Transcript Highlights:

• , physician assistants, chiropractors, podiatrists.
• , physician assistants, chiropractors, podiatrists.
• Salzman: What about a physician assistant? >> Rep.
• So some physicians actually contract... ...out the work to physician assistants and other levels of doctor
• You said this would be allowed by a physician.

Summary: The committee met with a quorum present and heard a series of health care-related bills, with Chair Tuck emphasizing respectful debate and noting that all bills on the agenda would be voted on that day. The first measure, HB 743, would give the Attorney General authority to investigate and bring civil actions against health care practitioners who violate Florida’s ban on gender-affirming care for minors, and would make aiding or abetting such conduct a third-degree felony. Supporters said it closed loopholes and protected minors and parental rights, while opponents argued it was vague, overbroad, and could chill lawful care and professional judgment. The bill passed 13-4 and was reported favorably. The committee then unanimously approved PCS for HB 567, which narrows a continuing-education requirement for podiatrists so only those who prescribe controlled substances must take the related two-hour course. It also unanimously approved HB 439, allowing chiropractors, under specified training and certification requirements, to inject vitamins and nutrients while continuing to prohibit intravenous injections. The committee also passed HB 1235 to enter Florida into the respiratory care interstate compact, and HB 1237, a linked public-records/public-meetings exemption needed to implement that compact; both measures were supported as workforce and access-to-care bills and passed without opposition. Later, the committee approved PCS for HB 809, which addresses temporary physician certificates in areas of need and aims to prevent doctors from losing the ability to practice when area designations change. Members asked about licensure pathways and the effect of federal or board designation changes, and supporters framed the bill as protecting continuity of care in underserved communities. The committee also unanimously passed HB 1347 to align clinical laboratory personnel licensing with federal CLIA standards amid staffing shortages, and HB 1515, a public-records exemption tied to a uterine fibroid research database. Finally, the committee approved HB 169 updating acupuncture statutes, including terminology changes and limits on injection therapy, and HB 1021, Representative Young’s first bill, allowing qualified hospital pharmacists in Level I and II trauma centers to administer emergency medications at a physician’s direction during life-threatening situations. HB 1021 drew the most questions, mainly about scope, definitions, and who could authorize the pharmacist, but after a technical amendment it passed unanimously. All remaining bills were reported favorably, and the meeting adjourned after the final vote.

Transcript Highlights:

• This is why it is so important for a physician to be involved.
• dealt with, as my physician is all the time.
• But again, the physician doesn't have necessarily, I understand what you're saying, but the physician
• I'm here to present SB 849, a bill that addresses physician sexual misconduct.
• We have trained and licensed physicians that have been... Free country.

Summary: The committee heard several bills, beginning with SB 1312 by Senator Richardson on abandoned endowed-care cemeteries. Richardson described vandalism, theft, and neglect at abandoned cemeteries and said the bill would define abandonment, create a process for local governments to declare a cemetery abandoned, and allow the Bureau to act as conservator of endowment funds. Support came from Marin County, while county and special district groups opposed or had concerns, arguing the bill could shift burdens to local governments or public cemetery districts without enough safeguards. Members expressed general support but noted the need for further work; the bill was discussed but no final vote was taken in the excerpt. The committee then took up SB 758 by Senator Umberg, which would restrict retail sales of nitrous oxide to curb misuse. Supporters, including the League of California Cities, narcotic officers, counties, pediatricians, and other local governments and health groups, said easy access at smoke shops and convenience stores has fueled recreational abuse and health harms. There was no opposition testimony, and members voiced strong support for a statewide approach over city-by-city bans. The bill was well received, with the author closing in support. Dr. Weber-Pierson presented SB 1094, a health care affordability bill on biosimilars and biologic substitution. The bill would allow pharmacists to substitute biosimilars under certain conditions, require advance notice to providers and patients, and add reporting on savings; the author said amendments would strengthen provider notice and preserve the ability to mark prescriptions “do not substitute.” Supporters from health plans, insurers, pharmacies, labor, business, and some provider groups argued the bill would lower costs and expand access. Opponents, including dermatology and rheumatology groups and biotech interests, warned about non-medical switching, prior authorization delays, and patient harm. After extensive discussion, the committee voted 13-0 to pass SB 1094 to the Committee on Health. The committee also passed SB 849 by Dr. Weber-Pierson, which would bar reinstatement of physicians who surrendered their licenses while a sexual misconduct accusation was pending. The Medical Board and California Medical Association were generally supportive or neutral, and members praised the bill’s patient-protection focus. SB 993 by Senator Ochoa Bogh, which limits routine disclosure of identifying information for mental health professionals in correctional and psychiatric settings while preserving complaint processes, also passed unanimously to Appropriations. SB 1002 by Senator Niello, extending the David Hall Act to allow certain patients in remission to continue telehealth care with out-of-state specialists, drew strong patient support but opposition from the Medical Board and CMA over licensure and oversight concerns; the committee voted it out on a split roll with some members not voting. Finally, SB 1263 by Senator McGuire, aimed at protecting wildfire survivors and workers by requiring licensed, trained contractors for post-disaster residential debris removal, received support from labor and the Contractors State License Board, with contractors raising a narrower amendment concern about scope.

Transcript Highlights:

• to<00:29:12.960> doctors of physicians, speak to doctors of physicians, speak to doctors
• Why would any physician allow physician.
• I<00:41:25.520> am<00:41:25.680> a<00:41:25.920> physician. I am a physician.
• I am a physician.
• the Association of American Physicians the Association of American Physicians and<00:47:14.240><

Keywords: 958, all

Summary: The Senate convened with prayer, the pledge, and roll call, establishing a quorum with 33 members present. The chamber approved the prior journal, excused absent senators, welcomed viewers, and received House messages announcing passage of House Bill 253, House Bill 436508, and House Concurrent Resolution 44 for concurrence. New filings were also reported: Senate Bill 197 on economic development and Senate Joint Resolution 99 designating the Destiny Brewer Memorial Highway in Martin County. The main floor action centered on Senate Bill 72, a measure on recruitment and retention of health care professionals and declaring an emergency. The bill’s sponsor argued it would protect health care workers’ conscience rights, improve recruitment and retention, and address provider shortages and corporate pressures in medicine, while emphasizing that emergency care would still be required under federal law. Supporters said the bill would protect providers from being forced to participate in procedures that violate their moral or religious beliefs and cited examples from other states and physicians who had left practices over conscience concerns. Opponents argued the bill’s language was too broad and could allow denial of non-emergency care based on vague moral, ethical, or religious objections, potentially harming patients in health care deserts and sending the wrong message about caring for all people. One senator raised a hypothetical about racial discrimination under the bill’s definitions, while supporters responded that the bill was intended to protect providers and patients and that existing professional ethics and hospital policies would prevent abuse. Additional supporters said the measure would not deny basic care and would help keep physicians in the state. The bill was still under debate at the end of the excerpt, with questions and responses continuing; no final vote or disposition on Senate Bill 72 is shown in the transcript provided. Other bills reported from second reading were referred to the Rules Committee for further action, and Senate Bill 69 was passed over and retained its place on the orders of the day.

Transcript Highlights:

• It's simply getting one physician to pick up the phone or send the notice to the next physician in a
• We're talking about one physician notifying another physician, yes, this is approved.
• Now, what I would say on that report, that's a report of all physicians, not all physicians that have
• I'm an emergency room physician.
• We have a physician on 24/7.

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Summary: The Senate Committee on Health and Human Services met with several members initially absent, then later established a quorum. The committee heard multiple bills, with most testimony focusing on access to care, insurance practices, senior safety, and health care worker protections. Several bills were laid out with committee substitutes, and public testimony was limited to two minutes per witness. Most bills were left pending after testimony, with no final votes taken in the portion provided. Senate Bill 2069 would create a work group to study the feasibility of a statewide acute psychiatric bed registry; the substitute shifts appointment authority to the Health and Human Services Commissioner and extends reporting and sunset dates. Senate Bill 463 would expand workplace violence protections to additional hospice, home and community support, intermediate care, and state-supported living center settings. Senate Bill 1283 would require background checks and transparency measures for senior retirement communities after testimony about the Dallas-area serial killings of elderly residents. Senate Bill 1784 would require 60 days’ written notice before medical debt is sent to collections. Senate Bill 527 would require medical insurance coverage for general anesthesia for medically necessary pediatric dental procedures for children under 13 with qualifying conditions; pediatric dentists testified that denials delay needed care. A major portion of the meeting centered on prior authorization. Senate Bill 1380 would eliminate prior authorization for a broad list of services, including emergency, primary, mental health, substance use, chemotherapy, preventive, pediatric hospice, and certain chronic-condition care. Physicians and hospice advocates supported the bill, describing delays, administrative burden, and patient harm, while health plans opposed blanket exemptions and argued prior authorization helps prevent unnecessary care and control costs. Relatedly, Senate Bill 547 would require insurers to report gold-card prior authorization exemptions to TDI and create a centralized database and annual report; TMA supported better tracking, while health plans warned of duplicative reporting and administrative cost. Senate Bill 407 would require health care facilities to honor conscience- and religion-based vaccine exemptions for employees, with testimony from a physician and vaccine-choice advocate supporting the bill. The committee also heard Senate Bill 1383, which would regulate senior living referral agencies, allow more flexible compensation structures, and add disclosure and consumer protections; an out-of-state referral company and A Place for Mom supported it. Senate Bill 1511 would allow freestanding emergency centers to provide outpatient services in addition to emergency care, with consumer protections such as estimates, limits on facility fees, and restrictions on balance billing. The chair repeatedly announced that bills were being left pending after testimony, and no final committee action or recorded votes were taken in the transcript provided.

Transcript Highlights:

• It just says they have to display in the waiting area whether physician is on duty in the emergency room
• <00:04:19.680> is in the waiting area whether physician is in the waiting area whether physician
• A licensed physician on site...
• Now, I think they have a physician there 24/7, but they're struggling financially.
• I couldn't have said it better myself. for rural physicians, we've got $203 for rural physicians, we've

Bills: HB128, SB297, HB128, SB297

Keywords: HB128, Alabama Board of Nursing, Sunset Law, sunset review, nursing board, nurse licensure, registered nurse, RN, licensed practical nurse, LPN, advanced practice nursing, certified registered nurse anesthetist, CRNA, consumer member, board appointments, congressional districts, geographic representation, nursing regulation, nursing education programs, licensure compact

Transcript Highlights:

• I recently just lost my supervising physician.
• We were left without a supervising physician.
• and hire new physicians.
• If we have an attending physician who has been serving as a collaborating physician and they leave, retire
• It has four AAs, 241 CRNAs, and 521 physician anesthesiologists.

Keywords: 995, all

Summary: The Joint Committee on Public Health held a hearing to take testimony on a wide range of bills involving professional licensure, clinical practice, and public health-related workforce issues. The chair explained that no votes would be taken at the hearing and that the purpose was to gather public input. Early testimony focused on Marnie’s Law, with supporters describing the bill as a no-cost, preventive measure to require nursing education on inflammatory breast cancer after a family tragedy and arguing it could reduce misdiagnosis and save lives. A major portion of the hearing centered on bills affecting clinical decision-making and licensure compacts. Supporters of the physician ownership/clinical autonomy bills argued they would protect independent practices from corporate interference after the Steward collapse, while supporters of EMS, dental, psychology, physical therapy, and physician assistant compacts said the measures would improve workforce mobility, reduce delays, and expand access to care, especially for rural patients, military families, and telehealth users. Several witnesses emphasized that the compacts would not reduce standards and would strengthen public protection through shared disciplinary databases and streamlined credentialing. There was also testimony on bills to ensure safe medication administration and to protect the independence of complementary and alternative health care practitioners. Nursing representatives urged that only licensed professionals administer medications in hospitals, hospices, and home care settings, warning that delegation to unlicensed staff could endanger patients and nurses’ licenses. A complementary and alternative care witness supported consumer access with mandatory disclosures and limits on reserved medical acts. On the dental compact, witnesses were split: some supported portability and workforce flexibility, while others warned the compact lacked a hands-on skills exam and could weaken Massachusetts’ regulatory authority and patient safety. The hearing concluded with continued testimony on the psychology compact, physical therapy compact, and physician assistant bills, with most speakers favoring expanded interstate practice and reduced administrative barriers.

Transcript Highlights:

• of physicians were in the data bank.
• So, you have your scope over the physician.
• Home HIE, which would then have it in their record so that their physician, their primary care physician
• An ambulatory practice of physicians, a hundred and fifty dollars a year per physician.
• We have a lot of support from health care providers and physicians, and many physicians have been asking

Transcript Highlights:

• David Gonzalez, on behalf of America’s Physician Groups, in support.
• This is why it is so important for a physician to be involved.
• dealt with, as my physician is all the time.
• But again, the physician doesn't have necessarily, I understand what you're saying, but the physician
• We have trained and licensed physicians that have been...

Keywords: 988, house, all

Transcript Highlights:

• ,<00:23:14.799> the with um the physicians, the with um the physicians, the chiropractors,
• <00:24:04.240> as relationship with the physicians as relationship with the physicians as
• to the under level of physician group. to the under level of physician group.
• I have physicians who refer patients to me, and I refer patients to physicians.
• collaborative setting with physicians. collaborative setting with physicians.

Bills: HF3521, HF3563, HF82, HF2689, HF1794, HF3544, HF3516, HF1752

Keywords: hospital moratorium, hospital construction, bed capacity, hospital expansion, health care facilities, hospital licensing, safety-net hospital, level I trauma center, Ramsey County, Minnesota health law, hospital beds, new hospital exception, certificate of need, inpatient capacity, emergency care, trauma services, health system regulation, state moratorium, hospital modernization, health infrastructure

Transcript Highlights:

• see your physician, as long as there's a protocol under which they would do that.
• see your physician, as long as there's a protocol under which they would do that.
• Physicians and pharmacists have been entering into collaborative practice agreements...
• They are built upon a foundation of trust between physicians and pharmacists and patients.
• They have incredible medical conditions that require direct physician involvement.

Summary: The Appropriations Committee on Health and Human Services took up two bills. Senator Burgess presented SB 116, the Senate Veterans Package, which would reduce the number of Veterans Hall of Fame nominations, expand FDVA health survey and coordination efforts, add mental health training to the veterans suicide prevention pilot program, fix statutory references, improve coordination between Veterans Florida and FDVA, and require FDVA to develop a plan for adult day health care facilities for veterans and their families. An amendment was adopted to appropriate $300,000 for the suicide prevention training pilot and $50,000 for the health survey. The bill was supported in debate, especially for the adult day care provision, and CS/SB 116 was reported favorably by roll call vote. The committee then heard SB 294 by Senator Harrell, which would exclude specified cardiac conditions—such as heart failure, coronary heart disease, and cardiac arrhythmias—from the list of chronic health conditions that may be managed under collaborative pharmacy practice agreements. Senator Harrell argued that these complex conditions require direct physician involvement and that pharmacists should not be making medication changes for severe cardiac patients based on protocols alone. Senator Rouson asked why heart conditions had been included previously, and Vice Chair Davis asked about fiscal impact; Harrell said there would be no state cost, though patients might face additional out-of-pocket expenses, which she said could be offset by avoiding more serious complications. Public testimony on SB 294 was divided. The Florida Pharmacy Association opposed the bill, arguing that collaborative practice agreements are voluntary, physician-controlled, and already include safeguards, and that pharmacists are highly trained to help manage chronic conditions and improve access and outcomes. A cardiologist with the Florida Chapter of the American College of Cardiology supported the bill, warning that cardiac patients are complex and that pharmacists may make dangerous decisions without the full clinical picture. Senator Burton also supported the bill, saying the original collaborative practice framework was not intended to let pharmacists diagnose or treat serious cardiac disease. SB 294 was then reported favorably by roll call vote. At the end of the meeting, Senators Rodriguez and Garcia asked to be recorded in the affirmative on SB 116, and the committee adjourned without further business.

Transcript Highlights:

• <00:01:12.479> go years of training that Physicians go years of training that Physicians go
• <00:02:21.720> they supervision of another physician they supervision of another physician
• <00:11:00.519> and international to train Physicians and international to train Physicians
• pathway for foreign trained Physicians pathway for foreign trained Physicians to<00:16:14.399>
• <00:21:22.679> so to to a very competent uh physician so to to a very competent uh physician

Keywords: 1187, senate, all

Transcript Highlights:

• You can see we're gonna need family medicine physicians, internal medicines, geriatric physicians, um
• And so I started, I have a lot of physicians in my district.
• There, that was, at least the physician, the two physicians that I talked to, that was their problem.
• Madam Chair, Senator Scott, yes, this is just physicians, this is just specialty physicians here, not
• data is about 7000 physicians.

Transcript Highlights:

• it is very difficult to retain physician it is very difficult to retain Physicians<00:12:40.440>
• <00:15:47.399> here only have very limited Physicians here only have very limited Physicians
• they don't have specific ific Physicians they don't have specific ific Physicians or<00:19:00.120
• Physicians Physicians uh<00:42:32.800> M<00:42:33.160> mandate<00:42:33.559> that
• <00:43:08.160> U show about 69% of Physicians U show about 69% of Physicians U nationally<

Keywords: 912, senate, all

Summary: The Committee on Higher Education met on February 6 and began with decision-making items. SB 663, concerning additional positions for the University of Hawaiʻi College of Tropical Agriculture and Human Resources, was deferred again after the chair said the university’s response did not include the requested details on vacant positions, recruitment status, and fill dates. The chair said the committee needed the full information before considering new positions, and the university apologized for treating the request as informal rather than a formal committee inquiry. The committee then discussed SB 672, relating to capital improvement projects for the Y. Manalo Research Station. University representatives said the project had been identified late because of timing and that they were still developing a broader plan for SEAR research facilities. The chair questioned how the project fit within the university’s existing Board of Regents-approved CIP priorities and whether any current priorities should be displaced. The university said it could not unilaterally reprioritize the budget, and the measure was deferred pending better direction on how it fits into the overall plan. For SB 557, which would require the John A. Burns School of Medicine to direct a study on physician and dentist recruitment and retention for Maui, the committee heard strong testimony in support from Maui health care providers and community representatives. Supporters described severe shortages of physicians and dentists, long waits for care, and the need for housing, loan repayment, scholarships, transportation, and telehealth support to retain providers. The university said it was willing to help and suggested the work could be done through existing rural health and AHEC efforts. The bill was kept alive for further work, with the chair encouraging the parties to develop a plan. The committee also heard SB 1107, establishing a medical education position at JABSOM to support ECHO-style mentorship and guidance programs. The university opposed the bill, saying it did not believe the measure addressed a problem that needed fixing and that Hawaiʻi already has five ECHO clinics administered through the Hawaiʻi State Rural Health Association, not JABSOM. The committee then took up SB 1204, concerning integration of the Kakaʻako medical school and cancer center. University leadership asked for time to develop a plan and timeline, possibly with an external consultant, and requested the bill be withdrawn. The chair expressed skepticism, citing long-standing concerns about the cancer center’s finances and planning. Testimony included support from the American Cancer Society and a patient who warned that integration could jeopardize the cancer center’s NCI designation and clinical trials, while a university vice president said the NIH P30 grant does not require the cancer center and medical school to remain separate and that many NCI centers are integrated. No final votes were taken on the measures discussed in the excerpt.

Transcript Highlights:

• The physician shortages are most severe.
• The recommended primary care physician supply is 60 to 80 per 100,000.
• state, both at 42 physicians per 100,000 people.
• San Joaquin Valley only has 47 physicians per 100,000.
• For physicians in California, 19% of physicians in all specialties are 65 or older, and 34% of them are

Keywords: 988, house, all

Transcript Highlights:

• OR PHARMACIST COULD DO THAT WITHOUT YOU HAVING TO GO BACK AND SEE YOUR PHYSICIAN AS LONG AS THERE IS
• THESE AGREEMENTS INCREASE THE EFFICIENCIES OF TEAM-BASED CARE WITH THE PHYSICIANS ULTIMATE DISCRETION
• THEY'RE BUILT UPON A FOUNDATION OF TRUST BETWEEN PHYSICIANS AND PHARMACISTS AND PATIENTS.
• IF WE RESTRICT PHYSICIANS AND PHARMACISTS CPA AUTHORITY IN FLORIDA WE ARE LIMITING PATIENT ACCESS TO
• THEY HAVE INCREDIBLE MEDICAL CONDITIONS THAT REQUIRE DIRECT PHYSICIAN INVOLVEMENT.

Keywords: 999, senate, all

Transcript Highlights:

• I'm the president of the Florida Naturopathic Physicians Association.
• President of the Florida Naturopathic Physicians Association.
• You need to go back to your primary care physician.
• This simply removes the paperwork for the physician.
• I am a psychiatric physician assistant, a clinic practice owner, and U.S.

Summary: The Health Professions and Program Subcommittee met with a quorum and considered seven bills, all of which were reported favorably. HB 497 would create a neurofibromatosis research grant program within the Department of Health; an amendment removed automatic recurring funding and made the program subject to annual appropriations. Proponents described the disease burden and the need for Florida-based research support. The bill passed 14-0. The committee also approved HB 223, which creates a licensing and regulatory framework for naturopathic medicine, including a Board of Naturopathic Medicine under the Department of Health. Supporters argued licensure would improve patient safety, transparency, and access, while the Florida Osteopathic Medical Association and Florida Medical Association waived in opposition. The bill passed 15-0. HB 683 modernizes physician assistant and APRN prescribing rules by removing certain administrative notice and prescription-labeling requirements and allowing a 30-day course of psychotropic medication; an amendment removed language that would have allowed practice without physician supervision during declared emergencies. It passed 15-0. The committee then approved CS for HB 121, which updates Florida’s seizure action plan law by extending protections to charter school students, requiring schools to accept physician-submitted plans, clarifying training duration, expanding training to regular bus drivers, and requiring seizure-response posters in schools. HB 353 adds sickle cell disease education to existing pain-management continuing education for health professionals, prompted by extensive testimony from patients and advocates about bias, delayed treatment, and lack of provider knowledge; it passed 15-0. HB 1175 directs the Florida Building Commission and State Fire Marshal to develop updated safety design standards for office surgery suites, with an amendment delaying the effective date to January 1, 2027; it passed 14-0. Finally, HB 251 creates a public records exemption for current emergency physicians and their families, narrowed by amendment to current physicians and children up to age 26 and made subject to sunset review; it passed 15-0. The meeting adjourned after all agenda items were completed.

Transcript Highlights:

• A June 2024 survey of physician members of the American Medical Association showed that 93% of physicians
• Our 200 California physician groups, who have physicians managing physicians, oppose this bill in its
• Our 200 California physician groups who have physicians managing physicians oppose this bill in its current
• We have physicians managing physicians.
• It is going to compromise physician judgment and physician oversight from the referring physicians.

Summary: The Assembly Health Committee met on April 22 and took up a special order of bills focused largely on prior authorization and utilization management in health care. The chair framed the discussion as part of a broader legislative effort to reduce delays and barriers to care, especially in behavioral health, chronic disease management, cancer treatment, and rehabilitation services. AB 384 by Assembly Member Connolly would prohibit prior authorization for inpatient mental health or substance use emergency admissions and related physician care; supporters said it would prevent dangerous delays in crisis care, while insurers and health plans warned about fraud, abuse, and ambiguity around residential treatment facilities. The bill was moved on a due pass as amended motion and passed the committee on a party-line style vote, with Republicans largely absent or not voting. The committee then heard AB 510 by Assembly Member Addis, which would require health plans, upon request, to provide a peer reviewer of the same or similar specialty when a treating provider appeals a prior authorization denial or modification. Supporters argued that specialty-matched review would make appeals fairer and more clinically informed; opponents said the requirement was too rigid and that timelines and electronic submission rules needed changes. After discussion about the need for timely, specialty-specific review, the bill was approved on a due pass as amended motion and placed on call. AB 539 by Assembly Member Schiavo would extend prior authorization approvals to one year or the duration of the physician’s prescribed treatment for chronic conditions; supporters cited repeated denials and treatment interruptions, while opponents raised concerns about overbreadth, fraud, and the need for shorter validity periods. The bill was also passed as amended and placed on call. The committee next considered AB 669 by Assembly Member Haney, which would bar concurrent and retrospective review for the first 28 days of medically necessary substance use disorder treatment and limit prior authorization for related outpatient medications. The bill was presented with a powerful personal story from Ryan Matlock’s mother about her son’s death after an insurer cut off treatment early; supporters said the measure would keep patients in care long enough to stabilize, while opponents argued it would reduce oversight and could allow lower-quality or non-evidence-based care. The bill was moved on a due pass as amended motion and placed on call. Finally, AB 512 by Assembly Member Harabedian would shorten prior authorization response times to 24 hours for urgent requests and 48 hours for non-urgent requests; supporters said delays can worsen outcomes, while opponents warned the timelines were unrealistic and could increase administrative burdens and safety issues. The bill was approved as amended and placed on call. AB 574 by Assembly Member Mark Gonzalez was then heard; it would allow up to 12 medically necessary physical therapy sessions for a new episode of care without prior authorization, with supporters emphasizing stroke and neurological recovery and opponents warning of reduced oversight and unnecessary care. The transcript ends during testimony on AB 574, before final action is shown.

Transcript Highlights:

• I'm a board-certified ER doctor and EMS physician.
• physician and in person in support. physician and in person in support.
• . physician. physician.
• And right now it takes about three weeks to get in to see a physician.
• Make me drowsy, but some physicians are faced with that dilemma.

Bills: HCR92, HCR46, HCR172, HCR147, HCR112, HCR100, HR84, HR42, HR139, HR104, HR92

Keywords: automated external defibrillator, AED, cardiac arrest, state buildings, health education, public health, lifeguards, first responders, public safety, ocean safety, emergency response, Hawaii, workers' compensation, auditor, procurement audit, compliance, Department of Human Resources Development, transparency, accountability, medical care

Transcript Highlights:

• <01:18:13.320> across<01:18:13.680> Hawaii, physicians across Hawaii, physicians across
• 08.680> is What physicians are questioning is What physicians are questioning is whether<01:19
• Physicians have also heard state.
• Versus having a physician, a family doctor, throughout your life. and that physician changes.
• I've and that physician changes.

Keywords: 910, house, all

Transcript Highlights:

• not just physicians, although there is a priority for physicians within the bill, and I'll detail that
• That's not going to work in order to attract physicians here.
• Income is an issue for physicians in the state.
• The amount for physicians is well above virtually every other state.
• Our physicians to come to the state. Okay. And other ally.

Bills: SB20, SB111, SB211, SB218, SB14

Keywords: prior authorization, pharmacy benefits manager, PBM, health insurer, prescription drugs, step therapy, formulary, auto-adjudication, electronic portal, appeals, medical necessity, serious mental illness, mental health, schizophrenia, bipolar disorder, major depression, substance use disorder, addiction treatment, cancer, autoimmune disorder