Transcript Highlights:

• I appreciate these ladies' service.
• Of the telehealth services that we contract with providing third-party services?
• , the Department of State Health Services, Health and Human Services Commission, and the Texas Workforce
• I traveled to Panama and had three treatments.
• Without the treatments that they've received, without these adult stem cell treatments, they would not

Bills: HB 1106 , HB3284 , HB541 , HB713 , HB1403 , HB1586 , HB1942 , HB2070 , HB2844 , HB2851 , HB3151 , HB3749 , HB3940 , HB3963 , HB4454 , HB4466 , HB4795 , HB5154 , HB5394 , SB1357 , HB 1052 , HB4099 , HB4638 , HB5147

Committee: Senate Health & Human Services

Transcript Highlights:

• ,</c><00:10:06.959><c> education,</c> better access to services, education, better access to services
• </c><00:11:41.440><c> that</c><00:11:41.519><c> are</c> to services and supports that are to services
• treatment of chronic pain.
• </c><01:10:45.600><c> chronic</c> services for the treatment of chronic services for the treatment of
• </c> treatment. That's actually incorrect. treatment. That's actually incorrect.

Committee: Senate Health and Human Services

Transcript Highlights:

• vegetation treatments.
• vegetation treatments.
• As an example, a fuels treatment project. ...of the vegetation treatments.
• Wildfire Service.
• What about treatments in the WUI versus treatments in the general forest?

Transcript Highlights:

• The Ohana Treatment Center offers support on Zoom.
• Thank you for the opportunity to provide on SUD treatment plans in their on SUD treatment plans in their
• Thank best for their treatment journey.
• </c> user interfaces that are service user interfaces that are service orientated. orientated. orientated
• </c><01:16:33.240><c> carve</c> artificial intelligence service carve artificial intelligence service

Bills: SB2433 , SB2047 , SB2425 , SB3045 , SB2761 , SB3001 , SB2852 , SB2471

Committee: House Consumer Protection & Commerce

Summary: The committee heard testimony on SB 2433 SD1 relating to condominiums, which would direct the condominium education trust fund toward educational resources for unit owners and require the Real Estate Commission to ensure owners’ interests are represented in funded activities and related rulemaking. Supporters, including the Hawaii Real Estate Commission and a condominium owner advocate, said owners need a seat at the table in condo governance and education efforts. Committee discussion focused on whether the bill was necessary, with the Real Estate Commission indicating it could already use the trust fund for owner education and that owners are already considered stakeholders, though not through a specific commission seat. No vote was taken during the excerpted discussion. The committee then took up SB 2047 SD2 HD1 on pharmacy benefit managers, which would set requirements for maximum allowable cost reimbursement, allow reverse-and-rebill claims after successful appeals, and authorize fines for violations. The Insurance Division offered comments, the Hawaii Pharmacists Association supported the measure with amendments and suggested future PBM reform funding, and Kaiser Permanente requested a technical amendment. A committee question raised whether the staffing and resource request for implementation was too large for a bill focused only on MAC pricing, and the witness said he would provide more data to the next committee. No final action was shown. Next was SB 2425 SD2 HD1 on health insurance and substance use disorder treatment, requiring insurers to honor written assignments of benefits to SUD providers and prohibiting anti-assignment clauses. Supporters described patients being unable to access treatment because of high out-of-pocket costs and said direct payment would reduce harm for people in recovery. HMSA opposed the bill but said it would begin direct payments to non-participating SUD facilities effective March 27, while continuing to object to the assignment-of-benefits portion because of fraud and balance-billing concerns; the Hawaii Association of Health Plans also opposed. Members questioned HMSA about reimbursement mechanics and why the bill was needed if coverage policies were already changing. Finally, the committee heard SB 3045 SD1 HD1, which would require coverage of continuous glucose monitors and related supplies, including for Medicaid managed care, under certain conditions. DHS and the Insurance Division offered comments, while SHPDA, Hilo Benioff Medical Center Foundation, and others supported the bill, citing inconsistent access and a case in which a woman allegedly died after being denied a CGM. HMSA said it already covers medically necessary CGMs and had updated its policy in 2025 for type 1 and insulin-dependent patients, but it raised concerns about expanding mandated coverage to type 2 and gestational diabetes and about supply impacts. The committee also discussed whether the bill duplicated existing coverage standards and why it had been introduced repeatedly. No votes or final dispositions were included in the excerpt.

Transcript Highlights:

• , diagnosis, and treatment.
• , diagnosis, and treatment.
• for treatment of opioid disease.
• for treatment of opioid disease.
• Patient access to medication-assisted treatment for treatment of opioid disease.

Committee: Senate Health

Summary: The Senate Standing Committee on Health considered a series of health-related bills, many of which were reported favorably. Among the measures approved were SB 999, which would restructure Medicaid reimbursement for early and periodic screening, diagnosis, and treatment services for children with IEPs or disabilities; SB 1816, lowering the state definition of elevated blood lead levels to 3.5 micrograms per deciliter; SB 1911A, extending due process protections for health care professionals when insurers terminate or fail to renew them; and SB 3105, allowing reciprocity for out-of-state medical cannabis patients. The committee also advanced SB 4589 on federally qualified health center rate adequacy, SB 4955B on Medicaid Inspector General audit procedures, SB 9196 to ban new for-profit hospices, SB 9237 expanding the definition of family for certain foster care health facility services, and SB 9275 requiring Medicaid coverage for gender-affirming care and prohibiting related discrimination. Several of these bills were sent to Finance, while others were sent to First Reading or Higher Education as noted. The committee also discussed SB 2625, which would expand pharmacists’ authority to prescribe, administer, and dispense medication-assisted treatment for opioid use disorder. One member raised concerns about expanding scope of practice without coordination with primary care or a holistic review of patient conditions, and indicated opposition; the bill was nevertheless referred to Higher Education. SB 5056B, requiring the Department of Health to examine heat vulnerability and heat-related deaths, prompted discussion about whether the bill should explicitly require recommendations for prevention; the sponsor said the idea was to gather data and that recommendations could be added, and the bill advanced with some reservations. Other measures included SB 7460, reauthorizing a maternal infant care centers pilot program using an existing $350,000 appropriation, and SB 9388, requiring public notice and engagement when a general hospital closes or shuts down a psychiatric, mental health, or substance use unit. The hospital closure bill drew discussion about relocations and whether moves that shift services to a new site would trigger the community engagement process; the sponsor said they would. Most bills were approved by voice vote, with some members voting no or without recommendation on certain measures, and the committee adjourned after reporting the bills onward.

Transcript Highlights:

• treatment versus a revocation.
• , psychological treatment, or physical rehabilitation.
• , psychological treatment, or physical rehabilitation.
• before a hearing on medical parole or medical treatment furlough.
• , psychological treatment of physical rehabilitation.

Bills: HR112 , HR113 , HR114 , HCR51 , HCR52 , HR94 , HR95 , HR96 , HR97 , HR98 , HR99 , HR100 , HR103 , HR104 , HR105 , HR106 , HR107 , HR108 , HR109 , HR110 , HR111 , HCR46 , HCR47 , HCR48 , HCR49 , HCR50 , SCR25 , SB17 , SB300 , HCR35 , HB51 , HB82 , HB143 , HB145 , HB160 , HB180 , HB192 , HB393 , HB430 , HB445 , HB506 , HB515 , HB521 , HB565 , HB590 , HB614 , HB638 , HB647 , HB670 , HB672 , HB685 , HB692 , HB752 , HB773 , HB781 , HB799 , HB839 , HB860 , HB873 , HB874 , HB887 , HB917 , HB937 , HB956 , HB965 , HB972 , HB977 , HB982 , HB1006 , HB1010 , HB1044 , HB1072 , HB1088 , HB1157 , HB1179 , HB1200 , HR15 , HR20 , HCR14 , HCR6 , HCR19 , HCR10 , HR74 , HCR26 , HCR45 , HB54 , HB67 , HB73 , HB125 , HB133 , HB158 , HB168 , HB169 , HB191 , HB195 , HB245 , HB280 , HB283 , HB296 , HB319 , HB339 , HB399 , HB407 , HB448 , HB550 , HB591 , HB826 , HB995 , HB1085 , HB1086 , HB98 , HB108 , HB131 , HB151 , HB161 , HB288 , HB294 , HB305 , HB310 , HB320 , HB336 , HB380 , HB392 , HB403 , HB420 , HB459 , HB476 , HB540 , HB615 , HB631 , HB637 , HB648 , HB665 , HB682 , HB789 , HB813 , HB815 , HB835 , HB870 , HB905 , HB915 , HB933 , HB938 , HB987 , HB1040 , HB827 , HB953 , HB796 , HB352 , HB463 , HB735 , HB780 , HB882 , HB81 , HB400 , HB140 , HB750 , HB911 , HB961 , HB401 , HB901 , HB9 , HB52 , HB58 , HB154 , HB193 , HB284 , HB410 , HB570 , HB577 , HB582 , HB605 , HB733 , HB868 , HB952

Summary: The House met with a quorum, opened with prayer and the pledge, and received several Senate messages and enrolled resolutions. The chamber also recognized visiting groups and guests, including a guest minister, the Joe Burrow Foundation, Youth Legislature participants, children’s advocacy center representatives, Alzheimer’s advocates, Delta Sigma Theta members, Kappa Alpha Psi members, Big Brothers Big Sisters, and City Year AmeriCorps. The House adopted a series of commemorative and awareness resolutions, including measures for Sanfilippo Syndrome Awareness Day, Alzheimer’s and Related Dementia Awareness Day, Knock Knock Children’s Museum Day, Big Brothers Big Sisters Day, Delta Sigma Theta Sorority Day, Kappa Alpha Psi Fraternity Day, My Sister’s Keeper Day, Youth Legislature recognition, and several commendations and condolences. It also concurred in SCR 25 and received Senate resolutions and bills, including measures on commercial driver’s licenses, Medicaid eligibility during redetermination, postsecondary support fund use, juvenile traffic violations, background checks, and explosives regulation. The House then considered and advanced a long list of bills, largely on criminal justice, education, public safety, transportation, and administrative procedure. Notable measures included bills on parole and probation alternatives, supervised release venue for sex-offender violations, jail-credit limits on consecutive sentences, medical parole notice, juvenile parole eligibility cleanup, teacher and school employee battery penalties, inmate workforce cleanup, re-entry programming for female parolees, extradition costs for probation/parole violators, and a bill allowing public postsecondary institutions to permit self-defense chemical sprays. Other bills addressed protected personal information for certain public officials, the M.J. Foster Promise Program eligibility age, scholarships for spouses of firefighters and police officers, compensation for parish board commissioners, paid family leave insurance as a voluntary private-market product, insurance referral practices, and vehicle inspection sticker requirements. Several bills were amended and passed, often with strong or unanimous support, while a few were recommitted or returned to the calendar. The House passed HB 504 on parole violations as alternatives to revocation by a vote of 88-0; HB 73 on electronic voting in public meetings by 88-0; HB 125 on supervised release venue by 91-0; HB 67 on protected information records by 98-1; HB 133 on assault and battery penalties for teachers by 96-0; HB 158 on probation technical violations by 92-3; HB 168 on a female parolee re-entry program by 95-0; HB 169 on extradition costs by 92-3; HB 191 on overlapping jail credit by 88-5; HB 195 on self-defense chemical sprays on campus by 93-0; HB 245 on medical parole notice by 95-0; HB 280 on juvenile parole eligibility cleanup by 93-0; HB 283 on sick leave and discipline rules for attacked school employees by 97-1; HB 296 repealing inactive inmate workforce provisions by 88-5; HB 319 on civic education commission quorum by 98-0; HB 339 on protected information for police officers and retired judges by 97-0; HB 407 on the M.J. Foster Promise Program age reset to 21 by 94-2; HB 448 on scholarships for spouses of firefighters and police officers by 95-0; HB 550 increasing parish board commissioner pay from $50 to $100 per day by 91-2; HB 591 creating a voluntary paid family leave insurance product by 95-0; and HB 826 modernizing insurance referral rules by 93-0. HB 1085, a major proposal to eliminate traditional vehicle inspection stickers and replace them with a new sticker/QR-code system tied to registration, drew extensive questioning about costs, enforcement, local parish programs, and where the fee revenue would go; the debate was ongoing in the portion provided.

Transcript Highlights:

• Within three days, I was in the hospital, starting treatment.
• Within three days, I was in the hospital, starting treatment.
• after treatment.
• preventive service, The U.S.
• Preventive Services Task Force, if it gives an A rating to a preventive service, it has to be covered

Committee: Joint Joint Committee on Financial Services

Summary: The Joint Committee on Financial Services held a public hearing on a wide range of bills, with testimony first focused on H. 1315/S. 824, which would require insurance coverage for pain management options during IUD insertion. Representative Sabadosa, Planned Parenthood clinicians, and policy advocates said sedation can reduce fear and trauma, improve access to effective contraception, and should be reimbursed so providers can continue offering it. A Tufts OB-GYN resident also testified that pain control should be standard care for intrauterine procedures. No votes were taken during the hearing. The committee then heard extensive testimony on firefighter health bills, especially H. 1230/S. 690 requiring insurance coverage for cancer screenings for firefighters. Professional Fire Fighters of Massachusetts leaders, a Dana-Farber oncologist, and firefighters themselves described occupational exposure to carcinogens and personal stories of late-stage cancer detection, arguing that early screening can save lives and reduce long-term costs. Representative Crichton and Representative Howitt also spoke in support, and Representative Ayers testified for H. 4012, which would require neurological disorder screenings for firefighters. Committee members expressed support and sympathy, but no action was taken. The hearing also covered H. 3946/S. 756 on hearing aid coverage, with testimony from students, adults with hearing loss, disability advocates, and HLAA representatives describing the educational, social, and financial barriers caused by lack of coverage and urging broader insurance mandates. Later, Representative Donahue and Representative Vargas testified for H. 1337 to expand insurance coverage for opioid antagonists and related medications, including naloxone dispensed at discharge. The committee additionally heard testimony on H. 1134 to improve chronic pain care coordination and non-opioid access, and H. 4162 to improve ostomy supply coverage and access to certified ostomy care, with patients and clinicians describing denials, quantity limits, and non-medical switching. The transcript ends while testimony on H. 1315/S. 824 is still ongoing; no votes or formal committee actions are recorded in the excerpt.

Transcript Highlights:

• </c> patient populations and treatment patient populations and treatment settings<00:09:53.079><c> the
• and substance use treatment into the and substance use treatment into the primary<00:10:13.800><c> care
• The service dogs will then be put with their owners and help with life-saving and critical services for
• animals. space for these service dogs there's any space for these service dogs there's any damage<00
• </c> talking about the life of the service talking about the life of the service dog<00:30:10.000><c>

Bills: HF958 , HF688 , HF702

Committee: House Human Services Finance and Policy

Transcript Highlights:

• of Health Services, and the Department of Health and Human Services.
• . services, and adult protective services.
• item which is Strengthening Services for Adult Protective Services.
• They're providing services like functional- functional-based family services, therapy services, which
• Health Services.

Committee: House Appropriations - S/C on Article II

Transcript Highlights:

• </c> outpatient uh substance abuse treatment outpatient uh substance abuse treatment facilities<00:33
• Um, and I think if everything going through treatment and so when she going through treatment and so
• </c> licensing for our residential treatment licensing for our residential treatment facilities<00:48
• </c> there are 65 uh Outpatient Treatment there are 65 uh Outpatient Treatment providers<00:50:10.040
• </c> even touching on the many treatment even touching on the many treatment providers<00:50:31.640><

Summary: Division 3 Finance held a work session to move through five bills before noon, noting one member’s early departure and adjusting the order of bills accordingly. The first item, HB 54, would allow some alternative treatment centers in the medical cannabis system to operate for profit. Members discussed a fiscal note showing a one-time $133,000 cost, which was described as a Division 1 budget item to be handled through HB 2 rather than directly in Division 3. After discussion about keeping Division 1 informed and the distinction between retaining a bill versus funding it, the committee voted unanimously to retain HB 54 for further finance work and conversion into HB 2. The committee then took up HB 547, concerning reimbursement to counties for enhanced FMAP funds during the COVID period. The chair summarized the issue as federal enhanced Medicaid matching funds that were received by the state before authority existed to pass them through to counties, creating a disputed amount owed to counties. County representatives said the money should have gone to counties and clarified the relevant time period, while the department did not take a position. The chair proposed retaining the bill and moving it into HB 2, with discussion of a possible four-year repayment structure in equal annual installments. The committee agreed to retain the bill for continued work in the budget process. During the HB 547 discussion, members also clarified the fiscal and accounting details, including that the fiscal note had not been widely available and that some figures in the note should be treated as county revenue rather than county expenditure. Testimony explained that the enhanced FMAP increased from 50 percent to 56.2 percent, and that the state’s and counties’ shares of claims were affected by the timing of the federal change and the later state authorization. The committee emphasized that the issue was complex and budget-dependent, and that retaining the bill would allow further negotiation and incorporation into HB 2 rather than immediate final action.

Transcript Highlights:

• Consumer sales and service stations.
• Just as important is service and ...service and called the Fila.
• And then, similarly, enabling more service stations so that those cars can then be serviced in state
• Whereas if the service dealership service center were not located on tribal land, the tax would come
• to that service station.

Bills: SB22 , SB310

Committee: Senate Senate Conservation

Summary: The committee first heard Senate Bill 22, which would allow certain motor vehicle manufacturers, including electric vehicle companies, to be licensed as dealers in New Mexico and sell/service directly to consumers. Supporters, including the sponsor’s office, Taxation and Revenue, Rivian, and clean-energy advocates, argued the bill would expand consumer choice, lower prices, improve EV access and service in-state, and bring new investment and jobs without eliminating existing franchise dealers. Opponents, including auto dealer associations, chambers of commerce, and franchise owners, argued the measure would weaken the franchise system, harm local businesses and jobs, reduce community reinvestment, and could disadvantage rural and tribal communities. After questions about trade-ins, tribal land sales, tax effects, and economic impacts, the committee voted to table SB 22 by a vote of 7-2. The committee then took up Senate Bill 310, which appropriates $1.1 million to the New Mexico Environment Department for planning, design, and construction improvements to the Mora mutual domestic water system. Supporters described aging water and wastewater infrastructure, an AOC related to discharge into the Mora River, flood and fire impacts, and heavy-metal contamination concerns in private wells. They said the project is part of a larger effort to address inflow and infiltration, improve treatment capacity, and protect public health, with additional funding already sought through the Clean Water State Revolving Loan Fund and the Water Trust Board. Some senators questioned whether the request should instead go through existing water funding programs and raised concerns about piecemeal financing and the Environment Department’s role, but others supported the need for the project. The committee approved SB 310 on a 5-3 due-pass vote.

Transcript Highlights:

• Klein, briefed this committee on the mental health services. And supported by Dr.
• The difference between the 550-bed and mental health treatment facility.
• The difference between the 550 bed and mental health treatment facility.
• So if I can back up, The 550-bed mental health treatment facility.
• My conversations with the people in the department, health services, and construction was a lot of treatment

Summary: The committee first heard an update from the Florida Department of Corrections on the proposed Lake Correctional Institution mental health project in Clermont. Tim Fitzgerald explained the project’s history, including the 2016 Disability Rights Florida litigation, the 2018 consent decree, and the original plan for a 550-bed inpatient mental health facility. He said inflation and design changes pushed the project above the bond amount, leading the department to shift to a “continuum of care” alternative with 572 beds total: 92 inpatient beds and 480 residential treatment beds in three special housing units. Fitzgerald said the project is currently paused pending House concurrence, while the Senate has already agreed to the alternate plan, and noted the bond balance, prior expenditures, and the need to spend down the tax-exempt bond by August 2026. Members questioned how the new plan differs from the original facility, whether it satisfies the consent decree, and what caused the cost increases. Fitzgerald said the department believes it has already met the consent decree through systemwide improvements to housing, staffing, programming, and out-of-cell time, though he said he would confirm the court documentation. He also said the original scope grew from 275,000 to 350,000 square feet as treatment, nursing, security, and programming needs were refined, and that inflation, fees, permitting, and contingencies contributed to the higher cost. Several members asked for follow-up information on Senate approval, consent decree documentation, and the project’s impact on crisis-stabilization capacity. The committee then received a joint court-system presentation from State Courts Administrator Eric McClure and Clerks Corporation Executive Director Jason Welty on caseload trends, case tracking, and staffing. McClure described statewide filing trends, the use of weighted caseload studies to certify judicial need, and recent Supreme Court rule changes aimed at active civil case management, including differentiated case tracks, stricter deadlines, and proportional discovery. He said the latest workload study led the Supreme Court to certify a need for 23 circuit judges and 25 county judges. Welty reviewed clerk workload trends, the statewide case maintenance and CCIS systems, and declining clerk FTE despite rising case volumes, and said clerks are seeking additional funding for injunctions, Baker Act/Marchman Act/sexually violent predator work, and juror management. In questions, members pressed both presenters on data quality, case-weight calculations, filing fees, and whether current resources are enough to reduce delays. McClure clarified that the workload weights are based on judge time studies and that a capital murder case averaged 3,177 minutes, while other examples such as auto negligence and dissolution cases were much lower. Welty said the Legislature could help by increasing funding or potentially revisiting filing fees, and noted that many clerk services are unfunded or underfunded, especially indigent and protective filings. The chair and members also raised concerns about backlog, inconsistent case reporting across circuits, and enforcement of judicial time standards; McClure said there is no direct sanction in the rules, and compliance is largely managed through chief judges and the Supreme Court. The meeting ended with no votes taken and adjournment by motion.

Transcript Highlights:

• Kelly to come up and present the Health and Human Services budget, and she is the Health and Human Services
• Services are available for children with complex medical needs who require continuous nursing services
• In fee for service, sorry, current fee for service rates are lower than those paid by capitated plans
• In fee for service, sorry, current fee for service rates are lower than those paid by capitated plans
• nursing services.

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The Appropriations Committee on Health and Human Services heard presentations on the governor’s proposed FY 26-27 budget for the health and human services silo, which totals $48.5 billion within a $117.4 billion state budget. Agency leaders outlined major spending priorities, including AHCA’s behavioral health redesign, APD waiver enrollment and facility needs, DCF’s integrity and self-sufficiency systems, opioid response, community-based care and mental health bed expansion, DOEA’s Alzheimer’s, home care, and community care programs, DOH’s cancer research, public health, EMS blood-transfusion initiative, and lab feasibility study, and the Department of Veterans’ Affairs’ facility, cybersecurity, and medication-management investments. Members generally praised several proposals, especially increased reimbursement for private duty nursing, behavioral health funding, Alzheimer’s support, and the EMS blood program. Senator Sharief raised concerns about the AIDS Drug Assistance Program (ADAP), warning that changes could leave many Floridians without coverage for HIV medications and asking whether manufacturers could provide rebates directly to patients. Surgeon General Ladapo said the issue was driven largely by funding and federal changes, not a legal barrier, and said the department had explored alternatives but could not fill the gap with current resources. Senator Rouson asked about the Office of Minority Health and Health Equity, and DCF said its budget includes about $7 million for the substance abuse and mental health data dashboard required by prior legislation. Public testimony focused heavily on ADAP. Former program leaders and advocates said the proposed changes would reduce enrollment and remove key drugs and insurance-premium support, calling the situation a crisis and criticizing the department for lack of transparency and stakeholder engagement. They urged a pause and collaborative review of the program’s finances. The committee also discussed KidsCare implementation, with AHCA saying federal conditions and litigation have delayed the expansion. The meeting ended after the chair noted the budget would still need to be adjusted for updated Medicaid caseload estimates, and the committee adjourned without taking any formal votes or other action on the budget items.

Transcript Highlights:

• The Health and Human Services Committee will come to order.
• Typically, the treatment team creates a service plan for the individual based on their specific needs
• However, 20 years of therapy, treatment, and necessary service plans have allowed this person to go off
• a more targeted treatment approach.
• treatment outcomes.

Bills: SB1328 , SB1380 , SB1436 , SB1558 , SB1572 , SB1651 , SB1805 , SB1831 , SB1836 , SB2014 , SB2023 , SB2044 , SB2179 , SB933

Committee: Senate Health and Human Services

Summary: The Health and Human Services Committee met to consider a series of Senate bills, beginning with SB 2014, which would allow ivermectin to be sold over the counter with FDA approval. After questions about whether a prescription would still be required and how FDA guidance would affect the law, the bill passed 9-3. SB 1805, as amended, barred detention and youth facilities from using temporary agencies or contracting organizations for staffing; the author said the change was intended to address transparency and records issues in a related lawsuit. That bill passed 12-0. SB 2044, also amended, clarified chiropractic-related language regarding serum and multiple vitamins; members discussed whether the bill changed scope of practice, and it passed 10-2. The committee then approved SB 1836, which requires a board-approved mental health screener during routine annual primary care visits. The author said it was meant to normalize mental health screening and noted an updated fiscal impact estimate of $284,000 to $560,000; some members raised concerns about mandates and cost, but the bill passed 8-4. SB 1380 would require the Oklahoma Health Care Authority to verify Medicaid eligibility against death records and conduct monthly death-record checks for enrollees; after questions about current practice, costs, and recoupment from deceased enrollees, the author requested title be stricken, and the bill passed 10-2. SB 2179, dealing with not-guilty-by-reason-of-mental-illness cases, adds staff accompaniment for therapeutic visits, requires structured violence-risk assessments before discharge or conditional release, and adds drug screening when substance-use monitoring is ordered; Department of Mental Health staff testified about treatment planning and monitoring, and the bill passed 11-1. Later, the committee passed SB 1436, which requires families to be informed of their right to certification after fetal death or miscarriage, and SB 1558, which clarifies that older youth in OJA custody may be placed in Level E group homes. SB 933, the “Right to Try for Individualized Treatment Act,” passed 11-0 and would allow certain terminally ill patients to seek individualized investigational treatments after informed consent. SB 1651, an Oklahoma Medical Board cleanup bill covering several licensed professions, also passed 11-0. Finally, SB 1328 modernizes parental access to minor medical records with safeguards for abuse situations, and SB 1572 removes the DHS and OJA directors from the OCCY board; both passed 11-0. The committee adjourned after noting a possible interim meeting for a Tier 1 nomination.

Transcript Highlights:

• transmitted diseases, mental health services, substance abuse treatment, etc.
• Within the bill analysis, it outlines some of those particular services, such as treatment for sexually
• transmissible diseases, mental health services, and substance abuse treatment.
• And these services are life-saving.
• , or for mental health services that are below two visits within a week and just diagnosis, or the treatment

Committee: Senate Education Pre-K - 12

Summary: The committee on Pre-K through 12 Education took up SB 1288, a parental rights bill by Sen. Grall, which would expand the Parents Bill of Rights to require written parental consent for minors’ medical care and prescriptions, give parents access to medical records, require parental review/consent for surveys and questionnaires, and restrict use of biofeedback devices without parental permission. The sponsor said the bill is intended to restore parents’ role in major medical decisions and to address concerns about schools or providers collecting sensitive information from children without parents’ knowledge. She said she was open to clarifying language, especially around exceptions and definitions, but maintained that parents should generally be the decision-makers. Committee members pressed the sponsor on how the bill would affect minors who are abused, homeless, estranged from parents, or otherwise without a safe guardian, as well as access to STI treatment, mental health care, contraception, and care after sexual assault. The sponsor repeatedly said children in unsafe situations should come into the child welfare or law enforcement system and that she was open to changes for truly unsafe or unavailable parents, but she rejected the idea that the bill was merely about notification rather than consent. She also defended the survey provisions as a way to stop routine questioning of children about suicide and other sensitive topics without parental awareness, and said the biofeedback language was aimed at school settings where data about children’s anxiety or stress is allegedly being shared with classmates. Public testimony was heavily divided, with many speakers opposing the bill and describing personal experiences with abuse, rape, mental health crises, lack of supportive parents, and the need for confidential access to birth control, STI testing, and counseling. Opponents argued the bill would delay care, endanger vulnerable minors, and reduce access to medically necessary services and surveys that can identify risk. Supporters said the bill would restore parental authority, improve transparency, and protect children from inappropriate surveys and biometric monitoring. During debate, Sen. Berman and Sen. Davis opposed the bill, saying it conflicts with existing law and could harm vulnerable youth, while Sen. Yarborough supported it, arguing that not all parents are bad actors and that the state should not treat all families as if they were. The transcript ends with debate underway and no final vote or action recorded.

Transcript Highlights:

• , mental health treatment, SUD treatment, things like that.
• , mental health treatment, SUD treatment, things like that.
• , mental health treatment, SUD treatment, things like that.
• , mental health treatment, SUD treatment, things like that.
• , mental health treatment, SUD treatment, things like that.

Committee: House Health Finance and Policy

Transcript Highlights:

• And $13.4 billion, about 9.4%, is for developmental services.
• Would OYCR be engaged in how services are going to be provided, and how effective services are going
• drills of O&E reductions, personnel services reductions.
• drills of O&E reductions, personnel services reductions.
• So that is... ...despite this demand and services.

Summary: The committee heard a series of budget and oversight presentations from CalHHS-related departments and agencies. CalHHS opened with a broad overview of its 2026-27 budget and priorities, including behavioral health, housing and human services integration, children and youth services, and aging/disability supports. OICR then presented its budget and its SB 823 realignment report on youth formerly committed to DJJ, saying county implementation varies widely but that the state has not seen evidence of net widening in the available data. OICR recommended climate surveys, youth advisory councils, stronger behavioral health and education programming in secure youth treatment facilities, better transitional planning, and improved longitudinal data systems. The agency also described a Title II federal grant transition problem, saying it cannot yet pay some subrecipients for prior work and is awaiting federal action on retroactive spending authority and an administrative funding adjustment. The Ombudsperson division requested two additional positions to address a growing complaint workload and access issues with counties over youth meetings, records, and grievance files; LAO raised no policy objection but noted the ongoing General Fund cost. The State Council on Developmental Disabilities requested $730,000 General Fund ongoing to cover the gap between federal limits on administrative overhead and the actual cost of an interagency agreement with the Department of Social Services. EMSA presented its department overview and several proposals, including a delayed AB 716 ambulance rate report, a $2.6 million request to replace aging disaster-response vehicles, a $250,000 security architecture assessment, and four positions plus ongoing General Fund for HR, enforcement, and legal workload. Members questioned the delay in the AB 716 report, the optics and timing of the vehicle replacement request, and whether EMSA was doing enough to prevent future staffing and enforcement problems. LAO repeatedly noted the ongoing General Fund implications of EMSA’s requests. The Department of Community Services and Development sought reappropriation of unspent Greenhouse Gas Reduction Fund money for the Low-Income Weatherization Program and described a Proposition 4-funded continuation of the farmworker housing component, which would require a new statewide administrator and program design process. The Department of Rehabilitation requested authority to draw an additional $60 million in federal funds annually and add 54 positions to meet sharply increased Vocational Rehabilitation caseloads; LAO had no concerns. Child Support Services proposed restoring a prior reduction to local child support agency funding and reported higher federal performance incentives, while also presenting a supplemental report on full pass-through of child support collections to CalWORKs families, estimating about $150 million annually for full pass-through or about $80 million for a state/county-only approach, plus automation costs. Members questioned why funding should rise when caseloads are declining, and whether the policy could be made cost-neutral. CDPH closed the hearing with an overview of its $5.1 billion budget and its state of public health report, highlighting record-low mortality and higher life expectancy, but also rising overdose deaths among ages 25-44, persistent maternal and infant mortality disparities, and the need for stable public health and emergency-response capacity; no votes were taken during the hearing.

Transcript Highlights:

• </c> on Human Services. on Human Services.
• </c> no-cost telecommunication services. no-cost telecommunication services.
• </c> service organizations. service organizations.
• </c> of healthcare services. of healthcare services.
• </c> on Human Services as amended? on Human Services as amended?

Transcript Highlights:

• Poor people in nursing homes cannot afford those services.
• People who need cancer treatment, people who need heart surgery are being denied those treatments because
• That authority rests with the Public Service Commission.
• You're not giving them good service.
• If service is not good, why would you pay?

Committee: House Health and Welfare

Summary: The committee met on March 25 and first took up HB 199, which would extend Louisiana’s nursing home moratorium. Chairman Miller amended the bill to shorten the extension from five years to four, moving the termination date to July 1, 2031. Rep. Barault argued the state faces a growing bed-capacity problem and proposed an amendment to exempt St. Tammany Parish; Rep. Cruz offered a substitute to reduce the extension to three years. The Nursing Home Association said it had negotiated in good faith and supported the four-year compromise, while the Pelican Institute opposed the moratorium as anti-competitive. A St. Tammany resident testified that her mother faced a long wait for placement and that more local beds are needed. The three-year substitute and the St. Tammany exemption both failed, and HB 199 was reported favorably with the four-year amendment. The committee then favorably reported HB 223 to recreate the Department of Children and Family Services for four more years, with Secretary Rebecca Harris saying the department’s recent reorganization has allowed it to focus more directly on child safety and child welfare. Members discussed planned reforms such as differentiated response, stronger community-based care, and the transfer of TANF to Louisiana Works in 2027. HB 907, which grants civil and criminal immunity for the use or distribution of expired naloxone or other opioid antagonists, also passed with technical amendments; public health officials and members emphasized that expired naloxone remains effective enough to save lives and should still be used in emergencies. HB 535, which streamlines hospital-based acknowledgements of paternity by allowing notarization without two witnesses, was reported favorably after Woman’s Hospital testified that the change would speed up paternity establishment, child support enforcement, and the addition of fathers to birth certificates. HB 554, which would increase penalties for violations at health care facilities and require LDH reporting, drew testimony from a family member describing serious care failures and from LDH, which said it already has caps on fines and that the bill would not change those caps. Rep. Jackson amended the bill to require LDH to publish fines assessed and collected and to list facilities with repeated immediate jeopardy or actual harm deficiencies, but the bill was then voluntarily deferred for a week to allow further discussion with the department. The committee also reported HB 224, a largely technical update to the Children’s Code recommended by the Louisiana State Law Institute, HB 246, which updates membership of the Children’s Cabinet Advisory Board and related bodies, and HB 405, which updates the name of the national acupuncture certifying organization. HB 222, requiring Medicaid coverage for certain dental procedures when needed to clear patients for other medically necessary treatment, was reported favorably despite a fiscal note. Finally, HB 235 on sewer systems generated extensive discussion: Rep. Fontenot described rising sewer rates, poor maintenance, and sewage overflows in his district, and argued for allowing property owners to install private sewer treatment systems in certain circumstances. Members raised concerns about local control, PSC rate-setting, and whether local governments should have more authority over sewer service decisions; the bill was still under discussion when the transcript ended.

Transcript Highlights:

• treatment.
• They can't get treatment, and it's just not covered.
• We do have many other treatment modalities available that we cover for... ...many other treatment modalities
• We know that treatment looks different.
• There's different kinds of treatment. But again, you have to know that treatment is an option.

Committee: Joint Joint Committee on Public Health

Summary: The Joint Committee on Public Health held a hearing during a snowstorm, with members participating both in person and via Teams, and the chairs said testimony would be kept open for an additional week. The first bill heard was H.4796, an act relative to organ transplant vehicles. NORA New England testified in support, arguing that dedicated organ transport vehicles need authority to use lights and sirens so time-sensitive organs can be moved more quickly and safely without relying on EMS systems already stretched by 9-1-1 calls. No opposition was heard and the bill was then set aside as the committee moved to the next item. The bulk of the hearing focused on H.4838, an act expanding access to perimenopause and menopause care. Chair Decker, who filed the bill, said it was the product of a year of meetings with dozens of individuals and organizations and was intended as a starting point to identify gaps in care, training, access, and coverage. Testimony overwhelmingly supported the bill and described widespread misdiagnosis, dismissal of symptoms, limited clinician training, insurance barriers, medication access problems, and workplace impacts. Speakers included patients, clinicians, advocates, the Massachusetts Health and Hospital Association, Blue Cross Blue Shield, the Massachusetts Commission on the Status of Women, and out-of-state and international experts, many of whom urged better education, public awareness, research, and workplace accommodations. Several witnesses emphasized that menopause affects whole-body health, including cardiovascular, bone, mental health, and work outcomes, and that Black women and other marginalized groups face greater barriers and worse outcomes. Some speakers noted the bill is important but largely a framework that will need further work to address coverage and access more directly. Blue Cross Blue Shield said it supports the bill and already covers menopause-related care and training, though the chair used the exchange to criticize broader insurer and state decisions on GLP-1 coverage for obesity. The committee took no vote during the hearing, and the chairs closed by thanking witnesses and stating that additional written testimony would be accepted.