Transcript Highlights:

• </c> from the standpoint of our non physician from the standpoint of our non physician non-scientists
• in Minnesota and primary care physicians in Minnesota and so<00:12:24.560><c> um</c><00:12:24.760><c
• programs which are providing family physicians.
• programs which are providing family physicians.
• programs which are providing family physicians.

Committee: House Higher Education Finance and Policy

Keywords: 1183, house

Transcript Highlights:

• John's in Maplewood, and worked there as a primary care provider and as a hospital physician.
• um so in 26 years in uh physician um so in 26 years in healthcare<00:04:58.000><c> in</c><00:04:58.320
• We are proud to support our workforce—our nurses, our physicians, our social workers, our environmental
• </c><00:08:13.639><c> our</c> Workforce our nurses our physicians our Workforce our nurses our physicians
• Studies that have been performed by physicians from our own University of Minnesota have shown that,

Committee: House Health Finance and Policy

Keywords: 1183, house

Transcript Highlights:

• It governs physicians and licensing of physicians and the provision of medical care by physicians.
• It governs physicians and licensing of physicians and the provision of medical care by physicians.
• It governs physicians and licensing of physicians and the provision of medical care by physicians.
• It governs physicians and licensing of physicians and the provision of medical care by physicians.
• It governs physicians and licensing of physicians and the provision of medical care by physicians.

Committee: House Health, Human Services & Elderly Affairs

Keywords: 1189, house, all

Transcript Highlights:

• Um, not just physicians. Thank you. Okay, the motion is ought to pass on HB 1335.
• Um<00:30:00.240><c> not</c><00:30:00.480><c> just</c><00:30:01.080><c> physicians.
• </c> Um not just physicians. Um not just physicians. Thank<00:30:03.400><c> you.</c> Thank you.
• One was a physician. Her brother is a physician.
• ,</c> Einsteins, the physicians, Einsteins, the physicians, uh<00:50:39.680><c> the</c><00:50:39.800>

Committee: House Health, Human Services and Elderly Affairs

Keywords: 1189, house, all

Transcript Highlights:

• Economic Security, the Board of Occupational Therapy Examiners, and the Arizona Regulatory Board of Physician
• to continue DES the Board of Occupational Therapy examiners and the Arizona Regulatory Board of Physician
• Assistance for for you. the Board of Occupational Therapy Examiners, and the Arizona Regulatory Board of Physician

Summary: The caucus meeting on Friday, June 12, reviewed several bills on Blue Sheets 16, 17, and 18, with sponsors generally concurring in Senate amendments. On property tax and agricultural inspection bills, HB 2104 and HB 2105 were described as creating temporary limits on county assessors’ ability to reclassify or inspect agricultural property after a successful appeal or recent inspection, while preserving assessor authority for changes in use, ownership, splits, or taxable improvements. HB 4117, concerning religious worship assemblies, was amended by the Senate to focus on intentionally obstructing entry or exit from a place of worship or creating a disruptive commotion. HB 2311 would require AI conversational systems to notify users they are interacting with AI and add other consumer protections, and HB 2477 would conform Arizona’s 529 plan rules with federal law and allow certain rollovers to ABLE or Roth IRA accounts. The meeting also covered HB 2114, which directs motorcycle safety fund spending toward education and scholarships and ties motorcycle registration requirements to Class M licensing, with Senate changes narrowing the registration provisions and exempting business-owned motorcycles. HB 2729 was broadened by the Senate from continuing only the Nursing Board to also continuing DES, the Board of Occupational Therapy Examiners, the Physician Assistants Board, and the State Board of Pharmacy, with members noting this kind of consolidation is common at the end of session. All of these bills were presented for concurrence, and no objections or substantive questions were raised. The caucus then reviewed three additional measures that had just come through rules: SB 1618, which revises military affairs statutes, creates procedures for military installation fund property acquisition, changes commission duties and membership, and adds reporting requirements; SB 1110, which creates a Department of Corrections home confinement program for certain inmates nearing release; and SCR 1004, which would, subject to voter approval, restrict photo enforcement systems unless a contract existed before December 31, 2026. Members clarified that the House mirror of the photo enforcement measure had not advanced. The meeting ended with notice that more caucus or rules activity could occur later in the day as the chamber moved bills to the floor on sine die.

Transcript Highlights:

• So primary care physicians, obviously here in the common...
• So primary care physicians, obviously here in the Commonwealth, you know, there's a major shortage.
• I ask just based upon not only my personal experience struggling to find a primary care physician, but
• people who have reached out to me who are struggling to find a primary care physician. ...to find a
• As a primary care physician myself and someone who is married to someone who asks me these questions

Committee: Joint Joint Committee on Ways and Means

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

Transcript Highlights:

• I'm the doctor of the day through the New Mexico Academy of Family Physicians.
• Can you address that for me and how we mitigate those increased costs for physicians?
• have a shortage of physicians in New Mexico?
• I haven't really spoken directly to many physicians who are private practitioners.
• They don't have a primary care physician. So, just the same. Also called U&M.

Summary: The committee first heard House Bill 25, which would prohibit a juvenile who committed a firearm-related delinquent act that would be a felony if committed by an adult from legally owning or possessing a firearm for 10 years after disposition. The sponsor and supporters said the bill is intended to address serious youth gun violence without lengthening juvenile sentences or unsealing records, and they emphasized that the substitute language was meant to clarify, not change, the bill’s intent. Support came from law enforcement, the district attorney’s office, CYFD, and business interests, while opponents including the Public Defender, ACLU, and criminal defense advocates argued it conflicts with juvenile-code principles, creates civil disabilities based on juvenile conduct, and could raise Second Amendment and sealing-record concerns. Members raised extensive questions about how the NICS background-check process would work, what offenses would qualify, whether the measure would apply retroactively, and how sealed juvenile records and pardons would be handled. After discussion, the committee adopted the committee substitute, but no final vote on the bill was taken in the portion provided; members discussed possibly working on the language further in Judiciary or tabling it. The committee then took up House Bill 15, the Medical Injury and Collaborative Resolution Act, described by the sponsor as New Mexico’s version of a candor law. The bill would create a protected adverse outcome conference process allowing patients and providers to discuss medical injuries or undesirable outcomes outside of court, with the goal of improving communication, giving patients answers, and reducing litigation. A family medicine doctor and a trial lawyer testified in support, saying patients often want explanations more than money and that open conversations can sometimes resolve disputes early. Public commenters also supported the concept, though one noted concerns about how pro se litigants would fit into the process. Committee questions focused on how the bill would define injury, how confidentiality would be enforced, whether statements could be used in court, who would pay for the process, and how it would interact with existing malpractice procedures. The sponsors said the conference would be voluntary, not require an apology, and would be protected by evidentiary rules; if protected statements were introduced at trial, they said remedies such as mistrial could apply. The discussion continued into procedural details, but no final action on HB 15 appears in the provided portion.

Transcript Highlights:

• </c><00:22:13.200><c> assistants,</c> time, to supervise physician assistants, time, to supervise physician
• Physician assistants working with podiatrists will focus on diabetic foot screenings, wound care, and
• The bill establishes a formal approval process for any podiatrist who wants to supervise a physician
• The bill establishes a formal approval process for any podiatrist who wants to supervise a physician
• We were recruiting another physician, and when we'd bring a prospective physician in, all our medical

Keywords: 958, all

Transcript Highlights:

• So you'll have at least one physician, a psychiatrist, and then a psychologist as well typically will
• ,</c><00:23:29.200><c> and</c><00:23:29.440><c> then</c> one physician, a psychiatrist, and then one
• physician, a psychiatrist, and then a<00:23:29.760><c> psychologist</c><00:23:30.320><c> as</c><00:23
• I had a question specifically related to the physicians and the evaluation process.
• ...a question specifically related to the physicians and the evaluation process.

Keywords: 958, all

Summary: The committee approved the minutes of its June 10, 2025 meeting and then heard testimony on House Bill 198, “Angela’s Law,” sponsored by Representative Samara Hein. The bill would add a new aggravating circumstance in death-penalty cases when an offender abuses the corpse of a kidnapping or murder victim by engaging in deviate sexual intercourse, sexual intercourse, or sexual contact. Representative Hein and the victim’s parents described the case that prompted the proposal, saying the current law did not allow the conduct to be treated as an aggravating factor because the sexual act occurred after death. They emphasized that the bill would not require a death sentence or life without parole, but would give judges and juries another sentencing factor to consider. Doug and Angela Kerr gave emotional testimony about their daughter’s murder and said the current sentencing options were inadequate given the facts of the case. Several members expressed sympathy and supported the bill’s purpose. Senator Wheeler said the measure would signal that the Commonwealth will not tolerate such conduct, and Representative Petrie said he supported the concept but urged careful drafting so the language would not be too narrow or unintentionally reach co-conspirators or others whose conduct differed from the principal offender. The committee then received an informational presentation on KRS Chapter 202C from Judge Lisa Payne Jones and Shauna Mitchell of the Kentucky Judicial Commission on Mental Health. They explained that 202C was enacted in 2021 to address a gap in Kentucky’s civil commitment laws for defendants found incompetent to stand trial after serious offenses. The presentation outlined the process: a Commonwealth’s attorney must file a petition for qualifying offenses, an evidentiary hearing must be held quickly, and if the respondent is found by a preponderance of the evidence to have committed the offense, a commitment hearing follows with a higher burden of proof. They also described the 2024 amendment changing the commitment criteria from requiring all four factors to only one, and noted the statute’s review-hearing schedule and the availability of later review if circumstances change or new evidence emerges.

Transcript Highlights:

• and members, Tim Madden, representing the California Chapter of the American College of Emergency Physicians
• Thank you very much, Vanessa Cahina, on behalf of the California Academy of Family Physicians, in full
• Vanessa Cahina, on behalf of the California Academy of Family Physicians, in full alignment with Madam
• Thank you very much, Vanessa Cahina, on behalf of the California Academy of Family Physicians in full

Committee: House Health

Keywords: 988, house, all

Transcript Highlights:

• Almost 50 years ago, back in 1976, we recognized physician assistants for humans, allowing PAs to practice
• under physician supervision.
• veterinarian that oversees these people would be responsible ultimately for the care, much like a physician
• would be for the care that a physician's assistant... ...for the care, much like a physician would be

Bills: S0754 , S0796

Committee: Senate Regulated Industries

Keywords: heated tobacco products, tobacco regulation, vaping, definition changes, Florida statutes, veterinary medicine, telehealth, veterinary professional associate, animal health, public safety, access to veterinary services

Summary: The Committee on Regulated Industries met with a quorum and took up two bills. First, it heard SB 754 on heated tobacco products. The bill would statutorily define heated tobacco products and exempt them from the cigarette tax. Senator Davis questioned why the exemption was needed, and Senator Bernard asked about youth access; the sponsor said the bill was limited to taxation and would look into age and regulatory issues. A Florida Retail Federation representative appeared in support. The committee voted the bill favorably, and Senator Bracey Davis later asked to be recorded as voting in the affirmative on tab 1. The committee then considered SB 796 on veterinary medicine, after adopting a delete-everything amendment. The amended bill would create a Veterinary Professional Associate (VPA) role for individuals with a master’s degree in veterinary clinical care to perform delegated tasks under a licensed veterinarian’s responsible supervision. It also would extend the time period for telehealth prescriptions for flea and tick products from one month to six months and for other medications from 14 days to 30 days. Senator Boyd raised liability concerns, and the sponsor said existing statute already places liability on the supervising veterinarian. The Florida Veterinary Medical Association testified against the bill, arguing Florida should expand and better utilize existing veterinary technicians rather than create a new mid-level role, and warning about federal prescribing restrictions and animal safety. Supporters, including the Animal Legal Defense Fund and Dr. Wayne Jensen, argued the bill would expand access to care, reduce costs, and provide a well-trained supervised workforce. Several senators said the bill balanced access and safety, and the committee reported SB 796 favorably. The meeting then adjourned.

Transcript Highlights:

• Almost 50 years ago, back in 1976, we recognized physician assistants for humans, allowing PAs to practice
• under physician supervision.
• veterinarian that oversees these people would be responsible ultimately for the care, much like a physician
• For the care, much like a physician would be for the care that a physician's assistant administers, to

Bills: S0754 , S0796

Committee: Senate Regulated Industries

Keywords: heated tobacco products, tobacco regulation, vaping, definition changes, Florida statutes, veterinary medicine, telehealth, veterinary professional associate, animal health, public safety, access to veterinary services, 999, senate, all

Transcript Highlights:

• It is important to remember that hospital-based nurses have immediate access to a team of physicians
• Access to a team of physicians and specialists when complications arise.
• testing, and clinical assessment and interpretation, should be performed by the pediatrician, family physician
• But if a physician wants to talk to a patient about alternatives, whether it's antibiotics or different

Bills: SB87 , HB491 , SB43 , SB101

Committee: House Health

Keywords: midwifery, licensed midwives, State Board of Midwifery, licensure fees, professional liability insurance, complaints investigation, emergency care plan, out-of-hospital care, HB491, public schools, K-12, school nutrition, school lunch, cafeteria, artificial dyes, food additives, food coloring, synthetic dyes, Red Dye No. 3, Red Dye No. 40

Transcript Highlights:

• , registered nurse practitioner, or a licensed physician assistant.
• It specifies that the two licensed physician board members must be board-certified in obstetrics and
• We are facing physician shortages, increasing patient volumes, and hospital units that are constantly
• So I had told them to administer it, thankfully, because I was there, but I'm a physician.
• Colleen Huber, a physician of 19 years.

Summary: The committee took up House Bill 2308, which would prohibit a dental insurer or its holding company from owning interests in dental practices regulated by the Arizona Board of Dental Examiners. The sponsor and Arizona Dental Association argued the bill is meant to prevent vertical integration and insurer control over provider care, while Delta Dental opposed it, saying the measure would block nonprofit insurers from investing in clinics for indigent care and create divestment burdens. After discussion of possible exemptions and market-share caps, the committee passed HB 2308 on a 7-0 vote. The committee then considered House Bill 4001, as amended, which creates a licensing and enforcement framework for alternative nicotine products beginning in 2028, increases penalties for sales to minors, restricts youth-oriented marketing, and licenses manufacturers and distributors. Supporters, including the sponsor, Border Security Alliance, Arizona Petroleum Marketers Association, and Vapor Technology Association, said the bill would improve supply-chain transparency and help curb illegal products and youth vaping. Opponents, including the American Cancer Society Cancer Action Network, argued it should instead use a full tobacco retail licensing model and that the bill’s enforcement structure lacks sufficient resources. The committee adopted the amendment and passed the bill 6-1. House Bill 2873, as amended, was also approved unanimously. The strike-everything amendment allows a person or organization that filed a city or town referendum petition to withdraw it before ballot qualification, applies the rule retroactively to withdrawals filed on or after January 1, 2026, and bars tallying or canvassing votes for referenda with a withdrawal notice. The sponsor described it as a common-sense governance fix, and the committee gave it a 7-0 do-pass recommendation. The committee next heard House Bill 2408, which revises Arizona Board of Nursing complaint procedures, confidentiality, investigation timelines, expungement authority, and related disciplinary processes. Nursing board officials opposed parts of the bill, warning that changes to nursing education oversight and tighter deadlines could weaken patient safety and increase costs and liability, while the Arizona Nurses Association and several nurses supported the bill as a way to prioritize serious complaints, improve timeliness, and allow expungement in appropriate cases. After adopting the amendment, the committee passed HB 2408 on a 5-2 vote. The committee also passed House Bill 2342, which limits HOA restrictions on backyard shade structures, and House Bill 2323, which extends Arizona’s motor vehicle lemon law protections to lessees, both by unanimous votes. Finally, the committee began hearing House Bill 4010 on creating a Board of Genetic Counselors, with the sponsor and supporters describing it as a licensure and patient-safety measure; the transcript ends during testimony on that bill.

Transcript Highlights:

• Actually, the best way to explain it is if a physician loses their license, they go back through the
• So, anybody that has any physician has lost their license.
• </c> different though because a physician different though because a physician could<00:36:21.680><c>
• Many<01:00:50.319><c> serve</c><01:00:50.640><c> as</c><01:00:50.960><c> physicians,</c><01:00:51.680
• ><c> engineers,</c> Many serve as physicians, engineers, Many serve as physicians, engineers, university

Keywords: 958, all

Transcript Highlights:

• You are the great physician, and with you all things are possible.
• If you are a treating physician, you're not prohibited from testifying as an expert.
• All the amendment does is it says that the way the bill was worded, it said board-certified physician
• for parasites and skin issues, and physicians were sending it over, and then other physicians or pharmacists
• Why does the bill only target qualified physicians? We fixed that in the amendment. Oh, I'm sorry.

Bills: HR223 , HR224 , HR225 , HR226 , HR227 , HR228 , HR229 , HR230 , HR231 , HR232 , HR233 , HR234 , HR235 , HR236 , HR237 , HR238 , HR239 , HR240 , HR241 , HR242 , HR243 , HCR94 , HCR95 , HCR96 , HCR97 , HCR98 , HCR99 , HCR100 , HR218 , HR219 , HR220 , HR221 , HR222 , HCR91 , HCR92 , HCR93 , SCR41 , SCR42 , SCR43 , SCR44 , SCR45 , SCR46 , SCR47 , SCR48 , SCR49 , SCR50 , SCR51 , SCR52 , SB259 , SB347 , SB398 , SB469 , SB483 , SB518 , HR37 , HCR64 , SCR11 , SCR22 , HB89 , HB341 , HB451 , HB456 , HB541 , HB579 , HB595 , HB621 , HB818 , HB841 , HB1064 , HB1101 , HB1165 , HB1191 , SB1 , SB23 , SB32 , SB42 , SB43 , SB46 , SB51 , SB110 , SB113 , SB150 , SB154 , SB161 , SB218 , SB220 , SB221 , SB253 , SB289 , SB310 , SB351 , SB399 , SB404 , SB502 , SB123 , SB125 , SB387 , SB401 , HB730 , HCR41 , HCR76 , HCR77 , HCR63 , HCR69 , HCR86 , HR171 , HCR49 , HCR65 , HCR72 , SCR19 , SCR3 , SCR6 , SCR18 , HB64 , HB68 , HB92 , HB130 , HB175 , HB198 , HB437 , HB457 , HB488 , HB646 , HB763 , HB909 , HB971 , HB981 , HB1066 , HB1089 , HB1125 , HB1154 , HB1231 , HB1246 , HB1248 , HB1249 , HB276 , HB508 , HB512 , HB599 , HB632 , HB656 , HB998 , HB1052 , HB1084 , HB1171 , HB1193 , HB1194 , HB1204 , HB1209 , HB1250 , SB47 , SB82 , SB106 , SB206 , SB210 , SB248 , SB305 , SB376 , SB397 , SB441 , SB2 , SB19 , SB24 , SB50 , SB70 , SB96 , SB101 , SB103 , SB104 , SB114 , SB122 , SB159 , SB160 , SB173 , SB180 , SB182 , SB260 , SB412 , SB418 , SB424 , SB442 , SB460 , SB476 , HCR32 , HB911 , HB1223 , HB798 , HB824 , HB989 , HB1140 , HB1166 , HB1244 , HB459 , HB617 , HB804 , HB926 , HB225 , HB955 , HB901 , HB79 , HR20 , HR74 , HB59 , HB284 , HB306 , HB366 , HB393 , HB458 , HB577 , HB582 , HB605 , HB614 , HB682 , HB733 , HB752 , HB773 , HB996 , HB1035 , HB1069 , HB1113 , HB1180 , HB1203 , HB1234 , HB1240 , SB89

Keywords: Southern Soul, Shreveport, tourism, economic development, cultural preservation, music history, Paul Hollis, United States Mint, Louisiana House of Representatives, commendation, honorary resolution, ceremonial resolution, public service, State Board of Elementary and Secondary Education, BESE, former legislator, Louisiana politics, recognition, tribute, House Resolution 224

Summary: The House convened with a quorum, prayer, pledge, and a series of personal privileges recognizing visitors and honorees, including Northside High students, the YMCA’s 175th anniversary, Literacy Day, Special Olympics Louisiana, a 75th wedding anniversary, police jurors, Young Marine Sergeant Valerie Uitt, Elmer’s, and other community guests. The chamber also received Senate messages, including refusal to concur in House amendments to SB 149, concurrence in several House measures, adoption of Senate resolutions, and passage of multiple Senate bills. House resolutions were introduced and many were adopted without objection, including measures honoring local events, organizations, and individuals, as well as resolutions on literacy, municipal day, firefighters appreciation, and sports-related commendations. Committee reports moved numerous House and Senate bills and resolutions forward, and members were urged to monitor the Senate calendar to ensure House bills had Senate sponsors before being returned late in session. Several bills were debated and passed. HB 175 created a Veterans Service Grant Fund funded by $500,000 annually from Louisiana Lottery net proceeds, overseen by a board within the Department of Veterans Affairs to award grants to eligible veteran-serving nonprofits, colleges, JROTC programs, veteran courts, and local governments; it passed after questions about the use of lottery proceeds and the role of nonprofits. HB 198 authorized ambulatory surgical centers to perform certain procedures and be reimbursed at Medicare rates, and HB 437 restricted expert witnesses from receiving contingency-style compensation tied to case outcomes after debate over ethics and whether the bill was necessary. HB 488 created the Bell Chase Bridge Merit-Based Special Fund to support the bridge toll buyback effort. HB 763 required a centralized public database of government settlement agreements and consent decrees, with confidentiality protections preserved, and passed after questions about sensitive cases. HB 989 required commercial health coverage for behavioral health crisis services, HB 971 addressed Medicaid reimbursement parity for rural health clinics, HB 981 created a law enforcement recruitment/retention incentive stipend for campus police at public postsecondary institutions, HB 1066 clarified that campus police are not eligible for state supplemental pay, and HB 1089 established care accounts for future medical expense awards, with amendments limiting certain case types and providing for reversion of unused funds. The House also reconsidered and defeated HB 225, a constitutional amendment to impose a lifetime gubernatorial term limit, and HB 730, concerning airport authority regulation of automatic dependent surveillance broadcast systems. Several resolutions were adopted, including HCR 76 continuing a health inequities task force, HJR 77 urging federal action on H-2B seasonal employer designation for the crawfish industry, HJR 67 creating a task force on military drivers without civilian licenses, and HCR 69 urging DOTD to study Interstate 12 safety improvements. The chamber adopted numerous additional commemorative resolutions and concurred in Senate resolutions recognizing sports figures, Mental Health Awareness Month, state observances, and school achievements. Overall, the day featured a mix of ceremonial recognitions, committee reporting, and floor action on veterans, health care, transparency, labor, transportation, law enforcement, and court-related legislation.

Transcript Highlights:

• Our last hearing, we examined HR1's impact on medical student loans and the physician workforce pipeline
• with that topic, although I know a number of people were surprised, is because not having enough physicians
• I also am a family and community medicine physician who sees patients regularly.
• I also am a family and community medicine physician who sees patients regularly.
• And when care is delayed, physicians see the consequences.

Summary: The Assembly Budget Subcommittee on Health held a hearing on the impacts of H.R. 1 and related federal actions on Covered California, Medi-Cal, and immigrant access to care. The chair framed the discussion around three main issues: expected losses in marketplace coverage as enhanced federal premium subsidies expire, new federal work and renewal requirements that would add administrative burden to Medi-Cal, and the loss of eligibility for certain lawfully present immigrants. Covered California testified that H.R. 1 and new federal rules, combined with the end of enhanced premium tax credits, are driving higher premiums, lower new enrollment, and more cancellations, especially among middle-income, Latino, and Black enrollees. The agency said California’s $190 million state subsidy program is helping lower-income enrollees but cannot replace the lost federal assistance, and it noted that roughly 120,000 lawfully present immigrants in Covered California will lose federal tax credits in 2027. On Medi-Cal, the Department of Health Care Services said H.R. 1 will require work and community engagement verification, six-month renewals for certain adults, and other changes that the department expects will reduce enrollment substantially. DHCS estimated 233,000 members could lose coverage by June 2027 from the work requirement and 289,000 from six-month renewals, with losses rising much higher by 2028; it also said it is using automation, outreach, clinic navigators, coverage ambassadors, community health workers, and street medicine providers to reduce procedural disenrollments. The department described a two-phase outreach plan and said it is working with counties on implementation, while the Department of Finance said the Governor’s budget maintains $190 million for the state subsidy program and does not propose additional changes at this time. The LAO said its independent forecast is somewhat higher than the administration’s, estimating about 2.1 million fewer Medi-Cal enrollees by June 2028, and urged the Legislature to review county administrative workload and readiness. Public testimony and member comments focused on the human and fiscal consequences of coverage losses. A representative from the Sacramento Native American Health Center warned that reduced reimbursement and coverage losses would destabilize community health centers, increase uncompensated care, and worsen outcomes by pushing patients into emergency care. Members raised concerns about paperwork burdens, county capacity, outreach effectiveness, and whether the state should do more to preserve coverage, including possible modeling of additional H-CARF spending and support for middle-income consumers and immigrant enrollees. The hearing did not take any votes or formal actions, but it ended with public comment and continued discussion of implementation and budget options.

Transcript Highlights:

• Our last hearing, we examined HR1's impact on medical student loans and the physician workforce pipeline
• with that topic, although I know a number of people were surprised, is because not having enough physicians
• I also am a family and community medicine physician who sees patients regularly.
• I also am a family and community medicine physician who sees patients regularly.
• And when care is delayed, physicians see the consequences.

Keywords: 988, house, all

Transcript Highlights:

• He was the longest serving physician in the history of the General Assembly. 45 years as an ER physician
• He's on faculty at GW, and he continues to serve as a physician in a clinical role.
• He was the longest serving physician<00:04:56.960><c> in</c><00:04:57.199><c> the</c><00:04:57.360><c
• ,</c> Assembly. 45 years as a ER physician, Assembly. 45 years as a ER physician, and<00:05:02.800><c
• </c><00:05:13.759><c> and</c><00:05:13.919><c> he's</c> physician in a clinical role. and he's physician

Keywords: Senate streaming session for Tuesday, February 24, 2026, 960, senate, all

Summary: The Senate convened with an invocation by Reverend Jod Gun, whose prayer was journalized by unanimous consent. The chamber then recognized several guests, including representatives from the National Alliance on Mental Illness, who were present for a resolution honoring Tardive Dyskinesia Awareness Week, as well as former Delegate and physician Dan Moheim, Towson University students, a veteran guest, and parents and young children visiting for Maryland Family Network’s Day in Annapolis. The Senate adopted a resolution recognizing the National Alliance on Mental Illness for its advocacy on tardive dyskinesia screening, early detection, and treatment, and designated May 5–9 as Tardive Dyskinesia Awareness Week. The resolution was read and adopted without objection. The chamber also unanimously welcomed the guest groups and thanked them for their service and advocacy. In second-reader action, the Senate advanced several bills with committee amendments adopted without objection. Senate Bill 113, the Longevity Ready Maryland Act, was amended to refine aging-related planning, website reporting, and Commission on Aging membership, then ordered to third reading. Senate Bill 123 updated the membership of the Oversight Committee on Quality of Care in nursing homes and assisted living facilities and was also sent to third reading. Senate Bill 336 extended the Task Force on the Responsible Use of Natural Psychedelic Substances for one year and added an HBCU representative. Senate Bill 394 expanded expedited partner therapy to bacterial vaginosis and added licensed certified midwives as authorized practitioners. Senate Bill 444 changed certificate-of-need requirements for certain intermediate care facilities, and Senate Bill 461 conformed the SNAP Heat and Eat Program to federal eligibility rules; both were advanced to third reading. The Education, Energy, and the Environment Committee then took up Senate Bill 108, which would authorize the Maryland Department of the Environment to impose administrative penalties for certain water, wetlands, dam, and riparian-rights violations and expand administrative enforcement tools. Several senators raised concerns about the scope of the bill, its effect on shoreline restoration, dams, stormwater and wetlands enforcement, and whether it could allow penalties without adequate process or encourage payment instead of correction. The floor leader responded that the amendment requires notice, an informal meeting, and consideration of good-faith efforts before penalties are imposed in certain cases, and said the bill does not change permit requirements. The debate continued as members sought clarification on how the bill would apply to private dams, HOAs, farmers, and shoreline projects.

Transcript Highlights:

• I am a pediatric intensive care physician. Thank you. Thank you. Jim McJunkin.
• I am a pediatric intensive care physician, retired.
• He has sent a letter to your committee, and the letter was from him and physician leaders from Morgantown
• They're the three children's hospital physician leaders, and just the same as me, I think they have seen
• ... ...physician leaders, and just the same as me, I think they have seen the consequences of less than

Keywords: 994, senate, all

Summary: The committee considered and advanced several bills. House Bill 4995, concerning video cameras in special education classrooms, was explained as requiring parents to be notified of recording interruptions, providing written notice of the law to parents and school employees, shortening the required random review of recordings from every 90 days to every 30 days, and clarifying that school boards must still conduct independent investigations even if DHS or prosecutors do not act. The committee adopted the motion to report the bill to the full Senate. House Bill 5214, dealing with drug testing in child abuse and neglect cases, would allow courts to order testing of parents in certain cases, require laboratory confirmation of positives, and require DHS to notify the court and other parties; the committee adopted the strike-and-insert amendment, then reported the bill as amended and adopted a title amendment. The committee also advanced House Bill 4025 and House Bill 5441, both restructuring state personnel systems. HB 4025 would exempt employees of the Department of Health, health facilities, and human services from classified civil service and grievance procedures beginning July 1, 2026, while preserving status for some current employees and allowing exemptions to comply with federal requirements; the committee adopted a piecemeal amendment and reported it as amended. HB 5441 would eliminate separate civil service systems for Transportation, Revenue, and the Bureau for Social Services and move classifications and compensation structures to the Division of Personnel, with testimony from the governor’s counsel emphasizing faster hiring and more flexibility; the committee adopted the strike-and-insert amendment and reported the bill as amended. House Bill 4602, a child welfare pilot program creating a private community-based system for post-removal services, drew testimony from DHS about concerns over costs, continuity, oversight, and child well-being outcomes, while supporters argued it could reduce caseloads and improve flexibility. The chair amended the bill to remove one of the two pilot regions, leaving only the Berkeley/Jefferson County pilot, and the committee then reported the bill as amended despite opposition from the senator from Marion. House Bill 4106, removing the provisional concealed handgun license requirement for ages 18 to 21, heard testimony from a pediatrician opposing the change and from a gun rights advocate supporting it; an amendment requiring firearms training for under-21 carriers failed by a 1-14 roll call, and the committee then reported the bill as amended. Finally, House Bill 4198, after a subcommittee rewrite, was advanced with a strike-and-insert amendment that refined E-Verify requirements for public and private employers, added exemptions for certain small or new employers and sole proprietors, clarified recordkeeping and notice requirements, and adjusted penalties and enforcement procedures. After a motion for the previous question, the committee adopted the amendment and reported HB 4198 as amended. House Bill 5319 was removed from the agenda, and the committee adjourned.