Transcript Highlights:

• package from the 2020 legislative package from the 2020 legislative session<00:12:39.800> and
• procedure piece is tracking this car is procedure piece is tracking this car is there<00:17:05.839>
• <00:24:49.960> and of their policies procedures and of their policies procedures and training
• <00:25:07.840> and agency's policies procedures and agency's policies procedures and training
• accredited some of our legislative accredited some of our legislative agenda<00:25:36.120> items

Keywords: 1187, senate, all

Transcript Highlights:

• into that both of those um legislative into that both of those um legislative bodies<01:31:38.960
• . legislate. legislate.
• be able to perform these procedures. be able to perform these procedures.
• procedures that are defined in statute. procedures that are defined in statute.
• HB 349 applies minimum procedures for optometrists to gain surgical procedures.

Keywords: 1191, senate, all

Transcript Highlights:

• This committee could draft legislation, or they could ask the tax committee to draft legislation.
• I just want to go back to your first under legislative assembly. The legislative assembly does not.
• of the legislative session, the executive branch takes over and enforces those legislative provisions
• , we need, as legislators, to have certain legislation that pertains to this area.
• And then the 2023 legislative assembly and the 2025 legislative assembly both authorized exemptions to

Summary: The committee convened, approved the prior meeting minutes, and received a memo summarizing major audit items. The State Auditor’s office and outside auditors then presented a series of audits, many of which were clean with unmodified opinions and no findings, including the Bank of North Dakota, the Guaranteed Student Loan Program, the Office of the Governor, the State Treasurer, the Office of Management and Budget, the Department of Transportation, the Department of Environmental Quality, Lake Region State College, and the Office of the Governor. The North Dakota Stockmen’s Association audit was also clean overall, but it repeated findings about limited segregation of duties and auditor assistance in preparing financial statements, which the auditor said were expected to continue because of the organization’s small size. Committee members asked about out-of-state board addresses, and the association explained those members were North Dakota residents using South Dakota mailing addresses. Several audits did include findings. The Council on the Arts audit identified two issues: payroll charged to federal awards without supporting time records, and $12,825 in Cultural Endowment Fund spending that was not allowable under state law, including staff training, retreats, and executive director candidate travel. The Department of Public Instruction audit found unsupported scholarship applications in the paraprofessional-to-teacher program, but additional testing confirmed the funds were credited properly and students completed required school district work, so no improper payments were identified. The University of North Dakota audit found a lack of documentation and transparency in School of Law admissions decisions; the auditor said the law school used a holistic process but did not keep notes or evaluation tools to show why applicants were admitted, waitlisted, or denied. UND leadership said the school is in good standing with the American Bar Association and agreed better documentation is needed, and the auditor said the issue was the missing documentation, not ABA accreditation itself. The most extensive discussion centered on the North Dakota Racing Commission audit, which found four findings: overspending the promotion fund’s 25% operating cap, grant conditions not being met, improper breeder fund awards, and improper procurement. The auditor said promotion fund spending exceeded the cap by $327,447 and the fund balance dropped sharply over the audit period. Racing Commission director Bruce Johnson said the agency had become complacent, that grant requests were treated as routine, and that controls and documentation need to be tightened. He also explained that the breeder fund overpayments involved two horses whose ownership transfers were not properly documented before racing, and that the procurement issue stemmed from an advertising contract that proceeded without proper written procurement procedures after a misunderstanding with the State Procurement Office. The auditor said the Racing Commission will now be audited every two years because of the findings. The committee also received updates on Dakota College at Bottineau’s bank reconciliations, which Minot State University said had been brought current after an 18-month backlog, with only one account still needing cleanup; members asked for a written report on the corrective actions. The North Dakota Fair Foundation was reported to have dissolved, with remaining funds transferred to another nonprofit account for continued support of the state fair. Finally, the Department of Public Instruction provided an update on school meal debt, revising the earlier estimate to about $1.1 million based on incomplete district survey responses, and said the Anti-Lunch Shaming law likely increased meal debt because schools must feed students regardless of account balance. Members discussed the need for a more accurate year-end debt figure and possible future reporting at a later committee meeting.

Transcript Highlights:

• organization doesn't do the procedure. organization doesn't do the procedure.
• No medical procedure is 100% safe.
• Thank you. procedure that is 100% safe. Safe and procedure that is 100% safe.
• "A positive mandate to legislate or to tax transforms judges into legislators and erodes the balance
• legislative malpractice This is legislative malpractice from<02:17:31.120> its<02:17:31.439><

Keywords: 1189, house, all

Summary: The committee first recessed for a subcommittee meeting on HB 313, which concerned an open-meetings-related issue. In the subcommittee, members discussed concerns that the bill might be unnecessary because current law already allows a person to request an open meeting in advance; the subcommittee then voted ITL on HB 313 by voice vote and closed its work session. The full Judiciary Committee then reconvened and took up CACR 6, the proposed constitutional amendment on a “right to compute,” with members debating whether the language was too broad and could create unintended consequences. Supporters framed it as a forward-looking protection for computation resources and strong encryption, while opponents said it was too open-ended and better addressed by future legislation. The committee voted ITL on CACR 6 by a 17-0 roll call. The committee next turned to HB 232, as amended, concerning the rights of conscience for medical professionals. The amendment narrowed the bill to abortion-related objections, removed sterilization and artificial contraception, aligned the abortion definition with existing state law, and reduced damages from treble damages to actual damages. Supporters said the bill would protect conscience rights, give physicians and patients more choice, and could help attract providers to New Hampshire. Opponents argued it was overly broad, unclear in key definitions, and could interfere with employers’ ability to assign staff, especially in rural health settings. Members also raised concerns about the bill’s scope and enforcement, including the broad definition of “participate,” the lack of clarity around exceptions for providers whose services include abortion as a “major part,” emergency determinations, and the inclusion of nursing homes in the definition of health care institution. Some members argued the bill singled out abortion while other controversial medical procedures were not treated similarly, and others criticized the minimum-damages provision as potentially punitive and designed to deter participation. The discussion continued without a final vote shown in the transcript excerpt.

Transcript Highlights:

• So I'm going to introduce legislation.
• And would you oppose legislation that simplified that, reduce Would you oppose legislation that simplified
• enabling legislation that you need to...
• For any legislative enabling legislation that you need to accomplish that as soon as possible.
• I think we would like to help if there's some legislation, companion legislation, that would need to

Summary: The hearing focused on a state audit of Cal/OSHA titled “The Division of Occupational Safety and Health: Process Deficiencies and Staffing Shortages Limit Its Ability to Protect Workers.” Committee leaders and the audit team described serious workplace tragedies, argued that California’s worker protections are not being adequately enforced, and said the audit was prompted by concerns that Cal/OSHA was too often relying on letters instead of inspections, delaying investigations, and closing cases without enough documentation. Members repeatedly emphasized that the issue was not just staffing, but also outdated policies, weak oversight, and inconsistent enforcement. State Auditor Grant Parks said the audit found a 32% vacancy rate in 2023-24, heavy reliance on hard-copy files, outdated or unclear policies, and inconsistent decision-making in complaints, accidents, citations, and fine reductions. He said Cal/OSHA conducted on-site inspections in only about 20% of complaints, used letter investigations more than 80% of the time, often lacked evidence that hazards were corrected, and sometimes failed to inspect serious injury cases on time. The audit also found weak documentation for fine calculations and settlement reductions, with some penalties reduced substantially without clear explanations. Parks said the agency had accepted the findings and would provide progress updates later in the year. Committee members pressed the auditor on vacancy rates, the use of letter investigations, the low rate of criminal referrals, and whether fines were being reduced too often. Cal/OSHA and DIR officials responded that the vacancy rate had fallen to 12% partly because 66 vacant positions were eliminated in a statewide budget reduction and partly because of hiring; they said 126 people had been hired in the first half of the year. They also said they had hired a policy writer, were updating several policies, were planning periodic internal audits, and were developing a new data management system expected to go live in late 2026 or early 2027. On fines, officials said Title 8 sets base penalties and allows adjustments based on factors like employer size, history, and good faith, with appeals and informal conferences also affecting final amounts. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• and 13 may require legislative and 13 may require legislative action.<00:06:28.479> Turning
• comprehensive policies and procedures. comprehensive policies and procedures.
• procedure. He I I I I'm very glad that procedure.
• procedures that are where a a procedure procedures that are where a a procedure takes<01:22:31.920
• <02:04:07.360> We for submitting legislation. We for submitting legislation.

Keywords: 928, house, all

Summary: The Judiciary Committee met to hear the Legislative Budget Assistant Office’s performance audit of the New Hampshire Commission for Human Rights. Auditors said the commission was inefficient and ineffective in investigating discrimination complaints and closing cases in a timely manner during fiscal years 2020 through 2023. The report contained 25 observations; the commission fully concurred with 24 and concurred in part with one. Auditors highlighted major problems with case processing delays, inaccurate case data, lack of a case management system, weak strategic planning and risk assessment, outdated and disorganized policies, confidentiality issues, expired administrative rules, fee-setting practices, incomplete financial-interest filings, and failure to complete required reports and reconciliations. Two recommendations, involving complaint screening and conciliation, may require legislative action. Several observations focused on the commission’s intake and investigation practices. Auditors said complaints may have been screened out before docketing, potentially preventing commissioner review required by statute, and that the investigation process lacked clear rules and guidance. They also found investigators were assigned non-investigative tasks, training was inadequate, interview requirements were unclear, supervisory duties were burdensome, and confidential information was not always protected by encrypted email. The audit recommended clearer administrative rules, better internal controls, more focused staffing, a supervisory investigator position, and improved training and documentation. Commission representatives said they had already made progress on several items since the audit began, including posting overdue biennial reports and moving toward a case management system expected to go live in June. They said they were working with EEOC counterparts and legal counsel, but emphasized staffing shortages and high turnover, noting the commission currently had nine people working out of 15 authorized positions, with three investigator vacancies and a vacant paralegal position. Committee members thanked the auditors and commission staff, discussed the history of the audit request, and raised concerns about how long the recommended corrective actions might take. The committee took no vote or formal action during the hearing.

Transcript Highlights:

• ,<00:04:38.440> the<00:04:38.560> chair procedure for this morning, the chair procedure
• 1997 procedure adopted in 1997 that<00:21:42.480> direct<00:21:42.960> legislative<00:21
• personal disposal than legislators do. personal disposal than legislators do.
• knowledge of the law and the procedures knowledge of the law and the procedures um<01:01:29.400>
• <01:20:10.440> every ensuring procedural fairness that every ensuring procedural fairness

Keywords: 927, senate, all

Transcript Highlights:

• I respectfully ask for your support in passing this legislation.
• They’re not required to demonstrate competency in procedures involving skin and soft tissue augmentation
• said, there already is a route... ...for dentists who want to have that greater role in facial procedures
• I'm a medical doctor and I also completed a fellowship in cosmetic procedural dermatology.
• Do a facelift or that type of surgical procedure in my practice.

Bills: SB1117, SB1373, SB672, SB1986, SB1098, SB626, SB1784, SB2480, SB2487, SB437, SB660

Keywords: dentistry, botulinum toxin, aesthetic treatments, dental regulation, training, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges, SB 672, Texas hospital emergency operations plan, hospital diversion, emergency department, cyberattack, cyber security, power outage, electrical outage, patient diversion, hospital preparedness

Transcript Highlights:

• Leading up to the 2024 legislative session, or early in the legislative session, the Legislative Budget
• Leading up to the 2024 legislative session, or early in the legislative session, the Legislative Budget
• fiscal note uniform standards procedures, which is overseen by the Legislative Budget Office Oversight
• fiscal note uniform standards procedures, which is overseen by the Legislative Budget Office Oversight
• fiscal note uniform standards procedures, which is overseen by the Legislative Budget Office Oversight

Keywords: 1187, senate, all

Summary: The Senate Finance Committee held a hearing on the fiscal note process, prompted by concerns raised in a prior hearing about the fiscal note for the Paid Family and Medical Leave law. Chair Marty, Senator Pratt, and Senator Wiklund said the goal was not to revisit the bill itself but to strengthen understanding of fiscal note standards, the role of the Legislative Budget Office (LBO), and communication with agencies. They emphasized bipartisan concern that fiscal notes must be respected and that the process should be clearer going forward. Christian Larison of the LBO explained that the 2024 fiscal note issues stemmed from three main problems: choosing the proper baseline for a program that had not yet started, interpreting the seven-day qualifying event/waiting period, and determining whether DEED could adjust the first-year premium rate. He said the LBO, DEED, MMB, and House fiscal staff ultimately used the October 2023 actuarial analysis as the baseline because it was the most recent and likely most accurate estimate, but that choice meant the fiscal note did not show the difference from the 2023 enacted budget. He also described how DEED later interpreted the seven-day provision as a waiting period and how the premium-rate assumptions affected the fiscal impact. Larison outlined possible responses, including more assertive early communication from the LBO, providing more detailed analysis in unusual cases, and possibly creating a working group through the LBO Oversight Commission to consider new standards for substantial assumption changes, complex new programs, and third-party actuarial work. He also noted the LBO has authority to issue unapproved fiscal notes if standards are not met, though it has not used that authority. In questions, Senator Murphy asked about protecting the credibility of fiscal notes, and Larison said maintaining independence, objectivity, and consistent standards is central to the LBO’s role. No votes or formal actions were taken at the hearing.

Transcript Highlights:

• It would require that patients give consent before undergoing anesthetized procedures under which they
• Um, I also carried legislation like this last biennium and did not get a hearing on it.
• <00:04:07.439> affairs director of state legislative affairs director of state legislative affairs
• We’re not explaining the whole procedure of what’s going to happen, what they plan to do.
• to a procedure or if during a procedure to a procedure or if during a procedure something<00:20:

Keywords: 1183, house

Transcript Highlights:

• Legislative Joint Auditing will come to order.
• As previously stated, Legislative Audit issued two management letter findings.
• with these codes and other proper accounting procedures as noted on the screen.
• As previously stated, legislative audit issued two management letter findings.
• We also passed legislation... ...and a more public process.

Keywords: 1204, all

Transcript Highlights:

• In development of written procedures.
• suggested that some form of legislative suggested that some form of legislative assistance<00:14
• Although the panel develop procedures.
• get our standard operating procedures get our standard operating procedures going<00:26:21.600><
• But, uh, any legislation being filed.

Keywords: Call to Order and Roll Call- 00:00:01 Approve Minutes from June 11, 2026- 00:00:40 Staff Report on 2026 Child Fatality Panel Update- 00:01:17 Panel Staff Response to Report-00:21:12 University of Kentucky Name, Image, and Likeness-00:44:34 Kentucky State Police Update on SERVS-01:17:55 Adjornment-01:33:05, 958, all

Summary: The committee first established a quorum and approved the minutes from the previous meeting. Members then received a staff report on the Kentucky Child Fatality and Near Fatality External Review Panel, including an annual LOIC evaluation of the panel’s operations, statutory compliance, case management system development, member experience, and written procedures. The report noted recent House Bill 778 expanded the panel’s access to records and to TWIST/I-TWIST, and recommended that staff request access and training promptly to avoid implementation problems. Analysts reported the panel has met statutory membership and meeting requirements, and that agency responses to the panel’s 2025 recommendations improved, with all responses meeting statutory content requirements though some were late. They also said the panel still lacks formal written procedures, so a prior recommendation was reissued. The report discussed the panel’s new case management system, now in testing with the Commonwealth Office of Technology, and a survey of panel members showing generally positive views of meetings and case discussions but recurring concerns about SharePoint access, time demands, virtual meetings, and the panel’s lack of enforcement authority. The report included a matter for legislative consideration suggesting the General Assembly may wish to seek additional testimony from agencies when responses are unclear or more information is needed. Panel staff responded that the work is difficult but important, said they are optimistic about gaining TWIST access, and acknowledged that written procedures have not yet been completed because they wanted to align them with the new system. They said both the system and procedures are hoped to be finished by the end of the year, with the new case management system expected to be implemented by September 1 after further testing and migration. Members also discussed trends in child fatality and near-fatality cases, including increases in reported cases since 2013, substance abuse, safe storage of firearms, and concerns about THC/CBD gummies reaching children. No formal votes were taken beyond approval of the minutes.

Transcript Highlights:

• I'm the deputy legislative auditor for the financial audit division.
• Human Services has they have a procedure Human Services has they have a procedure that<00:08:56.120
• recommendations of policies procedures recommendations of policies procedures things<00:57:20.680
• manual and their policies and procedures manual and their policies and procedures the<00:58:01.720
• <00:59:47.440> auditor shouldn't take the legislative auditor shouldn't take the legislative

Keywords: 1183, house

Summary: The committee approved the January 16, 2024 minutes without objection. Members then heard a presentation from the Office of the Legislative Auditor on its December 2024 performance audit of the Department of Human Services’ outstanding provider debt in Minnesota’s Medicaid fee-for-service program. Legislative Auditor Judy Randall said the audit was launched after the office noticed a large accounts receivable balance during the state financial statement audit and became concerned that DHS did not understand the extent of the overpayments, had poor data, and planned to forgo recovery of some recoverable balances. Deputy Legislative Auditor Lori Lyson explained that DHS had reported $51.7 million in provider debt across about 2,500 providers in fiscal year 2023, with testing focused on long-term care facilities and the largest balances. The audit concluded DHS did not comply with legal requirements and lacked adequate internal controls. Findings included that DHS had not attempted to recover more than $40 million since collection notices were last sent in 2015 and 2019; that the department planned to write off some balances under $1,000 and some older than six years despite the auditors’ view that at least some of that debt may still be recoverable; that DHS overstated accounts receivable in its financial reporting because it had not updated its allowance calculation since 2019; and that MMIS data were insufficient to verify balances, with 20 of 59 sampled providers not reconciling and many dates inaccurate. In response to member questions, the auditors said the overpayments appeared to be routine program adjustments rather than fraud, but the department could not explain many of them because detailed data are only retained for about three years. They also said they did not know which specific DHS leader approved not collecting the debt, and that responsibility for recovery appeared split between program and finance staff, with each pointing to the other. The auditors recommended DHS recover the debt where possible, improve internal controls, retain better documentation, ensure accurate financial reporting, and work with the legislature if needed to clarify recovery authority.

Transcript Highlights:

• <03:22:06.000> on<03:22:06.120> cacr anyi to legislated on cacr anyi to legislated
• the motion of inexpedient to legislate the motion of inexpedient to legislate hearing<03:37:40.479
• the motion of inexpedient to legislate the motion of inexpedient to legislate on<03:56:10.359>
• the motion of any speed to legislate the motion of any speed to legislate cares<03:59:36.439>
• the motion of inexpedient to legislate the motion of inexpedient to legislate on<04:05:43.640>

Keywords: 1189, house, all

Transcript Highlights:

• Obviously, the legislative session just started yesterday.
• So it sounds like you're thinking maybe prepare legislation for the next legislative session.
• , hopefully this legislative session.
• hopefully this legislative session wonderful thank you mr.
• That a lot of agencies are implementing policies and procedures.

Keywords: 1182, all

Summary: The committee first heard the Arizona Auditor General’s sunset review of the Arizona Barbering and Cosmetology Board. The audit found some strengths, including timely licensing and complaint resolution in the sample reviewed and rules that matched statutory curriculum requirements, but it also identified a major finding that the board had imposed inconsistent discipline for similar violations and lacked documentation for deviations from its disciplinary guidelines. Other issues included missing reciprocity education requirements, weak application quality control, incomplete school and establishment oversight, and compliance concerns involving open meeting law, public records, and conflicts of interest. The report made 25 recommendations total, including two tied to the disciplinary finding and three suggested statutory changes on esthetics scope of practice, cease-and-desist authority, and eyelash technician training. The board’s executive director said the board agreed with the findings, had already implemented several recommendations, updated disciplinary policies and conflict-of-interest procedures, and was working on legislation and rule changes. After questions about enforcement consistency, licensing verification, cash handling, complaint volume, and conflict disclosures, the committee voted 7-0 to recommend the board be continued for six years, until July 1, 2032. The committee then took up the Arizona Department of Gaming, the Arizona Racing Commission, and the Arizona Boxing and Mixed Martial Arts Commission together. The Auditor General reported that the department correctly distributed more than $158 million in tribal contributions in fiscal year 2024 and issued event wagering licenses to reviewed applicants, but found several problems: the department did not consistently obtain and review independent audit reports for event wagering and fantasy sports operators, did not fully comply with conflict-of-interest disclosure requirements, and lacked comprehensive complaint-handling processes. The review also found delays in distributing Compact Trust Fund payments to some tribes, gaps in IT security and horse-racing license checks, and incomplete fee-setting and public-records practices. The report made 36 recommendations to the department, six to the Racing Commission, and 13 to the Boxing and MMA Commission, and all three entities said they agreed and would implement them. In response, the Department of Gaming director said the agency was already making changes, including a historical look-back on operator audits, updated guidance to operators, a new constituent services unit and complaint-tracking process, and improved conflict-of-interest training and forms. She also explained the Compact Trust Fund dispute, saying the department administers the fund but the beneficiary tribes must agree on the revenue baseline formula, which has been complicated by COVID-era closures; no Category Three distributions had yet been made. Committee members asked about possible revenue losses, penalties, and the status of 2024-2025 audits, as well as prediction markets and whether they are legal under Arizona’s event wagering framework. The director said the department had issued cease-and-desist letters to unlicensed prediction-market operators, would review licensed operators for suitability if needed, and would continue to enforce Arizona law. The transcript ends while questioning on prediction markets is still underway, before any vote on the gaming-related reviews is shown.

Transcript Highlights:

• And, uh, I respectfully ask for your support in passing legislation, and I believe we have some witnesses
• Rather than the skin and facial tissue, they're not required to demonstrate competency in procedures
• Um, the legislation as written would allow dentists to administer a neuromodulator or more appropriately
• I'm a medical doctor and also completed a cosmetic fellowship in cosmetic procedural dermatology.
• The um the hit it and quit it is there are appropriate procedures in place for medical training, just

Transcript Highlights:

• Katie Walden, Bureau of Legislative Research, Fiscal Division.
• Number seven, UAMS, endoscopy procedure room renovation.
• Endoscopy Procedure Room Renovation.
• This increases an existing MOF to modernize this procedure room to accommodate advanced procedures.
• It's always a lack of procedure is what causes it.

Keywords: 1204, all

Transcript Highlights:

• Legislative Joint Auditing will come to order.
• As previously stated, Legislative Audit issued two management letter findings.
• with these codes and other proper accounting procedures, as noted on the screen.
• And then we passed some legislation in the last year that we're really proud of... ...legislation in
• We also passed legislation... ...and a more public process.

Summary: The Legislative Joint Auditing Committee met to approve prior minutes and receive reports from several subcommittees and audits. The executive committee reported that audit and special reports were scheduled for presentation, one requested report remained outstanding, and staff had reviewed circuit-court caseload assignments in Benton County’s 19th West Judicial District. The committee also heard that Arkansas legislative audit financial statements and audits for fiscal years 2024 and 2025 received clean opinions with no internal-control findings, and that the report was accepted. The counties and municipalities report covered delinquent private water and sewer audits, with many entities reinstated after filing required reports, and reviewed current and deferred reports; several reports were referred to prosecutors, the attorney general, or the Government Bonding Board. The education audit report covered 57 school district audits, with three districts—Camden Fairview, Forest City, and Eudora—deferred until the June meeting because of findings and referrals. A substitute motion amended the report to file the Nettleton School District report, and the amended report passed. The state agencies report noted findings at the Department of Public Safety and the Department of Transportation and Shared Services, including duplicate payments, collateral issues, record-keeping problems, and missing vehicle logs; the committee filed five reports. The committee then reviewed the City of Pine Bluff’s 2024 financial audit. The city received clean opinions overall, but the management letter identified serious issues in the mayor’s office, Parks and Recreation, and Finance, including unaccounted-for receipts, altered invoices, unallowable and questionable purchases, missing equipment, and weak cash-receipting and reconciliation procedures. City officials, including the mayor and department heads, testified that the problems largely involved prior activity, said they had terminated involved employees, referred matters to law enforcement, and described corrective steps such as a forensic audit, new procurement and accounting procedures, electronic receipting and payments, and software upgrades. After questions from members, the committee voted to file the Pine Bluff report and adjourned, with the next meeting set for June 4-5, 2026.

Transcript Highlights:

• If we do have legislators in attendance, we may take them out of turn.
• So that's why this legislation is important.
• My hope is that this legislation will get naloxone throughout the Commonwealth.
• When legislators hear these stories, it really hits home.
• This legislation gives thousands of residents here what we need.

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a public hearing on a wide range of bills, with testimony first focused on H. 1315/S. 824, which would require insurance coverage for pain management options during IUD insertion. Representative Sabadosa, Planned Parenthood clinicians, and policy advocates said sedation can reduce fear and trauma, improve access to effective contraception, and should be reimbursed so providers can continue offering it. A Tufts OB-GYN resident also testified that pain control should be standard care for intrauterine procedures. No votes were taken during the hearing. The committee then heard extensive testimony on firefighter health bills, especially H. 1230/S. 690 requiring insurance coverage for cancer screenings for firefighters. Professional Fire Fighters of Massachusetts leaders, a Dana-Farber oncologist, and firefighters themselves described occupational exposure to carcinogens and personal stories of late-stage cancer detection, arguing that early screening can save lives and reduce long-term costs. Representative Crichton and Representative Howitt also spoke in support, and Representative Ayers testified for H. 4012, which would require neurological disorder screenings for firefighters. Committee members expressed support and sympathy, but no action was taken. The hearing also covered H. 3946/S. 756 on hearing aid coverage, with testimony from students, adults with hearing loss, disability advocates, and HLAA representatives describing the educational, social, and financial barriers caused by lack of coverage and urging broader insurance mandates. Later, Representative Donahue and Representative Vargas testified for H. 1337 to expand insurance coverage for opioid antagonists and related medications, including naloxone dispensed at discharge. The committee additionally heard testimony on H. 1134 to improve chronic pain care coordination and non-opioid access, and H. 4162 to improve ostomy supply coverage and access to certified ostomy care, with patients and clinicians describing denials, quantity limits, and non-medical switching. The transcript ends while testimony on H. 1315/S. 824 is still ongoing; no votes or formal committee actions are recorded in the excerpt.

Transcript Highlights:

• It is ordered to the Legislative Bureau.
• It is ordered to the Legislative Bureau.
• It is ordered to the Legislative Bureau.
• It is ordered to the Legislative Bureau.
• She had to go procedure after procedure to get the suture that was migrating into her vaginal wall, causing

Keywords: 974, senate, all