Transcript Highlights:

• Physicians across California are also raising alarms about the growing number of preventable injuries
• From a physician standpoint, these are practical, preventive measures that directly address the root
• You know, like you don't know, you know, as physicians, surgeons...
• Right now it's muddied, you know, like you don't know, you know, as physicians, surgeons, we don't know

Committee: House Transportation

Transcript Highlights:

• inspection authority for the facility itself make it difficult to determine, for instance, whether a physician
• Our nurse was involved, but it wasn't a nursing error, but maybe it was a physician error.
• So then... ...was involved, but it wasn't a nursing error; maybe it was a physician error.
• enforcement funding for the Osteopathic Medical Board; item number 13, enforcement funding for the Physician

Transcript Highlights:

• inspection authority for the facility itself make it difficult to determine, for instance, whether a physician
• Our nurse was involved, but it wasn't a nursing error, but maybe it was a physician error.
• So then... ...was involved, but it wasn't a nursing error, but maybe it was a physician error.
• enforcement funding for the Osteopathic Medical Board; item number 13, enforcement funding for the Physician

Summary: The subcommittee heard budget proposals for Exposition Park, the California Science Center, the Department of Financial Protection and Innovation (DFPI), the Debt Collection Licensing Act program, and the Board of Registered Nursing. For Exposition Park, the administration requested $96.5 million for utility replacement, site improvements, code compliance, accessibility, and safety upgrades, plus $1.698 million for operational sustainability funded from the park’s improvement fund. The LAO said the proposals had merit but noted the first item could be downscaled if needed because of the state’s budget condition. Members emphasized the park’s deferred maintenance, major upcoming events, and the need to protect a statewide asset; both Exposition Park items were held open. The Science Center requested funding to open and operate the new Air and Space Center, including staffing for the facility that will display the Space Shuttle Endeavour and expand exhibit space. The LAO supported the proposal but suggested the Legislature consider alternative funding sources such as admission fees, parking fees, or private funds. Members discussed the Science Center’s public-private funding model, the importance of keeping access affordable for disadvantaged communities, and the tradeoff between free admission and long-term operating support. The item was also held open. DFPI sought continuation of expenditure authority for the California Consumer Financial Protection Law, debt collection licensing, and broker-dealer/investment adviser workloads, and the LAO recommended limited-term funding with more cumulative reporting before permanent funding is considered. Members pressed the department on whether its workload and spending are tied to measurable outcomes rather than just activity counts, and DFPI cited complaint resolution, enforcement actions, and restitution recovered as examples of impact. The Debt Collection Licensing Act item drew similar LAO comments, but members raised stronger concerns about the financing model, the gap between projected and actual licensee counts, and whether spending levels are justified; that item was held open. The Board of Registered Nursing requested $1.4 million for eight special investigators to address rising complaints, and the board said most complaints are resolved through investigation, referral, probation, or rehabilitation rather than discipline. Members asked about complaint backlogs, viral and potentially automated complaints, bias in care, and the lack of broader inspection authority; the item was also held open.

Transcript Highlights:

• And would you be surprised to know that there are a lot of physicians who want to be able to do this
• I hear from, you know, the, I hear easy, and then I hear that physicians will prescribe this.
• Is that something that insurance now will be able to cover if a physician prescribes this to a patient
• This is the same bill as the physician assistant bill was for the nurse practitioners.

Bills: HB3552 , HB2984 , HB4124 , HB3934 , HB3448 , HB3131 , HB4200 , HB4201 , HB3011 , HB1912 , HB3380 , HB3881 , HB3538 , HB3851 , HB3907 , HB4430 , HB4431 , HB4457

Committee: House Health and Human Services Oversight

Summary: The committee took up a series of health, human services, and related bills. House Bill 3552, allowing child care providers to bridge the gap between subsidy reimbursement rates and standard tuition rates, was adopted and reported out 11-2. House Bill 2984, as a substitute, would direct DHS to compile a report on the child care system, including subsidy payment error rates, the number of facilities, closures, and voluntary closure feedback; it was reported out 14-0. House Bill 4201, changing master teacher requirements in child care from licensed capacity to actual enrollment, also passed unanimously. House Bill 3380, creating the Fostering the Future for Oklahoma Children and Families Act to modernize foster care data systems and improve outcomes, passed 12-0. House Bill 4430 and House Bill 4431, both cleanup measures tied to prior nurse practitioner/PA scope and pharmacy-related provisions, each passed 13-0. Several bills focused on health care access, regulation, and public safety. House Bill 4124 would allow over-the-counter ivermectin sales for human use with labeling and dosing information; after extensive questioning about safety, labeling, children, and liability, it passed 9-5. House Bill 3934, a large amended measure affecting dental practice and supervision rules, passed 14-0 after discussion about x-rays, telemedicine, and dental assistants. House Bill 3448, requiring insurance coverage related to group home provider liability for property damage, passed 14-0. House Bill 3131, setting baseline standards and oversight for homeless shelters with roles split between Commerce and Health, drew concerns about local control, temporary shelters, and fiscal impact, but passed 8-6. House Bill 4200, creating a revolving fund for forensic assertive community treatment teams to address the jail-to-homelessness cycle for people with severe mental illness, passed 11-3. The committee also advanced several public health, consumer, and industry bills. House Bill 1912, the Corn Masa Nutrition Enhancement Act, generated extensive debate over folic acid fortification, parental choice, MTHFR genetics, and potential health effects; with a PCS allowing a non-fortified option, it passed 9-5. House Bill 3011 repealed the home brewing license while keeping home-brewing limits and sales restrictions, and passed 11-3. House Bill 3881, the Alternative Nicotine Products Regulatory Act, increased application costs and removed a registry deemed inconsistent with federal law, passing 13-0. House Bill 3538, targeting pharmacy benefit manager vertical integration and its effects on access and pricing, passed 13-0 after discussion of mail-order restrictions and pharmacy closures. House Bill 3851, defining private label/control label alcoholic beverages under the three-tier system, also passed 13-0. House Bill 3907, requiring direct-hire staffing for facilities serving vulnerable adults and children with a short temporary staffing grace period, passed 13-0. The committee then moved on to House Bill 4457, a specialty-drug/PBM measure, with discussion beginning about PBM practices and specialty pharmacy access.

Transcript Highlights:

• Sort of like when you go to your primary care physician and they give you a referral, that's a similar
• ... when you go to your primary care physician and they give you a referral, that's a similar function
• Through this vertical integration, the PBMs own or employ thousands of physicians and health care providers
• , so they own the physician, they own the clinic, they own the insurance company, and the pharmacy.

Committee: House Health and Mental Health

Transcript Highlights:

• House Bill 195 deals with the personal assets of physicians in medical malpractice judgments.
• We have it in this bill because we enumerate physician, chiropractic physician, etc., so I think we would
• And before I go there, you said this is a result of conversations with physicians, correct?

Committee: House House Health & Human Services

Transcript Highlights:

• House Bill 195 deals with the personal assets of physicians in medical malpractice judgments.
• Chair, I don't think it falls into the definition as we have it in this bill because we enumerate physician
• , chiropractic physician, etc., so I think we would need to individually specify it.
• And before I go there, you said this is a result of conversations with physicians, correct?

Summary: The committee first took up HB 195, as amended by committee substitute, which would protect the personal assets of individual medical providers from medical malpractice judgments when they carry appropriate insurance or participate in the Patient Compensation Fund. The sponsor said the bill was intended to address providers’ fear of losing homes and other personal property, while opponents argued it could exempt a class of people from civil justice. Supporters said it was a reasonable compromise that preserved patient access to justice while helping recruit and retain providers. The committee adopted the substitute and advanced it on a do pass vote. The committee then heard HB 295, a revised version of the Accessibility Act, which would create a centralized office for accessibility reporting, technical assistance, and annual reporting on barriers in state buildings and websites. Supporters said the bill would improve coordination, data collection, and compliance with existing ADA requirements; opponents argued it duplicated existing law and would create another government office without enforcement power. Members debated whether the Governor’s Commission on Disability should handle the work instead, but the sponsors said the commission lacked capacity and the Department of Health was a better fit. The committee adopted the substitute and advanced it 8-1. Next, HB 296 proposed doubling the working families tax credit. The sponsor and supporters described it as an anti-poverty measure that would benefit more than 200,000 families and strengthen work incentives, while committee members asked about the fiscal impact, administration, and interaction with other tax credits. The bill was quickly advanced on a do pass vote. The committee then heard HB 338, which would extend the gross receipts tax deduction for health care providers through 2031 and add co-insurance payments. Health care advocates supported it, but city and municipal representatives warned it would reduce local revenue unless a full hold harmless was added. After extended discussion, the committee rejected a motion to table and instead advanced the bill 9-0 with no recommendation, with several members saying they would not support it on the floor unless local governments were made whole. Finally, the committee heard HB 259, which would create an optional actuarial review process for proposed health insurance legislation through the Legislative Finance Committee. Supporters said it would give lawmakers better data on premium, utilization, and spending impacts before voting on coverage mandates; opponents and some members raised concerns about cost, staffing, data access, and whether the process would be too limited to be useful. After discussion, the committee advanced the bill on a do pass vote. HB 279 was rolled at the sponsor’s request, and the committee adjourned after reminding members about the evening dinner.

Transcript Highlights:

• We'll have this baseline forecast specifically for physicians, and we'll need to reduce it if we're not
• Every year we hear about the physician fix that's needed.
• It's like, if we don't fix this, we're going to cut physician fees by 20%.
• : will Congress come back and say, after all the hospitals say, 'We're going to close,' and the physicians

Committee: House Federal Funding Stabilization Subcommittee

Transcript Highlights:

• It clarifies that a physician may practice at an organized ambulatory care facility even if the physician
• It clarifies that a physician may practice at an organized ambulatory care facility even if the physician

Transcript Highlights:

• We don't have enough physicians to see our patients, and this challenge is only projected to get worse
• With this program in effect, we will be training approximately 58 FTE of residency physicians in any
• for revitalizing all of greater Minnesota and providing new health to everyone who lives there. physicians
• in any given year, graduating physicians in any given year, graduating 20<00:23:41.520><c> new</c><00

Transcript Highlights:

• We now have House Bill 413, Physician Assistant Licensure Compact. Leader Armstrong.
• House Bill 413 is relating to an intergovernmental agreement enacting Physicians Assistance Licensure
• So even if you have a physician that's located, or a physician assistant in this case that's located

Committee: House House Judiciary

Transcript Highlights:

• Chapter 13A. 502 KAR 1:121 amends material incorporated by reference to update protocols requiring physicians
• , advanced practice registered nurses, and physician assistants to provide medical clearance or medical
• The amendment to 502 KAR 1:121 updates protocols requiring physicians, advanced practice registered nurses
• , and physician assistants to provide medical clearance or medical authorization for further evaluation

Summary: The Administrative Regulation Review Subcommittee met on February 10 with a quorum present, approved the minutes, and then reviewed a long agenda of agency regulations, most of which were accompanied by staff-suggested amendments for drafting conformity under KRS Chapter 13A. The Department of Financial Institutions’ 808 KAR 9:10, the Secretary of State’s 030 KAR 2:11, the Office of the Attorney General’s 04 KAR 5:10, the Board of Speech-Language Pathology and Audiology’s emergency 201 KAR 17:120, the Department of Fish and Wildlife Resources’ 301 KAR 2:41, the Department for Environmental Protection’s 401 KAR 47:110 and 48:320, the State Police regulations 502 KAR 1:012 and 1:121, the Department for Public Health’s 902 KAR 4:15, the Department for Medicaid Services’ 907 KAR 1:15, and the Department for Community Based Services’ 921 KAR 1:400 were all discussed and, where applicable, staff amendments were approved without objection. The Workplace Standards emergency regulation 803 KAR 2:320E was also presented without amendment, and the Department of Insurance’s 806 KAR 9:360 was taken up but ultimately deferred at the agency’s request. Several regulations drew brief substantive discussion. The Fish and Wildlife rule on foxhound training enclosures was explained as expanding both commercial and non-commercial provisions for training with dogs involving red fox and coyotes, with enclosure standards intended to protect wildlife inside and outside the facilities. The environmental protection rules were tied to House Bill 478 and addressed permit-by-rule timelines, reporting, and operating standards for certain construction and demolition debris landfills, including sites up to two acres; members asked whether these facilities were private or municipal, and staff said they were a mix, often tied to private demolition contractors or single projects. The State Police fee increase for hazardous materials endorsements was described as reflecting a federal TSA fee change, and the witness estimated the new fee at about $23. The most extended debate concerned the Board of Education’s 704 KAR 3:535 on full-time virtual and remote learning programs. The agency amendment would cap enrollment in such programs at 10% above a district’s prior-year in-person enrollment, while also clarifying accountability, staffing, and monitoring requirements. Education officials said the cap was intended to address concerns about district capacity and student performance, and they cited Cloverport as an example of a district with high virtual participation and participation-rate issues. Members expressed concern that the amendment was too open-ended for regulation and suggested the issue might be better addressed in statute; no motion was made to adopt the agency amendment, so the regulation was left to proceed to the committee of jurisdiction. The Department of Insurance also discussed implementation of Senate Bill 188, saying it had received more than 3,000 complaints since the law took effect and was still working through enforcement and complaint processing before asking to defer its PBM licensing regulation.

Transcript Highlights:

• gets into a little bit more technical, but the risk models that we're talking about are based on physician
• you know, they have armies of people out there making sure that the coding is correct from the physicians

Committee: All ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE

Summary: The committee received an update from Grant Wallace on the rebid and possible decoupling of the state’s Medicare Advantage retiree coverage. He said the state is exploring splitting medical and pharmacy benefits for post-65 retirees, with UnitedHealthcare as the incumbent vendor, and that preliminary estimates suggested savings of about $100 to $200 per participant per month. He outlined the expected timeline for final CMS rate announcements in April 2026, with contract amendments likely to come before the committee in May or June after review by the EBD Advisory Commission and State Board of Finance. Representatives from Segal Consulting then reviewed the history and current structure of the Medicare Advantage prescription drug plan, explaining that the plan was adopted after a 2021 recommendation and launched in 2023 alongside the existing Med-Sup option. They said the Medicare Advantage option has produced substantial savings, including a lower monthly rate than the Med-Sup plan and about $40 million in savings from initial enrollment, while also restoring pharmacy benefits for some retirees. The presenters then explained recent federal changes under the Inflation Reduction Act, including major changes to Part D funding, the direct subsidy, and risk-score methodology, which they said have made risk adjustment much more important and are driving interest in separating medical and pharmacy contracts. In response to questions from senators, the presenters said the Medicare Advantage plan covers post-65 teacher and state employee retirees, including retirees from state agencies and K-12 public schools. They also explained that the new Part D structure has reduced out-of-pocket costs for members, with a $2,000 annual cap and lower average member spending to reach it, while shifting more cost to the plan. No votes were taken and no formal action was reported; the committee simply received the update and was told to expect further information after the April rate notice. The meeting adjourned with the committee scheduled to return on May 13.

Transcript Highlights:

• No need for coordination with primary care physicians, no holistic approach to any other pre-existing
• No need for coordination with primary care physicians, no holistic approach to any other pre-existing

Committee: Senate Health

Summary: The Senate Standing Committee on Health considered a series of health-related bills, many of which were reported favorably. Among the measures approved were SB 999, which would restructure Medicaid reimbursement for early and periodic screening, diagnosis, and treatment services for children with IEPs or disabilities; SB 1816, lowering the state definition of elevated blood lead levels to 3.5 micrograms per deciliter; SB 1911A, extending due process protections for health care professionals when insurers terminate or fail to renew them; and SB 3105, allowing reciprocity for out-of-state medical cannabis patients. The committee also advanced SB 4589 on federally qualified health center rate adequacy, SB 4955B on Medicaid Inspector General audit procedures, SB 9196 to ban new for-profit hospices, SB 9237 expanding the definition of family for certain foster care health facility services, and SB 9275 requiring Medicaid coverage for gender-affirming care and prohibiting related discrimination. Several of these bills were sent to Finance, while others were sent to First Reading or Higher Education as noted. The committee also discussed SB 2625, which would expand pharmacists’ authority to prescribe, administer, and dispense medication-assisted treatment for opioid use disorder. One member raised concerns about expanding scope of practice without coordination with primary care or a holistic review of patient conditions, and indicated opposition; the bill was nevertheless referred to Higher Education. SB 5056B, requiring the Department of Health to examine heat vulnerability and heat-related deaths, prompted discussion about whether the bill should explicitly require recommendations for prevention; the sponsor said the idea was to gather data and that recommendations could be added, and the bill advanced with some reservations. Other measures included SB 7460, reauthorizing a maternal infant care centers pilot program using an existing $350,000 appropriation, and SB 9388, requiring public notice and engagement when a general hospital closes or shuts down a psychiatric, mental health, or substance use unit. The hospital closure bill drew discussion about relocations and whether moves that shift services to a new site would trigger the community engagement process; the sponsor said they would. Most bills were approved by voice vote, with some members voting no or without recommendation on certain measures, and the committee adjourned after reporting the bills onward.

Transcript Highlights:

• runs too long because you don't want a situation where it's in the middle of the surgery and the physician
• It's in the middle of the surgery and the physician feels like, well, they're not going to get paid or

Committee: House Health and Mental Health

Transcript Highlights:

• Sean Graham with the Washington State Medical Association, representing physicians and physician assistants

Bills: HB2251 , HB2254 , HB2385

Committee: House Appropriations

Keywords: climate change, commitment act, emission reductions, sustainability, environmental policy, HB 2254, Washington, Health Care Authority, partnership access line, psychiatric consultation line, first approach skills training, behavioral health, mental health, assessment, administrative costs, health insurance, health carriers, self-funded plans, multiple employer welfare arrangement, MEWA

Transcript Highlights:

• Sean Graham with the Washington State Medical Association, representing physicians and physician assistants

Summary: The House Appropriations Committee held public hearings on three bills. House Bill 2251, sponsored by Rep. Fitzgibbon, would reorganize Climate Commitment Act revenue accounts by repealing several existing accounts and creating new operating and capital accounts, changing how auction proceeds are distributed when revenues are above or below a set threshold, broadening some tribal and overburdened-community spending language, adding electric vehicles and certain housing uses, capping Ecology administrative costs, and moving some reporting from annual to every two years. Supporters said the bill would simplify a confusing account structure and improve predictability, while opponents criticized the reduced reporting frequency and said it could weaken accountability. No vote was taken. House Bill 2254 would adjust the funding model for the Partnership Access Line and related behavioral health consultation programs by allowing the cost of the third-party administrator to be included in the carrier assessment rather than paid from general funds. Committee staff said this would produce general fund savings, and testimony from HCA, UW Medicine, Seattle Children’s, and others supported the bill as a technical fix that would stabilize the programs and potentially free up funds to restore service levels. No vote was taken. House Bill 2385 would extend deadlines and the expiration date for the Medicaid Access Program created last session, after federal HR1 restrictions prevented implementation of the original program and provider assessment. The bill would push out CMS submission deadlines, update the rate-setting reference year, and extend the act’s sunset date. The sponsor and the Washington State Medical Association supported the bill as necessary to preserve the option of pursuing the program later. The committee took no action and adjourned after the hearings.

Transcript Highlights:

• HB 4168 by Compost relating to the requirements for the renewal of physicians' registration permits,
• HB 4186 by McLaughlin relating to student loan repayment assistance for certain physicians employed as

Transcript Highlights:

• This legislation is supported by physicians throughout the state and national advocacy groups.
• characterize it as a use for... ...fair to characterize it as a use for which it has not been directed by a physician

Bills: HB45 , HB79 , SB79

Committee: House Health

Keywords: Medicaid, colorectal cancer, screening tests, noninvasive tests, preventive care, off-label, pharmacists, medical treatment, state board of pharmacy, employment protection, sex-based terminology, gender identity, male, female, man, woman, boy, girl, single-sex spaces, women's rights

Transcript Highlights:

• Same thing for the physician graduate medical education is service to the state for 10 years, two years
• Same thing for the physician graduate medical education is service to the state for 10 years, two years
• across the state to initially physicians across the state to initially design<00:34:58.560><c> some<
• She said she had been in contact with a physician from her area on critical access hospitals.
• </c> I've been in contact with uh a physician I've been in contact with uh a physician from<01:03:13.760

Committee: Joint Appropriations