Transcript Highlights:

• They play a very key role in patient care.
• They play a very key role in patient care.
• Ketamine does not work for all patients.
• The Minnesota Board of Pharmacy has a challenging mission of protecting patients from pharmacists and
• patients.

Bills: HF3454, HF3917, HF2906, HF3832, HF3769

Keywords: social work, licensure, employment titles, health occupations, professional standards, medication repository, drug donation, healthcare, Minnesota Statutes, pharmacy, public health, controlled substances, psilocybin, psilocin, psychedelic, psychedelic medicine, hallucinogen, mushrooms, magic mushrooms, therapeutic use

Transcript Highlights:

• These changes prioritize patient protections so they can access the medical products that they need as
• There's also some increase in the protections afforded to patients in terms of patient registry being
• <00:02:21.040> protections<00:02:21.720> so<00:02:21.920> they prioritize patient
• protections so they prioritize patient protections so they can<00:02:22.360> access<00:02:22.760
• uh<00:04:47.840> in protections afforded to patients uh in protections afforded to patients

Bills: HF1672, HF1877, HF1735, HF1734, HF1271, HF1634, HF1615

Keywords: medical cannabis, medical marijuana, cannabis, cannabinoids, hemp, marijuana registry, patient registry, visiting patient, Tribal cannabis, Tribal medical cannabis program, Tribal sovereignty, Office of Cannabis Management, designated caregiver, home cultivation, adult-use cannabis, cannabis flower, cannabis products, dispensary, cannabis retail endorsement, patient protections

Transcript Highlights:

• and patients.
• It protects patient choice, promotes continuity of care, and encourages a more competitive market that
• Because the care of an ALS patient—ALS patients have a motor neuron disease...
• The lack of federal protection for Medicare-eligible patients under 65 has resulted in an uneven pattern
• By passing this bill, the legislature will be able to protect patients, nurses, and taxpayer dollars.

Bills: HB107, HB742, HB1639, HB1700, HB2071, HB2187, HB2402, HB2516, HB3211, HB4529, HB5342, HB694, HB923, HB4655, HB107

Keywords: sickle cell disease, registry, health data, confidentiality, healthcare access, human trafficking, first responders, health care, training, reporting, protection, cancer, female firefighters, health study, state health services, fire protection, telemedicine, teledentistry, telehealth, health records

Transcript Highlights:

• and patients.
• Let's protect and strengthen 988.
• It protects patient choice and promotes continuity of care and encourages a more competitive market that
• The lack of federal protection for Medicare-eligible patients under 65 has resulted in an uneven patchwork
• By passing this bill, the legislature will be able to protect patients, nurses, and taxpayer dollars.

Bills: HB 107, HB742, HB1639, HB1700, HB2071, HB2187, HB2402, HB2516, HB3211, HB4529, HB5342, HB694, HB923, HB4655

Keywords: sickle cell disease, registry, health data, confidentiality, healthcare access, human trafficking, first responders, health care, training, reporting, protection, cancer, female firefighters, health study, state health services, fire protection, telemedicine, teledentistry, telehealth, health records

Summary: The committee heard testimony on a series of health and human services bills and left each one pending after public testimony. HB 4655 would expand financial literacy instruction for youth aging out of foster care to include credit scores, predatory lending, scams, banking, budgeting, and related consumer topics; the sponsor and Buckner International described the need to protect foster youth from financial pitfalls. HB 923 would add three public members and one physician to the Texas Medical Disclosure Panel; supporters said it would improve informed consent and patient voice, while a witness raised concerns about a House amendment requiring a physician majority for decisions and senators questioned scope-of-practice limits. HHSC said the panel is an independent body and the bill expressly bars it from changing scope of practice.

Transcript Highlights:

• Could this mandate require a physician or PA, etc., to spend their very precious patient contact time
• screening a patient with no risk factors instead of just allowing the provider to determine if the patient
• It upholds the sanctity of life and protects parental rights during a family's most vulnerable moment
• Our bills The goal of this bill is to provide hope for terminally ill patients who have exhausted all
• The patient would undergo informed consent, meet the requirements regarding treatment costs and possible

Bills: SB1328, SB1380, SB1436, SB1558, SB1572, SB1651, SB1805, SB1831, SB1836, SB2014, SB2023, SB2044, SB2179, SB933

Keywords: parents' rights, healthcare consent, minors, medical records, protection, legal guardianship, hospital, fetal death, miscarriage, healthcare, state health department, vital records, patient rights, child care, licensing, definitions, foster care, child welfare, mental health, substance abuse

Transcript Highlights:

• that are taking steps to protect that are taking steps to protect consumer<00:01:53.160> privacy
• We're trying to protect people.
• We're trying to protect people.
• We're trying to protect people.
• Gouging Act will help protect Gouging Act will help protect Minnesotans'<00:26:02.120> personal

Bills: HF3794, HF3408

Keywords: surveillance, price discrimination, wage discrimination, automated decision systems, consumer protections, data privacy, biometrics, consumer protection, price setting, biometric data, retail, privacy, 1183, house

Summary: The committee first approved the minutes from March 3, 2026, and then received a presentation from the Minnesota Office of the Attorney General on the Minnesota Consumer Data Privacy Act. Assistant Attorney General Caitlin Miko and Deputy Attorney General Jessica Whitney reviewed the law’s scope, consumer rights, business obligations, and enforcement history. They said the law took effect July 31, 2025, gives Minnesotans rights to access, delete, and opt out of sale, profiling, and targeted advertising, and is enforced by the Attorney General with penalties up to $7,500 per violation. They reported more than 200 complaints in the first six months, many warning letters, and a shift from education to active enforcement now that the initial warning-letter period has expired. Committee members asked about how the universal opt-out works, what happens when companies deny deletion or editing requests, how the office determines willful noncompliance, and whether the law could burden small businesses. The AG’s office said the opt-out can be set through privacy-protective browsers or extensions, companies must respond to consumer requests within 45 days, small businesses are exempt as defined by the SBA, and investigations look for patterns and evidence of willful conduct rather than minor technical violations. The office also said it needs additional funding to fully staff enforcement efforts and noted that it has already issued subpoenas and civil investigative demands. The committee then took up House File 3408, the Stop Grocery Surveillance Price Gouging Act. The author explained that the bill would prohibit retail grocers, physical and online, from setting individualized prices based on consumer information, would limit certain uses of facial recognition and electronic shelf labels, and would preserve narrow exceptions for discounts and loyalty programs. Public testimony followed from the Minnesota Farmers Union in support, arguing that grocery consolidation and surveillance pricing could worsen already high food costs and harm fair competition. The Minnesota Grocers Association opposed the premise that grocery stores use surveillance pricing, said shelf prices are generally uniform and set from a single storewide database, and argued electronic shelf labels are efficient and not nefarious. A technology company representative similarly said ESLs do not use personal data or facial recognition, prices are uniform, and a 2025 study found no meaningful price increases after ESL adoption. The bill was laid over for possible further discussion after the testimony.

Transcript Highlights:

• I think we're doing a great job of protecting them from the problems that have been caused.
• Palliative care can be a great benefit to older patients, as well as younger ones who are not expected
• Well, my handwriting doesn't fit, and we make patients do that over and over.
• Would the state's format allow for a patient to... ...remove provisions or disagree with provisions in
• Because I want to be able to continue to allow patients... To opt out. Opt out. 100 percent.

Bills: HB18, HB742, HB754, HB1644, HB2187, HB1887, HB 1275, HB37, HB1503, HB1699, HB1700, HB2735, HB1741, HB1731, HB1675, HB18, HB37

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, human trafficking, first responders, health care, training, reporting, protection, trafficking prevention, medical assistant training, health care facilities, hospital compliance, clinic compliance, anti-retaliation, whistleblower protection, employee reporting, good faith report

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:

• So, I hope you will all be patient.
• So people would protects volunteers.
• Patients may miss life-saving options.
• Patients may miss life-saving options.
• That's for long-term care patients. That's for long-term care patients.

Bills: SB3263, SB3261

Keywords: student-athletes, name image likeness, NIL, compensation, transparency, University of Hawaii, Title IX, funding, protections, athlete agents, student athletes, endorsement contracts, professional representation, registration requirements, sports law, 912, senate, all

Summary: The joint Senate Committee on Education and Committee on Health and Human Services heard testimony on several bills related to student health and safety, University of Hawaii programs, and workforce development. For SB 2969, which would appropriate funds for the University of Hawaii to expand and sustain the Maui Wildfire Exposure Study and Maui Health Registry, testimony was overwhelmingly supportive. Witnesses described the ongoing physical and mental health impacts of the August 2023 Maui fires, said the study has identified serious untreated conditions and connected participants to care, and emphasized its role in serving survivors and training students. The committee also heard support from the Department of Health, the Alzheimer’s Association, the American Lung Association, Maui residents, and study staff. No vote was taken during the hearing. The committee then heard SB 2657, which would establish an Alzheimer disease and related dementia research center at the University of Hawaii John A. Burns School of Medicine. University of Hawaii and Alzheimer’s Association representatives supported the bill, saying a local center would improve coordination of existing research, build state capacity, and help Hawaii compete for future NIH designation and federal funding. A family member affected by Alzheimer’s also testified in support, citing the disease’s impact in Hawaii. In response to questions, the university said the proposal would follow a five-year phased plan, with the first year funding used to recruit a senior neuroscientist and staff person, at an estimated cost of about $375,000, and that the effort would still strengthen Hawaii’s research infrastructure even if federal funding is not secured. For SB 2612, which clarifies immunity for Department of Education employees and agents who assist students with medication administration under certain conditions, the Department of Education said the bill is intended to protect volunteers and help ensure students can participate in school activities even when staffing is limited. The committee discussed how volunteers would be selected and whether every school would have someone available, and DOE said schools currently rely on health attendants, nurses, and trained volunteers. The committee also briefly discussed liability language and gross negligence exceptions. The hearing then moved to SB 2412, which would fund a bachelor’s degree program in sign language and sign language interpretation at UH Mānoa with a future master’s pathway. Testimony from interpreters, educators, and university officials emphasized the shortage of interpreters, the need to retain local talent, and the program’s role in building a pipeline; university representatives said the initial request would fund a faculty/staff position as a first step, with additional funding needed later. No final committee action or votes were announced in the transcript.

Transcript Highlights:

• And again, we're trying to protect the student because you're talking about you could potentially thousands
• And again, we're trying to protect the student because you're talking about you could potentially thousands
• And again, we're trying to protect the student because you're talking about you could potentially thousands
• And again, we're trying to protect the student because you're talking about you could potentially thousands
• .then they would have to follow the state certification, state registration rules, and that helps protect

Bills: SB3263, SB3261

Keywords: student-athletes, name image likeness, NIL, compensation, transparency, University of Hawaii, Title IX, funding, protections, athlete agents, student athletes, endorsement contracts, professional representation, registration requirements, sports law, 912, senate, all

Summary: The joint committees heard testimony on Senate Bill 3263, which would create a state-supported endowment for University of Hawaii athletics NIL (name, image, and likeness) funding. University of Hawaii Athletics Director Matt Eliott supported the bill, saying NIL requires both immediate funding and a longer-term sustainable solution. He asked for several changes: lowering the initial endowment target from $10 million to $2 million so the fund could start sooner, allowing NIL reporting by team rather than by individual student-athlete, and clarifying that athletes may choose whether to use an agent, while still allowing certified agents or a parent/guardian if desired. Committee members raised concerns about using taxpayer dollars for athlete compensation, the burden on a small-state budget, and whether the university could realistically raise the required matching funds. Several senators questioned whether the university had a concrete fundraising plan and whether the endowment would meaningfully help UH compete with larger programs. Eliott said UH is already fundraising privately for current NIL obligations, had raised more than $1.6 million toward a $3 million annual goal, and would continue fundraising for both short-term needs and the endowment match. He also said the university is not trying to compete with Power Five schools on the same scale, but to be successful at its own conference level. Members also discussed transparency and privacy, with some senators arguing that if state money is used, the public should know how it is spent, while Eliott said individual student-athlete NIL information should remain private and team-level reporting would be preferable. He confirmed international student-athletes are eligible for NIL and said about 60 to 70 UH athletes are currently participating, with more than 100 expected next year. The discussion also touched on UH’s Mountain West media rights and local TV rights, with Eliott explaining that the conference distribution is expected to remain around $3.5 million and that local TV rights would be negotiated separately. No vote or final action was taken during the portion of the hearing provided.

Transcript Highlights:

• Page 2 covers the administration of prescriptions, counseling, and assessing the patient. >> Yes.
• <00:03:10.319> Page<00:03:10.720> three 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
• <00:07:56.560> for [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:

• His leadership on this issue reflects a deep commitment to protecting our youngest residents.
• This is SB 162, protection from surgical smoke.
• Having something like this is a great protection.
• And as far as in Having something like this is a great protection.
• Patient protections are unchanged, and we're giving patients and doctors the freedom to make their care

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:

• The bill allows consumer lender licensees to collect finance charges on guaranteed asset protection waivers
• This bill protects hope. And that includes the possibility of building a family one day.
• This bill protects hope at one of the most vulnerable times in a person's life.
• The foundation of the consumer protections were enacted in 2012.
• And beyond that, DIFI added several other protections.

Bills: SB1165, SB1206, SB1212, SB1291, SB1347, SB1516, SB1554, SB1649, SB1689, SB1812

Keywords: breast cancer, screening services, health insurance, cost sharing, preventive care, storm damage, catastrophic storm, hail damage, wind damage, roof repair, roof replacement, post-storm repairs, insurance claim, property and casualty insurance, adjuster, public adjuster, contractor licensing, homeowner protections, deductible waiver, insurance fraud prevention

Summary: The Senate Finance Committee approved committee amendments and then heard a series of bills covering consumer lending, health insurance, chiropractic practice, breast cancer screening, insurance claim practices, digital assets, vaccination-based reimbursement, agricultural property inspections, and aviation tax exemptions. Testimony generally split between sponsors and industry or advocacy supporters emphasizing modernization, consumer access, or fairness, and opponents raising concerns about higher costs, tax breaks for wealthy interests, or unclear policy changes. Several bills drew detailed debate over whether they would help consumers or shift costs, and multiple witnesses described personal or industry experiences in support of the health-related measures. SB 1689, which would raise consumer loan thresholds and change interest-rate tiers, was amended but failed on a tied vote after Senator Epstein opposed it as shifting costs to smaller borrowers. SB 1347, requiring coverage for fertility preservation for cancer patients, was amended and passed 4-2 after testimony from the sponsor, a nonprofit representative, and two cancer survivors. SB 1165, eliminating cost-sharing for diagnostic and supplemental breast exams, was amended and passed 5-1. SB 1206, updating rules for public adjusters and contractors after loss events, was amended and passed 5-1. SB 1649, creating a digital assets strategic reserve fund, passed 4-2 despite criticism that it was unnecessary and pro-crypto. SB 1212, barring different reimbursement rates based on vaccination status, passed 4-2. SB 1291, limiting county assessors’ ability to reclassify or inspect agricultural property for four years after a successful appeal, was amended to allow inspections if taxable improvements are made and passed 5-1 over assessor opposition. SB 1516, expanding aviation-related tax exemptions to more aircraft maintenance and repair property, passed 4-1 after supporters framed it as economic development and opponents called it a tax break for private jets. SB 1554, updating chiropractic language from “x-ray” to “diagnostic imaging,” initially failed, was reconsidered after additional questioning, and then passed 3-2 after members said the change mainly codified current practice and reduced liability concerns.

Transcript Highlights:

• in protecting private information. in protecting private information.
• bill protects taxpayers This bill protects taxpayers and<00:07:35.240> restores<00:07:35.800>
• This amendment protection language.
• , It preserves key uh protections, It preserves key uh protections, requires<00:58:35.520> a
• <01:18:39.760> um, personal data protection services. um, personal data protection services

Bills: HF4077, HF3809, HF3639, HF4478, HF3363, HF3874

Keywords: municipal nondisclosure agreement, NDA, public records, transparency, local government, county, city, town, school district, housing and redevelopment authority, economic development authority, port authority, economic development, land development, public financing, tax increment financing, TIF, abatement, municipal bonds, debt obligations

Summary: The Judiciary Finance and Civil Law Committee approved the minutes from March 25 and March 26, then took up House File 4077, a bipartisan bill authored by Representatives Greenman and Roach. The bill would prohibit municipalities from entering into non-disclosure agreements with private entities that restrict disclosure about land development, economic development, or publicly funded projects, while preserving existing Chapter 13 data practices rules and trade secret protections. The authors argued the bill is needed to prevent secret agreements and backroom decision-making that undermine public transparency, and they moved that the bill be re-referred to the general register. Several local officials and residents testified in support, including a St. Louis County commissioner, the mayor of Lonsdale, and residents from Farmington and Hermantown. Supporters said NDAs had been used in connection with data center and other development projects to keep elected officials and the public in the dark, eroding trust and limiting community input. They described the bill as a common-sense transparency measure and said existing law already protects legitimate trade secrets. Opposition came from the Minnesota Chamber of Commerce and the Minnesota Business Partnership, which argued that NDAs are often necessary in early-stage economic development discussions to protect sensitive business information and remain competitive with other states. They warned the bill could discourage investment, jobs, and tax growth, and said it would impose a one-size-fits-all state mandate that limits local discretion. Committee members then debated whether the bill was too broad and whether it should be narrowed to data centers; supporters responded that the issue extends beyond data centers to other forms of economic development. A roll call vote was requested on the motion to re-refer the bill to the general register, but the final vote result was not stated in the transcript excerpt.

Transcript Highlights:

• Of course, that protects patients from unreasonably delayed medical bills.
• An attorney will go to the doctor and say if you will treat the patient, I will protect your bill.
• I am an official TCUP patient.
• I became a patient in 2021.
• I also want to speak about patient protections.

Bills: HB46, HB272, HB551, HB1661, HB2820, HB3181, HB4145, HB4157, HB46, HB272

Keywords: low-THC cannabis, dispensing organization, Texas Compassionate-Use Program, medical use, patient access, registration, healthcare, legislation, credit card fraud, debit card fraud, prosecution, illegal possession, state law, political contributions, address privacy, Texas Ethics Commission, election transparency, campaign finance, election supplies, ballots

Transcript Highlights:

• That Texas patients have real choices and that the future of healthcare in Texas is built around people
• protect consumers.
• 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:

• <00:20:43.440> Um personal information protected. Um personal information protected.
• Yeah, Chair Baker. themselves be removed and a protection themselves be removed and a protection that
• > plan comprehensive worker protection plan comprehensive worker protection plan because<00:44
• workplace protections enforced by DLI. workplace protections enforced by DLI.
• the protections sort of kick in. the protections sort of kick in. >> Okay.

Bills: HF3707, HF3732, HF2581, HF3731

Keywords: unemployment insurance, judicial officials, paid leave, economic development, worker protections, workforce development, unemployment benefits, youth training, grants, job creation, grant funding, revolving loan, underserved communities, disadvantaged groups, electrical licensing, installation, Class A installer, regulations, labor and industry, 1183

Summary: The committee first adopted the minutes from February 26 and then heard House File 2581, authored by Representative Frazier, which sought $1 million for Fortis Capital, a nonprofit economic development lender. Frazier and Fortis CEO Brian Smith described Fortis as a gap-financing lender that helps underserved entrepreneurs who cannot meet traditional bank underwriting standards. They said the organization has made 37 loans totaling more than $4 million since 2021, leveraged another $29.5 million, and created 314 jobs. Smith said Fortis typically charges around 6.5% interest, has had two defaults, and uses a revolving loan fund model that recycles repayments; members discussed how the proposal fits with other state economic development programs and whether Fortis should instead be part of a competitive grant process. The chair laid HF 2581 over for possible inclusion in a budget bill. The committee then heard House File 3707, brought by Representative Berg, which would extend confidentiality protections to unemployment insurance and paid leave judges and related staff by adding them to the definition of judges for purposes of protecting personal information. Berg and testifiers from the Department of Economic Development and MAPE said the bill responds to harassment and safety concerns, including threats, doxxing, and an attack near an office, and is intended to protect people making sensitive determinations. MAPE supported the bill as an update to existing protections for similar workers. Members raised concerns that the bill’s language was too broad, especially the reference to the paid leave division, and questioned whether it should cover only judges or also call-center and other staff. Department and committee members agreed the language likely needed narrowing and discussed possible amendments and whether to move the bill to Judiciary and then revisit it. No final vote was taken on HF 3707 during the discussion, and the bill remained under consideration for further language work.

Transcript Highlights:

• <00:38:35.120> That 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.
• Protection Protection will<00:43:42.920> also<00:43:43.360> be<00:43:43.560> part

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:

• You're going to protect world health.
• Protecting the program integrity.
• 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

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