Transcript Highlights:

• As a physician who provides care to many kids right in the Central Valley, I can attest to the important
• work that ACEs has done to increase trauma screening amongst children and the work that physicians do
• And as a physician, I can attest I've seen many cases in the clinic of kids And as a physician, I can
• As a physician, you know, I provide care to kids. I also am a rehab specialist as well.
• “As a physician, I not only hear those stories. I see the impact on the body.

Summary: The Assembly Public Safety Committee met to consider several bills, with six measures approved on consent, including bills on background checks, female offender prison facilities, a juvenile justice hunger survey, protective orders and firearms, a youth offender camp pilot, and peace officer behavioral health training. AB 710 and AB 848 were pulled by the authors. The committee also took up AB 458, AB 394, AB 1094, AB 1092, and AB 1036, with extensive testimony on each. AB 458, by Assembly Member Stephanie, would require state agencies purchasing firearms, ammunition, or accessories to vet vendors for compliance with firearms laws and procurement standards. Supporters, including Brady and the California Police Chiefs Association, said taxpayer funds should not go to dealers with serious violations; opponents argued the bill added burdens and vague standards. The committee approved the bill as amended and sent it to Appropriations. AB 394, by Assembly Member Wilson, would expand protections for transit workers and riders by broadening enhanced battery penalties, clarifying who may seek temporary restraining orders in the transit context, and making those orders system-wide. Transit agencies, labor groups, and law enforcement supported the bill, while public defender and civil liberties groups raised concerns about vagueness, duration, and impacts on access to transit. The committee passed AB 394 to Judiciary as amended. AB 1094, by Assembly Member Baines, would raise the minimum parole eligibility term for child torture convictions involving a child under 14 in the perpetrator’s care or custody from seven years to 20 years. Prosecutors, sheriffs, and police groups supported the bill, citing the severity of the abuse and the need to protect child victims; opponents argued the parole system already screens for risk and that harsher sentences do not improve public safety. The committee approved the bill as amended to Appropriations. AB 1092, by Assembly Member Castillo, would extend concealed carry weapon license renewals from two years to four years; supporters said it would reduce costs and administrative burdens, while the chair and others opposed it as unnecessary. The committee ultimately voted the bill down. AB 1036, by Assembly Member Schultz, would expand post-conviction discovery access for people convicted of felonies with sentences of one year or more, including Brady materials and jury selection notes. Innocence organizations and defense groups supported it, while district attorneys opposed the broader discovery obligations; the committee passed it to Appropriations as amended.

Transcript Highlights:

• Swegler has the rare distinction of being one of just a handful of physicians who has served as a physician
• I know your bill has one for physicians. but actually having nurses and physician assistants also have
• There are currently continuing education requirements for physicians in the bill.
• This amendment would also require CE for nurses under the Texas nursing board and physician assistants

Bills: SJR18 , SCR9 , SCR13 , SB10 , SB11 , SB19 , SB20 , SB25 , SB62 , SB260 , SB263 , SB293 , SB314 , SB384 , SB412 , SB441 , SB442 , SB494 , SB523 , SB569 , SB616 , SB688 , SB707 , SB766 , SB842 , SB869 , SB890 , SB914 , SB929 , SB971 , SB992 , SB1066 , SB1145 , SB1621 , SJR36 , SJR18 , SCR9 , SCR13 , SB616 , SB565 , SB384 , SB372 , SB495 , SB842 , SB971 , SB1066 , SB929 , SB765 , SB523 , SB62 , SB19 , SB18 , SB666 , SB688 , SB707 , SB888 , SB687 , SB706 , SB847 , SB869 , SB890 , SB992 , SB1145 , SB494 , SB290 , SB766 , SB11 , SB10 , SB13 , SB263 , SB412 , SB20 , SB441 , SB442 , SB1621 , SB569 , SB314 , SB25 , SB293 , SB914 , SB260 , SB1248 , SB740 , SB14 , SB1006 , SB20 , SB25 , SB260 , SB293 , SB314 , SB384 , SB442 , SB494 , SB616 , SB869 , SB890 , SB929 , SB992 , SB1145 , SB1621 , SR232 , SR237 , SR242 , SB16 , SB22

Transcript Highlights:

• an advanced practice registered nurse, no, never mind, an advanced practice registered nurse or physician
• Advanced practice registered nurse or physician assistant to serve as the acting local health officer
• in Thank you. physician assistant to serve as the acting local health officer in counties with a population

Summary: The committee and rules meeting advanced a package pull of measures and then moved a series of individual bills and one joint memorial from the white sheet to the floor calendar or second reading calendar. Among the measures discussed were SB 6308 on tools for courts in shelter care hearings to address child protection and tort liability concerns; SB 6200 on tenant rights to install portable cooling devices; SB 6080 on parameters for local jails holding ICE detainees and reimbursement; SB 5911 on protecting benefits and funds for youth in extended foster care; SB 6177 on expanding disclosures on the LEAP website; SB 6052 on a statewide digital transcript data-sharing environment; SB 6182 on an Abortion Savings Program; SB 5828 on college scholarships for private universities; SB 6335 on changes to the Transportation Commission; SB 6017 on trauma-informed treatment of victims and witnesses; SB 6346 on a tax on high earners, which drew opposition over constitutionality and impacts on businesses; SB 6262 on vehicle weight thresholds for certain transportation vehicles; SB 5470 on detached accessory dwelling units outside urban growth areas; SB 5999 on allowing advanced practice registered nurses or physician assistants to serve as acting local health officers in smaller counties; SB 6244 on extending a hazardous substance tax exemption for agricultural crop protection products; and SB 5961 on transferring the Imagination Library Program to SPI. The committee also advanced Senate Joint Memorial 8014 requesting an investigation into a killing. Most measures were described by sponsors as technical, administrative, or supportive of housing, transportation, public health, child welfare, or transparency goals. SB 6346 prompted the most substantive debate, with Senator Braun arguing it functioned as an income tax that could harm small and medium businesses and raise constitutional concerns, while the sponsor characterized it as a tax on millionaires. SB 5999 drew a brief concern about how long acting local health officers could serve, though the member said they would still support it. SB 5961 was noted as having local support and was framed as better aligning the Imagination Library with early childhood literacy goals. The committee approved the package pull and each individual motion by voice vote, with the record reflecting ayes carrying the motions and no recorded roll-call votes. At the end of the meeting, Senator Peterson said it was likely the last sit-down of the first half of session and noted one more standing rules meeting was expected on Monday before cutoff on Tuesday.

Transcript Highlights:

• We previously voted out relating to the immunity for ringside physicians assigned to combative sports
• current law, ethicists and cosmetologists are allowed to perform injections. supervision of a licensed physician
• The medical board has disciplinary oversight over physicians, however, ambiguity exists regarding the

Bills: HB2450 , SB378 , SB764 , SB917 , SB1254 , SB1255

Committee: House Licensing & Administrative Procedures

Keywords: elevator inspection, building safety, construction standards, health and safety code, regulatory requirements, SB 378, Texas Occupations Code, barbering, cosmetology, barber, cosmetologist, licensing, professional licensing, unauthorized practice, medical procedures, skin incision, dermis, injections, devices, consumer safety

Transcript Highlights:

• THIS ALLOWS PHYSICIAN ASSISTANTS IN ADDITION TO PRIMARY CARE PHYSICIANS AND A TIME AS A PRN TO APPLY
• WE HAVE TONY LARGE WAIVING IN SUPPORT REP SOMETHING FLORIDA COLLEGE OF EMERGENCY PHYSICIANS.

Transcript Highlights:

• So we don't have a physician investigator currently. Okay.
• </c> parallegal and an off schedule physician parallegal and an off schedule physician investigator<00
• So we don't have a physician statement.
• </c><02:41:40.240><c> to</c><02:41:40.560><c> physicians</c> practitioners physicians to physicians practitioners
• physicians to physicians assistants<02:41:41.680><c> EMTs</c><02:41:42.240><c> to</c><02:41:42.479><

Summary: The committee discussed House Bill 185, which would amend RSA 3109 to add timelines for OPLC’s complaint review and investigation process. Members reviewed the existing five-year limitation period for misconduct complaints and noted that the bill would add a 30-day deadline for the office to make a recommendation to the board and a 90-day deadline to complete investigations. Some members raised concerns that the new deadlines could conflict with the existing statute of limitations, create pressure to dismiss cases too quickly, and potentially undermine the separation between OPLC’s investigative role and the boards’ adjudicatory role established by House Bill 655. Nicholas Fry, OPLC general counsel, testified that the agency’s fiscal note originally assumed it would need roughly double its staff to meet the proposed deadlines, though a later amendment reduced that estimate somewhat. He said OPLC would still need additional personnel, including investigatory paralegals and a physician investigator for the Board of Medicine, to meet the timeframes. He also explained OPLC’s current complaint and hearing procedures, including new consumer-friendly correspondence, website guidance, and efforts by the enforcement division to improve transparency and communication with complainants and licensees. Bob Quinn of the New Hampshire Association of Realtors testified in support of the bill’s basic goal of speeding up intake and investigation, saying the 30-day intake/review period was reasonable and that the bill would not change OPLC’s role in that first step. He argued, however, that the investigation step is where delays occur, especially for lower-priority complaints, and that some cases have remained unresolved for years. Committee members also questioned how the added staffing costs would be paid, with discussion of whether they would come from license fees or the general fund. No vote or final action was taken in the portion of the meeting provided.

Transcript Highlights:

• Would you be willing to add primary care physician, physician assistant, or nurse practitioner?
• It’s on page two, line 23, and after primary care physician put comma, physician assistant, comma, or
• , physician assistant, or nurse practitioner’s agreement that the application no longer meets level of
• It’s on page two, line 23, and after primary care physician put comma, physician assistant, or nurse
• </c><01:03:07.160><c> has</c><01:03:07.440><c> increased</c> nursing and and Physicians has increased

Committee: Senate Health and Human Services

Transcript Highlights:

• "Williston-based physicians, are you using a telehealth component to your services as well?"
• We would, I don't believe that we're going to need to recruit physicians.
• We do have a pretty strong staff of physicians, both inpatient and outpatient.
• Did you say positions or physicians? Positions. Okay. I thought you said physicians.
• Donna, what's going on in behavioral health with vacant physicians?

Summary: The committee was called to order, the roll was taken, and the March 18 minutes were approved. Members then received several project and program updates, beginning with CHI St. Alexius’s behavioral health buildouts in Bismarck, Williston, and Grand Forks. St. Alexius reported that the Bismarck project remains on track for June 2027 completion, with demolition underway and final design work nearing completion. Williston reported construction is progressing, staffing recruitment is underway for psychiatrists and other staff, and an air handler replacement is creating a roughly $750,000 unbudgeted barrier that will slightly delay the timeline. Grand Forks reported its expansion is about 30% complete, with no major barriers beyond weather, and leaders said the project should be substantially complete in the first quarter of 2027. The Department of Health and Human Services then presented a series of budget and program updates. Donna Ockland explained several recent line-item transfers as technical corrections that net to zero and do not require new spending, then reviewed salaries, wages, and FTE counts, noting the department remains within its authorized staffing levels. Pat Rainer followed with an update on the Rural Health Transformation Program, saying 12 opportunities have been posted, 422 applications received, and $8.4 million obligated so far, with a goal of obligating the full $199 million by September. He described grants for workforce retention, rural rotations and housing, community gardens, school wellness, behavioral health promotion, safety net services, equipment, technology, EMS, and other initiatives, emphasizing that the program is intended to be transformational and tied to metrics. Members asked extensive questions about how rural eligibility is defined, how grants will support both rural facilities and hub hospitals, and how future years of funding will build on current awards. The committee also heard an update on certified community behavioral health clinics from Elena Zeller, who said North Dakota has been accepted as a demonstration state, implementation is underway in Williston, North Central/Minot, Fargo, and Dickinson, and care coordination and service counts are increasing. Rebecca Askins then reviewed SNAP payment error rates, saying the 2025 rate was finalized at 9.89%, with the state aiming to get below 6% through policy updates, training, data tools, and a quality assurance team. Members pressed her on the causes of the error rate, the role of the SPACES software system, and the need for accountability and improvements. Finally, Dirk Wilkie reported the state laboratory project reached substantial completion on June 12 and is on budget at about $69.95 million, though a service elevator had to be redesigned because it was too small for equipment.

Transcript Highlights:

• Second, it ensures that more qualified health care professionals, not just physicians, can determine
• we have to codify every, every clinical interaction that changes an outcome instead of allowing physicians
• Access to a physician.
• This bill is not about replacing physicians, nurses, or physician associates.
• you did that with the amendment on the malpractice side to bring it up to the same standard as physicians

Bills: SB274 , SB301 , SB249

Committee: House Health & Human Development

Summary: The committee heard and advanced several measures related to health care, public health, and patient protections. House Concurrent Resolution 148, urging a statewide educational strategy on menopause, was presented as a workplace awareness measure and received supportive comments from members before being released. Senate Bill 274, updating Delaware’s MOST program to POLST and clarifying capacity determinations and documentation for end-of-life orders, also drew supportive testimony from medical and nursing groups and was released. House Bill 458, limiting local backflow preventer requirements for certain low-hazard buildings, was presented as a cost-relief measure for homeowners and small businesses; DHSS expressed concerns but said it was willing to work on amendments and a sunset provision, and the bill was released. Senate Joint Resolution 18, designating August 31, 2026 as International Overdose Awareness Day and ordering flags at half-staff, was released after brief supportive remarks. The committee then considered Senate Bill 339, a technical correction to the advance health care directive form clarifying that an agent’s authority for voluntary mental health admission cannot exceed 72 hours, consistent with existing law. Members asked detailed questions about how the 72-hour limit works and whether it applies to voluntary directives; the sponsor and a Disability Rights Delaware witness explained that the bill only aligns the form with current statute and does not expand authority. The bill was released. House Bill 301, requiring hospitals to create discharge plans for pregnant patients discharged while showing signs of labor, prompted extensive discussion. The sponsor and supporters said it would improve safety, transportation planning, and aftercare, while some members noted Delaware hospitals already do much of this work and questioned whether codifying it was necessary; supporters emphasized maternal mortality disparities and the need for guardrails. The bill was released. Senate Bill 196, creating ownership disclosure requirements for long-term care facilities and resident notice rules after ownership transfers, was presented as a transparency measure for seniors and families and was released after supportive testimony from the Delaware Nurses Association and elder-care advocates. Senate Bill 320, expanding pharmacists’ independent prescriptive authority for certain non-controlled medications and allowing opioid use disorder medications under standing order, with added malpractice reporting requirements in Senate Amendment 2, was supported by pharmacists and nurse practitioners as an access-to-care measure and was released. Senate Substitute 1 for Senate Bill 161, establishing a unified licensing and oversight framework for adult behavioral health providers under DSAM, was presented as a patient-protection measure; providers supported the goal but cautioned that regulations must be workable, and the substitute was released. Senate Joint Resolution 19, directing DHSS to study strategies to reduce health care costs, was released with a note reflecting concerns about broadening the analysis to include additional cost drivers and alternatives. Finally, Senate Bill 249 with Senate Amendment 2, modernizing harm-reduction programs and paraphernalia laws, generated the most extended debate: supporters framed it as life-saving public health policy, while opponents raised concerns about needle litter, community impacts, and whether the approach facilitates addiction. Despite the objections, the bill was released.

Transcript Highlights:

• Adrian Mohammed with the Union of American Physicians and Dentists in support.
• George Osborne, representing the Union of American Physicians and Dentists, in support.
• I'm a family doctor, president of the Union of American Physicians and Dentists.
• Currently, UC resident physicians are negotiating their first statewide contract.
• George Osborne for the Union of American Physicians and Dentists in support. Thank you.

Committee: House Public Employment and Retirement

Transcript Highlights:

• Senate Bill 1095 prohibits physicians and other health professionals from providing gender transition
• Physicians who provide or make referrals for such services are subject to discipline for unprofessional
• a psychiatrist or psychologist or, for counties with populations less than 500,000 persons, by a physician
• , physician assistant, or nurse practitioner experienced in psychiatric matters.
• Madam Chair, the seven-page amendment in your name dated January 27, 2026, at 12 p.m. removes physicians

Bills: SB1095 , SB1127 , SB1170 , SB1208 , SB1211 , SB1237 , SB1239 , SB1240 , SB1243 , SB1244 , SB1259 , SB1283

Committee: Senate Judiciary and Elections

Keywords: gender transition, minors, irreversible surgery, health professionals, puberty-blocking drugs, medical procedures, prohibition, Arizona Revised Statutes, lifetime probation, early termination, criminal justice, supervised probation, sexual offenses, annual review hearing, community notification, aggravated harassment, lifetime injunction, victim protection, felony offenses, domestic violence

Transcript Highlights:

• It's Representative Joanne Ferrary's (member_12999) bill, "Death Certificate by Physician Assistant."
• So, what the bill does basically allows physicians. Assistance to sign a death certificate.
• Line four, before "physician," insert "primary care." And then on page five, no.
• If a physician, physician assistant, or nurse practitioner is unable to certify the cause of death for
• We stand in opposition as future physicians and professionals.

Committee: House House Health & Human Services

Transcript Highlights:

• We have about 18 technical advisory committees, anywhere from physicians to primary care, that also ask
• We have about 18 technical advisory committees, anywhere from physicians to primary care, that also ask
• to Primary Care anywhere from Physicians to Primary Care that<00:37:44.720><c> also</c><00:37:45.440
• </c> we have that one single uh physician we have that one single uh physician drug<00:40:32.800><c>
• with a a physician of like um<00:46:53.240><c> or</c><00:46:54.000><c> similar</c><00:46:54.480><c>

Summary: The subcommittee met to review the Department for Medicaid Services’ program integrity work. Commissioner Lisa Lee and Program Integrity Director Jennifer Dudinsky outlined Kentucky Medicaid’s structure, funding, enrollment, and spending, including FMAP rates, the size of the Medicaid and KCHIP populations, the number of providers, and 2024 expenditures. They also described the managed care and fee-for-service populations, noting that managed care serves most members while fee-for-service is concentrated in long-term care and waiver populations. Most of the discussion focused on fraud, waste, abuse prevention, and provider oversight. The department described its provider enrollment and certification checks, revalidation requirements, site reviews, fingerprinting for some high-risk providers, and termination grounds such as false application information, Medicare actions, unreported ownership changes, and abandonment of a provider number. Members asked about nonprofit ownership reporting, MCO fraud oversight, and how the department tracks unusual CPT code utilization, especially in behavioral health. The department said it uses data analytics, audits, policy review, and collaboration with behavioral health staff to monitor those trends. Dudinsky explained the division’s four branches: provider licensing and certification, audits and compliance, recovery, and third-party liability/estate recovery. She described prepayment and postpayment audits, referrals of credible fraud allegations to the Attorney General, monthly meetings with the AG’s office, and coordination with the Office of Inspector General, CMS, HHS OIG, MCOs, and other partners. She also explained payment suspensions, stand-downs during law enforcement investigations, and recovery efforts for overpayments, provider/member fraud, and third-party liability. The department said its recovery and avoidance efforts produced more than $251 million in savings so far in 2025. No votes or formal actions beyond approving the minutes were taken.

Transcript Highlights:

• Doctor Franklin is a family physician and the current president of the Oklahoma Academy of Family Physicians
• provides care to patients of all ages while also teaching and mentoring the next generation of physicians

Bills: SB843 , SB1733 , SB1476 , SB1237 , SB1410 , SB1894 , SB1272 , SB1204 , SB1721 , SB1725 , SB1735 , SB1337 , SB1339 , SB1461 , SB1975 , SB1450 , SB1458 , SB1232 , SB1238 , SB1325 , SB1209 , SB1362 , SB2072 , SB1451 , SB1540 , SB1581 , SB1535 , SB1266 , SB1927 , SB1460 , SB2084 , SB2182 , SB392 , SB985 , SB1265 , SB1283 , SB1441 , SB1307 , SB1425 , SB1826 , SB1365 , SB1696 , SB1870 , SB1722 , SB1639 , SB715 , SB716 , SB182 , SB609 , SB169 , SB134 , SB1611 , SB432 , SB1407 , SB2039 , SB1356 , SB1288 , SB2019 , SB1705 , SB1878 , SB2118

Keywords: school boards, educational governance, conflict of interest, employee relations, Oklahoma statutes, child abuse, reporting requirements, sexual misconduct, law enforcement, school personnel, confidentiality, student safety, land office, land exchange, investment, education funding, real estate management, Teachers' Bill of Rights, education, teachers' rights

Transcript Highlights:

• We have this interstate compact that allows us to bring physicians here, and we need them.
• He said it really helps physicians' practices, rural clinics, and others to promote vaccination.
• and the Physicians patients and the<02:00:42.760><c> Physicians</c><02:00:43.760><c> I</c><02:00:43.880
• I have served in healthc the Physicians I have served in healthc care<02:00:45.400><c> for</c><02:00
• </c><02:52:40.200><c> care</c><02:52:40.880><c> to</c> breaching student physician care to breaching

Committee: House Finance

Transcript Highlights:

• ,<03:38:14.160><c> physician</c><03:38:14.720><c> assistants,</c><03:38:15.520><c> or</c> physician,
• physician assistants, or physician, physician assistants, or nurse<03:38:16.479><c> practitioner</c><
• changing the term physician assistant to physician<04:58:44.958><c> associate.
• Uh this will change the title of physician assistant to physician associate in statute.
• </c><05:01:35.120><c> assistant</c> change the title of physician assistant change the title of physician

Transcript Highlights:

• if you identify there's a problem there and maybe that's linked back to the lack of primary care physicians
• or providers in that physicians or providers in that community,<00:27:07.039><c> then</c><00:27:07.279
• </c> um 17% of our primary care physicians um 17% of our primary care physicians are<01:05:56.960><c>
• Like earlier I mentioned that we were going to do injections for physicians, and now we're going to do
• and now injections for uh physicians and now we're<01:07:23.920><c> going</c><01:07:24.000><c> to</c

Summary: The Budget Review Subcommittee on Health and Family Services opened its first meeting of the 2026 interim session, took roll, and moved directly into presentations. The main presentation was from Ryan Bramble of Crisp Shared Services, who described the organization’s health information exchange and health data utility model in Kentucky and other states. He emphasized that Crisp is a nonprofit, that data ownership remains with providers, and that governance is local. He also outlined the technical infrastructure, including a master patient index, cloud-based data lake, support for modern standards like FHIR and USCDI as well as older formats, and data quality tools used to normalize and standardize information. Bramble said the model is intended to reduce duplication, lower costs, and support rural providers and future use cases such as reporting, analytics, and AI-enabled decision support. Members asked how the state can ensure the data is actually used and who should drive priorities for health care improvement. Bramble said Crisp can provide tools, expertise, and examples from other states, but local teams such as KHI and state stakeholders must tailor and lead utilization efforts. In response to questions about ownership and coordination, he stressed that successful HIE governance requires a multistakeholder body that includes hospitals, health plans, government, and other interests, with a unified approach rather than multiple competing directives. He also said the Commonwealth has an opportunity to convene those stakeholders and set clear priorities. A senator raised concerns that responsibility for Medicaid and broader health policy has become fragmented and suggested a stronger central role for the state, possibly through the Department of Public Health, to coordinate health priorities. Bramble agreed that a single convening authority and multistakeholder governance are important, and noted that local governance should determine what data is shared and how it is used. No votes or formal actions were taken during this portion of the meeting. After Bramble’s presentation and questions, the committee was told that Secretary Stack from the cabinet would testify next on the rural health transformation plan.

Transcript Highlights:

• appeals from the medical treatment guideline issues when there is a dispute between the treating physician
• and the IME physician or the other types of physicians from the employer side.
• ...when there is a dispute between the treating physician and the IME physician or the other types of
• physicians from the employer side.
• This bill would remove the preliminary determination. his or her choice of a physician.

Committee: House Labor & Industrial Relations

Summary: The House Labor and Industrial Relations Committee met on April 9 and first took up Senate Bill 162, which would change the workers’ compensation medical treatment schedule appeal process. The bill, presented as a collaboration between the Attorney General’s office and trial lawyers, would require additional medical evidence submitted on appeal to be sent back to the medical director for review before court review continues. Members discussed the 30-day turnaround for the medical director and whether the process would delay injured workers’ cases. After testimony from injured workers’ representatives and support cards from several business and labor groups, the committee adopted the technical amendments and reported SB 162 favorably. The committee then heard House Bill 353, which would establish a state minimum wage beginning at $12 per hour in 2027, rising to $15 in 2029 and then indexed to inflation. Supporters, including the sponsor, Invest in Louisiana, the Workplace Justice Project, 10,000 Women Louisiana, the AFL-CIO, and a young witness from People’s Promise, argued that Louisiana’s wages have lagged behind costs of living, that many workers remain in poverty, and that the bill would help families, reduce reliance on public benefits, and improve economic stability. Opponents, including NFIB and small-business advocates, argued that the market should set wages, that the bill would raise labor costs, compress pay scales, reduce hours or hiring, and potentially increase prices. After extended debate, the committee voted and HB 353 failed. The committee next considered Senate Bill 383 on the incumbent worker training program. Senator Bass and Louisiana Works officials said the bill would expand and make the existing program more flexible, increase available funding, shorten the business eligibility period from three years to two, and allow unused funds to roll over. Members focused on how the program would reach workers, how businesses and employees would learn about training opportunities, and how it would support workforce development in growing regions. Support came from business and economic development groups, and the committee reported SB 383 favorably with amendments. Finally, the committee began Senate Bill 382, which would repeal the Workers’ Compensation Advisory Council, described as the Senate version of a bill the committee had already considered. The transcript cuts off during discussion of the prior vote on the similar House version, and no final action on SB 382 is shown in the excerpt.

Transcript Highlights:

• I think most physicians would just go, 'Okay, stop,' and stop it, but then how are they going to chart
• It doesn’t say the physician has to stop. They don’t have to stop.
• Now, the way I’m reading it, it definitely won’t prohibit the physician from using AI to analyze a condition
• It doesn’t say the physician has to stop. They don’t have to stop.
• I do have an overseeing and collaborative physician, and I do have multiple relationships with various

Committee: House Health and Welfare

Summary: The committee first heard HB 1076, which would repeal the sunset date for the Louisiana Behavior Analyst Board. The bill was presented as a simple continuation measure, and Rep. Stagney moved to report it favorably; the motion passed without objection. The committee then took up HB 475 on artificial intelligence in health care. The author explained that the bill was intended to require disclosure when AI or recording software is used to transcribe patient encounters, and an amendment changed the proposal from patient consent/opt-out to disclosure only. The amendment was adopted, and HB 475 was reported favorably with amendments. HB 740, dealing with Medicaid managed care, was amended with technical changes and then presented as a way to let providers in the coordinated system of care appeal claim denials through the same independent review process used by Medicaid managed care plans. The Louisiana Hospital Association supported the bill, and it was reported favorably with amendments. HB 926, which would have barred public facilities from restricting access based on vaccination status and related medical decisions, drew testimony from supporters who framed it as a medical autonomy and informed-consent measure. After questions about public versus private facilities and whether the bill could affect hospitals or disease-based restrictions, Rep. Cruz moved to voluntarily defer the bill, and it was deferred without objection. The committee then considered HB 457 on housing standards for organizations serving people experiencing homelessness. The author said the bill was prompted by concerns about unsafe and unsanitary group homes and would direct LDH and the Fire Marshal to establish minimum standards for safety, sanitation, privacy, and habitability. Supporters said the bill would protect vulnerable residents, while opponents, including Oxford House and the Louisiana Fair Housing Action Center, warned it could conflict with federal fair housing protections and impose burdens that could reduce recovery housing and other services. After extensive debate, the bill was reported favorably with amendments by a recorded vote. Finally, HB 616, which would give the legislative auditor oversight of publicly funded homeless service providers, was heard with testimony from homeless service organizations that argued the bill was duplicative, costly, and could expose sensitive HMIS data; the bill remained under discussion at the end of the transcript.

Transcript Highlights:

• I'm a practicing emergency physician at Logan Regional Hospital, which is an Intermountain facility.
• So I'm a practicing emergency physician at Logan Regional Hospital, which is an Intermountain facility
• I'm also an emergency physician, and our primary interests are metragynine, and then there is less of
• So I commend that physician for taking that job. I've been... ...the workload.
• It leverages mid-levels and our primary care physicians.

Committee: Joint Health and Human Services Interim Committee