Transcript Highlights:

• <00:02:50.600> of right now to prohibit this practice of right now to prohibit this practice
• of NDAs can be to that public practice of NDAs can be to that public trust.<00:03:27.560> So,
• Corporations use them all the time to maneuver in private practice and in business to prevent people
• And so, that's why we need to make sure that right now we know and prohibit this practice.
• know and and prohibit this practice. know and and prohibit this practice.

Keywords: 1183, house

Transcript Highlights:

• Uh and it scope of practice for PAS.
• was already sort of standard practice. was already sort of standard practice.
• I've been actively practicing at the Department of Labor since the fall of 1997.
• employer, but I'm I'm a practicing employer, but I'm I'm a practicing attorney.<03:24:32.000>
• degree in um or licensing to practice degree in um or licensing to practice chiropractic<04:26:14.880

Keywords: 1189, house, all

Transcript Highlights:

• yes, those are those are best practices. yes, those are those are best practices.
• One was Lake Kanosaka, as practices.
• <04:19:41.439> I practices violates that agreement. I practices violates that agreement.
• <04:22:39.840> as comply with best forestry practices as comply with best forestry practices
• forest management practices. forest management practices.

Keywords: 1189, house, all

Transcript Highlights:

• Medications, behavioral supports, and practical supports.
• Best practice number three: training our general health...
• The next best practice is public health.
• And then my fifth best practice model is methadone.
• My primary care practice... Thank you for asking that.

Summary: The task force meeting opened with new leadership announcements, including Senator Nick Schroer thanking outgoing chair Representative John Black and naming Representative Del Taylor as vice chair. After some initial technical difficulties with audio and Zoom, members reviewed the task force’s statutory charge under Missouri law: to hold hearings on substance use, explore solutions, draft or modify legislation, and produce recommendations for prevention and treatment. The chair said the goal for this year is to develop concrete legislative ideas for the next session, with hearings focused first on field experts and later on alternative therapies and the Department of Mental Health. Dr. Rachel Winograd gave the first major presentation, describing Missouri’s overdose crisis as increasingly complex and driven primarily by fentanyl, now compounded by xylazine and metatomidine. She said overdose deaths have declined for a third straight year, with preliminary 2025 data around 1,200 deaths, and attributed the decline to a smaller fentanyl supply, wider naloxone availability, and fewer young people entering use. Her main recommendations were to focus on reducing harm rather than trying to eliminate drug use, expand evidence-based medications for opioid use disorder—especially methadone and buprenorphine—improve access to naloxone, and loosen methadone regulations, including take-home doses, the federal 72-hour rule, and broader methadone units. She also emphasized that peer support, housing, transportation, and other practical supports matter, and noted that naloxone can still reverse fentanyl overdoses even when tranquilizers are present. Dr. Heidi Miller, the state medical director, followed with two recommendations: integrate substance use disorder care into whole-person health care and follow the science when considering substance-related legislation. She argued that primary care, maternal health, workforce training, EMS, public health, and methadone access should all be part of a coordinated model, and said reimbursement should support teams rather than isolated providers. She also urged stronger enforcement of parity between behavioral health/SUD and physical health coverage, and highlighted tobacco and alcohol as major, under-addressed causes of death in Missouri. Dr. Doug Burgess then reinforced the need for a coordinated continuum of care, comparing substance use treatment to the seamless system used for heart attacks, and said patients should have standardized assessment, discharge planning from day one, transition coordinators, peer recovery coaches, and better information-sharing between levels of care. Members asked questions about relapse, treatment court, EMS referral barriers, reimbursement, and whether buprenorphine can be started in the field; no votes were taken, and the meeting ended with plans to continue hearing testimony and use it to shape future policy recommendations.

Transcript Highlights:

• It may include ideas from other sectors or geographies, adapting promising practices in new areas or
• Traditional health care practices are intended to improve access to culturally responsive care for our
• So this was an exciting first in the nation approval that we were practices.
• Traditional health care practices are exclusively offered through our Indian health care providers.
• Traditional health care practices are exclusively offered through our Indian health care providers or

Keywords: 987, senate, all

Summary: The subcommittee heard updates from the Department of State Hospitals on its proposed 2026-27 budget, including a $3.2 billion total budget, patient-driven operating cost increases, savings in the IST solutions program, and progress in meeting the Stiavedi court-ordered 28-day treatment standard. DSH reported it has met court benchmarks, reduced the IST pending placement list from a pandemic high of 1,953 to about 250, and is now averaging about five days to initiate treatment. Members asked about the effects of Proposition 36 and SB 1323 on referrals, outside hospitalization costs, Medicare coverage, and whether IST solution funds were being overbudgeted; DSH said referrals are slightly down overall, outside medical costs are rising due to inflation and an aging population, and the IST savings reflect slower-than-expected activation of community programs rather than a service gap. The department also outlined proposed funding for electrical infrastructure upgrades at Napa and Patton, a feasibility study under SB 380 for transitional housing for the CONREP SVP program, and a dental services expansion at Metropolitan and Patton. The committee held those DSH items open after discussion. The Commission for Behavioral Health presented its role in overseeing the transition from MHSA to BHSA, including data, evaluation, transparency, grantmaking, and technical assistance. It described the new Innovation Partnership Fund, a statewide innovation grant program funded at up to $20 million annually for five years, with small and large grants, and said it had received strong interest ahead of the May 8 application deadline. Members asked about what qualifies as innovation, whether grants could be renewed, and how the state would ensure the program supports service delivery rather than general outreach or training. The commission also sought a liquidation deadline extension for up to $4.062 million in remaining Alcove Youth Drop-in Center funds so sites can finish implementation and Stanford can complete the final evaluation; that item was also held open. DHCS provided an overview of behavioral health policy changes under CalAIM and BH Connect, including peer support, mobile crisis, contingency management, traditional health care practices for tribal members, the access reform and outcomes incentive program, workforce investments, evidence-based practice expansion, IMD participation, transitional rent, and upcoming youth-focused guidance such as high-fidelity wraparound and activity funds. On BHSA implementation, DHCS said it is not tracking specific local program cuts, but is monitoring county plans and outcomes while noting that counties must still preserve Medi-Cal specialty mental health and DMC-ODS services. The department also discussed its H.R. 1 implementation strategy, including outreach, streamlined renewals, ex parte exemptions, and proposed clinic navigator and outreach funding to reduce Medi-Cal coverage loss, especially for people with behavioral health needs. In response to questions, DHCS said it has not produced a specific H.R. 1 impact estimate for county behavioral health populations, and later explained that counties can still use BHSA and other funding streams for prevention and early intervention while the state tracks impacts through integrated plans and new performance measures. The department also reported on BH-CHIP bond spending, saying it has awarded $5.8 billion for 437 infrastructure projects creating 546 new or expanded facilities and more than 9,553 residential beds, with tribal set-asides exceeding the original allotment.

Transcript Highlights:

• And it may include ideas from other sectors or geographies, adapting promising practices in new areas
• Traditional health care practices are intended to improve access to culturally responsive care for our
• Traditional health care practices are exclusively offered through our Indian health care providers.
• Traditional health care practices are exclusively offered through our Indian health care providers.
• Traditional health care practices are exclusively offered through our Indian health care providers or

Summary: The subcommittee heard presentations from the Department of State Hospitals (DSH), the Commission for Behavioral Health, and the Department of Health Care Services (DHCS) on budget proposals and implementation updates. DSH outlined its proposed 2026-27 budget, including funding for patient operating expenses, IST solutions savings, conditional release program costs, LPS bed allocation changes, electrical infrastructure projects at Napa and Patton, SB 380 transitional housing feasibility work, and expanded dental services at Metropolitan and Patton. DSH also reported that it has met court-ordered IST treatment benchmarks in the Stiavedi v. Clinton case, with average time to initiate treatment down to about five days and pending placements reduced to roughly 250, while noting that Proposition 36 could increase referrals and SB 1323 may divert some individuals earlier into community-based treatment. Members asked about rising outside hospitalization costs, Medicare enrollment, the timing and structure of capital projects, and whether IST solution funds are being fully used; DSH said the savings reflect slower-than-expected ramp-up of community programs and that the Central California FACT replacement program is still on track for January 2027 activation. The Commission for Behavioral Health described its role under the Behavioral Health Services Act (BHSA), including data, evaluation, grantmaking, technical assistance, and transparency work. It highlighted the new statewide Innovation Partnership Fund, a five-year, $20 million-per-year program with small and large grant categories; the first RFA drew strong interest, with more than 400 questions and over 1,000 bidders’ conference participants. The Commission also discussed a proposed extension to spend down about $4.1 million remaining for the Alcove Youth Drop-in Center grants so sites can finish implementation and Stanford can complete the final evaluation. Members asked about grant duration, whether projects can be renewed, what qualifies as innovation, and whether the fund could support service delivery rather than awareness campaigns or training; the Commission said awards are expected to be three-year contracts and that proposals must be new or meaningfully expanded approaches that support BHSA priority populations. DHCS reviewed major behavioral health changes under CalAIM and BH Connect, including peer support, mobile crisis, contingency management, traditional health care practices for tribal members, updated specialty mental health access criteria, and new substance use treatment standards based on ASAM’s fourth edition. DHCS reported strong contingency management results, with more than 13,000 members served and 95% testing negative for stimulant use during treatment, and said 21 Indian health care providers have been approved to offer traditional health care practices. It also described BH Connect initiatives such as the $1.9 billion access reform and outcomes incentive program, workforce investments, evidence-based practice expansion, IMD participation by four counties, and transitional rent services. On BHSA implementation, DHCS said it is not tracking individual county contract cuts but is monitoring county plans and statewide outcomes, while stakeholders raised concerns about local prevention and service gaps. DHCS also outlined its H.R. 1 implementation strategy, including outreach, streamlined renewals, exemptions for disabled, substance use, and medically frail individuals, and proposed clinic navigator and outreach funding; it said it has not yet produced a focused estimate of H.R. 1 impacts on behavioral health populations. The discussion ended with DHCS noting that B-CHIP bond funding has supported 437 infrastructure projects, creating 546 new or expanded facilities and more than 9,500 residential beds across the state.

Transcript Highlights:

• So, this is just a little tiny tweak to make sure that we're keeping in line with best practices on the
• Current best practices.
• that the IRS has permitted practices that the IRS has permitted since<00:41:03.839> the<00:41
• <00:41:39.760> In<00:41:40.079> particular, those best practices.
• In particular, those best practices.

Bills: SB309, HB192, SB178, SB179, SB237, HB10, HB107, HB189, HB37, HB226, SB309, HB192, SB178, SB179, SB237, HB10, HB107, HB189, HB37, HB226

Keywords: automated driving systems, oversized vehicles, transportation, regulations, permits, HB192, international wire transfer, wire transfer fee, remittance fee, money transmission business, Alabama Securities Commission, Department of Revenue, Education Trust Fund, ELL instructors, English Language Learner, ESL teachers, income tax credit, remittances, international money transfer, migrant families

Transcript Highlights:

• This bill reflects a widely adopted best practice for commercial filings.
• This bill reflects a widely adopted best practice for commercial filings.
• So what happens, as a practical matter, is there's first the administrative burden.
• Also, as a practical matter, a mortgage or deed of trust can be effective for 60 years.
• Some practices in debt settlement are often leaving both parties worse off.

Summary: The Assembly Banking and Finance Committee met as a subcommittee at first because a quorum was not yet present, then proceeded with bill presentations and later formal votes once enough members arrived. The chair reviewed committee procedures, including how to submit written testimony and rules for witnesses and conduct. The agenda included AB 771, AB 1507 on the consent calendar, and AB 1166. AB 771 by Assemblymember Massetto was presented as a technical fix to California’s Uniform Commercial Code. Supporters said it would allow a mortgage or deed of trust to serve as a fixture filing without requiring an exact match to the debtor’s ID, reducing duplicate filings, fees, and administrative burdens. There was no formal opposition, and the committee voted due pass. AB 1507 was then adopted on the consent calendar with a due pass recommendation. AB 1166 by Chair Valencia addressed debt settlement protections for small business commercial financing recipients by extending existing California debt settlement standards from consumer loans to business loans. Supporters, including the Responsible Business Lending Coalition and several financing providers, said the bill would curb harmful practices and align incentives, while still allowing debt settlement services. Members asked about the private right of action and statutory damages, and the bill was approved due pass. The committee later reopened the rolls for absent members, recorded additional aye votes, and adjourned after completing the agenda.

Transcript Highlights:

• But, you know, they practically came in with flaming torches because anybody— you know, in fact, one
• But, you know, they practically came in with flaming torches because anybody, you know, in fact, one
• Scope of practice wise. Who's authorized? Chair McLeod and Senator Roos, yes.
• Who is eligible to apply topical fluoride varnish, and it lists registered nurse, licensed practical
• So there's a limited number of procedures at the beginning of a practice that DTs learn, and they go

Summary: The committee first approved the previous meeting minutes and then heard a detailed annual report from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and policy issues. He explained the committee’s review process, confidentiality protections, and national and North Dakota data showing that most maternal deaths are preventable and that mental health conditions, substance use, cardiovascular issues, infection, hemorrhage, and embolism are the leading causes. Members asked about suicide, domestic violence, midwife training, home births, and whether pregnancy testing at death scenes should be expanded; Dr. Arnold said better coroner education, more investigation of unexplained deaths, and possible post-mortem pregnancy testing could improve case identification, especially in rural areas. He also noted that deaths often occur well after 42 days postpartum and that mental health-related deaths remain a major concern. The committee then heard from State Fire Marshal Dr. Matthew Clark on cigarette reduced-ignition-propensity standards and related fire prevention issues. He recommended updating the state’s cigarette propensity law to current national standards and also raised a separate recommendation to require fast-breakaway oxygen tubing for home oxygen users, citing fatal fires linked to smoking around oxygen. Members asked about implementation, cost, insurance coverage, and whether the standards apply in tribal communities; Dr. Clark said he would provide follow-up information and was willing to help with any legislation, but no agency bill had yet been planned. Next, Christine Greff of the Department of Health and Human Services reported on the North Dakota Stroke System of Care. She described the statewide network of stroke-ready hospitals, registry-based quality improvement, and performance data showing continued improvement in stroke recognition, imaging, thrombolytic treatment, transfers, and EMS pre-notification. She highlighted new quality measures for inter-facility transfers and intracerebral hemorrhage care, and said the system remains strong but depends on continued legislative and hospital support. Committee members asked about participation by the VA hospital and were encouraged to consider outreach to include it more fully in the stroke system. Finally, the committee began a presentation on prior authorization and non-opioid pain treatment from Taha Khan of Vertex Pharmaceuticals. He argued that prior authorization can delay access to non-opioid acute pain medications, especially in the 24- to 72-hour post-discharge window when pain is most severe, and said delays can push patients toward opioids. He emphasized that prior authorization has a role in utilization management but should not create barriers in acute pain care, and he noted that current use of the company’s non-opioid product remains very low. The discussion was still underway when the transcript ended.

Transcript Highlights:

• House Bill 380 and fraudulent practices.
• Relating to the practice of dentistry.
• 65 for her practical uh improvements on 65 for her practical uh improvements on the<00:20:20.160>
• , that back, then they couldn't practice, that back, then they couldn't practice, but<00:35:42.480
• practice practice uh<00:35:46.320> but<00:35:46.560> just<00:35:46.880> not<00:

Keywords: 958, all

Summary: The House convened with prayer and the Pledge of Allegiance, then approved the journal, excused absent members, and suspended rules to allow co-sponsorships and vote modifications. The clerk reported Senate Bills 156, 173, and 193 had passed the Senate and requested concurrence. Committee reports were then read, advancing a number of bills on banking and insurance, judiciary, licensing/occupations, and primary/secondary education, including measures on insurance, fraudulent practices, virtual currency kiosks, eminent domain, DUI, legal representation, costs and fees, barbering, fire protection, licensing background checks, dentistry, school reporting, teacher certification, and educator placement. Those favorable reports were treated as first readings and placed on the calendar. The chamber then took up House Bill 307, the “My Kentucky Future Act,” on proactive post-secondary admission. Sponsors explained that the bill would send opt-in letters from public universities to eligible high school juniors, include a common application for the state’s public institutions, and share data with KY Stats to track outcomes. Members asked about scholarships, the target student group, and privacy; the sponsor clarified that participation is voluntary, the letters do not guarantee admission, and the program is meant to streamline college access. House Committee Substitute 2 and House Floor Amendment 2 were adopted, and HB 307 passed 97-0. House Bill 418 on domestic violence was then considered. The sponsor said the bill prioritizes the non-offending parent, requires abusive parents to address violent behavior before unsupervised visitation, and gives courts more tools to consider false abuse allegations and victim advocates’ testimony. House Committee Substitute 1 was adopted, and after brief discussion the bill passed 96-1. House Bill 593 on data centers followed; its sponsor said the measure is intended to support data center development while protecting ratepayers from subsidizing infrastructure risk, requiring companies to bring their own generation, buy power on the open market, or prepay certain costs. After adopting House Committee Substitute 1, the bill passed 90-8. The House also passed House Bill 5 on prison educational programs, with a committee substitute and a floor amendment adding data collection on post-release employment; it passed 99-0. Finally, House Bill 584 on licenses for prescribing or dispensing controlled substances was debated. The sponsor said the bill removes a permanent ban so a physician who has regained licensure may apply for DEA registration, while opponents raised concerns about repeated misconduct and the ability to practice without DEA authority. The transcript cuts off before final disposition on HB 584.

Transcript Highlights:

• So basically, my concern is: if a solo practice doctor dies, what happens to the records?
• <00:25:43.320> doctor<00:25:43.919> dies<00:25:44.919> what is solo practice
• doctor dies what is solo practice doctor dies what happens<00:25:45.360> to<00:25:45.520>
• patient because as a solo practice patient because as a solo practice attorney<00:27:27.840>
• patients of the closure of the practice patients of the closure of the practice and<00:27:45.039

Keywords: 912, senate, all

Summary: The Health and Human Services Committee heard testimony on several health-related measures, with most of the discussion focused on SB 1419, SB 1494, and SB 1495, which were taken out of order to accommodate ASL/Death Blind Task Force testimony. SB 1419, relating to Act 253 (Session Laws of Hawaii 2023), drew support from the Department of Human Services and the National Federation of the Blind of Hawaii, with testimony emphasizing use of the term “low vision” and support for the program timeline. The committee later recommended passage with amendments, including technical changes and updated appropriation fiscal years, and the motion was adopted unanimously by the members present. SB 1494, concerning hearing aids, drew broad support from disability advocates and others who argued that hearing aids improve health, reduce accidents, and may help reduce dementia risk. Testifiers also urged that the bill define hearing aids as prescription hearing aids rather than including over-the-counter devices, and the Department of the Auditor and Insurance Division raised cost and coverage questions. The committee recommended passage with amendments, changing the coverage approach to optional coverage similar to vision and dental and requesting a sunrise analysis for prescription hearing aids; that recommendation was adopted. SB 1495, which exempts hearing aids from the general excise tax, also received support, while the Attorney General flagged a possible single-subject issue and the Tax Department estimated a potential $1.1 million revenue impact. The committee recommended passage with amendments, including deletion of the challenged language, technical fixes, and noting the revenue estimate; that recommendation was adopted. The committee then moved through additional measures with mostly supportive testimony. SB 1421 on medical records prompted questions about what happens when a solo practitioner dies or closes practice, and the discussion centered on ensuring patients can obtain records, including a proposed amendment requiring a successor provider to send records to the patient’s last known address. SB 1422, dealing with a special fund and vital statistics funding, was supported by the Department of Health, which said the special fund did not meet criteria and that deposits should instead go to the Vital Statistics Improvement Special Fund. SB 1423 on certificate of need exemptions for Department of Health facilities drew support, with discussion of possibly extending exemptions to dialysis and behavioral health/psychiatric services; the Department indicated it would not oppose that change. SB 1424 on credentialing of health care providers also received support, and SB 1425 on the State Emergency Medical Services Committee focused on reducing quorum requirements because many members are active first responders and cannot always attend meetings. The committee also heard support for SB 1426 on emergency medical services, SB 1431 on viral hepatitis, and SB 1433 on harm reduction, with testimony on hepatitis outreach funding and syringe access best practices; for SB 1433, the Department of Health identified a blank in the bill and recommended a six-month period for the syringe-possession exception.

Transcript Highlights:

• And maybe we can record best practices and share and have some resources available.
• They have policies about retention and they have practices for that. Use common sense.
• So what is best practice around the nation for these things?
• You know, let's talk about practical and fiscal reality of LB 1050.
• That's the current practice.

Bills: LB878, LB958, LB958A, LB762, LB1187, LB966, LB929, LB962, LB1209, LB937A, LB962A, LB1050, LB1050A, LB965, LB1022, LB753, LB788, LB913, LB1055, LB1195, LB429, LB721, LB722, LB727, LB745, LB749, LB778, LR293, LR296, LR422, LR495, LR496, LR497, LR498, LR499, LR500, LR501, LR502, LR503, LR504

Keywords: paid parental leave, state employees, workplace benefits, family support, economic impact, Medicaid, Medical Assistance Act, home and community-based services waiver, HCBS waiver, waiver participant, assessment tool, clinical interviewing, service tier, retroactive coverage, doula, doula reimbursement, maternal health, prenatal care, pregnancy, birth outcomes

Transcript Highlights:

• It protects providers practicing ethical, evidence-based medicine.
• It protects providers<00:25:44.240> practicing<00:25:44.799> ethical providers practicing
• ethical providers practicing ethical evidence-based<00:25:46.799> medicine.
• Uh HP1875 directly addresses a practice.
• I'm wondering in your practice I'm wondering in your practice um<01:08:30.960> how<01:08:

Bills: SB2936, SB2850, SB2851, SB2521

Keywords: accessible parking, disability, kupuna, public accommodations, small business exemptions, Hawaii Revised Statutes, parking permit, blind, deaf, accessibility, deafness, traffic safety, law enforcement, vehicle registration, communication, emergency services, commercial driver's license, first responders, public safety, authorized emergency vehicle

Summary: The joint hearing covered House Bill 251, which would require hospitals to report costs associated with Medicare and uninsured patients, and House Bill 1875, which would expand protections for gender-affirming health care services. On HB 251, the Department of Health said it supported the intent but described the bill as complicated and potentially impractical as drafted because the department lacks the expertise to produce the required analyses without outside help. Hawaii Health Systems Corporation echoed those concerns, while the Queen’s Health System said it was willing to work with the department to provide the information. In committee discussion, officials explained that hospital support in Hawaii includes public hospital appropriations and the provider tax program, which uses hospital and nursing home contributions to draw federal matching funds; a department witness estimated the net benefit at about $150 million for hospitals and $20 million for nursing facilities, though exact figures would be provided later. On HB 1875, the Insurance Division testified with concerns that the bill’s language on prohibited actions by malpractice insurers was broad and vague, and that a rate-increase prohibition could conflict with actuarially based insurance pricing. The division also noted it was not the primary enforcement agency for the statute. In contrast, many testifiers strongly supported the bill, including the Hawaii State Commission on the Status of Women, the Hawaii State LGBTQ+ Commission, the Hawaii Public Health Institute, PFLAG Oahu, the ACLU of Hawaii, the Drug Policy Forum of Hawaii, the Hawaii County Democratic Party, and others. Supporters argued that gender-affirming care is medically necessary, evidence-based, and protected by privacy and bodily autonomy principles, and that the bill would protect patients and providers from outside political interference. No votes or final committee actions were taken during the portion of the hearing provided.

Transcript Highlights:

• So I have some real concerns about when we expand the scope of practice to allow people to do things
• referred to Higher Ed, so obviously there's conversations that happen there related to scope of practice
• , and it is a reasonable conversation to have related to expanding scope of practice.
• , and it is a reasonable conversation to have related to expanding scope of practice.
• , and it is a reasonable conversation to have related to expanding scope of practice.

Keywords: 993, senate, all

Summary: The Senate Standing Committee on Health considered a series of health-related bills, many of which were reported favorably. Among the measures approved were SB 999, which would restructure Medicaid reimbursement for early and periodic screening, diagnosis, and treatment services for children with IEPs or disabilities; SB 1816, lowering the state definition of elevated blood lead levels to 3.5 micrograms per deciliter; SB 1911A, extending due process protections for health care professionals when insurers terminate or fail to renew them; and SB 3105, allowing reciprocity for out-of-state medical cannabis patients. The committee also advanced SB 4589 on federally qualified health center rate adequacy, SB 4955B on Medicaid Inspector General audit procedures, SB 9196 to ban new for-profit hospices, SB 9237 expanding the definition of family for certain foster care health facility services, and SB 9275 requiring Medicaid coverage for gender-affirming care and prohibiting related discrimination. Several of these bills were sent to Finance, while others were sent to First Reading or Higher Education as noted. The committee also discussed SB 2625, which would expand pharmacists’ authority to prescribe, administer, and dispense medication-assisted treatment for opioid use disorder. One member raised concerns about expanding scope of practice without coordination with primary care or a holistic review of patient conditions, and indicated opposition; the bill was nevertheless referred to Higher Education. SB 5056B, requiring the Department of Health to examine heat vulnerability and heat-related deaths, prompted discussion about whether the bill should explicitly require recommendations for prevention; the sponsor said the idea was to gather data and that recommendations could be added, and the bill advanced with some reservations. Other measures included SB 7460, reauthorizing a maternal infant care centers pilot program using an existing $350,000 appropriation, and SB 9388, requiring public notice and engagement when a general hospital closes or shuts down a psychiatric, mental health, or substance use unit. The hospital closure bill drew discussion about relocations and whether moves that shift services to a new site would trigger the community engagement process; the sponsor said they would. Most bills were approved by voice vote, with some members voting no or without recommendation on certain measures, and the committee adjourned after reporting the bills onward.

Transcript Highlights:

• And then within the best management practices that KIA may require, it makes reference to that asset
• And then within the best management practices that KIA may require, it makes reference to that asset
• Uh, this is a better practices structure for the original bill.
• <00:09:44.240> structure<00:09:44.920> for this is a better practices structure for
• this is a better practices structure for the<00:09:45.800> original<00:09:46.240> bill.

Keywords: Meeting Start 00:00:00 Roll Call 00:00:15 HB 503 Discussion 00:01:30 HB 503 Vote 00:05:30 HB 651 Discussion 00:07:15 HB 651 Vote 00:10:25, 958, all

Summary: The House Standing Committee on Appropriations and Revenue met on March 3, 2026, with a quorum present and took up two bills. First, the committee considered House Bill 503, the legislative branch budget, as amended by committee substitute PHS 1. Sponsors and presenters described it as a continuation of recent budget approaches for the smallest of the three branches. One member asked about language in the substitute related to capital and capital annex construction expenditures and why certain statutes would not apply; the response was that the provisions were standard in recent years and intended to give the legislative branch flexibility for ongoing capital projects. The committee adopted PHS 1 and then passed HB 503 out favorably by a vote of 19-0, with no nays or passes. The committee then took up House Bill 651, which makes changes to the Kentucky Waters program created in 2024. Representative Josh Bray explained that the bill, in consultation with the Kentucky Infrastructure Authority, updates project selection criteria to better target distressed districts and applies only to the next funding cycle. The committee substitute adds requirements for applicants to have an asset depreciation plan and ties that concept into best management practices, with the stated goal of avoiding repeated funding of the same projects as they wear out. Members clarified that the bill addresses the program’s structure rather than annual funding allocations, and Bray confirmed that annual project funding continues to be implemented through separate resolutions and KIA evaluation. The committee adopted PHS 1 and reported HB 651 favorably by a vote of 20-0.

Transcript Highlights:

• For the discussion of medical and practice-related problems, and whereas the Arkansas chapter of the
• Dermatology Training Advocacy Group is the organization consisting of dermatology trainees and practicing
• physicians dedicated to promoting the highest standards of clinical practice, education, and research
• in dermatology, to advocating for policies that improve patient care and the practice of dermatology
• Discussion of medical legislative and practice-related issues.

Summary: The House convened to finish items from an adjourned resolution and spent the meeting recognizing a series of resolutions honoring public health awareness, community service, and athletic and academic achievements. House Resolution 1021 designated May as Skin Cancer Awareness Month, with the sponsor emphasizing that skin cancer is the most diagnosed cancer in the U.S., is highly preventable, and benefits from early detection. House Resolution 1020 honored Frederick Henry Middleton upon his retirement after 50 years of service to the City of Arkadelphia, and House Resolution 1022 congratulated the Rolling Razorbacks on winning their sixth Division II National Wheelchair Basketball Championship, with MVP Jeff Glassbrenner and Coach Jared Johnson recognized on the floor. The chamber then adopted or considered multiple school-sports resolutions, including House Resolution 1033 honoring the Parkview Arts and Science Magnet High School Patriots boys basketball team for winning the 2026 Class 5A state championship, and House Resolutions 1028 through 1032 recognizing Rogers High School teams for championships in girls cross-country, baseball, boys tennis, girls wrestling, and boys golf. House Resolutions 1040 and 1041 honored Mountain Home High School’s boys and girls cross-country teams for sweeping the 2025 Class 5A titles, and House Resolution 1044 recognized Mount St. Mary Academy’s Bell’s golf team for its third straight Class 6A championship. Additional resolutions recognized the Central Arkansas Christian High School Choir for its first Best in Class showing at the state choir festival, Coach Dave Wilbers of Arkansas Tech University for his retirement after a highly successful women’s basketball career, Arkansas Tech’s Golden Suns cross-country team for winning the Great American Conference championship, and the North Little Rock Lady Charging Wildcats girls basketball team for winning the 2026 Class 6A state title. No substantive legislation was debated; the meeting consisted primarily of ceremonial presentations, brief remarks, and requests for favorable votes or title-only readings, and it ended with the House announcing it would reconvene at 1:00 p.m.

Transcript Highlights:

• to the payer to determine which kind of pharmacist can practice in which setting.
• to the payer to determine which kind of pharmacist can practice in which setting.
• Payment bills specifically, those are listed within a scope of practice.
• as a pharmacist and many of us practice as a pharmacist and many of us go<00:26:48.000> on<00
• I mean, is that practical? We don't disagree that yes, it is extra effort.

Keywords: 910, house, all

Summary: The committee heard several measures, beginning with SB 1046 SD1 on condominiums. Testimony on that bill focused on reserve funding and enforcement of reserve study requirements. The Community Associations Institute opposed the bill, saying it would create hardship, confusion, and be difficult to administer, while also urging stronger penalties for boards that fail to comply with reserve study rules. The Real Estate Commission offered comments, and one testifier spoke in support. No vote was taken during the portion provided. The committee then heard SB 532 SD2 HD1 relating to the Department of Education, which would improve access to pre-approved medications for students with health conditions at school and during off-campus activities. The Department of Health, University of Hawaiʻi nursing and medical programs, and the Department of Education all supported the measure, with DOH suggesting amendments to better identify the correct student and improve medication safety. Members had no questions, and the bill moved on. Next was SB 1245 SD2 HD1 relating to pharmacists, a bill to allow reimbursement for clinical services pharmacists are already trained and licensed to provide. The University of Hawaiʻi, Board of Pharmacy, Walgreens, Mikai Drugs, and the Hawaiʻi Pharmacists Association supported the bill, emphasizing improved access to care, recruitment and retention of pharmacists, and better chronic disease management. The Hawaiʻi Pharmacists Association also discussed proposed amendments to prevent plans from denying coverage or network participation when pharmacists meet credentialing requirements. Members questioned whether insurers would actually use pharmacists and how the bill would affect pay and contracting; no vote was taken in the excerpt. The committee also heard SB 1279 SD2 HD1, another pharmacists bill focused on telepharmacy and 340B-related issues. The Department of Corrections and Rehabilitation supported it, saying telehealth could reduce costs and avoid travel for audits, while the Board of Pharmacy opposed it. Lānaʻi representatives opposed the bill and asked for an exemption, arguing the island already has close in-person access to a resident pharmacist and clinics. The Hawaiʻi Primary Care Association supported the measure, citing large patient savings from 340B pricing, while Mikai Drugs opposed it, arguing that mail-order and telepharmacy are not necessary on some islands and can create delivery and medication-safety problems. Members asked questions about insurer participation, scope of practice, and whether the bill would meaningfully change reimbursement; the transcript ends before any final action or vote.

Transcript Highlights:

• , It prevents primary care practices, It prevents primary care practices, specifically<00:41:30.640
• practices, from specifically independent practices, from collaborating<00:41:33.280> with<00:
• >> practicing a criminal act. >> practicing a criminal act.
• ghosts instead of practicing medicine. ghosts instead of practicing medicine.
• provider and is actively practicing. provider and is actively practicing.

Keywords: 1189, house, all

Transcript Highlights:

• And our approach is really rooted in the sharing and adoption of policy best practices.
• And we love to share success stories and best practices and policies through our activities.
• Employers also need practical tools to recruit, hire, and retain workers with disabilities.
• So really demonstrating those best practices to the private sector.
• Your text in the chat related to it would be helpful to hear from best practices, challenges from other

Keywords: 995, all

Summary: The Disability Employment Subcommittee met with roll call, approved prior meeting minutes, and shared an inspirational quote from Jane Goodall about the importance of every individual. Members then introduced themselves and their roles, including state disability advocates, providers, and commission members, before hearing a presentation from Katia Alpanis and Dina Klumkina of the State Exchange on Employment and Disability (SEED). SEED described its role as a technical assistance and policy resource for states, focused on sharing best practices and examples from other states to expand employment opportunities for people with disabilities. The presentation outlined SEED’s seven policy areas: career readiness and work-based learning, behavioral health and work, stay-at-work/return-to-work supports, employer recruitment and retention tools, entrepreneurship and disability-owned business development, interagency coordination, and state government as a model employer. Examples from other states included scholarship and transition supports in Kentucky and Virginia, stay-at-work programs in Alaska and Washington, accommodation funds in Minnesota, procurement and small business initiatives in New Jersey and Virginia, and model employer efforts in Colorado, New York, and Tennessee. Members also asked about digital accessibility and PEAT; SEED said PEAT has been refunded and that SEED can help with policy-level questions and peer examples, but not implementation of accessibility requirements. Discussion then shifted to possible Massachusetts projects. Members raised concerns about upcoming Medicaid work or civic engagement requirements and how people with disabilities might fall through the cracks, and they asked whether SEED could help Massachusetts use existing documentation, such as IEPs, to reduce barriers. The group identified two main areas for follow-up: a Massachusetts “state as a model employer” roadmap and a youth/young adult employment and volunteer pipeline, potentially linked to transition services and apprenticeship opportunities. SEED agreed to provide Massachusetts-specific analysis and two briefs, one on career readiness policies and one on state-as-model-employer strategies, and the subcommittee planned an offline follow-up meeting to narrow priorities and develop a scope of work.

Transcript Highlights:

• She said the association still has three remaining concerns: local government immunity, the practical
• What the bill requires, he said, is that people come in line with best practices and national best practices
• He said they do not get the protection unless they are instituting the best practices as they change
• National best practices, whether you're a local government, a hospital who, by the way, gets sued the
• These are practical burdens. There are practical burdens as well.

Bills: S7020, S0308, S0692, S0474, S0572, S1106, S1650, S0350, S1442, S7032

Keywords: open government, sunset review, aquaculture, public records, exemption, Florida Museum of Black History, cultural heritage, education, Board of Directors, local governance, cybersecurity, data breach, data privacy, information security, local government, county, municipality, vendor contracts, third-party service provider, liability shield

Summary: The committee heard and voted on several measures. SB 308 on the Florida Museum of Black History was explained as implementing a prior task force recommendation by designating St. Johns County as the museum site, creating a board, and coordinating with a supporting nonprofit; it passed favorably. SB 692 on cybersecurity standards and liability was amended to bar local governments from imposing cybersecurity requirements on vendors beyond generally accepted best practices, and after testimony both for and against, it was reported favorably as a committee substitute. SB 572 updated ethics law to include legally recognized foster parents and foster children in the definition of relative; after a technical amendment and support from the Ethics Commission, it passed unanimously. SB 1442 revised the long-range program plan to require more specific performance metrics and agency-specific measures; it also passed favorably. The committee also approved SB 1106, as amended by a strike-all, to require state agencies and certain educational materials to use “Judea and Samaria” instead of “West Bank,” despite opposition arguing it would impose political language and conflict with federal and international terminology. SB 7020 reenacted a public records exemption for certain aquaculture and shellfish production records and passed with support from the Department of Agriculture and Consumer Services. SB 474 expanded military leave and related benefits for public employees and officials, including members of the Coast Guard and Florida State Guard, and added three amendments before being reported favorably. SB 350, dealing with public records protections for crime victims and certain law enforcement victims, was heavily amended to add time-limited confidentiality for an officer’s name in some cases and then passed favorably after discussion about balancing transparency and safety. Finally, the committee approved SPB 7032 as a committee bill to shift more fleet management responsibilities from DMS to individual agencies, while still requiring data reporting to DMS for legislative oversight. SB 1650 by Senator Gates was temporarily postponed. At the end of the meeting, members recorded votes on selected bills, and the committee adjourned.