Transcript Highlights:

• My screen went out. Okay, everything else is good. That this is, you know, increasingly rare.
• The sixth recommendation focuses on developing tools to streamline rare disease diagnosis like symptom
• The sixth recommendation focuses on developing tools to streamline rare disease diagnosis like symptom
• program, families volunteer with fully informed consent to have their baby's genome sequenced and screened
• approximately 250 to 600 conditions, in addition to the 60 conditions included in traditional newborn screening

Summary: The Health Professions and Program Subcommittee met with a quorum present and received a briefing from Melissa Jordan, Assistant Deputy Secretary for Health and chair of the Florida Rare Disease Advisory Council (ARDAC). Jordan explained that rare diseases affect fewer than 200,000 people each individually, but together impact an estimated 2.3 million Floridians. She reviewed ARDAC’s structure, its three subcommittees, and its 2025 legislative report recommendations, which focused on expanding Florida-specific data, disaster preparedness, state agency coordination, insurance oversight, provider education, faster diagnostic tools, research collaboration, and establishing centers of excellence. She also highlighted ARDAC’s work with other states and its effort to build an online repository of resources for families and providers. Jordan discussed the Andrew John Anderson Pediatric Rare Disease Grant Program, funded at $500,000 annually, which supported research awards at Florida State University and the University of Miami in 2024 and another University of Miami project in 2025. She also described House Bill 907 and the Sunshine Genetics Act pilot program, which created the Florida Institute for Pediatric Rare Diseases at FSU and a newborn whole-genome sequencing pilot to screen volunteer infants for hundreds of conditions beyond traditional newborn screening. The institute will include research, training, clinical care, a diagnostic lab, genome editing capacity, and a sequencing pilot overseen by a board, consortium, and steering committee. Members asked about interstate collaboration, the scope of data collection beyond Medicaid, how the council reduces family financial burdens, how families and providers can learn about available resources, and how ARDAC measures effectiveness. Jordan said Florida has learned from other states’ survey-based approaches and instead is using administrative data sources such as Medicaid, hospitalizations, emergency department visits, birth and death certificates, with more clinical data to be added over time. She said success is tracked through annual reports, ongoing work plans, and quarterly research reports that measure progress, patient enrollment, treatment outcomes, and potential follow-on funding. The meeting concluded after the presentation and questions, and the subcommittee adjourned without further business.

Transcript Highlights:

• Yes, I'm not able to share my screen; it says someone else is sharing, so I'm trying to...
• Yes. so is are they online yeah okay yes I'm I'm not able to share my screen it says someone else is
• Deborah, yes, are you going to—are you sharing your screen for the presentation?
• On the Climate Impacts Group website, currently, they provide resources such as mapping tools that do
• On its website, the Climate Impacts Group advises users of their mapping tool not to use the maps at

Summary: The Joint Legislative Audit and Review Committee I-900 Subcommittee heard JLARC’s annual update on the status of legislative implementation of State Auditor recommendations, followed by two State Auditor performance audits. JLARC staff reported that for the 2024 review period there were three new legislative recommendations and three unresolved older recommendations. They said the legislature did not convene a work group on civil asset forfeiture, and no formal action was taken on two water-use-efficiency recommendations. Two recommendations related to concurrent Medicaid enrollments were addressed in a bill introduced this session, but that bill was not adopted. The first audit examined how Washington can ensure climate-resilient electricity infrastructure. The State Auditor found the state has opportunities to better adapt new energy infrastructure by using more site-specific climate information, broader collaboration, and vulnerability assessments. The report recommended expanding climate analyses through the University of Washington Climate Impacts Group if funding is available, using forecasted information in DNR wildfire maps, designating a non-regulatory office to coordinate siting and conflict resolution, and expanding vulnerability assessments in Ecology and Commerce processes. Agency witnesses generally agreed resilience is important but emphasized existing efforts, the need to avoid duplicative requirements, the importance of affordability and efficiency, and the role of current forums such as the Clean Energy Siting Council and SEPA processes. The second audit reviewed fines for human trafficking and related sexual exploitation crimes. Auditors found courts assessed fines inconsistently, collection rates varied, some revenues were sent to the wrong local government, and some jurisdictions did not use the money as required for enforcement, prevention, or survivor services. The audit recommended courts work with prosecutors to improve awareness of mandatory fines, and that King and Pierce County improve coding, templates, and tracking so revenues are routed and used correctly. King County testified that it appreciated the audit and described its existing prevention and survivor-support work. The committee took no votes or formal actions and adjourned after the presentations and testimony.

Transcript Highlights:

• I don't see you on my screen. Go ahead, Carl. Okay. So I'm caught. Oh gosh, Carl, I'm so sorry.
• I don't see you on my screen. Go ahead, Carl. Okay. So I'm Carl Richardson.
• And are you able to see my screen? Yes. Great.
• Employers also need practical tools to recruit, hire, and retain workers with disabilities.
• And there's a graphic on the right side of the screen that shows that about 44% of employers who used

Keywords: 995, all

Summary: The Disability Employment Subcommittee met with roll call, approved prior meeting minutes, and shared an inspirational quote from Jane Goodall about the importance of every individual. Members then introduced themselves and their roles, including state disability advocates, providers, and commission members, before hearing a presentation from Katia Alpanis and Dina Klumkina of the State Exchange on Employment and Disability (SEED). SEED described its role as a technical assistance and policy resource for states, focused on sharing best practices and examples from other states to expand employment opportunities for people with disabilities. The presentation outlined SEED’s seven policy areas: career readiness and work-based learning, behavioral health and work, stay-at-work/return-to-work supports, employer recruitment and retention tools, entrepreneurship and disability-owned business development, interagency coordination, and state government as a model employer. Examples from other states included scholarship and transition supports in Kentucky and Virginia, stay-at-work programs in Alaska and Washington, accommodation funds in Minnesota, procurement and small business initiatives in New Jersey and Virginia, and model employer efforts in Colorado, New York, and Tennessee. Members also asked about digital accessibility and PEAT; SEED said PEAT has been refunded and that SEED can help with policy-level questions and peer examples, but not implementation of accessibility requirements. Discussion then shifted to possible Massachusetts projects. Members raised concerns about upcoming Medicaid work or civic engagement requirements and how people with disabilities might fall through the cracks, and they asked whether SEED could help Massachusetts use existing documentation, such as IEPs, to reduce barriers. The group identified two main areas for follow-up: a Massachusetts “state as a model employer” roadmap and a youth/young adult employment and volunteer pipeline, potentially linked to transition services and apprenticeship opportunities. SEED agreed to provide Massachusetts-specific analysis and two briefs, one on career readiness policies and one on state-as-model-employer strategies, and the subcommittee planned an offline follow-up meeting to narrow priorities and develop a scope of work.

Transcript Highlights:

• personal phone call, home outreach to the family to let them know the student is absent without a valid
• them know the student is absent without them know the student is absent without a<00:24:31.480> valid
• > sometimes<00:24:32.880> we'll<00:24:33.120> get<00:24:33.279> that a valid
• excuse sometimes we'll get that a valid excuse sometimes we'll get that answer<00:24:33.880> of
• If they slow down to catch up the students who are absent the prior day, they lose... ...provide tools

Keywords: 1187, senate, all

Transcript Highlights:

• <01:10:29.440> the<01:10:29.640> data envelope and there's validate the data envelope
• and there's validate the data for<01:10:30.159> lack<01:10:30.320> of<01:10:30.400>
• Part of that process is having to fill a form out on a PDF, where using a screen reader, it all kind
• Part of that process is having to fill a form out on a PDF, where using a screen reader, it all kind
• It would have gone to the outside envelope. where using a screen reader um it all where using a screen

Keywords: 1191, senate, all

Transcript Highlights:

• We need the tools and education to protect our children from these harmful addictive substances.
• Let's give our young people every tool we can to stay safe, supported, and seen.
• Certainly not a panacea, but is this a tool in the toolbox? But is this a tool in the toolbox?
• But no one screened her, and we didn't even know what PANDAS was at the time.
• I urge you to support this bill, which will require statewide screening for PANS and PANDAS.

Keywords: 995, all

Summary: The Joint Committee on Mental Health, Substance Use and Recovery opened its first public hearing of the 2025–26 session with remarks from the Senate and House chairs outlining the committee’s priorities. They noted recent work on addiction and recovery legislation, the ongoing youth behavioral health crisis, and that members might need to leave periodically for floor votes. The chairs explained hearing procedures, including three-minute testimony limits, written testimony deadlines, and reporting deadlines for Senate and House bills. The hearing then focused on several bills related to youth mental health, overdose prevention, and psychedelic treatment research. A major portion of the hearing centered on bills to improve youth crisis response and overdose prevention. Testimony strongly supported bills to print the 988 Suicide and Crisis Lifeline on student ID cards, with speakers from mental health organizations, crisis centers, and individuals sharing personal stories of depression, suicide attempts, and the importance of making 988 as familiar as 911. Another set of bills would require schools to stock naloxone and provide overdose prevention education. Physicians, harm reduction advocates, students, and grieving family members testified that school-based Narcan access and education could save lives, reduce stigma, and help students recognize overdoses and understand Good Samaritan protections. Senator O’Connor and Tamika Perry also testified for a bill to strengthen substance use prevention education and reduce overdose abandonment, emphasizing the need to teach students about overdose risks and the legal protections for calling 911. The committee also heard testimony on a bill to authorize a pilot program for psychedelic treatment in licensed facilities. Senator Friedman and several medical and behavioral health professionals argued the proposal was a narrow, research-based approach distinct from the broader ballot question rejected in 2024. They said the bill would allow only a small number of supervised clinics to use psychedelics for conditions such as depression, PTSD, anxiety, and substance use disorders, with data reporting and Department of Public Health oversight. Supporters described it as a cautious way to study promising treatments while avoiding unsupervised or commercialized use. Finally, the committee heard support for a bill to create a special commission and five-year strategic plan for children’s behavioral health services, with testimony that the current system is fragmented, difficult for families to navigate, and strained by workforce and funding challenges. No votes or final actions were taken during the hearing; the committee primarily received testimony and questions on the bills.

Transcript Highlights:

• Certainly another tool caution people.
• we've validated? we've validated?
• <01:28:32.159> to state how can we provide new tools to state how can we provide new tools
• programs and just the the validation programs and just the the validation that<01:29:16.239>
• support uh I mentioned some of the tools support uh I mentioned some of the tools that<01:36:00.080

Keywords: 1183, house

Transcript Highlights:

• , including public-facing voter tools like online voter registration and the polling place finder.
• ,<00:18:38.720> including several other related tools, including several other related tools
• <00:18:40.880> online public-facing voter tools like online public-facing voter tools like
• part of a valid address range. part of a valid address range.
• That's probably the primary tool at our disposal to be able to review citizenship information.

Keywords: 1183, house

Transcript Highlights:

• Here in Oʻahu, it's HNL Alert, which is a very useful tool, a big improvement over the previous tools
• big<00:23:58.960> improvement<00:23:59.360> over<00:23:59.600> the useful tool
• big improvement over the useful tool big improvement over the previous<00:24:00.159> tools.
• Um being able to do that previous tools.
• I think one of the most powerful tools that legislators hold is the power of words, and words matter.

Bills: HB2437, HB1815, HB1614, HB1613, HB1612, HB2411, HB2597, HB2583, HB2474, HB1863, HB2590, HB1813, HB1838, HB2138, HB1967, HB1576, HB2139, HB1605, HB2113, HB812, HB1831, HB1707, HB2561, HB1805, HB2469, HB2472, HB2387, HB1658, HB1661, HB1664, HB1859, HB2276, HB2335, HB1656, HB2116, HB2272, HB2273, HB2340, HB2158, HB2339, HB2489, HB2159, HB2171, HB2338, HB2005, HB1952, HB1872, HB1676, HB2384, HB2614, HB20, HB1776, HB1565, HB2310, HB1975, HB1801, HB1668, HB2114, HB1972, HB1546, HB1518, HB1131, HB2208, HB2156, HB2268, HB2622, HB2581, HB2498, HB2443, HB1577, HB2033, HB2031, HB2023, HB1969, HB1973, HB1974, HB2315, HB2343, HB2501, HB2505, HB816, HB1562, HB1591, HB1853, HB1854, HB1871, HB1965, HB1966, HB1537, HB1541, HB276, HB2606, HB2270, HB1920, HB1756, HB1727, HB1718, HB1715, HB1713, HB1711

Keywords: arts education, student engagement, cultural literacy, public schools, funding, State Foundation on Culture and the Arts, SFCA, Performing Arts Grants Program, arts grants, culture and the arts, history and the humanities, King Kamehameha Celebration Commission, Works of Art Special Fund, one percent for art, public art, art in public places, relocatable works of art, DBEDT, Department of Business, Economic Development, and Tourism, DAGS

Transcript Highlights:

• And reducing the standard on that camera as a verification tool from a warrant would be practical in
• And reducing the standard on that camera as a verification tool from a warrant would be practical in
• And reducing the standard on that camera as a verification tool from a warrant would be practical in
• I'm not suggesting this is our solution, but blockchain to validate transactions.
• I'm not suggesting this is our solution, but blockchain to validate transactions.

Keywords: 1191, senate, all

Transcript Highlights:

• New Mexico's literacy policy components align with other states' guidance and accountability for screening
• , targeted interventions to support the acquisition of core content, and that includes universal screening
• example, ensures all literacy instruction. is evidence-based and provides guidance on universal screening
• The public education department should also consider providing screening criteria and an assessment tool
• interventions are, are available to that student, so that the parent may or may not have the, the tools

Transcript Highlights:

• So that is not available in real time, at least for the tools that we develop.
• You know, they're available as a tool to do that at any time.
• But the legislature could certainly supplement the toolbox with additional tools.
• But the legislature could certainly supplement the toolbox with additional tools.
• I think it's a valuable planning tool.

Summary: The committee held a hearing on high-capacity groundwater wells proposed in Anderson, Henderson, and Houston counties, with members framing the issue as one of local water supply, fairness, and the need to modernize groundwater law while protecting private property rights. Opening remarks focused on the scale of the proposed Redtown Ranch and Pine Bliss projects, the potential export of tens of thousands of acre-feet of groundwater annually, and concerns that the applications lacked sufficient technical detail and could harm nearby landowners, cities, agriculture, and manufacturing. Members also noted the broader context of the recent flooding tragedy in central Texas and the Legislature’s intent to address water-related loss of life in the upcoming special session. Witnesses from the Texas Alliance of Groundwater Districts and the Texas Water Development Board explained the current groundwater management framework. They described groundwater conservation districts as the state’s preferred management method, the role of groundwater management areas and desired future conditions, and how the Water Development Board uses those conditions to calculate modeled available groundwater. They emphasized that districts rely on local data, monitoring wells, and planning processes, but that information is often more limited in areas without a district, where the rule of capture applies. Members pressed witnesses on recharge rates, export permits, subsidence, the effect of pumping on nearby wells, the age and real-time availability of model data, and whether the proposed project would exceed modeled available groundwater in some counties. TCEQ explained its limited oversight role over groundwater conservation districts, including inquiries, compliance actions, and, in extreme cases, dissolution authority. Water Development Board staff also outlined funding programs, saying the New Water Supply for Texas Fund is limited to projects such as brackish desalination, reuse, ASR, and other new-supply projects, and does not fund fresh groundwater exports alone. They said the project at issue had not applied for board funding. A water lawyer then testified on the rule of capture, ownership in place, and district regulation, arguing that districts must use permitting and other tools to manage production within modeled available groundwater and that the Legislature could consider additional authority over groundwater exports under current law.

Transcript Highlights:

• One of those most important tools is called a provider tax.
• tell who's getting advanced screening tell who's getting advanced screening from<03:13:13.520>
• migrants that need enhanced screening. migrants that need enhanced screening.
• getting extra screening and where that<03:23:12.479> screening<03:23:13.040> occurs<03
• I urge my anti-immigrant fascist tool.

Keywords: U.S. House of Representatives Floor Proceedings on Thursday, June 26, 2025, 1012, house, all

Transcript Highlights:

• Therapy is a powerful tool of resiliency, and we do not want to remove that tool from the tool blocks
• Therapy is a powerful tool of resiliency, and we do not want to remove that tool from the tool blocks
• Therapy is a powerful tool of resiliency, and we do not want to remove that tool from the tool blocks
• Therapy is a powerful tool of resiliency, and we do not want to remove that tool from the tool blocks
• Therapy is a powerful tool of resiliency, and we do not want to remove that tool from the tool blocks

Keywords: 1189, house, all

Summary: The House Children and Family Law Committee opened its February 4, 2025 hearing with a business item on House Bill 553, appointing a subcommittee chaired by Representative Greg and including several named members. The committee then took up House Bill 486, which would revise New Hampshire’s grandparents’ visitation law. The prime sponsor said the bill is intended to address gaps in current law, especially in situations involving divorce, separation, kinship care, and parental substance use, so that children can maintain important relationships with grandparents or other kin caregivers. He emphasized that the proposal was meant to supplement existing law rather than replace it, and said the language was modeled on statutes from other states. Several witnesses testified in support of HB 486, describing painful family separations and arguing that current law can be interpreted too narrowly. One grandmother said the existing statute had been used to dismiss her visitation case because she was restricted while the parents were separated, and she asked for language changes so courts could still order visitation in similar circumstances. Another witness, testifying online, urged passage of the bill as being in the best interest of children. A third witness described a family living arrangement in which grandparents had been a consistent presence in their grandchildren’s lives but were later cut off during a contentious separation, and said the bill would help repair those relationships. Committee members asked about the six-month timeframe in the bill, whether the proposed language would affect cases where a grandparent does not live with the child but is still a regular caregiver, and whether the sponsor had written amendment language; the sponsor said the six-month language was taken from other states’ statutes and that the new language would not change existing visitation rights but would add to them. After hearing the testimony, the chair said the committee would hold HB 486 aside for a week or two while awaiting additional information before voting. The hearing then moved to House Bill 320, an act relative to enforcement of marital property settlements. The sponsor explained that the bill would require courts to enforce final property decrees and would clarify the difference between enforcement and contempt, arguing that courts should have clear authority to fashion remedies and that litigants, especially self-represented parties, need clearer statutory guidance. Committee members questioned the legal distinctions the sponsor drew, including whether the bill was aimed at enforcement rather than contempt and how the proposed language would operate in practice. The transcript cuts off before any vote or further action on HB 320.

Transcript Highlights:

• We could do more if we were given the tools to do it.
• And you were talking about, you know, we need the tools.
• And you were talking about, you know, we need the tools.
• Any other tools that you know that would be helpful? Because you're the experts.
• That program was based heavily in suicide prevention screening with referrals back to VA.

Summary: The Assembly Committee on Military and Veteran Affairs held an informational hearing focused on the effects of federal budget cuts and policy changes on veterans, military readiness, and California’s veteran support systems. The chair and members emphasized that federal reductions to the VA, Medicaid/Medi-Cal, SNAP, and the federal workforce are disproportionately harming veterans by threatening health care, employment, housing, crisis lines, and suicide prevention services. The chair also highlighted California’s progress on veteran homelessness and the importance of preserving state programs that leverage federal dollars. Major General Matthew Beavers of the California Military Department described the department’s structure, its response to the Los Angeles fire emergency, and concerns that federal cuts could reduce readiness through less training, older equipment, and fewer resources. He also discussed state programs such as Work for Warriors, STARBASE, youth and community schools, and the counterdrug task force, saying they are valuable but vulnerable if funding is redirected away from readiness. Members asked about the impact of federal changes on the Guard and how the Legislature could help, and Beavers said the state should advocate for recapitalized equipment and continued support for key programs. A second panel focused on veterans’ benefits and claims support. CalVet, Los Angeles County, and Swords to Plowshares testified that county veteran service officers, legal aid, and community-based partnerships are essential to helping veterans access VA benefits, especially after the PACT Act expanded eligibility and increased claims volume. Witnesses said these services bring substantial federal dollars back to California, but county offices and legal providers are underfunded and overburdened. Members discussed data sharing, staffing shortages, and the need for more resources to reach veterans who are not connected to VA care. In the final panel on mental health and suicide prevention, CalVet and nonprofit providers described state-funded programs such as the Veterans Support Self-Reliance program and the California Veterans Health Initiative, which place services in permanent supportive housing and provide no-cost counseling statewide. Witnesses said these programs are showing measurable improvements in health, medication adherence, and emergency room use, but they depend on sustained funding and are vulnerable to step-down grants and federal instability. Committee members expressed support for the programs and raised questions about access, staffing, and the role of non-veteran family members in Vet Center services.

Transcript Highlights:

• We have many tools available in our housing toolbox. This bill illustrates just that.
• We determined a valid reason to reopen the eviction case and asked the judge to reconsider the case.
• Um, we determined a valid initially.
• <01:15:57.040> Um, tool, which we cannot do right now.
• Um, tool, which we cannot do right now.

Keywords: 1187, senate, all

Transcript Highlights:

• And so we saw from September to November this mad dash of validating that people have put in for, oh,
• So again, I just see it as nothing more than giving her another tool. She may never use it.
• Um, I think giving her this as a tool, we should continue to trust her, let her have this tool in her
• She may never gives her another tool. She may never use<01:24:02.400> it.
• <01:24:20.400> I'm tool in her toolkit. Um thank you. I'm tool in her toolkit.

Keywords: 1191, senate, all

Transcript Highlights:

• Get that up on the screen. And you tell us, 414. Tell us what it is and why we need it.
• HB 546 says two things strategically: to give them more tools and to offer increased safety and assurances
• Basically, the commemorative birth certificate is an option for parents to purchase a valid birth certificate

Keywords: 974, senate, all

Summary: The Senate Committee on Health and Welfare met on May 13 with a quorum present and approved the prior meeting minutes. The committee first heard HB 971, which would equalize Medicaid reimbursement rates between independent clinics and hospital-owned rural health clinics; supporters said independent clinics are disadvantaged by a large payment disparity, and the bill was reported favorable without objection. The committee also recognized visiting Alpha Phi Alpha members and other guests during personal privilege remarks. Members then considered HB 414, which would bar hiring certain health care workers and direct support professionals with serious disqualifying convictions from other states and address background-check issues for therapeutic group homes. After adopting three amendment sets, the bill was reported as amended. HB 740, creating an independent review process for Medicaid behavioral health claim disputes in the coordinated system of care, was amended to clarify applicability and CSOC definitions and then reported as amended. HB 288, which would place the term “miscarriage” alongside “spontaneous abortion” in medical documentation, drew emotional testimony from affected parents and advocates; the committee reported it favorable. The committee also advanced several more bills: HB 405, updating the name of the national acupuncture certifying body, was reported favorable; HB 786, prohibiting extrapolation in certain managed-care claims recoupments, was reported favorable; HB 1095, allowing alternative backup power sources for nursing homes, was reported favorable; HB 403, raising the cottage food gross-sales cap, was amended from $50,000 to $150,000 and then reported favorable; HB 930, modernizing cosmetic-product regulation and creating a small-producer exemption, was reported favorable; HB 557, defining long-term pharmacies for policy purposes, was reported favorable; HB 779, on expedited partner therapy for sexually transmitted diseases, was reported favorable; HB 915, setting utilization-management timelines and standards, was reported favorable; HB 546, expanding criteria for peace officers to take someone into protective custody during a mental health crisis, was reported favorable; HB 796, creating a chiropractic preceptorship program, was reported favorable; and HB 933, authorizing commemorative birth certificates, was reported favorable. The final major item was HB 1041, a “no-mandate” bill barring discrimination based on medical intervention status. The sponsor and Surgeon General said it was aimed at healthy, asymptomatic individuals and not at public health quarantine powers, but Senator Boudreaux objected to exemptions for schools and hospitals and offered an amendment to restore broader coverage. That amendment failed on a roll-call vote, and the bill remained under discussion as the transcript ended, with no final committee disposition shown in the excerpt.

Transcript Highlights:

• Get that up on the screen. And you tell us, 414. Tell us what it is and why we need it.
• HB 546 says two things strategically: It gives them more tools and offers increased safety and assurances
• Basically, the commemorative birth certificate is an option for parents to purchase a valid birth certificate

Summary: The Senate Committee on Health and Welfare met on May 13 and approved the minutes from the prior week before taking up a series of House bills, many of them with testimony from sponsors, agency officials, and stakeholders. Early action included HB 971, which would direct LDH to equalize Medicaid reimbursement rates between independent rural health clinics and hospital-owned rural health clinics; the sponsor described a significant payment disparity and the committee reported the bill favorably. The committee also deferred HB 1030 and HB 796 until the following week before moving to other items on the agenda. Several bills dealing with Medicaid and provider regulation were advanced. HB 414, as amended, closes a loophole so health care providers cannot hire unlicensed workers with certain serious out-of-state convictions; amendments addressed effective dates, FBI background-check issues for therapeutic group homes, and delays for direct support professional applicants caused by minor record issues. HB 740, as amended, creates an independent review process for Medicaid claims disputes in the coordinated system of care for behavioral health providers, with amendments clarifying applicability dates and program definitions. HB 786, which prohibits extrapolation in managed care claims recoupments and requires recovery to be based on actual overpayments or underpayments, was also reported favorably. HB 915 set timelines and accountability standards for prior authorization and utilization management in Medicaid managed care and was reported favorably after testimony about delays in care. The committee also heard and passed several bills affecting health professions and facilities. HB 405 simply updates the name of the national acupuncture certification body. HB 1095 allows nursing homes to use alternative power sources while keeping existing generator and fuel requirements. HB 557 defines long-term care pharmacies for policy purposes. HB 779 authorizes expedited partner therapy prescriptions for certain sexually transmitted diseases. HB 933 creates an optional commemorative birth certificate, with part of the fee going to the Office of Women’s Health. HB 796, carried by another representative for the author, establishes a chiropractic preceptorship program with on-site supervision requirements and was reported favorably after questions about student training and patient safety. The committee also heard emotionally charged testimony on HB 288, which would place the term “miscarriage” alongside “spontaneous abortion” in medical documentation and patient communication. Several witnesses described the distress caused by current coding language, and supporters said the change would make records more compassionate and understandable; the bill was reported favorably. HB 403 increased the cottage food gross-sales cap, and after testimony from small producers and the committee’s discussion of other states’ higher limits, an amendment raised the cap to $150,000 before the bill was reported favorably. HB 930 modernizes cosmetic-product regulation and creates a small home-based producer exemption under a wholesale-sales threshold; it was also reported favorably. Finally, HB 1041, a no-mandate bill restricting discrimination based on medical intervention status, prompted extended debate over exemptions for schools, hospitals, and other entities, with one amendment failing on a roll-call vote and the discussion continuing over the scope of the bill and federal funding concerns.

Transcript Highlights:

• That's the beauty of research: research provides you with outcomes, validates outcomes.
• Institute, so ODG is a strict cost-cutting tool that prioritizes insurer-driven denials over individual
• All it does, you already have, the Human Relations Commission already screens discrimination claims.

Summary: The House Labor and Industrial Relations Committee met on May 7, 2026, and first deferred several measures, including House Bill 460, Senate Bill 322, Senate Bill 32, Senate Bill 22, and House Bill 561. The committee then took up House Bill 819 by Chairman Cruz, which would replace Louisiana’s current workers’ compensation medical treatment schedule with the Official Disability Guidelines (ODG) by MCG as the primary guideline, while keeping the existing variance and appeal process. Cruz and MCG representative Troy Prevo argued that ODG is more comprehensive, updated more frequently, and used in many states, and said it could reduce delays, disability duration, and costs. Dr. Jason Picard, the state medical director, testified that Louisiana already uses ODG as a secondary reference in many cases because the state schedule lacks coverage for some body parts and treatments, and said the bill would not otherwise change the appeals process or care delivery. Committee members focused heavily on whether the bill would delay care or improve it. Several members questioned the private-company nature of ODG, the $400 annual subscription cost, and whether Louisiana doctors would be forced to rely on an out-of-state guideline. Rep. Glorioso and others raised concerns about preauthorization delays and proposed amendments to create tacit approval when treatment follows the schedule, require payment within 30 days, and make the carrier prove by clear and convincing evidence that care was not medically necessary to challenge it. Chairman Cruz said he was willing to work with those ideas, and the committee also discussed adding an on-ramp or legacy language so current patients would not be disrupted. Opposition testimony came from injured-worker advocates and representatives of medical and labor groups, including Joseph Jola St. and Robin Krumholt. They argued that Louisiana’s current guidelines are already working, that rates have fallen over time, and that the real problem is delay in approval rather than the content of the schedule. They said ODG is overly rigid, cost-driven, and can lead to denials that shift costs to workers, Medicaid, or private health insurance. They urged the committee to keep Louisiana’s existing system and instead adopt tacit approval under current law. The bill was still under discussion at the close of the transcript, with amendments being read and no final vote shown.