Transcript Highlights:

• Together, we have the opportunity to transform health care workplaces and systems.
• Together, we have the opportunity to transform health care workplaces and systems.
• Van is the holder of two U.S. patents in health care for chronic neck and back pain.
• He's currently a health care consultant focusing on physician burnout, turnover, and retention.
• politician doesn't understand that medical care you want, you're not allowed to have it.

Summary: The Senate opened with prayer, the Pledge of Allegiance, approval of the journal, electronic roll call, and several guest introductions, including recognition of Health Workforce Wellbeing Day of Awareness, the Doctor of the Day, educators visiting the Capitol, and student guests. The President also made temporary committee appointments for the day and announced the day’s calendar of bills and committee referrals. The chamber then took up third-reading votes on several measures. Senate Bill 1014, relating to health insurance, passed 17-9. Senate Bill 1016, on employment practices and religious exemptions, also passed 17-9 after debate about workplace safety and public health. Senate Bill 1050, concerning state parks and veteran access, passed 19-9, with supporters citing benefits for disabled and retired veterans and opponents warning about impacts on park fees. Senate Bill 1054, relating to referendum power and emergency measures, passed 16-10 amid debate over local emergency authority. Senate Bill 1177, relating to public monies and health care services, passed 17-9 after sharp partisan debate over transgender-related medical restrictions. Senate Bill 1194, also on health care services and vaccination-related medical decisions, passed 17-9. Senate Bill 1398, relating to AHCCCS, passed 17-9. Senate Bill 1751, relating to capital punishment, passed 16-9. The Senate also passed SCR 1049, a concurrent resolution proposing a constitutional amendment on capital punishment, by a 16-9 vote. Throughout the floor debate, members offered explanations of vote focused on public health, religious liberty, veterans’ benefits, emergency powers, transgender rights, vaccination policy, and the death penalty. The Senate then announced a Health and Human Services Committee meeting for the following day and adjourned until Thursday, March 19, 2026, at 10 a.m.

Transcript Highlights:

• Engrossed Committee Substitute for House Bill 537, West Virginia ALS Care Services Act.
• Engrossed Committee Substitute for House Bill 537, West Virginia ALS Care Services Act.
• Engrossed Committee Substitute for House Bill 5015, relating to the Respiratory Care Interstate Compact
• Engrossed House Bill 5685, relating to authorizing bonds for improvements to the West Virginia Science
• Engrossed House Bill 5685, relating to authorizing bonds for improvements to the West Virginia Science

Transcript Highlights:

• Minnesota is a state committed to helping people, and we're committed to providing services that improve
• Minnesota is a state committed to helping people, and we're committed to providing services that improve
• This will improve consistency.
• it creates improve consistency it creates efficiencies<00:06:17.160><c> across</c><00:06:17.520><c>
• We want to make sure that we're continuing to strive to improve all that we do.

Transcript Highlights:

• or do not need mental health care; they could be handled in a lower level of care in the community,
• I will just mention that we do support efforts to improve access to health care services.
• Hawaii Primary Care Association. Eric Obby. Hi, Eric Obby for the Hawaii Primary Care Association.
• access to health care.
• </c><01:24:49.800><c> and</c> improving access to healthc care and improving access to healthc care and

Committee: House Health

Summary: The committee first took up SB 1494 on hearing aids. Testimony was generally supportive of expanding hearing-aid coverage, with the Insurance Division raising concern about possible federal defrayment issues, SHPDA supporting the goal of hearing augmentation, DCAB strongly supporting the bill as an important access issue, and health plans and insurers asking for amendments. Kaiser Permanente and the Hawaii Association of Health Plans requested changes to add a medical-necessity standard and clarify annual notice language, while HMSA suggested the proposal should be studied by the auditor. The chair noted concerns about federal preemption and the lack of an audit, and deferred the bill in favor of a related resolution calling for a study. The committee then heard SB 1448, an emergency appropriation for the Hawaii State Hospital. DAGS and the Department of Health supported the measure, with the hospital administrator saying the funding would improve the environment of care, support cleaning, and allow a third-party review of the building. Committee members questioned the size of the request and the status of litigation against the design-builder. Administration witnesses said they were pursuing a comprehensive study involving destructive testing, had made a demand on the design-builder to fund the study, and were using different processes than before. They also said the roof work would be handled through a separate CIP request. No final action was taken in the portion provided. The committee next heard SB 1432, relating to the future responsibilities of the Department of Health and land issues at Kalaupapa after the last patient dies. DOH supported the bill in part but said its long-term role would be limited mainly to environmental cleanup, with operations expected to continue under the National Park Service and land-use decisions left to DHHL and beneficiary consultation. DHHL asked that the measure reflect that any land-use or zoning changes on homeland lands require commission approval and beneficiary consultation. Testifiers from Kalaupapa and Maui County, including Degra Vanderbilt-Papa and Council Member Keani Rollins-Fernandez, supported deferring the bill, saying there had been no meaningful community discussion about provisions affecting Kalaupapa’s future management and possible transfer of responsibilities to Maui County. The committee also read into the record written testimony from Gloria Marks emphasizing that Kalaupapa stakeholders must be included in future discussions. Finally, the committee heard SB 955 on fitness-to-proceed examinations. The Judiciary and the Public Defender’s Office both supported raising pay and standardizing expectations for private examiners, but opposed reducing felony fitness evaluations from three examiners to one and opposed expanding use of expedited reports. They argued that a single examiner would reduce reliability, create a more adversarial process, and likely increase costs and contested hearings, while expedited reports do not contain enough information for a proper fitness determination. The Department of Health also supported the bill’s intent but asked to preserve a three-examiner framework and said the goal was to reduce the number of people sent to the State Hospital, where admissions have reportedly risen about 20% year over year since Act 26. The bill remained under discussion in the excerpt, with no final vote shown.

Transcript Highlights:

• This is, we had a chance to visit child care on Fort Lewis last year, maybe two years ago now.
• And our child care providers are stretched. Taking a break.
• And our child care providers are stretched.
• Just briefly, this gives some flexibility to our small child care providers. Please vote yes.
• I think we do have to stick with wanting to do an assessment on how we can improve the tool.

Summary: The committee met to brief amendments and then took executive action on nine bills related to child care, DCYF oversight, and services for children and vulnerable populations. Before voting, members reviewed proposed substitutes and amendments for HB 1544, 2099, 2219, 2253, 2319, and 2350, with brief discussion on issues such as child welfare risk assessment tools, military family child care access, child care provider flexibility, licensing and monitoring requirements, and residential habilitation center terminology and notice requirements. The committee then reported HB 2099, HB 2185, HB 2219 as amended, HB 2253 as amended, HB 2317, HB 2318, HB 2319 as amended, and HB 2350 as amended out of committee with do pass recommendations. HB 2253 saw one amendment adopted to restore state monitoring and health/safety reviews at the Washington School for the Deaf, while other proposed amendments were withdrawn or rejected. HB 2319 was amended to correct technical language regarding Eastern State Hospital and Interlake School. HB 2350’s substitute changed notice procedures for residential habilitation center noncompliance to emphasize posted notices, email, preferred language, and plain-language summaries. HB 1544 drew the most debate. Amendments to add domestic violence, define “safe,” require an audit of missing safety-plan data, and prohibit use of an unvalidated risk tool to screen out referrals were considered; only the domestic-violence amendment was adopted, while the others failed. Members discussed concerns about the current DCYF risk assessment tool, cultural bias, and the need to improve validation, but also cautioned against narrowing the study too much. The committee ultimately reported the second substitute HB 1544 out with a do pass recommendation by a 9-0-2 vote, with two members voting no without recommendation.

Transcript Highlights:

• can improve access to family child care for military families.
• and managed care plans.
• So what happens to these children that do not receive care, receive delayed care?
• . that improve the quality and accessibility of care for pregnant women with opioid use disorder. and
• postpartum care, and deliver infants less likely to. who require intensive care.

Bills: HB2646 , HB3941 , HB5153 , HB5155 , HB5394 , HB 1106 , HB426 , HB4529 , HB3984 , HB4273 , HB 1097 , HB3940 , HB1941 , HB4377 , HB3153

Committee: House Human Services

Transcript Highlights:

• care.
• hospitals were seen as the center of health care.
• And then partnerships and value-based care, very familiar with the Ohio high-value care network.
• In 1994, health care in zero states was the largest employer.
• care pricing as well.

Summary: The Rural Health Transformation Committee met to receive an overview from Department of Health and Welfare Director Juliet Sharon on Idaho’s Rural Health Transformation Program, created under the federal One Big Beautiful Bill Act. Sharon explained the $50 billion federal program, Idaho’s application timeline, the state’s ranking and award amount, and the five broad initiative areas in the approved plan: technology and access, innovative care models, workforce development, chronic disease and behavioral health, and rural infrastructure/partnerships. She emphasized that the funding is tightly overseen by CMS, with required reporting, compliance checks, sustainability plans, and the risk of losing funds if Idaho does not obligate money or meet milestones on time. She also outlined the state’s plan to hire a 12-person temporary team and to use a mix of RFPs and competitive subgrants, with monthly reporting to the committee and a shared information space to track solicitations, rubrics, and awards. Committee members questioned several parts of the plan, especially scope-of-practice issues tied to the application, the use of telehealth funding, workforce retention, and the survey process used to shape the application. Representative Tanner asked whether the state could continue pursuing scope changes for dental hygienists and physician assistants and whether legislative action could affect funding outcomes; Sharon said the state would continue to evaluate those policies, but that compliance, timely spending, and performance would be the main factors affecting funding. Representative Healy raised concerns about the survey’s heavy use of “other” responses and about telehealth spending, arguing some telehealth uses may not be practical for specialty care. Representative Manwaring requested a shared drive for real-time data and asked for raw survey results and dollar-based funding caps. Sharon agreed to provide follow-up information, including survey data and additional details on funding limits. Chris Jones of Catalyst Policy Group then presented broader policy observations and examples from other states. He praised Idaho’s application, urged the committee to keep the focus on patient-centered rural access, and highlighted ideas such as community health workers, remote patient monitoring, rural training pipelines, value-based care networks, and telehealth models that reduce staffing needs and improve sustainability. He also cautioned against relying on social determinants of health funding, noted the importance of rural training and partnerships, and praised Idaho’s 3.5% tribal set-aside. The committee ended by agreeing to set up a shared information hub with LSO, to expect follow-up materials and possible solicitation drafts soon, and to tentatively plan its next meeting around CMS’s Idaho visit on May 28.

Transcript Highlights:

• Pharmacists work in many areas of health care, including hospitals, clinics, long-term care, and behavioral
• I've been providing direct patient care at Comprehensive Health Care in Yakima, Washington, for over
• LRAs are critical touch points in care.
• continuity of care.
• Really, this is just about continuity of care.

Summary: The Civil Rights and Judiciary Committee heard testimony on several bills. House Bill 2445, requested by the Attorney General, would curb “probate for profit” schemes by extending the waiting period before a “suitable person” can be appointed, limiting non-intervention powers and repeat appointments, tightening venue rules, and restricting self-dealing by estate administrators. The sponsor and Attorney General’s Office described cases in which strangers used probate loopholes to control estates, sell property, and profit from heirs; the Northwest Justice Project and other witnesses strongly supported the bill. Members raised questions about whether the bill would complicate probate for laypeople and about the timeline changes, and the sponsor said she was open to amendments. No vote was taken. The committee also heard House Bill 2386, which would replace a statutory garnishment answer form with a form developed by the Washington Pattern Forms Committee or a substantially similar form. The sponsor and a district court judge said the current form causes calculation errors, especially for fluctuating wages, and that the change would make garnishments more accurate and transparent. A collectors’ association supported updating the form but asked for a longer implementation period and flexibility for employers to use their own forms; the judge said a rollout period would not be a problem. The bill was heard but not voted on. House Bill 2585 would create a Washington State False Claims Act modeled on the federal act, allowing the Attorney General and private relators to pursue fraud against state programs, with treble damages, civil penalties, and whistleblower protections. Supporters said it would recover stolen public dollars and deter fraud in areas such as wages, housing, education, and environmental programs. Contractors warned that the bill could sweep in good-faith construction change orders, and a wireless industry group asked for a tax exemption; the Attorney General’s Office said it supported the concept but would provide technical and substantive feedback. The bill was heard without action. Finally, House Bill 2590 would exempt limited equity cooperatives from the Washington Uniform Common Interest Ownership Act unless they elect coverage, while keeping the tax exemption framework for those cooperatives. The sponsor and housing advocates said WUCIOA imposes requirements that do not fit cooperative ownership and can hinder permanently affordable housing, while lenders already impose appropriate reserve and governance standards. Witnesses from cooperative development organizations and community land trusts supported the bill, and committee members asked about resale limits, reserve obligations, and who benefits from appreciation. The hearing concluded without a vote. The committee also heard House Bill 2453, which would allow board-certified psychiatric pharmacists to participate in certain involuntary treatment proceedings and provide concurring medical opinions for involuntary medication under less restrictive alternative orders. Supporters said it would improve workforce capacity and continuity of care; opponents argued it could weaken civil-liberty protections and that pharmacists lack authority for diagnosis and treatment. The hearing ended with no final action on the bill.

Transcript Highlights:

• , housing, child care.
• Schools, health care, housing, child care, that's important.
• I work at the Department of Health Care Services.
• But you truly do care about this.
• We represent workers, immigrants, and citizens alike across industries like health care, child care,

Committee: House Public Employment and Retirement

Transcript Highlights:

• Improvement District, Broward County.
• care when it came to behavioral health.
• I don't care who it is, and I don't care if there are 40 bills that pop up every year offering substantive
• So I'm not really a huge fan of managed care.
• We take care of it.

Bills: HCR35 , SJR59 , SJR84 , SCR30 , SB127 , SB317 , SB324 , SB457 , SB506 , SB511 , SB529 , SB547 , SB584 , SB619 , SB636 , SB646 , SB659 , SB715 , SB732 , SB735 , SB771 , SB784 , SB800 , SB801 , SB904 , SB1026 , SB1049 , SB1065 , SB1181 , SB1224 , SB1250 , SB1383 , SB1467 , SB1524 , SB1528 , SB1531 , SB1568 , SB1585 , SB1640 , SB1681 , SB1754 , SB1757 , SB1777 , SB1972 , SB1980 , SB2007 , SB2041 , SB2046 , SB2050 , SB2055 , SB2069 , SB2080 , SB2119 , SB2138 , SB2139 , SB2154 , SB2201 , SB2225 , SB2268 , SB2306 , SB2308 , SB2310 , SB2330 , SB2366 , SB2375 , SB2392 , SB2401 , SB2422 , SB2480 , SB2514 , SB2530 , SB2533 , SB2543 , SB2544 , SB2589 , SB2610 , SB2615 , SB2623 , SB2660 , SB2662 , SB2693 , SB2695 , SB2707 , SB2722 , SB2742 , SB2753 , SB2807 , SB2843 , SB2844 , SB2858 , SB2880 , SB2885 , SB2891 , SB2925 , SB2938 , SB2986 , SJR3 , SJR18 , SB5 , SB914 , SB963 , SB1197 , SB1415 , SB1437 , SB1786 , SB326 , SB767 , SB769 , SB783 , SB1035 , SB1271 , SB1619 , SB1637 , SB1806 , SB1 , SB260 , HB135 , HB 1109 , HCR35 , HCR64 , SJR36 , SJR50 , SJR63 , SJR84 , SJR59 , SCR12 , SCR39 , SCR48 , SCR19 , SCR30 , SCR3 , SB2023 , SB619 , SB2742 , SB646 , SB1026 , SB2880 , SB62 , SB666 , SB847 , SB284 , SB854 , SB1073 , SB810 , SB1505 , SB583 , SB1502 , SB507 , SB1434 , SB1376 , SB1585 , SB1772 , SB2016 , SB1163 , SB1122 , SB731 , SB397 , SB508 , SB1436 , SB287 , SB261 , SB1882 , SB393 , SB1791 , SB529 , SB209 , SB2429 , SB1999 , SB511 , SB2309 , SB510 , SB584 , SB1085 , SB2046 , SB1975 , SB2717 , SB1262 , SB1524 , SB636 , SB2056 , SB884 , SB517 , SB1200 , SB1845 , SB1863 , SB2681 , SB2200 , SB2199 , SB1757 , SB2050 , SB2458 , SB2201 , SB2660 , SB2662 , SB1065 , SB801 , SB2533 , SB3014 , SB3013 , SB758 , SB1721 , SB2366 , SB1013 , SB2797 , SB2383 , SB1754 , SB2119 , SB2448 , SB1777 , SB1283 , SB2392 , SB2076 , SB2786 , SB2876 , SB2284 , SB2225 , SB1540 , SB2929 , SB1972 , SB2540 , SB2595 , SB2217 , SB715 , SB2330 , SB1383 , SB500 , SB1640 , SB2001 , SB2080 , SB506 , SB2514 , SB2753 , SB2398 , SB1241 , SB2927 , SB2173 , SB2538 , SB898 , SB1449 , SB2529 , SB1531 , SB2846 , SB2476 , SB986 , SB1181 , SB2075 , SB2154 , SB2864 , SB1359 , SB2386 , SB771 , SB2844 , SB2550 , SB1351 , SB1423 , SB1931 , SB2245 , SB2589 , SB2707 , SB2807 , SB410 , SB659 , SB2776 , SB2693 , SB2580 , SB1980 , SB1886 , SB1234 , SB739 , SB456 , SB127 , SB1666 , SB2843 , SB2801 , SB800 , SB2055 , SB784 , SB2986 , SB735 , SB1012 , SB324 , SB2926 , SB2938 , SB2007 , SB2138 , SB1242 , SB2615 , SB1049 , SB2310 , SB1224 , SB2972 , SB1568 , SB2841 , SB2885 , SB3016 , SB2858 , SB2610 , SB2139 , SB1856 , SB2035 , SB2308 , SB2306 , SB2041 , SB1528 , SB1681 , SB1141 , SB2401 , SB2530 , SB2375 , SB547 , SB1266 , SB1373 , SB1467 , SB2069 , SB2269 , SB2480 , SB2544 , SB672 , SB904 , SB2695 , SB2891 , SB2422 , SB2543 , SB1854 , SB317 , SB2539 , SB2532 , SB2925 , SB1250 , SB2082 , SB2203 , SB457 , SB2357 , SB2721 , SB243 , SB1285 , SB2568 , SB1959 , SB1442 , SB1454 , SB2520 , SB2541 , SB1708 , SB1237 , SB1844 , SB1586 , HB1392 , HB22 , SB1551 , SB3039 , SB2819 , SB66 , SB629 , SB1015 , SB2342 , SB2903 , SB2933 , SB1965 , SB2477 , SB3029 , SB2605 , SB2419 , SB1957 , SB375 , SB250 , SB777 , SB628 , SB2523 , SB2367 , SB2703 , SB2608 , SB2778 , SB3044 , SB2965 , SB2521 , SB865 , SB127 , SB506 , SB529 , SB584 , SB659 , SB735 , SB771 , SB784 , SB800 , SB1049 , SB1383 , SB1531 , SB1568 , SB1681 , SB1972 , SB1980 , SB2007 , SB2041 , SB2046 , SB2050 , SB2080 , SB2225 , SB2306 , SB2308 , SB2366 , SB2392 , SB2544 , SB2610 , SB2660 , SB2662 , SB2807 , SB2843 , SB2844 , SB2885 , SB2938 , SB2986 , SB324 , SB1065 , SB1754 , SB2330 , SB2693 , SB2858 , SR448 , SR463 , HCR35 , SB324 , SB619 , SB646 , SB1026 , SB1065 , SB1754 , SB2330 , SB2693 , SB2742 , SB2858 , SB2880 , SB3063 , HJR5 , HJR98 , HB 109 , HB 114 , HB388 , HB421 , HB431 , HB879 , HB 1244 , HB1399 , HB1445 , HB1672 , HB1695 , HB1734 , HB1875 , HB1893 , HB1950 , HB2152 , HB2217 , HB2558 , HB2559 , HB2775 , HB2789 , HB2809 , HB2856 , HB3012 , HB3126 , HB3135 , HB3163 , HB3229 , HB3306 , HB3513 , HB3770 , HB4134 , HCR56 , HCR102 , SB3063 , HJR5 , HJR98 , HB 109 , HB 114 , HB388 , HB421 , HB431 , HB879 , HB 1244 , HB1399 , HB1445 , HB1672 , HB1695 , HB1734 , HB1875 , HB1893 , HB1950 , HB2152 , HB2217 , HB2558 , HB2559 , HB2775 , HB2789 , HB2809 , HB2856 , HB3012 , HB3126 , HB3135 , HB3163 , HB3229 , HB3306 , HB3513 , HB3770 , HB4134 , HCR56 , HCR102

Transcript Highlights:

• </c> Nutrition belongs in healthc care Nutrition belongs in healthc care and<00:10:27.600><c> agriculture
• They're designed to improve outcomes and reduce avoidable cost.
• They're designed to improve outcomes and reduce avoidable cost.
• </c> simult simultaneously improving health. simult simultaneously improving health.
• </c> Let's build a framework that improves Let's build a framework that improves outcomes<00:14:34.320

Summary: The Senate convened with an invocation and Pledge of Allegiance, then established a quorum and approved the journal. The House clerk communicated that the House had passed House Bills 34 and 306 and requested concurrence. The State and Local Government Committee reported Senate Bills 20 and 68 favorably, and several new bills and resolutions were introduced, including measures on Kentucky-grown agricultural procurement, an endowed research fund, unemployment insurance, postsecondary education, wrongful conviction compensation, massage therapy, local fiscal reporting, and a resolution honoring John and Debbie Rogers. The main floor action was on Senate Joint Resolution 23, as amended by Senate Committee Substitute 1, declaring Kentucky a “food is medicine” state and directing state agencies to advance food-as-medicine initiatives. The sponsor described the resolution as a statewide framework to connect nutrition, health care, agriculture, and local food systems, emphasizing partnerships with the Kentucky Hospital Association and the Kentucky Department of Agriculture, better health outcomes, and support for Kentucky farmers and rural communities. Senators from Taylor and Callaway spoke in support, citing local examples and the goal of building Kentucky-based solutions rather than importing them. The committee substitute was adopted by voice vote, and the resolution then passed 35-0. The Senate also adopted Senate Resolution 56 honoring Elder Nathan Craig and Sister Amy Craig, and Senate Resolution 33 honoring Robert E. “Bob” Pernell, Sr. Senate Resolution 22, honoring Brian J. Hat, was likewise adopted. After the day’s business, the Senate recessed for meetings of the Rules Committee and the Committee on Committees. Later, the Committee on Committees referred Senate Bills 1-4 to Education, Senate Bill 48 to Judiciary, and Senate Bills 84 and 102 to Veterans, Military Affairs, and Public Protection. Several members made announcements about upcoming committee meetings and events, including the VMAP committee, Judiciary, the Kentucky Japan Caucus, the Kentucky Israel Caucus, and an American Cancer Society action day.

Transcript Highlights:

• services, primary health care services, For contracted health care services, primary health care services
• Improving primary care access, you improve outcomes across the board. Costs go down.
• to primary care.
• This amendment makes a narrow the share of health care spending devoted to primary care.
• in primary care.

Transcript Highlights:

• We have people who care very much about taking good care of our citizens.
• But quality is not improved by limiting options.
• to take care of her.
• to take care of her.
• People are not coming to give care.

Bills: HB199 , HB222 , HB223 , HB224 , HB235 , HB246 , HB405 , HB535 , HB554 , HB907 , SCR3 , SB43 , SB52 , SB54 , SB113 , SB168 , SB219 , SB222 , SB270 , SB311 , SB359

Committee: House Health and Welfare

Transcript Highlights:

• </c> that it gets embedded into the care that it gets embedded into the care protocols<00:17:49.440><
• So, um counties are liable for a portion of long-term care funding, Medicaid long-term care funding.
• So, counties are liable for a portion of long-term care funding, Medicaid long-term care funding.
• communication, improving the improving communication, improving the pathways<03:06:24.160><c> of</c>
• </c> child care um institutions. child care um institutions.

Committee: House Health, Human Services and Elderly Affairs

Transcript Highlights:

• Child Care.
• So it's important that we take care of them and take care of them because they take care of our loved
• Also improving access to have the child care and transportation which has been scored at a zero cost
• IHSS care provider. I've been providing care for over 50 years.
• and reliable care.

Transcript Highlights:

• care costs, improves outcomes for both parent and baby, and ensures that no family is left without the
• , outcomes improve.
• When families have access to skilled lactation care, outcomes improve.
• Access really appreciates that this bill seeks to improve maternal health care in Arizona.
• Access really appreciates that this bill seeks to improve maternal health care in Arizona.

Bills: HB2051 , HB2114 , HB2127 , HB2134 , HB2207 , HB2574 , HB2700 , HB2800 , HB2916

Committee: Senate Appropriations, Transportation and Technology

Transcript Highlights:

• psychosocial care.
• This bill isn't about expanding care.
• I was greatly harmed by gender-affirming health care professionals in a health care system that allows
• consistent patient-centered care.
• One is that there are no formal health care guidelines for the care of detransitioners.

Committee: Joint Joint Committee on Financial Services

Summary: The committee heard testimony on a wide range of health insurance and public health bills, with most speakers focused on expanding coverage for specific treatments and services. Bills discussed included H. 1187/S. 792 on rehabilitation counselors, H. 1173/S. 692 on patient navigation, S. 2600 on scalp cooling for chemotherapy patients, S. 2599 on medically necessary treatment for port wine birthmarks, H. 1164 on licensed educational psychologists for child and adolescent mental health services, S. 754/H. 1254 on autism diagnosis and treatment by nurse practitioners and psychiatric nurse mental health clinical specialists, S. 714/H. 1137 on infectious disease response and coverage, and S. 791 on making nature a prescriptive therapeutic intervention. Speakers generally argued these bills would improve access, reduce out-of-pocket costs, and address gaps in current insurance reimbursement rules. Testimony in support emphasized personal stories and clinical evidence. Cancer patients and providers described the benefits of patient navigation and scalp cooling for dignity and quality of life during treatment. Boston Children’s Hospital staff and families said port wine birthmark treatment is medically necessary, can prevent complications, and should not be denied as cosmetic. Rehabilitation counselors and school psychologists argued their services are effective, cost-saving, and underused because they cannot bill insurance. Autism advocates said current insurance statutes are outdated because nurse practitioners and psychiatric nurse mental health clinical specialists already provide evaluations and should be recognized for reimbursement to avoid delays in early intervention. Public health and GLAD Law testimony supported stronger infectious disease coverage to remove barriers to testing, treatment, and PrEP access. The hearing also included extensive testimony on H. 1172, a bill requiring insurance coverage for detransition-related care. Supporters said it would ensure coverage for medically necessary care for people who regret or reverse gender transition, while opponents argued it would legitimize anti-trans narratives or, conversely, that detransition care is needed because transition procedures can cause harm. The committee also heard strong support for S. 791 from advocates who described nature access as a health intervention that could help with trauma, anxiety, substance use recovery, and environmental justice, with claims that insurance coverage and reduced park fees would improve access. No votes were taken during the transcript, and the chair repeatedly thanked speakers and moved through the long list of public testimony.

Transcript Highlights:

• It improves patient access to care and reduces administrative burden.
• It improves patient access to care and reduces administrative burden.
• It improves patient access to care and reduces administrative burden.
• It improves patient access to care and reduces administrative burden.
• It improves patient access to care and reduces administrative burden.

Committee: House Commerce and Consumer Affairs

Transcript Highlights:

• It's partnered strong schools with schools that need improvement.
• And that further strengthens the health care infrastructure.
• And the result is consistent, higher quality health care.
• upon opportunities where there is the chance to improve.
• That report shows the steps that the program has made to improve school safety.

Committee: House Education

Transcript Highlights:

• Again, the health care providers have rejected this numerous times.
• So we need to be very, very careful with how we approach this bill.
• Policy that takes care of them in the instance of a workers' compensation claim.
• This is not about limiting care.
• You talk about access to care and... Delays, the denials, and the access to care.

Summary: The committee first voluntarily deferred House Bills 460 and 561, then took up House Bill 1101 on workers’ compensation. The sponsor said the bill would define maximum medical improvement, adjust fraud provisions, shorten temporary total disability and supplemental earnings benefit periods, and revise vocational rehabilitation rules; an amendment removed proposed age-based termination language for benefits. Business groups including LABI supported the bill as a way to reduce Louisiana’s comparatively high indemnity costs and align the state with regional norms, while injured-worker advocates and attorneys strongly opposed it, arguing it would cut benefits, shift medical and disability decisions away from treating physicians and judges, broaden fraud too far, and potentially push costs onto public programs. After debate, the committee voted to report HB 1101 with amendments. House Bill 282 was voluntarily deferred. House Bill 293, which would add sexual orientation and gender identity to Louisiana employment discrimination protections, drew generally supportive testimony from the sponsor and supporters, with some members raising questions about religious exemptions and federal law. The committee ultimately voted against reporting HB 293 favorably. House Bill 390, providing unpaid leave protections for domestic abuse survivors at larger employers, was presented as a tool for survivors, but the committee split 6-6 on a motion to report it favorably; the tie resulted in the bill being voluntarily deferred. The committee then heard House Bill 456, which would expand workers’ compensation petition requirements and allow employers or payers broader access to file disputed claims and seek discovery. Supporters argued employers currently lack a practical way to obtain records and challenge claims without first cutting off benefits, while opponents said the bill would revive a rejected 2012 approach, increase litigation, and undermine the no-fault workers’ compensation bargain. The discussion centered on whether the bill would preserve benefits while allowing discovery or instead encourage more disputes and penalties. The transcript ends with testimony still underway on HB 456, with no final vote shown.