Transcript Highlights:

• <00:55:02.319> It ethical dilemmas for physicians. It ethical dilemmas for physicians.
• should not we should not put physicians should not we should not put physicians in in in that<00
• The person has already phys physician.
• types of treatments and the physician types of treatments and the physician providing<00:58:50.240
• 00:59:26.400> that person's physician has determined that person's physician has determined that

Keywords: 1191, senate, all

Transcript Highlights:

• I'm a family medicine physician and owner of an independent primary care practice in Milford.
• Since I had just transitioned from being a hospital-employed physician to opening my own practice, I
• compared to a hospital-employed physician.
• I'm a family physician practicing in Delaware for 35 years.
• their practices to hospitals, with few new physicians practicing primary care.

Bills: SB268, SB306, SB264, SB312

Keywords: federal workers, government shutdown, interest-free loans, tax deferral, public transportation, Rehoboth Beach, municipal charter, city charter amendment, commissioners, mayor, local government, election qualifications, affidavit of eligibility, domestic partner, cohabitant, conflict of interest, freeholder, leaseholder, municipal court, Alderman

Summary: The House Administration Committee met to consider a series of resolutions and bills covering arts districts, child care background checks, federal worker relief, health care reform, court transparency, school tax reassessment, municipal charter changes, constitutional amendment procedures, data center nondisclosure agreements, state employee benefits governance, and lieutenant governor vacancies. Members also noted that House Concurrent Resolution 12 had been removed from the agenda and that public comment would be limited to one minute per speaker. The committee released SCR 167 to study arts, culture, and creative districts in Delaware; HB 438 to close a loophole in the child care service letter requirement; SB 268 to provide interest-free loans, free transit, and tax deferrals for federal workers during shutdowns; SS2 for SB 1 to expand and permanently strengthen primary care investment while also addressing hospital cost growth; HCR 147 to request a Court of Chancery report on audio recordings and automated case assignment; SB 322 to replace the current post-reassessment 10% school revenue increase authority with a 2% annual increase option under safeguards; SB 306 to amend the Rehoboth Beach charter; HB 440 to require voter approval for constitutional amendments after legislative approval; SB 312 to bar nondisclosure agreements for large data center projects; SS1 for SB 289 to change State Employee Benefits Committee governance; and SB 264 to require a special election to fill a lieutenant governor vacancy. Testimony was mixed on several measures. Arts, child care, federal worker relief, primary care, court transparency, data center transparency, and the lieutenant governor vacancy bill drew mostly supportive testimony, while SB 322 and SB 306 drew both support and opposition, especially over tax impacts and the proposed spouse/partner restriction in Rehoboth Beach. HB 440 prompted debate over whether 55% voter approval was the right threshold for constitutional amendments, and SB 312 was supported as a transparency measure by residents affected by prior data center NDAs. All of the listed measures were released from committee by roll call vote, with some members voting no on HB 440, SB 306, SB 312, SS1 for SB 289, and SB 264.

Transcript Highlights:

• Sprute, as a family physician and educator of adult learners, is dedicated to caring for communities
• We need more primary care physicians.
• Additionally, she has served as the Physician of the Day for the Texas Senate Legislature.
• Providing your expertise as a physician to our bodies, your expertise as a physician and a teacher to
• Access to sensitive law enforcement records includes things like police reports, witness statements,

Bills: SB203, SB317, SB731, SB801, SB823, SB867, SB1232, SB1380, SB1798, SB2082, SB2603, SB2607, SB2717, SB2797, SB2841, SB2919, SB3074, HB2, HB6, HB18, HB43, HB47, HB120, HB143, HB149, HB171, HB180, HB285, HB305, HB449, HB647, HB742, HB748, HB908, HB1024, HB1240, HB1306, HB1397, HB1443, HB1445, HB1533, HB1866, HB1902, HB2001, HB2011, HB2026, HB2282, HB2355, HB2402, HB2434, HB2440, HB2492, HB2516, HB2518, HB2560, HB2674, HB2688, HB2697, HB2712, HB2713, HB2715, HB3153, HB3161, HB3421, HB3424, HB3464, HB3486, HB3510, HB3627, HB3966, HB3986, HB4042, HB4044, HB4076, HB4263, HB4384, HB4396, HB4413, HB4426, HB4429, HB4945, HB4996, HB5033, HB5246, HB5436, HB5515, HB5667, SJR5, SB3, SB4, SB9, SB20, SB21, SB23, SB27, SB33, SB34, SB40, SB75, SB213, SB269, SB379, SB458, SB528, SB647, SB648, SB650, SB681, SB740, SB840, SB843, SB924, SB1061, SB1120, SB1121, SB1150, SB1188, SB1198, SB1202, SB1253, SB1318, SB1333, SB1405, SB1423, SB1535, SB1566, SB1574, SB1621, SB1709, SB1789, SB2037, SB2078, SB2268, SB2544, SB2570, SB2601, SB2778, SB1, SB17, SB260, SB509, SB1506, SB1637, SB1833, SB2155, SB2308, HB2525, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1234, SB2926, SB2841, SB1528, SB1854, SB317, SB1250, SB2082, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB867, SB640, SB1698, SB2680, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1367, SB2044, SB2363, SB2565, SB1888, SB3036, SB3057, SB3043, SB3063, SB3035, SB203, SB2688, SB2522, SB2459, SB2655, SB2251, SB1884, SB2928, SB2566, SB1749, SB2549, SB2553, SB2919, SB1944, SB1232, SB1798, SB2603, SB2607, SB2683, SB1319, SB3038, SB3045, SB1538, SB3071, SB3065, SB823, SB3062, SB3074, SB1380, HJR133, HB2715, HB2, HB26, HB388, HB2712, HB1633, HB685, HB1606, HB1458, HB1240, HB2791, HB1397, HB2061, HB647, HB4738, HB2563, HB128, HB766, HB2259, HB2358, HB4384, HB748, HB5180, HB3806, HB3804, HB3803, HB1522, HB3597, HB1612, HB4224, HB1314, HB1237, HB3126, HB2856, HB3114, HB3505, HB5652, HB2025, HB3395, HB18, HB2516, HB2713, HB24, HB519, HB609, HB1592, HB120, HB1533, HB2421, HB2273, HB2464, HB2011, HB5084, HB3424, HB4396, HB43, HB5686, HB2518, HB4310, HB180, HB149, HB4945, HB2434, HB3161, HB3745, HB4044, HB5155, HB5667, HB4996, HB2697, HB2492, HB2355, HB2282, HB2001, HB1902, HB1866, HB1445, HB1443, HB1306, HB1024, HB908, HB305, HB285, HB449, HB171, HB47, HB3464, HB2637, HB4263, HB5436, HB4429, HB3986, HB3966, HB3510, HB2560, HB2026, HB2688, HB4076, HB5246, HB3487, HB3486, HB4226, HB216, HB742, HB2402, HB143, HB5033, HB4413, HB4042, HB2440, HB4426, HB49, HB4112, HB3233, HB2310, HB5515, HB3627, HB2674, HB322, HB1481, HB126, HB3062, HB3421, HB3180, HB2530, HB2524, HB1916, HB3153, HB5650, HB4894, HB3120, HB1629, HB103, HB3234, HB3680, HB5698, HB3171, HB5693, HB2694, HB5664, HB3732, HB2508, HB2293, HB1991, HB2014, HB5331, HB5247, HB4751, HB4690, HB4668, HB4464, HB4395, HB4063, HB3833, HB3623, HB3214, HB3512, HB3250, HB3016, HB2520, HB2221, HB2213, HB3824, HB2067, HB1732, HB1562, HB700, HB1545, HB252, HB146, HB5596, HB1851, HB3619, HB3071, HB3556, HB851, HB4230, HB5320, HB5651, HB5670, HB5665, HB5437, HB5679, HB5699, HB5661, HB5662, HB5654, HB5672, HB5656, HB5149, HB4903, HB4743, HB4666, HB4377, HB4535, HB4129, HB3812, HB3801, HB3595, HB3057, HB2035, HB721, HB35, HB346, HB2974, HB2512, HB5695, HB5694, HB5671, HB5674, HB5688, HB1586, HB5154, HB2038, HB163, HB413, HB3463, HB3185, HB2761, HB2593, HB2348, HB2073, HB1828, HB1422, HB75, HB1871, HB108, HB2306, HB2017, HB1135, HB144, HB3689, HB5308, HB101, HB2193, HB5666, HB5677, HB5682, HB5680, HB5658, HB5696, HB4144, HB3159, HB3254, HB3866, HB3010, HB4520, HB3642, HB3928, HB3815, HB2686, HB2012, HB1960, HB227, HB654, HB1690, HB2128, HB4158, HB4530, HB4630, HB5659, HB1523, HB2078, HB2427, HB145, HB1973, HB3333, HB3697, HB3546, HB3225, HB3181, HB3133, HB3053, HB2885, HB2820, HB2294, HB2253, HB1661, HB1506, HB1234, HB640, HB621, HB551, HB521, HB493, HB272, HB229, HB223, HB201, HB186, HB119, HB2080, HB2818, HB5394, HB4795, HB4466, HB4454, HB3940, HB3749, HB3151, HB3284, HB1403, HB1106, HB2844, HB2851, HB1500, HCR141, HCR118, HCR127, HCR40, HCR59, HCR10, HCR135, HCR142, HCR9, HCR76, HCR108, SB823, SB1380, SB3074, HB47, HB143, HB149, HB171, HB285, HB305, HB449, HB742, HB908, HB1024, HB1240, HB1397, HB1443, HB1533, HB1866, HB1902, HB2001, HB2011, HB2355, HB2402, HB2434, HB2440, HB2492, HB2560, HB2688, HB2697, HB2712, HB3153, HB3161, HB3421, HB3424, HB3464, HB3486, HB3510, HB3986, HB4042, HB4076, HB4263, HB4413, HB4426, HB4429, HB4945, HB4996, HB5246, HB5515, HB2, HB2282, HB3627, HB5033, SR560, SR561, HB1904, HB2240, HB3686, HB3793, HB4202, HB1904, HB2240, HB3686, HB3793, HB4202

Keywords: student privacy, numerical class rank, education policy, academic programs, high school, monuments, memorials, public property, historical significance, civil penalties, local governance, SB 731, Texas, Texas Department of Housing and Community Affairs, TDHCA, low-income housing tax credits, LIHTC, affordable housing, senior housing, 55 and older

Transcript Highlights:

• Physicians remain committed to serving Minnesotans on MA.
• all physicians.
• Are there any physicians that are being left out?
• including primary care physicians including primary care physicians Behavioral<01:35:53.080>
• <02:05:16.040> was<02:05:16.159> at statement was at statement was at 12,000 12,000 12,000

Keywords: 1187, senate, all

Transcript Highlights:

• The drugs could only be prescribed by a physician, and they had to be taken in... in the doctor's office
• Same answer on physician and physician group, same answer? Yes, sir.
• She gets on the phone with her physician up in New York State… They said, "Hey, you're under our insurance
• I think we've made our statement. We're going to get people confused. Senator, let's be clear.
• You would agree with that statement.

Bills: SB 2, SB 5, SB 10, SB 9, SB 7, SB 17, SB 4, HB17, HB7, HB7, HB15, HB15, HB27, HB1, HB7, HB15, HB18, SB9, SB7, SB17, SB4, HB17, HB27, HB1, SB8, HCR13, SB2, SB5, SB10

Keywords: disaster relief, flood preparedness, emergency funding, local government support, meteorological forecasting, school assessment, public education, accountability, transparency, education standards, STAAR, Texas Education Agency, TEA, public school accountability, school ratings, A-F ratings, assessment reform, student testing, benchmark tests, interim assessments

Transcript Highlights:

• So, um, I just want to follow up on the statements you just made.
• I just want to follow up on the statements you just made.
• I just want to follow up on the statements you just made.
• They put together a statement which I'd like to read.
• individuals including a physician individuals including a physician including<03:02:12.479> an

Keywords: 1191, senate, all

Transcript Highlights:

• We know in the case of that statement.
• I'd probably narrow that statement.
• >> Can I just make a statement on that?
• <05:24:37.520> But those for those th those physicians.
• But those for those th those physicians.

Keywords: 9:00am HB 155 9:30am HB 1102 10:30am HB 1109 11:00am HB 1356 11:30am HB 1469 1:00pm HB 1323 2:00pm HB 1376, 928, house, all

Summary: The meeting began with unanimous committee approval of amendment 2026-2021S to HB 2. Senator Lang explained the amendment corrected a drafting error so that $2.5 million in state funds, matched with federal money for a total of $5 million, could be spent during the biennium rather than lapse at the end of the fiscal year. The money is intended to stabilize Medicaid per diem rates for county nursing homes, and members agreed without objection to adopt the amendment and continue working from the bill as amended by the Senate. The committee then discussed HB 155 and a proposed amendment, 2026-201H, dealing with the business enterprise tax. The House side described the proposal as a compromise that would raise the filing threshold from $250,000 to $375,000 and create a trigger that would reduce the BET rate by 0.05% for each $100 million in combined business tax surplus, down to a floor of 0.25%. Senate members opposed lowering the rate at this time, arguing that tax relief should focus on the filing threshold, which they said would remove filing burdens for about 3,500 small businesses, and that rate cuts should be considered in a budget cycle rather than an off-year. Concerns were raised that one-time revenues, such as tax amnesty receipts or federal repatriation-related surpluses, could unintentionally trigger reductions. Representative Sweeney later offered a revised approach by moving the effective date of the trigger mechanism to January 1, 2028, and said he was also willing to carve out tax amnesty revenues or adjust the effective date to avoid using one-time funds. The Senate remained unwilling to agree to a rate reduction, though it expressed openness to raising the filing threshold further. The committee ultimately did not resolve the business tax issue and recessed to continue discussions at a later time. The final item discussed was HB 1102, concerning an increase in the research and development tax credit paired with changes to state park fees. House members supported the R&D credit increase but opposed tying it to higher park fees, citing concerns about tourism, especially at border parks, and noting that the Department of Natural and Cultural Resources had said it did not need the increase. Senate members defended the park fee changes as a fairness issue, arguing that New Hampshire residents should pay less than out-of-state visitors and that the department had not raised rates in many years. No vote was taken on this item during the discussion captured here.

Transcript Highlights:

• California chapter of the American College of Emergency Physicians, in support. Thank you so much.
• Financially, while hauling physicians like me and the patients we serve, without financial stability
• Tim Madden, representing the California Chapter of the American College of Emergency Physicians, the
• Like I said in my statement, I think we have differences of opinion as to what is currently supposed
• Like I said in my statement, I think we have differences of opinion as to what is currently supposed

Keywords: 988, house, all

Transcript Highlights:

• In my statement, you can read about antimicrobial resistance.
• Under current law, the statute expressly says physicians don't have to meet in person.
• I'll just read out my statement for you all.
• I wonder if I could make one quick statement.
• You guys can read the statement.

Bills: SB34, SB119, SB261, SB532, SB1035, SB1245, SB1247, SB1267, SB1442, SB1930, SB1948, SB2078, SB2112, SB2143, SB2155

Keywords: wildfire, wildfire mitigation, wildfire prevention, volunteer fire department, Texas A&M Forest Service, West Texas A&M University, prescribed burning, fuel loading, fuel reduction, firefighting equipment database, emergency communications, disaster preparedness, rural fire protection, asset hardening, natural resource management, emergency management, large wildfire risk, fire grant funding, fire suppression, Texas Legislature

Transcript Highlights:

• , one physician signing off or two physicians signing off, depending on what stage in the pregnancy the
• I'm going to take a little bit of a perspective as a physician.
• But Florida is facing a huge shortage of physicians, particularly OBGYN physicians, who...
• Florida is facing a huge shortage of physicians, particularly OBGYN physicians who perform births.
• I'm very concerned that this bill will further erode that number of physicians.

Summary: The Judiciary Committee heard Senate Bill 1272 on guardianship, which would limit a guardian’s ability to isolate an adult ward from family and require notice of major events such as a ward’s death or relocation to a more restrictive setting. Senator Jones and supportive speakers said the bill was intended to protect wards from abuse and isolation by bad actors, while still preserving good-faith guardianship. With no opposition testimony or debate, the committee voted 8-0 to report the bill favorably. The committee then considered CS for Senate Bill 1284, which would expand Florida’s Wrongful Death Act to allow civil claims for the death of an unborn child. An amendment was adopted to define “unborn child” as a member of the species Homo sapiens carried in the womb and to state that the act does not authorize claims against the mother or against health care providers acting within the lawful standard of care. The bill drew extensive debate and testimony. Supporters argued it would give parents parity and fuller damages, including economic losses and mental anguish, when negligence causes the death of an unborn child. Opponents, including the ACLU, medical professionals, and reproductive rights advocates, warned it could be used to target abortion care, increase malpractice exposure, worsen physician shortages, and create speculative damages. The committee approved the bill 6-4. Finally, the committee took up Senate Bill 1288 on parental rights, with a strike-all amendment that would strengthen parental control over minors’ medical decisions, surveys, and biofeedback devices, while adding exceptions for emergencies, court orders, certain legal statuses, and situations involving abuse or out-of-home placement. Supporters said the measure restores parents as primary decision-makers and protects children from inappropriate questioning or treatment without consent. Opponents argued it could block minors from confidential care for STIs, mental health, or abuse-related issues, and could chill school and medical screenings. The transcript ends during testimony and debate on this bill, before any final vote is shown.

Transcript Highlights:

• CRT equipment is prescribed and customized by a medical team of a physician, a physical therapist, and
• I have written testimony I will be submitting after this verbal statement.
• That is simply not a true statement. As a pediatrician, I can tell you it is not true.
• Susan Racing from Greater Boston Physicians for Social Responsibility. Hi, Doctor.
• I'm a retired primary care physician in Boston, and I'm co-chair of Greater Boston Physicians for Social

Keywords: 995, all

Summary: The hearing of the Joint Committee on Consumer Protection and Professional Licensure opened with logistical remarks about testimony procedures, time limits, accessibility supports, and the large number of witnesses. The first bill discussed was H. 451, which would allow professional license applicants who do not have a Social Security number to use an ITIN instead. Supporters said the bill would help qualified workers, especially immigrants, enter licensed trades and professions without lowering training or testing standards, while addressing workforce shortages. Committee members asked a few questions, and the bill was framed as a uniform statewide licensing reform. The bulk of the hearing focused on S. 210 and H. 1278, two bills aimed at improving wheelchair repair and warranty protections. Supporters included the Attorney General’s Office, disability advocates, wheelchair users, clinicians, and legislators, who described long repair delays, missed work and medical appointments, loss of independence, hospitalizations, pressure injuries, and other harms caused by broken wheelchairs and slow service. They argued for stronger timelines, two-year warranties, required parts availability, loaner chairs, and enforcement mechanisms, with H. 1278 modeled on a Connecticut-style repair deadline and S. 210 focused on warranty protections. Several witnesses emphasized that wheelchairs are essential medical equipment, not ordinary consumer goods. Opposition came from NCart, which said it supports solutions but raised concerns that the bills, as written, could be difficult to implement for complex rehab technology. NCart said some warranty provisions may not fit wear-and-tear components and noted that MassHealth has already taken steps such as preventive maintenance, reduced prior authorization, and transportation support. Other witnesses and advocates countered that the current market is dominated by a few profitable companies and that the legislature needs to impose clear standards because voluntary fixes have not worked. The committee also heard testimony on S. 195, a toxic-free kids bill from Senator Comerford and Representative Hawkins, which would restrict PFAS and other toxic chemicals in children’s products and create disclosure and phase-out requirements. No votes were taken during the hearing.

Transcript Highlights:

• changes to Senate Bill 457 that are extensive in nature, and I'll discuss them more in my floor statement
• I know that we are short on time, so I do not want to give too lengthy of a statement, but this bill
• I know that we are short on time, so I do not want to give too lengthy of a statement, but this bill
• A physician must disclose an investigation by the board will start.
• A physician must disclose an investigation by the board will start.

Keywords: 909, all

Transcript Highlights:

• Our suggestions would also require the court to allow protective persons to submit a statement. to the
• This statement may be followed prior to or concurrently. with a response to a motion for transfer.
• So the fact that there was no physician involved. ...sort of makes it legally ambiguous as to whether
• A person who, if there is no statement of contingency of consent, has manifested the intention to be
• Of the term, folks that go to a physician, says...

Bills: HCR 16, HB 782, HB 2159, HB 2288, HB 3281, HB 3819, HB 4656, HB 4696, HB 5494

Keywords: fatherhood, family support, fatherlessness, community engagement, youth development, social policy, male role models, child development, policy reform, role models, mental health, parenting, single-parent homes, welfare reform, economic opportunity, mentorship, community initiatives, children, welfare programs, education

Transcript Highlights:

• Our suggestions would also require the court to allow protective persons to submit a statement. to the
• This statement may be filed prior to or concurrently. with a response to a motion for transfer.
• So the fact that there was no physician involved is critical.
• She would argue that I wouldn't be considered a donor because I didn't go to a physician, right?
• The law says that I usually. of the term, folks that go to a physician, says...

Bills: HCR16, HB782, HB2159, HB2288, HB3281, HB3819, HB4656, HB4696, HB5494, HCR16

Keywords: fatherhood, family support, fatherlessness, community engagement, youth development, social policy, male role models, child development, policy reform, role models, mental health, parenting, single-parent homes, welfare reform, economic opportunity, mentorship, community initiatives, children, welfare programs, education

Transcript Highlights:

• What we presented is Senate Bill 12, which is the Physician Tax Credit; Senate Bill 92, which is the
• This credit will offset GRT paid by physicians with no local government impact and is simple to use and
• We also are very happy about the income tax credit for physicians.
• There are more than just physicians that care for our families every day.
• We know especially in our rural communities, sometimes it's physicians serving our families.

Bills: SB240

Keywords: capital outlay, capital projects, severance tax bonds, general fund appropriations, supplemental severance tax bonds, UNM School of Medicine, University of New Mexico, infrastructure, state buildings, courts, schools, higher education, road improvements, water and wastewater, tribal infrastructure, tribal projects, public safety, housing, emergency services, bonding

Transcript Highlights:

• And with these changes, physicians will still continue to constitute a majority of the panel, holding
• For context, the Texas Medical Board has 12 physicians and 7 public members.
• the composition of the physicians.
• Uh, that would at least guarantee that two physicians have to be present to constitute a quorum.
• We're not here to remove that balance between lawyers and physicians.

Bills: HB15, HB171, HB204

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

Transcript Highlights:

• If those two factors um used as part of the LBA surplus used as part of the LBA surplus statement,<00
• There was a question in that statement somewhere. I will do my best.
• There was a question in that statement There was a question in that statement there<00:22:36.960
• <01:58:44.080> are newer means that less physicians are newer means that less physicians are
• <02:04:56.960> in um well I should say physicians in um well I should say physicians in general

Keywords: 928, house, all

Summary: The committee met with DHS Chief Financial Officer Nathan White to receive an update on the department’s budget lapse and vacancy rates. White explained the difference between the “back-of-the-budget” reduction and lapse assumptions, saying DHS is facing a current biennium reduction of about $23 million and estimating roughly a $60 million general fund lapse in state fiscal year 2025, compared with about $13.5 million the prior year. He said DHS’s lapse is driven largely by program utilization, labor market conditions, contract spending, and statutory carry-forwards in areas such as Medicaid and developmental disabilities, which tend to produce a smaller lapse in the first year of the biennium and a larger one in the second year. He also noted that the House and Senate budgets differ on some operating items, including Medicaid rates, with the Senate having struck a House proposal to reduce rates by 3%. Members questioned White about whether DHS ever spends down lapse money on last-minute purchases. He said the department does not engage in that practice, though it does retain some flexibility in its facilities budget for emergencies. He also described the process for transferring funds within and between class lines, including the need for fiscal committee approval above statutory thresholds, and gave examples such as moving funds to cover overtime in the SYSC budget and to ensure Medicaid payments for nursing facilities. White said such transfers are public and transparent and are reviewed by the governor and Executive Council. The committee then discussed DHS staffing. White said the department has a little over 3,200 authorized positions, with a vacancy rate around 14.5%, and that a hiring freeze had been imposed a few months earlier while exempting direct care positions. He said DHS is planning for about a $30 million general fund reduction to personnel, equivalent to just under 400 positions, and is managing postings centrally to stay within budget by July 1. In response to questions about the loss of about $80 million in federal funds, White and Associate Commissioner Patricia Tilly said DHS avoided layoffs by shifting staff into vacant positions, but that the cuts affected community contracts, public health workers, laboratory work, and some IT/data projects. Tilly said roughly 20 positions were affected, most were reassigned, a few staff left voluntarily, and the department has less flexibility going forward if more federal funding ends.

Transcript Highlights:

• creates a statutory board of physicians creates a statutory board of physicians and<00:33:49.679
• <00:34:26.159> uh board of physicians and adviserss. uh board of physicians and adviserss.
• > require<00:47:44.720> one physician discretion, would require one physician discretion
• Rachel mentioned was physician Rachel mentioned was physician discretion.<00:58:50.000> Now,<
• Hands of the physician.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:20 Approval of June 4, 2026 Minutes 00:03:09 Prioritizing Kentucky Agriculture: Medical Cannabis 00:03:38 Prioritizing Kentucky Agriculture: Bourbon 01:41:03, 958, all

Transcript Highlights:

• some testimonials about it from various folks who weren't able to be here today but have submitted statements
• And so I've got statements respectively from each of them, which I'd like to share with you.
• in Iowa just completed a reverse auction, and I would like to just read to you very quickly the statement
• in Iowa just completed a reverse auction, and I would like to just read to you very quickly the statement
• We have our own physician dispensing pharmacy at Pontchartrain.

Summary: The Senate Insurance Committee met on May 13, 2026, adopted the May 6 minutes, and then took up several bills dealing with pharmacy benefit managers, prescription access, behavioral health coverage, and Citizens Property Insurance. HB 938, as amended, was the main PBM reform measure. After the committee adopted a large amendment set that narrowed the bill, members heard extensive testimony in support from Mark Bloom, Justin Joseph of Capital Rx, and Kathy Ue of Pontchartrain Cancer Center, all emphasizing transparency, pass-through pricing, reverse auctions, and patient access. Supporters described savings from reverse auctions and administrative models, while the cancer center testified that PBM-owned specialty pharmacy requirements can delay cancer medications and create financial hardship. The committee reported HB 938 favorably with amendments. The committee also heard HB 1154, which prohibits prior authorization for certain generic medications prescribed by qualified physicians, with a $250 cap discussed as a safeguard against higher-cost generics. The bill was supported by representatives from Ochsner Health and the Louisiana State Medical Society and was reported favorably. HB 909, which requires commercial coverage for behavioral health crisis services, was amended to clarify the insurers covered and then reported favorably with support from the Office of Behavioral Health and several outside groups. Testimony on HB 909 focused on reducing emergency room and law enforcement burdens and expanding crisis response capacity across the state. HB 1187, dealing with excess emergency assessment funds from Louisiana Citizens Property Insurance Corporation, was explained by the Insurance Commissioner as a way to transfer remaining Katrina-era assessment funds to the Fortified Roof Program. The committee reported the bill favorably. Finally, SB 511 and SB 512 were deferred and converted into a study resolution approach because there was not yet consensus on the underlying issue. The meeting then adjourned.

Transcript Highlights:

• And I just want to end my statements. The lead researcher gave a statement.
• Uh the the lead researcher statements.
• He said, "No other gave a a statement.
• <00:32:38.240> and um they will go to their physician and um they will go to their physician
• mention this or potentially a physician mention this or potentially a physician could<00:32:41.440

Keywords: 919, house, all

Summary: Senate File 4612, a state government bill affecting the Department of Health, Human Services, and Children, Youth, and Families, was taken up with a House language amendment adopted at the outset. The bill’s authors gave sharply different perspectives: one described it as a limited, reactive measure tied to federal Medicaid changes and said it fell short of needed health care improvements, while the other argued it would avoid large federal penalties, add Medicaid work requirements, save taxpayer money, and help certain rural and disability-related services. Members then debated several amendments. A technical House research amendment was offered, followed by a contested amendment on the all-payer claims database. Supporters of that change argued the bill expanded data access and could allow sensitive health data to be sold or used outside the United States, raising privacy and jurisdiction concerns; opponents said the data would remain deidentified, access would be limited to researchers, and the fee structure was a cost-recovery mechanism rather than a sale. The amendment to the amendment failed on a 67-67 tie, and the underlying amendment was not adopted. The committee also adopted an amendment updating mortuary science rules for natural organic reduction and another that would automatically enroll certain people into medical assistance if they did not choose a program themselves. A later amendment creating a therapeutic psilocybin pilot program for mental health and PTSD treatment drew strong bipartisan support, especially from members citing veteran suicide, trauma, and promising research; it was adopted after discussion. The transcript ended while discussion continued on how the program would be administered, including questions about using the Office of Cannabis Management rather than the Department of Health.