Transcript Highlights:

• I am a doula, a practicing doula for the past 12 years.
• So currently, the best practices for Maternal Mortality Review Boards are to have the data within a year
• I practiced in Northeast Texas for the past 12 years. I've been in practice for 23 years.
• At that point, I had been practicing for about six years.
• In my years of practicing nursing, I had never heard of such a thing. They called the police.

Bills: HB514, HB1652, HB2117, HB2298, HB3269, HB46, HB46

Keywords: maternal health, maternal care, pregnancy, labor and delivery, postpartum, doula, birth worker, midwife, obstetric care, women's health, rural health, health workforce, workforce development, trauma-informed care, public outreach campaign, health equity, minority health, underserved communities, Texas Department of State Health Services, HHSC

Transcript Highlights:

• RECENTLY IN TALLAHASSEE A LOCAL FAMILY PREMIUMS AND IN PRACTICE THEY GO BARE.
• PRACTICING BUT WOULD MORE LIKELY RETIRE BECAUSE OF STUFF LIKE THIS. >> Chair: THANK YOU SO MUCH.
• FAMILY PRACTICE, EMERGENCY ROOM PHYSICIANS, ORTHOPEDISTS AND OBSTETRICIANS.
• NOT LONG AGO A SURGEON IN THE AREA WHERE I PRACTICE REMOVED THE LIVER OF A TOURIST WHERE I PRACTICE INTENDING
• PHYSICIANS NEED ONLY HEED TO THE SIGNS TO DO A BETTER JOB IN PRACTICE AND AVOID EGREGIOUS ERRORS.

Keywords: 999, senate, all

Transcript Highlights:

• Yet the practice of assisted pregnancy... ...birthright citizenship.
• Just what current practice is under Texas law, as you understand it.
• My practice... Of your clients, how many are international? My practice, yes, sure.
• You only practice in Texas? Yes, I'm only licensed in Texas.
• So do you practice this kind of law? Yes, I do.

Keywords: 1185, senate, all

Transcript Highlights:

• Regardless of your stance on the practice of abortion, you cannot deny... ...in Missouri.
• bill what is practically unprecedented, a non-severability clause for the whole bill.
• Again, it's practically unprecedented to have that in a bill.
• What do your practice standards require of you? What does your hospital require of you?
• We will continue to discourage people from practicing in Missouri.

Keywords: 959, house, all

Transcript Highlights:

• The bill requires ADE to develop guidelines and identify best practices and resources for schools participating
• It makes sense for ADE to thoughtfully consider fitness testing best practices and resource needs to
• And I know in my law practice, I certainly would have hired at least one more lawyer if not for the AI
• One of the reasons that AI is so useful to me in my legal practice is I learned how to practice law the
• One of the reasons that AI is so useful to me in my legal practice is I learned how to practice law the

Bills: HB2008, HB2075, HB2203, HB2395, HB2409

Keywords: school libraries, public school libraries, library funding, professional associations, library associations, librarians, information services, dues, membership fees, public monies, school governing body, county free library district, municipal library, library contracts, library services, books and programs, Arizona education, Title 15, Library Freedom Act, school district transparency

Transcript Highlights:

• Provided by a registered nurse or licensed practical nurse acting within the provider's scope of practice
• the provider's scope of practice. the provider's scope of practice.
• Beyond the legal issues, the bill presents a thorny practical problem.
• <00:35:54.320> for current policy and practice for current policy and practice for including
• for this plan to honor current practice for this plan to honor current practice of<00:36:26.640>

Keywords: 918, senate, all

Summary: The committee heard public testimony on a health insurance/home care nursing provision and on other consumer protection items. Nick Keis and Emily Walters, both parents of medically complex children, testified that commercial health plans had recently begun capping home care nursing as if it were intermittent home health visits, which they said was contrary to Minnesota law and legislative intent dating to 2010. They described severe impacts on their families, including hospitalizations, loss of nursing coverage, strain on waiver budgets, and the risk of children being forced out of the home and into institutions. Representative Bierman echoed that the bill was a straightforward clarification of existing law, not a new mandate or added cost, and a staff member later cited the statutory definition of home care nursing as ongoing, continuous nursing services that cannot be met through intermittent or visit-based care. The committee also discussed the practical difference between home health visits and private duty/home care nursing, with testimony emphasizing that the latter is medically necessary, assessed, and not unlimited in practice. Laura Sales of the Minnesota Attorney General’s Office testified on changes to the Consumer Protection Restitution Fund (CIPRA). She said the fund has begun distributing restitution, starting with consumers harmed by the closure of Woodbury Dental Arts, but that current statutory language limits the office’s flexibility to prorate payments. She asked for an amendment allowing the AGO to distribute available funds more equitably so more eligible consumers can receive some payment, rather than requiring full payment to the oldest claims first. Annette Meeks, representing Citizens Against Gambling Expansion, testified in support of banning sweepstakes gambling in the Commerce Committee omnibus report. She argued that online sweepstakes casinos are an illegal gray-market form of gambling, cited rapid growth and billions in revenue, and said other states have acted through enforcement and legislation to stop them. She urged the committee to include language from Senate File 4474 to clarify state law and prohibit sweepstakes gambling. No votes were taken in the portion of the meeting shown; members mainly asked questions and received testimony.

Transcript Highlights:

• What are the practical consequences for the patient here?
• Ideally, in ideal and practical reality.
• But we know practically that's not that.
• and makes sure that advanced practice and makes sure that advanced practice registered<00:41:03.760
• registered nurses are practicing within registered nurses are practicing within their<00:41:05.760>

Bills: HB0117, HB0126

Keywords: informed consent, abortion, civil liability, coercion, healthcare rights, fetal heartbeat, termination of pregnancy, medical emergency, Wyoming legislation, rights of minors, healthcare regulations, parental consent, 916, all

Transcript Highlights:

• <00:09:13.680> of quote dangerous and unfair practices of quote dangerous and unfair practices
• This entails preseason training, early morning practices, and after-school practice.
• on my whole family two a day practices on my whole family two a day practices traveling<01:06:24.079
• care physician to some of the Practical care physician to some of the Practical matters<01:10:11.800
• <01:34:20.560> as carried out in practice as carried out in practice as representative<01:

Keywords: 1183, house

Transcript Highlights:

• Our co-presenters before us identified best practice.
• Our co-presenters before us identified best practice.
• <01:26:02.840> in little resource to do best practice in little resource to do best practice
• This is a shift in practice and was not a part of our practice prior to the READ Act. focus on disciplinary
• and was not a part of our practice and was not a part of our practice<01:31:18.840> prior<01:

Keywords: 1187, senate, all

Transcript Highlights:

• setting is in a predominantly private-payer practice population.
• I've been in community practice since 2008 in Beverly, Massachusetts.
• They have a full scope of practice.
• Hi, I'm a family doctor in private practice in Amherst or Hampton.
• And I opened up my private practice to mitigate the wait list.

Keywords: 995, all

Summary: The Joint Committee on Mental Health, Substance Use, and Recovery held a public hearing on 17 bills focused on behavioral health workforce shortages, studies, and commissions. Chairs Mindy Domb and Senator John Velis opened by emphasizing the severity of the Commonwealth’s mental and behavioral health workforce crisis, the resulting gaps in access to care, and the legislature’s ongoing use of loan repayment programs, studies, and commissions to address these issues. They outlined hearing procedures and noted that testimony would be limited to three minutes, with written testimony also accepted. A major portion of the hearing focused on bills to expand the primary care workforce, including H. 2205/S. 1385, which would broaden eligibility for the Mass RePay loan repayment program. Testimony from the Massachusetts Medical Society, Senator Jo Comerford, and Dr. Kate Atkinson described severe primary care shortages, long wait times, physician burnout, high debt burdens, and the need to recruit and retain physicians in more practice settings and regions. Committee members asked about the likely impact of loan repayment, the role of nurse practitioners and physician assistants, and how to prioritize limited funding. Witnesses argued that primary care investment improves access and outcomes and that the bill would help sustain community-based practices. Another large block of testimony supported H. 2208/S. 1411, the proposed perinatal behavioral health care workforce trust fund, often referred to as the Moms Matter Act. March of Dimes, perinatal mental health advocates, doulas, clinicians, parents, and organizations such as the Boston Public Health Commission and Empty Arms Bereavement Support testified that postpartum depression, anxiety, substance use, and grief are widespread, often untreated, and worsened by long waitlists and a shortage of trained, culturally competent providers. Speakers repeatedly stressed that screening alone is not enough without a workforce to provide timely treatment, and several shared personal stories of postpartum illness, loss, and difficulty accessing care. The bill was also framed as a needed complement to the Commonwealth’s recent maternal health law, which increased screening and therefore increased demand for treatment. The committee also heard support for the Bridge Act, H. 2207/S. 1388, which would create mental health capacity grants for organizations serving communities at high risk of hate crimes or hate incidents. Testimony from the Jewish Community Relations Council and the bill’s sponsor described the mental health harms of hate, including anxiety, trauma, isolation, and loss of trust, and argued that community organizations need resources to build resilience and provide support. In addition, the committee heard from the Massachusetts Mental Health Counselors Association on H. 2218/S. 1380, which would update job classifications to explicitly include licensed mental health counselors and licensed supervised mental health counselors in state behavioral health roles. Witnesses said the change would modernize hiring, expand access, and better reflect current licensure and scope of practice. No votes were taken during the hearing, and the session ended with a motion to adjourn after all testimony was completed.

Transcript Highlights:

• These courts are relatively new in practice, and the thinking is to keep that consistent and let that
• The issue under Section 150.011 of our civil practice and remedy code...
• After participating in the program, I knew I couldn't allow these unethical practices to continue.
• After participating in the program, I knew I couldn't allow these unethical practices to continue.
• I'm just thinking through the practicalities of this. Yes, exactly.

Bills: HB40, HB1916, HB1973, HB2524, HB2530, HB3180, HB3421, HB3783, HB4170, HB4213, HB40

Keywords: business court, civil procedure, litigation, jurisdiction, arbitration, divorce, property division, family law, court jurisdiction, marital assets, parent-child relationship, birth certificate, identity proof, Family Code, court process, attorney fees, court costs, legal expenses, dispute resolution, child support

Transcript Highlights:

• House Bill 3434 proposes reforms to university tuition and financial aid practices, specifically the
• This practice effectively creates a system where all students' tuition dollars are used to subsidize
• The bill represents a practical, forward-looking step toward the future of Texas agriculture.
• We need research that reflects the complexity and delivers scalable, practical solutions that work in
• It also supports regenerative practices that reduce harm and improve long-term outcomes.

Transcript Highlights:

• House Bill 3434 proposes reforms to university tuition and financial aid practices, specifically the
• Practically all Pell Grant recipients would qualify, but we could look up the number that receive.
• Practices like rotational grazing, cover cropping, composting.
• While implementing countless practices. that are specific for their environmental context.
• It also supports regenerative practices that reduce... harm and improve long-term outcomes.

Bills: HB3032, HB3434, HB3574, HB5339, HB5646

Keywords: nursing education, clinical sites, health facilities, Texas Higher Education Coordinating Board, legislative study, healthcare training, tuition, financial assistance, higher education, public institutions, student support, nonresident students, Texas Education Code, resident tuition, scholarships, regenerative agriculture, grants, sustainable farming, soil health, bioremediation

Transcript Highlights:

• <01:45:29.679> for redistricting, not a usual practice for redistricting, not a usual practice
• <01:53:23.760> of from engaging in the private practice of from engaging in the private practice
• And today, six of the New practice.
• Koos already prohibit private practice Koos already prohibit private practice entirely<01:54:35.840
• <03:22:19.760> New which I think is a practical New which I think is a practical New Hampshire

Keywords: 1189, house, all

Transcript Highlights:

• I’ve been a practicing behavior analyst for over 35 years.
• I’ve been a practicing behavior analyst for over 35 years.
• And then the cost of the test, which some practices pay for the exam.
• And then the cost of the test, which some practices pay for the exam.
• There is some language in the bill about establishing scope of practice.

Keywords: 995, all

Summary: The Joint Committee on Consumer Protection and Professional Licensure opened its first hearing of the session with remarks from Chair Chan and Senate Co-Chair Pavel Payano, who emphasized consumer affordability and professional licensure reform. The chairs also reviewed public testimony rules, noting the hearing was recorded, testimony would be public, and speakers should avoid including sensitive personal information. The committee then heard testimony on several bills carried over from prior sessions and new proposals, with each witness generally speaking in support of the measure they addressed. On self-storage, Joe Doherty of the Self Storage Association supported House Bill 340 and Senate Bill 236, saying the bills would clarify abandonment procedures, allow electronic delivery and signatures for rental agreements, and address situations where a renter fails to return a signed contract after a facility sale, while preserving existing consumer protections. On housing and fair housing education, Nicholas Pelletier and counsel Justin Davidson of the Massachusetts Association of Realtors supported House Bill 343 and Senate Bill 232, which would require fair housing education for real estate licensees; they said fair housing training is already part of MAR’s programs but is not required for all licensees, and Pelletier described a personal example of discriminatory treatment in a rental application. Senators asked whether other states have similar requirements and requested follow-up information. The committee also heard strong support for House Bill 348 and Senate Bill 220 on licensure of applied behavior analysts from Dr. Pauli Gidej of MABA and Dr. Charlie Newfield of Beacon ABA Services. They argued that a dedicated board would improve oversight, speed licensing, and help reduce delays that affect access to autism services, noting the growing number of practitioners and the strain on families waiting for care. Later, Robert Mellion of the Massachusetts Package Stores Association testified for House Bill 390, which would expand alcohol license suspension penalties to all business activity for certain retailers; members questioned the impact on grocery and big-box stores, the difference between suspending alcohol sales versus closing an entire store, and whether fines in lieu of suspension would be sufficient. The committee also heard testimony in favor of House Bill 407 and Senate Bill 277 to license veterinary technicians, with witnesses saying standardized education and licensure would improve animal safety, clarify scope of practice, and better distinguish technicians from assistants. Finally, Craig Orlin of Honda supported House Bill 474 and Senate Bill 291, which would use RMV contacts to notify drivers of open safety recalls and require recall completion as part of registration renewal; he said the bills could improve recall completion rates and address the large number of unrepaired vehicles on the road. At the end of the hearing, the chair noted several bills that did not receive testimony that day, invited written submissions by email, and announced the committee would reconvene in about two weeks. Representative McKenna moved to adjourn, Representative Keefe seconded, and the committee voted to close the hearing.

Transcript Highlights:

• It updates the exempt practice settings.
• Existing statute and regulations that authorize the RCB to oversee and enforce LVN scope of practice
• Establishing a more restrictive scope of practice for LVNs working in health facilities than for LVNs
• practice for trained health care providers is an access issue.
• And scope of practice debates affect access. And so I trust you'll continue to work on that.

Summary: The Senate Committee on Business, Professions and Economic Development met as a subcommittee due to the lack of a quorum, then later established quorum and took up a series of bills, mostly sunset extensions for licensing boards. SB 1302, SB 1303, SB 1304, SB 1363, and SB 1368 all dealt with extending board operations to January 1, 2031 and making related technical or policy changes. SB 1303 for the Board of Naturopathic Medicine added a fictitious name permit program and other administrative changes, while SB 1304 for the Respiratory Care Board drew significant testimony over whether licensed vocational nurses should be allowed to perform basic respiratory tasks in skilled nursing facilities and hospitals. SB 1363 updated barbering and cosmetology apprenticeship and licensing rules, and SB 1368 added a retired license category and strengthened continuing education oversight for speech-language pathology, audiology, and hearing aid dispensers. The committee also heard SB 865, which would create a California Music Festival Preservation Grant Program to support large independent multi-day music festivals. Supporters, including Visit Sacramento and festival promoters, said the bill would protect jobs, tourism, hotel nights, and local tax revenue; opponents raised concerns about using state funds during a deficit year and questioned whether profitable events should receive subsidies. The committee also heard SB 1297, which would create regional public-private partnerships and financing tools for wildfire mitigation projects; the author and supporters said it would help address the state’s large wildfire prevention funding gap by leveraging local and private investment, while members asked how the bonds would be repaid and whether the state would bear costs. SB 993, presented on behalf of Senator Ochoa-Bogue, would restore privacy protections for mental health professionals working in correctional and state hospital settings by limiting routine disclosure of identifying information while preserving a complaint process. Supporters described safety threats, stalking, and staffing concerns, and the bill passed unanimously. SB 1304 also passed after committee discussion, with members and the author noting ongoing negotiations over LVN scope and training in higher-acuity settings. SB 865 passed on a 9-1 vote, SB 1297 passed 10-0, and the sunset bills SB 1302, SB 1303, SB 1363, and SB 1368 all advanced unanimously to the Senate Appropriations Committee. SB 1333 was not heard, and SB 1445 was on the consent calendar.

Transcript Highlights:

• But I come by this work by way of county practice.
• level where, sort of over time, what our expected practices begin to shift in the environment.
• We kind of sort of have to always be paying attention to this idea of practice drift.
• I come from a community mental health practice. around the mental health center there.
• I come from a community mental health practice.

Keywords: 970, all

Transcript Highlights:

• I'm a dentist and practice owner in God's Country, Brighton, Massachusetts.
• It's the result of opaque insurer practices.
• The practice is known as network leasing.
• We formed in 2019 to turn diagnosis from luck into everyday practice.
• This is simple, practical, preventative public health policy.

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a lengthy public hearing with more than 70 people signed up to testify, focusing mainly on health insurance and health care access bills. Early testimony centered on H.1257/S.712, which would require insurance coverage for medically necessary treatment of genetic craniofacial conditions. Supporters included legislators, dentists, and medical experts who said these conditions are not cosmetic, can severely affect eating, speech, pain, and social functioning, and often create major financial hardship because insurers deny coverage. A related dental bill, H.1262/S.676, drew technical testimony from the Life Insurance Association of Massachusetts about implementation issues with the 2022 dental loss-ratio law, while the Massachusetts Dental Society supported H.1306/S.696 on transparency in dental network leasing and opposed H.1262. Representative Gentile also testified for H.4013, which would ban for-profit acute care hospitals and for-profit health insurers in Massachusetts, arguing that profit incentives undermine patient care. A major portion of the hearing was devoted to H.1261/S.799, a bill to protect patients from surprise ambulance bills. Municipal fire chiefs, Boston EMS, nonprofit ambulance providers, and the bill’s Senate sponsor said the measure would require insurers to pay ambulance providers directly and promptly, cap patient out-of-pocket costs, and reduce confusion caused by out-of-network billing. Witnesses described ambulance services as essential public health infrastructure and said current billing practices can discourage people from calling 911 or leave municipalities and nonprofits unable to recover costs. Committee members asked about unpaid debt, municipal billing burdens, and how the bill would affect rates and reimbursement. No votes were taken during the hearing. The committee also heard extensive testimony on H.1249/S.805, which would require screening for PANS/PANDAS in medical and clinical settings. Legislators, clinicians, parents, a teen with the condition, and educators described PANS/PANDAS as an infection-triggered inflammatory illness that can present as sudden psychiatric symptoms and is often misdiagnosed as a mental health disorder. Supporters said routine screening at well visits, emergency rooms, and other clinical settings would help identify children earlier, reduce unnecessary psychiatric treatment and hospitalizations, and improve outcomes. Testifiers repeatedly urged favorable action, emphasizing the personal and financial toll on families and the potential for early treatment to prevent long-term harm. The hearing concluded with continued testimony on these bills; no committee action or votes were announced.

Transcript Highlights:

• The bill is based on research and best practices. The U.S.
• SB 1086 offers a practical solution.
• Can you describe how that law has functioned in practice?
• But I also want to be more practical in what this also offers.
• So with I want to be more practical in what this also offers.

Keywords: 987, senate, all

Transcript Highlights:

• have a significant shortage at both levels, including our nurse practitioners and other advanced practice
• happy to work with DHSS and Representative Griffith on this bill to codify what is currently the practice
• And this is really important to make sure that this is the practice going forward, to make sure that
• point that House Bill 165 authorizes physician associates, occupational therapists, and APRNs to practice
• authority of advanced practice registered nurses.

Bills: HB359, HB385, HB165

Keywords: human remains, indigent, burial, cremation, next of kin, social services, environmental impact, nursing education, preceptorship programs, healthcare workforce, nurse shortage, clinical training, dry needling, physician assistant, nurse practitioner, occupational therapist, referral process, neuromusculoskeletal pain, Western medicine

Summary: The Senate Health and Social Services Committee met with a quorum, approved the minutes from the prior two meetings, and briefly acknowledged the tragedy at Christiana Care before moving to legislation. The committee heard House Bill 385, which creates a statewide nurse preceptor grant program to expand clinical training placements for nursing students; testimony from nursing organizations, health care associations, and educators emphasized workforce shortages, the need for preceptor stipends and training, and the bill’s potential to help students complete programs and remain in Delaware. Members asked about eligibility and reporting, and several senators asked to be added as co-sponsors. Public comment was uniformly supportive, and the bill was advanced out of committee. The committee then considered House Bill 424, which repeals Delaware’s Autism Surveillance and Registration Program and requires DHSS to expunge protected health information collected through the registry. The sponsor and DHSS said the registry is no longer used for research or policy development and that repeal would reduce outdated reporting burdens; Autism Delaware, the Delaware Health Care Association, and the State Council for Persons with Disabilities support the change. A committee member raised the question of whether families would be notified before records are expunged, and DHSS said that process was not yet clear and would need further verification. Members discussed the issue, and the bill also moved forward. House Bill 419 was next, making children in foster care automatically eligible for the Purchase of Care child care subsidy and extending the same treatment to certain kinship and safety-plan placements through House Amendment 1. The Children’s Department and advocacy groups said the bill would provide immediate stability for children and caregivers, reduce delays from applications and income verification, and support working foster and kinship families. The committee also heard House Bill 359, which would allow cremation as an option for unclaimed and indigent remains when there is no family objection or next of kin cannot be found, addressing a shortage of burial plots and lowering costs; funeral industry testimony focused on preserving next-of-kin rights. Finally, the committee heard House Bill 475, creating a Delaware Nursing Advancement Fund financed by a $10 surcharge on nursing licenses and disciplinary fines to support workforce data collection and analysis through a nonprofit partner, and House Bill 165, authorizing physician associates, occupational therapists, and APRNs to perform dry needling under training and practice standards set by the Board of Medical Licensure and Discipline. All of the bills received supportive testimony, several members added their names as co-sponsors, and the committee adjourned after moving through the agenda.