Transcript Highlights:

• </c><00:31:15.279><c> minor</c> straightforward necessary minor straightforward necessary minor amendment
• licensed medical provider.
• licensed medical provider.
• licensed medical provider.
• licensed medical provider.

Summary: The committee first heard House Bill 758, which would establish a study committee on airport operation hours and possible noise abatement measures, including whether New Hampshire should prohibit departures between midnight and 6 a.m. The sponsor said the committee would examine the pros and cons and consult stakeholders. The Bureau of Aeronautics testified neutrally, noting that New Hampshire has 25 public airports, 12 with federal funding and grant assurances that may require them to remain open during those hours, and that cargo operations, including at Manchester, commonly occur overnight. Members also discussed existing noise abatement programs and how mitigation is determined by noise contours and FAA funding decisions. No vote was taken; the chair closed the hearing after testimony. The committee then heard House Bill 489, allowing voluntary emergency workers to use rear-facing blue lights on private vehicles when responding to emergencies. The sponsor said the bill corrects an oversight in existing law, would not cost the state or towns money, and would improve visibility and safety, especially in rural areas. Supportive testimony from a volunteer responder emphasized that blue lights help cut through fog, snow, and nighttime conditions, and that the bill would only add a single rear-facing blue light to existing red, amber, and white emergency lighting. The New Hampshire State Police opposed the bill, arguing that expanding blue lights to private vehicles would confuse the public and desensitize drivers to blue lights, which are associated with law enforcement. The hearing closed without action. Finally, the committee took up House Bill 533, which the sponsor and State Police clarified is actually two separate changes: one authorizing civilian automotive equipment inspectors to assist with vehicle inspection work, and another expanding language in motor carrier enforcement to include new entrant safety audits and compliance reviews. The State Police explained that civilian inspectors are hired and trained through the department and that any findings of state-law violations would be referred to troopers; they also said the new motor carrier language was requested to satisfy federal audit concerns about right of entry. The New Hampshire Motor Transport Association said it had no position if the civilian inspectors were not doing commercial truck inspections, but would oppose the bill if they were. Members asked about the difference between audits and compliance reviews, and the State Police said audits are for newer carriers and are non-enforcement, while compliance reviews look for violations. The chair then closed the hearing on HB 533. After a brief reset, the committee opened House Bill 594, which would repeal an alternate definition of “way” for the driving-after-suspension statute. The sponsor said the change was requested by the Department of Justice. Representative Erica Leon opposed the repeal, explaining that the prior language was intended to avoid criminalizing people who mow lawns or perform similar work near property edges while suspended, but she worried the repeal could create a loophole allowing driving on places like highway medians. Members questioned whether the issue was limited to mowing or broader vehicle use on property edges, and Leon said she would work with agencies to clarify the language so it protects lawful mowing without allowing misuse. No vote was taken in the portion provided.

Transcript Highlights:

• Once those undergraduate medical students get into graduate medical education and they do their residencies
• Are we going to purchase a medical school?
• Are we going to purchase a medical school?
• I mean, medical education, as well as the whole, I mean, it's really key to the entire medical system
• I mean, medical education as well as the whole, I mean, it's really key to the entire medical system

Summary: The meeting focused first on a legislative working group report created under House Bill 368 from the prior session on medical education in Idaho. The presenter described Idaho’s physician shortage, noting the state ranks 50th per capita in physicians and would need roughly 1,400 additional physicians to reach the national average. The group’s unanimous recommendations included maintaining current state-supported medical school seats, adding 10 new non-WAMI seats this year, expanding graduate medical education by 15 seats, prioritizing in-state training, and creating a dedicated health education coordination role to manage undergraduate and graduate placements, clinical sites, and data. Members discussed whether WAMI should also expand, the quality of WAMI graduates, the need for more clinical preceptors and residency sites, rural recruitment incentives, and whether the plan should include other health professions such as nurse practitioners and physician assistants. The presenter said the plan includes benchmarks and timelines, and estimated costs of about $350,000 for coordination, $350,000 to $485,000 for 10 new UME seats depending on placement, and $900,000 for the GME request. The committee then heard from Legislative Audit Division Manager April Renfro on the state’s 2024 single audit and related accountability work. She reported $5.4 billion in federal assistance audited, 21 major federal programs across 15 agencies, 45 findings, seven repeat findings, $2.4 million in known questioned costs, and $2 million in projected questioned costs. Major issues were concentrated at the Department of Health and Welfare, including Medicaid findings involving delayed health and safety surveys, managed care provider eligibility and roster controls, and capitation payments tied to ineligible members; Child Care and Development Fund reporting and cost-allocation errors; and repeat issues in vocational rehabilitation and low-income home energy programs. She also noted Department of Environmental Quality problems with indirect cost proposals and a duplicate grant draw, while Transportation had no findings. Members asked about accountability for repeat findings, the role of Luma in reporting errors, fraud detection, and how to prioritize corrective action; Renfro said agencies, federal management decisions, and legislative oversight all play a role, and she planned to send a prioritized list of key findings to the co-chairs. A later presentation by budget analyst Brooke Dupree introduced front-end reports in the legislative budget book, explaining state government structure, the constitutional limit of 20 executive departments, and how the Legislature uses decision units to build appropriations. She walked through the original appropriation, reappropriations, supplemental appropriations, and how those pieces roll into the current-year total appropriation, with members asking brief questions about departmental divisions and the budget model.

Transcript Highlights:

• on MinnesotaCare, to medically necessary appointments.
• , to medically on Minnesota Care, to medically necessary<00:03:00.280><c> appointments.
• It provides transportation to medically necessary covered services, so medical necessity must be established
• It provides transportation to medically necessary covered services, so medical necessity must be established
• necessary covered services, so medical necessity must be established for the service to which and from

Committee: House Fraud Prevention and State Agency Oversight Policy

Transcript Highlights:

• The bill has a definition of covered caregiver to include medical doctors, physicians, registered nurses
• , practical nurses, osteopathic physicians, participants in a medical residency, psychologists, counselors
• participation in peer support or mental health services unless otherwise required by federal law or necessary
• ... employee's insurance agency for treatment of a medical condition to receive an alternative covered
• However, completing such checks are necessary to be eligible to participate in the compact.

Committee: Senate Health and Human Resources

Transcript Highlights:

• These are necessary cleanups because the assessor had some issues, from my understanding, and you can
• So to have him here to... ...our IAFF International Association of Fire Fighters medical director, so
• My name is Dan Wu, WHO, and I'm a triple board-certified medical doctor and an epidemiologist.
• I also serve as the chief medical officer for the International... Task Force One.
• I also serve as the chief medical officer for the International Association of Fire Fighters.

Summary: The House Labor, Veterans and Military Affairs Committee began by rolling House Bill 132 at the sponsor’s request because amendment language was still being worked on. The committee then proceeded without quorum as a subcommittee until additional members arrived. House Bill 285, as amended, was heard first. The bill was described as a cleanup measure to clarify New Mexico’s disabled veterans property tax exemption, including that it applies to a veteran’s primary residence and how it works for properties with multiple owners. Testimony from New Mexico counties, the Tax and Revenue Department, and the Department of Veterans Services supported the bill, saying it would reduce confusion for assessors and help veterans access the exemption. One member raised broader concerns about housing insecurity among unhoused and renting veterans and asked for interim data on how many veterans would actually benefit, but the committee noted those issues were outside the bill’s scope. The committee adopted the amendment and then passed HB 285 as amended with a do pass recommendation. The committee then heard House Bill 128, which updates the state’s occupational disease and disablement law for firefighters by expanding the list of covered cancers and related conditions, aligning the state law with newer research and recent federal changes, and standardizing the employment period to five years. The sponsor and supporters said the bill reflects current science, removes outdated age limits for some cancers, and makes it easier for firefighters to receive workers’ compensation without having to prove causation case by case. Firefighters and union representatives gave emotional testimony about personal cancer diagnoses and the burden of fighting insurers while undergoing treatment. The Workers’ Compensation Administration, labor groups, and trial lawyers all supported the measure. Committee members asked about the federal model, the five-year threshold, the impact on rural jurisdictions, and why women’s cancers were not previously included; witnesses explained that the changes reflect updated data and the underrepresentation of women in the fire service. Dr. Dan Wu, speaking online, said firefighter cancer is an epidemic and argued the science supports the bill. The committee then adopted the motion and passed HB 128 with a do pass recommendation before adjourning.

Transcript Highlights:

• These are necessary cleanups because the assessor had some issues, from my understanding, and you can
• So to have him here to... ...our IAFF International Association of Fire Fighters medical director, so
• My name is Dan Wu, and I'm a triple board-certified medical doctor and an epidemiologist.
• I also serve as the chief medical officer for the International Association of Fire Fighters.
• I also serve as the chief medical officer for the International Association of Fire Fighters.

Summary: The House Labor, Veterans and Military Affairs Committee met and first announced that House Bill 132 would be rolled at the sponsor’s request because amendment language was still being worked on. The committee then proceeded without full quorum for part of the meeting and moved to House Bill 285, which concerns New Mexico’s disabled veterans property tax exemption. The sponsor and administration explained that the amended bill is a technical cleanup intended to clarify that the exemption applies to a veteran’s primary residence, address multiple-owner situations, and remove duplicative statutory language. Support came from New Mexico counties, the Tax and Revenue Department, and the Department of Veterans Services, all saying the bill would improve uniform administration without changing the substance of the exemption. Members also discussed broader concerns about veteran housing and homelessness, though the sponsor noted those issues were outside the bill’s scope. After quorum was established, the committee formally adopted the amendment to HB 285 and then passed the bill as amended on a do pass motion. Members asked about protest timelines and how the clarification would help veterans who are waiting on certification; the sponsor explained that the bill preserves the ability to protest within existing timeframes and gives veterans additional time to secure certification. The committee then took up House Bill 128, which updates New Mexico’s occupational disease and disablement law for firefighters by expanding presumptive cancer coverage and aligning the state list with newer research and federal changes. Testimony in support came from firefighters, labor groups, workers’ compensation officials, and medical experts, who described occupational cancer as a major cause of firefighter deaths and said the bill would reduce the burden on sick firefighters by presuming coverage rather than forcing them to prove causation. Members also raised questions about women firefighters, the five-year employment baseline, and fiscal impact, and the bill sponsor and Dr. Wu explained that the five-year standard reflects federal compromise and current data limitations. The committee then approved HB 128 on a do pass motion and adjourned.

Transcript Highlights:

• completion of two years of postgraduate medical training.
• At this point, the Medical Commission believes it is a solid program.
• This is not necessary. I think the medications should just expire.
• This is not necessary. I think the medications should just expire.
• This is not necessary. I think the medications should just expire.

Summary: The committee heard public testimony on several health-related bills. SB 5904 would restrict nursing titles such as RN, NP/ARNP, and LPN to licensed human people and prohibit non-human entities, including AI chatbots, from using those titles. The sponsor and nursing advocates said the bill is meant to prevent confusion and protect public trust, while preserving the use of AI as a support tool. SB 5877 would add a $70 surcharge for certified anesthesiologist assistants so they can participate in the Washington Physicians Health Program and access HealWA resources; supporters said it closes a technical gap and aligns CAAs with other medical professions. SB 5185 would create a pilot pathway for certain international medical graduates with clinical experience licenses to obtain full primary care licensure; supporters from the medical commission, physicians, and IMG advocates said the program has worked well, has shown no patient safety issues, and could help address workforce shortages. The committee also heard extensive testimony on ESSB 6210, which would let the Health Benefit Exchange adopt additional market-factor certification criteria for exchange plans, including standards aimed at preserving access and affordability in underserved counties. Supporters, including the exchange, OIC, consumer advocates, tribal representatives, and patient groups, said the bill is needed to respond to federal policy changes, rising premiums, and disappearing coverage in places like San Juan County. Opponents from carriers and employer groups argued the timeline is too fast, the criteria are too discretionary, and the bill could reduce competition and raise costs. The committee then heard SB 5981, which would strengthen protections and reporting requirements for the federal 340B drug pricing program and limit manufacturer restrictions on contract pharmacies and data requests. Hospitals, clinics, and patient advocates said the bill protects safety-net care and rural access, while manufacturers, employers, and business groups argued it would expand a program that already raises costs and lacks transparency. In executive session, the committee took action on SB 5917, related to Department of Corrections distribution of abortion medications, rejecting five proposed amendments and then advancing the bill on a 10-6 vote with three excused. The committee also advanced SB 5988, which concerns Department of Health opioid treatment program accrediting activities, on a do-pass recommendation after brief discussion.

Transcript Highlights:

• I'm a medical doctor. I serve as... My name is Dr. Britta Lundberg. I'm a medical doctor.
• Medical staff will be right there... We don't need medical staff. We have our phones.
• So at least have some kind of medical staff.
• Tracks do not have medics on site.
• get the necessary medical care.

Bills: H4697 , S2635 , S2680 , S2681 , H5158

Committee: Joint Joint Committee on Public Safety and Homeland Security

Keywords: constables, civil deputy sheriffs, law enforcement, training, certification, public safety, emergency response, red lights, Barnstable, town management, public health, safety standards, nuclear power, waste management, community protection, BMX, motocross, safety, regulation, insurance

Transcript Highlights:

• After that, we will hear the Arizona State Veterinary Medical Examining Board nominees to close us out
• Chair, members, the Arizona State Veterinary Medical Examining Board is a nine-member board that was
• And I think as everything is reviewed that's necessary for, I think, as everything is reviewed that's
• Radajack to the Arizona State Veterinary Medical Examining Board. All right. You further motion?
• Carolyn Ratta Jack to the Arizona State Veterinary Medical Examining Board for full consideration.

Committees: Senate Natural Resources , Senate Senate Natural Resources Committee of Reference

Transcript Highlights:

• of surgery at Harvard Medical School.
• These procedures are medical procedures.
• I say it's a medical procedure to be performed by people with medical training, and that is my position
• in the collection of medical debt, prohibits the reporting of medical debt to credit agencies, which
• is just very important because ...medical debt prohibits the reporting of medical debt to credit agencies

Committee: Joint Joint Committee on Consumer Protection and Professional Licensure

Summary: The committee opened a hearing of the Joint Committee on Consumer Protection and Professional Licensure focused on health care and human services, reviewed testimony logistics, and then heard a long series of witnesses on several bills. Much of the testimony centered on interstate licensure compacts for dentistry, social work, and occupational therapy, with supporters arguing these compacts would improve workforce mobility, continuity of care, and access while preserving state oversight and public protection. Dental witnesses were split on H.455/S.257, with supporters backing the AADB dental compact for its hands-on exam, background checks, and disciplinary safeguards, while opponents argued a competing compact would better promote portability and avoid conflicts tied to proprietary testing and outside commissions. Social work witnesses strongly supported H.380/S.252, emphasizing continuity of care for clients who move across state lines, reduced costs and delays for practitioners, and the compact’s public-protection features; occupational therapy witnesses similarly supported H.427/S.256, citing access, telehealth, military families, and maintained standards. The committee also heard testimony on S.242, which would expand licensure for lactation care providers. Supporters, including lactation counselors and health center staff, said adding certified lactation counselors and related credentials would expand access, improve breastfeeding support, and allow reimbursement for services now often provided without billing. They described the training required and said the bill would help families, especially in underserved communities. Representative James O’Day also testified in support of the social work compact, and a Council of State Governments witness provided background on compact mechanics and state participation. Another major topic was H.419/S.214 on medical debt. Physicians and researchers testified that cancer patients experience long-lasting medical debt and collections burdens, and they supported limits on the sale and collection of medical debt, bans on reporting it to credit bureaus, and related consumer protections. The hearing also included H.465 on a pathway to special licensure for certain long-term limited-registration dentists serving MassHealth patients, which Representative Senna supported as a way to allow immigrant dentists to practice independently. Finally, the committee heard sharply divided testimony on H.444/S.284, which would allow trained dental hygienists to administer Botox and dermal fillers: supporters framed it as a safe, preventive, and access-expanding tool for TMJ, bruxism, and pain management, while dermatologists opposed it as outside hygienists’ training and a patient-safety risk. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• And these medications to treat HIV...
• We do have relationships with some drug manufacturers for HIV medication.
• . patients can't get their medications.
• medically sound alternatives can be implemented.
• Coe, their medical director, posing questions, and we really need to know more.

Summary: The Appropriations Committee on Health and Human Services heard a presentation on the governor’s proposed fiscal year 2026-27 budget for the health and human services silo, which totals $48.5 billion. Agency leaders outlined major requests for AHCA, APD, DCF, DOEA, DOH, and the Department of Veterans’ Affairs, including behavioral health redesign, Medicaid rate changes, developmental disability services, child welfare and opioid programs, senior services, cancer research, public health initiatives, and veterans’ facility and technology needs. The committee also received an overview of the overall state budget, which was described as $117.4 billion, up 1.1% from the current year. AHCA’s presentation focused on $71.6 million for a Medicaid behavioral health redesign, including funding for residential treatment, a serious mental illness waiver, and higher inpatient psychiatric rates for youth, plus $7.1 million to raise private duty nursing reimbursement in fee-for-service Medicaid, $2.5 million for the background screening clearinghouse, and $124.4 million for the Health Care Connection System (FX). APD requested funding to continue moving people off the pre-enrollment list and to support developmental disability centers, a new forensic facility, an electronic health record system, and higher operating costs. DCF highlighted $81.9 million for eligibility and system integrity, $187.5 million for opioid prevention and treatment, $35.5 million for community-based care lead agencies, and $72.7 million to expand behavioral health bed capacity, including 474 new beds at state hospitals. DOEA sought additional funding for Alzheimer’s services, home care, and community care for the elderly. DOH emphasized $278 million for cancer research and innovation, $5 million for food and product safety testing, $5 million for the Florida FIRST blood-on-ambulance initiative, and $5.7 million for a public lab feasibility study. Veterans Affairs requested funds for facility improvements, cybersecurity, and medication management equipment. Members asked detailed questions about several items, especially the proposed changes to the AIDS Drug Assistance Program (ADAP), which would reduce eligibility and the number of people served. Senators and public witnesses criticized the lack of transparency and urged the department to pause the changes and work with stakeholders; the Surgeon General said the issue was driven by funding constraints and federal changes, not a legal barrier, and that the agency was exploring alternatives. Questions also addressed the Office of Minority Health and Health Equity, the Kids Care/CHIP expansion implementation, the cancer research funding structure, and the timeline and cost of the FX system. Public testimony focused heavily on ADAP, with speakers warning that thousands could lose medication access and calling for community involvement and a review of the program’s finances. The committee adjourned after the presentations and questions, with no votes taken on the budget items during this meeting.

Transcript Highlights:

• Senate Bill 168 will establish training for 911 operators and emergency medical technicians to help them
• They go to jail and are not able to get the medication and treatment that they're in their mental health
• What he did was wrong, but he needed medication, not punishment.
• And there's no way to make sure that they're going to take their medications, and many of them don't.
• This is necessary because many law enforcement agencies have support personnel that have similar trauma

Committee: Senate Criminal Justice

Summary: The committee met and took up several criminal justice, public safety, and boating measures. It first heard SB 168, the Tristan Murphy Act, which would create mental health diversion options for eligible misdemeanor and felony defendants, expand mental health and substance abuse grant uses, require evaluations and treatment recommendations in certain cases, add Hillsborough County to a forensic diversion pilot list, and create a behavioral health data repository. After adopting a technical amendment, the bill received strong support from NAMI Florida, family advocates, sheriffs, and the Murphy family, and was reported favorably on a unanimous vote. The committee also approved SB 86, expanding peer support programs for certain law enforcement support personnel, and SB 472, allowing inmates who complete approved education in correctional facilities to receive credit toward professional licensure requirements. Both bills were amended and then reported favorably without opposition. SB 276, which increases penalties for unlawfully sheltering or aiding an unmarried minor and creates a defense for actions taken to protect a minor from danger, drew questions about runaway youth, LGBTQ youth, and the scope of the defense; the sponsor said he was open to further amendment, and the bill passed favorably. Members then approved SB 402, updating the unlawful use of uniforms, medals, or insignia statute to reference the armed forces by definition rather than by branch. SB 490, as amended, would let law enforcement, correctional, and correctional probation officers carry concealed off duty and exempt law enforcement officers, correctional officers, and active military service members from the three-day waiting period for rifle and shotgun purchases; it passed 8-1 after debate over the waiting period and equal treatment concerns. Finally, the committee passed SB 628, Lucy’s Law, to strengthen boating safety and penalties, after adopting an amendment that removed proposed changes to warrantless blood draws and boating education requirements; the bill was supported by the family of Lucy Fernandez and passed unanimously. The meeting then adjourned.

Transcript Highlights:

• go on medications to support their transition.
• I'm certain for the particular medication.
• note that these are incredibly inexpensive medications unlike a GLP 1 these are medications that are
• They can get folks into the medical beds faster.
• Medical debt is growing in Massachusetts. We are a high-income state, and medical debt is growing.

Committee: Joint Joint Committee on Ways and Means

Transcript Highlights:

• It's common in medical malpractice, pre-suit discovery.
• They can provide key insights that are necessary.
• with very specific medical needs.
• You may think I'm in the medical field or something with four bills dealing with medical issues and especially
• , the electronic medical records or the, I want to say probably... ...the medical, electronic medical

Summary: The committee met and first reported favorably CS for SB 1782, which creates a new offense for dangerous excessive speeding, with support noted from the Orange County Sheriff’s Office and the Florida PBA. It also reported favorably CS for SB 306, which addresses Medicaid managed care provider network access by requiring after-hours and holiday appointment availability and a minimum level of primary care participation. CS for SB 716, imposing mandatory minimum sentences for certain sexual offenses committed by registered sex offenders or predators, and CS for SB 1084, expanding protections against non-consensual dissemination of intimate images and digitally forged intimate images, were also approved. The committee then approved CS for CS for SB 1604, a corrections package that would require prepayment of court costs for certain inmate lawsuits, shorten the limitations period for confinement-condition claims, allow consecutive sentencing in some cases, and revise mental health treatment procedures in correctional settings. Members discussed constitutional concerns and access-to-courts issues, but the bill was reported favorably. CS for CS for SB 1804, which creates a capital offense for trafficking a child 12 or younger or a mentally incapacitated person for sexual exploitation, drew extensive debate and opposition from the Florida Conference of Catholic Bishops, the Florida Association of Criminal Defense Lawyers, and Floridaans for Alternatives to the Death Penalty; despite objections about constitutionality and ethics, it was reported favorably. The committee also approved CS for SB 1838, expanding protections for court officials against tampering, harassment, and retaliation, and CS for CS for SB 890, the Emily Adkins Family Protection Act, which creates a statewide VTE registry and requires blood clot screening and training in hospitals and care facilities. Members and public witnesses spoke in strong support of the blood clot bill, including family members and survivors. Finally, the committee reported favorably CS for SB 1252, directing FDLE to study a statewide pawn data database, CS for SB 468, increasing penalties for fleeing or eluding law enforcement and allowing vehicle impoundment, CS for SB 490, expanding off-duty concealed carry eligibility for correctional officers and correctional probation officers, and CS for SB 572, the Pam Rock Act on dangerous dogs, which was amended to refine enclosure, confiscation, euthanasia, and insurance requirements.

Transcript Highlights:

• Medical housing. $4 million, line of credit, medical housing for individuals, $200,000 with extraordinary
• medical needs.
• Yeah, the medical housing for individuals with extraordinary medical needs.
• Section 11, medical housing for individuals with extraordinary medical needs, that's $200,000.
• Are they both necessary?

Bills: SB2015

Committee: Senate Appropriations - Human Resources Division

Summary: The Senate Appropriations Human Resources Division met with all members present and took up several bills, focusing most of the discussion on SB 1577 and SB 1619, along with a detailed review of the HHS budget bill draft. On SB 1577, Senator Magrum explained that the bill was being revised to focus on wastewater rather than raw water, possibly shifting the Washburn project to the Department of Water Resources so it could access matching funds, and potentially converting the bill into a line of credit if federal money is restored later. Members discussed whether to keep an emergency clause or instead use a date-based approach, and agreed the bill would likely be handled through the full committee and possibly reconsidered later. On SB 1619, Senator Davison said amendments were still being worked on, including changes requested by the Bank of North Dakota, and the committee planned to hold it for possible amendment before full committee consideration. The bulk of the meeting was a section-by-section review of the HHS appropriations bill draft. Members discussed one-time funding items such as technology projects, child care programs, housing programs, behavioral health facility grants, infant and toddler care provider support, juvenile justice diversion, medical housing, and other public health and human services projects. Several adjustments were noted, including reductions or changes to IMD-related funding, incarcerated-person treatment funding, the child welfare technology project, and the provider rate increase. The committee also discussed the FTE block grant structure at length, with staff explaining that the apparent increase in positions reflected budgeting mechanics, zero-dollar “phantom” positions, and positions approved previously but not counted in the FTE total. Members raised concerns about transparency and whether the bill should list FTE numbers, but staff said the block grant was intended to give the department flexibility while quarterly reporting would provide oversight. Other topics included Medicaid expansion funding and provider reimbursement rules, the move toward certifying human service centers as certified community behavioral health clinics, a moratorium on new ICF beds, and studies or reports on Medicaid, obesity, disability services, truancy, and behavioral health facility grants. The committee also discussed removing or revising broad intent language in Section 31 so the department would report findings rather than implement changes without further legislative action. No final votes were taken in the transcript; instead, members agreed to make a few technical adjustments, continue reviewing the bill, and likely revisit it the next day before moving it to conference committee.

Transcript Highlights:

• Lowenthal. ensure that the necessary third party, that we also ensure that the necessary third party
• Good morning, George Sorries with the California Medical Association, in support. Thank you.
• George Sorries with the California Medical Association in support. Thank you.
• Rather, they create a framework necessary for responsible innovation to flourish.
• As California continues to work necessary for responsible innovation to flourish.

Summary: The Assembly Business and Professions Committee heard several Senate bills, with most of the discussion focused on worker training, public safety, and consumer protection. SB 1203 by Senator Smallwood-Cuevas would expand training and de-escalation requirements for private security officers. Supporters, including security workers and labor groups, said the bill would better prepare officers who often respond first to mental health crises and violent incidents. Opponents, including security industry representatives and business groups, argued it would impose major costs, create training bottlenecks, and could reduce licensed security coverage. The committee ultimately voted the bill out on a due pass recommendation to Labor and Employment, with some members noting future amendments to address training capacity and employer-provided training. The committee also approved SB 936 by Senator Blakespear, which would restrict retail sales of nitrous oxide canisters larger than 8 grams while preserving legitimate medical, dental, culinary, and automotive uses. Support came from county officials, public health groups, waste management organizations, law enforcement, and local governments, who described rising misuse, impaired driving, and recycling hazards. No opposition testimony was presented, and the bill passed to Public Safety. SB 1271 by Senator Reyes, aimed at strengthening California’s midwifery training pipeline by requiring data collection on licensed midwife preceptor capacity, also passed unanimously to Health. Supporters said the bill would help address shortages in rural birth care and improve access to training for aspiring midwives. SB 903 by Senator Padilla, which would place guardrails on the use of AI in mental health and psychotherapy settings and prohibit AI from being marketed as a therapist, drew emotional testimony from a mother whose son died by suicide after extensive chatbot interactions. Health and behavioral health groups supported the measure, while several industry and health organizations were opposed unless amended; the committee nevertheless sent it to Privacy and Consumer Protection on a unanimous vote. The committee also approved SB 1165 on consent and then adjourned.

Transcript Highlights:

• We will next go to a medication-assisted treatment.
• The name is medication-assisted treatment, which originally stems from the use of medications in conjunction
• disorder (MOUD) or medications for alcohol use disorder (MAUD) to center the effectiveness of the medications
• It is worth noting that most public health offices do not stock MAT medications. MAT medications.
• But, you know, MAT is a combination of necessary drugs and counseling.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• </c><00:18:34.520><c> and</c> condemned by every major medical and condemned by every major medical and
• </c> condemned by almost every major medical condemned by almost every major medical and<00:25:48.600
• </c> country including the American Medical country including the American Medical Association<00:25:
• </c><00:26:04.039><c> Association</c> more the American Medical Association more the American Medical
• It completely neglects any professional medical providers in this country and internationally.

Summary: The committee first took up House Bill 9, which would create oversight for Medicaid-related policy through a board modeled after the Public Pension Oversight Board. Sponsor Rep. Adam Bowling said the measure was intended to bring legislative, executive, and stakeholder voices together to vet issues and make better-informed Medicaid policy. Members generally supported the concept, though some questioned the proposed board’s party breakdown and whether the language should be updated now rather than later. After discussion, the committee voted 19-0 to pass HB 9 favorably. The committee then heard House Bill 495, which Rep. Hail said would protect mental health care professionals, institutions, and ordained ministers from discrimination when providing what the bill calls protected counseling services. He described the bill as a parental-choice measure that would allow counseling aligned with family values and said it also creates a civil cause of action for harmed parties. Opponents argued the bill would shield conversion therapy, with Dr. Eric Russ, Brandon Long, Dr. Brandon Creech, Brenda Rosen, Chris Hartman, and Dr. Bobby Glass testifying that conversion therapy is discredited, harmful, and associated with depression, anxiety, self-harm, and suicide risk. They said professional medical and counseling organizations oppose such practices and urged rejection of the bill. During questions, Rep. Layman pressed the sponsor on whether the bill would protect therapies even if a child was not in distress and on whether the committee should be endorsing a practice discredited by professional organizations. Rep. Hail responded that he viewed the issue as a parental choice and said he believed the bill protects providers offering those services. The transcript ends during continued discussion of HB 495, with no final vote shown on that bill.

Transcript Highlights:

• The medical examiner won't, the county won't, and we can't get a doctor that will sign.
• We have to get permission from the medical examiner in order to cremate.
• Some additional education may be necessary to move. ...or the 120 hours.
• She was in it necessary, but I'm deeming it necessary.
• We deliver life-saving medical supplies like blood to health facilities in Africa.

Committee: House House Commerce Committee of Reference

Summary: The House Commerce Committee heard House Bill 2181, which would extend the deadline for funeral establishments or responsible individuals to complete and submit death certificates. The committee adopted an amendment reducing the maximum extension to 14 days and clarifying that the medical certification deadline for health care providers excludes weekends and holidays. Testimony from a mortuary owner and the sponsor described delays caused by doctors’ schedules, county processing, holidays, and families needing more time; some members argued the bill did not address the underlying accountability problems for doctors and counties, while others supported the added flexibility. HB 2181 was approved 6-4-1 with a due pass recommendation. The committee then heard House Bill 2682, which creates a DES rental assistance program providing up to two months or $5,000 in aid and appropriates $5 million from the general fund for administration. Supporters said the bill would help families facing short-term crises stay housed, reduce evictions, and serve as a preventive measure that could save money downstream; a constituent testified in Spanish about receiving emergency rental help after falling behind. Some members raised concerns about the program’s cost, the limited target population, and whether seniors should be included, while others supported it as a pilot and asked for possible amendments. HB 2682 passed 7-4. House Bill 2698, which creates a rental assistance study committee to evaluate the effectiveness of such programs and repeals the committee in 2028, was heard next and passed on a 7-4 vote. The committee then considered House Bill 2476, revising CPA certification and reciprocity requirements by creating multiple pathways to licensure and updating related rules and fees. Supporters said the bill would help address a CPA workforce shortage and align Arizona with other states; after questions about whether the bill made licensure harder or easier, the committee unanimously approved HB 2476, 11-0. Finally, the committee began House Bill 2308, which would bar dental insurers and certain holding companies from owning dental practices. The sponsor and Arizona Dental Association argued the bill would prevent conflicts of interest and preserve separation between payers and providers, while Delta Dental opposed the measure as overbroad and potentially burdensome for nonprofit insurers and investors. After discussion about private equity, nonprofit charity care, and vertical integration, the bill was approved 8-0 with three members present. The committee then started House Bill 2118 on mobile food vendors, with the sponsor and food truck operators arguing it would streamline duplicate local permitting, while cities and some vendors opposed it as a loss of local oversight and control; testimony continued, but no final action on HB 2118 appears in the excerpt.

Transcript Highlights:

• There are two approved medications.
• But no medicated feed?
• I thought I heard you say there are two medications that so there are approved two medications that are
• But no medicated feed.
• take by landowner is necessary.

Summary: The joint hearing focused on preparedness for the New World screwworm threat and brought together the House Committees on Culture, Recreation, and Tourism and Agriculture and Livestock. USDA officials, Texas Department of Agriculture Commissioner Sid Miller, and Texas Animal Health Commission leadership described the pest as a serious risk to livestock, wildlife, rural economies, and beef prices, and emphasized coordination among federal, state, industry, and Mexican partners. Witnesses repeatedly stressed that Texas is currently seeing no confirmed U.S. detections, but that recent confirmed cases in northern Mexico, including Nuevo León, remain a concern because of their proximity to the border. USDA testimony outlined current surveillance and response efforts, including more than 120 screw worm-specific traps along the Texas border and neighboring states, thousands of additional dual-purpose traps, wildlife inspections, weekly coordination with Mexico’s Senasica, and a new USDA New World Screwworm Directorate. Officials said the existing Panama sterile fly facility is maxed out at about 100 million flies per week, while a dispersal facility in Tampico is helping move flies farther north in Mexico. They also described plans for a retrofitted sterile fly facility in Metapa, Mexico, expected to come online in 2026, and a new domestic production facility at Moore Air Base, with phase one targeted for late 2026 or early 2027 and phase two adding substantially more capacity later. Members pressed USDA on timelines, production capacity, the reliability of Mexican reporting, the risk from wildlife, and whether modular or mobile facilities could be deployed faster. USDA said it is also exploring innovative technologies, including a genetically engineered sterile male fly, but that such tools still require EPA review and field validation. Commissioner Miller highlighted Texas biosecurity efforts, five permanent inspection stations, cooperation with FDA and EPA on treatments such as Exzolt, and other pest issues affecting Texas agriculture. He also noted research into fly bait and private-sector efforts to speed sterile fly production. Texas Animal Health Commission officials described extensive state preparedness work, including weekly coordination calls, field response trainings, outreach to producers and veterinarians, and a Texas Screwworm Response Team. They said Texas has trained more than 100 inspectors and other personnel, with additional trainings planned, and that the state is expanding its cattle fever tick rider program. No votes or formal committee actions were taken during the hearing; the main action was the exchange of testimony and questions about readiness, surveillance, and facility timelines.