Transcript Highlights:

• And integrity and medical assistance.
• that is how it works with medical that is how it works with medical assistance<00:19:02.880>
• <00:40:08.320> assistance sanctions within the medical assistance sanctions within the medical
• this proposal recotifies the medical this proposal recotifies the medical assistance<00:40:47.680
• have implemented our our medical have implemented our our medical assistance<01:10:34.960> program

Keywords: 1187, senate, all

Transcript Highlights:

• medical cannabis. medical cannabis.
• that are used for for medical purposes. that are used for for medical purposes.
• entities whether it's board of medical entities whether it's board of medical practice practice
• um the role of the existing medical um the role of the existing medical incumbents,<01:30:44.520
• amounts of cannabis for the medical amounts of cannabis for the medical market<01:35:04.480>

Keywords: 1187, senate, all

Transcript Highlights:

• his medications.
• his medications.
• his medications.
• medical system.
• medical system.

Bills: HF2367, HF2319, HF2523, HF1742, HF671, HF2331, HF2722, HF2406, HF1674

Keywords: HF2367, Community First Services and Supports, CFSS, personal care assistance, PCA, consumer-directed community supports, CDCS, home and community-based services, HCBS, direct support professionals, direct care workers, caregivers, support workers, SEIU Healthcare Minnesota & Iowa, collective bargaining agreement, retention stipend, health care cost stipend, training stipend, orientation program, retirement trust

Transcript Highlights:

• illness injury in other medical illness injury in other medical conditions<00:49:20.240> and<
• not unusual when you find one medical not unusual when you find one medical Branch<04:17:31.359>
• <04:33:09.160> School in eye disease prior to Medical School in eye disease prior to Medical
• <05:28:14.840> school this short of going to medical school this short of going to medical
• recommendations of this large medical recommendations of this large medical community<05:40:03.000

Keywords: 928, house, all

Summary: The committee held public hearings on House Bill 144 and House Bill 145, both related to professional licensing for dietitians and dental hygienists. HB 144 was described as a technical fix to align statute with existing Board of Dental Examiners rules allowing dental hygienists to administer nitrous oxide and local anesthesia, with supporters saying the bill would add needed training and examination requirements to statute. A dentist and dental society representative testified that the practice is already being done safely within scope, and committee members discussed whether nitrous oxide is still used and whether the bill was mainly to keep the paperwork and law consistent. The committee moved HB 144 forward on a 12-0 vote and placed it on consent. HB 145 would join New Hampshire to a dietitian licensure compact and add a criminal history check for initial licensure to match compact language. The sponsor and board witnesses said the compact would improve portability, support telehealth, help military families and spouses, and maintain public safety by ensuring qualified practitioners and information-sharing among member states. Committee members asked about withdrawal from the compact, the difference between single-state and compact licensure, and why a background check was included; the witness said the compact is not yet active, with four states enacted and seven needed, and that the background check is required by the compact language. Additional testimony from a private-practice dietitian supported the bill, citing continuity of care, rural access, and workforce mobility, while some members raised concerns about telehealth across state lines and the practical effect of the background check.

Transcript Highlights:

• <00:37:28.000> therapy largely engaged in medication therapy largely engaged in medication
• <00:42:00.000> on see whether or not the medications on see whether or not the medications
• when you're taking the wrong medication when you're taking the wrong medication and<00:47:05.760
• You can see the actual medical trend versus the expected medical trend.
• You can see the actual medical trend versus the expected medical trend.

Keywords: Meeting Start: 00:00:35 Attendance Roll Call: 00:00:55 Approval of Minutes: 00:02:56 Deferred Compensation Authority Update: 00:03:12 Retiree Health Update - TRS: 00:15:58 Retiree Health Update - KPPA: 00:56:13 Adjournment: 01:20:33, 958, all

Summary: The Public Pension Oversight Board received updates from the Kentucky Public Employees Deferred Compensation Authority and the Teachers Retirement System. Chris Biddle reported that deferred compensation assets had grown to about $4.787 billion with roughly 88,000 participants, crediting auto-enrollment, targeted marketing around pay raises, and retiree-focused services. He said the board’s self-directed brokerage account, authorized by last year’s legislation, is being designed around a $40,000 account-balance threshold with up to 25% transferable into the brokerage window, tentatively for July 1 of the coming year. He also described the free financial planning program, which has been used by about 3,300 to 3,500 participants with an 87% return rate, and noted that the plan is currently in a fee holiday; members asked about the fee structure and whether the CFP service is provided through Nationwide, which Biddle confirmed. Board members praised the deferred compensation program’s growth and asked for the legislation referenced by Biddle. He said the plan’s annual fees are capped, with a $1 monthly fee plus other charges up to a $225 cap, for a maximum of $237 per year absent a managed account. He also said the program is seeking unified payroll access to expand participation, especially among teachers, and that prior lineup changes saved about $6 million annually in participant fees. Bo Barnes of TRS then addressed retired teachers’ health insurance, first clarifying a prior question about declining federal contributions to the retirement annuity trust. He explained that federally funded school positions generated contributions that rose from $72 million in 2019 to $109 million in 2022, then fell to $85 million this year, with a projection of $80 million over the next three years; if those dollars do not come from federal sources, they would have to be replaced through the SEEK formula. Barnes then reviewed TRS health coverage, explaining that the statutory contract guarantees access to group coverage but not fixed premium levels, and that TRS administers two retiree plans: KEHP for retirees under 65 or otherwise not Medicare-eligible, and MEHP for retirees 65 and older or Medicare-eligible. Barnes said TRS completed RFPs for the 2026 plan year, retaining Express Scripts for prescription drugs and switching the Medicare Advantage medical provider from UnitedHealthcare to Humana, while keeping plan design, provider access, out-of-pocket costs, and benefits materially unchanged. He noted a modest hearing-aid improvement of $500 per ear beginning in 2026. He also reported that the TRS Board approved the maximum state contribution for KEHP at $1,044.96, up from $930.76, an 18% increase that he said would require about $15 million to $16 million more annually, while the MEHP premium would drop from $210 to $200 per month because of the new contract. Using the 2024 valuation, he said the KEHP increase would slightly reduce the health trust funded ratio from 80.4% to 80.1% and raise unfunded liability from $4.036 billion to $4.051 billion. Barnes closed by reviewing the 2010 shared-responsibility reforms that shifted retiree health costs away from a pay-as-you-go model, including phased employee and district contributions and Commonwealth stabilization funding. No votes were taken beyond approval of the minutes.

Transcript Highlights:

• networks of people and medical networks of people and medical professionals<00:02:40.239> to<
• timing that we heard from uh the medical timing that we heard from uh the medical professionals<
• :58.559> um choose medical laboratory um choose medical laboratory um scientists.<00:33:01.200
• <00:51:08.400> patient life-saving medication that our patient life-saving medication that
• Um I show John Hessin as the only testifier. medications. Unfortunately PBMs have medications.

Keywords: 1187, senate, all

Transcript Highlights:

• What we're doing is clarifying the Alabama Veterinary Medical Practice Act.
• The Alabama Medical Cannabis Commission has done its job.
• The legislature already did its job by passing the medical cannabis law.
• and need... ...in Alabama need this medication and need this to break the logjam.
• Hopefully, we can get doctors prescribing medication for people that it can help.

Bills: SB185, SB194, SB72

Keywords: veterinary medicine, veterinarian-client-patient relationship, prescription refills, animal care, regulatory compliance, agriculture authority, eminent domain, property rights, tax exemption, agriculture center, medical cannabis, cannabis license, integrated facility license, Alabama Medical Cannabis Commission, AMCC, medical marijuana, dispensary, cultivation, processing, license appeal

Transcript Highlights:

• Senior medical case manager for Sunburst Projects.
• I didn't trust the medications that were out at the time, AZT.
• In 2003, I was non-inherit to medication. I didn't believe in it.
• care and non-medical care for our residents.
• care and non-medical care for our residents.

Summary: The committee held an inaugural hearing on the health care and support needs of older LGBTQ Californians, with members and witnesses emphasizing that this population has made major gains in rights and longevity but still faces discrimination, isolation, economic insecurity, and gaps in services. Opening remarks highlighted concerns about older LGBTQ people entering nursing homes and feeling forced back into the closet, as well as the growing number of Californians aging with HIV. The hearing was structured into three panels, with public testimony considered if time allowed. The first panel focused on the overall health and support landscape. Justice in Aging described survey findings showing discrimination, poor health, difficulty with errands, and economic insecurity among older LGBTQ Californians, and warned that federal Medicaid cuts and broader federal actions could worsen access to home- and community-based services and culturally competent care. CalHHS and the Department of Aging described the Master Plan for Aging, the first statewide LGBTQIA older adult survey, and efforts to support gender-affirming care, PACE, care management, and community supports. Witnesses stressed the need for better outreach, data collection, and a “no wrong door” approach so people can more easily find and access services. The chair and senators pressed the departments on how survey findings are being translated into concrete action and how state agencies are coordinating across silos. The second panel addressed health care for seniors living with HIV. A longtime survivor described severe financial and benefits consequences from a federal clawback and argued that California needs stronger legal, navigation, and housing supports, including HIV-specific housing funding. The Department of Aging reported on implementation of SB 258, saying it has educated area agencies on aging, added HIV data to planning tools, and found that 20 of 33 area agencies identified HIV as a target population, with 16 including specific strategies. The Office of AIDS outlined Project Cornerstone, Ryan White, ADAP, HOPWA, a Medi-Cal waiver, and PrEP-AP, noting these programs serve thousands of older clients and that local case managers are expected to coordinate whole-person care. Case managers and advocates said housing, food, transportation, mental health, and premium assistance remain major needs, and senators asked whether future ADAP rebate funds could support navigation, housing, and other gap-filling services. The final panel turned to transgender, gender nonconforming, and intersex seniors. The Department of Social Services described protections under SB 219, including nondiscrimination notices, resident rights postings, required records for preferred names and pronouns, and annual inspections of licensed facilities. The Department of Public Health and a TransLatin Coalition leader were introduced to discuss additional supports for TGI seniors. Across the hearing, members repeatedly returned to the themes of visibility, coordination, and implementation, asking departments to follow up on how they will better connect services, improve outreach, and ensure that existing laws and programs are actually reaching the people they are meant to serve.

Transcript Highlights:

• There's no other contract that has a stipulation where a medical condition, a physical medical condition
• During a medical procedure, I think it needs...
• on the medical facility's campus?
• All medical providers are mandated reporters.
• We're now in a medical procedure where something has happened.

Keywords: 959, house, all

Transcript Highlights:

• This one is also from the Association of American Medical Colleges.
• With UNM, we've had medical students come up. We've done residencies.
• And direct medical payments.
• We would keep them on that medication.
• Medication does only so much. They come off medication, and we know, and they go into the abyss.

Transcript Highlights:

• This act states elsewhere that it doesn't apply to lawful medical care.
• “Mother who had elected for a lawful medical procedure, I think you’re talking about a lawful medical
• provider for lawful medical care.
• What, if any, parts of the bill were contributed by a medical doctor? You're recognized.
• treatment, who's not a medical provider, as was just argued, greater protection.

Summary: The Civil Justice and Claims Subcommittee met to consider one measure, PCS for HB 289, which would amend Florida’s wrongful death statute to allow parents of an unborn child to recover damages for the child’s wrongful death and to include parents in the definition of survivors. The sponsor said the bill is intended to give parents a remedy when a wrongful act, negligence, breach of contract, or breach of warranty causes the loss of an unborn child, while also preserving existing protections for lawful medical care and the mother. Members questioned the bill extensively about the meaning of “survivors,” whether it could reach surrogacy situations, friends or family who assist someone in obtaining abortion care, paternity issues, and whether abusive or unqualified fathers could bring claims. The sponsor repeatedly said the bill is limited to parents, does not authorize suits against the mother or lawful medical providers, and would still require the normal wrongful death procedures, including appointment of a personal representative. He cited Duncan v. Flynn as the case holding that current law does not allow recovery for the death of an unborn child. Representative Gottlieb offered an amendment modeled on criminal-law protections, aimed at expanding explicit immunity for a pregnant woman and for persons providing medical care or abortion-related conduct with consent. Supporters of the amendment said it would better align civil law with criminal protections; opponents argued it was overly broad and could shield unlicensed conduct. The amendment failed on a voice vote. Public testimony was divided, with supporters from pro-life and Catholic organizations backing the bill and some asking to remove the health care exemption, while opponents from ACLU, Equality Florida, Planned Parenthood affiliates, Florida Voice for the Unborn, Voices of Florida, and others warned the bill could chill reproductive health care, increase liability for doctors and hospitals, and invite lawsuits involving surrogates, family members, and abortion-related care. In debate, supporters said the bill simply recognizes the value of unborn children and gives parents a remedy for wrongful loss, while opponents argued it could create unintended consequences in family law, surrogacy, IVF, and medical practice, and could empower abusive partners or rapists. After closing remarks, the committee voted 13 yeas and 3 nays to report PCS for HB 289 favorably. The meeting then adjourned.

Transcript Highlights:

• We're talking about medical abortions and... Including spontaneous fetal demise?
• So we're talking about medical abortions and procedural abortions. Okay. Thank you.
• Okay, medical history.
• Is going to be lower than a medical procedure.
• Okay, because that is part of the medical services traditional Medicaid plan is included.

Summary: The committee first approved the previous meeting minutes and then heard a detailed annual report from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and policy issues. He explained the committee’s review process, confidentiality protections, and national and North Dakota data showing that most maternal deaths are preventable and that mental health conditions, substance use, cardiovascular issues, infection, hemorrhage, and embolism are the leading causes. Members asked about suicide, domestic violence, midwife training, home births, and whether pregnancy testing at death scenes should be expanded; Dr. Arnold said better coroner education, more investigation of unexplained deaths, and possible post-mortem pregnancy testing could improve case identification, especially in rural areas. He also noted that deaths often occur well after 42 days postpartum and that mental health-related deaths remain a major concern. The committee then heard from State Fire Marshal Dr. Matthew Clark on cigarette reduced-ignition-propensity standards and related fire prevention issues. He recommended updating the state’s cigarette propensity law to current national standards and also raised a separate recommendation to require fast-breakaway oxygen tubing for home oxygen users, citing fatal fires linked to smoking around oxygen. Members asked about implementation, cost, insurance coverage, and whether the standards apply in tribal communities; Dr. Clark said he would provide follow-up information and was willing to help with any legislation, but no agency bill had yet been planned. Next, Christine Greff of the Department of Health and Human Services reported on the North Dakota Stroke System of Care. She described the statewide network of stroke-ready hospitals, registry-based quality improvement, and performance data showing continued improvement in stroke recognition, imaging, thrombolytic treatment, transfers, and EMS pre-notification. She highlighted new quality measures for inter-facility transfers and intracerebral hemorrhage care, and said the system remains strong but depends on continued legislative and hospital support. Committee members asked about participation by the VA hospital and were encouraged to consider outreach to include it more fully in the stroke system. Finally, the committee began a presentation on prior authorization and non-opioid pain treatment from Taha Khan of Vertex Pharmaceuticals. He argued that prior authorization can delay access to non-opioid acute pain medications, especially in the 24- to 72-hour post-discharge window when pain is most severe, and said delays can push patients toward opioids. He emphasized that prior authorization has a role in utilization management but should not create barriers in acute pain care, and he noted that current use of the company’s non-opioid product remains very low. The discussion was still underway when the transcript ended.

Transcript Highlights:

• As for actual medication, she did not believe the bill would fall under medications, but she was not
• business of medical treatment.”
• a process for Grants but for medical a process for Grants but for medical grants<04:50:04.718>
• He also asked whether grants specifically for medical products or medical services were included.
• /c><04:59:41.440> a<04:59:41.680> medical Grant from a medical Grant from a medical Grant

Keywords: 928, house, all

Summary: The committee first took up House Bill 763, an early bill concerning AED access at athletic events and venues. Representative Morris offered amendment 0743H to clarify the bill by removing charter schools from the language and tying AED placement to American Heart Association guidance, emphasizing that AEDs should be readily accessible within a reasonable walking distance rather than mandated on every field. The amendment and then the bill as amended both passed 17-0, and the bill was reported out as Ought to Pass with Amendment. The committee then considered House Bill 781, requiring school districts to adopt cell phone-free education policies, and a related bill, House Bill 131. HB 781 was amended to include charter public school boards, cover other personal electronic communication devices, require at minimum restrictions on student personal cell phones during class instruction, allow superintendent-approved exceptions for medical or language needs, protect students with medical needs or disabilities under Section 504, and set an effective date of July 1, 2025. Some members argued the amendment was too prescriptive and limited local control, while supporters said it still left districts flexibility outside classroom instruction. The amendment passed 16-1, and the bill then passed Ought to Pass as Amended 16-1. HB 131, described as a mirror bill, was then retained by a 17-0 vote. House Bill 398, a title bill requiring Holocaust and genocide studies to include impacts on people with disabilities, was moved to ITL after Representative Selig reported the genocide commission believed the topic was already being covered. That motion passed 17-0. The committee also agreed to hold several bills for later consideration, including HB 754, HB 1221, HB 360, and HB 699, citing the need for more review or missing copies. Finally, the committee took up House Bill 361, prohibiting mandatory mask policies in schools. Supporters argued the bill would preserve individual choice while preventing statewide or districtwide mandates in future public health emergencies, and cited a Department of Health and Human Services letter saying masks remain effective but decisions should be based on individual choice and risk assessment. Opponents emphasized local control and the need for districts to respond to different public health conditions. The transcript cuts off before the final vote on HB 361 was completed.

Transcript Highlights:

• Our homeless shelters do not have medical professionals that can prescribe medication, administer medication
• Professionals that can prescribe medication, administer medication, or provide that level of care for
• In some cases, individuals begin appropriate mental health medication and medication-assisted treatment
• I'm assuming that it may have to do with, in part, a medication issue; that maybe there is some medication
• We have psychiatrists and nursing staff, medical staff, that can provide medication management.

Keywords: 1184, house, all

Transcript Highlights:

• > related diskynesia to medication related diskynesia to medication related sections<00:26:29.760
• <00:45:27.599> appropriate agreement um on medically appropriate agreement um on medically
• So this is a medically appropriate.
• for counties to cover these medical costs.
• recommendation of DHS and the medical recommendation of DHS and the medical staff<01:05:21.359><

Keywords: 1187, senate, all

Transcript Highlights:

• inclusive of both the family and medical inclusive of both the family and medical uh<00:07:39.680
• Row, Deputy Commissioner Ro. medical. We're only running at 44. And medical.
• Um I think maybe medical claims now.
• And the same with the medical.
• Are you is that the the medical.

Keywords: 1187, senate, all

Transcript Highlights:

• need for nourishment Essential Medical need for nourishment Essential Medical Care<00:31:11.279>
• therapies science and the medical therapies science and the medical community<01:16:38.760> are
• education regulation and medical education regulation and medical oversight<01:17:18.120> psychedelic
• me no more than medication me no more than medication uh<01:25:25.760> nothing<01:25:26.080
• He left the VA on 13 medications that left him feeling like a zombie.

Keywords: 910, house, all

Summary: The Committee on Health heard testimony on several bills. On SB 1441, which would repeal the transfer of the Oahu Regional Health Care System from HHSC to the Department of Health, the Department of Health said it strongly supports the measure and requested clarifying amendments. HHSC/Oahu Region also supported the bill and said it had no objection to the department’s amendments. In response to questions, witnesses said the agencies have been working on an MOU to support transfers of long-term care patients to Leahi, with the current goal being about 10 to 15 patients, but transfers would occur only as space and staffing allow; one patient was reportedly being admitted at the time, and the process was described as slow and case-by-case. The committee then heard SB 1443 on payment rates for state hospital patients and related Department of Health services. The hospital administrator said the bill would allow rates above Medicaid for community or foster-home placements if patients cannot be placed at Leahi or elsewhere, and would set Medicaid-level reimbursement for outside medical services used by state hospital patients. He said at least one provider was interested in offering services at that rate and that the population involved is largely non-ambulatory long-term care patients. Members asked about availability and training, and the witness said special training could be provided. SB 1322, a broad mental health bill, drew mixed testimony. The Department of Law Enforcement supported giving crisis-intervention-trained officers more discretion to transport people to medical care instead of arresting them. The Attorney General supported the bill but recommended revisions to emergency-transport language and restoring liability protections. HHSC and Queens Hospital supported the overall goal but sought amendments to preserve the mental health emergency worker role in decision-making and to avoid negative impacts on emergency departments. The Disability Rights Center and ACLU opposed parts of the bill, arguing that it weakens due process, reduces protections in involuntary treatment and transport, and should retain a three-person treatment panel rather than reduce it to one. A Queens representative said the current program works well and reported that more than 90% of MH1 cases once went to hospitals, but that figure has dropped to about 60-70%, with about 20% now diverted to community settings or the behavioral health crisis center. No votes or final committee actions were taken in the portion provided.

Transcript Highlights:

• <00:36:21.680> accurate our bill now includes medically accurate our bill now includes medically
• :26.320> information line 178, medically sound information line 178, medically sound information
• <00:38:01.599> accurate fact would give medically accurate fact would give medically accurate
• Um my medically correct information.
• get factually accurate, correct medical get factually accurate, correct medical information.<00:

Keywords: 1136, house, all

Transcript Highlights:

• There are good medical providers out there and there are bad. is present.
• There are good medical providers out there, and there are bad medical providers out there.
• they will revoke the ability of the parent to view the child's medical record.
• So even maybe more so is the narrative that if they aren't, are our medical co-providers?
• But the questions that a medical provider can ask, and we've also, But the questions that a medical provider

Keywords: 908, all

Summary: The Senate opened with prayer, the Pledge of Allegiance, and a quorum call, then approved journal corrections and moved to elect Senator Kyle Davison as President Pro Tem. Davison was nominated, elected by unanimous ballot, escorted to the rostrum, sworn in, and gave remarks thanking his family, colleagues, and faith, emphasizing relationships, service, and stewardship. The chamber also recognized National Public Health Week with a floor statement honoring public health workers and training programs, and that statement was ordered printed in the journal. The Senate then considered several House bills, beginning with HB 1485, which increases the personal needs allowance for Medicaid residents in certain facilities by $15 per month and indexes it to inflation; the amendment was adopted and the bill passed 46-1. HB 1018, the State Historical Society budget, was amended to adjust one-time and ongoing funding for museum exhibits, repatriation compliance, archives storage, local historic grants, and the military gallery project, then passed 42-0 with one senator excused from voting due to a conflict. HB 1181, defining gender in state code as an individual’s sex and removing a broader application section, passed 41-6. HB 1144, adding a penalty and enforcement mechanism related to transgender student accommodations and restroom use in public schools, passed 40-7 with its emergency clause. The Senate also passed HB 1600, creating an immigration law clinic at the University of North Dakota School of Law and shifting its funding to the strategic investment and improvements fund, by 34-13. HB 1019, the Parks and Recreation budget, was amended to fund deferred maintenance, technology, sewer work, matching grants, and other park projects, add language requiring legislative approval for new or renamed state parks, and clarify use of the Teddy Roosevelt Presidential Library line of credit; a proposed amendment to remove funding for the International Peace Gardens cactus conservatory failed 20-27, and the bill then passed 39-8. HB 1417, dealing with parole/probation violations, court fees, and a study of criminal justice fees, passed 40-7 after amendments. The most extensive debate centered on HB 1450, which would require parent or guardian access to a minor’s medical exam room and notice of questions asked of the minor, with exceptions for emancipation and suspected abuse or trafficking. Supporters framed it as a parental rights and transparency measure, while opponents warned it could hinder screening for abuse, neglect, mental health concerns, and confidential care; multiple senators shared personal experiences on both sides. A proposed amendment to narrow the bill failed 21-26, and the transcript ends amid continued debate on the bill itself, with no final vote shown in the excerpt.

Transcript Highlights:

• That's medical conduct, which is different from free speech.
• :46.880> and Medical practitioners study hard and Medical practitioners study hard and long<00
• The interstate medical licensure compact had our license numbers explode.
• The interstate medical licensure compact had our license numbers explode.
• this, those are free for US medical this, those are free for US medical students<01:05:49.440>

Bills: HB0143, HB0129

Keywords: health care providers, free speech, discrimination, governmental agencies, civil remedies, physician access, internationally trained physicians, medical licensing, provisional license, healthcare workforce, 916, all