Transcript Highlights:

• Because it's saying rural and frontier on top, and then later it talks about just rural.
• It's going to be all rural.
• population, the rural patient.
• So the patient needs to be in a rural area. and what is being provided to that patient in a rural area
• population, the rural patient.

Keywords: 908, all

Summary: The Rural Health Transformation Committee met to receive an extensive briefing from the Department of Health and Human Services on North Dakota’s federal Rural Health Transformation award. HHS leaders Pat Traynor, Donna Auckland, Jonathan Ollum, and Krista Freming described the $198.9 million award, the tight federal timelines for obligating and liquidating funds, and the need for rapid procurement, CMS approval, and technical assistance. They outlined broad funding priorities including connect tech/data, care closer to home, workforce recruitment and retention, and a “Make North Dakota Healthy Again” prevention initiative focused on chronic disease, movement, nutrition, behavioral health, and community connection. They also emphasized that the program cannot fund new buildings or supplant existing funding, and that sustainability will be a key requirement for all projects. The department previewed likely first-round grant opportunities, including recruitment and retention incentives, technical assistance and equipment grants for rural providers, financial analysis support for rural hospitals, and exploration of a unified electronic health record option. Freming also reviewed four policy bills tied to the award: a presidential fitness test, nutrition continuing medical education, the Physician Assistant Compact, and pharmacist scope-of-practice changes, explaining that these policy actions affect future scoring and funding. HHS said it will work with tribes, local public health, hospitals, medical and pharmacy associations, and other partners, and will use a website, listserv, listening sessions, and committee updates to communicate opportunities. Committee members raised concerns about how the money will reach rural residents, whether newspapers and existing local communication networks will be used, how “rural” and “frontier” will be defined, how faith communities might participate in behavioral health efforts, and how HHS will avoid CMS delays and supplanting issues. HHS responded that the focus will be on where the patient lives and on rural community need, that local public health units and existing structures will be part of outreach, and that technical assistance and template applications will help speed approvals. The committee approved the December 4, 2025 minutes, then recessed into divisions for further work on the appropriations bill and the four policy bills, with the full committee set to reconvene the next morning.

Transcript Highlights:

• And this allowed us to speak directly with justice-impacted individuals and their support network.
• And this allowed us to speak directly<00:08:02.040><c> with</c><00:08:02.200><c> justice-impacted</c>
• directly with justice-impacted directly with justice-impacted individuals<00:08:04.000><c> and</c><00
• Finally, the community wanted to see the outcomes of the project inform and impact the future work on
• Even when we were going through the environmental impact statement and going through site selection,

Bills: SR185 , HB2452 , HB2329 , HB2272 , HB2273 , HB2335 , HB1656 , HB2207 , HB2289 , HB1854 , HB2581 , HB20 , HB2296 , HB1707 , HB2297 , HB1890 , HB2241 , HB2474 , HB1688 , HB2546 , HB1574 , HB1546 , HB2218 , HB1163 , HB1514 , HB1749 , HB2385 , HB1576 , HB1974 , HB2022 , HB1973 , HB2005 , HB1894 , HB1515 , HB1718 , HB1591 , HB2475 , HB1721 , HB1864 , HB1946 , HB1920

Keywords: Department of Education, capital improvement program, performance audit, infrastructure, transparency, state bonds, general obligation bonds, GO bonds, bond authorization, state debt limit, constitutional debt limit, Article VII Section 13, Hawaii bonds, state borrowing, public finance, capital improvement projects, supplemental appropriations, judiciary appropriations, refunding bonds, reimbursable bonds

Bills: SB5223 , SB6178 , SB5892 , SB5177 , SB6039 , SB5941 , SB5993 , SB5831 , SB5928 , SB5912 , SB6183 , SB6071 , SB5995 , SB5966 , SB5841 , SB5840 , SB6061 , SB6058 , SB5931 , SB5944 , SB5520 , SB6011 , SB6087 , SB6076 , SB5916 , SB6016 , SB5936 , SB6137 , SB5185 , SB5956 , SB6025 , SB6009 , SB5833 , SB6161 , SB6188 , SB5890 , SB5917 , SB5820 , SB5973 , SJM8015 , SB5816 , SB6136 , SB6091 , SB6024

Keywords: criminal offense, fingerprinting, law enforcement, state regulations, public safety, SB6178, property insurance, insurance claims, assignment of benefits, AOB, post-loss assignment, post-loss benefits, homeowners insurance, policyholder, insured, restoration contractor, mitigation contractor, public adjuster, insurance commissioner, claims handling

Summary: The Senate opened with roll call, the pledge, prayer, and approval of the previous day’s journal, then received a House message announcing passage of engrossed substitute House Bill 1604. The chamber adopted Senate Resolution 8679 recognizing Taiwan, with remarks emphasizing Washington’s trade relationship, shared democratic values, and Taiwan’s support during COVID. The Senate also confirmed three gubernatorial appointments: Mark Silva to the Lower Columbia College Board of Trustees, Shilpa Tavari to the Higher Education Facilities Authority, and Christine Johnson to the Eastern Washington University Board of Trustees. The Senate then took up several bills on final passage. Substitute Senate Bill 5720, the Uniform Consumer Debt Default Judgments Act, passed after supporters said it strengthened consumer notice protections and reflected extensive stakeholder work. Substitute Senate Bill 5824 passed, allowing fifth-wheel travel trailers up to 46 feet and aligning length rules for legal sales and highway use. Substitute Senate Bill 5886 passed to protect personality rights by addressing name, likeness, and voice in the context of deepfakes and AI. Senate Bill 6013 passed to update ski area and winter sports terminology, and Substitute Senate Bill 6039 passed to let the Department of Labor and Industries use electronic or non-electronic notices at the recipient’s choice. Substitute Senate Bill 6036 passed to exempt certain former foster care providers from adult family home licensure, with supporters saying it would preserve stability for youth aging out of foster care. Senate Bill 6178 passed to prohibit post-loss assignment of property insurance benefits, with the sponsor saying it would keep homeowners in control of claims after disasters. Senate Bill 5892 passed to protect voter registration database information by routing requests through the Secretary of State, despite opposition over the bill’s felony penalty and strict process. Substitute Senate Bill 5941 passed to allow limited exemptions from renewable energy system requirements for certain school districts in cold, remote areas. Senate Bill 5177 passed to expand the topics considered in educator professional development on supporting historically marginalized and underrepresented students. Finally, engrossed substitute Senate Bill 5912 passed after an amendment assigning staff support for the Indigent Defense Task Force to the Office of Public Defense; supporters said the task force is needed to address public defender shortages and caseload standards. The Senate then announced a later start time for the next day and adjourned.

Transcript Highlights:

• This project is reaching some significant milestones in the near future that will have a positive impact
• near future that will have<00:54:19.760><c> a</c><00:54:20.000><c> positive</c><00:54:20.480><c> impact
• c><00:54:20.800><c> on</c><00:54:21.040><c> local</c><00:54:21.359><c> public</c> Have a positive impact
• > small areas and I talk we're talking small areas and I talk we're talking about<01:01:16.000><c> rural
• areas but the cabinet's not about rural areas but the cabinet's not new<01:01:18.559><c> to</c><01:01

Keywords: Call to Order and Roll Call- 00:00:01 Staff Report on Statewide Emergency Responder Voice System- 00:01:09 Kentucky State Police and Finance and Administration Cabinet Response to Staff Report- 00:48:37 Adjournment-01:34:512, 958, all

Summary: The committee heard a staff report on Kentucky’s statewide emergency responder voice system (SERVS), a multi-phase project intended to improve interoperable radio communications for first responders. Staff said Kentucky State Police did not appear to have violated statutes or regulations, but the project lacked an overall master plan, clear milestones, and consistent documentation, which contributed to delays, spending issues, and deployment problems. The report recommended updating the Kentucky Field Operations Guide to reflect SERVS and noted that the project has been funded in phases since 2018, with appropriations totaling roughly $216 million across 2018, 2020, 2022, and 2024, while about $109 million had been spent by the end of fiscal year 2025. The report raised concerns about project sequencing and oversight. Staff said most spending was concentrated in special mobile equipment, with Motorola accounting for about two-thirds of all SERVS expenditures and the top four vendors making up 81 percent of spending. They also said a sample of Motorola payments suggested possible late payments, though they could not confirm whether interest was paid. Staff criticized the use of master agreements for a project of this size, the lack of a centralized ledger, and the absence of a documented timeline or risk mitigation plan. They recommended stronger procurement and planning requirements, including possible legislative changes requiring approved master plans for large capital projects and additional funding conditions tied to SERVS master agreements. Land acquisition and deployment progress were identified as major bottlenecks, especially in Eastern Kentucky. Staff said the project began in western Kentucky using existing tower sites, but the remaining work is concentrated in harder-to-acquire areas, with more than 95 percent of new towers still incomplete. They said the Division of Real Properties did not begin formal contract work on acquisition until October 2024, despite earlier coordination, and recommended earlier consultation on future projects. Staff also noted that the Kentucky Wireless Interoperability Executive Committee had not been active in oversight, and survey results showed limited awareness and involvement among first responders. Committee members agreed that the lack of an initial implementation plan and the continuing need for funding reflected broader planning problems, and they discussed the need for a clearer end-to-end game plan rather than continuing to fund the project without a defined completion path.

Transcript Highlights:

• </c><00:23:38.720><c> an</c> if it will negatively impact an if it will negatively impact an ecosystem
• Uh we recently for wetland impacts.
• the impact to the ecosystem.
• :11.040><c> impacted,</c> yours has been impacted, yours has been impacted, we<00:56:13.040><c> need<
• . impacts. impacts.

Committee: House Environment and Natural Resources Finance and Policy

Keywords: 1183, house

Transcript Highlights:

• So what is the fiscal impact here, and what is the analysis?
• So what is the fiscal impact here and what is the analysis?
• hold us harmless here so we can see the completion of the, of that implementation, and we're not impacted
• And we're not impacted by the funding formula. So that gets us to $61.2 million total increase.
• Maybe some of these uncertain, unpredictable situations that could impact capital costs?

Summary: The Human Services Subcommittee met with a quorum present and took up a presentation from the Department of Children and Families on HB 7089, which revises how Florida’s community-based care (CBC) lead agencies for child welfare are funded. Representative McFarland described the bill’s background, arguing that the prior formula relied too heavily on outdated, static factors and produced inequities among CBCs. She emphasized that the new approach is intended to provide a more stable, transparent, and statute-based funding method that better supports prevention, case management, and family services while reducing year-to-year political uncertainty. DCF Chief of Staff Casey Penn explained that HB 7089 required an actuarially sound, reimbursement-based formula developed with CBC and provider input. The new model uses a cost-based structure with three tiers: Tier 1 for operational and administrative costs, Tier 2 for per-child/per-month service costs, and a possible Tier 3 incentive component for performance measures if the Legislature chooses to fund it. The model includes regional growth factors, inflation adjustments, a 2% risk corridor for Tier 2, a hold-harmless provision for agencies that would otherwise receive less than prior funding, and the ability for CBCs to retain some state general revenue savings. DCF said the model produced a total budget need of about $1.392 billion, roughly $28.6 million above the prior year after offsets, and that the department is also updating its child welfare case management system to improve data quality and future modeling. Members asked about whether prevention spending is captured, how Tier 3 incentives would work and how much they might cost, how the formula accounts for insurance, hurricanes, child acuity, and staffing costs, and whether CBC executives’ compensation is capped. DCF said prevention is included in the model but is not yet separately broken out due to data limitations, Tier 3 is optional and not yet costed, and the formula can incorporate additional growth factors if needed. On executive pay, DCF explained that compensation is limited by statute for CBC contracts, but multiple contracts and non-state funding sources can affect total compensation; staff later clarified that CBC CEOs with multiple contracts had been reviewed for compliance. The meeting ended after questions, and Representative Miller moved to adjourn; the subcommittee adjourned without any vote on the bill.

Transcript Highlights:

• </c> around the state especially in rural around the state especially in rural areas<00:03:25.159><c>
• <00:09:13.480><c> any</c><00:09:13.640><c> of</c><00:09:13.800><c> this</c> impact any of this impact
• </c><00:14:31.360><c> local</c><00:14:31.720><c> sales</c> does not impact local sales does not impact
• </c><00:19:07.960><c> on</c> sales tax proposal and the impact on sales tax proposal and the impact on
• We believe this will have a negative impact on our customers.

Keywords: 919, house, all

Summary: The committee took up House File 2437, the governor’s proposed tax bill, and first adopted the A25-Z42 amendment to put the bill in the desired shape. Commissioner Paul Marquardt of the Department of Revenue then presented the bill as part of Governor Walz and Lieutenant Governor Flanagan’s budget, describing it as a response to budget pressures that would make the tax system more fair and stable while supporting economic development and jobs. Marquardt walked through the bill’s major provisions. These included sustainable aviation fuel policy, repeal of K-12 education credit assignment, elimination of the political contribution refund, expansion of the research and development credit, short-line railroad infrastructure modernization, changes to the state airport fund levy, replacement of attachments and appearances with distribution systems, a narrow personal property tax exception for low-income housing tenants, reduced aquatic invasive species aid, and a 34% reduction in PILT payments. He then focused on the sales tax article, saying it would lower the statewide rate by 0.75% while expanding the base to selected professional services such as accounting, banking, brokerage, and legal services, with business-to-business transactions exempt. He said the proposal would be effective for sales and purchases after September 30, 2025, and estimated a first-year rate-cut impact of about $99 million versus $215 million from the service expansion, while arguing that most households would see a net tax cut. He also noted other changes such as landlord penalty adjustments, a 30% reduction in sustainable aviation fuel incentive payments, repeal of local government cannabis aid, and repeal of the tax filing modernization account. Public testimony began with Kyle Playford of the Financial Planning Association of Minnesota, who strongly opposed the proposed sales tax on professional services, especially financial planning. He argued that financial planning is an essential service for retirement, investment, and long-term financial security, and said the tax would raise costs for consumers, reduce access for middle-class families, small business owners, and retirees, and put Minnesota firms at a competitive disadvantage. The chair then indicated that additional public testimony would continue before member questions.

Transcript Highlights:

• Rural Electric Association of Rural Electric Association of Cooperatives<00:21:00.400><c> is</c><00:21
• </c><00:49:24.800><c> from</c> Also, we have the women of impact from Also, we have the women of impact
• And that's also in the rural areas, too, where they do the same thing.
• Hey, I got a butt of mine that lives in the rural area and he's an officer.
• </c><06:21:18.798><c> But</c> impact next year's supplemental. But impact next year's supplemental.

Keywords: 1136, house, all

Transcript Highlights:

• It's also about the impact and long-term viability of that position.
• To your point, in certain parts of the state that are more rural, there's going to be a different alignment

Summary: The Postsecondary Education Committee met and adopted PCS working drafts for several bills before hearing them. House Bill 2210, by Representative Lay, would modernize Oklahoma’s youth apprenticeship system by allowing earlier entry, expanding eligibility to ages 16-25, assigning implementation to CareerTech, and adding paid-work protections and statewide ROI reporting; it passed 9-0. House Bill 4363, by Pro Tem Moore, would update outdated statutory references to reflect current operations and governance; it also passed 9-0. House Bill 2398, by Representative Hill, would create a “credential of value” framework to align higher education, CareerTech, and workforce systems, with safeguards for high-need fields and regional wage considerations. Supporters said it would help students understand the earning value of programs before enrolling, while concerns were raised about possible effects on humanities and other lower-paying fields; the bill passed 8-1. House Bill 3557, by Representative Danny Williams, would clarify that 4-H and county extension fundraising money remains locally controlled and protected rather than being swept into a state-level account. Members discussed how the funds are currently handled and who would control them under the proposal; the bill passed 6-2. House Bill 3701, by Representative Caldwell, would codify the State Regents’ existing process for reviewing and potentially consolidating low-producing higher education programs, including mandatory action after repeated low-producing status while preserving exemption authority. Questions focused on whether the bill merely formalized current practice and whether reporting back to the legislature should be added; the chair offered to include a reporting requirement if desired. The bill passed 6-2, and the chair announced this was the committee’s last House bill meeting for the session.

Transcript Highlights:

• strategy, which is well underway every single day at our southern border, is a strategy to replace white rural
• legislature actually routinely approves honorary roadway designations, recognizing figures whose impact

Committee: Senate Transportation

Keywords: 999, senate, all

Transcript Highlights:

• sure we have more outdoor education in Nevada without changing standards, without creating a fiscal impact
• But we heard from a lot of our rural counties that maybe they do stuff with the hay that's outside and

Committee: Senate Natural Resources

Keywords: 909, all

Transcript Highlights:

• flavors, we might, um, also be, um, getting information more about how, um, the different flavors are impacting
• careful of during that week except for 4th of July weekend would be right after that and Economic rural

Committee: House Tobacco Settlement Revenue Oversight Committee

Transcript Highlights:

• These figures, however, don't account for the hidden costs, including the billions in economic impact
• frontage roads; instead, we should be designing ramps that safely connect to functioning city streets or rural

Bills: HB483 , HB3345 , HB3643 , HB3821 , HB3849 , HB4472 , HB4523 , HB4524 , HB5346 , HB5347 , HB5376

Committee: House S/C on Transportation Funding

Keywords: high-speed rail, Texas Department of Transportation, TxDOT, public-private partnership, comprehensive development agreement, CDA, Interstate 35, I-35 corridor, Dallas, Waco, Austin, San Antonio, intercity passenger rail, rail infrastructure, private entity, transportation infrastructure, rail corridor, passenger rail, infrastructure finance, vehicle registration

Transcript Highlights:

• Nichols, are there any other cities impacted or is this just Austin? All right, thank you.
• The exotic game industry is a crucial part of the Texas economy, particularly in rural areas where it

Bills: SB771 , SB2345 , HB135 , HB135

Committee: Senate Finance

Keywords: diesel fuel tax, tax credit, auxiliary power units, power take-off equipment, refund, energy efficiency, firefighter retirement, municipal contributions, pension system, retirement benefits, funding ratios, sales tax exemption, exotic animals, game animals, agriculture, livestock, civil liability, motor vehicle, legal protection, removal

Transcript Highlights:

• What works for a large metropolitan area may not be feasible or useful for a small rural town.
• Dealers, retailers, cylinder filling operations, consumers, and communities would all be negatively impacted

Bills: HB407 , SB306 , SB320 , SB321

Committee: Senate County and Municipal Government

Keywords: local redevelopment, tax payments, transient occupancy, state revenue, authority powers, transparency, discretionary accounts, government accountability, public access, online publication, liquefied petroleum gas, safety regulations, public gathering places, cylinder storage, proximity regulations, drycleaning, environmental remediation, pollution, hazardous waste, trust fund

Transcript Highlights:

• And so obviously having to figure out how to eat, where to stay, impacts their ability to graduate.
• I live in a rural district plus some lots of urban together, and this committee really opened my eyes

Summary: The Housing, Agriculture, and Tourism Subcommittee met for its final meeting of the session and heard two bills. HB 1245, the Hunger-Free Campus Pilot Program, would create a pilot program in the Department of Agriculture for selected public postsecondary institutions with high Pell Grant populations to form hunger task forces, help students enroll in SNAP, provide on-campus food assistance, and develop meal-credit donation programs. The bill also directs OPPAGA to study food insecurity at public postsecondary institutions and recommend policy changes. Representative Franklin spoke in support, emphasizing student food insecurity and the impact of inflation on college completion. The bill had no amendments, no public opposition, and passed unanimously. The committee then heard HB 983 on homeowners associations, which would expand enforcement and oversight tools related to HOAs, including allowing local law enforcement and sheriffs to investigate, inspect, and audit associations, adding realtor disclosure requirements, and revising recall provisions to make it easier for homeowners to remove boards. An amendment was adopted to prohibit nominating committees in HOAs, aligning the statute with condominium law and preventing those committees from blocking candidates. Public testimony on the amendment and bill was in support, including from a Miami-Dade Sheriff representative and others. Members from both parties praised the bill as a homeowner-rights measure, and the bill passed unanimously as amended. After the bills, members offered closing remarks thanking Chair Salsman, the vice chair, ranking member, staff, and each other for a collaborative session. Several members highlighted the committee’s work on housing, agriculture, tourism, and the hemp work group, and the chair reflected that the committee process was intended to be member-driven and inclusive. The meeting then adjourned.

Transcript Highlights:

• Chairman and members, Senate Bill 302, Traveling Probate Judge Reimbursement, is a rural county revenue
• clarifies that the parties and representatives of the state can also pay that cost, which significantly impacts

Bills: SB302 , SB1335 , SB1734 , SB1760 , SB1975 , SB2127

Committee: Senate Jurisprudence

Keywords: probate court, statutory judge, reimbursement, court costs, court proceedings, judicial assignments, judge assignment, cost reimbursement, judicial expenses, estate management, statutory requirement, court expenses, estates, inheritance, representative duties, court authority, personal representative, real property, deed fraud, title fraud

Transcript Highlights:

• celebrates the senior citizens of New Mexico, recognizing their sacrifices, contributions, and lasting impact
• His professional interests Cody's interests include rural medicine, street medicine, and indigenous health

Transcript Highlights:

• Do you support the strategic rural GME incubator? Do you support the rural training site network?
• being trained there are people who want to serve in rural Arkansas communities or in the rural South
• communities, from the patients who are served in rural communities, and providers, rural providers.
• communities, from the patients who are served in rural communities, and providers, rural providers.
• rural health transformation networks.

Keywords: 989, all

Summary: The Rural Health Transformation Committee approved the minutes from its May 28 meeting and received an update from DHW Director Juliet Sharon on the status of the Rural Health Transformation Program. Sharon said the department has posted a public funding-opportunities page with a subscribe feature, is using an expedited committee review process for solicitations and subgrant opportunities, and plans to provide monthly summaries, award information, and federal progress reports. Members asked for clearer access to information on applicants and awards, and Sharon said the department is open to posting more complete listings in SharePoint and to simplifying provider-facing applications. The committee also discussed outreach to rural providers and the need to ensure smaller organizations know about opportunities and can apply within the short timelines. The committee then heard from the Idaho Military Division on its portion of the program. Bureau Chief Wayne Denny said the division is working with DHW on modernizing state communications and emergency systems, including next-generation 911, relocating backup communications infrastructure, coordinating exercises, and supporting rural health extenders such as community health workers and community health EMS providers. Members asked how those roles would function, how counties would participate, and how the work would be sustained after the five-year funding period; Denny said the goal is to demonstrate return on investment so counties and payers can support the services long term. Jennifer White of the State Board of Education described higher education and graduate medical education proposals. She said Idaho’s institutions are coordinating on statewide strategies for rural health workforce training, including mobile simulation, shared clinical infrastructure, learn-in-place programs, and targeted equipment and facilities. She also outlined GME and medical education options, including a strategic rural GME incubator, a rural training site network, and possible support for undergraduate medical education such as expanded seats or the University of Idaho–University of Utah partnership. Members debated sustainability and whether rural health funds should support only GME or broader medical education; some supported using the funds to build Idaho-based training capacity, while others cautioned against creating long-term state obligations without broader legislative approval. No formal votes were taken on those policy questions. In closing, Sharon said the department expects more provider subgrants, ongoing assessments, the first federal reporting deadline at the end of August, and the creation of a governor-appointed rural health transformation task force with legislative and rural representation. The committee tentatively scheduled an additional meeting for August 18 and discussed a later September meeting, likely around September 23-25, to review the federal report and any emerging issues.

Transcript Highlights:

• Everyone in this room will feel the impact of these cuts, especially our most vulnerable residents, who
• This reality has not only impacted the kind of care that people receive every day, but has caused state
• Patients suffering with persistent pain are often greatly impacted in all aspects of their lives and
• This whole battle over these costs is impacting our entire economy in Massachusetts.
• This whole battle, these costs is impacting our entire economy in Massachusetts.

Committee: Joint Joint Committee on Health Care Financing

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on 16 bills, with the chairs noting a busy legislative day and asking speakers to keep testimony brief. The committee first heard testimony on Senate 860/House 1405, the Medicare for All bill, with Sen. Jamie Eldridge and many advocates, clinicians, municipal officials, and patients arguing that a single-payer system would make care a right, reduce administrative waste, lower costs, and protect residents from rising premiums, medical debt, and hospital closures. Several speakers cited the Steward hospital crisis, affordability problems, and polling or ballot questions showing public support for single-payer coverage. No vote was taken during the hearing. The committee then took testimony on S. 863, a bill on non-opioid options for chronic pain. Pain specialists, patients, and advocates said the bill would improve care coordination for MassHealth members, expand access to non-opioid medications, require provider education, and collect data on chronic pain. Testifiers described long delays in diagnosis and treatment, stigma toward pain patients, and the need for multidisciplinary care and transportation support. Again, the committee heard testimony only and took no action. A large portion of the hearing focused on H. 1360/S. 869, which would prevent discrimination against people with disabilities in health care. Disability advocates, clinicians, and patients described being denied or delayed care, pressured into DNR orders, or treated based on assumptions about quality of life rather than medical facts. Speakers referenced COVID-era crisis standards of care, discriminatory metrics, and personal stories involving canceled procedures, inadequate accommodations, and poor treatment in hospitals. Committee members thanked speakers for their testimony and said they would review the bill and its implications, but no vote was announced. The committee also heard testimony on H. 1399, an individual Medicare marketplace option for municipal retirees, where supporters said it would give cities and towns a lower-cost alternative for retiree health benefits through HRAs and individual Medicare plans. The hearing then returned to Medicare for All testimony, with additional supporters repeating arguments about cost, access, municipal budget pressure, and the need for global budgeting and universal coverage. The transcript ends with continued testimony and no recorded committee vote or final action on any bill.