Transcript Highlights:

• The practice that they implement on farms, we are all doing the same practices.
• The practice that they implement on farms, we are all doing the same practices.
• The practice that they implement on farms, we are all doing the same practices.
• The practice that they implement on farms, we are all doing the same practices.
• The practice that they implement on farms, we are all doing the same practices.

Keywords: 1183, house

Transcript Highlights:

• I've also been a practicing optometrist for 24 years and a practice owner.
• I practice and live in Moorhead, Minnesota, but also practice in Wadena, Minnesota.
• or do practice County that have practice or do practice also<00:40:34.560> in<00:40:34.800>
• practice are. Thank you. Thank you Dr. practice are. Thank you. Thank you Dr.
• full license to practice in Minnesota. full license to practice in Minnesota.

Keywords: 1183, house

Transcript Highlights:

• balanced approach to the data Practices balanced approach to the data Practices Act<00:02:09.200
• central premise of the data Practices central premise of the data Practices Act<00:26:57.919>
• The Data Practices Act exists.
• The Data Practices Act exists.
• The Data Practices Act exists.

Keywords: 1183, house

Transcript Highlights:

• In this illustrative example, in a platform practice of three physicians in one practice, depending on
• of a practice with two physicians, add-on acquisition of practice B of a solo practitioner, and add-on
• > practice<00:03:51.599> medicine<00:03:52.000> doctrine, corporate of practice
• <00:04:08.959> is three physicians in one practice is three physicians in one practice is
• practice C with four physicians. practice C with four physicians.

Keywords: 1183, house

Summary: The committee took up two bills concerning health entity ownership and heard invited testimony before acting on them. Dr. Yasha Singh of Brown University testified about private equity in healthcare, describing how PE firms use debt-financed acquisitions, short investment horizons, and roll-up strategies that can avoid disclosure requirements. He said the lack of transparency makes it difficult to track ownership and outcomes, and cited research linking PE ownership to higher costs in outpatient care, more ancillary service use, workforce turnover, and worse outcomes in hospitals and nursing homes. He also noted Minnesota-specific concerns, including PE involvement in opioid treatment programs, and said the policy challenge is balancing needed capital investment with protections for patients and workers. Sam Brooks of the National Consumer Voice for Quality Long-Term Care testified in strong support of the legislation, focusing on nursing homes. He argued that private equity ownership is associated with worse resident outcomes, including higher mortality, more pressure ulcers, more hospitalizations, and more deficiencies, and said leverage buyouts divert money from staffing and care into debt service, management fees, and lease-back arrangements. Brooks said staffing levels and quality ratings decline under PE ownership and pointed to recent bankruptcies as examples of instability. He said the bills would add safeguards such as transparency, attorney general approval of acquisitions, and requirements that a large share of public funds go to direct resident care. The testimony framed the bills as responses to concerns about private equity ownership in healthcare and long-term care, especially the effects on quality, staffing, and financial stability. No vote or final committee action was described in the excerpt.

Transcript Highlights:

• <00:02:40.920> Act uh meaning of the uh data Practices Act uh meaning of the uh data Practices
• > puts<00:03:09.400> a Act uh the data Practices Act uh puts a Act uh the data Practices
• particular section of the data Practices particular section of the data Practices Act<00:10:45.839
• number of sections in the data Practice number of sections in the data Practice Act<00:14:48.320
• central premise of the data Practices central premise of the data Practices Act<00:27:55.519>

Keywords: 1183, house

Transcript Highlights:

• Really prepared certified practices.
• Next up, we have HB 301 advanced practice.
• Advanced practice, registered nurses to engage an autonomous practice to provide mental health services
• So I speak from that practical experience as well.
• And once we get outside of that scope of practice, once we do get outside of the area where they're practicing

Transcript Highlights:

• supervised practice they can get in the supervised practice they can get in the workforce<00:05:57.960
• No, there's no scope of practice changes. There's no changes to the practice of physical therapy.
• <00:09:04.600> is in and their supervised practice is in and their supervised practice is
• <00:09:18.120> statute so the supervised practice statute so the supervised practice statute
• <00:09:28.839> and six months of supervised practice and six months of supervised practice

Keywords: 958, all

Summary: The Senate Standing Committee on Licensing and Occupations met on March 27, 2025, with a quorum present and first took up House Bill 255, relating to physical therapy. The bill sponsor and representatives of the Kentucky Board of Physical Therapy and APTA Kentucky said the measure is mainly a cleanup and modernization bill that updates outdated statutory language, changes PTAs from “certified” to “licensed,” gives the board authority to purchase liability insurance, moves fee and fine caps into regulation without changing current fees, renames temporary permits as provisional licenses, and creates a pathway to more easily recognize some internationally trained physical therapists already practicing in other states. Senators asked whether the bill changed training, scope of practice, Medicaid, or supervised practice standards; witnesses said it did not, and that supervised practice requirements remain in place with out-of-state practice accepted only when equivalent or more stringent. The committee approved HB 255 with favorable expression. The committee then considered House Bill 618, an alcoholic beverages measure with a Senate committee substitute. The bill was described as having three parts: allowing restaurants to buy limited quantities of alcohol from retail outlets to meet customer demand while keeping the three-tier system intact and requiring quarterly reporting; creating a temporary auctioneer license to auction previously retail-sold alcohol in original packaging, such as estate or bourbon collections; and giving quota bar license holders the same opportunity restaurants already have to sell barrel picks by the bottle. Testimony supported the bill as a way to help restaurants, auctioneers, and bars, while a senator raised a question about sales tax on auction sales and another noted that nonprofit or church-related alcohol auctions already require permits under existing law. One senator suggested future guardrails to encourage local purchasing, but no amendment was adopted. The committee passed HB 618 with favorable expression.

Transcript Highlights:

• He returned to Danville, where he’s been practicing in private practice ever since.
• He has a wide practice experience. He brings to the table. He has a wide practice experience.
• So I've been practicing— So I've been practicing now for almost 23 years.
• Again, it's not the area I practice in, so we don't practice against each other.
• I could practice here.

Keywords: House Committee Room C, General Assembly Building, 976, house, all

Transcript Highlights:

• <00:03:06.159> that benefits of farming practices that benefits of farming practices that
• <00:03:25.319> and the adoption of protective practices and the adoption of protective practices
• <00:03:40.200> that are just some of the uh practices that are just some of the uh practices
• engage farmers and Implement practices engage farmers and Implement practices is<00:10:30.800>
• practices equipment to implement these practices it<01:10:27.320> sing<01:10:27.719> it

Keywords: 1187, senate, all

Transcript Highlights:

• So by the mere fact of this legislation, it not only takes away our ability to practice our own practice
• So licensing this practice would be like regulating somebody's prayer or religious practice.
• So by the mere fact of this legislation, it not only takes away our ability to practice our own practice
• So licensing this practice would be like regulating somebody's prayer or religious practice.
• However, many of our practices, if they are practiced consistently, things like yoga, Tai Chi, Reiki,

Keywords: 995, all

Summary: The committee opened a hearing of the Joint Committee on Consumer Protection and Professional Licensure and reviewed a broad agenda including credit card fees, event ticketing, music therapy licensure, senior psychologist licensure, CPA pathways, school mental health licensure, and a bill regulating alternative healing therapies. The chairs explained hearing logistics, including three-minute testimony limits and submission of written testimony, and noted that more than 70 people had signed up to testify. Legislators and advocates were heard out of order throughout the day. A major portion of the hearing focused on credit card surcharge and interchange legislation. Restaurant owners, the Massachusetts Restaurant Association, NFIB, and other small-business witnesses supported bills allowing merchants to add convenience fees and, in one proposal, preventing card companies from charging fees on tax and tip portions of transactions. They argued that swipe fees are a major and growing cost, especially for restaurants, and that Massachusetts is one of only two states that bars surcharges. Opponents from the Cooperative Credit Union Association, the Electronic Payment Coalition, and the Electronic Transactions Association warned that the proposals would create compliance burdens, fragment the payment system, raise legal preemption issues, and disrupt a system they described as efficient and secure. The committee also heard competing testimony on ticket transferability and ticket resale. Supporters, including the National Consumers League and Sports Fans Coalition, said bills on ticket transferability would protect consumers who cannot attend events and would increase competition and savings in the secondary market. Opponents, including United Musicians and Allied Workers and theater owners, argued that mandatory transferability would weaken artists’ and venues’ ability to prevent scalping and predatory resale, and that some ticket sellers should be exempt from the broader ticketing regulations. Separate testimony supported music therapy licensure, senior psychologist licensure, and new CPA education pathways, with witnesses saying these measures would expand access to care and strengthen the workforce while maintaining professional standards. The hearing also drew extensive opposition to S.261 on alternative healing therapies, with practitioners and clients arguing it would overregulate spiritual and holistic practices and was not an effective response to human trafficking concerns.

Transcript Highlights:

• on practice setting. on practice setting.
• . practices. practices.
• . practice. practice.
• > practice under a collaborative practice practice under a collaborative practice agreement<03:27:19.200
• internal in in my practices. internal in in my practices.

Keywords: 1189, house, all

Transcript Highlights:

• It's for somebody who is currently in practice too, so it's not just, 'I want to practice 30 days in
• Senate Bill 697 modernized the PA Practice Act, not changed the scope of practice, but modernized the
• PA Practice Act by removing outdated administrative requirements that hindered PA practice.
• after 8,000 hours of clinical practice.
• That's a good practice; that's a good transparency practice.

Summary: The joint sunset oversight hearing reviewed five regulatory entities: the Board of Behavioral Sciences, the Board of Psychology, the Physician Assistant Board, the Podiatric Medical Board, and the California Massage Therapy Council. Across the hearing, each entity described recent accomplishments, licensing and enforcement workload, workforce shortages, and efforts to modernize processes. Common themes included streamlining licensure, expanding access to care, addressing telehealth or emerging technology, and balancing consumer protection with workforce needs. For the Board of Behavioral Sciences, members discussed workforce shortages in mental health, supervision barriers, telehealth confidentiality, AI in therapy, interstate compacts, school-based services, and military spouse licensure. The board said it has expanded outreach, improved licensing processes, and created temporary practice authority tracking, while also expressing concern about counseling compacts and emphasizing California-specific law, ethics, and cultural competency. Public commenters supported the board’s work and the possible move to a national MFT exam, while also urging more resources. The Board of Psychology highlighted fee adjustments, streamlined licensure pathways, enforcement process improvements, new CPD requirements, and proposed changes including a psychotherapist-client privilege exception for investigations. Committee members and public witnesses focused heavily on that privilege proposal, with some members opposing it as too broad and privacy-invasive, while the board argued it is needed to obtain records in bias and sexual misconduct cases. The board also discussed workforce shortages, processing improvements, and the use of inactive status for psychological associates. The Physician Assistant Board reported growth in the PA workforce and education programs, SB 697 implementation, and financial pressure from rising enforcement costs. The main policy debate centered on physician-to-PA ratios and practice agreements, with board representatives and many public commenters arguing that current restrictions limit access to care, especially in rural areas, while the California Medical Association defended the need for explicit ratios and agreements. The board also discussed AI, fee increases, and tracking temporary practice authority. The Podiatric Medical Board described licensing and renewal reforms, residency expansion, enforcement support, and budget constraints, while public testimony raised concerns about a proposed fee increase and about reimbursement parity and practice recognition for podiatrists. Finally, the California Massage Therapy Council defended the certification model over licensure, citing lower costs, local government collaboration, anti-trafficking work, and its role in vetting applications and disciplining bad actors; no formal votes or final actions were taken during this portion of the hearing.

Transcript Highlights:

• regulatory framework and industry trends in Hawaii for medical cannabis and hemp, as well as best practices
• regulatory framework and industry trends in Hawaii for medical cannabis and hemp, as well as best practices
• regulatory framework and industry trends in Hawaii for medical cannabis and hemp, as well as best practices
• regulatory framework and industry trends in Hawaii for medical cannabis and hemp, as well as best practices
• regulatory framework and industry trends in Hawaii for medical cannabis and hemp, as well as best practices

Bills: HB1974, HB1853, HB1973, HB1574, HB2619, HB1966, HB1643, HB1671, HB2558, HB1854, HB2173, HB1575, HB2229, HB1535, HB1978, HB2508, HB1549, HB2187, HB1550, HB1977, HB2314, HB1871, HB2319, HB1591, HB1858, HB1898, HB2372, HB1765, HB2012, HB1706, HB1962, HB1963, HB1975, HB2009, HB2083, HB2224, HB1877, HB1959, HB1626, HB1665, HB2488, HB2456, HB2548, HB2207, HB1832, HB2079, HB1985, HB1618, HB2486, HB2242, HB2045, HB1703, HB2236, HB2480, HB1976, HB2287, HB2288, HB1777, HB276, HB1660, HB1676, HB1605, HB1751, HB1967, HB2383, HB2340, HB1946, HB2268, HB1950, HB2156, HB2118, HB1859, HB1863, HB1996, HB2114, HB2423, HB2429, HB2475, HB2534, HB2545, HB1813, HB1941, HB2474, HB2583, HB1576, HB1886, HB1939, HB2540, HB2590, HB2000, HB2163, HB2386, HB1691, HB1680, HB2516, HB1993, HB2442, HB1510, HB1958, HB1692

Keywords: HB1974, hearing loss, audiology, audiologist, hearing screening, hearing aids, cochlear implants, tele-audiology, communication access, assistive technology, speech-language pathology, deafness, hard of hearing, public health, kupuna, keiki, dementia, cognitive decline, fall prevention, State Health Planning and Development Agency

Transcript Highlights:

• So right now, if you are a practicing physician in another country, you may have practiced for 20 years
• So right now, if you are a practicing physician in another country, you may have practiced for 20 years
• preventing people from practicing preventing people from practicing medicine<00:02:21.959> uh
• <00:02:33.280> medicine Minnesota who cannot practice medicine Minnesota who cannot practice
• physician will practice the practicing physician will practice generally<00:09:41.320> under<

Keywords: 1187, senate, all

Transcript Highlights:

• Imagine a practice.
• Practice.
• That are medical practices.
• Okay, but that's what I want to say to you is, the Medical Practice Act says a medical practice has to
• They're advanced practice providers.

Bills: HB3772, HB1656, HB4504, HB1896, HB4420, HB4421, HB4076, HB3708, HB2806, HB3540, HB1586, HB5459, HB4553, HB4535, HB3811, HB3749, HB4255, HB4051, HB5098, HB3554, HB4539, HB5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Transcript Highlights:

• This practices act just hasn't coming.
• Uh the throughout the practices act.
• Updating the athletic training practice Updating the athletic training practice act<00:08:49.080
• . practice. practice.
• before practicing independently. before practicing independently.

Keywords: 1187, senate, all

Transcript Highlights:

• New practice sites or from our new practice sites.
• So we continue to get practices, newer practices or practices that aren't ready, that are ready now to
• practices.
• Different practices.
• This is the breakdown of internal medicine and family practice. Practice and PCP practices.

Keywords: 962, all

Summary: The Care Management Committee met to receive a status update on the DSS/CHN PCMH program and to discuss implementation of HR1, especially the new medical frailty requirements. CHN reported the PCMH program remained steady at 124 practices and 553 sites, with 54.6% of the HUSKY population attributed to PCMH providers, and noted ongoing recruitment, provider turnover, and recent practice consolidations/acquisitions that will shift some sites to Yale and Hartford HealthCare. CHN also reported strong quality improvement engagement for 2026, with 83% of contacted PCMHs engaged, and said preliminary 2025 results showed improvement across measures. The bulk of the meeting focused on DSS’s response to the June 1 CMS interim final rule on HR1. DSS explained that it had been building a medical frailty definition based on diagnosis codes and comparisons with other states’ approaches, but the new federal rule adds a requirement that the condition significantly impair a person’s ability to work or comply with community engagement requirements. DSS said it is still evaluating how to combine claims-based data with the new federal overlay, may submit comments to CMS during the open comment period through July 31, and is considering options such as self-attestation, especially given CMS’s allowance of self-attestation for calendar year 2027. Committee members raised concerns about the rule’s complexity, possible legal challenges, the need for a good-faith waiver or implementation delay, and the risk of noncompliance if the state gets the process wrong. Members also pressed DSS for broader outreach, clearer public communication, training, and better reporting on implementation impacts and costs. DSS said it is developing a website, webinars, and a communications plan, and is working with community-based organizations, community health workers, and administrative services organizations to reach potentially affected members. DSS said it is also building a Medicaid pre-screener to help people determine whether they may be subject to work requirements. In the PCMH Plus discussion, DSS said it was not yet ready to present the 2024 quality data but would try to bring the Wave 3, Year 5 results and related quality/shared savings information to the July 8 meeting, along with the regular PCMH update and another HR1 update. The committee also discussed future agenda items including community health worker reimbursement, peer support services, and the inmate medical program.

Transcript Highlights:

• As you can see, the schools we reviewed adopted most of these practices.
• We would like to go through three of the practices in more detail.
• Practice one: small groups, because it's a straightforward example to describe.
• We saw various culturally responsive practices at all of the schools that we visited.
• Two of the practices that stand out to me that I've seen firsthand.

Summary: The committee meeting began with a brief explanation of the renamed Joint Legislative Audit Review Committee subcommittee, now called the Committee to Hear SAO Performance Audits, and a presentation from the State Auditor’s Office on its current biennium performance audit work plan. The auditor described how topics are selected from a large pool of potential audits and highlighted several ongoing or planned audits, including the Liquor and Cannabis Board, oversight of authorized entities serving students with disabilities, the Quality Home Care Initiative, Medicaid managed care versus fee-for-service costs, the Housing Commission tenant ownership follow-up, DSHS vendor payment patterns, implementation of the Since Time Memorial curriculum, and the Washington State ferry system. Members asked about coordination with JLARC to avoid duplication, and the auditor said the offices exchange work plans, monthly updates, and quarterly coordination meetings. The committee then heard the State Auditor’s performance audit on how charter schools identify and support at-risk students. Auditors reviewed four charter schools—Catalyst Public Schools, Innovation High School, Pinnacles Prep, and Rainier Prep—and focused on English language learners, homeless students, and special education students. The audit found the schools met nearly all legal requirements reviewed, with only one area where two schools partially met a language-access requirement. The schools also used several promising practices, including small-group instruction, culturally responsive environments, and multi-tiered systems of support, though the auditors recommended better documentation of procedures to improve consistency. Families interviewed generally reported positive experiences, while noting resource constraints. Committee members asked about how the four schools were selected, whether the audit compared charter populations to home districts, and how MTSS requirements applied to the schools reviewed. The State Auditor’s Office said the sample was chosen for geographic diversity, student population characteristics, and representation from both authorizers, and that K-2 MTSS requirements were not evaluated because they applied to only one school. Representatives from the Charter School Commission and charter school advocates responded positively, emphasizing technical assistance, collaboration, and sharing best practices across schools. Two public testifiers also supported the report and said it highlighted effective practices that could be expanded across charter and traditional public schools.

Transcript Highlights:

• <00:03:17.840> for the Midwifery scope of practice for the Midwifery scope of practice for
• certified nurse midwives practice certified nurse midwives practice nursing<00:05:01.560> for
• Midwifery practice means says certified Midwifery practice means managing<00:18:16.159> diagnosing
• have this as our scope of practice have this as our scope of practice because<00:21:18.559> I
• in traditional practice.

Keywords: 1183, house

Transcript Highlights:

• So House Bill 649, autonomous practice by CRNAs. So House Bill 649, autonomous practice by CRNAs.
• They're practicing autonomously in 43 other states.
• I would not be able to practice medicine if it was because of them.
• Rather, the CRNAs' scope of practice is not being increased.
• after earning a doctorate in nursing practice in nurse anesthesiology.

Summary: The Health Professions and Programs Subcommittee met with a quorum and heard two bills. HB 649 would remove the current written physician protocol requirement for certified registered nurse anesthetists, allowing CRNAs to practice autonomously. The sponsor and supporters argued the change would modernize Florida law, address anesthesia workforce shortages, keep graduates in the state, and improve access especially in rural areas; opponents, including the Florida Medical Association and a cardiologist, warned that physician oversight is important for patient safety and that anesthesia complications can arise quickly. After debate, the committee passed HB 649 favorably by a vote of 12 yeas and 6 nays. The committee then heard HB 723, which requires the Department of Health, working with school districts, to develop informational materials on early detection of type 1 diabetes and have schools notify parents within the first 30 school days about those materials. The sponsor said the goal is to help parents recognize warning signs earlier and avoid emergency diagnoses such as diabetic ketoacidosis, with minimal fiscal impact because the materials would be distributed digitally. Members generally supported the bill and discussed timing and distribution methods, suggesting the notice not get lost in back-to-school paperwork. HB 723 passed unanimously, 18 yeas and 0 nays, and was reported favorably.