Transcript Highlights:

• Also providing information, patient education, and treatment options to a wide variety of disabled persons
• Who has access to mitigating treatment?
• It prevents access to emerging neurorehabilitative treatment technologies that can improve outcomes.
• The game plan includes drafting alternative three-hour rule policy language to improve treatment access
• So when we talk about brain injury recovery, we're not just talking about medical treatment.

Summary: The Massachusetts Permanent Commission on the Status of Persons with Disabilities held a public hearing focused on health equity for people with disabilities. The chair opened by explaining that the session was not about specific legislation, but about sharing data, lived experience, and strategies to inform more inclusive health systems. Presenters included representatives from the Health Equity Compact, the Department of Public Health, MassHealth, UnitedHealthcare Community Plan, the Brain Injury Association of Massachusetts, UMass Chan Medical School, Spaulding Rehabilitation, and the Arc of Massachusetts/Operation House Call. Speakers described how structural racism and ableism contribute to poor health outcomes, unemployment, poverty, and barriers to care for disabled people, especially disabled people of color. Testimony highlighted access problems such as inaccessible medical equipment, transportation, inadequate provider training, lack of culturally competent care, and insurance barriers. Several speakers emphasized the importance of collecting and disaggregating disability data, training providers in disability-competent care, and screening for accommodation needs. MassHealth described its Quality and Equity Incentive Program under the 1115 waiver, including disability-related metrics on data completeness, staff training, and accommodation screening, and reported early increases in hospitals collecting self-reported disability data. Brain injury advocates focused on inequities in rehabilitation access, including the impact of CMS’s “three-hour rule,” which they argued denies needed inpatient rehab to people with severe traumatic brain injury. They called for policy changes, a TBI task force, and possibly bipartisan legislation if CMS cannot revise the rule. Other testimony described DPH efforts such as one-to-one navigation, health promotion workshops, mini-grants for accessible recreation, and the Massachusetts Health and Disability Partnership. The hearing also highlighted medical education efforts like Operation House Call, which uses home visits and disability-led teaching to reduce bias and improve provider competence. No votes were taken and no formal actions were announced.

Transcript Highlights:

• assistants and nurses assistants in the 2018 legislation, we realized that there is a gap where treatment
• And we also know that early diagnosis is really important at this stage for treatment, because those
• treatments are only available in a very narrow, early stage of the disease.
• We got treatments for her breathing problems immediately.
• Despite starting treatments immediately, she continued to worsen.

Summary: The Aging and Independence/Elder Affairs Committee heard testimony on several bills, with the main focus on H.769/S.468, an act to improve care and prepare for the new era of Alzheimer’s and dementia. Legislators and advocates described the bill’s provisions, including expanded dementia training for first responders, a dementia services coordinator/director in state government, improved hospital discharge and caregiver access protections, dementia care coordination benefits for certain MassHealth members, public awareness and data collection requirements, and expanded support for geriatric workforce recruitment. Representative Danielle Gregoire and Senator Gomez framed the measure as a zero-cost, bipartisan continuation of the 2018 Alzheimer’s and Dementia Act, while the Alzheimer’s Association, Boston Public Health Commission, police representatives, clinicians, and family caregivers all testified in support, emphasizing public health needs, early diagnosis, caregiver involvement, and safer emergency and hospital care. The committee also heard testimony on H.796/S.476, which would establish an Office of Older Adult Advocate and a special commission on a statewide long-term services and supports benefit program. Representative Steve Ultrino supported an independent older adult advocate to help navigate fragmented state services and improve constituent services, while committee members asked about funding and the office’s relationship to existing secretariats. On the long-term care commission bill, NAFA Massachusetts and LeadingAge Massachusetts supported creating a stakeholder commission to review actuarial findings and explore public-private financing options for long-term care, stressing that neither public nor private coverage alone is sufficient and that middle-income families need more planning tools and options. The committee also took testimony on H.786/S.466, a bill to protect vulnerable elders by expanding the Executive Office of Elder Affairs’ authority to investigate abuse or neglect in non-traditional custodial settings such as prisons, jails, shelters, group homes, and certain treatment facilities. Prisoners Legal Services said the bill would close a jurisdictional gap that leaves some older adults without an investigative agency once they age out of DPPC coverage. No votes were taken during the hearing, and the meeting ended with a motion to adjourn.

Transcript Highlights:

• One thing we learned: there's different aerial, or what could be considered aerial, treatments here.
• plan and their form said that you had to be a certified organic farm to opt out from the aerial treatment
• Also, the Payette form notes you can only opt out for limited treatment.
• It's noticeable when they do treatments and when they do not.
• When they do treatments, you can live a halfway decent life. Thank you. Thank you so much, Dr.

Committee: House Local Government

Transcript Highlights:

• Because of my illness and treatment regimen, I did not have a normally functioning immune system from
• Because of my illness and treatment regimen, I did not have a normal functioning immune system from the
• It could prevent schools from excluding contagious children until their medical treatment is complete
• Similarly, policies related to tuberculosis screenings and treatments for corrections officers.
• There were COVID, I think they were called treatments more properly than vaccines.

Committee: House House Regulatory Oversight Committee of Reference

Summary: The committee met for its first hearing of the session, took roll, introduced members and staff, and reviewed committee rules and amendment deadlines. The chair also announced that video recording would not be allowed in the room and set the order and speaking limits for the day’s bills. The committee heard HB 2248, the Arizona Medical Freedom Act, which would bar governmental entities, businesses, schools, and ticket issuers from denying employment, entry, services, or participation based on whether a person has or has not received a medical intervention. Supporters framed it as protecting bodily autonomy, parental rights, and freedom from medical discrimination. Opponents, including physicians, child care and public health advocates, argued the bill was overly broad and could undermine vaccination policies, school and child care illness controls, and protections for immunocompromised people. The bill passed on a 3-2 vote. The committee then heard HB 2086, which would prohibit governmental entities and businesses from requiring vaccination or masks/face coverings, with limited exceptions for workplace safety and infection control. Supporters said it would prevent government coercion and protect individual liberty and business freedom; opponents warned it would interfere with private business decisions and public health measures. After testimony and debate over the scope of the bill and the relevance of Jacobson v. Massachusetts, the committee approved HB 2086 on a 3-2 vote. Finally, the committee considered HB 2688, which would require the Arizona Department of Administration to identify state budget positions vacant for at least 150 days and direct budget units to eliminate those positions each fiscal year, with some exceptions such as Corrections and DPS. The sponsor said the bill was intended to reduce waste and prevent vacant positions from functioning as slush funds, while critics raised concerns about hard-to-fill specialized roles. The committee passed HB 2688 on a 3-2 vote and then adjourned.

Transcript Highlights:

• by Representative Patterson relating to requiring parental consent for behavioral mental health treatment
• And parents were concerned about access to certain types of treatment without parental consent. sent
• And parental consent would be per incident, per treatment, or is it a general form at the beginning?
• would have to provide written consent to be able to have their kids treated in that capacity per treatment
• However, HB 497 will specifically eliminate information, not treatment, from being provided to students

Bills: HB367 , HB497 , HB549 , HB983 , HB 1188 , HB 1290 , HB1368 , HB2243 , HB2310 , HB2849 , HB3099 , HB3546 , HB3629 , HB3627

Committee: House Public Education

Keywords: education, absences, severe illness, life-threatening, school policy, verification, healthcare, insurance, affordability, coverage, patient rights, school health, respiratory distress, airway clearance devices, medication training, public health, HB 983, Texas Education Agency, TEA, educator privacy

Transcript Highlights:

• The reason for that was there was a concern expressed that direct care and treatment is the arm of the
• <00:01:06.960><c> direct</c><00:01:07.200><c> care</c><00:01:07.360><c> and</c><00:01:07.520><c> treatment
• </c><00:01:07.760><c> is</c><00:01:08.000><c> the</c> that direct care and treatment is the that direct
• The CEO then runs all of direct care and treatment, which is a billion-dollar agency.
• which is a billion-dollar treatment which is a billion-dollar agency.<00:02:46.160><c> Uh</c><00:02:

Summary: The committee took up House File 2037, which would replace the current executive board model for Direct Care and Treatment with a commissioner-led structure. Representative Frederick moved the DE1 amendment, which was adopted, to conform the bill with Senate language and place the CEO under the commissioner. Frederick said the change was intended to preserve some continuity while increasing accountability and insulating direct health care services from politics. Frederick argued that the existing executive board, which meets only a few times a year and hires the CEO, would leave the legislature and governor with limited ability to respond quickly to serious problems in a billion-dollar agency. He said the bill is about accountability to Minnesota taxpayers and creating a structure more like other state agencies. Public testimony was closed without any outside witnesses. Members discussed the tradeoffs between board governance and a commissioner model. Chair Schumacher noted Frederick would become chief author of the bill, and several members said they appreciated the effort to balance accountability, continuity of care, and operational expertise. Questions focused on the role of the advisory council; Frederick said it would remain in place so stakeholders could advise the commissioner and CEO, and that legislators are included among its members. The committee then laid over House File 2037, as amended, for possible inclusion in a later bill.

Transcript Highlights:

• SB 1178 with antibiotics and antifungals, they are not routine treatments.
• Thank you. 1178 with antibiotics and antifungals, they are not routine treatments.
• Just this amendment simply modifies the definition of a mental health treatment agency.
• simple bill to allow the use of audio and/or audiovisual technology for mental health evaluations or treatment
• Senate Bill 1814, establishing the substance use disorder treatment standards and oversight study committee

Transcript Highlights:

• The next one is that we are going to give, on the scoring, favorable treatment to bidders who are domiciled
• And the third is that we are going to give preferential favorable treatment to bidders, those pharmacy
• the date of release of the RFP and the third is that we are going to give preferential favorable treatment
• governing how insurers conduct utilization reviews for mental health and substance abuse disorder treatments
• governing how insurers conduct utilization reviews for mental health and substance abuse disorder treatments

Bills: SB1673 , SB1500 , SB1447 , SB1646 , SB2007 , SB1275 , SB2074

Committee: Senate Business and Insurance

Summary: The Senate Business and Insurance Committee met to consider several bills, with the chair emphasizing pharmacy benefit managers (PBMs) and the impact on local and rural pharmacies. Before taking up the bills, the committee announced that Senate Bills 1620 and 1625 would be laid over. The committee also adopted an amendment to Senate Bill 1673 to exempt certain state-funded flexible benefit plans, and then passed the bill, which creates the Prosthetic Access and Accountability Act of 2026 and requires health plans that already cover prosthetic benefits to administer them without disability-based discrimination. The committee then passed several PBM-related measures. Senate Bill 1500 requires PBMs to reimburse rural pharmacies within 30 calendar days. Senate Bill 1447 adds safeguards to the Oklahoma Employee Insurance Plan by restricting PBM contracts, including disfavoring PBMs involved in recent lawsuits or those affiliated with insurers, retail pharmacy chains, specialty pharmacies, mail-order pharmacies, or drug manufacturers. Senate Bill 1646 strengthens utilization review standards for mental health and substance use disorder treatment, and Senate Bill 2007 prohibits PBMs from reducing reimbursement after a successful appeal and adds administrative fees when they fail to make required adjustments. The committee also passed Senate Bill 1275, which requires upfront disclosure of all fees for short-term rental bookings such as Airbnb and VRBO, with only tax added at checkout. Finally, the committee passed Senate Bill 2074 after extensive debate; it would require fairer and more transparent PBM reimbursement using a Medicaid-based methodology and a professional dispensing fee, with supporters arguing it would help independent and community pharmacies and opponents raising concerns about consumer costs and legal issues. All bills considered in the meeting were reported out with favorable votes, and the meeting adjourned after the chair noted one more meeting would be held the following week.

Transcript Highlights:

• They have no treatment plan for it.
• It's being treated as a crime, and people are punished rather than given treatment.
• It needs treatment. But we need oversight in order to see what's going on. My personal...
• Treatment, but we need oversight in order to see what's going on.
• The SAU is supposed to be a pro-social treatment program.

Committee: Joint Joint Committee on Public Safety and Homeland Security

Summary: The hearing before the Joint Committee on Public Safety and Homeland Security focused on several correction-related bills, including visitation reform, elder and medical parole, incarcerated persons’ human rights, and creation of an independent correctional oversight office. Vice Chair Christopher Worrell chaired the hearing in place of Chair Dan Cahill for much of the session and explained that the committee would first hear from incarcerated individuals remotely, then move to public testimony. The committee repeatedly enforced three-minute limits and accepted written testimony as well. Much of the testimony from incarcerated people emphasized that visitation is central to rehabilitation, family stability, and reentry, and that current DOC policies—visitor caps, pre-approval requirements, scheduling rules, dress-code enforcement, and restrictions on contact—have reduced family contact and caused harm. Several speakers argued that elderly and medically frail prisoners should be released through parole because incarceration is costly, ineffective, and inhumane for people who pose little public-safety risk. Others described poor prison conditions, limited programming, inadequate healthcare, segregation-like housing, and the impact of K2 use, suicides, and self-harm. Supporters of the oversight bill said an independent office is needed to address racial disparities, grievance failures, and lack of accountability within the DOC. A number of speakers tied their support to personal experiences, including alleged racial discrimination, denial of programs, and barriers to family visits. Some testified that rehabilitative programming, education, and restorative justice reduce violence and improve outcomes, while others said the DOC spends too little on programming and too much on punishment. Committee members asked a few follow-up questions, including about K2 contraband and how to reduce drugs in facilities, and one member asked about typical visitation lengths. No votes were taken during the hearing; the committee heard testimony on the bills and several witnesses urged favorable reports.

Transcript Highlights:

• If he attends treatment, there's a separate system within the DOCR that he's going into.
• So they're getting copies of the pre-sentence investigation, treatment notes, treatment information,
• And these include everything from probation, supervised mental health treatment, fines.
• It means they need rehab, treatment, support, and education.
• Just in case, since we've implemented it, participation in treatment has gone up.

Committee: Joint Judiciary Committee

Summary: The committee opened with a moment of silence honoring a deceased member, then approved the April minutes. The first major presentation was from Chelsea Florey of Child and Family Services on the Diversion Task Force and related grant programs created with one-time funding from HB 1012. She reported that five of six proposals were funded, with youth diversion services operating in Bismarck, Fargo, Grand Forks, Minot, and a Red River Children’s Advocacy Center program focused on problematic sexualized behavior. Members discussed barriers such as staffing shortages, voluntary family engagement, service fatigue, and the need for better coordination, broader outreach, and possible changes to diversion eligibility rules so low-level cases can remain in diversion longer. Several legislators pressed for more practical system changes and clearer service navigation, while Florey said the task force is trying to build a service array or hub and is leaning on the Children’s Cabinet for broader recommendations. The committee then heard from North Dakota Lottery Director Thomas Lawler, who gave an operational overview and biennium report. He described the lottery’s history, games, retailer commissions, Pick and Click subscriptions, Players Club membership, and revenue distribution. For the 2023-25 biennium, about $67 million in tickets were purchased, with roughly $16.2 million transferred overall, including money for the general fund, drug task force grants, and compulsive gambling prevention and treatment. Members asked about the compulsive gambling allocation and whether the amount is set by statute. A lengthy presentation followed from the Department of Corrections and Rehabilitation on criminal justice data connectivity and reentry. Adam Anderson explained that North Dakota’s jail, court, HHS, and correctional systems use multiple separate databases that do not communicate in real time, requiring manual cross-checks and staff communication. He said the department is exploring a centralized hub or other integration approach, but noted challenges with identifiers, vendor contracts, confidentiality, and cost. Robin Schmolenberger then updated the committee on a Medicaid data-sharing project with HHS, saying monthly application assistance is now occurring in correctional facilities and that automated bi-directional data exchange is expected in late 2026 to help suspend and reactivate Medicaid coverage and identify former foster care youth. Members also discussed parole, probation, transitional housing, and the need for better real-time notifications and clearer data definitions. The committee also received an update from county representatives on the 24/7 sobriety program, including a recent attorney general opinion that if a court waives 24/7 fees, sheriffs may use the cheaper twice-daily breath test or urine testing instead of SCRAM bracelets or drug patches. Finally, Bruce Johnson of the Racing Commission presented on an audit report, acknowledging serious findings involving overspending from the promotion fund, grant documentation failures, a breeders fund eligibility reversal, and repeated procurement violations. He said the commission has already changed its procedures by tracking fund limits monthly, requiring grant applications and itemized reports, enforcing breeders fund rules as written, and routing purchases through procurement with written contracts. The committee asked follow-up questions throughout but took no formal votes on these presentations.

Transcript Highlights:

• </c> if there's maybe a different treatment if there's maybe a different treatment that<02:42:47.800>
• </c><03:01:13.360><c> their</c> before getting the treatment their before getting the treatment their
• </c> effective treatment for our um patients. effective treatment for our um patients.
• Anybody else wish to testify on cancer treatments?
• Patients have access, quick access, to effective treatment.

Committee: Joint Labor, Health & Social Services

Transcript Highlights:

• </c> or research into small cell treatment or research into small cell treatment for<00:08:16.560><c>
• </c> they should have initiation of treatment they should have initiation of treatment which<00:18:56.480
• some of these treatments that I've described<00:24:20.120><c> in</c><00:24:20.440><c> some</c><00:24
• The primary treatment for mild to moderate hearing loss is hearing aids.
• And so, this is where the diagnostic testing dictates what type of treatment is necessary.

Summary: The Senate Appropriations and Revenue Committee heard Senate Bill 6, sponsored by Senate President Robert Stivers, which would create an endowed research fund to support collaborative university research in Kentucky. Stivers described the bill as an extension of earlier higher-education research efforts, arguing that Kentucky should build research “hubs” by requiring or encouraging partnerships among universities and outside entities, with potential focus areas including health care, engineering, aerospace, agriculture, and other emerging fields. He said the proposal would establish five research tranches over five years and sought a $30 million endowment for each, generating annual interest to fund consortium-based research and leverage additional private and federal dollars. Senators Frommeyer, Neal, Givens, Boswell, and Richardson spoke in support, emphasizing economic development, job creation, and examples from other research clusters such as Boston and North Carolina’s Research Triangle. The committee voted 12-0 to report the bill favorably to the Senate floor. The committee then received a presentation from Dr. Matthew Bush of the University of Kentucky on pediatric hearing loss and cochlear implants. Bush explained that early hearing detection and intervention is critical because hearing loss in newborns is a neurocognitive emergency that affects language, literacy, and long-term outcomes. He outlined national screening benchmarks, Kentucky’s incidence of childhood hearing loss, and the high educational and societal costs of untreated hearing loss. Bush also highlighted disparities in rural and western Kentucky, where children face delayed diagnosis, longer waits for hearing aids or cochlear implants, and more difficulty accessing follow-up care. He described cochlear implants, the multidisciplinary care they require, and research showing improved language development, quality of life, and cost savings when children are treated early.

Transcript Highlights:

• </c><00:08:28.680><c> while</c><00:08:28.919><c> also</c> to support Medical Treatments while also to
• centers the opportunity to treatment centers the opportunity to incorporate<00:08:46.440><c> a</c><00
• </c><00:09:55.399><c> it</c> appropriate and effective treatments it appropriate and effective treatments
• </c><01:57:47.480><c> centers</c> the alternative treatment centers the alternative treatment centers
• </c><01:59:00.560><c> of</c> use of cannabis for the treatment of use of cannabis for the treatment of

Committee: House Health, Human Services & Elderly Affairs

Transcript Highlights:

• </c> treatment altogether. treatment altogether.
• </c><00:07:36.560><c> and</c> access to nonopiid pain treatments and access to nonopiid pain treatments
• The harm goes deeper than an instance of denied or inadequate treatment.
• </c><00:30:34.159><c> It</c> denied or inadequate treatment. It denied or inadequate treatment.
• Seeking medical and treatment.

Summary: The Senate Standing Committee on Health Services met with a quorum and first moved through administrative regulations without comment. The committee then heard Senate Bill 56, sponsored by Senator Gerald Neal, which would require Medicaid and its managed care entities to treat non-opioid pain medications on equal footing with opioid analgesics by prohibiting more restrictive coverage controls, prior authorization, or step therapy for non-opioids. Neal argued the bill would improve access to safer pain treatment options and reduce the risk of opioid use disorder, and Billy O'Brien of Young People in Recovery testified in support, describing personal experiences where non-opioid options were difficult to obtain despite a desire to avoid opioids. After discussion, the bill received a motion and second and passed the committee on a 10-0 vote. The committee then took up Senate Bill 72, sponsored by Senator Don Douglas and presented with Greg Chaffin of Alliance Defending Freedom. Douglas described the bill as a provider recruitment and retention measure intended to protect health care workers from being compelled to act against their conscience and to address workforce shortages and pressure in health care settings. He said the bill would protect individual beliefs while maintaining professionalism. A large number of witnesses then testified, and the chair limited public comments to two minutes each because of the number of speakers and the controversy surrounding the bill. Most public testimony opposed SB 72. Speakers including representatives of the Kentucky Council of Churches, a psychologist, an ordained minister and nurse, a nurse practitioner, and an ACLU policy strategist argued the bill was overly broad, could allow refusals of care by a wide range of health care workers, and could delay or deny treatment, especially for vulnerable patients and in rural or emergency settings. Several cited concerns about discrimination, patient safety, and the lack of adequate protections for patients. One witness recounted the death of an 18-year-old pregnant patient as an example of the harm that can result from delayed care. The transcript ends during additional testimony on SB 72, before any committee vote or final action on that bill is shown.

Transcript Highlights:

• We now have only an emergency department, same-day surgery, mental health treatment, and addiction treatment
• ,</c><00:19:32.960><c> and</c> surgery, mental health treatment, and surgery, mental health treatment
• </c> addiction treatment for men only. addiction treatment for men only.
• Person fell off a roof and they awarded me one treatment.
• </c> practice and how many treatments practice and how many treatments somebody<00:38:06.079><c> might

Committee: Senate Health and Human Services

Transcript Highlights:

• </c><00:12:21.480><c> and</c> are in pain who needs this treatment and are in pain who needs this treatment
• </c> conditions for which there's a treatment conditions for which there's a treatment that<00:23:56.760
• So do you know if it's easier to get the treatment in other states?
• I would absolutely agree that treatment looks different for every person.
• </c> I would absolutely agree that treatment I would absolutely agree that treatment looks<03:19:22.279

Committee: House Health, Human Services & Elderly Affairs

Summary: The House Committee on Health, Human Services and Elderly Affairs heard testimony on House Bill 606, as amended, a bill aimed at preventing physicians from denying medically necessary sterilizing or fertility-affecting treatment based on a patient’s age, number of children, marital status, or a doctor’s speculation about future reproductive intentions. Representative Ellen Reed, the sponsor, described the bill as a response to her own long experience with PCOS, heavy bleeding, and repeated refusals by doctors to perform a hysterectomy despite her clear wishes. She said the amendment narrows the bill to medically necessary care, adds definitions for “medical condition” and “appropriate reproductive care,” and removes earlier provisions about voluntary sterilization referrals. She also said the bill does not target religious objections, and that doctors could still refuse for medical, payment, or existing religious reasons not addressed by the bill. Committee members asked about religious freedom, informed consent versus waivers, and the scope of the new definitions. Reed responded that religion was not added to the list of prohibited reasons for denial, and that the amendment is intended to protect doctors when patients sign informed consent or waivers. She explained that “appropriate reproductive care” includes procedures such as hysterectomy, oophorectomy, orchiectomy, salpingectomy, and endometrial ablation, and that the bill now focuses on medically necessary treatment rather than elective sterilization. She said the change was intended to make the proposal narrower and more tailored after earlier concerns. Several witnesses supported the bill with personal accounts of being denied hysterectomies or other procedures despite serious symptoms. Representative Lauren Selig described a decade-long effort to obtain a hysterectomy after years of cycle problems and migraines, saying doctors dismissed her concerns and treated her symptoms as normal. Jade Flad also testified in support, saying she had long been told to simply endure her cycle problems and noted that her husband was offered a vasectomy without similar barriers. The sponsor said online support was strong and that there was little or no written opposition testimony. No vote or final committee action was taken during the portion of the hearing provided.

Transcript Highlights:

• </c> to be a person in need of treatment." to be a person in need of treatment."
• c> people</c><00:10:27.320><c> have</c> treatment elsewhere, and people have treatment elsewhere, and
• </c> a person in need of further treatment. a person in need of further treatment.
• , but who, if such adequate treatment, but who, if such treatment<00:10:46.560><c> is</c><00:10:46.800
• In other words, need of treatment.

Transcript Highlights:

• </c> mean for any treatment that you provide. mean for any treatment that you provide.
• And so, this treatment, these functional support services, are the treatments that we have to use to
• </c> treatment, these functional support treatment, these functional support services<03:55:00.640><c
• </c> for treatment plans. for treatment plans.
• :20:42.920><c> treatment.

Committee: House Commerce and Consumer Affairs

Transcript Highlights:

• We do have problems with delivery of treatment.
• It could be completely have nothing to do with their medical treatment.
• And they’re not going to get their medical treatment, and they’re not going to be able to get back to
• We're not asking for special treatment.
• You don't want any special treatment. You just want to have safety. That's all. Yes.

Summary: The committee first took up Senate Bill 408 by Senator Myers, a major workers’ compensation overhaul centered on creating an all-claims medical database, requiring electronic reporting and billing, and modernizing fee schedule and claims data collection. Myers said the bill was designed to improve transparency, reduce disputes, address outliers and abuse, and help injured workers return to work faster. The committee adopted technical amendments, then considered a large amendment set combining portions of House bills 780 and 1101, which added preliminary determination procedures, fraud language, temporary total disability and supplemental earnings benefit changes, and a fallback deadline for the department to establish a fee schedule if no agreement is reached by 2029. Several members and witnesses objected that the amendments were dropped late and would turn SB 408 into an omnibus bill; supporters argued the package was the best chance for comprehensive reform. After debate, the committee adopted the amendments and reported SB 408 favorably as amended. Testimony on SB 408 was sharply divided. Supporters, including some providers and injured-worker advocates, said the bill’s core value was transparency through the database and that the system needed modernization and a better fee schedule. Opponents argued the added amendments would burden pro se claimants, expand litigation, and weaken injured workers’ rights, especially through fraud and preliminary hearing provisions. Committee members also questioned whether the combined package was germane and whether it should be allowed to move as a single reform measure. Louisiana Workforce Commission staff explained the timeline for data collection, electronic billing, dispute rules, and eventual fee schedule rulemaking, and said the department could execute the law as amended. The committee then turned to House Bill 585 by Representative Chasson, concerning workplace violence and safety plans for small-box discount retailers. The bill was revised through a substitute that required covered retailers to develop and submit a written workforce safety plan, or submit an existing plan if one already existed. Representative Glorioso raised concerns that requiring a written safety plan could create new civil liability under Louisiana’s assumption-of-duty doctrine and increase litigation and insurance costs. Chasson responded that the intent was simply to encourage safety planning and that businesses already had such plans. The committee discussed possible narrowing language, but the transcript ends before a final disposition on HB 585 is shown.

Transcript Highlights:

• a member of the community to have outpatient behavioral health treatment.
• Our pilot programs are two main programs: assisted outpatient treatment.
• We are seeking GROW funding for our Assisted Outpatient Treatment Program.
• The main bulk of our request is just for a treatment court position.
• Even Santa Fe cannot afford to update their treatment facility.