Transcript Highlights:

• If not, we'll move to the last measure on this regular agenda, SB 3105 relating to the physician assistant
• support of the provisions reflected within SB 3105, which would enter Hawaii into the physician assistant
• Hawaii Medical Board in support.
• And noting also, you know, just as a personal event that occurred, where we really needed to have medical

Bills: SB3275, SB3105

Keywords: cannabis, low-dose, personal use, cultivation, cannabis accessories, Hawaii cannabis law, medical cannabis, physician assistant, licensure compact, medical services, interstate practice, healthcare portability, military families, licensing authority, 912, senate, all

Summary: The Senate Committee on Commerce and Consumer Protection reconsidered two condominium bills and adopted recommendations to pass both with amendments. For SB 2433, members approved amendments clarifying that condominium unit owners’ interests are to be recognized and protected in educational and related programs by the Real Estate Commission and DCCA, while making technical changes and changing the effective date. For SB 2838, the committee replaced the bill’s broader substantive language with a narrower requirement that associations provide electronic copies of specified documents, including master leases, reserve studies, audited financial statements, contracts, leases, and other agreements, along with technical changes and an amended effective date. Both measures were adopted unanimously by the members present, with Senator McKelvey excused. The committee then heard SB 2710 on animal issues, which would define and regulate dog breeders, set care standards, create county licensing authority, require records, and establish an animal abuser registry and related penalties. Testimony was mixed: the Public Defender and the American Kennel Club opposed the bill, arguing for stronger enforcement of existing laws rather than harsher penalties and warning that the bill would burden responsible breeders; the Hawaiian Humane Society supported the bill’s breeder regulation and registry provisions but urged removal of the hoarding section; and the committee noted 26 written testimonies in support, 14 in opposition, and four comments. In decision-making, the committee passed SB 2710 with amendments that blanked the license fee, deleted the animal abuser registry and shelter/pet store/breeder compliance checks, struck the hoarding provisions and proposed criminal penalty changes, and made technical changes with a deferred effective date. The committee also heard SB 2209 on rental discrimination, which would allow attorney’s fees to a prevailing party in source-of-income discrimination cases, and SB 2884, which would create a nonrefundable income tax credit for wind-resistant retrofits or hurricane shelters. The Hawaii Civil Rights Commission supported SB 2209, and the committee later passed it with a deferred effective date. SB 2884 drew support from DCCA’s Insurance Division, the Department of Taxation, HEMA, the Climate Change Mitigation and Adaptation Commission, and a public witness who urged hurricane preparedness; it was passed with the Department of Taxation’s proposed amendments and a deferred effective date. Finally, the committee heard SB 2922 on cooperative associations, which would create a general cooperative associations framework. DCCA offered comments, while the Hawaii Co-op Hui, Purple Maya Foundation, Enliven Cooperative, and Hawaii Farmers Union supported the measure and argued that current law is too limited for worker, producer, and multi-stakeholder co-ops. After discussion about using the existing chapter 421C structure rather than creating a new regulatory scheme, the committee passed SB 2922 with amendments adopting changes proposed in testimony from the Hawaii Farmers Union and deferred the effective date.

Transcript Highlights:

• The minimum medical... ...referred to as the minimum medical loss ratio standard.
• paying for medical bills.
• medication in an emergency response situation, if the patient has a prescribed medication available
• in schools and lacks recognition of the existing ability to delegate to medical assistants.
• And then, secondly, we would note that delegation is voluntary, so we're not going to see a medical assistant

Bills: HB2261, HB2283, HB2425, HB2110, HB2113, HB2122, HB2152

Keywords: healthcare, transparency, patient communication, credentials, professional standards, medical loss ratio, insurance, health plans, cost management, nursing delegation, registered nurse, RN, home care aide, nursing assistant, certified nursing assistant, CNA, medical assistant, home health, hospice, community-based care

Summary: The House Health Care and Wellness Committee held public hearings on House Bills 2261, 2283, and 2425, then took executive action on House Bills 2110, 2113, 2122, and 2152. HB 2261 would require health care providers to wear badges showing name, credential, and degree initials, require similar disclosures in advertising, and restrict use of the title “physician surgeon”; supporters framed it as a patient transparency measure, while many providers and associations opposed it as burdensome, confusing, and harmful to access, especially for adult family homes and solo practices. HB 2283 would raise the medical loss ratio for fully insured plans to 90%; supporters said it would direct more premium dollars to care and lower costs, while insurers warned it could destabilize markets and reduce flexibility for administrative services. HB 2425 would modernize nurse delegation rules, expand what tasks can be delegated, and broaden liability protections; supporters said it would reduce barriers and help address workforce shortages, while opponents raised patient safety and accountability concerns. During executive session, the committee advanced all four bills. HB 2110, allowing certain nurses without EMT certification to provide care on inter-facility specialty care transport, was amended and reported out with a due pass recommendation. HB 2113, which addresses radiological technicians performing IV contrast procedures under certain supervision arrangements, was reported out without amendment. HB 2122, requiring hospitals to offer flu vaccines under specified conditions, was amended three times and then reported out. HB 2152, requiring certain facilities to allow medical cannabis use by qualifying patients with terminal conditions, was amended to include exemptions and policy details, including naming it Ryan’s Law, and was then reported out as amended. The committee adjourned after these votes.

Transcript Highlights:

• And our kids on medical assistance are not getting care.
• And our kids on medical assistance are not getting care.
• And our kids on medical assistance are not getting care.
• And our kids are the kids on medical And our kids are the kids on medical assistance<01:12:50.480><c>
• assistants under the Board<01:41:14.960><c> of</c><01:41:15.080><c> Medical</c><01:41:15.400><c> Practice

Bills: HF4712, HF4801, HF3756, HF4860, HF4931, HF4289, HF4460

Keywords: residential pools, swimming classes, certification, private business, health safety, health care, prior authorization, managed care, medical assistance, mental health, substance use treatment, chronic conditions, health insurance, insulin, healthcare access, pharmacy regulations, patient assistance, affordable medication, healthcare, pharmacy

Transcript Highlights:

• </c> our medical providers. our medical providers.
• </c> lb of medications. lb of medications.
• </c> for a medical concern. for a medical concern.
• . medication. medication.
• medication.

Bills: HF3547, HF3651, HF4043, HF4282, HF4095

Keywords: fireworks, public safety, regulation, tax revenue, local government, sale, safety standards, fire safety, ethanol, fuel equipment, compatibility standards, law enforcement, peace officer, unauthorized practice, criminal justice, civics education, jail medication, correctional facility, detention, incarcerated persons

Transcript Highlights:

• Compounding includes veterinary medications, approved and unapproved FDA medications, and pediatric medications
• We do not compound GLP-1 medications.
• relies on compounded medications.
• It authorizes nurses to delegate tasks to a credentialed medical assistant.
• It adds registered nursing assistants to those that may administer medication through delegation.

Bills: HB2545, HB2613, HB1496, HB2155, HB2283, HB2340, HB2425, HB2437, HB2577

Keywords: healthcare, patients, cardiovascular procedures, outpatient services, surgical facilities, HB2613, compounded medications, compounded drugs, pharmacy compounding, bulk drug substances, active pharmaceutical ingredients, API, drug safety, patient safety, pharmacy license, Washington pharmacy law, RCW 18.64, Food, Drug, and Cosmetic Act, FDA, pharmaceutical compounding

Summary: The House Health Care and Wellness Committee held public hearings on House Bill 2545, which would direct the Department of Health to create rules allowing elective percutaneous coronary interventions (PCIs) at ambulatory surgical facilities, and House Bill 2613, which would add quality-assurance requirements for compounded drugs using bulk drug substances. On HB 2545, supporters including ambulatory surgery center representatives, cardiologists, and the prime sponsor argued the bill would improve access, reduce wait times, and lower costs while maintaining safety through patient selection and existing accreditation standards. Opponents from the hospital association argued that shifting PCI volume away from hospitals could undermine provider proficiency and the financial support hospitals use to maintain emergency cardiac services, and suggested the issue should be studied further. On HB 2613, the prime sponsor and several supporters said the bill was intended to address unsafe, large-scale compounding—especially weight-loss drugs—by requiring stronger sourcing, testing, and documentation of ingredients. Opponents from pharmacy, medical, hospital, clinic, and compounding groups argued the bill was overbroad, could restrict access to legitimate compounded medications, increase costs and delays, and in some cases conflict with existing federal and state compounding rules; some also urged narrowing the bill to focus on GLP-1 weight-loss products and exempt hospitals, nursing homes, and animal compounding. The sponsor of HB 2613 said amendments were being developed to narrow the scope and clarify the bill before executive session. In executive session, the committee considered six bills and then took final action on seven measures. It adopted amendments and advanced HB 1496, which limits fees for certain electronically stored health care information and changes attorney-fee provisions under the Uniform Health Care Information Act; HB 2283, which raises the medical loss ratio target for health plans to 90% with a delayed implementation date and added reporting authority for the insurance commissioner; HB 2425, which revises nurse delegation rules and delays implementation to 2028; and HB 2577, which clarifies hospital inspection timing and allows Department of Health flexibility in using CMS surveys as equivalent inspections. The committee also advanced HB 2155, addressing non-human entities using nursing titles; HB 2340, relating to substance use disorder monitoring program provisions for nursing assistants; and HB 2437, concerning Department of Health opioid treatment accreditation activities and associated fee authority. Votes were largely bipartisan, though several members voted no or without recommendation on some bills, especially HB 2283 and HB 2437. The meeting ended with all seven bills reported out of committee with due pass recommendations.

Transcript Highlights:

• Well, I think anybody who's offering medical advice should have a medical supervisor.
• current medical license.
• of a medical director.
• Offering medical services.
• Of the medical director.

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

Bills: HB245, HB278, SB59, SB78

Keywords: inhalants, controlled substances, butyl nitrite, nitrous oxide, amyl nitrite, health, public safety, HB278, ivermectin, pharmacist, standing order, prescription drug, pharmacy, State Board of Pharmacy, physician assistant, nurse practitioner, CRNP, medical licensure, drug dispensing, adverse events

Transcript Highlights:

• I had to move out there for medical care.
• He joined the Regulatory Assistance Projects Council of commissioners, which launched in November of
• He joined the regulatory<00:58:32.000><c> assistance</c><00:58:32.880><c> projects</c><00:58:33.359><
• c> council</c> regulatory assistance projects council regulatory assistance projects council of<00:58

Bills: HB403, HB399, HB392

Keywords: criminal enterprise, database, law enforcement, data privacy, criminal justice, Lamar County, property auction, county commission, online auction, public notice, HB392, Lauderdale County, Eleventh Judicial Circuit, district attorney, chief assistant district attorney, assistant district attorney, assistant district attorneys, prosecutor, prosecutorial compensation, salary supplement

Transcript Highlights:

• It's a fairly standard medical imaging technique used by physicians, physician assistants, podiatrists
• A chief medical officer may not be at the bedside, but they do make medical decisions, and it is imperative
• I'm a medical doctor. I'm retired now. Dr. Abduce? Okay.
• administer this type of care than medical professionals?
• It prevents irreversible medical interventions in minors.

Bills: HB2049, HB2050, HB2051, HB2072, HB2082, HB2085, HB2177, HB2178, HB2179, HB2183, HB2195

Keywords: radiation therapy, particle accelerator, critical access hospitals, patient care, rural healthcare, radiologic technologist, radiologist assistant, radiology, imaging, x-ray, diagnostic x-ray, fluoroscopy, mammography, computed tomography, CT technologist, nuclear medicine technologist, bone densitometry, radiation safety, radiation licensing, scope of practice

Transcript Highlights:

• And so the medical board itself would determine which medical schools, just based on, I guess, comparable
• of medical students we are graduating as a country.
• from that organization as being from that medical school. will also the medical school would be required
• OK, so then they've gone to medical school.
• So I designated each location to have an assistant superintendent. a medical director and a chief nurse

Bills: HB713, HB827, HB932, HB499, HB510, HB163, HB296, HB879, HB913, HB163, HB296

Keywords: healthcare, maternal health, reporting requirements, Texas Maternal Mortality and Morbidity Review Committee, health provider immunity, workplace violence, nurses, grant program, healthcare facilities, safety measures, safety, nursing, grants, healthcare safety, verbal abuse, physical abuse, nurse empowerment, occupational therapy, licensure, interstate practice

Transcript Highlights:

• the medical records, the patient will know.
• This has to deal with a medical situation, medical status, sir. Right.
• not they choose to undergo any medical procedure or medical intervention.
• reconstituted medication, to provide for the administration of certain medications, and then provide
• The ability to prepare medication, mixing or reconstituting medication, at the direction of the proper

Bills: HB414, HB457, HB475, HB611, HB616, HB740, HB897, HB925, HB926, HB931, HB949, HB962, HB1076

Keywords: healthcare, criminal convictions, employment, background checks, prohibited offenses, homelessness, homeless shelter, emergency shelter, transitional housing, group home, halfway house, shelter standards, housing standards, sanitation, habitability, fire marshal, inspection, local permitting, parish government, Louisiana Department of Health

Transcript Highlights:

• . >> The Medical Association of Alabama is seeking the amendment that would take out the language allowing

Bills: HB299, HB533, HB299, HB533

Keywords: court costs, Choctaw County, jail funding, municipal court, criminal proceedings, education funding, student outcomes, K-12 education, RAISE Act, accountability, special education, English language learners, local education agency, respiratory therapy, respiratory therapist, respiratory care, licensure, licensing board, advanced practice provider, nurse practitioner

Transcript Highlights:

• and payment data through the state HiE So that we can get more transparency into the actual cost of medical
• A gentleman went to obtain his medical records and realized that he was being charged for each copy for
• Administered in Mexico right now under the care of medical doctors and nurses, it's given orally.
• It is not it is not anything but medical administration.

Bills: HB4423, HB3342, HB3645, HB3647, HB3887, HB4430, HB4431, HB2964, HB3834

Keywords: Oklahoma Health Care Authority, Medicaid, immigration verification, healthcare access, federal reporting, health care providers, auditing, patient rights, claims, protection from fraud, audit process, error correction, hospice care, physician determination, healthcare standards, symptom management, health information exchange, all-payer claims database, health care transparency, health care costs

Transcript Highlights:

• A gentleman went to obtain his medical records.
• A gentleman went to obtain his medical records, and he realized that he was being charged for each copy
• Administered in Mexico right now under the care of medical doctors and nurses, it's given orally.
• Administered in Mexico right now under the care of medical doctors and nurses, it's given orally.
• It is not anything but medical administration.

Bills: HB4423, HB3342, HB3645, HB3647, HB3887, HB4430, HB4431, HB2964, HB3834

Keywords: Oklahoma Health Care Authority, Medicaid, immigration verification, healthcare access, federal reporting, health care providers, auditing, patient rights, claims, protection from fraud, audit process, error correction, hospice care, physician determination, healthcare standards, symptom management, health information exchange, all-payer claims database, health care transparency, health care costs

Summary: The committee first announced several bills would be laid over because sponsors were absent, then took up House Bill 4423, which would require Medicaid applicants to be legal U.S. citizens. After adopting a PCS, members asked whether Medicaid already had citizenship limits, and the bill passed 4-1. House Bill 3342 followed, revising the Health Care Authority audit process; the sponsor said it was based on an Arkansas model, had no fiscal impact, and was intended to be fairer after prior problems. It passed 5-0. House Bill 3645, allowing physicians or other independent doctors to authorize hospice referral when a patient lacks next of kin or is not coherent, also passed 5-0. House Bill 3647, creating an all-payer claims database through the state HIE for greater transparency in medical costs, passed 5-0 after a question about which entities would be included or excluded. House Bill 3887, which removes the requirement for a physician referral every 30 days for continued physical therapy, drew the most discussion. The sponsor said therapists would refer patients back to a physician if treatment was not helping or was outside their scope, while a member raised concerns about delayed diagnosis and suggested adding a timeline; the sponsor said he would be open to further discussion. The bill passed 4-1. House Bill 4430 extended tort claims protection to certain state-employed providers who work for entities such as FQHCs, and House Bill 4431 did the same for nurse practitioners working for state agencies; both passed 5-0. Later, House Bill 2964 changed medical-record copying language from “shall be charged” to “may be charged,” giving facilities discretion on whether to charge patients for copies of their records; it passed 5-0. Finally, House Bill 3834 was heard for research funding on ibogaine therapy for PTSD and related conditions among veterans, firefighters, and police officers. The sponsor said the goal was to allow Oklahoma research, not to remove the substance from controlled status, and a witness described the treatment as a monitored oral session used in Mexico and supported by some studies. The bill passed 5-0, and the chair adjourned the meeting, noting the laid-over bills would likely be heard the following week.

Transcript Highlights:

• The nomination of John Eisenberg and Brett Shumate to be assistant attorneys general.
• This is the second meeting on the nomination of Patrick Davis to serve as Assistant Attorney General
• officers who kept us safe as members of the Senate and staff during. the January 6th riot and the assistant

Keywords: nomination, Patrick Davis, Assistant Attorney General, Ed Martin, January 6th, public testimony

Summary: This meeting focused primarily on the nomination of Patrick Davis to serve as Assistant Attorney General for the Office of Legislative Affairs. Members discussed Mr. Davis's qualifications and experience, emphasizing his commitment to effectively serving the American public and working collaboratively with Congress. The committee also briefly revisited the nominations of John Eisenberg and Brett Shumate but decided to hold them over until the next meeting. Additionally, concerns regarding the nomination of Ed Martin as U.S. Attorney for the District of Columbia were raised, particularly regarding his past statements and conduct related to the January 6th insurrection and its aftermath. The discussion highlighted the importance of reviewing Mr. Martin's responses to various questions before proceeding with a vote on his nomination.

Transcript Highlights:

• The Solicitor General, Hermit Dillon, to serve as Assistant Attorney General for Civil Rights.
• Aaron Reitz, to serve as Assistant. Attorney General in the Office of Legal Policy.
• After clerking in a stint in private practice, you left D.C. behind to go home and serve as Assistant
• is an honor to introduce Harmeet Dhillon, who's been nominated by President Trump to serve as the Assistant
• Aaron has been nominated... to be the Assistant Attorney General for the Office of Legal Policy at the

Keywords: Department of Justice, nominations, Assistant Attorney General, civil rights, enforcement, committee discussion

Summary: The meeting covered important discussions surrounding key nominations in the Department of Justice, specifically for the roles of Assistant Attorney General for Civil Rights and the Office of Legal Policy. Various committee members took turns to express their views on the nominees, emphasizing the implications of their potential confirmation on civil rights enforcement in the country. Alongside the committee discussion, the nominees provided insights into their professional backgrounds and how their experiences align with the responsibilities of the positions for which they have been nominated.

Transcript Highlights:

• Health benefits contracts provided under this act shall not be subject to individual post-claimed medical
• shall be subject to cancellation, non-renewal, modification, or increase in premium for reason of a medical
• event. reason of a medical event.

Bills: HB441

Keywords: speech-language pathology, licensure, clinical supervision, educational qualifications, healthcare assistant, sessions, 2025-R, 1, 219

Transcript Highlights:

• </c><01:20:53.920><c> services</c> and ensures uh safe medical services and ensures uh safe medical services
• </c> sick leave in the event of a medical sick leave in the event of a medical event.<01:34:34.480><c
• </c><01:37:18.000><c> needs</c> to take care of their medical needs to take care of their medical needs
• </c> need a little assistance up there. need a little assistance up there.
• </c><01:50:58.840><c> than</c> needs a little bit more assistance than needs a little bit more assistance

Bills: HF3753, HF4299, HF4700, HF4282, HF4139, HF3530, HF4031

Keywords: school safety, threat assessment, pilot project, education, real-time monitoring, public safety, HF4299, school safety specialists, Minnesota School Safety Center, appropriation, general fund, fiscal year 2026, school security, school violence prevention, student safety, Department of Public Safety, school resource support, education funding, peace officer, training reimbursement

Transcript Highlights:

• the nominations of Todd Blanche to serve as Deputy Attorney General and Gail Slater to serve as Assistant
• the experience, intelligence, judgment, and leadership skills necessary to serve as an excellent. assistant
• Members of the Committee, it is an honor to introduce Gayle Slater today for her confirmation as Assistant
• Attorney's offices by assistant u.s.
• You consider the assistant attorney general for antitrust to be one of the president's lawyers?

Keywords: nominations, Deputy Attorney General, Assistant Attorney General, Department of Justice, Todd Blanch, Gail Slater, confirmation hearing

Summary: The meeting focused on the nominations of Todd Blanch and Gail Slater for the positions of Deputy Attorney General and Assistant Attorney General for Antitrust, respectively. The committee considered the qualifications of both nominees, with opening statements provided by the nominees themselves. There was an evident emphasis on the rigorous vetting process that nominees undergo before their selection, highlighting the importance of the roles within the Department of Justice. Members of the committee engaged in a structured question-and-answer session to further evaluate the nominees' capabilities and fit for the positions they were nominated for, with each member allotted seven minutes to pose questions.

Transcript Highlights:

• However, stakeholders, including the North Dakota Board of Medicine, Medical Association, Board of Pharmacy
• know, does a pharmacist have the clinical skills to, you know, we spend a lot of effort training medical
• Loan repayments will be returned to the Medical Facility Infrastructure Loan Fund, and the expiration
• such as I have in my... ...appropriating one-time funding for medical facilities, such as I have in
• These policy bills included the Presidential Physical Fitness Program, Physician Assistant Licensure

Bills: HB1621, HB1624, HB1623, HB1622, HB1625, HB1626, HB1627, HCR3038

Keywords: presidential physical fitness test, physical education, fitness assessment, student fitness, school curriculum, graduation requirements, elementary school, middle school, high school, public schools, nonpublic schools, superintendent of public instruction, exceptions, disability accommodations, North Dakota studies, computer science, cybersecurity, health education, concept-based fitness class, school standards

Summary: The North Dakota House convened in special session with prayer, roll call, and a quorum present, then took up several rural health-related bills. Senate Bill 2401, as amended, required physicians to complete one hour of continuing education in nutrition and metabolic health each renewal cycle and also added language allowing criminal history background checks for the Board of Occupational Therapy Practice. Supporters emphasized the role of nutrition in reducing chronic disease, and the bill passed 92-0. The House then considered Senate Bill 2402, which expanded pharmacists’ limited prescriptive and therapeutic substitution authority for certain low-acuity conditions and clarified related lab-test and communication requirements. Members discussed examples such as motion sickness, cold sores, lice, hypoglycemia, COVID and flu testing, emergency access to medications and supplies, and limits excluding certain drug classes; the bill passed 91-1. Senate Bill 2403 created a temporary medical facility emergency operating loan option through the Bank of North Dakota for qualifying rural hospitals facing severe financial distress, with extensive debate over the targeted nature of the aid, anti-gifting concerns, repayment terms, and the hospital’s turnaround plan; it passed 80-12. Senate Bill 2404 appropriated funds for NDIT to address federal digital accessibility requirements and for the Public Service Commission’s litigation efforts related to transmission costs, with a backup loan authorization available if needed; it passed 92-0. At the close of the session, leaders thanked members and staff for their work on the rural health transformation package, a committee notified the Governor and the Senate that the House had completed its business, absent members were excused, and the House adjourned sine die.