Video & Transcript Research : 'physicians'
Page 52 of 166
HI
Transcript Highlights:
- My proposed amendment is Chapter 62-6, subsection 2: an actively practicing physician, advanced practice
- <00:13:08.120>
chapter <00:13:08.800>62-6 RN's practice under the supervision of a physician - I do have experience personally with having to serve jury duty as a practicing physician here in Hawaii
- <00:15:54.519>
practicing sered jury duty as a practicing sered jury duty as a practicing physician - here in Hawaii year in years physician here in Hawaii year in years past<00:15:57.880>
uh <00:
Summary:
The committee opened its first hearing of the 2025 session with procedural instructions about testimony limits, Zoom participation, written testimony, and a reconvening date if needed. It then heard SB 200 on speedy trials. The Office of the Public Defender opposed the bill, arguing it could create conflicts of interest for prosecutors, potentially make victims or witnesses quasi-parties to criminal cases, force traumatizing testimony on continuance motions, and unfairly delay trials for in-custody defendants. A World Care representative supported the bill and urged broader protections for minors, disabled people, and seniors. The chair also pressed the public defender to suggest improvements, emphasizing that the bill was driven by victims and families. No vote or final action was taken on SB 200.
The committee next took up SB 8 on jury duty exemptions for health professionals. Testimony was strongly supportive from nurses, physicians, and disability advocates, who said APRNs and other nurses are in short supply and that jury service can disrupt patient care, especially in rural and neighbor island areas. One witness suggested expanding the exemption to include registered nurses as well as APRNs, while a senator raised concerns about blanket exemptions for non-practicing APRNs and suggested a time limit. The bill remained under discussion with no final action reported.
The committee then heard SB 144 on chiropractic, with the state chiropractic board offering comments and the Hawaii State Chiropractic Association supporting the measure as a way to address workforce shortages and provide students more hands-on clinical experience. A World Care witness also supported the bill after clarifying her remarks. The chair then moved to SB 107 on medical informed consent, where the Hawaii Medical Board opposed the bill and the Healthcare Association of Hawaii and Queen’s Health System offered comments, citing concerns about duplicative standards. A support witness proposed expanding the bill to better address combined mental and physical health conditions. Finally, SB 189 on breast cancer screening drew support from the Hawaii Medical Association, Hawaii Radiological Society, Queen’s Health Systems, and others, while the Insurance Division raised concerns about possible insurance mandate defrayment and the need for a sunrise analysis. Senators also asked about local demographic data and coverage impacts; the chair indicated decision-making would be deferred to another day.
KY
Kentucky 2025 Regular Session
House Standing Committee on Judiciary (3-5-25)
Transcript Highlights:
- think the concern is from the communication I’ve received from some local hospitals is that the physician
- think the concern is from the communication I’ve received from some local hospitals is that the physician
- think the concern is from the communication I’ve received from some local hospitals is that the physician
- think the concern is from the communication I’ve received from some local hospitals is that the physician
- Meadows said physicians act on a daily basis to be advocates for their patients, and that is why the
Keywords:
Meeting Start: 00:00:00
Roll Call: 00:00:09
SB 64: 00:01:20
SB 73: 00:05:33
HB 662: 00:09:40
HB 320: 00:20:17, 958, all
Summary:
The House Judiciary Committee met with a quorum and first approved Senate Bill 64, as amended, on a 14-0 vote. The bill was described as a copper theft prevention measure aimed at protecting key infrastructure assets, including telecommunications and electrical highway infrastructure. Testimony in support came from Senator Brandon Storm and representatives from Charter Communications and law enforcement, who said copper theft and related vandalism are damaging fiber and other infrastructure across the state. A committee substitute was adopted before the vote.
The committee then considered Senate Bill 73, relating to sexual extortion. Senator Julie Rocky Adams and Kentucky Youth Advocates testified that sextortion is a fast-growing crime against children and that the bill would make sexual extortion a felony, create civil remedies for victims, and require school-based education and resources. The bill passed 15-0 and was reported favorably for floor consideration.
House Bill 662, relating to personally identifiable information, was also approved after discussion and a committee substitute. Representative John Blanton said the bill would help protect judges and certain medical review personnel from public disclosure of personal information while preserving provider access needed for appeals and communications. The Kentucky Medical Association supported the concept but stressed the need to preserve provider-facing information so doctors can conduct peer-to-peer reviews and appeals. The bill passed 15-0 with one pass vote.
House Bill 320, relating to controlled substances on hospital property, was taken up for discussion only and no vote was taken. Representative Mike Klein and a St. Elizabeth nurse testified that hospitals are seeing illicit drug use and trafficking on campus and argued for a drug-free zone to protect staff, patients, and visitors. Committee members raised concerns about how the bill would apply to unconscious overdose patients, lawfully prescribed medications, emergency situations, and whether possession should be treated differently from trafficking. The chair ruled a motion out of order because the item was for discussion only, and the bill remained under consideration.
TX
Texas 89th 2nd C.S.
Senate SessionReading and Referral of Bills Mar 17th, 2025
Texas Senate Floor Meeting
Transcript Highlights:
- Senate Bill 2012 by Campbell relating to the provision of certain information about physicians and nurses
- Senate Bill 2013 by Campbell relating to the dispensing of certain drugs by physicians specializing in
- Senate Bill 2043 by Hughes relating to prohibited retaliation against a physician or healthcare provider
AL
Transcript Highlights:
- Additionally, the bill requires physicians to assess mothers for postpartum depression.
- The bill requires physicians to assess mothers for postpartum depression and refer them to treatment
- It would be up to the physicians to prescribe whatever they think is necessary for that woman, be it
Bills:
SB191, HB84, HB79, SB132, HB108, HB109, HB110, HB114, HB118, HB120, HB122, HB124, HB126, HB128, HB129, HB131
Keywords:
postpartum depression, mental health, Medicaid, screening, education, maternal health, Chiropractic, Board of Chiropractic Examiners, license renewal, continuing education, election procedures, off-label, pharmacists, medical treatment, state board of pharmacy, employment protection, SB132, Alabama, controlled substances, Schedule I
HI
Hawaii 2026 Regular Session
HHS-AEN-EIG, HHS, HHS Public Hearings 02-02-2026
Health and Human Services
Transcript Highlights:
- <00:22:19.679>
Legislative Academy of Family Physicians Legislative Academy of Family Physicians - Elizabeth Ignasio, a Maui physician, speaking for the Hawaii Medical Association.
- Elizabeth Ignasio, a Maui physician, speaking for the Hawaii Medical Association.
- Physicians and psychiatrists spend over 12,000 hours in training.
- 54:49.359>
over Physicians and psychiatrists spend over Physicians and psychiatrists spend over
Summary:
The joint HHS, Agriculture, Environment, Energy, and Intergovernmental Affairs hearing focused first on SB 2262, a pollution and illegal dumping measure. The Department of Health said it stood on its written testimony, and public testimony included support from CARES with suggested amendments to involve the counties in standardized response planning and to address pollution caused by individuals. Members questioned the bill’s fines, where they would go, and how the department would handle carcasses and illegal dumping enforcement. DOH said administrative fines go to the general fund, criminal fines are collected by the Attorney General, carcasses are generally buried by the landowner under existing rules, and DOH mainly regulates solid waste and coordinates with counties and other agencies when violations arise.
After discussion, the chair recommended SB 2262 be passed with substantial amendments. The proposed amendments would add DLNR to the task force, deposit all fines into a special fund to support enforcement, allow fines below $5,000 for littering and higher fines for excessive or chronic illegal dumping, and include a January 30, 2050 effective date. The committee adopted the recommendation, with members voting aye.
The hearing then moved to the HHS calendar. On SB 2087, relating to health insurance, agencies including DHS, DCCA, the Attorney General, and Labor stood on written testimony, while several advocacy and medical groups testified in support. One Medicaid recipient opposed the bill, arguing the coverage should be immediate rather than phased in over three years. Angela Melody Young supported the bill but urged amendments to prioritize people with disabilities, kupuna, and mothers. Members questioned whether the rural health transformation program could support the bill’s deductible structure; the Department of Human Services said it was unlikely CMS would allow that level of coverage, though rural funds might help in other ways. The committee then moved on to SB 2089, which would expand services eligible for Medicaid prospective payment system reimbursement, hearing support from OHA, DHS, and others, along with testimony about mental health access and training. The transcript also began SB 2106, relating to health and eating disorder prevention, with a student testifying in support and citing youth eating disorder harms, but the discussion was cut off before any action on that bill.
MS
Mississippi 2026 Regular Session
MS Senate Floor - 16 February, 2026; 4:00 PM
Mississippi Senate Floor Meeting
Transcript Highlights:
- Gloria Graham, who's a family medicine physician at East Central Mississippi Healthcare in Forest, Mississippi
- Gloria Graham who's a family<00:13:47.519>
medicine <00:13:48.320>uh <00:13:48.639>physician - <00:13:49.440>
at <00:13:49.760>East family medicine uh physician at East family medicine - uh physician at East Central<00:13:50.399>
Mississippi <00:13:50.880>Healthcare <00:13:
Summary:
The Senate convened with quorum calls, an invocation by Dr. Jeff Parker of Southside Baptist Church in Jackson, and the pledge of allegiance led by the sergeant-at-arms. Dr. Parker offered a prayer for the members, their families, and the state, and the chamber welcomed several guests, including members of Jack and Jill of America, Dr. Gloria Graham as doctor of the day, and Pastor Parker’s wife, Sheila Parker.
On the calendar, the Senate first disposed of several procedural items by tabling motions to reconsider on Senate Bill 2441, which concerns limited medical licenses, and Senate Bill 2454, which revises Medical Licensure Board provisions, including licensure status, definitions, procedures, fines, and temporary practice authority. During discussion of SB 2454, Senator McClendon asked about the board’s composition, and Senator Brian explained that the bill would allow three lay members on the board while keeping doctors in the majority, noting that this was a recommendation from the board itself. The Senate also took up an out-of-order resolution honoring Mississippi members of the Seattle Seahawks NFL Super Bowl 60 champions.
The remainder of the meeting consisted largely of announcements. Senators announced upcoming receptions and committee meetings, including Judiciary A, Rules, and Highways and Transportation, and several members asked that the Senate adjourn in memory of deceased relatives and community members. Senator England reminded members of the March 10 primary elections and encouraged voting. The Senate then adopted a motion to stand in recess until 5:00 p.m., with the journal to reflect adjournment until 10:00 a.m. the following morning.
FL
Florida 2026 Regular Session
Children, Families, and Elder Affairs Jan 20th, 2026
Children, Families, and Elder Affairs
Transcript Highlights:
- Physicians prescribing psychotropic medications to Medicaid children must now provide the pharmacy with
- If a parent goes to a physician and does want to have some medication given to their child with gender
- And a question on the $100,000 fine for a physician should they do this.
- Parents like me are forced to second-guess what we can disclose to in-state physicians about what care
Keywords:
child welfare, psychotropic medication, Department of Children and Families, community-based care, liability insurance, forensic services, defendants, mental health, judicial system, defense, legal definitions, minors, healthcare, parental rights, criminal penalties, civil action, sex-reassignment, investigations, economic damages
Summary:
The Committee on Children, Families, and Elder Affairs considered four bills. SB 590, by Sen. Bradley, would toll the statute of limitations for failure to report suspected child abuse by mandatory reporters until the offense is known to law enforcement; an amendment clarified retroactive application for offenses not already time-barred by the bill’s effective date. Sen. Bradley said the bill is intended to ensure accountability in institutional abuse cases and not to change the reasonable-suspicion reporting standard. The committee adopted the amendment and reported the bill favorably.
The committee also heard SB 778, by Sen. Simon, which would update the definition of forensic client so certain individuals with intellectual disabilities or autism whose charges were dismissed for incompetency can be housed with other Chapter 916 residents, reducing duplicative staffing and space needs at the Agency for Persons with Disabilities. Barney Bishop appeared in support, and the bill was reported favorably without amendment.
SB 560, by Sen. Garcia, would streamline procedures for psychotropic medication prescriptions for children in DCF custody, reduce duplicative background checks and reporting, and simplify consent documentation. Amendments removed language allowing licensed clinical social workers and marriage and family therapists to serve as evaluators and narrowed changes to the Road to Independence Program’s postsecondary education services and supports, extending eligibility ages from 18 to 26 while keeping the five-year cap. Senators discussed the fiscal impact and funding blend for the education stipend. The committee adopted the amendments and reported the bill favorably.
The committee then took up SB 1010, by Sen. Yarbrough, which adds criminal and civil enforcement for violations involving sex-reassignment prescriptions or procedures for minors and related parental-rights provisions. An amendment clarified that the civil action authority applies to minors and that damages benefit the affected minor. Public testimony was heavily divided, with supporters saying the bill enforces existing protections and opponents warning it would chill care, counseling, and school-based support for transgender youth. Senators Harrell, Sharief, and Rouson raised concerns about vagueness, standing, and impacts on teachers and health professionals; Sharief voted no, while the bill was still reported favorably.
ND
North Dakota 2026 1st Special Session
Legislative Management Jan 14th, 2026 at 01:00 pm
Transcript Highlights:
- The next one is to require a nutrition component for physician continuing education requirements.
- A bill draft for the state to join a physician assistant licensure compact. That's 25.1385.
- And that won't just be physicians.
- it's one thing to make sure that we're guaranteeing care close to home and great access to quality physicians
Summary:
Legislative Management met with a quorum, approved the July 11, 2025 minutes, and then considered recommendations from the Legislative Procedures and Arrangements Committee. Beth Dittes explained proposed special session rule changes, which largely mirror prior special session rules and are intended to speed floor action. The changes would allow faster second readings and transmission between chambers, replace regular standing committees with two joint committees for the special session—Joint Appropriations and Joint Policy—and limit bill introduction methods. The package also included delayed-effective-date changes for the next regular session, such as moving the agency and Supreme Court prefile deadline earlier and advancing several resolution deadlines. Liz Fordall then reviewed revisions to the legislative workplace harassment policy, including clarified definitions, longer intake and review deadlines, an option for informal resolution before a review panel, and clearer disclosure rules. The committee adopted the report and forwarded the rules and policy changes.
The committee also approved tentative first-day special session agendas for both chambers, with a Speaker-requested revision to allow time to swear in new House members. Megan Gordon outlined the schedule: early Rules Committee meetings, morning floor sessions, a joint session for the governor’s State of the State, then meetings of the joint appropriations and policy committees, with optional later floor and committee time. Members discussed how the joint committees would handle bills and confirmed the process would mirror the prior special session. The agendas were adopted.
Chairman Bekkedahl then reported for the Rural Health Transformation Committee, which had completed its work and recommended five bill drafts for the special session: a Presidential Physical Fitness Test requirement for schools, a nutrition component for physician continuing education, joining a physician assistant licensure compact, expanding pharmacist scope for lab testing and prescribing, and a two-year appropriations bill to cover the program through the next regular session. He explained the federal rural health transformation grant, the state’s application, funding restrictions, and the need to keep the bills aligned with CMS requirements to avoid funding reductions or clawbacks. DHS officials said the department would measure outcomes through required metrics, use templates for awards, and set up an Office of Health Transformation to track long-term impacts. The committee adopted the rural health report and forwarded the bills.
Finally, members discussed special-session logistics. Legislative staff said employment committees would approve a limited number of staff, Legislative Management would serve as the delayed-bills committee, and a letter would be sent to legislators explaining the process and a suggested Friday noon drafting deadline for bills to be considered at the January 20 meeting. The committee also discussed how many bills might be introduced and how to assign the rural health bills to the House or Senate for origin. No formal vote was taken on those logistics, and the meeting adjourned with plans to reconvene on January 20.
NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Nov 6th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- a question for you all, but I'm just going to go ahead and put it out there that, you know, the physicians
- a question for you all, but I'm just going to go ahead and put it out there that, you know, the physicians
- That type of care must be ordered by a physician or a non-physician provider, such as a nurse practitioner
TX
Transcript Highlights:
- This bill will require physicians and nurses specializing in obstetrics or gynecology to take one hour
- Our law is designed to save all lives involved and by no means does our law require a physician to deny
- So a physician with a basic familiarity with the law might be aware of the heartbeat law, but not of
- So the purpose of this bill is just to iron out those misconceptions. ...that physicians and nurses might
Keywords:
SB 801, birth certificate, birth record, certified copy, homeless, homelessness, unhoused, vital records, state registrar, local registrar, county clerk, fee waiver, identity documents, ID access, housing insecurity, shelter, transitional housing, Health and Safety Code, HHSC, Health and Human Services Commission
TX
Transcript Highlights:
- He is a member of several professional organizations, including the American Academy of Family Physicians
- , the Texas Academy of Family Physicians, and the Society of Teachers of Family Medicine.
- Senator Hinojosa of Hidalgo County: ...the American Academy of Family Physicians, the Texas Academy of
- Family Physicians, and the Society of Teachers of Family Medicine.
Keywords:
accountants, Texas Society of Certified Public Accountants, advocacy, legislation, business issues, memorial, law enforcement, sacrifice, tribute, community support, service, community, Holocaust, remembrance, antisemitism, human rights, education, Holocaust Remembrance Day, memorialization, sexual assault
KY
Kentucky 2025 Regular Session
Medicaid Oversight and Advisory Board (9-9-25)
Transcript Highlights:
- And we understand there's some other plans out under development for other physician services that are
- services uh that are very physician services uh that are very similar<00:07:42.160>
in <00:07: - access to physicians etc. access to physicians etc.
- We have involved nursing staff, clinical staff, physicians are actively involved in this every week.
- Does a provider go out and assess that and get information, talk to their primary care physician, get
Summary:
The Medicaid Oversight Advisory Board’s fourth meeting focused primarily on a presentation from University of Kentucky and University of Louisville health leaders about the state university directed payment program. Mark Birdwhistle and Ken Marshall described the program as a long-running, value-based Medicaid arrangement that began in 2019, uses university-provided matching funds rather than provider taxes, and ties a portion of payments to quality outcomes. They said the program has improved measures such as tobacco cessation, diabetes control, depression screening, and cancer screening, while supporting access to specialty care, medical education, and workforce training. They also emphasized that Kentucky’s model is nationally notable and has helped improve health rankings and generate cost savings.
A major topic was the federal reconciliation bill signed July 4, which the presenters said will reduce directed payments by 10% annually for 10 years beginning in 2028. UL Health estimated a first-year loss of about $75 million and a cumulative loss of about $600 million over the decade; UK estimated about $100 million in the first year, for a combined first-year impact of roughly $175 million. Both speakers warned the cuts could affect access to care, training capacity, and the sustainability of Kentucky’s value-based model, though they expressed hope that congressional action could alter or delay the changes. They also noted that 340B drug pricing changes could further strain already thin operating margins, but did not provide exact figures during the meeting.
Committee members responded positively to the program’s reported outcomes and the institutions’ role in Kentucky health care. Senator Berg praised the quality of care and shared a personal example of being advised to stay at UofL for breast cancer treatment. Representative Moer highlighted Kentucky’s strong cancer-control score and asked for more explanation of the value-based payment structure; the presenters said the system is built around ongoing measurement, accountability, and collaboration with the Cabinet for Health and Family Services. No votes or formal actions were taken beyond approving the amended August 27 minutes by voice vote.
NH
New Hampshire 2026 Regular Session
House Executive Departments and Administration (03/18/2026)
Executive Departments and Administration
Transcript Highlights:
- Uh, this bill, Senate Bill 402FN, eliminates certain non-compete agreements for physician associates.
- agreements for physician associates. agreements for physician associates.
- But I also noticed you said, physician associates in New Hampshire.
- This includes physicians, osteopathic physicians, nurses, physical therapists, occupational therapists
- Osteopathic physicians permanently discontinued their external practice exam in 2021.
Summary:
The committee first held a public hearing and then an executive session on Senate Bill 401, which DHHS described as a cleanup bill. Testimony from the department explained that the bill would repeal obsolete reporting requirements tied to a repealed municipal reimbursement program and to the now-repealed commission on demographic trends. No one testified in opposition, and the committee voted 12-0 ought to pass, placing the bill on the consent calendar.
The committee then heard Senate Bill 402, which would eliminate certain non-compete agreements for physician associates going forward. Senator Gray introduced the bill, and a representative of the New Hampshire Society of Physician Associates said it would improve workforce recruitment and access to care without changing scope of practice or affecting existing agreements. Committee members asked about the length of current restrictions and whether the change would make New Hampshire more attractive to PAs. The committee voted 12-0 ought to pass and sent the bill to the consent calendar.
Next, the committee took up Senate Bill 426, which would repeal the permissible fireworks committee. Senator Uler and the deputy state fire marshal said the committee’s original purpose had been overtaken by later changes adopting federal fireworks standards, and that the fire marshal now has the necessary authority. The committee voted 12-0 ought to pass and placed the bill on the consent calendar.
Finally, the committee began hearing Senate Bill 469, a DMV modernization bill allowing electronic signatures in place of wet signatures for certain motor vehicle title and registration processes. Senator Lang, Carvana, the New Hampshire Auto Dealers Association, Copart, and DMV staff all supported the measure, saying it would reduce delays, errors, and paperwork burdens. Members asked about AI, consumer protections, costs, and how electronic signatures would work in practice, including in cases involving deceased owners. The transcript cuts off during that hearing before any committee action on SB 469.
NH
New Hampshire 2026 Regular Session
House Executive Departments and Administration (03/18/2026)
Executive Departments and Administration
Transcript Highlights:
- agreements for physician associates. agreements for physician associates.
- Society of Physician Associates.
- other providers uh including physicians other providers uh including physicians uh<00:14:43.199>
- This includes physicians, osteopathic physicians, nurses, physical therapists, occupational therapists
- This includes physicians, osteopathic physicians, nurses, physical therapists, occupational therapists
MD
Transcript Highlights:
- <00:19:52.640>
trained practice medicine to a physician trained practice medicine to a physician - The original bill did have several statements when it was a physician, and the physician had to attest
- to those facts that the physician had observed, but the amendment does not have that.
- c> had<02:20:27.280>
to a physician, and the physician had to a physician, and the physician - attest to those facts that the physician attest to those facts that the physician had<02:20:29.600
Summary:
The Senate first handled routine announcements, including welcoming a new group of pages and noting donations of donuts and chicken from local businesses, along with a citation planned for Mr. Herman’s Bakery, which is closing after 103 years. The chamber then took up Senate Bill 858, establishing a Department of Budget and Management Audit and Finance Compliance Unit. A senator moved to send the bill back to second reading to add an amendment, which was adopted without objection, and the bill was reprinted for third reading.
The Finance Committee then reported several bills. Senate Bill 84, concerning collective bargaining for graduate assistants at UMCP and UMBC, was laid over after questions about whether graduate assistants are employees or students. Senate Bill 455, creating a transformational project financing program tied to tax increment financing districts, had two committee amendments adopted and was ordered printed for third reading. Senate Bill 623, creating a premium cigar lounge alcoholic beverage license, also received two committee amendments and was ordered up, but a later Howard County amendment was proposed and the bill was laid over. Senate Bill 777, directing workforce development support in hospital closures and related events, was adopted and sent to third reading. Senate Bill 831, addressing child labor penalties, private-sector labor relations, and state labor standards, was adopted with two amendments and sent to third reading. Senate Bill 932, requiring social media platforms to display users’ general geographic location, was laid over after questions.
The committee also advanced Senate Bill 340, requiring at least $2 million annually for the Long-Term Care Ombudsman office, with two amendments adopted and the bill sent to third reading. Senate Bill 489, creating a limited license pathway for physicians trained abroad and repealing the fifth pathway program, was adopted with two amendments and sent to third reading. Senate Bill 496, expanding Medicaid coverage for obesity treatment, prompted extended debate over the fiscal note and who would bear the costs; the sponsor argued the estimate was overstated and did not account for likely lower utilization or health-care savings, while an opponent pressed concerns about the state share and structural deficit. The discussion continued without a final vote in the excerpt provided.
NH
New Hampshire 2025 Regular Session
House Education Funding (03/31/2025)
Transcript Highlights:
- Do you have a physician order? Um, and so forth.
- Do you have a physician order? Um, and so forth.
- Do you have a physician order? Um, and so forth.
- Do you have a physician order? Um, and so forth.
- Do you have a physician order? Um, and so forth.
Summary:
The subcommittee met to begin work on HB 742, which would require catastrophic special education aid to be drawn from the education trust fund, and more broadly to study special education aid/differentiated aid and related costing issues. The chair said the group was starting early because the issue has been debated for years without resolution, local districts are being forced to absorb prorated costs, and the committee wants to send the Department of Education and HHS Medicaid a clear request for data and recommendations before retained bills return in the fall. A committee clerk was also selected, with Representative Reverend volunteering to take notes for the meeting.
Members reviewed background materials on special education enrollment, high-cost students, and possible funding formulas, including data on students in high-cost brackets and prior ideas such as category-based funding and caseload-based approaches. The chair also referenced research on other states, including Arkansas, which uses a different special education funding structure and audits IEPs. The committee emphasized that it was focused on the funding mechanics and costs, not on questioning whether services should be provided.
Henry Lipman of HHS explained how Medicaid-to-schools currently works in New Hampshire. He said 172 school districts participate, but utilization dropped during the pandemic and remains below historical levels, in part because districts need the capacity to bill Medicaid. Under the current system, schools receive reimbursement based on half of the Medicaid fee schedule, with the school district effectively providing the state share. He said the federal government is requiring a shift by July 1, 2026, to a true certified public expenditure model based on actual costs, which should allow schools to recover 50% of their true costs and some administrative overhead. The department has received a roughly $2.5 million grant to hire a vendor and support districts through the transition, and an RFP and stakeholder meetings are underway.
Committee members asked about how costs would be determined, whether the new system would use actual district-specific costs rather than averages, and how the department would support districts that do not currently participate. Lipman said the cost model would be based on each district’s own reasonable costs, subject to audit standards, and that the department expects to provide templates and technical assistance through the vendor because its staff is limited. He also said about one in four New Hampshire children are enrolled in Medicaid, that child enrollment has been relatively stable, and that continuous coverage rules should reduce churn. No votes or formal actions on HB 742 were taken during the meeting beyond organizing the subcommittee and beginning testimony and discussion.
CT
Connecticut 2026 Regular Session
Finance Advisory Committee May 14th Meeting May 14th, 2026
Transcript Highlights:
- So our medical director that we have under contract for us is a UConn physician, and we also have another
- physician and a nurse practitioner from UConn.
- We have another physician and a nurse practitioner from UConn, so we've had several discussions with
Summary:
The Finance Advisory Committee approved the minutes of its April 2 meeting and then took up three budget transfers. The first, FAC 2026-6 for the Office of the State Treasurer, moved $75,000 from personal services to other expenses to pay for consultant help applying for federal energy credits under the Inflation Reduction Act’s direct pay provisions. Treasurer’s office staff said the agency had one open position and several others pending posting, and members discussed how the transfer related to vacant positions and the committee’s budget display.
The second item, FAC 2026-7 for the Office of the State Controller, transferred $700,000 from personal services to other expenses to cover higher Core-CT software maintenance and licensing costs. Comptroller staff said the office had 21 open positions, most in Core-CT, and explained that the system, implemented in 2003, receives regular quarterly and monthly updates from Oracle. Members also discussed how the system serves payroll, HR, purchasing, accounting, and related functions for many state agencies, including UConn and the Board of Regents.
The final item, FAC 2026-8 for the Department of Veterans Affairs, transferred $700,000 from personal services, the veterans opportunity pilot, and headstones accounts to other expenses for year-end operational needs. Commissioner Ron Welch said most vacancies were in the skilled nursing facility, food service, and physical plant, with staffing challenges especially for nurses and aides. He also explained that the veterans opportunity pilot never fully launched, that the Institutional General Welfare Fund has been depleted and the agency now relies more on general fund support, and that the department faces rising food, utility, and pharmaceutical costs, including a federal VA reimbursement change that will leave the state responsible for medication costs by 2027. All three transfers were approved, and the meeting adjourned.
MO
Missouri 2026 Regular Session
Health and Mental Health Jan 15th, 2026 at 08:00 am
Health and Mental Health
Transcript Highlights:
- who would not have to have a notary, would be a peace officer, law enforcement officer, licensed physician
- Jacob Scott with the Missouri State Medical Association and the Missouri Association of Osteopathic Physicians
- You know, I think that he's correct whenever he says that the physician ultimately has the sign-off,
KY
Kentucky 2025 Regular Session
Senate Standing Committee on Health Services (3-5-25)
Transcript Highlights:
- the award process over the past year, CPE has asked that we expand that to include dietitians and physician
- Over the past year, CPE asked that it be expanded to include dietitians and physician assistants.
- CPE has asked that we expand that to include dietitians and physician assistants.
Keywords:
Roll Call 00:20
Discussion on HB 303 00:45
Vote on HB 303 04:41
Discussion on HB 305 05:32
Vote on HB 305 08:34, 958, all
Summary:
The Senate Standing Committee on Health Services met with a quorum and heard House Bill 303 first. Representative Steve Bratcher explained that the bill would let U.S. military members with medical training transition that experience into Kentucky health-care credentials more quickly. Schools and colleges would evaluate military curricula on an individual basis, identify gaps, and allow those gaps to be filled with additional classes or clinical time before the person sits for the required exam. The bill was described as applying broadly across medical fields, not just nursing, and it would not waive testing or standards. Senators asked whether the process would compare credentials across states and whether the bill covered only U.S. military service; Bratcher said evaluations would be individualized and the bill was primarily for those who served in the U.S. military. HB 303 received an 11-0 favorable vote.
The committee then took up House Bill 305, presented by Representative Ken Fleming. He said the committee substitute would expand an existing health-care workforce award program to include dietitians and physician assistants, clarify that certain EMS-related services may be owned or operated by a hospital rather than only owned by one, and provide more flexibility around licensing timelines after a certificate of need is issued by the Kentucky Board of Emergency Medical Services. After a motion and second, the committee voted unanimously to amend and pass HB 305 with favorable expression. A title amendment was also adopted unanimously.
Before adjournment, the chair noted that the next regular meeting was scheduled for March 12 and warned that a special-called meeting might be needed the following Monday because of bills arriving from the House. No further business was taken up, and the committee adjourned.
AL
Alabama 2025 Regular Session
Alabama Contract Review Legislative Oversight Committee Feb 6th, 2025
Transcript Highlights:
- Whatever we're doing, having a medical director, a physician, is key to that because you have to have
- a physician to serve as a medical director to oversee your credentialed EMS personnel.
- Is he an Alabama licensed physician? He is, and he's an Alabama native.