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:

• However, because of continued medical advancements, particularly in genomic medicine, Right to Try needs
• The Right to Try for Individualized Treatment Act accounts for these advancements in genomic medicine
• This is an AI in medicine bill. It is currently already... I was teeing it up for you. What's that?
• They're in medicine, so there are specialties.
• Medicine and the practice of making a person well is one industry where knowing someone's biological

Bills: SB95, SB268, SB493, SB619, SB660, SB922, SB984, SB1098, SB1188, SB1307, SB1332, SB1822

Keywords: immunization, written informed consent, civil liability, health care provider, vaccine compensation, administrative penalty, health care, licensing, complaint procedure, disciplinary action, law enforcement, pharmacy benefit manager, PBM, gag clause, prescription drug pricing, out-of-pocket cost, cash price, pharmacist, pharmacy, prescription drug benefit

Transcript Highlights:

• I'm the executive director of the Minnesota Board of Veterinary Medicine.
• I previously practiced equine medicine in the state of Minnesota, and I currently serve as a colonel
• 12.320> Minnesota So, Chapter 156 establishes Minnesota regulatory structure for veterinary medicine
• outdated provisions such as older definitions, temporary permit section, and certain drug rules. medicine
• requiring a veterinary client medicine requiring a veterinary client patient<01:27:52.800> relationship

Bills: HF3718

Keywords: veterinary medicine, veterinary technology, animal care, licensing, client consent, continuing education, emergency services, teletriage, 1183, house

Summary: The Agriculture Finance and Policy Committee met with quorum present, approved the March 2 minutes, and then heard a presentation on economic consolidation in agriculture from Austin Ferk, who said he was not taking additional public testimony. Ferk argued that consolidation in meat, dairy, and grain markets has squeezed farmers on both input and output prices, raised consumer prices, and reduced product quality. He used charts and examples to claim that concentrated markets lead to price gouging, that farmers now receive a historically low share of each food dollar, and that industrial production has contributed to environmental problems, especially in Iowa. Ferk focused on several large agribusiness firms, especially JBS and Cargill. He described JBS as a dominant meatpacker with a history of bribery allegations and market power across beef, pork, poultry, and leather, and said its ownership of brands can obscure who is actually selling the product. He also criticized Cargill as an opaque, privately held company with enormous influence over grain and food markets, and said the farm bill and crop insurance system have been shaped to favor overproduction of corn and soy rather than diversified farming. He argued that these policies, along with ethanol demand and export-oriented livestock production, have harmed rural communities, increased manure and nitrate pollution, and contributed to health problems. In the latter part of the presentation, Ferk discussed antitrust and policy responses, including concentration studies, a proposed packer ban that would prevent meatpackers from owning the animals they slaughter, and restrictions on slotting fees and other pay-to-play practices in grocery retail. He also referenced the failed Kroger-Albertsons merger as an example of consolidation harming local communities. No committee vote or formal action was taken on the presentation beyond approving the minutes.

Bills: SCR74, SR68, SCR108, SCR76, SCR150, SR141, SCR69, SR64, SCR25, SR22

Keywords: no-bid contracts, emergency procurement, audit, state agencies, public funds, accountability, auditor, state and county agencies, government accountability, emergency declarations, easement, submerged lands, drainage, Kahala Hotel, Oahu, state land regulations, biomarker testing, health insurance, precision medicine, H.B. No. 1971

Transcript Highlights:

• Okay, let's take up tab 2, SB 796 on veterinary medicine by the good Senator Bradley.
• It allows a VPA to engage in veterinary medicine only as delegated by a vet under the vet's responsible
• It allows a VPA to engage in veterinary medicine only as delegated by a vet under the vet's responsible
• Lastly, there was a comment made, like, this won't improve the affordability of veterinary medicine.
• It just allows it in the field of veterinary medicine.

Bills: S0754, S0796

Keywords: heated tobacco products, tobacco regulation, vaping, definition changes, Florida statutes, veterinary medicine, telehealth, veterinary professional associate, animal health, public safety, access to veterinary services

Summary: The Committee on Regulated Industries met with a quorum and took up two bills. First, it heard SB 754 on heated tobacco products. The bill would statutorily define heated tobacco products and exempt them from the cigarette tax. Senator Davis questioned why the exemption was needed, and Senator Bernard asked about youth access; the sponsor said the bill was limited to taxation and would look into age and regulatory issues. A Florida Retail Federation representative appeared in support. The committee voted the bill favorably, and Senator Bracey Davis later asked to be recorded as voting in the affirmative on tab 1. The committee then considered SB 796 on veterinary medicine, after adopting a delete-everything amendment. The amended bill would create a Veterinary Professional Associate (VPA) role for individuals with a master’s degree in veterinary clinical care to perform delegated tasks under a licensed veterinarian’s responsible supervision. It also would extend the time period for telehealth prescriptions for flea and tick products from one month to six months and for other medications from 14 days to 30 days. Senator Boyd raised liability concerns, and the sponsor said existing statute already places liability on the supervising veterinarian. The Florida Veterinary Medical Association testified against the bill, arguing Florida should expand and better utilize existing veterinary technicians rather than create a new mid-level role, and warning about federal prescribing restrictions and animal safety. Supporters, including the Animal Legal Defense Fund and Dr. Wayne Jensen, argued the bill would expand access to care, reduce costs, and provide a well-trained supervised workforce. Several senators said the bill balanced access and safety, and the committee reported SB 796 favorably. The meeting then adjourned.

Bills: SB190, HB515, SB190

Keywords: SB190, prostate cancer, prostate screening, PSA test, digital rectal exam, preventive screening, health insurance mandate, cost-sharing, copay, deductible, coinsurance, high-risk men, African American men, family history, genetic marker, men over 50, men over 40, health benefit plan, insurance coverage, mandated benefits

Transcript Highlights:

• I'm the government relations manager for the Delaware Academy of Medicine and Public Health.
• I am Cat Caudill, the Government Relations Manager for the Delaware Academy of Medicine and Public Health
• , and we are here in support. ...manager for the Delaware Academy of Medicine and Public Health, and
• It is a complementary and alternative medicine treatment option that should be widely available, as it

Bills: HB359, HB385, HB165

Keywords: human remains, indigent, burial, cremation, next of kin, social services, environmental impact, nursing education, preceptorship programs, healthcare workforce, nurse shortage, clinical training, dry needling, physician assistant, nurse practitioner, occupational therapist, referral process, neuromusculoskeletal pain, Western medicine

Summary: The Senate Health and Social Services Committee met with a quorum, approved the minutes from the prior two meetings, and briefly acknowledged the tragedy at Christiana Care before moving to legislation. The committee heard House Bill 385, which creates a statewide nurse preceptor grant program to expand clinical training placements for nursing students; testimony from nursing organizations, health care associations, and educators emphasized workforce shortages, the need for preceptor stipends and training, and the bill’s potential to help students complete programs and remain in Delaware. Members asked about eligibility and reporting, and several senators asked to be added as co-sponsors. Public comment was uniformly supportive, and the bill was advanced out of committee. The committee then considered House Bill 424, which repeals Delaware’s Autism Surveillance and Registration Program and requires DHSS to expunge protected health information collected through the registry. The sponsor and DHSS said the registry is no longer used for research or policy development and that repeal would reduce outdated reporting burdens; Autism Delaware, the Delaware Health Care Association, and the State Council for Persons with Disabilities support the change. A committee member raised the question of whether families would be notified before records are expunged, and DHSS said that process was not yet clear and would need further verification. Members discussed the issue, and the bill also moved forward. House Bill 419 was next, making children in foster care automatically eligible for the Purchase of Care child care subsidy and extending the same treatment to certain kinship and safety-plan placements through House Amendment 1. The Children’s Department and advocacy groups said the bill would provide immediate stability for children and caregivers, reduce delays from applications and income verification, and support working foster and kinship families. The committee also heard House Bill 359, which would allow cremation as an option for unclaimed and indigent remains when there is no family objection or next of kin cannot be found, addressing a shortage of burial plots and lowering costs; funeral industry testimony focused on preserving next-of-kin rights. Finally, the committee heard House Bill 475, creating a Delaware Nursing Advancement Fund financed by a $10 surcharge on nursing licenses and disciplinary fines to support workforce data collection and analysis through a nonprofit partner, and House Bill 165, authorizing physician associates, occupational therapists, and APRNs to perform dry needling under training and practice standards set by the Board of Medical Licensure and Discipline. All of the bills received supportive testimony, several members added their names as co-sponsors, and the committee adjourned after moving through the agenda.

Transcript Highlights:

• Um, Co-Chair Anderson and I had talked about the veterinary medicine bill, House File 3718.
• <00:42:49.920> comes<00:42:50.160> on<00:42:50.319> the "When a new medicine
• comes on the "When a new medicine comes on the market,<00:42:50.880> be<00:42:51.040> sure
• ,<00:56:56.000> quote, Veterinary Medicine, quote, Veterinary Medicine, quote, neonicotenoids
• Targeted protection: seed treatments apply small, precise amounts of active ingredients directly to the

Bills: HF3965, HF3704, HF3260, HF3718

Keywords: pesticide, agriculture, environmental protection, health risks, chemical safety, local agriculture, insecticides, pollinators, seeds, environmental health, neonicotinoids, systemic insecticides, civil penalties, pest management, land trends, report, appropriation, farmers, veterinary medicine, veterinary technology

Transcript Highlights:

• So, as you said, Rebecka Hartfield is being renominated to the state board of veterinary medicine.
• We get calls on telemedicine on some of these in medicine.
• Can I just pour the medicine on her as I drive by on my four-wheeler? Will that work?'
• But what I see on this telemedicine a lot of it is, what medicine do you use?
• You, he needs a shot of LA1und0 or he needs this medicine.

Bills: HB3239, HB3391, HB3557, HB4128

Keywords: veterinary medicine, definitions, animal husbandry, board of veterinary examiners, telemedicine, veterinarian-client relationship, animal welfare, commercial pet breeders, licensing, advertising, animal cruelty, Oklahoma Agricultural Extension, local funding, financial institutions, county extension services, state funds, wildlife conservation, hunting regulations, mountain lions, black bears

Bills: HB241, HB381, HB241

Keywords: healthcare, insurance, vaccine, public health, emergency response, vaccine distribution, healthcare legislation, state coordination, veterans, disability, employment preference, state agency hiring, supplemental security income, PTSD, mental health, grants, treatment protocols, pilot program, personalized treatment, neuroinflammation

Bills: SB240

Keywords: capital outlay, capital projects, severance tax bonds, general fund appropriations, supplemental severance tax bonds, UNM School of Medicine, University of New Mexico, infrastructure, state buildings, courts, schools, higher education, road improvements, water and wastewater, tribal infrastructure, tribal projects, public safety, housing, emergency services, bonding

Bills: SB240

Keywords: capital outlay, capital projects, severance tax bonds, general fund appropriations, supplemental severance tax bonds, UNM School of Medicine, University of New Mexico, infrastructure, state buildings, courts, schools, higher education, road improvements, water and wastewater, tribal infrastructure, tribal projects, public safety, housing, emergency services, bonding

Transcript Highlights:

• as a natural medicine facilitator in the state of Colorado.
• There's healing to be found in this medicine. This is not something new.
• There's healing to be found in this medicine. This is not something new.
• There's healing to be found in this medicine. This is not something new.
• There's healing to be found in this medicine. This is not something new.

Bills: HF4588, HF3685, HF4577, HF4932

Keywords: veterans, veterans affairs, mental health, behavioral health, rural health, rural areas, access to care, task force, Minnesota Department of Veterans Affairs, general fund appropriation, veteran suicide prevention, PTSD, service members, military families, telehealth, rural psychiatry, high school diploma, armed forces, education policy, military service

Bills: SB330, SB2069, SB2095

Keywords: elk population, wildlife management, Oklahoma State University, veterinary medicine, ecosystem health, habitat assessment, waterfowl hunting, crane hunting, hunting guide, hunting outfitter, wildlife conservation, commercial hunting, outfitter license, guide license, hunting services, licensed guide, licensed outfitter, game and fish, hunting for compensation, waterfowl guide

Bills: S0204, S0540, S0772, S1294, S1474, S1504, S1708

Keywords: gaming, slot machines, veterans organizations, regulatory compliance, Florida Gaming Control Commission, declaratory statement, criminal penalties, financial regulation, vulnerable adults, information security, financial exploitation, licensing, biosolids, agronomic rate, land application, environmental protection, Florida statutes, nutrient management, recordkeeping, farming

Summary: The Appropriations Committee on Agriculture, Environment, and General Government met with a quorum present and first took up confirmation votes for appointees on tabs 2 through 6, which were recommended favorably without public testimony. The committee then heard CS/SB 1474, which would direct DEP to stop issuing or reissuing permits for Class B biosolids land application when a wastewater treatment facility is reasonably accessible within 50 miles, and it was reported favorably. The committee also heard SB 1708, which removes a timing requirement for veterinarians licensed in good standing elsewhere to qualify for Florida licensure; it received support from Americans for Prosperity and the ASPCA and was reported favorably. Members then considered CS/SB 204 on illegal slot machine operations. An amendment was adopted that set the baseline penalty at a second-degree misdemeanor, elevated violations involving six or more machines or repeat offenses to a third-degree felony, and made violations by a person of authority involving six or more machines or multiple prior convictions a second-degree felony. Testimony supported the bill’s effort to target larger illegal operations while protecting veterans’ organizations and other lawful users from felony exposure; the bill as amended was reported favorably. The committee also adopted a strike-all for CS/SB 1294 addressing Class AA biosolids, requiring agronomic-rate application, recordkeeping, IFAS guidance, and application of fertilizer-related requirements to bulk land application products, with an effective date of November 1, 2026; it was reported favorably after limited questions about oversight and IFAS’s role. Later, CS/SB 772 was heard to allow portable electronics limited licensees to sell “iware” insurance and define that term, and it was reported favorably. CS/SB 1504 updated pre-licensure education for the 440 customer service representative license so a high school student completing a half-credit insurance and personal finance elective can apply upon turning 18; it received supportive testimony from industry groups and was reported favorably. Finally, the committee adopted a strike-all amendment to CS/SB 540 creating cybersecurity program requirements for mortgage and money service businesses, extending oversight to certain investment advisers, clarifying emergency suspension authority for anti-money laundering violations, extending payment deadlines for examination costs, and adjusting director experience requirements for financial institutions; the bill as amended was reported favorably. Senators McClain and Truenow requested to be recorded as voting in the affirmative on tabs 11 and 13, and the committee adjourned at the end of the agenda.

Bills: AB404, AB428

Keywords: brew pub, alcoholic beverages, liquor store, licensure, regulation, Department of Taxation, fertility preservation, breast cancer, ovarian cancer, oncology, reproductive medicine, infertility, cancer treatment, egg freezing, embryo freezing, oocyte cryopreservation, sperm banking, assisted reproductive technology, health insurance mandate, Medicaid

Transcript Highlights:

• What this bill does not do is authorize a person to engage in the practice of veterinary medicine, and
• experience the percentage of animals that can be successfully rehabilitated without the use of veterinary medicine
• It does take expertise and veterinary medicine, as mentioned here, to be able to provide clean and effective
• It requires veterinarian partnerships and access to appropriate medicine, some of which are controlled
• They are prohibited from doing veterinary work. prohibited from doing veterinary medicine.

Bills: HB448, HB448

Keywords: wildlife rehabilitation, conservation, good samaritan, injured animals, orphaned animals, debilitated wildlife, wild birds, wild animals, Department of Conservation and Natural Resources, DCNR, permit exemption, animal rescue, animal welfare, veterinary medicine, veterinary licensing, animal cruelty, wildlife care, rehabilitation act, non-federally protected species, endangered species

Transcript Highlights:

• I am an internal medicine pediatric physician and work at the Community University Health Care Center
• I am an internal medicine and pediatrics doctor, and I am also an addiction medicine doctor.
• I'd send the medicine to the pharmacy, but I had to tell them, "Hey, hopefully it'll be there within

Bills: HF362, HF2590, HF2760, HF3444

Keywords: massage therapy, Asian bodywork therapy, massage therapist, Asian bodywork therapist, licensure, professional licensing, health occupations, Department of Health, commissioner of health, advisory council, protected title, unlicensed practice, scope of practice, consumer protection, background check, professional liability insurance, continuing education, credentialing examination, state preemption, municipal regulation

Transcript Highlights:

• Patients are still waiting for access to medicine, and small businesses are waiting for the opportunity
• attended every hearing that Judge Anderson has had right down the street, and this will not help get medicine
• If you want to get medicine in the hands of patients, we need to let the process work.
• We want to get this medicine to the people of Alabama, to the patients of Alabama.

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:

• in large animal medicine, will graduate its first veterinarians next month.
• into if there is an allergic complication to the medicine.
• He gives you a certain medicine, you don't have it, he does.
• Can I try that same medicine because it worked on the first? Yes, I could.
• As a veterinarian, I'm in the business of preventative medicine.

Bills: HB 43, HB 3364, HB 3469, HB 3479, HB 43, HB 3364, HB 3469, HB 3479

Keywords: agriculture, finance, young farmers, financial assistance, pest control, veterinarian, veterinary medicine, veterinary telemedicine, telehealth, telemedicine, veterinarian-client-patient relationship, VCPR, animal health, livestock, pets, remote care, electronic means, telephone consultation, controlled substances, prescription drugs

Summary: The second bill, House Bill 3469, was introduced to address pest control regulations concerning nuisance birds. Representative Campos explained how the bill proposes non-lethal methods to deter these birds, such as the use of laser lights and sounds, which avoids conflict with both state and federal regulations. The committee heard impassioned testimonies from members of the public who shared firsthand experiences regarding the adverse effects of these birds on property and public health. The meeting concluded with both bills being left pending, reflecting a desire for further deliberation among the committee members.