Keywords: 928, house, all

Summary: The House Judiciary Committee opened a hearing on House Bill 148, which Rep. Jim Kofalt said is the same language as last year’s HB 396, vetoed by the governor. He described the bill as allowing, but not requiring, separation by biological sex in three areas: bathrooms and locker rooms, houses of correction, and certain athletic competitions. Kofalt argued the bill would give local school boards and other policymakers discretion to set practical rules, citing concerns about safety, privacy, and a Milford incident involving a biological male in girls’ locker rooms. Committee members pressed him on the lack of a definition of “biological sex,” and he said he did not think one was necessary because males and females are commonly understood. He also said the bill was meant to address situations where outside groups threaten lawsuits and leave local boards with no latitude. Testimony then split sharply. Supporters, including Executive Counselor Karen Hill and several others, said HB 148 would roll back anti-discrimination protections, contradict New Hampshire’s “Live Free or Die” values, and harm transgender and non-binary people. Opponents described the bill as discriminatory and unnecessary, arguing that existing bathroom and sports policies already work and that the bill would invite harassment, invasive enforcement, and legal conflict. Several speakers, including trans residents and parents of trans children, said they had used public restrooms without incident and warned that enforcement would be impractical or abusive. One supporter argued the bill was needed to protect girls’ privacy and safety and cited school sports disputes and a concern about a sex offender at a game as examples of why sex-segregated rules should be restored. Committee members asked questions about how biological sex would be defined, whether the bill was responding to real incidents in New Hampshire, and how any restrictions would be enforced. Kofalt said he was aware of issues in several school districts and at the State House, but did not have detailed documentation for every case. No vote or final action was taken in the portion of the hearing provided; the chair instead moved through public testimony under a strict two-minute limit and noted that follow-up questions would be limited so the committee could hear multiple bills that day.

Transcript Highlights:

• This is because our reporting is based on NADAC, which is roughly the price a pharmacy would pay for
• Open and staff the dispensing<00:15:15.760> pharmacy<00:15:16.240> to<00:15:16.480>
• ensure<00:15:16.959> that dispensing pharmacy to ensure that dispensing pharmacy to ensure
• At the time of the pharmacy counter.
• "Included in this bill are two key policy changes requested by Minnesota Board of Pharmacy staff

Keywords: 1187, senate, all

Transcript Highlights:

• They provide vocational training components, certified clinical medical assistant, certified pharmacy
• instruction, career and technical education, including certified nursing assistance, medical aid, pharmacy
• They provide vocational training components, certified clinical medical assistant, certified pharmacy
• instruction, career and technical education, including certified nursing assistance, medical aid, pharmacy
• tech, Certified nursing assistants, medical aide, pharmacy tech, heavy equipment, and other programs

Summary: The subcommittee first recognized the Arkansas Community Colleges Leadership Institute and received a brief DHS update on the Living Choices Assisted Living Waiver reimbursement process, including that the new cost-reporting period began in January and provider/contractor calls are underway. The main presentation then focused on SNAP and TANF, with DHS describing federal changes under the One Big Beautiful Bill that tighten SNAP work requirements for adults ages 18 to 64 without certain exemptions, remove some prior exemptions, and add new federal definitions for Native American populations. DHS also reviewed SNAP Employment and Training providers, their service areas, projected budgets, participant characteristics, and outcomes, noting that the program is currently voluntary but will shift toward mandatory participation for those subject to the new rules. Members asked detailed questions about how mandatory participation will be implemented, how referrals will be made, what other training options exist, how verification of work, volunteering, disability, and exemptions will be handled, and whether DHS has enough funding and provider capacity. DHS said it will conduct verbal and written notices during eligibility interviews, make direct referrals to providers, use six-month recertifications and documentation from employers or volunteer organizations, and apply sanctions for noncompliance after determining whether a good cause exists. Members also requested additional data, including age breakdowns of at-risk SNAP recipients, provider-level outcomes and costs, and information on other training programs such as WIOA. The committee then moved to Medicaid community engagement requirements for ARHOME, which DHS said are also required by the same federal law and must be implemented by January 1, 2027. DHS said it is preparing policy, system changes, communications, and a customer-service/outbound verification vendor, and plans a soft launch beginning in July to help clients understand what would be required if the rule were already in effect. Members raised concerns about timing, local versus central decision-making, and how clients in rural areas will be notified and assisted. The meeting concluded with broader discussion of the committee’s workforce-development goals, the recently released Alliance for Opportunity audit, and interest in continuing the contract with that group to help guide future reforms.

Transcript Highlights:

• We all learned a different lesson in 1976 when the Supreme Court issued Virginia State Board of Pharmacy
• , where a pharmacy wanted to advertise drug prices for their pharmacy, and the Virginia... ...advertise
• drug prices for their pharmacy.
• And the Virginia State Board of Pharmacy said, no, you're not allowed to do that.
• So they were looking at that Virginia State Board of Pharmacy case and saying, okay, pharmacists can

Summary: The Judiciary Committee met with a quorum present and Senator Thompson excused. The committee first considered Senate Bill 48 by Senator Garcia on judicial sales and procedures. Garcia explained a delete-all amendment that would create clearer statewide procedures for alternative judicial sales, increase transparency, remove bidding credits, extend sale timelines, and add oversight for auctioneers and escrow agents to prevent fraud and collusion. After no questions or opposition, the amendment was adopted, Senator Pasadoma said the rewrite addressed many of his concerns, and the committee then voted CS for SB 48 favorably with unanimous yes votes from members present. The committee then received a presentation from the Seminole County Sheriff’s Office on the effectiveness of Florida’s recent anti-squatting law, House Bill 621/SB 888. Presenters described several cases in which deputies used the new process to remove unlawful occupants, including a false landlord report, a long-term fake lease situation, and a more recent unlawful occupancy case. They said the law has helped protect property owners and potential victims, but suggested technical changes: clearer authorization for deputies to enter and use force if needed, and a fix to the affidavit penalty provision because false statements are currently being charged as false reports rather than perjury under the existing wording. The Florida Bar also presented on its role in regulating lawyers, lawyer advertising, and the unlicensed practice of law. Bar leaders explained that the Bar operates under the Florida Supreme Court’s authority, is funded by member fees, and handles complaints through a multi-step process involving intake, branch offices, grievance committees, referees, and final Supreme Court review. They described advertising review procedures, discipline statistics, consumer assistance, the Clients’ Security Fund, and enforcement against unlicensed practice. Senators asked about the Legislature’s authority over lawyer advertising, the prevalence of legal ads, the role of public members on grievance committees, and how those members are selected and used.

Transcript Highlights:

• legislature has already been briefed on how corporate insurers, through vertical integration, own pharmacy
• Control of drug pricing by PBMs have driven out independent pharmacies, creating pharmacy deserts throughout
• vertical integration own pharmacy vertical integration own pharmacy benefit<00:33:15.000> managers
• <00:33:27.440> deserts<00:33:27.919> throughout creating pharmacy deserts throughout
• creating pharmacy deserts throughout Minnesota.<00:33:29.760> You<00:33:29.919> know,<

Keywords: 1187, senate, all

Transcript Highlights:

• I'm the president of Scenic America, the only national charitable nonprofit organization dedicated solely
• I'm the president of Scenic America, the only national charitable nonprofit organization dedicated solely
• <01:21:16.960> nonprofit<01:21:17.560> organization charitable nonprofit organization charitable
• Our industry provides countless public service announcements, charitable placements, and promotes our
• <02:03:54.239> organization Common Sense charitable organization Common Sense charitable organization

Keywords: 1187, senate, all

Transcript Highlights:

• For example, a community health center in the Northland may contract with several pharmacies to serve
• open and pharmacies functional. open and pharmacies functional.
• Where it's often that you can't find another pharmacy across town.
• On one side you have rural hospitals, local pharmacies, and patients in rural communities.
• pharmacy across town. pharmacy across town.

Keywords: 1187, senate, all

Transcript Highlights:

• The next proposal is related to the pharmacy carveout.
• Currently, pharmacy is carved into managed care, so when we speak of carving in or carving out, that
• carveout uh currently the pharmacy carveout uh currently Pharmacy<01:14:26.520> is<01:14:26.719
• the 340b program so by carving Pharmacy the 340b program so by carving Pharmacy out<01:15:29.840
• <01:37:03.320> through that when we run our Pharmacy through that when we run our Pharmacy

Keywords: 1183, house

Summary: The committee met for a Health and Finance Policy hearing, began with member and staff introductions, and noted that Representative Keeler was participating as a non-voting member. The chair outlined committee rules on decorum and then introduced the day’s first agency presentation from the Minnesota Department of Health (MDH), with Commissioner Cunningham appearing to present the department’s budget priorities. Commissioner Cunningham described MDH’s broad public health role and emphasized that public health is underfunded relative to health care, with significant reliance on federal dollars. The department’s main budget request was for infectious disease prevention and response to offset anticipated federal funding losses. MDH also outlined several fee increases tied to public water systems, wells, licensing and certification, assisted living and health care facilities, HMO regulation, food/pools/lodging inspections, radioactive materials, X-ray equipment, and asbestos abatement. The commissioner said these changes were needed because costs, workload, and regulatory complexity have increased, while many fees have not been updated in years. MDH also presented budget-neutral proposals, including continuing the Early Hearing Detection and Intervention Advisory Committee, converting the Maternal and Child Health Advisory Task Force into a standing advisory committee, restoring some local and tribal public health cannabis and substance misuse prevention grants, creating direct American Indian Health Special Emphasis Grants, reauthorizing the State Trauma Advisory Council, and extending firefighter PFAS biomonitoring work. The department also requested an operations adjustment for rising employee, insurance, fuel, utility, and legal costs, and referenced additional Clean Water Legacy Fund proposals. No votes or formal actions were taken in the portion provided. Representative Bierman then offered supportive comments, praising MDH’s work and backing the funding and fee proposals, especially the restoration of local public health prevention grants.

Transcript Highlights:

• And they've been limited to one specific pharmacy, not type of pharmacy, one specific.
• These new contract pharmacy restrictions have had major impacts on clinic systems that rely on 340B pass
• The contract pharmacy restrictions.
• Does also mean clinic systems can't contract with multiple pharmacies that cover the areas they serve
• With more pharmacies in the areas that they serve.

Keywords: 988, house, all

Transcript Highlights:

• have the bill documents in front of you, and you'll notice that what this does is a tax credit for charitable
• Notice that what this does, it is a tax credit for charitable donations.

Keywords: 959, house, all

Summary: The Committee on Higher Education and Workforce Development heard House Bill 3359, presented by Rep. Travis Wilson on behalf of Rep. Riggs. The bill would create a state income tax credit for donations to school robotics/STEAM programs, including cash, equipment, software, materials, curriculum, and employee volunteer hours, beginning with the 2027 tax year. The credit would be 20% of the donation value, capped at $10 million annually, with a six-year sunset. Committee members raised questions about whether the credit applies to individuals or businesses, how volunteer hours would be valued and limited, whether the Department of Elementary and Secondary Education or the Department of Economic Development would administer reporting, and whether the 20% rate should be higher. Several members also questioned the fiscal note and the impact on a tight state budget. The main witness in support was Sarah Waldron, an 18-year-old Westminster Christian Academy senior and robotics team leader who said she wrote the bill. She argued that robotics programs are expensive, that private investment is needed to improve workforce readiness, and that the bill would help schools in both urban and rural areas. She clarified that the volunteer-hours provision was intended for business employees, not general individual volunteerism, and said the bill could be amended to add guardrails and better target under-resourced schools, including a possible tiered credit based on free-and-reduced-lunch percentages. Committee members praised her initiative and testimony. One witness testified in opposition, State Public Advocate Arne C. Dinoff, who said robotics is worthwhile but the state cannot afford another tax credit given the budget deficit and the cumulative cost of tax credit programs. He objected particularly to subsidizing volunteerism and said schools should support robotics locally rather than through a state tax credit. No vote was taken; the hearing was closed and the committee adjourned after testimony.

Transcript Highlights:

• have the bill documents in front of you, and you'll notice that what this does is a tax credit for charitable
• Notice that what this does, it is a tax credit for charitable donations.

Summary: The Committee on Higher Education and Workforce Development heard House Bill 3359, presented by Representative Wilson on behalf of Representative Riggs. The bill would create a 20% state income tax credit, capped at $10 million annually beginning in tax year 2027, for donations to registered school robotics/STEAM programs. Eligible contributions were described as cash, equipment, software, materials, supplies, and possibly employee volunteer hours, with a six-year sunset. Committee members asked for clarification on whether the credit applies to individuals or businesses, whether volunteer time by parents or other non-experts would qualify, which state agency would administer reporting, and whether the 20% rate should be higher. Wilson said the bill would need clarifying language, including on volunteer eligibility and the reporting department, and said he was open to revisiting the percentage and other details with the sponsor. The primary witness in support was Sarah Waldron, an 18-year-old Westminster Christian Academy senior and robotics team CEO who said she wrote the bill. She argued the credit would help businesses invest in robotics programs, address unequal access across Missouri, and strengthen workforce readiness in STEM and AI. She said the bill was intended to support business employee volunteer hours, not individual volunteer claims, and noted she had drafted an amendment to provide larger credits for under-resourced schools based on free-and-reduced-lunch percentages. Committee members praised her work and discussed how to target aid toward rural and under-resourced districts. One witness testified in opposition, State Public Advocate Arne C. A. C. Dinoff, who said he supported robotics and the student’s effort but opposed the tax credit because of the state’s budget deficit and the broader cost of tax credit programs. He objected particularly to subsidizing volunteerism and said robotics should be supported locally rather than through a state tax credit. The hearing concluded without a vote or other formal action on the bill.

Transcript Highlights:

• And we also have limited charitable gaming. So commentators have suggested...
• We also have limited charitable gaming.

Summary: The Committee on Regulated Industries heard a presentation from the Florida Gaming Control Commission on illegal gambling in Florida. Executive Director Ross Marchman described the commission’s role, the limited number of legal slot-machine locations in the state, and the prevalence of illegal casinos, including “fish tables” and other machines found in strip malls, gas stations, and back rooms. He said the commission has received thousands of complaints, conducted 88 operations, seized thousands of machines and millions in cash and other property, and is currently storing large amounts of seized evidence at significant cost because the cases and appeals are still pending. Marchman argued that illegal casinos are tied to broader criminal activity, including robberies, drug trafficking, human trafficking, firearms offenses, and even murders, and said the current penalties are too weak because most gaming offenses are second-degree misdemeanors. He and members discussed the need for stronger deterrents, better resources, and possible changes to the law, including whether evidence could be reduced to samples rather than retained in full. Senators also asked about cease-and-desist letters to online gaming operators, the role of manufacturers and landlords, and how the commission distinguishes legal amusement machines from illegal slot machines. Daniel McGinn, speaking as an individual, supported the commission’s concerns and said prior enforcement efforts were limited by the statutory scheme. He referenced the Gator Coin case and explained that operators often use licensing agreements and repeated cash-split arrangements to keep machines in circulation. He urged legislative action, noted a gap in the statute regarding private rights of action, and warned against creating carve-outs that could raise constitutional or compact issues. No votes were taken, and the committee adjourned after the presentation and questions.

Transcript Highlights:

• I know the Board of Pharmacy offered some amendments that were added in SPA, and then those same amendments
• An eligible recipient was defined as a person who can receive donated drugs and is a registered pharmacy
• mean patient, and it permits donations from individuals from out of state pursuant to the Board of Pharmacy
• It also permits in-state and out-of-state pharmacies experienced in managing donated prescription drugs
• So given the exclusion of out-of-state pharmacies, how will New Mexico coordinate with other states?

Transcript Highlights:

• On line 359 is another provision from that same bill dealing with the pharmacy dispensing fee, the DPP
• for the pharmacy dispensing fee, and the fact that it has not been approved yet.
• This is an attempt to have an interim state-funded adjustment. pharmacy dispensing fee the the DPP for
• pharmacy dispensing fee the the DPP for the<00:12:26.680> pharmacy<00:12:27.480> dispensing
• dispensing fee and the fact the pharmacy dispensing fee and the fact that<00:12:29.240> it<00

Keywords: 1187, senate, all

Transcript Highlights:

• We are grateful for the charitable service that is rendered daily, helping and lifting those in need.
• For the charitable service that is rendered daily, helping and lifting those in need, mourning with those
• Committee substitute for Senate Bill 182, a bill to be entitled an act relating to tax credits for charitable
• Unfortunately, many charitable health care hospitality homes do not have the capacity to accommodate
• committee substitute for Senate bill 182 a bill to be entitled an act relating to tax credits for charitable

Summary: The Senate opened with prayer, the Pledge of Allegiance, and several gallery introductions before taking up Committee Substitute for Senate Bill 168, the Tristan Murphy Act, on mental health. Senator Bradley explained that the bill is intended to divert clinically appropriate defendants with mental illness from jail to treatment, create pretrial mental health diversion programs, expand grant uses for mental health and substance abuse reinvestment, require evaluations and treatment follow-up in certain probation and prison settings, add Hillsborough County to a forensic hospital diversion pilot, and establish a Florida Behavioral Health Data Repository. Senators from both parties spoke in support, emphasizing treatment over incarceration, public safety, and the Murphy family’s role in the bill. The Senate passed the bill 37-0 and then recorded 37 co-sponsors. The chamber then moved into presentations on SB 2500, the 2025-26 General Appropriations Act. Chair Hooper said the Senate budget totals $117.4 billion, reduces overall spending from the prior year, maintains reserves, keeps employee health contributions level, and includes major investments in water quality, transportation, education infrastructure, and nearly $1 billion in education capital outlay. Committee chairs outlined their portions of the budget, including increased funding for K-12 schools and scholarships, higher education workforce programs, Medicaid and health services, corrections and courts, transportation and housing, and environmental restoration such as Everglades and water quality projects. Members then asked extensive questions, especially about education funding, school choice, AP/IB and accelerated programs, the Family Empowerment Scholarship, and the FEFP calculations. Senator Burgess repeatedly explained that scholarship funding is being moved “below the line” to improve tracking and that the Senate position is to preserve funding while giving districts more flexibility. Senators also questioned the APD wait list for disability services, opioid settlement spending, arts funding, the My Safe Florida Home condo pilot, and proposed IT and agency restructuring. Several chairs said some issues would be resolved in conference, and no final vote on the budget was taken in the portion provided.

Transcript Highlights:

• IN THE BOARD OF PHARMACY TO ENSURE PATIENTS HAVE ACCESS TO PRIMARY CARE SERVICES.
• THE BOARD OF PHARMACY IS REQUIRED TO COLLABORATE WITH THE OSTEOPATHIC MEDICINE FOR COURSE CONTENT.
• TABLE IN THIS BILL A CERTIFICATION APPLICATION FORM WAS CREATED AND APPROVED BY THE BOARD OF PHARMACY
• BOARD OF PHARMACY RECEIVED ITS FIRST OF THREE CERTIFICATION COURSES IN SEPTEMBER IN A JOINT COMMITTEE
• MEETING AND IT WAS HELD WITH THE BOARD OF PHARMACY MEDICINE AND OSTEOPATHIC MEDICINE IN NOVEMBER.

Keywords: 999, senate, all

Keywords: 928, house, all

Summary: The House Judiciary Committee opened a hearing on House Bill 148, with the chair limiting testimony to two minutes and asking for no outbursts so the committee could get through eight bills that day. Representative Kofalt, the prime sponsor, said HB 148 was the same as last year’s HB 396, which passed both chambers but was vetoed by the governor. He explained the bill would allow, but not require, separation by biological sex in bathrooms, locker rooms, houses of correction, and certain athletic competitions, leaving local school boards and administrators discretion to set policies. He argued the bill was meant to address safety and privacy concerns and cited a Milford incident and concerns in several school districts as examples of why local flexibility was needed. Committee members questioned the lack of a definition of “biological sex” and how the bill would be applied. Kofalt said he did not think a definition was necessary because males and females are generally understood, and he said the bill would give local policymakers latitude to make practical rules. He also said the bill was intended to address situations where people might misuse transgender claims to access spaces inappropriately. In response to questions, he said he was aware of issues in Kearsarge, Milford, and Mascoma school districts and had heard of discomfort in the State House, though he did not know all the details. Several opponents testified that the bill would discriminate against transgender and non-binary people and create enforcement problems. Executive Councilor Karen Hill said the bill would roll back New Hampshire’s anti-discrimination protections and conflict with the state’s Live Free or Die values. Alice Wade, a trans woman, said she had used women’s restrooms without incident and argued the bill would invite invasive enforcement and harassment. Representative La Selig said the bill was discriminatory and that bathroom concerns were being confused with unrelated harassment by cisgender males. Betsy Harrington supported the bill, citing a girls’ soccer game at Kearsarge that she said was disrupted by a boy playing on a girls’ team. Rosie Emer and her child testified against the bill, saying bathroom restrictions would increase anxiety and risk for trans and non-binary children. Stephen Scaer and Wendy Stallings supported the bill, arguing sex is biologically fixed and that excluding males from female spaces should not require genital inspections. No vote or final committee action was taken in the portion of the hearing provided.

Transcript Highlights:

• Presently, pharmacy surveyors handle both in-state pharmacy inspections and complaint investigations.
• surveyors handle both instate Pharmacy surveyors handle both instate Pharmacy<00:38:05.040> inspections
• <00:38:05.880> and<00:38:06.160> complaint Pharmacy inspections and complaint Pharmacy
• The PMP is a secure electronic database managed by the Board of Pharmacy, where pharmacies report their
• The next proposal is related to the pharmacy carveout.

Keywords: 1187, senate, all

Summary: The Senate Health and Human Services Committee met on January 28, 2025, to review Governor’s budget proposals for several health-related licensing boards. The chair said no formal action would be taken and noted that final budget language was not yet available. The committee began with an overview from Bridget Anderson of the health-related licensing boards, who explained that the boards are fee-funded, operate as independent executive agencies, and handle licensing, complaints, rulemaking, and disciplinary matters. She also noted that the Board of Dentistry’s budget includes the Administrative Services Unit and criminal background check program, which can make the budget graphs appear larger than the dentistry board’s own operations. The Board of Dentistry requested funding for a new administrative staff position, estimating about $100,000 in salary, insurance, and fringe costs, to replace support lost when an administrative position was reclassified. Anderson said the board handled more than 300 complaints last year, with cases becoming more complex, especially involving surgical and implant procedures and imaging. Members asked about dental Medicaid access, but Anderson said that issue would be better directed to DHS’s Medicaid oral health division. The Board of Behavioral Health and Therapy requested a full-time position due to rapid growth in the number of regulated professionals, from about 4,000 in 2014 to nearly 10,000 now, and also sought authority to set a fee for out-of-state applicants under the Counseling Compact, with a cap of up to $100 though the board expects to charge much less. The Board of Podiatric Medicine asked to raise its fee ceiling, saying fees had not been increased since 1999 and that the board now faces a structural deficit of about $40,000 per year and declining reserves. Several senators expressed concern about “not-to-exceed” fee authority, calling it too open-ended and suggesting the legislature should scrutinize specific fee needs rather than approve broad ceilings. Similar concerns were raised during the Board of Chiropractic Examiners presentation, where the board sought $100,000 in additional spending authority and a fee increase after 32 years without an adjustment; members questioned the proposed ceiling approach and asked for more historical information before deciding. The Board of Dietetics and Nutrition Practice also discussed fee-setting authority, with the executive director explaining that the board had previously lowered fees without clear authority and later faced audit questions; she requested funding for a vacant administrative position, saying applications and revenues have increased sharply and no fee increase would be needed. The final presentation began with the Board of Pharmacy, which said it serves more than 26,000 licensees and oversees the Prescription Monitoring Program and opioid product registration. The board requested an extension of previously appropriated general fund dollars through fiscal year 2027 to continue paying legal costs tied to the insulin safety net lawsuit, emphasizing that this was not a new funding request but an extension of existing authority. No votes or formal actions were taken during the meeting.

Transcript Highlights:

• Definitely, we would see more pharmacies and dentists.
• We also saw, as Chair Bierman talked about, significant help with pharmacies.
• They have an important job to do in that they manage a pharmacy benefit set.
• PBMs manage tens of millions of pharmacy benefit patients, so they're bigger.
• There are good things for EMS, hospitals, and pharmacies in this bill.

Transcript Highlights:

• It also requires participating pharmacies to submit an annual access-to-care plan to the department and
• the Board of Pharmacy to ensure patients have access to primary care services.
• The Board of Pharmacy is required to collect...
• The Board of Pharmacy is required to collaborate with the Boards of Medicine and Osteopathic Medicine
• meeting was held with the Board of Pharmacy, Medicine, and Osteopathic Medicine in November.

Summary: The Senate Health Policy Committee received updates from the Agency for Health Care Administration and the Department of Health on implementation of 2024 health care laws. AHCA reviewed progress on workforce and reimbursement measures in Senate Bill 7016 and related bills, including FRAME and TEACH funding, graduate medical education reporting, behavioral health teaching hospitals, acute hospital care at home, advanced birth centers, non-emergent care access plans, and rural emergency hospitals. Agency officials said several programs are already operational or have begun payments, while others are still in rulemaking, federal approval, or report-preparation stages. Senators asked about timing, funding reversion concerns, and whether appropriated dollars would be spent on schedule, especially for behavioral health teaching hospitals and the new birth center category. The Department of Health then reported on practitioner licensure and public health programs. MQA described implementation of the Interstate Medical Licensure Compact, the Mobile Act licensure pathway, massage therapy enforcement changes, background screening expansion, liposuction safety requirements, pharmacist HIV post-exposure prophylaxis authority, and chiropractic dry needling. Public health staff updated the committee on FRAME and dental loan repayment, the Sinati screening grant program, the cancer research and innovation changes, the health care innovation council and loan program, the pediatric rare disease grant program, telehealth maternity care expansion, newborn screening for congenital CMV, the sickle cell registry and grants, and the swimming lesson voucher program. Members focused questions on how practitioners were being recruited to underserved areas, the pace of licensure approvals, and whether new programs were on track to use appropriated funds. The committee also heard a lengthy update from the Office of Medical Marijuana Use. The director reported more than 900,000 qualified patients, real-time seed-to-sale tracking now integrated across most dispensaries and labs, and ongoing compliance work on product testing, advertising, diversion, and patient safety. Senators questioned the decline in qualified physicians, how THC potency is labeled and verified, and what the agency can do about diversion to non-patients. The director said the office relies on complaints, inspections, lab audits, and coordination with law enforcement, and that patients can be suspended if violations are confirmed.