Transcript Highlights:

• Okay, so how long did you practice to say those so good? I mean, seriously. A while.
• And so it's changed long-standing practice.
• I am a PA practicing in rural emergency medicine here in Washington State.
• And now I serve as Director of Advanced Practice at the Washington State Board of Nursing.
• So that clarifies ARNP roles to national best practices.

Summary: The Senate Health and Long-Term Care Committee held a Friday morning hearing with several House bills and then took executive action on three measures. In executive session, the committee voted do pass on Engrossed Substitute House Bill 2242, Substitute House Bill 2152, and Engrossed Substitute House Bill 2168, sending the first two to Rules and the overdose-mapping bill to Ways and Means. The committee also waived the five-day notice rule for several bills on the agenda. Public hearings focused on hospital inspections, continuing care retirement communities, radiologic technologist supervision, music therapy licensure, nursing regulation, ambulance billing after motor vehicle accidents, and EMT recertification. Representative Macri presented HB 2577 to require hospital inspections at least every 18 months, allow limited pauses during emergencies, and clarify when CMS or accrediting-body surveys may substitute for state inspections; DOH supported the bill, citing JLARC recommendations, while many people signed in opposed. Macri also presented Second Substitute HB 2384, which would require actuarial analysis review for certain CCRCs; OIC supported the transparency goal, while CCRC representatives opposed the added cost, though residents and association witnesses argued the oversight would protect seniors and their life savings. Representative Engel’s HB 2113 drew strong support from radiology, hospital, and provider groups for allowing virtual direct supervision for IV contrast procedures and aligning state law with CMS practice. Representative Ryu’s HB 1187 would bar ambulance services from sending motor-vehicle-accident medical debt to collections for 120 days; she described a personal experience with an ambulance collection issue, and the hearing was closed after no testifiers appeared. Representative Reed’s HB 2363 would let music therapy applicants practice under supervision for up to six months while exam results are processed; music therapy witnesses said it would prevent workforce gaps. Representative Simmons’ HB 2339 would update nursing title and transcript requirements and allow the board to issue interim permits directly, with the Board of Nursing and ARNP groups calling it a technical cleanup. HB 2540 would extend EMT recertification intervals to six years for long-tenured EMTs, and firefighters supported it as an administrative simplification without changing training requirements.

Transcript Highlights:

• </c> that they felt in these type practices. that they felt in these type practices.
• and to my practice of medicine.
• This may not affect your practice. We don't do legislation just for your practice.
• And there are a lot of practices that this will affect, but it may not affect your practice.
• Chairman, I'd like to ... uh to continue to practice. Thank you. uh to continue to practice.

Keywords: 958, all

Summary: The Senate Standing Committee on Health Services met with a quorum and first moved through administrative regulations without comment. The committee then heard Senate Bill 56, sponsored by Senator Gerald Neal, which would require Medicaid and its managed care entities to treat non-opioid pain medications on equal footing with opioid analgesics by prohibiting more restrictive coverage controls, prior authorization, or step therapy for non-opioids. Neal argued the bill would improve access to safer pain treatment options and reduce the risk of opioid use disorder, and Billy O'Brien of Young People in Recovery testified in support, describing personal experiences where non-opioid options were difficult to obtain despite a desire to avoid opioids. After discussion, the bill received a motion and second and passed the committee on a 10-0 vote. The committee then took up Senate Bill 72, sponsored by Senator Don Douglas and presented with Greg Chaffin of Alliance Defending Freedom. Douglas described the bill as a provider recruitment and retention measure intended to protect health care workers from being compelled to act against their conscience and to address workforce shortages and pressure in health care settings. He said the bill would protect individual beliefs while maintaining professionalism. A large number of witnesses then testified, and the chair limited public comments to two minutes each because of the number of speakers and the controversy surrounding the bill. Most public testimony opposed SB 72. Speakers including representatives of the Kentucky Council of Churches, a psychologist, an ordained minister and nurse, a nurse practitioner, and an ACLU policy strategist argued the bill was overly broad, could allow refusals of care by a wide range of health care workers, and could delay or deny treatment, especially for vulnerable patients and in rural or emergency settings. Several cited concerns about discrimination, patient safety, and the lack of adequate protections for patients. One witness recounted the death of an 18-year-old pregnant patient as an example of the harm that can result from delayed care. The transcript ends during additional testimony on SB 72, before any committee vote or final action on that bill is shown.

Transcript Highlights:

• Representative Goodwin, the Gatis Act, to strengthen water safety education and training. safety practices
• Who choose to practice in rural counties with a population of 25,000 or less.
• Started a primary practice in Belleville and College Station, and I'm so proud of that.
• should be practiced or nursing should be practiced.
• Nursing should be practiced to help the patient.

Bills: HB135, HCR64, SCR3, SCR30, SB500, SB739, SB816, SB898, SB1283, SB1351, SB1423, SB1531, SB1540, SB1666, SB1721, SB1886, SB1931, SB2001, SB2075, SB2154, SB2173, SB2217, SB2284, SB2375, SB2383, SB2386, SB2398, SB2448, SB2476, SB2540, SB2580, SB2589, SB2693, SB2707, SB2776, SB2786, SB2801, SB2864, SB2927, SJR84, SCR30, SB243, SB324, SB393, SB457, SB511, SB529, SB547, SB636, SB646, SB659, SB715, SB731, SB735, SB800, SB801, SB904, SB1065, SB1141, SB1181, SB1224, SB1241, SB1242, SB1250, SB1266, SB1285, SB1359, SB1434, SB1442, SB1467, SB1502, SB1524, SB1528, SB1551, SB1585, SB1640, SB1754, SB1757, SB1777, SB1844, SB1863, SB1972, SB2007, SB2035, SB2046, SB2055, SB2069, SB2082, SB2119, SB2139, SB2154, SB2200, SB2201, SB2269, SB2310, SB2330, SB2357, SB2366, SB2401, SB2422, SB2514, SB2530, SB2533, SB2543, SB2544, SB2550, SB2568, SB2589, SB2660, SB2693, SB2695, SB2707, SB2717, SB2721, SB2742, SB2753, SB2807, SB2846, SB2891, SB2925, SB2938, SJR3, SJR18, SB5, SB326, SB767, SB769, SB783, SB914, SB963, SB1035, SB1197, SB1271, SB1415, SB1437, SB1619, SB1637, SB1786, SB1806, SB494, SB530, SB2312, SB1, SB260, HB135, HB1109, HB1392, HB22, HCR64, SJR36, SJR50, SJR63, SJR84, SJR59, SCR12, SCR39, SCR48, SCR19, SCR30, SCR3, SB2023, SB62, SB666, SB847, SB284, SB854, SB1073, SB810, SB1505, SB583, SB1502, SB507, SB1434, SB1376, SB1585, SB1772, SB2016, SB1163, SB1122, SB731, SB397, SB508, SB1436, SB287, SB261, SB1882, SB393, SB1791, SB209, SB2429, SB1999, SB511, SB2309, SB510, SB1085, SB1975, SB2717, SB1262, SB1524, SB636, SB2056, SB884, SB517, SB1200, SB1845, SB1863, SB2681, SB2200, SB2199, SB1757, SB2458, SB2201, SB801, SB2533, SB3014, SB3013, SB758, SB1721, SB1013, SB2797, SB2383, SB2119, SB2448, SB1777, SB1283, SB2076, SB2786, SB2876, SB2284, SB1540, SB2929, SB2540, SB2595, SB2217, SB715, SB500, SB1640, SB2001, SB2514, SB2753, SB2398, SB1241, SB2927, SB2173, SB2538, SB898, SB1449, SB2529, SB2846, SB2476, SB986, SB1181, SB2075, SB2154, SB2864, SB1359, SB2386, SB2550, SB1351, SB1423, SB1931, SB2245, SB2589, SB2707, SB410, SB2776, SB2580, SB1886, SB1234, SB739, SB456, SB1666, SB2801, SB2055, SB1012, SB2926, SB2138, SB1242, SB2615, SB2310, SB1224, SB2972, SB2841, SB3016, SB2139, SB1856, SB2035, SB1528, SB1141, SB2401, SB2530, SB2375, SB547, SB1266, SB1373, SB1467, SB2069, SB2269, SB2480, SB672, SB904, SB2695, SB2891, SB2422, SB2543, SB1854, SB317, SB2539, SB2532, SB2925, SB1250, SB2082, SB2203, SB457, SB2357, SB2721, SB243, SB1285, SB2568, SB1959, SB1442, SB1454, SB2520, SB2541, SB1708, SB1237, SB1844, SB1586, SB1551, SB3039, SB2819, SB66, SB629, SB1015, SB2342, SB2903, SB2933, SB1965, SB2477, SB3029, SB2605, SB2419, SB1957, SB375, SB250, SB777, SB628, SB2523, SB2367, SB2703, SB2608, SB2778, SB3044, SB2965, SB2521, SB865, HB2525, HB3093, SB1032, SB2165, SB2501, SB2675, SB2452, SB2835

Keywords: sales tax exemption, exotic animals, game animals, agriculture, livestock, gifted education, education support, student achievement, academic excellence, Texas education, cowboy culture, Bandera, cultural heritage, historical significance, Texas identity, Birding Capital, Matagorda County, wildlife, conservation, Texas Legislature

Bills: HB135, HCR64, SCR3, SCR30, SB500, SB739, SB816, SB898, SB1283, SB1351, SB1423, SB1531, SB1540, SB1666, SB1721, SB1886, SB1931, SB2001, SB2075, SB2154, SB2173, SB2217, SB2284, SB2375, SB2383, SB2386, SB2398, SB2448, SB2476, SB2540, SB2580, SB2589, SB2693, SB2707, SB2776, SB2786, SB2801, SB2864, SB2927, SJR84, SCR30, SB243, SB324, SB393, SB457, SB511, SB529, SB547, SB636, SB646, SB659, SB715, SB731, SB735, SB800, SB801, SB904, SB1065, SB1141, SB1181, SB1224, SB1241, SB1242, SB1250, SB1266, SB1285, SB1359, SB1434, SB1442, SB1467, SB1502, SB1524, SB1528, SB1551, SB1585, SB1640, SB1754, SB1757, SB1777, SB1844, SB1863, SB1972, SB2007, SB2035, SB2046, SB2055, SB2069, SB2082, SB2119, SB2139, SB2154, SB2200, SB2201, SB2269, SB2310, SB2330, SB2357, SB2366, SB2401, SB2422, SB2514, SB2530, SB2533, SB2543, SB2544, SB2550, SB2568, SB2589, SB2660, SB2693, SB2695, SB2707, SB2717, SB2721, SB2742, SB2753, SB2807, SB2846, SB2891, SB2925, SB2938, SJR3, SJR18, SB5, SB326, SB767, SB769, SB783, SB914, SB963, SB1035, SB1197, SB1271, SB1415, SB1437, SB1619, SB1637, SB1786, SB1806, SB494, SB530, SB2312, SB1, SB260, HB135, HB1109, HB1392, HB22, HCR64, SJR36, SJR50, SJR63, SJR84, SJR59, SCR12, SCR39, SCR48, SCR19, SCR30, SCR3, SB2023, SB62, SB666, SB847, SB284, SB854, SB1073, SB810, SB1505, SB583, SB1502, SB507, SB1434, SB1376, SB1585, SB1772, SB2016, SB1163, SB1122, SB731, SB397, SB508, SB1436, SB287, SB261, SB1882, SB393, SB1791, SB209, SB2429, SB1999, SB511, SB2309, SB510, SB1085, SB1975, SB2717, SB1262, SB1524, SB636, SB2056, SB884, SB517, SB1200, SB1845, SB1863, SB2681, SB2200, SB2199, SB1757, SB2458, SB2201, SB801, SB2533, SB3014, SB3013, SB758, SB1721, SB1013, SB2797, SB2383, SB2119, SB2448, SB1777, SB1283, SB2076, SB2786, SB2876, SB2284, SB1540, SB2929, SB2540, SB2595, SB2217, SB715, SB500, SB1640, SB2001, SB2514, SB2753, SB2398, SB1241, SB2927, SB2173, SB2538, SB898, SB1449, SB2529, SB2846, SB2476, SB986, SB1181, SB2075, SB2154, SB2864, SB1359, SB2386, SB2550, SB1351, SB1423, SB1931, SB2245, SB2589, SB2707, SB410, SB2776, SB2580, SB1886, SB1234, SB739, SB456, SB1666, SB2801, SB2055, SB1012, SB2926, SB2138, SB1242, SB2615, SB2310, SB1224, SB2972, SB2841, SB3016, SB2139, SB1856, SB2035, SB1528, SB1141, SB2401, SB2530, SB2375, SB547, SB1266, SB1373, SB1467, SB2069, SB2269, SB2480, SB672, SB904, SB2695, SB2891, SB2422, SB2543, SB1854, SB317, SB2539, SB2532, SB2925, SB1250, SB2082, SB2203, SB457, SB2357, SB2721, SB243, SB1285, SB2568, SB1959, SB1442, SB1454, SB2520, SB2541, SB1708, SB1237, SB1844, SB1586, SB1551, SB3039, SB2819, SB66, SB629, SB1015, SB2342, SB2903, SB2933, SB1965, SB2477, SB3029, SB2605, SB2419, SB1957, SB375, SB250, SB777, SB628, SB2523, SB2367, SB2703, SB2608, SB2778, SB3044, SB2965, SB2521, SB865, HB2525, HB3093, SB1032, SB2165, SB2501, SB2675, SB2452, SB2835

Keywords: sales tax exemption, exotic animals, game animals, agriculture, livestock, gifted education, education support, student achievement, academic excellence, Texas education, cowboy culture, Bandera, cultural heritage, historical significance, Texas identity, Birding Capital, Matagorda County, wildlife, conservation, Texas Legislature

Transcript Highlights:

• The bill clarifies that a housing policy or practice may violate the Delaware Fair Housing Act when it
• Number two, a respondent may demonstrate that the challenged practice serves a substantial, legitimate
• practices, occupancy standards, screening policies, and land use decisions.
• housing practices covered under Delaware's Fair Housing Act.
• Fair housing principles as any other practice.

Summary: The Senate Land Use Committee met in hybrid format but did not have a quorum, so it did not approve minutes or take formal votes. The committee first heard House Bill 457, which would raise the appraisal threshold for certain DELDOT real property dispositions from $10,000 to $25,000 to match federal highway standards and reduce the time and cost of selling small surplus properties. There was little discussion and no public comment on that bill, and the chair indicated it would be circulated. The committee then took up House Bill 451, which would codify a disparate impact framework under Delaware’s Fair Housing Act. The bill was described as clarifying that housing policies or practices can violate the law even without discriminatory intent if they have an unjustified discriminatory effect on a protected class, using a burden-shifting test similar to federal law. The sponsor and DHSA said the measure was intended to preserve fair housing protections amid uncertainty at the federal level, and an additional amendment was discussed that would delay implementation for 180 days and require DHSR, with DSA and stakeholders, to conduct outreach, education, and training. Public testimony was divided. Supporters, including Housing Alliance Delaware, YWCA Delaware, and the Delaware Human and Civil Rights Commission, said the bill would protect against discriminatory outcomes, align state law with longstanding fair housing principles, and preserve recourse if federal enforcement changes. Opponents and housing-provider groups, including the Delaware Association of Realtors, Greater Wilmington Housing Providers, and the Delaware Apartment Association, argued the bill could create liability for neutral policies, rely on statistical outcomes landlords cannot easily measure, and increase litigation and costs; several asked for more time, a right-to-cure process, or further amendments. The committee adjourned without taking a formal vote.

Transcript Highlights:

• Dentistry is considered to be the practice of veterinary medicine.
• Dentistry is considered to be the practice of veterinary medicine.
• in practice.
• Going to practice when you're out in practice. Continue. Thank you, Mr. Chair.
• Just left acceptable livestock practices.

Keywords: 908, all

Summary: The conference committee on House/Senate Bill 2129 met to resolve the House amendment to the Senate-passed bill, which concerns exemptions related to veterinary practice. The main dispute centered on the House language adding terms such as “specialized or holistic trade” and expanding exemptions to include acupuncture/acupressure and non-veterinary dentistry, while the Senate preferred a narrower, more definitive list of exempt activities. Senators and House members discussed whether the word “includes” made the exemption open-ended, and whether equine dentistry should be treated as veterinary medicine or allowed as a separate practice. Testimony from Dr. Sarah Lyons of the North Dakota Board of Veterinary Medical Examiners and veterinarian Troy Dutton emphasized that dentistry, including equine dentistry, is generally considered the practice of veterinary medicine and can involve invasive procedures and animal safety risks. They argued the House amendment lacked educational or licensing requirements and could allow untrained individuals to perform procedures such as dentistry or acupuncture. House members raised concerns about rural access, shortages of veterinarians, and the practical reality that some horse owners and equine practitioners currently perform float work and similar services. After extended discussion, the committee did not reach agreement. Members noted that the House amendment language differed from the Senate version on the key exemption provisions, and that further review of proposed alternative language would be needed. A motion was made and approved by roll call that the committee was unable to agree at this time and would schedule another meeting. The meeting was then adjourned pending rescheduling.

Transcript Highlights:

• </c> How would your practice change? How would your practice change?
• They're wellness practices.
• </c> alternative about these practices. alternative about these practices.
• </c><01:37:59.280><c> Early</c> a practical necessity. Early a practical necessity.
• I own my own practice.

Keywords: 1191, senate, all

Transcript Highlights:

• </c> practices act can be extremely costly. practices act can be extremely costly.
• </c> is to respond to data practices is to respond to data practices requests. requests. requests.
• </c> mine who's an expert on data practices mine who's an expert on data practices laws
• as a practical matter.
• Practice principles.

Keywords: 1183, house

Transcript Highlights:

• I've also worked a little bit in private practice for a few years.
• I've also worked a little bit in private practice for a few years.
• They have to have this certification in order to practice and utilize their skill sets.
• I think maybe we were captured in this bill potentially by accident based on our practice model.
• This is not a small facet of our practice, and we already have three team members.

Bills: SB6138, SB5899, SB6072, SB6094

Keywords: dental procedures, sedation, patient safety, multiprovider system, healthcare regulation, chiropractic, animal care, veterinary medicine, license endorsement, nonhuman animals, veterinarian-client-patient relationship, VCPR, veterinary telehealth, telemedicine, teletriage, teleadvice, animal health, licensed veterinarian, Washington veterinary board, prescription drugs

Transcript Highlights:

• Because I'm having trouble formulating what it would look like practically.
• Well, for instance, somebody is just aged out of a practice, sold their practice, decided that they're
• going to leave the practice.
• So if they've been out of practice for a long time, that could be cause for concern.
• Codified in 1996, a work group was formed to explore something called adjunct best practices.

Bills: SB6258, SB5963

Keywords: Washington Medical Commission, medical license, license relinquishment, voluntary surrender, nondisciplinary pathway, physician regulation, health professional licensing, disciplinary database, National Practitioner Data Bank, license renewal, license reinstatement, medical board, professional discipline, credential surrender, healthcare regulation, SB 5963, passport to careers, Washington College Grant, financial aid, higher education

Transcript Highlights:

• Best practices.
• When I first worked on this, practices.
• 00:05:00.800><c> exams</c> likely uncommon, these practice exams likely uncommon, these practice exams
• for unconscious practice exams.
• for unconscious practice exams.

Keywords: 1183, house

Transcript Highlights:

• </c><00:26:14.919><c> out</c><00:26:15.080><c> of</c> dietitian who practices out of dietitian who practices
• practice.
• No extension of scope of practice.
• No extension of scope of practice.
• </c><00:37:47.319><c> we're</c> extension of of scope of practice we're extension of of scope of practice

Keywords: Call to Order 00:00 Roll Call 00:05 HB 566 Discussion 01:34 HB 566 Vote 16:42 HB 39 Discussion 19:15 HB 39 Vote 23:10 HB 70 Discussion 24:48 HB 70 Vote 27:36 HB 72 Discussion 28:58 HB 72 Vote 39:45 HB 79 Discussion 41:45 HB 79 Vote 42:58 HB 223 Discussion 45:34 HB 223 Vote 46:24 Adjournment 47:38, 958, all

Summary: The committee first took up House Bill 566, which would implement the Kentucky Horse Racing and Gaming Corporation created last year. Chairman Cook described major provisions affecting charitable gaming, horse racing, sports wagering, and quarter horse racing, including locking charitable gaming fees in statute at a slightly lower rate, expanding charitable gaming board representation, preserving existing gaming technology, allowing school districts to hold charitable gaming licenses, and setting up self-funding for the new corporation through administrative set-asides from gaming-related funds. The bill also addresses uncashed vouchers, cross-training of investigators, ethics and employment provisions, and a three-year quarter horse breeding incentive intended to grow the industry. A committee substitute made two technical changes: clarifying voucher money stays with the track facility and making the school district itself the license holder. The substitute and then the bill both passed favorably, with several members noting concerns from last year but supporting the revised structure. The committee then heard House Bill 70, an interstate compact for dietitians. Sponsor Representative Vanessa Grossl and witnesses said the measure would allow reciprocity with other compact states, improve workforce mobility, help military families, expand patient access and telehealth, and reduce administrative burden on the licensing board. The committee substitute created a third license category for educational interpreters, but that language actually belonged to the next bill; for HB 70, the committee voted the bill favorably without reported amendments. The bill passed unanimously or near-unanimously and was sent to the House floor. Next, House Bill 72 was presented by Representative DJ Johnson to amend the law governing limited x-ray machine operators. The sponsor explained that current law effectively prevents limited x-ray operators from working in the same facility as other imaging equipment, which he said creates compliance problems, disrupts training, and can force practices to move equipment or lose employees. The bill would allow limited x-ray technicians to operate in the same facility as other imaging equipment. During discussion, some members noted opposition from students and others in the field, and the sponsor invited industry witnesses to explain their concerns. The transcript cuts off before final action on HB 72 is completed.

Transcript Highlights:

• We also found that DOH does not meet reporting best practices.
• Best practices we reviewed for regulatory fee design.
• We also found that DOH does not meet reporting best practices.
• Best practices called for a regulatory system. Reflect DOH's actual oversight costs.
• for best practices or even Ecology operating it?

Keywords: 904, all

Summary: At the April 8, 2026 JLARC meeting, members approved the January 7 minutes and recognized Marilyn Richter for more than 12 years of service to JLARC and the Citizens Commission. Staff then gave a legislative recap and work plan update, noting that JLARC staff presented to five committees during session, six bills or budget provisos implementing prior recommendations were enacted, and seven new study assignments were received. Members approved the updated 2025–2027 biennial work plan, including the new studies and the required 2027 lodging tax review. The committee also heard a presentation on a new post-meeting member survey tied to JLARC performance measures. Members then considered the final report on ignition interlock device compliance and monitoring. Staff reported that many drivers required to install ignition interlock devices do not do so, with installation rates rising with income, and identified problems in the Department of Licensing’s financial assistance program and coordination with the State Patrol. Both agencies said they concurred with JLARC’s recommendations to clarify responsibilities, formalize coordination, and develop a plan to increase installation rates. The committee approved the final report. Next, JLARC reviewed the final report on drug takeback fee setting and expenditures. Staff concluded that the Department of Health’s fee design limits full cost recovery and that the agency should publicly report oversight costs and activities; the legislature should revise the fee structure to better align with best practices. Members discussed whether the program should remain at DOH or be housed elsewhere, and adopted committee comments emphasizing transparency and future sunset review work before approving the final report. Finally, staff presented the scope and objectives for the Clean Buildings Performance Standard study, focusing on state-owned Tier 1 buildings and K-12 facilities in the first compliance cohort, with questions centered on compliance costs, energy savings, funding sources, fines, and possible workforce or budget impacts. The meeting ended with administrative announcements about upcoming meetings and adjournment.

Transcript Highlights:

• </c><00:09:14.560><c> that</c> cohesive evidence-based practices that cohesive evidence-based practices
• </c> probably have heard about the practice probably have heard about the practice assessments.<00:42
• Now you can practice.
• </c> keeping the practice. keeping the practice.
• </c><00:59:53.040><c> chairs,</c> practice is the answer. So, Mr. chairs, practice is the answer.

Keywords: Call to Order and Roll Call - 00:13 Approval of Minutes - 4:07 Kentucky Academic Standards for Reading and Writing - 5:18 Math Improvement Committee Report - 21:02 ETS Praxis Exam - 41:47 KDE Performance Review Data - 1:15:04 Adjournment - 1:57:54, 958, all

Summary: The committee heard a presentation from KDE on the revised Kentucky academic standards for reading and writing. KDE explained the statutory six-year review process, the public comment periods, and the main revisions, including updates tied to the science of reading, decodable text, encoding/decoding, and an updated vision statement. KDE said 308 responses were received on the initial public comment, most respondents favored keeping standards as-is, and about 12% of standards were revised. The department also said the document was streamlined by removing repeated graphics and reducing its size by about 24%, and that a later comment period drew more than 400 responses. No new standards were flagged for review. Members asked about alignment between standards, curriculum, assessments, and NAEP, and KDE said instructional resources should be aligned to standards, KSA assessments are aligned to the standards, and screeners/diagnostics help identify student needs. Representative Truett raised the idea of a textbook-to-standards crosswalk, and KDE said publishers and a future repository partner should provide such crosswalks for local districts. Representative Bojanowski asked why foundational reading skills are not directly assessed on the third-grade KSA; KDE responded that the assessment is designed to measure end-of-grade expectations, while screening and diagnostics are used earlier to identify decoding needs. Representative Gel asked about early childhood supports, and KDE said it is working with early learning and special education offices and promoting LETRS professional learning for both teachers and preschool educators. The committee then received the mathematics improvement committee report. KDE said the mathematics committee unanimously approved a new strategic plan for improving math achievement from pre-K through grade 20 and adult education. The plan centers on six priorities: student empowerment, effective mathematics teaching and learning, continuous educator development and growth, a continuum of learning, community and family partnerships, and teacher recruitment and retention. KDE said the plan is intended as a living document with goals, recommended actions, and evidence bases, and that it aligns with the Kentucky Numeracy Counts Act by supporting high-quality instructional resources, professional learning, and family resources. In response to Senator Thomas, KDE explained that the professional learning recommendation means districts should tailor teacher training to classroom needs and instructional materials so math teachers are better equipped to implement standards and support students.

Transcript Highlights:

• I practiced for 35 years.
• I started my own practice, and now I have a couple of partners.
• Oh, this person has also got a license to practice in New Mexico.
• of their time has to be practiced here, but if they're practicing in Texas even 15 percent, that means
• Practicing out of state.

Bills: SB1, SB3

Keywords: interstate medical licensure compact, physician licensure, medical license reciprocity, expedited licensure, medical practice act, New Mexico medical board, compact commission, physician mobility, telemedicine, license portability, background check, disciplinary action, joint investigation, reproductive health care, gender-affirming care, scope of practice, medical board transparency, multistate compact, licensure renewal, health care workforce

Transcript Highlights:

• All of this impacts midwives' ability to sustain their practices.
• Let me give you a couple of real-life examples from my practice.
• My practice is on the South Shore.
• I started a direct primary care practice in 2017 called Action Medicine and currently practice in Braintree
• I'm going to give you some examples from my clinical practice.

Keywords: 995, all

Summary: The committee held a public hearing with testimony on several health care bills, with most of the discussion focused on primary care access, community health center reimbursement, midwifery and birth centers, telehealth, hospital-at-home, direct primary care, and trans-inclusive health care access. Chair Feeney and Chair Murphy opened by noting the large number of signups and asking testifiers to keep remarks brief because of time constraints. Legislators and witnesses repeatedly emphasized that Massachusetts’ primary care system is under strain and that federal policy changes and reimbursement gaps are worsening financial pressure on providers. On community health centers, Representative Blay, Senator Lovely, Michael Curry, Bethany Keeley, Jag Deep Trevetti, Sean Cahill, and Christina Severin all supported H. 1096/S. 711, which would require commercial insurers to pay federally qualified health centers at least the MassHealth prospective payment system rate. They argued that commercial plans currently reimburse health centers below Medicaid rates, threatening sustainability, staffing, and access, especially as federal cuts and coverage losses could increase uncompensated care. Testifiers said the bill would stabilize health centers, protect primary care access, and not cost the state money. A second major topic was H. 1117/S. 784 on sustaining birth centers and the midwifery workforce. Senator Lovely, Senator Miranda, Emily Anesta, Rebecca Orden, Catherine Rushworth, Nishira Burrill, Joel Sutherland, Rachel Blessington, Joelle Ward, and others described the 2024 maternal health omnibus as an important first step, but said birth centers and midwives still face low reimbursement, workforce shortages, and financial instability. They urged reimbursement parity, a workforce development fund, and support for freestanding birth centers, citing improved outcomes, lower C-section rates, better patient experience, and racial equity in maternal health. Several speakers shared personal birth stories and said the bill would help preserve and expand birth options in communities like Roxbury, Worcester, and the North Shore. The committee also heard support for H. 1343 on direct primary care from Dr. Garofalo, Dr. Altman, Dr. Nair, Stephanie Cameron, Dr. Haley Moke-Blessed, and others, who said current insurance rules force patients to use a separate in-network primary care doctor for referrals and sometimes prevent physicians from dispensing medications. They argued the bill would reduce delays, administrative burden, and costs while improving continuity of care. In addition, Dr. Miklides and Sue Stempeck supported H. 1141 on hospital-at-home parity, saying the model has strong outcomes and should be reimbursed at the same rate as brick-and-mortar hospital care. Heather Myers and Katrina Cook testified on telehealth and digital health equity, urging broader coverage for asynchronous care, remote monitoring, interpreter services, and digital literacy supports. SEIU Local 509 supported H. 1188/S. 681 on trans-inclusive health care access, saying it would remove arbitrary insurance barriers to gender-affirming care. No votes or committee actions were taken during the hearing.

Transcript Highlights:

• ...attending providers, physicians have a large scope of practice.
• Other providers like chiropractors, podiatrists have a smaller scope of practice.
• So as Suzanne said, you know, for our scope of practice, we would be doing the diagnosing.
• I have been in practice for 13 years, and I focus on treating injured workers.
• . attending providers well outside the physical or occupational training or scope of practice.

Bills: HB2107, HB2137, HB2243, HB2264

Keywords: construction safety, hazard notification, worksite regulations, labor safety, state law, law enforcement, correctional officers, interest arbitration, collective bargaining, public safety, workers' compensation, healthcare providers, physical therapy, occupational therapy, employment, unemployment insurance, benefits, layoffs, workforce reduction, 904

Transcript Highlights:

• there is some concern that this may affect international medical graduates and their ability to practice
• It devalues training, accelerates burnout, and makes Washington a less attractive place to practice at
• exactly the wrong time: more red tape, more risk, more reasons to practice elsewhere, and less access
• I'm a practicing radiologist in Washington State and have been for over 20 years.
• A doctorate in nursing practice. Not a clinical role in this function. Okay.

Bills: HB2261, HB2283, HB2425, HB2110, HB2113, HB2122, HB2152

Keywords: healthcare, transparency, patient communication, credentials, professional standards, medical loss ratio, insurance, health plans, cost management, nursing delegation, registered nurse, RN, home care aide, nursing assistant, certified nursing assistant, CNA, medical assistant, home health, hospice, community-based care

Transcript Highlights:

• This will be narrowed down so that we don't have... ...to practice medicine.
• there is some concern that this may affect international medical graduates and their ability to practice
• I'm a practicing radiologist in Washington State and have been for over 20 years.
• outside of her scope of practice.
• A doctorate in nursing practice. Not a clinical role in this function. Okay.

Summary: The committee held public hearings on House Bill 2261, which would require health care providers to wear badges showing name, credential, and relevant degrees, require similar disclosure in advertising, and restrict use of the title “physician surgeon” to certain physicians and osteopathic physicians. Supporters, including the Washington State Medical Association and patient advocates, said the bill would improve transparency and informed consent. Opponents from nurse, naturopathic, and adult family home groups argued it was overly broad, burdensome, confusing, and could harm access to care or residential home settings; several also said existing disciplinary laws already address misrepresentation. No vote was taken on HB 2261 during the hearing. The committee also heard House Bill 2283, which would raise the medical loss ratio for fully insured individual, small group, and large group health plans to 90 percent. Supporters, including small business, patient, and physician groups, said the bill would push more premium dollars toward patient care and lower costs or increase rebates. Insurers and the Office of the Insurance Commissioner warned it could destabilize the market, reduce flexibility for administrative services, and lead to carrier exits, though OIC said it was working on amendments. The bill was not voted on in the hearing. House Bill 2425, an agency-request bill on nurse delegation, would broaden what tasks registered nurses may delegate, remove some setting and training restrictions, expand emergency medication authority, and adjust liability and retaliation protections. The Board of Nursing, long-term care providers, and skilled nursing/assisted living representatives supported the bill as a modernization that could ease workforce shortages and improve care access, while the Washington State Association for Justice opposed the immunity provisions and raised patient safety concerns. The hearing ended without a vote on HB 2425. In executive session, the committee advanced several bills. HB 2110, with an amendment clarifying ambulance staffing and RN scope, passed 18-0 with one excused. HB 2113 passed 18-0 with one excused. HB 2122, as amended to require hospitals to offer flu vaccines with several flexibility and critical-access-hospital exemptions, passed 15-3 with one excused. HB 2152, as amended to require certain facilities to allow medical cannabis use for qualifying terminal patients and to add related exemptions and protections, passed 17-1 with one excused. The meeting then adjourned.

Transcript Highlights:

• practice, would have to be made in statute.
• independently or PAs can practice independently.
• have practiced in other countries.
• So I've taken what you've given me and put it into practice.
• I have lived and practiced in rural western New Mexico.

Summary: The committee first took up House Bill 213, which would allow optometrists to perform three specific laser procedures. The sponsor presented a committee substitute adding 32 hours of approved advanced training, supervised live-patient practice, adverse-event reporting, and other accountability measures. Supporters argued the bill would improve access to care, while the New Mexico Medical Board opposed it, citing patient-safety concerns and the much greater training required of ophthalmologists. After debate, the committee adopted the substitute and passed the bill 6-3. The committee then considered House Bill 65, renamed the Foster Care Plus pilot program. The substitute changed the bill to require clinical assessment instead of CAN assessment, added reporting to the Legislature and LFC, and clarified contracting with clinical experts. CYFD officials said the $2.5 million request, combined with existing growth funding, would support more children, staff, foster-parent stipends, and related services, and that the program is already being implemented with help from Oklahoma-based experts. Some members remained concerned about cost, staffing, and whether the program could be sustained, but the committee adopted the substitute and passed the bill 8-1. House Bill 127, on expedited medical licensure, was amended to create a provisional pathway for internationally trained physicians, require a job offer and benchmarks before full licensure, and establish a telemedicine registry. The Medical Board supported the amended bill, while public commenters emphasized physician shortages and access to care. The committee adopted the amendment and passed the bill. House Bill 128, which updates firefighter occupational disease and disablement presumptions to add cancers and other changes, drew strong support from firefighters, labor, and workers’ compensation officials; the committee adopted the amendment and passed the bill. House Bill 156, which removes the sunset on the state’s authority to set vaccine guidelines and continue its vaccine program, also passed after supporters argued it preserves access and opponents raised broader vaccine-policy concerns. The committee then began hearing House Bill 137, a buprenorphine access bill, with the sponsor and advocates describing pharmacy supply barriers and a committee substitute aimed at setting minimum stock standards, requiring distributor reporting, and avoiding fines on pharmacies.