Transcript Highlights:

• So what happens is someone who provides medical care or a hospital, a physician, um, anybody in the health
• Now, 50% of hospitals, for instance, and so on, they might have a contractor that they work with, and
• </c> groups or you know or is it the hospital groups or you know or is it the hospital association<00
• Every single data point is a new page. >> Well, this is like a scam.
• </c> point is a new page. point is a new page.

Bills: HF3521, HF1807, HF1270, HF2070, HF3136

Keywords: hospital moratorium, hospital construction, bed capacity, hospital expansion, health care facilities, hospital licensing, safety-net hospital, level I trauma center, Ramsey County, Minnesota health law, hospital beds, new hospital exception, certificate of need, inpatient capacity, emergency care, trauma services, health system regulation, state moratorium, hospital modernization, health infrastructure

Transcript Highlights:

• Um, as you recall, region's hospital.
• </c> exception to the hospital construction exception to the hospital construction moratorum<00:04:52.800
• </c><00:10:34.959><c> can't</c> regulation that says a hospital can't regulation that says a hospital
• can operate, our safety net hospitals can operate, our safety net hospitals<00:12:36.800><c> can</c>
• . hospital. hospital.

Bills: HF3521, HF1807, HF1270, HF2070, HF3136

Keywords: hospital moratorium, hospital construction, bed capacity, hospital expansion, health care facilities, hospital licensing, safety-net hospital, level I trauma center, Ramsey County, Minnesota health law, hospital beds, new hospital exception, certificate of need, inpatient capacity, emergency care, trauma services, health system regulation, state moratorium, hospital modernization, health infrastructure

Transcript Highlights:

• Well, since I'm the new chair, I want to vote on it by 1:05. >> Yes, Chair Nadal, we will listen to you
• All the rest of them have moved to new terminology.
• </c> of them have moved to new terminology. of them have moved to new terminology.
• Um I would also say that new of command.
• Maybe they start a new relationship, get a puppy, you know, whatever.

Bills: HF3521, HF3563, HF82, HF2689, HF1794, HF3544, HF3516, HF1752

Keywords: hospital moratorium, hospital construction, bed capacity, hospital expansion, health care facilities, hospital licensing, safety-net hospital, level I trauma center, Ramsey County, Minnesota health law, hospital beds, new hospital exception, certificate of need, inpatient capacity, emergency care, trauma services, health system regulation, state moratorium, hospital modernization, health infrastructure

Transcript Highlights:

• And then the new ones come in and it's like, what is this, you know?
• And then the new ones come in and that.
• So, the area around Carraway Hospital.
• The lease moves over with the new property owner.
• </c><00:54:13.440><c> property</c> lease moves over with the new property lease moves over with the new

Bills: SB32, HB404, SB105, SB32, HB404, SB105

Keywords: machinegun, enhanced sentencing, homicide, manslaughter, assault, public safety, HB404, Alabama Board of Cosmetology and Barbering, cosmetology, barbering, makeup artist, makeup application, lash artist, brow artist, lash/brow permit, esthetician, salon licensing, studio licensing, mobile salon, mobile studio

Transcript Highlights:

• There would be a new replacement of Section 8.
• For example, line 8 would be a new item for $12 million for that purpose.
• And again, the 30% is a new phenomenon in the last couple of years.
• And again, the 30% is a new phenomenon in the last couple of years.
• It's real small, but I just can't find it here, which is a local news fund.

Bills: SB190, HB247, HB8

Keywords: cancer treatment, revenue bonds, Gila Regional Medical Center, Nor-Lea General Hospital, healthcare funding, capital outlay, capital projects, appropriations, reversion, encumbrance, reauthorization, reappropriation, general fund, capital development and reserve fund, tribal infrastructure project fund, Department of Finance and Administration, DFA, state board of finance, severance tax bonds, tax-exempt bonds

Transcript Highlights:

• Want the good news or the bad news, Senator Ramos? There's one week left in the session.
• Now the bad news, please. You might have won the lottery. I looked at your stuff.
• advice: if the county has any interest in making another $5 million, they could lease it to the hospital
• And finally, for new appropriations, the bill will require that projects appear on an Infrastructure
• The good news is Larry Barker will be doing less and less stories about the legislature.

Bills: SB190, HB247, HB8

Keywords: cancer treatment, revenue bonds, Gila Regional Medical Center, Nor-Lea General Hospital, healthcare funding, capital outlay, capital projects, appropriations, reversion, encumbrance, reauthorization, reappropriation, general fund, capital development and reserve fund, tribal infrastructure project fund, Department of Finance and Administration, DFA, state board of finance, severance tax bonds, tax-exempt bonds

Transcript Highlights:

• A hospital owned and operated by a New Mexico resident or domestic corporation and is not part of a hospital
• Mexico hospitals and take care of New Mexican patients?
• To that end, I want to talk a little bit about hospital systems in New Mexico.
• would really be Christus, who has two hospitals in New Mexico and multiple hospitals in multiple states
• You've listed nonprofit hospital systems in New Mexico and then the for-profit hospitals in New Mexico

Bills: HB99, HB49, HB164, SB30, SB43, SB50, SB136

Keywords: medical malpractice, malpractice reform, patient's compensation fund, PCF, health care liability, tort reform, damage caps, punitive damages, hospital liability, physician liability, nurse practitioner, certified nurse-midwife, outpatient facility, ambulatory surgical center, urgent care, free-standing emergency room, insurance surcharge, superintendent of insurance, New Mexico hospitals, medical review process

Transcript Highlights:

• A hospital owned and operated by a New Mexico resident or domestic corporation and is not part of a hospital
• Mexico hospitals and take care of New Mexican patients?
• To that end, I want to talk a little bit about hospital systems in New Mexico.
• would really be Christus, who has two hospitals in New Mexico and multiple hospitals in multiple states
• You've listed nonprofit hospital systems in New Mexico and then the for-profit hospitals in New Mexico

Bills: HB99, HB49, HB164, SB30, SB43, SB50, SB136

Keywords: medical malpractice, malpractice reform, patient's compensation fund, PCF, health care liability, tort reform, damage caps, punitive damages, hospital liability, physician liability, nurse practitioner, certified nurse-midwife, outpatient facility, ambulatory surgical center, urgent care, free-standing emergency room, insurance surcharge, superintendent of insurance, New Mexico hospitals, medical review process

Summary: The committee first took up House Bill 99, which would make changes to the Medical Malpractice Act, especially around punitive damages. The chair and sponsor said the bill would not be voted on that day and that public comment would wait until Monday, when a fuller presentation and any recommended substitute would be considered. Dr. Brooke Baker, a physician-lawyer, gave a long presentation on physician wellness, malpractice stress, and the effect of litigation on staffing and burnout, while also discussing hospital ownership structures, private equity, and rural hospital vulnerability. She argued that punitive damages are often pled too broadly in New Mexico, that the amendment language was unclear about which entities would be capped, and that better oversight and internal quality systems—not punitive damages—are the better tools for addressing bad actors and unsafe care. Committee members from both sides asked extensive questions about the patient compensation fund, indemnification, corporate structures, the effect of caps on insurance and recruitment, and whether the bill would protect physicians’ personal assets. No vote was taken on HB 99, and the committee recessed before moving to the next bill. The committee then returned to House Bill 49, a public safety measure increasing penalties for felons who possess firearms. The sponsors and law enforcement witnesses said the bill is aimed narrowly at serious violent felons who are already prohibited from having guns, and that it would align state sentencing with federal law and give police and prosecutors a stronger tool against repeat violent offenders. An amendment was offered to narrow the bill further, add destructive devices, and make the offense a second-degree felony rather than escalating to first degree on repeat offenses. The amendment was adopted without opposition. Public testimony on HB 49 was largely opposed. The Law Office of the Public Defender argued the bill criminalizes possession without a new act of violence, that current law already punishes felon-in-possession conduct, and that New Mexico has repeatedly increased penalties without evidence of reduced gun crime. The ACLU of New Mexico also opposed the bill, saying increased penalties are not a proven deterrent. The transcript cuts off as additional online opposition testimony was beginning.

Transcript Highlights:

• I know that two of you are new to the committee.
• I know you're new to the committee. I respect that.
• We represent families from communities all across New Mexico.
• And so I... ...to understand the health of New Mexicans.
• I am also a member of the New Mexico 911 Directors' Affiliate.

Bills: HB99, HB49, HB164, SB30, SB43, SB50, SB136

Keywords: medical malpractice, malpractice reform, patient's compensation fund, PCF, health care liability, tort reform, damage caps, punitive damages, hospital liability, physician liability, nurse practitioner, certified nurse-midwife, outpatient facility, ambulatory surgical center, urgent care, free-standing emergency room, insurance surcharge, superintendent of insurance, New Mexico hospitals, medical review process

Summary: Senate Judiciary began by announcing that Senate Bill 136 would be rolled over because the sponsor was unavailable. The chair then addressed criticism from the floor over how a prior bill had been handled, defending the committee’s practice of using committee substitutes and amendments without waiting for a new version from council, and emphasizing his authority to set hard stops and limit debate when he believes discussion is repetitive or dilatory. Several members responded, with some supporting the chair’s approach and others arguing that contentious bills deserve more time and fuller committee vetting. The committee then heard Senate Bill 30, which would repeal New Mexico’s requirement that induced abortions be reported to the state registrar. The sponsors argued the reporting law is outdated, unnecessary for public health, and potentially dangerous because provider information can be disclosed under broader vital statistics statutes; supporters from the ACLU, League of Women Voters, Bold Futures, and NOW echoed privacy and safety concerns. Opponents argued the reporting requirement provides transparency and public health data. After debate, the committee approved SB 30 on a roll call vote. Next, the committee heard Senate Bill 43, a bipartisan measure to modernize the Adult Parole Board statute after a prior veto. The bill would update parole factors for life-sentenced inmates, authorize per diem and closed hearings, and prevent parole hearings from being scheduled on victims’ birth or death dates. It received support from corrections officials and victims’ advocates, and the committee passed it without objection. The final major item was Senate Bill 50, which would remove several statutory in-service training mandates for law enforcement and give the Standards and Training Council more flexibility to set curriculum. Supporters said the current requirements are outdated and too rigid; opponents warned the bill could weaken recurring training in domestic violence, sexual assault, crisis intervention, and other high-risk areas. A motion to table failed, and the committee ultimately passed SB 50 on a roll call vote, despite divided member views.

Transcript Highlights:

• There would be a new replacement of Section 8.
• For example, line 8 would be a new item for $12 million for that purpose.
• Everything would be in there except for—I think there were some changes where they would be.
• And again, the 30% is a new phenomenon in the last couple of years.
• New phenomenon in the last couple of years. You started out.

Bills: SB190, HB247, HB2, HB8

Keywords: cancer treatment, revenue bonds, Gila Regional Medical Center, Nor-Lea General Hospital, healthcare funding, capital outlay, capital projects, appropriations, reversion, encumbrance, reauthorization, reappropriation, general fund, capital development and reserve fund, tribal infrastructure project fund, Department of Finance and Administration, DFA, state board of finance, severance tax bonds, tax-exempt bonds

Summary: The committee reviewed drafting instructions and spending sheets for House Bill 2, focusing on both recurring and nonrecurring appropriations, reserve levels, and several late changes. Staff explained that the package would leave reserves around 28% under the current scenario, with the possibility of rising to about 30% if a separate natural disaster reform bill is enacted. Members discussed how disaster funding would be handled through a replacement Section 8 and the appropriation contingency fund, and whether the operating reserve could be tapped with explicit authorization. There was also clarification on fund types, including other state funds and interagency transfers, and on how line items were reflected in the spreadsheets. A major point of debate was how to offset additions by reducing funding elsewhere. Members discussed shifting money from the state fair/multipurpose arena request, the Office of Natural Resources Trustee, and other capital items to accommodate changes. Several senators raised concerns about cutting the Office of Natural Resources Trustee too deeply and about the purpose of those funds, including possible land purchases and floodplain mitigation in Ruidoso. The committee also discussed whether the state fair money should be reduced, with some members supporting a $25 million restoration and others preferring to leave the executive’s request intact. Staff noted that some reductions were not true cuts but swaps or offsets, such as moving local road money and using excess capital outlay reserves. Other corrections and policy items were addressed, including an increase for UNM and NMSU stadium funding, a correction to a project distribution on line 105, and funding for the Health Council. Members also noted that the public employee 1% raise was no longer funded because recurring capacity was used elsewhere, and that no COLA was included. After discussion, Senator Woods moved to adopt the drafting instructions, Senator Gonzalez seconded, and the motion passed without objection. The committee then directed staff to prepare a catch-up cleanup version of House Bill 2 for later review and said House Bill 8 would be taken up the next morning.

Transcript Highlights:

• Accomplished and brilliant physicians have been driven from New Mexico by hospital corporation conduct
• Mexico hospitals.
• Madam Chair and committee, I am Troy Clark, CEO of the New Mexico Hospital Association.
• New Mexicans since 1910.
• So, for example, Holy Cross in Taos, the Farmington Hospital, the hospital in Grants, and the hospital

Bills: HB99, HJR5, HM39, HB206, HB213, SB41, SB153, SB165, SB261, SB264

Keywords: medical malpractice, malpractice reform, patient's compensation fund, PCF, health care liability, tort reform, damage caps, punitive damages, hospital liability, physician liability, nurse practitioner, certified nurse-midwife, outpatient facility, ambulatory surgical center, urgent care, free-standing emergency room, insurance surcharge, superintendent of insurance, New Mexico hospitals, medical review process

Transcript Highlights:

• Accomplished and brilliant physicians have been driven from New Mexico by hospital corporation conduct
• Mexico hospitals.
• Madam Chair and committee, I am Troy Clark, CEO of the New Mexico Hospital Association.
• For their communities because New Mexicans take care of New Mexicans.
• And I am a rural New Mexican and rural New Mexican. is opposed to.

Bills: HB99, HJR5, HM39, HB206, HB213, SB41, SB153, SB165, SB261, SB264

Keywords: medical malpractice, malpractice reform, patient's compensation fund, PCF, health care liability, tort reform, damage caps, punitive damages, hospital liability, physician liability, nurse practitioner, certified nurse-midwife, outpatient facility, ambulatory surgical center, urgent care, free-standing emergency room, insurance surcharge, superintendent of insurance, New Mexico hospitals, medical review process

Summary: The committee first took up House Bill 99, a medical malpractice reform measure. Sponsor Chair Chandler and Minority Leader Armstrong described months of stakeholder negotiations aimed at balancing patient compensation with concerns from physicians, hospitals, and insurers about litigation costs, punitive damages, and access to care. The committee substitute kept the existing monetary damage caps but changed several provisions, including definitions of “occurrence” and “value of medical care,” treatment of future medical expenses, a higher clear-and-convincing standard for punitive damages, a two-step process before punitive damages can be pled, and a lower punitive-damages cap for smaller providers versus a higher cap for large hospital systems. Supporters said the bill would help recruit and retain doctors and stabilize the malpractice market; opponents argued it weakens accountability, especially for corporate and out-of-state hospital systems, and several speakers urged a stronger amendment to preserve patient rights. After debate, the committee voted 10-0 to give the House Judiciary Committee substitute for HB 99 a do-pass recommendation. The committee then heard House Joint Resolution 5, which would amend the state constitution to allow legislative compensation. Sponsors and supporters said paying legislators would make service more accessible to working people, parents, rural residents, and others without independent wealth, and would broaden representation. Several advocacy groups and individual commenters backed the proposal, while members raised questions about the pay formula, with the resolution tying compensation to the state median income. Some members supported the idea but preferred a salary commission or a different mechanism. The committee approved HJR 5 on a 7-3 vote. Finally, the committee began hearing House Memorial 39, which calls for a task force to study the current state of sexual assault examination kits and report on backlog progress. Sponsor Rep. Ferrari and the New Mexico Coalition of Sexual Assault Programs explained that a prior task force a decade ago found more than 5,000 untested kits and led to policy changes, including the Sexual Assault Survivors Bill of Rights and a statewide tracking system. The memorial is intended to reassess whether backlogs remain and recommend further fixes.

Transcript Highlights:

• He created an exception for hospitals, so that a hospital could do a cheaper claims-made coverage if
• hospital employees.
• I talked to doctors and hospitals across New Mexico, and they say this is a real problem.
• news, not the individuals, not the hospitals themselves, which defeats the purpose, but it also has
• , Lutheran Advocacy Ministry, New Mexico, New Mexico Conference of Churches, N.M.

Bills: HB99, HJR5, HM39, HB206, HB213, SB41, SB153, SB165, SB261, SB264

Keywords: medical malpractice, malpractice reform, patient's compensation fund, PCF, health care liability, tort reform, damage caps, punitive damages, hospital liability, physician liability, nurse practitioner, certified nurse-midwife, outpatient facility, ambulatory surgical center, urgent care, free-standing emergency room, insurance surcharge, superintendent of insurance, New Mexico hospitals, medical review process

Summary: The committee first took up a lengthy informational presentation on the Patient Compensation Fund (PCF) and New Mexico medical malpractice insurance. Teresa Hassey, a plaintiffs’ attorney, described the PCF’s origin in the 1976 Medical Malpractice Act, its role as a state-backed excess coverage system, and her view that it was mismanaged when hospital participation expanded without individualized risk assessments. She argued that hospitals underpaid surcharges, that the fund was depleted by claims, and that the 2021 amendments and later legislative infusions were meant to shore up deficits and phase hospitals out. Superintendent of Insurance Alice Kane and LFC analyst Julia Rodriguez presented a different perspective, emphasizing recent general fund infusions, current surcharge collections, the use of actuarial reviews, and the PCF’s budget and settlement activity. Kane said the market is highly concentrated, New Mexico’s malpractice costs and defense expenses are high, and the fund still provides lower-cost coverage than the open market, while also noting ongoing issues with future medical claims, TPA transition, and investment management. Committee members questioned the presenters at length about why New Mexico malpractice premiums are so high, whether defense costs were being conflated with claim payouts, how the PCF works with primary coverage and excess coverage, and whether hospitals were properly assessed when they entered the fund. Several senators raised concerns about punitive damages, corporate practice of medicine, and whether the state’s legal environment is driving doctors away. Others challenged the data comparisons, noting differences between one-year figures and multi-year averages, and asked why New Mexico’s costs remain far above neighboring states. Kane and Hassey disagreed on the causes, with Kane pointing to high claims and defense costs over time and Hassey arguing that hospital participation and punitive-damage exposure distorted the market. The chair concluded the discussion by saying the committee had not exhausted the topic and that he still wanted a clear path to reducing doctors’ insurance costs. After a break, the committee moved on to Senate Bill 41. Senator Charlie introduced the bill, which would eliminate the statute of limitations for the most serious sexual crimes in New Mexico. He argued that trauma, coercion, fear, and delayed disclosure often prevent survivors from reporting promptly, and said the law should reflect that reality. The bill was presented as a response to survivor testimony heard in a prior hearing, and the sponsor framed it as part of a broader effort to modernize the justice system for sexual violence cases.

Bills: HB1845, HB2192, HB2438, HB2529, HB2607, HB2658, HB3348, HB3505, HB3305

Keywords: rural prosecution, salary assistance, staffing grant, legal support, criminal justice, fireworks, permit requirements, sale, county regulations, public safety, hospital district, administration, elections, director qualifications, public contracts, salary supplement, county judges, judicial functions, state law, government compensation

Transcript Highlights:

• There are a variety of types of hospitals. Those types of services are those provided by hospitals.
• There are a variety of types of hospitals. One of those types are critical access hospitals.
• To be a critical access hospital, the hospital must be certified by the Centers for Medicare and Medicaid
• Only 6% of hospitals in the country were designated as five-star hospitals last year.
• We proudly support our independent public hospital.

Bills: SB5872, SB5879, SB6047, SB5988, SB5923, SB5832, SB5970, SB5994, SB5949

Keywords: preK promise account, early childhood education, child care, preschool, pre-kindergarten, DCYF, Department of Children, Youth, and Families, state treasury, trust fund, investment earnings, gift grants donations, dedicated account, general fund, nonreverting balance, appropriation, treasurer, Washington early learning, school readiness, education assistance program, legislative audit

Summary: The Ways and Means Committee held a public hearing on nine bills. Senate Bill 5872 would create the Pre-K Promise Account to receive philanthropic gifts for the ECAP preschool program; supporters including the Ballmer Group, DCYF, and the governor’s office said the account would support a 10-year commitment to expand access by up to 10,000 seats per year, while members asked how the annual funding would flow. Senate Bill 5879 would eliminate two JLARC studies, one on lodging tax revenue use and one on the training benefits program; supporters said the reports were redundant and burdensome, while the Washington Hospitality Association cautioned against losing transparency on lodging tax spending. Senate Bill 6047 would permanently codify and update capital budget administration provisions, including minor works flexibility, lapse rules for projects, and a higher eligible percentage for some early learning grants; testimony focused on technical fixes for capital and early learning projects, including nonprofit co-located developments and a cultural center’s BCF funding issue. The committee also heard Senate Bill 5988, which would authorize the Department of Health to charge fees for accrediting opioid treatment programs; DOH said the fee authority would keep accreditation services available, including for tribal programs, and would replace current funding sources. Senate Bill 5923 would allow Island Hospital in Skagit County to be paid as a critical access hospital once federally certified, which supporters said would improve rural hospital sustainability and Medicaid reimbursement. Senate Bill 5832 would raise the new motor vehicle arbitration fee from $3 to $6 to fund the Attorney General’s Lemon Law program; supporters said the program has a high consumer success rate and returns significant value, while the bill would increase receipts to the arbitration account and require system updates. Two tax-related bills drew substantial testimony. Senate Bill 5970 would make permanent the property tax exemption for multipurpose senior citizen centers; AARP supported it as a way to preserve community services for older adults and caregivers. Senate Bill 5994 would preserve timber tax distributions for school districts that recently lost qualifying levies, with forest industry witnesses supporting the school funding fix and noting possible implications for state forest transfer lands. Senate Bill 5949 would narrow the B&O tax exemption for insurance-related businesses so it applies only to the insurer paying the premium tax and would apply retroactively to 2019; the Department of Revenue and supporters said it would restore tax equity and generate about $73 million over four years, while insurers and business groups opposed it, warning of retroactive liability, higher premiums, and possible effects on health, auto, home, and life insurance costs. No votes were taken; each bill was heard and the committee adjourned after public testimony.

Transcript Highlights:

• I mean, we're just wondering if we need to create a new fund or just fund the deferred maintenance.
• Then the seventh one is the deficiency appropriation for the 2023–25 biennium for new and vacant FTE
• For the 2023–25 biennium, the new and vacant FTE funding pool, the way it was done, it resulted in a
• We're hoping that we can still get kind of an exception because they had approved this, but we're not
• We're hoping that we can still get kind of an exception because they had approved this, but we're not

Bills: HB1015

Keywords: Office of Management and Budget, OMB appropriation, state budget, biennial appropriation, North Dakota Century Code, state facility maintenance fund, capital improvements, Capitol building fund, governor's residence, state hospital, mental health hospital, Bank of North Dakota, line of credit, strategic investment and improvements fund, SIIF, new and vacant FTE pool, state employee pay raise, performance-based compensation, guardianship grants, community corrections

Summary: The Government Operations Division met to review proposed amendments to the Office of Management and Budget (OMB) budget, with the chair noting the bill would not be voted out that day and would likely be held until the following week for any technical corrections. Members discussed a series of amendments, generally without objection: a $1.5 million appropriation for a pro-life education committee; a $40,000–$45,000 deficiency appropriation for Uniform Laws travel costs; creation of a state deferred maintenance fund with $40 million for deferred maintenance projects; adding the state hospital project to the OMB budget with $200 million from the Strategic Investment and Improvements Fund (SIF) and $85 million from a line of credit, plus construction management oversight; $110,114 for custodial equity increases; $1 million for a retirement incentive pool; $3 million to cover a shortfall in the new and vacant FTE funding pool; and $4 million for space reconfiguration and rent/moving costs. Prairie Public Broadcasting was also discussed, with a suggestion to change the purpose from local programming to infrastructure and set the amount at $850,000, likely as one-time SIF funding. The committee also heard a heads-up about a possible $180,000 federal reimbursement issue tied to an education grant, but no action was taken on that item. The committee further discussed a broader amendment to reduce the transfer from the social services fund to the human services fund from $250 million to $232 million, based on DHS needs and available carryover funding. Members also agreed to add emergency clauses to the capital assets, deferred maintenance, and moving/space reconfiguration items. The chair indicated Brady could begin incorporating the discussed changes into a consolidated amendment, while noting there could still be additional items next week. Staff also reported the SIF balance was about $280 million positive, though some removed agency items, including airport grants, would need to be considered. The committee then reconsidered its earlier action on House Bill 1581 and restored it to its original form at $100,000 after hearing that the funding would support tribal tourism-related events tied to upcoming 2026 celebrations and the Theodore Roosevelt Library opening. A motion for do pass on the bill as originally introduced passed unanimously by roll call. Finally, the committee postponed action on another bill until later that day, directing that revised materials be distributed and that the item be taken up in the afternoon session.

Transcript Highlights:

• 9,000 moms across the state of Alabama suffer from postpartum depression; that's nearly one in five new
• place thanks to ... changes are already in place thanks to the doctors, the Medical Society, and the Hospital
• Yes, ma'am, that’s what the medical association, the hospital association, and all are working on with

Bills: HB330, HB336, HB322, HB346

Keywords: lead ban, plumbing codes, lead-free, public health, environmental management, respiratory therapy, interstate compact, licensing, military service members, healthcare access, regulation, postpartum depression, postnatal care, maternal mental health, perinatal depression, postpartum screening, new mother, birth mother, newborn discharge, hospital discharge materials

Bills: SB95, HB322, SB95, HB322

Keywords: underground facilities, excavation safety, One-Call Notification System, utility protection, public safety, underground damage prevention, notification system, construction safety, pipeline protection, utility management, Alabama Municipal Electric Authority, director compensation, municipality, electricity supply, board of directors, postpartum depression, postnatal care, maternal mental health, perinatal depression, postpartum screening

Transcript Highlights:

• My background is that I trained at Charity Hospital in New Orleans, and I am double-boarded in internal
• Greg Waddell with the Louisiana Hospital Association.
• And do you not concur with the new definition?
• We had the challenge with our local hospital.
• A lot of our hospitals, particularly our rural hospitals, safety net independent facilities, need the

Bills: HB414, HB786, HB1041, HB1052, HB1118, HB1139, HB1182, HB1185, HB1214, HB1217, HB1231, SR63, SCR27, SB5, SB194, SB415, SB433, SB451, SB462, SB516

Keywords: healthcare, criminal convictions, employment, background checks, prohibited offenses, Medicaid, claim payments, extrapolation, provider audits, medical freedom, discrimination, access, medical intervention, child protection, confidentiality, multidisciplinary teams, child advocacy centers, public records, investigations, hospital

Transcript Highlights:

• It really is a way of ensuring that our small hospitals, our rural hospitals, all our public hospitals
• We are public hospitals, though, just like the public hospital district hospitals are.
• Critical access hospitals and certain rural hospitals are eligible to convert to a rural emergency hospital
• Critical access hospitals and certain rural hospitals are eligible to convert to a rural emergency hospital
• A rural emergency hospital is prohibited from providing inpatient services except under certain circumstances

Bills: SB5845, SB5916, SB6102, SB6071, SB6103, SB6159, SB5877, SB5967, SB5904, SB5915, SB6025

Keywords: health insurance, health carrier, insurance carrier, prompt pay, timely payment, claims processing, clean claim, remittance advice, provider reimbursement, hospital billing, medical billing, prior authorization, claims denial, interest on late claims, administrative penalty, Washington insurance commissioner, RCW 48, public employees benefits board, school employees benefits board, Medicaid managed care

Summary: The committee heard public testimony on several health care bills. SB 6159 would create a public hospital infrastructure account funded by a new coverage assessment on insurers and other premium-tax payers, to help public hospital districts and other public health entities finance major construction and modernization projects and allow more cooperative agreements among public hospitals. The sponsor and supporters said it would help public hospitals remain competitive and better serve rural and underserved patients, while opponents argued the assessment would raise health care costs, could sweep in property and casualty insurers and mutual companies, and might create legal and affordability problems. Testimony also raised concerns that the bill’s cooperation language could unintentionally narrow existing affiliations with nonpublic entities. The hearing closed with 5 signed in pro, 74 con, and 2 other. The committee then heard SB 5845, which would replace the current 95% timely-payment standard with a requirement that all clean claims be paid or denied within 30 days, with notice requirements for incomplete claims and interest or penalties for late payment. Hospitals, physicians, and health systems strongly supported the bill, saying delayed and unpredictable payments create major cash-flow and administrative burdens and that some large claims can remain unpaid for months or longer even when care was approved. Health plans opposed the bill, saying they already meet current standards, that the bill could limit their ability to investigate fraud, waste, and abuse or review high-dollar claims, and that it should include more balanced timelines and exceptions. The hearing closed with 69 signed in pro, 4 con, and 2 other. The committee also heard SB 5916, which would prohibit health plans, Medicaid managed care organizations, and public employee plans from disadvantaging non-opioid pain treatments relative to opioids through formulary placement or utilization management, and would require a Department of Health educational pamphlet on non-opioid options. Patients, recovery advocates, and rare disease advocates supported the bill as a way to improve access to safer pain care and reduce barriers like prior authorization and step therapy. The Health Care Authority and an insurers’ representative said they support access to non-opioids but were concerned the bill could require preferred status for all non-opioids whenever any opioid is preferred, increasing costs and limiting formulary management. The hearing closed with 8 signed in pro, 1 con, and 2 other. Later, the committee heard SB 6102, a technical bill to align the ambulance transport quality assurance fee with federal rules after changes in federal law limited new provider taxes. The ambulance association supported the bill, saying the existing fee has significantly improved wages and benefits for EMS workers and that the change is needed to preserve the program. The hearing closed with 50 signed in pro, 1 con, and 0 other. The committee also heard SB 6103, which would make Medicaid payments for rural emergency hospitals subject to appropriation and create a state framework for a rural hospital conversion model. Supporters from East Adams Rural Health Care and the Washington State Hospital Association said the bill would help keep rural emergency services viable, especially for communities along the I-90 corridor. The hearing closed with 58 signed in pro, 1 con, and 0 other. Finally, the committee heard SB 6071, which would shorten the time limit for insurers to seek overpayment recoveries from providers from two years to six months, or nine months for coordination-of-benefits cases, extending a standard already enacted for mental health and substance use disorder services. Providers from acupuncture, massage, podiatry, and other small practices supported the bill, saying long clawback periods create financial instability and administrative burden, while the remaining testimony was still being taken when the transcript ended.