Transcript Highlights:

• I practiced for 44 years.”
• access or scope-of-practice expansion?
• I practice in my private practice, and I also am employed as an independent contractor for Freeman, the
• Immediately go out and practice.
• So this statute wouldn't change scope of practice or anything like that, or even practice patterns.

Keywords: 959, house, all

Transcript Highlights:

• They practice.
• They practice it.
• We have two, scope of practice.
• practice? practice?
• </c><01:01:05.119><c> Um,</c> practical today. We agree with that. Um, practical today.

Keywords: 958, all

Summary: The committee first handled several referred administrative regulations, including a package from the Board of Respiratory Care described as a substantive housekeeping update to its regulations and incorporated materials. There were no questions from members, and the committee also heard from the Kentucky Board of Medical Licensure, which was present in case questions arose but did not require action. Members then took up an amendment to the state health plan for facilities and services, specifically 900 KAR 5:02. Wesley Duke explained that a previously proposed criteria related to mega-voltage requirements, originally suggested by the Kentucky Hospital Association, was now being removed because the association no longer considered it necessary. The committee moved to accept the agency amendment, with a motion and second, and approved it without opposition. The committee next considered Senate Joint Resolution 23, a “food is medicine” resolution sponsored by Senator Shelley Funke Frommeyer. Supporters from the Kentucky Department of Agriculture and the Kentucky Hospital Association described the initiative as a voluntary, statewide effort already adopted by 52 hospitals, aimed at improving patient health while supporting Kentucky farmers and local food systems. Members discussed access to healthy food, grocery-store availability, school nutrition, and the need to reduce barriers to local procurement; the resolution was adopted unanimously after a roll call vote, with one senator briefly explaining a late vote due to weather. Finally, the committee began hearing Senate Bill 12, which would allow mid-level practitioners to serve as the leader of a Level IV trauma center under physician direction. The sponsor and witnesses from Appalachian Regional Healthcare argued the change would help address rural trauma-care shortages, align with national standards, and improve access without changing scope of practice or other trauma-center requirements. Several members raised questions and comments about rural access, liability, costs, and the broader health impacts, but no vote on the bill was taken in the portion of the meeting provided.

Transcript Highlights:

• </c> Minnesota we all have separate practice Minnesota we all have separate practice acts<00:03:51.280
• </c><00:25:52.520><c> of</c> and rules governing the practice of and rules governing the practice of
• </c> areas lure education nursing practice areas lure education nursing practice and<00:36:09.319><c>
• </c> support operations in nursing practice support operations in nursing practice we<00:36:16.440><c
• </c><00:41:03.040><c> and</c> approval requires all practical and approval requires all practical and

Keywords: 1183, house

Transcript Highlights:

• allowing pharmacists to be able to practice really to the best of what's out there.
• The pharmacist can practice to really do what is best for patients.
• CMA wants to ensure that pharmacists are practicing within their scope of practice, and many services
• I'm a naturopathic doctor practicing in Pasadena.
• I am a naturopathic doctor practicing in Palm Desert, California.

Summary: The joint Assembly and Senate business committees held a sunset review hearing on the California State Board of Pharmacy, with board leadership describing the board’s consumer-protection role and its priorities around access, enforcement, and updating pharmacy law. The board emphasized a proposed shift toward a standard-of-care model for pharmacists, arguing it would reduce rigid protocol requirements and improve access to services such as HIV PrEP/PEP, contraception, and naloxone. Board representatives also discussed pharmacy deserts, possible fee waivers for pharmacies in underserved areas, concerns about payer practices contributing to closures, continuing education audits, and a request to restore more flexibility in licensure decisions and probationary monitoring for applicants with certain criminal histories. A major focus of the hearing was the board’s ongoing compounding regulations, especially the treatment of sterile versus nonsterile compounding and substances such as glutathione and methylcobalamin. The board said the proposal was not a ban on those substances and described the rulemaking as grounded in federal law, USP standards, and public comment, noting the process had gone through multiple modified texts and hearings. Testimony from stakeholders was sharply divided: pharmacists, veterinarians, firefighters, naturopathic doctors, and patient advocates warned the rules were restricting access to compounded medications and harming patients and first responders, while the California Medical Association, psychiatric physicians, and PhRMA raised concerns that the board’s proposals could expand pharmacist authority beyond training, affect physician practice, or create safety risks. Other public comments addressed pharmacy technician ratios, remote processing, flavoring medications, hospital-specific regulation, budget and enforcement transparency, and whether the board should add members with community compounding or pharmacy technician expertise. Committee members also asked about the board’s oversight priorities and the rationale for its standard-of-care proposal. Board staff explained that consumer protection includes education, licensing, policy, and enforcement, with the highest-priority enforcement cases being those posing imminent public harm. After public testimony concluded, the chairs thanked participants and adjourned the sunset review hearing, announcing an immediate transition to the joint informational hearing on the Department of Cannabis Control.

Transcript Highlights:

• to practice in public defense.
• They are licensed to practice under Rule 9 for this program.
• to practice in public defense.
• And I've been practicing in public service for a long time.
• But they are a defense best practice.

Summary: The work session began with a discussion of expanding opportunities in the legal profession, especially in response to shortages of lawyers in rural Washington and in public service roles. Washington State Bar Executive Director Tara Nevitt described a slowly growing but aging attorney population, noted that younger attorneys have declined, and outlined efforts such as supervised practice pathways to bar admission, reduced admission-by-motion experience requirements, expanded law clerk capacity, rural job fairs and grants, and a pilot program allowing innovative legal service delivery models. Members asked about bar passage score changes, loan repayment assistance, and the former Limited License Legal Technician program; Nevitt said the bar is monitoring other states and remains in dialogue with the court about paraprofessional licensing. Law school representatives from UW, Seattle University, and Gonzaga emphasized public service pipelines, financial barriers, and rural legal deserts, citing LRAPs, scholarships, stipends, clinics, and hybrid or regional programs designed to recruit and retain students in Washington. Seattle U highlighted its FlexJD and hybrid hub partnerships in underserved areas, while Gonzaga and UW reported substantial shares of graduates entering public service, though most still cluster in urban regions. The committee also heard from the Washington Association of Prosecuting Attorneys and the Office of Public Defense, both of which described severe recruitment and retention problems in rural counties, with vacancies, low applicant pools, and the need for higher salaries, housing help, internships, and loan support. The Office of Public Defense said its internship and fellowship program, created by SB 5780, has already placed interns in rural counties and produced some commitments to return after graduation. The Washington State Bar’s law clerk program was also presented as a pathway that helps people train locally and remain in their communities, including by supporting succession for aging solo practitioners. The committee then shifted to family law and guardianship issues. On Title 26 guardian ad litem practice, presenters from Northwest Justice Project and private family law practice said GALs can play an important role but that training, oversight, and consistency remain major concerns, especially in domestic violence cases. They described problems such as inadequate training, bias, inconsistent recommendations, high fees, and lack of accountability, and suggested stronger, standardized training, more use of mental health professionals for custody evaluations, and better oversight mechanisms. Members asked about county practices, including rotation systems for GAL appointments and whether King County’s family court assessors provide a useful model. The discussion then moved to minor guardianships under the Uniform Guardianship Act. A Superior Court judge said the 2021 changes increased the need for court visitors and appointed counsel, but courts are struggling to find qualified attorneys and visitors, especially in rural areas. A former commissioner said most of the bill under discussion was technical cleanup to align prior amendments, though it would add some fiscal burdens. Administrative Office of the Courts staff reported that the statewide reimbursement program for UGA implementation has repeatedly run out of money earlier each year, with minor guardianship costs making up most of the expense. The Office of Public Guardianship then described rapid growth in demand for adult guardianship and less restrictive alternatives, noting that referrals and caseloads have risen sharply, but that the office is constrained by a shortage of certified professional guardians and low compensation levels. Finally, the committee began an update on Blake implementation from the Office of Civil Legal Aid, which funds civil legal services related to the decision, before the transcript cut off.

Transcript Highlights:

• It's against the law to practice medicine without a license, just like it's against the law to practice
• It’s against the law to practice medicine without a license, just like it’s against the law to practice
• </c> elevated those individuals to practice elevated those individuals to practice on<00:11:17.680><c
• </c> to law school but they they practiced to law school but they they practiced through<00:13:20.360
• </c> qualifications and have been practicing qualifications and have been practicing for<00:16:13.759

Keywords: Reuploaded to restore full meeting 00:00 – Meeting Start 00:37 – Attendance Roll Call 02:20 -Discussion on SB 69 18:10- Roll Call Vote, 958, all

Summary: The Senate Agriculture Committee met to reconsider a committee substitute for a bill dealing with equine dental care and the regulation of non-veterinarian dental practitioners. The chair reopened the bill after prior testimony, and members focused on how the bill would set standards for training, testing, insurance, continuing education, and a registry for practitioners. Discussion also centered on whether the measure would affect veterinary practice or create a precedent for other animal care areas; supporters said it was meant to preserve access and affordability for horse owners, especially in rural areas where veterinarians are scarce or unavailable for routine work. A major topic was the bill’s grandfathering or “legacy candidate” provision. Senators asked how existing practitioners would qualify, whether they would need to apply, and what documentation would be required. Committee witnesses, including a Kentucky Veterinary Medical Association representative and the Board of Veterinary Examiners executive director, said the board could set licensing terms by regulation, including an application process, background/history checks, and letters of recommendation from licensed veterinarians. They also said the process would include an application window to allow current practitioners time to comply. Several members explained their votes in favor, while noting lingering concerns they wanted addressed on the floor. Supporters emphasized that the bill was the product of years of work, surveys, stakeholder meetings, and multiple drafts, and that it was intended to legitimize existing practitioners while protecting animal welfare. The committee substitute was approved, the bill passed the committee unanimously, and the meeting adjourned.

Transcript Highlights:

• My understanding of the purpose of this bill is to try to expand access to data practices requests coming
• Representative Nash: So, the bill clarifies the language in the Data Practices Act, the definition of
• requests coming to the data practices requests coming to the Attorney<00:01:42.520><c> General's</c>
• </c> the language in the uh data Practices the language in the uh data Practices Act<00:01:49.840><c>
• Act as it within the data Practices Act as it relates<00:01:59.439><c> to</c><00:01:59.520><c> the</

Keywords: 1183, house

Transcript Highlights:

• But there are DEI practices, and we know that that's the case.
• It's part of responsible medical practice.
• That is very antithetical to how I think we need to be practicing. Dr.
• or the merit-based hiring practices.
• My mom would not be able to practice medicine.

Keywords: 989, all

Summary: The Senate Health and Welfare Committee approved the minutes from February 25 and February 26, 2026, then took up House Bill 928, the Merit-Based Health Care Act. The bill’s sponsors said it would prohibit DEI-related considerations in Medicaid-funded hiring, contracting, and training decisions while preserving compliance with federal law and allowing certain clinical data collection and patient-specific discussions. Committee members questioned how the bill would affect hiring, patient preferences, and medical training, and the sponsors emphasized that it was intended to ensure decisions are based on merit and to add a warning period before penalties are imposed. The committee heard extensive testimony on HB 928. Physicians and physician organizations largely opposed the bill, arguing it would chill evidence-based training, impair use of social determinants of health and implicit bias education, create legal uncertainty, worsen rural workforce shortages, and reduce patient care quality. Supporters argued DEI initiatives undermine merit and that the bill would prevent taxpayer dollars from funding discriminatory practices. After debate, the committee voted to send HB 928 to the 14th order for possible amendment, with Senators Harris and Wintrow recorded as opposed. The committee then heard House Bill 916, which would create a legislative rural transformation oversight committee for federal rural health transformation funds. The sponsor said the committee would provide legislative oversight and stewardship of the funds without appropriating money. Testimony supported the bill as a way to oversee federal dollars, while some senators raised concerns that the committee should require rural representation. A motion to hold HB 916 in committee passed, and the meeting was adjourned with notice of a two-hour meeting scheduled for the next day.

Transcript Highlights:

• of practice.'
• I practice with Davis-Pathuna Jones.
• This is not an expansion of scope of practice law.
• It is basically an ease of access to practice law.
• I've practiced in Springfield. I've practiced in Lamar.

Keywords: 959, house, all

Transcript Highlights:

• This bill is not about seeking independent practice.
• This bill is not about seeking independent practice.
• </c> nothing to do with independent practice nothing to do with independent practice we<00:48:48.200>
• This represents a fundamental shift in how PAs practice and will practice in Kentucky.
• > in</c> Pas practice and will practice in Pas practice and will practice in Kentucky<00:54:34.680><c

Keywords: Call to Order 00:00:00 Roll Call 00:00:35 SB 22 Discussion 00:01:20 SB 22 Vote 00:11:45 SB 100 Discussion 00:15:07 SB 100 Vote 00:38:53 SB 88 Discussion Only 00:42:11 Adjournment 01:03:52, 958, all

Summary: The Senate Standing Committee on Licensing and Occupations met on February 18, 2025, and first took up Senate Bill 22 by Senator Reginald Thomas, which was presented as a cleanup measure following prior cosmetology reforms and a Legislative Oversight and Investigations report. The bill would allow cosmetologists to retake exams multiple times with a one-month wait, authorize the Board of Cosmetology to immediately close facilities that intentionally use unlicensed workers while preserving due process, give the board flexibility to hire an executive director based on qualifications rather than licensure, and recognize certain out-of-state or territorial cosmetology licenses. Board officials said the changes were intended to improve fairness, equality, and administrative due process. Senators asked about retesting fees and whether partial retests could dilute standards; Thomas clarified that the exam is cumulative and must be retaken in full. The committee approved SB 22 with all favorable votes, and Senator Meredith explained his support as a workforce and fairness issue. The committee then heard Senate Bill 100 by Senator Jimmy Higdon, as substituted, concerning tobacco, nicotine, and vapor product retail licensing and enforcement. Youth advocates from the University of Kentucky testified in support, describing youth nicotine use as a public health crisis and urging stronger enforcement, annual compliance checks, retailer licensing, and tougher penalties for illegal sales to minors. Higdon said the bill would create a Division of Tobacco, Nicotine, and Vapor Products Licensing within ABC, require licenses for retailers, authorize inspections and confiscation of contraband, impose escalating criminal and civil penalties for unlicensed sales and sales to minors, publish a list of licensed retailers, and dedicate fine revenue to enforcement and youth education. He said the measure targeted bad actors rather than responsible retailers. A retailer witness also supported licensing but raised concerns about contradictory product definitions that could sweep in hemp and medical marijuana vapor products, and asked that the bill be delayed until after an expected Supreme Court decision affecting federal vapor-product rules. The transcript ends during discussion of SB 100, before any committee vote on that bill.

Transcript Highlights:

• It also defines the scope of practice for denturists.
• I still have not taken the practical exam.
• My father practiced for 40 years, and my grandfather before him.
• The only time I can see an issue being is if someone is practicing outside of their scope of practice
• Representative Ehlers: Thus, the practice can continue, the scope of practice can continue, it can charge

Summary: The House Health and Welfare Committee first heard House Bill 495, which would consolidate the Board of Denturity under the Board of Dentistry, add a board seat for someone experienced in denturistry/prosthetics, define denturists’ scope of practice, and address the denturist board’s financial deficit. The sponsor and Department of Occupational and Professional Licenses argued the change would improve efficiency and reduce costs while preserving the profession. Denturists, interns, and association representatives opposed the bill, saying it could create conflicts of interest, leave their profession without a guaranteed denturist on the board, increase barriers to entry, and allow dentists to influence fees and rules. The Idaho State Dental Association supported the bill, saying it would maintain public safety, preserve licensure, and reduce government size. After testimony and committee discussion, the original motion to send the bill to the floor was withdrawn and the committee voted to send HB 495 to amending order for clarification, including possible language about a denturist board member. The committee then took up RS 33-468, a proposal to repeal Medicaid expansion effective January 1, 2028. The sponsor said the measure was intended to refocus Medicaid on the most vulnerable, address budget pressures, and respond to concerns that expansion can discourage work. Several members opposed the idea, arguing that it would remove coverage from many Idahoans, harm providers, and likely cost the state money by losing federal funds and related tax revenue. Others supported it as a needed step to control spending and prioritize traditional Medicaid populations. After debate, a motion to return the RS to the sponsor failed on roll call, and the committee voted 10-6 to introduce RS 33-468. The meeting then adjourned.

Transcript Highlights:

• Back in the day, it was a while ago, declawing was kind of common practice.
• It is a cruel practice, and you'll hear from experts, certainly, behind me.
• So just to clarify, a midwife is still an advanced practice provider.
• I'm a small animal veterinarian practicing in Federal Way, Washington.
• an assistant and technician and a practice manager.

Summary: The committee heard public hearings on several health-related bills. House Bill 1904 would prohibit cat declawing except for therapeutic purposes, with staff explaining definitions, fines, recordkeeping, and reporting requirements. The prime sponsor and animal welfare advocates described declawing as cruel and linked it to pain and behavior problems, while the Washington State Veterinary Medical Association supported the substance of the bill but asked to remove the added reporting and disciplinary provisions as redundant and burdensome. House Bill 2211 would provide guidance for medically tailored meals under existing Medicaid-related nutrition supports, including standards for Washington-based nonprofit providers where possible, menu review, and nutrition requirements. The sponsor said it would clarify implementation without expanding the program, and supporters from meal providers, food distributors, and local farms said it would improve health outcomes, keep dollars local, and support Washington jobs and agriculture. House Bill 2329 would allow licensed midwives to delegate certain tasks to medical assistants and to supervise medical assistants, with the sponsor and birth center operators saying it would fix an omission in current law and help rural and under-resourced birth centers operate more efficiently. Supporters said it would improve staffing and financial stability, while the sponsor indicated the lactation consultant language would likely be removed because those consultants are not regulated by the Department of Health. The committee then returned to House Bill 1904 for additional testimony from humane organizations, veterinarians, shelter leaders, and local officials, all supporting a ban on declawing and emphasizing animal pain, shelter impacts, and available alternatives. House Bill 2247 would expand and clarify veterinary telehealth and veterinarian-client-patient relationship rules, allowing a VCPR to be established in certain telehealth circumstances and setting guardrails for consent, practice standards, and when in-person exams are still required. Supporters from shelters, animal welfare groups, mobile clinics, and veterinarians said telehealth would improve access in rural and underserved areas, reduce shelter intake, and help animals receive care sooner; the veterinary association supported the bill with amendments to clarify recordkeeping and access-to-care findings. House Bill 2339 would update nursing license terminology and processes for advanced registered nurse practitioners, including title changes, controlled substance rules for CRNAs, transcript submission, and interim permits. Nursing board and ARNP representatives supported the technical updates, while the hospital association and medical association raised concerns about title language for clinical nurse specialists and the deletion of a reference to the medical profession. Finally, House Bill 2106 would require health carriers to give 90 days’ notice of significant mid-contract payer modifications and provide the actual modification language, with the sponsor and hospital and provider representatives saying insurers are increasingly making unilateral changes that affect payment, services, and patient access. UW Medicine and a rural hospital district described examples where insurers changed imaging or preventive service coverage mid-contract, causing financial losses and forcing difficult choices about network participation. Carriers were noted as opposing the bill, while providers and facilities argued it would improve transparency and prevent one-sided contract changes that disrupt care.

Transcript Highlights:

• Among UMSL's class of 2026, 75% say scope of practice will influence where they choose to practice.
• Among UMZL's class of 2026, 75% say scope of practice will influence where they choose to practice.
• want to limit their scope of practice that's already defined, or are you okay with them practicing within
• their scope of practice?
• That is practical.

Keywords: 959, house, all

Summary: The committee continued a public hearing on House Bill 2897, which would expand optometrists’ scope of practice. Supporters, including Dr. Kelly Deering, said optometrists are trained to perform the listed office-based procedures, that rural Missouri lacks access to ophthalmologists, and that the bill would reduce wait times, travel burdens, and costs while helping retain students and practitioners in the state. Opponents, including representatives of the Missouri Association of Osteopathic Physicians and Surgeons, argued the bill does not guarantee rural access and said the procedures should remain within the medical/surgical training of physicians. Members also questioned training on live human eyes and how suspicious lesions would be handled. No vote was taken, and the hearing on HB 2897 was closed. The committee then heard House Bill 2353, which would create a licensing and sign-and-seal framework for interior designers and move oversight to the board that includes architects, engineers, land surveyors, and landscape architects. Sponsor Rep. Sherri Gallick and supporters said the bill modernizes regulation, recognizes accredited education and NCIDQ testing, and would let licensed interior designers take responsibility for non-structural interior design work without hiring an architect to stamp plans. Opponents from the Missouri Society of Professional Engineers and others said they were still negotiating but remained concerned about scope-of-practice language, especially phrases like “all interior design of buildings” and “publicly occupied buildings,” which they said could create overlap with architecture and engineering or unintended obligations for public entities. Testimony also focused on whether unlicensed interior designers would still be allowed to work under carve-outs. No final action was taken. Finally, the committee heard House Bill 2241, which would create a separate framework for certain faith-based residential child care facilities to operate without a state license while registering with the state and meeting background-check, reporting, and oversight requirements. Sponsor Rep. Jamie Gregg and MACA representatives said the bill is intended to expand foster placement capacity for children in need while preserving the religious mission of Christian homes, and they cited federal and state initiatives encouraging partnerships with faith-based providers. Opponents argued the bill would create a two-tier system, weaken state licensing protections, and risk placing vulnerable children in facilities without the same direct oversight, inspections, and reunification safeguards as licensed foster homes. Members raised concerns about abuse history at some faith-based homes, the role of the proposed board, and whether religious practices or other mission-based rules would conflict with child welfare standards. The hearing continued with additional testimony; no vote was reported.

Transcript Highlights:

• We are all doing the same practices.
• </c> practices these there are practice practices these there are practice standards<00:08:08.240><c>
• </c> Waterway be it any number of practices Waterway be it any number of practices uh<00:08:14.400><c
• <00:08:18.159><c> totaling</c><00:08:18.680><c> over</c> practices totaling over practices totaling over
• :21.520><c> on</c><00:08:21.720><c> farms</c> 7,000 uh practice interventions on farms 7,000 uh practice

Keywords: 1183, house

Transcript Highlights:

• Uh, scope of practice and the committee.
• </c> and the committee. uh scope of practice and the committee. uh scope of practice with<00:09:11.839
• 06.080><c> years</c><00:10:06.560><c> and</c> practiced optometry for 38 years and practiced optometry
• Our current scope of practice labs.
• So I believe not in clinical practice.

Keywords: 1183, house

Transcript Highlights:

• It is a cruel practice, and you'll hear from experts, certainly behind me.
• So just to clarify, but midwife is still an advanced practice provider.
• So I'm a small animal veterinarian, practicing in Federal Way, Washington.
• an assistant and technician and a practice manager.
• an assistant and technician and a practice manager.

Bills: HB1904, HB2106, HB2211, HB2247, HB2329, HB2339

Keywords: animal welfare, cats, declawing, animal rights, pet care, healthcare, contract modifications, provider notifications, insurance carriers, health facilities, HB 2211, medically tailored meals, medical nutrition therapy, medical assistance, Medicaid, Health Care Authority, Department of Social and Health Services, nutrition support, chronic disease, dietary accommodations

Transcript Highlights:

• for advanced practice nurses.
• Gail Harrell, Doctor of Nursing Practice, invites you to her practice.'
• So a Doctor of Nursing Practice, if I say I'm a Doctor of Nursing Practice, I'm using my title appropriately
• I am a doctor of nursing practice.
• I am a Doctor of Nursing Practice.

Keywords: 999, senate, all

Summary: The committee first considered SB 268, a public records bill for emergency physicians. A strike-all amendment narrowed and clarified the exemption, and the sponsor said it was intended to protect current emergency department physicians and eligible family members who submit a written request. Emergency physician Dr. Sean Patterson and several health care organizations supported the bill, citing threats, harassment, and safety concerns tied to mandatory reporting and patient encounters. The committee adopted the amendment and reported SB 268 favorably as a committee substitute. The committee then heard SB 514, creating the Doula Support for Healthy Births Pilot Program in Broward, Miami-Dade, and Palm Beach counties for pregnant and postpartum women, with priority for those affected by substance use disorder. Members discussed how the Department of Health would implement the pilot, collect data, and work with existing maternal health partners. An amendment changed the funding source to specific appropriations in the General Appropriations Act. Supporters said doula care can improve maternal and infant outcomes and help address Florida’s maternal health crisis. The bill was reported favorably as a committee substitute. SB 36, on use of professional nursing titles, drew extensive debate over whether nurses with doctoral degrees should be able to use the title “doctor” in clinical and advertising settings while clearly identifying themselves as nurses. The sponsor said the bill was about transparency and patient clarity, while several senators raised concerns that patients could confuse DNPs with physicians. Supporters from nursing groups said the bill protects earned credentials and does not expand scope of practice. The committee adopted an amendment aligning the bill with the House version and reported SB 36 favorably as a committee substitute. The committee also reported favorably SB 864, creating a public records exemption for uterine fibroid research data; SB 844, requiring continuing education on sickle cell disease care management for certain health professionals; SB 1404, revising memory care licensing for assisted living facilities; and SB 914, clarifying dry needling authority for occupational therapists. Finally, the committee took up SB 1758, a broad public assistance bill affecting Medicaid and SNAP. The sponsor described reforms including stronger fraud enforcement, a Medicaid work requirement for certain able-bodied adults, expanded behavioral health services through a waiver, pharmacy program changes, and SNAP fraud reduction measures. Members questioned the work requirement, implementation costs, eligibility verification, and due process concerns, while the sponsor said the bill would require federal approval and legislative review before implementation. Three amendments were adopted to adjust drug list update timing, expand public testimony on the high-cost drug list, and require faster prior authorization responses with a temporary supply in emergencies. The transcript cuts off before the final disposition of SB 1758.

Transcript Highlights:

• registration, specifying the scope of practice, and establishing prohibited practices.
• interior design unless registered and lists prohibited practices.
• But is this consistent with practices in other states as well?
• We will still be practicing as we are practicing today.” “...with our groups.
• We will still be practicing as we are practicing today.

Bills: HB2721, HB2616

Keywords: commercial interior designer, interior design licensure, registered interior designer, NCIDQ, Washington State Board for Architects, professional regulation, title protection, firm registration, seal and signature, continuing education, building code, nonstructural interior design, space planning, interior architecture, design profession, public safety, occupational licensing, architects, engineering scope, permit review

Transcript Highlights:

• So the memorandum briefly provides an overview of the practice act, and um it goes over the practice
• </c><00:55:10.000><c> was</c> practice, my large animal practice was practice, my large animal practice
• I practiced in Riverton.
• I practiced in Riverton. I grew those. I practiced in Riverton.
• . practice. practice.

Keywords: 916, all

Transcript Highlights:

• This bill brings transparency on how coverage works in practice.
• I primarily work with children and take multiple insurances at my practice.
• I primarily work with children and take multiple insurances at my practice.
• Idaho has used clinical-based practice models to pass this.
• Pharmacists are integral members of interprofessional collaborative practice.

Bills: SB6226, SB6305, SB5924, SB5990, SB5185, SB5845, SB6071, SB6258

Keywords: SB 6226, Washington, audiology, audiologist, hearing aid specialist, speech-language pathologist, telehealth, teleaudiology, clinical autonomy, clinical judgment, in-person care, remote care, Board of Hearing and Speech, hearing instruments, hearing aids, dispensing hearing aids, standards of care, professional licensure, health professions regulation, patient-centered care