Transcript Highlights:

• This care requires multiple patient visits and relationships, but so many of those patients also need
• Many of these patients, and my patients, will never step foot in an SUD treatment agency until it's too
• The patient has to proactively want that.
• So we give you X amount per year for caring for any number of patients, you know, X per patient.
• I go down and see patients there.

Summary: The task force meeting opened with a brief organizational update, including new leadership, roll call, and an explanation of the task force’s statutory duties: to study current and future drug and substance use in Missouri, explore solutions, draft or modify legislation, and report recommendations on prevention and treatment. The chair outlined the summer hearing plan, which would feature field experts, with future sessions expected to cover alternative therapies such as psilocybin and ibogaine and testimony from the Department of Mental Health. Members were encouraged to think about legislative ideas and policy recommendations for the upcoming session. The first major testimony came from Dr. Rachel Winograd, who described Missouri’s overdose crisis as evolving into a “fourth wave” marked by fentanyl mixed with animal tranquilizers such as xylazine and medetomidine, along with methamphetamine and other synthetic drugs. She said overdose deaths have declined for a third straight year, with preliminary 2025 data around 1,200 deaths, but emphasized that the crisis remains severe. Her main recommendations were to focus on demand reduction rather than repeated supply crackdowns, expand evidence-based treatment—especially methadone and buprenorphine—broaden naloxone access, and improve practical supports like housing, transportation, and case management. She also said peer services are valuable but should not be used as a substitute for clinical care, and noted that Missouri Medicaid generally covers evidence-based treatment but reimbursement for peer recovery services remains a gap. Dr. Heidi Miller, the state medical director at the Department of Health and Senior Services, reinforced the call for integrating substance use disorder care into whole-person health care. She highlighted the state naloxone standing order, which supports more than 11,000 Medicaid naloxone prescriptions annually, and urged five best practices: integrating SUD treatment into primary care, maternal health, general medical training, EMS initiation of buprenorphine after overdose, and expanded methadone access. She also argued for team-based reimbursement, stronger parity enforcement between behavioral health/SUD and physical health, and caution in regulating emerging substances so policy does not outrun the science. Dr. Doug Burgess of University Health in Kansas City echoed the integration theme, arguing that Missouri’s system is too fragmented and that patients are often stabilized and then left to coordinate their own next steps. He compared ideal SUD care to the coordinated response used for heart attacks, with seamless transitions from emergency care to inpatient treatment, rehab, and outpatient follow-up. He said treatment courts can be effective when they are well coordinated and informed by addiction science, and he stressed the importance of discharge planning, peer recovery coaches, information-sharing, and maintaining Medicaid coverage during justice involvement. No formal votes or committee actions were taken during this portion of the meeting.

Transcript Highlights:

• We have five intake specialists who manage those complaints. Last year was the first year.
• Intake specialists who managed those complaints.
• Because of that, there are two positions in there that are going to add to our intake specialist team
• There are three FTEs associated with the bill: the two new intake specialists and the one deputy attorney

Keywords: 1064, all

Transcript Highlights:

• We have five intake specialists who manage those complaints. Last year was the first year.
• Intake specialists who managed those complaints.
• Because of that, there are two positions in there that are going to add to our intake specialist team
• There are three FTEs associated with the bill: the two new intake specialists and the one deputy attorney

Summary: The Senate reconvened, received House communications and committee reports, and then took up several bills and a resolution. Committee reports covered measures on composting, volunteer background checks, campaign finance, the Delaware John Lewis Voting Rights Act, publication of Public Integrity Commission reports, Cheswold’s territorial limits, child support, alcohol and marijuana, salary supplements, certified registered nurse anesthetists, land use, school taxes, and a constitutional elections amendment. House Bill 344 and House Bill 444 were referred to the Senate Finance Committee. The Senate also confirmed the nomination of Christy N. Vitola as Commissioner of the Family Court by a 21-0 vote. The chamber then recognized several fellows and Girls’ State delegates, with tributes to the Legislative Fellows Program and the Communications Fellowship, followed by House Concurrent Resolution 152 honoring the 2026 Delaware Girls’ State participants. The resolution passed unanimously. Senators and guests spoke about the civic value of the program and introduced the Girls’ State leadership team and delegates. On legislation, the Senate passed House Bill 89, creating a dispute-resolution process for home improvement fraud and strengthening consumer protection enforcement; House Bill 381, requiring notice to the Attorney General of computer security breaches; House Substitute 1 for House Bill 407, making technical and penalty updates to the Hazardous Substance Cleanup Act; House Substitute 1 for House Bill 150, limiting civil arrests at courthouses and Industrial Accident Board offices; and House Substitute 2 for House Bill 94, restricting state and local participation in civil immigration enforcement at sensitive locations such as schools, houses of worship, and health care facilities, with emergency exceptions and reporting requirements. The Senate also began consideration of House Substitute 1 for House Bill 368, which would limit use of state and local resources for federal civil immigration enforcement while preserving exceptions for serious offenses and judicial warrants, but the transcript cuts off before final action on that bill.

Transcript Highlights:

• Right now, we have a pretty big backlog in our intake section, which is the group that first reviews
• up in May, we're going to have a week where virtually every attorney in the office picks up some intake
• And you are even trying in a very practical way to assign people the week of May to deal with the intake

Summary: The Senate Committee on Rules established a quorum and first approved several items without required appearances, including the appointments of Rick Simpson to the Commission on Teacher Credentialing and Trinidad Solis, M.D., and Gerald Talbert, M.D., to the Medical Board of California, along with references of bills to committees and floor acknowledgments. The committee then heard testimony on two State Bar of California appointments requiring appearance: George Cardona, J.D., for Chief Trial Counsel, and Laura Enderton Speed, J.D., for Executive Director. Cardona described his first four years as chief trial counsel, emphasizing reforms after the Girardi matter, including stronger conflict-of-interest and gift rules, tighter trust-account investigations, more data tracking, and efforts to reduce case backlogs and discipline disparities. Senators questioned him about the John Eastman disbarment case, the office’s role and jurisdiction, racial and Latino discipline disparities, unauthorized practice of law by notarios, staffing vacancies, and the use of AI in pleadings and internal work. Public witnesses from the State Bar, SEIU Local 1000, and others supported his confirmation, and the committee voted 3-0 to advance his appointment to the full Senate. Enderton Speed said she sought the executive director role to help restore public trust, strengthen discipline and admissions, and address the February 2025 bar exam problems. Senators asked about the State Bar’s budget deficit, hiring freeze, long-term fiscal stability, the bar exam audit and litigation, safeguards against conflicts and gifts, and the decision to move the February exam largely remote before returning to in-person administration for July. Public witnesses also supported her confirmation, citing leadership, accessibility, and a focus on core functions. The committee voted 5-0 to advance her appointment to the full Senate. The meeting ended with remarks honoring Senator Jones on his final day on the committee and a cake presentation before adjournment to executive session.

Transcript Highlights:

• We get a complaint, our intake slash Attorney Consumer Assistance Program reviews the complaint.
• We get a complaint, our intake slash attorney consumer assistance program, reviews the complaint.
• And then the intake staffer, who is a lawyer, reviews the facts and determines, does this need further

Summary: The Judiciary Committee met with a quorum present and Senator Thompson excused. The committee first considered Senate Bill 48 by Senator Garcia on judicial sales and procedures. Garcia explained a delete-all amendment that would create clearer statewide procedures for alternative judicial sales, increase transparency, remove bidding credits, extend sale timelines, and add oversight for auctioneers and escrow agents to prevent fraud and collusion. After no questions or opposition, the amendment was adopted, Senator Pasadoma said the rewrite addressed many of his concerns, and the committee then voted CS for SB 48 favorably with unanimous yes votes from members present. The committee then received a presentation from the Seminole County Sheriff’s Office on the effectiveness of Florida’s recent anti-squatting law, House Bill 621/SB 888. Presenters described several cases in which deputies used the new process to remove unlawful occupants, including a false landlord report, a long-term fake lease situation, and a more recent unlawful occupancy case. They said the law has helped protect property owners and potential victims, but suggested technical changes: clearer authorization for deputies to enter and use force if needed, and a fix to the affidavit penalty provision because false statements are currently being charged as false reports rather than perjury under the existing wording. The Florida Bar also presented on its role in regulating lawyers, lawyer advertising, and the unlicensed practice of law. Bar leaders explained that the Bar operates under the Florida Supreme Court’s authority, is funded by member fees, and handles complaints through a multi-step process involving intake, branch offices, grievance committees, referees, and final Supreme Court review. They described advertising review procedures, discipline statistics, consumer assistance, the Clients’ Security Fund, and enforcement against unlicensed practice. Senators asked about the Legislature’s authority over lawyer advertising, the prevalence of legal ads, the role of public members on grievance committees, and how those members are selected and used.

Transcript Highlights:

• I’ve watched my patients take their first steps, ride bikes, try out for teams, and dream big.
• I've also had to see the disappointment in patients' eyes when we've had to tell them their insurance
• Every intake we do, we clearly disclose, even when they sign on to see their matches because we use a
• Sam Coren, here, but he had to go back to see patients from Kansas City.
• Once you got in there with the patient on the surgery side of things, so I don’t think anybody wants

Summary: The House Committee on Health and Mental Health met in executive session and advanced several bills. HB 1881 was voted do pass without discussion. HB 3010 was amended with a committee substitute that removed a subsection allowing payers to remove “gold carding” based on procedure volume changes, then passed 10-0. HB 2355, the “Food is Medicine” bill, received a committee amendment to align terminology with other partnerships and then passed 11-0. HB 1855, dealing with alpha-gal reporting, was substantially revised: the substitute narrowed the bill to alpha-gal, removed Lyme disease, changed a department duty from mandatory to discretionary in one section, and delayed reporting implementation; it then passed 14-0 after members discussed the need for better disease tracking and the department’s workload. The committee then heard testimony on HB 2034, which would require insurance coverage for activity-based prostheses, orthotics, and high-performance or mobility-supportive wheelchairs. Sponsor Representative Carolyn Caton said the bill is intended to cover devices that help people live, exercise, and avoid secondary health problems, while preserving prior authorization and medical-necessity review. Supporters included clinicians, parents, amputees, and athletes who described being denied running blades, water-safe prostheses, or durable wheelchairs and said the devices are essential for health, independence, mental well-being, and participation in school, work, and sports. Several witnesses said the bill would reduce long-term costs and reliance on charity. Opponents, including the Missouri Insurance Coalition and America’s Health Insurance Plans, argued the bill is an expansion of coverage with unclear definitions and potentially significant costs, especially for Medicaid and other state-regulated plans. They cited the fiscal note, warned about possible federal ACA rule changes that could shift costs to states, and questioned whether the bill’s language on Medicare supplemental coverage and “perceived disability” was workable or preempted. Committee members pressed both sides on cost savings, definitions of “normal” activity, and whether the bill could be narrowed or otherwise revised, and several said they were willing to keep working on the issue. The hearing on HB 2034 was left open and then recessed after testimony, with no vote taken in the portion provided.

Transcript Highlights:

• patient safety bill.
• Patient safety experts promote the concept that safe delivery of care is dependent on two things patient
• Um, in addition to representing patients, I spend an inordinate amount of my time advocating for patient
• Because I'm a patient and everyone that I love is a patient.
• and everyone we love is a patient.

Bills: HB15, HB171, HB204

Keywords: flood risk, campground, safety regulations, civil penalty, guest safety, Harris County, flood control, governance, expansion, public health, local governance, environmental management

Transcript Highlights:

• I've watched my patients take their first steps, ride bikes, try out for teams, and dream big.
• I've also had to see the disappointment in patients' eyes when we've had to tell them their insurance
• Every family we talk to at length, every intake we do, we clearly disclose, even when they sign on to
• She was thrown to the ground by one of her patients and kicked repeatedly in the stomach.
• Sam Coren, here, but he had to go back to see patients from Kansas City.

Keywords: 959, house, all

Transcript Highlights:

• Someone seeking CalFresh benefits must go through an intake meeting.
• , and this is going to get worse due to the new H.R. 1 requirements, individuals often show up to intake
• As a result, the intake meeting often... Intake meetings without all the proper documents.
• As a result, the intake meeting often stops and is rescheduled.
• For example, in addition to screening for exemptions at intake and recertification per the guidance,

Summary: The Assembly Budget Subcommittee on Human Services opened its first hearing of the year with a discussion centered on CalFresh, the Department of Social Services, and related anti-poverty and immigrant services programs. Chair Jackson framed the hearing as a response to the “historic and enormous challenges” created by H.R. 1, emphasizing that the committee’s goal was to minimize harm to vulnerable Californians. No votes were taken in the hearing. The first major topic was the impact of H.R. 1 on CalFresh eligibility and administration. CDSS estimated major federal funding reductions, with hundreds of thousands of Californians potentially losing benefits under new time limits and work requirements for able-bodied adults without dependents, and additional losses among certain non-citizen groups. County welfare directors, eligibility workers, SEIU, and other advocates argued that counties are underfunded and understaffed to implement the new rules, and urged release of the previously authorized $20 million General Fund, a county match waiver, and an additional ongoing workforce investment. LAO and the Department of Finance said they were reviewing the administration’s proposals and emphasized the need to use existing data, automation, and statutory direction to reduce administrative burden and improve implementation. A second panel addressed county administrative backfill and the broader fiscal effects of H.R. 1. CDSS explained that the law shifts more administrative costs to the state and counties beginning in federal fiscal year 2027 and could also create future state benefit costs tied to payment error rates. County and food bank representatives warned that many counties will struggle to absorb the higher match and that penalties tied to payment error rates could worsen budget pressure. Members pressed Finance and CDSS for clearer timelines, written responses, and more detailed workload assumptions, while Finance said it was still analyzing the federal guidance and county resource needs. The final major topic was the California Food Assistance Program (CFAP) and possible state responses for people losing federal CalFresh eligibility. CDSS said CFAP remains limited by statute and by the federal structure it currently uses, but that the planned expansion to Californians age 55 and older regardless of immigration status remains on track for October 1, 2027, subject to funding. Immigrant advocates urged the state to fold newly excluded humanitarian immigrants into CFAP and to invest in outreach and administration, while Western Center on Law and Poverty proposed a broader state-funded anti-hunger response for people cut off by H.R. 1. LAO noted that the CFAP expansion is difficult to estimate and that further policy and technical work would be needed to assess costs and implementation options.

Transcript Highlights:

• In order to comply with this bill, there's going to need to be new intake systems for sensitive documents
• And finally, the bill improves patient safety by allowing emergency suspension orders for health care
• This matters because supervision is a patient safety issue.
• This matters because supervision is a patient safety issue.
• Pharmacy as the expert regulatory body to adopt a rule that balances efficiency and access to care with patient

Keywords: 998, house, all

Transcript Highlights:

• Whereas, I mean, like your county's juvenile intake would be like a day in Harris County. Correct?
• Like your one-year intake is a day.
• who was small in stature, literally made a decision before he went in on the first day during the intake

Bills: HB1511, HB1831, HB1988, HB2147, HB2234

Keywords: housing, affordable housing, state regulations, zoning, local government authority, drug court, juvenile justice, diversion programs, rehabilitation, criminal justice reform, remote proceedings, depositions, virtual hearings, court technology, criminal responsibility, age of maturity, expungement, mental health services, juvenile record sealing, 1184

Transcript Highlights:

• It might be the fastest intake process has ever been.
• So fastest intake process has ever been.
• </c> Saturday you you have your intake Saturday you you have your intake complete<01:22:52.480><c> and
• Once the application is through intake, it goes on to the planning department.
• ,</c><01:29:20.159><c> it</c> the application is through intake, it the application is through intake

Keywords: 910, house, all

Summary: The task force held its first meeting, beginning with roll call and introductions of members and participants in the room and on Zoom. The chair emphasized Sunshine Law transparency, noted the meeting was on September 11, and opened public testimony on the orientation report. No one testified in person or on Zoom, and the chair observed a moment of silence in remembrance of 9/11 before moving into the agenda. The chair then reported on several orientation presentations given statewide between July 18 and September 5, including meetings with transit-oriented development, the Maui Chamber of Commerce, the Kona-Kohala Chamber, the Japanese Chamber of Commerce on Hawaiʻi Island, the Hawaiʻi Island Chamber of Commerce, the Hawaiʻi Island Native Hawaiian Chamber, and the Capo Chamber of Commerce. The main presentation item was a detailed overview from Kauaʻi County on its permitting process. County staff explained that zoning and building permits are handled separately on the outer islands, with zoning focused on form, character, and compatibility, and building permits focused on health and safety. They described a two-tier zoning system: ministerial permits that are automatically approved if not acted on within 30 days, and discretionary permits that go to the planning commission and can become lengthy contested cases if there is intervention. They also discussed special management area review in coastal areas, which can add time, and explained that building permits must conform to what was approved in zoning. Kauaʻi County staff also outlined the building permit process, including online and in-person submission, coordination with planning, engineering, water, wastewater, health, and fire agencies, and the county’s fully electronic review system using ProjectDox and related software. They noted that applicants are encouraged to check zoning, water, wastewater, and floodplain issues before hiring someone to prepare plans, especially for homeowners. The county shared permit and utility statistics and said the public can check permit history through Click2Gov. No votes were taken during the portion of the meeting provided; after the Kauaʻi presentation, the chair opened a question period for members.

Transcript Highlights:

• last week, we have seen some misinformation floating around in social media about our Missouri River intake
• Last week, we have seen some misinformation floating around in social media about our Missouri River intake
• So in the 2023 session, the legislature directed us to do a Missouri River intake study, just a desktop
• , things like that, to see where could potential locations be on the Missouri River for new water intakes
• , things like that, to see where potential locations could be on the Missouri River for new water intakes

Summary: The committee met in Grand Forks, approved the February 26 minutes by voice vote, and recessed for a tour of Minnkota Power Cooperative before hearing presentations on large energy consumers and related infrastructure issues. The first presentation, from the North Dakota Transmission Authority, focused on the need for better local decision-making tools for counties, townships, and planning and zoning boards facing major projects such as transmission lines, pipelines, data centers, wind, solar, and large-scale agriculture. The speaker urged more objective, data-driven analysis, noted that local officials often have limited time and resources, and said the state should support training and tools through groups like the League of Cities and the Association of Counties. Members asked about proactive outreach, data center ordinances, and how to avoid subsidizing large loads or causing reliability problems. The Division of Air Quality then discussed environmental oversight of data centers, emphasizing that North Dakota’s air remains among the cleanest in the country and that the agency’s role is limited to air, water discharge, stormwater, and waste—not zoning or water use. The presentation explained that data centers generally have low direct emissions but may rely on diesel backup generators when the grid is unavailable, which creates air-quality concerns; the department said it is requiring air monitors at some projects to collect real-world data and guide future decisions. Members asked about generator emissions, misinformation, monitoring costs, and staffing succession, and the agency said permit applicants pay for the monitors while the state handles some QA work. The Department of Water Resources followed with an overview of North Dakota water law and data center water use. The director explained the state’s prior-appropriation system, the public-interest review for permits, and the large overall water supply available from groundwater and the Missouri River. He said most proposed data centers use closed-loop cooling systems and generally request relatively small amounts of water compared with other uses such as power plants, irrigation, and oilfield operations, and that even a worst-case data center scenario would use only a tiny fraction of Missouri River flow. Questions focused on downstream impacts and comparisons to fracking water use, and the director said the state’s use is too small to materially affect downstream users. Later, McLean County State’s Attorney Ladd-Erickson testified online about data center zoning and permitting. He asked the committee to have Legislative Council gather information on how other states handle data center permitting and to keep the topic on the interim agenda. He argued that local zoning should remain local, but said counties lack the technical and legal resources to manage complex reclamation or bonding requirements and that state-level enabling legislation may be more appropriate. He also recommended eliminating tax incentives for data centers. The committee chair said staff would prepare a document on other states’ zoning and permitting approaches. After a lunch recess, the committee reconvened at the EERC, where CEO Charles Gorecki gave an overview of the center’s 75 years of work and its role in oil and gas, carbon management, and other energy technologies, highlighting enhanced oil recovery and carbon dioxide utilization as major opportunities for future production and tax revenue.

Transcript Highlights:

• And then what is the intake process at the Ethics Commission?
• And then what is the intake process at the Ethics Commission?
• And then what is the intake process at the Ethics Commission?
• Um, would the Ethics Commission be able to handle the additional intake of disclosures with this broadening
• Um, would the Ethics Commission be able to handle the additional intake of disclosures with this broadening

Bills: SB2543, SB2014, SB2115, SB3095, SB3264, SB2114, SB2117, SB2246, SB2519, SB3055, SB3131, SB3144

Keywords: state construction, construction manager, design review, public works, capital improvement, DAGS, Department of Accounting and General Services, DOE, Department of Education, comptroller, pilot program, design review special fund, county permit review, accessibility compliance, Disability and Communication Access Board, state infrastructure, government construction, project oversight, civil service exemption, county agencies

Transcript Highlights:

• version of the bill, which is why, again, I don't see a harm in doing that kind of presentation and intake
• allowing us the time now to have the bill in front of us now. ...and doing that kind of presentation and intake
• No one's ever going to be prohibited from doing what's right for a patient.

Bills: SB40, SB104, SB136, SB164

Keywords: SB40, Driver Privacy and Safety Act, automated license plate reader, ALPR, license plate reader, vehicle surveillance, privacy, data sharing, law enforcement data, immigration enforcement, reproductive health care, gender-affirming care, civil liberties, surveillance, public records, Inspection of Public Records Act, New Mexico State Police, Department of Public Safety, data sovereignty, vehicle tracking

Transcript Highlights:

• version of the bill, which is why, again, I don't see a harm in doing that kind of presentation and intake
• and then allowing us the time now to have the bill. ...and doing that kind of presentation and intake
• No one’s ever going to be prohibited from doing what’s right for a patient.

Bills: HB99, HB38, HB165, HB127, HB72, HB151, SB40, SB104, SB136, SB164

Keywords: medical malpractice, malpractice reform, patient's compensation fund, PCF, health care liability, tort reform, damage caps, punitive damages, hospital liability, physician liability, nurse practitioner, certified nurse-midwife, outpatient facility, ambulatory surgical center, urgent care, free-standing emergency room, insurance surcharge, superintendent of insurance, New Mexico hospitals, medical review process

Summary: The committee first took up Senate Bill 40, a committee substitute addressing automated license plate readers (ALPRs) and privacy. Sponsor Sen. Worth said the bill was intended to preserve ALPRs as a law-enforcement tool while adding guardrails to prevent sharing or selling data for immigration enforcement, protected health care activity, or criminalizing constitutionally protected conduct. Supporters included state and local law enforcement, the ACLU, immigrant-rights, reproductive-rights, and sexual-assault advocacy groups. Law enforcement witnesses said the bill balanced privacy with public safety and cited cases where ALPRs helped locate kidnapped children, murder suspects, and stolen vehicles; opponents and some senators argued the bill was too narrow, too focused on immigration and health care, and raised concerns about federal law, data sales, and enforcement. After debate, the committee adopted an amendment removing subsection F, then approved the committee substitute and advanced SB 40 on a do-pass motion. The committee then heard Senate Bill 104, which would create a process for removing wildlife commissioners after the 2023 wildlife commission legislation and the governor’s veto of the prior removal language. Sen. Worth explained that SB 104 would allow the governor to initiate removal for malfeasance, incompetence, or failure to attend meetings, with notice, a hearing, and exclusive review by the state Supreme Court; he said it was modeled on the Board of Regents removal process and was intended to complete the wildlife commission reforms. The New Mexico Wildlife Federation, Audubon Southwest, and the Department of Game and Fish supported the bill, saying it would depoliticize wildlife management and provide stability. Senators asked about the existing “three consecutive meetings” vacancy language, current vacancies, and the prior removal of a commissioner. The committee discussed the governor’s earlier veto and whether the bill was necessary, but no amendment was adopted and the committee approved SB 104 on a do-pass motion.

Transcript Highlights:

• That brings us to Representativeammy West, you've been sitting there patiently waiting, we will recognize
• We have patients that are on hospice with a particular hospice company, and what's happening is we have
• representatives from other Hospice companies coming in and stealing the patient basically.
• So, this is just clarifying that one hospice cannot come in and Hijack a patient from another hospice

Bills: SB667, SB904, SB1344, SB1380, SB1423, SB1425, SB1484, SB1500, SB1502, SB1503, SB1555, SB1561, SB1562, SB1565, SB1572, SB1644, SB1749, SB1833, SB2007, SB2044, SB2074

Keywords: chiropractic, licensure, animal chiropractic, Board of Chiropractic Examiners, licensing requirements, gender transition, gender-affirming care, transgender, puberty blockers, cross-sex hormones, hormone therapy, sex reassignment, transition surgery, Medicaid, public funds, state facilities, state hospital, Oklahoma, intersex, DSD

Transcript Highlights:

• You've been sitting there patiently waiting. We will recognize you to present Senate Bill 1833.
• We have patients that are on hospice with a particular hospice company.
• what's happening is we have representatives from other hospice companies coming in and stealing the patient
• So this is just clarifying that one hospice cannot come in and hijack a patient from another hospice

Bills: SB667, SB904, SB1344, SB1380, SB1423, SB1425, SB1484, SB1500, SB1502, SB1503, SB1555, SB1561, SB1562, SB1565, SB1572, SB1644, SB1749, SB1833, SB2007, SB2044, SB2074

Keywords: chiropractic, licensure, animal chiropractic, Board of Chiropractic Examiners, licensing requirements, gender transition, gender-affirming care, transgender, puberty blockers, cross-sex hormones, hormone therapy, sex reassignment, transition surgery, Medicaid, public funds, state facilities, state hospital, Oklahoma, intersex, DSD

Summary: The committee heard and advanced a large number of health-related bills, with much of the agenda focused on pharmacy benefit manager (PBM) regulation, Medicaid administration, and health-system cleanup measures. Bills passed included HB 1344 on insulin affordability and state support for low-cost biosimilar insulin manufacturing; HB 1380 requiring the Health Care Authority to check death records to disenroll deceased Medicaid recipients; SB 2007 and SB 2074, both PBM-related measures addressing pharmacist reimbursement, dispensing fees, appeals, and penalties; SB 1572 creating a feasibility study on reorganizing the Department of Mental Health and Substance Abuse Services and temporarily allowing the Health Commissioner to serve in a dual role; and SB 1555 updating the definition of intellectual disability to match the federal definition. Members also approved several bills eliminating or repealing outdated councils and programs, including SB 1423 ending the Hospital Advisory Council, SB 1425 repealing the Health Care Workers and Educators’ Assistance Program and Health Care Workforce Resources Center, and SB 1502 eliminating the Alzheimer Dementia Disclosure Act Advisory Council. Other measures passed included SB 1561 changing EMS discipline to a progressive system, SB 244 and SB 667 making chiropractic language and training cleanup changes, SB 1749 on LP gas inspections for food trailers, SB 1484 requiring more detailed medical information for infant and child death investigations, SB 1562 clarifying hospice patient protections, and SB 1644 creating reporting related to alpha-gal to support possible research funding. The most debated bill was SB 1503, which would expand the Choosing Childbirth Act so nonprofits without an Oklahoma physical address could receive grants to connect women seeking abortions with pregnancy resources. Members questioned whether grant dollars and salaries would stay in Oklahoma, whether reporting and accountability would be sufficient, and whether Oklahoma-based providers could do the work instead. The bill passed 5-2 after the sponsor said he was open to amendments and oversight. SB 1833, codifying a SNAP waiver restricting candy and soft drink purchases, and SB 904, modifying the use of certain state funds and facilities for medical procedures, also drew questions and passed on divided votes. The meeting ended after all listed bills were heard and voted on, with most measures passing unanimously or by wide margins.

Bills: HB5560, HB2, HB24, HB3233, HB1397, HB2067, HB3133, HB5696, HB5680, HB2885, HB3966, HB3556, HB3595, HB144, HB26, HB2038, HB521, HB4, HB 1178, HB42, HB 1211, HB783, HB3963, HB2240, HB1690, HB 1234, HB3372, HB27, HB4211, HB2243, HB2853, HB4638, HJR7, HB 100, HB 126, HB3783, HB5138, HB2512, HB5616, HB4751, SB17, SB1637, SB1833, SB2155, SB21, SB2778, SB260, SB8, SB12, SB37, SB379, SB441, SB1566, SB2878, HB4112, HB3866, HB4749, HB2844, HB150

Keywords: groundwater, civil penalties, water conservation, drought contingency, environmental protection, public education, teacher compensation, certification, funding, school finance, educator rights, education funding, charter schools, staff compensation, state aid, retention allotment, zoning, public notice, local government, residential development

Bills: HB5560, HB2, HB24, HB3233, HB1397, HB2067, HB3133, HB5696, HB5680, HB2885, HB3966, HB3556, HB3595, HB144, HB26, HB2038, HB521, HB4, HB 1178, HB42, HB 1211, HB783, HB3963, HB2240, HB1690, HB 1234, HB3372, HB27, HB4211, HB2243, HB2853, HB4638, HJR7, HB 100, HB 126, HB3783, HB5138, HB2512, HB5616, HB4751, SB17, SB1637, SB1833, SB2155, SB21, SB2778, SB260, SB8, SB12, SB37, SB379, SB441, SB1566, SB2878, HB4112, HB3866, HB4749, HB2844, HB150

Keywords: groundwater, civil penalties, water conservation, drought contingency, environmental protection, public education, teacher compensation, certification, funding, school finance, educator rights, education funding, charter schools, staff compensation, state aid, retention allotment, zoning, public notice, local government, residential development