Transcript Highlights:

• While charity care is a core value we fully support, charity care is a core value we fully support, In
• While charity care is a core value we fully support, charity care without reasonable geographic boundaries
• Then in 2022, there was a new charity care law that passed, expanding charity care.
• According to the Department of Health annual charity care report, in 2024, charity care accounted for
• They don't live in the charity care space.

Bills: HB1812, HB2232, HB2250, HB2340, HB2577

Keywords: anesthesia services, healthcare access, reimbursement, patient care, equitable treatment, emergency services, healthcare outcomes, health infrastructure, system improvement, charity care, residency requirements, medical assistance, low-income, HB 2340, nursing assistants, nurse aide, substance use disorder monitoring program, monitoring program, credentialing, licensure

Summary: The House Health Care & Wellness Committee held public hearings on several bills. House Bill 2232 would create a time-sensitive emergency data repository for cardiac, stroke, and trauma care, with Department of Health oversight, quality improvement reporting, and support for rural facilities; emergency physicians, nurses, and DOH supported it as a way to improve outcomes and reduce rural-urban disparities, while the Washington State Hospital Association said hospitals support the goal but lack resources to absorb the added reporting burden. House Bill 1812, on the proposed substitute, would bar insurers, public employee plans, HCA, and Medicaid managed care from imposing anesthesia time limits or related reimbursement caps; the sponsor and anesthesia providers said it protects patient safety and prevents insurers from interfering with medical judgment, and the Washington State Society of Anesthesiologists asked for a clarifying amendment on physical status modifiers. House Bill 2340 would extend substance use disorder monitoring program protections and stipend eligibility to nursing assistants; the sponsor and Board of Nursing supported it as a way to reduce stigma and help participants afford treatment and monitoring, and the board said the stipend is currently funded through general funds. House Bill 2577 would require acute care hospital inspections at least every 18 months, clarify use of approved accrediting organizations, and adjust fire protection re-inspection rules; the sponsor and Department of Health said it responds to a JLARC audit and clarifies timelines after COVID-related delays, while the department said it is still working to catch up on inspections and continues complaint investigations. House Bill 2250 would limit hospital charity care eligibility to Washington residents, using residency standards similar to Medicaid and preserving emergency care coverage under EMTALA. Supporters, including border hospital officials, the Washington State Hospital Association, and Seattle Children’s, argued the current policy draws nonresident non-emergent patients and strains rural and border hospitals, especially Newport Hospital, while opponents from Columbia Legal Services, Dollar For, Northwest Health Law Advocates, and QLaw Foundation said the bill would chill access for immigrants, temporary visa holders, and people seeking reproductive or gender-affirming care, and that the real problem is hospitals failing to provide charity care to eligible patients. The sponsor said he is working with DOH on amendments to address unintended consequences, and several testifiers indicated willingness to continue stakeholder discussions. No votes were taken; the committee heard testimony and then closed public hearings on the bills before adjourning.

Bills: HB 109, HB 136, HB 694, HB 1201, HB 1716, HB 2071, HB 2216, HB 2358, HB 2807, HB 2886, HCR 78

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, child welfare, notification, Department of Family and Protective Services, conservatorship, parental rights, legal representation, child placement, doula services, pilot program, medical assistance, mortality rates, child protection, healthcare procedures

Bills: HB 109, HB 136, HB 694, HB 1201, HB 1716, HB 2071, HB 2216, HB 2358, HB 2807, HB 2886, HCR 78

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, child welfare, notification, Department of Family and Protective Services, conservatorship, parental rights, legal representation, child placement, doula services, pilot program, medical assistance, mortality rates, child protection, healthcare procedures

Bills: HB 109, HB 136, HB 694, HB 1201, HB 1716, HB 2071, HB 2216, HB 2358, HB 2807, HB 2886, HCR 78

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, child welfare, notification, Department of Family and Protective Services, conservatorship, parental rights, legal representation, child placement, doula services, pilot program, medical assistance, mortality rates, child protection, healthcare procedures

Bills: HB1428

Keywords: HB 1428, North Dakota sales tax, sales tax exemption, thrift store, nonprofit corporation, 501(c)(3), charitable organization, used clothing, clothing exemption, retail tax, Century Code 57-39.2-04, charity shop, secondhand clothing, taxable events, nonprofit retail, 908, all

Summary: The Finance and Tax Committee met with a quorum and took up House Bill 1482, which would require certain municipal bond elections to be held on primary or general election days rather than at special elections. Senator Rummel walked the committee through a proposed amendment from Representative Wagner that would remove special-election language, align ballot timing requirements, and make related cleanup changes. Members discussed the distinction between constitutional debt limits and the bill’s election-timing requirements, with Senator Powers seeking clarification that the measure did not change levy or bond limits themselves. The committee also discussed whether the amended language would comply with the Secretary of State’s requirements. Chairman Weber and Senator Rummel said they had consulted legislative council and wanted a further check before the bill moved forward, and the chairman said he would hold the bill until that review was complete. The amendment was approved unanimously, 6-0, and the bill as amended was then adopted unanimously, 6-0. After passage, the committee discussed who would carry the bill, eventually settling on Senator Rummel as carrier. The chair also said several other bills, including gas tax and property tax measures, would be held for the time being while the committee waited for developments in the House. The committee announced it would not plan to meet the next day unless called from the floor, and then adjourned.

Bills: HB109, HB136, HB 109, HB136, HB694, HB 1201, HB1716, HB2071, HB2216, HB2358, HB2807, HB2886, HCR78

Keywords: taxation, ballot propositions, public funding, voter information, transparency, training, public officials, candidates, requirements, political education, mental health, inpatient psychiatric facility, juvenile treatment, residential treatment facility, emotionally disturbed juveniles, Department of State Health Services, Health and Human Services Commission, state grant, facility construction, facility expansion

Transcript Highlights:

• The engrossed bill clarifies that hospitals cannot deny a qualified patient access to charity care.
• Health care facility.
• the volume of care rather than the quality of care. provided.
• care, fee-for-service, to paying for health care that keeps people healthy.
• care.

Bills: HB35, HB138, HB754, HB1314, HB1612, HB2254, HB2510, HB2789, HB3560, HB3597, HB4224, HB4273, HB4643, HB4783, HB138

Keywords: peer support, first responders, mental health, confidentiality, emergency services, health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, human trafficking, trafficking prevention, medical assistant training, health care facilities, hospital compliance, clinic compliance, anti-retaliation, whistleblower protection, employee reporting

Transcript Highlights:

• . care.
• And so that's not uncompensated care. Uncompensated care would be.
• There's also charity care programs. There's emergency Medicaid in the state also.
• to supportive care.
• care including a perinatal palliative care consult.

Bills: HB5141, HB4638, HB2264, HB2035, HB4813, HB4408, HB2684, HB1621, HB2300, HB216, HB3829, HB4466, HB1747, HB2284, HB3614, HB2587, HB3219, HB3318, HB5147, HB4014, HB216

Keywords: lease, state property, public purpose, Travis County, Health and Human Services, pharmaceutical initiative, drug distribution, healthcare services, generic drugs, advanced pharmaceuticals, cost savings, mental health, patient discharge, medical records, health care professionals, substance use, family involvement, chemical dependency, treatment facilities, minor admissions

Transcript Highlights:

• A nation that takes care of its veterans will always thrive.
• to be exposed to primary care.
• But that's the only area that they could do that—primary care?
• , there are a lot of primary care residency programs around the state.
• We were extra careful.

Bills: HB 44, HB 2200, HB 1612, HB 2747, HB 2038, HB 3717, HB 1431, HB 3800, HB 3801, HB 3560, HB 3246

Keywords: HB 44, Life of the Mother Act, abortion exceptions, medical emergency, reasonable medical judgment, pregnancy complications, maternal health, life-threatening condition, ectopic pregnancy, miscarriage, spontaneous abortion, fetal survival, Texas abortion law, abortion ban, physician liability, health care provider, disciplinary action, aiding and abetting, emergency abortion, obstetric care

Summary: The meeting of the public health committee focused on the pressing issue of opioid addiction in Texas, with a particular emphasis on House Bill 3717. Chairman Harris detailed the bill's intent to fund a grant program for Ibogaine clinical trials, framing it as a critical response to the ongoing opioid crisis. He shared poignant testimonies highlighting the struggles of families and veterans battling addiction and mental health issues. The conversation underscored the necessity of innovative treatments, like Ibogaine, which showed promising results in studies for reducing symptoms of withdrawal and PTSD.

Transcript Highlights:

• million a year in Medicaid dollars on Alzheimer's disease and the cost of having those in long-term care
• It shortens the time period for informal arrangements for care of foster children from 7 days to 72 hours
• and puts additional guardrails in place around temporary care of foster children.
• that the people that they're leaving them with, these children with, are capable, and ready to take care
• take for your own information, this is a chart about how this the last, Bill works and the respite care

Bills: SB1806, SB1430, SB206, SB1547, SB1849, SB1428, SB1653, SB1984, SB1644, SB1561, SB1813, SB1570, SB1796

Keywords: foster care, adoption assistance, transitioning youth, Department of Human Services, voluntary services, mental health, substance abuse, commissioner appointment, governor's authority, legislative consent, SB206, emergency medical services, EMS, ambulance, 911 response, emergency response, essential services, federal funding, grant funding, public health

Transcript Highlights:

• And Medicaid dollars on Alzheimer's disease and the cost of having those in long-term care.
• interstate constitutionally authorized contract between states to increase access to vital health care
• And so this will cover foster care, child protective services. It will cover well-being.
• So it shortens the time period for informal arrangements for care of foster children from seven days
• to 72 hours and puts additional guardrails in place around temporary care of foster children.

Bills: SB1806, SB1430, SB206, SB1547, SB1849, SB1428, SB1653, SB1984, SB1644, SB1561, SB1813, SB1570, SB1796

Keywords: foster care, adoption assistance, transitioning youth, Department of Human Services, voluntary services, mental health, substance abuse, commissioner appointment, governor's authority, legislative consent, SB206, emergency medical services, EMS, ambulance, 911 response, emergency response, essential services, federal funding, grant funding, public health

Summary: The Senate Health and Human Services Committee heard and advanced a series of health, licensing, and child welfare measures. Senate Bill 1806 would allow eligible individuals receiving Oklahoma Department of Human Services services to voluntarily remain in those services until age 21; the author said the title was struck while fiscal estimates were being revised, and the bill passed 11-0. Senate Bill 1430 would shift authority over hiring, supervising, and removing the commissioner of mental health from the governor to the governing board; it passed 8-2 after questions about removal provisions. Senate Bill 206, as amended, added tribal entities to EMS-related essential services to help draw down federal funding, and passed 10-0, while Senate Bill 1849 made a cleanup change allowing the State Board of Podiatric Medical Examiners to approve medical marijuana education for continuing education credit and passed 11-0. The committee also approved Senate Bill 1428, creating an Office of Alzheimer’s and dementia-related services within the Department of Health; the author said outside funding would cover the first two years and the bill would have no state budget impact, and it passed 9-2. Senate Bill 1653 created the Occupational Therapy Licensure Compact and passed 9-2 after discussion of closed meetings and compact operations. Senate Bill 1984 updated and clarified the Osteopathic Medicine Act and passed unanimously. Senate Bill 1644 required alpha-gal syndrome to be added to the reportable diseases list and passed 12-0. Senate Bill 1561, requested by regional EMS, added disciplinary steps for ambulance and EMT personnel to avoid automatic disqualification and passed 12-0. Senate Bill 1813 enacted the athletic trainer compact and passed 10-2. The committee then took up major child welfare restructuring. Senate Bill 1570 would create a Department of Child Safety and Well-Being by consolidating DHS Child Welfare Services and the Office of Juvenile Affairs, with a phased implementation timeline and a future board and interim commissioner; members discussed protecting ongoing cases and adding lived-experience representation on the board. The bill passed 12-0. Senate Bill 1796 shortened the period for informal foster care arrangements from seven days to 72 hours and added guardrails for temporary foster care placements; the author said it was intended to prevent harm when children are left with unvetted caregivers, and it also passed 12-0. The committee adjourned after distributing a handout related to the foster care/respite care changes.

Transcript Highlights:

• must choose between access and comprehensive care.
• part of a broader health care team to protect the public health.
• None of that is definitive care. None of that is care at all.
• It is still your responsibility to provide care to that patient.
• practices patient-centered care.

Bills: HB 3772, HB 1656, HB 4504, HB 1896, HB 4420, HB 4421, HB 4076, HB 3708, HB 2806, HB 3540, HB 1586, HB 5459, HB 4553, HB 4535, HB 3811, HB 3749, HB 4255, HB 4051, HB 5098, HB 3554, HB 4539, HB 5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Transcript Highlights:

• language and statutes that previously required retirement communities to offer a full continuum of care
• These include social services, ministerial services, indigent health care, educational programs, and
• Buckner delivers care to seniors in seven communities across counties throughout the full continuum of
• We are concerned that we'll have to reduce our charity care or pass on the costs of increased expenses
• Then we would have to reduce the amount of services that we provide at that level of care as well.

Bills: HB 103, HB 1256, HB1587, HB1632, HB2027, HB2525, HJR88, HJR138, HB103

Keywords: taxing unit, bond database, local government, transparency, civil penalty, education reform, funding allocation, school infrastructure, teacher recruitment, student achievement, tax exemption, water conservation, graywater systems, rainwater harvesting, ad valorem taxation, county commissioners, HB 1587, Texas sales tax holiday, back-to-school tax holiday, clothing tax exemption

Transcript Highlights:

• colleagues on the other side of the aisle and Representative Robbins in particular for pointing us toward caring
• colleagues on the other side of the aisle and Representative Robbins in particular for pointing us toward caring
• 01:32:15.520><c> pointing</c><01:32:15.880><c> us</c><01:32:16.040><c> toward</c><01:32:16.360><c> caring
• </c><01:32:16.760><c> about</c> you know pointing us toward caring about you know pointing us toward
• caring about how<01:32:17.480><c> the</c><01:32:17.600><c> people's</c><01:32:18.000><c> money</c><01

Bills: HF1126, HF967, HF1066, HF1669, HF926

Keywords: property tax, Indian Tribe, tax exemption, Minnesota, public charity, property tax exemption, Minnesota statutes, unorganized territory, federally recognized, soil conservation, water conservation, local government aid, environmental funding, Minnesota legislation, tax credits, sustainable aviation fuel, environmental policy, corporate franchise, Minnesota taxation, tobacco

Transcript Highlights:

• One of my mentors once said, without curiosity, we can't learn; without learning, we can't care; and
• without care, we can't protect.
• From a governor's standpoint, this is careful, restrained lawmaking.
• It has no From a governor's standpoint, this is careful, restrained lawmaking.

Bills: HB2447, HB1364, HB2632, HB2637, HB2520, HB2235, HB2401, HB2574

Keywords: shark conservation, marine life, state symbol, ecological importance, biodiversity, bingo, raffles, charity, nonprofit, amusement games, revenue threshold, licensing, fundraising, citizenship, immigration, terminology, rights, legal status, public records, public disclosure

Summary: The committee heard testimony on House Bill 1364, which would raise the gross-revenue threshold for charitable and nonprofit bingo, raffle, and amusement games from $5,000 to $15,000 before licensing and certain local taxes apply. Supporters, including the prime sponsor and a Woodland resident, said the change is an inflation adjustment that would help volunteer-run nonprofits raise money without expanding gambling. The hearing was then closed. The committee also heard House Bill 2632, which would replace most uses of the term “alien” in state law with “non-citizen,” while preserving the term where required by federal law or used for non-human entities. The prime sponsor and several advocates, including refugee, immigrant, and legal aid representatives, argued the change is more respectful and accurate; opponents said it would create confusion, administrative burden, and conflict with federal terminology. The bill was then heard alongside House Bill 2447, which would designate the blunt-nosed six-gill shark as Washington’s official state shark. The bill drew enthusiastic support from the sponsor, local officials, scientists, environmental groups, teachers, and students, who said it would promote ocean education, conservation awareness, and ecotourism. Testimony on both bills was closed. The committee then heard House Bill 2637, which would exempt certain personal information from Public Records Act disclosure, including age, address, birthplace, precise location data, government identifiers, and consumer utility data. Supporters framed it as a privacy and safety measure, while opponents argued it would reduce transparency and could interfere with federal immigration enforcement. After testimony, the committee moved to executive session and reported out House Bill 2235, House Bill 2401, and House Bill 2574 with due pass recommendations. HB 2235 passed 7-0, HB 2401 passed 5-2, and HB 2574 passed 6-1. The committee then adjourned.

Transcript Highlights:

• in Texas met the required charity care minimums, delivering $4.8 billion in charity care after supplemental
• ...minimum of the Charity Care Statute, the state Charity Care Statute.
• Charity care programs exist for this very purpose.
• Charity care.
• care. care, and many people I've talked to who would have qualified for charity care may no longer be

Bills: HB3772, HB1656, HB4504, HB1896, HB4420, HB4421, HB4076, HB3708, HB2806, HB3540, HB1586, HB5459, HB4553, HB4535, HB3811, HB3749, HB4255, HB4051, HB5098, HB3554, HB4539, HB5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Bills: HB3772, HB1656, HB4504, HB1896, HB4420, HB4421, HB4076, HB3708, HB2806, HB3540, HB1586, HB5459, HB4553, HB4535, HB3811, HB3749, HB4255, HB4051, HB5098, HB3554, HB4539, HB5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Transcript Highlights:

• We treat acute care.
• It's a bill about medical care, correct. about medical care and it is attempting to separate us from
• Who's going to care for them? This child who's now pregnant, who's going to care for the baby?
• care, or in the state for care.
• term would be obstetric care well couldn't have emergency physician provide obstetric care?

Bills: HB44, HB2200, HB1612, HB2747, HB2038, HB3717, HB1431, HB3800, HB3801, HB3560, HB3246, HB44

Keywords: HB 44, Life of the Mother Act, abortion exceptions, medical emergency, reasonable medical judgment, pregnancy complications, maternal health, life-threatening condition, ectopic pregnancy, miscarriage, spontaneous abortion, fetal survival, Texas abortion law, abortion ban, physician liability, health care provider, disciplinary action, aiding and abetting, emergency abortion, obstetric care

Transcript Highlights:

• Whose purpose was to create a form used by memory care providers.
• It's just ensuring that a detailed medical information is Being received from the primary care providers
• that one hospice cannot come in and Hijack a patient from another hospice that's already delivering care

Bills: SB667, SB904, SB1344, SB1380, SB1423, SB1425, SB1484, SB1500, SB1502, SB1503, SB1555, SB1561, SB1562, SB1565, SB1572, SB1644, SB1749, SB1833, SB2007, SB2044, SB2074

Keywords: chiropractic, licensure, animal chiropractic, Board of Chiropractic Examiners, licensing requirements, gender transition, gender-affirming care, transgender, puberty blockers, cross-sex hormones, hormone therapy, sex reassignment, transition surgery, Medicaid, public funds, state facilities, state hospital, Oklahoma, intersex, DSD

Transcript Highlights:

• Members, House Bill 1380 is simply requires the Health Care Authority to verify eligibility by checking
• Senate Bill 1425 repeals sections of the Health Care Workers and Educators' Assistance Program and the
• Health Care Workforce Resources Center.
• I believe it's handled right now by the Health Care Authority.
• I believe it's handled right now by the health care authority. Thank you.

Bills: SB667, SB904, SB1344, SB1380, SB1423, SB1425, SB1484, SB1500, SB1502, SB1503, SB1555, SB1561, SB1562, SB1565, SB1572, SB1644, SB1749, SB1833, SB2007, SB2044, SB2074

Keywords: chiropractic, licensure, animal chiropractic, Board of Chiropractic Examiners, licensing requirements, gender transition, gender-affirming care, transgender, puberty blockers, cross-sex hormones, hormone therapy, sex reassignment, transition surgery, Medicaid, public funds, state facilities, state hospital, Oklahoma, intersex, DSD

Summary: The committee heard and advanced a large number of health-related bills, with much of the agenda focused on pharmacy benefit manager (PBM) regulation, Medicaid administration, and health-system cleanup measures. Bills passed included HB 1344 on insulin affordability and state support for low-cost biosimilar insulin manufacturing; HB 1380 requiring the Health Care Authority to check death records to disenroll deceased Medicaid recipients; SB 2007 and SB 2074, both PBM-related measures addressing pharmacist reimbursement, dispensing fees, appeals, and penalties; SB 1572 creating a feasibility study on reorganizing the Department of Mental Health and Substance Abuse Services and temporarily allowing the Health Commissioner to serve in a dual role; and SB 1555 updating the definition of intellectual disability to match the federal definition. Members also approved several bills eliminating or repealing outdated councils and programs, including SB 1423 ending the Hospital Advisory Council, SB 1425 repealing the Health Care Workers and Educators’ Assistance Program and Health Care Workforce Resources Center, and SB 1502 eliminating the Alzheimer Dementia Disclosure Act Advisory Council. Other measures passed included SB 1561 changing EMS discipline to a progressive system, SB 244 and SB 667 making chiropractic language and training cleanup changes, SB 1749 on LP gas inspections for food trailers, SB 1484 requiring more detailed medical information for infant and child death investigations, SB 1562 clarifying hospice patient protections, and SB 1644 creating reporting related to alpha-gal to support possible research funding. The most debated bill was SB 1503, which would expand the Choosing Childbirth Act so nonprofits without an Oklahoma physical address could receive grants to connect women seeking abortions with pregnancy resources. Members questioned whether grant dollars and salaries would stay in Oklahoma, whether reporting and accountability would be sufficient, and whether Oklahoma-based providers could do the work instead. The bill passed 5-2 after the sponsor said he was open to amendments and oversight. SB 1833, codifying a SNAP waiver restricting candy and soft drink purchases, and SB 904, modifying the use of certain state funds and facilities for medical procedures, also drew questions and passed on divided votes. The meeting ended after all listed bills were heard and voted on, with most measures passing unanimously or by wide margins.