Transcript Highlights:

• When a health center hires a new provider or opens a new clinic.
• This process is required at the clinic and provider level.
• and two mobile health clinics.
• We opened a new clinic location on March 14, 2022, and hired a new OB-GYN provider.
• Air conditioning is a need in our clinic. We have to have those things.

Bills: HB1531 , HB2667 , HB2809 , HB2865 , HB3589 , HB3151 , HB3748 , HB3750 , HB4419 , HB4643 , HB3597 , HB4129 , HB4130 , HB4131

Committee: House Human Services

Keywords: workplace violence prevention, health and safety code, Chapter 331, facility definition, home and community support services agency, home health agency, home health care, nursing staff, registered nurses, health care workplace safety, hospital, nursing facility, ambulatory surgical center, freestanding emergency medical care facility, mental hospital, Texas health care regulation, provider compliance, occupational safety, senior living, referral agencies

Transcript Highlights:

• Rule F is the rule to allow for reimbursement of physical and occupational therapy in a clinic-based
• This allows them to go to a physical therapy clinic to receive those services, thus increasing access
• Rule F is the rule to allow for reimbursement of physical and occupational therapy in a clinic-based
• This allows them to go to a physical therapy clinic to receive those services, thus increasing access
• They're still drafting their clinical guidelines.

Committee: All ALC-ADMINISTRATIVE RULES

Keywords: 1204, all

Transcript Highlights:

• Some of the refinements are already mentioned, Representative Keith, and that's the clinical and social
• I'm a behavioral health clinical director.
• And they work very closely with the WRSP programs to provide a lot of clinical services boots on the
• And we've been able to offer quite a few clinical best practice curriculum trainings.
• And we've been able to offer quite a few clinical best-practice curriculum trainings.

Keywords: 962, all

Summary: The meeting focused on maternal health and behavioral health services for pregnant and postpartum people in Connecticut. Dr. Fatmata Williams of DSS gave an update on the Husky maternity payment bundle, explaining that it was created in response to worsening maternal and neonatal outcomes and racial disparities. She said the bundle, launched in 2025, shifts payment away from fee-for-service toward prospective case rates, quality measures, and shared savings, while covering services such as doulas and maintaining access to behavioral health and other non-pregnancy-related care outside the bundle. She noted 26 maternity practices are participating, quarterly quality reports have been distributed, reconciliation is planned for 2026, and DSS is considering refinements such as adding newborns, revisiting shared losses, and possibly expanding to FQHCs after further stakeholder review. Shelly Nolan of DMHAS then described the state’s women’s services and recovery continuum, including pregnant and parenting treatment programs, women’s recovery support programs, community transition support with rent subsidies, the Proud program, REACH navigation, recovery houses, and outpatient services. She emphasized that many programs are under capacity and that DMHAS uses a no-wrong-door approach, real-time bed availability, technical assistance, and training to improve access. She also reviewed initiatives tied to substance-exposed pregnancies and safe sleep, secure storage, naloxone distribution, reproductive health integration, breastfeeding support, and upcoming conferences and trainings. She said the department works closely with DCF and community partners to reduce stigma and improve family-centered care. Beth Garrigan presented on the Access Mental Health and Substance Use for Moms program, a statewide consultation service for providers serving pregnant and postpartum individuals up to 12 months after delivery. She said the program offers real-time psychiatric consultation, referral support, and one-time face-to-face assessments, and has provided more than 4,300 consultations and resource/referral support to over 700 individuals since 2022. Members and legislators praised the service and discussed how it helps providers connect patients to care, follow up on referrals, and address barriers such as fit, stigma, and workflow. No votes were taken; the meeting ended with plans for the next meeting on June 8 and a request for Dr. Williams’ slides to be posted online.

Transcript Highlights:

• One member who is a clinical geneticist appointed by UAMS.
• One member who is a clinical geneticist appointed by UAMS, apparently UAMS doesn't really have that role
• I think going from the trifecta to the bifecta, as we talk in our shorthand in clinic, going from the
• trifecta to the bifecta, as we talk in our shorthand in clinic, has helped tremendously.
• Because there are, we see this frequently in clinic, a child has already been...

Committee: All TASK FORCE ON AUTISM

Summary: The Arkansas Legislative Autism Task Force approved the April 1, 2026 meeting minutes and discussed several vacant membership slots, including positions tied to the Arkansas Psychology Board, Arkansas Blue Cross Blue Shield, UAMS, and parent or guardian appointments. Members said they would try to fill the vacancies and, if not, include the issue in the legislative report and consider statutory changes in the next General Assembly. The task force then heard from the Developmental Disabilities Provider Association and Civitan Services about DDPA’s role in supporting 80 provider organizations serving more than 13,000 children and adults with intellectual and developmental disabilities across 75 counties. They described services such as early intervention day programs, adult day programs, supported employment, intermediate care facilities, work activities, and community/residential waiver services, and said autism falls within the populations they serve. They also shared survey information on services used by older adults with IDD and offered contact information for providers. Members also heard a proposal to amend Act 656 of 2021 to add licensed psychological practitioners as qualified providers for autism waiver-related evaluations. The presenter argued this would reduce wait times, avoid duplicate assessments, and help families access services sooner, while noting that Arkansas Medicaid already pays for some of these evaluations. Task force members and Dr. Scott discussed the roles of psychologists, speech-language pathologists, and the possibility of using training or board oversight to ensure evaluators are properly qualified, with some noting that speech pathologists’ inclusion has historical and clinical roots. The task force also said it still needs a future discussion on fraud, plans to invite the Attorney General’s office, and wants to identify priorities for the 2027 session before adjourning.

Transcript Highlights:

• Fukulei serves as the chief of clinical breast oncology for Kaume Lama and as an associate professor
• Throughout her years of service, she combined her exceptional clinical skill with deep compassion for
• Throughout her years of service, she combined her exceptional clinical skill with deep compassion for
• As a result, Kyle expertly managed Travis's complex medical history, displaying exceptional clinical
• As a result, Kyle expertly managed Travis's complex medical history, displaying exceptional clinical

Bills: SB2723 , HB9

Keywords: law enforcement, State Sheriffs Day, Hawaii, commemoration, public safety, honor sheriffs, HB9, Hawaii Purple Heart state, Purple Heart, Purple Heart recipients, veterans, military, armed forces, service members, combat wounded, war veterans, military honors, state designation, symbolic legislation, honorary designation

Transcript Highlights:

• How many of these certified behavioral health clinics are there in...? ...the state? How many?
• So you contract out those clinics? ...year. So you contract out those clinics to outside providers?
• No, sir, we do not contract those clinics.
• So you have two of these clinics now, correct? Al Point and...?
• So they're being paid to run... ...those clinics by the state?

Keywords: 924, joint, all

Transcript Highlights:

• Is that um clinical, or is that assistant to clinical supervisory ratios?
• to uh clinical or is that assistant to clinical<00:31:00.159><c> supervisory</c> clinical supervisory
• Is it all clinical support? um ratios? Is it all clinical support?
• 00:44:46.960><c> and</c> are primarily clinically focused and are primarily clinically focused and clinically
• </c> for the clinical support. for the clinical support.

Keywords: 958, all

Summary: The committee first approved the May 12 minutes, then deferred item 285 on the routine personal service contract green list for Western Kentucky University to the July 2026 meeting. It also noted that several deferred university contracts had been withdrawn by the institutions, and then approved the remaining agenda items without objection, including personal service contracts, amendments, memoranda of agreement, Kentucky Entertainment incentive agreements, deferred items, and corrections, except for items pulled for further review. The main pulled item was a Kentucky Administrative Office of the Courts contract supporting Fayette District Court’s juvenile treatment court through Fayette County Public Schools. Court officials explained that the program, created under Supreme Court rules in 2022, serves court-connected juveniles with mental health and related needs, operates at the courthouse, and uses a school-employed program manager funded through a pass-through arrangement with Fayette County Public Schools and the Urban County Government. They said the program has had over 100 referrals, accepted about half, and had at least 25 successful graduates, with 11 high school graduates among participants. Members asked about who pays for drug screens, family involvement, and what counts as successful completion; the officials said the Urban County Government’s Division of Youth Services pays for drug screens and services, and that parents must participate in classes and support services. The committee then approved the contract review, with some members explaining their votes in support and one member emphasizing the committee’s role in reviewing contracts in the public interest. The committee also reviewed two Auditor of Public Accounts contracts. The auditor’s representative said contract 11, with Vantage Point Solutions, will examine the Kentucky Communications Network Authority/Kentucky Wired network for $700,000, well below the $1.5 million appropriated, and that a report is expected before the 2027 regular session. Contract 12 funds a special examination of investment managers used by Kentucky’s retirement systems, prompted by a Legislative Oversight and Investigations request to assess whether investments tied to ESG factors are consistent with fiduciary duties; the representative said the retirement systems have been cooperative and that findings are expected on a similar timeline, with some flexibility built into the deadline. After questions about the Texas litigation referenced in the explanation, the committee approved both auditor contracts without objection.

Transcript Highlights:

• <c> be</c> not it's clinical or non-clinical may be not it's clinical or non-clinical may be up<03:46
• The program is a clinical program.
• The program is a clinical program.
• The program is a clinical program.
• The program is a clinical program.

Committee: House Commerce and Consumer Affairs

Keywords: 928, house, all

Summary: The committee held a public hearing on Senate Bill 562, which would create a home damage mitigation and resilience grant program aimed at helping homeowners make property improvements that could reduce insurance costs and non-renewals. Commissioner DJ Bettencourt of the New Hampshire Insurance Department explained that the program is modeled in part on Alabama’s safer homes program, but tailored for New Hampshire hazards such as floods, microbursts, heavy snow, ice, and falling trees. He said the grants would be limited to primary residences, subject to a means test, capped at $10,000, and intended to help homeowners make targeted improvements such as roof fortification or tree removal that could improve underwriting outcomes and lead to premium discounts. Bettencourt said the program would not use state taxpayer funds and would instead rely on philanthropic donations, possible federal or regional housing-bank funding, and other outside sources. He said the department would not need new staff, and that a current position could be reconfigured to help administer the program part-time. Committee members asked about the funding language, the meaning of “loans” in the bill, whether there were any other states using a similar no-state-funds model, and how many homeowners could be helped. Bettencourt said Rhode Island and Connecticut were moving forward in a similar way, and that the number of beneficiaries would depend on how much money is raised. Members also questioned how the grant program would actually lower premiums, whether savings would apply only to participants or more broadly, and how the IBHS evaluation process would work. Bettencourt and department staff said the direct benefit would be to the homeowner whose property is improved, though neighbors could also benefit in some cases. They explained that IBHS is a building-safety organization that certifies contractors and inspectors and that its standards can qualify homes for insurer discounts. Questions were also raised about confidentiality provisions, first-come-first-served grant awards, rollover of unused applications, and possible tax treatment of donations. The sponsor said those details would be addressed through rulemaking or existing tax rules, and no vote was taken during the hearing.

Transcript Highlights:

• </c><00:24:54.919><c> outcomes</c> patient safety for clinical outcomes patient safety for clinical outcomes
• </c><00:45:57.599><c> outcomes</c> commitment to Quality clinical outcomes commitment to Quality clinical
• In the rush of getting to the clinic, they may not even remember to put it in their car.
• </c><01:04:39.039><c> eligibility</c> relative to clinical eligibility relative to clinical eligibility
• </c><01:46:23.800><c> level</c> we don't have a level a clinical level we don't have a level a clinical

Committee: Senate Health and Human Services

Keywords: 1191, senate, all

Transcript Highlights:

• We have four in my [snorts] clinic.
• </c> These services must be clinically These services must be clinically appropriate<03:38:15.480><c>
• <c> be</c> not it's clinical or non-clinical may be not it's clinical or non-clinical may be up<03:46
• The program is a clinical program.
• The program is a clinical program.

Committee: House Commerce and Consumer Affairs

Keywords: 1189, house, all

Transcript Highlights:

• Thank heavens, as I opened a clinic two and a half years ago, the APAL line existed.
• One month of opening my clinic, I had a woman come in with her mother and grandmother.
• We just think you need to see the person with the appropriate clinical training to do that.
• If I'm at a minute clinic pharmacy, I'm not going to do this.
• more clinical hours than a pharmacist.

Keywords: 1182, all

Summary: The committee heard House Bill 2433, which would require insurers offering Medicare supplement policies to people 65 and older to also offer them to Medicare beneficiaries under 65 with ALS or end-stage renal disease, with enrollment periods and premium protections tied to 65-year-old rates. Supporters, including dialysis and ALS advocates, said the bill would help a small population facing high out-of-pocket costs and could improve access to transplants and care; opponents argued it would shift costs onto older seniors and raise Medigap premiums. The committee recommended the bill do pass on a 12-0 vote. The committee also heard House Bill 2593, appropriating $1.5 million to the University of Arizona for the Arizona Perinatal Psychiatry Access Line. The sponsor and physicians testified that the line helps obstetric and pediatric providers quickly consult on perinatal depression, postpartum psychosis, suicidality, and other mental health crises, improving outcomes for mothers, children, and families and reducing costly emergency and crisis care. The bill received a do pass recommendation on a 10-1 vote. House Concurrent Resolution 2013, proclaiming June 2026 as Celebrate Life Month, drew emotional testimony from a young woman with spina bifida and another speaker supporting the sanctity of life. Some members objected that the state should focus on practical supports such as paid leave, child care, and health care access, while others supported the resolution as a statement of human dignity. The resolution passed the committee 7-5. The committee then approved House Bill 4010, creating a Board of Genetic Counselors and licensure standards, after testimony from genetic counselors and a patient advocate about the need for qualified counseling and better access; it passed 11-1. Later, the committee approved House Bill 2196, which would require pharmacy benefit managers to reimburse non-affiliated pharmacies at least their acquisition cost and pay a dispensing fee, and establish an appeals process. Independent pharmacists and their coalition said PBM practices are driving closures and unfairly favor affiliated pharmacies, while PBM and employer representatives warned of major cost increases and said the bill would interfere with private contracts; the bill passed 11-1. The committee also adopted a strike-everything amendment to House Bill 2182 requiring insurers and health plans to report claims denial and prior authorization data to DIFI, and then gave the amended bill a 12-0 do pass recommendation. Finally, the committee approved House Bill 2189, directing the Board of Nursing to update rules for licensed health aides and collect annual data, with the sponsor and board staff saying it would help implement routine ventilator care in the home; it passed 12-0. The committee then began hearing House Bill 2404, a strike-everything amendment on inter-facility transports for behavioral health patients, but the transcript cuts off before action on that bill.

Transcript Highlights:

• Thank heavens, as I opened a clinic two and a half years ago, the APAL line existed.
• We just think you need to see the person with the appropriate clinical training to do that.
• We just think you need to see the person with the appropriate clinical training to do that.
• If I'm at a minute clinic pharmacy, I'm not going to do this.
• more clinical hours than a pharmacist.

Summary: The committee heard House Bill 2433, which would require insurers offering Medicare supplement policies to also offer them to people under 65 who qualify for Medicare because of ALS or end-stage renal disease, with enrollment periods and premium protections. Supporters, including patient advocates and an ALS patient, said the bill would improve access to needed coverage and transplant-related care and could have only a small premium impact. Opponents, including Blue Cross Blue Shield/AHIP, argued it would shift significant costs onto older seniors and shrink the Medigap risk pool. The bill was ultimately given a do-pass recommendation on a 12-0 vote. House Bill 2593 would appropriate $1.5 million to the University of Arizona for the Arizona Perinatal Psychiatry Access Line. The sponsor and physicians testified that the line helps providers quickly treat pregnant and postpartum patients with depression, psychosis, OCD, and suicide risk, and also supports pediatric mental health care. Supporters said it improves outcomes and reduces emergency and referral costs. The committee approved the bill with a do-pass recommendation by a 10-1 vote, with one member present. The committee also passed House Concurrent Resolution 2013, proclaiming June 2026 as Celebrate Life Month, after emotional testimony from a woman born with spina bifida and another supporter. Several members objected that the state should focus on concrete supports such as health care and family leave, but the resolution still received a 7-5 do-pass recommendation. House Bill 4010, creating a licensing and regulatory board for genetic counselors, also advanced 11-1 after testimony from genetic counselors and a cancer survivor who said licensure would protect patients and improve access. House Bill 2196, addressing pharmacy benefit manager reimbursement and dispensing fees, passed 11-1 despite opposition from PBMs and employers who warned of higher costs; independent pharmacies argued the bill would help them cover costs and stay open. The committee then adopted a strike-everything amendment to House Bill 2182 requiring insurers and health plans to report claims denial and prior authorization data to DIFI, which would publish aggregated information and hold a later stakeholder review. Supporters said Arizona needs state-specific transparency data, while opponents called it redundant to federal CMS reporting; the amended bill passed 12-0. House Bill 2189, directing the Board of Nursing to update rules for licensed health aides and collect annual data, also passed unanimously after the board said it was already working on curriculum and implementation. The committee held House Bill 2813 and 2725, and began discussion of House Bill 2404, as the transcript ended.

Transcript Highlights:

• The amendment before you will enable individuals with a master's degree in veterinary clinical care to
• in Aventura, Florida, down in Miami, and I'm on Booth Bay, 46 miles from the nearest veterinarian clinic
• Saying that VPAs and the currently designed programs would have less clinical..." Dr.
• Saying that VPAs and the currently designed programs would have less clinical training than veterinary
• They will have better clinical training than veterinary technicians.

Bills: S0754 , S0796

Committee: Senate Regulated Industries

Keywords: heated tobacco products, tobacco regulation, vaping, definition changes, Florida statutes, veterinary medicine, telehealth, veterinary professional associate, animal health, public safety, access to veterinary services, 999, senate, all

Transcript Highlights:

• of emergency medicine at the University of Arizona College of Medicine in Phoenix and serves as clinical
• of emergency medicine at the University of Arizona College of Medicine in Phoenix and serves as clinical
• faculty at the Phoenix VA. and serves as clinical faculty at the Phoenix VA, where he treats patients
• And whereas, Arizona's living with ALS benefit from coordinated clinical care, assistive technology,
• He was diagnosed with ALS at 64 and attends the HonorHealth multidisciplinary ALS clinic.

Keywords: 1182, all

Transcript Highlights:

• While the investors agreed to not interfere with the clinical practice and just provide administrative
• services, they began interfering with clinical decisions in the pursuit of profits that were compromised
• and time for patients needing ongoing care, particularly for mental health, canceling COVID vaccine clinics
• and why it's critical to ensure that physicians, and physicians alone, oversee medical care and clinical
• has led and remain fully committed to working toward language that protects patients, preserves clinical

Committee: House Business and Professions

Keywords: 988, house, all

Transcript Highlights:

• And so some of the clinics that we have that are behavioral health clinics, they have a... ...I don't
• So some of the clinics that we have that are behavioral health clinics, they have a volume of Medicaid
• So some of the clinics that we have that are behavioral health clinics, they have a volume of Medicaid
• But I think we're looking at also of how many of those people that are, are they clinically ready to
• That gives them some cushion that they don't have to have that level of clinical involvement, and then

Committee: All PUBLIC HEALTH- HOUSE HEALTH SERVICES SUBCOMMITTEE

Summary: The House Health Services Subcommittee met to approve the October 7, 2024 minutes and then shifted to a broad discussion of behavioral health policy, taking up work previously handled by a behavioral health working group. Representatives Wooldridge and Vaught described major gaps in Arkansas behavioral health care, emphasizing access problems, workforce shortages, rural service barriers, low reimbursement, and the need to move from a reactive crisis system to more proactive community-based care. Members discussed possible 2027-session priorities such as reducing red tape, improving provider licensing and supervision pathways, expanding billing codes and reimbursement structures, and considering interstate compacts and other workforce fixes. A major focus was the state’s crisis and forensic system, including long waits for competency evaluations, the backlog at the Arkansas State Hospital, and the use of county jails for people awaiting treatment. DHS Director Paula Stone explained that Medicaid pays for most behavioral health services, but cannot pay for services in jails or state hospitals because those individuals are treated as inmates of public institutions, leaving state general revenue to cover much of that cost. She outlined DHS efforts including secured restoration beds, therapeutic communities, community mental health center contracts for jail-based services, and plans for an institution-for-mental-disease waiver that could allow Medicaid payment for certain hospital-based services. Members also discussed crisis stabilization units, with DHS noting that Fort Smith and Jonesboro have been more successful than Fayetteville and Little Rock, largely because of location, partnerships, and law enforcement coordination. Questions covered reimbursement for county jails, step-down facilities, civil commitment options, non-emergency behavioral health transportation, and whether DHS should create a bed-availability dashboard similar to hospital systems. DHS said it does not currently have such a dashboard but is exploring the idea. The meeting ended with a commitment to continue the work, with more detailed discussion planned for August, and the subcommittee adjourned.

Transcript Highlights:

• People would walk into our clinic. Basically, they can't breathe.
• , ambulatory surgical centers, outpatient clinics, and birthing centers.
• primary care clinic.
• They're not getting any more referrals from my clinic as a result of that.
• evidence that MOC makes better doctors or improves clinical care.'

Bills: SB331 , SB883 , SB926 , SB1137 , SB1138 , SB1144 , SB1151 , SB1236 , SB1270 , SB1522 , SB1869 , SB2207 , SB2422

Committee: Senate Health & Human Services

Keywords: healthcare, cost disclosure, transparency, administrative penalties, health facility compliance, COVID-19, off-label use, prescription drugs, patient access, medical standards, insurance, physician ranking, incentives, fiduciary duty, health plan issuers, SB 1137, group home, assisted living, residential care, board and care

Summary: The committee heard testimony on Senate Bill 883, which would protect physicians’ ability to prescribe off-label medications and treatments, framed by the author as a “Right to Treat” measure tied to COVID-19 care. Supporters, including physicians and patient-choice advocates, said the bill would safeguard the doctor-patient relationship and prevent interference by boards, pharmacies, or hospitals. Several witnesses described using hydroxychloroquine, ivermectin, budesonide, antibiotics, steroids, and monoclonal antibodies during the pandemic, and said they faced complaints, board scrutiny, or pharmacy refusals for those prescriptions. The bill was left pending after public testimony closed. The committee then took up Senate Bill 331, which would extend hospital price-transparency requirements to additional health care facilities such as freestanding ERs, urgent care and retail clinics, ambulatory surgical centers, outpatient clinics, and birthing centers. Proponents argued that broader disclosure of prices for shoppable services would help consumers compare costs and reduce surprise billing, while opponents from ambulatory surgery centers said the bill would impose costly compliance burdens on small providers and that insurers or the state already have much of the needed data. The bill was also left pending. Senate Bill 2422 would expunge Texas Medical Board records and impose reparations for disciplinary actions tied to COVID-era treatment decisions, including references to ivermectin, hydroxychloroquine, budesonide, and masks. The author and supporters argued that doctors were unfairly targeted for trying to save patients and should be made whole; the Texas Medical Board representative said most pandemic complaints were dismissed, that actions generally involved broader issues such as privileges, documentation, or informed consent, and that no physician was disciplined solely for prescribing off-label COVID medications. The bill was left pending. Finally, the committee heard Senate Bill 2207, which would loosen Texas Medical Board rules on physicians advertising themselves as board certified, especially by reducing barriers tied to maintenance of certification requirements. Supporters said the current rule is overly restrictive, inconsistent, and costly, and that it drives physicians out of practice; they also said Texas is one of only a few states with such a rule. Witnesses described hospitals using the rule against physicians and said the change would improve transparency and competition. The bill remained pending after testimony.

Transcript Highlights:

• Home care provider organizations serving as a site for nursing student clinical rotations is a powerful
• anecdotal information from the colleges, and I can tell you that they have been begging for more clinical
• 15:14.240><c> more</c> that they have been begging for more that they have been begging for more clinical
• 15:15.880><c> home</c><00:15:16.160><c> care</c><00:15:16.800><c> and</c><00:15:17.000><c> we</c> clinical
• rotations in home care and we clinical rotations in home care and we just<00:15:17.440><c> haven't</

Keywords: 1183, house

Transcript Highlights:

• Rule F is the rule to allow for reimbursement of physical and occupational therapy in a clinic-based
• Rule F is the rule to allow for reimbursement of physical and occupational therapy in a clinic-based
• for a total of 91 hours. ...and 16 clinical hours, for a total of 91 hours.
• They're still drafting their clinical guidelines.
• So as soon as we have some information, They're still drafting their clinical guidelines.

Committee: All ALC-ADMINISTRATIVE RULES

Summary: The Arkansas Administrative Rules Subcommittee met to review a large slate of agency rules and related reports. The chair announced that several items were stricken from the agenda and that the maternal health providers and remote monitoring rules were pulled by the agency. The committee filed reports on emergency rules, ALC subcommittee rule reviews, and administrative directives, then moved through agency rules from the Department of Agriculture, Department of Commerce/Insurance, Department of Corrections, and multiple divisions of the Department of Human Services. Most rules were explained as technical updates or implementations of 2025 legislation and were approved without objection. Examples included repeal of obsolete equine ID-chip rules, updates to agriculture financing and pesticide rules, removal of duplicative workers’ compensation plan language, a unified visitation rule for correctional facilities, DHS marketing rules for PASS programs, a comprehensive DCFS policy manual revision, Medicaid-related changes for fictive kin, ABLE accounts, presumptive eligibility for pregnant women, SNAP work requirements and alien eligibility, coverage for certain incarcerated youth, nurse aide training updates, and permanent rules for state employee insurance and procurement. The committee also approved requests to exclude the Insurance Department from rulemaking requirements for Act 772 on forced organ harvesting and for restorative reproductive medicine, with the department saying it would issue rules later when more guidance is available. The most extended discussion concerned DHS’s dental Medicaid rate rule under Act 1025. Members and witnesses debated whether the statute’s language covered only oral surgeons or also general dentists performing oral surgery procedures, and whether the rate increase should apply more broadly to the services rather than the provider title. DHS said it was following the black-letter language of the law and could not confirm a broader interpretation without further approvals and funding, while legislators and a Dental Association representative said the intent was to increase payment for the services, especially in rural areas. Members also discussed the possibility of fixing the language in a future session or through a new rule if approvals and CMS review allow. Despite the concerns, the committee approved the rule. The meeting ended with approval of rule review reports and monthly updates, and the committee adjourned.

Transcript Highlights:

• have spent time in halls and committee hearing rooms of state legislators, hospitals, outpatient clinics
• The bill protects the clinical autonomy of audiologists.
• The bill protects the clinical autonomy of audiologists.
• Thank you. text the clinical autonomy of audiologists.
• We have Senate Bill 6226 before us, protecting the clinical autonomy of audiologists, and there is a

Summary: The Senate Health and Long-Term Care Committee held confirmation hearings for Ryan Moran to lead the Health Care Authority and Dennis Worsham to serve as Secretary of Health. Moran emphasized his personal background, experience in Maryland Medicaid, and priorities of protecting coverage amid federal changes, addressing health disparities, strengthening tribal partnerships, and improving agency operations. Worsham described his long public health career in Washington, his statewide listening tour, and his focus on collaboration, science-based decision-making, accountability, workforce support, and rebuilding public trust. Senators raised questions about behavioral health, social determinants of health, communication, misinformation, and the impact of federal policy changes; both nominees said Washington should continue leading on coverage, prevention, and public health resilience. In executive session, the committee advanced several bills. It passed SB 5899, allowing qualified chiropractors to perform chiropractic diagnosis and adjustments on animals; SB 6292, creating a joint legislative-executive committee on health care financing with a substitute; SB 6182, establishing an abortion savings program, after rejecting several Christian-sponsored amendments and adopting a Bateman amendment limiting eligible organizations to DOH-contracted abortion providers or funds; SB 5947, creating the Washington Health Care Board; SJR 8206, proposing a constitutional right to affordable health care; and SB 5933, on overdose mapping information sharing, with a substitute. The committee also recommended confirmation of both gubernatorial appointments. In a second group of bills, the committee passed SB 5823 on patient advocates with a substitute requiring at least one person physically present daily in acute care settings and expanding exemptions for certain hospitals; SB 6210 on the health plan certification process with a substitute; SB 5921 on psilocybin; SB 6226 protecting audiologists’ clinical autonomy with a substitute; and SB 5924 expanding pharmacists’ prescriptive authority with a substitute. Members discussed access, affordability, rural workforce shortages, and patient safety, and the committee adjourned after completing its agenda.