Transcript Highlights:

• According to the American Academy of Family Physicians, naturopathic education and training do not prepare
• naturopathic education and training do not prepare them to properly and accurately diagnose illness
• Jill Pocket with the Florida Association of Nurse Practitioners waiving in support.
• Victoria's app with Florida Association of Nurse Practitioners waiving in support.
• Victoria's app with Florida Association of Nurse Practitioners waiving in support.

Transcript Highlights:

• We get a consultant to do the bidding, the bid documents, prepare the specs for the actual project, and
• We get a consultant to do the bidding, the bid documents, prepare the specs for the actual project, and
• I just want to add that the revenue estimate that we prepared estimates that we would hit the cap in
• Descendants and cultural practitioners of that place.
• Mahalo. ...as cultural practitioners, that OHA stands ready to provide consult, and I would hope, and

Committee: House Water & Land

Summary: The Committee on Water and Land met on March 13, 2025, and first announced that SB 1456 would be deferred to the end of the agenda and ultimately worked on later, with the chair indicating the bill would be deferred and revisited in a future measure. The committee then heard SB 841 on marine life conservation districts. DLNR supported the bill, saying it would fund carrying capacity studies to inform rules and policies. Testimony noted a pilot study already underway at the Puka Marine Life Conservation District and another nearing completion at the old Kona Airport MLCD. Members discussed costs, with DLNR estimating about $300,000 per year for one user-experience study, potentially more for ecological analysis, and also discussed possible funding from the Mālama Kai special fund. DLNR said it had no objection to consulting current operators and other users, and explained the program would be a new, ongoing adaptive-management tool. The committee next heard SB 411 on capital improvement projects at small boat harbors. DLNR supported the intent, saying the bill would help expedite use of special funds for CIP work, while the Department of Budget and Finance opposed it, arguing the draft could conflict with constitutional limits on appropriations. Public testimony from an industry representative supported the bill and urged more collaboration with commercial operators, while committee discussion focused on whether DLNR could already use special funds for repairs, how much engineering and bidding work is required before projects go out to bid, and whether the current process creates bottlenecks when bids exceed initial estimates. DLNR said it can do some repairs and maintenance within existing authority and funding ceilings, but that the bill as drafted could be too broad. The committee also heard SB 5 on historic preservation, where DLNR supported the measure and NAOP Hawaii opposed it, saying the bill’s broader definition could expand the scope beyond the stated goal of narrowing reviews and reducing backlog. The committee then took up SB 1462 on the state historic preservation income tax credit. The Department of Taxation said the revenue estimate assumes the cap would be reached each year the credit is available, and DLNR supported the bill. SHPD said the prior credit had sunset, outreach had previously been done in targeted communities such as Chinatown, and owners of eligible historic properties are notified during review. Finally, the committee heard SB 268 on island burial councils. DLNR supported the bill, and OHA strongly supported it, saying the councils have struggled with quorum and expertise and that the measure would restore the original intent of having lineal descendants and cultural practitioners as decision makers, while still allowing landowners and developers to testify and participate. OHA also said it would help provide technical support and urged continued involvement from SHPD and the Attorney General’s office.

Transcript Highlights:

• You know, in addition to the medical malpractice... ...for both patients and medical practitioners.
• But we also need to continue to be prepared for the pushback and for really...
• So we have more nurse practitioners and physician assistants providing primary care. Okay.
• The estimates we were prepared were very low, because this was a number of years ago.
• The estimates which we were prepared were very low, because this is a number of years ago.

Summary: The committee first approved the minutes from its fourth meeting, held October 27-28 in Santa Fe, with Representative Duncan moving approval and no opposition. The chair then introduced a panel on the cost of providing medical care in New Mexico, focusing on physician shortages, rising practice costs, and access problems, especially in southern New Mexico and Las Cruces. Panelists included family physicians, a pediatrician, a cardiologist/electrophysiologist, and a community health center medical director, who described their backgrounds and practices before turning to the policy discussion. The doctors argued that New Mexico is losing physicians because of three main pressures: medical malpractice exposure, gross receipts tax on medical services, and low Medicaid reimbursement. They said malpractice premiums are much higher than in neighboring states, punitive damages and venue shopping increase risk, and the patient compensation fund and attorney fee structure create additional costs. They also described administrative burdens from insurance billing and referrals, the high debt and long training period for physicians, and the effect of corporate medicine and private equity on practice decisions. One panelist emphasized the economic impact of each physician on jobs and local spending, while another noted that shortages force patients into emergency rooms and delay specialty care. The panel presented a list of proposed solutions: reform punitive damages, limit venue shopping and stacking, restore lifetime medical payments from the patient compensation fund, enact apology protections, cap attorney fees, continue Medicaid funding improvements, and eliminate gross receipts tax on medical and dental services. Committee members generally agreed the presentation was thorough and useful, but several noted that some proposals fall outside this committee’s jurisdiction and would likely need to move through other committees, especially judiciary and tax. Some members supported drafting legislation or working on separate bills, while others urged caution, requested more input from hospitals and economists, and raised concerns about local government revenue impacts from GRT changes. The chair concluded by encouraging members to continue discussions offline and noted that the tax-related issue would be taken up further in the next day’s work.

Transcript Highlights:

• you go to page 7 on the staff analysis, you'll see one of the things that repeals is that the practitioner
• Alison Carvajal, Florida Nurse Practitioner Network, is waving against. We're in debate.
• and should not be using. ...as well as other practitioners to prevent any practitioner, including physicians
• The bill does not prohibit any practitioners from calling themselves doctors or physicians.
• Instead, the bill speaks to all licensed health care practitioners, not optometrists specifically.

Committee: Senate Health Policy

Summary: The committee took up a large health policy agenda. SB 1568 on electronic prescribing was explained as a federal conformity measure, but members raised concerns about preserving patients’ ability to obtain paper prescriptions and about exemptions for emergency, hospice, and other situations. Emergency physicians testified in support of e-prescribing but asked for flexibility, and the bill was reported favorably despite Senator Harrell’s opposition. SB 1606 on patient access to records sought to standardize record-production timelines and require electronic delivery when available; after an amendment correcting a drafting error, the bill drew concerns about HIPAA, behavioral health confidentiality, and the distinction between personal and legal representatives, and it was reported unfavorably as a committee substitute. The committee then approved SB 1346 on fentanyl testing, with a technical amendment, to require hospitals and campus emergency departments to test for fentanyl in urine testing for suspected overdose or poisoning. SB 1224 on administration of controlled substances by paramedics was amended to clarify language and reported favorably. SB 656 on health care billing and collection activities was substantially revised by strike-all amendment to allow sale of medical debt to third parties under new limits, including no interest or fees and return of debt if charity care applies; it was reported favorably as a committee substitute. SB 68 expanded health facilities authority financing to include not-for-profit LLCs and parent companies, and SB 524 added Duchenne muscular dystrophy to the newborn screening panel; both were reported favorably. Later, the committee approved SB 1842 on out-of-network referrals after multiple amendments, requiring providers to verify network participation at the point of service and notify patients in writing, though several members and physicians warned it could burden providers and increase workload. The committee also advanced proposed committee bill SB 7028, which revises the Casey DeSantis Cancer Research Program, adds oversight and reporting requirements, creates a pediatric cancer research incubator, and establishes the Bascom-Palmer VisionGen initiative; cancer center representatives testified in strong support, and the bill was reported favorably as a committee bill. SB 172 on specialty titles and designations was amended to clarify enforcement and was reported favorably after supporters said it would prevent misleading use of specialist titles, while opponents argued it could confuse practitioners’ titles. Finally, SB 1690 on surrendered infants was reported favorably after supporters said it would codify and expand safe-haven baby box procedures and opponents raised safety concerns about the devices. The committee also noted SB 1606 remained pending for reconsideration next week before adjourning.

Transcript Highlights:

• The change simply aligns the definition of practitioner so that it is the same for both out-of-state
• so that it is the same for practitioner so that it is the same for both<00:03:47.959><c> out</c><00:
• He said he has pharmacies in Eastern Kentucky and had a nurse practitioner pass away in a road accident
• pass away in a um in a road practitioner pass away in a um in a road accident<00:07:11.319><c> and</
• everyone is prepared to approach this<00:14:04.720><c> in</c><00:14:04.880><c> a</c><00:14:05.079><c

Summary: The Health Services Committee met with a quorum and first considered House Bill 389, a cleanup measure related to the CASPER prescription monitoring program. Representative Duval and staff explained that the bill addresses implementation issues the Office of Inspector General encountered and aligns the definition of “practitioner” for in-state and out-of-state providers. The committee took no questions, then approved the bill unanimously and reported it favorably. The committee then heard House Bill 501, which would allow a pharmacist to fill a prescription for a limited period after the prescribing provider has died, so patients can maintain continuity of care. Sponsors and a pharmacist witness said the bill is intended to reduce uncertainty and liability for pharmacists, excludes controlled substances to comply with federal law, and leaves professional judgment with the pharmacist. Members asked about documentation and verification, and the sponsor said the bill applies when the pharmacist knows of the death and that pharmacies would document the situation as they normally do. The committee discussed the issue briefly and passed the bill unanimously with favorable expression. Finally, the committee took up House Bill 414 for discussion only. Representative Tate and Adia Wisher described it as “Love Them Both,” a perinatal palliative care proposal meant to provide wraparound support for women and families facing fatal fetal anomalies or other serious pregnancy complications. Testimony emphasized that the bill would encourage referrals to programs offering medical, emotional, spiritual, financial, and bereavement support, with examples such as Footprints at St. Elizabeth. Members discussed access, referrals, counseling, coverage language, and the role of fathers, and supporters stressed that the services would be optional and intended to broaden support rather than impose penalties. No vote was taken on House Bill 414.

Transcript Highlights:

• It comes before the Senate for its final passage: An Act Relative to Teachers Preparation and Student
• In fact, nurse practitioners, physician assistants.
• We just flip words and put nurse practitioners first as we define the care team.
• , and we have changed it to that may include, but not be limited to, physicians, nurse practitioners,
• So we're just flipping words around to define the care team so that we bring out nurse practitioners.

Summary: The Senate considered a series of amendments to a primary care health care bill and also took up a separate literacy bill. Several amendments were withdrawn, including one on artificial intelligence in health care and others related to cost controls, direct primary care, and provider studies. The Senate adopted amendments on preserving access to treatment for serious mental illness, modernizing the definition of primary care, clarifying payment rates for community health centers, excluding pharmaceutical spending from primary care expenditure calculations, and strengthening health equity reporting. Other amendments on rate bands, alternative payment systems, private equity reporting, scope of practice, and ownership disclosure were rejected. The Senate then approved the Ways and Means amendment and ordered the primary care bill to a third reading. The chamber also took up final passage of An Act Relative to Teachers Preparation and Student Literacy, with senators describing it as a long-awaited compromise focused on improving early reading outcomes. Supporters said the bill requires evidence-based K-3 literacy curricula, regular student screening and family notification, dyslexia screening protocols, professional development for teachers, and a free state-developed curriculum option. Senators emphasized the need to address declining third-grade reading proficiency and equity gaps. The bill passed to be enacted by a unanimous roll call and was sent to the Governor. After the literacy bill, the Senate returned to the primary care bill, where senators again debated cost containment, innovation, and access. The final version included the adopted amendments and was passed to be engrossed by a roll call vote of 35-4. The Senate then adopted an adjournment order and recessed, adjourning in memory of Henry Thomas III, former Representative Ben Swan, and Mr. Dennis Frane.

Transcript Highlights:

• It comes before the Senate for its final passage: An Act Relative to Teachers Preparation and Student
• In fact, nurse practitioners, physician assistants.
• We just flip words and put nurse practitioners first as we define the care team.
• , and we have changed it to that may include, but not be limited to, physicians, nurse practitioners,
• So we're just flipping words around to define the care team so that we bring out nurse practitioners.

Summary: The Senate first considered several amendments to a primary care/health care bill. Amendment 1, on artificial intelligence in health care and mental health services, was withdrawn by unanimous consent. Amendment 37, which would have required a rate band for outpatient primary care reimbursement, was debated and then defeated on a roll call, 5-33. Amendment 39, on direct primary care arrangements and deductible credits, was also defeated 5-33. The chamber then took up and passed the conference report for An Act Relative to Teachers Preparation and Student Literacy (H. 5511), with senators emphasizing the need for evidence-based literacy instruction, universal screening, dyslexia screening, teacher training, and implementation funding; the bill was enacted and sent to the Governor after a 39-0 roll call. The Senate then returned to Amendment 60 on the primary care bill, which would have created a “safety valve” allowing alternative payment systems to be proposed to the Health Policy Commission. After debate over whether the bill already allowed flexibility, the amendment was defeated 5-33. Amendment 50, requiring stronger health equity reporting, was adopted. Amendment 66, a technical fix setting commercial payment rates for community health centers at the MassHealth PPS rate, was adopted. Amendment 24, excluding pharmaceutical spending from the primary care spending baseline and target, was adopted. Amendment 45, a study on expanding the role of allied health professionals, was withdrawn. Amendment 48, a group purchasing cooperative pilot, and amendments 53, 61, and 63 were also withdrawn. The Senate adopted Amendment 64, which prohibits prior authorization from delaying FDA-approved medications for serious mental illness, and rejected Amendment 68 on reporting private equity investment in primary and specialty care, as well as Amendments 71 and 72 on scope of practice and ownership disclosure. Amendment 62, a technical change modernizing the definition of primary care and clarifying the care team, was adopted. Amendment 21, the Senate Ways and Means amendment, was then adopted, the bill was ordered to a third reading, and the Senate passed An Act relative to primary care for you (S. 3116) to be engrossed on a 35-4 roll call. The Senate then adjourned to a later date, with memorial references at adjournment.

Transcript Highlights:

• Jill Paget with the Florida Association of Nurse Practitioners waiving in support.
• Victoria Zepp with Florida Association of Nurse Practitioners waiving in support.
• Victoria Zapp with Florida Association of Nurse Practitioners waiving in support.
• Jill Puckett with the Florida Association of Nurse Practitioners waiving in support.
• Joe Puckett with Florida Association of Nurse Practitioners waiving in support.

Transcript Highlights:

• The bill prohibits DHS from requiring licensed registered nurse practitioners to obtain any other license
• The bill prohibits DHS from requiring licensed registered nurse practitioners to obtain any other license
• at Mayo Clinic, hoping to transition as a practicing nurse practitioner in that department.
• It's the first section of House Bill 2050 that includes registered nurse practitioners, allowing the
• Looking for a way to maintain control over my life and keep my diagnosis private until I was prepared

Bills: HB2050 , HB2082 , HB2176 , HB2195 , HB2202 , HB2307 , HB2584

Committees: Senate Health and Human Services , Senate Senate Health and Human Services COR

Keywords: radiologic technologist, radiologist assistant, radiology, imaging, x-ray, diagnostic x-ray, fluoroscopy, mammography, computed tomography, CT technologist, nuclear medicine technologist, bone densitometry, radiation safety, radiation licensing, scope of practice, health workforce, rural health care, critical access hospital, supervision, telehealth

Transcript Highlights:

• These new programs are strategically designed to prepare graduates for high demand fields ensuring Texas
• Water and Environment, for example, our research teams are actively preparing Texas State to become the
• Are there currently psychiatric mental health health nurse practitioners in Texas or would this be a
• The local communities of West Texas are ill-prepared for managing the precious water resources in the
• In support of the state's mission to provide a learning experience that prepares students to excel in

Committee: House Appropriations - S/C on Article III

Transcript Highlights:

• Chair's preparing to close, to clear the vote. Ten yeas, zero nays.
• Chairman Newton said he was prepared to present SB 206.
• Chairman, excuse me, are you prepared to Representative, or Mr.
• Are you prepared to present SB 1380? I am. Thank you, Mr. Chairman.
• Are you prepared to present SB 1572? I am. Thank you, Mr. Chairman.

Bills: SB206 , SB640 , SB667 , SB1344 , SB1380 , SB1423 , SB1425 , SB1436 , SB1484 , SB1500 , SB1502 , SB1503 , SB1557 , SB1562 , SB1572 , SB1644 , SB1645 , SB1794 , SB1796 , SB1806 , SB1849 , SB1984 , SB2007 , SB2074

Committee: House Health and Human Services Oversight

Summary: The committee opened with prayer and then took up a series of health and human services bills, most of them moving forward on do-pass motions. Senate Bill 1645 would set audit procedures for Medicaid providers, with discussion focused on protecting providers from penalties for scrivener’s or typographical errors while still holding them accountable for fraud or failure to provide services. Senate Bills 1796 and 1806 addressed foster care, including a 72-hour cap on informal care and extending foster care to age 21 for youth continuing their education. Senate Bills 1423, 1425, and 1502 all repealed outdated advisory councils or programs that were no longer active or needed. SB 206, as amended, expanded licensed ambulance services as essential services to help them access more federal funding, and SB 500 sought to prevent pharmacy benefit managers from delaying payments to pharmacists. These measures were reported out with unanimous or near-unanimous votes. The committee also heard Senate Bill 1503, which would allow certain nonprofit pregnancy-support organizations without an Oklahoma physical address to apply for Choosing Childbirth grants. Members questioned whether state dollars could go to out-of-state personnel and how telehealth and reporting requirements would work. The bill was laid over for further amendment work. Senate Bill 1557 would place certified behavioral analysts under the State Board of Examiners of Psychology, and members raised questions about how it might interact with a separate bill affecting board authority; it passed after discussion. Senate Bill 1894 gave the podiatry board authority over continuing education, and SB 1984 was a cleanup bill for the Board of Osteopathic Medicine, including authority over certain licensure and telemedicine-related review issues; both passed after questions about scope and reciprocity. Later, the committee considered several pharmacy and insurance-related bills. SB 1344 created an insulin access and affordability program to partner with manufacturers of low-cost biosimilar insulin, and SB 1380 required Medicaid eligibility checks against death records, with an amendment discussed to protect long-term care facilities from retroactive nonpayment when eligibility is delayed. SB 1572 would commission a feasibility study on dissolving the Department of Mental Health and temporarily allow the Health Care Authority commissioner to oversee both agencies. SB 2007 required PBMs to reimburse pharmacists at actual acquisition cost when reimbursement falls below cost, with escalating fines for noncompliance. SB 2074 would impose a mandatory dispensing fee tied to the Medicaid rate; it drew extensive debate over whether costs would be shifted to employers, employees, or the state, and over the impact on pharmacy closures and rural access. The committee ultimately reported the bills out, with SB 2074 passing after lengthy discussion and a final vote.

Transcript Highlights:

• I’m an autonomous nurse practitioner.’
• Gail Harrell, and underneath says licensed nurse practitioner, doctor of nurse practitioner, that you
• practitioner as well.
• nurse practitioner degrees.
• Continuing education is about preparation.

Bills: S0036 , S0864 , S0268 , S0844 , S0514 , S1404 , S0914 , S1758

Committee: Senate Health Policy

Summary: The committee first considered SB 268, a public records exemption for emergency physicians. Senator Rodriguez’s strike-all amendment narrowed and clarified the exemption, and testimony from an emergency physician described threats, harassment, and safety concerns tied to mandatory reporting and patient encounters. The committee adopted the amendment and reported the bill favorably as a committee substitute. Members then heard SB 514, creating the Dula Support for Healthy Births Pilot Program in Broward, Miami-Dade, and Palm Beach counties for pregnant and postpartum women affected by substance use disorder. Senator Osgood explained the pilot would provide non-medical doula support and data collection, and an amendment changed the funding source to specific appropriations in the General Appropriations Act. Supporters said doula care can improve maternal and infant outcomes and complement medical providers. The committee adopted the amendment and reported the bill favorably as a committee substitute. The committee also approved SB 36 on use of professional nursing titles after extensive debate over whether nurses with doctoral degrees should be allowed to use “doctor” in clinical settings, with concerns raised about patient confusion and the need for clearer identification. The bill was amended to align with the House version and then reported favorably as a committee substitute. The committee next approved SB 864, a public records exemption for uterine fibroid research data, after a technical amendment setting a July 1, 2026 effective date; Senator Sharif said the exemption is needed so the Department of Health can collect sensitive data for the related research bill. SB 844, requiring continuing education on sickle cell disease care management for certain licensed physicians and nurses, was also reported favorably after emotional testimony from patients and advocates describing delayed care and bias. Later, the committee approved SB 1404 on memory care, after a strike-all amendment creating a new memory care specialty license for assisted living facilities that advertise or provide specialized memory care services, while allowing optional supportive services without the new license. Supporters from the senior living industry backed the clarification. The committee then passed SB 914, which clarifies that licensed occupational therapists may perform dry needling, after an amendment adjusting supervision and continuing education language. Finally, the committee took up SB 1758, a broad Medicaid and SNAP reform bill that would strengthen fraud enforcement, impose Medicaid work requirements for certain able-bodied adults, expand behavioral health services, modernize drug purchasing and prior authorization, and require SNAP fraud-reduction measures. Several amendments were adopted, and members questioned the work requirement, implementation costs, EBT card photo identification, and due process concerns; debate continued as the transcript ended.

Transcript Highlights:

• It comes before the Senate for its final passage: An Act Relative to Teachers Preparation and Student
• In fact, nurse practitioners, physician assistants.
• We just flip words and put nurse practitioners first as we define the care team.
• We just flip words and put nurse practitioners first as we define the care team.
• , and we have changed it to that may include, but not be limited to, physicians, nurse practitioners,

Transcript Highlights:

• , we—that is prepared as part of what will follow that individual for the rest of their lives.
• First, in recognition that physician assistants and nurse practitioners can sign a POLST, it updates
• Like other advanced practice providers, including nurse practitioners, clinical nurse specialists...
• under standardized procedures and are prepared through graduate-level study.
• And so that gives, again, the restaurants over a year and a half to prepare if this bill is passed and

Summary: The Senate Committee on Health heard several bills focused on Medi-Cal access, HIV prevention, death certificate amendments, caregiver certification, advance care planning, and sugar-sweetened beverage labeling. SB 1422 by Senator Durazo would restore Medi-Cal access for income-eligible undocumented adults beginning January 1, 2027. The author and many supporters argued the enrollment freeze shifts costs to counties and hospitals, worsens health outcomes, and undermines California’s prior coverage gains. County, labor, health, immigrant-rights, and provider groups testified in support; there was no opposition. Committee members generally expressed support but also raised concerns about funding and the need for new revenue sources. The bill was discussed while the committee lacked quorum, so no vote was taken at that time. The committee also heard SB 1023 on PrEP access, SB 1071 on death certificate amendments after homicide findings, SB 1057 on criminal-history review for CNA and home health aide certification, and SB 1088 on POLST and advance care planning updates. SB 1023 would require insurers that cover injectable PrEP under the medical benefit to also cover it through the pharmacy benefit; supporters said this would reduce administrative barriers and improve access, while health plans and insurers opposed it as an unnecessary mandate that could blur benefit design lines. SB 1071 would allow next of kin to amend a death certificate’s manner of death to homicide after a final court determination; families and law enforcement supported it as a matter of truth and closure, while coroners opposed it as blurring medical and legal findings and potentially distorting public health data. SB 1057 would replace automatic denial with individualized review for certain convictions in CNA and home health aide certification, and SB 1088 would modernize POLST/DNR rules, including electronic signatures, out-of-state recognition, and clarifying who may sign; both drew support, though clinical nurse specialists opposed SB 1088 because they were not included as authorized signers. Several of these bills were heard without quorum, so no votes were taken during the discussion. After quorum was established, the committee heard SB 869 by Senator Weber-Pierce, which would require large chain restaurants to display a clear added-sugar icon next to beverages exceeding 50% of the daily recommended limit. The author and supporters, including the American Diabetes Association and an emergency physician, said consumers need simple, visible information at the point of purchase to better understand health risks tied to sugary drinks. The bill was framed as a public health transparency measure aimed at diabetes, obesity, and other chronic disease prevention. The transcript ends during testimony on SB 869, before any final committee action or vote is shown.

Transcript Highlights:

• I wasn't prepared for those specific numbers.
• Maybe it's a nurse practitioner with extensive care with CAR babies or babies born exposed to substances
• My name's Gloria Dorety, a PhD-prepared nurse and nurse practitioner.
• I'm here representing the New Mexico Nursing Association and the New Mexico Nurse Practitioner Council
• -prepared nurse practitioner and nurse... ...and a recipient of this in the past.

Summary: The Senate Health and Public Affairs Committee heard several measures focused on health and child welfare. House Bill 65 would codify and fund CYFD’s foster care plus short-term stabilization pilot for children in state custody with behavioral health needs, using clinical experts and specialized foster parent training to reduce office stays, hotel placements, and multiple placements. CYFD and child welfare advocates supported the bill, while senators raised concerns about cultural competency, ICWA/IFPA compliance, LGBTQ youth placement, and the need to spell out protections in statute. The bill passed 9-0 to the next committee. The committee then considered House Bill 13 and House Bill 14, joining the occupational therapy compact and the dentist/dental hygienist compact. Both bills drew support from health agencies, chambers of commerce, and professional groups as workforce tools to improve licensure portability and recruitment. Members, however, were uneasy about late-arriving amendments, venue provisions, commission authority, and how much control New Mexico would retain over compact rules and enforcement. After debate, HB 13 advanced 6-3 and HB 14 advanced 7-3, both to Judiciary. House Bill 256, which would require school emergency response plans to include cardiac emergencies during athletic activities, received support from the American Heart Association and nursing advocates, who cited survival benefits from rapid AED use and CPR. Questions centered on travel across state lines, private and religious schools, homeschool athletics, and enforcement, but the bill passed 10-0. House Bill 66, which updates the health care professional loan repayment program to increase physician awards and broaden recruitment incentives, was backed by provider groups and business organizations; dentists noted concerns about equity, but the bill passed 5-0.

Transcript Highlights:

• the licensure process, including degree requirements, supervision requirements, and examination preparation
• In addition to ...licensure requirements and examination preparation.
• The behavioral health landscape is evolving rapidly, and the board is preparing for the future by focusing
• Sodergren, are you mainly here for questions or do you have any prepared remarks?
• And can you confirm for us how we are tracking the practitioners in other states to make sure they're

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

Transcript Highlights:

• </c> to be vigilantly patient and prepared to be vigilantly patient and prepared during<00:36:57.400>
• </c> practitioner scope of practice. practitioner scope of practice.
• I am a psychiatric nurse practitioner and member of the Minnesota Nurse Practitioners Association.
• </c> Practitioners Association. Practitioners Association.
• <01:22:53.840><c> Association</c> Practitioner Association Practitioner Association expressing<01:22:

Committee: Senate Health and Human Services

Transcript Highlights:

• Our NCLEX RN pass rate performance has also been pretty great, and we've been preparing students for
• Trying to get at, Madam Chair, is it a practitioner person, or is it somebody that is a faculty type?
• So just a practitioner in the field can be a clinical instructor without being staff, without getting
• Most of them are nurse practitioners doing a great job. And so that is in its works.
• We're staffing with the nurse practitioner. We're pulling the community.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• </c> practitioners in the APRN owned clinics. practitioners in the APRN owned clinics.
• </c> that nurse practitioner that nurse practitioner and<00:04:09.120><c> I</c><00:04:09.200><c> credit
• I am not here to say that they are not good practitioners. They are good practitioners.
• They are an are good practitioners.
• ,</c> practitioner, any class of practitioner, practitioner, any class of practitioner, thinks<00:15:

Transcript Highlights:

• operate a 503A pharmacy in Kent that provides customized, patient-specific compounded sterile preparations
• The Department of Health is required to prepare a template reporting form, and the information reported
• bill that relates to certain aspects of nurse licensing, especially advanced registered nurse practitioners
• The amendment modifies the definition of certified nurse practitioner to mean an advanced registered
• nurse practitioner who has obtained specialty certification in the certified nurse practitioner designation

Summary: The committee held public hearings on several health-related bills. House Bill 2384 would require continuing care retirement communities that offer life care contracts to submit actuarial analyses every other registration cycle for review by the Office of the Insurance Commissioner, with the Department of Social and Health Services using the review in registration decisions. The bill sponsor and residents’ advocates said it would improve transparency and protect seniors’ prepaid care promises, while the CCRC industry supported the goal but raised concerns about scope, cost, and implementation details. House Bill 2505 would exempt certain foster family homes and child-specific foster care homes from adult family home licensure when former foster youth remain in the home as adults and certain safety conditions are met; DSHS supported the narrow exemption as a way to avoid displacing vulnerable young adults. House Bill 2402 would phase out DEHP and other orthophthalates in IV solution containers and later IV tubing, with exemptions for certain blood and cell therapy products; supporters cited health and environmental risks and the availability of safer alternatives, while manufacturers and hospitals supported the goal but asked for longer timelines, supply-chain protections, and implementation assistance. In executive session, the committee took action on a series of bills. It adopted an amendment and passed House Bill 1904, which prohibits cat declawing, on a 13-3 vote. It passed a proposed substitute for House Bill 2145 on the 340B drug program on an 11-5 vote after debate over reporting requirements and the state’s authority. It rejected several amendments to House Bill 2182 on abortion medications held by the Department of Corrections, adopted an Indian health care provider priority amendment, and passed the bill on a 10-6 vote. House Bill 2211 on medically tailored meals passed 15-1. The committee also passed Substitute House Bill 2247 on veterinarian-client-patient relationships, Substitute House Bill 2329 on midwives and lactation consultants, and Substitute House Bill 2339 on nurse licensing, each with technical amendments and broad support.