Transcript Highlights:

• foot ulcers create a perfect storm, so to say, for limb loss.
• Patients with both diabetes and PAD face exponentially higher odds of amputation than those with diabetes
• foot ulcers create a perfect storm, so to say, for limb loss.
• Patients with both diabetes and pad face exponentially higher odds of amputation than those with diabetes
• I'm not saying it's enough, but definitely someone with a diabetic wound like this, if it's due to diabetes

Bills: HR267, HCR105, HCR107, HCR110, HCR113, HCR114, SB4, SB52, SB57, SB145, SB152, SB194, SB237, SB333, SB433, SB483, SCR37

Keywords: diabetes, amputation, amputations, diabetic foot ulcer, peripheral artery disease, PAD, wound care, podiatry, vascular disease, endocrinology, limb salvage, health policy, public health, healthcare costs, insurance coverage, Louisiana Department of Health, University of Louisiana at Lafayette, Louisiana Center for Health Innovation, patient education, screening

Transcript Highlights:

• foot ulcers and peripheral arterial disease. ...supported treatment of diabetic foot ulcers and peripheral
• I cannot get a $100 annual diabetic foot exam covered. That is absurd.
• So this includes diabetic foot ulcers, which ultimately can result in an amputation.
• foot ulcer.
• Many of my patients had diabetes and foot ulcers.

Keywords: 995, all

Summary: The Joint Committee on Public Health held a hearing focused on children’s health, disease prevention, screening, treatment, and pharmacy-related bills. The chair explained that the session was for public testimony only, with no votes or decisions taken that day, and outlined the three-minute limit for individual testimony. The committee then heard testimony on a range of bills, including H. 2413 on adding electromagnetic sensitivity to the state’s MAVEN registry, S. 1508 and H. 2433 on creating an amputation prevention task force, H. 2535 and S. 1551 on establishing a naloxone purchase trust fund, S. 1635 on authorizing pharmacists to provide opioid use disorder treatment, H. 2385 on creating a special commission on avian influenza, and S. 1497 on patient safety and non-FDA-approved compounded drugs. Testimony on H. 2413 came largely from advocates and individuals who described electromagnetic sensitivity as a real health condition and argued that adding it to the registry would improve data collection, provider education, and public awareness. Testimony on the amputation prevention task force bills came from the American Diabetes Association and podiatry groups, who said diabetes-related amputations are often preventable, disproportionately affect people of color, and could be reduced through earlier screening, better care coordination, and improved insurance coverage for preventive foot care. On the naloxone trust fund bills, a representative, emergency physician, and nurse testified that hospitals often cannot reliably send overdose patients home with naloxone because of billing and reimbursement barriers, and that a bulk-purchase fund would expand access at no added cost to payers or providers. The committee also heard strong support for S. 1635 from pharmacists and public health researchers, who said community pharmacists could safely initiate and maintain buprenorphine treatment and help close gaps in opioid use disorder care. On H. 2385, a local board of health chair supported a special commission on avian influenza, citing gaps in emergency preparedness and the need for clearer coordination across agencies. On S. 1497, a pharmacy representative opposed restrictions on compounded drugs from outsourcing facilities, warning that changes could reduce access to life-saving medications and harm patient safety. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• foot ulceration, but from the highest level of care.
• in fact, a very high incidence of diabetic foot ulcerations and amputations in Fall River, in Lowell
• in fact, a very high incidence of diabetic foot ulcerations and amputations in Fall River, in Lowell
• Diabetes has increased.
• So I'm specifically referencing the expanding of that scope, not with the care of a foot, diabetic foot

Keywords: 995, all

Summary: The Joint Committee on Public Health heard testimony on a wide range of bills focused on children’s health, tobacco control, newborn screening, pediatric cancer, palliative care, and professional licensure. Early testimony highlighted Senate bills to expand newborn screening for pyruvate dehydrogenase complex deficiency, lysosomal storage disorders, and congenital CMV, with families and clinicians describing severe diagnostic delays, missed treatment windows, and the benefits of early detection. Speakers also supported a bill to improve pediatric cancer research through a dedicated trust fund, and a bill to extend pediatric palliative care services to age 22, with parents and providers emphasizing continuity of care for seriously ill young people. Several witnesses gave personal accounts in support of the newborn screening measures. Families described children who endured years of misdiagnosis before receiving diagnoses such as Gaucher disease, Fabry disease, Pompe disease, Niemann-Pick disease, and CMV, often after irreversible damage had already occurred. Medical and advocacy witnesses said Massachusetts already collects some of the relevant screening data and argued that results should be reported to families, while others urged the committee to add conditions to the state panel because effective treatments already exist. The committee also heard support for a bill to establish a fetal alcohol spectrum disorder program and training for providers. On tobacco and youth health, testimony supported bills to ban internet tobacco sales, strengthen youth protections, and reduce lung cancer deaths through point-of-sale information and quit-line access. A student testified about easily purchasing flavored nicotine products online without meaningful age verification, and public health advocates backed measures to keep tobacco out of children’s environments. The committee also heard testimony on a bill to ensure parents have access to their children’s medical records through age 16, with exceptions for sensitive services already protected by law. The committee additionally took testimony on an optometry licensure bill, where ophthalmologists opposed language they said could broaden scope of practice and allow optometrists to use the title “optometric physician,” while optometry educators and students supported the bill as a modernization measure with no scope expansion. No votes were taken during the hearing; the chair repeatedly reminded speakers of time limits and noted that written testimony could be submitted for additional comments.

Transcript Highlights:

• foot ulcers create a perfect storm, so to say, for limb loss.
• Patients with both diabetes and PAD face exponentially higher odds of amputation than those with diabetes
• foot ulcers create a perfect storm, so to say, for limb loss.
• Patients with both diabetes and PAD face exponentially higher odds of amputation than those with diabetes
• foot ulcers create a perfect storm, so to say, for limb loss.

Summary: The committee first heard SB 145, which would require adult residential care providers, especially assisted living centers, to have generators or other backup power arrangements and to submit preparedness plans to LDH. After technical amendments and testimony from the sponsor, LDH, and the assisted living industry clarifying the bill’s scope and cost concerns, the committee adopted the amendments and reported the bill favorably. It then took up SB 433, which would require Medicaid coverage of medically necessary FDA-approved weight loss drugs, including GLP-1 medications, subject to appropriations and fiscally sustainable coverage criteria; the bill was reported favorably after discussion of current Medicaid coverage and costs. The committee also approved SB 52, which requires better coordination between DCFS and LDH so SNAP and Medicaid benefits can follow children more quickly when they are removed from or returned to a home. Technical amendments changed reporting deadlines and required written notice, and the bill was reported favorably. SB 4 on public water fluoridation was amended to allow local governments or voters to opt out through a petition and election process, with support from the Louisiana Dental Association and others after compromise language was adopted; it was reported favorably with amendments. SB 152, which would prohibit the sale of cultured or lab-grown food products for human consumption, was also reported favorably with amendments after brief testimony in support and opposition. The committee next approved SCR 37, which asks the Surgeon General to review Louisiana’s informed consent laws and report back on any gaps, after discussion that the existing medical disclosure panel had not met since 2018. It then considered SB 194, a public assistance bill aligning Louisiana Medicaid and SNAP rules with recent federal changes on non-citizen eligibility and tightening Medicaid’s reasonable opportunity period for citizenship verification. After extensive debate over immigration, emergency care, and whether the bill could harm eligible applicants or rural hospitals, the committee adopted an amendment allowing LDH discretion for emergency health care services and reported the bill favorably by an 8-3 vote. Finally, HCR 113 created a task force to study gestational carrier agreements and assisted reproductive regulation; after debate over surrogacy, ethics, and referral to Civil Law, the committee rejected the referral motion and then reported the resolution favorably, and the meeting moved on to SB 333 on child-in-need-of-care proceedings and legal representation funding.

Transcript Highlights:

• you paralyze, you're just not moving. but the eyes move, and the person had a problem with their diabetes

Bills: SB437, SB528, SB626, SB636, SB884, SB968, SB1044, SB1608, SB2336

Keywords: healthcare, training, abuse, neglect, penalties, chemical dependency, safety, regulation, inpatient competency restoration, competency restoration, forensic mental health, mental health law, criminal competency, incompetent to stand trial, Chapter 46B, HHSC, Health and Human Services Commission, state hospital, behavioral health, local mental health authority

Transcript Highlights:

• It requires a study of the... ...of diabetic amputation and trying to address that issue in the state
• The rate of diabetes has not decreased; it has increased, and the costs are swelling as we speak.
• I was the chief of podiatry at UT San Antonio, the Texas Diabetes Institute.
• I chaired the Diabetes Council, which put me on the council in '95, and I matured in 2000, so I've...
• foot.

Bills: SB2024, SB227, SB268, SB1467, SB1580, HB5537, SB1313, SB1677, SB918, SB331, SB2207, SB2721

Keywords: e-cigarettes, marketing prohibition, youth protection, criminal penalties, public health, school funding, education reform, state budget, property taxes, equity in education, health care, licensing, complaint procedure, disciplinary action, law enforcement, death records, vital statistics, healthcare, trauma facility, Medicaid

Transcript Highlights:

• You use it on diabetic field ulcers, but people are dying because of bad mouths that end up causing infections
• You use it on diabetic field ulcers, but people are dying because of bad mouths that end up causing infections
• You use it on diabetic field ulcers, but people are dying because of bad mouths that end up causing infections
• You use it on diabetic field ulcers, but people are dying because of bad mouths that end up causing infections
• field ulcers, but people are on diabetic field ulcers, but people are dying<03:11:38.319><c> because

Keywords: 1189, house, all

Transcript Highlights:

• Okay, and I read recently this Elidon trial with these diabetics. What about islet cells?
• Misoprostol treats nonsteroidal anti-inflammatory-induced ulcers, but doctors are scared to use it because
• Misoprostol treats non-steroidal anti-inflammatory induce ulcers, but doctors are scared to use it.
• Okay, and also for insulin-induced ulcers. Okay.
• ... let's see... ...induced gastric ulcers.

Summary: The committee heard a personal privilege update on HB 1227, which Representative DeWitt said would return next week as a proposed HCR for a two-year study of the three-doctor panel after discussions with Dr. Nia Colotta. Better Louisiana also presented its new Leadership Louisiana Health Fellows Program, describing it as a data-driven leadership initiative focused on health care workforce, rural access, chronic disease, and other system issues; members discussed whether the program could also help generate policy research, including on managed care organizations. The committee then considered SB 427 on anatomical gifts. After adopting technical amendments, Senator Presley and Dr. Jeff White explained that the bill would strengthen organ donation law by creating a decision registry that records both yes and no choices, clarifying the legal effect of refusal, and codifying ethical principles such as the dead donor rule. Questions focused on organ viability, registry procedures, minors, and a Monroe case involving a disputed donor designation. Supporters included LOPA and the Louisiana Conference of Catholic Bishops, and the bill was reported favorably. HB 946, dealing with hospital price transparency and compliance with federal pricing rules, drew extensive testimony. Representative Landry and a witness from Patient Rights Advocate described it as a consumer transparency measure, but the Louisiana Hospital Association opposed the bill’s state-level enforcement and debt-collection provisions. Landry offered an amendment removing the debt-collection and affirmative-defense language, but after debate the substitute failed on a 5-6 vote and the bill was voluntarily deferred. The committee also reported favorably on SB 109, which revises membership qualifications for the Louisiana Emergency Medical Services Commission; SCR 20, urging federal flexibility on Medicaid redetermination for elderly and disabled beneficiaries; SB 216, allowing coroners to rely on licensed practical nurses for medical pronouncements of death; and SB 45, exempting certain gratuitous hospice houses from licensure, with testimony from hospice house operators and supporters. Finally, HCR 71 by Representative Chasson sought an LDH study of how Louisiana’s law and guidance on pregnancy-related emergency medications is working in hospitals, urgent care, and retail settings. Supporters said providers are hesitant to use medications such as misoprostol because of stigma and uncertainty, while opponents from Louisiana Right to Life argued the resolution was unnecessary and could create controversy. The discussion centered on whether the study should be narrowed or made more objective, but no final action on the resolution was reached in the portion provided.

Transcript Highlights:

• monitoring and telehealth more strategically to reduce complications from chronic diseases like diabetes
• monitoring and telehealth more strategically to reduce complications from chronic diseases like diabetes
• They're used primarily for wound care, diabetic limb salvage, and for healing venostasis wounds, as well
• In the case of diabetic foot wounds and venous stasis leg ulcers, which are the most prominent wounds

Keywords: 999, senate, all

Summary: The committee first heard Senate Bill 1414 by Senator Polsky, which would require the Department of Health to develop and distribute educational materials on congenital cytomegalovirus to expectant and new parents through hospitals, birth centers, and OB/GYN practices. An amendment removed a section requiring instruction for medical professionals, and the bill then passed favorably as a committee substitute. Members then took up a block of confirmations for appointees on tabs 2 through 7, which were recommended favorably. The committee separately considered and favorably recommended the confirmation of Chavon Harris as Secretary of the Agency for Health Care Administration after extensive questioning about Medicaid managed care oversight, the FX modernization project, Hope Florida, Medicaid redeterminations, and agency transparency. Several senators praised her experience and leadership, while Senator Berman said he would vote no because of concerns about Hope Florida and an anti-marijuana campaign contract. The committee also approved several health-related bills. Senate Bill 186 by Senator Garcia expanded seizure-disorder training in schools to more personnel, including charter school staff and bus drivers, and passed favorably. Senate Bill 902 by Senator Garcia, after amendments, narrowed unrelated provisions and focused on medical marijuana oversight, including location restrictions, physician certification renewals, and emergency license suspension provisions; it passed favorably. Senate Bill 196 by Senator Sharif created a uterine fibroid research database with privacy protections and passed favorably after testimony from a patient describing severe symptoms. Senate Bill 688 by Senator Rodriguez to reestablish licensure for naturopathic doctors passed favorably despite concerns from some senators about scope and patient safety. Senate Bill 1574, Maddie’s Law, by Senator Bracy Davis, would add biliary atresia screening to newborn screening and passed favorably after emotional testimony from the child’s parents. Senate Bill 878 by Senator Yarbrough, addressing clinical laboratory personnel shortages by aligning more closely with federal CLIA standards, passed favorably. Senate Bill 1092 by Senator Massullo, on podiatric medicine and certain stem cell therapies, passed favorably after an amendment narrowing the bill to cellular tissue-based products. The committee then began consideration of Senate Bill 1032 by Senator Calatayud on medical marijuana, adopting a strike-all amendment that aligned card renewals and physician certifications and adjusted supply limits and veteran fee waivers.

Transcript Highlights:

• of Cardiology, plant-based foods can help prevent many chronic health problems, including type 2 diabetes
• In addition to dramatically reducing diabetes risk, diets higher in plant-based foods, rich in fiber
• Diets centered around plant-based proteins have been shown to lower risks of heart disease, type 2 diabetes
• ... ...around plant-based proteins have been shown to lower risks of heart disease, type 2 diabetes,
• : missed work, missed school, disrupted sleep, poor nutrition, and higher risk of heart disease, diabetes

Keywords: 995, all

Summary: The Joint Committee on Public Health held a lengthy hearing to take testimony on a wide range of bills related to environmental health, PFAS, medical device chemicals, food access, lead poisoning, air quality, oral health, and school food additives. Chair Driscoll and Chair Decker emphasized that the hearing was for testimony only, no decisions would be made that day, and that written testimony could still be submitted. They also noted the high volume of speakers and asked witnesses to keep remarks brief. A major portion of the hearing focused on PFAS-related legislation, including bills to restrict PFAS in products and food packaging and to create a PFAS remediation trust fund. Municipal officials and advocates described the high costs of PFAS cleanup, especially for drinking water systems, citing Easton’s multimillion-dollar treatment investments and rate increases. Testimony from legislators and advocates argued that Massachusetts should act despite federal uncertainty, and that the state should stop PFAS at the source rather than leaving municipalities and residents to pay for remediation. The committee also heard strong support for a bill banning DEHP in medical devices, with physicians, nurses, and a bill sponsor saying the chemical can leach from IV bags and tubing and that safer alternatives already exist. The committee also heard testimony on bills to establish statewide food truck permitting, with food truck owners and a senator describing the current system as costly, duplicative, and inconsistent across municipalities. Another set of witnesses supported the “Bean New Deal,” which would expand plant-based food options in public institutions, senior nutrition programs, and WIC, citing health, equity, and cost savings. On lead poisoning, housing advocates and a representative backed bills to expand lead-safe housing requirements to all rental units, arguing the current law contributes to discrimination against families with children and leaves too much pre-1978 housing uncertified. The committee also heard support for an outdoor air pollution bill that would create an advisory committee, identify pollution hotspots, expand monitoring, and set reduction targets, with testimony from environmental justice groups, pediatricians, and legislators describing disproportionate asthma and other health harms in overburdened communities. Later testimony addressed oral health bills to create dental therapists and allow dental hygienists to administer nitrous oxide, with supporters saying the measures would expand access, reduce costs, and help underserved patients. The committee also heard testimony on a bill to prohibit harmful food dyes in competitive school foods, with parents describing behavioral and health concerns tied to synthetic dyes. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• Okay, and I read recently this Elidon trial with these diabetics. What about islet cells?
• Misoprostol treats nonsteroidal anti-inflammatory drug-induced ulcers, but doctors are scared to use
• Okay, and also for induced ulcers. Okay.
• Induced gastric ulcers. Let's see, mifepristone.
• From managing chronic conditions such as asthma and diabetes, responding to emergencies, addressing mental

Bills: SB57, SB405, HB62, HB193, HB203, HB222, HB246, HB420, HB475, HB486, HB574, HB584, HB815, HB949, HB1092, HB1214

Keywords: SB 57, Act 735, Act 463, nutrition, public health, food additives, artificial colors, banned chemicals, ingredient labeling, food labeling, FDA, food and beverage regulation, consumer disclosure, school nutrition, Louisiana Revised Statutes Title 40, Louisiana Revised Statutes Title 17, food manufacturers, food retailers, compliance, effective date delay

Transcript Highlights:

• And that dressing is used over wounds, oftentimes diabetic ulcers that most diabetics get in their lower

Bills: S0042, S0196, S0878, S0902, S0914, S1092, S1168, S1340, S1404, S1414, S1684, S1686

Keywords: child protection, medical records, investigation, abuse, neglect, healthcare, Child Protection Team, diagnosis, uterine fibroids, health database, medical research, personal data protection, women's health, clinical laboratory, licensure, healthcare personnel, technologist, technician, medical marijuana, low-THC cannabis

Summary: The Appropriations Committee on Health and Human Services met to hear and vote on a series of health, human services, and education-related bills, along with a presentation of the committee’s proposed HHS budget. The budget was described as increasing by more than $2.1 billion over the current base, with major funding highlighted for Medicaid and KidCare, rural health, provider rate increases, child welfare, mental health and substance use, opioid treatment, Alzheimer’s initiatives, cancer research, ADAP, veterans’ services, and IT modernization. Public testimony on the budget focused heavily on AIDS Drug Assistance Program funding and concerns about Department of Health changes affecting access, premium assistance, notice, and continuity of care for people living with HIV/AIDS. Among the bills reported favorably were measures on podiatric medicine and tissue-based products (SB 1092), background screening and clearinghouse procedures (SB 1168), child protective investigations involving specific medical diagnoses and second opinions (SB 42), clinical laboratory personnel licensure standards (SB 878), uterine fibroid data tracking and research (SB 196), medical marijuana treatment center oversight and related health provisions (SB 902), dyslexia and dyscalculia screening and intervention in schools (SB 1340), memory care licensure for assisted living facilities (SB 1404), congenital CMV education materials (SB 1414), Parkinson’s disease registry and related public records exemption bills (SB 1684 and SB 1686), and occupational therapy dry needling licensure standards (SB 914). Several bills were amended before passage, including SB 1092, SB 42, SB 902, SB 1684, and SB 1404. Testimony generally came from professional associations, advocacy groups, and affected stakeholders, with support voiced for most measures. The committee adopted amendments on the floor, heard no opposition during debate on the bills described, and then voted to report each measure favorably. At the end of the meeting, senators requested to be recorded in the affirmative on selected bills, and the committee adjourned.

Transcript Highlights:

• monitoring and telehealth more strategically to reduce complications from chronic diseases like diabetes
• They're used primarily for wound care, diabetic limb salvage, and for healing venous stasis wounds, as
• In the case of diabetic foot wounds and venous stasis leg ulcers, which are the most prominent wounds

Summary: The committee first heard Senate Bill 1414 by Sen. Polsky on congenital cytomegalovirus (CMV) education. The bill would require the Department of Health, working with medical experts, to create and distribute CMV educational materials to expectant and new parents or caregivers through hospitals, birth centers, and OB/GYN practices. An amendment removed a section that would have required instruction for medical professionals, and the amended bill was reported favorably as a committee substitute. The committee then took up a block of confirmations. Appointees on tabs 2 through 7 were recommended favorably in one vote, and Chavon Harris was separately confirmed as Secretary of the Agency for Health Care Administration after extensive questioning. Senators praised her leadership and experience, while others raised concerns about Medicaid redeterminations, the state’s CORE modernization project, Hope Florida, and a DCF anti-marijuana ad campaign; Harris said she would follow up on some issues and defended the agency’s work on transparency, managed care oversight, and access to care. Her confirmation was recommended favorably, with Sen. Berman noting opposition. Several health-related bills were then heard and advanced. SB 186 by Sen. Garcia expanded epilepsy training requirements for school personnel, including charter school bus drivers, and was reported favorably. SB 902 by Sen. Garcia, after amendments narrowing dental workforce provisions and allowing certain seizure rescue medication delegation to family home health aides, was reported favorably; testimony focused on medical marijuana regulation, practitioner accountability, and concerns about park and child-care proximity restrictions. SB 196 by Sen. Sharif created a uterine fibroid research database with privacy protections and was reported favorably after emotional testimony from a patient and supporters. SB 688 by Sen. Rodriguez would reestablish licensure of naturopathic doctors; it drew both support and skepticism about diagnosis and treatment boundaries, but was reported favorably. SB 1574, Maddie’s Law, would add biliary atresia screening to newborn screening and was strongly supported by parents describing a delayed diagnosis; it was reported favorably. SB 878 on clinical laboratory personnel, SB 1092 on podiatric medicine and certain cellular/tissue-based products, and SB 1032 on medical marijuana registry timelines and veteran fee waivers were also reported favorably, while SB 1032 drew debate over longer renewal/supply periods. The committee then began SB 1760 on Medicaid oversight and program transparency, with the sponsor describing the bill’s creation of a joint legislative oversight committee and a legislative actuary.

Transcript Highlights:

• monitoring and telehealth more strategically to reduce complications from chronic diseases like diabetes
• They're used primarily for wound care, diabetic limb salvage, and for healing venous stasis wounds, as
• In the case of diabetic foot wounds and venous stasis leg ulcers, which are the most prominent wounds

Bills: S0688, S1414, S0186, S0902, S0196, S1574, S0878, S1092, S1032, S1684, S1686, S1760

Keywords: cytomegalovirus, education, maternal health, newborn care, infectious diseases, student health, epilepsy, seizure disorders, school safety, training requirements, medical marijuana, low-THC cannabis, neurofibromatosis, healthcare, state regulations, child care facilities, public safety, grant program, uterine fibroids, health database

Summary: The committee took up several health-related bills and confirmations. It first heard SB 1414 on congenital cytomegalovirus education, which would require the Department of Health to develop and distribute educational materials to expectant and new parents through maternity, prenatal, newborn, and OB-GYN settings; an amendment removed a section on required instruction for medical professionals, and the bill was reported favorably as a committee substitute. The committee then approved a block of appointees on tabs 2 through 7 and separately confirmed Chavon Harris as Secretary of the Agency for Health Care Administration after her testimony on Medicaid accountability, transparency, managed care oversight, rural health, behavioral health, and the state’s technology modernization efforts. Senators asked Harris about Hope Florida, Medicaid redeterminations, the CORE project, an anti-marijuana ad campaign at DCF, and compliance with a federal Medicaid-related court order; she said she would follow up on some issues. The confirmation was recommended favorably, with Senator Berman voting no. The committee next passed SB 186 on student health and safety, which expands epilepsy and seizure-disorder training requirements to more school personnel, including bus drivers and charter school staff, and requires seizure-first-aid posters and updated Department of Health education efforts. It also approved SB 902 on Department of Health issues after amendments narrowed the bill’s scope and added provisions on medical marijuana regulation, early childhood intervention, practitioner accountability, and autism workforce development; one speaker raised concerns about marijuana dispensary location restrictions and low-THC ratios. SB 196 creating a uterine fibroid research database was also reported favorably after an amendment protecting patient privacy; the bill drew emotional testimony from a patient describing severe symptoms and the need for more research. SB 688 on naturopathic medicine was approved after committee discussion about scope of practice, referral obligations, and whether naturopathic care should be adjunctive to conventional medicine; supporters described complementary care and access issues, while opponents worried about delayed treatment for serious disease. Later, the committee passed SB 1574, “Maddie’s Law,” to add biliary atresia screening to newborn screening using the same blood specimen already collected at birth and to launch an education campaign; parents of a child affected by the disease testified that earlier screening could have prevented severe harm. SB 878 on clinical laboratory personnel was reported favorably to address staffing shortages by allowing Florida to rely more directly on federal CLIA standards for qualified lab workers. SB 1092 on podiatric medicine was approved after an amendment narrowed it to cellular/tissue-based products and podiatrists’ use of certain therapies; the bill also addresses continuing education, informed consent, and advertising disclosures. SB 1032 on medical marijuana was amended and passed, aligning physician certification and card renewal timelines, setting 70-day and 35-day supply limits, and reducing the fee for honorably discharged veterans while preserving funding for FAMU; Senator Harrell opposed it, saying the longer timeframes were too much of an expansion. The committee also heard SB 1760 on Medicaid coverage transparency from Senator Brodeur, who said the bill focuses on accountability and fiscal responsibility, but the transcript cuts off before further discussion or action on that measure.

Transcript Highlights:

• And that dressing is used over wounds, oftentimes diabetic ulcers that most diabetics get in their lower

Keywords: 999, senate, all

Transcript Highlights:

• It could rub your cornea, cause an ulcer.
• Diabetic retinopathy. So you're not doing aqueous glucose or anything like that.
• So when patients come to see us for diabetic eye exams, we are routinely dilating their eyes.
• But at this point, if we see diabetic retinopathy, based on its severity, we would continue.
• So if they're referred in for a diabetic eye exam, maybe I misunderstood.

Keywords: 959, house, all

Transcript Highlights:

• I'm here today as a volunteer for the Diabetes Patient Advocacy Coalition.
• I have lived with type 1 diabetes for 63 years.
• people living with diabetes and another 1.75 million living with pre-diabetes here in Massachusetts.
• I've lived with type 1 diabetes for 50 years.
• I lived with type 1 diabetes for 50 years.

Keywords: 995, all

Summary: The committee held a lengthy hearing on a large docket of pharmacy and drug-pricing bills, with most testimony focused on PBM reform, 340B drug discount program protections, specialty medication access, and medication adherence. Chair James Murphy and Senator Paul Feeney opened the hearing and took testimony from legislators, patient advocates, pharmacists, health center leaders, industry representatives, and policy groups. Several speakers described delays, denials, high out-of-pocket costs, and pharmacy closures tied to PBM practices, while others emphasized the importance of community health centers and independent pharmacies in serving patients. On the 340B program, supporters including Senator Eldridge, Senator Payano, Community Care Cooperative, Fenway Health, the Massachusetts League of Community Health Centers, and several community health center leaders argued that bills such as H. 1107 and S. 819 would stop discriminatory PBM and manufacturer practices, preserve contract pharmacy access, and protect safety-net providers that say they reinvest savings into care, pharmacy expansion, interpreter services, behavioral health, and other services. Opponents including PhRMA, the Community Liver Alliance, and a public policy analyst argued the program lacks transparency and accountability, has grown beyond its original purpose, and may benefit large hospitals and for-profit entities more than low-income patients. They urged more reporting and oversight rather than expanding protections. On PBM reform, testimony supported bills including H. 1157, H. 1234, S. 724, S. 831, and related measures that would require rebate pass-through, ban spread pricing, limit steering to PBM-owned pharmacies, and improve reimbursement for community pharmacies. Independent pharmacists and patients said current PBM practices raise costs, create administrative burdens, and threaten access to local pharmacies. PCMA, representing PBMs, opposed the reforms, arguing PBMs lower costs, that plan sponsors choose to contract with them, and that the Health Policy Commission and CHIA should complete their ongoing study before new mandates are adopted. The committee also heard support for H. 1322 and S. 734 on specialty medications, and for H. 781 and H. 1305 on medication synchronization to improve adherence. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• program, specifically for those with both obesity and one of four other conditions, which include diabetes
• The benefits, including my family members, have done this and been able to get off their diabetes medication
• g lp1s the benefits including my family members have done this and been able to get off of their diabetes
• information bruce greenstein present in support but not wishing to speak barry balfour with american diabetes
• , are very important and they're easy to use, except that they can cause painful lifelong mouth ulceration

Summary: The House Appropriations Committee met on May 26, 2026, and first took up Senate Bill 433, which would provide Medicaid coverage for certain weight-loss medications. After adopting a House amendment adding customary subject-to-appropriation language, the committee heard from LDH Secretary Bruce Greenstein, who said the state currently spends about $240 million a year on GLP-1 drugs for Medicaid patients with obesity and certain other conditions, and that the bill would let the department expand coverage gradually while controlling costs and negotiating better pricing. Members spoke in strong support, and SB 433 was reported favorable as amended. The committee then considered Senate Bill 157, which creates paid parental leave for eligible public K-12 educators and staff. An amendment was adopted to adjust fund language and make the bill proper for Appropriations. Senator Jenkins and supporters, including the Louisiana Federation of Teachers, described the bill as providing six weeks of paid leave for birth, adoption, fostering, and related family-building events, while members discussed whether medical leave should also be included and confirmed the leave applies to fathers as well. The bill drew broad support and was reported favorable as amended. Senate Bill 250, requiring the Office of Group Benefits to offer a comprehensive weight management plan with employees paying the full premium and medication costs, was briefly discussed and reported favorable without objection. The committee then spent considerable time on Senate Bill 237, a child welfare measure from Senator Barrow that would expand notification, access, and investigative procedures for the Child Ombudsman and DCFS, including child-on-child sexual abuse cases and multidisciplinary fatality reviews. Members and agency officials debated the fiscal note, with estimates ranging from about $525,000 to $3.2 million and disagreement over whether some costs were already covered or could be absorbed; after a roll call, the bill passed 10-9 and was reported favorable as amended. Finally, the committee began Senate Bill 155, which requires insurance coverage for medically necessary dental care tied to cancer treatment. Senator Talbot and medical and cancer advocacy witnesses said the bill would remove a barrier to timely chemotherapy or radiation and could prevent more expensive complications later. Members expressed support and discussed a relatively small fiscal note, but the transcript cuts off before final action on the bill.

Transcript Highlights:

• program, specifically for those with both obesity and one of four other conditions, which include diabetes
• The benefits, including my family members, have done this and been able to get off of their diabetes
• Secretary Greenstein present in support but not wishing to speak, Barry Balfour with the American Diabetes
• information bruce greenstein present in support but not wishing to speak barry balfour with american diabetes
• , are very important and they're easy to use, except that they can cause painful lifelong mouth ulceration

Bills: SB25, SB132, SB155, SB157, SB202, SB237, SB250, SB433

Keywords: registrar of voters, parish registrar, chief deputy registrar, confidential assistant, election administration, elections, salary schedule, compensation, merit evaluation, population-based pay, census-based pay, Department of State, Secretary of State, State Board of Election Supervisors, redistricting, senate districts, Senate District 33, Senate District 34, Senate District 35, precincts

Transcript Highlights:

• But however, I don't believe that wealthy families, the state should be footing the bill to fund everybody's
• falls, causing concussions and exacerbating Alzheimer's, vascular dementia, plus comorbidities like diabetic
• Wound healing is FDA approved for diabetic ulcers and chronic wounds, common in rural areas with high
• diabetes prevalence, offering practical, evidence-based value.

Keywords: 908, all

Summary: The committee opened with roll call and a review of special-session procedure: bills would be heard in filing order, with related school-lunch bills grouped together, and any bill advancing would require a motion, second, and majority vote to be introduced. Members also discussed that the committee was functioning much like a delayed-bills committee, with final referral to either Appropriations or Policy depending on the bill’s fiscal impact. The first major proposal was Senator Schibley’s bill to create a narrow, statewide Bank of North Dakota bridge-loan program for struggling nonprofit medical facilities, prompted by Jacobson Memorial Hospital’s financial crisis. He argued the hospital and surrounding EMS services could close without short-term help, while committee members questioned the added language, the population cap, the $10 million fund with $5 million per applicant limit, and whether the program could open the door to future requests. Representative Headland then presented two cleanup bills from the prior property-tax session: one to fix notice and tax-certification issues for local taxing districts, and another to correct how the primary residence credit is applied so taxpayers receive the full benefit rather than counties retaining part of the reimbursement. Members asked about township hearing timing, the estimated $10–15 million annual impact, and whether the credit issue could be fixed retroactively; Headland said the bill was intended to correct the problem going forward. Three school-lunch bills drew extensive discussion. Representative Vetter proposed a small administrative appropriation to add an FTE to help eligible families enroll in the existing free/reduced lunch program, saying the goal was to ensure needy children are signed up and that the state should not subsidize meals for wealthy families. Representative Nathe offered a broader bill mirroring the pending initiated measure but placing the program in statute instead of the Constitution, moving implementation up a year, and funding it with a one-time $65 million from the strategic investment fund; he said this would preserve legislative flexibility and avoid constitutional entrenchment. Representative Dressler proposed raising the state-funded eligibility threshold from 225% to 300% of poverty, arguing it would expand access while still preserving federal reimbursements and encouraging better enrollment systems. Members debated costs, future budget pressure, whether the bills set a precedent for responding to ballot measures, and whether the program should include breakfast and other operational details. Other proposals included Senator Powers’ bill to create a hyperbaric oxygen board and support rural access to hyperbaric chambers for wounds, concussions, PTSD, and other conditions; Representative Tolman’s reporting-requirements bill to force new or expanded programs to justify purpose, alternatives, evaluation methods, and full implementation costs; Representative Frelich’s bill addressing the ongoing redistricting litigation and what happens if the Supreme Court or lower courts alter the current map; and a bill requested by the Public Service Commission and ITD for FERC litigation support and ADA website/document compliance. The committee also heard a rural-health eligibility bill from Representative Twait aimed at steering federal rural health dollars toward rural providers, with questions focused on whether the mileage limits would exclude some communities. One Holocaust education item was deferred until the sponsor could be located.