Transcript Highlights:

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

Summary: The House opened with prayer, a moment of silence for former member Chester Clem, the Pledge of Allegiance, and quorum verification. Members then adopted the special order report and a Rules and Ethics Committee report amending House Rule 15.3 to allow fundraising under certain circumstances during extended or special sessions. The chamber also recognized Deputy First Class Stefano Gargano as law enforcement officer of the day and several visiting groups in the gallery. On the floor, HB 1405 on a statewide project for missing persons with special needs passed unanimously, 109-0. The House then took up CS/CS/CS/SB 290, the Department of Agriculture and Consumer Services bill, which drew questions about surplus conservation lands and oversight by the Acquisition and Restoration Council; it passed 94-10. CS/CS/CS/HB 905, the “Fire Act” on foreign influence, foreign-country-of-concern restrictions, critical infrastructure, gifts, contracts, sister city agreements, and related ethics and criminal provisions, passed 80-20 after debate and a germane amendment was adopted over objections. The House also passed CS/CS/HB 1197 on information technology procurement and contracting, aimed at modernizing oversight of major IT projects, by 109-0. CS/CS/CS/HB 399 on land use development and development regulations passed 71-38 after extensive debate over development fees, manufactured homes, and reducing local supermajority requirements for comprehensive plan changes; an amendment to preserve Orange County’s rural boundary vote failed, and a strike-all amendment was ruled out of order. Members then adopted a technical amendment clarifying manufactured homes language. Several local bills also advanced: HB 1103 on local administration of vessel restrictions passed 109-0; HB 4051 and HB 4053 on Santa Rosa County fire protection district assessments passed 84-25 and 83-27, respectively, after compromise amendments; HB 4081 on the East Point Water and Sewer District passed 110-0; and HB 4093 on the Felsmere Water Control District passed 109-0. The transcript ended as the House moved on to HB 4095, with no final action shown.

Transcript Highlights:

• Physicians have I am here in strong support of AB 1973.
• Physicians have trained me, and I have consulted with physicians throughout my entire career.
• So I step back and my physician colleagues take over. The training pathway exists.
• Actually, I'm sorry, the California Academy of Physician Associates.
• Natalie Pita on behalf of the California Academy of Family Physicians in support.

Committee: House Health

Keywords: 988, house, all

Transcript Highlights:

• As a physician, I'm here today in strong support of HB 1875.
• I am also an OB-GYN, but I'm a resident physician in training.
• </c><00:48:39.599><c> in</c> OBGYn, but I'm a resident physician in OBGYn, but I'm a resident physician
• c><01:03:55.839><c> at</c> the OBGYn resident physicians at the OBGYn resident physicians at University
• um would protect physicians who have um would protect physicians who have malpractice<01:12:54.320><c

Bills: SB2936 , SB2850 , SB2851 , SB2521

Committee: House Health

Keywords: accessible parking, disability, kupuna, public accommodations, small business exemptions, Hawaii Revised Statutes, parking permit, blind, deaf, accessibility, deafness, traffic safety, law enforcement, vehicle registration, communication, emergency services, commercial driver's license, first responders, public safety, authorized emergency vehicle

Summary: The joint hearing covered House Bill 251, which would require hospitals to report costs associated with Medicare and uninsured patients, and House Bill 1875, which would expand protections for gender-affirming health care services. On HB 251, the Department of Health said it supported the intent but described the bill as complicated and potentially impractical as drafted because the department lacks the expertise to produce the required analyses without outside help. Hawaii Health Systems Corporation echoed those concerns, while the Queen’s Health System said it was willing to work with the department to provide the information. In committee discussion, officials explained that hospital support in Hawaii includes public hospital appropriations and the provider tax program, which uses hospital and nursing home contributions to draw federal matching funds; a department witness estimated the net benefit at about $150 million for hospitals and $20 million for nursing facilities, though exact figures would be provided later. On HB 1875, the Insurance Division testified with concerns that the bill’s language on prohibited actions by malpractice insurers was broad and vague, and that a rate-increase prohibition could conflict with actuarially based insurance pricing. The division also noted it was not the primary enforcement agency for the statute. In contrast, many testifiers strongly supported the bill, including the Hawaii State Commission on the Status of Women, the Hawaii State LGBTQ+ Commission, the Hawaii Public Health Institute, PFLAG Oahu, the ACLU of Hawaii, the Drug Policy Forum of Hawaii, the Hawaii County Democratic Party, and others. Supporters argued that gender-affirming care is medically necessary, evidence-based, and protected by privacy and bodily autonomy principles, and that the bill would protect patients and providers from outside political interference. No votes or final committee actions were taken during the portion of the hearing provided.

Transcript Highlights:

• So for emergency physicians, there are some that would start in 2025, but the broad...
• The proposition laid out specific physicians, osteopaths—there were specific... ...specific physicians
• for emergency physicians for both 2025 and 2026.
• for emergency physicians for both 2025 and 2026.
• Funds to help cover base rate increases to physicians.

Summary: The Assembly Budget Subcommittee on Health held the first of several hearings on the Governor’s May Revision for health care, with opening remarks focused on the state’s projected $12 billion deficit, looming federal Medicaid changes, and the potential impact on Medi-Cal, public health, reproductive health, and safety-net providers. Several members criticized the proposal as balancing the budget on vulnerable Californians, while others defended the need for cost containment and questioned the administration’s assumptions. The chair set ground rules for respectful, focused questioning and outlined three topics: the Medi-Cal proposals, Proposition 35, and Proposition 56. DHCS Director Michelle Baas presented the May Revision’s Medi-Cal package, saying the department’s budget totals $200.6 billion overall, including $45.2 billion General Fund, and that the proposals are intended to address rising caseloads, pharmacy costs, and managed care spending. She described proposed changes for adults with unsatisfactory immigration status, including a freeze on new full-scope enrollment for those 19 and older, $100 monthly premiums beginning in 2027, elimination of adult dental and long-term care coverage, removal of PPS/RAP payments to FQHCs and rural health clinics for that population, and a pharmacy rebate aggregator. Other proposals included eliminating certain OTC drug classes, removing GLP-1 coverage for weight loss, prior authorization and step therapy changes, reinstating the Medi-Cal asset test, eliminating acupuncture as an optional benefit, allowing utilization management for hospice, raising the managed care minimum medical loss ratio to 90%, reducing PACE capitation rates toward the midpoint of the actuarial range, eliminating the skilled nursing facility workforce and quality incentive program, and suspending the SNF backup power requirement. The LAO said the revised Medi-Cal spending estimate is about $2.5 billion higher than the Governor’s Budget in the budget year, and that the increase appears driven more by higher per-enrollee costs than by caseload alone. The LAO said the budget solutions are concentrated in a few areas, are largely ongoing, and should be considered in light of federal uncertainty, but suggested the Legislature could explore alternatives such as more targeted income thresholds for the undocumented expansion and simpler asset-test rules. Department of Finance officials said the proposals are difficult but necessary to address a third consecutive deficit and rising Medi-Cal costs. Members then pressed the administration on the methodology and impacts of the proposals, especially the enrollment freeze, premiums, asset test, hospice controls, PACE reductions, and the elimination of benefits and provider payments. No votes or formal actions were taken at this hearing.

Transcript Highlights:

• We are changing—we are actually eliminating the number of physician assistants that a physician may supervise
• Currently the cap for physicians to supervise physician assistants is 10.
• something that that physician can't manage, say 20, say 30, what recourse does the physician have?
• And you know this, is the provision where the physician, like say an ER physician, and they're the ones
• emergency room physicians, who cannot manage more than 10 emergency room physicians at a time.

Summary: The House opened with prayer, a moment of silence for former member Chester Clem, the Pledge of Allegiance, and quorum confirmation. Members then adopted the special order report for the day and approved a Rules and Ethics Committee report amending House Rule 15.3 to allow fundraising under certain circumstances during extended or special sessions. The chamber then took up several bills. HB 1405 on a statewide project for missing persons with special needs passed unanimously. CS/CS/CS/SB 290, the Department of Agriculture and Consumer Services bill, passed 94-10 after debate focused on conservation land surplus procedures and agricultural use of state lands. CS/CS/CS/HB 905, the “Fire Act” on foreign influence, foreign gifts, critical infrastructure, sister city agreements, and related restrictions, passed 80-20 after the House adopted an amendment adding a prohibition on certain surrogacy contracts involving citizens or residents of foreign countries of concern. CS/CS/HB 1197, dealing with information technology procurement and contracting, passed 109-0. HB 1103 on local administration of vessel restrictions passed unanimously. The House also debated CS/CS/CS/HB 399 on land use and development regulations. Supporters said it would limit development fees, standardize compatibility rules, allow manufactured homes in RV parks, and lower voting thresholds for comprehensive plan changes to address housing affordability; opponents argued it would preempt local control, weaken voter-approved urban boundary protections, and risk conservation lands. An amendment to preserve Orange County’s boundary rules failed, while a technical amendment on manufactured homes passed. The bill then passed 71-38. The House also passed several local bills, including measures for the Pace Fire Rescue District, Avalon Beach/Mulat Fire Protection District, East Point Water and Sewer District, Fellsmere Water Control District, and Headwaters Water Control District, with votes ranging from 83-27 to unanimous approval. The transcript also included farewell remarks from Representative Angie Nixon before the House returned to remaining business.

Transcript Highlights:

• , osteopathic physician, physician assistant, advanced registered nurse practitioner, or naturopath licensed
• By medical licensees, which is defined as a physician, osteopathic physician, physician assistant, advanced
• It prohibits anyone other than a physician, osteopathic physician, ARNP, or their health care provider
• We want to see physicians be able to deliver care as appropriate.
• Physician-led care across Washington. Thank you.

Summary: The Ways and Means Committee held a public hearing on multiple bills, beginning with a motion to suspend the five-day notice rule for a long list of Senate bills, which passed on a voice vote. The committee first heard Substitute Senate Bill 6026, a governor-request housing bill that would require cities and counties over 30,000 population to allow residential uses in commercial and mixed-use zones, limit mixed-use/ground-floor commercial requirements in some areas, and allow added height where such requirements are imposed. The lieutenant governor testified strongly in support, arguing the bill would add needed housing capacity without requiring ground-floor retail burdens. The hearing on SB 6026 was then suspended so the committee could move through the agenda. The committee then heard Senate Bill 6294, a broad local government finance measure with eight parts, including expanded uses for certain REET revenues, a new county public utility tax, a new local sales tax for children and family services, expanded housing-related tax uses, changes to county levy structure, longer lid lift periods, and expanded use of rental car tax revenue. Local government, housing, and public health witnesses largely supported the bill, emphasizing flexibility for affordable housing, rental assistance, children’s services, and county fiscal stability. Opponents, including wireless industry, water/sewer district, auto dealer, realtors, energy, and cannabis representatives, objected to specific tax provisions as regressive, costly, or likely to raise consumer prices. Several witnesses requested amendments, including adding public health clinic funding and flood recovery language from House bills. The committee also heard Substitute Senate Bill 5400 on local news sustainability, which would create a state grant program funded by a surcharge on large search engines and social media platforms to support journalism jobs and the Murrow Fellowship program. News organizations, the League of Women Voters, open government advocates, and local journalism supporters testified in favor, saying local news is essential to civic life and that the bill would help sustain reporting without using general fund dollars. Technology industry representatives opposed the bill, arguing it unfairly singles out tech companies and could face legal challenges. The committee then heard Senate Bill 6211, which would let opt-in GMA jurisdictions impose REET-2 without voter approval; cities and counties supported it as a parity and infrastructure funding measure, while Realtors opposed the loss of voter approval. Senate Bill 5650, authorizing local cannabis excise taxes, drew support from some local officials but strong opposition from cannabis businesses, which argued Washington’s cannabis taxes are already too high and drive sales to the illicit market. Senate Bill 6033, waiving penalties and interest for taxpayers who failed to collect new sales tax on certain services, was supported by NFIB as a compliance and fairness measure. Senate Bill 6297, exempting temporary staffing services for nonprofit behavioral health providers from sales tax, drew strong support from behavioral health organizations citing workforce shortages and unsustainable costs. Finally, Senate Bill 6343, extending and expanding tax relief for disaster-damaged property and repairs, was presented as aid for flood recovery; local officials testified in support. No final committee votes on the bills were taken in the portion of the meeting provided.

Transcript Highlights:

• </c><02:01:22.239><c> and</c> today and tomorrow with physicians and today and tomorrow with physicians
• </c><02:03:45.360><c> whether</c> encourage our local physicians whether encourage our local physicians
• </c><02:04:58.639><c> at</c> and he's he's he's a physician at and he's he's he's a physician at Kaiser
• </c> for the American College of Physicians for the American College of Physicians which<02:31:15.359
• /c><02:40:47.200><c> medical</c> &gt;&gt; Physician workforce and graduate medical &gt;&gt; Physician

Committee: Senate Education

Keywords: 912, senate, all

Transcript Highlights:

• It says that the attending physician,<01:08:37.279><c> physician</c><01:08:37.759><c> assistant,</c><
• 01:08:38.239><c> advanced</c> physician, physician assistant, advanced physician, physician assistant
• Include in that list the coroner's physician. physician. physician.
• ,</c> uh, should be quote attending physician, uh, should be quote attending physician, physician,<03
• </c> physician uh the physician physician physician uh the physician physician assistant<03:18:34.640

Committee: House Judiciary & Hawaiian Affairs

Keywords: 910, house, all

Summary: The House Committee on Judiciary and Hawaiian Affairs heard testimony on HB 1875, which would expand Hawaii’s existing protections to include gender-affirming health care, clarify permitted disclosures of protected health information, and bar certain adverse actions by malpractice insurers and health carriers against providers of lawful reproductive or gender-affirming care. The Insurance Division of DCCA supported the bill with a technical amendment, suggesting language tied to actuarial analysis rather than the phrase “actuarially sound.” The Office of Information Practices also provided comments. Most testimony was strongly in support. State agencies and advocacy groups, including the Hawaii State Youth Commission, State Health Planning and Development Agency, Commission on the Status of Women, Hawaii Civil Rights Commission, Hawaii Public Health Institute, Stonewall Caucus, ACLU of Hawaii, PFLAG Oahu, Planned Parenthood Alliance Advocates, the Healthcare Association of Hawaii, and the American College of Obstetricians and Gynecologists, said the bill would protect patient privacy, reduce chilling effects from out-of-state litigation, and help retain providers in a state already facing shortages. Several testifiers said gender-affirming care is medically necessary, evidence-based, and life-saving, and emphasized that Hawaii should protect its own health care decisions from outside political pressure. A few individuals testified in opposition, arguing the bill was unnecessary or that it protected providers more than opponents of the bill, but these views were not echoed by most of the testimony. The chair repeatedly reminded testifiers to keep comments brief and maintain decorum. The transcript provided does not include a final committee vote or disposition on the bill.

Transcript Highlights:

• ,</c> medical services including physicians, medical services including physicians, facilities<00:20:
• reduces</c><00:41:17.599><c> emergency</c> primary care physician reduces emergency primary care physician
• </c> the decisions made by the physician. the decisions made by the physician.
• </c> AMA further found that 82% of physicians AMA further found that 82% of physicians reported<02:23
• <c> 10,000</c><04:24:47.520><c> pulses</c> physician who has held 10,000 pulses physician who has held

Committee: House Commerce and Consumer Affairs

Keywords: 1189, house, all

Transcript Highlights:

• of the patient, an 18-year-old sibling or child of the patient, a director of the hospital, and a physician
• The fourth category is a physician, psychologist, or qualified mental health professional licensed for
• Subsection E tells us that the admitting physician under a 72-hour hold statute or certified psychologist
• If the admitting physician or certified psychologist determines that reasonable grounds do not exist
• of mental health professionals, or if a physician is not available, by a mental health professional

Committee: House House Judiciary

Transcript Highlights:

• And then currently it's a physician. It doesn't specify what kind of physician.
• </c><01:06:07.599><c> It</c><01:06:07.839><c> doesn't</c> &gt;&gt; currently it's a physician.
• It doesn't &gt;&gt; currently it's a physician.
• </c><01:06:09.680><c> Could</c><01:06:09.839><c> be</c> Just has to be a physician. Okay.
• </c> midwives, and licensed physicians midwives, and licensed physicians uh<01:08:34.560><c> assistants

Keywords: 1136, house, all

Transcript Highlights:

• physician assistant to physician associate would be good and helpful for the industry and the profession
• </c> somebody by the name physician somebody by the name physician associate.<00:12:55.600><c> So</c>
• </c> um referring to them as physician um referring to them as physician assistants.<00:13:04.880><c>
• So, this is a physician associates.
• </c> physician assistant to a physician physician assistant to a physician associate<01:46:34.159><c>

Keywords: 928, house, all

Summary: The committee heard Senate Bill 254, which Senator David Roford described as a technical correction to controlled substance inventory law for pharmacies. He said the bill would remove outdated language requiring inventories to be done in an odd-numbered year, while keeping the existing requirement that pharmacies conduct a full controlled substance inventory every two years in line with federal law. Members asked several clarifying questions about whether the requirement is pharmacy-by-pharmacy, whether new pharmacies would be affected, and whether the change would alter scope or compliance; the sponsor and a representative of the New Hampshire Pharmacist Association said it would not, and that it mainly provides clarity for pharmacies and inspectors. The public hearing on SB 254 was then closed, and the committee also heard support from a representative of the pharmacist community, who said the association supports the bill. The committee then discussed a non-germane amendment to SB 254 dealing with FBI background checks for educational surrogate parents under the Department of Education. Representative Leyon explained that the amendment was requested by the Department of Education after the FBI rejected prior statutory language, and that the goal was to allow people serving as educational surrogate parents to complete FBI fingerprint-based background checks so they can perform their duties. Department of Education and Department of Safety staff testified that the amendment mirrors language that has worked in other education-related background check statutes, including provisions with specific disqualifying offenses tied to child safety, and that the FBI requires precise statutory language and direct transmission of records through the Department of Safety. Members questioned why the FBI’s approval was needed, whether individuals could simply provide their own records, and whether changing federal leadership could require future changes; witnesses said the state needs both state and national records, that records must come directly from the FBI through the Department of Safety, and that the language is intended to satisfy current federal requirements. During the discussion, some members expressed skepticism about the need for the amendment and about placing it on a bill about controlled substance inventories, but no vote was taken during the portion of the transcript provided. The committee also briefly discussed a separate bill on physician assistants/physician associates, with members noting that the proposed name change would not alter scope of practice and that some outside groups had raised concerns about transparency, but that discussion was interrupted and not concluded in the excerpt.

Transcript Highlights:

• nurse practitioners suddenly found themselves needing to reschedule additional appointments with a physician
• My initial collaborating physician was an older gentleman who practiced... ...for the past 11 and a half
• My initial collaborating physician was an older gentleman who practiced in such a way that patients felt
• My current collaborating physician hasn't even met many of my patients.
• Patients who have a nurse practitioner as their primary care provider then have to find a physician,

Committee: Senate Transportation and Infrastructure

Summary: The Senate Committee on Transportation and Infrastructure met with a quorum present and adopted the June 16, 2026 minutes. The committee first took up House Bill 5644, which would allow nurse practitioners, physical therapists, and occupational therapists to certify applications for disability windshield placards and disability license plates. The sponsor and witnesses from the nursing profession said the bill restores a practice that had worked for years, reduces delays and extra costs for patients, and improves access, especially in rural and underserved areas. A Department of State representative explained the issue arose after an Auditor General review found the statute was unclear. The bill was reported to the floor on a 10-0 vote. The committee then heard Senate Bill 791, which would designate a portion of I-475 in Genesee County as the St. John Street Community Memorial Highway. Senator Cherry and representatives of the St. John Street Historical Committee described the history of the St. John Street neighborhood in Flint, its displacement by urban renewal and highway construction, and the effort to memorialize the community’s cultural significance and trauma. No members asked questions, and the bill was reported to the floor unanimously, 10-0. House Bill 4415, previously heard by the committee, was also reported to the floor without further testimony. The committee then considered Senate Bill 959, which had a new S-2 substitute. Senator Klinefelt explained the substitute as a compromise that reorganizes rail detector regulations and changes distance and speed thresholds for Class 1, 2, and 3 rail lines. The substitute was adopted 10-0. After additional comments from Senator McBroom opposing the bill due to concerns about impacts on Upper Peninsula commerce and rail operations, the committee reported the S-2 version of Senate Bill 959 to the floor by a 6-4 vote. The committee then adjourned.

Transcript Highlights:

• the Aesthetic Medical Providers of Massachusetts, which represents over 100 providers, including physicians
• Physicians, nurse practitioners, PAs, and RNs all work collaboratively, with defined scope supported
• The requirement in this proposed bill that calls for on-site physician supervision does not represent
• , dietitians, researchers, and families. the Celiac Disease Foundation, where I work with physicians,
• Physicians don't usually test them.

Committee: Joint Joint Committee on Public Health

Keywords: 995, all

Summary: The Joint Committee on Public Health heard testimony on four bills: H. 5013 and S. 2928, which would establish a three-year celiac disease screening pilot program for children during routine cholesterol/lipid screening at ages 8 to 12; H. 5087, regulating medical spas; and H. 5115, establishing statewide food truck regulations, though the transcript focused almost entirely on the celiac and medical spa bills. For the celiac proposal, Rep. Badger and Sen. Lovely described long diagnostic delays, the lack of a cure, and the potential for a simple blood test to identify children earlier and reduce long-term harm. Multiple patients, clinicians, and researchers supported the pilot, saying celiac is frequently missed because symptoms vary widely or are absent, and that early detection could prevent malnutrition, growth problems, osteoporosis, and other complications. Testifiers also emphasized that the bill would study feasibility, accuracy, cost, and acceptability, and would include family education and support resources if diagnoses are made through the program. Several experts and advocates backed the celiac screening pilot, including a pediatric gastroenterologist from Italy who described successful national screening efforts there, a Celiac Disease Foundation representative, pediatric gastroenterologists from Massachusetts and Colorado, a pediatric dietitian, and a parent whose child was diagnosed after severe malnutrition. They argued that routine screening alongside existing pediatric bloodwork could identify many undiagnosed children and improve health equity, since celiac disease is often overlooked in people of color and lower-income patients. Committee members asked about how the screening would work, and witnesses explained it could begin with a blood test, followed by confirmatory endoscopy if needed. No vote was taken in the hearing. On H. 5087, witnesses from the medical aesthetics industry largely opposed the bill as written, saying it was outdated, redundant with existing Massachusetts licensing and board oversight, and too restrictive for nurse practitioners, physician assistants, and other licensed providers. Testifiers, including a retired lobbyist, a nurse practitioner, a PA, a plastic surgeon, and a clinic owner, said the bill could reduce access, raise costs, and push care into less regulated settings, while not addressing the real issues of training, compliance, and patient safety. Committee members pressed for more specific feedback on what provisions were unnecessary or duplicative, and witnesses said they had submitted position papers and written testimony identifying conflicts with current law. The hearing ended with the chair noting that all oral and written testimony would be reviewed before any decisions are made.

Transcript Highlights:

• 2013 and 2014, the regulations were much different for doctors, dentists, nurse practitioners, and physician
• the Aesthetic Medical Providers of Massachusetts, which represents over 100 providers, including physicians
• Physicians, nurse practitioners, PAs, and RNs all work collaboratively, with defined scope supported
• The requirement in this proposed bill that calls for on-site physician supervision communities.
• The requirement in this proposed bill that calls for on-site physician supervision does not represent

Bills: H5013 , H5087 , H5115 , S2928

Committee: Joint Joint Committee on Public Health

Keywords: celiac disease, gluten intolerance, autoimmune disorder, pediatric screening, child health, public health, screening pilot, early detection, 12-year-olds, cholesterol screening, lipid screening, health care providers, Department of Public Health, patient advocacy, family support, Massachusetts, preventive care, diagnostic screening, nutrition, gastroenterology

Transcript Highlights:

• Who determines evidence-based care, politicians or physicians? Thank you for that question.
• Lots of them—folks who practice medicine, have studied medicine, who are actual physicians and provide
• You've highlighted children, but... ...between a physician and an individual.
• So if a physician is having a facility that's getting state dollars, is having a private conversation
• I think we all value having private conversations with our physicians about our health care.

Bills: HB3057 , HB3130 , HB3310 , HB3314 , HB3985 , HB4113 , HB4486

Committee: House Government Oversight

Keywords: government reporting, information technology, child welfare, environmental policy, state agency compliance, gender transition, minors, health services, punitive damages, parental rights, health care providers, purchasing, compliance, state employees, longevity pay, contract management, marijuana tax, public service impact tax, county funding, voter approval

Summary: The committee opened with prayer and then took up several bills, beginning with HB 3057, a government efficiency cleanup measure that removes more than 50 obsolete statutory report requirements. A member raised a concern that the bill might inadvertently remove language related to a child abuse response team, and the sponsor said that would be corrected before floor consideration. HB 3057 was then approved 14-0 and sent to the floor. Members then debated HB 313, which prohibits state funds from being used for gender reassignment surgeries. The sponsor said the bill is intended to ensure taxpayer dollars are not used for such procedures, while opponents argued it goes beyond funding restrictions and could affect adults, referrals, private conversations, and medical judgment. Supporters framed it as protecting children and public funds. After debate, the bill passed 16-3. The committee also approved HB 4113, clarifying that people with felony convictions regain voting rights after completing incarceration, parole, supervision, and probation, and HB 3310, the Agency Accountability and Budget Transparency Act, both by 15-0 votes. The committee next considered HB 3314, a county-option marijuana public safety impact fee allowing a 15% tax on retail marijuana sales. Questions focused on the 5% petition threshold and who should initiate the tax request, and the sponsor said he was open to changes. The bill passed 12-3. Members then debated HB 3985, which would create a private cause of action against certain large municipalities, mainly in the two largest metro areas, for failing to enforce laws related to issues such as camping, loitering, and panhandling. Opponents said it intrudes on municipal home rule and could raise constitutional issues; supporters said it would encourage cities to enforce their own laws. It also passed 12-3. Finally, the committee approved HB 4486, authorizing a Gold Star Family Memorial Monument funded by the Woody Williams Foundation, after discussion about how it fits with existing veterans memorials at the Capitol. The bill passed 14-0. The chair announced the committee would meet again on Tuesday and then adjourned.

Transcript Highlights:

• The bill lets nurse practitioners and physician assistants approve life-ending orders, not the doctor
• As an emergency physician, honoring patients' end-of-life wishes is crucial to my practice, guided by
• He is the managing physician for internal medical faculty practice.
• Kaplan is also the Education and Research Director for Orlando Health Physicians, the Medical Director
• He is the managing physician for internal medical faculty practice.

Committee: Senate Health Policy

Summary: The committee first received an update from the Department of Health on the Cancer Connect Collaborative, the Cancer Innovation Fund, and the new Cancer Connect Collaborative Research Incubator, created and expanded by recent legislation. The department reported that the Cancer Innovation Fund has awarded $80 million to 95 researchers to date, with $60 million available in the current cycle and 65 projects funded across 28 institutions in 16 cancer areas last year. The new pediatric cancer incubator received $30 million and awarded four Florida children’s hospitals $7.5 million each. Senators asked about outreach to oncologists statewide, peer review and accountability, funding for National Cancer Institute-affiliated institutions, and whether underserved and rural areas are being prioritized; the department said it uses website notices, listservs, collaborative outreach, and eligibility criteria favoring rural and high-cancer-care providers, and that it monitors projects through reports, expenditures, and contract provisions. The committee then heard Senate Bill 312 on patient-directed medical orders, which would create a voluntary, portable, physician-authorized electronic registry for patients to document end-of-life and serious-illness treatment preferences. Supporters, including nurses, hospice and emergency care advocates, and medical professionals, said the bill would help ensure patient wishes are accessible in emergencies, reduce unwanted interventions, and improve continuity of care. Opponents, including Florida Right to Life, argued the bill could broaden end-of-life decisions too far, raise privacy and coercion concerns, and allow withdrawal of care inappropriately. The sponsor said the measure is intended to support patient autonomy and is not anti-life, and noted she was open to amendments. After public testimony, the committee voted on SB 312 and reported it favorably. The roll call showed support from Senators Berman and Harrell, with the bill passing on the committee vote. The meeting then adjourned.

Transcript Highlights:

• It sets aside 50% of those monies for licensed physicians.
• Everybody agrees we need physicians.
• And now with this 75% minimum, being offered to physicians.
• So physicians who are currently practicing are eligible.
• So current physicians are eligible.

Committee: House House Health & Human Services

Keywords: 996, all

Transcript Highlights:

• Bar as an internal medicine pediatrics physician recognized for her dedication to medically complex children
• This award is presented annually in honor of a physician for volunteering medical services and contributions
• <00:01:24.560><c> for</c><00:01:24.880><c> volunteering</c><00:01:25.680><c> medical</c> physician for
• volunteering medical physician for volunteering medical services<00:01:26.880><c> and</c><00:01:27.280
• And then we also have an agreement between physicians and PAs, and we can't forget the optometry part

Keywords: 1183, house

Transcript Highlights:

• It sets aside 50% of those monies for licensed physicians.
• My goal, Madam Chair, in preparing this was we need physicians.
• Everybody agrees we need physicians.
• Physicians who are currently practicing are eligible.
• So current physicians are eligible.

Summary: The committee heard House Bill 66, which would expand and restructure the Health Care Professional Loan Repayment Fund. The sponsor said the substitute narrows the bill to a $25 million fund, with 50% reserved for physicians and the rest for other health professionals, and raises physician awards to at least $75,000 per year for a four-year commitment. Supporters from nursing, physical therapy, health systems, social work, and advocacy groups said the program would help recruit and retain providers in New Mexico. The committee moved the substitute and then passed the bill on a do-pass motion. House Bill 38, dealing with coverage for prosthetics, orthotics, and mobility devices, drew extensive testimony from amputees, Paralympians, clinicians, and disability advocates. The bill would clarify and expand coverage for activity prosthetics, activity wheelchairs, and related complex rehab technology, with limits on the number of devices and replacement tied to physiological changes. Supporters said access to these devices is medically necessary for physical and mental health, independence, and participation in sports and daily life. After questions about provider qualifications, insurance contracting, and replacement for growing children, the committee adopted the substitute and passed the bill. House Bill 257 would appropriate funds to increase Medicaid reimbursement for vagus nerve stimulation implants for drug-resistant epilepsy. The sponsor and manufacturer’s representative argued current reimbursement is too low, leaving only UNM Hospital performing the procedures and limiting access statewide; they said better reimbursement could reduce emergency visits and long-term Medicaid costs. Members raised concerns about the bill’s language, including whether it could allow payment above allowable rates or create uncertainty about the reimbursement standard. A motion to table failed, and the committee then passed the bill 5-4, with several members noting they supported the concept but wanted the language tightened before the next committee. The committee also passed House Bill 178, which appropriates $3 million for shade structures in rural parks and outdoor recreation areas, after testimony that the project would reduce sun exposure, heat illness, and skin cancer risk. House Bill 198, which provides $2 million for peer-to-peer mental health training and treatment for first responders, also advanced on a do-pass without recommendation after members said they supported the goal but wanted clearer language on training standards, liability, and administration. Finally, House Bill 202, which would require data-sharing agreements to help the Office of Child Advocate access records from state agencies, drew support from child advocacy groups but concern from IT and family advocates about timelines, system complexity, privacy, and the need for family collaboration; the discussion continued with suggestions to refine the bill.