Bills: HB2140, HB2610, HB3121, HB3339

Keywords: maternal health, mortality review, health committee, obstetrics, public health, Medicaid, cancer treatment, healthcare reimbursement, physical therapy, dental services, protheses, compression garments, mortality, morbidity, doula services, disparities, Black women, maternal mortality, health disparities, socioeconomic status

Bills: HB1626, HB1643, HB1668, HB1550, HB1974, HB1858, HB1871, HB1966, HB1972, HB1973

Keywords: youth penalties, juvenile justice, community service, fees and fines, Native Hawaiian, Pacific Islander, reform, court costs, cultural connection, pharmacy, pharmacist, pharmacy audit, audit reform, pharmacy benefit manager, PBM, recoupment, extrapolation, claims audit, pharmacy reimbursement, dispensing fee

Summary: The committee heard testimony on SB 847, which would create a Kauai pilot program allowing qualified psychologists limited authority to prescribe psychotropic medications. The Board of Psychology supported the bill’s intent but asked for amendments to delay the effective date or extend the pilot so rules could be written first, and to clarify the education/training language. Supporters, including the Hawaii Psychological Association, Hawaii Mental Health Coalition, and several psychologists, argued that prescribing psychologists have long safety records in other jurisdictions and that the pilot could improve access to care on Kauai, especially amid ongoing mental health needs and storm-related stress. They cited studies and examples from New Mexico, Louisiana, the Department of Defense, and other places. Opponents, including the Hawaii Medical Association, American Academy of Pediatrics, Queen’s Medical Center, and a Department of Health representative, said the bill needed substantial work, raised concerns about training, liability, and workforce impacts, and urged a team-based model with psychiatrist oversight rather than independent prescribing. Some testimony also referenced a GAO report, with witnesses disagreeing over its meaning and cost-effectiveness. No vote was taken during the discussion, and members asked questions about how the bill would address the workforce shortage and whether a psychiatrist on Kauai could already meet the need. The committee then moved to SB 2271 on hospital licensing and SB 2272 on home health care licensing. The Department of Health, the Healthcare Association of Hawaii, and the Hawaii State Council on Developmental Disabilities supported both measures, which were described as streamlining and clarifying licensing oversight by relying on accreditation or certification reports. A member asked whether the bill language on hospital accreditation reports was duplicative, and the response was that the second provision was intended to strengthen enforcement by requiring hospitals to provide the actual report to DOH. The committee did not take final action in the portion of the hearing provided, and the chair noted that all bills on the agenda would later be considered for decision-making.

Bills: SB2421, SB2690, SB3103, SB3137, SB3164, SB3206, SB2933, SB3133, SB3315

Keywords: cannabis, marijuana, Hawaii Cannabis Law, legalization, decriminalization, adult use, hemp, taxation, social equity, public health, primary care, health insurance, health carrier, insurance commissioner, Med-QUEST, Medicaid managed care, provider reimbursement, downcoding, prior authorization, utilization review

Summary: The committee heard testimony on several health-related bills. HB 1864, which would require health insurance coverage for standard fertility preservation services for people undergoing medically necessary treatment, drew broad support from SHIPA, the Department of Health, HMSA, the Hawaii Association of Health Plans, and others. Testifiers emphasized that fertility preservation is routine coverage on the mainland and important for patients facing infertility from cancer or other treatment; one patient described incurring more than $20,000 in costs. The Insurance Division flagged possible Affordable Care Act issues, a potential conflict in the bill’s language about using patient history to determine limits, and a mismatch with state medical-necessity standards. Committee discussion also focused on whether the bill should apply to all women of childbearing age rather than a narrower age-based category. HB 2305 would require nutrition and metabolic education as part of physicians’ continuing medical education. The Hawaii Medical Board opposed the measure, arguing that CME should remain flexible and tailored to each physician’s specialty and warning that topic-specific mandates can expand over time. The Office of the Governor supported the bill, saying it would help the state’s rural health transformation application and could improve federal funding prospects, though the exact impact was unclear. Members questioned whether nutrition is already covered in medical training and whether the requirement should be limited to primary care physicians; the board said Hawaii currently has no topic-specific CME mandates and that physicians can already choose relevant courses. The committee also heard strong support for HB 1597, which would establish an Alzheimer’s disease research center at the University of Hawaii. Supporters from the university, the Alzheimer’s Association, AARP, and others said the center could attract federal research dollars, expand clinical trials, and help address the state’s high Alzheimer’s-related health costs. HB 2159, which appropriates funds for health care workforce development, also received broad support from the University of Hawaii, health systems, and advocacy groups, with no opposition noted. Finally, HB 2121, which would prohibit the sale and distribution of disposable electronic smoking devices, drew support from the Department of Health, youth advocates, and public health groups citing youth addiction, environmental waste, and fire hazards; the department said a separate bill, HB 1573, would be more comprehensive and better defined for enforcement and penalties. The committee ended with HB 1913, creating a veteran services mental health coordinator position at Tripler Army Medical Center, which was supported by veteran services officials and others who said veterans need better navigation and coordination for behavioral health care.

Transcript Highlights:

• I have practiced obstetrics and maternal fetal medicine in the state of Texas for over 40 years.

Bills: HB5141, HB4638, HB2264, HB2035, HB4813, HB4408, HB2684, HB1621, HB2300, HB216, HB3829, HB4466, HB1747, HB2284, HB3614, HB2587, HB3219, HB3318, HB5147, HB4014, HB216

Keywords: lease, state property, public purpose, Travis County, Health and Human Services, pharmaceutical initiative, drug distribution, healthcare services, generic drugs, advanced pharmaceuticals, cost savings, mental health, patient discharge, medical records, health care professionals, substance use, family involvement, chemical dependency, treatment facilities, minor admissions

Transcript Highlights:

• In 2024, the American Journal of Obstetrics and Gynaecology analyzed 13,777 late-term abortions between
• And this is the 2024 study from the American Journal of Obstetrics and Gynecology.
• The American Journal of Obstetrics and Gynecology analyzed 13,000— In 2024, the American Journal of Obstetrics
• Society for Reproductive Medicine, the American Society for Hematology, the Council of Chairs of Obstetrics
• and Gynecology, the Infectious Disease Society for Obstetrics and Gynecology, the National Association

Keywords: 959, house, all

Transcript Highlights:

• Next we have Hope of ACOG, American College of Obstetrics and Gynecology. Dr.
• Melara Bravo, representing the American College of Obstetrics and Gynecology.
• Next we have Hope of ACOG, American College of Obstetrics and Gynecology. Dr.
• Melara Bravo, representing the American College of Obstetrics and Gynecology.
• Um, representing the American College of Obstetrics and Gynecology.

Keywords: 912, senate, all

Summary: The Health and Human Services committee hearing opened with notice that the meeting was being streamed and could reconvene later if technical problems forced an abrupt end. The chair also announced a one-minute testimony limit and proceeded through several bills, taking mostly written and oral support testimony and asking limited questions. No votes were taken in the portion provided. HB 1626, relating to youth penalties, drew strong support from the Office of Hawaiian Affairs, youth advocates, the ACLU, the Department of Education, and others. Testifiers said financial sanctions on youth are ineffective, disproportionately burden Native Hawaiian youth, and function as poverty penalties; they urged replacing fines with community service, restorative practices, and ʻāina-based programs, and eliminating uncollectible legacy debt. The chair moved on after no member questions. HB 1643, relating to pharmacy, was discussed with support from the Hawaii Pharmacists Association, Kaiser, the Board of Pharmacy, independent pharmacies, and PBM representatives. Testimony focused on amendment language, audit procedures, HIPAA concerns, and the need for flexibility for small island pharmacies. HB 1668, relating to Medicaid, received broad support from disability advocates and the Department of Human Services; witnesses said CMS had already approved the underlying state plan amendment removing income and asset limits for certain workers with disabilities, but they wanted the protection codified in law to preserve it long term. The chair asked whether codification was necessary and was told it would not be harmful and would help ensure continuity if federal policy changed. The committee then heard HB 1550 on drug paraphernalia and syringe access, with support from Shipta and the Department of Health; testimony emphasized preserving flexibility for the statewide syringe access program to respond to emerging drugs like xylazine. HB 1974, relating to health, was presented as a planning measure for hearing loss; testifiers said Hawaii lacks a comprehensive hearing-loss plan and that the bill would fund a state planning process, not direct services. HB 1858 on vital statistics drew support from clinicians and medical organizations, who said better data on spontaneous fetal deaths is needed and that the term used in the bill is standard medical and CDC terminology. HB 1871 and HB 1966 also received support, with HB 1966’s EMS special fund prompting discussion about the cigarette-tax revenue source; the chair questioned the nexus to EMS, and the Department of Health said the revenue currently funds the special fund and there is no alternative funding stream.

Transcript Highlights:

• as gestational trophoblastic neoplasia, premature preterm rupture of membranes, and other common obstetrical
• <00:23:11.960> complications<00:23:12.960> uh uh common obstetrical complications uh
• uh common obstetrical complications uh again<00:23:13.440> have<00:23:13.679> nothing<
• <00:28:38.559> of<00:28:38.760> college<00:28:39.039> for<00:28:39.240> obstetrics
• Association of college for obstetrics Association of college for obstetrics and and and gynecologists

Keywords: Call to Order 00:00 Roll Call 16:20 HB 90 Discussion 17:00 HB 90 Vote 25:40 HB 398 Discussion 30:55 HB 398 Vote 38:52 HB 580 Discussion 40:10 HB 580 Vote 42:10 HB 87 Discussion 44:12 HB 87 Vote 44:54 HB 422 Discussion 46:00 HB 422 Vote 46:43 Adjournment 47:20, 958, all

Summary: The Senate Standing Committee on Licensing and Occupations met on March 12, 2025, after waiting for the Senate to adjourn so the committee could officially convene. The committee first took up House Bill 90, which concerned freestanding birthing centers and related medical language. Testimony from Representative Jason Nemes, Dr. Jeffrey Goldberg of ACOG Kentucky, and a representative from Kentucky Right to Life focused on clarifying what medical procedures are not abortions under Kentucky law, including miscarriage management, ectopic pregnancy, molar pregnancy, sepsis, hemorrhage, and stillbirth. Supporters said the committee substitute was intended to reduce confusion and barriers to care for physicians and patients, while Senator Armstrong and Senator Berg raised concerns about the late-arriving substitute, terminology, and whether the bill was being accurately described as supported by ACOG. The committee substitute and title amendment were adopted, and House Bill 90 passed with favorable expression. The committee then considered House Bill 398, relating to occupational safety and health. Representative Walker Thomas said the bill would prevent Kentucky from adopting or enforcing regulations stricter than federal OSHA standards, arguing it would create uniformity for businesses operating in multiple states while preserving worker safety. Senator Armstrong questioned what would happen if federal OSHA were eliminated and argued the bill could reduce Kentucky’s ability to address state-specific workplace hazards; Representative Thomas responded that Kentucky is a state-plan state and would retain the ability to act if needed, and that the measure was about administrative regulation rather than legislation. After a committee substitute was adopted, the bill passed 8-1, with Senator Armstrong voting no. House Bill 580, concerning alcohol and drug counselors and peer support specialists, was presented next. Representative Kim Moore and Elena Sweezy explained that the bill would add structure, training, and supervision requirements for peer support specialists, limit group settings to eight patients, shorten temporary peer support status to nine months, and require additional supervision hours so trainees can complete required training. The bill passed with favorable expression, with Senator Nemes voting no. House Bill 87, relating to employment and occupational licensing, followed; Representative Emily Callaway said it would reduce barriers for people with felony records and help “second chance” citizens enter the workforce. Several senators supported the goal but Senator McDaniel noted caution about substance-use billing and oversight, and the bill passed with favorable expression. Finally, House Bill 422, relating to administrative regulations, was described by Representative Derrick Lewis as a streamlining measure that would reduce paperwork and simplify the regulatory process. It also passed with favorable expression, and the committee then adjourned.

Transcript Highlights:

• management strategies program obstetrics management strategies program which<00:31:08.639> funds<
• <00:31:37.720> care in expanding Regional obstetric care in expanding Regional obstetric care
• close off their obstetric close off their obstetric uh<01:02:57.440> Services uh Services
• So it could be maternal conditions, obstetric or pregnancy complication, fetal anomaly, fetal injury,
• <01:32:52.119> or maternal conditions um obstetric or maternal conditions um obstetric or

Keywords: 1187, senate, all

Transcript Highlights:

• Now I will tell you our commitment to rural obstetrics is very strong.
• Now I will tell you our commitment to rural obstetrics is very strong.
• Now I will tell you our commitment to rural obstetrics is very strong.
• Now I will tell you our commitment to rural obstetrics is very strong.
• Now I will tell you our commitment to rural obstetrics is very strong.

Keywords: 1183, house

Summary: The Health Finance and Policy Committee heard testimony from the Minnesota Hospital Association and several hospital leaders about the financial strain facing hospitals across Minnesota. The association’s CEO said hospitals are essential 24/7 safety-net providers, but rising labor, supply, technology, and drug costs are outpacing reimbursement from Medicaid, Medicare, and commercial payers. He warned that many not-for-profit hospitals are struggling, that workforce shortages remain significant, and that the committee should consider help on Medicaid rates, discharge/boarding problems, mental health services, workforce development, protecting the 340B drug discount program, and avoiding new mandates that add costs. Relle Schultz of Winona Health described a community hospital with a 49-bed facility and long-term care services that has faced years of losses, including a $17 million loss in 2023 and $12 million in losses the following year. She said government payers now make up about 65% of the hospital’s mix, and each 1% increase in that mix costs about $1 million. She highlighted the difficulty of sustaining services such as dialysis, which was nearly closed until a local donor provided $3 million to keep it open for three years, and she emphasized the importance of 340B savings and the need for higher Medicaid payments. Carrie Mulski of Riverview Health in Crookston said critical access hospitals are also under pressure despite their federal designation. She explained that federal support has eroded, that Medicaid and other public programs do not cover full costs, and that her hospital’s 340B savings help keep the doors open. She said Riverview opened a new hospital in 2020 but was hit by the pandemic and inflation, leading to annual losses of $5 million to $6 million and a negative operating margin of 9% to 10%. She also described bond covenant problems, low cash on hand, the prior closure of the nursing home, and the need for rapid state action to stabilize rural hospitals and preserve access to care.

Transcript Highlights:

• Over the past several years, we've seen a steady loss of obstetric services across Minnesota and across
• care in rural Minnesota and obstetrical care in rural Minnesota and why<00:12:43.440> this<00
• steady loss of obstetric services across Minnesota<00:13:00.800> and<00:13:01.040> across<
• <00:13:57.279> That's<00:13:57.519> the providing obstetric services.
• That's the providing obstetric services.

Keywords: 1187, senate, all

Transcript Highlights:

• public announcement yesterday that Methuen is planning to close their birthing hospital or inpatient obstetric
• Additionally, how obstetric care has been reimbursed for the last many decades is changing as of January
• knowing that the majority of care is MassHealth or Medicaid funded across the state—40% plus of obstetric
• mind, and that is when you look at, you know, around what 11 or 12 birthing centers and inpatient obstetrics
• match, and this has been the case for years now, there are way more students that want to go into obstetrics

Keywords: 995, all

Summary: The commission met to reopen its work for the year, with roll call and attendance confirmations followed by remarks from the co-chairs and members. Senator Liz Miranda stepped down as co-chair, citing multiple responsibilities and personal losses, and Senator Adam Gomez was welcomed as the new Senate co-chair. Gomez said he would listen and learn from commissioners and advocates, and both outgoing and incoming leaders emphasized continuing the commission’s work on maternal health, postpartum depression, and equity. Members discussed several current policy and implementation issues. The Department of Public Health reported a new regulation to implement the 2024 midwifery access law, including temporary licenses for licensed certified professional midwives. Commissioners also raised concerns about birthing hospital and inpatient obstetric unit closures, OB-GYN workforce shortages, reimbursement changes, and the need to expand midwifery, doula, and birth center capacity. Other topics included substance use and perinatal mental health supports, the limited $220,000 appropriation for community-based perinatal mental health organizations, and the need for stronger funding in the budget to implement the maternal health law. The commission also focused on future priorities and information sharing. Members suggested more presentations from clinicians, regulators, infant and early childhood mental health experts, and PSI of Massachusetts; greater attention to parent-child relational health and postpartum screening in pediatric settings; and possible commission action such as a letter to the governor on workforce and access issues. The group agreed that there was not enough time to plan a May event and instead would use the commission to publicize related events, including Black Maternal Health Week activities. Commissioners voted to create a biweekly digest for sharing updates, with urgent items to be sent by email, and then adjourned the meeting.

Transcript Highlights:

• So, we're there for emergency care, obstetrics, C-sections, um, surgery, inpatient care, primary care
• ,<00:10:22.079> C-sections,<00:10:23.200> um care, obstetrics, C-sections, um care,
• obstetrics, C-sections, um surgery,<00:10:23.920> inpatient<00:10:24.480> care,<00:10:
• 340B or these discounts, if you will, when we look at that, that more than covers the loss in our obstetrics
• , surgical services, obstetrics, surgical services, obstetrics, ambulance,<00:18:53.679> oncology

Keywords: 919, house, all

Summary: House File 369 was the main topic, with House authors Rep. Natalie Zeleznikar, Rep. Robert Bierman, and Rep. Dave Baker arguing that the bill would give Minnesota’s 2024 340B law “teeth” by enforcing protections for nonprofit and rural hospitals’ access to the federal drug pricing program. They said the measure costs the state nothing, aligns with similar laws in more than 20 other states, and is needed before adjournment to help hospitals close funding gaps, support services like emergency care, obstetrics, behavioral health, and pharmacy access, and preserve care in remote communities. Several hospital leaders from across greater Minnesota testified that 340B revenue helps keep their facilities viable and that losing it would threaten services and, in some cases, hospital survival. Witnesses described severe financial pressure on rural hospitals, including reimbursement cuts, workforce shortages, inflation, and rising drug costs. Leaders from United Hospital District in Blue Earth, Lakewood Health System in Staples, Ely-Bloomenson Community Hospital, Northshore Health in Grand Marais, Community Memorial Hospital in Cloquet, and Cuyuna Regional Medical Center in Crosby said their hospitals serve as safety-net providers and often operate with thin or negative margins. They emphasized long travel times to other hospitals, seasonal tourism pressures in some areas, and the importance of local emergency, ambulance, inpatient, and specialty services. The Minnesota Hospital Association president also criticized pharmaceutical company messaging and said nonprofit hospitals are working around the clock to maintain access. In response to questions, Zeleznikar said she had considered other enforcement approaches but now supported using the original Senate-passed bill, citing concerns about fraud and the difficulty of alternative enforcement mechanisms. She and hospital leaders distinguished this bill from a separate hospital stabilization-grant proposal, saying both are needed but serve different purposes. No vote was taken at the meeting, and the speakers repeatedly urged House leadership to bring the bill to the floor before session ends.

Transcript Highlights:

• <00:15:35.600> services have seen closures of obstetric services have seen closures of obstetric
• <00:24:24.880> skills center, building rural obstetric skills center, building rural obstetric
• An important example of this trend is in obstetrics.
• We've heard a trend is in obstetrics.
• obstetric unit. obstetric unit.

Keywords: 918, senate, all

Summary: The Select Subcommittee first took up adoption of three previously prepared nonpartisan committee summary reports dated October 15, November 13, and November 21. Senator Rasmusson objected to the lack of advance notice about the day’s testifiers and criticized the practice of having nonpartisan staff summarize what he described as a partisan agenda. The chair responded that the committee’s purpose is to gather information, not hear bills, and that the summaries were intended as neutral resources for the Senate. Senator Coopek moved adoption, the motion was opposed by Rasmusson and another member, and the motion passed. The committee then turned to the day’s hearing on federal impacts on Minnesota, with the chair focusing on federal funding threats and the effect of congressional budget actions on health care, especially in greater Minnesota. The first presentation came from the Minnesota Department of Health on the state’s rural health transformation work. Assistant Commissioner Carol Broom introduced the team and described the rural hospital transformation program as a major opportunity to invest in rural health, while acknowledging longstanding challenges such as demographics, transportation barriers, and the financing of care. Nitha Moibi outlined the state’s rural health chart book and data showing an aging population, workforce shortages, and many health professional shortage areas, and described proposed strategies including workforce pipelines, bridge payments for low-volume birth hospitals, telehealth access points, mental health urgent care, and chronic disease prevention. Acting Assistant Commissioner Anna Ashby of the Minnesota Management and Budget office explained the state’s application to CMS for the Rural Health Transformation Program, which was created in federal law and awarded Minnesota just over $193 million for federal fiscal year 2026. She said the application was shaped by public comments, stakeholder meetings, and legislative outreach, and included initiatives on preventive care, workforce, care access, behavioral health, and provider financial stability. She also reviewed implementation constraints, including a January 30 revised budget deadline, limits on administrative spending, restrictions on using funds to offset Medicaid losses, and the need to show measurable progress to remain eligible for future funding. The presentation noted that most year-one funding would go to rural hospitals, with additional support for federally qualified health centers, community mental health centers, tribal partners, and technical assistance.

Transcript Highlights:

• top two things in the state that we would say are lacking in the healthcare community, and it's obstetric
• But the top two are going to be obstetrics and psychiatric services.
• That's why I filed this bill to say if somebody wants to offer obstetric services, they can... ...services

Keywords: 923, senate, all

Transcript Highlights:

• increasingly difficult for health care providers, particularly those practicing in key specialties like obstetrics
• Department of Health, 742 of the state's physicians reported they were planning to discontinue obstetrical
• in the next two years. 742 of the state's physicians reported they were planning to discontinue obstetrical
• When asked why they were planning to discontinue medical obstetrical care, 280, or 37 percent, offered
• highest medical malpractice premiums in the nation, particularly in high-risk specialties such as obstetrics

Summary: The Judiciary Committee met to consider HB 6003, a bill to repeal Florida’s “free kill” law that limits certain survivors’ ability to recover non-economic damages in medical negligence wrongful death cases. The sponsor, Rep. Trabulsy, said the bill would restore access to the courts for a small class of families and noted the measure passed both chambers last year before being vetoed by the governor. She and supporters framed the bill as a fairness and constitutional issue, while opponents argued repeal would increase malpractice exposure, insurance costs, and pressure on physician access, especially in high-risk specialties and rural areas. Public testimony was sharply divided. Supporters included family members who described deaths they said were caused by medical negligence and who argued the current law denies accountability and equal treatment based on marital status or whether a decedent had minor children. Opponents included the Florida Hospital Association, Florida Medical Association, Florida Chamber, U.S. Chamber, Florida Insurance Council, and other health care and business groups, who warned that repeal could worsen already high malpractice premiums, contribute to physician shortages, and destabilize access to care. Several speakers on both sides discussed possible caps on non-economic damages as a compromise, though the bill itself was presented as a clean repealer with no amendments. During debate, several members spoke in support, emphasizing equal access to the courts and rejecting the idea that the law should treat some families differently from others. Opponents of the bill argued that the current system helps preserve market stability and that liability concerns, not the free kill law, are driving provider departures. After closing remarks from the sponsor, the committee voted 15 yeas and 1 nay to report HB 6003 favorably.

Transcript Highlights:

• Hawaiʻi in support, Democratic Party of Hawaiʻi Education Caucus in support, American College of Obstetrics
• Next, we have again American College of Obstetrics and Gynecology in support, Hawaii Christian Coalition
• <00:02:02.079> and American College of Obstetrics and American College of Obstetrics and Gynecology
• > and<00:02:31.840> Gynecology<00:02:32.840> and<00:02:33.000> support Obstetrics
• and Gynecology and support Obstetrics and Gynecology and support Hawaii<00:02:34.239> Christian

Keywords: 912, senate, all

Summary: The committee heard testimony on a long calendar of health-related measures, beginning with SB 297, a proposed constitutional amendment to protect reproductive freedom. Supporters included medical, labor, and advocacy groups, while opponents, including Hawaii Family Forum and Hawaii Christian Coalition, argued the term “reproductive freedom” was too vague and could be misunderstood. Testimony on SB 350, a similar constitutional amendment protecting contraception, also drew strong support from medical and advocacy groups and opposition from religious organizations; one witness said the measure was especially important to protect reproductive care and contraception. Several bills focused on health system administration and public health. SB 1438 on home care agencies, SB 1439 on nuisances, SB 1441 on transferring the AAHU regional health care system to the Department of Health, SB 1442 on children’s mental health services, SB 1443 on the Department of Health, SB 1444 on general excise tax, and SB 1445 on youth mental health all received mostly supportive testimony from state agencies and community organizations. On SB 1445, the Hawaii State LGBTQ Commission asked that LGBTQI+ and Native Hawaiian youth be specifically considered in mental health services. SB 1450, creating an intensive mobile team pilot for houseless individuals with serious brain disorders, drew support from state agencies and providers; a street medicine advocate said the pilot could help address sustainability, insurance, and service delivery on the streets. The committee also heard testimony on access and workforce measures, including SB 1596 on nursing, SB 1565 on acupuncture, SB 1564 on Medicaid, SB 1418 for an emergency DHS appropriation, SB 1417 on crimes against protective services workers, SB 1411 on Medicaid third-party liability, SB 1399 on a family resilience pilot program, SB 1398 on trauma-informed care, SB 1281 on telehealth, and SB 1279 on telepharmacy. Most of these measures drew broad support from agencies, provider groups, and advocacy organizations. On SB 1281, HMSA opposed the bill as written, warning about audio-only telehealth and federal rule changes, while other health groups supported it as important for rural, kupuna, and disabled residents. On SB 1417, a Honolulu Police Department captain supported stronger protections for DHS workers but could not provide complaint data and said he would follow up later. The hearing ended with the chair noting quorum and asking whether the committee was ready for decision making; no votes or final actions were recorded in the transcript.

Transcript Highlights:

• Um, as of 2024, one in every 25 obstetric units has closed its doors.
• obstetric emergencies. Thank you. obstetric emergencies. Thank you.
• You know nothing about obstetrics. You know nothing about this complication.
• You know nothing about obstetrics. obstetrics. obstetrics.
• <04:07:00.000> and actually practicing in obstetrics and actually practicing in obstetrics

Keywords: 1189, house, all

Transcript Highlights:

• These drugs used in obstetrical non-abortion related management should not be considered differently
• Access to Misoprostol for use is in our obstetrical hemorrhage carts in all major hospitals. provide
• obstetrical care, high-risk obstetrical care.
• Obstetrical hemorrhages. Oh, okay.
• Family medicine, obstetrics in the early part of my career, then I've been in many years of the ER.

Bills: SB10, SB16, SB6, SB 6, SB 10, SB 16

Keywords: trafficking, prostitution, affirmative defense, victims, criminal justice reform, victim rights, criminal justice, judicial reform, court procedures, mental health services, criminal penalties, court security, SB 6, Woman and Child Protection Act, abortion, abortion-inducing drugs, medication abortion, mifepristone, misoprostol, pro-life

Transcript Highlights:

• We had our obstetrics pay-for-performance, and we did fee-for-service payments.
• First is that our frontline obstetric providers are very skilled physicians, but they're not trained
• So, as I mentioned earlier, this is not just for obstetric providers, but any...
• So, as I mentioned earlier, this is not just for obstetric providers, but any frontline provider who

Keywords: 962, all

Summary: The meeting focused on maternal health and behavioral health services for pregnant and postpartum people in Connecticut. Dr. Fatmata Williams of DSS gave an update on the Husky maternity payment bundle, explaining that it was created in response to worsening maternal and neonatal outcomes and racial disparities. She said the bundle, launched in 2025, shifts payment away from fee-for-service toward prospective case rates, quality measures, and shared savings, while covering services such as doulas and maintaining access to behavioral health and other non-pregnancy-related care outside the bundle. She noted 26 maternity practices are participating, quarterly quality reports have been distributed, reconciliation is planned for 2026, and DSS is considering refinements such as adding newborns, revisiting shared losses, and possibly expanding to FQHCs after further stakeholder review. Shelly Nolan of DMHAS then described the state’s women’s services and recovery continuum, including pregnant and parenting treatment programs, women’s recovery support programs, community transition support with rent subsidies, the Proud program, REACH navigation, recovery houses, and outpatient services. She emphasized that many programs are under capacity and that DMHAS uses a no-wrong-door approach, real-time bed availability, technical assistance, and training to improve access. She also reviewed initiatives tied to substance-exposed pregnancies and safe sleep, secure storage, naloxone distribution, reproductive health integration, breastfeeding support, and upcoming conferences and trainings. She said the department works closely with DCF and community partners to reduce stigma and improve family-centered care. Beth Garrigan presented on the Access Mental Health and Substance Use for Moms program, a statewide consultation service for providers serving pregnant and postpartum individuals up to 12 months after delivery. She said the program offers real-time psychiatric consultation, referral support, and one-time face-to-face assessments, and has provided more than 4,300 consultations and resource/referral support to over 700 individuals since 2022. Members and legislators praised the service and discussed how it helps providers connect patients to care, follow up on referrals, and address barriers such as fit, stigma, and workflow. No votes were taken; the meeting ended with plans for the next meeting on June 8 and a request for Dr. Williams’ slides to be posted online.

Transcript Highlights:

• And obstetric care is, obviously, among all kinds of health care, complicated, stressful, traumatic,
• And obstetric care is, obviously, among all kinds of health care, complicated, stressful, traumatic,
• This is going to discourage physicians from continuing to practice obstetrical care.
• And the sad reality of this bill, the very people who need this obstetrical care the most in Florida
• I just don't think that's a good thing for Florida's obstetrical care. So thank you very much.

Summary: The Judiciary Committee took up two bills. SB 98, by Senator Harrell, would let self-storage facilities advertise lien sales either in a newspaper or on a qualifying website, while keeping other notice requirements in place and updating contact information provisions. Supporters, including the Florida Press Association and several newspaper/storage owners, argued print and digital newspaper notices already provide broad public notice and that the bill could reduce notice effectiveness; the sponsor said the bill is an optional modernization and does not affect government notices. After debate, the committee voted 8-1 to report SB 98 favorably. The committee then heard SB 164, by Senator Grall, which expands Florida’s Wrongful Death Act to allow parents to recover civil damages for the death of an unborn child at any stage of development, with carve-outs for the mother and lawful medical care. The sponsor said the bill aligns civil law with Florida’s criminal protections for unborn children and gives families a remedy where current law may not. Opponents, including the ACLU of Florida, health care workers, and others, warned it could invite lawsuits against doctors, hospitals, friends, family members, and people involved in abortion access, and could worsen OB-GYN shortages and deter care. Supporters said it recognizes unborn life and should be treated consistently with existing wrongful death law. The committee approved SB 164 on a 4-3 vote and then adjourned.