Transcript Highlights:

• For the record, my name is Abby Smelzer, and I'm here today on behalf of here.com, testifying in support
• This is the bill that modifies the vital statistics definition of fetal death.

Bills: SB5915, SB6025, SJM8002

Keywords: SB 5915, health technology assessment, HTA, clinical committee, medical technology review, coverage determination, state-purchased health care, Washington health care, RCW, evidence-based medicine, cost-effectiveness, safety and efficacy, Medicare coverage, national coverage determination, clinical guidelines, patient advocacy, public comment, medical necessity, rare disease, life-threatening disease

Summary: The committee held public hearings on Substitute Senate Bill 6183, which would require health plans, including public and school employee plans, to cover FDA-approved HIV antiviral drugs without prior authorization, step therapy, or other utilization management when therapeutic equivalents exist. The prime sponsor said the bill is part of Washington’s effort to end HIV/AIDS and argued that delaying access to needed medication is especially harmful for late-stage diagnoses. No one testified in person or remotely, and public testimony was closed. The committee then heard Substitute Senate Bill 6226, which would limit the Board of Hearing and Speech from adopting rules that prevent licensed audiologists, speech-language pathologists, and hearing aid specialists from using clinical judgment to choose telehealth or in-person care. Supporters said teleaudiology expands access, especially in rural areas and for patients with mobility barriers, while some testifiers raised patient safety concerns about first-time hearing aid fittings and asked for amendments or more time to review safeguards. One testifier said the Washington Hearing Society had moved to neutral after discussions on amendments. In executive session, the committee adopted amendments and advanced several measures. Substitute Senate Bill 5185, on international medical school graduate physician licensing, passed with a technical amendment and a do pass recommendation. Substitute Senate Bill 5845, on timing of claims payments, was amended to include tribal health care systems, shorten carrier refund-request timelines, and delay implementation to January 1, 2028, then passed 17-1. Senate Bill 5915, prioritizing certain health technology assessments, and Senate Bill 6025, modifying the definition of fetal death, both passed unanimously. Senate Joint Memorial 8002, asking the federal government to change Medicare policy, passed 15-3. The committee then adjourned.

Transcript Highlights:

• For purposes of vital records, fetal... Has been registered and a permit has been obtained.
• For purposes of vital records, fetal death means any product of conception that shows no evidence of
• For the record, my name's Annette Cleveland.
• For the record, my name is Samantha Grono.
• For the record, my name is Carissa Larson.

Bills: SB5915, SB5988, SB6025, SJM8002

Keywords: SB 5915, health technology assessment, HTA, clinical committee, medical technology review, coverage determination, state-purchased health care, Washington health care, RCW, evidence-based medicine, cost-effectiveness, safety and efficacy, Medicare coverage, national coverage determination, clinical guidelines, patient advocacy, public comment, medical necessity, rare disease, life-threatening disease

Summary: The House Health Care and Wellness Committee held public hearings on several Senate bills and one joint memorial. SB 5915 would update the Health Technology Assessment Program by adding Medicare-recommended or guideline-recommended technologies to the review priority list, requiring broader evidence review for rare or life-threatening diseases, and setting posting and decision deadlines; supporters from rare disease families and clinicians said the current process is outdated and too rigid, while the sponsor said the bill reflects needed modernization. SJM 8002 urges the federal government to oppose Medicare privatization and make changes to original Medicare and Medicare Advantage, including eliminating the 20% coinsurance in original Medicare, adding dental/vision/hearing benefits, reducing Medicare Advantage overpayments, and recouping fraud and abuse funds; labor, senior, and retiree advocates supported it as a way to protect beneficiaries and the Medicare trust fund. The committee also heard SB 5395 on prior authorization, which would require more transparency in denial notices, limit denial decisions to licensed clinicians, restrict AI from being the sole basis for denials or delays, and address retrospective denials; providers, hospitals, and patient advocates supported the bill as a compromise to reduce delays and inappropriate denials, while insurers were generally neutral but sought a narrow amendment. SB 5845 would tighten payment timelines for clean claims, require faster notice and information requests for non-clean claims, and authorize penalties for chronic noncompliance; hospitals and physicians said predictable payment is essential for financial stability, while insurers were neutral and requested a limited amendment. SB 6025 would change the fetal death definition to use the best clinically accurate gestational age rather than the last menstrual period; OB-GYNs, nurses, and medical groups supported it as a medically accurate update, while one opponent objected on moral grounds. The committee also heard SB 5988, which would authorize the Department of Health to continue accrediting opioid treatment programs and set fees to cover the program’s costs; the sponsor and DOH said it is needed to maintain a patient-centered accreditation option after budget cuts, and the bill was described as a companion to House legislation. Finally, SB 5917 would change how the Department of Corrections coordinates distribution of state-purchased abortion medications, remove the current cost-plus-fee requirement, and broaden the definition of abortion medication; supporters said it would allow the stockpiled medication to be distributed to providers and patients, while opponents argued it promotes abortion and misuses public funds. The transcript ends with the committee closing public testimony and adjourning, with no votes taken in the hearing.

Transcript Highlights:

• first meeting of this legislative session, and I just want to thank you for your support and for being vital

Bills: SB94

Keywords: adoption, adoptive parent, adoptee, minor adoption, adult adoption, Alabama Minor Adoption Code, Alabama Adult Adoption Code, Department of Human Resources, DHR, county department of human resources, putative father registry, paternity, consent, relinquishment, implied consent, notice of adoption, contested adoption, home study, pre-placement investigation, post-placement investigation

Transcript Highlights:

• Senate Bill 30 repeals a section of the Vital Statistics Act, 24-14-18.
• of the system of vital statistics.
• Chair, in the statute, in the section of law, Vital Statistics, I went through it to kind of determine
• other reports required by the Vital Statistics Act to offices of vital statistics outside the state
• when the records or other reports relate to residents of those jurisdictions or persons born outside

Bills: SB30, SB43, SB50, SB136

Keywords: SB30, induced abortion, abortion reporting, vital statistics, public health reporting, medical records, health care providers, repeal, New Mexico, pregnancy termination, abortion data, state reporting requirements, confidentiality, reproductive health, parole, life imprisonment, rehabilitation, criminal justice, victim rights, law enforcement

Transcript Highlights:

• of the system of vital statistics.
• by the Vital Statistics Act to offices of vital statistics outside this state when the records of other
• The LFC analysis says this will increase efficiency at vital statistics.
• I also monitor abortion data through public records and vital statistics to keep the public informed
• Again, we don't have someone here from vital statistics.

Bills: SB41, SB33, SB32, SB30

Keywords: sexual crimes, statute of limitations, criminal justice, victim rights, child abuse, individualized treatment, investigational treatment, health care, life-threatening illness, patient rights, physician recommendation, informed consent, human trafficking, sexual exploitation, child protection, prosecution, crime amendments, SB30, induced abortion, abortion reporting

Transcript Highlights:

• an additional reason for you to consider passing this bill, and that is the accuracy of Alabama's Vital
• Records.
• States are mandated to collect and record vital statistics, which serve as a foundational data set for
• Defining male and female in law is essential for maintaining high-quality vital statistics that will
• The next thing I want to talk about, I wanted to address one claim about the vital statistics.

Bills: HB45, HB79, SB79

Keywords: Medicaid, colorectal cancer, screening tests, noninvasive tests, preventive care, off-label, pharmacists, medical treatment, state board of pharmacy, employment protection, sex-based terminology, gender identity, male, female, man, woman, boy, girl, single-sex spaces, women's rights

Bills: SB63, HB156, HB289, SB80, SB84, SB63, HB156, HB289, SB80, SB84

Keywords: immigration, law enforcement, fingerprints, DNA collection, illegal aliens, Alabama state law, out-of-state warrants, criminal procedure, extradition, Alabama Code, arrest authority, interstate cooperation, Marshall County, TVA, Tennessee Valley Authority, in-lieu-of-taxes, payments distribution, local legislation, school funding, education finance

Transcript Highlights:

• And they include things such as opportunities for follow-up, adverse events, records, things of that
• And they include things such as opportunities for follow-up, adverse events, records, things of that
• of disposition is not required on a U.S. death certificate and it is not included in reporting or recording
• of disposition is not required on a U.S. death certificate and it is not included in reporting or recording
• of disposition is not required on a U.S. death certificate and it is not included in reporting or recording

Bills: HB161, HB146, HB289, HB290, HB31, HB146, HB289, HB290, HB31

Keywords: consumer protection, app store, age verification, parental consent, data protection, minors, HB146, ivermectin, pharmacist, standing order, prescription drug, non-patient-specific order, dispensing, physician assistant, nurse practitioner, licensed health care provider, pharmacy board, medical licensure, disciplinary action, drug access

Transcript Highlights:

• Segregated records and undisputed, Clarity, not interpretive burden.
• You'll just state your name for the record. Go ahead. Thank you. Thank you.
• Are you talking about the medical records?
• It will appear in other places of the record. Why is that? I'm curious.
• SB 30 repeals a section of the Vital Statistics Act, Section 24-14-18.

Bills: HB195, HB279, SB30, HB234, HB292, SB100, SB23, SB221, SB261, SB264

Keywords: medical malpractice, judgments, independent providers, insurance, personal assets, settlements, healthcare, healthcare privacy, electronic medical records, reproductive health, gender-affirming care, data protection, location tracking, confidentiality, SB30, induced abortion, abortion reporting, vital statistics, public health reporting, medical records

Transcript Highlights:

• neurosurgeons, the chance of you getting sued as a neurosurgeon, of you having a malpractice event on your record
• From the Chamber's perspective, addressing violent crime is essential to economic vitality and community
• We've even seen it with the conversations with IPRA, the Inspection of Public Records Act, or transparency
• around public documents, public records, webcasting.

Bills: HB99, HB49, HB164, SB30, SB43, SB50, SB136

Keywords: medical malpractice, malpractice reform, patient's compensation fund, PCF, health care liability, tort reform, damage caps, punitive damages, hospital liability, physician liability, nurse practitioner, certified nurse-midwife, outpatient facility, ambulatory surgical center, urgent care, free-standing emergency room, insurance surcharge, superintendent of insurance, New Mexico hospitals, medical review process

Transcript Highlights:

• All right, and let's go ahead and correct the record accordingly there.
• records.
• record they need to understand the reasons behind those policies.
• We need the records. We need to hold them accountable.
• This bill would allow record retention to be essential records for our families. families, members, the

Bills: HB2814, HB4477, HB5084, HB5108, HB5127, HB5383, HB5611, HB5663, HB5664, SB1563, HB2668, HB3841, HB4114

Keywords: juvenile justice, release documents, children, identification, Texas Juvenile Justice Department, civil service, staffing requirements, local government, positions exemption, Texas legislation, fireworks, Lunar New Year, retail permits, public safety, Texas law, holiday sales, HB 5108, deaths in custody, custodial death, jail death

Transcript Highlights:

• Let the record also reflect that Chairman Kemper is present.

Bills: HB2814, HB4477, HB5084, HB5108, HB5127, HB5383, HB5611, HB5663, HB5664, SB1563, HB2668, HB3841, HB4114

Keywords: juvenile justice, release documents, children, identification, Texas Juvenile Justice Department, civil service, staffing requirements, local government, positions exemption, Texas legislation, fireworks, Lunar New Year, retail permits, public safety, Texas law, holiday sales, HB 5108, deaths in custody, custodial death, jail death

Bills: HB461, HB465, HB469, HB473, SB94, SB303, HB461, HB465, HB469, HB473, SB94, SB303

Keywords: fundraising, Alabama Educational Television, state authority, public broadcasting, legislation influence, emergency management, public funds, educational materials, promotional materials, state agency, ambulance services, balance billing, health insurance, emergency transportation, reimbursement rates, water recreation, public access, water bodies, recreational use, water commissions

Transcript Highlights:

• A gentleman went to obtain his medical records and realized that he was being charged for each copy for
• And because they are your personal records, we hopefully change that today and see what we can do.

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:

• in the area where I live, there's a lawsuit going on with one of the centers, and that the openpen Records
• , and that shield right now is because if they're contract employees They're not part of the open records
• That's why we want to verify it with vital statistics. Any further questions?
• Senate Bill 1328 is the Parental Access to Minor Medical Records Act.
• With all the electronic and other things happening in the medical records now, this bill is trying to

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

Keywords: parents' rights, healthcare consent, minors, medical records, protection, legal guardianship, Medicaid, Oklahoma Health Care Authority, eligibility verification, death records, Death Master File, vital statistics, disenrollment, recoupment, improper payments, benefits integrity, public assistance, income verification, residency verification, incarceration status

Transcript Highlights:

• They were contract employees, so they're not able to use the records that come with those employees at
• So they would have a record of it, and they would go back on that person that had received it.
• That's why we want to verify it with vital statistics. Any further questions?
• Senate Bill 1328 is the parental access to minor medical records bill.
• Senate Bill 1328 is the parental access to minor medical records bill.

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

Keywords: parents' rights, healthcare consent, minors, medical records, protection, legal guardianship, Medicaid, Oklahoma Health Care Authority, eligibility verification, death records, Death Master File, vital statistics, disenrollment, recoupment, improper payments, benefits integrity, public assistance, income verification, residency verification, incarceration status

Summary: The Health and Human Services Committee met to consider a series of Senate bills, beginning with SB 2014, which would allow ivermectin to be sold over the counter with FDA approval. After questions about whether a prescription would still be required and how FDA guidance would affect the law, the bill passed 9-3. SB 1805, as amended, barred detention and youth facilities from using temporary agencies or contracting organizations for staffing; the author said the change was intended to address transparency and records issues in a related lawsuit. That bill passed 12-0. SB 2044, also amended, clarified chiropractic-related language regarding serum and multiple vitamins; members discussed whether the bill changed scope of practice, and it passed 10-2. The committee then approved SB 1836, which requires a board-approved mental health screener during routine annual primary care visits. The author said it was meant to normalize mental health screening and noted an updated fiscal impact estimate of $284,000 to $560,000; some members raised concerns about mandates and cost, but the bill passed 8-4. SB 1380 would require the Oklahoma Health Care Authority to verify Medicaid eligibility against death records and conduct monthly death-record checks for enrollees; after questions about current practice, costs, and recoupment from deceased enrollees, the author requested title be stricken, and the bill passed 10-2. SB 2179, dealing with not-guilty-by-reason-of-mental-illness cases, adds staff accompaniment for therapeutic visits, requires structured violence-risk assessments before discharge or conditional release, and adds drug screening when substance-use monitoring is ordered; Department of Mental Health staff testified about treatment planning and monitoring, and the bill passed 11-1. Later, the committee passed SB 1436, which requires families to be informed of their right to certification after fetal death or miscarriage, and SB 1558, which clarifies that older youth in OJA custody may be placed in Level E group homes. SB 933, the “Right to Try for Individualized Treatment Act,” passed 11-0 and would allow certain terminally ill patients to seek individualized investigational treatments after informed consent. SB 1651, an Oklahoma Medical Board cleanup bill covering several licensed professions, also passed 11-0. Finally, SB 1328 modernizes parental access to minor medical records with safeguards for abuse situations, and SB 1572 removes the DHS and OJA directors from the OCCY board; both passed 11-0. The committee adjourned after noting a possible interim meeting for a Tier 1 nomination.

Transcript Highlights:

• If you wanted access to those records.
• Those records should be catching?
• So engineers are a vital part of what will take place with this.
• So engineers are a vital part of what will take place with this.
• So engineers are a vital part of what will take place with this.

Bills: HB245, SB16, SB59, SB62, SB79, SB88

Keywords: inhalants, controlled substances, butyl nitrite, nitrous oxide, amyl nitrite, health, public safety, SB16, four-point restraint, hog-tie, hog tie, prone restraint, law enforcement, police, sheriff, use of force, restraint techniques, positional asphyxia, arrest procedures, detention

Transcript Highlights:

• Just so the record is clear, so you're for the bill? We are for it.
• Record. Thank you. This bill is to clarify an injustice we have.
• that their personally identifying information, other than their name, be redacted from these public records

Bills: HB1193, HB2495, HB2733, HB3104, HB3395, HB4325, SB3009

Keywords: HB 1193, informal marriage, common-law marriage, declaration of informal marriage, confidentiality, privacy, county clerk, vital statistics unit, Family Code, Health and Safety Code, marriage records, public records, personally identifying information, PII, legal representative, Texas marriage law, child enrollment, parent rights, managing conservator, education

Transcript Highlights:

• Four ayes and no nays, House Bill 1734 will be recorded in favor of the full Senate.
• This is Senator Metcalfe's bill that the Dean sponsored about record keeping for child custody evaluators

Bills: HB1193, HB2495, HB2733, HB3104, HB3395, HB4325, SB3009

Keywords: HB 1193, informal marriage, common-law marriage, declaration of informal marriage, confidentiality, privacy, county clerk, vital statistics unit, Family Code, Health and Safety Code, marriage records, public records, personally identifying information, PII, legal representative, Texas marriage law, child enrollment, parent rights, managing conservator, education

Transcript Highlights:

• Uh, this is Senator Metcalf's bill that the Dean sponsored, uh, about, uh, record keeping for child custody

Bills: HB 1193, HB 2495, HB 2733, HB 3104, HB 3395, HB 4325, SB 3009

Keywords: HB 1193, informal marriage, common-law marriage, declaration of informal marriage, confidentiality, privacy, county clerk, vital statistics unit, Family Code, Health and Safety Code, marriage records, public records, personally identifying information, PII, legal representative, Texas marriage law, child enrollment, parent rights, managing conservator, education