Video & Transcript : 'therapeutic use' :

Page 68 of 500
LA
Transcript Highlights:
  • Some have used iPhones.
  • And that's what a lot of us do.
  • Tell us what you will be doing as Deputy Secretary and tell us a little bit about your life.
  • . ...sometimes with some of us, maybe not all of us.
  • Tell us Tell us, I guess, what is the biggest struggle that you deal with?
Summary: The committee first approved the May 20 minutes and then advanced HCR 95, which would create a more uniform tax base for future state and local tax exemptions and credits, requiring a two-thirds vote of both chambers to deviate from that uniformity. HB 648 was deferred by the author. HB 1049, dealing with public meeting procedures and notice requirements, was amended after discussion with the Police Jury Association, school boards, and local government groups; the amendments removed a requirement for a lawyer at every meeting and clarified notice and posting language, and the bill was reported with amendments despite opposition from local government associations and the City of Baker. The committee then heard HB 615, which would expand livestreaming and two-year archiving requirements to more public bodies, including non-elected boards and commissions with taxing or rulemaking authority. Supporters framed it as a transparency measure, while local government and association witnesses argued it would impose an unfunded mandate, especially on small volunteer boards, and raised concerns about costs, staffing, record retention, and reliance on social media platforms. The bill was not advanced. HB 1201, as amended, would provide legislators reimbursement for travel and limited out-of-session expenses, including housing and mileage, beginning with the next term; members discussed the need to make public service more financially feasible and to broaden who can afford to serve. The committee reported HB 1201 with amendments. The committee also considered two constitutional convention-related bills. HB 244 would set guardrails for any future convention by capping delegates at 144, specifying delegate selection, requiring a two-thirds delegate vote to send proposals to voters, and requiring both a majority of voters and approval by three-fourths of the parishes for ratification; after debate over whether the parish threshold was too high, the bill was reported favorably on a roll call vote. HB 4, as amended, was narrowed to require the Senate and House Governmental Affairs committees to meet in the off-season to discuss the mechanics of a possible convention, but members viewed it as more of a study resolution than binding legislation, and the committee voted to keep it in committee. The meeting then moved to confirmation hearings. Courtney Myers, nominated for Deputy Secretary for the Office of Juvenile Justice, and Ernest Jacob Reade Jr., nominated as Assistant Secretary, testified about their backgrounds and priorities, emphasizing juvenile rehabilitation, education and vocational programming, mental health services, credible messengers, family contact, and better communication with legislators and families. Nathan McBride, nominated as Deputy Secretary of the Department of Environmental Quality, testified about his engineering and government affairs background and said he would focus on legislative work, waste tire management, permitting modernization, and constituent service.
LA

Louisiana 2026 Regular Session

Health and Welfare Apr 29th, 2026

Health and Welfare

Transcript Highlights:
  • Yeah, the way they used to hit you with the baby powder and then you touch your chest—no, don't use baby
  • I think that using part is really what I'm trying to focus on. Just the use right now, Health.
  • The use right now is prohibited and restricted, so the use is really what I care about.
  • So we use that medicine.
  • Hey, 100 of us voted with you in 2023.
Summary: The committee first heard and favorably reported SB 255, which expands eligibility for psychosocial rehabilitation services by adding health sciences and therapeutic recreation degrees to the list of acceptable educational backgrounds. Supporters said the change would help address workforce shortages and improve access in rural areas. SB 314 was then reported favorably; it cleans up prior law so a limited scope certified social worker license can still be used for community psychiatric support and treatment services even if the application is filed after the CSW license has expired, rather than being barred by a timing restriction. The committee next took up several bills by Chairman McMath. SB 26, which repeals facility need review requirements for opioid treatment programs, was reported favorably after members and witnesses said Louisiana has too few OTPs and that removing the review would improve access, especially in rural areas. SB 29, requiring review and reporting of a child’s immunization records in certain unexpected death autopsies, was reported favorably despite questions about whether the bill should refer more broadly to medical records; supporters said the data could help evaluate vaccine-related concerns, while opponents raised concerns about singling out immunizations. SB 30, dealing with telehealth for obesity/weight management, was amended and reported favorably; the committee adopted technical amendments and a conceptual amendment replacing “metabolic condition” with “weight management services,” while witnesses debated patient safety, board authority, and whether the bill should limit agencies’ ability to restrict telehealth in the future. The committee also reported favorably SB 219, which creates an Office of Health and Nutrition within LDH. Supporters from the department, the Alzheimer’s Association, and Pennington Biomedical said the office would strengthen coordination on nutrition, physical activity, and brain health, and cited high Alzheimer’s costs and prevalence in Louisiana. SB 222, which streamlines Medicaid behavioral health administrative requirements and expands telehealth for psychosocial rehabilitation, was reported favorably with amendments after supporters described workforce and rural access barriers. SB 195, the “Danny’s Dose EMS Treatment Act,” was reported favorably; it would allow EMS personnel to administer a patient’s own prescribed time-critical medication in emergencies, and testimony from a parent and physician described life-threatening delays under current practice. The committee also adopted SCR 2, updating hospital architectural standards to the most recent Facility Guidelines Institute edition, and SCR 22, requesting a more detailed legislative auditor report on opioid settlement expenditures; members said they wanted clearer outcome data and planned to refine the language before floor debate. Finally, HB 1093 on naturopathic medicine was introduced and heavily amended, with the bill shifted under LSBME oversight and a large set of changes discussed, but no final action was taken in the portion provided.
LA

Louisiana 2026 Regular Session

Health and Welfare Apr 29th, 2026

Health and Welfare

Transcript Highlights:
  • Yeah, the way they used to hit you with the baby powder and then you touch your chest—no, don't use baby
  • I think that the 'using' part is really what I'm trying to focus on. Just the use right now.
  • The use right now is prohibited and restricted, so the use is really what I care about.
  • So we use that medicine.
  • Hey, 100 of us voted with you in 2023.
Bills: HB946 , HB1093 , SB26 , SB29 , SB30 , SB195 , SB219 , SB222 , SB255 , SB314 , SCR2 , SCR22
WA

Washington 2025-2026 Regular Session

Senate Ways & Means Feb 23rd, 2026 at 04:00 pm

Ways & Means

Transcript Highlights:
  • I've been able to use these skills to create a project on cancer therapeutics that has gone to professional
  • to be used for.
  • You've seen us. You have supported us.
  • support us and help us save lives.
  • That fire already cost us $52 million.
Bills: SB5998
Committee: Senate Ways & Means
WA

Washington 2025-2026 Regular Session

Senate Ways & Means Feb 23rd, 2026

Transcript Highlights:
  • I've been able to use these skills to create a project on cancer therapeutics that has gone to professional
  • to be used for.
  • You've seen us. You have supported us.
  • support us and help us save lives.
  • Thank you. ...and back us on this and support us and help us save lives. Thank you. Thank you.
Summary: The committee held a public hearing on the Senate operating budget proposal, beginning with a staff briefing from James Kettle. He described the budget as built on relatively flat revenue after multiple forecast updates, with substantial mandatory cost growth, especially in Health Care Authority, DSHS, and DCYF. He highlighted major policy-level additions and savings, including large tort liability costs, continued support for long-term services, reductions tied to child care and K-12 items, several assumed revenue bills, and major transfers from reserves and other accounts. Kettle also noted the four-year outlook remained positive overall, with about $1 billion ending fund balance in the final year and roughly $3 billion in total reserves. A committee member asked about a diagram showing the loss of federal funds, and staff said they would follow up. Public testimony then focused first on K-12 education, where school leaders, teachers, OSPI, PTA, and rural district representatives largely opposed the proposed cuts to local effort assistance, transition to kindergarten, bus depreciation, and related school funding items. Many argued the reductions would disproportionately harm rural and property-poor districts and weaken early learning access, while several students and educators spoke in favor of career and technical education and IT Academy funding. The committee also heard support for wildfire prevention funding from the Commissioner of Public Lands, who thanked the Senate for restoring those dollars but raised concerns about recreation program reductions. Higher education testimony was mixed but generally supportive of the Senate proposal compared with the governor’s budget. Community and technical college leaders warned that the budget still shifts compensation costs to tuition and reduces Running Start funding, while university representatives from Western, Eastern, Central, WSU, and UW thanked the committee for avoiding deeper cuts. Private vocational college students and administrators urged extension of Washington College Grant eligibility for students already enrolled, and others asked to preserve IT Academy and related certification funding. In early learning, child care and advocacy groups praised the decision not to cap Working Connections Child Care but warned that child care and transition to kindergarten still bear a disproportionate share of cuts; they also requested continued support for Dolly Parton Imagination Library and Pierce County early childhood programs, including Family Connects. The hearing continued with testimony on employee compensation, mental health, and human services. State employee and retiree groups supported the budget’s COLA and wildfire funding but objected to cuts in retiree health benefits. Behavioral health and public safety advocates supported mentoring, Trueblood-related funding, crisis stabilization, and the Recovery Navigator Program, while others opposed reductions to those programs and to community-based recovery services. In human services, witnesses thanked the committee for funding victim services, child welfare supports, health homes, adult day care, community health centers, energy assistance, and disability services, while urging the committee to avoid further reductions to skilled nursing, case management, and recovery navigation. No votes were taken during the hearing.
AZ

Arizona 2026 Regular Session

01/22/2026 - House Health & Human Services

House Health & Human Services Committee of Reference

Transcript Highlights:
  • First, I want to just thank those of you who came down here to meet with us and talk to us about this
  • All right, keep us on the ball. As amended. Thank you. All right, keep us on the ball.
  • I used to do it a lot as well.
  • That's very important to get us to an action point.
  • It was important for us to get started.
Summary: The committee began with two radiology-related bills focused on rural access and workforce shortages. HB 2049 would allow particle accelerators for cancer treatment in critical access hospitals and counties under 400,000 population under general supervision, with rural providers testifying that the change would let patients receive care closer to home while maintaining safety protocols. The bill passed on an 11-0 vote. HB 2050 updated outdated radiologic technologist statutes, revised school accreditation and clinical-hour standards, and allowed radiologist assistants to work under supervision rather than direct supervision; an amendment also added registered nurses to the list of professionals not needing an additional license to use diagnostic X-ray machines. Testimony centered on staffing shortages, national standards, and whether the change would preserve oversight. The committee adopted the amendment and passed the bill 10-2, with some members citing the need for more vetting and concern about oversight of dangerous equipment. The committee then heard HB 2082, which creates a Childhood Cancer and Rare Childhood Disease Research Commission to award grants for phase-one pediatric cancer and rare disease trials using existing license-plate funds and other sources. Parents and patients gave emotional testimony about pediatric brain cancer diagnoses, the lack of effective treatments, and the need for Arizona to support local research; the bill passed unanimously 12-0. HB 2015 required Access to cover breastfeeding and lactation services, and an amendment made the coverage subject to CMS approval. Supporters described breastfeeding as preventive care with benefits for infants and mothers, while Access said it was neutral but appreciated the amendment’s fiscal safeguard. The bill passed 12-0 as amended. Next, HB 2177 directed Access to seek CMS waivers to restore Medicaid payments for certain services provided to American Indian and Alaska Native members by IHS and tribal facilities, including dental, diagnostic, therapeutic, and preventive services. The sponsor and a Sage Memorial Hospital witness said the bill would help tribal facilities draw down federal funds and keep services local; it passed 12-0 as amended. HB 2178 required state agency chief medical officers to hold an active medical or osteopathic license and passed without opposition. HB 2179 clarified statutory definitions separating air ambulance from ground ambulance regulation, with industry testimony saying it was a cleanup measure that would avoid unintended consequences; it also passed 12-0. Finally, HB 2183 created an 11-member emergency medicine study committee to examine EMS system sustainability, rural and urban capacity, workforce burnout, and uncompensated care. Firefighters, health care advocates, and an emergency nurse practitioner supported the study as a way to gather data and make recommendations; it passed 12-0. The committee then returned to HB 2072, which establishes an optional state certification for lactation care providers under ADHS, along with rulemaking, fees, discipline, and an advisory committee; the sponsor said the credential was needed so Access could reimburse the service, and the bill was introduced for further consideration.
AZ
Transcript Highlights:
  • All of us.
  • All of us.
  • It's being used everywhere.
  • No vet is forced to use telemedicine.
  • But I don't want us to see us creating special provisions for one board that wouldn't be, for instance
Summary: The committee first approved the January 28, 2026 minutes and held Senate Bill 1241 for a later hearing because a witness was unavailable. It then took up Senate Bill 1144, which would create an alternative pathway for veterinary technician certification through supervised on-the-job training and board-approved skills standards. Supporters, including the Arizona Humane Society, a high school student in a veterinary program, and other advocates, said the bill would help address workforce shortages, reduce student debt, and improve access to care, especially in rural and low-income areas. Opponents, including the Arizona Veterinary Technician Association and several veterinarians, argued the bill could weaken training standards, increase liability, and create safety risks; the Arizona Veterinary Medical Association ultimately moved to neutral after amendments added supervision and affidavit requirements. The committee adopted the amendment and then passed SB 1144 as amended on a 6-1 vote. The committee next passed Senate Bill 1247 unanimously. That bill would allow a person who does not receive care services to live with a resident in an assisted living center, and would bar the Department of Health Services from imposing requirements on that person that the resident would not face. Supporters said the bill was needed to fix a recent agency interpretation that could force spouses or other companions to separate or pay for services they do not use, and noted a possible floor amendment to extend the same treatment to assisted living homes. The committee then heard Senate Bill 1286, which would extend from 14 days to 60 days the period for veterinary prescriptions and renewals issued through telemedicine. Supporters said the change would improve access in underserved and rural areas and reflect how telemedicine is already used in human medicine, while opponents warned that longer telemedicine prescriptions could delay necessary exams and diagnostics, increase the risk of misdiagnosis, and create animal welfare and liability concerns. After testimony, the sponsor asked that the bill be held for a possible amendment next week, so no vote was taken. The committee also passed Senate Bill 1164, which would allow Medicaid claims to continue under a prior owner’s billing number during a skilled nursing or assisted living facility change of ownership until new enrollment is complete; supporters said this would prevent long reimbursement delays, while Access raised concerns about federal-law conflicts and said it needed advance notice to process ownership changes. The bill passed 6-0 with one member not voting. Finally, the committee passed Senate Bill 1181, which expands CPA licensure pathways by allowing combinations of degree and work experience and updates reciprocity and rulemaking provisions, and Senate Bill 1415, which creates a licensing path for salaried insurance adjusters with out-of-state credentials, subject to an amendment clarifying exam and employment requirements. Both bills were supported as workforce and mobility measures, and both were reported out of committee on unanimous or near-unanimous votes.
AZ
Transcript Highlights:
  • These are the kind of things that I can't speak for all of us, but many of us don't think about when
  • I would ask the dais all of us to stick to this exact issue.
  • Those of us, young people who have been betrayed by the clinics...
  • lives, are then left for dead by the same system that mutilated us.
  • Yes, it was doctors who were telling us. Thank you, Chairwoman.
Summary: The committee first took up SB 1066, which would allow the Attorney General or a county attorney to sue researchers for knowingly or recklessly publishing fraudulent scientific research, and would let injured parties recover damages. The sponsor and a supporting witness argued the bill would create personal accountability for deliberate research fraud and cited examples of retracted or manipulated studies; opponents warned that peer review and existing scientific processes already address bad research and that the bill could chill research and speech. The committee later passed SB 1066 on a 4-3 vote. The committee then heard SB 1015, which would impose strict personal liability on providers who perform gender transition procedures on minors for later detransition costs and related injuries. Supporters, including the sponsor, a doctor, a detransitioner, and a parent, said the bill would protect children, create accountability, and help families seek redress for irreversible harm. Opponents from the ACLU and others argued the measure discriminates against transgender patients, would likely chill care by making providers uninsurable, and could function as a backdoor ban; the committee nevertheless advanced the bill on a 4-3 vote. SB 1049, as amended, limited spousal maintenance to four years and adjusted eligibility and guideline factors. The sponsor and a family law attorney said the bill would curb overly long awards and better account for assets and income, while the Judicial Council explained the existing guideline work and noted the new calculator was intended to add uniformity; one senator objected that the cap was arbitrary and ignored case-specific context. The committee adopted the amendment and passed the bill 4-2. The committee also unanimously passed SB 1189, allowing campaign funds to be used for candidate and family security, and SB 1133, eliminating a duplicate financial disclosure filing for candidates who already filed an annual statement. Finally, the committee heard SB 1081, which would bar a DCS attorney from appearing before a judge after appearing before that judge in any of the attorney’s previous five DCS cases, and advanced it 4-3 after debate over judicial familiarity and rural-court impacts. The committee also heard SCR 1001, a proposed constitutional referral to end early voting the Friday before the election, require proof of citizenship and government ID, and restrict mail ballots to voters who affirmatively request them; supporters framed it as an election-integrity measure, while ADOT testified neutrally but warned that free IDs could cost tens of millions in lost revenue and affect road funding. The transcript ends during testimony on SCR 1001, before any vote on that measure.
NH

New Hampshire 2026 Regular Session

Senate Rules and Enrolled Bills (01/15/2026)

Rules and Enrolled Bills

Transcript Highlights:
  • As we all know, I think most of us up there have served as a representative in the state.
  • </c> stabilizes state revenues and helps us stabilizes state revenues and helps us maintain<00:18:04.400
  • they'll use a bianial budget. budget. budget.
  • So if the Senate thought that were appropriate, you could use that vehicle. Senator, thank you.
  • </c><00:36:51.119><c> that</c> were appropriate, you could use that were appropriate, you could use that
Keywords: 1191, senate, all
MA

Massachusetts 2025-2026 Regular Session

Special Joint Committee on Initiative Petitions Mar 23rd, 2026

Special Joint Committee on Initiative Petitions

Transcript Highlights:
  • alcohol or people who use nicotine.
  • One in three past-year users have CUD, cannabis use disorder, which we now call alcohol use disorder,
  • If you use marijuana before the age of 18, your likelihood of developing cannabis use disorder increases
  • If you use marijuana before the age of 18, your likelihood of developing cannabis use disorder increases
  • therapeutically.
Bills: H5005
Summary: The Special Joint Committee on Initiative Petitions held a hearing on Initiative Petition 25-10 / House Bill 5002, “An act to restore a sensible marijuana policy,” which would repeal Massachusetts’ adult-use cannabis legalization framework. The chair explained the Article 48 initiative process and noted that, if the Legislature does not enact the measure as written, additional signatures would be needed for it to qualify for the 2026 ballot. The committee heard testimony from an expert, proponents of the petition, opponents, and members of the public, and accepted written testimony through March 27 at 5 p.m. Jessica Trow of MassBudget testified first, focusing on cannabis revenue and spending in Massachusetts. She said legalization has generated nearly $2 billion for the Commonwealth and municipalities since FY 2018, including excise tax, sales tax, local option taxes, fees, and community impact fees. She described how revenues are distributed to public health, the Cannabis Control Commission’s social equity efforts, the cannabis social equity fund, the MBTA, the School Building Authority, the general fund, and local budgets, and argued the industry has supported social equity and community investments. Opponents of the petition argued that repeal would harm public health, consumer safety, jobs, tax revenue, and social equity programs. Wendy Wakeman, speaking for the ballot committee, said legalization has increased potency, addiction, and mental health concerns, and that the state lacks sufficient data on harms. In contrast, business owners, clinicians, and advocates including Caroline Pino, Kristen Rogers, Drudus Ledbetter, Armani White, Lucas Thayer, and Jeff Rawson said the regulated market provides tested products, jobs, tax revenue, and pathways for people harmed by prohibition, while repeal would push consumers back to the illicit market and undermine equity goals. Committee members questioned witnesses about the evidence base, the role of out-of-state funding, the petition’s impact on existing businesses, and whether narrower regulatory fixes might address concerns instead of repeal. No vote was taken; the hearing was closed after testimony ended.
AR

Arkansas 2026 Regular Session

ALC-REVIEW Mar 17th, 2026

ALC-REVIEW

Transcript Highlights:
  • Right now, our current seatbelt use rate is 79%.
  • Right now, our current seatbelt use rate is 79%.
  • To attain that use rate.
  • CMS will only let us use the money until September 30th.
  • I mean, is it, or what they learn, would that be used statewide, or how is that used?
Committee: All ALC-REVIEW
Summary: The ALC-Review Subcommittee reviewed seven methods of finance, including university projects at ASU Jonesboro and Mountain Home, Black River Technical College deferred maintenance, UA Batesville’s Farm Project Gateway Center, UAMS PET cyclotron equipment, a new allied health building at UAPB funded by a federal grant, and UCA’s multi-purpose arena design work. The committee also approved an alternative delivery construction project for UAPB’s Allied Health and Sciences Building, with East Harding Construction selected and AMR Architects as designer. Members then approved discretionary grants from the Department of Health and DHS, including support for a heart attack center designation, community health worker training, homeless services funding corrections, behavioral health transition support, and an enabling technology pilot. In the contracts section, the committee reviewed RFQs, construction-related contracts, intergovernmental contracts, and a large slate of out-of-state and in-state contracts covering topics such as seatbelt survey data collection, Medicaid and DHS systems, state hospital staffing and services, veterans’ services, education assessments, and state IT and procurement projects. Several contracts drew extended questioning. Senators and representatives pressed DHS and the Department of Veterans Affairs about heavy reliance on contract nursing and staffing costs, and officials said they were using pay incentives and recruitment efforts to increase state employee staffing. Members also questioned AEDC’s lithium supply chain study and the Department of Education’s security contract, with concerns about projected costs and repeated amendments. The committee held three in-state contracts—Department of Education security services and two DHS staffing contracts—until Friday, then adopted the remaining contracts and received informational reports on contract amendments, executed contracts, and emergency procurements before adjourning.
ID

Idaho 2026 Regular Session

Agenda Mar 4th, 2026

Transcript Highlights:
  • What was the language that you use? True. What was the language that you use?
  • Thank you for being with us.
  • Thank you for being with us.
  • Thank you for being with us today.
  • So with that, we have House Bill 1346 before us.
Summary: The Senate Health and Welfare Committee approved the February 10, 2026 minutes and then took up Senate Bill 1346, a measure proposing a two-year pause on mRNA-based COVID-19 products for pregnant women and children. Senator Shippey presented the bill as a targeted safety pause to allow more long-term review, saying it was not a blanket ban and that amendments were likely needed to clarify the bill’s language and the process for reviewing safety data. He also said the committee should send the bill to the 14th order for possible amendments. The committee heard extensive testimony both for and against the bill. Supporters, including Nicholas Holster, Christina Parks, James Thorpe, Laura Dembray, Xavier Figueroa, and several others, argued that mRNA products are unsafe, described them as gene therapy, and cited alleged harms to fertility, pregnancy, children, and broader health outcomes. Opponents, including physician Stephen Montemot, Primo Castro of the Biotechnology Innovation Organization, and parent Stephanie Neymour, argued that mRNA vaccines are not gene therapy, that the bill would restrict parental choice and access to medical care, and that decisions should remain with patients and doctors. Committee members also questioned the bill’s definitions, the legislature’s ability to review scientific data, the scope of the exemption for cancer and genetic disorder therapies, and whether the measure would affect other vaccines. After debate, members expressed mixed views: some supported further work on the bill, while others raised concerns about government overreach, the breadth of the definitions, and whether the legislature had the expertise or mechanism to evaluate safety data. Senator Lenny moved to send SB 1346 to the 14th order for possible amendments, and the motion passed by roll call vote, 5-4. The committee then adjourned.
AR
Transcript Highlights:
  • They would just need to alert us to let us know so that we could get with both of our vendors to try
  • Okay, do we know the difference in cost between using it as a pharmacy benefit or using it as a DME benefit
  • And so the bifurcated rate, to use Mr.
  • Billing back out to the same system that pharmacy uses, and it forces DME to use that system.
  • Magellan, or Prime Therapeutics now—I'm sorry, they used to be Magellan—is our pharmacy vendor.
Summary: The committee reviewed a series of Arkansas DHS and Department of Health rules, most tied to 2025 legislation. Early items covered Medicaid changes including presumptive eligibility application timing, adding a fictive kin definition for foster child eligibility, raising the able account disability onset age to 46, allowing continuous glucose monitors to be billed by both pharmacy and DME providers, increasing the RSV vaccine administration fee for children, a telemedicine exemption for ET3 ambulance services, and a physical therapy access rule that also included occupational therapy. Members generally asked limited questions and most rules were reviewed without objection. A major portion of the meeting focused on the dental rate increase rule under Act 1025. DHS said it implemented rate increases for certain pediatric, special-needs, and oral surgeon services, but not orthodontics, and it interpreted the act as applying only to oral and maxillofacial surgeons, not general dentists. The Arkansas State Dental Association and legislative sponsors testified that the intent was to cover general dentists performing oral surgery procedures for special-needs patients, estimating the broader interpretation would add about $1.5 million annually. Committee members debated the plain language of the act versus legislative intent, and the rule was reviewed, but with testimony noting the issue should be fixed in future legislation. Later items included the Healthy Moms, Healthy Babies rule adding doula and lactation consultant billing and remote monitoring benefits; an adverse decisions rule extending provider appeal time from 35 to 65 days; CNA training program updates; PASSE network-status disclosure rules; certification rules for community-based doulas and community health workers; cosmetology, massage therapy, lead-based paint, radiation, radiologic technology, and RV park rule updates. Most of these were described as technical, statutory, or federally driven changes and were reviewed without objection. The committee briefly reopened the CGM rule after a motion to expunge the prior vote, and Representative Wardlaw said he would hold the rule for further review because he believed the billing changes did not match the law’s intent. The meeting ended with no further business and adjournment.
WA
Transcript Highlights:
  • And O'Meara, start us off. Early learning program licensing requirements.
  • But in order for us to use this, we ended up having to go through the licensing process, which, as was
  • But in order for us to use this, we ended up having to go through the licensing process, which, as was
  • I love to hear what you're bringing to us. Good morning. Thank you, Mr.
  • And O'Meara, one more time for us, please.
Summary: The Early Learning & Human Services Committee held public hearings on several child care and disability-related bills. House Bill 2317 would exempt certain ECAP and Head Start programs from DCYF licensing when they operate part-day or school-day in public school buildings or on public school property. Staff and the prime sponsor said the bill would remove duplicative licensing barriers and help expand preschool seats, especially as Washington prepares to add more ECAP slots. Testifiers from Head Start, school-linked providers, and the Washington Federation of Independent Schools supported the bill, describing licensing delays, added costs, and lost classroom time; no one testified in opposition. The committee also heard House Bill 2099, which would expand ECAP access for military families with incomes up to Working Connections Child Care limits and adjust prioritization for families with deployed or single custodial military parents. The prime sponsor and multiple supporters, including retired military leaders, Head Start/ECAP advocates, ESD staff, and a military-community partnership, said military families face frequent moves, deployment-related strain, and child care shortages that affect readiness and family stability. Testifiers said the bill would help families access care without changing the program’s low-income focus or adding state cost. House Bill 2350 would require DSHS to notify residents, guardians, and family members when a residential habilitation center is found out of compliance with federal CMS requirements, and to provide follow-up notices on correction and enforcement actions. The sponsor said the bill responds to limited communication around recent noncompliance issues at Rainier School and would improve transparency; DSHS had requested a narrow amendment about how notice is provided to residents. Disability rights advocates strongly supported the bill, saying families need timely information to protect loved ones and make informed decisions. Finally, House Bill 2318 would let ECAP and Head Start children count toward the 5% subsidy participation threshold needed for Early Achievers quality improvement awards. Supporters said the current rule can discourage providers from enrolling ECAP children because it risks losing an award, even though ECAP already requires Early Achievers participation. The sponsor and testifiers described the bill as a small fix to reduce a funding disincentive for providers serving high-need children. The committee took no votes and adjourned after closing the hearings on all four bills.
WA

Washington 2025-2026 Regular Session

House Labor & Workplace Standards Feb 18th, 2026 at 08:00 am

Labor & Workplace Standards

Transcript Highlights:
  • Tell us about your wonderful bill.
  • So that all is great with us as well.
  • This is a particular concern for us.
  • So I used to work like So I used to work like union contracts, BAEW contracts, and they were like three-year
  • Keller, can you hear us? I can hear you. Great, please proceed.
Bills: SB5944
TX

Texas 89th 2nd C.S.

89th Legislative Session Apr 8th, 2025

Texas House Floor Meeting

Transcript Highlights:
  • Your word tells us your mercies are new every morning.
  • And was raised from the dead to give us life.
  • You've given us the keys to the kingdom.
  • Teach us to love one another, as Christ has loved us.
  • Joining us today in the gallery on the northeast side.
WA
Transcript Highlights:
  • So I'm glad to see my colleague Ali, and he cut down the helping us.
  • Are we, the motion, what's the motion before us right now, Luke or Amira?
  • And we have a lot of work ahead of us.
  • We know less about the people who need us to know the most about than we should.
  • And for us to have eyes on what's out there: how does it look? How are folks staying safe?
Summary: The House Early Learning and Human Services Committee held public hearings on two bills. HB 1873 would expand Working Connections Child Care eligibility to full-time graduate and professional students with household income at or below 85% of state median income, with copays waived to the extent allowed by federal law. The prime sponsor and student testifiers argued that child care costs and limited stipends force student parents to choose between education and family responsibilities, while some members raised questions about program cost, uptake, and return on investment. The committee also heard HB 2600, which would require DSHS to update the Supported Living Cost Report template and convene a work group to develop Medicaid rate recommendations aimed at improving compensation for direct support professionals. Supporters, including SEIU-affiliated workers, said the bill would increase transparency and help ensure state funding reaches frontline caregivers, citing low wages and high turnover. Opponents from provider organizations argued the current cost report is already detailed, that the bill would add administrative burden, and that recent rate increases have already been passed through to wages and benefits. In executive session, the committee considered three Senate bills. It adopted a striking technical amendment and voted 9-1 to report out SSB 5911, which protects funds for youth in extended foster care and raises the threshold for protected accounts. It then voted 10-0 to report out SSB 5957, expanding the Homeless Youth Advisory Committee to include more people with lived experience and representatives of disproportionately homeless populations. Finally, it voted 7-3 to report out SSB 6184, which updates Office of Homeless Youth programs and language, including expanding eligibility for emerging adults up to age 21. The meeting ended with an interim planning discussion focused on future work on critical incidents, juvenile justice, developmental disabilities data, homelessness, child care, and facility tours.
MI

Michigan 2025-2026 Regular Session

Civil Rights, Judiciary, and Public Safety 26-06-18

Civil Rights, Judiciary, and Public Safety

Transcript Highlights:
  • Now, this isn't something new for us.
  • Now, this isn't something new for us.
  • They go out in the community and help us engage with the community and let us know what's going on in
  • This is very, very important to us.
  • We don't want our work to pass with us.
Summary: The Senate Committee on Civil Rights, Judiciary, and Public Safety met with a quorum and adopted the June 4, 2026 minutes. The committee first took up Senate Bill 712, adopting the S-2 substitute, which expands residency requirements to include adjoining districts and removes a provision allowing a district to appoint someone employed by the district. The committee then reported SB 712 to the floor. It also considered House Bills 4025 and 4026, described as safe storage tax exemption bills; the committee heard one supportive written card and reported both bills to the floor, each on a 5-1 vote. The committee next heard testimony on Senate Bill 885, which would create a statewide Parent and Child Legal Representation Commission and Office within LARA to address child protective legal representation. Senator Singh and Alicia Moon of the Michigan Supreme Court described the current county-by-county system as uneven, with attorney shortages, inconsistent pay, and limited specialized training. They said the bill would set standards for training, caseloads, client contact, and compensation, while requiring public comment and future appropriations before implementation. Testimony and written cards from a broad range of organizations and judges supported the measure, and the committee reported SB 885 to the floor on a 6-0 vote. The committee then heard extensive testimony on Senate Bills 1015 and 1016, which would create an Office of Community Violence Intervention and Prevention within MDHHS and establish a grant program to support community violence intervention efforts statewide. Sponsors and witnesses from Force Detroit, D-Live, Seize the Smoke, Advance Peace, public health, law enforcement, and advocacy groups described CVI as a public health and public safety strategy that reduces shootings, supports survivors, and saves public costs. Several witnesses cited local data showing reductions in shootings and homicides in Detroit and Lansing, while one witness from the Michigan Sheriff's Association opposed the bills as written. The committee voted to report both SB 1015 and SB 1016 to the floor, each on a 5-0 vote with one pass, and then adjourned after additional testimony and reading of support cards.
FL

Florida 2025 Regular Session

March 24, 2025 - 04:00 PM

Transcript Highlights:
  • Absolutely, the patient can decide if they want to use either.
  • I've heard on different occasions us use the argument, let's let it work.
  • This is personal for so many of us in this room.
  • Or perhaps that physician or nurse is not used to...
  • Thank you to the committee for letting us be up here today.
Summary: The Health and Human Services Committee heard a lengthy agenda of health care and public health bills. The first major item was HB 649, which would remove the paper supervision protocol for certified registered nurse anesthetists (CRNAs) and allow autonomous practice. The sponsor and supporters argued it would improve access, especially in rural areas, address workforce shortages, and reduce costs, while opponents from the medical community raised patient safety concerns and argued it would weaken physician oversight. After extensive testimony and debate, the committee reported the bill favorably by a vote of 18-7. The committee then unanimously advanced several other measures. HB 259, creating a special observance for fentanyl awareness and education, passed 23-0. HB 791, which codifies infant safety devices as an option for surrendering newborns and amends safe-haven law, passed as amended 25-0. HB 355, allowing schools to use FDA-approved emergency opioid antagonists rather than only naloxone, passed 26-0. HB 1119, requiring hospitals with emergency departments to adopt pediatric readiness policies, training, coordination, and assessment requirements, also passed 26-0 after two amendments. HB 431, changing the date for level-two background screening of athletic coaches to July 1, 2026, passed 26-0. Later, the committee approved CS for HB 907, the Florida Institute for Pediatric Rare Diseases or “Sunshine Genetics Act,” which would establish an opt-in newborn genome sequencing program at FSU and a statewide consortium for rare disease research; supporters emphasized earlier diagnosis and cost savings, and the bill passed 25-0. CS for HB 519, aligning state law with federal law on controlled substances for paramedics, passed 25-0. Finally, CS for HB 723, requiring the Department of Health to provide early-detection materials for type 1 diabetes to families of young schoolchildren, passed as amended 26-0. The meeting adjourned after all bills were reported favorably.
FL
Transcript Highlights:
  • That makes us the 11th most regulated state, up with New York and California.
  • If you could just let us know who you are, and we'll move forward. Thank you. Recognized.
  • You are recognized if you could just let us know who you are. Moving forward. Thank you.
  • And you are recognized if you could just let us know who you are. Moving forward. Thank you.
  • So I'd be curious to understand that further, and if you can get back to us on that item.
Summary: The Joint Administrative Procedures Committee heard a presentation from Representative Esposito on a proposal to strengthen oversight of agency rulemaking under Chapter 120. The bill would require cost-benefit analysis at the front end and after implementation, create an eight-year sunset and review process for rules, and require express legislative authority for agency rulemaking. Members questioned the lack of concrete examples of burdensome rules, the effect on already slow rulemaking, the choice of an eight-year sunset, and the bill’s origin; Esposito said she was working with stakeholders and cited her chamber-of-commerce background and research with the Cicero Institute. No vote was taken on the bill itself. Staff then reported on legislatively mandated rulemaking from 2023 and 2024, noting that most required rules had been adopted, proposed, noticed, or scheduled, with a few agencies still outstanding. The Department of Financial Services explained a delayed notice of rule development for the MySafe Florida Home condominium pilot program as an oversight that has since been corrected, and the Department of Education said it did not proceed with rulemaking for the Fostering Prosperity grants because the program received no funding in the 2025 budget. The Department of Health described delayed rulemaking for the sickle cell disease and trait registry, saying the registry and opt-out forms were being implemented and that notices of rule development had now been filed. Members pressed the department on why rules took so long and discussed the need for statutory deadlines. The Department of Children and Families reported on two 2023 human-trafficking-related rules: signage requirements for residential treatment facilities and children’s safe homes, and a new certification process for adult safe homes. DCF said the signage rule is now moving forward and the adult safe home certification rule has been submitted for final review after workshops and stakeholder feedback. Senators questioned the lengthy timeline and the lack of oversight during the interim, while the chair emphasized the need for time-certain deadlines in legislation and for JAPAC oversight hearings. The committee also considered staff-proposed amendments to Chapter 120 addressing emergency rules pending legislative ratification and the process for initiating ratification, including a one-year limit and notice to JAPAC. After discussion, the committee voted to forward the proposed amendments to the Senate President and House Speaker. Finally, members discussed a proposed amendment to the administrative law judge appointment and retention process under Section 120.65. DOAH’s interim director opposed the change, saying ALJs and workers’ compensation judges have different functions and warning against shifting appointment power to cabinet officers whose agencies appear before DOAH. Members raised concerns about timeliness, consistency, and accountability in DOAH decisions. The committee voted to forward this proposal as well, with Senator Smith voting no on that motion.