Transcript Highlights:

• medication I C I certainly medication I C I certainly wouldn't<04:01:11.040><c> thank</c><04:01:11.279
• </c> need only look to Canada where Medical need only look to Canada where Medical Aid<04:27:00.279><
• </c> about this bill is that it medicalizes about this bill is that it medicalizes death<04:38:26.320
• </c> safeguards now we all know about medical safeguards now we all know about medical freedom<04:42:
• </c> that allows patients to stop medical that allows patients to stop medical treatment<05:03:38.240

Summary: The committee first heard House Bill 199, which would extend the statute of limitations for civil actions seeking damages from PFAS contamination from six years to 20 years. The prime sponsor and other supporters argued that PFAS contamination in southern New Hampshire has long-term and often delayed health and property impacts, making the current six-year period too short for victims to discover harm, connect it to exposure, and seek relief. Supporters described contamination in places such as Merrimack and surrounding communities, cited health concerns including cancer, developmental issues, and other illnesses, and said a longer period would better preserve legal rights while still requiring proof of causation. The Department of Environmental Services said it was not taking a position but acknowledged the contamination and ongoing work to address it. The Business and Industry Association opposed the bill, arguing that evidence becomes stale over time, memories and documents fade, and a longer window would make it harder to determine causation when other exposures or intervening factors may be involved. Committee members questioned both sides about causation, the difficulty of proving PFAS-related illness, and whether a 20-year period was necessary if a plaintiff already knows of the injury and its source. Supporters responded that PFAS effects can emerge slowly, that scientific understanding continues to develop, and that current knowledge is still incomplete. Opponents said the existing discovery rule already starts the clock when harm and causal connection are known, and that extending the period would reduce clarity and fairness in litigation. After testimony and questions, the chair closed the hearing on HB 199. The committee then opened House Bill 268 FN, which was described as a technical measure to confirm that the Board of Tax and Land Appeals may hold hearings in its Concord hearing rooms. The sponsor indicated the bill reflects current practice and does not require additional facilities. With only one witness listed and no apparent opposition, the discussion was brief and focused on why the authorization should be placed in statute rather than left to practice.

Transcript Highlights:

• Medications, as I've mentioned, we have the most evidence for medications for opioid use disorder and
• I'm not a medical doctor, but if someone can tell me that we have medical interventions that cut a death
• But, you know, peers are necessary but not sufficient.” “Peers are necessary, but not sufficient.
• only 25% of people are going to get medications.
• So my organization is going to pick up medications, including medications like Suboxone, and we keep

Committee: House Substance Abuse Prevention and Treatment Task Force

Summary: The task force meeting opened with a brief organizational update, including new leadership, roll call, and an explanation of the task force’s statutory duties: to study current and future drug and substance use in Missouri, explore solutions, draft or modify legislation, and report recommendations on prevention and treatment. The chair outlined the summer hearing plan, which would feature field experts, with future sessions expected to cover alternative therapies such as psilocybin and ibogaine and testimony from the Department of Mental Health. Members were encouraged to think about legislative ideas and policy recommendations for the upcoming session. The first major testimony came from Dr. Rachel Winograd, who described Missouri’s overdose crisis as evolving into a “fourth wave” marked by fentanyl mixed with animal tranquilizers such as xylazine and medetomidine, along with methamphetamine and other synthetic drugs. She said overdose deaths have declined for a third straight year, with preliminary 2025 data around 1,200 deaths, but emphasized that the crisis remains severe. Her main recommendations were to focus on demand reduction rather than repeated supply crackdowns, expand evidence-based treatment—especially methadone and buprenorphine—broaden naloxone access, and improve practical supports like housing, transportation, and case management. She also said peer services are valuable but should not be used as a substitute for clinical care, and noted that Missouri Medicaid generally covers evidence-based treatment but reimbursement for peer recovery services remains a gap. Dr. Heidi Miller, the state medical director at the Department of Health and Senior Services, reinforced the call for integrating substance use disorder care into whole-person health care. She highlighted the state naloxone standing order, which supports more than 11,000 Medicaid naloxone prescriptions annually, and urged five best practices: integrating SUD treatment into primary care, maternal health, general medical training, EMS initiation of buprenorphine after overdose, and expanded methadone access. She also argued for team-based reimbursement, stronger parity enforcement between behavioral health/SUD and physical health, and caution in regulating emerging substances so policy does not outrun the science. Dr. Doug Burgess of University Health in Kansas City echoed the integration theme, arguing that Missouri’s system is too fragmented and that patients are often stabilized and then left to coordinate their own next steps. He compared ideal SUD care to the coordinated response used for heart attacks, with seamless transitions from emergency care to inpatient treatment, rehab, and outpatient follow-up. He said treatment courts can be effective when they are well coordinated and informed by addiction science, and he stressed the importance of discharge planning, peer recovery coaches, information-sharing, and maintaining Medicaid coverage during justice involvement. No formal votes or committee actions were taken during this portion of the meeting.

Transcript Highlights:

• Other medical equipment that we'll need for the space.
• For those that like their medical record but want to enhance their medical records, they could have AI
• , they could have other tools, they could have other add-ons. ...medical records.
• He's not a medical doctor. He led the Wellness Council of America in Omaha.
• And I know there's new medication. Is that effective?

Summary: The committee met with a quorum, approved the March 18 minutes, and then received a series of updates on health-related projects and Department of Health and Human Services budget matters. Representatives from CHI St. Alexius in Bismarck and Williston, and Altru in Grand Forks, reported progress on behavioral health expansion projects, including demolition and construction milestones, updated timelines, funding status, staffing plans, and barriers such as an unbudgeted air handler replacement in Williston. Members asked about original completion dates, use of telehealth, recruitment of psychiatrists and other staff, and whether the new beds might reduce the need for patients to travel to Jamestown State Hospital. The projects were described as on track overall, with completion expected in 2027 for the larger builds and earlier openings for some phases in Williston. The committee then heard from HHS leadership on technical line-item transfers and the Salaries and Wages Block Grant. Donna Ockland explained that recent transfers were administrative corrections to place spending in the proper budget lines and did not involve new spending, and she reviewed FTE counts and vacancies across the department. Questions focused on behavioral health staffing changes and the use of consultants in the Rural Health Transformation Program. Pat Rainer outlined the rural health program’s first-year grants and priorities, including workforce retention, rural rotations and housing, community wellness initiatives, behavioral health promotion, safety net services, hospital equipment, suicide prevention training, technology, and EMS support. He said North Dakota’s plan was drawing positive national attention, but the department still needed to obligate roughly $199 million by September and was working with CMS on timing and compliance. The committee also received an update on certified community behavioral health clinics from Elena Zeller. She said North Dakota had been accepted as a demonstration state, with certification efforts underway in Williston, North Central, Fargo, and Dickinson. Members asked about care coordination, service growth, staffing, and whether certification would expand to all clinics; the department said it was still collecting baseline data and evaluating impacts before making future recommendations. Finally, Rebecca Askins reviewed SNAP payment error rates, explaining that the 2025 rate was finalized at 9.89 percent and that the department is working on training, system changes, and quality assurance steps to get below 6 percent. Members pressed on the causes of monthly variability, the performance of the SPACES system, and accountability for ongoing errors, and the department said it expects improvement over the next 6 to 12 months.

Transcript Highlights:

• </c> on average trans women before medically on average trans women before medically transitioning<00
• It is necessary to define what is male and female.
• She also wanted to bring in the medical consensus.
• She also wanted to bring in the medical consensus.
• Representative Feist said she wanted to bring in the medical consensus.

Bills: HF1233

Committee: House Judiciary Finance and Civil Law

Keywords: women's athletics, gender, sports competition, Human Rights Act, biological sex, participation limits

Transcript Highlights:

• MSPCA-Angell Animal Medical Centers see approximately 50 cases of companion animal poisoning each year
• It takes weeks of supportive care and medication, putting a significant financial and emotional strain
• Take weeks of supportive care and medication, putting a significant financial and emotional strain on
• When necessary, non-anticoagulant poisons are effective in addressing acute problems.
• So doing it through the channels of trade is a. it's necessary for the restricted use status.

Committee: Joint Joint Committee on Environment and Natural Resources

Summary: The Joint Committee on Environment and Natural Resources held a hybrid hearing on a large slate of bills focused on pesticides, pollinators, rodenticides, mosquito control, invasive species, and local authority over pesticide regulation. Chair Becca Rausch set strict two-minute testimony limits due to the very large number of speakers. Early testimony from Senator Moore and Representative Hawkins strongly supported a bill to restrict second-generation anticoagulant rodenticides, citing harms to wildlife, pets, and public health, and noting that California has already adopted a similar model. Testimony also supported a Lowell home rule petition to allow the city to prohibit or restrict these rodenticides, with local officials describing documented raptor poisonings and municipal efforts to phase out use on city property. A major portion of the hearing focused on pollinator protection and neonicotinoid-treated seeds. Witnesses from environmental groups, conservation organizations, academics, and beekeepers argued that neonics harm bees and other beneficial insects, contaminate soil and water, and provide little or no economic benefit in most corn and soybean fields. Several speakers pointed to New York, Vermont, and Quebec as models for restricting treated seeds, and one panel cited research showing only a small percentage of fields benefit economically from the treatments. Support was also voiced for a bill establishing an ecologically based mosquito management program, with advocates criticizing aerial and truck spraying and urging non-chemical, locally tailored approaches. Other testimony supported bills to reform the pesticide board and pesticide regulation process, to give vulnerable municipalities more local control over pesticide use, to protect schoolchildren from pesticides on school grounds, and to respond to invasive species through a centralized state office, coordinator, strategic plan, and trust fund. Many speakers, including representatives from Mass Audubon, MSPCA, the Xerces Society, the Sierra Club, watershed groups, and local wildlife rehabilitators, described impacts on hawks, owls, pets, fish, and broader ecosystems. No votes were taken during the hearing, and committee members generally asked few questions, with the hearing remaining in testimony mode throughout.

Transcript Highlights:

• believes that this is going to cause a long-term medical issue.
• Doctors and nurses, medical practitioners, are trained in that.
• Parent or medical professional, there's AI now.
• technicians, and other emergency medical personnel.
• And so this medical professional intervened for me.

Summary: The House opened with prayer, a moment of silence for fallen Oviedo Officer Jimmy Serrano-Torres, the Pledge of Allegiance, and recognition of Chief Joseph Tuminelli as law enforcement officer of the day. The Rules and Ethics Committee report setting the special order calendar was adopted, and the Speaker announced schedule changes for the following week, including canceling the floor session on Monday and starting Tuesday at 10:30 a.m. The main floor action centered on CS/HB 7033, the House tax package. Sponsor Rep. Duggan described broad tax changes, including reducing the state sales tax rate from 6% to 5.25%, exempting certain bullion sales, repealing the aviation fuel tax, delaying the natural gas fuel tax, changing corporate income tax treatment for charitable trusts, reducing the pari-mutuel tax on card rooms, and major changes to tourist development tax (TDT) use. The bill would redirect most TDT revenue toward property tax relief, dissolve tourist development councils, and include related property tax and local tax administration changes. Several amendments were debated: a Driscoll amendment to preserve local TDT flexibility failed; Duggan’s amendment giving local governments 25% discretion over TDT revenues was adopted; Eskamani’s combined-reporting amendment failed; and a Duggan amendment requiring audit certification of compliance with the TDT/property tax relief provisions was adopted. After debate, CS/HB 7033 passed 78-29. The House then took up CS/CS/HB 1221 on local option taxes, which was presented as a companion-style measure to give local governments more flexibility while redirecting TDT revenues toward property tax relief. Supporters argued the bill would provide immediate relief to property owners and restore accountability in local tax use, while opponents warned it would undermine tourism funding, infrastructure, and local services. An amendment allowing local governments to retain 25% of TDT revenues for general purposes was adopted, and the bill passed 62-45 after floor debate. The final item shown was the reading of CS/CS/HJR 1257, a proposed constitutional amendment related to property tax exemptions and assessment limits, but the transcript cuts off before debate or action on that measure.

Transcript Highlights:

• the administration of the United States, and President Donald Trump, to take such actions as are necessary
• Members, AI is being used more and more frequently to both medical record visits and to transcribe medical
• House Bill 949 modernizes Louisiana's Medical Radiation Health and Safety Act by formally recognizing
• House Bill 949 modernizes Louisiana's Medical Radiation Health and Safety Act by formally recognizing
• Attorneys, medical providers, and other claim-related expenses are protected first.

Bills: SR125 , SCR70 , SCR12 , HB4 , HB251 , HB623 , HB819 , HB944 , HB986 , HB1098 , HB1222 , HB1257 , HB221 , HCR58 , SCR22 , SCR24 , SB29 , SB30 , SB32 , SB41 , SB42 , SB43 , SB47 , SB84 , SB93 , SB113 , SB192 , SB199 , SB219 , SB220 , SB221 , SB222 , SB241 , SB253 , SB255 , SB289 , SB292 , SB306 , SB314 , SB351 , SB399 , SB404 , SB14 , SB102 , SB133 , SB151 , SB165 , SB169 , SB170 , SB200 , SB217 , SB280 , SB291 , SB300 , SB303 , SB330 , SB449 , SB489 , SB521 , SB45 , SB156 , SB181 , SB203 , SB274 , SB304 , SB379 , SB396 , SB410 , SB425 , SB427 , SB436 , SB424 , SCR61 , SCR9 , SB35 , SB65 , SB215 , SB246 , SB249 , SB269 , SB282 , SB296 , SB323 , SB363 , SB369 , SB474 , SB490 , SB492 , SB500 , HCR31 , HB296 , HB299 , HB322 , HB364 , HB519 , HB535 , HB538 , HB568 , HB571 , HB622 , HB635 , HB676 , HB772 , HB784 , HB1006 , HB1018 , HB1043 , HB1070 , HB1134 , HB1239 , HB62 , HB193 , HB203 , HB210 , HB220 , HB228 , HB246 , HB420 , HB475 , HB486 , HB574 , HB584 , HB750 , HB813 , HB815 , HB826 , HB870 , HB949 , HB953 , HB1045 , HB1092 , HB1151 , HB1162 , HB1176 , HB1177 , HB1196 , HB1214 , HB1241 , HB22 , HB28 , HB33 , HB41 , HB47 , HB87 , HB115 , HB162 , HB195 , HB214 , HB217 , HB233 , HB283 , HB290 , HB319 , HB324 , HB345 , HB362 , HB363 , HB368 , HB377 , HB380 , HB382 , HB386 , HB392 , HB406 , HB431 , HB441 , HB466 , HB503 , HB533 , HB559 , HB575 , HB590 , HB593 , HB618 , HB636 , HB655 , HB664 , HB685 , HB692 , HB707 , HB715 , HB732 , HB738 , HB741 , HB748 , HB776 , HB807 , HB822 , HB856 , HB860 , HB868 , HB887 , HB888 , HB905 , HB908 , HB961 , HB980 , HB990 , HB992 , HB999 , HB1000 , HB1010 , HB1146 , HB1157 , HB1233 , HB1236 , HB1243 , HB54 , HB137 , HB180 , HB192 , HB310 , HB321 , HB396 , HB512 , HB552 , HB578 , HB638 , HB663 , HB708 , HB717 , HB718 , HB1009 , HB1082 , HB1104 , HB1107 , HB1198 , HB1246 , HB1250 , HB17 , HB36 , HB73 , HB119 , HB126 , HB129 , HB133 , HB140 , HB159 , HB166 , HB211 , HB226 , HB245 , HB271 , HB280 , HB337 , HB351 , HB354 , HB399 , HB677 , HB712 , HB723 , HB726 , HB728 , HB759 , HB789 , HB844 , HB850 , HB966 , HB1036 , SB149 , SB382 , SB441 , HB134 , HB258 , HB359 , HB782

Summary: The Senate convened with a quorum, received an opening prayer from Pastor Elizabeth Ali Frank, and adopted the journal. The chamber then handled a large number of messages, committee reports, resolutions, and House bills, including several ceremonial resolutions and many House measures returned with amendments. Notable resolutions included recognition of World Preeclampsia Awareness Day, commendations for Louisiana sports honorees, and a resolution urging higher reimbursement rates for behavioral health crisis centers, which was adopted. The Senate also concurred in SCR 22 on opioid settlement fund reporting, with Senator Myers explaining the House changes were technical and improved the reporting deadline and detail. A major portion of the meeting was devoted to concurrence or rejection of House amendments on Senate bills. The Senate concurred in several bills involving telehealth, prenatal bereavement care, official journals, ambulance Medicaid coverage, insurance and licensing disclosures, peptide regulation, psychosocial rehabilitation services, university records confidentiality, the Inspector General, religious exercise protections, child care assistance, eye care coverage, teacher retirement, and electronic service of pleadings. The chamber rejected House amendments to SB 42 on AI-created child sexual abuse materials and SB 43 on psychedelic-assisted therapy, and also rejected amendments on SB 29 and SB 32 before later concurring in many other technical or clarifying House changes. Several members explained that the House amendments were mostly technical, clarified effective dates, or adjusted definitions and contact information. The Senate then took up numerous House bills on final passage. Bills passed included measures on inmate workforce development cleanup, jury bond filing by mail, free transcripts for victims testifying before pardon/parole hearings, public awareness on illegal firearm discharge, special masters in complex litigation, paternity acknowledgments in hospitals, juvenile court filing fees in East Baton Rouge Parish, drug-free school zone penalties, criminal history record confidentiality, body brokering/fraudulent patient referrals, bail notice and residence requirements, sex offender registration updates, parish court jurisdictional amounts, court technology fees, deferred retirement options, shared custody standards, women’s policy and research commission membership, sickle cell and uterine fibroids commission membership, child exploitation reporting on online platforms, recreation of the state civil service department, children’s cabinet membership, DCFS employee background checks, AI disclosure in health care visits, the psychology inter-jurisdictional compact, mental health advisory board updates, foster children’s rights, automatic renewal contract disclosures, Orleans sheriff term alignment, access to death records for financial institutions, insurance referral disclosures, radiologist assistant regulation, plumbing licensure reforms, legislative auditor thresholds, developmental disabilities office renaming, insurer investment rules, Medicare Advantage coverage for integrative care services, and more. Some bills were returned to the calendar for further work, including HB 571, HB 475, HB 750, and HB 1162, and HB 490 was set aside after extensive debate on private-use electrical networks and data-center power arrangements. The most prominent floor action was final passage of HB 636, the Caleb Wilson Hazing Prevention Act, which Senator Boudreaux described as a comprehensive response to hazing tragedies on Louisiana campuses. He said the bill was developed by a task force that included the Wilson family and would strengthen education, reporting, accountability, and penalties, including permanent banishment for organizations involved in hazing deaths. After the bill passed 37-0, the Senate recognized the Wilson family and presented flags in Caleb Wilson’s honor. Throughout the day, many bills passed overwhelmingly, though a few drew dissent, including HB 296, HB 538, HB 568, HB 635, and HB 784. The meeting ended with continued consideration of additional House bills and unfinished items returned to the calendar for later action.

Transcript Highlights:

• Connie Dixon, due to clear and undeniable medical negligence in an emergency room.
• This is necessary reform that protects families and strengthens our health care system.
• This is necessary, reform that protects families and strengthens our health care system.
• This bill is not against our hardworking medical professionals or hospital.
• judgment for... ...under the age of 21 had the necessary judgment for quite a few things.

Summary: The House convened with prayer, the Pledge of Allegiance, quorum confirmed, and several recognitions, including a moment of silence for retired fire captain Bill Guston and a welcome for guests in the galleries. The Speaker then outlined the House’s budget approach, saying the proposed General Appropriations Act would be lower than both the governor’s proposal and last year’s budget, and announced plans to seek a permanent 0.75% reduction in the state sales tax. The chamber also received the governor’s veto message on portions of HB 5001 and began considering motions to restore several vetoed appropriations. Members unanimously reinstated funding for the Florida Senior Veterans and Crisis Fund, the Rockledge Advanced Water Treatment Phase 1 project, the automated staffing/time management system for the Department of Corrections, and the Baldwin sanitary sewer and water main replacement project. The House also adopted special order and GAA amendment-procedure reports. On the special order calendar, the chamber passed HB 289 on boating safety (“Lucy’s Law”), HB 735 on water access facilities, HB 11 on municipal water and sewer utility rates, CS/HB 85 on hazardous walking conditions, and CS/HB 157 on service of process, all by wide margins. The most debated measure was HB 6017, which would repeal Florida’s “free kill” law limiting wrongful-death damages in medical negligence cases. Supporters described the bill as a long-sought justice measure for families who lost adult children and were barred from suing, while opponents argued it was needed to provide accountability and fairness. The bill passed 104-6. The House then took up HB 759, which would lower the minimum age to purchase or transfer a firearm from 21 to 18. An amendment to keep the age at 21 was defeated, and debate featured strong arguments on both sides about constitutional rights, public safety, Parkland, military service, and data on youth violence; the transcript ends during continued debate on the bill, before final passage is shown.

Transcript Highlights:

• If necessary, support ends.
• If necessary, support ends. Connected at all, let alone when.
• of AdvaMed, the Advanced Medical Technology Association, the national trade association for the medical
• SB 1159 draws a clear and necessary line.
• SB 1159 draws a clear and necessary line.

Committee: House Privacy and Consumer Protection

Transcript Highlights:

• These steps are necessary, clearly necessary, but not sufficient.
• And there is no time like today to do the work that's necessary.
• And there is no time like today to do the work that's necessary.
• And there is no time like today to do the work that's necessary.
• It has been demonstrated to provide a proof program or medical care.

Committee: Joint Joint Committee on Community Development and Small Businesses

Summary: The Joint Committee on Community Development and Small Business held its final hearing of the session on H. 5187 and S. 3022, the Enough Act, with Chair Andy Vargas and Senator Adam Gomez opening by thanking committee members and stakeholders for their work during the session. The bills were described as a grant-based, place-based anti-poverty initiative intended to support cradle-to-career services by funding local nonprofits, schools, community organizations, and backbone entities that can coordinate housing, education, health, workforce, and family supports in high-poverty neighborhoods. Testimony was overwhelmingly in support of the bills. Speakers including Strategies for Children, Chelsea Public Schools, Bunker Hill Community College, Senator Sal DiDomenico, Rep. Kate Lipper-Garabedian, Rep. Antonio Cabral, the Harlem Children’s Zone’s Kwame Owusu Kesse and Jeffrey Canada, former Education Secretary Paul Reville, AFT Massachusetts, United Way, the Boston Foundation, Give Black Alliance, Eastern Bank Foundation, and others argued that poverty is a systems issue that schools alone cannot solve. They emphasized the need for local control, community voice, coordinated services, and long-term public-private investment, often citing examples from Chelsea, New Bedford, Springfield, Lowell, Boston, and other communities, as well as the Harlem Children’s Zone and Maryland’s similar model. Committee members asked several questions about how the bill would function in practice, including what organizations would do on day one, how it would interact with existing efforts like community schools, McKinney-Vento, and the Student Opportunity Act, and how it would be sustained over time. Witnesses said the act would help create or strengthen backbone organizations, reduce duplication, align existing resources, and leverage philanthropy and future revenue sources for long-term sustainability. No vote was taken during the hearing, but multiple speakers urged the committee to report the bill favorably and quickly.

Transcript Highlights:

• It has to spell out the necessary reasons it's being done.
• You can create these zones as necessary. So that's the gist of the bill.
• And then no longer go further into what may or may not be necessary.
• So there is an exception for a medical purpose. Thank you. Rep. Norton, are you clear?
• This is something I feel is necessary.

Bills: HB59 , HB74 , HB159 , HB167 , HB175 , HB255 , HB330 , HB364 , HB458 , HB525 , HB568 , HB656 , HB1033 , HB1034 , HB1070

Committee: House Administration of Criminal Justice

Keywords: public defender, funding, district court, East Baton Rouge, judicial expenses, Autism Spectrum Disorder, missing children, law enforcement, public safety, Spectrum Alert, inmate documentation, post-release employment, special identification card, Louisiana Department of Public Safety, reentry services, veterans, veterans services, lottery proceeds, special fund, grant board

Transcript Highlights:

• The amendment adds academic medical centers to the consortium, and academic medical centers that also
• Additionally, this bill enhances accountability with the medical marijuana industry by requiring medical
• Additionally, this bill enhances accountability with the medical marijuana industry by requiring medical
• For instance, quite often addiction issues and addiction medical records and mental health medical records
• small medical practices.

Summary: The committee met to consider a large agenda of health and human services bills, moving quickly because of a two-hour time limit. Early measures reported favorably included SB 976 on challenges to court-appointed psychologists in family law cases, SB 306 on Medicaid provider network access and after-hours availability, and SB 584 on housing supports for college students and youth in extended foster care. SB 1412 on home health regulation modernization also passed, with one support appearance from the Home Care Association. Members then approved several bills focused on research and care delivery, including SB 1800 creating a Parkinson’s disease research consortium at USF with an adopted amendment adding academic medical centers, SB 524 adding Duchenne muscular dystrophy to newborn screening, SB 1156 revising a Medicaid home health aide program for medically fragile children, and SB 1490 transferring and redesigning the managed care program for critically ill children. SB 1174 on foster home licensure transfers, SB 1620 implementing mental health and substance use commission recommendations, SB 1568 revising e-prescribing exemptions, and SB 788 on veterans nursing home beds were also reported favorably. The committee had more extensive debate on SB 1270, the Department of Health agency package, which included provisions on vaccination status, medical marijuana background screening, licensing and compact issues, and sovereign immunity for volunteer dental workers; it passed after an amendment and several members voiced concerns about patient treatment and “voting power” language. SB 1606 on patient access to records drew strong opposition from providers and health information professionals over privacy, HIPAA, and administrative burdens; it was initially reported unfavorably, then reconsidered and ultimately passed after a motion to reconsider. Other bills reported favorably included SB 1736 on insulin administration by direct support professionals and relatives, SB 1808 on patient refunds from providers, SB 1842 on referral disclosure of network status, SB 1354 on behavioral health managing entity oversight, SB 1768 on stem cell therapies with informed consent requirements, and SPB 7032 on presumptive Medicaid eligibility for permanently disabled individuals, which was submitted and reported as a committee bill. The meeting ended after all agenda items were handled and the committee adjourned.

Transcript Highlights:

• I am the executive director of the Kentucky Podiatric Medical Association.
• </c> podiatric Medical podiatric Medical Association<00:29:13.200><c> hi</c><00:29:13.399><c> my</c><
• I think it's important to note that every medical profession has their scope of practice.
• If I'm in the operating room with a medical doctor, I know what my scope of practice is.
• This is how the medical community operates.

Summary: The committee first took up House Bill 566, which would implement the Kentucky Horse Racing and Gaming Corporation created last year. Chairman Cook described major provisions affecting charitable gaming, horse racing, sports wagering, and quarter horse racing, including locking charitable gaming fees in statute at a slightly lower rate, expanding charitable gaming board representation, preserving existing gaming technology, allowing school districts to hold charitable gaming licenses, and setting up self-funding for the new corporation through administrative set-asides from gaming-related funds. The bill also addresses uncashed vouchers, cross-training of investigators, ethics and employment provisions, and a three-year quarter horse breeding incentive intended to grow the industry. A committee substitute made two technical changes: clarifying voucher money stays with the track facility and making the school district itself the license holder. The substitute and then the bill both passed favorably, with several members noting concerns from last year but supporting the revised structure. The committee then heard House Bill 70, an interstate compact for dietitians. Sponsor Representative Vanessa Grossl and witnesses said the measure would allow reciprocity with other compact states, improve workforce mobility, help military families, expand patient access and telehealth, and reduce administrative burden on the licensing board. The committee substitute created a third license category for educational interpreters, but that language actually belonged to the next bill; for HB 70, the committee voted the bill favorably without reported amendments. The bill passed unanimously or near-unanimously and was sent to the House floor. Next, House Bill 72 was presented by Representative DJ Johnson to amend the law governing limited x-ray machine operators. The sponsor explained that current law effectively prevents limited x-ray operators from working in the same facility as other imaging equipment, which he said creates compliance problems, disrupts training, and can force practices to move equipment or lose employees. The bill would allow limited x-ray technicians to operate in the same facility as other imaging equipment. During discussion, some members noted opposition from students and others in the field, and the sponsor invited industry witnesses to explain their concerns. The transcript cuts off before final action on HB 72 is completed.

Transcript Highlights:

• Our yellow plea plan is still necessary now that CalPADS data is collected.
• Yes, I know we don’t like to hear more reports, but we think they’re really necessary.
• We think the transparency is really necessary for public accountability.
• These programs are modeled on the UC Medical School's PRIME framework, programs in medical education,
• These programs are modeled on the UC Medical School's prime framework, programs in medical education,

Transcript Highlights:

• THIS IS WHERE STUDENTS GAIN INSTRUCTION AND LEARN NECESSARY SKILLS TO OBTAIN INDUSTRY CERTIFICATIONS
• WHEN IT COMES TO THE LABS WE ALREADY HAVE THOSE RELATED TO MEDICAL MARIJUANA.
• Burton: IN MEDICAL MARIJUANA YOU COULD ATTAIN 60 MG PER DAY.
• YOU NEED A CARD TO PURCHASE MEDICAL MARIJUANA IN THE STATE OF FLORIDA.
• THE MEDICAL MARIJUANA PROGRAM AS FAR AS I AM CONCERNED AS A PATIENT A SCAM.

Transcript Highlights:

• </c> that Mr chairman when I went to medical that Mr chairman when I went to medical school<00:15:13.000
• Appropriate medical care dictates that medical staff must give priority to a patient's care regardless
• </c> standards across multiple medical standards across multiple medical organizations<00:29:54.519><
• or for medications health medications or for medications helping<00:32:30.799><c> with</c><00:32:30.960
• </c> is not going to recruit them the medical is not going to recruit them the medical schools<00:37:

Summary: The committee heard testimony on Senate Bill 132, which would create conscience protections for health care professionals who object to participating in certain procedures or services on religious, moral, or ethical grounds. Senator Donald Douglas and several supporters argued the bill is a recruitment and retention tool for Kentucky’s health care workforce, emphasizing provider shortages, maldistribution, and the need to protect individual conscience rights. Supporters said the bill would not apply to emergency care, would not permit denial of care based on a patient’s identity, and would mainly protect professionals from being forced to perform procedures they believe are unethical. They also cited similar laws in six other states and said the bill would have a cause of action to give it enforcement teeth. Supportive testimony came from an emergency physician, a registered nurse, and others who described personal experiences or examples involving objections to abortion-related care, opioid prescribing, and pressure to participate in procedures that conflicted with conscience. They said conscience protections would help attract providers, preserve ethical integrity, and allow clinicians to make professional judgments without corporate or institutional coercion. In questioning, senators asked about practical examples, the scope of the bill, whether it would cover hypothetical cases involving patients of particular religions or identities, and which states have similar laws. The sponsor and supporters repeatedly said the bill is about procedures, not patients, and that it should not be read to allow discrimination against individuals. Opponents, including pediatricians and a registered nurse/minister, warned that the bill is overly broad and could allow refusals of care by not only physicians but also pharmacists, clerks, and ambulance drivers. They argued it could delay treatment, increase discrimination, and worsen access problems in rural areas, especially for contraception, Plan B, blood transfusions, and other services. Critics said existing professional ethics already require patient care and that the bill could undermine evidence-based medicine and worsen Kentucky’s provider shortage. The committee took testimony and questions; no final vote or disposition was announced in the portion provided.

Transcript Highlights:

• the ability to be in front of the legislature having a conversation about is increased capacity necessary
• , are policy steps necessary to take in this particular area... ...the legislature having a conversation
• about is increased capacity necessary, are policy steps necessary to take in this particular area.
• And so until that happens, the medical care is happening in that vacant wing.
• So, for example, there's an exemption for medical frailty.

Summary: The committee held a work session focused first on juvenile rehabilitation system capacity. DCYF officials said the juvenile rehabilitation population is older, includes more adult-sentenced youth, and has longer lengths of stay, especially for “post-25” youth who must remain in secure facilities and cannot go to community beds. They described overcrowding at Green Hill School, placement limits at Echo Glen and Harbor Heights, staffing turnover, mental health acuity, and the need for more medium-security and specialized mental health beds. DCYF said it is pursuing a Parkland facility proposal, a staffing model decision package, and a broader feasibility study and master plan update. No votes were taken; members were asked to follow up with questions later. The committee then heard on behavioral health system capacity from the Behavioral Health Administration and the Health Care Authority. DSHS described growth in forensic and civil bed need, expansion at Olympic Heritage, Maple Lane, and Brockman, and construction of a new 350-bed forensic hospital at Western State expected to open in 2028. HCA reported progress on long-term civil commitment beds, intensive behavioral health treatment facilities, PACT teams, and intensive residential treatment teams, saying the community-based system is being expanded to support step-down care and reduce hospital reliance. Members asked about whether capacity is right-sized, the difference between facility types, and federal match eligibility for services. A federal funding update followed, covering the effects of H.R. 1 and H.R. 5371 on SNAP, Medicaid, marketplace coverage, long-term services and supports, K-12, higher education, and hemp regulation. OFM and agency staff said H.R. 1 adds work requirements, changes non-citizen eligibility, increases state administrative and benefit costs, reduces Medicaid and marketplace subsidies for some groups, tightens redeterminations, and may significantly affect provider payments and state-directed payments. H.R. 5371 extended federal funding through January 30, 2026 and included some agency appropriations and other provisions, including changes affecting hemp producers. Members asked about SNAP error rates and special enrollment periods. Finally, budget coordinator Mary Monroe gave a 2026 supplemental budget preview. She reviewed the state’s near general fund outlook, noting revenue declines since the enacted budget, the effect of reversions, and a preliminary maintenance-level outlook showing a projected increase in NGFO spending over the four-year period. She said the supplemental will reflect updated caseload and cost forecasts and mandatory impacts from H.R. 1, but not policy proposals. No actions or votes were taken during the session.

Transcript Highlights:

• This cost shift includes establishing a 5% cost shift for residential services paid through Medical Assistance
• state, this cost shift includes establishing a 5% cost shift for residential services paid through Medical
• These costs would strain our ability to provide necessary services to vulnerable residents and could
• </c> strain our ability to provide necessary strain our ability to provide necessary services<00:03:26.080
• Paid family and medical leave is expected to total around $200,000 if using the 50/50 split.

Transcript Highlights:

• We seek to standardize the delivery of emergency medical care by ensuring that a physician is on duty
• The study concluded that, quote, our estimates suggest a net increase in medical costs with the use of
• And despite the higher medical resource use, NPs achieve less favorable patient outcomes.
• I'm speaking on behalf of the Missouri State Medical Association in support of House Bill 2557.
• We've had our medical director stay 24 hours. And we do also have APPs that support.

Committee: House Professional Registration and Licensing

Transcript Highlights:

• speech-language pathologists and audiologists are essential health care providers that do deliver medically
• necessary care in the realm of communication, cognition, swallowing, and hearing to individuals across
• essential health care providers that do essential health care providers that do deliver<00:03:24.560><c> medically
• </c><00:03:25.200><c> necessary</c><00:03:25.920><c> care</c><00:03:26.720><c> in</c><00:03:26.959><c
• > the</c> deliver medically necessary care in the deliver medically necessary care in the realm<00:03

Committee: House Postsecondary Education