Transcript Highlights:

• And whereas securing access to new therapies, durable medical equipment, and communication technologies

Transcript Highlights:

• Minnesotan families don't have to feel the pain of losing a child to MLD, with the ascendency of gene therapy

Keywords: 1187, senate, all

Transcript Highlights:

• The vast majority of the drugs on the market today, vaccines, therapies, are done using animal testing
• Uh cuz we we do have two uh Alliance of Therapy Dogs. Um so our first discussion is to get...
• <04:23:41.960> Um Therapy Dogs. Um Therapy Dogs.
• get So, our first discussion is to get us around the idea that, knowing that our Alliance of Therapy
• dogs is that once you pass the therapy dogs is that once you pass the test,<04:28:48.880> it's

Keywords: 1189, house, all

Transcript Highlights:

• donation centers, where source plasma is donated for the purpose of manufacturing plasma-derived therapies
• This bill updates procedure to allow for operational continuity. plasma-derived therapies.
• AB 2773 is the sunset bill for the Board of Occupational Therapy.
• AB 2774 is the sunset bill for the Physical Therapy Board of California.
• AB 1910, my pelvic floor therapy resources bill, is a Tasha B special aimed at visibility and access

Summary: The Assembly convened, established a quorum, and proceeded through a large House of Origin floor file, with the Speaker repeatedly urging members to be at their desks and keep support bills brief. Early actions included dispensing with the journal, re-referring AB 2285 to the Banking and Finance Committee, and then taking up dozens of third-reading items, with many bills passed by voice or recorded vote and others passed temporarily or retained on file. The floor debated and passed a wide range of measures on land use, housing, labor, public safety, health care, utilities, taxation, and consumer protection. Among the bills approved were measures on land surveyor review (AB 1933), nurse midwife access for pregnant and postpartum patients (AB 1696), historic-district transit zoning flexibility (AB 2415), EV charging infrastructure fees and timelines (AB 1820), foreclosure bidding protections (AB 1957), tribal cannabis commerce (AB 2506), outdoor advertising permitting (AB 2024), commercial building permit timelines and third-party plan checkers (AB 2418), DUI penalties (AB 1685 and AB 1687), utility rate transparency (AB 1715), CalWORKs work-penalty changes (AB 1755), dynamic electricity rates (AB 1787), interior designer licensure (AB 1796), compost labeling and contamination rules (AB 1812), modular housing standardization (AB 1815), small claims limits for businesses (AB 1827), Native American Day as a paid state holiday (AB 1841), hospital staffing and maternity access bills (AB 1868 and AB 1882), protective orders tied to release dates (AB 1889), and a series of public health, missing persons, and teacher credentialing measures later in the file. Several high-profile bills drew extended debate. AB 2624, expanding Safe at Home privacy protections to immigrant service providers, prompted sharp disagreement over free speech and alleged limits on online posting, but supporters said it protected workers facing threats and doxing; it ultimately passed 49-19. AB 2023, creating a framework for regulating AI chatbots used by children, was framed as a child-safety measure after testimony about chatbot-related harms and suicide risks, and passed 58-8. Other notable votes included AB 2208 on Medi-Cal protections against federal cuts, AB 2299 on CalFresh/SNAP losses, AB 2115 apologizing to California Native peoples for historic state harms, and AB 2311 on public hospital physician employment; the transcript ends as the Assembly continues working through the remaining file.

Transcript Highlights:

• allow a 10-week time frame for non-residential opioid treatment programs' treatment plan review and therapy
• bill specifies that an individual with a temporary permit from the Board of Behavioral Health and Therapy
• includes supportive services, which includes mental<01:35:44.800> health<01:35:45.280> therapy
• ,<01:35:46.400> uh<01:35:46.560> chemical mental health therapy, uh chemical mental
• health therapy, uh chemical dependency<01:35:47.520> counseling,<01:35:48.159> education

Bills: HF2115, HF2276, HF1644, HF99, HF2068, HF2707, HF2704, HF2406, HF1674, HF1579

Keywords: human services, aging services, disability services, behavioral health, long-term care, nursing home, nursing facility, assisted living, waiver services, medical assistance, Medicaid, case mix reimbursement, PDPM, RUG, direct care and treatment, developmental disabilities, day services, positive support, guardian, conservator

Transcript Highlights:

• You know, there's new expensive gene therapies. There's always stuff that's coming out.
• There's new expensive gene therapies, there's always stuff that's coming out.
• Suzanne Stone: ...with the continued investment in CPRIT, investing in new emerging therapies will ensure
• legislation that removes barriers for cancer patients to make sure they're getting access to these therapies
• legislation that removes barriers for cancer patients to make sure they're getting access to these therapies

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• social worker, a community school can help provide social and emotional services to students such as therapy
• social worker, a community school can help provide social and emotional services to students such as therapy
• There's also physical health giving in clinics and services to students such as therapy.
• After a diagnosis, she spent weeks in the hospital and months in physical therapy, learning to walk again

Keywords: 995, all

Summary: The Joint Committee on Education heard testimony on several bills centered on school accountability, receivership, graduation requirements, charter school access, community schools, school libraries, and student voting rights. Much of the discussion focused on the Thrive Act, S. 374, which would end state receivership and change the state’s accountability approach. Supporters, including educators, parents, advocacy groups, and students, argued that receivership has not improved outcomes in districts such as Lawrence, Holyoke, Southbridge, Boston, and the Dever, and that local communities should have more control, with greater emphasis on community schools, wraparound services, and broader measures of school quality. They also supported related bills on community schools and school library standards, and several witnesses backed a bill to expand student representative voting rights on school committees. Opponents of S. 374, especially charter school leaders, parents, students, and some education advocates, focused on Section 4 of the bill, which would change the charter school net school spending cap in the lowest-performing districts. They argued that the provision would reduce access to charter seats in communities where families are seeking more options, and that schools such as Roxbury Prep, Excel Academy, Brook, Veritas Prep, and Libertas Academy have produced strong results for students, including students of color, low-income students, and students with special needs. Several witnesses said the section would force schools to shrink or close and would remove opportunities for families in districts with long waitlists. Committee members questioned witnesses on both the effectiveness of receivership and the charter school cap language. Chair Lewis and Chair Gordon emphasized the need for a better accountability system and noted concerns about whether current measures, including MCAS-based designations, accurately reflect school quality. Some witnesses said they had discussed the possibility of removing Section 4 from the Thrive Act and suggested it might be addressed in separate charter reform legislation. No votes were taken during the hearing; testimony was received and the committee later closed testimony on S. 374 and several related bills before moving on to the student voting rights bill, S. 367.

Transcript Highlights:

• These rules are the amendments for the rules for massage therapy in Arkansas.
• amendments to the existing rule are to implement changes pursuant to Act 267 regarding the massage therapy
• table, can you tell me, since the legislature has turned over basically the oversight for the massage therapy
• you tell me, since the legislature has turned over the, basically, the oversight for the massage therapy

Summary: The Administrative Rules Subcommittee reviewed a long agenda of agency rules, with most items approved without objection after brief presentations and no public comment. Early items included Department of Energy and Environment rules on landfill post-closure trust fund spending thresholds and liquefied petroleum gas standards, DFA’s electronic odometer disclosure rule, and several Department of Health rules covering ionizing radiation, mobile home and RV parks, lead-based paint, counseling board revisions, hearing instrument dispensers, athletic training, dental examiners, nursing, pharmacy, medical board, speech-language pathology and audiology, radiologic technology, massage therapy, community health workers, doula certification, and cosmetology/body art. Most of these changes were described as updates to match recent acts, federal standards, compact participation, fee adjustments, or cleanup/clarification, and the committee repeatedly approved them without objection. A substantial portion of the meeting focused on the Arkansas State Board of Nursing’s broad set of rule changes implementing multiple 2025 acts. Those changes included creating a dialysis patient care technician registry, updating contact information requirements, expanding APRN authority to delegate certain tasks, clarifying death certificate and pronouncement authority, allowing substitution of therapeutically equivalent medications, permitting purchase of compounded products, and updating certified medication assistant rules and training standards. Members asked detailed questions about the meaning of therapeutically equivalent substitutions, delegation limits, compounded products, and how often medication lists would be updated; the board said it would review rules annually and use future rulemaking as needed. The committee also approved new nursing rules for declaratory orders and the new dialysis registry. The Department of Education’s rules drew the most discussion, especially the Arkansas Children’s Educational Freedom Account Program. The department said the revisions, based on Act 920 of 2025, were intended to add guardrails, clarify eligible expenses, and streamline approvals. Changes included defining core educational expenses, limiting sports-related spending, adding an intentional misuse standard, restricting certain technology purchases and requiring extra justification over $1,000, capping carryover funds at $8,500, and creating a reconsideration process for denied expenses. Members raised concerns about oversight, appeal timelines, sports equipment, provider credentialing, and whether the rules were too restrictive; department officials said the rules were meant to protect taxpayer funds while preserving flexibility, and they noted the program had received extensive public comment. The committee also approved Education rules for scholarships, residency classification, teacher programs, accelerated learning, and graduate medical education, as well as Labor and Licensing rules on wage and hour standards, boiler rules, motor vehicle commission requirements, professional wrestling regulation, appraiser qualifications, and military recruiting incentives.

Transcript Highlights:

• H.C.R. 49 by Representative Fisher memorializes Congress to take action necessary to include physical therapy
• Members, this resolution just memorializes Congress to include physical therapy as a professional degree
• skills training for this program, and they're going to include health services and also recreational therapy
• The program will include health services and also recreational therapy.

Bills: HR257, HR258, HR259, HR260, HR261, HR262, HR263, HCR105, HCR106, HR252, HR253, HR254, HR255, HR256, HCR103, HCR104, SB83, SB143, SB155, SB228, SB283, SB295, SB338, SB388, SB408, SB431, HR84, HR188, HR205, HB302, HB597, HB819, HB1257, HB1258, SCR24, SB45, SB58, SB71, SB81, SB92, SB100, SB109, SB141, SB156, SB181, SB203, SB204, SB205, SB207, SB213, SB214, SB216, SB229, SB257, SB274, SB290, SB304, SB374, SB379, SB396, SB410, SB425, SB427, SB429, SB479, SB522, SB357, SB406, HR171, HCR49, HCR65, HCR72, HR37, HCR64, HR170, HR191, HR206, HR207, HR208, HR217, HCR11, HCR53, HCR60, HCR66, HCR68, HR9, HCR27, HCR28, HCR50, HCR62, HCR67, HCR71, HCR78, HCR81, SCR19, SCR3, SCR6, SCR18, SCR11, SCR22, SCR2, SCR20, HCR6, HB64, HB68, HB92, HB130, HB258, HB633, HB801, HB61, HB98, HB102, HB139, HB142, HB170, HB185, HB194, HB199, HB231, HB247, HB294, HB336, HB474, HB661, HB842, HB852, HB301, HB359, HB657, HB675, HB680, HB727, HB79, HB251, HB625, HB769, HB775, HB783, HB895, HB1011, HB1057, HB1155, HB1186, HB1224, HB1245, HB1247, HB1253, HB1254, HB1255, HB1256, SB41, SB44, SB64, SB84, SB87, SB93, SB98, SB107, SB118, SB142, SB192, SB195, SB199, SB219, SB222, SB234, SB241, SB255, SB275, SB277, SB292, SB294, SB306, SB314, SB482, SB8, SB10, SB11, SB12, SB13, SB14, SB16, SB17, SB18, SB20, SB21, SB22, SB40, SB48, SB55, SB69, SB75, SB77, SB78, SB85, SB102, SB115, SB133, SB140, SB148, SB151, SB165, SB169, SB170, SB185, SB197, SB200, SB217, SB235, SB278, SB280, SB291, SB300, SB303, SB315, SB324, SB330, SB411, SB416, SB420, SB436, SB438, SB449, SB455, SB456, SB477, SB489, SB521, HB646, HB824, HB341, HB682, HB766, HB926, HB998, HB1051, HB1080, HB1201, HB1223, HB603, HB940, HB1191, SB47, HB901, HR20, HR74, HB284, HB306, HB366, HB393, HB458, HB577, HB582, HB605, HB614, HB733, HB752, HB773, HB798, HB911, HB955, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1240, SB82, SB89, SB149, SB382

Keywords: condolences, memorial resolution, House Resolution, Shreveport, children, tragedy, sympathy, bereavement, tribute, mourning, schoolchildren, public charter school, elementary school, Head Start, family loss, Louisiana House of Representatives, condolence resolution, House resolution, victims, family support

Transcript Highlights:

• He's been released, but now he needs physical therapy, right? Well, you could use that example.
• I would say that after the therapy, after the MRI, all the steroid injections, now they're requesting
• I would say that after the therapy, after the MRI, all the steroid injections, now they're requesting
• If you can either get physical therapy or if you need a surgery, do it quickly, you get better results

Keywords: 965, house, all

Summary: The committee first disposed of several measures without debate, including deferrals of House Bill 460, House Bill 561, Senate Bill 322, and another deferred Senate measure, before taking up House Bill 819 by Chairman Cruz. HB 819 would replace Louisiana’s current workers’ compensation medical treatment schedule with ODG by MCG, a private evidence-based guideline system used in other states. Cruz and Troy Prevo argued ODG is more comprehensive, updated more frequently, and could reduce claim duration, medical costs, and premium rates; Dr. Jason Picard said Louisiana already uses ODG as a secondary reference for gaps in the state schedule and that the bill would not change appeals or variance procedures. Opponents, including injured-worker advocates Joseph Jola St. and Robin Crumholt, argued Louisiana’s current guidelines are working, that ODG is more cost-cutting and insurer-driven, and that the bill could increase denials and delay care. Members discussed amendments to add a two-year sunset, allow tacit approval when treatment follows the schedule, require payment within 30 days, and raise the carrier’s burden to challenge care; the committee adopted the amendments and then reported HB 819 favorably by a 7-6 vote. The committee then began Senate Bill 409 by Senator Myers, the Louisiana Living Donor Leave Protection Act. The bill would provide paid leave protections for living organ donors, set eligibility and verification procedures, and prohibit forfeiture of leave in certain circumstances for private employers. Myers said the measure is intended to remove job and paycheck barriers for people willing to donate organs and to support better transplant outcomes. Technical amendments were adopted at the start of the presentation, and the bill was introduced for further discussion.

Transcript Highlights:

• Board of Physical Therapy, 52,216 over LBR. Board of Psychology, 8,000 over LBR.
• 00:34:19.200> board<00:34:19.359> of<00:34:19.520> physical<00:34:19.919> therapy
• Um, board of physical therapy over LBR.
• Um, board of physical therapy 52,216 52,216 52,216 over<00:34:23.119> LBR,<00:34:24.480> board

Keywords: Appropriations - Room 216, 12 March, 2026; 10:30 AM, 925, all

Summary: The committee began by noting the plan to suspend the rules later that afternoon so several measures could be taken up on the floor, including bills that may be on final passage or contain reverse repealers. Members were reminded to clearly identify which bills were final passage measures so the chamber would know it might be the last opportunity to vote on them. The committee then moved through a series of appropriations bills. In the education and judicial budgets, Senator DeBar explained House Bills 1928, 1933, 1935, 1936, and 1937, covering the legislative operations budget, DFA buildings reappropriations, K-12 education, MPB, and the library commission. He described increases for teacher pay, special education supplements, testing contracts, ELC coaches, financial literacy, ESA funding, and other adjustments, along with reductions in some areas and a decline in student enrollment affecting the funding formula. The bills were adopted by title sufficient, do pass, with strike-all motions where applicable. Senator Wiggins presented House Bills 1924, 1926, 1927, 1930, and 1931, covering the Attorney General, Capital Postconviction Council, district attorneys and staff, the Office of State Public Defender, and the Supreme Court/AOC budget. He highlighted salary increases for agency attorneys, human trafficking funding, new district attorney positions from judicial redistricting, public defender support for family defenders and the rural legal services pilot, and major court-system items such as judicial salary increases, youth court intake, CCID courts, and the MyCIDS replacement system. Questions focused on the meaning of personal services, vacancy funding, and possible use of opioid settlement funds for AOC; the committee was told those issues could be handled through the reverse repealer or other vehicles. The bills were advanced, with the committee noting which ones contained reverse repealers and which were final action. Subcommittee 5 and 6 then handled human services, health, licensing, and transportation-related measures. House Bills 1906, 1909, 1912, and 1921 covered Child Protective Services, Human Services, Medicaid, and Rehabilitation Services, with explanations for new attorney positions, salary and vacancy funding, SNAP administration, Medicaid agency funding, and restoring positions in rehab services. House Bill 1908 for the Department of Health added money for Jackson water litigation and public health priorities such as obesity management, remote monitoring, cancer screenings, and maternal-infant health. House Bills 1913, 1914, 1915, 1917, and 1918 were taken up together for licensing boards, with most changes described as cloud services, PIN restoration, or vacancy funding; only the Board of Medical Licensure bill had a reverse repealer. Finally, Senator Thompson handled special fund and transportation bills, including the Port Authority, waterway and river districts, Yellow Creek, and MDOT. He noted overtime concerns at the Port Authority, special-fund increases for contractual services and capital improvements at the water districts, and MDOT increases for salaries, commodities, equipment, and the three-year highway plan. Senator Wiggins raised a question about utility relocation costs in transportation projects, saying some municipalities were being told to pay those costs themselves; Senator Thompson said he would follow up with MDOT.

Transcript Highlights:

• House Bill 48, Representative Neighbors, an act relating to physical therapy.
• Neighbors, an act relating<00:06:12.080> to<00:06:12.240> physical<00:06:12.639> therapy
• <00:06:13.600> House<00:06:13.919> Bill relating to physical therapy.
• House Bill relating to physical therapy.

Keywords: Convene 00:00:00 Calendar/2nd Readings 00:05:55 Report of Committees 00:07:26 Orders of the Day/HB 419 00:09:02 HB 103 00:12:30 HB 276 00:37:54 HB 188 00:43:39 HB 189 00:47:11 HB 258 00:53:52 Motions, Petitions, and Communications 00:58:16 Introduction of New Bills and Resolutions 01:11:11 Recess for ConC/Rules Meeting 01:13:29 ConC/Rules Report 01:17:06 Adjournment 01:18:20, 958, all

Summary: The House convened with prayer and the Pledge of Allegiance, established a quorum with 96 members present, excused absent members, suspended rules to allow co-sponsorship and vote modifications, and approved the journal from February 4, 2026. The clerk then reported a slate of bills on second reading, including measures on robotics, CPA recruitment, physical therapy, engineering scholarships, removal of unlawful occupants, rabies vaccinations, involuntary commitment, reading and language arts instruction, the education assessment and accountability system, grand jury service, cultured meat products, and the Controlled Substances Prescribing Council. Committee reports were received on several bills and resolutions, including bills on dissolution of marriage, licensed child care centers, video teleconference meetings, geoengineering, city franchises, trophy catfish, and House Joint Resolution 25 declaring Kentucky a “food is medicine” state. These favorable reports were treated as first readings and placed on the calendar. The chamber then took up House Bill 419 on the Kentucky Fire Commission, adopted House Committee Substitute 1, and passed the bill 97-0. The sponsor said the substitute would expand the commission from 14 to 18 members, make four ex officio members voting members, allow excess funds to be used for firefighters’ cancer screenings, and cap administrative reimbursements at 5%. The House also considered House Bill 103 on water fluoridation programs, adopted House Committee Substitute 1, and passed the bill 67-29. Supporters described the measure as removing an unfunded state mandate and making fluoridation a local option, while opponents argued it could harm public health and increase Medicaid costs. Debate focused on whether fluoridation improves oral health, the logistics and costs for water systems, and whether local governments or state health officials should make the decision. After passage of HB 103, the House moved to adjourn without objection. The transcript then begins consideration of House Bill 276 on keeping chickens on residential property, but no action on that bill is shown in the excerpt.

Transcript Highlights:

• It can strain relationships and lead to therapy needs that aren't covered.
• relationships<00:56:18.720> and<00:56:18.960> lead<00:56:19.119> to<00:56:19.280> therapy
• <00:56:19.680> needs relationships and lead to therapy needs relationships and lead to therapy

Keywords: 981, all

Summary: The Senate convened with a quorum, approved the February 2, 2026 journal, and received committee reports. The Education Committee recommended Senate Bill 19 be amended and sent to the Committee of the Whole with a favorable recommendation, and also recommended confirmation of several appointments, including James JB Holston as Executive Director of the Department of Higher Education and two members of the Private Occupational School Board. The Judiciary Committee recommended Senate Bill 5 be amended and referred to Appropriations with a favorable recommendation. The chamber then moved out of order for resolutions and took up Senate Joint Resolution 7, recognizing February 2026 as Black History Month. The resolution was read at length and included extensive findings on Black history nationally and in Colorado, highlighting figures such as Barney Ford, Clara Brown, early Black legislators, and more recent Black civic and legislative leaders. Senator Exum said there were no additional comments and noted that remarks would be made later in the House. The resolution was adopted on a 33-0 vote, and the current roll call was added as co-sponsors. The Senate also considered Senate Bill 10 on the third-reading consent calendar, a bill clarifying definitions used in agricultural property taxation. It passed unanimously, 33-0. The body then took up Senate Bill 4, which would expand who may petition for an extreme risk protection order. Senator Sullivan and supporters framed it as a public safety measure, while Senator Minority Leader and Senator Zamora Wilson opposed it, arguing it could create administrative burdens, unintended consequences, constitutional concerns, and costs. The debate continued with extended opposition remarks, but the transcript ends before a final vote on SB 4 is shown.

Transcript Highlights:

• Licensed marriage and family therapists provide critical therapy and support to address the unique challenges
• To serve as supervisors or managers must obtain the American Association for Marriage and Family Therapies
• And many of these families, rightly so, turn to therapy and counseling for support as they navigate major
• And many of these families, rightly so, turn to therapy and counseling for support as they navigate major

Keywords: U.S. House of Representatives Floor Proceedings on Monday, February 2, 2026, 1012, house, all

Transcript Highlights:

• Without education, therapy, and mentorship, Many of our youth leave more damaged and disconnected than
• Tim had access to therapy; he had programming; he had people who. Believed in him.
• Therapy is limited, programming has been cut, and kids are sitting in cells with little more than silence
• Other programs include experiential learning through the Santa Fe Mountain Center. therapy, art, gardening

Transcript Highlights:

• Areas of study in which we currently allow are education, business, psychology, physical therapy, and
• currently allow is education, business, psychology,<01:01:36.319> physical<01:01:36.720> therapy
• <01:01:37.359> and psychology, physical therapy and psychology, physical therapy and aiology

Keywords: 1187, senate, all

Transcript Highlights:

• commit $3 billion to the audacious mission of accelerating cancer prevention, cures... treatments and therapies
• university primary research, basic research, versus funding of companies with the effort to get drugs and therapies
• There were no proven systemic treatments available, and I was told that proton therapy was my only hope
• A 2015 CPRIT funding grant also at MD Anderson dealt with the efficacy of proton therapy versus traditional

Transcript Highlights:

• Thank you for your work on that, and thank you for your work on really promoting alternative therapies
• work on um really promoting you for your work on um really promoting alternative<00:56:09.039> therapies
• to<00:56:10.039> opioids<00:56:11.000> uh<00:56:11.400> we alternative therapies
• to opioids uh we alternative therapies to opioids uh we we<00:56:11.880> worked<00:56:12.480>

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:

• through my office, it would allow for more convenience and improve access and improve adherence to the therapies
• All right. ...improve access and improve adherence to therapies that we prescribe and hopefully improve
• Trans Survey, nearly all the respondents said that gender-affirming care, including hormone therapy and

Keywords: 995, all

Summary: The committee held a public hearing with testimony on several health care bills, with most of the discussion focused on primary care access, community health center reimbursement, midwifery and birth centers, telehealth, hospital-at-home, direct primary care, and trans-inclusive health care access. Chair Feeney and Chair Murphy opened by noting the large number of signups and asking testifiers to keep remarks brief because of time constraints. Legislators and witnesses repeatedly emphasized that Massachusetts’ primary care system is under strain and that federal policy changes and reimbursement gaps are worsening financial pressure on providers. On community health centers, Representative Blay, Senator Lovely, Michael Curry, Bethany Keeley, Jag Deep Trevetti, Sean Cahill, and Christina Severin all supported H. 1096/S. 711, which would require commercial insurers to pay federally qualified health centers at least the MassHealth prospective payment system rate. They argued that commercial plans currently reimburse health centers below Medicaid rates, threatening sustainability, staffing, and access, especially as federal cuts and coverage losses could increase uncompensated care. Testifiers said the bill would stabilize health centers, protect primary care access, and not cost the state money. A second major topic was H. 1117/S. 784 on sustaining birth centers and the midwifery workforce. Senator Lovely, Senator Miranda, Emily Anesta, Rebecca Orden, Catherine Rushworth, Nishira Burrill, Joel Sutherland, Rachel Blessington, Joelle Ward, and others described the 2024 maternal health omnibus as an important first step, but said birth centers and midwives still face low reimbursement, workforce shortages, and financial instability. They urged reimbursement parity, a workforce development fund, and support for freestanding birth centers, citing improved outcomes, lower C-section rates, better patient experience, and racial equity in maternal health. Several speakers shared personal birth stories and said the bill would help preserve and expand birth options in communities like Roxbury, Worcester, and the North Shore. The committee also heard support for H. 1343 on direct primary care from Dr. Garofalo, Dr. Altman, Dr. Nair, Stephanie Cameron, Dr. Haley Moke-Blessed, and others, who said current insurance rules force patients to use a separate in-network primary care doctor for referrals and sometimes prevent physicians from dispensing medications. They argued the bill would reduce delays, administrative burden, and costs while improving continuity of care. In addition, Dr. Miklides and Sue Stempeck supported H. 1141 on hospital-at-home parity, saying the model has strong outcomes and should be reimbursed at the same rate as brick-and-mortar hospital care. Heather Myers and Katrina Cook testified on telehealth and digital health equity, urging broader coverage for asynchronous care, remote monitoring, interpreter services, and digital literacy supports. SEIU Local 509 supported H. 1188/S. 681 on trans-inclusive health care access, saying it would remove arbitrary insurance barriers to gender-affirming care. No votes or committee actions were taken during the hearing.

Transcript Highlights:

• it simply changes the name of the accrediting agency for occupational therapists and occupational therapy
• assistants from the American Occupational Therapy Association to the National Board for Certification
• in Occupational Therapy.

Bills: HR188, HR189, HR190, HR191, HR179, HR180, HR181, HR182, HR183, HR185, HR186, HR187, HCR75, HCR76, HCR77, HCR78, HCR79, SCR24, SCR36, SCR39, SB64, SB107, SB152, SB185, SB217, SB232, SB278, SB290, SB294, SB320, SB321, SB419, SB424, SB436, SB440, SB468, SB470, SB476, SB482, SB489, HCR32, SCR11, HB12, HB42, HB205, HB222, HB267, HB324, HB325, HB350, HB478, HB610, HB617, HB679, HB745, HB749, HB797, HB807, HB821, HB896, HB979, HB992, HB1000, HB1024, HB1050, HB1166, HB1172, HB1173, HB1193, HB1207, HB1218, HB1223, SB256, SB180, HR1, HR17, HCR5, HCR4, HCR47, HB59, HB74, HB159, HB330, HB364, HB414, HB458, HB525, HB568, HB786, HB1008, HB1033, HB1034, HB1041, HB1062, HB1070, HB1079, HB1112, HB1118, HB1139, HB1151, HB1176, HB1182, HB1196, HB1214, HB1241, HB87, HB115, HB162, HB368, HB433, HB441, HB447, HB466, HB481, HB741, HB1242, HB362, HB893, HB990, HB1007, HB1153, HB1243, SB162, SB349, SB350, SB382, SB383, SB127, SB244, HB615, HB864, HB1103, HB1175, HB31, HB225, HB608, HB664, HB897, HB977, HB1003, HB1160, HB1180, HB911, HB306, HB366, HB1161, HB1230, HB181, HB901, HR20, HR74, HB284, HB393, HB459, HB577, HB582, HB605, HB614, HB682, HB733, HB772, HB773, HB996, HB1035, HB1058, HB1082, HB1113, HB1189, HB1234, HB1240

Keywords: hunting dogs, field trials, working dogs, dog training, greyhound protection, Farm Bill, federal overreach, sportsmen, sportswomen, wildlife management, conservation, rural communities, Louisiana hunting, hunting tradition, animal welfare, dog breeders, dog owners, outdoor recreation, Kathy Taylor, musical achievements