Transcript Highlights:

• We're attempting to broker patients... This is not a widespread issue.
• We're attempting to broker patients, not because it's in the best interest of the patient.
• are licensed brokers or navigators, so they're acting in a fiduciary responsibility to that patient.
• This bill does not limit a broker or advisor from saying to that patient, 'Hey, this is the best plan
• So the patient brokering that you just mentioned is something that we had a meeting about about a year

Bills: HB2408, HB2434, HB2725, HB2728, HB2729, HB2730, HB2731, HB2732, HB2733, SB1192, SB1398, SB1399, SB1494, SB1557, SB1813, SB1821

Keywords: nursing board, regulatory actions, disciplinary actions, expungement, healthcare professionalism, controlled substances, prescription monitoring, opioid crisis, healthcare regulations, patient safety, prescription drugs, opioids, healthcare, pain management, utilization controls, AHCCCS, Department of Economic Security, social services, welfare programs, vocational rehabilitation

Transcript Highlights:

• It creates the crime of fraudulent patient referrals, or body brokering.
• Body brokers make money by sending unsuspecting vulnerable patients to mental health or drug treatment
• for the patient.
• The brokers can make thousands of dollars per patient for these referrals.
• Again, it's one of those that I think serves the patient. It puts the patient first.

Bills: HB343, HB378, HB394, HB396, HB426, HB439, HB491, HB523, HB622, HB676, HB772, HB1025, HB1038

Keywords: parole eligibility, juvenile offenders, rehabilitation, first-time offenders, reentry programs, substance abuse treatment, education programs, emergency responders, law enforcement, obstructing traffic, public safety, penalties, parole, criminal justice, release extension, prison reform, autopsy, criminal evidence, photographs, court proceedings

Transcript Highlights:

• patient brokering.
• I’ve got three of you guys who have been experiencing what patient brokering is, so we’ll do these three
• This is why this patient brokering bill is long overdue.
• Patient brokering is very real.
• And it is known as patient brokering.

Bills: SB1051, SB1114, SB1115, SB1122, SB1132, SB1162, SB1169, SB1171, SB1172, SB1173, SB1174, SB1175, SB1179, SB1188, SB1233, SB1236, SB1242, SB1316, SB1368

Keywords: SB1051, Arizona hospitals, immigration status, patient intake, admission forms, registration forms, health care reporting, uncompensated care, emergency department, lawfully present, undocumented immigrants, noncitizen patients, hospital funding, Arizona Department of Health Services, ADHS, border security, health care institutions, patient privacy, medical access, immigration policy

Transcript Highlights:

• And we call this patient brokering.
• brokering, the patient brokers, so that they can be held accountable when they are caught in doing this
• The county attorney would oversee patient brokering for the entire state. Any questions?
• ...to oversee patient brokering for the entire state. Any questions? Thank you.
• And that is patient brokering that is legal and is absolutely abhorrent and we do not want that here.

Bills: SB1072, SB1111, SB1114, SB1116, SB1122, SB1179, SB1250, SB1308, SB1455, SB1456, SB1457, SB1487, SB1547, SB1549, SB1551, SB1552

Keywords: reimbursement rates, intellectual disabilities, community services, economic security, funding appropriations, automated license plate readers, law enforcement, privacy, data access, public records, behavioral health, patient brokering, appropriation, state funds, Maricopa County, claims review, medical necessity, American Indian health program, healthcare regulations, healthcare

Transcript Highlights:

• And so no one's been held accountable at this point for doing what we call patient brokering.
• This will be the first time that we are even going after patient brokers.
• And so we thought that this would help go after and stop the patient brokering from happening.
• The county attorney will receive the entire state and investigate the entire state for patient brokers
• And we have to bring these patient brokers and hold them accountable and put them in jail or wherever

Bills: SB1095, SB1114, SB1116, SB1162, SB1164, SB1178, SB1179, SB1249, SB1253, SB1346, SB1347, SB1446, SB1561, SB1813

Keywords: gender transition, minors, irreversible surgery, health professionals, puberty-blocking drugs, medical procedures, prohibition, Arizona Revised Statutes, behavioral health, patient brokering, appropriation, state funds, Maricopa County, claims review, medical necessity, American Indian health program, healthcare regulations, healthcare compliance, behavioral health technicians, licensing

Transcript Highlights:

• Having run a practice that's treated thousands and thousands of patients, we have over 70,000 patients
• Does this people do, do patients, how do you get your patients? ...if that's what's happening here.
• Does people do, do patients, how do you get your patients and how are these women, are these women paid
• This is about patient health.
• If I were to know the state and county of residence, the age of the patient, and the date that patient

Bills: SB1014, SB1094, SB1146, SB1177, SB1192, SB1194, SB1214, SB1372, SB1390, SB1398, SB1399, SB1494, SB1557, SB1561, SB1564, SB1602, SB1603, SB1621, SB1628, SB1629, SB1713, SB1752, SB1776, SB1813, SB1814, SB1821

Keywords: gender transition, gender detransition, health insurance, medical procedures, insurance claims, official documents, Arizona law, gender reassignment, civil liability, minors, medical consent, detransition, dependent children, foster care, periodic review, court hearings, child welfare, public funds, prohibition, Arizona legislation

Transcript Highlights:

• One network alone extracted $15 million from vulnerable patients in just three months.
• Listening to patients and studying trends is absolutely a goal worthy of our time.

Bills: HB25

Keywords: ivermectin, pharmacist authority, prescription-free, healthcare regulation, patient access

Transcript Highlights:

• And not only did the money go out, but the bigger concern is the exploitation of the patient brokers
• This again was a bill that we worked on with stakeholders, and it was to address the patient brokering
• Senate Bill 1494 strengthens Arizona's unlawful patient brokering laws to crack down on schemes where
• This is a woman who experienced patient brokering herself, and it's important that we have her testimony
• This is a woman who experienced patient brokering herself, and it's important that we have her testimony

Bills: SB1052, SB1115, SB1118, SB1120, SB1121, SB1124, SB1171, SB1172, SB1174, SB1175, SB1214, SB1233, SB1235, SB1316, SB1345, SB1372, SB1399, SB1458, SB1494, SB1496, SB1564, SB1602, SB1621, SB1628, SB1630, SB1631, SB1668, SB1672, SB1814, SB1821

Keywords: assisted living, health care, hyperbaric oxygen therapy, physician orders, informed consent, AHCCCS, remote work, state agency, employment, public health, housing, zoning, middle housing, urban development, duplexes, triplexes, fourplexes, townhomes, historic preservation, radiation protection

Transcript Highlights:

• Unfortunately, the cost of lessons prevents many of the patients we serve in Central Florida from accessing
• Nurses are frontline workers and have the ability to really assess and treat and help direct a patient
• The bill deletes the phrases limiting patient advances for examinations or treatments to amounts that
• Patient protections are unchanged, and we're giving patients and doctors the freedom to make their care
• Martinez: And we're giving patients and doctors the freedom to make their care a priority based on the

Bills: S0428, S0606, S0192, S0162, S0340

Keywords: drowning prevention, water safety, swimming lessons, swim vouchers, child drowning, infant safety, toddler safety, pool safety, bath safety, safe bathing practices, postpartum education, newborn care, childbirth education, birth centers, home birth providers, Department of Health, public health, water competency, swim instruction, infant supervision

Summary: The Senate Health Policy Committee met with a quorum and took up several health-related bills, with a strong focus on drowning prevention and patient safety. SB 428 by Senator Yarborough would expand Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7. Supporters, including a pediatric emergency physician and YMCA leadership, cited Florida’s high child drowning rates and argued that swim lessons reduce risk and should be available to more children. Senator Harrell noted the need to consider increasing the program’s funding as eligibility expands. The bill was reported favorably. The committee also heard SB 606 by Senator Smith, which adds drowning prevention and safe bathing education to postpartum materials provided by hospitals, birthing centers, and, after amendment, no longer home birth providers. A parent who lost a child to drowning testified in support, and senators emphasized the preventability of such deaths. The bill, as amended, was reported favorably as a committee substitute. SB 340 by Senator Harrell would require nursing students to complete a two-hour human trafficking course before licensure; after a strike-all amendment shifted the requirement from nursing programs to the students themselves, the bill received support from advocates and was reported favorably as a committee substitute. The committee also considered SB 162 by Senator Davis, which would require hospitals and ambulatory surgical centers to adopt policies for using smoke evacuation systems during procedures that generate surgical smoke. The sponsor said the equipment is relatively inexpensive and already common in many facilities, while opponents and some senators questioned the medical evidence, enforcement, and possible impacts on rural and smaller facilities. Despite those concerns, the bill was reported favorably, with some members voting no. SB 192, presented by Senator Trumbull on behalf of Senator Martin, would remove the $1,500 cap on advances chiropractic physicians may collect for examinations or treatment; the Florida Chiropractic Society supported the change as pro-small-business, and the bill was reported favorably. The committee also received an OPAGA presentation comparing Florida’s health care practitioner regulation system with other states, focusing on board autonomy, rulemaking oversight, board composition, appointments, term limits, and funding mechanisms.

Transcript Highlights:

• Page 2 covers the administration of prescriptions, counseling, and assessing the patient. >> Yes.
• </c><00:03:10.319><c> Page</c><00:03:10.720><c> three</c> patient safety and services.
• Page three patient safety and services.
• In the new language on page two, lines 13 through 15, where they're assessing patient for purposes of
• </c><00:07:56.560><c> for</c> [clears throat] assessing patient for [clears throat] assessing patient

Bills: SF0121

Keywords: pharmacy, collaborative care, healthcare, prescriptions, patient safety, Wyoming Pharmacy Act, 916, all

Transcript Highlights:

• influencers get paid to promote it through discount codes and sponsorships, exploiting vulnerable patients
• Listening to patients and studying trends is absolutely a goal worthy of our time.

Bills: HB25

Keywords: ivermectin, pharmacist authority, prescription-free, healthcare regulation, patient access, 1185, senate, all

Transcript Highlights:

• failure of medicine, it is the success of a system built to benefit big industry at the expense of patient
• That Texas patients have real choices and that the future of healthcare in Texas is built around people
• As physicians, we see firsthand how our patients' health is impacted by their diet and activity.
• Um, I particularly, I see patients all across the spectrum from obesity to eating disorders. Um.
• This knowledge gap is not just academic, it impacts patient outcomes.

Bills: HB25, HB38

Keywords: ivermectin, pharmacist authority, prescription-free, healthcare regulation, patient access, interest rate, ad valorem taxes, homesteads, property tax, tax deferral

Transcript Highlights:

• </c><00:38:35.120><c> That</c> care plan focused on one patient.
• That care plan focused on one patient.
• Integrated care models are nationally recognized best practice for addressing complex patient needs.
• Integrated care models are nationally recognized best practice for addressing complex patient needs.
• Integrated care models are nationally recognized best practice for addressing complex patient needs.

Bills: HCR18, HCR32, HCR35, HCR105, HCR173

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

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

Transcript Highlights:

• And that means that those patients are not getting care.
• So if a patient is waiting for a year, that truly...
• information or patient access.
• information or patient access.
• But they were also intimidating our patients by parking right outside of the hospitals, and patients

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

Transcript Highlights:

• They already care for the patients.
• adult patients vary from hospital or state.
• We’re not required to have them for adult patients.
• Senate Bill 320 includes strong patient safety guardrails.
• Many of our patients and residents have multiple treatment episodes.

Bills: SB274, SB301, SB249

Keywords: healthcare, life-sustaining treatment, patient preferences, POLST, advance directive, medical orders, hospital discharge, pregnancy, patient care, discharge planning, healthcare policy, substance use, harm reduction, syringe services, needle exchange, overdose prevention, naloxone, opioid antagonist, drug paraphernalia, syringe

Summary: The committee heard and advanced several measures related to health care, public health, and patient protections. House Concurrent Resolution 148, urging a statewide educational strategy on menopause, was presented as a workplace awareness measure and received supportive comments from members before being released. Senate Bill 274, updating Delaware’s MOST program to POLST and clarifying capacity determinations and documentation for end-of-life orders, also drew supportive testimony from medical and nursing groups and was released. House Bill 458, limiting local backflow preventer requirements for certain low-hazard buildings, was presented as a cost-relief measure for homeowners and small businesses; DHSS expressed concerns but said it was willing to work on amendments and a sunset provision, and the bill was released. Senate Joint Resolution 18, designating August 31, 2026 as International Overdose Awareness Day and ordering flags at half-staff, was released after brief supportive remarks. The committee then considered Senate Bill 339, a technical correction to the advance health care directive form clarifying that an agent’s authority for voluntary mental health admission cannot exceed 72 hours, consistent with existing law. Members asked detailed questions about how the 72-hour limit works and whether it applies to voluntary directives; the sponsor and a Disability Rights Delaware witness explained that the bill only aligns the form with current statute and does not expand authority. The bill was released. House Bill 301, requiring hospitals to create discharge plans for pregnant patients discharged while showing signs of labor, prompted extensive discussion. The sponsor and supporters said it would improve safety, transportation planning, and aftercare, while some members noted Delaware hospitals already do much of this work and questioned whether codifying it was necessary; supporters emphasized maternal mortality disparities and the need for guardrails. The bill was released. Senate Bill 196, creating ownership disclosure requirements for long-term care facilities and resident notice rules after ownership transfers, was presented as a transparency measure for seniors and families and was released after supportive testimony from the Delaware Nurses Association and elder-care advocates. Senate Bill 320, expanding pharmacists’ independent prescriptive authority for certain non-controlled medications and allowing opioid use disorder medications under standing order, with added malpractice reporting requirements in Senate Amendment 2, was supported by pharmacists and nurse practitioners as an access-to-care measure and was released. Senate Substitute 1 for Senate Bill 161, establishing a unified licensing and oversight framework for adult behavioral health providers under DSAM, was presented as a patient-protection measure; providers supported the goal but cautioned that regulations must be workable, and the substitute was released. Senate Joint Resolution 19, directing DHSS to study strategies to reduce health care costs, was released with a note reflecting concerns about broadening the analysis to include additional cost drivers and alternatives. Finally, Senate Bill 249 with Senate Amendment 2, modernizing harm-reduction programs and paraphernalia laws, generated the most extended debate: supporters framed it as life-saving public health policy, while opponents raised concerns about needle litter, community impacts, and whether the approach facilitates addiction. Despite the objections, the bill was released.

Transcript Highlights:

• think, to highlight here is that whether it be an APRN or a physician, they have a bona fide provider-patient
• So what happens before that point is between the provider and the patient and the family.

Bills: SB2211, SB2025, SB2038, SB2050, SB2051, SB2090

Keywords: emergency funding, food assistance, healthcare, federal shutdown, Hawaii, DHS, jury duty, advanced practice registered nurses, physician assistants, exemption, patient care, financial hardship, medication abortion, anonymous prescription, pregnancy rights, healthcare privacy, pharmacy regulations, chiropractic education, clinical training, student supervision

Summary: The House Committee on Health held its first hearing of the session and opened with housekeeping notes, introductions of members, and an explanation that the agenda would be taken out of order to accommodate a sign language interpreter. The committee first heard HB 469, relating to parking for disabled persons. Testimony from the Disability and Communications Access Board and the State Council on Developmental Disabilities supported the bill, explaining that a travel placard would help people with disabilities who must travel interisland or to the mainland for medical care. Members asked about emergency travel, misuse prevention, and how to distinguish the travel placard from existing disabled parking placards; witnesses said the bill would need to be tied to administrative rules, and agreed the placard should clearly show an expiration date and likely be a different color. No vote was taken. The committee then heard HB 218, relating to hospital surgical smoke. The Department of Health supported the measure, and the Healthcare Association of Hawaii supported it with amendments, saying hospitals already follow existing standards but that any new policy should account for different procedures and provider safety. A committee member questioned the proposed amendment language and whether it was too flexible; the witness explained the intent was to allow case-by-case application because some procedures generate only brief exposure. Members also asked what surgical smoke is, and the witness explained it is produced when electrical or cauterizing tools are used on tissue and creates vapor or fumes. The bill remained under discussion with no final action reported. The committee next took up HB 814, which would fund a public information campaign and related services on cannabis use among youth. The Department of the Attorney General said the bill should be amended to clarify whether the funding would be used for contracts or grants and to include proper grant standards if grants are intended. The Department of Health supported the bill and said the funds would expand prevention, treatment, recovery, and public education efforts, including social media outreach, PSAs, and school-based youth services. Multiple organizations and individuals testified in support, emphasizing the harms of youth cannabis use and the need for prevention and treatment resources. Members asked what the department currently does, whether it is fulfilling existing law on science-based cannabis information, and what kinds of treatment would be provided; the department said services would mainly be intensive outpatient, outpatient, counseling, and related youth-focused supports. No vote was taken during the hearing.

Transcript Highlights:

• </c> consent wasn't um granted by the patient consent wasn't um granted by the patient and<00:12:14.079
• </c> and so I'm hearing that from patients and so I'm hearing that from patients but<00:12:16.880><c>
• </c><00:16:19.839><c> could</c> as this bill is written a patient could as this bill is written a patient
• </c> thing even if it would help the patient thing even if it would help the patient because<00:18:38.280
• </c><00:20:18.080><c> is</c> uh before you know it a patient is uh before you know it a patient is doubled

Bills: HF2371, HF2147, HF2557, HF1165, HF2466, HF2465, HF2482

Keywords: informed consent, sensitive examinations, healthcare, patient rights, anesthesia, hot water pools, rental properties, public health, safety regulations, Minnesota Statutes, health care access, hospital surcharge, fund allocation, medical assistance, health funding, health care, education, bonding capacity, financing, Minnesota Higher Education Facilities Authority

Transcript Highlights:

• Alabama patients who have already waited too long.
• More passing this bill means prolonging patient suffering and... prolonging patient suffering and delaying
• Alabama patients deserve actions, not more... patients deserve actions, not more delays or lawsuits.
• We want to get this medicine to the people of Alabama, to the patients of Alabama.
• pool would be—not the entire population of Alabama, but the patient pool.

Bills: SB185, SB194, SB72

Keywords: veterinary medicine, veterinarian-client-patient relationship, prescription refills, animal care, regulatory compliance, agriculture authority, eminent domain, property rights, tax exemption, agriculture center, medical cannabis, cannabis license, integrated facility license, Alabama Medical Cannabis Commission, AMCC, medical marijuana, dispensary, cultivation, processing, license appeal

Transcript Highlights:

• This establishes a patient protection requirement for hospice patients.
• This establishes a patient me, three.
• This establishes a patient protection requirement for hospice patients.
• And if a patient is in a facility but a hospice outside is managing that patient inside the facility,
• Thank you. ...that patient in-home would be getting is from hospice.

Bills: HR174, HR194, HCR98, SB39, SB124, SB190, SB236, SB270, SB273, SB359, SB415, SB426, SB437, SB451

Keywords: fenbendazole, cancer treatment, public health, FDA, clinical trials, patient safety, visual acuity, student health, de-identified data, longitudinal analysis, education policy, SNAP, food stamps, Supplemental Nutrition Assistance Program, grocery delivery, delivery fees, service charges, online grocery, food access, food insecurity

Bills: HB188, HB52

Keywords: healthcare, insurance, patient rights, medical treatment, access, affordability, income tax, CHOOSE Act, education funding, ABLE account, tax credits, poverty threshold, legislative funding, 1136, house, all