Transcript Highlights:

• health care and to live in a world that does not target their existence and creating increasingly hostile
• and does not target their existence and creating<03:46:12.000><c> increasingly</c><03:46:12.560><c> hostile
• </c><03:46:13.040><c> sense</c><03:46:13.199><c> of</c> creating increasingly hostile sense of creating
• increasingly hostile sense of world.<03:46:14.399><c> This</c><03:46:14.560><c> is</c><03:46:14.800>

Committee: Senate Health and Human Services

Transcript Highlights:

• institutions feels especially callous, as taking extra vulnerable individuals and putting them in hostile
• ><00:45:57.640><c> putting</c><00:45:57.839><c> them</c><00:45:57.960><c> in</c><00:45:58.119><c> hostile
• </c> individuals and putting them in hostile individuals and putting them in hostile situations<00:45

Summary: The House Judiciary Committee opened a hearing on House Bill 148, which Rep. Jim Kofalt said is the same language as last year’s HB 396, vetoed by the governor. He described the bill as allowing, but not requiring, separation by biological sex in three areas: bathrooms and locker rooms, houses of correction, and certain athletic competitions. Kofalt argued the bill would give local school boards and other policymakers discretion to set practical rules, citing concerns about safety, privacy, and a Milford incident involving a biological male in girls’ locker rooms. Committee members pressed him on the lack of a definition of “biological sex,” and he said he did not think one was necessary because males and females are commonly understood. He also said the bill was meant to address situations where outside groups threaten lawsuits and leave local boards with no latitude. Testimony then split sharply. Supporters, including Executive Counselor Karen Hill and several others, said HB 148 would roll back anti-discrimination protections, contradict New Hampshire’s “Live Free or Die” values, and harm transgender and non-binary people. Opponents described the bill as discriminatory and unnecessary, arguing that existing bathroom and sports policies already work and that the bill would invite harassment, invasive enforcement, and legal conflict. Several speakers, including trans residents and parents of trans children, said they had used public restrooms without incident and warned that enforcement would be impractical or abusive. One supporter argued the bill was needed to protect girls’ privacy and safety and cited school sports disputes and a concern about a sex offender at a game as examples of why sex-segregated rules should be restored. Committee members asked questions about how biological sex would be defined, whether the bill was responding to real incidents in New Hampshire, and how any restrictions would be enforced. Kofalt said he was aware of issues in several school districts and at the State House, but did not have detailed documentation for every case. No vote or final action was taken in the portion of the hearing provided; the chair instead moved through public testimony under a strict two-minute limit and noted that follow-up questions would be limited so the committee could hear multiple bills that day.

Transcript Highlights:

• This week, Xi Jinping is hosting Iran, North Korea, Russia, and other hostile actors for a military parade
• This week, Xi Jinping is hosting Iran, North Korea, Russia, and other hostile actors for a military parade

Bills: HR539 , HR747 , HB4216 , HB2635 , HB4233 , HB4490 , HB2503 , HB2643 , HB4215

Keywords: LaMonica McIver, censure, House of Representatives discipline, Homeland Security Committee, removal from committee, Newark, Delaney Hall, immigration detention facility, federal officers, assault on federal officer, resisting arrest, interfering with federal officers, ICE, Homeland Security Investigations, HSI, congressional ethics, House resolution, disciplinary resolution, 18 U.S.C. 111, immigration enforcement

Transcript Highlights:

• While Stern believed that anti-Semitism could manifest as hostility to Israel and Zionism, he also believed

Committee: Joint Joint Committee on the Judiciary

Summary: The committee opened with procedural guidance for a very large hearing, explaining testimony limits, written testimony procedures, and rules for maintaining order. Members then heard testimony on a wide range of bills, including proposals to define antisemitism using the IHRA definition, regulate facial recognition technology, restrict weaponized robotics and drone use, expand protections for journalists’ confidential sources, address access to decedents’ email accounts, and create or adjust rules around municipal enforcement and animal cruelty fines. Several sponsors and advocates asked for favorable reports, and committee members asked clarifying questions on implementation, costs, and how the bills would interact with existing law. On facial recognition, sponsors and advocates described the technology as a threat to privacy, due process, and civil liberties, and urged adoption of the Special Commission’s recommendations, including warrant requirements, notice to defendants, and limits on untargeted surveillance. Support came from legislators, the ACLU, CDT, EFF, and a UMass professor, while committee members asked about current state law and municipal bans. On robotics, Senator Moore and industry witnesses from MassRobotics, Boston Dynamics, and AUVSI supported a bill prohibiting weaponized robots and requiring warrants for certain law enforcement uses, describing it as a public-safety and trust-building measure. On the shield law bill, newspaper publishers, journalists, NEFAC, and the Reporters Committee argued Massachusetts needs statutory protection for confidential sources, citing costly subpoenas and chilling effects on reporting. The committee also heard testimony on a bill to expand the right of publicity to cover image and voice, with SAG-AFTRA members supporting protections against AI-driven exploitation and some discussion about viral content and consent. Another bill would allow limited access to a decedent’s email accounts, with one witness describing a family’s inability to use a deceased relative’s email to notify friends. The committee then took testimony on psilocybin-related bills: supporters described medical and personal benefits and argued for narrow decriminalization or study, while an opponent warned of public-health risks, impaired driving, and youth exposure; the Massachusetts Psychiatric Society supported limited, safety-based decriminalization. Finally, the committee heard strong support for a “safe reporting” bill for sex workers and trafficking survivors, with advocates saying immunity would encourage victims and witnesses to report crimes without fear of arrest, and members raised questions about how the immunity would work in practice.

Transcript Highlights:

• We have also heard of allegations of a hostile workplace.

Committee: Joint Joint Committee on Cannabis Policy

Summary: The Joint Committee on Cannabis Policy held its first hearing of the 194th session to take public testimony on 21 cannabis-related bills. Chairs Donahue and Gómez outlined hearing procedures and noted that written testimony would also be accepted. Much of the hearing focused on the Cannabis Control Commission (CCC), with Senator Mike Moore urging support for S. 90 to create an inspector general unit within the CCC. He argued the commission has suffered from dysfunction, workplace harassment allegations, delayed governance reforms, missed fee collections, and high legal costs, and said stronger legislative oversight is needed. Committee members largely agreed the CCC needs reform, though some expressed hope that new leadership would improve operations. A major theme was market structure and business viability. Representative Tyler testified for H. 183 to raise adult-use purchase limits from one ounce to two ounces, saying the change would reduce confusion and help retailers compete with neighboring states. Senator Payano supported S. 100, which would require a study of cannabis supply and demand to guide cultivation licensing, warning that oversupply is driving down prices and threatening cultivators. The Massachusetts Cannabis Coalition, represented by Ryan Dominguez, backed a package of bills aimed at increasing revenue, reducing regulatory burdens, attracting investment, and stabilizing the market, including higher purchase limits, simpler badge and testing rules, and a phased increase in the retail license cap. Attorneys Kevin Conroy and Mike Ross also supported raising the cap, arguing that the industry lacks capital and that more investment and exit opportunities are needed for provisional and distressed licensees. The most contentious issue was whether to raise the retail license cap from three to six. Supporters, including several business owners and industry advocates such as Peyton Shubrick, Tito Jackson, Armani White, Sean Burt, and others, said the current cap traps owners in declining businesses, prevents exits, and limits access to capital. They argued that many social equity and economic empowerment operators are struggling, that oversupply has pushed prices down, and that allowing more ownership could help businesses scale or sell. Opponents, including Senator Liz Miranda and several social equity operators, warned that lifting the cap now would let larger operators and multi-state companies dominate the market and harm equity-owned businesses. Miranda’s S. 88 would instead strengthen enforcement of ownership limits through audits, whistleblower protections, an anonymous tip line, and greater transparency. Another major topic was worker and consumer safety: Laura Bruno, Danny Carson, Al Vega, and others supported H. 194 after the death of Lorna McMurray, arguing for a CCC workplace and consumer safety department, better ventilation and PPE standards, stronger testing oversight, and retaliation protections for workers. The hearing ended without votes, with members thanking testifiers and indicating the committee would continue reviewing the bills.

Transcript Highlights:

• They face hostility by landlords who have stereotypes.

Committee: Joint Joint Committee on the Judiciary

Summary: The Joint Committee on the Judiciary held a lengthy public hearing on a wide range of civil rights, immigration, hate crimes, and reparations bills. Chair Edwards and Chair Day opened with strict testimony rules, including two-minute limits, written testimony options, and decorum requirements. Attorney General Andrea Joy Campbell testified in strong support of S. 1126/H. 1920, the Combating Hate in the Commonwealth bill, saying Massachusetts needs stronger tools to address rising hate and bias incidents. Her Civil Rights Division chief explained that the bill would give the division civil investigative demand/subpoena power, expand civil rights enforcement, close loopholes in the Massachusetts Civil Rights Act, add protected classes to the hate crimes law, and require better hate-crime data reporting. The committee also heard support for H. 1954 on access to counsel in immigration proceedings, H. 4684 on law enforcement identification and public trust, and H. 1927 to exonerate individuals accused of witchcraft in colonial Massachusetts. Several bills focused on discrimination and civil rights enforcement. Supporters of S. 1248 on organizational standing said fair housing nonprofits need explicit authority to bring discrimination complaints in their own names, especially as federal protections are under attack. On H. 1246, advocates urged adding sex and gender as protected classes in the hate crimes statute, arguing women are not protected under current state law. H. 1820 drew testimony for protections against height and weight discrimination. H. 1995 would regularize sentencing for hate crimes by requiring diversity awareness training for both convictions and continuances without a finding, and H. 1056/H. 1589 would broaden hate-crime victim standing and require restitution to be used to repair harm. H. 1886 would clarify that defense-based social service staff are exempt from mandated reporter obligations when working under attorney-client privilege. The committee also heard testimony on H. 1889/S. 1064, a bill to eliminate disparate impact. Environmental justice advocates, fair housing attorneys, and community members argued that neutral policies can still produce discriminatory outcomes and that Massachusetts should allow state-court claims and a private right of action to address them. Committee members raised concerns about litigation floodgates, punitive damages, and the scope of protected classes, while supporters said the bill would mainly target systemic harms and injunctive relief. Additional testimony supported H. 1922/S. 119, the Fair Investment Act, which would create civil rights protections in venture capital and other investment settings for founders and investors, especially women and minority entrepreneurs. The hearing also included testimony on H. 1683, the Sex Trade Survivor Act, which would expand vacatur and expungement relief for trafficking survivors, remove archaic offenses from the code, and create an interagency commission; supporters emphasized reducing barriers to housing, employment, and reentry. Finally, the committee heard extensive support for H. 1753/S. 1181, establishing a commission to study reparations in Massachusetts. Testifiers described the state’s history of slavery, redlining, and ongoing racial disparities, and urged the committee to report the bill favorably. No votes or final actions were taken during the hearing.

Transcript Highlights:

• represent themselves alone in immigration court against a highly trained government prosecutor and hostile

Summary: The committee heard a lengthy budget hearing focused on child care, child welfare, and immigration-related services, with most of the discussion centered on child care funding, slot utilization, and rate reform. Department of Social Services officials said the Governor’s budget would provide $6.8 billion for child care programs in 2026-27, including $11.5 million in Prop. 64 funds for mini-grants to licensed facilities affected by 2025 disasters. They also described federal CCDF and Prop. 64 revenue reductions that would reduce general child care funding by about 4,176 slots, while emphasizing that the cuts should not affect currently enrolled children. The LAO supported aligning spending with lower revenues and asked for more detail on the disaster grant program. Members questioned why so many awarded slots remain uncontracted or unfilled, and DSS said delays are largely due to providers building new infrastructure, licensing, staffing, and enrollment work. One senator criticized the repeated explanation, argued unspent funds revert to the General Fund instead of being redirected to child care, and urged shifting more funding from contract slots to vouchers and increasing flexibility for infrastructure and expansion costs. DSS said it is exploring more flexibility, better readiness screening, and quicker redistribution of relinquished slots. The committee also discussed the Emergency Child Care Bridge program, with DSS saying it can redistribute funds among counties to avoid disenrolling children. A second panel addressed the state’s broader commitment to expand child care and move toward a single rate structure. DSS reported that since 2021-22 nearly 125,000 new slots have been awarded across CCTR, CAPP, CMAP, and the Emergency Child Care Bridge program, bringing monthly service levels to more than 366,700 children. The department and CDE described progress on rate reform, including completion of the alternative methodology and joint recommendations from the labor-management committee on a single-rate framework. County and provider testimony emphasized persistent unmet need, especially for infant and toddler care, and argued that current reimbursement disparities between CDSS-funded programs and state preschool create inequities and discourage expansion. Stanislaus County Office of Education said rate differences can materially affect local program revenue and staffing, while Parent Voices California described the child care system as difficult to navigate and inequitable, especially for Black families and survivors of domestic violence. The California Budget and Policy Center argued that only a small share of eligible children are served, that Universal TK has concentrated investment in school-based settings, and that providers are still paid far below the cost of care. Members pressed the administration for deadlines on automation and implementation of the single-rate structure, and DSS said some work can proceed before collective bargaining concludes, though policy decisions are still needed. The committee also reviewed several trailer bill proposals. For the COLA, DSS proposed applying the 2026-27 increase through cost-of-care-plus payments, but acknowledged it had inadvertently excluded CalWORKs Child Care and the Emergency Child Care Bridge from the initial calculation; the LAO recommended making the COLA increase uniform across child care and state preschool programs. On the alternative methodology survey, DSS proposed replacing the market rate survey with the federally approved alternative methodology and aligning the timing with the federal CCDF state plan cycle. On licensed family child care homes, DSS proposed limiting temporary absences to 20% of monthly care hours and allowing more flexibility for medical appointments, jury duty, training, and union activities. On excessive unexplained absences, DSS proposed a statutory definition to align state policy with federal rules allowing disenrollment after 30 days of unexplained absences. The committee also discussed a proposal to require contractors to collect family fees directly so the full voucher value reaches providers, with DSS saying it is working with Riverside County on implementation and CDE asking that the same policy apply to state preschool. Finally, the committee reviewed an Early Childhood Policy Council reappropriation and reporting proposal, with DSS explaining that prior funds were underused because participation costs are hard to estimate and that additional staffing and contractor support would be needed for the expanded annual report requirements.

Transcript Highlights:

• Singling out one industry for stranded asset risk creates a hostile climate for capital investment.

Committee: Senate Energy, Utilities and Communications

Summary: The committee heard several energy, water, and utility bills. SB 919 by Senator Grayson would extend the biomethane monetary incentive program through 2030 and authorize additional funding to support renewable natural gas projects by reducing interconnection costs. Supporters said high interconnection costs and the current tax treatment are major barriers to methane reduction projects; opponents, including TURN and environmental groups, raised ratepayer cost concerns and objected to rate-basing and additional public funding. The author said amended language would remove the rate-basing provisions and instead urge the CPUC to act quickly on its pending decision. SB 931 by Senator Laird would reauthorize the Community Impact Mitigation Program for the Diablo Canyon plant through 2030 to continue funding local emergency preparedness, fire protection, public safety, and school district costs. The County of San Luis Obispo and labor groups supported the bill, while TURN opposed it as a statewide ratepayer subsidy that could be funded from existing PG&E revenues instead of higher rates. Members discussed the bill in the context of the 2022 Diablo Canyon extension deal and the possibility of a future longer extension. SB 1215 by Senator Cortese would direct the CPUC to set deployment targets for EV charging in multifamily housing and evaluate progress, with amendments aimed at affordability and limiting system upgrade costs. Supporters said renters are largely locked out of home charging and that prior utility programs proved cost-effective; no opposition testified. SB 1359 by Senator Stern would require more deliberate CPUC review before major gas system investments, emphasizing electrification and non-pipeline alternatives. Gas utilities and several industry groups opposed it, arguing it could undermine the obligation to serve, create safety and reliability risks, and change the regulatory compact. The committee also heard SB 1125 by Senator Menjivar, presented by Senator Gonzalez, which would establish a statewide low-income water rate assistance program upon appropriation. Water agencies, environmental groups, and local governments supported the measure, while one member expressed concern that it lacked a funding source and could not overcome Proposition 218 limits; the bill was moved to Appropriations and the roll was left open. Finally, SB 1098 by Senator Perez would restrict the use of long-running memorandum and balancing accounts by investor-owned utilities, require exceptional circumstances for new accounts, and add sunset and cost-sharing requirements. Consumer advocates and large energy users supported tighter oversight, while the utilities and business groups opposed the bill as too rigid and potentially harmful to flexibility for wildfire, emergency, and safety-related costs.

Transcript Highlights:

• Given the increasingly hostile federal administration towards the rights of LGBTQ communities, specifically

Committee: Joint Joint Committee on Ways and Means

Summary: The hearing was a Joint Committee on Ways and Means budget session on health and human services, held in Clinton and opened with remarks from the House and Senate co-chairs, local officials, and committee members. The chairs emphasized the importance of hearing directly from agencies about the Commonwealth’s health care and human services budget needs, thanked Clinton for hosting, and introduced the day’s panels, beginning with the Executive Office of Health and Human Services (EOHHS) and then MassHealth. Secretary Kiame Mahania presented Governor Healey’s FY27 EOHHS budget, describing a $33.7 billion request driven largely by non-discretionary cost growth, caseload increases, and federal uncertainty. He highlighted targeted investments in foster parent reimbursement, family resource centers, maternal health, food assistance, immigrant legal services, and workforce rates, while warning that federal cuts and the Trump administration’s One Big Beautiful Bill Act could strip billions from state health funding. Members questioned him about primary care shortages, federal program integrity audits, ConnectorCare, regional health disparities, and the proposed cap on adult dental coverage; he defended the cap as a difficult but necessary cost-control measure and said the administration would continue cooperating with federal partners. Undersecretary Michael Levine then testified for MassHealth, saying the agency faces two major challenges: rapid cost growth and looming federal changes. He outlined a $22.7 billion gross MassHealth budget and proposed actions including a moratorium on new expansions, capping adult dental benefits at $1,000, ending GLP-1 coverage for weight loss only, reducing care management spending to peer-state levels, and convening work groups to slow growth in personal care attendant, adult foster care, and adult day health programs. He also warned that federal policy changes could cause about 300,000 residents to lose coverage by 2030 and reduce federal revenue by about $3.5 billion, and said MassHealth would use outreach and systems changes to help eligible members stay covered. Members raised concerns about the impact of these cuts on homeless care, preventive services, dental access, GLP-1s, and regional hospital and specialist shortages, while Levine argued the proposals were aimed at preserving core coverage and sustainability.

Transcript Highlights:

• To make sure that you work with them, to make sure you get their approval beforehand because hostile

Transcript Highlights:

• colleague to make sure that you work with them, to make sure you get their approval beforehand, because hostile

Summary: The House convened with prayer, the Pledge of Allegiance, approval of the House Journal by a 121-0 vote, and a brief suspension of business for the Speaker to sign HB 2014. Members also observed a moment of silence for Butler County Fire Protection District Sergeant Commander Jatin Warren, who died in the line of duty, and the chamber introduced several guest groups, including Missouri Council on Aging representatives and county clerks. A resolution was also presented honoring former state representative K. H. Steinmetz for her 18 years of service in the Missouri House. The House then received committee reports recommending passage of HB 2934, HB 1800, and HB 1707. On third reading, HB 2974 passed 136-0 on telehealth and licensure reciprocity; HB 2934 passed 121-24 on consolidating St. Louis convention center governance; HB 2057 passed 137-10 on entertainment districts for Osage Beach and Chesterfield; the combined HB 1839/2921/3015 passed 120-19 on age verification for harmful online content; HB 1707 passed 149-0 to bar the Department of Revenue from taxing credit card processing fees; HB 2819 passed 145-0 to set rounding rules as the penny is phased out; and HB 2600 passed 148-0 to allow ambulance districts to combine resources for coverage. HB 1800, which reduces the inflationary growth factor for certain taxing districts from 5% to 3% and adjusts assessment ranges, drew the most extended debate over its effect on schools, fire districts, and taxpayers; it ultimately passed 82-61. Members also perfected HB 2774, which bars state and local governments from restricting equipment sales or use based on fuel source, and HB 2383, a utility infrastructure protection bill adding wired/copper infrastructure to existing critical infrastructure protections and setting penalties for theft or damage; HB 2383 was amended to align with the Senate version and then perfected. Finally, the House began debate on a combined bill package including HB 1664, 1610, 1645, and 2182, which would extend the statute of limitations for child sexual abuse civil claims while also shortening the general personal injury statute of limitations from five years to three; the child sexual abuse provisions drew broad support, while the tort-reform portion prompted sharp disagreement over access to justice versus business certainty.

Transcript Highlights:

• The Supreme Court has been pretty hostile against any state statutes that expand the Bivens doctrine.

Bills: HB1073 , HB1128 , HB1316 , HB1408 , HB1591 , HB1592 , HB1634 , HB1906 , HB1960 , HB2073 , HB2145 , HB2248 , HB2266 , HB2301 , HB2333 , HB2365 , HB2401 , HB2416 , HB2421 , HB2438 , HB2474 , HB2475 , HB2515 , HB2517 , HB2523 , HB2548 , HB2597 , HB2637 , HB2640 , HB2660 , HB2675 , HB2685 , HB2720 , HB1742 , HB2104 , HB2186 , HB2405 , HB2557 , HB2593 , HB2636

Committee: House Appropriations

Keywords: national guard, military support, defense, state security, veteran services, child care, workforce standards, education, child development, training requirements, postsecondary education, homelessness, foster youth, education access, support programs, community preservation, development authorities, funding, local governance, state resources

Transcript Highlights:

• also prohibits hiring entities from engaging in certain conduct, such as creating an intimidating, hostile

Summary: The committee heard public hearings on several bills. HB 2675 would eliminate a number of state accounts and transfer remaining balances from two accounts to the general fund, while also changing how revenues in the Salary Insurance Contribution Increase Revolving Account are deposited; OFM testified in support and there was no public opposition. SHB 1903 would create a statewide low-income energy assistance program through the Department of Commerce, funded by the general fund and Climate Commitment Act revenues; supporters said it would address Washington’s underfunded and uneven energy assistance system, while utilities and rural co-ops raised concerns about cost, reporting burdens, utility authority, and implementation details. SHB 2384 would require actuarial reviews for certain continuing care retirement communities with prepaid life care contracts; residents and consumer advocates supported the added transparency, while providers opposed the added review costs and said they already pay for actuarial work. SHB 1982 would expand the ability of tribal members to vacate convictions tied to treaty rights, add OPD representation and a tribal liaison position, and then an amendment was described that would remove the liaison position and eliminate the fiscal impact; the sponsor and OPD supported the bill, and testimony emphasized correcting past treaty-rights convictions. The committee also heard SHB 2389, a broad juvenile justice bill that would expand suspended disposition options, create midpoint review hearings, reduce some robbery ranges, and address juvenile rehabilitation capacity and transfers. Supporters argued it would reduce racial disparities, favor community-based rehabilitation when safe, and improve outcomes, while prosecutors, sheriffs, counties, judges, cities, victim advocates, and some tribal law enforcement warned it would weaken accountability for serious violent offenses, increase court and local government burdens, and shift costs without funding. Several witnesses and the bill sponsor discussed proposed amendments, including removing presumptions and the mid-sentence review. The committee then heard SHB 2439, which would raise tobacco and vapor product license fees, create a responsible vendor program, add manufacturer certification and enforcement provisions, restrict certain products and sales practices, and redirect tobacco tax revenue to public health, cancer research, and youth prevention accounts; public health and prevention groups supported it, while retailers and industry representatives opposed the fee increases and some of the new restrictions. Finally, HB 2681 would sharply increase cannabis license fees and index them to inflation; OFM supported the change as aligning fees with program costs, while cannabis businesses and associations opposed or sought changes to the fee structure and CPI indexing. The committee also heard a briefing on SHB 2215, which would require the Caseload Forecast Council to forecast SNAP and state food assistance caseloads in light of upcoming federal cost-sharing changes; no questions were raised at the briefing.

Transcript Highlights:

• physically blocking nurses from treating patients, interfering with clinical care, and creating a hostile

Committee: House House Health & Human Services Committee of Reference

Summary: The committee began with a presentation from the Alzheimer’s Association Desert Southwest Chapter and Dr. Anna Burke of Barrow Neurological Institute on the growing impact of Alzheimer’s and dementia in Arizona, the need for earlier diagnosis, better provider education, caregiver support, and continued research funding. They described current gaps in training and access to specialists, but also highlighted new therapies, lifestyle interventions, and Arizona-based research efforts. Members expressed support and optimism, but no action was taken on the presentation. The committee then heard HB 2202, which appropriates $300,000 from the general fund over fiscal years 2027 through 2029 for a dementia care tele-mentoring grant program through the Department of Health Services. Supporters, including the Alzheimer’s Association, a dementia specialist, and a patient advocate, said the program would help primary care providers diagnose dementia earlier and improve care. The bill was passed out of committee on an 11-0 vote. Next, the committee took up HB 2251, the midwifery bill, which would authorize certain licensed midwives to dispense and administer specified medications and devices, require liability insurance disclosure and annual reporting, and create a Midwifery Advisory Committee. A committee amendment removed some medications and renamed the bill the Jordan and MacTerry Act. ACOG and the Arizona Osteopathic Medical Association opposed the bill as drafted, citing concerns about oversight, peer review, and the medication list, while licensed midwives and other supporters argued the bill would improve safety, transparency, and alignment with national standards. The bill was held for further stakeholder work, with members indicating more amendments were likely. The committee then heard HB 2252, which would allow certified nurse midwives, certified professional midwives, or licensed midwives to accompany a patient in a ground ambulance during an out-of-hospital birth if approved by medical direction. Supporters described cases where continued midwife involvement during transport helped newborns and mothers, while firefighters and EMS representatives opposed the bill as written, saying it created ambiguity about command and scene control and could raise safety concerns. The chair said the bill would be held for further stakeholder meetings and possible language changes. After a recess, the committee reconvened for presentations on federal Medicaid and rural health funding impacts, beginning with JLBC’s overview of H.R. 1’s Medicaid provisions and the rural health transformation grant program.

Transcript Highlights:

• physically blocking nurses from treating patients, interfering with clinical care, and creating a hostile

Bills: HB2190 , HB2202 , HB2233 , HB2251 , HB2252 , HB2396 , HB2437 , HB2689 , HB2796

Committees: House Health & Human Services , House House Health & Human Services Committee of Reference

Keywords: physician assistants, licensure compact, medical services, multistate practice, patient care access, healthcare workforce, military families, adverse actions, dementia care, telementoring, healthcare education, rural communities, grant funding, HB 2233, rural health transformation, rural health transformation program, AHCCCS, Arizona Health Care Cost Containment System, Joint Legislative Budget Committee, JLBC

Transcript Highlights:

• . >> That wasn't a hostile question, but I mean presuming. >> Okay, Representative Woods, I saw your

Summary: The committee first handled routine business, approving the prior meeting minutes with one abstention from a member who had been absent. It then received an update from DHHS Commissioner Lori Weaver on the department’s rural health transformation grant submission. Weaver said the grant was submitted ahead of the deadline, reflected input from communities and providers statewide, and would now enter a CMS review and negotiation phase. She explained that the governor’s office will oversee the grant with DHHS, that some proposals may be limited by federal parameters, and that the department may need to hire some staff to administer the grant, within the grant’s administrative cap. Members also discussed DHHS budget pressures and staffing. The department’s CFO, Nathan White, reviewed the agency’s budget mix, noting that DHHS accounts for a large share of the state’s operating and general fund budgets, and explained projected general fund lapse estimates, which he said are currently just under $20 million for the department. He also described why lapse projections are difficult to predict in DHHS because many costs are driven by utilization and because some funds are statutorily non-lapsing. White reported that vacancy rates have risen, citing about 400 unfunded positions in the current biennium and the department’s hiring freeze, while emphasizing that direct-care positions are being prioritized. Committee members raised concerns that back-of-the-budget cuts and weak revenue collections could affect the department’s ability to manage lapse projections. The committee then heard from Division of Public Health Director Ian Watt on vaccine policy and federal changes. Watt said New Hampshire continues to support access to safe and effective vaccines, including through the universal purchase program and seasonal respiratory virus guidance. He explained a recent CDC change regarding the MMRV vaccine, which now discourages the combined shot for the first dose in children under four because of febrile seizure risk, while still allowing it for the second dose. Watt said New Hampshire’s school and child care vaccine mandates remain stable, with nine vaccines required for schoolchildren and 10 for child care, and that the state continues to review federal recommendations cautiously. He also said there have been no supply or funding disruptions affecting vaccine access, and that childhood vaccine funding through commercial insurers remains intact. Finally, the Permanent Subcommittee on Alzheimer’s Disease and Other Related Dementias presented its annual report. The subcommittee said it met about six times, heard presentations on state services, silver alerts, brain health awareness, and palliative/hospice care, and began work on updating the state’s Alzheimer’s plan, which had last been updated in 2015-2016. To gather more direct input, the subcommittee formed a needs-assessment work group to develop a survey for people living with dementia, caregivers, and service providers. It recommended integrating Alzheimer’s and dementia materials into chronic disease, aging, and public health outreach; embedding cognitive health into systems of care and the state health improvement plan; adding cognitive health measures to BRFSS; and continuing partnerships with aging and advocacy organizations. Members praised the report and suggested it should clearly identify the subcommittee and include page numbers in future versions.

Transcript Highlights:

• clinics are chronically understaffed, workers are stretched thin, and patients face new fears from a hostile

Summary: The Assembly Health Committee heard a long agenda of health bills focused on access to preventive care, behavioral health, hospital services, and patient safety. Early items included AB 554, which would expand and protect access to HIV prevention drugs like PrEP, including injectable forms and coverage protections; supporters said it would shore up access amid federal threats, while insurers opposed it as a costly benefit mandate. AB 577 would limit insurer and PBM practices that steer medications away from physician offices and require more transparency and patient consent; doctors and patient advocates supported it, while health plans and insurers warned it could raise drug costs and disrupt specialty pharmacy networks. AB 546 would require coverage for portable HEPA purifiers for vulnerable enrollees during declared emergencies, especially wildfire smoke events, with support from air quality and public health groups and opposition from insurers concerned about benefit expansion and cost. The committee also heard AB 224, which would codify California’s updated essential health benefits benchmark plan after a public review process, adding infertility treatment, hearing aids, and durable medical equipment if approved by CMS for the 2027 plan year. DMHC said the state had completed the review and needed legislation to meet federal timing, and the measure drew broad support. AB 1032 would require plans and insurers to reimburse up to 12 additional behavioral health visits for enrollees in wildfire-affected counties for a limited period after an emergency; supporters argued it would fill gaps in trauma care after disasters, while insurers said existing parity and continuity-of-care rules already address the issue and that the bill could create inequities. AB 849 would require trained chaperones for sensitive ultrasound exams and training on how to observe and intervene; it was backed by a survivor and patient advocates, with hospitals and health districts raising staffing concerns. Later, AB 1196 would direct the Department of Public Health to update outdated rules requiring three surgeons for certain heart surgeries using cardiopulmonary bypass; supporters said the rule no longer reflects modern practice and strains staffing, while cardiology representatives had no formal opposition but wanted to review amendments. AB 1113 would codify a right to wear a mask for health reasons in public spaces, with support from disability and public health groups. AB 1386 sought to add perinatal care to the list of basic hospital services, prompting testimony about maternity ward closures, workforce shortages, and rural access; the author said the bill would be amended further and that the committee would need to revisit timelines and implementation details. The committee also heard AB 1429, which would address Kaiser’s repeated mental health parity violations and improve access to behavioral health care, though the transcript cuts off before any action on that bill is shown. Several bills were moved with motions and seconds, but many were held for quorum; AB 1196, AB 1113, and AB 1386 were among the measures advanced to a roll call or held on call, and the committee repeatedly noted that final votes would occur when quorum was available.

Transcript Highlights:

• . >> Senator Hostile votes no. >> Senator Rest votes no. >> Senator Rest votes no. >> Senator Clark votes
• that original framework, to be changing it in such a dramatic way, I think, is unfair and it shows a hostile
• Senator Hostchild votes no. >> Senator Hostile votes no. >> Senator Murphy votes no. >> Senator Murphy

Transcript Highlights:

• operating engineers, electricians, and laborers kept this project moving forward despite the persistent, hostile
• operating engineers, electricians, and laborers kept this project moving forward despite the persistent, hostile

Bills: HR831 , HB6380 , HR528 , HB2196 , HB5729 , HB5254 , HB4294 , HB3073 , HB2294 , HB1665 , HB4284 , HB4467 , HB2709 , HB1422 , SB1884 , SB3971

Keywords: Down syndrome, awareness month, federal funding, research, advocacy, healthcare, quality of life, disabilities, Vietnam veterans, recognition, freedom, democracy, military service, Save Our Sequoias Act, giant sequoia, giant sequoias, Sequoiadendron giganteum, California forests, wildfire resilience, forest management

Transcript Highlights:

• which under any form of government are inauspicious to liberty and which are regarded as particularly hostile
• At other times it makes the animosity of the nation subservient to projects of hostility instigated by

Bills: HB4758

Keywords: home electrification, taxpayer subsidies, energy efficiency, rebate programs, public law repeal