Transcript Highlights:

• It does not change or remove the 6,240 hours of supervision required. By House Bill 2298.
• This is for the supervising physician that they would be charging and a weekly or a monthly rate or a
• They would have to complete 6,240 hours of supervised hours.
• The physician supervising them would have kept track of the 6,240 hours.
• Of course, the physician supervising the APRN has always been included in that because they've been supervising

Bills: SB1521, SB372, SB1232, SB1307, SB1338, SB1390, SB1451, SB1463, SB1558, SB1567, SB1595, SB1621, SB1734, SB1749, SB1827, SB1833, SB1991, SB1992, SB63, SB2063, SB2180, SB1198, SB80

Keywords: artificial intelligence, AI, generative AI, chatbot, conversational AI, companion AI, AI companion, virtual companion, chatbot regulation, minor safety, child online safety, parental controls, content moderation, self-harm, suicidal ideation, crisis intervention, mental health claims, romantic AI, emotional dependence, app store

Transcript Highlights:

• . misdemeanor community supervision placements, state incarceration, and parole supervision.
• , state residential, and parole supervision.
• Page 9 shows the final... population juvenile parole supervision.
• , and an increase of $0.1 million in general revenue. new for parole supervision.
• and parole supervision.

Keywords: 1184, house, all

Transcript Highlights:

• integrate and apply their learning in a real-world setting, such as an internship, student teaching, or practicum

Keywords: 1189, house, all

Summary: The committee first handled routine business, approving the minutes and consent calendar, then moved to the regular calendar of administrative rules. Department of Energy rule 25-220 was postponed until June at the sponsor’s request so stakeholders would have more time to review revised language. Several Department of Health and Human Services Medicaid-related rules were then considered, including 25-240, 25-265, and 26-33, each of which drew staff comments mainly about expired rule provisions and the agencies’ reliance on federal law, the Medicaid state plan, or other manuals. The committee approved those rules after brief questions, with the agencies stating they were already operating under the relevant federal or state-plan authority and, in one case, that rulemaking was underway to update an expired citation. The most extended discussion was on HHS Bureau of Aging rule 25-304, which had an amended conditional approval request. Staff explained the amendments clarified how case management agencies accept or deny cases, how telehealth participation is evaluated, and that the department sets the timing for accepting or denying cases under its existing authority. Staff also noted a separate issue about whether reimbursement rates must be in rule, but said the agency had long interpreted the statute to allow its approach and that any change would likely require legislation rather than committee objection. A provider representative testified against parts of the rule, arguing the case management agencies should not be required to accept referrals before contacting the participant, that telehealth decisions for other providers should remain with those providers, and that the quality-management section was duplicative and burdensome. Committee members questioned whether the telehealth language merely allowed case managers to say a service fit the client’s plan or instead gave them authority over another provider’s delivery method. The agency responded that case managers may determine what services an individual needs, but should not control how another licensed provider delivers those services. The discussion continued with no final action shown in the excerpt.

Transcript Highlights:

• I did my practicum at MSUM, go Dragons, around what the barriers to academic success outside of academic

Keywords: 1183, house

Transcript Highlights:

• of another physician they supervision of another physician they will<00:03:03.720> have<00:03
• <00:08:37.919> of<00:08:38.360> a work under the direct supervision of a work under
• the direct supervision of a particular<00:08:39.039> doctor<00:08:39.560> right<00:08:
• but if there do most of the supervising but if there has<00:09:49.160> been<00:09:49.320>
• that doctor in that supervising that doctor in that collaborative<00:10:23.640> agreement<00:

Keywords: 1187, senate, all

Transcript Highlights:

• <00:14:35.000> and client documentation supervision and client documentation supervision and
• Uh, our current data shows that we have 809 qualified supervising professionals.
• <00:43:09.560> professionals, uh supervising professionals, uh supervising professionals,
• at some of these autism supervision at some of these autism centers. centers. centers.
• the risk and the kinds of AI supervision the risk and the kinds of AI supervision AI<01:10:15.160

Bills: HF3542

Keywords: data privacy, investigative data, welfare system, public funds, transparency, 1183, house

Transcript Highlights:

• in 1976, we recognized physician assistants for humans, allowing PAs to practice under physician supervision
• , and certain surgical procedures with oversight and levels of supervision being determined by the Board
• As it is written, it's under responsible supervision, which means the veterinarian does not need to be
• So if this bill does anything to help provide more people in that environment with the supervision of
• And then once delegated, it's under the supervision of the vet. This will allow vets...

Summary: The Committee on Regulated Industries met with a quorum and took up two bills. First, it considered SB 754 on heated tobacco products. The sponsor said the bill would define heated tobacco products and exempt them from the cigarette tax, arguing they are a less harmful alternative for nicotine users. Senators asked about youth access and regulation, and the sponsor said he would research those issues further. A representative of the Florida Retail Federation appeared in support, and the committee voted the bill favorably. The committee then heard SB 796 on veterinary medicine, after adopting a delete-everything amendment. The amended bill would create a Veterinary Professional Associate (VPA) role, allowing individuals with a master’s degree and national competency exam to perform certain delegated veterinary tasks under a licensed veterinarian’s responsible supervision. It also expanded the allowable period for telehealth prescriptions for flea and tick products and other medications. Supporters said the bill would expand access to care, reduce costs, and help address veterinary shortages, while opponents from the Florida Veterinary Medical Association argued the proposal was unnecessary, could create safety and federal-law concerns, and that existing veterinary technicians and other workforce measures were a better solution. After testimony and debate, the amendment was adopted and the bill was reported favorably. During final debate, several senators said the VPA proposal was more limited and better balanced than earlier versions, with the veterinarian retaining liability and control over delegated duties. The sponsor closed by emphasizing rising veterinary costs, shortages of care, and the need for more affordable access for pet owners. The committee then adjourned.

Transcript Highlights:

• The Arizona Constitution grants the Supreme Court administrative supervision over all courts, and that
• It does not interfere with judicial discipline, case adjudication, or constitutional supervision.
• Now, I will say this: I did get one thing done right away under their supervision for three years.
• Now, I will say this: I did get one thing done right away under their supervision for three years.
• What it does establish is a clear path forward, so when supervision is imposed, there are expectations

Bills: HB2226, HB2406, HB2663, HB2695, HB2805, HB2976

Keywords: veteran status, veterans court, treatment court, diversion program, initial appearance, arrestee processing, criminal procedure, DD-214, Department of Veterans' Services, prosecuting agency, court notification, military service, armed forces, veterans benefits, reentry, mental health court, drug court, specialty court, Arizona criminal law, pretrial hearing

Summary: The committee first took up HB 2663, which updates military leave protections for state and non-state employees by aligning statutory language with how service members’ orders are described. Representative Pena said the change was intended to remove confusion without affecting benefits, and members noted it would help protect employees called to training, deployment, or state active duty. The bill passed unanimously with a due pass recommendation. The committee then heard HB 2976, a bill addressing administrative control of justice courts and due process for elected justices of the peace when state or county entities take action affecting their statutory authority. Supporters, including two Pima County justices of the peace, described administrative orders that transferred control of their courts without notice, findings, or a meaningful chance to respond, and argued the bill would require notice, a hearing, written findings, and review before such changes. The Arizona Supreme Court’s government affairs director opposed the bill as unconstitutional, arguing the state constitution gives the Chief Justice administrative supervision over all courts and that the legislature cannot impose those procedures by statute. After a lengthy and at times contentious exchange over constitutional authority and the role of elected JPs, the committee voted 6-1 to give HB 2976 a due pass recommendation. After a recess, the committee considered HB 2406, which requires the Arizona Department of Veterans’ Services to study how aware veterans are of available state, local, and federal benefits and to report recommendations for improving awareness. Testimony in support emphasized that many veterans do not know the full range of benefits available to them and suggested surveys, outreach, and other low-cost methods to gather information. Some members questioned whether a study was necessary or how it would be conducted, but several said they would support it for now; the bill received a due pass recommendation by a 5-1-1 vote. Finally, the committee heard HB 2226, which requires courts at initial appearance hearings to ask whether a defendant is a veteran and, if so, to consider referral to veterans’ treatment or diversion programs. Supporters said the bill would help identify eligible veterans early in the process and connect them to services, while one member raised Fifth Amendment concerns about asking the question before counsel is present. The sponsor and testifier agreed to work on an amendment clarifying that the answer could not be used against the defendant in later proceedings. The committee moved the bill forward with a due pass recommendation, with members indicating support pending that amendment.

Transcript Highlights:

• I'm not sure what kind of agreement they have with the supervising physician.
• If we don't have supervision anymore, then an APRN would not be in place.
• It was her supervising physician. Thank you. Thank you.
• That's basically the extent of your supervision from the doctor.
• They think they already are, but we think that they're getting supervision.

Bills: HB46, HB35, HB4490, HB4454, HB2188, HB3078, HB4743, HB2556, HB46, HB5342, HB4783, HB3785, HB5278, HB1639, HB2581, HB4224, HB4070, HB4099, HB4882, HB3794

Keywords: local government spending cap, expenditure limit, political subdivision, property tax, ad valorem tax, budget cap, taxpayer protection, spending restraint, inflation adjustment, population growth, voter approval, supermajority vote, county budget, municipal budget, school district finance, junior college district, hospital district, special district, attorney general enforcement, local fiscal limits

Transcript Highlights:

• than direct supervision and defines the term.
• So this was going from direct supervision to supervision, and it says the supervision means supervision
• So is the supervision then becoming more lax? ...supervision.
• So this was going from direct supervision to supervision, and it says the supervision means supervision
• So is the supervision then becoming more lax?

Bills: HB2049, HB2050, HB2051, HB2072, HB2082, HB2085, HB2177, HB2178, HB2179, HB2183, HB2195

Keywords: radiation therapy, particle accelerator, critical access hospitals, patient care, rural healthcare, AHCCCS, lactation care, breastfeeding, health services, healthcare access, Cesar Chavez, public holiday, state law, holiday repeal, Arizona Revised Statutes, childhood cancer, rare diseases, research funding, healthcare, clinical trials

Summary: The committee opened with attendance and member introductions, then heard a series of health-related bills, many focused on access to care in rural and underserved communities. HB 2049 would allow particle accelerators for radiation therapy in critical access hospitals and counties under 400,000 population under general supervision; sponsors and rural oncology witnesses said it would reduce travel burdens for cancer patients while maintaining safety protocols. HB 2050 updated radiologic technologist statutes to align with current national standards, adjust accreditation and clinical-hour requirements, and allow radiologist assistants to work under supervision rather than direct supervision; an amendment also added registered nurses to the list of professionals not needing a separate license to use diagnostic X-ray machines. Both bills were supported by testimony about workforce shortages and access, though one member voted no on HB 2050 over concerns about oversight and board authority. Both measures received do-pass recommendations, with HB 2050 amended. The committee then unanimously advanced HB 2082, which creates a Childhood Cancer and Rare Childhood Disease Research Commission to award grants for phase-one pediatric cancer and rare disease trials. Testimony came from families affected by pediatric brain cancer, including a parent who described traveling internationally for treatment and a college student currently undergoing treatment who urged the state to invest in research. Members expressed strong sympathy and support, and the bill passed 12-0. Next, HB 2015 would require Access to cover breastfeeding and lactation services in multiple settings; the sponsor and medical witnesses described breastfeeding as preventive care with benefits for infants and mothers, while Access testified neutral and noted a fiscal estimate was being developed and that the amendment would protect the state if CMS does not approve the services. The bill, as amended, also received a unanimous do-pass recommendation. The committee also approved HB 2177, which directs Access to seek CMS waivers so tribal and Indian Health Service facilities can be reimbursed for certain covered services, including dental care, for American Indian and Alaska Native members. The sponsor and a Sage Memorial Hospital representative said the bill would help rural tribal facilities keep services local and maximize federal matching funds; it passed unanimously as amended. HB 2178, requiring a state agency medical chief officer to hold an active medical or osteopathic license, was described as a cleanup measure after a lapse in licensure exposed a statutory gap, and it also passed unanimously. HB 2179, which clarifies definitions separating air ambulance from ground ambulance regulation, was supported as a technical clarification to avoid unintended consequences and likewise received unanimous approval. Finally, the committee advanced HB 2183, which creates an emergency medicine study committee to examine Arizona’s EMS system, including rural and urban capacity, workforce burnout, uncompensated care, and emergency department utilization. The sponsor said the study would help the state understand system pressures and identify policy solutions; firefighters, health care advocates, and an emergency medicine nurse practitioner testified in support, emphasizing the ER’s role as the safety net and the strain from staffing shortages, rural closures, and high volumes. The bill was still under discussion at the end of the transcript, with testimony continuing after the initial supporters spoke.

Transcript Highlights:

• As amended in the Senate, the bill reinserts direct supervision being required by a radiologist when
• Additionally, guidelines for general supervision have been added to allow for a radiologist assistant
• The Senate adopted a strike-everything amendment that creates a supervised work route for a veterinary
• work hours within six years and outlines requirements for the supervised work.
• and outlines requirements for the supervised work.

Keywords: 1182, all

Summary: The caucus reviewed a long list of Senate and House bills, many of them on consent or with strike-everything amendments. Topics included advanced air mobility for border security (SB 1457), raising the off-highway vehicle weight limit to 3,500 pounds while striking a proposed law enforcement fund (SB 1519), school property leases and a trampoline court safety citation change (HB 2383), electronic monitoring in health care facilities (SB 1041), dental school complaint handling and board jurisdiction limits (SB 1168), pharmacist-authorized testing and HIV prevention guidance (SB 1713), school district insurance/self-insurance requirements (SB 1497), reporting-requirement cleanup for education statutes (HB 2203), historic neighborhood housing zoning (SB 1118), construction contract payment protections in revitalization districts (SB 1189), timeshare salesperson licensing (SB 1274), workers’ compensation notice and recordkeeping (SB 1428), property tax disability exemption clarifications (HB 2120), insurance modeling/data organization requirements (HB 2174), HOA rules on chickens and pet breed restrictions (SB 1582), first responder death benefits for law enforcement pilots (SB 1503), and changes to virtual veterinary prescribing periods (SB 1286). Members generally asked clarifying questions, and several sponsors were said to intend to concur or refuse amendments, with HB 2010 headed to conference because the sponsor would not accept the Senate’s five-year refund window. On the second calendar, the committee heard HB 2176 on health facility complaint investigations, allowing DHS to investigate older complaints involving alleged abuse; HB 2050 on radiologic technologists and radiologist assistants, restoring direct supervision requirements with limited general-supervision exceptions; HB 2010 on digital goods, where the Senate reduced a refund window from 10 years to five and the sponsor planned to refuse; HB 2875 on unmanned aircraft, expanding airport drone-delivery buffer rules from one mile to two and a half miles and requiring airport consultation; HB 2428 on county certification of emission reduction credits, clarifying participation is voluntary and limiting new credits if fleet participation becomes mandatory; and HB 2877, which was struck and replaced with a veterinary technician certification pathway requiring 4,000 supervised work hours and allowing nonprofit curriculum evidence. Several members noted support or opposition based on prior votes or policy concerns, but no roll-call votes were taken in the caucus itself.

Transcript Highlights:

• This is just for those people out on probation and parole, for them to be able to pay the monthly supervision
• <00:01:01.199> um<00:01:01.280> the<00:01:01.440> monthly<00:01:01.840> supervision
• able to pay um the monthly supervision able to pay um the monthly supervision um<00:01:03.039>
• And if you look at line 17, starting at 17, the probation, postrelease supervision, or suspension may
• And if you look at line 17, starting at 17, the probation, postrelease supervision, or suspension may

Keywords: Corrections - Room 210; 29 January, 2026: 11:00 AM, 925, all

Summary: The committee first took up Senate Bill 2778, which extends by four years the repealer on the authority to collect monthly supervision fees from probation and parole offenders for the Community Service Revolving Fund. Members asked no questions, and the bill was moved and passed by a sufficient motion with no opposition. The committee then heard Senate Bill 2041, which would require the Department of Correction to do pre-screening for dyslexia. Senator Hickman said the bill is intended to identify a condition that is reportedly more prevalent in the prison population and to help reduce recidivism through earlier intervention. Questions focused on cost and implementation; the sponsor said the fiscal impact would be minimal because the department already has the needed IT infrastructure and the screening would be an added step rather than a separate system. The bill was then moved and passed. Next, Senate Bill 2036 was explained as a narrow change from “shall” to “may” in language affecting probation, postrelease supervision, or suspension, giving judges discretion in revocation decisions. Senate Bill 2777, requested by the circuit judges association, would clarify that probation or postrelease supervision may be revoked if a person commits a felony, including in situations where the offense occurs before the prior supervision has commenced. That bill also advanced on a do-pass motion. Senate Bill 2043, dealing with parole eligibility for nonviolent offenses, was described as allowing the parole board to reduce eligibility dates by awarded days and to better assess whether offenders are truly eligible; the committee discussed a committee substitute and a reverse repealer before moving on. Finally, Senate Bill 2037 was taken up and amended to require medical care service providers to submit claims at no more than the Mississippi Medicaid reimbursement rate. The amendment by Senator Kirby was adopted, and the bill then received a do-pass-as-amended motion and passed.

Transcript Highlights:

• have been compliant with supervision have been compliant with supervision um um um be<00:26:19.600
• Mandatory reporters as to if somebody's been convicted of a crime or placed on supervision.
• another mechanism like supervised another mechanism like supervised release,<00:40:18.320> um
• They could be on supervised release status. >> I can't speak to that.
• They could be on supervised status. They could be on supervised release<00:44:41.280> status.

Keywords: 910, house, all

Summary: The Committee on Public Safety held an informational briefing on findings from the deportation data project and possible policy responses to increased federal immigration enforcement in Hawaii. In opening remarks, the chair said the committee was concerned about changing federal executive orders, policies, and enforcement actions, and framed the issue as one involving due process and public safety. The chair and presenters described reports of ICE activity on multiple islands, including raids, courthouse presence, and fear in immigrant communities, and said the committee was considering whether state policies should be advanced more quickly. Mandy Fernandez of the ACLU of Hawaii presented updated deportation data and argued that increased immigration enforcement is creating fear, reducing crime reporting, and potentially making state and local agencies extensions of the federal immigration agenda if they accept federal funding with conditions. She said the deportation data project, housed at UC Berkeley Law with UCLA’s Center for Immigration Law and Policy, uses FOIA requests and its latest data runs through late July 2025. She reported 153 ICE arrests in Hawaii from January through July 2025, up from 41 in the same period in 2024; 96 removals, up from 15; a federal detention center average daily population of 91 in June 2025 versus 31 in June 2024; and 111 ICE detainers issued in Hawaii from September 2023 through July 2025, with 49 issued in 2025. She also cited an immigration court backlog of 1,144 pending cases as of August 2025 and noted that about one in five Hawaii residents were born outside the United States. Haley Chang of the Office of the Public Defender said her office is seeing a marked increase in ICE presence around courthouses and more ICE contacts with clients, including reports of people being detained after court appearances or while on supervision. She emphasized that the office is not an immigration law office and that much of its information is anecdotal, but said the pattern appears new compared with prior years. In response to committee questions, she explained that ICE detainers are requests, not judicial warrants, and said local law enforcement is generally not required to honor them unless accompanied by a judicial warrant or other legal authority. She also said the public defender’s office had not yet seen new criminal charges arise solely from an ICE detention or failure to appear tied to immigration enforcement, though cases could be affected if defendants are removed from the criminal process.

Transcript Highlights:

• You supervise, and they can sometimes argue cases with your supervision.
• I guess you could be heavily supervised and very lightly supervised and still supervised.
• Are the psychologists that are supposedly supervising actually supervising?
• Very good. and still supervised. Uh I I see in and still supervised.
• <02:02:26.000> actually supposedly supervising actually supposedly supervising actually supervising

Keywords: 928, house, all

Summary: The committee opened with Senate Bill 22-FN, which would expand child care licensing background checks so the Department of Health and Human Services can receive fuller criminal history information, including pending charges and other non-conviction records, similar to the system already used for school staff. Grant Bossi, for Senator Pearl, and DHHS officials Melissa Clement and Christine Sheay testified in support, saying the bill closes a gap that can allow people with disqualifying charges to work with children. They explained that the FBI record is a snapshot in time, that juvenile records are not included, and that the bill would apply to child care programs including residential group homes. Questions focused on what “confidential criminal history” means and how often checks are repeated; DHHS said checks are done every five years or sooner if new charge information is received. The hearing on SB 22 was then closed. The committee then took up Senate Bill 23-FN, which would expand the child endangerment statute and remove the word “purposely” from part of the language. Senator Pat Long said the bill is intended to strengthen protection for children and allow more serious conduct to be charged appropriately. Testimony from law enforcement, including Executive Counselor Dave Wheeler, Sergeant Ryan Rooney of Nashua Police, and Nicholas Georgulis of Manchester Police, supported the bill as a way to distinguish routine misdemeanor cases from the most egregious abuse and neglect cases, such as children living in squalor or being exposed to severe danger. Wheeler and some members raised concerns that the language could be vague or overbroad and cited a prior Manchester firearm-in-a-car arrest as an example of possible unintended consequences; supporters responded that the bill still requires knowingly violating a duty of care and that the serious bodily injury or death standard limits its reach. Rooney also described a fentanyl overdose case involving an 11-year-old and said the current misdemeanor charge did not fully reflect the seriousness of the conduct. The committee recessed SB 23 briefly to open and close SB 161, then returned to SB 23, which remained under hearing with no final vote taken in the excerpt.

Transcript Highlights:

• release supervision.
• release supervision.
• release supervision.
• release supervision.
• release supervision.

Keywords: 1183, house

Transcript Highlights:

• We supervise individuals who are placed under supervision from the district court on probation, released
• Most of the people that we supervise have their case disposed of as guilty.
• And then they either go on to post-conviction supervision. They might be sentenced to jail.
• Most of the people that we supervise have their case disposed of as guilty.
• And then they either go on to post-conviction supervision. They might be sentenced to jail.

Summary: The Judiciary Interim Committee met to begin its study of charitable gaming and the ownership of alcoholic beverage establishments by licensed charitable gaming organizations, a study directed by Senate Bill 2334. Legislative Council gave an overview of the constitutional and statutory framework for charitable gaming, site authorizations, rent limits, proceeds, and recent legislative changes. The Attorney General’s Gaming Division then clarified the financial flow of gaming, explaining that in fiscal year 2025 North Dakota had about $2.5 billion in gross gaming proceeds, with roughly 88-90% paid back in prizes and about $256 million available to organizations after taxes; most of that activity came from electronic pull tabs. Members asked for more detail on winnings, replays, rent, and the breakdown of manufacturer/distributor revenues, and the AG’s office agreed to provide supplemental information. The committee also heard from the League of Cities and the Association of Counties about local site authorization. Cities said they have a limited role in approving gaming sites, can adopt policies after public hearing, may charge up to $100, and can set certain conditions, including local nexus requirements, but cannot require donations or force a specific charity or site. The League said it had worked with stakeholders on a model policy to provide more consistency, though members raised concerns that local requirements could become too restrictive for charities serving broader areas. Counties said the issue is mostly a city matter, with little county involvement beyond minimal site fees and general site approval. The North Dakota Gaming Alliance testified in support of the study and provided IRS-related material suggesting charities may use asset diversification, while emphasizing it had not taken a position on whether charities should own bars. Members questioned whether bar ownership is being used for site stability or to channel charitable gaming dollars, and whether city policies might disadvantage charities with broader missions. The committee also discussed the relationship between gaming organizations, manufacturers, and distributors, including restrictions on incentives and interference, and asked for more information on those entities and their ownership. Later in the meeting, the Racing Commission gave its regular update on live racing, pari-mutuel wagering, ADW providers, purse and promotion funds, a new TRPB contract, and concerns about cease-and-desist actions from other states. Finally, the State Hospital superintendent briefly reported on the Department of Corrections and Rehabilitation’s support services, including the SORT team, training, and security assistance for the hospital campus.

Transcript Highlights:

• By the way, to let you know, we provide treatment, we provide supervision.
• Those we use on our supervision end of things.
• We continue with the very rigorous supervision we have.
• It's a very intensive supervision program, probably the most intensive supervision program that exists
• If asked to do it, we will supervise it.

Summary: The Joint Legislative Audit Committee held an oversight hearing on the state auditor’s October 2024 report on California’s Forensic Conditional Release Program (CONREP) for sexually violent predators. Members and witnesses discussed public safety, the long delays in finding community housing, the role of local housing committees, and the Department of State Hospitals’ oversight of Liberty Healthcare, which operates much of the program. Several legislators from rural and high-desert districts said their communities have been disproportionately affected by placements and questioned why many placements end up in remote areas. State Auditor Grant Parks said the audit found that CONREP participants were convicted of new offenses less often than sexually violent predators who were unconditionally released, but that 18 of 56 participants had been revoked and returned to state hospitals for noncompliance. He said it took an average of 17 months to place current participants in the community, with 20 additional people awaiting placement for an average of 20 months, and that the program incurred significant pre-placement costs. Parks also said local officials were often unclear about their role, DSH had not given clear guidance at the time of the audit, and California lacks a transitional housing option used in some other states. He reported that DSH had implemented four of the five audit recommendations, while declining the recommendation to explore state-owned transitional housing. DSH Director Stephanie Clendendon and Liberty representative Ken Carabello defended the program as a court-ordered, highly supervised treatment model intended to reduce reoffending and support reintegration. They said DSH is actively involved in placement review, that Liberty searches countywide under statutory restrictions, and that community feedback and court approval are part of the process. DSH said it has now implemented guidance for housing committee designees, formal program reviews, an outcome tracker, and an analysis of whether to separate some Liberty services into different contracts. DSH continued to oppose transitional housing, arguing it would not solve the core siting and statutory problems and would add cost. Several members remained critical, arguing the program is broken, costly, and unfairly concentrated in certain communities, and some called for major statutory changes or suspension of the program.

Transcript Highlights:

• , they are then eligible for full license. ...of evaluation and assessment and supervision, they are
• There may be others that need much more supervision. Each case may be different. Next slide.
• This license allows eligible IMGs to gain supervised hands-on clinical experience in Washington for up
• You can have a period of supervised practice with the goal of getting into that unsupervised setting
• You can have a period of supervised practice with the goal of getting into that unsupervised setting

Summary: The committee first received an update on the effects of HR1 and related federal Medicaid and marketplace changes from Governor’s Office and Health Care Authority staff. Presenters said the most immediate coverage losses are expected in the individual market beginning in January, with premium increases and an estimated 80,000 people potentially unable to afford coverage. They warned that larger Medicaid impacts will follow over the next year and beyond, including tighter eligibility checks, work requirements, reduced retroactive coverage, limits on state-directed payments and provider taxes, new cost-sharing, and changes affecting certain non-citizen adults. They also said the state plans to seek a waiver or extension for work requirements and will continue to analyze impacts, including on rural providers and Planned Parenthood-related services. Members asked about the effect on nursing homes, rural hospitals, and how the state can help providers and enrollees navigate the new requirements; staff said timelines and a state-specific implementation chart are being developed. The committee then heard a report on the International Medical Graduate Work Group and Washington’s efforts to create pathways for internationally trained physicians. Testimony described the clinical experience license, the clinical evaluation assessment tool, grant funding for IMG support organizations, and a new hardship waiver process enacted this year. National presenters said many states have adopted similar pathways because of physician shortages, but Washington and Tennessee are among the few states that have actually issued licenses so far. They recommended clear guardrails, an employment offer before application, ECFMG certification, supervised practice, and data collection to avoid exploitation and protect patients. Members asked about state-to-state variation, retention of IMGs, and whether Washington should pursue dedicated residency or preceptorship options; presenters said the key next step is moving successful participants from supervised experience to a durable long-term license. The final topic was implementation of Washington’s Apple Health doula benefit and the statewide doula hub and referral system. Senator T’wina Nobles highlighted the state’s $3,500 per-birth Medicaid reimbursement rate for doulas and the importance of the hub for referrals, training, and billing. Health Care Authority staff said the benefit launched January 1, 2025, and covers prenatal intake, labor and delivery, postpartum visits, and telehealth-supported services. They reported 336 state-certified doulas, 134 enrolled in Apple Health, 287 unique clients served, and 641 claims paid so far. Testimony emphasized doulas’ role in improving birth outcomes, reducing unnecessary interventions, and addressing racial disparities in maternal health, while noting that implementation is still early and ongoing.

Transcript Highlights:

• I recently just lost my supervising physician.
• He was a supervising physician for all of us at Mercy Medical Center.
• We were left without a supervising physician.
• We had no one to supervise us.
• All PAs, regardless of experience, have to work under the supervision of a physician.

Keywords: 995, all

Summary: The Joint Committee on Public Health held a hearing to take testimony on a wide range of bills involving professional licensure, clinical practice, and public health-related workforce issues. The chair explained that no votes would be taken at the hearing and that the purpose was to gather public input. Early testimony focused on Marnie’s Law, with supporters describing the bill as a no-cost, preventive measure to require nursing education on inflammatory breast cancer after a family tragedy and arguing it could reduce misdiagnosis and save lives. A major portion of the hearing centered on bills affecting clinical decision-making and licensure compacts. Supporters of the physician ownership/clinical autonomy bills argued they would protect independent practices from corporate interference after the Steward collapse, while supporters of EMS, dental, psychology, physical therapy, and physician assistant compacts said the measures would improve workforce mobility, reduce delays, and expand access to care, especially for rural patients, military families, and telehealth users. Several witnesses emphasized that the compacts would not reduce standards and would strengthen public protection through shared disciplinary databases and streamlined credentialing. There was also testimony on bills to ensure safe medication administration and to protect the independence of complementary and alternative health care practitioners. Nursing representatives urged that only licensed professionals administer medications in hospitals, hospices, and home care settings, warning that delegation to unlicensed staff could endanger patients and nurses’ licenses. A complementary and alternative care witness supported consumer access with mandatory disclosures and limits on reserved medical acts. On the dental compact, witnesses were split: some supported portability and workforce flexibility, while others warned the compact lacked a hands-on skills exam and could weaken Massachusetts’ regulatory authority and patient safety. The hearing concluded with continued testimony on the psychology compact, physical therapy compact, and physician assistant bills, with most speakers favoring expanded interstate practice and reduced administrative barriers.

Transcript Highlights:

• Because of the lack of supervision, some unforeseen accidents that happened because of no supervision
• , some unforeseen accidents that happened because of no supervision of the physician.
• And then you have—still under supervision of— not necessarily supervision.
• In 2022, the VMB removed a veterinarian's ability determine supervision levels and mandated direct supervision
• , placing disability determine supervision levels and mandated direct supervision, placing previously

Summary: The joint Assembly and Senate Business and Professions sunset oversight hearing focused first on the Board of Registered Nursing (BRN), with committee chairs emphasizing oversight, consumer protection, workforce access, and economic mobility. BRN leaders reported improvements since the last review, including faster licensing timelines, streamlined enforcement, higher consumer satisfaction, growth in pre-licensure enrollment, and expanded data collection. Members questioned the board about nurse practitioner scope and supervision, international and military pathways to licensure, online nursing education and clinical requirements, rural workforce shortages, and the 30-unit LVN-to-RN option. BRN staff explained California’s tiered advanced practice system, the NCLEX and certification requirements, English proficiency rules, clinical hour standards, and the board’s role in approving programs and supporting schools through nursing education consultants. Several members and the board president also discussed the need to retain new graduates, improve diversity in the workforce, and better support nontraditional students and rural placements. Public comment on the BRN sunset review was extensive and largely supportive of the board, while also urging policy changes. Nurse practitioner, nurse anesthetist, nurse midwife, and nursing education groups generally supported the BRN report and especially backed clarification of APRN-to-RN delegation authority under issue 13. Other commenters asked for clearer implementation of AB 890, more flexibility for clinical nurse specialists, streamlined renewals for nurse midwives, and changes to federal loan limits affecting graduate nursing education. Higher education representatives and private nursing schools raised concerns about duplicative BRN documentation, clinical placement bottlenecks, and barriers faced by out-of-state and online programs seeking to serve California students. The California Medical Association and some physician groups opposed easing transition-to-practice requirements for out-of-state nurse practitioners and cautioned against changes to specialty and delegation rules, while the California Nurses Association and others stressed the importance of community college pathways, new graduate support, and workforce retention. The hearing then moved to the Physical Therapy Board of California. Board leadership reported that the board oversees more than 41,000 active licensees, has seen about 15% growth since 2021, and continues to maintain high exam pass rates among California physical therapy and physical therapist assistant programs. The board described its mission as consumer protection through licensing, enforcement, continuing competency oversight, and stakeholder engagement. The vice president’s remote testimony encountered technical problems, so the executive officer continued with a brief overview of the board’s work and its commitment to efficient service and public protection. No votes or formal actions were taken in the portion of the meeting provided.