Bills: SB 437, SB 528, SB 626, SB 636, SB 884, SB 968, SB 1044, SB 1608, SB 2336

Keywords: healthcare, training, abuse, neglect, penalties, chemical dependency, safety, regulation, newborn screening, Duchenne muscular dystrophy, heritable diseases, public health, early detection, mental health, telemedicine, physical examination, healthcare access, inpatient facility, pharmaceuticals, Texas Pharmaceutical Initiative

Bills: SB 437, SB 528, SB 626, SB 636, SB 884, SB 968, SB 1044, SB 1608, SB 2336

Keywords: healthcare, training, abuse, neglect, penalties, chemical dependency, safety, regulation, newborn screening, Duchenne muscular dystrophy, heritable diseases, public health, early detection, mental health, telemedicine, physical examination, healthcare access, inpatient facility, pharmaceuticals, Texas Pharmaceutical Initiative

Transcript Highlights:

• <00:11:41.320> access step towards improving healthcare access step towards improving healthcare
• This is a short-term fix until we really fix our healthcare future together.
• <00:14:12.560> Act, Prepaid Healthcare Act, Prepaid Healthcare Act, Medicare<00:14:13.760>
• <00:15:44.560> future we really fix our healthcare future we really fix our healthcare future
• You mentioned when the Hawaii passed the Prepaid Healthcare Program back in the '90s or in the '80s,

Bills: HCR18, HCR32, HCR35, HCR105, HCR173

Keywords: hospice, health care, aging population, regulations, Medicare, working group, fraud prevention, quality of care, mental health, recidivism, civil commitment, Hawaii State Hospital, justice system, shelter, treatment pathways, biomarker testing, health insurance, precision medicine, healthcare access, medical necessity

Summary: The committee heard testimony on SCR 21 SD1, which asks Hawaii Health Systems Corporation’s East Hawaii Regional Health Care System to study the feasibility of a rural health clinic or similar access point for the Volcano community. Testimony in strong support came from HHSC representatives, Volcano residents, the Volcano Health Collaborative, the Rotary Club of Volcano, and others, who said the area has a clear need and that local primary and urgent care would align with regional plans. HHSC said it had already looked at the area, found no suitable temporary buildings, and would need a longer-term, capital-intensive solution, but that the study could help accelerate next steps. The committee then took up SCR 50 SD1, proposing a Hawaii Health Plan Working Group to design a basic affordable health plan for residents. Dr. Jack Lewin of SHIPTA said the state faces a growing uninsured population and argued for a short-term, lower-cost plan focused on preventive and primary care, drawing on the old State Health Insurance Plan as a possible model. Members asked about whether that prior program still exists and whether the working group should include the Hawaii Medical Association and Hawaii Primary Care Association; Dr. Lewin said the statute still exists but is unfunded, and that the group should be inclusive. The Department of Labor and other organizations also provided comments. For SCR 75 SD1, which urges a coordinated interdepartmental effort to reduce fetal alcohol spectrum disorder, Dr. Lewin and others said prevention, prenatal screening, and early intervention are needed because FASD is often hidden until later problems appear. Amanda from Hawaii FASD Action Group said current implementation under Act 192 is still largely a landscape analysis and that Hawaii lacks the infrastructure and specialists for a full system. Darlene Chance Govor urged adding the judiciary as a partner so juvenile justice and probation staff can be trained and referral pathways improved, while the Department of Health said it supports prevention but prefers a broader, systems-based approach focused on child needs and upstream care. The Disability Rights Center supported the resolution and asked for an earlier reporting date. The committee also heard SCR 149 SD1, which seeks an informal working group to address complex patients with multiple diagnoses involving substance use, mental health, or chronic physical illness. The Hawaii Substance Abuse Coalition and Ke Nui Malo strongly supported the measure, saying current siloed systems leave people bouncing between medical, mental health, and substance use providers without coordinated care, often ending up in crisis, emergency rooms, or the justice system. They said integrated residential care and a coordinated working group could improve outcomes and align with federal funding opportunities. The transcript ended before any final vote or action on the measures was announced, and SCR 109 was noted as withdrawn from the agenda.

Bills: HB611, HB897, HB902, HB931, HB1030, HB1092, HB1100, HB1118, HB1138, HB1143, HB1160, HB1185, HB1216

Keywords: pregnancy help centers, healthcare services, licensure, Department of Health, medical services, counseling, regulatory compliance, public health, healthcare data, privacy, pregnancy services, confidentiality, client rights, Louisiana Pregnancy and Baby Care Initiative, trauma-informed, child education, mental health, training program, adverse childhood events, religious instruction

Transcript Highlights:

• Abortion's constitutionality and status as healthcare was upheld by the Wyoming Supreme Court this January

Bills: HB0117, HB0126

Keywords: informed consent, abortion, civil liability, coercion, healthcare rights, fetal heartbeat, termination of pregnancy, medical emergency, Wyoming legislation, rights of minors, healthcare regulations, parental consent, 916, all

Transcript Highlights:

• It is not a silver bullet for fixing healthcare, but it's certainly a step in the right direction.
• is not a silver silver bullet for It is not a silver silver bullet for fixing<01:21:44.960> healthcare
• but<01:21:45.760> it's<01:21:45.920> certainly<01:21:46.159> a fixing healthcare
• , but it's certainly a fixing healthcare, but it's certainly a step<01:21:46.480> in<01:21:46.640

Bills: HB0117, HB0126

Keywords: informed consent, abortion, civil liability, coercion, healthcare rights, fetal heartbeat, termination of pregnancy, medical emergency, Wyoming legislation, rights of minors, healthcare regulations, parental consent, 916, all

Transcript Highlights:

• But then this idea we're bringing in also healthcare workers that would work in settings where they're
• workers that would work in healthcare workers that would work in settings<00:10:32.640> where
• I think healthcare decisions belong between a patient and a qualified provider, not in this committee
• healthcare decisions belong think healthcare decisions belong between<01:09:16.319> a<01:09:16.480
• body in consultation with my healthcare body in consultation with my healthcare provider,<01:10:

Bills: HB0117, HB0126

Keywords: informed consent, abortion, civil liability, coercion, healthcare rights, fetal heartbeat, termination of pregnancy, medical emergency, Wyoming legislation, rights of minors, healthcare regulations, parental consent, 916, all

Transcript Highlights:

• Is that kind of half a step to accessing that rural transformative healthcare monies?
• > transformative accessing that rural transformative accessing that rural transformative healthcare
• It's, you know, it's healthcare monies?
• disabilities into an impossible choice: limit our income and our ambitions, or risk losing the healthcare
• Limit our income and our ambitions, or risk losing the healthcare that keeps us alive.

Bills: HB2488, HB2456

Keywords: disability, communication access, deaf, hard-of-hearing, deaf-blind, healthcare, sign language interpreters, auxiliary aids, weight loss, GLP-1 drugs, obesity, Medicaid, healthcare costs, 910, house, all

Summary: The committee heard testimony on HP 1972, which would create a nonrefundable family caregiver tax credit, and on a related tax measure to increase the existing dependent care tax credit. Supporters of HP 1972, including AARP, the Executive Office on Aging, the Hawaii Public Health Institute, Hawaii Children’s Action Network, and others, said unpaid caregivers are essential to keeping kūpuna and other loved ones at home and described significant out-of-pocket costs. The Department of Taxation and the Tax Foundation raised technical concerns, including the need to avoid overlap with existing credits and to prevent double-dipping. The department said taxpayers can claim credits to the extent allowed, but recommended explicit language barring the same costs from being claimed under more than one credit. No vote was taken in the excerpt, and the chair moved the bill along after questions. The committee then heard HP 1975, which would repeal the sunset on the state rent supplement program for kūpuna. AARP, Catholic Charities Hawaii, the Executive Office on Aging, and others supported making the program permanent, saying it helps low-income older adults avoid eviction and homelessness and allows them to remain in affordable housing. Catholic Charities described clients who were paying unsustainable shares of income for rent before receiving the supplement. Members also shared a constituent example of an elderly retiree who needed the subsidy to stay housed. Written support was noted from additional organizations and individuals. Next, the committee took up HB 1706, which would expand Medicaid prospective payment reimbursement to include mental health services furnished in federally qualified health centers and rural health clinics by mental health professionals under supervision. The Office of Hawaiian Affairs supported the bill, and DHS said it appreciated the intent to address workforce shortages and expand training, but cautioned that unlicensed professionals cannot currently bill Medicaid and that a state plan amendment would be needed, with limited precedent for approval. Members asked about the likelihood and timing of federal approval and whether the bill could help rural areas; DHS said approval is uncertain and the process can take time, though it saw possible alignment with the state’s rural health transformation efforts. The committee also discussed HB 546, a three-year health coverage continuity pilot program for people losing Medicaid coverage. DHS, the Attorney General’s office, DCCA, Catholic Charities, the University of Hawaii, and others testified, with DHS warning that federal changes could increase uninsured rates and that the state may need to act quickly. Catholic Charities and others emphasized the risk to Medicaid recipients, including homeless and near-elderly residents, while DHS explained the state’s existing premium assistance program for certain immigrants and compared it to the proposed pilot. The excerpt ends during discussion of that comparison, with no vote shown.

Transcript Highlights:

• I'm here today speaking on behalf of the Coalition for Alliance for Healthcare Access.

Bills: S1082, S1168, S1756, S1156, S1480

Keywords: provider disputes, health plan, dispute resolution, Medicare, Medicaid, healthcare regulation, background screening, athletic coaches, youth sports, criminal history, expungement, Florida statutes, medical freedom, vaccination, ivermectin, healthcare practitioner liability, immunization exemptions, ambulatory surgical centers, patient safety, licensure

Summary: The committee took up several health-related bills. SB 1082, on a statewide provider and health plan claim dispute resolution program, was presented as a way to let providers and insurers use the federal independent dispute resolution process for emergency out-of-network claims under state-regulated commercial plans. A late-filed amendment clarified when providers and health plans could access the state program, and the bill was reported favorably as a committee substitute. SB 1168, which would centralize background screening clearinghouse functions at the Agency for Health Care Administration, also passed as amended after an amendment requiring sealed and expunged records to be included in screenings for qualified entities. Supporters said centralization would improve turnaround times, reduce duplication, and save costs; the sponsor said the bill also addresses coaches’ background screening language from last session. The committee then approved SB 1156, which moves ambulatory surgery center regulation out of the hospital-focused chapter of law into a standalone section, and SB 1480, as amended by a strike-all, which would grandfather certain temporary certificate holders practicing in areas of critical need if federal designation changes affect those areas. Testimony on SB 1480 emphasized continuity of care for patients in underserved communities, and the bill was reported favorably. The final and most heavily debated measure was SB 1756 on medical freedom, which would require state-approved educational materials on childhood vaccines, require practitioners to provide those materials and alternative schedules before vaccination, expand school immunization exemptions to include conscience-based objections, clarify that the Surgeon General cannot order vaccination during a public health emergency, and authorize pharmacists to provide ivermectin behind the counter without a prescription with written information and safeguards. The sponsor argued the bill strengthens parental choice and informed consent. Committee members raised concerns about vaccine-preventable disease risks, immunocompromised children, school outbreaks, and the impact of adding a new exemption. A Department of Health representative said the department would need to provide details on the history of exemption consultations and noted that removing the earlier consultation requirement had not been shown to increase outbreaks. The committee adopted a friendly amendment to give physicians the same liability protection as pharmacists for ivermectin dispensing, but rejected a substitute amendment that would have required a consultation for exemption requests. Public testimony was overwhelmingly opposed to the bill, with physicians, pediatric specialists, cancer advocates, parents of immunocompromised children, and public health groups warning that it would lower vaccination rates and endanger vulnerable Floridians. The bill remained pending after testimony, with the committee continuing to hear public comment.

Bills: HB689, HB742, HB926, HB946, HB948, HB1028, HB1095, HB1114, HB1121, HB1155, HB1185, HB1217, HB1220, HB1227, HCR76

Keywords: public assistance, child welfare, benefit adjustment, DCFS, LDH, fraud detection, household reporting, Medicaid, immunization, healthcare eligibility, Family Independence Temporary Assistance Program, health policy, vaccination requirements, vaccination status, vaccine mandate, medical freedom, medical autonomy, public buildings, public access, government services

Transcript Highlights:

• Regenerative medicine is a broad category of different healthcare modalities.
• Some of you are healthcare modalities.
• We don't need drive-thru healthcare<00:14:23.199> in<00:14:23.440> Wyoming.
• <00:14:24.609> [clears throat] healthcare in Wyoming.
• [clears throat] healthcare in Wyoming.

Bills: HB0003, HB0117, HB0041

Keywords: pregnancy centers, abortion, pro-life, healthcare, women's rights, state regulation, civil rights, freedom of speech, informed consent, civil liability, coercion, healthcare rights, law enforcement, death benefits, retirement, survivor support, public safety, 916, all

Transcript Highlights:

• Women have the right to healthcare.
• Women have the right to healthcare.
• Women have the right to healthcare.
• Um, members of the committee and others, you've heard me talk about healthcare before, and healthcare
• . healthcare. healthcare.

Bills: HB0003, HB0117, HB0041

Keywords: pregnancy centers, abortion, pro-life, healthcare, women's rights, state regulation, civil rights, freedom of speech, informed consent, civil liability, coercion, healthcare rights, law enforcement, death benefits, retirement, survivor support, public safety, 916, all

Transcript Highlights:

• Local access is a very important part of our healthcare system.
• It is a great educational piece on how the vertical integration has damaged our healthcare system.
• This bill strengthens access, creating a healthy healthcare system. It provides.
• But bottom line here is we have a healthcare problem, and it is created.
• Of this in the healthcare industry, personally, with my wife and a small business owner.

Bills: SB1673, SB1500, SB1447, SB1646, SB2007, SB1275, SB2074

Keywords: prosthetics, health insurance, medical necessity, patient rights, insurance liability, pharmacy benefits manager, healthcare providers, claims processing, reimbursement, insurance regulation, employees insurance, contract awarding, certifications, state procurement, insurance plan, mental health, substance use disorders, utilization review, benefit coverage, pharmacy

Bills: SB1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure

Summary: The Senate Finance Committee met to review Article 8, regulatory agencies, and began Article 9, general provisions, before recessing for floor action. The committee first heard budget presentations from the Public Utility Commission (PUC) and the Office of Public Utility Counsel (OPUC). The PUC budget recommendation was about $5.07 billion in all funds, including an additional $5 billion for the Texas Energy Fund, plus funding for staffing and technology needs tied to contested cases, infrastructure resiliency, and outage mapping. PUC witnesses emphasized the agency’s growing workload, the need for more staff and modern systems, and oversight of the Texas Energy Fund. OPUC’s recommendation was about $6.9 million, with a reduction in authorized FTEs to better match actual staffing; the agency requested additional funding for salaries, expert witnesses, and budget flexibility, and members highlighted OPUC’s role representing residential and small commercial consumers in utility proceedings. The committee then heard from the Behavioral Health Executive Council (BHEC), whose recommendation was just over $11.2 million. BHEC’s main requests included funding to fill vacant positions, money for continuous National Practitioner Data Bank queries, and a proposed Texas-owned psychology licensing exam in response to concerns about changes to the national exam. Agency leaders also discussed a rider request that would shift responsibility for certain judgments or settlements to the comptroller. Members asked about prior complaint backlogs, and BHEC said those backlogs had been cleared. The Board of Chiropractic Examiners followed, with a recommendation of just under $2.4 million; the board sought support for staffing, training, broadband, and salary retention, and described its work regulating chiropractors and workers’ compensation-related doctors. The Board of Dental Examiners was the last agency heard before the committee recessed. Its recommendation was just under $10 million, and it requested a 10% salary increase for eligible staff, three additional licensing staff, one staff member to handle required background checks, an additional attorney, and an executive director salary adjustment. Dental board witnesses said licensure growth, increased complaints, and low salaries were straining licensing and enforcement operations, even though the agency reported strong performance and high case completion rates. The chair ended the hearing early because the Senate had to return to the floor, and the committee remained in recess.

Bills: SJR36, SB1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure

Summary: The Senate convened briefly with an opening prayer by Senator Birdwell, who asked for protection and wisdom for Texans affected by severe weather, as well as for state and national leaders. The chair noted hazardous travel conditions from the winter storm and advised that attendance was not essential for affected members and staff; the journal was to reflect the weather event. The chair announced the signing of Senate Concurrent Resolution 7 in the presence of the Senate. On first reading and referral, the secretary read Senate Joint Resolution 36 by Hall, proposing a constitutional amendment related to appropriations for preserving certain items of historical moment, and Senate Bill 1 by Huffman, the General Appropriations Act. A motion in writing was then offered by Senator Zaffirini to recess the Senate until 10 a.m. Friday, January 24. With no objection, the motion carried and the Senate recessed until that time.

Transcript Highlights:

• This includes 11 initiatives to improve healthcare in rural areas, and legislation that he just passed
• This bill, this legislation, would provide limited antitrust immunity for healthcare providers that may
• But on page two, rural healthcare facilities are closing and losing important specialty services due

Bills: SB367, SB368, SB350, SB351

Keywords: rural health, healthcare access, state funding, health transformation, appropriations, fiscal policy, healthcare funding, economic development, mental health, maternal health, antitrust, competition, market regulation, business practices, consumer protection, anaphylaxis, epinephrine, auto-injector, public health, school safety

Transcript Highlights:

• I work as a home care worker and I am here to testify on behalf of SEIU Healthcare. committee.
• <00:10:53.680> behalf<00:10:54.000> of<00:10:54.320> SEIU<00:10:55.120> Healthcare
• I work as a home care worker, and I am here to testify on behalf of SEIU Healthcare Minnesota in Iowa
• My name is Matthew Berseron, and I'm a healthcare and government relations attorney with the law firm
• committee on behalf of a legislative client, but today I am here in an individual capacity as a healthcare

Bills: HF3797, HF3780, HF4068, HF3935

Keywords: long-term care, insurance policy, healthcare, partnership policy, Minnesota, human services, wage increase, support workers, shared services, community first services, medical assistance, sanctions, healthcare services, monetary recovery, government accountability, assisted living, training, unlicensed personnel, resident rights, safety regulations

Bills: SB4, SB7, SB9, SB17

Keywords: Medicaid, healthcare, medical education, salaries, graduate education, clinician pay, health sciences, education funding, faculty salary, University of New Mexico, healthcare funding, general fund, state budget, New Mexico legislation, gun control, firearm safety, dealer regulation, illegal trade, background checks, 996

Transcript Highlights:

• This has been a big priority for the governor's healthcare task force.
• Bolley on the governor's healthcare task force.
• One of the things that we were asked to do in the governor's healthcare task force is ask that question
• live independent in a state that has vast distances and wide open spaces that could be far from healthcare

Bills: HB0004

Keywords: medical assistance, birthing centers, healthcare, Medicaid, Wyoming, 916, all

Bills: HB0004

Keywords: medical assistance, birthing centers, healthcare, Medicaid, Wyoming, 916, all