Transcript Highlights:

• WILL NOW COME TO ORDER.
• SB 1080 STREAMS AND THE PROCESS ORDERS BY LOCAL GOVERNMENTS.
• SPECIFICALLY THEM RECOGNIZING DESPERATE TREATMENT OF PREFERENTIAL TREATMENT.
• >> IN THE BILL IT SAYS PREFERENTIAL TREATMENT. WHICH WE DON'T DEFINE.
• THAT WAS MY LAW AND ORDER SET UP.

Keywords: 999, senate, all

Transcript Highlights:

• </c> medications, how will that treatment medications, how will that treatment that<00:06:49.440><c>
• So on early treatment of of patients.
• Uh and in treatment for individuals.
• </c><00:20:19.760><c> that</c> change the course of treatment that change the course of treatment that
• So they would have to have a first visit with a provider in order to assess their condition, in order

Committee: Senate Health and Human Services

Keywords: 1191, senate, all

Transcript Highlights:

• The Appropriations Committee on Health and Human Services will come to order.
• The request also includes $6.6 million to further support treatment and recovery initiatives statewide
• and discharge from state mental health treatment facilities for patients admitted under Chapter 916.
• There's other People who are going to have to decide on rent or something else in order to make up to
• There's other people who are going to have to decide on rent or something else in order to make up to

Committee: Senate Appropriations Committee on Health and Human Services

Keywords: 999, senate, all

Summary: The Appropriations Committee on Health and Human Services heard presentations on the governor’s proposed FY 26-27 budget for the health and human services silo, which totals $48.5 billion within a $117.4 billion state budget. Agency leaders outlined major spending priorities, including AHCA’s behavioral health redesign, APD waiver enrollment and facility needs, DCF’s integrity and self-sufficiency systems, opioid response, community-based care and mental health bed expansion, DOEA’s Alzheimer’s, home care, and community care programs, DOH’s cancer research, public health, EMS blood-transfusion initiative, and lab feasibility study, and the Department of Veterans’ Affairs’ facility, cybersecurity, and medication-management investments. Members generally praised several proposals, especially increased reimbursement for private duty nursing, behavioral health funding, Alzheimer’s support, and the EMS blood program. Senator Sharief raised concerns about the AIDS Drug Assistance Program (ADAP), warning that changes could leave many Floridians without coverage for HIV medications and asking whether manufacturers could provide rebates directly to patients. Surgeon General Ladapo said the issue was driven largely by funding and federal changes, not a legal barrier, and said the department had explored alternatives but could not fill the gap with current resources. Senator Rouson asked about the Office of Minority Health and Health Equity, and DCF said its budget includes about $7 million for the substance abuse and mental health data dashboard required by prior legislation. Public testimony focused heavily on ADAP. Former program leaders and advocates said the proposed changes would reduce enrollment and remove key drugs and insurance-premium support, calling the situation a crisis and criticizing the department for lack of transparency and stakeholder engagement. They urged a pause and collaborative review of the program’s finances. The committee also discussed KidsCare implementation, with AHCA saying federal conditions and litigation have delayed the expansion. The meeting ended after the chair noted the budget would still need to be adjusted for updated Medicaid caseload estimates, and the committee adjourned without taking any formal votes or other action on the budget items.

Transcript Highlights:

• </c> treats treatment resistant depression. treats treatment resistant depression.
• The treatment itself is a centuries.
• And these numbers are for treatment attempts per person, not for treatment successes.
• </c> per person, not for treatment successes. per person, not for treatment successes.
• </c><01:40:10.080><c> Abigain's</c> care and treatment. Abigain's care and treatment.

Keywords: 1. Call to Order and Roll Call – 00:00:00 2. Approval of Minutes – 00:01:32 3. Getting to Know the Foundation for a Healthy Kentucky – 00:02:26 4. Healthy Kids Clinic – 00:26:58 5. Pharmacy Payment Parity – 00:56:36 6. Ibogaine – 01:17:37 7. Consideration of Referred Administrative Regulations – 01:53:05 8. Adjournment – 01:53:19, 958, all

Summary: The committee first approved the prior meeting minutes and recognized Eric Clark for his service, noting this may be his last meeting before he leaves state government. The main presentation was from Allison Adams, president and CEO of the Foundation for a Healthy Kentucky, who described the organization’s history, nonpartisan mission, and focus on health equity, prevention, and upstream policy solutions. She said Kentucky’s poor rankings in chronic disease, preventable hospitalizations, and life expectancy show the need to shift resources toward prevention and community-driven strategies rather than relying mainly on treatment after people become sick. Adams emphasized leading health indicators, arguing that lawmakers should track actionable measures such as quit attempts and smoke-free policies instead of only lagging indicators like disease rates and mortality. In response to questions, she said accountability should be shared across communities and systems, with possible incentives and disincentives tied to outcomes, and she supported creating a public data utility or dashboard, ideally with university partners, to help legislators and communities monitor progress. She also cited examples of accountable health community models and said Kentucky could adapt similar approaches. The committee then heard from Meade County Schools Superintendent Mark Martin and district health coordinator Karen Kotche about the Healthy Kids Clinic partnership with Cumberland Health. They described a seven-year effort that led to full implementation in the district, which now has a nurse in every school and a nurse practitioner, allowing services such as sports physicals and other clinic functions to be provided on campus. They said the program has been a strong investment for students and the community and began explaining how the district built the partnership after earlier efforts and delays, including the pandemic.

Transcript Highlights:

• The Senate adopted a strike-everything amendment that allows the courts to order a defendant, without
• to make that decision and proves that they actually do not have any funds to be able to do this and order
• To be able to do this and order community service if necessary. And I'm assuming you concur then?
• To mental disorder and illness screenings, evaluations, and treatment for persons confined in county
• mental health treatments.

Keywords: 1182, all

Summary: The Republican caucus reviewed a long list of House bills returned from the Senate with amendments, generally asking staff to describe the changes and then confirming whether the sponsor concurred. Many measures were accepted with little or no debate, including bills on tax filing penalties (HB 2016), court-ordered restitution for homeless or indigent defendants (HB 2028), vaccination and mask restrictions (HB 286), bullion investments by the state treasurer (HB 2140), nursing care complaint timelines (HB 2195), privacy protections for county records (HB 2327), cold plunge regulation (HB 2439), medical records access timelines (HB 2557), licensing board procedures (HB 2660), school and public records provisions, AI governance (HB 2592), fingerprint clearance temporary work authorization (HB 2916), development fees (HB 2946), affordability infrastructure districts (HB 2999), distracted driving penalties (HB 2109), health aide scope of practice (HB 2189), eviction record sealing (HB 2244), backyard structure rules in planned communities (HB 2342), inmate transition services (HB 2440), nuclear-ready community designation criteria (HB 2456), address confidentiality protections (HB 2594), groundwater/medical reimbursement changes (HB 2932), traffic citation signature authority (HB 2369), advanced math enrollment (HB 2423), school district training and intervention requirements (HB 2435), job order contracting limits (HB 2482), special education and placement rules (HB 2621), DCS parent rights notice changes (HB 2661), domestic violence expert testimony standards (HB 2662), inmate mental health study committee provisions (HB 2673), legislative subpoena enforcement (HB 2745), ACA trade office oversight (HB 2752), utility reporting changes (HB 2756), Native American language proficiency credit (HB 2895), mental health judicial review timelines (HB 2923), mobile food vendor licensing (HB 2118), medical intervention/school attendance rules (HB 2248), school board finance training (HB 2379), and school board meeting access/video requirements (HB 2380). Sponsors repeatedly stated they concurred with the Senate amendments, and no roll-call votes were taken in the transcript. A few items were set aside or sent back, including HB 2035 and HB 2249, and one bill (HB 2594) was left pending because the sponsor had not yet responded.

Transcript Highlights:

• treatments? treatments?
• ,</c> there were improvements in treatment, there were improvements in treatment, were<00:18:52.040><
• </c><00:21:35.160><c> uh</c> uh number of treatments uh uh number of treatments uh some<00:21:36.320>
• </c> what went wrong with uh the treatment what went wrong with uh the treatment uh<00:22:45.040><c>
• </c> safety aspects of treatments. safety aspects of treatments.

Keywords: 1189, house, all

Summary: The Special Committee on COVID Response Efficacy for New Hampshire held its first organizational meeting. The chair read the committee’s updated mission statement, which says the bipartisan committee will fact-find on the state’s COVID-19 response and its impact on the healthcare system, with focus areas including federal guidance, federal funds, emergency use authorization vaccination efforts, long COVID, the Patient Bill of Rights, and vaccination policies. The chair also announced committee staffing changes: Linda McGrath stepped down as vice chair and Representative Gerard was named vice chair; Representative DeRoy was named clerk. The chair emphasized the committee’s work is intended to be science-based and fact-finding, not anti-vaccine, and noted that the committee may issue follow-up reports and recommendations. Members discussed a broad list of topics for future hearings, including long COVID treatment, ongoing vaccination policies, reporting of COVID deaths, standards of care and provider discretion, COVID-related funding such as ESSER/CARES Act money, and communication of treatment developments during the pandemic. Representative Pollina argued the committee should examine specific treatments and outcomes, including remdesivir, oxygen/intubation practices, and ivermectin, and raised concerns about whether some treatments were harmful or suppressed. He also focused on pediatric vaccination policy, saying the committee should review New Hampshire’s recommendations for children and medical students, and questioned the state’s reliance on federal guidance versus independent review. The chair responded that shifting federal positions may justify an independent New Hampshire evaluation and asked him to gather more information and potential witnesses. In open discussion, members suggested additional witnesses and topics, including local funeral directors, nursing homes, and emergency medical services, as well as how nursing homes were affected by positive tests and admission restrictions. Another member suggested the committee consider what products it should produce, such as a final report, possible bill recommendations, and better documentation or footnotes tying findings to testimony and scientific sources. The chair said the committee’s deliverables could include reports, letters to department heads or legislative leaders, and other actions, and noted that the committee’s 2024 report and supporting documents are available on the House committee page. No votes or formal actions beyond the organizational appointments were taken.

Transcript Highlights:

• The House will come to order. Gentleman from Webster. The House will come to order.
• Speaker, can you attain some order, please? Thank you.
• I move that House Bill 1825 be ordered perfected and printed.
• I move that House Bill 1840 be ordered perfected and printed.
• And places in order to have great family care and services.

Summary: The House first established a quorum after introductions of the Freedom of the Road Riders and Warsaw High School students. Members then took up House Bill 1855, a reporting bill on alpha-gal syndrome. The sponsor described the bill as a public health surveillance measure to add alpha-gal to Missouri’s reportable conditions, require lab reporting to the Department of Health and Senior Services, and send aggregated data to the CDC. Supporters said the bill would help identify hotspots, guide education and funding, and address a serious tick-borne condition affecting rural and urban Missourians alike. Opponents raised concerns about cost, false positives/negatives, and privacy, but the sponsor and others said the system would be HIPAA-compliant and de-identified at the federal level. Two amendments to HB 1855 were debated. An amendment changing the department’s follow-up authority from “may” to “shall” was adopted, with supporters arguing that if the legislature funds follow-up, the department should be required to do it. A second amendment creating an opt-in/opt-out consent process for reporting was rejected 41-10 after extensive debate over privacy, data collection, and whether consent would undermine disease surveillance. The House then adopted the House committee substitute for HB 1855 as amended and ordered it perfected and printed. The chamber next considered House Bills 2230 and 2978, a revised education measure aimed at reducing screen time in K-5 classrooms and encouraging handwriting and cursive instruction. The sponsor said the bill was based on research linking heavy screen use to poorer educational and behavioral outcomes, and supporters emphasized local control, parent access to screen-time policies, and the need to bring experts together through a state-level focus group. An amendment to exclude virtual school programs was adopted. The House then adopted the committee substitute for HB 2230 and 2978 as amended and ordered it perfected and printed. Finally, the House began debate on House Bill 2355, the Food Is Medicine Initiative. The sponsor said the bill would let Missouri use federal funds through 1115 waivers to pilot medically tailored meals, produce prescriptions, nutrition counseling, and related interventions to improve health and lower Medicaid costs. Members generally supported the concept, citing food deserts and the benefits of better nutrition, but an amendment adding vitamin therapies and cleanup language prompted concern from one member about supplement quality and regulation; the transcript ends during that amendment discussion.

Transcript Highlights:

• We'll now call the meeting to order. Madam Secretary, will you please call the roll?
• In the case of Hardin County, it's a day treatment.
• </c> moved from a stateowned uh day treatment moved from a stateowned uh day treatment to<00:13:27.920
• . treatment. treatment.
• So, um, on that note, any other questions for the good of the order? We are adjourned.

Keywords: 00:09 Call to Order and Roll Call 00:42 Approval of Minutes 01:07 Information Items 04:05 Lease Rpt - Finance and Administration Cabinet 18:59 OFM - Economic Development Fund Grants 25:42 OFM – KY Housing Authority 31:30 Remaining 2025 Meetings 33:26 Adjournment, 958, all

Summary: The committee met with quorum, approved the September meeting minutes, and received a set of information reports on capital projects, debt, school district bond issues, UK and KCTCS asset preservation projects, and the Louisville Arena Authority’s financial report, with the latter noted as lengthy and expected to be discussed further in person in December. The committee also heard a Finance and Administration Cabinet lease report covering three leases: a temporary lease for the Cabinet for Health and Family Services in Louisville due to ongoing maintenance and safety issues at its current site, a Department of Juvenile Justice lease in Hardin County for a day-treatment/alternative school program, and a Warren County lease renewal. Members questioned the Hardin County lease about the higher rate and limited competition; agency staff explained the specialized school setting, transportation and program requirements, and the difficulty of attracting bidders for alternative-school space. The lease package was approved after roll call. The committee then considered seven economic development grants: four EDF grants and three KPDI grants. The projects included infrastructure for Allen County’s industrial park, flood-related repairs for Weddington Plaza in the Big Sandy area, an Owensboro manufacturing expansion for Mscan America, a new Louisville manufacturing facility for Anthro Energy, a Henderson due-diligence study, a Paducah spec building, and utility extensions for the Riverbend site in Carrollton. Staff said the projects had been approved by KEFA and recommended by the relevant cabinet leadership, and the committee approved them by roll call. Finally, the committee reviewed a new Kentucky Housing Corporation conduit bond issue for about $43 million for 233 Louisville housing units, which was approved. It then took up five SFCC debt issues together: new money for an Edmonson County elementary school and Knox County middle school gym improvements, plus refundings for Callaway, Hardin, and McCracken counties. Members raised concerns that the refundings were bundled together and that some did not appear to meet a newly referenced 3% net present value savings guideline, but the package was still approved on a 5-2 vote. The meeting ended with calendar updates, including a November 20 meeting at noon and a December 16 meeting featuring the Yum Arena presentation, followed by adjournment.

Transcript Highlights:

• that our division weaves together substance use disorder prevention and mental health promotion, treatment
• , and recovery support services to address... ...prevention and mental health promotion, treatment, and
• Additional recommendations include... ...opioid treatment programs.
• Treatment Act, or ITA, implementation.
• There’s a lack of adequate intensive in-home and residential treatment resources.

Summary: The committee began with a work session on recommendations from the Children and Youth Behavioral Health Work Group. Tisha Kirshbaum of the Health Care Authority described the Washington Thriving Strategic Plan, a prenatal-to-25 system-of-care framework meant to reduce fragmentation, improve coordination across multiple state agencies, and expand early, community-based behavioral health supports. Members asked about duplication among agencies, simplification of the system, and upstream services such as community health workers, school-based supports, and crisis access. The committee then heard House Bill 2429, which would direct the governor and state agencies to align with the Washington Thriving plan, create an executive coordination officer and leadership council, extend the work group, and require broader alignment by state, tribal, local, and nonprofit entities. The bill received strong support from the governor’s office, the Health Care Authority, parents, youth, providers, and advocates, while a few testifiers raised concerns about government overreach, cost, or the need to address non-psychiatric causes of distress. No vote was taken during the hearing. The committee then heard House Bill 2364, which renames and expands the Legislative Executive Work First Poverty Reduction Oversight Task Force into the Legislative Executive Economic Justice and Well-Being Task Force and updates the related advisory council to align with the state’s 10-year plan to dismantle poverty. Staff and the prime sponsor said the bill reflects the evolution of the poverty-reduction effort and adds agencies such as the Department of Revenue, Health Care Authority, and Workforce Training and Education Coordinating Board. Testimony from DSHS and advocates was uniformly supportive, emphasizing bipartisan collaboration and the need to update statute to match current work. Next, the committee heard House Bill 2171 on supporting foster youth. The bill would create an endangered foster youth alert system, require county rapid-response protocols, establish a foster youth empowerment account, create an oversight board through the Ombuds office, and expand training for foster parents and child welfare workers. The prime sponsor and several advocates described the bill as a response to lived experience and a way to improve accountability and long-term support. DCYF said it supports the intent but raised legal and cost concerns, and some youth advocates warned that public alerts could increase risk or trauma for youth who run away from unsafe placements. The hearing then moved to House Bill 2314, which would create a pilot allowing certain community-based clients with developmental disabilities to receive dental care at residential habilitation centers. Supporters said the bill would use existing dental capacity to address severe access gaps and long waits in the community, while opponents from disability advocacy groups argued it would pull people back into institutional settings instead of building community-based dental capacity. Testimony on the bill was mixed, and no final committee action was taken in the transcript.

Transcript Highlights:

• </c><01:20:10.640><c> to</c> that was vetoed last year in order to that was vetoed last year in order
• </c><01:23:26.320><c> to</c> actually do make uh oils uh in order to actually do make uh oils uh in order
• </c><01:58:51.840><c> that</c> a treatment as over-the-counter that a treatment as over-the-counter that
• ><c> vehicle</c><02:06:25.520><c> impounded,</c> order to have your vehicle impounded, order to have
• </c> to use in some treatment uh programs. to use in some treatment uh programs.

Committee: Senate Judiciary

Keywords: 1191, senate, all

Transcript Highlights:

• Chair, members of the committee, Kylie Stevens, Direct Care and Treatment.
• </c><00:32:33.720><c> to</c> do out of this Committee in order to do out of this Committee in order to
• </c><00:53:48.119><c> they're</c> so or perhaps the treatment they're so or perhaps the treatment they're
• </c><01:14:50.520><c> if</c> going to have covered or treatment if going to have covered or treatment
• </c><02:15:13.119><c> provider</c> requirements treatment provider requirements treatment provider qualification

Committee: Senate Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• It may be weeks or months, and this interrupts treatment.
• Imagine, if you will, the seamless therapy, months, and this interrupts treatment.
• Treatment would not be compromised, the therapeutic alliance would remain strong and intact, and the
• In order to increase access to lactation support for providers, we really need to pass this bill.
• No one asks for cancer, and no one should be punished for getting treatment.

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:

• First order of business is roll call. We do have a quorum present.
• Motion's in order. I move to introduce RS 33403.
• Motion's in order. And I'd like to speak to the motion.
• Motion's in order. And I'd like to speak to the motion.
• No child should need treatment from the treatment they received.

Committee: House Health and Welfare

Keywords: 989, all

Transcript Highlights:

• Is there another treatment that... ...medication?
• and who is fearful that that treatment will be taken away.
• and who is fearful that that treatment will be taken away.
• There's an opioid treatment, or outpatient treatment program for methadone that is there.
• Community youth and adult treatment locations.

Committee: Joint Joint Committee on Ways and Means

Summary: The hearing was a Joint Committee on Ways and Means budget session on health and human services, held in Clinton and opened with remarks from the House and Senate co-chairs, local officials, and committee members. The chairs emphasized the importance of hearing directly from agencies about the Commonwealth’s health care and human services budget needs, thanked Clinton for hosting, and introduced the day’s panels, beginning with the Executive Office of Health and Human Services (EOHHS) and then MassHealth. Secretary Kiame Mahania presented Governor Healey’s FY27 EOHHS budget, describing a $33.7 billion request driven largely by non-discretionary cost growth, caseload increases, and federal uncertainty. He highlighted targeted investments in foster parent reimbursement, family resource centers, maternal health, food assistance, immigrant legal services, and workforce rates, while warning that federal cuts and the Trump administration’s One Big Beautiful Bill Act could strip billions from state health funding. Members questioned him about primary care shortages, federal program integrity audits, ConnectorCare, regional health disparities, and the proposed cap on adult dental coverage; he defended the cap as a difficult but necessary cost-control measure and said the administration would continue cooperating with federal partners. Undersecretary Michael Levine then testified for MassHealth, saying the agency faces two major challenges: rapid cost growth and looming federal changes. He outlined a $22.7 billion gross MassHealth budget and proposed actions including a moratorium on new expansions, capping adult dental benefits at $1,000, ending GLP-1 coverage for weight loss only, reducing care management spending to peer-state levels, and convening work groups to slow growth in personal care attendant, adult foster care, and adult day health programs. He also warned that federal policy changes could cause about 300,000 residents to lose coverage by 2030 and reduce federal revenue by about $3.5 billion, and said MassHealth would use outreach and systems changes to help eligible members stay covered. Members raised concerns about the impact of these cuts on homeless care, preventive services, dental access, GLP-1s, and regional hospital and specialist shortages, while Levine argued the proposals were aimed at preserving core coverage and sustainability.

Transcript Highlights:

• Yeah, um, on the narcotic treatment program section, with so Breview runs narcotic treatment programs
• Yeah, um, on the narcotic treatment program section, with so Breview runs narcotic treatment programs
• </c> yeah um on the narcotic treatment yeah um on the narcotic treatment program<00:25:32.679><c> section
• Yeah, um, on the narcotic treatment program section, with so Breview runs narcotic treatment programs
• to get whatever medicine they have in order to get care.

Keywords: 00:00:00 Call to Order/Roll Call 00:01:19 Discussion of 25RS HB 785 00:30:25 Roll Call Vote on 25RS HB 785 00:32:15 Discussion of 25RS HB 61 00:36:42 Roll Call Vote on 25RS HB 61 00:38:07 Discussion of 25RS HB 788 00:51:01 Discussion of 25RS SB 14 01:11:09 Discussion of 25RS HB 685 01:44:57 Adjournment, 958, all

Summary: The House Standing Committee on Health Services met with a quorum and took up House Bill 785, as amended by a committee substitute that combined language from HB 785 and HB 787. The bill was described as addressing Medicaid managed care organization (MCO) audits, provider contract notice and amendment procedures, mental health parity compliance, and related transparency requirements. Supporters said the measure would tighten notice to providers, limit repeated contract amendments and rate reductions, require more standardized audit procedures, and add reporting on Medicaid claims, appeals, and grievances. It also includes a provision requiring coverage of at least two evaluation-and-management billable services per physician per recipient per date of service, and a section addressing narcotic/opioid treatment program licensing and reimbursement language. Testimony in support came from Representative Kim Moore, John Inman of BrightView Health, Michelle Sandborne of the Children’s Alliance, and Kelly Cormic of RYSE. They argued that MCOs often use audits and recoupments in ways that are burdensome, opaque, and financially damaging to providers, especially smaller and rural ones. They cited examples of multiple audit requests in short timeframes, large record requests with short deadlines, delayed or absent feedback, and recoupments taken before appeals are resolved. They also said parity laws are not being consistently enforced and that the bill would give the Department of Insurance authority to suspend or revoke an MCO certificate of authority for willful or repeated parity violations. Committee members generally expressed support for provider protections and transparency, while asking for clarification on the narcotic treatment and E/M billing provisions. Tom Stevens of the Kentucky Association of Health Plans testified in opposition, saying the bill is complex to implement and should be handled through the broader Medicaid oversight work of House Bill 9, the MOAB. He said the issues raised were better suited for that bipartisan stakeholder process and noted the committee substitute had not yet been fully reviewed by his group. After discussion, the committee adopted the committee substitute and then moved to a vote on the bill; the roll call began, with several members recorded as voting yes, but the transcript cuts off before the final vote result is shown.

Transcript Highlights:

• The Appropriations Committee on Health and Human Services will now come to order.
• Treatment delayed. Dignity denied. This is not an isolated experience.
• Treatment delayed. Dignity denied. Dignity denied. labeled a drug-seeking. Treatment delayed.
• SB 844 should not, is not, about special treatment. It is about equal, informed, timely care.
• The bill addresses these inefficiencies to ensure timely treatment and clearer standards.

Bills: S0006 , S0036 , S0560 , S0778 , S0844 , S0864 , S1002 , S1016 , S1022 , S1030 , S1630

Committee: Senate Appropriations Committee on Health and Human Services

Keywords: child welfare, negligence, settlement, injury compensation, Department of Children and Families, nursing title, advanced practice registered nurse, advertising, professional standards, disciplinary action, psychotropic medication, community-based care, liability insurance, forensic services, defendants, mental health, judicial system, defense, legal definitions, sickle cell disease

Summary: The Appropriations Committee on Health and Human Services heard and advanced a series of health, child welfare, aging, disability, and public records bills. CS/SB 1002, on child welfare and parental substance abuse, was described as clarifying that acute or chronic parental drug abuse can constitute harm or neglect when it creates an ongoing risk to a child; it passed after limited questions and supportive testimony from Florida Smart Justice Alliance. CS/SB 1630, a broad aging and long-term care modernization bill, would streamline eligibility screenings, allow temporary DOEA services during emergencies or lead agency failures, tighten oversight of area agencies on aging, permanently establish the Florida Alzheimer’s Care Center of Excellence, and expand guardianship training and enforcement tools; it drew support from AARP, area agencies, and the Alzheimer’s Association and was reported favorably. The committee also approved SB 1022 to add Bay County and Pompano to the Florida Children’s Initiatives, and CS/SB 1030, via strike-all amendment, to streamline regulation of substance abuse and behavioral health providers and clarify background screening and privacy rules. Several bills focused on health care practice and patient access. CS/SB 36, with an amendment, allows nurses with doctoral degrees to use appropriate titles while requiring clear identification as nurses and making misuse grounds for discipline; nursing organizations supported it and it passed. CS/SB 844 requires physicians and nurses to complete a one-time, board-approved continuing education course on sickle cell disease care management, with multiple patients and advocates testifying about delayed care, bias, and the need for better provider education; the bill was reported favorably after an amendment aligning it with the House version. CS/SB 560 streamlines procedures for psychotropic medication for children in DCF custody by reducing duplicative reports, clarifying evaluator qualifications, limiting repeated background checks, and simplifying consent documentation; an amendment removed postsecondary education language, and the bill passed. The committee also approved a public records exemption bill for a uterine fibroids research database (CS/SB 864). The committee also advanced measures affecting disability services and forensic care. SB 6, a claims bill, would pay $3.8 million to a trust for a child who suffered severe abuse-related injuries after DCF involvement; it passed without opposition. SB 778 updates the definition of forensic clients so certain individuals with intellectual disabilities or autism found incompetent to proceed can be housed in the same secure forensic setting, reducing duplicative staffing and space needs; it was reported favorably. CS/SB 1016 codifies the Working People with Disabilities Program, allowing eligible developmentally disabled adults to work while retaining Medicaid waiver benefits and requiring notice to enrollees; advocates described the bill as essential to employment and independence, and it passed. Throughout the meeting, most bills received supportive public testimony, few questions, and unanimous or near-unanimous favorable votes.

Transcript Highlights:

• I witnesses in the order you would like.
• treatment.
• So my concern today is really for the women of Wyoming who are receiving mail order pills.
• So my concern today is really for the women of Wyoming who are receiving mail order pills.
• </c> including information about treatments including information about treatments that<01:24:57.040>

Bills: HB0003 , HB0117 , HB0041

Committee: Senate Labor, Health & Social Services

Keywords: pregnancy centers, abortion, pro-life, healthcare, women's rights, state regulation, civil rights, freedom of speech, informed consent, civil liability, coercion, healthcare rights, law enforcement, death benefits, retirement, survivor support, public safety, 916, all

Transcript Highlights:

• And treatments.
• . treatment.
• treatments and topical treatments for individual animals.
• Desalination is a treatment process used to remove...
• Monitoring treatment is very labor-intensive.

Committee: Senate Water, Agriculture and Rural Affairs

Summary: During the meeting, legislative members discussed the practice of municipalities diverting water and sewer revenues to their general funds, which impacts infrastructure maintenance and project delays. Vice Chair Sparks proposed limiting public testimony to two minutes, which was adopted without objection. The committee heard from various witnesses, including Perry Fowler from the Texas Water Infrastructure Network, who emphasized that utility revenues should primarily support water services and that transfers should be transparent and justified. He noted that many utilities face financial pressures that could hinder infrastructure projects. Larry French from the Texas Public Policy Foundation highlighted the significant financial impact of water loss and general fund transfers, estimating the annual loss at $1.5 billion. He argued that these transfers can create disincentives for municipalities to address water loss issues. Brian Butcher, Assistant City Manager of Sugar Land, defended the city's cost allocation model for general fund transfers, asserting that they are necessary for equitable service provision and operational efficiency. The committee also discussed the implications of rising construction costs and the need for better procurement processes to ensure effective use of taxpayer dollars. The second part of the meeting focused on the New World Screwworm and the state's preparedness to manage potential infestations. Dudley Hoskins from the USDA outlined the federal response efforts and the importance of collaboration with state agencies. He emphasized the need for ongoing surveillance and the production of sterile flies to combat the pest. Dr. Philip Kaufman from Texas A&M discussed the historical context of the screwworm and the challenges posed by its potential reintroduction, urging proactive management strategies among livestock producers. The committee acknowledged the need for increased resources and research to effectively address the threat of the screwworm.

Transcript Highlights:

• Is if we provide any treatment and that treatment doesn't work, we look for alternatives.
• So it does appear the order is.
• So an order could be ordering a prescription, ordering a procedure or treatment.
• So this order is, is, is really essentially completely outside of the order, which we would think of
• It is just a, a separate order.

Bills: HB 265 , HB25

Committee: House Public Health

Keywords: youth camp, safety regulations, advisory committee, child welfare, health standards, summer camp, camp safety, child abuse reporting, child neglect, mandatory reporting, background check, criminal history check, sex offender registry, CPR training, first aid, public health, child protection, camp operator, camp counselor, Health and Safety Code

Transcript Highlights:

• The Senate will be in order. The first order of business is roll call.
• Hearing none, so ordered.
• Hearing none, so ordered.
• Hearing none, so ordered.
• It is so ordered.

Summary: The Senate convened with 34 members present, later noting all 35 present, and began with prayer, the Pledge of Allegiance, and approval of the March 24 journal. The body then moved through committee reports and messages from the House and Governor, referring a number of bills and memorials to committees, enrolling and transmitting several measures, and advancing to floor consideration of legislation. Among the early actions, House Bill 928 was sent to the 14th order for possible amendment, and multiple House and Senate bills were introduced, read, and referred to standing committees. The chamber first took up House Bill 760 on reconsideration after it had previously failed on a tie vote. After debate over whether the bill would create an optional low-income housing tax credit program that supporters described as a workforce housing tool and opponents criticized as a tax shift and government-subsidized housing, the motion to reconsider passed 24-11. On final passage, however, the bill failed again, 15-20, and was returned to the House. The Senate also debated and passed Senate Bill 1397, which extends utility-style consumer protections to certain privately held wastewater systems; supporters said it addresses captive customers and stranded property, while opponents warned against expanding regulation. The bill passed 21-14. The Senate then passed Senate Bill 1398, which returns Idaho to a presidential primary system and sets the primary for the Tuesday after the first Monday in May; supporters cited low caucus turnout and broader voter access, while opponents worried about shortening the campaign season. Senate Bill 1396 also passed as a cleanup measure repealing obsolete Pacific Fisheries Task Force language. In addition, House Bill 630, on airborne control of predatory animals, failed 6-28 after debate over whether the measure merely codified existing permit rules or could harm livestock protection efforts. Later, the Senate passed House Bills 631, 826, 585, 648, 773, 787, and 790. These measures dealt respectively with certificates of free sale for Idaho agricultural products, eliminating the Idaho Honey Commission, expanding inspection requirements to help speed housing-related permits, parity for oral cancer medication coverage, repeal of obsolete credit union and cemetery code sections, moving podiatry under the Board of Medicine, and allowing certified interior designers to sign certain nonstructural technical submissions. Several of these bills were described as cleanup or efficiency measures, while HB 648 drew especially personal testimony about the cost of oral chemotherapy. The Senate also adopted House Concurrent Resolution 31, honoring the late Lyndon B. Bateman, with members sharing personal recollections of his teaching, handwriting, and service. The day ended with additional committee reports, referrals, announcements, and a recess.