Transcript Highlights:

• Further, when language translation services are not accessible, it leaves patients dependent on family
• We do know that there's shortages and telehealth is a very tempting option for families and patients.
• And telehealth is a very tempting option for families and patients looking to seek immediate relief.
• the pregnant patient and the fetal patient.
• When a pregnant patient is in a medical crisis, almost When a pregnant patient is in a medical crisis

Summary: The Assembly Health Committee met on March 25, 2025, with Chair Mia Bonta presiding and initially operating as a subcommittee until quorum was established. The committee heard several health-related bills, including AB 73 on creating a Black Mental Health Navigator certification, AB 499 on lowering the state reimbursement trigger for the Robert F. Kennedy Farm Workers Medical Plan, AB 843 on aligning California health insurance language-access rules with federal standards, AB 257 on a specialty care network using telehealth and virtual services for Medi-Cal and underserved communities, AB 64 on allowing diacritical marks on vital records, AB 315 on the Home and Community-Based Alternatives waiver, and AB 40 on clarifying that emergency services include reproductive health services such as abortion. Testimony generally emphasized disparities in access, culturally competent care, language access, rural provider shortages, and the importance of preserving or expanding programs that help vulnerable populations. Supporters included authors, state and local health organizations, advocacy groups, and affected individuals. AB 73 was backed as a way to address stigma, mistrust, and culturally competent mental health access for Black Californians. AB 499 was described as helping keep a self-insured farmworker health plan operational while maintaining a low-cost, labor-management model. AB 843 was supported as a way to prevent children and families from having to translate sensitive medical and insurance information and to protect limited-English-proficient Californians. AB 257 drew support as a demonstration project to improve specialty care access through California-based clinicians and virtual care, with examples of reduced wait times and costs. AB 64 received emotional testimony from the author, a child and his family, and others about the importance of accurately recording names with accents and other marks. AB 315 was presented as a cost-neutral or cost-saving way to expand home- and community-based care for medically fragile people, with strong support from disability, health, and provider groups. AB 40 drew support from reproductive health and medical organizations, while one opposition witness argued it could conflict with emergency care standards and overburden emergency departments. The committee took roll-call votes and advanced AB 499, AB 73, AB 843, AB 257, AB 64, AB 315, and AB 40 to Appropriations, with AB 40 receiving some no votes. The committee also adopted its 2025-26 rules and approved a consent calendar that included AB 225, AB 304, AB 403, AB 688, and AB 951. Several measures were initially placed on call and later lifted and recorded as passing out of committee before adjournment.

Transcript Highlights:

• These funds are used for direct patient care, and I'm asking for a yes. Thank you, Senator Bateman.
• This proposed substitute replaces the requirement for licensed hospitals to have an employed patient
• advocate physically present every day throughout the 24-hour period to assist patients navigating the
• We are in executive session, and we do have Senate Bill 5823 concerning patient advocates before us.
• While there are differing views, we share the same commitment to patient safety and quality care.

Summary: The Senate Health and Long-Term Care Committee held confirmation hearings for Ryan Moran to lead the Health Care Authority and Dennis Worsham to serve as Secretary of Health. Moran emphasized his personal background, experience in Maryland Medicaid, and priorities of protecting coverage amid federal changes, addressing health disparities, strengthening tribal partnerships, and improving agency operations. Worsham described his long public health career in Washington, his statewide listening tour, and his focus on collaboration, science-based decision-making, accountability, workforce support, and rebuilding public trust. Senators raised questions about behavioral health, social determinants of health, communication, misinformation, and the impact of federal policy changes; both nominees said Washington should continue leading on coverage, prevention, and public health resilience. In executive session, the committee advanced several bills. It passed SB 5899, allowing qualified chiropractors to perform chiropractic diagnosis and adjustments on animals; SB 6292, creating a joint legislative-executive committee on health care financing with a substitute; SB 6182, establishing an abortion savings program, after rejecting several Christian-sponsored amendments and adopting a Bateman amendment limiting eligible organizations to DOH-contracted abortion providers or funds; SB 5947, creating the Washington Health Care Board; SJR 8206, proposing a constitutional right to affordable health care; and SB 5933, on overdose mapping information sharing, with a substitute. The committee also recommended confirmation of both gubernatorial appointments. In a second group of bills, the committee passed SB 5823 on patient advocates with a substitute requiring at least one person physically present daily in acute care settings and expanding exemptions for certain hospitals; SB 6210 on the health plan certification process with a substitute; SB 5921 on psilocybin; SB 6226 protecting audiologists’ clinical autonomy with a substitute; and SB 5924 expanding pharmacists’ prescriptive authority with a substitute. Members discussed access, affordability, rural workforce shortages, and patient safety, and the committee adjourned after completing its agenda.

Transcript Highlights:

• Without BRN approval and oversight we're concerned that the bill will place both patients and nursing
• We identify and recognize the gap in care and accessibility for Medi-Cal patients.
• While the price tag is affordable for some, we know that eliminating out-of-pocket costs for patients
• Only after the patient comes to my pharmacy can I issue the prescription.
• Patients, Alanis? Alanis, aye. Chen? Chen, aye. Irwin? Irwin, aye. Lowenthal? Lowenthal, aye.

Committee: House Business and Professions

Transcript Highlights:

• It might limit a child's intake of the recommended foods.
• /c><03:52:23.399><c> of</c><03:52:23.520><c> their</c><03:52:23.680><c> food</c><03:52:24.199><c> intake
• </c><03:52:25.199><c> in</c><03:52:25.399><c> fact</c> the bulk of their food intake in fact the bulk
• of their food intake in fact last<03:52:25.880><c> year</c><03:52:26.040><c> in</c><03:52:26.199><c>

Summary: The committee took up HB 651, a school-funding bill that would raise the base cost of an adequate education and increase differentiated aid for students in poverty, English language learners, and special education. The chair opened with housekeeping notices about parking and eating in committee spaces, and noted a revised fiscal note would be distributed. Representative David Luneau presented the bill as part of a broader package of public school funding measures, explaining that HB 651 builds on HB 550 and is intended to respond to court rulings and the ongoing school-funding litigation by adjusting both the base adequacy amount and equity-based funding factors. Luneau said the bill would raise the state’s adequacy grant from about $4,100 to $7,351 per student and increase differentiated aid, while also updating statutory language so future recalculations include the court-identified resource elements. He argued the measure is about fairness and shifting more of the burden from local property taxpayers to the state, not about increasing overall education spending. He reviewed fiscal-note figures indicating the bill would add roughly $576 million to the state share of school funding, bringing the total state share to about $1.65 billion, and said the note also mentions possible effects on charter schools and vouchers. Committee members asked about the evidence supporting higher costs for low-income and English learner students, how long ESL funding should continue, why free-and-reduced-lunch aid remains higher than special education aid, whether the formula is based on enrollment or average daily membership, and whether the bill is truly equitable across districts of different sizes and needs. Luneau and later witness Zach Shen of the New Hampshire School Funding Fairness Project said the bill is supported by research and court findings, that the current formula relies heavily on local property taxes, and that shifting more funding to the state would reduce property-tax pressure and help address disparities among districts. Shen also cited broad public support for the related HB 550 testimony and said HB 651 is intended as a step toward a more equitable funding system. No vote or final action was taken in the portion provided.

Transcript Highlights:

• I do have some pretty significant concerns about their ability to really study patient outcomes in the
• I'm really worried about how do we measure some of these patient outcome measures and what does that
• I do have some pretty significant concerns about their ability to really study patient outcomes in the
• If pharmacies are gonna close, we're gonna lose vaccine access for a lot of patients in these remote
• I'm really worried about how do we measure some of these patient outcome measures and what does that

Summary: The Senate Commerce and Consumer Protection Committee heard House Bill 1481, which would require cemeteries, crematories, funeral establishments, HSI facilities, and mortuaries to dispose of human remains within 60 days after a burial transit permit or related affidavit is issued. The Hawaii Funeral and Cemetery Association and several funeral-related entities supported the bill, and the association said it had already implemented consistent cremation authorization language regarding notice and consent for recycling metal implants, effective January 1. The committee later recommended HB 1481 be passed with a defective effective date of July 1, 2050; the vice chair voted with reservations, saying the prior version with Department of Health rulemaking was stronger consumer protection. The committee also considered several resolutions. SCR 96 and SR 91, on a status update for implementation of the Hawaii Electric Reliability Administrator, were recommended for passage with amendments adopting the PUC’s requested changes. SCR 172 and SR 163, seeking a comprehensive analysis of ways to reduce costs and financial risks while meeting state goals, drew support from the PUC and Energy Office with comments, and the committee recommended passage with amendments removing a disputed whereas clause. SCR 109 and SR 102, on studying expanded mail-order pharmacy use, drew mixed testimony: the Insurance Division and HMSA supported a study, while the Hawaii Pharmacist Association and others raised concerns about patient outcomes, rural access, and community pharmacy sustainability; the committee amended the resolutions to require broader agency cooperation and evaluation of community pharmacy impacts, then recommended passage. In additional decision-making, the committee deferred SCR 193 and SR 1802 on trust transparency due to no testimony. It recommended passage with amendments on several bills, including HB 1782 after clarifying terminology with the Attorney General’s Office, HB 1514 on workers’ compensation, HB 1619 on electric vehicle infrastructure, HB 1643 on pharmacy, HB 1721 on housing, HB 1864 on insurance, HB 1946 on timeshare registration, and HB 2475 on labeling requirements. HB 350 on energy was deferred for more work. The committee also reconsidered HB 2101 on commercial aquarium collection and recommended passage as amended after hearing from supporters and noting concerns about enforcement and statewide consistency.

Transcript Highlights:

• For many patients, it's life-saving.
• For many patients, it's life-saving.
• Think about that patient population. Think about the demographics of that patient population.
• Think about that patient population. Think about the demographics of that patient population.
• We now know that most patient harm Data about patient harm events.

Committee: Joint Joint Committee on Ways and Means

Summary: The Joint Committee on Ways and Means held a Health and Human Services budget hearing in Clinton, with opening remarks from Chairs Meg Kilcoyne and Robin Kennedy, local officials, and many House and Senate members introducing themselves. The hearing focused on Governor Healey’s FY27 EOHHS and MassHealth budgets, with repeated themes of rising health care costs, federal funding uncertainty, workforce shortages, and access to care in underserved regions. Members also raised concerns about primary care shortages, rural and regional disparities, behavioral health access, maternal health, food insecurity, and the impact of federal policy changes on Massachusetts programs. EOHHS Secretary Kiame Mahaniah said the FY27 EOHHS budget totals $33.7 billion, reflecting mostly non-discretionary growth from health care costs, labor costs, caseload increases, and provider rate pressures. He highlighted targeted investments in foster care, family resource centers, maternal health, youth services, nutrition programs, immigrant legal services, and human service workforce rates, while warning that federal actions could strip roughly $3.5 billion annually from the state’s health care funding. In response to questions, he defended the administration’s cooperation with federal audits and program integrity efforts, discussed the primary care crisis, and said the state is trying to preserve core services while preparing for a more difficult FY28 budget cycle. MassHealth Undersecretary Mike Levine then described two major FY27 challenges: double-digit cost growth and the expected effects of the federal One Big Beautiful Bill Act. He said MassHealth’s proposed $22.7 billion gross budget includes a 7.5% increase and relies on a moratorium on new expansions plus targeted reductions, including a $1,000 annual adult dental cap, ending GLP-1 coverage for weight loss only, reducing care management to peer-state levels, and work groups to slow growth in PCA, adult foster care, and adult day health spending. Members questioned the impact on Boston Health Care for the Homeless, preventive care, and regional access; Levine said the changes are meant to preserve sustainability, that children and certain disabled populations remain protected, and that the administration will continue working with providers, advocates, and the Legislature on implementation and longer-term reforms.

Transcript Highlights:

• Thank you very much for being so patient.
• This bill would not apply to those scenarios for patients.
• We're going to stand firmly on the side of patient privacy.
• Patients and their providers. And that's it.
• So this bill allows the Attorney General to know that health care and patient privacy or patient safety

Committee: House Public Safety

Transcript Highlights:

• For many patients, it's life-saving.
• Think about that patient population. Think about the demographics of that patient population.
• Think about that patient population. Think about the demographics of that patient population.
• It's called our Office of Patient Protection.
• Today, almost one in four Massachusetts patients will and costly.

Committee: Joint Joint Committee on Ways and Means

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

Transcript Highlights:

• The patient must be held harmless if the provider is not approved after the whole credentialing process
• For patients in pain, which is common for chiropractic patients, these delays cause physical and financial
• In either event, the patient is held harmless. ensures Texans can obtain prompt chiropractic treatment
• Physicians, podiatrists, and therapeutic optometrists are providers that patients often seek out the
• To this expedited process will eliminate the wait for treatment for many patients in pain.

Bills: HB854 , HB 1052 , HB1642 , HB2076 , HB3042 , HB3695 , HB3787 , HB4062 , HB4092 , SB213 , SB493 , SB896 , HB5519 , HB4635

Committee: House Insurance

Transcript Highlights:

• They're a danger to the patients.
• </c> patient choice. patient choice.
• </c> patient choice. patient choice.
• </c> patient. So I see it's very limited. patient. So I see it's very limited.
• </c> to their patients. to their patients. Senator<02:13:53.480><c> Olson.</c> Thank you, Mr.

Committee: Senate Executive Departments and Administration

Transcript Highlights:

• patients the freedom to make their own decisions. their patients.
• Um they have patients, their patients.
• </c> Uh we talk to the patients in advance. Uh we talk to the patients in advance.
• </c> flexible patient safety zone of 25 ft. flexible patient safety zone of 25 ft.
• </c> patients and provider. patients and provider.

Committee: House Judiciary

Transcript Highlights:

• This is a good thing for our patients.
• This is a good thing for our patients.
• Call Dana Clark. actually one of my patients um is his actually one of my patients um is his name<00:
• </c> issues for Granite State patients. issues for Granite State patients.
• </c><04:41:59.200><c> I've</c> where the patient seeks care. I've where the patient seeks care.

Committee: Senate Health and Human Services

Transcript Highlights:

• And there are patients is 624 PCPs.
• There was a study in Pennsylvania that looked at over 250,000, I think, patient discharges.
• There was a study in Pennsylvania that looked at over 250,000, I think, patient discharges.
• And the real litmus test comes from the actual care of the patients.
• You you find out very of the patients.

Summary: The committee first heard Senate Bill 173 from Senator David Givens, which would create a legislative review process for the state health plan and state plan amendments, modeled after the administrative regulations process. Givens argued the legislature should have a stronger policy role in reviewing the plan, saying the bill would allow lawmakers to find components deficient rather than approve them outright. He tied the proposal to Medicaid spending growth and projected enrollment changes, saying the state needs a new oversight tool. Committee members generally supported the concept, though Senator Berg expressed concern that the legislature lacks the executive branch’s healthcare expertise. The bill was reported favorably on a unanimous roll call vote. The committee then took up Senate Bill 137, sponsored by Chairman Meredith, which would create a pathway for certain internationally trained physicians to practice in Kentucky without repeating residency in the United States. Supporters said the bill is aimed at addressing Kentucky’s physician shortage, especially in rural areas, and cited projections of a statewide shortage of about 3,000 physicians by 2030 and a shortage of primary care doctors in particular. Testimony from Cicero Action and Baptist Health emphasized that many foreign-trained physicians are already fully trained, that residency slots are limited, and that the bill could help fill shortages in underserved counties while preserving quality through existing exams, ECFMG certification, English proficiency requirements, primary source verification, and mentoring/oversight. Several members raised questions and concerns. Senator Berg asked about verification, required exams, and oversight, and Senator Tishner raised concerns about fraudulent credentials in some countries and whether the bill could admit underqualified physicians. Witnesses responded that applicants would still have to pass the same exams, obtain ECFMG certification, and undergo primary-source credentialing and employer oversight. Supporters also argued the bill would not displace U.S.-trained physicians because it would use otherwise limited residency capacity more efficiently. After discussion, the committee adopted the bill and reported it favorably by unanimous vote.

Transcript Highlights:

• These types of practitioners are meant to treat the patient and diagnose.
• The patients would have to basically acknowledge via signature.
• So the physician certification of the patient is for 52 weeks.
• And so they have to, a patient has to renew that annually.
• What we're exempting here is the registry's patient information, patient demographic, diagnosis, stage

Bills: S0688 , S1414 , S0186 , S0902 , S0196 , S1574 , S0878 , S1092 , S1032 , S1684 , S1686 , S1760

Committee: Senate Health Policy

Summary: The committee took up several health-related bills and confirmations. It first heard SB 1414 on congenital cytomegalovirus education, which would require the Department of Health to develop and distribute educational materials to expectant and new parents through maternity, prenatal, newborn, and OB-GYN settings; an amendment removed a section on required instruction for medical professionals, and the bill was reported favorably as a committee substitute. The committee then approved a block of appointees on tabs 2 through 7 and separately confirmed Chavon Harris as Secretary of the Agency for Health Care Administration after her testimony on Medicaid accountability, transparency, managed care oversight, rural health, behavioral health, and the state’s technology modernization efforts. Senators asked Harris about Hope Florida, Medicaid redeterminations, the CORE project, an anti-marijuana ad campaign at DCF, and compliance with a federal Medicaid-related court order; she said she would follow up on some issues. The confirmation was recommended favorably, with Senator Berman voting no. The committee next passed SB 186 on student health and safety, which expands epilepsy and seizure-disorder training requirements to more school personnel, including bus drivers and charter school staff, and requires seizure-first-aid posters and updated Department of Health education efforts. It also approved SB 902 on Department of Health issues after amendments narrowed the bill’s scope and added provisions on medical marijuana regulation, early childhood intervention, practitioner accountability, and autism workforce development; one speaker raised concerns about marijuana dispensary location restrictions and low-THC ratios. SB 196 creating a uterine fibroid research database was also reported favorably after an amendment protecting patient privacy; the bill drew emotional testimony from a patient describing severe symptoms and the need for more research. SB 688 on naturopathic medicine was approved after committee discussion about scope of practice, referral obligations, and whether naturopathic care should be adjunctive to conventional medicine; supporters described complementary care and access issues, while opponents worried about delayed treatment for serious disease. Later, the committee passed SB 1574, “Maddie’s Law,” to add biliary atresia screening to newborn screening using the same blood specimen already collected at birth and to launch an education campaign; parents of a child affected by the disease testified that earlier screening could have prevented severe harm. SB 878 on clinical laboratory personnel was reported favorably to address staffing shortages by allowing Florida to rely more directly on federal CLIA standards for qualified lab workers. SB 1092 on podiatric medicine was approved after an amendment narrowed it to cellular/tissue-based products and podiatrists’ use of certain therapies; the bill also addresses continuing education, informed consent, and advertising disclosures. SB 1032 on medical marijuana was amended and passed, aligning physician certification and card renewal timelines, setting 70-day and 35-day supply limits, and reducing the fee for honorably discharged veterans while preserving funding for FAMU; Senator Harrell opposed it, saying the longer timeframes were too much of an expansion. The committee also heard SB 1760 on Medicaid coverage transparency from Senator Brodeur, who said the bill focuses on accountability and fiscal responsibility, but the transcript cuts off before further discussion or action on that measure.

Transcript Highlights:

• :11:00.240><c> the</c> blood pressure patients and the blood pressure patients and the pharmacist<00:
• access and patient safety.
• </c> able to see the patient that frequently. able to see the patient that frequently.
• My day-to-day is basically patient-facing. I see patients all day long.
• Um I average patients all day long.

Committee: Senate Health and Human Services

Transcript Highlights:

• Thank you. time to stabilize that patient it's not time to stabilize that patient it's not a<00:18:14.480
• and the medical patient program.
• > it</c> they're all medical patients and it they're all medical patients and it seems<01:25:10.760><
• We need changes that are patient-centric, like expanding the number of patients per primary caregiver
• We need changes that are patient-centric, like expanding the number of patients per primary caregiver

Committee: House Judiciary & Hawaiian Affairs

Summary: The House Committee on Judiciary and Hawaiian Affairs heard Senate Bill 1322, SD2, HD1, a comprehensive measure revising Hawaii’s mental health code. The bill would clarify emergency transportation, examination, and hospitalization procedures for people who may be mentally ill or suffering from substance abuse and deemed imminently dangerous, expand notice requirements, allow certain information-sharing for assisted community treatment petitions, and add liability protections for emergency responders and providers. The Department of the Attorney General supported the bill as a collaborative update to the law, while the Department of Health asked for a copy of provider-generated emergency transport documentation within five days for data and planning purposes. Testimony was sharply divided. Queen’s Health System, Hawaiʻi Pacific Health, HHSC, and the Institute for Human Services supported the measure or parts of it but requested amendments, including clarifying whether a second psychiatric exam is required, restoring a 72-hour rather than 48-hour stabilization window, and adjusting where patients are taken when an MEO cannot be reached. The ACLU of Hawaiʻi strongly opposed the bill, arguing it weakens due process and civil liberties, especially around involuntary commitment, assisted community treatment, emergency transport by police, and reduced procedural safeguards; it urged the committee to hold the bill and consider an interim working group. Louie E.K. of the Hawaiʻi Disability Rights Center also opposed the bill, focusing on immunity from negligence, the use of police for transport, and the reduction of a three-provider review to one in state-hospital treatment orders. Other testimony included support from an individual who said the bill could improve mental health care delivery amid provider shortages, and a comment from Hawaiʻi Health and Harm Reduction Center warning that the substance use portion of the bill lacks evidence of effectiveness and could be misused. In response to committee questions, the Attorney General’s office said the measure was developed with input from multiple stakeholders, including state agencies, hospitals, the ACLU, HHSC, and IHS, and that it aims to make assisted community treatment more accessible and effective by streamlining the legal process and improving consequences for noncompliance. No vote or final action was taken during the portion of the meeting provided.

Transcript Highlights:

• a telehealth service or prescribing medications for that patient.
• A veterinary client-patient relationship, known as a VCPR, electronically.
• touching, listening, palpating, and visualizing the live patient.
• touching, listening, palpating, and visualizing the live patient.
• touching, listening, palpating, and visualizing the live patient.

Committee: Joint Joint Committee on Consumer Protection and Professional Licensure

Summary: The committee heard testimony on several bills, with the longest discussion focused on House Bill 426 and Senate Bill 263, which would prohibit the sale in Massachusetts of cosmetics known to rely on vertebrate animal testing. Supporters from Animal Defenders International, Humane World for Animals, and the Animal Rescue League said animal testing is cruel, outdated, and unreliable, and pointed to non-animal alternatives and similar laws in other states and countries. No opposition was heard on that bill during the excerpt, and witnesses urged the committee to report it favorably. The committee also took testimony on House Bill 4543, which would clarify an existing pipe-fitting exemption for certain work performed on property owned by industrial plants, utilities, colleges, and similar institutions. A representative for Construction Industries of Massachusetts supported the bill, saying it would preserve longstanding practice for outside contractors doing yard piping work. Pipefitters Local 537 opposed it, arguing the work is properly licensed pipefitting and that the bill would weaken licensing standards and undermine state inspectors. Another major topic was Senate Bill 237 on regulating self-checkouts in grocery establishments. The Mass AFL-CIO and UFCW Local 1445 supported the bill, saying self-checkout has reduced staffing, increased worker stress and customer conflict, and contributed to theft and safety problems. Workers described being responsible for multiple machines at once, verbal abuse, and even assaults, and said the bill’s staffing and machine limits would improve safety and customer service. The committee also heard extensive testimony on House Bill 355, which would allow veterinarians to establish a client-patient relationship via telehealth; ASPCA, MSPCA, and several veterinarians supported it as a way to expand access to care, while the Massachusetts Veterinary Medical Association and several veterinarians opposed it, arguing that an in-person exam is essential for proper diagnosis and that telemedicine should only follow an in-person VCPR. Finally, the committee heard testimony on House Bill 330, Senate Bill 221, and House Bill 371, which would preempt local boards of health from adopting tobacco-related age or sales restrictions beyond the statewide standard. Public health advocates opposed the bills, arguing they would block local innovation and undermine nicotine-free generation policies adopted by municipalities, while retailers and tobacco trade groups supported them as necessary to preserve a uniform statewide age-21 standard and avoid confusion for consumers and businesses. No votes or final actions were taken during the excerpt.

Transcript Highlights:

• So, it's safer for the patient. It's safer for the EMTs or the paramedics.
• So, it's safer for the patient. It's safer for the EMTs or the paramedics.
• So, it's safer for the patient. It's safer for the EMTs or the paramedics.
• It's safer for the patient. It's safer for the EMTs or the paramedics.
• So then you took the weight of the patient, added 88 pounds.

Summary: The Kentucky Board of EMS presented an additional budget request focused on grant funding for local EMS agencies, not agency operations. Officials said the board has 13 full-time staff after losing employees in the 2022 transition back to state government, and that the request would be a 100% pass-through to providers. They initially described two requests totaling $12.91 million: $10.8 million for the EMS block grant and $2.1 million for workforce education tied to House Bill 484, but later said they would withdraw the $2.1 million request because rural health transformation funding appears likely to cover those education needs. Most of the testimony explained why the EMS block grant should be increased. The board said the grant began in 1980 at about $1.2 million and has remained largely unchanged while EMS costs have risen sharply. They cited higher prices for ambulances, stretchers, and cardiac monitors, along with increased labor and reimbursement pressures. Board members emphasized that modern EMS now provides much more advanced care in the field, especially in rural areas, and argued that equipment such as 12-lead cardiac monitors can significantly improve patient outcomes. They said the current grant provides about $10,000 per county, while the request would raise funding to about $100,000 per county and increase the per-capita amount from roughly 26 cents to $2.60. Members also discussed whether the block grant statute should be reformed to target need more directly. Board officials said they had considered making the grant more competitive, but decided against it for now because many counties rely on the annual funding and shifting money away from some areas would create hardship. In response to questions, they said Kentucky has about 160 class one EMS agencies providing 911 response across 120 counties, and that grant awards in recent years reached 91 counties, then 108, then 110 counties. They also highlighted the cost and safety benefits of power loading systems for stretchers, saying they can reduce back injuries and help retain EMS workers, but are often unaffordable for smaller departments. No votes were taken on the budget request during the hearing. After the testimony and questions, the committee approved the minutes from the prior meeting by motion and second, with no opposition, and then adjourned.

Transcript Highlights:

• </c> appointments to be recorded with patient appointments to be recorded with patient and<00:26:36.000
• </c> with patient and provider consent. with patient and provider consent.
• </c><00:27:10.640><c> and</c> recorded when both the patient and recorded when both the patient and provider
• So a patient can't compel a provider to record a visit, and a provider can't compel a patient to agree
• </c> Just just to be clear, is um the patient Just just to be clear, is um the patient also<00:31:23.200

Transcript Highlights:

• And secondary cataracts that form on 50% of patients after cataract surgery, decreased night vision,
• When the medical community speaks with one voice about patient safety, I hope that we pause, listen,
• Training for these procedures must be held to a high standard to ensure patient safety.
• Patient safety, protection, and quality of care are of utmost importance, and patients must be assured
• Patient safety, protection, and quality of care are of utmost important, and patients must be assured

Summary: The committee first heard House Bill 120, which would revise New Mexico law on restraint and seclusion in public schools. The sponsor and supporters said the bill grew out of a year-long stakeholder working group and would clearly define terms such as chemical, mechanical, prone restraint, seclusion, timeout, de-escalation, and elopement; prohibit chemical, mechanical, and prone restraint; require continuous supervision during seclusion; update school safety plans and staff training; and improve reporting to parents and the state. Testimony from disability advocates, the Public Education Department, educators, and parents emphasized that students with disabilities are disproportionately affected, that clearer rules would help staff act safely, and that better reporting and de-escalation practices would reduce trauma. Committee members asked about the meaning of timeout, chemical restraint, data accuracy, and the juvenile detention facility exception, and the sponsor indicated an amendment on parent-notification timing would not be pursued to avoid delay. The committee then began House Bill 213, which would expand the Optometry Act to allow trained optometrists to perform certain laser procedures, including treatment for capsular clouding and glaucoma-related procedures. The sponsor said the bill adds training, certification, supervised live-procedure requirements, adverse-outcome reporting, and an Optometry Board member qualified to perform the procedures. Supporters argued the measure would improve access to care, especially in rural areas, and that the procedures are already performed safely in other states. Opponents, including ophthalmologists and the New Mexico Medical Board, argued the bill would move surgery outside the Medical Practice Act, lower the standard of care, and create regulatory and malpractice-accountability concerns because optometrists would not be subject to the same oversight and emergency-care authority as physicians. The committee did not reach a final vote on HB 213 before the transcript ended.