Transcript Highlights:

• COVID back to the nursing home.
• </c> COVID back to the nursing home. COVID back to the nursing home.
• Another nurse this bill in Virginia.
• </c> other parts of the state have programs other parts of the state have programs where<01:26:33.280
• These programs are where they compete.

Keywords: 958, all

Transcript Highlights:

• This legislation is simple: make sure that applicants in the Medicaid program are legal American citizens
• So Mom, being a nurse, took her out of her activities, was using ice, ibuprofen, all of the things, and
• It just covers nurse practitioners if they're working for a state agency.
• Administered in Mexico right now under the care of medical doctors and nurses, it's given orally.
• It is about a 12-hour session that where you're monitored by a doctor and a nurse and then a paramedic

Bills: HB4423 , HB3342 , HB3645 , HB3647 , HB3887 , HB4430 , HB4431 , HB2964 , HB3834

Committee: House Public Health

Keywords: Oklahoma Health Care Authority, Medicaid, immigration verification, healthcare access, federal reporting, health care providers, auditing, patient rights, claims, protection from fraud, audit process, error correction, hospice care, physician determination, healthcare standards, symptom management, health information exchange, all-payer claims database, health care transparency, health care costs

Transcript Highlights:

• Tarr, relative to the integrity of the state-funded legal defense programs. The senator.
• Relative to the integrity of the state-funded legal defense programs.
• It was a brave nurse. Thanks.
• A nurse who understood that compassion, humanity, and patient advocacy still matter.
• So Chapter 258F created a good program or straightened out a program that wasn't working in Massachusetts

Summary: The Senate took up the Protect Act, a broad immigration-related bill, and first adopted Amendment 6 offered by Senator Kennedy. Kennedy framed the amendment as strengthening protections for DDS facilities and other disability-related settings, arguing that immigrant caregivers are essential to the direct care workforce and that these spaces should be treated as sensitive care environments. The chamber also agreed to print several senators’ remarks in the journal. Members then considered a series of amendments, with many withdrawn or rejected. An effective-date amendment was adopted, while multiple amendments from Senator Tarr and Senator Keenan dealing with 287G agreements, detainers, civil arrests, notification procedures, sanctuary-related language, and other enforcement provisions were defeated. Amendment 34, expanding safe-space language to include residential schools and residential programs licensed or funded by the state, was adopted. Amendment 11 on protecting immigrant victims of crime and trafficking was not adopted. Later, the Senate adopted Amendment 10 from Senator Edwards on courthouse curtilage and Amendment 20 establishing a commission on immigration, with Edwards noting minority-party representation would be included. Amendment 13 from Senator Miranda, protecting health care workers from retaliation when acting in good faith for patients, was also adopted. A corrective amendment from Senator Friedman was adopted, and Senator Montigny used the occasion to speak about human trafficking and the need to protect victims and prosecute traffickers. After the Ways and Means recommendation was adopted, the bill was ordered to a third reading and then passed to be engrossed by a roll call vote of 37-3. The Senate then took up a House amendment to a student learning and mental health bill, rejected the House changes, and appointed a conference committee. The chamber also adopted an order to adjourn and recessed until the following Monday.

Transcript Highlights:

• Tarr, relative to the integrity of the state-funded legal defense programs. The senator.
• Relative to the integrity of the state-funded legal defense programs.
• It was a brave nurse.”
• A nurse who understood that compassion, humanity, and patient advocacy still matter.
• So Chapter 258F created a good program, or straightened out a program that wasn't working in Massachusetts

Keywords: 1212, all

Transcript Highlights:

• will need to be paid in full within 90 days, which is longer than the prior practice before this program
• We've launched dozens of apprentice cohorts that last decade targeting occupations in registered nursing
• These programs connect workers to stable, living-wage jobs while meeting the needs of state employers
• coordinator for SCIU Local 1000 Sarah McGinn and I'm a research program coordinator for SCIU Local 1000
• These programs connect workers to stable living wage jobs while meeting the needs of state employers.

Summary: The Assembly Committee on Public Employment and Retirement heard three bills. SB 939 by Senator Laird, sponsored by CalPERS, would end new enrollment in the actuarial equivalent reduction option for service credit purchases starting in 2028 and require any unpaid balance at retirement to be paid within 90 days. The author said the change would reduce unintended consequences for members, employers, and CalPERS administration. There was no opposition, and the bill was approved on a unanimous vote and sent to Appropriations. SB 1038, also by Senator Laird and sponsored by CSEA, would expand CalPERS audit notification procedures so bargaining units receive notice when an employer is audited and receive relevant member information from final audit reports. Supporters said this would help unions protect members from benefit reductions or repayment demands caused by payroll or compensation errors, citing a Kern High School District audit example. Teamsters, the California Labor Federation, and AFSCME testified in support, with no opposition. The committee passed the bill unanimously and sent it to Appropriations. SB 1227 by Senator Drozdoff/Dorazo (as referenced in the transcript) would require the Department of Industrial Relations to work with unions on apprenticeship pathways into enforcement jobs, such as Cal/OSHA and Labor Commissioner classifications, to address staffing shortages and backlogs. The author and supporters from United Steelworkers, SEIU Local 1000, CSEA, the California Labor Federation, and others argued apprenticeship would create a pipeline of trained workers and improve labor law enforcement. The committee accepted amendments, voted the bill out on a unanimous vote, and re-referred it to the Committee on Labor and Employment.

Transcript Highlights:

• such as nursing, dental, surgical technology, cybersecurity, and precision manufacturing.
• Sear, Nursing and Allied Health Program expansion. Senator Comerford: Thank you, Mr. President.
• and allied health programs and provides for an additional school convening space.
• You may ask Boston Nursing School. Senator Todd. Mr.
• You may ask Boston Nursing School. Question comes on adoption of the amendment.

Summary: The Senate considered and amended House 4769, a major higher education bond bill titled an act to build resilient infrastructure to generate higher education transformation (the BRIGHT Act). Members adopted a series of amendments funding deferred maintenance and capital projects at public colleges and universities, including MassBay Community College (HVAC and window replacement), Massachusetts Maritime Academy, Springfield Technical Community College, Cape Cod Community College, Worcester State University, Quinsigamond Community College, Roxbury Community College, UMass Boston, Middlesex Community College, Salem State University, Berkshire Community College, and MCLA. Several amendments were rejected, including proposals related to a sustainable hand hygiene program, board membership, and some other institutional or policy changes, while a number of amendments were held or withdrawn. The bill ultimately advanced through third reading and was passed to be engrossed by a unanimous roll call, with senators emphasizing the need to address deferred maintenance and modernize higher education facilities statewide. A major floor debate centered on an amendment by Senator Tarr to dedicate $300 million of Fair Share surtax revenue to K-12 education. Supporters argued that many school districts face rising costs, minimum aid, and an outdated Chapter 70 formula, and that the amendment would create a marker for future reform. Opponents said the Commonwealth already dedicates substantial surtax and other funding to K-12 education and that the amendment was not the right vehicle. After a roll call, the amendment was rejected. The Senate also rejected several Tarr amendments on fiscal safeguards, equity analysis, bond covenant requirements, and Chapter 62F taxpayer protections, while adopting others related to UMass Gloucester Marine Station housing and coastal erosion work, and to modernizing Massachusetts State College Building Authority bonding and office-location rules. The chamber also adopted a motion to adjourn in memory of Bolton Police Chief Luke Hamburger, who was remembered for his service, leadership, and community ties. Before adjournment, senators took brief statements on other issues, including a call for greater awareness of rare diseases and the need for improved access to diagnosis and treatment. The Senate also approved extension orders giving committees additional time to report on pending environmental and municipal bills, and it set its next meeting for Monday at 11:00 a.m.

Transcript Highlights:

• And whereas Arizona is experiencing severe workforce shortages of physicians, nurses, advanced practice
• She took over as president of the Arizona Nurses Association when my term ended, so I was very glad to
• , but it was called the Sexual Assault Response Program for the United States Army.
• This is an opt-out program.
• So the money that this program is taking away could be used to inform all students in public schools

Keywords: 1182, all

Transcript Highlights:

• Shared equity homeownership programs like the Homes for Lasting Affordability program benefit homeowners
• and the federal Housing Choice Voucher Section 8 program.
• This would improve the operational efficiency of the program.
• Improvements to the Alternative Housing Voucher Program give people like Manny a pathway out of nursing
• as a mixed-income program.

Committee: Joint Joint Committee on Housing

Keywords: 995, all

Summary: The Joint Committee on Housing opened a hybrid hearing focused on housing production bills, with Chairs Julian Cyr and Rich Haggerty emphasizing Massachusetts’ housing shortage and the need to produce more than 200,000 units over the next decade. The committee then heard testimony on a wide range of proposals, including social housing, starter homes and the “missing middle,” accessory dwelling units (ADUs), single-stair residential buildings, permanent affordability homeownership, and housing for people with disabilities. Several witnesses framed the bills as tools to expand supply, lower costs, and address racial and generational wealth gaps. Representative Connolly testified for H. 1478 on the Massachusetts Social Housing Program, describing publicly owned, mixed-income housing financed through a revolving loan fund. Senator Feeney testified for S. 989 on missing middle starter homes, arguing for zoning changes, incentives, and affordability tools to support smaller starter homes and duplexes, triplexes, and fourplexes. Multiple witnesses, including housing advocates, real estate representatives, and local officials, supported the ADU trust fund bill and the single-stair study bill, saying they would reduce barriers, support homeowners, and enable more family-sized and infill housing. Some witnesses opposed bills they said would weaken ADU reforms or add new restrictions, while others urged broader deregulation to speed production. A major portion of the hearing focused on H. 1576/S. 1010, the Homes for Lasting Affordability bill, which would create a permanent affordability homeownership program for low- and moderate-income buyers and support small developments with long-term affordability restrictions. Testimony from community land trust leaders, legislators, and housing advocates emphasized that permanent affordability can preserve public investment, stabilize neighborhoods, and help families build wealth over generations. Senator Miranda and Representative Worrell tied the bill to closing the racial wealth gap and expanding access to homeownership for Black and Latino residents. The committee also heard testimony on S. 971, which would reform the Housing Development and Incentive Program to require more affordability in Gateway City projects. The committee additionally heard from Senator Kennedy and disability advocates on S. 1004, which would strengthen the Alternative Housing Voucher Program for people with disabilities by codifying project-based vouchers and aligning the program more closely with other voucher systems. Witnesses described long waitlists and the lack of accessible, affordable units as major barriers that can lead to homelessness or unnecessary institutionalization. No votes were taken during the hearing; the session was devoted to testimony and questions from committee members.

Transcript Highlights:

• And it's even approved by our SNAP programs and our school programs and our breakfast programs.
• programs and our school programs<00:36:52.160><c> and</c><00:36:52.400><c> our</c><00:36:52.560><c>
• </c> programs and our breakfast programs. programs and our breakfast programs.
• We created the 10-week program in our office. We call it our metabolism fix program.
• School-based health programs.

Keywords: 958, all

Summary: The task force met for its third meeting, approved the minutes, and heard testimony from Dr. Jack on behalf of the American Beverage Association and Kentucky Beverage Association. Dr. Jack argued that the “totality of the science” supports low- and no-calorie sweeteners as safe and useful tools for reducing sugar and calories, citing FDA and other domestic and international reviews, clinical trials, and the FDA’s recent healthy-label rule. He also described the industry’s transparency efforts, including a “Good to Know” database compiling ingredient and safety information, and said the beverage industry has voluntarily worked to offer more choices with less sugar. Members questioned him about whether beverage ingredients are restricted in other countries, possible health effects beyond weight and cancer, concerns about metabolic issues and gut microbiome effects, whether sweeteners are addictive, and why companies do not simply remove sweeteners. Dr. Jack responded that most ingredients are permitted in many jurisdictions, that broad food-safety reviews have looked at multiple endpoints and found the ingredients safe, that the gut microbiome is still being studied, and that recent clinical evidence does not show increased sweetness preference. He also said business decisions about formulations are up to companies and noted that cane sugar and high-fructose corn syrup are metabolically similar. The committee also discussed consumer apps and ingredient-scoring tools; Dr. Jack said the industry’s website presents facts without interpretation and is based on food-safety agency assessments. At the end of his testimony, the chair accepted additional fact sheets for the committee. The meeting then moved on to introduce Dr. Gary Huber, who began testimony by emphasizing integrative medicine, metabolic syndrome, and the role of diet, exercise, sleep, and stress in health, but his full presentation was not included in the excerpt.

Transcript Highlights:

• The Health Professions and program subcommittee will come to order a NOLA please call the Roll Chair
• Want to welcome each of you to the health Professions and program subcommittee looking forward to continuing
• Nurse assistants, medical doctors, Mental Health Counselors LP ends clinical social Workers Apr ends
• It mandates training for certified nursing assistants, working in nursing homes on recognizing and responding
• The program received an initial appropriation of fiscal year. 24 25 $500,000.

Transcript Highlights:

• IHSS is a vital program. It's not an optional program for those who use it.
• residual program.
• This is a growing program. This is a growing program.
• These programs keep people with disabilities in their communities and out of institutions and nursing
• Part C programs.

Keywords: 987, senate, all

Transcript Highlights:

• He says he stands with the registered nurses of Arizona.
• Members, I stand strong with the registered nurses of Arizona.
• There's no oversight by any physician, by any nurse. There's no training certification.
• We've got nurses that are for it.
• Yeah, as a nurse, I've seen the value of prevention.

Keywords: 1182, all

Transcript Highlights:

• Standing in between them, with her big smile today, we're proud to have our nurse, Ms.
• Standing in between them, with her big smile on today, we're proud to have our nurse. Ms.
• help support the work of the full independent practice nurse practitioner committee.
• This is just transferring the early childhood nutrition program from the Department of Education over
• It also creates the appropriation for the Rural Health Transformation Program.

Summary: The House convened with prayer and the Pledge of Allegiance, established a quorum with 98 members present, and granted leave for Representative Jack Ladyman. The chamber then received committee reports from the Joint Budget Committee recommending passage of several appropriation bills, and the Governor’s communication noting approval of House Bill 1001 (Act 2). The Speaker also recognized guests in the galleries, including law enforcement personnel, doctors, students visiting for STEM Day, line workers, and representatives from the Council of State Governments. The bulk of the meeting was devoted to budget amendments and appropriation bills. The House adopted amendments to House Bills 1018, 1023, 1036, 1041, 1055, 1068, and 1077, covering items such as title changes at East Arkansas College, DHS and Department of Health staffing adjustments, Capitol Police positions for the Winthrop Rockefeller Building, transfer of the early childhood nutrition program to the Department of Agriculture, DFA position changes and the Rural Health Transformation Program, and DHS county office reductions. The chamber then passed House Bill 1060 for the State Library, and Senate Bills 5, 13, 39, and 56, which funded the Tobacco Settlement Commission, Judicial Discipline and Disability Commission, Arkansas State University, and Auditor of State continuing education/local offices. Most measures passed with strong support, though Senate Bill 56 drew 14 nays. Before adjournment, the Speaker announced the House was ahead of schedule and planned to move the following week’s calendar earlier, with a possible sine die adjournment on Wednesday if business proceeded as planned. Representative Meeks moved to adjourn until 1 p.m. the next day, and the motion carried without objection.

Transcript Highlights:

• And we have in Broward County a smart growth program.
• It requires certified nursing assistants serving in a nursing home to receive training on recognizing
• home beds in a skilled nursing facility.
• to the entity responsible for the program design and implementation.
• the program.

Summary: The Senate convened with prayer, the Pledge of Allegiance, and several recognitions, including remarks from Senator Berman outlining Democratic priorities such as education, health care, environmental protection, and opposition to rollbacks on child labor, book access, and gun safety. The chamber also recognized military guests and an intern before moving to the special order calendar. Several bills were temporarily postponed, including measures on human trafficking, waste management, Bright Futures, Medicaid oversight at one point in the flow, and mammogram coverage, though the Medicaid oversight bill was later taken up and passed. The Senate passed a series of bills, often after substituting House companions and adopting technical amendments. Among the major measures approved were the dangerous dogs bill (the Pam Rock Act), which tightened penalties and procedures after fatal attacks; a local government land regulation bill that streamlined comp plan review and defined impact-fee circumstances, though members raised concerns about quasi-judicial hearing limits and local costs; a vessel-related bill combining boating safety and voter-freedom provisions; a blood clot screening and treatment bill creating the Emily Adkins Family Protection Act; fleeing and eluding penalties; concealed carry and firearm possession rules for certain officers and service members; timeshare management reforms; and public education on background screening requirements. The chamber also approved bills on disability history and awareness instruction, manufacturing and a related fee bill, utility service restrictions, educational opportunities for military children, health facilities authorities, and veteran and spouse nursing home beds. The disability instruction bill drew extended debate about the use of the term “disability,” inclusion, and whether the measure was consistent with broader DEI debates; it passed unanimously after emotional testimony from the sponsor and families. The manufacturing and utility bills focused on statewide economic policy and preemption of local restrictions, while the military children bill was presented as a student-driven proposal. Most measures passed with strong bipartisan support, with recorded votes ranging from unanimous to 33-3 on the firearm bill and 26-8 on the land regulation bill.

Transcript Highlights:

• PTSD, and those are certain firefighters, law enforcement, 911 operators, and direct care registered nurses
• In addition, firefighters, law enforcement officers, and direct care nurses have a specific rebuttable
• They have their own competing bill with a pilot program for risk mitigation and treatment.
• you're looking at the fiscal in terms of your experiences with both law enforcement, but also with nurses
• If it is a slow uptake more similar to a nurse, you would see over a five-year period an increase in

Summary: The committee heard testimony on several bills. SB 5882 would extend workers’ compensation PTSD presumptions to local correctional facility workers after 90 days of employment, with staff explaining the bill’s scope, fiscal note, and how claims would affect employers’ experience ratings. The sponsor and labor representatives supported the measure as a response to correctional officer trauma, while cities, retailers, and self-insurers opposed it over cost, system sustainability, and the need for more study. Labor and Industries said the estimated five-year state-fund claim cost ranges from $6.7 million to $15.3 million, and the hearing closed after testimony from both sides. The committee then heard SB 6196, which would impose a 95% excise tax on kratom products starting in 2027, create licensing and labeling requirements, and direct revenue to youth harmful substance prevention. Supporters argued kratom is unregulated and increasingly available to youth, and some urged age-gating and stronger restrictions on synthetic concentrated products. Opponents, including retailers and the American Kratom Association, said the bill is too punitive, would hurt legitimate businesses, and should be revised into a consumer protection framework rather than treated like a controlled substance. No vote was taken. SB 6204, allowing adults to grow up to six cannabis plants at home with a 15-plant household cap, drew strong support from cannabis advocates and some medical users, who said home grow should have been part of legalization and would help consumers understand the plant. Opponents from law enforcement, cities, and public health warned about youth access, enforcement problems, fire and chemical risks, and possible impacts on cannabis tax revenue. The committee also heard SB 6134, requiring notice to striking workers about possible UI overpayments if they later receive retroactive wages, which the sponsor said would prevent surprise repayment obligations; testimony was overwhelmingly supportive. Finally, SB 6195, aimed at reducing cannabis oversupply by tying producer canopy size to reported sales, drew broad support from cannabis businesses and trade groups, who said it would stabilize the market and address JLARC’s findings, with some stakeholders asking for implementation fixes and clearer language.

Transcript Highlights:

• statewide standing order to any school to obtain and maintain albuterol for administration by a school nurse
• House Bill 2369 establishes the Washington Local Food for Schools Program in the Office of Superintendent
• It also requires OSPI to collaborate with specified agencies to support the program in the bill, including
• This amendment combines agreements from the Department of Health, OSPI, and school nurses to lean in
• ...from the Department of Health, OSPI, and school nurses to lean instead of requiring the Department

Summary: The House Education Committee met in executive session on seven bills, with a brief recognition of students shadowing Representative Steele before moving to bill action. Staff summarized measures dealing with competency-based graduation assessments (HB 2007), school-supplied albuterol and standing orders for asthma or respiratory symptoms (HB 2360), the Washington Local Food for Schools Program (HB 2369), surplus technology hardware for students (HB 2432), privacy protections for Education Ombuds complaint records (HB 2440), military family school enrollment and services (HB 2534), and special education evaluation timelines and parent access to reports (HB 2557). Several proposed amendments were discussed, including multiple null-and-void amendments tied to fiscal notes; most of those were rejected or withdrawn, while a substantive amendment to HB 2360 was adopted and an amendment to HB 2557 was adopted to adjust evaluation-report timing and related procedures. In final action, the committee reported HB 2007, HB 2360 as a substitute bill, HB 2369, HB 2432, HB 2440, substitute HB 2534, and substitute HB 2557 out of committee with due pass recommendations. HB 2007’s null-and-void amendment failed, and the bill passed 19-0. HB 2360’s withdrawn amendment and adopted substitute language led to a 17-2 vote in favor. HB 2369’s null-and-void amendment failed and the bill passed 19-0. HB 2432 passed 16-3, with some members voting no or without recommendation. HB 2440 passed 12-7 after debate over privacy versus transparency. Substitute HB 2534 passed 19-0 after a voice vote. Substitute HB 2557 passed 19-0 after adoption of the timeline amendment and rejection of the null-and-void amendment. Throughout the meeting, supporters emphasized student-centered flexibility, public health access in schools, support for local agriculture, access to surplus technology, privacy for families using the Ombuds Office, smoother transitions for military-connected students, and clearer special education timelines for parents. Opponents or cautious members raised concerns about fiscal impacts, transparency, implementation details, and whether some changes should be handled in fiscal committees rather than policy committee.

Transcript Highlights:

• I'm not currently implementing the MAT program for juveniles, the juvenile program.
• What in our Medicaid program can we use GLP-1s for?
• But it's our smaller program in New Mexico.
• Let's look at what other strategies Medicaid programs utilize beyond preferred drug lists. programs across
• suggestions of specific programs?

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• At last count, only one hospice, UNM in New Mexico, currently offers a pediatric program despite more
• I am a rural pediatric hospice nurse working for Envoy Hospice in northern New Mexico.
• I am the only pediatric hospice nurse up there in the whole state.
• They have a program called UNM, or they called Mariposa.
• So you cannot just take an adult nurse who is trained in hospice care and bring them into a home with

Bills: SJR1 , SM2

Committee: Senate Senate Rules

Keywords: school elections, partisan elections, voting rights, constitutional amendment, New Mexico, elector registration, pediatric palliative care, pediatric hospice, Medicaid, state plan amendment, Health Care Authority, children with serious illness, life-limiting conditions, complex medical conditions, curative care, concurrent care, family-centered care, hospice services, managed care, pain management

Transcript Highlights:

• </c><00:03:35.840><c> May</c> direction of the school nurse May direction of the school nurse May maintain
• </c> road they'll send you to these programs road they'll send you to these programs um<00:41:02.880>
• out that the uh syringe program uh was out that the uh syringe program uh was leaving<00:41:38.119><c
• </c> through with the syringe service program through with the syringe service program so<00:46:29.880
• </c><00:47:12.040><c> was</c> this um the doorways program was this um the doorways program was established

Committee: Senate Health and Human Services

Keywords: 1191, senate, all

Transcript Highlights:

• I programs, I don't hear budget talks.
• I mean, I can't regulate a nurse. there? I mean, I can't regulate a nurse.
• :50.800><c> and</c><01:23:51.360><c> medical</c> nursing, physical therapy, and medical nursing, physical
• Kelly Jenkins, Executive Director, Kentucky Board of Nursing.
• Jeff Prather, General Counsel, Board of Nursing.

Keywords: 958, all

Summary: The subcommittee met on October 14, approved the minutes, and then took up a large group of staff-suggested amendments to multiple regulations. Those staff amendments were approved without objection and were described as technical changes needed to comply with KRS Chapter 13A and other governing law. The committee then moved out of order to consider Kentucky Board of Medical Licensure regulation 2011 KAR 9:270, which governs buprenorphine prescribing and related standards. Board representatives said the regulation has been updated over time since 2015 and that the current amendments are intended to streamline the rule, remove outdated federal references such as the X-waiver, narrow education requirements to addiction-related topics, and create exceptions for settings like emergency rooms and certain pain treatment situations. The agency amendment would also allow buprenorphine monoproduct for up to 30 days when a patient is transitioning from a full opioid agonist, and would add physicians certified in addiction medicine as eligible specialty consultants. Board officials said the regulation was developed through a two-year process with a work group, informal outreach to medical organizations, and multiple comment periods, and they argued the rule is working because overdose deaths have declined and provider numbers have increased. Several witnesses and committee members raised concerns that the regulation remains too restrictive. Senator Rocky Adams noted that major medical organizations had said the proposed language could restrict access and worsen overdose risk, and he questioned whether the committee was being asked to choose between conflicting expert views. Opponents, including a medical student, a recovery advocate, and Dr. Colleen Ryan of the Kentucky Society of Addiction Medicine, argued the rule is outdated, creates unnecessary barriers to buprenorphine treatment, and should be repealed or substantially revised to align with federal guidance and evidence-based care. They said rigid requirements can discourage treatment and that addiction should be treated like other chronic illnesses. No final vote on the medical licensure regulation is reflected in the transcript excerpt, and the discussion ended with the chair preparing to hear from additional opponents.