Transcript Highlights:

• We know that it helps improve clinical systems for patients. So what do we need to do?
• We know that it helps improve clinical systems for patients. So what do we need to do?
• I'm a licensed marriage and family therapist with over 20 years of clinical experience and behavioral
• Yet many clinics cannot sustain this model because the collaborative care billing codes, 99492, 99493
• By relying so heavily on the medical and clinical space to provide trauma care, we have erected barriers

Committee: Joint Joint Committee on Mental Health, Substance Use and Recovery

Keywords: 995, all

Summary: The Joint Committee on Mental Health, Substance Use and Recovery held a public hearing on 14 bills focused on insurance, parity, opioids, behavioral health access, and mental health system reform. Chair Mindy Domb and Vice Chair Robyn Kennedy outlined hearing procedures and noted the committee would accept written testimony. The hearing featured testimony from legislators, providers, advocates, and behavioral health organizations, with most speakers urging favorable reports on the bills they addressed. A major topic was psychiatric collaborative care, including H. 222/S. 1390, which would raise reimbursement for collaborative care codes to at least Medicare levels and allow billing outside the MassHealth primary care subcapitation model. Supporters said the model improves access, outcomes, and cost savings by embedding behavioral health in primary care, and several witnesses described successful implementation in practices and schools. Committee members asked questions about how the model works, what specialties use it, barriers to adoption, and whether copays, deductibles, and subcapitation rules should be changed. Witnesses also supported related innovation legislation, including H. 2224, which would create a mental health innovation fund and support nontraditional trauma-healing approaches. Other bills discussed included H. 2212, which would require prescribers to discuss opioid and pain-medication risks, alternatives, and addiction/overdose concerns with patients or guardians; H. 2232 and H. 2233, which would address equitable payment and equitable access for behavioral health providers serving MassHealth patients; and S. 1406, which would add opioid maintenance treatment information to MassPAT and allow patient-authorized access to that information. Witnesses also strongly backed S. 1399, which would set targets to increase behavioral health spending within the overall health care cost benchmark, arguing that Massachusetts underinvests in behavioral health and that greater investment could reduce emergency, hospitalization, homelessness, and criminal justice costs. No votes were taken; the hearing concluded after testimony and committee questions.

Transcript Highlights:

• Women’s Clinic.
• Women’s Clinic.
• clinics.
• </c> again licensed Personnel in the clinics again licensed Personnel in the clinics is<01:51:45.840>
• </c> support this great work these clinics support this great work these clinics are<01:57:03.199><c>

Keywords: 1183, house

Transcript Highlights:

• We do worry that 'relevant clinical experience' lacks a proper definition.
• We have that widening of breadth of clinical expertise.
• “Three days later she shows up in my clinic. She still can’t breathe, right?
• “This seems interesting to me, and we talk about clinical training. I think Ms.
• “We talk about this in a clinical setting versus a hospital setting.

Bills: SB1095 , SB1114 , SB1116 , SB1162 , SB1164 , SB1178 , SB1179 , SB1249 , SB1253 , SB1346 , SB1347 , SB1446 , SB1561 , SB1813

Committee: House Health & Human Services

Keywords: gender transition, minors, irreversible surgery, health professionals, puberty-blocking drugs, medical procedures, prohibition, Arizona Revised Statutes, behavioral health, patient brokering, appropriation, state funds, Maricopa County, claims review, medical necessity, American Indian health program, healthcare regulations, healthcare compliance, behavioral health technicians, licensing

Transcript Highlights:

• Or do you require their clinical experience, that number of hours that you require?
• So clinical experience, a number of hours are lacking, then you still require here...
• and from clinicals is very difficult, right?
• 50 miles away, how do you get your student to that clinical location?
• I'm Roxanne Gould representing the Association of Clinical Nurse Specialists.

Summary: The joint Assembly and Senate Business and Professions sunset oversight hearing focused first on the Board of Registered Nursing (BRN), with committee chairs emphasizing oversight, consumer protection, workforce access, and economic mobility. BRN leaders reported improvements since the last review, including faster licensing timelines, streamlined enforcement, higher consumer satisfaction, growth in pre-licensure enrollment, and expanded data collection. Members questioned the board about nurse practitioner scope and supervision, international and military pathways to licensure, online nursing education and clinical requirements, rural workforce shortages, and the 30-unit LVN-to-RN option. BRN staff explained California’s tiered advanced practice system, the NCLEX and certification requirements, English proficiency rules, clinical hour standards, and the board’s role in approving programs and supporting schools through nursing education consultants. Several members and the board president also discussed the need to retain new graduates, improve diversity in the workforce, and better support nontraditional students and rural placements. Public comment on the BRN sunset review was extensive and largely supportive of the board, while also urging policy changes. Nurse practitioner, nurse anesthetist, nurse midwife, and nursing education groups generally supported the BRN report and especially backed clarification of APRN-to-RN delegation authority under issue 13. Other commenters asked for clearer implementation of AB 890, more flexibility for clinical nurse specialists, streamlined renewals for nurse midwives, and changes to federal loan limits affecting graduate nursing education. Higher education representatives and private nursing schools raised concerns about duplicative BRN documentation, clinical placement bottlenecks, and barriers faced by out-of-state and online programs seeking to serve California students. The California Medical Association and some physician groups opposed easing transition-to-practice requirements for out-of-state nurse practitioners and cautioned against changes to specialty and delegation rules, while the California Nurses Association and others stressed the importance of community college pathways, new graduate support, and workforce retention. The hearing then moved to the Physical Therapy Board of California. Board leadership reported that the board oversees more than 41,000 active licensees, has seen about 15% growth since 2021, and continues to maintain high exam pass rates among California physical therapy and physical therapist assistant programs. The board described its mission as consumer protection through licensing, enforcement, continuing competency oversight, and stakeholder engagement. The vice president’s remote testimony encountered technical problems, so the executive officer continued with a brief overview of the board’s work and its commitment to efficient service and public protection. No votes or formal actions were taken in the portion of the meeting provided.

Transcript Highlights:

• be transported to this clinic.
• to keep rural health care clinics open.”
• these hospital-owned clinics.
• hospital-rural health clinics.”
• We did it there in the clinic.

Committee: House Appropriations

Summary: The House Appropriations Committee met on April 27 and first took up House Bill 175 and its companion House Bill 165, both dealing with lottery proceeds for veterans. HB 175 was amended to create a Veterans Service Grant Board within the Department of Veterans Affairs and direct $500,000 annually from Louisiana Lottery net proceeds into a Veterans Service Grant Fund, with unused money returned to the lottery proceeds fund that supports the MFP. Supporters, including the bill sponsor, The Boot Louisiana, LDVA Secretary Charlton McGinley, and Bastion Veterans Organization, argued the grants would help veteran services, workforce placement, mental health, housing, entrepreneurship, and retention of veterans in Louisiana. Members raised concerns about drawing from lottery proceeds that traditionally support education, but the committee adopted amendments and reported HB 175 favorably as amended. HB 165, the constitutional amendment companion, was also amended for technical and ballot-language changes and then reported favorably as amended for voter consideration. The committee then considered House Bill 457, which would authorize the Louisiana Department of Health and the State Fire Marshal to set minimum housing standards for homeless shelters, group homes, and halfway homes. The sponsor said the bill responded to a state auditor recommendation and to unsafe conditions in some facilities; he also explained an amendment changing the Fire Marshal’s duties from mandatory to permissive to reduce fiscal impact and allow agencies flexibility. Some members questioned whether local standards already existed and how enforcement and funding would work, while others supported the need for statewide minimum standards for human housing. The committee adopted the amendment and reported HB 457 favorably as amended. House Bill 488, by Representative Brough, sought to create a Belle Chasse Bridge Merit-Based Special Fund using recurring severance tax revenues from Plaquemines Parish to help buy out the Belle Chasse toll bridge and end what the sponsor described as excessive tolls and fees. He and several local witnesses, including business owners, a YMCA representative, and a parish council member, testified that the tolling arrangement had harmed access, businesses, and quality of life. The committee adopted a technical amendment clarifying the revenue source and then reported HB 488 favorably as amended. House Bill 566, which would prohibit state funds from supporting net-zero greenhouse gas initiatives tied to the 2022 Louisiana Climate Action Plan, drew significant debate over whether it would interfere with agency funding and economic development efforts; the sponsor argued the plan lacked legislative approval and should be repudiated, while members urged caution and suggested hearing from affected agencies. The sponsor agreed to consider deferring the bill, and the committee did not advance it at that time. House Bill 603, a constitutional amendment authorizing investment of state funds in digital assets and precious metals, was discussed as a way to hedge inflation and preserve value; members asked about limits and safeguards, and the bill was reported favorably. The committee then began hearing House Bill 763, a transparency measure creating a public database for settlement agreements involving state agencies.

Transcript Highlights:

• And the bill says we want to make sure you do 600 hours of clinical practice devoted to the agricultural
• Okay, that's full-time practice, but their clinical practice.
• Isn't that different, clinical practice? Is that like a residency for a doctor? I understand, Mr.
• Chairman, I understand clinical to be the same as full-time. Okay, well, that's my problem.
• setting, just like veterinarians need clinical practice.

Committee: Senate Education

Summary: The Senate Education Committee approved the minutes from February 18, 2026, and then heard Senate Bill 1335 from Senator Tammy Nichols. The bill would require students receiving state-appropriated support for veterinary education to return to Idaho for four years and spend 600 hours per year, or about 30% of their time, treating agricultural animals. Supporters said the measure is meant to address Idaho’s shortage of large-animal veterinarians and ensure a return on existing taxpayer-funded veterinary seats, with testimony from the Idaho Farm Bureau, Idaho Veterinary Medical Association, Idaho Cattle Association, and Idaho Wool Growers. The IVMA said it was neutral, citing concerns about the bill’s detailed requirements, pay differences, and whether enough jobs would be available, while some senators questioned whether the bill was more of a mandate than an incentive and whether the requirement should apply to current or future students. Committee members also discussed technical questions about the bill’s timing, the mixed-animal training requirement, and whether service could occur outside Idaho. Senator Nichols and testifiers said the intent was to apply the bill beginning with the 2027-28 academic year and to ensure students receive training in mixed-practice agricultural veterinary medicine. After closing remarks from the sponsor, Senator Burtenshaw moved to send SB 1335 to the floor with a due pass recommendation, Senator Carlson seconded, and the motion passed despite Senator Zito stating she would vote no because she opposed using state money in this way. The committee then received a presentation from Dr. Sally Brown of the College of Idaho on behalf of the Idaho Higher Education Literacy Partnership. She described the group’s work to strengthen teacher preparation in the science of reading, revise literacy standards, develop competency guides and assessments, and support literacy partnerships across Idaho’s higher education institutions. Whitney Ward of Northwest Nazarene University and Carolyn Court of Boise State University highlighted school-district partnerships, literacy summits, and clinical placements for teacher candidates, emphasizing that principals and district leaders also need literacy training to improve systems and support classroom instruction. Committee members asked about why administrators need this training, and presenters said principals play a key role in coaching, walkthroughs, and supporting schoolwide literacy systems.

Transcript Highlights:

• clinical specialty when making medical necessity determinations.
• We need funding in order to scale up to get new clinics, right?
• You are a look-alike clinic, so you don't get that reimbursement.
• to this new clinic, and their insurance plans covered them.
• I mean, our clinic is a money pit right now.

Keywords: 988, house, all

Transcript Highlights:

• So if a clinic, if a clinic wants,... Senator Harris: Just a quick question.
• This is because Medicaid is an important part of access to her clinic.
• But B, collection of demographic data for legitimate clinical care.
• So if your clinic sees that a certain demographic is in need of...
• It teaches systemic racism as a clinical And that's what implicit bias training is.

Committee: Senate Health and Welfare

Keywords: 989, all

Transcript Highlights:

• , and that is a kind of walk-in, low-barrier access clinic, also called Bridge clinics at some places
• walk-in low barrier access Clinic of walk-in low barrier access Clinic also<01:20:45.560><c> called</
• some</c> also called Bridge clinics at some also called Bridge clinics at some places<01:20:47.280><c
• </c> recovery when they come into the clinic recovery when they come into the clinic with<01:29:19.800
• and</c> community clinics in the clinical and community clinics in the clinical and Specialty<01:43:03.320

Committee: House Higher Education Finance and Policy

Keywords: 1183, house

Transcript Highlights:

• So we provide the funding mechanism, authorization oversight, and clinical policy oversight.
• DSHS assesses eligibility and clinical need through medical necessity review.
• DHS assesses eligibility and clinical need through medical necessity review.
• Scheduling these hours, the utilization contractor has done in their clinical review.
• Thank you. the utilization contractor has done in their clinical review.

Bills: HB2402 , HB2555 , HB2599 , HB2685

Committee: House Health Care & Wellness

Keywords: phthalates, medical equipment, healthcare regulation, intravenous therapy, toxic substances, Medicaid, healthcare, traditional practices, health insurance, coverage expansion, therapy, psychotherapy, mental health, regulation, professional standards, tribal data, data protection, privacy, sharing of information, Indigenous rights

Transcript Highlights:

• DNPs have more clinical hours. So a DNP is a clinical terminal degree.
• DNPs have more clinical hours. So a DNP is a clinical terminal degree.
• And so there's different clinicals for different specialties.
• it should be more than just clinical setting.
• I think there would be confusion in the clinical setting.

Committee: Senate Health Policy

Keywords: 999, senate, all

Summary: The committee first considered SB 268, a public records bill for emergency physicians. A strike-all amendment narrowed and clarified the exemption, and the sponsor said it was intended to protect current emergency department physicians and eligible family members who submit a written request. Emergency physician Dr. Sean Patterson and several health care organizations supported the bill, citing threats, harassment, and safety concerns tied to mandatory reporting and patient encounters. The committee adopted the amendment and reported SB 268 favorably as a committee substitute. The committee then heard SB 514, creating the Doula Support for Healthy Births Pilot Program in Broward, Miami-Dade, and Palm Beach counties for pregnant and postpartum women, with priority for those affected by substance use disorder. Members discussed how the Department of Health would implement the pilot, collect data, and work with existing maternal health partners. An amendment changed the funding source to specific appropriations in the General Appropriations Act. Supporters said doula care can improve maternal and infant outcomes and help address Florida’s maternal health crisis. The bill was reported favorably as a committee substitute. SB 36, on use of professional nursing titles, drew extensive debate over whether nurses with doctoral degrees should be able to use the title “doctor” in clinical and advertising settings while clearly identifying themselves as nurses. The sponsor said the bill was about transparency and patient clarity, while several senators raised concerns that patients could confuse DNPs with physicians. Supporters from nursing groups said the bill protects earned credentials and does not expand scope of practice. The committee adopted an amendment aligning the bill with the House version and reported SB 36 favorably as a committee substitute. The committee also reported favorably SB 864, creating a public records exemption for uterine fibroid research data; SB 844, requiring continuing education on sickle cell disease care management for certain health professionals; SB 1404, revising memory care licensing for assisted living facilities; and SB 914, clarifying dry needling authority for occupational therapists. Finally, the committee took up SB 1758, a broad public assistance bill affecting Medicaid and SNAP. The sponsor described reforms including stronger fraud enforcement, a Medicaid work requirement for certain able-bodied adults, expanded behavioral health services through a waiver, pharmacy program changes, and SNAP fraud reduction measures. Members questioned the work requirement, implementation costs, eligibility verification, and due process concerns, while the sponsor said the bill would require federal approval and legislative review before implementation. Three amendments were adopted to adjust drug list update timing, expand public testimony on the high-cost drug list, and require faster prior authorization responses with a temporary supply in emergencies. The transcript cuts off before the final disposition of SB 1758.

Transcript Highlights:

• They've done clinical training. They have been authorized to practice.
• They've done clinical training. They have been authorized to practice.
• competency under supervised clinical practice.
• experience license and meet clinical readiness standards.
• They invested $9 million in a direct retrofit of a clinic.

Summary: The committee first received an update on the effects of HR1 and related federal Medicaid and marketplace changes from Governor’s Office and Health Care Authority staff. Presenters said the most immediate coverage losses are expected in the individual market beginning in January, with premium increases and an estimated 80,000 people potentially unable to afford coverage. They warned that larger Medicaid impacts will follow over the next year and beyond, including tighter eligibility checks, work requirements, reduced retroactive coverage, limits on state-directed payments and provider taxes, new cost-sharing, and changes affecting certain non-citizen adults. They also said the state plans to seek a waiver or extension for work requirements and will continue to analyze impacts, including on rural providers and Planned Parenthood-related services. Members asked about the effect on nursing homes, rural hospitals, and how the state can help providers and enrollees navigate the new requirements; staff said timelines and a state-specific implementation chart are being developed. The committee then heard a report on the International Medical Graduate Work Group and Washington’s efforts to create pathways for internationally trained physicians. Testimony described the clinical experience license, the clinical evaluation assessment tool, grant funding for IMG support organizations, and a new hardship waiver process enacted this year. National presenters said many states have adopted similar pathways because of physician shortages, but Washington and Tennessee are among the few states that have actually issued licenses so far. They recommended clear guardrails, an employment offer before application, ECFMG certification, supervised practice, and data collection to avoid exploitation and protect patients. Members asked about state-to-state variation, retention of IMGs, and whether Washington should pursue dedicated residency or preceptorship options; presenters said the key next step is moving successful participants from supervised experience to a durable long-term license. The final topic was implementation of Washington’s Apple Health doula benefit and the statewide doula hub and referral system. Senator T’wina Nobles highlighted the state’s $3,500 per-birth Medicaid reimbursement rate for doulas and the importance of the hub for referrals, training, and billing. Health Care Authority staff said the benefit launched January 1, 2025, and covers prenatal intake, labor and delivery, postpartum visits, and telehealth-supported services. They reported 336 state-certified doulas, 134 enrolled in Apple Health, 287 unique clients served, and 641 claims paid so far. Testimony emphasized doulas’ role in improving birth outcomes, reducing unnecessary interventions, and addressing racial disparities in maternal health, while noting that implementation is still early and ongoing.

Transcript Highlights:

• clinical specialty when making medical necessity determinations.
• In order to scale up, to get new clinics, right?
• You are a look-alike clinic, so you don't get that reimbursement.
• to this new clinic, and their insurance plans covered them.
• I mean, our clinic is a money pit right now.

Summary: The joint hearing focused on access to gender-affirming care in California, with opening remarks emphasizing the state’s legal protections, the importance of decorum, and the impact of federal actions on transgender, gender-diverse, and intersex Californians. The Department of Justice, Department of Managed Health Care (DMHC), and Department of Health Care Services (DHCS) described current state protections, including nondiscrimination rules, privacy and shield laws, Medi-Cal and commercial coverage requirements for medically necessary care, and ongoing litigation challenging federal executive orders, proposed rules, and HHS actions that could restrict care or threaten provider participation in Medicare and Medicaid. Officials also noted that California continues to oppose federal proposals through lawsuits and public comments, and that the state is preparing strategies if those proposals are finalized. Members asked about hospital closures or pauses in care, continuity of care, provider network adequacy, whether additional legislation or funding is needed, and how the state can better track access and enforce existing protections. DMHC said it monitors complaints and independent medical reviews, but does not have a specific provider category for gender-affirming care and does not collect utilization data by service type; DHCS said Medi-Cal covers medically necessary gender-affirming care and that federal proposals are not yet final. Finance staff said the previously approved $15 million allocation is still being implemented through Covered California. The second panel heard from a physician, clinic leaders, parents, and a transgender youth about how families and providers navigate access to care. Dr. Johanna Olson-Kennedy described the history of transgender medical care, the role of puberty blockers and hormones, and said minors need parental consent for medical interventions, while emphasizing that care should be individualized and that supportive parents improve outcomes. She also described the closure of the Children’s Hospital Los Angeles youth program and the difficulty of rebuilding care in private practice, including insurance contracting barriers and inadequate reimbursement. J.M. Jaffe of Lyon Martin Community Health Services said the clinic has expanded to serve minors after hospital programs closed, but that the shift has created major financial strain and increased demand, and asked for a $26 million state investment to stabilize transgender health services. Parents and youth described delays, cancellations, and uncertainty at Kaiser, Stanford, UCSF, and Rady Children’s, along with the emotional and medical consequences of interrupted care. One parent said TRICARE stopped covering her son’s care after federal changes and that Rady later closed its clinic; her family urged California to backfill lost access and funding. A 16-year-old trans student and other witnesses argued that California should remain a reliable source of care and that current protections are not enough without funding, provider support, and stronger enforcement.

Transcript Highlights:

• Our current scope of practice limits us from performing these procedures in a clinical setting.
• These conflicts only arise typically in the political process, not in clinical practice.
• In recent years, I've had clinically.
• </c><00:10:56.560><c> At</c> procedures in a clinical setting. At procedures in a clinical setting.
• So I believe not in clinical practice.

Keywords: 1183, house

Transcript Highlights:

• Okay, so I am a clinical psychologist. I got my PhD in clinical psychology from Missouri.
• I then did a one-year clinical internship at the St.
• I work At a methadone clinic for a year at the VA.
• Clinic at BJC, the Brave Program at Mercy.
• The fact that you would be forced to go to a methadone clinic, like to have so many clinical touches

Committee: House Substance Abuse Prevention and Treatment Task Force

Keywords: 959, house, all

Transcript Highlights:

• And sometimes it might be within the clinics or at the hospital or in the clinic at their home.
• I'm here in my clinic. Sorry for the delay. My name is Morgan Murphrey.
• We took the written part, we took the clinical part, and we passed it.
• And the limited licensed dentists are overseen by the clinical director.
• I'm also a former assistant clinical professor at Tufts University.

Committee: Joint Joint Committee on Consumer Protection and Professional Licensure

Keywords: 995, all

Summary: The committee opened a hearing of the Joint Committee on Consumer Protection and Professional Licensure focused on health care and human services, reviewed testimony logistics, and then heard a long series of witnesses on several bills. Much of the testimony centered on interstate licensure compacts for dentistry, social work, and occupational therapy, with supporters arguing these compacts would improve workforce mobility, continuity of care, and access while preserving state oversight and public protection. Dental witnesses were split on H.455/S.257, with supporters backing the AADB dental compact for its hands-on exam, background checks, and disciplinary safeguards, while opponents argued a competing compact would better promote portability and avoid conflicts tied to proprietary testing and outside commissions. Social work witnesses strongly supported H.380/S.252, emphasizing continuity of care for clients who move across state lines, reduced costs and delays for practitioners, and the compact’s public-protection features; occupational therapy witnesses similarly supported H.427/S.256, citing access, telehealth, military families, and maintained standards. The committee also heard testimony on S.242, which would expand licensure for lactation care providers. Supporters, including lactation counselors and health center staff, said adding certified lactation counselors and related credentials would expand access, improve breastfeeding support, and allow reimbursement for services now often provided without billing. They described the training required and said the bill would help families, especially in underserved communities. Representative James O’Day also testified in support of the social work compact, and a Council of State Governments witness provided background on compact mechanics and state participation. Another major topic was H.419/S.214 on medical debt. Physicians and researchers testified that cancer patients experience long-lasting medical debt and collections burdens, and they supported limits on the sale and collection of medical debt, bans on reporting it to credit bureaus, and related consumer protections. The hearing also included H.465 on a pathway to special licensure for certain long-term limited-registration dentists serving MassHealth patients, which Representative Senna supported as a way to allow immigrant dentists to practice independently. Finally, the committee heard sharply divided testimony on H.444/S.284, which would allow trained dental hygienists to administer Botox and dermal fillers: supporters framed it as a safe, preventive, and access-expanding tool for TMJ, bruxism, and pain management, while dermatologists opposed it as outside hygienists’ training and a patient-safety risk. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• </c> clinic with less than optimal treatment. clinic with less than optimal treatment.
• My name is Kim Price, and I work as an RN for the public health clinic for a public health clinic in
• </c> In Minnesota, we have the clinical In Minnesota, we have the clinical expertise<00:34:24.640><c>
• </c><00:56:36.400><c> get</c> when networks close, the clinics get when networks close, the clinics get
• '</c> HR1 provisions, our clinics' HR1 provisions, our clinics' uncompensated<01:36:38.160><c> care</

Committee: Senate Health and Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• Clinic. $41 million.
• </c> take the Rochester Mayo Clinic. take the Rochester Mayo Clinic. $41<00:36:33.520><c> million</c>
• But I, you know, as much as I love Mayo Clinic and, you know, people in my area really love Mayo Clinic
• </c><00:58:05.760><c> trial</c> Cardiology used select clinical trial Cardiology used select clinical
• </c> Supports small and independent clinics Supports small and independent clinics by<01:19:02.440><c

Bills: HF4493 , HF3133 , HF4595 , HF4143 , HF4142 , HF3756 , HF4289 , HF1724 , HF2291 , HF4568 , HF4547

Committee: House Health Finance and Policy

Keywords: opioid use disorder, OUD, medication-assisted treatment, MAT, pharmacist prescribing, pharmacy practice, controlled substances, Schedule III, Schedule IV, Schedule V, DEA registration, Board of Pharmacy, substance use disorder, addiction treatment, buprenorphine, naltrexone, harm reduction, prescription authority, pharmacist intern, Minnesota pharmacy law

Transcript Highlights:

• So if a clinic, if a clinic wants,... Senator Harris: Just a quick question.
• This is because Medicaid is an important part of access to her... ...clinic.
• But B, collection of demographic data for legitimate clinical care.
• So if your clinic sees that a certain demographic is in need of... ...So if your clinic sees that a certain
• It teaches systemic racism as a clinical And that's what implicit bias training is.

Summary: The Senate Health and Welfare Committee first approved the minutes from February 25 and February 26, 2026, then took up House Bill 928, the Merit-Based Health Care Act. The bill’s sponsor said it would prohibit DEI-related considerations in Medicaid-funded health care hiring, promotion, contracting, and training, while preserving compliance with federal law and allowing certain clinical and quality-improvement activities. Committee members questioned how the bill would apply in practice, especially to hiring and patient preferences, and the sponsor said an amendment would remove certain terms to align with federal code. The committee heard extensive testimony on HB 928. Physicians and the Idaho Academy of Family Physicians opposed the bill, arguing it would restrict evidence-based training, create legal uncertainty, worsen recruitment and retention in a state already facing provider shortages, and interfere with use of social determinants of health and implicit bias training to improve patient care. Supporters, including a plastic surgeon, Idaho Family Policy Center, and the bill sponsors, argued DEI undermines merit and that taxpayer-funded health care should be based on qualifications and excellence. After debate, the committee voted to send HB 928 to the 14th order for possible amendment, with Senators Harris and Wintrow recorded as opposed. The committee then heard House Bill 916, which would create a legislative rural health transformation oversight committee to monitor federal rural health funds flowing to Idaho. The sponsor said the committee would provide legislative stewardship over the money without appropriating funds, while some senators raised concerns that the bill did not require rural representation on the committee and that appointments should reflect rural advocacy. After testimony from a supporter emphasizing oversight and taxpayer stewardship, the committee voted to hold HB 916 in committee. The meeting ended with notice of a two-hour committee meeting scheduled for the next day.

Transcript Highlights:

• One of those is a chemotherapy infusion clinic in our hospital.
• One of those is a chemotherapy infusion clinic in our hospital.
• </c><00:14:34.360><c> we</c> implementing is a hepatitis Clinic we implementing is a hepatitis Clinic
• </c><00:21:05.720><c> and</c> actually practice in these clinics and actually practice in these clinics
• </c> defined list of Hospitals and Clinics defined list of Hospitals and Clinics and<00:37:35.000><c>

Keywords: 00:00 Introductions 02:46 Roll Call 03:35 Discussion on SB 14 46:13 Vote on SB 14 48:07 Discussion on SB 17 50:38 Vote on SB 17, 958, all

Summary: The Senate Standing Committee on Health Services opened with the chair welcoming several new members and outlining session rules: hearings would start and end on time, the committee would limit the number of bills heard each meeting, prioritize bills heard during the interim, and generally avoid using the consent calendar except in extreme circumstances. The committee then briefly considered administrative regulations, which were treated as approved if members had no questions. The main item was Senate Bill 14, a measure addressing the 340B drug discount program. The chair said the bill had already passed the Senate in a prior session and had been heard in interim, so he did not present it again. He described the bill as prohibiting drug manufacturers from discriminating against 340B covered entities by refusing 340B pricing when the same drug is offered at that price in the state. He also said the committee would not debate the federal 340B program itself, but would hear testimony on the bill. Hospital leaders and Kentucky Hospital Association representatives testified in support, arguing that 340B savings are essential to rural hospitals, oncology services, transportation support, chronic care, addiction recovery, and new service lines such as chemotherapy and hepatitis treatment. They said the program helps keep care close to home and that manufacturer restrictions on contract pharmacies have reduced access and cost hospitals millions. Opponents from BIO Kentucky and the National Alliance of Healthcare Purchaser Coalitions argued the bill would expand federal law beyond Congress’s intent, create administrative burdens, and not lower patient out-of-pocket costs. The chair repeatedly pressed opponents to address why Kentucky should be denied the same 340B pricing available in other states. No vote on the bill was taken in the portion provided.