Transcript Highlights:

• and program advisory group.
• , mattress stewardship program, mattress stewardship program, um,<00:04:49.040> design<00:
• statewide mattress stewardship program. statewide mattress stewardship program.
• But, you know, the utility could come in with a waiver, what we call waiver projects. waiver project
• Uh yeah, it would be through a waiver.

Bills: SB3253, SB3154, SB3254

Keywords: conservation, endangered species, wildlife preservation, native birds, biodiversity, sanctuary, nonprofit, DLNR, agricultural district, land use, chapter 195D, chapter 205, chapter 42F, state funding, public purpose, habitat restoration, predator-free sanctuary, ecosystem restoration, Zealandia, wildlife refuge

Summary: The committee on Energy and Environmental Protection heard a long series of resolutions focused largely on waste reduction, energy planning, and environmental protection. Early measures included HR 12/HCR 10 on a permanent landfill host benefits program for Honolulu, HCR 148/HCR 157 on a demolition waste reduction working group, and HR 184/HCR 194 on a mattress stewardship program working group. Testimony on these waste-related measures was generally supportive from environmental groups and some individuals, while the Department of Health supported the mattress stewardship proposal. The Department of Health also commented that a proposed study on recyclable/biodegradable/compostable labeling was very broad and would require additional resources to carry out effectively. The committee then took up several energy-related resolutions. HR 192/HCR 202 would create a task force on Hawaii’s future energy pathways, and HR 194/HCR 204 would ask the Public Utilities Commission to conduct a comprehensive analysis of cost reductions and financial risk. The Department of Commerce and Consumer Affairs, the Hawaii State Energy Office, and the PUC offered support or comments on these measures, with environmental and industry groups also submitting testimony. Members questioned the Energy Office and PUC at length about errors in prior analyses, competitive bidding, and whether utility proposals could proceed through waiver processes; the PUC said any proposal would still be reviewed and that it generally prefers competitive bidding, while the Energy Office said some issues were being characterized differently and would follow up on waiver standards. Additional measures addressed data centers, liquefied natural gas, and utility oversight. HR 196/HCR 206 would convene a working group on the impacts of large data centers, and HR 197/HCR 207 would require conditions before the PUC approves LNG-related costs; testimony on LNG was split, with supporters urging caution and opponents arguing LNG should not be pursued. HR 193/HCR 2003 sought a written status update on implementation of the Hawaii Electric Reliability Administrator, and HR 191/HCR 201 and HR 33/HCR 33 dealt with sewage and wastewater issues, both drawing support from environmental and community groups. The committee also heard strong support for HR 141/HCR 149 on Red Hill remediation meetings and HR 190/HCR 200 on reassessing military PFAS cleanup decisions; the Board of Water Supply testified in support and described ongoing PFAS testing and concerns beyond Red Hill. The transcript ends as the committee moved into decision-making, with the chair indicating a recommendation to pass HR 12/HCR 10.

Transcript Highlights:

• <00:13:18.399> Thank to f to give the run the program.
• Thank to f to give the run the program.
• <00:13:22.079> Um, for me to say to run the program.
• Um, for me to say to run the program.
• to allow these programs to run. to allow these programs to run.

Keywords: 1189, house, all

Summary: The committee first approved the minutes and adopted the consent calendar without objection. It then took up Department of Safety Rule 25161 on administrative license suspension forms. After discussion of a staff concern that the rule text should expressly require a defendant’s signature or refusal to sign, and the officer’s witness signature, the agency agreed to revised language. The committee voted to grant conditional approval with those edits. The committee next considered Department of Agriculture rule 192, concerning importation of bovines and domestic animals. Staff identified several issues, including an overly broad federal citation, an unclear definition of infection, a possible conflict between provisions on telephone-issued permits and documents that must be carried, and missing struck-through repeal language. Because the department had not proposed written fixes, members moved to postpone the item until next month, and the motion passed. A second Agriculture item, 25207, was discussed as a long-expired set of rules that the agency said were still needed to run its programs; the committee granted conditional approval. The Public Utilities Commission’s competitive natural gas supplier and aggregator rules prompted the most extensive debate. Staff argued the cited statutes did not clearly authorize the commission to impose fines on natural gas suppliers, while the agency responded that authority could be read from related Department of Energy transition language and general rulemaking provisions. Members discussed whether the issue reflected a statutory gap created when responsibilities were split between the Department of Energy and the commission. The committee ultimately voted to waive and postpone the item to next month so the attorneys could work out the authority question. The committee also postponed Department of Energy items 219 and 220 at the agency’s request, and it noted that the Liquor Commission’s emergency rule had been revised to reduce reporting from monthly to quarterly before being reissued, with the item also postponed.

Transcript Highlights:

• Earlier this morning, I did see David Fores and Ken Kajihara, who are involved in the program.
• I'd be remiss if I did in the program.
• request a waiver of the public notice requirement<00:05:21.199> pursuant<00:05:21.759> to<
• The waiver is The waiver is intended to keep the vehicle moving, as there is no House companion. >> The
• waiver is granted.

Bills: SB2350, SB2349, SB2178, SB2101, SB2373, SB2905, SB3231, SB3296, SB2704, SB3162, SB2885, SB2174, SB3256, SB2333, SB2713, SB2100, SB3012, SB2805, SB2102, SB2478, SB2103, SB3233, SB2678, SB2461, SB2645, SB3247, SB2005, SB2022, SB2083, SB2128, SB2130, SB2240, SB2306, SB2547, SB2603, SB2756, SB2782, SB2818, SB2944, SB2982, SB2986, SB3022, SB3031, SB3032, SB3035, SB3053, SB3288, SB2435, SB2970, SB2938, SB3110, SB3251, SB3322, SB2068, SB2268, SB3046, SB2526, SB2231, SB2448, SB2567, SB3095, SB3264, SB3131, SB3069, SB3180, SB2119, SB2137, SB2209, SB2180, SB2949, SB2431, SB2410, SB3199, SB3245, SB2274, SB2277, SB2175, SB2080, SB2799, SB2491, SB2310, SB2489, SB2925, SB2709, SB17, SB2227, SB2887, SB2006

Keywords: agriculture, aquaculture, livestock, agribusiness, Department of Agriculture, regulatory functions, employee benefits, restorative practices, sustainability, environmental stewardship, local food systems, Native Hawaiian, workforce development, industrial hemp, Hawaii, Native Hawaiian practices, regulation, cultural stewardship, economic development, organic waste

Transcript Highlights:

• after a hearing and some discussion about Senate File 401, which discusses home- and community-based waiver
• same meeting, there was another bill brought up: Senate File 402, which aims to modify disability waiver
• Then this waiver rate-setting system is meant to be some kind of rubric to make sure it's all right,
• rights by making them more waiver rights by making them more competitive<00:02:01.000> and<00
• How about a little program to help people do something?

Keywords: 1187, senate, all

Transcript Highlights:

• <00:36:14.319> and our community with its programs and our community with its programs and
• church an agricultural mentoring program church an agricultural mentoring program for<00:36:41.520
• assistants who are under a waiver assistants who are under a waiver provision<00:53:35.799> for
• automatic you have to apply to a waiver automatic you have to apply to a waiver and<01:00:32.839
• <01:08:12.640> uh is the proper way to keep our program uh is the proper way to keep our program

Keywords: 1191, senate, all

Transcript Highlights:

• <00:02:26.840> and this bill and ask for this waiver and this bill and ask for this waiver
• program integrity. program integrity.
• <00:19:43.480> operates aligned with how the program operates aligned with how the program
• And that's from um the program<00:20:34.200> statute. program statute. program statute.
• program program are<00:40:34.880> some<00:40:35.080> of<00:40:35.120> the<00:40

Keywords: 919, house, all

Summary: The committee took up House File 3603, and Representative Olson first offered and had adopted an A1 author’s amendment. Olson then explained that the bill would direct the Commissioner of Children, Youth and Families to seek a USDA waiver allowing Minnesota to bar SNAP purchases of items subject to state sales tax, such as prepared foods, chips, soft drinks, and candy. He argued the goal was to promote healthier nutrition, noted that other states have similar waivers, and said the change could help Minnesota qualify for significant federal rural health care funding. Public testimony was divided. Patrick Garofalo of the Minnesota Grocers Association opposed the bill, saying SNAP is a supplemental program and that the proposal would be difficult to administer at retail stores, create confusion, and expose retailers to serious penalties for mistakes. He argued the state tax code is not a nutrition standard and pointed out inconsistencies, such as some candy-like products still being taxable or some healthy items being treated as prepared food. Will Hagen of Minnesota Retailers also opposed the bill, warning it would require costly point-of-sale changes, retraining, and would turn store employees into enforcers while creating cross-border shopping problems. Matt Schmidt of the American First Policy Institute supported the concept, saying SNAP should emphasize nutrition and that restricting unhealthy purchases would reduce taxpayer subsidies for junk food and soda. Members then debated the bill’s logic and practicality, including questions about which snacks would or would not be allowed under the tax-based standard. Representative Sencer-Mura offered an H2 amendment, framed as applying the same restrictions to legislators’ own per diem spending; Representative Hansen responded that the comparison was not equivalent and raised concerns about household circumstances and accessibility. The H2 amendment was put to a vote and did not prevail. The committee then continued member discussion on the bill.

Transcript Highlights:

• this program.
• And so all of our programs must become federal program.
• I did not introduce this wily and doctor Marino as being 2 of our 35 programs were program, which is
• It's a transition program.
• But we have people who already understand the program already bought into the program.

Transcript Highlights:

• THE DENTAL PROGRAM?
• TWO PROGRAMS COMBINE WHAT WE CALL THE FLORIDA KID CARE PROGRAM.
• AS AN OPTION SO WE WENT AHEAD WITH THE 1152 WAIVER AND SUBMITTED THE IMPLEMENT THE PROGRAM.
• SERVICE PROGRAMS OR TO EXPAND EXISTING PROGRAMS TO NEW LOCATIONS.
• PROGRAM.

Keywords: 999, senate, all

Transcript Highlights:

• Residency Program.
• Programs.
• Grant Program.
• in our programs.
• program.

Keywords: 988, house, all

Transcript Highlights:

• Senators, this bill establishes the Dula Support for Healthy Birth Pilot Program, program.
• program before it can be implemented.
• But these safety net programs are really a lifeline.
• But these safety net programs are really a lifeline.
• The SNAP program, we're looking at it federally.

Bills: S0036, S0864, S0268, S0844, S0514, S1404, S0914, S1758

Keywords: nursing title, advanced practice registered nurse, advertising, professional standards, disciplinary action, uterine fibroids, public records, health privacy, epidemiology, medical information, emergency department, physicians, privacy, personal information, sickle cell disease, sickle cell anemia, pain management, controlled substances, prescribing education, continuing medical education

Summary: The committee first considered SB 268, a public records exemption for emergency physicians. Senator Rodriguez’s strike-all amendment narrowed and clarified the exemption, and testimony from an emergency physician described threats, harassment, and safety concerns tied to mandatory reporting and patient encounters. The committee adopted the amendment and reported the bill favorably as a committee substitute. Members then heard SB 514, creating the Dula Support for Healthy Births Pilot Program in Broward, Miami-Dade, and Palm Beach counties for pregnant and postpartum women affected by substance use disorder. Senator Osgood explained the pilot would provide non-medical doula support and data collection, and an amendment changed the funding source to specific appropriations in the General Appropriations Act. Supporters said doula care can improve maternal and infant outcomes and complement medical providers. The committee adopted the amendment and reported the bill favorably as a committee substitute. The committee also approved SB 36 on use of professional nursing titles after extensive debate over whether nurses with doctoral degrees should be allowed to use “doctor” in clinical settings, with concerns raised about patient confusion and the need for clearer identification. The bill was amended to align with the House version and then reported favorably as a committee substitute. The committee next approved SB 864, a public records exemption for uterine fibroid research data, after a technical amendment setting a July 1, 2026 effective date; Senator Sharif said the exemption is needed so the Department of Health can collect sensitive data for the related research bill. SB 844, requiring continuing education on sickle cell disease care management for certain licensed physicians and nurses, was also reported favorably after emotional testimony from patients and advocates describing delayed care and bias. Later, the committee approved SB 1404 on memory care, after a strike-all amendment creating a new memory care specialty license for assisted living facilities that advertise or provide specialized memory care services, while allowing optional supportive services without the new license. Supporters from the senior living industry backed the clarification. The committee then passed SB 914, which clarifies that licensed occupational therapists may perform dry needling, after an amendment adjusting supervision and continuing education language. Finally, the committee took up SB 1758, a broad Medicaid and SNAP reform bill that would strengthen fraud enforcement, impose Medicaid work requirements for certain able-bodied adults, expand behavioral health services, modernize drug purchasing and prior authorization, and require SNAP fraud-reduction measures. Several amendments were adopted, and members questioned the work requirement, implementation costs, EBT card photo identification, and due process concerns; debate continued as the transcript ended.

Transcript Highlights:

• The first is continued investment in the Advantage Waiver program.
• program.
• As you all know, the Advantage Waiver program is designed to keep adults with that need a nursing home
• Request is a $38 million request related to anticipated growth in the waiver program over the fiscal
• program is.

Keywords: 914, all

Transcript Highlights:

• So now we'll move to agenda item 20, which is the administrative waiver of fines.
• McDermott, will now present the appeal. to our administrative waivers and reduction of fines.
• It was. was not eligible for any waiver or reduction.
• Staff recommends no waiver or reduction.
• At the current time, I can't recommend a waiver or reduction. Did you hear that, Ms. Cesar?

Keywords: Texas Ethics Commission, HB18, SB12, political contributions, civil penalties, Attorney General, criminal election offenses, legislation

Summary: In the latest meeting of the Texas Ethics Commission, significant discussions centered around newly passed legislation, specifically HB18 and SB12. HB18 introduces a civil penalty for members who accept political contributions while absent from the state, addressing potential obstructions to legislative actions. Senators and commissioners engaged in an in-depth dialogue about the implications of this bill, with many expressing concerns regarding enforcement and compliance. In contrast, SB12 expands the jurisdiction of the Attorney General to prosecute criminal election offenses, further tightening the oversight of election activities. The meeting concluded with acknowledgement of the efforts put forth by previous commission chairs, highlighting their contributions to the commission's success.

Transcript Highlights:

• professionals in these programs.
• AB 970 also includes an evaluation of the pilot program.
• And then it would require that the IT systems that run the programs would effectuate this program with
• There's an incredible program that already exists, the CalWORKs recipient education program.
• The problem with the program is there's too much red tape.

Summary: The Assembly Committee on Human Services heard a long agenda of bills focused largely on child welfare, foster care, child care, CalWORKs, mandated reporting, and public benefits. Early items included AB 890, which would ease county transfer rules for nonminor dependents in extended foster care; AB 461, which would replace punitive truancy-related penalties with supportive services for families; and AB 753, which would create an interim associate teacher pathway to help address the child care workforce shortage. Testimony on these bills emphasized barriers faced by foster youth, low-income families, and child care providers, and members expressed support for the general policy direction. The committee also heard AB 926 on foster care visitation, AB 563 on early childhood planning and reporting, AB 601 on standardized mandated reporter training, AB 1074 on CalWORKs reunification aid, AB 822 extending the Commission on the State of Hate, AB 970 creating a Los Angeles County mandated reporter pilot, AB 1161 protecting public benefits during disasters, AB 1172 allowing trained staff to administer emergency seizure medication in community care settings, and AB 363 expanding CalWORKs student supports and work-study. Witnesses generally supported these measures as ways to reduce trauma, improve reunification, modernize reporting and training, and expand access to services. County welfare and child welfare groups, advocacy organizations, and providers largely testified in support, while some bills drew concerns from county representatives about implementation or needed amendments. Several bills were voted out of committee, often unanimously and sometimes as amended, including AB 926, AB 563, AB 601, AB 1074, AB 822, AB 970, AB 1161, and AB 1172; AB 1172 was reported on call. The committee also took up consent items and later voted on subcommittee-held bills AB 461, AB 753, and AB 890, leaving them on call. At the end of the hearing, the committee heard AB 1211, which would protect CalFresh benefits from federal cuts and require a feasibility study on increasing benefits and eligibility; testimony stressed rising food insecurity and the economic importance of food assistance, but the transcript ends before a final vote on that bill.

Transcript Highlights:

• you know may be uh applicable a waiver you know may be uh applicable to<00:28:02.840> to<00:28
• Yeah, I'm thinking that either the possibility of a waiver, which I'm not sure that a waiver would be
• for more objective standards of granting a waiver?
• Yeah, I'm thinking that either the possibility of a waiver, which I'm not sure that a waiver would be
• for more objective standards of granting a waiver?

Keywords: 1191, senate, all

Transcript Highlights:

• THESE PROGRAMS ARE DESIGNED TO HELP REMOVE THOSE COMMON BARRIERS.
• AND TRANSITION PROGRAMS THESE PROGRAMS EMPHASIZE STILL THE TRAINING AND WORKFORCE OPPORTUNITIES TO REDUCE
• CAREER SOURCE FLORIDA DID RECEIVE A WAIVER FOR THAT.
• OUR ESA IS A PROGRAM DIRECTLY RELATED TO THE REEMPLOYMENT ASSISTANCE PROGRAM TO HELP PREVENT PEOPLE FROM
• SO A SHIFT AWAY FROM LONG-TERM EDUCATION AND TRAINING PROGRAMS.

Transcript Highlights:

• <00:04:59.280> and around our state Medicaid program and around our state Medicaid program
• program program and<00:05:20.760> also and also and also um um um clear<00:05:22.800> out<
• for the Medicaid program. for the Medicaid program.
• when it comes to the program. when it comes to the program.
• And the more you touch a case in one program, you're touching it in the other program, too.

Keywords: 958, all

Summary: The committee met with a quorum to consider the Senate Committee Substitute for House Bill 2, a major Medicaid bill. Members first adopted the substitute and then adopted Amendment 9770. The bill was described as a lengthy rewrite aimed at aligning Kentucky Medicaid policy with federal requirements under HR 1, while also preserving program integrity and addressing due process concerns. Senators and staff repeatedly emphasized that the measure was the product of extensive meetings with providers, associations, and work groups. The sponsor’s section-by-section summary highlighted several key changes: delaying and reducing cost-sharing requirements; pushing eligibility redetermination deadlines to the federal date; restoring some flexibility for hardship waivers; allowing self-attestation as a last resort; modifying MCO audit provisions; clarifying non-emergency medical transport GPS costs; expanding waiver attestation authority to nurse practitioners and licensed psychologists; adding qualified aliens to waiver eligibility to comply with federal law; requiring Medicaid data sharing with the oversight board; limiting changes to Medicaid benefits without General Assembly authorization; narrowing the prescription drug exclusion to drugs prescribed primarily for weight loss; and delaying the dental ASO transition until 2029. The substitute also deleted a proposed auditor review requirement and retained an emergency clause. Committee discussion focused heavily on the policy and fiscal implications of the cost-sharing and recertification provisions. Senators raised concerns about whether the co-pays would be effective or simply shift costs to providers, whether the recertification process would burden the Cabinet and cause eligible people to lose coverage, and how the bill would affect people transitioning from Medicaid into work. Supporters said the lower cost-sharing amounts were intended to encourage appropriate use of care, protect providers, and comply with federal law, and they noted that the Medicaid Oversight and Advisory Board would help shape future changes. A public witness, Maggie Chisholm, gave emotional testimony about her daughter’s experience with a Medicaid waiver and argued that policy delays and administrative disconnects can harm vulnerable families. No final vote on the bill itself was recorded in the excerpt, but the substitute and amendment were adopted and testimony continued.

Transcript Highlights:

• on to counties and school State programs on to counties and school districts<00:04:55.520> I<
• Is it the disability waivers?
• <00:17:28.640> and spending are the disability waivers and spending are the disability waivers
• I'm looking through federal programs I'm looking through this<00:18:16.360> list<00:18:16.880
• You would think if the state of Minnesota's per capita cost for disability waivers was 25% higher than

Keywords: 1187, senate, all

Summary: Senate Republican leaders held a press conference to roll out their “Minnesotans First” agenda, framing it as a response to Democratic control and arguing that recent budgets and policies have increased costs for families and businesses. They said the agenda centers on balancing the budget without tax increases, reducing mandates, lowering costs, and limiting government growth. Specific proposals mentioned included addressing inflation and energy costs, reinsurance and housing issues, child care tax changes, repealing or reducing certain taxes and fees, and creating a government efficiency board. Several senators outlined issue-specific priorities. On spending and taxes, Karin Housley criticized the state’s budget growth, said Republicans would not support a budget that raises taxes, and objected to shifting costs to counties and school districts. On fraud and accountability, Jordan Rasmusson said Minnesota has a fraud problem and backed a statewide Office of Inspector General, stronger legislative auditor powers, and tighter anti-fraud oversight of grants and agencies. On public safety, Michael Kreun called for repealing what he described as soft-on-crime laws and for tougher penalties on violent and repeat offenders. On education, Julia Coleman said Republicans want to pause mandates, increase local control, adjust funding to address disparities, and improve school safety. In the question-and-answer portion, leaders said some items could attract bipartisan support, especially anti-fraud measures such as an Inspector General office and strengthening the legislative auditor. They also discussed concerns about the governor’s budget, including proposed shifts in human services costs, nursing home and disability waiver funding, and benefits for undocumented immigrants. The group said it would continue working under the Senate’s power-sharing agreement for now, though they acknowledged uncertainty about whether it would remain in place for the rest of the session.

Transcript Highlights:

• CMS no longer has the ability to give any good-cause waivers.
• The waiver can be applied for for up to two years.
• We've already met the criteria to grant that waiver.
• or meets the requirements of a residency program.
• forth an IMG-dedicated residency program.

Summary: The committee first received an update on the effects of HR1 and related federal Medicaid and marketplace changes from Governor’s Office and Health Care Authority staff. Presenters said the most immediate coverage losses are expected in the individual market beginning in January, with premium increases and an estimated 80,000 people potentially unable to afford coverage. They warned that larger Medicaid impacts will follow over the next year and beyond, including tighter eligibility checks, work requirements, reduced retroactive coverage, limits on state-directed payments and provider taxes, new cost-sharing, and changes affecting certain non-citizen adults. They also said the state plans to seek a waiver or extension for work requirements and will continue to analyze impacts, including on rural providers and Planned Parenthood-related services. Members asked about the effect on nursing homes, rural hospitals, and how the state can help providers and enrollees navigate the new requirements; staff said timelines and a state-specific implementation chart are being developed. The committee then heard a report on the International Medical Graduate Work Group and Washington’s efforts to create pathways for internationally trained physicians. Testimony described the clinical experience license, the clinical evaluation assessment tool, grant funding for IMG support organizations, and a new hardship waiver process enacted this year. National presenters said many states have adopted similar pathways because of physician shortages, but Washington and Tennessee are among the few states that have actually issued licenses so far. They recommended clear guardrails, an employment offer before application, ECFMG certification, supervised practice, and data collection to avoid exploitation and protect patients. Members asked about state-to-state variation, retention of IMGs, and whether Washington should pursue dedicated residency or preceptorship options; presenters said the key next step is moving successful participants from supervised experience to a durable long-term license. The final topic was implementation of Washington’s Apple Health doula benefit and the statewide doula hub and referral system. Senator T’wina Nobles highlighted the state’s $3,500 per-birth Medicaid reimbursement rate for doulas and the importance of the hub for referrals, training, and billing. Health Care Authority staff said the benefit launched January 1, 2025, and covers prenatal intake, labor and delivery, postpartum visits, and telehealth-supported services. They reported 336 state-certified doulas, 134 enrolled in Apple Health, 287 unique clients served, and 641 claims paid so far. Testimony emphasized doulas’ role in improving birth outcomes, reducing unnecessary interventions, and addressing racial disparities in maternal health, while noting that implementation is still early and ongoing.

Transcript Highlights:

• 21.640> program<00:16:22.160> increasing program is a proven program increasing program
• The next topic then for consideration would be 1332 waiver for Wyoming reinsurance program. bill, but
• 1332 waiver for Wyoming reinsurance<00:40:43.120> program.
• has been incredibly successful, and the reinsurance program is just one use of a section 1332 waiver
• has been incredibly successful, and the reinsurance program is just one use of a section 1332 waiver

Keywords: 916, all

Summary: The committee opened by explaining it would work through a long list of interim topics one at a time and asked members to complete a selection form at the end. The first topic, long-term care, drew testimony from AARP Wyoming and the Wyoming Long-Term Care Association. AARP emphasized Wyoming’s aging population, the state’s roughly $200 million annual Medicaid spending on long-term care, and the need to examine whether more support for home-based care could reduce nursing home use and costs. The association agreed with supporting people at home as long as possible, but asked that any study also consider increased support for nursing homes and assisted living when home care is no longer feasible. Committee discussion also touched on adult day care and PACE-like services, with Mr. Laycock noting prior Department of Health discussion and limited adult day availability due to reimbursement concerns. The committee then heard proposals for neonatal intensive care unit family leave, expanded midwifery scope, and a modification to workers’ compensation law. The NICU leave idea, presented by the Wyoming Women’s Foundation, would explore leave options for families with premature infants in intensive care, potentially paid or unpaid, while considering business size and the burden on families who may need out-of-state care. The midwifery topic was framed as a way to address rural maternity and women’s health gaps by allowing midwives to practice to the full extent of their training. On workers’ compensation, the Wyoming Association of Municipalities sought to classify dispatch personnel as first responders so they could receive mental health coverage under workers’ compensation; the Department of Workforce Services explained that current law covers dispatchers under workers’ compensation generally, but the first responder mental health provision added in 2018 applies to law enforcement and firefighters and does not currently include dispatchers. Other topics included problematic gaming and program funding, breast cancer diagnostic and supplemental exams, prescription drug coverage for advanced metastatic cancer, SNAP education, behavioral health workforce clinical training site shortages, CPR in schools, and broader midwifery oversight. The behavioral health workforce proposal, brought by a WICHE commissioner, focused on increasing psychology internship slots in Wyoming, noting that the state currently has only three and that expanding placements could improve recruitment and retention. The CPR in schools topic drew strong support from the American Heart Association, which argued that CPR training in high school could improve bystander response in a rural state with long EMS response times; committee members asked about cost and curriculum fit, and the witnesses said hands-only CPR could be taught by school staff rather than requiring expensive certification. The midwifery discussion later broadened into concerns about oversight and standards after a representative described a constituent’s pregnancy loss and said complaints involving midwifery practice and staffing delays in investigations warranted a deeper review. No votes were taken during the portion provided, and most topics were simply introduced, discussed, and left open for further testimony or later committee selection.

Transcript Highlights:

• There are also many program integrity protections in place in the PCA program that will transfer over
• There are many program integrity protections in place in the PCA program that have and will transfer
• cfss structure we're in a program cfss structure we're in a program transition<00:13:38.760>
• that wasn't in our original program that wasn't in our original program design<00:31:14.120>
• data collection um and program data collection um and program evaluation<01:36:43.360> programs

Keywords: 1187, senate, all