Video & Transcript Research : 'unauthorized practice'
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KY
Kentucky 2025 Regular Session
House Standing Committee on State Government (2-27-25)
Transcript Highlights:
- of so-called conversion therapy practice of so-called conversion therapy has<00:15:44.480>
no - to force their children into a practice to force their children into a practice condemned<00:18:
- passion to fight against these practices passion to fight against these practices uh<00:21:51.520
- destroy families and hurt practices destroy families and hurt lgbtq<00:25:39.080>
youth <00:25 - This is already in practice. Representative Hancock, thank you, Madam Chair.
Keywords:
Consideration of HB 9 00:02:20
Consideration of HB 495 00:08:53
Consideration of HB 520 00:46:51
Consideration of HB 622 00:54:39
Consideration of HB 635 00:59:25, 958, all
Summary:
The committee first took up House Bill 9, which would create oversight for Medicaid-related policy through a board modeled after the Public Pension Oversight Board. Sponsor Rep. Adam Bowling said the measure was intended to bring legislative, executive, and stakeholder voices together to vet issues and make better-informed Medicaid policy. Members generally supported the concept, though some questioned the proposed board’s party breakdown and whether the language should be updated now rather than later. After discussion, the committee voted 19-0 to pass HB 9 favorably.
The committee then heard House Bill 495, which Rep. Hail said would protect mental health care professionals, institutions, and ordained ministers from discrimination when providing what the bill calls protected counseling services. He described the bill as a parental-choice measure that would allow counseling aligned with family values and said it also creates a civil cause of action for harmed parties. Opponents argued the bill would shield conversion therapy, with Dr. Eric Russ, Brandon Long, Dr. Brandon Creech, Brenda Rosen, Chris Hartman, and Dr. Bobby Glass testifying that conversion therapy is discredited, harmful, and associated with depression, anxiety, self-harm, and suicide risk. They said professional medical and counseling organizations oppose such practices and urged rejection of the bill.
During questions, Rep. Layman pressed the sponsor on whether the bill would protect therapies even if a child was not in distress and on whether the committee should be endorsing a practice discredited by professional organizations. Rep. Hail responded that he viewed the issue as a parental choice and said he believed the bill protects providers offering those services. The transcript ends during continued discussion of HB 495, with no final vote shown on that bill.
HI
Transcript Highlights:
- So if you can keep the expectations practical, realistic, but challenge those areas where it's said that
- So if you can keep the expectations practical, realistic, but challenge those areas where it's said that
- So if you can keep the expectations practical, realistic, but challenge those areas where it's said that
- So if you can keep the expectations practical, realistic, but challenge those areas where it's said that
- And focus on actual practical enforcement.
Summary:
The committees met on February 19, 2025, to hear advice-and-consent nominations, beginning with GM 645/GM 650 for Mike Lambert as Director of the Department of Law Enforcement. Testimony was overwhelmingly in support from state officials, community leaders, nonprofit representatives, and others, who praised Lambert’s collaboration with communities, communication skills, and practical approach to public safety. Several speakers highlighted his work on homelessness, game rooms, community policing, and his ability to work across public health and law enforcement lines. Lambert told the committee he has 22 years of law enforcement experience, including patrol, community policing, training, narcotics/vice, and work on fentanyl, internet crimes against children, and ghost guns, and said his priorities would include building community trust, improving training and discipline, and addressing fireworks and firearms enforcement. Senators asked about fireworks, federal collaboration, ports and airport screening, recruitment, pay parity, and whether the department should expand into a more formal state police force; Lambert said he would need time to learn the new port/shipping environment and would support a state police class and expanded enforcement capacity. The committee did not take a final vote in the portion of the transcript provided.
The committee then heard GM 567 for Jean Dello Jr. as chairperson of the Hawaii Paroling Authority. Supporters, including Hawaii Friends of Restorative Justice and Hawaii Paroling Authority staff, described him as honest, ethical, fair, and experienced in balancing public safety with rehabilitation and re-entry. Dello said he came out of retirement in 2021 to serve on the board, and that his background in federal probation and state corrections led him to favor evidence-based practices over simple compliance monitoring. He emphasized the need to weigh public safety with giving inmates a real opportunity to transition successfully back into the community. No final action or vote was announced in the excerpt provided.
NH
HI
Transcript Highlights:
- The chair's practice in this committee is to hold decision-making at 11:30 a.m.
- codify<01:17:21.199>
compassionate best practices and codify compassionate best practices - an aloha spirit, but are we practicing an aloha spirit, but are we practicing it<01:18:07.199>
says if you want to be happy practice says if you want to be happy practice compassion<01:32:56.320 - And that is best practice.
Bills:
HB1531
Keywords:
emergency announcements, American Sign Language, accessibility, public safety, broadcast media, 910, house, all
Summary:
The committee heard testimony on House Bill 1913, which would create a mental health coordinator position within the Office of Veteran Services for the Daniel K. Akaka State Veterans Home and appropriate funds for it. Supporters said veterans, especially on the neighbor islands, need more mental health access and coordination. Several witnesses, including Sean Sonatada and Tom Driscoll, supported the intent but urged amendments to broaden the position beyond one facility and make it a statewide resource. Committee members questioned whether the bill would duplicate existing services at the veterans home and whether the position would be reimbursable through federal VA funding; testimony indicated the state would appropriate the money, while existing home services are already covered through current staff and federal reimbursement structures. The committee also heard testimony on House Bill 9, which would designate Hawaii as a Purple Heart state. Testifiers generally supported the measure as a way to honor wounded veterans and their families, though one member asked what benefits the designation would confer. Witnesses clarified that the bill was mainly symbolic and did not appear to create new benefits, and one testifier noted Honolulu County had already adopted a similar Purple Heart designation.
The committee then took up House Bill 1628, which would establish a compassionate release protocol for certain seriously ill or debilitated incarcerated persons. The Department of Corrections and Rehabilitation and the Hawaii Paroling Authority opposed the bill, arguing that an existing administrative process already works, that the bill could improperly extend eligibility to people serving life without parole or mandatory minimum sentences, and that it lacked victim and family input and sufficient resources. In contrast, the Hawaii Correctional System Oversight Commission strongly supported the bill, saying it would reduce the high cost of incarcerating people with complex medical needs, ease burdens on staff and the prison population, and better reflect human dignity. The commission described having seen severe suffering and deaths in custody and said compassionate release is warranted in some cases. No votes or final actions were taken in the portion of the meeting provided.
CA
Transcript Highlights:
- These practices create not just confusion, but fear—fear for the public and fear for those who are being
- A protection written in law means little if we have no practical and affordable way to enforce it.
- Chair. ...practically implemented. And with that, would you like to close? Thank you.
- I appreciate your passion, your hard work, and your practical application.
- Yet AB 928 contains no religious exemptions and no accommodation for these longstanding practices.
MN
Transcript Highlights:
- <00:16:14.759>
way practice in a thoughtful practical way practice in a thoughtful practical - Act to ask the district for Practices Act to ask the district for that<00:19:27.559>
data <00: - <00:21:27.200>
Act cannot do within the data Practices Act cannot do within the data Practices - He said the amendment really codifies existing commissioners' opinions, data practices opinions, and
- They really helped flesh out what this is like in the practical real world, and what a great idea.
NH
New Hampshire 2026 Regular Session
Senate Health and Human Services (02/04/2026)
Health and Human Services
Transcript Highlights:
- found that this is a common practice found that this is a common practice that<00:28:37.919>
- Park. literally practically on Dairfield Park. literally practically on it.<01:51:41.920>
Um < - >> maybe someone coming up practice. Yes. >> maybe someone coming up practice.
- I currently practice at my Hampshire.
- Um and I have 16 different practices.
VA
Transcript Highlights:
- Victor was a luminary in law and worked diligently to advance his practice and support the profession
- These devotions are evident in his legacy he leaves behind, including the law practice that he opened
- outside of our state may have been there when they weren't able to practice here.
- a practice agreement.
- to practice without a practice agreement.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 3 on Education Finance Apr 29th, 2025
Transcript Highlights:
- The network will convene literacy leads to support statewide implementation of evidence-based practices
- Lifting up best practices and professional development around existing literacy initiatives would be
- But how... ...how would this help, you know, the best practices for evidence-based literacy instruction
- Teachers have deepened their understanding of evidence-based literacy practices.
- So sharing best practices around the recycling is certainly helpful.
Summary:
The committee heard a series of budget proposals focused on education finance, with repeated questions about whether the state’s investments are coordinated, targeted to the highest-need students, and likely to produce measurable results. On the first item, the administration proposed $1 million for a study of California’s curriculum framework, standards, and instructional materials process, plus $250,000 for supplemental ELA/ELD guidance. CDE and Finance said the study would examine how other states organize standards, frameworks, and adoptions, while the chair and members questioned why California has gone so long without updating some standards, what the study would actually accomplish, and whether the proposal was too vague to justify the cost. The issue was held open.
The committee then took up a proposed $25 million statewide literacy network within the system of support. CCEE and CDE said the network would coordinate multiple existing literacy leads, create a clearinghouse of evidence-based resources, and improve coherence across the state’s many literacy initiatives. Members pressed on how a one-time, five-year allocation could support a long-term system, how the work would reach distressed and rural districts, and whether the proposal would translate into classroom change rather than just another layer of coordination. The issue was also held open.
Next, the committee reviewed a $500 million proposal to expand literacy coaches and reading specialists and to create a math coaches program. CDE described the existing literacy coach cohorts as producing positive reports from participating LEAs, while the LAO recommended modifications, especially for the math coach portion, including limiting eligibility to elementary schools, setting minimum grant amounts, directing funds to eligible school sites, and making eligibility automatic rather than application-based. Members focused on whether coaches were actually being placed at the schools with the greatest need and whether the state has a coherent long-term strategy for literacy and math investments. The committee also heard a $40 million proposal for training and implementation of K-2 reading difficulty screeners, which the LAO said was reasonable but could be reduced because $25 million had already been provided for training; CDE said the new funds were needed for full implementation, procurement, and sustainability. Finally, the committee heard a $10 million proposal for a developmentally appropriate TK multilingual learner screener, with CDE explaining why the preschool language-identification process is different from K-12 EL assessment and the chair asking staff to explore whether a single, more consistent approach could be developed. The meeting concluded with a presentation on universal school meals and kitchen infrastructure, including a $31.5 million backfill, an $84.1 million increase for projected meal growth, a COLA adjustment, and $150 million for kitchen upgrades and training to support freshly prepared meals.
MN
Minnesota 2025-2026 Regular Session
House Agriculture Finance and Policy Committee 3/5/25
Agriculture Finance and Policy
Transcript Highlights:
- We use CGA best practices in our daily operations.
- We use CGA best practices in our daily operations.
- We use CGA best practices in our daily operations.
- <00:41:32.720>
and feel that education best practices and feel that education best practices - <01:20:56.480>
increasing by promoting safe practices increasing by promoting safe practices
MN
Transcript Highlights:
- You have to practice it just like you practice reading, just like you practice math.
- You have to practice it just like you practice reading, just like you practice math.
- And besides push-pulls, you practiced ovals, making ovals.
- is related to how much they practice it. is related to how much they practice it.
- <01:27:33.760>
a reader, but um, I think if I practice a reader, but um, I think if I practice
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Public Health Jun 21st, 2026 at 09:00 am
Joint Committee on Public Health
Transcript Highlights:
- Our new professionals have skills they're unable to fully utilize in clinical practice.
- The bill is more about protecting the practice than making it safe.
- I'm a family practice physician with over 40 years' experience.
- It is a practice opposed by the Hippocratic Oath for over 2,000 years.
- In practice, it is four reasons of... Are people requesting this.
Summary:
The Joint Committee on Public Health opened its first hearing of the session and heard testimony on bills in three areas: emergency medical services/AED access, athletic training and student safety, and end-of-life options. Committee chairs outlined testimony rules and noted that written testimony would also be accepted. Some bills had no live witnesses, while others drew extensive testimony from advocates, professionals, and legislators.
On AED-related bills, the American Heart Association supported requiring automated external defibrillators at sporting events and athletic fields, citing sudden cardiac arrest survival rates and urging cardiac emergency response plans as an added safeguard. A parks and recreation professional supported AED access but raised concerns about the cost, staffing, maintenance, and feasibility for municipalities with limited resources. Athletic trainers supported expanding their scope of practice and removing workplace restrictions, arguing it would improve injury prevention, reduce costs, and help retain professionals in Massachusetts.
The committee also took extensive testimony on end-of-life options legislation. Supporters included legislators, physicians, hospice volunteers, clergy, patients’ family members, and advocacy groups, who described the bills as allowing terminally ill, mentally capable adults to choose a peaceful death with strict safeguards and self-administration requirements. They emphasized personal stories of suffering, public support, and the claim that other states have not seen abuse. Opponents, including faith-based, disability-rights, and family policy representatives, argued the bills amount to physician-assisted suicide, could pressure vulnerable people, and may be influenced by prognosis errors, coercion, or financial incentives. No votes or final committee actions were taken during the hearing.
CA
California 2025-2026 Regular Session
Senate Floor Session May 19th, 2026
California Senate Floor Meeting
Transcript Highlights:
- The Legislature has passed bills that allow for the best procurement practice to be used in K-12, CSUs
- This bill is a narrow, practical bill to address this issue.
- Kathleen Rooney, an OB-GYN and managing partner of a Sacramento private practice.
- This bill provides a practical workforce solution by requiring DIR to partner with This bill provides
- This is a long-standing practice.
Summary:
The Senate opened with a roll call, a moment of silence for the shooting at the Islamic Center of San Diego, prayer, and the Pledge of Allegiance. The body then handled routine matters and confirmations, including Julia Montgomery as General Counsel for the Agricultural Labor Relations Board, Dr. Cynthia Glover Woods, Dr. Brenda Lewis, and Gabriela Orozco Gonzalez to the State Board of Education, and George Cardona as Chief Trial Counsel for the State Bar. All of those appointments were confirmed, with some no votes from a few members on the education and legal confirmations.
The chamber also adopted several resolutions, including SR 111 on the International Day Against Homophobia, Biphobia, Interphobia, and Transphobia; SCR 129 naming part of Highway 152 the Rusty Arraes Highway; SCR 169 proclaiming October 2026 as Women’s Small Business Month; and SCR 173 designating May 2026 as California Fairgrounds Appreciation Month. Senators spoke in support of fairgrounds as community, agricultural, and emergency-response assets. The Senate also welcomed Cal Lutheran University students, faculty, and staff to the gallery.
A large number of policy bills were then taken up and mostly passed, covering procurement, elections, education, privacy, housing, transportation, labor, and health care. Among the measures approved were SB 1154 on best-value procurement for community college projects, SB 1369 on judicial recall safeguards, SB 1048 creating a climate literacy seal, SB 1106 shortening data broker deletion timelines, SB 1408 authorizing a Contra Costa transportation tax measure, SB 1172 on local tax-sharing transparency, SB 1383 protecting local labor standards in density bonus projects, SB 1223 on competitive bidding at fairs, SB 1344 extending anti-SLAPP protections to certain housing-related projects, SB 1371 limiting solid waste contract force majeure clauses during labor disputes, SB 908 on residential window replacement permits, SB 1272 on remedies for preexisting home code violations, SB 1406 targeting the “Montana tax loophole,” SB 1238 on HOA transparency, SB 868 on plug-in balcony solar, SB 903 restricting unlicensed AI psychotherapy advertising, SB 950 on early-onset Alzheimer’s coverage, SB 874 on Medi-Cal behavioral health oversight, SB 1049 on corrected health care claims, SB 1067 on early math screening, SB 1202 on Medi-Cal outreach, SB 944 on acupuncture coverage, SB 957 on notice for federal subpoenas to social media companies, SB 959 on wildfire-related school closures, SB 988 on auto glass insurance practices, and SB 1000 on AI content transparency. Most passed on largely party-line or near-unanimous votes, with a few dissenting votes from members who objected to procurement, labor, privacy, or tax-related provisions.
NM
New Mexico 2026 Regular Session
IC - Legislative Education Study Dec 18th, 2025
Transcript Highlights:
- They really don't know what is the best practice.
- Well, professional development that is tied to best practices, Mr. Chair. I see. Okay. Thank you.
- It talks about instructional materials and how they should be aligned to those best practices.
- I know that this has been in practice.
- Develop or adopt guidance or best practices for rating systems that participants may use.
Summary:
The committee first heard a detailed staff presentation on the LESC FY27 public school support recommendation. Staff reviewed the budget structure and explained that, despite a downward revision in state revenue estimates, the recommendation still relied on recurring and non-recurring revenue to support educator compensation, insurance, transportation, literacy, math, special education, and other school programs. Major recurring items included a 3% compensation increase, funding for an 80-20 health insurance cost share, insurance premium growth, and transportation adequacy funding. Staff also flagged a possible supplemental need of up to $35 million for virtual education tied to rapid enrollment growth in Chama and Santa Rosa, and members raised concerns about the quality, accountability, and funding model for virtual programs.
Members asked questions about transportation for rural districts, the Martinez-Yazzie lawsuit fees, the treatment of enrollment declines in the school funding formula, and whether the word “average” in salary language should remain in the budget. Staff explained that the SEG should remain whole, that the insurance and transportation recommendations applied to all public school employees but not contractors, and that the budget included multiple math-related investments spread across several lines rather than one single appropriation. There was also discussion of out-of-school learning grants, school meals, literacy center operations, special education training, and the Public Education Reform Fund, including the use of multi-year, evaluation-based appropriations for high-impact tutoring and community schools. After discussion, the committee adopted the LESC budget recommendation.
The committee then moved to endorsed legislation proposals. It endorsed a bill allowing the secretary to suspend an individual school board member, with notice and appeal procedures clarified, and a bill creating an 80-20 health insurance cost-share requirement for public school employees, along with a study of the sustainability of public school insurance programs. It also endorsed a bill on attendance provisions for students with severe medical conditions, which would keep those students from being classified as excessively absent. Finally, the committee discussed a teacher residency bill that would raise stipend levels, allow residents to complete service anywhere in New Mexico, and remove the requirement that sponsoring schools must hire them, though the bill did not include an appropriation. Members also raised questions about bilingual, Hispanic, and Black education funding, cultural and linguistic supports in teacher preparation, and where various programs should be placed in the budget or PERF framework.
NM
Transcript Highlights:
- Because we are losing practicing... and Dr. Eve Espey to move this forward for meaningful change.
- Chair, and no one changes their dangerous practices. Thank you, Mr.
- And it is constant motion practice and going to the judge.
- Even then, it's often their practice that is at issue.
- But as a practical matter, I've never seen it actually happen. And I guess I'm All right.
AZ
Transcript Highlights:
- Failure to comply with conflict of interest requirements and not follow the recommended practices increases
- Failure to comply with conflict of interest requirements and not follow the recommended practices increases
- and what's current practice?
- Failure to comply with conflict of interest requirements and recommended practices increases the risk
- We're able to compare our practices with other stadiums that host the same events, concerts that they
Summary:
The House Commerce Committee of Reference heard sunset reviews and a performance audit presentation for the Arizona Department of Gaming, the Racing Commission, the Boxing and MMA Commission, and later the Arizona Barbering and Cosmetology Board. The Auditor General reported that the Department of Gaming and the commissions generally met some statutory duties, but identified several problems: the department did not consistently obtain and review independent audits for event wagering and fantasy sports operators; the department and commissions had gaps in conflict-of-interest disclosures; the department and Boxing and MMA Commission lacked comprehensive complaint-handling processes; the department was late distributing some compact trust fund payments; and there were additional issues involving IT security, horse-racing license checks, fee reviews, public records practices, and licensing compliance. The Auditor General said the department agreed to implement all 36 recommendations, the Racing Commission agreed to six recommendations, and the Boxing and MMA Commission agreed to 13 recommendations. The department director said many fixes were already underway, including updated guidance, complaint tracking improvements, and a historical look-back on operator reporting, and she also discussed efforts to combat illegal gambling and educate minors and families about gambling risks.
Committee members questioned the department about third-party audits, penalties for underpayments, public records handling, conflict-of-interest screening, and the department’s position on prediction markets and suitability standards for licensees. The director said the department would review past reports, could assess fines if violations were found, and would generally wait for final adjudication or final action in other jurisdictions before taking Arizona licensing action. After discussion, the committee voted to recommend the Department of Gaming be continued for two years until July 1, 2028, the Racing Commission for six years until July 1, 2032, and the Boxing and MMA Commission for six years until July 1, 2032. The Department of Gaming motion passed 7-4, the Racing Commission motion passed 10-1, and the Boxing and MMA Commission motion passed unanimously.
The committee then heard the Auditor General’s report on the Arizona Barbering and Cosmetology Board. The audit found the board timely processed many licenses and complaints and had adopted curriculum rules, but it inconsistently applied its disciplinary guidelines, sometimes issuing different sanctions for similar violations without documenting the reasons for deviation. The report also found problems with reciprocity education requirements, application review controls, inspections, and compliance with open meeting, public records, and conflict-of-interest requirements, and it suggested possible statutory changes on aesthetics scope of practice, cease-and-desist authority, and training standards for I-LEST technicians. The board agreed with the findings and said it had already updated disciplinary parameters and documentation policies, with more recommendations in progress; committee members asked about discretion in discipline, audit funding, and service efficiency, and the board highlighted its licensing volume, call response, inspections, and complaint handling performance.
NV
Transcript Highlights:
- Currently, in these practices, there is no warrant that is required because it does not...
- There have been some questions about Fifth Amendment, and it's withstood those practices as well.
- There have been some questions about Fifth Amendment, and it's withstood those practices as well.
- I practiced in the corridor court when it was there as a defense attorney.
- practices. Nevada just happens to be one of the states that doesn't allow it.
FL
Florida 2026 Regular Session
Appropriations Committee on Higher Education Apr 15th, 2025
Appropriations Committee on Higher Education
Transcript Highlights:
- It's how I established my medical practice. It's how I moved to Florida.
- My wife's dental practice is not far from the USF main campus.
- practiced that for 24 years.
- I've been practicing law and have been a member of the Florida Bar ever since then.
- I run our own practice, employing about 20 to 25 employees at any given time.
Summary:
The committee heard and voted on two higher education bills before moving to a long series of university and college board appointment confirmations. CS/SB 742 would let charter schools directly access the Workforce Development Capitalization Incentive Grant Program for career and technical education programs tied to industry certifications, and would expand the money-back guarantee requirement from three to six programs at career centers and Florida College System institutions. A question was raised about whether the charter school access could reduce district funding or grant availability; the sponsor said it could, depending on available funds. The bill was supported by one appearance form and was reported favorably. The committee also heard SB 892, which codifies the Florida State University Election Law Center so it can continue and receive recurring funding. The sponsor and FSU witnesses said the center is nonpartisan and focused on evidence-based research, especially on election administration issues related to natural disasters and public confidence in elections. After testimony and questions, including about the center’s scope and funding, the bill was reported favorably.
The remainder of the meeting consisted of testimony from numerous appointees to boards of trustees for state colleges and universities, including Tallahassee State College, Valencia College, New College, Pensacola State College, Florida Gulf Coast University, University of North Florida, St. Johns River State College, Palm Beach State College, Santa Fe College, Daytona State College, and Florida Atlantic University. Most nominees emphasized their personal ties to the institutions, support for workforce education, student success, and local economic development. Several highlighted priorities such as keeping tuition affordable, expanding internships and career pathways, strengthening nursing and other workforce programs, and improving graduation and retention rates. Some appointees also described campus-specific goals, including research growth at FAU and Harbor Branch, community engagement at New College, and continued support for health care workforce partnerships at FGCU.
The most notable exchange came during testimony from Dr. Joel Rudman for the Pensacola State College board, where Senator Leek questioned him extensively about prior public comments that appeared to reference threats and drug testing legislators. Rudman said his remarks were aimed at Florida House members and not the Senate, denied any knowledge of illicit drug use by current or former senators, and said he was speaking candidly as a private citizen. Public testimony on his nomination included both support and strong opposition, with one speaker praising his community service and another warning about his alleged disruptive behavior and social media posts. The committee also heard from several supporters and appointees who were not questioned further, and the meeting ended with plans to vote on the appointments after all testimony was completed.
AR
Transcript Highlights:
- that would probably be better able to explain that they do feel that it's within their scope of practice
- that would probably be better able to explain that they do feel that it's within their scope of practice
- Do we feel confident that this is within their scope of practice? Are they accurately practicing?
- Do we feel confident that this is within their scope of practice? Are they accurately practicing?
- Do we feel confident that this is within their scope of practice? Are they accurately practicing?
Summary:
The Arkansas Legislative Autism Task Force approved the April 1, 2026 meeting minutes and then reviewed several vacant membership slots on the task force, including appointments from the Arkansas Psychology Board, Arkansas Blue Cross Blue Shield, UAMS, and parent or guardian positions. Members discussed trying to fill those vacancies before the next meeting, and noted that if they remain open they may be addressed in the task force’s legislative report and through possible statutory changes in the next General Assembly.
Representatives from the Developmental Disabilities Provider Association (DDPA) and Civitan Services presented on DDPA’s role serving children and adults with intellectual and developmental disabilities across Arkansas. They said DDPA now represents 80 providers serving more than 13,000 individuals in 75 counties, with services including early intervention, adult day programs, supported employment, intermediate care facilities, work activities, and community/residential waiver services. They also shared survey data on older clients and said these services remain available to seniors with IDD, including people with autism.
The task force then heard a proposal to amend Act 656 of 2021 to include licensed psychological practitioners as qualified providers for autism waiver-related evaluations. The presenter argued this would reduce wait times, avoid duplicate assessments, and help families access services sooner, while still maintaining quality standards. Members asked about training, licensure, and whether other professionals such as speech-language pathologists or audiologists should be included; Dr. Scott noted that current practice already relies on a two-provider model and that speech-language pathologists play a role because autism diagnosis considers communication, cognitive ability, and language. The discussion also touched on the need for proper testing standards and board oversight. No vote was taken on the amendment, and the meeting ended with plans to return to fraud-related discussion and to begin prioritizing recommendations for the 2027 session before adjourning.
CA
Transcript Highlights:
- I would like to share two examples from my practice.
- I would like to share two examples from my practice.
- Industry data indicates that practices utilize only 42.6% of authorized hours on average.
- Could you get into that a little bit more, maybe in real practice, what’s...
- Senator Durazo: Could you get into that a little bit more, maybe in real practice, what’s...
Summary:
The Senate Committee on Health met in Room 2100 and first established a quorum, then approved a six-bill consent calendar on a 6-0 vote, placing it on call. The committee then heard AB 2233, which would ensure that once applied behavior analysis services for autistic patients are authorized, families can use those approved hours across the authorization period rather than losing them to weekly utilization caps or scheduling barriers. The author and supporters, including behavior analysts and family advocates, said the bill would not expand benefits but would improve access to already authorized care; health plan and insurance representatives initially raised fraud and utilization-management concerns but said they would remove opposition after amendments preserving those safeguards. AB 2233 passed 7-0 and was placed on call.
The committee next heard AB 96, which would remove the high school diploma or equivalent requirement for certification as a Medi-Cal peer support specialist. Supporters from county behavioral health, peer services, and local governments argued that lived experience, training, and certification standards—not a diploma—should determine eligibility, and that the change would help address workforce shortages and expand culturally competent peer support. One opposition witness from the California Consortium of Addiction Programs and Professionals testified against the bill, but the measure advanced on a 7-0 vote to Appropriations and was placed on call.
The final major item was AB 1876, the Fair Care for All Act, which would codify federal non-discrimination protections in state law for health care coverage and services. Supporters said it would protect transgender, gender-diverse, and intersex patients from discriminatory coverage practices and preserve access to medically necessary care; opponents argued it would force coverage of gender-affirming interventions and reduce insurer safeguards. After debate over whether the bill expanded coverage, the author said it simply mirrored existing federal non-discrimination law. AB 1876 passed 7-1 and was re-referred to Judiciary, then placed on call. The committee later opened the roll to record absent members and concluded the meeting after all items were disposed of.