Transcript Highlights:

• I practiced for a number of years. While I don't currently practice, I do remain licensed.
• It is an evidence-based practice.
• I've seen differentials for evidence-based practices versus non-evidence-based practices.
• Because they're not able—they've got more overhead than a private practice. That just is a fact.
• Because they're not able, they've got more overhead than a private practice.

Committee: All PUBLIC HEALTH- HOUSE HEALTH SERVICES SUBCOMMITTEE

Transcript Highlights:

• This bill ends that practice by creating clear and actionable rights for consumers, strong limits on
• Finally, this legislation balances privacy rights with practical consideration.
• Instead, they will have real rights and clear limits on corporate practices.
• Instead, they will have real rights, clear limits on corporate practices, and strong protections for
• He dedicated himself to helping various companies improve their business practices.

Summary: The Senate opened with the Pledge of Allegiance, recognized several guests in the chamber, and adopted a resolution congratulating Coleman-Nee on election as National Commander of the Disabled American Veterans. It also took up several local and personnel matters, including a sick leave bank for Emily Cullick and later Paul Stavarski, and local bills affecting the town of Weston and a Dorchester housing/library procurement exemption; those measures were advanced to third reading or engrossment as appropriate. The chamber also suspended Joint Rule 12 to refer several House petitions to committees. The main business was Senate No. 2516, the Massachusetts Data Privacy Act, which came before the Senate on a Ways and Means substitute (Senate Document 2608). Senators Creem, Moore, Charles, Feingold, Keenan, and others spoke in support, describing the bill as a comprehensive consumer privacy measure with data minimization rules, limits on sensitive data, protections for minors, and strong Attorney General enforcement. Several amendments were debated, with many rejected or withdrawn, while some were adopted, including provisions on geolocation data protections, opting out of targeted advertising, affiliate and merger/acquisition protections, internal operations exemptions, parental access to child data, and a Ways and Means amendment. A number of other amendments on employee data, union data, loyalty programs, AI training, reporting, and related issues were either not adopted or held/withdrawn. After the amendment process, the Senate adopted the amended Ways and Means substitute and ordered the bill to a third reading. The bill was then passed to be engrossed on a roll call vote of 40-0. The Senate also adopted an order to adjourn to the following Monday at 11:00 a.m. and to dispense with printing a calendar. The session adjourned in memory of Darrow Logan Alexander of South Boston.

Transcript Highlights:

• about evidence-based practices related to reading, and works with the educational service districts
• Whereas what we've been using are practices that work in about half of children.
• For more than 30 years, we've known the evidence-based practices that best support reading and writing
• For more than 30 years, we've known the evidence-based practices that best support reading and writing
• Implementation science, which happens to be an area of my research, shows that proven practices do not

Bills: HB1796 , SGA9249 , SGA9269 , SGA9244

Committee: Senate Early Learning & K-12 Education

Keywords: school construction, contract indebtedness, school districts, bonding authority, education funding

Transcript Highlights:

• A simple majority would offer a more practical long-term solution than the existing threshold.
• This flexibility matters in practice.
• ECEAP programs are well regulated, have strong safety standards and practices, and DCYF oversight.
• Those psychologists and others had real concerns about a provision of this bill that, in practice, I
• the meeting, but by establishing that five-day time period, in practice, it reduced the overall time

Bills: HB1796

Committee: Senate Early Learning & K-12 Education

Keywords: school construction, contract indebtedness, school districts, bonding authority, education funding

Transcript Highlights:

• At a minimum, health carriers must pay providers and facilities as soon as practical.
• At a minimum, health carriers must pay providers and facilities as soon as practical, and 95% of the
• Now, on a practical sense, it is far cheaper to destroy these pills and medication than it would be to
• This bill represents a practical update to improve how the process works in real time.
• In practice, if the gestational age was determined in the first trimester and it's different from the

Summary: The Health Care and Wellness Committee held a public hearing on several bills and a joint memorial. SB 5915 would update the health technology assessment program by adding technologies recommended for Medicare populations or in national guidelines to the review priority list, requiring broader evidence review for life-threatening or rare diseases, and setting timelines for posting and deciding review requests. Supporters, including rare disease advocates and providers, said the current process is outdated and too rigid; the bill was then held for later action. SJM 8002 urged Congress to strengthen original Medicare, oppose privatization, add benefits like dental, vision, and hearing, and reduce Medicare Advantage overpayments and fraud. Supporters from labor and senior groups argued it would protect beneficiaries and send a message to federal officials; the memorial was also held after testimony. The committee also heard SB 5395 on prior authorization. Staff explained it would tighten notice requirements, require a licensed clinician—not AI alone—to deny requests based on medical necessity, add transparency around policy changes, and change how retrospective denials are treated. The prime sponsor and provider groups said the bill was a negotiated compromise meant to reduce delays and inappropriate denials, while insurers were generally neutral but sought a narrow amendment. Testifiers described prior authorization as a major source of delay and administrative burden, and the bill was held after public testimony. SB 5845 would require carriers to pay or deny clean claims within 30 days, set timelines for non-clean claims and information requests, and allow penalties for repeated noncompliance. Hospitals, physicians, and health systems supported it as a way to improve predictable payment, while insurers were neutral and asked for a narrow amendment; the bill was also held. The committee heard SB 6025, which would change the definition of fetal death so gestational age is calculated using the best clinically accurate age rather than the last menstrual period. Obstetric and nursing witnesses said the current law can force inaccurate records and unnecessary burdens on grieving families, while opponents objected to the bill’s abortion-related definitions. The bill was held after testimony. Finally, SB 5988 would authorize the Department of Health to continue accrediting opioid treatment programs and charge fees to support that work. The department and the sponsor said the measure would preserve a patient-centered accreditation option amid budget pressure, and the committee closed testimony and held the bill.

Transcript Highlights:

• This, we believe, will lead to better retention rates and effective instructional practices.
• Effective instructional practices.
• These changes support smarter hiring decisions and better long-term practices for new teachers.
• These changes support smarter hiring decisions and better long-term practices for new teachers.
• This is not just best practice; it's a matter of worker safety.

Bills: HB30 , HB120 , HJR1 , SB210 , SB306 , HB30 , HB120 , HJR1 , SB210 , SB306

Committees: Senate Senate Education , Senate House Education

Keywords: teacher residency, Teacher Residency Act, public schools, teacher preparation, educator pipeline, teacher recruitment, teacher retention, student teachers, apprenticeship, co-teaching, mentor teachers, residency stipend, teacher salary, level one teacher, charter schools, school districts, New Mexico education, teacher workforce, principal stipend, cohort model

Transcript Highlights:

• The network is comprised of 30 independent private practices throughout the state.
• Within the scope of their practice, I have worked with them in my clinical career significantly, and
• unnecessary barriers that make it harder for qualified PAs to practice in New Mexico or provide care
• everything I could about where that practice is and the laws surrounding it.
• There are, Madam Chair, the compact requires that anybody who's going to be practicing in New Mexico

Summary: The committee first took up House Bill 12, the physical therapy licensure compact. The sponsor and supporters said the bill would increase access to care and help recruit physical therapists in New Mexico, especially in rural areas and for neurodivergent patients. Support came from the Greater Albuquerque Chamber of Commerce, Desert States Physical Therapy Network, Think New Mexico, the state Health Care Authority, and Americans for Autism Advocacy. A trial lawyer raised concerns about immunity, venue, and loser-pays language, and committee members discussed whether New Mexico-specific amendments would be accepted by the compact commission. Two amendments were adopted, including clarifying language on background checks, data, federal court standing, and repeal procedures, plus an immunity-related amendment. The bill was then reported out with a 9-0 due pass recommendation. The committee then considered House Bill 10, the physician assistant interstate compact. Supporters again emphasized workforce shortages, telehealth access, and the need to join the compact to qualify for Rural Health Transformation Program funding. The Health Care Authority said the compact was part of New Mexico’s commitments tied to federal funding, and a trial lawyer again raised concerns about loser-pays language. Two amendments were adopted to clarify New Mexico’s authority over reproductive and gender-affirming care issues, confidentiality of New Mexico licensee data, joint investigations, and contingent repeal procedures. After discussion about malpractice exposure, oversight, and the need for compact commission approval of language changes, the bill received an 8-0 due pass recommendation. House Bill 34, dealing with school nurse licensure provisions, was presented as a cleanup bill to clarify implementation issues from last session. The changes would add charter schools, align contract language with teacher contracts, and adjust supervision and evaluation rules for tiered school nurses in small districts. The New Mexico School Nurses Association supported the bill, and it passed unanimously with an 8-0 due pass recommendation. The committee also heard Senate Memorial 21, which would direct the Department of Health to study overdose prevention centers and other harm reduction strategies. Supporters from the ACLU, All Safe New Mexico, the Drug Policy Alliance, and Families and Youth Innovations Plus argued that New Mexico’s overdose crisis remains severe and that evidence-based interventions could save lives and connect people to treatment. The Department of Health provided background on overdose trends and said it was neutral but available for technical questions. After discussion about fentanyl trends, drug prices, and public health approaches, the memorial was approved on a 7-1 due pass vote. The committee also announced that Senate Bill 130 would be rolled over to Sunday’s meeting because a new substitute needed review.

Transcript Highlights:

• So that's where in the past an individual is paying to not be able to practice dentistry.
• And so the other question is over on page 432, under 200, the practice standards, and I see that the
• I've been practicing 40 years. And so we've had that standard for at least 35 of them.
• And it's just, you know, it's the standard of practice for our profession, basically. Okay.
• Blair responded that it has been fantastic, that she has had her whole practice in Idaho, that she is

Committee: Senate Health and Welfare

Transcript Highlights:

• so that if I'm an attorney practicing everywhere from Pensacola to Key West, I have some ability to
• better manage the particular practice needs of individual judges, not requiring them to all be the same
• And the Supreme Court has approved best practices are standards for a number of types of problem solving
• practice and engagement how to bring people and have a low of those barriers, how this talk to someone
• have to support them so that they will be willing to stay in the program in terms of best practices.

Transcript Highlights:

• Though California entered the Union in 1850 as a free state, slavery was practiced here.
• Limits on their license and thus their ability to practice medicine.
• They're currently in practice. They are not subject to the uniform standards.
• six hours of practice time.
• So I had six teams sharing six hours of practice time, which I think we'd all...

Committee: House Judiciary

Summary: The committee heard several bills focused on reproductive access, child safety online, immigration enforcement in schools, privacy, reparations, and AI transparency. AB 54, AB 1137, AB 49, AB 82, AB 1355, AB 62, and AB 853 were all presented with testimony from authors, state agencies, advocates, and industry representatives. Supporters generally framed the measures as protecting access to care, shielding vulnerable communities, improving online safety for children, limiting government or commercial misuse of sensitive data, addressing historical harms, and increasing transparency around AI-generated content. Opponents raised concerns about safety, constitutional issues, implementation burdens, privacy, law enforcement access, and the impact on existing industry practices or state privacy law. AB 54 would protect medication abortion access and shield providers and others from liability related to transporting and administering abortion medication; it passed to Appropriations, with one no vote. AB 1137 would strengthen reporting and audit requirements for child sexual abuse material on social media platforms, allowing broader reporting and public third-party audits; it passed unanimously to Appropriations. AB 49 would restrict immigration enforcement activity at California public schools and require warrants and school approval before such actions on campus; it passed to Appropriations with one no vote and one member not voting. AB 82 would protect health data and expand Safe at Home and related confidentiality protections for gender-affirming care providers and patients; it passed to Appropriations. AB 1355, the California Location Privacy Act, would restrict collection, use, and sale of precise location data; after extensive debate over privacy, security, and law enforcement concerns, it passed as amended to Appropriations. AB 62, addressing restitution for families displaced by racially biased eminent domain, also passed to Appropriations. AB 853, requiring more provenance transparency for AI-generated and authentic content on platforms and devices, passed to Appropriations after discussion of technical feasibility and First Amendment concerns.

Transcript Highlights:

• I supervised some in my practice.
• I supervised some in my practice.
• I supervised some in my practice.
• I supervised some in my practice.
• I supervised some in my practice.

Committee: Senate Judiciary

Transcript Highlights:

• of law when they were getting practice of law when they were getting um<00:22:34.760><c> help</c><00
• </c><01:24:24.080><c> so</c> defined than not reasonably practical so defined than not reasonably practical
• </c><01:26:21.560><c> to</c> change of not reasonably practical to change of not reasonably practical
• the fact that it's not reasonably practical.
• in either case um reasonably practical in either case um when<01:28:34.600><c> a</c><01:28:34.760><c

Summary: The House Judiciary Committee met in executive session and first corrected a procedural issue by revoting on House Bills 98 and 164, which had already been reported out unanimously. HB 98, concerning professional limited liability company assistant managers, was again voted ought to pass by a 16-0 roll call and placed on the consent calendar. HB 164, concerning local records, was reopened because of a fiscal note amendment; the committee adopted Amendment 2025-0087 unanimously and then voted ought to pass as amended 17-0. Because HB 164 goes to Finance, it will not go on consent, and the chair asked for the updated report that night. The committee then took up HR 6, a resolution condemning the judicial doctrine of disparate impact. Representative Manos moved inexpedient to legislate, arguing the resolution overreached because disparate impact is a judicial doctrine and the legislature cannot bind the courts. Representative Cordelli also supported ITL, citing drafting problems and the need for substantial revision, including an outdated reference to the New Hampshire governor. The committee voted 15-2 to ITL the resolution, and it was placed on consent; the chair asked for the report by the end of the day and noted there would be no minority report. Finally, the committee discussed HB 111, which extends the right-to-know ombudsman position. Representative Kuttab offered an amendment to address concerns raised in testimony about discouraging use of the office and shifting attorney-fee burdens; the amendment was adopted 16-1. The committee then voted 15-2 to ought to pass as amended. Supporters said the ombudsman saves money by reducing court filings and should be continued, while opponents argued the office needs restructuring and that additional funding was not justified. The bill will go to Finance, and the chair requested the report by the end of the day. The committee also began discussion of HB 66 and related bills on right-to-know access, with the chair outlining a proposed amendment to limit remote records requests to people with a New Hampshire connection, but no final action was taken in the portion provided.

Transcript Highlights:

• But in practice, many districts are not teaching these topics at all.
• I'm concerned this bill would limit procurement practices, which would increase timelines.
• And anti-Semitism deserves common-sense, real practical solutions.
• Very, very interested and practicing of Jewish heritage.
• Way's bill or another, to try to get it to be enforceable, usable, and practical.

Bills: HB2040 , HB2142 , HB2255 , HB2379 , HB2482 , HB2575 , HB2600 , HB2764 , HB4033 , HCR2015

Committees: Senate Education , Senate Senate Education Committee of Reference

Keywords: public education, adoption, sex education, parental rights, student health information, Arizona Teachers Academy, teacher preparation, education funding, public schools, scholarships, teacher certification, community colleges, school district, governing board, training requirements, fiduciary duties, school finance, community engagement, school facilities, building renewal grants

Transcript Highlights:

• Some may have to have things redacted. practiced and Senator Wheeler knows that practiced and Senator
• Um, because, as I just previously said, I still do some practice of law.
• </c> practice many many moons ago. practice many many moons ago.
• From a law enforcement standpoint, this is a practical alignment.
• From a law enforcement standpoint, this is a practical alignment.

Committee: Senate Judiciary

Transcript Highlights:

• It simply reins in some abusive practices, but thank you for the question.
• There were some sporadic states that have recognized these problematic practices and have reined them
• The proposed legislation also restrains other practices that drain generational wealth.
• The proposed legislation also restrains other practices that drain generational wealth.
• My practice is primarily estate planning, and then I also do estate administration.

Bills: HB2543

Committee: Senate Law & Justice

Keywords: county clerk, fees, local government, administrative costs, revenue generation

Transcript Highlights:

• problem solving and good practical problem solving and good governance.<00:14:58.800><c> That</c><00
• I'm a partner at Locker Scran in Minneapolis, where I've practiced for more than 20 years.
• My practice is litigation. I'm a litigator. My clientele is principally insurance companies.
• Uh, my practice<00:25:01.919><c> is</c><00:25:02.480><c> litigation.
• </c> practice is litigation. I'm a litigator. practice is litigation. I'm a litigator.

Committee: House Elections Finance and Government Operations

Transcript Highlights:

• We were also asked to develop statewide standards for best practices.
• That practice needs to stop.
• I'm also an attorney, and I practice here in Austin.
• But in practice, we've seen individuals with no connection to Harris County.
• In the interest of time, I do want to give a specific practical example.

Bills: HB47 , HB171 , HB285 , HB305 , HB449 , HB908 , HB 1024 , HB 1306 , HB1443 , HB1445 , HB1741 , HB1866 , HB1902 , HB2001 , HB2282 , HB2355 , HB2492 , HB2637 , HB2697 , HB3464 , HB4263 , HB4996 , HB5667 , HB47 , HB171 , HB285 , HB305

Committee: Senate Criminal Justice

Summary: The Senate Committee on Criminal Justice met with a quorum and heard a long agenda of bills on criminal justice, public safety, mental health, victims’ rights, and related administrative issues. Early bills included HB 47, the omnibus sexual assault survivors bill, which would expand post-assault care, require courts to consider delays for adult survivors, bar sex offenders from rideshare driving, allow lease termination regardless of where an assault occurred, and require more reporting from sexual assault response teams. Testimony was generally supportive, though one witness raised concern that the bill’s reporting requirements could jeopardize county grant funding. HB 171, the Annel Borrego Act, would set a minimum period for court-ordered chemical dependency treatment; NAMI Texas supported it. HB 908 would require missing children reports to be sent to the National Center for Missing and Exploited Children within two hours, and HB 1443 would criminalize possession and promotion of childlike sex dolls; both drew supportive testimony and were left pending. HB 567, changing juvenile board chair selection in Parker County, and HB 4263, a TJJD workforce retention bill, were also heard and left pending after brief discussion and adoption of committee substitutes where applicable. The committee also heard several bills focused on jail and prison safety, court process, and victim protection. HB 2282 would raise the arrest warrant fee from $50 to $75; constables supported it as a cost-recovery measure, while the Texas Fair Defense Project opposed it as a regressive fee that burdens low-income defendants. HB 3464 would increase penalties for correctional employees who bring drugs or alcohol into prisons, with support from Harris County jail officials and a formerly incarcerated advocate who described the dangers of contraband and retaliation. HB 285, “Poncho’s Law,” would add criminal negligence to non-livestock animal cruelty offenses; animal welfare advocates said it would close a loophole that lets pet service businesses avoid accountability, and the bill was left pending. HB 2355 would keep certain Crime Victims Compensation records confidential when held by the Attorney General, and HB 2637 would standardize jury exemption ages and clean up jury disqualification reporting; both were left pending after limited testimony. Mental health and competency-related bills received significant attention. HB 305 would require a pretrial hearing within 14 days after a defendant is restored to competency, aimed at reducing repeated decompensation and the forensic waitlist; NAMI Texas supported it. HB 1741 would tighten procedures for not-guilty-by-reason-of-insanity outpatient commitments by requiring a stronger nexus to the receiving county and clearer supervision authority; law enforcement and mental health witnesses said it would improve public safety and treatment success. HB 2492 would make the four-hour family-violence post-bond cooling-off period mandatory rather than discretionary, and HB 1445 would allow a managed assigned counsel director to designate someone to approve certain payments for indigent defense attorneys; both were left pending. HB 1024 would require prompt execution of warrants for parole violators on superintensive supervision, and HB 1306 would extend first-responder-style benefits to death investigation professionals; neither drew opposition in the hearing. The committee also heard a series of public integrity and technology bills. HB 449 would expand the deepfake sexual content statute to include sexually explicit images, with Public Citizen supporting the change as necessary to address a rapidly growing problem. HB 1902 would create a new offense for “jugging,” or following bank or ATM customers to rob them; the Texas Bankers Association supported it. HB 2697 would require sureties to notify prosecutors before surrendering a felony defendant’s bond, and HB 2001 would sharply increase penalties for misuse of public information for financial gain and related coercion, with prosecutors and Texas Rangers describing bid-rigging and public corruption investigations as difficult to prove under current law because of short limitations periods and limited penalties. HB 1866 would grant Texas peace officer authority to National Park Service rangers within Texas park boundaries, and HB 4996 would increase penalties for fraudulent liens filed against public servants. Throughout the hearing, most bills were left pending after testimony, and several committee substitutes were adopted without objection.

Transcript Highlights:

• So what we're trying to do is be cognizant of what this would actually mean, actually be in practice,
• I mentioned before I'm an attorney, and I have a practice based in Tarrant County.
• This is a best practice, and this bill requires the annual reappraisal best practice for those appraisal
• Is it best practice to, or is it common? I guess maybe that's the best way to phrase it.
• Is it common practice to go ahead and evaluate properties every year for volatility, or is it not?

Bills: HB329 , HB361 , HB546 , HB1547 , HB1745 , HB2786 , HB3235 , HB3370 , HB3575 , HJR83

Committee: House S/C on Property Tax Appraisals

Keywords: appraisal, property value, residential real estate, tax code, appraisal review board, property owners, property tax, homeowners, property owner rights, property appraisal, taxation, Texas Tax Code, real estate, ad valorem tax, homestead exemption, market value, condemnation, tax appraisal, open-space land, land use

Transcript Highlights:

• We need to consider how practice and how medical decisions will be greatly affected by this equivalency
• That takes all of this motion practice and unnecessary time and cost and expense in litigating what's
• I'm an orthopedic surgeon practicing in the Tampa Bay area since 2011.
• I've owned my own practice since 2014.
• I treat health insurance patients, but I'm I've owned my own practice since 2014.

Summary: The subcommittee considered a long agenda of civil justice and claims measures. HB 1173, relating to the Florida Trust Code, was presented as a clarification of standing in trust litigation after recent case law; after questions about who may sue, an amendment was adopted clarifying that an expressly named charity retains standing, and the bill passed 14-2. HB 1437, on attorney’s fees in motor vehicle PIP disputes, drew testimony from insurers and reform groups opposing a return to fee-driven litigation and from medical groups supporting fee recovery for prevailing parties; it passed 17-0. CS/HB 147, addressing prohibited debt-collection communications during nighttime and early morning hours, was described as a clarification of an outdated statute in light of modern communications, with support from business groups and no opposition in the vote; it passed 18-0. The committee then heard several claims bills against the Department of Children and Families. HB 6511, for relief of L.P., described severe injuries to a child after DCF allegedly failed to act on warning signs; a technical amendment was adopted and the bill passed 18-0. HB 6515, for relief of Michael Barnett, involved DCF’s alleged failure to investigate domestic violence that preceded the killing of three children and injury of a fourth; members asked about the settlement amount and the case’s circumstances, and the bill also passed 18-0. HB 1517, expanding wrongful death law to allow parents of an unborn child to recover for the child’s death, generated the most extensive debate. The sponsor said it aligns civil law with existing criminal definitions and excludes claims against mothers and providers of lawful medical care, including IVF; opponents warned it could be used to target reproductive care, support networks, and domestic violence survivors, while supporters framed it as a justice measure for families. An amendment clarifying damages rules for minors and unborn children was adopted, and the bill passed 13-4. Finally, HB 947, on evidence of medical damages in personal injury and wrongful death cases, sought to allow broader evidence at trial and to change “shall” to “may”; supporters said it would improve fairness and transparency, while opponents argued it would weaken post-2023 tort reforms and reintroduce inflated medical damages. The amendment was adopted and the bill was then taken up with additional opposition testimony.

Transcript Highlights:

• Current practices are inadequate, as you will hear today.
• Another area of need is the clinical practices and services.
• Another area of need is the clinical practices and services.
• Over this time, I've seen myriad changes to state policies and practices.
• Revocation is paper simple, but not practical.

Committee: Joint Joint Committee on Children, Families and Persons with Disabilities

Summary: The Joint Committee on Children, Families and Persons with Disabilities held a hybrid hearing focused largely on DDS-related bills, with chairs Kennedy and Livingstone outlining strict time limits, accessibility procedures, and a 5 p.m. stop to preserve ASL and CART services. The committee heard testimony on several measures, including a bill from Sen. Mike Moore to create a centralized electronic education records system for students in out-of-home placements, which supporters said would improve communication, preserve IEP continuity, and reduce missed services. Paul DePaulo also testified in support, describing the educational and justice-system harms that can follow when foster youth do not receive coordinated records and supports. A major portion of the hearing centered on H. 242/S. 149, a bill to enhance standards of care for people with autism and intellectual and developmental disabilities. Rep. Garballey and many advocates, parents, clinicians, and disability leaders supported the bill, saying it would require provider training, statewide standards, and better emergency department practices to reduce misdiagnosis, trauma, and unnecessary ER boarding. Testimony described sensory and communication barriers in medical settings, lack of provider training, and the need for continuing education and license-related requirements. Related testimony also supported H. 213/S. 111, which would improve access to behavioral health services for children involved with state agencies by requiring better discharge planning, coordination with hospitals and agencies, and more appropriate post-hospital placements. The committee also heard strong support for H. 256/S. 102, requiring universal changing stations in public buildings, from parents, advocates, and the Massachusetts Developmental Disabilities Council. Witnesses said current restroom accommodations often force unsafe or undignified changes on floors, in cars, or in inaccessible spaces, and argued the cost of adding changing stations to new or renovated buildings would be modest compared with the benefits to dignity, safety, and community access. Another major topic was H. 261/S. 155 on supported decision-making agreements for certain adults, which supporters described as a less restrictive alternative to guardianship that preserves autonomy while providing trusted support. Finally, testimony on Tommy’s bill (S. 168/H. 282) described a preventable death after a hospital discharge and urged clearer communication and training requirements for residential staff handling life-sustaining equipment; the bill was presented as a safeguard for people with disabilities relying on such equipment.