Transcript Highlights:

• And there's more proactive regulations when it comes to construction cranes.
• First of all, a big thank you to the Chair and her work on the nursing education bill.
• Members, this is a great bill that will set us up to allow for nursing education to be the number. 1
• We are looking forward to this new level of nursing and ask you to vote up.
• As were presented, as I pointed out, we are last in the nation of nursing shortages.

Bills: HJR 138 , HB 42 , HB 104 , HB 129 , HB 677 , HB 426 , HB 668 , HB 1699 , HB 2017 , HB 2128 , HB 2038 , HB 3783 , HB 3717 , HB 2316 , HB 3686 , HB 2563 , HB 3883 , HB 4021 , HB 2788 , HB 2663 , HB 3305 , HB 3173 , HB 3474 , HB 1105 , HB 3531 , HB 3490 , HB 3597 , HB 1295 , HB 3512 , HB 3010 , HB 3112 , HB 4215 , HB 3223 , HB 3464 , HB 3120 , HB 4214 , HB 4511 , HB 3704 , HB 4081 , HB 4783 , HB 4063 , HB 2783 , HB 4937 , HB 5085 , HB 2510 , HB 3426 , HB 4361 , HB 1169 , HB 2516 , HB 2347 , HB 4034 , HB 4700 , HB 3560 , HB 5150 , HB 3860 , HB 3146 , HB 3924 , HCR 98 , HCR 92 , HB 1520 , HB 1545 , HB 5265 , HB 1887 , HB 1914 , HB 2402 , HB 2306 , HB 2350 , HB 3000 , HB 3237 , HB 3326 , HB 3211 , HB 1056 , HB 2081 , HB 2187 , HB 3092 , HB 3308 , HB 3526 , HB 3750 , HB 4219 , HB 4230 , HB 4290 , HB 5238 , HB 4804 , HB 4749 , HB 245 , HB 1465 , HB 294 , HB 793 , HB 809 , HB 3928 , HB 334 , HB 2037 , HB 1973 , HB 285 , HB 4341 , HB 1043 , HB 1234 , HB 1193 , HB 1729 , HB 2498 , HB 1314 , HB 1353 , HB 3960 , HB 3923 , HB 2221 , HB 2517 , HB 2518 , HB 2213 , HB 5092 , HB 3748 , HB 5246 , HB 4344 , HB 1482 , HB 4044 , HB 2702 , HB 4264 , HB 2807 , HB 2898 , HB 3181 , HB 3250 , HB 2091 , HB 2115 , HB 2542 , HB 2768 , HB 3349 , HB 4406 , HB 1593 , HB 1899 , HB 3133 , HB 3133 , HB 4960 , HB 3214 , HB 2145 , HB 1201 , HB 5061 , SB 29 , SB 879 , SB 65 , SB 1745 , SB 412 , SB 412 , SB 1746 , SB 1238 , SB 1341 , SB 522 , SB 1532 , SB 1378 , SB 1062 , SB 2066 , SB 1963 , SB 2204 , SB 1366 , SB 2077 , SB 1967 , SB 1151 , HB 1618 , HB 2156 , HB 2615 , HB 2615 , HB 2349 , HB 1926 , HB 569 , HB 1762 , HB 38 , HJR 138 , HB 42 , HB 104 , HB 104 , HB 129 , HB 677 , HB 426 , HB 668 , HB 1699 , HB 2017 , HB 2128 , HB 2038 , HB 3783 , HB 3717 , HB 2316 , HB 3686 , HB 2563 , HB 3883 , HB 4021 , HB 2788 , HB 2663 , HB 2663 , HB 3305 , HB 3173 , HB 3474 , HB 1105 , HB 3531 , HB 3531 , HB 3490 , HB 3490 , HB 3597 , HB 1295 , HB 3512 , HB 3010 , HB 3112 , HB 4215 , HB 3223 , HB 3223 , HB 3464 , HB 3120 , HB 4214 , HB 4511 , HB 3704 , HB 4081 , HB 4783 , HB 4063 , HB 2783 , HB 4937 , HB 5085 , HB 2510 , HB 3426 , HB 4361 , HB 1169 , HB 2516 , HB 2347 , HB 4034 , HB 4700 , HB 3560 , HB 5150 , HB 3860 , HB 3146 , HB 3924 , HCR 98 , HCR 92

Transcript Highlights:

• </c> total of 12 hours of Home Care Nursing total of 12 hours of Home Care Nursing to<01:00:37.440><c
• The exemption would require 9 hours of nursing care per day at the current home nurse care rate.
• The exemption would require 9 hours of nursing care per day at the current home nurse care rate.
• rate</c> at the current home nurse care rate at the current home nurse care rate while<01:05:09.520><
• </c> say the duth hospital to the nursing say the duth hospital to the nursing home<02:53:08.840><c>

Committee: Senate Human Services

Transcript Highlights:

• As background, biological products are regulated by the federal Food and Drug Administration.
• In addition, the geographic adequacy threshold for nursing homes should not be broader than a managed
• The Health Care Authority must obtain feedback from stakeholders such as hospitals, nursing homes, and
• In addition, the geographic adequacy threshold for nursing homes should not be broader than a managed
• I'm the vice president of case management and chief nursing executive for ambulatory nursing for the

Summary: The Health Care and Wellness Committee met on February 10 at 8:30 a.m. and heard two bills. On Engrossed Second Substitute Senate Bill 5594, staff explained that the bill would expand state policy on biosimilars by allowing health carriers to require patients to try a biosimilar before covering the equivalent brand drug starting in 2027, directing exchange plans to increase biosimilar utilization, and changing pharmacist substitution rules so substitution is generally allowed unless the prescriber says not to substitute. The prime sponsor, Sen. Harris, said the bill would lower costs and noted many other states already allow similar substitution. Supporters from health plans and generic/biosimilar manufacturers said biosimilars are safe, effective, and can save consumers and the system money, while a patient advocate raised concerns that the bill may not guarantee lower out-of-pocket costs at the pharmacy counter and suggested preferred formulary placement as a fix. AAM supported the bill with a technical amendment to place biosimilars in the same section as generics and interchangeable products, and the hearing on the bill was closed with no vote taken. The committee also heard Engrossed Senate Bill 5142 on Medicaid network adequacy for post-acute care. Staff said the bill would require the Health Care Authority to adopt network adequacy standards for nursing homes and inpatient rehabilitation facilities, considering community access, regional availability, timeliness, and federal Medicaid rules, with standards due by January 1, 2028 and implementation by July 1, 2028. Sen. Muzzall described it as a follow-up to last year’s bill that would create a pre-approved pathway for patients who are difficult to discharge because continuing care is hard to secure. Testimony from hospital and health system representatives strongly supported the bill, saying patients often remain in hospitals longer than medically necessary because of delays in finding skilled nursing or rehab placements and because single-case agreements are time-consuming and unpredictable, especially in rural areas. Public testimony on SB 5142 was then closed, and the meeting adjourned without any recorded votes or other action.

Transcript Highlights:

• I'm sure all of you are very aware I'm a nurse, and I love data and transparency.
• This isn’t, by the Board of Technical Registration, going to regulate us.
• And we already regulate, per se, by inspection from the Industrial Commission.
• As most of you know, I’m anti-regulation.
• As most of you know, I'm anti-regulation.

Committee: House House Government Committee of Reference

Summary: The committee first took up SB 1167, which would allow municipalities and counties to satisfy certain public-notice requirements by posting advertisements, publications, and printings on their official websites. The sponsor argued the bill is permissive, intended to modernize notice practices, reduce costs, and help governments meet statutory deadlines, while a Blackmun amendment required a six-month transition period in which notices would still be published in newspapers and the public would be alerted to the change. Newspaper and media representatives, along with tribal and rural community advocates, opposed the bill, arguing that print notices remain important for transparency, historical recordkeeping, and access in areas with limited internet service. Supporters from county and local government said newspaper publication schedules have become unreliable and that websites are a more effective way to reach the public. The committee adopted the Blackmun amendment and then passed SB 1167 as amended on a 4-3 vote. The committee then considered SB 1021, as amended by a strike-everything that would require the Auditor General to refer evidence of possible criminal activity involving health profession regulatory boards to the Attorney General, with procedures for investigation and conflict-of-interest handling. The sponsor and amendment sponsor said the measure would create a mechanism for criminal findings in audit work to be acted on. With no opposition testimony, the committee adopted the amendment and passed SB 1021 as amended on a 4-3 vote. Next was SB 1011, which would require county medical examiners or forensic pathologists to review an infant’s immunization and vaccination history, along with any countermeasures administered in the prior 90 days, in sudden unexplained infant death cases. The sponsor said the bill was a data-collection measure meant to improve accuracy, transparency, and prevention efforts. Opponents, including vaccine advocacy and disability representatives, said Arizona already collects this information, that unsafe sleep is the primary issue in most SIDS cases, and that the bill could fuel misinformation about vaccines. The committee passed SB 1011 on a 4-3 vote. The committee also heard SB 1013, a merit-based public employment bill that would prohibit hiring based on conditions other than merit. Supporters said it would ensure public employees are selected by qualifications and objective criteria; opponents argued existing law already bars discrimination and that the bill could create litigation risks and hinder outreach to underrepresented communities. The committee passed SB 1013 on a 4-3 vote. Finally, the committee considered SB 1015 and a strike-everything amendment that would replace the bill’s original detransition-liability language with the Arizona Thriving Families Act, creating a family and medical leave insurance program within Medicaid beginning in 2029. The original bill sponsor defended the underlying detransition-related liability concept as accountability and support for detransitioners, while opponents said it would function as a discriminatory backdoor ban on transition care for minors. The transcript ends during debate and explanation of the strike-everything amendment, before a final vote on SB 1015 is shown.

Transcript Highlights:

• This is targeted regulation of abortion providers.
• Existing laws and regulations are sufficient.
• This is not a simple regulation bill.
• This is not a simple regulation bill.
• I am asking you for regulation.

Committee: Joint Joint Committee on the Judiciary

Summary: The Joint Committee on the Judiciary held a lengthy hearing on several juvenile justice and parole-related bills, with much of the testimony focused on H. 2051/S. 1087 to end lifetime parole for juveniles and emerging adults, and H. 1923 to raise the age of juvenile court jurisdiction to include 18-, 19-, and 20-year-olds. Chairs Brandy Fluker-Reid and Lydia Edwards opened the hearing by noting the large number of bills and witnesses, the need to keep testimony moving, and special procedures for incarcerated witnesses and sensitive testimony. They also acknowledged the historic nature of the hearing being chaired by two Black women attorneys. No votes were taken during the hearing itself. Many incarcerated speakers and advocates supported ending lifetime parole, arguing that young people can change, that lifetime supervision creates constant fear of technical violations, and that it undermines rehabilitation, family stability, employment, and reintegration. Several testified about their own trauma, youth, and growth in prison programs, while others emphasized the costs of decades of supervision and the racial disparities in the system. Support also came from elected officials, UTEC, the Transformational Prison Project, United Way, CPCS’s Youth Advocacy Division, the Massachusetts Coalition to Prevent Gun Violence, and others, who said juvenile systems are better suited to developmentally appropriate treatment and that the bills would improve public safety and reduce recidivism. There was also opposition, including testimony from family members of a murder victim who argued that lifetime parole should remain for serious violent crimes and that some offenders are not sufficiently rehabilitated. One virtual witness described a family tragedy involving the kidnapping and murder of her infant nephew and warned that ending lifetime parole could remove needed long-term supervision for dangerous offenders. In addition to the juvenile justice bills, the committee heard testimony on H. 1867, a bill related to continuing care for severe mental illness, and H. 2063, which would increase penalties for assaults on correction officers and other prison staff; the correction officers’ union supported H. 2063 and related safety bills. The hearing continued with many more witnesses and bill topics, but no final committee action was announced in the portion provided.

Transcript Highlights:

• </c><00:26:48.320><c> or</c> there no requirements or regulations or there no requirements or regulations
• </c><00:41:37.160><c> were</c> 2022 all of the Federal Regulations were 2022 all of the Federal Regulations
• </c><00:41:42.800><c> regarding</c> specific federal regulations regarding specific federal regulations
• Now, as I said, the federal regulations are gone, and most states don't have buprenorphine-specific regulations
• And these regulations can't keep up with the science.

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:

• Elon Musk said, 'I'm in favor of AI regulation and that we should have some sort of regulatory oversight
• Sam Altman of OpenAI said government regulation will be critical to mitigate the risks of powerful AI
• We can protect innovation, and licensed professions, doctors, nurses, pharmacists, counselors, teachers
• We can only regulate what’s produced here in this state, what’s disseminated.
• Again, the patchwork of regulations as this is being discussed in states all over the country.

Committees: House Emerging Issues , House Emerging Issues and Professional Registration

Transcript Highlights:

• Introduction of doctor and nurse of the day. Direction of previous day's journal. House. Senate.
• Please recognize Representative Rosecrant to present the nurse of the day.
• Representative Rosecrant, you are recognized to present the nurse of the day. Thank you, Mr.
• Folks, today, our nurse of the day is somebody you've seen before.
• She wants to attend Rogers State to study ER nursing.

Bills: HB2059 , HB3920 , HB2992 , HB3267 , HB4457 , HB3800 , HB3818 , HB4425 , HB4427 , HB4430 , HB4431 , HB4333 , HB4340 , HB4343 , HB4344 , HB4363 , HB4229 , HB4230 , HB4236 , HB4246 , HB1979 , HB3431 , HB3052 , HB3047 , HB3048 , HB4092 , HB4302 , HB3261 , HB3704 , HB3312 , HB3546 , HB3849 , HCR1021 , HB4105 , HB4159 , HB4304 , HB3835 , HB3619 , HB4490 , HB3710 , HB4201 , HB3907 , HB3748

Keywords: health care, medication, inmates, Oklahoma Health Care Authority, reimbursement, county jails, medical expenses, sales tax exemption, nonprofit organizations, procurement, transplant research, Oklahoma Tax Code, HB2992, Data Center Customer Ratepayer Protection Act of 2026, Corporation Commission, Oklahoma utilities, ratepayer protection, data centers, artificial intelligence computing, AI data centers

Bills: SB255 , SB199 , SB47 , HB605 , HB216 , HB621 , HB148 , HB389 , HB509 , HB248 , SB255 , SB199 , SB47 , HB605 , HB216 , HB621 , HB148 , HB389 , HB509 , HB248 , SB336 , SB293 , SB43 , HB420 , HB60 , HB188 , HB106 , HB105 , HB11 , SB336 , SB293 , SB43 , HB420 , HB60 , HB188 , HB106 , HB105 , HB11

Committee: Senate Judiciary

Keywords: SB255, cannabinoid, hemp, hemp-derived THC, THCa, delta-8 THC, HHC, CBD, THC, novel cannabinoid products, hemp products, intoxicating hemp, delta-8, retail license, Department of Revenue, Department of Agriculture and Industries, testing and labeling, third-party laboratory, product safety, public health

Transcript Highlights:

• And whereas up to 54% of physicians, 68% of nurses, 60% of medical students and residents, and 61% to
• And whereas Arizona is experiencing severe workforce shortages of physicians, nurses, advanced practice
• according to the Arizona Board of Regents analysis, the state needs an additional 14,291 registered nurses
• 2950, tourism improvement areas municipalities counties; HB 4001, alternative nicotine products regulation
• , HB 4018, sheriff exclusive authority, August, alternative nicotine products regulation HB 4018 sheriff

Transcript Highlights:

• What's the cost to a corporation to have environmental regulations?
• We are not adjusting any environmental regulations or processes.
• We are not adjusting any environmental regulations or processes.
• Members, Florida currently has a nursing shortage which is predicted to grow to 56,380 nurses by 2037
• The legislation... 56,380 nurses by 2037.

Summary: The House convened with prayer, the Pledge of Allegiance, and a quorum present, then adopted the special order report for the day. The chamber took up House Bill 167 on former phosphate mining lands. Sponsor Rep. McClure said the bill removes strict liability for previously mined phosphate lands if a Department of Health study is completed at the owner’s request and the former mining status is recorded publicly. Opponents, led by Rep. Cross and others, argued the bill relies too heavily on buyer-beware principles and does not adequately notify future buyers or renters. The bill passed 87-24 after debate. Members then considered House Bill 145 on suits against the government. Rep. McFarland said it updates Florida’s sovereign immunity caps, raising them to $500,000 per person and $1 million per incident, with a later automatic increase, while preserving the liability shield and improving access to compensation for people harmed by government negligence. The bill also aligns the statute of limitations with private claims and allows entities to settle above the cap. After brief debate, the House passed the bill 104-7. The House next debated CS/HB 289 on wrongful death for an unborn child, which would expand Florida’s Wrongful Death Act to allow claims involving unborn children and their parents. The bill prompted extensive questioning and debate about damages, definitions, medical care, surrogacy, and whether the measure could affect abortion access or expose doctors, friends, family members, and surrogates to lawsuits. Multiple amendments sought to carve out protections for mothers, health care providers, abortion care, perinatal professionals, surrogates, and victims of rape, incest, or human trafficking, but each was defeated. The final vote on the bill itself was 33-78, so the motion failed and the bill did not advance.

Transcript Highlights:

• We have had interim chief nursing officers.
• We recently brought on an interim chief nursing officer that Dr.
• It is on the clinical teams, nursing, physicians, nurse practitioners, to really assess clinically when
• And reliance on agency use of those positions with MHTs and with nurses is very, very expensive.
• So we're... ...also becoming more sophisticated with our nurse staffing committee process.

Summary: The joint Senate and House Behavioral Health committee met for informational presentations on the Oregon State Hospital and civil commitment, followed by a planned tour of the hospital. Oregon Health Authority and Oregon State Hospital leaders reported that Sean Murphy will become the next permanent superintendent on July 13, with Sarah Castle to follow as permanent chief nursing officer on July 20. They described recent leadership turnover, a major organizational restructure, and efforts to build a culture of safety, transparency, and accountability. Officials said the hospital regained Joint Commission accreditation and CMS compliance, and they highlighted daily safety huddles, incident review processes, stronger escalation procedures, and improved management of seclusion and restraint. Committee members pressed hospital leaders on past prolonged seclusion practices, falls, staffing, and the need for better public reporting; OHA said it is building a public dashboard of key safety and workforce metrics. The committee then heard a civil commitment overview from the Oregon Judicial Department. The presenter explained that civil commitment is a separate legal process from criminal cases, usually beginning with a hospital hold, investigation, court review, appointed counsel, and a hearing within five days. She summarized changes made in House Bill 2005, including revised standards for danger to self, danger to others, and basic-needs commitments, plus a second 14-day diversion option. She cautioned that the new law has only been in effect since January and that it is too early to draw firm conclusions from the data, though there has been a recent uptick in commitments and a decrease in diversions. Testimony from NAMI Oregon and a forensic psychiatrist emphasized that Oregon still relies too heavily on jails and state hospitals because community services, housing, and outpatient supports are insufficient. They argued that the state needs more less-restrictive alternatives, including better use of assisted outpatient treatment or outpatient civil commitment, and more supported housing so people do not cycle between homelessness, incarceration, and hospitalization. A family member described a relative remaining psychotic in jail for more than 120 days before ending up back at the state hospital, urging faster intervention and better collaboration among courts, counties, hospitals, and state agencies. Committee members and witnesses also discussed workforce shortages, the expansion of secure residential treatment beds, and the need for broader system reforms beyond the hospital itself.

Transcript Highlights:

• here as a school nurse in the state of Idaho.
• I'm a G.G. to five, and a pediatric nurse for over 30 years.
• By doing so, you will save more lives than nurses ever could.
• I'm another school nurse. So I work here in Boise.
• I'm another school nurse. So I work here in Boise.

Committee: House Health and Welfare

Transcript Highlights:

• aspects of the regulations do not go far enough.
• We did a regulation hearing.
• The board voted to make changes to the proposed regulations.
• Pharmacists are not opposed to regulations.
• A standard-of-care enforcement model would align pharmacy regulation with that of physicians and nurses

Summary: The joint Assembly and Senate business committees held a sunset review hearing on the California State Board of Pharmacy, with board leadership describing the board’s consumer-protection role and its priorities around access, enforcement, and updating pharmacy law. The board emphasized a proposed shift toward a standard-of-care model for pharmacists, arguing it would reduce rigid protocol requirements and improve access to services such as HIV PrEP/PEP, contraception, and naloxone. Board representatives also discussed pharmacy deserts, possible fee waivers for pharmacies in underserved areas, concerns about payer practices contributing to closures, continuing education audits, and a request to restore more flexibility in licensure decisions and probationary monitoring for applicants with certain criminal histories. A major focus of the hearing was the board’s ongoing compounding regulations, especially the treatment of sterile versus nonsterile compounding and substances such as glutathione and methylcobalamin. The board said the proposal was not a ban on those substances and described the rulemaking as grounded in federal law, USP standards, and public comment, noting the process had gone through multiple modified texts and hearings. Testimony from stakeholders was sharply divided: pharmacists, veterinarians, firefighters, naturopathic doctors, and patient advocates warned the rules were restricting access to compounded medications and harming patients and first responders, while the California Medical Association, psychiatric physicians, and PhRMA raised concerns that the board’s proposals could expand pharmacist authority beyond training, affect physician practice, or create safety risks. Other public comments addressed pharmacy technician ratios, remote processing, flavoring medications, hospital-specific regulation, budget and enforcement transparency, and whether the board should add members with community compounding or pharmacy technician expertise. Committee members also asked about the board’s oversight priorities and the rationale for its standard-of-care proposal. Board staff explained that consumer protection includes education, licensing, policy, and enforcement, with the highest-priority enforcement cases being those posing imminent public harm. After public testimony concluded, the chairs thanked participants and adjourned the sunset review hearing, announcing an immediate transition to the joint informational hearing on the Department of Cannabis Control.

Transcript Highlights:

• Next is the nursing home adjustment.
• Nursing homes. They go up every year, correct?
• Is there any money that goes to nursing homes to incentivize better quality?
• they come back, do we pay nursing homes for empty beds?
• The one is, how are we doing as a regulator?

Committee: House Appropriations

Summary: The committee first heard a budget presentation on LSU Health Care Services Division and Lallie Kemp Medical Center. Staff reviewed HCSD’s roughly $74.7 million budget, much of it tied to legacy obligations for former LSU hospital systems and support for Lallie Kemp. Committee members asked about prisoner care, risk management costs, declining admissions and emergency visits, and the hospital’s 340B drug program. Lallie Kemp officials explained that prisoner care serves multiple state and local facilities, that lower admissions largely reflect more patients being placed in observation status, and that the in-house 340B program provides major savings to patients and the prison system. Members also asked about care for unhoused patients and the hospital’s discharge practices, and the hospital said social services works to find placement when possible. The committee then moved to the Louisiana Department of Health budget, which was presented as just under $23.5 billion, with Medicaid making up more than 90 percent of the total. The presentation covered the Office of the Secretary, Office of Public Health, Office of Behavioral Health, Office for Citizens with Developmental Disabilities, and Medicaid. Major items included the new Rural Health Transformation Program, the transfer of several functions from DCFS to LDH under the One Door initiative, changes to SNAP administration, and large Medicaid adjustments driven by enrollment, utilization, and federal policy changes. Testimony also highlighted the statewide crisis hub and 988, the commodity food program for seniors, women’s health and maternal outcomes, and the department’s efforts to modernize technology and reorganize services. Members questioned LDH officials on a wide range of budget and policy issues, including the rural health grant, crisis services, Medicaid redeterminations, provider taxes, physician and hospital supplemental payments, nursing home rates, HCBS funding, and the impact of the federal One Big Beautiful Bill Act. LDH said the rural health grant would support workforce, technology, and care-delivery improvements; that the crisis hub and mobile crisis units are being expanded to improve access and reduce emergency room use; and that the department is working to keep the SNAP error rate below 6 percent to avoid a projected state cost increase. Officials also said they expect to return next year with additional funding requests for HCBS and other programs, while emphasizing that current budget changes are largely meant to realign funding with actual expenditures and new federal requirements. No votes or formal actions were taken in the portion provided.

Transcript Highlights:

• My daughter required 24-7 home nursing, of which I spent more than 18 years learning to be a nurse with
• They're eliminating all regulations that provide any...
• We've heard nurses and doctors share their outrage.
• National Nurses United, the largest nurses union in the U.S., and the American College of Physicians,
• National Nurses United, the largest nurses union in the U.S. and the American College of Physicians,

Committee: Joint Joint Committee on Health Care Financing

Summary: The Joint Committee on Health Care Financing held a public hearing on 16 bills, with the chairs noting a busy legislative day and asking speakers to keep testimony brief. The committee first heard testimony on Senate 860/House 1405, the Medicare for All bill, with Sen. Jamie Eldridge and many advocates, clinicians, municipal officials, and patients arguing that a single-payer system would make care a right, reduce administrative waste, lower costs, and protect residents from rising premiums, medical debt, and hospital closures. Several speakers cited the Steward hospital crisis, affordability problems, and polling or ballot questions showing public support for single-payer coverage. No vote was taken during the hearing. The committee then took testimony on S. 863, a bill on non-opioid options for chronic pain. Pain specialists, patients, and advocates said the bill would improve care coordination for MassHealth members, expand access to non-opioid medications, require provider education, and collect data on chronic pain. Testifiers described long delays in diagnosis and treatment, stigma toward pain patients, and the need for multidisciplinary care and transportation support. Again, the committee heard testimony only and took no action. A large portion of the hearing focused on H. 1360/S. 869, which would prevent discrimination against people with disabilities in health care. Disability advocates, clinicians, and patients described being denied or delayed care, pressured into DNR orders, or treated based on assumptions about quality of life rather than medical facts. Speakers referenced COVID-era crisis standards of care, discriminatory metrics, and personal stories involving canceled procedures, inadequate accommodations, and poor treatment in hospitals. Committee members thanked speakers for their testimony and said they would review the bill and its implications, but no vote was announced. The committee also heard testimony on H. 1399, an individual Medicare marketplace option for municipal retirees, where supporters said it would give cities and towns a lower-cost alternative for retiree health benefits through HRAs and individual Medicare plans. The hearing then returned to Medicare for All testimony, with additional supporters repeating arguments about cost, access, municipal budget pressure, and the need for global budgeting and universal coverage. The transcript ends with continued testimony and no recorded committee vote or final action on any bill.

Transcript Highlights:

• Regulation.
• regulated by other states.
• Regulation.
• , DFS can work directly with the Florida regulator.
• But instead of closing them, we found a way to regulate them.

Summary: The Senate convened with a quorum, opening with prayer, the Pledge of Allegiance, and several introductions, including recognition of the day’s doctor of the day, an intern, and a resolution honoring the late Bob Graham and firefighter Roger Timmy Miley. The chamber also adopted a resolution designating August 9, 2026, as Bob Graham Day. After routine announcements, the Senate moved to the special order calendar and took up a series of bills, many of them with House companion bills substituted in place of Senate versions. The first major floor action was passage of a tax-related bill conforming Florida’s Internal Revenue Code to federal changes while excluding certain provisions from H.R. 1; it passed 34-0. The Senate then considered CS/SB 1758 on public assistance and Medicaid, which proposed stronger fraud enforcement, a Medicaid work requirement for able-bodied adults, expanded behavioral health services, pharmacy and drug rebate reforms, and SNAP fraud reduction measures. A Berman amendment to require Medicaid expansion before work requirements was rejected, as was an Osgood amendment to add photo-ID protections and exemptions for certain SNAP users. The bill remained on the calendar for third reading after extensive debate and questioning about implementation, exemptions, and potential impacts on beneficiaries. The chamber also passed bills on technology education and AI instruction, a Parkinson’s disease registry and related public records exemption, designation of the SS American Victory as Florida’s official flagship, electronic payments for local governments, repeal of the sunset on gold and silver legal tender, public records exemptions for financial institutions and custodians, a Florida stablecoin pilot program, local government finance transparency, digital voyeurism, and insurance customer representative licensing. Most of these measures were adopted after brief explanation, minor amendments, or substitution of House companions, with votes generally in favor and several passing unanimously or by wide margins. Later, the Senate took up CS/SB 1756 on medical freedom, which would expand parental vaccine information requirements, add a conscience-based exemption, allow behind-the-counter ivermectin access, and repeal the sunset on the mRNA mandate prohibition. The bill’s first amendments clarified anti-kickback rules for vaccine manufacturers and required informational materials to address risks, benefits, safety, and efficacy; the transcript ends during consideration of this bill, before final passage is shown.

Transcript Highlights:

• Thank you for the regulations.
• So it took a lot of work to actually get in compliance, but we are regulated by CMS.
• CMS is enforcing these regulated by CMS.
• I'm a retired registered nurse, and I'm a health advocate.
• <01:06:16.640><c> a</c><01:06:16.880><c> health</c> registered nurse and I'm a health registered nurse

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

Committee: House Health

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

Transcript Highlights:

• Regulation-wise, is what I’m talking about. Right.
• That would be the regulator if they’re given statutory authority and then take that step.
• You mentioned hospitals and nursing homes.
• You mentioned hospitals and nursing homes.
• The talk of coordination and nursing homes and things like that got me.

Summary: The committee met on May 26, 2026, and first approved the minutes from the May 22, 2025 meeting. The main topic was the Northwest Louisiana earthquake cluster, with testimony from Louisiana Department of Conservation and Energy staff, LSU and Tulane geoscientists, and later LSU law professor Keith Hall. Witnesses said the cause of the swarm has not been definitively identified, but induced seismicity from wastewater injection or hydraulic fracturing remains a concern. They described 50 earthquakes reported by the USGS in Red River, Bienville, DeSoto, and Natchitoches Parishes, including a magnitude 4.9 event on March 5, 2026, and explained that Louisiana’s sparse seismic network limits detection and depth/location estimates. C&E said it inspected Class II injection wells within 12 miles of the events, found no violations, now requires more frequent injection reporting, and is working with researchers and LSU on a possible state monitoring network and future policy changes. Committee members asked about injection depths, fault locations, whether the activity could be natural, and whether Louisiana should adopt stronger monitoring or a traffic-light regulatory system like other states. The witnesses said more data is needed before firm conclusions can be drawn, but that denser monitoring can detect smaller quakes and help identify patterns. Professor Hall summarized responses in other states, including more frequent reporting, increased monitoring, injection reductions, moratoria, and traffic-light systems in Oklahoma, Kansas, Texas, Ohio, and Illinois. Members also discussed whether operators should share more seismic and geologic data, and several said the state should avoid jumping to conclusions while still improving oversight. The committee then heard from William Berger, a Texas geoscientist, who described using AI and operator data to model wastewater injection and seismic risk, and said broader data sharing would improve forecasting and siting decisions. He and another witness emphasized that many earthquakes arise from clusters of wells rather than a single well, and that proprietary concerns limit voluntary disclosure. The committee also received a brief update from GOSEP and the Louisiana National Guard on the Barksdale Air Force Base drone incursions. GOSEP said it logged the incident in WebEOC and shared releasable information, while State Police and the FBI said they were limited in what they could disclose. Officers said a task force has been formed, some personnel have received federal drone-mitigation training, and House Bill 940 is intended to mirror the task force MOU. Finally, Major General Thomas Friloux and Brigadier General Jason Maffus updated the committee on the merger of GOSEP into the Louisiana Military Department. They said the merger has reduced GOSEP from seven divisions to three, brought back employees to in-person work, modernized the state’s common operating picture, and produced about $10.5 million in first-year cost avoidance through staffing and contract changes. They also noted the planned transfer of the Louisiana Center for Safe Schools to the Louisiana Commission on Law Enforcement, ongoing hurricane preparedness, and continued coordination with parish emergency managers. No votes were taken on the substantive topics, and the meeting ended with the committee moving through its agenda items and receiving informational testimony.

Transcript Highlights:

• I'm a flight nurse with Air Methods, covering the Central Valley and Central Coast line.
• We have a ratio of one nurse to six patients.
• There are nurses, school psychologists, counselors, clinicians, social workers—did I miss any?
• There are nurses, school psychologists, counselors, clinicians, social workers, did I miss any?
• And are we able to add more positions such as nurse assistants or LDN?

Summary: The committee heard a budget oversight hearing on the Department of Health Care Services, focusing first on the overall Medi-Cal budget and a March General Fund loan to cover a current-year shortfall. DHCS said the 2025-26 budget proposal totals $193.4 billion, with Medi-Cal projected at $188.1 billion total funds and $42.1 billion General Fund, driven by higher enrollment, pharmacy costs, managed care growth, and costs tied to eligibility expansions and the COVID-era redetermination unwinding. The department said the $3.44 billion loan was needed to manage cash flow and ensure timely payments to providers and plans, while the LAO noted Medi-Cal’s cash-basis budgeting creates volatility and that more detailed estimates would come with the May Revision. Members discussed federal Medicaid threats, the need for transparency on cost drivers, and the impact of pharmacy spending, long-term care, and immigration-related coverage expansions. The second major topic was family health programs, including California Children’s Services, the continuous coverage unwinding, and opioid settlement fund spending. DHCS described CCS funding methodology changes, ongoing county stakeholder work, and a delayed rollout of CCS monitoring and oversight until July 1, 2025, while county representatives and advocates argued the program is underfunded and asked for more technical assistance and a delay in implementation. On the unwinding, the department explained that federal redetermination flexibilities helped maintain coverage after the pandemic, but the Governor’s budget proposes ending them at the end of June 2025; advocates urged making the flexibilities permanent to avoid coverage losses. For opioid settlement funds, DHCS and Finance said the budget increases funding for naloxone distribution while reducing other harm-reduction spending based on updated settlement revenues, prompting criticism from members and public commenters who argued the change would weaken effective harm-reduction programs. The hearing also included an update on Proposition 35 implementation. DHCS said the voter-approved measure continuously appropriates MCO tax revenues beginning in 2025, with up to $4.6 billion annually available for specified Medi-Cal and provider investments in 2025 and 2026, but implementation depends on consultation with the required stakeholder advisory committee. The department and LAO noted uncertainty about future federal rules affecting the MCO tax after 2026. Public testimony largely supported maintaining Medi-Cal expansions, protecting immigrant coverage, preserving harm-reduction funding, and increasing support for community health workers, pediatric dental care, and CCS county administration. No votes were taken during the portion of the hearing provided.