Transcript Highlights:

• We fought for Alabama families' right to choose midwifery for years. Today, I'm calling out a...
• These changes will protect newborn safety and preserve access to evidence-based midwifery care.
• So, it protects babies and screening access without prohibiting safe standard midwifery care.
• I'm a certified professional midwife with a master's in midwifery, licensed in three states, including
• I'm also the former clinical director for the largest certified professional midwifery program in the

Bills: SB87, HB491, SB43, SB101

Keywords: midwifery, licensed midwives, State Board of Midwifery, licensure fees, professional liability insurance, complaints investigation, emergency care plan, out-of-hospital care, HB491, public schools, K-12, school nutrition, school lunch, cafeteria, artificial dyes, food additives, food coloring, synthetic dyes, Red Dye No. 3, Red Dye No. 40

Transcript Highlights:

• They have met with the Board of Midwifery and the Medical Association, and they...
• This is centered around the ability which is now granted for Midwifery practice to be able to do the

Bills: HB194, SB87, SB237

Keywords: healthcare, advanced practice nursing, nurse collaboration, medical board, nursing board, committee structure, midwifery, licensed midwives, State Board of Midwifery, licensure fees, professional liability insurance, complaints investigation, emergency care plan, out-of-hospital care, hemp, hemp beverages, psychoactive cannabinoids, psychoactive hemp products, delta-8 THC, delta-9 THC

Bills: HB128, SB297, HB128, SB297

Keywords: HB128, Alabama Board of Nursing, Sunset Law, sunset review, nursing board, nurse licensure, registered nurse, RN, licensed practical nurse, LPN, advanced practice nursing, certified registered nurse anesthetist, CRNA, consumer member, board appointments, congressional districts, geographic representation, nursing regulation, nursing education programs, licensure compact

Transcript Highlights:

• The midwifery board is funded currently only by license fees and fines.
• And those funds could be used to support public education and advocacy about midwifery care and scope

Bills: HB59, HB128, HB59, HB128

Keywords: early voting, electoral participation, voting centers, Alabama elections, absentee ballot, HB128, Alabama Board of Nursing, Sunset Law, sunset review, nursing board, nurse licensure, registered nurse, RN, licensed practical nurse, LPN, advanced practice nursing, certified registered nurse anesthetist, CRNA, consumer member, board appointments

Bills: HB41, HB149, SB230, SB87, SB169, SB238, SB233, HB72, HB41, HB149, SB230, SB87, SB169, SB238, SB233, HB72

Keywords: sexual offenses, penalties, rape, sodomy, criminal justice, Judicial Branch, Alabama State Bar, legal profession, commissioners, government agency, campaign finance, security measures, candidates, elected officials, legislative protection, civil procedure, statute of limitations, real estate appraisers, legal complaints, appraisal board

Bills: SB125, SB123, SB124, HB38, SB125, SB123, SB124, HB38

Keywords: oyster shell, tax credit, recycling, restaurant, state revenue, environmental benefit, sales tax exemption, seafood, fishing industry, local government, municipal exemption, seagrass restoration, environmental policy, water quality, marine ecosystems, conservation efforts, marine conservation, environmental remediation, coastal ecosystems, state waters

Transcript Highlights:

• Finally, the bill establishes the Arizona Midwifery Advisory Committee to assist the...
• licensing and disciplinary matters related to midwifery.
• And just, Madam Chair, please, just for my education on midwifery, or midwifery, you mentioned you go
• We're far behind the World Health Organization standards for midwifery care.
• I am a certified nurse midwife, which means I hold degrees both in nursing and midwifery.

Bills: HB2190, HB2202, HB2233, HB2251, HB2252, HB2396, HB2437, HB2689, HB2796

Keywords: physician assistants, licensure compact, medical services, multistate practice, patient care access, healthcare workforce, military families, adverse actions, dementia care, telementoring, healthcare education, rural communities, grant funding, HB 2233, rural health transformation, rural health transformation program, AHCCCS, Arizona Health Care Cost Containment System, Joint Legislative Budget Committee, JLBC

Summary: The committee began with a presentation from the Alzheimer’s Association Desert Southwest Chapter and Dr. Anna Burke of Barrow Neurological Institute on the scope of Alzheimer’s disease, the shortage of specialists, low rates of timely diagnosis, and the need for caregiver support and early intervention. Speakers emphasized that Arizona is a leader in Alzheimer’s research and that lifestyle changes, new therapies, and research funding offer hope, but only if patients are diagnosed earlier and providers are better trained. The committee then heard House Bill 2202, which would appropriate $300,000 over three years for a dementia care telemonitoring/telementoring grant program through the Department of Health Services to help providers statewide learn best practices in dementia care. Supporters, including the Alzheimer’s Association, Dr. Danny Cabral, and a patient advocate, said the bill would address major gaps in provider training and improve early diagnosis and treatment. There was no opposition, and the committee voted 11-0 to give HB 2202 a do pass recommendation. The committee next took up House Bill 2251, the “Jordan and MacTerry Act,” which would expand licensed midwives’ authority to administer certain medications, require liability insurance disclosure and reporting, and create an Arizona Midwifery Advisory Committee. Supporters said the bill would improve safety, oversight, and access to emergency medications in home births, while opponents from ACOG and the Arizona Osteopathic Medical Association raised concerns about the adequacy of oversight, the medication list, and whether eight hours of pharmacology training is sufficient. After testimony from midwives, physicians, and stakeholders, the bill was held for further stakeholder work and anticipated floor amendments. House Bill 2252, which would allow certified nurse midwives, certified professional midwives, or licensed midwives to accompany a patient in a ground ambulance during transport if approved by medical direction, also drew support and opposition. Supporters argued it would preserve continuity of care in emergencies, while firefighters and EMS representatives objected to ambiguity and scene control concerns. That bill was likewise held for further stakeholder meetings. The committee then recessed and reconvened for later presentations on federal budget and health-related topics.

Transcript Highlights:

• Senate Bill 1466 extends the sunset date on the Advisory Committee on Midwifery, open the queue for a

Bills: HJR1088, SB1280, SB1316, SB1433, SB1455, SB1456, SB1457, SB1459, SB1461, SB1463, SB1465, SB1466, SB1721

Keywords: education rules, administrative rules, joint resolution, Oklahoma State Department of Education, higher education, State Regents for Higher Education, Teachers' Retirement System, charter schools, Statewide Charter School Board, career and technology education, CTE, OEQA, rule approval, legislative oversight, permanent rules, school governance, teacher retirement, education agencies, excise tax, oil tax

Transcript Highlights:

• Finally, the bill establishes the Midwifery Advisory Council and the Department of Health Services to
• collaborate with and assist the department in disciplinary matters and rulemaking related to the midwifery
• They are absolutely critical for patient safety and the provision of excellent midwifery care.
• The second part of this bill revives a midwifery advisory committee within the Department of Health.
• This is a bill about licensure updates, modern midwifery, national standards, patient safety, and, to

Bills: HB2072, HB2251, HB2279, HB2308, HB2323, HB2342, HB2400, HB2408, HB2456, HB2660, HB2697, HB2868, HB2873, HB2877, HB2910, HB2946, HB2955, HB2991, HB4001, HB4010

Keywords: Cesar Chavez, public holiday, state law, holiday repeal, Arizona Revised Statutes, midwifery, medication administration, healthcare, patient safety, advisory committee, licensed midwives, river trips, liability, outfitter, Grand Canyon, negligence, risk management, contractual waiver, dental practice, business registration

Summary: The committee first heard House Bill 2308, which would prohibit dental insurers and their holding companies from owning dental practices or other businesses regulated by the Arizona Board of Dental Examiners. The sponsor and Arizona Dental Association argued the bill is meant to prevent vertical integration and payer control over provider care, while Delta Dental of Arizona opposed it, saying the measure would block nonprofit insurers from investing in clinics for indigent care and create regulatory burdens. After discussion about private equity ownership in dentistry and whether nonprofit insurers should be exempted, the committee voted 7-0 to give HB 2308 a do pass recommendation. The committee then took up House Bill 4001, as amended, which creates a licensing and enforcement framework for alternative nicotine products beginning in 2028, restricts youth-targeted marketing, and increases penalties for selling to minors or manufacturing/distributing without a license. Supporters, including the sponsor, Border Security Alliance, and industry representatives, said the bill would improve supply-chain transparency, curb illegal products, and strengthen youth access enforcement. Opponents, including the American Cancer Society Cancer Action Network, argued the bill should instead create a full tobacco retail licensing system and include broader nicotine definitions, while also warning that enforcement resources would be insufficient. The committee adopted the amendment and then approved the bill 6-1. House Bill 2873, as amended, was also approved unanimously. The bill allows a person or organization that files a city or town referendum petition to withdraw it before it qualifies for the ballot, with retroactive application to withdrawals filed beginning January 1, 2026. The committee then heard House Bill 2408, which revises Arizona Board of Nursing complaint procedures, confidentiality rules, investigation timelines, expungement authority, and board oversight of nursing education programs. The sponsor said the bill responds to long-standing audit findings and aims to improve fairness and timeliness, while nursing board officials opposed provisions affecting education oversight and warned about patient safety, costs, and liability. Nurses and other supporters described delayed investigations and the need for expungement relief. The committee adopted the amendment and passed HB 2408 on a 5-2 vote. Additional bills heard included House Bill 2342, which limits HOA restrictions on backyard shade structures and related installations; it passed 7-0 after supporters described a family hardship case and committee members criticized HOA overreach. House Bill 2323, which extends Arizona’s motor vehicle lemon law protections to lessees, also passed unanimously after testimony from the sponsor, attorneys, and a consumer describing repeated repair failures on a leased vehicle. The committee also began hearing House Bill 4010, which would establish a Board of Genetic Counselors under the Arizona Board of Osteopathic Examiners and set licensure and disciplinary rules, but the transcript ends before any final action on that bill.

Bills: SB169, SB180, SB203, SB87, SB195, SB192, SB169, SB180, SB203, SB87, SB195, SB192, HB132, HB37, HB13, HB54, HB126, HB7, SB30, HB188, HB189, HB26, HB264, HB288, HB248, HB249, HB227, HB228

Keywords: Lieutenant Governor, vacancy, governor appointment, Alabama Constitution, state government, media monitoring, government contracts, state agencies, local agencies, media regulations, transparency, dental insurance, medical loss ratio, premium regulation, insurance commissioner, rebate, consumer protection, midwifery, licensed midwives, State Board of Midwifery

Transcript Highlights:

• I'm just going to jump ahead and say I'm a big believer in midwifery and I'm a big believer in the midwifery
• We passed the 2024 maternal health and midwifery omnibus law.
• We passed the 2024 maternal health and midwifery omnibus law.
• And they've already said it; I can repeat it, but midwifery care saves lives.
• First, midwifery care saves lives, and many people have talked about that.

Keywords: 995, all

Summary: The committee held a public hearing with testimony on several health care bills, with most of the discussion focused on primary care access, community health center reimbursement, midwifery and birth centers, telehealth, hospital-at-home, direct primary care, and trans-inclusive health care access. Chair Feeney and Chair Murphy opened by noting the large number of signups and asking testifiers to keep remarks brief because of time constraints. Legislators and witnesses repeatedly emphasized that Massachusetts’ primary care system is under strain and that federal policy changes and reimbursement gaps are worsening financial pressure on providers. On community health centers, Representative Blay, Senator Lovely, Michael Curry, Bethany Keeley, Jag Deep Trevetti, Sean Cahill, and Christina Severin all supported H. 1096/S. 711, which would require commercial insurers to pay federally qualified health centers at least the MassHealth prospective payment system rate. They argued that commercial plans currently reimburse health centers below Medicaid rates, threatening sustainability, staffing, and access, especially as federal cuts and coverage losses could increase uncompensated care. Testifiers said the bill would stabilize health centers, protect primary care access, and not cost the state money. A second major topic was H. 1117/S. 784 on sustaining birth centers and the midwifery workforce. Senator Lovely, Senator Miranda, Emily Anesta, Rebecca Orden, Catherine Rushworth, Nishira Burrill, Joel Sutherland, Rachel Blessington, Joelle Ward, and others described the 2024 maternal health omnibus as an important first step, but said birth centers and midwives still face low reimbursement, workforce shortages, and financial instability. They urged reimbursement parity, a workforce development fund, and support for freestanding birth centers, citing improved outcomes, lower C-section rates, better patient experience, and racial equity in maternal health. Several speakers shared personal birth stories and said the bill would help preserve and expand birth options in communities like Roxbury, Worcester, and the North Shore. The committee also heard support for H. 1343 on direct primary care from Dr. Garofalo, Dr. Altman, Dr. Nair, Stephanie Cameron, Dr. Haley Moke-Blessed, and others, who said current insurance rules force patients to use a separate in-network primary care doctor for referrals and sometimes prevent physicians from dispensing medications. They argued the bill would reduce delays, administrative burden, and costs while improving continuity of care. In addition, Dr. Miklides and Sue Stempeck supported H. 1141 on hospital-at-home parity, saying the model has strong outcomes and should be reimbursed at the same rate as brick-and-mortar hospital care. Heather Myers and Katrina Cook testified on telehealth and digital health equity, urging broader coverage for asynchronous care, remote monitoring, interpreter services, and digital literacy supports. SEIU Local 509 supported H. 1188/S. 681 on trans-inclusive health care access, saying it would remove arbitrary insurance barriers to gender-affirming care. No votes or committee actions were taken during the hearing.

Transcript Highlights:

• It's a bipartisan bill in both chambers establishing a new pathway for midwifery in Minnesota.
• pursuing graduate Midwifery pursuing graduate Midwifery education<00:05:07.919> with<00:05
• Midwifery is the second career for me.
• Midwifery is the second career for me.
• We have other levels of midwifery in the state. This isn’t the only option.

Keywords: 1183, house

Transcript Highlights:

• Certified nurse midwifery and certified midwifery are associated with consistent and often better outcomes
• <00:14:03.240> and shortage certified nurse Midwifery and shortage certified nurse Midwifery
• ><00:14:05.240> with certified Midwifery are associated with certified Midwifery are associated
• here expanding Midwifery license here expanding Midwifery<00:16:18.240> access<00:16:18.680><
• To meet the entry requirements for midwifery school, once eligible, I enrolled in graduate midwifery

Keywords: 1187, senate, all

Transcript Highlights:

• Certified midwifery is a type of midwifery practice. practice as a certified nurse mid wife practice
• Certified midwifery is a type of midwifery practice. mfre families and communities need mfre families
• I speak on behalf of Oia Midwifery and Wellness, a private midwifery practice on the island of Hawaii
• Midwifery care is the solution.
• Midwifery is not a crime.

Keywords: 912, senate, all

Summary: The Health and Human Services committee heard extensive testimony on HB 1194 HD2, a bill to regulate midwifery and require accredited education for licensed midwives. Supporters, including the Midwives Alliance of Hawaii, ACOG, a pediatrician, and several licensed midwives, argued the bill would improve maternal and newborn safety, clarify the definition of midwife, strengthen accountability, and align Hawaii with national education standards. They said accredited training is necessary to avoid gaps in knowledge and to support safe transfers and collaboration with hospitals. Opponents, including many midwives, parents, cultural practitioners, and community groups, argued the bill would restrict access to care, criminalize traditional and apprenticeship-based midwifery, and undermine reproductive autonomy and Native Hawaiian and other cultural birthing practices. Several asked for amendments to preserve a birth attendant exemption, the PET/portfolio pathway, and cultural and religious protections. Others said the bill would disproportionately harm rural, Indigenous, and low-income families by making training and licensure less accessible. The committee also heard testimony from state and county entities and professional organizations, with some standing on written testimony and others offering brief comments. The chair repeatedly reminded testifiers of the one-minute limit and the possibility that final decision-making would be deferred if quorum was lost. The transcript does not show a final vote or action taken during this segment.

Transcript Highlights:

• It's a bipartisan bill in both chambers, establishing a new pathway for midwifery.
• Midwifery is a second career for me.
• After earning I worked as an RN to meet the entry requirements for midwifery school.
• If the certified midwifery licensure was in place, I could have graduated and begun practicing midwifery
• We have other levels of midwifery in the state. This isn't the only option.

Transcript Highlights:

• <00:20:19.559> oh Oham not present um ohia Midwifery oh Oham not present um ohia Midwifery
• support the continuation of a Midwifery support the continuation of a Midwifery licensing<00:23:
• <00:30:27.679> bills you all have multiple Midwifery bills you all have multiple Midwifery
• midwifery.
• Midwifery Wellness. Welcome back.

Keywords: 910, house, all

Summary: The joint House Committee on Health and Committee on Consumer Protection and Commerce heard two midwifery bills, with testimony focused primarily on HB 1194. Committee chairs opened the hearing with rules for Zoom testimony and noted the bills relate to midwives. The Department of Commerce and Consumer Affairs said it supported the intent of HB 1194 and offered comments. Supporters of the bill, including the Midwives Alliance of Hawaii, argued that midwifery should remain subject to mandatory licensure to protect consumer safety, citing the state’s regulatory licensing standards and a 2025 state auditor sunset analysis. They said the bill would strengthen educational standards and public protection, and some offered clarifying amendments. Opponents argued HB 1194 would restrict access to care and fail to protect traditional, cultural, and community-based birth practices. Testifiers from the Hawaii Home Birth Task Force, the Hawaii Home Birth Collective, the Libertarian Party of Hawaii, the Center for Reproductive Rights, Pacific Birth Collective, and Papa Ola Lōkahi said the bill would limit licensure pathways, reduce access in rural and underserved areas, and burden Native Hawaiian and traditional practitioners. Several speakers said the measure could worsen Hawaii’s maternal health shortages, especially on Maui, and urged lawmakers to defer HB 1194 or instead advance HB 1328, which they said better protects practitioner access and cultural practices. The Hawaii affiliate of the American College of Nurse-Midwives said it opposed HB 1194 because it did not align with national or state standards for certified midwives and could create conflicts with Medicaid reimbursement and prescriptive authority. The ACLU also opposed the measure, emphasizing reproductive rights, privacy, and the need to preserve apprenticeship pathways to licensure. No vote or final committee action was taken during the portion of the hearing reflected in the transcript.

Transcript Highlights:

• action to protect traditional midwifery action to protect traditional midwifery from<00:14:06.680
• Um, our midwifery, you know practice.
• The definition of midwifery was too broad.
• sociological sciences and midwifery sociological sciences and midwifery theory<01:24:34.239>
• <01:24:38.800> care client for the quality of midwifery care client for the quality of midwifery

Keywords: 910, house, all

Transcript Highlights:

• I am the director of the midwifery service at Boston Medical Center.
• H. 1061, an act to increase nurse midwifery services.
• At BMC, I have seen the integrated midwifery care work.
• H. 1069, an act to increase access to nurse midwifery services.
• Our outcomes reflect the power of midwifery-led care.

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a lengthy public hearing with testimony on a wide range of health insurance and access-to-care bills. Early testimony focused on prescription drug pricing and pharmacy reimbursement, with supporters of H. 1326 arguing that pharmacy benefit managers and MassHealth managed care arrangements reimburse independent pharmacies too little, contributing to pharmacy closures and “pharmacy deserts.” The committee also heard repeated support for H. 1151/S. 742 on cognitive rehabilitation for acquired brain injury, H. 1288/S. 716 on telehealth parity for nutrition counseling, H. 1309/S. 761 on full-spectrum pregnancy care without cost-sharing, H. 1312 on insurance coverage for doula services, H. 309 on prompt access to health care by removing deductibles for certain services, H. 809/H. 1227 on biomarker testing, H. 1162/S. 810 on reducing inequities in access to medical procedures by limiting insurer cuts tied to Modifier 25, and S. 726 on insurance coverage for mobile integrated health. Testifiers included legislators, physicians, pharmacists, dietitians, emergency and rehabilitation clinicians, and patients and family members. Supporters of the brain injury bill said cognitive rehabilitation is medically necessary, improves long-term outcomes, and can reduce institutional care and public costs; they noted the bill has been heard repeatedly and has support from the Brain Injury Commission and prior favorable committee action. Supporters of the pregnancy care and doula bills described out-of-pocket costs as a barrier to maternal health and shared personal stories of high bills and unmet support needs. Biomarker testing advocates and cancer patients said coverage gaps deny patients access to precision treatment, can lead to avoidable suffering, and should be standardized across insurers; several speakers said insurers often deny claims despite clinical benefit. Dermatology witnesses said insurers’ use of Modifier 25 cuts reimbursement for same-day evaluation and procedure visits, forcing separate appointments and increasing patient burden. Mobile integrated health supporters described home-based care as a way to reduce emergency department use and hospital readmissions, especially for patients with transportation or mobility barriers. No votes or formal committee actions were taken during the hearing itself.

Transcript Highlights:

• Members, today I'm presenting AB 836, the Midwifery Workforce Training Act.
• Investing in midwifery isn't just about numbers.
• Research shows that midwifery care improves birth outcomes.
• AB 836 builds on the 2021 Midwifery Workforce Training Act, which funded active midwifery education programs
• This will enable a strategic expansion of both nurse midwifery and licensed midwifery education programs

Summary: The Assembly Health Committee met on April 8 and heard a long series of bills, beginning with AB 54 on medication abortion access. The author and supporters, including the Attorney General’s office and reproductive justice advocates, said the bill would protect California’s medication abortion supply chain and shield providers and manufacturers from civil, criminal, and professional liability. Opponents from the California Family Council argued the bill removes safeguards and increases risks. The bill was moved forward on a committee motion. The committee then heard several reproductive and public health measures, including AB 551 to create a pilot program supporting emergency departments in providing reproductive health services, AB 260 to protect medication abortion access and telehealth, AB 309 to remove sunset dates on laws allowing pharmacy syringe sales and lawful possession of sterile syringes, AB 536 to preserve colorectal cancer screening coverage if federal guidelines are challenged, AB 804 to make housing support services a Medi-Cal benefit, AB 594 to address student health insurance billing and transparency, AB 836 to study and expand the midwifery workforce, AB 1418 to collect data on health coverage for eligible employees, and AB 1500 to maintain and expand the abortion.ca.gov information site. Supporters emphasized access, preventive care, workforce shortages, and public health benefits, while opponents raised concerns about abortion, syringe distribution, and the focus of state resources. Most measures were advanced by committee vote, with roll calls showing broad support and a few no votes from members on some bills. The final bill discussed in the transcript was AB 1037, which would update substance use disorder laws to reflect evidence-based, harm-reduction approaches and remove barriers to treatment. The author and supporters described it as a compassionate response to overdose and treatment access problems, while law enforcement opposition argued it would encourage drug use and endanger communities. The transcript cuts off during testimony on AB 1037, so no final committee action on that bill is shown in the provided text.

Transcript Highlights:

• It's a bipartisan bill in both chambers establishing a new pathway for midwifery in Minnesota.
• States that have expanded midwifery access have lowered their cesarean and preterm delivery rates.
• Once eligible, I enrolled in graduate midwifery school and completed my degree this year.
• If the certified midwifery licensure was in place, I could have graduated and begun practicing midwifery
• <01:20:32.640> and heard more and more about midwifery and heard more and more about midwifery

Keywords: 1183, house