Transcript Highlights:

• of Kentucky, we treat pretty much the<00:35:37.520><c> entire</c><00:35:38.000><c> state.
• </c> children that we're able to treat now. children that we're able to treat now.
• So, those are the real-life stories of the families we're treating. And now Dr.
• So, those are the real-life stories of the families we're treating. And now Dr.
• </c> families we're treating. families we're treating.

Summary: The Budget Review Subcommittee on Health and Family Services met in person, approved the July 15 minutes, and heard a presentation from Dr. Matthew Holder and Dr. Henry Hood of the Lee Specialty Clinic in Louisville. The clinic serves people with complex intellectual and developmental disabilities through a transdisciplinary model that combines medical, dental, behavioral, psychiatric, therapy, and other services under one roof. The presenters argued that this population is large-cost but small in number, often receives little provider training, and is vulnerable to diagnostic overshadowing, overmedication, and missed medical or dental problems. The clinic reported that in Tennessee, payer data showed average costs of about $5,200 per member per month before clinic involvement, with a 44% reduction in overall health care spending after patients were seen, including lower emergency room use, inpatient admissions, and prescription use. They said those savings were measured by the payer, not the clinic, and that the savings accrued to Medicaid or managed care payers rather than the clinic itself. They also shared a case example of a patient who had been placed on hospice but improved after diagnosis and treatment at the clinic. Patient and parent satisfaction were described as very high, generally above 95%. The clinic asked for roughly $5 million to expand into Northern Kentucky, estimating 500 to 700 patients would use the new site and projecting annual savings of about $13 million to $19 million once mature. Members asked about the budget, startup and operating costs, where the savings go, and whether the clinic had considered taking full risk or another value-based model. Senator Meredith and others encouraged the clinic to explore an accountable care or risk-based arrangement, while the presenters said they were open to that discussion but had not pursued it yet. The exchange ended with follow-up questions about the clinic’s overall budget structure and public-private funding mix.

Transcript Highlights:

• And whereas up to 54% of physicians, 68% of nurses, 60% of medical students and residents, and 61% to
• And whereas Arizona is experiencing severe workforce shortages of physicians, nurses, advanced practice
• advocacy, previously serving as physician of the day at the Arizona State Capitol. ...and he's actively
• involved in medical education and physician advocacy, previously serving as physician of the day at
• He's currently a health care consultant focusing on physician burnout, turnover, and retention.

Transcript Highlights:

• The next rule is the telemedicine exemption for treat, triage, and transport services.
• This was another act that was passed by the legislature in 2025, and the rule, the ET3 program, treat
• to allow for them to treat without consulting a physician or behavioral health practitioner in certain
• They get 80% of the physician rate; that’s just their rate.
• it was not pre-treated, it's 120 gallons a day.

Summary: The committee reviewed a series of Arkansas DHS and Department of Health rules, most tied to 2025 legislation. Early items covered Medicaid changes including presumptive eligibility application timing, adding a fictive kin definition for foster child eligibility, raising the able account disability onset age to 46, allowing continuous glucose monitors to be billed by both pharmacy and DME providers, increasing the RSV vaccine administration fee for children, a telemedicine exemption for ET3 ambulance services, and a physical therapy access rule that also included occupational therapy. Members generally asked limited questions and most rules were reviewed without objection. A major portion of the meeting focused on the dental rate increase rule under Act 1025. DHS said it implemented rate increases for certain pediatric, special-needs, and oral surgeon services, but not orthodontics, and it interpreted the act as applying only to oral and maxillofacial surgeons, not general dentists. The Arkansas State Dental Association and legislative sponsors testified that the intent was to cover general dentists performing oral surgery procedures for special-needs patients, estimating the broader interpretation would add about $1.5 million annually. Committee members debated the plain language of the act versus legislative intent, and the rule was reviewed, but with testimony noting the issue should be fixed in future legislation. Later items included the Healthy Moms, Healthy Babies rule adding doula and lactation consultant billing and remote monitoring benefits; an adverse decisions rule extending provider appeal time from 35 to 65 days; CNA training program updates; PASSE network-status disclosure rules; certification rules for community-based doulas and community health workers; cosmetology, massage therapy, lead-based paint, radiation, radiologic technology, and RV park rule updates. Most of these were described as technical, statutory, or federally driven changes and were reviewed without objection. The committee briefly reopened the CGM rule after a motion to expunge the prior vote, and Representative Wardlaw said he would hold the rule for further review because he believed the billing changes did not match the law’s intent. The meeting ended with no further business and adjournment.

Transcript Highlights:

• You have to have a certain number of doctors and physicians within a certain mileage from where that
• Something recently that's really come to my attention is that the suicide rate in physicians is really
• I'm an emergency medicine physician. I live and work here in Gallup.
• This is not only a cost issue for current physicians, but it's also a cost issue for physicians practicing
• Many of our physicians in the clinic I work at are going to be retiring in the next five years.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• This would allow treat appropriations.
• This equates to approximately $19,000 per physician trainee.
• This equates to approximately $19,000 per physician trainee.
• This equates to approximately $19,000 per physician trainee.
• This equates to approximately $19,000 per physician trainee.

Transcript Highlights:

• foster that collaboration, which I mentioned a minute ago, among geneticists, researchers, and physicians
• in Florida's universities and children's hospitals. ...among geneticists, researchers, and physicians
• perhaps the long-term benefits are so much greater by starting out very early and diagnosing and then treating
• But if we do... ...early and diagnosing and then treating, if we have treatments.
• This is the first step: identify, and then second step is treat. So thank you for this bill.

Committee: Senate Education Postsecondary

Summary: The Senate Committee on Education Postsecondary met with a quorum present and first considered CS/SB 1356, relating to the Florida Institute for Pediatric Rare Diseases. Senator Burton explained a delete-all amendment that would create the institute at Florida State University, establish the Sunshine Genetics Pilot Program for newborn screening at select sites, and form a Sunshine Genetics Consortium to coordinate researchers and clinicians. The amendment also included $5 million in recurring funding for the institute and $2 million in nonrecurring funding for the pilot program. The committee heard supportive testimony from Gavin Lambert and his mother, who described the benefits of earlier diagnosis for Friedreich’s ataxia, along with support from representatives of Alexion Pharmaceuticals, FSU, BioFlorida, and the Biotechnology Innovation Organization. Senators Berman and Harrell spoke in favor of the bill, emphasizing early detection and collaboration. The amendment was adopted, and CS/SB 1356 was reported favorably on a roll call vote. The committee then took up SB 892, which would codify the Florida State University Election Law Center in statute and make it eligible for recurring funding. Senator Simon said the center was created in 2023 with a $1 million nonrecurring appropriation and that the bill would help sustain its work and attract talent in election law and related fields. Senator Berman asked about current funding and whether the center would be supported through recurring General Appropriations Act funding in the future; Senator Simon responded that the bill would allow it to compete for recurring dollars. Jack Rowan, an FSU law student, testified in support and highlighted the center’s work, including a Bush v. Gore 25th anniversary conference. Professor Michael Morley and Lena Rojas also supported the bill. No opposition was presented, and SB 892 was reported favorably by roll call vote. The committee then adjourned.

Transcript Highlights:

• At the top of the imaging team are radiologists, who are the physicians.
• No other physician—we work strictly under radiologists.
• At the top of the imaging team are radiologists who are the physicians.
• No other physician, we work strictly under radiologists.
• Not to another physician or a provider, no, sir.

Committee: Senate Health and Welfare

Summary: The Senate Committee on Health and Welfare met on May 6, 2026, with five members present and adopted the April 28 minutes. The committee first heard a presentation on the new Leadership Louisiana Health Fellows Program, a leadership and networking initiative focused on Louisiana health care challenges such as workforce shortages, rural access, chronic disease, and the economic impact of health care. Speakers described it as a cross-sector program intended to build informed leaders and support collaboration with health systems, insurers, providers, LDH, and the Louisiana Hospital Association. The committee then moved through a series of bills, generally adopting amendments and reporting measures favorably. SB 57, a nutrition/labeling bill, was amended to delay the effective date for the labeling provision until December 31, 2028, and was reported as amended. HB 62 increased membership of the Louisiana Women’s Policy and Research Commission and was reported as amended, and HB 193 adjusted membership rules for the Sickle Cell Commission foundations and was also reported as amended. HB 815 would allow financial institutions to receive death certificates to help close accounts and avoid problems with automatic payments and federal benefit clawbacks; it was reported favorably. SB 405, which had been heard earlier, was reworked to codify LDH’s new Ascend nursing home quality initiative, including short- and long-term quality oversight goals, stakeholder involvement, internal expertise, and reporting requirements; after reconsidering prior amendments, the committee adopted the new amendment and reported the bill as amended. The committee also advanced several health and human services bills. HB 222 would allow Medicaid dental coverage when needed to clear a patient for another covered medical procedure, and it was reported as amended after LDH said the cost could be absorbed. HB 420 expanded DCFS background-check requirements to cover staff with access to sensitive records, and HB 475 required verbal consent before AI is used to record or transcribe a medical visit; both were reported favorably. HB 246 updated membership of the Children’s Cabinet Advisory Board and the council for grandparents raising grandchildren, including replacing an inactive coalition seat with the state police, and was reported as amended. HB 486 joined Louisiana to the psychology interjurisdictional compact to expand access to psychologists through telepsychology and temporary practice across state lines, and HB 574 updated outdated board names in the Mental Health Advisory Services Board statute; both were reported favorably. Later, the committee heard HB 949, which would create a licensure framework for radiologist assistants to help address radiologist shortages and improve imaging access, especially in rural areas. Testimony emphasized that RAs work under radiologist supervision and would extend capacity without replacing physicians; the bill was reported favorably. HB 584 required foster children to be provided luggage or similar items instead of trash bags when moving placements, and also corrected language in the Foster Youth Bill of Rights from “privileges” back to “rights” while extending the bill’s applicability to children from birth to age 18; it was reported as amended. The committee also reported HB 1214, which restructures certain LDH state facilities into a more unified system, and HB 1092, a technical renaming/terminology cleanup bill, both favorably. Finally, HB 203 added members from Christus Health System and Xavier University’s College of Medicine to the uterine fibroids commission and was reported favorably before the committee adjourned.

Transcript Highlights:

• Are the parents given login information, and they can share that with the physician then?
• Are the parents given a login information, and they can share that with the physician then?
• No, so actually, and unfortunately, the parents don't have Physician then?
• So the emergency room physicians can see that. ...emergency room, so the emergency room physicians can
• In exchange, we would be treated like governmental entities.

Committee: House Health and Mental Health

Summary: The Committee on Health and Mental Health first met in executive session and voted House Bill 2370, House Bill 3278, and House Bill 1638 do pass. HB 2370 passed 13-9, while HB 3278 passed 15-0 and HB 1638 passed 17-0. The committee then moved into public testimony. Senate Bill 1015, sponsored by Senator Nuremberg, was presented as a measure creating a legal process for assisted outpatient treatment for adults with serious mental illness who are at risk of deterioration, hospitalization, or harm. Supporters, including the Missouri Behavioral Health Council and the Missouri Association of Public Administrators, said it would reduce hospitalization and incarceration and improve access to care. The senator and witnesses emphasized collaboration with hospitals and the Department of Mental Health, and no opposition was offered. The committee also heard a detailed presentation on the STARS program from SSM Health representatives, explaining it as a Missouri-based EMS and pediatric emergency planning system that uses physician-approved, electronic care plans for children with complex needs. Members asked about costs, access, and how the program differs from the bill discussed previously; witnesses said the program is free for EMS and emergency access, but hospitals that write plans pay implementation and subscription fees. House Bill 2903, by Representative Mayhew, would give county and district hospitals relief from certain public-entity requirements, including some Sunshine Law-related burdens, board qualifications, and financial reporting timelines, to help them compete with private hospitals. Supporters from Phelps Health said the bill would reduce administrative burden and protect proprietary information; there was no opposition. Finally, House Bill 3379, by Representative Dolan, would expand and strengthen Missouri’s employee disqualification and mandated reporting rules for abuse, neglect, and financial exploitation of vulnerable adults. The bill adds more mandated reporters, including bank personnel and first responders, creates penalties for knowingly failing to report, and requires quicker DSS follow-up to reporters. DHSS supported the bill, citing recent financial exploitation complaints, while the Missouri Bankers Association said it supports the goal but wants to work on the mandatory reporting language so banks are not exposed to liability for situations they cannot readily detect. No formal opposition was presented, and the committee adjourned after the hearing.

Transcript Highlights:

• Through it all, I was treated with respect, kindness, and kindness by everyone.
• After I left there, I tried to lead my life the same way I was treated at Regions.
• at life the same way I was treated at Regions.<00:09:32.160><c> We</c><00:09:32.399><c> can't</c><00
• ,</c> experts in the community, physicians, experts in the community, physicians, psychiatrists,<00:36
• So, bleeding is a treat a patient. Okay.

Bills: HF3521 , HF1807 , HF1270 , HF2070 , HF3136

Committee: House Health Finance and Policy

Transcript Highlights:

• And I believe we have a responsibility to treat them with dignity, to give them a fair chance, and to
• This is the bill for the Podiatric Medical Board of California and the Physician Assistant Board.
• I serve as the executive officer of the Physician Assistant Board.
• Physicians, nurses, nurse practitioners, dentists, and the list goes on.
• Both cannabis physicians and new and long-term patients are floundering.

Summary: The Assembly Business and Professions Committee heard a full agenda of bills focused on reproductive health, professional licensing and sunset reviews, consumer protection, and business regulation. Early testimony centered on AB 260, which would protect access to medication abortion, mifepristone, and telehealth reproductive care in California; supporters emphasized state protections against federal restrictions, while an opponent argued the bill removed safety safeguards. The committee also heard AB 714 on closing a loophole in regulation of low-cost commercial driving schools, AB 968 on allowing pharmacists to prescribe non-hormonal contraception, AB 671 on streamlining restaurant permitting, AB 1027 on strengthening cannabis product testing oversight, AB 1271 on broadband pricing and speed transparency, and AB 1332 on narrowly allowing medicinal cannabis shipments for seriously ill patients. Several sunset bills were also taken up, including AB 1482 on animal shelter and breeder transparency, AB 1501 on the Podiatric Medical Board and Physician Assistant Board, AB 1502 on the Veterinary Medical Board, AB 1503 on the Board of Pharmacy, and AB 1504 on the Massage Therapy Council. Testimony was largely in support of the measures, with many bills drawing co-sponsors or support from industry, consumer, or professional groups. AB 1503 generated the most sustained opposition, with nurses, physicians, and drug industry representatives objecting to expanded pharmacy technician ratios, standard-of-care language, and therapeutic interchange authority; supporters argued the bill would modernize pharmacy practice and expand access. AB 1504 also drew mixed testimony, with massage therapy groups supporting continuation of the council but raising concerns about proposed public records and governance provisions. AB 1271 drew a policy dispute over whether broadband reporting requirements duplicated federal FCC processes, while supporters argued California needed its own consumer-facing data and complaint system. After quorum was established later in the hearing, the committee began taking roll-call votes. AB 1271, AB 1332, AB 1482, AB 1501, and AB 1502 were all reported out on due-pass motions, with AB 1271 amended and the others generally amended or as introduced as noted. Earlier bills including AB 260, AB 671, AB 714, AB 968, and AB 1027 also received motions and were approved once the quorum was present. The chair repeatedly noted the lack of quorum during the hearing, but once one was secured, the committee completed votes on the agenda items and advanced the measures to Appropriations.

Transcript Highlights:

• Physicians remain committed to serving Minnesotans on MA.
• Physicians remain committed to serving Minnesotans on MA.
• all physicians.
• Are there any physicians that are being left out?
• </c> including primary care physicians including primary care physicians Behavioral<01:35:53.080><c>

Committee: Senate Health and Human Services

Transcript Highlights:

• EMTALA requires that anyone who comes to an emergency room be treated.
• sick and uphold human dignity is of utmost importance to the physicians in the state.
• Most important to the physicians in the state.
• However, that does not mean that they deserve to be harassed in the hospital room while being treated
• It's already happening, and I'm not sure why we want to find out how much money is spent on treating

Committee: Senate Senate Health and Human Services COR

Summary: The committee first approved the January 21 minutes and then heard SB 1179, which would remove the delayed repeal date and appropriation contingency from the Developmental Disabilities Group Home Monitoring Program. Testimony from Disability Rights Arizona and program managers described the program’s monitoring and investigative work, including identified systemic concerns in group homes, while the sponsor said the effort should continue. SB 1179 received a do-pass recommendation on a 6-1 vote, with some members reserving their right to revisit the bill on the floor. The committee then took up SB 1114, appropriating $1 million for the Maricopa County Attorney’s Office to investigate behavioral health patient brokering. Witnesses, including Native advocates, described widespread recruitment of vulnerable people—especially Native Americans—into fraudulent treatment and sober-living schemes, often through social media and across state lines. Members and the sponsor framed the bill as an enforcement response to long-running abuse. SB 1114 passed 6-0. The committee also heard SB 1115, which would require AHCCCS/Access employees to work in person rather than remotely; supporters argued remote work had harmed oversight and service delivery, while Access said it would need substantial office space and warned of costs and staffing impacts. SB 1115 passed 4-3. The committee next considered SB 1051, requiring hospitals that accept Access payments to collect patients’ citizenship or immigration status on intake forms and report aggregate data to DHS. Supporters said it was a data-collection and accountability measure; opponents, including nurses and physicians, said it would deter care, undermine trust, and function as immigration surveillance. The bill passed 4-3. SB 1122, dealing with prior authorization and prepayment review for behavioral health services under the American Indian Health Plan, was amended to require a corrective action plan before 100% prepayment review; Access said it had minimal concerns with the amended version. It passed unanimously 7-0. SB 1132, a blank appropriation for a new Arizona State Hospital wing, drew testimony from families and advocates about the shortage of psychiatric beds and the effects of the Arnold v. Sarn consent decree; it passed 7-0. The committee also approved SB 1169 for graduate medical education funding, SB 1171 on dual enrollment checks between AHCCCS and exchange plans, and SB 1172 on DCS investigations and court notification, with votes ranging from 4-2 to unanimous support. Finally, the committee heard SB 1173, which would require owners and applicants for outpatient behavioral health facility licenses to be U.S. citizens or lawfully present, with an amendment clarifying lawful permanent resident status. The sponsor said the bill was intended to curb fraud tied to behavioral health licensing and patient brokering; discussion focused on whether the bill language matched that intent. The transcript ends before a final vote on SB 1173.

Transcript Highlights:

• Doctors were able to certify desks, but physician assistants weren't, and in some communities, that's
• And then House Bill 171 was a bill that allows detox facilities to basically stock medications to treat
• People in those communities rely solely um on physician assistants to receive their health care.
• A physician assistant who was experienced could um supervise a new um physician assistant, therefore,
• assistant, but rather an experienced physician assistant, and this one did not pass.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• If we continue to treat immigrants as less than human, we will continue to repeat history.
• We are not going to treat entire communities as suspects anymore just to make a political point.
• We were never taught to fear our neighbors, but we are watching them be treated as threats.
• I'm a physician practicing in Massachusetts, and I thank the committee for hearing our testimonies.
• I'm a physician, a public health-trained addictionologist as well.

Committee: Joint Joint Committee on Public Safety and Homeland Security

Summary: The committee held a public hearing on several public safety bills, with testimony first on S.2681, Colby’s Law, which would establish safety standards for BMX and motocross tracks. Supporters, including the family of a child killed at a track, argued the bill is needed because some tracks lack basic protections such as barriers, emergency plans, on-site medical staff, and adequate track maintenance. A motocross track representative opposed the bill as overregulation that could impose major costs and argued existing safety efforts and voluntary safety committees are preferable. No vote was taken during the hearing. The committee also heard testimony on S.2680, which would expand emergency preparedness requirements around aging nuclear power plants and nuclear waste sites from a 10-mile to a 50-mile radius. Supporters from Cape Cod Downwinders, Massachusetts Peace Action, physicians, and other advocates said current law is outdated and insufficient, citing risks from radioactive waste storage, limited federal oversight, and the need for broader evacuation and emergency planning. Testifiers urged the bill’s passage, and no action was taken. A major portion of the hearing focused on the Protect Act, H.5158, dealing with limits on cooperation between state/local agencies and federal civil immigration enforcement. Sheriffs testified about how ICE detainers and notification requests work in practice, emphasizing discretion, public safety, and the difference between sentenced prisoners and pretrial detainees. Supporters from labor, education, and health care groups said immigrant communities are living in fear and asked for stronger protections, including bans on 287(g) agreements and clearer limits on ICE activity in schools, hospitals, and other sensitive locations. The hearing also included testimony on H.4697 regarding training and certification of constables and civil deputy sheriffs, with the Hampshire County sheriff saying sheriffs are already working with POST and MPTC on training standards and that the bill may be duplicative.

Transcript Highlights:

• I've spoken to neurologists who worry about the increase in young adults they treat due to nitrous oxide
• The AI is trying to treat.
• But treating in the therapeutic setting, I thought this bill was trying to prohibit that.
• Julio Meza, and I'm a family and addiction medicine physician at Clínica Romero and UCLA.
• Julio Meza and I'm a family and addiction medicine physician at Clinical Romero and UCLA.

Summary: The committee heard several bills, beginning with SB 936 on nitrous oxide sales. Senator Blakespear and supporters, including Orange County and Humboldt County supervisors, described growing misuse of large nitrous canisters, impaired driving, youth access, and waste and safety problems. There was no formal opposition testimony, and multiple organizations and local governments voiced support. Committee members generally supported the bill but raised questions about enforcement and the role of existing licensing agencies; the author said amendments addressed concerns about balloons and bags. The bill was moved on a due-pass recommendation to Senate Appropriations and left on call. The committee also heard SB 1312 on abandoned cemeteries, SB 1340 on small business procurement reporting, and SB 903 on AI in mental health care. SB 1312 would build on last year’s cemetery workgroup to address abandoned private cemeteries; the author and the Cemetery and Mortuary Association said the bill is intended to use forthcoming recommendations to improve maintenance and oversight. It was moved due pass to Senate Appropriations and left on call. SB 1340 would require state agencies to report contract and payment data involving small businesses to the Office of the Small Business Advocate; the Controller’s office supported the measure, and it was moved due pass to Senate Appropriations and left on call. SB 903 drew the most extensive debate. The bill would restrict the public offering of psychotherapy services through AI unless a licensed professional is involved, require disclosure and informed consent, and preserve confidentiality rules. Supporters argued that chatbots and AI therapy tools can mislead consumers and create safety, bias, and privacy risks, while opponents from the California Medical Association and TechNet warned the definitions were too broad and could hinder beneficial clinical tools, triage, research, and FDA-approved applications. Committee members pressed the author on clarity, administrative uses like note-taking, and whether the bill would allow clinician-supervised AI; the author said the intent is to keep a human clinician in the loop and continue refining the language. The bill was moved to the Senate Privacy, Digital Technology, and Consumer Protection Committee and left on call. Finally, the committee heard SB 1271 on midwifery preceptor data and SB 1327 on EV charger accuracy oversight. SB 1271 would collect data on licensed midwives’ capacity to serve as preceptors to strengthen the training pipeline; supporters described workforce shortages, rural access problems, and closures of labor and delivery units. It was moved due pass to the Senate Health Committee and left on call. SB 1327 would shift EV charger accuracy oversight from CDFA’s Division of Measurement Standards to the California Energy Commission; supporters said this would standardize enforcement and better match the agency already regulating EV infrastructure, while county sealers and others opposed the move as unnecessary, costly, and potentially weakening local consumer protection. The bill was moved due pass to the Senate Energy, Utilities, and Communications Committee and left on call.

Transcript Highlights:

• I've spoken to neurologists who worry about the increase in young adults they treat due to nitrous oxide
• But treating in the therapeutic setting, I thought this bill was trying to prohibit that.
• But this in particular is looking to address the gap in bilingual Spanish-speaking physicians.
• In bringing these physicians, it would copy exactly what the Mexican program does.
• Julio Meza, and I'm a family and addiction medicine physician at Clinica Romero and UCLA.

Committee: Senate Business, Professions and Economic Development

Transcript Highlights:

• This allows a repeat violent offender to be treated as a first-time offender for the enhancement.
• And when a new report is needed, doctors and psychiatric nurses in the same practice will be treated
• The bill ensures children are treated faster, reduces unnecessary paperwork, saves basically time and
• This treats unlicensed driving the same as those who are to three times in a five-year period.
• This treats unlicensed driving the same as those who are driving on a suspended license.

Committee: Senate Rules

Summary: The committee first confirmed six appointees in a single vote, then took up a series of bills, most of them reported favorably. The early debate centered on SB 208, a land-use bill by Sen. McLean that would require development fees to reflect review costs and create more objective compatibility standards for residential development denials. An amendment adding housing-related provisions, including an OPAGA study of urban development boundaries, drew extended discussion over the Everglades and local control; it was adopted, while a late-filed amendment on rural boundaries was withdrawn. The bill was then reported favorably after supporters and opponents, including Miami-Dade and housing groups, weighed in. The committee also favorably reported SB 686 on agricultural enclaves after amendments adding conservation, wildlife corridor, and Everglades-related protections, with one amendment specifically preserving stronger protections in counties covered by the Northern Everglades/Indian River Lagoon plan. Several criminal justice and public records measures also advanced. SB 436 would add resisting an officer with violence as a qualifying prior offense for battery enhancement and include certain felony battery offenses in prison release reoffender status. SB 830 would extend public-records protections to county and city administrators and related family information. SB 990 would authorize protected cell captive insurers in Florida. SB 600, on bail bonds, drew the most debate: an amendment by Sen. Rouson preserved the current treatment of charitable bail organizations’ deposits, with supporters arguing nonprofits help low-income defendants and critics saying the bill should distinguish commercial and nonprofit bonding; the amendment was adopted and the bill reported favorably. SB 914 on dry needling and SB 1434 on infill redevelopment also passed, the latter with an amendment removing a 10% markup requirement for buyback provisions. The committee then moved through a large education and health agenda. SB 1504 would let high school students who complete an insurance/personal finance elective qualify later for a customer service representative license. SB 1718 would expand educator preparation and temporary certification options. SB 7038 was a broad education package covering tuition waivers for Florida State Guard members, residency rules, consumer protections, dual enrollment, grading, and college funding; amendments clarified workforce licensure and exempted certain dental training from new licensure rules. SB 1092 on podiatric medicine added definitions and restrictions for cellular/tissue-based products. SB 1138 on qualified contractors created a pre-application review program for certain local governments, with historic-preservation carveouts. SB 186 on student health and safety required seizure-training and action plans in schools, and SB 560 on child welfare streamlined psychotropic-medication procedures for children in state care while adding youth advisory meetings and insurance-data review. SB 902, a broad Department of Health bill, addressed medical marijuana facility setbacks, practitioner discipline, autism microcredentials, marriage and family therapy licensure, a neurofibromatosis grant program, and family home health aide delegation; it passed after two amendments. Finally, SB 218 on land-use regulations limited hurricane-recovery restrictions to affected counties, SB 1002 expanded child-neglect definitions tied to parental drug abuse, SB 1474 tightened biosolids land-application rules, SB 1708 eased out-of-state veterinary licensure by endorsement, and SB 314 established a Florida regulatory framework for payment stablecoins aligned with federal law. Most measures were reported favorably by committee vote after brief testimony or no debate.

Transcript Highlights:

• Next, we have Hawaii Academy of Food Family Physicians in support. Um, Dr.
• </c><00:04:00.319><c> Carla,</c> Physicians in support. Um, Dr. Carla, Physicians in support.
• SP 2038 treats equitable healthcare.
• Uh, basically to go ahead and add physician assistants who are in FQHC.
• Uh, basically to go ahead and add physician assistants who are in FQHC.

Committee: Senate Health and Human Services

Summary: The HHS committee met in Room 224 and announced the hearing was being streamed live, with a one-minute limit on testimony. The chair explained that written testimony had already been reviewed and that speakers should either add new comments or stand on their written testimony. The committee first heard SB 2211, an emergency appropriation to the Department of Human Services. Testimony was overwhelmingly in support, including DHS, Aloha United Way, the Hawaii Food Industry Association, the Hawaii Public Health Institute, Catholic Charities, and many individuals. Supporters emphasized the importance of maintaining SNAP-related food assistance and emergency food delivery, while Catholic Charities raised a question about whether the bill’s language would also reach food banks serving food-insecure households that are not on SNAP. No opposition was heard and the bill was moved on without questions from members. The committee then heard SB 2025, which would exempt actively practicing advanced practice registered nurses from jury duty. Testimony was broadly supportive from nursing and health organizations, including the Hawaii American Nurses Association, the Hawaii affiliate of the College of Nurse Midwives, the Hawaii State Board of Nursing, and others. One witness from Kaiser Permanente requested an amendment to include physician assistants, and a committee member asked the Board of Nursing to review that request. The bill otherwise drew no opposition and no further member questions. SB 2038, relating to medication labeling, drew the most extended discussion. The measure would change labeling requirements for certain abortion medications, and testimony was split between supporters who framed it as a privacy and access issue and opponents who raised patient safety, ethics, and transparency concerns. The Department of Health supported the intent but requested an amendment to allow quicker access to private information during investigations without a subpoena. The Board of Pharmacy said it supported the written comments but noted operational challenges and possible cost impacts, while Kaiser said compliance would likely require manual workarounds and could slow pharmacy processes. The chair and members questioned whether patients could simply remove labels themselves, but witnesses said there could still be safety and access issues if the patient is not the one receiving the prescription. The committee then moved on to SB 2050, relating to chiropractic, which received support from the Hawaii Board of Chiropractic and the Hawaii State Chiropractic Association, with no substantive opposition noted. The hearing later turned to SB 201, relating to insurance, which appeared to be a new mandated-benefit measure tied to infertility/IVF coverage. The Hawaii Civil Rights Commission provided comments, while Hawaii Family Forum opposed the bill, arguing it went beyond medical infertility and raised ethical and public policy concerns. Kaiser and the Hawaii Association of Health Plans both asked for a study or audit, saying the measure could create new insurance mandates and increase costs for residents and employers. Private Work Hawaii strongly supported the bill as an equity issue. The committee noted there was no quorum for decision-making and deferred action on the measure to a later hearing, then recessed.

Transcript Highlights:

• Almost 50 years ago, back in 1976, we recognized physician assistants for humans, allowing PAs to practice
• under physician supervision.
• veterinarian that oversees these people would be responsible ultimately for the care, much like a physician
• would be for the care that a physician's assistant... ...for the care, much like a physician would be
• We allow PAs to treat our grandparents, to treat our kids.

Bills: S0754 , S0796

Committee: Senate Regulated Industries

Summary: The Committee on Regulated Industries met with a quorum and took up two bills. First, it heard SB 754 on heated tobacco products. The bill would statutorily define heated tobacco products and exempt them from the cigarette tax. Senator Davis questioned why the exemption was needed, and Senator Bernard asked about youth access; the sponsor said the bill was limited to taxation and would look into age and regulatory issues. A Florida Retail Federation representative appeared in support. The committee voted the bill favorably, and Senator Bracey Davis later asked to be recorded as voting in the affirmative on tab 1. The committee then considered SB 796 on veterinary medicine, after adopting a delete-everything amendment. The amended bill would create a Veterinary Professional Associate (VPA) role for individuals with a master’s degree in veterinary clinical care to perform delegated tasks under a licensed veterinarian’s responsible supervision. It also would extend the time period for telehealth prescriptions for flea and tick products from one month to six months and for other medications from 14 days to 30 days. Senator Boyd raised liability concerns, and the sponsor said existing statute already places liability on the supervising veterinarian. The Florida Veterinary Medical Association testified against the bill, arguing Florida should expand and better utilize existing veterinary technicians rather than create a new mid-level role, and warning about federal prescribing restrictions and animal safety. Supporters, including the Animal Legal Defense Fund and Dr. Wayne Jensen, argued the bill would expand access to care, reduce costs, and provide a well-trained supervised workforce. Several senators said the bill balanced access and safety, and the committee reported SB 796 favorably. The meeting then adjourned.

Transcript Highlights:

• Almost 50 years ago, back in 1976, we recognized physician assistants for humans, allowing PAs to practice
• under physician supervision.
• veterinarian that oversees these people would be responsible ultimately for the care, much like a physician
• For the care, much like a physician would be for the care that a physician's assistant administers, to
• We allow PAs to treat our grandparents, to treat our kids.

Bills: S0754 , S0796

Committee: Senate Regulated Industries