Video & Transcript Research : 'interstate practice'
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MN
Minnesota 2025-2026 Regular Session
Senate Floor Session - Part 2 - 05/16/26
Minnesota Senate Floor Meeting
Transcript Highlights:
- practice based on feedback<00:18:01.200>
from <00:18:01.360>stakeholders. - <00:18:32.960>
medicine, natural person to practice medicine, natural person to practice medicine - <00:19:10.240>
And <00:19:11.160>the physician assistant practice. - And the physician assistant practice.
- for acupuncture and herbal medicine practice, etc. >> Third reading.
CA
California 2025-2026 Regular Session
Joint Hearing Budget Subcommittee No. 3 on Education Finance and Education Feb 10th, 2026
Transcript Highlights:
- How are they going to really practice this idea of shared understanding and commitment and priorities
- So based on research, we know best practices.
- , to embed these best practices in what they're doing.
- We know that to embed these practices and to continue sustaining these practices within our schools to
- And continuously improve practice to maximize student outcomes.
Summary:
The joint informational and oversight hearing focused on community schools in California, with members emphasizing that the purpose was to examine effectiveness, implementation, and sustainability rather than the Governor’s budget proposal. The California Department of Education described the California Community Schools Partnership Program, created in 2021 and funded with more than $4 billion, including planning, implementation, extension, and county coordination grants. Officials said nearly 2,500 schools are participating and highlighted the statewide technical assistance structure, including the State Transformational Assistance Center, eight regional centers, county offices, and CDE support.
Researchers from the Learning Policy Institute and UCLA presented early findings and implementation data. LPI reported reductions in chronic absenteeism and suspensions, along with gains in math and English language arts, with especially large benefits for Black students and other historically underserved groups. UCLA described the Annual Progress Report as a statewide improvement tool showing growth in capacity-building, shared decision-making, whole-child supports, and continuous improvement. Members asked about how the reports measure outcomes, how to interpret outliers, and how to distinguish community schools effects from other concurrent initiatives; presenters said matched comparison methods and deeper case-study work are being used, with additional statewide findings expected in June.
Panelists from Oakland Unified, LAUSD/UTLA, San Diego Unified, and advocacy organizations described key elements of success: integrated student supports, strong family and student engagement, collaborative leadership, community partnerships, and school-site decision-making. They gave examples such as wellness centers, dual enrollment, student senates, parent leadership, and community campaigns that built trust and increased participation. Members also raised concerns about sustainability, implementation fidelity, and whether community schools improve participation in LCAP processes. Presenters said major barriers include unclear early guidance, the need for a mindset shift away from top-down models, and uncertainty about long-term funding for coordinators and other staff. The panel’s recommendations centered on stable ongoing funding, stronger technical assistance, shared governance, and embedding community schools practices into district and county systems.
NM
New Mexico 2025 Regular Session
IC - Courts, Corrections and Justice Nov 6th, 2025
Courts, Corrections & Justice Committee
Transcript Highlights:
- The next topic is medical practice insurance and the patient compensation fund.
- In law practice, we have what we call a deposition.
- They don't let practitioners practice the care that they want to practice.
- That's how it's being negotiated practically.
- It's standard practice to require a tail.
DE
Delaware 2025-2026 Regular Session
House Health & Human Development Committee Meeting Jun 17th, 2026
Health & Human Development
Transcript Highlights:
- , as well as reflect the full practice authority of not only advanced practice registered nurses, but
- SB 320 provides a necessary modernization of our scope of practice.
- It takes practice. It takes support. It takes accountability.
- It takes practice. It takes support. It takes accountability.
- It takes practice. It takes support. It takes accountability.
Keywords:
healthcare, life-sustaining treatment, patient preferences, POLST, advance directive, medical orders, hospital discharge, pregnancy, patient care, discharge planning, healthcare policy, substance use, harm reduction, syringe services, needle exchange, overdose prevention, naloxone, opioid antagonist, drug paraphernalia, syringe
Summary:
The committee heard and advanced several measures related to health care, public health, and patient protections. House Concurrent Resolution 148, urging a statewide educational strategy on menopause, was presented as a workplace awareness measure and received supportive comments from members before being released. Senate Bill 274, updating Delaware’s MOST program to POLST and clarifying capacity determinations and documentation for end-of-life orders, also drew supportive testimony from medical and nursing groups and was released. House Bill 458, limiting local backflow preventer requirements for certain low-hazard buildings, was presented as a cost-relief measure for homeowners and small businesses; DHSS expressed concerns but said it was willing to work on amendments and a sunset provision, and the bill was released. Senate Joint Resolution 18, designating August 31, 2026 as International Overdose Awareness Day and ordering flags at half-staff, was released after brief supportive remarks.
The committee then considered Senate Bill 339, a technical correction to the advance health care directive form clarifying that an agent’s authority for voluntary mental health admission cannot exceed 72 hours, consistent with existing law. Members asked detailed questions about how the 72-hour limit works and whether it applies to voluntary directives; the sponsor and a Disability Rights Delaware witness explained that the bill only aligns the form with current statute and does not expand authority. The bill was released. House Bill 301, requiring hospitals to create discharge plans for pregnant patients discharged while showing signs of labor, prompted extensive discussion. The sponsor and supporters said it would improve safety, transportation planning, and aftercare, while some members noted Delaware hospitals already do much of this work and questioned whether codifying it was necessary; supporters emphasized maternal mortality disparities and the need for guardrails. The bill was released.
Senate Bill 196, creating ownership disclosure requirements for long-term care facilities and resident notice rules after ownership transfers, was presented as a transparency measure for seniors and families and was released after supportive testimony from the Delaware Nurses Association and elder-care advocates. Senate Bill 320, expanding pharmacists’ independent prescriptive authority for certain non-controlled medications and allowing opioid use disorder medications under standing order, with added malpractice reporting requirements in Senate Amendment 2, was supported by pharmacists and nurse practitioners as an access-to-care measure and was released. Senate Substitute 1 for Senate Bill 161, establishing a unified licensing and oversight framework for adult behavioral health providers under DSAM, was presented as a patient-protection measure; providers supported the goal but cautioned that regulations must be workable, and the substitute was released. Senate Joint Resolution 19, directing DHSS to study strategies to reduce health care costs, was released with a note reflecting concerns about broadening the analysis to include additional cost drivers and alternatives. Finally, Senate Bill 249 with Senate Amendment 2, modernizing harm-reduction programs and paraphernalia laws, generated the most extended debate: supporters framed it as life-saving public health policy, while opponents raised concerns about needle litter, community impacts, and whether the approach facilitates addiction. Despite the objections, the bill was released.
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - Part 2 - 03/17/26
Health and Human Services
Transcript Highlights:
- . practice. practice.
- ethical practice in the profession. ethical practice in the profession.
- left practice for a variety of reasons. left practice for a variety of reasons.
- are seeking to return to practice. are seeking to return to practice.
- codify this practice. codify this practice.
FL
Florida 2025 Regular Session
Appropriations Committee on Agriculture, Environment, and General Government Jan 15th, 2025
Transcript Highlights:
- Commissioner Simpson asked me to modernize our best management practice manuals.
- The up-to-date with current practices is the newest and greatest thing in the news.
- Invest manager practices. We had it 402 new producers on top of the 95 we had.
- , golden piece for valley doing those practices.
- >> The map is currently enrolled in best management practices.
CA
California 2025-2026 Regular Session
Assembly Human Services Committee Jun 30th, 2026
Human Services
Transcript Highlights:
- For practical purposes only, this bill defines an infant as a child younger than 18 months.
- elements and then develop a program improvement plan to improve all of that practice.
- AB 2247 represented an important shift toward trauma-informed child welfare practice.
- I think everything that we strive to do is our best practices.
- But best practices run into resources and limitations on time and facilities.
CA
California 2025-2026 Regular Session
Assembly Elections Committee Mar 25th, 2026
Transcript Highlights:
- It's a best practice in election management.
- Why are they opposing best practices in election management?
- Why are they opposing best practices in election management?
- I'm the chair of the California Fair Political Practices Commission.
- I'm the chair of the California Fair Political Practices Commission.
Summary:
The Assembly Elections Committee met on March 25, 2026, with nine measures on the agenda and three bills taken on consent. The committee approved the consent calendar for AB 1736, AB 1853, and AB 2153. The committee also heard several election-related bills, including AB 1993 on ballot-envelope privacy, AB 1788 on nonprofit disclosure of travel payments for elected officials, AB 1560 on barring people convicted of public corruption from lobbying, AB 1539 on presidential and vice-presidential ballot eligibility certifications, AB 1919 on Santa Cruz Metro local tax initiative procedures, and AB 1562 on county selection of poll workers. The chair also noted membership changes and welcomed new and returning members and staff.
AB 1993 drew the most debate. The author argued it was a common-sense safeguard to prevent voters’ choices from being visible through ballot-envelope holes, citing a Sacramento County incident and public concern about ballot privacy. County election officials, the Secretary of State’s office, and Disability Rights California opposed the bill, saying the holes also serve accessibility and processing functions, that existing voter instructions already address privacy, and that the measure would create implementation problems and an unfunded mandate. After extended discussion, the committee voted the bill out on a 2-6 roll call and it failed.
AB 1788 was supported by the FPPC and the League of Women Voters and passed as amended to Appropriations, with members emphasizing transparency while seeking to avoid unintended coverage of organizations like NCSL and CSG. AB 1560 passed 6-0 despite the Secretary of State’s implementation concerns about how the office would learn of relevant convictions. AB 1539, which would require party representatives to certify presidential and vice-presidential nominees’ constitutional eligibility, passed 7-0 as amended. AB 1919, which would clarify procedures for a Santa Cruz Metro voter initiative to place a transit tax on the ballot, passed 6-2, and AB 1562, which would allow counties to randomly select poll workers, passed 7-1 after discussion about civic engagement, guardrails, and election administration. The committee then completed roll-call adjustments for absent members and adjourned.
TX
Transcript Highlights:
- SB1373 does not expand provider scope of practice or limit hospitals' ability to set high standards or
- This is not an expansion of our scope of practice. That ship has sailed. It has been settled.
- Scope of practice is a settled matter.
- Some personal issues may adversely impact their ability to practice medicine.
- This bill endangers civil liberties and expands coercive practices under the guise of care.
Keywords:
dentistry, botulinum toxin, aesthetic treatments, dental regulation, training, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges, SB 672, Texas hospital emergency operations plan, hospital diversion, emergency department, cyberattack, cyber security, power outage, electrical outage, patient diversion, hospital preparedness
MN
Minnesota 2025 1st Special Session
Conference Committee on H.F. 2432 - Judiciary Omnibus - 05/10/25
Transcript Highlights:
- So it doesn't change or affect the practice.
- So it doesn't change or affect the practice.
- <00:20:24.400>
for is modeling uh the best practices for is modeling uh the best practices - This section codifies that prior practice permanently.
- section codifies that prior practice section codifies that prior practice permanently.<00:24:46.880
NH
New Hampshire 2026 Regular Session
Senate Executive Departments and Administration (03/04/2026)
Executive Departments and Administration
Transcript Highlights:
- This is a bill that modifies the scope of practice for licensed practical nurses.
- For licensed practical nurses.
- practice statute. practice statute.
- This regulates practice. Practice has always been the domain of the states.
- This regulates practice. Practice has always been the domain of the states.
MN
Transcript Highlights:
- Budget rules are used to convey best budget practices to the executive branch and organizations that
- Budget rules are used to convey best budget practices to the executive branch and organizations that
- <00:22:47.960>
for rules establish a budget practice for rules establish a budget practice - >
would come from the better practice I would come from the better practice I would hope<00:29 - Chair, Senator, I would also add that this rule is somewhat rooted in best budgeting practices.
Summary:
The Finance Committee met for its first 2025 meeting, with co-chairs Senator Marty and Senator Pratt opening the session and members and staff introducing themselves. No bills were heard; the meeting was focused on orientation and on reviewing the committee’s budget rules for the new biennium. Committee members and staff from both caucuses, Minnesota Management and Budget (MMB), and legislative fiscal offices were introduced before the presentation began.
MMB fiscal staff Brian D. and committee fiscal staff explained that budget rules are a nonbinding agreement between MMB and House and Senate fiscal staff that guides how fiscal proposals are tracked and understood. They reviewed the history of the rules, noting that the current document reflects the most substantial update since the rules were first adopted in the early 2000s, and that the 2025 version was reorganized into eight sections after extensive interim work by House, Senate, and MMB staff. The presenters emphasized that the rules are updated annually, are intended to promote consistent fiscal tracking and transparent communication, and are used as guidance for budget bills rather than as law.
The presentation highlighted several substantive rule areas: general tracking rules and comparison points for budget documents; appropriation drafting guidance; treatment of transfers, revenues, and inflation; planning estimates and “budget tails”; and rules for extending, canceling, or reappropriating existing appropriations. Staff also described new or revised provisions, including guidance on understanding current-law changes, using Department of Revenue estimates for tax revenue, and treating inflation in the forecast as a general pressure estimate rather than appropriated dollars. The committee was asked to review the updated rules, but no vote or formal action was taken during the portion of the meeting provided.
VT
Transcript Highlights:
- practice satisfaction. practice satisfaction.
- to the practice.
- in that practice.
- . participating practices.
- added in if practicable after shall. added in if practicable after shall.
Summary:
The House first took up S. 298, the Vermont Voting Rights Act. Members explained the Senate’s further proposal of amendment, including changes to language about how the State Ethics Commission may respond to ethics inquiries, a directive for the Secretary of State and Ethics Commission to work out a shared process for the candidate financial disclosure form by January 30, and a technical PAC-related wording change. The committee reported an 11-0-0 vote in favor, and the House concurred in the Senate proposal of amendment.
The chamber then suspended rules to take up S. 328, the omnibus housing bill, and heard detailed committee reports from General and Housing, Ways and Means, and Appropriations. The bill addresses common interest community resources, a service-supported housing advisory council, expansion of the 10% for Vermont program to 12.5%, an off-site construction accelerator pilot, VHFA’s rental housing revolving loan program, special assessment districts, municipal housing planning requirements, and several reports on housing-related issues. Ways and Means described revenue impacts from the cash-balance expansion and revised the off-site construction pilot and loan program language; Appropriations removed a section already included in the budget and adjusted advisory council per diem funding. The House adopted the amendments, ordered third reading, suspended rules to place the bill in all remaining stages, passed it in concurrence with proposal of amendment, and messaged the action to the Senate forthwith.
The House then suspended rules to take up S. 197, relating to payment reform for primary care. The House Health Care Committee recommended a strike-all amendment, saying the health care system is in crisis, premiums are rising, access to primary care is limited, and clinicians are burdened by documentation and administrative work. The committee vote on its amendment was 10-0-1, and the bill was also referred to Ways and Means and Appropriations because of fiscal implications. The transcript cuts off as the House was beginning consideration of the bill.
CA
California 2025-2026 Regular Session
Assembly Transportation Committee Mar 24th, 2025
Transcript Highlights:
- Yeah, it's a practice. Thank you. Thank you. Okay. Thank you. Thank you. Thank you. Thank you.
- I missed so out of practice because we haven't, this is our first committee.
- So again, our kind of focus is kind of turning away from requirement into the best practice.
- We'd want it to work in practice. You have my commitment. Thank you. Thank you.
- It was just common practice.
Summary:
The Assembly Transportation Committee met and began without a quorum, first hearing AB 612 by Assembly Member Rogers and later AB 435 by Assembly Member Wilson. AB 612 would direct Caltrans to update the highway design manual so local jurisdictions consult with fire departments on major road improvements. Supporters, including the California Professional Firefighters and labor representatives, said the bill would improve emergency response and prevent road designs from hindering fire apparatus. County representatives said they were not opposed but wanted the bill narrowed to avoid mandatory consultation on minor maintenance projects or in areas without a local fire district. Several members praised the bill as common-sense safety legislation, and it was moved forward to Appropriations.
The committee then adopted its rules and approved a seven-bill consent calendar. AB 435 would update California child passenger safety law to require children under 10 to be properly restrained in the back seat, require children ages 10 to 13 to remain in the back seat unless they pass the five-step seat belt fit test, and require the five-step test before a child may ride in the front seat. The author and supporters, including Safe Kids Greater Sacramento, Safety Belt Safe USA, AAA, the Automobile Club, and hospitals, argued the bill would align state law with national best practices and improve child safety. Committee members raised concerns about enforceability, implementation timing, pickup trucks, large families, and low-speed vehicles, and the author said he was open to amendments and additional data, including California-specific information.
AB 435 was advanced to the Committee on Appropriations after discussion. AB 612 also received a due pass recommendation to Appropriations. The committee held rolls open to allow additional members to add on, then later confirmed the votes and adjourned.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Public Health Jun 21st, 2026 at 01:00 pm
Joint Committee on Public Health
Transcript Highlights:
- It will increase the penalties for unlicensed practice.
- No new scope of practice is added under this legislation.
- I currently practice at South Shore Hospital.
- or updating scope of practice will improve patient... ...optimal care, and expanding the scope of practice
- or updating scope of practice will improve patient care.
Summary:
The Joint Committee on Public Health heard testimony on a wide range of bills focused on children’s health, tobacco control, newborn screening, pediatric cancer, palliative care, and professional licensure. Early testimony highlighted Senate bills to expand newborn screening for pyruvate dehydrogenase complex deficiency, lysosomal storage disorders, and congenital CMV, with families and clinicians describing severe diagnostic delays, missed treatment windows, and the benefits of early detection. Speakers also supported a bill to improve pediatric cancer research through a dedicated trust fund, and a bill to extend pediatric palliative care services to age 22, with parents and providers emphasizing continuity of care for seriously ill young people.
Several witnesses gave personal accounts in support of the newborn screening measures. Families described children who endured years of misdiagnosis before receiving diagnoses such as Gaucher disease, Fabry disease, Pompe disease, Niemann-Pick disease, and CMV, often after irreversible damage had already occurred. Medical and advocacy witnesses said Massachusetts already collects some of the relevant screening data and argued that results should be reported to families, while others urged the committee to add conditions to the state panel because effective treatments already exist. The committee also heard support for a bill to establish a fetal alcohol spectrum disorder program and training for providers.
On tobacco and youth health, testimony supported bills to ban internet tobacco sales, strengthen youth protections, and reduce lung cancer deaths through point-of-sale information and quit-line access. A student testified about easily purchasing flavored nicotine products online without meaningful age verification, and public health advocates backed measures to keep tobacco out of children’s environments. The committee also heard testimony on a bill to ensure parents have access to their children’s medical records through age 16, with exceptions for sensitive services already protected by law.
The committee additionally took testimony on an optometry licensure bill, where ophthalmologists opposed language they said could broaden scope of practice and allow optometrists to use the title “optometric physician,” while optometry educators and students supported the bill as a modernization measure with no scope expansion. No votes were taken during the hearing; the chair repeatedly reminded speakers of time limits and noted that written testimony could be submitted for additional comments.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Racial Equity, Civil Rights, and Inclusion Jun 21st, 2026 at 01:00 pm
Joint Committee on Racial Equity, Civil Rights, and Inclusion
Transcript Highlights:
- Inclusive work is by definition best practice for all students.
- We should also be home to the most equitable admissions practices in the country.
- Quantitative and qualitative data inform us and direct policy and practice.
- Quantitative and qualitative data inform us and direct policy and practice.
- Inform us and direct policy and practice.
Summary:
The Joint Committee on Racial Equity, Civil Rights, and Inclusion held an informational hearing on “Protecting Equity in Higher Education” and emphasized that no bills were being heard. Members and witnesses focused on the effects of recent federal actions on DEI, admissions, financial aid, student loans, international students, and campus equity efforts in Massachusetts. Opening remarks from the co-chairs and the chair of Higher Education highlighted Massachusetts’ investments in free community college, expanded financial aid, and early college programs, while warning that federal policy changes could undermine those gains.
Testimony from BU law professor Jonathan Feingold argued that many DEI practices remain legally defensible after Students for Fair Admissions v. Harvard, and that the decision did not end all race-conscious or equity-oriented efforts. He said the Trump administration’s anti-DEI actions and funding threats were legally suspect and had created confusion and a chilling effect. Bahar Akman-in-Boden of the Hildreth Institute testified that proposed federal cuts to TRIO, Gear Up, Pell Grants, SEOG, work-study, and student loan programs would disproportionately harm low-income, first-generation, Black, Latino, and other underserved students, and urged the state to prepare hold-harmless and advising supports using Fair Share revenue.
Commissioner Noe Ortega described Massachusetts’ long history of equity in higher education and said the state has expanded aid, success programs, and early college, but still has work to do on attainment and completion. He said the state responded to SFFA by creating ACARE and continuing to defend equity practices, while also warning that federal disruptions and “dear colleague” letters have created uncertainty. In the second panel, state university leaders and campus officials said federal threats to Pell, DEI grants, Medicaid, and international student policies could affect access, campus operations, and the economy; they stressed that most state university graduates stay in Massachusetts and that institutions are continuing their equity practices despite federal pressure. Roxbury Community College’s president said RCC remains committed to open access and inclusion, noted enrollment growth, and said executive orders do not change existing law or the college’s obligations.
TX
Transcript Highlights:
- And at this point, I would love to move to another state and practice.
- Other state and practice.
- Scope of practice, and I had no qualms about it. And, you know, of course.
- So, like I said, this was something that was in my scope of practice.
- I practice in Houston, Texas, but I also see patients in Galveston County.
Bills:
SB331, SB883, SB926, SB1137, SB1138, SB1144, SB1151, SB1236, SB1270, SB1522, SB1869, SB2207, SB2422
Keywords:
healthcare, cost disclosure, transparency, administrative penalties, health facility compliance, COVID-19, off-label use, prescription drugs, patient access, medical standards, insurance, physician ranking, incentives, fiduciary duty, health plan issuers, SB 1137, group home, assisted living, residential care, board and care
Summary:
The committee heard testimony on Senate Bill 883, which would protect physicians’ ability to prescribe off-label medications and treatments, framed by the author as a “Right to Treat” measure tied to COVID-19 care. Supporters, including physicians and patient-choice advocates, said the bill would safeguard the doctor-patient relationship and prevent interference by boards, pharmacies, or hospitals. Several witnesses described using hydroxychloroquine, ivermectin, budesonide, antibiotics, steroids, and monoclonal antibodies during the pandemic, and said they faced complaints, board scrutiny, or pharmacy refusals for those prescriptions. The bill was left pending after public testimony closed.
The committee then took up Senate Bill 331, which would extend hospital price-transparency requirements to additional health care facilities such as freestanding ERs, urgent care and retail clinics, ambulatory surgical centers, outpatient clinics, and birthing centers. Proponents argued that broader disclosure of prices for shoppable services would help consumers compare costs and reduce surprise billing, while opponents from ambulatory surgery centers said the bill would impose costly compliance burdens on small providers and that insurers or the state already have much of the needed data. The bill was also left pending.
Senate Bill 2422 would expunge Texas Medical Board records and impose reparations for disciplinary actions tied to COVID-era treatment decisions, including references to ivermectin, hydroxychloroquine, budesonide, and masks. The author and supporters argued that doctors were unfairly targeted for trying to save patients and should be made whole; the Texas Medical Board representative said most pandemic complaints were dismissed, that actions generally involved broader issues such as privileges, documentation, or informed consent, and that no physician was disciplined solely for prescribing off-label COVID medications. The bill was left pending.
Finally, the committee heard Senate Bill 2207, which would loosen Texas Medical Board rules on physicians advertising themselves as board certified, especially by reducing barriers tied to maintenance of certification requirements. Supporters said the current rule is overly restrictive, inconsistent, and costly, and that it drives physicians out of practice; they also said Texas is one of only a few states with such a rule. Witnesses described hospitals using the rule against physicians and said the change would improve transparency and competition. The bill remained pending after testimony.
TX
Texas 89th Regular
Senate Committee on Health and Human Services Mar 18th, 2025
Health & Human Services
Transcript Highlights:
- I'm a physician; I practice in Houston, Texas, for nearly 30 years.
- How did this practice shift?
- So the chair recognizes Senator Cook for some more practice.
- If someone's practicing medicine outside their scope of practice, the Texas Medical Board is the best
- within their scope of practice. practice or actions were correct or not.
Keywords:
immunization, written informed consent, civil liability, health care provider, vaccine compensation, administrative penalty, health care, licensing, complaint procedure, disciplinary action, law enforcement, pharmacy benefit manager, PBM, gag clause, prescription drug pricing, out-of-pocket cost, cash price, pharmacist, pharmacy, prescription drug benefit
KY
Kentucky 2026 Regular Session
Senate Standing Committee on Health Service (2-25-26)
Transcript Highlights:
- residency in Kentucky go on to practice residency in Kentucky go on to practice out<00:20:10.559
- And this will practice in Kentucky now.
- I'm also a practicing pulmonologist and intensivist.
- Our goal is for them to want to continue to practice in those areas.
- Our goal is for them to want to continue to practice in those areas.
Summary:
The committee first heard Senate Bill 173 from Senator David Givens, which would create a legislative review process for the state health plan and state plan amendments, modeled after the administrative regulations process. Givens argued the legislature should have a stronger policy role in reviewing the plan, saying the bill would allow lawmakers to find components deficient rather than approve them outright. He tied the proposal to Medicaid spending growth and projected enrollment changes, saying the state needs a new oversight tool. Committee members generally supported the concept, though Senator Berg expressed concern that the legislature lacks the executive branch’s healthcare expertise. The bill was reported favorably on a unanimous roll call vote.
The committee then took up Senate Bill 137, sponsored by Chairman Meredith, which would create a pathway for certain internationally trained physicians to practice in Kentucky without repeating residency in the United States. Supporters said the bill is aimed at addressing Kentucky’s physician shortage, especially in rural areas, and cited projections of a statewide shortage of about 3,000 physicians by 2030 and a shortage of primary care doctors in particular. Testimony from Cicero Action and Baptist Health emphasized that many foreign-trained physicians are already fully trained, that residency slots are limited, and that the bill could help fill shortages in underserved counties while preserving quality through existing exams, ECFMG certification, English proficiency requirements, primary source verification, and mentoring/oversight.
Several members raised questions and concerns. Senator Berg asked about verification, required exams, and oversight, and Senator Tishner raised concerns about fraudulent credentials in some countries and whether the bill could admit underqualified physicians. Witnesses responded that applicants would still have to pass the same exams, obtain ECFMG certification, and undergo primary-source credentialing and employer oversight. Supporters also argued the bill would not displace U.S.-trained physicians because it would use otherwise limited residency capacity more efficiently. After discussion, the committee adopted the bill and reported it favorably by unanimous vote.
NM
New Mexico 2026 Regular Session
Senate - Health and Public Affairs Jan 26th, 2026 at 01:45 pm
Senate Health & Public Affairs
Transcript Highlights:
- That was a practice unique to New Mexico, unique to Bernalillo County.
- So we're asking for legislation that bans that practice. ...Mexico, unique to Bernalillo County.
- So we're asking for legislation that bans that practice permanently.
- Nearly 60% of doctors... ...strongest predictor of where physicians choose to practice.
- for three of those years... ...practiced for three of those years.