Transcript Highlights:

• who comes to us, patients brought in by EMS or law enforcement, families facing a sudden illness or trauma
• mine pay the price with longer hospital stays, unmanaged pain, and preventable complications, and trauma
• the bill and creates a new memory care services specialty license type, which an assisted living facility
• In our state, we have many, many ALF facilities that currently provide or claim to provide memory many
• ALF facilities that currently provide or claim to provide memory care services.

Committee: Senate Health Policy

Summary: The committee first considered SB 268, a public records bill for emergency physicians. A strike-all amendment narrowed and clarified the exemption, and the sponsor said it was intended to protect current emergency department physicians and eligible family members who submit a written request. Emergency physician Dr. Sean Patterson and several health care organizations supported the bill, citing threats, harassment, and safety concerns tied to mandatory reporting and patient encounters. The committee adopted the amendment and reported SB 268 favorably as a committee substitute. The committee then heard SB 514, creating the Doula Support for Healthy Births Pilot Program in Broward, Miami-Dade, and Palm Beach counties for pregnant and postpartum women, with priority for those affected by substance use disorder. Members discussed how the Department of Health would implement the pilot, collect data, and work with existing maternal health partners. An amendment changed the funding source to specific appropriations in the General Appropriations Act. Supporters said doula care can improve maternal and infant outcomes and help address Florida’s maternal health crisis. The bill was reported favorably as a committee substitute. SB 36, on use of professional nursing titles, drew extensive debate over whether nurses with doctoral degrees should be able to use the title “doctor” in clinical and advertising settings while clearly identifying themselves as nurses. The sponsor said the bill was about transparency and patient clarity, while several senators raised concerns that patients could confuse DNPs with physicians. Supporters from nursing groups said the bill protects earned credentials and does not expand scope of practice. The committee adopted an amendment aligning the bill with the House version and reported SB 36 favorably as a committee substitute. The committee also reported favorably SB 864, creating a public records exemption for uterine fibroid research data; SB 844, requiring continuing education on sickle cell disease care management for certain health professionals; SB 1404, revising memory care licensing for assisted living facilities; and SB 914, clarifying dry needling authority for occupational therapists. Finally, the committee took up SB 1758, a broad public assistance bill affecting Medicaid and SNAP. The sponsor described reforms including stronger fraud enforcement, a Medicaid work requirement for certain able-bodied adults, expanded behavioral health services through a waiver, pharmacy program changes, and SNAP fraud reduction measures. Members questioned the work requirement, implementation costs, eligibility verification, and due process concerns, while the sponsor said the bill would require federal approval and legislative review before implementation. Three amendments were adopted to adjust drug list update timing, expand public testimony on the high-cost drug list, and require faster prior authorization responses with a temporary supply in emergencies. The transcript cuts off before the final disposition of SB 1758.

Transcript Highlights:

• And the comments about that facility—that's a parakeet facility—and personally I'm not familiar with
• All these investigations took place at USDA-licensed facilities.
• I am a bird rescue and avian resource facility for over 14 years.
• To say that USDA-regulated facilities are not...
• To say that USDA-regulated facilities are not meeting the standards is to say those facilities are not

Bills: H5432 , H5433 , S3093 , H5363 , H5137 , H5247

Committee: Joint Joint Committee on Environment and Natural Resources

Summary: The Joint Committee on Environment and Natural Resources held a hybrid hearing on late-file bills, with testimony focused first on multiple home rule petitions seeking local authority to restrict anticoagulant rodenticides in towns including Andover, Topsfield, North Andover, Williamstown, Georgetown, Lexington, and others. Municipal officials, residents, wildlife advocates, and conservation groups described documented harm to hawks, owls, foxes, turtles, pets, and other wildlife, and argued that towns should be able to regulate these poisons locally. Several speakers said their towns had already voted to support restrictions and were using integrated pest management and other alternatives. Committee members noted that statewide rodenticide legislation had already advanced out of committee in both chambers and that the environmental bond bill was in conference committee, but no votes were taken during the hearing itself. The committee then heard testimony on H. 5137, a bill to prohibit the retail sale of parrots. Supporters, including animal welfare groups, veterinarians, rescue operators, and advocates, said parrots are often sourced from large breeding facilities with poor conditions, that many birds are surrendered because they are difficult long-term pets, and that rescues are overwhelmed. They argued the bill would encourage adoption, reduce demand for commercial breeding and trafficking, and improve bird welfare and public health. Opponents, including breeders, pet retailers, aviculture representatives, and rescue operators, said the bill would harm small businesses, reduce consumer access and transparency, and push sales to unregulated markets without improving welfare. Several speakers said the bill should instead focus on stronger standards and enforcement rather than banning sales. A separate bill, S. 310, designating the Marion Stoddard River Walk, was also briefly discussed in testimony supporting Marion Stoddard’s environmental work. The hearing ended after the committee finished taking testimony and adjourned; no roll-call votes or formal actions were taken in the transcript.

Transcript Highlights:

• So this is to help a small rural health care facility provide senior services.
• </c><00:21:44.440><c> and</c> our director of nursing facilities and our director of nursing facilities
• </c><00:22:17.000><c> open</c> functional and keep the facilities open functional and keep the facilities
• </c> home aspect of the hos of the facility home aspect of the hos of the facility and<00:23:00.679><
• If any of the rural facilities were to close, it would put more pressure on us.

Committee: House Health Finance and Policy

Transcript Highlights:

• Timely, appropriate care, reduces mistakes, and protects families from needless trauma.
• So when that patient is arriving, they will have that information at an SSM facility. Is that?"
• "When that patient is arriving, they will have that information at an SSM facility.
• It also encourages training, reporting mechanisms, and incident review processes so that facilities are
• It allows each facility to tailor its approach based on..." "I'm sorry. That the bill is flexible.

Committee: House Health and Mental Health

Transcript Highlights:

• CCRCs are facilities that provide a continuum of care and housing to residents who may need different
• Our organization represents the residents who live in continuing care facilities across Washington.
• We urge you to pass HB 2384 to ensure that every senior in a continuing care facility can live with the
• that hands-on animal experience includes volunteering at clinics, animal shelters, or emergency facilities
• Declawing has dropped in the last 10 years to near zero, and generally it's due to trauma to the animal

Summary: The committee held public hearings on several health-related bills. House Bill 2384 would require continuing care retirement communities that offer life care contracts to submit actuarial analyses every other registration cycle for review by the Office of the Insurance Commissioner, with the Department of Social and Health Services using the review in registration decisions. The bill sponsor and residents’ advocates said it would improve transparency and protect seniors’ prepaid care promises, while the CCRC industry supported the goal but raised concerns about scope, cost, and implementation details. House Bill 2505 would exempt certain foster family homes and child-specific foster care homes from adult family home licensure when former foster youth remain in the home as adults and certain safety conditions are met; DSHS supported the narrow exemption as a way to avoid displacing vulnerable young adults. House Bill 2402 would phase out DEHP and other orthophthalates in IV solution containers and later IV tubing, with exemptions for certain blood and cell therapy products; supporters cited health and environmental risks and the availability of safer alternatives, while manufacturers and hospitals supported the goal but asked for longer timelines, supply-chain protections, and implementation assistance. In executive session, the committee took action on a series of bills. It adopted an amendment and passed House Bill 1904, which prohibits cat declawing, on a 13-3 vote. It passed a proposed substitute for House Bill 2145 on the 340B drug program on an 11-5 vote after debate over reporting requirements and the state’s authority. It rejected several amendments to House Bill 2182 on abortion medications held by the Department of Corrections, adopted an Indian health care provider priority amendment, and passed the bill on a 10-6 vote. House Bill 2211 on medically tailored meals passed 15-1. The committee also passed Substitute House Bill 2247 on veterinarian-client-patient relationships, Substitute House Bill 2329 on midwives and lactation consultants, and Substitute House Bill 2339 on nurse licensing, each with technical amendments and broad support.

Transcript Highlights:

• Facilities available within a reasonable distance. 4.
• This resulted in higher profits through Unnecessary facility fees but not improved outcomes.
• A few different facilities or companies, it's quite simple that multiple LLCs are getting created.
• Safe Harbor services are trauma-responsive and designed to meet the unique needs of youth by walking
• We are delegated by the Minnesota Department of Health for beverage, pool, and lodging facilities.

Bills: HF2779 , HF1645 , HF1885 , HF1289 , HF1534 , HF2707 , HF1675 , HF3046

Committee: House Health Finance and Policy

Transcript Highlights:

• Rural counties, those without facilities, are having to travel a significant amount of time while often
• Currently, there are almost 1,000 youth in Texas Juvenile Justice Department facilities across the state
• We critically need investments and support programs that make a difference in these facilities and in
• I have been to each facility personally—well, all of them during the interim. Twice. Twice.
• I volunteer in the very same facility I once lived in, not as an inmate, but as a mentor, an organizer

Bills: HB1511 , HB1831 , HB1988 , HB2147 , HB2234

Committee: House S/C on Juvenile Justice

Keywords: housing, affordable housing, state regulations, zoning, local government authority, drug court, juvenile justice, diversion programs, rehabilitation, criminal justice reform, remote proceedings, depositions, virtual hearings, court technology, criminal responsibility, age of maturity, expungement, mental health services, juvenile record sealing

Transcript Highlights:

• practice waiver, require continuing education to include credit regarding pediatric abusive head trauma
• </c> regarding pediatric abusive head trauma regarding pediatric abusive head trauma or<00:03:38.840>
• </c><00:20:06.280><c> and</c> to confirm appropriate facilities and to confirm appropriate facilities
• These children would be in psychiatric facilities, ICF/IIDs, which is your intermediate care facilities
• ,</c> would be in psychiatric facilities, would be in psychiatric facilities, ICF/IIDs,<00:37:33.200>

Summary: The committee first approved the minutes and then took up a series of administrative regulations from several agencies. Early items included Attorney General consumer protection rules on removal sales, health spas, liquidation sales, and nonresident sellers of visual aid glasses; Finance and Administration Controller rules on clearinghouse validation and fraud prevention; and Board of Dentistry rules updating exam requirements, controlled substance prescribing, training for neuromodulators and dermal fillers, infection control, sedation/anesthesia continuing education, and required education on pediatric abusive head trauma and controlled substance ingestion prevention. The committee also approved staff amendments on these items, generally to conform to KRS Chapter 13A, and members asked a brief question about the dentistry controlled-substances changes, which was answered as an alignment with statute. The committee next approved regulations for the Board of Ophthalmic Dispensers, Board of Nursing, and Board of Emergency Medical Services. The ophthalmic dispensers package would revise meeting and recordkeeping language, raise renewal fees, set reinstatement and apprentice-license rules, add complaint and hearing procedures, and repeal a duplicative regulation. The nursing regulations would streamline approval of training programs and require notice and documentation of site visits and deficiencies. EMS rules would create five EMS medical director certifications, set expiration and renewal requirements, require publication of disciplinary sanctions, and exempt currently approved directors before October 1, 2026. Staff amendments were adopted without objection on each set. The Education and Labor Cabinet’s school transportation regulation drew extended discussion. The agency explained the changes were intended to implement Senate Bill 46 and update references affected by later legislation, including an oral amendment to delete a subsection reference tied to KRS 160.380. The committee adopted both the agency and oral amendments without objection after brief questions about the scope of the bill changes and van transportation for students. The committee then heard a lengthy package from the Department for Public Health on WIC and related nutrition program regulations, including updates to infant and child certification periods, documentation requirements, vendor criteria, sanctions, hearing procedures, and high-risk vendor standards. Staff amendments were adopted without objection. Finally, the committee considered the Inspector General’s regulation for freestanding birthing centers, which included both staff and agency amendments. The agency changes would require two neonatal resuscitation program-certified staff, set rules for medical director vacancies and appeals, revise facility and staffing terminology, adjust transfer-agreement requirements, and allow waivers when agreements cannot be secured. Mary Katherine DeLodder of the Kentucky Birth Coalition testified in support, saying the parties had worked through concerns and were ready to move forward. The committee then moved on to Medicaid’s 1915C child waiver regulations, where staff amendments were adopted, but Lucy Heskins of Kentucky Protection and Advocacy testified against the package because it did not include person-directed services, which she said are required by Kentucky law and important for families using the waiver.

Transcript Highlights:

• Medical Center and the hospital in Winfield and multiple places that were a long way from any other facility
• ><00:23:05.200><c> from</c><00:23:05.440><c> any</c><00:23:05.679><c> other</c><00:23:06.000><c> facility
• </c> were a long way from any other facility. were a long way from any other facility.
• That difference matters most when patients are critically ill—for example, major trauma, septic shock
• The discussion continued as someone asked to look at the information and how close the facilities are

Bills: SB63 , SB80 , SB63 , SB80

Committee: Senate Healthcare

Keywords: immigration, law enforcement, fingerprints, DNA collection, illegal aliens, Alabama state law, SB80, Buddy Sharpless Education Institute, Alabama Local Government Training Institute, county commissioner training, local government training, ethics training, State Ethics Commission, county commissioners, Association of County Commissions of Alabama, local emergency management director, public officials, municipal officials, Alabama Code Title 11, Alabama Code Title 31

Transcript Highlights:

• The bill before you is Senate Bill 5901 relating to school construction assistance program facility support
• Under this bill, school district instructional facilities located on military bases must be excluded
• currently indeterminate because it is unknown when those districts would construct or modernize facilities
• But it's really the school district that Clover Park School District that operates the facilities on
• I don't want to reflect on the hate, oppression, and the trauma.

Summary: The committee first heard Senate Bill 5901, which would change the school construction assistance program so that instructional space on military bases is excluded from a district’s available space inventory when calculating state construction aid. Staff explained the bill would also require state assistance to equal approved project cost minus federal funding received. Senator Christian said the measure is intended to prevent military-base facilities from unfairly reducing districts’ ability to modernize or build schools. Testimony in support came from OSPI, Clover Park School District, and Medical Lake School District, which said the current formula penalizes districts serving military families and can leave them unable to secure needed renovation funding. No opposition was heard, and the bill was later described as having an indeterminate fiscal impact. The committee then took up Senate Bill 5860 on school board compensation. The bill would raise director pay from $50 to $100 per day, increase the annual cap, allow child care expenses to be reimbursed, require OFM to periodically adjust compensation, and direct WASDA to develop finance training for school directors. Senator Cortez said the changes are needed to broaden who can serve on school boards and to help working families participate. Supporters from OSPI, WASDA, and South Sound superintendents said compensation could improve diversity and help recruit and retain board members, though WASDA noted concerns about diverting district funds and said its members do not have consensus on mandatory training. Opponents argued the bill would misuse levy funds and that child care and other expenses should not be paid from local education levies. The committee also heard Senate Bill 5956 on artificial intelligence, student discipline, and surveillance in schools, which would bar automated systems from being the sole basis for discipline decisions, prohibit risk scores and biometric surveillance, require OSPI guidance updates, and direct WASDA to create model policy. Senator Nobles and supporters said the bill is needed to protect students from discriminatory and inaccurate AI-driven decisions; no vote was taken in the hearing. Finally, the committee heard a proposed substitute for Senate Bill 5574, which would require districts to include instruction on Asian American, Native Hawaiian and Pacific Islander, Latino American, and Black American history in required social studies courses during the regular curriculum review cycle, with reporting beginning in 2030. Senator Nobles said the bill is meant to address exclusion and bias in history education and to help students see themselves reflected in the curriculum. Testifiers from education, student, parent, and community groups overwhelmingly supported the measure, saying it would improve belonging, reduce bullying, and build on existing curriculum resources without creating a new course or major new cost. The hearing ended without a vote or other formal action on SB 5956 or SB 5574.

Transcript Highlights:

• Women veterans are significantly more likely to have experienced military sexual trauma than men, and
• face disproportionately higher rates of PTSD and depression due to factors such as military sexual trauma
• face disproportionately higher rates of PTSD and depression due to factors such as military sexual trauma
• higher education institutions are all going through budget... ...deficits right now, mainly through facilities

Committee: House Military and Veterans Affairs

Summary: The Assembly Committee on Military and Veterans Affairs met as a subcommittee and heard several veterans-related bills. AB 81 by Assembly Member Ta would require CalVet to study mental health among women veterans, with supporters emphasizing higher rates of military sexual trauma, PTSD, depression, and suicide among women veterans and the need for tailored services. There was no opposition, and members broadly praised the bill as overdue and important. AB 556 by Assembly Member Patterson would clarify that CalVet fee waivers for dependents of disabled or deceased veterans and Medal of Honor recipients include campus-level mandatory fees at public colleges; supporters said campuses had been excluding fees the law was meant to cover, while concerns were raised about the fiscal impact on higher education institutions. Both bills were moved forward to Appropriations. AB 826 by Assembly Member Jeff Gonzalez would prohibit unaccredited individuals or businesses from charging veterans fees to file or assist with VA benefits claims and establish a civil penalty for violations. The author and county veterans service officers argued the bill would protect veterans from predatory “claim sharks” and fill an enforcement gap, while opponents said it could restrict access to legitimate private assistance and urged narrower regulation instead. After extensive testimony and discussion about federal law, consumer protections, and possible amendments, the committee passed AB 826 8-0 and re-referred it to Judiciary. The committee also adopted its rules and approved the consent calendar, which included AB 264 and two committee bills, AB 1508 and AB 1509, all sent to Appropriations. Final recorded votes were unanimous or near-unanimous, with AB 81 and the consent items passing 7-0, AB 556 passing 6-0, and AB 826 passing 8-0.

Transcript Highlights:

• If you do, UT Dallas is requesting support for a facility to sustain our rapid research advancement,
• We're requesting an additional $5 million to support the operations of the new cancer center facility
• We have a request for $100 million. and CCAP support for our biosciences research facility.
• This is a state-of-the-art bivarium, an animal care facility, an animal care facility. research facility
• So we have the largest patient facility thanks to you.

Committee: House Appropriations - S/C on Article III

Transcript Highlights:

• Bill 143, Representative Albritten: nursing facilities privilege assessments and search on each nursing
• One change you'll see there, and don't want to cause an alarm, but under the correctional facilities
• don't want to cause an alarm, but under the<00:18:20.640><c> correctional</c><00:18:21.120><c> facilities
• </c><00:18:21.600><c> maintenance</c> the correctional facilities maintenance the correctional facilities

Bills: SB146 , SB143 , SB144 , SB145 , HB224 , SB152 , SB153 , SB154 , SB162 , SB226 , SB146 , SB143 , SB144 , SB145 , HB224 , SB152 , SB153 , SB154 , SB162 , SB226

Committee: House Ways and Means General Fund

Keywords: supplemental appropriation, FY2025 budget, general fund, Alabama State Board of Public Accountancy, Unified Judicial System, court automation, advanced technology and data exchange, judiciary funding, transportation debt service, highway bonds, bridge bonds, Alabama Department of Transportation, ALDOT, public highways, federal matching funds, state appropriations, bond principal and interest, special funds, budget amendment, SB143

Transcript Highlights:

• Senator Uma Verbettton, facility Senator Uma Verbettton, facility fees.<02:25:43.040><c> Uh</c><02:25
• 26:34.720><c> be</c> charging facility fees would be charging facility fees would be considered<02:26
• </c> exceed the cost of the original facility exceed the cost of the original facility fee.<02:31:06.160
• ><c> for</c><02:39:54.640><c> telealth</c> has banned facility fees for telealth has banned facility
• </c><02:41:28.319><c> fee</c><02:41:28.560><c> for</c> collecting facility fee for collecting facility

Committee: Senate Judiciary and Public Safety

Transcript Highlights:

• </c><00:08:19.759><c> to</c> page so then we went facility to page so then we went facility to facility
• </c><00:14:23.720><c> took</c><00:14:24.000><c> those</c> Facility by facility and then took those Facility
• </c><00:14:40.519><c> and</c> facility every facility is different and facility every facility is different
• </c> facility that's a minimum Level facility facility that's a minimum Level facility um<00:16:04.279
• facility.

Transcript Highlights:

• This is always a lovely facility, and the food is fabulous, and there's lots of it.
• We also set up all of the rural trauma networks in New Mexico, so she has a real passion for rural health
• well, which is helpful because we do have nurse practitioners in most of the mental health care facilities
• We actually have one of our current DNP students doing a crisis response or a trauma-informed care project
• Yeah, I will reiterate how concerned I am that some facilities are saying you can't do behavioral health

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• Twenty-seven years, three months ago, when I woke up in Hanley Hazelden treatment facility.
• In treatment facility. I will never forget the day I asked for help.
• middle of the... ...from the trauma of the beatings, of kids disappearing in the middle of the night
• Unfortunately, money in compensation cannot bring psychological closure or erase the trauma that they
• They’re doing incredible work in those facilities.

Summary: The Senate convened with a quorum, opening prayer, Pledge of Allegiance, and several introductions and recognitions, including a resolution honoring Bob Graham and a moment of silence for firefighter Roger Timmy Miley. The chamber then moved through a special-order calendar with multiple bills, many of them paired with House companions and amended before final passage. Early action included adoption of a tax conformity bill tied to federal changes in the Internal Revenue Code, with a 34-0 vote. The most extensive debate centered on CS/CS/SB 1758, a Medicaid and SNAP reform bill. The sponsor described provisions to strengthen fraud enforcement, impose work requirements for able-bodied adults, expand behavioral health services through a waiver, modernize Medicaid drug purchasing, and require a SNAP fraud-reduction plan and photo ID on EBT cards. Democrats offered amendments to delay work requirements until Medicaid expansion and to add protections for SNAP users such as caregivers, seniors, disabled individuals, and domestic violence survivors; both amendments failed. Senators also questioned implementation details, exemptions, and potential effects on vulnerable populations. After debate, the bill was placed on the calendar for third reading. The Senate also passed bills on technology education and AI instruction, a public records exemption and related Parkinson’s Disease Registry measures, designation of the SS American Victory as the state flagship, electronic payments for local governments, repeal of the sunset on legal tender recognition for gold and silver, public records protections for financial and digital-asset custodians, a Florida stablecoin pilot program, local government budget transparency, digital voyeurism, insurance customer representative licensing, and a medical freedom bill with amendments on vaccine-related materials and anti-kickback provisions. Most of these measures passed with little or no opposition, though the public records bill for gold/silver custodians and the legal tender repeal drew a few dissenting votes.

Transcript Highlights:

• Representative, if they want to be a pro-life facility, I'm all for that.
• And if they want to go to a pro-life facility, they can.
• Who can I report them to that has oversight of their facility, not an individual licensee?
• But we're talking about taking children that have had childhood trauma.
• We're doing a pitiful job in dealing with childhood trauma, and I'll talk about that a little more.

Bills: HR1036 , HB2975 , HB3026 , HB3297 , HB2981 , HB2978 , HB4144 , HB1322 , HB1818 , HB3194 , HB3767 , HB3342 , HB3344 , HB4170 , HB3287 , HB3288 , HB4454 , HB3264 , HB3266 , HB3268 , HB4095 , HB4115 , HB4316 , HB3530 , HB3428 , HB4272 , HB4273 , HB4274 , HB3405 , HB3406 , HB3467 , HB3469 , HB3931

Keywords: Bob Wills, Western Swing, Cain's Ballroom, Oklahoma music history, country music, rock and roll, folk jazz blues, Oklahoma Arts Council, Oklahoma Film and Music Office, Oklahoma Historical Society, OKPOP Museum, commemorative resolution, day at the Capitol, musician recognition, heritage celebration, Tulsa, poultry waste, nutrient management, environmental regulations, agriculture

Transcript Highlights:

• But yeah, the BIE is responsible for the facilities; it's just getting them to respond and support in
• for the facilities um it's just The high school here was a tin building from about 1984 until about
• to our students, and they understand family dynamics better and understand the intergenerational trauma
• that our people have generational trauma that our people have been through<00:42:48.160><c> thank</c
• as a way to um think about trauma as a way to um think about identity<00:54:49.839><c> and</c><00:54

Committee: Senate Education Finance

Transcript Highlights:

• Um currently, crisis nurseries are required to be licensed as two separate facilities cuz they provide
• are required to be licensed as two are required to be licensed as two separate<00:03:52.120><c> facilities
• </c><00:03:52.600><c> cuz</c><00:03:52.760><c> they</c><00:03:52.880><c> provide</c> separate facilities
• cuz they provide separate facilities cuz they provide overnight<00:03:53.560><c> care</c><00:03:53.760
• we think about children who have been abused sexually or otherwise, children who have been through trauma

Summary: The committee took up House File 4466, the Health Finance and Policy bill, and first adopted the A8 amendment, described as a set of technical fixes. Members then considered a large A9 amendment that bundled a wide range of Children and Families provisions, including child care licensing modernization, crisis nursery licensing, SNAP/MFIT-related language, child care provider self-reporting, a physical abuse recognition poster, child protection and welfare provisions, funding for parent support outreach, and forensic interview training scholarships. Supporters described it as bipartisan work with relatively small fiscal impact, while opponents said it greatly expanded the bill and should be handled separately; after a roll call, the A9 amendment failed 7-14. Representative Scott then offered the A11 amendment, raising concerns about new all-payer claims database language and whether it should have been heard in the Judiciary and Civil Law Committee. Department of Health staff explained the data-sharing safeguards, de-identification process, fee structure, and enforcement provisions, but Scott remained concerned about privacy and the scope of the program and withdrew the amendment. The committee then moved to final bill discussion. Members and authors described HF 4466 as a lean health finance bill largely conforming Minnesota law to federal HR1 Medicaid-related changes, including work requirements, retroactive eligibility limits, cost-sharing, and home equity provisions. Supporters argued conformity was necessary to avoid major federal funding losses and noted a few additional member bills in the package; opponents criticized the federal changes as harmful, especially for vulnerable populations such as victims of trafficking and domestic violence. Fiscal staff said the bill would save just over $2 million in FY 2026-27 and almost $98 million in FY 2028-29. No final vote on the bill itself was taken in the portion provided.