Bills: SJR50, SJR52, SJR53

Keywords: Medicaid, federal funding, state law, healthcare, low-income adults, Oklahoma Constitution, Oklahoma Health Care Authority, OHCA, health care rules, administrative rules, major rule, Title 75, Title 317, Oklahoma Administrative Code, OAC 317:30, health policy, state health programs, provider regulations, benefits administration, rule approval

Bills: SJR50, SJR52, SJR53

Keywords: Medicaid, federal funding, state law, healthcare, low-income adults, Oklahoma Constitution, Oklahoma Health Care Authority, OHCA, health care rules, administrative rules, major rule, Title 75, Title 317, Oklahoma Administrative Code, OAC 317:30, health policy, state health programs, provider regulations, benefits administration, rule approval

Summary: The Administrative Rules Committee met to consider three joint resolutions approving major rules. Chairman Kendricks presented SJR 50 and SJR 52, both related to Oklahoma Health Care Authority rules, and SJR 53, which was clarified to concern the Oklahoma Medical Marijuana Authority. Members asked why the Health Care Authority rules were split into two separate resolutions, and were told they could have been combined but were being handled separately. Each resolution was moved for adoption, there was little to no debate, and the committee voted to approve them. SJR 50 passed 10-0, SJR 52 passed 11-0, and SJR 53 also passed unanimously. After the votes, members exchanged brief remarks thanking one another for their work during the year and noting the committee’s efforts to reduce bureaucracy. A member asked whether suggestions should be raised at that time, and was told that was not the appropriate time. With no further business, the committee adjourned.

Transcript Highlights:

• Your written testimony, thank you for providing that.
• I'm a registered nurse with Providence at Home with Compassus.
• I'm a registered nurse with Providence at home with Compassus.
• For educators, this bill provides something we urgently need: preventative action.
• Sections 6, 7, and 8 attempt to provide exemptions.

Bills: HB2255, HB2320, HB2548

Keywords: litigation finance, legal funding, lawsuit, financial services, access to justice, firearm regulation, manufacturing, safety standards, background checks, license requirements, health care market standards, hospital consolidation, merger review, health care transaction notice, attorney general review, antitrust, provider organizations, hospital systems, contracting affiliation, material change

Transcript Highlights:

• Also, unless you're a member of the credentialed press, no pictures or video.
• I know that OHCA's got a lot of issues, and the Trump administration changing the provider tax from 6%
• Section D, the name of the dentist or dentists actually providing the dental services to the patient
• This bill seems to make it that all the medications have to come through One provider.
• Would you consider maybe having local providers work with the municipalities to provide the prescriptions

Bills: HB3767, HB3934, HB4199, HB4336, HB2947, HB3834, HB4302, HB4095, HB3287, HB3649, HB4430, HB4431, HB2059, HB3647

Keywords: controlled dangerous substances, controlled substances, drug scheduling, Schedule I, Schedule IV, anti-drug diversion, drug diversion, synthetic opioids, fentanyl analogs, designer drugs, synthetic cannabinoids, benzodiazepines, benzodiazepine analogs, opioids, hallucinogens, depressants, pharmacy regulation, narcotics control, Oklahoma State Bureau of Narcotics and Dangerous Drugs Control, DEA scheduling

Transcript Highlights:

• Also, unless you're a member of the credentialed press, no pictures or video.
• I know that OAC's got a lot of issues, and with the Trump administration changing the provider tax from
• Can you help me understand why we would be removing the name of the dentist or dentists providing the
• This bill seems to make it that all the medications have to come through one provider.
• Would you consider maybe having local providers work with the municipalities to provide the prescriptions

Bills: HB3767, HB3934, HB4199, HB4336, HB2947, HB3834, HB4302, HB4095, HB3287, HB3649, HB4430, HB4431, HB2059, HB3647

Keywords: controlled dangerous substances, controlled substances, drug scheduling, Schedule I, Schedule IV, anti-drug diversion, drug diversion, synthetic opioids, fentanyl analogs, designer drugs, synthetic cannabinoids, benzodiazepines, benzodiazepine analogs, opioids, hallucinogens, depressants, pharmacy regulation, narcotics control, Oklahoma State Bureau of Narcotics and Dangerous Drugs Control, DEA scheduling

Summary: The Senate Health and Human Services Committee first considered three executive nominations. Shonda Lasseter was reappointed to the State Board of Pharmacy, with discussion focused on pharmacy staffing shortages, PBMs, and broader health care workforce challenges; she was advanced 11-0. Dr. Lane Sabara was renominated to the Health Care Workforce Training Commission, where members discussed rural physician shortages and training pipelines; he was advanced 12-0. Dr. Paul Wright was nominated to fill an unexpired term on the same commission and was advanced 12-0 after questions about his availability and experience supporting rural medicine. The committee then heard several health-related bills. HB 3767, which adds 14 chemicals used to enhance fentanyl to Oklahoma’s controlled substances schedules, advanced 10-0. HB 3934, a dentistry workforce and cleanup bill updating insurance-claim and billing language, advanced 11-0. HB 4199, creating a three-year tri-share workforce pilot program for the Department of Commerce, was amended to change eligibility language and then advanced 9-2. HB 2947, allowing supervised behavioral health interns to bill Medicaid, advanced 10-1. HB 3834, authorizing the Department of Health to begin stage-one clinical trials for ibogaine and creating a revolving fund for that purpose, drew extensive testimony about veteran and first responder treatment, safety, funding, and state liability, and advanced 10-2. Additional measures also moved forward. HB 4302, after amendment, advanced 12-0 on a juvenile oversight reporting and law enforcement notification issue. Committee member bills included HB 495, reinstating the 211 Collaborative advisory council, which advanced 11-0; HB 3287, requiring domestic violence and human trafficking signage in health facilities, which advanced 11-0; HB 3649, allowing the Mental Health Department to sell underused property and keep the proceeds in its trust, which advanced 12-0 after amendment; HB 4430, clarifying malpractice coverage for APRNs and PAs at state facilities, which advanced 12-0; HB 2059, creating a mechanism to reimburse medication costs for incarcerated people in county and municipal jails, which advanced 12-0 after questions about continuity of care; and HB 3647, creating an all-payer claims database and transparency board, which advanced 10-2. The committee adjourned after announcing another meeting the following week.

Transcript Highlights:

• I think the feedback was excellent, and it provides for a better and stronger bill.
• The bill also provides for an internal DFPS review while the hearing is pending.
• But if the state of Texas continues to allow this to occur, the standard we are providing...
• Competition or recoup costs associated with recruiting that health care provider.
• able to provide care due to these restrictions.

Bills: SB397, SB481, SB596, SB760, SB855, SB1195, SB1196, SB1233, SB1257, SB1318, SB1368, SB1388, SB1398, SB1524, SB1558, SB1589, SB1677, SB1792, SB2034

Keywords: SB 397, telemedicine, telehealth, teledentistry, remote care, virtual care, consent documentation, patient consent, data collection, data sharing, audio-only telehealth, in-person examination, irreversible medical procedure, health professional regulation, Occupations Code, Texas Health and Human Services, medical records, provider compliance, data privacy, consumer rights

Transcript Highlights:

• This includes a fine or suspension for healthcare providers who do not provide all necessary perinatal
• for medical providers in turn to provide that list to families. families whenever that diagnosis is
• There are dozens of Catholic service providers currently providing holistic, case-managed services in
• Already, we see some of the community-based contractors that provide foster care services also provide
• Here's the list of all the... ...providers that you can contact; you can see any of these providers.

Bills: SB397, SB481, SB596, SB760, SB855, SB1195, SB1196, SB1233, SB1257, SB1318, SB1368, SB1388, SB1398, SB1524, SB1558, SB1589, SB1677, SB1792, SB2034

Keywords: SB 397, telemedicine, telehealth, teledentistry, remote care, virtual care, consent documentation, patient consent, data collection, data sharing, audio-only telehealth, in-person examination, irreversible medical procedure, health professional regulation, Occupations Code, Texas Health and Human Services, medical records, provider compliance, data privacy, consumer rights

Transcript Highlights:

• So this allows certain types of individual providers, specifically licensed professional counselors,
• Provider types. So this rule just aligns our policy with that federal change. Okay. Go ahead.
• It also puts providers in a bad position.
• The fiscal impact provided by OMMA and Senate fiscal staff says zero dollars.
• So if they provide their services for any agencies, Yes. Understood.

Bills: SJR50, SJR51, SJR52, SJR53, SJR54

Keywords: Medicaid, federal funding, state law, healthcare, low-income adults, Oklahoma Constitution, healthcare regulations, Oklahoma Health Care Authority, permanent rules, joint resolution, OHCA, health care rules, administrative rules, major rule, Title 75, Title 317, Oklahoma Administrative Code, OAC 317:30, health policy, state health programs

Summary: The Senate Committee on Administrative Rules met with a quorum and considered five Oklahoma Health Care Authority and OMMA rules resolutions. Senate Joint Resolution 50 was presented as a federal-law conformity change allowing licensed professional counselors, LBHPs, and licensed alcohol and drug counselors to work as eligible providers in federally qualified health centers and rural health clinics; despite questions about the fiscal estimate, it passed 9-0. SJR 51 was amended to correct rule citations related to human genome sequencing, then failed on a 4-5 vote after members noted an estimated $860,000 fiscal impact tied to legislation. SJR 52, removing physician visit limits in Medicaid, was described as an access-to-care and rural health measure that could reduce ER use; it passed 8-1. The committee then took up SJR 53 from the Oklahoma Medical Marijuana Authority, which would align rules with statutes requiring prepackaging of medical marijuana products and other provisions. Members questioned OMMA extensively about the economic impact, the discrepancy between the agency’s estimate and Loft’s much larger estimate, and whether the rules were already being implemented under emergency authority. OMMA said the rules mirrored existing statutes and that the cost would fall on the industry and ultimately consumers, not the agency. After debate about regulatory fairness and the effect on the industry, the resolution passed 5-4. Finally, SJR 54, a non-major OMMA rule change renaming the adjudicator from administrative law judge to hearing examiner to match the Administrative Procedures Act, drew concerns about independence and whether OMMA should be required to contract for outside adjudicators. The director said the change was only a terminology alignment and would not alter current practice, and Senator Bergstrom said he would pursue legislation next year to require outside contracting. An amendment changed the committee’s position from disapprove to approve, but the underlying resolution still failed 4-5. The committee then adjourned.

Transcript Highlights:

• already been provided.
• I should also point out these Local Provider Participation Funds have extensive statutory...
• They have been expanding those without anyone really providing oversight.
• Now, I have provided information to Representative Lopez's office, and I believe they have provided it
• So we'd be providing services at multiple sites. Members, any questions? All right. Thank you.

Bills: HB334, HB583, HB605, HB1327, HB1646, HB2115, HB2379

Keywords: family leave, leave pool, county employee, sick leave, vacation leave, family care, pandemic, guardianship, fencing, reservoirs, local government, regulation, land use, conservation capacity, property regulation, fence regulation, reservoir safety, county authority, fencing regulations, counties

Bills: SB 95, SB 268, SB 493, SB 619, SB 660, SB 922, SB 984, SB 1098, SB 1188, SB 1307, SB 1332, SB 1822

Keywords: immunization, written informed consent, civil liability, health care provider, vaccine compensation, administrative penalty, health care, licensing, complaint procedure, disciplinary action, law enforcement, conscience protection, health care services, civil remedy, health care providers, patient access, hospital safety, emergency room, bollards, traffic protection

Transcript Highlights:

• </c> is emergency medical service providers. is emergency medical service providers.
• Our our providers that are out EMS.
• We have an ambulance provider within a department of our town, and we provide a lot of the ambulance
• It's going to free up funding for a lot of our providers and our public EMS provider.
• It's going to free up funding for a lot of our providers and our public EMS provider.

Bills: HB185, HB378, SB28, HB400, SB155, HB312, HB185, HB378, SB28, HB400, SB155, HB312

Keywords: appropriation, transportation, judicial system, funding, state budget, Pickens County, local act, vehicle tag fee, registration fee, issuance fee, motor vehicle registration, license plate, replacement tag, transfer tag, renewal fee, county revenue, earmarked funds, ambulance service, emergency medical services, EMS

Transcript Highlights:

• The League of Women Voters of New Mexico supports a health care system that provides a comprehensive
• In order to provide that coverage, we do support systems that attract and retain health care providers
• Systems that attract and retain health care providers. Thank you. Thank you. Right.
• This bill directly addresses the medical provider shortage that we have in the state.
• My colleague, Representative Reid, has provided the mechanics of the bill, but I would like to provide

Bills: HB99, HB38, HB165, HB127, HB72, HB151, SB40, SB104, SB136, SB164

Keywords: medical malpractice, malpractice reform, patient's compensation fund, PCF, health care liability, tort reform, damage caps, punitive damages, hospital liability, physician liability, nurse practitioner, certified nurse-midwife, outpatient facility, ambulatory surgical center, urgent care, free-standing emergency room, insurance surcharge, superintendent of insurance, New Mexico hospitals, medical review process

Transcript Highlights:

• I also had another question: Will those providers that are trying to sell this data or buy this data
• So section 3, subsection E, in the 0.3 sub now provides that privately collected data may be accessed
• When it was provided earlier, so you've got the point three version.
• And this definitely including providing information, transportation, lodging, or material support.
• It provides law enforcement and prosecutors with clear...

Bills: HB99, HB38, HB165, HB127, HB72, HB151, SB40, SB104, SB136, SB164

Keywords: medical malpractice, malpractice reform, patient's compensation fund, PCF, health care liability, tort reform, damage caps, punitive damages, hospital liability, physician liability, nurse practitioner, certified nurse-midwife, outpatient facility, ambulatory surgical center, urgent care, free-standing emergency room, insurance surcharge, superintendent of insurance, New Mexico hospitals, medical review process

Summary: The committee first took up Senate Bill 40, a committee substitute addressing automated license plate readers (ALPRs) and privacy. Sponsor Sen. Worth said the bill was intended to preserve ALPRs as a law-enforcement tool while adding guardrails to prevent sharing or selling data for immigration enforcement, protected health care activity, or criminalizing constitutionally protected conduct. Supporters included state and local law enforcement, the ACLU, immigrant-rights, reproductive-rights, and sexual-assault advocacy groups. Law enforcement witnesses said the bill balanced privacy with public safety and cited cases where ALPRs helped locate kidnapped children, murder suspects, and stolen vehicles; opponents and some senators argued the bill was too narrow, too focused on immigration and health care, and raised concerns about federal law, data sales, and enforcement. After debate, the committee adopted an amendment removing subsection F, then approved the committee substitute and advanced SB 40 on a do-pass motion. The committee then heard Senate Bill 104, which would create a process for removing wildlife commissioners after the 2023 wildlife commission legislation and the governor’s veto of the prior removal language. Sen. Worth explained that SB 104 would allow the governor to initiate removal for malfeasance, incompetence, or failure to attend meetings, with notice, a hearing, and exclusive review by the state Supreme Court; he said it was modeled on the Board of Regents removal process and was intended to complete the wildlife commission reforms. The New Mexico Wildlife Federation, Audubon Southwest, and the Department of Game and Fish supported the bill, saying it would depoliticize wildlife management and provide stability. Senators asked about the existing “three consecutive meetings” vacancy language, current vacancies, and the prior removal of a commissioner. The committee discussed the governor’s earlier veto and whether the bill was necessary, but no amendment was adopted and the committee approved SB 104 on a do-pass motion.

Transcript Highlights:

• The League of Women Voters of New Mexico supports a health care system that provides a comprehensive
• In order to provide that coverage, we do support systems that attract and retain health care providers
• Thank you. ...systems that attract and retain health care providers. Thank you. Thank you. Right.
• This bill directly addresses the medical provider shortage that we have in the state.
• My colleague, Representative Reid, has provided the mechanics of the bill, but I would like to provide

Bills: HB99, HB38, HB165, HB127, HB72, HB151, SB40, SB104, SB136, SB164

Keywords: medical malpractice, malpractice reform, patient's compensation fund, PCF, health care liability, tort reform, damage caps, punitive damages, hospital liability, physician liability, nurse practitioner, certified nurse-midwife, outpatient facility, ambulatory surgical center, urgent care, free-standing emergency room, insurance surcharge, superintendent of insurance, New Mexico hospitals, medical review process

Summary: The committee heard House Bill 38, which would require insurance coverage for specialized wheelchairs, activity chairs, and related mobility devices for people with limb loss or other disabilities, with guardrails limiting the number of covered devices over time. The sponsor and supporters, including the Office of Superintendent of Insurance, Disability Rights New Mexico, the Disability Coalition, physical therapists, and disability advocates, said the bill would improve access, inclusion, and physical activity without significant premium impact. Questions focused on the substitute language, the device limits, and how Medicaid would handle coverage separately. The committee ultimately passed the House Health and Human Services Committee substitute for HB 38 on a 10-0 vote. The committee then approved House Bill 165, which expands the C-PACE financing program to businesses using industrial revenue bonds and clarifies that counties and municipalities are not liable for payments. Support came from economic development and business groups, who said the bill would remove a barrier to energy- and water-efficiency upgrades and encourage investment. The bill passed on a 10-0 vote. House Bill 127 also passed unanimously after discussion of its three parts: a provisional licensure pathway for internationally trained physicians, a telehealth registry for out-of-state providers, and changes to expedited licensure. Supporters said it would help address provider shortages, especially in rural and underserved areas, while the sponsor explained that the amended version includes safeguards such as exam requirements, supervised practice, and a provisional-to-restricted-to-full licensure path. The committee voted 11-0 to advance the bill. House Bill 72, which would increase penalties for distributing certain controlled substances, including methamphetamine, to minors, drew strong support from law enforcement and the chamber of commerce but significant concern from the Public Defender and several members over strict liability, mandatory sentencing, and the breadth of the penalty. After debate over whether the bill could reach low-level or peer-to-peer conduct and whether the penalty was proportionate, the committee voted to table the bill by a 6-4 vote. The committee then took up House Bill 151, a revised childhood sexual abuse statute of limitations bill. The sponsor presented a committee substitute that changed commission appointments, added reporting and solvency-related provisions, and adjusted procedures for compensation and appeals. Members raised concerns about parity, definitions, administrative costs, and how awards would be determined, but the committee approved the committee substitute on a 7-0 vote.

Transcript Highlights:

• and financial eligibility requirements, and in-home care services may be provided by individual providers
• And the state must provide parity between the agency providers and the individual.
• The state must provide parity between the agency provider rates and the individual provider rates.
• providing direct care receive comparable wages and benefits to the individual providers.
• They have very few medical providers, creating a near monopoly with unstable provider rates.

Bills: SB5985, SB6019, SB6161, SB6183, SB6210, SB6194, SB6102, SB6103

Keywords: endometriosis, healthcare, reproductive health, patient education, awareness campaign, home care, home care services, home care agency, home care worker, caregiver, direct care, consumer directed employer, consumer-directed care, Medicaid, long-term care, aging services, disability services, personal care, respite care, vendor rate

Transcript Highlights:

• What if they're seeing different providers?
• of termination, provided that no covered services were provided to the employees after the employee's
• The bill is clear that providers cannot have a conscientious objection to providing emergency... care
• The provider has personal objections.
• A sole vaccine provider could refuse to give vaccines, and a provider could refuse to provide medical

Bills: SB95, SB268, SB493, SB619, SB660, SB922, SB984, SB1098, SB1188, SB1307, SB1332, SB1822

Keywords: immunization, written informed consent, civil liability, health care provider, vaccine compensation, administrative penalty, health care, licensing, complaint procedure, disciplinary action, law enforcement, pharmacy benefit manager, PBM, gag clause, prescription drug pricing, out-of-pocket cost, cash price, pharmacist, pharmacy, prescription drug benefit

Transcript Highlights:

• We are just the ID providers. People get that confused sometimes.
• And I think they're well equipped to provide the support that, And I think they're well equipped to provide
• I would like to provide neutral testimony on Senate Bill 435.
• But it does reduce chronic absenteeism and provides a lot of family support.
• To provide public comment, please press star 9 to take your place in the queue.

Bills: AB568, SB90, SB133, SB147, SB229, SB233, SB240, SB245, SB280, SB378, SB393, SB417, SB434, SB494, SB495, AB62, SB104, SB119, SB132, SB193, SB262, SB422, SB431, SB435, SB468, SB503

Keywords: higher education, Nevada System of Higher Education, operational expenses, instructional expenses, public funding, education funding, teacher grants, classroom supplies, instructional support, specialized personnel, civics education, Nevada Center for Civic Engagement, funding, youth programs, civic involvement, Southern Nevada, Clark County, Las Vegas Valley, regional planning, economic resiliency

Transcript Highlights:

• marriage and family therapists, professional counselors, alcohol and drug counselors, behavioral Health providers

Bills: HB4329, HB3016, HB4118, HB3066, HB3649, HB3650

Keywords: dental insurance, claims, medical necessity, appeal procedures, dentist reimbursement, education, vision screening, binocular vision, kindergarten, elementary education, health, family caregiver, tax credit, activities of daily living, elderly care, Oklahoma tax law, HB3066, Health Care Workforce Training Commission, workforce recruitment, health care workforce

Transcript Highlights:

• Each health plan providing coverage for medical and surgical services must also provide coverage for
• So when providers are told... One example is reimbursement.
• provider who will see their child.
• The pharmacists, we are health care providers, right?
• We know that they have a primary care provider.

Bills: SB6226, SB6305, SB5924, SB5990, SB5185, SB5845, SB6071, SB6258

Keywords: SB 6226, Washington, audiology, audiologist, hearing aid specialist, speech-language pathologist, telehealth, teleaudiology, clinical autonomy, clinical judgment, in-person care, remote care, Board of Hearing and Speech, hearing instruments, hearing aids, dispensing hearing aids, standards of care, professional licensure, health professions regulation, patient-centered care

Transcript Highlights:

• This is not about replacing providers.
• This is not about replacing providers.
• an appropriation, to provide a transfer, to provide an effective date, and to provide for an expiration
• and the Public Service Commission to provide contingent loan authorization and to provide an effective
• This committee provided insight and guidance to the process.

Bills: HB1621, HB1624, HB1623, HB1622, HB1625, HB1626, HB1627, HCR3038

Keywords: presidential physical fitness test, physical education, fitness assessment, student fitness, school curriculum, graduation requirements, elementary school, middle school, high school, public schools, nonpublic schools, superintendent of public instruction, exceptions, disability accommodations, North Dakota studies, computer science, cybersecurity, health education, concept-based fitness class, school standards

Summary: The North Dakota House convened in special session with prayer, roll call, and a quorum present, then took up several rural health-related bills. Senate Bill 2401, as amended, required physicians to complete one hour of continuing education in nutrition and metabolic health each renewal cycle and also added language allowing criminal history background checks for the Board of Occupational Therapy Practice. Supporters emphasized the role of nutrition in reducing chronic disease, and the bill passed 92-0. The House then considered Senate Bill 2402, which expanded pharmacists’ limited prescriptive and therapeutic substitution authority for certain low-acuity conditions and clarified related lab-test and communication requirements. Members discussed examples such as motion sickness, cold sores, lice, hypoglycemia, COVID and flu testing, emergency access to medications and supplies, and limits excluding certain drug classes; the bill passed 91-1. Senate Bill 2403 created a temporary medical facility emergency operating loan option through the Bank of North Dakota for qualifying rural hospitals facing severe financial distress, with extensive debate over the targeted nature of the aid, anti-gifting concerns, repayment terms, and the hospital’s turnaround plan; it passed 80-12. Senate Bill 2404 appropriated funds for NDIT to address federal digital accessibility requirements and for the Public Service Commission’s litigation efforts related to transmission costs, with a backup loan authorization available if needed; it passed 92-0. At the close of the session, leaders thanked members and staff for their work on the rural health transformation package, a committee notified the Governor and the Senate that the House had completed its business, absent members were excused, and the House adjourned sine die.