Transcript Highlights:

• Relating to community services for needy individuals and families.
• I guess my question is on just avoiding duplication of services.
• And depending on whether or not you're in the urban service area or outside the urban service area, most
• Jared Willis from Better Tomorrow Treatment.
• behavioral health symptoms, treatment, and outcomes.

Summary: The Human Services Subcommittee met with a full agenda and reported all measures favorably. The committee first heard HB 1327, which would codify the Hope Florida program in state law, and HB 1329, the related public-records exemption for Hope Florida participants; both bills drew questions about oversight, duplication of services, staffing, and data privacy, and both passed 17-0 after an amendment to HB 1329. The committee then approved HB 391, allowing certified batterers intervention programs to include optional faith-based content while remaining grounded in required therapeutic models; an amendment clarified that participation in faith-based components must be strictly voluntary. Supporters argued the bill restores choice and access, while opponents raised concerns about church-state separation and uneven availability of secular alternatives; the bill passed 17-0. Members also advanced HB 1065, creating an Alzheimer’s disease awareness initiative through the Department of Elder Affairs, with broad support from members who shared personal experiences and emphasized early detection and public education. HB 1163, dealing with recovery residences, passed 12-5 after debate over local zoning authority, home rule, and whether the bill would help or hinder placement of level four recovery homes near urban cores. Several members said they supported recovery housing in principle but wanted more clarity on task force findings and local impacts before fully backing the measure. The committee next approved HB 969, which shifts evaluation of school district mental health assistance programs to OPAGA and requires reports on outcomes and effectiveness; members stressed the need to know whether substantial mental health funding is improving student outcomes. HB 1191, which decriminalizes allowing children to travel to school, play outdoors, or stay home for reasonable periods and codifies current DCF policy, passed 16-0 with support framed around parental rights and child development. Finally, HB 1207, the Tristan Murphy Act, passed 15-0 and would expand mental health diversion and treatment options, including training for first responders, a forensic hospital diversion pilot, a behavioral health data repository, and additional evaluation requirements before inmate work assignments. The meeting adjourned after all agenda bills were reported favorably.

Transcript Highlights:

• device because at least 30% of the service area does not have GPS coverage.
• device because at least 30% of the service area does not have GPS coverage.
• 10,000 persons and is not within the service area of a certificate of necessity.
• Her attempts to get him mental health treatment failed.
• He returned to jail with treatment.

Committee: Senate Senate Public Safety Committee of Reference

Summary: The Committee on Public Safety met to hear several presentations and bills. First, the Arizona Department of Corrections, Rehabilitation and Reentry presented on its K-9 program, describing staffing, specialized detection and trailing teams, and the need to replace retired dogs and modernize an aging, high-mileage vehicle fleet used to transport canines. The committee also heard a presentation from Biometrica on a privacy-focused facial recognition and sensor system designed to identify missing persons and known offenders using law-enforcement-only data; the presenters emphasized that the system does not store video or audio and is intended to balance public safety with privacy. The committee then considered HB 2134, which would prohibit Arizona governmental entities and critical infrastructure providers from contracting for critical infrastructure equipment or software from Chinese companies or the PRC. Supporters, including the sponsor and a national security witness, argued the bill would protect communications and other critical systems from foreign adversary access; concerns were raised about costs and implementation, but the bill was amended to be prospective and to rely on self-certification and risk-based audits. The committee passed HB 2134 with a due pass recommendation by a 4-3 vote. HB 2404, which would shift most inter-facility transport of behavioral health patients from peace officers to authorized transporters, drew support from law enforcement and police association witnesses who said officers are not the right personnel for these transports; it passed unanimously, 7-0. HB 2402, dealing with ambulance certificate-of-necessity rules for small or underserved areas, was presented as a compromise measure after work with ambulance stakeholders and firefighters. The bill and a 15-page amendment would require the Department of Health Services to issue certificates in certain small-population areas, streamline applications, add reporting requirements, and address GPS coverage issues; it passed as amended, 7-0. HB 2673, which originally proposed mental health screening and treatment requirements for jail and prison inmates, was narrowed by amendment to create only a study committee on inmate mental health services; family members testified about tragic failures in the system, and the bill passed as amended, 6-0 with one not voting. HB 2253, protecting public employees from retaliation or obstruction when testifying in law enforcement disciplinary appeals, passed 5-0 with two not voting. HB 2270, expanding county protections over seals, logos, and sheriff’s posse naming rights, passed 6-0 with one not voting. Finally, HB 2941, which would treat certain unsafe motorcycle lane-splitting or passing behavior as reckless driving while preserving legal lane filtering, drew both support and concern about overbreadth; after testimony from the sponsor and members of the public, it passed 5-1 with one not voting, and the committee adjourned.

Transcript Highlights:

• services for menopause, perimenopause, and their symptoms.
• Covered services include, but are not limited to, diagnostic testing, FDA-approved hormonal therapies
• , pelvic floor therapy, preventative care, and treatment for related conditions.
• What the changes do is make it more explicit that HRT treatment must be approved by the FDA to be covered
• What the changes do is to make it more explicit that HRT treatment must be approved by the FDA to be

Committee: House Economic Development/Banking/Insurance & Commerce

Summary: The committee met with roll call attendance and took up two bills. First was Senate Bill 315 with Senate Amendment 1, which would allow the Division of Small Business to add state funding to existing federal small business programs, including the Small Business Innovation Research and Small Business Technology Transfer programs. There was brief public support from one in-person commenter, no virtual comment, and the committee voted to release the bill, though it did not yet have enough signatures for immediate release and was left open for absent members to sign. The second item was Senate Substitute 1 for Senate Bill 319, a women’s health insurance mandate requiring coverage for medically necessary menopause and perimenopause diagnostic and treatment services, including FDA-approved hormone replacement therapy, pelvic floor therapy, and related care. Representative Smith presented the bill as a response to gaps in menopause care and insurance coverage, and Department of Insurance witness Kennedy Cook explained the religious exemption as applying to certain religious employers and blanket health policies. Committee members asked about the scope of that exemption, and some expressed concern about religious carveouts, while others praised the bill as important women’s health legislation. During public comment, one speaker supported the bill but warned that expanding mandatory health benefits can raise insurance costs. The Department of Insurance then testified in support, saying the bill would align Delaware with other states, many insurers already comply, and the department did not expect a meaningful premium impact. The committee voted to release Senate Substitute 1 for Senate Bill 319 from committee.

Transcript Highlights:

• </c> service retirements is another statute. service retirements is another statute. Right?
• <00:25:04.000><c> answer</c> service answer service answer &gt;&gt; for<00:25:05.279><c> that</c><00:
• It requires employers to deny a treatment plan within 3 days of receipt of a treatment plan or the treatment
• </c><00:37:19.040><c> plan</c><00:37:19.280><c> is</c> treatment plan or the treatment plan is treatment
• Um chair noting the treatment.

Committee: Senate Labor and Technology

Summary: The joint hearing of the Senate Committees on Labor and Technology and Public Safety and Military Affairs considered three bills. SB 2141 would reclassify certain Department of Law Enforcement leadership and employees as Class A members for retirement purposes and adjust retirement benefit calculations. DLE supported the bill, saying it would address retirement classification without enhancing benefits, while the Employees’ Retirement System said it had no formal board position but wanted key provisions preserved. The Deputy Attorney General raised a potential title/subject issue and warned the bill could be vulnerable to challenge because the reclassification, contribution changes, and benefit calculations are in separate statutory sections. After questions about the number of affected employees and possible amendments, the committees deferred the bill. SB 2593 would exempt certain Law Enforcement Standards Board positions from civil service and collective bargaining. The board’s administrator said the positions would handle sensitive and confidential information and require specialized experience, and the board chair’s representative said the bill was important to meet certification deadlines. Opposition testimony from HGA argued exempt employees are at-will and suggested civil service protections should remain, with any staffing issues handled through reclassification or other personnel tools. Committee members questioned whether the positions could instead be civil service but excluded from bargaining, and staff explained the distinction between civil service exemption and collective bargaining exclusion. The committees ultimately recommended passing SB 2593 with amendments, including a deferred effective date of January 1, 2077, and the recommendation was adopted. SB 2824 would create a bribery-related reporting duty for public servants. Supporters, including Indivisible Hawaii, said it would establish a clear duty to report known or suspected bribery and strengthen public trust. The Office of the Public Defender opposed the bill, saying it would criminalize an affirmative duty to report another person’s misconduct. After limited discussion, both committees voted to pass SB 2824 with amendments, including a deferred effective date of July 1, 2050, and the recommendation was adopted. The meeting then adjourned.

Transcript Highlights:

• Families seeking ASD services are facing unprecedented delays.
• Families seeking ASD services are facing unprecedented delays.
• Community Autism Services? Thank you. Great.
• We provide ABA services to children and families.
• It can also delay service access for children ready to begin care.

Committee: Joint Joint Committee on Health Care Financing

Summary: The Joint Committee on Health Care Financing held a public hearing on a range of health care financing bills focused largely on autism services and kidney disease coverage. Committee chairs John Lawn and Cindy Friedman outlined hearing procedures and noted that written testimony would continue to be accepted until each bill is acted upon. They said the day’s bills addressed affordability and access to behavioral health services, provider reimbursement, Medicare coverage for vulnerable patients, and MassHealth eligibility asset exemptions. A major portion of the hearing concerned House Bill 4623, which would recognize board-certified assistant behavior analysts (BCABAs) in the MassHealth reimbursement framework to help address long wait lists for autism spectrum disorder services. Representative Lisa Field and several providers testified that Massachusetts families face long delays for ABA services and that adding BCABAs would expand workforce capacity, reduce costs, and improve access. Wakely actuary Annie Tasman Ewing said a three-tier model could reduce MassHealth costs by up to 6% annually, while Dr. Sandra Beaton and others described severe wait lists and said the bill would allow more families to be served sooner. The committee also heard extensive testimony on House Bill 4425 and Senate Bill 2737, which would allow people under 65 with end-stage renal disease to purchase Medigap coverage. Representative Stanley, Senator Gomez, and advocates from the American Kidney Fund and Dialysis Patient Citizens argued that current law unfairly excludes these patients, leaves them with high out-of-pocket costs, and can delay transplant eligibility because many centers require secondary insurance. Testifiers said the change would help about 846 residents, could cost insurers only a small premium increase, and might reduce Medicaid spending by avoiding asset spend-downs. Committee members asked questions about the existing statutory carve-out and the practical effects on transplant access. The hearing also included testimony on House Bill 4353 and Senate Bill 2587, which would require regular Medicaid rate reviews for ABA services. Providers and clinicians said current MassHealth rates no longer reflect the cost of delivering care, especially with new 2026 policy requirements, workforce shortages, and accreditation obligations. They emphasized that the bills would not mandate a rate increase but would create a data-driven, transparent review process. At the end of the hearing, the chairs thanked participants, invited additional written testimony, and the committee voted unanimously to adjourn the hearing.

Transcript Highlights:

• I oversee the Environmental Services Division. I oversee the Environmental Services Division. Okay.
• We've increased our fees to make way for our new wastewater treatment facility.
• JEA is an extremely large service area. We're about 900 square miles.
• We do have that large service area, so one of our challenges is moving water 20 miles across our service
• I think publicly owned treatment works in general recognize that.

Committee: Senate Environment and Natural Resources

Summary: The Committee on Environment and Natural Resources met to hear a panel discussion on implementation of Senate Bill 64 (2021), which requires elimination of non-beneficial wastewater discharges to surface waters by 2032. Department of Environmental Protection staff reported that utility plans have been approved, about 570 million gallons per day are expected to be eliminated under the plans, and roughly 176 million gallons per day have already been eliminated. The department emphasized ongoing annual reporting, continued coordination with utilities, and the need for projects such as reuse, indirect potable reuse, wet-weather backup discharges, groundwater recharge, and other beneficial uses to meet the law’s 90% reuse requirement in applicable cases. Representatives from Flagler Beach, Atlantic Beach, JEA, and Hillsborough County described how the law affects different utilities. Smaller and coastal systems said they face major cost, space, salinity, and infrastructure constraints, with limited reuse opportunities and expensive alternatives such as deep well injection or regional transfer. Larger systems described substantial capital programs already underway, including public access reuse, indirect potable reuse, regional recharge projects, and saltwater intrusion barrier wells, with costs ranging from tens of millions to billions of dollars. Members and witnesses discussed the need for flexibility, regional solutions, and case-by-case permitting, and the Florida Rural Water Association asked the committee to consider hardship provisions and funding or exemption adjustments for smaller systems. The committee then took up SPB 7002, a proposed bill by the Environment and Natural Resources Committee relating to water management districts. Senator Broder explained that the bill would increase transparency, improve planning and budgeting oversight, create a gift ban, support local referendum authority for certain ad valorem funding, and provide record-level funding for Everglades restoration. After a question from Senator Smith about whether the ad valorem language was expansive or restrictive, Senator Broder said it would add a new funding tool for districts. The committee adopted a motion to submit SPB 7002 as a committee bill, and it was reported favorably by roll call vote. The meeting then adjourned.

Transcript Highlights:

• I worked at ETS Educational Testing Service for about nine years.
• Attending providers are the primary coordinators of care and treatment for the injured worker.
• I don't think it's recovery and in their treatment plans, we need to fix those problems.
• in PT ends up being months long and had increased complications due to initial non-treatment.
• It can take several weeks for a referral for treatments to get to physical therapists.

Summary: The Labor and Workplace Standards Committee held its first meeting of the session and heard four bills. HB 2107 would make permanent and slightly narrow a temporary L&I requirement that, after an on-site safety inspection at a building construction site, the agency make a good-faith effort to notify the owner or employer within 10 working days if an immediately identified hazard could injure a worker. Construction industry groups and L&I supported the bill and said the pilot had worked well, with L&I reporting it had been able to notify owners almost 96% of the time during about 1,400 inspections. HB 2137 would remove the population threshold for binding interest arbitration for correctional employees in city and county jails. Teamsters representatives said the change would give corrections officers in smaller jurisdictions the same bargaining rights as other uniformed personnel and help address safety, staffing, and wage inequities. County representatives opposed the bill, saying it would increase bargaining and compensation costs for many counties, and asked for amendments requiring arbitrators to consider county finances and making awards nonbinding on county legislative authorities. HB 2264 would clarify unemployment insurance eligibility for workers who opt into an employer-initiated layoff or reduction-in-force plan, even if they can rescind their decision, so long as the termination results from the employer’s plan. Supporters said current court rulings create confusing and unfair denials of benefits for workers who leave in good faith during layoffs; NFIB raised questions about severance, retirement, and UI solvency. HB 2243 would allow physical therapists and occupational therapists to serve as attending providers in the workers’ compensation system. Physical therapy and occupational therapy advocates said this would speed care and return workers to work sooner, while retailers, food industry representatives, NFIB, the Washington State Medical Association, and L&I raised concerns about diagnosis, scope of practice, added costs, and the possibility that all PTs and OTs would have to join the provider network. No votes were taken; the committee heard testimony and then adjourned.

Transcript Highlights:

• It's the Senate Human Services Committee.
• Examples of services at RHCs include daily living skills, medical and dental services, employment services
• And the second is that they have to provide active treatment.
• So individuals who are receiving services at RHCs understand what services they're receiving and when
• see with their services and what those RHCs are doing to fix the issue.

Summary: The Senate Human Services Committee heard several House bills. Substitute House Bill 2539 would raise the indigent inmate account threshold from $25 to $100, allowing incarcerated people to retain more money for commissary items like hygiene products, postage, and medications before deductions for legal financial obligations, child support, and other debts. Representative Street said the bill is meant to better cover essentials without stopping debt repayment. Testifiers from Civil Survival, incarcerated people, and family advocates supported the bill, describing current commissary prices, low prison wages, and the burden on families. The committee also heard that the Department of Corrections expects some indeterminate implementation costs and IT expenses. No vote was taken. House Bill 2510 would require the Department of Corrections to supervise anyone sentenced to community custody for stalking, regardless of risk classification. Representative Burnett said the bill is intended to protect victims and give them peace of mind. Staff explained that the bill is narrower than a related measure heard earlier because it applies only to people sentenced to community custody, typically at the superior court level. Victim advocates and survivors testified in strong support, describing stalking cases that escalated to severe threats and violence and arguing that mandatory supervision could prevent future harm. The hearing was closed without action. The committee also heard Engrossed Substitute House Bill 2319 and Substitute House Bill 2350, both concerning residential habilitation centers. HB 2319 would rename Fircrest School and Rainier School to remove the word “school” and better reflect their current role as residential habilitation centers; supporters said the old terminology is outdated and confusing, while the sponsor said the bill is a clarification only and does not change services or funding. HB 2350 would require DSHS to notify residents, guardians, and other designated people when an RHC falls out of compliance with federal CMS requirements, and to post plain-language notices at the facility. Supporters from Disability Rights Washington, The Arc, and self-advocates said the bill would improve transparency and accountability. The committee closed public hearing on both bills, and the meeting adjourned.

Transcript Highlights:

• Up next, we have RS 33538 on the agenda: Fertility preservation services.
• When a patient receives a cancer diagnosis, treatment often must begin quickly.
• The decision to preserve, Cancer diagnosis, treatment often must begin quickly.
• However, advancements in oncology and treatment, cancer treatment, is allowing us to live longer, allowing
• I reached out to a fertility clinic that provides this service. She had four last year.

Committee: House Health and Welfare

Transcript Highlights:

• to try and provide emergency service.
• Is your issue about service versus construction? Is that what you understand?
• The issue is between service and construction on the commercial side.
• You know, the average service plumber can run about two and a half calls a day.
• and requires the request for treatment approval within 120 days of the treatment.

Summary: The Labor and Commerce Committee held public hearings and later executive action on several bills. Senate Bill 6158, by request of L&I, would update factory-built housing and commercial structure rules to incorporate International Code Council standards and allow qualified third-party inspectors approved by L&I; the sponsor said it would make modular housing inspections more efficient and cost-effective, and L&I supported it with a requested technical amendment and no fiscal impact. Senate Bill 6197 would separate plumbing discipline standards for residential and nonresidential work, allowing suspension after five infractions in five years for nonresidential violations while keeping the current three-in-36-month standard for residential work; supporters from mechanical contractors, union plumbers, and a plumbing advisory board member said it would curb unlicensed work and unsafe practices, while opponents from contractor groups and some plumbing businesses argued it was too punitive, did not adequately distinguish commercial service from construction, and should be refined. L&I said it needed time to implement and asked for a later effective date. During executive session, the committee adopted a proposed substitute and advanced Senate Bill 5437, which voids noncompetition covenants, with a delayed effective date and other conforming changes; some Republicans opposed it as too broad. The committee also advanced Senate Bill 6117, which would extend PERC jurisdiction and state collective-bargaining protections if federal labor law no longer applies, after rejecting an amendment that would have narrowed coverage further. Senate Bill 5852, dealing with immigrant worker protections during federal I-9 inspections, advanced after the committee rejected an amendment to remove the private right of action. Senate Bill 5847, on workers’ compensation medical care and treatment access, advanced with an amendment removing penalty provisions and another adding claims manager positions; the bill was sent to Ways and Means. Senate Bills 6067 and 6136 also advanced, the former changing workers’ compensation health benefit calculations and the latter requiring L&I to publish actuarially indicated industrial insurance rates. The committee then heard Senate Bill 6302, which would address misclassification in finishing trades on public works by limiting contractors and subcontractors to no more than two independent contractors on covered finishing work such as drywall, flooring, tile, painting, and glazier work, with violators treated as employees for prevailing wage and workers’ compensation purposes. Supporters from building trades and pipefitters said the bill would reduce misclassification, protect workers, and level the playing field; opponents from general contractors and contractor associations said it would effectively ban legitimate independent contractors, reduce flexibility on public projects, and hurt small businesses. L&I said it had clarifying questions about how the cap would apply and asked for more specificity.

Transcript Highlights:

• This bill will help ensure people receive the medical treatment they desire at the end of their lives
• It does not expand involuntary treatment. Thank you.
• Yet when she most needed CARE Act services, she fell through an unintended gap. Thank you.
• However, these are not individuals who are eligible for involuntary treatment.
• , but they're not quite symptomatic enough for involuntary treatment.

Committee: Senate Judiciary

Summary: The Senate Judiciary Committee heard several bills focused on health care planning, mental health court participation, homeowners association governance, groundwater enforcement, pet-policy disclosure in rentals, and post-disaster property speculation. SB 1088 would update California’s POLST and DNR laws by renaming POLST to Portable Orders for Life-Sustaining Treatment, allowing electronic signatures, clarifying who may sign on a patient’s behalf, and making clear that these forms are voluntary; it drew support from the Coalition for Compassionate Care and no opposition. SB 1242 would let original family petitioners participate in CARE Court for care coordination and information-sharing, while preserving judicial discretion to exclude them if harmful; supporters said it would improve treatment coordination, while Disability Rights California opposed it as coercive and a removal of patient consent. The committee advanced SB 1242 on a 7-0 vote, with the bill placed on call. The committee also considered SB 1007, which would require more HOA budget transparency, disclosure of evidence for violations, and a lower cap on regular assessment increases without a homeowner vote. Supporters argued it would improve accountability and protect homeowners from steep fee hikes, while HOA industry groups warned it could undermine funding for insurance, maintenance, and other operating costs. Members raised concerns about the cap and the need for flexibility for large expenses; the bill passed 6-1 and was placed on call. SB 1364, as amended, would prevent a person convicted of sexual assault from obtaining custody or visitation of a child conceived from that assault, while preserving the possibility of voluntary co-parenting and aiming to qualify California for federal grant funding; it passed 8-0 and was placed on call. Later, SB 997 would give the North Fork Kings Groundwater Sustainability Agency lien authority to enforce fees and its groundwater sustainability plan, addressing an enforcement gap for a GSA created by special legislation rather than a joint powers agreement. It drew support from agricultural and county groups and passed 9-0, placed on call. SB 1296 would require landlords to disclose pet policies up front on applications, websites, and ads, and allow refund of an application fee if disclosure was not provided before payment; supporters said it would reduce wasted application costs and pet relinquishment, while rental housing groups said the ad disclosure requirements were impractical. The bill passed 8-0 and was placed on call. The final bill, SB 1090, was introduced to prohibit large property owners from making unsolicited purchase offers for five years in wildfire-disaster areas, responding to investor activity after the Eaton and Palisades fires; the author and a SAGE witness described it as a protection against disaster capitalism and predatory low offers to displaced residents.

Transcript Highlights:

• The bill requires an an individualized treatment plan must be re-evaluated.
• This improved treatment planning for both adults and children. And this was recommendation.
• Like does the current application for services make sense for today?
• The new application for services is now available online.
• Are there any appearance forms, Victoria's, that family support services waiving in support?

Transcript Highlights:

• Um, the treatments that you showed concerning treatment of the trees for CRB, what specifically is the
• Um, the treatments that you showed concerning treatment of the trees for CRB, what specifically is the
• that you showed concerning treatments that you showed concerning treatment<00:38:12.040><c> of</c><00
• So it quantifies the treatment.
• How many treatments?

Transcript Highlights:

• services, and $1 million to develop and implement a statewide... ...diagnostics and treatment services
• services, and $1 million to develop and implement a statewide... ...diagnostics and treatment services
• an additional $12 million to cover food service inflation.
• And so this bill provides some off-ramps on the front end to get people treatment, sustained treatment
• And so this bill provides some off-ramps on the front end to get people, treatment, sustained treatment

Summary: The Appropriations Committee met for Budget Day and heard presentations on the Senate’s proposed 2025-2026 budget, SPB 25-200, totaling $117.4 billion. Chair Hooper said the plan reduces overall spending from the prior year, keeps strong reserves, includes a 4% pay raise for state employees, maintains employee health care contributions, and makes major investments in water quality, transportation, and education infrastructure. Committee chairs then summarized their budget silos, including K-12 education, higher education, health and human services, criminal and civil justice, transportation/tourism/economic development, and agriculture/environment/general government. Members asked questions mainly about school funding, AP and dual enrollment support, voucher and scholarship impacts, and the My Safe Florida Home program. The committee adopted a large consent package of amendments and then approved three late-file amendments: funding virtual college tours for high school students, funding the FSU Sunshine Genetics program, and providing money for the Port of Fernandina customs facility. The committee then voted to report SPB 2500, the General Appropriations Bill, as a committee bill. It also favorably reported SPB 2502 (implementing bill), SPB 2504 (state employees placeholder), SB 7022 (Florida Retirement System contribution rates and DROP changes), CS/SB 1320 (recreating the Resilient Florida Trust Fund), SPB 2506 (gaming compact revenue distributions, including water projects and rural lands), SPB 2508 (29 new judgeships), SB 7014 (ending the court mediation and arbitration trust fund), SPB 2510 (K-12 conforming bill), SPB 2512 (higher education conforming bill), and SPB 2514 (health and human services conforming bill). The committee also took up several policy bills. It approved SB 7028 on cancer research, creating grant parameters, reporting requirements, a five-year pediatric cancer research incubator, and the Bascom Palmer Eye Institute VisionGen Initiative. It approved CS/CS/SB 170 on nursing home quality, adding resident satisfaction surveys, medical director standards, safety culture reviews, electronic health record requirements, financial reporting penalties, and a study of best practices. It approved CS/CS/SB 168, the Tristan Murphy Act, which expands mental health diversion options, adds Hillsborough County to a forensic hospital diversion pilot, expands grant uses, and creates a behavioral health data repository. It also approved SB 114 creating the Florida Center for Excellence in Insurance and Risk Management at FSU and moving the public hurricane loss model there. The committee then began considering SB 180 on emergency preparedness and response, including a late-file amendment, but the transcript cuts off before final action on that bill.

Transcript Highlights:

• They're delivering 24/7 crisis care, rapid access to treatment and care, and whole-person services.
• They're delivering 24/7 crisis care, rapid access to treatment and care, and whole-person services.
• </c> long-term supports and services. long-term supports and services.
• . services. services.
• . services. services.

Summary: The committee first approved the draft minutes from September 26. Senator Gray then raised the idea of creating a continuing subcommittee or recurring agenda item on palliative care and hospice, noting that the issues are evolving and suggesting the committee revisit the idea in coming months. The bulk of the meeting focused on Department of Health and Human Services updates. Officials described contingency planning for SNAP amid the federal shutdown, including a USDA notice that November benefits may not be fully funded, letters to participants warning of possible delays, and coordination with the New Hampshire Food Bank and local pantries. They said New Hampshire serves about 42,000 SNAP households, with average benefits around $300 a month, and that the department is also preparing to transfer funds for a special fiscal committee meeting. WIC was discussed separately: officials said WIC benefits had been extended through November 7 using additional USDA funds, but that some community agency-based WIC services may need to pause while money is redirected to food benefits. Officials also outlined New Hampshire’s rural health transformation grant application under the federal One Big Beautiful Bill, describing a potential five-year, up-to-$1 billion opportunity focused on critical access hospitals, small rural hospitals, federally qualified health centers, community mental health centers, and EMS. Members asked about transportation, workforce, and nursing retention; officials said transportation is included in the proposal, housing is not, and workforce supports may include lower tuition or awards but not loan repayment or traditional scholarships. They also said the final application would be submitted in early November and that priorities would be adjusted depending on the eventual federal award. Finally, Medicaid director Henry Lipman gave a quarterly postpartum coverage update. He said postpartum coverage is now nearly universal nationwide, and in New Hampshire 2,351 women had used the benefit through May 2025. He reported that mental health services were the most frequently used postpartum service, followed by preventive care, substance use disorder treatment, and cardiovascular-related care, and noted that Medicaid women have experienced a disproportionate share of maternal deaths. Committee members asked about rural distribution and the share of women receiving mental health services, and Lipman said the department would follow up with additional data. The meeting then moved into the annual update on New Hampshire’s 10-year mental health plan, with staff describing progress toward a more integrated continuum of care and improved data infrastructure.

Transcript Highlights:

• Grant us wisdom in our deliberations, clarity in our decisions, and humility in our service.
• for certain medically necessary dental procedures as a result of cancer treatment.
• for certain medically necessary dental procedures as a result of cancer treatment.
• Armed Services or a citizen who resides outside the United States.
• What does the Public Service do? Do you, as a representative, serve within the public service?

Bills: HR252 , HR253 , HR254 , HR255 , HR256 , HCR103 , HCR104 , HR244 , HR245 , HR246 , HR247 , HR248 , HR249 , HR250 , HR251 , HCR101 , HCR102 , SCR40 , SCR60 , SB112 , SB131 , SB145 , SB194 , SB268 , SB307 , SB312 , SB319 , SB333 , SB341 , SB346 , SB464 , SB466 , SB488 , SB495 , SB503 , SB507 , SB509 , HR9 , HR196 , HCR27 , HCR28 , HCR50 , HCR62 , HCR67 , HCR71 , HCR78 , HCR81 , SCR20 , HB123 , HB251 , HB625 , HB662 , HB709 , HB769 , HB775 , HB783 , HB895 , HB1011 , HB1057 , HB1155 , HB1186 , HB1224 , HB1245 , HB1247 , HB1253 , HB1254 , HB1255 , HB1256 , SB8 , SB10 , SB11 , SB12 , SB13 , SB14 , SB16 , SB17 , SB18 , SB20 , SB21 , SB22 , SB40 , SB48 , SB55 , SB69 , SB75 , SB77 , SB78 , SB85 , SB102 , SB115 , SB133 , SB140 , SB148 , SB151 , SB165 , SB169 , SB170 , SB185 , SB197 , SB200 , SB217 , SB235 , SB278 , SB280 , SB291 , SB300 , SB303 , SB315 , SB324 , SB330 , SB411 , SB416 , SB420 , SB436 , SB438 , SB449 , SB455 , SB456 , SB477 , SB489 , SB521 , SB97 , SB105 , HR171 , HCR49 , HCR65 , HCR72 , HR37 , HCR64 , HR170 , HR191 , HR206 , HR207 , HR208 , HR217 , HCR11 , HCR53 , HCR60 , HCR66 , HCR68 , SCR19 , SCR3 , SCR6 , SCR18 , SCR11 , SCR22 , SCR2 , HCR6 , HB64 , HB68 , HB92 , HB130 , HB258 , HB633 , HB801 , HB61 , HB98 , HB102 , HB139 , HB142 , HB170 , HB185 , HB194 , HB199 , HB231 , HB247 , HB294 , HB336 , HB474 , HB661 , HB842 , HB852 , HB66 , HB153 , HB165 , HB326 , HB387 , HB455 , HB513 , HB603 , HB660 , HB719 , HB762 , HB766 , HB802 , HB816 , HB833 , HB940 , HB950 , HB975 , HB1028 , HB1039 , HB1051 , HB1053 , HB1080 , HB1201 , HB1215 , HB1228 , HB1251 , HB1252 , SB1 , SB23 , SB32 , SB42 , SB43 , SB46 , SB51 , SB110 , SB113 , SB150 , SB154 , SB161 , SB218 , SB220 , SB221 , SB253 , SB289 , SB310 , SB351 , SB399 , SB404 , SB502 , SB26 , SB28 , SB29 , SB30 , SB41 , SB44 , SB64 , SB84 , SB87 , SB93 , SB98 , SB107 , SB118 , SB142 , SB192 , SB195 , SB199 , SB219 , SB222 , SB234 , SB241 , SB255 , SB275 , SB277 , SB292 , SB294 , SB306 , SB314 , SB482 , HCR32 , HB798 , HB998 , HB1084 , HB1223 , HB59 , HB955 , HB1191 , HB1234 , HB646 , HB824 , HB341 , SB397 , SB442 , HB901 , HB79 , HR20 , HR74 , HB284 , HB306 , HB366 , HB393 , HB458 , HB577 , HB582 , HB605 , HB614 , HB682 , HB733 , HB752 , HB773 , HB911 , HB926 , HB996 , HB1035 , HB1069 , HB1113 , HB1140 , HB1180 , HB1240 , SB47 , SB82 , SB89 , SB149 , SB382

Summary: The House met with a quorum, opened with prayer and the pledge, adopted the journal, and received a large number of Senate messages, committee reports, and bill referrals. Members also introduced several resolutions and recognized guests, including students from Allen Parish, federal appointees Brandon Beach and Paul Hollis, and other visitors. The chamber then moved through a lengthy agenda of House and Senate measures, with many bills and resolutions reported favorably, amended, or referred to committee. Among the notable floor actions, the House adopted H.R. 32 urging the Port of New Orleans to obtain backup motors for the St. Claude Avenue Bridge. It also passed bills on a wide range of topics, including local court and ordinance procedures for Alexandria, prohibiting reporting criminal fines and fees to credit bureaus, veterans’ lottery benefits, police chief residency in Tickfaw, fire marshal plan review authority, expanding the definition of first responder to include public works employees, NIL protections for student athletes, salary increases and additional positions for assistant district attorneys, limiting OMV debt referrals for unpaid reinstatement fees, watershed restoration and flood control funding, a sexual assault survivor task force, elderly consumer protection education, recreation of the Public Service Commission, Medicaid reimbursement for non-emergency medical transportation, local sales tax audit procedures, alcoholic beverage definitions for salons and similar businesses, transfer of removed monuments to state park property, hearing aid dealer regulation updates, a permit fee for small in-state distillers, expanded city court jurisdiction in Avoyelles Parish, and a narrowed version of the Alexandria administrative adjudication bill. Several measures were amended on the floor before passage, including the Alexandria ordinance bill, the sales tax audit bill, the alcohol/beverage bill, and the monument transfer bill. The House also temporarily returned some bills to the calendar for later consideration. Most measures passed overwhelmingly, though House Bill 153 on criminal court debt reporting passed with 67 yeas and 18 nays, House Bill 660 on assistant district attorney salaries passed 94-1, House Bill 719 on additional ADA positions passed 95-0, House Bill 883 on the sexual assault task force passed 86-2, House Bill 1028 on non-emergency medical transportation passed 81-15, and House Bill 1215 on monuments passed 78-14.

Transcript Highlights:

• </c> services statutes. services statutes.
• </c> community treatment order. community treatment order.
• We're trying to give treatment. away. We're trying to give treatment.
• First up is HB 2558, relating to telehealth, expanding telehealth services to certain medical treatments
• . services. services.

Bills: SB2936 , SB2850 , SB2851 , SB2521

Committee: House Health

Summary: The committee heard testimony on several health-related bills. HB 1871, establishing a maternal health monitoring pilot program, drew support from the Department of Health, the Hawaii State Commission on Status of Women, and the Hawaii affiliate of the American College of Nurse Midwives, with testimony urging provider-neutral language so midwives and other qualified providers would not be excluded. HB 1977, requiring a maternal and infant health information mobile app, received support from ACNM and Philips, which said similar apps in other states improved awareness of services and helped families navigate care; a member asked the Department of Health about implementation time. HB 1858, relating to certificates of fetal deaths, was supported by the Department of Health and clinicians, who said the current statute is outdated and inconsistent with CDC guidance; the department and a physician testified that the bill should shift documentation responsibilities to physicians and APRNs, and members discussed optional versus mandatory issuance language and whether the bill would improve data on home births and transfers. The committee also heard HB 1591, expanding definitions for preceptor and volunteer-based clinical training to improve income tax credits. The Department of Health supported the measure but preferred a similar, broader bill; Taxation suggested clarifying terms; the University of Hawaii and the State Center for Nursing supported it. ACNM asked that midwifery preceptors and Hawaii-based students enrolled in mainland programs be included, while the Hawaii Public Health Institute supported expansion of the program as a workforce solution. HB 1574, on the health care education loan repayment program, also drew broad support, including from the governor, SHPDA, OHA, and health organizations, but ACNM raised concerns that the bill’s 30% Medicaid-client threshold could exclude many providers and limit participation. For HB 1575, creating a feasibility committee on Parkinson’s patient air transport, the Department of Health supported the intent but said transportation is more likely an insurance or benefit issue and suggested redirecting funds to Parkinson’s research; the Michael J. Fox Foundation and the Hawaii Parkinson Association supported the bill, citing inter-island travel barriers and high costs for patients and caregivers. HB 1854, establishing certification of community behavioral health clinics, was supported by the Department of Health and DHS, which said certification would help clinics qualify for enhanced Medicaid reimbursement and expand access; the Attorney General’s office raised a legal concern about the special fund language and recommended a purpose section, and the committee discussed whether the fund would be self-sustaining and noted a possible amendment to change membership language and reduce the board size if the amendment moved forward.

Transcript Highlights:

• HB 2355 is not a permanent expansion of services.
• I know there was a Medicaid 1115 waiver to provide mental health treatment and substance use treatment
• of the service is.
• We didn't say you can't provide the service.
• You had to have the proper treatment, and then the speed of treatment tended to pay a big, big in outcomes

Committee: House Health and Mental Health

Transcript Highlights:

• . treatment. treatment.
• . service. service.
• </c> services. Mhm. services. Mhm.
• . services. services.
• We don't set those rates for those services. services. services.

Summary: The commission met to approve the May 18, 2026 minutes and then focused on how SB 57’s special education cost study should inform HB 1099, which creates a separate study committee on residential placements and related education costs. Members discussed sending the commission’s minutes and findings to that new committee, noting the short timeline for its work and the need to be specific about unresolved issues so the new group does not duplicate the same questions. A major topic was the cost and responsibility for students placed at Spalding and similar residential programs, especially transportation and whether costs are paid through the Department of Education’s episode-of-treatment (EOT) fund, local districts, DHS, or Medicaid. Staff explained that for students with disabilities, EOT funds cover special education and transportation costs tied to the placement, while students without disabilities are handled through DHS care-management and best-interest meetings. Members raised concerns about whether some students at Spalding are receiving no schooling, whether transportation costs are substantial, and whether Medicaid reimbursement could offset some expenses. The commission also discussed confusion over district responsibility when students placed in residential programs attend school in another district, using Winnisquam as an example. Several members said the receiving district was not notified that DHHS-approved programs could bring in additional students and costs, and they suggested DHHS or its care-management entity should notify both the district of residence and the receiving district when a program is approved. The group agreed this notification issue, along with transportation funding, privacy concerns in Medicaid-to-schools billing, and the distinction between special education placements, EOT placements, and other voluntary residential placements, should be passed to the HB 1099 study committee for further work.

Transcript Highlights:

• Disability Rights Washington's treatment facilities team focuses on serving people in treatment facilities
• Inpatient treatment at an inpatient psychiatric treatment facility is very restrictive.
• Inpatient treatment is also expensive.
• I am the CEO of Alpha Support Living Services.
• I am the CEO of Alpha Support Living Services.

Committee: Joint Joint Legislative Executive Committee on Planning for Aging and Disability Issues

Summary: The committee held what was described as its final meeting and began with introductions, then received updates on several long-term care and aging initiatives that originated from earlier J-LEC work. A presentation on the WA Cares Fund reviewed its development from a 2014 research project to implementation, including premium collection, expanded eligibility for near-retirees, portability, recent technical fixes, and the creation of a supplemental private insurance market. The presenter said the program is now largely in place and ready for future use, with benefits expected to go fully live next summer. The Dementia Action Collaborative also reported on its state plan, including Project ECHO dementia training, dementia-capable community pilots through area agencies on aging, and ongoing work on early detection, brain health, and caregiver support. Another DSHS presentation covered the Medicaid Transformation Project, including Medicaid Alternative Care, Tailored Supports for Older Adults, presumptive eligibility, and health-related social needs benefits such as rental assistance and nutrition support, with officials saying the waiver is likely secure until its 2028 renewal. The meeting then shifted to emerging issues from advocates and ombuds. The long-term care ombuds described persistent staffing shortages, concerns about low wages, the growing use of technology and surveillance in care settings, private equity ownership of facilities, and illegal or pressured discharges and evictions. The developmental disabilities ombuds focused on people with developmental disabilities who remain hospitalized without medical need, the need for better mental health and behavioral health access, and workforce training gaps for people serving this population. Disability Rights Washington urged more community-based supports to reduce repeated institutionalization, pointing to gaps in programs such as PACT, GOSH, and peer bridgers, and recommending those services be expanded and bundled at scale. Provider and workforce panels emphasized similar themes. Washington Health Care Association and LeadingAge Washington said assisted living and skilled nursing facilities face workforce shortages, Medicaid rates that lag behind costs, increasing client acuity, behavioral health needs, and discharge bottlenecks. They highlighted the need for more flexible care models, improved case management, and better reimbursement, including for complex behavioral health cases. Supported living providers reported high turnover, underfunding, and a successful pilot that used enhanced rates and added training to place 30 hard-to-serve individuals. SEIU 775 argued that the central problem across settings is the direct care workforce crisis, driven by low wages and inadequate benefits, and said rate increases must be tied more directly to worker compensation. DSHS closed by noting heavy reliance on federal Medicaid funding, ongoing pilots in training, transportation, remote caregiving, smart-home technology, and rental subsidies, and said future planning should shift toward a multi-sector state strategy after the committee sunsets.