Video & Transcript Research : 'competency'
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CA
California 2025-2026 Regular Session
Joint Hearing Assembly Business and Professions Committee and Senate Business, Professions and Economic Development Committee Mar 11th, 2025
Transcript Highlights:
- Importantly, it competes with the licensed market.
- It competes with the licensed market.
- It competes with the licensed market.
- So the illicit market's important, competes with the licensed market.
- Those two markets compete. They compete in price and for consumers.
Summary:
The joint informational hearing focused on the Department of Cannabis Control’s report on the condition and health of California’s cannabis industry. Department staff reviewed the evolution of state cannabis law, the creation of the current regulatory framework, licensing and compliance efforts, and enforcement against illicit cannabis and hemp-derived intoxicating cannabinoids. The department said the licensed market has grown in production and retail units sold, while active licenses and retail sales value have declined, and that the illicit market remains a major competitive factor. The department also highlighted consumer education efforts, product testing and recalls, and coordination through the state enforcement task force and other agencies.
The department’s economist said the data show continued growth in licensed production and a rising share of consumption through the licensed market, but falling wholesale and retail prices have reduced overall industry value. He identified major headwinds as taxes and fees, illicit-market competition, local prohibitions that limit retail access, regulatory costs, and broader business pressures, while noting opportunities in product innovation and possible hemp-market changes. Committee members pressed the department on enforcement, public health concerns, equity ownership and employment, delays in grant administration, pesticide testing, and whether the legal market is truly viable for small businesses and farmers. Several members argued that stronger enforcement and lower costs are needed, while one member raised concerns about cannabis-related health harms and said the hearing focused too narrowly on supply-side issues.
Public commenters from industry groups and advocacy organizations largely echoed concerns about high taxes, regulatory burdens, limited retail access, and the size of the illicit market. Many urged the Legislature not to let the excise tax rise from 15% to 19% and called for tax relief, compliance reform, more enforcement, and broader retail access. Some speakers said the report was too optimistic and did not reflect business failures, debt, and closures, while others emphasized the need to protect small farmers, address wildfire insurance, and support equity businesses. No votes or formal actions were taken; the hearing was informational only.
AZ
Transcript Highlights:
- So what I'm trying to do is balance the competing interests here.
- So what I'm trying to do is balance the competing interests here.
- They're not a competing legal system.
- They're not a competing legal system.
- So it's sort of two competing presumptions.
Bills:
SB1004, SB1012, SB1100, SB1110, SB1170, SB1213, SB1317, SB1402, SB1413, SB1416, SB1476, SB1511, SB1573, SB1655, SB1656, SB1709, SB1720, SB1723, SB1725, SCR1040
Keywords:
sex offender registration, sex offender registry, A.R.S. 13-3821, sexual offenses, public safety, GPS monitoring, electronic monitoring, transient offender, homeless registrant, online identifiers, internet identifiers, sheriff notification, Department of Public Safety, DPS, DNA collection, juvenile adjudication, kidnapping of a minor, unlawful imprisonment of a minor, lifetime registration, community notification
Summary:
The committee heard Senate Bill 1170, which would impose enhanced sentencing for selling dangerous or narcotic drugs to minors when the sale contributes to the minor’s death, and would treat the offense as a dangerous crime against children if the victim is under 15. The sponsor and families of overdose victims urged passage as a way to hold dealers accountable, while ACLU/AACJ opposition argued the bill would sweep too broadly, remove judicial discretion, and increase prison terms for people with substance use disorders. The committee recommended the bill do pass on a 5-2 vote.
Members then considered Senate Bill 1012, which would change concealed-carry signage rules for Series 12 restaurants and limit liquor-license consequences in those settings. The sponsor and gun-rights groups said the bill was a narrow correction that would not expand carry rights or property rights, while liquor-industry opponents said it would override restaurant owners’ decisions about whether to allow firearms. The committee approved the bill 6-2.
The committee also advanced Senate Bill 1511, requiring proof of lawful presence for drivers using non-domiciled commercial driver’s licenses in Arizona and allowing citations and possible impoundment when proof is not provided. The sponsor tied the bill to trucking safety and fatal crashes, while no outside speakers testified. The bill received a 6-2 do-pass recommendation. Later, the committee adopted a strike-everything amendment to Senate Bill 1100 creating a state registration/disclosure system for lobbyists representing foreign adversary principals, with Homeland Security supporting the measure and CAIR Arizona opposing it as overbroad; the amended bill passed 8-0.
Additional bills were heard and recommended do pass, including SB 1004 on GPS monitoring for homeless sex offenders, SB 1213 denying probation to unlawfully present defendants and requiring ICE notification, SB 1402 requiring probationers on electronic monitoring to pay the fee, SB 1709 mandating revocation and consecutive prison terms for probation violations by adults convicted of dangerous crimes against children, SB 1413 removing the $100,000 restitution cap for serious injury or death from moving violations, and SB 1416 updating missing-child notification and photo-distribution procedures. The committee also heard SB 1725, which would create a civil cause of action and petty offense for excessive marijuana smoke or odor drifting onto neighboring property; supporters, including a 13-year-old student and the sponsor, said it would protect neighbors and schoolchildren, while opponents argued existing trespass law is sufficient and the bill could conflict with medical marijuana protections. The transcript ends during testimony on SB 1725, before a final vote is shown.
MN
Minnesota 2025 1st Special Session
House Judiciary Finance and Civil Law Committee 1/21/25
Judiciary Finance and Civil Law
Transcript Highlights:
- And I'm really interested in the return to competency.
- interested in the return to competency interested in the return to competency so<00:31:47.799>
<00:32:30.799>- is there uh easy access and competency is there uh easy access and availability<00:31:53.240>
of< - Of course, they would come back to the court to see if they're competent to stand trial.
to court to see if they're competent to court to see if they're competent to - is there uh easy access and competency is there uh easy access and availability<00:31:53.240>
Summary:
The House Judiciary Finance and Civil Law Committee met to approve the January 16 minutes and then heard a budget presentation from State Court Administrator Jeff Shorba on behalf of the Minnesota judicial branch. Shorba described the courts’ structure, mission, and workload, noting 322 judges, about 2,800 staff, roughly 1 million district court filings annually, and a current budget of about $479 million. He emphasized the branch’s constitutional obligation to provide fair and timely access to justice and said the courts are funded almost entirely through legislative appropriations. He also highlighted recent accomplishments made possible by prior legislative funding, including eliminating the pandemic felony and gross misdemeanor backlog, expanding remote and hybrid hearings, improving courtroom technology, sustaining treatment courts, and increasing pay for interpreters and psychological examiners.
Shorba outlined the judicial branch’s 2026–27 budget request, which he said totals a 12% increase over the starting biennial base. Major requests included $77.3 million in 2026–27 and $104 million in 2028–29 for a 6% judicial salary increase and related compensation costs; $5.1 million in 2026–27 and $1.76 million in 2028–29 for digital accessibility compliance with new federal ADA rules; $4 million in 2026–27 and $800,000 in 2028–29 to modernize justice partner access to court records; $7.2 million in 2026–27 to raise pay for contract psychological examiners; and $18 million in 2026–27 to increase juror pay from $20 to $100 per day and align mileage rates with federal rates. He also discussed ongoing funding needs for interpreter services, jury costs, cybersecurity, and other statutorily required court services, saying temporary funding provided in the prior session will expire and that permanent support is needed.
Members asked questions about treatment courts, employee bargaining, and mental health competency issues. Representative Eric requested more detail on funding for newly launched and existing treatment courts, and Shorba said many treatment courts begin with federal grants before transitioning to state support after about three years. He confirmed the judicial branch negotiates its own employee contracts rather than the executive branch doing so, and said the branch has three unions plus many unrepresented employees. On mental health and competency, Shorba said the branch is focused on obtaining timely psychological evaluations and is not responsible for treatment services themselves, but acknowledged a shortage of examiners and treatment beds and said a related competency board would be testifying the following week. No votes or formal actions were taken beyond adoption of the minutes.
FL
Transcript Highlights:
- He or she receives a recommendation and verification of competence from a licensed Florida surveyor.
- If we can find another way to prove competence and try it out for five years, let's do that.
- The surveyors with whom I have worked on this bill say that that's not as necessary as proven competence
- national industry certification in land survey and receives a recommendation and verification of competence
- , but there is a requirement that you be recommended by a certified land surveyor and that your competence
Summary:
The Committee on Commerce and Tourism convened with several members present and Senators DiCeglie and McClain excused. The committee first heard a presentation from Greg Britton, State Director of the Florida Small Business Development Center Network, who described the network’s statewide small-business assistance, including startup support, export and contracting help, disaster recovery, and rural outreach. He highlighted reported 2023 impacts such as $3.9 billion in sales generated, $575.9 million in government contracts, $346.2 million in capital, and support for 2,009 new businesses, including 130 manufacturing firms over the past two years. Members asked about comparisons with SCORE and about measuring rural success, with the chair suggesting jobs and wages in rural areas would be useful metrics; Britton said he could provide job data but was unsure about wage information.
The committee then took up SB 320 by Senator Gates, which creates a five-year demonstration project for an alternative licensure pathway for surveyors and mappers. The bill would allow a “first-step” probationary license based on industry certification, apprenticeship, recommendation from a licensed Florida surveyor, and passage of the Department of Agriculture exam within the five-year period, without requiring a four-year degree. Senators asked about the labor shortage, education requirements, foreign workers, and moral character standards. Gates said the shortage is chronic and worsening, the bill has no degree requirement, and anyone meeting the qualifications could proceed regardless of visa status. The committee voted to report SB 320 favorably.
Next, the committee considered SB 316 by Senator Berman, which authorizes series limited liability companies in Florida and sets rules for how Florida and foreign series LLCs may operate and transact business in the state. Berman explained that the bill is intended to let businesses isolate liabilities across separate series while providing clearer rules for Florida citizens and businesses dealing with such entities. There were no substantive questions, one appearance form in support, and the committee voted to report SB 316 favorably before adjourning.
MN
Transcript Highlights:
- We compete against communities and airports all over the country trying to attract businesses and job
- This tax is... ...regional airports that have to compete with MSP and other bigger airports.
- We compete against communities and airports all over the country trying to attract businesses and job
- We compete against communities and airports all over the country trying to attract businesses and job
- We compete against communities and airports all over the country trying to attract businesses and job
WY
Wyoming 2026 Regular Session
Health Insurance Affordability Task Force, June 18, 2026
Health Insurance Affordability Task Force
Transcript Highlights:
- Again, another big factor, but we're competing against...
- There’s a million reasons that non-compete can be argued both sides of.
- And then the second question would be, you mentioned non-compete agreements are holding people back.
- So, Senator Crum, yes, in 2025 I sponsored the bill banning non-competes in Wyoming.
- So anybody that was under a non-compete prior to July 1st of... ...2025 remains under a non-compete.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on the Judiciary Jun 21st, 2026 at 01:00 pm
Joint Committee on the Judiciary
Transcript Highlights:
- Competency to stand trial is a big issue.
- House 1652, an act relative to reforming the competency to stand trial process, has been specified.
- House 1652, an act relative to reforming the competency to stand trial process has been specified.
- less expensive and effective alternative, which we advocate for: outpatient competency restoration.
- , so these processes... ...were competent.
Summary:
The Joint Committee on the Judiciary held a lengthy hearing on several juvenile justice and parole-related bills, with much of the testimony focused on H. 2051/S. 1087 to end lifetime parole for juveniles and emerging adults, and H. 1923 to raise the age of juvenile court jurisdiction to include 18-, 19-, and 20-year-olds. Chairs Brandy Fluker-Reid and Lydia Edwards opened the hearing by noting the large number of bills and witnesses, the need to keep testimony moving, and special procedures for incarcerated witnesses and sensitive testimony. They also acknowledged the historic nature of the hearing being chaired by two Black women attorneys. No votes were taken during the hearing itself.
Many incarcerated speakers and advocates supported ending lifetime parole, arguing that young people can change, that lifetime supervision creates constant fear of technical violations, and that it undermines rehabilitation, family stability, employment, and reintegration. Several testified about their own trauma, youth, and growth in prison programs, while others emphasized the costs of decades of supervision and the racial disparities in the system. Support also came from elected officials, UTEC, the Transformational Prison Project, United Way, CPCS’s Youth Advocacy Division, the Massachusetts Coalition to Prevent Gun Violence, and others, who said juvenile systems are better suited to developmentally appropriate treatment and that the bills would improve public safety and reduce recidivism.
There was also opposition, including testimony from family members of a murder victim who argued that lifetime parole should remain for serious violent crimes and that some offenders are not sufficiently rehabilitated. One virtual witness described a family tragedy involving the kidnapping and murder of her infant nephew and warned that ending lifetime parole could remove needed long-term supervision for dangerous offenders. In addition to the juvenile justice bills, the committee heard testimony on H. 1867, a bill related to continuing care for severe mental illness, and H. 2063, which would increase penalties for assaults on correction officers and other prison staff; the correction officers’ union supported H. 2063 and related safety bills. The hearing continued with many more witnesses and bill topics, but no final committee action was announced in the portion provided.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Mental Health, Substance Use and Recovery Jun 21st, 2026 at 01:00 pm
Joint Committee on Mental Health, Substance Use and Recovery
Transcript Highlights:
- Expanding access to screening, timely intervention, and culturally competent treatment for postpartum
- Families routinely encounter long wait lists, limited culturally competent providers, and significant
- perinatal mental health workforce in Massachusetts, ensuring that care is accessible, culturally competent
- And it really takes a lot of specific training and competency to be able to manage both in a pregnant
- And I guess I'm going back to my initial question about all of the different competing, in the dollar
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.
OK
Oklahoma 2026 Regular Session
Appropriations and Budget Jan 29th, 2026 at 01:30 pm
Appropriations and Budget
Transcript Highlights:
- Doing our work there and that will come with needing to hire more doctors to do this competency training
- Put individuals that will never retain competency and that they are under our supervision.
- It's got an increasing competency evaluations.
- I'm sure that others are thinking this as well, of the 17 million that you're asking for on the competency
- We don't have systems in place to do those things or compete.
NM
New Mexico 2026 Regular Session
Senate - Tax, Business and Transportation Jan 22nd, 2026 at 03:09 pm
Senate Tax, Business & Transportation
Transcript Highlights:
- But that doctor shortage is actually nationwide, so we are competing with other states.
- So, one, I didn't want to compete with our rural incentives... ...doing.
- So, one, I didn't want to compete with our rural incentives.
- And I didn't want to compete with that.
- But I want to thank you that this can be stacked, and it's not competing.
Keywords:
tax credit, physician, healthcare, income tax, rural health, tax deduction, gross receipts, coinsurance, managed care, 996, all
TX
Transcript Highlights:
- requiring those that are licensed through the Real Estate Commission to hold a certain level of competency
- and a certain level of competency about the geographic area.
- When you are competing against cash buyers, we have a relatively large office and presence in San Antonio
- I make no statement of competence, but in the event that that person is not performing, having come from
- This creates competing interests since there's always some work for them to perform.
FL
Florida 2025 Regular Session
Children, Families, and Elder Affairs Feb 11th, 2025
Transcript Highlights:
- And our goal is to get folks from classroom to casework to competent leadership.
- We'd like to see increased ability in the child welfare workforce, improved system partnerships, competent
- We have 3 areas of focus for coaching professional development, competency and skill development and
- You have filled days where they experience things that they just learn so certain and competencies that
- They still have a period of time where there's a valuation of those competencies.
NH
New Hampshire 2025 Regular Session
House Executive Departments and Administration Work Session on HB 145, HB 271 (02/06/2025)
Transcript Highlights:
- I mean, showing competency without education versus showing education without competency, I think the
- default is to lean towards competency, regardless of how you get it.
- And I think that what we talked about earlier is to really ensure that you are competent in the work
- <00:27:25.799>
would <00:27:25.960>be examination or competency would be examination - or competency would be different<00:27:26.440>
for <00:27:26.679>those <00:27:26.919>
Summary:
The subcommittee heard House Bill 2712, which would remove the exam requirement for licensure as a Licensed Social Work Associate (LSWA). Members expressed concern that the exam requirement was only added in 2021 and has not been in place long enough to evaluate, but they also questioned whether licensure should be granted without a meaningful measure of competency. Testimony was split: supporters argued the exam is a barrier for applicants without formal social work education, while opponents said licensure should still require some standard of competency, especially because the title carries public expectations and insurance reimbursement implications.
Karina Bonia, speaking for NASW New Hampshire, said there is very limited data because only one person in New Hampshire currently holds an LSWA. She explained that LSWA applicants may have degrees outside social work, unlike licensed social workers, and that the current exam is the same national social work exam used for higher levels of licensure. She argued that this creates a significant barrier for LSWA applicants and noted that LSWA holders are already required to complete 30 hours of training and substantial supervised hours. Members asked for data on pass/fail rates and whether a different exam or practical skills test would be more appropriate.
Committee members and OPLC representatives discussed whether the current statute and board rules already provide enough authority for the board to set other criteria, and whether the exam requirement is tied to the social work compact. OPLC indicated that the current rule requires passage of a national proctored exam approved by the board, but that no national exam exists specifically for this level, and that the board may need legislative authority to develop different criteria. The discussion ended with interest in obtaining the existing rule language and possibly revisiting the issue through amendment or future legislation rather than immediately removing the exam requirement.
HI
Hawaii 2025 Regular Session
House Chamber - Mon Mar 31, 2025, 12:00PM HST - Day 42
Hawaii House Floor Meeting
Transcript Highlights:
- They actually leave today to go and compete nationally as well.
- <00:22:28.080>
and they actually leave today to go and they actually leave today to go and compete - <00:22:28.520>
compete <00:22:29.000>nationally <00:22:29.679>as <00:22:29.840> <00:22:30.840>- > well
this compete compete nationally as well this compete compete nationally
FL
Florida 2026 5th Special Session
Regulated Industries Jan 12th, 2026
Transcript Highlights:
- only by an individual who has successfully completed an approved program and has passed a national competency
- only as delegated by a vet under the vet's responsible supervision, and to the extent the VPA is competent
- only as delegated by a vet under the vet's responsible supervision, and to the extent the VPA is competent
- No veterinarian is going to delegate to someone they’re not absolutely confident in their competence
- They will pass a national competency exam. And lastly...
Summary:
The Committee on Regulated Industries met with a quorum and took up two bills. First, it considered SB 754 on heated tobacco products. The sponsor said the bill would define heated tobacco products and exempt them from the cigarette tax, arguing they are a less harmful alternative for nicotine users. Senators asked about youth access and regulation, and the sponsor said he would research those issues further. A representative of the Florida Retail Federation appeared in support, and the committee voted the bill favorably.
The committee then heard SB 796 on veterinary medicine, after adopting a delete-everything amendment. The amended bill would create a Veterinary Professional Associate (VPA) role, allowing individuals with a master’s degree and national competency exam to perform certain delegated veterinary tasks under a licensed veterinarian’s responsible supervision. It also expanded the allowable period for telehealth prescriptions for flea and tick products and other medications. Supporters said the bill would expand access to care, reduce costs, and help address veterinary shortages, while opponents from the Florida Veterinary Medical Association argued the proposal was unnecessary, could create safety and federal-law concerns, and that existing veterinary technicians and other workforce measures were a better solution. After testimony and debate, the amendment was adopted and the bill was reported favorably.
During final debate, several senators said the VPA proposal was more limited and better balanced than earlier versions, with the veterinarian retaining liability and control over delegated duties. The sponsor closed by emphasizing rising veterinary costs, shortages of care, and the need for more affordable access for pet owners. The committee then adjourned.
KY
Kentucky 2026 Regular Session
Interim Joint Committee on State Government. (6-23-26)
State Government
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Consumer Protection and Professional Licensure Jun 21st, 2026 at 10:00 am
Joint Committee on Consumer Protection and Professional Licensure
Transcript Highlights:
- By contrast, there is a competing licensure compact called the CSG, which is before the Joint Committee
- By contrast, there is a competing licensure compact licensees.
- That bill is a competing compact.
- There are better exams out there that have been proven to show competency in keeping patients safe.
- We do this safely and effectively, proving ourselves to be more than competent.
Summary:
The committee opened a hearing of the Joint Committee on Consumer Protection and Professional Licensure focused on health care and human services, reviewed testimony logistics, and then heard a long series of witnesses on several bills. Much of the testimony centered on interstate licensure compacts for dentistry, social work, and occupational therapy, with supporters arguing these compacts would improve workforce mobility, continuity of care, and access while preserving state oversight and public protection. Dental witnesses were split on H.455/S.257, with supporters backing the AADB dental compact for its hands-on exam, background checks, and disciplinary safeguards, while opponents argued a competing compact would better promote portability and avoid conflicts tied to proprietary testing and outside commissions. Social work witnesses strongly supported H.380/S.252, emphasizing continuity of care for clients who move across state lines, reduced costs and delays for practitioners, and the compact’s public-protection features; occupational therapy witnesses similarly supported H.427/S.256, citing access, telehealth, military families, and maintained standards.
The committee also heard testimony on S.242, which would expand licensure for lactation care providers. Supporters, including lactation counselors and health center staff, said adding certified lactation counselors and related credentials would expand access, improve breastfeeding support, and allow reimbursement for services now often provided without billing. They described the training required and said the bill would help families, especially in underserved communities. Representative James O’Day also testified in support of the social work compact, and a Council of State Governments witness provided background on compact mechanics and state participation.
Another major topic was H.419/S.214 on medical debt. Physicians and researchers testified that cancer patients experience long-lasting medical debt and collections burdens, and they supported limits on the sale and collection of medical debt, bans on reporting it to credit bureaus, and related consumer protections. The hearing also included H.465 on a pathway to special licensure for certain long-term limited-registration dentists serving MassHealth patients, which Representative Senna supported as a way to allow immigrant dentists to practice independently. Finally, the committee heard sharply divided testimony on H.444/S.284, which would allow trained dental hygienists to administer Botox and dermal fillers: supporters framed it as a safe, preventive, and access-expanding tool for TMJ, bruxism, and pain management, while dermatologists opposed it as outside hygienists’ training and a patient-safety risk. No votes or formal actions were taken during the hearing.
WA
Washington 2025-2026 Regular Session
Senate Health & Long-Term Care Jul 22nd, 2025
Transcript Highlights:
- You mentioned there's funding that will be available for states to competitively compete for that, a
- We'll have to work through them because they have competing timelines, which is something that we're
- Through them because they have competing timelines, which is something that we're still working through
- That is either approved by the board or described by the board in terms of what competencies will be
- That is either approved by the board or described by the board in terms of what are the competencies
Summary:
The committee first received an update on the effects of HR1 and related federal Medicaid and marketplace changes from Governor’s Office and Health Care Authority staff. Presenters said the most immediate coverage losses are expected in the individual market beginning in January, with premium increases and an estimated 80,000 people potentially unable to afford coverage. They warned that larger Medicaid impacts will follow over the next year and beyond, including tighter eligibility checks, work requirements, reduced retroactive coverage, limits on state-directed payments and provider taxes, new cost-sharing, and changes affecting certain non-citizen adults. They also said the state plans to seek a waiver or extension for work requirements and will continue to analyze impacts, including on rural providers and Planned Parenthood-related services. Members asked about the effect on nursing homes, rural hospitals, and how the state can help providers and enrollees navigate the new requirements; staff said timelines and a state-specific implementation chart are being developed.
The committee then heard a report on the International Medical Graduate Work Group and Washington’s efforts to create pathways for internationally trained physicians. Testimony described the clinical experience license, the clinical evaluation assessment tool, grant funding for IMG support organizations, and a new hardship waiver process enacted this year. National presenters said many states have adopted similar pathways because of physician shortages, but Washington and Tennessee are among the few states that have actually issued licenses so far. They recommended clear guardrails, an employment offer before application, ECFMG certification, supervised practice, and data collection to avoid exploitation and protect patients. Members asked about state-to-state variation, retention of IMGs, and whether Washington should pursue dedicated residency or preceptorship options; presenters said the key next step is moving successful participants from supervised experience to a durable long-term license.
The final topic was implementation of Washington’s Apple Health doula benefit and the statewide doula hub and referral system. Senator T’wina Nobles highlighted the state’s $3,500 per-birth Medicaid reimbursement rate for doulas and the importance of the hub for referrals, training, and billing. Health Care Authority staff said the benefit launched January 1, 2025, and covers prenatal intake, labor and delivery, postpartum visits, and telehealth-supported services. They reported 336 state-certified doulas, 134 enrolled in Apple Health, 287 unique clients served, and 641 claims paid so far. Testimony emphasized doulas’ role in improving birth outcomes, reducing unnecessary interventions, and addressing racial disparities in maternal health, while noting that implementation is still early and ongoing.
NM
New Mexico 2026 Regular Session
Senate - Conservation Feb 12th, 2026 at 09:03 am
Senate Conservation
Transcript Highlights:
- Independent dealerships compete for your business.
- Independent dealerships compete for your business every day.
- When manufacturers are permitted to compete directly with their own dealers, it undermines confidence
- Locally owned dealerships compete for customers and talent, reinvesting profit...
- We should let them compete.
NM
Transcript Highlights:
- are in their skills and abilities, and how do we manage that and move them forward toward being competent
- , both readers and competent in the area of mathematics.
- and understanding, and the... ...to the level of their math competency and understanding.
- So just wanted to ask you all how cultural competence will be inserted into these measures. Mr.
- And so competent schools and teachers and all would be doing all of these things in both languages.
Keywords:
SB29, math requirements for teaching license, teacher licensure, teacher endorsement, mathematics methods, elementary education, secondary education, special education, early childhood education, reciprocity, Public Education Department, Mathematics and Science Education Act, mathematics instructional leadership framework, professional learning plan, K-3 screening, mathematics screening assessment, mathematics difficulty, support plan, multilevel support, intervention