Transcript Highlights:

• Yeah, there are two compacts that the board has looked at.
• social work compact.
• , but in the counseling compact, we did oppose that bill.
• So that's the component that's missing from the compacts currently: on some of the compacts, it doesn't
• We haven't seen that language in the compact language.

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

Transcript Highlights:

• Craig Indrate from the Health Equity Compact.
• The health equity compact believes that systemic change must be able to be that systemic change must
• The Health Equity Compact believes that systemic change must intentionally address historic harms to
• Through this omnibus bill, an act to advance health equity, the Compact aims to overhaul parts of the
• I also participate in the Health Equity Compact together with Dr.

Keywords: 995, all

Summary: The Massachusetts Permanent Commission on the Status of Persons with Disabilities held a public hearing focused on health equity for people with disabilities. The chair opened by explaining that the session was not about specific legislation, but about sharing data, lived experience, and strategies to inform more inclusive health systems. Presenters included representatives from the Health Equity Compact, the Department of Public Health, MassHealth, UnitedHealthcare Community Plan, the Brain Injury Association of Massachusetts, UMass Chan Medical School, Spaulding Rehabilitation, and the Arc of Massachusetts/Operation House Call. Speakers described how structural racism and ableism contribute to poor health outcomes, unemployment, poverty, and barriers to care for disabled people, especially disabled people of color. Testimony highlighted access problems such as inaccessible medical equipment, transportation, inadequate provider training, lack of culturally competent care, and insurance barriers. Several speakers emphasized the importance of collecting and disaggregating disability data, training providers in disability-competent care, and screening for accommodation needs. MassHealth described its Quality and Equity Incentive Program under the 1115 waiver, including disability-related metrics on data completeness, staff training, and accommodation screening, and reported early increases in hospitals collecting self-reported disability data. Brain injury advocates focused on inequities in rehabilitation access, including the impact of CMS’s “three-hour rule,” which they argued denies needed inpatient rehab to people with severe traumatic brain injury. They called for policy changes, a TBI task force, and possibly bipartisan legislation if CMS cannot revise the rule. Other testimony described DPH efforts such as one-to-one navigation, health promotion workshops, mini-grants for accessible recreation, and the Massachusetts Health and Disability Partnership. The hearing also highlighted medical education efforts like Operation House Call, which uses home visits and disability-led teaching to reduce bias and improve provider competence. No votes were taken and no formal actions were announced.

Transcript Highlights:

• So yes, compactness has been involved.
• I was much more compact than that. And they were drawn much more compact than that.
• That's not compact.
• They emphasize compactness in whole counties and whole cities.
• Irregular shapes are now more compact.

Bills: HB4, HB 4

Keywords: district composition, congressional election, Texas, legislature, voting districts, 997, house, all

Transcript Highlights:

• all cite the salary adjustments that came from implementation of the pay plan within the class and compact
• all cite the salary adjustments that came from implementation of the pay plan within the class and compact
• This is the amended contract to continue home studies for foster, adoptive, interstate compact on placement
• This is the amended contract to continue home studies for foster, adoptive, interstate compact on placement
• is a demanded contract to continue the agreement for home studies for foster, adoptive, interstate compact

Summary: The PEER Review Subcommittee met to consider a large agenda of budget, appropriation, transfer, and contract items. Members approved temporary appropriation requests for several agencies, including the Auditor of State, Department of Education, and Labor and Licensing; ARPA return requests from Workforce Services; Infrastructure Investment and Jobs Act requests for State Police and Agriculture; restricted reserve transfers for teacher scholarships, school facilities, and economic stimulus; a Commerce reallocation of positions and spending authority; cash fund, budget classification, overtime, and pay plan requests; and 17 methods of finance items for universities and other agencies. Most items were approved without objection after brief explanations from staff and agencies. Several items drew questions and were held or discussed further. A Department of Human Services discretionary grant package for the RSVP program was held over after Senator Irvin raised concerns about whether the grants were an effective use of state general revenue and asked for more information on administration costs and program operations. In the contracts section, Representative Richardson questioned a DHS sole-source contract with EMS Link for document management software and a DHS contract with Presidio; the EMS Link item was held for additional answers, while the Presidio item was clarified as not sole-source and was allowed to proceed. Members also asked for more information on a Department of Education mental health referral contract with Care Solace, which officials said is a statewide concierge/referral service connecting students to Arkansas providers and telehealth options. The committee also reviewed monthly reports, including the Medicaid Trust Fund. DHS and DFA officials said the fund was currently sufficient to finish the fiscal year, though it was being drawn down and would likely require a $100 million transfer from restricted reserves in FY27, with another $100 million set aside in the governor’s budget as a backstop. Members discussed the need to define a minimum reserve level and to better account for ongoing Medicaid costs in the budget. The meeting ended with no further business and adjournment.

Transcript Highlights:

• This regulation has staff-suggested amendments. 2011 K28240 amends the occupational therapy compact to
• add four new compact rules adopted on April 16, 2025.
• amends the occupational therapy compact amends the occupational therapy compact to<00:03:54.560>
• add<00:03:54.879> four<00:03:55.120> new<00:03:55.360> compact<00:03:55.840
• on to add four new compact rules adopted on April<00:03:57.760> 16,<00:03:58.319> 2025.

Keywords: :54 – Board of Pharmacy 2:00 – Board of Social Work 3:44 – Board of Licensure for Occupational Therapy 4:43 – Board of Registration for Professional Geologists 7:27 – Board of Imaging and Radiation Therapy 8:33 – Board of Emergency Medical Services 10:38 – Department of Fish & Wildlife Resources 17:37 – Transportation Cabinet 18:37 – Department of Education 25:00 – Department of Workplace Standards 27:06 – Cabinet for Health & Family Services, 958, all

Summary: The Administrative Regulation Review Subcommittee met with a quorum, approved the minutes, and then reviewed a series of agency regulations, most of which had staff-suggested amendments. The Board of Pharmacy regulation on remote prescription processing was amended to make grammatical and KRS Chapter 13A compliance corrections, and the Board of Social Work regulation on continuing education, telehealth training, waivers, and related fees was deferred at the agency’s request. The Occupational Therapy Compact rule update and the Professional Geologists fee increase regulation both received staff amendments and were approved, with the geologists’ board explaining the increases were driven by rising oversight costs and declining revenue. The committee also reviewed emergency regulations from the Board of Medical Imaging and Radiation Therapy, the Board of Emergency Medical Services, the Transportation Cabinet, and the Department of Workplace Standards. The EMS package covered licensing classifications, compliance audits, ambulance service rules, and electronic forms; the Transportation Cabinet’s emergency rule established procedures for street-legal special purpose vehicles; and Workplace Standards’ emergency rules updated Kentucky requirements to align with federal standards and House Bill 398, including shortening the discrimination complaint filing deadline from 120 days to 30 days and adjusting appeal procedures. Staff amendments were approved where offered, and members asked several clarifying questions about the rationale and effect of the workplace and EMS changes. The Department of Fish and Wildlife Resources explained rules on aircraft and drone use in taking wildlife and on reciprocal hunting and fishing agreements with neighboring states. The agency said the drone restriction was intended to align with federal law and address hunter complaints, while the reciprocal agreement rule was a cleanup of older agreements that had lapsed or been overlooked; the committee deferred the wildlife regulation 301 KAR 2:031 at the agency’s request. The Department of Education also presented multiple KHSAA-related and standards updates, including academic eligibility, sports timing, health and physical education standards, and career studies/financial literacy standards; staff amendments were approved, and members questioned the athletic forms and the designation of KHSAA as the state’s athletic agent. Finally, the Cabinet for Health and Family Services presented emergency regulations to support a pediatric teaching hospital expansion and related certificate-of-need changes, which the agency said were aimed at improving pediatric and neonatal access to care; staff amendments were approved, and the committee concluded by setting its next meeting for October 13 at 1:00 p.m.

Transcript Highlights:

• Last year, um, we joined the social work compact, and that's going to require some pretty significant
• Work compact and that's going to require some pretty significant changes to our internal database and
• how we handle that information, both it being presented or distributed between the compact and us.
• The compact is still determining what all we'll need to do and, you know, the expectations we'll need
• He didn't tell you he serves on that compact board. Okay.

Keywords: Appropriations - Room 216, 5 February, 2026; 8:30 AM, 925, all

Summary: The committee first heard from the Board of Registration for Foresters, which said it is self-funded through applications and renewals and receives no general fund support. The board requested a budget increase from $62,755 to $77,035, mainly for technology upgrades to its database and website, a social media presence, and about $3,000 more for board travel. Members asked about contractual expenses, staffing, renewals, reserves, and office location; the witness said most renewals are now online, the board has a reserve but he did not know the exact amount, and the board is leased space in the Robert E. Lee Building. No vote was taken, and the chair moved on to the next agency. The Mississippi Board of Examiners for Social Workers and Marriage and Family Therapists then presented its budget and operational needs. The board described its 10-member structure, three employees, and oversight of about 4,450 social workers and 210 marriage and family therapists. It explained that a prior $50,000 deficit appropriation was approved too late to spend, and asked to include that amount in the current budget for technology upgrades and equipment. The board also requested salary increases, additional travel funds, money for out-of-state compact participation, more contractual funds for database enhancements and digitizing records, and one additional computer. Members questioned the board about its large cash balance, staffing, office location, and the social work compact; the board said it has about $1 million in cash, is in leased space at Old River Place, and needs database changes to support the compact. No action or vote was taken. Finally, the Cosmetology and Barbering Board discussed major licensing and regulatory changes and its budget request. The board said it had already adopted a passing score for the licensure exam, ended the practical exam, extended testing approval periods, removed barriers to temporary work permits, and opened a path for apprenticeships, mobile establishments, and online licensing software. It also described recommendations in SB 2566, including a low-income first-license fee waiver, sanitation warnings, reduced education and instructor-hour requirements, and removal of some display requirements. The board said these changes had already led to new applications and test signups. On the budget side, it said it was withdrawing a prior request for $6,340 for practical-exam contractors because that exam was eliminated, but still sought $120,000 for certified mail, $49,000 for recruitment and retention salaries, and continued flexibility for possible live-streaming requirements under pending legislation. Senators asked whether the practical exam had been eliminated and whether the board could still ensure competency and inspections; the board said skills are still assessed through program completion and theory testing, and it asked to retain inspector positions because it oversees roughly 6,000 to 6,500 licensed shops and salons with only two inspectors.

Transcript Highlights:

• compact municipalities like conquered. compact municipalities like conquered.
• The same project inside a compact area requires local match.
• urban compact is 100% federally<01:28:24.480> funded.
• compact communities and others. compact communities and others.
• Uh, and I also don't believe it neither does it relate to the compact or urban compact section sections

Keywords: 1191, senate, all

Transcript Highlights:

• All right, so we’ll have two interstate compacts.
• We may be switching out one of these for a separate one, but these compacts allow...
• These compacts allow people who are in professionally licensed occupations to transfer their licenses
• We’ve done 11 of the 14 compacts, and I think the Pentagon just added two to the list last week, bringing
• This cannot be understated; these compacts are extremely important from a military spouse employment

Keywords: 1136, house, all

Transcript Highlights:

• THE IMPLEMENTATION OF THE INTERSTATE MEDICAL LICENSURE COMPACT WE HAVE TERMED IMLC IN MAY THEY HAD SIX
• WITH OTHER IT IS FITTING STATE SO WE COULD DETERMINE THE BEST PRACTICES FOR IMPLEMENTATION OF THE COMPACT
• WE HAVE THE INTERSTATE COMPACT. THIS IS IN SOME OF THESE AREAS. IN NURSING IN PARTICULAR.
• THE INTERSTATE MEDICAL LICENSURE COMPACT THOSE NUMBERS HAVE EVEN CHANGED. IT IS A DYNAMIC NUMBER.
• THE INTERSTATE MEDICAL LICENSURE COMPACT HAS TAKEN OFF.

Keywords: 999, senate, all

Transcript Highlights:

• consideration engrossed Committee Substitute for House Bill 5015, relating to the Respiratory Care Interstate Compact
• consideration engrossed Committee Substitute for House Bill 5015, relating to the Respiratory Care Interstate Compact
• consideration engrossed Committee Substitute for House Bill 5015, relating to the Respiratory Care Interstate Compact
• Engrossed Committee Substitute for House Bill 5015, relating to the Respiratory Care Interstate Compact

Keywords: 994, senate, all

Summary: The Senate reconvened, returned to the third order of business, and took up House amendments to Senate Bill 155 on adjunct teaching permits. The Senate adopted its amendment, which created an exception so a criminal history check would not be required every year and was described as giving county boards another tool to fill vacancies, especially in shortage areas. The Senate then concurred in the House amendment as amended and passed SB 155 by a vote of 33 yeas, 0 nays, with one member absent and not voting. The chamber then received a series of committee reports advancing House bills on a wide range of topics, including economic development, education, finance, energy, health and human resources, and the judiciary. Measures reported favorably included bills creating Team West Virginia Corporation and the West Virginia Collaboratory, the Foster Youth Post-Secondary Transition Awareness Act, business-ready site programs, volunteer fire company allowances, extending qualified opportunity zones, natural resource police retirement, school transfer eligibility, the West Virginia Load Forecast Accountability Act, oil and gas well plugging requirements, PEIA treatment flexibility, PANS/PANDAS, ALS care services, abuse prevention, the Respiratory Care Interstate Compact, peer support services, tax lien sales, the Neighborhood Investment Program, bonds for the West Virginia Science and Culture Center, a comprehensive energy development policy plan, TANF applicant drug screening, and child protection commissioners. Most of these bills were taken up for immediate consideration, read a first time, and advanced. One bill, House Bill 5381 on a comprehensive energy development policy and plan, was also referred to the Committee on Rules. The Senate then moved to adjourn until the next day at 11 a.m., after announcements of upcoming committee meetings, and adjourned.

Transcript Highlights:

• HB 3503 by Drew Darby relating to the social work licensure compact authorizing fees for the Committee
• HB 3506 by Paul Dyson relating to the withdrawal of the State of Texas from the Interstate Mining Compact
• amendment authorizing the Hickok traditional tribe of Texas to conduct gaming by executing a gaming compact
• The proposal includes provisions for occupational licensing under the compact, limiting certain taxes

Keywords: 1184, house, all

Transcript Highlights:

• <01:21:26.239> that<01:21:26.480> addresses is the compact that addresses is the compact
• I am also Kentucky's chairman for the Military Interstate Children's Compact Commission, and I serve
• Military Interstate Children's Compact Military Interstate Children's Compact Commission.<01:30:
• And since the Children's Compact.
• that's over and above the base compact that's over and above the base compact because<01:30:40.080

Keywords: 958, all

Summary: The committee heard presentations from the Family, Career and Community Leaders of America and the Governor Scholars Program. The FCCLA student speaker described how career and technical education helped her gain certifications, work in early childhood settings, and recognize a child who needed speech help, emphasizing support for CTE, FCCLA, and related student organizations. The Governor Scholars Program presentation, led by Dr. Jennifer Price with student speakers Max Corbett and Abigail Ziggler, focused on the program’s role in serving about 1,500 rising seniors each summer, its history since 1983, its statewide reach, and its impact on leadership development, college readiness, and keeping students connected to Kentucky. Members praised the students and program, and several shared personal stories about the program’s long-term benefits. Representative Camuel asked about funding, and Dr. Price said the program’s request was $2.1 million to maintain current enrollment levels of about 1,020 scholars for 2026; no vote was taken on that request during this segment. The committee then took up House Bill 498, sponsored by Representative Duvall, with Aaron Looper of Graduation Alliance testifying in support. A committee substitute was adopted after explanation. The substitute broadened eligibility for accredited providers to include public and nonprofit entities, allowed each county an opportunity to provide services with a $200,000 aggregate maximum per county, reduced the dollars per credit to serve more students, and made date corrections. Representative Duvall said the bill was a workforce measure developed from the Workforce Attraction and Retention Task Force and aimed at adults who lack a high school diploma but have two years or less remaining to graduate. Looper said the bill would create a pathway for adults to earn a regionally accredited high school diploma, paired with workforce and industry-recognized credentials, and stressed that it would not compete with GED programs, which are better suited for adults farther from graduation. He said the model is pay-for-performance, with providers paid only after milestones are completed, and that it would be available online, in person, or in hybrid form to improve rural access. In response to questions, he said students would not be charged fees, providers would handle transcript retrieval and remediation, and the program would include built-in accountability measures. He also said the budget request is $2 million per year, with the goal of maintaining the current level of service and eventually expanding if successful. Members asked about how the program differs from existing adult education options, access in all counties, and whether there are deserts in service availability; Looper said the online model and provider outreach are intended to address those gaps.

Transcript Highlights:

• Senator Hickman, for some Lure Compact.
• Um it creates one an expedited compact.
• With this compact that's coming down.
• :01:20.559> an<01:01:20.799> expedited compact again it provides an expedited compact again
• Louisiana has already joined into this compact.

Keywords: Public Health and Welfare - Room 216, 3 February, 2026; 3:00 PM, 925, all

Summary: The committee met with a quorum and first took up several bills described as vehicles to keep options open for pending rural health issues, especially the rural health transformation fund and the Greenwood Hospital situation. The chair explained that Greenwood Hospital is struggling financially and operationally, including a Medicaid overpayment dispute in which Medicaid planned to recoup $2 million from a December payment, threatening payroll and continued operation. The committee discussed a proposed committee substitute that would delay recoupment until May 1 and preserve legislative flexibility to help Greenwood if a workable plan emerges. The committee adopted motions for title sufficiency and due pass on the block of bills, including the committee substitute and reverse repealer provisions. The committee then turned to two certificate-of-need bills. One bill, 2474, was presented as a rural hospitals measure that would let certain rural hospitals obtain certificates of need for services such as outpatient dialysis units, ambulatory surgical facilities, and geriatric psychiatric units, with definitions aimed largely at Delta and other rural counties. The chair also included a provision making the state health officer’s licensing decision final and not subject to judicial review, with only a short reconsideration process available. Senator Hill objected, arguing the bill concentrated too much power in the health department, eliminated meaningful court review, and unfairly picked winners and losers instead of letting the market work. The chair responded that the goal was to reduce costly, repetitive litigation and preserve access to care in areas where hospitals struggle financially. The committee then considered Senator Blackwell’s broader CO bill, which would address appeals and litigation more generally by shifting costs to the losing party in CO disputes. A reverse repealer was adopted first, and the chair explained that the bill was intended to reduce endless and expensive appeals while still allowing a limited opportunity for reconsideration. Senators Hill and others raised concerns about limiting judicial review and expanding health department power, while the chair said many states have no judicial review in this area and that the committee was exploring the issue further. The chair said he had asked several members to study the matter and contact the National Council of State Legislatures. The committee ultimately adopted the motions on the bills and amendments by voice vote, with the ayes prevailing each time.