Transcript Highlights:

• HB 879 would allow for a common sense expedited pathway to licensure for qualified military medical personnel
• SB1437 by Betancourt, relating to the eligibility of certain individuals for certification as juvenile
• It adds additional required information to be included on a management certificate and caps resale certificate
• 1325 by Johnson relating to the contracting by public and private schools for the provision of medication
• The procedure for amending or revoking certificates of public convenience and necessity issued for certain

Bills: HJR98 , HJR8 , HJR133 , HB23 , HB33 , HB144 , HB 109 , HB 103 , HB148 , HB3809 , HB1686 , HB2217 , HB2156 , HB220 , HB2421 , HB2363 , HB3773 , HB421 , HB2584 , HB2615 , HB2455 , HB3711 , HB2559 , HB3747 , HB2775 , HB2886 , HB3126 , HB3666 , HB3595 , HB3260 , HB3506 , HB1638 , HB3376 , HB3826 , HB3628 , HB1349 , HB3770 , HB1831 , HB1762 , HB2614 , HB3113 , HB267 , HB322 , HB431 , HB869 , HB 1203 , HB 1201 , HB 1244 , HB1875 , HB1950 , HB2152 , HB2290 , HB2341 , HB2436 , HB2809 , HB2856 , HB3012 , HB2954 , HCR56 , HCR102 , HB 107 , HB1587 , HB3684 , HB658 , HJR99 , HB1399 , HJR5 , HJR2 , HJR6 , HJR31 , HB1971 , SJR3 , HB1775 , HJR72 , HB502 , HB3109 , HJR98 , HJR8 , HJR133 , HB 118 , HB388 , HB 114 , HB205 , HB2789 , HB2791 , HB499 , HB2960 , HB3163 , HB3135 , HB2427 , HB1618 , HB1672 , HB1722 , HB1338 , HB787 , HB2618 , HB879 , HB 1126 , HB4134 , HB3513 , HB718 , HB1536 , HB1445 , HB1640 , HB1893 , HB1734 , HB3229 , HB3306 , HB 1276 , HB3272 , HB3276 , HB3516 , HB4145 , HB1585 , HB4810 , HB2989 , HB2558 , HB3014 , HB2742 , HB1695 , HB23 , HB33 , HB144 , HB 109 , HB 103 , HB148 , HB3809 , HB1686 , HB2217 , HB2156 , HB220 , HB2421 , HB2363 , HB3773 , HB421 , HB2584 , HB2615 , HB2455 , HB3711 , HB2559 , HB3747 , HB2775 , HB2886 , HB3126 , HB3666 , HB3595 , HB3260 , HB3506 , HB1638 , HB3376 , HB3826 , HB3628 , HB1349 , HB3770 , HB1831 , HB1762 , HB2614 , HB3113 , HB267 , HB322 , HB431 , HB869 , HB 1203 , HB 1201 , HB 1244 , HB1875 , HB1950 , HB2152 , HB2290 , HB2341 , HB2436 , HB2809 , HB2856 , HB3012 , HB2954 , HCR56 , HCR102

Keywords: Article V, federal government, fiscal restraints, constitutional amendment, term limits, nuclear energy, electric generation, funding, Texas nuclear development fund, advanced reactors, HJR 133, Texas constitutional amendment, ad valorem tax, property tax exemption, homestead exemption, surviving spouse, veteran, veterans benefits, service-connected death, presumed service-connected condition

Transcript Highlights:

• We've got some certificates. Students from St. Michael's High School.
• We've got some certificates.
• Finally, there's a certificate of recognition for Food and Farms Day.
• I ask that the certificate be read. The reader to read.
• the General Fund to the Physician Graduate Medical Education Trust Fund and the Physician Graduate Medical

Transcript Highlights:

• THE INTERSTATE MEDICAL LICENSURE COMPACT HAS TAKEN OFF.
• FIRST IS MEDICAL MARIJUANA TREATMENT CENTER.
• TO MEDICAL MARIJUANA. CAPACITY.
• I KNOW THIS IS A MEDICAL PROGRAM BUT IT IS IMPOSSIBLE TO IGNORE THAT.
• THE MEDICAL STREAM OF COMMERCE IT SHOULD NOT BE THERE.

Transcript Highlights:

• Exemption certificates are provided by customers to substantiate tax-exempt purchases.
• The company must retain the certificates until an audit.
• Ten percent of the 35,000 certificates reviewed each year are the Massachusetts ST-5C.
• Before providing the certificate to the vendor, the contractor has to fill out the rest.
• settings and will continue even after medical models are legalized.

Committee: Joint Joint Committee on Revenue

Summary: The Joint Committee on Revenue held a long hybrid hearing on a wide range of tax bills, with testimony covering cigarette and tobacco taxes, nicotine pouches, contractor rental equipment exemptions, aircraft sales tax exemptions, rolling stock, advanced sales tax payments, a gun and ammunition excise tax, a digital services tax, and a psilocybin cultivation/tax proposal. Committee chairs outlined the hearing process and noted that 39 House-filed sales and excise tax bills were being heard for required reporting by November 28. No votes were taken during the hearing. On tobacco-related bills, supporters including Senator Keenan, the American Heart Association, the American Cancer Society, and Tobacco Free Mass backed higher cigarette taxes and closing the synthetic nicotine loophole, arguing the measures would reduce youth initiation, encourage cessation, and offset health care costs. Retailers, wholesalers, and convenience-store groups opposed the increases, warning of smuggling, out-of-state purchasing, and harm to small businesses; premium cigar representatives argued cigars should be treated separately from cigarettes. The committee also heard testimony on H. 3067 and related bills concerning nicotine pouches, with public health advocates supporting taxation and industry witnesses urging a lower, more competitive rate. Several other bills drew sharply divided testimony. United Rentals supported H. 3065 to simplify contractor rental equipment exemption paperwork, while airport and aviation groups opposed bills to repeal the aircraft sales tax exemption, saying it would hurt airport competitiveness and jobs. The Transportation Association of Massachusetts backed rolling stock tax exemptions, saying the current tax discourages fleet investment and interstate commerce. Restaurant industry representatives supported repealing advanced sales tax payments and changing penalty rules, saying businesses were hit with retroactive penalties after unclear pandemic-era changes. On H. 3082, an excise tax on guns and ammunition, gun violence prevention advocates, Roca, and Giffords supported the bill as a dedicated funding source for prevention and survivor services, while sportsmen’s groups opposed it as unfair to lawful gun owners and harmful to conservation funding. The committee also heard testimony on H. 3208, a digital advertising services tax, with Representative Paulino supporting it as a way to capture revenue from online advertising and fund public needs, while the Chamber of Progress opposed it as costly and burdensome for small businesses and campaigns. Finally, multiple witnesses testified on H. 4050 regarding psilocybin cultivation and taxation: advocates from Mass Healing, Roca, the Reason Foundation, and individuals describing personal medical benefits urged a regulated, permit-based system, while the hearing ended after all signed-up speakers were heard and the chair adjourned the meeting.

Transcript Highlights:

• The EIPA is not recognized as a national certification, so it's a specialty certification.
• The EIPA is not recognized as a national certification, so it's a specialty certification.
• The EIPA is not recognized as a national certification, so it's a specialty certification.
• We have mental health certificates.
• </c> really easy is to give them medication really easy is to give them medication is<00:42:27.559><c

Summary: The committee began by reviewing a large slate of administrative regulations and explaining that it does not approve regulations but can find them deficient and send them back for further work. Members then asked questions on several items, including EMS reciprocity, dental hygienist licensure, and interpreter licensure. The EMS board explained that reciprocity would extend to applicants from any state, not just contiguous states, because the underlying statute had been amended. On the dental regulation, staff said the changes mainly clarified licensure requirements, reinstatement fees, and that dental hygienists administering local anesthetic must do so under direct dentist supervision. The most extended discussion involved the Board of Interpreters for the Deaf and Hard of Hearing. The board chair said the main concern was that the EIPA is an educational specialty assessment, not a nationally recognized certification, yet the regulation would allow it to support full licensure. Members discussed whether that could let educational interpreters work outside their intended scope and whether a separate educational license or statutory change would be more appropriate. The board said it did not think the regulation could be fixed further at this point and suggested a statute could create a narrower educational interpreter license. After discussion, the committee voted to defer both related interpreter regulations, 201 KAR 39:030 and the companion regulation, for further work. The committee then took up two community mental health regulations, 907 KAR 1:044 and 907 KAR 5:005, which had been found deficient in Administrative Regulations. Department for Medicaid Services staff said the rules would expand and rename the mental health associate role as a behavioral health associate, making the role available in many more facilities, but would also require additional coursework or progress toward licensure. Some members and providers raised access-to-care concerns, especially for rural areas and unlicensed staff already working in the field. Staff said the proposal had been revised through work with CMHCs and licensing boards, but the committee ultimately voted to defer both regulations as well. After finishing the regulation review, the committee heard a presentation from the Kentucky Hospital Association on the ATRIP hospital rate improvement program. Hospital representatives said ATRIP is a Medicaid state-directed payment program funded through a provider tax and federal matching dollars, allowing hospitals to receive payments tied to quality measures. They reported improvements including lower Medicaid readmissions, high sepsis screening rates, reduced infections and opioid prescribing, expanded postpartum depression and suicide screening, and training for more than 1,000 people. They said the program has helped hospitals invest in staffing and quality improvement and warned that without it, many hospitals would face severe financial strain.

Transcript Highlights:

• </c> illness injury in other medical illness injury in other medical conditions<00:49:20.240><c> and<
• </c> Optometry to adopt certification Optometry to adopt certification criteria<04:08:48.960><c> so</
• </c> not unusual when you find one medical not unusual when you find one medical Branch<04:17:31.359>
• in medical fields.
• in medical fields.

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:

• This is an certificate of marriage.
• </c> the delayed certificate of marriage. the delayed certificate of marriage.
• So I was a medical device analyst.
• facility for their medical care.
• </c> my distress was quickly medicalized. my distress was quickly medicalized.

Committee: House Judiciary

Transcript Highlights:

• 2,300 licensed doctors, as well as medical assistants and certificate holders delivering care to patients
• SB 1681, medical marijuana registration certificates.
• SB 1750, veterinary medical examining board continuation.
• SB 1750, veterinary medical examining board continuation.
• SB 1799, Commerce Authority tax incentive certification.

Summary: The Senate convened with prayer, the Pledge of Allegiance, and a recorded roll call showing 30 members present. The journal was approved, no guests were introduced at first, and the Governor’s signed bill HB 2022 was reported. The President also announced temporary committee substitutions for the Rules Committee on February 9. Senator Shamp introduced licensed naturopathic physicians in the gallery and highlighted SB 1178, which would expand their authority to administer certain intravenous drugs, including antibiotics, antivirals, and antifungals. The chamber then read a lengthy calendar of first- and second-reading bills and resolutions covering elections, education, health care, water, criminal justice, housing, taxation, and other topics, with no floor action taken on those measures during the reading. The Senate recessed to recognize law enforcement personnel involved in the rescue of an eight-year-old boy from a human trafficking situation. A proclamation commended Deputies Gregory Sanders and Jacob Montoya, along with Cochise County and Border Patrol personnel, for their courage and professionalism. After returning to order, members made personal privilege remarks urging the Joint Legislative Budget Committee to review $2.85 million in election-related funding for the Secretary of State, and another senator spoke about water security and the need for long-term planning. Additional announcements included caucus and committee meeting notices, an invitation to Arizona Aerospace Day, and a motion to adjourn until Tuesday, February 10, 2026, at 1:15 p.m. The transcript ends as the chamber was considering adjournment.

Transcript Highlights:

• This is the situation with University of Mississippi Medical Center exemption from certificate of need
• But the idea was if the University of Mississippi Medical Center should have an exemption from the certificate
• one-year certificate.
• one-year certificate.
• </c> certificate program. certificate program.

Committee: Joint Public Health and Welfare

Transcript Highlights:

• You know, currently we have a post-certification audit process, but after certification, Recognition
• You know, currently we have a post-certification audit process, but after certification, ...a post-certification
• in a medical school.
• And the medically accurate, because we are seeing so much polarization, even... ...medically accurate
• accurate, if it's medically accurate, it's medically accurate.

Summary: The House convened with prayer, the Pledge of Allegiance, quorum call, and several recognitions, including tributes to former members and law enforcement. The chamber then adopted the special order report and moved to the day’s special-order calendar. Early bills passed unanimously, including CS/HB 401 on FDLE security details for major party nominees for governor and lieutenant governor, CS/HB 1063 on gubernatorial transition procedures, HB 593 on governmental agencies and personnel, CS/CS/HB 655 on confidential attorney-client meetings for local governments in pending litigation, and HB 6011 on ethics gift/honoraria reporting procedures. Each of these measures was explained by sponsors as transparency, security, or administrative process legislation, and each passed 115-116 to 0. The chamber then took up CS/HB 125, designating October 14 as Charlie Kirk Day of Remembrance. The bill drew extensive and sharply divided debate over whether a state remembrance was appropriate for Kirk, with opponents arguing he was a polarizing political figure and that the House should focus on affordability and other constituent concerns, while supporters framed the bill as a defense of free speech and opposition to political violence. A proposed amendment to replace the designation with a George Floyd remembrance was ruled not germane. After structured debate, the bill passed 82-31. Members also considered transportation designation measures. SB 628, substituted for CS/HB 885, included multiple road and bridge namings and an amendment designating a 124-mile stretch of State Road 80 as the President Donald J. Trump Highway; the amendment and bill passed 82-26. CS/HB 33 similarly designated portions of roads as Charlie Kirk Memorial Avenue and President Donald J. Trump Boulevard, prompting another lengthy debate over the appropriateness of honoring political figures and the use of public roadways for such designations; it passed 82-30. The House then began debate on CS/HB 35, “Isaiah’s law,” which would add driving without a valid license to the habitual traffic offender list after repeated offenses, with sponsors citing a fatal hit-and-run and opponents questioning prosecutorial discretion and the bill’s practical effects.

Transcript Highlights:

• For me, that means someone who completed medical school in another country, someone who completed medical
• Association of Medical Regulatory Authorities, the American Board of Medical Specialties, the American
• Medical Association, the American Association of American Medical Colleges, a number of senior leaders
• that certification includes is making sure they graduated from a legitimate accredited medical school
• So certification, we have a voluntary competency-based certification process developed by doulas, curated

Committee: Senate Health & Long-Term Care

Summary: The committee opened with an extensive update on the expected effects of federal HR1 on Washington’s health care system, especially Medicaid and the individual market. Governor’s office and Health Care Authority staff said the bill is likely to cause immediate coverage losses in the exchange beginning in January, followed by larger Medicaid impacts over the next several years. They highlighted likely premium increases, administrative burdens from more frequent eligibility checks and work requirements, reduced retroactive coverage, limits on state-directed payments and provider taxes, and possible effects on rural hospitals and safety-net providers. They also noted separate CMS rules already being implemented in Washington on prior authorization, managed care access, home- and community-based services, and eligibility/enrollment, and explained how those rules interact with HR1’s new requirements and timelines. Members asked about Planned Parenthood funding, work requirements, rural health grants, provider impacts, and how the state will use existing systems and a forthcoming timeline to prepare for implementation. The committee then received an update on the International Medical Graduate Work Group and Washington’s efforts to create pathways for internationally trained physicians. Presenters described the state’s clinical experience license, the clinical evaluation tool used to assess readiness, a grant program for career guidance and clinical training, and a 2025 law adding a hardship waiver process. National presenters from World Education Services and the Federation of State Medical Boards said many states have adopted similar pathways because of physician shortages, but approaches vary widely. They recommended clear guardrails, employment offers before application, ECFMG certification, supervised provisional practice, data collection, and protections against exploitation. Committee members asked about portability across states, retention of IMGs, and whether Washington should pursue additional options such as dedicated residency slots, preceptorships, or practice-ready assessment models. The final topic was an update on the Apple Health doula benefit and the statewide doula hub and referral system. Senator T’wina Nobles praised the state’s work, noting Washington’s high Medicaid reimbursement rate for doulas and the importance of building infrastructure to support equitable maternal care. Health Care Authority staff said the benefit launched on January 1, 2025, and covers prenatal intake, labor and delivery, postpartum visits, and telehealth-supported services. They reported 336 state-certified doulas, 134 enrolled with Apple Health, 287 clients served, and 641 claims paid so far, while also acknowledging barriers such as provider enrollment, claims submission, client matching, and language access. Doulas for All described the hub as part of a broader effort to expand access, support community-based birth workers, and reduce maternal and infant mortality disparities, especially for Black and Indigenous families.

Transcript Highlights:

• It allows DHS, for specified geographic areas, to issue a certificate of necessity to a city, town, fire
• It allows DHS, for specified geographic areas, to issue a certificate of necessity to a city, town, fire
• Currently, under certificate of necessity, this is a three-year information period when they provide
• Right now, they're being utilized as a medical transport for individuals that have been petitioned by
• Food and Drug Administration-authorized prescription device provided through a durable medical equipment

Summary: The meeting was a caucus-style review of two packets of bills, with staff reading summaries and members briefly explaining several measures. Topics included appropriations for pregnancy resource centers, home- and community-based services for the elderly and people with disabilities, veteran specialty courts, child care grants and infrastructure, language acquisition services for deaf or hard-of-hearing infants and toddlers, ambulance service regulation, short-term rental rules, tourism improvement areas, manufactured home installer licensure, CPR/AED training in schools, veterans’ park fee exemptions, and multiple child welfare and family-court bills. Several Senate bills were also reviewed, including optometry standards, behavior analyst licensure transfer, virtual mental health hearings, and assisted-living residency rules. Members speaking for bills emphasized themes such as supporting aging in place, improving rural ambulance access and reporting, protecting children in DCS cases, preventing poverty alone from being treated as neglect, and expanding access to health screenings and services. Other sponsors described measures to help veterans, strengthen school safety, and create local funding or improvement mechanisms for tourism and child care. Some bills were described as technical or administrative changes, such as post-nuptial agreement rules, tax lien procedures, and local government contract posting requirements. No formal votes were taken in the transcript excerpt, but many bills were noted as being on the consent calendar or third-read consent calendar, while a few had been removed from consent or were not yet on a calendar. The meeting concluded after the final bill on the second packet, HB 4025, was summarized as creating a study committee on gasoline and petroleum refinery feasibility.

Transcript Highlights:

• with complex medical needs, people with substance use disorders.
• of Medical Regulatory Authorities, American Board of Medical Specialties, American Medical Association
• that certification includes is making sure they graduated from a legitimate accredited medical school
• Does that say state medical board? Do you? Thank you.
• Does that say state medical board? Do you? Not really.

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:

• It would also include a QR code on each certificate, ...expiration date of the policy.
• In addition to 12 weeks of leave for bonding, PFML offers up to 14 weeks of medical leave.
• The student workers in my unit and across the state need paid family and medical leave.
• need arises, I can't take paid family and medical leave.
• I am the insurance and donor fund coordinator for the MSPCA-Angell Animal Medical Center.

Committee: Joint Joint Committee on Financial Services

Summary: The Joint Committee on Financial Services held a public hearing with about 43 witnesses and a 1:00 p.m. hard stop, and the chair repeatedly asked speakers to keep testimony to three minutes. Much of the hearing focused on S. 747/H. 1336, which would extend paid family and medical leave and unemployment insurance to graduate student workers. Supporters included legislators, union leaders, graduate workers from MIT, Harvard, BU, WPI, UMass Lowell, and others, and legal advocates. They argued graduate workers perform full-time teaching and research work, pay taxes, and should not be excluded from basic safety-net benefits; several witnesses described personal hardships involving childbirth, serious illness, mental health crises, funding cuts, or fear of losing income. Testifiers also said the change would be revenue-neutral or revenue-generating and would not create major administrative burdens for universities, which already provide similar benefits to other employees. The committee also heard testimony on insurance-related bills. Christopher Stock of the Massachusetts Insurance Federation supported H. 1113 on public adjusters and H. 1345/S. 753 on flood-zone notifications for homebuyers, but opposed H. 4112, which would add a $2 surcharge on home insurance policies to fund fire cistern programs. The Metropolitan Area Planning Council strongly supported H. 1345, saying flood disclosure is needed because Massachusetts lacks statewide flood-notification requirements and flooding risks are increasing. Karen Alvarado supported H. 4352 on travel insurance, and John Fielding supported H. 1186 on pet insurance; both said the bills would create uniform regulatory frameworks and consumer protections. Rep. LeBoeuf testified for H. 4061 on workers’ compensation premium fraud, describing the bill as a transparency measure to combat fraud in construction by creating a public certificate-of-insurance database and QR-code verification system. Joe Bright of the carpenters’ union also supported H. 4061, citing fraud, misclassification, and the harm to injured workers. The hearing also included testimony on H. 4112, a bill to create a statewide fire suppression water resource fund and cistern program. Rep. Hogan and a Stowe fire chief described drought, brush fires, and the need for dedicated cisterns in communities without municipal water systems, saying the tanks provide reliable water for firefighting and are relatively low-tech once installed. Committee members asked questions about tank capacity, siting, maintenance, and funding. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• not feasible within our medical community.
• The medications that I had been prescribed in the past... ...the medications that I'd been prescribed
• And now I don't take any medications.
• The supply, though, of medical marijuana is not, like, the allowable number of dispensing of the medication
• marijuana, medical, in quotes, marijuana.

Bills: S0688 , S1414 , S0186 , S0902 , S0196 , S1574 , S0878 , S1092 , S1032 , S1684 , S1686 , S1760

Committee: Senate Health Policy

Summary: The committee took up several health-related bills and confirmations. It first heard SB 1414 on congenital cytomegalovirus education, which would require the Department of Health to develop and distribute educational materials to expectant and new parents through maternity, prenatal, newborn, and OB-GYN settings; an amendment removed a section on required instruction for medical professionals, and the bill was reported favorably as a committee substitute. The committee then approved a block of appointees on tabs 2 through 7 and separately confirmed Chavon Harris as Secretary of the Agency for Health Care Administration after her testimony on Medicaid accountability, transparency, managed care oversight, rural health, behavioral health, and the state’s technology modernization efforts. Senators asked Harris about Hope Florida, Medicaid redeterminations, the CORE project, an anti-marijuana ad campaign at DCF, and compliance with a federal Medicaid-related court order; she said she would follow up on some issues. The confirmation was recommended favorably, with Senator Berman voting no. The committee next passed SB 186 on student health and safety, which expands epilepsy and seizure-disorder training requirements to more school personnel, including bus drivers and charter school staff, and requires seizure-first-aid posters and updated Department of Health education efforts. It also approved SB 902 on Department of Health issues after amendments narrowed the bill’s scope and added provisions on medical marijuana regulation, early childhood intervention, practitioner accountability, and autism workforce development; one speaker raised concerns about marijuana dispensary location restrictions and low-THC ratios. SB 196 creating a uterine fibroid research database was also reported favorably after an amendment protecting patient privacy; the bill drew emotional testimony from a patient describing severe symptoms and the need for more research. SB 688 on naturopathic medicine was approved after committee discussion about scope of practice, referral obligations, and whether naturopathic care should be adjunctive to conventional medicine; supporters described complementary care and access issues, while opponents worried about delayed treatment for serious disease. Later, the committee passed SB 1574, “Maddie’s Law,” to add biliary atresia screening to newborn screening using the same blood specimen already collected at birth and to launch an education campaign; parents of a child affected by the disease testified that earlier screening could have prevented severe harm. SB 878 on clinical laboratory personnel was reported favorably to address staffing shortages by allowing Florida to rely more directly on federal CLIA standards for qualified lab workers. SB 1092 on podiatric medicine was approved after an amendment narrowed it to cellular/tissue-based products and podiatrists’ use of certain therapies; the bill also addresses continuing education, informed consent, and advertising disclosures. SB 1032 on medical marijuana was amended and passed, aligning physician certification and card renewal timelines, setting 70-day and 35-day supply limits, and reducing the fee for honorably discharged veterans while preserving funding for FAMU; Senator Harrell opposed it, saying the longer timeframes were too much of an expansion. The committee also heard SB 1760 on Medicaid coverage transparency from Senator Brodeur, who said the bill focuses on accountability and fiscal responsibility, but the transcript cuts off before further discussion or action on that measure.

Transcript Highlights:

• We understand that those things—a birth certificate, vital records, birth certificates, Social Security
• So they may not take medication. Yes. ...they may not take medication. Yes.
• They must get two certifications in a particular trade, like two ASE certifications if they're in automotive
• What type of medications?
• So whenever they get that certification, they have a certificate that not many people in the United States

Committee: House Administration of Criminal Justice

Summary: The committee held an oversight discussion on Louisiana’s reentry landscape, with Chair Villio emphasizing that the hearing was informational only and that no bills were being considered. Department of Public Safety and Corrections officials outlined the state’s reentry mission and current programming in state facilities, local jails, regional reentry centers, and STEP facilities. They described services including literacy and GED preparation, career and technical education, industry certifications, postsecondary partnerships, mental health and substance abuse treatment, victim impact and trauma programming, and pre-release assistance such as state IDs, birth certificates, Social Security cards, Medicaid, SNAP, and driver’s licenses. Officials also discussed a new data-sharing MOU with DCFS for child support matters and a planned “return portal” with Louisiana Works to connect incarcerated people to jobs and training aligned with labor market needs. A major focus was the reentry court program at Angola for men and at the Louisiana Correctional Institute for Women. Assistant Secretary DeLouche and Assistant Warden Easley explained that the program is limited to nine judicial districts, requires judge and district attorney consent, and includes a two-year institutional phase followed by three years of intensive supervised probation. Participants must earn a HiSET if needed, complete multiple certifications and life-skills programs, and then petition for resentencing; officials said the program’s current recidivism rate is under 14 percent. They also highlighted specialized offerings such as vocational mentoring, a Braille transcription and repair program, and family-focused events like a father-daughter dance. Testimony from employers and local officials was broadly supportive. Eric Lane described hiring formerly incarcerated workers through the parole project and said the program solved problems he had seen with halfway-house placements by helping people secure housing, IDs, and licenses before release. Sheriff Kevin Cobb said sheriffs are active partners, with 51 of 64 parishes offering some form of programming and more than 75 percent of local facilities providing services; he stressed that local jail programming has grown over time and that data collection is improving. Members repeatedly asked for more data on recidivism, employment outcomes, and what programs are available by parish, and several praised the department and sheriffs for the work already being done. No votes were taken.

Transcript Highlights:

• not feasible within our medical community.
• The medications that I had been prescribed in the past... ...the medications that I'd been prescribed
• And now I don't take any medications.
• The supply, though, of medical marijuana is not, like, the allowable number of dispensing of the medication
• marijuana, medical, in quotes, marijuana.

Committee: Senate Health Policy

Transcript Highlights:

• So Medicaid, um, um, Thank you. for another covered medical procedure.
• a permanent medical record that is subject to public records requests.
• the Louisiana State Medical Society.
• the Louisiana State Medical Society.
• Louisiana Medical Society is being replaced with the accurate name of the Louisiana State Medical Society

Committees: Senate Health & Welfare , Senate Health and Welfare

Summary: The Senate Committee on Health and Welfare met on May 6, 2026, with five members present. After adopting the April 28 minutes, the committee heard a brief presentation on the new Leadership Louisiana Health Fellows Program, which is intended to bring together health care, business, policy, and education leaders to study Louisiana health challenges and build a network for action. Members expressed support for the program and its potential value to health policy work. The committee then advanced several bills, often with technical or substantive amendments. SB 57, a nutrition-labeling bill, was amended to push its effective date to December 31, 2028 and reported as amended. HB 62 increased the membership of the Louisiana Women’s Policy and Research Commission to 27 members and was reported as amended. HB 193 updated membership rules for the sickle cell commission foundations so long-serving executive directors would not have to reapply repeatedly, and it was reported as amended. HB 815 would allow financial institutions to receive death certificates to help families manage accounts after a death; it was reported favorably after a question about state-licensed banks. SB 405 was substantially revised to codify LDH’s new Ascend nursing-facility quality initiative, including statewide quality oversight goals, stakeholder involvement, reporting requirements, and tools such as dashboards and surveys; after reconsidering prior action and adopting the new amendment, the bill was reported as amended. The committee also approved HB 222, which provides Medicaid dental coverage when needed for another covered medical procedure, and HB 420, which requires background checks for all DCFS employees with access to sensitive information. HB 475 requires verbal consent when AI is used to record or transcribe a medical visit and was reported favorably after a technical question. HB 246 updated membership of the Children’s Cabinet Advisory Board and the council on grandparents raising grandchildren, including replacing an inactive coalition seat with the state police superintendent or designee. HB 486 would enter Louisiana into the psychology inter-jurisdictional compact to expand access to mental health care, and HB 574 updated outdated board names on the Mental Health Advisory Services Board; both were reported favorably. Later, the committee reported HB 949, which creates a licensure framework for radiologist assistants to help address imaging workforce shortages, especially in rural areas, and HB 584, which requires foster children to be provided luggage instead of trash bags for their belongings and restores “rights” language in the Foster Youth Bill of Rights. The committee also reported HB 1214, restructuring certain LDH facilities into a single system under the secretary’s office; HB 1092, a technical renaming/terminology cleanup bill; and HB 203, which adds members to the uterine fibroids commission. Throughout the meeting, members and witnesses emphasized access to care, workforce shortages, child welfare, and quality improvement, and the committee repeatedly adopted amendments and reported the bills favorably or as amended before adjourning.

Transcript Highlights:

• we are addressing these concerns and that L&I has the tools to make sure that people have the certification
• they need, especially around things like medical gas plumbing, which can have major public health issues
• the PFML program provides partial wage replacement benefits to employees on leave for family and medical
• When paid family and medical leave was originally negotiated, I was on the negotiation team representing
• There is an amendment in the state's applicable federal asbestos laws when it comes to certification.

Summary: The Labor and Workplace Standards Committee held public hearings on several labor-related bills. SB 6197 would change plumbing license suspension rules from three infractions in three years to five infractions in five years, remove the advisory board recommendation requirement, and require L&I enforcement updates; the sponsor said the bill was narrowed after stakeholder talks, though one transition-timing issue remained unresolved. SB 6134 would require the Employment Security Department to notify striking workers applying for unemployment benefits that they may later owe overpayments if they receive retroactive wages; the sponsor and a testifier said the bill would prevent workers from being paid twice. SB 5292 would replace the PFML program’s statutory look-back premium formula with a forward-looking actuarial method while keeping the 1.2% cap and adding a four-month reserve requirement; labor, business, and policy witnesses offered support or concerns about the reserve. SB 6106 would exempt tribes and tribally owned businesses from the state WARN-style notice law and protect affected workers’ names and addresses from public disclosure; ESD and business groups supported it, while agricultural witnesses asked for a future fix for seasonal agriculture. The committee then moved into executive session on six bills. It adopted amendments to ESSB 5847, which expands access to medical care in workers’ compensation, including allowing certain outside-network providers and authorizing additional claims managers; the bill was reported out 7-2 as amended. SSB 6014, a cleanup bill correcting a date typo and protecting sensitive L&I records from public disclosure, passed unanimously. SSB 6039, allowing L&I to use electronic communications while offering a non-electronic option first, also passed unanimously. ESSB 6058, giving L&I discretion to prioritize wage complaints, was amended to align with the House companion and then passed unanimously. SB 6136, requiring publication of actuarially indicated workers’ compensation rates and disclosure when rates are set below them, passed unanimously. On SB 6188, which would expand L&I’s asbestos-certification rulemaking authority, the committee rejected an amendment that would have restored current-law limits and instead passed the bill without amendment. Members supporting the bill said it would let Washington strengthen asbestos protections if federal standards weaken, while opponents argued it could create conflicting requirements and unnecessary regulatory expansion. The bill was reported out 6-3. The committee adjourned after announcing the votes and noting it would reconvene the next day.

Transcript Highlights:

• providers uh there are over 14 medical providers uh there are over 14 100<00:59:26.640><c> medical</
• </c><01:00:30.160><c> providers</c> through their regular medical providers through their regular medical
• In fact, recently, the legislature passed a three-year certification instead of an annual certification
• In fact, recently, the legislature passed a three-year certification instead of an annual certification
• </c> allowed for a three-year certification allowed for a three-year certification um<01:15:04.199><c

Summary: The Health and Human Services Oversight Committee met on February 2 and first approved the draft minutes from the prior meeting, with minor corrections to the meeting date and attendance notation. DHHS Associate Commissioner Patricia Tilly then gave a department update, describing the current uncertainty around federal priorities and funding, and provided two substantive reports: progress on the new Hampstead Youth Development Center and an update on the department’s review of an ALS registry proposal. She said the YDC project is underway with tree clearing, fencing, stormwater and site-prep work, and remains on track for completion by June 30, 2026 and operation by August 30, 2026. The center currently has 12 youth, and the new design is intended to provide flexibility for fluctuating census levels. On ALS, Tilly explained that HB 576 had prompted the department to examine whether a registry could be built, but the estimated cost of a HIPAA-compliant system was about $750,000. She said DHHS is reviewing whether existing data sources, such as hospital discharge data and CHIS claims data, could provide useful information, but noted both are incomplete for registry purposes. Committee members discussed whether the Rare Disease Advisory Council, Dartmouth, or existing cancer registry infrastructure could help reduce costs. DHHS said it is neutral and willing to continue exploring alternatives, while members emphasized the value of a registry and the need to consider shared infrastructure and funding. The committee also heard from Jenny Horan of the Alzheimer’s Association, who presented the subcommittee’s report on Alzheimer’s disease and related dementias. She said the subcommittee spent the past year gathering information on dementia care, abuse and exploitation issues, caregiver strain, and available services, and is now moving into a second phase focused on identifying gaps and developing a state plan. Members asked about geriatric psychiatric capacity and long-term care availability; Horan said the state has limited capacity and that the plan will help clarify where needs are greatest. She offered to return for follow-up questions at a later meeting. Finally, Olivia May of DHHS presented the quarterly report on the 12-month postpartum Medicaid coverage extension. She said New Hampshire implemented the extension after federal and state action, and the first claims data are still emerging because of reporting lags. In the initial cohort studied, 95% received some medical services during the extended period, 52.4% received mental health or substance use disorder treatment, 26.7% received preventive visits, and 3.2% received heart or hypertension services. Members asked about return on investment and whether higher federal matching rates are being used appropriately; DHHS said it claims the highest possible match based on eligibility group and will return with more data over time. The committee then heard the annual therapeutic cannabis program report from Michael Holt, who said the program had 1,475 registered patients as of June 30, 2024 and that growth has slowed, with New Hampshire having the lowest per-capita medical cannabis enrollment nationally.