Transcript Highlights:

• </c> Regulations for informational review. Regulations for informational review.
• . regulation. regulation.
• </c> getting the regulations. getting the regulations.
• </c> regulations on kinship care. regulations on kinship care.
• </c> to regulation. to regulation.

Keywords: 958, all

Summary: The committee first reviewed several Fish and Wildlife regulations. Staff explained amendments to 301 KAR 2:176, 4:112, and 6:030, including updating wildlife control tag language, creating an impoundment agent program for seized wildlife, and clarifying boating safety rules. A member raised a concern about boat wakes near docks, and staff said the commission had recently voted on related changes that were not yet included because the regulation had been filed earlier; those changes would have to come back later. The committee approved the staff amendments without objection. The Board of Veterinary Examiners then presented 201 KAR 16:767, which would require veterinary managers to be physically present during business hours and limit them to five registered facilities. Board representatives said they had tried to meet with affected parties before the hearing but had not reached agreement. A representative for Kentucky Pet IQ argued the rule was written for full-service hospitals and would be impractical for short, limited-service clinics that only provide vaccinations, preventive care, and parasite testing. Members expressed concern about the rule’s impact on veterinary access in underserved areas, and the committee voted to defer the regulation until the next month so the parties could continue negotiating. The committee next considered Transportation Cabinet 601 KAR 9:120, the online insurance verification system, in both ordinary and emergency form. The chair said staff had identified conflicts with a bill passed the prior year and moved to find the regulations deficient. The motion passed on a roll call vote, with six ayes and two pass votes. The committee then found ordinary ABC regulations 804 KAR 12:020 and 12:030 deficient as well, again by six ayes and two pass votes, after noting that the emergency versions had already been found deficient the previous month. Finally, the committee reviewed Cabinet for Health and Family Services 902 KAR 55:110, which would require veterinarians to report dispensed controlled substances to KASPER while exempting administered medications. OIG staff said the rule was meant to align regulation with statute, which includes veterinarians as prescribers, and emphasized that the reporting duty applies to prescriptions, not administration to animals. Some members supported the change as a needed anti-diversion measure, while others worried about implementation burdens and timing. After discussion, the committee found the regulation deficient by a 6-2 vote. The meeting then moved into full review of 922 KAR 1:565, a Department for Community Based Services rule implementing kinship care provisions from Senate Bill 151; staff said it was needed for implementation once funding is available, but a member criticized the two-year delay and the inclusion of language conditioning implementation on funding. A public witness from the Kinship Families Coalition argued the rule should not shift the 120-day application window in a way that could affect federal funding eligibility and urged the committee to reject the regulation as written.

Transcript Highlights:

• Did not take the state board, but did finish nursing school.
• This bill does not mandate coverage or regulate rates. It requires transparency.
• It does not set denial limits, and it does not regulate rates.
• For Arizona plans reported to Arizona regulators.
• You know, it's been noted in this committee that Access is a regulator.

Committee: Senate Senate Health and Human Services COR

Summary: The committee approved the minutes and then took up a large agenda of health-related bills. SB 1214, the Arizona Stem Cell Therapy Act, drew extensive testimony from supporters who said it would create guardrails for regenerative medicine, protect patients, and encourage biotech investment, while opponents argued it was tied to abortion politics and imposed harsh penalties. The bill passed on a 4-3 vote. SB 1194, which would prohibit health professionals and institutions from denying care based on vaccination status, also passed 4-3 after testimony from supporters framing it as an access-to-care and religious-freedom measure and opponents warning it would interfere with private practice policies and parental choice. SB 1814, creating a study committee on substance use disorder treatment standards and oversight, passed unanimously 7-0. SB 1602, increasing stipends for kinship foster parents, passed as amended 7-0, and SB 1603, expanding child-only cash assistance eligibility, also passed as amended 7-0. The committee then considered several bills focused on gender-related care and public funding. SB 1177, which bars public monies from funding gender transition procedures and makes intentional violations a felony, passed 4-3 amid testimony that it protects taxpayers and counterarguments that it is discriminatory and unsupported by evidence. SB 1014, requiring insurance coverage for detransition procedures when transition care is covered and directing data reporting on transition and detransition, passed 4-3 after supporters said it would help detransitioners and collect needed data, while opponents argued it would chill providers and target transgender patients. SB 1094, creating civil liability for physicians who perform irreversible gender reassignment surgery on minors, was heard with testimony from supporters citing malpractice concerns and detransitioner harms and from opponents saying it would create a hostile environment for providers and treat trans patients differently; the transcript cuts off before the vote is shown. SB 1752, which classifies commercial harvesting or sale of mescaline as a felony while preserving bona fide religious use defenses, passed unanimously 7-0. Later, SB 1628, requiring insurers to report claims-denial and prior-authorization data and DIFI to publish standardized reports, passed unanimously 7-0 after supporters emphasized transparency and opponents called it redundant to federal reporting. SB 1629, requiring AHCCCS managed care organizations to give advance notice and network-adequacy documentation before terminating high-volume providers without cause, also passed 7-0; supporters said it would prevent patients from losing access to behavioral health care, while health plans and Access said existing oversight already covers much of this and warned the bill could slow necessary network changes. Throughout the meeting, the committee repeatedly adopted motions for due-pass recommendations and, where applicable, amendments, with several bills passing on party-line or near-party-line votes.

Transcript Highlights:

• Regulators. The theme of the week is: we are living in interesting times.
• nurses.
• CRNAs are advanced practice nurses similar to nurse practitioners.
• Thank you to the nurses. My wife's a nurse at Beth Israel in the GI Department.
• I am a certified nurse midwife.

Committee: Joint Joint Committee on Financial Services

Keywords: 995, all

Summary: The committee held an informational opening hearing for the Financial Services Committee, with Chair Murphy and Senator Feeney introducing new and returning members and explaining that no bills were being heard that day beyond brief introductory testimony. Commissioner of Banks Mary Gallagher thanked the committee for last session’s money transmission modernization law, and several members echoed appreciation for her office’s work. The hearing then featured a long series of stakeholder introductions and overviews of their priorities for the session. Testimony covered a wide range of financial, insurance, housing, health care, and consumer issues. Banking and mortgage groups discussed housing affordability, foreclosure delinquencies, flood insurance, regulatory changes, and the impact of federal policy shifts. Insurance representatives raised concerns about auto and homeowners market pressures, labor rates, tariffs, rebates, e-titling, third-party litigation funding, and public adjuster restrictions. Consumer and advocacy groups highlighted debt collection reform, earned wage access, retirement savings access, public banking, and consumer protections in financial services. Several speakers also emphasized the need for committee expertise and offered themselves as resources for future bills. Health-related organizations focused on insurance mandates, prior authorization, behavioral health access, pharmacy benefit manager reform, community health center funding, maternal health and midwifery reimbursement, and anesthesia reimbursement parity. Other groups, including credit unions, retailers, auto dealers, dental and medical associations, and behavioral health providers, described their roles in the Commonwealth and previewed legislation or policy areas they expect to follow this session. No votes were taken; the meeting was informational and ended after testimony from the sign-up list and a few late additions.

Transcript Highlights:

• So um we'll have to wait and see on that because currently IVF is regulated by the states.
• We know we need nurses, but what kind of physicians? What kind of nurses?
• We're gonna be short about 6000 nurses by 2030.
• Um, so we're already, we're already experiencing nursing short.
• Physicians, PAs, nurse practitioners want to practice rather than leave the state.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• By 2050, we're going to be short 100,000 physicians and a million nurses.
• We have veterans who have no access to doctors and nurses.
• We have veterans who have no access to doctors and nurses.
• protocols, rules, and regulations for our foreign physicians.
• M.D.s compared to a nurse anesthetist, or not? That's a great question.

Committee: House House Health & Human Services Committee of Reference

Summary: The committee heard testimony on several health-related bills. HB 2726 would require coverage for diagnosis and treatment of mild obstructive sleep apnea, including a tongue-muscle stimulation device. The sponsor and medical witnesses said the device is a less burdensome alternative to CPAP and could improve adherence and reduce long-term complications, while Access said it already covers medically necessary sleep apnea treatment but was neutral and concerned the bill could narrow review and limit cost-effectiveness analysis. The committee adopted the Bliss amendment and then gave HB 2726 a due-pass recommendation by an 8-4 vote. HB 2435, as amended, would create a provisional licensing pathway for internationally trained physicians who meet specified ECFMG-related criteria, with supervision, fees set by the Medical Board, and automatic conversion to a full license after four years if conditions are met. Supporters argued Arizona faces severe physician shortages, especially in rural and tribal areas, and that the bill would bring in experienced doctors while preserving oversight. Opponents, including the Arizona Medical Board, said current law already allows case-by-case licensure review and warned the bill could weaken safeguards and bypass existing scrutiny. After adopting the amendment, the committee approved HB 2435 on a due-pass recommendation. HB 2958 would require Access coverage for comprehensive dental care for pregnant women age 21 and older, with a $500,000 general fund appropriation for a pilot program. The sponsor and public health witnesses said dental care during pregnancy is linked to better maternal and infant outcomes and could reduce emergency room use and complications. The committee adopted the bill and sent it out with an 11-1 due-pass recommendation. HB 2176, which sets timelines and standards for health care institution complaint investigations and dispute resolution, also received broad support from hospitals and was approved unanimously on a 12-0 due-pass recommendation. The committee then heard HB 2447, which would bar insurers from reimbursing certified registered nurse anesthetists at a lower rate than anesthesiologists for the same service. Opponents argued the bill would interfere with private contracting, ignore differences in training and liability, and likely raise costs for the state and taxpayers; supporters said anesthesia demand has outpaced reimbursement and that parity is needed to protect access, especially in rural areas. The transcript ends during testimony on HB 2447, before any vote is taken.

Transcript Highlights:

• That's basically the school nurse.
• That's basically the school nurse.
• I have a doctorate of nursing practice, and I'm a nurse anesthesiologist at a large teaching hospital
• So lots of state and federal regulations.
• Many regulations, more regulations, and more oversight on schools like mine won’t fix the problem Act

Committee: House Education

Summary: The committee first heard SB 206, which would require cardiovascular pre-screening and blood pressure testing for student athletes beginning in the 2026-2027 school year. Chairman Miller said the bill was prompted by concerns about undiagnosed hypertension and sudden cardiac arrest in young athletes, and Coach Marcus Scott testified about his own kidney transplant after years of untreated high blood pressure. Members asked about who would perform the screenings and how follow-up would work; the American Heart Association said existing athletic physical processes and referral networks could handle it. An amendment was adopted, and the committee reported SB 206 favorably as amended. The committee then took up SB 305, which would require a publicly available statewide career-alignment dashboard showing how degree programs connect to workforce outcomes, including completion, employment, wages, and high-demand jobs. Chairman Edmonds and student task force member Cruz Cassard said the goal was to help students understand job opportunities in Louisiana and reduce the number leaving the state after graduation. Workforce and higher education stakeholders supported the measure as a transparency and workforce-planning tool. The committee reported SB 305 favorably. Next, the committee considered HB 624, a school safety cleanup bill updating references from crisis management plans to emergency operations plans and aligning school emergency language with national standards. Representative Johnson and the Louisiana Center for Safe Schools said the bill would not create new mandates or costs, but would clarify existing requirements. The committee reported HB 624 favorably. The committee then heard HB 1022, as substituted, concerning school-based health care services. Representative Jackson said the bill was intended to clarify that medical decisions in school-based health centers should be made by licensed health professionals, not school staff, while preserving parental consent. Testimony from school-based health center providers supported the bill, but several members raised concerns about consent, parental authority, and whether the language shifted too much responsibility away from schools; the Charter School Association suggested adding more collaborative language. After discussion, the committee adopted the substitute and reported HB 1022 favorably by a 10-4 vote.

Transcript Highlights:

• </c> life of a nurse look like?" life of a nurse look like?" Right?
• a course in regulations and we teach a course in regulations and policies<00:48:00.319><c> for</c><00
• Because you can regulate the technology here, but you can't regulate the technology elsewhere.
• </c> regulate the outcome not the technology. regulate the outcome not the technology. Why?
• Because you can regulate the Why?

Committee: Senate Jobs and Economic Development

Keywords: 1187, senate, all

Transcript Highlights:

• They just regulations and changes.
• And they were a little bit nurses.
• are all signing these physicals, nurses, nurse practitioners, or PAs, are all in collaboration with
• What the committee substitute does, it allows certified registered nurse practitioners, CRMPPS, nurse
• , CRMPPS, nurse nurse practitioners, CRMPPS, nurse midwives,<01:08:31.679><c> and</c><01:08:32.000><c

Keywords: 1136, house, all

Transcript Highlights:

• </c> also helping children to self-regulate also helping children to self-regulate they're<00:04:45.919
• So it's an art, not a science, to do regulation.
• The amendment, as mentioned, provides compensation to nurses who agree to serve as a preceptor for nursing
• </c><01:52:32.520><c> staff</c> current workload of our nursing staff current workload of our nursing
• </c> an elderly waiver program or a nursing an elderly waiver program or a nursing home<01:54:00.679>

Committee: Senate Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• </c><00:09:30.959><c> Pro</c> party's adviser the 2020 regulations Pro party's adviser the 2020 regulations
• </c> institutions the title 9 regulations institutions the title 9 regulations released<00:09:38.800>
• </c> process procedures the regulations process procedures the regulations effective<00:09:53.880><c>
• </c> In Kentucky, vacated the 2024 regulation in its entirety.
• </c> rctc for pursuing a future in nursing rctc for pursuing a future in nursing like<00:42:03.079><c

Committee: Senate Higher Education

Keywords: 1187, senate, all

Transcript Highlights:

• We just want to cover these nurses that are also working as nurse practitioners or nurse practitioners
• </c><01:37:00.480><c> the</c><01:37:00.719><c> nurses</c> you are covered um as a nurse the nurses you
• </c> nurses that are also working as nurse nurses that are also working as nurse practitioners<01:37:
• as nurse practitioners.
• c><01:42:01.080><c> staff</c><01:42:02.080><c> um</c> Nursing Home Nurses um and staff um Nursing Home

Committee: Senate Commerce

Keywords: 1191, senate, all

Transcript Highlights:

• And they said, we want to be regulated.
• Through stakeholder meetings and input from physicians and nurse midwives, nurses, and other colleagues
• Jordan was a nurse and aspired to be a midwife.
• I am a certified nurse midwife, which means I hold degrees both in nursing and midwifery.
• Again, we've seen this in other states; the nurses board uses it all the time, or the nursing field does

Committee: House House Health & Human Services Committee of Reference

Summary: The committee began with a presentation from the Alzheimer’s Association Desert Southwest Chapter and Dr. Anna Burke of Barrow Neurological Institute on the growing impact of Alzheimer’s and dementia in Arizona, the need for earlier diagnosis, better provider education, caregiver support, and continued research funding. They described current gaps in training and access to specialists, but also highlighted new therapies, lifestyle interventions, and Arizona-based research efforts. Members expressed support and optimism, but no action was taken on the presentation. The committee then heard HB 2202, which appropriates $300,000 from the general fund over fiscal years 2027 through 2029 for a dementia care tele-mentoring grant program through the Department of Health Services. Supporters, including the Alzheimer’s Association, a dementia specialist, and a patient advocate, said the program would help primary care providers diagnose dementia earlier and improve care. The bill was passed out of committee on an 11-0 vote. Next, the committee took up HB 2251, the midwifery bill, which would authorize certain licensed midwives to dispense and administer specified medications and devices, require liability insurance disclosure and annual reporting, and create a Midwifery Advisory Committee. A committee amendment removed some medications and renamed the bill the Jordan and MacTerry Act. ACOG and the Arizona Osteopathic Medical Association opposed the bill as drafted, citing concerns about oversight, peer review, and the medication list, while licensed midwives and other supporters argued the bill would improve safety, transparency, and alignment with national standards. The bill was held for further stakeholder work, with members indicating more amendments were likely. The committee then heard HB 2252, which would allow certified nurse midwives, certified professional midwives, or licensed midwives to accompany a patient in a ground ambulance during an out-of-hospital birth if approved by medical direction. Supporters described cases where continued midwife involvement during transport helped newborns and mothers, while firefighters and EMS representatives opposed the bill as written, saying it created ambiguity about command and scene control and could raise safety concerns. The chair said the bill would be held for further stakeholder meetings and possible language changes. After a recess, the committee reconvened for presentations on federal Medicaid and rural health funding impacts, beginning with JLBC’s overview of H.R. 1’s Medicaid provisions and the rural health transformation grant program.

Transcript Highlights:

• The daughter use had been donated by my nurse Carol.
• This is the same nurse who confirmed that every... really had passed.
• Regulating a standard protocol, is this just for the agencies?
• Your question talks about burdensome regulation.
• There's no new regulations.

Bills: HB18 , HB742 , HB754 , HB1644 , HB2187 , HB1887 , HB 1275 , HB37 , HB1503 , HB1699 , HB1700 , HB2735 , HB1741 , HB1731 , HB1675 , HB18 , HB37

Committee: House Public Health

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, human trafficking, first responders, health care, training, reporting, protection, trafficking prevention, medical assistant training, health care facilities, hospital compliance, clinic compliance, anti-retaliation, whistleblower protection, employee reporting, good faith report

Transcript Highlights:

• Optometrists are regulated through the Office of Professional Regulation, or OPR.
• </c><00:30:48.799><c> of</c> regulated through the office of regulated through the office of professional
• Nurse<01:10:32.658><c> [clears throat]</c><01:10:32.960><c> practitioners,</c> Nurse [clears throat]
• </c> on when considering whether to regulate on when considering whether to regulate a<01:15:46.800><
• </c> physician assistants and now nurse physician assistants and now nurse practitioners practitioners

Keywords: 926, house, all

Transcript Highlights:

• insurance and then imposed a cost mandate on those regulated parties that the insurance contract, or
• insurance and then imposed a cost mandate on those regulated parties that the insurance contract, or
• On behalf of the Missouri Nurses Association, we'd like to go on record in support of this legislation
• But this is for individuals who may not already be part of a nursing home care program.
• If they are in a Division of Regulation and Licensure regulated facility, like a nursing facility or

Committee: House Health and Mental Health

Summary: The House Committee on Health and Mental Health met in executive session and first adopted a substitute for House Bill 3401, Representative Phelps’s workplace violence bill, then voted the House Committee Substitute do pass. The substitute broadened language by removing a specific reference to bodily fluids, based on testimony from hospital security personnel that broader wording would be easier to prosecute. The roll call showed the substitute adopted and the bill passed out of committee. The committee then heard House Bill 2370, sponsored by Representative Peters, which would require private insurance to cover a one-year supply of self-administered hormonal contraceptives at one time, similar to Missouri HealthNet. Supporters included ACOG, the Missouri State Medical Association, Beacon Reproductive Health Network, and the Missouri Nurses Association, who argued the bill would improve access, reduce missed doses and unintended pregnancies, and save costs by reducing barriers such as transportation, work schedules, and pharmacy refill gaps. The Missouri Insurance Coalition opposed the bill, arguing it would impose a mandate on private plans, increase costs—especially for brand-name products—and raised questions about whether the bill would require bulk dispensing and how it would interact with existing refill rules. The committee also heard informational testimony from MoSPI noting rural access barriers, higher adherence with 12-month supplies, and that Missouri HealthNet already covers an annual supply. Finally, the committee heard House Bill 3278, sponsored by Representative Lobbinger, which would create a multidisciplinary adult protection team framework for adults 60 and older and adults 18 and older with cognitive impairments or disabilities. The bill is intended to improve coordination among agencies handling abuse, neglect, and exploitation cases by allowing limited information sharing and reducing duplicated investigations while preserving confidentiality and guardianship protections. DHSS testified in support, saying the bill would provide a clearer framework for existing multidisciplinary teams, streamline coordination, and help protect vulnerable adults without creating new positions or infrastructure. Committee members asked about membership, meeting frequency, conflicts of interest, and how the bill differs from the ombudsman system; the sponsor and DHSS explained that the teams would be case-specific, generally meet as needed or quarterly, and apply to community cases rather than facility residents. The sponsor also submitted letters of support from existing multidisciplinary teams and related organizations.

Transcript Highlights:

• , PAs, midwives, and nurses.
• , nurse providers, personal care agencies, et cetera.
• skilled nursing facilities and the cost of waiver services.
• Okay, why did they pull the regulations?”
• I'm representing a coalition of nursing home dental providers.

Keywords: 988, house, all

Transcript Highlights:

• The challenges of resources and regulations.
• Is it totally federally regulated?
• not licensed or otherwise authorized to perform the nursing task.
• So this change was made to add clinical nurse specialist among the nurse practitioners who can apply
• The term nurse practitioner is replaced with the term applicant.

Summary: The committee first approved a motion, then heard a lengthy presentation on homelessness policy and behavioral health. Testimony focused on the view that Arkansas should shift toward more data-driven, outcomes-based responses to homelessness, including stronger treatment options for serious mental illness and substance use disorder, better data collection, provider accountability, and possible statewide use of the Certified Community Behavioral Health Clinic (CCBHC) model. Speakers from Fort Smith, Restore Hope, Our House, and Western Arkansas Counseling described local work, the need for better coordination across providers, and the role of crisis services, ACT teams, and employment support. Members asked about sex offender tracking, the difference between sheltered and unsheltered homelessness, how to scale successful programs statewide, and whether Arkansas could apply for a statewide Continuum of Care or CCBHC planning grant. The discussion also touched on camping bans, civil commitment, and federal funding changes, with several speakers urging the state to pursue the CCBHC planning grant and more transparent reporting systems. After the homelessness discussion, the committee moved through a series of Department of Energy and Board of Nursing rule reviews. DEQ proposed updating the post-closure cleanup threshold for solid waste matters from $50,000 to $2 million to match Act 791 of 2025, and members asked about financial assurance and oversight; the rule was reviewed without objection. The Board of Nursing then presented multiple rule changes tied to recent acts, including adding fees for dialysis patient care technician registration, expanding contact-information requirements, implementing APRN delegation authority to unlicensed workers, clarifying APRN authority for death certificates and durable medical equipment prescriptions, updating certified medication assistant training and insulin-injection authority, and conforming independent-practice rules for clinical nurse specialists. Each rule was reviewed without objection. Near the end of the meeting, Senator Irvin announced that UAMS had completed its NCI designation submission for the Winthrop Rockefeller Cancer Institute, calling it an important milestone for the state. The committee then adjourned.

Transcript Highlights:

• So we will have time for the Board of Nursing to work with the Center for Nursing.
• Quality nursing care...
• If you close more independent nursing schools, you're going to have fewer nurses.
• There is a curriculum for nursing schools, but nursing schools approach it differently.
• So my goal in this bill is to produce more nurses, more quality nurses, not keep nursing schools open

Committee: Senate Health Policy

Summary: The committee heard and approved several health care bills. Senate Bill 68, by Senator Harrell, would require all hospital emergency departments to be prepared to treat children by maintaining pediatric equipment, staff training, written policies, a pediatric care coordinator, and completion/public posting of the National Pediatric Readiness Assessment. Senator Harrell said the bill is intended to improve pediatric emergency care in general hospitals, and the bill was supported by the Florida College of Emergency Physicians and the Florida Chapter of the American Academy of Pediatrics. It passed favorably. The committee also approved Senate Bill 154, which corrects the Mobile Act for dentists and dental hygienists by requiring graduates of out-of-state dental schools seeking licensure by endorsement to have attended a CODA-accredited school. The bill drew support from dental and dental hygienist groups and passed favorably. Senate Bill 40, by Senator Sharif, would require Medicaid managed care networks to ensure at least half of primary care providers offer appointments outside regular business hours, including evenings and weekends, to improve access and reduce emergency room use; it also passed favorably. A lengthy discussion centered on Senate Bill 254, also by Senator Harrell, which would tighten oversight of nursing education programs, create a temporary provisional license and preceptorship for new graduates awaiting NCLEX results, require remediation for low-performing programs, add standardized admission and exit-exam requirements, and allow the Department of Health to inspect programs unannounced. Supporters said the bill would improve quality and help students gain experience, while opponents warned it could reduce the number of nursing programs and worsen shortages, especially among private schools. After debate and testimony from nursing and school representatives, the bill passed favorably, with Senator Davis voting no. The committee then received an OPPAGA presentation on interstate health care licensure compacts. OPPAGA reviewed how Florida uses licensure by endorsement, telehealth registration, and compacts for nurses, psychologists, and physicians, and explained the potential benefits and drawbacks of joining additional compacts, including portability, data sharing, and emergency staffing versus costs, administrative burdens, and possible conflicts with Florida scope-of-practice laws. No action was taken on the presentation, and the meeting adjourned after Senator Davis requested to be recorded in support of SB 68 and SB 154.

Transcript Highlights:

• In practice, each professional licensing board, which is a board of healing arts, board of nursing, board
• But in Missouri, if we do need to waive those regulations and those regulations... if you are licensed
• within Missouri, but you can serve in other states, as long as you can follow those regulations and
• But in Missouri, if we do need to waive those regulations and those regulations, But in Missouri, if
• You know, currently the Board of Healing Arts regulates physicians' assistants.

Committee: House Professional Registration and Licensing

Summary: The Committee on Professional Registration and Licensing met with a quorum present and first took up House Bill 1797, a public accounting bill. The committee adopted a substitute that was described as clarification language to mirror the Senate version, then voted the House Committee Substitute do pass by unanimous roll call. The committee also considered House Bill 2974, adopted Amendment 0.01H adding clarifying scope-of-practice language, rolled the amendment into a committee substitute, and then voted the House Committee Substitute do pass unanimously. The committee then heard testimony on House Bill 1623, which would add massage therapists and chiropractors to the list of health care professionals subject to emergency disciplinary action through the Administrative Hearing Commission. The sponsor said the bill is intended to protect patients and give licensing boards faster authority to act against bad actors in vulnerable settings. Supporters included a trial lawyer who described sexual assault cases involving massage parlors and a lobbyist for the Missouri Chiropractic Physicians Association, who said quicker action would improve public safety and professional integrity. No opposition was presented. Next, the committee heard House Bill 309, which would provide clarity for nonprofit pharmacies serving low-income and underserved patients in emergency situations, inspired by access problems after the St. Louis tornadoes. The sponsor and an RX Outreach representative said the bill would help pharmacies transfer or dispense needed medications during emergencies without reducing oversight, and they discussed limits on quantities and controlled substances. Members asked why the bill was limited to nonprofit pharmacies and whether it applied outside Missouri; the witnesses said they were open to amendments and clarified the bill was aimed at Missouri emergencies. Finally, the committee heard House Bill 3129, the Physician Assistant Compact. The sponsor said the compact would improve access to care, especially in rural areas, by allowing reciprocal practice across participating states without changing Missouri scope-of-practice law. A PA testified in support, saying it would help retain and recruit PAs and improve flexibility near state borders. The Missouri State Medical Association opposed the bill, arguing it could affect scope of practice, give compact commission rules too much authority, and weaken Missouri’s regulatory control; the Division of Professional Registration supported it, saying it fits rural health transformation goals and that compact participants would still have to follow Missouri scope laws. A nonprofit workforce group also testified in support. No votes were taken on the hearing bills before adjournment.

Transcript Highlights:

• </c> we revert to previous reg regulations we revert to previous reg regulations the<00:09:22.640><c>
• </c><00:20:35.919><c> in</c> there's too many regulations in there's too many regulations in childcare
• that keep our kids safe and regulations that keep our kids safe and regul<00:21:12.720><c> regulations
• regulations that are too you know regul regulations that are too you know overburdensome<00:21:15.320
• /c> because I'm not a nurse I'm not a nurse because I'm not a nurse I'm not a nurse practitioner<00:39

Bills: HF1247 , HF628

Committee: House Children and Families Finance and Policy

Keywords: child care, aides, supervision, child care centers, staffing regulations, childcare, day care, licensed child care center, early childhood education, child care licensing, director qualifications, staff ratios, group size, staff-to-child ratio, substitutes, volunteers, assistant teacher, teacher qualifications, infant care, toddler age