Transcript Highlights:

• , and primary care.
• There is no medical crisis pregnancy center in Washington that provides abortion care, which undermines
• These funds are used for direct patient care, and I'm asking for a yes. Thank you, Senator Bateman.
• health care system.
• While there are differing views, we share the same commitment to patient safety and quality care.

Bills: SB5899, SB6292, SB6094, SB6182, SB5947, SJR8206, SB5933, SB6138, SB5823, SB6210, SB5921, SB6226, SB6159, SB5924, SGA9291, SGA9307

Keywords: chiropractic, animal care, veterinary medicine, license endorsement, nonhuman animals, health care, financing, legislative committee, joint committee, policy management, pediatric care, transitional services, healthcare, licensing, children's health, abortion, reproductive health, pregnancy termination, clinic access, abortion access fund

Summary: The Senate Health and Long-Term Care Committee began with confirmation hearings for Ryan Moran, nominated to lead the Washington State Health Care Authority, and Dennis Worsham, nominated as Secretary of Health. Both nominees gave extensive opening statements about their backgrounds, priorities, and commitment to improving access, equity, public health, and agency operations amid federal policy changes. Senators asked about Washington’s health care system, social determinants of health, behavioral health, communication and public trust, and how each nominee would respond to federal disruptions such as HR1 and CDC changes. At the close of the hearings, the committee voted to recommend both appointments for confirmation. The committee then moved through executive session on a series of bills. It advanced measures including a chiropractic animal care endorsement bill, a joint legislative-executive health care financing committee bill, a pediatric transitional care facilities bill, an abortion savings program bill, a Washington Health Care Board bill, a constitutional amendment establishing a right to affordable health care, and an overdose mapping information bill. The abortion savings program bill drew the most debate, with several proposed amendments offered by Senator Christian; most were rejected, one amendment was withdrawn, and one amendment clarifying funding for contracted providers was adopted before the bill was sent forward. The committee also approved the gubernatorial appointments of Moran and Worsham in executive session. In the second group of bills, the committee advanced a patient advocate bill, a health plan certification process bill, a psilocybin bill, an audiologist clinical autonomy bill, and a pharmacist prescriptive authority bill. The pharmacist bill prompted comments about access, affordability, rural workforce shortages, and the role pharmacists already play in care delivery. All measures considered in executive session received do-pass recommendations or confirmation recommendations and were reported out of committee, and the committee then adjourned.

Transcript Highlights:

• judgment and patient need while still meeting applicable standards of care.
• patients to care isn't working as it claims.
• patients to care isn't working as it claims.
• care, medication use, prescribing, and patient examination and assessment.
• care, medication use, prescribing, and patient examination and assessment.

Bills: SB6226, SB6305, SB5924, SB5990, SB5185, SB5845, SB6071, SB6258

Keywords: SB 6226, Washington, audiology, audiologist, hearing aid specialist, speech-language pathologist, telehealth, teleaudiology, clinical autonomy, clinical judgment, in-person care, remote care, Board of Hearing and Speech, hearing instruments, hearing aids, dispensing hearing aids, standards of care, professional licensure, health professions regulation, patient-centered care

Summary: The Senate Health and Long-Term Care Committee met on January 30 and first moved through executive session on five bills. The committee adopted proposed substitutes and advanced Senate Bills 5999, 5185, 5845, 6071, and 6258 to the Rules Committee, all by voice vote and subject to signatures. SB 5999 would let smaller rural counties appoint an APRN or PA as an acting local health officer; SB 5185 creates a pilot pathway for international medical graduates toward physician licensure; SB 5845 revises timely payment rules for health carriers; SB 6071 standardizes overpayment recovery timelines; and SB 6258 creates a non-disciplinary pathway for relinquishing certain medical licenses. Several sponsors noted that SBs 5845 and 6071 were still being worked on with stakeholders. The committee then held a hearing on SB 6226, which would protect the clinical autonomy of audiologists and require the Board of Hearing and Speech to apply hearing-instrument rules consistently across care modalities, including telehealth. Testimony was overwhelmingly supportive, with witnesses emphasizing teleaudiology’s role in expanding access, especially for rural residents, older adults, and people with mobility challenges. One association witness supported the bill’s goals but warned it could be read too broadly and affect other regulatory standards. The hearing closed with 54 people signed in pro, none opposed, and two other. Next, the committee heard SB 6305, the Truth in Mental Health Coverage Act, which would require carriers to submit standardized annual data to the Office of the Insurance Commissioner on behavioral health coverage, access, reimbursement, utilization, and network participation, with public posting in raw files and dashboards. Supporters said the bill would make parity and access problems visible and help consumers compare plans; the OIC said it supported the transparency approach and was already engaged in parity oversight. Opponents argued the bill was premature given implementation of recent parity legislation and could add burdens without addressing workforce or network adequacy. The hearing closed with 396 signed in pro, two con, and zero other. Finally, the committee heard SB 5924, a proposed substitute expanding pharmacists’ prescriptive authority and limited diagnostic authority for certain drugs and conditions, consistent with a Department of Health sunrise review. Supporters from pharmacy, health care, retail, and rural access perspectives said it would reduce administrative barriers, improve access in underserved areas, and better use pharmacists’ training; some cited examples such as immunizations, contraception, opioid use disorder treatment, and minor illnesses. The Washington State Medical Association opposed the bill, saying it moved away from collaborative practice and needed more time to resolve concerns about coordination, pediatrics, and complex patients. A few testifiers raised objections to psychiatric prescribing or specific drugs, while others asked about reporting back to primary care. The hearing closed with 279 signed in pro, six con, and four other, and the committee adjourned after concluding its business.

Transcript Highlights:

• Significant gap in care for some of our New Mexico's most vulnerable patients, children in need of hospice
• care.
• Care Act that allows patients to receive supportive care, even hospice, while receiving curative therapies
• care.
• And it's really... ...an interdisciplinary approach of providing care and comfort not just to the patient

Bills: SJR1, SM2

Keywords: school elections, partisan elections, voting rights, constitutional amendment, New Mexico, elector registration, pediatric palliative care, pediatric hospice, Medicaid, state plan amendment, Health Care Authority, children with serious illness, life-limiting conditions, complex medical conditions, curative care, concurrent care, family-centered care, hospice services, managed care, pain management

Bills: SB43, SB50, SB145, SM2

Keywords: parole, life imprisonment, rehabilitation, criminal justice, victim rights, law enforcement, training requirements, mental health, domestic abuse, child abuse, public safety, crisis intervention, auditing, financial reporting, state auditor, public agencies, capital outlay, compliance, federal audits, pediatric palliative care

Bills: SB43, SB50, SB145, SM2

Keywords: parole, life imprisonment, rehabilitation, criminal justice, victim rights, law enforcement, training requirements, mental health, domestic abuse, child abuse, public safety, crisis intervention, auditing, financial reporting, state auditor, public agencies, capital outlay, compliance, federal audits, pediatric palliative care

Transcript Highlights:

• patients need, and the potential consequences for those patients when this important care is delayed
• They delivered care to 1,626 healthy and gingivitis patients.
• Patients face practical and geographic challenges to accessing routine oral health care services.
• The relationship is established, ongoing care for the patient may be provided by telemedicine.
• I do not see why our animal patients should be given substandard care.

Bills: SB6138, SB5899, SB6072, SB6094

Keywords: dental procedures, sedation, patient safety, multiprovider system, healthcare regulation, chiropractic, animal care, veterinary medicine, license endorsement, nonhuman animals, veterinarian-client-patient relationship, VCPR, veterinary telehealth, telemedicine, teletriage, teleadvice, animal health, licensed veterinarian, Washington veterinary board, prescription drugs

Summary: The Senate Health and Long-Term Care Committee met on January 23 and first took up Senate Bill 5899, which would create a license endorsement for chiropractors to perform chiropractic care on non-human animals. Staff explained the endorsement requirements, including approved animal-chiropractic education or certification, continuing education, signage for mixed human/animal facilities, and a three-year renewal cycle. The prime sponsor and co-sponsor described the bill as a complementary tool for rural areas with limited veterinary access. Testimony was sharply divided: supporters said animal chiropractic is already practiced in other states and can improve access to care, while veterinarians and the Washington State Veterinary Medical Association argued the bill lacked a required veterinary referral or supervision and could create animal and public safety risks. The hearing on SB 5899 closed after extensive testimony, with 57 people signed in pro and 4 con. The committee then held a work session on dental workforce shortages. Presenters from the CORA Foundation, the University of Washington Center for Health Workforce Studies, tribal dental programs, and the Washington State Dental Association described persistent shortages of dental assistants and hygienists, especially in rural and underserved areas, and linked workforce gaps to low preventive-care utilization and poor oral health outcomes. Speakers emphasized that many dental workers face barriers to advancement and that career-ladder models, including tribal Community Health Aide Program pathways and a proposed oral preventive assistant role, could improve recruitment, retention, and access to preventive care. A Delta Dental representative also noted interest in proposals to reduce training barriers and expand preventive duties within the dental workforce. The committee next heard Senate Bill 6138, which would require a multi-provider system for dental procedures performed under deep sedation, separating the person performing the procedure from the person administering and monitoring anesthesia. The sponsor cited recent patient deaths and license actions as evidence of a safety problem and said the bill was intended to address deep sedation only. Anesthesiology groups supported the bill as a patient-safety measure, while oral and maxillofacial surgeons and dental anesthesia experts opposed it, arguing current rules already require multiple trained personnel and that the bill could reduce access and increase costs, especially in rural and Medicaid-serving practices. Testimony included a personal account from the mother of a patient who died after routine wisdom tooth removal. The hearing closed with 255 signed in pro and 321 con. The committee then heard Senate Bill 6072 on veterinarian-client-patient relationships and telemedicine. The bill would allow a VCPR to be established under specified conditions and permit ongoing care by telemedicine, with limited telehealth use even without an established relationship. Supporters, including animal welfare advocates and veterinarians working with shelters and outreach clinics, said the bill would improve access for clients facing transportation, mobility, or scheduling barriers and help keep pets with their families. Opponents from the veterinary association argued the bill weakened traditional VCPR standards, raised concerns about extra-label drug use and disease monitoring, and should include stronger guardrails. The hearing closed with 345 signed in pro and 725 con. Finally, the committee heard Senate Bill 6094, which would change requirements for facilities providing pediatric transitional care services for substance-exposed infants, including directing HCA to seek a state plan amendment for Medicaid facility-based payments and supporting a Spokane-area pilot facility until that approval is obtained. The sponsor said the model helps infants and parents recover together and can save the state money. Early testimony from the operator of Maddie’s Place supported the bill, saying current law leaves the facility unable to bill Medicaid and puts its future at risk.

Transcript Highlights:

• care credential during patient care encounters.
• , training, and licensure are taking care of each patient.
• health care providers a patient may see...
• patient medical care... ...insurance premiums go to actual direct patient medical care, not excessive
• care. weakening patient care and patient safety.

Bills: HB2261, HB2283, HB2425, HB2110, HB2113, HB2122, HB2152

Keywords: healthcare, transparency, patient communication, credentials, professional standards, medical loss ratio, insurance, health plans, cost management, nursing delegation, registered nurse, RN, home care aide, nursing assistant, certified nursing assistant, CNA, medical assistant, home health, hospice, community-based care

Summary: The House Health Care and Wellness Committee held public hearings on House Bills 2261, 2283, and 2425, then took executive action on House Bills 2110, 2113, 2122, and 2152. HB 2261 would require health care providers to wear badges showing name, credential, and degree initials, require similar disclosures in advertising, and restrict use of the title “physician surgeon”; supporters framed it as a patient transparency measure, while many providers and associations opposed it as burdensome, confusing, and harmful to access, especially for adult family homes and solo practices. HB 2283 would raise the medical loss ratio for fully insured plans to 90%; supporters said it would direct more premium dollars to care and lower costs, while insurers warned it could destabilize markets and reduce flexibility for administrative services. HB 2425 would modernize nurse delegation rules, expand what tasks can be delegated, and broaden liability protections; supporters said it would reduce barriers and help address workforce shortages, while opponents raised patient safety and accountability concerns. During executive session, the committee advanced all four bills. HB 2110, allowing certain nurses without EMT certification to provide care on inter-facility specialty care transport, was amended and reported out with a due pass recommendation. HB 2113, which addresses radiological technicians performing IV contrast procedures under certain supervision arrangements, was reported out without amendment. HB 2122, requiring hospitals to offer flu vaccines under specified conditions, was amended three times and then reported out. HB 2152, requiring certain facilities to allow medical cannabis use by qualifying patients with terminal conditions, was amended to include exemptions and policy details, including naming it Ryan’s Law, and was then reported out as amended. The committee adjourned after these votes.

Transcript Highlights:

• And that means that those patients are not getting care.
• of caring for these patients.
• And that means that those patients are not getting care.
• of caring for these patients.
• I have a private practice in Phoenix, caring for patients and care partners. Dr.

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:

• In addition, it provides the pharmacist care services as it applies to pharmacy rules.
• Page three patient safety and services.
• Um, that's part of those pharmacist care services. Yes. Thank you.
• </c><00:07:56.560><c> for</c> [clears throat] assessing patient for [clears throat] assessing patient
• </c> you're talking about pharmacist care you're talking about pharmacist care services.<00:08:55.760

Bills: SF0121

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

Bills: SB 95, SB 268, SB 493, SB 619, SB 660, SB 922, SB 984, SB 1098, SB 1188, SB 1307, SB 1332, SB 1822

Keywords: immunization, written informed consent, civil liability, health care provider, vaccine compensation, administrative penalty, health care, licensing, complaint procedure, disciplinary action, law enforcement, conscience protection, health care services, civil remedy, health care providers, patient access, hospital safety, emergency room, bollards, traffic protection

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> infringing on a appropriate medical care infringing on a appropriate medical care so<00:16:01.600
• </c><00:16:19.839><c> could</c> as this bill is written a patient could as this bill is written a patient
• </c> drafted so we have to be very careful drafted so we have to be very careful there's there's there's

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:

• House Bill 2152 requires that hospitals, nursing homes, and hospice care centers allow qualifying patients
• center of compassionate care. if there was any hope. ...in our approach and put patients and families
• at the center of compassionate care.
• And some of our most vulnerable patients, such as our cancer patients that I care for, up to 15% of individuals
• patients such as neonatal intensive care.

Bills: HB2110, HB2113, HB2122, HB2152, HB2168

Keywords: ambulance, interfacility transport, specialty care transport, emergency medical services, EMS, registered nurse, nurse staffing, paramedic, emergency medical technician, EMT, patient transfer, hospital transfer, critical care transport, medical transport, workforce shortage, scope of practice, Department of Health, RCW 18.73, first responder, basic life support

Summary: The House Health Care and Wellness Committee heard public testimony on several bills. HB 2152 would require hospitals, nursing homes, and hospice facilities to allow qualifying terminally ill patients to use medical cannabis under facility policies that prohibit smoking/vaping, require patient self-administration and secure storage, and protect facilities from licensure consequences; the prime sponsor and supporters framed it as a compassionate end-of-life measure based on the experience of Ryan Bartel, while the Washington State Hospital Association asked for amendments to limit it to inpatient beds and to bar staff from retrieving cannabis. HB 2122 would require hospitals to offer flu vaccines to inpatients age 65 and older and to inpatients with chronic conditions during flu season; supporters cited rising flu deaths and benefits for high-risk patients, while opponents questioned the need and urged stronger informed-consent language, and hospitals raised cost and operational concerns. HB 2110 would relax staffing rules for inter-facility specialty care transports by allowing a registered nurse without EMT certification to serve when no paramedic or RN-EMT is available; rural hospitals and ambulance providers said the change would improve timely transfers, while nurses’ representatives raised concerns about training, medical oversight, and staffing impacts on hospital units. The committee also heard HB 2113, which would update supervision rules for radiologic technologists performing IV contrast procedures by allowing virtual direct supervision by a physician and direct supervision by an ARNP or PA for contrast administration, while keeping other parenteral procedures under physician supervision. Supporters said the bill would align state law with current practice and federal CMS rules and improve access in rural areas; radiology stakeholders supported the bill but asked for a proximity requirement for virtual physician supervision. Finally, HB 2168 would require the Department of Health to rapidly share overdose data from the EMS information system to ODMAP within 24 hours, with privacy protections and limits on law-enforcement use; supporters said it would improve near-real-time overdose response and save lives, while the Washington Poison Center asked to be added as a data source and to clarify the bill’s overdose terminology. No votes were taken, and the meeting adjourned after public hearings.

Transcript Highlights:

• This practice drastically reduces patient choice and creates barriers to local affordable care.
• It protects patient choice, promotes continuity of care, and encourages a more competitive market that
• This bill is good for patients and Consumers because they will have the widest range of vision care options
• I urge you to vote for this bill so that patients can access the eye care that they need.
• Because the care of an ALS patient—ALS patients have a motor neuron disease...

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:

• It's probably one of the most important interactions that patients have with their health care provider
• I urge you to vote for this bill so that patients can access the eye care that they need.
• health care professionals... ...negotiated consensus among patient advocates, insurers, and health care
• Because the care of an ALS patient, ALS patients, it's a motor neuron disease, you lose the ability to
• Both hospitals and nurses are committed to working together to ensure satisfactory patient care.

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:

• </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:

• that they want, this gives the center or the facility the full breadth to ensure that their patient,
• their resident who is under their care, is safe.
• that they want, this gives the center or the facility the full. the center or the facility the full
• full breadth to ensure that their patient, their, their resident who is under their care is safe.
• for patients.

Bills: SB1023, SB1145, SB1242, SB1247

Keywords: optometrists, eye exams, eyeglass prescriptions, healthcare, vision care, behavior analysis, licensing, psychologist examiners, state regulations, committee authority, mental health, court-ordered treatment, outpatient treatment, audiovisual technology, secure facilities, evaluations, guardian powers, patient rights, assisted living, occupants

Transcript Highlights:

• Care, share best practices, and improve outcomes for patients across the regions.
• It also creates dangerous pressure to rush care when patients need careful attention.
• We've helped approximately 40,000 patients apply for charity care.
• I'm Elizabeth New with Washington Policy Center. I direct our Center for Health Care.
• I'm Elizabeth New with Washington Policy Center. I direct our Center for Health Care.

Bills: HB1812, HB2232, HB2250, HB2340, HB2577

Keywords: anesthesia services, healthcare access, reimbursement, patient care, equitable treatment, emergency services, healthcare outcomes, health infrastructure, system improvement, charity care, residency requirements, medical assistance, low-income, HB 2340, nursing assistants, nurse aide, substance use disorder monitoring program, monitoring program, credentialing, licensure

Summary: The House Health Care & Wellness Committee held public hearings on several bills. House Bill 2232 would create a time-sensitive emergency data repository for cardiac, stroke, and trauma care, with Department of Health oversight, quality improvement reporting, and support for rural facilities; emergency physicians, nurses, and DOH supported it as a way to improve outcomes and reduce rural-urban disparities, while the Washington State Hospital Association said hospitals support the goal but lack resources to absorb the added reporting burden. House Bill 1812, on the proposed substitute, would bar insurers, public employee plans, HCA, and Medicaid managed care from imposing anesthesia time limits or related reimbursement caps; the sponsor and anesthesia providers said it protects patient safety and prevents insurers from interfering with medical judgment, and the Washington State Society of Anesthesiologists asked for a clarifying amendment on physical status modifiers. House Bill 2340 would extend substance use disorder monitoring program protections and stipend eligibility to nursing assistants; the sponsor and Board of Nursing supported it as a way to reduce stigma and help participants afford treatment and monitoring, and the board said the stipend is currently funded through general funds. House Bill 2577 would require acute care hospital inspections at least every 18 months, clarify use of approved accrediting organizations, and adjust fire protection re-inspection rules; the sponsor and Department of Health said it responds to a JLARC audit and clarifies timelines after COVID-related delays, while the department said it is still working to catch up on inspections and continues complaint investigations. House Bill 2250 would limit hospital charity care eligibility to Washington residents, using residency standards similar to Medicaid and preserving emergency care coverage under EMTALA. Supporters, including border hospital officials, the Washington State Hospital Association, and Seattle Children’s, argued the current policy draws nonresident non-emergent patients and strains rural and border hospitals, especially Newport Hospital, while opponents from Columbia Legal Services, Dollar For, Northwest Health Law Advocates, and QLaw Foundation said the bill would chill access for immigrants, temporary visa holders, and people seeking reproductive or gender-affirming care, and that the real problem is hospitals failing to provide charity care to eligible patients. The sponsor said he is working with DOH on amendments to address unintended consequences, and several testifiers indicated willingness to continue stakeholder discussions. No votes were taken; the committee heard testimony and then closed public hearings on the bills before adjourning.

Transcript Highlights:

• care practitioners.
• Health care boards are responsible for aspects of regulating and licensing health care professions.
• Health care boards.
• 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:

• House Bill 3887 removes the requirements for physicians to provide a referral for every 30 days for patients
• So at what point will the patient be required to see a physician?
• The patient will be referred back to the physician by the physical therapist if the physical Therapist
• Administered in Mexico right now under the care of medical doctors and nurses, it's given orally.

Bills: HB4423, HB3342, HB3645, HB3647, HB3887, HB4430, HB4431, HB2964, HB3834

Keywords: Oklahoma Health Care Authority, Medicaid, immigration verification, healthcare access, federal reporting, health care providers, auditing, patient rights, claims, protection from fraud, audit process, error correction, hospice care, physician determination, healthcare standards, symptom management, health information exchange, all-payer claims database, health care transparency, health care costs

Transcript Highlights:

• The new director of the Health Care Authority supports it, and it's fair and equitable.
• The new director of the Health Care Authority supports it, and it's fair and equitable.
• And the oversight basically is the board of the Health Care Authority.
• So at what point will the patient be required to see a physician?
• Administered in Mexico right now under the care of medical doctors and nurses, it's given orally.

Bills: HB4423, HB3342, HB3645, HB3647, HB3887, HB4430, HB4431, HB2964, HB3834

Keywords: Oklahoma Health Care Authority, Medicaid, immigration verification, healthcare access, federal reporting, health care providers, auditing, patient rights, claims, protection from fraud, audit process, error correction, hospice care, physician determination, healthcare standards, symptom management, health information exchange, all-payer claims database, health care transparency, health care costs

Summary: The committee first announced several bills would be laid over because sponsors were absent, then took up House Bill 4423, which would require Medicaid applicants to be legal U.S. citizens. After adopting a PCS, members asked whether Medicaid already had citizenship limits, and the bill passed 4-1. House Bill 3342 followed, revising the Health Care Authority audit process; the sponsor said it was based on an Arkansas model, had no fiscal impact, and was intended to be fairer after prior problems. It passed 5-0. House Bill 3645, allowing physicians or other independent doctors to authorize hospice referral when a patient lacks next of kin or is not coherent, also passed 5-0. House Bill 3647, creating an all-payer claims database through the state HIE for greater transparency in medical costs, passed 5-0 after a question about which entities would be included or excluded. House Bill 3887, which removes the requirement for a physician referral every 30 days for continued physical therapy, drew the most discussion. The sponsor said therapists would refer patients back to a physician if treatment was not helping or was outside their scope, while a member raised concerns about delayed diagnosis and suggested adding a timeline; the sponsor said he would be open to further discussion. The bill passed 4-1. House Bill 4430 extended tort claims protection to certain state-employed providers who work for entities such as FQHCs, and House Bill 4431 did the same for nurse practitioners working for state agencies; both passed 5-0. Later, House Bill 2964 changed medical-record copying language from “shall be charged” to “may be charged,” giving facilities discretion on whether to charge patients for copies of their records; it passed 5-0. Finally, House Bill 3834 was heard for research funding on ibogaine therapy for PTSD and related conditions among veterans, firefighters, and police officers. The sponsor said the goal was to allow Oklahoma research, not to remove the substance from controlled status, and a witness described the treatment as a monitored oral session used in Mexico and supported by some studies. The bill passed 5-0, and the chair adjourned the meeting, noting the laid-over bills would likely be heard the following week.