Transcript Highlights:

• </c> treatment facilities. treatment facilities.
• treatment facilities are not.
• </c> we've worked very hard uh with treatment we've worked very hard uh with treatment providers,<05:
• </c><05:12:42.160><c> This</c> outpatient treatment programs. This outpatient treatment programs.
• about their treatment options.

Committee: Senate Executive Departments and Administration

Transcript Highlights:

• The Select Committee on Veterans Affairs will come to order.
• So when someone enters a veteran treatment court, they may be enrolled in that veteran treatment court
• So when someone enters a veteran treatment court, they may be enrolled in that veteran treatment court
• The August 3rd order did not resolve damages.
• Is it veteran treatment courts?

Summary: The Select Committee on Veterans Affairs met to hear testimony on interim charge 2, focused on military-to-civilian transition, and later on the role of the Military Veteran Peer Network and broader transition supports. The committee first heard from representatives of Midwestern State University and Wichita Falls, who described partnerships with Sheppard Air Force Base, expanded military student services, scholarship support, and the importance of helping service members connect to education, employment, and community before separation. Witnesses emphasized that successful transition is not just about finding a job, but about creating a warm handoff to local employers, colleges, civic groups, and veteran organizations, and they urged earlier outreach while service members are still on active duty. Testimony from Texas A&M University–Central Texas and the Texas A&M University System focused on the Military Talent Pipeline, credentialing, and workforce alignment. Witnesses said Texas should better capture service members’ skills earlier, improve information-sharing with employers, and expand pathways that translate military training into civilian credentials. A major recommendation was a Texas “medic/corpsman to registered nurse” pathway modeled on Wisconsin’s WISMAC program, along with broader reciprocity and bridging programs for military certifications in fields such as aircraft maintenance, trucking, and other high-demand occupations. Members also discussed the need for more staffing and resources at university veteran offices, and the value of measuring the return on state investment in veteran education benefits such as Hazelwood. The committee then heard from the Texas Veterans Commission’s Mental Health Department on the Military Veteran Peer Network. The witness described peer support coordinators and rural veteran counselors who provide warm handoffs, suicide prevention support, and counseling, especially during the first 18 months after separation, which was identified as a high-risk period. She said the network is effective but too small and needs growth, and noted barriers to base access and TAP participation. Additional testimony from a retired Army officer and transition leader stressed that Texas has many strong programs but weak coordination, and recommended using installation-specific approaches, commander engagement, consent-based data sharing, and stronger links between TAP, state resources, and local communities. A final witness from Onward Ops described upstream enrollment, risk screening, certified peer mentors, and data-sharing to proactively support separating service members; he said the current system leaves veterans to navigate stovepiped programs on their own and called for more community partners, especially in rural areas. No votes were taken during the hearing.

Transcript Highlights:

• It interrupts treatment regimens.
• </c> you maybe have to do cancer treatments you maybe have to do cancer treatments for<00:44:24.800><
• </c><00:44:46.480><c> regimens</c> costs it interrupts treatment regimens costs it interrupts treatment
• </c><01:41:27.159><c> for</c> whether or not to get treatment for whether or not to get treatment for
• </c> to find the most expensive treatment to find the most expensive treatment because<02:00:22.920><

Committee: Senate Health and Human Services

Transcript Highlights:

• Without objection, so ordered.
• So ordered. Next bill.
• So ordered. Next bill.
• Later, motion to table, our objection, so, order. Thank you. Objection. So, order.
• Lay that motion on the table without objection, so ordered. So ordered. Mr.

Bills: HR91 , HR92 , HR93 , HCR44 , HR84 , HR85 , HR86 , HR87 , HR88 , HR89 , HR90 , HCR42 , HCR43 , SCR21 , HB483 , HB484 , HB893 , HB1087 , HB1088 , HB1089 , HB1090 , HB1091 , HB1092 , HB1093 , HB1094 , HB1095 , HB1096 , HB1097 , HB1098 , HB1099 , HB1100 , HB1101 , HB1102 , HB1103 , HB1104 , HB1105 , HB1106 , HB1107 , HB1108 , HB1109 , HB1110 , HB1111 , HB1112 , HB1113 , HB1114 , HB1116 , HB1117 , HB1118 , HB1119 , HB1120 , HB1121 , HB1122 , HB1123 , HB1124 , HB1125 , HB1126 , HB1127 , HB1128 , HB1129 , HB1130 , HB1131 , HB1132 , HB1133 , HB1134 , HB1135 , HB1136 , HB1137 , HB1138 , HB1139 , HB1140 , HB1141 , HB1142 , HB1143 , HB1144 , HB1145 , HB1146 , HB1147 , HB1148 , HB1149 , HB1150 , HB1151 , HB1152 , HB1153 , HB1154 , HB1155 , HB1156 , HB1157 , HB1158 , HB1159 , HB1160 , HB1161 , HB1162 , HB1163 , HB1164 , HB1165 , HB1166 , HB1167 , HB1168 , HB1169 , HB1170 , HB1171 , HB1172 , HB1173 , HB1174 , HB1175 , HB1176 , HB1177 , HB1178 , HB1179 , HB1180 , HB1181 , HB1182 , HB1183 , HB1184 , HB1185 , HB1186 , HB1187 , HB1188 , HB1189 , HB1190 , HB1191 , HB1192 , HB1193 , HB1194 , HB1195 , HB1196 , HB1197 , HB1198 , HB1199 , HB1200 , HB1201 , HB1202 , HB1203 , HB1204 , HB1205 , HB1206 , HB1207 , HB1208 , HB1209 , HB1210 , HB1211 , HB1212 , HB1213 , HB1214 , HB1215 , HB1216 , HB1217 , HB1218 , HB1219 , HB1220 , HB1221 , HB1222 , HB1223 , HB1224 , HB1225 , HB1226 , HB1227 , HB1228 , HB1229 , HB1230 , HB1231 , SB1 , SB54 , SB82 , SB87 , SB92 , SB93 , SB99 , SB104 , SB113 , SB114 , SB115 , SB123 , SB129 , SB133 , SB161 , SB162 , SB224 , SB236 , SB275 , SB280 , SB289 , SB305 , SB310 , SB325 , SB330 , SB339 , SB350 , SB359 , SB382 , SB410 , SB412 , HCR10 , HB54 , HB55 , HB67 , HB73 , HB125 , HB133 , HB158 , HB168 , HB169 , HB191 , HB195 , HB205 , HB225 , HB245 , HB280 , HB283 , HB296 , HB319 , HB325 , HB339 , HB399 , HB407 , HB448 , HB482 , HB550 , HB591 , HB821 , HB826 , HB992 , HB995 , HB1085 , HB1086 , HR15 , HR20 , HCR14 , HCR6 , HCR19 , HB861 , HB889 , HB904 , HB907 , HB908 , HB929 , HB1009 , HB13 , HB23 , HB25 , HB32 , HB41 , HB90 , HB120 , HB121 , HB122 , HB127 , HB138 , HB139 , HB141 , HB179 , HB187 , HB213 , HB247 , HB286 , HB332 , HB344 , HB357 , HB367 , HB370 , HB462 , HB505 , HB527 , HB537 , HB605 , HB680 , HB681 , HB725 , HB780 , HB782 , HB847 , HB892 , HB911 , HB916 , HB1012 , HB81 , HB134 , HB154 , HB163 , HB170 , HB194 , HB217 , HB220 , HB254 , HB259 , HB290 , HB308 , HB311 , HB360 , HB382 , HB401 , HB410 , HB417 , HB463 , HB575 , HB592 , HB718 , HB723 , HB750 , HB755 , HB776 , HB812 , HB844 , HB882 , HB888 , HB961 , HB966 , HB980 , HB228 , HB289 , HB735 , HB796 , HB284 , HB301 , HB722 , HB468 , HB546 , HB746 , HB842 , HB923 , HB46 , HB166 , HB349 , HB352 , HB436 , HB588 , HB140 , HB429 , HB827 , HB953 , HB901 , HB9 , HB52 , HB58 , HB193 , HB400 , HB570 , HB577 , HB582 , HB733 , HB747 , HB868 , HB952

Summary: The House convened with a quorum, opened with prayer and the pledge, and then spent much of the day on personal privileges and resolutions recognizing groups and individuals. Members honored Physical Therapy Day at the Capitol, Tulane Day at the Capitol, and Landscape Architecture Month/Day, and also recognized the Liftoff Louisiana team for its work on an FAA advanced air mobility pilot program. The chamber also observed a moment of silence for former Representative Gene Durgey and adopted several condolence resolutions. The House then took up a long series of introductions and committee reports on bills, with many measures referred to committees and several resolutions adopted without objection. Among the more notable floor actions, the House adopted resolutions for Tulane University, physical therapy, landscape architecture, and the Liftoff Louisiana team, while other resolutions expressing condolences or commending individuals were either adopted or laid over. The chamber also received a large number of House and Senate bills on second reading for referral, covering topics such as education, health care, insurance, transportation, criminal justice, natural resources, taxation, and government administration. During floor consideration of bills, the House passed a number of measures, including a government clean-up bill removing inactive boards and commissions, an oyster tagging measure for alternative cultivation, a naloxone immunity bill, and a Secretary of State fee bill that drew some opposition but passed. Other bills approved included legislation on auto glass insurance practices, reckless driving at speeds over 100 mph, retirement system changes and cost-of-living adjustments, and several local crime prevention or improvement district measures. Some bills were amended or temporarily returned to the calendar for correction, including a firefighter retirement board governance bill, while most final passages were accompanied by motions to table reconsideration and, in some cases, requests for co-authors.

Transcript Highlights:

• Have you heard the term forced treatment before?
• Deonda, the medical treatment that you received inside, but also the medical treatment, mental health
• Through the court order, there is an order that 50% of clinicians can be providing telemental health.
• And through the court order, there is an order that 50% of clinicians can be providing telemental health
• The receivership is court-ordered, so I just want to be clear that it's court-ordered.

Summary: The Assembly Budget Subcommittee hearing focused on the Department of Corrections and Rehabilitation’s handling of mental health care in prisons and allegations of sexual abuse, retaliation, and excessive force in the state’s women’s facilities. CDCR officials described their PREA-based prevention and response efforts, including training, oversight, body-worn cameras, retaliation follow-up, and partnerships with outside groups. The Office of the Inspector General explained its monitoring role, noting increased authority under SB 1069, but also limited staffing and the ability to monitor only a portion of cases. The Legislative Analyst’s Office added that prison population trends could allow the state to close a prison and save over $100 million, with some savings potentially redirected to prevention or response efforts. Advocates and formerly incarcerated witnesses from Sister Warriors Freedom Coalition and the California Coalition of Women Prisoners testified that meaningful systemic change has not occurred and that retaliation, blocked programming, and unsafe reporting conditions remain widespread. They described alleged barriers to community-based services, forced or coercive treatment concerns involving Suboxone, and the need for survivor-centered reentry support, trauma-informed care, and more independent oversight. Sandra DeAnda gave detailed testimony about alleged staff abuse, retaliation, denial of mental health care, and a large use-of-force incident at Central California Women’s Facility, while Amika Mota and April Grayson urged release or resentencing for survivors housed with their abusers and greater investment in outside programs. Members of the committee pressed CDCR and OIG on accountability, use-of-force standards, criminal referrals, disciplinary outcomes, and whether investigations are completed within statutory timelines. CDCR acknowledged cultural problems at both women’s prisons and said it was retraining staff and working on reforms, while OIG said it had monitored 161 investigations and found most grievance routing appropriate, though some cases had lapsed due to time limits. Later exchanges revealed that CDCR has over 13,500 active cases and 109 investigators, and that some cases have exceeded deadlines, prompting concerns from members about whether the current system can adequately investigate misconduct and impose consequences. No votes were taken.

Transcript Highlights:

• Thank you for taking me out of order.
• We are always evolving new treatments; we have peer support now.
• We are always evolving new treatments, we have peer support now.
• People thought that I had to be beaten in order to stop that behavior.
• People with disabilities deserve treatment that heals, not harms—treatment rooted in respect, safety,

Committee: Joint Joint Committee on Children, Families and Persons with Disabilities

Summary: The committee held a hybrid hearing on a range of bills affecting children, families, disability rights, homelessness, and social services. Early testimony focused on H.215, which would support children experiencing homelessness by speeding access to child care vouchers and early intervention screenings. Boston officials, Horizons for Homeless Children, Head Start, pediatric and early education advocates, and families described delays in child care and early intervention, the developmental risks of homelessness, and the need for automatic referrals and faster access to services. Testimony also supported H.216, which would improve emergency housing assistance by restoring presumptive eligibility, reducing documentation barriers, extending shelter stays from six to nine months, and creating an ombudsperson; providers and legal advocates said current rules leave families sleeping in cars or outside and create unnecessary administrative hurdles. The committee also heard strong support for H.210, which would repeal the “Learn Fair” school attendance sanction that cuts cash assistance to families when children miss school. Advocates from legal aid, education, and anti-poverty organizations argued the policy is punitive, burdensome, and ineffective, disproportionately affecting low-income, disabled, and Hispanic/Latino families. Several speakers said chronic absenteeism should be addressed through supports such as family outreach, wraparound services, and school engagement rather than benefit cuts. Legislators and school officials from Salem also testified that their districts reduced absenteeism through supportive strategies, not sanctions. Additional testimony addressed children’s vision bills H.202 and H.166, with optometrists and researchers urging better screening, data systems, and treatment access to close achievement gaps caused by untreated vision problems. Senator Lovely also presented S.2714, proposing a study of discrimination in public accommodations for people with service animals. Later, testimony on H.279 supported changing social work licensure rules to remove exam requirements that speakers said disproportionately exclude multilingual candidates and candidates of color. The hearing also included testimony on bills related to the Judge Rotenberg Center and electric shock devices, with disability rights advocates opposing continued use of the devices and urging the committee to reject licensing or authorization for them. No votes or committee actions were taken during the hearing.

Transcript Highlights:

• The Committee on Judiciary will now come to order. Lisa, please call the roll. Chair Yarborough?
• This language will lead to issues regarding IVF, emergency treatment, and cancer treatment.
• This will lead to issues regarding IVF, emergency treatment, and cancer treatments for people while pregnant
• Treatment under non-compete and garden leave agreements.
• The bill proposes amendments regarding treatment of surrendered infants.

Committee: Senate Judiciary

Summary: The Judiciary Committee heard Senate Bill 1272 on guardianship, which would limit a guardian’s ability to isolate an adult ward from family and require notice of major events such as a ward’s death or relocation to a more restrictive setting. Senator Jones and supportive speakers said the bill was intended to protect wards from abuse and isolation by bad actors, while still preserving good-faith guardianship. With no opposition testimony or debate, the committee voted 8-0 to report the bill favorably. The committee then considered CS for Senate Bill 1284, which would expand Florida’s Wrongful Death Act to allow civil claims for the death of an unborn child. An amendment was adopted to define “unborn child” as a member of the species Homo sapiens carried in the womb and to state that the act does not authorize claims against the mother or against health care providers acting within the lawful standard of care. The bill drew extensive debate and testimony. Supporters argued it would give parents parity and fuller damages, including economic losses and mental anguish, when negligence causes the death of an unborn child. Opponents, including the ACLU, medical professionals, and reproductive rights advocates, warned it could be used to target abortion care, increase malpractice exposure, worsen physician shortages, and create speculative damages. The committee approved the bill 6-4. Finally, the committee took up Senate Bill 1288 on parental rights, with a strike-all amendment that would strengthen parental control over minors’ medical decisions, surveys, and biofeedback devices, while adding exceptions for emergencies, court orders, certain legal statuses, and situations involving abuse or out-of-home placement. Supporters said the measure restores parents as primary decision-makers and protects children from inappropriate questioning or treatment without consent. Opponents argued it could block minors from confidential care for STIs, mental health, or abuse-related issues, and could chill school and medical screenings. The transcript ends during testimony and debate on this bill, before any final vote is shown.

Transcript Highlights:

• It also requires, rather than allows, L&I and participating self-insurers to authorize PTSD treatment
• prior to... ...participating self-insurers to authorize post-traumatic stress disorder treatment prior
• prior to. participating self-insurers to authorize post-traumatic stress disorder treatment prior to
• And we want to get them that post-traumatic stress disorder treatment as early and often as possible.
• She said she wanted Chipotle, and I was like, what am I going to order?

Summary: The committee held executive session on eight bills and heard staff briefings on each measure and any proposed substitutes or amendments. The bills covered domestic worker labor protections (HB 2355), a PTSD treatment pilot in workers’ compensation (HB 2405), electronic notices from L&I (HB 2406), private-sector collective bargaining (HB 2471), fire sprinkler contractor licensing and fitter certification (HB 2472), wage complaint enforcement discretion (HB 2478), a wage recovery program and account (HB 2479), and behavioral health and wellness training for apprentices (HB 2492). Several amendments were described as stakeholder-driven or clarifying, including changes to babysitting exemptions and disclosure language in HB 2355, opt-in language for the PTSD pilot in HB 2405, restoration of some current-law notice provisions in HB 2406, and technical or policy-aligning changes in the wage and apprenticeship bills. During final action, the committee adopted the proposed substitute for HB 2355 and reported it out with a due pass recommendation on a 6-3 vote, with opponents citing the fiscal note and affordability concerns. HB 2405 was amended to make participation in the PTSD pilot voluntary for workers and self-insurers, then passed unanimously out of committee. HB 2406 also passed unanimously after an amendment preserving certain current-law notice provisions. HB 2471, the collective bargaining bill, was reported out on a 6-3 vote after debate over whether the bill was premature given the current status of the NLRB. The committee then adopted a stakeholder amendment to HB 2472 and passed it unanimously, followed by unanimous passage of amended HB 2478, which gives L&I discretion in wage complaint enforcement and requires public prioritization of complaints. HB 2479, creating a wage recovery program and account, was also amended and passed unanimously, with members emphasizing bipartisan support and the goal of helping workers recover unpaid wages faster. Finally, HB 2492 was amended to allow certain behavioral health training to count toward continuing education for licensed electricians and plumbers, and it passed unanimously before the committee adjourned.

Transcript Highlights:

• Substitute House Bill 2405 is an act relating to establishing a pilot program for PTSD treatment and
• There are also up to 12 additional treatment sessions if the claim has not been adjudicated by 90 days
• Once the claim is allowed, the worker must seek treatment from a network provider.
• So it's at its core investing in treatment in these workers to get better outcomes for them.
• So it's at its core investing in treatment in these workers to get better outcomes for them.

Bills: HB1526 , HB1069 , HB1347 , HB2091 , HB2264

Committee: Senate Labor & Commerce

Keywords: liquor license, snack bar, state regulations, alcohol sales, business licensing, collective bargaining, retirement benefits, employee rights, public sector, supplemental benefits, education, funding, student loans, affordability, higher education, public employers, employee information, bargaining representatives, labor relations, union representation

Transcript Highlights:

• The Committee on Judiciary will now come to order. Madam Secretary, please call the roll.
• And he had to, of course, incur medical treatment as a result of that. Is that right?
• So at some point, in order for a prosecutor to proceed...
• So at some point, in order for a prosecutor to proceed, and with the elements of the crime, a person
• Maybe you might be one in order to define that term for the statute. Thank you for coming today.

Committees: House Judiciary , House Judiciary and Civil and Criminal Jurisprudence

Transcript Highlights:

• So I just kind of go in the order that we typically administer them.
• So I just kind of go in the order that we typically administer them.
• There were COVID, I think they were called treatments more properly than vaccines.
• Point of order, Mr. Chair, and I apologize. Point of order is called. Mr.
• Vice Chair, what is your point of order? Is there a question here? Yeah.

Bills: HB2086 , HB2248 , HB2688

Committees: House Regulatory Oversight , House House Regulatory Oversight Committee of Reference

Keywords: vaccination mandates, mask requirements, public health, government entities, COVID-19, medical freedom, healthcare mandates, employment requirements, government regulation, vacant positions, state budget, government efficiency, employment, full-time equivalent positions

Transcript Highlights:

• , prolong treatment for a patient.
• The only way it gets changed is by a court order.
• Advance health care directives, pre-hospital do-not-resuscitate orders, or DNRs, and physician orders
• These are not medical orders.
• It's not just about the treatment.

Summary: The Senate Committee on Health heard several bills focused on Medi-Cal access, HIV prevention, death certificate amendments, caregiver certification, advance care planning, and sugar-sweetened beverage labeling. SB 1422 by Senator Durazo would restore Medi-Cal access for income-eligible undocumented adults beginning January 1, 2027. The author and many supporters argued the enrollment freeze shifts costs to counties and hospitals, worsens health outcomes, and undermines California’s prior coverage gains. County, labor, health, immigrant-rights, and provider groups testified in support; there was no opposition. Committee members generally expressed support but also raised concerns about funding and the need for new revenue sources. The bill was discussed while the committee lacked quorum, so no vote was taken at that time. The committee also heard SB 1023 on PrEP access, SB 1071 on death certificate amendments after homicide findings, SB 1057 on criminal-history review for CNA and home health aide certification, and SB 1088 on POLST and advance care planning updates. SB 1023 would require insurers that cover injectable PrEP under the medical benefit to also cover it through the pharmacy benefit; supporters said this would reduce administrative barriers and improve access, while health plans and insurers opposed it as an unnecessary mandate that could blur benefit design lines. SB 1071 would allow next of kin to amend a death certificate’s manner of death to homicide after a final court determination; families and law enforcement supported it as a matter of truth and closure, while coroners opposed it as blurring medical and legal findings and potentially distorting public health data. SB 1057 would replace automatic denial with individualized review for certain convictions in CNA and home health aide certification, and SB 1088 would modernize POLST/DNR rules, including electronic signatures, out-of-state recognition, and clarifying who may sign; both drew support, though clinical nurse specialists opposed SB 1088 because they were not included as authorized signers. Several of these bills were heard without quorum, so no votes were taken during the discussion. After quorum was established, the committee heard SB 869 by Senator Weber-Pierce, which would require large chain restaurants to display a clear added-sugar icon next to beverages exceeding 50% of the daily recommended limit. The author and supporters, including the American Diabetes Association and an emergency physician, said consumers need simple, visible information at the point of purchase to better understand health risks tied to sugary drinks. The bill was framed as a public health transparency measure aimed at diabetes, obesity, and other chronic disease prevention. The transcript ends during testimony on SB 869, before any final committee action or vote is shown.

Transcript Highlights:

• We are now coming to order.
• That treatment plant had not been functioning for probably 15 years.
• I just want to make a very clear point that neither the treatment plant on the U.S. side nor the treatment
• from just, you know, allowing the 25 million gallons per day treatment to 35.
• treatment process.

Summary: The joint Senate and Assembly Environmental committees held an informational hearing on the Tijuana River Valley pollution crisis, with members from both parties emphasizing that the problem is decades old, cross-border, and requires federal, state, local, and binational action. Opening remarks described the crisis as a major environmental and public health emergency affecting San Diego County beaches, air quality, marine life, tourism, and nearby communities. Assembly Member Boerner and Senator Jones both stressed the need for continued funding and cooperation, while Supervisor Paloma Aguirre outlined county efforts and called for urgent action on localized fixes and health protections. Aguirre described the scale of sewage flows from Tijuana, the long beach closures, and the county’s response, including warning signs, an air purifier distribution program, a planned epidemiological study, soil testing, and an economic impact study. She highlighted a “hot spot” near Saturn Boulevard where wastewater becomes airborne, citing elevated hydrogen sulfide levels, community illness reports, and proximity to schools and homes. Congressional staff reported that the federal delegation has secured more than $650 million for infrastructure and cleanup, supported legislation to strengthen federal watershed and IBWC programs, and pressed federal agencies for health investigations, air monitoring, and emergency declarations. Scripps scientists Dr. Sarah Giddings and Dr. Kimberly Prather presented research on water and air transport of pollution. Giddings described a five-day coastal water quality forecast model, supported by state funding, that tracks wastewater movement and helps predict beach closure risk; she said the model has about 72% accuracy and is being refined with ongoing measurements. Prather explained that polluted surf-zone spray and aerosols can carry bacteria, viruses, and gases into the air, and said her team’s measurements showed strong links between river flow, odor complaints, and hydrogen sulfide spikes, with a major drop after river diversion. She also said the team has identified thousands of airborne compounds and is studying their health implications. Dr. Paula Stigler Granados summarized public health findings, saying surveys and monitoring show nighttime exposure, sleep disruption, headaches, respiratory symptoms, anxiety, and other impacts, especially for children, workers, and older adults. She reported chemical analyses finding hundreds of contaminants in river water and a distinct chemical fingerprint at the Saturn hot spot, including evidence that pollutants infiltrate nearby homes. Sergio Dondina of Wild Coast focused on ecological and economic damage, beach loss, tire and trash pollution, and the community’s sense of being ignored. No formal votes or legislative actions were taken during the informational hearing.

Transcript Highlights:

• I would note that we are looking to send this to the 14th order in order to bring one of our definitions
• to help them navigate an appropriate treatment plan for that.
• to help them navigate an appropriate treatment plan for that.
• "Treatment plan for that.
• So again, we're looking to get this to the amending order.

Committee: Senate Health and Welfare

Transcript Highlights:

• I would like to welcome our to order.
• Our order to have some public comments.
• But House Bill 695 treatment providers.
• </c> psychiatric uh residential treatment psychiatric uh residential treatment facilities,<00:36:04.560
• </c> poor or even no treatment? poor or even no treatment?

Summary: The Medicaid Oversight Board meeting opened with quorum, approval of the March 9 and March 16, 2026 minutes, and a welcome to new member Representative Willner. The board then heard a presentation from the Department of Medicaid Services on several statutory reports: the quarterly budget analysis (LRC) report, the quarterly MCO report, the provider tax and assessment report, the enrollee demographic report, the annual behavioral health/substance use disorder utilization report, and the Medicaid pharmaceutical rebate fund. Commissioner Lisa Lee and CFO Steve Bechal explained the reports and answered questions. On spending, DMS said the quarterly budget analysis report should be read using the summary tabs because the first tab reflects only traditional Medicaid and does not include all populations. Lee said the first three quarters of fiscal year 2026 showed about $191 million more in waiver spending than the same period last year, about $250 million more in other categories such as nursing facilities, CCBHCs, and FQHCs, and roughly $450 million more in total fee-for-service spending. She also noted that Medicare Part D premiums are 100% state funds and estimated the state-fund increase at about $140 million. For managed care, DMS said pharmacy, inpatient hospital, and outpatient hospital spending made up about 66% of MCO payments so far this fiscal year. Members asked about administrative costs, provider tax impacts, citizenship-status categories, medical loss ratio, and whether the reports could be expanded to show recoupments and citizenship-based spending. DMS clarified that the spending figures discussed were benefit costs only, not administrative costs, and said administrative match rates vary. On the provider tax and directed payments report, Lee said the new CMS proposed rule would allow separate payment terms to continue through the grandfathering period, but that the impact would be substantial for providers even if the administrative effect was minimal. She also said DMS was still reviewing unusual citizenship categories such as “other” and “unspecified,” and would provide more information on medical loss ratio and recoupments if available. Auditor Ball raised concerns about alleged waste, duplicate Social Security numbers, ineligible enrollees, and high error rates in other programs. Lee responded that Medicaid focuses on fraud, waste, and abuse, but said the cited $800 million figure was not factual because it did not account for people enrolled in more than one Medicaid program at the same time. She said DMS is reviewing eligibility systems, including changes tied to community engagement requirements, and is working with the cabinet’s eligibility staff and ombudsman division on error rates. No additional votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• We will now call the meeting of the Senate Drug Policy Committee to order.
• And it is being going through clinical trials for the treatment of treatment-resistant depression.
• </c><00:05:28.080><c> of</c><00:05:28.840><c> treatment-resistant</c> for the treatment of treatment-resistant
• for the treatment of treatment-resistant depression. depression. depression.
• And so, this is for treatment-resistant depression.

Committee: Joint Drug Policy

Transcript Highlights:

• Yes, order in the court, order in the court. Um, we do not have a quorum, but that's okay.
• </c> their wastewater treatment facility. their wastewater treatment facility.
• Um Stantec is an wastewater treatment.
• </c> to upgrade the wastewater treatment to upgrade the wastewater treatment facility<00:18:24.880><c
• </c> their wastewater treatment facility. their wastewater treatment facility.

Bills: HF4710 , HF4055 , HF3848 , HF3989 , HF4599 , HF3767 , HF3592 , HF3575 , HF3574 , HF3543 , HF4606 , HF4489 , HF3891 , HF3438 , HF3811 , HF3400

Committee: House Capital Investment

Transcript Highlights:

• We'll call the Emergency Response Services Committee to order.
• Treatment does not need to Treatment does not need to take place in a hospital, but we do require services
• in place, treatment without transport.
• “Medicare to pay for treatment in place?” Yes.
• to pay for treatment in place.

Summary: The committee was called to order, a quorum was established, and the minutes from the prior meeting were approved. The first major presentation came from Montana Public Employees Retirement System executive director William Hollahan, who gave an overview of Montana’s Volunteer Firefighters’ Compensation Act plan. He explained that the plan covers volunteer firefighters in unincorporated areas, is funded by 5% of state fire insurance premium taxes, and currently serves 228 departments with about 2,936 active members and 1,242 retirees. He described eligibility rules, annual training and reporting requirements, benefit levels for partial and full pensions, disability, death, medical, and funeral benefits, and said the plan is actuarially sound with roughly $60 million in assets and a funded ratio slightly above 100%. Committee members asked about prior-service credit, whether EMS personnel are included, the effect on recruitment and retention, and whether expanding coverage would require a funding analysis; Hollahan said prior service is not credited, EMS is not currently included, and any expansion would need financial review. Tim Walleen of Workforce Safety and Insurance then presented a draft North Dakota workers’ compensation solution for volunteer firefighters and volunteer EMS personnel. He explained that volunteer responders are already covered by workers’ comp for medical and wage-loss benefits, but the proposal would set a minimum annual wage of $30,000 for calculating wage-loss benefits for qualifying volunteers, with the benefit paid at two-thirds of that amount. Representative Porter suggested tying the volunteer definition to existing code rather than a fixed dollar amount, and Walleen agreed. Questions focused on whether search and rescue or other volunteer emergency services could be included, whether departments would face new paperwork, and whether volunteer organizations can already elect coverage; Walleen said there would be no additional paperwork and that volunteer coverage is already available. The committee also heard from volunteer fire service representatives and the state fire marshal. An Oakes-area firefighter, Mr. Olson, testified that small departments are struggling with retention, communication, and administrative burdens, especially around separate bookkeeping and funding rules for donated or fundraising money, and he said departments need clearer guidance from the state. State Fire Marshal Dr. Matthew Clark introduced himself and outlined a broader effort to improve education, support, and coordination for fire departments, including a planned 10% audit of certificates of existence beginning in 2027, more outreach through his office, and better assistance with training, reporting, and grant access. He said his office is authorized under current law to provide these services, but the role has been vague and underused. Finally, Arnagard Rural Fire District Chief Rick Schreiber testified in favor of new recruitment and retention ideas, including retirement-style benefits, health insurance, tax incentives, scholarships, grants, and more remote or regional training. He said volunteer departments are losing members, that local tax and donation funds are already stretched, and that any new retirement or incentive program should be sustainable and likely involve a mix of state and local support.

Transcript Highlights:

• our norm, and the fact that we have a very busy agenda, I will ask Onhar to call the committee to order
• Each provider will create and maintain a record of treatment.
• So it just makes clear that there's... ...so or pursuant to a court order.
• Necessary in order to communicate with any of the providers the changes? Follow up.
• The bill proposed amendments regarding treatment of surrendered infants.

Committee: Senate Health Policy

Summary: The committee took up a large health policy agenda. SB 1568 on electronic prescribing was explained as a federal conformity measure, but members raised concerns about preserving patients’ ability to obtain paper prescriptions and about exemptions for emergency, hospice, and other situations. Emergency physicians testified in support of e-prescribing but asked for flexibility, and the bill was reported favorably despite Senator Harrell’s opposition. SB 1606 on patient access to records sought to standardize record-production timelines and require electronic delivery when available; after an amendment correcting a drafting error, the bill drew concerns about HIPAA, behavioral health confidentiality, and the distinction between personal and legal representatives, and it was reported unfavorably as a committee substitute. The committee then approved SB 1346 on fentanyl testing, with a technical amendment, to require hospitals and campus emergency departments to test for fentanyl in urine testing for suspected overdose or poisoning. SB 1224 on administration of controlled substances by paramedics was amended to clarify language and reported favorably. SB 656 on health care billing and collection activities was substantially revised by strike-all amendment to allow sale of medical debt to third parties under new limits, including no interest or fees and return of debt if charity care applies; it was reported favorably as a committee substitute. SB 68 expanded health facilities authority financing to include not-for-profit LLCs and parent companies, and SB 524 added Duchenne muscular dystrophy to the newborn screening panel; both were reported favorably. Later, the committee approved SB 1842 on out-of-network referrals after multiple amendments, requiring providers to verify network participation at the point of service and notify patients in writing, though several members and physicians warned it could burden providers and increase workload. The committee also advanced proposed committee bill SB 7028, which revises the Casey DeSantis Cancer Research Program, adds oversight and reporting requirements, creates a pediatric cancer research incubator, and establishes the Bascom-Palmer VisionGen initiative; cancer center representatives testified in strong support, and the bill was reported favorably as a committee bill. SB 172 on specialty titles and designations was amended to clarify enforcement and was reported favorably after supporters said it would prevent misleading use of specialist titles, while opponents argued it could confuse practitioners’ titles. Finally, SB 1690 on surrendered infants was reported favorably after supporters said it would codify and expand safe-haven baby box procedures and opponents raised safety concerns about the devices. The committee also noted SB 1606 remained pending for reconsideration next week before adjourning.

Transcript Highlights:

• The uh uh we'll order of business.
• </c><00:09:22.959><c> of</c> we'll revert to the third order of we'll revert to the third order of business
• Remaining under the orders of business of motions and resolutions, we'll revert again to the third order
• ,</c> Health, Direct Care and Treatment, Health, Direct Care and Treatment, Behavioral<00:12:26.560><
• The next order of business is the fourth order of business: first reading of House bills.