Transcript Highlights:

• But what the problem is, is are we sure that everybody has access to that in terms of insurance?
• But what the problem is, is are we sure that everybody has access to that in terms of insurance?
• But if you don't have access to them by insurance, then what use are they?
• But, you know, how can they keep up with all the billing codes, those kind of things?
• So in Texas or Canada, there's Alzheimer's Alliance. Okay, in South Arkansas. Yeah. Okay.

Summary: The Arkansas Alzheimer’s Disease and Dementia Advisory Council met to introduce members, adopt its rules and procedures, approve prior minutes, and authorize the co-chairs to approve special expenses. The main discussion focused on updating the Arkansas State Plan for Alzheimer’s disease and dementia, with David Cook of the Alzheimer’s Association outlining major changes in prevalence, caregiving burden, diagnostics, and treatment since the prior plan. He noted rising disease and caregiver numbers in Arkansas, the expansion of amyloid PET access, the growing use of blood-based biomarkers, and the availability of FDA-approved treatments such as Leqembi and Kisunla, while emphasizing that access, insurance coverage, and provider education remain major barriers. Members and presenters also discussed the need to better reach rural primary care providers, who may not be aware of new diagnostics and therapies, and the bottlenecks caused by limited specialists and infusion capacity. There was concern about overreliance on blood tests without confirmatory evaluation, and several members stressed the importance of collaboration, public education, and promoting brain health through exercise and diet. The council also heard about existing programs such as the dementia services coordinator, the BOLD grant, caregiver respite grants, workforce training, and a pilot dementia resource center with UAMS Centers on Aging. The council approved a new four-part outline for the next state plan: advancing risk reduction and brain health/early detection, strengthening family caregiver support, improving access to diagnostics and treatment, and supporting access and quality of care, including workforce and crisis response. Members also agreed to consider future agenda items on new treatments, brain health and lifestyle prevention, workforce training, and possible legislative changes to the enabling statute. The meeting ended with discussion of scheduling the next meeting, tentatively set for August 12 in Hot Springs, and adjournment.

Transcript Highlights:

• But what the problem is, is are we sure that everybody has access to that in terms of insurance?
• But what the problem is, is are we sure that everybody has access to that in terms of insurance?
• But if you don't have access to them by insurance, then what use are they?
• But, you know, how can they keep up with all the billing codes, those kind of things?
• So in Texas or Canada, there's Alzheimer's Alliance. Okay, in South Arkansas. Yeah.

Summary: The Arkansas Alzheimer’s Disease and Dementia Advisory Council met with legislative members and agency, advocacy, and provider representatives present. The council adopted its rules and procedures, approved the prior meeting minutes, and authorized the co-chairs to approve special expenses. Members then heard an extensive update on the state Alzheimer’s plan and current developments in diagnosis, treatment, research, caregiving, and workforce issues. David Cook of the Alzheimer’s Association described major changes since the first state plan, including the growth of blood-based biomarkers, broader access to amyloid PET scans, and the availability of disease-slowing treatments such as Leqembi and Kisunla. He emphasized that Arkansas still faces major barriers in rural areas, including limited provider awareness, insurance coverage concerns, shortages of specialists, and long wait times for memory care and infusion services. He also highlighted caregiver burden, the need for better education and care navigation, and new efforts such as a dementia resource center pilot with UAMS, respite grants, and workforce training. Members discussed the importance of public education on brain health, diet, exercise, and risk reduction, as well as the need to collaborate with chronic disease partners and improve outreach to primary care providers. The council approved four proposed focus areas for the next state plan: advancing risk reduction, brain health, early detection and diagnosis; strengthening family caregiver support; improving access to diagnostics and treatment; and supporting access and quality of care, including workforce training and crisis response. Members also discussed possible legislative or statutory changes to keep the council active and engaged, and they agreed to pursue a future meeting in August, tentatively August 12 in Hot Springs, with additional meetings under consideration for later in the month. The meeting adjourned after no further business.

Transcript Highlights:

• Beamer and Floyd, Texas Coalition of Affordable Insurance Solutions shown against SB 1643.
• Beamer and Floyd, Texas Coalition of Affordable Insurance Solutions shown against SB 1643.
• OK, members, we're gonna call Albert Betts, executive director, Insurance Council of Texas.
• Uh, check calls Beaman Floyd, Texas Coalition Affordable Insurance Solutions against 2530.
• Albert Betts, executive director of Insurance Council of Texas, showing against SB 2530.

Summary: The committee first took up several bills and voted them out favorably without amendment: SB 2857, relating to prescription drug purchasing proof for certain health benefit plan issuers and employers; SB 1307, relating to the biennial health coverage reference guide; and SB 527, relating to health benefit coverage for general anesthesia for certain pediatric dental services. Each of those motions passed on a 7-0 roll call. The main discussion centered on SB 1643, which would require prior approval from the Texas Department of Insurance for property and casualty rate changes above 10% from a previously filed rate. The chair framed it as a response to rate volatility and rising homeowners and auto premiums, while several members questioned whether it would slow a market that is already stabilizing and could encourage insurers to file repeated increases just under the threshold. Witnesses from consumer groups supported tighter oversight and argued for a lower threshold, while insurance industry representatives opposed the bill, saying Texas’s file-and-use system and competitive market work better and that the proposal could increase costs or create uncertainty. After testimony, SB 1643 was left pending. The committee then heard SB 1642, which would replace the single Texas Department of Insurance commissioner with a three-commissioner structure and an executive director. Supporters said it could improve accountability and transparency, while opponents argued the current single-commissioner model is more efficient and avoids confusion and added cost. Witnesses also raised concerns about open meetings issues, administrative expense, and the lack of a clear model from other states. SB 1642 was also left pending. Finally, the committee heard SB 2530, the Texas Windstorm Insurance Association omnibus bill. The bill would make a number of changes to TWIA’s governance and finances, including exempting TWIA from certain taxes, moving its headquarters to a coastal county, changing board composition and voting rules, and lowering the probable maximum loss standard from 1-in-100 to 1-in-50. Supporters said the bill would strengthen TWIA’s reserve funding and improve local relevance, while opponents warned it could increase assessments, reduce reinsurance protection, and create operational risks by relocating the headquarters to the coast. The bill was left pending, and the committee then adjourned.

Transcript Highlights:

• , electrical codes, all that I guess would fall under that.
• Maybe it’s in the codes to mention codes. Okay, thanks.
• , electrical codes, all that I guess would fall under that.
• Maybe it’s in the codes to mention codes. Okay, thanks.
• Maybe it’s in the codes to mention codes. Okay, thanks.

Keywords: 1189, house, all

Transcript Highlights:

• The hospitals charge insurance companies $91 for each of those.
• Total impact is $213,000, of which 50% is covered by private insurers.
• If you are a capped insurer, the way to make more money is to go to uncapped services.
• It’s because you’re shifting capped profits in insurance to uncapped profit in service lines.
• If you are a capped insurer, the way to make more money is to go to uncapped services.

Summary: The committee first heard Senate Bill 1414 by Sen. Polsky on congenital cytomegalovirus (CMV) education. The bill would require the Department of Health, working with medical experts, to create and distribute CMV educational materials to expectant and new parents or caregivers through hospitals, birth centers, and OB/GYN practices. An amendment removed a section that would have required instruction for medical professionals, and the amended bill was reported favorably as a committee substitute. The committee then took up a block of confirmations. Appointees on tabs 2 through 7 were recommended favorably in one vote, and Chavon Harris was separately confirmed as Secretary of the Agency for Health Care Administration after extensive questioning. Senators praised her leadership and experience, while others raised concerns about Medicaid redeterminations, the state’s CORE modernization project, Hope Florida, and a DCF anti-marijuana ad campaign; Harris said she would follow up on some issues and defended the agency’s work on transparency, managed care oversight, and access to care. Her confirmation was recommended favorably, with Sen. Berman noting opposition. Several health-related bills were then heard and advanced. SB 186 by Sen. Garcia expanded epilepsy training requirements for school personnel, including charter school bus drivers, and was reported favorably. SB 902 by Sen. Garcia, after amendments narrowing dental workforce provisions and allowing certain seizure rescue medication delegation to family home health aides, was reported favorably; testimony focused on medical marijuana regulation, practitioner accountability, and concerns about park and child-care proximity restrictions. SB 196 by Sen. Sharif created a uterine fibroid research database with privacy protections and was reported favorably after emotional testimony from a patient and supporters. SB 688 by Sen. Rodriguez would reestablish licensure of naturopathic doctors; it drew both support and skepticism about diagnosis and treatment boundaries, but was reported favorably. SB 1574, Maddie’s Law, would add biliary atresia screening to newborn screening and was strongly supported by parents describing a delayed diagnosis; it was reported favorably. SB 878 on clinical laboratory personnel, SB 1092 on podiatric medicine and certain cellular/tissue-based products, and SB 1032 on medical marijuana registry timelines and veteran fee waivers were also reported favorably, while SB 1032 drew debate over longer renewal/supply periods. The committee then began SB 1760 on Medicaid oversight and program transparency, with the sponsor describing the bill’s creation of a joint legislative oversight committee and a legislative actuary.

Transcript Highlights:

• 01:49:59.920> insurance sold insurance and read insurance sold insurance and read insurance contracts
• I'm not an insurance expert.
• I'm not an insurance expert.
• camp in Texas, which happened, Mr. camp in Texas, which happened, Mr.
• . code. code.

Keywords: 1187, senate, all

Transcript Highlights:

• roads of unlimited lengths, as permitted by section 1141 of the National Fire Protection Association code
• Importantly, this is a section of code which the state of New Hampshire has not adopted.
• It is primarily an insurance bill, requested by the New Hampshire Insurance Department, and it receives
• by the New insurance bill uh requested by the New Hampshire<01:56:25.040> Insurance<01:56:25.520
• costs, unpredictable health insurance costs, unpredictable health insurance premiums,<02:38:24.800

Keywords: 1189, house, all

Transcript Highlights:

• gentleman from Texas is recognized. gentleman from Texas is recognized.
• Gentleman from Texas reserves. Reserve. Gentleman from Texas reserves.
• gentleman from Texas is recognized. gentleman from Texas is recognized.
• The gentleman from Texas, Mr. design. The gentleman from Texas, Mr.
• Gentle from Texas reserves. The Reserve. Gentle from Texas reserves.

Keywords: U.S. House of Representatives Floor Proceedings on Thursday, June 5, 2025, 1012, house, all

Transcript Highlights:

• Representative Salzman: ...Florida's roads safer and to save money on car insurance by ensuring that
• Representative, you're recognized to explain Amendment Bar Code 096789.
• That's because of weather and because of insurance requirements on the boats.
• They do not have proper insurance.
• You have to have the name and title of the boat and insurance. So they've just dropped anchor.

Transcript Highlights:

• Texas has lower payouts.
• Texas and green at the bottom.
• Actually, this is Texas data.
• like the insurance market for home insurance or car insurance.
• I have studied Texas very closely.

Transcript Highlights:

• Isn't that current code?
• In current code, when you are fined for a traffic violation in the work zone, fines are doubled.
• President, I urge passage of this bill updating our tax code.
• The bill also makes technical corrections to existing code.
• The bill also makes technical corrections to existing code. Mr. President, I urge passage.

Keywords: 994, senate, all

Transcript Highlights:

• <00:48:49.920> the this specific case the IRS code the this specific case the IRS code the
• > that Internal Revenue code says that Internal Revenue code says that scholarship<00:48:53.000
• having voice in what is federal tax code having voice in what is federal tax code in<00:50:48.440
• That insurance policy, just like fire insurance, pays out where the need is.
• insurance policy and that insurance insurance policy and that insurance policy<04:16:14.119>

Keywords: 928, house, all

Summary: The committee held a public hearing on HB 402, a bill to repeal a provision in RSA 194-F:2 stating that Education Freedom Account (EFA) funds “shall not constitute taxable income” to the parent or student. The bill sponsor argued the current language is misleading because the state cannot determine federal tax liability, and said the bill would simply remove inaccurate tax advice from state law. He cited IRS guidance and prior federal legislation, including a Ted Cruz proposal, to suggest some EFA uses may be taxable under federal law, while others may not, and said the bill could be amended if needed to avoid confusion. Testimony was sharply divided. Py Campbell opposed the bill, arguing it would unfairly single out EFA students and could amount to a tax on education funds, including for self-employed families, and recommended it be voted inexpedient to legislate. Stephen Matthew French, a tax preparer, also opposed the bill, saying IRS Publication 970 already makes clear that scholarship-type payments used for tuition and related expenses are not taxable, and that the bill addresses a problem that does not exist. He warned that adding tax reporting requirements could create administrative costs for families and the program administrator. Bill Ardinger, a tax attorney, supported the repeal of the statutory language, saying the state should not place potentially incorrect tax advice into law. He explained that under federal tax law, only certain scholarship-like uses are exempt, while many EFA-eligible expenses may not be, especially for families using the program for homeschooling or other nontraditional expenses. He said the current statute could mislead families into thinking all EFA payments are tax-free and could expose the state to future legal problems. The hearing ended after questions from committee members; no vote or final action was taken in the transcript.

Transcript Highlights:

• What exactly the Texas Department of Insurance can do about it, you would know, I would think, better
• to have insurance.
• it did inside the state of Texas.
• We in Texas have not done that. Inside the state of Texas.
• We in Texas have not done that. We in Texas have not done that.

Summary: The Senate Committee on Nominations held its final nomination hearing of the session and considered three nominees: J.B. Goodwin for the Texas Real Estate Commission, Courtney Yaltman for the Public Utility Commission of Texas, and Thomas Gleason as PUC chairman. Goodwin described his long career in real estate and charitable work, and senators questioned him extensively about the Real Estate Commission’s self-directed, semi-independent status, housing affordability, institutional homebuyers, property insurance costs, disclosure issues, and the Burnett v. National Association of Realtors case. Yaltman and Gleason were questioned about PUC oversight of ERCOT, post-Winter Storm Uri reforms, utility resilience and vegetation management after Hurricane Beryl, water and telecommunications oversight, staffing and transparency, and rising infrastructure and utility costs. Much of the discussion focused on housing and utility affordability, with several senators urging the nominees to keep consumer protection and public trust at the forefront. Goodwin said housing affordability and large-scale investment purchases were not within the Real Estate Commission’s direct purview, though he supported further study. Yaltman and Gleason said the PUC had increased oversight of ERCOT, improved communication and accountability with utilities, and was working on resiliency plans, rate-setting issues, and infrastructure planning while trying to avoid overburdening ratepayers. The committee first voted to favorably report nominees left pending from the May 5 agenda by a 6-0 roll call vote. After public testimony was opened and closed, the committee then voted on the nominees heard that day and favorably recommended all three to the full Senate for confirmation by a 7-0 vote. The committee then recessed subject to the call of the chair.

Transcript Highlights:

• So Texas has actually taken some stands on this.
• So Texas has actually taken some stands on this.
• For example, in February of 2024, there was a Texas attorney that actually pled guilty to spiking his
• As was mentioned earlier, this bill does borrow language from Texas.
• The insurance aspect? Schools versus individuals’ responsibility?

Bills: HB2076, HB2135, HB2175, HB2186, HB2223, HB2345, HB2364, HB2417, HB2440, HB2666, HB2763, HCR2043

Keywords: school safety, employee training, firearm certification, crisis response, school policies, reimbursement fund, local law enforcement, HB2135, Arizona, civil liability, private right of action, DEI, diversity equity and inclusion, critical race theory, anti-racism, race stereotyping, sex stereotyping, race scapegoating, sex scapegoating, gender identity

Summary: The Judiciary Committee heard and advanced several bills. HB 2763 would require legislative approval before the Arizona Game and Fish Commission could close a state-run shooting range. Supporters, including the sponsor, a Prescott doctor, gun-rights advocates, and Game and Fish, argued that range closures can push shooting into unsafe desert areas and that the legislature should have a voice; the bill passed 8-1. HB 2417 would let courts, at a defendant’s request, use speed-inhibiting devices instead of license suspension for certain speeding and racing offenses. The sponsor and supporters said it would help people keep working and reduce recidivism, while an Arizona Trucking Association representative warned the bill was overbroad and conflicted with federal law; the committee adopted an amendment and passed the bill 7-2. HB 2345 created a felony for unlawfully present persons possessing falsified CDLs and imposed vehicle forfeiture and employer penalties; trucking industry testimony said it was preempted by federal law and unenforceable, but the sponsor said he would keep working on it, and the bill passed 5-3 with one present after amendment. The committee also considered HB 2666, which increases penalties for sexual extortion involving victims ages 15-17. The sponsor and supporters from the anti-trafficking community and county attorney’s office said the bill responds to a serious and growing online exploitation problem affecting teens. Defense and juvenile-justice concerns focused on whether the bill could sweep in minors, create mandatory consecutive sentences, and fail to account for age-related defenses; the sponsor and supporters said they were open to discussing amendments, but the bill passed 8-0 with one present. HB 2175 would add political expression and political affiliation to Arizona’s bias-crime sentencing enhancements and create new misdemeanor-level enhancements for certain bias-motivated offenses. The sponsor, ADL, and county attorney’s office said it fills gaps and targets conduct, not speech; the ACLU and defense testimony warned it could chill speech and give prosecutors too much discretion. The bill passed 6-2 after amendment. HB 2186 would allow a passenger in a traffic stop to satisfy identity requirements by verbally providing name and date of birth rather than producing physical ID. The sponsor said it was meant to fix an unconstitutional-vagueness problem and clarify the law after a prior court issue; there was little opposition, and it passed 7-0 with one present. The committee also began hearing HB 2364, which would add penalties for distributing or receiving abortion-inducing drugs by courier, delivery, or rail service; the sponsor said it would strengthen enforcement of existing Arizona restrictions, but the transcript cuts off before testimony, debate, or any vote on that bill.

Transcript Highlights:

• the HOA as an additional insured.
• HOA as an additional insured.
• I just believe we're in an insurance catastrophe in the state expansions of insurance really make it
• But it's moving the insurance towards the HOA, from the personal insurance side.
• But this indemnity from the actual person getting insurance, who will be getting insurance, who will

Summary: The committee heard several bills from Senator Umberg and Senator Allen, with testimony from supporters and opponents before roll-call votes were taken once quorum was established. SB 253, the annual State Bar fee bill, would keep fees unchanged while requiring two-year notice for substantial changes to the bar exam, including vendor changes, and returning to an older delivery method for the upcoming exam; it was presented as a response to recent State Bar problems and the February bar exam failure. SB 25, the Pre-Merger Notification Act, would require certain merger parties to provide California’s attorney general the same Hart-Scott-Rodino materials filed federally, so state antitrust review can occur in parallel with federal review; supporters said this would reduce delay and uncertainty, while members questioned whether it would add another layer of review. SB 36 would strengthen price-gouging enforcement after the January 2025 Southern California firestorms by requiring rental-listing platforms to report suspected gouging, expanding consumer and prosecutor remedies, and allowing warrants in housing-related cases; supporters said it would close loopholes, while opponents from business groups raised concerns. All three bills were later approved on roll call, with SB 36 and SB 413 placed on call before final passage and SB 253 and SB 25 moving forward on committee votes. The committee also heard SB 413, which would streamline access to juvenile case files in certain civil cases brought by or on behalf of the youth who is the subject of the file, allowing attorneys to use heavily redacted records without first petitioning the juvenile court. Supporters, including Los Angeles County counsel and county associations, said the current petition process is costly, slow, and routinely granted, creating delays in civil litigation and court congestion. Opponents, including the Youth Law Center, argued the bill would weaken longstanding juvenile confidentiality protections by bypassing judicial review and could expose sensitive information unnecessarily. After discussion about redactions, sealing, and the scope of access, the bill was passed on a do-pass-as-amended vote. Finally, Senator Wahab presented SB 436, which would extend the notice period for nonpayment of rent from three days to 14 days. Supporters, including tenant advocates, legal aid groups, and several local governments, argued the change would reduce unnecessary evictions, give renters more time to obtain assistance or a paycheck, and help prevent homelessness. Opponents, including apartment associations, property owners, and the California Association of Realtors, said the bill would burden landlords, especially small owners, and could unintentionally affect commercial leases; members also raised concerns about repeated late payment and the lack of stronger guardrails. The author said she would work on clarifying commercial coverage and safeguards, and the bill remained under discussion as the hearing continued.

Transcript Highlights:

• I thank the gentleman from Texas. Mr. I thank the gentleman from Texas. Mr.
• Carter of Texas. offered by Mr. Carter of Texas.
• Texas seek recognition? Texas seek recognition? Uh,<03:10:31.520> Mr.
• Carter of Texas pursuant to House Resolution 530, the gentleman from Texas, Mr.
• gentleman from Texas. gentleman from Texas.

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, June 25, 2025, 1012, house, all

Transcript Highlights:

• can't compete with Florida and Texas on, and the reason being because we're Louisiana and Texas.
• This is not regular insurance. It's not private insurance. We're dictating what they have to do.
• But based on what we believe to be true, the insurance companies are actually funding Texas ODG, not
• “Because Texas is where we do not want to go. Texas is an opt-out state.
• I'm not trying to adopt Texas ODG. I'm trying to adopt ODG by MCG. Why do we need Texas?

Summary: The House Labor and Industrial Relations Committee met on May 7, 2026, and first deferred several measures, including House Bill 460, Senate Bill 322, Senate Bill 32, Senate Bill 22, and House Bill 561. The committee then took up House Bill 819 by Chairman Cruz, which would replace Louisiana’s current workers’ compensation medical treatment schedule with the Official Disability Guidelines (ODG) by MCG as the primary guideline, while keeping the existing variance and appeal process. Cruz and MCG representative Troy Prevo argued that ODG is more comprehensive, updated more frequently, and used in many states, and said it could reduce delays, disability duration, and costs. Dr. Jason Picard, the state medical director, testified that Louisiana already uses ODG as a secondary reference in many cases because the state schedule lacks coverage for some body parts and treatments, and said the bill would not otherwise change the appeals process or care delivery. Committee members focused heavily on whether the bill would delay care or improve it. Several members questioned the private-company nature of ODG, the $400 annual subscription cost, and whether Louisiana doctors would be forced to rely on an out-of-state guideline. Rep. Glorioso and others raised concerns about preauthorization delays and proposed amendments to create tacit approval when treatment follows the schedule, require payment within 30 days, and make the carrier prove by clear and convincing evidence that care was not medically necessary to challenge it. Chairman Cruz said he was willing to work with those ideas, and the committee also discussed adding an on-ramp or legacy language so current patients would not be disrupted. Opposition testimony came from injured-worker advocates and representatives of medical and labor groups, including Joseph Jola St. and Robin Krumholt. They argued that Louisiana’s current guidelines are already working, that rates have fallen over time, and that the real problem is delay in approval rather than the content of the schedule. They said ODG is overly rigid, cost-driven, and can lead to denials that shift costs to workers, Medicaid, or private health insurance. They urged the committee to keep Louisiana’s existing system and instead adopt tacit approval under current law. The bill was still under discussion at the close of the transcript, with amendments being read and no final vote shown.

Transcript Highlights:

• and predictable for Texas insurers.
• I am licensed by the Texas Department of Insurance and other state Departments of Insurance as a public
• The Texas Office of Public Insurance Council report for the '88 Texas Legislative Regulation one was
• The Texas Department of Insurance on their website advised the insured to seek appraisal before filing
• Today's Texas Department of Insurance suggests the insured check their policy to see if it has a right

Transcript Highlights:

• If the state's premiums went up, then the private insurance premiums go up.
• If the cost to insure your business goes up for the state liability insurance, health care, I mean, we
• What's going to happen to small business insurance?
• Can you tell me how this will affect the actual insurers?
• Of the ones insured, of course. Representative Dixon: Mr.

Transcript Highlights:

• Currently, the records that we receive are kept confidential under Evidence Code 1040 and Government
• Code 7923.600.
• You know, it's not many categories that we're the same as Texas, but we are the same as Texas.
• So the Business and Professions Code lays out kind of a laundry list of various reasons for denial.
• So in the report, a section was cited in the Government Code, and that Government Code section states

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.