Transcript Highlights:

• In lines 27 to 29 on page two, we want to ensure that when lactating animals are confiscated, there is
• For this case in Lee, I was told that lactating females were taken away and were euthanized because there
• We want to ensure that when lactating animals are confiscated, there is proof that the facility that
• <04:09:07.399> female<04:09:07.800> and<04:09:07.960> its lactating female and its
• lactating female and its babies<04:09:10.159> I<04:09:10.239> would<04:09:10.479> say

Keywords: 928, house, all

Summary: The committee met in a work session on several environmental bills, beginning with HP 152, which would prohibit the sale and use of adhesive-based rodent traps. Members discussed whether the bill should be amended to allow professional pest control use while restricting retail sales to the public. Testimony and member comments focused on animal welfare concerns, the relative humaneness and effectiveness of glue traps versus snap traps, consumer education, enforcement difficulties, and whether the bill should instead be limited to professionals. No vote was taken on HP 152 during the discussion. The committee then turned to HB 171, establishing a moratorium on new landfill permits. Representative Gruber distributed an amendment shortening the proposed moratorium from five years to three years as a compromise. Members supporting the moratorium said it would give the Department of Environmental Services time to update rules and reflect recent landfill-siting reforms, while opponents argued that three years was too long, could tie the hands of a future legislature, and might be difficult to pass in the Senate. Others noted the House, Senate, and governor had each discussed different lengths of moratorium, making the bill a likely bargaining position in later negotiations. Throughout the landfill discussion, members emphasized that the three-year version was intended as a middle ground between a one-year proposal associated with the governor and a six-year Senate bill. Several members said the moratorium reflected years of bipartisan work on solid waste and landfill policy and would help create time for new rules to take effect. The transcript provided does not show a final committee vote or other action on HB 171 during this segment.

Transcript Highlights:

• that in the postpartum period, the SMMC plans are providing additional expanded benefits related to lactation
• already touched upon. ...period, the SMMC plans are providing additional expanded benefits related to lactation

Summary: The Senate Health Policy Committee met to discuss maternal and infant health, beginning with a presentation from New Jersey’s Maternal and Infant Health Innovation Authority (MiHA). Pamela Taylor described New Jersey’s statewide effort to reduce maternal mortality and racial disparities through the Nurture New Jersey campaign, a strategic plan with more than 80 recommendations, universal home visiting, Medicaid-covered doula care, hospital report cards, limits on non-medically indicated early elective C-sections, and a new maternal and infant health innovation center. Senators asked about doula certification, funding, home visiting, and how New Jersey coordinates across agencies; Taylor said the authority uses quarterly stakeholder meetings, annual summits, and a tracker for recommendations, and that community input helped shape its programs. Florida Agency for Health Care Administration Deputy Secretary Brian Meyer then outlined Florida Medicaid’s maternal coverage and managed care structure. He reviewed eligibility and services for pregnant women, labor and delivery, postpartum coverage, newborn coverage, and family planning, noting 12 months of postpartum coverage, expanded benefits in managed care plans, and new contracts launching February 1 with more maternal-health-focused benefits, quality measures, and a new quality withhold incentive structure. Senators questioned doula certification and duplication with Healthy Start, provider access and network adequacy, kick payments, quality reporting, and whether Florida should consider broader eligibility standards; Meyer said many details are still plan-driven, that quality metrics are public, and that the agency is working on maternal-health work groups and incentives. Department of Health Division Director Shea Holloway followed with an overview of Florida’s maternal and child health programs and data. She cited Florida CHARTS data showing pregnancy-related deaths, severe maternal morbidity, and infant mortality trends, and described the Title V block grant, the Maternal Mortality Review Committee, the Florida Perinatal Quality Collaborative, the electronic prenatal risk screen, Healthy Babies, BH Impact for perinatal mental health, Healthy Start, WIC, family planning, telehealth maternity care, and the Pregnancy Care Network. Senators asked about delays in mortality review reporting, preterm birth, substance use disorder in pregnancy, WIC participation, cesarean rates, and the impact of the abortion ban; Holloway said the department is continuing to monitor outcomes, expand screening and telehealth, and use data and hospital partnerships to improve care. The committee then adjourned without further business.

Transcript Highlights:

• Nursing mothers and lactating employees: that law basically gives that group of employees the ability
• Nursing mothers and lactating<00:46:47.680> employees<00:46:48.160> that<00:46:48.400><
• c> law<00:46:48.880> basically lactating employees that law basically lactating employees
• convene a total of 70 practitioners from different backgrounds, including medical doctors, doulas, and lactation

Bills: HF3707, HF3732, HF2581, HF3731

Keywords: unemployment insurance, judicial officials, paid leave, economic development, worker protections, workforce development, unemployment benefits, youth training, grants, job creation, grant funding, revolving loan, underserved communities, disadvantaged groups, electrical licensing, installation, Class A installer, regulations, labor and industry, 1183

Summary: The committee first adopted the minutes from February 26 and then heard House File 2581, authored by Representative Frazier, which sought $1 million for Fortis Capital, a nonprofit economic development lender. Frazier and Fortis CEO Brian Smith described Fortis as a gap-financing lender that helps underserved entrepreneurs who cannot meet traditional bank underwriting standards. They said the organization has made 37 loans totaling more than $4 million since 2021, leveraged another $29.5 million, and created 314 jobs. Smith said Fortis typically charges around 6.5% interest, has had two defaults, and uses a revolving loan fund model that recycles repayments; members discussed how the proposal fits with other state economic development programs and whether Fortis should instead be part of a competitive grant process. The chair laid HF 2581 over for possible inclusion in a budget bill. The committee then heard House File 3707, brought by Representative Berg, which would extend confidentiality protections to unemployment insurance and paid leave judges and related staff by adding them to the definition of judges for purposes of protecting personal information. Berg and testifiers from the Department of Economic Development and MAPE said the bill responds to harassment and safety concerns, including threats, doxxing, and an attack near an office, and is intended to protect people making sensitive determinations. MAPE supported the bill as an update to existing protections for similar workers. Members raised concerns that the bill’s language was too broad, especially the reference to the paid leave division, and questioned whether it should cover only judges or also call-center and other staff. Department and committee members agreed the language likely needed narrowing and discussed possible amendments and whether to move the bill to Judiciary and then revisit it. No final vote was taken on HF 3707 during the discussion, and the bill remained under consideration for further language work.

Bills: HB125, HB116, HB183, HB342, HB341, SB280, SB245, SB159, HB125, HB116, HB183, HB342, HB341, SB280, SB245, SB159

Keywords: HB125, sunset law, Alabama Sunset Committee, Alabama State Board of Veterinary Medical Examiners, veterinary medical examiners, veterinary board, veterinary licensing, veterinary regulation, professional licensing board, state board continuation, sunset review, regulatory board, animal health, veterinarians, disciplinary authority, HB116, Alabama Sunset Law, sunset bill, Alabama Professional Bail Bonding Board, bail bonding

Transcript Highlights:

• on Regulatory Affairs and Government Efficiency, under consideration House Bill 272, relating to lactation
• on Regulatory Affairs and Government Efficiency, under consideration House Bill 272, relating to lactation

Keywords: 1182, all

Summary: The Senate opened with prayer, the Pledge of Allegiance, attendance, and several ceremonial introductions and proclamations, including a Coolidge centennial proclamation, recognition of guests tied to Pre-born Day of Rights, a proclamation honoring Carmen Green Smith’s retirement, and a memorial resolution for Brad Brower. The chamber also heard a Game and Fish outdoor expo announcement and welcomed student visitors and other guests in the gallery. The main legislative action centered on House Bill 2072 and House Bill 2307 in Committee of the Whole. SB 1396 was the subject of an unsuccessful motion to suspend the rules and move it immediately to third reading; that motion failed 12-16. HB 2072, dealing with holidays and the César Chávez Day repeal, drew extensive debate over a Miranda floor amendment to rename the day as Farm Worker Day and preserve the farm worker movement’s recognition. The Miranda amendment failed 12-15, a subsequent committee amendment was adopted, and the bill was ultimately reported out as amended and later passed on third reading. HB 2307, concerning dangerous and incompetent defendants and a state facility/restoration process, was amended with an Angus floor amendment addressing funding, bed capacity, a sunset, and a study committee. The bill passed the Committee of the Whole and then passed third reading 27-2, with several members explaining support as a public safety measure and others noting remaining concerns. HB 2874, relating to campaign committee termination statements and expenses, also received a technical floor amendment and passed as amended on third reading 18-11, without the emergency clause. The Senate also adopted HCR 2053, a death resolution for Brad Brower, with a moment of silence and unanimous adoption. At the end of the meeting, the Committee of the Whole report was adopted, the bills were properly assigned, and the chamber recorded the final passage of HB 2307 and HB 2874 and the passage of HB 2072 as amended.

Transcript Highlights:

• I am a certified lactation support counselor. I'm a birth assistant.
• I am a certified lactation support counselor. I'm a birth assistant.

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:

• In March of 2024, high path avian influenza developed as an emerging disease and lactating dairy cow
• Uh, unfortunately, in, in, uh, March of 24, we had a spillover event that went into lactating dairy cattle

Transcript Highlights:

• The fourth floor single-use restroom and lactation room project is underway; the contract is in place

Transcript Highlights:

• HB 347 by Tallarico relating to the prosecution of the offense of invasive visual recording in a lactation

Transcript Highlights:

• Um, so the appropriations for wage theft prevention on line 49, nursing, lactating, and pregnant employee
• wage theft prevention on line 49, for wage theft prevention on line 49, nursing,<00:10:52.079> lactating
• ,<00:10:52.560> and<00:10:52.720> pregnant nursing, lactating, and pregnant nursing
• , lactating, and pregnant employee<00:10:53.440> accommodations<00:10:54.240> outreach<

Keywords: 1187, senate, all

Transcript Highlights:

• That care included newborn exams, newborn screenings, help with lactation and newborn growth, and referrals

Bills: SB87, HB491, SB43, SB101

Keywords: midwifery, licensed midwives, State Board of Midwifery, licensure fees, professional liability insurance, complaints investigation, emergency care plan, out-of-hospital care, HB491, public schools, K-12, school nutrition, school lunch, cafeteria, artificial dyes, food additives, food coloring, synthetic dyes, Red Dye No. 3, Red Dye No. 40

Transcript Highlights:

• Lactation services was basically—we already provide lactation services, but this was allowing additional
• <01:02:15.480> Services<01:02:16.000> was column um lactation Services was column um
• lactation Services was basically<01:02:16.880> we<01:02:17.319> already<01:02:17.640><
• c> provide<01:02:18.039> lactation basically we already provide lactation basically we already
• provide lactation services<01:02:19.119> but<01:02:19.400> this<01:02:19.559> was

Keywords: 1189, house, all

Summary: The House Finance Division 3 work session continued its review of the Department of Health and Human Services’ Medicaid budget and related policy issues, with CFO Nathan White and Medicaid Director Henry Litman presenting updated materials. The discussion focused on a crosswalk between the adjusted FY 2025 Medicaid budget and the governor’s FY 2026 recommendation, plus handouts showing service additions, eligibility changes, dental rates, and other Medicaid changes since 2019. The department also said it would provide a clearer breakdown of the pharmacy cost-sharing item by general, federal, and other funds. Members asked detailed questions about the Medicaid enhancement tax, the 80% plan, and how funds are allocated between hospital payments, directed payments, and DSH uncompensated care. The department explained that the MET is being used more toward rates and directed payments to better align with federal matching rules, while DSH remains important for uncompensated care. They also noted that a pending Senate Bill 249 would keep the 80% structure and move to Senate Finance. On the trigger law, the department identified the governing provision as Chapter 342:12, Laws of 2018, and explained that if the federal match for Medicaid expansion falls below 90%, the state must notify legislative leaders and participants and the program would sunset after 180 days unless the legislature acts. The committee also reviewed current Medicaid expansion enrollment and program trends. Officials said enrollment was just under 59,000 as of March 3, with about 87,000 people enrolled over the past year and more than a quarter-million residents having used the program over its lifetime. They said enrollment has fallen from a post-pandemic high of nearly 97,000 and may eventually settle in the low 50,000s. Finally, the department discussed federal DSH funding risk, saying New Hampshire could face a significant reduction if Congress does not extend current protections, which is part of why the state has shifted more funding toward payment rates and directed payments.

Transcript Highlights:

• students are, they were able to get family-friendly spaces across campus and even something like a lactating

Bills: SB132, SM16, SM17

Keywords: SB132, DOIT, Department of Information Technology, software replacement, equipment replacement, technology funding, revolving fund, capital equipment, enterprise services, state IT budgeting, software budgeting, amortization, depreciation, State Treasurer, Department of Finance and Administration, New Mexico, information technology, IT infrastructure, fund accounting, legislative appropriation

Transcript Highlights:

• Last year we started a lactation consultant certificate program.
• Yeah, we're actually working through that not only for community health worker, but the lactation consultant

Keywords: 908, all

Transcript Highlights:

• Last year we started a lactation consultant certificate program.
• Yeah, we're actually working through that not only for community health worker, but the lactation consultant

Summary: The committee reconvened at North Dakota State College of Science for a presentation from President Dr. Flanagan and college leaders about NDSCS’s mission, enrollment growth, workforce training, and facilities needs. Flanagan highlighted student success in national competitions, strong placement and retention, growing enrollment, and new or expanding programs in aviation maintenance, fire science, dental hygiene, community health worker training, surgical technology, HVAC/plumbing, and precision agriculture. He also emphasized the college’s partnerships with industry, including John Deere, Fargo Jet Center, Sanford, and Comdel Innovation, and said NDSCS plans to seek approval next session for a revenue bond to build a new dorm and to remodel the library into academic and allied health space. Allied health dean Deb Smith testified that her division is at capacity and needs a simulation center, more lab and classroom space, and expanded dental and OTA facilities to meet demand and accreditation needs. Committee members questioned Flanagan and staff about workforce shortages, especially faculty pay, and whether the college can staff additional growth. Flanagan said the biggest challenge is recruiting instructors because industry pays more, but noted some health care and adjunct hiring is possible because of schedule flexibility and benefits. He also discussed shifting resources away from lower-demand programs like power sports toward higher-demand areas such as automotive and aviation maintenance. Members also asked about the college’s identity as a technical institution, with Flanagan arguing North Dakota would benefit from a more defined tech-school system. The committee then received a University System presentation from Jamie Wilkie on the cost of delivering dual credit. Wilkie explained the methodology used to allocate direct and overhead costs across subsidized and unsubsidized dual credit, noting that dual credit and early entry account for about 5.9% of total credit hours and 2.7% of formula funding. The analysis showed subsidized dual credit tuition revenue of about $5.5 million and unsubsidized revenue of about $2.9 million, with some institutions showing margins and others losses depending on the model. Members discussed whether K-12 funding should also be reflected, how payments to high schools and teachers are structured, and whether tuition-free dual credit would require replacing both tuition revenue and the current dual credit scholarship. No votes were taken; the committee simply received the presentations and discussed the findings.

Transcript Highlights:

• Last year we started a lactation consultant certificate program.
• Yeah, we’re actually working through that not only for community health worker, but the lactation consultant

Summary: The committee met at North Dakota State College of Science for a presentation from President Flanagan and campus leaders on the college’s mission, enrollment growth, workforce programs, facilities needs, and industry partnerships. Flanagan highlighted student success in national competitions, strong placement and retention, the college’s strategic plan, and new or expanding programs such as aviation maintenance, fire science, dental hygiene, community health worker, surgical technology, HVAC/plumbing, and precision agriculture. He also described the need for a new dorm and a remodel of the library into academic and allied health space, including a simulation center, to address capacity limits and support growth. Several committee members asked about program demand, faculty recruitment, pay competitiveness, and how the college shifts resources from lower-demand programs to high-demand ones. Industry partner Jim Albright of Comdell testified that the college has been essential to the local manufacturing workforce and that many employees and interns come from NDSCS. A major topic was dual credit. Flanagan said dual credit is important but financially challenging, noting that only a small share of dual credit students ultimately matriculate to NDSCS and that the college’s dual credit model is close to break-even. He explained that many dual credit credits are general education rather than CTE, and that the college pays instructors, supports high schools, and absorbs indirect costs. Williston State College President Bernal Herning added that his institution loses money on the front end but has shifted toward helping students complete associate degrees before high school graduation because many go directly to work after high school. Committee members questioned how dual credit is delivered, how instructors are qualified, and whether students are truly doing college-level work. The committee then received a University System presentation from Jamie Wilkie on the cost of delivering dual credit statewide. Wilkie explained the methodology used to allocate direct and overhead costs and said the analysis shows dual credit is not profitable at several institutions once tuition, instructor payments, and overhead are included. Members asked how much of the cost is borne by students, families, and the state, and whether K-12 funding should also be considered. Discussion also covered the difference between subsidized and unsubsidized dual credit, payments to high school teachers or schools, and the possibility of waiving tuition in the future. No votes were taken, and the committee mainly gathered information for the ongoing dual credit cost study.

Transcript Highlights:

• WE DID AN EMERGENCY ORDER TO STOP ANY LACTATING COWS COMING IN THE STATE OF FLORIDA.

Keywords: 999, senate, all

Transcript Highlights:

• meet outside of clinical settings to meet with their birth workers such as doulas, midwives, and lactation
• workers such as doulas,<00:03:32.720> midwives,<00:03:33.360> and<00:03:33.519> lactation
• <00:03:34.159> support doulas, midwives, and lactation support doulas, midwives, and lactation

Keywords: 1187, senate, all

Transcript Highlights:

• the care of those animals needs to entirely follow due process procedures, especially when there's lactating
• > process procedures especially when process procedures especially when there's<01:37:18.320> lactating
• <01:37:18.920> animals<01:37:19.440> involved<01:37:20.199> we there's lactating
• animals involved we there's lactating animals involved we want<01:37:20.400> to<01:37:20.560>

Keywords: 928, house, all

Summary: The committee opened a hearing on HR 18, a resolution urging New Hampshire’s congressional delegation to seek federal changes that would let very small slaughter plants use custom-exempt inspection criteria with a third-party inspector present, so beef, pork, lamb, and goat could be sold as individual cuts directly to consumers. Representative Judy Aron said the resolution was drafted in lieu of state legislation because the issue is governed by USDA rules, and she noted she was also working on an amendment to ensure the measure covered federal “very small” plants. Representative Miner asked for clarification about custom slaughter versus retail sales, and Representative Scully supported the resolution while suggesting language to make clear it applied only to local end consumers. Joyce Brady of the New Hampshire Farm Bureau testified in support, saying the state’s four USDA slaughterhouses and the bottleneck in custom cutting made the issue important. After no further testimony, the chair closed the hearing. The committee then moved into a work session on several bills. For HB 616, members discussed an amendment that had been revised after public comments and Commissioner Jasper’s feedback; Representative Guber said it balanced the competing positions, and Representative Penza and Representative Ger said the language now addressed concerns about animal suffering by allowing euthanasia if a treating veterinarian determines the animal is in extreme suffering. The committee then discussed HB 77, with Representative Penza describing changes to landfill-related standards, including replacing aquifer references with drinking water wells, removing a penalty section, changing discretionary language to mandatory language for the department, and adjusting an in situ soils standard. Members praised the compromise, though Representative Scully raised concerns about the 1,500-foot setback and suggested engineering controls such as berms; Penza responded that current rules do not include such controls and that the setback was intended to address surface spills. Several members said the bill reflected a hard-fought balance and should not be rewritten at the last minute. For HB 505, the freeze-dried food bill, Representative Aron explained that the amendment replaced a simple exemption with a requirement that homestead food operations selling freeze-dried foods from a farm stand, farmers market, or retail food store obtain a homestead food license under RSA 143-A:4. She said the amendment defines freeze-dried foods as fruits, vegetables, and commercially prepared dairy products, and delays the effective date 120 days to allow rulemaking. Members generally supported the approach as a light-touch oversight mechanism for potentially hazardous foods, though Representative Ktoa asked for clarification about how the amendment interacts with existing licensing and inspection exemptions, and Aron clarified that these products would not be exempt from licensing under the relevant law. The committee then turned to HB 250, concerning local authority over dog muzzling, where members broadly supported the amendment as a simple solution, while Representative Ktoa asked about the underlying definition of a vicious dog and whether all listed behaviors would warrant muzzling. The discussion noted that the amendment would allow towns to require muzzling for dogs meeting the statutory definition, while excluding hunting, working, herding, and similar dogs.

Transcript Highlights:

• after that: somebody ought to do some work on whether, for example, the sections about risks during lactation
• to their child. example the sections about risks during example the sections about risks during lactation
• > are<00:24:58.480> appropriate<00:24:59.080> for<00:24:59.320> when lactation
• are appropriate for when lactation are appropriate for when they're<00:25:01.399> dealing<00:

Keywords: 1189, house, all