Transcript Highlights:

• I am a family physician.
• Physicians don't have to do that. Physicians can cherry-pick.
• Physicians don't have to do that. The physicians can cherry-pick.
• And then those physicians, they have physicians that man those clinics.
• It's only for the physicians.

Summary: The committee first met in executive session and adopted a House committee substitute combining House Bills 1850 and 1975, which was then voted do pass by a 16-0 roll call. The substitute was described as incorporating federal PBM-related transparency and audit provisions, including requirements intended to ensure fair audits, greater transparency for employers and patients, and protections for pharmacies so they are not reimbursed below drug cost and receive a fair fee. Members said the package was a compromise and a needed step because pharmacies are closing. The committee then heard House Bills 2318 and 2368, related to artificial intelligence and mental health. The sponsors said the bills are aimed at truth in advertising, barring AI platforms from marketing themselves as mental health professionals or therapy providers, while not banning AI use in health care generally. Testimony from supporters emphasized concerns about minors and adults relying on chatbots for mental health guidance and the need to protect consumers from misleading claims. The committee adopted an amendment adding social workers to the bill string, rolled it into a substitute, and voted the combined House committee substitute do pass 14-0. Next, House Bill 3313, described as an AOT bill from the prior week, was voted do pass 14-0 without discussion. House Bill 2745 was then amended and passed 14-0; the sponsor explained the changes would require a prompt physical exam for children entering foster care, allow a physician or nurse practitioner to perform it, try to continue existing developmental, behavioral, or emotional care when possible, and require biological parental consent before updating vaccines at the initial visit. House Bill 2463 also received a substitute to close a loophole involving referral payments when a prospective resident or legal representative cancels a contract, and the committee voted the substitute do pass 14-0. The committee also heard House Concurrent Resolution 28, which would designate the last full week of April as Infertility Awareness Week in Missouri. The sponsor linked the resolution to broader efforts to expand fertility access, and supporters, including a patient sharing her infertility experience, spoke about the emotional and physical toll of infertility and the value of awareness. Finally, House Bill 2979, the Rural Missouri Rural Doctors Act, drew extensive testimony. The sponsor and supporters argued it would limit physician non-compete agreements to one year and five miles for nonprofit employers to improve rural access and physician mobility, while opponents from hospitals and health systems said the bill would weaken recruitment, hurt financially stressed rural hospitals, and create uneven treatment between nonprofit and for-profit employers. No vote was taken on HB 2979 in the portion provided.

Transcript Highlights:

• . physicians. physicians.
• Medicare billing at all. physician only requirement makes it so physician only requirement makes it
• Number one is the physician supervision. It is physician-led.
• It is physician supervision.
• </c> board-certified emergency physician. board-certified emergency physician.

Keywords: 958, all

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

Transcript Highlights:

• </c> that an experienced practicing physician that an experienced practicing physician would<00:02:43.400
• </c><00:03:03.440><c> they</c> supervision of another physician they supervision of another physician
• </c> residency also given the um physician residency also given the um physician shortages<00:07:21.160
• </c> relationship with one physician who will relationship with one physician who will do<00:09:47.079
• </c><00:09:50.399><c> there</c> has been more than one physician there has been more than one physician

Keywords: 1187, senate, all

Transcript Highlights:

• </c> a um internal medicine um physician a um internal medicine um physician trained<00:09:06.000><c>
• </c><00:13:01.920><c> assistant</c> So it's called the physician assistant So it's called the physician
• </c><00:23:26.320><c> I've</c> there are a lot of physicians I've there are a lot of physicians I've
• </c> UAB's history and all the physicians UAB's history and all the physicians that<00:24:22.480><c>
• </c><00:28:32.000><c> together</c> the PA and the physician together the PA and the physician together

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:

• </c> the University of Minnesota Physicians the University of Minnesota Physicians Board<00:03:14.800
• Physicians teach by doing.
• We are the Minnesota physician?
• . physicians. physicians.
• </c> Minnesota physicians. Of course. Minnesota physicians. Of course.

Keywords: 1183, house

Transcript Highlights:

• by non-physician practitioners.
• Physicians are trained to know what we don't know and to ask for help from other physicians.
• Some do, but usually work as part of a physician-led care team. ...rest with the physician.
• We rely on our physician colleagues. I enjoy working with my physician colleagues.
• Most physicians—not most physicians, every single physician I've spoken to in San Antonio—loves direct

Bills: HB46, HB35, HB4490, HB4454, HB2188, HB3078, HB4743, HB2556, HB46, HB5342, HB4783, HB3785, HB5278, HB1639, HB2581, HB4224, HB4070, HB4099, HB4882, HB3794

Keywords: local government spending cap, expenditure limit, political subdivision, property tax, ad valorem tax, budget cap, taxpayer protection, spending restraint, inflation adjustment, population growth, voter approval, supermajority vote, county budget, municipal budget, school district finance, junior college district, hospital district, special district, attorney general enforcement, local fiscal limits

Transcript Highlights:

• </c><00:43:36.200><c> from</c> physician and a physician assistant from physician and a physician assistant
• implies they are assistance to physicians, and physicians deeply value the critical role that PAs play
• extenders incal members of The physician extenders incal members of The Physician<00:53:47.920><c> Le
• ><c> V</c> to Physicians and Physicians deeply V to Physicians and Physicians deeply V value<00:53:57.160
• to physician physician assistant to physician associate<00:56:49.240><c> to</c><00:56:49.480><c> expand

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

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

Transcript Highlights:

• According to one survey of physicians, more than one-third of physicians reported that prior authorization
• made up of nearly 4,000 physicians and students in the state.
• I'm a practicing physician at BIDMC, and I'm also CEO of Harvard Medical Faculty Physicians, which employs
• referrals when physician providers are not readily accessible.
• So unlike concierge physicians, we don't bill insurance.

Keywords: 995, all

Summary: The committee held a hearing on several health care access and insurance-related bills, with most testimony focused on H.1136 to improve the prior authorization process. The Massachusetts Medical Society, Massachusetts Health and Hospital Association, Health Care for All, the Leukemia & Lymphoma Society, physicians, and hospital representatives all supported the bill, arguing that prior authorization delays care, increases administrative burden, contributes to clinician burnout, and can worsen patient outcomes. Witnesses described examples involving delayed cancer treatment, diabetes care, COPD medication, shingles pain treatment, and hospital discharge delays. They said the bill would preserve prior authorization but add guardrails such as longer validity periods, continuity-of-care protections, faster responses for urgent care, clearer lists of services requiring authorization, and more transparency and standardization. The committee also heard testimony on H.1142/S.783 regarding equitable reimbursement for certified registered nurse anesthetists (CRNAs), with Senator Lovely and CRNA advocates supporting parity with physician anesthesiologists. They said CRNAs provide the same services at the same standard of care, but private insurers sometimes reimburse them at lower rates than physicians, which they argued is inconsistent with federal and state policy and harms access. Senator Keenan testified in support of a bill addressing claim denials and appeals, saying insurers should provide clearer explanations, time to resubmit claims, and timely appeal responses. Dr. Lorraine Schratz supported H.1126 to align state patient disclosure requirements with federal No Surprises Act rules, and Dr. Michael Trimbley supported H.1120 to recognize direct primary care as not being insurance and to encourage primary care participation. The committee also heard testimony on H.1140/S.801 to remove barriers to patient care by updating insurance statutes to reflect nurse practitioners’ full practice authority, and on H.1168/S.A.18 to eliminate the PCP referral requirement for specialty gynecological care. Witnesses on those bills described delays and denials affecting autism diagnosis, nutrition coverage, and endometriosis care, and said the proposals would reduce unnecessary barriers and improve timely access. After testimony and a few member questions, the chair closed the hearing; no votes were taken during the session.

Transcript Highlights:

• am not and then who I am, as the title of a physician is an osteopathic physician surgeon, by stating
• I am a non-physician osteopath.
• It's being different than a physician that states all over my website: I am not a physician.
• It's being different than a physician that states all over my website. I am not a physician.
• A physician that states all over my website: I am not a physician.

Summary: The committee heard a series of bills on access to care, professional licensing, and consumer protection, beginning as a subcommittee because quorum was initially lacking. AB 1307 would create a pilot program allowing up to 30 qualified dentists from Mexico to work in underserved California areas for up to three years; the author and sponsor framed it as a cost-neutral way to address dental shortages, the California Dental Association moved from opposition to neutral after amendments, and members expressed support. AB 1703 would restrict use of osteopathic titles and osteopathic manipulative treatment to licensed DOs; supporters said it would prevent patient confusion and unlicensed practice, while non-physician osteopaths argued it would criminalize a long-standing, safe practice and reduce access. Members raised concerns about consumer clarity and access, and the author said she would continue working with opponents. AB 2250 made technical cleanup changes to last year’s hemp enforcement law, with support from the cannabis industry and no opposition. AB 1758 would raise the annual seller-of-travel assessment for the Travel Consumer Restitution Fund from $35 to $60, and AB 1794 would allow prescribed enteral nutrition formulas to be drop-shipped directly to patients’ homes with pharmacist oversight; both drew support and no opposition. AB 1775 would expand state licensing priority and related support for veterans discharged because of a federal transgender military policy, with emotional testimony from a transgender Army captain and support from equality and women’s organizations. AB 1939 would allow licensed professional fiduciaries to form corporations, and AB 2477 would create a limited provisional period for new pest control employees to work under supervision while licensing is pending; both were supported, though AB 2477 drew questions about supervision and committee amendments. AB 1999 would address veterinary workforce shortages by creating retired volunteer status, a shelter-veterinarian pathway, changes to VCPR rules, and narrowing the owner exemption to exclude surgical procedures; supporters cited animal welfare concerns, while some opponents warned about overreach. AB 2010 would permit high-quality, high-volume spay/neuter clinics in nontraditional settings to expand access, but the Veterinary Medical Board and some advocates opposed it unless amended over safety and clarity concerns. AB 2311 would let public health care district hospitals directly employ physicians, with supporters saying it would improve recruitment and access and opponents warning about erosion of physician autonomy; the author said the bill included safeguards, a sunset, and reporting requirements, and continued negotiations were ongoing. After quorum was established, the committee took roll-call votes and advanced the bills, generally on party-line or broad bipartisan votes, with several measures placed on call and others sent to Appropriations, Judiciary, Revenue and Taxation, Military and Veterans Affairs, or other committees as noted.

Transcript Highlights:

• The physicians in training would have to do CMEs, and once these physicians in training get an offer
• So you made the statement that these physicians from the third world are going to be quality physicians
• So you made the statement that these physicians from the Third War are going to be quality physicians
• When we talk about foreign physicians, we're not talking about physicians who may have qualifications
• I'm not a physician, so I'm candidly not too sure how hands-on that is, if the supervising physician

Bills: HB2176, HB2333, HB2435, HB2447, HB2617, HB2683, HB2686, HB2725, HB2726, HB2906, HB2953, HB2958

Keywords: health care, licensure, complaints, investigation, safety, patient care, regulatory compliance, prosthetics, orthotics, health insurance, Medicare, medical necessity, disability rights, coverage, reimbursement, internationally trained physicians, medical board, clinical training, provisional license, healthcare workforce

Transcript Highlights:

• I review a lot of physician contracts. And young physicians are asking for large amounts of money.
• It may also include retraining of a physician or a change of physician specialty to one that the physician
• Physicians are human. Few physicians are exceptionally well-skilled, while a few are not.
• harm other physicians.
• The highest was for physicians.

Transcript Highlights:

• I think it may be most pronounced in the physician area.
• We already have eight counties that have no physicians.
• We already have eight counties that have no physicians.
• We already have eight counties that have no physicians.
• </c><00:13:06.080><c> that</c><00:13:06.200><c> a</c> their physician has determined that a their physician

Keywords: 00:00 - Call to Order/Roll Call 01:17 - Discussion of 26RS SB 137 07:15 - Roll Call Vote on 26RS SB 137 09:42 - Discussion of 26RS SB 147 10:48 - Roll Call Vote on 26RS SB 147 11:56 - Discussion of 26RS SB 56 13:48 - Roll Call Vote on 26RS SB 56 14:43 - Discussion of 26RS SB 116 20:17 - Roll Call Vote on 26RS SB 116 21:23 - Adjournment, 958, all

Transcript Highlights:

• The physicians in training would have to do CMEs, and once these physicians in training get an offer
• So you made the statement that these physicians from the third world are going to be quality physicians
• So you made the statement that these physicians from the Third War are going to be quality physicians
• When we talk about foreign physicians, we're not talking about physicians who may have qualifications
• All this can be prevented if we can expedite the process for these physicians, international physicians

Summary: The committee heard testimony on several health-related bills. HB 2726 would require coverage for diagnosis and treatment of mild obstructive sleep apnea, including a tongue-muscle stimulation device. The sponsor and medical witnesses said the device is a less burdensome alternative to CPAP and could improve adherence and reduce long-term complications, while Access said it already covers medically necessary sleep apnea treatment but was neutral and concerned the bill could narrow review and limit cost-effectiveness analysis. The committee adopted the Bliss amendment and then gave HB 2726 a due-pass recommendation by an 8-4 vote. HB 2435, as amended, would create a provisional licensing pathway for internationally trained physicians who meet specified ECFMG-related criteria, with supervision, fees set by the Medical Board, and automatic conversion to a full license after four years if conditions are met. Supporters argued Arizona faces severe physician shortages, especially in rural and tribal areas, and that the bill would bring in experienced doctors while preserving oversight. Opponents, including the Arizona Medical Board, said current law already allows case-by-case licensure review and warned the bill could weaken safeguards and bypass existing scrutiny. After adopting the amendment, the committee approved HB 2435 on a due-pass recommendation. HB 2958 would require Access coverage for comprehensive dental care for pregnant women age 21 and older, with a $500,000 general fund appropriation for a pilot program. The sponsor and public health witnesses said dental care during pregnancy is linked to better maternal and infant outcomes and could reduce emergency room use and complications. The committee adopted the bill and sent it out with an 11-1 due-pass recommendation. HB 2176, which sets timelines and standards for health care institution complaint investigations and dispute resolution, also received broad support from hospitals and was approved unanimously on a 12-0 due-pass recommendation. The committee then heard HB 2447, which would bar insurers from reimbursing certified registered nurse anesthetists at a lower rate than anesthesiologists for the same service. Opponents argued the bill would interfere with private contracting, ignore differences in training and liability, and likely raise costs for the state and taxpayers; supporters said anesthesia demand has outpaced reimbursement and that parity is needed to protect access, especially in rural areas. The transcript ends during testimony on HB 2447, before any vote is taken.

Transcript Highlights:

• AB 2311 allows us to meet those physicians where they are.
• access and how we can increase physician access across California.
• that's going to push it over the edge for those physicians.
• America's Physician Groups.
• Elena Lopez-Guzman, Executive Director of the American College of American Physicians, Emergency Physicians

Summary: The Assembly Health Committee heard several bills focused on workforce access, consumer protection, behavioral health parity, and public health safety. AB 1591 by Assembly Member Michelle Rodriguez would create a podiatric medicine pipeline program to address shortages of podiatrists, especially in rural and underserved counties; it drew strong support from podiatrists and medical groups and no opposition. AB 2011 by Assembly Member Hart would codify federal mental health and substance use disorder parity standards into state law; supporters argued it would preserve access if federal enforcement weakens, while health plans and insurers opposed it as premature and potentially confusing. The bill was moved on a due pass motion to Appropriations and remained on call after a roll vote with several ayes and some noes. The committee also considered AB 2311 by Assembly Member Chiavo, which would allow public health care district hospitals to directly employ physicians. Supporters said the change would help district hospitals recruit and retain doctors and stabilize care in underserved communities, while CMA and emergency physicians warned it could weaken the corporate practice of medicine protections and physician autonomy. Members raised concerns about guardrails, but the author said the bill would continue to be refined; it passed on a due pass motion to the Business and Professions Committee. AB 2030 by Assembly Member Lowenthal would prohibit sales of over-the-counter diet pills and weight-loss or muscle-building supplements to minors, with supporters citing eating disorder risks and opponents objecting to scope, age-verification, and retail requirements. The bill passed on a due pass motion to the Judiciary Committee. AB 1864 by Assembly Member Berman would require screening of gene synthesis orders to prevent misuse for bioterrorism and would authorize enforcement penalties for noncompliance. Supporters from Stanford, Encode, and the medical community said the measure would align California with federal best practices and address growing biosecurity risks, while life sciences representatives raised concerns about operational burdens and supply-chain impacts. Members discussed whether the bill should include an urgency clause and how to keep the standards current; it passed to the Judiciary Committee. AB 2457 by Assembly Member Connolly would standardize and speed up Medi-Cal managed care credentialing for physicians, and it passed to Appropriations with broad support. Finally, AB 2302, presented on behalf of Assembly Member Celeste Rodriguez, would require infant formula manufacturers to test for toxic elements such as lead and arsenic and post results publicly; pediatric and disability advocates supported the measure as a transparency and infant safety bill.

Transcript Highlights:

• Although DOs in the U.S. are physicians, osteopaths in other countries are usually not considered physicians
• D.O.s and non-physician osteopaths.
• , as the title of a physician is an osteopathic physician surgeon, by stating I am a non-physician osteopath
• It's being different than a physician that states all over my website, I am not a physician.
• A physician that states all over my website: I am not a physician.

Keywords: 987, senate, all

Transcript Highlights:

• Greg Bielman, the Physicians CEO Dr.
• </c> our rural physician associate program. our rural physician associate program.
• I mentioned our rural physician program and how we do family physician training in communities.
• I mentioned our rural physician program and how we do family physician training in communities.
• </c><00:48:11.599><c> Uh,</c> the CEO of M Physicians. Welcome. Uh, the CEO of M Physicians.

Keywords: 1187, senate, all

Transcript Highlights:

• I'm familiar with physician groups who enter into restrictive covenants with physicians they hire, and
• or your primary care physician?
• to their physicians.
• Get in to see your family physician or your primary care physician. It can be difficult.
• to their physicians.

Summary: The Senate Committee on Health Policy considered several health-related measures. SB 890 on improving screening and treatment for blood clots was presented as a work-in-progress based on a prior working group. The bill would define certain clot-related conditions as chronic diseases, create a DOH registry, require screening and training in hospitals, nursing homes, and assisted living facilities, and several senators raised concerns about definitions, training requirements, facility responsibilities, and public records impacts. Survivors and family members testified in strong support, describing blood clots as a preventable public health crisis. The bill was reported favorably after a roll call vote. SB 668 on storage and disposal of prescription drugs and sharps would direct a study of medical sharps collection and address conflicts between state and federal law on disposal of certain prescription drugs. Senators discussed whether the study should include both individual and commercial disposal and whether newer injectable medications increase sharps waste. The bill received supportive testimony from waste and recycling stakeholders and was reported favorably. SB 762 on preventing the spread of avian influenza would create a DOH task force to develop a statewide response strategy, monitor outbreaks, study wastewater monitoring, and recommend cost-effective testing and prevention measures. An amendment extended the task force deadline, and the bill was reported favorably as a committee substitute. The committee also approved SB 182, which creates the Home Away From Home tax credit for businesses donating to charities that house families of critically ill children, with supporters saying it would help expand lodging for families in need. SB 942, the chair’s bill on restrictive covenants in health care, would limit non-compete clauses for physicians under a salary threshold, with debate focused on patient access, workforce retention, and concerns about small practices and contract enforcement. The bill was reported favorably. Finally, the committee adopted SPB 7018 to preserve a public records exemption for minors seeking judicial bypass of parental consent requirements for abortion, and then reported it favorably. Several members later recorded votes on earlier bills, and the committee adjourned.

Transcript Highlights:

• bill requiring that certain complaints against physicians be reviewed by a three-panel physician panel
• And so what you hear a lot about is that they cannot find physicians, even to protect other physicians
• And so what you hear a lot about is that they cannot find physicians, even to protect other physicians
• The director of investigation, who is a physician, and his assistant, who is a physician, review these
• From there, your board is all active physicians, except one lay person, one non-physician. Okay.

Summary: The House Committee on Health and Welfare met on April 23 and first disposed of several items without hearing them, including HB 1093 and HB 1145, and voluntarily deferring HB 946. The committee then quickly reported HB 1095 favorably without objection. That bill would require nursing facilities to have fuel or another alternative power generation source to maintain power, and supporters said it preserves existing backup-power safety requirements while giving facilities more flexibility as technology changes. The committee then took up HB 926, which concerns vaccination status and admission to public buildings and seeks to prohibit medical mandates. After adopting an amendment set and additional changes clarifying exclusions for licensed health care providers and facilities, medical masks, and child welfare/school-related provisions, the committee heard testimony both for and against the bill. Supporters framed it as a civil-liberties measure limiting vaccine-card requirements for public buildings, while opponents warned it could interfere with public health measures, school immunization rules, and the ability of health care facilities to protect patients. The bill was reported favorably on an 8-4 vote. HB 1220, a cleanup bill for the Louisiana State Board of Medical Examiners, was then reported favorably after a technical amendment set. HB 1227, which would require complaints involving medical judgment to be reviewed by a three-physician panel before formal disciplinary action, drew extensive testimony from a physician sponsor, a doctor describing his disciplinary experience, and the board’s executive director, who said the board already uses practicing physicians, nurses, and experts in its process and warned the proposed panel system could be impractical because physicians are difficult to recruit for such reviews. At the sponsor’s request, the committee voluntarily deferred HB 1227 for further work. Finally, the committee reported HB 1217 favorably with amendments to a pharmacy benefit manager transparency bill, after supporters said it would expose hidden pricing and rebate practices and opponents argued some provisions were duplicative or unnecessary. HB 1028, setting minimum Medicaid reimbursement rates for non-emergency medical transportation, was reported favorably and referred to Appropriations after supporters described the need for higher rates and members discussed funding. The committee also reported HB 1185 favorably, with amendments preserving the existing Rural Hospital Preservation Act while extending similar protections to additional rural-lookalike hospitals, and adopted HCR 76 to continue the Health Inequities and Disparities in Rural Areas Task Force for another year.

Transcript Highlights:

• from physician assistant to physician associate, to make technical changes, to provide for the physician
• It simply updates the term physician assistant to physician associate.
• We've used the terminology physician assistant, physician associate, within our field.
• with physician associate.
• a group of physicians or physician partners.

Summary: The committee first took up House Bill 611 by Rep. Freeman, which would require pregnancy-related service centers that provide health care services to be licensed or, as amended, to clearly disclose that they are not a licensed medical facility regulated by the Louisiana Department of Health. Rep. Freeman and supporting witnesses argued the bill was prompted by a legislative auditor report and concerns that some centers provide ultrasounds, STI testing, pregnancy tests, and related services without clear medical oversight. The Louisiana State Board of Medical Examiners’ executive director testified that interpreting ultrasounds and performing certain tests can constitute the practice of medicine, while opponents argued the centers already operate under medical directors and that the disclosure requirement was unconstitutional under the NIFLA case. The committee adopted an amendment, but after debate on the amended bill, a motion to report favorably failed on a roll call vote, and the bill was voluntarily deferred. The committee then heard House Bill 902 by Rep. Marcelle, which directs the Louisiana Department of Health to develop trauma-informed training. Supporters said the bill grew out of a task force on student behavior, mental health, and discipline, and that educators need a more consistent, evidence-based trauma-informed curriculum than what is currently available online. Some members raised concerns about cost and whether the bill would mandate new school obligations, while a witness from the Louisiana Baptist Convention opposed the measure as mission creep and argued trauma-informed care is too specialized for general teacher training. Other members supported the bill as a way to help educators identify and respond to children facing trauma. The bill was amended with technical changes and then discussed further, but the transcript ends before a final vote on HB 902 is shown.

Transcript Highlights:

• AB 2311 allows us to meet those physicians where they are.
• access and how we can increase physician access across California.
• that's going to push it over the edge for those physicians.
• And we're seeing increasingly, you know, there was a survey of physicians.
• America's Physician Groups.

Keywords: 988, house, all