Transcript Highlights:

• I will tell you that I think there's a problem that many of the pharmacy benefit managers that are in
• Those factors all compound the problem.
• there's not a grocery store, in some places within one mile and in other places within 10 miles, is compounded
• I show you as Roxanne Dominguez with the Texas Pharmacy Association.
• I've been a pharmacist for over 20 years, and now I'm the new CEO of the Texas Pharmacy Association,

Bills: HB231, HB231, HB475, HB488, HB632, HB821, HB1786, HB1955, HB2036, HB2060, HB2659, HB2677

Keywords: HB 231, Texas Water Code, TCEQ, permit exemption, dam, reservoir, erosion control, flood control, floodwater control, sediment control, watershed protection, Natural Resources Conservation Service, NRCS, Watershed Protection and Flood Prevention Act, local sponsor, water appropriation, small dam, water diversion, maintenance, rehabilitation

Bills: HB231, HB475, HB488, HB632, HB821, HB1786, HB1955, HB2036, HB2060, HB2659, HB2677, HB231

Keywords: food access, food deserts, communities of color, health disparities, socioeconomic impact, nutritious food, health effects, socioeconomic disparities, legislative recommendations, nutrition, access to food, Medicaid, multisystemic therapy, healthcare, reimbursement, mental health services, education, funding, local control, school system

Transcript Highlights:

• So in place of Alana Dancis today, who is the Medicaid director, we have her pharmacy director and the

Bills: SB20, SB111, SB211, SB218, SB14

Keywords: prior authorization, pharmacy benefits manager, PBM, health insurer, prescription drugs, step therapy, formulary, auto-adjudication, electronic portal, appeals, medical necessity, serious mental illness, mental health, schizophrenia, bipolar disorder, major depression, substance use disorder, addiction treatment, cancer, autoimmune disorder

Bills: HB2548, HB2453, HB2640, HB2095, HB2386, HB2239

Keywords: health care market standards, hospital consolidation, merger review, health care transaction notice, attorney general review, antitrust, provider organizations, hospital systems, contracting affiliation, material change, nonprofit conversion, for-profit conversion, health care acquisition, asset sale, Washington RCW, health care competition, price transparency, market oversight, premerger notification, antitrust revolving fund

Summary: The Civil Rights and Judiciary Committee heard staff briefings on several bills, including House Bill 2548 on hospital and provider material change transactions, House Bill 2453 on psychiatric pharmacists’ role in certain involuntary treatment petitions, House Bill 2640 on unauthorized UCC filings, House Bill 2095 on vulnerable users of public ways, House Bill 2386 on garnishment forms, and House Bill 2239 on family burial grounds on private land. The committee also discussed proposed substitutes and amendments, especially on HB 2095, where members debated liability standards, attorney fees, emergency vehicle exemptions, and reporting requirements. For HB 2548, members discussed transparency and disclosure in health care transactions, including notice requirements, filing fees, and Attorney General publication of pending and completed transactions. The committee adopted some amendments and rejected others. On HB 2095, it adopted amendments exempting emergency vehicles and clarifying collision report data, but rejected amendments that would have removed attorney fees, restricted liability further, or replaced the rebuttable presumption with a different civil cause of action. On HB 2239, the proposed substitute added setbacks from wells and springs, local remediation procedures, burial reporting to the Department of Archaeology and Historic Preservation, relocation procedures for remains, and disclosure requirements when property is sold. Members also noted that HB 2640 would give the Department of Licensing a process to refuse or terminate unauthorized filings submitted to harass or defraud debtors. At executive session, the committee voted all five bills out with due pass recommendations: Substitute House Bill 2548 passed 7-6, House Bill 2453 passed 8-5, House Bill 2640 passed 8-5, Substitute House Bill 2095 passed 8-5, House Bill 2386 passed 12-1, and Substitute House Bill 2239 passed unanimously 13-0.

Transcript Highlights:

• Since 2000, pharmacists have earned a doctor of pharmacy degree.
• These pharmacists may become board-certified in psychiatric pharmacy, or BCPP.
• These pharmacists may become board-certified in psychiatric pharmacy, or BCPP.
• training and training in pharmacy law in order to earn our Doctor of Pharmacy.
• training and training in pharmacy law in order to earn our doctorate of pharmacy.

Bills: HB2453, HB2590, HB2445, HB2386, HB2585

Keywords: psychiatric pharmacists, mental health, pharmacy regulations, healthcare, pharmacological treatments, limited equity cooperatives, common interest ownership, housing, exemption, community ownership, probate, estate administration, inheritance, heir finder, heir locator, beneficiary interest, transfer of inheritance rights, probate for profit, personal representative, executor

Summary: The Civil Rights and Judiciary Committee heard testimony on several bills. House Bill 2445, requested by the Attorney General, would curb “probate-for-profit” abuses by extending the waiting period before a court may appoint a non-family estate administrator, limiting non-intervention powers and repeat appointments for “suitable persons,” tightening venue rules, and restricting self-dealing in estate assets. The sponsor and Attorney General’s Office described cases in which strangers allegedly used probate loopholes to control estates, sell property, and profit from heirs’ losses; the Northwest Justice Project and others supported the bill. Members raised questions about the bill’s timelines and whether the added safeguards might complicate probate for laypeople, and the sponsor said she was open to amendments. House Bill 2386 would replace a statutory garnishment answer form for continuing liens on earnings with a form developed by the Washington Pattern Forms Committee or a substantially similar form. The sponsor and a district court judge said the current form often leads to calculation errors, especially for fluctuating wages, and that a new form would improve accuracy and fairness for debtors, creditors, employers, and courts. A collectors’ association supported updating the form but asked for more implementation time and flexibility for employers using their own systems. The judge said a delayed rollout would not be a problem. House Bill 2585 would create a Washington State False Claims Act modeled on the federal act, allowing the Attorney General and private whistleblowers to sue for fraudulent claims against the state, with treble damages, civil penalties, retaliation protections, and qui tam provisions. Supporters said it would recover stolen public funds, deter fraud, and help address wage theft and other abuses; they emphasized that the bill requires specific intent and materiality. The Attorney General’s Office said it was generally supportive but would provide technical and substantive feedback, while a wireless industry representative urged an exemption for tax matters and a construction industry witness warned the bill could turn ordinary change-order disputes into fraud claims. The committee also heard House Bill 2590, which would exempt limited equity cooperatives from WUCIOA unless they opt in, while preserving their property tax treatment. Housing and cooperative development witnesses said the bill would remove mismatched regulatory burdens, preserve permanently affordable homeownership, and better fit the cooperative model; members asked about resale appreciation, reserves, and how the cooperative structure works. Finally, House Bill 2453 would add board-certified psychiatric pharmacists to the list of professionals who may sign certain involuntary treatment petitions and provide concurring opinions for involuntary medication under less restrictive alternative orders. Supporters said it would improve workforce capacity and continuity of care in behavioral health settings, while opponents argued it could weaken civil-liberty protections and extend commitment authority to professionals without diagnostic authority. No votes were taken on any of the bills in the transcript.

Bills: SB89, SB54, SB127, SB128, SB77, SB78, SB100, SB101, SB102, SB103, SB113, SB126, SB122, SB136

Keywords: pilotage, commission, statewide laws, maritime regulation, repeal, sunset law, Alabama Surface Mining Commission, environmental regulation, mining, state commission, Alabama Board of Examiners in Counseling, state agency, continuous operation, government efficiency, sickle cell disease, healthcare, regulatory commission, public health, 911 services, 911 Board

Transcript Highlights:

• Department of Health Pharmacy and I get Department of Health Pharmacy and I get to<00:01:59.880><c> work
• And so &gt;&gt; compounds to the schedule one.
• Um, psilocybin is a, um, chemical derivative of, um, I would say mushroom compounds.
• </c><00:05:23.919><c> And</c><00:05:24.400><c> it</c> I would say mushroom compounds.
• And it I would say mushroom compounds.

Keywords: Drug Policy - Room 409, 26 February, 2026; 2:30 P.M., 925, all

Transcript Highlights:

• In our hospital settings, we have pharmacy technicians that are compounding chemotherapy medications.
• that are pharmacy technicians that are compounding<00:19:10.120><c> chemotherapy</c><00:19:10.760><c
• > medications</c> compounding chemotherapy medications compounding chemotherapy medications they<00:19
• </c> medication errors and compounding medication errors and compounding there's<00:19:32.520><c> no<
• </c> necessary regulations for pharmacy necessary regulations for pharmacy technicians<00:20:43.440><

Keywords: 910, house, all

Summary: The committee heard testimony on several measures, beginning with HB 205 HD1 and HB 480 HD1 on workers’ compensation. Testifiers from the Department of Labor and Industrial Relations and the Department of Human Resources Development supported the bills, with DLIR saying HB 205 would codify and regulate nonprescription over-the-counter drugs at a reasonable rate, and DHRD saying HB 480 would encourage timely and accurate assessments of injured workers’ physical abilities. No opposition was raised on those measures, and the committee moved on without votes or amendments noted. On HB 331 HD1 relating to permits, the University of Hawaiʻi, the Department of Education, and the Hawaii School Facilities Authority supported the bill, while the Board of Water Supply and Greg Mikan opposed it. Supporters did not elaborate much beyond standing on written testimony, but the School Facilities Authority asked that renovations be added to the definition of repeatable projects. Opponents argued the Department of Planning and Permitting is understaffed and that bypassing or speeding the permitting review process could create problems, especially for projects requiring proper engineering review. No action was taken beyond hearing testimony. The committee also heard HB 72 HD1 on pharmacy technician regulation, with the Board of Pharmacy offering comments and the Hawaii Pharmacist Association, Walgreens, and Mōʻiliʻili Drugs supporting the measure. Supporters said pharmacy technicians already perform essential duties such as vaccinations, compounding, inventory, and dispensing, and argued Hawaiʻi is the only state without an active managed list of practicing pharmacy technicians. On HB 139 HD1 regarding insurance, the Department of Commerce and Consumer Affairs offered comments, and the Hawaii Society for Clinical Oncologists supported the bill, arguing fertility preservation coverage should not conflict with federal law or the prepaid health care system. On HB 32 HD1 relating to cannabis, the Attorney General and Department of Health raised concerns about allowing purchase before certification is approved, while the Hawaii Cannabis Industry Association supported the bill and suggested lowering the purchase limit from 2 ounces to 1 ounce; the Department of Health said its average turnaround is two to three business days, with about 20% of applications returned for incompleteness and an internal expedited process for certain cases. Later, the committee heard HB 470 HD1 on noise, with the Department of Health supporting the goal of reducing noise pollution but cautioning that regulating intermittent noise like string trimmers is complicated, while the Retail Merchants of Hawaiʻi opposed the bill as a hardship for small businesses and questioned the practicality of battery-powered equipment. Ted Bolan supported the measure, saying it would not ban gas leaf blowers but would require quieter models over time. The committee then heard HB 534 HD1 on labeling requirements, where DLNR and the Department of Agriculture offered comments and several fishing and consumer groups supported the bill. Testimony focused on seafood origin labeling, especially raw tuna used in poke and sushi, with DLNR explaining the bill was being narrowed to avoid federal preemption and to avoid unintentionally covering canned tuna or other processed products. Finally, the committee heard H47 HD1 on aquaculture, with the Department of Agriculture, the Hawaii Invasive Species Council, and the Agribusiness Development Corporation supporting the measure; no votes were taken on any bill during the hearing.

Transcript Highlights:

• The reason why we would want to do this now is so these compound pharmacies can, you know, source the
• There's, the reason why we would want to do this now is so these compound pharmacies can, you know, source
• Nick Waltz, Louisiana Compound Pharmacy Coalition.
• Rachel Grosafco, Louisiana Compound Pharmacy Coalition.
• Louisiana Compound Pharmacy Coalition.

Bills: SCR37, SB145, SB237

Keywords: informed consent, healthcare, medical procedures, patient rights, surgeon general, regulatory review, adult residential care, generators, emergency power, health safety, Louisiana Department of Health, compliance, regulations, child welfare, Department of Children and Family Services, mandatory reporting, abuse prevention, investigative teams, child ombudsman, forensic interviews

Transcript Highlights:

• </c> from the board of pharmacy from the board of pharmacy here?
• Historically, the board has looked at and allowed compounding to be done by other licensed pharmacy individuals
• </c> pharmacy if you're a pharmacist. pharmacy if you're a pharmacist.
• to be done by other allowed compounding to be done by other licensed<00:16:22.399><c> pharmacy</c><00
• :16:22.880><c> individuals,</c><00:16:23.839><c> pharmacy</c> licensed pharmacy individuals, pharmacy

Bills: HB0143, HB0129

Keywords: health care providers, free speech, discrimination, governmental agencies, civil remedies, physician access, internationally trained physicians, medical licensing, provisional license, healthcare workforce, 916, all

Transcript Highlights:

• in-state licensed pharmacies.
• in-state licensed pharmacies.
• in-state licensed pharmacies.
• in-state licensed pharmacies.
• as a regulated and recognize compound as a regulated pharmacy<00:26:02.720><c> function.

Keywords: 912, senate, all

Summary: The joint HHS and LBT meeting opened with accessibility concerns, as several blind attendees arrived after the general public had already been seated. The chair apologized and said future hearings would try to seat blind members earlier. The committee also announced the hearing was being streamed on YouTube, testimony would be limited to one minute, and written testimony was available online. The first bill heard was SB 2281, relating to the use of artificial intelligence in healthcare. The Department of Health supported transparency for patients but preferred disclosure through provider websites and office signage rather than a new regulatory program. The Hawaii Medical Association and Healthcare Association of Hawaii generally supported the bill’s intent but raised concerns about administrative burden and suggested a working group or model policies. Hawaii Pacific Health said it already uses AI for note-taking and patient portal functions and worried that written notice requirements could create too much consumer information. In response, the chair emphasized that patients should be informed when AI is used, especially if it affects diagnosis or consequential decisions, and said AI should not be making medical decisions. The committee later voted to recommend SB 2281 pass with amendments, including narrowing the definition of consequential decisions, removing certain language requested by DOH, adding a two-year implementation period, and setting a far-future defective date for further discussion; both committees adopted the recommendation, with the chair voting aye and the vice chair voting with reservations. The second major bill was SB 2852, a civil rights measure focused on digital access for people with disabilities. The Hawaii State Council on Developmental Disabilities, Hawaii Civil Rights Commission, Hawaii Disability Rights Center, and the National Federation of the Blind of Hawaii all supported the bill, arguing that existing law clearly protects physical access but should also make digital access explicit. Blind testifiers described how accessible technology, such as VoiceOver on iPhones, allows them to participate independently in public processes and warned that inaccessible digital systems can create barriers for thousands of blind residents. One testifier, an attorney with disability-law experience, supported the bill’s intent but said the draft had flaws, including no exceptions for archived materials, no distinction between small and large businesses, and concerns about the timing and choice of accessibility standards; he suggested delegating regulatory authority to the Hawaii Civil Rights Commission. The bill’s sponsor said he supported DAB’s proposed amendments, and the committee indicated those amendments would address many of the concerns raised. No final vote on SB 2852 was taken in the portion provided. The committee then took up SB 2751, which defines compounded prescription drugs for workers’ compensation purposes. The Department of Labor and Industrial Relations supported the bill but requested clarifying amendments to keep pharmacists as the primary professionals authorized to compound in licensed pharmacies and to limit any physician compounding authority to the physician’s own patient. Supporters included the Work Injury Medical Association of Hawaii, while Solera Integrated Medical Solutions opposed the measure, arguing the current definition was already broad enough and warning about cost inflation, especially with 503B bulk compounding facilities and physician dispensing. In questioning, members asked about rural access, reimbursement for 503B products, and late testimony suggesting definitions for 503A and 503B facilities, limits on physician dispensing to 30 days post-injury, and pre-approval for non-FDA-approved drugs. DLIR said not every rural community has licensed pharmacists available, that products with a national drug code are reimbursed at 140%, and that 503B facilities raise concerns because they are bulk manufacturers rather than patient-specific compounding operations. The meeting then moved into decision-making on SB 2281; the chair’s pass-with-amendments recommendation was adopted by both committees, with the vice chair voting with reservations.

Transcript Highlights:

• pharmacies, and to provide for related matters.
• The reason why we would want to do this now is so these compound pharmacies can source the proper materials
• There's the reason why we would want to do this now is so these compound pharmacies can source the proper
• Nick Waltz, Louisiana Compound Pharmacy Coalition.
• Louisiana Compound Pharmacy Coalition.

Summary: The House Committee on Health and Welfare met on April 28 with a quorum and took up several Senate bills, beginning with SB 113 on the local health care provider participation program in Calcasieu Parish. The committee adopted a technical amendment and heard that the bill would shift the local sponsor from the parish to the city if needed by a June 1 deadline. After brief discussion and no opposition, SB 113 was reported favorably with amendments. The committee then approved SB 23, which exempts certain assisted living facilities licensed by LDH from the definition of food service establishment, and SB 150, which would allow LDH to scan and electronically store vital records supporting documents and return originals to citizens. SB 221 also advanced after testimony that it would allow EMS providers to be reimbursed by Medicaid for emergency responses where treatment is provided on scene but the patient is not transported. Members discussed that the bill could reduce unnecessary ER use and likely would require some rulemaking, but it was reported favorably. A major portion of the meeting focused on SB 404, a broad vision benefit plan reform bill. Supporters, including optometrists, said the measure would improve transparency, patient choice, and access to eye care by limiting restrictive plan practices; opponents from the vision care plan industry argued it was an unprecedented, provider-driven overhaul that could raise costs and reduce flexibility. After extensive testimony and an agreed amendment clarifying network participation, the committee reported SB 404 favorably with amendments. The committee also reported SB 32 favorably with amendments after emotional testimony from parents and advocates about perinatal bereavement care, cooling devices, and training for hospitals to give grieving families more time and dignity after infant loss. Finally, the committee heard SB 43, which would create a psychedelic-assisted therapy initiative within LDH for clinical research and treatment involving ibogaine and psilocybin, with testimony from veterans, researchers, and advocates describing potential benefits for PTSD, substance use, and traumatic brain injury. The bill was reported favorably with amendments and set to pass a courtesy sheet. The committee then began SB 253, a bill regulating peptides and compounding pharmacies, adopted technical amendments clarifying provider liability, and continued discussion as the transcript ended.

Transcript Highlights:

• You also have compounded drugs.
• pharmacies and compounded drugs.
• They may sometimes be in a pharmacy or at home.
• Many states, and New Mexico is one of them, also have pharmacy deserts.
• It's their pharmacies and pharmaceuticals.

Transcript Highlights:

• Inouye College of Pharmacy. Matsumoto, dean of the Daniel K. Inouye College of Pharmacy.
• Thank you. pharmacy. I'm here to stand on the pharmacy.
• to doing pharmacy or doing pharmacy<01:49:17.679><c> business</c><01:49:18.000><c> in</c><01:49:18.159
• </c> together is when you compare pharmacy together is when you compare pharmacy practice<01:49:22.880
• There I think a slight error pharmacy.

Bills: HB20, HB2612, HB2404, HB2459, HB2194, HB1880, HB2284, HB1969, HB2458, HB1546, HB2161, HB1721, HB1641, HB2137, HB1782, HB2360, HB1965, HB1897, HB1513

Keywords: lava insurance, homeowners, insurance market, subsidy, Hawaii, mortgage, debt, secured transactions, real property, Hawaii Revised Statutes, cooperative associations, electric utility cooperatives, agricultural cooperatives, mutual help, food innovation, agribusiness, food safety, market access, branding, economic diversification

Summary: The committee heard testimony on HB 20, which would create a lava zone insurance subsidy/fund. The Insurance Division opposed the bill, arguing that lava zones 1 and 2 are the highest-risk areas, that a subsidy would not reduce the underlying risk or loss costs, that it could invite similar subsidy requests for other hazards, and that the bill may conflict with HICV by diverting funds from the CRF. Members discussed the lack of authorized homeowners insurance in those lava zones, the role of HPIA and the surplus market, and the difference between the proposed lava-zone subsidy and the Hawaii Hurricane Relief Fund. The chair noted 37 submitted testimonies in support and one in opposition, and the committee then moved on without taking a vote on HB 20 in the portion provided. The committee then took up HB 2612, relating to mortgages, which would clarify that a mortgage does not exist independently of the debt it secures and is not independently enforceable from that debt. The Hawaii Credit Union League and Hawaii Financial Services Association opposed the bill, while several individuals testified in support, arguing it would restore Hawaii’s long-standing lien-state rule and prevent so-called “zombie mortgages” after the Hawaii Supreme Court’s White decision. Supporters said the bill would protect borrowers from delayed foreclosures and predatory lending practices, while opponents and the Insurance Division emphasized that foreclosure actions still require proof of standing and possession of the note, and that lenders generally pursue foreclosure without seeking deficiency judgments. Committee members questioned the Insurance Division about how the current market works, whether lenders could wait out the statute of limitations and then foreclose only on the mortgage, and whether equitable tolling or later defaults could allow refiling. The division said it is still trying to attract authorized insurers back into the lava-zone market, but has seen little progress. No vote or final action on HB 2612 was taken in the excerpt provided.

Transcript Highlights:

• They have specialty pharmacies. Together they control over 80% of the market.
• and operating the pharmacies that are in direct competition.
• With American Pharmacies. Welcome. Yeah, thank you, Chair Cole-Kors.
• pharmacies across the country, including several hundred in Texas.
• PBMs, they own pharmacies too, they're competing with independent pharmacies.

Bills: SB502, SB513, SB622, SB670, SB731, SB732, SB916, SB961, SB1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Transcript Highlights:

• benefit manager and... ...vertically integrated specialty pharmacies.
• My name is Dwayne Gallagher, and I'm testifying today on behalf of the Texas Pharmacy Association in
• That was how much the PBM paid its own pharmacy to dispense the... medication.
• They then get it filled at a local community hospital pharmacy, and the payment was $60.
• A PBM is... ...not allowed to pay its affiliated pharmacy more than another provider.

Bills: SB502, SB513, SB622, SB670, SB731, SB732, SB916, SB961, SB1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Transcript Highlights:

• Cancer patients are forced to fill their medications through their insurance aligned pharmacy benefit
• manager and vertical vertically integrated specialty pharmacies.
• That was how much the PBM paid its own pharmacy to dispense this medication.
• They then got it filled at a local community pharmacy and the payment was $60.
• A PBM is not allowed to pay its affiliated pharmacy more than another provider.

Bills: SB 502, SB 513, SB 622, SB 670, SB 731, SB 732, SB 916, SB 961, SB 1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Bills: HB372, HB361, HB391, HB372, HB361, HB391

Keywords: Elmore County, rental tax, tax revenue, infrastructure funding, economic development, Ma-Chis Lower Creek Indian Tribe, tribal police, reservation security, state-recognized tribe, law enforcement authority, certified police officer, Peace Officers' Standards and Training Commission, P.O.S.T., trespass, warrantless arrest, tribal land, sovereignty, public safety, Indian tribe, reservation

Bills: HB195, HB247, HB255, HJR6, HJR31, HJR34

Keywords: HB 195, Texas Controlled Substances Act, Schedule IV, controlled substances, mifepristone, misoprostol, carisoprodol, Health and Safety Code, drug scheduling, pharmacy regulation, prescription drugs, reproductive health, abortion medication, medication abortion, women's health, prescribing, dispensing, law enforcement, drug control, education reform

Transcript Highlights:

• Basically, the pharmacy practice act defines compounding and includes that compounding does not include
• pharmacies.
• At our clinic, we strive to ensure with various compounding pharmacies.
• The LSDBN has pointed to the Board of Pharmacy, which maintains these practices are not considered compounding
• The Board of Pharmacy maintains these practices are not considered compounding.

Summary: The committee first heard HB 1076, which would repeal the sunset date for the Louisiana Behavior Analyst Board. The bill was presented as a simple continuation measure, and Rep. Stagney moved to report it favorably; the motion passed without objection. The committee then took up HB 475 on artificial intelligence in health care. The author explained that the bill was intended to require disclosure when AI or recording software is used to transcribe patient encounters, and an amendment changed the proposal from patient consent/opt-out to disclosure only. The amendment was adopted, and HB 475 was reported favorably with amendments. HB 740, dealing with Medicaid managed care, was amended with technical changes and then presented as a way to let providers in the coordinated system of care appeal claim denials through the same independent review process used by Medicaid managed care plans. The Louisiana Hospital Association supported the bill, and it was reported favorably with amendments. HB 926, which would have barred public facilities from restricting access based on vaccination status and related medical decisions, drew testimony from supporters who framed it as a medical autonomy and informed-consent measure. After questions about public versus private facilities and whether the bill could affect hospitals or disease-based restrictions, Rep. Cruz moved to voluntarily defer the bill, and it was deferred without objection. The committee then considered HB 457 on housing standards for organizations serving people experiencing homelessness. The author said the bill was prompted by concerns about unsafe and unsanitary group homes and would direct LDH and the Fire Marshal to establish minimum standards for safety, sanitation, privacy, and habitability. Supporters said the bill would protect vulnerable residents, while opponents, including Oxford House and the Louisiana Fair Housing Action Center, warned it could conflict with federal fair housing protections and impose burdens that could reduce recovery housing and other services. After extensive debate, the bill was reported favorably with amendments by a recorded vote. Finally, HB 616, which would give the legislative auditor oversight of publicly funded homeless service providers, was heard with testimony from homeless service organizations that argued the bill was duplicative, costly, and could expose sensitive HMIS data; the bill remained under discussion at the end of the transcript.