Transcript Highlights:

• I'm the president of the Florida Naturopathic Physicians Association, and I would like to take just a
• patient of any age without collaboration with the patient's physician.
• care, they claim to treat.
• They claim to treat a wide range of diseases, including cancer.
• The bill does not create a pathway for naturopathic doctors to treat cancer or perform surgery.

Bills: S0042 , S0688 , S0762 , S1168 , S1296 , S1298 , S1300 , S1318 , S1332 , S1376 , S1548 , S1570 , S1574 , S1632 , S1634 , S1750

Committee: Senate Fiscal Policy

Summary: The committee first took up CS for SB 42 on specific medical diagnosis and child protective investigations. A late-file strike-all amendment was adopted that made only stylistic changes to align with the House version. Supporters said the bill would help DCF and child protective teams better identify rare medical conditions and give parents a chance to defend against mistaken abuse findings. The bill was then reported favorably. The committee also approved SB 1570, which restores a prior program to help locate missing persons with special needs through voluntary tracking devices and coordination with sheriff’s offices and CARD centers, with nonrecurring funding included. Members then advanced several education, disability, and public services measures. CS for CSSB 182 created a teacher training and mentoring program for high-performing current and retired teachers to mentor teachers in D- and F-rated schools, and CS for CSSB 794 required background screening for employees in residential and day training programs for people with developmental disabilities while directing APD to study support coordination quality, workforce issues, and service gaps. Testimony on SB 794 strongly supported better training, lower caseloads, and more consistent support coordination. The committee also favorably reported CS for CS SB 1168 on background screenings, CS for CS SB 214 to allow rural special districts to pay verified invoices directly, CS for SB 1376 to create grants for genetic counseling education, and SB 1574 (Maddie’s Law) to add newborn screening for biliary atresia; the latter drew emotional support and testimony that early screening could save lives and reduce transplant costs. The committee heard and passed a number of other policy bills, including CS for CS for SB 1510, the DEP agency package, after environmental groups warned that one provision could delay basin management protections and allow more septic systems in impaired watersheds; the bill still passed favorably. Members also approved CS for CS for SB 598 on funeral and cemetery regulation, SB 688 to license naturopathic doctors, SB 1318 on scholarship account reversion rules, CS for CS for SB 682 on domestic violence injunctions and penalties, SB 130 on workforce training for current and former inmates, and SB 1548, the latest Live Local affordable housing update. Several bills were briefly postponed or taken up later in the meeting. In the latter portion of the meeting, the committee approved CS for C.S. for SB 536 on criminal gang membership criteria, CS for C.S. SB 762 on assigning conflict capital cases across regional counsel offices, SB 1332 on career offender registration requirements, CS for CS for SB 1742 creating a new offense for indecent exposure of sexual organs to a child, and CS for SB 1750 increasing penalties for serious sex offenses and child sexual abuse material crimes. The committee also debated CS for SB 1226 on Public Employee Relations Commission procedures and union certification rules, including a late-file amendment setting a 60% threshold and 25% quorum for recertification; the discussion focused heavily on constitutional concerns, union rights, and differences between first responders and other public employees. The transcript ends while that bill’s debate is still underway, with the committee having already taken numerous favorable votes throughout the meeting.

Transcript Highlights:

• I'm the president of the Florida Naturopathic Physicians Association, and I would like to take just a
• patient of any age without collaboration with the patient's physician.
• care, they claim to treat.
• They claim to treat a wide range of diseases, including cancer.
• The bill does not create a pathway for naturopathic doctors to treat cancer or perform surgery.

Summary: The committee took up a long agenda of bills, beginning with several measures that were amended and reported favorably, including a strike-all to SB 4 on child protective investigations and specific medical diagnoses, SB 1570 restoring a statewide missing-persons project for individuals with special needs, and SB 182 creating a teacher training and mentoring program for schools needing improvement. Members also advanced SB 794 on APD background screening and support coordination standards, SB 1168 on background screening for athletic coaches and related entities, and SB 214 to let rural special districts pay verified invoices directly for state- and federally funded work. Supporters emphasized improved child welfare investigations, help for families of vulnerable individuals, teacher retention, and better administrative efficiency; the APD bill drew especially strong testimony from waiver clients and providers about the importance of competent support coordinators and stable services. The committee also favorably reported SB 1376 on grants for genetic counseling education, SB 1574 requiring newborn screening for biliary atresia, SB 1510 as the DEP agency package with environmental, septic, water quality, solar, and permitting changes, and SB 598 updating funeral and cemetery licensing and consumer protections. SB 688, after a delete-all amendment, would create licensure for naturopathic doctors and a board of naturopathic medicine; it drew strong support from naturopathic advocates and sharp opposition from a critic who argued the bill would authorize diagnosis and treatment beyond appropriate limits. SB 1318 made a technical change to scholarship account reversion language, with senators clarifying that remaining funds would return to the scholarship funding organization for future use rather than to the state. Later, the committee approved SB 682 on domestic violence and protective injunctions, SB 130 on workforce training for current and former inmates, and SB 1548, the latest Live Local Act iteration expanding affordable housing options and limiting local barriers. It also reported favorably SB 536 on criminal gang membership criteria after extensive debate about constitutional issues and modern gang activity, SB 762 allowing cross-jurisdiction assignment of capital cases among regional conflict counsel offices, SB 1332 strengthening career offender registration requirements, SB 1742 creating a new offense for indecent exposure of sexual organs to a minor, and SB 1750 increasing penalties for serious sex offenses and child sexual abuse material crimes. The most contentious discussion came on SB 1226, which would overhaul Public Employee Relations Commission rules, require majority support for union certification, and impose new limits on union activities and dues-related practices; members debated constitutional concerns, differences between first responders and other public employees, and the bill’s impact on union representation and public-sector labor rights. Most bills were reported favorably by roll call, with SB 536 drawing several no votes and SB 1226 still under active debate at the end of the transcript.

Transcript Highlights:

• And I would add, we heard in committee this year, and we heard it last year too, that physicians are
• I want to just highlight these two points because it is easy to treat allergies when you know them, when
• I want to make sure that physicians are the one I’m going to be supporting this bill.
• I want to make sure that physicians are the one dictating the kind of pain management that is unique
• for a patient and making sure that all levels of pain management are treated on parity and not having

Transcript Highlights:

• </c><00:42:31.599><c> as</c><00:42:31.839><c> a</c><00:42:32.000><c> critical</c> attendance is treated
• as a critical attendance is treated as a critical priority<00:42:33.200><c> for</c><00:42:33.520><c>
• She said she was on the NASN physician statement addressing chronic absenteeism and that she was there
• </c><01:03:47.359><c> statement</c> [clears throat] physician statement [clears throat] physician statement
• Nursing physician statement indicates that<01:04:29.200><c> school</c><01:04:29.520><c> attendance</

Committee: House Education Finance

Transcript Highlights:

• We would show any property, treat them, you know, whether they were going to spend $5 or $5 trillion.
• We would treat them all the same and give them excellent customer service.
• We would show any property, treat them, you know, whether they were going to spend $5 or $5 trillion.
• We would treat them all the same and give them excellent customer service.
• A non-physician mental health professional must begin the initial exam within 30 minutes of arrival,

Bills: HB256 , HCR19 , SB2101 , SB2334 , SB2633 , SB2637 , SB2713 , SB2781 , SB2782 , SB3059 , HB 1130

Committee: Senate State Affairs

Summary: The committee first reopened public testimony on Senate Bill 2713, which concerned protections for freedom of conscience in the context of Realtor association discipline. Texas Realtors representatives testified that their organization is a separate Texas legal entity but affiliated with the National Association of Realtors through a charter and code of ethics. They said Texas Realtors is neutral on SB 2713, that their ethics process is focused on fair housing and equal professional service, and that they have not suspended or terminated anyone in Texas for religious or political speech. Senators pressed them on whether national standards could override Texas law and on examples from other states; the witnesses said state and federal law control and that they would comply with Texas law if the bill passed. Public testimony then closed and SB 2713 was left pending. The committee then took up Senate Bill 1698 on e-cigarettes. Senator Parker explained a committee substitute that tightened enforcement, required distributor registration, expanded regulation to nicotine from any source, added restrictions on child-appealing packaging, authorized inspections and audits, and set compliance deadlines later in 2025 and 2026. After questions, the substitute was adopted and SB 1698, as substituted, was reported favorably to the full Senate on a 6-0 vote, with a recommendation for the local and uncontested calendar. Next, the committee considered Senate Bill 2487 on crisis and mental health facilities. Senator Parker described a substitute that renamed the program a crisis service model, allowed multiple county facilities, added local siting limits, expanded staffing options, shortened clinical timelines, required discharge referrals, directed law enforcement and EMS to transport people there first, and created local boards and expanded reporting. The substitute was adopted and the bill was reported favorably on a 6-0 vote, also recommended for the local and uncontested calendar. Senate Bill 2819, dealing with political activities of county elections administrators, was then reported favorably on a 6-0 vote and likewise sent to the local and uncontested calendar. Senate Bill 2043 was withdrawn. The committee spent substantial time on Senate Bill 2101, which would require municipal public libraries to move sexually explicit materials out of minors’ sections and impose age-verification and review requirements. Supporters argued the bill would protect children from explicit material in public libraries and that libraries should not be left to self-regulate. Opponents, including librarians, parents, authors, and ACLU representatives, argued the definitions were vague, the bill would be costly and burdensome for small libraries, could function as a book ban, and would restrict teens’ access to classics, research materials, and other books. Several witnesses said parents should make those decisions, not the state. The bill’s author said the committee substitute was still being worked on and asked witnesses to review it; public testimony remained open in the portion provided, with no final action on SB 2101 shown.

Transcript Highlights:

• </c> for physicians. for physicians. Next<00:15:27.360><c> slide,</c><00:15:27.680><c> please.
• And we have a duty to treat them.
• And we have a duty to treat them.
• And we have a duty to treat them.
• And we have a duty to treat them.

Summary: The Select Subcommittee first took up adoption of three previously prepared nonpartisan committee summary reports dated October 15, November 13, and November 21. Senator Rasmusson objected to the lack of advance notice about the day’s testifiers and criticized the practice of having nonpartisan staff summarize what he described as a partisan agenda. The chair responded that the committee’s purpose is to gather information, not hear bills, and that the summaries were intended as neutral resources for the Senate. Senator Coopek moved adoption, the motion was opposed by Rasmusson and another member, and the motion passed. The committee then turned to the day’s hearing on federal impacts on Minnesota, with the chair focusing on federal funding threats and the effect of congressional budget actions on health care, especially in greater Minnesota. The first presentation came from the Minnesota Department of Health on the state’s rural health transformation work. Assistant Commissioner Carol Broom introduced the team and described the rural hospital transformation program as a major opportunity to invest in rural health, while acknowledging longstanding challenges such as demographics, transportation barriers, and the financing of care. Nitha Moibi outlined the state’s rural health chart book and data showing an aging population, workforce shortages, and many health professional shortage areas, and described proposed strategies including workforce pipelines, bridge payments for low-volume birth hospitals, telehealth access points, mental health urgent care, and chronic disease prevention. Acting Assistant Commissioner Anna Ashby of the Minnesota Management and Budget office explained the state’s application to CMS for the Rural Health Transformation Program, which was created in federal law and awarded Minnesota just over $193 million for federal fiscal year 2026. She said the application was shaped by public comments, stakeholder meetings, and legislative outreach, and included initiatives on preventive care, workforce, care access, behavioral health, and provider financial stability. She also reviewed implementation constraints, including a January 30 revised budget deadline, limits on administrative spending, restrictions on using funds to offset Medicaid losses, and the need to show measurable progress to remain eligible for future funding. The presentation noted that most year-one funding would go to rural hospitals, with additional support for federally qualified health centers, community mental health centers, tribal partners, and technical assistance.

Transcript Highlights:

• Let us live our lives in such a way and treat others in such a way so then when others may gather and
• Suzanne Aflalo is a dedicated family physician, medical director of Alliance Health Clinic, and a community
• Suzanne Aflalo is a dedicated family physician, medical director of Alliance Health Clinic, and a community
• affect fewer than 200,000 individuals in the United States, which makes them incredibly challenging to treat
• increase. less than 200,000 individuals in the United States, which makes them incredibly challenging to treat

Transcript Highlights:

• However, the law does not provide similar protections for physicians who accompany tactical units during
• The value of having a licensed physician In the 87th legislative session, the value of having a licensed
• physician trained to support SWAT teams is clear.
• This bill would establish a training and certification program for licensed physicians who will wish
• So those physicians need to be able to be forward.

Bills: HB1455 , HB1777 , HB2101 , HB2136 , HB2609 , HB3142 , HB3552 , HB3846 , HB4155 , HB4514 , HB4879 , HB4995 , HB5014 , HB5139 , HB5228 , HB5436 , HCR40

Committee: House Homeland Security, Public Safety & Veterans' Affairs

Keywords: mental health, jail diversion, law enforcement, reporting requirements, criminal justice, data collection, criminal justice reform, intellectual disability, mental illness, data reporting, public safety, reporting, substance abuse, sex offender, driver's license, identification, gunshot detection, unreported gunshots, municipal police, crime investigation

Summary: The committee heard testimony on several public safety, criminal justice, and regulatory bills. HB 4995 would create a training and certification program allowing licensed physicians and certain EMS personnel assigned to tactical units to carry firearms during high-risk deployments, with supporters saying it would let tactical medical staff protect themselves while providing immediate care; the bill was left pending. HB 2609 would repeal the failure-to-appear-or-pay/OmniBase license-hold program, with the author and advocates arguing it creates compounding debt and unnecessary barriers to driving, while judges and municipal court representatives said the program is a voluntary, cost-effective tool that improves court appearances and reduces warrants; the bill was also left pending. HB 4879 would create a grant program to help local law enforcement pay for lab testing of suspected hemp/Delta-9 THC substances, and HB 5436 would let licensed auto recyclers buy certain untitled vehicles for scrap or parts to curb illegal sales, VIN cloning, and chop shops; both measures were left pending after brief testimony in support. The committee also heard HB 1777, which would require a discrete designation on driver’s licenses and state IDs for people required to register as sex offenders. The author and supporters argued the marker would help law enforcement and businesses quickly identify potentially dangerous offenders and prevent harm, while opponents called it a stigmatizing “scarlet letter” that would increase harassment, family harm, and reintegration barriers. The bill was left pending. HB 4155 would create a two-year Family Violence Criminal Homicide Prevention Task Force in the Governor’s Office to study family violence homicides, gather stakeholders, and recommend policy changes; the author, HHSC, the Texas Council on Family Violence, and a survivor testified in support, and the bill was left pending. The committee also heard HB 4514, which would authorize DPS to use facial image verification, with consent and privacy safeguards, to help businesses confirm identities and combat fraud; supporters from the lumber and identity-verification industries said it would reduce theft and fraud, and the bill was left pending. Finally, HB 5139 would clarify that peace officers and jailers are justified in using less lethal force weapons when acting within training and official duties; law enforcement groups supported the measure as a way to encourage use of less lethal tools without fear of prosecution, and testimony was underway when the transcript ended.

Transcript Highlights:

• House Bill 2211 defines medically tailored meals as fresh or frozen meals to treat a person's medical
• Licensed midwives assist with low-risk births, and they are required to consult with physicians whenever
• It includes physicians, osteopathic physicians and surgeons, physician assistants, podiatric physicians
• and physician assistants across the state, is also testifying on House Bill 2339.
• I would generally note that our physician members appreciate working with their nursing colleagues as

Summary: The committee heard public hearings on several health-related bills. House Bill 1904 would prohibit cat declawing except for therapeutic purposes, with staff explaining definitions, fines, recordkeeping, and reporting requirements. The prime sponsor and animal welfare advocates described declawing as cruel and linked it to pain and behavior problems, while the Washington State Veterinary Medical Association supported the substance of the bill but asked to remove the added reporting and disciplinary provisions as redundant and burdensome. House Bill 2211 would provide guidance for medically tailored meals under existing Medicaid-related nutrition supports, including standards for Washington-based nonprofit providers where possible, menu review, and nutrition requirements. The sponsor said it would clarify implementation without expanding the program, and supporters from meal providers, food distributors, and local farms said it would improve health outcomes, keep dollars local, and support Washington jobs and agriculture. House Bill 2329 would allow licensed midwives to delegate certain tasks to medical assistants and to supervise medical assistants, with the sponsor and birth center operators saying it would fix an omission in current law and help rural and under-resourced birth centers operate more efficiently. Supporters said it would improve staffing and financial stability, while the sponsor indicated the lactation consultant language would likely be removed because those consultants are not regulated by the Department of Health. The committee then returned to House Bill 1904 for additional testimony from humane organizations, veterinarians, shelter leaders, and local officials, all supporting a ban on declawing and emphasizing animal pain, shelter impacts, and available alternatives. House Bill 2247 would expand and clarify veterinary telehealth and veterinarian-client-patient relationship rules, allowing a VCPR to be established in certain telehealth circumstances and setting guardrails for consent, practice standards, and when in-person exams are still required. Supporters from shelters, animal welfare groups, mobile clinics, and veterinarians said telehealth would improve access in rural and underserved areas, reduce shelter intake, and help animals receive care sooner; the veterinary association supported the bill with amendments to clarify recordkeeping and access-to-care findings. House Bill 2339 would update nursing license terminology and processes for advanced registered nurse practitioners, including title changes, controlled substance rules for CRNAs, transcript submission, and interim permits. Nursing board and ARNP representatives supported the technical updates, while the hospital association and medical association raised concerns about title language for clinical nurse specialists and the deletion of a reference to the medical profession. Finally, House Bill 2106 would require health carriers to give 90 days’ notice of significant mid-contract payer modifications and provide the actual modification language, with the sponsor and hospital and provider representatives saying insurers are increasingly making unilateral changes that affect payment, services, and patient access. UW Medicine and a rural hospital district described examples where insurers changed imaging or preventive service coverage mid-contract, causing financial losses and forcing difficult choices about network participation. Carriers were noted as opposing the bill, while providers and facilities argued it would improve transparency and prevent one-sided contract changes that disrupt care.

Transcript Highlights:

• I’m a board-certified family physician.
• Allowing physicians to provide, at their discretion, a full 12-month supply of estrogen or 6-month supply
• Tim Madden representing the California Chapter of the American College of Emergency Physicians, in support
• Vanessa Hina, on behalf of the California Academy of Family Physicians, here in support. Thank you.
• Vanessa Cahina on behalf of the California Academy of Family Physicians, here in support.

Summary: The Assembly Business and Professions Committee heard a lengthy agenda of Senate bills, with most measures ultimately advancing on party-line or broad bipartisan votes after substantial testimony and several amendments. Early in the hearing, SB 418 by Sen. Menjivar was presented as a health access bill to codify ACA nondiscrimination protections in state law and require coverage for up to a 12-month supply of medically approved hormone therapy; supporters framed it as protecting continuity of care amid federal threats, while there was no opposition testimony. The committee later also took up SB 456, which would exempt muralists from contractor licensing requirements for commissioned fine art murals; supporters said recent enforcement had chilled mural projects and harmed artists and communities, and the bill passed unanimously to Appropriations. SB 641, part of the wildfire response package, and SB 774, a sunset review bill for the Department of Real Estate and Bureau of Real Estate Appraisers, also advanced with support and no opposition. SB 775 and SB 776, sunset extensions for the behavioral sciences, psychology, and optometry boards, passed after witnesses described technical changes and the need to keep the boards operating. SB 777, dealing with abandoned cemeteries, drew testimony from local governments, industry, and counties; after amendments removed a local takeover mandate and shifted the bill toward a stakeholder working group and study process, opposition softened or was withdrawn and the bill moved forward to Local Government. SB 790, on interstate reciprocity for online higher education, generated the most debate, with supporters arguing California students and institutions need stronger consumer protections and access to the national reciprocity framework, while opponents said the bill’s terms conflicted with the existing compact; it passed as amended to Appropriations after committee members emphasized continued work on student protections. The consent calendar, including SB 389 and SB 861, was also approved, and the committee adjourned after additional vote changes were recorded.

Transcript Highlights:

• It's that their chronic condition becomes effectively treated.
• It's that their chronic condition becomes effectively treated.
• It's that their chronic condition becomes effectively treated.
• And treating healthcare expenditures.
• </c> &gt;&gt; it has to start with a physician &gt;&gt; it has to start with a physician recommending

Committee: House Commerce and Consumer Affairs

Transcript Highlights:

• When the inmate’s physician, uh, and these endocrinologists or independent physicians—they’re Department
• When the inmate’s physician, uh, and these endocrinologists or independent physicians—they’re Department
• DOC’s position will be if an inmate’s physician says that’s needed, then we will continue that, right
• When the inmate’s physician, uh, and these endocrinologists or independent physicians—they’re Department
• Far as hormones go, other drugs, the doctor would have to say this is necessary to treat a medical need

Summary: The subcommittee met with a quorum, approved the minutes, and welcomed new members before taking up Council on Postsecondary Education regulations 13 KAR 2:120 and 13 KAR 2:130. The regulations, as amended by staff and agency amendments, update public university and KCTCS performance funding models to conform to 2024 Senate Bill 191 and the performance funding work group’s recommendations. Changes discussed included replacing the underrepresented minority metric with an underrepresented students metric defined as first-generation students, adding an adult learner metric, increasing the low-income degree premium, adjusting small-school and nonresident credit-hour weights, revising data aging and progression metrics, and adding STEM+H criteria in 13 KAR 2:120. Travis Pal of the Council on Postsecondary Education explained that the changes reflect the work group’s three-year review process and that the work group ultimately voted to define underrepresented students as first-generation students and to apply half-weighting between research and comprehensive universities for the new metric. Michael Frasier of the Kentucky Student Rights Coalition and Eastern Kentucky University student government opposed 13 KAR 2:120, arguing that the regulation improperly applies weights where the statute does not clearly authorize them and that the funding changes disadvantage comprehensive universities and vulnerable students. He asked the committee to find the regulation deficient or, alternatively, recommend legislative clarification and a revised fiscal analysis. Pal responded that weighting has been part of the model since 2017, that CPE was following the statute and work group recommendations, and that the model could be changed by future legislation. Members asked about the timing of the broader performance funding review, and Pal said the full model is reviewed every three years, with the next work group cycle beginning in 2026. No motion to find the regulation deficient was made, and the committee allowed the regulations to proceed to the committee of jurisdiction. The committee then approved a staff amendment to Teachers’ Retirement System regulations 102 KAR 1:195 and 102 KAR 1:340, which require annual reporting of accumulated sick leave, leave policies, and salary schedules to TRS and make technical changes to the final average salary calculation and related definitions.

Transcript Highlights:

• You know, often times within state government, there's a group of employees that are treated as excluded
• as excluded partly because they treated as excluded partly because they do<00:14:01.920><c> work</c>
• I'm a doctor of physical therapy with 14 years of experience treating and managing work comp claims.
• If you've experienced a heart attack, would you choose a guideline or physician?
• She asked whether, if someone experienced a heart attack, they would choose a guideline or a physician

Committee: Senate Labor and Technology

Summary: The joint hearing of the Senate Committees on Labor and Technology and Public Safety and Military Affairs considered three bills. SB 2141 would reclassify certain Department of Law Enforcement leadership and employees as Class A members for retirement purposes and adjust retirement benefit calculations. DLE supported the bill, saying it would address retirement classification without enhancing benefits, while the Employees’ Retirement System said it had no formal board position but wanted key provisions preserved. The Deputy Attorney General raised a potential title/subject issue and warned the bill could be vulnerable to challenge because the reclassification, contribution changes, and benefit calculations are in separate statutory sections. After questions about the number of affected employees and possible amendments, the committees deferred the bill. SB 2593 would exempt certain Law Enforcement Standards Board positions from civil service and collective bargaining. The board’s administrator said the positions would handle sensitive and confidential information and require specialized experience, and the board chair’s representative said the bill was important to meet certification deadlines. Opposition testimony from HGA argued exempt employees are at-will and suggested civil service protections should remain, with any staffing issues handled through reclassification or other personnel tools. Committee members questioned whether the positions could instead be civil service but excluded from bargaining, and staff explained the distinction between civil service exemption and collective bargaining exclusion. The committees ultimately recommended passing SB 2593 with amendments, including a deferred effective date of January 1, 2077, and the recommendation was adopted. SB 2824 would create a bribery-related reporting duty for public servants. Supporters, including Indivisible Hawaii, said it would establish a clear duty to report known or suspected bribery and strengthen public trust. The Office of the Public Defender opposed the bill, saying it would criminalize an affirmative duty to report another person’s misconduct. After limited discussion, both committees voted to pass SB 2824 with amendments, including a deferred effective date of July 1, 2050, and the recommendation was adopted. The meeting then adjourned.

Transcript Highlights:

• Next we have Capona Chong Hansen of the Association of Native Hawaiian Physicians in support, Eric Ab
• Next we have Capona Chong Hansen of the Association of Native Hawaiian Physicians in support, Eric Ab
• </c> individuals on Medicaid being treated individuals on Medicaid being treated went<00:50:22.040><c
• We're going to note that the reason, although we are super sympathetic to the physicians who I'm sure
• At least the physicians know why the committee is making the proposed amendments.

Committee: Senate Health and Human Services

Summary: The committee heard testimony on several health-related bills. HB 72 on pharmacy drew only support, with testimony from the University of Hawaiʻi system, the Board of Pharmacy, pharmacists, and others; no questions were raised. HB 237 on peer support programs also received broad support from the Department of Health, DHS, early learning officials, families, and advocates, with testimony emphasizing the value of peer-to-peer mentoring and support for parents, youth, and people with disabilities; no opposition or questions were noted. HB 250, the prior authorization bill, generated the most discussion. SHPDA supported a revised version focused on reporting prior authorization practices and creating a nonbinding working group to develop automation standards, while PCMA, HMSA, Kaiser Permanente, and others raised concerns about duplicative pharmacy requirements, unintended consequences, and alignment with federal timelines and reporting. Several medical groups and individual patients supported the measure, describing delays and burdens caused by prior authorization. A committee member asked whether the bill’s working group differed from a similar group in Senate Bill 1449, and the witness said it was intended to be the same. HB 303 on health care preceptors was supported by the Department of Health, University of Hawaiʻi, nursing and health care organizations, and the Hawaii Pharmacists Association, which asked that pharmacists’ residency programs be specifically tied to national accreditation standards. HB 341, relating to issuance of SPURS to assist the Hawaii Island Community Health Association, drew support from the health center and related groups. HB 692 on Preschool Open Doors received extensive support from early learning, education, family, labor, and community organizations; testimony stressed the shortage of child care and preschool slots, especially on Kauai, and the need to expand access for families. Committee members asked about adding family child care providers and about licensing/certification barriers, and DHS said the bill was focused on current licensed child care facilities and that certification issues were a separate, broader problem. HB 700 on cognitive assessments also drew strong support, with the Department of Health, the Executive Office on Aging, disability advocates, the Alzheimer’s Association, caregivers, and others urging use of a validated cognitive assessment tool during annual wellness visits and asking that the age 65 threshold be removed; some witnesses supported keeping the data-collection portion as a pilot and emphasized early detection and reporting.

Transcript Highlights:

• ANOTHER EXAMPLE I CAN THINK OF IS A PHYSICIAN.
• TODAY IF YOU ARE A PHYSICIAN YOU GO FROM EXAM ROOM TO EXAM ROOM AND YOU ARE MEETING WITH PATIENTS AND
• AND I THINK THAT WE CAN FORECAST THAT ARTIFICIAL INTELLIGENCE TOOLS WILL BE USED TO SUMMARIZE A PHYSICIAN
• THAT WILL FREE UP PHYSICIANS TO SPEND MORE TIME WITH PATIENTS AND MORE TIME LISTENING TO PATIENTS AND
• AND WE ARE TRYING TO EMPHASIZE TO TREAT AI AS A POWERFUL BUT FALLIBLE ASSISTANT.

Transcript Highlights:

• This legislation is supported by physicians throughout the state and national advocacy groups.
• example would be like antidepressants being used for migraines. ...antidepressants used for migraines to treat
• characterize it as a use for... ...fair to characterize it as a use for which it has not been directed by a physician

Bills: HB45 , HB79 , SB79

Committee: House Health

Keywords: Medicaid, colorectal cancer, screening tests, noninvasive tests, preventive care, off-label, pharmacists, medical treatment, state board of pharmacy, employment protection, sex-based terminology, gender identity, male, female, man, woman, boy, girl, single-sex spaces, women's rights

Transcript Highlights:

• The physicians in jail are trying to save lives.
• Let us treat our patients the way we are trained to treat them.
• I just treat them.
• Similarly, if someone's psychotic, it's an emergency, and we need to treat them emergently.
• They're in pain, and it's the only ethical thing to do to allow us to treat them. Thank you.

Committee: House Public Safety

Summary: The committee heard several public safety bills, beginning with SB 701 by Senator Wahab, which would create a state-law tool to address a serious criminal offense that supporters said local prosecutors currently cannot punish effectively. Support came from the Yolo County District Attorney’s Office, the California Police Chiefs Association, League of California Cities, and the California State Sheriffs’ Association. The ACLU and others opposed the bill as unnecessary duplication of existing law, though some opponents said they may move to neutral after amendments. Because quorum was not yet established, the bill was held open without a vote at that time. The committee then heard SB 834 by Senator Dodd, a technical cleanup bill on automatic record clearance. The author and sponsor said it would fix implementation problems in existing record-clearing laws by preventing outdated “pending” charges from blocking relief, requiring local court records to match DOJ updates, and creating a way for people to obtain written proof of relief. Support was broad and no opposition was registered. The chair recommended an aye vote, and the bill was held open until later action. Senator Rubio presented SB 248, requiring DOJ to send new gun purchasers educational materials during the waiting period about safe storage, suicide prevention, domestic violence resources, and gun violence restraining orders. Supporters said the bill is a common-sense education measure; one opponent argued the information is already provided at gun stores and in manuals. After quorum was established, the committee voted the bill out on a due-pass motion to Appropriations, with one member not voting and the measure placed on call. The committee also took up SB 19, another Senator Rubio bill, to create a new crime for credible threats against schools and places of worship even when no specific individual is named. Supporters, including law enforcement and Jewish community organizations, said current law leaves a dangerous gap and that the bill would help address swatting, bomb threats, and generalized threats. Opponents, including the ACLU and youth justice advocates, warned it would expand the school-to-prison pipeline and criminalize students. After extensive debate, the committee approved the bill on a due-pass motion to Appropriations, with the measure also held on call. Later, SB 759 by Senator Archuleta, which would require court hearings after repeated post-release supervision violations or new offenses, passed on a due-pass vote despite opposition from public defenders and justice advocates who said it would reduce discretion and increase incarceration. Finally, SB 6 by Senator Ashby, which would schedule xylazine as a controlled substance, passed after supporters argued it would curb diversion and save lives, while opponents said criminalization would not reduce overdose deaths and would hinder research; the committee chair and several members emphasized the need for tools to address the drug supply while also expanding treatment.

Transcript Highlights:

• ALL THIS BILL DOES IS WE WANT CHARTER SCHOOLS, WHICH ARE PUBLIC SCHOOLS, TO BE TREATED EQUITABLY.
• They again are to be treated exactly like a traditional school.
• If we are treating them like traditional public schools, but they don't have the ability to tell them
• It encompasses the clerical work physicians have to provide.
• , NURSE, PARAMEDIC, OR PHYSICIAN ASSISTANT TO SERVE AS THE EMERGENCY CARE COORDINATOR.

Bills: SB 2 , HB 2 , HB 2000 , HB 2196 , HB 213 , HB 222 , HB 645 , HB 1458 , HB 1022 , HB 141 , HB 502 , HB 643 , HB 3093 , HB 1700 , HB 117 , SB 503 , SB 2 , HB 120 , HB 20 , HB 150 , HB 6 , HB 100 , HB 210 , HB 215 , HB 1393 , HB 1151 , HB 1268 , HB 142 , HB 451 , HB 124 , HB 2 , HB 2000 , HB 2196 , HB 213 , HB 222 , HB 645 , HB 1458 , HB 1022 , HB 141 , HB 502 , HB 643 , HB 3093 , HB 1700 , HB 117

Transcript Highlights:

• because of... ...mentioned, that therefore correlates to lower costs overall because if they're able to treat
• them sooner rather than later, they can treat them for lower costs than sending them to the hospital
• Sort of like when you go to your primary care physician and they give you a referral, that's a similar
• ... when you go to your primary care physician and they give you a referral, that's a similar function
• , so they own the physician, they own the clinic, they own the insurance company, and the pharmacy.

Committee: House Health and Mental Health

Transcript Highlights:

• House Bill 195 deals with the personal assets of physicians in medical malpractice judgments.
• Chair, I don't think it falls into the definition as we have it in this bill because we enumerate physician
• , chiropractic physician, etc., so I think we would need to individually specify it.
• And before I go there, you said this is a result of conversations with physicians, correct?
• continue to bring up repeatedly, and it's that in many of our pieces of legislation corporations are treated

Summary: The committee first took up HB 195, as amended by committee substitute, which would protect the personal assets of individual medical providers from medical malpractice judgments when they carry appropriate insurance or participate in the Patient Compensation Fund. The sponsor said the bill was intended to address providers’ fear of losing homes and other personal property, while opponents argued it could exempt a class of people from civil justice. Supporters said it was a reasonable compromise that preserved patient access to justice while helping recruit and retain providers. The committee adopted the substitute and advanced it on a do pass vote. The committee then heard HB 295, a revised version of the Accessibility Act, which would create a centralized office for accessibility reporting, technical assistance, and annual reporting on barriers in state buildings and websites. Supporters said the bill would improve coordination, data collection, and compliance with existing ADA requirements; opponents argued it duplicated existing law and would create another government office without enforcement power. Members debated whether the Governor’s Commission on Disability should handle the work instead, but the sponsors said the commission lacked capacity and the Department of Health was a better fit. The committee adopted the substitute and advanced it 8-1. Next, HB 296 proposed doubling the working families tax credit. The sponsor and supporters described it as an anti-poverty measure that would benefit more than 200,000 families and strengthen work incentives, while committee members asked about the fiscal impact, administration, and interaction with other tax credits. The bill was quickly advanced on a do pass vote. The committee then heard HB 338, which would extend the gross receipts tax deduction for health care providers through 2031 and add co-insurance payments. Health care advocates supported it, but city and municipal representatives warned it would reduce local revenue unless a full hold harmless was added. After extended discussion, the committee rejected a motion to table and instead advanced the bill 9-0 with no recommendation, with several members saying they would not support it on the floor unless local governments were made whole. Finally, the committee heard HB 259, which would create an optional actuarial review process for proposed health insurance legislation through the Legislative Finance Committee. Supporters said it would give lawmakers better data on premium, utilization, and spending impacts before voting on coverage mandates; opponents and some members raised concerns about cost, staffing, data access, and whether the process would be too limited to be useful. After discussion, the committee advanced the bill on a do pass vote. HB 279 was rolled at the sponsor’s request, and the committee adjourned after reminding members about the evening dinner.