Transcript Highlights:

• .<00:04:54.960> So, practice.
• So, practice.
• <01:04:53.920> with their patients, practice with their patients, practice with excellence
• When we look at private practice, although money was a big deal, the bottom line in private practice
• patients and the practice of medicine. patients and the practice of medicine.

Keywords: 00:00:00 Call to Order/Roll Call 00:01:10 Discussion of 25RS HB 414 00:44:26 Roll Call Vote on 25RS HB 414 00:50:25 Discussion of 25RS SB 27 00:53:44 Roll Call Vote on 25RS SB 27 00:55:49 Discussion of 25RS SB 93 00:57:57 Roll Call Vote on 25RS SB 93 00:59:29 Discussion of 25RS SB 132 01:37:39 Roll Call Vote on 25RS SB 132 01:40:55 Discussion of 25RS SB 153 01:42:05 Roll Call Vote on 25RS SB 153 01:43:46 Adjournment, 958, all

Summary: The Health Services Committee met with a quorum and took up House Bill 414 with a committee substitute. The bill, described by sponsors and supporters as a continuation of prior maternal-health legislation, was framed as a clarification of medical standards and an effort to improve care for women and families facing complicated pregnancies. Representative Tate, Representative Nemes, Adair Wushar of Kentucky Right to Life, and Dr. Jeff Goldberg of ACOG Kentucky all testified in support, saying the substitute was developed collaboratively to reduce confusion in the law and help physicians provide evidence-based care without fear of criminal penalties. Supporters said the committee substitute was intended to define what is not an abortion under Kentucky law and to spell out medical treatments for conditions such as miscarriage, ectopic pregnancy, molar pregnancy, sepsis, hemorrhage, preeclampsia, premature rupture of membranes, and fetal demise. Dr. Goldberg said current statutes contain significant ambiguity and have created unintended barriers to treating pregnancy complications, including emergency situations, and he gave examples of patients who were delayed or harmed because physicians were uncertain about what the law allowed. Representative Nemes said the measure was the result of unusual cooperation among groups that do not usually agree and described it as a first step toward fixing a discrete problem. Representative Wilner raised concerns that the language could effectively require a patient to be in severe distress before treatment is clearly permitted and that it was too prescriptive about how physicians should manage miscarriages. In response, Dr. Goldberg and the sponsors said the substitute was not perfect, was meant as a short-term solution, and was designed to give doctors more confidence in providing routine, medically necessary care for pregnancy complications. The transcript indicates the committee substitute was adopted, but no final vote on the bill itself is shown in the excerpt.

Transcript Highlights:

• /c><00:02:58.560> show practices in violence prevention show practices in violence prevention
• and makes explicit in law the practices MDE guidance has encouraged districts to author.
• and makes explicit in law the practices MDE guidance has encouraged districts to author.
• Districts do not have the practical Districts do not have the practical ability<00:20:32.880>
• In practice, this means in the bill.

Keywords: 1183, house

Transcript Highlights:

• Every health care profession has a practice act.
• Not practicing, just advertising.
• This bill is I don't have the APRN Practice Act in front of me.
• If they are allowed in their Practice Act, and Senator Davis, I'd be happy—we can look up the Practice
• Your Practice Act sets that out exactly.

Summary: The Committee on Rules took up a long agenda of bills and reported several measures favorably. Early action included CS for SB 678, allowing pawnbroker transaction forms to be printed or digital, and SB 466, which designates St. Johns County as the site for the Florida Museum of Black History and creates a board to work with the supporting foundation and county officials. Senators and public speakers largely supported the museum bill, though some members asked about feasibility studies and long-term planning. The committee also approved CS for SB 578 on wine containers, SB 582 on penalties for unlawful demolition of historic buildings, CS for SB 1168 creating an aggravated offense for unlawful tracking-device use in furtherance of crimes, CS for SB 806 clarifying that only the Florida Attorney General may represent beneficiaries of Florida charitable trusts as a public official, and SB 1228 to support spring restoration efforts for Ichetucknee and Santa Fe springs. The committee then heard and favorably reported CS for CS for SB 304, which addresses child protective investigations involving infants and young children with genetic or other pre-existing medical conditions. The bill requires a qualified medical opinion before permanent removal in cases where injuries may be explained by an underlying condition, and it drew strong support from the sponsor and several speakers. Members also approved SB 1286 clarifying that ordinary unsupervised childhood activities, such as biking or playing outside, do not by themselves constitute neglect unless reckless, and SB 1318, a hands-free driving bill that renames the texting-while-driving law, expands the handheld-device prohibition, and adds penalties for handheld use in work and school zones and for certain serious crashes. The hands-free bill prompted the most debate, with supporters citing crash and fatality data and families sharing personal losses, while opponents raised concerns about enforcement, civil liberties, and potential disparate impacts on lower-income and minority drivers; the bill was still reported favorably after amendments. Additional measures reported favorably included SB 14 and SB 20, two claims bills for injuries and deaths involving local governments, and CS for SB 68, which updates health facilities authority financing rules to reflect modern hospital structures. The committee also approved CS for SB 172 on health care practitioner specialty titles and designations after adopting an amendment protecting CRNA titles; the bill generated questions about whether licensed practitioners with doctoral degrees may still use the title doctor under their practice acts. Throughout the meeting, most bills were adopted without opposition, and the committee repeatedly voted to report them favorably.

Transcript Highlights:

• This agreement allows our practice.
• environment as our designated practice environment as our designated practice plan.<00:10:07.839
• > and<00:35:28.160> research doctors practice, teach, and research doctors practice, teach
• Our breakthroughs in clinical practice.
• have in place, is a best practice have in place, is a best practice structure<00:57:46.480> which

Keywords: 1187, senate, all

Transcript Highlights:

• ,<00:03:54.840> revised standards of practice, revised standards of practice, revised accreditation
• This is a relatively new best practice.
• So, thank you, uh, members of practice.
• <00:31:39.320> that's know, that it's it's a practice that's know, that it's it's a practice
• banned this practice. banned this practice.

Keywords: 1183, house

Transcript Highlights:

• Tommy Lucas, and I'm an optometrist practicing in Colleen, Texas.
• help small independent optometry practices administer their plans.
• Streamlines their coding practices to help small independent optometry practices administer their plans
• I started my optometry practice in Brenham in late 2023.
• owned independent optometry practice in all of Washington County.

Bills: HB 107, HB742, HB1639, HB1700, HB2071, HB2187, HB2402, HB2516, HB3211, HB4529, HB5342, HB694, HB923, HB4655

Keywords: sickle cell disease, registry, health data, confidentiality, healthcare access, human trafficking, first responders, health care, training, reporting, protection, cancer, female firefighters, health study, state health services, fire protection, telemedicine, teledentistry, telehealth, health records

Summary: The committee heard testimony on a series of health and human services bills and left each one pending after public testimony. HB 4655 would expand financial literacy instruction for youth aging out of foster care to include credit scores, predatory lending, scams, banking, budgeting, and related consumer topics; the sponsor and Buckner International described the need to protect foster youth from financial pitfalls. HB 923 would add three public members and one physician to the Texas Medical Disclosure Panel; supporters said it would improve informed consent and patient voice, while a witness raised concerns about a House amendment requiring a physician majority for decisions and senators questioned scope-of-practice limits. HHSC said the panel is an independent body and the bill expressly bars it from changing scope of practice.

Transcript Highlights:

• <00:08:57.640> and actually stay in Hawaii in practice and actually stay in Hawaii in practice
• environments will then want to practice in those locations.
• /c><00:14:46.800> those then want to practice in those in those then want to practice in those
• <00:18:07.600> more wanting to stay and practicing more wanting to stay and practicing more
• No, sorry. practices Ben creps an opposition Gabe practices Ben creps an opposition Gabe Lee<00:24:50.679

Keywords: 912, senate, all

Summary: The Committee on Higher Education heard Senate Bill 101, which would require University of Hawaiʻi John A. Burns School of Medicine graduates who paid in-state tuition to serve as physicians in Hawaiʻi for at least two years after residency or fellowship, beginning with the class of 2029. The Deputy Attorney General said the bill addressed a matter of statewide concern. JABSOM Dean Sam Shoemaker testified in opposition, arguing the school already uses scholarships, loan repayment, and other incentives, and that the strongest predictor of where physicians practice is where they complete residency; he said the school is working to expand residency slots, neighbor-island training, and class size. Supporters argued the state faces a severe physician shortage and should do more to ensure publicly subsidized students remain in Hawaiʻi. The committee ultimately recommended passage with amendments, including a statewide concern statement, and deferred the measure to July 31, 2025; the vote was adopted. The committee then heard Senate Bill 19, which creates funds to establish a Bachelor of Science in Nursing degree program on Maui. University of Hawaiʻi and nursing workforce representatives testified in support, saying there is ample capacity on Maui and strong demand for higher nursing education. Members discussed the broader nursing pathway, including existing associate and bachelor’s programs at UH campuses and the need to improve access for Maui and nearby communities. The measure was moved to decision-making and adopted with amendments and a deferred date. Senate Bill 637, appropriating funds for various University of Hawaiʻi nursing programs, also received support from UH nursing leaders, who said the funding would support the final phase of the West Oʻahu-Manoa collaboration and an online RN-to-BS program. The Hawaiʻi State Center for Nursing said its research showed capacity and demand for these programs. The committee recommended amendments to blank out appropriation amounts for the committee report and deferred the measure, then adopted it. The committee also adopted Senate Bill 741, which establishes an external audit committee within the UH Board of Regents, and deferred or amended several other measures, including a wastewater technology pilot program, a coconut rhinoceros beetle response program, and a climate-resilient development appropriation.

Transcript Highlights:

• practicality? We'd love to support a practicality?
• examination of a practice of medicine. examination of a practice of medicine.
• <02:03:33.760> I practice act? That's a good question. I practice act?
• In practice, our patient safety.
• > the<04:03:04.479> practice<04:03:04.800> of practice of medicine and the practice

Keywords: 1189, house, all

Transcript Highlights:

• So we define a scope of practice and we say they can't do anything outside of the scope of practice.
• So we define a scope of practice and we say they can't do anything outside of the scope of practice.
• So we define a scope of practice and we say they can't do anything outside of the scope of practice.
• In 40 years of practice, practice, practice, I<01:04:44.319> never<01:04:44.720> saw<01
• lawful, practical areas for improvement. lawful, practical areas for improvement.

Keywords: 1191, senate, all

Transcript Highlights:

• You know, I always talk about traditional private practices.
• I call them kids, but they're practicing I call them kids, but they're practicing medical<00:15:
• American Academy of Family Practice American Academy of Family Practice Physicians<00:17:14.720>
• practicing for 14 years. practicing for 14 years.
• recommended to them, practices recommended to them, practices recommended<01:01:15.280> to

Keywords: 958, all

Summary: The Senate convened with prayer, the pledge, and roll call, establishing a quorum with 33 members present. The chamber approved the prior journal, excused absent senators, welcomed viewers, and received House messages announcing passage of House Bill 253, House Bill 436508, and House Concurrent Resolution 44 for concurrence. New filings were also reported: Senate Bill 197 on economic development and Senate Joint Resolution 99 designating the Destiny Brewer Memorial Highway in Martin County. The main floor action centered on Senate Bill 72, a measure on recruitment and retention of health care professionals and declaring an emergency. The bill’s sponsor argued it would protect health care workers’ conscience rights, improve recruitment and retention, and address provider shortages and corporate pressures in medicine, while emphasizing that emergency care would still be required under federal law. Supporters said the bill would protect providers from being forced to participate in procedures that violate their moral or religious beliefs and cited examples from other states and physicians who had left practices over conscience concerns. Opponents argued the bill’s language was too broad and could allow denial of non-emergency care based on vague moral, ethical, or religious objections, potentially harming patients in health care deserts and sending the wrong message about caring for all people. One senator raised a hypothetical about racial discrimination under the bill’s definitions, while supporters responded that the bill was intended to protect providers and patients and that existing professional ethics and hospital policies would prevent abuse. Additional supporters said the measure would not deny basic care and would help keep physicians in the state. The bill was still under debate at the end of the excerpt, with questions and responses continuing; no final vote or disposition on Senate Bill 72 is shown in the transcript provided. Other bills reported from second reading were referred to the Rules Committee for further action, and Senate Bill 69 was passed over and retained its place on the orders of the day.

Transcript Highlights:

• It protects students from potentially traumatic practices.
• We're following best practices from around the country.
• Jay Folkman, I've practiced in Albuquerque for over 40 years.
• The Practice Act.
• of surgery outside the Medical Practice Act.

Keywords: 996, all

Transcript Highlights:

• <00:26:20.480> before Vermont to develop best practice before Vermont to develop best practice
• Uh the the bill as it came practice.
• , where they’ve practiced, how they’ve practiced, and other information necessary to provide for a provisional
• of practice, where they've practiced,<01:39:23.600> how<01:39:23.840> they've<01:39:24.159
• > practiced,<01:39:25.040> and practiced, how they've practiced, and practiced, how they've

Keywords: 927, senate, all

Transcript Highlights:

• And then practices amongst that cohort.
• uh to help us identify best practices. uh to help us identify best practices.
• Uh there are fewer best practices.
• Uh and um continues the current practice Uh and um continues the current practice that<01:03:58.960
• <01:09:42.480> and ne the national best practice and ne the national best practice and improves

Keywords: 1187, senate, all

Transcript Highlights:

• As a physician, I can tell you that prior authorization is a necessary burden on medical practices and
• Oncology care is a very evidence-based practice.
• We don't think it's the practice of medicine to us.
• I don't think that's, as a practical matter, really an issue, though.
• It's, as a practical matter, going to have an impact here.

Bills: HB712, HB722, HB946, HB1687, HB1809, HB1899, HB2528, HB2583, HB2741, HB2750, HB3021, HB3150, HB3265, HB3658, HB3812, HB3960, HB4392, HB4432

Keywords: prostate cancer, health benefit plans, insurance coverage, cost sharing, preventive health care, auto insurance, total loss evaluation, disclosure, insurance materials, vehicle appraisal, HB 946, Texas Insurance Code, automobile insurance claims, oral release, written release, settlement agreement, claim release, property damage, bodily injury, psychological injury

Transcript Highlights:

• practice and experience with Vertin. practice and experience with Vertin.
• <00:26:34.440> It practice to crisis intervention. It practice to crisis intervention.
• Welcome to my practice."
• Welcome to my practice."
• Welcome to my practice."

Keywords: 1187, senate, all

Transcript Highlights:

• And one of those is to be using climate-smart agricultural practices.
• So this helps them to implement new practices like healthy soils practices or improved irrigation, reduced
• agricultural practices.
• So you give them funding to implement the actual best practices.
• support schools to use particular practices, such as adopting healthy soil practices that sequester carbon

Summary: The Assembly Budget Subcommittee heard the administration’s spending plan for Proposition 4’s climate smart agriculture and biodiversity chapters, along with related trailer bill language. CDFA outlined proposed funding for existing programs such as SWEEP, Healthy Soils, Urban Agriculture, and invasive species work, plus new or phased-in programs including year-round and mobile farmers’ markets, tribal food sovereignty, and regional farm equipment sharing. The Department of Conservation described funding for the California Farmland Conservancy Program and Working Lands and Riparian Corridors Program, while the Department of Finance and LAO discussed pending allocations and generally found the overall approach reasonable, though LAO suggested the Legislature may want more statutory guidance and reporting, especially for new programs. Members focused on implementation details, equity, and accountability. Questions covered how programs would serve vulnerable and disadvantaged communities, whether new solicitations would be reopened for previously oversubscribed grants, how outcomes are tracked, and how to structure guidance for new programs such as farm equipment sharing. The chair emphasized that the Legislature wants clearer direction on program design and noted that AB 2313 should guide implementation of the regional farm equipment sharing allocation. The committee also discussed the administration’s request to directly appropriate bond funds to departments and to exempt bond program guidelines from the Administrative Procedures Act; LAO supported the APA exemption with possible legislative guardrails for public notice and comment. The committee then heard on the farm-to-school proposal, with CDFA requesting $24.9 million General Fund for incubator grants, technical assistance, and network support. CDFA said the program has reached nearly half of California schoolchildren and has shown strong demand and positive evaluation results. LAO supported the core program but recommended rejecting the $3 million technical assistance component as too broad and suggested the Legislature consider using Proposition 98 for some of the funding. Members debated that point, with some expressing concern about using General Fund dollars for a new discretionary request during a tight budget year. The biodiversity and nature-based solutions chapter included funding for the Wildlife Conservation Board, state conservancies, and tribal nature-based solutions. WCB described major recent investments and proposed projects tied to 30 by 30, habitat restoration, tribal partnerships, and public access. Members raised concerns about long-term stewardship, the size of the WCB allocation, and whether the Legislature should receive more detail on how funds will be distributed. The committee also heard requests for Bolsa Chica wetlands maintenance and Rincon Island decommissioning funding from the State Lands Commission, with members questioning long-term liability, remediation costs, and the role of private oil operators. No votes were taken, and the hearing ended with public comment from stakeholders largely supporting the APA exemption, farm-to-school funding, biodiversity investments, and related conservation programs.

Transcript Highlights:

• the state and their practices. the state and their practices.
• , dentistry practice, marriage and family therapy practice, and pharmacy practice.
• , the athletic trainer medicine practice, the athletic trainer practice,<02:43:43.120> massage
• <02:43:59.359> Um<02:43:59.760> and practice and pharmacy practice.
• Um and practice and pharmacy practice.

Keywords: 1187, senate, all

Transcript Highlights:

• <00:28:58.960> Practices<00:28:59.520> Act.
• Employment Practices Practices Act. Employment Practices Practices Act.
• Practice Practice to<00:47:39.920> issue<00:47:40.200> provisional<00:47:40.880> licenses
• <00:48:16.760> to directs the Board of Medical Practice to directs the Board of Medical Practice
• the extent practicable. the extent practicable.

Keywords: 926, house, all

Summary: The House opened with a devotional by former member Jason Lorber, who spoke humorously about the difference between asking questions and making statements, urging members to be direct and add value in deliberation. The chamber then took up several resolutions: JRH 11, urging Congress to enact the National Infrastructure Bank Act of 2025, was read and referred to the Committee on Commerce and Economic Development; JRS 51, setting weekend adjournment for May 1, 2026, was adopted in concurrence; and H.C.R. 261 was read, recognizing May 2026 as Older Americans Month and designating May 6, 2026 as Age Strong Vermont Day. Members also used announcements to welcome guests and highlight events, including the Age Strong Vermont initiative, a former member’s return, visitors connected to psychedelic medicine advocacy, an art social, fisheries and trout-in-the-classroom guests, a legislative intern, and a reminder about the May 16 NAMI walk. The House then took up Senate Bill 230, an omnibus labor measure relating to fair employment practices. The committee explanation described technical clarifications to parental and family leave for full-time teachers, expansion of protections for survivors of domestic violence, sexual assault, and stalking, removal of outdated statutory language on mandatory retirement for tenured faculty, and clarification that elected and appointed municipal officers are not employees for minimum wage and overtime purposes. The main new policy in section 3B would prohibit non-compete agreements for non-exempt employees, with an exception for collective bargaining agreements, and would restrict certain non-compete and related clauses in health care provider contracts while preserving continuity of care and excluding non-clinical business support services. The committee reported extensive testimony and voted 11-0-0 to recommend the bill favorably with amendment; the House agreed to propose the amendment to the Senate and ordered third reading. The House also began consideration of Senate Bill 179, updating Vermont’s Uniform Disclaimer of Property Interests Act. The committee presentation explained that the bill would eliminate the current 9-month deadline for disclaimers, reflecting changes in federal tax law and the much larger modern estate and gift tax exclusion, and would modernize the statute in several ways. Proposed changes include clearer rules for jointly held property, allowing pre-death disclaimers, authorizing trustees and parents in limited circumstances to disclaim on behalf of trusts or minor children, permitting disclaimers by proxy for infirm persons, clarifying partial disclaimers and entity disclaimers, improving delivery rules for non-real-estate property, and specifying that a disclaimer is not a transfer for transfer-tax purposes. The bill was described as a response to outdated law in light of an impending large intergenerational wealth transfer, and the House proceeded with second reading discussion.

Transcript Highlights:

• And so we're doing that here in the Unfair Trade Practices Act.
• practice.
• Placed on such a claim by the Unfair Practices Act.
• We said each one of these is an unlawful or deceptive practice.
• But also, this Unfair Trade Practices Act has always had a private remedy.

Transcript Highlights:

• My proposed amendment is Chapter 62-6, subsection 2: an actively practicing physician, advanced practice
• sered jury duty as a practicing sered jury duty as a practicing physician<00:15:55.399> here<
• <00:16:49.040> my practicing my practicing my concern<00:16:51.160> is<00:16:51.399>
• I could see that, especially for practicing APRNs.
• in clinical practice as part of their college instruction.

Keywords: 912, senate, all

Summary: The committee opened its first hearing of the 2025 session with procedural instructions about testimony limits, Zoom participation, written testimony, and a reconvening date if needed. It then heard SB 200 on speedy trials. The Office of the Public Defender opposed the bill, arguing it could create conflicts of interest for prosecutors, potentially make victims or witnesses quasi-parties to criminal cases, force traumatizing testimony on continuance motions, and unfairly delay trials for in-custody defendants. A World Care representative supported the bill and urged broader protections for minors, disabled people, and seniors. The chair also pressed the public defender to suggest improvements, emphasizing that the bill was driven by victims and families. No vote or final action was taken on SB 200. The committee next took up SB 8 on jury duty exemptions for health professionals. Testimony was strongly supportive from nurses, physicians, and disability advocates, who said APRNs and other nurses are in short supply and that jury service can disrupt patient care, especially in rural and neighbor island areas. One witness suggested expanding the exemption to include registered nurses as well as APRNs, while a senator raised concerns about blanket exemptions for non-practicing APRNs and suggested a time limit. The bill remained under discussion with no final action reported. The committee then heard SB 144 on chiropractic, with the state chiropractic board offering comments and the Hawaii State Chiropractic Association supporting the measure as a way to address workforce shortages and provide students more hands-on clinical experience. A World Care witness also supported the bill after clarifying her remarks. The chair then moved to SB 107 on medical informed consent, where the Hawaii Medical Board opposed the bill and the Healthcare Association of Hawaii and Queen’s Health System offered comments, citing concerns about duplicative standards. A support witness proposed expanding the bill to better address combined mental and physical health conditions. Finally, SB 189 on breast cancer screening drew support from the Hawaii Medical Association, Hawaii Radiological Society, Queen’s Health Systems, and others, while the Insurance Division raised concerns about possible insurance mandate defrayment and the need for a sunrise analysis. Senators also asked about local demographic data and coverage impacts; the chair indicated decision-making would be deferred to another day.