Transcript Highlights:

• You can months without treatment.
• ><00:38:19.920><c> to</c><00:38:20.040><c> be</c><00:38:20.200><c> sure</c> treatment plans uh in order
• to be sure treatment plans uh in order to be sure that<00:38:20.680><c> we're</c><00:38:20.800><c> doing
• </c> evidence-based treatments. evidence-based treatments.
• </c> mainland for this treatment. mainland for this treatment.

Bills: HB1626 , HB1643 , HB1668 , HB1550 , HB1974 , HB1858 , HB1871 , HB1966 , HB1972 , HB1973

Committee: House Health

Keywords: youth penalties, juvenile justice, community service, fees and fines, Native Hawaiian, Pacific Islander, reform, court costs, cultural connection, pharmacy, pharmacist, pharmacy audit, audit reform, pharmacy benefit manager, PBM, recoupment, extrapolation, claims audit, pharmacy reimbursement, dispensing fee

Summary: The committee heard testimony on SB 847, which would create a Kauai pilot program allowing qualified psychologists limited authority to prescribe psychotropic medications. The Board of Psychology supported the bill’s intent but asked for amendments to delay the effective date or extend the pilot so rules could be written first, and to clarify the education/training language. Supporters, including the Hawaii Psychological Association, Hawaii Mental Health Coalition, and several psychologists, argued that prescribing psychologists have long safety records in other jurisdictions and that the pilot could improve access to care on Kauai, especially amid ongoing mental health needs and storm-related stress. They cited studies and examples from New Mexico, Louisiana, the Department of Defense, and other places. Opponents, including the Hawaii Medical Association, American Academy of Pediatrics, Queen’s Medical Center, and a Department of Health representative, said the bill needed substantial work, raised concerns about training, liability, and workforce impacts, and urged a team-based model with psychiatrist oversight rather than independent prescribing. Some testimony also referenced a GAO report, with witnesses disagreeing over its meaning and cost-effectiveness. No vote was taken during the discussion, and members asked questions about how the bill would address the workforce shortage and whether a psychiatrist on Kauai could already meet the need. The committee then moved to SB 2271 on hospital licensing and SB 2272 on home health care licensing. The Department of Health, the Healthcare Association of Hawaii, and the Hawaii State Council on Developmental Disabilities supported both measures, which were described as streamlining and clarifying licensing oversight by relying on accreditation or certification reports. A member asked whether the bill language on hospital accreditation reports was duplicative, and the response was that the second provision was intended to strengthen enforcement by requiring hospitals to provide the actual report to DOH. The committee did not take final action in the portion of the hearing provided, and the chair noted that all bills on the agenda would later be considered for decision-making.

Transcript Highlights:

• Uh, from water pieces, we've got 3 water treatment plants.
• Um, so in order to do this, it takes about 1600 people.
• We operate 4 water treatment systems, uh, 5 wastewater treatment facilities, and 1 big recreation project
• It's going to go up by an order of magnitude.
• On the, on the wastewater treatment side, I, I just have to point out that we provide wastewater treatment

Committee: House Natural Resources

Transcript Highlights:

• But the more important piece is we have court-ordered timelines.
• the county or order a support system for that individual.
• I have sat with and helped people take this safe medical treatment.
• I have sat with and helped people take this safe medical treatment.
• If I go through the mail order, then I can get the 90-day supply, but the price is. the mail order, then

Summary: The committee heard several health-related measures. SB 27 by Senator Umberg would revise and expand California’s CARE Court by limiting the expansion to people with bipolar I disorder with psychotic features, clarifying the definition of “clinically stabilized,” and narrowing the role of nurse practitioners and physician assistants. Supporters, including behavioral health officials and family members, said the bill would reduce dismissals and better serve people with severe illness; opponents warned the expansion would strain county staffing and housing resources and could undermine voluntary engagement. The bill passed on a do pass motion to the Committee on Public Safety. SB 503 by Senator Weber Pierson would require AI tools used in health care facilities to be identified, monitored, and mitigated for bias when used in clinical decision-making or resource allocation. The author and supporters from Kaiser Permanente and the California Medical Association said the bill would help prevent discriminatory outcomes and improve trust and safety. The committee discussed the need to clarify developer and deployer responsibilities, and the bill passed as amended to Privacy and Consumer Protection. SB 68 by Senator Menjivar would require restaurants to provide written allergen information for the top nine food allergens, with tiered flexibility for smaller establishments. The bill was supported by patients, families, nurses, and allergy organizations, who described severe reactions and the difficulty of relying on verbal disclosures alone. The California Restaurant Association opposed unless amended, seeking broader use of the national model food code and additional liability language. The bill passed as amended to Appropriations. The committee also heard SB 403 by Senator Blakespear, which would remove the sunset from the End of Life Option Act; supporters described the law as a compassionate, well-functioning option for terminally ill patients, while faith-based groups opposed it. The bill passed to Judiciary. Later, SB 41 by Senator Wiener was introduced to rein in pharmacy benefit manager practices that steer patients to mail-order pharmacies and reimburse community pharmacies below cost; community pharmacists and several health organizations testified in support, describing pharmacy closures and patient access problems.

Transcript Highlights:

• The Committee on Health and Human Services is called to order.
• I'm kind of involved in residential treatment.
• So you go to outpatient treatment, you go to residential treatment, and then, you know, it's sort of
• like a soft landing— ...outpatient treatment, you go to residential treatment, and then, you know, it's
• go for treatment?

Committee: Senate Health and Human Services

Keywords: 1182, all

Transcript Highlights:

• </c> our particular water treatment facility. our particular water treatment facility.
• We do inspections on the treatment facilities, like if it's a water treatment plant.
• We do inspections on the treatment facilities, like if it's a water treatment plant.
• We do inspections on the treatment facilities, like if it's a water treatment plant.
• </c> of public public treatment facility. of public public treatment facility.

Keywords: 958, all

Summary: The meeting began with roll call, adoption of the minutes, and brief remarks, including birthday recognition for Representative Maseroni and a moment of reflection for a soldier who died during training at Fort Knox. The committee then heard a presentation from Tony Hatton, commissioner of the Department for Environmental Protection and acting director of the Kentucky Division of Water, with Amanda Lefer, deputy commissioner, on the state’s water and wastewater programs and planning. Hatton described Kentucky’s water resources and the Division of Water’s responsibilities, including watershed and nonpoint source work, KPDES discharge permitting, PFAS response, engineering review of water infrastructure, inspections, public outreach, and sampling. He said Kentucky has 428 public water systems, 263 water treatment plants, about 1.9 million service connections, and nearly 97% of the population has access to municipally treated water. He also noted that the state has 43 systems receiving awards for EPA areawide optimization and emphasized operator training, regionalization, and use of GIS mapping and Kentucky Infrastructure Authority data to support planning and funding decisions. Members raised concerns about aging infrastructure, water loss, staffing shortages, and wastewater problems in local systems. Representative Blandon described severe failures in a city system, including major water loss and sewer backups, and asked whether the state could intervene; Hatton said the division inspects treatment facilities and provides compliance assistance but is not authorized to manage delivery systems, though third-party help and emergency funding can be used in some cases. Senator Smith and others shared similar experiences with line loss and system failures, while Hatton pointed to regionalization and funding support as the main tools available. The discussion also highlighted PFAS as an emerging issue, with Hatton saying the department is working with systems to meet anticipated federal requirements by 2029.

Transcript Highlights:

• The meeting of the House Health and Human Services Committee came to order.
• We currently serve 47% of Medicaid members in SUD treatment.
• We currently serve 47% of Medicaid members in SED treatment.
• We provide service to up to 300 providers and expanded territories in Colorado. ...treatment.
• So to really differentiate that so that treatment is getting, we're getting to the core of treatment,

Summary: The House Health and Human Services Committee first heard House Bill 256, which would require school cardiac emergency response plans to address sudden cardiac arrest at school athletic activities and ensure AEDs are clearly marked and accessible at those events. The sponsor and an American Heart Association representative said the bill builds on last year’s law and is meant to improve implementation, not add new equipment costs. Members asked about funding, were told the AEDs are already in place, and the bill received a due pass with no opposition. The committee then took up House Bill 278 on Medicaid reimbursement for toxicology testing in substance use disorder treatment. The sponsor and Southwest Labs argued that current payer policies limit providers’ clinical judgment, that a new flat-rate code for unlimited analytes would improve care, keep Medicaid dollars in New Mexico, and support local laboratories. Several members raised concerns about whether the bill effectively rewrites bundled G-codes, whether it mainly benefits one company, how it affects MCO contracts, GRT/tax issues, and whether the fiscal estimates were realistic. After extensive questioning and conflicting views, a due-pass motion was made but the vote ended in a tie, so the bill did not advance. Finally, the committee considered House Bill 287 to create a permanent, full-time Health and Human Services Committee with a director and expanded membership, similar to other permanent legislative committees. Supporters from advocacy and policy groups said health care is too large and complex to be handled by a part-time interim committee and that year-round staffing would improve oversight and policymaking. Members discussed committee composition, staffing, subpoena power, and the proposed appropriation, and the sponsor said the bill is a starting point that could be refined later. The committee approved HB 287 on a do-pass motion and then adjourned until Monday morning.

Transcript Highlights:

• They have primary treatment, secondary treatment. They remove bio solids.
• some additional treatment.
• These distributed waste treatment units are essentially microwastewater treatment facilities.
• This is a different category of treatments.
• It's not equivalent to a wastewater treatment or an onsite waste treatment facility.

Transcript Highlights:

• :38.880><c> that</c><00:09:39.040><c> was</c> Water Treatment Facility that was Water Treatment Facility
• , and other treatment services.
• , education, treatment, and other treatment<01:25:50.239><c> services.
• </c> care systems, our our treatment care systems, our our treatment facilities<01:42:44.000><c> are<
• </c><01:42:50.639><c> is</c> successful mental health treatment is successful mental health treatment

Committee: Senate Capital Investment

Keywords: 1187, senate, all

Transcript Highlights:

• I'd like to call this Committee hearing for Crime and Public Safety to order.
• Yeah, it would be offered as part of their treatment if they so chose to take it.
• Yeah, it would be offered as part of their treatment if they so chose to take it.
• They order the medication and they carry it.
• The one thing we’re changing for what we do now is medical treatment.

Committee: House Crime and Public Safety

Keywords: 959, house, all

Transcript Highlights:

• You The meeting will now come to order. We will begin with our first bill.
• We've got some traps ordered, but we don't have enough.
• FDA and EPA to expand treatment options.
• The pre-treatment with ivermectin...
• in situations where there might be a treatment area, as Dr.

Committee: House Agriculture & Livestock

Keywords: 997, house, all

Transcript Highlights:

• Speaker, the House will be on the 12th order of business.
• Are there any on the sixth order to be heard separately?
• The bill on the sixth order will be placed on the 11th order of business on today's calendar.
• The House will now be on the 14th order of business.
• The House will now be on the 14th order of business.

Keywords: 908, all

Summary: The House convened with prayer, the Pledge of Allegiance, and a quorum present. The chamber received notice that the governor had signed several bills, and the Speaker appointed conference committees after the Senate failed to concur with House amendments on Senate Bills 2180 and 2330. The House also approved several sixth-order amendments without objection before moving into reconsideration and final action on House Bill 1300, which concerns legislative term limits. After procedural motions to reconsider and undo concurrence, the House voted to do not concur on HB 1300, sending it back to the chair’s lap for further negotiation. A major portion of the meeting focused on Senate Bill 2232, which changes mandatory reporting rules for prenatal exposure to controlled substances and alcohol. Supporters said the bill is intended to keep pregnant women in prenatal care by removing an automatic CPS report if a woman tests positive but enters and stays on a treatment plan; opponents argued it weakens protections for unborn children and creates vague standards for mandated reporters. The House passed the bill 57-36. The chamber also passed Senate Bill 2280 unanimously, establishing timelines and standards for prior authorization in health insurance, and passed Senate Bill 2186, which creates a civil remedy for interference with court-ordered parenting time, a child custody review task force, and related reporting requirements. The House then took up Senate Bill 2239, an apprenticeship grant program with a $1.1 million appropriation, but rejected it 14-79 after the committee said the program lacked a clear administrative home. Senate Bill 2241, creating a framework for public charter schools, generated extensive debate over school choice, local control, funding, staffing, and rural impacts; supporters emphasized flexibility and community-driven options, while opponents warned about diversion of funds and weak guardrails. The bill passed 64-29. The House also passed Senate Bill 2024, the Department of Environmental Quality budget, after discussion about federal funding uncertainty; Senate Bill 2374, updating property insurance laws and market rules; Senate Bill 2216, creating a waterfowl habitat restoration stamp; Senate Bill 2245, allowing certain duck and goose hunting from anchored floating craft; and Senate Bill 233, establishing a distressed ambulance services process, which drew questions about how affected districts and neighboring services would be involved.

Transcript Highlights:

• What if the parents don't follow through with those orders?
• Yeah, so if the parent, if the court were to order court-ordered services and the parent were not to
• There is nothing in this bill that authorizes the court to order removal if the ordered services are
• There is nothing in this bill that authorizes the court to order removal if the ordered services are
• A court order does not magically make a better quality treatment vet open up.

Bills: HB2511 , HB2660

Committee: House Early Learning & Human Services

Keywords: child welfare, dependency, imminent physical harm, child abuse, neglect, foster care, extended foster care, shelter care, out-of-home placement, Department of Children, Youth, and Families, DCYF, family law, juvenile court, child protection, unsafe home, substance use, caregiver impairment, relative placement, guardianship, adoption

Transcript Highlights:

• The treatment may not have been effective as possible.
• Newborn calf in Brazil gets its navel treated preventive treatment.
• Thank you. with the treatment from what you're proposing?
• Is there a difference on the treatments that you all are getting?
• We think they got that out of order.

Keywords: 1184, house, all

Transcript Highlights:

• I'm calling the Ways and Means Committee to order on Friday, February 6, 2026.
• say, corporate or treatment in business taxes.
• A court order does not magically make a quality treatment bed open up for them.
• A court order does not magically make a quality treatment bed open up for them.
• Detention and treatment close to home would also help, but this bill doesn't invest in more treatment

Bills: SB6346 , SB6347 , SB6147 , SB6246 , SB5940 , SB5882 , SB6223 , SJR8206 , SB5762 , SB5828

Committee: Senate Ways & Means

Keywords: millionaires tax, wealth tax, income tax, state revenue, tax reform, Washington estate tax, estate tax, inheritance tax, death tax, probate, decedent, gross estate, taxable estate, exclusion amount, tax rate, estate planning, heirs, beneficiaries, RCW 83.100, Department of Revenue

Transcript Highlights:

• The Committee on Health and Mental Health will now come to order.
• Treatment is, I believe, a 50- or 60-word-long definition.
• So in order to close that loophole that no one knew was going on.
• And I don't mean just with information; I mean with treatment plans.
• to provide those treatments or to try to identify what is causing what.

Committee: House Health and Mental Health

Keywords: 959, house, all

Transcript Highlights:

• for L&I to inspect, but some of those modular units are coming from outside of Washington, and in order
• And in order to have them inspected by L&I, we have to send inspectors on site.
• The suspension is measured from the date of L&I's final order.
• provider does not prevent the employer from providing on-site treatment at the worker's choice.
• and requires the request for treatment approval within 120 days of the treatment.

Summary: The Labor and Commerce Committee held public hearings and later executive action on several bills. Senate Bill 6158, by request of L&I, would update factory-built housing and commercial structure rules to incorporate International Code Council standards and allow qualified third-party inspectors approved by L&I; the sponsor said it would make modular housing inspections more efficient and cost-effective, and L&I supported it with a requested technical amendment and no fiscal impact. Senate Bill 6197 would separate plumbing discipline standards for residential and nonresidential work, allowing suspension after five infractions in five years for nonresidential violations while keeping the current three-in-36-month standard for residential work; supporters from mechanical contractors, union plumbers, and a plumbing advisory board member said it would curb unlicensed work and unsafe practices, while opponents from contractor groups and some plumbing businesses argued it was too punitive, did not adequately distinguish commercial service from construction, and should be refined. L&I said it needed time to implement and asked for a later effective date. During executive session, the committee adopted a proposed substitute and advanced Senate Bill 5437, which voids noncompetition covenants, with a delayed effective date and other conforming changes; some Republicans opposed it as too broad. The committee also advanced Senate Bill 6117, which would extend PERC jurisdiction and state collective-bargaining protections if federal labor law no longer applies, after rejecting an amendment that would have narrowed coverage further. Senate Bill 5852, dealing with immigrant worker protections during federal I-9 inspections, advanced after the committee rejected an amendment to remove the private right of action. Senate Bill 5847, on workers’ compensation medical care and treatment access, advanced with an amendment removing penalty provisions and another adding claims manager positions; the bill was sent to Ways and Means. Senate Bills 6067 and 6136 also advanced, the former changing workers’ compensation health benefit calculations and the latter requiring L&I to publish actuarially indicated industrial insurance rates. The committee then heard Senate Bill 6302, which would address misclassification in finishing trades on public works by limiting contractors and subcontractors to no more than two independent contractors on covered finishing work such as drywall, flooring, tile, painting, and glazier work, with violators treated as employees for prevailing wage and workers’ compensation purposes. Supporters from building trades and pipefitters said the bill would reduce misclassification, protect workers, and level the playing field; opponents from general contractors and contractor associations said it would effectively ban legitimate independent contractors, reduce flexibility on public projects, and hurt small businesses. L&I said it had clarifying questions about how the cap would apply and asked for more specificity.

Transcript Highlights:

• Yeah, so if the parent, if the court were to order court-ordered services and the parent were not to
• There is nothing in this bill that authorizes the court to order removal if the ordered services are
• There is nothing in this bill that authorizes the court to order removal if the ordered services are
• A court order does not magically make a better quality or treatment vet open up.
• A court order does not magically make a better quality or treatment vet open up.

Summary: The committee heard testimony on House Bill 2511, which would define “imminent physical harm” in the child welfare context as a substantial risk of serious harm arising from home conditions, caregiver conduct, neglect, substance abuse, unsafe environments, or other circumstances likely to cause significant injury. Representative Tom Dent, the sponsor, said the bill was intended to give caseworkers clearer tools to protect children while still recognizing the importance of keeping families together. Supporters, including some foster parents, kinship caregivers, advocates, and individuals with lived experience, argued that the current standard is too vague and has contributed to child fatalities and near-fatalities, especially in cases involving fentanyl exposure, chronic neglect, and abuse. They said clearer language would help courts and caseworkers intervene earlier and more consistently. Opponents, including legal aid, public defense, and child welfare policy groups, argued the bill is legally problematic, could conflict with existing statutes and ICWA-informed language, and would not address root causes such as service gaps, training, and inconsistent implementation. DCYF testified “other,” saying the bill could add clarity but that the language needed refinement; the sponsor said he was open to working on changes. No vote was taken on the bill during the hearing. The committee then heard House Bill 2660, which would allow courts at shelter care hearings to order parents of children under age five to comply with safety-related conditions, evaluations, or services when the child is returned home, with referrals required within seven days and participation not treated as an admission of abuse or neglect. The sponsor, Representative Ortiz-Self, said the bill is aimed at critical incidents and would give caseworkers and courts more ability to require safeguards for very young children when families are not voluntarily engaging in services. DCYF and the Office of the Family and Children’s Ombuds supported the bill, saying it could help prevent tragedies by allowing earlier court-ordered services and safety conditions. Some advocates and parents also supported it, describing cases where removal or court intervention helped protect children. Opponents, including public defense and some family-support organizations, raised constitutional and due process concerns, argued that services are not the same as immediate safety, and warned the bill could shift problems without fixing underlying service shortages. The sponsor and DCYF discussed the need for follow-up on language and implementation, but no committee action or vote was taken in the hearing.

Transcript Highlights:

• Deonda, the medical treatment that you received inside, but also the medical treatment, mental health
• Deonda, the medical treatment that you received inside, but also the medical treatment, mental health
• In order to provide that care.
• Through the court order, there is an order that 50% of clinicians can be providing telemental health.
• The receivership is court ordered, so I just want to be clear that it's court ordered.

Keywords: 988, house, all

Transcript Highlights:

• The Appropriations Committee on Health and Human Services will now come to order.
• This is life-saving treatment.
• What they're basically used for is outpatient treatment.
• And that's a different treatment than what this is.
• Early periodic screening, diagnosis, and treatment. ACA.

Summary: The committee met with a quorum and took up a series of health and human services bills, beginning with CS/SB 1602, which would require hospital emergency departments to have evidence-based pediatric care protocols, staff training, child-sized equipment and medications, a pediatric care coordinator, and participation in a national pediatric readiness assessment. The bill was reported favorably after no public opposition. CS/SB 1224, aligning Florida law with federal requirements for paramedics to administer controlled substances under physician or nurse practitioner direction, also drew supportive testimony from the Florida Fire Chiefs Association and was reported favorably. CS/SB 1182, requiring coverage of continuous glucose monitors under both pharmacy and durable medical equipment benefits, was likewise reported favorably after brief support from AARP. The committee then considered CS/SB 890, the Emily Adkins Family Protection Act, which addresses venous thromboembolism by defining certain conditions as chronic diseases, creating a statewide registry, and requiring screening and training in hospitals, surgical centers, nursing homes, and assisted living facilities. Family members and blood clot advocates strongly supported the bill, but assisted living representatives objected to being included, arguing the bill would impose unrealistic medical expectations and liability on residential care facilities. Senators also raised concerns about the assisted living provisions, but the bill was reported favorably after the sponsor said more changes were likely later. CS/CS/SB 954, dealing with recovery residences and treatment centers, was amended to reduce the number of active patients from 500 to 300 and then reported favorably after extensive debate over zoning, clustering, neighborhood impacts, and access to recovery housing. CS/SB 1050, which expands the developmental disabilities pilot program and creates an adult pathways waiver option, generated the most extensive testimony. Supporters said it would help reduce the long APD waitlist and expand services, while many families and advocates warned against managed care, citing provider shortages, weak oversight, and the importance of consumer-directed care. Committee members emphasized that participation is voluntary and that people can disenroll, and the bill was reported favorably. CS/SB 614, requiring a public educational webpage about background screening and level-two screening requirements, and CS/SB 1578, expanding breast cancer screening coverage, were both reported favorably with little opposition. CS/SB 1060 created a joint legislative oversight committee for Medicaid financing and operations; after an amendment expanding the committee from three to five members, it was reported favorably. CS/CS/SB 1240, updating DCF substance abuse and mental health procedures including 988, methadone assessment, forensic evaluators, and Baker Act transfer timing, was amended and reported favorably after debate over transfer deadlines and facility responsibilities. Finally, the committee began hearing CS/SB 526, a major nursing education bill aimed at improving Florida’s low NCLEX passage rates by tightening program standards, requiring exit exams and remediation, mandating reporting and inspections, and limiting accreditation extensions. A strike-all amendment was introduced that would also require certain low-performing programs to offer a three-month graduate preceptorship. The transcript cuts off before the bill’s full debate and final action are completed.

Transcript Highlights:

• Substance abuse treatment records are covered by 42 CFR Part 2.
• Disclosure is prohibited without patient consent or a special court order.
• So that's where Missouri... ...the bloodstream in order to establish exigency.
• We need probable cause in order to obtain blood or their consent.
• So we have effectively used risk protection orders many times.

Summary: The committee met with Senators Garcia and Simon excused and heard a presentation from FDLE Deputy Commissioner Vaden Pollard on homicide and violent-crime investigations, focusing on access to blood evidence, toxicology, medical records, mental health records, and the legal limits imposed by Florida law, HIPAA, and 42 CFR Part 2. He explained that autopsy evidence collected by medical examiners is generally available to law enforcement, while hospital records and mental health/substance abuse records usually require subpoenas, court orders, or consent, which can delay investigations. He also discussed the difference between DNA testing and toxicology testing, the role of warrants and probable cause for living suspects, and the special rules that apply when a suspect is deceased. Members asked detailed questions about what toxicology panels include, whether medications can be tested for, how medical examiners review prior medical history, and whether FDLE tracks data linking violent crime to mental health issues or follow up with regulators after incidents. Pollard said the agency follows investigative leads where relevant, but regulatory follow-up depends on the circumstances. He also discussed behavioral threat assessment and management, and said risk protection orders have been used effectively to prevent violence and can lead to court-ordered evaluations and services. The committee then shifted to crime lab capacity and turnaround times. Pollard said the average DNA turnaround time was 208 days for some evidence, with anything over 30 days considered backlog, but that sexual assault kits are prioritized and generally handled much faster, with rush cases sometimes completed within 24 hours. Members expressed concern about delays in unsolved violent and sexual assault cases and asked what resources would help reduce backlog; Pollard said additional analysts would improve turnaround times. The meeting concluded with thanks to the presenter and adjournment after Senator Bernard moved to adjourn.