Bills: SJR1, SJR2, SJR5, SJR33, SJR34, SJR35, SJR37, SJR38, SJR39, SCR12, SB4, SB40, SB701, SB702, SB703, SB704, SB705, SB706, SB707, SB708, SB709, SB710, SB711, SB712, SB713, SB714, SB715, SB716, SB717, SB718, SB719, SB720, SB721, SB722, SB723, SB724, SB725, SB726, SB727, SB728, SB729, SB730, SB731, SB732, SB733, SB734, SB735, SB736, SB737, SB738, SB739, SB740, SB741, SB742, SB743, SB744, SB745, SB746, SB747, SB748, SB749, SB750, SB751, SB752, SB753, SB754, SB755, SB756, SB757, SB758, SB759, SB760, SB761, SB762, SB763, SB764, SB765, SB766, SB767, SB768, SB769, SB770, SB771, SB772, SB773, SB774, SB775, SB776, SB777, SB778, SB779, SB780, SB781, SB782, SB783, SB784, SB785, SB786, SB787, SB788, SB789, SB790, SB791, SB792, SB793, SB794, SB795, SB796, SB797, SB798, SB799, SB800, SB801, SB802, SB803, SB804, SB805, SB806, SB807, SB808, SB809, SB810, SB811, SB812, SB813, SB814, SB815, SB816, SB817, SB818, SB819, SB820, SB821, SB822, SB823, SB824, SB825, SJR1, SJR2, SJR5, SJR33, SJR34, SJR35, SJR37, SJR38, SJR39, SCR12, SB4, SB40, SB701, SB702, SB703, SB704, SB705, SB706, SB707, SB708, SB709, SB710, SB711, SB712, SB713, SB714, SB715, SB716, SB717, SB718, SB719, SB720, SB721, SB722, SB723, SB724, SB725, SB726, SB727, SB728, SB729, SB730, SB731, SB732, SB733, SB734, SB735, SB736, SB737, SB738, SB739, SB740, SB741, SB742, SB743, SB744, SB745, SB746, SB747, SB748, SB749, SB750, SB751, SB752, SB753, SB754, SB755, SB756, SB757, SB758, SB759, SB760, SB761, SB762, SB763, SB764, SB765, SB766, SB767, SB768, SB769, SB770, SB771, SB772, SB773, SB774, SB775, SB776, SB777, SB778, SB779, SB780, SB781, SB782, SB783, SB784, SB785, SB786, SB787, SB788, SB789, SB790, SB791, SB792, SB793, SB794, SB795, SB796, SB797, SB798, SB799, SB800, SB801, SB802, SB803, SB804, SB805, SB806, SB807, SB808, SB809, SB810, SB811, SB812, SB813, SB814, SB815, SB816, SB817, SB818, SB819, SB820, SB821, SB822, SB823, SB824, SB825

Keywords: bail denial, illegal aliens, felony offenses, constitutional amendment, law enforcement, SJR 2, Senate Joint Resolution 2, homestead exemption, property tax relief, school property tax, ad valorem tax, residence homestead, school district taxes, Texas Constitution Article VIII, public school finance, homeowner exemption, elderly exemption, senior tax relief, disabled exemption, tax year 2025

Transcript Highlights:

• Physician Practice Association.
• The clinical practice, as Dr.
• This bill would update the Physical Therapist Practice Act to reflect modern clinical practice and better
• This bill would update the Physical Therapist Practice Act to reflect modern clinical practice and better
• This legislation protects wellness practices without an inherent risk of harm, practices such as Reiki

Keywords: 995, all

Summary: The Joint Committee on Public Health held a hearing to take testimony on a wide range of bills involving professional licensure, clinical practice, and public health-related workforce issues. The chair explained that no votes would be taken at the hearing and that the purpose was to gather public input. Early testimony focused on Marnie’s Law, with supporters describing the bill as a no-cost, preventive measure to require nursing education on inflammatory breast cancer after a family tragedy and arguing it could reduce misdiagnosis and save lives. A major portion of the hearing centered on bills affecting clinical decision-making and licensure compacts. Supporters of the physician ownership/clinical autonomy bills argued they would protect independent practices from corporate interference after the Steward collapse, while supporters of EMS, dental, psychology, physical therapy, and physician assistant compacts said the measures would improve workforce mobility, reduce delays, and expand access to care, especially for rural patients, military families, and telehealth users. Several witnesses emphasized that the compacts would not reduce standards and would strengthen public protection through shared disciplinary databases and streamlined credentialing. There was also testimony on bills to ensure safe medication administration and to protect the independence of complementary and alternative health care practitioners. Nursing representatives urged that only licensed professionals administer medications in hospitals, hospices, and home care settings, warning that delegation to unlicensed staff could endanger patients and nurses’ licenses. A complementary and alternative care witness supported consumer access with mandatory disclosures and limits on reserved medical acts. On the dental compact, witnesses were split: some supported portability and workforce flexibility, while others warned the compact lacked a hands-on skills exam and could weaken Massachusetts’ regulatory authority and patient safety. The hearing concluded with continued testimony on the psychology compact, physical therapy compact, and physician assistant bills, with most speakers favoring expanded interstate practice and reduced administrative barriers.

Transcript Highlights:

• the expanded practices.
• the expanded practices.
• the expanded practices.
• the expanded practices.
• the expanded practices.

Bills: HB0143, HB0129

Keywords: health care providers, free speech, discrimination, governmental agencies, civil remedies, physician access, internationally trained physicians, medical licensing, provisional license, healthcare workforce, 916, all

Transcript Highlights:

• <00:03:05.040> for with this animal husbandry practice for with this animal husbandry practice
• <00:03:22.720> Act modernized the veterinary Practice Act modernized the veterinary Practice
• point out that the scope of practice point out that the scope of practice defined<00:10:08.440><
• It allows people to continue with certification and be able to practice.
• ...as long as they stay within their scope of practice.

Keywords: Meeting Start 00:00 Attendance Roll Call 00:30 Introduction of New Members 00:53 SB 69 Discussion 01:24, 958, all

Summary: The Senate Committee on Agriculture met for its first session and took up Senate Bill 69, as amended by a committee substitute. The substitute was adopted by motion and vote, and the chair noted that a fiscal note had been requested but not yet received, so the bill would proceed and the fiscal note would be trailed. The bill concerns equine dental care and related chiropractic services, creating a licensing and regulatory framework for equine dental providers and allied animal health practitioners. Senator Robin Webb, the bill sponsor, said the substitute made technical corrections requested by the Kentucky Veterinary Medical Association and the chiropractors association. She described the measure as a compromise intended to clarify scopes of practice, establish a credentialing/licensing board, and provide a legal pathway for people who have long provided equine dental services, especially in rural areas where veterinary access can be limited. Supporters said the bill would improve accountability, allow providers to obtain liability insurance, and preserve referrals to veterinarians for issues outside the defined scope. Kentucky Veterinary Medical Association and Board of Veterinary Examiners representatives said the bill was developed through a working group, modeled in part on Texas, and would include continuing education, grievance procedures, and due process protections. Justin Tallup, an equine dental provider, testified in favor, saying the bill would not change day-to-day practice but would legalize and formalize it. He said the scope would be limited to floating and balancing molars and incisors and removing caps and wolf teeth, with anything beyond that referred to veterinarians. He also said certification requires formal training, case submissions, testing, and annual continuing education. Senator Deneen asked about sedation, and witnesses said sedatives would still be prescribed and dispensed by a veterinarian under a valid veterinarian-client-patient relationship, with the owner administering them. Michelle Shane of the Board of Veterinary Examiners said the board supported the bill’s disciplinary framework and would defer to federal law on controlled substances. Dr. William Rainbow, a veterinarian, testified against the bill, arguing that equine dentistry is veterinary medicine and that the proposal would allow undertrained practitioners to work without sufficient standards, including a grandfathering provision. He said practitioners should have training comparable to licensed veterinary technicians and warned that the bill could leave horses vulnerable to poor care. The committee did not take final action on the bill in the portion of the meeting provided, but the chair indicated time was running short and that a vote would be needed.

Transcript Highlights:

• practice here just boggles me to no end. practice here just boggles me to no end.
• 01.720> practice.
• Uh, Asians, some orientals have their birthing practices, Jews have their birthing practices.
• , Jews have their birthing practices, Jews have their birthing<01:06:40.480> practices.
• practices, and our indigenous cultural practices.

Keywords: 910, house, all

Transcript Highlights:

• authorizing this as a scope of practice authorizing this as a scope of practice for<00:08:00.240
• <00:18:37.360> happen changes in the scope of practice happen changes in the scope of practice
• injection in school and practiced injection in school and practiced really<00:25:31.039> you<
• practice practice I<00:25:59.640> I<00:25:59.720> just<00:25:59.840> don't<00:26
• <00:34:48.960> when operate in their scope of practice when operate in their scope of practice

Keywords: 1183, house

Transcript Highlights:

• Both providers came from new practice sites and two from current PCMH practices.
• We had 103 engaged PCMH practices, which was an increase of 12 practices from 2024.
• more practices.
• This is internal medicine practices. Family practices. Family practices and pediatric practices.
• They're practice-owned, large practice-owned.

Keywords: 962, all

Summary: The Care Management Meeting opened with a DSS update on the PCMH program. Staff reported the program remained steady at 124 practices, 553 sites, and 2,548 providers, with some month-to-month fluctuation driven by practice consolidation, retirements, and a few practices leaving the program because NCQA requirements were burdensome. Members asked about declining provider and site counts, member attribution trends, and whether PCMH practices overlap with behavioral health homes; DSS said attribution changes are largely due to members becoming ineligible, moving, or getting other insurance, and that PCMH and behavioral health homes are separate programs that coordinate informally. The committee also discussed why some smaller practices leave the program and whether the requirements could be made easier to support retention. The committee then resumed a detailed presentation on the Husky Dental program. The presenter described the dental benefit’s history, the importance of preventive oral health, workforce and consolidation pressures in dentistry, and the lack of interoperability between dental and medical records. Network data showed year-over-year declines in enrolled dental practitioners and service locations, with access gaps concentrated in rural and eastern parts of the state. Appointment availability surveys showed average waits of 38 days for adults and 23 days for children, but much longer waits at FQHCs than private fee-for-service practices. The presenter said Connecticut remains above the national median on CMS pediatric dental quality measures, though sealant rates remain a concern, and noted that preventive care is associated with lower per-member costs. Members raised concerns about provider participation, large practices dropping Medicaid, mobile dental care, and whether the public directory accurately reflects which dentists are actually accepting new patients. The presenter said the plan uses secret-shopper calls, tracks appointment availability, and has begun using place-of-service coding to better identify school-based dental care. She also noted a new MOU with 20 Head Start programs to share data and provide oral health literacy and navigation support. The final major topic was implementation planning for HR1. DSS said CMS guidance was expected in early June and proposed using upcoming meetings to cover medical frailty, communication strategy, and data integration/ex parte verification. Committee members urged the department to create a dashboard to track disenrollments and other impacts of HR1, to build a process for complaints and problem resolution, and to think through cost-sharing, caregiver verification, exemptions, and notices. Members also asked about using existing eligibility structures such as the working-disabled program as a model. The committee agreed to move the next meeting to June 10 by Zoom, with the agenda to be circulated in advance and any PCMH Plus quality data shared if available.

Transcript Highlights:

• practices.
• practices then we protect our practice practices then we just<01:09:25.560> become<01:09:25.880
• practices um the these are practices practices um the these are practices that<01:42:18.080>
• a practicing these practices without a practicing these practices without a license<02:59:24.040
• practices performed by healing practice practices performed by traditional<03:02:49.960> Hawaiian

Keywords: 910, house, all

Summary: The joint House Committee on Health and Committee on Consumer Protection and Commerce heard two midwifery bills, with testimony focused primarily on HB 1194. Committee chairs opened the hearing with rules for Zoom testimony and noted the bills relate to midwives. The Department of Commerce and Consumer Affairs said it supported the intent of HB 1194 and offered comments. Supporters of the bill, including the Midwives Alliance of Hawaii, argued that midwifery should remain subject to mandatory licensure to protect consumer safety, citing the state’s regulatory licensing standards and a 2025 state auditor sunset analysis. They said the bill would strengthen educational standards and public protection, and some offered clarifying amendments. Opponents argued HB 1194 would restrict access to care and fail to protect traditional, cultural, and community-based birth practices. Testifiers from the Hawaii Home Birth Task Force, the Hawaii Home Birth Collective, the Libertarian Party of Hawaii, the Center for Reproductive Rights, Pacific Birth Collective, and Papa Ola Lōkahi said the bill would limit licensure pathways, reduce access in rural and underserved areas, and burden Native Hawaiian and traditional practitioners. Several speakers said the measure could worsen Hawaii’s maternal health shortages, especially on Maui, and urged lawmakers to defer HB 1194 or instead advance HB 1328, which they said better protects practitioner access and cultural practices. The Hawaii affiliate of the American College of Nurse-Midwives said it opposed HB 1194 because it did not align with national or state standards for certified midwives and could create conflicts with Medicaid reimbursement and prescriptive authority. The ACLU also opposed the measure, emphasizing reproductive rights, privacy, and the need to preserve apprenticeship pathways to licensure. No vote or final committee action was taken during the portion of the hearing reflected in the transcript.

Transcript Highlights:

• And so I'll explain what their practice is.
• types are practicing.
• As a practicing physical therapist, I do believe that the relationship As a practicing physical therapist
• In addition to private practice, chiropractors are increasingly being integrated into medical practices
• Standards of practice and professional conduct.

Summary: The joint Assembly and Senate Business and Professions sunset oversight hearing focused first on the Board of Registered Nursing (BRN), with committee chairs emphasizing oversight, consumer protection, workforce access, and economic mobility. BRN leaders reported improvements since the last review, including faster licensing timelines, streamlined enforcement, higher consumer satisfaction, growth in pre-licensure enrollment, and expanded data collection. Members questioned the board about nurse practitioner scope and supervision, international and military pathways to licensure, online nursing education and clinical requirements, rural workforce shortages, and the 30-unit LVN-to-RN option. BRN staff explained California’s tiered advanced practice system, the NCLEX and certification requirements, English proficiency rules, clinical hour standards, and the board’s role in approving programs and supporting schools through nursing education consultants. Several members and the board president also discussed the need to retain new graduates, improve diversity in the workforce, and better support nontraditional students and rural placements. Public comment on the BRN sunset review was extensive and largely supportive of the board, while also urging policy changes. Nurse practitioner, nurse anesthetist, nurse midwife, and nursing education groups generally supported the BRN report and especially backed clarification of APRN-to-RN delegation authority under issue 13. Other commenters asked for clearer implementation of AB 890, more flexibility for clinical nurse specialists, streamlined renewals for nurse midwives, and changes to federal loan limits affecting graduate nursing education. Higher education representatives and private nursing schools raised concerns about duplicative BRN documentation, clinical placement bottlenecks, and barriers faced by out-of-state and online programs seeking to serve California students. The California Medical Association and some physician groups opposed easing transition-to-practice requirements for out-of-state nurse practitioners and cautioned against changes to specialty and delegation rules, while the California Nurses Association and others stressed the importance of community college pathways, new graduate support, and workforce retention. The hearing then moved to the Physical Therapy Board of California. Board leadership reported that the board oversees more than 41,000 active licensees, has seen about 15% growth since 2021, and continues to maintain high exam pass rates among California physical therapy and physical therapist assistant programs. The board described its mission as consumer protection through licensing, enforcement, continuing competency oversight, and stakeholder engagement. The vice president’s remote testimony encountered technical problems, so the executive officer continued with a brief overview of the board’s work and its commitment to efficient service and public protection. No votes or formal actions were taken in the portion of the meeting provided.

Transcript Highlights:

• So PAs are educated as practice.
• /c> practiced as an MA in that practice up practiced as an MA in that practice up in<00:16:02.959>
• product and he knows she's practic product and he knows she's practic practicing<00:22:18.799>
• We're practicing standards. We're practicing evidence-based<00:27:33.679> medicine.
• who's been practicing for three years. who's been practicing for three years.

Bills: HB31, HB31

Keywords: absentee voting, disabled, blind, voter assistance, voting rights, SNAP, public assistance, nutritional standards, waiver, food regulation, 1136, house, all

Transcript Highlights:

• Scope of practice.
• and not what they can practice.
• Uh, she doesn't practice anymore. She just, she still keeps her license. She hasn't practice.
• Practice medicine.
• in our practice group.

Bills: HB163, HB 296

Keywords: judicial liability, personal bond, felony offenses, judges, criminal justice reform, voter registration, election procedures, change of address, residence requirements, Texas Election Code, Texas election law, residence address, precinct voting, county move, same-county move, Election Code, registrar, statement of residence, polling place, local elections

Transcript Highlights:

• the scope of practice.
• So your bill is more about who can practice and not what they can practice? Correct. Thank you.
• She doesn't practice anymore, she just, she still keeps her license. She has a practice.
• T&B would have to approve their renewal for another two years of practice. practicing under a provisional
• in our practice group.

Bills: HB713, HB827, HB932, HB499, HB510, HB163, HB296, HB879, HB913, HB163, HB296

Keywords: healthcare, maternal health, reporting requirements, Texas Maternal Mortality and Morbidity Review Committee, health provider immunity, workplace violence, nurses, grant program, healthcare facilities, safety measures, safety, nursing, grants, healthcare safety, verbal abuse, physical abuse, nurse empowerment, occupational therapy, licensure, interstate practice

Transcript Highlights:

• I've also been a practicing optometrist for 24 years. and a practice owner.
• Minnesota optometrists are forced to practice outdated practices, therefore leaving our citizens at a
• I practice and live in Moorhead, Minnesota, but also practice in Wadena, Minnesota, and my partners in
• It essentially sets out the scope of practice.
• Yes, HF 1913 offers a practical forward This bill offers a practical solution to Minnesota's physician

Transcript Highlights:

• The practice that they implement on farms, we are all doing the same practices.
• The practice that they implement on farms, we are all doing the same practices.
• The practice that they implement on farms, we are all doing the same practices.
• The practice that they implement on farms, we are all doing the same practices.
• The practice that they implement on farms, we are all doing the same practices.

Keywords: 1183, house

Transcript Highlights:

• I've also been a practicing optometrist for 24 years and a practice owner.
• I practice and live in Moorhead, Minnesota, but also practice in Wadena, Minnesota.
• or do practice County that have practice or do practice also<00:40:34.560> in<00:40:34.800>
• practice are. Thank you. Thank you Dr. practice are. Thank you. Thank you Dr.
• full license to practice in Minnesota. full license to practice in Minnesota.

Keywords: 1183, house

Transcript Highlights:

• In this illustrative example, in a platform practice of three physicians in one practice, depending on
• of a practice with two physicians, add-on acquisition of practice B of a solo practitioner, and add-on
• > practice<00:03:51.599> medicine<00:03:52.000> doctrine, corporate of practice
• <00:04:08.959> is three physicians in one practice is three physicians in one practice is
• practice C with four physicians. practice C with four physicians.

Keywords: 1183, house

Summary: The committee took up two bills concerning health entity ownership and heard invited testimony before acting on them. Dr. Yasha Singh of Brown University testified about private equity in healthcare, describing how PE firms use debt-financed acquisitions, short investment horizons, and roll-up strategies that can avoid disclosure requirements. He said the lack of transparency makes it difficult to track ownership and outcomes, and cited research linking PE ownership to higher costs in outpatient care, more ancillary service use, workforce turnover, and worse outcomes in hospitals and nursing homes. He also noted Minnesota-specific concerns, including PE involvement in opioid treatment programs, and said the policy challenge is balancing needed capital investment with protections for patients and workers. Sam Brooks of the National Consumer Voice for Quality Long-Term Care testified in strong support of the legislation, focusing on nursing homes. He argued that private equity ownership is associated with worse resident outcomes, including higher mortality, more pressure ulcers, more hospitalizations, and more deficiencies, and said leverage buyouts divert money from staffing and care into debt service, management fees, and lease-back arrangements. Brooks said staffing levels and quality ratings decline under PE ownership and pointed to recent bankruptcies as examples of instability. He said the bills would add safeguards such as transparency, attorney general approval of acquisitions, and requirements that a large share of public funds go to direct resident care. The testimony framed the bills as responses to concerns about private equity ownership in healthcare and long-term care, especially the effects on quality, staffing, and financial stability. No vote or final committee action was described in the excerpt.

Transcript Highlights:

• balanced approach to the data Practices balanced approach to the data Practices Act<00:02:09.200
• central premise of the data Practices central premise of the data Practices Act<00:26:57.919>
• The Data Practices Act exists.
• The Data Practices Act exists.
• The Data Practices Act exists.

Keywords: 1183, house

Transcript Highlights:

• Really prepared certified practices.
• Next up, we have HB 301 advanced practice.
• Advanced practice, registered nurses to engage an autonomous practice to provide mental health services
• So I speak from that practical experience as well.
• And once we get outside of that scope of practice, once we do get outside of the area where they're practicing

Transcript Highlights:

• <00:02:40.920> Act uh meaning of the uh data Practices Act uh meaning of the uh data Practices
• > puts<00:03:09.400> a Act uh the data Practices Act uh puts a Act uh the data Practices
• particular section of the data Practices particular section of the data Practices Act<00:10:45.839
• number of sections in the data Practice number of sections in the data Practice Act<00:14:48.320
• central premise of the data Practices central premise of the data Practices Act<00:27:55.519>

Keywords: 1183, house

Transcript Highlights:

• supervised practice they can get in the supervised practice they can get in the workforce<00:05:57.960
• No, there's no scope of practice changes. There's no changes to the practice of physical therapy.
• <00:09:04.600> is in and their supervised practice is in and their supervised practice is
• <00:09:18.120> statute so the supervised practice statute so the supervised practice statute
• <00:09:28.839> and six months of supervised practice and six months of supervised practice

Keywords: 958, all

Summary: The Senate Standing Committee on Licensing and Occupations met on March 27, 2025, with a quorum present and first took up House Bill 255, relating to physical therapy. The bill sponsor and representatives of the Kentucky Board of Physical Therapy and APTA Kentucky said the measure is mainly a cleanup and modernization bill that updates outdated statutory language, changes PTAs from “certified” to “licensed,” gives the board authority to purchase liability insurance, moves fee and fine caps into regulation without changing current fees, renames temporary permits as provisional licenses, and creates a pathway to more easily recognize some internationally trained physical therapists already practicing in other states. Senators asked whether the bill changed training, scope of practice, Medicaid, or supervised practice standards; witnesses said it did not, and that supervised practice requirements remain in place with out-of-state practice accepted only when equivalent or more stringent. The committee approved HB 255 with favorable expression. The committee then considered House Bill 618, an alcoholic beverages measure with a Senate committee substitute. The bill was described as having three parts: allowing restaurants to buy limited quantities of alcohol from retail outlets to meet customer demand while keeping the three-tier system intact and requiring quarterly reporting; creating a temporary auctioneer license to auction previously retail-sold alcohol in original packaging, such as estate or bourbon collections; and giving quota bar license holders the same opportunity restaurants already have to sell barrel picks by the bottle. Testimony supported the bill as a way to help restaurants, auctioneers, and bars, while a senator raised a question about sales tax on auction sales and another noted that nonprofit or church-related alcohol auctions already require permits under existing law. One senator suggested future guardrails to encourage local purchasing, but no amendment was adopted. The committee passed HB 618 with favorable expression.