Transcript Highlights:

• I've started my own I've lived it.
• I'll jump in while they're sitting down.
• I'll jump in while they're sitting down.
• I'll jump in while they're sitting down.
• takes that, they look at that, it starts takes that, they look at that, it starts in<01:31:46.880

Keywords: 958, all

Summary: The subcommittee met on October 14, approved the minutes, and then took up a large group of staff-suggested amendments to multiple regulations. Those staff amendments were approved without objection and were described as technical changes needed to comply with KRS Chapter 13A and other governing law. The committee then moved out of order to consider Kentucky Board of Medical Licensure regulation 2011 KAR 9:270, which governs buprenorphine prescribing and related standards. Board representatives said the regulation has been updated over time since 2015 and that the current amendments are intended to streamline the rule, remove outdated federal references such as the X-waiver, narrow education requirements to addiction-related topics, and create exceptions for settings like emergency rooms and certain pain treatment situations. The agency amendment would also allow buprenorphine monoproduct for up to 30 days when a patient is transitioning from a full opioid agonist, and would add physicians certified in addiction medicine as eligible specialty consultants. Board officials said the regulation was developed through a two-year process with a work group, informal outreach to medical organizations, and multiple comment periods, and they argued the rule is working because overdose deaths have declined and provider numbers have increased. Several witnesses and committee members raised concerns that the regulation remains too restrictive. Senator Rocky Adams noted that major medical organizations had said the proposed language could restrict access and worsen overdose risk, and he questioned whether the committee was being asked to choose between conflicting expert views. Opponents, including a medical student, a recovery advocate, and Dr. Colleen Ryan of the Kentucky Society of Addiction Medicine, argued the rule is outdated, creates unnecessary barriers to buprenorphine treatment, and should be repealed or substantially revised to align with federal guidance and evidence-based care. They said rigid requirements can discourage treatment and that addiction should be treated like other chronic illnesses. No final vote on the medical licensure regulation is reflected in the transcript excerpt, and the discussion ended with the chair preparing to hear from additional opponents.

Transcript Highlights:

• Is there anything you want to say about this before I, um, start?
• Before I, um, start, no, I just want to make sure everybody has it.
• <01:36:37.440> uh we're not we're just starting uh we're not we're just starting uh nothing's
• <03:09:58.479> and that started was when that started and that started was when that started
• It'll start, but I think it's a slow-moving ship.

Keywords: 928, house, all

Summary: The committee met in a work session on revenue estimates and reviewed updated spreadsheet pages for several tax categories, using prior agreements and new testimony to refine FY 2025-2027 estimates. Early discussion covered insurance tax estimates, where members reviewed a letter from the insurance commissioner saying he was comfortable with the numbers provided; the committee accepted those estimates without opposition. Members also discussed utility property tax, with testimony about recent infrastructure buildout, tariffs, depreciation, and the difficulty of forecasting future growth. After debate over whether to use the average of high and low estimates or lean lower, the committee unanimously adopted the utility property tax numbers. The committee then turned to real estate transfer tax and communications tax. For real estate transfer tax, members cited county input, housing market conditions, interest rates, lumber costs, and uncertainty about future policy; they agreed to use the averages and adopted those estimates unanimously. For communications tax, members noted the decline in landline-based revenue and the shift to data services. After discussion of whether to use the low estimate or the average, the committee settled on the average with a small rounding-down adjustment when the figure ended in .5, and adopted the numbers unanimously. The chair also clarified that these estimates remain subject to change until the final resolution is adopted. The committee next accepted interest and dividends estimates as presented, with members noting the decline in that revenue source and the lack of additional information beyond the department’s analysis. Finally, the committee began discussing tobacco tax revenue, with members noting long-term declines in smoking, offsetting effects from out-of-state sales, and a suggestion to take a slightly conservative approach by reducing the average by 0.5. The transcript cuts off during that discussion, so no final vote on tobacco is shown in the excerpt.

Transcript Highlights:

• <00:12:13.560> throughout you'll see kind of the jump throughout you'll see kind of the jump
• when kind of covid hit and we started when kind of covid hit and we started receiving<00:13:04.639
• Raisenow, how are you starting off this, or Miss Summerfield, whoever's going to start, just as you all
• Raisenow, how are you starting off this, or Miss Summerfield, whoever's going to start, just as you all
• be that's set aside for us to start be that's set aside for us to start modernization<01:40:30.000

Keywords: 1187, senate, all

Transcript Highlights:

• But we'll start with at the same time.
• We're going to start with Representative Katisa Watun. category.
• We're going to start member questions.
• We did not provide any kind of subsidies to jump-start the program. apartment buildings that are most
• extent that there is very little money available right now, providing some subsidies to the program to jump-start

Keywords: 1183, house

Transcript Highlights:

• hear about that later when we start hear about that later when we start talking<01:58:57.400>
• but I looked at that and started but I looked at that and started thinking<01:59:04.400> maybe
• > we<03:40:20.800> jump<03:40:21.120> from 81.6% other words we jump from 81.6%
• Get started again.
• He was there when I started.

Keywords: 928, house, all

Summary: The committee first heard House Bill 362, which would grant the Department of Education rulemaking authority related to educator licensure and testing requirements, including passing scores on professional education assessments. Representative Ladd said the bill is intended to preserve New Hampshire’s standards for classroom teachers and CTE instructors, while allowing DOE flexibility through rulemaking. He emphasized maintaining high standards, including for career and technical education, and said he was open to DOE clarifying the language further. Committee members raised concerns that the bill, as written, could remove language recognizing industry-recognized credentials for CTE instructors. Department of Education Director Steven Appy said DOE had drafted an amendment to clarify that the requirement applies to an initial New Hampshire license, to exempt CTE teachers from content exams, and to preserve current administrative practice allowing basic academic skills testing and industry-recognized credentials as substitutes. The committee discussed the distinction between basic academic skills tests and content assessments, and Appy said the amendment was meant to avoid conflating those requirements. The chair said the committee would take up executive session on HB 362 and related bills later. The committee then took up House Bill 90, which narrows and defines the rules for part-time teachers, especially in concurrent enrollment settings. Representative Ladd explained that the bill is meant to allow qualified college faculty or adjuncts from the University System or Community College System to teach high school concurrent-enrollment courses when local schools lack a teacher with the needed master’s-level credentials, particularly in math and STEM subjects. He said the bill is intended to expand student access to college-level coursework, save money, and preserve standards, while still requiring background checks and adherence to ethics and conduct rules. Members began asking questions about how the bill would work in practice, including certification and endorsement issues, but the hearing was not concluded in the portion provided.

Transcript Highlights:

• Go ahead and state your name and start your presentation.
• <00:53:20.079> with Oliver uh we'll start with Oliver uh we'll start with representative<00
• pieces, and then we'll jump in.
• pieces, and then we'll jump in.
• So I'll jump into the state grant.

Keywords: 1183, house

Transcript Highlights:

• That's how this bill started.
• That's how this bill started.
• That's how this bill started.
• That's how this bill started. That's how this bill started.
• Um so, for if we start conflict.

Bills: SB2607, SB2031, SB2043, SB2623, SB2876, SB2396, SB2964, SB2089

Keywords: landscape architecture, licensure, educational requirements, examination, professional standards, consumer protection, junk fees, live-event tickets, short-term lodging, transparency, pricing disclosure, deceptive practices, insurance, captives, regulations, policyholders, SB2623, Hawaii pharmacy law, Board of Pharmacy, registered pharmacy technician

Summary: The committee first heard HCR 168 and HR 158, which would create a temporary working group to study utility capacity, coastline infrastructure lifespan, and the costs of needed expansions. Public Utilities Commission staff said the commission was not the right entity to direct all of the work because it lacks authority over many affected agencies. Members discussed whether the study should be limited to a coastal area or broadened to the whole island, and in decision-making the committee amended the measure to focus on the County of Honolulu, correct references to the Public Utilities Commission, and revise the working group membership to include the PUC chair, legislative designees, and directors or designees from DLNR, DOT, HIEMA, and DCCA Consumer Advocacy. The committee then passed both resolutions with amendments; the vote was adopted unanimously, with some members excused. The committee next considered HCR 145 and HR 137, which would convene a working group on climate change impacts on insurance availability and affordability. The Insurance Division stood on its written comments, the Climate Change Mitigation and Adaptation Commission supported the intent, and the Attorney General opposed the measure, warning that a working group could create discoverable materials that might complicate the state’s climate litigation and noting a technical ambiguity in the reference to the Hawaii Hurricane Relief Fund administrator. After questions about discovery and the lawsuit, the committee amended the resolutions to replace the administrator reference with the chair of the Hawaii Hurricane Relief Fund Board of Directors, remove the Attorney General as convener while keeping the office as a member, and have the working group share findings and recommendations with the House CPC and Senate CPN committees instead of issuing a report. The committee passed the measures with amendments, with Rep. Martin voting with reservations. In the later agenda, the committee heard SB 2607, SD 1 on landscape architect licensure. The Board of Professional Engineers, Architects, Surveyors, and Landscape Architects supported the bill, explaining it modernizes licensure requirements to align with national standards and clarifies the profession’s design-focused role. The bill was discussed as distinguishing landscape architecture from groundskeeping and from civil engineering drainage work. No opposition was heard. The committee also heard SB 2031, SD 2 on consumer protection and price transparency for live ticket events and short-term lodging. The Office of Consumer Protection supported the bill, saying it largely mirrors an FTC rule requiring all-in pricing and would give the state enforcement authority and remedies. The Hawaii Financial Services Association opposed the bill as drafted and sought a limited exemption for credit card issuers relying on third-party hotel information, while the Hawaii Hotel Alliance supported the measure but asked for language deeming compliance with the federal rule sufficient for short-term lodging. Committee members questioned whether those proposed exemptions would conflict with federal law or weaken state enforcement, and the discussion focused on preemption, liability, and the value of state remedies such as restitution.

Transcript Highlights:

• So let's go ahead and get started with SB 1024. Mr. Chair? Yes.
• I see the Senator Kavanaugh has jumped on in. Thank you, sir. Thank you very much.
• I see the Senator Kavanaugh has jumped on in. Thank you, sir. Thank you very much.
• We'll start off with Emily Raymond.
• Okay, let's jump back to 1232.

Bills: SB1010, SB1024, SB1205, SB1232, SB1366, SB1552, SB1624, SCM1002, SCM1006, SCR1004

Keywords: Charlie Kirk, Loop 202, Arizona highways, transportation, renaming, roadable aircraft, registration, vehicle title, license plates, aviation safety, motor vehicle booting, private property, fees, dispute process, regulations, outdoor advertising, military compatibility, zoning, electronic signage, permitting

Transcript Highlights:

• “Yes, I’ll jump in with one.
• Actually, William hasn't started. He starts on July 1st. So thank you for being here, William.
• We're starting a Surg Tech program.
• They will start this fall.
• So again, a starting point for discussion.

Keywords: 908, all

Transcript Highlights:

• Um, I started out not like most in elementary education and then, uh, made the jump, the dreaded jump
• I started my first year out, um, this year, the week before school starting with a student shooting.
• OK, we're gonna start again in about 2 minutes, so people start finding their seats.
• If you'd start, please, sir. Thank you, uh, Mr.
• that we'll start seeing them.

Transcript Highlights:

• I was just starting to get into the amendment. So to be clear...
• Jumping through hoops, talking to your district.
• Jumping through hoops, they’re saying we shouldn’t have to do it.
• To 1,700 square feet that they start below $284,000?
• It's a huge jump, and that's a matter of finding.

Bills: HCR158, HCR159, HCR160, HCR161, HCR162, HCR163, HCR164, HR174, HR427, HR790, HR810, HR857, HR866, HR882, HR883, HR962, HR966, HR1001, HR1045, HR1085, HR1097, HR1127, HR1138, HR1141, HR1150, HR1152, HR1292, HR1296, HR1304, HR1305, HR1306, HR1308, HR1309, HR1310, HR1311, HR1312, HR1313, HR1315, HR1317, HR1318, HR1320, HR1321, HR1322, HR1323, HR1324, HR1325, HR1327, HR1328, HR1329, HR1330, HR1331, HR1332, HR1333, HR1334, HR1335, HR1338, HR1340, HR1341, HR1342, HR1343, HR1344, HR1345, HR1346, HR1347, HR1348, HR1349, HR1352, HR1353, HR1354, HR1355, HR1358, HR1359, HR1360, HR1361, HR1362, HR1363, HR1364, HR1365, HR1366, HR1368, HR1369, HR1370, HR1380, HR1383, HR1384, HR1385, HR1386, HR1387, HR1388, HR1389, HR1390, HR1392, HR1393, HR1396, HR1397, HR1398, HR1399, HR1400, HR1402, HR1403, HR1404, HR1405, HR1406, HR1407, HR1408, HR1409, HR1410, HR1411, HR1412, HR1413, HR1414, HR1415, HR1417, HR1418, HR1419, HR1420, HR1421, HR1422, HR1424, HR1425, HR1426, HR1427, HR1428, HR1429, HR1430, HR1431, HR1432, HR1433, HR1434, HR1435, HR1436, HR1437, HR1438, HR1440, HR1441, HR1442, HR1443, HR1444, HR1445, HR1447, HR1448, HR1449, HR1450, HR1452, HR1453, HR1454, HR1455, HR1456, HR1458, HR1459, HR1460, HR1461, HR1462, HR1463, HR1464, HR1465, HR1466, HR1467, HR1469, HR1470, HR1471, HR1472, HR1473, HR1475, HR1477, HCR132, HCR154, HR17, HR49, HR170, HR275, HR355, HR356, HR364, HR369, HR672, HR690, HR755, HR756, HR759, HR762, HR763, HR781, HR785, HR848, HR1240, HR1265, HR1303, HR1307, HR1314, HR1316, HR1319, HR1326, HR1336, HR1337, HR1350, HR1351, HR1367, HR1371, HR1372, HR1373, HR1374, HR1375, HR1376, HR1377, HR1378, HR1379, HR1382, HR1391, HR1395, HR1451, HR1457, HR1468, HR1474, HR1476, SB1637, SB2878, HB2885, HB2017, HB5246, SB8, SB2308, SB1405, HB 119, SB3059, SB15, SB568, SB2900, HB3642, HB3909, SB268, HB493, SB2217, HB2516, SB650, HB2963, SB1610, HB705, SB2972, SB1540, HB40, SB2753, SB1660, SB2024, HB1545, HB46

Keywords: World War II, V-J Day, Victory over Japan Day, Japan surrender, atomic bomb, Hiroshima, Nagasaki, USS Missouri, Douglas MacArthur, Harry S. Truman, Winston Churchill, Joseph Stalin, Potsdam Conference, Pacific Theater, Greatest Generation, veterans, military history, commemoration, concurrent resolution, Texas Legislature

Transcript Highlights:

• <00:02:28.599> doing um before they go off and um start doing um before they go off and um
• First, I need to start off by saying how great it is that we have Michael Mikata back here.
• First, I need to start off by saying how great it is that we have Michael Mikata back here.
• We work with 31 schools in Maui County, and we're just starting a snack program.
• startup grants that you've seen we start startup grants that you've seen we start them<00:42:01.960

Keywords: 912, senate, all

Summary: The committee heard testimony on HB 1294 HD2, which would create a workforce housing working group within the Department of Agriculture to address agricultural workforce housing shortages. The Department of Agriculture supported the bill’s intent but emphasized that the first step should be a study to determine actual housing demand, noting many farmers have very low incomes and may not be able to support housing costs. A DHHL representative said the department supports the measure as a first step but does not currently plan to expand housing on its agricultural lands; members also discussed the distinction between agricultural and pastoral leases and asked for follow-up information on lease numbers and ranchers growing feed. Testimony on HB 1294 was overwhelmingly supportive, with farm and farmers’ organizations saying housing is critical to sustaining agriculture and should be located near farm operations when possible. Members questioned how housing eligibility would be enforced and whether federal housing funds could be used. The committee reported 38 testimonies in support, none opposed, and two comments, then voted to pass HB 1294 HD2 with amendments, including a date defect to July 1, 2050; the motion carried with five in favor and the recommendations were adopted. The committee then took up HB 428 HD1, establishing the Hawaii Farm to Families Program to address food shortages and requiring reports before the 2026 regular session. The Department of Agriculture urged the bill’s continuation and appropriations, citing rescinded federal grant programs and a planned $1.1 million application to support food banks and kalo production. Food banks, the Hawaii Farm Bureau, the Hawaii Farmers Union, and other groups strongly supported the measure, describing rising demand for charitable food assistance, especially for fresh produce and protein, and noting that many families are struggling despite working multiple jobs. Witnesses also described school pantry and backpack programs, food rescue partnerships with retailers, and the need for more stable state support; one witness asked for at least $5 million in funding for farm families. Committee members asked about food insecurity levels, food safety, abuse of food assistance, and how the program would connect farmers with schools and food banks. Food bank representatives said they already work with DOE school pantry programs and inspect all donated food for safety, and they suggested a grant or escrow-style payment model could help farmers by reducing reimbursement delays. The transcript does not show a final vote on HB 428 before the excerpt ends.

Transcript Highlights:

• So I'm going to jump right in. I'll start with a little bit of background information.
• <00:02:02.520> right industry um so I'm going to jump right industry um so I'm going to jump
• First, it will start with employment.
• <01:16:30.040> yet construction season hasn't started yet construction season hasn't started
• sorry soon we had a large group started sorry soon we had a large group started and<01:35:43.520

Keywords: 1187, senate, all

Transcript Highlights:

• to do this as down the road of starting to do this as a<00:25:43.919> one-off.
• seen when legislation like this has been activated in places like Denver, gun assault clearances jumped
• 51.119> clearances like Denver, gun assault clearances like Denver, gun assault clearances jumped
• jumped from 39% to 65% clearance rates. jumped from 39% to 65% clearance rates.
• from 37% to their clearance rates jumped from 37% to 71%. 71%. 71%.

Keywords: 919, house, all

Summary: House File 1082, a public safety finance bill extending the time to use certain appropriations, was taken up on the House floor and described by the author as a package of funding and policy changes. The bill’s major components included $12 million for victim services such as domestic violence shelters, sexual assault advocates, child abuse programs, and general crime victim services; creation of a domestic violence task force; additional funding for Philando Castile training; increased penalties and other criminal law changes; a process for decommissioning law enforcement vehicles; a task force on uniform IDs for first responders; a non-fatal shooting clearance grant program; corrections employment program changes; and line-of-duty death benefit updates for first responders. Members speaking in support emphasized the need to stabilize victim services, improve responses to domestic violence, and address public safety gaps identified after recent events. The House adopted Amendment A21, which requires the Department of Public Safety to convene a task force to study transitioning the ARMOR emergency communications system to a statewide funded model. Supporters said the system needs major upgrades and that the task force could examine funding options, including ideas previously discussed for a modest cell phone fee. The House then adopted Amendment A18, as amended by technical Amendment A22, to add protections for police and other public safety officers against doxxing and release of certain personal information, modeled in part on protections previously enacted for judges. Debate on A18 focused on whether the bill should protect only law enforcement or be part of a broader approach to data privacy; supporters argued officers and their families face real threats, while some members said the issue should be addressed more broadly. The amendment passed on a roll call vote, 119-11. During third reading discussion, members highlighted the first-responder provisions, especially the task force on standard IDs and the line-of-duty death changes. Supporters said the ID task force was prompted by the June 14 events and could help quickly verify responders and improve coordination at large incidents. The line-of-duty death update was described as expanding eligibility for part-time and paid-on-call firefighters and including occupational illnesses, especially job-related cancer, in response to long-standing concerns from firefighters and their families. No final vote on the bill itself was shown in the transcript excerpt, but the bill advanced after the amendments were adopted.

Transcript Highlights:

• Your legislative career has been taken up by championing survivors since this fire started at the start
• You start fires. You are making money in ROE.
• Yeah, just to add, just jump in real quick.
• It is the start that has to be prevented.
• First, the survivors started with zero.

Summary: The Assembly Committee on Utilities and Energy held a hearing on the California Earthquake Authority’s SB 254 report and broader options for reforming California’s utility wildfire recovery system. The chair framed the discussion around the Palisades and Eaton fires, the scale of wildfire-related costs on utility bills, and the need to weigh trade-offs among survivors, ratepayers, utilities, insurers, and taxpayers. The first panel featured wildfire survivors William Abrams and Joy Chen, who described long delays in compensation, housing insecurity, and what they viewed as a system that protects utility shareholders more than victims. They urged greater transparency, clearer accountability for utility spending and safety performance, faster and fuller compensation for survivors, and reforms such as independent audits and better alignment of utility incentives with wildfire prevention and restitution. The second panel began with Tom Welsh of the California Earthquake Authority, who explained that the SB 254 report was intended as a broad inventory of policy pathways rather than recommendations. He described the report’s process, including stakeholder submissions, workstreams, and a convergence process, and outlined the current wildfire fund structure: utilities remain liable, the fund reimburses eligible claims after a covered wildfire, and the CPUC later determines prudency and possible reimbursement back to the fund. RAND’s Lloyd Dixon summarized compensation data, saying utilities paid about $38 billion between 2017 and 2024, with major shares going to injured parties, insurers, and public entities, while litigation costs and survivors’ own losses remain substantial. He noted that legal fees and delays reduce the amount survivors ultimately receive. Utility and public-interest witnesses offered differing views on the report’s pathways. PG&E’s Tyson Smith said the report shows inaction is the worst outcome and argued for community wildfire risk reduction, equitable allocation of catastrophe costs, and state-led resilience tools. LADWP’s Fernando Valero emphasized the vulnerability of municipal utilities and cities, and supported inverse condemnation reform, a state-sponsored liability insurance framework, damages and subrogation limits, and stronger insurance access. Consumer Attorneys of California’s John Fisk argued that IOU-caused fires are not natural disasters but the result of negligence and sometimes criminal conduct, and opposed reducing utility liability while supporting stronger oversight and audits. The Public Advocates Office’s Nathaniel Skinner focused on affordability, saying ratepayers already bear large and growing wildfire costs and warning against shifting more costs onto bills without measurable risk reduction and tighter accountability. Committee members then began questioning witnesses about what counts as measurable mitigation, how to define full and fair compensation, and how any fast-pay process should work.

Transcript Highlights:

• You're going to start us off? Yes, Mr. Chairman, members of the committee.
• I just wanted to hit on a few notable items, starting with number 14.
• Chair, I'll start and hand over.
• And, well, when does it actually start? When does it actually start funding itself?
• And maybe that's where our co-pay would start.

Keywords: 996, all

Transcript Highlights:

• Bird, maybe you could, before she starts, can walk through the plan of actions for the bill.
• So, I'll first jump down to the expenditure detail, which is on line 12, and you will see that there
• So, I'll first jump down to the expenditure detail, which is on line 12, and you will see that there
• So, I'll<00:04:36.680> first<00:04:36.960> jump<00:04:37.200> down<00:04:37.560>
• I'll first jump down to the expenditure detail,<00:04:40.000> which<00:04:40.280> is<00

Keywords: 1187, senate, all

Transcript Highlights:

• So, I'd like to turn it over to my testifiers, and I'll start. incentives.
• We like to refer to it already started.
• One thing that does that<00:08:17.000> does<00:08:17.200> jump<00:08:17.400> out
• out at me, and maybe you that does jump out at me, and maybe you can<00:08:18.080> correct<00
• Yeah, I'll just say yes, I'll start Yeah, I'll just say yes, I'll start there.<00:10:36.440>

Keywords: 1183, house

Transcript Highlights:

• So we'll start there.
• But we'll start with DMAS and let you guys present.
• They'll start in about a year and a half.
• May as well jump in.
• Obviously, we'll be listening throughout our time, but I'm really trying to jump-start that with this

Keywords: House Room C, General Assembly Building, 976, house, all

Transcript Highlights:

• Before we get started, I would just like to say a few words.
• Today we have two legislators who have registered, and they will be called upon when we start testimony
• So theoretically, people from these six states can come into Massachusetts and literally jump the line
• So theoretically, people from these six states can come into Massachusetts and literally jump the line
• So theoretically, people from these six states can come into Massachusetts and literally jump the line

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on several health care bills focused primarily on autism services and kidney disease coverage. Committee chairs John Lawn and Cindy Friedman opened by outlining hearing procedures, testimony rules, and filing deadlines, and noted the hearing would be recorded and written testimony accepted. They said the day’s topics included affordability and access to behavioral health services, provider reimbursement, Medicare coverage for vulnerable populations, and MassHealth eligibility asset exemptions. A major portion of the hearing concerned House Bill 4623, which would add board-certified assistant behavior analysts (BCABAs) as a recognized mid-level supervisory role in the MassHealth reimbursement framework to help address long wait lists for autism spectrum disorder services. Representative Lisa Field, actuaries, clinicians, and autism service providers testified that the current two-tier model limits workforce capacity, contributes to long delays, and leaves families waiting months for care. Supporters said the bill could expand access, improve retention, and potentially reduce MassHealth costs, while also helping providers meet growing demand and new administrative requirements. The committee also heard testimony on House Bill 4425 and Senate Bill 2737, which would allow Massachusetts residents under 65 with end-stage renal disease to purchase Medigap coverage. Legislators, dialysis advocates, and patients described high out-of-pocket costs under Medicare, barriers to kidney transplant eligibility without secondary insurance, and the financial strain on patients and families. Testifiers said the change would affect about 846 residents, could modestly increase premiums, and might reduce Medicaid spending by preventing asset spend-downs. Senator Gomez and others spoke from personal experience with dialysis and transplant care. Finally, the committee heard testimony on House Bill 4353 and Senate Bill 2587, which would require regular data-driven review of MassHealth ABA reimbursement rates. Providers and association representatives argued that reimbursement has not kept pace with inflation, workforce shortages, accreditation costs, and new 2026 MassHealth policy requirements, and said the bills would improve transparency and ensure rates reflect the true cost of care. No votes were taken; the hearing concluded with the chairs thanking participants, inviting additional written testimony, and adjourning the meeting.