Transcript Highlights:

• under the care of a certified lay midwife, there's no evidence that this practice improves infant mortality
• In fact, in Alabama, the leading risk factor for infant mortality is poverty, a very complex issue that
• At a time when we are striving to reduce infant mortality, we must not compromise the quality of care

Bills: SB87, HB491, SB43, SB101

Keywords: midwifery, licensed midwives, State Board of Midwifery, licensure fees, professional liability insurance, complaints investigation, emergency care plan, out-of-hospital care, HB491, public schools, K-12, school nutrition, school lunch, cafeteria, artificial dyes, food additives, food coloring, synthetic dyes, Red Dye No. 3, Red Dye No. 40

Transcript Highlights:

• The mortality rate has been rising for decades, with the USA being the only developed country with a
• We have the information on maternal morbidity and maternal mortality, not only in the state of Texas,
• I would love to see some work on reducing the rates of maternal mortality and infant mortality as Texas
• Of maternal mortality between 2019 and 2022, our maternal mortality rate rose by 56% compared to 11%
• The growing use of these pills impacts... ...the maternal mortality and morbidity rate in our state,

Bills: HB7, SB 8, HB7, SB 8

Keywords: abortion, healthcare, jurisdiction, civil action, qui tam, prohibition, state law, sex designation, restroom access, civil penalties, private civil right of action, women's privacy, 997, house, all

Transcript Highlights:

• We see a higher incidence of adverse events as well as patient mortality.
• that these investments have not led to an expansion of methadone access or any change in patient mortality
• Um the effects of PE on mortality.
• any change in patient mortality. any change in patient mortality.
• , higher rates of pain and mortality, higher rates of pain and pressure<01:15:28.400> ulcers,<

Bills: HF3668, HF2779, HF2771

Keywords: gun violence, public health, Department of Health, prevention, criminal justice, health care transparency, ownership disclosure, control reporting, health care consolidation, private equity, management services organization, MSO, provider organization, health insurer, pharmacy benefit manager, hospital system, affiliate reporting, financial disclosure, public reporting, market concentration

Summary: The House Finance and Policy Committee met on March 2 with a quorum present and heard House File 3668, which would create a state Office of Gun Violence Prevention. The bill author argued the office would treat gun violence as a public health crisis, improve research and coordination, and help reduce deaths and trauma, especially among children. Several supporters testified, including representatives from the Minnesota Medical Association, Protect Minnesota, family medicine, public health, and obstetrics/gynecology, all emphasizing firearm injury and suicide as major public health problems and urging a coordinated, data-driven response. Multiple testifiers shared personal accounts of shootings and their effects on children and families, including the Annunciation shooting, and said the office could help align prevention efforts across health care, law enforcement, and community organizations. Opposition came from the Minnesota Gun Owners Caucus, which argued the bill would create a permanent taxpayer-funded bureaucracy that could be used to shape firearm policy and restrict a constitutional right. The group said Minnesota should focus instead on enforcing existing laws, prosecuting violent offenders, and providing direct victim services. During committee discussion, Vice Chair Nadeau offered an A2 amendment to move the proposed office from the Department of Health to the Department of Public Safety, citing data-sharing, accountability, and examples from other cities and states; after discussion with the bill author, he withdrew the amendment. Chair Becker then noted existing state and local spending on violence prevention and public safety programs and raised concerns about duplication of effort.

Transcript Highlights:

• A major advancement is the implementation of a multidisciplinary veteran suicide mortality review.
• expanded role training and outreach growth, and veteran health navigator model expansion, suicide mortality
• Minnesota, expanded role training and outreach growth, veteran health navigator model expansion, suicide mortality
• We are starting that relationship through our suicide mortality review of Hennepin County.

Bills: HF3727, HF3684, HF3467

Keywords: veterans property tax, homestead exclusion, disabled veteran, totally and permanently disabled, service-connected disability, property tax relief, market value exclusion, surviving spouse, family caregiver, county veterans service officer, Minnesota property tax, assessment year 2027, homestead tax benefit, veterans tax exemption, DD214, VA disability rating, veterans, veterans affairs, Department of Veterans Affairs, grant standards

Transcript Highlights:

• I'm listening for infant mortality-type situations in your conversation. You're recognized.
• I think there are some indicators, but we're still digging in on infant mortality and pregnancy-related
• mortality.
• Infant mortality is especially complicated because, of course, we have to follow post-delivery for one
• That's the definition of infant mortality: one year following delivery.

Summary: The committee met to receive implementation updates on recently enacted health care laws from AHCA and the Department of Health. AHCA reported on rural emergency hospitals, explaining the new Class 4 hospital designation, rule changes completed June 1, 2025, and that no Florida hospitals have yet converted, though one North Walton/DeFuniak Springs-area hospital has expressed interest. AHCA also reviewed the non-emergent care access plan requirement for hospitals with emergency departments, saying 83 plans had been received since July 1 and 63 approved, with plans emphasizing patient education, referrals to primary care or urgent care, and coordination for Medicaid managed care enrollees through the Florida HIE/ENS system. Members asked about HIE capacity, data collection, and whether the plans would identify shortages or trigger accountability measures; AHCA said it had moved to a new HIE vendor and would continue gathering data. AHCA also updated the committee on the TEACH workforce program, reporting $6.8 million in FY 2024-25 spending across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed, and said a federal 1115 workforce waiver was unlikely to move forward under CMS. On KidCare, AHCA said House Bill 121’s expansion to 300% of the federal poverty level remains blocked by federal litigation and CMS action tied to premium nonpayment rules, and members and public witnesses urged prompt implementation and asked for enrollment/disenrollment data and the rural health transformation funding outlook. Public testimony largely supported the NCAP and TEACH programs and pressed for action on KidCare. Representatives from health centers said NCAP has strengthened hospital-health center relationships and improved care coordination, including reduced recidivism in some hospitals. A Bond Community Health Center physician said TEACH is helping offset the burden of training students and could help address workforce shortages, especially in rural and underserved areas. Advocacy groups urged the committee to push for implementation of the KidCare expansion, citing children in the coverage gap and rising uninsured rates. The Department of Health then presented on several programs from the 2024-25 session. It reported on the Florida Reimbursement Assistance for Medical Education (FRAME) program, including 78 dentists and 15 dental hygienists funded under the dental track and nearly 1,300 medical professionals funded overall, with 123 dental applications and 71 funded dentists in the most recent cycle. DOH also updated the Screening and Services Grant Program, the Health Care Innovation Revolving Loan Program, the statewide telehealth maternity care program, and the swimming lesson voucher program, noting strong participation and outcomes such as reduced ER visits and improved postpartum follow-up in the maternity program. Finally, DOH said implementation of the HIV prevention drug/pharmacist dispensing law is underway, with three certification courses approved and five certifications issued. Members asked about barriers to wider use of HIV prevention drugs, more detailed maternal outcome data, and the dental workforce program report; DOH said more detailed reports would follow.

Transcript Highlights:

• I'm listening for infant mortality-type situations in your conversation. You're recognized.
• And so I think there are some indicators, but we're still digging into infant mortality and pregnancy-related
• mortality.
• Infant mortality is especially complicated because, of course, we have to follow post-delivery for one
• And that's the definition of infant mortality: one year following delivery.

Summary: The committee opened with roll call, welcomed members back for the first committee weeks, and heard brief personal updates from several senators before moving into agency implementation updates on recently enacted health care laws. The Agency for Health Care Administration reported on Senate Bill 64 creating rural emergency hospitals, explaining that AHCA adopted the required rules effective June 1, 2025, but that no hospitals have yet been designated. Members asked about possible hospital conversions, accreditation and survey responsibilities, and whether Florida would apply for federal rural health transformation funding; AHCA said it intends to apply and has already been working on the issue with federal officials. AHCA also reviewed the non-emergent care access plan requirement under Senate Bill 7016. The agency said hospitals with emergency departments must submit plans that help redirect non-emergent patients to appropriate care settings while complying with EMTALA, and that 83 plans had been received and 63 approved as of September 30. Members asked about data collection, managed care coordination, and the state’s health information exchange; AHCA said it has moved to a new HIE vendor and will continue monitoring implementation and possible care gaps. AHCA then updated the committee on the TEACH program, saying $6.8 million was spent in 2024-25 across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed. The agency said rulemaking is nearly complete, a new nursing student category and expanded facility eligibility were added, and a federal 1115 workforce waiver remains stalled after CMS signaled it will not approve new workforce demonstrations. AHCA also reviewed House Bill 121 on KidCare eligibility, explaining that implementation of the 300% poverty-level expansion remains blocked by federal litigation and waiver issues tied to premium nonpayment rules; members and public speakers urged action to close the coverage gap. Public testimony on AHCA’s presentation came from representatives of health centers and advocacy groups, who said the non-emergent care access plan has improved hospital-health center coordination and reduced repeat emergency use, and who urged implementation of KidCare expansion for children in the coverage gap. The Department of Health then presented updates on FRAM, the Sanadi screening grant program, the Health Care Innovation Revolving Loan Program, telehealth maternity care, swimming lesson vouchers, and House Bill 159 on pharmacist dispensing of HIV post-exposure prophylaxis. DOH reported strong participation in FRAM and the telehealth maternity program, 24 Sanadi grant awards in 42 counties, 4,945 swimming lesson vouchers issued last year and 2,371 so far this year, and three approved certification courses with five pharmacist certifications issued under HB 159. Committee members asked about recruitment of dentists and other providers, telehealth maternity outcomes, and why participation in the maternity program remains below expected levels; DOH said outreach and regional referral networks are expanding and more detailed outcome data will be included in the upcoming legislative report.

Transcript Highlights:

• In 2020, mortality was estimated to be 2.8 million years of potential life loss, with an average of 29
• New Mexico has one of the highest rates of alcohol-related mortality.
• We also have problems with gun-related mortality; New Mexico ranks third in the country from 2010 to
• Alcohol-related mortality is increasing.
• There is a table there on alcohol consumption and mortality by race, ethnicity, and tribal affiliation

Transcript Highlights:

• In lowering mortality.
• And while we can be proud that California has some of the lowest infant and pregnancy-related mortality
• Given what we know and what you've just talked to us about in terms of leading causes of mortality and
• I really appreciated the information provided around morbidity and mortality as it relates to the incidents
• interventions, such as naloxone, to vulnerable communities who are at the highest risk of morbidity and mortality

Keywords: 988, house, all

Transcript Highlights:

• community resources that are vital to ending this epidemic and reducing the profound morbidity and mortality
• So maternal mortality continues to increase in Texas, especially among black women and non-Hispanic,
• non-Hispanic black women and Hispanic women, and funding for the maternal mortality review system will

Transcript Highlights:

• And again, fetal mortality, maternal mortality is our sentinel events that we really need to keep track
• review<00:42:06.040> um<00:42:07.040> uh<00:42:07.319> the maternal mortality
• review um uh the maternal mortality review um uh the their<00:42:08.280> findings<00:42:08.880
• <00:42:20.240> maternal<00:42:20.640> mortality<00:42:21.559> is fetal mortality
• maternal mortality is fetal mortality maternal mortality is our<00:42:22.559> Sentinal<00:42:

Keywords: 910, house, all

Summary: The Committee on Health heard testimony on several bills. On SB 1441, which would repeal the transfer of the Oahu Regional Health Care System from HHSC to the Department of Health, the Department of Health said it strongly supports the measure and requested clarifying amendments. HHSC/Oahu Region also supported the bill and said it had no objection to the department’s amendments. In response to questions, witnesses said the agencies have been working on an MOU to support transfers of long-term care patients to Leahi, with the current goal being about 10 to 15 patients, but transfers would occur only as space and staffing allow; one patient was reportedly being admitted at the time, and the process was described as slow and case-by-case. The committee then heard SB 1443 on payment rates for state hospital patients and related Department of Health services. The hospital administrator said the bill would allow rates above Medicaid for community or foster-home placements if patients cannot be placed at Leahi or elsewhere, and would set Medicaid-level reimbursement for outside medical services used by state hospital patients. He said at least one provider was interested in offering services at that rate and that the population involved is largely non-ambulatory long-term care patients. Members asked about availability and training, and the witness said special training could be provided. SB 1322, a broad mental health bill, drew mixed testimony. The Department of Law Enforcement supported giving crisis-intervention-trained officers more discretion to transport people to medical care instead of arresting them. The Attorney General supported the bill but recommended revisions to emergency-transport language and restoring liability protections. HHSC and Queens Hospital supported the overall goal but sought amendments to preserve the mental health emergency worker role in decision-making and to avoid negative impacts on emergency departments. The Disability Rights Center and ACLU opposed parts of the bill, arguing that it weakens due process, reduces protections in involuntary treatment and transport, and should retain a three-person treatment panel rather than reduce it to one. A Queens representative said the current program works well and reported that more than 90% of MH1 cases once went to hospitals, but that figure has dropped to about 60-70%, with about 20% now diverted to community settings or the behavioral health crisis center. No votes or final committee actions were taken in the portion provided.

Transcript Highlights:

• He said the United States has one of the worst maternal mortality and morbidity rates in the developed
• Representative Eggum explained that Minnesota has disparities in maternal mortality and morbidity rates
• in Minnesota and so maternal mortality in Minnesota and so um<00:29:19.799> with<00:29:19.919
• She said Minnesota's maternal mortality review process has evolved significantly in the last six years
• review reports and maternal mortality review reports and we're<00:30:38.760> preparing<00:30:

Keywords: 1183, house

Transcript Highlights:

• What are our outcomes as far as reducing infant and maternal mortality in Oklahoma?
• Sorry, you asked the question on infant mortality.
• On infant mortality, I will say when we look at infant mortality, the number I think actually went up

Keywords: 914, all

Transcript Highlights:

• The research is unambiguous: nursing shortages lead to errors, increased morbidity, and mortality, and
• in hospitals with high patient-to-nurse ratios, nurses experience burnout. ...mortality, and in hospitals
• patient-to-nurse ratios, nurses experience burnout and dissatisfaction, while patients experience higher mortality

Bills: HB359, HB385, HB165

Keywords: human remains, indigent, burial, cremation, next of kin, social services, environmental impact, nursing education, preceptorship programs, healthcare workforce, nurse shortage, clinical training, dry needling, physician assistant, nurse practitioner, occupational therapist, referral process, neuromusculoskeletal pain, Western medicine

Summary: The Senate Health and Social Services Committee met with a quorum, approved the minutes from the prior two meetings, and briefly acknowledged the tragedy at Christiana Care before moving to legislation. The committee heard House Bill 385, which creates a statewide nurse preceptor grant program to expand clinical training placements for nursing students; testimony from nursing organizations, health care associations, and educators emphasized workforce shortages, the need for preceptor stipends and training, and the bill’s potential to help students complete programs and remain in Delaware. Members asked about eligibility and reporting, and several senators asked to be added as co-sponsors. Public comment was uniformly supportive, and the bill was advanced out of committee. The committee then considered House Bill 424, which repeals Delaware’s Autism Surveillance and Registration Program and requires DHSS to expunge protected health information collected through the registry. The sponsor and DHSS said the registry is no longer used for research or policy development and that repeal would reduce outdated reporting burdens; Autism Delaware, the Delaware Health Care Association, and the State Council for Persons with Disabilities support the change. A committee member raised the question of whether families would be notified before records are expunged, and DHSS said that process was not yet clear and would need further verification. Members discussed the issue, and the bill also moved forward. House Bill 419 was next, making children in foster care automatically eligible for the Purchase of Care child care subsidy and extending the same treatment to certain kinship and safety-plan placements through House Amendment 1. The Children’s Department and advocacy groups said the bill would provide immediate stability for children and caregivers, reduce delays from applications and income verification, and support working foster and kinship families. The committee also heard House Bill 359, which would allow cremation as an option for unclaimed and indigent remains when there is no family objection or next of kin cannot be found, addressing a shortage of burial plots and lowering costs; funeral industry testimony focused on preserving next-of-kin rights. Finally, the committee heard House Bill 475, creating a Delaware Nursing Advancement Fund financed by a $10 surcharge on nursing licenses and disciplinary fines to support workforce data collection and analysis through a nonprofit partner, and House Bill 165, authorizing physician associates, occupational therapists, and APRNs to perform dry needling under training and practice standards set by the Board of Medical Licensure and Discipline. All of the bills received supportive testimony, several members added their names as co-sponsors, and the committee adjourned after moving through the agenda.

Transcript Highlights:

• An act to amend the Public Health Law in relation to requiring maternal mortality review boards to share
• Record data and other guidance associated with reported cases of maternal mortality and morbidity.

Keywords: 993, senate, all

Summary: The Women’s Issues Committee met on May 13 at 9:34 a.m. with a quorum present and several members voting by sheet. The committee first considered S-845, which would prohibit drug, cannabis, or alcohol testing and screening of pregnant or postpartum individuals and newborns without informed consent. Supporters emphasized that the bill is about requiring written or oral consent and addressing disproportionate impacts on Black and brown mothers. The bill was reported to the Committee on Alcoholism, with Senator Weik voting no and several members recorded as aye without recommendation or in favor. The committee then advanced several public health measures. S-2121, on education and outreach related to home visiting programs, and a bill directing the Department of Health to create an informational pamphlet about liposcopic power motion surgery technique both moved to first reading. S-3576A, establishing a statewide fibroid study program, was approved and referred to finance. S-8584, requiring two EBT cards for certain WIC households, and S-9084, creating a maternal health monitoring pilot program, were also approved and referred to finance, with Senator Weik recorded as without recommendation on both and one opposition noted on S-9084. The final bill, S-9733, would require maternal mortality review boards to share annual information with New York City and county health departments, including patterns, best practices, and data related to maternal mortality and morbidity. It was approved and referred to health, again with Senator Weik recorded as without recommendation. The meeting ended at 9:49 a.m., and the chair noted another Women’s Issues Committee meeting would be held the following week with bills and a guest speaker.

Transcript Highlights:

• Turning to the top of page 21, item 4A, improved child mortality and morbidity due to congenital syphilis
• In the middle of the page, item 8A, maternal mortality and morbidity.
• Item B, maternal mortality and morbidity, information technology.

Bills: SB 1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards

Transcript Highlights:

• He said they had talked in the previous presentation about hooking mortality and said he did not think
• They added that they were not anticipating more wounded deer or higher deer mortality than otherwise.
• the bill presentation, uh<00:28:18.960> about<00:28:19.480> hooking<00:28:19.800> mortality
• uh about hooking mortality. uh about hooking mortality.

Keywords: 1183, house

Transcript Highlights:

• the petition of Joshua Tarsky for legislation to authorize the establishment of a Veteran Suicide Mortality
• To authorize the establishment of a Veteran Suicide Mortality Review and Prevention Council within the

Keywords: 995, all

Summary: The House began with the Pledge of Allegiance and then took up several Committee on Rules reports. It adopted a series of congratulatory and honorary resolutions, including multiple Eagle Scout recognitions and a resolution celebrating Bishop-elect Eagle Boudicke E. Azidi, Jr., after suspending the rules. The House also suspended Joint Rule 12 for a petition to create a Veteran Suicide Mortality Review and Prevention Council within the Executive Office of Veterans Services. The Committee on Steering, Policy and Scheduling reported several local bills for consideration, including measures on transparency in municipal health insurance, a means-tested senior property tax exemption for Reading, changes related to a mayoral vacancy and residency requirements in Holyoke, and a Linfield appropriation from the Gulf Enterprise Fund. After suspending Rule 7A, the House ordered these bills to a third reading. It then passed to enact House No. 4234, allowing retired police officers to serve as special police officers in Fairhaven, and passed to engross House Nos. 4186 and 4890, concerning Egertown’s Affordable Housing Trust Fund and Quincy public safety personnel’s pre-employment physical exam records. The House also observed a moment of silent tribute for James McCauley, a former Newburyport city councilor and public servant. Finally, it adopted an order to reconvene the following Tuesday at 11 a.m., and then adjourned to meet next Tuesday in an informal session.

Transcript Highlights:

• If you look at why, the thing that jumps out is overall cancer mortality was higher than we have for
• Mortality jumped out on obesity, which is a condition that can be associated with pesticide spraying.
• was higher than we have the mortality was higher than we have the state<00:39:13.760> we<00:39
• <00:39:26.280> jumped State and County campit mortality jumped State and County campit mortality
• are associated with can be mortality are associated with can be associated<00:39:50.000> with

Keywords: 910, house, all

Summary: This joint informational briefing of Senate and House committees focused on restricted use pesticides in Hawaiʻi, with opening remarks framing the issue as one of health, environmental impact, and state-level regulation. The briefing reviewed the history of pesticide disclosure efforts, including prior county actions, a 2016 court ruling that shifted responsibility to the state, and Act 45, which enabled disclosure of restricted use pesticide data. Speakers highlighted 2019 reporting data showing concentrated use in parts of Oʻahu and Kauaʻi, especially near schools and communities, and identified fumigants such as 1,3-dichloropropene and metam sodium as among the heaviest-used products. Concerns were raised about potential links to cancer, respiratory illness, reproductive harms, Parkinson’s disease, and developmental effects, as well as the lack of long-term mixture studies and the need for better buffer zones, reporting, and farmer transition support. The Department of Agriculture’s pesticides program manager described the state’s regulatory framework, explaining the distinction between general use and restricted use pesticides and the department’s role under FIFRA and Hawaiʻi law. He outlined the branch’s enforcement, education/certification, registration, and laboratory functions, including inspections, complaint response, market surveillance, applicator certification, product review, groundwater protection modeling, and special registrations. He also noted staffing and resource limitations, including the absence of an in-house toxicologist and long-term monitoring capacity, and compared Hawaiʻi’s resources to California’s much larger pesticide regulatory program. He said the department supports Act 231, which was passed the previous year and is moving forward this session. A pediatrician speaking for the Hawaiʻi chapter of the American Academy of Pediatrics emphasized concerns about chronic low-level pesticide exposure in children, citing AAP policy statements and technical reports that associate exposure with cancer, leukemia, birth defects, neurobehavioral issues, and asthma. Drawing on work with the Kauaʻi Joint Fact Finding Task Force, the speaker said the group found the west side of the island to be an unhealthy community but could not prove causation because of missing drift, geospatial, and biomarker data. The testimony pointed to elevated cancer mortality, pneumonia admissions, obesity, dialysis, and developmental delay indicators, and described concerns about pesticide drift near schools and homes, including reports of children becoming ill after nearby spraying and low levels of chlorpyrifos detected in dust samples. An environmental health scientist from the University of Hawaiʻi described a pilot project using restricted use pesticide data in a public health context. She said the project began after seeing maps of Central Oʻahu pesticide use and aimed to pair GIS data with health and ethnicity data, while also conducting community focus groups. Preliminary focus group themes included calls to action, voting and policymaker awareness, concern about pesticide use near homes and fields, lack of community consent, and a desire to stay engaged. No votes or formal committee actions were taken during the briefing.

Transcript Highlights:

• daughters who've had children, and I worry about them because we have one of the highest infant mortality
• You know, some of the things that I hear, I mean, we're talking about the infant mortality rate.
• Let's talk about the infant mortality rate of abortion.
• It's sure it's 100%, but we don't care about that infant mortality rate.

Bills: HJR1101, SB1319, SB1264, HB4237, SB1277, SB2069, HB3066, HB2115, HB2153, HB2268, HB2961, SB1679, SB2018, HB4294, SB2095, HB4113, SB1894, SB1810, HB4268, HB1752, HB3413, SB625, HB3644, HB3940, HJR1096, HJR1100, HJR1099, HB2992, SB1636, HB4302, SB1613, SB1443, HB1409, HB1675, HB1225, HB1381, HB4359, SB1503

Keywords: SB1319, Corporation Commission, Oklahoma, remediation, environmental emergency, brine contamination, oil contamination, oilfield pollution, residential property, home buyout, property acquisition, fair market value, revolving fund, remediation fund, state plugging funds, well plugging, abandoned well, natural breakout, Department of Environmental Quality, DEQ

Transcript Highlights:

• Delete references to mortality tables that were used prior to 2008.
• Delete references to mortality<00:02:32.880> tables<00:02:33.320> that<00:02:33.480>
• were<00:02:33.640> used<00:02:34.080> prior<00:02:34.400> to mortality tables
• that were used prior to mortality tables that were used prior to 2008.<00:02:36.040> Add<00:02

Keywords: 958, all

Summary: The committee met with a quorum, approved the prior meeting’s minutes, and then reviewed a series of administrative regulations from multiple agencies. Most of the regulations were presented as technical updates or policy clarifications, and in each case the committee approved staff-suggested amendments without objection. The Department of Revenue regulation would delete a section on tax credits for trusts and estates to align with statute. The Kentucky Public Pensions Authority package updated definitions, sick leave credit rules, hazardous/non-hazardous employment participation, refund procedures, contribution limits, mortality table references, and incorporated federal tax references. The Board of Medical Licensure regulations addressed renewal and activation of inactive physician-assistant licenses and renewal/reinstatement timelines for athletic trainer licenses. The Fish and Wildlife regulations revised rules for Otter Creek and Peabody areas by deleting definitions and creating shooting-range permit exemptions. The committee also heard emergency vocational rehabilitation regulations that would clarify definitions, due process rights, federal compliance, service fees, in-state service preferences, and service-specific requirements; a workforce insurance regulation updating contribution/reporting rules for professional employer organizations; and a horse racing regulation adding license categories for allied animal health professionals, animal chiropractors, and equine dental providers, while updating fees, application timing, and special events licensing. Members asked questions about the horse racing licensure changes, and the agency explained they were responding to prior session changes and adding guardrails, including veterinarian sign-off for equine therapist licensure on the back side of a racetrack. The Department for Public Health package made several personnel and salary-related changes for local health departments, including salary ranges for new hires, probation and evaluation rules, salary increases after probation, and limits on certain leave payouts for employees who separate without proper notice or are dismissed for cause. The Office of Inspector General regulation added electronic prescription references and removed authority to create a new prescription number for partial dispensing of Schedule II prescriptions. The Department for Medicaid Services regulations updated provider group definitions, removed some service limits, required prior authorization for all genetic testing for non-MCO recipients, changed physician fee schedule updates from quarterly to annually, and added reimbursement for department-approved vaccines. Members asked detailed questions about genetic testing prior authorization and sleep disorder coverage; the agency said prior authorization is intended to take two to five days and that sleep disorder services generally involve sleep apnea-related treatments such as CPAP machines and sleep studies. The committee then adjourned and announced its next meeting for Tuesday, May 12 at 1:00 p.m.