Transcript Highlights:

• If you're not familiar with the clinical aspects and the clinical implications of each device, uh, even
• </c><00:14:19.760><c> and</c><00:14:20.000><c> the</c> with the clinical aspects and the with the clinical
• aspects and the clinical<00:14:20.560><c> implement</c><00:14:21.360><c> implica</c><00:14:22.240><c
• > imp</c> clinical implement implica imp clinical implement implica imp implications<00:14:23.199><c>
• And I saw firsthand how clinic China.

Bills: HB1849 , HB2000 , HB1753 , HB1511 , HB276 , HB1513 , HB2188 , HB1876

Committee: House Consumer Protection & Commerce

Summary: The committee on Consumer Protection and Commerce met on February 10, 2026, and heard testimony on several bills. HB 1849 relating to licensing drew comments from DCCA’s Professional and Vocational Licensing Division and the Hawaii Real Estate Commission, both of which stood on written testimony. The Hawaii Coalition for Immigrant Rights testified in strong support, emphasizing that some immigrants, including DACA recipients, are already contributing in Hawaii and that the state should help create pathways for them to remain and advance professionally. No vote or final action was taken on HB 1849 during the portion shown. The committee then heard HB 2000, the wheelchair right-to-repair bill. Encart opposed the measure, arguing that repair delays are largely driven by insurance prior authorization and that wheelchair repairs involve FDA-regulated medical devices where improper repairs could create health risks. Peter Fritz testified in support, saying the bill was modeled on similar laws in other states and that he had personal experience through his sister’s use of a wheelchair. Members questioned whether repairs done outside insurer networks might not be reimbursed, and Fritz said that was a concern but that the need for timely repair outweighed it. The committee also discussed HB 1753 on social media, where DCCA’s Office of Consumer Protection supported the bill but suggested an amendment to the definition of personal information. On HB 1511 relating to consumer protection, DCCA’s Insurance Division supported the bill, while the Alliance for Automotive Innovation and the Hawaii Automobile Dealers Association offered comments seeking to preserve legitimate manufacturer and dealer communications about vehicles, warranties, recalls, and related services. The committee also took up HB 276 HD1 and HB 1513 on condominiums. The Hawaii Real Estate Commission offered comments on HB 276 HD1. For HB 1513, the Hawaii Green Infrastructure Authority supported the bill, but DCCA’s Insurance Division opposed it, warning that diverting HHRF funds could weaken reinsurance arrangements and raise premiums for consumers who rely on the fund. Members questioned whether the proposed condo loan program would need HHRF money and whether the amounts in the bill were necessary, and the division said it opposed using HHRF for that purpose. The committee also heard HB 2188 on housing, where OCP supported the measure and the Hawaii Association of Realtors raised concerns about conflicts with the Fair Credit Reporting Act and the use of tenant screening reports, noting that a working group is already addressing landlord-tenant issues. Members asked OCP to research how other states handle similar laws and whether additional language is needed to avoid federal conflict. Finally, on HB 1876 relating to mental health, the Department of Health’s Adult Mental Health Division supported the bill but said it remains opposed to harmful, non-evidence-based treatment modalities; Pride at Work Hawaii also testified in strong support. No final votes or committee decisions were reported in the excerpt.

Transcript Highlights:

• in harm reduction and outreach teams, acute care settings, inpatient, outpatient, and also other clinical
• and non-clinical settings, as well as people who use drugs, which includes people in recovery and the
• outreach treatment teams, harm reduction, inpatient settings, acute care settings, as well as other clinical
• competency as well as non-clinical competency, really prevents access to those treatment settings and
• and non-clinical settings creates enormous barriers to care.

Summary: The special commission on xylazine met virtually to review and discuss the first draft of its final report. Chair Mindy Domb opened the meeting, confirmed quorum, and the commission approved the minutes from its December 11 public meeting. Staff then walked commissioners through the proposed report structure, including background on xylazine as both an FDA-approved veterinary drug and an illicit drug supply contaminant, as well as appendices for public meeting materials and public resources. The commission discussed findings and recommendations for several working groups. For oversight and enforcement, members focused on licit versus illicit sources of xylazine, noting that the illicit supply is typically obtained through online vendors rather than diverted from veterinary use. Recommendations included better storage and reporting practices in authorized settings, review of manufacturing and distribution information, and focusing enforcement on fentanyl trafficking and large-scale xylazine importation rather than personal possession. Commissioners also discussed whether xylazine should remain in Schedule 6 or be subject to additional penalties, and several members emphasized the need for coordination, information-sharing, and possibly a DPH task force or advisory body to monitor emerging drug threats. For outreach and treatment, staff summarized strong existing programs such as drug checking, wound care education, naloxone distribution, mobile and low-threshold care, and self-directed wound kits, while noting gaps including the lack of an FDA-approved reversal agent for xylazine, difficulty distinguishing xylazine from other exposures, and uneven access by geography, insurance, and audience. Commissioners stressed the need for provider education, including physicians, nurses, pharmacists, family support networks, and first responders, and for clear guidance on wound care and when more intensive treatment is needed. The education and training section identified first responders, clinicians, non-clinicians, and people who use drugs and their families as key audiences for tailored, stigma-free materials, with emphasis on real-time, centralized data, naloxone and breathing support, recognition of overdose versus xylazine exposure, and adapting materials as the drug supply changes. The meeting ended with discussion of next steps: staff will circulate a revised draft by March 2, the commission will meet again on March 9 to consider the report and recommendations, and an additional late-March meeting was reserved if needed before the statutory deadline.

Transcript Highlights:

• We know, and there's this landmark study that I cite all the time from the Mayo Clinic in 2022, that
• In the medical space, those clinicians here, you know, you have clinical decision support rules.
• Dentists are reflecting complex dental clinical decisions using professional judgments, risk assessments
• They're... ...clinical decisions using professional judgments, risk assessments, and patient priorities
• And so there isn't an exact clinical decision support methodology, right?

Summary: The Care Management Meeting opened with a DSS update on the PCMH program. Staff reported the program remained steady at 124 practices, 553 sites, and 2,548 providers, with some month-to-month fluctuation driven by practice consolidation, retirements, and a few practices leaving the program because NCQA requirements were burdensome. Members asked about declining provider and site counts, member attribution trends, and whether PCMH practices overlap with behavioral health homes; DSS said attribution changes are largely due to members becoming ineligible, moving, or getting other insurance, and that PCMH and behavioral health homes are separate programs that coordinate informally. The committee also discussed why some smaller practices leave the program and whether the requirements could be made easier to support retention. The committee then resumed a detailed presentation on the Husky Dental program. The presenter described the dental benefit’s history, the importance of preventive oral health, workforce and consolidation pressures in dentistry, and the lack of interoperability between dental and medical records. Network data showed year-over-year declines in enrolled dental practitioners and service locations, with access gaps concentrated in rural and eastern parts of the state. Appointment availability surveys showed average waits of 38 days for adults and 23 days for children, but much longer waits at FQHCs than private fee-for-service practices. The presenter said Connecticut remains above the national median on CMS pediatric dental quality measures, though sealant rates remain a concern, and noted that preventive care is associated with lower per-member costs. Members raised concerns about provider participation, large practices dropping Medicaid, mobile dental care, and whether the public directory accurately reflects which dentists are actually accepting new patients. The presenter said the plan uses secret-shopper calls, tracks appointment availability, and has begun using place-of-service coding to better identify school-based dental care. She also noted a new MOU with 20 Head Start programs to share data and provide oral health literacy and navigation support. The final major topic was implementation planning for HR1. DSS said CMS guidance was expected in early June and proposed using upcoming meetings to cover medical frailty, communication strategy, and data integration/ex parte verification. Committee members urged the department to create a dashboard to track disenrollments and other impacts of HR1, to build a process for complaints and problem resolution, and to think through cost-sharing, caregiver verification, exemptions, and notices. Members also asked about using existing eligibility structures such as the working-disabled program as a model. The committee agreed to move the next meeting to June 10 by Zoom, with the agenda to be circulated in advance and any PCMH Plus quality data shared if available.

Transcript Highlights:

• trials, which may slow disease progression or... ...therapies, medication, or clinical trials, which
• Ensuring timely access to emerging therapies and participation in clinical trials is critical.
• Kiti Surrah, yeah, so the clinical director, and Ember Barton, I'm sorry, office administrator.
• Under Jim's leadership, Ridgecrest expanded the health care clinics.
• Under Jim's leadership, Rich Crest expanded the health care clinics.

Transcript Highlights:

• If you consult the MPCA's website, you can see that the zip code where my clinic community is compared
• The<00:14:49.480><c> clinic</c><00:14:49.760><c> where</c><00:14:49.920><c> I</c><00:14:50.000><c> work
• where I work most of the time The clinic where I work most of the time is<00:14:51.800><c> only</c><
• /c><00:15:00.000><c> my</c> can see that the zip code where my can see that the zip code where my clinic
• :00.880><c> is</c><00:15:01.400><c> compared</c><00:15:01.920><c> to</c><00:15:02.320><c> the</c> clinic

Summary: Rep. Athena Hollins and Sen. Ann Johnson Stewart introduced Minnesota’s proposed climate superfund bill, describing it as a way to make major historical greenhouse gas polluters help pay for climate adaptation and infrastructure repair. They said the bill would target large fossil fuel corporations with significant emissions and use the revenue for projects such as stormwater upgrades, bridge and roof protection, erosion control, drinking water protection, cooling cities, and other resilience work. Both lawmakers framed the proposal as a matter of accountability and fairness, arguing that Minnesotans should not keep paying for damage caused by companies that profited from fossil fuel pollution. Several supporters testified in favor of the bill, including St. Paul City Council Vice President Nyang Kheimey, former legislator and medical student Hunter Cantrell, Unidos Minnesota volunteer Bonnie Becol, and 100% Minnesota’s Aurora Vautrin. They emphasized local climate impacts such as flooding, wildfire smoke, extreme heat, emerald ash borer damage, asthma, and infrastructure failures, and said the costs are increasingly falling on taxpayers, local governments, and vulnerable communities. Kheimey highlighted municipal needs and St. Paul’s own climate investments, while Cantrell focused on environmental racism and health harms, and Becol and Vautrin stressed species loss, community recovery costs, and the burden on residents. In the question-and-answer portion, Hollins and Johnson Stewart explained that the bill would apply to fossil fuel corporations with at least 1 billion metric tons of carbon emissions and a nexus to Minnesota, not local utilities. They said the State Auditor’s office would determine the assessments owed by companies, while the Minnesota Pollution Control Agency would hold the fund and administer grants. They also said they were looking to models in Vermont and New York and hoped the proposal could attract bipartisan support because it is tied to affordability and shifting costs away from taxpayers and onto polluters. No vote or formal committee action was taken in the transcript, and the event ended with the sponsors opening the bill to questions.

Transcript Highlights:

• I'm going to use it for some clinical decision-making.
• By people that work in the clinics around and say we need LPNs.
• By people that work in the clinics around and say we need LPNs.
• It costs $110 to take the CNA exam, clinical portion and the written.
• That group in Ada, Oklahoma has 14 different clinic sites, 14.

Committee: House Oklahoma Education Commission

Summary: The meeting focused primarily on planning for an upcoming AI symposium and related commission work. Members reviewed nomination and registration timelines, attendance categories, site logistics, and microcredential requirements for participants. They discussed the symposium’s structure, including slots for K-12, higher education, career tech, libraries, tribal groups, and innovation grant recipients, and noted that the event would likely be held in early June with a follow-up planning meeting on April 2. The group also discussed launching a newsletter via Substack and publishing a monthly podcast to share updates and build public awareness. A major portion of the discussion centered on School AI and a proposed $45 million AI initiative. Members described School AI pilot activity at OCCC and broader plans to work with K-12, career tech, higher education, and libraries, while emphasizing privacy, data governance, and the need for local training and agency-level negotiation. The $45 million proposal, referenced as House Bill 1782, would create a revolving fund, an advisory council, and broad allowable uses including tools, professional development, curriculum, research, student programs, infrastructure, and public outreach. Representative Williams said the bill was moving through the House appropriations process and that the goal was to keep the funding intact. The group also raised concerns about other AI-related proposals and initiatives, including three bills by Representative Cody Maynard and the Oklahoma AI Roundtable, which some members viewed skeptically because of its paid membership model. A podcast episode on ethics and legal issues in AI was previewed, including a controversial example about using AI to survey students for safety risks; members agreed the example was hypothetical but potentially sensitive. The meeting ended with broader discussion of workforce needs, especially nursing and corrections education, including efforts to expand LPN/RN pathways, address certification costs, and connect training to rural health and reentry programs.

Transcript Highlights:

• I'm testifying on behalf of Vancouver Clinic with some concerns about this bill.
• Vancouver Clinic is an independent, physician-owned medical practice in southwest Washington.
• I'm a licensed mental health counselor, clinical supervisor, and co-founder of a small group practice
• At Seattle University's Workers' Rights Clinic.
• I'm Ross Colbrook, a law student at the Workers' Rights Clinic at Seattle University as well.

Summary: The committee heard testimony on several bills. Second Substitute House Bill 2479 would create a wage recovery program within L&I to advance part of unpaid wages to low-wage workers facing immediate hardship, funded by civil penalties, while also increasing and restructuring wage theft penalties and complaint prioritization. Supporters, including the prime sponsor, labor advocates, and employer representatives from the work group, said it would help workers get paid faster and was a consensus proposal; questions focused on how the current complaint process works and whether general fund money would be needed. Engrossed House Bill 1941, as amended, would allow licensed cannabis producers to form agricultural cooperatives, with the striking amendment limiting any cooperative to three producer licenses; supporters said cannabis producers should have the same cooperative tools as other agricultural sectors, while some testimony urged future changes for interstate commerce and warned against consolidation. Engrossed Substitute House Bill 2476 would expand the spirits, beer, and wine theater license from 120 to 200 seats per screen and add stronger alcohol-control measures when minors are present; theater operators and LCB supported the change, and committee questions focused on youth access and enforcement. House Bill 1526 would allow snack bar licensees to sell wine by the glass in addition to beer; the sponsor said it simply modernizes the license, and LCB noted a likely fee alignment issue and a small revenue impact. Engrossed Substitute House Bill 1155 would void non-compete agreements and expand related notice and non-solicitation rules, with testimony split between labor and worker advocates supporting broader worker mobility and business and health care groups seeking narrower exemptions for executives, physicians, and financial institutions. Engrossed Substitute House Bill 2303 would prohibit employers from requesting or coercing employees to accept microchip implants, with no testimony offered. Substitute House Bill 2405 would create a three-year pilot for earlier PTSD treatment coverage in workers’ compensation for eligible occupational disease claims, with L&I supporting it as a way to improve outcomes and reduce long-term costs. The committee also took public testimony on these bills, with strong pro and con positions noted on the wage recovery, cannabis cooperative, and non-compete measures. In executive action, the committee adopted a striking amendment and passed House Bill 1069, narrowing it to Department of Corrections employees and making supplemental retirement bargaining mandatory, despite concerns from one member about the change. The committee also adopted a striking amendment on House Bill 1347 concerning cannabis testing labs, then passed it to Rules; passed Second Substitute House Bill 1701 on liquor licensees sharing property; passed House Bill 291 on employee information for public employers to Ways and Means; passed Engrossed Substitute House Bill 2229 updating engineer registration provisions; passed House Bill 2264 on unemployment eligibility for workers in employer-initiated layoffs; passed Substitute House Bill 2472 adding enforcement for sprinkler contractors and fitters; and passed Second Substitute House Bill 2345 on paid family and medical leave premium allocation. A striking amendment to Second Substitute House Bill 1128 creating a child care workforce standards board was not adopted, and the bill then passed to Rules. The committee also announced it would hold House Bill 1066 for later action and planned to return the next day for its final executive session.

Transcript Highlights:

• Additionally, this authorization will enhance the efficiency of mass rabies vaccination clinics, which
• the efficiency of mass rabies enhance the efficiency of mass rabies vaccination<00:18:01.840><c> clinics
• ,</c><00:18:02.640><c> which</c><00:18:02.880><c> are</c><00:18:03.039><c> held</c> vaccination clinics
• , which are held vaccination clinics, which are held statewide<00:18:04.320><c> in</c><00:18:04.559><
• </c><00:19:00.559><c> and</c><00:19:00.960><c> fieldwork,</c> utilized in both clinics and fieldwork,

Committee: House Licensing, Occupations, & Administrative Regulations

Transcript Highlights:

• I am a doctor of physical therapy, a clinic owner in Seattle, and president of the Washington Chapter
• Our clinic builds simulations of job sites to help patients regain the specific skills they need for
• We rigged a utility pole inside the clinic. ...worker could fit in the small spaces required for her
• Vancouver Clinic is Washington's largest independent physician-group practice organization.”
• “The clinic is Washington's largest independent physician-group practice organization.

Summary: The Senate Labor and Commerce Committee heard testimony on several bills. SB 6152 would add physical and occupational therapists as attending providers in workers’ compensation claims. Supporters said it would reduce delays, improve access to care, and speed return to work; opponents, including the Washington State Medical Association, retail and business groups, and L&I, raised concerns about diagnosis, scope of practice, network enrollment, implementation time, and the $1.9 million fiscal note from accident and medical aid accounts. The committee also heard SB 5437, which would prohibit non-compete agreements and clarify non-solicitation rules. The sponsor and labor and physician groups supported ending non-competes as anti-competitive and harmful to worker mobility, while business, banking, and clinic representatives argued non-competes protect investments, confidential information, and patient/customer relationships and asked for narrower changes. The committee then heard SB 6058, which would give L&I discretion over whether to investigate wage complaints and would toll civil statutes of limitation when a complaint is filed. The sponsor said it would better match agency resources, and testimony was entirely supportive. SB 5944 would require language access provider compensation bargaining to include missed or canceled appointments and make CBAs prevail over conflicting agency policies; the sponsor and union representatives said it would create consistency across agencies, with no opposition testimony. SB 6039 would modernize L&I communications by allowing electronic notices while preserving a non-electronic option; supporters called it a permissive modernization, while worker advocates warned email could be missed and could burden vulnerable workers, though L&I said the bill preserves choice and has no fiscal impact. Finally, the committee heard SB 6117, which would place workers and employers not covered by the NLRA under PERC jurisdiction if federal law no longer applies, with card-check and secret-ballot procedures and interest arbitration provisions. Supporters said it would create a state backstop if federal labor enforcement fails and protect workers’ organizing rights; opponents from agriculture, business, and small business groups warned it was too broad, could sweep in agriculture and small businesses, and could weaken secret-ballot protections and disrupt harvest operations. The sponsor closed by saying the bill is intended to create a clear framework where federal jurisdiction is absent. No votes or executive actions were taken in the hearing.

Transcript Highlights:

• I was a student at the University of Illinois in the clinical forensic program and eventually got a PhD
• in clinical forensic psychology.
• And part of it is that our mental health, our outpatient clinics are so booked with people that it's
• It would be a licensed clinical psychologist. Okay, so that's an MD. Okay, thank you.
• , such as the DA clinic and public defender clinic.

Committee: House Courts, Corrections & Justice Committee

Transcript Highlights:

• and then turn that property and make it available to whatever health organization or hospital or clinic
• </c><00:00:50.559><c> wants</c> organization or hospital or clinic wants organization or hospital or
• clinic wants to<00:00:50.879><c> buy</c><00:00:51.120><c> that</c><00:00:51.840><c> provide</c><00:00
• c><00:01:42.479><c> or</c><00:01:42.799><c> hospital</c><00:01:43.439><c> that's</c> for a health clinic
• or hospital that's for a health clinic or hospital that's going<00:01:43.840><c> to</c><00:01:44.000

Summary: The committee discussed House Bill 353, a proposal to tighten eminent-domain procedures and property protections while still allowing public projects. Supporters said the bill would not prohibit condemnation, but would require proof that property is in blight, give owners notice and an opportunity to cure, require a reasonable plan and funding for the public use, and ensure the taking is limited to what is necessary. They argued this would protect good-faith property owners, prevent abandoned projects, and make the process more efficient for utilities and infrastructure by encouraging easements where possible instead of full takings. Much of the discussion focused on the proper measure of compensation and the broader constitutional limits on eminent domain. Several members argued that compensation should reflect current market value and that public benefit should not be treated as the standard for value. Others said market value can be unfair in cases involving unique property uses, damage to land, or public-private projects, and suggested owners should share in some upside. Members also raised concerns about Kelo v. City of New London, the risk of abuse by governments or large corporations, and the need to protect farmers and rural landowners from one-sided treatment. A number of legislators supported the concept but asked for more detail on how the bill would work in practice, whether it is based on model legislation from other states, and how it could be tailored to Kentucky. The bill sponsor said it was a modified model policy and was open to amendments to make it more Kentucky-specific. No vote or final action was taken in the portion of the meeting provided.

Transcript Highlights:

• </c><00:22:57.360><c> decision</c> maybe if you have a clinical decision maybe if you have a clinical
• </c><00:48:23.280><c> clinical</c><00:48:23.839><c> testing</c><00:48:24.240><c> to</c> ability for clinic
• clinical testing to ability for clinic clinical testing to go<00:48:24.559><c> out</c><00:48:24.720>
• One is the administrative burden, and the other is clinical effectiveness.
• One is the administrative burden, and the other is clinical effectiveness.

Summary: The Budget Review Subcommittee on Health and Family Services opened its first meeting of the 2026 interim session, took roll, and moved directly into presentations. The main presentation was from Ryan Bramble of Crisp Shared Services, who described the organization’s health information exchange and health data utility model in Kentucky and other states. He emphasized that Crisp is a nonprofit, that data ownership remains with providers, and that governance is local. He also outlined the technical infrastructure, including a master patient index, cloud-based data lake, support for modern standards like FHIR and USCDI as well as older formats, and data quality tools used to normalize and standardize information. Bramble said the model is intended to reduce duplication, lower costs, and support rural providers and future use cases such as reporting, analytics, and AI-enabled decision support. Members asked how the state can ensure the data is actually used and who should drive priorities for health care improvement. Bramble said Crisp can provide tools, expertise, and examples from other states, but local teams such as KHI and state stakeholders must tailor and lead utilization efforts. In response to questions about ownership and coordination, he stressed that successful HIE governance requires a multistakeholder body that includes hospitals, health plans, government, and other interests, with a unified approach rather than multiple competing directives. He also said the Commonwealth has an opportunity to convene those stakeholders and set clear priorities. A senator raised concerns that responsibility for Medicaid and broader health policy has become fragmented and suggested a stronger central role for the state, possibly through the Department of Public Health, to coordinate health priorities. Bramble agreed that a single convening authority and multistakeholder governance are important, and noted that local governance should determine what data is shared and how it is used. No votes or formal actions were taken during this portion of the meeting. After Bramble’s presentation and questions, the committee was told that Secretary Stack from the cabinet would testify next on the rural health transformation plan.

Transcript Highlights:

• Line 310 is a proposal to sunset a supplemental payment for Hennepin County Medical Health Clinic.
• </c> Medical Health Clinic. Medical Health Clinic.
• Line 530 is a series of modifications to rural clinical training grant programs.
• </c> rural clinical training grant programs. rural clinical training grant programs.
• health clinic.

Committee: Senate Health and Human Services

Transcript Highlights:

• Blocking reimbursement for reproductive health clinics denies essential services, weakening providers
• Taxes that strip urban hospitals and clinics.
• From our nurses, our doctors, our teachers, our clinics, our seniors, our veterans, children, women,
• We did a health care minimum wage, and everybody told you that's going to cause our clinics and our hospitals
• individuals who are making painstaking, life-threatening decisions about their care, it impacts our clinics

Transcript Highlights:

• The bill standardizes the requirements for teacher mentors and clinical educators and requires the Department
• of Education, The requirements for teacher mentors and clinical educators and requires the Department
• of Education to develop criteria for clinical educator training.
• for six months up to a year and get certified in that... ...year and get certified in that using clinical

Summary: The Higher Education Budget Subcommittee heard and passed two bills. HB 875 on educator preparation would create a uniform core curriculum for teacher preparation programs, establish a new competency-based CERT program, standardize mentor and clinical educator requirements, allow certain certification waivers, and create a Florida Institute of Teaching Excellence at Miami-Dade College subject to appropriation. Sponsor Rep. Rizzo said the bill would not add costs to local districts and would phase in beginning July 1, 2029; Rep. Snyder said the goal was to unify and raise standards across multiple certification pathways. An amendment by Rep. Aristide to reduce clinical hours for experienced teachers seeking counseling certification was withdrawn after discussion. Public testimony included support from the Foundation for Florida’s Future and opposition from the ACLU of Florida and another opponent. The bill passed on a recorded vote, with Reps. Franklin, Bracey Davis, and Campbell voting no. Members then took up HB 681, as amended by PCS, on apprenticeship and pre-apprenticeship program funding. Rep. Mello said the bill focuses on funding transparency, accountability, resolving bargaining issues between local education agencies and apprenticeship providers, and requiring annual reporting to the Legislature to assess return on investment. Public testimony was overwhelmingly supportive from business, trade, and workforce groups, including Americans for Prosperity, the Florida Chamber of Commerce, Associated Builders and Contractors of Florida, and others. Rep. Franklin praised the sponsor’s work and said he would support the bill. HB 681 passed unanimously, and the committee adjourned after completing its agenda.

Transcript Highlights:

• under our basic tasks regulation, an effort aimed at reducing ambiguity, reinforcing appropriate clinical
• under our basic tasks regulation, an effort aimed at reducing ambiguity, reinforcing appropriate clinical
• specifically mentioned respiratory care shortages, and we have satellite clinics coming in from other
• So I can speak to having help in the clinic from different levels of support.
• So audiologists, you know, a lot of people don't really understand what an audiologist's clinic might

Transcript Highlights:

• under our basic tasks regulation, an effort aimed at reducing ambiguity, reinforcing appropriate clinical
• under our basic tasks regulation, an effort aimed at reducing ambiguity, reinforcing appropriate clinical
• I have visited clinics and other facilities in my district that have talked about shortages and actually
• specifically mentioned respiratory care shortages, and we have satellite clinics coming in from other
• So I can speak to having help in the clinic from different levels of support.

Summary: The joint sunset oversight hearing reviewed five California regulatory entities: the Respiratory Care Board, the California Council for Interior Design Certification, the Speech-Language Pathology, Audiology, and Hearing Aid Dispensers Board, the Board of Occupational Therapy, and the Board of Naturopathic Medicine. Each agency described its mission, recent modernization or enforcement work, and requested continuation of its authority. Committee members focused on access to care, workforce impacts, fee structures, transparency, and whether proposed changes would improve public protection without creating unnecessary barriers. For the Respiratory Care Board, the main issues were a possible move from an associate to a bachelor’s degree for entry-level licensure, fee cleanup changes, and ongoing work on the role of LVNs in respiratory tasks. Board representatives said the degree change would better align with national trends and could support future reimbursement and professional advancement, while public commenters and some legislators warned it could worsen shortages, especially in rural and underserved areas. Much of the public testimony centered on families and facilities relying on LVNs for trach and ventilator care in congregate living health facilities, with requests to preserve or expand exemptions. The board also discussed its reserve cap and efforts to modernize licensing and enforcement systems. The interior design item drew the most debate. CCIDC leaders argued the current voluntary certification/title-act model works, that complaints have not shown public harm, and that licensure would disrupt the workforce and create barriers for experienced designers. Committee members questioned the lack of enforcement authority, transparency, and whether the model provides enough accountability or consistent plan acceptance by local jurisdictions. Public testimony was split between supporters who said the current system is flexible and effective, and critics who said the private structure lacks accountability and creates confusion, especially for commercial work and plan check acceptance. The Speech-Language Pathology, Audiology, and Hearing Aid Dispensers Board reported major modernization gains, including online licensure processing, faster application times, new continuing education audits, and updated supervision and advertising rules. Members and stakeholders discussed a proposed audiology assistant license, which the board and the California Academy of Audiology supported as a way to improve access to care and reduce workload pressures. The Occupational Therapy Board described strong enforcement and licensing performance, a new strategic plan, and a request for additional fee authority to address rising costs and reserve concerns; public testimony largely supported the board and a proposed reduction in advanced practice hand therapy training hours. The Naturopathic Medicine Board emphasized consumer protection, unlicensed practice enforcement, and consumer confusion over titles, saying most of its enforcement workload involves unlicensed activity and that stronger title protection and clearer statutory authority are needed.

Transcript Highlights:

• under our basic tasks regulation, an effort aimed at reducing ambiguity, reinforcing appropriate clinical
• under our basic tasks regulation, an effort aimed at reducing ambiguity, reinforcing appropriate clinical
• specifically mentioned respiratory care shortages, and we have satellite clinics coming in from other
• So I can speak to having help in the clinic from different levels of support.
• So audiologists, you know, a lot of people don't really understand what an audiologist's clinic might

Summary: The joint Assembly and Senate business committees held a sunset review hearing for five California regulatory entities: the Respiratory Care Board, the California Council for Interior Design Certification, the Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board, the Board of Occupational Therapy, and the Board of Naturopathic Medicine. Each board or council described its licensing, enforcement, modernization, and consumer-protection work since the last review, and committee members focused on workforce access, transparency, fee authority, and whether current regulatory structures are appropriately tailored to public safety. For the Respiratory Care Board, the main issue was a proposal to move toward a bachelor’s degree requirement for licensure. Board representatives said the change would better align education with the complexity of care and could help the profession’s long-term status and reimbursement prospects, but Assembly Member Addis and others raised concerns about rural access, staffing shortages, and added barriers to entry. Public commenters, including respiratory therapists, families, and congregate living health facility operators, strongly opposed the degree mandate and urged continued use of LVNs for certain respiratory tasks in community settings. The board also discussed its ongoing work on LVN respiratory care issues, updated suctioning guidance, digitized licensing and enforcement systems, and fee cleanup language. The interior design item drew the most debate. CCIDC leaders defended the current title-act certification model, arguing it establishes competency without evidence of public harm and avoids the disruption a full licensure system could cause. Several committee members questioned the lack of enforcement authority, the private nonprofit structure, Bagley-Keene compliance, and whether certification meaningfully improves plan acceptance or public safety. Public testimony was split: supporters said the system works and preserves flexibility, while opponents argued the model lacks accountability, creates confusion, and does not reliably prevent plan-check denials or protect the public. The speech-language pathology/audiology board reported major modernization gains, including a new online licensure system, faster processing, continuing education audits, and updated supervision and advertising rules; it also received support for creating a new audiology assistant license category, while a consumer group urged more public members, proactive inspections, and faster discipline. The occupational therapy board reported growth, improved enforcement and licensing performance, and a need for additional fee authority to address rising costs, while public testimony supported reducing advanced practice hand therapy training hours. The final naturopathic medicine item began at the end of the transcript, but no substantive discussion was captured before the excerpt ended.

Transcript Highlights:

• This bill will enable individuals with a master's degree in veterinary clinical care to perform certain
• We were not overly prescriptive in the statute in terms of there has to be X number of clinical hours
• I left my clinical rotation today to express my concern against this bill.
• With a year's worth of clinics and another year's worth of classroom instruction left, my colleagues
• Furthermore, as we approach beginning our clinical year, we are constantly reminded about the importance

Bills: S0302 , S0394 , S0480 , S0546 , S0636 , S0774 , S0796 , S1028 , S1050 , S1066 , S1120 , S1230 , S1288 , S1682

Committee: Senate Appropriations Committee on Agriculture, Environment, and General Government

Summary: The committee heard and advanced several bills, beginning with CS/SB 796, which would create Veterinary Professional Associates as a new supervised veterinary role, expand telehealth prescription timeframes, and set training and scope limits. Supporters said it would improve access to care, lower costs, and create a career path, while opponents argued the proposal lacked a clear regulatory framework, could create liability and federal-law conflicts, and would not address the real shortage in rural large-animal practice. After debate, the committee reported the bill favorably. Members also heard and favorably reported SB 1682 on local authority over derelict and abandoned vessels, CS/SB 1028 on a commercial Citizens clearinghouse for property insurance, SB 394 on exempting certain reinsurance underwriting managers from licensing, SB 636 on beach management and erosion designations, CS/SB 546 on public notice for conservation land sales or exchanges, CS/SB 302 on Biscayne Bay nature-based solutions and related coastal resiliency provisions, SB 1050 on pharmacy choice for pet medications, and SB 774 extending workers’ compensation benefits to 911 public safety telecommunicators for mental and nervous injuries. Testimony on these bills generally focused on access, regulatory clarity, environmental protection, or workforce support, with some concerns raised on insurance consumer protections and beach-management language. Senator Harrell’s bills were also taken up and reported favorably: CS/SB 480, a major overhaul of state IT governance creating DIGIT and new procurement, reporting, and workforce structures; CS/SB 1230, restricting PFAS-containing firefighting foam and adding testing, inventory, and disposal requirements; and CS/SB 1288, a naming bill designating the Andrew Red Harris Shoal and requiring markers. Finally, the committee heard extensive testimony on SB 1066 regarding restoration of the Oklawaha/Rodman system, with supporters emphasizing ecological restoration, flood-risk reduction, and economic benefits, and opponents warning about local impacts, water quality, and the loss of a world-class fishery. The transcript ends during testimony on that bill, before final action is shown.

Transcript Highlights:

• Falls, at Idaho State University in Pocatello, Rexburg, and Rupert, in Coeur d'Alene, at Kootenai Clinic
• We do have our director here of the family medicine faculty clinical residencies, associate professor
• And with that, I know that we're still struggling with clinical sites to do a lot of residency.
• If we're going to continue to add residencies, are we gaining the clinical sites to offset these new
• Residents in this program do much of their clinical work at sites in eastern Idaho.

Summary: The committee heard a lengthy presentation from the Office of the State Board of Education on its budget, including the FY 2026 supplemental reversion for the Empowering Parents program, the FY 2027 Canvas learning management system renewal, a transfer of risk manager positions back to the institutions, and a one-time federal grant for AI-related subgrants. Members asked about staffing growth, federal-fund spending trends, the Canvas contract, the school safety tip line CETL Now, and the rationale for moving risk management functions. Director Jennifer White said the Canvas contract had been extensively reviewed and remains the best statewide solution, and she explained that the risk managers are being moved back because they work more efficiently embedded at the institutions. She also discussed the board’s data modernization efforts and said the office is pursuing better data-sharing and a phased approach to any future changes. A major portion of the meeting focused on White’s presentation of an outcomes-based funding proposal for higher education. She said the proposal is only the beginning of the work and would shift Idaho from an enrollment-based model toward one that rewards progression, completion, and workforce-relevant outcomes. The proposal would place 10% of base funding at risk, with institutions earning back funds through momentum measures and Idaho First funds tied to resident enrollment, completions, and priority programs. White emphasized the need for better data, a phased rollout, caps to avoid volatility, and special consideration for community colleges and dual enrollment. Committee members generally supported the concept but raised concerns about accountability, community college impacts, and how unearned funds would be handled. The committee then reviewed family medicine residency funding. Dr. Campbell outlined the Family Medicine Residencies budget request for additional residents and a fellowship, and program leaders explained the mixed funding structure that combines state positions, federal support, and patient-care revenue. Members asked about the impact of the 3% holdback, clinical placement capacity, and whether federal rural health funds might help. Program officials said the holdback affects some programs more than others, but they do not expect current residency numbers to drop, and they stressed the importance of continued legislative support to grow Idaho’s physician workforce. The committee also heard from Eastern Idaho Medical Residencies and the psychiatry residency program. Dr. Hinkley said Idaho has a severe shortage of psychiatrists, especially child and adolescent psychiatrists, and that residency training is the main way to retain physicians in-state. He and Dr. Moe described the program’s growth, the role of local recruitment, and the three-legged funding model involving state support, patient revenue, and hospital sponsorship. Members asked about expanding training to other regions, private support, and the program’s 10-year strategic plan. No votes were taken during the portion of the meeting provided, and the committee moved on to the next medical education budget item.