Video & Transcript Research : 'unauthorized practice'
Page 163 of 500
WY
Transcript Highlights:
- But again, what we believe is a practical, conservative, and very effective way to move this funding
- But again, what we believe is a practical, conservative, and very effective way to move this funding
- But again, what we believe is a practical, conservative, and very effective way to move this funding
- And I think this idea offers us a practical and conservative way to do that.
- <00:57:56.400>
and offers us a a a practical and offers us a a a practical and conservative
MS
Mississippi 2026 Regular Session
Appropriations - Room 409, 28 January, 2026; 1:30 P.M.
Appropriations
Transcript Highlights:
- act the current medical medical practice act the current medical practice<00:43:14.800>
act practice - act practice act the<00:43:16.960>
ones <00:43:17.760>in <00:43:18.000>fact <00: - I think the nursing board and the medical board both ought to have somebody that's practiced medicine
- medicine as as one of the practiced medicine as as one of the investigators.<00:53:57.119>
That's - that falls under the listed practices that falls under the rural<01:03:36.400>
physician <01:03
Summary:
The committee heard budget presentations from the Mississippi Board of Pharmacy and the Mississippi State Board of Chiropractic Examiners, followed by the physical therapy board. The Pharmacy Board said it licenses pharmacists, technicians, students, and many facilities and supply-chain entities, including wholesalers, manufacturers, 3PLs, PBMs, and nonresident compounders. Its main requests were a 3% salary increase for specialized staff, about $118,000 for contract help to evaluate pharmacists with substance abuse or mental health issues under a recently passed public health bill, and additional IT spending authority for system upgrades and cloud migration. Members discussed the board’s role in protecting the public, vetting out-of-state facilities, and the need to keep sensitive data secure; no vote was taken.
The Chiropractic Examiners board described itself as a small, contract-staffed agency with about 700 active licenses and a database system that is no longer supported by Microsoft. It said it had requested about $173,000, but the legislative budget recommendation was $134,000, and it needs roughly $40,000 more to upgrade or rebuild the system, including security fixes and online renewal capability. Members focused on the cybersecurity risk of using unsupported software and the need to protect personal information; the board also noted that its licensing data does not include banking information because payments are handled through the state portal.
The Physical Therapy Board said it regulates physical therapists and physical therapist assistants, with 4,242 licenses and 252 complaints in the last fiscal year, and that demand for the profession continues to grow. Its requests included $6,000 in salary progression for long-serving staff, about $360 more in PDM salary authority, and roughly $38,610 for a one-time upgrade to its LMS licensing system, plus related cloud-migration costs. Senators noted the board’s strong reputation, discussed the burden of annual or biennial renewals, and supported the technology upgrade because the current system is no longer supported and could create liability risks if not addressed.
CA
California 2025-2026 Regular Session
Assembly Select Committee on Youth Mental Health and Treatment Accessibility Dec 2nd, 2025
Transcript Highlights:
- We will be implementing new evidence-based practices, but also on the reimbursement side.
- When you're on the inpatient unit, you're not practicing any of that.
- But I would like to really raise up that we need innovative practices.
- Young people are asking for innovative practices. In one line, youth want mental health access.
- We were able to practice it on each other, know how to do it properly, and we do that with CPR.
Summary:
The hearing focused on youth mental health and treatment access in California, with opening remarks emphasizing that youth distress, self-harm-related emergency visits, and difficulty obtaining care remain elevated, while workforce shortages and reliance on one-time funding continue to limit access. Assemblymember Lori Davies echoed concerns about unstable funding and said lawmakers need to hear directly from providers and families as they prepare for the budget and legislation. The chair framed the hearing as a chance to hear from county, school, provider, and student perspectives, especially in San Diego County, where needs are high and investments have not always matched demand.
County and school officials described the current system and recent state initiatives, including the Children and Youth Behavioral Health Initiative, school-linked fee schedules, payment reform, and the Behavioral Health Services Act transition. San Diego County Behavioral Health said it serves Medi-Cal youth with specialty mental health needs through a broad continuum of care, including outpatient clinics, school-based services, crisis response, residential treatment, and new crisis and residential facilities. San Diego County Office of Education and San Marcos Unified School District described efforts to expand school-based services and reimbursement through CYBHI, but said implementation is slowed by complex billing rules, insurance-data collection concerns from families, administrative burden, and uncertainty about sustaining staff positions funded by grants or soft money. School counselor testimony highlighted reduced stigma through campus outreach and clubs, but also noted that counselor-to-student ratios remain well above national standards and that budget cuts threaten supports.
Provider testimony stressed that the system remains fragmented and that youth often move between emergency rooms, inpatient care, outpatient therapy, schools, and county programs without smooth handoffs. A child psychiatrist described crisis cases in which the main choices are brief hospitalization or discharge with limited follow-up, and argued for stronger warm handoffs, more outpatient and intensive outpatient options, better school-clinic coordination, and broader use of mobile crisis and 988. Rady Children’s Hospital and Aurora Behavioral Health described large increases in behavioral health demand, expansion of integrated care, and major barriers tied to low reimbursement rates, delayed payments, and administrative complexity. Across the panel, witnesses called for more stable funding, clearer reimbursement rules, better parent education on warning signs, and stronger collaboration among schools, counties, hospitals, and community providers to reduce stigma and improve timely care for youth.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Financial Services Jun 21st, 2026 at 10:30 am
Joint Committee on Financial Services
Transcript Highlights:
- authority and can practice independently and without physician supervision.
- These qualified clinicians practice within the scope of their national certification, state licensure
- In this current practice environment, Massachusetts insurance statutes related to ASD treatment coverage
- To be clear, this bill does not expand scope of practice for nurse practitioners or psychiatric nurse
- I practiced family medicine for 50 years and am now retired.
Summary:
The committee heard testimony on a wide range of health insurance and public health bills, with most speakers focused on expanding coverage for specific treatments and services. Bills discussed included H. 1187/S. 792 on rehabilitation counselors, H. 1173/S. 692 on patient navigation, S. 2600 on scalp cooling for chemotherapy patients, S. 2599 on medically necessary treatment for port wine birthmarks, H. 1164 on licensed educational psychologists for child and adolescent mental health services, S. 754/H. 1254 on autism diagnosis and treatment by nurse practitioners and psychiatric nurse mental health clinical specialists, S. 714/H. 1137 on infectious disease response and coverage, and S. 791 on making nature a prescriptive therapeutic intervention. Speakers generally argued these bills would improve access, reduce out-of-pocket costs, and address gaps in current insurance reimbursement rules.
Testimony in support emphasized personal stories and clinical evidence. Cancer patients and providers described the benefits of patient navigation and scalp cooling for dignity and quality of life during treatment. Boston Children’s Hospital staff and families said port wine birthmark treatment is medically necessary, can prevent complications, and should not be denied as cosmetic. Rehabilitation counselors and school psychologists argued their services are effective, cost-saving, and underused because they cannot bill insurance. Autism advocates said current insurance statutes are outdated because nurse practitioners and psychiatric nurse mental health clinical specialists already provide evaluations and should be recognized for reimbursement to avoid delays in early intervention. Public health and GLAD Law testimony supported stronger infectious disease coverage to remove barriers to testing, treatment, and PrEP access.
The hearing also included extensive testimony on H. 1172, a bill requiring insurance coverage for detransition-related care. Supporters said it would ensure coverage for medically necessary care for people who regret or reverse gender transition, while opponents argued it would legitimize anti-trans narratives or, conversely, that detransition care is needed because transition procedures can cause harm. The committee also heard strong support for S. 791 from advocates who described nature access as a health intervention that could help with trauma, anxiety, substance use recovery, and environmental justice, with claims that insurance coverage and reduced park fees would improve access. No votes were taken during the transcript, and the chair repeatedly thanked speakers and moved through the long list of public testimony.
ND
North Dakota 2026 1st Special Session
Child Custody Review Task Force Apr 13th, 2026 at 10:00 am
Child Custody Review Task Force
Transcript Highlights:
- So sometimes we can get more specific, but there are practical challenges sometimes associated with that
- It's not best practice necessarily either way, but that is just something to keep in consideration for
- That is the reason that I think this bill, when it comes to motion practice rules, is important.
- That seems to be the biggest issue, I think, with regard to the way our motion practice works in regard
- Another rule, when a rule already exists, is not going to make them practice it uniformly.
ND
North Dakota 2025-2026 Regular Session
Tribal and State Relations Committee Apr 13th, 2026
Transcript Highlights:
- I think there's also a practical side to this."
- I am the director of the services practice area at the National Health Law Program.
- Our work is divided into several strategy areas and practice areas that you can see outlined here.
- closely with our disability practice area, which handles our work around mental health services.
- This is a very ambiguous policy from CMS that has really been shown to have no teeth in practice.
Summary:
The meeting focused heavily on behavioral health and substance use treatment, especially the IMD exclusion and whether North Dakota should pursue a Section 1115 waiver to allow Medicaid reimbursement for services in institutions for mental diseases for adults ages 21 to 64. Turtle Mountain representatives described major local needs, including limited access to care, high syphilis rates, and the importance of timely public health data. They also discussed the tribe’s recovery center, which opened the prior year, now operating five levels of care with 16 beds, and the desire to expand capacity, possibly through an IMD waiver or related policy changes. Committee members also raised related issues such as rural health transformation funding, telehealth, workforce retention, and the need for better coordination between tribal and state public health systems.
A central issue was Turtle Mountain Public Health’s long-running effort to secure a data use agreement with the state so it can receive surveillance data and respond directly to infectious disease cases among tribal members. Speakers said the tribe had a successful COVID-era agreement that allowed faster contact tracing and case management, but that agreement ended with the pandemic. They argued that current delays in sharing data, especially for sexually transmitted infections, leave the tribe unable to respond quickly, while the state and county epidemiology workload is too distant and stretched to be effective. Committee members expressed support and said they would look into the issue, noting that other tribes have secured similar agreements.
The committee also heard a detailed presentation from the National Health Law Program on the IMD exclusion. The presenter explained that federal Medicaid law generally bars payment for care in facilities with more than 16 beds, but that states can use other tools such as state plan amendments, managed care arrangements, telehealth, and community-based services. He said IMD waivers are administratively complex, time-limited, and have shown mixed results in other states, with some gains in residential treatment access but limited evidence of improved overdose outcomes or stronger community-based care. He urged the committee to consider broader continuum-of-care solutions and cautioned that waivers alone are not a cure-all.
No final vote was taken on the bill draft during the portion shown, but the committee discussed the proposal to appropriate $49,000 and one FTE to HHS to pursue an IMD waiver and report back in the next interim. Members also debated the policy rationale for the 16-bed limit, the role of the state versus tribal sovereignty, and whether the bill should move through the Health Care or Human Services committee in the future.
MN
Minnesota 2025-2026 Regular Session
Surveillance-based price and wage discrimination prohibited 3/4/26
Minnesota House Floor Meeting
Transcript Highlights:
- So, what this bill does is it bans the practice of surveillance-based pricing and wage discrimination
- This bill bans the practice of surveillance-based pricing and wage discrimination.
- Today presents an opportunity for the legislature to get out ahead of an anti-competitive practice that
- These definitions are so broad that they sweep in virtually all of these practices.
- Any data a business of these practices.
Summary:
House File 3794, as amended by the A4 amendment, was heard in committee. Representative Greenman described the bill as a ban on surveillance-based pricing and wage discrimination, with a disclosure requirement for companies using automated data to set individualized prices or wages. The A4 amendment was adopted; Greenman said it updated language based on attorney general and stakeholder feedback and added a burden-shifting provision that would let consumers or workers establish a presumption, which companies could then rebut with data. Greenman and supporters argued the bill would stop companies from using personal data and AI tools to charge different prices to different people, while still allowing ordinary market-based discounts and clearly offered group discounts such as those for veterans, students, or teachers.
Supportive testimony came from the Minnesota Farmers Union, a neighborhood bookstore owner, Consumer Reports, and a small business owner. They said surveillance pricing undermines fairness, transparency, and competition, and cited examples such as different online prices based on location, browser history, or loyalty-program data. Testifiers also warned that AI-driven pricing and discounting can be opaque and discriminatory, and that small businesses cannot compete with large firms that control more data. Consumer Reports said consumers should not have to use workarounds like VPNs to compare prices and noted that some discounts based on personal data may also need sunlight and guardrails.
Opposition came from the Minnesota Chamber of Commerce and the Chamber of Progress. They argued the bill’s definitions are too broad and could sweep in ordinary business analytics, loyalty programs, targeted promotions, inventory tools, and even spreadsheets, creating compliance risk and discouraging innovation and investment. They also warned the bill could burden small businesses and interfere with workplace management and compensation decisions. During member discussion, several legislators voiced support for the bill as a transparency and fairness measure, while one member noted that the most egregious examples appear to be in e-commerce and said the committee was laying the bill over for further consideration.
NM
New Mexico 2025 Regular Session
IC - Legislative Finance Jul 22nd, 2025
Transcript Highlights:
- We need to create things that attract individuals to want to come and practice in New Mexico.
- When we talk to doctors that own their own practices, they can't offer enough anymore.
- We're actually driving the private practice, which is what medicine was really created for.
- practice environment. But, Mr. Chairman, do you have a number?
- That is best practice, and that's what both governments are doing. That's great.
CA
California 2025-2026 Regular Session
Joint Hearing Human Services and Agriculture Committee Mar 26th, 2025
Transcript Highlights:
- We need to make it easier and more affordable for practicing farmers to buy land.
- With the Food Business Center, it hosts quarterly online webinars, lifting practices and resources for
- And the question, it begs the question of what are the practices that are being implemented by farmers
- And we see that the more we are able to create markets, Practices versus others.
- They use cover cropping and other climate-smart practices.
Summary:
The joint oversight hearing focused on food insecurity in California and how state and federal nutrition programs, agricultural production, and food distribution systems intersect. Assemblymembers emphasized that many Californians, including farmworkers, seniors, children, and communities of color, remain food insecure despite California’s agricultural abundance. Panelists and members discussed CalFresh, WIC, school meals, Sun Bucks, food banks, and the impact of federal policy changes, including possible nutrition cuts, tariffs, and immigration enforcement, on access to food and the agricultural workforce.
Secretary Karen Ross described CDFA programs aimed at improving access to fresh food and supporting local agriculture, including the senior farmers’ market program, California Nutrition Incentive Program, Healthy Refrigeration Grant Program, Community Food Hubs, Farm to School, urban agriculture, and a proposed tribal food sovereignty program. She said these efforts help connect local producers to consumers, expand healthy food access, and build infrastructure such as refrigeration, mobile markets, and aggregation hubs. Department of Social Services Deputy Director Alexis Fernandez Garcia outlined CalFresh, CFAP, Sun Bucks, CACFP, emergency food programs, and tribal nutrition assistance, noting that CalFresh and related programs significantly reduce poverty and food insecurity, but participation gaps remain for non-English speakers, some Asian American communities, and undocumented households.
PPIC researcher Tess Thorman presented data showing that 13% of California households experienced food insecurity in 2023, with higher rates among households with children and Latino, Black, and other households. She said nutrition programs reduce poverty and food hardship, but federal rules, income thresholds, immigration restrictions, and high living costs limit their reach. Members asked about simplifying applications, improving call center access, increasing outreach in multiple languages, and adjusting benefits for inflation. Officials said the state has used available federal options to streamline enrollment, improve customer service, and target outreach, but many core rules and benefit levels are set federally.
The second panel shifted to food production and market access. A farmer, a UC food systems leader, and a produce distributor described efforts to connect small and medium farms with food banks, schools, universities, and Medi-Cal food-as-medicine programs. They highlighted programs such as Farms Together, the USDA Southwest Regional Food Business Center, Farm to School, food hubs, and climate-smart infrastructure grants as ways to create stable markets for local growers while improving food access. Speakers also raised concerns about land tenure, consolidation, regulatory burdens, labor constraints, and the loss of federal funding, and members discussed whether state investments and Prop. 4 funds could help sustain and expand these efforts.
KY
Kentucky 2025 Regular Session
House Standing Committee on Economic Development & Workforce Investment(2-20-25)
Transcript Highlights:
- Representative Walker Thomas responded that, under this bill and current practice, the agency has to
- Representative Walker Thomas answered that, under current practice, the agency gives the employer the
- Representative Walker Thomas said that, under this bill and under current practice, the agency has to
- He said that, as a practical matter, that typically means they will give 45 minutes to an hour for an
- inspection uh as a just a practical inspection uh as a just a practical matter<00:12:26.720>
Summary:
The House Standing Committee on Economic Development and Workforce Investment met for its first 2025 session meeting, took roll, and established a quorum. The committee adopted a committee substitute for House Bill 398, an act relating to occupational safety and health, before hearing testimony. Sponsor Representative Walker Thomas said the bill is intended to align Kentucky’s occupational safety and health rules more closely with federal standards, provide clearer reference points for employers, and improve consistency and compliance while maintaining worker safety. He also explained that the substitute added and clarified a de minimis citation provision and defined “qualified representative,” and he noted a typo in the substitute would be corrected on the floor.
Members asked whether the bill would change Kentucky’s OSHA structure or affect state offices, and Thomas said Kentucky remains a state-plan state with its own offices and enforcement staff, and that the bill would not eliminate those offices. He said the measure is meant to streamline rules and clarify that certain notices would carry no penalty when there is no substantial impact on safety or health. He also said employers must be given an opportunity to be present for inspections, typically with 45 minutes to an hour to arrange representation.
Opposition testimony came from Dustin Ryan Stadler of the Kentucky State AFL-CIO and Gerald Atkins of Working Strategies 2 on behalf of the Kentucky State Building and Construction Trades Council. They argued the bill weakens worker protections, reduces accountability, limits who may request inspections, and could prevent family members from seeking inspections after a fatal workplace incident. Stadler described a fatal construction accident he witnessed in 2006 and said OSHA protections exist for a reason. Atkins cited workplace deaths and injuries, said the bill would go beyond prior 2021 changes, and warned that allowing Franklin Circuit Court to award uncapped costs and attorney fees against OSHA could chill enforcement. Several members then questioned whether federal standards are sufficient, with supporters saying the bill simply aligns Kentucky with federal rules and opponents arguing Kentucky should retain the ability to keep stronger protections for certain industries. No final vote on House Bill 398 was taken in the portion of the meeting provided.
NH
New Hampshire 2026 Regular Session
House Fish and Game and Marine Resources (02/03/2026)
Fish and Game and Marine Resources
HI
Hawaii 2025 Regular Session
HED/EDN Joint Info Briefing - Wed Jan 29, 2025 @ 2:00 PM HST
Hawaii House Floor Meeting
Transcript Highlights:
- students from fifth to eighth grade, six hours per day for a week, and we dove in simulating and practicing
- using AI tools along with that practices using AI tools along with that focus<00:42:52.960>
on - <00:49:25.240>
um to support and enhance their practice um to support and enhance their practice - We share practices. We share examples.
- some faculty of practice that recruit some faculty of practice that they<01:49:12.960>
were <01
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Education Jun 21st, 2026 at 11:00 am
Joint Committee on Education
Transcript Highlights:
- It is the practice of this committee and most committees to take elected officials out of turn, so there
- This is my fourth time in six years advocating for safer, more equitable practices for students with
- So that’s a very common practice already in many different areas.
- Cultural, religious, social, family, and individual values, traditions, and practices...
- We're not in the locker room after practice.
Summary:
The Joint Committee on Education held a public hearing on a large slate of bills, with the chairs emphasizing time limits, written testimony, and grouping similar measures together. Early testimony focused on opioid use disorder education in schools (S.382), with Senator Keenan arguing that students should be taught about the risks of substance use disorder and naloxone use as part of health curricula. Representative DeCost also briefly introduced H.551, a narrow bill concerning parent rights for children in third grade and younger. Several bills were then closed without testimony, including measures on type 1 diabetes informational materials and other diabetes-related proposals.
A major portion of the hearing centered on school health and emergency response bills. Supporters of H.652/S.342 on diabetes management in schools described inconsistent district practices and urged clearer standards so students can receive care in classrooms rather than being sent out of instruction. Bills on epinephrine access and seizure disorders drew extensive testimony: advocates for stock epinephrine in schools argued that unassigned epinephrine can save lives and should be funded in a cost-neutral way, while a pediatrician opposed one version as an unfunded mandate. For seizure-safe schools (S.422/H.635), students, parents, educators, and advocates described missed or delayed responses to seizures, stigma, and the need for staff training, seizure action plans, and emergency medication protocols. A separate bill, H.645, allowing anti-seizure medication on school buses, was supported by a parent and student who said current law forces costly and restrictive transportation arrangements.
The committee also heard testimony on youth skin health bills (S.334/H.600/H.619), which would let students carry and apply sunscreen at school and camp without a physician’s note. Supporters from melanoma prevention, dermatology, and industry groups said the bills would remove unnecessary barriers and promote sun-safe habits, while one witness cautioned about drafting details and unintended consequences. The hearing then moved to CPR/AED education for graduation (S.456), where Senator Tarr, a student advocate, and the Red Cross all supported requiring hands-on CPR certification for high school students. Finally, the committee took testimony on healthy school lunches (H.539/S.401): supporters from the Healthy School Lunch Coalition and school food directors backed stronger nutrition standards and a standing advisory council, while Consumer Brands Association witnesses opposed the bill as too vague and potentially disruptive. A nutrition scientist also warned about unintended restrictions on medically necessary or innovative foods. The chairs closed the hearing on the healthy lunch bills and then opened testimony on universal school meals for virtual schools (H.700), with Superintendent Patrick Latuka supporting access for students in Commonwealth virtual schools who currently receive no meal support.
ND
Transcript Highlights:
- They technically, in practice, I think there's been some direction or confusion that will probably see
- So we make an assumption that that's for their practicing.
- What it says is these are the attorneys licensed to practice law by state.
- Yeah, Madam Chair, Senator Larson, those are attorneys licensed to practice in North Dakota. I see.
- They maintain the FFJC clearinghouse, which also contains policy guidance and best practices.
NH
New Hampshire 2025 Regular Session
House Health, Human Services and Elderly Affairs (10/08/2025)
Health, Human Services & Elderly Affairs
Transcript Highlights:
- Uh, one of the things that I do think helpful as a practical matter isn't just the legal discussion,
- Uh, one of the things that I do think helpful as a practical matter isn't just the legal discussion,
- Uh, one of the things that I do think helpful as a practical matter isn't just the legal discussion,
- HIPPA uh public health practice uh etc. HIPPA uh public health practice uh etc.
- Thank you. 2021 as a practicing family law attorney 2021 as a practicing family law attorney I<01:00:
MA
Massachusetts 2025-2026 Regular Session
Public Health Effects of Xylazine Jun 21st, 2026 at 10:00 am
Transcript Highlights:
- Number one: best practices to regulate and oversee the production and distribution of xylazine to ensure
- Number one, best practices to regulate and oversee the production and distribution of xylazine to ensure
- It's good practice to test all of their supply, or as a quote, to make sure I'm not unknowingly distributing
- It's good to practice to test all of their supply.
- just to say that it is not something that, at least in Massachusetts, which is mostly small-animal practice
Summary:
The Special Commission on Xylazine convened its second meeting, approved the minutes from its June 23 meeting, and reviewed its timeline and working groups. The co-chairs said the commission’s final report is due to the House and Senate clerks by March 30, 2026, and outlined three working groups focused on regulation/oversight of xylazine, treatment and outreach for exposed patients, and education/training for first responders, clinicians, treatment providers, and people who use substances. Staff will schedule working group meetings, with group presentations planned for December 11, followed by commission meetings in February and March to review and finalize the draft report.
Public comment centered on research and practical responses to xylazine contamination in the drug supply. Dr. Tracy Green of Brandeis reviewed recent studies showing severe xylazine-related wounds and amputations in Philadelphia, withdrawal symptoms, the value of wound identification tools, and the usefulness of drug checking in detecting xylazine even when users did not suspect it was present. She urged expanded low-barrier wound care, more access to medications for opioid use disorder, overdose prevention sites, housing, and trauma-informed care, while cautioning that stricter controls could push the market toward other dangerous alpha-2 substances. Commissioners asked about early wound identification, dilution/cutting strategies, supplier engagement, and how to reduce stigma and improve treatment access.
Tia Johnson of Boston Medical Center and Boston Health Care for the Homeless testified that xylazine contamination still requires naloxone for overdose response, but sedation can last longer and may require low-dose naloxone, oxygen support, and low-threshold monitoring spaces. She emphasized that xylazine-associated wounds can heal with consistent care, but patients often lose access to services when sent to hospitals unnecessarily. Commissioners discussed reimbursement barriers, especially in MassHealth and behavioral health settings, and the need for wound care to be available within detox and treatment programs rather than requiring transfers. The meeting ended with agreement to continue working group planning and adjournment.
CA
California 2025-2026 Regular Session
Assembly Business and Professions Committee Jun 16th, 2026
Business and Professions
Transcript Highlights:
- In other words, we're practicing occupational segregation when we aren't looking at what the actual needs
- It also sets standards for AI use in therapeutic settings and practice by requiring informed consent
- I am a licensed clinical social worker practicing in the state of California, and I am here today because
- Practicing therapy without a license is already illegal.
- Clear boundaries are maintained between technology and the practice of licensed professions, and the
Summary:
The Assembly Business and Professions Committee heard several Senate bills focused on workforce training, public safety, health, and consumer protection. SB 1203 by Senator Smallwood-Cuevas would expand and modernize private security guard training, especially de-escalation training, and drew strong support from security workers and labor groups who described dangerous encounters and inadequate preparation. Opponents, including security firms and business groups, argued the bill would impose major costs, create staffing shortages, and push employers toward unregulated alternatives. The committee ultimately voted to pass the bill to Labor and Employment, with some members noting support contingent on future amendments about training capacity.
SB 936 by Senator Blakespear would restrict retail sales of larger nitrous oxide canisters while preserving legitimate medical, culinary, and automotive uses. Supporters, including Orange County Supervisor Katrina Foley, counties, public health groups, waste agencies, and law enforcement organizations, said misuse of nitrous oxide is causing addiction, impaired driving, neurological harm, and disposal hazards. There was no organized opposition on the record, and the committee passed the bill to Public Safety.
SB 1271 by Senator Reyes would require the Medical Board to collect data on licensed midwives’ capacity to serve as preceptors and train new students, with the information reported to the Legislature. Supporters said California’s midwifery pipeline is strained, especially in rural and birth-desert areas, and that more data is needed to expand training access. The committee passed the bill to Health. SB 903 by Senator Padilla would prohibit AI chatbots from being advertised or used as therapists without appropriate licensed-professional oversight and informed consent, and would reinforce confidentiality and patient-protection rules. Testimony centered on the death of a teenager after extensive interactions with an AI chatbot, with supporters urging stronger guardrails and opponents asking for amendments; the committee passed the bill to Privacy and Consumer Protection. The consent calendar item, SB 1165 by Senator Caballero, was also approved and sent to Revenue and Taxation.
HI
Hawaii 2026 Regular Session
HHS, HHS DEFER, HHS DEFER Public Hearings 04-16-2026
Transcript Highlights:
- having more conversations and meetings, and she is a past intern and fellow of our evidence-based practice
- evidence-based intern and fellow of our evidence-based intern and fellow of our evidence-based practice
- practice program. practice program.
- So, I am looking forward, um, as Laura mentioned, I have taken evidence-based practice from the Center
- <00:05:03.360>
from have taken evidence-based practice from have taken evidence-based practice
Summary:
The Health and Human Services committee heard and considered several gubernatorial nominations to advisory boards and councils. Early in the meeting, members heard testimony in support of Miriam Chang for the Health Planning Council Windward O‘ahu subarea, with supporters highlighting her long medical practice on the Windward side, work at Ko‘olau Health Center, and community involvement. Chang said she wanted to help improve health, especially in rural areas. The committee also heard support for Terrilyn Luke’s nomination to the Center for Nursing Advisory Board; the Center for Nursing director and nursing organizations backed her, and Luke said she would bring a front-line nursing perspective, focus on workforce conditions, retention, and collaboration, and help address tensions between the Center and nursing labor groups. The committee then heard support for Valerie Rose’s nomination to the Language Access Advisory Council; Rose briefly noted her prior work in the Chronic Disease Branch and Bilingual Health Aide Section.
The committee also took up nominations in a later agenda segment. James Montgomery was heard for the State Rehabilitation Council and described his interest in serving based on a family experience with disability and his work in talent management, saying he wanted to help people with disabilities gain opportunities. Kevin Nakamura was heard for the Board of Certification of Operating Personnel in Wastewater Treatment Plants and said his 30-plus years of wastewater experience would help ensure operators are properly trained and certified to protect resources and the environment. Pina Lemusu was heard for the State Council on Developmental Disabilities; she said her long career with the Division of Vocational Rehabilitation and personal experience with disability would help her contribute to the council. Additional testimony in support came from the State DD Council and Voc Rehab representatives.
The committee voted to recommend advise and consent on the nominations it considered, including Miriam Chang, Terrilyn Luke, Valerie Rose, James Montgomery, Kevin Nakamura, and Pina Lemusu. Most recommendations were adopted without objection, though Senator Dela Cruz voted no on some of the later nominations. The meeting also briefly noted another nomination, Olivia Kim, which was recalled and advanced with an advise-and-consent recommendation before adjournment.
NM
Transcript Highlights:
- It introduces evidence-based practices... Now, this bill does three things.
- It introduces evidence-based practices in the discretionary parole process.
- Really, the focus and the practice that's in place with the parole board now is that we're focusing on
- The practical effect of the bill is that the one-time exposure at the academy and now legally suffice
- Academy training alone cannot keep pace with evolving law, medical standards, and best practices.
Keywords:
SB30, induced abortion, abortion reporting, vital statistics, public health reporting, medical records, health care providers, repeal, New Mexico, pregnancy termination, abortion data, state reporting requirements, confidentiality, reproductive health, parole, life imprisonment, rehabilitation, criminal justice, victim rights, law enforcement
MS
Mississippi 2026 Regular Session
Appropriations - Room 216, 4 February, 2026; 9:00 AM
Appropriations
Transcript Highlights:
- They're dental assistants who have taken a seminar to be able to do x-rays within the dental practice
- within a seminar to be able to do x-rays within the<00:04:39.680>
dental <00:04:40.000>practice - <00:04:40.800>
And <00:04:40.960>so, <00:04:41.600>um the dental practice. - And so, um the dental practice.
- For example, the salary offered for the advanced practice nurse position at the board was less than half
Summary:
The committee first heard from the Board of Dental Examiners on its FY27 budget request. Board staff said the agency licenses and regulates dentistry and dental hygiene in Mississippi, with nearly 7,500 licenses and permits. They described recent accomplishments, including implementation of a new database and completion of sedation-permit inspection requirements, and said those changes created about $80,000 in savings. The board’s main remaining request was a 3% staff progression costing $20,539; members also discussed a possible $29,000 ITS charge tied to House Bill 1491, though staff said that cost might no longer be needed if the funding shifts back to ITS. The board also explained its revenue sources, including dental, hygienist, and dental assistant x-ray permits, and clarified that the “radiology” permits are for dental assistants authorized to take x-rays. Members asked about fees, renewal cycles, sedation permit classes, and continuing education requirements, and the board said it was fully staffed and did not need vacancy funding.
The committee then heard from the Board of Nursing, which said it regulates about 80,000 LPN, RN, and APRN licenses and oversees workforce programs and disciplinary matters. The board emphasized its Office of Nursing Workforce, noting more than $4 million in grants to nursing programs from 2019 to 2024 and thousands of scholarships awarded to nursing students, with recipients required to work in Mississippi for a period after graduation. It said staffing remains a major problem because salaries are not competitive, leading to difficulty filling positions; between October and December, 10 positions were posted and only two were filled. The board said the legislative budget recommendation would eliminate five positions, and it requested $112,466 in salary funding to restore and support staff pay, including a maximum 7% progression for nursing positions, a 4% increase for nonexecutive staff, and a 2% increase for executive staff.
The nursing board also requested additional contractual and technology funding. It said House Bill 1491 would increase annual fees by $49,486 plus a one-time $3,000 data migration charge, and it requested $13,800 for an ongoing subscription tied to the military medics program assigned to the board in the prior session. It also said a proposed human trafficking bill would require another $10,000 if enacted. Members asked about the board’s cash balance, renewal cycles, and staffing structure, including investigatory and compliance functions, and the board said it had about 39 current employees and was monitoring roughly 130 people in compliance, including about 30 in a confidential monitoring program for substance use or severe psychiatric conditions. No votes were taken; the hearing concluded with members thanking both boards and inviting follow-up questions before appropriations decisions.