Transcript Highlights:

• I need to add that retention of our physicians and nurses who complete this program after the three-year
• The ongoing issue was that we couldn't find the money to recruit new physicians and retain them.
• That means that we've just lost seven physicians at the very least in northern New Mexico.
• For the University of New Mexico, we're a public entity, and as a public entity, the university physicians
• To medical school and are a successful accomplished physician that you actually know how to teach and

Keywords: 996, all

Transcript Highlights:

• utilization changes are things like outpatient hospital and professional services, which is sort of like physician
• utilization changes are things like outpatient hospital and professional services, which is sort of like physician
• utilization changes are things like outpatient hospital and professional services, which is sort of like physician
• /c><00:37:10.960> sort<00:37:11.040> of<00:37:11.200> like<00:37:11.520> physician
• <00:37:12.000> visits which is sort of like physician visits which is sort of like physician

Keywords: 919, house, all

Summary: Minnesota Management and Budget Commissioner Aaron Campbell, State Economist Dr. Tony Becker, and State Budget Director Anna Mingi presented the November 2025 budget and economic forecast. Campbell said the state now projects a nearly $2.5 billion surplus at the end of the 2026-27 biennium, about $575 million better than the end-of-session estimate, but also a projected negative balance of about $2.9 billion in FY 2028-29, reflecting a worsening structural imbalance. He said the budget reserve stands at $3.4 billion, with cash flow and budget reserves totaling $3.8 billion after a $244 million addition, and emphasized that Minnesota’s AAA bond rating and reserve policy remain strengths even as future sessions will need to address the long-term gap. Becker said the national economic outlook has changed only modestly since February, but growth remains below trend through the forecast horizon. He cited slower consumer spending, weak private investment, continued tariff uncertainty, lower projected immigration, and modest inflation that stays near 3% through 2026 before easing. Revenue forecasts for the next biennium were revised up to $66.3 billion, driven mainly by higher individual income tax receipts and other revenue, partly offset by lower sales and corporate tax forecasts. He also noted risks from federal policy changes, the recent shutdown’s effect on data availability, and possible equity market volatility. Mingi said general fund spending is projected to rise sharply, with current biennium spending up $3.4 billion from end-of-session estimates and planning-year spending up $1.9 billion. She attributed much of the increase to carryforward from prior one-time appropriations, discretionary inflation, and especially Medical Assistance. MA costs are projected to be about $2.5 billion higher over 2025-29, largely because managed care rates rose more than expected due to higher utilization and higher-cost services, including pharmacy costs, while long-term care and disability waiver costs also increased. In response to questions, officials said the federal reconciliation bill had only a relatively small effect on the health care changes, and that the carryforward amounts reflect unspent prior appropriations that now show up in later years rather than new spending.

Transcript Highlights:

• Section 4 modifies requirements for collaborative agreements between physician assistants and physicians
• <00:32:21.200> assistants<00:32:21.760> and physician assistants and physician assistants
• and physicians.<00:32:24.320> And<00:32:24.720> sections<00:32:25.279> five<00:
• 32:25.519> and<00:32:25.760> six physicians.
• And sections five and six physicians.

Keywords: 1187, senate, all

Transcript Highlights:

• It prohibits a physician from performing stem cell therapies with stem cells obtained from a facility
• that fails to meet certain criteria or accreditation standards. ...and provides that a physician who
• All the bill does is let physicians treat patients with stem cell therapies that are not approved by
• Most notably in that is for emergency room physicians who decide they want to go practice in a rural
• And in addition, we are going to have physicians not coming to the state of Florida.

Summary: The Senate convened with a quorum, opening prayer, Pledge of Allegiance, and a series of introductions recognizing interns, pages, and retiring Senate staff, including Pastor Gary Austin. Leaders also noted ongoing budget talks with the House and said senators would not need to plan on being in Tallahassee the following week. The chamber then moved to third reading and returned messages from the House later in the day. The main floor debate centered on Committee Substitute for House Bill 12.5, the citizen initiative/constitutional amendment bill. Sponsors said the measure was intended to address fraud in the petition process, citing investigations, arrests, pleas, and open cases involving paid circulators and invalid petitions. Opponents argued the bill would make citizen-led amendments far more difficult, expensive, and risky, warning it would chill grassroots participation, burden supervisors of elections, and effectively favor wealthy or corporate-backed efforts. Supporters responded that the bill preserved grassroots petitioning, placed reasonable guardrails on paid circulators and sponsors, and included a provision barring public funds from being used to advocate for or against ballot initiatives. The bill passed 28-10. The Senate also passed several education measures unanimously, including bills tied to Bright Futures, dual enrollment, educator preparation, and broader education policy. Later, the chamber concurred in House amendments on several bills: stem cell therapy legislation clarifying permitted therapies and penalties for improper use of fetal or embryonic tissue; an EKG requirement bill for student athletes with exemptions and partnership options for districts; and a cardiac emergency response bill that renamed the school emergency plan and removed a bill title honoring Rafe McCrone. These measures passed by wide margins, generally 37-0 or 38-0.

Transcript Highlights:

• It prohibits a physician from performing stem cell therapies with stem cells obtained from a facility
• that fails to meet certain criteria or accreditation standards. ...and provides that a physician who
• All the bill does is let physicians treat patients with stem cell therapies that are not approved by
• health care parts of the rural renaissance package, most notably in that is for emergency room physicians
• And in addition, we are going to have physicians not coming to the state of Florida.

Summary: The Senate opened with prayer, the Pledge of Allegiance, and a series of introductions recognizing interns, pages, a retiring sergeant-at-arms employee, and advocates visiting for a Prader-Willi Syndrome awareness resolution. Leaders also noted ongoing budget talks with the House and said senators should not plan to be in next week while negotiations continue. The main floor debate centered on Committee Substitute for House Bill 12.5, a citizen-initiative elections bill. Sponsors said it was intended to address petition fraud and protect the integrity of the constitutional amendment process, citing investigations, arrests, and fraudulent petition activity tied to recent initiatives. Opponents argued the bill would make it much harder and more expensive for citizens to place amendments on the ballot, chill volunteer participation, and effectively favor wealthy or corporate interests. After extensive debate, the bill passed 28-10. The Senate then moved through a series of education bills, including measures on Bright Futures, Gold Seal, Florida ABLE, dual enrollment, educator preparation, and broader education policy, all of which passed unanimously. After a recess, the chamber took up House messages and concurred in amendments to bills on stem cell therapy, student athlete ECGs, cardiac emergency response plans, and school safety. Those measures also passed with broad support, with the school safety bill drawing some questions about the Guardian program and child care facilities.

Transcript Highlights:

• And part of it is just informing physicians so that those referrals are made in a timely fashion.
• And part of it is just informing physicians so that those referrals are made in a timely fashion.
• The psychologists and the physicians make diagnoses, but those are tools that they can use.
• are you seeing—you had mentioned, you know, one of the worst things that could occur is where a physician
• are you seeing, you had mentioned, you know, one of the worst things that could occur is where a physician

Summary: The committee held its first meeting and received an overview of the Pre-K-12 education appropriations jurisdiction and base budget. Staff explained that education funding is driven largely by enrollment and per-student formulas, with most money coming from state and local sources. The presentation highlighted the major budget areas: early learning, the Florida Education Finance Program (FEFP), non-FEFP K-12 programs, federal programs, and the State Board of Education. Members asked about instructional materials funding and how scholarship students who return to public schools are counted and funded; staff explained that instructional materials remain in the base and that funding depends on survey timing, with districts ultimately funded through the enrollment count process. The committee then reviewed federal IDEA funding for students with disabilities. Department of Education officials explained how IDEA Part B funds are split between state set-asides and local educational agencies, and noted that Florida ranked fourth nationally in total IDEA Part B funding and received a 95% state determination for meeting IDEA requirements. They also described the bureau’s responsibilities, including monitoring, dispute resolution, instructional support, and the Hope Florida unit for ages 3 to 5. Members asked for more information on student performance outcomes and how the state measures success beyond compliance, and the department agreed to provide follow-up data. The final major topic was the Florida Diagnostic and Learning Resources System (FDLRS), including associate centers, multidisciplinary centers, and specialized centers for deaf/hard of hearing and visually impaired students. Presenters described services such as child find, family support, assessments, professional learning, accessible instructional materials, and technical assistance. Committee members focused on whether families and schools have equal access to services across the state, how IEP disputes and reevaluations are handled, and whether more support is needed for parents, teachers, and rural districts. FDLRS representatives said they do not write IEPs but help connect families to districts, provide training and assessments, and support compliance and data collection; they also emphasized staffing and resource needs, especially for low-incidence disabilities and multilingual family outreach.

Transcript Highlights:

• That position will remain open for 21 days as we look to recruit a dedicated physician to help advise
• is uh dedicated to our EMS Physicians throughout<00:02:47.519> the<00:02:47.680> state
• to help advise the office uh physician to help advise the office uh each<00:03:15.640> division
• The state emergency physicians and the state EMS medical directors were adamant that there needed to
• be a physician presence within the office to advise leadership on matters related to clinical care.

Keywords: 1183, house

Transcript Highlights:

• <00:49:44.880> assistance for something like physician assistance for something like physician
• <00:49:49.040> but physician assistants are important but physician assistants are important
• We are opposed to SB 548. physician group and uh past president of physician group and uh past president
• <02:27:55.600> relationship know a patient physician relationship know a patient physician
• clearly defined path towards physician clearly defined path towards physician lensure<04:08:01.680

Keywords: 1191, senate, all

Transcript Highlights:

• I'm an OBGYN physician in Cheyenne, Wyoming. I've been here for 27 years.
• I'm an OBGYn physician Dr. Renee Hinkle.
• I'm an OBGYn physician in<00:08:27.120> Cheyenne,<00:08:27.520> Wyoming.
• Um, and, you know, nurses and physicians in medical practices across the state can be sued or regulated
• . 85% to 100% for a physician.

Bills: HB0003, HB0004

Keywords: pregnancy centers, abortion, pro-life, healthcare, women's rights, state regulation, civil rights, freedom of speech, medical assistance, birthing centers, Medicaid, Wyoming, 916, all

Transcript Highlights:

• So we're adding, we're making it clear that it's to be a physician that's on the board of medical examiner
• on page two, we're deleting line 16 and 17 and inserting two members who are actively practicing physicians
• Physicians and deleting the words from a list submitted by the Louisiana Medical Association, so we're
• adding two members that are actively practicing physicians.

Bills: SCR12, HB1259, HB221, HB509, HCR117, HCR58, SCR29, SCR33, SB295, SB312, SB326, SB348, SB485, SCR9, SCR58, SB35, SB65, SB215, SB246, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB490, SB492, SB500, SB514, HCR32, HCR5, HCR95, HB75, HB198, HB244, HB302, HB325, HB623, HB719, HB749, HB755, HB761, HB797, HB823, HB1028, HB1049, HB1194, HB1199, HB1201, HB1222, HB17, HB27, HB36, HB41, HB73, HB140, HB166, HB181, HB211, HB223, HB226, HB271, HB308, HB337, HB399, HB410, HB487, HB690, HB712, HB730, HB750, HB759, HB762, HB775, HB906, HB966, HB968, HB1006, HB1009, HB1018, HB1036, HB1062, HB1081, HB1086, HB1098, HB1107, HB1112, HB1203, HB1215, HB1220, HB1242, HB1252, HB1256, SB208, SB217, SB274, SB283, SB300, SB341, SB382, SB387, SB389, SB401, SB408, SB449, SB469, HB74, HB119, HB134, HB368, HB414, HB552, HB732, HB776, HB848, HB870, HB953, HB956, HB1117, HB1236, SB29, SB42, SB43, SB78, SB149, SB441, HB210, HB258, HB359, HB468, HB784

Keywords: logging, recognition, John Keith, environment, safety, HB1259, mask penalty, masked felony, face covering, conceal identity, evade identification, sentencing enhancement, enhanced penalty, felony sentencing, crime deterrence, public safety, Louisiana criminal law, R.S. 14:313.2, R.S. 14:313, R.S. 14:329.7

Transcript Highlights:

• And if it's a physician... It's a medical license to practice medicine in the state.
• Fillers must be under the delegation of a licensed Texas physician.
• Senate Bill 2043, relating to retaliation against a physician or health care provider for reporting certain
• eliminated critical provisions ensuring that IBO gain is administered under proper guidelines. ...physician

Bills: HB11, HB12, HB21, HB26, HB30, HB33, HB37, HB45, HB210, HB303, HB630, HB879, HB1041, HB1188, HB1261, HB1318, HB1465, HB1535, HB1593, HB1778, HB2559, HB2596, HB2692, HB2703, HB2712, HB2742, HB2809, HB2890, HB3012, HB3526, HB5061, HB5092, HB5238, HCR92, SB203, SB317, SB393, SB397, SB644, SB731, SB801, SB867, SB913, SB1071, SB1073, SB1086, SB1087, SB1250, SB1310, SB1359, SB1444, SB1483, SB1705, SB1782, SB1861, SB1897, SB1944, SB2023, SB2043, SB2082, SB2133, SB2215, SB2309, SB2497, SB2532, SB2549, SB2566, SB2617, SB2639, SB2696, SB2717, SB2747, SB2751, SB2790, SB2797, SB2799, SB2841, SB2850, SB2857, SB2891, SB2919, SB2928, SB2994, SB3051, SJR34, SB529, SB541, SB693, SB963, SB1968, SB2308, SB2544, SB1173, SB1646, SB1734, SB1833, SB1, SB17, SB260, SB509, SB1506, SB1637, HB1393, HB2559, HB26, HB3012, HB1593, HB2607, HB3526, HB3810, HB388, HB879, HB12, HB2703, HB30, HB2712, HB2692, HB1633, HB1318, HB685, HB630, HB4753, HB2742, HB303, HB198, HB1535, HB762, HB148, HB1520, HB5061, HB2286, HB1606, HB1041, HB132, HB11, HB45, HB48, HB1261, HB1465, HB1778, HB2596, HB5238, HB33, HB1188, HB210, HB1022, HB1458, HB5560, HB1240, HB1950, HB2027, HB2768, HB2788, HB2791, HB3146, HB3698, HB3699, HB1893, HB3700, HB4850, HB4187, HB1397, HB4885, HB4804, HB3751, HB3611, HB2775, HB2061, HB2003, HB1729, HB1242, HB791, HB2029, HB647, HB2522, HB4738, HB3033, HB3594, HB3474, HB2563, HB2802, HCR90, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB128, SB2043, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB511, SB2309, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1234, SB2926, SB2841, SB1528, SB2891, SB1854, SB317, SB1250, SB2082, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB867, SB640, SB1698, SB2680, SB2994, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1861, SB1367, SB2044, SB2363, SB2565, SB1888, SB3036, SB3057, SB3043, SB3063, SB3035, SB203, SB2799, SB2688, SB2522, SB2639, SB2459, SB2655, SB2251, SB1884, SB2617, SB2928, SB2566, SB1897, SB1749, SB2549, SB2553, SB2919, SB1782, SB1705, SB2696, SB1944, SB2215, SB1232, SB2850, SB2969, SB2497, SB1798, SB2603, SB2607, SB781, HB34, HB128, HB130, HB581, HB668, HB677, HB766, HB2259, HB2960, HB2358, HB2894, HB4384, HB2663, HB748, HB793, HB1193, HB1734, HB2340, HB2350, HB3104, HB5180, HB4739, HB1584, HB4344, HB4238, HB4219, HB3806, HB3805, HB3804, HB3803, HB3229, HB3228, HB1922, HB1522, HB431, HB3597, HB1612, HB4224, HB754, HB1314, HB2254, HB2789, HB3560, HB4643, HB1237, HCR98, SB3070, SB835, SB524, SB2233, SB2683

Keywords: licensing, reciprocity, regulation, Texas Department of Licensing and Regulation, interstate agreements, housing finance, multifamily residential, low income, tax exemption, audit requirements, affordable housing, local government, development bonds, Medicaid, nutrition support, maternal health, chronic conditions, pilot program, disaster relief, tax rates

Transcript Highlights:

• The Physician Loan Fund, Mr. Chair, Senator. How is that different from the health care provider?
• It's a specific fund only for physicians that's related to some legislation as opposed to the broader
• You did earmark coming out of the house 5 million of that loan repayment for physicians, so with the
• Huge rate increases for primary care physicians in Medicaid going from 120% of what Medicare will pay

Transcript Highlights:

• By law, aestheticians and cosmetologists may only perform injections under the authority of a physician
• aestheticians administering unauthorized and unsafe injections to friends and family without proper physician
• The Texas Medical Board has disciplinary jurisdiction over physicians, but authority over the aestheticians
• I'm a retired pediatric neurosurgeon and member of the board for Texas 400 and the Texas Physicians for

Bills: SB213, SB378, SB610, SB681, SB918, SB1172, SB1252, SB1343, SCR8

Keywords: SB 213, Texas insurance, Insurance Code, Chapter 551, Chapter 541, bundling, tying arrangement, cross-selling, homeowners insurance, residential property insurance, auto insurance, personal automobile insurance, consumer protection, unfair trade practice, deceptive insurance practice, property and casualty insurer, Lloyd's plan, county mutual, reciprocal exchange, farm mutual

Summary: The Senate Committee on Business and Commerce met with a quorum and took up several pending bills, first reporting SB 1006 favorably after adopting a committee substitute that adds quarterly ZIP-code-level reporting to TDI on insurer declinations, cancellations, and nonrenewals. The committee also adopted substitutes and favorably reported SB 388, which adds nuclear to a credit program and excludes batteries from the dispatchable definition; SB 917; SB 504, which narrows reporting requirements for certain local entities, raises a salary threshold, and authorizes AG injunctive relief; SB 925, which clarifies that federal match dollars are included in a PLA-related prohibition; and SB 815, which removes downcoding references and focuses on AI use in prior authorization. SB 815 advanced on an 8-2 vote, while SB 388 advanced 6-3 and the others were reported 9-0 or 6-0 as noted. The committee then heard testimony on SB 378, which would prohibit aestheticians and cosmetologists from administering injections or using prescriptive medical devices unless legally authorized and would clarify TDLR disciplinary authority. The author and a retired neurosurgeon testified that unsafe, unauthorized injections pose real patient risks, and a TDLR witness said the bill addresses a long-standing regulatory gap. SB 378 was left pending after testimony. The committee also heard SB 1252, aimed at reducing municipal permitting barriers for residential backup power systems; the author and industry witnesses said city permitting is costly and inconsistent, while municipal utility representatives and advocates said the substitute preserved safety and utility oversight. That bill was also left pending. Additional bills heard but left pending included SB 1172, which would let LPs and LLCs sell their own property without a real estate license; SB 681, which would extend engineer license renewal periods and apply similar flexibility to engineering firms; SB 918, a TDLR cleanup bill for orthotics and prosthetics exemptions; SB 1343, which would require data brokers to post a clear link explaining Texans’ privacy rights and how to exercise them; SB 213, which would prohibit forced bundling of residential property and auto insurance while preserving voluntary discounts; SB 610, which would codify TDLR’s anti-trafficking unit; and SCR 8, expressing opposition to a central bank digital currency over privacy, security, and financial-stability concerns. Public testimony on SB 1343 and SB 213 was generally supportive, with consumer and advocacy groups emphasizing privacy, competition, and survivor safety, and the committee closed the day with those measures and others left pending.

Transcript Highlights:

• I'm a board-certified internist, pediatrician, and addiction medicine physician practicing at Boston
• Yeah, so in Massachusetts, for example, I'm a physician.
• However, in Massachusetts, In Massachusetts, for example, I'm a physician.
• However, in Massachusetts right now, I would have to find another physician to sort of agree with my
• Otherwise, they have to find two physicians, document that, and it’s just a barrier.

Keywords: 995, all

Summary: The Joint Committee on Mental Health, Substance Use and Recovery opened its first public hearing of the 2025–26 session with remarks from the Senate and House chairs outlining the committee’s priorities. They noted recent work on addiction and recovery legislation, the ongoing youth behavioral health crisis, and that members might need to leave periodically for floor votes. The chairs explained hearing procedures, including three-minute testimony limits, written testimony deadlines, and reporting deadlines for Senate and House bills. The hearing then focused on several bills related to youth mental health, overdose prevention, and psychedelic treatment research. A major portion of the hearing centered on bills to improve youth crisis response and overdose prevention. Testimony strongly supported bills to print the 988 Suicide and Crisis Lifeline on student ID cards, with speakers from mental health organizations, crisis centers, and individuals sharing personal stories of depression, suicide attempts, and the importance of making 988 as familiar as 911. Another set of bills would require schools to stock naloxone and provide overdose prevention education. Physicians, harm reduction advocates, students, and grieving family members testified that school-based Narcan access and education could save lives, reduce stigma, and help students recognize overdoses and understand Good Samaritan protections. Senator O’Connor and Tamika Perry also testified for a bill to strengthen substance use prevention education and reduce overdose abandonment, emphasizing the need to teach students about overdose risks and the legal protections for calling 911. The committee also heard testimony on a bill to authorize a pilot program for psychedelic treatment in licensed facilities. Senator Friedman and several medical and behavioral health professionals argued the proposal was a narrow, research-based approach distinct from the broader ballot question rejected in 2024. They said the bill would allow only a small number of supervised clinics to use psychedelics for conditions such as depression, PTSD, anxiety, and substance use disorders, with data reporting and Department of Public Health oversight. Supporters described it as a cautious way to study promising treatments while avoiding unsupervised or commercialized use. Finally, the committee heard support for a bill to create a special commission and five-year strategic plan for children’s behavioral health services, with testimony that the current system is fragmented, difficult for families to navigate, and strained by workforce and funding challenges. No votes or final actions were taken during the hearing; the committee primarily received testimony and questions on the bills.

Transcript Highlights:

• Nurses that deal with OBGYN patients, and I think his includes all physicians, not just OBGYN, so his
• Senate Bill 626 relating to ectopic pregnancies and continuing education for certain physicians and nurses
• Bill 2626 relating to ectopic pregnancies and continuing education for certain. physicians and nurses

Bills: SJR85, SCR29, SCR38, SCR42, SB23, SB39, SB209, SB227, SB240, SB330, SB527, SB584, SB618, SB619, SB636, SB663, SB715, SB732, SB758, SB801, SB825, SB826, SB843, SB844, SB847, SB870, SB884, SB912, SB957, SB1013, SB1020, SB1065, SB1143, SB1152, SB1164, SB1183, SB1257, SB1299, SB1325, SB1349, SB1413, SB1455, SB1539, SB1558, SB1574, SB1583, SB1624, SB1642, SB1643, SB1667, SB1717, SB1718, SB1727, SB1734, SB1756, SB1757, SB1784, SB1789, SB1832, SB1868, SB1870, SB1883, SB1896, SB1920, SB1924, SB1963, SB2010, SB2018, SB2024, SB2037, SB2052, SB2073, SB2111, SB2161, SB2196, SB2207, SB2253, SB2268, SB2322, SB2323, SB2332, SB2349, SB2371, SB2533, SB2570, SB2601, SB2626, SB2692, SB2705, SB2717, SB2774, SB2788, SB2877, SB2920, SB2, SB260, SB1786, SB1, HJR4, SJR36, SJR50, SJR63, SJR85, SJR84, SCR12, SCR39, SCR38, SCR42, SCR29, SCR4, SCR18, SCR43, SCR46, SB2023, SB825, SB2010, SB1870, SB62, SB666, SB847, SB284, SB854, SB1073, SB810, SB1539, SB1505, SB583, SB957, SB1502, SB507, SB1026, SB1349, SB1433, SB1434, SB1376, SB1585, SB1772, SB2016, SB1163, SB619, SB1122, SB732, SB731, SB397, SB508, SB1436, SB287, SB261, SB1882, SB618, SB393, SB1791, SB826, SB1257, SB870, SB529, SB209, SB1883, SB2024, SB2429, SB1999, SB511, SB2309, SB510, SB1860, SB2037, SB1924, SB2253, SB2018, SB2206, SB1963, SB1643, SB1299, SB841, SB668, SB584, SB1085, SB2431, SB1490, SB1868, SB2314, SB434, SB2046, SB1667, SB1727, SB2127, SB1975, SB1760, SB1734, SB1335, SB2246, SB2439, SB1624, SB1244, SB1468, SB2717, SB1612, SB1262, SB604, SB2395, SB1832, SB1745, SB1746, SB2207, SB1784, SB1524, SB528, SB437, SB269, SB1137, SB968, SB636, SB747, SB1325, SB1789, SB1455, SB2056, SB1940, SB2052, SB1579, SB2068, SB3034, SB844, SB1920, SB1558, SB1236, SB1044, SB884, SB463, SB227, SB240, SB517, SB1200, SB1410, SB1626, SB1845, SB1863, SB2216, SB2681, SB1717, SB2141, SB2323, SB2200, SB2332, SB2199, SB1642, SB1757, SB2050, SB1138, SB2626, SB2458, SB1864, SB2201, SB1862, SB1583, SB1055, SB2660, SB1898, SB2662, SB2161, SB2964, SB2881, SB1065, SB801, SB2743, SB2533, SB1413, SB2073, SB3014, SB3013, SB2774, SB2702, SB2629, SB2443, SB2349, SB2167, SB2145, SB2121, SB758, SB648, SB647, SB512, SB438, SB1721, SB2268, SB1495, SB2705, SB2366, SB1422, SB1369, SB1013, SB682, SB2692, SB2570, SB2797, SB2111, SB1896, SB1164, SB1020, SB663, SB2371, SB1152, SB2196, SB2383, SB2581, SB2798, SB330, SB646, SB843, SB1998, SB1418, SB2788, SB1169, SB2873, SB1754, SB1534, SB1718, SB2779, SB2004, SB1143, SB1756, SB912, SB2119, SB2032, SB527, SB1580, SB1952, SB2601, SB2322, SB2448, SB1777, SB1283, SB407, SB2392, SB2076, SB2786, SB3031, SB2877, SB2876, SB2284, SB2225, SB1540, SB2920, SB2929, SB1395, SB1972, SB2540, SB1183, SB2742, SB2595, SB2217, SB2117, SB715, SB2330, SB1964, SB1383, SB500, SB1640, SB39, SB2001, SB2080, SB2722, SB506, SB2514, SB2623, SB2658, SB1574, SB2900, SB23, SB2753, SB2398, SB401, SB1241, SB2927, SB2173, SB2538, SB898, SB467, SB1449, SB2529, SB1531, SB2846, SB2476, SB2031, SB986, SB1181, SB2075, SB2154, SB2864, HB135, HB1109, SCR48, SB31, SB2880, SB1359, SB2386, SB771, SB2844, SB2550, SB1351, SB1423, SB1931, SB2245, SB2589, SB2707, SB2807, SB2351, SB410, SB659, SB816, SB2776, SB2693, SB2580, SB1980, SB1886, SB1234, SB739, SB482, SB456, SB127, SB1666

Keywords: Texas constitutional amendment, property tax relief, school district taxes, ad valorem tax, homestead exemption, residence homestead, elderly homeowners, senior citizens, disabled homeowners, age 65 or older, school finance, tax exemption increase, local school taxes, property tax exemption, homestead tax relief, voter approval, school district revenue, tax rollback, disabled persons exemption, El Paso

Transcript Highlights:

• Um, but I will say that generally speaking, if we're talking about physicians, we know that they are
• , we know that they are about physicians, we know that they are leaving<02:06:20.639> rural<02
• areas, even though we're losing physicians, we're gaining APRNs. not have to run a company.
• The only thing we'll probably have to vote on... limiting it to physicians and this state limiting it
• to physicians and this state um<02:11:32.719> APRNs<02:11:33.920> are<02:11:34.239>

Keywords: 928, house, all

Summary: The committee first approved the draft minutes from its May 29 meeting and then received an informational update from the Commission for the Deaf and Hard of Hearing about the state’s ASL interpreter pipeline. Representative Woods and Associate Commissioner Ann Landry explained that the American Sign Language program at UNH Manchester, the nation’s first fully accredited program, is facing viability concerns because high tuition has left only two of a potential 20 students committed so far. They warned that if enrollment does not recover, the program could face a teachout and eventually be lost, which they said would be detrimental because many state services and legal proceedings require qualified interpreters. Members discussed possible alternatives, including whether community colleges could help, and asked for follow-up research and contact information for UNH officials. The committee also heard that interpreter demand across DHHS continues to rise and that the department must ensure compliance with civil rights and service-access requirements. The committee then turned to Medicaid policy changes tied to Senate Bill 134 and a new federal interim final rule on Medicaid community engagement, or work, requirements. DHHS officials Olivia May and Ann Landry explained that the state law and federal rule align in many areas, but the committee still needed to decide how to implement several remaining policy choices. The department recommended adopting all four short-term hardship exceptions because the federal rule requires states to take them all or none: inpatient or institutional care, federally declared emergencies, high-unemployment areas, and extensive out-of-state travel for serious medical care. Members generally supported the exceptions but raised concerns about how they would be defined and applied, especially the emergency and medical-travel categories. Several legislators asked for more clarity on terms like “extensively” and “serious or complex medical care,” and DHHS said the federal rule does not rigidly define them, though the state could refine implementation through rulemaking if authorized. The department also said the emergency exception would apply only to federally declared emergencies, not state declarations, and would be tied to the emergency event itself. No final vote on the Medicaid policy was recorded in the portion provided, but the discussion indicated the committee was reviewing the remaining decisions needed to implement Senate Bill 134 under the new federal framework.

Transcript Highlights:

• The other is having a $35 physician.
• There is a physician association.
• There is a physician<00:35:52.000> as<00:35:52.079> aation.
• So basically when physician as aation.
• <00:36:02.079> to for them to get uh to see a physician to for them to get uh to see a physician

Keywords: Meeting Start 00:00:00 Roll Call 00:00:15 HB 1 Discussion 00:02:00 HB 1 Vote 00:15:05 HB 2 Discussion 00:17:20 HB 2 Vote 01:13:20, 958, all

Summary: The committee met on House Bill 1, which would implement Kentucky’s participation in the federal education freedom tax credit program. Sponsors said the bill would allow donors to receive a federal dollar-for-dollar tax credit for contributions to scholarship granting organizations, with no state dollars involved, and that public school districts could potentially create their own SGOs. Members asked about the removal of state tax language in the committee substitute, the meaning of the 11th Amendment waiver, whether SGOs could serve only public school students, and whether data collection could be added. The sponsors said the state tax language was unnecessary because the credit is federal, the waiver would allow federal-court litigation over the act, and a district could establish an SGO if it met federal requirements. The committee adopted the substitute and then reported HB 1 favorably with 16 yes votes, one nay, three pass votes, and one abstention. The committee then took up House Bill 2, an act relating to Medicaid and making an appropriation. The sponsor described the bill as a response to federal HR 1 and to concerns raised by the Medicaid oversight board, saying it would address program integrity, eligibility redeterminations, cost sharing, and managed care organization contracts. He said the bill would require periodic eligibility verification for expansion Medicaid enrollees, add modest cost-sharing for some services to encourage use of primary care over emergency rooms, and strengthen enforcement of MCO contracts, with penalties going into a restricted compliance fund. Members asked about the committee amendment, and the sponsor explained it restored flexibility on the number of MCOs in future procurement rather than locking in a reduction. Members also asked whether the bill had gone before the Medicaid oversight advisory board and whether a fiscal note was available; the sponsor said the board’s recommendations were incorporated and fiscal notes were included in the packet. After discussion, the committee adopted committee amendment one to PHS2 and then adopted PHS2 as amended for consideration. The sponsor continued outlining the bill’s provisions, emphasizing that it applied to the expansion population and was intended to align Kentucky law with federal requirements while improving oversight and accountability.

Transcript Highlights:

• And we've really put in charge the clinical leadership, emphasizing the role of physician leadership
• It is on the clinical teams, nursing, physicians, nurse practitioners, to really assess clinically when
• It is on the clinical teams, nursing, physicians, nurse practitioners, to really assess clinically when
• I'm a psychiatric physician with additional training in forensic psychiatry as well as public policy.
• I'm speaking on behalf of the Oregon Psychiatric Physicians Association and not any other organization

Keywords: 907, all

Summary: The joint Senate and House Behavioral Health committees held an informational meeting focused first on the Oregon State Hospital (OSH). OHA Director Sajal Hathi introduced the hospital’s incoming permanent superintendent, Sean Murphy, and praised interim superintendent Jim Deagle for stabilizing operations, restoring CMS compliance, and helping drive a culture change centered on safety, accountability, and transparency. Deagle and Chief Medical Officer Dr. Amit Bavon described OSH’s role as the state’s highest-level forensic psychiatric hospital, the patient populations it serves, its partnerships with courts, counties, jails, hospitals, and advocates, and recent leadership changes across the hospital. They also reported improved accreditation and regulatory status, including Joint Commission accreditation and CMS compliance, and said the hospital is now using daily safety huddles, incident review meetings, stronger escalation procedures, and revised seclusion/restraint practices to reduce risk and improve oversight. Members pressed hospital leaders on past seclusion practices, asking how prolonged seclusions could have occurred under federal standards. Leaders said they could not explain past decisions but emphasized that current leadership has changed processes, training, reporting, and oversight so that seclusion and restraint are reviewed in real time and cannot be normalized. Questions also covered staffing, falls, and future planning. OSH said it is generally staffed to budget, though it still has RN and mental health technician vacancies and is working on recruitment, training, and better staffing distribution. Hathi said the hospital is building a public dashboard with key performance and safety metrics, including workforce data, and described the long-term goal as a consistently safe, disciplined, high-functioning institution that responds quickly to mistakes and remains accountable to the public. The committee then shifted to an informational overview of civil commitment. Oregon Judicial Department representative Chanah Newell explained the civil commitment process, including who can initiate it, the role of community mental health providers and courts, the five-day timeline to hearing, and the standards for danger to self, danger to others, and inability to meet basic needs. She summarized changes made in House Bill 2005, including revised statutory language and new provisions allowing a second diversion period, but cautioned that the data are too early to show clear trends. Testimony from NAMI Oregon’s Chris Bonif and psychiatrist Dr. Stephanie Lopez argued that Oregon still relies too heavily on jails and state hospital commitments because the broader community system lacks enough treatment, housing, and less restrictive alternatives. They urged the legislature to focus on upstream services, supported housing, and possible outpatient commitment tools so people can receive treatment before reaching crisis. The meeting ended with acknowledgment that additional reports and follow-up discussions are expected, including on residential treatment capacity and related behavioral health system reforms.

Transcript Highlights:

• And we've really put in charge the clinical leadership, emphasizing the role of physician leadership
• It is on the clinical teams, nursing, physicians, nurse practitioners, to really assess clinically when
• a patient... ...physicians, nurse practitioners, to really assess clinically when a patient is deemed
• I'm a psychiatric physician with additional training in forensic psychiatry as well as public policy.
• I'm speaking on behalf of the Oregon Psychiatric Physicians Association and not any other organization

Keywords: 907, all

Summary: The joint Senate and House Behavioral Health committee met for informational presentations on the Oregon State Hospital and civil commitment, followed by a planned tour of the hospital. Oregon Health Authority and Oregon State Hospital leaders reported that Sean Murphy will become the next permanent superintendent on July 13, with Sarah Castle to follow as permanent chief nursing officer on July 20. They described recent leadership turnover, a major organizational restructure, and efforts to build a culture of safety, transparency, and accountability. Officials said the hospital regained Joint Commission accreditation and CMS compliance, and they highlighted daily safety huddles, incident review processes, stronger escalation procedures, and improved management of seclusion and restraint. Committee members pressed hospital leaders on past prolonged seclusion practices, falls, staffing, and the need for better public reporting; OHA said it is building a public dashboard of key safety and workforce metrics. The committee then heard a civil commitment overview from the Oregon Judicial Department. The presenter explained that civil commitment is a separate legal process from criminal cases, usually beginning with a hospital hold, investigation, court review, appointed counsel, and a hearing within five days. She summarized changes made in House Bill 2005, including revised standards for danger to self, danger to others, and basic-needs commitments, plus a second 14-day diversion option. She cautioned that the new law has only been in effect since January and that it is too early to draw firm conclusions from the data, though there has been a recent uptick in commitments and a decrease in diversions. Testimony from NAMI Oregon and a forensic psychiatrist emphasized that Oregon still relies too heavily on jails and state hospitals because community services, housing, and outpatient supports are insufficient. They argued that the state needs more less-restrictive alternatives, including better use of assisted outpatient treatment or outpatient civil commitment, and more supported housing so people do not cycle between homelessness, incarceration, and hospitalization. A family member described a relative remaining psychotic in jail for more than 120 days before ending up back at the state hospital, urging faster intervention and better collaboration among courts, counties, hospitals, and state agencies. Committee members and witnesses also discussed workforce shortages, the expansion of secure residential treatment beds, and the need for broader system reforms beyond the hospital itself.

Transcript Highlights:

• access—whether it's specialist access or how far you have to drive to a hospital or a primary care physician
• If you don't have enough physicians and nurses to staff it, then it doesn't really matter.
• nothing is worse than going to the emergency room at 12 o'clock at night and waiting 12 hours to see a physician
• So making sure that when people go in for preventive care they have a good primary care physician, and
• And so, for attracting and retaining physicians, thinking about rural residency slots for high needs—so

Keywords: House Select Committee on Advancing Rural and Small Town Health Care, 976, house, all