Transcript Highlights:

• First order of business is roll call.
• Went down to Mexico, did the treatment.
• And with a single treatment... ...to Stanford to do the post-treatment analysis and with a single treatment
• Motion's in order.
• Motion's in order.

Committee: House Health and Welfare

Keywords: 989, all

Transcript Highlights:

• our norm, and the fact that we have a very busy agenda, I will ask Onhar to call the committee to order
• Each provider will create and maintain a record of treatment.
• So it just makes clear that there's... ...so or pursuant to a court order.
• Necessary in order to communicate with any of the providers the changes? Follow up.
• The bill proposed amendments regarding treatment of surrendered infants.

Committee: Senate Health Policy

Summary: The committee took up a large health policy agenda. SB 1568 on electronic prescribing was explained as a federal conformity measure, but members raised concerns about preserving patients’ ability to obtain paper prescriptions and about exemptions for emergency, hospice, and other situations. Emergency physicians testified in support of e-prescribing but asked for flexibility, and the bill was reported favorably despite Senator Harrell’s opposition. SB 1606 on patient access to records sought to standardize record-production timelines and require electronic delivery when available; after an amendment correcting a drafting error, the bill drew concerns about HIPAA, behavioral health confidentiality, and the distinction between personal and legal representatives, and it was reported unfavorably as a committee substitute. The committee then approved SB 1346 on fentanyl testing, with a technical amendment, to require hospitals and campus emergency departments to test for fentanyl in urine testing for suspected overdose or poisoning. SB 1224 on administration of controlled substances by paramedics was amended to clarify language and reported favorably. SB 656 on health care billing and collection activities was substantially revised by strike-all amendment to allow sale of medical debt to third parties under new limits, including no interest or fees and return of debt if charity care applies; it was reported favorably as a committee substitute. SB 68 expanded health facilities authority financing to include not-for-profit LLCs and parent companies, and SB 524 added Duchenne muscular dystrophy to the newborn screening panel; both were reported favorably. Later, the committee approved SB 1842 on out-of-network referrals after multiple amendments, requiring providers to verify network participation at the point of service and notify patients in writing, though several members and physicians warned it could burden providers and increase workload. The committee also advanced proposed committee bill SB 7028, which revises the Casey DeSantis Cancer Research Program, adds oversight and reporting requirements, creates a pediatric cancer research incubator, and establishes the Bascom-Palmer VisionGen initiative; cancer center representatives testified in strong support, and the bill was reported favorably as a committee bill. SB 172 on specialty titles and designations was amended to clarify enforcement and was reported favorably after supporters said it would prevent misleading use of specialist titles, while opponents argued it could confuse practitioners’ titles. Finally, SB 1690 on surrendered infants was reported favorably after supporters said it would codify and expand safe-haven baby box procedures and opponents raised safety concerns about the devices. The committee also noted SB 1606 remained pending for reconsideration next week before adjourning.

Transcript Highlights:

• </c> around of these antiopioid uh treatments around of these antiopioid uh treatments that<00:21:47.679
• </c><00:31:32.200><c> for</c> are discovering cures and treatments for are discovering cures and treatments
• </c><00:31:48.120><c> newborn</c> sort of treatment newborn sort of treatment newborn screening<00:31
• <00:54:05.160><c> the</c><00:54:05.640><c> the</c> treatment the the treatment the the recidivism<00:
• </c> the country that mental health treatment the country that mental health treatment should<01:02:37.839

Committee: Senate Health and Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• I'm going to call the hearing to order. Welcome to the Joint Committee on Public Health.
• Those treatment plans came at a significant cost of $11.5 million.
• Thank you, Chairman, and committee members for taking me out of order. I appreciate it.
• Thank you both chairs and the committee members for taking me out of order.
• My treatment alone was $40,000 a month without insurance.

Committee: Joint Joint Committee on Public Health

Keywords: 995, all

Summary: The Joint Committee on Public Health held a lengthy hearing to take testimony on a wide range of bills related to environmental health, PFAS, medical device chemicals, food access, lead poisoning, air quality, oral health, and school food additives. Chair Driscoll and Chair Decker emphasized that the hearing was for testimony only, no decisions would be made that day, and that written testimony could still be submitted. They also noted the high volume of speakers and asked witnesses to keep remarks brief. A major portion of the hearing focused on PFAS-related legislation, including bills to restrict PFAS in products and food packaging and to create a PFAS remediation trust fund. Municipal officials and advocates described the high costs of PFAS cleanup, especially for drinking water systems, citing Easton’s multimillion-dollar treatment investments and rate increases. Testimony from legislators and advocates argued that Massachusetts should act despite federal uncertainty, and that the state should stop PFAS at the source rather than leaving municipalities and residents to pay for remediation. The committee also heard strong support for a bill banning DEHP in medical devices, with physicians, nurses, and a bill sponsor saying the chemical can leach from IV bags and tubing and that safer alternatives already exist. The committee also heard testimony on bills to establish statewide food truck permitting, with food truck owners and a senator describing the current system as costly, duplicative, and inconsistent across municipalities. Another set of witnesses supported the “Bean New Deal,” which would expand plant-based food options in public institutions, senior nutrition programs, and WIC, citing health, equity, and cost savings. On lead poisoning, housing advocates and a representative backed bills to expand lead-safe housing requirements to all rental units, arguing the current law contributes to discrimination against families with children and leaves too much pre-1978 housing uncertified. The committee also heard support for an outdoor air pollution bill that would create an advisory committee, identify pollution hotspots, expand monitoring, and set reduction targets, with testimony from environmental justice groups, pediatricians, and legislators describing disproportionate asthma and other health harms in overburdened communities. Later testimony addressed oral health bills to create dental therapists and allow dental hygienists to administer nitrous oxide, with supporters saying the measures would expand access, reduce costs, and help underserved patients. The committee also heard testimony on a bill to prohibit harmful food dyes in competitive school foods, with parents describing behavioral and health concerns tied to synthetic dyes. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• Committee on Agriculture and Livestock will come to order. The clerk will call the roll.
• Treatment with parasiticides early on in the infestation can be successful.
• We currently have two insecticides for on-animal treatment.
• You mentioned a little bit about products that we could use for treatment.
• Veterinarian treatment costs are also significant.

Committee: House Agriculture & Livestock

Keywords: 1184, house, all

Transcript Highlights:

• The Appropriations Committee on Health and Human Services will now come to order.
• This is life-saving treatment.
• What they're basically used for is outpatient treatment.
• And that's a different treatment than what this is.
• The bottom line is this: There is no treatment without housing.

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The committee took up a series of health and human services bills, beginning with CS/SB 1602, which would require emergency departments to have evidence-based pediatric care protocols, training, appropriate child-sized equipment and medications, a designated care coordinator, and participation in a pediatric readiness assessment. It was reported favorably. CS/SB 1224 followed, aligning Florida law with federal requirements so paramedics may administer controlled substances in the field under physician or nurse practitioner protocols; it also passed favorably after supportive testimony from fire chiefs. The committee then adopted a strike-all for SB 890, the Emily Adkins Family Protection Act, which addresses venous thromboembolism by creating a statewide registry, requiring screening and training in hospitals and long-term care settings, and adding assisted living facility response requirements. Assisted living representatives objected to the ALF provisions as unrealistic and potentially harmful, while supporters argued the bill would save lives; the bill was reported favorably. CS/SB 1182, requiring continuous glucose monitors to be covered as both durable medical equipment and a pharmacy benefit, also passed favorably with support from AARP. The committee next considered CS/SB 12, a claim bill for a child severely injured after a DCF home visit allegedly failed to meet standards, and it was reported favorably without opposition. CS/CS/SB 954, dealing with substance abuse treatment centers and recovery residences, drew substantial debate. The bill would limit local zoning restrictions on treatment facilities and allow larger recovery residences if staffing ratios are increased; a late-filed amendment reduced the maximum active patients from 500 to 300. Municipal and county representatives warned that the bill could override local reasonable-accommodation efforts and create institutional-scale facilities, while supporters said housing is essential to recovery and that clustering concerns are overstated. The committee ultimately reported the bill favorably. CS/SB 1050, expanding the developmental disabilities pilot program statewide and creating a statewide family care council, also passed after extensive testimony from families and advocates. Supporters emphasized the long waitlist and the need for more services, while some speakers opposed managed care and warned about provider shortages and loss of individualized supports. Later, CS/SB 614, requiring a public educational webpage about background screening clearinghouse and level two screening requirements, was reported favorably. CS/SB 1578, which would require coverage for mammograms and supplemental breast cancer screening in certain circumstances, was also reported favorably. CS/SB 1060 created a joint legislative oversight committee to review Medicaid operations and financing; members discussed the need for stronger oversight of large midyear spending adjustments, and the bill passed favorably. CS/SB 1240, a Department of Children and Families substance abuse and mental health bill, was amended to clarify Baker Act transfer timing and notification requirements after debate over whether facilities could hold patients too long; it was then reported favorably. Finally, Senator Harrell presented CS/SB 526, a major nursing education bill aimed at Florida’s low NCLEX passage rates. The bill would require nursing programs to use exit exams, remediation, reporting, and stricter oversight, and the strike-all would add graduate preceptorships for low-performing programs and temporary provisional licenses for graduates pending NCLEX passage. The transcript ended while that bill was still being explained, before final action was taken.

Transcript Highlights:

• The Committee on Health and Mental Health will now come to order.
• But before the care team can start treatment, you have to inform the situation with vital information
• Families like mine are not asking for special treatment. We are asking for safe treatment.
• Specific treatment needs to be ensured for her safety during times of crisis.
• Is there a cost in order for an entity to become involved in the A cost in order for an entity to become

Committee: House Health and Mental Health

Summary: The committee first met in executive session and adopted a substitute for House Bill 1962, then voted House Committee Substitute for HB 1962 do pass by 16-0. The substitute was described as making changes related to an epinephrine-related database and pricing. The committee then adopted a substitute for House Bill 2371 and voted House Committee Substitute for HB 2371 do pass by 16-0; the sponsor said the bill would codify existing Medicaid/state-plan coverage for a blood pressure-related issue and make the private insurance language consistent. House Concurrent Resolution 28 was also voted do pass by 16-0. The committee then heard House Bill 3457, “Maddie’s Law,” which would create an electronic medical-record alert for medically complex children so hospitals can quickly access individualized emergency care plans. Representative Burns presented the bill as a response to the death of a child named Maddie, and multiple family members and advocates testified in support, describing repeated emergency-room delays, the burden of carrying binders of records, and the need for one-click access to care plans. Questions focused on how the alert would work with existing systems, whether QR codes or bracelets might help, whether the bill should also apply to adults, and how the voluntary language fits with the goal of ensuring the information is available. An SSM Health lobbyist testified for information purposes, explaining that the STARS program is a voluntary EMS care-plan system started in 2014 and now includes about 1,800 children in Missouri and Illinois; he said the sponsor was willing to work on the language. Finally, the committee heard House Bill 3401, which would require hospitals to develop workplace violence prevention plans, multidisciplinary committees, risk assessments, training, reporting, and incident review processes, while keeping the bill flexible for different facilities. The sponsor and several health care groups cited high rates of threats and assaults against emergency and hospital staff and argued that violence is a preventable workplace risk that contributes to burnout and staffing shortages. Witnesses from emergency physicians, nurses, the Missouri Hospital Association, and other medical groups supported the bill, with some suggesting the signage language be broadened or simplified. No votes were taken on HB 3457 or HB 3401 before the committee adjourned.

Transcript Highlights:

• , convened by the Special Commission on Xylazine, which is hereby called to order.
• address any gaps that might exist in available outreach and treatment programs and services.
• Representative, I think one thing to also think about is treatment.
• Kimmel have any thoughts about those treatment pieces.
• The treatment and the education.

Keywords: 995, all

Summary: The Working Group on Outreach and Treatment of the Special Commission on Xylazine held its first meeting, chaired by Gabe Adams-Cain in Senator John Villis’s absence. Members introduced themselves and described priorities such as improving education about xylazine, expanding first responder and clinical training, and ensuring patients and providers know how to respond to xylazine-related wounds and complications. Several participants emphasized that outreach should reach both people who have not been exposed and those already affected, and that stigma is a major barrier for patients and families. Discussion focused on the main challenges to treatment and outreach, including limited awareness, inconsistent wound care access, gaps in geographic coverage, cost of supplies, and the need for better training in both outpatient and inpatient settings. Dr. Kimmel noted that harm reduction and outreach programs are already providing much of the care, but often lack specialized staff, sufficient supplies, and standardized protocols. He also said xylazine can complicate withdrawal and make it harder for people to engage in substance use treatment. Members discussed the value of non-stigmatizing, consensus messaging, family support organizations, and existing resources such as PARI, StreetCheck, and state-funded syringe service and naloxone networks. The group also reviewed the commission timeline and next steps. Staff said materials for the December 11 full commission meeting should be submitted by December 2, with draft presentation materials to be shared by December 4 and reviewed by December 9. Members agreed to do additional follow-up research on topics including the cost-effectiveness and contents of self-care wound kits, outreach to family and recovery organizations, incarcerated populations, and geographic access gaps. The meeting ended with agreement to use a PowerPoint-style presentation and to continue compiling research through a shared folder, followed by adjournment at 9:55 a.m.

Transcript Highlights:

• On the left, you'll see Oaks Water Treatment Plant Rehab.
• You know, if they are in need of a mechanical treatment plant, fast-growing community, in order to pay
• The first, just in order, not in precedence, but in order, is FEMA.
• Are they sitting okay with their treatment plant, or are they going to need a new treatment plant in
• We are planning a water treatment plant expansion.

Summary: The Water Topics Overview Committee met with a quorum and received updates from the Department of Water Resources and the State Water Commission, followed by presentations from Deloitte on two legislative studies required by House Bill 1020. Director Reese Haas reviewed major project and budget updates, including the Northwest Area Water Supply and Southwest Pipeline projects, Resources Trust Fund balances, carryover spending, project prioritization, bid conditions, regional water system coverage, and department process improvements. Members also discussed how the commission prioritizes projects, maintenance expectations, and the impact of limited municipal water supply funding. No formal committee action was taken during the DWR update; the commission’s municipal funding decisions were described as pending its April 8 meeting. Deloitte then presented the cost-share policy study, which found that under current policy and forecasted revenues, North Dakota faces an estimated $1.3 billion shortfall over 14 years, with a near-term gap of about $1.8 billion through 2031. The firm outlined seven recommended options, including tighter definitions and a 25% cost share for eligible replacement projects, caps and financing strategies for the Mouse River and Red River Valley projects, aligning cost share with commission priority guidance, delaying lower-priority projects, using available lines of credit, and adjusting reimbursement timing for revolving loan funds. Committee members questioned inflation assumptions, affordability, user fees, and the use of legacy fund earnings for bonding, but no decisions were made. In the governance and finance study, Deloitte said final recommendations are still being refined, with a final report due May 29. The study examined the Southwest Pipeline, NAWS, and Red River Valley systems using governance and finance criteria such as decision authority, transparency, affordability, risk, and access to funding. For Southwest, Deloitte outlined options ranging from improved state-authority coordination to transferring ownership to the Southwest Water Authority; for NAWS, options focused on strengthening the authority’s role and potentially transitioning operations and maintenance; and for Red River, options ranged from enhanced facilitation to formal state oversight or state ownership. Members asked follow-up questions about ownership transfer, capital repayment streams, and why NAWS was not considered for transfer, and Deloitte said NAWS’s limited organizational maturity made that option less viable in the near term.

Transcript Highlights:

• We have 148 bills to consider this morning as part of our regular order hearing.
• With the estimated lifetime medical costs related to HIV treatment for just one person being 326,5,5.
• Related to HIV treatment for just one person being $326,500.
• For instance, the cost of treating hepatitis C is approximately $20,000, with treatment for resistant
• Techniques is essential for their safety and adherence to prescribed treatments.

Summary: The Assembly Appropriations Committee met on April 23, 2025, with a large regular-order agenda and first approved a consent calendar covering many bills. Several measures were then heard individually, with most receiving support from sponsors and stakeholder groups and no formal opposition in the room, though some bills drew respectful opposition or no votes. The committee also read and deemed approved a lengthy suspense calendar before taking up additional bills and public comment. Among the bills discussed, AB 263 would extend temporary flow regulations on the Smith and Shasta Rivers for five years or until permanent rules are completed; AB 309 would remove the sunset on pharmacists’ ability to provide sterile syringes without a prescription to support HIV and hepatitis prevention; AB 631 would require animal shelters to post intake and outcome data online; AB 792 would allow consolidation of bargaining for court interpreters; AB 867 would ban cat declawing except when medically necessary; AB 1206 would require pre-approved housing plans for small residential projects; AB 787 would require health plans to better help patients find in-network providers; AB 596 would protect workers’ right to wear face coverings unless unsafe; AB 282 would allow housing providers to prefer voucher holders without violating source-of-income discrimination law; AB 738 would create a limited rebuilding exemption for disaster survivors from newer solar requirements; AB 566 would require browsers and mobile operating systems to make global privacy opt-outs easier; and AB 622 would clarify CDCR’s authority to award credits to people serving indeterminate sentences who complete rehabilitation programming. Most of these bills were reported out on roll calls, often with bipartisan or limited dissent. AB 309, AB 631, AB 792, AB 867, AB 1206, AB 787, AB 596, AB 282, AB 738, AB 566, and AB 622 all advanced, while AB 263 also moved forward despite opposition from the Siskiyou Board of Supervisors and the California Farm Bureau. AB 622 generated the most extensive debate, with supporters emphasizing rehabilitation, parole-board review, and cost savings, and opponents warning about public safety and the impact on serious violent offenders. The meeting ended after brief public comment on several other bills on the suspense file and then adjournment.

Transcript Highlights:

• mental health treatment.
• treatment.
• Everybody who's on a court order for treatment, as you know, a court-ordered treatment can limit a person's
• Court-ordered treatment can limit a person's liberty, so they have the right to challenge their, you
• Everybody who was on a court order for treatment has the right to file a petition for habeas corpus.

Committee: Senate Senate Health and Human Services COR

Summary: The committee approved the March 18 and 19 minutes and heard a presentation from the University of Arizona College of Medicine Phoenix on its new tuition-free, three-year regional medical school branch in Yuma. The presenter said the program is designed to address Arizona’s primary care shortage by training students in a high-need rural area, with 18 months in Phoenix and 18 months in Yuma, and members asked about residency placement, applicant eligibility, and whether students would be required to remain in rural Arizona after training. The program was described as open to applicants from in and out of state, with no post-graduation practice commitment, but with an emphasis on recruiting students already interested in rural care. The committee then heard several health and child welfare bills. HB 2923 would expand judicial review procedures for court-ordered mental health treatment, add timelines and counsel protections, and require clear and convincing evidence to continue treatment; supporters said it updates outdated 1970s law and preserves due process. HB 2434 would change the controlled substances prescription monitoring program by requiring updated patient utilization reports before opioid or benzodiazepine prescribing, tightening reporting rules, and replacing a task force with a compliance workgroup. HB 2035 would broaden kinship foster care to include extended family, strengthen sibling and family placement preferences, require written findings when kin placement is denied, and shift the standard from promoting to presuming kinship placement as in the child’s best interest; DCS said the policy largely matches current practice but raised an implementation concern about a report deadline before preliminary protective hearings. The committee also heard HB 2611, which would expand foster youth rights and safety protections in group homes, including anti-retaliation rules, drug-screening requirements for staff, and new safety rules for DCS and DHS; foster youth and group home staff testified in support, while DCS was neutral and noted possible fiscal and operational impacts. HB 2732 would continue the Arizona State Board of Pharmacy until 2032, and HB 2733 would make various pharmacy regulation changes, including medication delivery flexibility, continuing education timing, change-of-ownership permits, and wholesale distribution permitting. HB 2830, as amended, would require instruction on fetal and prenatal development and initially restricted abortion-provider materials in schools, but the amendment removed that prohibition; testimony split between supporters who framed it as educational and opponents who objected to its implications for reproductive rights. HB 2932, as amended, would require AHCCCS contractors to reimburse noncontracting providers for referred lab services and limit prior authorization and retaliation; health plans opposed it as a threat to managed care tools, while lab providers supported it as fair payment for covered services. Finally, HB 4004 would require DCS to investigate credible abuse or neglect reports even when one parent is considered protective, and to report annually on cases where it declined to intervene. Parents testified that abuse was minimized or left uninvestigated because of the “protective parent” concept, while supporters said the bill would close a dangerous gap. The committee also considered HB 2086, which would bar government and businesses from imposing mask or vaccination requirements, though an amendment removed the business prohibition; supporters framed it as bodily autonomy and opponents argued it would weaken public health protections. The committee voted to give do pass recommendations to HB 2035, HB 2086 as amended, HB 2434, HB 2611 as amended, HB 2732, HB 2733, HB 2830 as amended, HB 2923, HB 2932 as amended, and HB 4004, with recorded no votes on some measures, including opposition from members on HB 2086, HB 2830, HB 2932, and HB 4004.

Transcript Highlights:

• The Committee on Agriculture and Livestock come to order.
• Um, we've also worked with USDA, FDA, and EPA to expand treatment options.
• Potential treatments out there.
• And as far as a treatment to help get some of those infected animals off the landscape.
• We have to have the products for prevention and treatment.

Committee: House Agriculture & Livestock

Transcript Highlights:

• </c> Behavioral Health Services day treatment Behavioral Health Services day treatment programming<00
• dispensing fees, EMS, SUD under 245B, residential treatment, withdrawal management, group treatment,
• I can spell all those. included um Adult Day treatment EI included um Adult Day treatment EI eidbi<00
• </c><00:37:29.200><c> Behavioral</c> Management Group treatment Behavioral Management Group treatment
• facilities, intensive residential treatment, and assertive community care and treatment.

Keywords: 1183, house

Transcript Highlights:

• , evidence-based treatments, how somebody might want to create a residential treatment center in their
• Some regions might want to do treatment.
• treatment programs.
• community treatment, and assisted outpatient treatment.
• We're trying to get to the treatment of mental health programs.

Bills: HB1

Committee: Senate Senate Finance

Keywords: feed bill, legislative appropriations, legislative branch, New Mexico Legislature, general fund, legislative council service, legislative finance committee, legislative education study committee, house chief clerk, senate chief clerk, per diem, mileage, session expenses, interim committees, district staff, capitol complex, capital outlay data system, legislative processing system, redistricting, census redistricting

Transcript Highlights:

• benefit from treatment.
• </c><00:25:58.480><c> in</c> needs care, training, or treatment in needs care, training, or treatment
• </c> pro proof, the court must enter an order pro proof, the court must enter an order authorizing<00
• </c> safety and treatment. safety and treatment.
• That also treatment that they need.

Keywords: This meeting was split into two parts due to a technical issue. This is the complete meeting pulled from backups. Meeting Start: 00:00:00 Roll Call: 00:00:01 24RS HB198: “Angela’s Law”: 00:01:22 KRS Chapter 202C: 00:11:50 Eminent Domain: 00:54:35, 958, all

Summary: The committee first approved the June 10, 2025 minutes, then took up House Bill 198, Angela’s Law, sponsored by Representative Samara Heavrin. The bill would add a new aggravating circumstance in death-penalty cases when an offender abuses the corpse of a kidnapping or murder victim by engaging in deviate sexual intercourse, sexual intercourse, or sexual contact. Representative Heavrin and the victim’s parents described the underlying case and argued the current law does not adequately account for postmortem sexual abuse, leaving the offender parole-eligible despite the family’s view that the conduct warranted harsher punishment. Several members expressed sympathy and support, and one member suggested the proposal should be drafted carefully so it would apply broadly enough to cover co-conspirators or multiple offenders. No vote on the bill was taken in the portion provided. The committee then heard an informational presentation on KRS Chapter 202C from Judge Lisa Payne Jones and Shauna Mitchell of the Kentucky Judicial Commission on Mental Health. They explained that Chapter 202C, enacted in 2021 to close a gap in the civil-commitment statutes, applies to respondents found incompetent to stand trial who are charged with qualifying serious offenses such as capital offenses, certain Class A and Class B felonies causing death or serious injury, rape in the first degree, or sodomy in the first degree. The process begins with a Commonwealth’s petition, followed by a prompt evidentiary hearing, appointment of a guardian ad litem, and then a commitment hearing if the offense is proven. The presenters outlined the procedural standards and recent statutory changes. At the evidentiary hearing, the Commonwealth must prove the charged offense by a preponderance of the evidence before a judge, with the respondent able to present defenses; if the Commonwealth fails, the respondent must be released. If the case proceeds, the commitment hearing requires proof beyond a reasonable doubt of at least one involuntary-commitment criterion, and the hearing may be before a jury if requested. They noted that a 2024 amendment changed the commitment criteria from requiring all four factors to only one, and added language about recent criminal behavior and prior involuntary hospitalizations under Chapters 202A or 202B. If commitment is ordered, the respondent is placed in a designated forensic psychiatric facility, currently KCPC.

Transcript Highlights:

• The committee on Education Pre K through 12 will now come to order secret.
• And you are putting them at risk to to not get any treatment because of it.
• So that treatment for sexually transmissible diseases, mental health services, substance abuse treatment
• That would effects that treatment.
• We also do testing and treatment for STIs.

Keywords: 999, senate, all

Transcript Highlights:

• We talked about cell and gene therapies, the brand new life-saving treatments, $4 million per treatment
• We all want to prevent expensive treatments.
• We all want to prevent expensive treatments.
• a certain treatment or program of medications.
• These services span prevention, evaluation, and treatment.

Keywords: 908, all

Summary: The committee met to review the history and current treatment of North Dakota health insurance mandates, with presentations from Blue Cross Blue Shield of North Dakota, Sanford Health Plan, the Public Employees Retirement System (PERS), and the Insurance Department. The discussion focused on how mandates apply differently to fully insured, self-funded, ACA, Medicaid, and PERS plans; how the state’s benchmark plan and federal essential health benefits affect coverage; and how the existing process requires cost-benefit analysis and, for certain measures, a PERS pilot period before broader application. Presenters also reviewed the long list of existing state mandates, including provider, beneficiary, and coverage requirements, and noted that many were enacted decades ago and have not been revisited despite changes in medical evidence and treatment options. Witnesses from the carriers argued that mandates should be reviewed periodically because some are outdated, can create unintended costs, and may not align with current medical guidance. Examples cited included PSA screening, off-label drug coverage, prior authorization rules, step therapy, and cost-sharing provisions for mental health and substance use treatment. They emphasized that carriers often cover services without a mandate when supported by clinical evidence, and that mandates can shift costs to employers and employees, especially in the fully insured small-group market. They also suggested possible policy improvements such as clearer mandate definitions, better transparency around cost-benefit analyses, a regular 10-year review of mandates, and more timely submission of proposals through the interim process. PERS and the Insurance Department highlighted a recurring tension over what counts as a mandate and when a measure triggers the state’s defrayal obligation under federal law. PERS described its interim committee process, the April 1 deadline for fiscal-impact proposals, and the limited pilot program used for certain measures, noting that only a few bills have gone through the full pilot process. The Insurance Department explained that it views new benefit mandates through the lens of the ACA benchmark plan and essential health benefits, distinguishing true new benefits, such as infertility coverage, from changes to existing benefits, such as telehealth or insulin cost-sharing caps. No votes were taken on policy changes; the meeting was informational, with members asking questions about costs, applicability, transparency, and whether a periodic mandate review should be established.

Transcript Highlights:

• Next order of business: report of committees.
• Next order of business would be introduction of new bills and resolutions.
• Next order of business would be introduction of new bills and resolutions. Mr.
• Next order of business will be orders of the day.
• The body shall come to order. Next order of business is report of committees. Mr.

Keywords: 958, all

Transcript Highlights:

• Could everyone please find your seats, and we will call the meeting to order. Thank you.
• Representative Egan, I believe your motion will be out of order at this point in time.
• People who need cancer treatment, people who need heart surgery are being denied those treatments because
• Because if the answer is I no longer have... ...a sewer treatment plant at my home.
• And all of my rental properties have individual sewer treatment systems.

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:

• And just a point of order, are we tabling this bill or voting on it? Yes, Mr.
• Minimum level of income, is there a floor that you have to have earned in order to access either the
• This can be one to two to four hours away for treatment.
• This can be one to two to four hours away for treatment.
• For them, receiving treatment close to home reduces travel burdens, increases adherence to treatment

Committee: House House Taxation & Revenue

Keywords: 996, all