not there to testify, specifically several medical
  • for kids who have forgotten their medication or who didn't know that they needed it in the first place
  • on hand that can help, particularly for kids who have forgotten their medication or who didn't know
  • However, we're talking about giving albuterol to children who do not have a diagnosis from a medical
  • , to know when they took that asthma medication, there could ...to know when they took that asthma medication
Summary: The House took up several bills on second and third reading, beginning with House Bill 2360 on expanding access to albuterol in public and private schools. A motion to recommit the bill to the House Health Care and Wellness Committee failed on a roll call vote, 38 yeas to 56 nays. Supporters said the bill would help school nurses respond to students in respiratory distress and reflected input from nurses, OSPI, and the Department of Health. Opponents raised concerns about training, drug interactions, follow-up care, costs to districts, and schools making medical decisions without a diagnosis. The bill then passed 60-34. House Bill 2467, clarifying measurement rules for fifth-wheel travel trailers, passed 94-0 after sponsors said it would help Washington dealers and consumers. House Bill 1983, relating to timberland tax treatment when land is sold to DNR, passed 68-26 amid debate over whether it would help forest management or make it easier for DNR to acquire timberland. House Bill 2531, updating ambulance transport fund quality assurance rules to align with federal regulations and preserve matching funds, passed unanimously 94-0. The House also passed Substitute House Bill 1390, which phases out the Community Protection Program for certain developmentally disabled individuals with high-risk histories and transfers participants to other waiver programs. Supporters said the program was overly restrictive, out of compliance with federal law, and had trapped people in long-term confinement-like conditions; opponents argued it would weaken public safety and move dangerous individuals into community settings without adequate safeguards. The bill passed 52-44. House Bill 2367, eliminating a preferential treatment related to the former TransAlta coal plant in Centralia, passed 63-33 after supporters framed it as closing the book on coal and opponents warned about energy reliability, jobs, and an emergency clause. Substitute House Bill 2133, making a property tax exemption for certain senior centers permanent, passed 96-0. Substitute House Bill 2355, establishing labor protections for domestic workers, passed 57-39 after supporters emphasized dignity and long-standing worker abuse concerns, while opponents cited fiscal impacts. The House then passed Engrossed Substitute House Bill 2534, with a technical amendment, to improve educational stability for children in military families; it passed 96-0. Engrossed Second Substitute House Bill 1974, creating a land banking framework to support affordable housing, passed 59-37 after an amendment reduced fiscal impact by striking some tax preference sections. House Bill 2223, allowing certain irrigation district board service by farmers with spouses employed by the district, passed 93-3. Substitute House Bill 2239, allowing family burial grounds on private property, passed 96-0 after supporters cited rural needs, cultural traditions, and personal family stories. The session also included a brief congratulatory recognition for Representative David Stuebe after his first bill passed the House.
WA

Washington 2025-2026 Regular Session

House Floor Session Feb 12th, 2026

Washington House Floor Meeting

Transcript Highlights:
  • You've got to figure out how you're going to get yourself to that salvage yard to sign the documents necessary
  • Thank you. ...on the documents necessary to transfer title so that the insurance process can move forward
  • Do I need to go to an ER, or can I get flea medications? I believe in this bill.
Summary: The House convened with a quorum present, the Pledge of Allegiance and prayer were offered, and the chamber approved the previous day’s minutes. Members then caucused briefly before moving into second reading and third reading action on several bills, with the day also marking the start of the three-minute debate rule through House of Origin cutoff. The House passed House Bill 2338, which expands the low-income home weatherization program to support community-scale weatherization projects, especially for multifamily housing. It also passed House Bill 2353, raising the threshold for requiring predesign work on public projects from $10 million to $15 million, and Substitute House Bill 2363, a trailer bill allowing music therapy students to practice under supervision while exam scores are pending. Members described these as efficiency measures and consumer or workforce improvements. The chamber also approved Substitute House Bill 2525 to establish the Heritage Orchard Program and a registry at Washington State University to preserve rare and heritage apple varieties, with sponsors emphasizing the importance of Washington’s apple industry and agricultural history. Additional bills passed unanimously included Substitute House Bill 2420 on increasing small works roster thresholds, Substitute House Bill 2428 on preventing unintended lapses in life insurance by allowing third-party designees, House Bill 2604 allowing electronic signatures for transferring salvage vehicles to insurers, and Substitute House Bill 2107 making permanent a pilot requiring Labor and Industries to notify employers of identified job-site hazards within 10 days. Finally, the House adopted Amendment 1517 and passed Engrossed Substitute House Bill 2247, which updates veterinarian-client-patient relationship rules to allow telehealth between required physical visits and requires annual veterinarian oversight for certain animal production, commercial, and breeding operations. All of the listed bills received overwhelming support, with each final passage vote recorded at 94 yeas and 0 nays, except House Bill 2338, which passed 93-1.
LA

Louisiana 2026 Regular Session

House of Representatives May 11th, 2026

Louisiana House Floor Meeting

Transcript Highlights:
  • Senate Bill 295 by Senator Wheat, provide for medically necessary treatment for persons with acquired
  • Only doctors or the medical profession have a cap.
  • Only doctors or the medical profession have a cap.
  • So if a medical professional that is on a service... ...if a medical professional on a SWAT team of a
  • can be treated with those medications.
Bills: HR257 , HR258 , HR259 , HR260 , HR261 , HR262 , HR263 , HCR105 , HCR106 , HR252 , HR253 , HR254 , HR255 , HR256 , HCR103 , HCR104 , SB83 , SB143 , SB155 , SB228 , SB283 , SB295 , SB338 , SB388 , SB408 , SB431 , HR84 , HR188 , HR205 , HB302 , HB597 , HB819 , HB1257 , HB1258 , SCR24 , SB45 , SB58 , SB71 , SB81 , SB92 , SB100 , SB109 , SB141 , SB156 , SB181 , SB203 , SB204 , SB205 , SB207 , SB213 , SB214 , SB216 , SB229 , SB257 , SB274 , SB290 , SB304 , SB374 , SB379 , SB396 , SB410 , SB425 , SB427 , SB429 , SB479 , SB522 , SB357 , SB406 , HR171 , HCR49 , HCR65 , HCR72 , HR37 , HCR64 , HR170 , HR191 , HR206 , HR207 , HR208 , HR217 , HCR11 , HCR53 , HCR60 , HCR66 , HCR68 , HR9 , HCR27 , HCR28 , HCR50 , HCR62 , HCR67 , HCR71 , HCR78 , HCR81 , SCR19 , SCR3 , SCR6 , SCR18 , SCR11 , SCR22 , SCR2 , SCR20 , HCR6 , HB64 , HB68 , HB92 , HB130 , HB258 , HB633 , HB801 , HB61 , HB98 , HB102 , HB139 , HB142 , HB170 , HB185 , HB194 , HB199 , HB231 , HB247 , HB294 , HB336 , HB474 , HB661 , HB842 , HB852 , HB301 , HB359 , HB657 , HB675 , HB680 , HB727 , HB79 , HB251 , HB625 , HB769 , HB775 , HB783 , HB895 , HB1011 , HB1057 , HB1155 , HB1186 , HB1224 , HB1245 , HB1247 , HB1253 , HB1254 , HB1255 , HB1256 , SB41 , SB44 , SB64 , SB84 , SB87 , SB93 , SB98 , SB107 , SB118 , SB142 , SB192 , SB195 , SB199 , SB219 , SB222 , SB234 , SB241 , SB255 , SB275 , SB277 , SB292 , SB294 , SB306 , SB314 , SB482 , SB8 , SB10 , SB11 , SB12 , SB13 , SB14 , SB16 , SB17 , SB18 , SB20 , SB21 , SB22 , SB40 , SB48 , SB55 , SB69 , SB75 , SB77 , SB78 , SB85 , SB102 , SB115 , SB133 , SB140 , SB148 , SB151 , SB165 , SB169 , SB170 , SB185 , SB197 , SB200 , SB217 , SB235 , SB278 , SB280 , SB291 , SB300 , SB303 , SB315 , SB324 , SB330 , SB411 , SB416 , SB420 , SB436 , SB438 , SB449 , SB455 , SB456 , SB477 , SB489 , SB521 , HB646 , HB824 , HB341 , HB682 , HB766 , HB926 , HB998 , HB1051 , HB1080 , HB1201 , HB1223 , HB603 , HB940 , HB1191 , SB47 , HB901 , HR20 , HR74 , HB284 , HB306 , HB366 , HB393 , HB458 , HB577 , HB582 , HB605 , HB614 , HB733 , HB752 , HB773 , HB798 , HB911 , HB955 , HB996 , HB1035 , HB1069 , HB1113 , HB1140 , HB1180 , HB1240 , SB82 , SB89 , SB149 , SB382
LA

Louisiana 2026 Regular Session

House of Representatives May 31st, 2026

Louisiana House Floor Meeting

Transcript Highlights:
  • Members, this creates a task force to prioritize access and education on GLP-1 medications.
  • We had lost medications. As you know, we had several bills come through this year. Some...
  • Weight-loss medications. As you know, we had several bills come through this year.
  • That bill provides relative to non-emergency medical transportation.
  • That bill provides relative to non-emergency medical transportation.
KY
Transcript Highlights:
  • It's not medically necessary, and Medicaid says it's not medically necessary. Thank you.
  • </c><00:08:50.080><c> necessary</c> doctor prescribed is medically necessary doctor prescribed is medically
  • </c> medically necessary as a transgender medically necessary as a transgender woman<00:14:47.480><c>
  • necessary when it's than it is medically necessary when it's medically<00:18:19.559><c> necessary</c
  • </c><00:21:17.039><c> necessary</c> to deny 67 people medically necessary to deny 67 people medically
Summary: The committee first considered Senate Bill 2, sponsored by Senator Mike Wilson, which would prohibit incarcerated people from receiving cross-sex hormones or gender-affirming surgeries, while allowing a tapering period if stopping an existing treatment would cause physical harm. Wilson said the bill was needed to prevent the Department of Corrections from providing such care by memo or policy rather than statute, and he argued the care was elective and not medically necessary. Senators Thomas, Neal, Nemes, Styers, and others questioned whether any gender-affirming surgeries had actually occurred in Kentucky, whether the hormone treatments were physician-prescribed, and whether the bill would override medical judgment; Wilson said the department reported no surgeries, that 67 incarcerated people were receiving cross-sex hormone therapy, and that he would only support treatment if it fit the bill’s narrow medical-harm exception. Public testimony on SB 2 was strongly opposed. Chris Hartman of the Fairness Campaign said the bill would deny medically necessary care, violate the Eighth Amendment, and target a very small and vulnerable incarcerated population. Dr. Jack Skilles testified that gender-affirming care is medically necessary and supported by major medical organizations, warning that denying it could worsen mental health and lead to suicidality. Hannah Callahan, a transgender woman, described being denied hormone therapy while incarcerated and said the interruption caused severe physical and mental harm, including suicidal thoughts. Emma Curtis, Lexington’s Fourth District councilwoman, also urged a no vote, framing the issue as a matter of compassion and religious duty. The committee then voted on SB 2. Senator Neal explained his no vote by saying he was not medically trained and deferred to doctors; Senator Nemes said he wanted clarification that the bill would not stop ongoing treatment; and Senator Styers argued the bill was a poor priority and noted there was no fiscal note and that only 67 people were affected. Senator Wheeler moved the bill, Senator Reed seconded, and the committee reported Senate Bill 2 favorably. Afterward, the committee began hearing Senate Bill 84, sponsored by Senator Steve Rawlings, which would limit judicial deference to state agency interpretations and require courts, not agencies, to interpret ambiguous laws, citing the U.S. Supreme Court’s 2024 Loper Bright decision overturning Chevron deference.
KY
Transcript Highlights:
  • Some of those are medically necessary.
  • necessary 67 that of those are medically necessary 67 that are<00:15:24.120><c> on</c><00:15:25.120>
  • providers do deem these as medically necessary currently.
  • medically medically necessary<00:16:03.800><c> and</c><00:16:03.920><c> so</c><00:16:04.199><c> I</c
  • providers do deem these as medical providers do deem these as medically<00:16:25.399><c> necessary</
Summary: The House Judiciary Committee first took up Senate Bill 169, which would expand the Attorney General’s and Kentucky State Police’s authority to use administrative subpoenas in child exploitation investigations. Senator Danny Carroll and Attorney General’s office staff said the bill updates existing law to reflect modern online platforms, adding social networking companies, mobile payment services, and cloud storage services so investigators can obtain limited account-holder information tied to online child exploitation cases. Members raised no opposition, and the committee approved SB 169 17-0 with favorable expression. The committee then heard Senate Bill 2, which would prohibit the use of public funds for certain cosmetic or elective procedures in correctional facilities, including gender-affirming surgeries, and would also affect some hormone-related treatment. Senator Mike Wilson and supporters said the bill was intended to stop such procedures from being authorized by memo rather than regulation and to ensure taxpayer money is not used for elective care. Several members asked whether any such surgeries had occurred in Kentucky; Wilson said none had been approved, and he emphasized the bill was about public funding, not general medical care. Supporters argued the state should not pay for elective procedures, while opponents said the bill targeted a tiny population and could create constitutional problems. Opponents included incarcerated and advocacy voices, a psychologist, and legal advocates, who said gender-affirming care is medically necessary for some patients, that withholding it can cause serious mental health harm, and that similar restrictions have faced court challenges. One speaker described personal harm from being denied hormone therapy while incarcerated. Another warned the bill could violate the Eighth Amendment and lead to costly litigation. After debate, the committee moved to vote on SB 2, with members giving explanations both for and against, but the transcript cuts off before the final roll call result is shown.
CA
Transcript Highlights:
  • Gender-affirming care is a covered Medi-Cal benefit when medically necessary.
  • Maintaining access to medically necessary, lifesaving care is critical.
  • Puberty blockers are not medically necessary.
  • Puberty blockers are not medically necessary.
  • This care is medically necessary, evidence-based, and recognized by every major U.S. medical and mental
MN

Minnesota 2025-2026 Regular Session

House health panel approves HF2371 3/24/25

Minnesota House Floor Meeting

Transcript Highlights:
  • However, someone could conduct a practice non-medically necessary pelvic exam while you are under for
  • </c> conduct a practice non-medically conduct a practice non-medically necessary<00:04:52.960><c> pelvic
  • And in an earlier version, we had medically necessary.
  • So, I do plan to medically necessary.
  • </c> something happens where it's medically something happens where it's medically necessary,<00:20:08.480
CA
Transcript Highlights:
  • Puberty blockers are not medically necessary.
  • Puberty blockers are not medically necessary.
  • This care is medically necessary, evidence-based, and recognized by every major U.S. medical and mental
  • this as life-saving and medically necessary, evidence-based care.
  • this as life-saving and medically necessary, evidence-based care.
Summary: The joint hearing focused on access to gender-affirming care in California, with opening remarks emphasizing the state’s legal protections, the importance of decorum, and the impact of federal actions on transgender, gender-diverse, and intersex Californians. The Department of Justice, Department of Managed Health Care (DMHC), and Department of Health Care Services (DHCS) described current state protections, including nondiscrimination rules, privacy and shield laws, Medi-Cal and commercial coverage requirements for medically necessary care, and ongoing litigation challenging federal executive orders, proposed rules, and HHS actions that could restrict care or threaten provider participation in Medicare and Medicaid. Officials also noted that California continues to oppose federal proposals through lawsuits and public comments, and that the state is preparing strategies if those proposals are finalized. Members asked about hospital closures or pauses in care, continuity of care, provider network adequacy, whether additional legislation or funding is needed, and how the state can better track access and enforce existing protections. DMHC said it monitors complaints and independent medical reviews, but does not have a specific provider category for gender-affirming care and does not collect utilization data by service type; DHCS said Medi-Cal covers medically necessary gender-affirming care and that federal proposals are not yet final. Finance staff said the previously approved $15 million allocation is still being implemented through Covered California. The second panel heard from a physician, clinic leaders, parents, and a transgender youth about how families and providers navigate access to care. Dr. Johanna Olson-Kennedy described the history of transgender medical care, the role of puberty blockers and hormones, and said minors need parental consent for medical interventions, while emphasizing that care should be individualized and that supportive parents improve outcomes. She also described the closure of the Children’s Hospital Los Angeles youth program and the difficulty of rebuilding care in private practice, including insurance contracting barriers and inadequate reimbursement. J.M. Jaffe of Lyon Martin Community Health Services said the clinic has expanded to serve minors after hospital programs closed, but that the shift has created major financial strain and increased demand, and asked for a $26 million state investment to stabilize transgender health services. Parents and youth described delays, cancellations, and uncertainty at Kaiser, Stanford, UCSF, and Rady Children’s, along with the emotional and medical consequences of interrupted care. One parent said TRICARE stopped covering her son’s care after federal changes and that Rady later closed its clinic; her family urged California to backfill lost access and funding. A 16-year-old trans student and other witnesses argued that California should remain a reliable source of care and that current protections are not enough without funding, provider support, and stronger enforcement.
CA
Transcript Highlights:
  • Ensuring Californians can access medically necessary health care.
  • Gender-affirming care is a covered Medi-Cal benefit when medically necessary.
  • Maintaining access to medically necessary, lifesaving care is critical.
  • Puberty blockers are not medically necessary.
  • This care is medically necessary, evidence-based, and recognized by every major U.S. medical and mental
Summary: The joint hearing focused on access to gender-affirming care in California, with opening remarks from the subcommittee chairs emphasizing the importance of protecting transgender, gender-diverse, and intersex Californians and asking for decorum during public comment. The first panel from the Department of Justice, Department of Managed Health Care, and Department of Health Care Services described existing state protections, including nondiscrimination rules, privacy protections, shield laws, and Medi-Cal and commercial coverage requirements for medically necessary gender-affirming care. State officials also outlined ongoing litigation against federal actions and against hospital decisions to end or restrict care, including the Rady Children’s case and challenges to federal proposed rules and declarations affecting Medicaid, Medicare, and provider participation. Members questioned state agencies about why some hospitals that had stopped providing care had not been sued, how network adequacy is measured, whether the state can track actual access to gender-affirming care, and what legislative changes might strengthen protections. DMHC said it monitors complaints and independent medical reviews but does not track gender-affirming care as a separate provider category or collect utilization data, while DHCS said Medi-Cal continues to cover medically necessary care and that the state is preparing for possible federal rule changes. Finance staff said the previously approved $15 million for gender-affirming care was still being implemented through Covered California. The second panel featured a physician, clinic leaders, a parent, and a transgender teen describing how care is delivered and the effects of hospital closures and federal pressure. Dr. Johanna Olson-Kennedy described the history and medical basis for gender-affirming care, said minors need parental consent for medical interventions, and argued that care should be individualized and supported by families. Providers and families testified that hospital closures and insurance barriers have disrupted continuity of care, forced patients to travel farther, and shifted demand to community clinics that lack sufficient funding and contracting support. Several witnesses asked the Legislature to provide new funding, strengthen insurance enforcement, and stabilize access to care for transgender youth and families.
CA
Transcript Highlights:
  • Ensuring Californians can access medically necessary health care.
  • Gender-affirming care is a covered Medi-Cal benefit when medically necessary.
  • Maintaining access to medically necessary, lifesaving care is critical.
  • Puberty blockers are not medically necessary.
  • This care is medically necessary, evidence-based, and recognized by every major U.S. medical and mental
Summary: The joint hearing focused on access to gender-affirming care in California, with members of the Senate and Assembly budget subcommittees hearing first from the Department of Justice, Department of Managed Health Care, and Department of Health Care Services. State officials described California’s legal protections against discrimination, privacy protections, shield laws, and Medi-Cal and commercial plan coverage requirements for medically necessary gender-affirming care. They also outlined ongoing litigation and advocacy against federal actions and proposed rules that could restrict care, including challenges to executive orders, HHS declarations, and federal reimbursement rules, as well as a temporary restraining order protecting care at Rady Children’s Hospital. Committee members pressed the agencies on why some hospitals that had stopped providing care had not been sued, how the state measures network adequacy and equitable access, whether the $15 million previously allocated for gender-affirming care had been used, and what additional statutory changes might be needed. DMHC and DHCS said they regulate health plans rather than providers directly, rely on complaints and independent medical review to address denials or delays, and do not track utilization or have a specific provider category for gender-affirming care. DOJ said it is focused on the federal government as the source of pressure on hospitals and providers, while members discussed possible shield-law expansions and, if federal rules are finalized, the possibility of state-only funding to preserve access. The second panel featured a physician, clinic leaders, parents, and a transgender teen describing how families navigate care and the effects of hospital closures and insurance barriers. Dr. Johanna Olson-Kennedy gave a history of transgender health care, described puberty blockers and hormones as established treatments, and said minors need parental consent for medical interventions. J.M. Jaffe of Lyon Martin Community Health Services said community clinics are absorbing patients after hospital programs closed and asked for $26 million in state funding to expand capacity. Parents and youth testified about delays, out-of-network referrals, lost coverage, and the emotional strain of uncertainty, while also urging the Legislature to stabilize access and protect continuity of care.