Transcript Highlights:

• or the redetermination process for Medicaid.
• or the redetermination process for Medicaid.
• or the redetermination process for Medicaid.
• application process application process or<00:52:57.240> the<00:52:57.400> redetermination
• <00:52:58.400> process<00:52:58.720> for or the redetermination process for or the

Keywords: 1191, senate, all

Transcript Highlights:

• But under current law, they must navigate a complex court filing process.
• Under current law, they must navigate a complex court filing process.
• SB 989 would create a streamlined referral process for first responders to subject individuals to Care
• something with Care Court so that they could get involved in it, again, a voluntary process.
• SB 1309 focuses on follow-up services, which come later in the process.

Keywords: 988, house, all

Summary: The Assembly Health Committee heard several bills focused on access to care, public health, and oversight. SB 989 would streamline Care Court referrals by allowing first responders to ask county behavioral health agencies to review and file petitions; supporters, including firefighters and mental health advocates, said it would reduce barriers, while opponents argued Care Court is coercive, costly, and not yet proven effective. SB 1089, as amended, would direct CalRx/HHS to help distribute GLP-1 medications more affordably; the author described personal experience with the drugs and supporters emphasized prevention and chronic disease management, while members asked about distribution, liability, and age limits. SB 1309 would eliminate cost sharing for medically necessary lung cancer follow-up care after abnormal screenings; cancer survivors and clinicians strongly supported it, while health plans and insurers opposed it, saying the bill could raise premiums and did not address low initial screening rates. The committee also heard SB 1284, which would require DHCS to publish an annual report identifying large employers with workers enrolled in Medi-Cal and estimating taxpayer costs; supporters framed it as transparency and corporate accountability, while the chair and others linked it to broader budget and fairness concerns. SCR 7, urging permanent standard time, was presented as a public health measure to reduce sleep disruption and related harms, and it passed with support from the California Medical Association. The committee also took up SB 995, which would create a statewide inspection and enforcement framework for large involuntary residential facilities, including private immigration detention centers and some youth facilities; supporters cited unsafe and inhumane conditions, while probation officials objected to overlap with existing oversight for secure youth treatment facilities. The committee approved the measures it heard, with roll calls showing SB 989, SB 1089, SB 1309, SB 1284, SCR 7, and SB 995 all advancing out of committee, along with consent items and add-on votes.

Transcript Highlights:

• There's no formal process to develop.
• I think the process will play out.
• The whole process and premise of it is...
• respect and care and follow due process and the like.
• Yes, within a structured reasonable process about it.

Bills: SB27, SB226, SB326, SB570, SB605, SB870, SB991, SB1871, SB1872, SB1873, SB1874, SB1924, SB1925

Keywords: residency, public schools, child safety placement, enrollment, education code, antisemitism, student conduct, education, disciplinary actions, Texas Education Code, truancy, attendance policy, chronic absenteeism, school attendance, student absence notifications, parent notification, home visit, attendance officer, truancy court, school district

Transcript Highlights:

• of testimony from the Attorney General's office regarding a potential new pre-charged diversion referral
• Section three authorizes the Burlington Community Justice Center pilot, permitting referrals of criminal
• diversion referral model. diversion referral model.
• <00:21:54.799> of<00:21:55.039> criminal permitting referrals of criminal permitting
• referrals of criminal municipal<00:21:56.000> ordinance<00:21:56.480> violations<00:21

Keywords: 926, house, all

Summary: The House opened with a devotional led by Rep. Bram Kleppner, who spoke about ethics, the virtues of kindness, wisdom, and courage, and offered an atheist’s prayer focused on those themes for legislative work. After the devotional, the chamber handled first readings of four bills: H.913 on prohibiting certain prediction markets securities, H.914 on compensating the city of Barre for an education property tax overpayment, H.915 on an extended producer responsibility program for beverage containers, and H.916 on education fund expenditures review. H.913 was referred to Government Operations and Military Affairs, H.914 to Ways and Means, H.915 to Ways and Means under House Rule 35A because it affects state revenue, and H.916 to Education. Members also made several announcements recognizing outside groups and events, including a Universal Health Care Caucus meeting, the organization Lond, visiting Vermont NEA educators for “Stand Up for Students Day,” a Federation of Sportsmen mixer, a Vermont State Employees Association reception and dinner, a Council of State Governments East reception, a mental health first aid class reminder, and State House apparel sales. The House then took up orders of the day, first postponing action on H.205, an act relating to agreements not to compete, for one legislative day. The chamber passed H.639 on genetic data privacy, H.694 on amendments to the Bennington town charter concerning the town manager, and H.907 on legislative review of reporting requirements. It then considered H.566 on sealing postcharge court diversion records upon successful completion. The Judiciary Committee explained the bill would replace expungement with sealing for juvenile and adult diversion records, add a limited Burlington Community Justice Center pilot for certain municipal ordinance violations, and align the law with prior record-clearance reforms; Judiciary reported it favorably 10-1. Ways and Means said removal of a proposed fee eliminated any fiscal impact and reported the bill ought to pass 11-0. The House agreed to the Judiciary amendment and ordered third reading. Finally, the House postponed H.635, which would eliminate Department of Correction supervisory fees, for one legislative day, heard additional announcements, and adjourned until Thursday, February 26, 2026 at 3:30 p.m.

Transcript Highlights:

• This process accelerates that with natural microbes.
• The commission will adopt rules for this process.
• Yes. for the process, for the facilities, and for the vessels.
• It's just a natural process that's happening in this vessel.
• Is there a process, and I apologize I haven't read through the whole thing, but is there a process where

Bills: HB46, HJR35, HJR47, HJR182, HB 113, HB983, HB4847, HB1449, HB3833, HB5151, HB265, HB1845, HB782, HB 108, HB1960, HB158, HB1954, HB1955, HB2512, HB605, HB2581, HB2803, HB627, HB2667, HB1738, HB636, HB3679, HB2638, HB2655, HB871, HB2438, HB 1107, HB1765, HB1822, HB2153, HB4099, HB3732, HB3171, HB3178, HB3182, HB3749, HB2814, HB3977, HB4204, HB4207, HB4449, HB1820, HB1876, HB1939, HB1347, HB2593, HB2136, HB2132, HB2658, HB2413, HB2757, HB2080, HB3154, HB3063, HB3009, HB3448, HB3006, HB2844, HB3241, HB3680, HB3169, HB2078, HB2507, HB4559, HB3946, HB3460, HB3405, HB475, HB3463, HB3441, HB3520, HB2060, HB4731, HB4991, HB1991, HB5596, HB2014, HB2142, HB2673, HB2731, HB2417, HB2399, HB2301, HB3335, HB3234, HB3320, HB5573, HB4848, HB4748, HB4769, HB4795, HB2086, HB2234, HB2203, HB4916, HB5624, HB4505, HB139, HB5093, HB5302, HB5402, HB5606, HB2333, HB4630, HB4701, HB2583, HB2983, HB4924, HB3339, HB3793, HB3631, HB4882, HB5509, HB5499, HB5430, HB5561, HB5611, HB5043, HB5064, HB3733, HB3781, HB3219, HB32, HB4515, HB5348, HR559, HB4506, HB1646, HB3185, HB3388, HB2761, HB3233, HB1534, HB5129, HB5394, HB3619, HB2867, HB3672, HB2434, HB4903, HB3687, HB3675, HB4609, HB4582, HB3866, HB4534, HB2446, HB3984, HB700, HB4088, HB229, SB2419, SB842, SB1257, SB2550, SB996, HB 1186, HB4327, HB3221, HB2588, SB552, HB4870, HB2494, HB3940, HB4838, HB3177, HB1441, SB1841, HB3962, HB2225, HJR112, HB897, HB2695, HB4670, HB3602, HB3317, HB3717, HB3138, HB3704, HB1403, HJR218, HB4921, SJR37, HJR138, HJR144, HB3892, HB4, HB46, HJR35, HJR47, HJR182, HB4234, HB722, HB4136, HB4105, HB4413, HB170, HB551, HB2858, HB3053, HB3142, HB3180, HB3722, HB2200, HB1794, HB1784, HB1581, HB2530, HB4308, HB1896, HB2974, HB3359, HB4580, HB2458, HB2215, HB3332, HB2278, HB3015, HB3151, HB1368, HB40, HB 101, HB 112, HB146, HB168, HB214, HB413, HB1523, HB493, HB521, HB594, HB557, HB305, HB549, HB854, HB 1057, HB 1052, HB842, HB3174, HB3311, HB2486, HB3196, HB824, HB 1039, HB2529, HB2713, HB4936, HB4995, HB4830, HB4864, HB5219, HB5263, HB5154, HB2674, HB5525, HB5623, HB2545, HB2587, HB2625, HB5520, HB5436, HB4926, HB1573, HB5165, HB4811, HB5081, HB4755, HB3179, HB4310, HB4611, HB2159, HB4626, HB3637, HB3153, HB3066, HB2786, HB2966, HB638, HB640, HB876, HB497, HB5539, HB4809, HB5308, HB4687, HB4070, HB4421, HB4412, HB3284, HB3369, HB3420, HB3449, HB4098, HB4281, HB4120, HB4504, HB4370, HB 1106, HB2370, HB2404, HB3863, HB2407, HB2253, HB2273, HB2040, HB1586, HB3788, HB3993, HB4690, HB4309, HB4696, HB2308, HB 1142, HB1533, HB1621, HB2242, HB2012, HB2193, HB2442, HB2464, HB2348, HB2313, HB2289, HB1942, HB2011, HB1629, HB2993, HB3592, HB3824, HB4076, HB4535, HB4623, HB4773, HB 1091, HB5115, HB5515, HB3372, HB5659, HB 127, HB386, HB 115, HB2868, HB 1249, HB4766, HB3720, HB4656, HB4879, HB 105, HB5383, HB4621, HB5431, HB5678, HB5534, HB4174, HB4212, HB3954, HB3966, HB3636, HB3918, HB1422, HB4765, HB4732, HB4742, HB5122, HB4518, HB5084, HB3986, HB4045, HB4144, HB3911, HB3976, HB4473, HB3425, HB3641, HB3642, HB3475, HB3509, HB3424, HB3383, HB4744, HB4531, HB4539, HB3159, HB5228, HB5370, HB4359, HB4398, HB4443, HB4466, HB3861, HB3849, HB4240, HB4706, HB4685, HB5354, HB5141, HB5686, HB3629, HB3554, HB3567, HB2015, HB3575, HB5381, HB1431, HB3514, HB4614, HB4546, HB4683, HB5681, HB5673, HB5663, HB4271, HB4350, HB4035, HB3807, HB3812, HB3552, HB3540, HB3715, HB3710, HB3664, HB4196, HB4233, HB4173, HB1998, HB3333, HB3510, HB4222, HB2070, HB2854, HB2347, HB 113, HB983, HB4847, HB1449, HB3833, HB5151, HB265, HB1845, HB782, HB 108, HB1960, HB158, HB1954, HB1955, HB2512, HB605, HB2581, HB2803, HB627, HB2667, HB1738, HB636, HB3679, HB2638, HB2655, HB871, HB2438, HB 1107, HB1765, HB1822, HB2153, HB4099, HB3732, HB3171, HB3178, HB3182, HB3749, HB2814, HB3977, HB4204, HB4207, HB4449, HB1820, HB1876, HB1939, HB1347, HB2593, HB2136, HB2132, HB2658, HB2413, HB2757, HB2080, HB3154, HB3063, HB3009, HB3448, HB3006, HB2844, HB3241, HB3680, HB3169, HB2078, HB2507, HB4559, HB3946, HB3460, HB3405, HB475, HB3463, HB3441, HB3520, HB2060, HB4731, HB4991, HB1991, HB5596, HB2014, HB2142, HB2673, HB2731, HB2417, HB2399, HB2301, HB3335, HB3234, HB3320, HB5573, HB4848, HB4748, HB4769, HB4795, HB2086, HB2234, HB2203, HB4916, HB5624, HB4505, HB139, HB5093, HB5302, HB5402, HB5606, HB2333, HB4630, HB4701, HB2583, HB2983, HB4924, HB3339, HB3793, HB3631, HB4882, HB5509, HB5499, HB5430, HB5561, HB5611, HB5043, HB5064, HB3733, HB3781, HB3219, HB32, HB4515, HB5348, HCR76, HCR127, HCR9, HCR40, HCR118, HR559

Keywords: low-THC cannabis, dispensing organization, Texas Compassionate-Use Program, medical use, patient access, registration, healthcare, legislation, Grow Texas fund, economic stabilization, infrastructure, oil and gas, constitutional amendment, severance tax, Texas STRONG defense fund, funding, public health, workforce development, revenue transfer, Veterans' Land Board

Transcript Highlights:

• We're going out there and trying to set up referral processes to get veterans identified and referred
• We're currently in the process of onboarding CVHI at Nations Finest.
• We're currently in the process of onboarding CVHI at nation's finest.
• It's an over-the-counter application process, which is now open and ongoing.
• It's an over-the-counter application process which is now open and ongoing.

Summary: The Assembly Committee on Military and Veteran Affairs held an informational hearing focused on the effects of federal budget cuts and policy changes on veterans, military readiness, and California’s veteran support systems. The chair and members emphasized that federal reductions to the VA, Medicaid/Medi-Cal, SNAP, and the federal workforce are disproportionately harming veterans by threatening health care, employment, housing, crisis lines, and suicide prevention services. The chair also highlighted California’s progress on veteran homelessness and the importance of preserving state programs that leverage federal dollars. Major General Matthew Beavers of the California Military Department described the department’s structure, its response to the Los Angeles fire emergency, and concerns that federal cuts could reduce readiness through less training, older equipment, and fewer resources. He also discussed state programs such as Work for Warriors, STARBASE, youth and community schools, and the counterdrug task force, saying they are valuable but vulnerable if funding is redirected away from readiness. Members asked about the impact of federal changes on the Guard and how the Legislature could help, and Beavers said the state should advocate for recapitalized equipment and continued support for key programs. A second panel focused on veterans’ benefits and claims support. CalVet, Los Angeles County, and Swords to Plowshares testified that county veteran service officers, legal aid, and community-based partnerships are essential to helping veterans access VA benefits, especially after the PACT Act expanded eligibility and increased claims volume. Witnesses said these services bring substantial federal dollars back to California, but county offices and legal providers are underfunded and overburdened. Members discussed data sharing, staffing shortages, and the need for more resources to reach veterans who are not connected to VA care. In the final panel on mental health and suicide prevention, CalVet and nonprofit providers described state-funded programs such as the Veterans Support Self-Reliance program and the California Veterans Health Initiative, which place services in permanent supportive housing and provide no-cost counseling statewide. Witnesses said these programs are showing measurable improvements in health, medication adherence, and emergency room use, but they depend on sustained funding and are vulnerable to step-down grants and federal instability. Committee members expressed support for the programs and raised questions about access, staffing, and the role of non-veteran family members in Vet Center services.

Transcript Highlights:

• Governor's Message Nos. 760 to 766 are referred in accordance with the referrals on the order of the
• 00:08:52.399> the are referred in accordance with the are referred in accordance with the referrals
• to 387 transmit various House concurrent resolutions, which were adopted in the House for first referral
• Referrals and re-referrals are made in accordance with any supplemental orders of the day that may be

Keywords: 912, senate, all

Transcript Highlights:

• comes to credentiing. um the process for comes to credentiing. um the process for credentiing<00
• credentiing for um as they're processing credentiing for um as they're processing the<00:46:56.240
• hopefully with easy access to referral hopefully with easy access to referral to<00:49:13.599>
• in the process.
• You know, if they if the process.

Keywords: 1191, senate, all

Transcript Highlights:

• motivational interviewing, trauma-informed care, health and medical complexity, literacy, transition and referral
• processes, and everything surrounds the family.
• motivational interviewing, trauma-informed care, health and medical complexity, literacy, transition and referral
• processes, and everything surrounds family.

Keywords: 995, all

Summary: The Permanent Commission on the Status of Persons with Disabilities equity subcommittee met, approved the prior minutes, and heard a presentation from the Massachusetts Department of Public Health’s Cater Center (Care Coordination Assistance, Training, Education, and Resources for Kids). Presenters Toria Haffey and Patty Loza explained that Cater provides training and technical assistance to MassHealth’s Cares for Kids providers serving children with medical complexity, with a focus on enhanced care coordination, family partnership, racial/cultural/linguistic equity, community resources, education systems, shared plans of care, and transition support. They described five e-learning modules, flexible one-on-one and group technical assistance, case review support, and informal virtual “cafes” for providers. They also noted the program has been operating for about two to three years and currently works with five hospital-based providers, including Boston Children’s, BMC, Tufts, NeighborHealth, and Baystate. Committee members asked about the number of families served, the relationship to MassHealth, and whether the model could be expanded beyond Boston-area providers. The presenters said Cater does not track enrollment numbers because that is handled by providers and MassHealth, and they agreed there is room to broaden reach and improve data collection. Members suggested connecting Cater with regional disability and case management networks, the Health Equity Compact, ACOs, and DDS-related contacts. Questions also focused on funding stability amid federal Medicaid cuts and workforce shortages in family engagement roles; Cater said the work remains a priority for MassHealth, though funding is a concern, and acknowledged staffing gaps, especially for family partners with lived experience. After the presentation, the committee discussed a NIH strategic plan for disability health research that had been circulated for future review. Because members had not yet read it, they agreed to place it on the agenda for the next meeting. The meeting then adjourned with no further business.

Transcript Highlights:

• My point is, in part of that process... in part of that lawsuit.
• or deliberative process privilege those state agencies already have.
• They cannot, they don't have to disclose it during a discovery process in a lawsuit.
• These people having opportunities to have input into the decision-making process.
• Appeal process. So all the same factors were taken into account.

Bills: SCR46, SB31, SB39, SB227, SB330, SB401, SB407, SB467, SB482, SB500, SB506, SB512, SB527, SB584, SB619, SB636, SB646, SB647, SB648, SB659, SB663, SB715, SB732, SB758, SB801, SB816, SB847, SB870, SB884, SB1020, SB1055, SB1065, SB1137, SB1169, SB1181, SB1283, SB1383, SB1395, SB1410, SB1433, SB1490, SB1558, SB1574, SB1626, SB1666, SB1718, SB1727, SB1756, SB1757, SB1845, SB1924, SB1964, SB1972, SB2018, SB2031, SB2075, SB2076, SB2080, SB2111, SB2117, SB2154, SB2161, SB2173, SB2206, SB2225, SB2253, SB2268, SB2314, SB2322, SB2351, SB2371, SB2476, SB2533, SB2540, SB2570, SB2589, SB2623, SB2658, SB2660, SB2692, SB2693, SB2717, SB2722, SB2753, SB2779, SB2877, SB2880, SB2900, SB2920, SB3031, HJR4, SB5, SB260, SB1786, SJR3, SJR18, SB1, SJR36, SJR50, SJR63, SJR84, SJR59, SCR12, SCR39, SCR46, SCR48, SCR19, SB2023, SB62, SB666, SB847, SB284, SB854, SB1073, SB810, SB1505, SB583, SB1502, SB507, SB1026, SB1433, SB1434, SB1376, SB1585, SB1772, SB2016, SB1163, SB619, SB1122, SB732, SB731, SB397, SB508, SB1436, SB287, SB261, SB1882, SB393, SB1791, SB529, SB209, SB2429, SB1999, SB511, SB2309, SB510, SB1924, SB2253, SB2018, SB2206, SB584, SB1085, SB1490, SB2314, SB2046, SB1975, SB2717, SB1262, SB1524, SB1137, SB636, SB2056, SB1558, SB884, SB227, SB517, SB1200, SB1410, SB1626, SB1845, SB1863, SB2681, SB2200, SB2199, SB1757, SB2050, SB2458, SB2201, SB1055, SB2660, SB2662, SB1065, SB801, SB2533, SB3014, SB3013, SB758, SB648, SB647, SB512, SB1721, SB2268, SB2366, SB1013, SB2692, SB2570, SB2797, SB2111, SB2371, SB2383, SB646, SB1169, SB1754, SB1718, SB2779, SB2004, SB1756, SB2119, SB527, SB2322, SB2448, SB1777, SB1283, SB407, SB2392, SB2076, SB2786, SB3031, SB2877, SB2876, SB2284, SB2225, SB1540, SB2920, SB2929, SB1395, SB1972, SB2540, SB2742, SB2595, SB2217, SB2117, SB715, SB2330, SB1964, SB1383, SB500, SB1640, SB2001, SB2080, SB2722, SB506, SB2514, SB2623, SB2658, SB1574, SB2900, SB2753, SB2398, SB401, SB1241, SB2927, SB2173, SB2538, SB898, SB467, SB1449, SB2529, SB1531, SB2846, SB2476, SB2031, SB986, SB1181, SB2075, SB2154, SB2864, SB31, SB2880, SB1359, SB2386, SB771, SB2844, SB2550, SB1351, SB1423, SB1931, SB2245, SB2589, SB2707, SB2807, SB2351, SB410, SB659, SB816, SB2776, SB2693, SB2580, SB1980, SB1886, SB1234, SB739, SB482, SB456, SB127, SB1666, SB2843, SB2801, SB800, SB2055, SB784, SB2986, SB735, SB1012, SB324, SB2926, SB2938, SB2007, SB2138, SB1242, HJR4, HB135, HB1109, SCR30, SCR3, SB2615, SB1049, SB2310, SB1224, SB2972, SB1568, SB2841, SB2885, SB3016, SB2858, SB2610, SB2139, SB1856, SB2035, SB2308, SB2306, SB2041, SB1528, SB1681, SB1141, SB2401, SB2530, SB2375, SB547, SB1266, SB1373, SB1467, SB2069, SB2269, SB2480, SB2544, SB672, SB904, SB2695, SB2891, SB2422, SB2543, SB1854, SB317, SB2539, SB2532, SB2925, SB1250, SB2082, SB2203, SB457, SB2357, HCR35, HCR64

Keywords: Texas beef, cattle industry, agricultural heritage, Texas strip steak, economic growth, SB 31, Life of the Mother Act, Texas abortion law, medical emergency, reasonable medical judgment, pregnancy complications, maternal health, life-threatening condition, ectopic pregnancy, spontaneous abortion, miscarriage, unborn child, abortion exception, abortion ban, physician liability

Transcript Highlights:

• But as we do this process and work to improve this program, what's the VA learning?
• Second or third hand, we have a mechanism and process in place.
• Congress should require the VA to establish a simplified intake process for veterans already screened
• Another persistent challenge is the absence of a national referral process. between grantees and the
• So if the outcome of oversight is to change the process and improve the process, we're seeing it a little

Keywords: veterans, mental health, suicide prevention, Staff Sergeant Parker Gordon Fox Grant Program, HOPE Act, BRAVE Act, Every State Counts for Vets Mental Health Act, advocacy, legislation, mental health resources

Summary: The committee meeting focused primarily on the critical issues surrounding veterans' mental health and suicide prevention. Discussions centered on the reauthorization of essential programs aimed at providing non-clinical support services to veterans, particularly the Staff Sergeant Parker Gordon Fox Suicide Prevention Grant Program. Senators emphasized the urgent need for adequate mental health resources as the suicide rate among veterans remains alarmingly high. Key testimonies were provided by various advocates and officials, illustrating both successful implementations of these programs and areas needing improvement.

Transcript Highlights:

• That process can often involve one or two levels of appeal, and it can be a time-consuming process.
• Consumers need that appeal process to show that.
• That a process can often involve one or two levels of appeal, and it can be a time-consuming process.
• Consumers need that appeal process to show that.
• , and access to referral history is permission-based.

Keywords: 995, all

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:

• The bill also affirms that acupuncturists may provide referral to an imaging center for X-rays and MRIs
• and referrals for a clinical lab like Quest or LabCorp.
• HB 901 provides clarity and fairness in the process for parents challenging court-appointed psychologists

Summary: The Health Professions and Program Subcommittee met and reported several bills favorably. PCS for HB 647, which allows physicians to use advanced practice registered nurses under written protocol to certify deaths and file death certificates for hospice patients, passed unanimously after brief supportive testimony from hospice, AARP, and physician assistant representatives. HB 803 on acupuncture updated outdated statutory language, clarified the definition of acupuncture, listed allowable point injection therapy items while prohibiting certain drugs, and affirmed referral authority for imaging and labs; it passed 16-1 amid support from acupuncture stakeholders and opposition from several medical groups. PCS for HB 1545 would create recurring state funding for Parkinson’s disease research at the University of South Florida and a consortium of Florida universities; it drew support from USF, the Michael J. Fox Foundation, and Mayo Clinic, with concerns raised about limiting participation to universities, and it passed unanimously. HB 901, which clarifies procedures for parents challenging court-appointed psychologists in family law cases, passed 15-1 with support from a witness and no debate. HB 591, the children with developmental disabilities/autism bill, was presented as a broad early-diagnosis and intervention measure to help children enter treatment and mainstream life sooner; it received supportive testimony from the Florida PTA and strong floor support, and passed unanimously. Finally, PCS for HB 1299, the Department of Health agency bill, made multiple changes including preventing the mRNA vaccine from sunsetting in statute, adding vaccination-status protections in the patients’ bill of rights, updating medical marijuana center screening and reporting requirements, revising nurse active-practice requirements, making technical compact changes, and extending sovereign immunity protections to dental students doing charitable clinic work. After a brief note that optician-related provisions had been removed, the bill passed unanimously. The committee adjourned after reporting all measures favorably.

Transcript Highlights:

• this bill relates to a provision on the second page that prohibits medical providers from giving a referral
• A ban on referrals then could be an unconstitutional infringement on that speech.
• A ban on referrals then could be an unconstitutional infringement on that speech.
• So I think the circuit split is there is whether the referral is speech, which is the giving of that
• referral, or is the Eighth Circuit concluded it's actually part of treatment, and so it's a regulation

Keywords: 1182, all

Summary: The Rules Committee considered a series of bills, with the Rules attorney flagging constitutional or preemption concerns on several measures. HB 2060 would prohibit public educational institutions and universities from encouraging or facilitating abortions; the attorney noted Prop. 139’s new abortion-rights language could create a state constitutional issue, but the committee still recommended the bill 5-3. HB 2085 would ban gender transition procedures and also restrict referrals; the attorney said the procedure ban is supported by recent U.S. Supreme Court precedent, but the referral restriction raises possible First Amendment issues in light of a Ninth Circuit case, and the bill was recommended 5-3. HB 2133 would impose age and consent verification requirements on commercial entities publishing sexual material online; the attorney warned it may be preempted by federal Section 230 law, but the committee recommended it 5-3. HB 2086, which would bar governmental entities from requiring masks or vaccinations, was flagged for Supremacy Clause and intergovernmental immunity concerns because it included the federal government, but was recommended 5-3 after the sponsor indicated an amendment was coming. HB 2279, dealing with liability limits for Grand Canyon river outfitters, raised anti-abrogation concerns because it would eliminate ordinary negligence claims; the sponsor said he would offer a floor amendment, and the bill was recommended 5-3. HB 2364 would add criminal penalties for mailing or delivering abortion-inducing drugs; the attorney said it likely conflicts with the new abortion-rights protections in Prop. 139, though the legal landscape is unsettled, and the committee recommended it 5-3. The committee then took a mass motion covering many additional bills, resolutions, and memorials. The Rules attorney said the listed measures were generally constitutional and in proper form, with one update on HCR 2003, which would place a measure before voters affecting school sports participation and facilities use based on biological sex. The attorney said the issue is actively being litigated nationally and that a pending U.S. Supreme Court decision in similar Idaho and West Virginia cases could affect the measure’s legal status. The mass motion was approved unanimously, 8-0. Throughout the meeting, members from the majority voted aye and minority members generally voted nay on the individual abortion-, gender-, and speech-related bills, often citing constitutional objections tied to Prop. 139, the First Amendment, or federal preemption. The meeting adjourned after the unanimous approval of the mass motion.

Transcript Highlights:

• And the way I see this working out is that the Texas Board of Pharmacy would develop. that process, but
• That's a lack of interoperability, and your bill. seeks to put in place the process by which we can get
• Following is the bill on first reading and referral, HB29 by Shaheen, relating to election procedures
• Ashby moves that the House recess pending the reading and referral of bills and the receipt of messages
• The House stands recessed pending the reading and referral of bills, receipt of messages, and granting

Bills: HB25, HB48, HB149, HB254, HB26, HB192, HCR3, HCR4, HCR5, HCR6, HCR8, HCR14, HCR16, HR1, HR2, HR3, HR4, HR6, HR7, HR8, HR9, HR12, HR11, HR13, HR14, HR15, HR16, HR20, HR22, HR23, HR24, HR25, HR26, HR27, HR28, HR29, HR30, HR31, HR32, HR33, HR45, HR48, HR49, HR51, HR52, HR55, HR56, HR57, HR59, HR60, HR61, HR62, HR63, HR64, HR65, HR66, HR70, HR71, HR72, HR74, HCR2, HCR7, HR10, HR21, HR35, HR36, HR37, HR38, HR39, HR40, HR42, HR43, HR44, HR46, HR47, HR50, HR53, HR54, HR67, HR69, HR75, HCR 5, HCR 6, HCR 8, HCR 14, HCR 16, HR 1, HR 3, HR 4, HR 6, HR 7, HR 8, HR 9, HR 12, HR 11, HR 13, HR 14, HR 15, HR 16, HR 20, HR 22, HR 23, HR 24, HR 25, HR 26, HR 27, HR 28, HR 29, HR 30, HR 31, HR 32, HR 33, HR 45, HR 48, HR 49, HR 51, HR 52, HR 55, HR 56, HR 57, HR 59, HR 60, HR 61, HR 62, HR 63, HR 64, HR 65, HR 66, HR 70, HR 71, HR 72, HR 74, HCR 7, HR 10, HR 21, HR 35, HR 36, HR 37, HR 38, HR 39, HR 40, HR 42, HR 43, HR 44, HR 46, HR 47, HR 50, HR 53, HR 54, HR 67, HR 69, HB 25, HB 48, HB 149, HB 254, HB 26, HB 192

Keywords: ivermectin, pharmacist authority, prescription-free, healthcare regulation, patient access, HB 48, Texas alert notification systems, emergency alerts, public warning systems, alert fatigue, notification fatigue, Texas Division of Emergency Management, Department of Public Safety, DPS alerts, emergency management, State of Texas Emergency Assistance Registry, STEAR, disaster notifications, weather alerts, Amber Alert

Transcript Highlights:

• So, it says that this reg was amended to make several updates to the dental hygienist licensure process
• The dental hygienist licensure process clarifies that applicants can meet licensure requirements
• Our hospitals have been investing these funds in training, implementing new processes, and undertaking
• I think the social determinants of health screening is new, and so we can track the number of referrals
• I think the social determinants of health screening is new, and so we can track the number of referrals

Keywords: 00:00 Call to Order/Roll Call 00:16 Consideration of Referred Administrative Regulations 25:49 Discussion of Hospital Rate Improvement Plan 58:50 Adjournment, 958, all

Summary: The committee began by reviewing a large slate of administrative regulations and explaining that it does not approve regulations but can find them deficient and send them back for further work. Members then asked questions on several items, including EMS reciprocity, dental hygienist licensure, and interpreter licensure. The EMS board explained that reciprocity would extend to applicants from any state, not just contiguous states, because the underlying statute had been amended. On the dental regulation, staff said the changes mainly clarified licensure requirements, reinstatement fees, and that dental hygienists administering local anesthetic must do so under direct dentist supervision. The most extended discussion involved the Board of Interpreters for the Deaf and Hard of Hearing. The board chair said the main concern was that the EIPA is an educational specialty assessment, not a nationally recognized certification, yet the regulation would allow it to support full licensure. Members discussed whether that could let educational interpreters work outside their intended scope and whether a separate educational license or statutory change would be more appropriate. The board said it did not think the regulation could be fixed further at this point and suggested a statute could create a narrower educational interpreter license. After discussion, the committee voted to defer both related interpreter regulations, 201 KAR 39:030 and the companion regulation, for further work. The committee then took up two community mental health regulations, 907 KAR 1:044 and 907 KAR 5:005, which had been found deficient in Administrative Regulations. Department for Medicaid Services staff said the rules would expand and rename the mental health associate role as a behavioral health associate, making the role available in many more facilities, but would also require additional coursework or progress toward licensure. Some members and providers raised access-to-care concerns, especially for rural areas and unlicensed staff already working in the field. Staff said the proposal had been revised through work with CMHCs and licensing boards, but the committee ultimately voted to defer both regulations as well. After finishing the regulation review, the committee heard a presentation from the Kentucky Hospital Association on the ATRIP hospital rate improvement program. Hospital representatives said ATRIP is a Medicaid state-directed payment program funded through a provider tax and federal matching dollars, allowing hospitals to receive payments tied to quality measures. They reported improvements including lower Medicaid readmissions, high sepsis screening rates, reduced infections and opioid prescribing, expanded postpartum depression and suicide screening, and training for more than 1,000 people. They said the program has helped hospitals invest in staffing and quality improvement and warned that without it, many hospitals would face severe financial strain.

Transcript Highlights:

• Um, if you could just describe that process. We would love to work with the Kentucky board.
• Is there another avenue we can go without doing the whole process?
• <00:34:23.760> So go without doing the whole process?
• So go without doing the whole process?
• make those referrals.

Keywords: 0:22 – Roll Call 0:30 – Approval of minutes 1:04 – Department of Veterans Affairs 2:06 – Board of Pharmacy 3:20 – Board of Optometric Examiners 39:26 – Board of Nursing 40:07 – Board of Emergency Medical Services 41:52 – Department of Fish & Wildlife Resources 44:36 – Transportation Cabinet: Department of Vehicle Registration 45:36 – Department of Alcoholic Beverage Control 47:00 – Cabinet for Health & Family Services: Department for Medicaid Services 49:59 – Cabinet for Health & Family Services: Department for Community-Based Services, 958, all

Summary: The subcommittee approved the minutes from the previous meeting and then took up several regulations. The first was a Department of Veterans Affairs regulation, with a staff amendment, to allow nurse practitioners to apply for the Veterans Affairs nurse loan repayment program year-round and to make technical drafting changes. The committee heard from the Office of Kentucky Veteran Centers, then adopted the staff amendment and approved the regulation without objection. The main item of the meeting was the Board of Optometric Examiners’ proposed amendment to 201 KAR 5:010, which would allow applicants to use the Optometry Examining Board of Canada written exam in place of part one of the National Board of Examiners in Optometry exam for licensure. The board said the change would improve access to care, provide an additional pathway for Canadian-trained candidates, and still require applicants to pass the remaining national board parts. Opponents, including NBEO officials, ARBO, Pearson VUE, and several optometrists, argued the Canadian exam is not equivalent, does not test the same biomedical science content, is not validated for U.S. scope of practice, and raises concerns about test security, transparency, and portability across states. They urged the committee to find the amendment deficient or vote no. Committee members questioned both sides about prior communication with the board, whether Kentucky would be the first state to adopt such a change, the rationale for the proposal, and the cost difference between the exams. Supporters said the board had received some written comments and one phone call, and that the proposal was driven by access concerns and the presence of Canadian students. Opponents said they had not had direct discussions with the Kentucky board before the hearing. No final vote on the optometry regulation is reflected in the transcript excerpt, but the committee heard extensive testimony and rebuttal before moving on.

Transcript Highlights:

• more complaints and reduce manual processes.
• more complaints and reduce manual processes.
• It was a six-week process, and even that, admittedly, was a shared responsibility.
• That would be part of the annual estimate process.
• In what time frame is that process going to be done?

Summary: The Assembly Budget Subcommittee on Health held a May Revision hearing covering several health-related budget proposals and broader concerns about the state’s budget structure. The Chair opened by praising some May Revision changes, such as added health IT funding, county administration support tied to Medi-Cal changes, a delay in Medi-Cal cuts for some lawfully present immigrants, and additional support for Covered California subsidies, while criticizing proposed increases in Medi-Cal premiums, changes to senior eligibility, the lack of a Medi-Cal dental solution, and other reductions affecting counties, mobile crisis units, workforce incentives, and physician shortages. The Legislative Analyst’s Office said the state’s budget condition remains weak despite progress on the structural deficit, and the Department of Finance said the May Revision uses a mix of reductions, reforms, revenue proposals, and fund shifts to cut out-year deficits. The committee first heard Department of State Hospitals proposals, including adjustments to county bed billing authority, contract exemption language for online clinical/pharmacy subscriptions, reversion of unspent funds, a revised Metro Central Utility Plant replacement project, electronic health record implementation, and workforce development funded partly through Behavioral Health Services Act resources. DSH also described savings and realignments in incompetent-to-stand-trial and conditional release programs, including extending the independent placement panel program and shifting funds to support additional bed capacity and a mental health rehab center. Members asked about the use of BHSA funds for workforce programs, and the department said the proposal would replace General Fund support with BHSA reimbursements. The Emergency Medical Services Authority proposed funding for statewide behavioral health crisis response guidance and for enterprise system development, and the Department of Managed Health Care proposed modernization of its complaint system and claims-settlement data system to improve oversight and comply with AB 3275. The largest discussion centered on the administration’s BHSA spending plan under Proposition 1, including state-directed prevention, workforce, and other uses, plus General Fund offsets for existing programs. The LAO questioned whether some proposed offsets fit Proposition 1’s non-supplant and eligible-use requirements, while the administration argued the uses were consistent with the measure and that the state-directed share can be adjusted annually. The Commission for Behavioral Health’s proposals drew the most public and member concern. The administration proposed cutting the commission’s Innovation Partnership Fund from $20 million to $10 million and reducing the Community Advocacy Program by $6.7 million, while redirecting BHSA dollars to other state purposes and direct services. Commissioners, advocates, and several members argued the cuts would weaken community voice, reduce support for underserved populations, and disrupt grants already in process; they also objected to using BHSA funds to backfill General Fund commitments. Public commenters, including youth, disability, behavioral health, LGBTQ, tribal, veteran, immigrant, and community-based organization representatives, overwhelmingly opposed the cuts and urged preservation of prevention, advocacy, mobile crisis, and innovation funding. No votes or final actions were taken during the hearing.

Transcript Highlights:

• The question before the House is a referral of House Bill 1034 back to the Joint Budget Committee.
• Question before the House is a referral of House Bill 1034 back to joint budget committee.
• I've taken this process as seriously as I could. I've done what they asked us to do.
• She said process should matter, because people want to know what the body is doing and why, and they
• Joint budgets meet today on the re-referral of, I think, 1054. Big Mac A.

Summary: The House convened with prayer and the Pledge of Allegiance, established a quorum, granted several leaves, and received gubernatorial approval notices for multiple fiscal-session measures. The chamber then referred House Bill 1034 back to the Joint Budget Committee so pay raises could be stripped out and cybersecurity/bank-fee funding handled later. House Bill 1103, increasing the homestead property tax credit by $75, passed 94-0. Members then considered several budget amendments and appropriations. Amendments to House Bills 1007, 1022, 1036, and 1064 were adopted, and Senate Bill 76, a $2 million appropriation for county extension office capital improvements, passed 87-7. A batch of appropriation bills passed, but several individual bills failed, including House Bills 1023, 1035, 1053, and 1066. House Bills 1089 and 1090, supplemental appropriations for pregnancy crisis centers and waste tire cleanup, both passed. House Bill 1093, a corrections reappropriation bill that excluded use of funds in Franklin County, also passed 94-0. The most extensive debate centered on House Bill 1100 Amendment 1, which set out the RSA and one-time funding package. Supporters described major allocations for corrections, state police, LEARNS Freedom Accounts, Medicaid, vehicle purchases, and a proposed $300 million economic-development site-preparation and road package tied to a confidential project. Opponents criticized the secrecy, size, and policy approach of the incentive, while supporters argued it could bring jobs and broader economic benefits. The amendment passed 54-36-3. The House also passed Senate Bills 8, 16, 30, 63, 67, and 73, while Senate Bills 41 and 59 failed, and Senate Bill 10 passed after being briefly set aside for clarification. The chamber adjourned to 1 p.m. the next day, with committee meetings announced for budget and house management.

Transcript Highlights:

• the usual process.
• will follow the usual process.
• So we’re going to go ahead and go through this process.
• So let me hold it back on the referrals. The sponsor is raising an issue on the referrals.
• So that’s the process, though. That’s important.

Keywords: 996, all