Transcript Highlights:

• Along with the chair in this legislature, CNA has worked for years to ensure that employers cannot use
• CELA is proud to work alongside the chair and CNA to ensure that employers cannot use debt repayment

Summary: The committee heard several bills, beginning with AB 1521, the Judiciary Committee’s civil law omnibus measure. The bill makes a number of minor, mostly clarifying changes, including repealing obsolete Government Code provisions, allowing juvenile courts to hear petitions to establish records of birth, death, or marriage, requiring notice of probate petitions to the Department of Child Support Services, and correcting typos in existing law. It had no opposition and was moved on a do-pass basis to Appropriations, though it was later placed on call pending additional votes. Members then heard AB 57, which would reserve at least 10% of California’s Home Purchase Assistance Program funds for descendants of formerly enslaved people. The author and supporters framed it as a reparative, race-neutral-by-lineage effort to address historic housing discrimination and the racial wealth gap, while opponents argued it was an unconstitutional racial proxy and should instead be based on individual injury. The bill drew strong support and opposition testimony, was amended, and was approved on a do-pass as amended vote to Appropriations, then placed on call. AB 495, the Family Preparedness Plan Act, was heard next. The bill would expand and standardize caregiving and guardianship tools for families facing immigration-related separation, including broader use of caregiver authorization affidavits, recognition of non-relative extended family caregivers, and a new short-term guardianship process that preserves parental rights. Supporters said it would reduce trauma and help children remain with trusted caregivers; there was no opposition testimony. The committee approved it on a do-pass to Human Services vote and placed it on call. The committee also heard AB 392, which would address non-consensual sharing of sexually explicit media by requiring uploader consent certifications, faster takedown procedures, and civil remedies against uploaders and hosting sites. A survivor testified in support, and members discussed implementation details and possible amendments; the bill was moved on a do-pass as amended basis to Appropriations and placed on call. AB 692, which would prohibit employer “stay-or-pay” debt agreements that require workers to repay training or other costs if they leave or are terminated, also advanced despite opposition from business and industry groups concerned about impacts on signing bonuses and voluntary training programs. It was sent to Appropriations on a do-pass as amended vote and placed on call, along with AB 1234, a wage-claim enforcement bill aimed at reducing Labor Commissioner delays and adding consequences for employers who fail to participate in the process. The committee also heard AB 394, which expands protections for transit workers and allows transit agencies to seek restraining orders against violent riders; it received broad support, some concern about system-wide bans, and was discussed with amendments that preserved judicial discretion.

Transcript Highlights:

• She's worked tirelessly to keep her grades up and, on top of that, she's worked as a CNA and a TMA to
• Thank you for your time, I appreciate it. she's worked as a CNA and a TMA to pay she's worked as a CNA

Bills: HF10

Keywords: undocumented immigrants, state funding, MinnesotaCare, scholarship ineligibility, state assistance, 1183, house

Transcript Highlights:

• There are higher minimum wages for CNAs, TMAs, and LPNs.

Bills: HF2434

Keywords: healthcare, personal care assistance, worker retention, disability services, state funding

Transcript Highlights:

• So, uh, part of this team, um, they work with CNA on their contract.
• CNA has five projects, and the—I thought they had the contract.
• So, for the CNA CNHA Kilohana contract, there's five areas.
• Like I've known CNA to be boots on the ground.
• Um, that was a CNA expenditure.

Keywords: 910, house, all

Summary: The joint House and Senate tourism briefing focused on the Hawaii Tourism Authority’s interim action plans, current projects, contract oversight, destination management action plans (DMAPs), and the impact of recent legislation and audit findings. Interim CEO Caroline Anderson said she accepted the temporary role to help address agency challenges, emphasized rebuilding trust, and said HTA is reviewing the state auditor’s concerns and posting its response publicly. She also described HTA’s mission and organizational structure under SB 1571, including reporting lines to the governor, the director, and the board, and outlined staff additions in finance, brand marketing, destination stewardship, and planning. A major topic was the permanent CEO search. HTA board chair Tata Po said the goal is to select a CEO within about four months, with the search firm still engaged, the position description being revised to reflect the new law and compensation changes, and approvals still needed before the job can be reposted. Members expressed frustration that the recruitment had been paused and questioned whether HTA has sufficient qualified leadership and staff during the interim period. Board leadership said the current staff is limited by vacancies but that they have confidence in the team and will add resources if needed. Members also pressed HTA on the role of the destination stewardship team and the CNHA/Kilohana contract, asking how staff oversight works and whether staff members were effectively wearing multiple hats. HTA explained that the stewardship team provides direction to contractors and that the work is divided among specialists overseeing projects such as tour guide certification, technical assistance, community tourism collaboratives, and a destination app. The committee also discussed whether the board can still vote on budgets under the new structure; the Attorney General’s office was cited as confirming that the board may advise, but the department director retains budget authority. HTA said it is working with CNHA and HVCB on contract and budget timing, with a goal of shifting to a calendar-year process so recipients know funding earlier.

Transcript Highlights:

• CNA and Senator, we'd like to close, please.

Summary: The Assembly Higher Education Committee heard several Senate measures focused on community college procurement, higher education access, and student support. SB 1154 by Senator Reyes would allow community college districts to use best-value procurement for public works projects over $1 million. Supporters, including San Bernardino Valley College, the San Bernardino Community College District, labor groups, and several districts, said it would improve delivery of complex facilities and align community colleges with other education systems. Opponents, including the Associated General Contractors, argued the bill’s skilled-and-trained workforce requirements and labor-compliance scoring would narrow the bidder pool and raise costs. The committee passed the bill to the Assembly Floor on a due-pass vote, with some members voting no or not recorded. SB 1255, also by Senator Reyes, would create a California Hispanic-serving institution designation. Supporters from HACU, the CSU Chancellor’s Office, UC, community colleges, and other education organizations said the designation would recognize campuses that serve large numbers of Latino and low-income students and strengthen accountability and student success. The committee approved the bill as amended and re-referred it to Appropriations, with one no vote. SB 1328, presented on behalf of Senator Cervantes, would require LGBTQ+ points of contact at satellite or branch campuses of CSU and community colleges, either through designated staff or regular office hours. Testimony emphasized gaps in access at remote centers and the need for confidential support; one member raised concerns about staffing, costs, and whether existing systems could meet the need remotely. The bill was passed as amended and sent to Appropriations. The committee also considered SB 960 by Senator Cabaldon, which would expand the circumstances under which community colleges could offer bachelor’s degrees in response to unmet workforce needs, especially where CSU programs are impacted or not realistically accessible locally. Supporters said the bill would help meet workforce demand and expand access for place-bound and adult learners. CSU and faculty representatives opposed unless amended, urging stronger partnership requirements, clearer workforce-need standards, and safeguards around duplication and Prop 98 funding. Members discussed impaction, regional access, and the role of partnerships; the bill was passed as amended and re-referred to Appropriations. Finally, SB 632 by Senator Otagan would extend the California College Promise fee waiver to part-time community college students enrolled in nine units. Supporters said many students cannot attend full time because of work, caregiving, and living costs, and the bill would better reflect student realities; the transcript ends during testimony on this measure, before any vote is shown.

Transcript Highlights:

• fields... ...and practices for considering conviction history in other health and caregiving fields to CNA

Keywords: 988, house, all

Transcript Highlights:

• CNA objections SB 488 will be reported with amendments. Thank you, Madam Chair.

Summary: The House Education Committee met on May 12, 2026, and first approved SB 518, which gives LSU limited authority to buy and sell certain real estate within one mile of campus as a two-year pilot program. Supporters said the bill would let LSU respond more quickly to deteriorating properties near campus and improve the student experience, while keeping protections such as appraisals and fair-market-value requirements. Members asked about whether the authority would affect residential property or be expanded to other universities, and the bill was reported favorably without objection. The committee then advanced SCR 33, creating a one-year Work-Based Learning Coordination Task Force to study and better align apprenticeships, internships, job shadowing, and related programs across state agencies and employers. Testimony emphasized the need to reduce duplication and improve coordination so students and employers can more easily connect. HR 168 also passed, directing the Board of Regents to study collegiate athletic program funding after concerns raised by athletic directors about deficits and accounting practices. Members next approved SB 488, establishing a school safety drone response pilot program to supplement school crisis plans. The bill drew detailed testimony from a vendor describing drone deployment, response times, and coordination with law enforcement; an amendment was adopted to require coordination with the Department of Education, State Police, and the Sheriffs’ Association. The committee also favorably reported HCR 97, asking BESE and Wildlife and Fisheries to study adding age-appropriate hunting, conservation, and shooting sports education in grades 5-12, with members clarifying that no live firearms would be used on campus. Finally, the committee approved SB 112, allowing local school boards to adopt parental-consent release-time policies for religious instruction, with amendments adding instructor qualifications, reporting requirements, electronic delivery flexibility, and constitutional safeguards. It also reported SB 504, expanding individual graduation plans to include vocational options and apply to charter schools, with an amendment for standalone elementary charters. The committee then passed SB 346 and SB 347, both dealing with deepfakes—one prohibiting their use against K-12 students and the other adding unlawful deepfakes to campus power-based violence rules—and SB 353, authorizing postsecondary systems to digitize student IDs for use in LA Wallet. Several members raised concerns about naming LA Wallet specifically, but the bill was still reported favorably. The meeting ended with adjournment.

Transcript Highlights:

• pay increases over the last couple budget cycles, and then a hiring above minimum for some of those CNA

Summary: The Assembly Budget Subcommittee on State Administration heard several CalVet budget updates first. CalVet reported progress on the Southern California Veterans Cemetery at Gypsum Canyon, explaining that DGS is revising the earlier feasibility study to reflect a smaller footprint and lower grading costs, with updated numbers expected by the end of April. Members and public commenters emphasized the project’s importance and asked whether additional budget authority or trailer bill language was needed; CalVet said it may need more spending authority but wanted to return after the revised study is complete. The committee also reviewed the Yountville skilled nursing facility replacement project, where CalVet said construction is nearing completion, a certificate of occupancy was received, and the new 240-bed facility will replace Holderman Hospital while older buildings will be repurposed for lower levels of care. CalVet also defended eliminating about 178 vacant positions at Yountville and West Los Angeles as a fiscal and staffing efficiency measure, saying current care levels can still be met and that retention and hiring efforts are improving. The committee then took up the Department of Cannabis Control’s enforcement and legal affairs proposal. DCC described the size of the illicit cannabis market, said enforcement alone cannot solve the problem, and asked for additional sworn staff, a new Redding-area field office, and more analysts to focus on distribution networks, organized crime, environmental harms, and high-priority public safety cases. Finance supported the proposal as a targeted investment, while the LAO had no additional comment. Members asked about funding impacts and local co-location options, and DCC said the request would be funded from cannabis excise tax revenues and could help shift sales into the legal market. Public testimony from the cannabis industry strongly supported more enforcement against illicit retail and said it would help legal operators compete. DCC also presented its hemp enforcement and regulation proposal tied to AB 8. The department said the law closes loopholes around intoxicating hemp products, strengthens enforcement across agencies, and prepares for hemp to enter the cannabis regulatory framework in 2028. DCC requested staff for a civil enforcement unit, field-testing equipment, lab capacity to detect synthetic cannabinoids, a track-and-trace specialist, and a policy specialist. Members asked about enforcement in informal retail settings and consumer confusion, and DCC said the biggest problems have been smoke shops and online sales. Public commenters from the legal cannabis industry supported the proposal, saying intoxicating hemp has harmed the regulated market and created public safety risks. The Cannabis Control Appeals Panel then requested ongoing funding of $3.4 million to support 12 positions and its quasi-judicial appeals function. The panel said that with provisional licenses largely phased out, more annual licensees now have appeal rights and the workload is beginning to increase, with two cases currently on the docket. The LAO recommended limiting funding to three years and requiring a workload and comparative analysis before making the funding permanent, while Finance supported ongoing funding as consistent with the panel’s permanent statutory role. Members questioned the panel’s compensation and workload, noting that the five-member body is paid at a high statutory rate despite historically meeting only quarterly, though panel staff said the work now includes substantial case preparation and monthly hearings. Finally, the Department of Consumer Affairs introduced two proposals: $2 million ongoing for the Contractors State License Board’s IT needs and $251,000 plus one limited-term position for the Board of Pharmacy to implement Proposition 34-related licensing policy and reduce barriers to licensure.

Transcript Highlights:

• Good morning, Roxanne Gould, representing the California Naturopathic Association, the other CNA.

Keywords: 987, senate, all

Transcript Highlights:

• pay increases over the last couple budget cycles, and then a hiring above minimum for some of those CNA

Keywords: 988, house, all

Transcript Highlights:

• About 25 years ago, when I was a CNA, I was pregnant and my uncle was in the hospital in critical condition

Bills: HB2355, HB2151, HB2372, HB2472, HB2409

Keywords: labor protections, domestic workers, wage standards, employment rights, worker safety, factory built housing, commercial structures, national standards, construction regulation, building safety, workers' compensation, benefits, employment, injury claims, insurance, liability, fire protection, sprinkler systems, licensed contractors, certified fitters

Transcript Highlights:

• And then one kind of new and emerging idea is to work towards a CNA compact, similar to a nurse compact

Summary: The committee met for what was described as its final meeting, with members and staff reflecting on the work of the Joint Legislative Executive Committee on Aging and Long-Term Care and noting that future work would likely shift to standing health and wellness committees. The meeting began with introductions and then moved into updates on major initiatives that originated from the committee, including Washington Cares, the Dementia Action Collaborative, and Medicaid long-term care programs. Presenters emphasized that these efforts were developed through long-term legislative-executive collaboration and were intended to help Washington prepare for the state’s aging population. On Washington Cares, DSHS described the program’s development from a 2014 research effort to its 2019 enactment, premium collection beginning in 2023, portability improvements in 2024, and 2025 changes including a grandfathered opt-out fix and a framework for supplemental private long-term care insurance. The agency said benefits are expected to go fully live next summer, with a pilot of up to 400 applicants planned for next January. On dementia policy, the Dementia Action Collaborative reported on the state dementia plan, Project ECHO training for providers, and pilot dementia-capable community programs at area agencies on aging, citing preliminary results that about 85% of family caregivers said services helped people remain at home. DSHS also reviewed Medicaid Transformation Project initiatives, including Medicaid Alternative Care, Tailored Supports for Older Adults, presumptive eligibility, and health-related social needs benefits such as rental assistance, nutrition support, and home modifications. The committee then heard an emerging issues panel from ombuds and disability advocates. Patricia Hunter of the long-term care ombuds program raised concerns about staffing shortages, resident rights, surveillance technology, private equity ownership of facilities, and illegal discharges or evictions. Betty Sweeterman of the Developmental Disabilities Ombuds discussed people stuck in hospitals without medical need, gaps in behavioral health services for people with developmental disabilities, and the need for better workforce training. Todd Carlyle of Disability Rights Washington urged expansion and bundling of community supports such as PACT, GOSH, and peer bridgers to reduce repeated institutionalization and support discharge from inpatient psychiatric settings. Provider and labor panels followed, with nursing home, assisted living, supported living, and union representatives all emphasizing workforce shortages, low wages, Medicaid rate inadequacy, case management bottlenecks, behavioral health complexity, and the need for more flexible care models and stronger accountability for rate increases. No formal votes were taken; the meeting ended with public comment on manufactured housing and closing remarks thanking staff and participants for the committee’s work.

Transcript Highlights:

• on the policies and procedures at the hospital that relate to blood clot risk assessments, require CNAs

Summary: The subcommittee met with a quorum present and took up five health-related bills. HB 1089, which would add Duchenne muscular dystrophy to Florida’s newborn screening panel, was presented as a way to enable earlier diagnosis and treatment; a pediatric neurologist from Nemours testified in support, noting existing FDA-approved therapies and ongoing clinical trials. After supportive debate, the bill passed 17-0 and was reported favorably. HB 1083 would standardize patient access to medical records by setting deadlines for providers to produce or allow inspection of records and requiring electronic delivery when available. Supporters said it would reduce delays in care and costs, while two industry groups appeared in opposition. Members from both parties spoke in favor, and the bill passed 17-0 and was reported favorably. HB 1297, which aligns Florida’s electronic prescribing rules more closely with federal law and removes some state exceptions, drew opposition from physicians who argued paper prescriptions are still needed for emergencies, shortages, and price shopping. The sponsor said the bill’s goals were patient safety, fraud prevention, and efficiency; despite concerns, it passed 18-0 and was reported favorably. The committee then considered PCS for HB 1421, the Emily Adkins Family Protection Act, which would create a statewide blood clot and pulmonary embolism registry, require hospital reporting and risk-assessment policies, and expand training requirements in hospitals, nursing homes, and assisted living facilities. The bill was presented with emotional testimony from Emily Adkins’ parents, who urged support and co-sponsorship in her memory. Members from both parties praised the family’s advocacy, and the PCS passed 18-0 and was reported favorably. Finally, HB 449 on optometry would expand optometrists’ authority to prescribe certain medications and perform specified laser and non-laser eye procedures after certification. The bill and amendment drew strong opposition from ophthalmologists and their association, who raised patient-safety, training, and delegation concerns, while optometrists argued the bill would improve access, especially in rural areas and counties without ophthalmologists. The amendment was adopted, and the bill as amended passed on a recorded vote and was reported favorably.

Transcript Highlights:

• I'm a CNA. I take my job seriously. That's somebody's life. I care about people's lives.

Summary: The committee met with a quorum and considered several health-related bills. SB 398, by Senator Burgess, would create a statewide Alzheimer’s and dementia awareness campaign through the Department of Elder Affairs, focused on early detection, brain health, risk reduction, clinical trial access, and community resources. Supporters said Florida has a large and growing Alzheimer’s population and that the campaign would help families and vulnerable communities; the bill was reported favorably after a roll call vote. The committee also adopted an amendment to SB 714, by Senator Burton, which would create non-opioid advanced directives and add liability protections for providers in medical emergencies involving opioids. Supporters framed it as a patient-choice measure, while opponents argued it was vague and could interfere with appropriate pain treatment; the amended bill was then reported favorably. The committee also approved CS/SB 756, which removes the current age-eight diagnosis requirement for autism-related insurance coverage and extends coverage beyond age 18 for those diagnosed with autism. Senator Burton said the bill would help families whose children are diagnosed later or whose needs continue into adulthood. There was brief discussion about existing lifetime benefit caps, but the sponsor said the bill did not change those limits. The committee then took up SB 734, a proposal by Senator Yarbrough to repeal Florida’s wrongful death exception that bars certain parents and adult children from recovering non-economic damages in medical negligence cases. The sponsor and supporters described the current law as discriminatory and unjust, especially for families of older adults and disabled individuals, while opponents warned it would raise malpractice costs, increase premiums, and worsen provider shortages. The bill drew extensive public testimony from both grieving family members and health care/insurance representatives, and members debated whether caps or other safeguards should be added. No final action on SB 734 is reflected in the transcript excerpt.

Transcript Highlights:

• And the reason why it is is because we actually have those home health aides, those CNAs, those phlebotomists

Summary: The Appropriations Committee on Higher Education met to focus on nursing education funding, workforce supply, and Florida’s low NCLEX pass rates. The chair emphasized that Florida ranks last nationally in nursing exam pass rates and said the committee wants to use budget decisions and a forthcoming nursing bill to improve outcomes. The Florida Center for Nursing at USF presented preliminary workforce and education data showing RN supply is moving toward equilibrium with demand through 2037, while LPN shortages are projected to worsen, especially in some regions. The center also reported on enrollment, retention, faculty vacancies, and NCLEX trends, noting Florida still underperforms the national average but has shown some recent improvement, including higher RN pass rates in 2024 despite fewer test takers. The center highlighted that students who test sooner after graduation tend to pass at higher rates. A panel of nursing education leaders from public universities, state colleges, technical colleges, and private institutions described how prior state pipeline and line-item funding helped expand enrollment, simulation labs, faculty hiring, student support services, and partnerships with hospitals. UNF, Galen College, College of Central Florida, Keiser University, and Lorenzo Walker Technical College each reported strategies such as expanded simulation, mental health and social work support, test-prep and remediation, and efforts to grow faculty pipelines. Several speakers said faculty recruitment and retention remain major barriers because of salary competition with hospitals, faculty debt, and aging faculty. Technical college representatives also stressed the need to strengthen LPN pathways, English-language support, and LPN-to-RN bridge programs. Members asked for ideas to improve NCLEX outcomes and discussed possible policy options, including student loan forgiveness, critical shortage supplements for faculty, incentives for students to test soon after graduation, and possible changes to timing or regulation around NCLEX eligibility. Several witnesses supported more flexible or recurring funding, while noting that one-time line funding has been useful for simulation, scholarships, and faculty support but is harder to sustain. The committee adjourned after the discussion, with the chair saying the ideas would be considered in future funding and policy decisions.

Transcript Highlights:

• a 3,000-foot setback or the five-year travel time, whichever is greater, and the chair of the House CNA
• the chair of whichever is greater and the chair of the<02:16:36.280><c> house</c><02:16:36.559><c> CNA
• committee</c><02:16:37.599><c> asked</c><02:16:38.080><c> me</c><02:16:38.639><c> to</c> the house CNA
• committee asked me to the house CNA committee asked me to create<02:16:39.080><c> a</c><02:16:39.319

Keywords: 1191, senate, all

Transcript Highlights:

• Good morning, Roxanne Gould, representing the California Naturopathic Association, the other CNA.

Keywords: 988, house, all

Transcript Highlights:

• Good morning, Roxanne Gould, representing the California Naturopathic Association, the other CNA.

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:

• Good morning, Roxanne Gould, representing the California Naturopathic Association, the other CNA.

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:

• Good morning, Roxanne Gould, representing the California Naturopathic Association, the other CNA.

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 licensing, enforcement, modernization, and consumer-protection work since the last review, and committee members focused heavily on workforce access, public safety, transparency, and fee authority. For the Respiratory Care Board, the main issues were a possible move from an associate’s degree to a bachelor’s degree for licensure, fee structure changes, and ongoing work on LVNs performing respiratory tasks. Board representatives said the degree proposal was intended to strengthen competency and could be phased in without harming access, but several public commenters—especially respiratory therapists and families of medically fragile children—argued it would worsen shortages, particularly in rural and low-income areas. Other stakeholders supported clarifying LVN authority in congregate living health facilities, while the California Medical Association flagged the proposed Advanced Practice Respiratory Therapist classification as having limited current workforce impact. The interior design segment drew the most debate. CCIDC leaders defended the current voluntary certification/title-act model, saying it establishes competency, has produced minimal complaints, and that licensure would unnecessarily disrupt the workforce and create barriers without demonstrated public harm. Committee members questioned the lack of state-style enforcement authority, transparency, and Bagley-Keene compliance, and some public commenters criticized the private structure and inconsistent plan acceptance in local jurisdictions. Supporters of the current system said the certification and commercial designation help educate building officials and allow qualified designers to work safely, while opponents argued licensure would provide clearer accountability and reduce confusion. The speech-language pathology, audiology, and hearing aid dispensers board reported major modernization gains, including online licensure processing, faster turnaround times, and new continuing education audits and advertising rules. The board supported creating a licensed audiology assistant category to improve access to care, and public commenters generally backed the board while urging continued modernization. The occupational therapy board described steady growth, improved enforcement and licensing performance, and requested additional fee authority to address rising costs; the main public comment supported the sunset extension and a reduction in advanced practice hand therapy training hours. The naturopathic medicine board emphasized consumer protection, enforcement against unlicensed practice, and the need to clarify statutes; it said most licensed naturopathic doctors practice in underserved areas and welcomed legislative collaboration on scope and enforcement issues.