Transcript Highlights:

• </c><04:27:45.520><c> is</c><04:27:45.760><c> considered</c><04:27:46.239><c> treatment</c> my treatment
• is considered treatment my treatment is considered treatment when<04:27:47.080><c> I'm</c><04:27:47.359
• Currently, half a million Americans are on Medicaid. any treatment in the state of New any treatment
• ><c> are</c><04:37:10.959><c> already</c> treatment in which people are already treatment in which people
• </c> all feeling and thanks to the treatment all feeling and thanks to the treatment that<04:45:16.798

Committee: Senate Health and Human Services

Transcript Highlights:

• Steven Wright, Louisiana addiction treatment providers, not wishing to speak. Mr. Kormay, Ms.
• People who need cancer treatment, people who need heart surgery are being denied those treatments because
• Because if the answer is I no longer have... ...a sewer treatment plant at my home.
• They have individualized sewer treatment systems. So his argument is, I'm paying...
• And all of my rental properties have individual sewer treatment systems.

Committee: House Health and Welfare

Summary: The committee met on March 25 and first took up HB 199, which would extend Louisiana’s nursing home moratorium. Chairman Miller amended the bill to shorten the extension from five years to four, moving the termination date to July 1, 2031. Rep. Barault argued the state faces a growing bed-capacity problem and proposed an amendment to exempt St. Tammany Parish; Rep. Cruz offered a substitute to reduce the extension to three years. The Nursing Home Association said it had negotiated in good faith and supported the four-year compromise, while the Pelican Institute opposed the moratorium as anti-competitive. A St. Tammany resident testified that her mother faced a long wait for placement and that more local beds are needed. The three-year substitute and the St. Tammany exemption both failed, and HB 199 was reported favorably with the four-year amendment. The committee then favorably reported HB 223 to recreate the Department of Children and Family Services for four more years, with Secretary Rebecca Harris saying the department’s recent reorganization has allowed it to focus more directly on child safety and child welfare. Members discussed planned reforms such as differentiated response, stronger community-based care, and the transfer of TANF to Louisiana Works in 2027. HB 907, which grants civil and criminal immunity for the use or distribution of expired naloxone or other opioid antagonists, also passed with technical amendments; public health officials and members emphasized that expired naloxone remains effective enough to save lives and should still be used in emergencies. HB 535, which streamlines hospital-based acknowledgements of paternity by allowing notarization without two witnesses, was reported favorably after Woman’s Hospital testified that the change would speed up paternity establishment, child support enforcement, and the addition of fathers to birth certificates. HB 554, which would increase penalties for violations at health care facilities and require LDH reporting, drew testimony from a family member describing serious care failures and from LDH, which said it already has caps on fines and that the bill would not change those caps. Rep. Jackson amended the bill to require LDH to publish fines assessed and collected and to list facilities with repeated immediate jeopardy or actual harm deficiencies, but the bill was then voluntarily deferred for a week to allow further discussion with the department. The committee also reported HB 224, a largely technical update to the Children’s Code recommended by the Louisiana State Law Institute, HB 246, which updates membership of the Children’s Cabinet Advisory Board and related bodies, and HB 405, which updates the name of the national acupuncture certifying organization. HB 222, requiring Medicaid coverage for certain dental procedures when needed to clear patients for other medically necessary treatment, was reported favorably despite a fiscal note. Finally, HB 235 on sewer systems generated extensive discussion: Rep. Fontenot described rising sewer rates, poor maintenance, and sewage overflows in his district, and argued for allowing property owners to install private sewer treatment systems in certain circumstances. Members raised concerns about local control, PSC rate-setting, and whether local governments should have more authority over sewer service decisions; the bill was still under discussion when the transcript ended.

Transcript Highlights:

• </c> for an additional type of treatment for an additional type of treatment we're<00:24:14.720><c> actually
• , and adds two treatments.
• , and adds two treatments.
• , uh, actual treatments are covered.
• of the new ongoing, uh, actual treatments are covered.

Committee: Senate Health and Human Services

Transcript Highlights:

• And Gabe, did you want to take over on the outreach and treatment one? Sounds great.
• I'm happy to go through the outreach and treatment section.
• Gabe to lead us through outreach and treatment. Thanks, Jess. Thank you again, commissioners.
• And non-clinical workers providing substance use services and treatment.
• Workers providing substance use services and treatment.

Summary: The special commission on xylazine held its fifth and final public meeting to review and finalize its report before submission to the House and Senate clerks. Chair Mindy Domb opened the meeting, noted Senator John Velis was absent due to National Guard deployment, and the commission approved the minutes from the February 9 meeting. Staff then walked commissioners through the final draft, focusing on edits since the prior review and on appendices that would be completed after the meeting. Commissioners discussed several substantive wording changes, including clarifying that xylazine is an active adulterant rather than a bulking agent, replacing “non-clinician” with “non-clinical staff,” removing or softening references to “hotspots,” and refining language about medical consequences and financial costs of delayed wound care. They also discussed adding or strengthening references to harm reduction measures, drug checking, overdose prevention centers, oxygenation, airway positioning, naloxone use, and language access considerations in educational materials. The report’s main findings and recommendations centered on best practices for oversight and enforcement, outreach and treatment, emergency response, and education/training for first responders, medical providers, non-clinical staff, people who use drugs, and people in recovery. Commissioners emphasized the need for timely, accessible, and tailored training; better data collection and public health surveillance; stronger legal protections for drug checking; and coordination among public health, public safety, and legal stakeholders to address xylazine and emerging adulterants. There was also discussion of a recommendation for the Attorney General to compile guidance for law enforcement in consultation with experts, though staff clarified that this would not be the sole function of the broader public body envisioned in the report. After reviewing the final language, the commission voted unanimously among members present to approve the final report, with one abstention on the earlier minutes vote and absent members to submit written votes within 24 hours for inclusion in Appendix A. Chair Domb then read a letter from Senator Velis expressing support for the report and its recommendations despite his inability to vote in person. Commissioners offered closing remarks thanking staff and one another for the collaborative work, and the meeting adjourned at 11:11 a.m., with staff to submit the report to the clerks and post it online.

Transcript Highlights:

• And I know Senator Rouson and I have worked very closely on many of these bills relating to treatment
• Treatment delayed. Dignity denied. This is not an isolated experience.
• Treatment delayed. Dignity denied. Dignity denied. labeled a drug-seeking. Treatment delayed.
• SB 844 should not, is not, about special treatment. It is about equal, informed, timely care.
• The bill addresses these inefficiencies to ensure timely treatment and clearer standards.

Bills: S0006 , S0036 , S0560 , S0778 , S0844 , S0864 , S1002 , S1016 , S1022 , S1030 , S1630

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The Appropriations Committee on Health and Human Services heard and advanced a series of health, child welfare, aging, disability, and public records bills. CS/SB 1002, on child welfare and parental substance abuse, was described as clarifying that acute or chronic parental drug abuse can constitute harm or neglect when it creates an ongoing risk to a child; it passed after limited questions and supportive testimony from Florida Smart Justice Alliance. CS/SB 1630, a broad aging and long-term care modernization bill, would streamline eligibility screenings, allow temporary DOEA services during emergencies or lead agency failures, tighten oversight of area agencies on aging, permanently establish the Florida Alzheimer’s Care Center of Excellence, and expand guardianship training and enforcement tools; it drew support from AARP, area agencies, and the Alzheimer’s Association and was reported favorably. The committee also approved SB 1022 to add Bay County and Pompano to the Florida Children’s Initiatives, and CS/SB 1030, via strike-all amendment, to streamline regulation of substance abuse and behavioral health providers and clarify background screening and privacy rules. Several bills focused on health care practice and patient access. CS/SB 36, with an amendment, allows nurses with doctoral degrees to use appropriate titles while requiring clear identification as nurses and making misuse grounds for discipline; nursing organizations supported it and it passed. CS/SB 844 requires physicians and nurses to complete a one-time, board-approved continuing education course on sickle cell disease care management, with multiple patients and advocates testifying about delayed care, bias, and the need for better provider education; the bill was reported favorably after an amendment aligning it with the House version. CS/SB 560 streamlines procedures for psychotropic medication for children in DCF custody by reducing duplicative reports, clarifying evaluator qualifications, limiting repeated background checks, and simplifying consent documentation; an amendment removed postsecondary education language, and the bill passed. The committee also approved a public records exemption bill for a uterine fibroids research database (CS/SB 864). The committee also advanced measures affecting disability services and forensic care. SB 6, a claims bill, would pay $3.8 million to a trust for a child who suffered severe abuse-related injuries after DCF involvement; it passed without opposition. SB 778 updates the definition of forensic clients so certain individuals with intellectual disabilities or autism found incompetent to proceed can be housed in the same secure forensic setting, reducing duplicative staffing and space needs; it was reported favorably. CS/SB 1016 codifies the Working People with Disabilities Program, allowing eligible developmentally disabled adults to work while retaining Medicaid waiver benefits and requiring notice to enrollees; advocates described the bill as essential to employment and independence, and it passed. Throughout the meeting, most bills received supportive public testimony, few questions, and unanimous or near-unanimous favorable votes.

Transcript Highlights:

• They will be more readily offered MAID than treatment.
• They will be more readily offered made than treatment.
• It was found early and after treatment, I'm well.
• to life-prolonging treatment.
• You can do palliative care as you have treatment.

Committee: Joint Joint Committee on Public Health

Summary: The Joint Committee on Public Health opened its first hearing of the session and heard testimony on bills in three areas: emergency medical services/AED access, athletic training and student safety, and end-of-life options. Committee chairs outlined testimony rules and noted that written testimony would also be accepted. Some bills had no live witnesses, while others drew extensive testimony from advocates, professionals, and legislators. On AED-related bills, the American Heart Association supported requiring automated external defibrillators at sporting events and athletic fields, citing sudden cardiac arrest survival rates and urging cardiac emergency response plans as an added safeguard. A parks and recreation professional supported AED access but raised concerns about the cost, staffing, maintenance, and feasibility for municipalities with limited resources. Athletic trainers supported expanding their scope of practice and removing workplace restrictions, arguing it would improve injury prevention, reduce costs, and help retain professionals in Massachusetts. The committee also took extensive testimony on end-of-life options legislation. Supporters included legislators, physicians, hospice volunteers, clergy, patients’ family members, and advocacy groups, who described the bills as allowing terminally ill, mentally capable adults to choose a peaceful death with strict safeguards and self-administration requirements. They emphasized personal stories of suffering, public support, and the claim that other states have not seen abuse. Opponents, including faith-based, disability-rights, and family policy representatives, argued the bills amount to physician-assisted suicide, could pressure vulnerable people, and may be influenced by prognosis errors, coercion, or financial incentives. No votes or final committee actions were taken during the hearing.

Transcript Highlights:

• </c> people enter a residential treatment people enter a residential treatment program<01:30:07.679><
• We are essentially jailing children instead of getting them mental health treatment.
• </c><01:52:39.159><c> so</c> getting them mental health treatment so getting them mental health treatment
• </c><01:58:37.520><c> setting</c> is not an appropriate treatment setting is not an appropriate treatment
• </c> start in a local intensive treatment start in a local intensive treatment setting<02:04:35.639><

Committee: Senate Health and Human Services

Transcript Highlights:

• Diagnosis, monitoring, and treatment are all regulated by the FDA.
• That leads to better diagnosis and treatment recommendations.
• of our treatment, and they continued to do well.
• Do we need to go in for another set of treatments?
• Do we need to kind of go in for another set of treatments?

Summary: The Assembly Select Committee on Biotechnology and Medical Technology held a hearing on California’s medical technology landscape, with opening remarks emphasizing the sector’s size, economic impact, and role in jobs and innovation. The first panel contrasted MedTech with biopharma, describing MedTech as hardware- and manufacturing-oriented, more incremental in development, and more dependent on supply chains, land use, and mid-skilled workforce pipelines. Witnesses argued California is the epicenter for MedTech because of its mix of engineering, software, hospitals, and manufacturing ecosystems, and cited clusters in places like Irvine, Fremont, Carlsbad, and the Bay Area. They also highlighted examples such as Penumbra and Vyaire Medical Systems to show how local manufacturing, community college training, and reshoring can support growth. The panel discussed cybersecurity, trade relations, supply chain disruptions, and the need for better coordination with hospitals and regulators, while AdvaMed stressed that medical devices are already heavily regulated by the FDA and should generally be exempt from broader state laws that could create a patchwork of requirements. Members also discussed AI in MedTech, workforce training, and the possible effects of federal NIH funding cuts, with witnesses saying MedTech is less dependent on NIH than biopharma but still benefits from a strong innovation ecosystem. Committee members then asked about AI, affordability, patient satisfaction, women’s health, and the R&D tax credit. Witnesses said AI is helping reduce errors, redundant testing, and imaging time, while keeping clinicians in the loop, and that digital pathology and robotic surgery are improving diagnosis and treatment. They also noted that packaging, plastics, and recycling can affect FDA approvals, and that FemTech is an active and growing area for investment and acquisition. Several members raised concerns about California’s regulatory and incentive environment, including the loss of the R&D tax credit, and witnesses said the absence of tax incentives has made it harder to keep companies and jobs in the state. The second panel featured company representatives from Lyca Biosystems, Intuitive, Saravia Neurosciences, and Newman. Dr. Monroe described digital pathology as a way to digitize tissue slides, improve access to subspecialty review, and enable AI-assisted diagnosis, especially for cancer care and rural areas. Intuitive highlighted robotic-assisted surgery, including the da Vinci system and the Ion bronchoscopy platform, and said its technologies improve precision, reduce complications, and support clinician-led care. Saravia Neurosciences presented an early-stage neurotechnology for dementia that uses MRI-guided transcranial magnetic stimulation and AI-driven personalization, and argued California needs a state translational fund to bridge the gap between discovery and commercialization. Newman, a startup working on home diagnostics, said California’s permitting, zoning, and manufacturing rules make it difficult to scale advanced manufacturing locally and urged streamlining, reduced red tape, and incentives to keep manufacturing jobs in-state. Committee members again focused on tax credits and asked how the state could better support manufacturing, translational funding, and the retention of high-paying MedTech jobs.

Transcript Highlights:

• Detention centers simply are treatment.
• Uh and it's a shame that you treatment.
• </c><00:09:56.720><c> when</c> uh people can access this treatment when uh people can access this treatment
• </c> they can also uh receive more treatment they can also uh receive more treatment that<00:37:20.240
• Um about 80 a psychiatric treatment.

Summary: The Juvenile Justice Oversight Council met on February 6, 2026, took roll, approved a motion to convene, and heard agency updates from materials in the packet. The council then took up Senate Bill 125 out of order because Senator Carol was present. The bill was presented as a collaborative effort focused on creating a secure, state-run high-acuity mental health facility for justice-involved youth who need specialized psychiatric care and cannot be appropriately served in detention or by private hospitals. Speakers said the facility would fill a gap in services, improve safety and treatment outcomes, and be designed with trauma-informed, medically equipped spaces rather than a jail-like setting. The presenters also outlined other parts of the bill, including a placement process in which DJJ and CHFS would evaluate youth and provide recommendations before the judge makes the final decision, with certain hospital-declination provisions to be delayed until the new facility is operating. They described payment incentives for hospitals treating high-acuity youth, confidentiality and escape-related disclosure provisions, and contracts with a public teaching university for clinical services. The proposed facility was described as a 24-bed center at Central State, with staffing to include mental health professionals and juvenile detention staff receiving enhanced training. Dr. Clark Lester said staffing needs would vary by youth and could include one-to-one supervision for some patients. The bill also addressed female juvenile detention capacity. Speakers said the number of detained girls has risen sharply since 2024, peaking at 51 in 2025, and that current facilities cannot meet the separation requirements for boys and girls or high- and low-level youth. The proposal would build two female detention centers, with possible locations discussed in central Kentucky and western Kentucky, and a third or fourth center could be added if population data show the need. Members asked about hospital placement authority, staffing, and average length of stay for girls; the presenters said the current court-order process would remain until the new facility is built and that they would provide additional data later. No vote was taken during the portion of the meeting provided.

Transcript Highlights:

• Those treatments can run into hundreds of thousands of dollars.
• run</c><00:13:46.720><c> into</c> treatment those treatments can run into treatment those treatments
• </c> State grant for the in Lake treatment State grant for the in Lake treatment but<00:14:38.959><c>
• treatment treatment costs<04:20:20.399><c> thank</c><04:20:20.600><c> you</c><04:20:21.040><c> any</
• wastewater and clean water, things can go wrong. the treatment options for pest is carbon the treatment

Summary: The committee heard testimony on HB 332, a bill to add protection and remediation of surface waters as a new authorized purpose for New Hampshire village districts. Prime sponsor Rep. Rosemary Rung said the bill is intended to give local voters in lake communities a voluntary tool to address cyanobacteria blooms and other water-quality problems through village districts, including the ability to raise revenue, adopt ordinances, and pursue treatments or watershed management measures. She emphasized that the proposal is meant to complement, not replace, state law and that any district action would still need to comply with existing permitting and environmental requirements. Supporters, including Andrea Laro of New Hampshire Lakes and Elizabeth Harper of the Lake Sunapee Protective Association, said the bill would help municipalities collaborate on lake protection when state resources are limited. They argued that local districts could bring subject-matter expertise, access grants and technical assistance, and respond more quickly to problems such as septic impacts, runoff, culvert repairs, and in-lake treatments. They also suggested clarifying the bill’s wording around “protection and remediation” to better define the scope of authorized activities. Opponents, including Steve Wolf and Chris Norwood of the New Hampshire Association of Realtors, argued that village districts can already be overly broad and sometimes expand beyond their original purposes. Wolf said existing town and state agencies already handle shoreline protection and warned that village districts can impose ongoing taxes and create governance problems. Norwood urged a study bill instead, citing concerns about the scope of village districts and examples where some districts have taken on planning and zoning powers beyond their original mission. No vote or final action on HB 332 was taken in the excerpt.

Transcript Highlights:

• the services that we're providing in the realm of behavioral health and substance use disorder treatments
• this first slide just gives treatments this first slide just gives you<00:03:01.360><c> an</c><00:03
• </c><00:12:33.639><c> um</c> receiving Medicaid assisted treatment um receiving Medicaid assisted treatment
• receiving residential treatment per month has increased a little bit.
• </c><00:13:42.800><c> per</c> receiving a residential uh treatment per receiving a residential uh treatment

Summary: The Budget Review Subcommittee on Health and Family Services held its first meeting and received an overview from the Department for Medicaid Services on Medicaid’s behavioral health and substance use disorder services. Commissioner Lisa Lee and CFO Steve Beal said Kentucky Medicaid serves about 1.4 million members, including over half of Kentucky children, with 485,000 expansion members, more than 69,000 enrolled providers, and total fiscal year 2024 expenditures of $18.5 billion. They said Kentucky covers a broad range of behavioral health services, and behavioral health provider enrollment has grown from a little over 4,500 in 2019 to nearly 8,000 in 2024. They also described how Medicaid spending and utilization are tracked through claims and encounter data, with most members served through managed care organizations. Members focused on sharp increases in certain behavioral health billing codes, especially peer-to-peer services, and asked about reimbursement, utilization review, and whether the growth reflected increased need or expanded coverage. DMS said the rise was partly tied to combining facility and nonfacility behavioral health fee schedules in 2023, choosing the higher reimbursement rate to avoid cuts, and that the department has seen an uptick in peer-to-peer services. In response to concerns about overutilization, DMS said it mailed a letter to behavioral health providers, is considering limits and prior authorizations for some services, and plans to create a standardized monthly behavioral health report to monitor trends consistently and identify when controls may be needed. Lawmakers also asked whether the provider network is sufficient and whether access is adequate, especially for children. DMS said provider enrollment has expanded because behavioral health services were added to Medicaid in 2014 and because demand increased after COVID, but acknowledged studies showing children have less access than adults and said that would be an area of focus. The department said managed care organizations are required to ensure access to needed services and that current trends indicate access is available, though one member disagreed and said workforce shortages remain a major concern. Another member asked about non-emergency medical transportation spending, and DMS explained that it is handled through a capitated arrangement administered by the Transportation Cabinet rather than directly by the managed care organizations.

Transcript Highlights:

• court now must approve and order a residential treatment placement—a very specific residential treatment
• The court now must approve and order a residential treatment placement—a very specific residential treatment
• We had included mental health treatment. Some of that is already confidential, right?
• treatment so we we had including mental treatment so we we had including mental health<00:36:23.640><
• </c> to 13 by adding mental health treatment to 13 by adding mental health treatment if<00:49:24.280>

Committee: Senate Children and Family Law

Transcript Highlights:

• </c> So, they can't afford medical treatment So, they can't afford medical treatment just<00:11:48.640
• </c> include the alternative treatment include the alternative treatment center's<01:01:23.839><c> plan
• Sometimes people are asking for treatment and the treatment exists in that other city.
• and</c><03:48:52.800><c> the</c><03:48:53.040><c> treatment</c> asking for treatment and the treatment
• asking for treatment and the treatment exists<03:48:54.000><c> in</c><03:48:54.319><c> in</c><03:48:

Committee: House Health, Human Services and Elderly Affairs

Transcript Highlights:

• </c> to cover ear acupuncture as a treatment to cover ear acupuncture as a treatment for<02:08:37.040
• The Senate backing the treatment.
• $12 to $15 per treatment.
• $12 to $15 per treatment.
• </c><02:13:39.360><c> This</c> accessible treatment option. This accessible treatment option.

Transcript Highlights:

• </c> order for assistant Community treatment order for assistant Community treatment uh<00:13:13.839>
• It includes outpatient treatment.
• It includes outpatient treatment.
• It includes outpatient treatment.
• Outpatient treatment.

Committee: House Judiciary & Hawaiian Affairs

Summary: The House Committee on Judiciary and Hawaiian Affairs heard Senate Bill 1322, SD2, HD1, a comprehensive measure revising Hawaii’s mental health code. The bill would clarify emergency transportation, examination, and hospitalization procedures for people who may be mentally ill or suffering from substance abuse and deemed imminently dangerous, expand notice requirements, allow certain information-sharing for assisted community treatment petitions, and add liability protections for emergency responders and providers. The Department of the Attorney General supported the bill as a collaborative update to the law, while the Department of Health asked for a copy of provider-generated emergency transport documentation within five days for data and planning purposes. Testimony was sharply divided. Queen’s Health System, Hawaiʻi Pacific Health, HHSC, and the Institute for Human Services supported the measure or parts of it but requested amendments, including clarifying whether a second psychiatric exam is required, restoring a 72-hour rather than 48-hour stabilization window, and adjusting where patients are taken when an MEO cannot be reached. The ACLU of Hawaiʻi strongly opposed the bill, arguing it weakens due process and civil liberties, especially around involuntary commitment, assisted community treatment, emergency transport by police, and reduced procedural safeguards; it urged the committee to hold the bill and consider an interim working group. Louie E.K. of the Hawaiʻi Disability Rights Center also opposed the bill, focusing on immunity from negligence, the use of police for transport, and the reduction of a three-provider review to one in state-hospital treatment orders. Other testimony included support from an individual who said the bill could improve mental health care delivery amid provider shortages, and a comment from Hawaiʻi Health and Harm Reduction Center warning that the substance use portion of the bill lacks evidence of effectiveness and could be misused. In response to committee questions, the Attorney General’s office said the measure was developed with input from multiple stakeholders, including state agencies, hospitals, the ACLU, HHSC, and IHS, and that it aims to make assisted community treatment more accessible and effective by streamlining the legal process and improving consequences for noncompliance. No vote or final action was taken during the portion of the meeting provided.

Transcript Highlights:

• We now have only an emergency department, same-day surgery, mental health treatment, and addiction treatment
• ,</c><00:07:14.319><c> and</c> surgery, mental health treatment, and surgery, mental health treatment
• </c> addiction treatment, but for men only. addiction treatment, but for men only.
• /c><01:32:17.600><c> the</c> average 3-day treatment period, the average 3-day treatment period, the
• </c> offer homebased phototherapy treatment offer homebased phototherapy treatment for<01:34:47.120><

Bills: HF2779 , HF1645 , HF1885 , HF1289 , HF1534 , HF2707 , HF1675 , HF3046

Committee: House Health Finance and Policy

Transcript Highlights:

• We've consulted and contracted with engineers to design various treatment solutions, and finally and
• thankfully in 2023, three separate water treatment facilities for PFAS filtration were online in the
• Those treatment plans came at a significant cost of $11.5 million.
• If we're going to spend hundreds of millions, if not billions, in treatment, then we need to turn it
• My treatment alone was $40,000 a month without insurance.

Committee: Joint Joint Committee on Public Health

Summary: The Joint Committee on Public Health held a lengthy hearing to take testimony on a wide range of bills related to environmental health, PFAS, medical device chemicals, food access, lead poisoning, air quality, oral health, and school food additives. Chair Driscoll and Chair Decker emphasized that the hearing was for testimony only, no decisions would be made that day, and that written testimony could still be submitted. They also noted the high volume of speakers and asked witnesses to keep remarks brief. A major portion of the hearing focused on PFAS-related legislation, including bills to restrict PFAS in products and food packaging and to create a PFAS remediation trust fund. Municipal officials and advocates described the high costs of PFAS cleanup, especially for drinking water systems, citing Easton’s multimillion-dollar treatment investments and rate increases. Testimony from legislators and advocates argued that Massachusetts should act despite federal uncertainty, and that the state should stop PFAS at the source rather than leaving municipalities and residents to pay for remediation. The committee also heard strong support for a bill banning DEHP in medical devices, with physicians, nurses, and a bill sponsor saying the chemical can leach from IV bags and tubing and that safer alternatives already exist. The committee also heard testimony on bills to establish statewide food truck permitting, with food truck owners and a senator describing the current system as costly, duplicative, and inconsistent across municipalities. Another set of witnesses supported the “Bean New Deal,” which would expand plant-based food options in public institutions, senior nutrition programs, and WIC, citing health, equity, and cost savings. On lead poisoning, housing advocates and a representative backed bills to expand lead-safe housing requirements to all rental units, arguing the current law contributes to discrimination against families with children and leaves too much pre-1978 housing uncertified. The committee also heard support for an outdoor air pollution bill that would create an advisory committee, identify pollution hotspots, expand monitoring, and set reduction targets, with testimony from environmental justice groups, pediatricians, and legislators describing disproportionate asthma and other health harms in overburdened communities. Later testimony addressed oral health bills to create dental therapists and allow dental hygienists to administer nitrous oxide, with supporters saying the measures would expand access, reduce costs, and help underserved patients. The committee also heard testimony on a bill to prohibit harmful food dyes in competitive school foods, with parents describing behavioral and health concerns tied to synthetic dyes. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• We have had a veteran treatment court since 2013.
• We started our Veterans Treatment Court.
• We started our Veterans Treatment Court.
• veterans treatment courts in all of the United States.
• And it all stems from me going to this treatment court program.

Committee: House House Appropriations Committee of Reference

Summary: The committee first took up a discussion-only strike-everything amendment to HB 2211, which would make it unprofessional conduct for certain health care providers to submit offers in independent dispute resolution above 300% of Medicare or the qualified payment amount. The chair said he was not ready to move the bill because more stakeholder meetings were needed. Testimony split between insurers, who said a small number of providers were abusing the No Surprises Act and driving up costs, and provider representatives, who argued the proposal would improperly cap rates, relied on opaque insurer-set QPAs, and could threaten licensure in a billing dispute. No vote was taken on HB 2211. The committee then considered HB 4028 on accessory dwelling units. The bill would remove the 1,000-square-foot cap, change setback rules, bar municipalities from requiring an administrative use permit and certain elevation criteria, and extend the deadline for cities to adopt ADU regulations. The sponsor argued it would give homeowners more flexibility and help address housing affordability, while cities, neighborhood groups, and residents warned it would allow oversized ADUs, reduce local control, create density and safety concerns, and invite investor-driven development. After extensive debate, the committee voted 8-9 with one present, and HB 4028 failed. Next, the committee heard HB 2620, as amended, which appropriates $300,000 annually for five years from the General Fund to the Department of Veterans’ Services for grants to emergency shelters. An amendment removed age and non-congregate-setting conditions for eligibility. The sponsor and a shelter provider said the funding would help shelters better serve homeless veterans and connect them to services. The committee adopted the amendment and then passed HB 2620 on a 17-0 vote with one member not voting. The committee then considered HB 2960, as amended, which creates a veterans specialty court grant program and a dedicated fund to support local veterans treatment courts. An amendment shifted administration of the fund to the Office of the Courts and allowed support for expansion of existing programs. The sponsor, a Lake Havasu judge, and a veteran graduate testified that veterans courts reduce recidivism and save lives by linking veterans to treatment and support. The bill was still being taken up when the transcript ended, with testimony continuing from supporters including a veterans shelter founder.

Transcript Highlights:

• This is life-saving treatment.
• What they're basically used for is outpatient treatment.
• And that's a different treatment than what this is.
• The bottom line is this: There is no treatment without housing.
• The bottom line is this: There is no treatment without housing.

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The committee took up a series of health and human services bills, beginning with CS/SB 1602, which would require emergency departments to have evidence-based pediatric care protocols, training, appropriate child-sized equipment and medications, a designated care coordinator, and participation in a pediatric readiness assessment. It was reported favorably. CS/SB 1224 followed, aligning Florida law with federal requirements so paramedics may administer controlled substances in the field under physician or nurse practitioner protocols; it also passed favorably after supportive testimony from fire chiefs. The committee then adopted a strike-all for SB 890, the Emily Adkins Family Protection Act, which addresses venous thromboembolism by creating a statewide registry, requiring screening and training in hospitals and long-term care settings, and adding assisted living facility response requirements. Assisted living representatives objected to the ALF provisions as unrealistic and potentially harmful, while supporters argued the bill would save lives; the bill was reported favorably. CS/SB 1182, requiring continuous glucose monitors to be covered as both durable medical equipment and a pharmacy benefit, also passed favorably with support from AARP. The committee next considered CS/SB 12, a claim bill for a child severely injured after a DCF home visit allegedly failed to meet standards, and it was reported favorably without opposition. CS/CS/SB 954, dealing with substance abuse treatment centers and recovery residences, drew substantial debate. The bill would limit local zoning restrictions on treatment facilities and allow larger recovery residences if staffing ratios are increased; a late-filed amendment reduced the maximum active patients from 500 to 300. Municipal and county representatives warned that the bill could override local reasonable-accommodation efforts and create institutional-scale facilities, while supporters said housing is essential to recovery and that clustering concerns are overstated. The committee ultimately reported the bill favorably. CS/SB 1050, expanding the developmental disabilities pilot program statewide and creating a statewide family care council, also passed after extensive testimony from families and advocates. Supporters emphasized the long waitlist and the need for more services, while some speakers opposed managed care and warned about provider shortages and loss of individualized supports. Later, CS/SB 614, requiring a public educational webpage about background screening clearinghouse and level two screening requirements, was reported favorably. CS/SB 1578, which would require coverage for mammograms and supplemental breast cancer screening in certain circumstances, was also reported favorably. CS/SB 1060 created a joint legislative oversight committee to review Medicaid operations and financing; members discussed the need for stronger oversight of large midyear spending adjustments, and the bill passed favorably. CS/SB 1240, a Department of Children and Families substance abuse and mental health bill, was amended to clarify Baker Act transfer timing and notification requirements after debate over whether facilities could hold patients too long; it was then reported favorably. Finally, Senator Harrell presented CS/SB 526, a major nursing education bill aimed at Florida’s low NCLEX passage rates. The bill would require nursing programs to use exit exams, remediation, reporting, and stricter oversight, and the strike-all would add graduate preceptorships for low-performing programs and temporary provisional licenses for graduates pending NCLEX passage. The transcript ended while that bill was still being explained, before final action was taken.

Transcript Highlights:

• Believe it or not, they have 50% of their bed space available for substance abuse treatment.
• So our nonprofit... ...addiction whenever that 28-day treatment program is over.
• If they get out of treatment, 28 days is not the end of the road.
• Are we budgeting for support once the people get out of treatment?
• Treatment, it might be that some of these people need inspiration to get to treatment.

Committee: House Judiciary

Summary: The committee took up several bills, beginning with HB 519, which would require special masters appointed in complex consolidated litigation to comply with judicial conduct and federal appointment/disqualification standards, subject to Louisiana law. After a technical amendment clarifying that the provision applies to cases designated under Supreme Court rules, the bill was moved favorably without objection. HB 29, creating the Ascension Parish Retired Employee Insurance Fund, was then heard and also advanced favorably without objection. The committee next considered HB 324 on judicial salaries. The bill would make the 2024 and 2025 judicial supplement stipend permanent and add future cost-of-living adjustments, subject to available funding and approval by the Louisiana Supreme Court and Judicial Budgetary Control Board. Members asked about funding sources and whether the stipend could be made permanent without a constitutional amendment; after discussion, the bill was moved favorably without objection. The longest discussion centered on HB 211, the Homelessness Court Program, later named the Streets to Success Act. Amendments were adopted to limit the bill to licensed group homes and to remove enforcement language that would have created civil actions against local governments for failing to remove encampments, while setting staggered effective dates. Supporters, including the bill author and governor’s office representatives, said the measure would create a coordinated court-and-services response for people experiencing homelessness, especially those with substance use or mental health issues, and would allow designated camping areas and diversion into treatment. Opponents, including housing advocates, legal aid groups, and people with lived experience, argued the bill would criminalize homelessness, increase jail and court involvement, and fail to address root causes such as unaffordable housing, lack of shelter capacity, and inadequate wraparound services. The bill drew extensive testimony but no final vote was taken in the portion provided.