Transcript Highlights:

• This includes proposals to improve access to community-based care, address continuity of treatment for
• ABA is the most effective and evidence-based treatment for people with...
• ABA is the most effective and evidence-based treatment for people with autism.
• Just because they turn a certain age, do we just cut off their treatments?
• Children are far more likely to access and complete treatment in a school setting, and this approach

Committee: Joint Joint Committee on Health Care Financing

Summary: The Joint Committee on Health Care Financing held a public hearing focused on two broad sets of issues: home- and community-based care, and school-based Medicaid reimbursement. In the morning session, legislators and advocates testified on bills affecting children and disabled enrollees, including proposals to clarify rate-setting for home health and home care services (H. 767/S. 870), allow family members and spouses to be paid caregivers under MassHealth (H. 1394/S. 886 and related bills), extend MassHealth coverage for applied behavior analysis and other therapies beyond age 21 for adults with autism and developmental disabilities (H. 1351/S. 871), and protect medically fragile children by improving access to continuous skilled nursing. In the later portion of the hearing, testimony shifted to a bill to improve MassHealth reimbursement for schools (S. 862), with speakers describing the school mental health crisis and the need to reinvest Medicaid funds directly into school health services. Witnesses on the home care rate-setting bill said current reimbursement methods are opaque and outdated, contributing to workforce shortages, unfilled shifts, long waitlists, and patients remaining in hospitals longer than necessary. Home care providers and trade groups argued the bill would not set rates directly but would require more transparent methodology and fuller consideration of real costs such as wages, benefits, taxes, training, and technology. On caregiver bills, many family members and provider organizations described the financial and emotional strain of caring for disabled or medically fragile relatives, especially when parents, spouses, or guardians are barred from being paid caregivers. They argued the bills would recognize existing unpaid care, help families remain at home, and reduce reliance on more expensive institutional care. Advocates for adult ABA coverage said services remain medically necessary after age 21 and that ending coverage at that age creates an inequitable “cliff” for MassHealth members compared with those with private insurance. For the PACE/community care bill, elder law attorneys and PACE advocates said current MassHealth income rules force some older adults with modestly higher incomes to spend down to $542 per month, making community living unrealistic and pushing people toward nursing homes. They supported changing the eligibility structure to a premium-based approach that would allow more people to remain in the community. On the school Medicaid bill, advocates said schools are providing effective, preventive mental health care, but reimbursement currently flows to municipalities rather than directly back to school health budgets, limiting districts’ ability to hire and retain staff. No votes were taken during the hearing; the committee heard testimony and several witnesses requested favorable reports on the bills.

Transcript Highlights:

• . >> You cannot generate therapeutic recommendations or treatment plans without review and approval of
• </c><00:23:49.440><c> Speaker,</c><00:23:49.840><c> I</c> mental health treatment. Mr.
• Speaker, I mental health treatment. Mr.
• House Bill 691, Representative Deats, an act relating to the medical treatment of high acuity youth.
• of act relating to the medical treatment of high<00:34:18.560><c> acuity</c><00:34:19.159><c> youth.

Transcript Highlights:

• treatment protocol.
• We have juvenile treatment facilities. California has juvenile prisons.
• treatment protocol.
• We have juvenile treatment facilities. California has juvenile prisons.
• We have juvenile treatment facilities with a really low recidivism rate.

Summary: The House opened with prayer, the Pledge of Allegiance, and approval of the previous journal by roll call. Members then offered personal privilege remarks honoring Dr. Penelope Martin Knox of Raytown Schools for Black History Month and introduced guests, including Adeline Overcast, who was made a page for the day, and visitors from a rural hospital in Rolla. Several new bills were first read, including measures on blind pensions, penalties for impeding first responders, and flag display in the state capitol. The chamber then took up multiple third-reading bills. House Bill 2596, dealing with multiple employee self-insured health plans for small businesses, passed unanimously after supporters said it would help small employers offer affordable health coverage. House Bill 1644, addressing franchisor liability and joint-employer issues, passed 103-45 after debate over whether it protected small businesses or limited workers’ ability to sue franchisors. House Bill 2423, increasing funding for the Division of Finance through fee authority, passed 146-0 despite concerns about higher costs being passed on to consumers. House Bill 2641, regulating intoxicating hemp-derived products and aligning state law with federal changes, drew extensive debate over a beverage carve-out, impacts on hemp businesses, and public safety; it passed 109-34. The House also passed House Bills 2498 and the combined House Bills 2637 and 3155. HB 2498, a juvenile justice reform bill shifting some referral responsibilities to prosecutors and expanding information sharing, passed 100-44 after strong debate over whether it would politicize juvenile cases and overburden treatment facilities, versus claims it would improve accountability and public safety. The combined sentencing bill, HB 2637/3155, passed 102-45 amid disagreement over whether it was truly a transparency measure or instead increased mandatory minimums and reduced judicial discretion. Finally, the House considered House Joint Resolution 154, which opponents described as an attack on Medicaid expansion tied to work requirements. Supporters argued it would encourage able-bodied recipients to work, volunteer, or attend school and reduce administrative costs, while opponents warned it would increase bureaucracy and risk coverage losses for vulnerable Missourians. The transcript ends during the procedural vote on the previous question for HJR 154, before the final disposition is shown.

Transcript Highlights:

• And his father is a recovering opiate addict, credits cannabis treatment for helping him remain sober
• treatment protocol.
• treatment protocol.
• We have juvenile treatment facilities. California has juvenile prisons.
• We have juvenile treatment facilities with a really low recidivism rate, one of the best in the whole

Transcript Highlights:

• Domestic workers, nannies, house cleaners, and caregivers like us face treatment just like this every
• It does not ask for special treatment. It does not ask for handouts.
• We think that there is a way. to get around to offering treatment, I know firsthand how difficult it
• By supporting HB 2409, you help farmworker families earn a better wage and receive better treatment at
• Because campesinos never receive the same protections, the same rights, or the same treatment that all

Bills: HB2355 , HB2151 , HB2372 , HB2472 , HB2409

Committee: House Labor & Workplace Standards

Keywords: labor protections, domestic workers, wage standards, employment rights, worker safety, factory built housing, commercial structures, national standards, construction regulation, building safety, workers' compensation, benefits, employment, injury claims, insurance, liability, fire protection, sprinkler systems, licensed contractors, certified fitters

Transcript Highlights:

• Under the current law, any drug and alcohol treatment facility that provides recovery treatment or detoxification
• requiring the department to meet specific timelines for investigating allegations of unlicensed treatment
• with this bill and ensuring that recovery housing meets appropriate standards of care, improving treatment
• And first of all, I want to be very clear from the onset here that we need treatment and recovery housing
• But the ...here that we need treatment and recovery housing in California.

Summary: The committee first took up SB 490 by Senator Umberg, which would require the Department of Health Care Services to investigate allegations of unlicensed sober living or residential recovery facilities within set timelines, issue notices promptly, and conduct follow-up site visits. Supporters, including a Garden Grove councilmember and the League of California Cities, said the bill would improve public safety, clarify enforcement, and address complaints about illegal operations in neighborhoods. County behavioral health representatives opposed the bill, arguing counties lack jurisdiction over these private facilities, could face liability and unfunded workload increases, and should not be pulled into enforcement responsibilities that belong to the state. After extensive discussion about whether the bill creates a county role or merely a pathway for local assistance, the committee passed SB 490 on an 8-0 vote and placed it on call for missing members. The committee then heard SB 381 by Senator Wahab, which would allow adult adoptees, and in some cases descendants of adoptees, to obtain their original birth certificates, create a contact preference form for birth parents, and remove current limits that omit certain birth information from amended certificates. The bill drew strong support from adoptees, birth parents, and advocates who said access to original records is a matter of identity, dignity, and health because it can reveal family medical history and cultural background. Several committee members expressed support for the goal but raised concerns about privacy, the potential emotional impact on birth parents, and whether the contact preference form adequately protects confidentiality. The author and supporters said the bill is narrowly tailored, that the form is nonbinding, and that many birth parents are open to contact; they also noted the bill had been amended to delay implementation and allow public notice. The transcript ends amid continued debate, with members indicating the bill would continue moving forward with further work, but no final vote is shown in the excerpt.

Transcript Highlights:

• Under the current law, any drug and alcohol treatment facility that provides recovery treatment or detoxification
• requiring the department to meet specific timelines for investigating allegations of unlicensed treatment
• with this bill and ensuring that recovery housing meets appropriate standards of care, improving treatment
• private sober living facilities which advertise detoxification services or other residential SUD treatments
• And first of all, I want to be very clear from the onset here that we need treatment and recovery housing

Committee: Senate Health

Transcript Highlights:

• Or we have the other thing that happens... ...the treatment facility, or we have the other thing that
• Senate Bill 978 on advanced wastewater treatments by Senator Berman.
• SB 978 on advanced wastewater treatments by Senator Berman.
• Conventional treatment...
• Advanced wastewater treatment is much more...

Committee: Senate Environment and Natural Resources

Summary: The Committee on Environment and Natural Resources met with a quorum present and considered a series of environmental, water, waste, boating, and land-use bills. SB 834 on recreational fishing vessel licenses was briefly explained as aligning licensure rules for freshwater and saltwater captains and was reported favorably. SB 1208 on service lateral assessment and rehabilitation would require periodic CCTV inspections, a seven-year assessment cycle, and a long-term public database for sewer laterals; county representatives opposed it over private-property and cost concerns, but the bill was reported favorably. SB 978 on advanced wastewater treatments, as amended, would require DEP reports and a long-term prioritization plan for upgrading large wastewater facilities to advanced treatment; the committee adopted the amendment and then reported the bill favorably. The committee then took up SB 1822 on auxiliary containers, which would preempt local regulation of certain packaging and define the term in statute. The sponsor argued it would reduce a patchwork of local rules and help businesses, while opponents from environmental groups, local advocates, and some local governments warned it would weaken plastic and foam restrictions, including in parks and coastal communities. Despite substantial opposition and several senators expressing concern, the bill was reported favorably. The committee also approved CS for SB 384 on notice for annexation of state-owned lands, after a technical amendment requiring written or email notice to legislative delegations, and reported it favorably. SB 1008 on waste incineration would bar new ash-producing incinerators or waste-to-energy facilities within a half-mile of residential, commercial, or school property. The sponsor said the bill was aimed at preventing another fire-related incident like the Doral plant and clarified it was intended to apply only to new facilities, not existing ones; waste-to-energy and county representatives opposed it as too restrictive, while several senators sought clarifying changes. The bill was reported favorably. The committee also adopted a substitute amendment to CS for SB 594 on port channel and turning basin buffer zones, reducing the proposed anchoring setback from 5,000 feet to 2,500 feet and allowing ports to create buffer zones after public hearings and rulemaking; the bill was then reported favorably. Finally, SB 830 on lost or abandoned property, aimed at streamlining removal of migrant vessels that pose navigational and environmental hazards, was reported favorably after brief support testimony.

Transcript Highlights:

• In January 2024, the Alabama Treatment Advocacy Center published a report.
• Almost all of it is going into treatment and prevention care.
• , mental health treatment, and job training.
• Mental health treatment and job training are crucial.
• abuse treatment.

Transcript Highlights:

• The first one are the medical marijuana treatment centers, or MMTCs.
• All of these are controlled studies, so we're basically have a treatment arm of patients who are using
• All of these are controlled studies, so we're basically have a treatment arm of patients who are using
• As you can tell from the medical marijuana treatment centers, most of the medical marijuana users live
• program versus general prevalence. ...of diagnoses in the medical marijuana treatment program versus

Summary: The Health Professions and Program Subcommittee met to receive oversight briefings on Florida’s medical marijuana program from the Department of Health’s Office of Medical Marijuana Use (OMMU) and from the University of Florida’s Consortium for Medical Marijuana Clinical Outcomes Research. OMMU Director Christopher Kimball outlined the program’s structure, including more than 900,000 active patients, nearly 7,000 caregivers, 27 MMTC licensees, 706 dispensing locations, and nine certified testing labs. He described the state’s pre-approval process for products and advertising, plain packaging requirements, seed-to-sale tracking, registry operations, and compliance efforts such as background checks, inspections, complaint investigations, and lab desk audits. He also said the Bureau of Public Health Laboratories in Jacksonville had been accredited to begin supporting testing. Members asked about telehealth, patient growth, product safety, advertising to children, inspections, and the status of MMTC licensure; Kimball said recertifications by telehealth now make up more than half of recertifications, that patient growth has slowed, and that ongoing litigation is delaying issuance of 22 new MMTC licenses. Kimball also discussed implementation of recent legislation and licensure changes, including licenses issued under HB 387 and SB 1582 to applicants from the original Pigford-related pool, with additional cure opportunities still ongoing. He said the department is monitoring diversion, inversion, and unapproved products, and that it coordinates with law enforcement when needed but does not itself have sworn authority. In response to questions, he said the department does not regulate physicians directly, but may refer concerns to the Division of Medical Quality Assurance, and that caregiver and physician participation requirements are set by statute. Members raised concerns about edibles, child access, and continued use of child-attractive branding; Kimball said the department tries to catch issues through pre-approval and enforcement, and that complaints involving children are treated as serious and investigated using available records and camera footage. Dr. Almond Winterstein then presented the consortium’s research overview. He explained that the consortium was created by statute in 2019, includes 10 universities, and is funded by annual state appropriations. He said its work includes grants, a research repository, a clinical core, outreach, and evidence synthesis, including a recent FDA-supported review of cannabis evidence. He emphasized that the current evidence base is limited and often low quality, with the strongest signals for symptom relief in PTSD-related symptoms, nausea, and some pain outcomes, but with many studies inconclusive or mixed. He also described the consortium’s use of registry data linked to Medicaid, Medicare, death, fetal death, and birth records to study safety and outcomes, including children, pregnancy, driving safety, opioid-sparing effects, and adverse events. Winterstein said adverse event reporting is sparse and likely underreported, with most reports mild but some serious events noted, and he expressed concern about use among young adults because of uncertain benefit-risk and possible effects on the developing brain. The committee discussed the need for better surveillance, more robust adverse event reporting, and the possibility of using linked data to identify harms more quickly. At the end of the meeting, the committee rose without objection.

Transcript Highlights:

• This has already begun to revolutionize the treatment of many cancers.
• treatment.
• With CAR T therapy, independent of its economic cost, is the toxicity. of the treatment.
• Instead, we give it as the first form of treatment.
• As we were looking at this treatment...

Bills: SB1 , SB 1

Committee: Senate Finance

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:

• So, with regards to treatments, there are multiple types.
• So the trees themselves, as Chair Herd said, there are contact-type foliar treatments.
• There are also injectable treatments, which are systemic.
• I know we participated in the treatment.
• Control Branch, and then the University of Hawaiʻi who did the drone treatments.

Summary: The House Finance Committee held an informational briefing with the University of Hawaiʻi, led by new President Wendy Hensel and Vice President for Budget and Finance Calbert Young. Hensel outlined the university system’s scope, student demographics, research activity, and campus missions, emphasizing four strategic priorities: serving Native Hawaiians and Hawaiʻi, student success, workforce development, and economic diversification through innovation and research. She highlighted the system’s enrollment, research funding, and the roles of Mānoa, Hilo, West Oʻahu, the community colleges, and specialized institutions such as JABSOM and the Cancer Center. Young then reviewed the budget request, focusing largely on making prior one-time appropriations permanent and supporting recurring needs. Items included funding for Mānoa athletics, the Hawaiʻi Institute for Marine Biology, K-12 teacher education, Pamantasan Council support, Hilo programs, Windward’s mental health technician certificate, Maui’s practical nursing bridge program, and student support positions such as financial aid and admissions counselors. He also described workforce-related requests tied to nursing expansion at Mānoa and West Oʻahu, as well as facilities support at West Oʻahu. A major portion of the testimony addressed the university’s two Kakaʻako medical facilities. Young explained that declining tobacco settlement and cigarette tax revenues are no longer sufficient to cover debt service for JABSOM and the Cancer Center, so the governor’s budget includes general fund support to supplement those obligations. He also described a regents-approved request not included in the governor’s proposal: expanding the Hawaiʻi Promise financial aid program to the four-year campuses, estimated at about $11–12 million. No votes or formal committee actions were taken during the briefing.

Transcript Highlights:

• </c><00:36:16.400><c> Elliot</c> Treatment Center in support. Elliot Treatment Center in support.
• </c> Addiction Treatment Center in support. Addiction Treatment Center in support.
• Um but as the bill is treatment.
• Um, can lead to unnecessary treatment.
• ,</c> dire need of substance abuse treatment, dire need of substance abuse treatment, uh<00:59:00.720

Committee: Senate Health and Human Services

Summary: The committee heard testimony on several health-related measures, with most of the discussion focused on bills addressing tobacco/vape enforcement, psychology licensure, hospital price transparency, prior authorization, and medical cannabis. The chair opened by explaining the one-minute testimony limit and that written testimony had been reviewed. For SB 2175 on disposable electronic smoking devices, the Department of Health said the bill’s placement in litter-control law was not a good fit because disposable e-cigarettes contain hazardous materials like lithium and nicotine, but it supported the intent and pointed to a related measure. Public health and tobacco-control advocates strongly supported the bill, citing youth use, toxic waste, battery fires, and the need to tighten definitions and remove exemptions; a long list of organizations and individuals were noted in support, with no opposition mentioned. For SB 2410, which would create a state directory and enforcement tools for authorized e-cigarette products, the Attorney General’s office strongly supported the measure and said it would help enforce the FDA-authorized list of products through certification, inspections, and civil penalties. The Department of Health said thousands of illegal products remain on the market and cited youth usage rates, while public health groups also supported the bill. One tobacco industry-related witness was noted in opposition. SB 2080, the psychology interjurisdictional compact, drew support from the Department of Corrections, which said it had severe staffing shortages and that the compact would help fill gaps, especially for forensic psychology and neighbor island facilities. Some committee members raised concerns about whether the compact would loosen licensure standards and reduce licensing revenue, and the Board of Psychology was said to be meeting and had not taken a formal position; testimony also noted the need for resources if the compact were adopted. The committee also heard SB 2276 on surgical assistance, with DCCA in opposition and a supporter from the field, but little discussion followed. SB 2277 on hospital price transparency drew support from consumer and patient advocates, who argued that clearer pricing would reduce medical debt and help patients shop for care; DCCA and the Department of Health offered comments, with the department suggesting an alternative enforcement model using outside review entities and noting that implementation would require significant staffing and funding. The Healthcare Association of Hawaii opposed the bill, saying federal transparency rules already cover the issue and state law could create duplication. SB 2282 on prior authorization received comments from insurers and providers; HMSA asked that the bill be set aside pending the report of the prior authorization working group created by Act 151, while the Hawaii Medical Association said prior authorization is a major burden but deferred to regulators on resources. Finally, SB 2413 on medical cannabis was supported by the Office of Medical Cannabis and others, who said the bill would close a patient-access gap by allowing viable seed sales; one witness suggested clarifying jurisdictional language and allowing dispensaries to sell seeds to each other. The committee then began SB 2425 on health insurance, where an addiction treatment provider testified that insurers’ refusal to honor assignment-of-benefits payments can delay reimbursement and create relapse risk for patients, but the transcript cuts off before further action on that bill.

Transcript Highlights:

• </c><00:50:28.720><c> Elliot</c> Addiction Treatment Center. Elliot Addiction Treatment Center.
• </c> substance use treatment here at home. substance use treatment here at home.
• Because even when an into treatment.
• </c><00:51:21.599><c> becomes</c> ohana because local treatment becomes ohana because local treatment
• </c> substance use disorder or treatment substance use disorder or treatment journey, journey, journey

Bills: HB1853 , HB1591 , HB1961 , HB1854 , HB1965 , HB1962 , HB1959 , HB2505 , HB2576 , HB1801 , HB1804 , HB1864 , HB2319 , HB2314 , HB2115

Committee: House Health

Summary: The committee heard testimony on SB 2047, relating to pharmacy benefit managers. The Insurance Division said the bill would require new enforcement resources and estimated an appropriation of about $1.5 million and five positions. Kaiser Permanente asked for an amendment to exclude HMOs from the definition of third-party PBMs, saying the bill should not interfere with integrated care models. PCMA and the Hawaii Pharmacist Association supported narrowing amendments, with pharmacists objecting to section 3 and warning the bill as amended could create major operational burdens and a significant general fund cost. No vote was taken in the portion provided, and the chair moved on to the next measure after questions. The committee then took up SB 2080, which would allow Hawaii to join the psychology interjurisdictional compact. Supporters, including DCR, the Hawaii Association of Health Plans, the Hawaii State Association of Counties, the Grassroot Institute, and others, said the compact would expand access to psychology services, especially for people in rural areas or those needing continuity of care while traveling. Opponents, including the Board of Psychology and a Shamanad University psychology professor, raised concerns about client safety, crisis-response procedures, enforcement costs, FBI background checks, and possible loss of state control over training and specialization standards. The board said Hawaii’s current 1,900-hour internship/postdoc requirement is higher than the compact’s standard and that the state is still implementing a separate provisional licensing law that may address some access issues. The discussion focused on whether the compact would meaningfully reduce shortages and whether Hawaii should instead pursue changes within its existing licensing system. Finally, the committee heard SB 2277 on hospital price transparency. The Office of Consumer Protection initially noted the bill could require significant staffing, but later testimony from SHIP suggested the measure could be handled more simply by working with the Healthcare Association of Hawaii and publicly posting violations. The Healthcare Association of Hawaii opposed the bill, arguing hospitals already must comply with federal CMS transparency rules and that adding state requirements would increase costs and legal exposure, especially if violations were treated as unfair or deceptive trade practices. Steve Fenberg testified in support, saying the bill would simply codify existing federal requirements in state law and that he was open to amendments removing state enforcement and the unfair trade practice language. No final action was taken in the excerpt provided.

Transcript Highlights:

• I've been a participant in the drafting of burial treatment plans, consulting on the treatment of inadvertent
• It's those burial treatment plans.
• It's those burial treatment plans.
• It's those burial treatment plans.
• It's those burial treatment plans.

Committee: House Water & Land

Summary: The Committee on Water and Land met on March 13, 2025, and first announced that SB 1456 would be deferred to the end of the agenda and ultimately worked on later, with the chair indicating the bill would be deferred and revisited in a future measure. The committee then heard SB 841 on marine life conservation districts. DLNR supported the bill, saying it would fund carrying capacity studies to inform rules and policies. Testimony noted a pilot study already underway at the Puka Marine Life Conservation District and another nearing completion at the old Kona Airport MLCD. Members discussed costs, with DLNR estimating about $300,000 per year for one user-experience study, potentially more for ecological analysis, and also discussed possible funding from the Mālama Kai special fund. DLNR said it had no objection to consulting current operators and other users, and explained the program would be a new, ongoing adaptive-management tool. The committee next heard SB 411 on capital improvement projects at small boat harbors. DLNR supported the intent, saying the bill would help expedite use of special funds for CIP work, while the Department of Budget and Finance opposed it, arguing the draft could conflict with constitutional limits on appropriations. Public testimony from an industry representative supported the bill and urged more collaboration with commercial operators, while committee discussion focused on whether DLNR could already use special funds for repairs, how much engineering and bidding work is required before projects go out to bid, and whether the current process creates bottlenecks when bids exceed initial estimates. DLNR said it can do some repairs and maintenance within existing authority and funding ceilings, but that the bill as drafted could be too broad. The committee also heard SB 5 on historic preservation, where DLNR supported the measure and NAOP Hawaii opposed it, saying the bill’s broader definition could expand the scope beyond the stated goal of narrowing reviews and reducing backlog. The committee then took up SB 1462 on the state historic preservation income tax credit. The Department of Taxation said the revenue estimate assumes the cap would be reached each year the credit is available, and DLNR supported the bill. SHPD said the prior credit had sunset, outreach had previously been done in targeted communities such as Chinatown, and owners of eligible historic properties are notified during review. Finally, the committee heard SB 268 on island burial councils. DLNR supported the bill, and OHA strongly supported it, saying the councils have struggled with quorum and expertise and that the measure would restore the original intent of having lineal descendants and cultural practitioners as decision makers, while still allowing landowners and developers to testify and participate. OHA also said it would help provide technical support and urged continued involvement from SHPD and the Attorney General’s office.

Transcript Highlights:

• I oversee all of the facilities for Direct Care and Treatment.”
• </c> Officer from Direct Care and treatment Officer from Direct Care and treatment with<00:21:45.720>
• </c> facilities for direct care and treatment facilities for direct care and treatment we<00:21:53.320
• </c><00:30:14.840><c> uh</c> list at Direct Care and treatment uh list at Direct Care and treatment uh
• </c><00:30:35.080><c> and</c> Wards of direct care and treatment and Wards of direct care and treatment

Committee: Senate Capital Investment

Transcript Highlights:

• whom was heard the House bill promoting rule of law, oversight, trust, and equal constitutional treatment
• whom was referred the House bill promoting rule of law, oversight, trust, and equal constitutional treatment
• whom was referred the House bill promoting rule of law, oversight, trust, and equal constitutional treatment
• of the contrary the House bill promoting the rule of law oversight trust and equal constitutional treatment
• house number five House Bill 5316, promoting rule of law, oversight, trust, and equal constitutional treatment

Transcript Highlights:

• under consideration engrossed Committee Substitute for House Bill 4965, relating to patient-centered treatment
• Engrossed Committee Substitute for House Bill 4965, relating to patient-centered treatment flexibility
• under consideration engrossed Committee Substitute for House Bill 4965, relating to patient-centered treatment
• Engrossed Committee Substitute for House Bill 4965, relating to patient-centered treatment flexibility
• Engrossed Committee Substitute for House Bill 4965, relating to patient-centered treatment flexibility

Summary: The Senate first took up Senate Bill 155 on adjunct teaching permits. After adopting a Senate amendment to the House amendment, the chamber concurred in the House amendment as amended and passed the bill 33-0, with one member absent and not voting. The amendment was described as creating an exception so a criminal history check would not be required every year, and the bill was presented as a tool to help county boards fill vacancies, especially in shortage areas. The chamber then received a large number of committee reports and advanced several House bills on first reading. These included measures on creating the Team West Virginia Corporation, establishing the West Virginia Collaboratory, the Foster Youth Post-Secondary Transition Awareness Act, business-ready site programs, volunteer fire company allowances, extending qualified opportunity zones, natural resource police retirement, PEIA treatment flexibility, PANS/PANDAS, ALS care services, abuse prevention, the respiratory care interstate compact, peer support services, tax lien sales, the Neighborhood Investment Program, bonds for the Science and Culture Center, and a comprehensive energy development policy and plan. Several bills were reported as amended by committees, and one energy bill was referred to the Rules Committee. Additional committee action included reports on a bill to repeal the school-transfer eligibility protection, a load forecast accountability bill, oil and gas well plugging provisions, a TANF drug-screening extension, and a bill authorizing the Supreme Court of Appeals to create child protection commissioners. Most of these were advanced on first reading after unanimous consent. The Senate then moved to adjourn until the next day, with announcements of upcoming committee meetings before the chamber adjourned.

Transcript Highlights:

• Treatments that leave them sick, exhausted, and unable to be present... ...controlled.
• Treatments that leave them sick, exhausted, and unable to be present with the ones that they love.
• POLST translates a patient's current medical condition and treatment preferences into a physician- or
• POLST translates a patient's current medical condition and treatment preferences into a physician- or
• clinician-signed medical order. ...treatment preferences into a physician- or clinician-signed medical

Summary: The Senate convened with prayer, the Pledge of Allegiance, committee reports, and approval of the prior journal. Members also granted several leaves of absence and welcomed a number of guests, including Ireland’s Consul General and Deputy Consul General, student shadows, an intern, and the Neshaminy High School baseball team, which was recognized for winning the 2026 PIAA Class 6A state championship. The chamber then recessed briefly for an Education Committee meeting and party caucuses before returning to session. On the floor, the Senate advanced several measures. Senate Bill 362, addressing SNAP skimming, passed 49-0 after remarks about protecting food assistance benefits from theft. Senate Bill 469, providing discounted fishing and hunting licenses for current and retired law enforcement, also passed 49-0 after an amendment was withdrawn. Senate Bill 730, codifying Pennsylvania POLST forms for end-of-life medical orders, saw a tabled amendment from Senator Boscola on physician-assisted dying after a 28-21 vote, then passed 49-0. The Senate also adopted an amendment to Senate Bill 1206 clarifying a temporary license pending FDA approval, and sent House Bill 1344 and Senate Bill 1377 to the House after unanimous final passage. Other bills were moved to appropriations or held in order, including Senate Bill 49, House Bill 96, Senate Bill 535, Senate Bill 536, House Bill 538, Senate Bill 743, Senate Bill 1262, Senate Bill 1273, House Bill 1286, and Senate Bill 1372. House Bill 1862 and House Bill 2017 each received amendments and were re-referred to the Appropriations Committee. The Senate also agreed to consider newly reported committee bills, including measures from Finance, Judiciary, Veterans Affairs and Emergency Preparedness, and Education. In petitions and remonstrances, Senators Tartaglione and Costa focused on minimum wage and utility affordability, urging action on consumer protections, LIHEAP funding, data center energy costs, and related energy policy. The session concluded with the signing of House Bill 1877 in the presence of the Senate and a recess until June 24, 2026, at 11:00 a.m., unless recalled earlier.