Video & Transcript Research : 'surgical plume'

Page 1 of 57
TX

Texas 89th Regular

Public Health Mar 10th, 2025

Public Health

Transcript Highlights:
  • smoke during a surgical procedure.
  • I'm here to express my support for HB 513, a bill to require surgical smoke plume evacuation policy.
  • Approximately 90% of all surgical proce- procedures generate surgical smoke, over 150 carcinogenic and
  • The hospitals and ambulatory surgical centers already have surgical smoke evacuation equipment.
  • But, leading to longer surgical times, but surgical smoke exposure also... has been linked to increased
Bills: HB5, HJR3, HB155, HB513, HB5, HB155
FL

Florida 2026 Regular Session

Health Policy Jan 26th, 2026

Health Policy

Transcript Highlights:
  • Senators, we will now move to take up tab 4, which is Senate Bill 1156 on ambulatory surgical centers
Bills: S1082, S1168, S1756, S1156, S1480
Summary: The committee took up several health-related bills. SB 1082, on a statewide provider and health plan claim dispute resolution program, was presented as a way to let providers and insurers use the federal independent dispute resolution process for emergency out-of-network claims under state-regulated commercial plans. A late-filed amendment clarified when providers and health plans could access the state program, and the bill was reported favorably as a committee substitute. SB 1168, which would centralize background screening clearinghouse functions at the Agency for Health Care Administration, also passed as amended after an amendment requiring sealed and expunged records to be included in screenings for qualified entities. Supporters said centralization would improve turnaround times, reduce duplication, and save costs; the sponsor said the bill also addresses coaches’ background screening language from last session. The committee then approved SB 1156, which moves ambulatory surgery center regulation out of the hospital-focused chapter of law into a standalone section, and SB 1480, as amended by a strike-all, which would grandfather certain temporary certificate holders practicing in areas of critical need if federal designation changes affect those areas. Testimony on SB 1480 emphasized continuity of care for patients in underserved communities, and the bill was reported favorably. The final and most heavily debated measure was SB 1756 on medical freedom, which would require state-approved educational materials on childhood vaccines, require practitioners to provide those materials and alternative schedules before vaccination, expand school immunization exemptions to include conscience-based objections, clarify that the Surgeon General cannot order vaccination during a public health emergency, and authorize pharmacists to provide ivermectin behind the counter without a prescription with written information and safeguards. The sponsor argued the bill strengthens parental choice and informed consent. Committee members raised concerns about vaccine-preventable disease risks, immunocompromised children, school outbreaks, and the impact of adding a new exemption. A Department of Health representative said the department would need to provide details on the history of exemption consultations and noted that removing the earlier consultation requirement had not been shown to increase outbreaks. The committee adopted a friendly amendment to give physicians the same liability protection as pharmacists for ivermectin dispensing, but rejected a substitute amendment that would have required a consultation for exemption requests. Public testimony was overwhelmingly opposed to the bill, with physicians, pediatric specialists, cancer advocates, parents of immunocompromised children, and public health groups warning that it would lower vaccination rates and endanger vulnerable Floridians. The bill remained pending after testimony, with the committee continuing to hear public comment.
FL

Florida 2026 Regular Session

Appropriations Committee on Health and Human Services Feb 25th, 2026

Appropriations Committee on Health and Human Services

Transcript Highlights:
  • Evidence shows that surgical introvision provoked. time-dependent.
  • Surgical smoke contains over 150 hazardous chemicals and carcinogenic and mutagenic cells.
  • the use of smoke evacuation systems during any surgical procedure that is likely to generate surgical
  • The burning of human flesh and inhaling this plume...
  • Thank you. ...by surgical smoke, he said it is possible, but there is no test to confirm.
Summary: The Appropriations Committee on Health and Human Services met with a quorum present and took up several health-related bills. CS/SB 1110 on Medicaid and insurance coverage for orthotics and prosthetics was heard first. The bill would require coverage for medically necessary orthotics and prosthetics without lifetime or continuous-use caps, direct AHCA to seek federal approval and update contracts, and require annual reporting. Testimony from a child using prosthetic “gymnastics blades,” his mother, and another young person with a prosthetic leg emphasized the high cost of activity-specific devices and the impact on children’s mobility, sports participation, and quality of life. Senators voiced strong support, and the bill was reported favorably. The committee then approved SB 1574, “Maddie’s Law,” which adds newborn screening for biliary atresia using the existing blood specimen collected at birth. The sponsor and the child’s father described the condition as time-sensitive and potentially fatal without early detection, and argued the screening could prevent transplants and save money. The bill was reported favorably. The committee also considered CS/SB 794 on background screening for employees of residential facilities and day training programs for people with developmental disabilities, plus a review of waiver support coordination quality, training, and access issues. Parents and a support coordinator testified that strong support coordination is essential for families and that the bill would help standardize expectations and improve services. An amendment aligning the bill with the House companion was adopted, and the bill was reported favorably. Members next heard SB 162, which requires hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during procedures that generate surgical smoke. Supporters, including nurses and the Florida Nurses Association, described surgical smoke as a workplace hazard with toxic chemicals and potential cancer risks; hospital representatives said they support the intent but argued existing federal and state standards already regulate the issue and the bill is too prescriptive. A late-filed amendment clarifying the smoke must be “effectively captured and filtered” was adopted, and the bill passed favorably. The committee also approved CS/SB 254, a major nursing education bill that tightens oversight of low-performing nursing programs, creates a temporary provisional license and preceptorship pathway for graduates awaiting NCLEX results, requires remediation for delayed testing, and increases transparency by posting passage rates. Nursing groups supported stronger standards, while private nursing schools warned the bill could reduce capacity and discourage program directors; the amended bill was reported favorably. Finally, the committee heard SB 688, which would reestablish licensure and regulation of naturopathic doctors in Florida, create a board of naturopathic medicine, set licensure and renewal requirements, and define the scope of practice while excluding most prescription authority. Supporters said it would expand health care choices and allow naturopathic doctors to practice openly, while opponents from the medical community warned the bill could authorize diagnosis and treatment without sufficient training and rely on unproven therapies. The bill was reported favorably. The committee then adjourned after members thanked staff for their work.
LA

Louisiana 2026 Regular Session

Finance May 27th, 2026

Finance

Transcript Highlights:
  • the bill, is just asking is requiring LDH to increase the reimbursement rate for the ambulatory surgical
  • The analysis that is done is to pull the claim history for this provider, for ambulatory surgical centers
  • But what they don't do is true up the cost based on a total cost report and surgical interventions in
  • And the other part is the procedures conducted by ambulatory surgical centers annually in line with the
FL
Transcript Highlights:
  • Evidence shows that surgical introvision provoked. time-dependent.
  • Surgical smoke contains over 150 hazardous chemicals and carcinogenic and mutagenic...
  • surgical smoke.
  • The burning of human flesh and inhaling this plume...
  • Protection from surgical smoke. This bill is very personal for me.
Summary: The Appropriations Committee on Health and Human Services met with a quorum present and took up several health-related bills. CS/SB 1110, covering Medicaid and insurance coverage for medically necessary orthotics and prosthetics, including activity-specific devices without lifetime or continuous-use caps, received emotional testimony from families and athletes describing high costs and the importance of access for children and adults with disabilities. Members voiced strong support, and the bill was reported favorably. The committee also heard SB 1574, which would add biliary atresia screening to the newborn screening program using the existing birth blood specimen. The sponsor and a parent testified that earlier detection could prevent severe liver damage, transplants, and deaths, and the bill was reported favorably. CS/SB 794, dealing with background screening for employees at residential facilities and day training programs for people with developmental disabilities and a review of waiver support coordination, was amended to align with the House companion and then reported favorably after testimony emphasizing the importance of strong support coordinators for APD waiver families. Members then considered SB 162, requiring hospitals and ambulatory surgical centers to adopt policies for smoke evacuation systems during procedures that generate surgical smoke. Nurses and other supporters described surgical smoke as a serious occupational hazard, while the Florida Hospital Association said hospitals are already regulated in this area and the bill was somewhat prescriptive; an amendment was adopted and the bill was reported favorably. CS/SB 254, which tightens oversight of nursing education programs, adds preceptorship and provisional licensure pathways for graduates awaiting NCLEX results, and increases transparency and accountability for low-performing programs, drew support from nursing advocates and opposition from private nursing schools concerned about workforce impacts; after amendment, it was reported favorably. Finally, SB 688 to reestablish licensure and regulation of naturopathic doctors in Florida was heard with testimony both supporting expanded health care choices and opposing the bill over safety and scope concerns, and it too was reported favorably. The committee then adjourned.
AZ

Arizona 2026 Regular Session

03/18/2026 - Senate Regulatory Affairs and Government Efficiency

Regulatory Affairs and Government Efficiency

Transcript Highlights:
  • conduct, failure of the allopathic or osteopathic physician to perform surgeries at an outpatient surgical
  • It also requires an allopathic or osteopathic physician performing surgeries at an outpatient surgical
  • Also requires an allopathic or osteopathic physician to perform the surgeries at an outpatient surgical
  • We don't want to inhibit the care at these surgical centers, these outpatient...
  • Inhibit the care at these surgical centers, these outpatient centers, because that's actually better
AZ

Arizona 2026 Regular Session

02/09/2026 - House Health & Human Services

Health & Human Services

Transcript Highlights:
  • combination with the growing population that's ever growing here in Arizona, also brings increased surgical
  • 2686 requires a medical doctor or osteopathic physician who performs surgeries at an outpatient surgical
  • Right now, they have a surgical surgeon on the dental board, but that's not a requirement that's appointed
  • Oral and maxillofacial surgeons are unique and highly specialized surgical surgeons.
  • Cholomaxal facial surgeons are unique and highly specialized surgical service.
FL

Florida 2026 Regular Session

Health Policy Jan 20th, 2026

Health Policy

Transcript Highlights:
  • This is SB 162, protection from surgical smoke.
  • surgical smoke.
  • But yes, it would require it would apply in every surgical room in the hospital.
  • For instance, viral plumes are medically known to be spread via smoke.
  • smoke is a thing and why it has to be evacuated from the surgical suite.
Bills: S0428, S0606, S0192, S0162, S0340
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.
FL

Florida 2026 Regular Session

Appropriations Committee on Health and Human Services Feb 25th, 2026

Appropriations Committee on Health and Human Services

Transcript Highlights:
  • Little known fact, babies born by C-section breathe in their mother's surgical smoke at birth.
  • the use of smoke evacuation systems during any surgical procedure that is likely to generate surgical
  • Surgical smoke is a toxic workplace hazard produced in 90 percent of surgeries.
  • As Senator Davis stated, surgical smoke contains chemicals and carcinogenic cells.
  • A newborn's first breath born by C-section should not be that of surgical smoke.
Keywords: 999, senate, all
FL

Florida 2026 4th Special Session

February 26, 2026 - 03:30 PM

Transcript Highlights:
  • Last but certainly not least, we have HB 93, protection from surgical smoke by Representative Woodson
  • The reason for this support is simple: surgical smoke is a toxic workplace hazard produced in 90% of
  • Should not be that of surgical smoke. Research is clear: there is no safe level of exposure.
  • This was the first year I actually got to see surgical smoke, because she actually brought in a glass
  • By the way, you want to talk about going above and beyond to get your bill to show you what surgical
TX

Texas 89th Regular

Delivery of Government Efficiency May 7th, 2025

Delivery of Government Efficiency

Transcript Highlights:
  • And finally, this program creates more. by allowing individuals to know the exact cost of their surgical
  • To give more detail, the program ensures that a single payment covers all fees related to a surgical
  • Well, the third-party administrator would invite anyone to participate. surgical centers in the state
  • The state would save money, and our in-network providers would have to compete with a surgical center
  • I know I'm running out of time, but I did pull up the Oklahoma City. ...surgical site that he mentioned
FL

Florida 2026 5th Special Session

Health Policy Jan 20th, 2026

Transcript Highlights:
  • This is SB 162, protection from surgical smoke.
  • use of a smoke evacuation system during any surgical procedure that is likely to generate surgical smoke
  • What is done to remove surgical smoke is the traditional suction that’s used.
  • For instance, viral plumes are medically known to be spread via smoke.
  • smoke is a thing and why it has to be evacuated from the surgical suite.
Summary: The Senate Health Policy Committee met with a quorum and considered several health-related bills, most of them focused on drowning prevention and public safety. SB 428, by Senator Yarborough, would expand Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7. The sponsor and supporting testimony from a pediatric emergency physician and YMCA representatives emphasized Florida’s high drowning rates, especially among very young children, and argued that swim lessons can significantly reduce risk. Senator Harrell noted the need to revisit the funding allocation as eligibility expands. The bill was reported favorably. The committee also heard SB 606, by Senator Smith, which adds drowning prevention and safe bathing practices to postpartum education provided by hospitals, birthing centers, and, after amendment, no longer requires home birth providers to maintain proof of compliance. A parent who lost a child to drowning and Senator Berman spoke in strong support, stressing that the bill would educate new parents at a critical time. The committee adopted the amendment and reported the bill favorably as a committee substitute. SB 162, by Senator Davis, would require hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during procedures that generate surgical smoke. The sponsor said the equipment is relatively low-cost and already used in many facilities, while several witnesses supported the bill as a worker-safety measure. Other senators raised concerns about the lack of data, possible rural hospital impacts, and whether the mandate could add costs without clear evidence of harm. Despite those concerns, the bill was reported favorably. The committee also passed SB 340, by Senator Harrell, requiring nursing students to complete a two-hour human trafficking course before licensure, after amending the bill to shift the requirement from nursing programs to the students themselves. Testimony from a trafficking survivor and nursing advocates supported the measure, and it was reported favorably as a committee substitute. Finally, SB 192, presented by Senator Trumbull on behalf of Senator Martin, removed the $1,500 cap on advances chiropractic physicians may collect for examinations or treatment; chiropractic industry representatives supported the change, and the bill was reported favorably.
TX

Texas 89th Regular

Insurance Apr 2nd, 2025

Insurance

Transcript Highlights:
  • Long-term needs like hormone management, surgical complications, and loss of function are often ignored
  • Surgically, gender reassignment surgery ranges from relatively straightforward operations like removal
  • of the breasts, euphemistically called top surgery, to attempts to surgically create functional genitalia
  • babies born with both sexes of genitals or a mixed appearance are then placed under the stress of surgical
  • Plume operates here in Texas. I sent many patients to that app.
NM

New Mexico 2026 Regular Session

House - Judiciary Feb 11th, 2026 at 05:05 pm

House Judiciary

Transcript Highlights:
  • Medical lasers are surgical instruments that destroy tissue.
  • Medical lasers are surgical instruments that destroy tissue.
  • Optometrists do not attend medical school, do not complete a surgical residency, and this legislation
  • This is not the first surgical bill that we have.
  • And relative to our surgical scope enhancement...
FL

Florida 2026 Regular Session

Fiscal Policy Feb 5th, 2026

Fiscal Policy

Summary: The Committee on Fiscal Policy met and first postponed SB 524 and SB 1156. It then heard and favorably reported several bills, including SB 488 and SB 490 by Sen. Massullo, which update Department of Highway Safety and Motor Vehicles procedures, raise the crash-reporting threshold, expand email use, and create a related public-records exemption. The committee also favorably reported SB 892 by Sen. Martin on enhanced sentencing for repeat offenders, SB 124 by Sen. Rodriguez updating Florida Virtual School statutes, and SB 584 by Sen. Yarbrough strengthening oversight of commercial driving schools and tax collector authority. SB 656 by Sen. Bradley, codifying the Internet Crimes Against Children Task Force and related grant program, and SB 816 by Sen. Bradley, formally establishing the University of Florida Diabetes Institute, also passed unanimously or near-unanimously. The most extensive debate centered on SB 216 by Sen. McLean, which would tighten unemployment assistance eligibility by adding job-search requirements, more frequent verification, and fraud-reporting measures. Supporters argued the bill would reduce fraud and improve program integrity, while opponents from labor groups and several senators warned it would burden claimants, especially rural residents, seniors, and workers facing layoffs, and could sharply reduce access to benefits. Despite those objections, the committee reported the bill favorably on a divided vote. The committee also considered CS/SB 382 by Sen. Truenow on electric bicycles, requiring riders to yield to pedestrians, sound an audible signal before passing, and limit speed near pedestrians, while creating a task force to study broader regulation of e-bikes and related devices. A mother whose son was killed on an electric scooter urged the committee to restore scooters to the bill, and several members expressed support for further work on that issue. The committee reported the bill favorably. At the end of the meeting, members recorded additional affirmative votes on selected tabs, and the committee adjourned.
LA

Louisiana 2026 Regular Session

Appropriations Apr 27th, 2026

Appropriations

Transcript Highlights:
  • Members, House Bill 198 provides relative to Medicaid reimbursement of ambulatory surgical centers for
  • The bill is just asking for comparing, for paying the ambulatory surgical centers at the rate that is
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Public Health Jun 21st, 2026 at 09:00 am

Joint Committee on Public Health

Transcript Highlights:
  • Approximately 90% of all surgical procedures generate the surgical smoke that was previously mentioned
  • The average daily impact of surgical smoke to the surgical team, which is nurses and other health care
  • surgical smoke evacuation equipment is used every time surgical smoke is present.
  • Surgical smoke is generated from the cauterization or dissection of tissue during surgical procedures
  • Studies have found that surgical smoke plume generated from one gram of cauterized tissue is the equivalent
Keywords: 995, all
Summary: The Joint Committee on Public Health heard testimony on a wide range of bills focused on environmental health, disease prevention, and access to care. Major topics included restricting polystyrene use, creating a pancreatic cancer awareness and early-detection initiative, improving indoor air quality through a task force and new regulations, expanding access to epinephrine in public places, improving access to health care for people with long COVID, creating an OBGYN loan repayment program for underserved areas, expanding access to hygiene products, modernizing licensure for dietitians and nutritionists, updating school postural screening requirements, and restricting harmful diet pills and muscle-building supplements. Several legislators also testified in support of their own bills, including measures on menstrual product access and ingredient disclosure, and surgical smoke protections. Testimony on the polystyrene bill emphasized local municipal bans and the need to reduce plastic pollution. Pancreatic cancer advocates and patients described the disease’s low survival rate, the difficulty of early diagnosis, and the need for an awareness campaign and implementation of commission recommendations. Indoor air quality supporters from environmental justice groups, public health organizations, and residents described asthma, mold, pollution, and the need for a task force with technical expertise; some witnesses urged adding remediation professionals to the task force. On epinephrine access, family members of a man who died after a bee sting and an allergy organization stressed that anaphylaxis can be sudden and fatal and that stock epinephrine in public venues could save lives. Long COVID advocates said the condition affects hundreds of thousands of residents and called for better surveillance and access to care, with a request to include MECFS in the bills’ scope. Other testimony focused on workforce and equity issues. Supporters of the OBGYN loan repayment bill said it would help address maternal health disparities and provider shortages, especially in rural and underserved communities. Hope and Comfort described widespread hygiene insecurity and a long waiting list for basic products, urging a task force to study statewide solutions. Dietitians and nutritionists supported modernization of licensure to clarify standards for medical nutrition therapy while allowing broader wellness counseling. School nurses backed reducing mandatory postural screenings, arguing the current law is not evidence-based, is not reimbursed by MassHealth, and takes time from other student health needs. On the supplement bill, the industry trade group opposed restrictions as overbroad and burdensome, while a public health expert cited research linking weight-loss and muscle-building supplements to serious harms and urged passage. The committee also heard support for menstrual product access and surgical smoke protections, with legislators and advocates describing those bills as longstanding priorities.
MN

Minnesota 2025-2026 Regular Session

House Taxes Committee 3/25/25

Taxes

Transcript Highlights:
  • governments, hospitals, nursing homes, county libraries, nonprofit BRPs, hospitals, and all patient surgical
  • governments, hospitals, nursing homes, county libraries, nonprofit BRPs, hospitals, and all patient surgical