Transcript Highlights:

• You were at the LBB, you were trained right, you came up through the system, you ran for election, you
• Committee Substitute for Senate Bill 1536, relating to training on Alzheimer's disease, dementia, and
• Related to training on Alzheimer's, disease, dementia, and related disorders for certain guardians.
• This bill would not prevent a physician from sharing the test results immediately.
• This would not prevent a physician from sharing the test results immediately.

Bills: SJR12, SCR39, SB27, SB29, SB241, SB406, SB414, SB464, SB568, SB578, SB609, SB660, SB689, SB693, SB785, SB857, SB879, SB921, SB922, SB955, SB985, SB993, SB996, SB1008, SB1035, SB1036, SB1059, SB1098, SB1120, SB1122, SB1147, SB1188, SB1197, SB1209, SB1227, SB1245, SB1267, SB1307, SB1321, SB1332, SB1386, SB1396, SB1453, SB1484, SB1494, SB1536, SB1537, SB1596, SB1610, SB1664, SB1741, SB1814, SB1822, SB1841, SB1948, SB2065, SB2155, SB2188, SB2230, SB2406, SB2407

Keywords: parental rights, education, constitutional amendment, school choice, child education, border security, southern border, federal immigration policy, illegal immigration, cartels, transnational cartels, fentanyl, drug trafficking, human trafficking, Operation Lone Star, Texas border, National Guard, state guard, border wall, border barriers

Summary: The Senate convened with a quorum present, heard an invocation, and approved the previous day’s journal. The chamber then adopted Senate Resolution 358 honoring the University of Texas Rio Grande Valley on its 10th anniversary, with senators highlighting the university’s growth, medical school, research expansion, and role in serving South Texas. The Senate also adopted Senate Resolution 368 honoring outgoing Texas A&M University System Chancellor John Sharp, with numerous senators praising his long public career, leadership in higher education, and statewide impact. Senate Resolution 361 recognizing Texas HBCU Day and Senate Resolution 362 recognizing Denton County Days at the Capitol were also adopted, along with other routine recognitions and gubernatorial appointments being read into the record. The Senate then took up several bills. Committee Substitute Senate Bill 27, relating to rights and support for public school educators, was debated and amended to shorten vacancy posting requirements, allow bilingual certification candidates to retake only failed test sections, give teachers more flexibility with paid leave, clarify classroom removal procedures, and ensure parents are informed of appeal rights. The bill passed to engrossment, the three-day rule was suspended, and it was finally passed unanimously. Senate Joint Resolution 12, proposing a constitutional amendment to establish a parent’s right to direct a child’s education, was also brought up and passed to engrossment after a contested suspension vote. The Senate next passed Committee Substitute Senate Bill 1741, which would require reporting of foreign funding at public universities, bar gifts from adversarial governments, and require training and reporting systems to prevent foreign influence and intellectual property theft in higher education. Committee Substitute Senate Bill 29, the so-called “Dexit” bill, was debated at length for its corporate governance changes, including codifying the business judgment rule and altering internal corporate litigation and records rules; it passed to engrossment, the three-day rule was suspended, and it was finally passed by a 30-1 vote. Senate Bill 857, allowing law enforcement discretion to tow vehicles driven by unlicensed or uninsured drivers, passed after discussion of towing abuses during flooding and disaster conditions. Committee Substitute Senate Bill 1536, requiring dementia and Alzheimer’s training for certain guardians, passed with broad support, and Senate Bill 922, addressing delayed electronic disclosure of sensitive medical test results so physicians can discuss them first, was taken up and passed to engrossment as the chamber continued through its calendar.

Transcript Highlights:

• <01:10:42.800> and their staff both with training and their staff both with training and salaries
• What is this bill going to do for a physician and other health care reimbursement?
• What is this bill going to do for a physician and other health care reimbursement?
• What is this bill going to do for a physician and other health care reimbursement?
• What is this bill going to do for a physician and other health care reimbursement?

Keywords: 00:00:22 - Call to Order and Roll Call 00:03:00 – Approval of June 25, 2025 Minutes 00:03:22 - Update on Federal Changes to the Medicaid Program 01:03:44 - State Directed Payments, Provider Taxes, and the Rural Health Transformation Fund: How Medicaid Changes Could Impact Kentucky Hospitals 01:29:42 – Public Comments 01:45:25 – Announcements 01:46:19 - Adjournment, 958, all

Summary: The Medicaid Oversight and Advisory Board met on July 30, 2025, approved the June 25 minutes, and received a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid provisions in H.R. 1. The presentation outlined more than 20 Medicaid-related provisions, emphasizing that the largest federal savings come from work/community engagement requirements, changes to provider taxes, limits on state-directed payments, more frequent eligibility redeterminations for expansion populations, and related eligibility/enrollment changes. She said the fiscal effects are backloaded, with most reductions occurring in the later years of the 10-year window, and noted potential significant impacts on hospital payments and state financing. She also described new funding opportunities, including a $50 billion rural health transformation fund and a new home and community-based services waiver with associated grants. A substantial portion of the discussion focused on Kentucky’s pending community engagement 1115 waiver and how it would interact with the new federal requirements. Board members asked whether the waiver had been approved, what the cabinet’s contingency plan would be if CMS does not approve it, and what the timeline is for compliance. Cabinet representatives said the waiver has not yet been approved by CMS, remains under public comment, and that the state will wait for CMS guidance before moving forward; if needed, the state would amend the waiver or submit a new one. They said the work requirement must be in place by January 1, 2027, with a possible extension to 2028. Castanza also explained that expansion adults with incomes between 100% and 138% of the federal poverty level would face new cost-sharing requirements beginning October 1, 2028, and that eligibility redeterminations would move from annual to every six months starting January 1, 2027. She then walked through provider tax changes, including a moratorium on new provider taxes beginning October 1, 2026, and a phased reduction in the hold-harmless threshold for existing taxes beginning January 1, 2028, with exemptions for nursing facilities and ICF/IID providers. Board members questioned the timing and likely impact on Kentucky, and Castanza responded that the effect would depend on each tax’s current rate and would phase in over time.

Transcript Highlights:

• This bill establishes strict guardrails for physicians. and non-compete clauses.
• House amendment also ensures that a covenant not to compete is void and unenforceable against a physician
• Being a nurse and a physician who's sitting on committees that look at morbidity and mortality, it's
• Relating to the provision of direct patient care by physicians and health care practitioners.
• Generally, members, this bill would allow any healthcare practitioner, rather than only physicians, and

Bills: HB4, HB20, HB40, HB46, HB101, HB112, HB117, HB121, HB127, HB146, HB150, HB186, HB229, HB426, HB521, HB541, HB549, HB632, HB713, HB796, HB1052, HB1106, HB1135, HB1234, HB1306, HB1403, HB1523, HB1532, HB1690, HB1960, HB2035, HB2217, HB2399, HB2488, HB2517, HB2594, HB2655, HB2686, HB2731, HB2757, HB2820, HB2963, HB3005, HB3053, HB3073, HB3225, HB3320, HB3333, HB3336, HB3441, HB3483, HB3516, HB3520, HB3697, HB3748, HB3793, HB3848, HB4099, HB4134, HB4144, HB4158, HB4233, HB4236, HB4285, HB4350, HB4359, HB4464, HB4580, HB4690, HB4730, HB4848, HB4904, HB4995, HB5196, HB5294, HB5381, HB5435, HB5437, HB5509, HB5606, HB5646, HB5658, HB5661, HB5663, HB5666, HB5672, HCR40, HCR59, SB867, SB2919, SJR5, SJR27, SB4, SB6, SB7, SB9, SB13, SB15, SB23, SB27, SB30, SB40, SB57, SB66, SB140, SB268, SB293, SB331, SB413, SB447, SB457, SB467, SB506, SB510, SB512, SB571, SB650, SB763, SB777, SB785, SB800, SB850, SB863, SB865, SB973, SB974, SB1191, SB1281, SB1300, SB1362, SB1494, SB1522, SB1540, SB1567, SB1579, SB1580, SB1610, SB1660, SB1723, SB1760, SB1838, SB1923, SB1946, SB1957, SB1964, SB2018, SB2024, SB2121, SB2167, SB2217, SB2221, SB2321, SB2337, SB2368, SB2373, SB2407, SB2431, SB2477, SB2587, SB2615, SB2753, SB2807, SB2900, SB2965, SB2972, SB2986, SB3039, SB3047, SB3059, SB3070, SB1, SB17, SB21, SB260, SB379, SB509, SB1198, SB1405, SB1506, SB1637, SB1833, SB2155, SB2308, SB2601, SB2778, HB300, HB2011, HB2525, HB5246, HB100, HB101, HB119, HB227, HB252, HB322, HB346, HB654, HB705, HB718, HB721, HB824, HB1094, HB1234, HB1306, HB1506, HB1523, HB1629, HB1690, HB1868, HB1960, HB1973, HB2012, HB2035, HB2037, HB2078, HB2128, HB2213, HB2240, HB2348, HB2520, HB2598, HB2686, HB2694, HB2820, HB3005, HB3057, HB3092, HB3112, HB3171, HB3181, HB3185, HB3333, HB3388, HB3516, HB3546, HB3619, HB3623, HB3629, HB3642, HB3686, HB3697, HB3749, HB3793, HB3812, HB3815, HB3848, HB3909, HB4081, HB4145, HB4157, HB4158, HB4170, HB4202, HB4211, HB4214, HB4233, HB4285, HB4350, HB4361, HB4463, HB4464, HB4466, HB4559, HB4630, HB4748, HB4765, HB4848, HB4894, HB4904, HB4995, HB5093, HB5196, HB5320, HB5437, HB5624, HB5650, HB5651, HB5652, HB5654, HB5655, HB5656, HB5658, HB5661, HB5662, HB5664, HB5665, HB5666, HB5670, HB5672, HB5674, HB5677, HB5679, HB5682, HB5689, HB5690, HB5694, HB5695, HB5698, HB5699, HCR46, HCR76, HCR81, HCR83, HCR84, HCR111, HB748, HB5652, HB3395, HB180, HB1306, HB5650, HB4894, HB1629, HB5698, HB3171, HB2694, HB5664, HB4690, HB4464, HB3623, HB2520, HB2213, HB252, HB146, HB5596, HB3619, HB5320, HB5651, HB5670, HB5665, HB5437, HB5679, HB5661, HB5662, HB5654, HB5672, HB5656, HB2035, HB721, HB346, HB5695, HB5694, HB5674, HB3185, HB2348, HB1135, HB101, HB5666, HB5677, HB5682, HB5658, HB4144, HB3642, HB3815, HB2686, HB2012, HB1960, HB227, HB654, HB4158, HB4630, HB1523, HB1973, HB3333, HB3697, HB3546, HB3225, HB2820, HB186, HB119, HB4466, HB4170, HB3909, HB4081, HB4145, HB4285, HB4463, HB4995, HB5624, HB1449, HB2598, HB3629, HB4361, HB824, HB1868, HB4848, HB40, HB117, HB3686, HB3793, HB112, HB104, HB718, HB4904, HB4202, HB4765, HB4559, HB4350, HB4214, HB3388, HB3112, HB5196, HB3516, HB3092, HB4233, HB1094, HB2037, HB3005, HB3848, HB121, HB3336, HB5294, HB5646, HB4236, HB1052, HB5509, HB5435, HB3520, HB3320, HB2517, HB2488, HB5663, HB2731, HB3073, HB2655, HB2399, HB541, HB4099, HB111, HB1532, HB3483, HB2963, HB4580, HB3748, HB713, HB632, HB426, HB4730, HB127, HB5690, HB5689, HB5655, HB3385, HB2757, HB4359, HB5381, HB20, HB123, HB549, HB5606, HB2217, HB2594, HB796, HB1057, HB3664, HCR141, HCR40, HCR59, HCR76, HCR81, HCR46, HCR111, HCR83, HCR84, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1234, SB2926, SB2841, SB1528, SB1854, SB317, SB1250, SB2082, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB867, SB640, SB1698, SB2680, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1367, SB2044, SB2363, SB2565, SB1888, SB3036, SB3057, SB3043, SB3063, SB3035, SB203, SB2688, SB2522, SB2459, SB2655, SB2251, SB1884, SB2928, SB2566, SB2549, SB2553, SB2919, SB1944, SB1232, SB1798, SB2603, SB2607, SB2683, SB1319, SB3045, SB3071, HB40, HB117, HB121, HB426, HB541, HB713, HB1052, HB1532, HB2217, HB2488, HB2517, HB2655, HB2757, HB2963, HB3073, HB3697, HB4099, HB4144, HB4158, HB4236, HB4285, HB4848, HB5435, HB5437, HB5509, HB5646, HB5666, HB14, HB1240, HB796, HB1523, HB5294, SR559, SR587, SR614, SCR53, SJR59, SB10, SB22, SB25, SB34, SB36, SB38, SB261, SB777, SB924, SB1188, SB1318, SB1333, SB1398, SB1448, SB1621, SB1862, SB2405, SB2406, SB8, SB12, SB37, SB441, SB1566, SB2878, HB300, HB2011, HB5246, HB101, HB119, HB227, HB252, HB346, HB654, HB718, HB721, HB824, HB1306, HB1629, HB1868, HB1960, HB1973, HB2012, HB2035, HB2037, HB2213, HB2348, HB2520, HB2598, HB2686, HB2694, HB2820, HB3005, HB3092, HB3112, HB3185, HB3333, HB3388, HB3516, HB3546, HB3619, HB3623, HB3629, HB3642, HB3686, HB3815, HB3848, HB3909, HB4081, HB4145, HB4170, HB4202, HB4214, HB4350, HB4361, HB4463, HB4464, HB4466, HB4559, HB4630, HB4765, HB4894, HB4904, HB4995, HB5196, HB5320, HB5624, HB5650, HB5651, HB5652, HB5654, HB5655, HB5656, HB5658, HB5661, HB5662, HB5664, HB5665, HB5670, HB5672, HB5674, HB5677, HB5679, HB5682, HB5695, HB5698, HCR46, HCR76, HCR81, HCR83, HCR84, HCR111, HB1094, HB3171, HB3793, HB4233, HB5689, HB5690, HB5694

Keywords: applied sciences, career education, high school diploma, certificate program, work-based learning, job placement, high-growth jobs, technical training, business court, civil procedure, litigation, jurisdiction, arbitration, low-THC cannabis, dispensing organization, Texas Compassionate-Use Program, medical use, patient access, registration, healthcare

Transcript Highlights:

• So I now have been trained and now carry Narcan.
• This spectrum is no different from any other medical work we do as physicians.
• Trained professionals equipped to battle the disease of opioid addiction.
• Do you have, when was the last time you saw a primary care physician?
• Do you have, when was the last time you saw a primary care physician?

Keywords: 995, all

Summary: The Joint Committee on Mental Health, Substance Use, and Recovery held a public hearing on several harm reduction bills, including measures to decriminalize simple possession and paraphernalia, authorize overdose prevention centers, and expand access to naloxone for first responders. Chair Mindy Domb and Senator John Velis opened by describing harm reduction as an evidence-based public health strategy and noting Massachusetts’ recent decline in fatal overdoses. They emphasized that testimony would help shape whether and how the bills advance, and explained the hearing process, including time limits and written testimony. Testimony was sharply divided. Supporters, including Rep. Kate Donaghue, Sen. Cindy Friedman, Rep. Marjorie Decker, Rep. Manny Cruz, public health professionals, recovery advocates, and people with lived experience, argued that harm reduction saves lives, reduces stigma, and can connect people to treatment. They supported overdose prevention centers and decriminalization as tools to keep people alive long enough to enter recovery, and several speakers described personal losses to overdose or family experiences with addiction. Some supporters also framed the bills as racial justice measures, arguing that criminal penalties for possession have disproportionately harmed Black and brown communities. Opponents, including Sen. Nick Collins and several South End residents, argued that overdose prevention centers and decriminalization would worsen public drug use, crime, and neighborhood disorder, especially around Mass and Cass. They said current approaches such as Section 35, diversion, and police leverage into treatment are more effective, and they urged more treatment beds and recovery facilities instead of harm reduction sites. Committee members questioned witnesses about research, local siting, crime data, and the relationship between harm reduction and treatment, and several members said neighborhood impacts must be considered alongside overdose prevention. The committee did not take a vote during the hearing; it continued receiving testimony and announced a later break before resuming on H. 2196 and S. 1393.

Transcript Highlights:

• House Bill 797 by Representative Cruz is an act to amend Title 51 relative to the training of the Bayou
• Carlson is an act to amend Title 33 relative to local government officials to provide relative to training
• House Bill 431 requires Louisiana mayors to complete at least 16 hours of mandatory education and training
• Members, House Bill 779 amends current law that allows physicians to use expedited partner therapy, or
• Members, House Bill 779 amends current law that allows physicians to use expedited partner therapy, or

Bills: SR134, SR135, SR136, SR137, SR140, SR141, SR142, SCR75, SCR77, SCR12, HB75, HB1199, HB221, HCR89, HCR96, HCR103, HCR108, HCR58, HB9, HB177, HB181, HB198, HB202, HB223, HB225, HB387, HB398, HB457, HB459, HB540, HB591, HB616, HB766, HB775, HB783, HB797, HB895, HB906, HB950, HB975, HB1028, HB1052, HB1057, HB1076, HB1100, HB1139, HB1155, HB1160, HB1182, HB1186, HB1220, HB1222, HB1223, HB1224, HB1228, HB1231, HB1245, HB1256, SCR3, SB393, SB401, SB415, SB426, SB435, SB487, SB488, SB523, SB56, SB163, SB341, SB504, SB322, SCR9, SCR58, SB35, SB65, SB215, SB246, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB490, SB492, SB500, SB514, HCR27, HCR28, HCR66, HCR67, HCR72, HCR31, HCR47, HCR41, HB363, HB368, HB377, HB380, HB386, HB392, HB431, HB441, HB559, HB664, HB685, HB715, HB741, HB822, HB856, HB908, HB980, HB990, HB999, HB1010, HB1243, HB54, HB137, HB180, HB192, HB310, HB321, HB396, HB512, HB552, HB578, HB638, HB663, HB708, HB717, HB718, HB1009, HB1082, HB1104, HB1107, HB1198, HB1246, HB27, HB143, HB205, HB259, HB267, HB288, HB308, HB403, HB405, HB414, HB417, HB478, HB546, HB548, HB555, HB557, HB609, HB670, HB672, HB740, HB779, HB786, HB796, HB812, HB848, HB915, HB917, HB921, HB930, HB933, HB1095, HB1096, HB1103, HB1129, HB1154, HB1166, HB1187, HB1195, HB1230, HB316, HB511, HB799, HB1039, HB12, HB66, HB145, HB167, HB196, HB213, HB218, HB222, HB256, HB291, HB326, HB352, HB401, HB430, HB433, HB434, HB448, HB456, HB476, HB481, HB487, HB492, HB549, HB579, HB608, HB621, HB624, HB626, HB632, HB637, HB656, HB722, HB745, HB804, HB818, HB821, HB833, HB864, HB867, HB874, HB893, HB909, HB951, HB968, HB969, HB978, HB979, HB988, HB989, HB1001, HB1005, HB1007, HB1024, HB1032, HB1038, HB1050, HB1051, HB1056, HB1059, HB1077, HB1080, HB1081, HB1086, HB1108, HB1112, HB1153, HB1172, HB1173, HB1175, HB1192, HB1193, HB1204, HB1218, HB1242, HB1244, HB1249, HB1252, HB1254, HB17, HB36, HB41, HB47, HB73, HB126, HB133, HB140, HB159, HB166, HB211, HB226, HB271, HB324, HB337, HB351, HB399, HB571, HB712, HB723, HB726, HB750, HB759, HB844, HB966, HB1006, HB1018, HB1036, SB29, SB42, SB43, SB78, SB208, SB217, SB274, SB300, SB379, SB382, SB387, SB441, SB449, HB74, HB134, HB258, HB359, HB468, HB956, HB1117, SB149

Keywords: SR134, Senate Resolution 134, Isaac Herzenberg, Metairie Park Country Day School, Country Day, javelin, track and field, Class 2A, state championship, high school athletics, student athlete, Louisiana Senate commendation, honorary resolution, sports recognition, University of Nebraska, Baton Rouge, LSU Bernie Moore Track Stadium, sportsmanship, collegiate athletics, condolence resolution

Transcript Highlights:

• They're the ones that train everybody else, that keep things stable.
• This is part of the training at the academy.
• When they go through this training before they become COs, This is part of the training at the academy
• Putting my training and my skills...
• The training fence... ...nobody stopped us. There's a sign on the gate there.

Keywords: 995, all

Summary: The hearing before the Joint Committee on Public Safety and Homeland Security focused on several correction-related bills, including visitation reform, elder and medical parole, incarcerated persons’ human rights, and creation of an independent correctional oversight office. Vice Chair Christopher Worrell chaired the hearing in place of Chair Dan Cahill for much of the session and explained that the committee would first hear from incarcerated individuals remotely, then move to public testimony. The committee repeatedly enforced three-minute limits and accepted written testimony as well. Much of the testimony from incarcerated people emphasized that visitation is central to rehabilitation, family stability, and reentry, and that current DOC policies—visitor caps, pre-approval requirements, scheduling rules, dress-code enforcement, and restrictions on contact—have reduced family contact and caused harm. Several speakers argued that elderly and medically frail prisoners should be released through parole because incarceration is costly, ineffective, and inhumane for people who pose little public-safety risk. Others described poor prison conditions, limited programming, inadequate healthcare, segregation-like housing, and the impact of K2 use, suicides, and self-harm. Supporters of the oversight bill said an independent office is needed to address racial disparities, grievance failures, and lack of accountability within the DOC. A number of speakers tied their support to personal experiences, including alleged racial discrimination, denial of programs, and barriers to family visits. Some testified that rehabilitative programming, education, and restorative justice reduce violence and improve outcomes, while others said the DOC spends too little on programming and too much on punishment. Committee members asked a few follow-up questions, including about K2 contraband and how to reduce drugs in facilities, and one member asked about typical visitation lengths. No votes were taken during the hearing; the committee heard testimony on the bills and several witnesses urged favorable reports.

Transcript Highlights:

• program provides comprehensive training program provides comprehensive training programs<00:07:24.639
• No, there was no training.
• I had to do like an application for it, but I don't think there's a training.
• I will say that there was a trade group of independent physicians.
• <04:07:30.359> you that for every independent physician you that for every independent physician

Keywords: 1189, house, all

Transcript Highlights:

• It's to attract doctors to come into the state and to allow them to be well-trained.
• more and be better trained, just like our medical and our PT and nursing counterparts.
• And manipulation is what they're well trained in school.
• And then they continue to go through training with the doctors. They can be in the room.
• Or is there some requirement that they have to be found to be asymptomatic by a physician or a nurse

Summary: The Senate Committee on Health and Welfare met on May 13 and approved the minutes from the prior week before taking up a series of House bills, many of them with testimony from sponsors, agency officials, and stakeholders. Early action included HB 971, which would direct LDH to equalize Medicaid reimbursement rates between independent rural health clinics and hospital-owned rural health clinics; the sponsor described a significant payment disparity and the committee reported the bill favorably. The committee also deferred HB 1030 and HB 796 until the following week before moving to other items on the agenda. Several bills dealing with Medicaid and provider regulation were advanced. HB 414, as amended, closes a loophole so health care providers cannot hire unlicensed workers with certain serious out-of-state convictions; amendments addressed effective dates, FBI background-check issues for therapeutic group homes, and delays for direct support professional applicants caused by minor record issues. HB 740, as amended, creates an independent review process for Medicaid claims disputes in the coordinated system of care for behavioral health providers, with amendments clarifying applicability dates and program definitions. HB 786, which prohibits extrapolation in managed care claims recoupments and requires recovery to be based on actual overpayments or underpayments, was also reported favorably. HB 915 set timelines and accountability standards for prior authorization and utilization management in Medicaid managed care and was reported favorably after testimony about delays in care. The committee also heard and passed several bills affecting health professions and facilities. HB 405 simply updates the name of the national acupuncture certification body. HB 1095 allows nursing homes to use alternative power sources while keeping existing generator and fuel requirements. HB 557 defines long-term care pharmacies for policy purposes. HB 779 authorizes expedited partner therapy prescriptions for certain sexually transmitted diseases. HB 933 creates an optional commemorative birth certificate, with part of the fee going to the Office of Women’s Health. HB 796, carried by another representative for the author, establishes a chiropractic preceptorship program with on-site supervision requirements and was reported favorably after questions about student training and patient safety. The committee also heard emotionally charged testimony on HB 288, which would place the term “miscarriage” alongside “spontaneous abortion” in medical documentation and patient communication. Several witnesses described the distress caused by current coding language, and supporters said the change would make records more compassionate and understandable; the bill was reported favorably. HB 403 increased the cottage food gross-sales cap, and after testimony from small producers and the committee’s discussion of other states’ higher limits, an amendment raised the cap to $150,000 before the bill was reported favorably. HB 930 modernizes cosmetic-product regulation and creates a small home-based producer exemption under a wholesale-sales threshold; it was also reported favorably. Finally, HB 1041, a no-mandate bill restricting discrimination based on medical intervention status, prompted extended debate over exemptions for schools, hospitals, and other entities, with one amendment failing on a roll-call vote and the discussion continuing over the scope of the bill and federal funding concerns.

Transcript Highlights:

• The individuals that come in are screened by a primary care physician for dementia at these clinics,
• work in this environment, so they're also learning how to deal with people, getting specialized training
• Additionally, it provides training for the workforce. It just seemed like a great... great plan.
• You said that Emory does the training?
• First, I have a health care provider training and education subcommittee meeting.

Keywords: 1136, house, all

Transcript Highlights:

• the SNAP, employment, and training the SNAP, employment, and training funding<00:57:06.559> of
• youth job training are happening now. youth job training are happening now.
• , losing access to job training, losing access to job training, internships,<01:07:48.880> and
• <02:19:08.960> new<02:19:09.200> physicians development and training new physicians
• development and training new physicians for<02:19:09.840> our<02:19:10.080> communities

Keywords: 910, house, all

Summary: This joint informational briefing on Act 310 grants and aid focused on organizations describing how federal funding cuts, Medicaid/SNAP changes, and related policy shifts are affecting their services and budgets. Committee members explained there would be no Q&A, testimony would be limited to one minute, and in-person participants would be heard before Zoom callers. Members repeatedly asked testifiers to identify the amount of federal funding lost or at risk. Testimony came from a wide range of nonprofits and community providers, including Aloha Care, Hawaii Bicycling League, Hawaii Literacy, Hawaii Youth Symphony, Healthy Mothers Healthy Babies Coalition of Hawaii, the Tsunami Museum, The Kohala Center, West Hawaii Community Health Center, West Hawaii Region Hospital Foundation, Sounding Joy Music Therapy, Big Brothers Big Sisters Hawaii, Dynamic Community Solutions, Feeding Hawaii Together, Girl Scouts of Hawaii, Hawaii Disability Rights Center, Hawaii Youth Services Network, Hawaiian Lending and Investments, Homana, Honolulu Theatre for the Youth, Kids Hurt Too Hawaii, and Kokua Kalihi Valley. Most described reduced or threatened federal support and requested state funding to maintain services such as health care access, food security, disaster preparedness, literacy and digital inclusion, youth mentoring, arts education, housing, and climate or agricultural resilience. Several speakers emphasized direct impacts on vulnerable populations, including kūpuna, low-income families, immigrants, homeless youth, and people with disabilities. Requests ranged from relatively small planning or program grants to multi-million-dollar stabilization asks, with some organizations citing specific losses such as reduced Medicaid or USDA funding, canceled EPA or FEMA support, or expiring federal grants. No votes or formal committee actions were taken during the briefing.

Transcript Highlights:

• in cell biology from the Medical College of Wisconsin, where he also completed his anesthesiology training
• He is actively involved in medical education and physician advocacy, previously serving as a physician
• ensure access to high-quality care and to sustain Arizona's health systems, and whereas up to 54% of physicians
• And whereas Arizona is experiencing severe workforce shortages of physicians, nurses, advanced practice
• Arizona Board of Regents analysis, Arizona needs an additional 14,291 registered nurses, 3,644 physicians

Keywords: 1182, all

Summary: The House opened with prayer and the Pledge of Allegiance, approved the journal, and recognized Dr. Kai Sun as Doctor of the Day. Members also welcomed newly sworn Representative Cody Reim, congratulated Sergeant-at-Arms Chuck Fitzgerald on his wedding, and introduced numerous guests and visiting groups, including pharmacists at Pharmacy Day, the Arizona Education Association, the Well-Being Collaborative of Arizona, and local officials from San Luis. The chamber then took up several measures. House Resolution 2001, recognizing March 18, 2026 as Health Workforce Well-Being Day in Arizona, was adopted unanimously after brief remarks about burnout and workforce shortages in health care. On House Bill 2375, relating to housing and historic neighborhoods, members debated at length the balance between middle-housing reforms, local control, historic preservation, and concerns about exclusion and displacement; the bill passed 31-24, but the emergency clause failed because it did not receive the required two-thirds vote. House Bill 2931, creating the Arizona Civil Rights Advisory Board, passed 36-19, and House Bill 2992, establishing a child sexual abuse and assault awareness and prevention pilot program with appropriations, passed 35-20. The House also passed Senate Bill 1010, substituted for House Bill 4027, relating to historic names, by a vote of 33-22. Several other Senate bills were read for the first time or second reading, and committee assignments were adjusted, including withdrawals and re-referrals of multiple bills. The session concluded with announcements of upcoming committee meetings, a statement from the Arizona Latino Legislative Caucus condemning alleged misconduct and affirming support for survivors, and adjournment until 10 a.m. on Thursday, March 19, 2026.

Transcript Highlights:

• cook to introduce the doctor of the day thank you mr President, it is my honor to introduce our Physician
• She served as a as a physician first window from family medicine from 2003 to 2005 before taking on the
• role of Medical Director at First Physicians East University Family Medicine, where she made a strong
• Now they had no formal investigative training, but they had something more important, they spoke Spanish
• Senate Bill 1563 by Menendez relating to county jail jail or training on interacting with veterans in

Bills: SJR34, SB10, SB18, SB19, SB21, SB72, SB140, SB262, SB370, SB480, SB495, SB627, SB703, SB767, SB790

Keywords: parental rights, parents, children, custody, care and control, upbringing, family law, constitutional amendment, Texas Constitution, child welfare, education policy, medical decisions, parental authority, primary decision makers, family autonomy, education, Ten Commandments, public schools, religious display, First Amendment

Transcript Highlights:

• The physician case involved minors and adults. So grooming is out there.
• The physician case involved minors and adults. So grooming is out there.
• . physician. physician.
• The physician case involved only minors.
• The physician case involved minors and adults. So grooming is out there.

Bills: HB0008, HB0009

Keywords: stalking, minors, felony, protection orders, criminal penalties, grooming, sexual offenses, child protection, 916, all

Transcript Highlights:

• in CIT, Crisis Intervention Training.
• But beyond that, 20 hours, 40 hours of training is not the equivalent of someone who is trained to deal
• in CIT Crisis less than 20% are trained in CIT Crisis Intervention<00:26:06.279> training<00:
• <00:26:11.640> is again 20 hours 40 hours of training is again 20 hours 40 hours of training
• What does the physician do at that moment?

Keywords: 910, house, all

Summary: The House Committee on Judiciary and Hawaiian Affairs heard Senate Bill 1322, SD2, HD1, a comprehensive measure revising Hawaii’s mental health code. The bill would clarify emergency transportation, examination, and hospitalization procedures for people who may be mentally ill or suffering from substance abuse and deemed imminently dangerous, expand notice requirements, allow certain information-sharing for assisted community treatment petitions, and add liability protections for emergency responders and providers. The Department of the Attorney General supported the bill as a collaborative update to the law, while the Department of Health asked for a copy of provider-generated emergency transport documentation within five days for data and planning purposes. Testimony was sharply divided. Queen’s Health System, Hawaiʻi Pacific Health, HHSC, and the Institute for Human Services supported the measure or parts of it but requested amendments, including clarifying whether a second psychiatric exam is required, restoring a 72-hour rather than 48-hour stabilization window, and adjusting where patients are taken when an MEO cannot be reached. The ACLU of Hawaiʻi strongly opposed the bill, arguing it weakens due process and civil liberties, especially around involuntary commitment, assisted community treatment, emergency transport by police, and reduced procedural safeguards; it urged the committee to hold the bill and consider an interim working group. Louie E.K. of the Hawaiʻi Disability Rights Center also opposed the bill, focusing on immunity from negligence, the use of police for transport, and the reduction of a three-provider review to one in state-hospital treatment orders. Other testimony included support from an individual who said the bill could improve mental health care delivery amid provider shortages, and a comment from Hawaiʻi Health and Harm Reduction Center warning that the substance use portion of the bill lacks evidence of effectiveness and could be misused. In response to committee questions, the Attorney General’s office said the measure was developed with input from multiple stakeholders, including state agencies, hospitals, the ACLU, HHSC, and IHS, and that it aims to make assisted community treatment more accessible and effective by streamlining the legal process and improving consequences for noncompliance. No vote or final action was taken during the portion of the meeting provided.

Transcript Highlights:

• Brockhouse is currently a family resident physician from Creighton, Nebraska.
• In addition, she's received scholarships through the Nebraska Academy of Family Physicians, UNMC Family
• It also references training requirements, adult protection services, and related statutory sections.
• The section continues describing training for adult protective services officials.
• to complete the training.

Bills: LB737, LB753, LB788, LB913, LB1055, LB1195, LB1216, LB1256, LB429, LB721, LB722, LB727, LB743, LB745, LB749, LB778, LB787, LB365A, LB823, LB900, LB903, LB940, LB954, LB1127, LB1127A, LB1205, LB1240, LR293, LR296, LR422, LR505, LR507

Keywords: LB737, Olmstead, developmental disabilities, disability services, community-based services, integrated settings, DHHS, Department of Health and Human Services, stakeholder advisory committee, independent consultant, public hearing, legislative oversight, disability rights, community integration, housing, employment, education, transportation, community supports, self-advocacy

Transcript Highlights:

• This bill will require physicians and nurses specializing in obstetrics or gynecology to take one hour
• Our law is designed to save all lives involved, and by no means does our law require a physician to deny
• So a physician with a basic familiarity with the law might be aware of the heartbeat law but not of this
• So the purpose of this bill is just to iron out those misconceptions that physicians and nurses might
• Not only that, but it also ensures that the medical professionals are trained in communicating with the

Bills: SB801, SB1200, SB1410, SB1717, SB1862, SB1863, SB2216, SB2681, SB506, SB2626, SJR63

Keywords: SB 801, birth certificate, birth record, certified copy, homeless, homelessness, unhoused, vital records, state registrar, local registrar, county clerk, fee waiver, identity documents, ID access, housing insecurity, shelter, transitional housing, Health and Safety Code, HHSC, Health and Human Services Commission

Summary: The Senate Committee on State Affairs heard testimony on several bills, with most measures left pending after public testimony closed. SB 801, by Sen. Menéndez, would require DSHS and local clerks to issue birth certificates at no cost to people experiencing homelessness. The author and Maria Benavides of SA Youth said the fee and mailing requirements are major barriers to obtaining ID, housing, and work, and Benavides described clients who were able to secure housing and employment after getting birth records and IDs through her program. The bill was left pending. The committee also heard a set of bills related to the Gulf of Mexico/Gulf of America naming issue: SB 1410 would require state agencies to use “Gulf of Mexico” in official documents, SB 1717 would conform state law to the federal renaming to “Gulf of America,” and SJR 63 would amend the Texas Constitution to match that change. Support testimony for the latter two emphasized alignment with federal action and the use of different geographic names by different countries. All three measures were left pending. Members then heard SB 1200, which would require plaintiffs suing defense contractors to disclose in discovery whether they are receiving litigation funding from adversarial nations such as China, Russia, or Cuba. The author and Texans for Lawsuit Reform said the bill targets third-party litigation funding and foreign influence on lawsuits, especially those affecting defense contractors; the committee substitute narrowed the definition of defense contractor and expanded applicability to actions involving defense contractors’ activities. SB 2626, which requires continuing medical education on pregnancy-related emergencies for OB-GYN physicians and nurses, drew support from witnesses who said it would reduce confusion about Texas abortion law and improve care in emergencies. SB 506, SB 2681, SB 1862, SB 1863, and SB 2216 all focused on elections, including ballot language standards, voter registration challenges, interstate voter-roll cleanup, procedural audits, and election equipment security; testimony split between supporters who said the bills improve transparency and integrity and opponents who warned of vague standards, added costs, and possible voter disenfranchisement. Each of those bills was left pending after testimony.

Transcript Highlights:

• their training and go to a city with a larger budget, causing the town to lose its training investment
• uh federals just close a whole training uh federals just close a whole training center<01:28:23.280
• those people I can train pretty quickly. those people I can train pretty quickly.
• those reemployment or training services. those reemployment or training services.
• Thanks. more important how you train it. um than more important how you train it. um than just<02:39:

Keywords: 1189, house, all

Transcript Highlights:

• Against physicians?
• Physician claims is what I was looking at, yes.
• And I'm not just saying about hiring their physicians; they put good physicians in bad places.
• I don't think physicians know.
• yes and one of the physicians voting no.

Transcript Highlights:

• ability to place a train in emergency based on fluid conditions at a crossing would probably make for
• Placing a train in emergency is a last resort.
• Hope you didn't take a train far away. No, sir. And I do happen to be a train engineer. Oh, great.
• We try to keep the trains running pretty on time around here. And on track.
• And even as a physician, you're thinking, boy, this is a physician that likes lawsuits.

Bills: S0828, S1274, S1310, S1378, S1562

Keywords: sovereign immunity, public transit, contractors, liability, state agents, transportation, traffic signal modernization, seaports, commercial space launch, micromobility, automated license plate recognition, railroad crossing safety, railroad crossings, grade crossing, public railroad-highway grade crossing, rail safety, crossing technology, advanced detection systems, monitoring systems, sensors

Summary: The Transportation Committee took up several measures and adopted amendments on multiple bills. SB 1274, as amended, removed a number of provisions from the original bill and added items including local authority to lower residential street speed limits, clarification on obscured license plates, FDOT funding for certain rural airport aviation projects, limits on yellow-light timing changes tied to red-light cameras, changes to private use of license plate readers, and other transportation-related revisions. After brief questions and supportive testimony, the committee reported the bill favorably. The committee also approved SB 1310, which was converted into a study bill directing FDOT to study advanced detection and monitoring systems at public railroad crossings and report findings and policy options to the governor and legislature. Railroad industry testimony supported the study but raised concerns about interoperability with train safety systems and suggested the study consider additional safety tools such as red-light cameras and wayside horns. The committee adopted the amendment and reported the bill favorably. SB 828, as amended, would extend sovereign immunity protections to private contractors providing public transit services on behalf of governments, with supporters saying it would reduce costs and provide certainty for transit providers, while opponents warned it was an overbroad expansion of sovereign immunity and could conflict with railroad employee protections under federal law. The committee reported that bill favorably as well. The committee then passed SB 1378, which strengthens traffic enforcement by clarifying when vehicles may be treated as abandoned, adding penalties for unlawfully attached plates or stickers, and allowing forfeiture of vehicles used to flee law enforcement even without an immediate arrest. It also approved SB 1562, which aims to prevent manufacturers from concentrating sales of certain vehicle brands through a single dealer group and instead promote competition among independent dealers. In addition, the committee unanimously confirmed a slate of appointees, and members later recorded additional affirmative votes on several bills before adjourning.

Transcript Highlights:

• The definition of a physician, I'm sorry, page 4.
• right and who meets the definition of a physician.
• A physician designates his state a principal license.
• A physician can designate his state or principal license here as the state where the physician reports
• Why does a physician get to pick their state?